1 IHH Healthcare Berhad AR2022 Part 1
1 IHH Healthcare Berhad AR2022 Part 1
1 IHH Healthcare Berhad AR2022 Part 1
Chairman's Statement
IHH Healthcare Berhad Annual Report 2022 1
Navigating This Report Investment Case
Navigation Icons IHH Healthcare consistently performs in the top echelons of the healthcare industry.
Refer to this guide while traversing the report. Our leading edge lies in these key competitive advantages.
IHH will be providing free radiotherapy and radiosurgery for cancer patients
referred from Malaysian public hospitals. As such, we will be able to extend care
Build a
towards more cancer patients in the country through our network comprising
Pantai hospitals, Gleneagles hospitals and Prince Court Medical Centre.
We are also continually reviewing our clinical facilities to better meet the
needs of medical travellers. For instance, Pantai Hospital Penang is expanding
2 >2,000
to offer an increased range of medical services, and broke ground to construct new hospitals launched new beds to be added in
a new medical block and revamp its existing building. The construction is to Malaysia, India and Türkiye
be completed in adherence to the Green Building Index by the end of 2024. through organic expansion
Our core operations, comprising acute and surgical treatments, have also
experienced strong recovery with the return of patients (local and foreign),
resulting in significant revenue improvement.
In 2023, a Proton Therapy Centre will open at Mount Elizabeth Novena Hospital
(MNH) in Singapore, reinforcing MNH’s position as a one-stop oncology
treatment centre in the region. The proton beam therapy, a highly precise
treatment method that targets cancer cells, reduces damage to healthy
tissues and organs and treatment-related side effects.
Technology has also aided us in value creation. With Artificial Intelligence (AI),
our bill estimates are dynamic based on different treatment plans, providing
cost transparency, thereby empowering patients to make informed decisions
and place greater trust in IHH. More importantly, our patients get a peace of
mind over their healthcare expenditure prior to admission so that they can
focus on getting well. The VDO programme will A Proton Therapy Centre
be implemented in all our will open in Mount Elizabeth
In addition, our patients are able to enjoy better care – from consultation
markets by Novena Hospital in Singapore
2025 2023
to surgery and post-surgical care – at lower costs. For instance, the
introduction of surgical robot Versius gives patients greater affordability
with the same or better outcome.
IHH at a Glance
As at 31 March 2023
Setting the healthcare benchmarks in Türkiye The two hospitals in Singapore are Located in our key Asian markets, this
and the region, this visionary brand combines among the world’s top destinations for world-class private hospital brand is known
the top experts and latest technology medical treatment, known for top experts, for its international standing and stature,
with the contemporary sophistication excellent clinical outcomes and exceptional delivering superior clinical outcomes in
of a five-star hotel, offering generous personalised service. extensive modern facilities.
Pantai Parkway
Our Portfolio of
Excellence in
Healthcare
With a network of 57 hospitals Acibadem Holdings is Türkiye’s The International Medical University
throughout the region, including leading private healthcare provider, is IHH’s medical education arm. We are proud of our
Malaysia, Singapore, India and offering integrated healthcare IMU oversees the established
Greater China, Parkway Pantai is services across 25 hospitals in higher learning institutions of leading brands in our
one of Asia’s largest integrated Türkiye, Macedonia, Bulgaria, the International Medical College and various markets, each
private healthcare groups. Netherlands and Serbia. The IMU in Malaysia.
“Acibadem” brand is renowned for Conveniently located across Malaysia, underpinned by an Born in Singapore, Parkway is one of Asia’s
its clinical excellence in Europe
and North Africa regions.
Pantai proudly serves families and
communities with quality healthcare,
outstanding reputation leading brands in private healthcare, offering
the full spectrum of integrated healthcare
always delivered with friendly, for clinical outcomes services in clinics and hospitals and a
familiar smiles. wide range of ancillary services. Brands
and quality care. include Parkway Hospitals, Parkway Shenton,
Parkway Laboratories and Parkway Radiology.
