Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the...

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Capital Markets Day Presentation November 2017

Transcript of Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the...

Page 1: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

Capital Markets Day Presentation

November 2017

Page 2: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Disclaimer

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This information contained in the Capital Markets Day Presentation has been prepared byNMC Health and was compiled from sources believed to be reliable for informational purposesonly.

Prospective and existing investors should make their own evaluation of the company as theinformation provided here does not purport to be all inclusive or to contain all of the informationa prospective or existing investor may desire. In all cases, interested parties should conducttheir own investigation and analysis of the Company and the date set forth in this information.NMC Health makes no representation or warranty as to the accuracy or completeness of thisinformation and shall not have any liability for any representations (expressed or implied)regarding information contained in, or for any omissions from, this information or any otherwritten or oral communications transmitted to the recipient in the course of its evaluation of theCompany.

This presentation may contain forward looking statements including statements regarding ourintent, belief or current expectations with respect to NMC’s businesses and operations. Suchforward-looking information and statements reflect current views with respect to future eventsand are subject to risks, uncertainties and assumptions. The Company cannot give assuranceto the correctness of such information and statements. Many actual events and circumstancesare beyond the control of the Company.

Page 3: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Agenda

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1

2

Welcome note from the CEO

NMC Healthcare – Managing rapid growth

3 NMC Fertility – Building a global business

4 NMC Distribution – Capitalizing on synergies with Healthcare

5 Q&A

Page 4: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Changing lives and impacting society positively

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Agenda

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2

1

NMC Healthcare – Managing rapid growth

Welcome note from the CEO

3 NMC Fertility – Building a global business

4 NMC Distribution – Capitalizing on synergies with Healthcare

5 Q&A

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Institutionalizing the business

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Focus on maintaining operational excellence

Manage

relationships

with

regulatory

agencies

Oversight of

healthcare

operations

Oversee

quality, safety

and patient

satisfaction

Physician

relations

Oversite of

financial

expectations

through

oversight of

operationsDrive

organisation

culture

Mitigate risks

and potential

barriers to

success

Page 7: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Philosophy and methodology

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Enhancing NMC’s current leadership framework by introducing conceptsacquired from extensive experience in the US and UAE

Maintain NMC’s strong Abu Dhabi legacywhile introducing a more western approach toorganizational structure and decision making

Create a corporate leadership hierarchy thatfocuses on the five pillars needed for our longterm success:

Cost, quality, service, growth, and people

New management structure introduced to decentralize decision making

Operational “clusters” created within the UAEand broader Middle East to empower front lineleadership to control their business

Previously higher level decisions regarding HR,operations, and business development wereelevated to the corporate leadership

The new structure eliminates hurdles to quickdecision making at the ground level andstreamlines operations

Committed to evaluation of existing operationalleadership across all portfolios and makingchanges if necessary

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New corporate structure

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CEO

Prasanth Manghat

CEO

Prasanth Manghat

COO-Healthcare

Michael Davis

COO-Healthcare

Michael Davis

COO-Distribution

Nirman Shetty

COO-Distribution

Nirman Shetty

Head of IVF

Prakash Janardan

Head of IVF

Prakash Janardan

Director Corporate

Services

Ravi Rai

Director Corporate

Services

Ravi Rai

CFO

Prashant Shenoy

CFO

Prashant Shenoy

CMO

Dr. C R Shetty

CMO

Dr. C R Shetty

CIO

Hani Buttikhi

CIO

Hani Buttikhi

Dy. COODistribution

Dy. COODistribution

Head of ClinicaEugin

Head of ClinicaEugin

Head of FakihIVF

Head of FakihIVF

Businessdevelopment

Businessdevelopment

Regional HeadAbu Dhabi and

Al Ain

Regional HeadAbu Dhabi and

Al Ain

Regional HeadDubai andNorthernEmirates

Regional HeadDubai andNorthernEmirates

Head Outsideof UAE

Head Outsideof UAE

Dy. CFOaccounts and

audit

Dy. CFOaccounts and

audit

Dy. CFObanking and

treasury

Dy. CFObanking and

treasury

AVP corporatefinance

AVP corporatefinance

ITIT

Head ofOperations

Abu Dhabi, AlAin and Dubai

Head ofOperations

Abu Dhabi, AlAin and Dubai

Head ofOperations

Sharjah, Oman,Kuwait and Qatar

Head ofOperations

Sharjah, Oman,Kuwait and Qatar

Head ofOperations

Saudi Arabia

Head ofOperations

Saudi Arabia

Head of HumanResources and

Personnel

Head of HumanResources and

Personnel

Head ofMarketingand Sales

Head ofMarketingand Sales

Head ofQualityHead ofQuality

Head ofNursingHead ofNursing

InvestorRelationsInvestor

RelationsCorporate

DevelopmentCorporate

DevelopmentMergers andAcquisitionsMergers andAcquisitions

Note: Brand strategy and communication strategy will report functionally to CEO

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Substantial segment and geographic diversification

