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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