briefing – 25 february 2008 financial results half year ...€¦ · ¾strong organic growth...

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Briefing – 25 February 2008 Financial Results Half Year ended 31 December 2007

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Page 1: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

Briefing –

25 February 2008 Financial Results

Half Year ended 31 December 2007

Page 2: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

AGENDA

Ramsay Financial Performance Pre Capio

UK (“Ramsay UK”)

Ramsay Financial Performance Including Ramsay UK

Operational Highlights Pre Ramsay UK•

Ramsay UK

Rationale, performance & growth strategy•

Growth Strategy –

Brownfields

Financial Year 2008 Outlook

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Page 3: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

HALF YEAR OVERVIEW (PRE RAMSAY UK)

Strong half-year result on like-for-like basis

Half-year core EPS growth tracking towards full-year guidance for low double-digit growthStrong organic growth across the portfolio with the minimal remaining Affinity synergies achievedGreenslopes turnaround started, Hollywood still being stabilisedBrownfields expansion program progressing well

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Page 4: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

FINANCIAL PERFORMANCE (PRE RAMSAY UK)

Half Year ended 31 December

2007 2006

$ m $ m % Inc.

Continuing Operations

Operating Revenue 1,128.9 1,055.2 7.0%

EBITDA 153.5 138.5 10.8%

EBIT 120.4 108.5 11.0%

Core NPAT – continuing operations 63.6 56.2 13.2%

Core EPS – continuing operations 31.6¢ 27.8¢ 13.5%

Interim dividend – fully franked 15.0 ¢ 13.0 ¢ 15.4%

(Core NPAT - continuing operations and Core EPS – continuing operations are before specific items, amortisation of intangibles and divested operations) 3

Page 5: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

GROUP FINANCIAL PERFORMANCE (INCLUDING RAMSAY UK)

Half Year ended 31 December

2007 2006

$ m $ m % Inc.

Continuing Operations (including Ramsay UK)

Operating Revenue 1,188.1 1,055.2 12.6%

EBITDA 156.6 138.5 13.0%

EBIT 120.1 108.5 10.7%

Core NPAT – continuing operations 61.2 56.2 9.0%

Core EPS – continuing operations 30.2¢ 27.8¢ 8.6%

Group Items

NPAT – divested operations (0.7) 0.1

Specific items and amortisation of intangibles (net of tax) (9.6) (1.3)

Net Profit after Tax 50.9 54.8 (7.0%)

(Core NPAT - continuing operations is before specific items, amortisation of intangibles and divested operations) 4

Page 6: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

Specific Items and Amortisation of Intangibles (net of tax)

Half Year Ended 31 December

Specific Items and Amortisation of Intangibles (Net of Tax) 2007 2006

$ m $ m

Ramsay (Pre UK)

Write off of capitalised borrowing costs (refinancing) 5.5 -

Project costs, restructuring and integration 2.9 0.6

8.5 0.6

Amortisation of intangibles 0.9 0.7

9.4 1.3

Ramsay UK

Restructuring and Integration costs 0.2 -

9.6 1.3

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Page 7: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

INTERIM DIVIDEND UP 15.4 %

Interim DividendFinal Dividend

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Page 8: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

EBIT GROWTH (PRE RAMSAY UK)

Group EBIT up 11% for half year

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Page 9: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

REVENUE ANALYSIS (PRE RAMSAY UK)

Strong EBIT growth in all states, except WA (marginally diluted by Hollywood)

Veteran hospitals represent 17% of total revenue–

Veteran patients within these hospitals represent 50% of revenue

* On an annualised running rate, Ramsay UK to form approx 25% of group revenues8

Page 10: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

CORE NET PROFIT GROWTH (PRE RAMSAY UK)

Core NPAT up 13.2% for the half year•

Strong organic growth on a like-for-like basis

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Page 11: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

CORE EPS GROWTH (PRE RAMSAY UK)

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• Core EPS up 13.5%• Better than planned

Page 12: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

COMMITTED DEBT FUNDING

In November 2007 Ramsay signed a new underwritten senior debt facility agreement for A$1.535B and ₤290M.

To refinance existing senior debtTo fund the unspent balance of the $550M in brownfield capexTo fund Capio UK acquisitionTo provide headroom for future growth opportunities

Committed senior debt funding until November 2012 with predetermined interest margins (according to “leverage”

grid)

Ramsay is therefore not exposed to any refinancing risk for the next 5 years. 11

Page 13: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

EFFECTIVE BALANCE SHEET MANAGEMENT

Strong & consistent cash flow (generated in the private hospital industry) underwrites debt servicing

Additionally Ramsay is very focussed on cash flow and working capital management

High cash conversion rate (see cash conversion slide)Ramsay has a risk averse philosophy to interest rate exposure and hedges a significant amount of total interest payableApproximately 85 % of interest rate exposure is currently hedged for periods of 2-5 yearsReplacement capex spend aligned to depreciation charge

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Page 14: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

HIGH CASH CONVERSION

Cash flow generation in the December 07 half year was consistent

with profitability (EBITDA of $157M v gross operating cash flow of $145M)

This is particularly pleasing given that cash flow had been adversely affected in earlier periods by the impact of the transition out of the DVA contracts. These past shortfalls have largely been made up.

