2015 Indonesia Healthcare Services Provider of The Year Frost and Sullivan. Q Results

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1 2015 Indonesia Healthcare Services Provider of The Year Frost and Sullivan Q Results

2 2 Disclaimer This presentation has been prepared by PT Siloam International Hospitals, Tbk (SILO ) and is circulated for the purpose of general information only. It is not intended for any specific person or purpose and does not constitute a recommendation regarding the securities of SILO. No warranty ( expressed or implied ) is made to the accuracy or completeness of the information. All opinions and estimations included in this report constitute our judgment as of this date and are subject to change without prior notice. SILO disclaims any responsibility or liability whatsoever arising which may be brought against or suffered by any person as a result of reliance upon the whole or any part of the contents of this presentation and neither SILO nor any of its affiliated companies and their respective employees and agents accept liability for any errors, omission, negligent or otherwise, in this presentation and any inaccuracy herein or omission here from which might otherwise arise. Forward Looking Statements The information communicated in this presentation contains certain statements that are or may be forward looking. These statements typically contain words such as will, expects and anticipates and words of similar import. By their nature, forward looking statements involve a number of risks and uncertainties that could cause actual events or results to differ materially from those described in this presentation. Factors that could cause actual results to differ include, but are not limited to, economic, social, and political conditions in Indonesia ; the state of the property industry in Indonesia; prevailing market conditions; increases in regulatory burdens in Indonesia, including environmental regulation and compliance cost; fluctuations in foreign currency exchange rates; interest rate trends, cost of capital and capital availability; the anticipated demand and selling prices for SILO developments and related capital expenditures and investments; the cost of construction; availability of real estate property; competition from other companies and venues; shifts in customer demands; changes in operation expenses, including employee wages, benefits, and training, governmental and public policy changes; SILO s ability to be and remain competitive; SILO s financial condition, business strategy as well as the plans and objectives of SILO s management for future operations; generation of future receivables; and environmental compliance and remediation. Should one or more of these uncertainties or risks, among others, materialize, actual results may vary materially from those estimated, anticipated or projected. Specifically, but without limitation, capital costs could increase, projects could be delayed and anticipated improvements in production, capacity or performance might not be fully realized. Although SILO believes that the expectations of its management as reflected by such forward looking statements are reasonable based on information currently available to us, no assurances can be given that such expectations will prove to have been correct. You should not unduly rely on such statements. In any event, these statements speak only as of the date hereof, and SILO undertakes no obligation to update or revise any of them, whether as a result of new information, future events or otherwise.

3 Table of Contents Where We Are In Lippo Karawaci 04 Highly Experienced & Professional Management 05 The Vision 06 The Journey 07 The Operations 08 A Day At Siloam 09 The Strategy & Business Model Premier Private Hospital Group Hospitals Under Development Financial & Operational Performance 27 35

4 4 Where We Are In Lippo Karawaci LIPPO RELATED COMPANIES 26.51% PUBLIC 73.09% As of 31 March 2016 No. of Outstanding Shares : 23,077,689,619 Code : LPKR.JK ; LPKR IJ DEVELOPMENT REVENUE RECURRING REVENUE TOWNSHIPS LARGE SCALE INTEGRATED DVPT INDUSTRIAL AND COMMERCIAL PROPERTIES OFFICE PROJECTS HOSPITALS Siloam Hospitals 70.8% As of 31 Mar 2016 No. of Outstanding Shares : 337,300,000 Code : SILO COMMERCIAL Retail Malls Aryaduta Hotels ASSET MANAGEMENT REIT, Mall & Hotel Management Town Management Services, Leisure and Restaurants

5 5 Highly Experienced & Professional Management Board of Commissioners Lee Heok Seng President Commissioner Theo L. Sambuaga Commissioner Jenny Kuistono Commissioner Farid Harianto Independent Commissioner Ir. Jonathan L. Parapak Independent Commissioner dr. Niel Nielson Independent Commissioner dr. Gershu Paul Group Executive Chairman Board of Directors Romeo Lledo President Director, Independent Director dr. Andry Director dr. Anang Prayudi Director dr. Grace Frelita Director Kailas N. Raina Director Prof. George Mathew Director Budi Legowo Director Caroline Riady Director Norita Alex Director

