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AMS Advanced Medical Solutions Group Plc

198.60
3.80 (1.95%)
08 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Advanced Medical Solutions Group Plc LSE:AMS London Ordinary Share GB0004536594 ORD 5P
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  3.80 1.95% 198.60 198.00 200.00 200.00 191.20 191.20 234,922 16:35:12
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
Plastics,resins,elastomers 126.21M 15.89M 0.0732 27.32 434.42M

Advanced Medical Solutions Grp PLC Unaudited Preliminary Results (6934F)

11/03/2020 7:00am

UK Regulatory


Advanced Medical Solutions (LSE:AMS)
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TIDMAMS

RNS Number : 6934F

Advanced Medical Solutions Grp PLC

11 March 2020

 
   11 March 2020 
 

Advanced Medical Solutions Group plc

("AMS" or the "Group")

Unaudited Preliminary Results for the year ended 31 December 2019

Winsford, UK: Advanced Medical Solutions Group plc (AIM: AMS), the surgical and advanced woundcare specialist company, today announces its unaudited preliminary results for the year ended 31 December 2019.

Financial Highlights:

 
                                     2019    2018   Reported         Change 
                                                      change    at constant 
                                                                currency(1) 
 Group revenue (GBP million)        102.4   102.6         0%            -1% 
                                   ------  ------  ---------  ------------- 
 Operating margin (%)                23.7    27.8    -410bps              - 
                                   ------  ------  ---------  ------------- 
 Adjusted(2) operating margin 
  (%)                                26.4    28.2     180bps              - 
                                   ------  ------  ---------  ------------- 
 Profit before tax (GBP million)     24.3    28.3       -14%              - 
                                   ------  ------  ---------  ------------- 
 Adjusted(2) profit before 
  tax (GBP million)                  26.6    28.8        -7%              - 
                                   ------  ------  ---------  ------------- 
 Diluted earnings per share 
  (p)                                8.72   10.41       -16%              - 
                                   ------  ------  ---------  ------------- 
 Adjusted(2) diluted earnings 
  per share (p)                      9.83   10.63        -8%              - 
                                   ------  ------  ---------  ------------- 
 Net operating cash flow             21.7    21.7         0%              - 
                                   ------  ------  ---------  ------------- 
 Net cash(3) (GBP million)           64.8    76.4       -15%              - 
                                   ------  ------  ---------  ------------- 
 Proposed full year dividend 
  per share (p)                      1.55    1.32       +17%              - 
                                   ------  ------  ---------  ------------- 
 

Business Highlights:

-- Despite significant challenges in 2019, growth was achieved across multiple categories, but was offset by previously reported the downturn in US LiquiBand(R) , and Group revenue of GBP102.4 million was flat on 2018. Key drivers were:

o US LiquiBand(R) sales reduced by 23% to GBP17.7 million (2018: GBP23.0 million) and by 25% at constant currency

o EU/ROW LiquiBand(R) revenue increased by 24% at reported and constant currency to GBP10.8 million (2018: GBP8.7 million)

o Fix8(TM) s ales increased by 27% at reported and constant currency to GBP2.6 million (2018: GBP2.1 million)

o Biosurgical sales increased by 9% to GBP9.4 million (2018: GBP8.6 million) and by 10% at constant currency

o Suture sales increased by 8% to GBP14.4 million (2018: GBP13.3 million) and by 9% at constant currency

o Sales of antimicrobial dressings increased by 4% to GBP20.6 million (2018: GBP19.7 million) and by 3% at constant currency

-- Investment in acquisitions and increased research and development, regulatory and clinical activity is establishing a bedrock for future growth:

o Acquisition of Sealantis in January 2019 for US$25 million (GBP19 million) strengthened our internal sealants R&D pipeline

o Acquisition of Biomatlante in November 2019 for EUR8 million (GBP7 million) strengthened our biosurgical portfolio and enters us into the synthetic bone substitutes market with a differentiated product

o Broadened and more diverse portfolio of innovative internally developed products

-- Adjusted operating margin down 180 bps to 26.4% (2018: 28.2%) and adjusted profit before tax down 7% to GBP26.6 million (2018: GBP28.8 million) due to investment in the product pipeline including Sealantis, adverse sales mix and currency contracts.

-- The Group maintains its solid balance sheet and the Board proposes an increased final dividend of 1.05p per share to be paid on 19 June 2020 to shareholders on the register at the close of business on 29 May 2020, making a total dividend for the year of 1.55p per share (2018: 1.32p), an increase of 17%.

Commenting on the results Chris Meredith, Chief Executive Officer of AMS, said: "2019 was a challenging year and despite the setbacks we faced, I am pleased with the overall performance of the Group, other than for US LiquiBand(R) sales, which were disappointing. We look forward to regaining positive momentum in our US LiquiBand(R) business given the recent approval of LiquiBand(R) Rapid and the anticipated approval of LiquiBand(R) XL and we expect to realise significant commercial benefits in coming years following the successful acquisitions of Sealantis and Biomatlante. Our strong pipeline of R&D innovation further expands our addressable market and has never been stronger. We continue to be optimistic about our growth prospects in the growing global health care market."

- End -

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

Note 2 Adjusted profit before tax is shown before exceptional items which were GBP1.1 million (2018: GBP0.4 million), amortisation of acquired intangible assets which was GBP1.7 million (2018: GBP0.1 million) and change in fair value of long-term debt, a GBP0.3 million credit (2018: GBPnil) as defined in the Financial Review. Adjusted operating margin is shown before exceptional items and amortisation of acquired intangible assets

Note 3 Net cash is defined as cash and cash equivalents plus short term investments less financial liabilities and bank loans

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 
 
 Consilium Strategic Communications            Tel: +44 (0) 20 3709 
                                                               5700 
 Mary-Jane Elliott / Matthew Neal / Nicholas 
  Brown / Olivia Manser 
 
 Investec Bank PLC (NOMAD & Broker)            Tel: +44 (0) 20 7597 
                                                               5970 
 Daniel Adams / Patrick Robb / Gary Clarence 
 

About Advanced Medical Solutions Group plc

AMS is a world-leading independent developer and manufacturer of innovative and technologically advanced products for the global surgical and woundcare markets, focused on quality outcomes for patients and value for payers. AMS has a wide range of surgical products including tissue adhesives, sutures, haemostats, and internal fixation devices, which it markets under its brands LiquiBand(R) , RESORBA(R) , and LiquiBand(R) Fix8(TM) . AMS also supplies wound care dressings such as silver alginates, alginates and foams through its ActivHeal(R) brand as well as under white label. In 2019, the Group made two acquisitions: Sealantis, an Israeli medical device company with a patent-protected sealant technology platform; and Biomatlante, an established developer and manufacturer of innovative surgical biomaterial technologies based in France.

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, Germany, France and Israel. Established in 1991, the Group has more than 700 employees. For more information, please see www.admedsol.com .

Chief Executive's Statement

Group performance

Whilst 2019 proved a challenging year for the Group, with the previously reported downturn of US LiquiBand (R) and the third-party sterilisation failure at the end of 2019 which was resolved in early 2020, I am pleased to report that good growth in other areas of the business enabled the Group to deliver revenues of GBP102.4 million, broadly in line with 2018.

Adjusted profit before tax decreased by 7% to GBP26.6 million due to our operational investment in Sealantis, adverse sales mix and currency contracts. This contributed to a decrease of 8% in adjusted diluted earnings per share.

As previously stated, Surgical Business Unit sales were restricted by US LiquiBand(R) performance, resulting in a 1% decrease in revenue to GBP56.5 million and by 2% at constant currency. W e have made progress on the two key product approvals needed to support the recovery of LiquiBand(R) in the US. LiquiBand(R) Rapid(TM) was recently approved by the FDA and the LiquiBand(R) XL pilot clinical study is in progress and will be concluded by the end of Q1 2020.

