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SN. Smith & Nephew Plc

983.40
-1.40 (-0.14%)
24 Apr 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Smith & Nephew Plc LSE:SN. London Ordinary Share GB0009223206 ORD USD0.20
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -1.40 -0.14% 983.40 983.60 984.00 991.40 982.40 989.80 2,111,695 16:35:22
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
Ortho,prosth,surg Appl,suply 5.55B 263M 0.3011 32.67 8.59B

Smith & Nephew Plc Half-year Report (2198M)

27/07/2017 7:01am

UK Regulatory


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Smith & Nephew Plc

27 July 2017

Smith & Nephew Second Quarter and First Half 2017 Results

Improved execution with revenue growth and trading profit margin on-track; full year guidance unchanged

27 July 2017

Smith & Nephew plc (LSE:SN, NYSE:SNN) results for second quarter and first half ended 1 July 2017:

 
                                  Reported                    Trading(2) 
                         --------------------------  ---------------------------- 
                          1 July   2 July  Reported  1 July   2 July   Underlying 
                            2017     2016    growth    2017     2016       growth 
                              $m       $m                $m       $m 
                         -------  -------  --------  ------  -------  ----------- 
 Second Quarter 
  Results(1) 
 Revenue                   1,194    1,191        0%   1,194    1,191           3% 
                         -------  -------  --------  ------  -------  ----------- 
 First Half Results(1) 
 Revenue                   2,336    2,328        0%   2,336    2,328           3% 
 Operating profit            414      357 
 Trading profit                                         493      483 
 Operating/trading 
  profit margin (%)         17.7     15.3              21.1     20.8 
 EPS/ EPSA (cents)          37.0     27.0              43.0     37.4 
 
 
 
      Second Quarter Highlights(1) 
        *    Q2 revenue of $1,194 million reflects 0% reported and 
             3% underlying growth. Reported growth rate includes 
             -1% FX headwind and -2% impact of 2016 disposal of 
             Gynaecology 
 
 
        *    Sustained recovery in Emerging Markets with revenue 
             up 13% in the quarter 
 
 
        *    Strong growth in Knee Implants and Advanced Wound 
             Devices 
 
 
        *    Expansion of NAVIO handheld robotics platform with 
             launch of Total Knee application 
 
 
 
       First Half Highlights(1) 
        *    H1 revenue of $2,336 million reflects 0% reported and 
             3% underlying growth. Reported growth rate includes 
             -1% FX headwind and -2% impact of 2016 disposal of 
             Gynaecology 
 
 
        *    H1 operating profit of $414 million, with operating 
             profit margin of 17.7%, an increase of 240bps 
 
 
        *    H1 trading profit of $493 million, with trading 
             profit margin of 21.1%, an increase of 30bps 
 
 
        *    Strong growth in EPS (up 37%) and EPSA (up 15%) 
             reflecting one-off tax benefit along with 
             improvements in trading profit margin and tax rate 
 
 
        *    Tax rate on trading is expected to reduce to around 
             22% in FY 2017 and around 25% thereafter 
 
 
        *    Cash generated from operating activities of $438 
             million (H1 2016: $380 million). Trading cash flow of 
             $327 million (H1 2016: $255 million) with trading 
             profit to cash conversion ratio of 66% 
 
 
        *    Interim dividend of 12.3c per share, in-line with 
             policy (2016: 12.3c) 
------------------------------------------------------------------ 
 

Olivier Bohuon, Chief Executive Officer of Smith & Nephew, said:

"I am pleased with the first half of 2017, where our focus on execution is delivering improvements in performance at the top and bottom line. In particular, we have returned the Emerging Markets to double-digit growth and driven strong returns from disruptive innovations in areas such as Knee Implants and Negative Pressure Wound Therapy.

"We are taking good momentum into the second half and I am confident that we are on-track to deliver our full year revenue and trading margin guidance, which is unchanged. We continue to expect underlying revenue growth of 3-4% and a 20-70bps improvement in trading profit margin for the full year.

"Our new products, such as the Total Knee Application on our NAVIO robotics-assisted surgery system, position us well for further progress. I am also confident that our pipeline of innovation and improved execution will underpin our medium-term ambition to consistently outgrow our markets whilst building trading profit margin."

Analyst conference call

An analyst meeting and conference call to discuss Smith & Nephew's second quarter trading and first half 2017 results for the period ended 1 July 2017 will be held today, Thursday 27 July at 9:00am BST / 4:00am EDT. This will be webcast live and available for replay shortly after. The details can be found on the Smith & Nephew website at www.smith-nephew.com/results.

Enquiries

 
 Investors 
                              +44 (0) 20 7960 
 Ingeborg Øie             2285 
 Smith & Nephew 
 
 Media 
                              +44 (0) 20 7401 
 Charles Reynolds              7646 
 Smith & Nephew 
 
                              +44 (0) 20 3727 
 Ben Atwell / Matthew Cole     1000 
 FTI Consulting 
 

Notes

1. Unless otherwise specified as 'reported' all revenue growth throughout this document is 'underlying' after adjusting for the effects of currency translation and including the comparative impact of acquisitions and excluding disposals. All percentages compare to the equivalent 2016 period.

Underlying revenue growth is used to compare the revenue in a given period to the comparative period on a like-for-like basis. Underlying revenue growth reconciles to reported revenue growth, the most directly comparable financial measure calculated in accordance with IFRS, by making adjustments for the effect of acquisitions and disposals and the impact of movements in exchange rates (currency impact), as described below.

The effect of acquisitions and disposals measures the impact on revenue from newly acquired business combinations and recent business disposals. This is calculated by comparing the current year, constant currency actual revenue (which include acquisitions and exclude disposals from the relevant date of completion) with prior year, constant currency actual revenue, adjusted to include the results of acquisitions and exclude disposals for the corresponding period in the prior year.

Currency impact measures the increase/decrease in revenue resulting from currency movements on non-US Dollar sales and is measured as the difference between: 1) the increase/decrease in current year revenue translated into US Dollars at the current year average rate and the prior year revenue translated at the prior year average rate; and 2) the increase/decrease being measured by translating current and prior year revenue into US Dollars using a constant fixed rate.

2. Certain items included in 'trading results', such as trading profit, trading profit margin, trading cash flow, EPSA and underlying growth are non-IFRS financial measures. The non-IFRS financial measures reported in this announcement are explained in Note 8 and are reconciled to the most directly comparable financial measure prepared in accordance with IFRS. Reported results represent IFRS financial measures as shown in the Condensed Consolidated Interim Financial Statements.

Smith & Nephew Second Quarter Trading and First Half 2017 Results

Second Quarter 2017 Trading Update

Our second quarter revenue was $1,194 million (2016: $1,191 million), flat on a reported basis including a foreign exchange headwind of -1% and the -2% effect of the disposal of Gynaecology in August 2016. Excluding these factors, underlying revenue growth was up 3% in the quarter, in-line with guidance.

The second quarter 2017 comprised 63 trading days, one fewer than in the same period of 2016, which typically impacts our surgical businesses more than our Advanced Wound Management businesses and the Established Markets more than the Emerging Markets.

Unless otherwise specified as 'reported' all revenue growth rates throughout this document are underlying increases/decreases after adjusting for the effects of currency translation and including the comparative impact of acquisitions and excluding disposals. All percentages compare to the equivalent 2016 period.

