At the Group level, in constant currency, FY19 revenue was up around 3.5% and EBITDA was down around 1.5%. Noor hospitals to Mediclinic. The division continues to target an EBITDA margin of around 20%. Mediclinic is contracted with all major medical schemes in South Africa, allowing competitive rates to be negotiated. In, "I am encouraged by our operational progress this year, delivering on our strategic objectives. Ladies and gentlemen, thank you for standing by. Excluding the EBITDA impact of the Parkview Hospital, the EBITDA margin increased to around 14.0%. As previously reported, the Group adopted IFRS 15 "Revenue from Contracts with Customers", from, This announcement contains certain forward-looking statements relating to the business of the Company and its subsidiaries, including with respect to the progress, timing and completion of the Group's development; the Group's ability to treat, attract and retain patients and clients; its ability to engage consultants and general practitioners and to operate its business and increase referrals; the integration of prior acquisitions; the Group's estimates for future performance and its estimates regarding anticipated operating results; future revenue; capital requirements; shareholder structure; and financing. You will enjoy a host of benefits and services such as: We opened, "I am optimistic about our future and confident that we will make further progress against our strategic objectives in the next 12 months. MFN Tariff Applicable Preferential Tariffs 2501.00 Salt (including table salt and denatured salt) and pure sodium chloride, whether or not in aqueous solution or containing added anti-caking or free-flowing agents; sea water. Further disclosure will be provided with the Group's FY19 preliminary results on 23 May 2019. The increased tariffs shall come into operation on 1 July 2019 for all services except for water and electricity consumptions which will be levied on the new tariff with effect from the 1 August 2019 accounts. 084 124. Whilst most medical aids cover the hospitalisation for maternity in full, some impose limits (e.g. On a reported basis, FY19 revenue was up around 2.0% (FY18: Mediclinic maintains sufficient financing flexibility across the entire Group to fund continued investment in the business and incremental growth. Basic plan patients now represent 23% and 22% of the insurance mix in Abu Dhabi for inpatients and outpatients respectively (1H18: 35% and 31% respectively). Inpatient and outpatient volumes were up 5.2% and 2.0% respectively. A recent health reform proposal in South Africa proposes universal access to a comprehensive package of healthcare services in the public sector, through the implementation of a national health insurance (NHI) scheme. We opened Mediclinic Parkview Hospital in Dubai and several day case clinics in Switzerland and Southern Africa, and successfully integrated new investments across the Group. We took actions to improve Hirslanden’s performance, including accelerated cost-saving initiatives and the introduction of operational efficiencies. patients paying upfront for their surgery, may value predictable pricing. Issued January 1, 2019 CUSTOMS TARIFF - SCHEDULE Tariff Item SS Description of Goods Unit of Meas. In some cases, forward-looking statements can be identified by words such as "could", "should", "may", "expects", "aims", "targets", "anticipates", "believes", "intends", "estimates", or similar. Follow Us Scroll to Top. The September 1, 2019 tariffs on $112 billion of Chinese imports will increase product coverage to 68.5 percent of all US imports from China. The Group will adopt the new IFRS 16 accounting standard (addresses the definition of a lease, recognition and measurement of leases and establishes principles for reporting useful information to users of financial statements about the leasing activities of both lessees and lessors) from 1 April 2019. By Patrick Smith. By using this website, you agree to the use of cookies as outlined in our recently updated Privacy Notice. This will be reported with the results for the year ended, The Group will adopt the new IFRS 16 accounting standard (addresses the definition of a lease, recognition and measurement of leases and establishes principles for reporting useful information to users of financial statements about the leasing activities of both lessees and lessors) from, ** AED3 050m and 13.0% reflect the adjusted proforma FY18 revenue and EBITDA margin following the adoption of IFRS 15. At this time all participants are in a listen-only mode. Customs Tariff Files. T2019-4 Effective date: 