1Q2020 1Q2020 Disclaimers The information contained in this - - PowerPoint PPT Presentation
1Q2020 1Q2020 Disclaimers The information contained in this - - PowerPoint PPT Presentation
1Q2020 1Q2020 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
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 contract
- r 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 the company operates and general achievement of the company business forecasts, which will cause the actual results, performance or achievements of the company to differ, perhaps materially, from the results, performance or achievements expressed 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 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 company or any
- f its agents or advisors or any of their respective affiliates, advisors or representatives, shall have any liability ( in negligence or
- therwise) for any loss or damage howsoever arising from any use of this presentation or its contents or otherwise arising in
connection with this presentation. The information presented or contained in this presentation is current as of the date hereof and is subject to change without notice and its accuracy is not guaranteed. None of the Company, any of its affiliates or any of their respective 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 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
ABOUT OUR COMPANY
749
IPD BEDS
9
HOSPITALS
4
CLINICS
790
DOCTORS
156
OPD ROOMS
6
EASTERN PROVINCES
* Established since 1986 (2529 BE) by Plussind Family
3 Plussind 38% Panyapol 19% Others 43%
245 139 247 118 61 34 33 28
CH3 CH9 CH11 Others
IPD Beds OPD Rooms
- CH1
- CH2
- CH5
- CH7
- CH8
- CH12
- CH Cholvaej
- CH Rayong
- CH304
- RPC
Re Remark : : CH1 and CH5 are small size hospitals (< 30 beds) 4
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 49 193 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 59 156 156 749 749 Total
5
CH Cholvaej CH7, CH8, CH9
Convenience Hospital Co., Ltd. Bang Pakong Vejchakij Co.,Ltd. Thai Amdon Co.,Ltd. Chularat Arkanay Co., 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 Phraeksa Hospital Co., Ltd.
100%
Cancer Suvarnabhumi Co., Ltd.
Chularat Hospital Plc.
70% 64.58% CH11, CH12 RPC CH304 CH Rayong
Ruampat Mae Sot International Co., Ltd.
CH Mae Sot 80%
6
- Mr. Kriengsak Plussind
Chairman of the Board
- Dr. Kumpol Plussind
Managing Director
- Mr. Apirum Panyapol
Director
- Dr. Wichit Sirithadthamrong
Director
- Dr. Suchai Laoveerawat
Director
- Mrs. Kobkul Panyapol
Director
- Mr. Yanyong Amornphithankkul
Director Miss Kannikar Plussind Director
- Mr. Manit Jeeradit
Independent Director & Chairman of Audit Committee
- Mr. Chayawat Phisetsit
Independent Director & Audit Committee
- Mr. Somyos Yanubon
Independent Director & Audit Commitee
- Dr. Pinit Kullavanijaya
Independent Director
“BODs of CHG assembling specialists in medical se services s with ith sp specialists ts in in fin finance and busin siness s management”
7
Dr Dr. . Kumpol Plu Plussin ind
Managing Director
Dr Dr. . Ru Rungarun Sa Santhadkolkarn
Hospital Director of CH3
Dr Dr. . Yud udthana San Sanguansakdikoso sol
De Deputy Ma Managin ing Di Director & & Ho Hospital l Di Director
- r of
- f CH9
CH9
Dr Dr. . Su Suchai La Laoweerawat
Hospital Director of CH1 & CH5
- Mr. Su
Suppachoke Roj
- jcheewin
Ms.
- s. Wandee Pi
Pisan anuvan anavech
Deputy Managing Director (Finance & Accounting) Finance & Accounting Manager
“The team has successfully managed se several medic ical se service busin sinesses with ith
- ver 25 years of proven track record.”
Dr Dr. . Chu Chutim ima Pin Pinjaroen
Deputy Managing Director & Hospital Director of CH11&RPC
8
9
- 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
“ Our logistics network supports timely preventive and curative cares.“
10
16 16 Ma May 2013 2013
- JCI accredited for Chularat 3 International
- Set up “Prostate cancer clinic” at Chularat 3
International
2014 2015
- Asia’s 200 Best Under A Billion for Chularat Hospital
Group (CHG)
- HA Certificate : Step 2, Step 3 for Chularat 9 Airport and
Chularat 11 International Hospitals.
IPO listing in Stock Exchange
- f Thailand
11
- 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.
