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Chularat Hospital Public Company Limited
Presentation for 4Q2019
Disclaimers• The information contained in this presentation is for information purposes only and does not constitute an offer or invitation to sell or
the solicitation of an offer or invitation to purchase or subscribe for any securities of Chularat Hospital Public Company Limited (the“company”) in any jurisdiction nor should it or any part of it from the basis of , or be relied upon in any connection with, any contractor commitment whatsoever.
• This presentation may include information which is forward-looking in nature. Forward-looking information involve known andunknown risks, uncertainties and other factors which may impact on the actual outcomes, including economic conditions in themarkets in which the company operates and general achievement of the company business forecasts, which will cause the actualresults, performance or achievements of the company to differ, perhaps materially, from the results, performance or achievementsexpressed or implied in this presentation.
• This presentation has been prepared by the company solely for the use at this presentation. The information in this presentation hasnot been independently verified. No representation, warranty, express or implied, is made as to, and no reliance should be placed on,the fairness, accuracy, completeness or correctness of the information and opinions in this presentation. None of the company or anyof its agents or advisors or any of their respective affiliates, advisors or representatives, shall have any liability ( in negligence orotherwise) for any loss or damage howsoever arising from any use of this presentation or its contents or otherwise arising inconnection with this presentation. The information presented or contained in this presentation is current as of the date hereof and issubject to change without notice and its accuracy is not guaranteed. None of the Company, any of its affiliates or any of theirrespective agents, advisors or representatives, makes any undertaking to update any such information subsequent to the date hereof.
• This presentation is made, furnished and distributed for information purposes only. No part of this presentation shall be relied upondirectly or indirectly for any investment decision-making or for any other purposes.
• This presentation and all other information, materials or documents provided in connection therewith, shall not, either in whole or inpart, be reproduced, redistributed or made available to any other person, save in strict compliance with all applicable laws
2
COMPANY OVERVIEW
ABOUT OUR COMPANY
749IPD BEDS
9HOSPITALS
4CLINICS
822DOCTORS
149OPD ROOMS
6EASTERN PROVINCES
* Established since 1986 (2529 BE) by Plussind Family
1
Plussind38%
Panyapol19%
Others43%
Service Cluster
245
139
247
118
5434 33 28
CH3 CH9 CH11 Others
IPD Beds
OPD Rooms
• CH1• CH2• CH5
• CH7• CH8
• CH12• CH Cholvaej• CH Rayong
• CH304• RPC
Remark : CH1 and CH5 are small size hospitals (< 30 beds)2
Branch Summary
Update : 4Q19 3
Branch Type Year Established OPD Rooms IPD Beds
Chularat 1 Suvarnabhumi Hospital 1986 5 26
Chularat 2 Clinic 1990 2 -
Chularat 3 Inter Hospital 1991 42 193
Chularat 5 Hospital 1994 5 26
Chularat 7 Clinic 1993 1 -
Chularat 8 Clinic 1993 2 -
Chularat 9 Airport Hospital 1993 31 139
Chularat 11 Inter Hospital 1994 21 141
Chularat 12 Clinic 2012 2 -
Chularat Cholvaej Hospital 2014 (M&A) 5 56
Chularat Rayong Hospital 2016 (M&A) 5 50
Chularat 304 Inter Hospital 2018 14 59
RPC Hospital 2018 14 59
149 749Total
Corporate Structure
ChularatHospital Plc.
ConvenienceHospital Co., Ltd.
Bang Pakong Vejchakij Co.,Ltd.
Thai Amdon Co.,Ltd.
Chularat ArkanayCo., Ltd.
Cholvaej Hospital Co., Ltd.
Imports medical devices for Chularat Group
100%100% 100%
96.38%
Sattayabutr Inter Co., Ltd.
100%
Ruampat Chachoengsao
Hospital Co., Ltd.
100%
Chularat PhraeksaHospital Co., Ltd.
100%
Cancer Suvarnabhumi
Co., Ltd.
70% 64.58%
CH7, CH8, CH9 CH11, CH12
CH Cholvaej
RPCCH304
CH Rayong
Update : 4Q19 4
Ruampat Mae Sot International Co., Ltd.
