EMIS Group plc 2012 results presentation Mike OLeary - Chairman - - PowerPoint PPT Presentation
EMIS Group plc 2012 results presentation Mike OLeary - Chairman - - PowerPoint PPT Presentation
Healthcare without boundaries EMIS Group plc 2012 results presentation Mike OLeary - Chairman Peter Southby - CFO Introduction Mike OLeary Chairman Agenda Introduction Mike OLeary Financial Review Peter Southby Operational
Introduction
Mike O’Leary Chairman
Agenda
- Introduction
Mike O’Leary
- Financial Review
Peter Southby
- Operational Review
Mike O’Leary
- Summary and Outlook
Mike O’Leary
3
Financial review
Peter Southby CFO
Financial highlights
- Total revenue of £86.3m (2011: £73.2m), up 18%
- Recurring revenue of £69.4m (2011: £61.1m), up 14%
- Group operating profit:
- Reported - £24.1m (2011: £21.5m), up 12%
- Adjusted(1) - £22.8m (2011: £20.8m), up 10%
- Cash generated from operations(2) of £27.4m (2011: £27.1m)
- Net cash at £7.7m (2011: £8.0m)
- EPS:
- Reported – 32.55p (2011: 28.71p), up 13%
- Adjusted(1) – 30.76p (2011: 27.69p), up 11%
- Total dividend 14.2p (2011: 12.4p), up 15%, including final
dividend 7.1p (2011: 6.2p)
(1)
Excludes exceptional items/capitalised development costs and adds back amortisation. For EPS also adjusts for related tax impact.
(2)
Adjusted to exclude internal development costs capitalised of £5.3m (2011: £3.8m).
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£m Year ended 31 December H1 2012 H2 2012 FY 2012 FY 2011 % Increase Revenue 42.3 44.0 86.3 73.2 18% Adjusted operating profit 11.5 11.3 22.8 20.8 10% Capitalised development costs 2.2 3.1 5.3 3.8 Amortisation (1.7) (1.9) (3.6) (3.1) Exceptionals/other 0.1 (0.5) (0.4) (0.1) Profit before tax 12.1 12.0 24.1 21.4 12% Tax (2.3) (2.3) (4.6) (4.4) Minority Interest/other (0.3) (0.3) (0.6) (0.2) Earnings 9.5 9.4 18.9 16.8 Adjusted EPS 15.6p 15.2p 30.8p 27.7p 11% Reported EPS 16.3p 16.2p 32.5p 28.7p 13%
Profit and loss
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- Revenue increase driven by EMIS Web roll-out
- Adjusted operating profit up by 10% despite £2.5m H2 increase in staff costs
- 2012 underlying tax rate 23% excluding deferred tax rate change
Segmental analysis
£m (rounded) Year ended 31 December 2012 2011 % Increase EMIS RX Total EMIS RX Total Revenue 69.8 16.5 86.3 59.6 13.6 73.2 18% Of which recurring revenue 56.7 12.7 69.4 49.7 11.4 61.1 14% Segmental operating profit 22.5 3.0 25.5 20.7 1.6 22.3 Capitalised development costs (5.3)
- (5.3)
(3.8)
- (3.8)
Amortisation 2.7 0.8 3.5 2.2 0.9 3.1 Adjusted segmental profit 19.9 3.8 23.7 19.1 2.5 21.6 10% Group costs (0.9) (0.8) Adjusted operating profit 22.8 20.8 10% 7
- EMIS growth driven by EMIS Web roll-out including hosting, training
- Cost base scaled up with average staff numbers 24% higher (1,236 at 31 December 2012, average for
year 1,116)
- RX benefited from £1.6m EPS R2 revenue and growth in estate
Core business analysis
£m Year ended 31 December H1 2012 % of sales H2 2012 % of sales FY 2012 % of sales FY 2011 % of sales Licenses and software support 17.8 42% 18.6 42% 36.4 42% 33.2 45% Other support services 9.9 23% 12.2 27% 22.1 26% 20.3 28% Hosting 3.9 9% 5.1 13% 9.0 10% 5.8 8% Hardware and training 7.0 17% 6.1 14% 13.1 15% 10.4 14% Other 3.7 9% 2.0 4% 5.7 7% 3.5 5% Total 42.3 100% 44.0 100% 86.3 100% 73.2 100% Recurring 34.4 81% 35.0 80% 69.4 80% 61.1 83% Non-recurring 7.9 19% 9.0 20% 16.9 20% 12.1 17% Total 42.3 100% 44.0 100% 86.3 100% 73.2 100%
- Recurring revenue growth £8.3 m – EMIS £7.0m and RX £1.3m
- £3.2m growth in hosting driven by EMIS Web roll-out
- High level of visibility through recurring revenue
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Cash flow
