AHEL Investo
AHEL Investo
PRESENTATION
March 2021
1
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2
KEY HIGHLIGHTS
3
LEADING PRIVATE SECTOR
01 HEALTHCARE SERVICES
PROVIDER
4
BUSINESS AT A GLANCE
Data as of Mar 31, 2021
1
Healthcare 50% 71 10,209 55% 4.19 days INR 40,214 / 352,000+ 4,200,000+
Services of revenue Hospitals Beds Occupancy ALOS3 day In-patients Out-patients
rates2 ARPOB4
Apollo 1
Health and 6%
Of revenue 4,118 INR 11.8mm 9.95%
Lifestyle Outlets Revenue / store Private label sales
1
Pharmacy 44% 191 22 796 62 69 15* 9* 11
platform Of revenue
Clinics Clinics Centers Centers Centers Centers Centers Centers
26 25
21
16 14 13 11 11 10
6
Fortis Healthcare Healthcare Global Narayana Max Healthcare Aster DM Care Hospitals Columbia Asia Shalby Ltd Manipal Hospitals Sterling Hospitals
Ltd Enterprises Ltd Hrudalaya Ltd Institute Ltd Healthcare Ltd Hospitals
10,209
6,725
5,310
3,757 3,400
2,675 2,182 2,036 2,012
1,259
568
Narayana Fortis Healthcare Aster DM Max Healthcare Manipal Hospitals Care Hospitals Healthcare Global Shalby Ltd Columbia Asia Sterling Hospitals
Hrudalaya Ltd Ltd Healthcare Ltd Institute Ltd Enterprises Ltd Hospitals
Note: Data as of Fiscal 2021; 1 Number of hospitals include only owned & managed hospitals . The numbers above exclude primary healthcare centers and clinics. Max Healthcare Institute includes beds in associate trust owned hospitals 6
PAN INDIA PRESENCE
Steadily increasing footprint supporting meaningful upside in future
71 hospitals present across India Healthy mix by category
Owned hospitals Day care centers / CRADLE Managed hospitals
5 851 851
542 542
Delhi: 5
Amritsar: 1 22 44
Noida: 1 71 10,209 8,930
8,816 7,409
Kanpur: 1 Bilaspur: 1
Lucknow: 1
Jaipur: 1
No. of Hospitals Capacity beds Operational beds
Chandigarh: 6
Himachal Pradesh: 1
Uttarakhand: 6 Extensive Asset-light model Economies Data driven store
Punjab: 18 Assam: 6 distribution backend with high ROI of scale expansion
New Delhi: 114
Haryana: 79 Uttar Pradesh: 150
Bihar: 6
Rajasthan: 70
Gujarat: 181 West Bengal: 425 Highly strategic partnership with Pharmacy Platform
Orissa: 100
Maharashtra: 130 Chattisgarh: 34
Exclusive supplier to Apollo Pharmacy Ltd (25.5% stake)
Telangana: 655
Backend supply chain housed with AHEL
Goa: 19 Andaman: 2
Karnataka: 604 Andhra Pradesh: 634 Agreement to license “Apollo Pharmacy” brand
Puducherry: 17 Substantial majority of combined revenue & profits to be
Tamil Nadu: 850
captured in AHEL
8
Note: Data as of Mar 31, 2021 ; Total no of Pharmacies is 4,118 operated by Apollo Pharmacy Ltd (25.5% stake)
ATTRACTIVE
02 INDUSTRY OPPORTUNITY
9
HUGELY UNDER-PENETRATED MARKET WITH ATTRACTIVE
DYNAMICS
Private sector players are well-positioned to leverage opportunity given low contribution of government spending
Growing Indian Healthcare Delivery industry Public healthcare expenditure is low, with private sector accounting for bulk
The healthcare delivery industry has grown at CAGR of 12-14% India Healthcare expenditure Out-of-pocket expenses as % of Healthcare expenditure
over FY16-20E and is expected to reach INR 7.3trn by fiscal 2024 63%
Private Government
51% 51%
9% 45%
Healthcare 27% 35% 35%
Delivery 31%
20% 28%
FY20E:
Domestic 17%
INR 4.3 trn 71% 73%
Pharmaceuticals 11% 11%
Medical Devices
India Nepal Sri Lanka Vietnam Malaysia Indonesia Singapore Brazil UK Thailand US
US UK Brazil Vietnam Nepal Singapore Thailand Sri Lanka Malaysia India Indonesia US UK Singapore Brazil Malaysia Thailand Sri Lanka Vietnam Indonesia India Nepal
43 Global median: 29
29 26 25 21 21 19 No. of Deaths 17%
12
974
742
15
QUALITY HEALTHCARE SERVICES DELIVERY ON THE BACK OF
WORLD-CLASS CLINICAL EXCELLENCE
Leaders in clinical quality & excellence – 8 hospitals received JCI accreditations & 321 hospitals NABH accreditations
35 Units 36 Units
10,000+ heart surgeries in FY20 35,000+ Neuro surgical discharges in FY20 Cardiology
21%
Others
40%
Neuro Sciences
12%
39 Units 38 Units Gastroenterology
6% Orthopaedic
6,500+ Joint replacements in FY20 200,000+ footfalls annually 10%
Key differentiating factors for Centers of Excellence
Safety
through Clinical Academics &
Experience Expertise
system & outcomes Research
protocols
Note: Data as of Mar 31, 2020. FY21 will not be an appropriate representation due to COVID-19.1accreditations as of FY21.
