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AMS.GB Advanced Medical Solutions Group

200.00
0.00 (0.00%)
10 May 2024 - Closed
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Share Name Share Symbol Market Type Share ISIN Share Description
Advanced Medical Solutions Group AQSE:AMS.GB Aquis Stock Exchange Ordinary Share GB0004536594 Ordinary Shares 5p
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 200.00 195.00 205.00 201.95 200.00 200.00 1,248 16:29:58
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
0 0 N/A 0

Advanced Medical Solutions Grp PLC Unaudited Preliminary Results (9901S)

15/03/2023 7:00am

UK Regulatory


Advanced Medical Solutions (AQSE:AMS.GB)
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TIDMAMS

RNS Number : 9901S

Advanced Medical Solutions Grp PLC

15 March 2023

 
   15 March 2023 
 

Advanced Medical Solutions Group plc

("AMS" or the "Group" or the "Company")

Unaudited preliminary results for the year ended 31 December 2022

Strong revenue growth, profit and cash generation in line with expectations.

Good clinical and regulatory progress across promising pipeline of new products

Winsford, UK: Advanced Medical Solutions Group plc (AIM: AMS), the world-leading specialist in tissue-healing technologies, today announces its unaudited preliminary results for the year ended 31 December 2022.

Financial Summary:

 
                                       2022    2021   Reported    Change at 
                                                        change     constant 
                                                                  currency(1) 
                                     ------  ------  --------- 
   Revenue (GBP million)              124.3   108.6       +14%       +10% 
-----------------------------------  ------  ------  ---------  ------------- 
   Adjusted Measures 
   Adjusted(2) profit before 
    tax (GBP million)                  28.5    25.6       +11% 
   Adjusted(2) profit before 
    tax margin %                      22.9%   23.6%     -0.7pp 
   Adjusted(2) diluted earnings 
    per share (p)                     10.47    9.66        +8% 
 
   Reported Measures 
   Profit before tax (GBP million)     25.9    22.0       +18% 
   Profit before tax margin 
    %                                 20.8%   20.2%     +0.6pp 
   Diluted earnings per share 
    (p)                                9.30    8.01       +16% 
   Net operating cash flow (GBP 
    million)                           26.9    31.0       -13% 
   Net cash(3) (GBP million)           82.3    73.0       +13% 
 
   Proposed full year dividend 
    per share (p)                      2.15    1.95       +10% 
-----------------------------------  ------  ------  ---------  ------------- 
 

Business Highlights (including post period end):

AMS is pleased to report robust financial performance in line with expectations and significant regulatory and clinical progress as it continues to invest in its portfolio of next-generation products.

Financial

-- Group revenue increased to GBP124.3 million (2021: GBP108.6 million), an increase of 14% or 10% at constant currency, driven by commercial progress, foreign exchange tailwinds and higher pricing to recover inflationary cost increases

-- Adjusted profit before tax increased by 11% to GBP28.5 million (2021: GBP25.6 million) as the business continued to manage the majority of inflationary pressure through selling price increases

-- Net cash increased to GBP82.3 million (2021: GBP73.0 million) driven by strong trading and robust operational cash flow

-- Investment in R&D increased to GBP12.3 million (2021: GBP9.3 million), representing 9.9% of revenues (2021: 8.6%), as the Group accelerates investment in new products and Medical Device Regulation ("MDR")

-- Surgical Business Unit revenues increased to GBP74.9 million (2021: GBP64.6 million), an increase of 16% and of 12% at constant currency

-- Woundcare Business Unit revenues increased to GBP49.5 million (2021: GBP44.0 million), an increase of 13% and of 8% at constant currency

-- Reflecting the strong financial performance and management's ongoing confidence in the Group's outlook, the Board proposes an increased final dividend of 1.51p per share (2021: 1.37p) bringing the total proposed dividend to 2.15p per share (2021: 1.95p)

Operational

-- Good engagement and progress with the FDA on our US L iquiBandFix8(R) Pre-Market Approval (PMA) with approval on track for H2 2023

-- The Seal-G(R) and Seal-G(R) MIST clinical study continues to progress well with over 80% of patients now recruited. The final results are on track to be released in H1 2023 when they will be used to market the technology during the commercial launch

-- LiquiBand (R) XL was approved and launched in the US during H2 2022. Initial market response is very positive and underpins confidence in the product

-- Completed the acquisition of AFS Medical GmbH ("AFS"), an Austria-based distributor of minimally invasive surgical devices for an initial cash purchase price of EUR4.5 million with a further cash deferred consideration of up to EUR1.5 million based on delivery of 2022-2024 EBITDA targets

-- On 1(st) February 2023, AMS announced that it had acquired Connexicon Medical Ltd (Connexicon), a tissue adhesive technology specialist, for an initial, upfront payment of EUR7 million with further deferred payments dependent on delivery of certain research & development, regulatory and commercial milestones between 2023 and 2027. The acquisition strengthens AMS's position in the $300 million global medical adhesive market, providing significant new commercial opportunities

Commenting on the results Chris Meredith, Chief Executive Officer of AMS, said: "I am pleased with the resilience that our business has shown in delivering another period of strong financial performance in the current challenging economic conditions, and we are on track to meet 2023 expectations. The investments we have made in our in-house and acquired technologies have strengthened the quality and breadth of our portfolio enabling us to deliver returns across a broader range and validate our growth strategy. AMS is committed to investing in R&D and acquisitions that will further strengthen our established portfolios while continuing to penetrate new markets, maintaining robust growth in the long-term."

Notes

1. Constant currency removes the effect of currency movements by re-translating the current year's performance at the previous year's exchange rates

2. Adjusted profit before tax is shown before amortisation of acquired intangible assets which was GBP3.4 million (2021: GBP3.2 million) and the movement in long-term liabilities recognised on acquisitions which was a credit GBP0.8 million (2021: GBP0.4 million debit).

   3.     Net cash consists of cash and cash equivalents with nil debt (2021: GBPnil debt) 

- End -

For further information, please visit www.admedsol.com or contact:

 
 Advanced Medical Solutions Group plc         Tel: +44 (0) 1606 
                                                         545508 
 Chris Meredith, Chief Executive Officer 
  Eddie Johnson, Chief Financial Officer 
  Michael King, Investor Relations 
 
 Consilium Strategic Communications        Tel: +44 (0) 20 3709 
                                                           5700 
 Mary-Jane Elliott / Matthew Neal / Lucy 
  Featherstone 
 
 Investec Bank PLC (NOMAD & Broker)        Tel: +44 (0) 20 7597 
                                                           5970 
 Gary Clarence / David Anderson 
 
 HSBC Bank PLC (Broker)                    Tel: +44 (0) 20 7991 
                                                           8888 
 Sam McLennan / Joe Weaving / Stephanie 
  Cornish 
 
 

About Advanced Medical Solutions Group plc

AMS is a world-leading independent developer and manufacturer of innovative tissue-healing technology, focused on quality outcomes for patients and value for payers. AMS has a wide range of surgical products including tissue adhesives, sutures, haemostats, internal fixation devices and internal sealants, which it markets under its brands LiquiBand(R) , RESORBA(R) , LiquiBandFix8(R) and Seal-G(R) . AMS also supplies wound care dressings such as silver alginates, alginates and foams through its ActivHeal(R) brand as well as under white label. Since 2019, the Group has made five acquisitions: Sealantis, an Israeli developer of innovative internal sealants; Biomatlante, a French developer and manufacturer of surgical biomaterials, Raleigh, a leading UK coater and converter of woundcare and bio-diagnostics materials, AFS Medical, an Austrian specialist surgical business and Connexicon, an Irish tissue adhesives specialist.