Our Woundcare business grew 1% to GBP45.8 million but was flat at constant currency. We strengthened our woundcare portfolio in the year with US approvals for our antimicrobial PHMB foam and silver high-performance dressings, both of which were signed to partners and launched to the market in Q4 2019.

The acquisition of Biomatlante demonstrates our strategy of utilising our strong cash position to acquire businesses with complementary products, exciting technologies and new routes to market and the acquisition of Sealantis demonstrates our willingness to invest in longer term growth opportunities.

Market

Favourable global healthcare and demographic trends are likely to continue to drive growth in our large global surgical and advanced woundcare markets in the longer term, both of which provide AMS with significant future opportunities.

In recent years, the advanced woundcare market has reported lower market growth rates as well as increased price pressure and ongoing reviews of reimbursement levels in various European countries, all of which will create headwinds for our Woundcare Business Unit.

We have increased the size of our addressable part of the surgical market with our two acquisitions in 2019. Commercialisation of Sealantis is expected in 2021 and will open up the US$ 1 billion internal sealants market. Biomatlante provides innovative complementary products and immediate access to the US$0.5 billion synthetic bone substitutes market

In addition, we are starting to see opportunities due to competitor product withdrawals in our surgical and woundcare markets as a result of the enhanced regulatory environment. We are confident of strong growth as we continue to expand our product portfolio, enter new geographies and increase our share in each market.

Strategy

Our strategy continues to be based on four pillars: Growth, Innovation, Operational Excellence and Culture.

Growth

Our Growth strategy is to harness the opportunities from our multiple routes to market across multiple geographies with products that add value to patients and payers through delivery of equal or better clinical performance without compromising care or outcomes. We continue to increase our investment in major R&D and regulatory projects to enable future growth opportunities.

Innovation

For Innovation we continue to strengthen our portfolio by developing or acquiring high quality products that allow us or our partners to make market share gains in high value segments.

Operational excellence

Our operational strategy is centred around the needs of our customers and aims to reduce operating costs and operational risk whilst producing high quality products and increasing capacity. This will allow us to continue to drive out cost and improve margins.

Culture

We operate to the highest ethical standards with our values of Care, Fair, Dare embedded in all we do:

   --      Caring about the work we undertake and the real-life differences we can make 
   --      Acting with integrity and ensuring we are fair in all aspects of business 
   --      Moving boundaries and challenging constructively to build on others' ideas 

Acquisitions

The acquisition of Sealantis has provided an important pipeline of significant products, intellectual property, a strong R&D team and access to markets in which we have not previously operated. The internal sealants market is large (greater than US$1 billion) and growing, and Sealantis has developed a range of products that reduce leakage of blood or fluid following gastrointestinal surgery. Integration is now successfully complete, and the project team are currently engaging with regulators as we prepare clinical trials. We expect to record a low level of sales to key opinion leaders in 2020 with first commercial product launches planned for 2021.

The acquisition of Biomatlante enhances our product offering and market access into orthopaedic, spinal, dental and sports surgery. It has a range of innovative, revenue generating biomaterial products including, MBCP (R) , a biphasic calcium phosphate synthetic bone substitute which has a unique micro and macroporous structure that most closely resembles the architecture of natural human bone. The technology is supported by more than 650 published studies and 30 years of clinical experience, which validate its superior performance in comparison to competitor products. The Group expects Biomatlante to be earnings enhancing in 2020. Integration is progressing well and the potential for further commercial synergies has been confirmed in post-completion commercial reviews.

Bringing in high-quality people and products to our Group is a crucial part of our strategy and we are working with the existing management in both acquired businesses to maximise their potential in the coming years.

The Group continues to actively seek acquisitions that deliver value for shareholders and meet our criteria of being:

-- Products or technologies that enable us to leverage our woundcare customer base or surgical routes to market, or

-- Surgically focused companies with product synergies, strong R&D capability and ownership of their products

We have an internal team working to identify, appraise and progress acquisition opportunities and continue to explore options to accelerate growth through select targets.

Regulatory

The transition phase of the new European Medical Devices Regulation (MDR) runs until May 2024. MDR stipulates stricter requirements for product safety and performance, clinical evaluation and post-market clinical evidence. In the past eighteen months, the Group has successfully completed the Medical Device Directive (MDD) recertification of the RESORBA(R) ranges, the LiquiBand(R) portfolio, and all of our significant woundcare products providing extended time to implement MDR. This demonstrates our capability to navigate the increasingly challenging regulatory framework as we complete our MDR implementation as part of our robust Group wide regulatory plan. During the MDR transition period, the Group expects to continue to incur an increasing level of costs associated with regulatory activity.

The Group is beginning to see opportunities arising from the impact of the MDR and, given our extensive preparations, we remain confident in our ability to exploit them. To support future geographic growth, our regulatory teams added more than one hundred new international registrations for our surgical and woundcare products in the year, across Latin America, the Middle East, the Far East and Australasia.

During the year, we successfully transitioned to MDSAP (Medical Device Single Audit Program) and, following audits at each of our sites, our certificates were received in the second half of 2019.

Brexit

The Group is well prepared for the possible end of the Brexit transition period on 31 December 2020. UK product certificates have been reassigned to BSI Netherlands so that our products retain their EU approval, Advanced Medical Solutions BV has been appointed as our EU Authorised Representative and we will continue to hold increased inventory levels on all sites. Under WTO rules, there would be no duty on our finished goods and steps are in place to mitigate any additional duty costs on raw materials.

COVID-2019

In response to the ongoing outbreak of COVID-19 the Group has set-up a designated team to closely monitor and risk assess its supply chain. The team is working proactively with employees, customers and suppliers to monitor any potential disruption and, to date, expects no significant supply issues. The Group has also assessed the risks for its employees and has reiterated published guidance such as good personal hygiene practices. Our forward-looking financial guidance assumes no significant impact from the COVID-19 outbreak.

Stakeholders

We continue to be grateful for the support and hard work of our committed staff, partners and other stakeholders.

Outlook

The Group expects to deliver more than 10% revenue growth in 2020 driven by new product launches, strong underlying demand for our surgical portfolio and opportunities arising from the transition to MDR. US LiquiBand(R) is expected to return to growth in 2020 given the recent approval of LiquiBand(R) Rapid and the anticipated approval of LiquiBand(R) XL which is expected in H2. Notwithstanding that, we see the low reported market growth and increasing reimbursement challenges as potential headwinds for our Woundcare Business Unit, which will also be impacted by uneven ordering patterns associated with Brexit. Operationally the business is in robust strength, our recent acquisitions are providing new market and product opportunities and the Board remains optimistic about AMS's future growth prospects from both an organic and acquisitive standpoint.

Business Unit performance

As announced in our Financial Statements for the year ended 31 December 2018, we adjusted our Business Units at the start of 2019 to enable increased focus and unlock commercial and R&D synergies . Comparative segment information has been restated to align with the new Business Unit structure.

Surgical Business Unit

The Surgical Business Unit reports sales of all surgical devices. Overall, revenue decreased by 1% to GBP56.5 million (2018: GBP57.1 million) and by 2% at constant currency. Whilst the Business Unit delivered strong growth in Internal Fixation and Sealants, Traditional Closure, Biosurgical devices and OEM Sealants, this was offset by the previously reported decline in Advanced Closure.

