Shalby Limited has informed the Exchange regarding Investor Presentation
MULTI-SPECIALTY
HOSPITALS -
May 25,2019
The Listing Department
Corporate Service Department
National Stock Exchange of India Ltd
BSE Limited
Mumbai 400 051.
Mumbai 400 001.
Scrip Code : SHALBY
Scrip Code: 540797
Sub: lnvestor Presentation for the Fourth Quarter and year ended 31" March 2019, disclosure
under Regulation 30 of SEBl (Listing Obligations and Disclosure Requirements),
Regulations, 2015 ("the SEBI LODR")
Dear Sir / Madam,
We are submitting herewith lnvestor Presentation on financial & operational performance of
the Company for the Fourth Quarter and year ended 31" March 2019, which is also being made
available on our website.
We request t o take the same on your records and disseminate the same t o the members.
Thanking you,
Yours sincerely,
For Shalby Limited
Jayesh Patel
Company Secretary & Compliance Officer
Encl.: as above
Shalby Limited Regd. Off. : Opp. Karnavati Club, S G Road, Ahrnedabad - 380015 (India) Tel. No. : (079) 40203000 I Fax : (079) 40203109 1 www.shalbv.ore: I info@shalby.org 1 CIN : L85110G12004PLC044667 Regd. No. : 061000596 Vapi - lndore - labalpur - Mohali - Naroda (Ahrnedabad) I<rishna Shalby (Ahrnedabad) Surat - laipur Upcoming Hospitals : Nashilc - Mumbai
Investor Presentation Q4 FY19 & FY19
Important Disclosure
No representation or warranty, express or implied is made as to, and no reliance should be placed on, the fairness, accuracy,
completeness or correctness of such information or opinions contained herein. The information contained in this presentation is
only current as of its date. Certain statements made in this presentation may not be based on historical information or facts and
may be “forward looking statements”, including those relating to the Company’s general business plans and strategy, its future
financial condition and growth prospects, and future developments in its industry and its competitive and regulatory
environment. Actual results may differ materially from these forward-looking statements due to a number of factors, including
future changes or developments in the Company’s business, its competitive environment and political, economic, legal and social
conditions in India. This communication is for general information purpose only, without regard to specific objectives, financial
situations and needs of any particular person. This presentation does not constitute an offer or invitation to purchase or
subscribe for any shares in the Company and neither any part of it shall form the basis of or be relied upon in connection with
any contract or commitment whatsoever. The Company may alter, modify or otherwise change in any manner the content of this
presentation, without obligation to notify any person of such revision or changes. This presentation can not be copied and/or
disseminated in any manner.
2
…because passion drives perfection…
…and perfection drives
performance
“
3
1
Shalby Limited
A proxy for growth in the Indian Healthcare space
4
Current Scale of Operations
11 Hospitals
2,012* Total Bed Capacity
1,102** Operational beds 887 Census Beds 165 Non Census Beds
55% Operating bed to total bed capacity 47% Bed Occupancy (based on census beds)
31% 12 year CAGR Revenue
36% 12 year CAGR EBITDA
500+ Doctors & 2600+ Support Staff
Double-digit return ratios against industry trend of single-digit
Consistently superior ROCE of mature hospitals
* Maximum number of beds according to structure of the hospital
**The operational bed count of 1,102 considers 50 operational beds at Zynova-
5
Shalby Hospital, Mumbai, for which no other operational parameters are tracked
Promoter
Dr. Vikram Shah Chairman & Managing Director
Qualifications Academic Qualifications: • MBBS • MS (Orthopaedics)
Professional Qualifications • AO Basic Course
(London)
• F.A.O.A.A (Switzerland) • F.A.I.S.F (Germany)
Achievements • Over two and a half decades of professional work experience across UK, USA and India. Serving as Director, Department of Knee Replacement at Shalby Hospitals since 1993
• Dr. Shah innovated zero ‘0’ Technique in 2011 and was awarded the
Double Helical Award 2017, for the innovation
Reduction of surgery time: 2.5 hours to 22 minutes Reduction in patient stay: 15 days to 3 days Drastic fall in infection rates due to minimum incision
• Invented the OS Needle, which is thick bore reverse cutting needle used in attaching soft tissues to the bone. Before the invention of tissue the Needle, procedures that had a very high failure rate. The needle can be attached with commonly available vicryl thread