AMS's products, manufactured in the UK, Germany, France, the Netherlands, the Czech Republic and Israel, are sold globally via a network of multinational or regional partners and distributors, as well as via AMS's own direct sales forces in the UK, Germany, the Czech Republic and Russia. The Group has R&D innovation hubs in the UK, Ireland, Germany, France and Israel. Established in 1991, the Group has more than 800 employees. For more information, please see www.admedsol.com .

Chief Executive's Review

Group performance

The Group delivered record sales of GBP124.3 million driven by good commercial progress from both Business Units.

Surgical Business Unit

The Surgical Business Unit includes tissue adhesives, sutures, biosurgical devices and internal fixation devices marketed under the AMS brands LiquiBand(R) , RESORBA(R) , LiquiBandFix8(R) and Seal-G(R) .

Growth in the Surgical Business was driven by strong performances from the Biosurgical Devices and Internal Fixation products. Revenue increased by 16% in the period to GBP74.9 million (2021: GBP64.6 million) and by 12% on a constant currency basis.

 
 Surgical Business          2022           2021       Reported      Change 
  Unit                   GBP million    GBP million    Growth     at constant 
                                                                   currency 
 Advanced Closure           36.0           33.1          9%           1% 
                       -------------  -------------  ---------  ------------- 
 Internal Fixation 
  and Sealants              4.1            2.6          60%          60% 
                       -------------  -------------  ---------  ------------- 
 Other Distributed          2.9            0.0 
                       -------------  -------------  ---------  ------------- 
 Traditional Closure        16.0           14.9          7%           6% 
                       -------------  -------------  ---------  ------------- 
 Biosurgical Devices        15.8           14.0         13%          13% 
                       -------------  -------------  ---------  ------------- 
 TOTAL                      74.9           64.6         16%          12% 
                       -------------  -------------  ---------  ------------- 
 

Advanced Closure

LiquiBand(R) is a range of topical skin adhesives, incorporating medical grade cyanoacrylate in combination with purpose-built applicators. These products are used to close and protect a broad variety of surgical and traumatic wounds.

 
 Advanced Closure        2022           2021       Reported      Change 
                      GBP million    GBP million    Growth     at constant 
                                                                currency 
 Americas                23.4           22.4          5%          -6% 
                    -------------  -------------  ---------  ------------- 
 UK/Germany              7.3            6.3          17%          17% 
                    -------------  -------------  ---------  ------------- 
 ROW                     5.3            4.5          19%          17% 
                    -------------  -------------  ---------  ------------- 
 TOTAL                   36.0           33.1          9%           1% 
                    -------------  -------------  ---------  ------------- 
 

Revenues increased to GBP36.0 million (2021: GBP33.1 million) representing growth of 9% on a reported basis and 1% on a constant currency basis.

Strong growth in LiquiBand(R) globally was partially offset by weakness in US revenues and consequently US sales increased by only 5% at reported currency and declined by 6% at constant currency.

In 2022, the Group began a strategic review of its US LiquiBand(R) business which involves assessing and streamlining its routes to market and product offering in order to help drive stronger growth in this key market sector. As part of this initiative, we identified and first made contact with Connexicon as a potential acquisition target. We intend to complete this strategic review process during 2023 and it is expected that this will result in improved market access and growth potential from H2 2023. As a consequence of the ongoing changes, we had reduced orders from one partner in H2 2022 and this is expected to continue throughout H1 2023.

Following its approval in H1 2022, LiquiBand(R) XL delivered a strong launch in H2 2022 with GBP0.6 million of initial US orders fulfilled, strengthening our optimism on the short and long-term potential of LiquiBand(R) XL in the fast growing $60 million long wound market and unlocking further growth potential for the LiquiBand(R) business. The US approval is to be extended in early 2023 with the addition of a product that can close wounds up to 60cm rather than the current maximum of 40cm.

Going forward, we remain highly confident of delivering growth with LiquiBand(R) in the US, especially as we start to reap the benefits of adding LiquiBand(R) XL and the recently acquired Connexicon Medical products to our portfolio.

The acquisition of Connexicon Medical in February 2023 brings an existing Indermil(R) Flexifuse(R) business in Europe and APAC, progress towards accessing the large Chinese market and an exciting, enhanced portfolio for the US market that provides significant commercial synergies with approvals expected by early 2024. The addition of Connexicon's highly experienced R&D team to the Group has provided AMS with a medical adhesive development hub in Dublin, strengthening the Company's ability to develop and launch innovative adhesive and sealant technologies in the coming years.

Outside the US market, the LiquiBand(R) brand continued to perform very strongly, with underlying growth of 17% in both the UK/Germany and the Rest of the World markets. AMS is encouraged to see early-stage traction building for LiquiBand(R) XL outside the US, and this is now contributing to growth.

In addition, the Group has recently taken over the direct ownership and distribution of InteguSeal(R) , a cyanoacrylate microbial surgical sealant, from a partner that has historically generated a low level of sales. AMS is now looking at options for broader global distribution that have the potential to generate more meaningful revenue. The first direct order was shipped to a new partner in Japan in late 2022 and there is significant business development activity planned in other key EU and APAC markets in early 2023.

Internal Fixation and Sealants

LiquiBandFix8(R) uses individual, accurately delivered drops of cyanoacrylate adhesive inside the body, to fix hernia meshes in place, instead of sutures or tacks.

A strong performance from LiquiBandFix8(R) was supported by the UK National Institute for Clinical Excellence (NICE) recommendation and the AFS acquisition as revenues increased to record levels of GBP4.1 million (2021: GBP2.6 million) an increase of 60% at reported and constant currency. The marketing expertise from AFS will be beneficial to other marketing teams and will help to increase traction in more specialist minimally invasive surgical markets.

In October 2022, AMS reported that the Premarket Approval (PMA) for LiquiBandFix8(R) had been submitted and accepted by the FDA. Since then, FDA engagement has been high and the process is progressing well with approval on track for H2 2023. This would be the first product of its kind in the US and the anticipated launch in 2024 represents a significant commercial opportunity for the Company.

Seal-G(R) MIST ( laparoscopic surgery) and Seal-G(R) (open surgery ) are novel, internal, biological sealants used to seal tissue during gastrointestinal surgery to reduce bleeding and leakage of fluid. The trial continues to progress well with over 80% of the 160 procedures now complete, with results on track for H1 2023 and launch planned for H2 2023.

Key Opinion Leader feedback continues to be highly positive and AMS remains excited about the opportunity for Seal-G(R) products in answering a high unmet patient need for an effective GI sealant. Beyond colon surgery, the Company sees opportunities to drive demand in surgeries with other potential indications that experience high leakage rates, for example oesophageal and pancreatic surgery. In early 2023, we received our first end-user commercial order from a UK surgeon who is using SEAL-G(R) in oesophageal surgery to reduce the risk of leaks.

Traditional Closure

RESORBA(R) branded Absorbable and Non-absorbable Suture ranges are used in general surgery and a wide range of surgical specialties including dental and ophthalmic surgery. Revenue increased by 7% to GBP16.0 million and by 6% at constant currency (2021: GBP14.9 million).

This portfolio has been established in predominantly European markets. However, in line with the Group's ongoing strategy to expand the geographic reach of existing products, recent successes in the US dental market made a significant contribution to Traditional Closure revenues during the period.

