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REG - Inspiration Health - Final Results

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RNS Number : 1893Y  Inspiration Healthcare Group PLC  03 May 2023

 

3 May 2023

Inspiration Healthcare Group plc

("Inspiration Healthcare", the "Group" or the "Company")

 

Preliminary Unaudited Results for the year ended 31 January 2023

 A Year of Significant Investment For Long Term Growth

 

Inspiration Healthcare Group plc (AIM: IHC), the global medical technology
company, pioneering best-in-class, specialist neonatal intensive care medical
devices, announces its preliminary results for the twelve months ended 31
January 2023 ("FY2023").

 

2023 Highlights

·      Resilient revenues marginally ahead in a year of unprecedented
global macro-economic uncertainty

·      Domestic sales growth of 13%

·      Branded Products sales growth of 8%

·      Major investment in new state of the art Manufacturing and
Technology Centre

o  very low carbon footprint

o  enhanced customer education facilities

o  increased capacity and capability

o  rationalisation of Group property portfolio underway

·      Medical Device Regulation (EU) - Technical Files all submitted

·      Increasing inventory to secure long term supply chain and meet
customer satisfaction levels

·      Project Wave study recruitment complete - analysis underway

·      Progressed USA regulatory submissions

·      Expanded acute care portfolio with launch of additional
distributed products in the UK and Ireland

 

2023 Financial Highlights

·      Group revenue of £41.2m (FY2022: £41.1m)

Adjusted EBITDA(1) of £4.0m (FY2022: £6.4m) reflecting a gross margin
reduction (44% vs 50%) due to product mix in different territories

·      Net cash(2) £(3.8)m (FY2022: £9.3m) due to:

o  investment in the Company's Manufacturing and Technology Centre;

o  increased inventories to ensure continuity of supply chain and customer
service level;

o  higher debtors driven by strong Q4 revenues; and

o  non-recurring items particularly aborted acquisition costs

·      Invoice discounting facility put in place in December 2022 -
Facility up to £5m. Total available borrowing facilities, including existing
£5m RCF, now £10m

·      Proposed final dividend maintained at 0.41p per share (FY2022:
0.41p)

 

(1)Earnings before interest, tax, depreciation, amortisation, impairment,
share-based payments and non-recurring items

(2)Cash and cash equivalents, less revolving credit facility and invoice
finance borrowings

 

 

Post year-end

·      Cash generative in Q1 FY2024

·      Extension to the SLE6000 ventilator range

 

 

Neil Campbell, Chief Executive Officer of Inspiration Healthcare Group plc,
said: "Last year we showed resilience and the ability to adapt our plans to
maintain revenues despite geo-political and macro-economic uncertainty.
Although the growth in the business was not as strong as we had hoped, the
investments made during the year, coupled with increasing revenues in Q4
FY2023 and subsequent cash generation in Q1 FY2024, means the Company is well
positioned to return to growth within this year. On behalf of the Board and
all the team, I would like to thank our shareholders for their continued
support and we look forward to an exciting year ahead."

 

 

Enquiries:

 

 Inspiration Healthcare Group plc                                                   Tel: +44  (0)330 175 0000

 Neil Campbell, Chief Executive Officer
 Paul Bergin, Interim Chief Financial Officer

 Cenkos Securities plc (Nominated Adviser & Broker)                                 Tel: +44 (0)207 397 8900
 Stephen Keys, Katy Birkin, Dan Hodkinson

 Walbrook PR Ltd (Media and Investor Relations)  Tel: +44 (0)20 7933 8780 or inspirationhealthcare@walbrookpr.com
                                                 (mailto:inspirationhealthcare@walbrookpr.com)
 Anna Dunphy                                                                        Mob: +44 (0) 7876 741 001
 Stephanie Cuthbert                                                                 Mob: +44 (0) 7796 794 663

 

 

 

 

Chairman's Report

This year I am reporting on a year of significant investment and internal
achievements. Despite challenging market conditions that arose during the year
we continued to make progress to position the Company for long-term
sustainable growth.

