TIDMMGP
RNS Number : 8211Y
Medica Group PLC
14 September 2020
14 September 2020
Medica Group PLC
Interim results demonstrate resilient performance
Significant improvement in reporting activity towards end of H1
2020 continuing into H2 2020
Well-positioned to support clients, manage backlog of elective
procedures and for future growth
Medica Group PLC (LSE: MGP, "Medica", the "Company" or the
"Group"), the UK market leader in the provision of teleradiology
services, today announces its unaudited results for the six months
ended 30 June 2020.
Key highlights
Six months Six months Change
to to
30 June 2020 30 June 2019
GBP'000s GBP'000s
Revenue 16,981 21,978 (22.7)%
---------------------------- -------------- -------------- --------
Gross profit 8,000 10,463 (23.5)%
---------------------------- -------------- -------------- --------
Gross profit margin 47.1% 47.6%
---------------------------- -------------- -------------- --------
Adjusted operating profit
(1) 2,028 5,339 (62.0)%
---------------------------- -------------- -------------- --------
Adjusted operating margin 11.9% 24.3%
---------------------------- -------------- -------------- --------
Operating profit before
exceptional items 1,517 4,823 (68.6)
---------------------------- -------------- -------------- --------
Adjusted profit before
tax (2) 1,901 5,204 (65.4)%
---------------------------- -------------- -------------- --------
Profit before tax 1,311 4,658 (71.9)%
---------------------------- -------------- -------------- --------
Adjusted EPS (pence)
(3) 1.30 3.88 (66.5)%
---------------------------- -------------- -------------- --------
Basic EPS 0.74 3.49 (78.9)%
---------------------------- -------------- -------------- --------
Interim dividend (pence) 0.85 0.85 n/a
---------------------------- -------------- -------------- --------
30 June 31 December
2020 2019
GBP'000 GBP'000
--------------------------- -------------- -------------- --------
Gross cash balances 20,004 16,576 21%
---------------------------- -------------- -------------- --------
(1) Adjusted operating profit is a non-IFRS measure and is
calculated as operating profit before exceptional items, share
based payments and amortisation in respect of assets acquired on
acquisition.
(2) Adjusted profit before tax is a non-IFRS measure and is
calculated as profit before tax before exceptional items, share
based payments and amortisation in respect of assets acquired on
acquisition
(3) Adjusted earnings per share is a non-IFRS measure and is
calculated as Earnings per share before exceptional items, share
based payments and amortisation in respect of assets acquired on
acquisition
A reconciliation of non-statutory measures in included in note
8.
Financial highlights
As previously announced, revenue declined during H1 2020
compared to H1 2019 due to the impact of the SARS-CoV-2 (Covid-19)
pandemic on radiology reporting activity. Despite the decline in
revenue, Medica's cash position remained strong, demonstrating the
resilience of the business model, and reporting activity has
continued to improve to date in H2 2020.
-- Total revenue of GBP17.0m; a decline of 22.7% year-on-year (2019: GBP22.0m)
o NightHawk revenue marginally declined 0.8% to GBP10.2m
year-on-year (2019: GBP10.4m)
o Elective (previously referred to as Routine) revenue declined
42.4% to GBP6.4m year-on-year (2019: GBP11.1m) due to the
suspension of elective procedures by the NHS during the Covid-19
outbreak
-- Gross profit margin reduced marginally to 47.1% (2019: 47.6%)
reflecting both changes to the revenue mix compared to prior year
and also some impact of contract renewals and updated framework
pricing as forecast in March 2020
-- Adjusted operating profit declined 62.0% to GBP2.0m (2019:
GBP5.3m) predominantly due to the impact of Covid-19 but offset
somewhat by careful management of the cost base. Statutory
operating profits declined 68.6% to GBP1.5m (2019: GBP4.8m)
-- Despite the pressures of Covid-19, at 30 June 2020, gross
cash stood at GBP20.0m (31 December 2019: GBP16.6m) Net cash after
taking account of GBP12.0m of term debt was GBP8.0m (31 December
2019: GBP4.6m).