Biosurgical Devices

The Biosurgical Devices category comprises antibiotic-loaded collagen sponges, collagen membranes and cones, oxidised cellulose, synthetic bone substitutes and bio-absorbable screws. R evenues increased by 13% at reported and constant currency to GBP15.8 million (2021: GBP14.0 million).

Demand for collagens both with and without antibiotics continued to drive growth in Europe in 2022 including an increased focus on the cardiovascular market with a supplementary brand and a new specialist partner network. AMS's strategy to expand its distribution network into new territories has also been working well, with particular success in the Far East where one of its distributors was the first to exceed annual collagen revenues of GBP0.5 million.

The Group continues to work towards its first collagen approval in the US with a 510(k) submission expected in 2023 for a dental application to support haemostasis and healing following tooth extraction.

The RESORBA (R) branded bone substitutes range has shown a promising start following its launch in 2021, rolling out in a number of European countries during 2022. The Group continues to work towards its planned Independent Rep launch into the US Bone Substitutes market which is on track for mid-2023.

Other Distributed Products

Following the acquisition of AFS in the period, the Other Distributed category comprises products distributed by AFS, including minimally invasive access ports and laparoscopic instruments. This category excludes sales of LiquiBandFix8(R) which are recorded within the Internal Fixation and Sealants category. Since acquisition, AFS trading has been in-line with expectations.

Woundcare Business Unit

The Woundcare Business Unit is comprised of the Group's multi-product portfolio of advanced woundcare dressings sold under its partners' brands and the ActivHeal (R) label, plus a portfolio of specialist medical bulk materials including multi-layer woundcare and bio diagnostics products.

The Woundcare portfolio growth was driven by higher ordering from OEM partners, growth in ActivHeal (R) , bulk materials and royalties as well as increased pricing to recover inflationary cost increases . Revenue increased by 13% in the Period to GBP49.5 million (2021: GBP44.0 million) and by 8% on a constant currency basis.

 
 Woundcare Business          2022           2021       Reported      Change 
  Unit                    GBP million    GBP million    Growth     at constant 
                                                                    currency 
 Infection Management        16.1           15.1          7%           2% 
                        -------------  -------------  ---------  ------------- 
 Exudate Management          23.4           21.7          8%           7% 
                        -------------  -------------  ---------  ------------- 
 Other Woundcare             9.9            7.2          38%          26% 
                        -------------  -------------  ---------  ------------- 
 TOTAL                       49.5           44.0         13%           8% 
                        -------------  -------------  ---------  ------------- 
 

Infection Management

The infection management category comprises advanced woundcare dressings that incorporate anti-microbials such as Silver and Polyhexamethylene Biguanide (PHMB). Revenue increased by 7% on a reported basis and by 2% on a constant currency basis to GBP16.1 million (2021: GBP15.1 million).

The Group's growth in the infection management market continues to be affected by reimbursement issues in a number of territories, driving greater use of standard dressings over higher priced anti-microbial alternatives. However, orders for AMS's silver alginate range have now stabilised following the renegotiation of a major contract in 2022 and progress continues to be made through new distribution channels. Other new products, such as the Silver High Performance Dressing and Silicone PHMB foam range continue to be rolled out and help to sustain growth.

New product approvals in this area are becoming increasingly challenging and we are currently reviewing FDA questions on the 510(k) for our innovative high gelling product with anti-biofilm activity that was submitted in 2022. On a more positive note, we expect to obtain extended US approval for our Silicone PHMB foam range in H1 2023. This dressing provides high efficacy and sustained performance, and the enhanced anti-microbial approval increases its potential to penetrate the US, MEA and APAC regions.

Exudate Management

Exudate Management comprises advanced woundcare dressings, gels and bulk materials which do not incorporate any antimicrobial elements. Revenue increased by 8% on a reported basis and by 7% on a constant currency basis to GBP23.4 million (2021: GBP21.7 million).

Increased orders from the Group's OEM partners continued to drive Exudate Management growth with a significant increase in demand for our specialist medical foam material.

Growth has also been driven by the successful implementation of the Group's strategy to expand the distribution network for its own ActivHeal(R) range of dressings. AMS has continued to appoint new ActivHeal (R) distribution partners in markets where its key partners have no or low presence, but the demand for a high quality, cost effective woundcare dressing range still exists. Several new contracts were signed in 2022, with launches being undertaken as market registrations are obtained.

AMS has applied its Biosurgical, collagen technology into developing a tissue scaffold designed to treat hard to heal and stalled wounds such as diabetic foot ulcers and venous leg ulcers. A 510(k) submission was made in the period and we are reviewing FDA questions as we continue to evaluate the optimal commercial strategy.

Progress continues to be made in the development of a customer-specific negative pressure dressing. The 510(k) submission has been made by our partner and AMS awaits confirmation of approval and commercialisation.

Other Woundcare

Other Woundcare comprises royalties, fees and woundcare sealants. Revenue increased by 38% at reported currency and by 26% at constant currency to GBP9.9 million (2021: GBP7.2 million) due to increased partner demand for membranes, gels and hydrocolloid and a higher royalty income from the Group's licensing arrangement with Organogenesis.

Acquisition strategy

The Group continues to seek acquisitions that deliver additional value for shareholders and meet the criteria of being accretive businesses with strong R&D and manufacturing capabilities, and/or that have products or customers that offer effective commercial synergies.

In line with our stated strategy, the acquisition of AFS in May 2022 underlines the Group's ambition to expand its direct surgical footprint and capability and the acquisition of Connexicon Medical in February 2023 illustrates the company's commitment to further expand its key portfolios and ensure that it remains at the forefront of its core technologies.

Whilst in recent years the Group's completed transactions have been strategic bolt-ons, a key focus of the recently formed corporate business development team is on identifying larger more transformative targets. With cash of GBP82.3 million at the end of 2022 and access to extensive debt facilities, the Group is well placed to execute a deal of this nature.

Regulatory

In December 2022, the EU Commissioner announced that the enforcement of the Medical Devices Regulation (MDR) would be delayed until 2027 or 2028 depending on the classification of the device. Given the progress we have already made, AMS expects positive responses to its applications for certificate extensions for MDD products expiring before these dates. It is anticipated that competitors that have not made MDR progress will be unable to secure such extensions.

AMS plans to maintain its current schedule of work to meet the new standards and anticipates that the phasing of its capitalisation of R&D costs relating to MDR will be broadly unchanged.

At the current time, of the 55 AMS product groups going through MDR, 30 have been approved or are awaiting self-declaration, 19 are with the Notified Bodies ahead of their review and the remaining 6 files are being readied for submission to Notified Bodies in the next 12 months.

Supply Chain and Inflation

AMS has taken proactive steps to mitigate risks arising from global supply chain challenges such as increasing inventory levels and setting up alternative suppliers where feasible. As a result, shortages of material have not had a significant impact on the Group's ability to supply products to its customers. Given the long shelf life of the Group's materials and finished goods, the risk of inventory obsolescence is low but is closely monitored and provisions are made where relevant. We continue to closely monitor the global supply chain situation.

Inflationary pressures continue to be felt across the business through higher cost of goods, energy prices and staff costs. However, the Group has been able to successfully recover a significant proportion of this impact from its customers through price review negotiations.

Environmental, Social & Governance

Our ESG strategy remains focused on our environmental impact, the well-being of our workforce, driving equality, diversity and inclusion, and further strengthening our corporate governance, internally and across our supply chain. We believe that being a good corporate citizen is critical to our long-term sustainable success .

