2015 Indonesia Healthcare Services Provider of The Year Frost and Sullivan. 9M 2016 Results

Transcription

1 2015 Indonesia Healthcare Services Provider of The Year Frost and Sullivan 9M 2016 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 Corporate Structure 05 Highly Experienced & Professional Management 06 The Vision 07 The Journey 08 The Operations 09 The Strategy & Business Model Premier Private Hospital Group Hospitals Under Development Financial Performance Operational Performance Appendices 45 47

4 4 Where We Are In Lippo Karawaci LIPPO RELATED COMPANIES 25.46% CREDIT SUISSE AGSG TRACCL MPU 5.25% PUBLIC % As of 30 Sept 2016 No. Of Outstanding Shares : 23,077,689,619 Code : LPKR.JK ; LPKR IJ 61.8% 54.4% 59.8% 100% PT SILOAM INTERNATIONAL HOSPITALS TBK PT LIPPO CIKARANG TBK PT GOWA MAKASSAR TOURISM DEVELOPMENT TBK PT BOWSPRIT ASSET MANAGEMENT As of 30 Sept 2016 No. of Outstanding Shares : 1,156,100,000 Code : SILO

5 5 Corporate Structure LIPPO KARAWACI RELATED COMPANIES 61.82% CVC CAPITAL PARTNERS 15.00% PUBLIC % As of 30 Sept 2016 No. Of Outstanding Shares : 1,156,100,000 Code : SILO

6 6 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 Andy Purwohardono* Commissioner John Pitsonis* Commissioner Board of Directors Romeo Lledo Caroline Riady* President Director, Vice President Independent Director Director dr. Andry Director dr. Anang Prayudi Director dr. Grace Frelita Director Budi Legowo Director Norita Alex Director Atiff Gill* Director Ryanto Tedjomulja* Director *Appointed on October 11, 2016

7 7 The Vision International Quality Godly Compassion Scale Reach By Beds over 10,000 Patients per annum over 15 million Hospitals over 50 hospitals over 25 cities Affordable and Accessible Healthcare to all socio economic segments

8 8 The Journey SHLV Indonesia s First Hospital to be Accredited and Re-accredited by JCI (2007, 2010 and 2014) RSUS BIMC Nusa Dua Indonesia s First Hospital to be Accredited by ACHS Australia (2014) SH Manado SH Purwakarta SH Labuan Bajo SH Makassar SH Bali SH Kupang SH Buton SH Lippo Village SH Lippo Cikarang SH MRCCC SH Palembang SH TB Simatupang SH Medan SH Samarinda 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

9 9 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 (23) Completed Hospital Awaiting for Operational License (3) Future Developments (40) Greater Jakarta Population : 28 mio Jakarta Population : 10 mio

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 Distinct Market Segment Hospitals 18 New Hospitals 19 Siloam Clinic 20 Completed Hospital In Yogyakarta 21 Completed Hospital In Bogor 22 Completed Hospital In Bekasi Blu Plaza 23

15 15 Mature Hospitals SILOAM HOSPITALS LIPPO VILLAGE TANGERANG (West of Jakarta) 308 Bed Capacity JCIA 274 Operational Beds 238 GP and Specialists 391 Nurses Centre of Excellence : Cardiology, Neuroscience, Orthopedics & Emergency 79.61% Ownership SILOAM HOSPITALS BALIKPAPAN EAST KALIMANTAN 232 Bed Capacity 165 Operational Bed 113 GP and Specialists 162 Nurses Centre of Excellence : Orthopedics & Emergency SILOAM HOSPITALS KEBON JERUK WEST JAKARTA 285 Bed Capacity 215 Operational Beds 208 GP and Specialists 326 Nurses Centre of Excellence : Urology, Orthopaedic, Cardiology & Emergency JCIA WEST JAVA SILOAM HOSPITALS PURWAKARTA 202 Bed Capacity 190 Operational Beds 56 GP and Specialists 180 Nurses Centre of Excellence : Emergency SILOAM HOSPITALS SURABAYA EAST JAVA 162 Bed Capacity 160 Operational Beds 156 GP and Specialists 247 Nurses Centre of Excellence : Fertility Treatment, Cardiology & Emergency