2019-09-01. Dr Ronnie van der Merwe, group chief executive officer of Mediclinic, said revenue for the year to March 2019 in the Swiss-based Hirslanden was … Implementation of the scheme is likely to involve the introduction of a payroll tax. A loss of GBP5m related to the disposal of non-core businesses in Mediclinic Middle East was also recorded in the prior period. Issue date: 31 January 2019 EQUITY INSIGHTS Mediclinic International: Facing Regulatory Headwinds Mediclinic International Market Cap R 40bn Current Share Price R 54.25 52w High-Low Range R 52 - R 120.2 Forward PE 10.5x Forward DY 2.6% Financial Year End 31 March 2018 1 THE BUSINESS PAST AND PRESENT Mediclinic ran a successful South African (32% of group revenue) and Swiss (45% of … The EBITDA margin for FY19 was around 21.0% (FY18: 21.5%) with a continued focus on cost-management and efficiencies during a period of low volume growth. Adjusted earnings before interest, tax, depreciation and amortisation (EBITDA) decreased by 4% from £515 million to £493 million, while underlying margins declined from 17.9% to … The Group's non-IFRS measures are intended to remove from reported earnings volatility associated with defined one-off incomes and charges which were previously referred to as underlying. Mediclinic’s adjusted earnings for the year to March 2019 fell 10% from £221 million the previous year to £198 million. Issued January 1, 2019 CUSTOMS TARIFF - SCHEDULE Tariff Item SS Description of Goods Unit of Meas. At Mediclinic, we understand that private patients, i.e. As at 31 March 2019, Mediclinic comprised 77 hospitals, five sub-acute hospitals, 12 day case clinics and 21 outpatient clinics. The Group is providing the information in this announcement as of this date, and disclaims any intention to, and make no undertaking to, publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. On a reported basis, FY19 revenue was up around 2.0% (FY18: GBP2 870m) and EBITDA was down around 3.5% (FY18: GBP515m). We took actions to improve Hirslanden’s performance, including accelerated cost-saving initiatives and the introduction of operational efficiencies. 2019. In particular, the Group's expectations could be affected by, among other things, uncertainties involved in the integration of acquisitions or new developments; changes in legislation or the regulatory regime governing healthcare in, Mediclinic is an international private healthcare services group, established in, Mediclinic has a primary listing on the Main Market of the LSE in the, The information contained in this announcement is inside information. 6. editorial. Emergency number . 23 May 2019 MEDICLINIC INTERNATIONAL PLC ... regulatory changes related to outpatient tariff reductions and outmigration of care. These forward-looking statements are based largely on the Group's current expectations as of the date of this announcement and are subject to a number of known and unknown risks and uncertainties and other factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievement expressed or implied by these forward-looking statements. Hirslanden Home. In Mediclinic Middle East, FY19 revenue was up around 7.0% (FY18: AED3 050m**). In Mediclinic Southern Africa, FY19 revenue was up around 5.0% (FY18: ZAR15 106m) with a 0.6% increase in inpatient bed days and revenue per bed day increasing by 4.3%. Welcome to today’s Mediclinic International 2019 Full Year Results Presentation. Mediclinic’s share price was down 1.54% to R71.38 in morning trade on Thursday, having risen 18.71% so far in 2019. gernetzkyk@businesslive.co.za Regulated private health sector ‘needed for NHI’ This reflects the impact on revenue from outmigration and TARMED regulatory changes, partly offset by ongoing cost management and efficiency savings. All financial figures, unless explicitly stated, are adjusted*, reported under the IAS 17 accounting standard and compared with the Group's results for the year ended 31 March 2018 ("FY18"). Mediclinic will bill you in accordance with rates agreed with your scheme and will also submit your claim on your behalf. 