corporate presentation - bokanerja · corporate presentation july 2015. 2 quiron salud: general...
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Quiron Salud: general overview
• Largest hospital operator in the Spanish market
o In 2014, IDCsalud (largest Spanish player) acquired Grupo Hospitalario Quirón (“GHQ” – second largestSpanish player). The combined group is the clear market leader in the Spanish hospital industry and one ofthe top 5 players in Europe. In addition, IDCsalud has acquired Grupo Ruber , one of the most prestigioushospital groups in Spain
o Key figures 2015: more than €2,000m in revenues , 85 care centers (out of which 44 hospitals , 35 medicalcenters, 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 toefficiently allocate growth efforts through the economic cycle, cross-fertilizing models and adapting to demandneeds
• Maximum level of patient care quality
o Private patients: our hospital network include some of the most prestigious and well-known hospitals of thecountry. Some hospitals in the Group obtained Joint Commission Accreditation
o Public patients: 95% customer satisfaction (public surveys). FJD hospital awarded with the EFQM 5-starcertification, 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 privateresearch institute in Spain
• Investment capacity and cutting-edge technology: investments in current portfolio update (infrastructure andhigh-end technology) and new hospitals
* Including c. 7,000 self-employed doctors (merchant model)
Hospital Rey Juan CarlosHospital Quirón MadridCentro Médico Teknon Fundación Jiménez Díaz Hospital General de Catalunya
+
3
IDCsalud key milestones
Origins
• IDC founded in late 90s, with
3 small hospitals in Castilla
La Mancha and Madrid
• Rapidly grew to Extremadura
Flagship hospitals in Barcelona & Madrid
• 2002, acquisition of Hospital General de Catalunya
(286 beds), its 1st hospital in Catalonia
• 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)
Part of international Group
• Capio AB, pan-european hospital
group becomes the new shareholder
• 2007, Apax Partners and Nordic
Capital acquired Capio AB
• Best practices and clinical pathways
are shared within the Group
PPP 30 year contracts in Madrid
Completion PPPs and Private growth
• Acquisition of Hospital Universitari Sagrat Corand 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
Fundación Jiménez Díaz
Hosp. General Catalunya
Castilla La Mancha Hospitals
Hospital Rey Juan Carlos
Late 90s 2000-2004 2005-2006 2006-2010 2011-2015
• Entrance in the greenfield public
segment through Hospital Infanta
Elena: a 30-year “capitative model”
PPP contract with an assigned
population of 100K inhabitants
• Further concessional growth with 2
new 30-year PPP: Hospital Rey
Juan Carlos (170K inhabitants) and
Hospital Collado Villalba (110K
inhabitants)
Hospital Villalba
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True nationwide footprint with 44 hospitals in 12 r egions
Source: CNH 2014
Zaragoza
Galicia País VascoAragón
Cataluña
Baleares
C. Valenciana
Murcia
Madrid
Extremadura
Canarias
Andalucía
Castilla-La Mancha
Clínica ClidebaClínica V. de GuadalupeH. Santa Justa
H. Sagrado CorazónH. Quirón MarbellaH. Quirón MálagaH. Quirón C. de Gibraltar
H. Quirón Coruña H. Quirón Zaragoza
H. Quirón TenerifeH. Quirón Costa Adeje
H. Tres CulturasClínica AlbaceteClínica Ciudad RealH. Talavera de la ReinaClínica Alcázar
H. Quirón Murcia
H. Quirón ValenciaH. Quirón S. Jaime
H. PalmaplanasC. Rotger
H. Univ. Sagrat CorCM TeknonH. Quirón BarcelonaClínica del PilarH. Univ. DexeusH. General de CatalunyaClínica del Vallés
A Coruña 102Hospital City Beds
Hospital City Beds
City BedsBadajozCáceresV. De la Serena
743529
Hospital
City BedsSevillaMarbellaMálagaAlgeciras
113635634
Hospital
City BedsToledoAlbaceteC. RealTalavera R.Alc. San Juan
1246555
--
Hospital
Murcia 125Hospital City Beds
ValenciaTorrevieja
79100
Hospital City Beds
Hospital City BedsP. MallorcaP. Mallorca
166186
Hospital City Beds104
City BedsBarcelonaBarcelonaBarcelonaBarcelonaBarcelonaS. Cugat VSabadell
367285192186170286109
Hospital
City BedsHospital
City BedsHospital
S. C. TenerifeAdeje
19850
H. Quirón VizcayaPoliclínica GipuzkoaH. Quirón DonostiaH, Quirón Vitoria
BilbaoS. SebastiánS. SebastiánVitoria
1101604826
