On July 29, July 29, the company announced that it will transfer its eight staff hospitals to the state-owned enterprise hospital. In recent years, under the strong driving force of the policy, the reform of state-owned hospitals, represented by "three coal and one steel", is a new trend that has led to the pursuit of capital. Social capital on the hospital restructuring of state-owned enterprises to participate in, in a high quality medical resources, modern hospital management system and good at the same time, also increases the return on capital pressure, after the restructuring of the hospital how to seek a balance between the public value and return on capital, need government guidance to related specification.
The "three coal and one steel" led the state-owned hospitals to change the tide
On July 29, henan energy chemical industry corp. 's * ST listed companies have announced that in the central plains property right trading co., LTD., for transfer of its eight worker hospital, listed price in principle is not lower than the final approved by state-owned assets supervision and administration of henan province in the value of assets appraisal.
Much about the reasons for the transfer, * ST said the move aims to implement the national and henan stripping enterprise social functions related policies, through the medical asset transfer and the "three for the thing" before handing over, will gradually stripped of social functions, effectively easing the burden on enterprises, make the enterprise can concentrate on the development of main business, improve the market competitiveness of main business, realize the sustainable development of enterprises.
* ST is not an isolated case. In fact, the transformation of state-owned hospitals has already been springing up, and the hospital reform of henan "three coal and one steel" is only a microcosm.
In August 2016, zheng coal group held a press conference to introduce strategic investors, develop mixed-ownership economic projects, and publicly released information to the public, seeking strategic investors for its 18 enterprises. The 18 enterprises are mainly divided into three categories: cooperative construction, share reform and transfer exit. The shares of zheng coal group general hospital are listed in the column. Announcement of information display, zheng coal group, department of general hospital zheng coal group, level 2 grade a hospital, zheng meijituan for general hospital (including subordinate 8 hospitals, two clinics) increase endowment spread or a portion of the introduction of strategic investors, shares reform or commissioned business.
In January 2017, angang group and citic - hospital group formally signed the new mileage, the two sides together to form a hospital management company, implementation of joint-stock companies, professional operation of angang worker general hospital. According to the agreement, angang group with existing staff general hospital equipment, real estate, construction engineering, and the liabilities of physical capital contribution, the new course of citic group cash capital contribution in currency way, both sides each hold a majority stake in general hospital of angang workers. The hospital management company, established by both parties, is the sole sponsor of ansteel hospital, which is responsible for the daily operation and management of the hospital.
What group in April 2017, leveling leveling what medical group general hospital in the press release on the announcement of open recruitment of strategic investors, in order to promote the hospital medical service quality and operation management level, ensure leveling what group mining medical function, reduce the cost of worker medical treatment plans through introducing strategic investor (holds no higher than 49%), promote the reform of the mixed ownership.
It is understood that not only henan, but also state-owned enterprises in other areas of the country. Jiangsu xu mining group staff hospital, wuhan iron and steel group subordinate esteel hospital, hebei tianiron group staff hospital successively completed the reform, embarked on a new development path.
The policy is strong and the roads are everywhere
Soe hospital reform is not new. As early as in 2002, in the former state economic and trade commission and other six ministries jointly issued "on further advancing the separation of state-owned enterprises", the opinion of the social functions work, under the guidance of state-owned hospitals have conducted a round of large-scale, centralized and peel the transformation, the new health care plan before 2008, state-owned enterprises run by the hospital number has been cut in half.
It was in this round of reform that the "zhengzhou railway center hospital" was replaced by the "fifth affiliated hospital of zhengzhou university". The transfer of zhengzhou railway center hospital is a major step in the separation of the social functions of the railway bureau and the acceleration of development.
Similar to the previous round of reform, this round of soe reform is not without the strong wind of policy.
In September, 2016, promulgated by the state council "about the printing speed up state-owned enterprises do social functions and solves problems left over by history work plan notice, called for classification of GuoQiBan medical treatment, to take over, removal and merger, restructuring or professional management, government purchase in the form of services and stripping, complete enterprise run by the end of 2018, such as health care, handed over to the restructuring or centralized management.
At the same time, the reform of local state-owned enterprises has also entered the critical stage. The reform of state-owned enterprises has become an important means to reduce the burden of state-owned enterprises. At the 12th National People's Congress of henan province in January 2017, seven times the meeting Chen Runer governors in his government work report made it clear that, as soon as possible to complete the provincial state-owned enterprises do education, stripping work of medical institutions, pushing the mixed ownership reform.
The policy initiative, coupled with local push, has led to the transformation of soe hospitals into the fast lane. State-owned enterprises, represented by "three coal and one steel", have rushed to sell their staff hospitals, seek out interested parties and carry out restructuring cooperation.
Contrary to the stereotype of the sale of assets, capital has shown a keen interest in the restructuring of soe hospitals. Sunrise industry attributes, hospital licensing scarce, brand and precipitation of medical resources, huge rigid demand, let a restructuring of the state-owned hospital on tuyere, become the object of capital sought after.