Second Quarter Consolidated Revenue Analysis

Smith & Nephew trading results for the second quarter ended 1 July 2017:

 
                                   1        2 
                                July     July   Reported   Underlying   Acquisitions   Currency 
 Consolidated revenue           2017     2016     growth    Growth(i)     /disposals     impact 
  by franchise                    $m       $m          %            %              %          % 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Sports Medicine, 
  Trauma & Other                 480      487         -2            3             -4         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Sports Medicine 
  Joint Repair                   152      147          4            5              -         -1 
 Arthroscopic Enabling 
  Technologies                   151      160         -6           -4              -         -2 
 Trauma & Extremities            127      119          7            7              -          - 
 Other Surgical Businesses        50       61        -19           11            -29         -1 
 
 Reconstruction                  396      391          1            2              -         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Knee Implants                   246      238          3            4              -         -1 
 Hip Implants                    150      153         -2           -1              -         -1 
 
 Advanced Wound Management       318      313          1            3              -         -2 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Advanced Wound Care             177      177          -            2              -         -2 
 Advanced Wound Bioactives        92       93         -1            -              -         -1 
 Advanced Wound Devices           49       43         12           14              -         -2 
 
 Total                         1,194    1,191          -            3             -2         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 
 Consolidated revenue 
  by geography 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 US                              582      582          -            2             -2          - 
 Other Established 
  Markets(ii)                    408      429         -5           -1              -         -4 
 Emerging Markets                204      180         13           13              -          - 
 
 Total                         1,194    1,191          -            3             -2         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 
   (i)     Underlying growth is defined in Note 1 on page 2 
   (ii)    Other Established Markets are Europe, Canada, Japan, Australia and New Zealand 

Regional performance

Revenue grew 1% in the Established Markets in the quarter, with the US, our largest market, up 2%. In Europe we continue to make progress, although headline growth was held back by the impact of the Easter holiday which fell in the first quarter last year.

Performance in the Emerging Markets was good, with revenue up 13%. China maintained the improved dynamic seen last quarter and growth across our other Emerging Markets countries remained strong.

Q2 2017 Franchise Highlights

Sports Medicine Joint Repair delivered 5% revenue growth in the quarter, with a good performance from our shoulder repair portfolio. In Arthroscopic Enabling Technologies revenue was down -4% as the softness in resection continued. The roll-out of our LENS visualisation system is proceeding at pace and the introduction of the WEREWOLF COBLATION system is accelerating. We expect growth from these new products to increasingly offset the drag from legacy resection.

Trauma & Extremities delivered strong growth, with revenue up 7% in the quarter. We continued to build good momentum behind our TRIGEN INTERTAN hip fracture system and also benefitted from a tender order in the Middle East.

Our Other Surgical Businesses franchise delivered revenue growth of 11% in the quarter. This included another strong quarter from our Ear, Nose & Throat ('ENT') business and continued strong demand for our hand-held robotics NAVIO Surgical System. During the quarter we launched the total knee arthroplasty (TKA) application on NAVIO. Total knees comprise 80% of all knee replacement surgeries globally.

Knee Implants delivered another good quarter, with revenue up 4%. Our JOURNEY II Total Knee System continued to drive growth, and new additions to the LEGION Revision Knee System started to contribute. Revenue from our Hip Implants franchise was down -1%. We expect the new REDAPT Revision System, where we launched a Monolithic Sleeved variant in the quarter, and the POLARSTEM Cementless Stem System, to contribute more to growth in the second half of 2017.

Advanced Wound Care delivered 2% revenue growth. This included strong double-digit growth in the US, led by the ALLEVYN range of foam dressings and our comprehensive pressure ulcer prevention and treatment proposition. We returned China to positive growth, as expected, but continued to see softness in Europe, as previously reported.

Advanced Wound Bioactives delivered an improved performance. Whilst SANTYL(R) returned to growth, OASIS remained a headwind, meaning overall Q2 revenue growth for the franchise was flat. We continue to expect SANTYL to drive positive revenue growth in the second half of the year.

Advanced Wound Devices delivered good revenue growth of 14% in the quarter. This was led by our disposable negative pressure wound therapy ('NPWT') device PICO , which continued to perform strongly in the quarter.

First Half 2017 Review of Strategic Priorities

We entered 2017 confident that we had the right structure and capability in place and focused on improving execution across the Group. We have a clear set of actions underway in areas such as commercial and R&D that are starting to deliver benefits to the top and bottom line. We take good momentum into the second half of 2017.

Group revenue for the first half was $2,336 million (H1 2016: $2,328 million), flat on a reported basis (after -1% FX and -2% impact of the Gynaecology disposal) and up 3% on an underlying basis. There was one fewer sales day in the first half of 2017 over 2016.

In the Established Markets we delivered 1% underlying revenue growth in the first half. Revenue in our US business grew 2%, driven by continued strong performance in areas such as Knee Implants and Advanced Wound Care and Advanced Wound Devices. Growth in our Other Established Markets was flat. In Europe we are making progress improving our execution, although the slight headwinds seen last year in some European countries continued during the first half.

In the Emerging Markets we delivered 12% revenue growth in the first half, having successfully addressed the issues seen in China last year and returned the Middle East to growth. As a matter of course, we expect to see some volatility in the Emerging Markets, as flagged previously, but this much improved performance is in-line with where we see the medium term prospects for this increasingly important segment of Smith & Nephew's business.

We are beginning to benefit from a suite of exciting new products as we deliver on our strategic priority to innovate for value. In robotics, NAVIO is a unique and compelling proposition, and we are successfully extending its indications, and taking it to new geographies, such as India. Our portfolio in Sports Medicine, Negative Pressure Wound Therapy and Reconstruction are all benefiting from new products that address the unmet needs of our customers. Our R&D organisation has been strengthened with new leadership and we have an exciting pipeline of future disruptive innovation nearing commercialisation.

We continue to simplify and improve our operating model. Our new sales force excellence and global pricing teams, established at the start of the year, are fully resourced and working to enhance our commercial execution. We continue to believe that there are further opportunities to drive performance and increase efficiency across the Group, including in the commercial organisation, R&D, operations, supply chain and inventory management.

Whilst our focus in the first half of 2017 has been on improving our execution across our existing business, we have made a number of strategic agreements that give us access to new technologies. These include Leaf Healthcare, a developer of a unique wireless patient monitoring system for pressure ulcer/injury prevention and MolecuLight i:X(TM) , a handheld point-of-care imaging device that uses fluorescence imaging to display potentially harmful concentrations of bacteria in wounds in real-time. In recent years we have undertaken a number of successful acquisitions and we continue to seek further opportunities to strengthen our technology and product portfolio and Emerging Markets business.

First Half 2017 Consolidated Analysis

Smith & Nephew results for the first half ended 1 July 2017:

 
                                        Half    Half 
                                        year    year 
                                        2017    2016   Growth 
                                          $m      $m        % 
------------------------------------  ------  ------  ------- 
 Revenue                               2,336   2,328        0 
                                      ------  ------ 
 Operating profit                        414     357       16 
 Acquisition and disposal related 
  items                                    2       6 
 Restructuring and rationalisation 
  costs                                    -      35 
 Amortisation and impairment of 
  acquisition intangibles                 65      67 
 Legal and other                          12      18 
 Trading profit (non-IFRS)               493     483        2 
                                      ------  ------ 
                                           c       c 
 Earnings per share "EPS"               37.0    27.0       37 
 Acquisition and disposal related 
  items                                  0.2     0.6 
 Restructuring and rationalisation 
  costs                                    -     3.2 
 Amortisation and impairment of 
  acquisition intangibles                4.7     5.1 
 Legal and other                         1.1     1.5 
 Adjusted Earnings per share "EPSA"     43.0    37.4       15 
                                      ------  ------ 
 
 

First Half 2017 Analysis

Reported operating profit of $414 million (H1 2016: $357 million) is after integration and acquisition costs, as well as restructuring and rationalisation costs, amortisation of acquisition intangibles and legal and other items incurred in the first half (see Note 8 to the Interim Financial Statements).

Trading profit was $493 million in the first half (H1 2016: $483 million), and the trading profit margin was 21.1% (H1 2016: 20.8%), up 30bps, in-line with guidance.

The net interest charge within reported results was $25 million (H1 2016: $24 million).

The tax rate on reported results for the 2017 half year was 15.4% compared to 26.3% for the 2016 half year reflecting the lower tax rate on trading results (see Note 8 for a reconciliation between tax rate on trading and reported results). The tax rate on trading results for the 2017 first half was 19.0% compared to 26.3% for the first half of 2016, with the reduction mainly due to a one-off benefit following the conclusion of a US tax audit.

