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Investor Presentation

August 2013

Strictly Private and Confidential


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1
Key highlights

 Leading Private Sector Healthcare Services Provider in India

 Attractive Industry Opportunity

 Clinical Excellence and Strong Brand Value

 Strong Operating and Financial Track Record

 Well Planned Strategy to Deliver the Next Phase of Growth

 Experienced Management Team

2
Business snapshot
Leading private sector healthcare services provider in India

Business Overview Consolidated Financials(1) (Rs. mn)


FY09 FY10 FY11 FY12 FY13
• Promoted by Dr. Prathap C. Reddy (Padma Vibhushan, 2010) Gross Revenue 16,142 20,265 26,054 31,475 37,687
• Key Businesses Includes : YoY Growth 32.7% 25.5% 28.6% 20.8% 19.7%
– Healthcare Services: Operating one of the largest hospital networks in Asia EBITDA 2,274 3,013 4,190 5,131 6,082
with 6,382 owned and 2,038 managed beds across 38 owned and 13 EBITDA
14.1% 14.9% 16.1% 16.3% 16.1%
managed hospitals as on June 30, 2013 Margin
 Includes tertiary, super specialty and secondary care hospitals Profit After Tax
1,025 1,376 1,839 2,194 3,044
(PAT)
 8 hospitals with Joint Commission International (JCI) accreditation
PAT Margin 6.3% 6.8% 7.1% 7.0% 8.1%
 Team of 5,901 doctors including employed and “fee for service” doctors,
Net Worth 14,954 16,776 19,238 25,194 27,641
8,777 nurses and 2,920 paramedical personnel as on June 30, 2013
Total Loans 6,706 9,132 9,585 8,183 12,179
– Standalone Pharmacies: Large network of pharmacies in India with 1,526
outlets across 20 states as of June 30, 2013 Cash and Cash
2,930 3,117 2,664 3,588 6,988
Equivalents
– Other Businesses:
Segment Performance (Consolidated) (FY13)
• Comprises of Clinics, Health Insurance (JV (10.23%) with European
Insurer Munich Health Holding AG), healthcare project and consultancy Gross Revenue Specialty Mix
services, healthcare BPO, health education, skill development programs,
telemedicine and research Standalo ne Others
3%
• A Typical Day at Apollo consists of approximately 800 admissions, 7,500 P harmacy
29%
outpatient volumes, 200 critical care cases, 140 key cardiac procedures, 60 neuro
surgeries, 600 dialyses and 40,000 laboratory tests
• Shareholding(2): Promoters (34.4%), FIIs & FCBs (54.2%), MF/FI/IC (2.9%),
Others (8.5%)
Healthcare services
• Market capitalization of Rs. 1,46,600 mn(2), Debt of 12,610 mn (2)and Debt to 68%
Equity ratio of 0.46x(2), Cash and Cash equivalents of Rs. 6,285 mn(2)
(1) All financial are for fiscal year (FY) ended March 31.
(2) As on 30th June 2013
Source: Company audited financials and Q4FY13 Earnings Update.
3
Evolution
Business Evolution

1983–1988 1989 –2000 2001–2004 2005–2010 2011–2016

Apollo Hospital, Chennai Indraprastha Apollo Apollo Gleneagles, Imperial Hospital, Bangalore Plan to add 2,685 beds by
Apollo Health City, Hospitals, Delhi Kolkata 2 REACH Hospitals, and FY16
Hyderabad Apollo Specialty Hospitals in Mysore, hospitals in Bhubaneswar, Hospitals in
Hospital, Chennai Ahmedabad, Bilaspur Secunderabad, Mauritius, Ayanambakkam Chennai
Apollo Standalone Lavasa, Dhaka, Kakinada and Jayanagar Bangalore
Pharmacy Apollo Munich Health
Insurance
Apollo Health Street

Pillars of success

Clinical Technological Care, Cost


Excellence Excellence Compassion Benefit
and
Commitment

 8 JCI accredited hospitals  Continue to bring world-class  Follows value of TLC - ‘Tender  Committed to world-class care at
 7 NABH accredited hospitals technology to our hospitals - 320 Loving Care’ for our patients costs significantly lower than
Slice CT scanner, G4 CyberKnife ®  Commitment to our employees international benchmarks
 Outcomes benchmarked with world- Robotic Radiosurgery system,
class hospitals globally  Commitment to medical education  Continuous improvement in asset
Novalis TxTM Radiotherapy and utilization and operating efficiencies
 Strong, long term relationship with Radiosurgery system, 64 slice PET- and research
Doctors and medical professionals CT scan system, Digital
mammography with tomosysnthesis
3D system

4
Pan India presence
Apollo is the leading player in the Indian hospitals segment by geographic presence as well as
business span and breadth of services offered.