6 6 The Vision International Quality Godly Compassion Reach By Beds 4,900 to 10,000 Patients per annum 2 million to 15 million Hospitals 21 to over 50 hospitals 15 to over 25 cities Scale Affordable and Accessible Healthcare to all socio economic segments

7 7 The Journey SHLV Indonesia s First Hospital to be Accredited and Re-accredited by JCI (2007, 2010 and 2014) RSUS SH Manado BIMC Nusa Dua Indonesia s First Hospital to be Accredited by ACHS Australia (2014) SH Purwakarta SH Makassar SH Bali SH Kupang SH Lippo Village SH Lippo Cikarang SH MRCCC SH Palembang SH TB Simatupang SH Medan SH Labuan Bajo SH Kebon Jeruk SH Surabaya SH Jambi SH Balikpapan SH Cinere BIMC Kuta BIMC Nusa Dua Asri 2013 The Company successfully completed IPO : Learning Phase : Consolidation Phase 2011 to Date: Expansion Phase

8 8 The Operations Unrivalled network across Indonesia Sumatra Population : 50.6 mio Sulawesi Population : 17.4 mio Maluku Population : 2.6 mio JCI ACHSI Kalimantan Population : 13.8 mio Papua Population : 3.6 mio Java Population : mio Nusa Tenggara Population : 9.2 mio Bali Population : 3.9 mio Operational Hospitals (21) Completed Hospitals Awaiting for Operational License (2)* Future Developments (43) Greater Jakarta Population : 28 mio Jakarta Population : 10 mio * Buton soft opening on 4 April 2016

9 9 A Day At Siloam 493 Inpatient Admissions 81 Major Surgeries 4 Cardiac Surgeries 7 Neuro Surgeries 6,302 Outpatient Visits 12 Cardiac Procedures 737 Emergency Visits 23 Deliveries 201 Dialysis Procedures 16,378 Laboratory Tests

10 The Strategy & Business Model 4 Pillar Foundation 11 Clinical Service Delivery 12 UPH Medical Sciences (UPHMS) 13

11 11 4 Pillar Foundation 1 Emergency 2 Technology 3 Telemedicine 4 Doctors Excellence in Emergency Services State-of-the-Art Medical Equipment and Systems Digital Telemedicine Hub and Spoke Siloam Doctor Partnership and Development Program 4 Pillar Foundation Siloam Hospitals four pillar foundation has been key to the success of our existing hospitals and will serve as the basis for replicating this success at our expansion hospitals

12 12 Clinical Service Delivery Siloam s Integrated Healthcare Delivery Model Access to Centres of Excellence through hub and spoke system and Telemedicine 3 Quaternary Integrated Centers of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology, Fertility Hub and Spoke strategy and extensive coverage of specialized services via Digital Tele-Medicine Pioneering investments in Indonesia s healthcare sector Comprehensive Cancer Centre opened in 2011 Indonesia s first Gamma Knife installed in 2012 High standard and accessible medical care through focus on clinical governance and affordable price points 2 Tertiary Secondary Best in class and highly accessible healthcare services platform through: Rapid expansion of hospital network across Indonesia Attracting and retaining the best doctors with strong focus on doctors welfare (SDPDP) Equip hospitals with State-of-the-Art facilities such as 128 slice CT Scan and 1.5T MRI Specialist access for primary healthcare demand Public-Private- Partnership 1 Primary Primary clinics for corporate clients Public-Private-Partnership (PPP) model - Siloam Puskesmas (Public Health Clinic) RSUS First general hospital using public sector model Additional demand from patients under governmental insurance and social schemes Gateway to Indonesia s Universal Healthcare Coverage and Government Health Insurance Programs Research and Education Integrated platform with UPHMS and other partnerships Medical students training at RSUS, SHLV, and SHKJ One-stop continuum of care at primary, secondary, tertiary and quaternary levels

