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REG - Adv Medical Solutns. - Interim Results

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RNS Number : 9881M  Advanced Medical Solutions Grp PLC  20 September 2023

     20 September 2023

 

 

Advanced Medical Solutions Group plc

("AMS" or the "Group")

 
Interim Results for the six months ended 30 June 2023

 

 

Winsford, UK, 20 September 2023: Advanced Medical Solutions Group plc (AIM:
AMS), the world-leading specialist in tissue-healing technologies, today
announces its unaudited interim results for the six months ended 30 June 2023
(the "Period").

 

Financial Highlights:

 

                                            H1     H1     Reported change  Change at constant currency¹

                                            2023   2022
 Revenue (£ million)                        63.1   58.3   +8%              +5%
 Adjusted Measures
 Adjusted² profit before tax (£ million)    13.8   13.6   +1%
 Adjusted² profit before tax margin %       21.8%  23.4%  -1.6pp
 Adjusted² diluted earnings per share (p)   4.97   5.01   -1%

 Reported Measures
 Profit before tax (£ million)              11.8   12.3   -5%
 Profit before tax margin %                 18.7%  21.2%  -2.5pp
 Diluted earnings per share (p)             4.06   4.42   -8%
 Net operating cash flow (£ million)        4.1    12.5   -67%
 Net cash(3) (£ million)                    69.1   75.3   -8%

 Interim dividend per share (p)             0.70p  0.64p  +10%

 

 

Business Highlights (including post period end):

 

The Group made significant progress in a number of key projects during the
period which are expected to establish substantial, new commercial
opportunities in the short to medium term. As previously highlighted, the
results were impacted by the temporary de-stocking impact of the US
LiquiBand(®) strategic growth initiative but included strong growth in other
parts of the business.

 

Financial

 

·      Revenue increased by 8% to £63.1 million (2022 H1: £58.3
million) driven by growth in non-US markets, which averaged 20% against the
first half of last year

 

·      Gross margins reduced to 56.5% (2022 H1: 58.9%) due to temporary
adverse product mix

 

·      Total investment in R&D increased to £6.0 million (2022 H1:
£5.4 million), representing 9.5% (2022 H1: 9.3%) of revenue, as progress was
made on key projects including new product development and Medical Device
Regulation ("MDR")

 

·      The Group reports a 1% increase in adjusted profit before tax to
£13.8 million (2022 H1: £13.6 million) with adjusted profit before tax
margin of 21.8% (2022 H1: 23.4%)

 

·      Net cash decreased to £69.1 million from a 2022 year-end
position of £82.3 million (2022 H1: £75.3 million) following the acquisition
of Connexicon Medical Ltd ("Connexicon") in February

 

 

·      Surgical Business Unit revenues increased to £39.4 million (2022
H1: £35.9 million), an increase of 5% at constant currency

 

·      Woundcare Business Unit revenues increased to £23.7 million
(2022 H1: £22.4 million), an increase of 4% at constant currency

 

·      Given the Group's strong net cash position and reflecting the
Board's continued confidence in the future, the proposed interim dividend is
increased to 0.70p per share (2022 H1: 0.64p)

 

Operational

 

·      Good progress towards establishing new US LiquiBand(®)
distribution agreements with hospital partners and executing new
route-to-market strategy. As previously reported, associated destocking was
greater than expected but end-user sales were unaffected and the Board remains
confident that this initiative will achieve its objective of creating the
foundation for accelerated growth for LiquiBand(®) in the US

 

·      Acquisition of Connexicon completed, adding to the Group's
ability to develop and commercialise innovative adhesive and sealant
technologies and to offer the increased differentiation and exclusivity sought
by our US partners. Integration is going well, financial performance is in
line with initial expectations and its pipeline approvals are progressing well

 

·      Recruitment of the Seal-G(®) and Seal-G(®) MIST human clinical
trials completed in July 2023 with data to be made available for a European
soft launch in H2 2023. Initial data shows significant reduction in leakage
rates in cases using Seal-G(®)

 

 Post Period End

 

·      Announced 18 September, the Group has signed a US
LiquiBandFix8(®) commercialisation agreement with TELA Bio Inc ("TELA Bio")
ahead of a September launch under the brand name LIQUIFIX(TM), entering a new
$200 million addressable market with a unique, differentiated product

 

·      The Group can confirm very good progress has been made with all
the new US LiquiBand(®) distribution agreements and is highly confident that
the new route-to-market strategy will be fully operational and driving
accelerated growth by the end of 2023

Commenting on the interim results, Chris Meredith, Chief Executive Officer of
AMS, said: "I'm pleased to report first half growth at Group level driven by
our diverse portfolio of products, despite the short-term disruption to US
LiquiBand(®) sales and the changes to the Organogenesis royalty stream. This
demonstrates the increasing strength of our existing portfolio which will play
a big part in generating and sustaining stronger growth in the future. I am
particularly excited at the breadth of opportunities now open to us as a
number of new initiatives and product launches, such as LIQUIFIX(TM) in the US
and Seal-G(®) in Europe, come into effect this year. With so many potential
growth drivers in place, I remain confident that we will see accelerated
growth from 2024."

- End -

 

Notes

1    Constant currency adjusts for the effect of currency movements by
re-translating the current period's performance at the previous period's
exchange rates

2     Adjusted profit before tax is shown before amortisation of acquired
intangible assets which, in 2023 H1, were £2.4 million (2022 H1: £1.6
million) and a £0.4 million credit for movement in long-term acquisition
liabilities (2022 H1: credit of £0.3 million) as defined in the financial
review. Adjusted operating margin is shown before amortisation of acquired
intangible assets.

3     Net cash consists of cash and cash equivalents with nil debt (2022
H1 and YE: £nil debt)

 

 

 

 

 

 

 

For further information, please contact:

 

 Advanced Medical Solutions Group plc            Tel: +44 (0) 1606 545508
 Chris Meredith, Chief Executive Officer

 Eddie Johnson, Chief Financial Officer

 Michael King, Investor Relations Manager

 ICR Consilium                                   Tel: +44 (0) 20 3709 5700
 Matthew Neal / Lucy Featherstone

 Investec Bank plc (NOMAD) & Broker              Tel: +44 (0) 20 7597 5970
 Gary Clarence / David Anderson

 HSBC Bank PLC (Broker)                          Tel: +44 (0) 20 7991 8888
 Sam McLennan / Joe Weaving / Stephanie Cornish

 

 

About Advanced Medical Solutions Group plc

 

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

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

 

 

Chief Executive's Review

 

Surgical Business Unit

 

The Surgical Business Unit includes tissue adhesives, sutures, biosurgical
devices and internal fixation devices marketed under the AMS brands
LiquiBand(®), RESORBA(®), LiquiBandFix8(®) and LIQUIFIX(TM). Revenue
increased by 10% on a reported basis and 5% on a constant currency basis in
the Period to £39.4 million (2022 H1: £35.9 million).