100%
35.58%
Fortis Healthcare is a leading integrated Prince Court, a distinguished hospital The International Medical University (IMU)
31.17%
healthcare delivery service provider in India. for Malaysians, expatriates and medical is an educational arm that combines
The healthcare verticals of Fortis primarily tourism patients, is recognised for research and healthcare practice to develop
comprise hospitals, diagnostics and day care its outstanding achievements and knowledgeable, competent and caring
specialty facilities. breakthroughs in medicine. healthcare professionals. Together with
IMU Healthcare, the group improved the
health of patients and communities by
synergising care and providing quality
integrated healthcare facilities.
* Completed divestment of IMU on 31 March 2023
Financial Highlights
Revenue by Strategic EBITDA by Strategic Profit After Tax and FY2018 FY2019 FY2020 FY2021 FY2022
A. Income Statement (RM Million)
Business Units Business Units Minority Interest (PATMI) Revenue by Strategic Business Units
Singapore 3,890.7 4,289.8 3,886.5 5,033.3 5,143.1
(RM million) (RM million) excluding exceptional items (RM million) Malaysia 2,019.8 2,331.1 2,187.1 2,727.2 3,181.8
India 851.3 3,320.9 2,655.8 3,728.8 3,865.3
Singapore Singapore Greater China 499.6 604.6 662.4 876.9 998.4
Türkiye and Europe 3,676.2 3,764.7 3,462.2 4,347.2 4,486.1
5,033.3 5,143.1 1,693.0
1,600.2 1,594.8 Southeast Asia 182.3 190.8 138.4 – –
4,289.8 1,475.1
1,359.5
1,380.7 Hospital and Healthcare 11,119.9 14,501.9 12,992.4 16,713.4 17,674.7
3,890.7 3,886.5
1,143.2 IMU Health 257.5 259.0 248.7 257.6 260.8
1,027.6
920.7 Others1 10.3 12.1 8.5 7.6 5.0
715.3 11,387.7 14,773.0 13,249.6 16,978.6 17,940.5
PLife REIT total revenue 335.7 347.9 367.0 370.7 376.2
PLife REIT inter-segment revenue (202.5) (208.4) (212.0) (217.5) (226.7)
11,520.9 14,912.5 13,404.6 17,131.8 18,090.0
Hyperinflationary adjustment2 – – – – (101.3)
FY18 FY19 FY20 FY21 FY22 FY18 FY19 FY20 FY21 FY22 FY18 FY19 FY20 FY21 FY22 Total 11,520.9 14,912.5 13,404.6 17,131.8 17,988.7
EBITDA3 by Strategic Business Units
Singapore 1,143.2 1,475.1 1,359.5 1,693.0 1,600.2
Total Assets Malaysia
India
578.5
6.3
675.2
360.0
555.9
200.5
760.1
664.5
909.7
646.6
(RM million) Greater China (208.7) (175.5) (146.5) (69.6) (60.3)
Malaysia Malaysia
Türkiye and Europe 617.3 853.5 796.1 1,198.9 1,089.8
Southeast Asia 66.4 69.1 45.6 (0.3) (0.3)
3,181.8 909.7 45,510.3
48,467.5 Hospital and Healthcare 2,203.0 3,257.4 2,811.1 4,246.6 4,185.7
45,114.5 45,053.3 44,534.3
2,727.2 760.1 IMU Health 84.9 87.2 75.7 86.7 84.8
2,331.1 675.2
2,187.1 Others1 (131.9) (112.0) (107.4) (185.6) (170.7)
2,019.8 578.5 555.9
2,156.0 3,232.6 2,779.4 4,147.7 4,099.8
PLife REIT 321.7 294.4 308.9 349.9 278.4
Eliminations – (209.3) (212.0) (218.2) (220.9)
2,477.7 3,317.7 2,876.3 4,279.4 4,157.3
Hyperinflationary adjustment2 – – – – (106.2)
Total 2,477.7 3,317.7 2,876.3 4,279.4 4,051.1
FY18 FY19 FY20 FY21 FY22 FY18 FY19 FY20 FY21 FY22 FY18 FY19 FY20 FY21 FY22
Profit After Tax and Minority Interest (“PATMI”)
Including Exceptional Items 627.7 551.5 288.9 1,862.5 1,548.4
Operational Highlights
FY2018 FY2019 FY2020 FY2021 FY2022
Malaysia
No. of hospitals at end of year 15 15 16 16 16
No. of licensed beds1 at end of year 2,503 2,537 2,908 2,961 3,000
No. of operational beds1 at end of year 2,327 2,372 2,696 2,676 2,731 Number Number of Our Patients
Inpatient admissions2 203,419 218,051 158,944 151,944 205,459
