FY 2019 Results
Year ended 30 June 2019
16 August 2019
FY 2019 Results Year ended 30 June 2019 16 August 2019 Our Group - - PowerPoint PPT Presentation
FY 2019 Results Year ended 30 June 2019 16 August 2019 Our Group A comprehensive strategy Repositioning the Medical Centres via the Leapfrog program Leading-edge technology People: Attracting the right GPs through a multi-channel
Year ended 30 June 2019
16 August 2019
Repositioning the Medical Centres via the Leapfrog program
People: Attracting the right GPs through a multi-channel approach and strengthening nursing and front-line support staff Process: Delivering operational efficiencies, digitisation, and new and expanded service offerings Property: Improving centre utilisation and consumer experience where local demand is evident
3 FY 2019 Results
Investing in emerging businesses - Dental, IVF, Day Hospitals
Operating in sectors with disruption and growth potential Diversifying revenue streams Developing patient flow opportunities within a community setting
Organisational redesign
Simplifying management structure, improving divisional agility, driving a more efficient group function
Leading-edge technology
Laboratory Information System (LIS) program will revolutionise processes, reporting and service delivery Medical Director 3 (MD3) practice management system delivering uniformity throughout network and greater digital adaptability Imaging Core Application Refresh (iCAR) delivering efficiencies
and enhancing referrer / patient interaction
Group
Increasingly positive momentum throughout the year Rolled out ‘Healius’ brand – supporting record GP recruitment Organisational redesign commenced 2H
4 FY 2019 Results
Medical Centres
2 consecutive halves of improved returns, record number of GP recruits, gross billings per hour up Over 95% of centres on the same PMS with appointments 15 sites upgraded as planned Expanded consumer offerings with SwiftQ Immediate Care, Skin2, Logic Health Emerging businesses Montserrat to deliver a diversified growth platform IVF rebranded Adora. Fastest growing provider of IVF services SwiftQ Dental launch to address market need
Imaging
3 successive years of double-digit EBIT growth Market share increasing iCAR roll-out continues apace with over 70 live sites Successful contract wins and delivery:
Pathology
Improved 2H returns (up 46% on 1H) FY19 productivity program targets achieved Progress on laboratory platforms
fully contributing
6 FY 2019 Results
1All comments relate to underlying results unless noted 2Reconciliation – slide 30 3Reconciliation – slide 31 4AASB 15 adjustment – slide 32 5AASB 16 adjustment – slide 33
Group $m FY 2019 FY 2018 FY 2019 FY 2018 Revenue 1,804.5 1,704.6 1,810.3 1,704.6 EBIT 167.3 160.1 117.4 64.6 NPAT 93.2 87.5 55.9 4.1 Underlying
1
Reported
2
7 FY 2019 Results
FY 2019 $m Laboratory Platforms Leapfrog
1
iCAR Corporate Project management, design & planning 9.3 3.6 2.2 3.0 Project implementation & training
2
1.0 9.5 0.9 6.2 Total Opex (adjusted between reported and underlying)
3
10.3 13.1 3.1 9.2 Property, plant & equipment 1.1 18.5 0.0 0.0 Intangibles 3.1 13.1 5.0 0.0 Total Capex 4.2 31.6 5.0 0.0 Total Project Costs 14.5 44.7 8.1 9.2
1 Included in opex for Leapfrog are project management costs, additional recruitment and M&A costs to support the Leapfrog ramp-up, and additional costs to support implementation and training 2 All implementation costs are capitalised where they directly relate to PPE or an intangible asset otherwise implementation costs are expensed as non-underlying items 3 Refer slide 30 for reconciliation between reported and underlying