 

 Surgical Business Unit          2023 H1      2022 H1      Reported Growth  Growth at constant currency

                                 £ million    £ million
 Advanced Closure                17.0         17.9         -5%              -8%
 Internal Fixation and Sealants  2.2          1.6          31%              27%
 Traditional Closure             9.4          8.0          18%              12%
 Biosurgical Devices             8.3          7.7          7%               3%
 Other Distributed Products      2.5          0.7          267%             252%
 TOTAL                           39.4         35.9         10%              5%

 

Advanced Closure

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

 

 Advanced Closure  2023 H1      2022 H1 £ million   Reported Growth  Growth at constant currency

                   £ million
 Americas          9.2          12.0                -23%             -27%
 UK/Germany        4.0          3.4                 16%              15%
 ROW               3.8          2.5                 53%              52%
 TOTAL             17.0         17.9                -5%              -8%

 

LiquiBand(®) revenues reduced by 5% to £17.0 million (2022 H1: £17.9
million) due to the previously announced disrupted ordering patterns and
de-stocking during the Period that has occurred during the transition to our
new, previously reported, strategic initiative to accelerate US LiquiBand(®)
growth. However, this was offset by strong growth in non-US markets.

 

As part of its enhanced partner strategy in the US, the Group continues to
have positive discussions with its partners and has made good progress with
new agreements aimed at delivering stronger growth from early 2024 onwards.
This process has taken longer and associated destocking has been greater than
initially anticipated, as indicated in the 4 September trading update.
Expectations for FY 2024 remain unchanged.

 

The Group confirms that since the end of the Period, very good progress has
been made with all US LiquiBand(®) distribution agreements and that it is
highly confident that the new route-to-market strategy will be fully
operational and driving accelerated growth by the end of 2023.

 

The destocking has not affected LiquiBand(®) end sales demand and the
pipeline of evaluations and conversions for LiquiBand(®) XL continues to grow
strongly. As such the Board's expectations for LiquiBand(®) growth remain
high, both short and long term and LiquiBand(®) sales forecasts for 2024 and
future years remain unchanged.

 

The acquisition of Connexicon was completed in February and integration of the
business is progressing well with its existing portfolio continuing to grow in
European and ROW territories. It is also being positioned to obtain approval
in China, which would be AMS' first tissue adhesive approval in this very
large market. In addition, the development and approval of its new US
portfolio, to support the enhanced partner strategy, is progressing well with
510(k) approvals on track for H2 2024.

 

Internal Fixation and Sealants

LiquiBandFix8(®) is used to fix hernia meshes placed inside the body with
accurately delivered individual drops of cyanoacrylate adhesive, instead of
traditional tacks and staples. Revenues increased by 31% on a reported basis
to £2.2 million (2022 H1: £1.6 million) and 27% on a constant currency basis
due to good commercial progress, increasing volumes of hernia surgery and the
annualised impact of the acquisition of AFS Medical ("AFS").

 

Following the PMA approval for LiquiBandFix8(®) in June 2023, and the earlier
completion of a 284-patient US clinical study, AMS announced on 18 September
an agreement for TELA Bio to market and distribute LiquiBandFix8(®) across
the United States under the brand name LIQUIFIX(TM). The signing of this
agreement successfully concludes a comprehensive selection process involving a
number of potential partners with a broad range of strengths and marketing
strategies. During this process, it became clear that TELA Bio brings the
right combination of strengths and attributes, with a vision and ambition that
is closely aligned with and complements AMS' strategy and aspirations. TELA
Bio is a specialist medical technology company that designs, develops and
markets innovative tissue reinforcement materials to address unmet needs in
soft tissue reconstruction. It has an established and fast-growing footprint
in the US market with products that focus on addressing the shortcomings of
existing reinforcement materials in hernia repair, abdominal wall
reconstruction and plastic reconstructive surgery.

 

TELA Bio's specialist representative sales force are now undergoing training
ahead of launch in September 2023 at the American Hernia Society Annual
Meeting. As the first product of its kind in the US, its less invasive
application is expected to reduce pain and other post-operative complications
and to provide tangible benefits to patients and payors. This represents a
significant commercial opportunity for AMS as it enters a new addressable
market estimated at $200 million.

 

Seal-G(®) MIST (laparoscopic surgery) and Seal-G(®) (open surgery) are
novel, internal, biological sealants used to seal tissue during
gastrointestinal surgery to reduce leakage of fluid. Enrolment for the first
Seal-G(®) clinical study, comprising 160 patients, was successfully completed
in July 2023 and a small number of end-user commercial orders have been
received for devices ahead of the European soft launch in Q4 2023 that will
utilise data from the study. An initial analysis of the data indicates a
significant reduction in the number of serious clinical leaks that required
re-operation. Although not a randomised controlled trial, the Seal-G(®) study
reported serious leakages of only 1.25% which is significantly lower than the
4.2% - 4.7% leakage rate reported in DICA (Diverticular Inflammation and
Complication) data and in published studies.

 

Planning and study design for follow-on clinical trials is progressing well as
AMS assesses the optimum pathway to build evidence for both colon and other
surgical procedures whilst giving consideration to our medium-term goal of
Pre-Market Approval in the large and lucrative US market.

 

Traditional Closure

RESORBA(®) branded Absorbable and Non-absorbable Suture ranges are used in
general surgery and a wide range of surgical specialties including dental and
ophthalmic surgery. Revenue increased by 18% to £9.4 million and by 12% at
constant currency (2022 H1: £8.0 million) with a steady performance from its
more established European markets. The Group's ongoing strategy to increase
its penetration of other geographies also drove growth, such as in the US,
where increasing dental suture sales made a significant contribution to
Traditional Closure growth.

 

Biosurgical Devices

The Biosurgical Devices category comprises antibiotic-loaded collagen sponges,
collagen membranes and cones, oxidised cellulose, synthetic bone substitutes
and bio-absorbable screws. Revenue increased by 7% to £8.3 million (2022 H1:
£7.7 million) and by 3% at constant currency.

 

End user demand for AMS' collagens remains strong but timing of orders and
despatches resulted in uneven phasing with stronger revenues and growth
anticipated in the second half of 2023. AMS remains confident in the growth
potential of its innovative Biosurgical portfolio via its specialist partner
network as it continues to expand its distribution network into new
territories.

 

The Group's strategy to market Biomatlante's bone substitutes under the
RESORBA(®) brand continues to progress well with growth in an increasing
number of European countries in the Period and the initial pilot US launch via
an independent rep model in the second half of 2023.

 

Other Distributed Products

The Other Distributed category comprises products distributed by AFS,
including minimally invasive access ports and laparoscopic instruments,
following its acquisition in April 2022. This category excludes sales of
LiquiBandFix8(®) which are recorded within the Internal Fixation and Sealants
category. Predominantly driven by annualisation, revenue increased by 267% on
a reported basis and 252% on a constant currency basis to £2.5 million (2022
H1 £0.7 million).

 

Plymouth facility expansion

The construction phase of the Plymouth facility expansion is now largely
complete, significantly increasing the manufacturing capacity for Seal-G,
Fix8(®) and LiquiBand(®) and providing additional R&D laboratory space.

