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MedLife S.A. — Management Reports 2016
May 5, 2017
2292_mda_2017-05-05_f2a4c68b-4267-438e-934e-36defc6753fe.pdf
Management Reports
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ADMINISTRATORS' REPORT MED LIFE S.A.
YEAR ENDED DECEMBER 31, 2016
1. Presentation of the Company
Med Life S.A. ("MedLife" or the "Company") is a joint-stock company incorporated in 1996, in accordance with the laws and regulations of Romania. The Company's activity resides in the performance of healthcare services activities through medical centres located in Bucharest, Cluj, Timisoara, Iasi, Galati and Constanta.
Med Life Group is offering a large range of medical service having opened 17 Hyperclinics in Bucharest, Timisoara, Brasov, Arad, Iasi, Galati, Craiova, Cluj and Constanta; 8 hospitals located in Bucharest, Arad and Brasov, 19 Medical Centers and 24 Laboratories for analysis, as well as 3 maternity hospitals. The Group has also more than 140 private Clinic partners around Romania.
MedLife is one of the leading health care services providers in Romania, having a significant market share at a national level.
The registered office of MedLife is located in Bucharest, Calea Grivitei, no. 365.
Details of the Med Life's subsidiaries at December 31, 2016, December 31, 2015 and December 31, 2014 are as follows:
| Proportion of ownership interest and voting power held |
||||||
|---|---|---|---|---|---|---|
| Name of subsidiary | Principal Activity |
Place of operation |
December 31, 2016 |
December 31, 2015 |
December 31, 2014 |
|
| $\mathbf{1}$ | Policlinica de Diagnostic Rapid SA |
Medical Services | Brasov, Romania |
80.01% | 80.01% | 80.01% |
| $\overline{2}$ | Medapt SRL | Medical Services | Brasov, Romania |
80.01% | 80.01% | 80.01% |
| 3 | Histo SRL | Medical Services | Brasov, Romania |
48.01% | 48.01% | 48.01% |
| $\overline{4}$ | Policlinica de Diagnostic Rapid Medis SRL |
Medical Services | Sfantu Gheorge, Romania |
64.01% | 64.01% | 64.01% |
| 5 | Bahtco Invest S.A. | Development of building projects |
Bucharest, Romania |
100% | 100% | 100% |
| 6 | Medsanrom SRL (Mec Life Ocupational SRL) |
Medical Services | Bucharest, Romania |
100% | 100% | 100% |
| $\overline{7}$ | Pharmalife Med SRL | Distribution of Pharmaceutical Products in specialised stores |
Bucharest. Romania |
100% | 100% | 100% |
| 8 | Asilife Insurance Broker SRL |
Insurance broker | Bucharest, Romania |
95% | 95% | 95% |
| 9 | Accipiens | Rental activities | Bucharest, Romania |
55% | 55% | 55% |
| 10 | Genesys SRL | Medical services | Bucharest, Romania |
55% | 55% | 55% |
| 11 | Biofarm Farmec SRL | Distribution of Pharmaceutical Products in specialised stores |
Bucharest, Romania |
55% | 55% | 55% |
| 12 | RUR Medical Services | Medical services | Bucharest, Romania |
100% | 100% | 100% |
| 13 | Biotest Med | Medical Services | Bucharest | 100% | 100% | 100% |
| 14 | Vital Test | Medical Services | Bucharest | 100% | 100% | 100% |
| During the year 2015, the Med Life SA also acquired control of the following companies: | ||||
|---|---|---|---|---|
| -- | -- | ----------------------------------------------------------------------------------------- | -- | -- |
| Proportion of ownership interest and voting power held |
||||||
|---|---|---|---|---|---|---|
| Name of subsidiary |
Principal Activity |
Place of operation |
December 31, 2016 |
December 31, 2015 |
December 31, 2014 |
|
| 15 | Agis 2000 SRL (indirectly) |
Other healthcare services |
Arad. Romania |
55% | ABC | |
| 16 | Bactro SRL (indirectly) |
Other healthcare services |
Deva, Romania |
55% | 55% | |
| 17 | Centrul Medical Sama S.A. |
Medical Services | Craiova. Romania |
55% | 55% | |
| 18 | Ultratest S.A. | Other healthcare services |
Craiova, Romania |
55% | 55% | COL |
Agis 2000 SRL was disposed of in 2016.
