1H 2019 Results
Half year ended 31 December 2018
15 February 2019
1H 2019 Results Half year ended 31 December 2018 15 February 2019 - - PowerPoint PPT Presentation
1H 2019 Results Half year ended 31 December 2018 15 February 2019 Our Group Design concept A market leading network 19 Total Sites Australia-wide 680 Total Sites coverage 19 2,541 Total sites 212 Total Sites 625 21 34 v 61 Total
Half year ended 31 December 2018
15 February 2019
Design concept
Australia-wide coverage 2,541 Total sites
2,299 Pathology
2,191 ACCs 108 Laboratories
96 Medical Centres & Day Hospitals 146 Diagnostic Imaging
28 Hospitals 63Community Centres 55 Medical Centres
3 1H 2019 Results
75 Healius Medical Centres
61 with Dental sites 5 with Day Hospitals 4 with IVF clinics
13 Health & Co 8 Montserrat Day Hospitals
v
*as at January 2019
19 Total Sites 61 Total Sites 212 Total Sites
26
26 Total Sites 680 Total Sites
625 21 34
660 Total Sites
606 19 35
851 Total Sites ACT 32 Total Sites
27 2 3 19 197 11 4 49 7 5 750 36 65
Healius
Vision
Clear and comprehensive strategy1
Imaging
improvements
4 1H 2019 Results
OUR MISSION We share a mission to seek and sustain life-enhancing healthcare delivered by people who care. OUR VALUES OUR PURPOSE We are inspired to care for your health and wellbeing at every stage of life.
1 Refer slide 27 for initiatives across the groupMedical Centres EBIT up nearly 50% on 2H 2018 lows 48% increase in GPs recruits Gross billing up (average $234/ph in January) Appointment roll-out to 39 MD3 /7 MedTech centres. All moving to single PMS Property expansion in Maroubra with 15 to complete 2H 2019 Imaging EBIT up 13% on pcp Winning the imaging services contract for ADF Health Services, as partner to BUPA Successful Northern Beaches Hospital (NBH) opening with new fully-licenced MRI iCAR roll-out: 30 live sites, 50% radiologists trained, $11m in annualised benefits identified
5 1H 2019 Results Concept design Siemens MRI, NBH
6 1H 2019 Results
However, near-term results not reflective of the future
Centres award pay
2H 2019 increase in contribution
normalise to long-term averages
Concept design
headwinds
7 1H 2019 Results
1 All comments relate to underlying results unless noted 2 Reported EBIT reconciliation – slide 8 3 Business as Usual reconciliation – slide 31 5 AASB 15 adjustment –slides 32 & 33
Group $m 1H 2019 1H 2018 1H 2019 1H 2018 Revenue 870.6 832.7 871.6 832.7 EBIT 73.1 81.3 51.4 61.6 NPAT 39.4 44.0 20.7 22.1 Underlying
1
Reported
2
8 1H 2019 Results
1H 2019 $m Reported Restructuring & strategic initiatives Non-recurring items Underlying EBIT 51.4 21.7 0.0 73.1 Finance costs (16.8) (16.8) PBT 34.6 56.3 Income Tax (13.9) (16.9) NPAT 20.7 39.4 1H 2018 $m Reported Restructuring & strategic initiatives Non-recurring items Underlying EBIT 61.6 17.7 2.0 81.3 Finance costs (18.5) (18.5) PBT 43.1 62.8 Income Tax (21.0) (18.8) NPAT 22.1 44.0
“In terms of the strategic initiatives, we have several major projects
than a year, they are transformational in nature and unlikely to be undertaken again at such a collective magnitude.”
