East AfricaHealthcareFederationConference 2012

Strength in Brand Partnerships

Alex AlexanderGeneral Manager, International Hospital Kampala

Agenda

Healthcare in Uganda

Overview of Fortis Healthcare

Way Forward for International Hospital Kampala

Overview of International Hospital Kampala (IHK)

Health in Uganda• With an average annual growth rate of 3.2%, amongst the largest in the world – Uganda’s

population is expected to increase to 44 Mn by 2020

• Total Fertility Rate (TFR) of 6.7 births/woman and a contraceptive prevalence rate of 24% both contribute significantly to the increase in Uganda’s population

• Life expectancy at birth is around 52 years

• HIV prevalence has reduced from more than 30% in the 1980s to 6.4% by the end of 2008

• Infant mortality rate was at 79 per 1,000 live births in 2005

• Hospital bed density of 0.39 beds per 1,000 population

• 0.117 physicians per 1,000 population

• Uganda’s elimination of user fees at state health facilities in 2001 has resulted in an 80% increase in visits

• Total expenditure on health as a percentage of GDP (2009) – 8.2%

Healthcare Industry in Uganda Indicator TrendsINDICATORS USA UK Singapore India China South Africa Uganda

Total Population ('000) (2006) 302,841 60,512 4,382 1,151,751 1,328,474 48,282 29,899

Gross national income per capita(PPP international $)

44,070 33,650 43,300 2,460 4,660 8,900 880

Life expectancy at birth m/f (years) 75/80 77/81 78/83 62/64 72/75 50/53 49/51

Healthy life expectancy at birth m/f (years, 2003) 67/71 69/72 69/71 53/54 63/65 43/45 42/44

Probability of dying under 5 (per 1,000 live births) 8 6 3 76 24 69 134

Probability of dying between 15 and 60 years m/f(per 1,000 population)

137/80 98/61 83/50 276/203 143/87 598/531 518/474

Total expenditure on health per capita(PPP international $, 2006)

6,714 2,784 1,228 109 342 869 143

Government expenditure on health per capita(PPP international $, 2006)

3,074 2,434 413 21 144 364 22

Private expenditure on health as % of Total expenditure on health (2006)

54.2 12.6 66.4 80.4 58.0 58.1 79.3

Private prepaid plans as % of Private expenditure on health (2006)

66.4 7.8 2.9 0.8 6.3 77.7 0.1

Out-of-pocket expenditure as % of Private expenditure on health (2006)

23.5 92.2 94.0 94.0 92.9 17.5 65.5

Total expenditure on health as % of GDP (2006) 15.3 8.4 3.4 4.9 4.5 8.6 7.2

Figures are for 2006 unless indicated

Source: World Health Organization

Healthcare Industry in Uganda Healthcare Infrastructure & Efficiency

Key Statistics

Beds Physicians Nurses(Per ‘000 population)

High Income Countries

Middle Income Countries

Low Income Countries

Uganda

Source: CII & McKinsey Report; World Health Organization

0.4

1.5

4.3

7.4

0.1

1.0

1.8

1.8

1.3

1.6

1.9

7.5

Agenda

Healthcare in Uganda

Overview of Fortis Healthcare

Way Forward for International Hospital Kampala

Overview of International Hospital Kampala (IHK)

International Hospital Kampala (IHK)

FACT FILE:

Established In 2000; New facility constructed and Phase I launched in 2005

Built-up Area ~7,000 sq. mts.

No. of Beds 115 (with a capacity to increase to 200)

Infrastructure - 5 Operation Theatres- 3 Labour Delivery Rooms- 5-bedded ICU, 1 IICU bed, 1

Paeds ICU, and 3-bedded HDU - Well Baby and Neonatal Care

Unit- Comprehensive Diagnostics- Laboratory services- 24/7 Emergency and Ambulance

services- Speciality clinics

‘Making a difference to Healthcare’ …• >40,000 specialist consults and ~5,000 in-patients treated in 2011• >2,600 surgical cases performed in 2011• Holds the distinction of having performed the first Open Heart Surgery in

Uganda (April 2007)• >1,700 newborns delivered in 2011• >200,000 laboratory tests conducted across the streams of haemotology,

biochemistry and micro-biology• ~20,000 diagnostic scans and non-invasive cardiology tests done in 2011• Initiated and validated Microscopic Observation Technique for