£m Year ended 31 December FY 2012 FY 2011 Operating profit 24.1 21.5 Depreciation and amortisation 8.5 6.5 Working capital 0.1 2.9 Cash flow from operating activities 32.7 30.9 Development costs capitalised (5.3) (3.8) Cash from operations 27.4 27.1 Discontinued operation
- (0.8)
Contingent consideration for acquisition (0.8) (0.2) Net capex (12.8) (6.2) Transactions in own shares (1.8) (0.9) Tax paid (4.6) (5.6) Dividends (7.7) (6.9) Other
- (0.1)
Change in net cash in year (0.3) 6.4 9
- Cash from operations at £27.4m
- Capex includes:
- Hosting assets (£6.0m)
- Computer equipment (£2.5m)
- Motor vehicles (£2.0m)
- Refurbishment costs (£1.5m)
- Net cash broadly unchanged at £7.7m
Balance sheet
£m Year ended 31 December FY 2012 FY 2011 Goodwill 22.0 22.0 Other intangible assets 30.8 28.6 Property, plant & equipment 22.1 14.8 Associate and other current assets 19.2 16.2 Deferred income (15.9) (16.1) RX contingent consideration
- (0.8)
Other current liabilities (14.3) (10.5) Deferred tax (7.5) (8.1) Net cash 7.7 8.0 Net assets 64.1 54.1 10
- Strong balance sheet with £11.1m in
cash / £3.4m debt
- Investment in PPE
- Deferred income steady and provides
good revenue visibility
- Cost of final proposed dividend
£4.1m
Operational review
Mike O’Leary Chairman
Summary
- UK GP software market share maintained:
- New basis - UK 51.2% (5,113 practices) - (2011: 51.6% - 5,247 practices)*
- Old basis – UK 53.7% (5,367 practices) – (2011: 53.1% - 5,397 practices)*
- EMIS Web GP moved into accelerated roll-out - by the year end:
- 1,635 GP practices live (2011: 360)
- 1,252 unfulfilled orders (2011: 1,565)
- 2,564 practices in EMIS Web GP familiarisation service (2011: 2,359)
- RX Systems:
- High street pharmacy market share increased to nearly 35% (4,595 pharmacies) from 34%
(4,338 pharmacies)
- EPSR2 successfully rolled out to 83% of estate
- New Group HQ successfully refurbished and occupied
- Transformation of healthcare delivery in the UK opening up new markets:
- EMIS Web integrated care projects progressing
- EMIS Web Mobile developed and launched
- EMIS IQ GPES contract being delivered
- Healthcare Gateway beginning to gain traction
* New basis installed systems only * Old basis installed plus orders not deployed
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Operational review – EMIS GP systems
- Business continues to perform well
- UK market leader
- GP System of Choice framework agreement – extension in hand
- Cross selling and development in Scotland
- NHS Wales opportunities
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GP market-leading position maintained
(EMIS and competitor data estimated based on company records showing customers installed as at 31 December 2012)
Country EMIS estate
%
InPS estate
%
iSoft estate
%
TPP estate
%
Other
%
Total England 4,284
52.5
1,428
17.5
371
4.5
1,916
23.5
165
2.0
8,164 Scotland 517
51.5
486
48.4
1
0.1
- 1,004
Wales 152
31.9
251
52.7
69
14.5
- 4
0.9
476 Northern Ireland 160
45.7
113
32.3
51
14.6
- 26
7.4
350 UK Total 5,113
51.2
2,278
22.8
492
4.9
1,916
19.2
195
1.9
9,994 14
EMIS Web GP
- Accelerated roll-out to GPs:
- 1,635 GP practices using EMIS Web by the year end (2011: 360)
- Familiarisation Service in 2,564 practices (2011: 2,359)
- Total of 1,252 unfulfilled orders for EMIS Web by year end (2011:
1,565)
- Total orders as of March 2013: 1,200
- Average rollout 150 EMIS Web practices per month
- Expect to deploy substantially all outstanding GP order
book by end 2013
- EMIS Web Mobile released
- 2,000th EMIS Web site installed
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EMIS Web Integrated care
- Pathfinder pilot projects progressing
- Created ring fenced resource in
sales, commercial development and software development
- This opens a significant opportunity
in the next few years
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Healthcare Gateway and EMIS IQ
Healthcare Gateway
- Gaining traction
