Max India Limited Investor Presentation - June 2018

Page created by Marilyn Obrien
 
CONTINUE READING
Max India Limited Investor Presentation - June 2018
Max India Limited
                    Investor Presentation
                          June 2018

www.maxindia.com
Max India Limited Investor Presentation - June 2018
Max Group Vision
“To be the most admired corporate for service excellence”

                       • Positive social impact   • Culture of Service
          Sevabhav
                       • Helpfulness              • Mindfulness

                       • Expertise                • Entrepreneurship
         Excellence
                       • Dependability            • Business performance

                       • Transparency             • Respect
         Credibility
                       • Integrity                • Governance

                                                                           1
Max India Limited Investor Presentation - June 2018
Evolution of Max Group—Strong history of
                      entrepreneurship and nurturing successful businesses
                                                                                NYL exits and JV with               Max India demerged into
                                      Fund raising ~ USD 360 Mn
                                                                                MSI in 2012                         3 listed hold cos
 Enters Telecom in JV                 ● QIP- USD 156 Mn in 2007
                                                                                ● MSI is world’s 7th largest
   with Hutchison                     ● Warburg Pincus - 53 Mn in 2005            general insurance group
                                      ● IFC- 47 Mn(2007) &23 Mn (2009)          ● MSI acquired 26% stake for
   Hutchison                                                                      USD 425 Mn
                                      ● Goldman Sachs 82 Mn in 2011
JV with Gist Brocades
                                                                                ● Max Life valued at USD 1.6
 (Asia’s largest Drug
                                                                                  bn
   manufacturer )

1985      1993 2000             2005 2007             2009    2011       2012           2013          2014           2015           2016

Forays into                                                                                LHC inducted as JV
 Penicillin                                                                                                             Landmark Acquisitions
                                                                                           Partner in MHC               by MHC
bulk pharma
                                                                                           ● LHC is 2nd largest hospital ● Acquired 79% stake for
                 Shift from B2B to                                     Enter Senior          chain in South Africa         USD 40 Mn in 340 bedded
                 B2C businesses:                 Health Insurance,   Living business,      ● 2012 - Acquired 26% stake     Pushpanjali hospital
                 ●Life insurance                                        launch first         for USD 81 Mn in MHC          expandable  upto 540 beds
                                                 JV with Bupa Plc     community in ● 2014 - Equalize stake in           ● Acquired 51% stake for
                 ●Healthcare                                          Dehradun with   MHC invests USD 120 Mn              USD 100 Mn in 230
                                                                         200 units                                        bedded Saket City
                 ●Clinical research                                                                                       hospital, expandable upto
                                                                                                                          1200 beds

  Note: Conversion rate assumed 1 USD = INR 64
                                                                                                                                               2
Max India Limited Investor Presentation - June 2018
Max Group – Corporate Structure
                                              Max Group - Sponsors

               30.3%                                41.0%                    38.1%
Companies
 Holding

                Life Insurance                      Health & Allied    Manufacturing &
                   Business*                            Business       Other businesses

                                               50%                    51%
            70.75%
Companies
Operating

                                                                      100%
                                               51%

                                                                      100%

                                                100%
                                                                      100%

 Group
CSR Arm
            Sponsors stake in Max Group holding companies
                                                                                          3
Max India Limited Investor Presentation - June 2018
Max Group Overview

1   USD 3 billion+… 10 Mn Customers… 25,000 Employees… ~70,000 Agents…
    2,900 Doctors…

2   Strong growth trajectory even in challenging times; a resilient & diversified business model

3   Steady revenue growth and cost rationalization leads to strong financial performance

4   Well established board governance….internationally acclaimed domain experts inducted

5   Diversified ownership…..marquee investor base

6   Superior brand recall with a proven track record of service excellence

7   Strong history of entrepreneurship and nurturing successful business partnerships

                                                                                                   4
Max India Limited Investor Presentation - June 2018
Max Group : Continues to grow from strength to strength
                           Group Revenue (USD Mn)

                                                            2,945
                                                    2,584
                  1,915            2,190
      1,639

     FY'14        FY'15            FY'16            FY'17   FY'18

                            Group EBITDA (USD Mn)

                                                     127     129
                    95              110
       81

      FY'13        FY'14           FY'15            FY'16   FY'17

                                                                    5
Max India Limited Investor Presentation - June 2018
Max India: High pedigree investor base
   Shareholding concentrated with Marquee Investors
                                                                                                             Shareholding Pattern
     Ward Ferry
                                                                                                              as on Mar 31, 2018
         International Finance Corporation                                                  0.0% 0.0%                  0.0% 0.0%
         Target Asset management
         New York Life Insurance                                                                               Others
                                                                                                                13.9%
         Nomura Singapore
         Doric Capital
                                                                                                   Mutual                                  Promoters
         Comgest                                                                                  Funds                                     41.0%
                                                                                                   17.5%
         TVF Fund
         Government of Singapore
         Steinberg Emerging Opportunities Fund
                                                                                                                FII/ FPI                IFC
         Reliance Mutual Fund                                                                                  24.5%                  3.1%
         L&T Mutual Fund
         HDFC Standard Life Insurance
         UTI Mutual Fund

                                              Number of outstanding shares* : 26.84 Cr.
* Max Group Sponsors hold warrants convertible into 4% equity stake, post conversion Sponsor’s stake will increase form 41% to 45%, on fully-diluted equity base will
increase to 28.7 Cr shares post conversion
                                                                                                                                                                        6
Max India Limited Investor Presentation - June 2018
MAX INDIA LIMITED
MAX HEALTHCARE

www.maxhealthcare.in   www.maxindia.com

                                    7
Max India Limited Investor Presentation - June 2018
Indian healthcare industry is expected to reach ~$470 billion fuelled by multiple
 demand drivers

 Indian healthcare sector *
 Estimated size, Bn USD
                                                                               CAGR
                                                                              16.5%

                                                                                                            450-470
                           CAGR
                          15.0%                                      280              320-340
                                                160
       60                    79

       2010                2012                 2017                2020                 2025                 2025
                                                                                   Business As Usual        Aspirational

 Demand drivers for growth

              ~500 mn                                  ~134 mn                                   ~320 mn

         additional middle                          population > 60                         at risk of dying due
          class by 2025                              years by 2020                           to NCDs by 2020
               ~45%                                     ~$8 bn                                     ~2 mn

            Insurance                              medical tourism                           beds required by
        penetration by 2020                       market size by 2020                             2025

* Includes hospitals, pharmaceuticals & medical technology / other companies
Sources: India Brand Equity Foundation – Healthcare report, July 2017, BofA Merrill Lynch Global Research                  8
Max India Limited Investor Presentation - June 2018
Hospitals constitute ~70% of Indian healthcare market with increasingly
dominant role of private sector

Indian healthcare
                                            Private players have established a dominating presence in tertiary /
   sector*                                  quaternary care
Market share %

                                                   30%                                           22%         20%
                                                                  37%            40%

                                                   70%                                           78%         80%
                                                                  63%            60%
              10%

                                              Market Share       Beds          Inpatients    Outpatients   Doctors
     20%
                                                                    Private sector     Public sector

                                            Market size of private hospitals is expected to reach ~$ 120 bn by 2020
                         70%
                                           Private sector hospitals
                                                                                                           120
                                           Estimated size, Bn USD                                 CAGR
                                                                                                  ~20%
                                                                                            81
                                                                      CAGR
                                                                      ~24%
Hospitals                                                              36
                                                  22
Pharmaceuticals
Medical technology / Others
                                                 2009                 2012               2015              2020

* Includes hospitals, pharmaceuticals & medical technology / other companies
 Sources: BofA Merrill Lynch Global Research, IBEF Mar'15                                                             9
At current level of public sector spending the scenario is not likely to change

     India- public spend on Healthcare
     % of GDP
                                                        8-10%                            Developed countries

                                                         ~8%                                      USA

                                                         5%+                                WHO guidelines

                                                       3.5-4%                         BRICS- excluding India

                                                                                        2.50%
           1.15%                   1.40%                    1.30%             1.20%

            FY14                   FY15                     FY16              FY17     FY20-22

         Hence, Government will keep shifting the burden of public health provision
                                  towards private sector

            Source: LiveMint research, World Bank database, Hindustan Times
                                                                                                           10
Competition is intensifying with scale-up of well funded incumbents &
availability of capital for new players
      The surge of VC/ PE investments in recent years has eased funding constraints on growth
Annual VC/ PE investment’s in India’s Healthcare ($ Million)

