15-08-04-QSalud-Corporate Presentation-Jul`15-ENGx

15-08-04-QSalud-Corporate Presentation-Jul`15-ENGx

Corporate Presentation
July 2015
Quiron Salud: general overview
• Largest hospital operator in the Spanish market
o In 2014, IDCsalud (largest Spanish player) acquired Grupo Hospitalario Quirón (“GHQ” – second largest
Spanish player). The combined group is the clear market leader in the Spanish hospital industry and one of
the top 5 players in Europe. In addition, IDCsalud has acquired Grupo Ruber, one of the most prestigious
hospital groups in Spain
+
o Key figures 2015: more than €2,000m in revenues, 85 care centers (out of which 44 hospitals, 35 medical
centers, 6 care homes), over 6,400 beds and 26,000 professionals*
• Present in all hospital management models: present in both public and private segments. Capability to
efficiently allocate growth efforts through the economic cycle, cross-fertilizing models and adapting to demand
needs
• Maximum level of patient care quality
o Private patients: our hospital network include some of the most prestigious and well-known hospitals of the
country. Some hospitals in the Group obtained Joint Commission Accreditation
o Public patients: 95% customer satisfaction (public surveys). FJD hospital awarded with the EFQM 5-star
certification, only hospital of maximum complexity in Europe awarded with the highest certification
• Long-term commitment with education and research: 7 university-hospitals and the only certified private
research institute in Spain
• Investment capacity and cutting-edge technology: investments in current portfolio update (infrastructure and
high-end technology) and new hospitals
Centro Médico Teknon
Hospital Quirón Madrid
* Including c. 7,000 self-employed doctors (merchant model)
Fundación Jiménez Díaz
Hospital General de Catalunya
Hospital Rey Juan Carlos
2
IDCsalud key milestones
PPP 30 year contracts in Madrid
•
Hosp. General Catalunya
Entrance in the greenfield public
Hospital Rey Juan Carlos
segment through Hospital Infanta
Flagship hospitals in Barcelona & Madrid
Elena: a 30-year “capitative model”
•
2002, acquisition of Hospital General de Catalunya
PPP contract with an assigned
(286 beds), its 1st hospital in Catalonia
Fundación Jiménez Díaz
•
population of 100K inhabitants
2003, entrance in Fundación Jiménez Díaz – “FJD”
•
in Madrid (689 beds), a reference in public hospital
network history (founded in 1950s and performed
first heart surgery in Spain)
Further concessional growth with 2
Hospital Villalba
new 30-year PPP: Hospital Rey
Juan Carlos (170K inhabitants) and
Hospital Collado Villalba (110K
inhabitants)
Late 90s
2000-2004
2005-2006
2006-2010
2011-2015
Origins
Part of international Group
Completion PPPs and Private growth
•
•
•
Acquisition of Hospital Universitari Sagrat Cor
and Clinica del Valles
•
Acquisition of 2 assets focused on private
patients: Clínica La Luz (Madrid - 2013) and
Clínica del Pilar (Barcelona - 2014), both
synergetic with IDC’s network
•
In 2014, acquisition of Quirón Group, becoming
the clear national leader and acquisition of
Grupo Ruber (one of the most prestigious
groups in Spain)
•
In 2015, acquisition of Policlinica Gipuzkoa,
Clinica Rotger and 4 occupational risk
prevention companies
IDC founded in late 90s, with
3 small hospitals in Castilla
La Mancha and Madrid
•
group becomes the new shareholder
•
Rapidly grew to Extremadura
Castilla La Mancha Hospitals
Capio AB, pan-european hospital
2007, Apax Partners and Nordic
Capital acquired Capio AB
•
Best practices and clinical pathways
are shared within the Group
3
True nationwide footprint with 44 hospitals in 12 regions
País Vasco
Galicia
Hospital
H. Quirón Coruña
City
A Coruña
Beds
102
Madrid
Hospital
City
Fundación Jiménez Díaz
Clínica la Luz
Ruber Internacional
Ruber
San José
San Camilo
H. Rey Juan Carlos
H. Univ. Quirón Madrid
H. C. Villalba
Infanta Elena
H. Sur
Clínica Alcalá de Henares
Madrid
Madrid
Madrid
Madrid
Madrid
Madrid
Móstoles
Pozuelo de A.
C.Villalba
Valdemoro
Alcorcón
A. De Henares
Hospital
City
H. Quirón Vizcaya
Policlínica Gipuzkoa
H. Quirón Donostia
H, Quirón Vitoria
Bilbao
S. Sebastián
S. Sebastián
Vitoria
Beds
110
160
48
26
Aragón
Hospital
City
Beds
H. Quirón Zaragoza Zaragoza
104
Cataluña
Hospital
H. Univ. Sagrat Cor
CM Teknon
H. Quirón Barcelona
Clínica del Pilar
H. Univ. Dexeus
H. General de Catalunya
Clínica del Vallés
Beds
686
175
161
160
92
86
260
252
140
117
107
010
Beds
367
285
192
186
170
286
109
City
P. Mallorca
P. Mallorca
Beds
166
186
City
Valencia
Torrevieja
Beds
79
100
Baleares
Hospital
H. Palmaplanas
C. Rotger
C. Valenciana
Extremadura
Hospital
Clínica Clideba
Clínica V. de Guadalupe
H. Santa Justa
City
Barcelona
Barcelona
Barcelona
Barcelona
Barcelona
S. Cugat V
Sabadell
Hospital
H. Quirón Valencia
H. Quirón S. Jaime
City
Beds
Badajoz
74
Cáceres
35
V. De la Serena
29
Andalucía
Key metrics 2014
Hospital
H. Sagrado Corazón
H. Quirón Marbella
H. Quirón Málaga
H. Quirón C. de Gibraltar
City
Sevilla
Marbella
Málaga
Algeciras
Beds
113
63
56
34
Murcia
Hospital
City Beds
H. Quirón Murcia Murcia 125
Canarias
Hospital
H. Quirón Tenerife
H. Quirón Costa Adeje
Source: CNH 2014
City
Beds
S. C. Tenerife
198
50
Adeje
H. Tres Culturas
Clínica Albacete
Clínica Ciudad Real
H. Talavera de la Reina
Clínica Alcázar
City
Toledo
Albacete
C. Real
Talavera R.