-- Interim 2020 dividend of 0.85 pence per share declared reflecting the strong cash position
Operational highlights
-- Significant improvement in reporting activity towards the end of the period:
o NightHawk reporting activity initially fell to around 60% of
pre-Covid-19 levels before recovering to around 95% at the end of
H1 2020
o Elective reporting activity initially fell significantly to
around 5% of pre-Covid-19 levels, recovering to around 10% at the
end of H1 2020
-- Continued drive to increase rostered reporter capacity with
8% increase in available rostered reporting hours and significant
latent capacity available to service the recovery in demand
-- Advanced projects in support of new strategy communicated in March 2020
o Strong progress in AI programme with encouraging results from
pilot study
o Initiated the FutureTech programme with procurement process to
appoint future provider for Picture Archiving and Communication
System (PACS) and in-house development of complementary systems
that will add capability and efficiency
-- Initiated a company-wide operational excellence programme and
accelerated training and implementation of new clinical protocols
to improve the quality of services, as well as internal leadership
training
-- Medica has not required any government funding to support its business during the pandemic
Post period end highlights
-- Continued improving trend in reporting activity in both
NightHawk and Elective services to date
o NightHawk reporting activity has returned to over 100% of
pre-Covid-19 levels
o Elective reporting activity has recovered to over 45% of
pre-Covid-19 levels
-- New long term PACS partner appointed as preferred bidder subject to contracting
-- New Chief Financial Officer, Richard Jones joined Medica on 3 August 2020
-- New Clinical Director, Dr Robert Lavis joined on 1 September 2020
-- New Head of Reporter Recruitment joined on 3 August 2020
-- Positive start to a change in culture following new strategy,
with increased engagement with staff and radiologists reflected in
new corporate branding and new website launched in September
2020
Roy Davis, Chairman of Medica, said:
"This year has brought unprecedented challenges both for Medica
and its NHS partners. I am very proud of the way in which the
Company was quick to set in motion contingency plans to migrate to
a homeworking environment with no impact on service delivery. I am
also exceptionally proud that the team reacted quickly to support
our radiologists to enable them to report their Trust work on a
pro-bono basis using Medica's home workstations. On behalf of the
Board and shareholders, I would like to thank the team for their
commitment and perseverance during this time. I am certain this
experience has strengthened the team, our culture and the business
model, which can only benefit us in the future."
Dr Stuart Quin, Chief Executive Officer of Medica, said:
"We have delivered a resilient performance during the first half
of the year, rapidly adapting and responding to client's needs,
managing costs carefully and remaining in a strong financial
position despite a significant reduction in radiology reporting
activity as a direct result of the Covid-19 pandemic. We have used
the time from a reduction in workload wisely, taking steps to
improve our service performance and focusing on delivery of our
strategic initiatives. As a result, I am confident we are emerging
from this pandemic stronger as a team and well-positioned to help
our clients as they deal with a large backlog of elective
procedures. We are also encouraged by the increase in reporting
activity over the last three months and expect to see a continued
improvement in revenues in the second half of the year. I would
like to thank our fantastic team at Medica for their fortitude, as
well as for the supportive and adaptive behaviours they exhibited
during the pandemic. In particular, my thanks go to all of our
radiologists and radiographers who were working tirelessly, many in
the frontline, to maintain a service for patients during this most
challenging of times."
For further information, please contact:
Medica Group
Stuart Quin, Chief Executive Officer
Richard Jones, Chief Financial
Officer +44 (0)33 33 111 222
Investec Bank plc
Sara Hale
Daniel Adams +44 (0)20 7597 5970
FTI Consulting
Victoria Foster Mitchell
Robert Winder +44 (0)20 3727 1000
About Medica Group PLC
Medica is the UK market leader in the provision of teleradiology
services, providing outsourced interpretation and reporting of MRI
(magnetic resonance imaging), CT (computerised tomography) and
plain film (x-ray) images. The Company currently offers two primary
services to hospital radiology departments:
-- NightHawk, urgent reporting service, and
-- Elective which includes routine cross-sectional reporting on
MRI and CT scans, and routine plain film reporting on x-ray
images.
Medica contracts with the largest pool of consultant
radiologists in the UK performing remote access teleradiology
across its customer base of more than 100 NHS Trusts, private
hospital groups and diagnostic imaging companies in the UK. This
enables the Company to offer a fast, responsive service both during
the day and importantly supporting urgent out-of-hours
reporting.
Medica has developed a bespoke, secure IT platform that provides
market-leading linkage between a hospital's Radiology Information
System (RIS) and consultant radiologists who contract with the
Company. Direct RIS access ensures that where the wider patient
medical history is available, it can be reviewed by the consultant
as part of every report. For more information please visit
www.medica.co.uk
About Teleradiology
Teleradiology is the remote electronic transmission of
radiological patient images, including plain film (x-rays), CT
scans and MRI scans, from one location to another for the purposes
of diagnostic interpretation and reporting.
Interim Management Report
Chairman's statement
I am pleased to present Medica's interim financial statements
for the six months to 30 June 2020.
It is only during challenging times such as these that
leadership is truly tested, and I am grateful for the way in which
the management team has led the Company through these tough times.
On 3 August, we welcomed Richard Jones as Chief Financial Officer
to further strengthen the management team. Richard has already
started to have a positive impact on the way the financial function
is run and on the various projects underway across the Company and
I am confident he will continue to have a strong impact on the
future growth of the business.
Covid-19
The Company performance before the onset of the Covid-19
pandemic in late February 2020 was strong. Since then, management
attention has focused on the response to safeguard the services and
to support customers. The impact on our trading has been
significant with a c.23% reduction in revenue compared to the same
period in 2019. This was to be expected as the pandemic forced
hospitals to postpone elective procedures and the restrictions
imposed by the UK government in an attempt to curb the spread of
the virus meant people were confined to their homes, resulting in
greatly reduced attendances.