Tuberculosis (2011)• Development of a robust health management model that allows access to

affordable healthcare through the IAA Healthcare medical plans• Backed by a network of 10 IMCs spread across Uganda• Establishment of quality health-related training for health workers

through the International Health Sciences University (IHSU)• Concretized involvement in charity services and community-based

programs through International Medical Foundation (IMF) and ‘Hope Ward’ that provide care to needy patients for complex conditions

Agenda

Healthcare in Uganda

Overview of Fortis Healthcare

Way Forward for International Hospital Kampala

Overview of International Hospital Kampala (IHK)

Fortis Healthcare

Vision for Global Growth

ScalableManagement

CapabilityHealth IT

Portfolio ofhealthcareverticals /

models

Strong Brand

Merger Integration Capabilities

Clinical Capabilities

Operational Capabilities

Balanced Growth

World Class Medical Talent

Vision for Integrated Healthcare

Hospitals* 75

Total Beds* >12,000

Primary Care** ~600 centres

Diagnostic Labs >210

Day care Speciality ~191

Geogaphic Coverage 10 countries(India, Australia, New Zealand, Hong Kong,

Vietnam, Dubai, Mauritius, Singapore,

Sri Lanka & Canada)

Doctor Network*** >3,900

Total Employees >23,000

* Includes project hospitals and beds** Includes affiliate centers and physiotherapy centers*** Doctor Network includes Hygienists in Australia

Geographical Footprint

Leading Healthcare Provider in Asia-Pacific• Amongst the leading hospital operators in India with “Patients first” culture

and 68 hospitals with > 10,000* beds under management• Leadership across key specialties in tertiary care like cardiac sciences,

neurology and orthopaedics• Leader in the organized diagnostics segment

• Australia’s largest operator of Dental practices with 170 sites• Operates in top 30% of the Australian dental market

* including owned, managed and project beds

• Largest integrated primary healthcare service provider in Hong Kong with ~590 primary care centers . Market leader in the corporate client segment.

• Operates one of the largest radiology networks in Hong Kong• Potential base for expansion into China

• One of the leading private healthcare providers in Vietnam• 5 full service hospitals and 3 clinics across Central & Southern Vietnam• Significant expansion plan including a brand new 204 bed hospital at the

centre of Ho Chi Minh city, one of the fastest growing cities in Asia

Leading Healthcare Provider in Asia-Pacific (cont…)

• The largest private diagnostic and imaging Company in Singapore• 7 state-of-the-art diagnostics and molecular imaging centers and 5 GP clinics• Robust business model with a strong referral network across 2000 specialist

and physicians

• Greenfield specialty hospital for colorectal treatment, South East Asia’s first• Expected completion in mid- 2012

• Operates on a Hub-Spoke-Spike Model including 6 Reference Labs, 7 CoEs, 181 network labs and 865 collection centres in india and 1 Reference Lab in UAE and 7 collection agents in GCC

• First CAP accredited private pathology Lab

• One of the largest hospitals in Sri Lanka with an excellent brand image as a quality healthcare service provider

• Attractive growth opportunity on the back of rising income levels, higher insurance penetration and stronger emphasis on the quality of healthcare in Sri Lanka

Agenda

Healthcare in Uganda

Overview of Fortis Healthcare

Way Forward for International Hospital Kampala

Overview of International Hospital Kampala (IHK)

Going Forward…

Phase I • Substantial investment to upgrade the current infrastructure• Enhancing the already existing medical programs to tertiary level care by bringing in

new medical equipment & clinical skills• Introduction of new specialties• Introduction of high end laparoscopic equipment to bolster the General Surgery and

Gynaecology programs• Strengthening of the Critical Care department• Introduction of fully equipped Level III Neonatal Intensive Care Unit (NICU) to

strengthen the maternity program• Scaling up of Emergency Medicine and Ambulance services• Provision of comprehensive range of diagnostic services• Creation of a robust referral mechanism so that complex surgical interventions can be

done at any of the 68 network hospitals in India at affordable costs

Phase II • Future expansion of facility to a 200-bedded super specialty hospital providing

comprehensive medical services

Tremendous Back-up of Fortis Network

Development of local medical talent through access to clinical talent across the

robust network of 75 hospitals

Strengthening the current cardiac program with the support of “Fortis Escorts

Cardiac Program,” one of the largest and renowned cardiac programs in the World

Back-up of Fortis Operating System, designed to provide uniform experience to

patients

Continuous training and education for medical, paramedical, nursing and support

services staff to ensure high quality service levels

Enhanced focus on quality standards

Evolving International Hospital Kampala as a Medical Hub for neighboring East

African countries

THANK YOU

Expanding footprints into Africa…