Basic earnings per share ('EPS') was up 37% at 37.0c (74.0c per ADS) (H1 2016: 27.0c). Adjusted earnings per share ('EPSA') was up 15% at 43.0c (86.0c per ADS) (H1 2016: 37.4c) primarily reflecting the one-off tax benefit, along with improvements in trading profit margin and tax rate on trading.

Cash generated from operations was $438 million in the first half (H1 2016: $380 million), reflecting the higher profit-before-tax in the period. Trading cash flow was $327 million (H1 2016: $255 million) (see Note 8 for a reconciliation between cash generated from operating activities and trading cash flow). The trading profit to cash conversion ratio was 66% (H1 2016: 53%).

Interim Dividend

Consistent with previous periods, the interim dividend is set by a formula and is equivalent to 40% of the total dividend for the previous year. The interim dividend for the first half of 2017 is therefore 12.3c per share (24.6c per ADS), in-line with last year. This equates to 9.5 pence per share at prevailing exchange rates as of 21 July 2017. The interim dividend will be paid on 1 November 2017 to shareholders on the register at the close of business on 6 October 2017.

Outlook

Smith & Nephew is on-track to deliver on its full year revenue and trading margin guidance, which is unchanged. We continue to expect underlying revenue growth in the 3-4% range and a 20-70bps improvement in trading profit margin in 2017. On a reported basis, we expect 2017 revenue growth to be in the range of 2.5-3.5% based on prevailing exchange rates at 21 July 2017 and taking into account the 80bps headwind from the loss of revenues from the disposal of the Gynaecology business.

We expect the 2017 tax rate on trading results for the full year to be around 22%. As a result of our progress improving our tax rate, and excluding the one-off benefit seen in H1 2017, we expect a tax rate on trading results of around 25% to be sustainable, barring any changes to tax legislation or other one-off items.

Looking further ahead, we are confident that our pipeline of innovation and improved execution will underpin our medium-term ambition to consistently outgrow our markets whilst building trading profit margin.

Forward calendar

The Q3 Trading Report will be released on 3 November 2017.

About Smith & Nephew

Smith & Nephew is a global medical technology business dedicated to supporting healthcare professionals in their daily efforts to improve the lives of their patients. With leadership positions in Orthopaedic Reconstruction, Advanced Wound Management, Sports Medicine and Trauma & Extremities, Smith & Nephew has more than 15,000 employees and a presence in more than 100 countries. Annual sales in 2016 were almost $4.7 billion. Smith & Nephew is a member of the FTSE100 (LSE:SN, NYSE:SNN).

For more information about Smith & Nephew, please visit our corporate website www.smith-nephew.com, follow @SmithNephewplc on Twitter or visit SmithNephewplc on Facebook.com.

Forward-looking Statements

This document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading margins, market trends and our product pipeline are forward-looking statements. Phrases such as "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith & Nephew, these factors include: economic and financial conditions in the markets we serve, especially those affecting health care providers, payers and customers; price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers; competition for qualified personnel; strategic actions, including acquisitions and dispositions, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith & Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith & Nephew's most recent annual report on Form 20-F, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith & Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith & Nephew are qualified by this caution. Smith & Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith & Nephew's expectations.

Trademark of Smith & Nephew. Certain marks registered US Patent and Trademark Office.

First Half Consolidated Revenue Analysis

 
                                   1        2 
                                July     July   Reported   Underlying   Acquisitions   Currency 
 Consolidated revenue           2017     2016     growth    Growth(i)     /disposals     impact 
  by franchise                    $m       $m          %            %              %          % 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Sports Medicine, 
  Trauma & Other                 946      955         -1            3             -3         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Sports Medicine 
  Joint Repair                   303      288          5            6              -         -1 
 Arthroscopic Enabling 
  Technologies                   304      316         -4           -3              -         -1 
 Trauma & Extremities            246      233          6            6              -          - 
 Other Surgical Businesses        93      118        -21            9            -29         -1 
 
 Reconstruction                  792      778          2            3              -         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Knee Implants                   490      472          4            5              -         -1 
 Hip Implants                    302      306         -1            -              -         -1 
 
 Advanced Wound Management       598      595          -            2              -         -2 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 Advanced Wound Care             347      348          -            2              -         -2 
 Advanced Wound Bioactives       158      165         -4           -4              -          - 
 Advanced Wound Devices           93       82         13           15              -         -2 
 
 Total                         2,336    2,328          -            3             -2         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 
 Consolidated revenue 
  by geography 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 US                            1,137    1,145         -1            2             -3          - 
 Other Established 
  Markets(ii)                    822      850         -3            -              -         -3 
 Emerging Markets                377      333         13           12              -          1 
 
 Total                         2,336    2,328          -            3             -2         -1 
---------------------------  -------  -------  ---------  -----------  -------------  --------- 
 
   (i)     Underlying growth is defined in Note 1 on page 2 
   (ii)    Other Established Markets are Europe, Canada, Japan, Australia and New Zealand 

2017 HALF YEAR CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS

Unaudited Group Income Statement for the half year to 1 July 2017

 
                                        Half year   Half year 
                                Notes        2017        2016 
                                               $m          $m 
--------------------------    -------  ----------  ---------- 
 
 Revenue                            2       2,336       2,328 
 Cost of goods sold                         (603)       (632) 
 
 Gross profit                               1,733       1,696 
 Selling, general and 
  administrative expenses                 (1,212)     (1,226) 
 Research and development 
  expenses                                  (107)       (113) 
----------------------------  -------  ----------  ---------- 
 
 Operating profit                   8         414         357 
 Interest income                                3           2 
 Interest expense                            (28)        (26) 
 Other finance costs                          (6)         (6) 
 Share of result from                           -           - 
  associates 
--------------------------    -------  ----------  ---------- 
 
 Profit before taxation                       383         327 
 Taxation                           3        (59)        (86) 
 
 Attributable profit(A)                       324         241 
----------------------------  -------  ----------  ---------- 
 
 Earnings per share(A) 
 Basic                              8       37.0c       27.0c 
 Diluted                                    37.0c       26.9c 
----------------------------  -------  ----------  ---------- 
 
 

Unaudited Group Statement of Comprehensive Income for the half year to 1 July 2017

 
                                           Half year   Half year 
                                                2017        2016 
                                                  $m          $m 
--------------------------------------    ----------  ---------- 
 
 Attributable profit(A)                          324         241 
 Other comprehensive income 
 Items that will not be reclassified 
  to income statement 
  Remeasurement of net retirement 
   benefit obligations                            11        (62) 
  Taxation on other comprehensive 
   income                                          3          19 
 
 Total items that will not 
  be reclassified to income 
  statement                                       14        (43) 
----------------------------------------  ----------  ---------- 
 
 Items that may be reclassified 
  subsequently to income statement 
  Exchange differences on 
   translation of foreign operations             114         (2) 
  Fair value remeasurement 
   of available for sale asset                   (9)           - 
  Net losses on cash flow 
   hedges                                       (23)        (22) 
 
 Total items that may be reclassified 
  subsequently to income statement                82        (24) 
 
 Other comprehensive income/(loss) 
  for the period, net of taxation                 96        (67) 
 
 
 Total comprehensive income 
  for the period(A)                              420         174 
----------------------------------------  ----------  ---------- 
 
 
     Attributable to the equity holders of the parent 
 A    and wholly derived from continuing operations. 
 