- Now includes all major GP Suppliers
EMIS IQ
- Delivered under the national General Practice Extraction Service (GPES)
Patient.co.uk
- Helps patients play a part in their own care
- 42% growth in total visits
- Patient Access App launched in March 2013
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NHS Commissioning – EMIS at the heart
Context:
- Public Finance
- Demographics and LTCs
- Patient Care
NHS Commissioning Board
- £80 billion Commission budget split
- £20 billion centrally commissioned
- £60 billion CCGs
- 212 CCGs to come into being on 1 April 2013
The Way Forward “We will guarantee every patient the opportunity of online access to their own primary care medical record by the spring of 2015” “We will expect commissioners to promote the benefits of technology in improving outcomes” “We will support commissioners to provide patients with access to digital tools to help them manage health and care as they choose and shall also support a move to paperless referrals in the NHS by March 2015”
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Strategic direction for EMIS Group
- Starting point – strong patient record market share in primary care
(GPs)
- Extending across the spectrum of healthcare
- Build or inter-operate
- Timeframe – medium/long term opportunity
- Quantum – order of magnitude larger market opportunity
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Summary and outlook
Summary
Strong performance:
- UK GP software market leading position maintained
- RX Systems market share increased
- New market initiatives progressing
Investment in delivery capability for EMIS Web
Outlook
- Strong and growing revenue visibility
- Trading in-line with management expectations
since the year-end
- EMIS Web accelerated roll-out continues
- Continued development of EMIS Web into the
wider NHS with exciting prospects delivering integrated care systems
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Q & A
APPENDIX
GP practices Nursing and in patient services Specialist
District nurse service
133
MacMillan nurses
11
Tissue viability
7
Podiatry Community physiotherapy
30 15
Speech and language therapy
22
LV PCS
18 3
EMIS Web
41
Community respiratory Vasectomy
15 4
Eden specialist services
23
Other
19
Cumbria partnership foundation trust Long term conditions
17
Step up step down
107
STINT
30
Furness community services
134
Cumbria smoking cessation
31
Copeland specialist services
85
Continence services
19
Carlisle community services
102
NHS Trusts
North Cumbria University hospitals University hospitals Morecambe bay
Key
Live Coming soon
- No. of
practices
- No. of
users February 2013 Copeland community services
109
Community nursing liaison
10
Consultant- led services
Diabetes Sexual health service
47 42
Neurology service
36
Eden community
189
Furness specialist services
2
23
GP Practices Central and East Cheshire PCT
LV PCS 9 3 EMIS Web 37 Other 4 Key Coming soon
- No. of
practices
- No. of
users
GP Practices NHS Western Cheshire
LV PCS 2 1 EMIS Web 29 Other 11 Live
Adult and children’s nursing services
118
Allied health professionals
165
Pharmacy
2
Cheshire and Wirral Partnership
MHCT diabetes services
5
MCHT A&E, UCC & OOH
5
Health record and community administration
7
East Cheshire
ECNT AHPs, therapies and rehab
217
ECNT adult nursing services
246
ECNT A&E
6
ECNT pharmacy
15
Mid Cheshire Hospitals NHS Foundation trust
1
MCHT Pharmacy Countess of Chester A&E
2
February 2013
1
24
Outside of Hospitals Services – Primary & Community Aintree emergency department Heart failure service LCH heart failure team Liverpool heart and chest hospital PCI/CCU Secondary Care Services
Liverpool PCT & NHS Sefton
