max india limited · max group overview usd 3 billion+… 10 mn customers… 25,000 employees…...
TRANSCRIPT
Max India Limited Investor Presentation
November 2018
www.maxindia.com
Max Group Vision“To be the most admired corporate for service excellence”
Sevabhav
Excellence
Credibility
• Positive social impact
• Helpfulness
• Culture of Service
• Mindfulness
• Expertise
• Dependability
• Entrepreneurship
• Business performance
• Transparency
• Integrity
• Respect
• Governance
1
2Note: USD rate considered at 64
Evolution of Max Group—Strong history of entrepreneurship and nurturing successful businesses
Health & AlliedBusiness
Life InsuranceBusiness*
Max Group – Corporate Structure
3
Max Group ‐ Sponsors
Manufacturing & Other businesses
Holding
Co
mpa
nies
Ope
ratin
g Co
mpa
nies
70.75%50%
51%
100%
51%
Group CSR Arm
30.3% 41.0% 47.2%
Sponsors stake in Max Group holding companies
100%
100%
100%
4
Rahul Khosla• Group President• Chairman, Max India Limited• Executive President, Max Financial Services• Chairman, Max Healthcare Institute Ltd
Mohit Talwar• Managing Director, Max India Limited• Managing Director, Max Financial Services• Vice-Chairman, Max Ventures and Industries Ltd• Chairman, Max Specialty Films
Rajit Mehta• MD & CEO, Max Healthcare
Tara Singh Vachani• MD & CEO, Antara Senior Living• Director in Max India & Max Healthcare
Ramneek Jain• CEO, Max Specialty Films
Mohini Daljeet Singh• Chief Executive, Max India Foundation
Rajesh Sud• Executive Vice Chairman & MD, Max Life Insurance
(upto December 31, 2018)• Chairman, Max Bupa Health Insurance Co Ltd &
Max Skill First (upto March 31, 2019)
Ashish Mehrotra• MD & CEO, Max Bupa Health Insurance
Sahil Vachani• MD & CEO, Max Ventures and Industries Limited• Director in Max Financial & Max Life Insurance
Rajender Sud• CEO, Max Skill First Limited
Prashant Tripathy (with effect from Jan 1, 2019)• MD & CEO, Max Life Insurance
Max Group – Senior Management
Max Group Overview
USD 3 billion+… 10 Mn Customers… 25,000 Employees… ~80,000 Agents…
3,000 Doctors…
Strong growth trajectory even in challenging times; a resilient & diversified business model
Steady revenue growth and cost rationalization leads to strong financial performance
Well established board governance….internationally acclaimed domain experts inducted
Diversified ownership…..marquee investor base
Superior brand recall with a proven track record of service excellence
Strong history of entrepreneurship and nurturing successful business partnerships
1
2
3
4
5
6
7
5
Max Group : Continues to grow from strength to strength
6
Group EBITDA (USD Mn)
81 95 110 127 129
FY'13 FY'14 FY'15 FY'16 FY'17
Group Revenue (USD Mn)
1,639 1,915 2,190 2,584 2,945
FY'14 FY'15 FY'16 FY'17 FY'18
Max India: High pedigree investor base
Number of outstanding shares* : 26.84 Cr.
Promoters41.0%
IFC3.1%
FII/ FPI23.6%
Mutual Funds18.7%
Others13.6%
0.0%
0.0%
0.0%
0.0%
Shareholding Patternas on Sep 30, 2018
7
Ward Ferry
International Finance Corporation
Target Asset management
New York Life Insurance
Nomura Singapore
Doric Capital
Comgest
TVF Fund
Government of Singapore
Reliance Mutual Fund
L&T Mutual Fund
HDFC Standard Life Insurance
UTI Mutual Fund
Shareholding concentrated with Marquee Investors
* Max Group Sponsors hold warrants convertible into 4% equity stake, post conversion Sponsor’s stake will increase form 41% to 45%, on fully‐diluted equity base will increase to 28.7 Cr shares post conversion
www.maxhealthcare.in www.maxindia.com
MAX INDIA LIMITED
MAX HEALTHCARE
8
Sources: India Brand Equity Foundation – Healthcare report, July 2017, BofA Merrill Lynch Global Research
60 79 160280
2010 2012 2017 2020 2025 2025
Indian healthcare sector *Estimated size, Bn USD
Demand drivers for growth
* Includes hospitals, pharmaceuticals & medical technology / other companies
~500 mn
additional middle class by 2025
~45%
Insurance penetration by 2020
~134 mn
population > 60 years by 2020
~$8 bn
medical tourism market size by 2020
~320 mn
at risk of dying due to NCDs by 2020
~2 mn
beds required by 2025
CAGR 15.0%
CAGR 16.5%
Business As Usual Aspirational
320-340450-470
Indian healthcare industry is expected to reach ~$470 billion fuelled by multiple demand drivers
9
Sources: BofA Merrill Lynch Global Research, IBEF Mar'15
Private players have established a dominating presence in tertiary / quaternary care
70% 63% 60% 78% 80%
30% 37% 40% 22% 20%
Market Share Beds Inpatients Outpatients Doctors
Private sector Public sector
70%
20%
10%
Hospitals
Pharmaceuticals
Medical technology / Others
Indian healthcare sector*
Market share %
Market size of private hospitals is expected to reach ~$ 120 bn by 2020
2236
81
120
2009 2012 2015 2020
Private sector hospitalsEstimated size, Bn USD
CAGR ~24%
CAGR ~20%
* Includes hospitals, pharmaceuticals & medical technology / other companies
Hospitals constitute ~70% of Indian healthcare market with increasinglydominant role of private sector
10
At current level of public sector spending the scenario is not likely to change
1.15% 1.40% 1.30% 1.20%2.50%
FY14 FY15 FY16 FY17 FY20-22
Source: LiveMint research, World Bank database, Hindustan Times
5%+ WHO guidelines
India- public spend on Healthcare% of GDP
~8% USA
8-10% Developed countries
3.5-4% BRICS- excluding India
Hence, Government will keep shifting the burden of public health provision towards private sector
11
The surge of VC/ PE investments in recent years has eased funding constraints on growthAnnual VC/ PE investment’s in India’s Healthcare ($ Million)
Recent examples
Source: Crisil research, company websites and presentations, secondary sources
No. of deals 35 29 65 60 54
580 4951,262 1,359
9001,584
1,111
20162013 2015201420122010 2011
~3x
50 86
TARGET INVESTOR AMOUNT DATE
$221 mn Jan ‘16
May ‘16
Dec ‘16
$68 mn
$63.5 mn
TARGET INVESTOR AMOUNT DATE
Jul ‘17
Aug ‘17
$43 mn
$171 mn
Competition is intensifying with scale‐up of well funded incumbents &availability of capital for new players
$200 mn Jul ‘17
12
Jul ‘18$571 mn
MHC vision
KEY ENABLERS WHERE DO WE WANT TO BEWHAT WILL WE BE KNOWN FOR
