institucional presentation april
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INSTITUCIONALPRESENTATION 2013
So Paulo
April 2013
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DISCLAIMER
This document contains forward looking
statements that can be identified by words likehope, plan, expect, believe, seek,estimate and similar words. The information inthis presentation regarding forward lookingstatements of the Company, including businessprospects, and operating, financial, and growth
projections are only predictions based onmanagement expectations regarding futureperformance. These estimates are highlydependant on the performance of the Brazilianeconomy, industry and international marketcondiitions. Therefore, they are subject to
change.
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4 MARKETS PRIVATE CLINICS LAB-TO-LAB PRIVATE HOSPITALS PUBLIC CLINICS AND HOSPITALS
19,000 EMPLOYEES
2,000 DOCTORS
Latin Americas Largest Diagnostics Company
DASA
ONLY HEALTH COMPANY
INCLUDED IN THE IBOVESPA INDEX
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BUSINESS RELEVANCE - REVENUE
4
66%
34%
CLINICALANALYSIS
IMAGE
SERVICE MIX
GROSS OPERATING REVENUE R$2.5 BN IN 2012
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PUBLIC
LAB-TO-LAB
PRIVATE CLINICS
10% 9%
7%
74%
PRIV.HOSP.
BUSINESS RELEVANCE - REVENUE
Outsourcing oflab and imageservices for 71privatehospitals
Outsourcing oflab and image
services in 86public hospitalsand 503 publicclinics
Serving private patientsin 8 of 10 majormetropolitan areas in452 Patient ServiceCenters (PSCs)
Outsourcing of basic
and complex tests
4,903 labs nationwide
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DIVERSIFIED REVENUE BASE
Self-Insured Corporations14.6%
Medical Cooperatives
Public Services
7.4%
Health Insurance Plans19.4%
Others
1.3%
Hospitals
9.4%
Individuals
8.8%
Lab-to-lab
9.7%
HMO
17.9%
11.7%
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12.03% 10.00% 56.31%5.01%
DISPERSED OWNERSHIP
Source: DASA (Reference Form)(1) Includes treasury shares representing 0.37% of total shares
STRATEGIC SHAREHOLDERS WITH LONG TERM FOCUS
11.56%
Others1Edson de
GodoyBueno
DulcePugliesede Godoy
BuenoPetros Others1BlackRock
5.09%
Oppenheimer
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Does not consider out of pocket market
Source: ANS, SUS, IBGE and company estimates
HEALTH EXPENDITURE IN BRAZIL
GDP
R$4.1 TRILLION
HEALTH EXPENDITURE: 9% GDP
R$370 BILLION
PUBLIC EXPENDITURE: 44%R$160 BILLION75% OF THE POPULATION
PRIVATE EXPENDITURE: 56%R$210 BILLION25% OF THE POPULATION
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Outsource rate: 15%
HEALTH EXPENDITURE IN BRAZIL
Does not consider out of pocket market
Source: ANS, SUS, IBGE and company estimates
DASA HAS 14%* SHARE IN A GROWTH MARKET
Outsourced Public Diagnostics MarketR$ 750 Million
DASA MARKET SHARE: 23% DASA MARKET SHARE: 14%
PUBLIC EXPENDITURE: 44%
R$160 BILLION
PRIVATE EXPENDITURE: 56%
R$210 BILLION
3% is spent in medical diagnostics 7% is spent in medical diagnostics
Public sectorR$ 5 Billion
Private marketR$ 14.7 Billion
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PRIVATE HEALTH INSURANCE ISESTIMATED TO GROW FROM 25% TO 30% OF POPULATION BY 2017
GROWING AWARENESS OF MEDICAL DIAGNOSTICS BENEFITSINCREASING NUMBER OF PER CAPITA ANNUAL TESTS
MORE OUTSOURCING BY PUBLIC STATE AND MUNICIPAL HOSPITALS
Increasing formal employment
Growing competition for labor driving employee benefits
POPULATION IS AGING. POPULATION OVER60 YEARS OLD EXPECTED TO DOUBLE BY 2032
OPPORTUNITIES FOR GROWTH
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Best brands in some local market
Prepared to grow in Middle Class Market187 PSCs with 8 brands in the standardsegment
DASA IS WELL POSITIONED IN THE MARKET
452
186
38
71
29
5,000 5,000
NUMBER OF
PSCsNUMBER OF
HOSPITALSNUMBER OF LAB-TO-LAB
CLIENTS
DASA FLEURY PARDINI DASA FLEURY DASA PARDINI
Most efficient because of scale
Nationwidepresence
Source: Companies website
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WORK IN PROGRESS
REFERENCE
PHYSICIANS TRAINING
OUR
PEOPLE
REFERENCEPHYSICIANS TRAINING
IT FRONT END SYSTEM
CLIENTS
CALL CENTER RENOVATIONS NEW EQUIPMENTS
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CALL CENTER
IMPROVING CUSTOMER CARE
17%
6%
JAN-SEPT2012
OCT-DEC2012
26% 26%
JAN-SEPT2012
OCT-DEC2012
SO PAULO RIO DE JANEIRO
Drop-out
rate
New Technology MORE STABILITY
PROCESSES revision
Centralization on 2 sites (used to be 4 in Rio) TEAM qualification
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INCREASE IN PRODUCTIVITY/VOLUME
INCREASE IN AVERAGE PRICE
(higher value added tests)
IMPROVING TECHNOLOGY ASSETS
KEY GAINS:
RENOVATIONS AND BUYING EQUIPMENT
WHEN TO REPLACE?