13 13 UPH Medical Sciences (UPHMS) Bringing Together Clinical, Research & Education Alignment across teaching and service delivery Affiliate with agencies such as ACORN/NUS/SGH/UOM Leading edge research Centre of Excellence and Global Reputation Clinical Best practice Models Remote Access Diagnosis (RAD) and Remote Access Clinical Management (RACM) Telemedicine Centres of Clinical Excellence/ Accreditation Teaching Hospital paradigm Research Education Future workforce Systems based curriculum converged with PBL Best practice replication Clinical placement Foundation for Innovation Overseas training Singapore/Australia/USA/China

14 Premier Private Hospital Group Mature Hospitals 15 Developing Hospitals 16 New Hospitals 17 Distinct Market Segment Hospitals 18 Completed Hospital In Labuan Bajo 19 Completed Hospital In Buton (Bau-Bau) 20 Completed Hospital In Yogyakarta 21 Siloam Clinic 22

15 15 Mature Hospitals SILOAM HOSPITALS LIPPO VILLAGE TANGERANG (West of Jakarta) 308 Bed Capacity JCIA 274 Operational Beds 239 GP and Specialists 423 Nurses Centre of Excellence : Cardiology, Neuroscience, Orthopedics & Emergency SILOAM HOSPITALS KEBON JERUK WEST JAKARTA 285 Bed Capacity 215 Operational Beds 217 GP and Specialists 339 Nurses Centre of Excellence : Urology, Orthopaedic, Cardiology & Emergency SILOAM HOSPITALS SURABAYA EAST JAVA 162 Bed Capacity 160 Operational Beds 147 GP and Specialists 247 Nurses Centre of Excellence : Fertility Treatment, Cardiology & Emergency SILOAM HOSPITALS JAMBI EAST SUMATERA 100 Bed Capacity 90 Operational Beds 69 GP and Specialists 132 Nurses Centre of Excellence : Emergency 83.0% Ownership 79.84% Ownership 79.61% Ownership SILOAM HOSPITALS CIKARANG BEKASI (East of Jakarta) 114 Bed Capacity 108 Operational Beds 95 GP and Specialists 167 Nurses Centre of Excellence : Occupational Health & Emergency SILOAM HOSPITALS BALIKPAPAN EAST KALIMANTAN 232 Bed Capacity 165 Operational Bed 109 GP and Specialists 158 Nurses Centre of Excellence : Orthopedics & Emergency MRCCC SILOAM SEMANGGI SOUTH JAKARTA 334 Bed Capacity 122 Operational Beds 170 GP and Specialists 235 Nurses Centre of Excellence : Cancer, Liver & Emergency

16 16 Developing Hospitals SILOAM HOSPITALS MANADO NORTH SULAWESI 238 Bed Capacity 177 Operational Beds 107 GP and Specialists 224 Nurses Centre of Excellence : Emergency SILOAM HOSPITALS MAKASSAR SOUTH SULAWESI 360 Bed Capacity 215 Operational Beds 119 GP and Specialists 234 Nurses Centre of Excellence : Cardiology, Endocrinology & Emergency SILOAM HOSPITALS TB SIMATUPANG SOUTH JAKARTA 269 Bed Capacity 100 Operational Beds 141 GP and Specialists 124 Nurses Centre of Excellence : Cardiology, Oncology, Neuroscience & Emergency SILOAM HOSPITALS PALEMBANG SOUTH SUMATERA 357 Bed Capacity 150 Operational Beds 135 GP and Specialists 183 Nurses Centre of Excellence : Gastroenterology & Emergency 70.00% Ownership SILOAM HOSPITALS BALI BALI 281 Bed Capacity 127 Operational Beds 123 GP and Specialists 188 Nurses Centre of Excellence : Treatment for tourists, Orthopedics, Cardiology & Emergency WEST JAVA SILOAM HOSPITALS PURWAKARTA 202 Bed Capacity 190 Operational Beds 55 GP and Specialists 195 Nurses Centre of Excellence : Emergency

17 17 New Hospitals SILOAM HOSPITALS MEDAN NORTH SUMATERA 356 Bed Capacity 80 Operational Beds 91 GP and Specialists 84 Nurses Centre of Excellence : Emergency & Trauma SILOAM HOSPITALS KUPANG EAST NUSA TENGGARA 416 Bed Capacity 110 Operational Beds 53 GP and Specialists 153 Nurses Centre of Excellence : Emergency EAST NUSA TENGGARA SILOAM HOSPITALS LABUAN BAJO 114 Bed Capacity 19 Operational Beds 17 GP and Specialists 43 Nurses Centre of Excellence : Emergency There are currently 43 sites under various stages of development