Rob Hubbard, AGM 2018
9 1H 2019 Results 56 26 92 (15) (21) (30) 50 100 Gross OCF Interest Tax OCF Maintenance capex Free cash flow $m
92
1 Northern Beaches Hospital & Highfields in NSW, St Vincent’s Private Hospital Northside in QLD
Westside Private Hospital
cash flow generation and capital raise in 2H 2018
Spend is gated and monitored. Will deliver future operating cash flow
10 1H 2019 Results
Reported As at $m 31 Dec 2018 30 June 2018 Total debt 757.5 860.8 Cash (105.1) (84.0) Net debt 652.4 776.8 Bank gearing ratio (covenant <3.5x)1 2.4x 2.7x Bank interest ratio (covenant >3.0x) 9.2x 9.0x Gearing (net debt: net debt + equity) 24.1% 29.9%
1,098 821 771 652 550 650 750 850 950 1,050 1,150
Net debt reduction
1H16 1H17 1H18 1H19
1 Bank gearing ratio is calculated based on underlying EBITDA before the impact of AASB 15
normalise to long-term averages of 4-5%
2H 2019)
12 1H 2019 Results
Underlying 1H 2019 $m 1H 2018 $m Better/ (worse) % Revenue 551.5 534.0 3.3 EBITDA 59.0 67.0 (11.9) Depreciation (10.0) (9.7) (3.1) Amortisation (3.8) (4.4) 13.6 EBIT 45.2 52.9 (14.6) Total capital expenditure 16.7 7.9 n.a.
13 1H 2019 Results
LIS expected net benefit of ~$20 million p.a. once embedded in the business through automation, standardisation and FTE efficiency Material revenue uplift opportunity Efficiencies through standardisation of work flows and no duplication between states Improve testing capabilities of core instrumentation and reduce costs Better consumer experience with digital results reducing consultation turn-around times Brand and reputation - attract and retain best pathologists Deliver greater pre-analytical accuracy Increase share in higher margin and faster growing advanced genomics, complex and personalised testing Referrer / clinical benefits Operational benefits Financial benefits
LIS / SWA benefits
14 1H 2019 Results
1 FTEs based on 40-hour week, 47-week year
Underlying EBIT 1H 2019 2H 2018 1H 2018 Healius Medical Centres 17.0 13.8 22.0 Health & Co 0.9 (1.7) (2.5) Medical Centres 17.9 12.1 19.5 Medical Centres BaU 24.7 20.2 24.4
96 sites nation-wide
75 Healius Medical Centres
61 with Dental sites 5 with Day Hospitals 4 with IVF clinics
13 Health & Co 8 Montserrat Day Hospitals
1,193 GP partners
=1,017 FTEs1
153 Dentists
=130 FTEs1
11 IVF specialists
Range of specialists
and day hospitals
Unrivalled footprint of large scale centres Unprecedented patient flow opportunities
15 1H 2019 Results
1 Revenue and EBITDA shown after $18.0m impact of AASB 15 “Revenue from Contracts with Customers”. Nil impact on EBIT (refer slide 33) 2 Excludes $67.3m Montserrat acquisition 3 Refer slide 35 & 36 for GP statistics
stabilised Q2
5-year contracts.
Underlying 1H 2019 $m 1H 2018 $m Better/ (worse) % Revenue
1
149.6 140.9 6.2 EBITDA
1
29.6 30.7 (3.6) Depreciation (9.9) (8.7) (13.8) Amortisation (1.8) (2.5) 28.0 EBIT 17.9 19.5 (8.2) HCP capital expenditure 15.5 16.1 3.7 Total capital expenditure
2
46.0 38.0 (21.1)
with 98% retention
Dental
IVF
Other business
16 1H 2019 Results
Wayfinding concept
17 1H 2019 Results
4.2 5.4 6.6 3.4 3.9 4.4 3 5 7 2007 2012 2017 Same‐day separations Overnight separations (millions) 11% 6% 4% 3% 4% 73%
Competitor 1 Competitor 2 Competitor 3 Competitor 4 Healius
Higher growth in same-day separations Competitive landscape2
Source: Company websites, AIHW
2 Based on number of day hospitals in AustraliaSource: Australian Institute of Health and Welfare ('AIHW')
Day hospital business well positioned for future growth and further investment – Shift to day procedures: US seeing ASCs1 grow to over 5,000. Cancer, cardio and ortho projected to grow strongly – In Australia similar cost drivers and technology innovation – Highly fragmented sector with further acquisition / consolidation opportunities
High quality business run by a strong and experienced management team – Modern facilities, strategically located and easily accessible to specialists and patients – Retention of key management personnel