Best Medical Performance Award for Chularat 3 International Set up “3A center: Aesthetic and Anti-Aging Center” at Chularat 9 Airport
2017 2018 2016 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
12
Healt lth Se Servic vice Infrastructure
Go Government healt lth se services Priv rivate medical l se sector No Non-profit heal alth se services
Healt lth Se Servic vice Systems
Cas ash & In Insu surance Premiu ium Mid id-tie ier Man anaged car are sch schemes
Soc
- cia
ial Secu ecurit ity (S (SS) Civ Civil l Ser ervants Secu ecurity Na Nati tional l Hea Healt lth Secu ecurity (N (NHS) 12.1 M* 51.5 M* 4.48 M* Thailand population = 67.9 million*
* Health and Welfare Survey 2019, National Statistical Office 13
Re Revenue Str Structure = = (1 (1) + + (2) (2) + + (3) (3) Fix Fixed Pay ayment Sta Statis istics Per r Sp Specia ial Medical l Servic ices
IPD PD
Subje ject to to Nationwid ide e Bu Budget et 453 453 Ba Baht/h /head/year* ( 447 Baht/head/year)***
Only ly 26 26 Chr Chronic Di Diseases All l I IPD PD cas ases Cla Class ssified by y DR DRG Adj dj RW RW** ≥ 2 1 2 3
OP OPD
Ba Basic Paymen ent (F (Fix ixed) 1,6 ,640 Ba 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. *** Old SSO payment rate/budget during July 2017 – Dec. 2019 12,000 Baht/RW (Avg.)* 746 Baht/head/year* ( 640 Baht/head/year)***
9.3% 16.6% 1.3%
14
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
15
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 16
17
22
Aortic Aneurysm Minimal Invasive Valve Surgery Electrophysiology Studies (EPS) Coronary Artery Catheterization / Percutaneous Coronary Intervention (CAG-PCI) Cardiac Rehabilitation Coronary Artery Bypass Grafting (CABG) Atrial Septal Defect (ASD)
18
22
Brain Tumor Neurosurgery Minimally Invasive Surgery Headache Head & Brain injuries caused by accidents, falls and physical assault. Dementia Parkinson’s Disease (PD) Stroke Arteriovenous Malformation (AVM) Cavernous Sinus Thrombosis (CST)
19
20
Customer Diversification Cost Control Service Quality
- 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.
Logistic Network CSR Potential Location
- 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 21
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 *
* CH3 is a Referral Center for Heart disease. ( NOT a primary service provider under NHSO scheme. )
22
Customer Grouping
A Cla
lass
So Social l 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 01 Self Pay Social Security system (SSS)
- Labors / employees of companies or
plants in nearby area 02 National 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 Fix Fixed Payment Advance payment, based on number of registered SS members Nati tional St Statis istics Base Base Credit, based on comparable national statistics Per er Spe Special Medical Serv Services Credit, based on actual medical treatment, under treatment rate specified by SSO
23
2015 2016 2017 2018 2019
2.297 M 142,222 155,132 2.357 M 2.601 M 185,676
3,155 3,657 3,876 4,407 5,166 14%
Revenue Net Profits Patients
OPD (Head) IPD (Beds-Day) 1.815 M 122,756 2.153 M 140,821
538 565 566 634 705 11% 15% 7% 17% 5% 0% 12%
NI GROWTH (%) REVENUE GROWTH (%)
Unit: Million Baht
Net Profit Margin
CAGR 6.99% CAGR 13.12%
17.1% 15.4% 14.5% 14.3% 13.6%
24
7% 30% 32% 31%
13% 36% 28% 23% 5% 37% 32% 26% 9% 36% 30% 25% 5% 32% 33% 30%
A-Class OPD A-Class IPD SSO NHSO
A-Class IPD A-Class OPD SSO NHSO
3,155 MB
3,637 MB
3,876 MB
(51 : 49)
2015
A-Class OPD
SSO
NHSO
(55 : 45)
2016
(58 : 42)
2017
A-Class IPD
A-Class IPD
A-Class IPD
NHSO
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%
25
NHSO 6% SSO 32% A-Class OPD 32% A-Class IPD 30% NHSO 6% SSO 32% A-Class OPD 32% A-Class IPD 30% 371 400 392 412 389 427 76 78
- 200
400 600 800 1,000 1,200 1,400
1Q19 1Q20
NHSO SSO A-Class : OPD A-Class : IPD
7.2%
1,317 MB
(62 : 38)
1Q20
1,228 MB
(62:38)
1Q19
Revenue Breakdown by Customer group
26
1.9% 9.7% 5.2% 7.9%
Total A-Class revenue (OPD & IPD) up 7% due to
2 New hospitals (CH304, RPC) OPD – Revenue (MB) OPD – Visiting Number (VN)
Unit : Million Baht Unit : Head
873 1,093 1,216 1,445 1,654 392 412
2015 2016 2017 2018 2019 1Q19 1Q20 5.2% 14.5%
621,969 743,666 804,167 899,551 980,304 238,379 251,343
2015 2016 2017 2018 2019 1Q19 1Q20 5.4% 9% 27
39,861 50,268 52,256 61,050 72,477 17,376 18,147
2015 2016 2017 2018 2019 1Q19 1Q20
744 902 1,016 1,310 1,581 371 400
2015 2016 2017 2018 2019 1Q19 1Q20 IPD – Revenue (MB) IPD – Admission Number (AN) 4.4% 18.7% 7.9% 20.7%
Unit : Million Baht Unit : Head
28
1,132 1,315 1,452 1,409 1,578 389 427
2015 2016 2017 2018 2019 1Q19 1Q20
- Number of insured persons = 13.4 million ( Mar 2020, SSO) by law article #33 [obligation] and #39 [voluntary]
- Approx. Unemployment rate = 1% ( Mar. 2020, Labor Market Research Division )
SSO – Registered Member (Average ) 9.7%
345,477 396,676 402,018 421,700 435,537 430,918 443,489
2015 2016 2017 2018 2019 1Q19 1Q20 3.3% SSO – Revenue (MB) 11.9%
SSO revenue up 10% due to
Increased fixed payment rate per head per year. Increased number of registered members. Accrued medical treatment income of chronic diseases.