2 Min Read. Registered address: 6th Floor, 65 Gresham Street, London, EC2V 7NQ, United Kingdom, Corporate broker: Morgan Stanley & Co International plc and UBS Investment Bank, JSE sponsor: Rand Merchant Bank (A division of FirstRand Bank Ltd), NSX sponsor: Simonis Storm Securities (Pty) Ltd. Mediclinic, which was founded in South Africa in 1983, runs 78 hospitals, five sub-acute hospitals, 13 day case clinics and 22 outpatient clinics. The information contained in this announcement is inside information. Emergency number . The average foreign exchange rates for FY19 were GBP/CHF 1.30, GBP/ZAR 18.01 and GBP/AED 4.82 (FY18: 1.29, 17.22 and 4.87 respectively). In addition, the growth in outpatient volumes was offset by the significant national outpatient tariff ("TARMED") reductions effective from 1 January 2018. We executed against our growth strategy with investments across the continuum of care in all regions. Mediclinic International posted a 4% fall in its full-year adjusted earnings, in line with expectations, due to a changing regulatory environment in Switzerland, the location of its Hirslanden hospital group. A gradual improvement in the EBITDA margin is expected in FY20 to around 14% incorporating the ramp up of the Parkview Hospital and investment in the hospital expansion and new cancer centre at Mediclinic Airport Road Hospital, which is scheduled to open in the first half of calendar year 2020. Adapting our business to the changing global healthcare environment is a priority and to this end further selective expansion and upgrade investments will be made across the Group. In 2019, the Competition Tribunal prohibited the merger between Mediclinic Southern Africa and Matlosana in the North West province, saying it would result in higher tariffs for the hospitals that would be acquired, among other reasons. This announcement contains certain forward-looking statements relating to the business of the Company and its subsidiaries, including with respect to the progress, timing and completion of the Group's development; the Group's ability to treat, attract and retain patients and clients; its ability to engage consultants and general practitioners and to operate its business and increase referrals; the integration of prior acquisitions; the Group's estimates for future performance and its estimates regarding anticipated operating results; future revenue; capital requirements; shareholder structure; and financing. TARIFF INFORMATION 1.1 General. Over the course of the last 18 months, all Swiss hospital operators have been affected by rapidly implemented regulatory changes related to outpatient tariff reductions and outmigration of care. The anticipated cost management and efficiency savings are likely to be more than offset by reductions in tariffs and the operational effects of outmigration, with the FY20 EBITDA margin expected to be around 15%. This process has gradually occurred in Cantons across Switzerland for the past 18-24 months, despite official national implementation from 1 January 2019. Mediclinic’s turnover for the financial year ended 31 March 2019 increased by 2% to £2 932 million (2018: £2 876 million). In particular, the Group's expectations could be affected by, among other things, uncertainties involved in the integration of acquisitions or new developments; changes in legislation or the regulatory regime governing healthcare in Switzerland, South Africa, Namibia and the United Arab Emirates; poor performance by healthcare practitioners who practise at its facilities; unexpected regulatory actions or suspensions; competition in general; the impact of global economic changes; and the Group's ability to obtain or maintain accreditation or approval for its facilities or service lines. About the Customs Tariff. Mediclinic International plc, the international private healthcare services group, provides the following trading update ahead of the publication of the Group's results for the year ended 31 March 2019 ("FY19") on 23 May 2019. There will be a presentation followed by a In the financial year ending 31 March 2020 ("FY20"), Hirslanden expects modest revenue growth from an increase in average bed capacity for the year, reflecting the continued integration of Clinique des Grangettes. In Switzerland, Hirslanden's performance in the second half of the year was as guided, resulting in a full year EBITDA margin of around 16%. Customs Tariff - 2020; Archives; If you have a problem accessing the below Tariff files, refer to our Document Formats page. We took actions to improve Hirslanden’s performance, including accelerated cost-saving initiatives and the introduction of operational efficiencies. The Mediclinic Parkview Hospital in Dubai was successfully opened in September 2018 and has performed well. If you find errors or omissions in those files, or continue to have difficulty opening them, report the problem. 