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Ramsay Générale de Santé Earnings Release 2011

Jul 29, 2011

1620_iss_2011-07-29_403718f6-0b6d-4bce-a597-c7df6331a82f.pdf

Earnings Release

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Paris, July 29, 2011

"Press Release"

Results for the six months ended June 30, 2011: Revenue up 2.5% Current operating profit stable Net profit down Net debt stable

¾ Revenue for the first half of 2011 was up 2.5%.

On a comparable basis, revenue was up 2.7% (including the impact of one additional working day). The Group recorded an increase of +1.6% in the number of acute care stays (+0.8% adjusted for the additional day).

¾ Current operating profit was €81.3m in the six months ended June 30, 2011, compared with €80.4m in the first half of 2010.

Excluding the reclassification of costs stemming from the implementation of the reorganization plan, current operating profit would have been down 7.3% due to the mechanical increase in operating expenses in a restrictive tariff environment.

€m June 30, 2011 Change June 30, 2010
Revenue 1,029.6 +2.5% 1,004.0
EBITDA 143.9 +4.6% 137.6
Current operating profit 81.3 +1.1% 80.4
As a % of revenue 7.9% -0.1 point 8.0%
Operating profit 54.5 -48.5% 105.9
Group share of net profit 13.9 -76.6% 59.4
Net earnings per share (€) 0.25 -76.4% 1.06

Revenue: higher reported revenue

€m H1
2011
H1
2010
Change
2011/2010
Q2
2011
Q2
2010
Change
2011/2010
Ile de France 405.4 386.2 +5.0% 201.6 192.2 +4.9%
Rhône Alpes 147.0 146.6 +0.3% 72.5 72.9 -0.5%
Nord 106.7 101.7 +4.9% 53.1 50.9 +4.3%
Provence Alpes Côte d'Azur 121.7 118.4 +2.8% 60.3 58.8 +2.6%
Bourgogne 55.4 53.5 +3.6% 27.2 26.3 +3.4%
Other French regions 174.0 168.8 +3.1% 86.3 84.8 +1.8%
Other activities (1) 19.4 28.8 -32.6% 8.6 11.9 -27.7%
Reported revenue 1,029.6 1,004.0 +2.5% 509.6 497.8 +2.4%
O/w:
- Organic
1,021.2 994.1 +2.7% 505.1 494.4 +2.2%
o/w organic France 1,008.9 981.4 +2.8% 498.7 487.6 +2.3%
o/w organic Italy 12.3 12.7 -3.1% 6.4 6.8 -5.9%
- Change in scope 8.4 9.9 - 4.5 3.4 -

Consolidated revenue for the six months ended June 30, 2011 was €1,029.6m, compared with €1,004.0m for the same period in 2010.

(1) "Other activities" includes non-strategic businesses whose assets have been sold

Hospital Care France recorded organic growth of +2.8% in the first half of 2011, attributable to a volume/mix effect (with an additional working day).

In France, the main changes in the scope of consolidation were the disposal of the Medical Analysis business on February 2, 2010 and the acquisition of Hôpital Privé de Marne la Vallée on October 2, 2010.

During the first half of 2011, acute care revenue derived from the Group's establishments increased by 1.6% compared with the first half of 2010, with 487,000 stays. The increase was driven by surgery (+3.7%), with obstetrics stable and general medicine edging down (-0.8%). In the public-service missions managed by the Group, the number of emergency care treatments increased by 10.5% in the first half of 2011, with a total of 193,000 patient visits in our establishments.

In the areas of mental health and subacute care and rehabilitation, the Group saw a 4.8% increase in the number of days billed (to a total of 727,000) in the first half of 2011, thanks to an ongoing increase in occupancy rates, and above all to the gradual ramp-up of extensions completed in several of the Group's establishments.

The Group's organic revenue in Italy was only derived from the Omegna hospital, which reported a slight decline in revenue in the first half of 2011.

Profit:

1) Stable current operating profit

The increase in consolidated revenue (+2.5%) led to growth in EBITDA (+4.6%) that, however, was completely wiped out by an increase in depreciation, amortization and rental expenses (+12%) as a consequence of the investment strategy required to maintain the Group's competitiveness.

Current operating profit was €81.3m, stable compared with the same period in 2010, benefiting from the reclassification of expenses (mainly personnel) stemming from the implementation of the reorganization plan announced by the Group on March 24, 2011. Excluding this adjustment, it would have been down 7.3%.