Building on the ESG framework we developed in 2021, the Group has made good progress in 2022. An important step during the year was the appointment of Inspired Energy as our ESG partner. AMS has worked with the organisation to create a 'Pathway to Net Zero' with an initial focus on calculating our Scope 3 emissions and Carbon Balance Sheet. We intend to complete this process prior to issuing the annual report in early Q2 2023 and will publish a comprehensive update at that time.

The steering committee continues to manage ESG activities across the Group and has been supplemented with a network of local ESG champions representing each site and function, as well as an Equality Diversity and Inclusion Committee.

Stakeholders

On behalf of the Board, I would like to thank the Group's committed staff, partners and other stakeholders, without whose help and commitment, the achievements of this year, and the years prior, would not have been possible.

Outlook

The Group is well placed to navigate the ongoing macro-economic challenges. We have proven our ability to recover the majority of energy and other cost inflation by increasing selling prices, are insulated from high interest rates due to our cash position and our products do not rely on consumer demand exposed to recessionary factors.

These factors along with our proven commercial strategy to increase our share of our large markets with innovation and geographical expansion, leaves us well placed for continued growth both in the short and long term.

Influenced by the strategic review of our US LiquiBand(R) business, and the associated 2024 launch timing for the US Connexicon products, we expect weak demand in H1 2023 as we finalise the strategic discussions across our partner base, followed by recovery in H2 2023 and much stronger growth thereafter.

Given AMS' resilience and the strength of its overall portfolio, the Group remains on track to meet market expectations for 2023.

Chris Meredith

Chief Executive Officer

Financial Review

Summary

IFRS reporting

To provide the clearest possible insight into our performance, the Group uses alternative performance measures. These measures are not defined in International Financial Reporting Standards (IFRS) and, therefore, are considered to be non-GAAP (Generally Accepted Accounting Principles) measures. Accordingly, the relevant IFRS measures are also presented where appropriate. AMS uses such measures consistently at the half-year and full-year and reconciles them as appropriate. The measures used in this statement include constant currency revenue growth, adjusted operating margin, adjusted profit before tax and adjusted earnings per share, allowing the impacts of exchange rate volatility, exceptional items, amortisation, and the movement in long-term acquisition liabilities to be separately identified. Net cash is an additional non-GAAP measure used.

Overview

Revenue increased by 14% at reported currency and 10% at constant currency to GBP124.3 million (2021: GBP108.6 million).

Gross margin improved to 59.0% (2021: 56.2%) as increased volumes drove improved operational leverage.

Administration expenses increased to GBP47.4 million (2021: GBP37.0 million) due to the addition of AFS expenses, higher regulatory and R&D investment, increased selling and marketing activity and a significant adverse foreign exchange movement.

The Group incurred GBP12.3 million of gross R&D spend in the period (2021: GBP9.3 million), representing 9.9% of sales (2021: 8.6%), reflecting increased investment in innovation and in meeting the increasing regulatory standards. As shown in the table below, part of this cost is capitalised and amortised over the following 5 to 10 years.

 
                                              2022      2021 
                                           GBP'000   GBP'000 
----------------------------------------  --------  -------- 
 Total investment in Research and 
  Development, Regulatory and Clinical      12,301     9,343 
 Of which: 
 Charged to the profit and loss account      6,149     5,310 
 Capitalised, to be amortised over 
  5-10 years                                 6,152     4,033 
 

Amortisation of acquired intangible assets increased to GBP3.4 million in 2022 (2021: GBP3.2 million) due to the acquisition of AFS in May 2022.

In the period, a credit of GBP0.8 million (2021: GBP0.4 million debit) was recorded in relation to movements in the long-term liabilities relating to deferred consideration and earnout from the Sealantis and AFS acquisitions.

Adjusted profit before tax, which excludes amortisation of acquired intangibles and movements in long term liabilities recognised on acquisition, increased by 11% to GBP28.5 million (2021: GBP25.6 million) whilst the adjusted PBT margin decreased by 70 bps to 22.9% (2021: 23.6%) due to cost inflation having an adverse impact on the Group's profit margin.

Reported profit before tax was GBP25.9 million (2021: GBP22.0 million).

 
Reconciliation of profit before tax to adjusted 
 profit before tax 
                                         (Unaudited)  Audited 
                                                2022     2021 
                                             GBP'000  GBP'000 
-------------------------------------    -----------  ------- 
Profit before tax                             25,910   21,984 
---------------------------------------  -----------  ------- 
Amortisation of acquired intangibles           3,414    3,179 
Movement in long-term acquisition 
 liabilities                                   (840)      426 
Adjusted profit before tax                    28,484   25,589 
---------------------------------------  -----------  ------- 
 

The Group's effective corporation tax rate, reflecting the blended tax rates in the countries where we operate and including UK patent box relief, increased slightly to 21.2% (2021: 20.5%). The UK Government's enactment of a 25% tax rate from April 2023 will result in an increased group effective tax rate from FY2023.

Adjusted diluted earnings per share increased by 8% to 10.47p (2021: 9.66p) and diluted earnings per share increased by 16% to 9.30p (2021: 8.01p), reflecting the Group's increased earnings.

Reflecting its confidence in the Group's prospects, the Board is proposing an increased final dividend of 1.51p per share, to be paid on 9 June 2023 to shareholders on the register at the close of business on 19 May 2023. This follows the interim dividend of 0.64p per share paid on 22 October 2022 and would, if approved, make a total dividend for the year of 2.15p per share (2021: 1.95p) an increase of 10%.

 
 Operating result by business segment 
 Year ended 31 December 2022     Surgical   Woundcare 
                                  GBP'000     GBP'000 
------------------------------  ---------  ---------- 
 Revenue                           74,861      49,469 
 Segment operating profit          19,333       6,687 
 Amortisation of acquired 
  intangibles                       2,469         945 
 Adjusted segment operating 
  profit(4)                        21,802       7,632 
 Adjusted operating margin(4)       29.1%       15.4% 
------------------------------  ---------  ---------- 
 Year ended 31 December 2021 
 Revenue                           64,630      43,971 
 Segment operating profit          18,298       5,420 
 Amortisation of acquired 
  intangibles                       2,005       1,174 
 Adjusted segment operating 
  profit(4)                        20,303       6,594 
 Adjusted operating margin(4)       31.4%       15.0% 
------------------------------  ---------  ---------- 
 

(Note 4: Adjusted for amortisation of acquired intangible assets)

(Table is reconciled to statutory information in note 3 of the financial information.)

Surgical

Surgical revenues increased by 16% to GBP74.9 million (2021: GBP64.6 million) at reported currency and by 11.6% at constant currency. Adjusted operating margin decreased by 230 bps to 29.1% (2021: 31.4%) due to lower shipments of LiquiBand(R) to US partners, the addition of AFS at lower operating margin and the adverse margin impact of inflation.

Woundcare

Woundcare revenues increased by 13% to GBP49.5 million (2021: GBP44.0 million) at reported currency and increased 8.4% at constant currency. Adjusted operating margin increased by 40 bps to 15.4% (2021: 15.0%) as favourable sales pricing mix was offset by the adverse margin impact of inflation.

Currency

The Group hedges significant currency transaction exposure by using forward contracts and aims to hedge approximately 80% of its estimated transactional exposure for the next 18 months. In the financial year, approximately one third of sales were invoiced in Euros and approximately 30% were invoiced in US Dollar.