Management were fast to react to the situation and have
controlled costs throughout this period to maintain a strong net
cash position of GBP8.0m at 30 June 2020 (compared to GBP4.6m at 31
December 2019). As a result, the Company did not need to
participate in any government funding schemes to support the
business. Instead, management has taken advantage of the reduction
in workload to focus on driving forward its new strategy, delivery
of operational excellence projects and accelerating training and
implementation of new clinical protocols to improve the quality of
our services and positioning the Company for future growth.
Focus on our revised strategy for growth
In an increasingly competitive environment, Medica has a clear
plan to constantly improve the quality and efficiency of its
services. During the last few months, Medica has initiated its
technology investment programme collectively known as the
FutureTech programme, which was conceived as part of the strategy
announced in March this year.
We have also made promising progress in our first Augmented
Intelligence pilot study which has been well-received by
radiologists in the Group. I am pleased we have taken the
opportunity to accelerate our strategy announced in March and we
look forward to keeping investors updated on our progress over the
coming months.
Dividends
The Board is encouraged by the recovery in trading seen since
the impact of Covid-19 was first experienced earlier in 2020 and
also by the robust cash position of the Group at the period end.
Whilst further possible short-term negative impact from Covid-19
cannot be ruled out, the Board has decided to declare an interim
dividend of 0.85 pence per share in line with 2019 despite the
reduced financial performance as a sign of confidence and
reflecting our strong cash position.
Outlook
We have seen a strong rebound in NightHawk activity to
pre-pandemic levels and are now experiencing growth on these
levels. We expect Elective activity to continue to steadily
increase in the remaining months this year, driven by a significant
backlog of elective procedures that will continue to be processed
as the NHS increases the flow of patients through its hospitals. In
turn, as private providers start to deliver more elective
procedures, following the government's decision to provide
financial support to reduce NHS waiting lists by using private
hospitals, we expect more pressure to be put on NHS departments to
meet their internal reporting targets of returning to pre-Covid-19
activity levels by October 2020.
During the period, we have advanced projects in support of our
new strategy, focusing on delivering investment in people, systems
and processes with the aim of continually improving the service we
offer to our clients and, in turn, the outcomes they deliver for
their patients. Our plan remains to deliver strong organic revenue
growth in the core business, with increased scalability and
operating leverage, with upside potential from new business lines,
geographic expansion and selective M&A in the medium-long
term.
Whilst the Company is not in a position to re-initiate full
guidance at this time due to the unpredictable nature of the
Covid-19 pandemic and its impact on recovering NHS services, we
expect to see a continued improvement in revenues in the second
half of the year. We are confident we are emerging from this
pandemic stronger as a team, better prepared to help our clients
and well positioned for future growth.
Roy Davis
Chairman
Financial and Business Review
Introduction
Medica is the UK market leader in the provision of teleradiology
services. The Group currently has one business segment of
teleradiology and this is focused on two primary services to
hospital radiology departments: NightHawk and Elective (previously
Routine) which includes both cross-sectional and plain film
reporting and the previously separately reported Independent and
Specialist.
NightHawk is an out-of-hours emergency reporting service which
is focused on delivering accurate reports within fast turnaround
times and represents Medica's largest revenue contributor.
NightHawk typically provides reporting on CT scans when either
there is insufficient urgent capacity or specific expertise
available within a hospital during the night. The second key
service offering, Elective, is designed to assist hospital
radiology departments in managing their demand/supply imbalance for
less urgent daytime reporting on (typically elective) examinations.
This includes CT and MRI scans (both forms of Cross-Sectional scan)
and also plain film examinations and both services typically have a
48-hour turnaround time.
As the 2020 Royal College of Radiologists workforce census
states, across the devolved nations of the UK, there is between a
27-37% shortage in the numbers of radiologists. This lack of
specialist resource leads NHS hospitals to seek support for
reporting of radiological images. Our core business strategy
includes a focus to increase our net rostered reporting hours by
recruiting and deploying high calibre clinical, General Medical
Council certified radiologists and radiographers in the UK and
overseas. To do this, we ensure that reporting is conducted within
our robust clinical governance structure and that the reporting
process is made as efficient as possible by improving workflow.
Medica continues to evaluate and monitor new advances in
technologies that support our core business. This includes
specialist imaging modalities and Augmented Intelligence that could
improve workflow, assist in clinical prioritisation and provide
radiologist decision support. Through this, we can continue to
expand the high-quality clinical services we offer to our clients
and grow and develop the business efficiently.
Resilient performance in H1 2020
As previously announced, our performance in H1 2020 was
significantly impacted by the impact of Covid-19 on radiology
reporting activity. Total revenues were down 22.7% from GBP22.0m in
H1 2019 to GBP17.0m in H1 2020. This is highlighted by comparing Q1
2020; when the impact of Covid-19 first materialised in March,
which had revenue of GBP11.9m; with the performance in Q2 2020 with
revenue of GBP5.1m.
NightHawk reporting activity was impacted to a lesser extent and
faster to recover than Elective activity. NightHawk activity
initially fell to around 60% of pre-Covid-19 levels before
recovering to around 95% at the end of H1 2020 and since has
continued to improve after the period end to over 100% of
pre-Covid-19 levels.