• Strong talent pool of clinicians, nurses and healthcare leaders
• Technology and analytics enabled clinical outcomes and customer experience
• Integrated care
• Clinical excellence
• Transparency
• Speed
• Tech enabled continued care
• #1 in selected specialties in chosen geographies
• Focus on Tertiary and Quaternary care
• Physical infrastructure in North India; however serving more than 300 towns in India and 30+ countries
To deliver international class healthcare with a total service focus, by creating an institution committed to the highest standards of medical & service excellence, patient care, scientific knowledge, research and medical education
13
MHC is a dominant player in North India
410
519Saket Noida*
Gurgaon
Vaishali
Shalimar Bagh
Max Smart72
OUTSIDE NCRNCR
Patparganj
250
Mohali
Bathinda
Dehradun
186
172
293 224
280Pitampura*
Panchsheel* Lajpat Nagar*
* Standalone Speciality Clinics with Outpatient and Day care facility
Greater Noida
61
14
~2500 available beds across the network
MHC has invested in state of the art equipment to achieve clinical excellence (1/2)
Advanced robotics provides high precision, and minimum invasive surgery across multiple specialities such as Oncology, Neurology
High dose radiation with extreme precision (~ 0.5 mm accuracy)
Advanced image guided surgery -provides real-time views and automated
image processing
Provides precise correlation and facilitates proper treatment for Oncology, surgical
planning and radiation therapy
Rob
otic
sB
rain
sui
te
Nov
alis
LIN
AC
PET-
CT
15
MHC has invested in state of the art equipment to achieve clinical excellence (2/2)
Robotic radio-surgery (non-invasive) system for both cancerous & non-cancerous systems
Designed for revolutionary single incision laproscopic surgery through catheter-based,
flexible instruments
Economical digital storage and convenient access to medical images from multiple modalities
Cyb
erK
nife
*
Picture Archiving & Communication System - PACS
SPID
ER
* planned16
MHC has a robust service excellence & quality framework which has resulted in enhanced customer experience
• “Sevabhav” trainings and Reward & Recognition platform has led to positive shift in mindset
• Structural Interventions through Six Sigma and other methodologies has resulted into business impact of over USD 18 Mn
57% 69% 73% 80%
FY`15 FY`16 FY`17 FY`18
Top 2 Box Rating*
* MHC is the only healthcare company who has deployed a third party (IMRB) to conduct Satisfaction survey 17
MHC strong Governance Model helps us bring alignment and improve accountability
Executive Committee
Unit Heads
Unit Management Committee (MANCO)
Group Medical Advisory Council
(GMAC)
Hospital Medical Executive Council
(HMEC)
Doctor’s council
Managerial Clinical
Administration
Nomination & remuneration Audit
Investment & performance
review
Medical excellence & compliance
Service excellence
Scientific projects & technology
Corporate social
responsibility
Board & 7 committees
Governance
18
MHC has a proven record of building an institution
NABL/ NABH
accredited
ISO 9001:2000
& ISO 14001: 2004
certified
DL Shah National
Award on ‘Economics of Quality’
FICCI Excellence Awards -
Operational Excellence
Leadership positions in NatHealthand CII -
healthcare
First MHC hospital started in
2002
MHC is one of the top 3 healthcare chains in India
Strengthened capabilities to provide comprehensive tertiary & quaternary care
Network of highly qualified doctors, nurses and medical personnel
Organic growth through expansion of hospital network
JV with Life Healthcare, South Africa, extending expertise and global reach
BusinessWorld
Healthcare Award in Patient
Experience & Safety
Max Saket received JCI accreditation – highest standards of clinical governance and compliance
19
MHC won 32 awards across multiple impact categories from various prestigious institutions in FY17 and FY18
Clinical Safety (7) Operational Excellence (9)
Service Quality (10) Others (6)
•Best customer service in Healthcare
•Bronze award for ‘Life savers’ project (Max Bike responder) at ‘American Society for Quality’
•BPM Asia Star 2017 by CII Institute of Quality
•Best use of six sigma in Healthcare
•Best green hospital (reducing carbon foot print of tertiary care hospital)
•Best patient safety initiative (prevention of patient fall)
•Best quality initiative (BCMA medication process improvement )
•Times Healthcare Achievers Award
•ET Best Healthcare brand
•Excellence in training and development
20
FY18 has been a year of reset caused by various regulatory interventions and other headwinds (1/3)
• DPCO: Drug price controls
• Consumables and implants (stents, knee joints, syringes) price control
• Minimum wage revision, Delhi State and other personnel cost impacts (ESIC coverage, bonus notification, etc)
• EWS: Change in compliance norms
• GST: Increase in service tax rate from 15% to 18%
• Change in ECHS norms (Ortho)
• Recent announcement on Margin capping on non-NLEM drugs, consumables and implants (Delhi govt led)
Sustained impact
One time impact• Brand of corporate-led healthcare chains got impacted due to
multiple incidents in the sector during Q3/Q4
• Shalimar Bagh Hospital closure (Dec’17)
21
MHC Annual Gross Revenue
Rs. Cr. 278725672181
173914071149
FY17 FY18FY14FY13 FY15 FY16
+22%
MHC Annual EBITDA
Rs. Cr.222
281221
173113
70
FY17 FY18FY14FY13 FY15 FY16
+42%
6.2 8.3 10.2 10.5 11.4 8.5
xx EBITDA Margin
Phase 3 Recalibration driven by regulatory interventions
Phase 2Large inorganic acceleration, but with some margin dilution
Phase 1 Rapid organic expansion and profitability through operating leverage
FY18 has been a year of reset caused by various regulatory interventions and other headwinds (2/3)
FY16 excludes Rs. 6 Cr. of one time expenses towards the Pushpanjali and Saket City acquisitions; FY15 excludes Rs 3 Cr of one off expenses 22
MHC Annual Gross Revenues by hospital complexes
Rs. Cr.
568 593 666779
954 1067
733672560381309
827
260
FY13 FY16FY15
180016261339
1047
FY17FY14
902
+18%
FY18
MHC Annual EBITDA hospital complexes
Rs. Cr.