During the year 2016, Med Life SA also acquired control of the following companies:
| Proportion of ownership interest and voting power held |
|||||
|---|---|---|---|---|---|
| Name of subsidiary | Principal Place of Activity operation |
December 31, 2016 |
December 31, 2015 |
||
| Diamed Center SRL | Medical Services | Bucharest. Romania |
100% | ||
| $\mathcal{P}$ | Prima Medical SRL | Medical Services | Craiova, Romania |
100% | |
| 3. | Stem Cells Bank SA | Medical Services | Timisoara, Romania |
60% | |
| $\overline{4}$ | Dent Estet Clinic SA | Dental healthcare activities |
Bucharest. Romania |
60% | |
| 5 | Centrul Medical Panduri | Medical Services | Bucharest. Romania |
90% |
One of the companies acquired in 2016, Dent Estet Clinic SA also owns the following companies as described below:
Proportion of ownership interest and voting power held by Dent Estet Clinic
| SA. | |||
|---|---|---|---|
| Name of subsidiary | Principal Activity |
Place of operation |
December 31. 2016 |
| Green Dental Clinic SRL | Dental healthcare activities |
Bucharest. Romania |
51% |
| Dentist 4 Kids SRL | Dental healthcare activities |
Bucharest. Romania |
52% |
| Dent A Porter SRL | Dental healthcare activities |
Bucharest. Romania |
51.61% |
| Dentestet Kids | Dental healthcare activities |
Bucharest, Romania |
52.94% |
| Aspen Laborator Dentar | Dental healthcare activities |
Bucharest, Romania |
75 % |
MedLife's business model focuses on servicing corporations and private clients. The Company seeks to capture the private healthcare spending of these clients throughout all stages of a medical condition: prevention, diagnosis and treatment, by offering a wide range of medical services delivered in modern, high quality facilities by professional teams of doctors, nurses and support personnel. The Company puts considerable emphasis on client service, operating an IT infrastructure and customer service and sales operation that has served over 5 million unique patients, representing over 1 in 4 Romanians.
The Company divides its operations into four business lines:
- Corporate: The Corporate business line offers HPP to corporate clients as part of their employee benefit packages. These programmes, which focus on prevention through regular check-ups and access to diagnostic services, complement the legally required occupational health services that corporate clients also contract from MedLife under the HPP offering.
- Clinics: The Clinics business line includes the Company's ambulatory clinics and diagnostic imaging services. Clinics offer general practitioner and specialist consultations and include the Company's 140 outpatient diagnostic imaging services. Certain of its clinics also undertake day hospitalisation services.
- Laboratories: The Laboratories business line provides biochemistry, haematology, coagulation, immunology, microbiology, anatomy, pathology, cytology, molecular biology and toxicology laboratories tests.
- Hospitals: The Hospitals business line covers the Company's inpatient activities, which consist of a wide range of medical and surgical specializations.
2. Developments in 2016
Organic growth
During 2016, the Med Life SA opened in Ploiesti the 17th Hyperclinic from MedLife portfolio. The new unit offers patients investigation and treatment for 22 medical specialties, including pediatrics, ENT, gastroenterology, orthopedics, dermatology, general surgery and neurosurgery. The new facility covers an area of 700 square meters, is located on two levels and includes 14 medical offices for consultations, clinical and laboratory investigations. The medical team consists of more than 50 doctors and support staff.
Acquisitions completed in 2016
During 2016, the Med Life SA completed the purchase of:
- Dent Estet, which has provided to MedLife Group ("the Group") a strong platform for the further development of a standalone Stomatology business line, following the opening of the Group's first standalone stomatology clinic in May 2015. The acquisition makes the Group the leader in this highly fragmented segment. The Group has already identified and is assessing further potential acquisitions in the Stomatology business line.
- Diamed Center, a laboratory operator, which is being used as a launching base for the "Sfânta Maria" laboratories brand.
- Prima Medical, an imagistic center located in Craiova, which complements the Group's existing footprint in the region.