Elective reporting activity was more significantly impacted than
NightHawk as hospital elective and other non-urgent work was
postponed. Reporting activity initially fell to only around 5% of
pre-Covid-19 levels, recovering to around 10% in June 2020 as some
elective work returned, and we have seen steady improvements since
the period end to 45% of pre-Covid-19 levels currently.
Gross profit margin reduced marginally to 47.1% (2019: 47.6%)
reflecting both changes to the revenue mix compared to prior year
and also some impact of contract renewals and updated framework
pricing as forecast in March 2020 . Whilst we were able to reduce
unnecessary variable costs, as a result of the reduction in
revenues, our adjusted net profits reduced by 62.0% to GBP2.0m (H1
2019: 5.3m)
Whilst reporting activity has been impacted this year, the
business has responded very positively. We were able to rapidly
transition to a homeworking environment and were fast to respond to
our reporter's requests to allow them to use Medica reporting
stations to enable them to report their hospital work from home,
rather than risk reporting from their hospitals.
Early on in the Covid-19 outbreak, the Company made the decision
not to apply for government funds and not to furlough staff.
Instead, we asked the team to take advantage of this reduction in
workload and we established a series of operational excellence
projects across all facets of the business to improve our
performance once activity resumed. This focus will stand us in good
stead as we start to support our clients to process the significant
backlog of procedures. In addition, management were able to devote
more dedicated time to our new strategy which, as a result, is
expected to realise opportunities in the short-term.
The Company has made good progress embarking on projects in
support of its new strategy announced in March this year. Among
these is the FutureTech programme which was conceived as part of
the new strategy. This project will deploy a new PACS and
orchestration tool to automate the process in which studies are
allocated for reporting, as well as design proprietary, Medica
software to integrate with clients. This exciting and ambitious
programme will deliver a new technology platform, bespoke,
proprietary client interfaces and the opportunity to deploy
augmented intelligence solutions in a more seamless way. This is
expected to deliver an enhanced reporting experience for reporters,
increased productivity and, in time, generate operating leverage in
our business model. Medica has appointed a preferred partner to
deliver a new PACS solution. The partnership is expected to be
signed and announced shortly with the new service commencing in
2022.
In March 2020, the Company announced that it had signed an
exciting partnership with Qure.ai, a global leader in artificial
intelligence solutions for radiology. This represented the first
step in our AI strategy. The initial focus was to review "qER" a
tool to aid the diagnosis of intracranial haemorrhage (brain
bleeds) in support of our NightHawk service. The foundations of our
infrastructure, programme control and subject matter expertise are
now in place which will support future AI developments. We have
completed a two-stage pilot with qER. The results are very
encouraging, demonstrating a high level of sensitivity for the
Qure.ai algorithm to detect instances of brain haemorrhage in CT
head scans. This provides confidence that if qER has processed an
exam and did not identify an intracranial haemorrhage, it is highly
unlikely one is present.
The launch of Medica's new strategy in March prompted a review
of our mission, vision and values which are now presented on our
website. This in turn led to a decision to develop a new brand that
reflects not only the strengths inherent in the Company that are
recognised by our existing clients, but also presents an
opportunity for Medica to go forward confidently into new areas of
business and new geographies. Our new brand and website were
launched in early September.
Earnings per share
Basic EPS reduced by 78.9% to 0.74 pence (2019:3.49 pence).
Adjusted earnings per share(3) reduced by 66.5% to 1.30 pence (H1
2019: 3.88 pence) These reductions reflecting the impact of
Covid-19 on profits together with the impact of tax at a higher
effective tax rate on Profit before tax due to the impact of
deferred tax.
Cash flow and net cash
The Company remains in a strong financial position with more
cash on the balance sheet than it did before we entered the
pandemic which is testament to the resilience of our business
model.
Careful cash management during the period and the positive
impact on working capital from a reduction in activity resulted in
gross cash balances increasing by GBP3.4m to GBP20.0m (31 December
2019: GBP16.6).
In H2 2020 we expect cash to reduce somewhat due to a
combination of:
-- Positive operating cashflow being offset somewhat by negative
working capital as operating performance continues to improve
-- The impact of the initial capex spend for our FutureTech
programme which we expect to commence in H2 2020
-- The payment of the interim dividend of 0.85 pence per share
However, overall, we expect gross cash balances at the end of
2020 to be ahead of 31 December 2019 despite the impact of Covid-19
on trading and without any government or other support being
required which again is a testament to Medica's robust business
model.
Fixed asset investment
Tangible additions to tangible fixed assets were GBP1.2m in H1
2020 (H1 2019: GBP2.2m) reflecting investment in new reporter PACS
equipment, with the first capital expenditure on our FutureTech
programme not expected until H2 2020.
Rostered reporting hours
Recruitment and retention of radiologists is key to providing a
reliable, high-quality service and is core to Medica's growth
strategy. However, it should be noted that increasing capacity is
more than simply the overall number of contracted radiologists and
depends on the total number of available reporting hours. To this
end, our strategy therefore seeks to obtain greater commitment from
existing and newly contracted radiologists thereby improving
capacity and overall productivity.