8 FY 2019 Results 128 76 195 (30) (38) (52) 50 100 150 200 Gross OCF Interest Tax OCF Maintenance capex Free cash flow $m
92
1 Refer slide 7. Excludes $4.7m non-cash accrual
generation and capital raise in 1H 2019
Will deliver future operating cash flow
dividends
9 FY 2019 Results
1 Bank gearing ratio is calculated based on underlying EBITDA before the impact of AASB 15
1,156 816 784 777 678
Net debt reduction
FY15 FY16 FY17 FY18 FY19
Reported As at $m 30 June 2019 30 June 2018 Bank and finance debt 797.9 860.8 Cash (119.7) (84.0) Net debt 678.2 776.8 Bank gearing ratio (covenant <3.5x)1 2.4x 2.7x Bank interest ratio (covenant >3.0x) 9.5x 9.0x Gearing (net debt: net debt + equity) 24.8% 29.9%
11 FY 2019 Results
Underlying FY 2019 $m FY 2018 $m Better/ (worse) % Revenue 1,128.3 1,090.6 3.5 EBITDA 136.2 138.7 (1.8) Depreciation (19.8) (19.0) (4.2) Amortisation (5.3) (5.6) 5.4 EBIT 111.1 114.1 (2.6) Total capital expenditure 35.1 21.1 (66.4)
1 NIPT= Non-invasive prenatal test, HPV= human papillomavirus
Cost control
Investment
September
accuracy and efficiencies:
mid-May
New Serum Work Area at Laverty 12 FY 2019 Results
LIS
Referrer/clinical benefits with improved accuracy and advanced testing Operational benefits of standardised testing and faster turn-around Financial benefits from FTE efficiency and automation
13 FY 2019 Results
1 Revenue and EBITDA shown after $35.4m impact of AASB 15. Nil impact on
EBIT (refer slide 32)
2 Excludes $68.3m Montserrat acquisition and $3.8m new Montserrat clinics
Underlying FY 2019 $m FY 2018 $m Better/ (worse) % Revenue
1
327.4 289.7 13.0 EBITDA
1
61.4 53.7 14.3 Depreciation (20.4) (18.0) (13.3) Amortisation (3.4) (4.1) 17.1 EBIT 37.6 31.6 19.0 HCP capital expenditure 28.9 26.8 (7.8) Total capital expenditure
2
96.6 67.4 (43.3) Two halves of EBIT growth from 2H 2018 lows
EBIT $48m without greenfield centre ramp-ups
Underlying EBIT 2H 2019 1H 2019 2H 2018 Medical Centres 19.7 17.9 12.1 Medical Centres before greenfield costs 23.6 24.7 20.2
14 FY 2019 Results
1 Refer slide 35 & 36 for GP statistics 2 FTEs based on 40-hour week, 47-week year
95 sites nation-wide
73 Healius Medical Centres
61 with Dental sites 4 with IVF clinics
13 Health & Co 14 Day Hospitals (9 stand-alone)
1,296 GP partners
=1,090 FTEs2
164 Dentists
=133 FTEs2
11 IVF specialists
Range of specialists
and day hospitals
Healius Medical Centres GPs1
Normalised retention ~90%
Health & Co
People
signed or terms approved
Process
Logic Health occupational medicine
Property
uplifted in separate centres
minor surgery and procedure rooms, 11 ACCs and 17 staff rooms
15 FY 2019 Results
+103
Dental
Adora Fertility
Other (net of GP, Dental, IVF and Day Hospitals)
16 FY 2019 Results
Adora Fertility Clinic, Surry Hills SwiftQ Dental, Fairfield
17 FY 2019 Results
Montserrat: acquired October 2018
represents future of day hospitals in Australia (equivalent to ASCs1 in US)
Healius Day Hospitals
greenfield investment, established sites profitable
1 ASCs = Ambulatory Surgical Centers in US performing
same-day outpatient surgical care Day hospital business well positioned for future growth and further investment – Shift to day procedures in US where ASCs1 grown to > 5,000 – Cancer, cardio and ortho projected to grow strongly – In Australia, similar cost drivers and technology innovation – Highly fragmented sector with consolidation opportunities High quality business run by a strong and experienced management team – Modern facilities, strategically located and accessible – Retention of key management personnel