surgeons had to use complicated soft
• President of Indian Society of Hip & Knee Surgeons (ISHKS) for the
year 2010-11
• Part of joint international faculty for development of new joints by
Zimmer Inc., USA
• Receiver of several awards and accolades by reputed organizations
6
Our Journey so far…
Started professional practice with a 6-bed facility
Operationalized First Multispecialty Hospital of the group Shalby SG [Bed Capacity: 201]
Commissioned Shalby Jabalpur [Bed Capacity: 233] Commissioned Shalby Indore [Bed Capacity: 243]
1994
2004
2007
2011
2015
2017
6
27
228
674
1150
2012
Revenue growth – 100 times in first 10 years Incorporation of Company
Acquired Shalby Vapi [Bed Capacity: 146] Acquired Krishna Shalby [Bed Capacity: 220]
Bed capacity grown 10 times in 10 years – to 2012 beds Commissioned: Shalby Jaipur [Bed Capacity: 237] Shalby Naroda [Bed Capacity: 267] Shalby Surat [Bed Capacity: 243] Shalby Mohali [Bed Capacity: 145]*
*Operationalized in Q1 FY 19
7
Reach and Presence - Hospitals
Network of Hospitals in India with bed capacity
Mohali – 145 beds
Indore – 243 beds
Ahmedabad SG – 201 beds Krishna – 220 beds Vijay – 27 beds Naroda – 267 beds
Vapi – 146 beds
Jabalpur – 233 beds
Jaipur – 237 beds
Mumbai – 50 beds (Ghatkopar)
Surat – 243 beds
Hospital (operational)
Mumbai – 175 beds (Santacruz) Mumbai – Additional 100 beds (Ghatkopar)
Nashik – 113 beds
Hospital (upcoming)
Has a total bed capacity of 2,012 beds across 11 multi-specialty hospitals
8
Reach and Presence - OPD
Network of Outpatient Clinics in India
International Footprint
Presence in Africa
Sudan (1)
Addis Ababa (1)
Eldoret
Kisumu Rwanda (1)
Nairobi (1)
Nairobi (1) Dar es Salaam (2)
Kenya
Tanzania
Ethiopia
Sudan
Rwanda
Outpatient clinics
OPD Clinics
Has a network of 40 patient outreach centres in India
International footprint consists of 6 outpatient clinics in Africa
9
Expansion Plans in Progress
Investment Plans for Upcoming facilities
Nashik
•Bed Capacity 113 •Capex – Rs 25 Crore
Mumbai [Santa Cruz]
•Bed Capacity 175 •Capex – Rs 150 Crore
Mumbai [Ghatkopar]
•Current bed capacity 50. •Addition 100 beds •Capex – Nil
Total capex planned – Rs. 175 Crore for addition of 388 beds
10
2
Our Unique Business Model is the key to our outperformance
11
Our Business Model – features Optimising Capex and Opex
• Lowest Capex and Opex per bed due
to optimal use of real-estate
• Equipment planning and utilities
planning
• In-house planning teams • Focus on surgeries with higher ARPOB, better margins and return ratios
• Centralised procurement • Gradual ramp-up of bed capacity • Fully owned or O&M on revenue sharing (no fixed rentals, no security deposit or MG)
Optimize capex planning with Inhouse projects team
Cost per bed ~ Rs. 3.5 millions
Operational Efficiency due to better capex planning
EBITDA upwards of 20% which is higher than industry average
Utilities planning to optimize capex
Better utilization of space [and expensive real estate]
Low consumable cost
Leveraging economies of scale through centralized procurement
12
Typical concept of 200 (±20%) bed capacity set-up
Facilities 10-15 kms away
Local and Natural Footfalls from 4- 5 kms radius helps to fill up ~50% beds
Balance ~50% – patients come in the name of doctors reducing thereby dependency on star doctors thus controlling doctor payout %
13
Our Business Models…
Fully Owned
Efficiency is paramount
Hospital Management Contracts
Operate and Manage [Revenue Sharing]
No fixed rental
Unique revenue sharing model
No security deposit
No minimum guarantee
14
Role of OPDs for expansion
Patients visit our clinics across India and abroad
Simultaneously hire local doctors and train them at Ahmedabad who conduct OPDs in and around that city
We analyze patient trends and accordingly decide where to expand
So we can start the facility with low branding budget but high brand recall
Punjab
Rajasthan
Gujarat
Ahmedabad
Madhya Pradesh
Maharashtra
Set-up outpatient clinics where we have a strong brand recall
Operating such Outpatient clinics for 15 years now
15
3
Case for Expansion
16
The Opportunity Set
Population and Population Growth Rate of India (Historical and Expected)
CAGR (2014-2020)
100%=
1.27 billion 1.29 billion
1.32 billion
1.35 billion
Spilt of Indian Healthcare Industry by Segments
Total market size (2016): INR 9.2 trillion
9% 4%
13%
6%
68%
0.9%
2.6%
1.6%
0.7%
-0.04%
54+ years
100%
35-54 years
80%
20-34 years
60%
0-19 years
40%
20%
0%
2014(E)
2016(E)
2018(E)
2020(E)
Healthcare Delivery-Hospitals
Diagnostics
Pharma
Health Insurance
Medical Devices
Source: National Commission Population Frost & Sullivan analysis.