(8)
Leading Hospital Players in India Details of Beds under operation
Total Capacity Operational Beds No. of Hospitals
(2) Category Wise
Fortis (1)
Owned 6,382 5,848 38
Hospitals Managed 2,038 N.A 13
# of Beds: 6,881 # of Beds: 8,420 Grand Total 8,420 N.A 51
# of Hospitals: 51 Cluster Wise (Owned)
India

# of Hospitals: 51
Pan

Chennai 1,465 1,233 10


CARE Hyderabad 967 930 7
(3)
Hospitals Kolkata 510 510 2
Delhi 875 748 2
Geographic Presence

Regions

# of Beds: 1,600
Multiple

Bangalore 297 269 1


# of Hospitals: 12
Ahmedabad 320 284 2
Other India 1,748 1,674 13
International 200 200 1
Manipal Grand Total 6,382 5,848 38
Hospitals (4) Maturity Wise (Owned)
Region
Single

> 5 years 3,959 3,888 23


# of Beds: 4,900
3 - 5 years 1,011 893 7
# of Hospitals: 15 1 - 3 years 1,012 782 6
< 1 year 400 285 2
Sterling (5) MAX Grand Total 6,382 5,848 38
Hospitals Healthcare(6) Bed Growth (7)
Single

8,717 8,276 8,420


State

7,984
# of Beds: 1,027 # of Beds: 1,100 2,875 2,038
Owned Beds CAGR (FY05-13) : 9.8% 2,608 2,388
# of Hospitals: 6 # of Hospitals: 8
4,000
Narrow Wide 1,500
1,000
5,376 5,842 5,888 6,382
300 750 3,000
1,500
Business Span and Breadth of Services
Source:
(1) Company Earnings Release. Figures as of March 31, 2013. FY90 FY95 FY00 FY05 FY10 FY11 FY12 FY13
(2) Fortis corporate presentation as of September 2011. Excludes hospitals and beds as part of ‘Projects’. Owned Managed
(3) Care Hospitals website. Information retrieved on June 22, 2012.
(4) Manipal Hospitals website. Information retrieved on June 22, 2012.
(5) Sterling Hospitals website. Information retrieved on June 23, 2011. (8) Beds as on 31st March 2013
(6) Max India investor presentation as of August 2011, publicly available on Max India Ltd.’s website.
(7) The number of beds for FY90, FY95, FY00 and FY05 are approximate figures.
Note: Bubble size denotes no. of beds (owned + managed). The Company has not independently
verified the data presented on this slide, except for data relating to the Company.
5
Clinical excellence and quality healthcare services
Focus on Excellence Strong Brand Value

 Strong, long standing relationship with doctors and JCI Accreditation for 8 hospitals- Bangalore,
medical professionals Chennai, Delhi, Dhaka, Hyderabad, Kolkata,
 Focus on Key Specializations & Centers of Excellence (CONECT) (1) Ludhiana and Mauritius
with an objective to set benchmark standards in clinical outcomes
– Aim to gain significant market share in specialized acute and Best Multi-specialty Hospital In India (2011):
tertiary healthcare services Apollo Hospitals Chennai.
– Benchmarking clinical outcomes against the world’s best centers Ahmedabad, Delhi, Kolkata & Hyderabad hospitals
ranked No. 1 Multi specialty hospital in their cities
 Implemented clinical governance tools such as Apollo Clinical
Excellence 25 (“ACE @ 25”) and RACE 25.
“India’s Most Preferred Hospital” - Viewer’s
 Dedicated team to monitor technological innovation and medical choice award (2010)
advances to keep abreast of local innovations in global healthcare

Dr. Prathap C Reddy, Founder and Chairman, was


awarded the “ Lifetime Achievement Award” at
Technological Excellence the FICCI healthcare Excellence Awards 2011.
FICCI also conferred the Best Private Sector
 First to launch G4 Cyberknife® Robotic Radiosurgery System in India Hospital award to Apollo Hospitals

 First to launch 320 slice computed tomography (“CT”) scanner in India


 First to install 64 slice positron emission tomography-computed Apollo Health City Hyderabad was recognized as
tomography (“PET-CT”) scan system in India the “ Best Medical Tourism Facility for 2009-
2010 by the Ministry of Tourism – Government of
 Installed Novalis Tx™ Radiotherapy and Radiosurgery system at India
Hyderabad, New Delhi and Kolkata
 Installed South Asia's first-of-its-kind, full-field digital mammography
with tomosynthesis (3D) system Dun & Bradstreet has ranked Apollo Hospitals
231st as per income and 227th as per Net profits
 Da Vinci Si’ - the most advanced form of minimally-invasive robotic under India’s Top 500 Companies 2011.
surgery that ensures greater precision and accuracy and leads to
faster recovery and reduced hospital stay.