30/09/2019; NETCARE, MEDICLINIC & LIFE MONOPOLY BLOCKING POSSIBLE COMPETITORS – INQUIRY; EYEWITNESS NEWS The Competition Commission said three main private hospital groups - Netcare, Mediclinic and Life - made it difficult for newcomers and fringe-players to grow and to compete on merit. Mediclinic’s turnover for the financial year ended 31 March 2019 increased by 2% to £2 932 million (2018: £2 876 million). We executed against our growth strategy with investments across the continuum of care in all regions. (Tariff Negotiations, Establishing provider network relationships and managing claims experience) In-Hospital Renal Replacment Therapies. At this time all participants are in a listen-only mode. Mediclinic maintains sufficient financing flexibility across the entire Group to fund continued investment in the business and incremental growth. (Incorporated in England and Wales) Despite a lack of tariff increases in both 2018 and 2019 in the region, Mediclinic still expects continued growth in underlying revenue and the Ebitda margin. "I am encouraged by our operational progress this year, delivering on our strategic objectives. * The Group uses adjusted income statement reporting as non-IFRS measures in evaluating performance and as a method to provide shareholders with clear and consistent reporting. In line with the Group's strategic objectives and a continued focus on improving clinical quality and patient experience, further investment will be made in staff and information communication technology during FY20. Company Number: 08338604 Mediclinic 2019 Full Year Results Presentation Thursday, 23rd May 2019 2 Operator: Welcome to your conference call. Over the medium term, and assuming no further regulatory changes are implemented, the operating … Adjusted earnings per share is expected to be around 27p pence (FY18: 30.0 pence). Hirslanden delivered on its revised full year guidance with revenue up around 2.5% (FY18: CHF1 735m). This will be reported with the results for the year ended 31 March 2019. And the 10 percent tariffs on another $160 billion of new products on December 15 will result in 96.8 percent of US imports from China being affected by Trump’s extra tariffs. In FY20, Mediclinic Southern Africa expects volume growth of around 1% supported by the additional capacity from the Intercare day case clinics that were consolidated from December 2018. Follow Us Scroll to Top. ** AED3 050m and 13.0% reflect the adjusted proforma FY18 revenue and EBITDA margin following the adoption of IFRS 15. The information on which this trading update is based represents the Group's latest financial estimates and has not been reviewed and reported on by Mediclinic's external auditors. Spire reported a challenging full year financial performance to 31 December 2018, reflecting an unprecedented decline in NHS revenue and planned cost increases in clinical staff and other costs associated with Spire's drive to enhance clinical quality and patient safety. Mediclinic Southern Africa would like to ensure that our patients experience the best possible care within our facilities. 1.1.1 Tariffs charged by Mediclinic hospitals are negotiated between Mediclinic and your medical scheme annually. Please find some useful information to ensure a … Mediclinic has a primary listing on the Main Market of the LSE in the United Kingdom, with secondary listings on the JSE in South Africa and the NSX in Namibia. Under the current regulatory environment, Hirslanden will be impacted by a further nine months' effect in FY20 from the national outmigration care programme that was implemented from 1 January 2019. Hirslanden Home. In line with the requirements of IFRS, the Group performs an annual review of the carrying value for tangible and intangible assets. As these plans started to take effect, they moderated the financial impact of the regulatory changes in the second half of the year, with Hirslanden delivering a 16% EBITDA margin for the full year, in line with guidance. We will also seek to make further improvements to our clinical performance and value-based care capabilities, which includes the appointment of additional clinical directors at hospitals in Southern Africa, the roll out of an Electronic Health Record system in the Middle East and execution of the Hirslanden 2020 strategic programme in Switzerland.". Hirslanden's outpatient revenue, which is 19% of the division's total revenue, was up around 7.0%. 