16
2In-Patient revenue contribution + Out-Patient revenue of Radiation & Chemotherapy
PIONEERS IN TECHNOLOGY ADOPTION
One of the first to adopt robotics precision in minimally invasive surgery
Since its inception, Apollo Hospitals has actively invested and strived to embrace advanced medical technology
Apollo Instant Tool for collecting feedback given by patient/attender at the Monthly review mechanism for Key Service Excellence
point of service SE@29 Review
Feedback System Initiatives
18
STRONG GROWTH IN REVENUES ACROSS BUSINESSES …
Operational Highlights
• Steady growth of In-patient • Consistent reduction in ALOS • Average Revenue per Occupied
admissions from 235,000 in FY10 from 4.84 days in FY10 to 3.86 Bed has a healthy CAGR of 8% for
to 352,000 in FY21(pandemic days in FY20 the last eleven years
year), CAGR of 4% * FY21 ALOS of 4.19 days due to
* Pre-pandemic CAGR – 7% COVID admissions. 20
… AIDED BY STRONG OPERATING METRICS (2/2)
FY 21 Numbers impacted by COVID-19 pandemic
Bed Occupancy Rate(1) %
In-patient Admissions (‘000)
Operating Beds
478
399 428 451 3,930 4,257 4,767(2) 5,153(2) 5,549(2)5,811(2) 6,321 6,724 6,940 7,111 7,246 7,491 7,409
374
281 313 332 354 352
76% 73% 73% 71% 72% 71% 68%
265
211 235 63% 64% 66% 68% 67%
55%
FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21
FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21
Average Length of Stay (Days)(3) Average Revenue Per Occupied Bed(4) ARPOB (`/Day)
5.15 4.84 4.79 4.78
4.65 4.54 4.43 4.17
4.06 3.99 3.99 3.86 4.19
40,214
37,397
34,226
31,967
29,867 31,377
7% 8% 8% *
5% 6% 6%
3% 3% 3% 4% 5%
0%
2% 3% 2% 14 New hospitals including Proton with 2,800+
beds (2,100 operational beds) added in the last
FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY17 FY18 FY19 FY20 FY21 few years with $490 mn of Capital employed will
-2% -4% -1% contribute meaningfully to EBITDA over the next
-5% -7%
Existing Healthcare services New Healthcare services SAP 3-4 years.
Consolidated reported EBITDA includes 3 separate businesses with different margin
profiles; Healthcare Services (50% of total Revenues), Standalone Pharmacies (44% of
total Revenues) and Retail Healthcare (AHLL) (6%).
AHLL which represents the Company’s foray into
Retail Healthcare business with AHEL investment
of over $ 60 mn expected to yield returns over
the next 2-3 years driven primarily through
Source: Company audited financials expansion of Diagnostics and Clinics.