 

The conflict in Ukraine and, consequently, inflation and shifting confidence
put significant pressures on healthcare budgets and spending.  Coupled with
this, we have to also acknowledge that in China, the largest export market for
the Group's products in the previous year, the pandemic was still
problematic.  The authorities determined that the best way to deal with this
terrible disease was further lockdowns, making trade with China more difficult
than in previous years.  This also disrupted supply chains for both logistics
and materials sourced.

 

The Group delivered revenues that were marginally ahead of FY2022 at £41.2m
(FY2022: £41.1m), which reflected growth outside of China and Russia,
traditionally important markets for the Group.  When I look back and see the
issues that were thrown at us, (along with many other companies), I am proud
that we achieved much and invested in the business to ensure that we are in
better shape now than we were a year ago.

 

EBITDA, before non-recurring items, was lower than the previous year at £4.0m
(FY2022: £6.4m) primarily because of sales mix and its effect on gross
margin.  Notably we sold more Infusion Therapies Distributed Products into
the UK market and less Branded ventilators due to global market
uncertainties.  This switch was a direct result of the external environment
mentioned above.

 

There was a £13.1m cash outflow in the year resulting in a closing net cash
position of £(3.8)m, driven by investment in the new Manufacturing and
Technology Centre in Croydon, an increased inventory level to ensure
continuity of supply and customer service levels and increased debtors from
strong fourth quarter revenues. Higher than planned spend at the Manufacturing
and Technology Centre was due to high construction cost inflation, an earlier
than expected payment and specification changes.  These specification changes
will however deliver long-term cost savings. We delivered a positive cash flow
position in Q1 FY2024, in line with our plan.

 

Our new Manufacturing and Technology Centre has enabled us to close our
Crawley office at the end of January 2023, and in April 2023 we informed the
staff affected that we will be closing our Leicestershire facility.  From
these closures, we will see additional operational efficiencies.  We have
identified further initiatives within the business, that will improve our
cash-based operating expenses going forward.

 

It is important to emphasise that, although we are focused strategically on
the neonatal intensive care sector, we have always had a broad portfolio which
provides resilience to the business.  This was demonstrated during the year
when slowdown in international sales was offset by increased revenues in our
Domestic market.

 

Investing for Growth

Our most notable investment is in our new Manufacturing and Technology Centre
in Croydon, which was the home of SLE Ltd, a company we acquired in 2020.
Maintaining the highly skilled workforce was paramount and it was important to
find a site suitable for high tech manufacturing, along with the facilities we
need as a fully integrated company (including research and development and
technology support).  Now with approximately 4,200 sq metres (50% more space
than the previous Croydon site), the state-of-the-art design allows for more
efficient warehousing and laboratories for product development and testing,
along with creating a modern working environment for our employees.  I am
pleased to say that we completed the move in the first half of the year with
no accidents and with only one day of lost production. The site is now fully
operational and helped us deliver a record month at the end of our financial
year.

 

The Manufacturing and Technology Centre has been developed with the future in
mind. We have incorporated a number of energy-saving initiatives; solar panels
on the roof help provide hot water and power to our air source heat pumps for
heating the buildings, roof lights have been maintained which allow us to use
low energy lighting and in the summer months turn off lighting altogether.
With the addition of trees and plants that produce no resins or pollens and do
not attract aphids, carbon dioxide is naturally processed within the building,
reducing the number of air changes needed and hence reducing the energy
required for heating and cooling. Numerous other initiatives have been
incorporated and we feel that this is a true demonstration of what can be
achieved by smaller British manufacturing companies.

 

Our employees are at the heart of the company and in addition, we have
implemented sit/stand desks throughout, modern work benches for manufacturing
and technology support, electric charging points for electric cars, open plan
break out areas for informal meetings and, of course a safe environment that
would minimise disruption in the event of another Covid-19 outbreak, with
ultra-violet and HEPA-filtered air handling alongside modern communication
facilities that allow for a true clear desk policy.