17
The Opportunity Size
Spilt of Public and Private Hospitals in India
Indian Healthcare Delivery Industry size (2015-2020)
(INR in Trillion)
30%
70%
11.7
10
8.5
7.3
6.2
5.4
Public Hospitals
Private Hospitals
Private Corporate Hospitals account to less than 10% of the total Private Hospitals
2015
2016(E)
2017(E)
2018(E)
2019(E)
2020(E)
Source: Frost & Sullivan analysis.
18
Recent transformation
• Private sector investment has been increasing due to change in mind-set and better returns on
investment
• Healthcare businesses can also be profitable as long the costs are affordable • The advent of information technology has given a fillip to the healthcare business making it both
controllable and scalable
• Rising aspirational middle-class today is not averse to paying for quality healthcare services • Impact of health insurance, government schemes and emergence of medical tourism - key drivers
of positive change
• Healthcare today in India is evolving to be a larger consumer
story than ever before
19
Case study - the Cardiac growth story in India
2014 ~ 2,00,000 surgeries and 8,00,000 angioplasties
2004 ~ 50,000 surgeries
1994 ~5000 surgeries
1984 ~500 surgeries
Facilities 10-15 kms away
CAGR – 29% in 30 years. Currently growing @ 2-3%
Wide procedure penetration – to Tier 2 and 3 cities
Source: Industry reports
20
Knee Replacement - the big opportunity
2017 ~1,75,000 surgeries
2010 ~54,000 surgeries
2000 ~6000 surgeries
1994 ~300 surgeries
Last year, In United States ~0.8 mn knee replacements in a population of ~300 mn
India has a similar affording population. Hence, direct potential to grow to 8 lacs Knee replacements
Hence huge potential for growth based on incidence rates
Asian population 15 times more prone to Arthritis of knee than their western counter parts
Source: Industry reports
Surgery Count CAGR @32% in 23 years
21
Growth Drivers for Shalby
Pioneer in Joint Replacements in the country, best positioned to capitalize on it
Opportunities within Homecare
Huge scope for organic growth and operating leverage
Continue to gain traction within Oncology and Neurology
Cardiac Sciences, and Critical Care
Increasing focus on quaternary treatments like organ transplants such as Liver, Heart, Lungs and Kidney
22
Conducive Government Policies Despite Challenges
Swastha Bharat, Smriddha Bharat. Demographic dividend realization impossible without proper healthcare Rashtriya Samaj Beema Yojana: 100 mln families will get Rs 500,000 per year for their families to cover secondary and tertiary hospital expenses
State Policies include capital subsidy on purchase of medical equipment, capital investment subsidy on construction of tertiary-care hospitals and interest subvention, along with several other benefit
100% depreciation on capex incurred, MAT credit can be availed for 15 years, all Wide procedure penetration – healthcare education and training services exempted from GST to Tier 2 and 3 cities
23
Track record
24
Best in class economic returns
4706
250%
1200
1000
149%
55%
38%
3,923
3,305
2,927
29% 26% 36%
2,776
2,617 14% 6% 5% 13% 19% 20%
2,298
1,685
1,332
1,030
745
482
194
150%
50%
-50%
-150%
-250%
FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Revenue (in Mn)
Growth (%)
26%
25% 25%
21%
660 687
24%
778
20%
579
482
439
40%
925 907
30%
24%