MULTI-SPECIALITY NETWORK

01. NMC Specialty HospitalAbu Dhabi

02. NMC Day Surgery1

Mohammed Bin Zayed City

03. Dr. Sunny Referral NetworkSharjah (Acquired 2015)

04. NMC Royal Hospital1

Khalifa City (Opened 2015)

05. NMC General Hospital1

Dubai Investments Park (Opened 2014)

06. B.R. Medical SuitesDHCC

07. NMC General HospitalDeira, Dubai

08. NMC Specialty HospitalDubai

09. NMC Medical CentreSharjah

10. NMC Specialty HospitalAI Ain

11. NMC Medical Centre1

Al Ain (Opened 2014)

12. American SurgecenterAbu Dhabi

13. Al Zahra HospitalSharjah (Acquired 2016)

14. Atlas HealthcareMuscat, Oman (Acquired 2017)

15. Najran HospitalSaudi Arabia (Acquired 2017)

16. Ha’il HospitalSaudi Arabia (Acquired 2017)

MATERNITY & FERTILITY

17. Brightpoint Royal Women's Hospital1

Abu Dhabi (Opened 2014)

18. Clinica Eugin2

Spain (Acquired 2015)

19. Fakih IVFUAE (Acquired 2015)

LONG-TERM & HOME CARE

20. ProvitaAbu Dhabi (Acquired 2015)

21. ProvitaAl Ain (Acquired 2015)

22. AmericareAbu Dhabi (Acquired 2015)

23. As SalamaSaudi Arabia (Acquired 2016)

24. Chronic CareSaudi Arabia (Acquired 2016)

OPERATION & MANAGEMENT

25. Sheikh KhalifaGeneral Hospital (Operator)Umm al Quwain

18

10

11

1204

02

06

05

20

03 0107 08

09

21

22

25

3035

3233

2831

34 29

17

19

OMAN

UNITED ARAB EMIRATES

Abu DhabiAl Ain

Dubai

Sharjah

Umm Al Quwain

SAUDI ARABIA

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1. Funded from IPO proceeds2. Also has operations in Italy, Denmark, Brazil and Columbia

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26

YEMEN

16

15

2324

27

35. NMC WarehouseDIC, Dubai

36. NMC Warehouse AjmanAjman

26. Emirates HealthcareDubai

27. Sheikh Khalifa HospitalYemen

DISTRIBUTION

28. NMC Sales and Marketing OfficeAbu Dhabi

29. NMC Sales and Marketing OfficeAI Ain

30. NMC Sales and Marketing OfficeDubai and Northern Emirates

31. NMC WarehouseMina. Abu Dhabi

32. NMC WarehouseAI Ain

33. NMC WarehouseDIP, Dubai

34. NMC WarehouseAl Quoz, Dubai

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Operational integration – Gelling the new with the old

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Corporate & local culture

Leadership & strategicvision

Dedicated in-countryspecialists

Rapid pace of acquisitions necessitates a pro-active role to balancethe differences in cultures across the various entities

Well positioned to managegrowth across further

geographies

Operations&

Management

Long-term &Home Care

Multi-specialtynetwork

Maternity &Fertility

Distribution

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Operational integration – The next phase

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Continuing the “next phase” integration

of newly acquired assets…

… whilst becoming the

employer of choice in the

healthcare sector

Integration of culture Employer of choiceBack office rationalisation

Rolling up newly acquiredassets under broader leadershipto complete integration of culture

Source out further efficiencyopportunities

Examples: ProVita / Americare,Nadia Medical Centre/Brightpoint Royal

Dr Sunny Healthcare,Sharjah

New Medical Centre,Sharjah

Nadia Medical Centre,Abu Dhabi

Al Zahra Hospital,Sharjah

BrightpointRoyal Woman’s

Hospital,Abu Dhabi

Americare,Abu Dhabi

ProVita,Abu Dhabi & Al Ain

Consolidation and rationalisationof back office functions acrossthe portfolio

Examples: NMC Sharjah, AlZahra Hospital and Dr. SunnyHealthcare & ProVita,Americare, Emirates NationalHome Health