of Hospitals Operational Beds
6.5m
Average length of stay3 (days) 2.7 2.7 2.9 3.1 3.0
Occupancy rate4 67% 70% 49% 48% 63%
Average revenue per inpatient admission (in RM)
6,615 7,054
8,428
10,346
9,587
16 2,731 patients have access to their
Singapore Malaysia Malaysia medical records online
No. of hospitals at end of year 4 4 4 4 4
No. of licensed beds1 at end of year
No. of operational beds1 at end of year
Inpatient admissions2
967
942
76,917
998
960
78,541
998
991
64,071
1,039
989
64,227
1,017
907
61,951
4
Singapore
907
Singapore
Average length of stay3 (days) 2.8 2.9 3.1 3.0 3.1
Occupancy rate4
Average revenue per inpatient admission (in RM5)
63%
33,330
65%
34,837
55%
36,638
54%
38,836
56%
48,965 35
India*
4,880 India
Our People
65,000+
India
No. of hospitals at end of year
No. of licensed beds1 at end of year
33
5,954
29
5,887
31
6,154
31
6,011
31
5,952 25 4,780
No. of operational beds1 at end of year 4,845 4,770 5,004 4,756 4,880 Türkiye & Europe Türkiye & Europe talented and dedicated
Inpatient admissions2 88,793 363,126 270,581 320,543 332,661 employees
Average length of stay3 (days) 3.7 3.3 3.7 3.8 3.6
Occupancy rate4 59% 69% 54% 66% 69%
Average revenue per inpatient admission (in RM5) 6,946 6,011 6,803 7,832 8,103
Türkiye and Europe
No. of hospitals at end of year 21 21 21 22 24 Number of Average
No. of licensed and operational beds6 at end of year
No. of overnight beds6 at end of year
4,099
2,781
4,157
2,863
4,189
2,893
4,202
2,997
4,780
3,211
Inpatient Revenue per Our Public
Inpatient admissions2 229,433 221,493 186,662 219,582 234,831 Admissions Inpatient More than
Admission (RM)
2.4m
Average length of stay3 (days) 3.4 3.5 3.8 3.8 3.5
78% 75% 67% 77% 74%
205,459
Occupancy rate4
Average revenue per inpatient admission (in RM5) 2,300 2,711 4,580 6,944 9,090
9,587
lives touched**
Notes Malaysia
The above information comprise operational data 1. Licensed beds are approved number of beds 6. Under Turkish Law, “licensed beds” refer to the
61,951
relating to hospitals owned by subsidiaries in the by the Ministry of Health that the hospital approved number of beds used for observation Malaysia
Group’s home markets only. regularly maintains and staffs. and treatment of at least 24 hours, including
48,965
It does not include data relating to hospitals owned Operational beds is an internal measure which intensive care, premature and infant unit beds,
by joint ventures and associates of the Group, and includes licensed beds utilised for patients. beds in the burn care units and as indicated in Singapore
does not include hospitals that are managed for the hospital operation licenses. In addition to
2. Represents the total number of overnight licensed beds, “operational beds” include beds
332,661
third parties. inpatients admitted. Singapore
used for treatments of less than 24 hours such
Hospitals in Türkiye and Europe do not compile 3. Represents the average number of days an as chemotherapy, radiotherapy and sedation Our Planet
8,103
certain operational data, including number of overnight inpatient stays. or other beds such as incubators, labour beds,
operational beds, the average length of stay and
4. Represents the percentage of hospital operational/ beds for examination, minor treatments and India Commitment to
occupancy rate, on the same basis as the rest of relaxation, from which Acibadem derives
overnight beds occupied by inpatients.