 

Woundcare Business Unit

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

The Woundcare Business Unit delivered growth in the Period, due to higher
ordering from OEM partners and increased sales of ActivHeal(®) overseas.
Revenue increased by 6% in the Period to £23.7 million (2022 H1: £22.4
million) and by 4% on a constant currency basis.

 Woundcare Business Unit  2023 H1      2022 H1      Reported Growth  Growth at constant currency

                          £ million    £ million
 Infection Management     7.7          7.2          8%               5%
 Exudate Management       12.2         11.1         10%              8%
 Other Woundcare          3.8          4.1          -8%              -11%
 TOTAL                    23.7         22.4         6%               4%

 

Infection and Exudate Management

Infection Management revenue increased by 8% on a reported basis and by 5% on
a constant currency basis to £7.7 million (2022 H1: £7.2 million) and
Exudate Management revenue increased by 10% on a reported and 8% on a constant
currency basis to £12.2 million (2022 H1: £11.1 million).

 

Key initiatives driving growth in the Period and expected to drive future
growth include:

·      Expanding the distribution network for our own ActivHeal(®)
range of dressings as newly signed distributors and new market registrations
make an impact. The Group expects ActivHeal(®) to continue to be a key
contributor to Woundcare growth in future periods.

·      Commercial success with Raleigh's pipeline of new products of
special medical materials.

 

Other Woundcare

Other Woundcare comprises royalties, fees and woundcare sealants. Revenue
reduced by 8% at reported currency and by 11% at constant currency to £3.8
million (2022 H1: £4.1 million) as a result of lower royalty income from the
Group's licensing arrangement with Organogenesis.

 

As announced on 4 September, Organogenesis has recently indicated that changes
to US reimbursement coverage have created uncertainty regarding the revenue
outlook for some of its key products, including those utilising AMS patents.
Given that Organogenesis withdrew its own guidance and that AMS has no control
of, and minimal insight into its sales, AMS removed this royalty in its
entirety from Q4 2023 guidance onwards.

 

Regulatory

AMS continues to make good progress in meeting the requirements for the new
Medical Devices Regulation (MDR) and is well placed to obtain certifications
for all its products well before the extended 2027/2028 deadlines.

 

Supply chain and inflation

AMS continues to take proactive steps to address the ongoing global supply
chain challenges and has continued to increase inventory levels during the
Period while setting up alternative suppliers where feasible. As a result,
shortages of material have not had a significant impact on the Group's ability
to supply products to its customers.

 

Inflationary pressures continue in some areas but the Group continues to
strive to recover a significant proportion of this impact from its customers
through price review negotiations.

 

Board changes

As part of the ongoing plan to refresh the Non-Executive Directors, given that
Peter Allen has completed 10 years service, he will retire from the Board once
a successor has been appointed. The Group is progressing with a thorough,
external selection process for a new Chair that is now close to completion. A
further announcement will be made in due course.

 

Environmental, Social & Governance

AMS continues to make positive progress on its ESG activities, building on the
foundations reported in its FY22 Annual Report. Since that report, we have
further developed our Net Zero Strategy and Pathway and have agreed key
targets that will drive this activity, for example: to be Net Zero by 2045.

 

AMS has also strengthened its preparations for the Task Force on
Climate-related Financial Disclosures (TCFD) and in conjunction with its ESG
consultants will continue to progress this area in advance of its FY23
reporting in April 2024.

 

In addition, numerous and wide ranging ESG activities continue to take place
across the Group driven by employee suggestions and actions, as well as Board
and ESG Committee initiatives.

 

Stakeholders

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

 

Summary and Outlook

In the first half of 2023, many parts of the business delivered strong growth
to offset the temporary shortfall in ordering of LiquiBand(®) in the US and
drive overall growth for the Group.

 

As announced in its 4 September trading statement, reduced royalty
expectations, following recent US reimbursement changes, and higher than
anticipated de-stocking by US partners have impacted FY23 and consequently AMS
expects revenues of approximately £124 - £127 million and adjusted pre-tax
profit of approximately £25 - £27 million for the year. With the exception
of the royalty adjustment (impacting Q4 2023 to Q3 2026), there were no
changes to the expectations for future years.

 

The Board anticipates accelerated LiquiBand(®) growth from 2024 with the new
US partner strategy taking effect and other key initiatives, such as the
imminent US launch of LIQUIFIX(TM) and the soft launch of Seal-G(®) in
Europe, now in place and setting the foundation for strong growth and
improving margins for the Group in 2024 and beyond.

 

 

 

 

 

Financial Review

 

IFRS reporting

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

 

Overview

Revenue increased by 8% at reported currency to £63.1million (2022 H1: £58.3
million) and increased by 5% at constant currency as summarised in the Chief
Executive's Review.

 

Gross profit increased to £35.7 million (2022 H1: £34.4 million) but gross
margin decreased to 56.5% (2022 H1: 58.9%) due to adverse product mix relating
to the temporary impact of the US LiquiBand(®) strategic initiative and to
reduced royalty income from Organogenesis.

 

Administration expenses increased to £25.0 million (2022 H1: £21.6 million)
inclusive of adverse foreign exchange movements which adversely affected the
Group by £1.9 million in the first half of the year when compared to the
first half of 2022. The acquisition of AFS in April 2022 has had an
annualising effect in the first half of 2023, adding £1.0 million of
administration expenses and the acquisition of Connexicon added £0.2 million
of operating administration costs, £0.6 million of amortisation of acquired
intangible assets and £0.2 million of one-off professional fees relating to
the acquisition. The group also continued to invest in its sales and marketing
teams as well as new product development and regulatory team to support the
Group's continuing growth.

 

The Group incurred £6.0 million of gross R&D spend in the Period (2022
H1: £5.4 million), representing 9.5% of sales (2022 H1: 9.3% of sales). This
reflects the Group's continued investment in innovation as demonstrated by the
PMA approval of LiquiBandFix8(®) in the period as well as investment to meet
increased regulatory standards. The acquisition of Connexicon has further
added to the Group's R&D capabilities in the period, in particular the
Group's ability to develop and launch innovative and sealant technologies. As
shown in the table below, elements of this cost are capitalised and amortised
over 5 to 10 years.

 

                                                                         H1 2023   H1 2022
                                                                        £'000      £'000
 Total investment in Research and Development, Regulatory and Clinical  5,972      5,403
 Of which:
 Charged to the profit and loss account                                 2,926      2,832
 Capitalised, to be amortised over 5-10 years                           3,046      2,571

 

Amortisation of acquired intangible assets increased to £2.4 million (2022
H1: £1.6 million) following the acquisition of Connexicon.

 

Adjusted operating profit, which excludes amortisation of acquired
intangibles, decreased by 7% to £12.8 million (2022 H1: £13.8 million)
whilst the adjusted operating margin decreased by 340 bps to 20.3% (2022 H1:
23.7%) due to the decrease in the gross margin in addition to the Group's
continued investment in future growth opportunities.