81 82 102114 121 122
7590765344
197+15%
212190
FY14
155
FY13
121
40
126
FY18FY16 FY17FY15
16.1 15.1 14.7 14.4 14.3 11.2
Saket Complex East delhi complex
xx EBITDA Margin
14.7 14.3 15.6 15.1 13.3 12.2
Note: Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) and Max Smart (unit of Smart Hospital & Research Centre) hospital; East Delhi Complex includes Max Patparganj (unit of Balaji Medical and Diagnostic Research Centre) and Max Vaishali hospital
Phase 3 Recalibration driven by regulatory interventions
Phase 2Large inorganic acceleration, but with some margin dilution
Phase 1 Rapid organic expansion and profitability through operating leverage
FY18 has been a year of reset caused by various regulatory interventions and other headwinds (3/3)
23
Strong momentum across all volume and value levers in last 5 years
Maintained healthy occupancy levels despite strong bed addition momentum Steady growth in Revenue per occupied bed
Consistent focus on key tertiary tower specialitiesConsistent improvement in Average Length of Patient Stay
Figures in Rs. Thousands Per OBD
908 1,094 1,235 1,457 1,737
592 651 640
1,679445
FY18
2,330+13%
FY17FY16
2,377
FY13 FY14
1,302394
1,472
FY15
1,6802,049
378
+6%44
3934
FY17FY14
41
FY18FY15FY13 FY16
3733
3.3
FY15
3.1
FY17
3.2
FY18FY16
-2.0%3.5 3.4
FY13 FY14
3.5
Figures in Number of days
NOTE: FY16 and FY17 including Vaishali and Saket City Hospital;Cardiac revenue impacted by stent price capping in FY17 and FY18;Ortho revenue impacted by implant price capping in FY18
FY16
13%
9%10%
11%
55% 54%
14%13%
10%
10%
0%
FY17
12%
8%7%
FY15
56%
13%
4% 10%
12%
7%5%
FY13
6%53%
FY14
14%
10% 10%
8%
11%
51%
10%
FY18
52%7%
14% 2%
10%6%
15%
12%
2%3%3% 3% 2% 2%
NeuroRenal Ortho LBSCardiacOncoMAMBS
72.171.173.574.369.7 73.1
Avg. unoccupiedbeds
Avg. occupiedbeds
Occupancy (%)
24
Four dimensions to value creation for MHC
Existing network optimizat
ion
Hospital network growth
Alternate models
Key enablers
• Improve specialty mix• Improve channel mix – upcountry / international direct models / PSU closures
• Bring back operational leverage through scale / occupancy growth
• Sustained cost rationalisation initiatives in personnel, material and clinician cost
• Brownfield expansion to 5000+ beds
• Onco daycare• DiabetEase• Immigration Center
• Max Lab• Max@Home• Tele Radiology• Physiotherapy BU
• Differentiated positioning
• Service experience• Patient safety• People• Compliance
25
TRANS-PLANT
Drive increase in share of preferred specialties to improve profitability
Reduction due to acquisitions with weak starting positions and value erosion in cardiac / ortho specialties due to price controls
Action plan in place to grow focused specialties
Healthcare revenue specialty share Percent
• Build distinguished leadership in all DMGs
• Disproportionately grow the standalone centre model
• Personalized medicineONCOLOGY
• Provide end to end service offering• Launch specialized clinics• Invest in high end Neuro equipment
NEUROSCIENCES
CARDIOSCIENCES
• Build comprehensive transplant center in Saket complex
• Establish KTP and BMT programs in selected locations
• Focus on high-end procedures• Partnerships with renowned global
institutions – people & best practices
44% 48%
56% 52%
1,720 Cr.
Preferred
2,717 Cr.100%
Others
FY15 FY18
14
20
xx CAGR (%)
A
26
Our aspiration is to have a preferred mix of 54.0 – 55.0% in FY22
Drive increase in share of preferred channels to improve profitability
Reduction in preferred channels due to acquisitions with weak starting positions
Action plan in place to increase the share of preferred channels
Preferred Channels
Non-preferred Channels
Healthcare revenue channel sharePercent
Walk‐in
Inter‐national
• Sustained brand effort / experience delivery on new positioning
• ATL/BTL campaigns for key specialties through digital platforms
• Strengthen ER capabilities
TPA• Seek new engagement models in the
prevention/ wellness space• Assess co-development of product
targeted at new customer segments
• Establish direct presence and digital footprint in select markets
• Expand in attractive new markets• Pilot and scale alternate business
models such as surgeries abroad / O&Ms
MECP
Institutional
• Revamp channel sales through an direct field force; strong focus on salesforceeffectiveness
• Deprioritize; profitability improvement through focus on collections, material cost, and ALOS
18.2% 22.0%
17.9% 18.4%
40.3% 36.0%
14.0% 13.2%
9.7%100.0%
TPA
100.0%
FY18
MECP
Institutional/PSU
International 10.3%
FY15
Walk-In
A
27
Our aspiration is to have a preferred mix of 72.5 – 73.0% in FY22
Rs. 170 Cr. of cost savings achieved in FY16, FY17 and FY18 through structured cost initiatives; Rs. 64 Cr. targeted in FY19
8
21 20
19
2535
12
12
1858
FY18FY17
73
FY16
39
Procurement efficiency
Formulary driven substitutions
Increase in consumables reusability
ALOS and cost/OBD reduction esp. in PSU patients
Organization restructuring at units
Manpower contract rate negotiations
Physician compensation re-modelling
Materials procurement efficiency
Power saving through cheaper procurement, equipment
efficiency improvement and demand management
Collections and deductions managementMaterial Costs Other Indirect CostsPersonnel Costs (Incl. Clinicians)
A
28
Rs. 100 – 150 Cr. cost to be taken out in the next 2-3 years
MHC expansion prioritised in hospitals with demonstrated track record of superior profitability
East Delhi complex: 106Saket complex: 10Gurgaon: 8
Saket complex: 1100*East Delhi complex: 200Mullanpur: 400Gr. Noida: 380
* Includes 200 beds of Saket FAR
B
504
2,080
Current Bed Capacity
FY19
0
FY23 & Beyond
124
FY20 FY21
0
FY22 Total
2,529
5,237
Saketcomplex: 315S.Bagh: 104Mohali: 85
29
Expansion prioritized in facilities that have a proven track record of delivering 15-16% EBITDA margin in the past
Max Healthcare Bed Capacity
9.236.0 51.8
61.8
216.4 218.5
275.3
439.2
421.4389.6
14thJune'16
July'16 Aug'16 Sep'16 Q3'17 Q4'17 Q1'18 Q2'18 Q3'18 Q4'18
Rev - Actual
Onco Day Care Center: Operationalized in July’16, EBITDAR break even on the 3rd month
B
• Standalone specialized facility away from the hospital to ensure comfort and care for our patients during chemotherapy sessions
• Helps patients with their treatment and disease by providing a non‐hospital environment and a highly efficient and expert experience
• Key Differentiators: o Strong clinical protocolso Staff specially trained in soft/service skills
o Personalized treatment
21stJune’16 Chemo started
Saket doctors OPD started
7th July:X‐ray started 1st Sept:
Ultra‐sound started
FY’18 EBITDAR margin of 18.7% and EBITDA margin of 9.9%
0.10.40.60.80.9
June'16
Q2'17
H2'17
H1'18
H2'18
Daycare Chair turnover IMRB Scores
Pan MAX 76%
Oncology 79%
Onco DayCare 91%
Channel Mix (FY’18)
Cash 44%
TPA 20%
Others 36%
Success of this centre has paved the way for opening more such centres; Work on for the 2ndone in Gurgaon. Noida facility being also transformed to set‐up Once DayCare
Figures in Rs. Lacs
30
Immigration Center: Revenue growth at 53% vs. LYB
17.0
11.1
7.0
FY’18FY’17FY’16
122.3
77.662.0
FY’17 FY’18FY’16
Revenue (Rs. Cr.)
Volume (‘000)
New Center opened
Figures in Rs. Cr.