19%
20%
10%
0%
-10%
-20%
800
16%
20%
600
11%
14% 14%
400
200
0
262
77 107 142
22
FY07FY08FY09FY10FY11FY12FY13FY14FY15FY16FY17FY18FY19
EBITDA (in Mn)
Margin (%)
5020
4020
3020
2020
1020
20
Revenue CAGR growth 31% in last 12 years
EBITDA CAGR growth 36% in last 12 years
25
Best in class economic returns
RoCE%
RoE%
88% 66%
51%
36%
22%
20%
26%
15%
8,553 8408
17%
9%
28% 31%
26% 20%
15%
13% 11%
14% 13% 10% 7%
2%
5,488
4,153
7,615 7798
6%
4%
2,544
1,817
1,207
852
239 181 163 314
203 259 345 481
2,109
1,814
1,487
2,508
844 1,096
FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Capital Employed (Rs in Mn)
RoCE(%)
Net Worth (Rs in Mn)
RoE(%)
26
Performance Q4FY19
27
Key Achievements of the Quarter
Cancer Surgeon team at Shalby successfully performed Esophageal Cancer (Cancer of the Food Pipe) through Keyhole Surgery avoiding the need for Open Chest Surgery
Gall Bladder Cancer in an 84 year old patient cured at Shalby through surgery and treatment
Blockage in Vein supplying blood to Liver, removed in a rare surgery at Shalby Hospitals
Wide procedure penetration – to Tier 2 and 3 cities
28
IP and OP Count (Quarterly Trend)
29
Surgeries Count (Quarterly Trend)
30
Surgeries Count (Quarterly Trend)
Arthroplasty Vs Others
47%
50%
51%
48%
49%
53%
50%
54%
58%
55%
56%
55%
53%
50%
49%
52%
51%
47%
50%
46%
42%
45%
44%
45%
Q1FY17
Q2FY17
Q3FY17
Q4FY17
Q1FY18
Q2FY18
Q3FY18
Q4FY18
Q1FY19
Q2FY19
Q3FY19
Q4FY19
Arthroplasty
Others
31
Performance Synopsis Q4 FY19
Particulars
Quarter Ended 31-03-19
% of Revenue
Quarter Ended 31-03-18
% of Revenue
Growth
Total Revenue (INR in million)
Total EBITDA (INR in million)
1153.9
169.8
14.7%
1110.4
172.1
15.5%
Bed Capacity (Nos.)
Operational Beds (Nos.)
Average Length of Stay
Occupancy (Beds)
In-Patient Count (Nos.)
Out patient Count (Nos.)
Surgeries Count
ARPOB ( In Rs.)
2012
1102
2.45
417
15316*
77140
4893
30760
2012
1102
3.6
396
9998
64189
4802
30625
4%
(1%)
N.A
N.A
N.A
5%
53%
20%
2%
0.4%
* Increase in IP Count is witnessed due to drastic increase of day care procedures like Radiation therapy, Dialysis etc in Units having < 2 years of Maturity Profile
Note: The operational bed count of 1,102 considers 50 operational beds at Zynova-Shalby Hospital, Mumbai, for which no other operational parameters are tracked
32
Financial Highlights Q4FY19 Standalone
Particulars
Revenue from Operations Other Income Total Income Expenses Materials & Consumables Fees to Doctors and Consultants Other Operative Expenses Employee Costs Administrative Expenses Advt. & Promotion Total Operational Expenses EBITDA Finance Cost Depreciation & Amortization Expense Profit before tax (PBT) Tax Expense Profit after tax (PAT)
Quarter Ended 31-03-19
% of Revenue
Quarter Ended 31-03-18
% of Revenue
Growth
(INR in million)
1126.8 27.1 1153.9
316.5 328.7 35.3 217.1 69.5 16.9 984.1 169.8 22.1 78.8 68.9 35.0 33.9
27.4% 28.5% 3.1% 18.8% 6.0% 1.5% 85.3% 14.7%
2.9%
1083.7 26.7 1110.4
264.4 300.1 78.3 139.1 122.8 33.5 938.3 172.1 (3.1) 64.1 111.1 (71.8) 182.9
4.0% 1.6% 3.9%
(1.3%)
(38.0%)
23.8% 27.0% 7.1% 12.5% 11.1% 3.0% 84.5% 15.5%
16.5%
(81.5%)
33
Company is falling under MAT for FY19 as well as FY18 and taxed @ 21.54%
Financial Parameters Q4 FY19
1153.9
172.1
182.86
1110.4
169.8
Q4 FY19
Q4 FY18
Q4 FY19
Q4 FY18
Q4 FY19
Q4 FY18
Total Revenue ( In Rs. Mn.)
