WeDoctor's HK Listing Relies Heavily on One Client

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October 28, 2024 48

In a significant development for the digital healthcare landscape, WeDoctor Holdings Limited, valued at an impressive $6.7 billion, recently made headlines by submitting its prospectus for an IPO on the Hong Kong Stock ExchangeEmerging initially as a mere appointment scheduling platform named Guahao in 2011, WeDoctor has transformed over the years into a formidable player in the artificial intelligence-based medical solutions arena, alongside a robust digital healthcare service platform.

WeDoctor's revenue streams have evolved, with a substantial portion now coming from health management member services established in collaboration with the Tianjin health consortiumIn the first half of 2024, these services represented an astonishing 56.8% of the company’s revenue, largely funded by the Tianjin municipal medical insurance bureau, demonstrating both growth and dependency on a singular governmental entity.

Over the years, WeDoctor has reported increasing revenues, achieving figures of CNY 962 million in 2021, CNY 1.368 billion in 2022, and CNY 1.863 billion in 2023. However, alongside revenue growth, the company faced considerable losses, peaking at CNY 2.571 billion in 2021 and narrowing to CNY 434 million in the first half of 2024. Analyzing the adjusted losses from continuous operations reveals a gradual improvement, indicating a partially successful mission towards sustainable business growth.

The concentration of clients and the resulting risks associated with profitability have raised concerns

Although WeDoctor was prompted for commentary on these issues by the China Business Journal, a spokesperson stated that they were in a silent period and could not provide an interview at that timeThis stance underscores the balancing act companies often perform between transparency and the constraints imposed during IPO preparations.

At the heart of WeDoctor’s revenue generation is its health consortium project, which signifies a shift in its operational modelInitially focused on online consultations and medications, WeDoctor has thrived on partnerships that have connected numerous healthcare institutions and insurance funds, facilitating risk-sharing and personalized health managementThis model falls under a scheme where funding is obtained via capitated payments — fixed amounts per patient — which helps in managing the financial dynamics of the healthcare services rendered.

The alliance with Tianjin's government started in 2020 when a strategic cooperation agreement was inked, laying the groundwork for the establishment of a digital healthcare community

Two years later, the company cemented this growth by founding Tianjin Digital Health Consortium Medical Management Co., thus boosting its healthcare reach.

The rapid growth in the health management subscription model is striking; revenues exploded from just CNY 39 million in 2022 to CNY 1.032 billion in the first half of 2024, demonstrating the efficacy of such partnershipsThis meteoric rise is attributable, in part, to client F -- the local medical insurance fund, whose contributions made up 2.9% in 2022, escalating sharply to dominate with over 56.8% in the first half of 2024.

In a notable example of its growth, WeDoctor initiated the establishment of a tightly-knit digital medical community starting in 2020, where it coordinated health services across Tianjin with significant cooperation from local health authoritiesThis initiative has resonated well within the community, showcasing WeDoctor's ambition to tackle uneven healthcare distribution and bolster grassroots service capabilities effectively.

As of December 2023, WeDoctor expanded its operational model from managing single disease categories to a broader spectrum addressing multiple ailments, subsequently extending this model into other districts within Tianjin

By mid-2024, the consortium had amassed around 900,000 members — a clear indicator of its burgeoning influence and operational success.

The IPO funding aims to fuel WeDoctor's expansion within Tianjin and other regions across China, promising the establishment of new internet hospitals that can replicate their successful Tianjin model in sprawling urban centers like Shanghai, Yinchuan, and GuiyangAgreements signed in early 2024 with local governments from Guizhou and Ningxia further illustrate this growth trajectory.

Moreover, WeDoctor’s physical presence in healthcare is growing, with offline services generating CNY 209 million in 2023 and representing approximately 11.2% of total revenuesThe company operates six hospitals located in key cities, including Shanghai and Hangzhou, with five holding internet hospital credentials backed by public medical insurance coverage.

On a field visit to the Tianjin HePing WeDoctor Hospital on January 6, 2025, the bustling atmosphere revealed a high patient volume, indicating a strong demand for their services

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The hospital offers 11 specialized departments, exemplifying a wide range of healthcare solutions, although the relatively smaller size limits the number of healthcare providers available onsite, demonstrating both potential and limitations in scaling operations.

The narrative around WeDoctor recently shifted as well, with founder Liao Jieyuan stepping down from all executive positions amidst controversies surrounding disclosure violations and misleading statements regarding shareholdings in another companyThe investigation highlighted trading discrepancies while underholding restricted shares, resulting in public censure from the Shenzhen Stock Exchange in January 2024.

Liao’s exit reflects the pressures that accompany high-profile figures, particularly in a sector as critical as healthcareHis resignation underscores WeDoctor's commitment to reinforcing internal governance structures to prevent further impropriety and establish a reputation of reliability moving forward

Interestingly, reports showed Liao mingling with clients at the hospital just days after tendering his resignation, raising eyebrows regarding the firm’s executive boundaries.

Currently, WeDoctor is guided by Wang Yongcai as its executive director, who has a substantive background in strategic investments from prior experiences in similarly positioned companiesHis role is pivotal in navigating WeDoctor's future strategies as it continues to expand its footprint across diverse healthcare sectors.

In conclusion, as WeDoctor prepares for its IPO and to further weave its digital healthcare ecosystem, the implications for both investment and patient care are profoundIt not only symbolizes the potential for profitability in the healthcare market but also highlights significant strides in addressing the challenges inherent in service delivery, particularly in a country like China with its unique demographic and economic landscape.

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