2) Considerable decline in operating profit and net profit

The operating profit declined from €105.9m (first half of 2010) to €54.5m (first half of 2011) due to the stability of the current operating profit and change in the main non-recurrent items, as follows:

  • An expense of €25.3m recognized in the first half of 2011, stemming from the reorganization of support functions at the headquarters and regional offices, currently underway, including provisions in the amount of nearly €18m.
  • A capital gain in the amount of nearly €30m, recognized in the first half of 2010, on the disposal of the Medical Analysis business in France.

The decline in net profit was closely correlated to that of operating profit.

Debt: net financial debt per IFRS stable at €877.0m as of June 30, 2011 (compared with €871.4m as of end-2010)

Net financial debt per IFRS was stable compared with its position as of December 31, 2010, thanks to strict management of our investments.

The accounts were subject to a limited review by the statutory auditors

Générale de Santé has been listed on the Euronext Paris Eurolist (formerly the Premier Marché) since June 2001 and is part of the Midcac index. The leading Group in the private hospital care sector in France, Générale de Santé has 23,800 employees in 110 private hospitals and clinics. With more than 5,000 medical practitioners, it is the leading independent medical community in France. A major force in hospital care, Générale de Santé offers a full range of services: acute care, oncology, subacute care and rehabilitation, mental health and homecare. Générale de Santé has an original healthcare offering combining medical excellence, organizational efficiency and a human touch. It provides a seamless service with a customized patient support package, before, during and after hospitalization, taking into consideration all of the patient's needs. It takes part in public-service healthcare initiatives and is part of the nationwide healthcare chain in France.

ISIN and Euronext Paris: FR0000044471 Internet: www.generale-de-sante.fr

ENGLISH-LANGUAGE CONFERENCE CALL TODAY

At 6.00 p.m. (CET) – Dial the following numbers

From France: +33 (0) 1 70 99 35 15 From Italy: +39 (0) 0645210 8001 From the UK: +44 (0) 207 153 2027 From the US: +1 (0) 480 629 9822

Dates for your diary:

Third quarter 2011 results: October 27, 2011

Investor/Analyst Relations: Arnaud Jeudy Tel. + 33 (0)1 53 23 14 89 [email protected]

Press Relations: Guillaume Jubin Tel. + 33 (0) 1 53 23 14 47 [email protected]

CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

1st half
INCOME STATEMENT (in million euros) 2010 2010 2011
TURNOVER 1,926.1 1,004.0 1,029.6
Personnel expenses and profit sharing (881.7) (452.6) (455.3)
Purchased consumables (366.1) (189.2) (196.6)
Other operating income and expenses (231.1) (116.4) (116.6)
Taxes and duties (83.1) (43.1) (42.6)
Rents (134.9) (65.1) (74.6)
EBITDA 229.2 137.6 143.9
Depreciation (120.1) (57.2) (62.6)
Current operating profit 109.1 80.4 81.3
Restructuring costs (41.9) (7.7) (29.4)
Result of the management of real estate and financial assets 36.7 33.2 2.6
Impairment of goodwill -- --- --
Other non current income and expenses (5.2) 25.5 (26.8)
Operating profit 103.9 105.9 54.5
Gross interest expenses (47.8) (23.2) (23.4)
Income from cash and cash equivalents 1.4 0.3 0.5
Net interest expenses (46.4) (22.9) (22.9)
Other financial income 0.5 0.5 0.6
Other financial expenses (5.5) (2.5) (2.7)
Other financial income and expenses (5.0) (2.0) (2.1)
Corporate income tax (14.6) (18.7) (12.7)
Share of net profit of associates -- --- --
NET PROFIT FOR THE PERIOD 37.9 62.3 16.8
Revenues and expenses recognised directly as equity
- Retirement commitments (0.5) --- ---
- Change in fair value of hedging financial instruments 4.9 (4.4) 11.1
- Translation differential -- --- ---
- Income tax on other comprehensive income (1.5) 1.5 (3.8)
Results recognised directly as equity 2.9 (2.9) 7.3
TOTAL COMPREHENSIVE INCOME FOR THE PERIOD 40.8 59.4 24.1
1st half
PROFIT ATTRIBUTABLE TO (in million euros) 2010 2010 2011
Group's share of net earnings 35.0 59.4 13.9
Non-controlling interests 2.9 2.9 2.9
NET PROFIT FOR THE PERIOD 37.9 62.3 16.8
NET EARNINGS PER SHARE (in euros) 0.63 1.06 0.25
NET DILUTED EARNINGS PER SHARE (in euros) 0.63 1.06 0.25
1st half
TOTAL COMPREHENSIVE INCOME ATTRIBUTABLE TO (in million euros) 2010 2010 2011
Group's comprehensive income for the period 37.9 56.5 21.2
Non-controlling interests 2.9 2.9 2.9
TOTAL COMPREHENSIVE INCOME FOR THE PERIOD 40.8 59.4 24.1