6
(1) Cardiology, Orthopedics, Neurosciences, Emergency, Cancer, Transplant.
Attractive industry opportunity
Demand for healthcare services in India is expected to rise owing to favorable demographics. Private sector
players are well-positioned to leverage this opportunity given low contribution of government spending.

Healthcare Expenditure (as % of GDP)(1) (2009) Healthcare Expenditure Composition(1) (%) (2009)
India is an under-penetrated healthcare market Spending driven by out of pocket component
Per Capita expenditure
(Rs.)
59% 60%
398,000 171,900 49,500 46,050 17,350 6,200
18%

30%
10% 9% 9%
21%
5% 16%
4%
5% 6%
3%

US UK Global Brazil China India Government Out of Pocket Private Prepaid Others
Spending Expense Expense
Global India

Beds per 10,000 People (2009)(1) Investment Requirements: Bed Density and Funds(2)
India lags behind other developed and emerging economies in Large investments are required (Rs. 6.4 trillion) by FY13 to achieve
healthcare infrastructure global bed density benchmarks to meet the growing demand for
healthcare services 30
42
33
30 30 6.4
24 15
9
9
1.7

China UK US Global Brazil India 2008 By 2013 By 2013


Approximate Bed Density Investment Requirement by 2013
Source: Beds / 10,000 people Rs. trillion
(1) WHO – World Health Statistics 2012.
(2) CRISIL Research hospitals Annual Review – November 2010.
Exchange rate of 1 US$ = Rs. 50,
7
Attractive industry opportunity (cont’d)
In-patient market and incidence of lifestyle diseases are on the rise.

In-patient / Out-patient Market Size(1) (Rs. bn) No of Hospitalized Cases (mn) and In-patient Market(1) (Rs. bn)
Patient volumes and spends are expected to grow rapidly, Increasing incidence of lifestyle diseases; estimated to contribute
with the larger contribution coming from in-patients 48% of in-patient revenues by 2013E, up from 13.8% in 2008
In-patient
In-patient CAGR (2008 - 18) – 14%
Market size 201 509 1,030 118 274 519 29 79 163
Out-patient CAGR (2008 - 18) – 8%
Market size
18% 16% 19%
1,690 2,977 4,950 CAGR (2008-18) 8.3

5.2

No. of Cases
53% 61% 65% 4.2

(mm)
2.9 3.1 3.4
2.0 2.3
47% 1.2
39% 35%

2008 2013P 2018P Cardiac Oncology Diabetes


Out-patient In-patient 2008 2013P 2018P

Health Insurance Premiums(2) (Rs. bn) Medical Tourism (3)


Increasing insurance premiums driven by increasing awareness Medical tourism is a burgeoning industry in India
of healthcare and rising income levels Ailments (US$) US UK Thailand Singapore India
Heart Surgery 100,000 41,726 14,250 15,312 4,500
115 Bone Marrow Transplant 250,000 292,470 62,500 150,000 30,000
Liver Transplant 300,000 200,000 75,000 140,000 45,000
83
66 Knee Replacement 48,000 50,109 8,000 25,000 6,000
51
 India is competitive in healthcare costs as compared to the
32
22 developed countries and other nations in Asia

 By 2015, India likely to see 32 lakh medical tourists annually as


compared to the current number of 8.5 lakh(4)
FY06 FY07 FY08 FY09 FY10 FY11
Source:
(1) CRISIL Research hospitals Annual Review – August 2009.
(2) IRDA Annual Report 2011.
(3) Source: CRISIL Research.
8 (4) Source: ASSOCHAM.
Robust financials
Consistent improvement in financial performance across hospitals (mature and new), as well as
across businesses (hospitals and standalone pharmacies).

Performance Highlights Total Consolidated Revenue (1) (Rs. mn)

 Healthcare services: Improvement in operating Strong growth in revenue across businesses driven by strong
operating performance
metrics
Healthcare Services CAGR (FY08 – 13): 21% 37,687
– Strong continued revenue growth in mature clusters Standalone Pharmacies CAGR (FY08 – 13): 41%
31,475
26,054 10,985
– New Hospitals(3)
– driving substantial revenue growth 8,575
20,265 6,583
(50% in-patient and 31% out-patient) – through quick 16,142
12,164 4,817
ramp up 3,322 25,600
1,996 19,081 22,222
15,193
 Standalone Pharmacies: Revenue growth and 10,058 12,673
margin improvement
FY08 FY09 FY10 FY11 FY12 FY13
– Standalone pharmacies reported a positive EBITDA for Healthcare Services Standalone Pharmacies Others
each of the last three years FY11, FY12 and FY13
EBITDA Margin (%) and Net Profit (2) Margin (%)
– All stores are in the growth phase with relatively mature
EBITDA margin and Net Profit margin has consistently improved
stores growing at a consistent rate with increasing
EBITDA margins 16% 16% 16%
15% 15%
 improvement in first year store performance due to 14%

better ramp-up and lower losses


8%
7% 7% 7%
6% 6%

(1) Revenue is net of doctor fees.