EBITDA ( In Rs. Mn.)
PAT ( In Rs. Mn.)
33.9
34
ARPOB and ALOS (Quarterly)
30760
2.4
30900
30700
30500
30300
30100
29900
29700
29500
29300
3.6
30625
4
3.5
3
2.5
2
1.5
1
Q4 FY19
Q4 FY18
ARPOB ( In Rs / day)
ALOS
* Decrease in ALOS is witnessed due to drastic increase of day care procedures like Radiation therapy, Dialysis etc in Units having < 2 years of Maturity Profile
35
Revenue Mix Q4FY19
Specialty Mix
9%
4%
5%
7%
9%
11%
12%
43%
Payer Profile
5%
22%
22%
51%
Arthroplasty
Cardiac Science
Other Ortho
Nephrology
Critical Care & General Medicine
Oncology
Neurology
Others
Self Pay
Corporate Government
TPA
Corporate Private
36
Surgery Count and Cost Structure Q4FY19
21%
3%
4%
4%
6%
6%
11%
Arthroplasty
General Surgery
Gynecology & IVF
Oncology
2% 6%
19%
3%
29%
27%
Q4 FY19
Advertising & Promotion
Administrative Expenses
45%
Orthopaedic
Nephrology
Cosmetic & Plastic Surgery
Employee Cost
Other Operative Expenses
Others
Fees to Doctors and Consultants
Materials & Consumables
37
Bed Count Split(Quarterly)
2,012
2,012
1,102
1,102
396
417
Q4 FY18
Q4 FY19
Bed Capacity
Operational
Occupied
38
Maturity Profile – Q4FY19
Maturity Profile
Avg. Occupied Beds
Census Beds
Non-Census Beds
Operational Beds
Non- Operational Beds
Total Bed Capacity
4 years + (SG; Vijay; Krishna; Vapi)
2-4 years (Jabalpur, Indore)
< 2 years (Jaipur; Naroda; Surat; Mohali)
159
325
57
382
212
594
124
309
52
361
115
476
134
253
56
309
583
892
Total
417
887
165
1,102*
910
2,012
Note: The operational bed count of 1,102 considers 50 operational beds at Zynova-Shalby Hospital, Mumbai, for which no other operational parameters
39
are tracked
Maturity Profile – Q4 FY19 vs Q4 FY18 – Operational Parameters
Q4 FY 19
Q4 FY 18
Maturity Profile
IP Count
OP Count
Surgery Count
Maturity Profile
IP Count
OP Count
Surgery Count
4 years + (SG; Vijay; Krishna; Vapi)
4005
29507
2807
4 years + (SG; Vijay; Krishna; Vapi)
4294
30140
2963
2-4 years (Jabalpur, Indore)
3085
22736
937
2-4 years (Jabalpur, Indore)
3303
20575
1039
< 2 years (Jaipur; Naroda; Surat; Mohali)
8226
24897
1,149
< 2 years (Jaipur; Naroda; Surat; Mohali)
2401
13474
800
Total
15316
77140
4,893
Total
9998
64189
4802
40
Maturity Profile – Q4FY19 – with Revenue mix
Maturity Profile
% of Total Revenue
Arthroplasty
Non Arthroplasty
ARPOB(Rs)
ALOS(Days)
EBITDA %
4 years + (SG; Vijay; Krishna; Vapi)
2-4 years (Jabalpur, Indore)
< 2 years (Jaipur; Naroda; Surat; Mohali)
51%
30%
21%
40966
3.57
27%
20%
4%
16%
20460
3.63
3.8%
29%
9%
20%
27171
1.46
1.3%
Total
100%
43%
57%
30760
2.45
14.7%
41
Track record (Yearly Trend)
42
IP and OP Count (Yearly Trend)
