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Bangkok Dusit Medical Services (BDMS) Investor Presentation 3Q17&9M17 Results January 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 3Q17&9M17 Results January 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  Healthcare Industry  Operational Statistics  Financial Highlights 3

  4. Overview 4 4

  5. BDMS Overview 45 Hospitals 8,000+ Beds Brand No. of No. of Hospitals Beds* BDMS Wellness 9 Centers of Bangkok Hospital 21 3,547 Clinic Excellence Phyathai Hospital 5 1,340 11,000+ Doctors Pharmaceutical Samitivej Hospital 6 1,288 7,000+ Nurses manufacturer 14,000+ Staffs and drug stores Paolo Hospital 6 1,020 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 4 546  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. BDMS Future Plan Key Strategies 2017 2020 2018 2019  45 Hospitals  ~ 50 hospitals  8,015 beds  ~ 8,500 beds 2025  Paolo Kaset o Bangkok Chiangrai o Phoenix Project o International Hospitals in (162 beds) (80 beds) (175 beds) Hospital Pipeline  Bangkok Surat (100 beds) o Chiva Transitional (150 beds) o BDMS Wellness Care (52 beds) Clinic (4Q17)  Increase utilization of ramping-up hospitals  Improving operational efficiencies Focus on Margin  Centers of excellence Expansion  International medical affiliation  Completed continuum of healthcare Long-term Target  Top referral hospitals in Asia Pacific 7

  8. Successful Track Record of Expansion Through M&A and Greenfield Projects Strong Share Price Performance Backed by a Successful Expansion Track Record Share Price 2015 2017 (THB) • Bangkok Phetchaburi 2006 2011 • Paolo Kaset Sri-Rayong 30 • Increase in stake of Bangkok • Bangkok Hua Hin • Bangkok Surat 2004 • Dibuk Pattaya, Bangkok Chanthaburi • Bangkok Pakchong • Bangkok Heart • Samitivej Chonburi and Samitivej Sriracha (became • Bangkok Muangraj 25 • Bangkok Samui • Health Network (8 subsidiaries) 43 Phyathai & Paolo • Bangkok Phuket • Bangkok Ratchasima 2012 hospitals ) • Samitivej Sukhumvit and 20 • Bangkok Udon 42 45 Samitivej Srinakarin 2016 37 • Paolo Rangsit 31 15 2014 2007 2005 • Bangkok Chiangmai • Royal Angkor International • BNH • Royal Phnom Penh (Cambodia) (Cambodia) 10 • Wattanosoth 29 • Samitivej Chinatown ** • Royal Rattanak (Cambodia) * • Bangkok Khon Kaen 2013 28 5 • Samitivej Thonburi 18 • Bangkok Sanamchan & Thepakorn 16 • Bangkok Phitsanulok 12 • Phuket International 10 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 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 ** Rebrand from Bangkok Chinatown to Samitivej Chinatown in Oct 2017 Solid Revenue Growth Over the Past Decade (2004-2016 CAGR of 24.7%) with Resilient EBITDA margin Total Revenue (THB mm) and EBITDA margin (%) 22.4% 23.4% 23.3% 23.1% 23.2% 23.1% 23.1% 22.9% 22.1% 21.3% 21.4% 21.4% 20.6% 18.4% 15,981 18,885 21,652 21,974 24,051 37,371 47,862 51,407 56,607 63,655 68,844 54,039 10,724 5,635 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 9M17 Source: Derived from BDMS’ financial statements BDMS has developed 14 new hospitals and acquired a total of 30 hospitals to date 8

  9. ‘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 9

  10. BDMS Complete Continuum of Healthcare Centers of Excellence Super Tertiary Care Tertiary Care Secondary Care Early Promotive Preventive Curative Rehabilitative Transitional Detection BDMS Wellness Clinic Phoenix Project Chiva Transitional Care Hospital 10

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

  12. Medical Cooperation International and Local Partnership Sister Institute with MD Anderson  Cancer on cancer Occupational Collaboration with Oregon Health and Science  health, Pediatrics, University on occupational health, pediatrics, Rehabilitation and rehabilitation, clinical simulation and informatics Informatics Collaboration with Missouri Orthopaedic  Institute, University of Missouri Health Care in education, training and research Collaboration with Hannover Medical School for  Trauma and education and research on trauma and Orthopedics orthopedics Collaboration with Stanford University for  knowledge sharing on orthopedics 12

  13. Medical Cooperation International and Local Partnership Research collaboration with Department of  Neurosurgery, Cedars-Sinai on the TRFS laser device for brain tumor surgery Neuroscience Collaboration with Black Brain Health Center of Dr. Keith L. Black,  one of the world leading neurosurgeons Collaboration with Sano Hospital on  Gastrointestinal Gastrointestinal Medicine Collaboration with Nagoya University for  education, medical treatment assistance and patient referral Others Collaboration with local institutions  13

  14. BDMS Wellness Clinic A Brand New Wellness Clinic Delivering World-Class Services 8 Centers of Preventive Excellence Royal Life Regenerative 1 medicine Clinic Musculoskeletal and 2 Sports medicine clinic Cardiology & 3 Cardiometabolic Clinic 4 Neuroscience Clinic 5 Gastrointestinal Clinic 6 Breast screening Clinic  Comprehensive preventative-care center  7 Fertility Clinic Targeting high-end Thai and International customers  Royal Life Regenerative Medicine Clinic opened in Dec 2017 International Dental 8 Clinic  The rest will be opened by 1H18 14

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