The Group estimates that a 10% movement in the GBP:US$ or GBP: EUR exchange rate will impact Sterling revenues by approximately 3.1% and 3.0% respectively and, in the absence of any hedging, this would have an impact on the Group operating margin of 2.5% and 0.3% percentage points respectively.

Cash flow

The Group continued to generate significant amounts of cash from operations. Net cash inflow from operating activities in the period was GBP26.9 million, which was lower than 2021 (GBP31.0 million) due to increased investment in inventory to mitigate the supply chain crisis and to mitigate any potential risks relating to the transition to MDR.

At the end of the period, the Group had net cash of GBP82.3 million (31 December 2021: GBP73.0 million) inclusive of the acquisition of AFS.

Working capital increased during the year. Increased inventory and receivables were only partially offset by increased payables. Inventory cover increased to 6.2 months of supply (2021: 4.9 months) due to planned increases in stock levels. Debtor days and Creditor days have both remained broadly consistent with prior period at 44 days (2021: 44 days) and 37 days (2021: 37 days) respectively.

Capital investment in equipment, R&D and regulatory costs increased to GBP9.9 million (2021: GBP6.5 million) as the Group continues to invest in its future pipeline.

Cash outflow relating to taxation decreased to GBP3.3 million (2021: GBP4.1 million) due to the timing of payments on account.

The Group paid its final dividend for the year ended 31 December 2021 of GBP3.0 million in June 2022 (2021: for the year ending December 2020, GBP2.6 million in June 2021), and its interim dividend for the six months ended 30 June 2022 of GBP1.4 million in October 2022 (for the 6 months ended 30 June 2021: GBP1.2 million in October 2021).

The Group retains strong support from its two banks, NatWest and HSBC, and in order to retain maximum flexibility of facility size for future acquisitions, it did not renew its credit facility when it expired in December 2022.

 
 CONDENSED CONSOLIDATED INCOME STATEMENT 
                                                   (Unaudited)   (Audited) 
 Year ended 31 December                                   2022        2021 
                                            Note       GBP'000     GBP'000 
-----------------------------------------  -----  ------------  ---------- 
 Revenue from continuing operations          3         124,330     108,601 
 Cost of sales                                        (50,914)    (47,531) 
-----------------------------------------  -----  ------------  ---------- 
 Gross profit                                           73,416      61,070 
 Distribution costs                                    (1,626)     (1,483) 
 Administration costs                                 (47,378)    (36,970) 
 Other income                                              478         381 
                                                                ---------- 
 Operating profit                             4         24,890      22,998 
 Finance income                                          1,691          84 
 Finance costs                                           (671)     (1,098) 
-----------------------------------------  -----  ------------  ---------- 
 Profit before taxation                                 25,910      21,984 
 Income tax                                  5         (5,504)     (4,503) 
-----------------------------------------  -----  ------------  ---------- 
 Profit for the period attributable to 
  equity holders of the parent                          20,406      17,481 
-----------------------------------------  -----  ------------  ---------- 
 Earnings per share 
 Basic                                       6           9.42p       8.11p 
 Diluted                                     6           9.30p       8.01p 
 Adjusted diluted (5)                        6          10.47p       9.66p 
-----------------------------------------  -----  ------------  ---------- 
 

(Note 5: Adjusted for amortisation of acquired intangible assets and movement in long-term acquisition liabilities.)

 
CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME 
                                                    (Unaudited)  (Audited) 
                                                           2022       2021 
                                                        GBP'000    GBP'000 
----------------------------------------------      -----------  --------- 
Profit for the year                                      20,406     17,481 
--------------------------------------------------  -----------  --------- 
Exchange differences on translation 
 of foreign operations                                    6,940    (5,194) 
Loss arising on cash flow hedges                        (1,297)    (1,548) 
Deferred tax (charge)/credit arising 
 on cash flow hedges                                      (201)        290 
--------------------------------------------------  -----------  --------- 
Total other comprehensive income/(expense) 
 for the year                                             5,442    (6,452) 
--------------------------------------------------  -----------  --------- 
Total comprehensive income for 
 the year attributable to equity 
 holders of the parent                                   25,848     11,029 
--------------------------------------------------  -----------  --------- 
 

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

 
                                              (Unaudited)                         (Audited) 
                                              31 December                       31 December 
                                                     2022                              2021 
                                                  GBP'000                           GBP'000 
 Assets 
 Non-current assets 
 Intangible assets                                 48,373                            40,958 
 Goodwill                                          70,859                            66,032 
 Property, plant and equipment                     29,015                            27,441 
 Trade and other receivables                          937                               105 
-------------------------------------------  ------------  -------------------------------- 
                                                  149,184                           134,536 
 Current assets 
 Inventories                                       27,911                            19,300 
 Trade and other receivables                       21,553                            21,016 
 Current tax assets                                   184                             1,692 
 Cash and cash equivalents                         82,262                            72,965 
-------------------------------------------  ------------  -------------------------------- 
                                                  131,910                           114,973 
-------------------------------------------  ------------  -------------------------------- 
 Total assets                                     281,094                           249,509 
-------------------------------------------  ------------  -------------------------------- 
 
   Liabilities 
 Current liabilities 
 Trade and other payables                          20,671                            14,958 
 Current tax liabilities                              948                               897 
 Lease liabilities                                  1,059                             1,153 
                                                   22,678                            17,008 
 Non-current liabilities 
 Trade and other payables                           3,510                             3,679 
 Deferred tax liabilities                           9,593                             7,438 
 Lease liabilities                                  8,691                             8,707 
                                                   21,794                            19,824 
-------------------------------------------  ------------  -------------------------------- 
 Total liabilities                                 44,472                            36,832 
-------------------------------------------  ------------  -------------------------------- 
 Net assets                                       236,622                           212,677 
-------------------------------------------  ------------  -------------------------------- 
 
   Equity 
 Share capital                                     10,843                            10,804 
 Share premium                                     37,269                            36,996 
 Share-based payments reserve                      15,711                            13,180 
 Investment in own shares                           (167)                             (164) 
 Share-based payments deferred tax reserve            531                               933 
 Other reserve                                      1,531                             1,531 
 Hedging reserve                                  (1,519)                              (21) 
 Translation reserve                                5,004                           (1,936) 
 Retained earnings                                167,419                           151,354 
-------------------------------------------  ------------  -------------------------------- 
 Equity attributable to equity holders 
  of the parent                                   236,622                           212,677 
-------------------------------------------  ------------  -------------------------------- 
 