- Stem Cells Bank, a complementary activity to the Group's maternity services. The Group had previously outsourced this activity and the addition of Stem Cells Bank allows the Group to capture additional revenue and profit.
- Centrul Medical Panduri S.A., a medical company operating two clinics and one laboratory in Bucharest, which further expands the Group's position in Bucharest.
Credit facilities contracted by the Company
1. Club Loan
Med Life SA, together with Bahtco Invest SA, Accipiens SA and Policlinica de Diagnostic Rapid SA ("PDR") (as borrowers) concluded on March 2, 2016 a Club Loan, a credit facility agreement with a club of credit institutions composed of the Banca Comercială Română S.A., BRD - Groupe Société Générale S.A., ING Bank N.V. Amsterdam - Bucharest Branch and Raiffeisen Bank S.A.. The financing parties have provided to borrowers three credit facilities with maximum limits of EUR 48,764,589.89 and RON 27,000,000, as follows:
(a) Term facility in EUR, amounting to 28,764,589.98, allocated as follows:
- Up to EUR 15,711,008.29 to the Company,
- Up to EUR 972,937.81 to Accipiens,
-
Up to EUR 6,486,252.13 to Bahtco Invest,
-
Up to EUR 5,594,391.75 to PDR,
intended for the total refinancing of the sums owed by each of the above entities under a credit facility agreement concluded with BCR on August 28, 2014.
(b) Revolving type facility in RON, amounting to RON 27,000,000, granted to the Company in order to refinance in full the amounts owed by it under a credit facility agreement concluded with BCR on August 28, 2014 and financing current needs of the Company;
(c) A term facility in euro, amounting to EUR 20,000,000, granted to the Company for the acquisition of shareholdings in companies with similar or complementary activities to those of borrowers ("Target companies covered by the Club Loan"), respectively, within EUR 3,000,000 to the Companies Targeted by the Club Loan that will join as borrowers to the credit facility agreement to refinance their financial debts.
2. Loans from International Finance Corporation, a member of World Bank Group
The Company (as borrower) together with Accipiens SA, Bahtco Invest SA and PDR (as codebtors) concluded the term loan agreement dated September 30, 2016, in the maximum amount of EUR 10,000,000 intended to finance the investment plan of the Company and of coborrowers to expand their operations, both organically and through acquisitions of holdings in companies with activities similar or complementary to those of the borrowers.
3. Listing and Trading
Starting from 21th of December 2016, the shares issued by Med Life SA are traded on the stock market managed by the Bucharest Stock Exchange, Premium Category, with the "M" trading symbol.
The listing was made through the initial public offering initiated by V4C Eastern Europe Holding V Limited and International Finance Corporation, member of the World Bank Group through the sale of 8,840,480 ordinary shares owned by the selling shareholders, as follows: a number of 7,283,360 Shares owned by V4C Eastern Europe Holdings V Limited and a number of up to 1,557,120 Shares owned by International Finance Corporation.
5. Corporate governance
The corporate governance statement
During 11 months of 2016, the shares were not admitted to trading on a regulated market. Thus, the Company was required to comply with corporate governance regime established mainly by the Companies Law.
The Company and its board members comply with the corporate governance regime established by the Companies Law with the following exceptions:
- The Company has not entered into management contracts with current members of the Board of Directors and mandate contracts with executive managers. Some executive managers have concluded labour contracts. According to the Companies Law, labour contracts concluded by members of the Board of Directors or executive managers are suspended during the period in which such persons hold this position;
- Because some members of the Board of Directors and some executive managers hold various positions in the administration, management or control bodies in the subsidiaries of the Company, any lending by the Company to such subsidiaries can be considered a loan by the Company to its directors which is prohibited under the Companies Law:
- Because some members of the Board of Directors and some executive managers hold various positions in the administration, management or control bodies in the subsidiaries of the Company and other positions within the Company (e.g. executive managers, legal advisors, employees) there is the possibility of occurrence of conflicts of interests.
As of 4 January 2016, a new corporate governance code issued by the Bucharest Stock Exchange entered into force and is applicable to all issuers of securities traded on the spot regulated market operated by the Bucharest Stock Exchange. The new Corporate Governance Code is be applicable to the Company after the admission of its shares to trading on the spot regulated market managed by the Bucharest Stock Exchange.