 
 Surgical Business          2019       2018   Reported         Change 
  Unit                   GBP'000    GBP'000     Change    at constant 
                                                             currency 
 Advanced Closure         28,539     31,684       -10%           -11% 
                       ---------  ---------  ---------  ------------- 
 Internal Fixation 
  and Sealants             2,629      2,066        27%            27% 
                       ---------  ---------  ---------  ------------- 
 Traditional Closure      14,407     13,342         8%             9% 
                       ---------  ---------  ---------  ------------- 
 Biosurgical Devices       9,423      8,640         9%            10% 
                       ---------  ---------  ---------  ------------- 
 OEM Sealants              1,545      1,381        12%            12% 
                       ---------  ---------  ---------  ------------- 
 TOTAL                    56,544     57,113        -1%            -2% 
                       ---------  ---------  ---------  ------------- 
 

Advanced Closure

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

 
 Advanced Closure        2019       2018   Reported         Change 
                      GBP'000    GBP'000     Change    at constant 
                                                          currency 
 Americas              17,733     22,963       -23%           -25% 
                    ---------  ---------  ---------  ------------- 
 UK/Germany             6,850      5,550        23%            24% 
                    ---------  ---------  ---------  ------------- 
 ROW                    3,956      3,171        25%            24% 
                    ---------  ---------  ---------  ------------- 
 TOTAL                 28,539     31,684       -10%           -11% 
                    ---------  ---------  ---------  ------------- 
 

Revenue decreased by 10% to GBP28.5 million (2018: GBP31.7 million), and by 11% at constant currency despite strong growth in all territories except the US which was impacted by a combination of factors, as previously reported:

-- Destocking due to lost business with two large Group Purchasing Organisations and a slowdown in new evaluations as a result of not having a combined glue and tape device for large wound closure in the AMS portfolio.

   --      Third party sterilisation issue. 

US LiquiBand(R) is expected to return to growth in 2020 following the launches of LiquiBand(R) Rapid(TM) and LiquiBand(R) XL. Following its recent approval, we are launching LiquiBand(R) Rapid(TM) with one of our main partners in Q2 2020. This will enable AMS to regain ground with an improved product. The LiquiBand(R) XL device will allow us to compete in the large wound market for the first time and unlock further growth potential in our LiquiBand(R) business with all partners. LiquiBand(R) XL will finish its critical pilot study by the end of Q1 2020 providing confirmation that we have a device and formulation that meets the key criteria of 10-day wear time. The successful product from the pilot study will enter a full GLP study in April which would keep us on track to file for a 510k by the end of Q2 2020.

Internal Fixation and Sealants

LiquiBand(R) Fix8(TM) devices are indicated for the internal fixation of hernia meshes using our LiquiBand(R) technology. Through the accurate delivery of individual drops of cyanoacrylate adhesive , LiquiBand(R) Fix8(TM)

is used to hold hernia meshes in place within the body   instead of traditional tacks and staples. 

Revenue increased by 27% to GBP2.6 million (2018: GBP2.1 million) predominately driven by demand for the laparoscopic device. The open hernia mesh fixation device, approved in in late 2018, has received very positive surgeon feedback reinforcing our decision to access the substantial portion of the global hernia market dedicated to open hernia surgery. Following the soft launch of the open hernia mesh device at the start of the year, we have made significant progress during the year in building clinical evidence and developing a base of high-profile key opinion leaders which should create a platform for success in 2020.

In May 2019 we received the US Investigational Device Exemption (IDE) for laparoscopic Fix8(TM) which allowed us to start the clinical trial that will provide the safety and effectiveness data required to support our premarket approval (PMA). The clinical trial is progressing very well in terms of surgeon feedback on the product and its performance. Patient recruitment commenced in August 2019 at our first site but was initially slower than anticipated. We have now increased the number of clinical sites to five, increased the number of investigators at the sites and expect to complete all surgical procedures by the end of 2020. We expect to file for FDA approval in H2 2021. We continue to be excited about the long-term prospects for the LiquiBand (R) Fix8(TM) portfolio and entry into the US will be a significant landmark for the Group.

The acquisition of Sealantis, in January 2019, provided AMS with a unique product platform to access the $1 billion internal sealants market. We are working on navigating the regulatory environment and on some product design enhancements to maximise commercial success and expect:

   --      soft launch to key opinion leaders in H2 2020 
   --      150 patient study across three major markets in H2 2020 
   --      commercial product launch planned for 2021 
   --      larger pivotal study to support FDA approval to start in H2 2021 

Traditional Closure

RESORBA(R) branded Absorbable and Non-absorbable Sutures.

Revenue increased by 8% to GBP14.4 million (2018: GBP13.3 million) and by 9% at constant currency. Growth was delivered in various European territories and in the US.

Biosurgical Devices

Our biosurgical portfolio has been significantly expanded by the acquisition of Biomatlante which has added synthetic bone substitutes, cross-linked collagen membranes and bioabsorbable screws to our existing biosurgical ranges which include RESORBA(R) Gentacoll(R) used in Orthopaedic and Cardiac applications, and collagen fleeces and cones used in Dental applications.

Revenue increased by 9% to GBP9.4 million (2018: GBP8.6 million) and by 10% at constant currency , predominately driven by growth in Europe and Latin America, a number of new customers notably in the Far East and by Biomatlante revenue (GBP0.4 million) following its acquisition at the end of November 2019.

Antibiotic loaded collagens providing local drug delivery is a key product development focus for AMS and we are working on development and regulatory activities for alternative antibiotics for orthopaedic and cardiac applications. We have submitted our CE mark application for collagen with vancomycin and approval is expected in H2 2020. Our antibiotic collagen pouch for cardiovascular devices, which is currently sold under pr escription in Germany, is sc heduled for an FDA review meeting in Q2 2020 with a view to finalising the product indications and regulatory pathway for 510k approval.

OEM Sealants

Surgical sealants sold under partner brands.

Revenue increased by 12% in 2019 to GBP1.5 million (2018: GBP1.4 million) partly due to partner ordering patterns.

Woundcare Business Unit

The Woundcare Business Unit is comprised of our multi-product portfolio of advanced woundcare dressings and bulk materials sold under partner brands plus the AMS branded ActivHeal(R) range sold predominately to the NHS.

Revenue increased by 1% to GBP45.8 million (2018: GBP45.5 million) and was in line with prior year at constant currency.

 
 Woundcare Business Unit        2019       2018   Reported         Growth 
                             GBP'000    GBP'000     Growth    at constant 
                                                                 currency 
 Infection Management         20,555     19,744         4%             3% 
                           ---------  ---------  ---------  ------------- 
 Exudate Management           19,271     20,422        -6%            -6% 
                           ---------  ---------  ---------  ------------- 
 Other Woundcare               5,998      5,319        13%             9% 
                           ---------  ---------  ---------  ------------- 
 TOTAL                        45,824     45,485         1%             0% 
                           ---------  ---------  ---------  ------------- 
 

Infection Management

Advanced woundcare dressings that incorporate antimicrobials such as Silver and Polyhexamethylene Biguanide (PHMB).

Revenue increased by 4% to GBP20.6 million (2018: GBP19.7 million) and by 3% at constant currency with growth driven mainly by additional sales of PHMB dressings including a number of new customers and the first shipment of our atraumatic PHMB foam dressing into the US following its approval in July 2019. Our atraumatic PHMB foam range demonstrates enhanced product performance in terms of rapid microbial activity and eradication of pathogens and enters the growing antimicrobial foam market which exceeds GBP100 million.

Silver High Performance Dressing, our next generation antimicrobial gelling fibre technology with excellent performance and patent protected construction, received US approval in the second half of 2019 and has been signed up by a number of our US partners with launch orders predominately expected to ship in the first half of 2020.

Our Moisture Wicking Fabric with silver, indicated for use in the management of skin folds and skin-on-skin friction, was approved for the US and EU in the second half of 2019 and gives AMS and its partners access to a new market of more than $25 million with initial orders expected in the first half of 2020.

Following customer feedback, we have improved the design of our silver post-operative dressing which launched with a US partner in 2018 and expect increased ordering from multiple partners in 2020.

Looking forward, the Group is working on developing next generation high-gelling products with differentiated antibiofilm claims.

