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Private Equity Investing
              in Healthcare

  Africa Health Fund:
  Building Sustainable
Businesses In Healthcare




                                    1
Investing in Private Healthcare in Africa
Trends and Opportunities

•   Improving investment climate                              Breakdown of Private
     •      Increasing political stability
                                                           Investment Opportunities in
                                                                     Africa
     •      Experiencing continual GDP growth
     •      Foreign investment in Sub-Saharan       100%
                                                                                Medical
            Africa increased from $6b in 2000 to     90%                        Education
            $18B in 2005
                                                     80%
•   Demand exceeds supply - need to                  70%                        Risk Pooling
    expand capacity of sector
                                                     60%
     •      In Uganda, over 65% of the population    50%                        Life Sciences
            uses private health care
                                                     40%
     •      Need $11B-$16B in new health care
                                                     30%                        Distribution
            investments to meet growing demand
                                                     20%                        and Retail
                                                     10%
                                                                                Health
                                                      0%                        Services
         *Source: IFC Health in Africa Report                                   Provision
                                                                By Sector
Overview of Financing Options
Debt vs. Equity


              Debt                              Equity
• Source: Banks                     • Source: Private investors
• Provides loan to company          • Provides funding to company
• Bank is not involved in             in exchange for equity stake
  company, but loan is made           (example: $5M for 30% stake
  against an asset and must be        in company)
  paid in good and bad times


 How the Bank Makes its Return:      How the Private Investor Makes its
                                                  Return:
• Receives principal and interest   • Sells shares back to company or
  payments over a set time period      another buyer
                                    • Receives dividends from company
Differences Between Debt and Equity
Clear distinction between the two sources of capital

                                           DEBT        EQUITY

Interest Rate                               Yes         No

Interest Payments                           Yes         No

Principal Payments                          Yes         No

% of Equity in Business                      No         Yes

Dividend Payments                            No         Yes

Seat on Board of Directors                   No         Yes

Sell Shares to Another Buyer                 No         Yes
Spectrum of Equity Financing
Based on Company’s Stage in Development


      Early Stage: Venture Capital                Later Stage: Private Equity

                           Startup Stage                             Later Stage




     Seed Stage                                  Expansion Stage


 •    Financing available from venture       •   Financing available from private
      capital firms (VCs)                        equity (PE) firms
 •    VCs prefer start ups and are willing   •   PE firms prefer
      to take on more risk in exchange for       established, profitable companies
      a higher return                        •   Not willing to take on high
 •    Examples: Bridgeworks                      risk, expect lower returns than VCs
      Africa, Bioventures                    •   Examples: Aureos Capital, Abraaj
Why You Should Consider Private Equity
Private equity can accelerate your growth

• Have flexibility if there is an economic downturn
• Company’s credit rating improves and it becomes more attractive to
  banks and investors
• Improved governance practices
• Private equity firms have networks that you can tap into
• Technical assistance is provided
• Follow on funding can be provided to support your growth
The Africa Health Fund (AHF)
  Aureos Committed to Private Health Care Investment

             Overview                                        Objectives

Fund Size:   US $105.4 million                -   Invest in socially responsible and
                                                  financially sustainable private health
Investors:   IFC, Gates Foundation, African       care companies in Africa.
             Development Bank, DEG, Elma      -   Expand health care services and
             Foundation, Maria Wrigley            products so that low income
             Trust, ASN Bank, Proparco,           populations in Africa have access.
             Norfund, DBSA

Deal Size:   $250K - $5M

Deal Type:   Equity and Quasi-Equity
             (Debt+Equity)

Deal Term:   3-7 years
Health Fund Investment Profile
Aureos in the Health Sector in Africa


        Target Investee Profile                Subsectors of Focus

  •   Privately owned
  •   Operating at least 2 years             Healthcare
                                             Delivery       Risk Pooling
  •   Generating at least $1M in turnover    Service
  •   Profitable

                                            Diagnostics    Manufacturing



                                                               Retail
                                            Distribution
                                                             Pharmacy


                                                     Health ICT
                                                     Business
                                                      Services
Technical Assistance Facility
Further Support for Portfolio Companies

•    Provides a range of business development services to portfolio companies by
     strengthening and developing business growth strategies, including:
     •   Strengthening of financial controls
     •   Enhancement of operations, finance and management systems
     •   Building and strengthening management capabilities
     •   Assisting with product and services development
     •   Performing feasibility studies, industry research, maintain international health related
         compliance standards
     •   Appointment of experienced practitioners/advisers at board or senior management
         level
•    Technical Assistance Facility will enable the Fund to:


    Provide guidance, training and value addition in portfolio companies’ key operational areas

    Maximise impact of increasing access to quality healthcare within low income populations
Thank You
       Contact Information:
          Shakir Merali
              Partner
Aureos Kenya Managers Limited
    Tel: + 254 20 222 8870
Email: shakir.merali@aureos.com




•This financial promotion is issued by Aureos Advisers Limited which is authorised and regulated by the Financial Services Authority (“FSA”). All
Aureos Funds (the “Funds”) are defined as “Unregulated Collective Investment Schemes” (“UCIS”) and the promotion of a UCIS either within the
UK or from the UK is severely restricted by statute. Consequently, this document is only made available to professional clients and eligible
counterparties as defined by the FSA and also to persons of a kind to whom the Fund may lawfully be promoted by an authorised person by virtue
of Section 238(5) of the Financial Services and Markets Act2000 and COBS 4.12.1R. Shares or Interests in the Funds should only be purchased
by persons with experience of participating in unregulated schemes and any other person who receives this document should not rely upon it.