16 16 Developing Hospitals 79.84% Ownership 83.0% Ownership SILOAM HOSPITALS CIKARANG BEKASI (East of Jakarta) 114 Bed Capacity 108 Operational Beds 93 GP and Specialists 162 Nurses Centre of Excellence : Occupational Health & Emergency SILOAM HOSPITALS JAMBI EAST SUMATERA 100 Bed Capacity 90 Operational Beds 66 GP and Specialists 125 Nurses Centre of Excellence : Emergency MRCCC SILOAM SEMANGGI SOUTH JAKARTA 334 Bed Capacity 155 Operational Beds 173 GP and Specialists 293 Nurses Centre of Excellence : Cancer, Liver & Emergency SILOAM GENERAL HOSPITAL (RSUS) TANGERANG (West of Jakarta) 640 Bed Capacity 300 Operational Beds 52 GP and Specialists 228 Nurses Centre of Excellence : Emergency SILOAM HOSPITALS MANADO NORTH SULAWESI 238 Bed Capacity 177 Operational Beds 108 GP and Specialists 198 Nurses Centre of Excellence : Emergency SILOAM HOSPITALS MAKASSAR SOUTH SULAWESI 362 Bed Capacity 215 Operational Beds 123 GP and Specialists 239 Nurses Centre of Excellence : Cardiology, Endocrinology & Emergency

17 17 Developing Hospitals SILOAM HOSPITALS PALEMBANG SOUTH SUMATERA 357 Bed Capacity 150 Operational Beds 136 GP and Specialists 171 Nurses Centre of Excellence : Gastroenterology & Emergency 70.00% Ownership SILOAM HOSPITALS CINERE DEPOK (South of Jakarta) 50 Bed Capacity 37 Operational Beds 18 GP and Specialists 43 Nurses Centre of Excellence: Cardiology SILOAM HOSPITALS MEDAN NORTH SUMATERA 356 Bed Capacity 75 Operational Beds 103 GP and Specialists 82 Nurses Centre of Excellence : Emergency & Trauma SILOAM HOSPITALS TB SIMATUPANG SOUTH JAKARTA 269 Bed Capacity 100 Operational Beds 155 GP and Specialists 131 Nurses Centre of Excellence : Cardiology, Oncology, Neuroscience & Emergency 80.0% Ownership SILOAM HOSPITALS KUPANG EAST NUSA TENGGARA 416 Bed Capacity 110 Operational Beds 56 GP and Specialists 151 Nurses Centre of Excellence : Emergency

18 18 Distinct Market Segment Hospitals SILOAM HOSPITALS BALI BALI 281 Bed Capacity 110 Operational Beds 122 GP and Specialists 195 Nurses Centre of Excellence : Treatment for tourists, Orthopedics, Cardiology & Emergency SILOAM HOSPITALS ASRI SOUTH JAKARTA 40 Bed Capacity 40 Operational Beds 100 GP and Specialists 79 Nurses Centre of Excellence : Urology BIMC KUTA BALI 19 Bed Capacity 18 Operational Beds 51 GP and Specialists 64 Nurses Centre of Excellence : Treatment for tourists & Emergency BIMC NUSA DUA BALI 39 Bed Capacity 24 Operational Beds 57 GP and Specialists 65 Nurses Centre of Excellence : Cosmetic Surgery & Emergency

19 19 New Hospitals SILOAM HOSPITALS LABUAN BAJO EAST NUSA TENGGARA 124 Bed Capacity 60 Operational Beds 20 GP and Specialists 64 Nurses Centre of Excellence : Emergency EAST KALIMANTAN SILOAM HOSPITALS SAMARINDA 34 Bed Capacity 10 Operational Beds 34 GP and Specialists 18 Nurses Centre of Excellence : Emergency SILOAM HOSPITALS BUTON SOUTHEAST SULAWESI 140 Bed Capacity 30 Operational Beds 32 GP and Specialists 69 Nurses Centre of Excellence : Emergency