Complementary business for Healius – Platform for growth and improved performance in Healius’ 5 Day Hospitals with $4-5m annual turnaround targeted – Opportunities to integrate with Healius' IVF business and deliver pathology volumes – Existing relationships with a number of HCPs operating in the business
Diversifies Healius' sources of funding – Platform to grow non-Medicare revenues
Healius Day Hospitals
Montserrat acquisition
Montserrat Acquisition Rationale
1 ASCs = Ambulatory Surgical Centers performing same-day outpatient surgical care
People
Process
‘remote walk in’ appointments moved to pilot
18 1H 2019 Results PEOPLE PROCESS PROPERTY Attract the best healthcare professionals Increase operational efficiency Optimise space utilisation Become Workplace
Improve the patient experience Introduce new services Uplift facilities
Comprehensive renewal of the operating model under Leapfrog
Property
19 1H 2019 Results
1 Revenue and EBITDA shown after $2.1m impact of AASB 15 “Revenue from Contracts with Customers”. Nil impact on EBIT (refer slide 33)
Underlying 1H 2019 $m 1H 2018 $m Better/ (worse) % Revenue
1
192.0 176.6 8.7 EBITDA
1
26.4 26.0 1.5 Depreciation (6.7) (7.0) 4.3 Amortisation (1.2) (2.6) 53.8 EBIT 18.5 16.4 12.8 HCP capital expenditure 0.1 1.5 93.3 Total capital expenditure 11.4 10.4 (9.6)
referrer delivery channel and enhanced imaging
20 1H 2019 Results
IT, Finance, Property and HR including:
21 1H 2019 Results PEOPLE PROCESS PROPERTY Purpose, Mission & Values Modernisation of corporate support services infrastructure Facilities management & leasing outsourcing Performance management framework Property cost
program Brand
Underlying 1H 2019 $m 1H 2018 $m Better/ (worse) % EBITDA (6.2) (5.5) (12.7) Depreciation (1.5) (1.3) (15.4) Amortisation (0.8) (0.7) (14.3) EBIT (8.5) (7.5) (13.3)
Underlying NPAT for FY 2019 expected to be between $93m and $98m
due to benign Winter flu season
thereafter
long-term averages
technology and cancer survival rates, and rising patient expectations support long-term market growth
Pathology and Imaging
22 1H 2019 Results
phlebotomists, ~3,800 collectors, ~800 couriers, ~900 support staff
Diagnostics, histology and Veterinary pathology.
24 1H 2019 Results PEOPLE PROCESS PROPERTY Attract the best healthcare professionals Optimisation in pre- analytical process ACC network
Improve referrer experience Technology upgrade via SWA Speciality services expansion Strong focus on staff engagement Improved consumer experience Laboratory uplifts ACC enhancements
25 1H 2019 Results DENTAL IVF DAY HOSPITALS 4th largest dental
Australia’s first Medicare bulk billed clinic 13 day hospitals including 8 in Montserrat acquisition 61 centres with targeted expansion 4 clinics with
2018 Locations in NSW, QLD, VIC and WA 130 Dentist FTEs Trend of increasing procedures being conducted in Day Hospitals
Healius Medical Centres
conditions
~ 420 nurses, ~1,600 support staff Health & Co
26 1H 2019 Results
PEOPLE PROCESS PROPERTY Staff engagement Operational efficiency Uplift to community & medical centre sites Brand enhancements Improved referral delivery channels Development of high-end sites Improved radiologist experience Patient experience improvements Optimise hospitals
27 1H 2019 Results
PEOPLE workplace of choice PROCESS
PROPERTY yield optimisation
Staff engagement LIS1/SWA2 delivering improved referrer experience and enhanced brand
Quality reset = right culture
Attract HCP4s with simplified contracts, career pathways, skills development, appointment model, new team
New streams via young professionals, Barefoot GPs, roll-in M&As
Improving nursing and support staff
Staff engagement
iCAR3 delivering improved radiologist experience and enhanced brand
LIS1 delivering efficiencies and improved patient experience
Optimisation of pre-analytical processes
Technology upgrade to SWA2
Re-engineering clinic and corporate support workflows
Improved integration to reduce leakage
Modernise HCP4 billing practices
Better consumer experience: online access via websites and apps, e-recalls, continuity of care