Fundación Jiménez DíazClínica la LuzRuber InternacionalRuberSan JoséSan CamiloH. Rey Juan CarlosH. Univ. Quirón MadridH. C. VillalbaInfanta ElenaH. Sur Clínica Alcalá de Henares
MadridMadridMadridMadridMadridMadridMóstolesPozuelo de A.C.VillalbaValdemoroAlcorcónA. De Henares
6861751611609286
260252140117107010
Key metrics 2014
44Hospitals
35Medical centers
6Elderly-care homes
85Total centers
6,009Hospitals
455Elderly-care homes
6,464Total beds
18,680Personnel
4,845Consultations
12Spanish regions
7,000Self-employed physicians
25,680Total Personnel
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Reference and prestigious hospitals in top Spanish cities
Madrid
Cataluña
Other regions
Fundación Jiménez Díaz Hospital Villalba Hospital Sur
Hosp. Rey Juan Carlos Hospital Infanta Elena
H. General de Catalunya H. Univ. Sagrat Cor Clinica del Pilar
San José
San CamiloClínica La Luz
Quirón Madrid
CM Teknon Inst. Univ. Dexeus H. Quirón BCN
Public Network
Activity
Capitative Capitative
Capitative
Ruber Internacional
Sevilla Zaragoza Valencia MálagaC. Rotger P. Gipuzkoa
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High recognition from patients, doctors and academy
613 701
1.004 944 965 9971.218
1.643 1.665
166 208 272 234 255 273 305441 456
2006 2007 2008 2009 2010 2011 2012 2013 2014
Acc. Impact Factor Publications
Research publications and impact factor
x3• IIS-FJD: only certified private research institute in Spain
• Research priority areas are cancer and chronic diseases
• IIS-FJD participates in large-scale programs , national and international
• 7 university-hospitals providing medical training, and 10 hospitals providing nursery training
• Over 400 residents trained at our hospitals every year
• #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
95,7% 94,9% 93,5%
FJD Mostoles Hosp. Valdemoro Hosp.
User Satisfaction surveys conducted by Regional Pub lic Healthcare System
Recognized by patients and institutions
Engaged with University Education
Committed with Medical Research (R&D)
#1 #1 #1
Public
Private 165118 95 90 90
CUN GHQ MAD IDC HGC GHQ BCN GHQ Teknon
Top 5 privately focused hospitals in Spain
• Top reputed hospitals in the private segment
• Joint Commission accreditation
2014 revenues, €m
7
Equipped with the latest technology
Lineal Accelerator True Beam Da Vinci Robot
• Over the past 10 years, the Group has invested more than €800m
• Positioned at the vanguard in high-tech equipment:
o Unique oncology equipment: Gamma Knife and Cyber Knife
o Da Vinci surgical robots
o State-of-the-art lineal accelerators for oncology patients, owningvarious 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, clinicalanalysis, etc
• In-house technological developments through a revolution ary ITsystem of care management, Casiopea.
Key high-tech equipment No. Items
MRI 69 Multicut TC 54 Lineal accelerator 14 PET-TC 10 Mammography 49 Da Vinci Robot 7 Hemodynamic room 20 Gamma camera 18 Gamma knife 1 Cyber knife 1 Assisted reproduction laboratory 17
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5 hour range
Attractive for International Tourism
• International healthcare tourism is a reality . Patients areseeking healthcare offer beyond borders and some countries arecurrently specializing to capture segment flow (India, Poland,Turkey)
• Spain is an attractive country to become an internationalhealthcare hub thanks to:
o Excellent geographical location : in range of potential marketsand good weather conditions
o Stable framework with government support
o High healthcare quality through well-educated professionalsand high-end infrastructure
o Lower tariffs than its international peers
• An internal team exclusively focused on capturing internationalpatients
• Several agreements already reached (Libya, Morocco) and localoffice opened in Dubai
• Only group in Spain capable of offering internationalhealthcare through the best-in-class assets and professionals
2,53,4 3,7 4,0
24.7
Spain UK Netherlands France USA
Ø 5.4
All EU in range and top priority countries
Average pricing index lower than peers*
Best-in-class hospitals in Spain
Teknon (Barcelona)
* Average pricing considering 7 procedures: CT scan, MRI, appendectomy, normal delivery, C-section, cataract surgery and HIP replacement
Russia
Middle-East countries
Netherlands
MoroccoLibya
Palmaplanas (P. Mallorca)
Pozuelo (Madrid) Clínica la Luz (Madrid)
Market overview
QuironSalud