*includes : SAP from 1st Apr 20 to 31st Aug 20 and Pharmacy Distribution from 1st Sep 20
22
… AND HEALTHY RETURN ON INVESTMENT
FY 21 Numbers impacted by COVID-19 pandemic
#
ROCE - Mature Healthcare Services (%) 24% 27%
20% 20% 20%
17% 15% 19% 18% 19% 18% 18%
12%
Steady Improvement in Return on Capital Employed (ROCE)
Efficiency
(Asset Turnover) Profitability FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY18 FY 19 FY20 FY 21
ROCE of healthcare services excludes new hospitals (Vanagaram, Jayanagar, Trichy, Nashik, Karapakkam,
Nellore, OMR, Vizag new, Malleswaram, Navi Mumbai, Indore, Assam, Lucknow) as their contribution to EBIT is
Efficient use of capital Higher revenue & yet to be realised. New hospitals Capital employed of Rs 31,243 mn as of Mar 21.
• Strong project profitability ROCE - Standalone Pharmacy (%) 51%
execution • Balanced out-
capabilities patient & in-
• Right mix of beds & 01 ROCE 02 patient mix 19%
24%
medical 15%
• Reduced ALOS 6% 10% 7% 9% 15%
infrastructure • Increasing ARPOB 0% 0% 3%
• Higher utilization of • Improving case
key facilities & mix FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18 FY 19 FY20 FY21
equipments # Includes New Hospitals Investments
• Quick ramp up of ROCE - Consolidated (%)
13% 13% 14% 14% 12% 14% *
new hospitals— 12%
increasing patient 10% 10%
flow & occupancy 8% 7% 8% 8%
• Employee Strength of 30,000 people serving ~ Well established track record of growth 48,206 *48,760
300,000 customers 24 X 7 everyday 32,689
38,860
28,745
23,237
• Consistent growth in Revenues & EBITDA 8,606 11,017
13,648
17,725 Revenues
1,996 3,322 4,817
6,614 (` Mn)
improvement.
FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21
• Own brand private labels (FMCG & OTC drugs) 6.0% 6.0%
constitutes over 9% of turnover. Strong profit margins
2,893 * 2,937
5.2%
CAGR (FY11-21): 58%
• Attractive, best-in-class ROCE at 51% (FY21) 4.5% 2,031
4.3%
1,479
3.5% 1,233 EBITDA
3.3%
3.3% 803 (` Mn)
-5.5% -2.0% 0.5% 1.9% 2.7% 580
-89
-183 293
449 & Margins
-4.5% -94 164
31
Source: Company audited financials and MIS reports FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21 24
* FY21 includes SAP from 1st Apr 20 to 31st Aug 20 and Pharmacy distribution from 1st Sep 20
FY21: FINANCIAL PERFORMANCE (1/7)
Standalone Financials (` Mn) Consolidated Financials (` Mn)
FY 20 FY 21 yoy (%) FY 20 FY 21 yoy (%)
Revenue 97,944 91,530 -6.5% Total Revenues 112,468 105,600 -6.1%
Operative Expenses 51,820 53,574 3.4% EBITDA (Pre Ind AS 116) 12,880 9,122 -29.2%
Employee Expenses 15,192 12,751 -16.1% margin (%) 11.45% 8.64% -281 bps
Administrative & Other Expenses 16,780 15,731 -6.3% EBITDA (Post Ind AS 116) 15,873 11,374 -28.3%
Total Expenses 83,792 82,056 -2.1% margin (%) 14.11% 10.77% -334 bps
EBITDA (Pre Ind AS 116) 11,894 7,988 -32.8% EBIT 9,676 5,643 -41.7%
