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2010 Final Results Presentation 18 March 2011

2010 Final Results Presentation 18 March 2011

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Page 1: 2010 Final Results Presentation 18 March 2011

1 healthcare without boundaries

2010 Final Results Presentation

18 March 2011

Page 2: 2010 Final Results Presentation 18 March 2011

2 healthcare without boundaries

Financial Highlights

• Total Group revenue of £62.4m (2009: £57.7m), up 8%

• Adjusted Group operating profit(2) of £17.6m (2009: £15.8m), up 11%

• Core activities (EMIS / RX Systems):(1)

– total core revenue £61.9m (2009: £57.2m), up 8%– recurring revenue £50.8m (2009: £42.7m), up 19%– operating profit £19.6m (2009: £17.0m), up 15%

• Cash generated from operations £22.2m (2009: £19.9m)

• Net cash of £1.7m (2009: Net debt of £1.7m)

• Adjusted(2) EPS of 21.8p (2009: 19.9p)

• Total dividend of 11.2p including final dividend of 5.6p

(1) Excludes the Canadian operation discontinued post year end(2) Adjusted for flotation and other transaction costs

Page 3: 2010 Final Results Presentation 18 March 2011

3 healthcare without boundaries

Operational Highlights

• UK GP software market leading position strengthened further:– growth in UK market share to 53.8% (2009: 52.5%):

• growth in Scotland from 12.7% to 51.5%• total of 5,576 EMIS GP practices at year end (2009: 5,377)

• EMIS Web accredited in September 2010 and controlled roll-out commenced:– 44 GP practices installed with 433 further orders placed – 1,665 orders for the EMIS Web familiarisation service

• RX Systems integration on track:– high street pharmacy systems market share increased from 20.5% to 25.0%

• Progress made with EMIS Web in extended primary and community healthcare settings

• EMIS chosen to provide electronic healthcare records for the Australian Department of Defence under a five-year contract

• New independent Non-Executive Chairman appointed in March 2011

Page 4: 2010 Final Results Presentation 18 March 2011

4 healthcare without boundaries

Financial Review

Page 5: 2010 Final Results Presentation 18 March 2011

5 healthcare without boundaries

Profit and Loss

• Revenue increased by 8.1%:– includes £4.5m accredited

hosting

• Adjusted operating profit up 11.4%: – H1 42% / H2 58%

• 2010 tax rate 30%

• Adjusted EPS up 9.6%

£m Year ended 31 December

H1 2010

H2 2010

FY2010

FY 2009

%Change

Revenue 29.0 33.4 62.4 57.7 8.1%

Operating profit 6.9 9.5 16.4 15.8 3.8%

Adjusted operating profit* 8.3 9.3 17.6 15.8 11.4%

Profit before tax 6.7 9.4 16.1 14.4 11.8%

Adjusted profit before tax* 8.1 9.2 17.3 14.4 20.1%

Tax (2.40) (2.50) (4.90) (4.50) -

Profit after tax 4.3 6.9 11.2 9.9 13.1%

EPS 7.9p 11.9p 19.8p 19.9p (0.2)%

Adjusted EPS* - - 21.8p 19.9p 9.6%

*Adjusted for: Float/transaction cost: £1m in H1 2010, £0.2m in H2 2010 (£1.2m in FY 2010)Holiday pay accrual: (£0.4m) in H1 2010, £0.4m in H2 2010

Page 6: 2010 Final Results Presentation 18 March 2011

6 healthcare without boundaries

Core Business Analysis

£m Year ended 31 December

2010 2009

EMIS RX Systems

EMIS and RX Systems total

EMIS

Revenue 56.9 5.0 61.9 57.2

including:

Core recurring revenue 46.6 4.2 50.8 42.7

Core business operating profit : 19.4 0.2 19.6 17.0

- add back amortisation 2.1 0.3 2.4 2.1

- deduct capitalised development costs (3.8) - (3.8) (4.6)

Adjusted core business operating profit 17.7 0.5 18.2 14.5

Page 7: 2010 Final Results Presentation 18 March 2011

7 healthcare without boundaries

Core Operational Revenues (excludes Canada)