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Aureos africa health fund presentation at uhf may conference

  • 1. Private Equity Investing in Healthcare Africa Health Fund: Building Sustainable Businesses In Healthcare 1
  • 2. Investing in Private Healthcare in Africa Trends and Opportunities • Improving investment climate Breakdown of Private • Increasing political stability Investment Opportunities in Africa • Experiencing continual GDP growth • Foreign investment in Sub-Saharan 100% Medical Africa increased from $6b in 2000 to 90% Education $18B in 2005 80% • Demand exceeds supply - need to 70% Risk Pooling expand capacity of sector 60% • In Uganda, over 65% of the population 50% Life Sciences uses private health care 40% • Need $11B-$16B in new health care 30% Distribution investments to meet growing demand 20% and Retail 10% Health 0% Services *Source: IFC Health in Africa Report Provision By Sector
  • 3. Overview of Financing Options Debt vs. Equity Debt Equity • Source: Banks • Source: Private investors • Provides loan to company • Provides funding to company • Bank is not involved in in exchange for equity stake company, but loan is made (example: $5M for 30% stake against an asset and must be in company) paid in good and bad times How the Bank Makes its Return: How the Private Investor Makes its Return: • Receives principal and interest • Sells shares back to company or payments over a set time period another buyer • Receives dividends from company
  • 4. Differences Between Debt and Equity Clear distinction between the two sources of capital DEBT EQUITY Interest Rate Yes No Interest Payments Yes No Principal Payments Yes No % of Equity in Business No Yes Dividend Payments No Yes Seat on Board of Directors No Yes Sell Shares to Another Buyer No Yes
  • 5. Spectrum of Equity Financing Based on Company’s Stage in Development Early Stage: Venture Capital Later Stage: Private Equity Startup Stage Later Stage Seed Stage Expansion Stage • Financing available from venture • Financing available from private capital firms (VCs) equity (PE) firms • VCs prefer start ups and are willing • PE firms prefer to take on more risk in exchange for established, profitable companies a higher return • Not willing to take on high • Examples: Bridgeworks risk, expect lower returns than VCs Africa, Bioventures • Examples: Aureos Capital, Abraaj
  • 6. Why You Should Consider Private Equity Private equity can accelerate your growth • Have flexibility if there is an economic downturn • Company’s credit rating improves and it becomes more attractive to banks and investors • Improved governance practices • Private equity firms have networks that you can tap into • Technical assistance is provided • Follow on funding can be provided to support your growth
  • 7. The Africa Health Fund (AHF) Aureos Committed to Private Health Care Investment Overview Objectives Fund Size: US $105.4 million - Invest in socially responsible and financially sustainable private health Investors: IFC, Gates Foundation, African care companies in Africa. Development Bank, DEG, Elma - Expand health care services and Foundation, Maria Wrigley products so that low income Trust, ASN Bank, Proparco, populations in Africa have access. Norfund, DBSA Deal Size: $250K - $5M Deal Type: Equity and Quasi-Equity (Debt+Equity) Deal Term: 3-7 years
  • 8. Health Fund Investment Profile Aureos in the Health Sector in Africa Target Investee Profile Subsectors of Focus • Privately owned • Operating at least 2 years Healthcare Delivery Risk Pooling • Generating at least $1M in turnover Service • Profitable Diagnostics Manufacturing Retail Distribution Pharmacy Health ICT Business Services
  • 9. Technical Assistance Facility Further Support for Portfolio Companies • Provides a range of business development services to portfolio companies by strengthening and developing business growth strategies, including: • Strengthening of financial controls • Enhancement of operations, finance and management systems • Building and strengthening management capabilities • Assisting with product and services development • Performing feasibility studies, industry research, maintain international health related compliance standards • Appointment of experienced practitioners/advisers at board or senior management level • Technical Assistance Facility will enable the Fund to: Provide guidance, training and value addition in portfolio companies’ key operational areas Maximise impact of increasing access to quality healthcare within low income populations
  • 10. Thank You Contact Information: Shakir Merali Partner Aureos Kenya Managers Limited Tel: + 254 20 222 8870 Email: shakir.merali@aureos.com •This financial promotion is issued by Aureos Advisers Limited which is authorised and regulated by the Financial Services Authority (“FSA”). All Aureos Funds (the “Funds”) are defined as “Unregulated Collective Investment Schemes” (“UCIS”) and the promotion of a UCIS either within the UK or from the UK is severely restricted by statute. Consequently, this document is only made available to professional clients and eligible counterparties as defined by the FSA and also to persons of a kind to whom the Fund may lawfully be promoted by an authorised person by virtue of Section 238(5) of the Financial Services and Markets Act2000 and COBS 4.12.1R. Shares or Interests in the Funds should only be purchased by persons with experience of participating in unregulated schemes and any other person who receives this document should not rely upon it.