 

Movement in long-term acquisition liabilities of Sealantis, AFS &
Connexicon resulted in a net credit of £0.4 million (2022 H1: £0.3 million).

 

Despite adverse sales mix impacts, the Group delivered increased adjusted
profit before tax of £13.8 million (2022 H1: £13.6 million). Reported profit
before tax was £11.8 million (2022 H1: £12.3 million).

 

 Reconciliation of profit before tax to adjusted profit before tax
                                                H1 2023  H1 2022
                                                £'000    £'000
 Profit before tax                              11,768   12,336
 Amortisation of acquired intangibles           2,402    1,573
 Movement in long-term acquisition liabilities  (404)    (283)
 Adjusted profit before tax                     13,766   13,626

 

 

The Group's effective corporation tax rate, reflecting the blended tax rates
in the countries where we operate and including UK patent box relief,
increased to 24.1% (2022 H1: 21.6%) as a result of the increase in the UK
Corporation tax rate to 25%, effective 1(st) April 2023 (2022: 19%).

 

The large UK corporation tax increase has had a significant adverse impact on
earnings per share resulting in adjusted diluted earnings per share reducing
by 1% to 4.97p (2022 H1: 5.01p), diluted earnings per share reducing by 8% to
4.06p (2022 H1: 4.42p), adjusted basic earnings per share reducing by 1% to
5.04p (2022 H1: 5.07p) and basic earnings per share reducing by 8% to 4.12p
(2022 H1: 4.47p).

 

The Board intends to pay an interim dividend of 0.70p per share on 27 October
2023 to shareholders on the register at the close of business on 29 September
2023. This is a 10% increase on the interim dividend paid in respect of the
first half of 2022 reflecting the Board's ongoing confidence in the future
growth in the Group.

 

 

 Operating result by business segment
 Six months ended 30 June 2023         Surgical  Woundcare
                                       £'000     £'000
 Revenue                               39,411    23,677
 Segment operating profit              8,164     2,860
 Amortisation of acquired intangibles  1,931     471
 Adjusted segment operating profit(4)  10,095    3,331
 Adjusted operating margin(4)          25.6%     14.1%
 Six months ended 30 June 2022
 Revenue                               35,941    22,363
 Segment operating profit              9,605     3,081
 Amortisation of acquired intangibles  1,101     472
 Adjusted segment operating profit(4)  10,706    3,553
 Adjusted operating margin(4)          29.8%     15.9%

 

 

(4) Adjusted for amortisation of acquired intangible assets

 

Table is reconciled to statutory information in note 5 of the financial
information.

 

Surgical

Surgical revenues increased by 10% to £39.4 million (2022 H1: £35.9 million)
at reported currency and increased by 5% to £38.3 million (2022 H1: £36.2
million) at constant currency. Adjusted operating margin decreased by 420 bps
to 25.6% (2022 H1: 29.8%) due to temporarily adverse sales mix, the impact of
inflation and increased investment in regulatory affairs, and research and
development.

 

Woundcare

Woundcare revenues increased by 6% to £23.7 million (2022 H1: £22.4 million)
at reported currency and increased by 4% to £23.1 million (2022 H1: £22.1
million) at constant currency. Adjusted operating margin decreased by 180 bps
to 14.1% (2022 H1: 15.9%) predominately due to lower royalty income from
Organogenesis.

 

 

Currency

The Group hedges significant currency transaction exposure by using forward
contracts and aims to hedge approximately 80% of its estimated transactional
exposure for the next 12 to 18 months. In the first half of the year,
approximately one third of sales were invoiced in Euros and approximately one
quarter were invoiced in US Dollars.

 

The Group estimates that a 10% movement in the £:US$ or £:€ exchange rate
will impact Sterling revenues by approximately 2.6% and 4.0% respectively and
in the absence of any hedging this would have an impact on the Group operating
margin of 2.0% and 0.7% percentage points respectively.

 

Cash Flow

Net cash inflow from operating activities decreased by 67% to £4.1 million
(2022 H1: £12.5 million) due to increased working capital as explained below.

 

At the end of the Period, net cash had reduced to £69.1 million (31 December
2022: £82.3 million) due to working capital increases and acquisition related
payments of €10m for the acquisition and initial earnout of Connexicon, and
€0.5 million for the achievement of AFS' FY22 EBITDA milestone.

 

In the first half of 2023, receivables increased by £3.2 million (2022 H1:
£0.9 million increase) due to increased sales volumes, the impact of
favourable hedging contracts, and the addition of Connexicon. Debtor days
reduced to 41 from the 44 days at year-end (2022 H1: 43 days) as a result of
lower US sales, which are typically on longer payment terms. Creditor days
were in line with December 2022 at 37 days (2022 H1: 35 days). Total payables
were inflated by the addition of Connexicon and the associated contingent
consideration and increased by £4.0 million (2022 H1: £5.5 million
increase). Planned inventory increases to fulfil anticipated commercial demand
and to continue to build resilience resulted in inventories growing by £3.9
million to 6.7 months of supply in comparison to 6.2 months at December 2022
(2022 H1: 5.5 months).

 

In the Period, £4.8 million was invested in capital equipment, R&D and
regulatory costs (2022 H1: £4.3 million) including investment in additional
Freezer dryer capacity in Germany to improve production efficiency and an
extension at Plymouth which is now substantially complete.

 

Tax payments increased to £1.4 million (2021 H1: £0.8 million) which is
£1.5 million lower than tax in the income statement. Payments in the prior
period were particularly low due to a refund of taxes received.

 

In June 2023, the Group paid its final dividend for the year ended 31 December
2022 of £3.3 million (2022 H1: £3.0 million).

 

The Group retains strong support from its two banks, NatWest and HSBC, and is
confident in its ability to raise necessary funds to complete further
acquisitions as and when opportunities arise.

 

 CONDENSED CONSOLIDATED INCOME STATEMENT
                                                                                          (Unaudited)                                          (Unaudited)                     (Audited)
                                                                                          Six months ended                                     Six months ended                Year ended

                                                                                          30 June 2023                                          30 June 2022                    31 December 2022

                                                                                                                                    Total                            Total                       Total
                                                                     Note                                                           £'000                            £'000                       £'000
 Revenue                                                             5                                                              63,088                           58,304                      124,330
 Cost of sales                                                                                                                      (27,435)                         (23,934)                    (50,914)
 Gross profit                                                                                                                       35,653                           34,370                      73,416
 Distribution costs                                                                                                                 (713)                            (781)                       (1,626)
 Administration costs                                                                                                               (25,007)                         (21,579)                    (47,378)
 Other income                                                                                                                       473                              227                         478
 Operating profit                                                                                                                   10,406                           12,237                      24,890
 Finance income                                                                                                                     2,229                            436                         1,691
 Finance costs                                                                                                                      (867)                            (337)                       (671)
 Profit before taxation                                                                                                             11,768                           12,336                      25,910
 Income tax                                                          7                                                              (2,836)                          (2,668)                     (5,504)
 Profit for the period attributable to equity holders of the parent                                                                 8,932                            9,668                       20,406
 Earnings per share
 Basic                                                               4                                                              4.12p                            4.47p                       9.42p
 Diluted                                                             4                                                              4.06p                            4.42p                       9.30p
 Adjusted diluted(5)                                                 4                                                              4.97p                            5.01p                       10.47p

