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October 2018 Important Notice The information contained in this - PowerPoint PPT Presentation

Bangkok Dusit Medical Services (BDMS) Investor Presentation 2Q18&6M18 Results October 2018 Important Notice The information contained in this presentation is for information purposes only and does not constitute an offer or invitation to


  1. Bangkok Dusit Medical Services (BDMS) Investor Presentation 2Q18&6M18 Results October 2018

  2. Important Notice  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 share in Bangkok Dusit Medical Services Public Company Limited (“BDMS” and shares in BDMS, ”shares”) in any jurisdiction nor should it or any part of it from the basis of , or be relied upon in any connection with, any contract or commitment whatsoever.  This presentation may include information which is forward-looking in nature. Forward-looking information involve known and unknown risks, uncertainties and other factors which may impact on the actual outcomes, including economic conditions in the markets in which BDMS operates and general achievement of BDMS business forecasts, which will cause the actual results, performance or achievements of BDMS to differ, perhaps materially, from the results, performance or achievements expressed or implied in this presentation.  This presentation has been prepared by the BDMS. The information in this presentation has not 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 BDMS or any of its agents or advisors or any of their respective affiliates, advisors or representatives, shall have any liability ( in negligence or otherwise) for any loss howsoever arising from any use of this presentation or its contents or otherwise arising in connection with this presentation.  This presentation is made, furnished and distributed for information purposes only. No part of this presentation shall be relied upon directly 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 in part, be reproduced, redistributed or made available to any other person, save in strict compliance with all applicable laws. 2

  3. Contents  Overview  2Q18 & 6M18 in review  Operational Statistics & Financial Highlights  Healthcare Industry 3

  4. Overview 4 4

  5. BDMS Overview 46 Hospitals ~ 8,000 Beds Brand No. of No. of Hospitals Beds* BDMS Wellness 10 Centers of Bangkok Hospital 21 3,602 Clinic Excellence Samitivej Hospital 6 1,288 12,000+ Doctors Pharmaceutical Phyathai Hospital 5 1,241 8,000+ Nurses manufacturer 14,000+ Staffs and drug stores Paolo Hospital 6 1,008 BNH Hospital 1 144  Established on February 26, 1972 Royal Hospital 2 130  Top 5 private hospital operators in the world by market capitalization Local Hospital 5 598  Hub-and-Spoke model with an established * Maximum number of beds according to structure of the hospitals patient referral system helps create efficiency through scale 5

  6. Target Patients / Purchasing Power Diversification of Patient Mix Social Middle-Income High-Income International Security Patients Patients Patients Patients Secondary Medical Sophistication Tertiary Super Tertiary 6

  7. ‘Hub -and- Spoke‘ Model Providing a Proven Patient Referral System and Creating Efficiency Through Scale Clinics / Medical Spoke Diagnostics Referral patients Doctors Referral Patients patients Hub (Super Tertiary / Tertiary) Nurses Referral patients Spoke Medical Referral Spoke equipment patients 1 Strong patient referral system within and across each hub and spoke 2 Enhances synergies and benefits of scale among hospitals within the group Shared supporting services among multiple hubs which enhance efficiency and competitiveness 3 4 Established system provides a platform for future expansion 7

  8. Successful Track Record of Expansion Through M&A and Greenfield Projects Strong Share Price Performance Backed by a Successful Expansion Track Record 2015 2018 Share Price • Bangkok Phetchaburi • Chiva Transitional (THB) 2006 • Sri-Rayong Care 2011 2016 30 • Dibuk 2004 • Increase in stake of • Bangkok Hua Hin • Paolo Rangsit • Samitivej Chonburi Bangkok Pattaya, Bangkok • Bangkok Heart • Bangkok Pakchong • Bangkok Muangraj Chanthaburi and Samitivej 2013 46 • Bangkok Samui 25 Sriracha (became • Health Network • Samitivej Thonburi • Bangkok Phuket 43 subsidiaries) (8 Phyathai & Paolo • Bangkok Phitsanulok • Samitivej Sukhumvit and hospitals ) • Bangkok Ratchasima 45 42 20 Samitivej Srinakarin 37 15 2017 2014 31 2007 2005 • Paolo Kaset • Bangkok Chiangmai • Royal Angkor International • BNH • Bangkok Surat • Royal Phnom Penh (Cambodia) 10 (Cambodia) 29 • Wattanosoth • Samitivej Chinatown • Royal Rattanak (Cambodia) * • Bangkok Khon Kaen 28 5 2012 18 • Bangkok Sanamchan & Thepakorn 16 • Bangkok Udon 12 10 • Sririroj International 0 Jan-04 Jan-05 Jan-06 Jan-07 Jan-08 Jan-09 Jan-10 Jan-11 Jan-12 Jan-13 Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Green font indicates Greenfield projects Brown font indicates acquisitions Number of hospitals in the network post-acquisition # * Transfer of business to our new facility, Royal Phnom Penh Solid Revenue Growth Over the Past Decade (2004-2017 CAGR of 21.7%) with Resilient EBITDA margin Total Revenue (THB mm) and EBITDA margin (%) 23.4% 23.2% 23.3% 23.1% 23.1% 23.1% 22.9% 22.7% 22.4% 22.1% 21.4% 21.3% 21.3% 20.6% 18.4% 5,635 10,724 15,981 18,885 21,652 21,974 24,051 37,371 47,862 51,407 56,607 63,655 68,844 72,772 38,757 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 6M18 Source: Derived from BDMS’ financial statements BDMS has developed 14 new hospitals and acquired a total of 30 hospitals to date 8