Historically, Medica has reported absolute numbers of reporters
recruited in period. However, as we outlined in our FY 2019 results
in March 2020, we think that available rostered reporting hours
represents a better measure of reporting capacity. During the
period, available rostered reporting hours increased by 8%; a
significant achievement given the reduction in volumes encountered
due to the reduction in demand as a result of Covid-19. In
addition, Medica continued to build a strong pipeline of reporter
capacity through H1 2020 such that it is well-positioned to take
advantage of providing increased capacity to our clients through
recovery and beyond. We expect that the deployment of these
additional reporters will continue through the second half and into
next year as we continue to focus both on new reporter recruitment,
as well as an increased contribution from existing reporters.
People
Medica's employees are core to the quality of the service
delivered to our clients and in turn to their patients. We have
continued to recruit high calibre individuals to support our growth
and employee numbers rose by five full-time equivalents since last
June to 120, primarily in the Service Delivery and NightHawk teams,
but also in IT support and delivery. Additionally, we have welcomed
our new Chief Financial Officer, Richard Jones who joined Medica on
3 August 2020 and our new Clinical Director, Dr Robert Lavis who
joined on 1 September 2020. Finally, Medica's new Head of Reporter
Recruitment also joined on 3 August 2020 to lead our reporter
capacity growth both in the UK and internationally.
We would like to sincerely thank our employees for their
continued hard work, enthusiasm and dedication through a successful
period of expansion and change.
The Directors have concluded that the Group will be able to
continue its operation and meet its liabilities as they fall due
for the foreseeable future and are satisfied that it is appropriate
to adopt the going concern basis of preparation in the financial
statements.
Forward looking statements
Certain statements in this interim report are forward looking.
Although the Board believes that the expectations reflected in
these forward-looking statements are reasonable, it can give no
assurance that these expectations will prove to have been correct.
Because these statements involve risks and uncertainties, actual
results may differ materially from those expressed or implied by
these forward-looking statements.
Stuart Quin Richard Jones
Chief Executive Officer Chief Financial Officer
14 September 2020 14 September 2020
Condensed Consolidated Income Statement and Condensed
Consolidated statement of comprehensive income
For the six months ended 30 June 2020
Unaudited Unaudited Audited
6 Months 6 Months 12 Months
ended ended ended 31
30 June 30 June December
2020 2019 2019
Note GBP'000 GBP'000 GBP'000
Revenue 4 16,981 21,978 46,542
Cost of sales (8,981) (11,515) (24,292)
---------- ----------
Gross profit 8,000 10,463 22,250
Administration expenses (6,483) (5,640) (12,027)
---------- ----------
Operating profit before exceptional items 1,517 4,823 10,223
Other expenses - exceptional items 5 (98) (30) (362)
---------- ----------
Operating profit 1,419 4,793 9,861
Finance income 62 44 93
Finance costs (170) (179) (360)
---------- ----------
Profit before tax 1,311 4,658 9,594
Income tax charge (491) (777) (1,687)
---------- ---------- ----------
Profit attributable to equity holders of the parent 820 3,881 7,907
========== ========== ==========
Statement of Comprehensive income
Profit for the period 820 3,881 7,907
Other comprehensive income 50 (1) -
Total comprehensive profit for the period
attributable to the owners of the parent 870 3,880 7,907
========== ========== ==========
Basic profit per ordinary share (pence) 6 0.74 3.49 7.12
Diluted profit per ordinary share (pence) 6 0.74 3.47 7.09
Condensed Consolidated Balance Sheet
As at 30 June 2020
Unaudited Unaudited Audited
30 30 31
June June December
2020 2019 2019
Notes GBP'000 GBP'000 GBP'000
Non-current assets
Goodwill 15,948 15,948 15,948
Other intangible assets 6,860 7,778 7,384
Property, plant and equipment 4,291 4,055 3,783
---------- ---------- ----------
27,099 27,781 27,115
Current assets
Trade and other receivables 6,170 10,616 10,168
Cash and cash equivalents 20,004 11,519 16,576
---------- ---------- ----------
26,174 22,135 26,744
Current liabilities
Trade and other payables (3,194) (3,832) (4,803)
Non-current liabilities
Borrowing and other financial liabilities (12,278) (12,474) (12,334)
Deferred tax (1,012) (976) (880)
---------- ---------- ----------
(13,290) (13,450) (13,214)
Net assets 36,789 32,634 35,842
========== ========== ==========
Equity
Share capital 9 223 222 222
Share premium 14,721 14,721 14,721
Retained profit 21,844 17,692 20,897
Foreign Exchange Equity 1 (1) 2
36,789 32,634 35,842
========== ========== ==========
Condensed Consolidated Statement of Changes in Equity
As at 30 June 2020
Share Capital Share Premium Retained Earnings Foreign Exchange Equity Total Equity
GBP'000 GBP'000 GBP'000 GBP'000 GBP'000
Audited
As at 1 January 2019 222 14,721 15,398 - 30,341
Dividends - - (1,668) - (1,668)
Share based payments - - 81 - 81
Transactions with owner - - (1,587) (1,587)
-------------- -------------- ------------------ ------------------------ -------------
Profit for the period - - 3,881 - 3,881
Other comprehensive
income (1) (1)
-------------- -------------- ------------------ ------------------------ -------------
Total comprehensive
income for the period - - 3,881 (1) 3,880