Complementary business for Healius – Platform for growth – Opportunities to integrate with Healius' IVF business – Opportunities to deliver pathology volumes – Existing relationships with a number of HCPs in Healius – Targeting $4-5m turnaround in Healius Day Hospitals
Diversifies Healius' sources of funding – Growth in non-Medicare revenues
Westside Private Hospital Greensborough Day Hospital
18 FY 2019 Results
1 Revenue and EBITDA shown after $4.1m impact of AASB 15. Nil impact on EBIT (refer slide 32)
Underlying FY 2019 $m FY 2018 $m Better/ (worse) % Revenue
1
391.3 362.6 7.9 EBITDA
1
54.1 51.2 5.7 Depreciation (13.4) (14.0) 4.3 Amortisation (2.0) (3.4) 41.2 EBIT 38.7 33.8 14.5 HCP capital expenditure 0.9 2.8 67.9 Total capital expenditure 22.3 36.9 39.6
Growth
19 FY 2019 Results
Investment
Private Hospital, Brisbane. Both with fully-licenced MRI and PET/CT
referrer delivery channel and enhanced imaging
Cost control
Corporate
FY 2020
20 FY 2019 Results 1 Subject to market conditions and before any adjustment for the impact of AASB 16
Highfields Imaging, Port Macquarie
Australia-wide coverage 2,558 Total sites
2,318 Pathology
2,216 ACCs 102 Laboratories
95 Medical Centres & Day Hospitals 145 Imaging
29 Hospitals 61 Community Centres 55 Medical Centres
22 FY 2019 Results
73 Healius Medical Centres
61 with Dental sites 4 with IVF clinics
13 Health & Co 15 Day Hospitals
9 stand-alone
v
as at July 2019
18 Total Sites 61 Total Sites 213 Total Sites
25
25 Total Sites 678 Total Sites
625 19 34
685 Total Sites
630 19 36
840 Total Sites ACT 38 Total Sites
33 2 3 18 197 12 4 49 7 5 741 36 63
23 FY 2019 Results
assistants
Unrivalled footprint of large scale medical centres and patient flow opportunities
Healius Medical Centres
Health & Co
Emerging businesses
Overall >1,800 independent HCPs, 650 nurses and >1,600 support staff
24 FY 2019 Results
Maroubra Medical Centre
25 FY 2019 Results
PEOPLE
Workplace of choice
PROCESS
Organisational efficiency
PROPERTY
Yield optimisation
Group
Purpose, Mission and Values Performance management framework Learning and development programs Modernisation of corporate support services infrastructure
Outsourced facilities management / leasing Property cost optimisation program
Pathology
Staff engagement LIS1/SWA2 delivering improved pathologist / referrer experience and enhanced brand
LIS1 delivering efficiencies and improved
consumer experience
Optimisation of pre-analytical processes Technology upgrade to SWA2 Specialty service expansion ACC5 and regional laboratory network optimisation ACC expansions in Medical Centres Core laboratory uplifts and centralisation of high-
end tests
Medical Centres
Quality reset = right culture Attracting the right HCPs4 with simplified
contracts, career pathways, skills development, appointment model
New streams via registrars, roll-in M&As Strengthening nursing and front-line
support staff
Appointments enabling better continuity of care Expansion of service offerings including SwiftQ
Immediate Care, ‘Skin2’ cancer clinics, and Logic Health occupational medicine
Better consumer experience: e-recalls, self
check-in kiosks, join the queue remotely app Modernisation and extension of a range of Healius Medical Centres, with extra GP rooms, dental surgeries, immediate care facilities, treatment rooms and staff rooms
Diagnostic Imaging
Staff engagement iCAR3 delivering improved radiologist
experience and enhanced brand
Labour and operating model optimisation in
dispersed community network
iCAR3 delivering efficiencies and improved
consumer experience
Development of high-end sites Optimisation of hospital channel
3 Imaging Core Application Refresh 4 Healthcare Professionals 1 Laboratory Information System 2 Serum Work Area 5 Approved Collection Centres