In March 2017, fosun medicine group joint investment of 1 billion yuan, taikang life insurance group with xu mining group jointly established huaihai hospital management group, xu mining group's overall restructuring, all 19 medical institution become state-owned hospitals and medical listed companies and large insurance companies attempt to breakthrough of operation management of medical institutions.
Huarun medical group as a state, a subsidiary of China resources group, rapid advances in hospital restructuring state-owned enterprises but also all the way, successively in wisco general hospital, general hospital huaibei miners, xuzhou mine hospital restructuring state-owned enterprises such as hospitals, become the largest domestic social do medical healthcare.
Citic holdings, the new mileage of hospital group, following the cooperation with angang group, participate in angang worker after general hospital restructuring, and strategic investment of tiantie group worker hospital tiantie, funding it, and the introduction of high quality medical resources and the modern hospital management system, is won.
Peking University health industry group also in plotting their regional health layout, through equity cooperation mode in shanxi LuAn group general hospital restructuring, acquisition of qilu petrochemical center hospital and hospital group's four branch hospitals and three health clinics, and energy of shandong zaozhuang mining (group) co., LTD. Signed a cooperation agreement, to participate in jujube in mine group four hospital restructuring, achieve the rapid expansion of the scale.
Remove the medical industry investment group, listed companies joined the battle hospital restructuring, the drug information, hainan hai lang, constant kang medical listed companies involved in the state-owned enterprises in different ways such as reform of public hospitals.
The enthusiasm of different capital for hospital reform is also fully reflected in the m&a data. According to pricewaterhousecoopers released "2016 China hospital merger and acquisition activity review and outlook report, according to data in 2016, the health care industry merger and acquisition activity both in quantity and amount of explosive growth, constantly refresh record high trading volume. Mergers and acquisitions of private hospitals and public hospitals have seen a surge in growth in 2016, with record Numbers and amounts of deals. Investment in private hospitals soared more than twice to 8.7 billion yuan, and investment activity in public hospitals rose sharply, with the amount disclosed in 2016 rising to about 7.4 billion yuan.
State-owned hospitals are reformed and wary of becoming capital instruments
The reform of state-owned hospitals is a big deal. How to evaluate the impact of restructuring on all parties?
"State-owned enterprises and hospitals have certain social attributes, and the proper establishment or participation of state-owned enterprises in establishing hospitals can make up for the deficiency of medical resources and realize the maximization of social functions. But not for-profit hospital, to heal the wounded and rescue the dying properties and state-owned enterprises are the pursuit of profit is to a certain extent, only by state-owned enterprises, it is difficult to support the long-term development of the hospital." Beijing normal university, government management institute, henan business association, vice President of the song to qing believes that the introduction of social capital, the mixed ownership reform of state-owned hospital, can at the same time of increase capital investment, the introduction of high-quality medical resources and modern hospital management system, is fully staffed.
Although the state-owned hospital reform system welcomes the capital side, the industry's hidden threshold cannot be ignored. According to the existing case analysis, the selection criteria of qualified strategic investors in the restructuring of state-owned enterprises are often also important evaluation indicators. Besides the capital strength, the management experience of medical industry is also an important evaluation index. On the domestic market at present the success of the hospital restructuring state-owned enterprises, mainly by large health industry groups and industry leading listed companies, is the outcome of this multi-dimensional screening standard naturally.
Health industry group and other various professional capital intervention, in a high quality medical resources and modern hospital management system at the same time, also bring a real problem: the capital involved in contrast, the balance of hospital public welfare and profit will favor?
It is well known that capital is a natural profit-seeking, hospital restructuring state-owned enterprises to introduce more capital at the same time, inevitably bring bigger profit pressure, profit-seeking motive are easy to be strengthened, and it may weaken the public oriented to heal the wounded and rescue the dying.
From the existing cases, there is a clear divergence in the direction of the reform of state-owned hospitals. Some state-owned hospitals have been restructured as for-profit institutions, while some have been non-profit-making. Take the reform of the general hospital of angang employees of citic industry fund - new range hospital group as an example, the purpose of the non-profits of the hospital is unchanged after the agreement is made.
But non-profit does not mean giving up profits. According to people in the industry, the capital of non-profit medical institutions mainly demand returns through industrial chain mode and supply chain mode. Industrial chain mode mainly depends on the hospital's regional influence, layout of medical related industries such as training center, rehabilitation center, pension and other services to doctors and patients, make use of the higher customer viscosity, to earn profits in derivative services; The supply chain model is mainly used to obtain the benefit directly by providing drugs, medical equipment and medical consumables for the reformed hospital.
"The introduction of social capital at the same time, to prevent the hospital has been kidnapped by the capital, career goal deviate from heal the wounded and rescue the dying, suggested the government to develop guidance for the construction of social capital to participate in the public service system and the development plan, clear capital, regulate the behavior of capital, effectively prevent capital excessive intervention in hospital management behavior." Song emphasized to qing.
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