CH Mae Sot
80%
Mr. Kriengsak PlussindChairman of the Board
Dr. Kumpol PlussindManaging Director
Mr. Apirum PanyapolDirector
Dr. Wichit SirithadthamrongDirector
Dr. Suchai LaoveerawatDirector
Mrs. Kobkul PanyapolDirector
Mr. Yanyong AmornphithankkulDirector
Miss Kannikar PlussindDirector
Mr. Manit JeeraditIndependent Director& Chairman of Audit Committee
Mr. Chayawat PhisetsitIndependent Director& Audit Committee
Mr. Somyos YanubonIndependent Director& Audit Commitee
Dr. Pinit KullavanijayaIndependent Director
“BODs of CHG assembling specialists in medical services with specialists in finance and business management”
Board of Directors
5
Dr. Kumpol PlussindManaging Director
Dr. Rungarun SanthadkolkarnHospital Director of CH3
Dr. Yudthana SanguansakdikosolDeputy Managing Director & Hospital Director of CH9
Dr. Suchai LaoweerawatHospital Director of CH1 & CH5
MEET OUR MANAGEMENT TEAM
Dr. Chutima PinjaroenDeputy Managing Director & Hospital Director of CH11&RPC
Mr. Suppachoke Rojcheewin
Ms. Wandee PisanuvanavechDeputy Managing Director (Finance & Accounting)
Finance & Accounting Manager
“The team has successfully managed several medical service businesses with over 25 years of proven track record.”
6
• Chularat 1 • Chularat 2
• Chularat 3• Chularat 5
• Chularat 7• Chularat 8• Chularat 9
Bangkok and Samutprakarn
• Chularat 11 • Chularat 12• Ruampat Chachoengsao
Chachoengsao
• Chularat Rayong
Rayong
Prachin Buri
• Chularat Cholvaej
Chonburi
• Chularat 304
Star of the EAST
“ Our logistics network supports timely preventive and curative cares.“
7
Service Area Map
8
Key Milestones16 May 2013
• JCI accredited for Chularat 3 Inter
• Set up “Prostate cancer clinic” at Chularat 3 Inter Cholvaej Hospital Acquisition2014
9
2015• Asia’s 200 Best Under A Billion for Chularat Hospital Group
• HA Certificate : Step 2, Step 3 for Chularat 9 Airport and Chularat 11 International Hospitals.
IPO listing
in
Stock Exchange
of
Thailand
• Opened “IVF Center” at CH11
• Opened “Eye Center Suvarnabhumi” at Chularat 1 Suvarnabhumi
• Re-Accreditation of HA Certificate Step 2, Step 3 for Chularat 9 Airport and Chularat 11 International Hospitals.
• Re-Accreditation of JCI for Chularat 3 International Hospital.
Best Medical Performance Award for Chularat 3 Inter
Set up “3A center: Aesthetic and Anti-Aging Center” at Chularat 9
2017
2018
2016Ruampat Rayong Hospital Acquisition
Green field : Chularat 304 & Ruampat Chachoengsao Hospital (RPC)
10
2019• Thailand Top’s Corporate Brand 2019 Award for CHG
• Re-Accreditation of HA Certificate Step 2, Step 3 for Chularat 9 Airport and Chularat 11 International Hospitals.
• Muang Thai Life Assurance Award and Allianz Ayudhya Best Medical Performance Award for Chularat 9 Airport
Investment in Ruampat Mae Sot International Co.,Ltd
Health Care Service System in Thailand
Health service infrastructure
Government health services
Private medical sector
Non-profit health services
Health service systems
Cash & Insurance
Premium Mid-tier
Managed care schemes
Social Security (SS) Civil Servants SecurityNational HealthSecurity (NHS)
13.9 M 48.2 M 4.83 M
Thailand population = 67.2 million
11
Revenue from Social Security System (New)
Revenue Structure= (1) + (2) + (3)
Fixed Payment Statistics Per SpecialMedical Services
IPD
Subject to Nationwide Budget453 Baht/head/year*
( 447 Baht/head/year)
Only 26 Chronic Diseases
All IPD casesClassified by DRG
Adj RW** ≥ 2
1 2 3
OPDBasic Payment (Fixed)
1,640 Babt/head/year*( 1,500 Bt/head/year)
* Effective date: 1 Jan 2020** Relative Weight, a measure of the average cost of caring for individual patients.
12,000 Baht/RW (Avg.)746 Baht/head/year*
( 640 Baht/head/year)
12
• Diabetes• Hypertension• Stroke• Chronic renal failure (CRF)
• Hemodialysis
• Chemotherapy• Open heart surgery• Brain surgery
• Heart disease
Our Services
General medicine with various subspecialties
Expertise : Heart center, Hand microsurgery, Stroke center, Cancer center, NICU & IVF center, REHAB..