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

Attributable to equity holders of the Group

 
                                                                Share-   Investment       Share-based 
                             Share               Share           based       in own          payments            Other   Hedging   Translation        Retained 
                                                                                             deferred 
                           capital             premium        payments       shares               tax          reserve   reserve       reserve        earnings           Total 
                           GBP'000             GBP'000         GBP'000      GBP'000           GBP'000          GBP'000   GBP'000       GBP'000         GBP'000         GBP'000 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 At 1 January 2021 
  (Audited)                 10,769              36,288          11,142        (162)               430            1,531     1,237         3,258         137,718         202,211 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 Consolidated 
  profit 
  for the year to 
  31 December 2021               -                   -               -            -                 -                -         -             -          17,481          17,481 
 Other 
  comprehensive 
  expense                        -                   -               -            -                 -                -   (1,258)       (5,194)               -         (6,452) 
------------------                                                                                                      --------  ------------  --------------  -------------- 
 Total 
  comprehensive 
  expense                        -                   -               -            -                 -                -   (1,258)       (5,194)          17,481          11,029 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 Share-based 
  payments                       -                   -           1,979            -               503                -         -             -               -           2,482 
 Share options 
  exercised                     35                 708              59            -                 -                -         -             -               -             802 
 Shares purchased 
  by EBT                         -                   -               -        (366)                 -                -         -             -               -           (366) 
 Shares sold by 
  EBT                            -                   -               -          364                 -                -         -             -               -             364 
 Dividends paid                  -                   -               -            -                 -                -         -             -         (3,845)         (3,845) 
                                                                                                                                                                -------------- 
 At 31 December 
  2021 (Audited)            10,804              36,996          13,180        (164)               933            1,531      (21)       (1,936)         151,354         212,677 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 Consolidated 
  profit for the 
  year to 31 
  December 
  2022                           -                   -               -            -                 -                -         -             -          20,406          20,406 
 Other 
  comprehensive 
  (expense)/income               -                   -               -            -                 -                -   (1,498)         6,940               -           5,442 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 Total 
  comprehensive 
  (expense)/income               -                   -               -            -                 -                -   (1,498)         6,940          20,406          25,848 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 Share-based 
  payments                       -                   -           2,439            -             (402)                -         -             -               -           2,037 
 Share options 
  exercised                     39                 273              92            -                 -                -         -             -               -             404 
 Shares purchased 
  by EBT                         -                   -               -        (392)                 -                -         -             -               -           (392) 
 Shares sold by 
  EBT                            -                   -               -          389                 -                -         -             -               -             389 
 Dividends paid                  -                   -               -            -                 -                -         -             -         (4,341)         (4,341) 
                                                                                                                                                                -------------- 
 At 31 December 
  2022 (Unaudited)          10,843              37,269          15,711        (167)               531            1,531   (1,519)         5,004         167,419         236,622 
------------------  --------------  ------------------  --------------  -----------  ----------------  ---------------  --------  ------------  --------------  -------------- 
 

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

 
                                                        (Unaudited)    (Audited) 
                                                         Year ended   Year ended 
                                                                     31 December 
                                                   31 December 2022         2021 
                                           Note             GBP'000      GBP'000 
----------------------------------------  -------  ----------------  ----------- 
Cash flows from operating activities 
Operating profit                                             24,890       22,998 
Adjustments for: 
Depreciation                                                  4,049        3,893 
Amortisation - acquired intangible 
 assets                                                       3,414        3,179 
- software intangibles                                          502          529 
- development costs                                             879        1,247 
(Increase)/decrease in inventories                          (7,087)          941 
Increase in trade and other receivables                       (596)      (1,769) 
Increase in trade and other payables                          1,711        2,105 
Share-based payments expense                                  2,439        1,979 
Taxation paid                                               (3,324)      (4,077) 
Net cash inflow from operating 
 activities                                                  26,877       31,025 
----------------------------------------  -------  ----------------  ----------- 
Cash flows from investing activities 
Purchase of software                                           (73)        (254) 
Capitalised research and development                        (6,152)      (4,441) 
Purchases of property, plant and 
 equipment                                                  (3,739)      (1,768) 
Disposal of property, plant and 
 equipment                                                       46           53 
Interest received                                               820           84 
Acquisition of subsidiaries net 
 of cash                                     7              (2,781)            - 
Net cash used in investing activities                      (11,879)      (6,326) 
----------------------------------------  -------  ----------------  ----------- 
Cash flows from financing activities 
Dividends paid                                              (4,341)      (3,845) 
Repayment of principal under lease 
 liabilities                                                (1,295)      (1,281) 
Repayment of loan                               7             (331)            - 
Issue of equity shares                                          266          723 
Shares purchased by EBT                                       (392)        (366) 
Shares sold by EBT                                              389          364 
Interest paid                                                 (617)        (700) 
Net cash used in financing activities                       (6,321)      (5,105) 
----------------------------------------  -------  ----------------  ----------- 
Net increase in cash and cash 
 equivalents                                                  8,677       19,594 
Cash and cash equivalents at 
 the beginning of the year                                   72,965       53,829 
Effect of foreign exchange rate 
 changes                                                        620        (458) 
Cash and cash equivalents at 
 the end of the year                                         82,262       72,965 
----------------------------------------  -------  ----------------  ----------- 
 

Notes Forming Part of the Condensed Consolidated Financial Statements

   1.   Reporting entity 

Advanced Medical Solutions Group plc ("the Company") is a public limited company incorporated and domiciled in England and Wales (registration number 02867684). The Company's registered address is Premier Park, 33 Road One, Winsford Industrial Estate, Cheshire, CW7 3RT.

The Company's ordinary shares are traded on the AIM market of the London Stock Exchange plc. The consolidated financial statements of the Company for the twelve months ended 31 December 2022 comprise the Company and its subsidiaries (together referred to as the "Group").

The Group is primarily involved in the design, development and manufacture of innovative tissue healing technology, focused on quality outcomes for patients and value for payers The Group has a wide range of surgical products including tissue adhesives, sutures, haemostats, internal fixation devices and internal sealants, which it markets under its brands LiquiBand(R) , RESORBA(R) , LiquiBandFix8(R) and Seal-G(R) . The Group also supplies wound care dressings such as silver alginates, alginates and foams through its ActivHeal(R) brand as well as under white label.

   2.   Basis of preparation 

These condensed unaudited consolidated financial statements have been prepared in accordance with the accounting policies set out in the annual report for the year ended 31 December 2021 except for new standards adopted for the year.

In the current year the Group has applied a number of amendments to IFRSs issued by the IASB. Their adoption has not had a material impact on the disclosures or on the amounts reported in the Annual Financial Statements. The following amendments were applied:

   --      Interest Rate Benchmark Reform (Amendments to IFRS 9, IAS 39 and IFRS7, IFRS4 and IFRS16) 
   --      Onerous Contracts - Cost of Fulfilling a Contract (Amendments to IAS37) 
   --      Property, Plant and Equipment: Proceeds before Intended Use (Amendments to IAS 16) 

-- Annual Improvements to IFRS Standards 2018-2020 (Amendments to IFRS1, IFRS9, IFRS16 and IAS 41); and

   --      References to Conceptual Framework (Amendments to IFRS3) 

While the financial information included in this preliminary announcement has been prepared in accordance with the recognition and measurement criteria of international accounting standards and International Financial Reporting Standards (IFRSs) as adopted by the UK, this announcement does not itself contain sufficient information to comply with IFRSs. The Group expects to publish full financial statements that comply with IFRSs in April 2023.

The financial information set out in the announcement does not constitute the Group's statutory accounts for the years ended 31 December 2022 or 31 December 2021. The financial information for the year ended 31 December 2021 is derived from the statutory accounts for that year, which have been delivered to the Registrar of Companies. The auditor reported on those accounts; their report was unqualified, did not draw attention to any matters by way of emphasis without qualifying their report and did not contain a statement under s498 (2) or (3) Companies Act 2006. The audit of the statutory accounts for the year ended 31 December 2022 is not yet complete. These accounts will be finalised on the basis of the financial information presented by the Directors in this preliminary announcement and will be delivered to the Registrar of Companies following the Group's annual general meeting.

The financial statements have been prepared on the historical cost basis of accounting except as disclosed in the accounting policies set out in the annual report for the year ended 31 December 2021.