the regions and therefore, these numbers may not revenue and does not require licensing. Net-Zero by
234,831
India
2050
be comparable. Occupancy rate may be lower due to new hospitals
that are in the ramp up stage. “Overnight beds” comprise beds used for
For changes in classification/definitions for the
9,090
observation and treatment of at least 24 hours.
current financial year, only the comparative figures 5. Prior years’ average revenue per inpatient
for the previous year are restated to conform with admission had been translated using the Türkiye & Europe
the current classification/definitions. exchange rates as at 31 December 2022,
so as to be comparable across periods. Türkiye & Europe
ate
I pledge to Care for Planet by being more "CAR-Conscious"
r
possible. One small effort from a person seem like nothing, seek to always ensure best arrival times on locations and
b
Cele
and start to bike, walk or take public transport. Let’s learn
re
but if everyone initiate this small little effort, it will become sending patients to the hospital safely.
very powerful! how to say thank you to our creator, the earth and taking
care of oneself.
in our communities.
doing my best to address their needs and make them proud
to be part of our IHH SG family.
for an
Saizol Bin Mohamed, Malaysia
I pledge to Care for People with love and responsibility to
Farah Nadiah Zainal, Singapore
I pledge to Care for Planet by reducing, reusing and recycling 1974 First Generation Water Jug
ensure they live a healthier life with my care.
Krishna Kishore, India unwanted cardboard into happy colourful pinatas that brings
2012 IHH Initial Public Offering (IPO) Used in Pantai Hospital Kuala Lumpur
I pledge to Care for People by extending best of services from joy to the kids!! House Call Bag Used by Parkway
(PHKL) Ward
Amazing
my department, as I believe employees are the first step to
IHH 10th Anniversary of dual listing Prospectus (Malaysia & Singapore) Shenton Pioneer Doctors
Ng Le Yu, Malaysia success of any organisation.
The 1388-page ‘heavyweight’ was issued
From 1974, this 48-year-old jug is kept by
on Bursa Malaysia and Singapore The 45-year old bag showcases Parkway
I pledge to Care for Patient by extending help whenever I can.
Ezgi Doyrangol, Türkiye Datin McCoy, wife of PHKL’s founder.
on 2 July 2012 as part of IHH’s listing Shenton’s rich history and symbolises
Exchange was a joyous occasion Before the Procurement Department
I pledge to Care for People by supporting all our employees. requirements. It contains key information
Wong Kay Ying, Singapore My way of achieving this is by being helpful, always wearing a even existed, the founders’ wives formed
the hard work of Shenton doctors,
10 Years!
to recognise the hard work and that predates the company from nurses and clinic assistants who went
Vilashini S. Selvaraja, Malaysia I pledge to Care for Planet by not wasting any unnecessary smile and thinking good thoughts. I believe in the power of
operational to financial.
the Board of Visitors to care for patients’
the extra mile to provide excellent
I pledge to Care for People by providing a listening ear
sterile packages and only open when needed. Support positive thinking. dedication of our people, to reaffirm needs, including sourcing for curtains,
recycling and Go Green. and quality patient care.
whenever, wherever I can. our commitment to our core values The IPO was the first-ever concurrent furniture etc. Ward staff known as
PledgeLeslie
for Jay,
Good! and reflect on the successes of the dual listing on the main markets of Bursa “Amah” would boil water behind the Since the inception of Parkway Shenton,
Singapore Malaysia and Singapore Exchange. ward stairs using a gas stove and kettle, the bag was used by the medical team
Ashish Vinayak Jadhav, India Joy Lim, Singapore I will care for the planet by cutting down on plastic. I have past. It was also a celebration to and refill the patient’s jugs.