18 18 Distinct Market Segment Hospitals SILOAM GENERAL HOSPITAL (RSUS) TANGERANG (West of Jakarta) 640 Bed Capacity 300 Operational Beds 52 GP and Specialists 247 Nurses Centre of Excellence : Emergency BIMC KUTA BALI 19 Bed Capacity 18 Operational Beds 51 GP and Specialists 63 Nurses Centre of Excellence : Treatment for tourists & Emergency SILOAM HOSPITALS CINERE DEPOK (South of Jakarta) 50 Bed Capacity 37 Operational Beds 23 GP and Specialists 39 Nurses Centre of Excellence: Cardiology BIMC NUSA DUA BALI 39 Bed Capacity 20 Operational Beds 57 GP and Specialists 65 Nurses Centre of Excellence : Cosmetic Surgery & Emergency 80.0% Ownership SILOAM HOSPITALS ASRI SOUTH JAKARTA 40 Bed Capacity 40 Operational Beds 100 GP and Specialists 80 Nurses Centre of Excellence : Urology

19 19 Completed Hospital In Labuan Bajo (Soft Opening in January 2016) FAÇADE MAIN LOBBY FRONT OFFICE OUT PATIENT DEPARTMENT

20 20 Completed Hospital In Buton Bau-Bau (Soft opening in April 2016) FAÇADE MAIN LOBBY FRONT OFFICE OUT PATIENT DEPARTMENT

21 21 Completed Hospital In Yogyakarta (Expected Soft Opening in May 2016) FAÇADE MAIN LOBBY FRONT OFFICE OUT PATIENT DEPARTMENT

22 22 Siloam Clinic CYBER PARK KARAWACI FAÇADE RECEPTION GP s CONSULTATION ROOM MERTANADI BALI FAÇADE RECEPTION GP s CONSULTATION ROOM

23 Hospitals Under Development For Completion In Siloam Medika Under Development 26

24 24 For Completion In 2016 BOGOR Dec 2015 Current BANGKA BELITUNG Dec 2015 Current LUBUK LINGGAU Dec 2015 Current

25 25 For Completion In 2016 JEMBER Dec 2015 Current SORONG Dec 2015 Current Current

26 26 Siloam Medika Under Development (completion in 2016) BLU PLAZA BEKASI* GAJAH MADA PLAZA KUNINGAN TOWER PLUIT VILLAGE BANJARMASIN SAMARINDA* GUNUNG SAHARI LIPPO MALL BATU SURABAYA CITO BEKASI GRAND MALL KALIMALANG NINE RESIDENCE SEMARANG Note:*: Expected to be Operational in Q2

27 Financial & Operational Performance Strong Financial Performance 28 Revenue & EBITDA Details 29 Balance Sheets 30 Revenue & EBITDA Contribution 31 Average Revenue Per Patient 32 Patient Visits & Admissions Service Excellence Initiatives 35

28 28 Strong Financial Performance In IDR Bn FY Revenue In IDR Bn FY EBITDA 4, % +23% % +33% 3, % % 2, % +35% % 1, % % 1,259 1, % 12% % FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 Q1 2016(ii) FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 Q (ii) Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population Notes: (i) EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net). (ii) Achieved Q Budget

29 29 Revenue & EBITDA Details In IDR Bn Q % GOR 976 1,254 28% Service Cost % NOR % Material Cost % Gross Margin % Operating Expenses % EBITDAR % % to GOR 18.6% 16.2% % to NOR 24.7% 22.3% Rental (i) % EBITDA (ii) % % to GOR 16.6% 14.0% % to NOR 22.1% 19.2% NPAT % % to GOR 3.4% 3.2% % to NOR 4.6% 4.4% Notes: (i) Represents rental expenses for the land and buildings, Siloam is leasing from FREIT, PT Lippo Karawaci Tbk and other parties. PT Lippo Karawaci started charging rent for the land and buildings of 9 hospitals on May 1, (ii) EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net).