February 2013 RLBUHT eye screening and ophthalmology RLBUHT diabetes Ankle-Brachial pressure index 23 Anti-coagulation 2 Asylum seekers 2 Children’s walk-in centre 2 Community matrons 62 Community respiratory team 67 Diabetes specialist nurses 50 Emergency response team 4 Gynaecology 22 H.Pylori breath test 13 Hepatitis C 1 Intermediate care units 4 IV therapy 1 Care resolution home team 4 District nursing 379 HIV service 3 Dermatology ICATS 14 Minor surgery 64 UC24 1 Medicines mgmt care home service 4 Weight management service 30 Homeopathy 3 Key Coming soon
- No. of
practices
- No. of
users Live PCS 27 47 EMIS Web 18 Other 6 Acute medical unit General practices Key Southport and Ormskirk emergency department RLBUHT renal department Royal Liverpool university hospital A&E department Southport and Ormskirk ICO stroke specialist nurses Southport and Ormskirk ICO sexual health team Southport and Ormskirk ICO pharmacy team Southport and Ormskirk ICO diabetes team Renal service 1 RLBUHT heart failure Southport and Ormskirk paediatric A&E LV Children’s services 266 Community health 41 13 2 1 46 2 3 1 1 3 44 3 1 1 1 1 3 Liverpool PCT 25
73 unique services, and 195 services in total
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APPENDIX
73 unique community and extended care services are already live with EMIS Web Acquired brain injury, Anticoagulation, Asylum seekers, Child services, Clinical assessment service, Clinical effectiveness group, Community hospital, Community matrons, Continence service, Contraceptive service, COPD inc rehabilitation, Crisis resolution team, Cystic fibrosis, Dermatology, Diabetes, Diabetic retinopathy, Dieticians, District nurse service, Emergency department, A&E and UCC, Flu pandemic service, General paediatrics, Gynaecology service, H1N1 influenza at risk data collection, Health IV therapy service, Health treatment rooms service, Heart and chest hospital, Heart failure service, H-Pylori breath test, Joint injections, Learning disabilities, Long term conditions, MacMillan Nurses, Medicine management, Minor surgery, Musculoskeletal ultrasound, Nursing home, Occupational therapy service, Older people and rehab service, Ophthalmology, Out of hours, Palliative care, Physiotherapy service, Podiatry, Polyclinics, Primary care access service, Primary care psychology, Public health, Renal department, Respiratory services, Smoking cessation, Speech and language therapy, Short term interventions, Ultrasound, Urology, Vasectomy, Walk-in centre, Weight management service. 26
APPENDIX Chris Spencer
Chris Spencer joined EMIS in 1999 and, until 2013, was EMIS’s Chief Administrative Officer including roles as Group Counsel and Company
- Secretary. He has been a member of EMIS’s
senior management strategy forum since 1999. Immediately prior to joining EMIS, he was a General Manager and Head of IT for Markgraaf Patents Limited. A qualified solicitor, Chris was also, in 1985, a founder shareholder and director
- f Solicitec Limited, a software house which was
acquired by Lexis Nexis in 2006. He is an Associate of the Chartered Institute of Patent Agents, a member of the Law Society of England & Wales, a member of the Society for Computers & Law and a Fellow of the Chartered Management Institute.
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APPENDIX
(EMIS and competitor data estimated based on company records showing customers installed and ordered (by contract or letter of intent) as at 31 December 2012)
Country EMIS estate EMIS %
England 4,502 55.1% Scotland 518 51.6% Wales 168 35.3% Northern Ireland 179 51.1% UK Total 5,367 53.7%
(EMIS and competitor data estimated based on company records showing customers installed as at 31 December 2012)
Country EMIS estate EMIS %
England 4,284 52.5% Scotland 517 51.5% Wales 152 31.9% Northern Ireland 160 45.7% UK Total 5,113 51.2%
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APPENDIX
29
APPENDIX
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