(2) Net profit after minority interest and associates. FY08 FY09 FY10 FY11 FY12 FY13
(3) New Hospitals include Bhubaneswar, Karaikudi, Karur, Karim Nagar, Ayanambakkam and Jayanagar EBITDA Margin Net Profit Margin
Source: Company audited financials.

9
Robust financials (cont’d)
Apollo is one of the few companies in India across capital-intensive industries to generate healthy
returns on capital employed in the business.

Rapid Improvement in ROCE Return on Capital Employed#—Healthcare Services (%)*


19%
17% 18%
1 Efficiency 2 15%
14%
ROCE
= (Asset
Turnover)
X Profitability

1 Efficient use of capital

 Lower investment per bed

 Strong project execution capabilities FY08 FY09 FY10 FY11 FY12

 Quick ramp up of new hospitals—increasing patient flow Return on Capital Employed#—Consolidated (%)

14%
13% 13%
2 Higher revenue and profitability
10% 10%
 Reduced ALOS 9%

 Increasing ARPOB

 Improving case mix

 Strong financial position – Apollo has a healthy Balance Sheet


with a Debt/ Equity ratio of 0.35x as on June 30, 2013
FY08 FY09 FY10 FY11 FY12 FY13
Note: *Healthcare services includes owned hospitals, hospital-based pharmacies and consulting projects
and services.
#ROCE = EBIT / Capital Employed (excludes CWIP and investments in liquid mutual funds).
Source: Company audited financials.

10
Strong operating metrics
Continuous improvement in key operating metrics is helping drive revenues and profitability.

In-patient Admissions (’000) (1) Bed Occupancy Rate (2) (%) Operational Highlights
Continued in-patient volumes growth Consistent bed utilization
 Occupancy rates remain high
313 Operating 3,613 3,930 4,257 4,767(3) 5,153(3) 5,549(3) – Growth of in-patient volumes in line
281 Beds 76.0%
265 75.0% with addition of beds
235 73.0% 73.0% 72.0%
71.2% – New hospitals are ramping
211
190 up quickly

 Average length of stay (ALOS) has


reduced across the portfolio
– Reduced in mature hospitals due to
advancement in treatments
FY08 FY09 FY10 FY11 FY12 FY13 FY08 FY09 FY10 FY11 FY12 FY13 – Increase in minimally-invasive
procedures
Average Length of Stay (Days) (4) Average Revenue per Occupied Bed (5)
(Rs. / Day)
 Average revenue per occupied bed
Reduction in ALOS Increased ARPOB (ARPOB) has grown at a healthy CAGR
of 8.6% over the last five years
5.18 5.15 – Culmination of high occupancy, higher
21,702
20,455 tariffs, better case mix and decreasing
18,474
16,620 ALOS
4.84 15,184
4.79 4.78 14,356 – FY08-13 CAGR in core therapeutic
4.65 areas: Transplants (26%), Orthopedics
(17%), Neurosciences (14%),
Oncology (22%) and Cardiology (10%)

FY08 FY09 FY10 FY11 FY12 FY13 FY08 FY09 FY10 FY11 FY12 FY13
Note: All operating data for owned hospitals. (3) Excludes our hospitals located outside India.
(1) Inpatients are patients admitted in the facility for more than 23 hours. (4) ALOS represents average number of days patients stay in our hospitals.
(2) Bed Occupancy Rate: Total Occupied Bed Days / Total Operating Bed Days. Represents % of (5) ARPOB: Total Hospital Revenue / Patient Days (Total Occupancy in Numbers (Average Daily
available hospital beds occupied by patients. Census ) * No of days ) (Net of doctor fees).
11 Source: Company MIS reports.
Cluster wise operational performance
Apollo has consistently delivered improvement across various operational parameters over the past
few years, driving growth even in mature hospitals.