Labour and operating model optimisation in dispersed community network
iCAR3 delivering efficiencies and improved patient experience
ACC5 network optimisation
Laboratory optimisation and uplifts
Specialty service expansion
ACC enhancement in Medical Centres
Modernise, improve and extend 52 Healius Medical Centres
Expansion of service offerings including urgent care and treatment rooms
Revitalisation of community sites
Optimisation of hospitals inc. NBH6
Development of high-end sites
Upgrade within Medical Centres
Pathology Medical Centres Imaging
Purpose, Mission and Values Performance management framework
Modernisation of corporate support services infrastructure
Outsourced facilities management / leasing
Property cost optimisation program
GROUP
3 Imaging Core Application Refresh 4 Healthcare Professionals 1 Laboratory Information System 2 Serum Work Area 5 Approved Collection Centres 6 Northern Beaches Hospital
based on latest MBS data available from October 2018
28 1H 2019 Results
0% 2% 4% 6% 8% 10% 12% Oct 13 Apr 14 Oct 14 Apr 15 Oct 15 Apr 16 Oct 16 Apr 17 Oct 17 Apr 18 Oct 18
Pathology: Market Services & Benefits
Services (12m rolling) Benefits (12m rolling) 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% Oct 13 Apr 14 Oct 14 Apr 15 Oct 15 Apr 16 Oct 16 Apr 17 Oct 17 Apr 18 Oct 18
Diagnostic Imaging: Market Services & Benefits
Services (12m rolling) Benefits (12m rolling) 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% Oct 13 Apr 14 Oct 14 Apr 15 Oct 15 Apr 16 Oct 16 Apr 17 Oct 17 Apr 18 Oct 18
Specialist: Market Services & Benefits
Services (12m rolling) Benefits (12m rolling) 0% 1% 2% 3% 4% 5% 6% 7% 8% Oct 13 Apr 14 Oct 14 Apr 15 Oct 15 Apr 16 Oct 16 Apr 17 Oct 17 Apr 18 Oct 18
GPs: Market Services & Benefits*
Services (12m rolling) Benefits (12m rolling)
* Broad type of service (BTOS): unreferred GP attendances5 year growth rate of 4.1% 5 year growth rate of 6.2% 5 year growth rate of 5.5% 5 year growth rate of 4.5%
Underlying EBIT
30 1H 2019 Results
1H 2019 $m Pathology Medical Centres
1
Imaging Corporate Group
2
Revenue 551.5 149.6 192.0 0.0 870.6 EBITDA 59.0 29.6 26.4 (6.2) 108.8 Depreciation (10.0) (9.9) (6.7) (1.5) (28.1) Amortisation (3.8) (1.8) (1.2) (0.8) (7.6) EBIT 45.2 17.9 18.5 (8.5) 73.1 1H 2018 $m Pathology Medical Centres
1
Imaging Corporate Group
2
Revenue 534.0 140.9 176.6 0.0 832.7 EBITDA 67.0 30.7 26.0 (5.5) 118.2 Depreciation (9.7) (8.7) (7.0) (1.3) (26.7) Amortisation (4.4) (2.5) (2.6) (0.7) (10.2) EBIT 52.9 19.5 16.4 (7.5) 81.3
1 Medical Centres includes Healius Medical Centres, Health & Co and Montserrat 2 $22.5m of inter-company revenue/expenses have been eliminated at the Group level (1H 2018 $18.8m)
31 1H 2019 Results
Underlying 1H 2019 $m 1H 2018 $m Better/ (worse) % EBIT 73.1 81.3 (10.1) New centres 7.7 5.8 EBIT Business as Usual 80.8 87.1 (7.2)
1 3-year ramp-up is assumed for greenfield sites, excludes brownfields and Imaging hospital contract 2 Kawana not included in BAU adjustmentFY 2018 openings FY 2017 openings FY 2016 openings Healius Medical Centres Craigieburn, Greensborough, Narellan, Robina (opened 7/18) Healius Medical Centres Corrimal Healius Medical Centres
Perth IVF & Day Surgery IVF Brisbane IVF IVF
Kawana 2 Imaging River City Imaging Varsity Lakes
32 1H 2019 Results
assets and amortised over the term of the relevant contract
the term of the relevant contract
Group reconciliation
33 1H 2019 Results
1H 2019 AASB 15 Impact, $m Pathology Medical Centres
1
Imaging Corporate Group
2
Pre AASB 15 Revenue 551.5 167.6 194.1 0.0 890.7 Pre AASB 15 EBITDA 59.0 47.6 28.5 (6.2) 128.9 Amortisation Reclass 0.0 (18.0) (2.1) 0.0 (20.1) Post AASB 15 Revenue 551.5 149.6 192.0 0.0 870.6 Post AASB 15 EBITDA 59.0 29.6 26.4 (6.2) 108.8 1H 2018 AASB 15 Impact, $m Pathology Medical Centres
1
Imaging Corporate Group
2
Pre AASB 15 Revenue 534.0 162.0 179.3 0.0 856.5 Pre AASB 15 EBITDA 67.0 51.8 28.7 (5.5) 142.0 Amortisation Reclass 0.0 (21.1) (2.7) 0.0 (23.8) Post AASB 15 Revenue 534.0 140.9 176.6 0.0 832.7 Post AASB 15 EBITDA 67.0 30.7 26.0 (5.5) 118.2