 The above results relate to continuing operations

 CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME
                                                                                          (Unaudited)                                          (Unaudited)                     (Audited)
                                                                                          Six months ended                                     Six months ended                Year ended

                                                                                           30 June 2023                                         30 June 2022                    31 December 2022
                                                                                                                                    £'000                            £'000                       £'000
 Profit for the period                                                                                                              8,932                            9,668                       20,406
 Exchange differences on translation of foreign operations                                                                          (3,674)                          3,896                       6,940
 Gain/(Loss) arising on cash flow hedges                                                                                            2,774                            (3,704)                     (1,297)
 Deferred tax charge arising on cash flow hedges                                                                                    (163)                            -                           (201)
 Other comprehensive (Charge)/credit for the period                                                                                 (1,063)                          192                         5,442
 Total comprehensive income for the period attributable to equity holders of                                                        7,869                            9,860                       25,848
 the parent

 

( )

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

(
)

 

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

                                                            (Unaudited)   (Unaudited)   (Audited)
                                                            30 June 2023  30 June 2022  31 December 2022
                                                      Note  £'000         £'000         £'000
 Assets
 Non-current assets
 Intangible assets                                          55,451        46,639        48,373
 Goodwill                                                   79,770        69,409        70,859
 Property, plant and equipment                              29,344        27,783        29,015
 Trade and other receivables                                1,260         79            937
                                                            165,825       143,910       149,184
 Current assets
 Inventories                                                31,812        22,732        27,911
 Trade and other receivables                                24,392        21,985        21,553
 Current tax assets                                         403           177           184
 Cash and cash equivalents                                  69,142        75,341        82,262
                                                            125,749       120,235       131,910
 Total assets                                               291,574       264,145       281,094
 Liabilities
 Current liabilities
 Trade and other payables                                   21,097        18,422        20,671
 Current tax liabilities                                    594           1,746         948
 Lease liabilities                                          1,051         1,109         1,059
                                                            22,742        21,277        22,678
 Non-current liabilities
 Trade and other payables                                   7,034         5,724         3,510
 Deferred tax liabilities                                   10,919        8,229         9,593
 Lease liabilities                                          8,126         8,323         8,691
                                                            26,079        22,276        21,794
 Total liabilities                                          48,821        43,553        44,472
 Net assets                                                 242,753       220,592       236,622
 Equity
 Share capital                                        11    10,858        10,836        10,843
 Share premium                                              37,420        37,102        37,269
 Share-based payments reserve                               17,199        14,434        15,711
 Investment in own shares                                   (167)         (167)         (167)
 Share-based payments deferred tax reserve                  413           569           531
 Other reserve                                              1,531         1,531         1,531
 Hedging reserve                                            1,092         (3,725)       (1,519)
 Translation reserve                                        1,330         1,960         5,004
 Retained earnings                                          173,077       158,052       167,419
 Equity attributable to equity holders of the parent        242,753       220,592       236,622

 

 

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
                                                     capital  premium  payments  shares      deferred tax  reserve  reserve  reserve      earnings  Total
                                                     £'000    £'000    £'000     £'000       £'000         £'000    £'000    £'000        £'000     £'000
 At 1 January 2023 (audited)                         10,843   37,269   15,711    (167)       531           1,531    (1,519)  5,004        167,419   236,622
 Consolidated profit for the period to 30 June 2023  -        -        -         -           -             -        -        -            8,932     8,932
 Other comprehensive income/(expense)                -        -        -         -           -             -        2,611    (3,674)      -         (1,063)
 Total comprehensive income/(expense)                -        -        -         -           -             -        2,611    (3,674)      8,932     7,869
 Share-based payments                                -        -        1,476     -           -             -        -        -            -                     1,476
 Share options exercised                             15       151      12        -           (118)         -        -        -            -         60
 Shares purchased by EBT                             -        -        -         (687)       -             -        -        -            -         (687)
 Shares sold by EBT                                  -        -        -         687         -             -        -        -            -         687
 Dividends paid (Note 8)                             -        -        -         -           -             -        -        -            (3,274)   (3,274)
 At 30 June 2023 (unaudited)                         10,858   37,420   17,199    (167)       413           1,531    1,092    1,330        173,077   242,753
                                                                       Share-    Investment  Share-based
                                                     Share    Share    based     in own      payments      Other    Hedging  Translation  Retained
                                                     capital  premium  payments  shares      deferred tax  reserve  reserve  reserve      earnings  Total
                                                     £'000    £'000    £'000     £'000       £'000         £'000    £'000    £'000        £'000     £'000
 At 1 January 2022 (audited)                         10,804   36,996   13,180    (164)       933           1,531    (21)     (1,936)      154,354   212,677
 Consolidated profit for the period to 30 June 2022  -        -        -         -           -             -        -        -            9,668     9,668
 Other comprehensive (expense)/ income               -        -        -         -           -             -        (3,704)  3,896        -         192
 Total comprehensive (expense)/ income               -        -        -         -           -             -        (3,704)  3,896        9,668     9,860
 Share-based payments                                -        -        1,141     -           -             -        -        -            -         1,141
 Share options exercised                             32       106      113       -           (364)         -        -        -            -         (113)
 Shares purchased by EBT                             -        -        -         (337)       -             -        -        -            -         (337)
 Shares sold by EBT                                  -        -        -         334         -             -        -        -            -         334
 Dividends paid (Note 8)                             -        -        -         -           -             -        -        -            (2,970)   (2,970)
 At 30 June 2022 (unaudited)                         10,836   37,102   14,434    (167)       569           1,531    (3,725)  1,960        158,052   220,592

 

                                                                                                             Share-                 Investment  Share-based
                                                       Share                  Share                          based                  in own      payments                      Other                     Hedging  Translation  Retained
                                                       capital                premium                        payments               shares      deferred tax                  reserve                   reserve  reserve      earnings              Total
                                                       £'000                  £'000                          £'000                  £'000       £'000                         £'000                     £'000    £'000        £'000                 £'000
 At 1 January 2022 (audited)                                   10,804                     36,996                     13,180         (164)                    933                        1,531           (21)      (1,936)            151,354               212,677
 Consolidated profit for the year to 31 December 2022  -                      -                              -                      -           -                             -                         -        -            20,406                20,406
 Other comprehensive (expense)/ income                 -                      -                              -                      -           -                             -                         (1,498)  6,940        -                     5,442
 Total comprehensive (expense)/ income                 -                      -                              -                      -           -                             -                         (1,498)  6,940        20,406                25,848
 Share-based payments                                  -                      -                              2,439                  -           (402)                         -                         -        -            -                     2,037
 Share options exercised                               39                     273                            92                     -           -                             -                         -        -            -                     404
 Shares purchased by EBT                               -                      -                              -                      (392)       -                             -                         -        -            -                     (392)
 Shares sold by EBT                                    -                      -                              -                      389         -                             -                         -        -            -                     389
 Dividends paid (Note 8)                               -                      -                              -                      -           -                             -                         -        -            (4,341)               (4,341)
 At 31 December 2022 (audited)                         10,843                 37,269                         15,711                 (167)       531                           1,531                     (1,519)  5,004        167,419               236,622