Success of this centre has paved the way for opening more such centres; Work on for the 2nd one in Mohali
31
Max Lab: MHC has shown consistent growth in the non‐captive business over the last one and half years by leveraging its assets
C
Network Expansion• Network of 580+ partners• Over 250 active partners in March• Started operations in NCR, Punjab, Faridabad, and
Uttarakhand• Added 2 HLMs, over 450+ beds
Technology• CRM platform for Sales Team for Team monitoring, Lead
creation, Partner management• Upgrading LIMS for enhanced service delivery – project
implementation underway• Max Lab website under development
Operations• Sales team expanded to 21 from 8 (Mar)• Successful launch of Matrika, Monga HLM• Serviced over 100,000 orders in 9 months
Organization• Team size grew to 175 (35 in Mar17)• Extensive Training sessions for staff / franchisee staff
Building blocks in place to achieve the growth aspiration
2.92.2
7.7
5.4
H2’18H1’17 H2’17 H1’18
+241%
102.9
55.1
21.510.3
H2’17 A H2’18 AH1’18 AH1’17 A
+901%Samples* (‘000)
Revenue (Rs. Cr.)
* Pathology samples from Max@Home are also included32
Max@Home: With Rs. 1.5 – 2 Cr. of investment till date, business stands at ~Rs. 28 Cr. revenue in FY18
C
Home Sample Collection• 24*7 coverage• 16% revenue contribution through out‐of‐hospital channels in Q4
• 19% repeat business in Q4
Medicine home delivery• 20% increase in volumes from 5636 (Q3) to 6762 (Q4)• Increased repeat business from 12% (Q3) to 16% (Q4)
Critical care nursing• Critical care nursing service launched; Over 14 patients served in Q4
New territory‐Mohali• Nursing and GDA launched in addition to sample collection and pharmacy delivery
Max@home B2C platform• ~450 tech features ; ~30 processes; 5 service line journeys• Wireframes for ~20 roles across portal, mobile app & tablet
Revenue (Rs. Cr.)
New services
Existing services
0.26
3.88
6%
94% 7.14
20.41 74%
26%
2.74
2.75
50%
50%
Volumes (‘000)
Steady state EBITDA margin ~25%
27.6
9.610.4
+165%
FY 18FY 17FY 16
41.938.531.3
19.613.2
Q3’18 AQ2’18 AQ4’17 A Q4’18 A
+218%
Q1’18 A
33
Teleradiology and Physiotherapy BU: Launching 2 new businesses in FY19 with high market potential
C
Tele Radiology Physiotherapy BU
Market potential
MHC’s plan
• International (US & western Europe): Rapidly growing market at ~18‐20% CAGR (FY11‐16) driven by digitally enhanced healthcare infrastructure and integration of teleradiology; market size of USD ~1.2 bn in FY18
• International (developing – Africa): Lack of radiologists; project growth in FY18‐22 at 15‐20%
• Domestic:Market growing at ~10‐12% CAGR (FY11‐16) driven by widening network of high‐speed broadband services, shortage of radiologists in tier‐2 cities , etc.
• Pilots underway in both domestic and international markets
• 5 clients – 4 domestic, 1 international –signed within 6 months of operations
• Indian Rehab market is projected to grow at a CAGR of 15% from FY15‐FY20 to reach a market size of USD ~1.0 bn in FY20
• Growth factors include rising elderly population (estimated to reach 323 mn by 2050), chronic illnesses & increase in awareness
• 70% of market is currently out‐of‐hospital (which includes services @home and clinics), while hospitals focus primarily on their in‐patients
• Create a Physiotherapy BU platform in FY19:
o In house and integrate to ensure best practices and standardization of service delivery
o Create well defined care plan owned by physiotherapist that is additionally signed off by the treating clinician
o Offer niche services such as Speech Therapy, Sports physiotherapy, Mental Health etc.
34
www.maxbupa.com www.maxindia.com
MAX INDIA LIMITED
MAX BUPA HEALTH INSURANCE LIMITED
35
A symbiotic partnership in health insurance
Helping people live longer, healthier, happier lives+
Wha
t we do
Highlights
Domestic Health Insurance
Global Health Insurance
Dental and Travel insurance Advice Primary Care
Clinics
Dental clinics Aged Care
► Leading international healthcare group present across 190+ nations, provides personal and company health insurance, runs care homes for the elderly and hospitals in addition to a range of health services
► Founded in 1947 in the UK, Bupa employs over 86,000 people across UK, Australia, Spain, Hong Kong, Poland, New Zealand, Chile, Brazil, Thailand, Saudi Arabia, India and the US
► Revenues of over £11 billion, over 70% coming from health insurance covering over 16.5 million customers
► Diversified group with interests in insurance, healthcare, manufacturing, real estate, learning and senior living
► Founded in 1985 with an entry in the bulk pharma business, Max has evolved into one of the leading health services organizations in India
► Over INR 191 billion in revenues, serving over 10 million customer with 25,000 employees and 3,000 doctors.
Max Bupa is a 51:49 joint venture between Max Group and Bupa
In the business of Life
36
Our Vision and Mission
37
Vision Mission
To be the most admired Health insurance company in
India
To help customers live healthier, more successful
lives
Caring Respectful Ethical Accountable Trustworthy Enabling
Health insurance retail landscape
Source: KPMG
Rising affluence and urbanization
Ageing population
Increasing medical cost & high OOP
Internet penetration and E‐commerce growth
158
630
FY'18 FY'25
22%
Retail Health Insurance – Market Size
(GWP INR Billion)
Rise in chronic disease incidence
Factors driving growth
16%+ affluent household by 2025, doubling current level of 8% 48 cities expected to have >40% affluent household vs. 0 cities currently
India expected to have over 350 M people > 50 years by 2030 Increasing demand expected by this segment along with evolution of product suite
Rapidly growing incidence of cancer, cardio-vascular diseases (CV) and diabetesCancer, CV and diabetes form ~28% of health expenditure which is expected to grow further
Over 20% annual healthcare inflation coupled with high out-of-pocket expenses (62%) expected to drive demand further
650 M mobile internet users by FY20, ~1.7x from current ~390 M 400-450 M digitally influenced shoppers by 2025 expected to drive break-out digital channel growth
The retail health insurance market is expected to reach INR 630 billion by 2025 growing at a CAGR of 22%
38
Industry landscape
Segment‐wise GWP (INR Cr)
Industry growth during FTY Aug’18* SAHI growth during FTY Aug’18* MBHI growthH1 FY’19
24%
Overall sales growth
• Among all players, Private GIs registered highest growth as compared to SAHIs and Public GIs (@ 46%, 39% and 2%)
• SAHI growth has been higher than overall health industry. PA has grown at a faster rate than health insurance for SAHIs (70% vs 38%)
• MBHI, PA business increased by over 3 times (Y‐o‐Y basis)
1,9502,629
430
662
B2C
3
FTY Aug’18
2B2G
FTY Aug’17
B2B
2,383
3,293
38%
5,479 6,526
7,563
1,106
FTY Aug’18FTY Aug’17
B2C
B2G
B2B
14,148
16,8331,082
19%
39
18,388
* Industry numbers are excluding PA revenue; The HI market including PA is worth Rs 19,131 Cr and has grown by 20% over last year; SAHIs contribution (including PA) is to the tune of Rs 3,561 Cr and have grown by 39% over same period last year
Journey since inception
GWP, Rs cr
Cha
nnel
Serv
ice
mod
el
• B2C• Entered B2B
business in FY’12
• Agency• Direct channels• TPD
• In-house claims processing
• Entered B2G - First RSBY scheme won
• Launched ‘Walk for Health’, annual brand property