OP Count
296197
222,970
125,981 128,821
152,921
166,519
110,919
7,632 19,295
33,285 43,409 55,143
FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
43
Surgeries Count (Yearly Trend)
Surgeries Count: Arthroplasty vs Others
11148
9,059
6,361
5,586
6,280
7,399
3,827
6,019
6,856
7,330
8,006
7,816
8,495
8,760
66
1,900
154 2,596
371
3,576
2,628
2,014
4,442
5,166
FY08
FY09
FY10
FY11
FY12
FY13
FY14
FY15
FY16
FY17
FY18
FY19
Arthroplasty
Others
44
Surgeries Count (Yearly Trend)
Arthroplasty Vs Others
3%
6%
9%
97%
94%
91%
31%
34%
39%
45%
46%
44%
49%
52%
56%
69%
66%
61%
55%
54%
56%
51%
48%
44%
FY08
FY09
FY10
FY11
FY12
FY13
FY14
FY15
FY16
FY17
FY18
FY19
Arthroplasty
Others
45
Performance Synopsis FY19
Particulars
Year Ended 31-03-19
% of Revenue
Total Revenue (INR in million)
Total EBITDA (INR in million)
4708.5
908.7
19.3%
Year Ended 31-03-18
3942.35
930.67
Bed Capacity (Nos.)
Operational Beds (Nos.)
Average Length of Stay
Occupancy (Beds)
In-Patient Count (Nos.)
Out patient Count (Nos.)
Surgeries Count
ARPOB ( In Rs.)
2012
1102
2.7
413
55985 *
296,197
19908
31235
2012
1102
3.7
335
32967
222,970
17,554
31564
% of Revenue
Growth
23.6%
19.4%
(2.4%)
N.A
N.A
N.A
23.3%
69.8%
32.8%
13.4%
(1.0%)
* Increase in IP Count is witnessed due to drastic increase of day care procedures like Radiation therapy, Dialysis etc in Units having < 2 years of Maturity Profile
Note: The operational bed count of 1102 considers 50 operational beds at Zynova-Shalby Hospital, Mumbai, for which no other operational parameters are tracked
46
Financial Highlights FY19 Standalone
Particulars
Revenue from Operations Other Income Total Income Expenses Materials & Consumables Fees to Doctors and Consultants Other Operative Expenses Employee Costs Administrative Expenses Advt. & Promotion Total Operational Expenses EBITDA Finance Cost Depreciation & Amortization Expense Profit before tax (PBT) Tax Expense Profit after tax (PAT)
Year ended 31-03-19
% of Revenue
Year ended 31-03-18
% of Revenue
Growth
(INR in million)
4611.1 97.5 4708.5
1215.4 1243.1 155.6 851.4 265.6 68.8 3799.8 908.7 71.4 330.0 507.3 186.2 321.0
3855.2 87.1 3942.4
947.7 898.1 326.7 447.9 319.6 71.7 3011.7 930.7 121.3 224.3 585.01 144.9 440.2
19.6% 11.9% 19.4%
(2.4%)
(13.3%)
24.0% 22.8% 8.3% 11.4% 8.1% 1.8% 76.4% 23.6%
11.2%
(27.1%)
25.8% 26.4% 3.3% 18.1% 5.6% 1.5% 80.7% 19.3%
6.8%
Company is falling under MAT for FY19 as well as FY18 and taxed @ 21.54%
47
Financial Parameters FY19
4708.5
3942.4
930.7
440.2
908.7
321
FY19 Total Revenue ( In Rs. Mn.)
FY18
FY19
FY18
Operational Ebitda ( In Rs. Mn.)
FY19
FY18
PAT ( In Rs. Mn.)