The Company intends to take measures to ensure that within a 12-month period as of the admission of shares on the spot requlated market operated by the Bucharest Stock Exchange, at least two independent members will be appointed in the Board of Directors.
1. Shareholding structure
The shareholders' structure as of December 31, 2016 is presented below:
| No. of shares | $\frac{0}{0}$ | Value | |
|---|---|---|---|
| Marcu Mihail | 4,219,320 | 21.00% | 1,054,830 |
| Marcu Nicolae | 3,013,800 | 15.00% | 753,450 |
| Cristescu Mihaela Gabriela | 3,013,800 | 15.00% | 753,450 |
| Other shareholders | 9,845,080 | 49.00% | 2,461,270 |
| TOTAL | 20,092,000 | 100% | 5,023,000 |
Information regarding shareholders' rights is public and can be found in the published Prospectus of the Company.
2. Company Management
The Company is managed in one tier system by the Board of Directors that delegated management of the Company to the managers. The Board of Directors consists of seven (7) members appointed by the Ordinary General Meeting of Shareholders for a term of 4 years, with the possibility of re-election for subsequent 4 years terms of office. The Chairman and Vice-Chairman of the Board of Directors are elected by the Board of Directors among its members.
The Board of Directors is responsible for all useful and necessary acts to fulfil the object of activity of the Company, except for the duties that are allocated by law to the shareholders' meetings.
Board of Directors
As at the date of December 31, 2016, the Board of Directors consists of the following members:
| Name | Date of Birth | Title |
|---|---|---|
| Mihail Marcu | 30.09.1970 | Member and Chairman of the |
| Board of Directors | ||
| Mihaela-Gabriela Cristescu | 28.02.1942 | of Member of the Board |
| Directors | ||
| Ion Nicolae Scorei | 22.12.1974 | the of Board Member of - |
| Directors | ||
| Dimitrie Pelinescu-Onciul | 11.08.1947 | the Board of റf Member |
| Directors | ||
| Dorin Preda | 03.04.1976 | the Member Board of ∩f |
| Directors | ||
| Marius-Leonard Gherghina | 21.02.1964 | of the Board Member of. |
| Directors | ||
| Nicolae Marcu | 26.10.1968 | Member the of of Board |
| Directors |
The venue where the members of the Board of Directors carry out their duties is the registered office of the Company.
Executives
The individuals holding positions of executive manager in the Company as at December 31, 2016 or the persons to whom management of the Company has been delegated pursuant to the Articles of Association, are presented in the table below. As at December 31, 2016, all these persons fulfil these functions based on labour contracts of indefinite duration, although, according to the applicable law, while holding the position of executive manager, labour contracts are suspended, and the Company is obliged to conclude with the executive managers mandate contracts. The executive managers carry out their duties at the registered office of the Company.
| Name | Title |
|---|---|
| Mihail Marcu | Chief Executive Officer (CEO) |
| Nicolae Marcu | Chief Healthcare and Operations Officer |
| Dorin Preda | Chief Finance and Treasury |
| Adrian Lungu | Chief Financial Officer |
| Adrian Stanese | Human Resoource Manager |
| Geanina Durigu | Laboratory Manager |
| Mariana Brates | Purchasing Manager |
| Mihai-Stelian Vârciu | Medical Manager |
| Vera Firu | Accounting and Tax Manager |
| Mirela Dogaru | Corporate Manager |
3. Internal Control
MedLife established a system of internal control. Internal control is an activity of objective and independent evaluation with consultative purpose performed in order to increase value added and improving the activity of the Company.
Internal control supports the Company to reach the objectives agreed upon through systematic and disciplined approach of evaluation and improvement of risk management efficiency, internal controls systems efficiency and general management efficiency.
The objectives of the internal control are:
- Assessment and evaluation of the accuracy of realized tasks
- Evaluation of conformity with internal procedures
- Detection of inefficiency, waste, abuse and other irregularities
- Presentation to the Board of Directors of objective information from areas covered by internal control and of recommendations in order to eliminate identified issues and follow-up
- Rendering of services in terms of assessments, evaluations, recommendations for the Board of Directors
The Company's internal control checked: compliance with the laws in force; application of the decisions made by the management; good operation of the internal activity; efficient use of resources; prevention and control of the risk of failing to reach the goals set; ensuring an accounting management and financial monitoring of the Company's activities.
