Acıbadem

ACIBADEM
HEALTHCARE GROUP
January 2014
© This material is confidential and property of Acıbadem
Sağlık Hizmetleri ve Ticaret A.Ş. No part of this material
should be reproduced or published in any form by any
means, nor should the material be disclosed to third
0
parties without the consent of Acıbadem.
OUR STORY
From a small community hospital in 1991…..
..to one of the leading healthcare networks in the world today
1
2
TABLE OF CONTENTS
• Acıbadem
o History and overview
o Operating model
o International Presence & IPC
o Growth strategy
3
GROWTH AND DEVELOPMENT TRACK RECORD SINCE 1991
# of
1991
1995
1996
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Hospitals
1
1
1
1
2
2
2
2
3
4
6
6
6
9
11
14
16
17
Outpatient
Centers
-
1
2
2
2
2
2
2
3
4
6
7
8
8
8
8
11
13
2014
Acıbadem
Bahçeşehir
OPC
OPC: Outpatient Clinic DSC: Day Surgery Center
4
OVERVIEW OF ACIBADEM HOSPITAL NETWORK TODAY
Kadıköy 1991
Kocaeli 2006
Fulya 2010
Bakırköy 2000
Kozyatağı 2004
Maslak 2009
Aile Bahçelievler
2011
Sistina, Macedonia
2011
International 2005
Kayseri 2009
Bodrum 2012
Bursa 2006
Adana 2009
Ankara 2012
Eskişehir 2010
Atakent 2013
5
A SNAPSHOT OF WHERE WE ARE TODAY
# of Hospitals
17
# of Outpatient Centers
13
Total Size (hospitals, OPCs,
adminitrative buildings, laboratories
as well as central facilities)
402,000 m2
# of Staff
13,000
# of Physicians
2,500
# of Beds
2,146
# of Operating Rooms
# of Outpatients (2013)
98
408,660
# of Surgical Cases (2013)
110,000
# of Radiology Tests (2012)
• 2,700 nursing staff/2,146 beds
= ~ 1.3 nursing staff/bed
• 7,200 on-site staff excluding
MDs/2,146 beds = ~ 3.4
staff/bed
Comfort
Safety & Care
Attention
3,010,000
# of Inpatients (2013)
# of Lab Tests (2013)
• 300,000m2/2,146 beds
= ~ 140m2/bed
6,485,850
654,000
6
MANY FIRSTS INTRODUCED IN TURKEY BY ACIBADEM
• First healthcare provider to open a satellite clinic and
implement primary-secondary care referral network (1995)
• First publicly traded healthcare institution (IPO 2000)
• First Call-Center in healthcare sector (2002)
• First healthcare company to attract international private
equity investment (Abraaj Capital 2008-2012)
• First healthcare provider to affiliate with a global knowledge
house (Harvard Medical International, 2003-2008)
• First healthcare provider to offer affiliation to a foreign
institution (Sistina, Skopje, Macedonia, 2010-2011)
• First healthcare provider to open a university (2007)
• First healthcare provider to share its medical outcomes with
the public (since 2010)
• First healthcare provider to make it to the «100 Largest Turkish
Companies» and «Top 25 Turkish Employers» Lists (2011)
• First and the only FIFA accredited Center of Excellence in the
region (2012)
7
AFFILIATION WITH HARVARD MEDICAL INTERNATIONAL 2003-2008
•
Currently repositioned as Partners Healthcare International
•
Access to the 7,000 academic staff and resources of five Harvard Medical School teaching hospitals
and the overall Partners Healthcare System
•
Assistance in clinical program and
facilities development
•
High profile, collaborative
education programs for Acıbadem
staff, community physicians and
public
•
Professional development of
nursing services & leadership
•
Support in strengthening
Acıbadem’s quality management
programs
•
Observership and learning
opportunities at Harvard
affiliated institutions
8
ACIBADEM TODAY IS PART OF THE SECOND LARGEST HEALTHCARE NETWORK IN THE WORLD
«IHH HEALTHCARE BERHAD»
•
•
•
•
Operations in 8 countries
5,000+ licensed beds, in 33 hospitals
Pipeline: 3,000 more beds
IHH is owned by Khazanah (Malaysian sovereign fund) Japanese investment