48
ARPOB and ALOS (Yearly)
32000
31500
31000
30500
30000
29500
3.7 31564
31235
2.7
FY19
FY18
ARPOB ( In Rs / day)
ALOS
4
3.5
3
2.5
2
1.5
1
* Decrease in ALOS is witnessed due to drastic increase of day care procedures like Radiation therapy, Dialysis etc in Units having < 2 years of Maturity Profile
49
Revenue Mix FY19
Specialty Mix
10%
4%
4%
7%
8%
11%
11%
45%
Payer Profile
5%
15%
20%
60%
Arthroplasty Cardiac Science Other Ortho Nephrology
Critical Care & General Medicine Oncology Neurology Others
Self Pay
Corporate Government
TPA
Corporate Private
50
Surgery Count and Cost Structure FY19
Cost Structure
44%
20%
3%
3%
5%
6%
6%
13%
Arthroplasty
General Surgery
Orthopaedic
Nephrology
2% 6%
18%
3%
26%
26%
FY19
Gynecology & IVF
Cosmetic & Plastic Surgery
Materials & Consumables
Fees to Doctors and Consultants
Oncology
Others
Other Operative Expenses
Employee Cost
Administrative Expenses
Advertising & Promotion
51
Bed Count Split(Yearly)
2,012
2,012
1,102
1,102
335
FY18
413
FY19
Bed Capacity
Operational
Occupied
52
Maturity Profile – FY19 – with Revenue mix
Maturity Profile
% of Total Revenue
Arthroplasty
Non Arthroplasty
ARPOB(Rs)
ALOS(Days)
EBITDA %
4 years + (SG; Vijay; Krishna; Vapi)
2-4 years (Jabalpur, Indore)
< 2 years (Jaipur; Naroda; Surat; Mohali)
51%
31%
20%
42107
3.32
30%
22%
4%
18%
20735
3.64
9.0%
28%
10%
18%
29127
1.76
7.3%
Total
100%
45%
55%
31235
2.69
19.3%
53
Maturity Profile – Operational Parameters
FY 19
FY 18
Maturity Profile
IP Count
OP Count
Surgery Count
Maturity Profile
IP Count
OP Count
Surgery Count
4 years + (SG; Vijay; Krishna; Vapi)
17019
115093
10792
4 years + (SG; Vijay; Krishna; Vapi)
15,989
110710
12,026
2-4 years (Jabalpur, Indore)
13640
91021
4193
2-4 years (Jabalpur, Indore)
11,725
74,357
3,317
< 2 years (Jaipur; Naroda; Surat; Mohali)
25326
90083
4923
< 2 years (Jaipur; Naroda; Surat; Mohali)
5,253
37,903
2,211
Total
55985
296197
19908
Total
32967
222970
17554
Maturity Profile – FY19 – with Revenue mix
Maturity Profile
% of Total Revenue
Arthroplasty
Non Arthroplasty
ARPOB(Rs)
ALOS(Days)
EBITDA %
4 years + (SG; Vijay; Krishna; Vapi)
2-4 years (Jabalpur, Indore)
< 2 years (Jaipur; Naroda; Surat; Mohali)
51%
30%
21%
42107
3.32
30%
22%
4%
18%
20735
3.64
9.0%
28%
10%
18%
29127
1.76
7.3%
Total
100%
44%
56%
31235
2.69
19.3%
55
Shareholding Pattern
0.31%
0.55%
0.91%
0.94%
4.85%
5.54%
7.00%
Shareholding as on 31st March 2019
0.03% 0.30%
0.12%
0.05%
79.41%
Promoter Individuals
Resident Individuals
Foreign Portfolio - Corp
Bodies Corporates
Employee Trusts
Alternative Investment Fund
H U F
Non Resident Indians
Mutual Funds
Non Resident Indian Non Repatriable Banks
Others
56
Dividend for FY 2018-19
We take pleasure to inform that Company has recommended dividend of 5% .
Our Strengths and Differentiators
Experienced promoters with hands-on involvement
Strong brand, global leadership in Joint Replacement
Optimized Business Model now being replicated
Increasing focus on Quaternary treatments such as Oncology and Organ transplants
Even after the IPO promoter holding is ~80%
Unleveraged Balance Sheet
Strong emphasis on governance and compliance
Leadership and succession plan in place
58
Detailed Information
For more detailed information please click on the link below: • Q4FY19 result • Q3FY19 result • Q2FY19 result • Q1FY19 result • Monitoring Agency Report for IPO proceeds • FY19 result
59
Thank you
SHALBY LIMITED
Regd Off: Opp. Karnavati Club, S.G. Road, Ahmedabad – 380015, Gujarat, India. Phone: 079 4020 3000 Fax: +91 79 4020 3120 | Website: www.shalby.org | CIN: L85110GJ2004PLC044667
Script code: BSE: 540797 | NSE: SHALBY