margin (%) 12.14% 8.73% -342 bps margin (%) 8.60% 5.34% -326 bps
EBITDA (Post Ind AS 116) 14,152 9,474 -33.1% Profit After Tax 4,549 1,504 -66.9%
margin (%) 14.45% 10.35% -410 bps
Total Debt 28,596
Depreciation 4823 4359 -9.6% Cash & Cash equivalents (includes
EBIT 9,330 5,115 -45.2% 17,222
investment in liquid funds)
margin (%) 9.53% 5.59% -394 bps Net Debt 11,374
Financial Expenses 4259 3438 -19.3%
Other Income 109 182 66.2%
Exceptional item* 1644 -91
Profit Before Tax 6824 1767 -74.1%
Profit After Tax 4,703 1,052 -77.6%
margin (%) 4.80% 1.15% -365 bps
25
Q4 FY 21 : SEGMENT-WISE PERFORMANCE (2/7)
Standalone Financials (` mn)
Healthcare Service Healthcare Services Pharmacy
New Hospitals Proton Standalone
(Mature) (Total) Distribution
Hospitals 21 10 1 32
Operating beds 3,163 1,563 53 4,779
Occupancy 63% 57% 35% 61%
Revenue 9,407 3,197 309 12,913 11,187 24,101
EBITDA (Pre Ind AS 116)* 2,167 437 7 2,611 793 3,405
margin (%) 23.0% 13.7% 2.4% 20.2% 7.1% 14.1%
Q4 FY 21 24/7 Operating Costs -252 -252
EBITDA (Pre Ind AS 116) 2,167 437 7 2,611 541 3,153
margin (%) 23.0% 13.7% 2.4% 20.2% 4.8% 13.1%
EBITDA (Post Ind AS 116) 2,273 500 25 2,799 559 3,358
margin (%) 24.2% 15.7% 8.1% 21.7% 5.0% 13.9%
EBIT 1,683 234 -74 1,843 501 2,344
margin (%) 17.9% 7.3% -24.0% 14.3% 4.5% 9.7%
Hospitals 22 10 1 33
Operating beds 3,359 1,489 47 4,895
Occupancy 63% 58% 30% 61%
Revenue 9,187 2,752 197 12,136 13,585 25,721
EBITDA (Pre Ind AS 116) 1,954 166 -90 2,030 847 2,877
Q4 FY 20
margin (%) 21.3% 6.0% 16.7% 6.2% 11.2%
EBITDA (Post Ind AS 116) 2,054 230 -75 2,210 1,274 3,483
margin (%) 22.4% 8.4% 18.2% 9.4% 13.5%
EBIT 1,521 -30 -156 1,335 858 2,193
margin (%) 16.6% 11.0% 6.3% 8.5%
YOY Growth
Revenue Growth 2.4% 16.2% 6.4% -17.7% -6.3%
EBITDA (Pre Ind AS 116)* Growth -6.3% 18.3%
EBITDA (Pre Ind AS 116) Growth 10.9% 162.8% 28.6% -36.1% 9.6%
EBITDA (Post Ind AS 116) Growth 10.7% 117.6% 26.7% -56.1% -3.6%
EBIT Growth 10.7% 38.1% -41.6% 6.9%
26
*EBITDA Pre Ind AS 116 - excluding 24/7 operating costs
FY 21: SEGMENT-WISE PERFORMANCE (3/7)
Standalone Financials (` mn)
Healthcare Service Healthcare Services * Pharmacy
New Hospitals Proton Standalone
(Mature) (Total) Distribution
Hospitals 21 10 1 32
Operating beds 3,163 1,563 53 4,779
Occupancy 52% 54% 35% 53%
Revenue 30,663 11,125 982 42,770 48,760 91,530
EBITDA (Pre Ind AS 116)** 4,321 810 -80 5,051 3,189 8,240
margin (%) 14.1% 7.3% 11.8% 6.5% 9.0%
FY 21 24/7 Operating Costs -252 -252
EBITDA (Pre Ind AS 116) 4,321 810 -80 5,051 2,937 7,988
margin (%) 14.1% 7.3% -8.2% 11.8% 6.0% 8.7%
EBITDA (Post Ind AS 116) 4,740 1065 -11 5,794 3680 9,474
margin (%) 15.5% 9.6% -1.2% 13.5% 7.5% 10.4%
EBIT 2,594 9 -393 2,210 2904 5,115
margin (%) 8.5% 0.1% 5.2% 6.0% 5.6%
Hospitals 22 10 1 33
Operating beds 3,359 1,489 47 4,895
Occupancy 67% 62% 24% 65%
Revenue 38,061 11,091 586 49,738 48,206 97,944