AHEL Standalone
Total (5) Chennai cluster Hyderabad cluster Others (1) Significant subs/ JVs/ associates (2)
Particulars Q1 FY 13 Q1 FY 14 Grow th Q1 FY 13 Q1 FY 14 Grow th Q1 FY 13 Q1 FY 14 Grow th Q1 FY 13 Q1 FY 14 Grow th Q1 FY 13 Q1 FY 14 Grow th
yoy (%) yoy (%) yoy (%) yoy (%) yoy (%)

No. of Operating beds 5,218 5,648 1,130 1,229 930 930 1,299 1,494 1,859 1,995
Inpatient volume 74,819 79,408 6.1% 17,691 18,328 3.6% 11,804 12,119 2.7% 16,746 18,346 9.6% 28,578 30,615 7.1%
(3)
Outpatient volume 251,689 276,527 9.9% 74,273 88,421 19.0% 34,291 34,861 1.7% 44,250 54,144 22.4% 98,875 99,101 0.2%
Inpatient ALOS (days) 4.70 4.53 4.63 4.35 4.44 4.45 5.14 5.08 4.59 4.34
Bed Occupancy Rate (%) 74% 70% 80% 71% 62% 64% 73% 69% 77% 73%
Inpatient revenue (Rs mio) NA NA 1,879 2,028 8.0% 809 891 10.1% 843 1,038 23.2% 2,551 2,837 11.2%
Outpatient revenue (Rs mio) NA NA 539 637 18.3% 168 196 16.8% 143 188 31.5% 477 542 13.8%
(4)
ARPOB (Rs /day) 21,374 23,563 10.2% 29,496 33,413 13.3% 18,637 20,166 8.2% 11,447 13,154 14.9% 23,106 25,456 10.2%
(4)
Total Net Revenue (Rs mio) NA NA 2,417 2,665 10.3% 976 1,086 11.3% 986 1,226 24.4% 3,028 3,379 11.6%

 Chennai & Hyderabad clusters


 Chennai cluster witnessed growth in revenues driven by OP volumes, improvement in case mix and pricing.
 Revenue growth of 11.3% in Hyderabad .Volume growth on focus COEs like Oncology and Orthopaedics.
 Focus on Increasing ARPOB through reduced ALOS, pricing and case-mix improvement.
 Others – driving substantial growth ( 24.4%) – focus on Inpatient revenue growth (23.2%). 31.5% growth in OP Revenues driven by Volumes in Bhubaneswar,
Karaikudi, Bilaspur, Karimnagar & Mysore.
 Significant Subsidiary / JV & Associates Hospitals - Revenue growth of 11.6%. Over 11% yoy growth in Kolkata and Ahmedabad.
Notes:
(1) Others include Madurai, Karur, Karaikudi, Mysore, Vizag, Pune, Karimnagar, Bilaspur , Bhubaneswar and Jayanagar.
(2) Significant Hospital JVs/Subs//Associates are – Ahmedabad, Bangalore, Kolkata, Kakinada and Delhi (full revenues shown in table above).
(3) Outpatient volume represents New Registrations only.Chennai Cluster does not include OP Volumes of Clinics post transfer of Clinics to AHLL . Q1FY13 numbers have been reclassified for like to like comparison.
(4) ARPOB and Net Revenue is net of doctor fees.
(5) Revenues under the head “Total” have not been provided as Consolidated actual results will differ from Total due to proportionate consolidation.
* Inpatient volumes are based on discharges.
** Previous year financial and operational numbers have been regrouped and reclassified wherever necessary to conform with current year classification and full year audited numbers.
12
Standalone Pharmacies: capturing the growth potential
India’s largest organized pharmacy retail chain with a network of 1,526 stores.

Overview Number of Standalone Pharmacies

• Offers a wide range of medicines and surgical products, hospital


consumables and over-the-counter products
• Asset light business model with an established track record 1,364
1,503
1,199
• Presence in affluent centers such as Hyderabad, Chennai, 883
1,049

Bangalore, Pune, Ahmedabad and NCR regions 617

• Introduced generic and in-house brands (Private Labels)


• Consistent growth in standalone pharmacy revenue FY08 FY09 FY10 FY11 FY12 FY13
– Calibrated rollout: 139 stores opened in FY13, 165 stores
opened in FY12, 150 in FY11 and 166 in FY10 Financial Performance
– Increased penetration of private label sales Revenue (Rs. mn)
– Integrate supply chain network and optimize inventory levels
11,017
 Emphasis on margin improvement
8,606
– Mature cohort of pre-2007 stores have achieved 6.0%
EBITDA margins in FY13 6,614

– Positive overall EBITDA margin FY 11 , FY 12 and FY13 4,817


3,322
1,996
• Regulatory Update: In September 2012, the Central Government
approved the DIPP proposal to permit 51% FDI in multi-brand
retail, subject to certain conditions(1) FY08 FY09 FY10 FY11 FY12 FY13

Source: Company audited financials and MIS reports.