Exudate Management

The exudate management category comprises advanced woundcare dressings which do not incorporate any antimicrobial elements and includes the majority of our ActivHeal(R) range. Revenue was impacted by one of our main partners significantly altering its inventory levels due to its assessment of the risk of Brexit related supply disruption. This major partner ordered significantly more than usual in Q4 2018 and H1 2019 followed by much lower demand in H2 2019. Revenue consequently declined by 6% to GBP19.3 million (2018: GBP20.4 million) and by 6% at constant currency.

During the year, we expanded our Lite foam portfolio with a range of shapes and sizes for the acute post-surgery market, extended the claims on our silicone foam range to include pressure ulcer prevention in the US and gained a number of new customers in the EU and Latin America.

The Group is seeing strong progress from its initiative to exploit ActivHeal(R) opportunities in select overseas markets. We continue to navigate the approval process in multiple new markets including the Middle East and Latin America. This initiative has generated significant distribution partner interest and validates the decision to realign our Business Units at the start of 2019.

We are confident that the above actions, coupled with our ability to meet the demands of MDR, will continue to counteract the ongoing challenging market conditions in the advanced woundcare market.

Other Woundcare

Other woundcare comprises the gels and sealants used in woundcare, royalties and other fee income. Revenue increased by 13% to GBP6.0 million (2018: GBP5.3 million) and by 9% at constant currency predominately due to increased Organogenesis royalties of GBP2.9 million (2018, impacted by lower reimbursement: GBP1.8 million).

Chris Meredith

Chief Executive Officer

Financial Review

Summary

In 2019 the Group delivered reported revenue in-line with prior year and a 1% decrease at constant currency. Profit before tax decreased 14% due to operational investment in Sealantis, adverse sales mix and currency contracts and increased amortisation due to the acquisition of Sealantis at the start of the year.

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. We use such measures consistently at the half year and full year and reconcile them as appropriate. The measures used in this statement include constant currency revenue growth, adjusted operating margin, adjusted profit before tax and adjusted net cash inflow from operating activities, allowing the impacts of exchange rate volatility, exceptional items, amortisation and the change in fair value of long-term debt to be separately identified. Net cash is an additional non-GAAP measure used.

Administration costs were impacted by foreign exchange movements and increased by 3.8% to GBP34.6 million (2018: GBP33.3 million) excluding exceptional items. Foreign exchange movements, predominately driven by exchange rates on currency contracts increased administration costs by approximately GBP3 million with underlying administration costs lower than in 2018 as the Group controlled its discretionary administrative expenditure. The Group, however, continued to increase its investment in research and development including through Sealantis and incurred GBP6.5 million of gross R&D, regulatory and clinical spend in the year (2018: GBP6.0 million), representing 6.3% of sales (2018: 5.8%).

Exceptional items of GBP1.1 million in the year (2018: GBP0.4 million) relate to the Sealantis and Biomatlante acquisitions as well as other business development activities.

Adjusted operating margin decreased by 180 bps to 26.4% (2018: 28.2%) and operating margin decreased by 410 bps to 23.7% (2018: 27.8%) due to lower US LiquiBand(R) sales, adverse currency contracts and the continued investment in Sealantis.

Adjusted profit before tax decreased by 7% to GBP26.6 million (2018: GBP28.8 million) and profit before tax decreased by 14% to GBP24.3 million (2018: GBP28.3 million).

The Group adopted IFRS 16 (Leases) in 2019 and the comparative period has been restated, which reduced profit before tax by GBP0.1 million in the year (2018: GBP0.2 million). There is no overall impact on the Group's cash and cash equivalents as a result of IFRS 16.

 
Reconciliation of profit before tax to adjusted 
 profit before tax 
                                                                   (Unaudited) 
                                                      (Unaudited)     Restated 
                                                             2019         2018 
                                                          GBP'000      GBP'000 
------------------------------------------------      -----------  ----------- 
Profit before tax                                          24,257       28,271 
----------------------------------------------------  -----------  ----------- 
Amortisation of acquired intangibles                        1,689           81 
Change in fair value of long-term 
 debt                                                       (345)            - 
Exceptional items                                           1,053          402 
----------------------------------------------------  -----------  ----------- 
Adjusted profit before tax                                 26,648       28,754 
----------------------------------------------------  -----------  ----------- 
 

The Group's effective tax rate in the Income Statement, reflecting the blended tax rates in the countries where we operate and including UK patent box relief, increased to 22.0% (2018: 20.3%) mainly due to some of the exceptional items in the period not being deductible for tax purposes and to Sealantis operating losses not being offset against profits elsewhere in the Group.

Adjusted diluted earnings per share decreased by 8% to 9.83p (2018: 10.63p) and diluted earnings per share decreased by 16% to 8.72p (2018: 10.41p).

The Board is proposing a final dividend of 1.05p per share, to be paid on 19 June 2020 to shareholders on the register at the close of business on 29 May 2020. This follows the interim dividend of 0.50p per share paid on 25 October 2019 and would, if approved, make a total dividend for the year of 1.55p per share (2018: 1.32p), a 17% increase on 2018.

 
 Operating result by business segment 
 Year ended 31 December 
  2019                           Surgical   Woundcare 
                                  GBP'000     GBP'000 
------------------------------  ---------  ---------- 
 Revenue                           56,544      45,824 
 Profit from operations            14,411      11,370 
 Amortisation of acquired 
  intangibles                       1,675           8 
 Adjusted profit from 
  operations(4)                    16,086      11,378 
 Adjusted operating margin(4)       28.4%       24.8% 
------------------------------  ---------  ---------- 
 Year ended 31 December 
  2018 
 Revenue                           57,113      45,485 
 Profit from operations            18,164      11,272 
 Amortisation of acquired 
  intangibles                          76           5 
 Adjusted profit from 
  operations(4)                    18,240      11,277 
 Adjusted operating margin(4)       31.9%       24.8% 
------------------------------  ---------  ---------- 
 

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

(Table is reconciled to statutory information in note 4 of the financial information.)

Surgical

The adjusted operating margin of the Surgical Business Unit decreased by 350 basis points to 28.4% (2018: 31.9%), impacted by the US LiquiBand (R) sales reduction, Sealantis losses and adverse currency movements.

Woundcare

The adjusted operating margin of the Woundcare Business Unit remained consistent at 24.8% (2018: 24.8%), as an increased royalty from Organogenesis in the period was offset by adverse currency movements.

Currency

More than one third of Group revenues are invoiced in US Dollars and approximately one quarter are invoiced in Euros. 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 12 to 18 months. The Group estimates that a 10% movement in the GBP:US$ or GBP:EUR exchange rate will impact Sterling revenues by approximately 3.4% and 2.7% respectively and in the absence of any hedging this would have an impact on profit of 2.7% and 1.0%.

Cash flow

Adjusted net cash inflow from operating activities increased by 3% to GBP22.8 million (2018: GBP22.1 million). Net cash inflow from operating activities, impacted by exceptional items, were in line with the previous year at GBP21.7 million (2018: GBP21.7 million).

 
 Reconciliation of Net cash inflow from operating activities 
  to Adjusted net cash inflow from operating activities 
------------------------------------------------------------------------- 
                                               (Unaudited)    (Unaudited) 
                                                Year ended     Year ended 
                                               31 December    31 December 
                                                      2019           2018 
                                                   GBP'000        GBP'000 
-------------------------------------------  -------------  ------------- 
 
 Net cash inflow from operating activities          21,699         21,674 
 Add back exceptional items                          1,053            402 
-------------------------------------------  -------------  ------------- 
 Adjusted net cash inflow from operating 
  activities                                        22,752         22,076 
-------------------------------------------  -------------  ------------- 
 

Working capital increased during the year, mainly due to increased inventory levels and lower payables. Inventory increased to 5.1 months of supply (2018: 4.7 months) with high inventories to mitigate Brexit and recertification further impacted by goods awaiting sterilisation following the delay at a third-party facility. Payables decreased in value due to controlled discretionary expenditure, however creditor days increased to 34 days (2018: 31 days). Debtor days increased marginally to 49 days (2018: 47 days).