EBITDA (Pre Ind AS 116) 8,357 917 -273 9,001 2,893 11,894
FY20
margin (%) 22.0% 8.3% 18.1% 6.0% 12.1%
EBITDA (Post Ind AS 116) 8,755 1,169 -224 9,700 4,452 14,152
margin (%) 23.0% 10.5% 19.5% 9.2% 14.4%
EBIT 6,767 128 -468 6,428 2902 9,330
margin (%) 17.8% 12.9% 6.0% 9.5%
YOY Growth
Revenue Growth -19.4% 0.3% 67.6% -14.0% 1.1% -6.5%
EBITDA (Pre Ind AS 116) ** Growth 10.2% -30.7%
EBITDA (Pre Ind AS 116) Growth -48.3% -11.7% -43.9% 1.5% -32.8%
EBITDA (Post Ind AS 116) Growth -45.9% -8.9% -40.3% -17.3% -33.1%
EBIT Growth -61.7% -92.9% -65.6% 0.1% -45.2%
*includes SAP from 1st Apr 20 to 31st Aug 20 and Pharmacy Distribution from 1st Sep 20 27
**EBITDA Pre Ind AS 116 - excluding 24/7 operating costs
Q4 FY 21 : SEGMENT-WISE PERFORMANCE (4/7)
Consolidated Financials (` mn)
Healthcare Serv
Healthcare Serv Healthcare Serv Pharmacy
Group (New & Proton AHLL Consol
Group (Mature) Group (Total) Distribution
Others)
Hospitals 30 13 1 44
Operating beds 5,290 2,066 53 7,409
Occupancy 64% 60% 35% 63%
Revenue 10,597 4,481 309 15,388 11,187 2,105 28,680
EBITDA (Pre Ind AS 116)** 2,442 600 7 3,049 793 127 3,970
margin (%) 23.0% 13.4% 2.4% 19.8% 7.1% 6.0% 13.8%
Q4 FY 21 24/7 Operating Costs -252 -252
EBITDA (Pre Ind AS 116) 2,442 600 7 3,049 541 127 3,718
margin (%) 23.0% 13.4% 2.4% 19.8% 4.8% 6.0% 13.0%
EBITDA (Post Ind AS 116) 2,552 677 25 3,254 559 305 4,118
margin (%) 24.1% 15.1% 8.1% 21.1% 5.0% 14.5% 14.4%
EBIT 1,895 335 -74 2,155 501 77 2,734
margin (%) 17.9% 0.0% 0.0% 14.0% 4.5% 3.7% 9.5%
Hospitals 31 13 1 45
Operating beds 5,489 1,955 47 7,491
Occupancy 64% 61% 30% 63%
Revenue 10,325 3,444 197 13,966 13,585 1,673 29,224
EBITDA (Pre Ind AS 116) 2,052 196 -90 2,159 847 -17 2,989
Q4 FY 20
margin (%) 19.9% 5.7% 15.5% 6.2% -1.0% 10.2%
EBITDA (Post Ind AS 116) 2,165 273 -75 2,363 1,274 164 3,801
margin (%) 21.0% 7.9% -37.9% 16.9% 9.4% 13.0%
EBIT 1,556 -30 -156 1,370 858 -66 2,162
margin (%) 15.1% 9.8% 6.3% -3.9% 7.4%
YOY Growth
Revenue Growth 2.6% 30.1% 10.2% -17.7% 25.8% -1.9%
EBITDA (Pre Ind AS 116)* Growth -6.3% 32.8%
EBITDA (Pre Ind AS 116) Growth 19.0% 205.3% 41.3% -36.1% 24.4%
EBITDA (Post Ind AS 116) Growth 17.9% 148.2% 0.0% -56.1% 86.1% 8.4%
EBIT Growth 21.8% 57.3% -41.6% 26.5%
*EBITDA Pre Ind AS 116 - excluding 24/7 operating costs 28
FY21: SEGMENT-WISE PERFORMANCE (5/7)
Consolidated Financials (` mn)
Healthcare Serv
Healthcare Serv Healthcare Serv * Pharmacy
Group (New & Proton AHLL Consol
Group (Mature) Group (Total) Distribution
Others)
Hospitals 30 13 1 44
Operating beds 5,290 2,066 53 7,409
Occupancy 54% 57% 35% 55%
Revenue 34,682 14,358 982 50,022 48,760 6,818 105,600
EBITDA (Pre Ind AS 116)** 5,016 1,152 -80 6,087 3,189 98 9,374
margin (%) 14.5% 8.0% -8.2% 12.2% 6.5% 1.4% 8.9%
FY 21 24/7 Operating Costs -252 -252
EBITDA (Pre Ind AS 116) 5,016 1152 -80 6,087 2,937 98 9,122
margin (%) 14.5% 8.0% 12.2% 6.0% 1.4% 8.6%