Going concern

With regards to the Group's financial position, it had cash and cash equivalents at the 31 December 2022 of GBP82.3 million. In December 2018, the Group entered an unsecured, multi-currency, credit facility for GBP80 million which was undrawn in 2022 and expired in December 2022. The Group has opted not to renew the facility.

While the current economic environment is uncertain, the Group operates in markets whose demographics are favourable, underpinned by an increasing need for products to treat chronic and acute wounds. Consequently, market growth is predicted. The Group has a number of contracts with customers across different geographic regions and also with substantial financial resources, ranging from government agencies through to global healthcare companies.

Having taken the above into consideration and reviewed cash flow forecasts for the next 12 months, the Directors have reached the conclusion that the Group is well placed to manage its business risks in the current economic environment. Accordingly, they continue to adopt the going concern basis in preparing the preliminary announcement.

New accounting standards not yet applied

Certain new accounting standards and interpretations have been published that are not mandatory for 31 December 2022 reporting periods and have not been early adopted by the Group. These standards are not expected to have a material impact on the entity in the current or future reporting periods or on foreseeable future transactions.

   3.   Segment information 

As referred to in the Chief Executive's Statement, the Group is organised into two Business Units: Surgical and Woundcare. These Business Units are the basis on which the Group reports its segment information.

Segment results, assets and liabilities include items directly attributable to a segment as well as those that can be allocated on a reasonable basis. Unallocated items comprise mainly investments and related revenue, corporate assets, head office expenses and income tax assets. These are the measures reported to the Group's Chief Executive for the purposes of resource allocation and assessment of segment performance.

Business segments

Segment information about these businesses is presented below.

 
 Year ended 31 December 
  2022                            Surgical   Woundcare   Consolidated 
 (unaudited) 
                                   GBP'000     GBP'000        GBP'000 
-------------------------------  ---------  ----------  ------------- 
 Revenue 
 External sales                     74,861      49,469        124,330 
 Result 
-------------------------------  ---------  ----------  ------------- 
 Adjusted segment operating 
  profit                            21,802       7,632         29,434 
 Amortisation of acquired 
  intangibles                      (2,469)       (945)        (3,414) 
-------------------------------  ---------  ----------  ------------- 
 Segment operating 
  profit                            19,333       6,687         26,020 
 Unallocated expenses                                         (1,130) 
 Operating profit                                              24,890 
 Finance income                                                 1,691 
 Finance costs                                                  (671) 
-------------------------------  ---------  ----------  ------------- 
 Profit before tax                                             25,910 
 Tax                                                          (5,504) 
-------------------------------  ---------  ----------  ------------- 
 Profit for the year                                           20,406 
-------------------------------  ---------  ----------  ------------- 
 
 Year ended 31 December 
  2022                            Surgical   Woundcare   Consolidated 
 (Unaudited) 
 Other information                 GBP'000     GBP'000        GBP'000 
-------------------------------  ---------  ----------  ------------- 
 Capital additions: 
 Software intangibles                   34          39             73 
 Development costs                   4,617       1,535          6,152 
 Property, plant and 
  equipment                          2,258       1,481          3,739 
 Depreciation and amortisation     (5,759)     (3,085)        (8,844) 
-------------------------------  ---------  ----------  ------------- 
 At 31 December 2022 
 Statement of Financial 
  Position 
 Assets 
 Segment assets                    190,456      90,638        281,094 
 Unallocated assets                                                 - 
-------------------------------  ---------  ---------- 
 Consolidated total 
  assets                                                      281,094 
-------------------------------  ---------  ----------  ------------- 
 Liabilities 
 Segment liabilities                29,786      14,686         44,472 
-------------------------------  ---------  ----------  ------------- 
 
 
 
 Year ended 31 December 2021                  Surgical   Woundcare   Consolidated 
 (audited) 
                                               GBP'000     GBP'000        GBP'000 
-----------------------------------------  -----------  ----------  ------------- 
 Revenue 
 External sales                                 64,630      43,971        108,601 
 Result 
-----------------------------------------  -----------  ----------  ------------- 
 Adjusted segment operating 
  profit                                        20,303       6,594         26,897 
 Amortisation of acquired intangibles          (2,005)     (1,174)        (3,179) 
-----------------------------------------  -----------  ----------  ------------- 
 Segment operating profit                       18,298       5,420         23,718 
 Unallocated expenses                                                       (720) 
                                                                    ------------- 
 Operating profit                                                          22,998 
 Finance income                                                                84 
 Finance costs                                                            (1,098) 
-----------------------------------------  -----------  ----------  ------------- 
 Profit before tax                                                         21,984 
 Tax                                                                      (4,503) 
-----------------------------------------  -----------  ----------  ------------- 
 Profit for the year                                                       17,481 
-----------------------------------------  -----------  ----------  ------------- 
 
 Year ended 31 December 2021                  Surgical   Woundcare   Consolidated 
 (audited) 
-----------------------------------------  -----------  ----------  ------------- 
 Other information                             GBP'000     GBP'000        GBP'000 
-----------------------------------------  -----------  ----------  ------------- 
 Capital additions: 
 Software intangibles                              145         109            254 
 Development costs                               2,922       1,519          4,441 
 Property, plant and equipment                   1,028         740          1,768 
 Depreciation and amortisation                 (5,579)     (3,269)        (8,848) 
-----------------------------------------  -----------  ----------  ------------- 
 At 31 December 2021 
 Statement of Financial Position 
 Assets 
 Segment assets                                159,442      89,944        249,386 
 Unallocated assets                                                           123 
-----------------------------------------  -----------  ---------- 
 Consolidated total assets                                                249,509 
-----------------------------------------  -----------  ----------  ------------- 
 Liabilities 
 Segment liabilities                            22,651      14,181         36,832 
-----------------------------------------  -----------  ----------  ------------- 
 
 

Geographic segments

The Group operates in the UK, The Netherlands, Germany, the Czech Republic, France and Israel, with a sales office located in Russia, as a distributor in Austria, and a sales presence in the USA. In presenting information on the basis of geographical segments, segment revenue is based on the geographical location of customers. Segment assets are based on the geographical location of the assets.

The following table provides an analysis of the Group's revenue by geographical market, irrespective of the origin of the goods/services, based upon location of the Group's customers:

 
                                     (Unaudited)         (Audited) 
  Year ended 31 December                    2022              2021 
                                         GBP'000           GBP'000 
--------------------------    ------------------  ---------------- 
 United Kingdom                           19,960            18,454 
 Germany                                  20,780            20,863 
 Rest of Europe                           32,519            22,913 
 United States of America                 40,807            36,712 
 Rest of World                            10,264             9,659 
----------------------------  ------------------  ---------------- 
                                         124,330           108,601 
  --------------------------  ------------------  ---------------- 
 
 
 
   The following table provides an analysis of the Group's total 
   assets by geographical location: 
----------------------------------------------------------------------- 
                                             (Unaudited)      (Audited) 
   As at 31 December                                2022           2021 
                                                 GBP'000        GBP'000 
------------------------------------    ----------------  ------------- 
 United Kingdom                                  151,817        142,056 
 Germany                                          78,877         67,389 
 France                                           11,934          9,674 
 Rest of Europe                                   16,670          7,853 
 United States of America                            451          1,984 
 Israel                                           21,345         20,553 
--------------------------------------  ----------------  ------------- 
                                                 281,094        249,509 
  ------------------------------------  ----------------  ------------- 
 
