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January 2019 Important Notice The information contained in this - PowerPoint PPT Presentation

Bangkok Dusit Medical Services (BDMS) Investor Presentation 3Q18 & 9M18 Results January 2019 Important Notice The information contained in this presentation is for information purposes only and does not constitute an offer or invitation


  1. Bangkok Dusit Medical Services (BDMS) Investor Presentation 3Q18 & 9M18 Results January 2019

  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  3Q18 & 9M18 in review  Operational Statistics & Financial Highlights  Healthcare Industry 3

  4. Overview 4 4

  5. BDMS Overview 47 Hospitals ~ 8,000 Beds Brand No. of No. of Hospitals Beds* BDMS Wellness 10 Centers of Bangkok Hospital 22 3,682 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 Share Price 2019 • Bangkok Phetchaburi (THB) • Bangkok Chiangrai 2006 • Sri-Rayong 2017 2011 30 2004 • Increase in stake of • Dibuk • Paolo Kaset • Bangkok Hua Hin • Samitivej Chonburi Bangkok Pattaya, Bangkok • Bangkok Surat • Bangkok Heart • Bangkok Pakchong 2013 47 Chanthaburi and Samitivej • Bangkok Muangraj • Bangkok Samui 25 • Samitivej Thonburi Sriracha (became • Health Network 46 • Bangkok Phuket 43 • Bangkok Phitsanulok subsidiaries) (8 Phyathai & Paolo • Samitivej Sukhumvit and • Bangkok Ratchasima hospitals ) 20 42 45 Samitivej Srinakarin 2018 2016 37 31 15 • Chiva Transitional • Paolo Rangsit 2014 2007 Care 2005 • Bangkok Chiangmai • Royal Angkor International • BNH 10 • Royal Phnom Penh (Cambodia) (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 Jan-19 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% 22.9% 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 59,371 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 9M18 Source: Derived from BDMS’ financial statements BDMS has developed 15 new hospitals and acquired a total of 30 hospitals to date 8

  9. BDMS Future Plan Key Strategies 2021-2023 2020 2018 2019    ~ 50 hospitals 46 Hospitals 47 Hospitals    ~ 8,500 beds  ~ 9,000 beds 8,000 beds ~ 8,200 beds 2025  Chiva Transitional  Bangkok Hospital o o Jomtien Hospital Expansion of Care Chiangrai (233 beds) our Network Hospitals in o (52 beds) (80 beds) Expansion at BHQ Hospitals Pipeline o Bangkok International (100 beds) (175 beds)  BDMS Wellness o Mövenpick BDMS Clinic: 7 Clinics Wellness Resort Bangkok  Increasing utilization of ramping-up hospitals Focus on  Improving operational efficiencies Margin  Expanding insurance patient base Expansion  Centers of excellence with 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 Bangkok International 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 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 New CAMTS-CAMTS EU: Dual Accreditation Awarded  BDMS* had received dual accreditation of The Commission on Accreditation of Medical Transport Systems (CAMTS) from USA and EU  CAMTS is a review organization dedicated to improving quality and safety of medical transportation systems including fixed wing, sky ICU, medical escort, ambulance, motorlance and hydrolance * 13 BDMS network hospitals 12

  13. BDMS Wellness Clinic A Brand New Wellness Clinic Delivering World-Class Services 7 Centers of Preventive Excellence 1 Regenerative Clinic Musculoskeletal and 2 Sports Clinic Cardioscience Clinic 3 Neuroscience Clinic 4 5 Digestive Wellness Clinic 6 Fertility Clinic Dental Clinic 7  BDMS Wellness Clinic signed hotel management contract with Mövenpick Hotels & Resorts in managing “ Mövenpick BDMS Wellness Resort Bangkok” which is expected to open in 2019  An international wellness resort with around 290 guest rooms located in the heart of Bangkok in coordination with BDMS Wellness Clinic which is located nearby to provide in-house personalized wellness program and promote prevention and lifestyle improvement 13

  14. Global Hospital Rankings Revenue (USD mm) Market Capitalization (USD mm) EBITDA Margin Net Profit Margin Remark: - Market capitalization as of 15 January 2019 - 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 Viriyah Insurance Program 1: Health Insurance Exclusive for BDMS 16

  17. The Viriyah Insurance Program 2: Health Insurance Exclusive for BDMS (Deductible Plan) 17

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