EBITDA (Post Ind AS 116) 5,480 1,457 -11 6,925 3,680 768 11,374
margin (%) 15.8% 10.1% 13.8% 7.5% 11.3% 10.8%
EBIT 3,026 213 -393 2,845 2904 -107 5,643
margin (%) 8.7% 1.5% 5.7% 6.0% 5.3%
Hospitals 31 13 1 45
Operating beds 5,489 1,955 47 7,491
Occupancy 69% 64% 24% 67%
Revenue 42,892 13,820 586 57,297 48,206 6,964 112,468
EBITDA (Pre Ind AS 116) 9,189 1,054 -273 9,970 2,893 18 12,880
FY 20
margin (%) 21.4% 7.6% 17.4% 6.0% 0.3% 11.5%
EBITDA (Post Ind AS 116) 9,629 1,346 -224 10,750 4,452 671 15,873
margin (%) 22.4% 9.7% 18.8% 9.2% 9.6% 14.1%
EBIT 7,295 166 -468 6,993 2,902 -219 9,676
margin (%) 17.0% 1.2% 12.2% 6.0% -3.1% 8.6%
YOY Growth
Revenue Growth -19.1% 3.9% -12.7% 1.1% -2.1% -6.1%
EBITDA (Pre Ind AS 116) ** Growth 10.2% -27.2%
EBITDA (Pre Ind AS 116) Growth -45.4% 9.3% -38.9% 1.5% -29.2%
EBITDA (Post Ind AS 116) Growth -43.1% 8.3% -35.6% -17.3% -28.3%
EBIT Growth -58.5% 28.3% -59.3% 0.1% -41.7%
*includes SAP from 1st Apr 20 to 31st Aug 20 and Pharmacy distribution from 1st Sep 20 29
**EBITDA Pre Ind AS 116 - excluding 24/7 operating costs
FY21: HOSPITAL CLUSTER - WISE OPERATIONAL PERFORMANCE
(6/7)
Tamilnadu Region AP, Telengana Region
Total (8) (1)
(Chennai & others) (Hyderabad & others) (2)
Particulars FY 20 FY 21 yoy (%) FY 20 FY 21 yoy (%) FY 20 FY 21 yoy (%)
No. of Operating beds 7,491 7,409 2,208 2,043 1,344 1,344
Inpatient volume 478,032 352,624 -26.2% 134,713 85,403 -36.6% 78,002 50,151 -35.7%
(6)
Outpatient volume 1,627,514 1,160,247 -28.7% 531,218 311,329 -41.4% 238,382 167,513 -29.7%
Inpatient ALOS (days) 3.86 4.19 3.53 4.20 3.90 4.48
Bed Occupancy Rate (%) 67% 55% 59% 48% 62% 46%
Inpatient revenue (` mio) NA NA 16,660 14,252 -14.5% 9,159 8,761 -4.3%
Outpatient revenue (` mio) NA NA 5,742 3,348 -41.7% 1,840 1,685 -8.5%
ARPOB (` /day) (7) 37,397 40,214 7.5% 47,151 49,115 4.2% 36,184 46,479 28.4%
(7)
Total Net Revenue (` mio) NA NA 22,402 17,600 -21.4% 10,999 10,445 -5.0%
Notes:
(1) Tamilnadu region includes Chennai hospitals, Madurai, Karur, Karaikudi, Trichy & Nellore.
(2) AP, Telangana Region includes Hyderabad, Karimnagar, Vizag old, Vizag new & Kakinada.
(3) Karnataka region includes Bangalore, Mysore, Jayanagar & Malleswaram.
(4) Others include Bhubaneswar, Bilaspur, Nashik & Navi Mumbai.
(5) Significant Hospital JVs/Subs/Associates are – Ahmedabad, Kolkata, Delhi, Indore, Assam & Lucknow (full revenues shown in table above).
(6) Outpatient volume represents New Registrations only.
(7) Revenues under Ind AS have been grossed up for Fixed fee Doctors & considered separately as operating cost. This was earlier being netted off from Revenues under Indian GAAP.
(8) Revenues under the head “Total” have not been provided as Consolidated actual results will differ from total. Revenues from JVs & Associates are not consolidated under Ind AS.
* Inpatient volumes are based on discharges.