Internal control is applicable:
- prior to conducting the operations, upon the preparation of the budget, which would allow subsequently to conducting the operations, the budget control;
- during the operations and after their completion, a case where it is analysed the profitability of the operations and it is ascertained the existence of the conformity or possible irregularities, which need to be adjusted.
6. Risk exposures
Capital risk
The Company manages its capital to ensure that it will be able to continue as a going concern while maximizing the return to stakeholders through the optimization of the debt and equity balance.
The capital structure of the Company consists of debt, which includes borrowings from bank and IFC and also financial leasing, cash and cash equivalents and equity, comprising issued capital, reserves and retained earnings.
The Company's risk management reviews the capital structure regularly. As a part of this review, the management considers the cost of capital and the risks associated with each class of capital. Based on recommendations of the management, the Company will balance its overall capital structure through the payment of dividends, new share issues and share buybacks as well as the issue of new debt or the redemption of existing debt.
Financial risk management objectives
The Company's Treasury function provides services to the business, co-ordinates access to domestic and international financial markets, monitors and manages the financial risks relating to the operations of the Company through internal risk reports which analyses exposures by degree and magnitude of risks. These risks include market risk (including currency risk, fair value interest rate risk and price risk), credit risk, liquidity risk and cash flow interest rate risk.
Foreign exchange risk
The Company conducts its business and makes transactions expressed in various currencies. As at December 31, 2016 the exchange rate was of 4.3033 RON for 1 USD and of 4.5411 RON for 1 EUR. As at December 31, 2015 the exchange rate was of RON 4.1477 for 1 USD and of RON 4.5245 for 1 EUR.
Management analyzes the exposure to currency risks.
Credit risk
The financial assets that might expose the Company to a credit risk concentration mainly consist of receivables (trade receivables and similar receivables). Given the large number of clients of the Company, credit risk is rather limited.
Liquidity risk
The Company's policy is to maintain sufficient liquidities to pay for its obligations when such become due.
Fiscal environment
The taxation system in Romania is still developing and is subject to various interpretations and constant changes, which may sometimes be retroactive. Although the actual tax due for a transaction may be minimum, delay interests may be significant, as they can be calculated at the value of the transaction and at a rate of 0.03% per day (interest) and 0.02% (penalties) per day in 2015. Starting with January 2016, the level of interest charged was reduced to 0.02% per day and the level of penalties charged was reduced 0.01% per day.
In Romania the statute of limitation for tax controls (audits) is of 5 years. Management believes that the tax obligations included in these financial statements are adequate.
Transfer pricing
The fiscal legislation from Romania includes the "market value" principle, according to which the transactions between related parties have to be performed at the market value. The local tax payers, who carry transactions with related parties, have to prepare and make available to the tax authorities from Romania, at their written request, the transfer pricing documentation file. If the companies do not prepare the documentation or they present an incomplete transfer pricing file may attract penalties for non-conformity, and additionally to the information presented in the transfer pricing file, the fiscal authorities may have a different interpretation of the transactions and the circumstances compared to the management's assessment and, as a result, they may impose additional fiscal obligations as a result of adjusting transfer prices. The management of the Company is confident that, if required, they will submit the necessary information in due time to the fiscal authorities. The transactions with related parties and group companies are performed based on the market value principle.
Litigation
The Company is involved in various litigations as part of normal course of business. Management has assessed the legal status together with the Company's legal advisors and all necessary adjustments have been recorded in the financial statements.
7. Subsequent events
Med Life SA purchased a building located in Banu Manta Street from Telekom and performed a sale and leaseback through financial leasing.
Med Life SA signed the Sales Purchase Agreement for the acquisition of shares/social parts of the share capital of the following companies:
- 80% of share capital of Almina Trading SRL $\bullet$
- 100% of share capital in Anima Speciality Medical Services SRL.
Neither transaction has been closed by the approval of the financial statements.
There were no other significant subsequent events after December 31, 2016.
Mihail Marcu, Administrator