-------------- -------------- ------------------ ------------------------ -------------
As at 1 July 2019 222 14,721 17,692 (1) 32,634
============== ============== ================== ======================== =============
Dividends - - (944) - (944)
Share based payments - - 123 - 123
Transactions with owner - - (821) (821)
-------------- -------------- ------------------ ------------------------ -------------
Profit for the period - - 4,026 - 4,026
Other comprehensive
income - - 3 3
-------------- -------------- ------------------ ------------------------ -------------
Total comprehensive
income for the period - - 4,026 3 4,029
-------------- -------------- ------------------ ------------------------ -------------
As at 1 January 2020 222 14,721 20,897 2 35,842
============== ============== ================== ======================== =============
Unaudited
Dividends - - - - -
Share based payments - - 76 - 76
Issue of ordinary shares 1 - - - 1
-------------- -------------- ------------------ ------------------------ -------------
Transactions with owner 1 - 76 - 77
-------------- -------------- ------------------ ------------------------ -------------
Profit for the period - - 820 - 820
Other comprehensive
income 51 (1) 50
-------------- -------------- ------------------ ------------------------ -------------
Total comprehensive
income for the period - - 871 (1) 870
-------------- -------------- ------------------ ------------------------ -------------
As at 30 June 2020 223 14,721 21,844 1 36,789
============== ============== ================== ======================== =============
Condensed Consolidated Cash Flow Statement
For the six months ended 30 June 2020
Unaudited Unaudited Audited
6 Months 6 Months 12 Months
ended 30 June ended 30 June ended 31 December
2020 2019 2019
GBP'000 GBP'000 GBP'000
Operating activities
Profit before tax 1,311 4,658 9,594
Adjustments for:
Depreciation 690 579 1,249
Amortisation 689 670 1,354
Share based payments 76 81 204
Finance income (62) (44) (93)
Finance costs 170 179 360
Changes in:
Decrease/(Increase) in trade and other receivables 3,998 (1,982) (1,534)
(Decrease)/Increase in trade and other payables (1,054) 108 753
Tax paid (847) (1,177) (2,180)
Cash inflow from operating activities 4,971 3,072 9,707
Investing activities
Purchase of property plant and equipment (1,221) (2,188) (2,360)
Purchase of software intangibles (216) (167) (467)
Interest received 62 44 93
-------------- -------------- ------------------
Cash outflow from investing activities (1,375) (2,311) (2,734)
Cashflows from financing activities
Repayment of borrowings lease liability (18) - (50)
Dividends paid to ordinary shareholders - (1,667) (2,612)
Interest paid (150) (163) (323)
Net cash outflow from financing activities (168) (1,830) (2,985)
Net increase/(decrease) in cash and cash equivalents 3,428 (1,069) 3,988
-------------- -------------- ------------------
Movement in net cash
Cash at start of period 16,576 12,588 12,588
Increase/(Decrease) in cash 3,428 (1,069) 3,988
Cash at end of period 20,004 11,519 16,576
============== ============== ==================
Condensed notes to the accounts
1. Basis of preparation
These interim consolidated financial statements have been
prepared in accordance with IAS 34 Interim Financial Reporting.
They do not include all disclosures that would otherwise be
required in a complete set of financial statements and should be
read in conjunction with the 2019 annual report. They have been
reviewed by Grant Thornton UK LLP but have not been audited.
2. Going concern
The Directors of Medica Group PLC have assessed the current
financial position of the Group, along with future cash flow
requirements, to determine if the Group has the financial resources
to continue as a going concern for a period of at least 12 months
from the approval of the accounts.
The Directors have considered the impact of Covid-19 on the
reported results and the risk of a further deterioration(s) in
performance in the future in making this assessment and have
reviewed severe but plausible scenarios that have been updated for
recent trading that could negatively impact the Group's finances.
Whilst there may be further, potentially significant disruptions,
the Directors believe the Group's services will continue to be
needed to support the NHS and the resilience in particular of the
Group's NightHawk service is evidence of this.
The Directors have concluded that the Group will be able to
continue in operation and meet its liabilities as they fall due for
the foreseeable future and are satisfied that it is appropriate to
adopt the going concern basis of preparation in the financial
statements.
3. Significant accounting policies
The accounting policies applied by the Group in this condensed
set of consolidated financial statements are consistent with those
applied by the Group in its consolidated financial statements for
the year ended 31 December 2019. In additional the accounting
policies used are consistent with those that the Directors intend
to use in the Annual Report and Financial Statements for the year
ending 31 December 2020. Taxes on income in the interim period are
accrued using the tax rate that would be applicable to the expected
total annual earnings.
4. Revenue
Management have revised the basis for reporting revenue streams
to reflect how the business is managed on an ongoing basis and
these are now consolidated into two key revenue streams:
-- NightHawk (unchanged)
-- Elective (previously Routine CT and Routine Plain Film).