( )

 

 

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

 

                                                                 (Unaudited)   (Unaudited)   (Audited)
                                                                 Six months    Six months    Year
                                                                 ended         ended         ended
                                                                 30 June 2023  30 June 2022  31 December 2022
                                                           Note  £'000         £'000         £'000
 Cash flows from operating activities
 Operating profit                                                10,406        12,237        24,890
 Adjustments for:
 Depreciation                                                    2,045         1,917         4,049
 Amortisation - acquired intangible assets                       2,402         1,573         3,414
 - development costs                                             458           436           879
 - software intangibles                                          258           245           502
 Increase in inventories                                         (4,011)       (2,355)       (7,087)
 Increase in trade and other receivables                         (2,732)       (1,098)       (596)
 (Decrease)/Increase in trade and other payables                 (4,783)       (737)         1,711
 Share-based payments expense                                    1,476         1,141         2,439
 Taxation paid                                                   (1,370)       (827)         (3,324)
 Net cash inflow from operating activities                       4,149         12,532        26,877
 Cash flows from investing activities
 Purchase of software                                            (4)           (22)          (73)
 Capitalised development costs                                   (3,046)       (2,571)       (6,152)
 Purchases of property, plant and equipment                      (1,767)       (1,669)       (3,739)
 Proceeds from disposal of property, plant and equipment         -             27            46
 Interest received                                               1,147         156           820
 Acquisition of subsidiaries (net of cash acquired)        9     (5,529)       (2,781)       (2,781)
 Payment of contingent consideration                       9     (3,080)       -             -
 Net cash used in investing activities                           (12,279)      (6,860)       (11,879)
 Cash flows from financing activities
 Dividends paid                                            8     (3,274)       (2,970)       (4,341)
 Repayment of principal under lease liabilities                  (653)         (581)         (1,295)
 Issue of equity shares                                          162           108           (331)
 Shares purchased by EBT                                         (687)         (337)         266
 Shares sold by EBT                                              687           334           (392)
 Interest paid                                                   (198)         (304)         389
 Repayment of borrowings                                   9     (486)         (331)         (617)
 Net cash used in financing activities                           (4,449)       (4,081)       (6,321)
 Net (decrease)/increase in cash and cash equivalents            (12,579)      1,591         8,677
 Cash and cash equivalents at the beginning of the period        82,262        72,965        72,965
 Effect of foreign exchange rate changes                         (541)         785           620
 Cash and cash equivalents at the end of the period              69,142        75,341        82,262

 

Notes Forming Part of the 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 six
months ended 30 June 2023 comprise the Company and its subsidiaries (together
referred to as the "Group").

 

The Group is primarily involved in the design, development and manufacture of
innovative tissue-healing technology for sale into the global medical device
market.

 

2.      Basis of preparation

 

The information for the period ended 30 June 2023 does not constitute
statutory accounts as defined in section 434 of the Companies Act 2006. A copy
of the statutory accounts for the year ended 31 December 2022 has been
delivered to the Registrar of Companies. The auditor reported on those
accounts; their report was unqualified, did not draw attention to any matters
of emphasis without qualifying the report and did not contain a statement
under section 498 (2) or (3) of the Companies Act 2006.

 

The individual financial statements for each Group company are presented in
the currency of the primary economic environment in which it operates (its
functional currency). For the purpose of the consolidated financial
statements, the results and financial position of each Group company are
expressed in pounds sterling, which is the functional currency of the Company
and the presentation currency for the consolidated financial statements.

 

3.      Accounting policies

 

The same accounting policies, presentations and methods of computation are
followed in the condensed set of financial statements as applied in the
Group's latest annual audited financial apart from the adoption of the
following new or amended IFRS and Interpretations issued by the International
Accounting Standards Board (IASB):

-       Amendments to IFRS 17 Insurance Contracts including the
Extension of the Temporary Exemption from Applying  IFRS 9 (Amendments to
IFRS 4)

-       Initial Application of IFRS 17 and IFRS 9 - Comparative
Information (Amendment to IFRS 17)

-       Deferred Tax related to Assets and Deferred Tax related to
Assets and Liabilities arising from a Single Transaction (Amendments to IAS
12)

-       Definition of Accounting Estimates (Amendments to IAS 8); and

-       Disclosure of Accounting Policies (Amendments to IAS 1 and
Practice Statement 2)

 

No revised standards adopted in the current period have had a material impact
on the Group's financial statements.

 

The unaudited condensed set of financial statements included in this
half-yearly financial report have been prepared in accordance with
International Accounting Standard 34 'Interim Financial Reporting', as adopted
by the United Kingdom. These condensed interim accounts should be read in
conjunction with the annual accounts of the Group for the year ended 31
December 2022. The annual financial statements of Advanced Medical Solutions
Group plc are prepared in accordance with International Financial Reporting
Standards as adopted by the United Kingdom.

 

4.      Earnings per share

 

 

                                                                                (Unaudited)   (Unaudited)

                                                                                Six months    Six months    (Audited)
                                                                                ended         ended         Year ended
                                                                                30 June 2023  30 June 2022  31 December 2022
 Number of shares                                                               '000          '000          '000
 Weighted average number of ordinary shares for the purposes of basic earnings  216,947       216,272       216,512
 per share
 Effect of dilutive potential ordinary shares: share options, deferred annual   3,084         2,527         2,969
 bonus, Share Incentive Plan, LTIPs
 Weighted average number of ordinary shares for the purposes of diluted         220,031       218,799       219,481
 earnings per share

 

Basic EPS is calculated by dividing the earnings attributable to ordinary
shareholders by the weighted average number of shares outstanding during the
period.

 

Diluted EPS is calculated on the same basis as basic EPS but with the further
adjustment to the weighted average shares in issue to reflect the effect of
all potentially dilutive share options. The number of potentially dilutive
share options is derived from the number of share options and awards granted
to employees where the exercise price is less than the average market price of
the Company's ordinary shares during the period.

 

 

Adjusted earnings per share

 

Adjusted EPS is calculated after adding back amortisation of acquired
intangible assets and movement in long-term acquisition liabilities and is
based on earnings of:

 

                                                                           (Unaudited)   (Unaudited)
                                                                           Six months    Six months    (Audited)
                                                                           ended         ended          Year ended
                                                                           30 June 2023  30 June 2022  31 December 2022
                                                                           £'000         £'000         £'000
 Earnings
 Profit for the year being attributable to equity holders of the parent    8,932         9,668         20,406
 Amortisation of acquired intangible assets                                2,402         1,573         3,414
 Movement in long-term acquisition liabilities                             (404)         (283)         (840)
 Adjusted profit for the year being attributable to equity holders of the  10,930        10,958        22,980
 parent

                                                                           pence         pence         pence
 Basic EPS                                                                 4.12          4.47          9.42
 Diluted EPS                                                               4.06          4.42          9.30
 Adjusted basic EPS                                                        5.04          5.07          10.61
 Adjusted diluted EPS                                                      4.97          5.01          10.47

 

 

The denominators used are the same as those detailed above for both basic and
diluted earnings per share.