1 Medical Centres includes amortisation reclassification for GPs $16.3m and other $1.7m 2 $22.5m of inter-company revenue/expenses have been eliminated at the Group level (1H 2018 $18.8m)
35 1H 2019 Results
Numbers
Capex
Recruitment
5 10 15 20 25 30 35 40 (90) (40) 10 60 110
1H15 2H15 1H16 2H16 1H17 2H17 1H18 2H18 1H19 GP capex ($m) # of GPs
Joiners (LHS axis) Leavers (LHS axis) HLS initiatives After-tax capex (RHS axis)-1
HLS initiatives essential for future growth
Key Drivers1
36 1H 2019 Results
GPs 1H 2019 2H 2018 1H 2018 1H 2017 1H 2016 Headcount 1,066 1,056 1,055 979 955 FTEs
2
925 945 958 922 923 Gross billings ($m) 208.9 212.9 212.2 206.5 207.5 Share of revenue (%) 38.3% 39.4% 41.3% 44.9% 47.3% Revenue ($m)
3
80.0 83.8 87.7 92.7 98.0 GP capital expenditure 15.5 9.6 15.3 15.9 33.6
1 All figures shown before impact of AASB 15 “Revenue from Contracts with Customers” on GP revenue (refer slide 37) 2 FTEs based on 40-hour week, 47-week year 3 Revenue includes revenue earned by registrars who are employed rather than under contract and not included in GP numbers. (1H19 41 registrars)
Impact of AASB 15 “Revenue from Contracts with Customers” on GP revenue
37 1H 2019 Results
AASB 15 Impact, $m 1H 2019 2H 2018 1H 2018 1H 2017 1H 2016 Pre AASB 15 Revenue 80.0 83.8 87.7 92.7 98.0 Amortisation Reclass (16.3) (17.9) (19.6) (24.2) (23.3) Post AASB 15 Revenue 63.7 65.9 68.1 68.4 74.7
Tax Implications of HCP acquisitions
$m 1H 2019 2H 2019 2020 Additional Accounting Tax Expense 2.8 2.2 2.1 Healthcare Professionals contracted on or after 1 July 2015
intangible assets.
Healthcare Professionals contracted prior to 30 June 2015:
to-date.
progressively decrease as the associated amortisation expense is recognised and runs off.
38 1H 2019 Results
This presentation has been prepared by Healius Limited (ACN 064 530 516) (‘HLS’). Material in this presentation provides general background information about HLS which is current as at the date this presentation is made. Information in this presentation remains subject to change without notice. Circumstances may change and the contents of this presentation may become outdated as a result. The information in this presentation is a summary only and does not constitute financial advice. It is not intended to be relied upon as advice to investors or potential investors and has been prepared without taking account of any person’s investment objectives, financial situation or particular needs. This presentation is based on information made available to HLS. No representation or warranty, express or implied, is made in relation to the accuracy, reliability or completeness of the information contained herein and nothing in this presentation should be relied upon as a promise, representation, warranty or guarantee, whether as to the past or future. To the maximum extent permitted by law, none of HLS or its directors,
Those statements in this presentation which may constitute forecasts or forward-looking statements are subject to both known and unknown risks and uncertainties and may involve significant elements of subjective judgment and assumptions as to future events which may or may not prove to be correct. Events and actual circumstances frequently do not occur as forecast and these differences may be material. The HLS parties do not give any representation, assurance or guarantee that the occurrence of the events, express or implied, in any forward-looking statement will actually occur and you are cautioned not to place undue reliance on forward-looking statements. This presentation is provided for information purposes only and does not constitute an offer, invitation or recommendation with respect to the subscription for, purchase or sale of any security and neither this document, nor anything in it shall form the basis of any contract or commitment. Accordingly, no action should be taken on the basis of, or in reliance on, this presentation.
39 1H 2019 Results