20 20 Siloam Clinic CYBER PARK KARAWACI FAÇADE RECEPTION GP s CONSULTATION ROOM MERTANADI BALI FAÇADE RECEPTION GP s CONSULTATION ROOM

21 21 Completed Hospital In Yogyakarta FAÇADE MAIN LOBBY FRONT OFFICE OUT PATIENT DEPARTMENT

22 22 Completed Hospital In Bogor FAÇADE MAIN LOBBY EMERGENCY DEPARTMENT OUT PATIENT DEPARTMENT

23 23 Completed Hospital In Bekasi Blu Plaza FAÇADE FRONT OFFICE EMERGENCY OUT PATIENT DEPARTMENT

24 Hospitals Under Development Licensing Requirement 25 For Completion In

25 25 Licensing Requirement Licensing Process In order to be able to fully commission a new hospital, we have to go through a licensing process involving local governments and provincial health departments. This process involves more than 40 licenses and can be summarized into 6 most critical licenses. Environmental License (AMDAL) Yogyakarta Building Permit (IMB) Nuisance Permit (HO) Hospital Building Permit (IMRS) Status of Major Projects for 2016 & 2017 Certificate of Proper Building Function (SLF) Operational License (IO) Hospital AMDAL IMB HO IMRS SLF IO Bekasi Blu Plaza Bogor Bangka Lubuk Linggau Jember Sorong Semarang Hoo Bekasi Grand Mall Banjarmasin Gunung Sahari

26 26 For Completion In 2017 BANJARMASIN BATU LIPPO MALL BEKASI GRAND MALL KALIMALANG LIPPO KUNINGAN MANADO KAIRAGI NINE RESIDENCE PALANGKARAYA GUNUNG SAHARI PLUIT VILLAGE SEMARANG HOO SURABAYA CITO

27 27 For Completion In 2017 BANGKA BELITUNG June 2016 Current JEMBER June 2016 Current LUBUK LINGGAU June 2016 Current

28 28 For Completion In 2017 SORONG June 2016 Current

29 Financial Performance Strong Financial Performance 30 Revenue & EBITDA Details 31 Balance Sheets 32 Steady Ramp-up Model 33 Hospitals Ramp-Up Comparable Margin with Peers 36

30 30 Strong Financial Performance In IDR Bn Revenue In IDR Bn EBITDA % to NOR +33% 3,341 4, % +23% 3, % 19% % % GOR NOR 1, % +44% 1,788 1, % +45% 2,504 1, % 2, % 3,042 2, % +43% % +35% % FY 2011 FY 2012 FY 2013 FY 2014 FY M 2016 FY 2011 FY 2012 FY 2013 FY 2014 FY M 2016 Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population Notes: GOR refers to revenues relating to medical support services, professional fees and consultation fees, drugs and medical supplies, room service, administration, operating theatre, delivery rooms, registration fees and other services. NOR is calculated by deducting service costs (doctor consultation and professional fees) from GOR. 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).

31 31 Revenue & EBITDA Details In IDR Bn 9M % GOR 3,013 3,824 27% Service Cost 795 1,060 33% NOR 2,218 2,764 25% Material Cost 886 1,094 24% Gross Margin 1,333 1,670 25% Operating Expenses 832 1,074 29% EBITDAR % % to GOR 16.6% 15.6% % to NOR 22.6% 21.6% Rental (i) % EBITDA (ii) % % to GOR 14.3% 13.1% % to NOR 19.4% 18.1% NPAT % % to GOR 2.2% 2.5% % to NOR 3.0% 3.4% 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).