Focus on people & culturegreater alignment with employeeincentives (birthday leave andtickets home)

Implementation of performancemanagement system

2016 – 2017 Top Companies toWork for in the UAE

Page 12: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Operational integration – Optimizing existing assets

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CONTINUED FOCUSON OPTIMIZATION

Back officeconsolidation

Lab, laundry andpharmacy centralisation

Sales and marketing

Cross referrals

Right sizeorganisation

Minimization of insurance rejection rates a key focus area

Increasing accountability Firm negotiation of rates

Page 13: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Operational integration – Identifying the right traits for acquisition

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How do we assess potential assets in KSA? Targeting pole position in the Omani Market

Oman private healthcare sector market share

100 beds20% market share

Alignment with strategic verticals in attractive market

Cultural fit with existing leadership teams andshareholders

Focus on providing solid clinical care or providing clinicalservices that are underserved within given geography

Track record of operational efficiency with upside potential

Knowledge and expertise gained by beingon the ground

Investment philosophy focused onopportunity and relative value

Comprehensive duediligence

Rigorous but efficient evaluation and execution process

Navigating the Saudi market

Underpenetrated market with strong demand drivers

Rebranded NMC portfolio

Clinically stable and profitable asset base from which toexpand upon

Page 14: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Agenda

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1 Welcome note from the CEO

2 NMC Healthcare – Managing rapid growth

4 NMC Distribution – Capitalizing on synergies with Healthcare

NMC Fertility – Building a global business3

5 Q&A

Page 15: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Getting pregnant is not that easy

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Variety of causes…

… with options decreasing over time

Others45%

Blockageof Fallopian

Tubes15%

Ovulationproblems

35%

33%

Spermobstruction

Lowmobility

Malformedsperm

Lowspermcount

Spermproductiontemporarilydecreased

33%

Unknowncauses

14%

Externalcauses

20%

86%78%

63%

52%

36%

5%

0%

AGE50+45-4940-4435-3930-3425-2920-24

11 66out ofevery

attempts resultsin pregnancy

Endometriosis5%

Page 16: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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NMC Fertility: A globally leading, premium provider of fertilitytreatment

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Competitive pricing combined with medical excellence and scientific rigor with Eugin in Europe

Mid-to-high end positioning in LatAm combining local doctors’ reputation and Eugin/Huntington brands

High-end positioning for a premium clientele with Fakih in the GCC

NMC Fertility platform has a differentiated positioning adapted to each of its markets

Covering a wide range of patients and offering donor

cycles

Specialized in Sharia-compliant

treatment

NMC Fertility is the second largest player in fertility treatments globally andhas a network of clinics to access patients across 3 continents

Fu

llra

ng

eo

ffe

rtilit

ytr

ea

tme

nts

7 clinics in Europe 4 clinics in GCC 5 clinics in LatAm

Page 17: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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A global fertility platform with leading presence in core markets

Key markets

Ranking #2 #1 #1 #1 #1

Market share (by # of cycles)

NMC Fertility 8% 6% 11% 36% 7%

Combined top 3 players 42% 11% 28% 56% 18%

Current Eugin’s presence

Current Fakih’s presence

Fakih DubaiFakihNo. of clinics: 1

1

Fakih Abu DhabiFakihNo. of clinics¹: 2

2

Eugin SpainEuginNo. of clinics: 2

3

CIRHEuginNo. of clinics: 1

4

Eugin ItalyEuginNo. of clinics: 3

5

8

CFC DenmarkEuginNo. of clinics: 1

6

Eugin ColombiaEuginNo. of clinics: 1

7

HuntingtonEuginNo. of clinics: 4

Source: NMC Health estimates

Page 18: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Significant opportunity for a global leader toconsolidate the fast growing fertility treatment market

5%

2.6mIVF cycles

globally

Source: Technavio Global Fertility Service Market 2016-20201 Market sizes cover the global fertility services market (including infertility drugs and services in Assisted Reproductive Technology)

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Top 5 players account for only c.5% global market share… … in a fast growing market projected at c.US$21bn by 2020

Global fertility services market (US$bn)1:Combined top 5 players market share by number of cycles (2016):

5.9

8.9

4.5

6.63.4

5.3

13.7

20.8

2015A 2020E

EMEA Americas APAC

+8.6%

+8.1%

+9.7%

CAGR

Page 19: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Multi-dimensional platform well positioned for further expansion

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Our patients canchoose to receivetreatment at any facilityin any country