When there is an opportunity to INCREASE THE PRODUCTIVITY
When there is demand for MORE COMPLEX TESTS
End of LIFE
WHEN TO BUY?
When opening NEW UNITS
FULL OPERATING capacity
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RENOVATIONS AND NEW EQUIPMENTS
2011 2012
NEW UNITS 9 22
Standard 7 21
Mega 2 1
RENOVATION/EXPANSION OF UNITS 45 28
CT Installation 10 7
MRI Installation 5 10Other renovations 30 11
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MEDICAL RELATIONSHIPthrough events, lectures,
Contracting of REFERENCE PHYSICIANS
EDUCATION AND TRAINING for existing physicians
REFERENCE PHYSICIANS
MEDICAL PROJECTat the Unit
IMPROVING THE QUALITY OF WHAT WE DO
symposiums, and Inovar magazine
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EFFICIENCY, QUALITY, AND PROCESS STANDARDIZATION
INOVA: NEW FRONT END SYSTEM
TODAY26BRANDS20 FRONT END
SYSTEMS
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1
INOVA: MATERIAL GAINS
2
34
5
6
Improve PRODUCTIVITY
Integration with CRM
SINGLE NATIONAL MEDICAL RECORD for physician and patient
MULTI-BRAND scheduling
Call Center: HOME OFFICE
UNIFIED database for management
INOVA web mobile
collaborative integrated to the
medical world
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INOVA: SCHEDULE
4 brands implemented in 2012
20%
1Q13
50%
2Q13
70%
3Q13
100%
4Q13
% of Revenue
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RECEIVABLES
WHAT WE ARE DOING
INTERNALIZATION of Key Processes
DESCENTRALIZATION of the Process forREGIONAL BRANCHES(efficiency and focus)
Higher number of CONTRACTSpaid viaPAYMENT SLIPS
LOSS AS % GROSS REVENUES
2011 2012
3.8%
3.1%
HOW WE ARE EVOLVING
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CAPEX
CAPEX 2012
R$234.4 MM in 2012
Driver for Capex expenditure: LOWER THAN NET CASH GENERATION
Openingand
expansion ofunits
43.6%Equipment26.4%
IT22.0%
Other
2.3%
Real State
5.7%
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PRIORITIES FOR 2013
MAXIMIZE RETURN ON EXISTING ASSETS1
LEVERAGE REVENUE2
REDUCE COSTS AND EXPENSES3
IMPROVE OPERATION QUALITY4
PEOPLE - MERITOCRACY5
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PRIORITIES FOR 2013MAXIMIZE RETURN IN EXISTING ASSETS
KPIs
Increase the PSCsOCCUPATION
LEVEL Increase Equipment
OCCUPATION LEVEL
Ensure RETURN ON INVESTMENT
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PRIORITIES FOR 2013LEVERAGE REVENUE
Prospect NEW PAYERS (private, public,hospitals, support)
Increase the SHARE OF CURRENTCUSTOMERS
Increase the REVENUE FROM
INDIVIDUALS PRICE adjustment
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KPIs
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PRIORITIES FOR 2013OPERATION QUALITY
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KPIs Improve the service level of the
CALL CENTERand PSCs
Ensure return from REFERENCE
PHYSICIANS Ensure the QUALITY OF TESTS and
the PERCEPTION FROM THEMEDICAL COMMUNITY in CLINICAL
ANALYSIS Ensure deadlines and quality of
implementation of INOVA Capturegains on PRODUCTIVITY
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PRIORITIES FOR 2013PEOPLE
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KPIs
MERITOCRACYPerformance evaluation
Ensure organizationalTURNOVER
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Q&A
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Cynthia Hobbs CFOPaulo Bokel IR OFFICER
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FINANCIAL RESULTS
1/15
$
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Gross revenue reached R$ 2.490 MILLION in the year, a growth of4.2%
GROSS REVENUE (R$ MILLION)
396 398
205 206
4Q11 4Q12RID Clinical Analysis