house Mitsui, Aydınlar family and public as part of its shares are traded in the
Singapore and Malay stock exchange markets, since July 2012
Singapore
#1
Turkey
#1
15 hospitals: 1,967 beds
Pipeline: 941 beds
#2
Macedonia
4 hospitals: 888 licensed beds
Pipeline: 153 bed capacity (MNH
phase2)
Malaysia
11 hospitals: 2,019 licensed beds
Pipeline: 1,289 bed capacity
• 1 hospital: 179 beds
PRC / Hong Kong
Other Business and Listed Stakes
9 clinics and 1 medical center
Pipeline: 500 bed capacity (GHK)
India
1 JV hospital: 425 beds
Pipeline: 450 bed capacity (GKH)
Home Markets
Key Markets
Other Markets
Brunei
• 1 JV hospital: 21 beds
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TABLE OF CONTENTS
• Acıbadem
o History and overview
o Operating model
o International Presence & IPC
o Growth strategy
10
AN INTEGRATED HEALTHCARE SERVICES NETWORK
Diagnostic &
Treatment Services
•
17 Hospitals
•
13 Outpatient
Centers
Support Services –
Sister Companies
•
Turnkey Hospital
Design & Construction
•
Lab services
• Hospital design
and planning
•
•
•
•
•
Home and
ambulatory care
Elderly care
center
Catering
Housekeeping
Laundry
Health & Life
Insurance
• Supervision and
management of
the construction
of healthcare
facilities
• Medical
equipment and
technical
infrastructure
procurement and
installation
Health and life
insurance
Education & Training of
Future Generations
•
Medical faculty
•
Nursing school
•
Other
professional
schools
•
Continuous
education
programs
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CENTERS OF EXCELLENCE
13 Cardiac Centers
3 Pediatric Cardiac Centers
7 Oncology Centers
2 Bone Marrow Transplant Centers
9 IVF Centers
4 Spine Centers
3 Organ Transplant Centers
12
MEDICAL RESULTS: RECOGNITION AND OUTSTANDING CLINICAL INDICATORS
Expertise Area Highlights
•
•
•
•
Breast Care
Spine
Obesity
Check-up
Benchmark
Eskişehir
Fulya
Kayseri
Maslak
Adana
Kocaeli
Bursa
Kozyatağı
International
2,00
1,81
Benchmark
0,36
Eskişehir
0,18
Kayseri
0,18
0,86
Fulya
0,64
0,56
Maslak
0,32 0,29 0,23
0,46
Adana
Kadıköy is a MoH designated training and certification
center, educating specialists from all around the country
2012 Average Surgical Infection Rate (%)
International
IVF
0,11 0,25 0,04 0,17
(a)
Kocaeli
Maslak, Kozyatağı, Bursa, Kayseri and Adana hospitals
represent the highest radiation oncology capabilities in
Turkey and surrounding geography and the radio-therapy
planning and treatment information is completely
integrated across these centers, enabling continuity of care
0,60
0,04 0,06
Bursa
Radiation
Oncology
0,07
Kozyatağı
Kidney Transplant Centers at Bursa and International
Hospital are among the highest volume centers in Turkey,
using sophisticated laparoscopic techniques that improve
outcomes. Liver Transplant Center at Bursa is among the
few in private sector
0,29
Bakırköy
Organ
Transplantation
0,06
Bakırköy
Planned, designed and developed as the pinnacle of
Acıbadem’s involvement in sports, Fulya Hospital
Orthopedics and Sports Medicine Center is the only FIFA
Accredited Center of Medical Excellence in the region
1.0
0,66
Kadıköy
Sports
Medicine
Other Multidisciplinary
Centers of
Excellence
2012 Average Inpatient Mortality Rate (%)
Designed to provide specialty-institute level treatment for
the whole spectrum of neurological diseases, Kozyatağı
Hospital performs adult and pediatric neurosurgeries,
supported by intra-operative MRI, Gamma Knife, brain lab,
gait and motion analysis center, neuro-pathologists and
pediatric rehabilitation teams
Kadıköy
Adult and
Pediatric
Neurosurgery
(b)
(a) California Hospitals Observed Mortality, www.oshpd.ca.gov.
