Bupa

Bupa

Company type	Company limited by guarantee
Industry	Healthcare
Founded	1947
Headquarters	London, United Kingdom
Key people	Evelyn Bourke, CEO Edward Birtwhistle, President and Chairman
Products	health insurance, care homes, health at work services, hospitals, dental clinics, health assessments
Revenue	£9.8 billion GBP (2014)
Net income	£637.8 million GBP (2014)
Number of employees	84,000 (2016)
Website	www.bupa.com

Bupa /buːpə/ is a British international healthcare provisioning and multi-insurance group, with its origins and headquarters in the United Kingdom, but now serving 32 million customers in 190 countries. It is a private healthcare company limited by guarantee, unlike the UK's National Health Service (NHS), which is a tax-funded healthcare system. It is consistently ranked among the best places to work, having placed 5th in the 2019 edition of LinkedIn's Top Companies in the UK. While initially growing organically through green-field expansions, it has recently tended to function akin to a Private Equity firm, with its corporate strategy heavily influenced by M&A activity in order to consolidate itself as a market leader in healthcare provisioning and multi-insurance.

History

Bupa (originally the British United Provident Association) was established in 1947 when seventeen British provident associations joined together to provide healthcare for the general public. The firm is a private company limited by guarantee; it has no shareholders, and any profits (after tax) are reinvested in the business. The service offered by Bupa began as private medical insurance, offering policies to individuals, companies and other organisations, and eventually expanded to include privately-run Bupa hospitals.

Acquisitions and disposals

In 2007, the company announced the sale of its UK hospitals to Spire Healthcare. However, during 2008, the firm acquired the London-based Cromwell Hospital flagship hospital to provide healthcare to its members and other private patients including medical tourists from outside the UK.

Approval was given in the same year for a merger between Bupa's Australian arm (which until then comprised HBA and Mutual Community) and insurance group MBF. The merger created what is now Australia's largest private health insurance group, with 3.98m lives covered. On 1 December 2008, Clinovia's name was changed to Bupa Home Healthcare. In October 2010 the firm sold Bupa Health Assurance to Resolution Limited, and it has been rebranded as part of Friends Life. In the end of 2012 Bupa acquired the largest private healthcare network in Poland, Lux Med, from the private equity fund Mid Europa Partners for €400m. In February 2015 Bupa acquired a controlling share in Chilean private healthcare network Cruz Blanca, which has a 21% share in the local market. It emerged in January 2016 that the company was to sell its domiciliary care business, which provided care to around 35,500 people, to Celesio AG.

Over the years, it has diversified away from its core health insurance business and is now an international healthcare company with services that include travel insurance, health insurance, care homes, expatriate insurance, health assessments, occupational health services and hospitals. When the Health and Social Care Act 2012 came into force in April 2013 Bupa won the first high-value contract – a £235m deal to provide musculoskeletal services in West Sussex jointly with Central Surrey Health in November 2014.

It bought the dentistry chain Oasis in November 2016 for £835 million from Bridgepoint Capital. Oasis runs 380 UK dental practices, both NHS and private, with more than 1,800 dentists. It has an annual revenue of £277 million. The name of the business was changed to Bupa Dental Care. In January 2019 it acquired 9 more practices, making a total of 23 in 6 months.

It bought two care homes in Poole from Primetower in October 2016.

In August 2017 it sold 122 care homes, with 9000 beds, to HC-One for £300 million.

Operations

The company has its head office in central London, with main UK contact centres in Staines and Salford Quays. There are also offices in Brighton (Bupa Global), Bristol (Bupa Dental Care) and Leeds (Bupa Care Services) in the UK, Adelaide, Brisbane, Sydney and Melbourne in Australia (Bupa Australia and Bupa Aged Care Australia), Chile (Bupa Chile), New Delhi (Max Bupa), Madrid (Sanitas), Boston (Health Dialog), Beijing (Bupa China), Hong Kong (Bupa Asia), Jeddah (Bupa Arabia), Bangkok (Bupa Thailand), and Miami,

Bupa (Sanitas) offices in Madrid (Spain).

The firm also owns several healthcare companies overseas including Spain's largest healthcare company, Sanitas, and acquired ihi Danmark and Amedex (Miami, US) in September 2005. In December 2007, it purchased DCA Agedcare Group in Australia and New Zealand, making it a leading player in these markets. Also in December 2007, it announced the purchase of Health Dialog, a provider of chronic condition management and "shared decision making" services.

In April 2013, the company acquired Lux Med, Poland’s largest private healthcare provider which runs businesses in health funding and provision all over the country through a national network of 194 health centres, including outpatient facilities, diagnostic centres, hospitals, and a large nursing and residential care home.

The firm has entered the Indian health insurance market through a joint venture with the local conglomerate, Max India, called Max Bupa Health Insurance Limited.

In the Middle East, Bupa has entered into a joint-venture partnership with Nazer Group – a family-owned diversified holding company – and created Bupa Middle East in 1997, operating out of Bahrain. When health insurance regulation issues arose in Saudi Arabia, the company was floated on the Saudi stock market as Bupa Arabia, which is currently the leading health insurance company in Saudi Arabia.

According to Stuart Fletcher in 2013 'there was a six percent decline in the number of individuals covered’ by private health insurance, ‘and the people who are more likely to claim are the least likely to drop the insurance, so the risk pool is deteriorating.’ Bupa has protected its finances by reducing payments to consultants. This provoked the British Medical Association to complain to the Competition Commission, which published a report into the private healthcare sector in 2013, probing insurers’ power over consultants’ fees. It decided that by trying to keep prices down and promote competition, Bupa was doing "exactly what customers would expect". But it did warn that companies like Bupa need to ensure they communicate better with policyholders about what their premiums entitle them to.

Bupa's former Irish subsidiary, Bupa Ireland, was set up in 1996 and eventually had three hundred employees in Fermoy, Co Cork and 475,000 members – a 22% share of the Irish market. In 2006 it announced its intention to close in response to the Irish Government's policy of risk equalisation. In 2007 the business was bought by the Quinn Group and traded as Quinn Healthcare. Since 2012 it has been trading as Laya Healthcare.