In addition, Independent and Specialist revenues which were
previously reported separately are now included within Elective. A
breakdown of revenue on the revised basis (together with
comparatives restated to the same basis) is as follows:
Unaudited Unaudited Audited
6 Months ended 6 Months ended 12 Months ended 31
30 June 30 June December
2020 2019 2019
NightHawk 10,249 10,409 22,072
Elective 6,732 11,569 24,470
16,981 21,978 46,542
=============== ============== ==================
5. Exceptional costs
Unaudited Unaudited Audited
6 Months ended 6 Months ended 12 Months ended 31
30 June 30 June December
2020 2019 2019
Costs incurred in respect of Board succession 98 30 362
98 30 362
=============== ============== ==================
Exceptional items are items that are unusual because of their
size and incidence and which the Directors consider should be
separately disclosed to enable a full understanding of the Group's
results.
The costs for 2019 and 2020 are in relation to the international
search and selection process for the Chief Executive Officer, Chief
Financial Officer and the Non-Executive Directors. These are
considered to be one off costs. In 2019 there were also additional
costs in relation to a professional Board assessment review.
6. Earnings per share
Both the basic and diluted profit per share have been calculated
using the profit after tax attributable to shareholders of Medica
Group PLC as the numerator. The calculation of the basic profit per
share is based on the profit attributable to ordinary shareholders
divided by the weighted average number of shares in issue during
the year.
Unaudited Unaudited Audited
6 Months ended 6 Months ended 12 Months ended 31
30 June 30 June December
2020 2019 2019
GBP000 GBP000 GBP000
Profit for the year attributable to ordinary shareholders 820 3,881 7,907
Effects of exceptional items * 79 30 293
Effects of amortisation of acquired intangibles * 472 435 702
Effects of share based payments charge * 76 81 132
Adjusted profit for the period attributable to ordinary
shareholders 1,447 4,427 9,034
=============== ============== ==================
Weighted average number of ordinary shares 111,279,650 111,111,114 111,111,114
Dilutive effect of share options 161,746 802,922 407,702
--------------- -------------- ------------------
Weighted average number of ordinary shares including dilutive 111,441,396 111,914,036 111,518,816
Basic profit per ordinary share (pence) 0.74 3.49 7.12
=============== ============== ==================
Diluted profit per ordinary share (pence) 0.74 3.47 7.09
=============== ============== ==================
Adjusted basic profit per ordinary share (pence) 1.30 3.88 8.13
=============== ============== ==================
Adjusted diluted basic profit per ordinary share (pence) 1.30 3.86 8.10
=============== ============== ==================
* these figures are net of tax effects
7. Dividends
Unaudited Audited
2020 2019
GBP000 GBP000
Interim dividend of 0.85 pence per share (2019: 0.85 pence per share) 946 944
========= =======
Final dividend (2019: Nil pence per share) N/A -
========= =======
8. Reconciliation of Non-IFRS Financial KPIs
The Group uses a number of key performance indicators to monitor
the performance of its business. This note reconciles these key
performance indicators to individual lines in the financial
statements.
In the Directors' view it is important to consider the
underlying performance of the business during the year. Therefore,
the Directors have used certain Alternative Performance Measures
(APMs) which are not IFRS-compliant metrics. The APMs are
consistent with those established within the IPO prospectus and the
prior year annual report. It is the Directors' intention to monitor
and reassess the appropriateness of the APMs in future years.
Unaudited Unaudited Audited
6 Months ended 30 June 6 Months ended 30 June 12 Months ended 31 December
Reconciliation of Adjusted 2020 2019 2020
operating
Profit GBP'000 GBP'000 GBP'000
Operating profit 1,517 4,823 10,223
Adjustments for:
Amortisation of acquired
intangibles 435 435 870
Share based payments 76 81 204
-----------------------
Adjusted Operating Profit 2,028 5,339 11,297
======================= ======================= ============================
Adjusted operating profit
margin 11.9% 24.3% 24.3%
Reconciliation of adjusted
profit before tax
Profit for the period 820 3,881 7,907
Adjustments for:
Effects of exceptional items * 79 30 293
Effects of amortisation of
acquired intangibles * 472 435 870
Effects of share-based payments
* 76 81 132
----------------------- ----------------------- ----------------------------
Adjusted profit after tax 1,447 4,427 9,034
Income tax charge 454 777 1,927
-----------------------
Adjusted profit before tax 1,901 5,204 10,961
----------------------- ----------------------- ----------------------------
Reconciliation of net
cash/(debt)
Cash and cash equivalents 20,004 11,519 16,576
Borrowings due after one year (12,278) (12,474) (12,334)
----------------------- ----------------------- ----------------------------
Net cash/(debt) 7,726 (955) 4,242
======================= ======================= ============================
* these figures are net of tax effects
9. Equity
Ordinary share capital issued and fully paid
Unaudited Audited
30
June 31
2020 December 2019
GBP000 GBP000
111,279,650 (2019:111,111,114) ordinary shares of GBP0.002 223 222
========= ==============
Total ordinary share capital of the Company 223 222
========= ==============
Statement of Directors' Responsibilities
The Directors confirm to the best of their knowledge that
(a) The interim condensed consolidated financial information has
been prepared in accordance with IAS 34 as adopted by the European
Union; and
(b) The Interim Report includes a fair view of the information
as required by:
-- DTR 4.2.7R of the Disclosure Guidance and Transparency Rules,
being an indication of important events that have occurred during
the first half of 2020 and their impact on the interim condensed
consolidated financial information; and a description of the
principal risks and uncertainties for the remaining second half of
the year; and
-- DTR4.2.8R of the Disclosure Guidance and Transparency Rules,
being related party transactions that have taken place in the first
half of 2020 and any material changes in the related party
transactions described in the last Annual Report.
