2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group

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2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
2Q18 Results Briefing
   Presentation
                September 2018
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Agenda

         •   Key developments
         •   Project updates
         •   Growth outlook
         •   Financial Information

                                     2
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Key developments

 •   On 24 August 2018, shareholder meeting approved the purchase
     of land and building at Pracha Uthit Road to develop Thonburi
     Health Village Project.
 •   The project is another senior home with facilities for elderly to
     respond to needs of various customer segments.

                                                 •   During 2Q18, THG have bought shares of Thanarad Thungsong Co.Ltd.,
                                                     total of THB97.6mn. As of 30 June 2018, THG holds 31.23% shares in
                                                     Thanarad Thongsong: 23.54% directly and 7.69% through Rajyindee
                                                     Hospital PLC.

                                                 •   BoD meeting of 7/2018 on 5 July 2018 approved the increase of
                                                     investment limit from THB240mn to THB360mn in order to maintain
                                                     investment proportion as Thanarad Thungsong increased its registered
                                                     capital.

                                                 •   Up until September 2018, THG purchased more shares and holds
                                                     43.37% shares in Thanarad Thungsong.

                                                                                                                            3
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Hospital business
Revenue from domestic hospitals led the growth in medical service business.

                  +7.1% YoY           -1.2% QoQ   •   QoQ slightly dropped due to seasonal effect
                                                  •   TH1 saw stable growth from new excellence
          1,461                                       centers and collaboration with insurance
                   1,369      1,401      1,384        company
  1,292
                                                  •   TH2 saw double digit growth due to higher
                                                      medical sophistication and more specialist
                                                      doctors. It compared to last year when IPD ward
                                                      was partly closed for building heart center.
                                                  •   Capacity expansion projects of TH1 and TH2 are
                                                      still on track.
                                                  •   RYD picked up from last year that had issues on
  2Q17    3Q17     4Q17       1Q18       2Q18         insurance claim.

                                                                                                        4
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Welly Hospital
• The hospital is ramping up patient volume and revenue, aiming for break even in 2019.
• In 2Q18, OPD patients are approx. 200/day and IPD are approx. 60-70/day.
• Welly Hospital continues to develop service standard with expertise, knowledge sharing and service
  training from THG.

           Revenue

       1H2017         1H2018

       OPD Revenue   IPD Revenue

         OPD sequences                    IPD patient days

        1H2017          1H2018            1H2017      1H2018
                                                                                                       5
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Ar Yu International Hospital
 •   In August, the hospital held a blessing ceremony as a
     start of hospital operation and preparation for soft
     launch, which is in 3Q18.
 •   Plan for 1st phase:
     20 OPD rooms, 8 ER beds, 2 ORs and 3 IPD wards
 •   Key success factors:
     - Modern facilities and equipment
     - well-known Myanmar medical staff
     - Thai hospitality service standard
     - patient safety focused and gear for JCI

                                                             Staff training   CT Scan

                                                                                        OR

                                                                                             6
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Ar Yu International Hospital
Lobby                                Lift lobby       Escalator

                  Pediatric Clinic      EENT Clinic

                                                                  7
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Hospital Management & Heart Center
Revenue from hospital management                     •   In 2Q18, revenue from hospital management
                                                         dropped YoY and QoQ because some
                            -20% YoY     -8.7% QoQ       contracts with overseas clients ended in the
                                                         quarter.

                      194

   157
                                  138
            131                              126

  2Q17      3Q17     4Q17         1Q18       2Q18

Revenue from heart center

                           +27% YoY      +3.6% QoQ

                      69

                                  55         57
            50
   45

                                                     •   Revenue from heart center grew YoY because
                                                         of new sites at Thonburi 2 Hospital and
                                                         Phatthalung Hospital.
  2Q17     3Q17      4Q17        1Q18       2Q18                                                        8
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Thonburi Bamrungmuang Medical Center
     • Renovation progress is on track.
     • Expect to start operation around 4Q18, with dental, IVF and Holistic Diabetes centers
     • Expected EBITDA breakeven in 2019
     • Potential to contribute revenue of THB 1 – 1.3 bn in 2019 with expected net profit
       margin of 15 – 18%

                                             Design                                        Renovation progress

                     IVF                              Dental                            Holistic Diabetes center
Today’s healthcare
•   Proactive
•   Preventive
•   Personalized
•   Predictive
                     To support demand of medical     Intra-oral scanner and            Advanced technology for patients
                     tourism from China               CAD/CAM can better serve          with complication from chronic
                                                      patients travelling to Thailand   diabetes.                          9
2Q18 Results Briefing Presentation - September 2018 - Thonburi Healthcare Group
Jin Wellbeing County - progress

                          Structure      65%                        Structure      100%
                          Architecture   15%                        Architecture    14%
                          Engineering    20%                        Engineering     20%
                          Exterior        0%                        Exterior        0%

     Structure      35%                        Structure      30%
     Architecture    0%                        Architecture    0%
     Engineering    15%                        Engineering    15%
     Exterior        0%                        Exterior        0%