We honour our
I pledge to Care for Public by providing data-driven, people
switched formetal
to using living ourand am bringing my own
straws
when tending to patients who were too
I pledge to Care for Planet by caring for the environment evidence-based recommendations which not only deliver trolley to the supermarket to cut down on using plastic bags.
thank the many stakeholders who sick to visit the clinic. It stored all the
around us and putting in effort to protect nature, making the optimal health outcomes for individual patients butpurpose
also to touch
I am alsolives and
planning to transform
buy an electronic vehicle instead of a have helped us achieve our goals. medications and equipment necessary
planet a better and greener place to live in. result in sustainable health for everyone. care, our patients for placing their trust
petrol car. for a consult. It was replaced
in our hospitals for nearly 50 years, and with a suitcase in 2019.
We are proud of what we have
Abdul Razak Khalid, Malaysia our partners for working with us to
Lang Liu, China Krizzy May Agduyeng, Singapore achieved over the last decade
I pledge to Care for Patient by doing my best to explain the deliver
I pledge to Care for Patient by catering to our patients’ exceptional
needs I pledge tocare.
Care for Planet by having proper segregation of as one IHH, and look forward to
lab report to the patients. Broadening my work scope and in a prompt and efficient manner! rubbish and support recycling. Our planet suffers so much One of the highlights of the event
providing them with my knowledge helps them in because of our garbage and we should prevent it before it is building on our aspiration to provide
understanding further. too late. Pollution is all around and if we want to save what was the unveiling of our Sustainability
we have now, we should start acting and be supportive.
greater good for generations to come.
Goals and c ommitment to drive
Balamurugan, India First IHH Corporate Polo Tee
positive change across our four key
Aaric Niew, Singapore I pledge to Care for People to helping those in need and and The polo tee features IHH’s tagline Specimen Signatures of All Mount
I pledge to Care for Planet by walking the talk in
being an advocate for health and disease prevention.
Joy Liu, China pillars: Patients, People, the Public, and aspiration ‘Care. For Good.’ Elizabeth Hospital Doctors in 1992
sustainability, recycling and minimising wastage in different I pledge to Care for People by creating a vibrant learning and the Planet, creating value for all. that was launched in 2022 in conjunction Some of these doctors continue to
areas. More importantly, I am excited to bring this pledge into atmosphere and supporting our people in developing with our 10th anniversary of listing. partner with us in our journey to touch Gold coin for Gleneagles Hospital
work life, pushing for more initiatives that drive green earth
sustainability.
Hemareddy A/P Krishnan, Malaysia themselves and others continuously.
lives and transform care after 30 years.
I pledge to Care for Patient by providing a thorough We take our role as a responsible Hong Kong (GHK) Pioneers
The commemorative gold coin was
A Celebration
explanation of billing charges and ensuring that all their
queries are answered, be it through phone calls, emails or
corporate citizen and stakeholder
Prateek Kumar Singh, India specially made in 2017 to thank
Ana Konise, Singapore face-to-face. I love every part of my job and to me, keeping seriously, and will strive to be an the pioneering staff of GHK for their
calm and carrying on smiling is the key to a happier life! I pledge to Care for People by bringing out the best in them
of Achievements
I pledge to Care for People by being respectful and kind to by investing in their overall development, well-being and even greater force for good in the unrelenting support and contributions
everyone I meet and helping those in need. fostering their contribution to make them feel heard and years ahead. to the commissioning and smooth
create a better place to work in.
operationalisation of the hospital in March
Edwin Chng, Singapore 2017. It reflects the unique experience and
Audrey Arumugam, Malaysia I pledge to Care for Planet by reducing meat consumption by
25%, because it lowers annual greenhouse gas emissions by satisfaction of working as one team.
I pledge to Care for Patient by always being polite, respectful 1%. At the same time, I will advocate the same practice to all Jennifer Mojulat, Malaysia
and caring towards every one of them. My pledge to assist my patients and the public because it lowers their risk of I pledge to Care For People by being there for them especially Pantai Hospital Kuala Lumpur
and guide patients from the start to the end of their visits, to metabolic disease and cancer (Care for Patients, People and the young generation who has lost their way in life. It is my Evolution of Staff Name Tags Since 1994
hear patients saying ‘WHAT A WONDERFUL MEDICAL CENTRE Public). wish to open a Youth Centre where they can open up their
COVID-19 Gratitude Wall
WITH SUCH CARING AND RESPECTFULL STAFF.' The logo and design on these name tags
feelings, have a sense of belonging and know that they are not Flood of thank you notes from patients
alone and experience fun activities. Explore & Appreciate Life! reflect the growth of the company and
and the public expressing heartfelt
the staff’s career over the years.