Medical
Services
Laser & Beauty Center Spa & Thai Traditional Medicine Chinese Traditional Medicine
(Acupuncture) Anti-aging services
Alternative
Services
13
Areas of Expertise
STROKE CENTER
& BRAIN SURGERY
NICU &
IVF CENTER
CANCER CENTER
HAND & MICROSURGERY
REHABILITATION CENTER
ENDOSCOPY
CENTER
PROSTATE
BRACHYTHERAPY
HEART CENTER
CATHLAB & EP
EYE &
LASIK CENTER
MIS SPINE &
GENERAL SURGERY
14
Areas of Expertise
CANCER CENTER REHABILITATION CENTER
HEART CENTER
CATHLAB & EP
EYE &
LASIK CENTER
15
Competitive Advantages
CustomerDiversification
Cost Control
ServiceQuality
• HA level 3 and JCI approval • Diagnosis & treatment quality
accredited by both private and public sectors
• Increasing specialized clinics to accommodate A-Class
• In 2019 : A-Class 63% • Social Welfare 37%• Short-term Target : A-Class > 60%• Long-term Target : A-Class > 70%
• Effective Cost control with maintained quality
• Pooling E-procurement with strategic alliances
• Cost & facilities sharing among the group.
LogisticNetwork
CSR
PotentialLocation
• Industrial area with high growth community, and closed to international airport
• Nearby highways
• 9 Hospitals and 4 clinics expanding in strategic locations for patient transfer & personnel rotation among the group
• Raise brand-awareness through CSR to strengthen the relationship with the communities and become the communities’ hospital
1
3
2
4
6
5
16
Customer Grouping
01 A-Class
Cash Corporate contracts & Insurance Motor Vehicle Accident Protection Act (1992) Workers Compensation Fund
02 Social Welfare
Social Security System National Health Security System *
17
* CH3 is a Referral Center for Heart disease. ( NOT a primary service provider under NHSO scheme. )
Targeted Customer & Payment Basis
Customer Grouping
A Class
Social Welfare
01
02
03
04
Self Pay • Individual Patients in nearby areas Cash or credit card, based on actual medical treatment
Corporate Contract• Companies / plants in nearby area• Insurance company having medical
service contract with Chularat Group
Credit, based on actual medical treatment, capped by each contract
MVAP Act 1992• Motor vehicle accident patients
Credit, based on actual medical treatment, capped 80,000 Baht / case
Workers Compensation Fund (WCF)• Companies / plants in nearby area• Insurance company having medical
service contract with Chularat Group
Credit, based on actual medical treatment, capped 300,000 Baht / case
01Self Pay Social Security system (SSS)
• Labors / employees of companies or plants in nearby area
02National Health Security System (NHSS)
• Non-SS members (CHG dose not participate in “30 Baht for universal coverage project”
Credit, based on actual medical treatment, under treatment rate specified by NHSO
Fixed Payment Advance payment, based on number of registered SS members
National Statistics BaseCredit, based on comparable national statistics
Per Special Medical ServicesCredit, based on actual medical treatment, under treatment rate specified by SSO
18
FINANCIAL HIGHLIGHTS
3,1553,657 3,876
4,4075,166
14%
2015 2016 2017 2018 2019
2.297 M
142,222 155,132
2.357 M2.601 M
185,676
13.6%
Revenue
NetProfits
Patients
OPD (Head)
IPD (Beds-Day)
1.815 M
122,756
2.153 M
140,821
538 565 566634
705
11%
15%7%
17%
5% 0% 12%
NI GROWTH (%)
REVENUE GROWTH (%)
Financial Performance VS Patient GrowthUnit: Million Baht
Net ProfitMargin
17.1% 15.4%14.5%
14.3%
19
CAGR 6.99%
CAGR 13.12%
13%
36%28%
23%
5%
37%32%
26%9%
36%30%
25%
Revenue Breakdown 2015-2019 By Customer group
• Hospital service revenues increased significantly from 2015 to 2019 with CAGR of 13.12%• Revenue from A-Class still dominated revenues (> 50%) from other sources.