Unaudited Group Balance Sheet as at 1 July 2017

 
                                   Notes   1 July   31 Dec   2 July 
                                             2017     2016     2016 
                                               $m       $m       $m 
 
 ASSETS 
 Non-current assets 
 Property, plant and equipment              1,032      982      946 
 Goodwill                                   2,227    2,188    2,227 
 Intangible assets                          1,360    1,411    1,535 
 Investments                                   23       25       13 
 Investment in associates                     112      112      114 
 Retirement benefit assets                      -        -        5 
 Deferred tax assets                          106       97      110 
 
                                            4,860    4,815    4,950 
--------------------------------  ------  -------  -------  ------- 
 
 Current assets 
 Inventories                                1,298    1,244    1,291 
 Trade and other receivables                1,212    1,185    1,166 
 Cash at bank                          6       69      100       85 
--------------------------------  ------  -------  -------  ------- 
 
                                            2,579    2,529    2,542 
 
 Assets held for sale                 10        -        -       10 
 
 
 TOTAL ASSETS                               7,439    7,344    7,502 
--------------------------------  ------  -------  -------  ------- 
 
 EQUITY AND LIABILITIES 
 Equity attributable to equity 
  holders of the parent 
 Share capital                                178      180      182 
 Share premium                                603      600      595 
 Capital redemption reserve                    17       15       13 
 Treasury shares                            (260)    (432)    (283) 
 Other reserves                             (293)    (375)    (280) 
 Retained earnings                          3,956    3,970    3,717 
--------------------------------  ------  -------  -------  ------- 
 
 Total equity                               4,201    3,958    3,944 
--------------------------------  ------  -------  -------  ------- 
 
 Non-current liabilities 
 Long-term borrowings                  6    1,604    1,564    1,708 
 Retirement benefit obligations       7b      153      164      230 
 Other payables                                64       82       94 
 Provisions                                   121      134      143 
 Deferred tax liabilities                     111       94       38 
--------------------------------  ------  -------  -------  ------- 
 
                                            2,053    2,038    2,213 
--------------------------------  ------  -------  -------  ------- 
 
 Current liabilities 
 Bank overdrafts and loans             6       64       86       71 
 Trade and other payables                     792      884      842 
 Provisions                                   115      147      155 
 Current tax payable                          214      231      277 
--------------------------------  ------  -------  -------  ------- 
 
                                            1,185    1,348    1,345 
 
 Total liabilities                          3,238    3,386    3,558 
--------------------------------  ------  -------  -------  ------- 
 
 TOTAL EQUITY AND LIABILITIES               7,439    7,344    7,502 
--------------------------------  ------  -------  -------  ------- 
 

Unaudited Condensed Group Cash Flow Statement for the half year to 1 July 2017

 
                                         Half    Half 
                                         year    year 
                                         2017    2016 
                                           $m      $m 
----------------------------------     ------  ------ 
 
 Cash flows from operating 
  activities 
 Profit before taxation                   383     327 
 Net interest payable                      25      24 
 Depreciation, amortisation 
  and impairment                          219     214 
 Share-based payments expense              15      14 
 Net post-retirement obligations 
  movements                               (8)    (11) 
 Movement in working capital 
  and provisions                        (196)   (188) 
-------------------------------------  ------  ------ 
 
 Cash generated from operating 
  activities                              438     380 
 Net interest and finance 
  costs paid                             (25)    (24) 
 Income taxes paid                       (62)    (87) 
-------------------------------------  ------  ------ 
 
 Net cash inflow from operating 
  activities                              351     269 
-------------------------------------  ------  ------ 
 
 Cash flows from investing 
  activities 
 Acquisitions, net of cash 
  acquired                               (32)   (214) 
 Capital expenditure                    (178)   (174) 
 Purchase of investments                  (7)       - 
----------------------------------     ------  ------ 
 
 Net cash used in investing 
  activities                            (217)   (388) 
-------------------------------------  ------  ------ 
 
 Net cash inflow/(outflow) before 
  financing activities                    134   (119) 
-----------------------------------    ------  ------ 
 
 Cash flows from financing 
  activities 
 Proceeds from issue of ordinary 
  share capital                             3       5 
 Proceeds from own shares                   1       1 
 Purchase of own shares                  (35)    (47) 
 Equity dividends paid                  (162)   (170) 
 Cash movements in borrowings              53     276 
 Settlement of currency swaps              10       4 
-------------------------------------  ------  ------ 
 
 Net cash (used in)/from 
  financing activities                  (130)      69 
-------------------------------------  ------  ------ 
 
 Net increase/(decrease) in 
  cash and cash equivalents                 4    (50) 
 Cash and cash equivalents 
  at beginning of period                   38     102 
 Exchange adjustments                       2       1 
-------------------------------------  ------  ------ 
 
 Cash and cash equivalents 
  at end of period(B)                      44      53 
-------------------------------------  ------  ------ 
 
 
 B   Cash and cash equivalents at the end of the period 
      are net of overdrafts of $25 million (2 July 2016: 
      $32 million). 
 

Unaudited Group Statement of Changes in Equity for the half year to 1 July 2017

 
                                                    Capital 
                              Share     Share    redemption   Treasury      Other   Retained    Total 
                            capital   premium       reserve     shares   reserves   earnings   equity 
                                 $m        $m            $m         $m         $m         $m       $m 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
 At 1 January 2017              180       600            15      (432)      (375)      3,970    3,958 
 Attributable profit(A)           -         -             -          -          -        324      324 
 Other comprehensive 
  income(A)                       -         -             -          -         82         14       96 
 Purchase of own 
  shares(C)                       -         -             -       (35)          -          -     (35) 
 Equity dividends 
  paid                            -         -             -          -          -      (162)    (162) 
 Share-based payments 
  recognised                      -         -             -          -          -         15       15 
 Taxation on share-based 
  payments                        -         -             -          -          -          1        1 
 Cost of shares 
  transferred to 
  beneficiaries                   -         -             -         11          -       (10)        1 
 Cancellation of 
  treasury shares(C)            (2)         -             2        196          -      (196)        - 
 Issue of ordinary 
  share capital                   -         3             -          -          -          -        3 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
 At 1 July 2017                 178       603            17      (260)      (293)      3,956    4,201 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
                                                    Capital 
                              Share     Share    redemption   Treasury      Other   Retained    Total 
                            capital   premium       reserve     shares   reserves   earnings   equity 
                                 $m        $m            $m         $m         $m         $m       $m 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
 At 1 January 2016              183       590            12      (294)      (256)      3,731    3,966 
 Attributable profit(A)           -         -             -          -          -        241      241 
 Other comprehensive 
  income(A)                       -         -             -          -       (24)       (43)     (67) 
 Purchase of own 
  shares(C)                       -         -             -       (47)          -          -     (47) 
 Equity dividends 
  paid                            -         -             -          -          -      (170)    (170) 
 Share-based payments 
  recognised                      -         -             -          -          -         14       14 
 Taxation on share-based 
  payments                        -         -             -          -          -          1        1 
 Cost of shares 
  transferred to 
  beneficiaries                   -         -             -         18          -       (17)        1 
 Cancellation of 
  treasury shares(C)            (1)         -             1         40          -       (40)        - 
 Issue of ordinary 
  share capital                   -         5             -          -          -          -        5 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
 At 2 July 2016                 182       595            13      (283)      (280)      3,717    3,944 
-------------------------  --------  --------  ------------  ---------  ---------  ---------  ------- 
 
 
 A   Attributable to the equity holders of the parent 
      and wholly derived from continuing operations. 
 
 
 C   Shares issued in connection with the Group's share 
      incentive plans are bought back on a quarterly 
      basis. During the half year ended 1 July 2017, 
      a total of 2.2 million ordinary shares were purchased 
      at a cost of $35 million and 13.2 million ordinary 
      shares were cancelled (2016: 2.9 million ordinary 
      shares were purchased at a cost of $47 million 
      and 2.9 million ordinary shares were cancelled). 
 

