EXPERTISE YOU CAN TRUST HIRSLANDEN PRIVATE HOSPITAL GROUP

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Gladys Gaines
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2 EXPERTISE YOU CAN TRUST HIRSLANDEN PRIVATE HOSPITAL GROUP

3 AGENDA I. The Hirslanden Private Hospital Group II. The Swiss public healthcare system III. Hirslanden s fields of competence IV. Hirslanden s community involvement

4 I. THE HIRSLANDEN PRIVATE HOSPITAL GROUP

5 VISION WE WILL BE RESPECTED THROUGHOUT SWITZERLAND. Because we deliver measurable top-quality medical outcomes, and concentrate all our activities on the needs of our patients. As the biggest provider of medical services, we unite all the relevant medical areas and the best doctors under one roof. All our activities are characterised by responsibility and sustainability. We thus guarantee long-term growth in Switzerland, and contribute towards Mediclinic International s continuing growth as a successful international healthcare group. WE WILL BE PREFERRED LOCALLY. Because we deliver excellent patient care, our hospitals are firmly anchored in the local communities, and as an employer of choice we are able to provide qualified and loyal staff with professional challenge and development. We ensure aligned relationships with doctor communities, and build constructive relationships with all stakeholders

6 EXECUTIVE COMMITTEE Dr Ole Wiesinger Chief Executive Officer Dr Daniel Liedtke Chief Operating Officer Dr Christian Westerhoff Chief Clinical Officer Andreas Kappeler Chief Financial Officer

7 AT A GLANCE Key Figures 2016/17 Hospitals (as of 1 July 2017) 17 in 11 Cantons Patient days 2, Affiliated doctors (as of 1 July 2017) Newborns Employees (including employed doctors) (as of 1 July 2017) Length of stay days Patients Turnover CHF m Key Figures as of: 31 March 2017: 1 Inpatient admissions, without newborns / 2 Adult and maternity patients, source H+ / 3 Average in days, source H

8 AT A GLANCE 24% Basic 45% Semi-private Private 31%

9 17 HOSPITALS BETWEEN CONSTANCE AND LAKE GENEVA

MEDICAL NETWORK 17 4 16 4 Hospitals Outpatient

institutes Aarau Bern Biel Cham Zug Geneva Heiden

Aarau Bern (2) Biel Cham Zug Düdingen Lausanne

10 MEDICAL NETWORK Hospitals Outpatient clinics Radiology institutes Radiotherapy institutes Aarau Bern Biel Cham Zug Geneva Heiden Lausanne Lucerne Meggen Basle Münchenstein Schaffhausen St. Gallen Zurich Lucerne Bern Schaffhausen Düdingen Aarau Bern (2) Biel Cham Zug Düdingen Lausanne (3) Lucerne (2) Basle Münchenstein St. Gallen Zurich (3) Aarau Lausanne Männerdorf Zurich

11 HISTORY Acquisition by UBS Salem-Spital Bern Praxiszentrum am Bahnhof Bern Klinik Linde Biel Klinik Permanence Bern Clinique Bois-Cerf Lausanne Klinik Birshof Münchenstein Basel Klinik Am Rosenberg Heiden Acquisition BC Partners Radiotherapie Männedorf Clinique La Colline Geneva Hirslanden Klinik Meggen Meggen Opening of Klinik Hirslanden Zurich Take over of AMI CH Hirslanden Klinik Aarau Aarau Klinik Beau-Site Bern Clinique Cecil Lausanne Klinik Im Park Zurich Klinik Belair Schaffhausen AndreasKlinik Cham Zug Klinik St. Anna Lucerne Klinik Stephanshorn St. Gallen Acquisition of Hirslanden by the South African based Mediclinic International Praxiszentrum Düdingen Praxiszentrum am Bahnhof Schaffhausen

12 HIRSLANDEN AND MEDICLINIC 1/2 Minority holding (30%) Mediclinic Southern Africa operates 52 hospitals. Beds: Hirslanden operates 17 hospitals and 4 outpatient clinics. Beds: Mediclinic Middle East operates 5 hospitals and 29 specialised clinics. Beds: 714 Spire Healthcare operates 39 hospitals and 13 specialised clinics. Beds:

13 HIRSLANDEN AND MEDICLINIC 2/2 MEDICLINIC INTERNATIONAL HIRSLANDEN SWITZERLAND MEDICLINIC SOUTHERN AFRICA MEDICLINIC MIDDLE EAST 17 hospitals 52 hospitals 6 hospitals + 31 polyclinics 74 hospitals Beds Patients (inpatient) Patient days Theatres Employees (with employed doctors Key Figures as of: 31 March 2017: 1 Inpatient admissions without newborns, 2 Patient days, without newborns

14 Effective from 1 December

15 GROWTH AT HIRSLANDEN 1/2 TURNOVER (in CHFm) EMPLOYEES (FTE, including employed doctors) 2'000 1'500 1'000 CAGR: 5.7% 1'091 1'134 1'218 1'270 1'314 1'437 1'563 1'647 1'704 8'000 6'000 4'000 CAGR: 6.2% 4'166 4'343 4'576 4'871 5'065 5'530 6'213 6' ' /09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 16/ /09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 16/ CAGR: Compound Annual Growth Rate; Key figures as of 31 March