Service Revenue Structure
7%
30%32%
31%
5%
32%33%
30%
A-Class OPD
A-Class IPD
SSO
NHSO
A-Class IPD
A-Class OPD
SSO
NHSO
3,155MB
3,637MB
3,876 MB
(51 : 49)
2015
A-Class OPD
SSO
NHSO
(55 : 45)
2016
(58 : 42)
2017
A-Class IPD
A-Class IPDA-Class
IPDNHSO
SSO
4,407 MB
A-Class OPD
(63 : 37)
2018
(63 : 37)
2019
5,166 MB
A-Class IPD
A-Class OPD
NHSO
SSO
15%7%
14%
17%
20
NHSO8%
SSO27%
A-Class OPD33%
A-Class IPD32%
Unit: Million Baht
NHSO6%
SSO33%
A-Class OPD33%
A-Class IPD28%
1,328 MB
(65 : 35)
4Q19
Revenue Breakdown by Customer group
1,139 MB
(61:39)
4Q18
318 422
377
444
377
361 67
101
-
200
400
600
800
1,000
1,200
1,400
4Q18 4Q19
NHSO
SSO
A-Class : OPD
A-Class : IPD
4Q2019 Overview
21
51.8%
4.1%
17.7%
32.4%
16.6%
1,310 1,581
1,445 1,654
1,409
1,578 243
353
-
1,000
2,000
3,000
4,000
5,000
6,000
2018 2019
NHSO
SSO
A-Class : OPD
A-Class : IPD
Unit: Million Baht
NHSO5%
SSO32%
A-Class OPD33%
A-Class IPD30%
NHSO7%
SSO30%
A-Class OPD32%
A-Class IPD31%
5,166 MB
(63 : 37)
2019
Revenue Breakdown by Customer group
4,407 MB
(63:37)
2018
2019 Overview
45.7%
11.9%
14.5%
20.7%
22
17.2%
A Class Patients - OPD
Total A-Class revenue up 17%
due to
Service area expansion in
existing hospitals.
2 New hospitals (CH304, RPC).
Volume increased.
OPD – Revenue (MB)
OPD – Visiting Number (VN)
Unit : Million Baht
Unit : Head
23
873
1,093 1,216
1,445
1,654
377 444
2015 2016 2017 2018 2019 4Q18 4Q19
17.7%
14.5%
621,969
743,666 804,167
899,551 980,304
223,064 247,433
2015 2016 2017 2018 2019 4Q18 4Q19
10.9%
9%
A Class Patients – IPD
IPD – Revenue (MB)
IPD – Admission Number (AN)
Unit : Million Baht
Unit : Head
24
39,861
50,268 52,256
61,050
72,477
14,591 18,848
2015 2016 2017 2018 2019 4Q18 4Q19
29.2%
18.7%
744 902
1,016
1,310
1,581
318 422
2015 2016 2017 2018 2019 4Q18 4Q19
32.4%
20.7%
1,132 1,315
1,452 1,409 1,578
377 361
2015 2016 2017 2018 2019 4Q18 4Q19
For 3 months :
Actual payment for IPD ( High Cost Care ) was less than the accrual amount.
For 12 months :
Increasing number of registered members.
Actual payment for Customer Complaint and Discharge type was over the accrual amount.
Actual payment for OPD (26 Chronic Diseases ) was over the accrual amount.
Actual payment for IPD ( High Cost Care ) was less than the accrual amount.
Unit : Head
• Number of insured persons = 13.3 million ( Nov. 2019, SSO) by law article #33 [obligation] and #39 [voluntary]• Approx. Unemployment rate = 1% ( Dec. 2019, Labor Market Research Division)
SSO – Registered Member (Average )
SSO PatientSSO – Revenue (MB)
Unit : Million Baht
2.9%
25
4.1%
345,477
396,676 402,018 421,700 435,537 427,097 439,810
2015 2016 2017 2018 2019 4Q18 4Q19
11.9%
3.3%
Revenue Breakdown by Branches
Chularat341.8%
Chularat918.7%
Chularat1114.9%
others24.6%
Chularat3
Chularat9
Chularat11
others
1,328MB
4Q19
Revenue Breakdown by Branches : 3 months
Chularat343.8%
Chularat920.3%
Chularat1116.0%
others19.9%
1,139 MB
4Q18
Major contributors : Chularat3, Chularat9, Chularat11 = 76% ( 4Q18 = 80% )
7.4%
8.6%
11.3%
44.1%
Growth (YoY)
26
16.6%
Revenue Breakdown by Branches
Chularat341.4%
Chularat919.6%
Chularat1115.9%
others23.2%
Chularat3
Chularat9
Chularat11
others
5,166 MB
2019
Revenue Breakdown by Branches : 12 months
Chularat344.6%
Chularat920.8%
Chularat1116.6%
others18.1%
4,407 MB
2018
10.3%
12.3%
8.9%
50.1%
Growth (YoY)
27
17.2%
Major contributors : Chularat3, Chularat9, Chularat11 = 77% ( 2018 = 82% )
Unit : ‘000 Head
OPD Utilization Rate
Max. capacity = Rooms x 365 days x 70 (avg. patient/day/room)
Basis: Yearly