30
FY 21: HOSPITAL CLUSTER - WISE OPERATIONAL
PERFORMANCE (7/7)
Karnataka Region
Others (4) Significant Subs/JVs/associates (5)
(Bangalore & others) (3)
Particulars FY 20 FY 21 yoy (%) FY 20 FY 21 yoy (%) FY 20 FY 21 yoy (%)
No. of Operating beds 769 769 962 1,011 2,208 2,242
Inpatient volume 55,881 45,392 -18.8% 71,940 62,297 -13.4% 137,496 109,381 -20.4%
(6)
Outpatient volume 179,906 166,271 -7.6% 145,473 138,304 -4.9% 532,535 376,830 -29.2%
Inpatient ALOS (days) 3.61 3.79 4.00 4.00 4.21 4.32
Bed Occupancy Rate (%) 72% 61% 82% 67% 72% 58%
Inpatient revenue (` mio) 6,204 5,410 -12.8% 6,288 6,191 -1.5% 16,585 14,368 -13.4%
Outpatient revenue (` mio) 1,126 1,035 -8.1% 1,125 1,009 -10.3% 3,738 2,836 -24.1%
ARPOB (` /day) (7) 36,336 37,463 3.1% 25,790 28,919 12.1% 35,145 36,441 3.7%
(7)
Total Net Revenue (` mio) 7,330 6,446 -12.1% 7,413 7,200 -2.9% 20,322 17,204 -15.3%
Notes:
(1) Tamilnadu region includes Chennai hospitals, Madurai, Karur, Karaikudi, Trichy & Nellore.
(2) AP, Telangana Region includes Hyderabad, Karimnagar, Vizag old, Vizag new & Kakinada.
(3) Karnataka region includes Bangalore, Mysore, Jayanagar & Malleswaram.
(4) Others include Bhubaneswar, Bilaspur, Nashik & Navi Mumbai.
(5) Significant Hospital JVs/Subs/Associates are – Ahmedabad, Kolkata, Delhi, Indore, Assam & Lucknow (full revenues shown in table above).
(6) Outpatient volume represents New Registrations only.
(7) Revenues under Ind AS have been grossed up for Fixed fee Doctors & considered separately as operating cost. This was earlier being netted off from Revenues under Indian GAAP.
(8) Revenues under the head “Total” have not been provided as Consolidated actual results will differ from total. Revenues from JVs & Associates are not consolidated under Ind AS.
* Inpatient volumes are based on discharges.
31
APOLLO HEALTH AND LIFESTYLE – RETAIL HEALTHCARE
Revenue FY21 of INR 6,818 mm – Primary Care (27%), Diagnostics (20%) & Specialty Care (53%)
32
Note: % indicate share of net revenue ; *Includes BOMA (Brand Operations and Management Agreement) Apollo Spectra (4) and Apollo Cradle & Children’s Hospital (1).
05 STRONG MANAGEMENT TEAM
33
APOLLO HAS ALWAYS BEEN AT THE FORE-FRONT OF DEVELOPMENT
OF INDIA'S HEALTHCARE SECTOR
Apollo Impact
Improved overall availability of
private health care services in India First in India to obtain international JCI
accreditation
Better access to care in semi-urban
and rural areas
Enhanced
Improved Attractive destination for medical talent in
clinical outcomes
geographic access India and from overseas
Equitable access to health services Helped India become the destination of
through price differentiation, choice for medical tourists
telemedicine, and CSR initiatives
Improved Impact on
financial access Private healthcare
sector
34
EXECUTIVE BOARD
Dr. Prathap C. Reddy Suneeta Reddy
Executive Chairman, Founder Managing Director
• Conferred the Padma Vibhushan in 2010 • On the Board since the year 2000
• Conferred the Padma Bhushan in 1991
• Spent 36 years with Apollo Hospitals
Shobana Kamineni
Executive Vice Chairperson
• On the Board since 2010
35
INDEPENDENT DIRECTORS
Vinayak Chatterjee Bhaskara Mandavilli Nageswara Rao
Independent Director Independent Director
• On the Board since 2014 • On the Board since Feb 2019
37
STRATEGY FOR FUTURE GROWTH (1/2)
Strategy
14 2,862 Recruit relevant local medical talent and introduce newer technology to
Hospitals1 Capacity augment clinical offerings
New Beds
Hospitals
2,119 57%
Operational Beds Occupancy rate
Note: Data as of Mar31, 2021; Internally company classifies any hospital commissioned prior to 9 years as mature hospital; 1 Corresponds to owned hospitals only 38
STRATEGY FOR FUTURE GROWTH (2/2)
Strategy
Focus on urban markets; expand in clusters
Derive economies of scale that arise from the largest pharmacy chain
Asset light Robust Data-driven store expansion and Foray into Digital commerce
model supply chain
Note: Data as of Mar 31, 2021; *Includes BOMA (Brand Operations and Management Agreement) Apollo Spectra (4) and Apollo Cradle & Children’s Hospital (1). 39
Apollo HealthCo: Transformational Value Unlocking
Reorganization through Slump Sale
AHEL
• Apollo 24/7 represents Apollo Group’s transformational journey to creating “India’s
(Listed) Largest Omnichannel Digital Healthcare Platform” that:
Backend
Healthcare
Pharmacy + — combines the strengths of Apollo Group’s offline healthcare leadership with Apollo
Services
Apollo 24/7
Group’s new-age digital offerings to address all healthcare consumer needs;
100%
Slump sale
— involves an asset light approach (through digital offerings) to fuel growth – 100
Apollo HealthCo Limited million targeted registered users on Apollo 24/7 platform in 5 years.