Capital investment in equipment, R&D and regulatory costs increased to GBP5.9 million (2018: GBP4.7 million).

Cash outflow relating to taxation increased to GBP5.9 million (2018: GBP3.8 million) due to the timing of tax payments, in particular in Germany and the US.

The Group paid its final dividend for the year ended 31 December 2018 of GBP1.9 million in June 2019 (2018: for the year ending 2017, GBP1.6 million), and its interim dividend for the six months ended 30 June 2019 of GBP1.1 million (for the 6 months ended 30 June 2018: GBP0.9 million) in October 2019.

The Group has an undrawn unsecured GBP80 million credit facility provided jointly by The Royal Bank of Scotland and HSBC which is in place until December 2023. This facility carries an annual interest rate of LIBOR or EURIBOR plus a margin that varies between 0.60% and 1.70% depending on the Group's net debt to EBITDA ratio.

 
CONDENSED CONSOLIDATED INCOME STATEMENT 
---------------------------------------------------------------------------------  -----------  -------- 
                                                                            (Unaudited) Restated 
Year ended 31 December                      (Unaudited)                              (5) 
                                      Before                               Before 
                                 exceptional  Exceptional             exceptional  Exceptional 
                                       items        items      2019         items        items      2018 
                          Note       GBP'000      GBP'000   GBP'000       GBP'000      GBP'000   GBP'000 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Revenue from continuing 
 operations                4         102,368            -   102,368       102,598            -   102,598 
Cost of sales                       (41,885)            -  (41,885)      (39,192)            -  (39,192) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Gross profit                          60,483            -    60,483        63,406            -    63,406 
Distribution costs                     (997)            -     (997)       (1,316)            -   (1,316) 
Administration costs                (34,566)      (1,053)  (35,619)      (33,318)        (402)  (33,720) 
Other income                             376            -       376           104            -       104 
                                                                     ------------  -----------  -------- 
Profit from operations     5          25,296      (1,053)    24,243        28,876        (402)    28,474 
Finance income                           406            -       406           378            -       378 
Finance costs                          (392)            -     (392)         (581)            -     (581) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Profit before taxation                25,310      (1,053)    24,257        28,673        (402)    28,271 
Income tax                 6         (5,338)            -   (5,338)       (5,784)            -   (5,784) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Profit for the year 
 attributable to equity 
 holders of the parent                19,972      (1,053)    18,919        22,889        (402)    22,487 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Earnings per share 
Basic                      7           9.30p      (0.49p)     8.81p        10.74p      (0.19p)    10.55p 
Diluted                    7           9.21p      (0.49p)     8.72p        10.59p      (0.18p)    10.41p 
Adjusted diluted           7           9.83p      (0.49p)     9.34p        10.63p      (0.18p)    10.45p 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
 
 
CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME 
                                                                 (Unaudited) 
                                                                    Restated 
                                                    (Unaudited)          (5) 
                                                           2019         2018 
                                                        GBP'000      GBP'000 
--------------------------------------------      -------------  ----------- 
Profit for the year                                      18,919       22,487 
------------------------------------------------  -------------  ----------- 
Exchange differences on translation 
 of foreign operations                                  (3,538)          466 
Gain/(loss) arising on cash flow 
 hedges                                                   3,091      (3,064) 
Deferred tax charge arising on 
 cash flow hedges                                         (130)            - 
------------------------------------------------  -------------  ----------- 
Total other comprehensive expense 
 for the year                                             (577)      (2,598) 
------------------------------------------------  -------------  ----------- 
Total comprehensive income for 
 the year attributable to equity 
 holders of the parent                                   18,342       19,889 
------------------------------------------------  -------------  ----------- 
 

(Note 5: See note 3 in the notes to the condensed consolidated financial statements)

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

 
                                                     (Unaudited)   (Unaudited) 
                                                        Restated      Restated 
                                       (Unaudited)           (5)           (5) 
                                       31 December   31 December     1 January 
                                                19            18            18 
                                           GBP'000       GBP'000       GBP'000 
 Assets 
 Non-current assets 
 Acquired intellectual property 
  rights                                     9,478         9,673         9,675 
 Technology based intangible assets         15,985             -             - 
 Software intangibles                        2,832         2,548         3,078 
 Development costs                           5,039         3,204         2,135 
 Goodwill                                   53,558        42,145        41,801 
 Property, plant and equipment              27,707        27,850        27,362 
 Deferred tax assets                            96           208           199 
 Trade and other receivables                   531           415           286 
------------------------------------  ------------  ------------  ------------ 
                                           115,226        86,043        84,536 
 Current assets 
 Inventories                                17,655        14,800        11,073 
 Trade and other receivables                29,221        27,172        20,950 
 Current tax assets                            129           813            48 
 Cash and cash equivalents                  64,751        76,391        62,454 
------------------------------------  ------------  ------------  ------------ 
                                           111,756       119,176        94,525 
------------------------------------  ------------  ------------  ------------ 
 Total assets                              226,982       205,219       179,061 
------------------------------------  ------------  ------------  ------------ 
 
   Liabilities 
 Current liabilities 
 Trade and other payables                   14,043        14,643        10,547 
 Current tax liabilities                     1,781         3,863         2,305 
 Lease liabilities                           1,353           975           874 
                                            17,177        19,481        13,726 
 Non-current liabilities 
 Trade and other payables                    3,150           655           310 
 Deferred tax liabilities                    6,409         3,303         3,120 
 Lease liabilities                           8,347         9,055         9,579 
 Borrowings                                    664             -             - 
------------------------------------  ------------  ------------  ------------ 
                                            18,570        13,013        13,009 
------------------------------------  ------------  ------------  ------------ 
 Total liabilities                          35,747        32,494        26,735 
------------------------------------  ------------  ------------  ------------ 
 Net assets                                191,235       172,725       152,326 
------------------------------------  ------------  ------------  ------------ 
 
   Equity 
 Share capital                              10,745        10,674        10,632 
 Share premium                              36,226        35,192        34,778 
 Share-based payments reserve                9,466         7,333         4,676 
 Investment in own shares                    (159)         (156)         (152) 
 Share-based payments deferred 
  tax reserve                                  649           708           815 
 Other reserve                               1,531         1,531         1,531 
 Hedging reserve                               555       (2,406)           658 
 Translation reserve                         (249)         3,289         2,823 
 Retained earnings                         132,471       116,560        96,565 
------------------------------------  ------------  ------------  ------------ 
 Equity attributable to equity 
  holders of the parent                    191,235       172,725       152,326 
------------------------------------  ------------  ------------  ------------ 
 