(1) Conditions include, a) Individual States to decide whether to opt for 51% FDI, b) Minimum investment of US$100mn, c) At least 50% of total FDI brought in to be invested in back-end infrastructure d) At
least 30% of the procurement of manufactured processed products shall be sourced from small industries in India e) Retail sales locations may be set up only in cities with a population of more than 1 million as
13 per 2011 Census and may also cover an area of 10 km around municipal / urban agglomeration limits of such cities f) Government will have the first right to procurement of agriculture products, g) Fresh
agricultural produce, including fruits, vegetables, flowers, grains, pulses, fresh poultry, fishery and meat products, may be unbranded.
Operational performance: Standalone Pharmacy
Key Financials (INR mn) Key Comments

Batch Particulars FY 12 FY 13 YoY%


Upto FY08 Batch No. of Stores 468 443  EBITDA margins of FY 2007 batch of stores (most
mature) at 6.3%.
Revenue/Store 2.39 2.69 12.9%
EBITDA/Store 0.12 0.15 24.5%
 Over 1,250 stores now EBITDA positive.
EBITDA Margin % 5.1% 5.6% 52 bps
FY09 Batch No. of Stores 208 199  35 stores were shutdown in the FY 2009 batch of
Revenue/Store 2.00 2.29 14.4% stores in the last 24 months mostly in Mumbai and
Delhi due to unviable operations (high rentals).
EBITDA/Store 0.04 0.06 40.8%
EBITDA Margin % 2.1% 2.6% 48 bps
 EBITDA of Rs. 90 mio in Q1 FY14 as compared to
FY10 Batch No. of Stores 195 189 Rs. 61 mio in Q1 FY13
Revenue/Store 1.77 2.06 16.6%
EBITDA/Store 0.04 0.07 78.7%  Gross stores added 49 and stores closed 26 during
the year. No. of stores as on 30th June 2013 is
EBITDA Margin % 2.4% 3.6% 126 bps
1,526 .
Total No. of Stores 1,357 1,526
Revenue/Store 1.82 1.99 9.2%  LFL (Like-for-like) Revenue per store growth for
EBITDA/Store 0.05 0.06 30.8% pre FY2008 batch of stores is 12.9% (yoy) and FY
2009 batch is 14.4% (yoy).
EBITDA Margin % 2.5% 3.0% 49 bps
Total Revenues 2,477 3,042 22.8%
EBITDA 61 90
EBITDA Margin % 2.5% 3.0% 49 bps
Capital Employed (Rs. mn) 2,843 3,305
Capex (Rs. mn) 28 47

14
Q1 FY14: Financial Performance INR mn

Standalone Financials Consolidated Financials

Q1 FY 13 Q1 FY 14 yoy (%) Q1 FY 13 Q1 FY 14 yoy (%)

Revenue 7,774 8,950 15.1%


Income from Operations 8,256 9,581 16.0%
Operative Expenses 3,997 4,637 16.0% Add: Share of JVs 557 637 14.5%
Employee Expenses 1,257 1,391 10.6% Total Revenues 8,813 10,218 15.9%
Administrative & Other Expenses 1,215 1,463 20.4%
Total Expenses 6,470 7,491 15.8%
EBITDA 1,480 1,608 8.6%
EBITDA 1,304 1,459 11.9% margin (%) 16.8% 15.7% -106 bps
margin (%) 16.8% 16.3% -47 b ps
EBIT 1,164 1,217 4.6%
Depreciation 251 307
margin (%) 13.2% 11.9% -130 bps
EBIT 1,053 1,152 9.4%
margin (%) 13.5% 12.9% -67 b ps
Profit After Tax 763 783 2.7%
Financial Expenses 137 205
Add Other Income 41 62 Total Debt 12,610
Cash & Cash equivalents (includes investment in liquid funds) 6,285
Profit Before Tax 957 1,009 5.5%

Profit After Tax 697 789 13.2%


margin (%) 9.0% 8.8% -15 b ps
• Revenue growth of 15.9% from Rs. 8,813 mio in Q1 FY13 to Rs. 10,218 mio in Q1 FY14 .
(1)
ROCE (Annualized) 17.6% 16.1% • Consolidated EBITDA grew by 8.6% aided by expansion in Healthcare services EBITDA,
Capital Employed 23,958 28,679 improved EBITDA contribution by SAPs and positive EBITDA in Apollo Munich Health
Insurance.
• Revenues of Rs. 8,950 mio, 15.1% yoy growth. • Consolidated PAT grew 2.7% from Rs. 763 mio in Q1 FY13 to Rs. 783 mio in Q1 FY14
• EBITDA at Rs.1,459 mio, 11.9% yoy growth.
Previous year figures have been reworked/regrouped /rearranged and reclassified wherever necessary to conform
• EBIT at Rs. 1,152 mio, 9.4% yoy growth. to the requirement of revised Schedule VI format
• PAT at Rs. 789 mio, 13.2% yoy growth.
Apollo Health Street (divested) financials have not been considered in the Consolidated financials in Q1FY13 for
• New Hospitals (Ayanambakkam & Jayanagar) are still in initial stages of operations and have LFL (like for like) comparison
an operating loss of Rs 63 mn in Q1FY14