                                                                                          10
Jin Wellbeing County – Thonburi Burana Hospital

Reception area                    Patient room

  Cafe
                             Thonburi Burana Hospital
                             • Rehab hospital for elderly who need special care, such as
                                 chronic patients, Alzheimer etc.
                             •   54 beds to operate in 1st phase
                             • IPD rooms, OPD clinics, medical staff, services from
                                 physical therapist, dieticians and psychologists
                             • Expect operation in February 2019

                                                                                           11
Jin Wellbeing County – Jin Wellness Institute
 Spa                                                                                                              Activity room

                                                                                                                        Restaurant
Cooking studio

 Jin Wellness Institute
 Two 5-story buildings: 5,685 Sq.M. and 8,058 Sq.M. comprising
 1. Integrative Wellness Clinic and Medical Spa – for customized health plan
 2. Jin MediFit – Gym with professional instruction                    4. Learning activities – Art & music therapy, cooking etc.
 3. Life Enrichment – activities for mind and emotional balance        5. Nutrition and meal plan – customized healthy meals
                                                                                                                                    12
Jin Wellbeing County – Sales and marketing
                                 Sales promotion
Target = 200 units within 2018
Current sales = 160 units        -   Ready-to-move-in campaign
                                 -   6% yield guarantee for investors
More than 70% of customers       -   Activity booth
are 50+ years old and buy for
themselves.                      -   Grand Age Management: classes and activities for senior
                                     lifestyle

                                                                                               13
Jin Wellbeing County – Award and program
                                              Grand Age Management Program
  Jin Wellbeing County won
  • Best Senior Living Development
  • Highly Commended for Best Universal
      Design Development
  from Property Guru Thailand Property
  Award 2018, which is one of the longest-
  history award in Asian property industry.
Thonburi Senior Home – Comparison

     Thonburi Senior Home         Jin Wellbeing County   Thonburi Health Village

         Medical services              Advanced                 Standard

       Service technology              Advanced                 Standard

           Target group              Medium - high              Medium

    Design for elderly/patients     Well supported           Well supported

             Location              North of Bangkok         West of Bangkok

     Price per square meter       85,000 -120,000 baht        62,000 baht

                                  Approx. 4-6 mn baht         1.98 mn baht
          Price per unit
                                   (43 and 63 Sq.M.)           (32 Sq.M.)

                                                                                   15
Thonburi Health Village – Pracha Uthit

       Investment value             THB700mn

       Land area                    8 rai (4 rai for 1st phase)

       Number of units              412
Swimming pool & Wellness Center
       GFA                          26,000 Sq.M

       SFA                          13,824 Sq.M.

       Ready to transfer            December 2018

       Wellness center completion   March 2019
                                                                  16
Thonburi Health Village – Pracha Uthit

       Building E
     Future project
                                    Building A
                                    206 units    Future project

                       Building B
     Building C        206 units
   Wellness Center

                      Pracha Uthit Rd.

                                                                  17
Thonburi Health Village – Pracha Uthit
                            Room design - 32 Sq.M. unit

                                               Universal design for all

   wide corridor for wheelchair

                                                                          18
Thonburi Health Village – Pracha Uthit
Wellness Center
                                            •   Medical spa
                                            •   Salt chlorinator pool
                                            •   Gym and personal trainer

           •   Activity area
           •   Healthy cuisine restaurant
           •   Physiotherapy clinic

                                                                           19
Growth prospect
                                          Thonburi
                                                       • Expected operation in 4Q18
                                       Bamrung Muang

                                       Jin Wellbeing
                                                       • Expected units transfer in 4Q18
                                           County

                                        Hospital &
                                        excellence     • Expected growth from new opportunities
                                                         both domestically and internationally
                                          center
                          Hospital &
                                       management
• Higher margin from      excellence                   • Organic growth from volume, price and
  asset-light model         center                       medical intensity, with capacity expansion
                         management
                                                       • Potential growth from Thonburi Thungsong
• Strong core business                                   Hospital and from Thonburi Health Village –
  with stable growth                                     Prach Uthit in 2019 onwards

                                        Domestic
                          Domestic      hospital &
                          hospital &     business
                           business

                                                                                      • Ramping up after grand
                                                                 Welly Hospital         opening
                                                                                      • Less shared loss due to
                                                                                        more patients volume

                                                                 Ar Yu Hospital       • Expected operation in 3Q18
                                                                                        with loss shared to THG in
                            2017                                                        first year
                                       2018 onwards

                                                                                                                  20
Financial information

                        21
2Q18 Financial Performance
  Total revenue (mn THB)

                                                                      +6.1% YoY                            +7.3% YoY
                                                                                                                 3,358
                                                                                                     3,131
                   1,743               1,738              1,683              1,675
   1,578

                                                                                          Medical                              Medical
                                                                                          service                              service
                        1,641           1,632                                                        2,899        3,166
    1,495                                                 1,594               1,572      +5.2% YoY                            +9.2% YoY

   80      3       100                 87                 83                 101                     227         184
                          2                     19                6                  2                       5            8
    2Q17             3Q17                4Q17              1Q18               2Q18                    1H17        1H18
               Others      Healthcare solution provider    Medical service