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 
  2018 
  (Restated) 
  (5)              10,632    34,778      4,676        (152)           815     1,531       658         2,823     96,565   152,326 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Consolidated 
  profit 
  for the year 
  to 
  31 December 
  2018                  -         -          -            -             -         -         -             -     22,487    22,487 
 Other 
  comprehensive 
  (expense)/ 
  income                -         -          -            -             -         -   (3,064)           466          -   (2,598) 
---------------                                                                      --------  ------------  ---------  -------- 
 Total 
  comprehensive 
  income                -         -          -            -             -         -   (3,064)           466     22,487    19,889 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Share-based 
  payments              -         -      1,659            -         (107)         -         -             -          -     1,552 
 Share options 
  exercised            42       414        998            -             -         -         -             -          -     1,454 
 Shares 
  purchased 
  by EBT                -         -          -        (600)             -         -         -             -          -     (600) 
 Shares sold by 
  EBT                   -         -          -          596             -         -         -             -          -       596 
 Dividends paid         -         -          -            -             -         -         -             -    (2,492)   (2,492) 
                                                                                                                        -------- 
 At 31 December 
  2018 
  (Unaudited)      10,674    35,192      7,333        (156)           708     1,531   (2,406)         3,289    116,560   172,725 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Consolidated 
  profit 
  for the year 
  to 
  31 December 
  2019                  -         -          -            -             -         -         -             -     18,919    18,919 
 Other 
  comprehensive 
  income/ 
  (expense)             -         -          -            -             -         -     2,961       (3,538)          -     (577) 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Total 
  comprehensive 
  income                -         -          -            -             -         -     2,961       (3,538)     18,919    18,342 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Share-based 
  payments              -         -      1,856            -          (59)         -         -             -          -     1,797 
 Share options 
  exercised            71     1,034        277            -             -         -         -             -          -     1,382 
 Shares 
  purchased 
  by EBT                -         -          -        (603)             -         -         -             -          -     (603) 
 Shares sold by 
  EBT                   -         -          -          600             -         -         -             -          -       600 
 Dividends paid         -         -          -            -             -         -         -             -    (3,008)   (3,008) 
                                                                                                                        -------- 
 At 31 December 
  2019 
  (Unaudited)      10,745    36,226      9,466        (159)           649     1,531       555         (249)    132,471   191,235 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 

(Note 5: See note 3 in the notes to the condensed consolidated financial statements)

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

 
                                                                          (Unaudited) 
                                                            (Unaudited)   Restated(5) 
                                                             Year ended    Year ended 
                                                                          31 December 
                                                         31 December 19            18 
                                                                GBP'000       GBP'000 
-------------------------------------------------------  --------------  ------------ 
Cash flows from operating activities 
Profit from operations                                           24,243        28,474 
Adjustments for: 
Depreciation                                                      3,154         3,180 
Amortisation - intellectual property rights                       1,683            81 
- software intangibles                                              519           593 
- development costs                                                 492           325 
Increase in inventories                                         (2,454)       (3,707) 
Increase in trade and other receivables                           (574)       (6,813) 
(Decrease)/increase in trade and other payables                 (1,275)         1,692 
Share-based payments expense                                      1,856         1,659 
Taxation                                                        (5,945)       (3,810) 
Net cash inflow from operating activities                        21,699        21,674 
-------------------------------------------------------  --------------  ------------ 
Cash flows from investing activities 
Purchase of software                                              (826)         (304) 
Capitalised research and development                            (2,355)       (1,392) 
Purchases of property, plant and equipment                      (2,673)       (3,062) 
Disposal of property, plant and equipment                             4            78 
Interest received                                                   422           377 
Acquisition of subsidiaries net of cash                        (24,145)             - 
Net cash used in investing activities                          (29,573)       (4,303) 
-------------------------------------------------------  --------------  ------------ 
Cash flows from financing activities 
Dividends paid                                                  (3,008)       (2,492) 
Repayment of principal under lease liabilities                    (925)         (858) 
Issue of equity shares                                            1,066           430 
Shares purchased by EBT                                           (603)         (600) 
Shares sold by EBT                                                  600           596 
Interest paid                                                     (709)         (581) 
Net cash used in financing activities                           (3,579)       (3,505) 
-------------------------------------------------------  --------------  ------------ 
Net (decrease)/increase in cash and cash equivalents           (11,453)        13,866 
Cash and cash equivalents at the beginning of the year           76,391        62,454 
Effect of foreign exchange rate changes                           (187)            71 
Cash and cash equivalents at the end of the year                 64,751        76,391 
-------------------------------------------------------  --------------  ------------ 
 

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 2867684). 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 2019 comprise the Company and its subsidiaries (together referred to as the "Group").

The Group is primarily involved in the design, development and manufacture of novel high-performance polymers (both natural and synthetic) for use in advanced woundcare dressings and materials, and medical adhesives and sutures for closing and sealing tissue, for sale into the global medical device market and dental market.

   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 2018 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. With the exception of IFRS 16 Leases, 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:

-- IFRIC 23 Uncertainty over Income Tax Treatments

-- Amendments to IFRS 9, Prepayment features with Negative Compensation

-- Amendments to IAS28, Long-term Interests in Associates and Joint ventures

-- Annual Improvements to IFRSs 2015-2017 cycle

While the financial information included in this preliminary announcement has been prepared in accordance with the recognition and measurement criteria of International Financial Reporting Standards (IFRSs), as adopted for use in the EU, 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 2020.

The financial information set out in the announcement does not constitute the Group's statutory accounts for the years ended 31 December 2019 or 31 December 2018. The financial information for the year ended 31 December 2018 is derived from the statutory accounts for that year, which have been delivered to the Registrar of Companies, but restated for the impact of IFRS 16 Leases. 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 2019 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 2018.

With regards to the Group's financial position, it had cash and cash equivalents at the 31 December 2019 of GBP64.8 million. In December 2018, the Group entered a five-year, unsecured, multi-currency, credit facility for GBP80 million and which was undrawn in 2019.

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. The Group has also considered the implications that may arise as a result of Brexit and developed appropriate risk management solutions to mitigate this risk.

Having taken the above into consideration 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

At the date of authorisation of the Annual Financial Statements, the following new and revised IFRSs that are potentially relevant to the Group, and which have not been applied in the Annual Financial Statements, were in issue but not yet effective (and in some cases had not yet been adopted by the EU):

-- Amendments to References to Conceptual Framework in IFRS Standards - effective for accounting periods beginning on or after 1 January 2020

-- Amendments to IFRS 3 - effective for accounting periods beginning on or after 1 January 2020

-- Amendments to IAS1 and IAS8 - effective for accounting periods beginning on or after 1 January 2020

-- IFRS 17 Insurance Contracts - effective for accounting periods beginning on or after 1 January 2021

The Directors do not expect that the adoption of the standards listed above will have a material impact on the Financial Statements of the Group in future periods.

   3.      Changes in accounting policies - IFRS 16 

From 1 January 2019, the Group has adopted IFRS 16 (Leases).

The Group is not party to any material leases where it acts as a lessor, but the Group does have a number of material property leases relating to operating sites as well as equipment and vehicle leases.

Details of the Group's accounting policies under IFRS 16 are set out below, followed by a description of the impact of adopting IFRS 16. Significant judgements applied in the adoption of IFRS 16 included determining the lease term for those leases with termination or extension options and determining an incremental borrowing rate where the rate implicit in a lease could not be readily determined.

Approach to transition

The Group has applied IFRS 16 using the full retrospective approach, with restatement of the comparative information. In respect of those leases the Group previously treated as operating leases, the Group has elected to measure its right of use assets arising from property leases using the approach set out in IFRS 16.C8(b)(i). Under IFRS 16.C8(b)(i) right of use assets are calculated as if the Standard applied at lease commencement but discounted using the borrowing rate at the date of initial application.

Financial impact

The application of IFRS 16 to leases previously classified as operating leases under IAS 17 resulted in the recognition of right-of-use assets and lease liabilities. Provisions for onerous lease contracts have been derecognised and operating lease incentives previously recognised as liabilities have been derecognised and factored into the measurement of the right-to-use assets and lease liabilities.

The Group has chosen to use the table below to set out the adjustments recognised at the date of initial application of IFRS 16.

 
                                   As previously                As restated 
                                        reported 
                                  At 31 December   Impact of   At 1 January 
                                            2018     IFRS 16           2019 
                                         GBP'000     GBP'000        GBP'000 
-------------------------------  ---------------  ----------  ------------- 
 Assets 
 Non-current assets 
 Property, plant and equipment            18,124       9,726         27,850 
 Deferred tax asset                          177          31            208 
-------------------------------  ---------------  ----------  ------------- 
 Total impact on assets                   18,301       9,757         28,058 
 
 Liabilities 
 Current liabilities 
 Lease liabilities                             -         976            976 
 
 Non-current liabilities 
 Lease liabilities                             -       9,055          9,055 
-------------------------------  ---------------  ----------  ------------- 
 Total impact on liabilities                   -      10,031         10,031 
 
 Retained earnings                       116,833       (273)        116,560 
-------------------------------  ---------------  ----------  ------------- 
 

Additional property, plant and equipment recognised at 31 December 2018 as part of the transition includes GBP9.0 million of Leasehold property, GBP0.5 million of Plant and machinery and GBP0.2 million of Motor vehicles.