                                                                     ~3x

                                                                           1,359                     1,584
                                                        1,262                                                  1,111
                                                                                          900
                     580               495
                     2010              2011               2012              2013           2014       2015     2016
   No. of
   deals              35                29                 65                    60        54         50        86

                                                          Recent examples
    TARGET         INVESTOR          AMOUNT               DATE                   TARGET   INVESTOR   AMOUNT     DATE

                                     $221 mn             Jan ‘16
                                                                                                     $43 mn     Jul ‘17

                                      $68 mn            May ‘16
                                                                                                     $171 mn   Aug ‘17

                                     $63.5 mn           Dec ‘16
                                                                                                       N.A      Ongoing

                                      $200 mn             Jul ‘17

Source: Crisil research, company websites and presentations, secondary sources
                                                                                                                          11
MHC vision

              To deliver international class healthcare with a total service
               focus, by creating an institution committed to the highest
                standards of medical & service excellence, patient care,
                 scientific knowledge, research and medical education

WHAT WILL WE BE KNOWN FOR              KEY ENABLERS                 WHERE DO WE WANT TO BE

          • Integrated care              • Strong talent pool of      • #1 in selected specialties in
                                           clinicians, nurses and       chosen geographies
          • Clinical excellence            healthcare leaders
                                                                      • Focus on Tertiary and
          • Transparency                 • Technology and               Quaternary care
                                           analytics enabled
          • Speed                          clinical outcomes and      • Physical infrastructure in
                                           customer experience          North India; however
          • Tech enabled                                                serving more than 300
            continued care                                              towns in India and 30+
                                                                        countries

                                                                                                     12
MHC is a dominant player in North India

                                                             NCR                                                  OUTSIDE NCR
 ~2500 available beds
  across the network

                                                                     250
                                          Pitampura*
                                                                Shalimar Bagh
                                                                                                                         224
                                                                                                      293
                                                                                   410                          Mohali

                                                                                   Patparganj
                                                                                                Vaishali                 186
                                                                                         Lajpat Nagar*          Bathinda
                                                            Panchsheel*
                                                                                                           41              172
                                                             519                                                Dehradun
                                    72                            Saket
                                                                                    250            Noida
                                                                      Max Smart
                                                                                                           61
                                           Gurgaon
                                                                                                Greater Noida
           * Standalone Speciality Clinics with Outpatient and Day care facility

                                                                                                                                 13
MHC has invested in state of the art equipment to achieve clinical
excellence (1/2)
 Robotics

                                                                                                        Novalis
                                                                                                        LINAC
   Advanced robotics provides high precision, and         High dose radiation with extreme
     minimum invasive surgery across multiple              precision (~ 0.5 mm accuracy)
     specialities such as Oncology, Neurology

                                                                                                         PET-CT
  Brain suite

                   Advanced image guided surgery -       Provides precise correlation and facilitates
                provides real-time views and automated    proper treatment for Oncology, surgical
                           image processing                    planning and radiation therapy

                                                                                                                  14
MHC has invested in state of the art equipment to achieve clinical
excellence (2/2)
CyberKnife*

                                                                                                                      SPIDER
              Robotic radio-surgery (non-invasive) system for            Designed for revolutionary single incision
                both cancerous & non-cancerous systems                 laproscopic surgery through catheter-based,
                                                                                   flexible instruments

                                     Picture Archiving & Communication System - PACS
                                       Economical digital storage and convenient access to medical
                                                    images from multiple modalities

                         * planned
                                                                                                                               15
MHC has a robust service excellence & quality framework which has resulted in
enhanced customer experience

                                                                       Top 2 Box Rating*

                                                                                            73%        80%
                                                                                  69%
                                                                        57%

                                                                       FY`15      FY`16     FY`17     FY`18
                                                                    • “Sevabhav” trainings and Reward &
                                                                     Recognition platform has led to
                                                                     positive shift in mindset

                                                                    • Structural Interventions through Six
                                                                     Sigma and other methodologies has
                                                                     resulted into business impact of over
                                                                     USD 18 Mn

            * MHC is the only healthcare company who has deployed a third party
            (IMRB) to conduct Satisfaction survey                                                            16
MHC strong Governance Model helps us bring alignment and
improve accountability

                                               Governance

                                         Board & 7 committees

                                Investment &         Medical                          Scientific     Corporate
Nomination &                                                      Service
                  Audit         performance       excellence &                        projects &      social
remuneration                                                     excellence
                                   review          compliance                        technology    responsibility

                                               Administration

                            Managerial                            Clinical

                                                                               Group Medical
               Executive Committee                                            Advisory Council
                                                                                  (GMAC)

                                                                             Hospital Medical
                   Unit Heads                                                Executive Council
                                                                                 (HMEC)

                Unit Management                                                Doctor’s council
               Committee (MANCO)

                                                                                                               17
MHC has a proven record of building an institution

                    Strengthened capabilities to provide comprehensive
                    tertiary & quaternary care

                    Network of highly qualified doctors, nurses and medical
                    personnel

                    Organic growth through expansion of hospital
                    network

                    JV with Life Healthcare, South Africa, extending            MHC is one of the
   First MHC        expertise and global reach
                                                                                top 3 healthcare
hospital started in                                                              chains in India
      2002          Max Saket received JCI accreditation – highest
                    standards of clinical governance and compliance

     ISO            DL Shah             FICCI                                             Business
                                                         NABL/           Leadership
  9001:2000         National          Excellence                                            World
                                                         NABH            positions in
    & ISO          Award on            Awards -                                           Healthcare
                                                       accredited         NatHealth
 14001: 2004      ‘Economics          Operational                                       Award in Patient
                                                                           and CII -
   certified       of Quality’        Excellence                                         Experience &
                                                                         healthcare
                                                                                            Safety

                                                                                                    18
MHC won 32 awards across multiple impact categories from various prestigious
institutions in FY17 and FY18
                                 Operational                Service Quality
  Clinical Safety (7)                                                                      Others (6)
                                Excellence (9)                    (10)

•Best patient safety        •Best use of six sigma in     •Best customer service in   •ET Best Healthcare
initiative (prevention of   Healthcare                    Healthcare                  brand
patient fall)
                                                                                      •Excellence in training
•Best quality initiative                                                              and development
(BCMA medication
process improvement )

                                                          •Bronze award for ‘Life
                                                          savers’ project (Max Bike
                            •Best green hospital
                                                          responder) at ‘American
                            (reducing carbon foot print
                                                          Society for Quality’
                            of tertiary care hospital)
                                                          •BPM Asia Star 2017 by
•Times Healthcare                                         CII Institute of Quality
Achievers Award

                                                                                                                19
FY18 has been a year of reset caused by various regulatory interventions and
other headwinds (1/3)
                      • DPCO: Drug price controls
                      • Consumables and implants (stents, knee joints, syringes) price
                        control
                      • Minimum wage revision, Delhi State and other personnel cost
                        impacts (ESIC coverage, bonus notification, etc)
  Sustained impact    • EWS: Change in compliance norms
                      • GST: Increase in service tax rate from 15% to 18%
                      • Change in ECHS norms (Ortho)
                      • Recent announcement on Margin capping on non-NLEM drugs,
                        consumables and implants (Delhi govt led)

                      • Brand of corporate-led healthcare chains got impacted due to
  One time impact       multiple incidents in the sector during Q3/Q4
                      • Shalimar Bagh Hospital closure (Dec’17)

                                                                                         20
FY18 has been a year of reset caused by various regulatory interventions and
other headwinds (2/3)
          Phase 1                                                         Phase 2                               Phase 3
          Rapid organic expansion and profitability through              Large inorganic acceleration,          Recalibration driven by
          operating leverage                                             but with some margin dilution          regulatory interventions

MHC Annual Gross Revenue
Rs. Cr.                                              +22%                                           2567                 2787
                                                                            2181
                                                      1739
          1149                 1407

          FY13                 FY14                   FY15                   FY16                   FY17                 FY18

MHC Annual EBITDA
Rs. Cr.                                                +42%                                          281
                                                                               221                                        222
                                                        173
                                113
            70