• First Banca partnership (Deutsche bank)
• Rationalized TPD2
• Reached ~3,100 network providers
• 30-min claims settlement (92% cases)
• Launched three more Banca partnerships
• Prioritized B2C
xx% Y-o-y growth
CAGR
• CRM launched
• Walk for Health went national touching 33 MM lives
• Launched 4 partners (Sarv UP, Muthoot, Coverfox, Bank Bazaar)
Segm
ent
• Launched Bank of Baroda serving more than 5,400 branches
• Standing Instructions for auto renewal
• First ‘embedded’ product launched at Federal bank
FY10-12
FY12-13
FY13-14
FY15-16
FY16-17
FY14-15207
309
373
476
66%
53%
18%
28%
594
125
FY17-18
25%
75527%
FY18-19*
404
• Industry first digitally enabled product ‘GoActive’ launched on 13th Feb’18
• Commenced business with South Indian bank
• Launched India’s first “Any time health” machine
• Launched Point of care desks for customer delight
40
• Commenced business with HDFC bank and Karur Vysya Bank
* For H1 FY’19
• LaunchedCustomer mobile application
Healthy growth with consistent improvement in combined ratio
Max Bupa’s focus has been on the B2C segment since inception
While it is harder to build a B2C book (linear customer acquisition vs. lumpy demand of B2B or B2G), Max Bupa has grown at 27%, faster than market (market growth ~23% for FY’18)
B2C focus driven operating model choices and some execution challenges have resulted in higher upfront opex spend
Com
bine
d R
atio
* (%
)G
ross
writ
ten
prem
ium
(Rs
cr)
* Combined ratio = Claim ratio (Net claim incurred / Net Earned premium) + Opex ratio (Opex / GWP) + Commission ratio (Net commissions / GWP)
151% 142%127% 118% 116% 109%
2012‐13 2013‐14 2014‐15 2015‐16 2016‐17 2017‐18
162 245354
466
736584
18
7
4
2012‐13
20738
4
2015‐16
4766
2017‐18
+30%75514
2013‐14
30956
4
2014‐15
37318
2016‐17
5946
B2C B2B B2G
Combined ratio for FY 17-18 basis IRDAI definition is 104% 41
Max Bupa todayIn a large, fast growing market Max Bupa delivers 2.8m customers, a vast
distribution network and leading brand
1,900 employees30 branches
9 banca partners with 13,400 branches
accessing 101mn customers
13,900 agents
98% B2C business
4,064 providers in network
62mn* lives touched through Walk for
Health(2017-2018)
1st of its kind, Digitally enabled
wellness product -GoActive
~2.8m total customers
GWP Rs. 404 cr (H1 FY’19)
24% Growth(H1 FY’19)**
Focus on B2C segment from inception
Investments in direct channels to support the “pull” model; Premium infrastructure (office locations and size) in line with overall positioning
Launched first to industry innovations – Any Time Health Machine; Complete digitally enabled wellness ecosystem; Highest Sum Insured options; No age restriction for enrolment; No claim loading; Guaranteed renewability; No 2 year waiting period
Max Bupa is the only insurance company with an annual brand property - Walk for Health initiative
Customer service is a key focus area –~78% of customers rate claims experience with Max Bupa as very good or excellent
*Duplicate reach across mediums**Growth over same period last year 42
Comprehensive product suite
Key features include hospitalization costs including:
► State of art coverage -Cashless international coverage (market first)
► Lowest (2 years) pre-existing disease waiting period
► Out Patient benefits
► AYUSH benefits
► Maternity & New Born benefits
► Coverage from Day 1 for accidents
► Waiver of 24 months waiting period for specific conditions below 45 yrs
► Loyalty benefit at renewal
Our flagship indemnity product with the most
comprehensive coverage
Heartbeat
Key features include hospitalization costs including:
► No limit on room rent and pre and post hospitalization expenses
► Added protection with Unique Refill benefit
► All day care procedures covered
► Unmatched renewal benefits− No Claim Bonus (No reduction
in case of claims)− Health check ups to help keep
track of the health condition► AYUSH in-patient treatment
► Super top up
An indemnity product withrefill benefit, alternative
treatments & Extended Family First proposition
Health Companion
Accident Care:
► Accidental death benefit
► Accidental Permanent Total Disability
► Accidental Permanent Partial Disability benefit
Critical Illness:
► Covers 20 critical illnesses
► 2 options: Lump sum & Lump sum + staggered pay-out for 5 years
Hospital Cash:
► Daily cash benefit & double cash benefit for ICU
A fixed benefit product with unique 3-in-1 combination of
personal accident, critical illness & hospital cash
Health Assurance
43
Comprehensive product suite
Group Health Insurance includes:
► Group cover for hospitalization benefit
Group Personal Accident:
► Accidental Death , Permanent Total & Partial Disability
Loan linked group critical illness
► Loan linked cover for 25 critical illnesses
► Single pay up to 5 years
Group medical cover
► Customizable product for employer employee groups –B2B
A group product with customized propositions by
selecting from over 35 product features and
parameters
Group Platform
44
Key features includes:
► Lifetime discount of 10% of premium if purchased at or before 35 years age
► Upto 10 OPD consultations included in the cover
► Health coach option to enable customers remain fit and healthy
► Second medical opinion
► I-protect option to increase SI by 10% every year
► Annual health check-up/diagnostics of customers choice
A digitally enabled, new agecustomer centric product offering that will serve the
everyday health needs of the customer
GoActive
Distribution architecture
Largest distribution channel for the company Spanning 29 branches across 19 cities Over 36% contribution in overall revenue Frontline sales force of ~450 Agency Managers ~13,900 agents One of the most productive agency force amongst SAHIs (Standalone Health Insurers)
9 Banca partnerships (2 foreign banks, 6 Indian banks and 1 rural bank), the highest numbers amongst SAHIs• Network of 13,400 bank branches across the country• ~750 FOS (Including NBFC)
3 NBFC tie-ups (Capital First, Muthoot, Bajaj Finserv) Brokers (Bajaj Capital, NJ Brokers, Shriram) Rural business (RSBY)
One of the largest captive tele-sales unit Capacity of ~130 out-bound tele-callers State-of-the-art technology infrastructure (Dialer / CRM) with secure environment Online sales through MBHI website & web aggregators (6 partners, including Policy
Bazaar – a leading industry player)
Dedicated sales-force ~70 full-time employees to address high-net worth individuals’ needs Spread across top 4 metros
Agency
Banca & Alliances
Digital
Direct sales
45Internal
46
51%
23%
23%
2%
49%
27%
22%2%
46%
29%
22%
3%
Banca & Alliances
Agency
Others
Digital & DST
Channel wise Performance (FY16 to FY18)
2016 2018
H1 2019
Channel mixKey highlights for channels over the last two years Agency channel grew by 23% over two year period despite
headwinds on account of price revision of Heartbeat and Health Companion; Agency OTC app launched to enhance digital sales
Increasing share of Banca & Alliances in the channel mix while registering a 37% growth over two years; MBHI has engaged in partnerships in last 3 years - Bank of Baroda, South Indian Bank, HDFC Bank and Sarv UP
DST & Digital channel grew by 20%. Digital has been the focus area of MBHI and has seen a growth of over 22% between 2016 and 2018. DST repurposed running at a combined ratio of 100%, heading towards profitability.