 

The adjusted diluted EPS information is considered to provide an alternative
representation of the Group's trading performance, consistent with the view of
management.

 

5.      Segment information

 

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

 

Business segments

The principal activities of the business units are as follows:

 

Surgical

Selling, marketing and innovation of the Group's surgical products either sold
directly by our sales teams or by distributors.

 

Woundcare

Selling, marketing and innovation of the Group's advanced woundcare products
supplied under partner brands, bulk materials and the ActivHeal(®) brand
predominantly to the UK NHS as well as bio diagnostics products following the
acquisition of Raleigh.

 

Segment information about these Business Units is presented below:

 

 Six months ended                      Surgical  Woundcare  Consolidated

 30 June 2023
 (Unaudited)                           £'000     £'000      £'000
 Revenue                               39,411    23,677     63,088

 Result
 Adjusted segment operating profit     10,095    3,331      13,426
 Amortisation of acquired intangibles  (1,931)   (471)      (2,402)
 Segment operating profit              8,164     2,860      11,024
 Unallocated expenses                                       (618)
 Operating profit                                           10,406
 Finance income                                             2,229
 Finance costs                                              (867)
 Profit before tax                                          11,768
 Tax                                                        (2,836)
 Profit for the period                                      8,932

 

 

 

 At 30 June 2023                Surgical  Woundcare  Consolidated

 (Unaudited)
 Other information              £'000     £'000      £'000
 Capital additions:
 Software intangibles           2         2          4
 Development                    2,680     366        3,046
 Property, plant and equipment  1,253     514        1,767
 Depreciation and amortisation  (3,680)   (1,483)    (5,163)
 Balance sheet
 Assets
 Segment assets                 206,856   84,718     291,574
 Unallocated assets                                  -
 Consolidated total assets                           291,574
 Liabilities
 Segment liabilities            37,800    11,021     48,821

 

 

 Six months ended
 30 June 2022                              Surgical      Woundcare  Consolidated
 (Unaudited)                               £'000         £'000      £'000
 Revenue                                   35,941        22,363     58,304

 Result
 Adjusted segment operating profit         10,706        3,553      14,259
 Amortisation of acquired intangibles      (1,101)       (472)      (1,573)
 Segment operating profit                  9,605         3,081      12,686
 Unallocated expenses                                               (449)
 Operating profit                                                   12,237
 Finance income                                                     436
 Finance costs                                                      (337)
 Profit before tax                                                  12,336
 Tax                                                                (2,668)
 Profit for the period                                              9,668

 

 

 At 30 June 2022                Surgical                    Woundcare         Consolidated

 (Unaudited)
 Other information              £'000                       £'000             £'000
 Capital additions:
 Software intangibles           13                          9                 22
 Development                    1,976                       595               2,571
 Property, plant and equipment  1,095                       574               1,669
 Depreciation and amortisation  (2,695)                     (1,476)           (4,171)
 Balance sheet
 Assets
 Segment assets                 179,274                     84,757            264,031
 Unallocated assets                                                           114
 Consolidated total assets                                                    264,145
 Liabilities
 Segment liabilities            29,184                      14,369            43,553

 Year ended
 31 December 2022                                    Surgical      Woundcare  Consolidated
 (Audited)                                           £'000         £'000      £'000
 Revenue                                             74,861        49,469     124,330

 Result
 Adjusted segment operating profit                   21,802        7,632      29,434
 Amortisation of acquired intangibles                (2,469)       (945)      (3,414)
 Segment operating profit                            19,333        6,687      26,020
 Unallocated expenses                                                         (1,130)
 Operating profit                                                             24,890
 Finance income                                                               1,691
 Finance costs                                                                (671)
 Profit before tax                                                            25,910
 Tax                                                                          (5,504)
 Profit for the year                                                          20,406

 

 At 31 December 2022
 (Audited)                      Surgical  Woundcare  Consolidated
 Other information              £'000     £'000      £'000
 Capital additions:
 Software intangibles           34        39         73
 Development                    4,617     1,535      6,152
 Property, plant and equipment  2,258     1,481      3,739
 Depreciation and amortisation  (5,759)   (3,085)    (8,844)
 Balance sheet
 Assets
 Segment assets                 190,456   90,638     281,094
 Unallocated assets                                  -
 Consolidated total assets                           281,094
 Liabilities
 Segment liabilities            29,786    14,686     44,472

 

 

 

Geographical segments

 

The Group operates in the UK, the Netherlands, Germany, the Czech Republic,
Ireland, France and Israel, with a sales office located in Russia, distributor
in Austria, and a sales presence in the USA. In presenting information on the
basis of geographical segments, segment revenue is based on the geographical
location of customers. Segment assets are based on the geographical location
of the assets. The Group's small legacy sales office in Moscow has
historically contributed approximately 1% of the Group's operating profit.

 

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

 

                           (Unaudited)       (Unaudited)       (Audited)
                           Six months ended  Six months ended  Year ended
                           30 June 2023      30 June 2022      31 December 2022
 Segmental Revenue         £'000             £'000             £'000
 United Kingdom            9,994             9,515             19,960
 Germany                   11,666            10,250            20,780
 Rest of Europe            19,136            14,596            32,519
 United States of America  16,678            19,519            40,807
 Rest of World             5,614             4,424             10,264
                           63,088            58,304            124,330

 

 

 

 

 

 

 

 

 

The following table provides an analysis of the Group's total assets by
geographical location:

 

                           (Unaudited)   (Unaudited)   (Audited)
                           30 June 2023  30 June 2022  31 December 2022
 Segmental Assets          £'000         £'000         £'000
 United Kingdom            154,705       145,112       151,817
 Germany                   76,428        67,942        78,877
 France                    11,414        9,611         11,934
 Rest of Europe            27,117        14,697        16,670
 Israel                    19,698        22,277        21,345
 United States of America  2,212         4,506         451
                           291,574       264,145       281,094

 

6.      Financial Instruments' fair value disclosures

 

It is the policy of the Group to enter into forward foreign exchange contracts
to cover specific foreign currency payments and receipts.

 

The Group held the following financial instruments at fair value at 30 June
2023. The Group has no financial instruments with fair values that are
determined by reference to significant unobservable inputs i.e. those that
would be classified as level 3 in the fair value hierarchy, nor have there
been any transfers of assets or liabilities between levels of the fair value
hierarchy. There are no non-recurring fair value measurements.