Notes to the Condensed Consolidated Interim Financial Statements

 
 1.   Basis of preparation and accounting policies 
      Smith & Nephew plc (the 'Company') is a public 
       limited company incorporated in England and Wales. 
       In these condensed consolidated interim financial 
       statements ('Interim Financial Statements'), 'Group' 
       means the Company and all its subsidiaries. These 
       Interim Financial Statements have been prepared 
       in conformity with IAS 34 Interim Financial Reporting. 
       The financial information herein has been prepared 
       on the basis of the accounting policies set out 
       in the annual accounts of the Group for the year 
       ended 31 December 2016. The Group prepares its 
       annual accounts on the basis of International Financial 
       Reporting Standards ('IFRS') as adopted by the 
       European Union ('EU') and in accordance with the 
       provisions of the Companies Act 2006. IFRS as adopted 
       by the EU differs in certain respects from IFRS 
       as issued by the International Accounting Standards 
       Board. However, the differences have no impact 
       for the periods presented. Under IFRS, the Directors 
       are required to adopt those accounting policies 
       most appropriate to the Group's circumstances for 
       the purpose of presenting fairly the Group's financial 
       position, financial performance and cash flows. 
       In determining and applying accounting policies, 
       judgement is often required in respect of items 
       where the choice of specific policy, accounting 
       estimate or assumption to be followed could materially 
       affect the reported results or net asset position 
       of the Group; it may later be determined that a 
       different choice would have been more appropriate. 
       The Group's significant accounting policies which 
       require the most use of management's judgement 
       are: valuation of inventories; impairment; liability 
       provisioning; taxation and business combinations. 
       There has been no change in the methodology of 
       applying management judgement to these policies 
       since the year ended 31 December 2016. A number 
       of new accounting standards, amendments to standards 
       and interpretations will become effective in 2018 
       and 2019. The impact of IFRS 16 Leases (effective 
       1 January 2019) is expected to increase tangible 
       fixed assets and finance lease liabilities as disclosed 
       in the 2016 Annual Report, whilst IFRS 15 Revenue 
       from contracts with customers (effective 1 January 
       2018) and IFRS 9 Financial Instruments (effective 
       1 January 2018) are not expected to have a material 
       effect on the consolidated accounts of the Group. 
 
      The Group has adequate financial resources and 
       its customers and suppliers are diversified across 
       different geographic areas. The Directors believe 
       that the Group is well placed to manage its business 
       risk appropriately. The Directors have a reasonable 
       expectation that the Group has sufficient resources 
       to continue in operational existence for the foreseeable 
       future. Thus they continue to adopt the going concern 
       basis for accounting in preparing these Interim 
       Financial Statements. 
 
       The principal risks and uncertainties that the 
       Group is exposed to are consistent with those as 
       at 31 December 2016. These continue to be: pricing 
       and reimbursement; product innovation, design and 
       development; operational risks - quality and business 
       continuity; mergers and acquisitions; legal, regulatory 
       and compliance risks; cyber security; political 
       and economic forces; and talent management. Further 
       detail on these risks can be found in the Annual 
       Report 2016 of the Group on pages 43-46. The Group 
       is monitoring developments driven by the triggering 
       of Article 50 by the UK government in March 2017. 
       We will monitor the outcome of negotiations with 
       the EU, the withdrawal process and timeframe, and 
       the period for which EU laws for member states 
       will continue to apply to the UK. Further, the 
       new US administration has signalled broad policy 
       changes, including changes to trade and tax policies, 
       which we continue to monitor and assess as their 
       nature and extent is clarified. 
 
      The financial information contained in this document 
       does not constitute statutory accounts as defined 
       in sections 434 and 435 of the Companies Act 2006. 
       The auditors issued an unqualified opinion that 
       did not contain a statement under section 498 of 
       the Companies Act 2006 on the Group's statutory 
       financial statements for the year ended 31 December 
       2016. The Group's statutory financial statements 
       for the year ended 31 December 2016 have been delivered 
       to the Registrar of Companies. 
 
 
 2.    Business segment information 
       The Group is engaged in a single business activity, 
        being the development, manufacture and sales of 
        medical technology products and services. 
 
        Development, manufacturing, supply chain and central 
        functions are managed globally for the Group as 
        a whole. Sales are managed through two geographical 
        selling regions, with a president for each who 
        is responsible for the commercial review of that 
        region. The Executive Committee ('ExCo'), comprises 
        geographical presidents and certain heads of function 
        and is chaired by the Chief Executive Officer ('CEO'). 
        ExCo is the body through which the CEO uses the 
        authority delegated to him by the Board of Directors 
        to manage the operations and performance of the 
        Group. All significant operating decisions regarding 
        the allocation and prioritisation of the Group's 
        resources and assessment of the Group's performance 
        are made by ExCo, and whilst the members have individual 
        responsibility for the implementation of decisions 
        within their respective areas, it is at the ExCo 
        level that these decisions are made. Accordingly, 
        ExCo is considered to be the Group's chief operating 
        decision maker as defined by IFRS 8 Operating Segments. 
 
        In making decisions about the prioritisation and 
        allocation of the Group's resources, ExCo reviews 
        financial information on an integrated basis for 
        the Group as a whole and determines the best allocation 
        of resources to Group-wide projects. This information 
        is prepared substantially on the same basis as 
        the Group's IFRS financial statements aside from 
        the adjustments described in Note 8. In assessing 
        performance, ExCo also considers financial information 
        presented on a geographical selling region and 
        product franchise basis for revenue. Financial 
        information for corporate and functional costs 
        is presented on a Group-wide basis. 
 
        The results of the single segment are shown below. 
 2a.   ExCo evaluates the performance of the single operating 
        segment by considering its trading profit, which 
        is reconciled to the statutory measure for the 
        Group below: 
 
 
                                            Half      Half 
                                            year      year 
                                            2017      2016 
                                              $m        $m 
 
  Revenue                                  2,336     2,328 
 -------------------------------------  --------  -------- 
 
  Cost of goods sold                       (603)     (632) 
  Selling, general and administration 
   expenses(D)                           (1,133)   (1,100) 
  Research and development expenses        (107)     (113) 
 
  Trading profit(D)                          493       483 
 -------------------------------------  --------  -------- 
 
  Non-trading items(D)                      (79)     (126) 
 -------------------------------------  --------  -------- 
  Operating profit                           414       357 
 -------------------------------------  --------  -------- 
 
 
   D   The above financial measures are not prepared 
        in accordance with IFRS. The reconciliation 
        to the most directly comparable financial measures 
        calculated in accordance with IFRS is presented 
        in Note 8. 
 
 
                    Underlying   Acquisitions   Currency   Reported 
                        growth    & disposals     impact     growth 
                             %              %          %          % 
 ----------------  -----------  -------------  ---------  --------- 
 
  Half Year 
  Revenue growth            3%           (2)%       (1)%         0% 
 ----------------  -----------  -------------  ---------  --------- 
 
 
 
   Further description of why ExCo focuses on the 
    underlying revenue growth and trading measures, 
    and how this reconciles to operating profit, is 
    detailed in Note 8. 
 
 
 2b.    The following table shows Group revenue by product 
         franchise: 
                                                    Half    Half 
                                                    year    year 
                                                    2017    2016 
                                                      $m      $m 
 
         Sports Medicine, Trauma & Other             946     955 
        ---------------------------------------  -------  ------ 
 
         Sports Medicine Joint Repair                303     288 
         Arthroscopic Enabling Technologies          304     316 
         Trauma & Extremities                        246     233 
         Other Surgical Businesses                    93     118 
 
         Reconstruction                              792     778 
        ---------------------------------------  -------  ------ 
         Knee Implants                               490     472 
         Hip Implants                                302     306 
 
         Advanced Wound Management                   598     595 
        ---------------------------------------  -------  ------ 
         Advanced Wound Care                         347     348 
         Advanced Wound Bioactives                   158     165 
         Advanced Wound Devices                       93      82 
        ---------------------------------------  -------  ------ 
 
         Total                                     2,336   2,328 
        ---------------------------------------  -------  ------ 
 
 
 
 2c.   The following table shows Group revenue by geographic area, including 
        material countries. Sales are attributed to the country of destination. 
        No individual customer comprises more than 10% of the Group's external 
        sales. 
 
 
                                  Half year   Half year 
                                       2017        2016 
                                         $m          $m 
 
  Revenue by geographic market 
 ------------------------------  ----------  ---------- 
 
  US                                  1,137       1,145 
  Other Established Markets(E)          822         850 
  Emerging Markets                      377         333 
 
  Total                               2,336       2,328 
 ------------------------------  ----------  ---------- 
 
 
   E   Other Established Markets comprises Australia, 
        Canada, Europe, Japan and New Zealand. UK revenue 
        for the half year was $109 million (2016: $138 
        million). 
 