The Directors of Medica Group PLC and their functions are listed
below:
Roy Davis Chairman
Stuart Quin Chief Executive Officer
Richard Jones Chief Financial Officer
Stephen Davies Medical Director
Steve Whittern Senior Non-Executive Director
Joanne Easton Non-Executive Director
By order of the Board
Richard Jones
Chief Financial Officer
14 September 2020
Independent review report to the members of Medica Group plc
Introduction
We have reviewed the condensed set of financial statements in
the half-yearly financial report of Medica Group PLC (the
'Company') for the six months ended 30 June 2020 which comprises
Condensed Consolidated Income Statement, the Condensed Consolidated
Statement of Comprehensive Income, the Condensed Consolidated
Balance Sheet, the Condensed Consolidated Statement of Changes in
Equity, the Condensed Consolidated Cash Flow Statement and the
related notes. We have read the other information contained in the
half-yearly financial report which comprises only the Chairman's
Statement and the Financial and Business Review and considered
whether it contains any apparent misstatements or material
inconsistencies with the information in the condensed set of
financial statements.
Directors' responsibilities
The half-yearly financial report is the responsibility of, and
has been approved by, the Directors. The Directors are responsible
for preparing the half-yearly financial report in accordance with
the Disclosure Guidance and Transparency Rules of the United
Kingdom's Financial Conduct Authority.
As disclosed in note 1, the annual financial statements of the
group are prepared in accordance with International Financial
Reporting Standards as adopted by the European Union. The condensed
set of financial statements included in this half-yearly financial
report has been prepared in accordance with International
Accounting Standard 34, 'Interim Financial Reporting', as adopted
by the European Union.
Our responsibility
Our responsibility is to express a conclusion to the Company on
the condensed set of financial statements in the half-yearly
financial report based on our review.
Scope of review
We conducted our review in accordance with International
Standard on Review Engagements (UK and Ireland) 2410, 'Review of
Interim Financial Information Performed by the Independent Auditor
of the Entity'. A review of interim financial information consists
of making enquiries, primarily of persons responsible for financial
and accounting matters, and applying analytical and other review
procedures. A review is substantially less in scope than an audit
conducted in accordance with International Standards on Auditing
(UK) and consequently does not enable us to obtain assurance that
we would become aware of all significant matters that might be
identified in an audit. Accordingly, we do not express an audit
opinion.
The impact of macro-economic uncertainties on our review
Our review of the condensed set of financial statements in the
half-yearly financial report requires us to obtain an understanding
of all relevant uncertainties, including those arising as a
consequence of the effects of Brexit and Covid-19. Such reviews
assess and challenge the reasonableness of estimates made by the
Directors and the related disclosures and the appropriateness of
the going concern basis of preparation of the financial statements.
All of these depend on assessments of the future economic
environment and the Company's future prospects and performance.
Brexit and Covid-19 are amongst the most significant economic
events for the UK, and at the date of this report its effects are
subject to unprecedented levels of uncertainty, with the full range
of possible outcomes and their impacts unknown. We applied a
standardised firm-wide approach in response to these uncertainties
when assessing the Company's future prospects and performance.
However, no review of interim financial information should be
expected to predict the unknowable factors or all possible future
implications for a Company associated with these particular
events.
Conclusion
Based on our review, nothing has come to our attention that
causes us to believe that the condensed set of financial statements
in the half-yearly financial report for the six months ended 30
June 2020 is not prepared, in all material respects, in accordance
with International Accounting Standard 34, 'Interim Financial
Reporting', as adopted by the European Union and the Disclosure
Guidance and Transparency Rules of the United Kingdom's Financial
Conduct Authority.
Use of our report
This report is made solely to the Company, as a body, in
accordance with International Standard on Review Engagements (UK
and Ireland) 2410, 'Review of Interim Financial Information
performed by the Independent Auditor of the Entity'. Our review
work has been undertaken so that we might state to the Company
those matters we are required to state to it in an independent
review report and for no other purpose. To the fullest extent
permitted by law, we do not accept or assume responsibility to
anyone other than the Company as a body, for our review work, for
this report, or for the conclusion we have formed.
Grant Thornton UK LLP
Statutory Auditor, Chartered Accountants
London
11(th) September 2020
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