 

 

The following table details the forward foreign currency contracts outstanding
as at the period end:

 

                     Ave. exchange rate                 Foreign currency                       Fair value
                     30 June 23  30 June 22  31 Dec 22  30 June 23  30 June 22  31 Dec 22      30 June 23  30 June 22           31 Dec 22
                     USD:£1      USD:£1      USD:£1     USD'000     USD'000     USD'000        £'000       £'000                £'000
 Cash flow hedges
 Sell US dollars
 Less than 3 months  1.31        1.36        1.28       9,500       9,000              11,500  (192)             (791)    (540)
 3 to 6 months       1.30        1.36        1.31       9,000       10,000             9,000   (142)             (868)    (550)
 7 to 12 months      1.21        1.32        1.30       15,000      17,500             18,500  585               (1,012)  (1,040)
 Over 12 months      1.14        1.30        1.15       15,000      25,000             22,500  1,188             (1,052)  890
                                                        48,500      61,500             61,500  1,439             (3,723)  (1,240)

 

 

 

 

                     Ave. exchange rate                 Foreign currency                   Fair value
                     30 June 23  30 June 22  31 Dec 22  30 June 23  30 June 22  31 Dec 22  30 June 23  30 June 22  31 Dec 22
                     EUR:£1      EUR:£1      EUR:£1     EUR'000     EUR'000     EUR'000    £'000       £'000       £'000
 Cash flow hedges
 Sell Euros
 Less than 3 months  1.15        1.15        1.14       600         900         600        5           6           (9)
 3 to 6 months       1.15        1.15        1.15       600         900         600        4           2           (15)
 7 to 12 months      1.14        1.15        1.15       1,200       1,600       1,200      8           (5)         (29)
 Over 12 months      -           1.15        1.14       -           800         1,200      -           (5)         (26)
                                                        2,400       4,200       3,600      17          (2)         (79)

 

 

 

 

 

 

 

 

7.      Taxation

 

The weighted average tax rate for the Group for the six-month period ended 30
June 2023 was 26.3% (first half of 2022: 24.4%, year ended 31 December 2022:
22.8%). The Group's effective tax rate for the full year is expected to be
24.1%, which has been applied to the six months ended 30 June 2023 (first half
of 2022: 21.6%, year ended 31 December 2022: 21.2%). This represents an
increase on the previous period due to the increased tax rate in the UK, where
the Group generates a significant amount of profit.

 

8.      Dividends

 

                                                                                 (Unaudited)       (Unaudited)       (Audited)
                                                                                 Six months ended  Six months ended  Year ended
                                                                                 30 June 2023      30 June 2022      31 December 2022
 Amounts recognised as distributions to equity holders in the period:            £'000             £'000             £'000
 Final dividend for the year ended 31 December 2021 of 1.37p per ordinary share  -                 2,970             2,960
 Interim dividend for the year ended 31 December 2022 of 0.64p per ordinary      -                 -                 1,381
 share
 Final dividend for the year ended 31 December 2022 of 1.51p per ordinary share  3,274             -                 -
                                                                                 3,274             2,970             4,341

 

9.      Acquisition of Connexicon

 

On 1 February 2023, the Group acquired 99% of the Share Capital of Connexicon
Medical Limited ("Connexicon"), a tissue adhesive technology specialist based
in Dublin, Republic of Ireland for an initial up-front payment of € 7
million, with options in place to acquire the remaining 1% of Share Capital.
The remaining 1% of Share Capital not acquired by AMS have no-voting rights
and the options are linked to future contingent considerations up to a
potential €18 million, dependent on the delivery of certain research &
development, regulatory and commercial milestones between 2023 and 2027.

 

In the five-month period from acquisition to 30 June 2023, Connexicon
contributed £0.4 million of revenue to the Group and a negligible amount of
operating profit. In addition, amortisation of intangible assets of £0.6
million was recorded within the Group as a result of the acquisition. The
results, assets and liabilities of Connexicon has been included in the
Surgical business unit segment.

 

 

                                     £'000
 Identifiable net assets acquired
 Customer related intangible assets  587
 Technology based intangible assets  7,951
 Property, plant and equipment       800
 Trade and other receivables         754
 Inventory                           466
 Cash and cash equivalents           846
 Trade and other payables            (1,204)
 Lease liabilities                   (8)
 Borrowings                          (487)
 Deferred tax on intangible asset    (674)
 Arising on acquisition
 Goodwill                            11,040
 Total net assets                    20,071

 

 

 Satisfied by              £'000
 Cash consideration        6,375
 Contingent consideration  13,696
                           20,071

 

 

 

 Net cash flow on acquisition  £'000
 Cash consideration            6,375
 Cash acquired                 (846)
                               5,529

 

Contingent consideration arose on the acquisition in respect of up to €18
million which is payable subject to delivery of certain research &
development, regulatory and commercial milestones between 2023 and 2027. €16
million (£14 million) is the estimated fair value of the contingent
consideration at the acquisition date.

 

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

 

During the period, £3.1 million of Contingent consideration was paid (30 June
2022: £nil, 31 December 2022: £nil). Connexicon met milestones relating to
product and process validation resulting in a contingent consideration payment
of €3 million whilst AFS achieved its 2022 EBITDA milestone, resulting in a
payment of €500,000.

 

 

10.     Contingent liabilities

 

The Directors are not aware of any contingent liabilities faced by the Group
as at 30 June 2023 (30 June 2022: £nil, 31 December 2022: £nil).

 

11.    Share capital

 

Share capital as at 30 June 2023 amounted to £10,858,000 (30 June 2022:
£10,836,000, 31 December 2022: £10,843,000). During the period the Group
issued 296,989 shares in respect of share options, LTIPS, Deferred Annual
Bonus Scheme and the Share Incentive Plan.

 

12.    Going concern

 

In carrying out their duties in respect of going concern, the Directors have
carried out a review of the Group's financial position and cash flow forecasts
for the next 12 months and considered whether there are any factors that
indicate a deterioration in trading performance beyond 12 months. The
forecasts used are based on a comprehensive review of revenue, expenditure and
cash flows, taking into account specific business risks and the current
economic environment.

 

The Group has used sensitivity analysis on the Group's forecasted performance,
using a mid-case scenario, a 10% sales reduction, and a worst-case scenario, a
25% sales reduction. The results show that in all of these scenarios AMS is
able to continue its operations for a period of at least 12 months.

 

With regards to the Group's financial position, it had cash and cash
equivalents at 30 June 2023 of £69.1 million.

 

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

 

After taking 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 condensed consolidated financial statements.

 

13.    Principal risks and uncertainties

 

Further detail concerning the principal risks affecting the business
activities of the Group is detailed on pages 43-47 of the Annual Report and
Accounts for the year ended 31 December 2022. There have been no significant
changes since the last annual report.

 

14.    Seasonality of sales

 

There are no significant factors affecting the seasonality of sales between
the first and second half of the year.

 

15.    Events after the balance sheet date

 

With the exception of its trading update on 4(th) September, there have been
no material events subsequent to the end of the interim reporting period ended
30 June 2023.

 

16.    Copies of the interim results

 

Copies of the interim results can be obtained from the Group's registered
office at Premier Park, 33 Road One, Winsford Industrial Estate, Winsford,
Cheshire, CW7 3RT and are available on our website "www.admedsol.com".

 

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