           FY13                 FY14                   FY15                   FY16                   FY17                 FY18
           6.2                 8.3                    10.2                   10.5                   11.4                  8.5

   xx       EBITDA Margin            FY16 excludes Rs. 6 Cr. of one time expenses towards the Pushpanjali and
                                                                                                                                           21
                                     Saket City acquisitions; FY15 excludes Rs 3 Cr of one off expenses
FY18 has been a year of reset caused by various regulatory interventions and
  other headwinds (3/3)
             Phase 1                                                                               Phase 2                            Phase 3
             Rapid organic expansion and profitability through                                    Large inorganic acceleration,       Recalibration driven by
             operating leverage                                                                   but with some margin dilution       regulatory interventions

 MHC Annual Gross Revenues by                                                                                         Saket Complex          East delhi complex
 hospital complexes
                                                                          +18%                                                                 1800
                                                                                                                         1626
 Rs. Cr.                                                                                               1339
                                               902                        1047                                           954                  1067
                  827                                                                                   779
                  568                         593                          666
                                                                                                        560              672                   733
                  260                         309                          381

                 FY13                         FY14                        FY15                         FY16              FY17                  FY18
 MHC Annual EBITDA hospital complexes
                                                                          +15%
 Rs. Cr.                                                                                                190               212                  197
                                                                           155
                  121                          126                                                                       121
                                                                                                        114                                    122
                                               82                          102
                   81
                                                                            53                           76               90                    75
                   40                          44

                 FY13                         FY14                        FY15                         FY16              FY17                  FY18
                  14.7                        14.3                         15.6                         15.1              13.3                  12.2
                 16.1                        15.1                          14.7                         14.4              14.3                 11.2
Note: Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) and Max
Smart (unit of Smart Hospital & Research Centre) hospital; East Delhi Complex includes Max Patparganj (unit     xx    EBITDA Margin
                                                                                                                                                                 22
of Balaji Medical and Diagnostic Research Centre) and Max Vaishali hospital
Strong momentum across all volume and value levers in last 5 years
Maintained healthy occupancy levels despite strong bed
                                                                            Steady growth in Revenue per occupied bed
addition momentum
     Avg. unoccupied        Avg. occupied            Occupancy (%)           Figures in Rs. Thousands Per OBD
     beds                   beds
69.7        74.3         73.5       71.1            72.1          73.1                                       +6%
                                                                                                                                                44
                                                                                                                   39            41
                               +13%                                                                    37
                                                 2,330        2,377            33        34
                                     2,049
           1,472        1,680                     651          640
1,302                                 592
            378          445
 394                                             1,679        1,737
           1,094        1,235        1,457
 908

 FY13      FY14         FY15          FY16        FY17         FY18           FY13      FY14          FY15         FY16          FY17           FY18

Consistent improvement in Average Length of Patient
                                                                            Consistent focus on key tertiary tower specialities
Stay
                                         Figures in Number of days
                                                                            MAMBS      Renal        Ortho     Neuro       Onco        Cardiac          LBS
                               -2.0%                                                                 56%         55%         54%
            3.5                                                             51%        53%
                                                                                                            3%          2%              2%
                                                                                                                                             52%
 3.5                                                                              3%           3%    6%          7%              7%
                                                                                                                                                       2%
                         3.4                                                      4%
                                                                                       5%                                                       6%
                                                                            7%         8%            10%         10%         10%                8%
                                       3.3         3.2                      10%        10%           10%         10%                            9%
                                                                                                                             10%
                                                               3.1
                                                                            11%        12%           13%         13%         12%             14%

                                                                            15%        14%           14%         13%         12% 0%          11%
                                                                                                                                                       2%

 FY13      FY14         FY15          FY16        FY17         FY18        FY13        FY14         FY15         FY16        FY17            FY18
                   NOTE: FY16 and FY17 including Vaishali and Saket City Hospital;
                   Cardiac revenue impacted by stent price capping in FY17 and FY18;                                                                 23
                   Ortho revenue impacted by implant price capping in FY18
Four dimensions to value creation for MHC

                                                        • Improve specialty mix
                                                        • Improve channel mix – upcountry /
                                                          international direct models / PSU closures
                                                        • Bring back operational leverage through
                                             Existing     scale / occupancy growth
                                            network     • Sustained cost rationalisation initiatives in
                                            optimizat     personnel, material and clinician cost
                                               ion
• Differentiated
  positioning
• Service experience                                    Hospital              • Brownfield expansion
• Patient safety
                                   Key                                          to 5000+ beds
                                                        network
• People                         enablers                                     • Onco daycare
                                                        growth                • DiabetEase
• Compliance
                                                                              • Immigration Center

                 •   Max Lab                Alternate
                 •   Max@Home                models
                 •   Tele Radiology
                 •   Physiotherapy BU

                                                                                                      24
A    Drive increase in share of preferred specialties to improve profitability

Reduction due to acquisitions with weak
starting positions and value erosion in cardiac           Action plan in place to grow focused specialties
/ ortho specialties due to price controls

  Healthcare revenue specialty share                                       • Build distinguished leadership
  Percent                                                                    in all DMGs
                                                                           • Disproportionately grow the
                                                             ONCOLOGY
                                                                             standalone centre model
            1,720 Cr.          2,717 Cr.                                   • Personalized medicine
                                            100%

                                                                           • Provide end to end service offering
                                                                           • Launch specialized clinics
                                                   14          NEURO
Preferred     56%                52%                          SCIENCES     • Invest in high end Neuro equipment

                                                                           • Build comprehensive transplant
                                                                             center in Saket complex
                                                                TRANS-
                                                                PLANT
                                                                           • Establish KTP and BMT programs in
                                                                             selected locations
                                 48%               20
  Others      44%
                                                                           • Focus on high-end procedures
                                                                CARDIO     • Partnerships with renowned global
                                                               SCIENCES      institutions – people & best practices
             FY15               FY18

                        Our aspiration is to have a preferred mix of 54.0 – 55.0% in FY22

                          xx     CAGR (%)                                                                       25
A    Drive increase in share of preferred channels to improve profitability

 Reduction in preferred channels due to               Action plan in place to increase the share of
 acquisitions with weak starting positions            preferred channels

                                                                      • Establish direct presence and digital
                                                                        footprint in select markets
 Healthcare revenue channel share                        Inter-       • Expand in attractive new markets
 Percent     100.0%          100.0%                     national      • Pilot and scale alternate business
International    9.7%                10.3%                              models such as surgeries abroad / O&Ms
                                                                      • Sustained brand effort / experience
                                                                        delivery on new positioning
     Walk-In     40.3%               36.0%              Walk-in       • ATL/BTL campaigns for key specialties
                                                                        through digital platforms
                                                                      • Strengthen ER capabilities
                                                                      • Seek new engagement models in the
                                                                        prevention/ wellness space
         TPA     17.9%
                                     18.4%                TPA         • Assess co-development of product
                                                                        targeted at new customer segments
                                     13.2%                            • Revamp channel sales through an direct
       MECP      14.0%
                                                         MECP           field force; strong focus on salesforce
Institutional/                                                          effectiveness
                 18.2%               22.0%
         PSU                                                          • Deprioritize; profitability improvement
                                                      Institutional     through focus on collections, material
                                                                        cost, and ALOS
                 FY15                FY18
                   Our aspiration is to have a preferred mix of 72.5 – 73.0% in FY22
                         Preferred    Non-preferred
                         Channels     Channels                                                                    26
A
    Rs. 170 Cr. of cost savings achieved in FY16, FY17 and FY18 through
    structured cost initiatives; Rs. 64 Cr. targeted in FY19

                                           73
                                                               Procurement efficiency
                                                               Formulary driven substitutions
                                           18
                             58                                Increase in consumables reusability

                             12                                ALOS and cost/OBD reduction esp. in PSU patients

             39
                                           35                  Organization restructuring at units
             12              25
                                                               Manpower contract rate negotiations
                                                               Physician compensation re-modelling

             19

                             21                                Materials procurement efficiency
                                           20
                                                               Power saving through cheaper procurement, equipment
             8
                                                                efficiency improvement and demand management
           FY16             FY17          FY18                 Collections and deductions management
    Material Costs                       Other Indirect Costs
    Personnel Costs (Incl. Clinicians)

                     Rs. 100 – 150 Cr. cost to be taken out in the next 2-3 years

                                                                                                                   27
B
     MHC expansion prioritised in hospitals with demonstrated track record of
     superior profitability

                                                                               Saket complex:     1350*
                                                Saket                          East Delhi complex: 200
               East Delhi          Mohali: 85   complex: 315   Saket           Mullanpur:          400
               Complex: 106                     S.Bagh: 104    complex: 300    Gr. Noida:          380