CONSOLIDATED BALANCE SHEET - ASSETS

( in million euros ) 12-31-2010 06-30-2011
Goodwill 641.6 624.4
Other intangible fixed assets 20.4 17.4
Tangible fixed assets 896.6 866.6
Investments in associates 0.1 0.1
Other long-term investments 29.4 28.9
Deferred tax assets 54.2 53.5
NON CURRENT ASSETS 1,642.3 1,590.9
Inventories 35.4 34.8
Trade and other receivables 121.8 156.4
Other current assets 136.2 161.1
Current tax assets 7.5 1.8
Current financial assets 11.3 4.1
Cash and cash equivalents --- ---
Assets held for sale 1.5 1.5
CURRENT ASSETS 313.7 359.7
TOTAL ASSETS 1,956.0 1,950.6

CONSOLIDATED BALANCE SHEET - LIABILITIES AND EQUITY

( in million euros ) 12-31-2010 06-30-2011
Share capital 42.2 42.3
Additional paid-in capital 62.5 64.6
Consolidated reserves 298.7 285.7
Group's share of net profit 35.0 13.9
Group's share of equity 438.4 406.5
Non-controlling interests 10.7 12.4
TOTAL SHAREHOLDERS' EQUITY 449.1 418.9
Borrowings and financial debts 756.2 721.6
Provisions for retirement and other employee benefits 32.9 34.3
Non-current provisions 49.5 57.3
Other long term liabilities 32.1 19.7
Deferred tax liabilities 77.1 75.9
NON CURRENT LIABILITIES 947.8 908.8
Current provisions 11.4 10.7
Accounts payable 127.8 134.3
Other current liabilities 297.2 315.4
Tax liabilities due 3.5 8.1
Short-term borrowings 73.8 130.5
Bank overdraft 45.4 23.9
Liabilities related to assets held for sale -- ---
CURRENT LIABILITIES 559.1 622.9
TOTAL EQUITY AND LIABILITIES 1,956.0 1,950.6

CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

( in million euros ) SHARE
CAPITAL
ADDITION
AL PAID IN
CAPITAL
RESERVES RESULTS
RECOGNISED
DIRECTLY AS
EQUITY
TOTAL
COMPREHEN
SIVE INCOME
FOR THE
PERIOD
GROUP'S
SHARE OF
EQUITY
NON
CONTROLLING
INTERESTs
SHAREHOL
DERS'
EQUITY
Shareholders' equity at December 31, 2009 42.2 62.5 340.2 (20.2) 42.4 467.1 10.0 477.1
Capital increase (including net fees) -- -- -- -- -- -- -- --
Treasury shares -- -- -- -- -- -- -- --
Stocks options and free share -- -- 3.4 -- -- 3.4 -- 3.4
Prior year appropriation of earnings -- -- 42.4 -- (42.4) -- -- --
Distribution of dividends -- -- (69.9) -- -- (69.9) (1.8) (71.7)
Change in consolidation scope -- -- (0.1) -- -- (0.1) (0.4) (0.5)
Total comprehensive income for the period -- -- -- 2.9 35.0 37.9 2.9 40.8
Shareholders' equity at December 31, 2010 42.2 62.5 316.0 (17.3) 35.0 438.4 10.7 449.1
Capital increase (including net fees) 0.1 2.1 -- -- -- 2.2 -- 2.2
Treasury shares -- -- -- -- -- -- -- --
Stocks options and free share -- -- 1.1 -- -- 1.1 -- 1.1
Prior year appropriation of earnings -- -- 35.0 -- (35.0) -- -- --
Distribution of dividends -- -- (56.4) -- -- (56.4) (1.2) (57.6)
Change in consolidation scope -- -- -- -- -- -- -- --
Total comprehensive income for the period -- -- -- 7.3 13.9 21.2 2.9 24.1
Shareholders' equity at June 30, 2011 42.3 64.6 295.7 (10.0) 13.9 406.5 12.4 418.9
12-31-2009 12-31-2010 06-30-2011
Dividendes par actions (en € y compris précompte) 1.25 1.25 1.00
Nombre d'actions propres 773 668 419 005 25 301