32 32 Balance Sheets In IDR Bn M 2016 % Assets Cash & Equivalent % Other Current Assets 796 1,040 31% Property and Equipment 1,553 1,620 4% Other Non-Current Assets % Total Assets 2,986 3,306 11% Liabilities & Equity Debt % Liabilities 1,246 1,472 18% Shareholders' Equity 1,740 1,834 5% Total Liabilities & Equity 2,986 3,306 11% Gearing Ratio % Net Gearing Ratio %

33 33 Steady Ramp-up Model Contribution EBITDA Margin 13% 12% 20% 21% % to NOR 35% 37% 42% 45% 28% 34% 27% 28% 18% 15% 46% 42% 53% 49% -4% 9M M M M 2016 Revenue EBITDA Mature Developing Distinct New 0% -257% 9M M 2016 Mature Developing Distinct New Increasing contribution from developing hospitals 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).

34 34 Hospitals Ramp-Up Manado (Operational in 2012) In IDR Bn 207 % to NOR 51,537 8, % % 38,242 5, % 0.0% BPJS Revenue 47.8% BPJS FY 2013 FY % FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 EBITDA Margin OPD Visits IPD Admissions Makassar (Operational in 2012) 177 beds 177 beds FY 2013 FY 2015 Occupancy Rate In IDR Bn 227 % to NOR 24.8% 99,534 11, % % 40,312 4, % 0.0% BPJS 24.4% BPJS 179 beds 215 beds FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 Revenue EBITDA Margin OPD Visits IPD Admissions Occupancy Rate Proven track record of ramp-up hospitals

35 35 Hospitals Ramp-Up Palembang (Operational in 2012) In IDR Bn 158 % to NOR 21.1% 83,851 7, % % 45,748 4, % 0.0% BPJS 0.0% BPJS 135 beds 135 beds FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 FY 2013 FY 2015 Revenue EBITDA Margin OPD Visits IPD Admissions Occupancy Rate TB (Operational in 2013) In IDR Bn % to NOR 21.8% 37,020 54,445 2,863 3, % 16.2% 42.9% 0.0% BPJS 0.2% BPJS 80 beds 80 beds FY 2014 FY 2015 FY 2014 FY 2015 FY 2014 FY 2015 FY 2014 FY 2015 FY 2014 FY 2015 Revenue EBITDA Margin OPD Visits IPD Admissions Occupancy Rate Proven track record of ramp-up hospitals

36 36 Comparable Margin with Peers SILO EBITDAR Margin SILO EBITDA Margin % to NOR % to NOR % to NOR 37.5% 39.8% 34.7% 36.9% 31.5% 28.0% 30.0% 27.0% 21.6% 22.2% 18.5% 18.4% 15.0% Peers EBITDA Margin 37.8% 30.0% 23.7% % % Mature Developing Distinct New Mature Developing Distinct New Hospital A Hospital B Hospital C Hospital D 9M M M M 2016 Siloam Mature and Distinct Hospitals EBITDAR Margin are comparable to the Peers EBITDA Margin Note: EBITDAR refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes, other expense and/or income (consisting primarily of financing income and others-net) and rental. 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).

37 Operational Performance Medical Equipment Utilization 38 Outpatient Visits 39 Emergency Visits 40 In-patient Admissions 41 Bed Occupancy Rate 42 Average Revenue Per Patient 43 Manpower Availability 44

38 38 Medical Equipment Utilization CT-Scan 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 29.2% 39.4% 12.6% 17.7% 6.2% Mature Developing Distinct New Consolidated 9M M % 0.0% 0.3% 16.1% 21.5% MRI 40.0% 30.0% 20.0% 10.0% 0.0% 28.2% 32.9% 14.5% 19.1% 11.4% 10.7% Mature Developing Distinct New Consolidated 9M M % 0.0% 19.2% 23.2%

39 39 Outpatient Visits 1 st Quarter +22% 2 nd Quarter +20% +9% +36% 383, , % +26% 467, , , , , , % 209, , , , % 42,740 33,209-1,025 45,742 33,065-3,171 Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated rd Quarter +19% Nine Months Ended September % 1,385,954 +6% +28% 452, ,423 +8% +30% 1,151, , , , , % 44,232 34,897-6, , , % 567, , , ,171-10,430 Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated

40 40 Emergency Visits 1 st Quarter 2 nd Quarter +18% +30% +24% 67,039 53, % +20% +20% 60,064 49,851 28,868 30,539 24,440 23, % 7,451 5, ,115 26,200 22,229 21, % 7,183 5, Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated % +11% 3 rd Quarter +11% 55,934 50,174 Nine Months Ended September % 183, , % +20% 22,843 24,029 21,474 21,728 6, % 7,737-1,325 77,826 80,768 68,143 67, % 22,371 18,692-2,096 Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated

41 41 In-patient Admissions 1 st Quarter 2 nd Quarter +22% +19% +15% 18,641 16, % 22,841 17, % 44,852 36, % +24% 21,156 17,481 15,904 17, % 42,396 35,690 2,929 3, ,757 3, Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated rd Quarter Nine Months Ended September 30 +3% 15,233 14, % 20,875 17, % 3,401 2, % 40,467 34, % +10% 64,872 51,355 46,793 51, % 9,921 8,261-1, % 127, ,022 Mature Developing Distinct New Consolidated Mature Developing Distinct New Consolidated

42 42 Bed Occupancy Rate 1 st Quarter 2 nd Quarter 69% 74% 71% 59% 54% 60% 26% 63% 71% 67% 72% 58% 64% 50% 70% 33% 61% 67% 0% Mature Developing Distinct New Consolidated rd Quarter 0% Mature Developing Distinct New Consolidated Nine Months Ended September 30 62% 61% 61% 63% 56% 43% 45% 58% 60% 66% 69% 57% 65% 49% 65% 60% 65% 24% Mature Developing Distinct New Consolidated % Mature Developing Distinct New Consolidated %

43 43 Average Revenue Per Patient IDR Mn In-patient Average Revenue Per Patient Mature Developing Distinct New Consolidated FY 2013 FY 2014 FY M IDR Mn Blended Out Patient Average Revenue Per Patient Mature Developing Distinct New Consolidated FY 2013 FY 2014 FY M

44 44 Manpower Availability Doctors 1,503 1,699 % to NOR Nurses 1,209 3,244 3, , ,576 1, FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 GP Specialist Nurses Siloam s retention of Doctors and Nurses is strong 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).

45 Appendices Comparison Health Statistics 46 Hospitals in Indonesia 47

46 46 Comparison Health Statistics Indonesia Vietnam Malaysia Singapore South Korea India China Australia USA UK Hospital beds per 10,000 pops Physician per10,000 pops Health Profesionals per 10,000 pops Life expectancy at birth (years) IMR per 1,000 live birth MMR per 100,000 live birth % Government Expenditure % Private Expenditure Healthcare Spend as % of GDP Per capita total expenditure on healthcare (USD) Australia UK USA South Korea Singapore China Malaysia Vietnam India Indonesia 2.0 Source : World Bank, WHO 2016 Physicians per 10,000 pops USA Australia UK South Korea Vietnam China Singapore Malaysia India Indonesia Total Healthcare Spending as % of GDP

47 47 Hospitals in Indonesia No OWNER 31 Dec Dec Dec Dec Dec Dec Sep 16 1 MOH PROVINCE GOVERNMENT MUNICIPAL GOVERNMENT DISTRICT GOVERNMENT ARMY / POLICE OTHER MINISTRIES / PUBLIC COMPANIES PRIVATE ,179 1,314 1,472 1,525 1,612 TOTAL 1,632 1,721 2,066 2,228 2,409 2,490 2,580 Source : Ministry of Health

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51 The Largest Healthcare Provider of Choice in Indonesia 51 Siloam is the leading private hospital network with 23 hospitals in 17 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.

52 52 Online Appointment : Appointment and General Information, contact :