30 30 Balance Sheets Assets In IDR Bn FY2015 Q % Cash & Equivalent % Other Current Assets % Property and Equipment 1,553 1,566 1% Other Assets % Total Assets 2,986 3,162 6% Liabilities & Equity Liabilities 1,246 1,379 11% Shareholders' Equity 1,740 1,783 2% Total Liabilities & Equity 2,986 3,162 6% Gearing Ratio %

31 31 Revenue & EBITDA Contribution Revenue EBITDA 12% 11% 4% 4% 16% 6% 7% 22% 13% 19% 6% 7% 21% 13% 19% 16% 12% 5% 3% 10% 4% 22% 12% 31% 12% 7% 4% 17% 6% 4% 20% 11% 24% Q Q Mature 250 Beds Mature Mature Beds Mature <120 Beds Developing 200 Beds Developing Beds Developing <120 Beds New 100 Beds New <100 Beds Distinct Market Segment Mature 250 Beds Mature Mature Beds Mature <120 Beds Developing 200 Beds Developing Beds Developing <120 Beds New 100 Beds New <100 Beds Distinct Market Segment Commentary Revenue growth is driven by the ramp-up of new hospitals opened in 2011, 2012, 2013 and This trend will continue in the coming years. EBITDA growth is driven by the contribution of new hospitals opened in 2011, 2012, 2013 and as these hospitals are ramping up their operations to the level of Mature hospital category. Note: EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net).

32 32 Average Revenue Per Patient IDR Mn IDR Mn Blended IPD Average Revenue Per Patient (IDR 17.3 Mn) Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Mature Market Developing New Segment FY 2013 FY 2014 FY 2015 Q Blended OPD Average Revenue Per Patient (IDR 0.9 Mn) Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Mature Developing New Market Segment FY 2013 FY 2014 FY 2015 Q1 2016

33 33 Patient Visits & Admissions No of OPD Visits 100,000 80,000 60,000 40,000 20,000 - No of ED Visits 20,000 15,000 10,000 5,000-0% 66,994 67,042 50,598 12% 56,688 85,862 76,930 16% 49,561 42,898 OPD Visits (+22%) 32% 26,577 20,103 60,060 46% 87,838 46% 388% 13,161 13, % 9,018 2, ,556 62,354 52, Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Mature Market Developing New Segment Q Q % 19% 5,542 6,564 5,691 6,790 12% 4% 12,869 12,372 23% 4,456 5,496 ED Visits (+24%) 46% 3,971 2,718 14,374 28% 18,381 2,593 1,834 2,601 1, % % 6,934 5, Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Mature Developing New Market Segment Q Q % 42% 34%

34 34 Patient Visits & Admissions IPD Admissions (+22%) No of IPD Admissions 14% 12,000 11,305 9,880 10,000 12% 18% 21% 8,000 7,150 6,390 6,415 5,170 6,000 23% 18% 16% 5,280 4,390 3,649 3,770 4,000 2,938 3,628 3,242 65% 3, % 1,384 1,667 1,273% 2, ALOS Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Market Mature Developing New Segment Q Q Average Length Of Stay (3.9) Beds Beds Beds <120 Beds 200 Beds Beds <120 Beds 100 Beds <100 Beds Distinct Mature Developing New Market Segment Q Q1 2016

35 35 Service Excellence Initiatives Customer Journey Mapping Service Recovery Delighting Customer Grooming Communication Skills GEMS Notes: (i) GST : Greet, Smile and Thank (ii) GEMS : Go the extra miles GST

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37 37

38 Online Appointment : Appointment and General Information, contact : Hour Siloam Ambulance Service, contact :

39 The Largest Healthcare Provider of Choice in Indonesia 39 Siloam is the leading private hospital network with 22 hospitals in 16 cities across Indonesia. Siloam Hospitals Group is Indonesia s most progressive and innovative healthcare provider that has set the benchmark for quality healthcare services. Siloam s medical team of more than 400 general practitioners, 1,500 specialist doctors and 7,200 nurses, allied health and support staff, offers best-in-class healthcare services to nearly two million patient annually.

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