REVENUES AND EXPENSES RECOGNISED DIRECTLY AS EQUITY

( in million euros ) 12-31-2009 Income and
expenses 2009
12-31-2010 Income and
expenses
1st half 2011
06-30-2011
Translation differential (0.3) -- (0.3) -- (0.3)
Retirement commitments (4.0) (0.3) (4.3) -- (4.3)
Fair value of hedging financial instruments (15.9) 3.2 (12.7) 7.3 (5.4)
Results recognised directly as equity (Group's share) (20.2) 2.9 (17.3) 7.3 (10.0)

CONSOLIDATED CASH FLOW STATEMENT

1st half
(in million euros) 2010 2010 2011
Total net consolidated profit 37.9 62.3 16.8
Depreciation 120.1 57.2 62.6
Other non current income and expenses
Share of net profit of associates
5.2
---
(25.5)
--
26.8
--
Other financial income and expenses 5.0 2.0 2.1
Net interest expenses 46.4 22.9 22.9
Corporate income tax 14.6 18.7 12.7
EBITDA 229.2 137.6 143.9
Non cash items including provisions and reversals (transactions with no cash effect) (6.3) (0.3) 2.1
Other income and expenses paid (18.4) (4.2) (21.8)
Changes in other long term assets and liabilities 0.4 1.6 0.5
Cash flow before net interest expenses & taxes 204.9 134.7 124.7
Corporate income tax paid (29.2) (10.8) (7.9)
Change in working capital requirements 18.4 (24.3) (36.5)
NET CASH FROM OPERATING ACTIVITIES : (A) 194.1 99.6 80.3
Purchase of property, plant & equipment and intangible assets (78.4) (56.2) (26.2)
Proceeds from sale of tangible and intangible assets 21.2 -- 7.5
Purchase of financial assets (11.0) (0.8) (0.5)
Proceeds from the disposal of financial assets 60.0 55.8 16.9
Dividends from non consolidated companies 0.5 -- 0.6
NET CASH USED FOR INVESTING ACTIVITIES : (B) (7.7) (1.2) (1.7)
Capital increase: (a) --- -- 2.2
Capital increase performed by subsidiaries subscribed to by third parties (b) --- -- --
Exceptional distribution of additional paid-in capital (c) --- -- --
Dividends paid to GDS shareholders: (d) (69.9) -- --
Dividends paid to minority interests of consolidated companies: (e) (1.8) (0.9) (1.2)
Net interest expense paid : (f) (46.4) (22.9) (22.9)
Debt issue costs : (g) --- -- --
Cash flow before repayment of borrowings: (h) = (A+B + a + b + c + d + e + f + g) 68.3 74.6 56.7
Increase in borrowings : (i) 135.8 40.8 0.7
Repayment of borrowings : (j) (257.4) (128.7) (35.9)
NET CASH USED FOR FINANCING ACTIVITIES: (C) = a + b + c + d + e + f + g + i + j (239.7) (111.7) (57.1)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS: ( A + B + C ) (53.3) (13.3) 21.5
Reclassification of the cash of the assets held for sale 13.0 13.0
Cash and cash equivalents at beginning of period (5.1) (5.1) (45.4)
Cash and cash equivalents at end of period (45.4) (5.4) (23.9)
Net indebtedness at beginning of period 885.8 885.8 871.4
Cash flow before repayment of borrowings: (h) (68.3) (74.6) (56.7)
Capitalization of financial leases 48.3 4.9 11.3
Loan issue charges fixed assets 3.5 1.8 1.8
Assets held for sale (2.8) (0.6) --
Fair value of financial hedging instruments (3.2) 2.9 (7.3)
Dividends to pay --- 69.8 56.4
Change in scope of consolidation and other 8.1 8.7 0.1
Net indebtedness at end of period 871.4 898.7 877.0