                                                                                                    5,810

                                                                                  2,330

                                                                    300
                  106                               419
    2,570                             85

    FY18         FY19                FY20           FY21           FY22       FY23 & Beyond          Total

                Expansion prioritized in facilities that have a proven track record of
                          delivering 15-16% EBITDA margin in the past

            * Includes 200 beds of Saket FAR
            Bed Capacity as at April, 2018                                                                   28
B
         Onco Day Care Center: Operationalized in July’16, EBITDAR break even on
         the 3rd month
                                                                                                                         Figures in Rs. Lacs
                                                                                                                          439.2
• Standalone specialized facility away from          7th July:         Saket doctors                                                      389.6
                                                                                                                                  421.4
  the hospital to ensure comfort and care            X-ray             OPD started
                                                     started                     1st Sept:
  for our patients during chemotherapy
                                                                                 Ultra-sound                     275.3
  sessions                                                                       started
                                                   21st
                                                   June’16                                    216.4    218.5
                                                   Chemo
• Helps patients with their treatment and          started                                                           FY’18 EBITDAR margin of
  disease by providing a non-hospital                            36.0     51.8                                          18.7% and EBITDA
                                                                                       61.8                               margin of 9.9%
                                                    9.2
  environment and a highly efficient and
  expert experience                                 14th July'16 Aug'16 Sep'16 Q3'17 Q4'17 Q1'18 Q2'18 Q3'18 Q4'18
                                                  June'16
                                                                                                  Rev - Actual
• Key Differentiators:                          Daycare Chair turnover                                                      Channel Mix
                                                                                         IMRB Scores
                                                                                                                              (FY’18)
  o Strong clinical protocols                     H2'18                  0.9              Pan MAX              76%       Cash              44%
  o Staff specially trained in soft/service       H1'18                0.8
                                                                                          Oncology             79%
      skills                                      H2'17            0.6
                                                                                                                         TPA               20%

  o Personalized treatment                        Q2'17          0.4                      Onco DayCare         91%       Others            36%
                                                June'16 0.1

               Success of this centre has paved the way for opening more such centres; Work on for the 2nd
                      one in Gurgaon. Noida facility being also transformed to set-up Once DayCare

                                                                                                                                             29
B    Immigration Center: Revenue growth at 53% vs. LY

                                                                                     New Center
                                                             Revenue (Rs. Cr.)
                                                                                      opened

                                                                                                  17.0

                                                                                  11.1
                                                                     7.0

                                                                     FY’16        FY’17        FY’18

                                                             Volume (‘000)                    122.3

                                                                                  77.6
                                                                     62.0

                                                                     FY’16        FY’17           FY’18

Success of this centre has paved the way for opening more such centres; Work on for the 2nd one in Mohali

                Figures in Rs. Cr.                                                                        30
C
       Max Lab: MHC has shown consistent growth in the non-captive business
       over the last one and half years by leveraging its assets

Building blocks in place to achieve the growth                     Revenue (Rs. Cr.)
aspiration
Network Expansion                                                                       +241%
• Network of 580+ partners                                                                                   7.7
• Over 250 active partners in March
• Started operations in NCR, Punjab, Faridabad, and                                                5.4
   Uttarakhand
• Added 2 HLMs, over 450+ beds                                                   2.9
                                                                         2.2

Technology
• CRM platform for Sales Team for Team monitoring, Lead
                                                                     H1’17      H2’17             H1’18     H2’18
    creation, Partner management
• Upgrading LIMS for enhanced service delivery – project
    implementation underway                                        Samples* (‘000)
• Max Lab website under development                                                       +901%
                                                                                                            102.9
Operations
• Sales team expanded to 21 from 8 (Mar)
• Successful launch of Matrika, Monga HLM                                                          55.1
• Serviced over 100,000 orders in 9 months
                                                                                 21.5
Organization                                                             10.3
• Team size grew to 175 (35 in Mar17)
• Extensive Training sessions for staff / franchisee staff           H1’17 A    H2’17 A           H1’18 A   H2’18 A

                   * Pathology samples from Max@Home are also included
                                                                                                                      31
C
        Max@Home: With Rs. 1.5 – 2 Cr. of investment till date, business stands at
        ~Rs. 28 Cr. revenue in FY18
                                                                    Revenue (Rs. Cr.)
Home Sample Collection                                                                          +165%
• 24*7 coverage
                                                                                                                     27.6
• 16% revenue contribution through out-of-hospital channels in
  Q4
• 19% repeat business in Q4                                                   10.4               9.6

Medicine home delivery
• 20% increase in volumes from 5636 (Q3) to 6762 (Q4)                        FY 16              FY 17            FY 18
• Increased repeat business from 12% (Q3) to 16% (Q4)
                                                                     New services                0.26   6%    2.74     50%   20.41    74%

Critical care nursing
• Critical care nursing service launched; Over 14 patients served    Existing services           3.88   94%   2.75     50%   7.14     26%
  in Q4
                                                                    Volumes (‘000)
New territory- Mohali
                                                                                                  +218%
• Nursing and GDA launched in addition to sample collection
  and pharmacy delivery                                                                                         38.5           41.9
                                                                                                   31.3
Max@home B2C platform                                                                    19.6
                                                                         13.2
• ~450 tech features ; ~30 processes; 5 service line journeys
• Wireframes for ~20 roles across portal, mobile app & tablet
                                                                        Q4’17 A      Q1’18 A     Q2’18 A      Q3’18 A        Q4’18 A

                                          Steady state EBITDA margin ~25%

                                                                                                                                     32
C
      Teleradiology and Physiotherapy BU: Launching 2 new businesses in FY19
      with high market potential
                          Tele Radiology                                      Physiotherapy BU
            • International (US & western Europe): Rapidly
                                                               • Indian Rehab market is projected to grow at a CAGR
              growing market at ~18-20% CAGR (FY11-16)
                                                                 of 15% from FY15-FY20 to reach a market size of USD
              driven by digitally enhanced healthcare
                                                                 ~1.0 bn in FY20
              infrastructure and integration of
              teleradiology; market size of USD ~1.2 bn in     • Growth factors include rising elderly population
              FY18                                               (estimated to reach 323 mn by 2050), chronic
 Market     • International (developing – Africa): Lack of
                                                                 illnesses & increase in awareness
potential     radiologists; project growth in FY18-22 at 15-   • 70% of market is currently out-of-hospital (which
              20%                                                includes services @home and clinics), while
                                                                 hospitals focus primarily on their in-patients
            • Domestic: Market growing at ~10-12% CAGR
              (FY11-16) driven by widening network of
              high-speed broadband services, shortage of
              radiologists in tier-2 cities , etc.
                                                               • Create a Physiotherapy BU platform in FY19:
            • Pilots underway in both domestic and
              international markets                              o In house and integrate to ensure best practices
                                                                   and standardization of service delivery
 MHC’s      • 5 clients – 4 domestic, 1 international –
              signed within 6 months of operations               o Create well defined care plan owned by
 plan                                                              physiotherapist that is additionally signed off by
                                                                   the treating clinician
                                                                 o Offer niche services such as Speech Therapy,
                                                                   Sports physiotherapy, Mental Health etc.

                                                                                                                     33
MAX INDIA LIMITED
MAX BUPA HEALTH INSURANCE LIMITED

www.maxbupa.com                     www.maxindia.com

                                                 34
A symbiotic partnership in health insurance

                                                                  +                               Helping people live longer,
                                                                                                  healthier, happier lives
                   In the business of Life
What we do

                                                                  Domestic Health Global Health Dental and Travel
                                                                                                                  Advice Primary Care
                                                                    Insurance      Insurance       insurance                Clinics

                                                                                       Dental clinics         Aged Care

             ► Diversified group with interests in insurance,         ► Leading international healthcare group present across 190+
               healthcare, manufacturing, real estate, learning         nations, provides personal and company health insurance,
               and senior living                                        runs care homes for the elderly and hospitals in addition to a
Highlights

                                                                        range of health services
             ► Founded in 1985 with an entry in the bulk
               pharma business, Max has evolved into one of           ► Founded in 1947 in the UK, Bupa employs over 86,000
               the leading health services organizations in             people across UK, Australia, Spain, Hong Kong, Poland, New
               India                                                    Zealand, Chile, Brazil, Thailand, Saudi Arabia, India and the
                                                                        US
             ► Over INR 191 billion in revenues, serving over
               10 million customer with 25,000 employees and          ► Revenues of over £11 billion, over 70% coming from health
               2900 doctors.                                            insurance covering over 16.5 million customers