• Licences and software support, including Scotland, growth of 8.5%

• Recurring revenue growth 19%

£m Year ended 31 December

H1 2010

% of sales

H2 2010

% of sales

FY2010

% of sales

FY 2009

% of sales

Licenses and software support 13.1 46% 14.9 45% 28.0 45% 25.8 45%

Support services 7.2 25% 9.4 28% 16.6 27% 15.4 27%

Hosting 2.3 8% 2.9 9% 5.2 8% 3.3 6%

Hardware and training 4.8 17% 4.8 14% 9.6 16% 9.4 16%

Other 1.3 5% 1.2 4% 2.5 4% 3.3 6%

Total 28.7 100% 33.2 100% 61.9 100% 57.2 100%

Recurring 23.2 81% 27.6 83% 50.8 82% 42.7 75%

Non-recurring 5.5 19% 5.6 17% 10.9 18% 14.5 25%

Total 28.7 100% 33.2 100% 61.9 100% 57.2 100%

Page 8: 2010 Final Results Presentation 18 March 2011

8 healthcare without boundaries

Cash Flow

£mYear ended 31 December

FY2010

FY 2009

Cash from operations:

Generated 22.2 19.9

Less internal development costs capitalised (3.8) (4.6)

Adjusted cash from operations 18.4 15.3

Used for:

Acquisition of RX Systems (net of RX cash) (3.1) -

Net capex (5.3) (3.8)

Repayment of bank term loans (1.2) (6.6)

Share issues 24.0 -

Repayment of shareholder loans (23.0) -

Bank and other interest (0.4) (2.6)

Taxation (3.9) (3.1)

Interim dividend (3.3) -

16.2 16.1

Cash increase (decrease) in year 2.2 (0.8)

• Adjusted cash from operations increased by 20%

• Acquisition of RX Systems £3.1m net of RX cash

• Capex includes hosting assets of £3.9m

• Repayment of shareholder loans

• Positive cash movement in year

Page 9: 2010 Final Results Presentation 18 March 2011

9 healthcare without boundaries

Balance Sheet

• Fixed assets increased primarily with

RX acquisition

• Deferred income rising due to impact

of RX and growth of accredited

hosting

• Bank term loans reduced to £5.7m

• Deferred tax on intangibles of £8.5m

– no cash implications

£mYear ended 31 December

FY2010

FY 2009

Fixed assets 65.9 48.9

Cash 7.4 5.2

Other current assets 9.8 8.2

Total assets 83.1 62.3

Current liabilities (10.3) (6.9)

Deferred income (10.9) (7.6)

Bank term loans (5.7) (6.9)

RX contingent consideration (0.9) -

Deferred tax (8.5) (6.5)

Shareholder loans - (23.0)

Net assets 46.8 11.4

Page 10: 2010 Final Results Presentation 18 March 2011

10 healthcare without boundaries

Operational Review

Page 11: 2010 Final Results Presentation 18 March 2011

11 healthcare without boundaries

• Strategy to join patient’s electronic healthcare record across the NHS

• EMIS Group well positioned:

– EMIS Web

– Healthcare Gateway

– RX Systems

A&E

Out of hours

DNHV

Diabetes

GP

Childhealth

PathologySpecialistservices

Hospitalpharmacy

Extendedservices

Long termconditions

Data stream

ing

EMIS GP Systems

GP GP GP

Maternity

ICU

Inpatient

EMIS Overview

Business intelligence

for GP Consortia

NHS Network

Page 12: 2010 Final Results Presentation 18 March 2011

12 healthcare without boundaries

EMIS Web Update

• Key milestone of EMIS Web accreditation achieved in September 2010

• Controlled roll out currently underway:

– 44 GP practice installations completed

– 433 further orders placed for EMIS Web

– 1,665 orders for the familiarisation service

– Since the year end, installation has been completed at a further33 GP practices

• Building up resources to deliver roll out

• In negotiation with a number of PCTs and GP Consortia regarding EMIS Web in extended primary and community healthcare settings

• Number of successes with contracts signed with the NHS in Tower Hamlets, Liverpool, Cheshire and Cumbria

