RAMSAY SANTE : Half-year results at end of December 2023

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RAMSAY SANTE
RAMSAY SANTE

PRESS RELEASE

Paris, 28 February 2024

Half-year results at the end of December 2023

As a mission-driven company, Ramsay Santé continues its support for the care of all patients and all pathologies, both in France and in the Nordic countries, in complementarity with public hospitals.

Ramsay Santé has maintained the implementation of its key initiatives as part of its “Yes We Care 2025” strategy to offer integrated care to patients, by increasing its portfolio of imaging equipment, opening new primary care centres and new digital solutions.

Furthermore, in a context where inflation is under-funded by governments, Ramsay Santé continued its cost base restructuring efforts, including its portfolio of facilities.

Group revenue increased by 7.3% to €2.4bn supported by positive activity volume growth in all geographies and recent acquisitions. Revenue growth on a like-for-like basis of 9.4%.

Group EBITDA decreased by 9.0% to €284.6m, mainly impacted by lower subsidies, increased gap between tariff increases and the inflation of our costs base, and staff shortage challenges.

Group share of net loss after tax of € (17.3)m compared to the prior period net profit of €43.9m from lower operating result and increased cost of debt.

  • Ramsay Santé has maintained its actions to participate in the support of the French and Nordic countries healthcare systems and to complement public hospital capacity to cope with demand pressures. Continued commitment to better care accessibility through further development of out-of-hospital services (primary care, imaging, specialised care consultations, home care) resulting in a 5.4% increase in patient admissions in our hospital facilities.

  • France revenue has grown by 9.2% supported by a 5.1% increase in admissions volumes, higher tariffs applicable since 1st March 2023 and additional medical purchases rechargeable revenue. This is despite one business day less this semester compared to the previous one.

  • Nordic countries revenue grew by +10.5% on a like-for-like basis, with a reported revenue increasing by only by +3.4% penalised by unfavourable foreign exchange rate variances versus the prior period. The growth was mainly realised in acute care facilities in Sweden and from the contribution of two new geriatrics care contracts in Stockholm.

  • The group consolidated EBITDA decreased by 9.0% or €28.1m to €284.6m (prior period €312.7m) with a margin of 12.0% (prior period 14.2%). EBITDA margin was driven down by the adverse trend on inflation not fully covered by revenue price increases in all jurisdictions and by lower subsidies level, despite the effect from ongoing cost control and efficiency actions. The €51.6m decrease of Covid-related government subsidies and of the French revenue guarantee compared to the prior period put further strain on the viability of some French facilities as they transition to less secure post-Covid government financing regime.

  • Total interest expense increased by €34.8m or 52.4% including higher funding costs for 10.5m€ and evolution of our P&L impact from our hedge mark to market valuation. Average interest rate for our financial debt under IFRS rules for the last semester is at 4.22%. It was 3.8% as of June 2023.

  • Group share of net result after tax was a loss of €(17.3)m compared to the prior period net profit of €43.9m, impacted by lower operational margins and reflecting increased funding costs. The prior period results included a non-recurring €31.0m (€24.2m net of tax) capital gain for a property sale in the Oslo area.

  • Ramsay Santé has continued to invest in initiatives enabling its “Yes We Care 2025” strategy in addition to recurring investment on maintenance, optimisation and facilities portfolio improvement, resulting in total capital expenditure for the period of €84.7m net of proceeds from disposals, slightly below the prior period.

  • Net cash flow from operating activities of €149.2m versus €183.6m in the prior period primarily reflected the dip in EBITDA generation, working capital seasonality and French subsidies payment terms.

  • Net financial debt as at 30 June 2023 amounted to €3,869.9m, including €2,172.8m of IFRS16 lease liabilities.

  • Ramsay Santé, now a mission-driven company, publishes its first social and environmental performance indicators. They include an engagement rate of its teams across Europe of 71% and a -17% reduction in its greenhouse gases emissions, thanks in particular to a change in anaesthetic practices in its 900 operating theatres. The Mission committee report is expected for publication end of 2024.