 
 3.   Taxation 
      The reported tax rate for the 2017 half year was 
       15.4% (2016: 26.3%). The tax rate on trading results 
       for the 2017 half year was 19.0% (2016: 26.3%) 
       with the reduction mainly due to a one-off benefit 
       following the conclusion of a US tax audit. Details 
       of the reconciliation between trading results and 
       reported results are set out in Note 8. 
 
 
 4.   Dividends 
      The 2016 final dividend totalling $162 million 
       was paid on 10 May 2017. The interim dividend of 
       2017 of 12.3 US cents per ordinary share was declared 
       by the Board on 26 July 2017. This dividend is 
       payable on 1 November 2017 to shareholders whose 
       names appear on the register at the close of business 
       on 6 October 2017. The sterling equivalent per 
       ordinary share will be set following the record 
       date. Shareholders may elect to receive their dividend 
       in either Sterling or US Dollars and the last day 
       for election will be 16 October 2017. Shareholders 
       may participate in the dividend re-investment plan 
       and elections must be made by 16 October 2017. 
 
 
 5.   Acquisitions 
 
        Half year ended 1 July 2017 
        The Group made no acquisitions deemed to be business 
        combinations within the scope of IFRS 3 in the 
        half year ended 1 July 2017. The cash outflow of 
        $32 million relates to acquisitions completed in 
        prior periods. 
 
        Half year ended 2 July 2016 
        During the half year ended 2 July 2016 the Group 
        acquired two medical technology businesses deemed 
        to be business combinations within the scope of 
        IFRS 3. 
 
        On 4 January 2016, the Group completed the acquisition 
        of 100% of the share capital of Blue Belt Holdings 
        Inc, a business specialising in robotic technologies. 
        The fair value of consideration was $265 million 
        and included $51 million deferred consideration. 
        The fair values of assets acquired were:                                                 2016 
                                                           $m 
        ----------------------------------------------  ----- 
         Identifiable assets acquired and liabilities 
          assumed 
         Intangible assets                                 70 
         Property, plant & equipment and inventory         13 
         Other net current liabilities                   (11) 
         Provisions                                      (10) 
         Net deferred tax assets                           16 
        ----------------------------------------------  ----- 
         Net assets                                        78 
         Goodwill                                         184 
        ----------------------------------------------  ----- 
         Consideration (net of $3m cash acquired)         262 
        ----------------------------------------------  ----- 
 
 
        The goodwill is attributable to the revenue synergies 
        of providing a full robotic surgery offering and 
        future applications of the technological expertise. 
        The goodwill is not expected to be deductible for 
        tax purposes. 
 
        On 8 January 2016 the Group completed the acquisition 
        of all product and intellectual property assets 
        related to BST-CarGel, a first-line cartilage repair 
        product from Piramal Healthcare (Canada) Limited. 
        The fair value of the consideration was $42 million 
        and included $37 million of deferred and contingent 
        consideration. The fair values of net assets acquired 
        was product intangible assets of $15 million, inventory 
        of $1 million, and a deferred tax liability of 
        $1 million. The goodwill, which is expected to 
        be deductible for tax purposes, arising on the 
        acquisition is $27 million. It is attributable 
        to the future penetration into new markets expected 
        from the transaction. 
 
        During the half year ended 2 July 2016, the contribution 
        to revenue and attributable profit from these acquisitions 
        was immaterial. If the acquisitions had occurred 
        at the beginning of the year, their contribution 
        to revenue and attributable profit would have also 
        been immaterial. 
 
 
 6.    Net debt 
       Net debt as at 1 July 2017 
        comprises: 
                                                       1 July    31 Dec    2 July 
                                                         2017      2016      2016 
                                                           $m        $m        $m 
      ---------------------------------------------  --------  --------  -------- 
 
  Cash at bank                                             69       100        85 
  Long-term borrowings                                (1,604)   (1,564)   (1,708) 
  Bank overdrafts and loans 
   due within one year                                   (64)      (86)      (71) 
  Net currency swap assets/(liabilities)                    2         1       (7) 
  Net interest rate swap (liabilities)/assets               -       (1)         6 
 --------------------------------------------------  --------  --------  -------- 
 
                                                      (1,597)   (1,550)   (1,695) 
 --------------------------------------------------  --------  --------  -------- 
 
       The movements in the period 
        were as follows: 
  Opening net debt as at 1 January                    (1,550)   (1,361)   (1,361) 
  Cash flow before financing 
   activities                                             134       466     (119) 
  Proceeds from issue of ordinary 
   share capital                                            3        10         5 
  Proceeds from own shares                                  1         6         1 
  Purchase of own shares                                 (35)     (368)      (47) 
  Equity dividends paid                                 (162)     (279)     (170) 
  Exchange adjustments                                     12      (24)       (4) 
 
                                                      (1,597)   (1,550)   (1,695) 
 --------------------------------------------------  --------  --------  -------- 
 
 
 7a.   Financial instruments 
       The following table shows the carrying amounts 
        and fair values of financial assets and financial 
        liabilities, including their levels in the fair 
        value hierarchy. 
 
 
                                           Carrying 
                                            amount                 Fair value 
                                       ---------------  -------  -------------- 
                                           31                       31 
                               1 July     Dec   2 July   1 July    Dec   2 July      Fair 
                                 2017    2016     2016     2017   2016     2016     value 
                                   $m      $m       $m       $m     $m       $m     level 
 ---------------------------  -------  ------  -------  -------  -----  -------  -------- 
  Financial assets 
   at fair value 
  Forward foreign                                                                   Level 
   exchange contacts               16      45       33       16     45       33         2 
                                                                                    Level 
  Investments                      23      25       13       23     25       13         3 
                                                                                    Level 
  Currency swaps                    2       3        -        2      3        -         2 
                                                                                    Level 
  Interest rate swaps               -       -        6        -      -        6         2 
                                                        -------  -----  ------- 
 
                                   41      73       52       41     73       52 
 ---------------------------  -------  ------  -------  -------  -----  ------- 
 
  Financial assets not 
   measured at fair value 
  Trade and other 
   receivables                  1,112   1,064    1,045 
  Cash at bank                     69     100       85 
 ---------------------------  -------  ------  ------- 
 
                                1,181   1,164    1,130 
 ---------------------------  -------  ------  ------- 
 
  Total financial 
   assets                       1,222   1,237    1,182 
 ---------------------------  -------  ------  ------- 
 
  Financial liabilities 
   at fair value 
                                                                                    Level 
  Acquisition consideration        94     120      116       94    120      116         3 
  Forward foreign                                                                   Level 
   exchange contracts              31      36       57       31     36       57         2 
                                                                                    Level 
  Currency swaps                    -       2        7        -      2        7         2 
                                                                                    Level 
  Interest rate swaps               -       1        -        -      1        -       2 
  Private placement                                                                 Level 
   debt                           200     199      206      200    199      206         2 
                                                        -------  -----  ------- 
 
                                  325     358      386      325    358      386 
 ---------------------------  -------  ------  -------  -------  -----  ------- 
 
  Financial liabilities not 
   measured at fair value 
  Bank overdrafts                  25      62       32 
  Bank loans                      511     457      606 
  Private placement                                                                 Level 
   debt                           925     925      926      941    949      990       2 
  Finance lease liabilities         7       7        9 
  Trade and other 
   payables                       731     807      756 
 ---------------------------  -------  ------  ------- 
 
                                2,199   2,258    2,329 
 ---------------------------  -------  ------  ------- 
 
  Total financial 
   liabilities                  2,524   2,616    2,715 
 ---------------------------  -------  ------  ------- 
 
    There were no transfers between Levels 1, 2 and 3 
    during the half year ended 1 July 2017 and the year 
    ended 31 December 2016. With the exception of private 
    placement debt as presented above, the carrying amount 
    of financial assets and liabilities not measured at 
    fair value is considered to be a reasonable approximation 
    of fair value. For cash and cash equivalents, short-term 
    loans and receivables, overdrafts and other short-term 
    liabilities which have a maturity of less than three 
    months, the book values approximate the fair values 
    because of their short term nature. The fair values 
    of long-term borrowings, which are not traded publicly, 
    are estimated by discounting future contractual cashflows 
    to net present values at the current market interest 
    rates available to the Group for similar financial 
    instruments. The fair value of currency swaps is determined 
    by reference to quoted market spot rates. As a result, 
    foreign forward exchange contracts and currency swaps 
    are classified as Level 2 within the fair value hierarchy. 
 