In terms of the income statement impact, the application of IFRS 16 resulted in a decrease in other operating expenses and an increase in depreciation and interest expense compared to IAS 17. During the year ended 31 December 2019, in relation to leases under IFRS 16 the Group recognised the following amounts in the consolidated income statement:

 
                                Year ended    Year ended 
                               31 December   31 December 
                                      2019          2018 
                                   GBP'000       GBP'000 
----------------------------  ------------  ------------ 
 Depreciation                      (1,051)       (1,020) 
 Operating leases                    1,309         1,272 
 Finance cost                        (383)         (415) 
----------------------------  ------------  ------------ 
 Net impact on Group profit          (125)         (163) 
----------------------------  ------------  ------------ 
 

The table below presents a reconciliation from operating lease commitments disclosed at 31 December 2018 under IAS 17 to lease liabilities recognised at 1 January 2019 under IFRS 16.

 
                                               GBP'000 
                                               GBP'000 
--------------------------------------------  -------- 
 Operating lease commitments disclosed 
  under IAS 17 at 31 December 2018              15,181 
 Short-term and low value lease commitments 
  straight-line expensed under IFRS 16           (300) 
 Effect of discounting                         (2,775) 
 Effect of different rent calculations 
  between IAS 17 and IFRS 16                   (2,075) 
--------------------------------------------  -------- 
 Lease liabilities recognised at 1 January 
  2019                                          10,031 
--------------------------------------------  -------- 
 
   4.      Segment information 

As referred to in the Chief Executive's Report, 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. As announced in our annual financial statements for the year ended 31 December 2018, we have renamed our business units from Branded and OEM to Surgical and Woundcare respectively as we believe this better reflects that nature of the business. Comparative segment information has been restated to align with the new business unit structure.

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                        Surgical   Woundcare   Consolidated 
  31 December 2019 
  (unaudited) 
                                     GBP'000     GBP'000        GBP'000 
 --------------------------------  ---------  ----------  ------------- 
  Revenue 
  External sales                      56,544      45,824        102,368 
  Result 
 --------------------------------  ---------  ----------  ------------- 
  Adjusted segment operating 
   profit                             16,086      11,378         27,464 
  Amortisation of acquired 
   intangibles                       (1,675)         (8)        (1,683) 
  Segment operating 
   profit                             14,411      11,370         25,781 
  Unallocated expenses                                            (485) 
  Exceptional costs                                             (1,053) 
                                                          ------------- 
  Operating profit                                               24,243 
  Finance income                                                    406 
  Finance costs                                                   (392) 
 --------------------------------  ---------  ----------  ------------- 
  Profit before tax                                              24,257 
  Tax                                                           (5,338) 
 --------------------------------  ---------  ----------  ------------- 
  Profit for the year                                            18,919 
 --------------------------------  ---------  ----------  ------------- 
 
  At 31 December 2019               Surgical   Woundcare   Consolidated 
  (unaudited) 
  Other information                  GBP'000     GBP'000        GBP'000 
 --------------------------------  ---------  ----------  ------------- 
  Capital additions: 
  Software intangibles                   364         462            826 
  Development                          1,346       1,009          2,355 
  Property, plant and 
   equipment                           1,393       1,280          2,673 
  Depreciation and amortisation      (3,985)     (1,863)        (5,848) 
 --------------------------------  ---------  ----------  ------------- 
  Balance sheet 
  Assets 
  Segment assets                     160,241      66,354        226,595 
  Unallocated assets                                                387 
 --------------------------------  ---------  ---------- 
  Consolidated total 
   assets                                                       226,982 
 --------------------------------  ---------  ----------  ------------- 
  Liabilities 
  Segment liabilities                 21,647      14,100         35,747 
 --------------------------------  ---------  ----------  ------------- 
  Consolidated total 
   liabilities                                                   35,747 
 --------------------------------  ---------  ----------  ------------- 
 
  Year ended                        Surgical   Woundcare   Consolidated 
  31 December 2018 
  (unaudited) Restated (5)           GBP'000     GBP'000        GBP'000 
 --------------------------------  ---------  ----------  ------------- 
  Revenue 
  External sales                      57,113      45,485        102,598 
  Result 
 --------------------------------  ---------  ----------  ------------- 
  Adjusted segment operating 
   profit                             18,240      11,277         29,517 
  Amortisation of acquired 
   intangibles                          (76)         (5)           (81) 
  Segment operating profit            18,164      11,272         29,436 
  Unallocated expenses                                            (560) 
  Exceptional costs                                               (402) 
                                                          ------------- 
  Operating profit                                               28,474 
  Finance income                                                    378 
  Finance costs                                                   (581) 
 --------------------------------  ---------  ----------  ------------- 
  Profit before tax                                              28,271 
  Tax                                                           (5,784) 
 --------------------------------  ---------  ----------  ------------- 
  Profit for the year                                            22,487 
 --------------------------------  ---------  ----------  ------------- 
 
  At 31 December 2018               Surgical   Woundcare   Consolidated 
  (unaudited) Restated (5) 
 --------------------------------  ---------  ----------  ------------- 
  Other information                  GBP'000     GBP'000        GBP'000 
 --------------------------------  ---------  ----------  ------------- 
  Capital additions: 
  Software intangibles                   170         134            304 
  Development                            815         577          1,392 
  Property, plant and equipment        1,730       1,332          3,062 
  Depreciation and amortisation      (2,281)     (1,898)        (4,179) 
 --------------------------------  ---------  ----------  ------------- 
  Balance sheet 
  Assets 
  Segment assets                     137,208      67,492        204,700 
  Unallocated assets                                                519 
 --------------------------------  ---------  ---------- 
  Consolidated total assets                                     205,219 
 --------------------------------  ---------  ----------  ------------- 
  Liabilities 
  Segment liabilities                 19,349      13,145         32,494 
 --------------------------------  ---------  ----------  ------------- 
  Consolidated total liabilities                                 32,494 
 --------------------------------  ---------  ----------  ------------- 
 
 

Geographic segments

The Group operates in the UK, The Netherlands, Germany, the Czech Republic, with a sales office located in Russia, and a sales presence in the USA. As a result of the acquisition of Sealantis, the Group now has an office in Israel and as a result of the acquisition of Biomatlante the Group now operates in France. 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)    (Unaudited) 
  Year ended 31 December                          2019           2018 
                                               GBP'000        GBP'000 
-------------------------------------    -------------  ------------- 
 United Kingdom                                 20,151         18,447 
 Germany                                        20,018         19,416 
 Europe excluding United Kingdom 
  and Germany                                   23,476         23,987 
 United States of America                       34,879         37,317 
 Rest of World                                   3,844          3,431 
---------------------------------------  -------------  ------------- 
                                               102,368        102,598 
  -------------------------------------  -------------  ------------- 
 The following table provides an analysis of the Group's total 
  assets by geographical location: 
--------------------------------------------------------------------- 
                                           (Unaudited)    (Unaudited) 
   As at 31 December                              2019           2018 
                                               GBP'000        GBP'000 
-------------------------------------    -------------  ------------- 
 United Kingdom                                117,056        129,340 
 Germany                                        69,501         66,505 
 Europe excluding United Kingdom 
  and Germany                                   14,718          6,663 
 United States of America                        2,532          2,711 
 Israel                                         23,175              - 
-------------------------------------    -------------  ------------- 
                                               226,982        205,219 
  -------------------------------------  -------------  ------------- 
 