601 604
0.6%
0.5%
0.5%
1,558 1,635
832 855
2011 2012RID Clinical Analysis
2,3902,490
5.0%
2.7%
4.2%
2
PATIENT SERVICE CENTERS
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MORE COMPREHENSIVE imaging mixincreasing average value per requisition
Clinical Analysis volume impacted byrestrictions to PAYERS
GROSS REVENUES (R$ MILLION) AVERAGE REVENUE PER REQUISITIONAND VOLUME (MILLIONS)
PATIENT SERVICE CENTERS
122.9124.3 124.1
128.6
124.0126.5
130.5
134.5
1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12 4Q12
Requisitions Average Requisition Price
3.7
3.3 3.5
3.8 3.4 3.6 3.6 3.3
1021.4 1059.7
728.9774.0
2011 2012
RID Clinical Analysis
58.4%
41.6%
1,750.31,833.7
42.2%
57.8%
3.8%
6.2%
4.8%
262.2 258.0
179.3 185.9
4Q11 4Q12
RID Clinical Analysis
59.4%
40.6%
441.6 444.0
41.9%
58.1%-1.6%
3.7%
0.5%
3
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HOSPITALS
DISREGARDING SO LUIZ HOSPITALS, thegrowth would be 8.1% in 4Q12 and 11.3% in
2012 Focus on INCREASING PROFITABILITY
cancellation of hospitals contracts
NEW CONTRACTS already in operation in1Q13:Hospital Unimed RJ and HospitalBraslia
172.2 181.7
250.4
51.6
2011 2012
RID Clinical Analysis
68.8%
31.2%78.2
233.3
22.1%
77.9%5.5%
-34.0%
-6.8%
43.9 45.8
18.8 12.9
4Q11 4Q12
RID Clinical Analysis
70.0%
30.0%
62.758.7
22.0%
78.0%4.3%
-31.6%
-6.5%
63.948.1
57.2 56.250.9 49.8 52.2 56.5
1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12 4Q12
Requisitions Average Requisition Price
1.11.3
0.9
1.2 1.1 1.1 1.2
1.0
GROSS REVENUES (R$ MILLION) AVERAGE REVENUE PER REQUISITIONAND VOLUME (MILLIONS)
4
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Increase in the number ofREQUISITIONS
(+ 8.5%) Focus on MAXIMIZING PROFITABILITY
Impact of local elections and CHANGES OFGOVERNMENTS
Performance B2B
LAB-TO-LABGROSS REVENUES B2B (R$ MILLION)
2011 2012
232.4
4.5%
242.7
57.9
4Q11 4Q12
57.21.3%
4,912 4,903
47,306 49,506
2011 2012
# of Laboratories Average Revenue/Laboratory (in R$)
5
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Strong growth mainly due to NEW CONTRACT with the Rio de JaneiroMunicipality
PERFORMANCE B2G
PUBLIC HOSPITALS AND CLINICS
GROSS REVENUES (R$ MILLION)
180.2
2011 2012
157.0
14.8%
43.7
4 11 4 12
39.7
10.2%
619 589
253.6
305.9
2011 2012
# collecting site Revenue per colleting sites
6
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COSTS
2012 vs
2011
2012 2011 2012 2011 %
Personnel 457.7 390.2 20.2% 17.9% 17.3%
Materials 402.5 391.3 17.8% 17.9% 2.9%
Services and Utilities 587.1 519.1 25.9% 23.8% 13.1%
General 23.6 24.3 1.0% 1.1% -2.9%
Cost of Services Cash 1,470.9 1,324.9 65.0% 60.8% 11.0%Depreciation and amortization 94.1 74.3 4.2% 3.4% 26.5%
Cost of Services 1,564.9 1,399.2 69.1% 64.2% 11.8%
In R$ Million % of Net Revenues
PERSONNEL: enhanced costumer quality
MATERIALS: productivity improvement
SERVICES AND UTILITIES: doctors fees, data link (redundancy toincrease reliability) and occupancy costs
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SG&
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SG&A
(*) As of 1Q12, the PDA is being considered under the "discounts" the income statement
GENERAL AND ADMINISTRATIVE : receivables personnel increaseand call center, besides marketing expenses
2012 vs
2011
2012 2011 2012 2011 %General and Administrative 403.0 361.1 17.8% 16.6% 11.6%
Profit Sharing Program 7.1 9.5 0.3% 0.4% -24.9%
Other Operating Revenues/ Expenses (24.2) (15.2) -1.1% -0.7% 58.9%
Prescribed Tax Reversal - (13.7) 0.0% -0.6% -100.0%
PDA* - 13.8 0.0% 0.6% -100.0%
Cash Operating Expenses 386.0 355.4 17.0% 16.3% 8.6%
Depreciation and Amortization 68.3 51.3 3.0% 2.4% 33.2%