   4.   Operating profit 
 
                                                                      (Unaudited)         (Audited) 
  Year ended 31 December                                                     2022              2021 
                                                                          GBP'000           GBP'000 
------------------------------------------------------------   ------------------  ---------------- 
 Operating profit is arrived at after charging/(crediting): 
 Depreciation of property, plant and equipment                              4,049             3,893 
 Amortisation of: 
 - acquired intangible assets                                               3,414             3,179 
 - software intangibles                                                       502               529 
 - development costs                                                          879             1,247 
 Research and development costs expensed 
  excluding regulatory costs                                                4,323             3,841 
 Cost of inventories recognised as expense                                 50,663            47,530 
 Write down of inventories expensed                                           251                 1 
 Staff costs                                                               46,065            39,691 
 Net foreign exchange loss/(gain)                                           1,683           (2,017) 
-------------------------------------------------------------  ------------------  ---------------- 
 
   5.   Taxation 
 
                                                (Unaudited)       (Audited) 
 Year ended 31 December                                2022            2021 
                                                    GBP'000         GBP'000 
--------------------------------------------   ------------  -------------- 
 a) Analysis of charge for the year 
 Current tax: 
 Tax on ordinary activities - current 
  year                                                5,655           4,936 
 Tax on ordinary activities - prior 
  year                                                    6           (323) 
---------------------------------------------  ------------  -------------- 
                                                      5,661           4,613 
 Deferred tax: 
 Tax on ordinary activities - current 
  year                                                 (84)           (490) 
 Tax on ordinary activities - prior 
  year                                                 (73)           (190) 
 Effect of increase in UK corporation 
  tax rates to 25%                                        -             570 
---------------------------------------------  ------------  -------------- 
                                                      (157)           (110) 
 --------------------------------------------  ------------  -------------- 
 Tax charge for the year                              5,504           4,503 
---------------------------------------------  ------------  -------------- 
 
            The Group has chosen to use a weighted average country tax rate 
           rather than the UK tax rate for the reconciliation of the charge 
             for the year to the profit per the income statement. The Group 
                operates in several jurisdictions, some of which have a tax 
             rate in excess of the UK tax rate. As such, a weighted average 
                country tax rate is believed to provide the most meaningful 
                      information to the users of the financial statements. 
--------------------------------------------------------------------------- 
                                                (Unaudited)       (Audited) 
 Year ended 31 December                                2022            2021 
                                                    GBP'000         GBP'000 
--------------------------------------------   ------------  -------------- 
 b) Factors affecting tax charge 
  for the year 
 Profit before taxation                              25,910          21,984 
---------------------------------------------  ------------  -------------- 
 Profit multiplied by the weighted 
  average Group tax rate of 22.8% 
  (2021: 23.0%)                                       5,911           5,053 
 Effects of: 
 Net expenses not deductible for 
  tax purposes and other timing differences             243               7 
 Patent Box Relief                                    (554)           (652) 
 Utilisation of trading losses                        (269)               - 
 Net impact of deferred tax on capitalised 
  development costs and R&D relief                       32           (123) 
 Share-based payments                                   208             161 
 Adjustments in respect of prior 
  year - current tax                                      6           (323) 
 Adjustments in respect of prior 
  year and rate changes - deferred 
  tax                                                  (73)             380 
 Taxation                                             5,504           4,503 
---------------------------------------------  ------------  -------------- 
 
   6.   Earnings per share 

The calculation of the basic and diluted earnings per share is based on the following data:

 
                                                  (Unaudited)   (Audited) 
 Year ended 31 December                                  2022        2021 
 
   Number of shares                                      '000        '000 
-----------------------------------------------  ------------  ---------- 
 Weighted average number of ordinary shares 
  for the purposes of basic earnings per 
  share                                               216,512     215,677 
-----------------------------------------------  ------------  ---------- 
 Effect of dilutive potential ordinary shares: 
  share options, deferred share bonus, LTIPs            2,969       2,635 
-----------------------------------------------  ------------  ---------- 
 Weighted average number of ordinary shares 
  for the purposes of diluted earnings per 
  share                                               219,481     218,312 
-----------------------------------------------  ------------  ---------- 
 
                                                  (Unaudited)   (Audited) 
                                                         2022        2021 
                                                      GBP'000     GBP'000 
-----------------------------------------------  ------------  ---------- 
 Profit for the year attributable to equity 
  holders of the parent                                20,406      17,481 
 Amortisation of acquired intangible assets             3,414       3,179 
 Movement in long-term acquisition liabilities          (840)         426 
 Adjusted profit for the year attributable 
  to equity holders of the parent                      22,980      21,086 
-----------------------------------------------  ------------  ---------- 
 
                                                  (Unaudited)   (Audited) 
                                                         2022        2021 
                                                        pence       pence 
-----------------------------------------------  ------------  ---------- 
 Basic EPS                                               9.42        8.11 
 Diluted EPS                                             9.30        8.01 
 Adjusted basic EPS                                     10.61        9.78 
 Adjusted diluted EPS                                   10.47        9.66 
-----------------------------------------------  ------------  ---------- 
 
   7.   Acquisition of AFS 

On 28 April 2022, the Group acquired the entire issued share capital of AFS Medical GmbH, an Austria-based distributor of minimally invasive surgical devices.

In the eight month period from acquisition to 31 December 2022, AFS contributed GBP3.7 million of net revenue to the Group and GBP0.2 million of operating profit. In addition, amortisation of intangible assets of GBP0.3 million was recorded within the Group as a result of the acquisition.

 
                                           GBP'000 
------------------------------------  ------------ 
 Identifiable net assets acquired 
 Customer related intangible assets          3,424 
 Marketing intangible assets                   524 
 Property, plant and equipment                 242 
 Trade and other receivables                   296 
 Inventory                                     845 
 Cash and cash equivalents                      42 
 Trade and other payables                  (1,294) 
 Lease liabilities                           (226) 
 Borrowings                                  (331) 
 Borrowings from AMS                       (2,526) 
 Deferred tax on intangible asset            (986) 
 
 Arising on acquisition 
 Goodwill                                    1,452 
------------------------------------  ------------ 
 Total net assets                            1,462 
------------------------------------  ------------ 
 

Borrowings from AMS arose as funds were advanced prior to completion of the acquisition to repay external funding. These borrowings are now eliminated on consolidation. GBP0.3 million of borrowings that existed at the date of acquisition have been repaid prior to 31 December 2022 as disclosed in the Condensed Consolidated Statement of Cash flows.

 
 Satisfied by                    GBP'000 
------------------------------  -------- 
 Cash consideration                  297 
 Contingent consideration          1,165 
------------------------------  -------- 
                                   1,462 
------------------------------  -------- 
 
 Net cash flow on acquisition    GBP'000 
------------------------------  -------- 
 Cash consideration                  297 
 Cash acquired                      (42) 
------------------------------  -------- 
                                     255 
------------------------------  -------- 
 

Contingent consideration arose on the acquisition in respect of up to EUR1.5 million which is payable subject to EBITDA delivery in 2022-2024. GBP1.2 million is the estimated fair value of it as at the acquisition date.

None of the goodwill on the acquisition is expected to be deductible for income tax.

   8.   Events after reporting period 

There have been no material events subsequent to 31 December 2022 with the exception of the acquisition of Connexicon Medical Limited, announced in February 2023, for initial consideration of EUR7 million and with further deferred payments dependent on the delivery of future research & development, regulatory and commercial milestones.

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END

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(END) Dow Jones Newswires

March 15, 2023 03:00 ET (07:00 GMT)

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