   5.      Profit from operations 
 
                                                                 (Unaudited) 
                                                   (Unaudited)      Restated 
 Year ended 31 December                                   2019          2018 
                                                       GBP'000       GBP'000 
-----------------------------------------------   ------------  ------------ 
 Profit from operations is arrived at after 
  charging: 
 Depreciation of property, plant and equipment           3,154         3,180 
 Amortisation of: 
 - acquired intellectual property rights                 1,683            81 
 - software intangibles                                    519           593 
 - development costs                                       492           325 
 Research and development costs expensed 
  to the income statement                                3,195         3,079 
 Cost of inventories recognised as expense              40,717        37,927 
 Write down of inventories expensed                        504           780 
 Staff costs                                            33,179        33,559 
 Net foreign exchange loss                               2,790            88 
------------------------------------------------  ------------  ------------ 
 
 
   6.      Taxation 
 
                                              (Unaudited)            (Unaudited) 
 Year ended 31 December                              2019                   2018 
                                                  GBP'000                GBP'000 
--------------------------------      -------------------  --------------------- 
 a) Analysis of charge for 
  the year 
 Current tax: 
 Tax on ordinary activities 
  - current year                                    5,195                  5,859 
 Tax on ordinary activities 
  - prior year                                          5                  (126) 
------------------------------------  -------------------  --------------------- 
                                                    5,200                  5,733 
 Deferred tax: 
 Tax on ordinary activities 
  - current year                                       61                    107 
 Tax on ordinary activities 
  - prior year                                         77                   (56) 
------------------------------------  -------------------  --------------------- 
                                                      138                     51 
    --------------------------------  -------------------  --------------------- 
 Tax charge for the year                            5,338                  5,784 
------------------------------------  -------------------  --------------------- 
 
 
                 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) 
                                              (Unaudited)               Restated 
 Year ended 31 December                              2019                   2018 
                                                  GBP'000                GBP'000 
--------------------------------      -------------------  --------------------- 
 b) Factors affecting tax 
  charge for the year 
 Profit before taxation                            24,257                 28,271 
------------------------------------  -------------------  --------------------- 
 Profit multiplied by the 
  weighted average Group tax 
  rate of 21.64% (2018: 21.08%)                     5,248                  5,960 
 Effects of: 
 Net expenses not deductible 
  for tax purposes and other 
  timing differences                                  246                     12 
 Patent Box Relief                                  (124)                  (318) 
 Utilisation of trading losses                       (26)                      - 
 Net impact of deferred tax 
  on capitalised development 
  costs and R&D relief                              (131)                    210 
 Share-based payments                                  43                    102 
 Adjustments in respect of 
  prior year - current tax                              5                  (126) 
 Adjustments in respect of 
  prior year and rate changes 
  - deferred tax                                       77                   (56) 
 Taxation                                           5,338                  5,784 
------------------------------------  -------------------  --------------------- 
 
   7.         Earnings per share 

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

 
                                                      (Unaudited)   (Unaudited) 
 Year ended 31 December                                      2019          2018 
 
   Number of shares                                          '000          '000 
---------------------------------------------------  ------------  ------------ 
 Weighted average number of ordinary shares 
  for the purposes of basic earnings per share            214,730       213,146 
---------------------------------------------------  ------------  ------------ 
 Effect of dilutive potential ordinary shares: 
  share options, deferred share bonus, LTIPs                2,107         2,911 
---------------------------------------------------  ------------  ------------ 
 Weighted average number of ordinary shares 
  for the purposes of diluted earnings per 
  share                                                   216,837       216,057 
---------------------------------------------------  ------------  ------------ 
 
 
                                                                    (Unaudited) 
                                                      (Unaudited)      Restated 
                                                             2019          2018 
                                                          GBP'000       GBP'000 
---------------------------------------------------  ------------  ------------ 
 Profit for the year attributable to equity 
  holders of the parent                                    18,919        22,487 
 Exceptional costs                                          1,053           402 
 Amortisation of acquired intangible assets                 1,683            81 
 Movement in fair value accounting for liabilities          (345)             - 
 Adjusted profit for the year attributable 
  to equity holders of the parent                          21,310        22,970 
---------------------------------------------------  ------------  ------------ 
 
 
                                                                    (Unaudited) 
                                                      (Unaudited)      Restated 
                                                             2019          2018 
                                                            pence         pence 
---------------------------------------------------  ------------  ------------ 
 Basic                                                       9.30         10.74 
 Diluted                                                     9.21         10.59 
 Adjusted basic                                              9.92         10.78 
 Adjusted diluted                                            9.83         10.63 
---------------------------------------------------  ------------  ------------ 
 
   8.      Acquisition of Sealantis 

On 31 January 2019 the Group acquired the entire issued share capital of Sealantis Limited, an Israel based developer of an alginate-based tissue adhesive technology platform.

 
                                      GBP'000 
-----------------------------------  -------- 
 Identifiable net assets acquired 
 Technology-based intangible asset     15,012 
 Property, plant and equipment             21 
 Other receivables                         59 
 Cash and cash equivalents                999 
 Trade and other payables               (804) 
 Deferred tax on Intangible asset     (2,402) 
 Grant liability                      (1,694) 
 Goodwill                               9,615 
 Total net assets acquired             20,806 
-----------------------------------  -------- 
 
 
 Satisfied by                GBP'000 
--------------------------  -------- 
 Cash consideration           19,407 
 Contingent consideration      1,399 
--------------------------  -------- 
                              20,806 
--------------------------  -------- 
 

Contingent consideration reflects the fair value of a royalty due to the sellers in each financial year up to 31st December 2027.

 
 Net cash flow on acquisition    GBP'000 
------------------------------  -------- 
 Cash consideration               19,407 
 Cash acquired                     (999) 
------------------------------  -------- 
                                  18,408 
------------------------------  -------- 
 

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

   9.      Acquisition of Biomatlante 

On 29 November 2019, the Group acquired the entire issued share capital of Biomatlante SA, a France based developer and manufacturer of innovative surgical biomaterial technologies.

 
                                                 GBP'000 
----------------------------------------------  -------- 
 Identifiable net assets acquired 
 Technology-based intangible asset (Know-how)      2,186 
 Technology-based intangible asset (Patents)         360 
 Customer related intangible assets                  426 
 Development costs                                    30 
 Property, Plant and Equipment                       167 
 Finance lease assets                                407 
 Inventory                                           682 
 Trade and other receivables                       1,471 
 Cash and cash equivalents                           135 
 Trade and other payables                        (1,441) 
 Loans and Borrowings                            (1,267) 
 Deferred tax on Intangible asset                  (742) 
 Lease liabilities                                 (430) 
 Goodwill                                          3,927 
 Total net assets acquired                         5,911 
----------------------------------------------  -------- 
 
 
 Satisfied by          GBP'000 
--------------------  -------- 
 Cash consideration      5,911 
--------------------  -------- 
 

The Group intends to settle Biomatlante's external borrowings increasing total cash outflow as a result of the acquisition to approximately GBP7 million.

 
 Net cash flow on acquisition          GBP'000 
------------------------------------  -------- 
 Cash consideration                      5,911 
 Completion payment - post year end       (39) 
 Cash acquired                           (135) 
------------------------------------  -------- 
                                         5,737 
------------------------------------  -------- 
 

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

   10.    Events after reporting period 

There has been no material event subsequent to the end of the reporting period ended 31 December 2019.

This information is provided by RNS, the news service of the London Stock Exchange. RNS is approved by the Financial Conduct Authority to act as a Primary Information Provider in the United Kingdom. Terms and conditions relating to the use and distribution of this information may apply. For further information, please contact rns@lseg.com or visit www.rns.com.

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