                                   Max Bupa is a 51:49 joint venture between Max Group and Bupa

                                                                                                                                    35
Our Vision and Mission

           Vision                             Mission

     To be the most admired               To help customers live
   Health insurance company in          healthier, more successful
               India                                lives

 Caring   Respectful     Ethical   Accountable Trustworthy Enabling

                                                                     36
Health insurance retail landscape
       The retail health insurance market is expected to reach INR 630 billion by 2025
                                  growing at a CAGR of 22%

    Retail Health Insurance – Market Size   Factors driving growth
(GWP INR Billion)
                                                                          16%+ affluent household by 2025, doubling
                                               Rising affluence and      current level of 8%
                                                   urbanization           48 cities expected to have >40% affluent
                                                                         household vs. 0 cities currently
                                   630
                                                                          India expected to have over 350 M people > 50
                                                                         years by 2030
                                                Ageing population
                                                                          Increasing demand expected by this segment
                                                                         along with evolution of product suite

                                                                          Rapidly growing incidence of cancer, cardio-
                    22%                       Rise in chronic disease    vascular diseases (CV) and diabetes
                                                     incidence           Cancer, CV and diabetes form ~28% of health
                                                                         expenditure which is expected to grow further

                                                                          Over 20% annual healthcare inflation coupled
                                             Increasing medical cost &
                                                                         with high out-of-pocket expenses (62%)
                                                     high OOP            expected to drive demand further
            158
                                                                          650 M mobile internet users by FY20, ~1.7x from
                                            Internet penetration and E- current ~390 M
                                                 commerce growth         400-450 M digitally influenced shoppers by 2025
                                                                         expected to drive break-out digital channel growth
           FY'18                   FY'25

                    Source: KPMG
                                                                                                                              37
Industry landscape
             Industry growth during FY’18*                              SAHI growth during FY’18*                        MBHI growth
Segment-wise GWP (INR Cr)                                                                                                  FY’18

                                   23%                                                41%

                                                37,200                                         7,814
                                                                                                  9
                                                 3,000
                  30,363                                                                        1,564
      B2G          2,637                                                   5,532
                                               18,388             B2G          14                                             27%
                                                                  B2B 1,091
      B2B         15,256
                                                                                                6,241                  Overall sales growth
                                                                  B2C      4,426
                                                15,812
      B2C         12,469

                   FY’17                         FY’18                     FY’17                FY’18

    • Most of B2C growth in SAHI space is contributed by SAHIs which have invested over last 3 years and expanded their branch and
      Banca network

    • SAHI B2B growth at 43% vs overall 21% industry growth.

    • SAHIs are growing @ 41% - Faster than the industry

 * Numbers are excluding Overseas medical and personal accident

                                                                                                                                      38
Journey since inception

                          GWP, Rs cr                                                                                                                                                                                     755
                                                                                                                                                                                                           27%
                                                                                                                                                                                               594
                xx%       Y-o-y growth                                                                                                                                            25%
                                                                                                                                                                    476
                          CAGR                                                                                                                        28%
                                                                                                                                      373                                                                            FY17-18
                                                                                                                      18%                                                                        FY16-17
                                                                                                     309
                                                                                    53%                                                                                 FY15-16
                                                                     207                                                                  FY14-15
                                                        108%
                                            99                                                            FY13-14
                           296%
            26                                                            FY12-13

                                            FY11-12

                    FY10-11
Segment

                •   B2C               •   Entered B2B    •   Entered B2G - First RSBY   •   Prioritized B2C
                                          business           scheme won

                •   Agency                                                              •   First Banca partnership         •   Launched three more      • Launched 4 partners     • Launched Bank of      • Industry first digitally
                •   Direct channels                                                         (Deutsche bank)                     banca partnerships                                                           enabled product
Channel

                                                                                                                                                           (Sarv UP, Muthoot,       Baroda serving more
                •   TPD                                                                 •   Rationalized TPD2                                              Coverfox, Bank           than 5,400 branches      ‘GoActive’ launched
                                                                                                                                                           Bazaar)                                           on 13th Feb’18

                                                                                                                                                                                                           • Commenced
                                                                                                                                                                                                             business with South
                                                                                                                                                                                                             Indian bank
                • In-house                               •   Launched ‘Walk for Health’,•   Reached ~3,100 network          •   30-min claims            • CRM launched            • Standing Instructions • Launched India’s
Service model

                    claims                                   annual brand property          providers                           settlement (92% cases)                               for auto renewal        first “Any time
                                                                                                                                                         • Walk for Health went                              health” machine
                    processing                                                                                                                             national touching 33    • First ‘embedded’
                                                                                                                                                           MM lives                  product launched at   • Launched Point of
                                                                                                                                                                                     Federal bank            care desks for
                                                                                                                                                                                                             customer delight

                                                                                                                                                                                                                             39
Healthy growth with consistent improvement in combined ratio
                                     B2C             B2B              B2G
Gross written premium (Rs cr)

                                                                                                                  755
                                                                         +30%                                     14
                                                                                                  594                     4
                                                                                                  6 4                                      Max Bupa’s focus has been on
                                                                                  476
                                                                                                                                            the B2C segment since
                                                                  373             6 4
                                                                                                                                            inception
                                                  309             18 1                                           736
                                  207             56 8                            466
                                                                                                 584
                                                                                                                                           While it is harder to build a
                                   38 7                           354
                                  162             245                                                                                       B2C book (linear customer
                                                                                                                                            acquisition vs. lumpy demand
                                 2012-13        2013-14         2014-15         2015-16         2016-17         2017-18                     of B2B or B2G), Max Bupa has
                                                                                                                                            grown at 27%, faster than
                                                                                                                                            market (market growth ~23%
                                                                                                                                            for FY’18)
Combined Ratio* (%)

                                151%           142%                                                                                        B2C focus driven operating
                                                               127%             118%                                                        model choices and some
                                                                                                116%             109%                       execution challenges have
                                                                                                                                            resulted in higher upfront opex
                                                                                                                                            spend

                                2012-13       2013-14          2014-15         2015-16          2016-17         2017-18

                                   * Combined ratio = Claim ratio (Net claim incurred / Net Earned premium) + Opex ratio (Opex / GWP) +
                                   Commission ratio (Net commissions / GWP)
                                   Combined ratio for FY 17-18 basis IRDAI definition is 104%                                                                                 40
Max Bupa today
  In a large, fast growing market Max Bupa delivers 2.8m customers, a vast
                     distribution network and leading brand

Focus on B2C segment from inception

Investments in direct channels to support the “pull” model; Premium
infrastructure (office locations and size) in line with overall positioning

Launched first to industry innovations - Highest Sum Insured options,
No age restriction for enrolment, No claim loading, Guaranteed
renewability, No 2 year waiting period
                                                                                                                            1st of its kind,
                                                                                                                           Digitally enabled
                                                                                                                          wellness product -
Max Bupa is the only insurance company with an annual                                                                          GoActive
brand property - Walk for Health initiative

                                                                                                    62mn* lives touched
Customer service is a key focus area –                                                               through Walk for         2.8m total
~78% of customers rate claims                                                                              Health             customers
experience with Max Bupa as very good                                                                   (2017-2018)
or excellent
                                                                                11,900 agents

                                                                                                     4,064 providers in
                                                                                                          network          GWP Rs. 755 cr
                                                                                                                             (FY’18)
                                                                               7 banca partners
                                                                              with 8,800 branches
                                                          1,900 employees      accessing 101mn
                                                            30 branches            customers             98% B2C             27% Growth
                                                                                                         business              (FY’18)**
               For the period ended Mar, 2018
               *Duplicate reach across mediums
                                                                                                                                           41
               **Growth over same period last year
Comprehensive product suite

          Heartbeat                   Health Companion                   Health Assurance

                                      An indemnity product with        A fixed benefit product with
    Our flagship indemnity
                                       refill benefit, alternative     unique 3-in-1 combination of
    product with the most
                                    treatments & Extended Family        personal accident, critical
   comprehensive coverage
                                           First proposition              illness & hospital cash