2019 Full Year Results. We will also seek to make further improvements to our clinical performance and value-based care capabilities, which includes the appointment of additional clinical directors at hospitals in, The revenue contribution in FY19 from Klinik Linde (consolidated, The revenue contribution in FY19 from the majority investment in the Intercare group of four day case clinics, four sub-acute hospitals and one specialist hospital since the, The EBITDA margin for FY19 was around 13.0% (FY18: 13.0%**), including the start-up costs associated with the, Mediclinic has a 29.9% investment in Spire Healthcare Group plc (". Please communicate directly with the patient’s medical aid scheme for the applicable tariffs prior to admission. Mediclinic is currently investigating further expansion in Switzerland via a collaboration with Medbase, the largest primary healthcare specialist in the country. Every year, thousands of expectant mothers choose Mediclinic for their prenatal care and the birth of their baby. Our team of professionals will do everything they can to ensure that you have the best possible experience with us. Its core purpose is to enhance the quality of life of patients by providing acute care, specialist-orientated, multi-disciplinary healthcare services. While reported revenue in FY18 will not be re-stated, revenue growth guidance reflected the proforma net revenue in FY18. The changes had pushed Mediclinic's earnings down by 4% in the year to the end of March 2019. 084 124. 1.1.2 A copy of your account in the format as agreed upon with your medical scheme will be made available to you on request. Mediclinic also holds a 29.9% interest in Spire Healthcare Group plc, an LSE-listed and UK-based private healthcare group. THIS ANNOUNCEMENT CONTAINS INSIDE INFORMATION. Any potential impairment charge will be non-cash and excluded from the adjusted earnings metrics. Mediclinic 2019 Full Year Results Presentation Thursday, 23rd May 2019 2 Operator: Welcome to your conference call. Over the course of the last 18 months, all Swiss hospital operators have been affected by rapidly implemented regulatory changes related to outpatient tariff reductions and outmigration of care. LSE Share Code: MDC, ("Mediclinic", the "Company" or the "Group"). No, Mediclinic has selected a number of scope procedures that the private fixed fee tariff model is also applicable to. Executive Committee Member National Renal Care Jan 2018 - Present 2 years 11 months. In 2019, the Competition Tribunal prohibited the merger between Mediclinic Southern Africa and Matlosana in the North West province, saying it would result in higher tariffs for the hospitals that would be acquired, among other reasons. Quick Links. We know how important expert information is to expectant parents at every stage of pregnancy and we are excited invite you to join the Mediclinic Baby programme. 30/09/2019 ‘BREEK NETCARE, MEDICLINIC SE MAG,’ VRA ONDERSOEK; NETWERK 24 Die drie hospitaalgroepe Netcare, Mediclinic en Life oorheers dié bedryf en kry individueel en gesamentlik wesenlike winste elke jaar wat dit moeilik maak vir ander om mee te ding in die mark. In light of these risks and uncertainties, there can be no assurance that the forward-looking statements made in this announcement will in fact be realised and no representation or warranty is given as to the completeness or accuracy of the forward-looking statements contained in this announcement. However, the company left its guidance unchanged.-- Mehrdad Yousefi (@MY21_Oracle) May 23, 2019 The website uses cookies to provide necessary site functionality and improve your online experience. In some cases, forward-looking statements can be identified by words such as "could", "should", "may", "expects", "aims", "targets", "anticipates", "believes", "intends", "estimates", or similar. Mediclinic's FY19 equity accounted share of profit from Spire was £2.7m (FY18: £2.8m) after adjusting for the amortisation of intangible assets recognised in the notional purchase price allocation of the equity investment. The EBITDA margin for FY19 was around 13.0% (FY18: 13.0%**), including the start-up costs associated with the Parkview Hospital. In Abu Dhabi, Thiqa and Enhanced insurance volumes increased during the year by 14% and 10% for inpatients and outpatients respectively, while Basic insurance volumes continued to reduce. Mediclinic Baby is an exclusive programme that supports parents with pre and postnatal pregnancy care. The investment in Spire is accounted for on an equity basis recognising the reported profit of £11.3m for Spire's financial year ended 31 December 2018 (year ended 31 December 2017: £16.8m). The revenue contribution in FY19 from Klinik Linde (consolidated 1 July 2017) and Clinique des Grangettes (consolidated 1 October 2018) was around CHF127m (FY18: CHF52m). In addition, even if the Group's actual results or development are consistent with the forward-looking statements contained in this announcement, those results or developments may not be indicative