(1) Capital employed for the calculation of ROCE does not include Capital Work in progress on new hospital JVs include Ahmedabad-50%, Kolkata-50% ,PET CT - 50%, Apollo Munich – 10.23%,
expansion projects of Rs. 4,491 mio for Q1 FY14 and Rs. 3,086 mio for Q1 FY13 & investments in mutual funds Quintiles – 40%, Apollo Lavasa – 34.66% and Future Parking Pvt Ltd – 49%
15 and associates.
Well Planned Strategy to Deliver the Next Phase of Growth (1/2)

Optimise Asset ● Garner higher market share in select acute and tertiary care services.
Utilisation in
flagship ● Specific plan to further penetrate deeper into Cardiology and Oncology specialties.
facilities and ● Enhance Out-Patients focus by creating value differentiators and leveraging on personalised health checks
locations
advantage with the aim of increasing topline contribution from out-patients.

Stabilise new ● Bhubaneswar : Currently at 74% occupancy – Ahead of plan ; Currently focused on: Enhancing specialization
facilities and mix and adding Oncology
compress time-
to-maturity of ● Hyderabad and Bangalore : New capacity additions being utilised for high-end tertiary care; Recruitment of
planned specialist consultants for COEs
capacity
expansions ● Shorter time-to-maturity is being planned for new facilities like: Ayanambakkam (260 beds),

Trichy (200 beds), Nellore (200 beds)

 Set benchmark standards in clinical outcomes , technology and practices in select acute and tertiary care services
Focus on
Centers of – Cardiology, Oncology, Neurosciences, Critical Care, Orthopedics and Transplants (CONECT)
Excellence  Strengthen core value proposition by well defined clinical pathways and protocols

 Aim to gain significant market share in each of the key specialties

16
Well Planned Strategy to Deliver the Next Phase of Growth(2/2)

● Chennai : Ensure continued dominance by expanding into West and South. New specialist standalone hospitals
Cluster
Strategy for to both support COE as well as increase dominance – Eg : Heart center / Birthing centre (CRADLE) , Women &
expansion Child hospital
with Greenfield
● Bangalore : Widen market reach by adding two hospitals - North and South. Specialist hospitals : Ortho, Cradle
Projects in
attractive ● New hospitals in metros like Mumbai and large cities like Patna, Indore with no existing presence – reaching
newer Markets to wider urban population
● Tier II cities – Expansion through REACH hospitals, first mover advantage and leveraging Apollo’s strong brand.

Cost ● Optimised asset utilisations and minimum waste of all resources thorough standardised SOP’s and Lean
Efficiencies Management
and Focus on
● Higher patient turnover by reducing average length of stay and optimised ward processes for faster turnaround
Improving Key
Operating time of all diagnostic process
Metrics ● Improving average revenue per bed day through richer case mix

Increase
● Standalone pharmacy business - Calibrated expansion plans with focus on same store growth, increased
Presence in
Indian private label sales and margin improvement
Healthcare ● Leverage brand value and enhance customer reach through investment in Primary clinics, Sugar Clinics,
Retail Space
dialysis centres and dental care as separate focus verticals.

17
Planned Expansion
Well planned strategy to address growing demand for healthcare service delivery in existing markets,
new large markets and semi-urban markets.