 Key features include               Key features include               Accident Care:
 hospitalization costs including:   hospitalization costs including:
                                                                       ► Accidental death benefit
 ► State of art coverage -          ► No limit on room rent and pre
                                                                       ► Accidental Permanent Total
   Cashless international             and post hospitalization
                                                                         Disability
   coverage (market first)            expenses
                                                                       ► Accidental Permanent Partial
 ► Lowest (2 years) pre-existing    ► Added protection with Unique
                                                                         Disability benefit
   disease waiting period             Refill benefit
                                                                       Critical Illness:
 ► Out Patient benefits             ► All day care procedures
                                      covered                          ► Covers 20 critical illnesses
 ► AYUSH benefits
                                    ► Unmatched renewal benefits       ► 2 options: Lump sum & Lump
 ► Maternity & New Born benefits
                                    − No Claim Bonus (No reduction       sum + staggered pay-out for 5
 ► Coverage from Day 1 for            in case of claims)                 years
   accidents                        − Health check ups to help keep    Hospital Cash:
 ► Waiver of 24 months waiting        track of the health condition
                                                                       ► Daily cash benefit & double
   period for specific conditions   ► AYUSH in-patient treatment
                                                                         cash benefit for ICU
   below 45 yrs
                                    ► Super top up
 ► Loyalty benefit at renewal

                                                                                                         42
Comprehensive product suite

                 GoActive                       Group Platform

        A digitally enabled, new age            A group product with
         customer centric product            customized propositions by
         offering that will serve the          selecting from over 35
        everyday health needs of the            product features and
                  customer                           parameters

        Key features includes:              Group Health Insurance
                                            includes:
        ► Lifetime discount of 10% of
          premium if purchased at or        ► Group cover for hospitalization
          before 35 years age                 benefit
        ► Upto 10 OPD consultations         Group Personal Accident:
          included in the cover
                                            ► Accidental Death , Permanent
        ► Health coach option to enable       Total & Partial Disability
          customers remain fit and
                                            Loan linked group critical
          healthy
                                            illness
        ► Second medical opinion
                                            ► Loan linked cover for 25 critical
        ► I-protect option to increase SI     illnesses
          by 10% every year
                                            ► Single pay up to 5 years
        ► Annual health check-
                                            Group medical cover
          up/diagnostics of customers
          choice                            ► Customizable product for
                                              employer employee groups –
                                              B2B

                                                                                  43
Distribution architecture

                                                   Largest distribution channel for the company
                                                   Spanning 29 branches across 19 cities
  Agency                                           Over 50% contribution in overall revenue
                                                   Frontline sales force of ~400 Agency Managers ~11,900 agents
                                                   One of the most productive agency force amongst SAHIs (Standalone Health Insurers)

                                                 7 Banca partnerships (2 foreign banks, 4 Indian banks and 1 rural bank), the highest
                                                  numbers amongst SAHIs
                                                  • Network of 8,800 bank branches across the country
 Banca &                                          • 616 FOS (included 7 of NBFC)
 Alliances                                       3 NBFC tie-ups (Capital First, Muthoot, Bajaj Finserv)
                                                 Brokers (Bajaj Capital, NJ Brokers, Shriram)
                                                 Rural business (RSBY)

                                                   One of the largest captive tele-sales unit
                                                   Capacity of 108 out-bound tele-callers
  Digital                                          State-of-the-art technology infrastructure (Dialer / CRM) with secure environment
                                                   Online sales through MBHI website & web aggregators (6 partners, including Policy
                                                    Bazaar – a leading industry player)

                                                 Dedicated sales-force
Direct sales                                     55 full-time employees to address high-net worth individuals’ needs
                                                 Spread across top 4 metros

            Distribution updated for Jan 2018

                                                                                                                                         44
Channel wise Performance (FY16 to FY18)

                                          45
Innovations at Max Bupa

                          46
Strategic priorities – strengthening the foundation

   A
       Provider of choice in the
       Affluent segment in urban
       India
                                                                   Remarkable
                                            People                   customer
                                             First 1                experience
                                                                2
       Broad base the franchise
   B   with partnerships & alliances
                                                       Customer
                                                        Centric
                                                 5     Profitable   3
       Build a Customer centric,                        Growth
       Compliant & Cost conscious
   C   Culture
                                       Build
                                                           4
                                                                        Profitable
                                       Digital                           Growth

       Digitally enable end to end
   D   customer journey
                                                 Portfolio Management
                                                      - Renewals

                                                                                     47
Key Initiatives for FY19

                           48
External recognition

                       49
Disclaimer
This presentation has been prepared by Max India Limited (the “Company”). No representation or warranty, express or implied, is made and
no reliance should be placed on the accuracy, fairness or completeness of the information presented or contained in the presentation. The
past performance is not indicative of future results. Neither the Company nor any of its affiliates, advisers or representatives accepts liability
whatsoever for any loss howsoever arising from any information presented or contained in the presentation. The information presented or
contained in these materials is subject to change without notice and its accuracy is not guaranteed.

The presentation may also contain statements that are forward looking. These statements are based on current expectations and
assumptions that are subject to risks and uncertainties. Actual results could differ materially from our expectations and assumptions. We do
not undertake any responsibility to update any forward looking statements nor should this be constituted as a guidance of future
performance.

This presentation does not constitute a prospectus or offering memorandum or an offer to acquire any securities and is not intended to
provide the basis for evaluation of the securities. Neither this presentation nor any other documentation or information (or any part thereof)
delivered or supplied under or in relation to the securities shall be deemed to constitute an offer of or an invitation.

No person is authorised to give any information or to make any representation not contained in and not consistent with this presentation
and, if given or made, such information or representation must not be relied upon as having been authorised by or on behalf of the Company
any of its affiliates, advisers or representatives.

The Company’s Securities have not been and are not intended to be registered under the United States Securities Act of 1993, as amended
(the “Securities Act”), or any State Securities Law and unless so registered may not be offered or sold within the United States or to, or for
the benefit of, U.S. Persons (as defined in Regulations S under the Securities Act) except pursuant to an exemption from, or in a transaction
not subject to, the registration requirements of the Securities Act and the applicable State Securities Laws.

This presentation is highly confidential, and is solely for your information and may not be copied, reproduced or distributed to any other
person in any manner. Unauthorized copying, reproduction, or distribution of any of the presentation into the U.S. or to any “U.S. persons”
(as defined in Regulation S under the Securities Act) or other third parties ( including journalists) could prejudice, any potential future
offering of shares by the Company. You agree to keep the contents of this presentation and these materials confidential.

                                                                                                                                                50
ANNEXURES

            51
MHC - Board of Directors
                                                                Ms. Roshini Bakshi
        Mr. Rahul Khosla (Chairman)
                                                                Managing Director, Everstone Capital Asia (Singapore)
        President – Max Group
                                                                Extensive global management experience; Bachelors
        Seasoned business leader with over 30 years of deep
                                                                in Economics from St Stephen’s College, Delhi and
        global experience in Banking and Financial markets.
                                                                MBA from IIM Ahmedabad.

       Dr. Omkar Goswami
                                                               Mr. Mohit Talwar
       Economist and Leading Academic
                                                               Managing Director at Max India Ltd. & Max Financial
       Serves on Board of many Indian MNCs including Dr
                                                               Services Ltd., Over 30 years of experience in Corporate
       Reddy’s, Infosys, IDFC, Crompton Greaves, Cairn
                                                               Finance and Investment Banking.
       India Ltd. etc
                                                               Mr. Rajit Mehta
       Mr. Kummamuri Murthy Narasimha
                                                               Managing Director & CEO- Max Healthcare
       Independent Director; Leading Finance professional
                                                               Over 20 years of experience in financial services.
       associated with the development of Cost &
                                                               Previously Chief Operating Officer at Max Life
       Management Information Systems for over 150 firms
                                                               Insurance.
        Dr. Ajit Singh                                        Mr. Adam Pyle
        Partner at Artiman Ventures, focusing on early-       Non Executive Director and Group Executive, Strategy
        stage technology & life science investments           and Investor relations, Life Healthcare Group.
        PhD in Computer Science from Columbia University      Commerce and Law graduate and currently
                                                              responsible at LHC for driving the international strategy.
        Dr. Pradeep Kumar Chowbey, Padmashri                  .Mr. Pieter Van Der Westhuizen
        Director of Max Institute of Minimal Access,          Non Executive Director and Chief Financial Officer, Life
        Metabolic and Bariatric Surgery. More than 35 yrs     Healthcare. Part of the LHC group for last 17 years and
        of experience in Lap Surgery                          has fulfilled various financial roles

        Ms. Tara Singh Vachani                                  Dr. Shrey Balaguru Viranna
        Chief Executive Officer and Managing Director of        Non Executive Director and Group CEO at Life
        Antara Senior Living                                    Healthcare Group. Dr. Shrey is a medical doctor by
        A natural leader, she represents the dynamic new        training and has extensive experience in the heathcare
        cadre of young women entrepreneurs in India             industry

                                                                                                                     52
MHC – Management Team

     Mr. Rajit Mehta                                                Mr. Yogesh Sareen
     Managing Director & CEO- Max Healthcare                        Senior Director & Chief Financial Officer
     Over 20 years of experience in financial services.             Over 20 years of experience in across all facets of
     Previously Chief Operating Officer at Max Life                 finance; previously CFO of Fortis Healthcare.
     Insurance.