of the Group's results or developments in the future. The website uses cookies to provide necessary site functionality and improve your online experience. Customs Tariff 2019. The revenue contribution in FY19 from the majority investment in the Intercare group of four day case clinics, four sub-acute hospitals and one specialist hospital since the 1 December 2018 was around ZAR60m (FY18: nil). Mediclinic Southern Africa operates a range of multi-disciplinary acute care private hospitals in South Africa and Namibia and focuses on providing value to our patients through safe, quality care in a patient friendly environment. Ladies and gentlemen, thank you for standing by. MFN Tariff Applicable Preferential Tariffs 20.01 Vegetables, fruit, nuts and other edible parts of plants, prepared or preserved by vinegar or acetic acid. May 23 (Reuters) - Mediclinic … Hirslanden operated 18 hospitals, two day case clinics and three outpatient clinics in Switzerland with more than 1 800 inpatient beds; Mediclinic Southern Africa operated 49 hospitals, five sub-acute hospitals and eight day case clinics across South Africa and three hospitals in Namibia with more than 8 500 inpatient beds; and Mediclinic Middle East operated seven hospitals, two day case clinics and 18 outpatient clinics with more than 900 inpatient beds in the United Arab Emirates. We took actions to improve Hirslanden’s performance, including accelerated cost-saving initiatives and the introduction of operational These forward-looking statements are based largely on the Group's current expectations as of the date of this announcement and are subject to a number of known and unknown risks and uncertainties and other factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievement expressed or implied by these forward-looking statements. Lower tariff Basic volumes over the same period declined 35% and 32% for inpatients and outpatients respectively. BRIEF-Mediclinic's Swiss Hospital Operators Have Been Affected By Outpatient Tariff Reductions . In addition, even if the Group's actual results or development are consistent with the forward-looking statements contained in this announcement, those results or developments may not be indicative of the Group's results or developments in the future. In Switzerland, an amendment to the financing agreement was entered into in March 2019 re-calibrating the covenants to reflect the impact of regulatory changes on the profitability of the business. Quick Links. Mediclinic has a 29.9% investment in Spire Healthcare Group plc ("Spire"). Investor Relations, Mediclinic International plc. Mediclinic Southern Africa operates a range of multi-disciplinary acute care private hospitals in South Africa and Namibia and focuses on providing value to our patients through safe, quality care in a patient friendly environment. Whether you deliver in Dubai, Abu Dhabi or Al Ain, Mediclinic offers you exactly the same standard of high quality, personalised service, from the moment you find out you are pregnant, to the time you leave the hospital with your baby in your arms, and beyond. 8. "I am optimistic about our future and confident that we will make further progress against our strategic objectives in the next 12 months. If you have any queries on this, then please contact Jayne Meacham at Link Company Matters Ltd, the Company Secretary for Mediclinic and the person responsible for arranging the release of this announcement, at 6th Floor, 65 Gresham Street, London EC2V 7NQ or +44 (0)20 7954 9600. Operating profit was down 71% to GBP39m (1H18: GBP133m), reflecting non-cash impairment charges on Hirslanden properties of GBP43m and trade names of GBP55m. Hirslanden's financial performance during the year reflects the impact of the outmigration of identified clinical treatments transferring from an inpatient to an outpatient tariff. Title: MARKET INQUIRY SUGGESTS SUPPLY SIDE REGULATOR, TARIFF SETTING NEEDED IN HEALTH SECTOR: Date: 2019-09-30: Link: market-inquiry-suggests-supply-side-regulator-tariff-setting- IFRS 15 has implications for Mediclinic Middle East where certain operating expenses will be reclassified to revenue. The segment is set for revenue growth of around 10% in its new financial year, Mediclinic said, with the Ebitda margin guided to improve to 14% from 13%. The AfricA reporT A Groupe Jeune Afrique publication. Commenting today, Dr Ronnie van der Merwe, Group Chief Executive Officer, said: "Our Group results for the 2019 financial year were in line with market expectations in a challenging healthcare environment. 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