The overall loss of 130 billion non-public hospital industry can break new business opportunities in the self-help reorganization

According to the 2021 Health Statistical Yearbook, in 2020, non-public hospitals nationwide will have an income of 676 billion yuan, an expenditure of 806.
7 billion yuan, and a serious loss of 130.
7 billion yuan
.
Under such circumstances, non-public medical institutions have gone through ups and downs and industry reshuffles, and have gone through 2021 when the industry structure is restructured and transformed to self-help
.
Private hospitals get together and go public The epidemic has opened a window for listing
.
On July 7, 2021, Chaoju Eye Medical Holdings Co.
, Ltd.
(stock code: 2219.
HK), which operates 17 eye hospitals and 23 optometry centers, was listed on the main board of the Hong Kong Stock Exchange.
This is also the first company listed in Hong Kong.
The domestic ophthalmic medical service group
.
On September 15, the official website of the Shenzhen Stock Exchange disclosed that Sanbo Brain Hospital Management Group Co.
, Ltd.
met the issuance conditions, listing conditions and information disclosure requirements
.
On December 10, Gushengtang, a traditional Chinese medicine chain management group that operates 41 medical institutions, knocked on the door for an IPO in Hong Kong, becoming the first listed Chinese medicine medical service chain in China
.
In addition, Kang Ning Hospital, a Hong Kong-listed company known as the first stock of psychiatric hospitals, announced that it was trying to enter the Shenzhen Stock Exchange Growth Enterprise Market after two years, and planned to issue A shares to achieve dual listing of H+A; while Fukang, located in Tibet The IPO application of Medical Co.
, Ltd.
has also been accepted and will be listed on the Shanghai Stock Exchange
.
It seems to be a trend for private hospitals to get together and go public, but it is expected
.
Zhuang Yiqiang, director of Guangzhou Ailipe Hospital Management Research Center (GAHA), told the health community that in the wave of social medical services, doctors' medical services account for nearly 1/3
.
In addition to Sanbo Brain Department and Lu Daopei Hospital, which were founded by big doctors, people in the pharmaceutical industry such as Wang Bin, and cross-border businessmen such as Lv Jianming and Chen Bang, founder of Aier Ophthalmology, are typical sources of founders of private medical enterprises
.
But Zhuang Yiqiang doesn't think the listing tide is breaking out
.
? This is a normal capital market behavior.
The society has never been cold in running a medical institution, but it is not as hot as some people think..
These listed companies are actually following their normal development rhythm
.
? On the other hand, it is true that more medical service institutions seek to go public
.
For example, as early as October 2017, Fukang Medical signed a listing counseling agreement with China National Financial Securities Co.
, Ltd.
, and on October 17, 2017, it registered for counseling at the Tibet Securities Regulatory Bureau
.
In December 2020, Sinolink Securities released a summary report on listing counseling work, stating that Sinolink Securities has completed the counseling work for Fukang Medical and achieved the intended purpose of counseling
.
Gui Haoming, chief market expert of Shenwan Hongyuan Securities, told the health community that private hospitals are not very large and lack volume
.
?Tongce Medical and Aier Ophthalmology, etc.
, which were listed in the early stage, were actually developed through chains based on the link of capital
.
There are not many similar new cases in the current market, and listing is one of the paths opened by volume, which can allow medical companies to obtain more financing and more development opportunities
.
According to the 2021 Health Statistical Yearbook, the revenue of oncology specialists in the specialty field has won the championship, with an annual surplus of nearly 9 billion yuan; the revenue of specialized hospitals such as cardiovascular, children, and plastic surgery has decreased compared with last year
.
According to different types of specialized hospitals: the revenue of tumor hospitals is about 90.
7 billion yuan, and the surplus is good, nearly 9.
1 billion yuan; psychiatric hospitals, infectious disease hospitals, and children's hospitals are ranked second to fourth in revenue, and There are surpluses; the stomatology hospital and the eye hospital are in the middle, with 29 billion yuan and 35.
6 billion yuan respectively, of which the eye hospital has a more considerable surplus, about 5 billion yuan
.
Compared with the previous year, the incomes of oncology, cardiovascular, ENT, obstetrics and gynecology, pediatrics, plastic surgery hospitals, etc.
decreased
.
The specialist track continued the promising trend in 2020, and financing and mergers and acquisitions in various segments continued to occur
.
On November 22, Donglei Brain Group, a specialized brain hospital built by the Doctors Group, announced the completion of the C round of financing of 200 million yuan.
This round of financing was exclusively invested by Sequoia China. .
On the evening of December 17, Aier Ophthalmology announced that it planned to acquire part of the equity of 14 hospitals including Yiwu Aier and Yuanjiang Aier, with a total transaction price of 501 million yuan
.
Since the beginning of this year, Aier Ophthalmology has intensified its mergers and acquisitions.
In the first half of the year, it acquired part of the equity of 5 eye hospitals.
In August and October, it continued to acquire and merge.
With this merger, a total of about 29 eye hospitals were acquired
.
Social medical institutions usually choose to develop specialties, or establish weak departments in public hospitals, such as plastic surgery, ophthalmology, stomatology, etc.
, to fill the deficiencies of public hospitals
.