16 GROWTH AT HIRSLANDEN 2/2 PATIENTS (inpatient cases) PATIENT DAYS 120' '000 80'000 60'000 40'000 20'000 CAGR: 4.0% 73'448 73'582 77'643 80'588 82'669 87'248 94'037 98' ' ' ' ' ' '000 CAGR: 3.3% 360' ' ' ' ' ' ' ' ' /09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 16/ /09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 16/ CAGR: Compound Annual Growth Rate; Key figures as of 31 March

ANNUAL / QUALITY REPORT In summer 2017 The Hirslanden Private Hospital Group is publishing its annual comprehensive quality report for the eigth time This underlines our desire for transparency and

17 ANNUAL / QUALITY REPORT In summer 2017 The Hirslanden Private Hospital Group is publishing its annual comprehensive quality report for the eigth time This underlines our desire for transparency and quality leadership Hirslanden sees quality management as a relevant element of the corporate strategy and deliberately faces up to discussions on quality Hirslanden consistently uses result indicators for continuous improvement processes at the hospitals

18 QUALITY AT HIRSLANDEN EXCELLENCE Business Excellence EFQM Management quality ISO + Process quality ISO Product quality KISS, CIRS, IQIP, Press Ganey EVOLUTION KISS Hospital Infection Surveillance System IQIP International Quality Indicator Project ISO International Organization for Standardization CIRS Critical Incident Reporting System Press Ganey Patient Satisfaction Survey EFQM European Foundation of Quality Management

19 QUALITY PATIENT SATISFACTION (PICKER)

20 II. THE SWISS PUBLIC HEALTHCARE SYSTEM

21 THE SWISS PUBLIC HEALTHCARE SYSTEM STATE Taxes CITIZENS Premiums HEALTH INSURERS Federation Canton Communities Premium reductions PATIENT Voluntary supplementary insurance Obligatory basic insurance Social insurance (accident, invalidity, military) Cost contributions Self-payers Reimbursement SERVICE PROVIDERS Inpatient Outpatient Other Pharmacies > 24h Doctors practices 24h Spitex etc. Hospitals

22 THE SWISS PUBLIC HEALTH SECTOR NUMBERS, DATA, FACTS Third place for health expenditure in OECD countries (GDP per capita in US$, PPP). Long hospital stays in acute hospitals High density of doctors and nursing staff. High quality output: No waiting lists One of the highest life expectancies anywhere in the world 1 Second place out of 191 countries for "overall goal attainment" according to the WHO 2 7th place out of 139 countries in the parameter "Health/Primary Education" in the WEF World Competitiveness Report 2010/11. However, in-depth transparency with regard to the quality of the medical services Source: OECD Health Data 2010 (Original 2008), except: 1: WHO Health Report 2000 (data 1997). 2: World Economic Forum: The Global Competitiveness Report

23 IMPORTANCE OF PRIVATE HOSPITALS About 40% of all Swiss hospitals are private Around one fifth of all hospital services are provided by private hospitals In various cantons private hospitals are essential for basic care Private hospitals generate over CHF 4.8 billion turnover per annum About people work in private hospitals According to a survey (Omnibus) 85% of respondents think that the Swiss healthcare system needs a mixture of public AND private hospitals Data: 2014; Source: Swiss Federal Statistical Office (FS), Federal Office of Public Health (FOPH), Swiss Private Hospitals

24 SWISS HOSPITAL MARKET 1/2 Beds Total: 37,540 Operating theatres Total: 988 Staff (HC) Total: 196,000 20% 4,5% 10% HIRSLANDEN 18% of private hospitals 4,5% of total market 17% HIRSLANDEN 36% of private hospitals 10% of total market 5% 11,5% HIRSLANDEN 29% of private hospitals 5% of total market 75,5% 73% 83,5% Hirslanden Other private hospitals Source: Verbund Privatkliniken Schweiz: Bericht Privatkliniken Schweiz 2017; Key Figures 2015 Public hospitals

25 SWISS HOSPITAL MARKET 2/2 Patient days Total: 11,685,858 Inpatients Total: 1,405,224 Births Total: 86,559 4% 7% 7% 22% HIRSLANDEN 15% of private hospitals 4% of total market 15% HIRSLANDEN 14% HIRSLANDEN 33% of private 33% of private hospitals 7% of total market hospitals 7% of total market 74% 78% 79% Hirslanden Other private hospitals Source: Verbund Privatkliniken Schweiz: Bericht Privatkliniken Schweiz 2017; Key Figures 2015 Public hospitals

26 HOSPITAL FINANCING More competition and national domestic hospital market Planning for demand on the basis of profitability and quality Equality of the public and private service providers (regional planning to include all potential service providers) But: distortion of competition due to collision of interests in the cantons. But: neither price comparisons on the basis of DRG nor across-the-board quality criteria will be available from But: due to their multiple roles, cantons still wrongly stimulated to prefer their own hospitals. But: different payments by the cantons to cover the social economy services makes price transparency impossible