(b) Strategies to Prevent Surgical Site Infections in Acute Care Hospitals, CDC
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IMPRESSIVE MEDICAL OUTCOMES: RESULTING FROM SIGNIFICANT VOLUMES
AND ADVANCED TECHNOLOGY
Annual Volume
International
Patients
Radiation Oncology
53,300
582
Rapidarc, Truebeam, LIAC and brachytherapy
Medical Oncology
106,752
630
Chemotherapy, hormone therapy, immunotherapy, targeted therapies
Gammaknife
895
236
One of the highest volume Gamma Knife Centers in the world
Cyberknife
311
66
Together with radiotherapy modalities and gamma knife, cyberknife
completes the range radiation oncology and radio-surgery treatment
options for cancer patients
4,400
793
Influx of foreign patients from the region
Kidney Transplant
238
5
International and Bursa are the 4th and 6th busiest kidney transplant
centers in the country (out of 64 centers)
Liver Transplant
50
2
Bursa is the 7th busiest liver transplant center in the country (out of 38
centers)
Bone Marrow Transplant
40
4
Currently leading breakthrough clinical research that involves 3/6 donorrecepient match, which is expected to change the landscape of BMT
4,619
396
Largest network of IVF services, currently at 9 of Acıbadem Hospitals
301
40
With 3 robots at Maslak, Bakırköy and Kadıköy hospitals, Acıbadem boasts
the highest volume of robotic surgeries in Turkey
Expertise Area
Adult and Pediatric Cardiovascular
Surgery
IVF
Robotic Surgery (da Vinci)
Remarks
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TABLE OF CONTENTS
• Acıbadem
o History and overview
o Operating model
o International Presence & IPC
o Growth strategy
15
ACIBADEM’S INTERNATIONAL PRESENCE INCREASING
Increased number of productive relationships translating into increased patient flow and revenue
Andrea Marin Collaboration, Romania,
2012-current
International Oncology
Congress, Uzbekistan, 2013
FC Dinamo, Healthcare
Sponsor, 2012-current
Prof Peker, awarded Honorary
Professorship at Belgrade Medical
School, 2013
• 7/24 Call Center in 8 languages; 1,200+ calls in 2013
• Acıbadem International Website in 12 languages; Facebook pages in 9 languages, 4,000+ online inquiries
• International Patient Services Department with 135 multi-lingual FTEs and dedicated sales, marketing & product
management, pricing, reporting and operation teams
• Representative offices in Romania, Bulgaria, Serbia, Kosovo, Bosnia, Azerbaijan, Uzbekistan, Germany and Switzerland.
Iraq and Libya, Ukrain soon to be opened
• In 2012, medical tourism market share in Turkey: 11% in terms of # of patients and 15% in terms of revenue
16
INTERNATIONAL PATIENT SERVICES DEPARTMENT
IPC Operates in Three Major Divisions
HEADQUARTERS
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•
•
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Marketing & Product Management
Sales Teams
Pricing
Operation Teams
Hospitals
• IPC Agents/Representatives
• Operation
Acıbadem Reference Offices
• Marketing-Sales
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HEALTHCARE JOURNEY OF INTERNATIONAL PATIENTS
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LANGUAGE INTERPRETATION SERVICES
•Albanian
•Arabic
•Bosnian
•Bulgarian
•Dutch
•English
•French
•German
•Macedonian
•Romanian
•Russian
•Serbian
19
OUTCOMES BEYOND EXPECTATIONS
NUMBER OF INTERNATIONAL PATIENTS
30000
23900
25000
20000
17017
15000
• All destinations that
Turkish Airlines directly
fly to
• 35+ multilingual patient
services executives
10810
10000
• Contracts with Health
Ministries and Social
Security Funds of many
countries
5000
0
2011
2012
2013
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SERVING TO MOST COMPLEX DISEASES - ACIBADEM’S PLACE IN
HEALTH TOURISM
Medical Tourist
Number and
Revenue
2012
TURKEY**
2012
ACIBADEM
2012
Number of
tourists visiting
for medical
purposes
154.179
17.017
Total revenue
from medical
tourism
628.388.000 USD
95.860.000 USD*
%
11,04%
15,25%
*Average USD/TRL Currency for 2012 = 1,79 TRL
**Source: TUIK (Tukish Statistical Institute)
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TABLE OF CONTENTS
• Acıbadem
o History and overview
o Operating model
o International Presence & IPC