    The fair value of acquisition consideration is estimated 
    using a discounted cash flow model. The valuation 
    model considers the present value of risk adjusted 
    expected payments, discounted using a risk-free discount 
    rate. The expected payment is determined by considering 
    the possible scenarios, which relate to the achievement 
    of established milestones and targets, the amount 
    to be paid under each scenario and the probability 
    of each scenario. As a result, acquisition consideration 
    is classified as Level 3 within the fair value hierarchy. 
    During the half year ended 1 July 2017, acquisition 
    consideration reduced primarily due to payments of 
    $28 million made in the period. The fair value of 
    investments is based upon third party pricing models 
    for share issues. As a result, investments are considered 
    Level 3 in the fair value hierarchy. During the half 
    year ended 1 July 2017, there were additions to investments 
    of $7 million and a fair value loss of $9 million 
    recognised in Other Comprehensive Income. 
 
 
 
  7b.                    Retirement benefit obligations 
                         The discount rates applied to the future pension 
                          liabilities of the UK and US pension plans are based 
                          on the yield on bonds that have a credit rating of 
                          AA denominated in the currency in which the benefits 
                          are expected to be paid with a maturity profile approximately 
                          the same as the obligations. These have decreased 
                          since 31 December 2016 by 10bps to 2.5% and 30bps 
                          to 3.7% respectively. This was more than offset by 
                          a decrease in inflation rates and favourable asset 
                          performances, led to a remeasurement gain of $11 
                          million recognised in Other Comprehensive Income. 
  8.                     Definitions of and reconciliation to measures included 
                          within adjusted "trading" results 
                          These Interim Financial Statements include financial 
                          measures that are not prepared in accordance with 
                          IFRS. These measures, which include trading profit, 
                          trading profit margin, EPSA, trading cash flow and 
                          underlying growth, exclude the effect of certain 
                          cash and non-cash items that Group management believes 
                          are not related to the underlying performance of 
                          the Group. These non-IFRS financial measures are 
                          also used by management to make operating decisions 
                          because they facilitate internal comparisons of performance 
                          to historical results. 
 
                          Non-IFRS financial measures are presented in these 
                          Interim Financial Statements as the Group's management 
                          believe that they provide investors with a means 
                          of evaluating performance of the business segment 
                          and the consolidated Group on a consistent basis, 
                          similar to the way in which the Group's management 
                          evaluates performance, that is not otherwise apparent 
                          on an IFRS basis, given that certain non-recurring, 
                          infrequent or non-cash items that management does 
                          not otherwise believe are indicative of the underlying 
                          performance of the consolidated Group may not be 
                          excluded when preparing financial measures under 
                          IFRS. These non-IFRS measures should not be considered 
                          in isolation from, as substitutes for, or superior 
                          to financial measures prepared in accordance with 
                          IFRS. 
 
                          Underlying revenue growth 
                          Underlying revenue growth is used to compare the 
                          revenue in a given period to the previous period 
                          on a like-for-like basis. Underlying revenue growth 
                          reconciles to reported revenue growth (see Note 2), 
                          the most directly comparable financial measure calculated 
                          in accordance with IFRS, by making adjustments for 
                          the effect of acquisitions and disposals and the 
                          impact of movements in exchange rates (currency impact), 
                          as described below. 
 
                          The effect of acquisitions and disposals measures 
                          the impact on revenue from newly acquired material 
                          business combinations and recent material business 
                          disposals. This is calculated by comparing the current 
                          year, constant currency actual revenue (which include 
                          acquisitions and exclude disposals from the relevant 
                          date of completion) with prior year, constant currency 
                          actual revenue, adjusted to include the results of 
                          acquisitions and exclude disposals for the commensurate 
                          period in the prior year. 
 
                          Currency impact measures the increase/decrease in 
                          revenue resulting from currency movements on non-US 
                          Dollar sales and is measured as the difference between: 
                          1) the increase/decrease in current year revenue 
                          translated into US Dollars at the current year average 
                          rate and the prior year revenue translated at the 
                          prior year average rate; and 2) the increase/decrease 
                          being measured by translating current and prior year 
                          revenue into US Dollars using the constant fixed 
                          rate. 
 
                          Trading profit, trading profit margin and trading 
                          cash flow 
                          Trading profit and trading cash flow are trend measures, 
                          which present the long-term profitability of the 
                          Group excluding the impact of specific transactions 
                          that management considers affect the Group's short-term 
                          profitability and cash flows. The Group has identified 
                          the following items, where material, as those to 
                          be excluded from operating profit and cash generated 
                          from operations when arriving at trading profit and 
                          trading cash flow, respectively: acquisition and 
                          disposal related items arising in connection with 
                          business combinations, including amortisation of 
                          acquisition intangible assets, impairments and integration 
                          costs; restructuring events; gains and losses resulting 
                          from legal disputes and uninsured losses. In addition 
                          to these items, gains and losses that materially 
                          impact the Group's profitability or cash flows on 
                          a short-term or one-off basis are excluded from operating 
                          profit and cash generated from operations when arriving 
                          at trading profit and trading cash flow, respectively. 
 
                          Underlying growth in trading profit and trading profit 
                          margin (trading profit expressed as a percentage 
                          of revenue) are measures, which present the growth 
                          trend in the long-term profitability of the Group. 
                          Underlying growth in trading profit is used to compare 
                          the period-on-period growth in trading profit on 
                          a like-for-like basis. This is achieved by adjusting 
                          for the impact of business combinations and disposals 
                          and for movements in exchange rates in the same manner 
                          as underlying revenue growth is determined, as described 
                          above. 
 
                         Adjusted earnings per ordinary share ('EPSA') 
                          EPSA is a trend measure, which presents the long-term 
                          profitability of the Group excluding the post-tax 
                          impact of specific transactions that management considers 
                          affects the Group's short-term profitability. The 
                          Group presents this measure to assist investors in 
                          their understanding of trends. Adjusted attributable 
                          profit is the numerator used for this measure and 
                          is determined by adjusting attributable profit for 
                          the items that are excluded from operating profit 
                          when arriving at trading profit and items that are 
                          recognised below operating profit that affect the 
                          Group's short-term profitability. The most directly 
                          comparable financial measure calculated in accordance 
                          with IFRS is basic earnings per ordinary share ('EPS'). 
  8.                     Definitions of and reconciliation to measures included 
                          within adjusted "trading" results (continued) 
 
 
                                                                                            Cash generated 
                                       Operating                            Attributable    from operating     Earnings 
                                                     Profit 
                                                     before                                                         per 
                           Revenue     profit(1)     tax(2)   Taxation(3)      profit(4)     activities(5)     share(6) 
                                $m            $m         $m            $m             $m                $m            c 
------------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 1 July 2017 
  Reported                   2,336           414        383          (59)            324               438         37.0 
------------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 Acquisition-related 
  costs and 
  profit on 
  disposal                       -             2          2           (1)              1               (1)          0.2 
 Restructuring 
  and rationalisation 
  costs                          -             -          -             -              -                13            - 
 Amortisation 
  and impairment 
  of acquisition 
  intangibles                    -            65         65          (24)             41                 -          4.7 
 Legal and 
  other (7)                      -            12         14           (4)             10                55          1.1 
 Capital expenditure             -             -          -             -              -             (178)            - 
------------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 1 July 2017 
  Adjusted                   2,336           493        464          (88)            376               327         43.0 
------------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 
 