However, Sanbo Neurology and Wuhan Asia Heart Hospital are one of the few private specialized hospitals that can compete with public hospitals in their respective specialized fields, and they have launched the pace of listing in 2021 in unison
.
Qian Liqiang, PwC China's leading partner in M&A in China's medical industry, believes that investors favor specialized hospitals for two reasons: on the one hand, private specialized hospitals have the characteristics of centralized main business, standardized services, and large-scale replication.
Its predictable growth and clear profit model have become the most important factors to attract financial investors; on the other hand, the cultivation cycle of specialized hospitals is relatively short, which meets financial investors' needs for predictable exit timing and yield.

.
Rehabilitation and elderly care and out-of-hospital nursing have great potential.
Following the disclosure of the seventh census data, the National Health and Health Commission issued the "Opinions on Accelerating the Development of Rehabilitation Medical Work" in June, emphasizing the importance and urgency of developing rehabilitation medicine from the perspective of top-level design.
Sexuality is considered by the industry as a "policy inflection point"
.
In November, the General Office of the National Health Commission issued the "Pilot Work Plan for Elderly Medical Nursing Services" (hereinafter referred to as the "Plan")
.
The "Plan" requires that 15 provinces and cities including Beijing, Shanghai, Tianjin, Sichuan, and Shandong will start pilot projects in January 2022
.
After a 1-year pilot, explore local experiences and typical practices that can be replicated and scaled up for geriatric health care services
.
By 2023, the pilot experience will be rolled out nationwide
.
Rehabilitation and pensions may become the key livelihood topics in the next stage, and whether it is investment mergers and acquisitions, or new measures to change the industry structure, they are happening frequently
.
In August, Wenzhou Kangning Hospital Co.
, Ltd.
(referred to as Kangning Hospital) spent 155 million yuan to buy a 100% stake in Pingyang Changgung Yining Hospital, a county hospital
.
Coincidentally, Gulian Medical, a member company of New Frontier Tianyu Group, also announced in August that it had completed the treatment of the remaining minority of its Hangzhou Hekang Rehabilitation Hospital, Hangzhou Jiangganhekang Second Rehabilitation Hospital, and Hangzhou Kangxin Rehabilitation Hospital (hereinafter referred to as the three rehabilitation hospitals in Hangzhou).
Strategic acquisition of equity, becoming a wholly-owned shareholder and completing the delivery
.
In the secondary market, Samsung Medical and International Medical with the concept of a rehabilitation hospital experienced sharp fluctuations in their stock prices in the middle of the year.
In particular, Samsung Medical, whose stock price had not improved for many years, suddenly started in early May, and it once continued to rise by the limit
.
Samsung Medical plans to raise funds for the acquisition of three rehabilitation hospitals, including Hangzhou Mingzhou, Nanjing Mingzhou, and Nanchang Mingzhou three target companies
.
The capital market was once full of imagination for Samsung Medical, and its stock price tripled in a month
.
The aging population, the high incidence of chronic diseases, and the population growth brought about by the three-child policy may further lead to the shortage of medical resources in China, and the medical care work is also facing increasing pressure
.
Not only in-hospital, but also out-of-hospital care needs will be high
.
When "digital health care" is increasingly becoming the basic standard of China's medical service market, launching truly meaningful innovations through technology is one of the ways to narrow the resource gap
.
The continuous pilot of "Internet + Nursing", and the long-term care insurance in the new multi-point pilot, open up continuous space for out-of-hospital medical care
.
Song Jianyong, assistant general manager of Taikang Health Investment and Nursing Operations Division, believes that out-of-hospital care has a wider extension.
For example, elderly care institutions are not medical institutions in essence, but more of a living place, which provides comprehensive care for the body and mind of the elderly
.
?In medical care, we are more about treating diseases and solving a problem
.
In elderly care, more attention is paid to the overall feeling of the person, and there are life solutions for various health conditions
.
? The key point of the home medical care landing model is the nurse
.
Ding Shaolei, CEO of Gold Medal, believes that nurses should change from being a follower in the medical service chain to an active manager of patients' health.
Smart nursing should empower nurses, liberate nurses' workload and increase work safety, so as to provide nurses Create opportunities to become managers of nursing and even medical behavior
.
? So far, there are about 4.
7 million registered nurses in China, and there are also a large number of retired nurses
.
In fact, retired nurses have very high qualifications and can work for a long time.
Their skills can actually be shared and create value for the society
.
? Ding Shaolei said
.
Out-of-hospital care leads to higher incomes and also keeps nurses highly motivated
.
? There has never been an era when the Internet and nurses were as tightly bound as they are today
.
? Wang Zhong, general manager of the enterprise development department of Zhongpuda, thinks so
.
The extension of out-of-hospital nursing has brought an increase to the smart nursing cake
.
In the new format of smart nursing from inside to outside the hospital, it includes the integration of multiple types of work and fields, connecting software and hardware, and connecting the pre-diagnosis, during-diagnosis, post-diagnosis, emergency period, next emergency period, recovery period, and weekend period.
the whole process
.
In 2021, from medical informatization, online nurse appointment platforms to chain medical service institutions, as well as related equipment and aging product companies, they are all trying to divide the cake of out-of-hospital care
.