gratitude to our nurses and staff
Mary Jane Q Mendoza, Singapore Tay Pei Wen, Malaysia who worked tirelessly and selflessly
I pledge to Care for Patient by updating myself on new
I want to save mother earth for the children of our future. studies and providing the best personalised nutrition care for Rahul Narkar, India during the pandemic.
patients. I pledge to Care for Patients by providing right talent who can
contribute positively to our profession. A showcase of the trust and appreciation First Payslip of Gleneagles Hospital
that our patients have in our hospital. Kuala Lumpur Staff from 2002
Devika Prabhu, India The staff who kept her first payslip from
I pledge to Care for Planet by avoiding the usage of plastic Gwendolyn Low, Singapore Gleneagles Hospital Kuala Lumpur is
bottles, as you will often see people reusing these plastic I pledge to Care for Planet Earth by taking action to help Shraddhha Joshi, India
bottles despite warnings that they should never be reused. To protect the environment. I pledge to remind my friends, I pledge to Care for Planet by carefully and mindfully celebrating her 20 years with the
avoid this situation, a tip would be of placing a bottle cap family and others about the importance of our daily actions, avoiding products that are hazardous to our planet. Say "no" hospital. Her tip for a long career:
inside a bottle so the bottles cannot be refilled and sold in order to protect our natural surroundings that’s essential to plastic and cycle where possible, educate people on the IHH Global Footprint Adapted be patient and love your job.
again. for our future generations to come. importance of a clean and safe environment. And spread from Corporate Website
love to our planet.
Depicts our brands and the geographical
spread of our IHH family
Keren Deborah, India Farhan, Singapore
I pledge to Care for People by being responsible and also I pledge to Care for Patient by giving my utmost attention and Sanchit Seth, India
living a healthy life so that I can be well-equipped to care dedication in ensuring that their stay in the hospital would be I pledge to Care for People by being empathic to everyone.
for others. comfortable during their recovery.
Group Overview
Apr
• Launch of Gleneagles Hong Kong
Hospital Pro-HEART Cardiac Centre
Oct
• Mount Elizabeth Novena Hospital
celebrates 10th anniversary
• IHH Healthcare Singapore and Autism
Resource Centre signs MoU to expand
Jan
existing collaboration to develop a
more inclusive healthcare workforce
and empower individuals on the autism
spectrum to gain employment in healthcare
• Progressive roll-out of Cerebral Plus (Hospital Information
Sep
• Parkway East Hospital turns 80
System) across 15 hospitals in Malaysia • IHH celebrates 10th anniversary
• Fortis expands footprint In Delhi with
• Acibadem awarded the Healthcare Services Export Champion of listing on Bursa Malaysia and
launch of Fortis Greater Noida Hospital
for six consecutive years Singapore Exchange
May
• IHH commits to achieve carbon net-zero
Feb Nov
by 2050, unveils sustainability goals
• IHH unveils ‘Care. For Good.’ strategy
• IHH signs MoU with Ministry of Health Malaysia to provide
to provide sustainable growth for
• Launch of Pantai Hospital Cheras Health Screening Centre free radiotherapy and radiosurgery for cancer patients from
all stakeholders
government hospitals • Twin Towers
• IHH 12th Annual General Meeting held fully virtual at Le Meridien,
Kuala Lumpur • Opening of Acıbadem Ataşehir Hospital in Türkiye Medical Centre
celebrates
24th anniversary
Jun
• Entered into a definitive
agreement to divest IMU,
Mar
its medical education arm
• Gleneagles Hong Kong Hospital launches
free teleconsultation and medication
delivery services to support the
country’s fight against the pandemic.
Jul Dec
with The University of Hong Kong and
SINOVAC on Omicron COVID-19 vaccine • Pantai Premier Pathology celebrates
clinical trial 25th anniversary