27 III. HIRSLANDEN S FIELDS OF COMPETENCE

28 HOSPITALS System provider: all integral medical services are always available for patients First-class medical quality A network of specialised institutes and centres Technology leadership Competent care in pleasant surroundings Each hospital has its own character Highly qualified medical specialists with many years experience

MEDICAL DISCIPLINES Orthopaedic surgery/sports medicine Gynaecology/Obstetrics Surgery/Visceral surgery Cardiology Internal medicine Neurosurgery Urology Heart

29 MEDICAL DISCIPLINES Orthopaedic surgery/sports medicine Gynaecology/Obstetrics Surgery/Visceral surgery Cardiology Internal medicine Neurosurgery Urology Heart and thoracic vascular surgery Angiology/Vascular surgery Oncology/Haematology Otorhinolaryngologie (ORL) Hand surgery Plastic surgery Gastroenterology

VERY LATEST TECHNOLOGICAL STANDARD Infrastructure Labour suites 23 Beds intensive care unit 71 Medical technology infrastructure MRI (magnetic resonance tomography) 24 CT (computed

30 VERY LATEST TECHNOLOGICAL STANDARD Infrastructure Labour suites 23 Beds intensive care unit 71 Medical technology infrastructure MRI (magnetic resonance tomography) 24 CT (computed tomography) 14 Cardiac catheter laboratory 17 Nuclear medicine 5 LINAC (linear accelerator, incl. CyberKnife) 6 Surgical robot 5 Dialyse units 64 Key Figures as of: 31 March

31 INTEGRATION OF TECHNOLOGY Example: Comprehensive Cancer Centre Integration of technology and competence to achieve the highest possible patient benefit Patient orientation instead of department orientation Psychology Oncology Surgery Radiology Radiotherapy

32 Prävention Genetik Diagnost. Radiologie/Nuklearmedizin Medizinische Onkologie Onkologische Chirurgie Pathologie Interventionellle Medizin Strahlentherapie Stereotaxie Palliative Care Schmwrztherapie Selbsthilfe Psychoolkologie PROMOTING NETWORKS Interdisciplinary co-operation in diagnostics and treatment Vernetzte Fachgebiete Magen Darm Co-ordinated co-operation over and beyond hospitals, research partners and sites Brust, Ovar, Uterus Blut Zentrales Nervensystem Lunge A competence network is the prerequisite for the best possible treatment and care Niere, Urogenitaltrakt Hals, Nase, Ohren Haut, Binde-/Stützgewebe Example: Swiss Tumor Institute Vernetzte Organisation Second Opinion, Chemo Lounge, Callcenter/Sekretariat Klinische Forschung, Tumorboard, STI-Datenpool

33 FURTHER SERVICES CHECK-UP CENTRES

34 IV. HIRSLANDEN'S COMMUNITY INVOLVEMENT

35 HIRSLANDEN'S COMMUNITY INVOLVEMENT The Hirslanden Private Hospital Group pledges long-term involvement in society and politics as a socially responsible partner and works closely and long-term with various interest groups and institutions. Education Medical Partner Health Organisations Culture Other

INVOLVEMENT: EDUCATION Hirslanden employs

professions with a high level of education:

professional college, University of Applied

About 600 trainees and students come from

medical assistents who undergo part of their

36 INVOLVEMENT: EDUCATION Hirslanden employs around 730 trainees and students from 30 professions with a high level of education: Swiss Federal Certificate of Competence, professional college, University of Applied Sciences and post-graduate studies. About 600 trainees and students come from health professions, including around 110 medical assistents who undergo part of their post-graduate training at one of Hirslanden s hospitals

37 THANK YOU HIRSLANDEN AG CORPORATE OFFICE BOULEVARD LILIENTHAL GLATTPARK

38 Private Hospital Group Hirslanden: Hirslanden Klinik Aarau - Klinik Beau-Site, Berne - Klinik Permanence, Berne - Praxiszentrum am Bahnhof, Berne - Salem-Spital, Berne Klinik Linde, Biel - Praxiszentrum Düdingen, Düdingen - AndreasKlinik, Cham Zug - Klinik Am Rosenberg, Heiden - Clinique la Colline, Geneva - Clinique Bois-Cerf, Lausanne - Clinique Cecil, Lausanne - Klinik St. Anna, Lucerne - St. Anna am Bahnhof, Lucerne - Hirslanden Klinik Meggen - Klinik Birshof, Münchenstein Basle - Klinik Belair, Schaffhausen - Praxiszentrum am Bahnhof, Schaffhausen - Klinik Stephanshorn, St Gallen - Klinik Hirslanden, Zurich - Klinik Im Park, Zurich

PRIVATKLINIKGRUPPE HIRSLANDEN

SÉMINAIRE PRATIQUE SANTÉ 2018 BENCHMARK AND BEST PRACTICE IN AN INTERNATIONAL HOSPITAL GROUP PRIVATKLINIKGRUPPE HIRSLANDEN DR CHRISTIAN WESTERHOFF CCO HIRSLANDEN PRIVATE HOSPITAL GROUP I. HIRSLANDEN PRIVATE