Unit : Million Baht Unit : Head
2.9% 29
CH3 42.6% CH9 21.0% CH11 15.3% Others 21.1%
CH3 40.1% CH9, 20.3% CH11 15.6%
- thers,
24.0% CH3 CH9 CH11
- thers
Major contributors : Chularat3, Chularat9, Chularat11 = 76% ( 1Q19 = 79% ) 3.7% 9.1% 1% 22.2%
Growth (Y (YoY)
7.2%
30
1,317 MB
1Q20
1,228 MB
1Q19
794 822 850 878 907 930 966 959 993 566 566 591 634 595 578 672 756 607 1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19 1Q20
129R 126R 132R 143R 144R 150R 146R 156R 149R
71.3% 68.9% 69.5% 72.2% 65.6% 62.1% 69.6% 78.8% 61.1%
Unit : ‘000 Head
- 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%
121R 127R 101R 93R 131R
Basis: Quarterly
147R
Unit : ‘000 Head
31
Unit : Beds-Day
53,910 54,509 63,112 65,309 67,410 68,159 68,908 68,908 68,159 37,737 34,504 42,979 39,912 44,799 42,208 51,448 47,221 44,878 1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19 1Q20
599B 686B
70.0% 63.3% 68.1% 61.1% 66.5% 61.9% 74.7% 68.5% 65.8%
599B 749B
- Max. capacity = Beds x 365 days
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-Day
388B 376B 749B 749B 749B 749B 749B
32
1,232 375 299 179 1,322 386 320 186
Total revenue Gross profit margin EBITDA NI 1Q2019 1Q2020
Unit: Million Baht
33
30.5% 14.6% 24.3% 14.2% 29.3% 24.3%
Growth (YoY)
NI Total Revenue Gross profit EBITDA
7.3% 2.9% 7.0% 3.9%
ROA
Asset & Capital Profile
ROE
13% 10% 9% 5% 63% Short term loan Long term loan Account Payable Other Debt Equity 18.7% 18.5% 17.6% 18.5% 19.4% 17.9%
0.0% 10.0% 20.0% 30.0%
2015 2016 2017 2018 2019 1Q20
1Q20 Equity = 4,069 MB, Debt = 2,354 MB 1Q20 Asset = 6,423 MB 9% 17% 65% 10% Cash Account Receivable & Accrued Revenue PP&E Others
1Q20 1Q20
DE 0.58
ASSET STRUCTURE CAPITAL STRUCTURE 34
14.4% 19.7% 17.2% 15.0% 14.8% 14.4%
0.0% 10.0% 20.0% 30.0%
2015 2016 2017 2018 2019 1Q20
- Samutprakarn
- Apprx 2,000 sq.m.
- High Energy Radiation (LINAC)
- IPD : 10 Beds
Suvarnabhumi Cancer and Radio Therapy Center (Cancer center)
- Target: A-class patient
- CAPEX 250 MB
- Start construction in 2020
- Expect to operate in 2021
35
- Mae Sot district, Tak province
- Approx. 6 Rai
- IPD : 100 Beds
- Target : A-Class patient
- CAPEX PLAN 600 MB
- Start construction in 2020
- Expect to operate in 2021
Chularat Mae Sot International Hospital
36
37
10,000 Heart Heroes for safe life #4rd year
38
Bring good health to the community
39
Sharing to our community
JCI & HA Accreditation
Corporate Governance
4 consecutive years since 2016 40
AdjRW 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
41
ir@chularat.com
095 370 9059