• Revenue growth in 2Q18 continued, mainly from Thonburi 1 Hospital that saw increase in patient
  volume due to new excellence centers and more collaboration with insurance company.
• However, slower growth was because of revenue decrease in overseas advisory business.
• Opening of heart center at Thonburi 2 Hospital contributes to improvement in IPD after having to partly
  close a ward for renovating of heart center, and contributes to higher revenue for excellence center
  business.
• THG saw good revenue growth in the first half of 2018 mainly from 1Q that compensated with lower
  season in 2Q.
                                                                                                                                          22
2Q18 Financial Performance
Gross profit (mn THB)                                                 -0.9% YoY               +11.4% YoY
     27.6%      29.1%              29.3%                 28.4%          25.7%     26.0%                 27.0%

      434         508                508                      478                   814                  907
                                                                         430

     2Q17       3Q17                4Q17                  1Q18          2Q18       1H17                 1H18
                          Gross Profit           GP Margin                         Gross Profit           GP Margin

EBITDA (mn THB)                                                      -5.3% YoY                +19.4% YoY
    16.7%      19.1%               18.1%                 20.7%                     16.0%                 17.8%
                                                                        14.9%

                333                                       348                        500                  597
     263                            314                                  249

    2Q17       3Q17                4Q17                  1Q18           2Q18        1H17                 1H18
                          EBITDA              EBITDA Margin                        EBITDA              EBITDA Margin

Net profit-parent (mn THB)                                           -45.0% YoY                   +2.2% YoY
      8.3%        9.8%              9.1%                      9.4%                   7.2%                 6.8%
                                                                         4.3%

                  171                158                      158                     225                  230
      131
                                                                          72

     2Q17       3Q17                4Q17                      1Q18       2Q18        1H17                 1H18
                         Net Profit -Parent          NP Margin                    Net Profit -Parent         NP Margin   23
2Q18 Operational statistics – TH1, TH2, RYD
Revenue mix – OPD vs IPD                                Revenue breakdown by payors

                                                                                        Others 1%
                                                                     Corporate 5%

 54%    54%          55%       55%        54%    54%

                                                                         Insurance
                                                                            14%

 46%    46%          45%       45%        46%    46%
                                                                                     Self pay 81%

 1Q17   2Q17        3Q17       4Q17       1Q18   2Q18

               % OPD Revenue   % IPD Revenue

 OPD utilization                                        IPD utilization
                                                                                 71%
                                                                                                     68%
                     65%                                   63%                                 65%
 60%    60%                    61%        61%    60%               60%                                      61%

 1Q17   2Q17        3Q17       4Q17       1Q18   2Q18     1Q17    2Q17          3Q17          4Q17   1Q18   2Q18
                                                                                                                   24
2Q18 Operational statistics – TH1, TH2, RYD
 OPD sequence (‘000 sequences)                              IPD occupancy (‘000 bed days)
                                              +4.4% YoY                                                      +2.8% YoY
                        277                                                         41            38       39
                                    260      260     258      36          34
    243       247                                                                                                   35

    1Q17      2Q17     3Q17         4Q17     1Q18    2Q18     1Q17       2Q17      3Q17           4Q17     1Q18     2Q18

                        TH1   TH2     RYD                                           TH1     TH2     RYD

 Pay per sequence (baht)                                    Pay per bed day (baht)
                                             +2.8% YoY                                                          +3.9% YoY
                                                                                                                    21,259
                                                                          20,363                  19,848   19,609
                                                              18,868               19,435

  2,336     2,386    2,383     2,398        2,459   2,452

  1Q17     2Q17      3Q17      4Q17         1Q18    2Q18       1Q17       2Q17      3Q17          4Q17     1Q18     2Q18

                                                                       Approx. THB21,000 – 24,000 for TH1 and TH2,
Approx. THB3,000 for TH1 and THB1,700 for TH2 and RYD
                                                                                 and THB13,000 for RYD                       25
2Q18 Capital management
Capital structure (mn Baht)                                                                 Dividend
                                                                                                       On 24 April 18, AGM approved
                                                                  ST Loan
                                                                                                 dividend payment for 2017 performance at
                                                   Equity
      232
                              1,720                                   12%       LT loan          THB 0.40/share = 56% payout
                                                                 2%
                                                                         28%
                                                                               24%
                                                                                                           Dividend policy:
  3,451                       3,252                                                                 not less than 40% of net profit
                                                     64% 70%
               35                         37
                                                                                                     • XD 8 Mar 18
 4Q17 IBD   Interest         2Q18 IBD   Interest
                                                        2Q18
                                                                               4Q17                  • Payment date 21 May 18
 Non-current    Current

 Gearing ratio                                                                       Interest coverage ratio (x)
                                                                                            5.7                       5.3             5.4
                                               IBD / EBITDA Covenant: 1.2x
                                                               0.8
                                           0.6
2015                2016                  2017                 2Q18                       2015             2016              2017            2Q18
                                                                                                                                                    26
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