  9. BDMS Future Plan Key Strategies 2017 2020 2018 2019  45 Hospitals   ~ 50 hospitals 46 Hospitals  ~ 8,000 beds  ~ 8,500 beds 2025  Paolo Kaset  Chiva Transitional o Phoenix Project o International (162 beds) Care (52 beds) (175 beds) Hospital Hospitals in  Bangkok Surat o Bangkok Chiangrai (100 beds) Pipeline o (150 beds) (80 beds) Jomtien Hospital (233 beds) o 8 Clinics for o  BDMS Full operation Wellness Wellness for BDMS Clinic: 1 Clinic Wellness Clinic  Increase utilization of ramping-up hospitals Focus on  Improving operational efficiencies Margin  Centers of excellence Expansion  International medical affiliation  Completed continuum of healthcare Long-term  Top referral hospitals in Asia Pacific Target  Long-term EBITDA margin target of ~ 25% 9

  10. BDMS Complete Continuum of Healthcare Centers of Excellence Super Tertiary Care Tertiary Care Secondary Care Early Promotive Preventive Curative Transitional Rehabilitative Detection BDMS Wellness Clinic Chiva Transitional Care Hospital Phoenix Project Non-Hospital Strategic Investment Sterile Drug Manufacturer & Distributor Generic Drug Manufacturer Drug Store 10

  11. BDMS Centers of Excellence Network Upgrading Existing 10 Hospitals to Become Centers of Excellence with the Focus on International Patients 6 Bangkok Chiangmai Bangkok Headquarter 1 7 Bangkok Udon BDMS Medical CoE (Phoenix) 2 Samitivej Sukhumvit 3 Samitivej Srinakarin Phyathai 2 Royal Phnom Penh 4 8 Bangkok Pattaya 9 Bangkok Rayong 10 5 Bangkok Phuket 11

  12. BDMS Network Capabilities Alarm Center: One Number All Access For Life Care State-of-the-Art Medical Equipment New Radiation Machine: Varian EDGE PET/CT Scan with Flow Motion 12

  13. BDMS Wellness Clinic A Brand New Wellness Clinic Delivering World-Class Services 8 Centers of Preventive Excellence 1 Regenerative Clinic Musculoskeletal and 2 Sports Clinic 3 Cardioscience Clinic 4 Neuroscience Clinic 5 Digestive Wellness Clinic  Comprehensive preventative-care center 6 Breast Clinic  Currently open Regenerative Clinic, Musculokskeletal and Sports Clinic, Dental Clinic and Fertility Clinic  7 Fertility Clinic The Company has signed the hotel management contract with Mövenpick in Aug 2018 to manage the facility with over 290 rooms. The hotel will commence operation in 2019. Mövenpick is a Swiss world class hotel Dental Clinic 8 management firm, currently manages more than 83 hotels, resorts and Nile cruisers across Africa, Asia, Europe and the Middle East 13

  14. Global Hospital Rankings Revenue (USD mm) Market Capitalization (USD mm) EBITDA Margin Net Profit Margin Remark: - Market capitalization as of 1 October 2018 - Financial performance for year ended December 2017 except Ramsay for the year ended June 2018 14

  15. Strategic Focus on Health Insurance My First Class Healthcare @ BDMS by Allianz Ayudhya : Exclusive Health Insurance at BDMS Network with High Coverage at THB 100 Million per Year 15

  16. The Best Managed Healthcare Company in Asia by FinanceAsia BDMS won Best Managed Healthcare Company in Asia from FinanceAsia’s 18 th Annual Best companies in Asia Poll which gathered over 140 responses from fund managers and analysts around the world 16

  17. 2Q18 & 6M18 in review 17

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