2,370 2,576
3,081 3,233 3,344
3,763
1,634 1,815
2,154 2,297 2,357 2,601
2014 2015 2016 2017 2018 2019
60.9%70.5% 69.9% 71.1% 70.5% 69.0%
121R127R
101R93R
131R
Basis: Quarterly
794 822 850 878 907 930 966 959
566 566 591 634 595 578672
756
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19
150R
71.3% 68.9% 69.5% 72.2% 65.6% 62.1% 69.6%78.8%
129R126R
132R 143R
Unit : ‘000 Head
146R144R
28
147R
149R
Unit : Beds-Day
53,910 54,509
63,112 65,309 67,410 68,159 68,908 68,908
37,737 34,504 42,979 39,912
44,799 42,208
51,448 47,221
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19
599B
686B
70.0% 63.3% 68.1% 61.1% 66.5% 61.9%74.7% 68.5%
599B
749B
Max. capacity = Beds x 365 days
IPD Utilization Rate
137,240 141,620
184,887
213,994 236,840
273,385
112,067 122,756
140,821 142,222 155,132
185,676
2014 2015 2016 2017 2018 2019
749B
505B
586B
81.7% 86.7%76.2%
66.5% 65.5% 67.9%
649B
Basis: Yearly
Basis: Quarterly
Unit : Beds-Day749B
388B
749B
376B
749B
29
749B
Financial Highlights : 3 months
1,139
320
206
112
1,328
354
252
134
Total revenue Gross profit margin EBITDA NI
4Q18 4Q19
Growth (YoY)
Unit: Million Baht
28.1%
18.1%
9.8%
26.7%
18.9%
10%
NI
10.6%
22.3%
Total Revenue
Gross profit
EBITDA
16.6%
19.6%
30
Financial Highlights : 12 months
4,407
1,3351,036
634
5,166
1,537
1,188
705
Total revenue Gross profit margin EBITDA NI
2018 2019
Growth (YoY)
Unit: Million Baht
30.3%
23.5%
14.3%
29.7%
23%
13.6%
NI
15.1%
14.7%
Total Revenue
Gross profit
EBITDA
17.2%
11.2%
31
Asset Profile & Capital Profile
13%
11%
10%
4%
62%
Short term loan
Long term loan
Account Payable
Other Debt
Equity
19.7%17.2%
15.0% 14.8% 14.9%
0.0%
10.0%
20.0%
30.0%
2015 2016 2017 2018 2019
18.7% 18.5% 17.6% 18.5% 19.4%
0.0%
10.0%
20.0%
30.0%
2015 2016 2017 2018 2019
2019 Equity = 3,895 MB, Debt = 2,371 MB2019 Asset = 6,266 MB
7%
17%
67%
9%Cash
Account Receivable &Accrued Revenue
PP&E
Others
2019 2019
DE0.61
ROE
CAPTIAL STRUCTUREASSET STRUCTURE
ROA
32
PIPELINE PROJECTS
Pipeline Project
33
• Samutprakarn
• Apprx 2,000 sq.m.
• High Energy Radiation (LINAC)
• IPD : 10 Beds
• Target: A-class patient
• CAPEX 250 MB
Suvarnabhumi Cancer and Radio Therapy Center
(Cancer center)
Pipeline Project
• Mae Sot district, Tak province
• Approx. 6 Rai
• IPD : 100 Beds
• Target : A-Class patient
• CAPEX 600 MB
• Start construction in May 2020
• Expect to operate within 2021
Chularat Mae Sot International Hospital
34
CRS & RECOGNITION
CSR
10,000 Heart Heroes for safe life #3rd year
35
CSR (Cont.)
Bring good health to the community
36
Thailand’s Top Corporate Brand 2019
37
Our Pride
JCI & HA Accreditation Corporate Governance 4 consecutive years since 2016
38
APPENDIX
Appendix: Abbreviation TableAdjRW Adjusted Relative Weight
CAGR Compound Annual Growth Rate
CH Chularat Hospital
DRG Diagnosis Related Group A statistical system of classifying any in-patient stay into groups for the purpose of payment.
HA Hospital Accreditation
IPD In-Patient Department
JCI Joint Commission International
MAVP Act 1992 Motor Accident Vehicle Protection Act 1992
NHSS National Health Security System
NHSO National Health Security Office
NICU Neonatal Intensive Care Unit
OPD Out-Patient Department
PP&E Plants, property & Equipment
Registered SS Member Registered Social Security Member
ROA Return on Assets
ROE Return on Equity
SSS Social Security System
SSO Social Security Office
WCF Working Compensation Fund
Chularat Hospital Public Company Limited
Thank you
For more information, please contact : [email protected] 095 370 9059