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Page 15: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

OPERATIONAL HIGHLIGHTS (PRE RAMSAY UK)

Group EBIT up 11% on strong performance across portfolio

Strong organic EBIT growth in all states except WA (marginally diluted by Hollywood)

Hospital EBIT growth 9%•

Veterans’

hospitals improving

Greenslopes turning aroundHollywood still being stabilised

Total admissions up 3.7%

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Page 16: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

OPERATIONAL HIGHLIGHTS (PRE RAMSAY UK)

Cost containment continues across the portfolio resulting in improved margins

Supply costsEconomies of scale

Group EBIT (ex. Ramsay UK) margin up to 10.7% from 10.3%

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Page 17: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

EBITDA GROWTH & POSITIVE MARGIN TRENDS

(PRE RAMSAY UK)

Group EBITDA up 10.8% for the half year•

Group EBITDA margin 13.6% vs 13.1%

Hospital EBITDA margin 17.9% vs 17.7% excl. prosthesis•

Hospital EBIT margin 14.7% vs 14.5% excl. prosthesis 16

Page 18: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY’S REVENUE GROWTH PATH

Alpha Group Acq. May’01

Hollywood Major Expansion Opened Jul’02

Greenslopes Major Expansion Opened May’03

Benchmark Group Acq. Jul’04

Affinity Group Acq. Apr’05

Capio UK Acq. 2007

Hollywood Acq. Jan’94

Greenslopes Acq. Feb’95

Pro-forma 12-Mth Run

RateFinancial Year ended 30 June

North Shore Private Hosp Opened Jul’98

RHC Listed Sep’97

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Page 19: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY UK -

RATIONALE

Huge opportunity due to changing landscape

Ramsay UK well positioned to capitalise on market changes and capture outsourcing of National Health Service (NHS) to private sector

A strong, stand-alone business, completed Nov 23, 2007 –

contributed 6 weeks to results

Business underpinned by stable Private Medical Insurance (PMI) market 18

Page 20: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY UK PROFILE

4th largest operator of private hospitals in the UK•

Diverse business and revenue source

22 private hospitals across England with 854 beds and 48 operating theatres9 Independent Sector Treatment Centres (ISTCs)2 neurological rehabilitation homes22-apartment retirement villageIn-hospital pathology servicesFixed & mobile radiology unitsDay surgery unitLondon-based ophthalmology unit

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Page 21: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY UK –

PERFORMANCE

9 Independent Sector Treatment Centres (ISTCs) All Ramsay UK ISTCs experienced volume growth in calendar 2007Already seeing high levels of contract activity in 2008

Rising NHS activity encouragingIncreasing number of spot contracts have been negotiatedChoose & Book rising through improved marketingNumber of NHS patients treated at Ramsay UK hospitals in calendar 2007 more than double 2006

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Page 22: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY UK –

PERFORMANCE

Integration process going well

Government remains fully committed to Choose & Book initiative

Official launch supported by new website enabling GPs to access all providers on equal footing (public and private hospitals)ISTC Wave II reduction in contracts not reflective of government commitment to the private sector

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Page 23: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

RAMSAY UK -

GROWTH STRATEGY

Well positioned to benefit from further government outsourcing in coming months

Full patient choice to be officially launched in April 2008 but staged use of Choose & Book already in place and increasing

Ramsay models forecast slow growth in patient choice. Current activity suggests models are conservative

PMI stable, self pay increasing with improved marketing•

Additional capacity may be required

Acquisition opportunitiesClassic Hospitals expensiveOther opportunities will be investigated to enhance the value ofRamsay UK 22

Page 24: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

GROWTH STRATEGY BROWNFIELDS

Ramsay already committed $550M for improvements and capacity expansion

Approx 25% spent•

Average construction profile 18 months

All projects are tracking well•

Brownfield developments expected to deliver earnings growth towards the end of FY08 and beyond

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Page 25: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

ADDITIONAL BROWNFIELD OPPORTUNITIES

Opportunities exist to create additional mega referral centres across the country

Designed to attract increased referrals

Mega referral centres at various stages of planning: Warringal (well developed)St George (progressing well)Westmead (well developed)Pindarra (master planning stage)

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Page 26: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

FY 2008 OUTLOOK

Strong fundamentals of private hospital industry will continue to underpin Ramsay’s growth prospects

Private Health Insurance membership continues to grow•

Strong organic growth to continue

Ramsay UK performing to expectations,1.5-2.0 cents/share dilutive in FY08

Ramsay UK expected to be Core EPS accretive in FY10 and beyond

Including Ramsay UK, Ramsay is targeting low double-digit growth for the total group for FY08, on the back of strong growth in Australia

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Page 27: Briefing – 25 February 2008 Financial Results Half Year ...€¦ · ¾Strong organic growth across the portfolio with the minimal remaining Affinity synergies achieved ¾Greenslopes

QUESTIONS