Egg, sperm andembryo movementbetween the clinics

Patient referralsand transfers

within the Group

Patient referralsand transfers

within the Group

Transforming Europe’slargest egg donationprogram into a globalprogram with diversityof phenotypes

Offering sharia-compliant services inrelevant markets

Comprehensiverange of fertility

treatments

Comprehensiverange of fertility

treatments

Successful integrationof acquisitions

Track record of organicopenings

Expertise inopening and

integrating newclinics

Expertise inopening and

integrating newclinics

R&D collaborationswith over 15institutions

Medical committees ofrenowned IVFpractitioners andscientific leaders

Global R&Dcollaborationsand network

Global R&Dcollaborationsand network

Ability to optimize useof legislations andprovide innovativesolutions to patients

Cross-border embryotransfer

Deep knowledge ofall regulatoryframeworks

Deep knowledge ofall regulatoryframeworks

1 2 3 4 5

Development of pan-continental presence across the Middle East, Europe and the Americas provides scale and flexibility todrive quality, access to treatments and innovationDevelopment of pan-continental presence across the Middle East, Europe and the Americas provides scale and flexibility todrive quality, access to treatments and innovation

Page 20: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Agenda

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1 Welcome note from the CEO

2 NMC Healthcare – Managing rapid growth

3 NMC Fertility – Building a global business

NMC Distribution – Capitalizing on synergies with Healthcare4

5 Q&A

Page 21: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

2121

Verticals of operations

Solutions to the healthcare industry including Primary,Surgical, Specialty &Critical Care, Laboratory and Radiodiagnostics, Medical Furniture and Rehabilitation

Selling to all 1,500 pharmacies, 150 hospitals and >1,000medical centers and clinics

Medical Equipment, Consumablesand Devices

Providing feed, care, grooming and medicalsolutions to stables, dairies, poultries, vetclinics and hospitals

Veterinary

One of UAEs largest FMCG products distributor across personalcare, food, beverages, household care and home improvement

>7,000 points of sale across supermarkets, groceries, gasstations, hotels, cafes, wholesalers

Consumer

Pharma

One of UAEs largest teams of medical & sales reps

Visiting over 30,000 licensed doctors in UAE monthly

Selling to all 1,500 pharmacies, 150 hospitals and >1,000medical centers and clinics

Solutions for schools including furniture, sportsequipment, study aids, lab & ICT equipment

Education

Page 22: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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One of the largest sales forces with a single company inthe UAE

Sales team of >750 professionals Value added services to establish and grow brands in the

UAE market Over 10,000 customers (1,000 clinics, medical centers &

hospitals, 30,000 doctors, 1500 pharmacies, 500schools, >7,000 supermarkets, groceries, gas stations

Sales

Wide range of premier medical equipment services Authorised Service Provider (ASP) certification from

multiple partners Two Specialised Biomedical Engineering Workshops with

certified safety, testing and calibration analysers

Technical Service

Strong regulatory team for each vertical taking care of allcompliance issues

Helps partners comply with the respective regulator -municipalities, ministries & chambers of commerce

Regulatory

Investment in analytic capabilities allowing faster insightsthan competitors

Key areas include customer channel penetration, valueand order frequency, SKU product analysis, return onmarketing investments, customer service reports

Analytics

Focus on below the line marketing activities Typically happen at points of sale & at consumer hubs Methods include: maximizing visibility & share of shelf at

point of sale, new brand launches and offer packs, retailevent calendar participation

Marketing

With >400 people, one of UAEs largest teams ofmerchandisers

Key methods include availability and visibility of productson shelf, execution of planograms, POS communications,minimize stock returns

Merchandizing

Build brand awareness by educating customers Undertake trials via dry and wet sampling for food

products, organizing special promotional events such asscreening camps within companies

Promotions

>500,000 sq ft of warehousing across the UAE Capacity of over 40,000 pallets Multiple temperature ranges including cold chain State of the art put away and pick systems minimize

turnaround times and reduces error rates

Warehousing

48-hour order to delivery commitment for all verticals Delivers >2,000 orders a day Over 250 delivery vehicles all GPS enabled allowing real-

time tracking, status of delivery targets and vehicle status

Delivery

NMC Trading overview

Page 23: Capital Markets Day Presentation · Significant opportunity for a global leader to consolidate the fast growing fertility treatment market 5% 2.6m IVF cycles globally Source: Technavio

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Agenda

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1 Welcome note from the CEO

3 NMC Fertility – Building a global business

4 NMC Distribution – Capitalizing on synergies with Healthcare

5 Q&A

2 NMC Healthcare – Managing rapid growth