Persistency grew by over 4% from FY’16 to FY’18 despite price increase across portfolio re-confirming customer confidence in the brand, products and services
Launched GoActive – a digitally enabled, new age customer centric product with an integrated wellness system
Sharper Upsell strategy – More targeted approach by including ‘preferred product category’ based approach
Initiatives taken to control high risk flowso Closure of variants of HB silver and HC (9% of the portfolio)
for new saleso Cap on portabilityo Pin Code restrictionso Revision of stance on non disclosure
High focus on innovation in product and services
Others include B2B, B2GInternal
Innovations at Max Bupa
47
Digital innovations in H1 FY’19
48
Insta Insure
Infinity
Customer App Industry first digital ecosystem
Web & Mobile application
New platform for GHI
Internal
Strategic priorities – strengthening the foundation
Remarkable customer
experience
ProfitableGrowth
Portfolio Management - Renewals
Build Digital
People First
Customer Centric
Profitable Growth
1 2
3
4
5
A
B
C
D Digitally enable end to end customer journey
Build a Customer centric, Compliant & Cost conscious Culture
Broad base the franchise with partnerships & alliances
Provider of choice in the Affluent segment in urban India
49
Key Initiatives for FY19
50
External recognition
51
DisclaimerThis presentation has been prepared by Max India Limited (the “Company”). No representation or warranty, express or implied, is made andno reliance should be placed on the accuracy, fairness or completeness of the information presented or contained in the presentation. Thepast performance is not indicative of future results. Neither the Company nor any of its affiliates, advisers or representatives accepts liabilitywhatsoever for any loss howsoever arising from any information presented or contained in the presentation. The information presented orcontained in these materials is subject to change without notice and its accuracy is not guaranteed.
The presentation may also contain statements that are forward looking. These statements are based on current expectations andassumptions that are subject to risks and uncertainties. Actual results could differ materially from our expectations and assumptions. We donot undertake any responsibility to update any forward looking statements nor should this be constituted as a guidance of futureperformance.
This presentation does not constitute a prospectus or offering memorandum or an offer to acquire any securities and is not intended toprovide the basis for evaluation of the securities. Neither this presentation nor any other documentation or information (or any part thereof)delivered or supplied under or in relation to the securities shall be deemed to constitute an offer of or an invitation.
No person is authorised to give any information or to make any representation not contained in and not consistent with this presentationand, if given or made, such information or representation must not be relied upon as having been authorised by or on behalf of the Companyany of its affiliates, advisers or representatives.
The Company’s Securities have not been and are not intended to be registered under the United States Securities Act of 1993, as amended(the “Securities Act”), or any State Securities Law and unless so registered may not be offered or sold within the United States or to, or forthe benefit of, U.S. Persons (as defined in Regulations S under the Securities Act) except pursuant to an exemption from, or in a transactionnot subject to, the registration requirements of the Securities Act and the applicable State Securities Laws.
This presentation is highly confidential, and is solely for your information and may not be copied, reproduced or distributed to any otherperson in any manner. Unauthorized copying, reproduction, or distribution of any of the presentation into the U.S. or to any “U.S. persons”(as defined in Regulation S under the Securities Act) or other third parties ( including journalists) could prejudice, any potential futureoffering of shares by the Company. You agree to keep the contents of this presentation and these materials confidential.
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ANNEXURES
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Mr. Rahul Khosla (Chairman)President – Max Group Seasoned business leader with over 30 years of deep global experience in Banking and Financial markets.
Mr. Mohit TalwarManaging Director at Max India Ltd. & Max Financial Services Ltd., Over 30 years of experience in Corporate Finance and Investment Banking.
Dr. Omkar GoswamiEconomist and Leading Academic Serves on Board of many Indian MNCs including Dr Reddy’s, Infosys, IDFC, Crompton Greaves, Cairn India Ltd. etc
Mr. Kummamuri Murthy NarasimhaIndependent Director; Leading Finance professional associated with the development of Cost & Management Information Systems for over 150 firms
Mr. Rajit MehtaManaging Director & CEO- Max HealthcareOver 20 years of experience in financial services.Previously Chief Operating Officer at Max Life Insurance.
Dr. Ajit SinghPartner at Artiman Ventures, focusing on early-stage technology & life science investmentsPhD in Computer Science from Columbia University
Dr. Pradeep Kumar Chowbey, PadmashriDirector of Max Institute of Minimal Access, Metabolic and Bariatric Surgery. More than 35 yrs of experience in Lap Surgery
Ms. Roshini BakshiManaging Director, Everstone Capital Asia (Singapore) Extensive global management experience; Bachelors in Economics from St Stephen’s College, Delhi and MBA from IIM Ahmedabad.
MHC ‐ Board of Directors
Mr. Adam PyleNon Executive Director and Group Executive, Strategy and Investor relations, Life Healthcare Group. Commerce and Law graduate and currently responsible at LHC for driving the international strategy..Mr. Pieter Van Der WesthuizenNon Executive Director and Chief Financial Officer, Life Healthcare. Part of the LHC group for last 17 years and has fulfilled various financial roles
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Ms. Tara Singh VachaniChief Executive Officer and Managing Director of Antara Senior LivingA natural leader, she represents the dynamic new cadre of young women entrepreneurs in India
Dr. Shrey Balaguru VirannaNon Executive Director and Group CEO at Life Healthcare Group. Dr. Shrey is a medical doctor by training and has extensive experience in the heathcareindustry
Mr. Rajit MehtaManaging Director & CEO- Max HealthcareOver 20 years of experience in financial services.Previously Chief Operating Officer at Max Life Insurance.
Mr. Yogesh SareenSenior Director & Chief Financial OfficerOver 20 years of experience in across all facets of finance; previously CFO of Fortis Healthcare.
Mr. Rohit KapoorSenior Director & Chief Growth Officer 18 years of diverse experience across industry and management consulting with McKinsey & Company
Mrs. Swati RustagiSenior Vice President & Chief People OfficerOver 17 years of experience in HR across FMCG, Financial Services and Health Care sectors. Previously global head of HR at Glenmark Pharmaceuticals
Mr. Anil Vinayak Director & Zonal Head – NCR 1Over 23 years of experience in Business Management and Sales & Marketing; previously with Amex
Mr. Anas WajidDirector - Sales & MarketingMore than 17 years of experience in diverse fields such as advertising, retail , healthcare and media. Previously Head, Sales and Marketing at Fortis Healthcare
Dr. Sandeep BuddhirajaDirector - Clinical Directorate & Institute of Internal Med.Over 23 years of experience in the field of Internal Medicine
Mrs. Vinita BhasinDirector - Service Excellence & Customer OperationsMore than 19 years of in-depth experience across the Financial Services sector; previously with Max Life Insurance
Mr. Sumit PuriDirector- IT & Chief Information OfficerOver 21 years of experience in varied industries such as Health/ Life Insurance, IT/ITES, and Consulting; previously CIO of Prudential Life Assurance
MHC – Management Team
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Mr. Atulya SharmaDirector- Legal, Compliance and Regulatory AffairsOver 26 years of diverse experience in Manufacturing, Investment Banking, PE & Infrastructure. Previously General Counsel of Deutsche Bank AG, Group General Counsel of IDFC
Key Physicians
Dr. Harit ChaturvediChairman – Cancer Care, Director & Chief Consultant -Surgical OncologyOver 25 years of experience in Surgical Oncology.