                                                                    Mrs. Swati Rustagi
     Mr. Rohit Kapoor                                               Senior Vice President & Chief People Officer
     Senior Director & Chief Growth Officer                         Over 17 years of experience in HR across FMCG,
     18 years of diverse experience across industry and             Financial Services and Health Care sectors. Previously
     management consulting with McKinsey & Company                  global head of HR at Glenmark Pharmaceuticals

     Mr. Anil Vinayak                                               Mr. Anas Wajid
     Director & Zonal Head – NCR 1                                  Director - Sales & Marketing
     Over 23 years of experience in Business Management             More than 17 years of experience in diverse fields such
     and Sales & Marketing; previously with Amex                    as advertising, retail , healthcare and media. Previously
                                                                    Head, Sales and Marketing at Fortis Healthcare

     Dr. Sandeep Buddhiraja                                         Mr. Sumit Puri
     Director - Clinical Directorate & Institute of Internal Med.   Director- IT & Chief Information Officer
     Over 23 years of experience in the field of Internal           Over 21 years of experience in varied industries
     Medicine                                                       such as Health/ Life Insurance, IT/ITES, and
                                                                    Consulting; previously CIO of Prudential Life
                                                                    Assurance
     Mrs. Vinita Bhasin
     Director - Service Excellence & Customer Operations
     More than 19 years of in-depth experience across the
     Financial Services sector; previously with Max Life
     Insurance

                                                                                                                          53
Key Physicians

       Dr. Pradeep Kumar Chowbey, Padmashri                                     Dr. K. K. Talwar
       Director of Max Institute of Minimal Access, Metabolic                   Chairman - Cardiology, Max Healthcare
       and Bariatric Surgery.                                                   Clinical experience of more than 39 years
       More than 35 yrs of experience in Lap Surgery,                           Former Head, Department of Cardiology, AIIMS
       completed 70K+ major Lap procedures

                                                                                Dr. Anant Kumar
       Dr. Sandeep Buddhiraja                                                   Chairman – Urology,Renal Transplant, Robotics(Max
       Director - Clinical Directorate & Institute of Internal Med.             Saket Complex) and Uro-Oncology Max Saket
       Over 23 years of experience in the field of Internal                     2200 Kidney Transplantations in the last 25 years
       Medicine                                                                 and over 1500 lap donors nephrectomy

                                                                                 Dr. Subhash Gupta
       Dr. Harit Chaturvedi                                                      Chairman - Liver Transplant & Biliary Sciences
       Chairman – Cancer Care, Director & Chief Consultant -                     2,200+ liver transplant surgeries & over 30 year
       Surgical Oncology                                                         experience in Liver Transplants
       Over 25 years of experience in Surgical Oncology.                         Recipient of the BC Roy award

                                                                      Strong consultant bench strength of 350+ across
       Dr. A.K. Singh                                                 specialities :
       Director – Max Institute of Neurosciences, Dehradun
       Renowned Neurosurgeon having 40 years experience                Cardiac – 100+
       Recipient of the BC Roy award
                                                                       Oncology – 50+
        Dr. Anurag Krishna                                             Orthopaedics – 50+
        Director- Paediatrics & Paediatrics Surgery
        Over 20 years of experience in Paediatric surgery -            Neurosciences – 50+
        complex congenital malformations
                                                                       Renal – 50+
                                                                       MAMBS – 25+

                                                                                                                                    54
MHC Network* – Performance Dashboard (Q4 & FY18)
                                                      Quarter Ended                           Y-o-Y                  Year Ended                            Y-o-Y
Key Business Drivers
                                                    Mar-18     Mar-17                        Growth               Mar-18     Mar-17                       Growth
a) Financial Performance
    Revenue (Gross)                                           670                  628                  7%               2,787               2,567                   9%
    Revenue (Net)                                             621                  604                  3%               2,619               2,454                   7%
    Direct Costs
    Material Cost                                            160                 148                 8%                   657                 614                  7%
    Clincian Payout                                          108                 102                 6%                   458                 416                 10%
    Contribution                                             353                 354                 0%                 1,504               1,424                  6%
    Contribution Margin^                                   56.8%               58.5%           (170) bps                57.4%               58.0%             (61) bps
    Indirect Costs
    Personnel Cost                                            177                143                24%                    688                589                17%
    Other Indirect overheads                                  106                101                 5%                    458                430                  6%
    HO Costs                                                   37                 32                17%                    136                123                10%
    EBITDA                                                     32                 78               -58%                    222                281               -21%
    EBITDA Margin^                                           5.2%              12.8%           (763) bps                  8.5%              11.4%           (298) bps
    Finance Cost                                               30                 30                 1%                    129                133                 -3%
    Cash Profit                                                 2                 48               -95%                     92                148               -38%
    Depreciation                                               36                 33                11%                    138                124                11%
    Profit /(loss) before tax                                (34)                 15              -326%                   (46)                 24              -291%
    Tax                                                         1                  0                 0%                      4                  -                    -
    Profit /(loss) after tax                                 (35)                 15              -332%                   (50)                 24              -308%
b) Financial Position
    Net Worth                                                                                                            1,071               1,121                 -4%
    Net Debt                                                                                                             1,227               1,093                 12%
    Fixed Assets - Gross Block**                                                                                         2,131               2,035                  5%
                 *The above results are for MHC Network of hospitals and includes results for Max Super Specialty Hospital, Saket, unit of Devki Devi Foundation, Max
                 Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre & Saket City Hospital unit of
                 Gujarmal Modi Hospital & Research Centre; ^ on the basis of net revenue; ** Excludes Goodwill on Acquisition                                         55
MHC Network* – Performance Dashboard (Q4 & FY18)
                                                                     Quarter Ended                     Y-o-Y                Year Ended                           Y-o-Y
             Key Business Drivers
                                                                    Mar-18    Mar-17                  Growth             Mar-18     Mar-17                      Growth
a) Patient Transactions (Nos. in lacs)
    Inpatient Procedures                                                   0.44             0.44               0%                2.02                 1.89                7%
    Day care Procedures                                                    0.10             0.13             -19%                0.48                 0.49               -2%
    Outpatient Registrations                                              16.47            15.84               4%               67.93                64.41                5%
    Total                                                                 17.02            16.41               4%               70.44                66.79                5%

b) Average Inpatient Operational Beds                                     2,372            2,291               4%               2,378                2,330               2%

c) Average Inpatient Occupancy                                           71.7%            70.0%         162 bps                73.1%                72.1%         101 bps

d) Average Length of Stay (days)                                           3.45              3.25             -6%                 3.14                3.25               3%

e) Average Revenue/Occupied Bed Day (Rs)                                43,810           42,477                3%             43,946               41,187                7%

f) Other Operational Data
    Physicians                                                                                                                  2,882                2,692                7%
    Employees                                                                                                                   9,605                8,711               10%
    Customer Base (in lacs)                                                                                                      42.3                 35.7               18%

                  *The above results are for MHC Network of hospitals and includes results for Max Super Specialty Hospital, Saket, unit of Devki Devi Foundation, Max
                  Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre & Saket City Hospital unit of
                  Gujarmal Modi Hospital & Research Centre; ^ on the basis of net revenue                                                                                56
MHC Network Hospitals (Saket* & East Delhi^ Complex)
– Performance Dashboard (Q4 & FY18)