Alc. San Juan
44
35
6
Total centers
85
Hospitals
Elderly-care homes
Castilla-La Mancha
Hospital
Hospitals
Medical centers
Elderly-care homes
Beds
124
65
55
-
Total beds
6,009
455
6,464
Personnel
Self-employed physicians
18,680
7,000
Total Personnel
25,680
Consultations
Spanish regions
4,845
12
4
Reference and prestigious hospitals in top Spanish cities
Public Network
Fundación Jiménez Díaz
Hospital Villalba
Hosp. Rey Juan Carlos
San José
Hospital Sur
San Camilo
Ruber Internacional
Capitative
Activity
Madrid
Quirón Madrid
Hospital Infanta Elena
Clínica La Luz
Capitative
Capitative
CM Teknon
Inst. Univ. Dexeus
C. Rotger
P. Gipuzkoa
H. Quirón BCN
H. General de Catalunya
H. Univ. Sagrat Cor
Clinica del Pilar
Cataluña
Sevilla
Zaragoza
Valencia
Málaga
Other
regions
5
High recognition from patients, doctors and academy
Recognized
by patients
and
institutions
Public
User Satisfaction surveys conducted by Regional Public
Healthcare System
• #1 Hospitals by Patient Satisfaction and most
elected public hospitals on a free choice market
(Madrid Public)
• Fundación Jiménez Díaz awarded EFQM 5 star
certificate, only top-complexity hospital in Europe
with this distinction
Private
• Top reputed hospitals in the private segment
• Joint Commission accreditation
95,7%
94,9%
93,5%
#1
#1
#1
FJD
Mostoles Hosp.
Valdemoro Hosp.
Top 5 privately focused hospitals in Spain
2014 revenues, €m
165
118
CUN
GHQ MAD
95
90
90
IDC HGC
GHQ BCN
GHQ Teknon
• 7 university-hospitals providing medical training, and
Engaged with
University
Education
10 hospitals providing nursery training
• Over 400 residents trained at our hospitals every year
Research publications and impact factor
• IIS-FJD: only certified private research institute in Spain
Committed
with Medical
Research
(R&D)
• Research priority areas are cancer and chronic diseases
• IIS-FJD participates in large-scale programs, national
and international
1.643 1.665
x3
613
701
166
208
1.218
1.004
944
965
997
272
234
255
273
305
441
456
2006 2007 2008 2009 2010 2011 2012 2013 2014
Acc. Impact Factor
Publications
6
Equipped with the latest technology
• Over the past 10 years, the Group has invested more than €800m
Key high-tech equipment
• Positioned at the vanguard in high-tech equipment:
MRI
Multicut TC
Lineal accelerator
PET-TC
Mammography
Da Vinci Robot
Hemodynamic room
Gamma camera
Gamma knife
Cyber knife
Assisted reproduction laboratory
o Unique oncology equipment: Gamma Knife and Cyber Knife
o Da Vinci surgical robots
o State-of-the-art lineal accelerators for oncology patients, owning
various True Beams (the best Varian accelerator in the market)
o Cutting edge MRIs (3T) and CTs (128 and 256 cuts)
o Top biomedical diagnostic systems in pathological anatomy, clinical
analysis, etc
• In-house technological developments through a revolutionary IT
system of care management, Casiopea.
Lineal Accelerator True Beam
No. Items
69
54
14
10
49
7
20
18
1
1
17
Da Vinci Robot
7
Attractive for International Tourism
All EU in range and top priority countries
•
International healthcare tourism is a reality. Patients are
seeking healthcare offer beyond borders and some countries are
currently specializing to capture segment flow (India, Poland,
Turkey)
5 hour
range
Russia
Netherlands
•
Spain is an attractive country to become an international
healthcare hub thanks to:
Morocco
Market
overview
o Excellent geographical location: in range of potential markets
and good weather conditions
o Stable framework with government support
o High healthcare quality through well-educated professionals
and high-end infrastructure
o Lower tariffs than its international peers
Libya
Middle-East
countries
Average pricing index lower than peers*
24.7
Ø 5.4
2,5
Spain
•
Quiron
Salud
An internal team exclusively focused on capturing international
patients
•
Several agreements already reached (Libya, Morocco) and local
office opened in Dubai
•
Only group in Spain capable of offering international
healthcare through the best-in-class assets and professionals
3,4
3,7
4,0
UK
Netherlands
France
USA
Best-in-class hospitals in Spain
Teknon (Barcelona)
Palmaplanas (P. Mallorca)
Pozuelo (Madrid)
Clínica la Luz (Madrid)
* Average pricing considering 7 procedures: CT scan, MRI, appendectomy, normal delivery, C-section, cataract surgery and HIP replacement
8