Dr. Sandeep BuddhirajaDirector - Clinical Directorate & Institute of Internal Med.Over 23 years of experience in the field of Internal Medicine
Strong consultant bench strength of 350+ across specialities :
Cardiac – 100+
Oncology – 50+
Orthopaedics – 50+
Neurosciences – 50+
Renal – 50+
MAMBS – 25+
Dr. Anurag KrishnaDirector- Paediatrics & Paediatrics SurgeryOver 20 years of experience in Paediatric surgery -complex congenital malformations
Dr. A.K. SinghDirector – Max Institute of Neurosciences, DehradunRenowned Neurosurgeon having 40 years experienceRecipient of the BC Roy award
Dr. Pradeep Kumar Chowbey, PadmashriDirector of Max Institute of Minimal Access, Metabolic and Bariatric Surgery.More than 35 yrs of experience in Lap Surgery, completed 70K+ major Lap procedures
Dr. K. K. TalwarChairman - Cardiology, Max Healthcare Clinical experience of more than 39 yearsFormer Head, Department of Cardiology, AIIMS
Dr. Anant KumarChairman – Urology,Renal Transplant, Robotics(Max Saket Complex) and Uro-Oncology Max Saket2200 Kidney Transplantations in the last 25 years and over 1500 lap donors nephrectomy
Dr. Subhash GuptaChairman - Liver Transplant & Biliary Sciences2,200+ liver transplant surgeries & over 30 year experience in Liver TransplantsRecipient of the BC Roy award
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MHC Network* – Performance Dashboard (Q2 & H1FY19)
*The above results are for MHC Network of hospitals and includes results for Max Super Specialty Hospital, Saket, unit of Devki Devi Foundation, Max Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre ; Saket City Hospital unit of GujarmalModi Hospital & Research Centre & Max Multi Speciality Hospital Greater Noida unit of Four Season Foundation^ on the basis of net revenue
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Rs Cr
Sep‐18 Jun‐18 Sep‐17 Q‐o‐Q Y‐o‐Y Sep‐18 Sep‐17 Y‐o‐Ya) Financial Performance
Revenue (Gross) 727 694 712 5% 2% 1,420 1,414 0%Revenue (Net) 670 641 676 4% ‐1% 1,311 1,342 ‐2%Direct CostsMaterial Cost 163 167 169 ‐2% ‐3% 330 336 ‐2%Clincian Payout 109 112 116 ‐3% ‐7% 221 234 ‐6%Contribution 398 362 390 10% 2% 760 773 ‐2%Contribution Margin^ 59.4% 56.5% 57.8% 297 bps 163 bps 58.0% 57.6% 41 bps Indirect CostsPersonnel Cost 184 185 170 ‐1% 8% 368 337 9%Other Indirect overheads 118 114 117 3% 1% 232 232 0%HO Costs 32 34 34 ‐5% ‐5% 66 70 ‐6%EBITDA 65 30 69 118% ‐6% 95 133 ‐29%EBITDA Margin^ 9.7% 4.6% 10.3% 506 bps (54) bps 7.2% 9.9% (269) bps Finance Cost 33 28 32 18% 3% 61 64 ‐5%Cash Profit 32 2 37 > 100% ‐14% 34 69 ‐51%Depreciation 38 38 34 0% 10% 76 67 12%Profit /(loss) before tax (6) (36) 3 84% < ‐100% (41) 2 < ‐100%Tax 1 1 1 ‐6% 103% 3 2 10%Profit /(loss) after tax (7) (37) 2 82% < ‐100% (44) (0) < ‐100%
b) Financial PositionNet Worth 1,033 1,039 1,124 ‐1% ‐8% 1,033 1,124 ‐8%Net Debt 1,237 1,222 1,168 1% 6% 1,237 1,168 6%Fixed Assets ‐ Gross Block 2,187 2,188 2,056 0% 6% 2,187 2,056 6%
Key Business Drivers Quarter Ended Growth (%) Half Year Ended Growth
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MHC Network* – Performance Dashboard (Q2 & H1FY19)
*The above results are for MHC Network of hospitals, includes results for Max Super Specialty Hospital, Saket, unit of DevkiDevi Foundation, Max Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre; SaketCity Hospital unit of Gujarmal Modi Hospital & Research Centre and Max Multi Speciality Hospital Greater Noida unit ofFour Season Foundation
Sep‐18 Jun‐18 Sep‐17 Q‐o‐Q Y‐o‐Y Sep‐18 Sep‐17a) Patient Transactions (Nos. in lacs)
Inpatient Procedures 0.49 0.47 0.53 3% ‐9% 0.96 1.05 ‐9%Day care Procedures 0.11 0.11 0.13 1% ‐14% 0.23 0.26 ‐14%Outpatient Registrations 17.74 17.20 17.99 3% ‐1% 34.94 35.24 ‐1%Total 18.34 17.78 18.66 3% ‐2% 36.12 36.56 ‐1%
b) Average Inpatient Operational Beds 2,377 2,376 2,369 0% 0% 2,377 2,362 1%
c) Average Inpatient Occupancy 74.2% 70.9% 74.3% 333 bps (4) bps 72.6% 73.6% (101) bps
d) Average Length of Stay (days) 3.34 3.25 3.03 ‐3% ‐10% 3.29 3.02 ‐9%
e) Average Revenue/Occupied Bed Day (Rs) 43,398 44,045 43,959 ‐1% ‐1% 43,712 44,441 ‐2%
f) Other Operational DataPhysicians 3,023 2,968 2,854 2% 6% 3,023 2,854 6%Employees 9,597 9,388 9,202 2% 4% 9,597 9,202 4%Customer Base (in lacs) 43.9 42.3 39.1 4% 12% 43.9 39.1 12%
Key Business Drivers Quarter Ended Growth (%) Half Year Ended Y‐o‐Y
Growth
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*Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) & Max Smart (unit of Smart Hospital & Research Centre) hospital^East Delhi Complex includes Max Patparganj (unit of Balaji Medical and Diagnostic Research Centre) & Max Vaishali hospital
MHC Network Hospitals (Saket* & East Delhi^ Complex) – Performance Dashboard (Q2 & H1FY19)
Rs Cr
Sep‐18 Jun‐18 Sep‐17 Q‐o‐Q Y‐o‐Y Sep‐18 Sep‐17Saket Complexa) Financial Performance
Revenue(Net) Rs. Cr 250 242 257 3% ‐3% 492 512 ‐4%EBITDA Rs. Cr 29 20 30 40% ‐4% 49 62 ‐21%EBITDA Margin % 11.5% 8.4% 11.6% 302 bps (10) bps 10.0% 12.1% (216) bps
b) Average Inpatient Operational Beds No. 769 769 721 0% 7% 769 728 6%c) Average Inpatient Occupancy % 75.1% 71.8% 78.1% (331) bps (300) bps 73.5% 76.8% (333) bpsd) Average Revenue/Occupied Bed Day Rs. 51,705 52,297 52,139 ‐1% ‐1% 51,993 52,511 ‐1%e) Average Length of Stay (days) 3.69 3.61 3.25 ‐2% ‐14% 3.65 3.23 ‐13%East Delhi Complexa) Financial Performance
Revenue(Net) 182 166 173 10% 5% 348 336 3%EBITDA Rs. Cr 27 12 21 121% 28% 39 41 ‐6%EBITDA Margin % 14.7% 7.3% 12.0% 740 bps 264 bps 11.2% 12.2% (107) bps