Defined Expansion Plan for Owned Bed Capacity Strategy for Expansion
Total  Focus on owned hospitals
Estimated AHEL's
Project Share of
– Plans to add 13 hospitals from the current 38
Type of No of Cost Cost – Plans to add 2,685 beds to the current 6,382
Location CoD(3) Hospital Beds (Rs.mio) (Rs.mio)
Mumbai Cluster
Navi Mum bai FY15 Super Specialty 350 3,500 3,500
 3 pronged approach towards expansion
Byculla, Mum bai FY16 Super Specialty 300 1,400 1,400 – Expansion of beds and facilities / units in existing clusters
Sub Total 650 4,900 4,900 – Address increasing demand and focus on key specialties
Chennai Cluster
 Become dominant healthcare provider in key locations
Chennai-Main (Expans ion) FY14 Super Specialty 30 100 100
– New hospitals in metros and large cities with no existing presence –
Chennai-Main (Expans ion) FY15 Super Specialty 100 820 820
reaching to wider urban population
MLCP FY14 - 337 83
Wom en & Child (ACH) FY14 Super Specialty 60 740 740 – Expansion in tier II and tier III cities through REACH hospitals, garnering
Chennai (OMR) FY14 Super Specialty 45 316 316 first mover advantage and leveraging strong brand
Chennai (OMR) FY14 Multi Specialty 170 1,180 1,180  Operational REACH hospitals in Karimnagar, Karur, Karaikudi and
South Chennai FY16 Super Specialty 200 2,000 2,000 Ayanambakkam
Proton FY17 4,200 4,200  Three REACH hospitals coming up in Nellore, Trichy and Nashik
Sub Total 605 9,693 9,439
REACH
Nas hik FY14 REACH 125 520 520  Funding Plans
Nellore FY14 REACH 200 850 850 – Favorable leverage metrics provides significant headroom to raise
Trichy FY14 REACH 200 945 945 capital
Sub Total 525 2,315 2,315  Debt to Equity ratio of 0.35x and Debt to EBITDA of 1.70x(4)
Others
– As at June 30, 2013 Apollo has already invested Rs. 6,040 mio of the
Patna Phas e I FY16 Super Specialty 240 2,760 2,760
Rs. 22,082 mio of its share of total capex
Vizag FY15 Super Specialty 300 1,150 1,150
North Bangalore FY14 Super Specialty 180 770 770
Bilas pur – Oncology Block (1) FY14 Super Specialty - 80 80  Funding Plans
Indore FY15 Super Specialty 185 668 668 – As per recent amendments to sec. 35AD of the Income Tax Act, 150%
Sub Total 905 5,428 5,428 of the capex for building and operating hospitals with minimum 100 beds
Total 2,685 22,336 22,082 is tax deductible
(1) Refers to the expansion of the Oncology wing only
*Expected date of completion

18
Board of directors and key senior management team
Board Members Key Senior Management Team
Dr. Prathap C. • Executive Chairman, Founder
K. Padmanabhan • Group President and has been with the company
since 1996
Reddy (M.D, MBBS, FCCP, FICA and FRCS)
• Conferred the Padma Vibhushan in 2010
• Responsible for business and strategic initiatives across
the group
• Conferred the Padma Bhushan in 1991
• Spent 28 years with Apollo Hospitals
S. Premkumar • Group Chief Executive Officer – Healthcare Services and
has joined the company this year
Dr. Preetha Reddy • Managing Director
• Responsible for business, strategy and operations across
• On the Board since the year 1989 the group
Suneeta Reddy • Joint Managing Director
• On the Board since the year 2000
S. K. • Chief Strategy Officer and has been with the company
Venkataraman since 1991
Sangita Reddy • Executive Director (Operations), on the Board since 2000
• Served as the Chief Financial Officer and Company
• Received “Young Manager of the year 1998” award from Secretary of the Company since 2002
Hyderabad Management Association
• Was a member of the Prime Minister’s delegation to
• Responsible for strategic initiatives across the group
Malaysia organized by the CII Krishnan • Chief Financial Officer and has been with the Company
Shobana • Executive Director (Special Initiatives), on the Board Akhileswaran since 2010
Kamineni since 2010 • Over 15 years of experience in the field of Finance
• Over 20 years of experience in the healthcare industry • Responsible for the finance function of the Company and
Khairil Anuar • Independent Director its subsidiaries
Abdullah • On the Board since 2005 V. Satyanarayana • Chief Executive Officer – Chennai Division and has been
N. Vaghul • Independent Director, on the Board since 2000 Reddy with Company since 1989
• Conferred the Padma Bhushan in 2009 • Responsible for hospital operations of the Chennai Region
T.K. Balaji • Independent Director, on the Board since 2001
Dr. K. Hariprasad • Chief Executive Officer – Central Division and has been
Deepak Vaidya • Independent Director, on the Board since 2000 with the Company since 1999
• Chairman of the Audit committee • Responsible for hospital operations for the Central Region
Other Independent • G Venkatraman, Habibullah Badsha, Rafeeque Ahamed
Directors and Rajkumar Menon Dr. Rupali Basu • Chief Executive Officer – Eastern Region and has been
with the Company since 2008
• Responsible for hospital operations of the Eastern Region
Jacob Jacob • Chief People Officer of the Company
• Responsible for people initiatives – over 12 years
of experience
Arvind • Chief Information Officer of the Company
Sivaramakrishnan • Responsible for driving IT initiatives and projects
19
Thank you

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