Operating Expenses 454.3 406.7 20.1% 18.7% 11.7%
In R$ Million % of Net Revenues
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ACCOUNTING EBITDA (R$ MILLION)
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ACCOUNTING EBITDA (R$ MILLION)
EBITDA
Margin
105 74
19.8%
13.4%
4Q11 4Q12
-29.7%
500407
22.9%18.0%
2011 2012
-18.6%
9
IR/CSLL
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OPTIMIZED FISCAL BENEFIT expected after the incorporation of MD1
* Withholding tax (current): Originally from financial income and withholding of gross revenue
IR/CSLL
35.4%
28.0%
34.0%
1.4%
-8.3%
0.8%
Income Tax Rate permanentsadjustements in
tax books
Income Taxes(Financial
Statements)
TaxLoss/GoodwillCompensation
Other Withholding tax(current)/
Income taxes
cash*
2012
10
RECEIVABLES
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(1) Index coverage = BDP balance/ expired > 120 days
RECEIVABLES
112,9
101,2100,0 100,3
101,4
4T11 1T12 2T12 3T12 4T12
Unbilled services Average collection period
R$ million 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12 4Q12Accounts receivable 399.7 385.5 409.7 398.0 423.7 415.9 432.4 376.8
Past due 0-90 59.7 71.1 85.0 74.7 74.3 78.0 87.2 94.8
Past due 91 - 120 8.2 12.2 11.3 10.1 10.7 10.8 8.3 16.1
Past due (more 84.9 83.3 92.4 111.2 111.2 113.8 117.6 119.9Provisions (84.2) (71.7) (75.1) (103.9) (102.7) (106.1) (105.5) (109.2)
Total Rec. 466.2 481.7 523.3 490.1 517.1 512.4 540.0 498.5
Coverage Index 99.1% 86.1% 81.3% 93.4% 92.4% 93.2% 89.7% 91.1%
Provision rule
91 to 120 days 25%
121 to 180 days 50%
181 to 360 days 75%More than 361 days 100%
112.4 111.8
129.2135.5
127.9119.0
80.1 82.7
1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12 4Q12
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BALANCE SHEET MANAGEMENT
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260.5
(119.8)
(987.8)
(847.1)
Debt Composition(R$ million)
Cash and Cash Equivalents
Debt Short Term
Debt Long Term
Net Debt*
Operating cash flow is POSITIVE andhigher than CAPEX
Lower NET DEBT compared 3Q12 andless costly each quarter
BALANCE SHEET MANAGEMENT
(*) Methodology adopted by fiduciary agent
Management Cash Flow (R$ Million) 4Q12
Accounting EBITDA 73.5
Operacional working capital 49.8
Other working capital accounts 3.1
Financial expenses (22.1)
Income tax (8.0)
Operational cash flow 96.3
Capex (56.2)
Sale of Fixed Assets 49.1
Free Cash Flow 89.2
Management Cash Flow (R$ Million) 2012
Accounting EBITDA 407.3
Operacional working capital 15.3
Other working capital accounts (37.0)
Financial expenses (113.7)
Income tax (24.1)
Operational cash flow 247.9
Capex (234.4)
Sale of Fixed Assets 49.1
Free Cash Flow 62.6
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ROIC(*)
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ROIC is IMPACTED inthe short term by theINCREASED CAPEX
ROIC(*)
17.4%14.2%
16.3%
11.7%
9.1%
2011 1Q12
LTM
2T12
LTM
3T12
LTM
2012
(*) Considering current EBITDANOPAT LTM/mean(working capital + intangible assets + fixed assets value for Exchange of shares of DASA and MD1)34% effective rate of Income Tax
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CAPEX
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Capex Breakdown 2012
4Q12:1 MRI, 3 NEW PSCs AND REMODELED 1 OTHER
2012: 10 MRI, 7 CTs, 22 NEW PSCs and 11 REMODELED 11
R$ 56.2 MM in 4Q12 and R$ 234.4 MM in 2012
CAPEX
(*) Do not consider the sale of fixed asset of R$ 49.1 million
Opening andExpansion of
PSCs43.6%
Equipment26.4%
InformationTechnology
22.0%
Others2.3%
Real Estate5.7%
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CONTACTS
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CONTACTS