(AHL)
— presents huge funnelling potential for healthcare consumers into the Apollo Group
Slump Sale of the identified business undertaking
into AHL including the following ecosystem.
• Back-end pharmacy supply (excludes Hospital • Structure to set the platform for a new pool of investor capital and to enable rapid scale-
Based Pharmacies) up. At the time of capital raise, AHL valuation to reflect current and future growth
potential.
• Apollo 24/7 Digital healthcare Platform
• Post external capital raise at AHL,
• Investment in pharmacy retail business (i.e.
Apollo Medicals Private Limited) — AHEL expected to retain dominant majority shareholding in AHL; and
• “Apollo 24/7” brand, the “Apollo Pharmacy” — Slump sale consideration of INR Rs 1,210 crs will be received by AHEL.
brand and private label brands
40
APOLLO 24X7 – INDIA’S LARGEST OMNI-CHANNEL HEALTHCARE
PLATFORM LEVERAGING PHYSICAL NETWORK
Distinctive digital ecosystem… … coupled with adequate network and capabilities
Physical network & capabilities
~6.6M+ ~2.9 lakh+ 1 2 3
Registrations Doctors across 3mm+ Annual
Online consults Diagnostic centers
Hospitals & clinics chronic patients
completed
4 5
Leverage from
Corporate tie-ups
30mm+ IP/OP
Apollo
~5,500+
~1.5 Lakh+* 24/7
Doctors Digital services / ecosystem
across
Super & 1 2 3 4
60 Specialties Online medicine Virtual doctor Online diagnostic
Potential Super Offline pharmacy
delivery consultation booking
users Transacting
~6.3 lakh+ 5 6 7 8
Condition Well-being Health insurance
Online Medicine Health predictor
management companion distribution
~30K+ orders delivered
Home Lab Samples 9
collected
AI Doctor Assistant
Differential Diagnosis Clinical Decision Support Lab & Medicine
Unique ecosystem extremely difficult to replicate
Engine system (CDSS) Recommender
Integrated healthcare platform with few parallels globally Integration of digital and physical capabilities provides
Cost efficiencies through sharing of managerial and clinical resources
Best positioned to become the largest digital health platform
Economies of scale & competitive prices through centralized purchasing
30x growth in transactions between Mar’21 and Mar’20 Access to qualified & trained medical resources and larger patient base
41
* Super user: # users with 5 or more completed transactions in 5 consecutive months ; ** Data as on 31st March 21
FUTURE GROWTH STRATEGY – TRANSFORMING THROUGH
TECHNOLOGY AND CLINICAL EXCELLENCE
Integrated digital strategy leveraging existing network, capabilities and market leadership
Home care segment enabled people to move into 51,000 homes, (of which COVID care was at 20,000 homes) and provide medically supervised home
isolation services
Digital healthcare app Apollo 24/7 – agile and digitally connected to the consumer, 5 lakh digital consults till May-21.
THANK YOU
their well being. And we will offer our patients value based care by employing creative approaches for care
distribution—day surgery, specialty clinics and virtual care centres.
We do not operate in isolation, but rather engage deeply with the larger community towards its well being through
several initiatives like SACHi and SAHI which bring healthcare benefits to disadvantaged children and the Billion Hearts
Beating campaign which creates public awareness about cardiac health. Our CSR initiatives are founded on the
conviction we hold close to our hearts—that life and therefore the human body, is priceless, and every man regardless
of his economic background has a right to safeguard it the best way possible. While much still remains to be done, we
take pride that we are working towards creating a healthy tomorrow for generations to come.
44 44