b) Average Inpatient Operational Beds No. 709 691 694 3% 2% 700 685 2%c) Average Inpatient Occupancy % 81.3% 77.6% 78.8% 373 bps 251 bps 79.5% 78.0% 150 bpsd) Avg. Revenue/Occupied Bed Day Rs. 38,076 37,841 36,752 1% 4% 37,963 37,160 2%e) Average Length of Stay (days) 3.46 3.24 3.04 ‐7% ‐14% 3.35 3.03 ‐11%
Half Year Ended Y‐o‐Y Growth
Key Business Drivers Unit Quarter Ended Growth (%)
MBHI ‐ Board of Directors
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K NarasimhaMurthyDirector
Mr. Murthy entered the Profession of Cost & Management Accountancy in 1983. He is associated with the development of Cost & MIS for more than 150 companies
John HowardLorimerDirector
John joined Bupa's Board as a Non-Executive Director in July 2011. He is Chairman of Bupa’s Audit Committee and a member of Bupa's Risk Committee and UK Regulated Entities Board
Marielle TheronDirector
Ms. Theron is a Principal of ErlenStreet Corporation, Switzerland, a company that specialises in strategic investment and management consulting solutions
Pradeep PantDirector
Pradeep is a highly experienced senior business leader, now involved in business consulting and education
Ashish MehrotraMD & CEO
Ashish has over two decades of extensive banking experience. In his last role as MD and Head for Retail division of Citibank in India, he was pivotal in enabling bank gain a leadership position in the wealth management business
Rajesh SudChairman & Director
Rajesh Sud is the CEO and Managing Director of Max Life Insurance, one of the first three private life insurers to start operations in 2001
Rahul KhoslaCo-Vice Chairman & Director
Rahul Khosla is the President of Max Group and Executive President, Max Financial Services. He is a seasoned business leader with 30 years of experience in India & globally
Joy LintonDirector
Joy is the CFO of Bupa Plc. She has over 25 years’ experience in financial and strategic roles in Australia and the UK.
Mohit TalwarDirector
Mohit is the Managing Director of Max Financial Services and Max India. He has an experience of over 30 years in Corporate Finance and Investment Banking.
Dr. Burjor BanajiDirector
Dr. Burjor Banaji is an ophthalmic surgeon who introduced several firsts in the field of ophthalmology to India
David FletcherCo-Vice Chairman & Director
David commenced in the new role of Chief Risk Officer in January 2017. He has been with Bupa since 2014 in senior roles including Chief Internal Auditor and MD of IDM.
D.K. MittalIndependent Director
Mr. D. K. Mittal is a former Indian Administrative Service (IAS) officer of 1977 batch (UP cadre) and has served the government of India in various capacities.
MBHI – Management Team
61
Vikas GujralChief OperatingOfficer
With over 18 years of experience, Vikas joins us from Max Life Insurance. Prior to Max Life, he has worked with Bharti Airtel and GE Capital.
Rahul AhujaChief FinancialOfficer
Rahul has wide domain expertise built over 19 years mainly in corporate banking, financial services and telecom.
Anurag GuptaHead – Agency
Anurag joins Max Bupa from Max Life, where he has held a number of senior roles across distribution and product management over a decade.
Aseem has nearly two decades of experience in sales and distribution and has worked across channels -Agency, Banca, Special markets & Direct Sales.
Aseem GuptaHead – Portfolio Management & Affinity Channels
Anika AgarwalHead – Marketing& Direct Sales
Anika heads the Marketing & E-commerce verticals at Max Bupa and is responsible for brand planning, digital media, communications, consumer insights, direct sales and E-commerce.
Atul Bhandari Head – Bancaand Alliances
Atul has 15 years of experience in product/process management & sales/distribution, he joined us from CITIBANK NA, prior to which he worked in Standard Charted bank.
Partha BanerjeeHead – Legal & Compliance
Partha brings along 20 years of diverse experience in Corporate, Commercial, Taxation, IPR, Exchange Control, M&A, Labour Laws and other substantive and procedural laws.
Ashish MehrotraMD & CEO
Ashish has over two decades of extensive banking experience. In his last role as MD and Head for Retail division of Citibank in India, he was pivotal in enabling bank gain a leadership position in the wealth management business
Tarun Katyal Chief Human Resources Officer
Tarun has joined us from for Sistema Shyam Teleservices. He has over 25 years of experience across retail & manufacturing industries, including multi-national and Indian corporates
Ramanan A V Actuarial head
Raman has joined us from Cholamandalam MS General Insurance where he was heading the Actuarial department, he started his carrer as a lecturer and has also worked with Tamil Nadu Electricity Board for 20 years
Max Bupa – Performance Dashboard (Q2 & H1FY19)
62
Sep‐18 Sep‐17 Sep‐18 Sep‐17
a) Gross written premium income
First year premium 83 54 54% 142 108 32%
Renewal premium 136 115 18% 262 219 19%
Total 219 168 30% 404 327 24%
b) Net Earned Premium 182 146 25% 345 279 24%
c) Cash Profit /(Loss) (22) (2) < ‐100% (30) 3 < ‐100%
d) Pre tax Profit /(Loss) (26) (6) < ‐100% (39) (5) < ‐100%
e) Claim Ratio (B2C Segment, normalized)* 55% 60% 500 bps 53% 58% 530 bps
f) Avg. premium realization per life (B2C) 8,293 8,057 3% 8,399 7,952 6%
g) Conservation ratio (B2C Segment) 85% 82% 302 bps 85% 83% 193 bps
h) Lives In force in millions (including RSBY) 3.1 2.5 24%
i) Number of agents 26,505 21,915 21%
j) Paid up Capital 941 926 2%
Key Business Drivers Quarter Ended Y‐o‐Y
Growth Half Year Ended Y‐o‐Y
Growth
MAX INDIA LTD.Max House, Okhla, New Delhi – 110 020
Phone: +91 11 26933601‐10 Fax: +91 11 26933619Website: www.maxindia.com
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