 
 
                                                                                                    Cash 
                                                                                               generated 
                                                                                                    from 
                                     Operating                            Attributable         operating     Earnings 
                                                   Profit 
                                                   before                                                         per 
                         Revenue     profit(1)     tax(2)   Taxation(3)      profit(4)     activities(5)     share(6) 
                              $m            $m         $m            $m             $m                $m            c 
----------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 2 July 2016 
  Reported                 2,328           357        327          (86)            241               380         27.0 
----------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 Acquisition-related 
  costs and 
  profit on 
  disposal                     -             6          6           (1)              5                10          0.6 
 Restructuring 
  and rationalisation 
  costs                        -            35         35           (6)             29                37          3.2 
 Amortisation 
  and impairment 
  of acquisition 
  intangibles                  -            67         67          (21)             46                 -          5.1 
 Legal and 
  other                        -            18         18           (5)             13                 2          1.5 
 Capital expenditure           -             -          -             -              -             (174)            - 
----------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 2 July 2016 
  Adjusted                 2,328           483        453         (119)            334               255         37.4 
----------------------  --------  ------------  ---------  ------------  -------------  ----------------  ----------- 
 
   (1)    Represents a reconciliation of operating profit to trading profit. 
   (2)   Represents a reconciliation of reported profit before tax to trading profit before tax. 
   (3)   Represents a reconciliation of reported tax to trading tax. 
   (4)   Represents a reconciliation of reported attributable profit to adjusted attributable profit. 

(5) Represents a reconciliation of cash generated from operating activities to trading cash flow.

(6) Represents a reconciliation of basic earnings per ordinary share to adjusted earnings per ordinary share (EPSA).

(7) From 1 January 2017, the ongoing funding of closed defined benefit pension schemes is not included in management's definition of trading cash flow as there is no defined benefit service cost for these schemes.

 
       Acquisition related costs and cash flows: For the 
        half years to 1 July 2017 and 2 July 2016, these costs 
        primarily relate to the costs associated with acquisitions 
        completed in previous periods. 
 
        Restructuring and rationalisation costs: For the half 
        year to 2 July 2016, these costs relate to the implementation 
        of the Group Optimisation plan that was announced 
        in May 2014. 
 
        Amortisation and impairment of acquisition intangibles: 
        For both the half years to 1 July 2017 and 2 July 
        2016, charges relate to the amortisation of intangible 
        assets acquired in material business combinations. 
 
        Legal and other: For both the half years to 1 July 
        2017 and 2 July 2016, the charges relate primarily 
        to legal expenses for patent litigation with Arthrex 
        and ongoing metal-on-metal hip claims. For the half 
        year to 1 July 2017 $12 million of cash funding to 
        closed defined benefit pension schemes is excluded 
        from trading cash flow following the closure of the 
        UK scheme to future accrual in December 2016. 
 9.    Exchange rates 
       The exchange rates used for the translation of 
        currencies into US Dollars that have the most significant 
        impact on the Group results were: 
 
 
                                   Full    Half 
                      Half year    year    year 
                           2017    2016    2016 
 
  Average rates 
 ------------------  ----------  ------  ------ 
  Sterling                 1.26    1.35    1.43 
  Euro                     1.08    1.11    1.12 
  Swiss Franc              1.01    1.02    1.02 
 
  Period-end rates 
 ------------------  ----------  ------  ------ 
  Sterling                 1.30    1.23    1.33 
  Euro                     1.14    1.05    1.11 
  Swiss Franc              1.04    0.98    1.03 
 ------------------  ----------  ------  ------ 
 
 
 10.   Assets held for sale 
       On 8 August 2016 the Group disposed of its Gynaecology 
        business to Medtronic plc for cash consideration 
        of $350 million, resulting in a pre-tax gain on 
        disposal of $326 million. 
 
 11.   Subsequent events 
       After the period end, the Group received confirmation 
        that an outstanding intellectual property matter 
        relating to patent validity had been determined 
        in the Group's favour. This is expected to give 
        rise to a one-off gain of up to $50 million recognised 
        as a non-trading item in the second half of 2017. 
 
 
   Directors' Responsibilities Statement 
               The Directors confirm that to the best of their 
                knowledge: 
 
                 *    this set of condensed consolidated Interim Financial 
                      Statements has been prepared in accordance with IAS 
                      34 as adopted by the European Union; and 
 
 
 
                 *    that the interim management report herein includes a 
                      fair review of the information required by: 
 
 
 
                a. DTR 4.2.7R of the Disclosure and Transparency 
                Rules, being an indication of important events 
                that have occurred during the first six months 
                of the financial year and their impact on the condensed 
                set of financial statements; and a description 
                of the principal risks and uncertainties for the 
                remaining six months of the year; and 
 
                b. DTR 4.2.8R of the Disclosure and Transparency 
                Rules, being related party transactions that have 
                taken place in the first six months of the current 
                financial year and that have materially affected 
                the financial position or performance of the enterprise 
                during that period, and any changes in the related 
                party transactions described in the last annual 
                report that could do so. 
 
                Apart from the resignation of Brian Larcombe with 
                effect from 6 April 2017, the Board of Directors 
                of Smith & Nephew plc are as listed in the Smith 
                & Nephew plc 2016 Annual Report. 
 
                By order of the Board: 
 
 
        Olivier Bohuon            Chief Executive            27 July 2017 
                                   Officer 
        Graham Baker              Chief Financial            27 July 2017 
                                   Officer 
 

INDEPENDENT REVIEW REPORT TO SMITH AND NEPHEW PLC

Conclusion

We have been engaged by the company to review the consolidated condensed set of financial statements in the interim financial report for the period ended 1 July 2017 which comprises Group Income Statement, Group Statement of Comprehensive Income, Group Balance Sheet, Condensed Group Cash Flow Statement, Group Statement of Changes in Equity and the related explanatory notes.

Based on our review, nothing has come to our attention that causes us to believe that the consolidated condensed set of financial statements in the interim financial report for the period ended 1 July 2017 is not prepared, in all material respects, in accordance with IAS 34 Interim Financial Reporting as adopted by the EU and the Disclosure Guidance and Transparency Rules ("the DTR") of the UK's Financial Conduct Authority ("the UK FCA").

Scope of review

We conducted our review in accordance with International Standard on Review Engagements (UK and Ireland) 2410 Review of Interim Financial Information Performed by the Independent Auditor of the Entity issued by the Auditing Practices Board for use in the UK. A review of interim financial information consists of making enquiries, primarily of persons responsible for financial and accounting matters, and applying analytical and other review procedures. We read the other information contained in the interim financial report and consider whether it contains any apparent misstatements or material inconsistencies with the information in the consolidated condensed set of financial statements.

A review is substantially less in scope than an audit conducted in accordance with International Standards on Auditing (UK) and consequently does not enable us to obtain assurance that we would become aware of all significant matters that might be identified in an audit. Accordingly, we do not express an audit opinion.

Directors' responsibilities

The interim financial report is the responsibility of, and has been approved by, the directors. The directors are responsible for preparing the interim financial report in accordance with the DTR of the UK FCA.

As disclosed in note 1, the annual financial statements of the Group are prepared in accordance with International Financial Reporting Standards as adopted by the EU. The directors are responsible for preparing the consolidated condensed set of financial statements included in the interim financial report in accordance with IAS 34 as adopted by the EU.

Our responsibility

Our responsibility is to express to the company a conclusion on the consolidated condensed set of financial statements in the half-yearly financial report based on our review.

The purpose of our review work and to whom we owe our responsibilities

This report is made solely to the company in accordance with the terms of our engagement to assist the company in meeting the requirements of the DTR of the UK FCA. Our review has been undertaken so that we might state to the company those matters we are required to state to it in this report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the company for our review work, for this report, or for the conclusions we have reached.

Stephen Oxley

for and on behalf of KPMG LLP

Chartered Accountants

15 Canada Square

London

E14 5GL

27 July 2017

This information is provided by RNS

The company news service from the London Stock Exchange

END

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