                                                           Unit          Quarter Ended                      Y-o-Y              Year Ended                         Y-o-Y
         Key Business Drivers
                                                                        Mar-18 Mar-17                      Growth            Mar-18 Mar-17                       Growth
Saket Complex
a) Financial Performance
       Revenue(Net)                                       Rs. Cr               245              233       5%                      1,004               914      10%
       EBITDA                                             Rs. Cr                31               38     -18%                        122               121        1%
       EBITDA Margin                                        %                12.8%            16.4% (361) bps                     12.2%             13.3% (111) bps
b) Average Inpatient Operational Beds                      No.                 763              743       3%                        744               748       -1%
c) Average Inpatient Occupancy                              %                76.9%            71.6% 536 bps                       76.5%             71.1% 539 bps
d) Average Revenue/Occupied Bed Day                         Rs.             49,800           49,982       0%                     51,338            49,091        5%
e) Average Length of Stay                                 (days)              3.87             3.30     -17%                       3.41              3.23       -6%
East Delhi Complex
a) Financial Performance
       Revenue(Net)                                                            161              157        3%                       671               632       6%
       EBITDA                                             Rs. Cr                11               23     -54%                         75                90     -17%
       EBITDA Margin                                        %                 6.6%            14.8% (820) bps                     11.2%             14.3% (312) bps
b) Average Inpatient Operational Beds                      No.                 695              711       -2%                       695               659       5%
c) Average Inpatient Occupancy                              %                76.2%            73.7% 253 bps                       77.8%             76.8%    96 bps
d) Avg. Revenue/Occupied Bed Day                            Rs.             37,502           35,212        7%                    37,115            36,355       2%
e) Average Length of Stay                                 (days)              3.49             3.80        8%                      3.16              3.74      16%

               *Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) & Max Smart (unit of Smart Hospital & Research Centre) hospital
               ^East Delhi Complex includes Max Patparganj (unit of Balaji Medical and Diagnostic Research Centre) & Max Vaishali hospital
                                                                                                                                                                            57
MBHI - Board of Directors
                                                                                        Mr. Murthy entered the Profession of
       Rajesh Sud          Rajesh Sud is the CEO and Managing         K Narasimha       Cost & Management Accountancy in
                           Director of Max Life Insurance, one of
       Chairman &          the first three private life insurers to
                                                                      Murthy            1983. He is associated with the
       Director                                                       Director          development of Cost & MIS for more
                           start operations in 2001
                                                                                        than 150 companies

                           Rahul Khosla is the President of Max                         John joined Bupa's Board as a Non-
       Rahul Khosla                                                                     Executive Director in July 2011. He is
                           Group and Executive President, Max         John Howard
       Co-Vice                                                                          Chairman of Bupa’s Audit Committee
                           Financial Services. He is a seasoned       Lorimer
       Chairman &          business leader with 30 years of                             and a member of Bupa's Risk
                                                                      Director          Committee and UK Regulated Entities
       Director            experience in India & globally
                                                                                        Board

       David Fletcher      David commenced in the new role of                           Ms. Theron is a Principal of Erlen
                           Chief Risk Officer in January 2017. He                       Street Corporation, Switzerland, a
       Co-Vice                                                        Marielle Theron
                           has been with Bupa since 2014 in                             company that specialises in strategic
       Chairman &          senior roles including Chief Internal      Director          investment and management
       Director            Auditor and MD of IDM.                                       consulting solutions

                           Joy is the CFO of Bupa Plc. She has
       Joy Linton                                                                       Pradeep is a highly experienced senior
                           over 25 years’ experience in financial     Pradeep Pant
                                                                                        business leader, now involved in
       Director            and strategic roles in Australia and the   Director          business consulting and education
                           UK.

                                                                                        Ashish has over two decades of
                           Mohit is the Managing Director of Max
                                                                      Ashish            extensive banking experience. In his last
                           Financial Services and Max India. He
       Mohit Talwar                                                                     role as MD and Head for Retail division
                           has an experience of over 30 years in      Mehrotra          of Citibank in India, he was pivotal in
       Director            Corporate Finance and Investment           MD & CEO          enabling bank gain a leadership position
                           Banking.
                                                                                        in the wealth management business

                                                                                        Mr. D. K. Mittal is a former Indian
                           Dr. Burjor Banaji is an ophthalmic
                                                                      D.K. Mittal       Administrative Service (IAS) officer of
       Dr. Burjor Banaji                                              Independent       1977 batch (UP cadre) and has served
                           surgeon who introduced several firsts
       Director            in the field of ophthalmology to India     Director          the government of India in various
                                                                                        capacities.

                                                                                                                            58
MBHI – Management Team
                            Ashish has over two decades of
                                                                                            With over 18 years of experience,
                            extensive banking experience. In his last
     Ashish                                                             Vikas Gujral        Vikas joins us from Max Life
                            role as MD and Head for Retail division
     Mehrotra                                                           Chief Operating     Insurance. Prior to Max Life, he has
                            of Citibank in India, he was pivotal in
     MD & CEO                                                           Officer             worked with Bharti Airtel and GE
                            enabling bank gain a leadership position
                                                                                            Capital.
                            in the wealth management business

                            Rahul has wide domain expertise built
     Rahul Ahuja            over 19 years mainly in corporate
     Chief Financial        banking, financial services and                                 Anurag joins Max Bupa from Max Life,
     Officer                telecom.                                    Anurag Gupta        where he has held a number of senior
                                                                        Head – Agency       roles across distribution and product
                                                                                            management over a decade.
                           Aseem has nearly two decades of
     Aseem Gupta           experience in sales and distribution
     Head – Portfolio      and has worked across channels -
     Management & Affinity Agency, Banca, Special markets &
     Channels                                                                               Tarun has joined us from for Sistema
                           Direct Sales.                                Tarun Katyal        Shyam Teleservices. He has over 25
                                                                        Chief Human         years of experience across retail &
                                                                        Resources Officer   manufacturing industries, including
                            Priya is an adept healthcare                                    multi-national and Indian corporates
     Priya Gilbile          professional with more than 16 years
     Head – Health Risk     of experience in healthcare & health
     Management             insurance industry.
                                                                                            Atul has 15 years of experience in
                                                                        Atul Bhandari       product/process management &
                            Partha brings along 20 years of             Head – Banca        sales/distribution, he joined us from
     Partha Banerjee        diverse experience in Corporate,            and Alliances       CITIBANK NA, prior to which he
     Head – Legal &         Commercial, Taxation, IPR, Exchange                             worked in Standard Charted bank.
     Compliance             Control, M&A, Labour Laws and other
                            substantive and procedural laws.

                              Raman has joined us from                                      Anika heads the Marketing & E-
                              Cholamandalam MS General Insurance                            commerce verticals at Max Bupa and
                                                                        Anika Agarwal       is responsible for brand planning,
     Ramanan A V              where he was heading the Actuarial        Head – Marketing
                              department, he started his carrer as a                        digital media, communications,
     Actuarial head                                                     & Direct Sales
                              lecturer and has also worked with Tamil                       consumer insights, direct sales and E-
                              Nadu Electricity Board for 20 years                           commerce.

                                                                                                                                   59
Max Bupa – Performance Dashboard (Q4 & FY18)
                                                           Quarter Ended          Y-o-Y        Year Ended            Y-o-Y
                Key Business Drivers
                                                         Mar-18      Mar-17      Growth     Mar-18      Mar-17      Growth
a) Gross written premium income
   First year premium                                           89         67        32%          257        209        23%
   Renewal premium                                            161         126        27%          497        385        29%
Total                                                         249         193        29%          755        594        27%
b) Net Earned Premium*                                        209         163        28%          638        544        17%
c) Cash Profit /(Loss)                                         37          (9)      519%          39            8      386%
d) Pre tax Profit /(Loss)                                      33         (12)      371%          23          (4)      736%
e) Claim Ratio (B2C Segment, normalized)                      53%         53%      30 bps        55%         57%     180 bps
f) Avg. premium realization per life (B2C)                  8,176       7,242        13%        8,063      7,063        14%
g) Conservation ratio (B2C Segment)                           81%         80%      97 bps        82%         83% (160) bps
h) Lives In force in millions (including RSBY)                                                    2.8         2.4       17%
i) Number of agents                                                                           15,067      17,011        -11%
j) Paid up Capital                                                                                926        926             -
* Earned Premium higher by Rs 45 Cr (PY Rs 35 Cr) in Q4FY18 & Rs 23 Cr (PY Rs 53 Cr) in FY18 due to change in Unearned premium
   accounting from 1/365 method to 50% of net written premium, excludes the impact of reinsurance ceded

                                                                                                                          60
MAX INDIA LTD.
    Max House, Okhla, New Delhi – 110 020
Phone: +91 11 26933601-10 Fax: +91 11 26933619
         Website: www.maxindia.com

                                                 61
You can also read