o Growth strategy
22
GROWTH PLANS FOR TURKISH MARKET: EXPANSION PROJECTS
Capacity increases in busy hospitals as well as new value
propositions at existing locations
Acıbadem Sistina Hospital:
•
•
Additional building of 7,000 m2
Radiation oncology and nuclear medicine departments to start Dec 2013
Acıbadem Maslak Hospital Expansion:
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•
Additional building of 75,000 m2, +200 beds to our highest volume/revenue hospital
Construction to begin early 2014, slated to open mid-2015
Acıbadem Fulya Hospital:
•
•
FIFA accredited Medical Center of Excellence in Sports Medicine will move to its new 4,000 m2 facility
next to the hospital; from its current space of 750 m2
Construction has began, move to be completed Q1 2014
Acıbadem Bodrum Hospital:
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•
•
Medical Wellness Center of 9,000 m2 , including overnight
accommodation and connected to the hospital
In collaboration with Andrew Weil, MD, one of the leading experts on
integrative medicine and most influential people in the world
Construction has began, slated to open Q2 2014
23
GROWTH PLANS FOR TURKISH MARKET: GREENFIELD PROJECTS
Growth in Turkish market will be in our base market segment A+ in high
socio-economic areas/regions
Acıbadem Bahçeşehir Outpatient Clinic
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•
1,000 m2, in newly developed, affluent residential neighborhood of Bahçeşehir
Feeder into Atakent Hospital
Acıbadem Taksim Hospital:
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•
20,000 m2 and 121 beds; located in social and historical city center of Istanbul
Construction has began, slated to open early 2015
Acıbadem Altunizade Hospital:
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•
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75,000 m2 and 230 beds
Former site of one of the largest university hospitals of Istanbul, 2 km from the Bosphorous Bridge
Construction to begin in 2014, slated to open early 2015
Acıbadem Kartal Hospital
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•
High population growth area of Istanbul; socio-economic status has improved over the past years
Negotiations underway for a 24,000 m2 building within a mass residential site (TOKI)
Acıbadem Çekmeköy Hospital:
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•
Another one of Istanbul’s new, affluent residential areas, on the Asian side
Potential land acquisition under discussion; 20,000 m2 area
Acıbadem Ataşehir Hospital:
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30,000 m2 building to be constructed as core and shell by the developer and long-term leased to Acıbadem
Feasibility study concluded; negotiations for rental fee ongoing
24
INTERNATIONAL GROWTH: MAIN TENETS
Growth of Medical Tourism:
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•
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Increased flow from traditional markets
Creation of new markets (e.g. UK) and development of new channels (e.g. web sales)
Collaboration with Turkish stakeholders such as TUSIAD and TOBB/DEIK to establish Turkey as a medical
tourism destination
Increasing Presence of Acıbadem Project Management in International Markets:
•
Design and construction management projects in Russia, Kazakhstan, Iraq, Northern Iraq and Libya
Management and Affiliation Contracts:
•
Operator of Faruk Medical Center, Soleymaniye, slated to open in January 2014; plans to open an
oncology center in the area next year
Strong Business Potential for Laboratory, Imaging and Radiotherapy Business Lines
International Footprint Expansion:
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•
•
Russia, Central & Eastern Europe and Central Asian Republics are main focus areas
Preference for new market entry with strong local partners to minimize risks, improve time to market and
prospects
Some investments to service local markets (e.g. Russia); some to support patient flow to Turkey (e.g. UK)
25
INTERNATIONAL INVESTMENT PROSPECTS
Home Market
Key Markets
Potential Projects
26
THANK YOU
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