26 FY 2019 Results
Lower 5-year growth rates from subdued FY19 volumes
27 FY 2019 Results
Underlying EBIT
29 FY 2019 Results
FY 2019 $m Pathology Medical Centres
1
Imaging Corporate Group
2
Revenue 1,128.3 327.4 391.3 0.3 1,804.5 EBITDA 136.2 61.4 54.1 (15.7) 236.0 Depreciation (19.8) (20.4) (13.4) (3.1) (56.7) Amortisation (5.3) (3.4) (2.0) (1.3) (12.0) EBIT 111.1 37.6 38.7 (20.1) 167.3 FY 2018 $m Pathology Medical Centres
1
Imaging Corporate Group
2
Revenue 1,090.6 289.7 362.6 0.0 1,704.6 EBITDA 138.7 53.7 51.2 (15.6) 228.0 Depreciation (19.0) (18.0) (14.0) (2.5) (53.5) Amortisation (5.6) (4.1) (3.4) (1.3) (14.4) EBIT 114.1 31.6 33.8 (19.4) 160.1
1 Medical Centres includes Healius Medical Centres, Health & Co, Dental, IVF and Montserrat 2 $42.8m of inter-company revenue/expenses have been eliminated at the Group level (FY18 $38.3m)
30
FY 2019 $m Reported Restructuring/strategic initiatives and other Impairment Underlying EBIT 117.4 49.9 0.0 167.3 Finance costs (34.2) (34.2) PBT 83.2 133.1 Income Tax (27.3) (39.9) NPAT 55.9 93.2 FY 2018 $m Reported Restructuring/strategic initiatives and other Impairment Underlying EBIT 64.6 46.0 49.5 160.1 Finance costs (35.1) (35.1) PBT 29.5 125.0 Income Tax (25.4) (37.5) NPAT 4.1 87.5
FY 2019 Results
31 FY 2019 Results
3-year ramp-up is assumed for greenfield sites. It excludes brownfields, quasi-brownfields (Kawana and Highfields) and Imaging hospital contracts.
FY 2019 openings FY 2018 openings FY 2017 openings Monserrat Day Hospitals
Westside Private Hospital (inc. Westside Haematology and Oncology Centre) Western Haematology and Oncology Clinic Albany Day Hospital
Healius Medical Centres
Craigieburn Greensborough (inc Day Surgery) Narellan Robina (opened 7/18)
Healius Medical Centres
Corrimal
IVF
Perth IVF & Day Surgery
IVF
Brisbane IVF
Imaging
Highfields
Imaging
Kawana
Imaging
River City
Business as usual analysis FY 2019 $m FY 2018 $m Better/ (worse) % Underlying EBIT 167.3 160.1 4.5 Medical Centres - new centres 10.7 13.0 Imaging - new centres 1.8 1.8 EBIT Business as Usual 179.8 174.9 2.8
32 FY 2019 Results
assets and amortised over the term of the relevant contract
the term of the relevant contract
33 FY 2019 Results
$bn
1.1
1.2
information
5 10 15 20 25 30 (90) (40) 10 60 110 160
1H16 2H16 1H17 2H17 1H18 2H18 1H19 2H19 GP capex ($m) # of GPs
Joiners (LHS axis) Leavers (LHS axis) HLS initiatives After-tax capex (RHS axis)
35 FY 2019 Results
36 FY 2019 Results
1 Historical figures restated to include skin and immediate care GPs 2 FTEs based on 40-hour week, 47-week year. GPs consistently work more than contracted hours 3 Revenue shown after impact of AASB 15. Includes revenue earned by registrars who are employed rather than under contract and not included in GP numbers (FY19 38 registrars) 4 19% of new GPs and 25% of re-signs have opted for up-front payments.
GPs FY 2019 FY 2018
1
FY 2017
1
Better/(worse) % FY19-FY18 Headcount 1,164 1,061 1,045 9.7 FTEs
2
992 950 964 4.4 Gross billings ($m) 430.2 430.0 419.9 0.0 Share of revenue (%)
3
32.2% 33.2% 33.9% (100) pp Revenue ($m)
3
138.3 142.9 142.3 (3.2) GP capital expenditure
4
28.7 24.9 27.4 15.3
$m FY 2019 FY 2020 Additional Accounting Tax Expense 4.9 2.0
Healthcare Professionals contracted on or after 1 July 2015
intangible assets.
Healthcare Professionals contracted prior to 30 June 2015
decreased as the associated amortisation expense has run off and will cease in FY 2020.
37 FY 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,
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38 FY 2019 Results