Page 13: 2010 Final Results Presentation 18 March 2011

13 healthcare without boundaries

RX Systems

• RX Systems acquired for up to £10.1m in August 2010:

– Leading pharmacy software and services company

– On acquisition 2,500 high street pharmacy sites

– UK market share has now increased from 20% to 25%

– 80% recurring revenues

– Cash generative

– Growing strongly

– Experienced management team

• Combination of EMIS and Rx Systems will enable:

– Online connection between patient, GP and pharmacist

– More efficient prescription flows

– Improved links to Electronic Healthcare Record

– Cross-selling opportunities within EMIS

Page 14: 2010 Final Results Presentation 18 March 2011

14 healthcare without boundaries

• JV between EMIS and InPS:

– Covers 75% of GP practice data in UK

– Facilitates sharing and transfer of

patient data

• Benefits include potential to significantly

increase efficiency savings in the NHS

whilst improving patient care

• Enables real time interoperability between

GPs using EMIS or INPS software and

other healthcare professionals

• Product development and pilots underway

Formation of Healthcare Gateway Ltd

Page 15: 2010 Final Results Presentation 18 March 2011

15 healthcare without boundaries

Current Trading and Outlook

• Trading in-line with management expectations since the year-end

• Controlled roll-out of EMIS Web progressing as planned

• Strong revenue visibility continues:– GPSoC framework agreement expected to be further extended until 2013

• Anticipate stronger second half revenue performance in 2011:– Accelerated roll-out of EMIS Web– Increasing hosting revenues– Greater RX Systems contribution– Continued pressure on customers’ discretionary spend

• Contribution from NHS Scotland from 2011 onwards

• Canadian strategic review completed: – Managed exit underway– 2011 one-off charges of £2.5m (£0.9m cash cost and £1.6m asset write downs)

• Post year-end contract wins:– Provision of electronic healthcare record system to Australian Armed Forces– Shared care record for primary healthcare teams across Cheshire– Healthcare Gateway: pilot contracts in London and Cumbria

Page 16: 2010 Final Results Presentation 18 March 2011

16 healthcare without boundaries

Summary

• Key objective for 2010 achieved:

– EMIS Web accreditation

– New Chairman in place

• Delivery of cross-organisational healthcare strategy:

– Primary and community healthcare wins

– Healthcare Gateway

– RX Systems

• EMIS’ strategy aligned with new NHS White Paper

• Wider application beyond the NHS:

– Australian Armed Forces

• Solid foundations in place for future growth

Page 17: 2010 Final Results Presentation 18 March 2011

17 healthcare without boundaries

Appendix

Page 18: 2010 Final Results Presentation 18 March 2011

18 healthcare without boundaries

Primary Care – EMIS WebMessaging

and/or Viewing

OUR PATIENTS

eSAP

MentalHealth

Secondary Care - SUS (Qute)

A&E

In Patient

Out Patient Acu

te T

rust

District Nursing

PCT

Com

mis

sion

ed

Serv

ices

Out of Hours

Child Health (V&I)

Community Hospital

PAS & EMIS Web as clinical system

Hosted EMIS Web Hosted EMIS Web

Interfaces & SetupHospital clinicians read access to agreed parts of EMIS GP patient record. This is likely in the short term to be either via the MIG to EMIS Web.Single interface for pathology requesting and electronic transfer of data including correspondence

Interfaces OOH via Adastra utilising EMIS Web as the core clinical system

GP Surgeries Multiple data sharing agreements, local

pathways/templates, standardized document handling and label printing etc

within practices Single interface for Order-comms, paperless pathology requesting and electronic transfer of data including correspondence/discharge summaries –

sites

Interfaces & SetupThe Community hospitals will use EMIS web as their clinical system and admin system,. Clinical results will be accessed via a middleware package

SetupA network of “virtual services” with data sharing within/without the community service has developed, along with the business intelligence and reporting has been established

Podiatry Nursing

STINT

Independent GP Surgeries :

Patient access

Interfaces & SetupThe patient are be able to access their medical records via EMIS access

Community Pharmacy

Pharmacy

To be addressed through EPS2

CH In scope for EMIS Web deployment Interop with MH is under POC via MIG