 

Ahead of New Regulatory Requirements

Around the end of 2022, the European Commission proposed, and subsequently
enacted, to delay the implementation of some aspects of the new Medical Device
Regulations, relieving some pressure on the Notified Bodies.  The UK
Government has also postponed the introduction of regulatory legislation.
Our team has been worked hard, mainly in our Research and Development and
regulatory groups, updating our technical documentation, writing new reports
that are required by the new regulations and finally submitting all our
Technical Files to our Notified Body for their review ahead of this
deadline.  It has been a huge amount of work and was completed before the
announcement of the postponement of the deadlines. However, the sooner the
files were submitted, the sooner the products would be approved to the latest
regulations, and we take comfort in knowing our technical documentation is
up-to-date.  Bringing the companies together is quite a complex regulatory
challenge, aligning quality management systems to work efficiently. This has
been helped by the implementation of Trackwise Digital, our new software tool
for helping our document management compliance, which has received positive
feedback from our Notified Body.

 

Our market seems to be returning to normal with activity at our biggest trade
shows returning close to pre-pandemic levels.  We had a strong presence at
both shows we attended enabling our international sales and marketing team to
meet distributors face-to-face for the first time, in some cases, since
pre-Covid.  We have been rolling out a number of marketing initiatives around
branding, bringing more aligned messages across the three operating companies
in the Group and launched a new website that went live at the end of February
2023.

 

Strengthened Team

During the year we improved the management of our supply chain, with the
critical appointment of Francesca Stenhouse as Head of Procurement and Supply
Chain.  This role is pivotal in working with our suppliers, including
internal and external logistics, to drive efficiencies in our business. The
year has been difficult for our suppliers and I thank them for their support
during the year. Without their assistance we would not have been able to
produce the products we did and, although we invested in component stock, our
suppliers helped with their understanding of the situation.

 

Jon Ballard our Chief Financial Officer, resigned during the year.  On behalf
of the Board, I would like to thank Jon for his hard work over the past five
years and wish him all the very best for the future.  Paul Bergin joined the
Company as Interim CFO and the recruitment for a new permanent CFO is expected
to conclude in the Summer of this year.

 

Our employees have endured a tough year. I can only thank them all for their
support of the company during the last 12 months and we hope that we can all
enjoy a better year ahead.

 

Positioned for Future Growth

Although the external disruptions to supply chain and markets remain, we have
been able to adapt to, and cope with, this new environment. We have introduced
more resilience into our supply chain and this has helped our ability to ease
our customers through these uncertain times with the robust assurance of our
quality and excellence of our life saving products.

 

Following a strong Q4 FY2023, the year has commenced in line with our plans.
While uncertainties remain, we are cautiously optimistic that we will return
to our usual growth patterns.

 

The Group's world leading expertise, broad portfolio of best-in-class,
specialist products and established customer relationships enables us to
address the critical needs of the neonatal intensive care market and help save
lives and improve outcomes of premature and sick babies around the world.  We
have a clear growth strategy focused on maximising in-market sales, geographic
and portfolio expansion and strategic M&A and we believe we are well
placed to realise our long-term ambition of becoming a world leading provider
of innovative medical technology.

 

 

 

Mark Abrahams

Chairman

3 May 2023

 

 

Going concern basis

 

The Group provides essential equipment to the NHS, to private healthcare
providers and to distributors who provide the equipment to other healthcare
systems internationally. With a focus on neonatal intensive care the use of
the Group's products is not something that can be reduced by election or
choice.

 

Although the Group has no information to suggest such a scenario might occur,
it has modelled a significant downside scenario based on its main risks,
including a significant downturn in forecast revenue of 15%. If such a
scenario occurred, the Group would implement procedures to reduce overheads
and if necessary, utilise the remaining undrawn Invoice Discounting Facility
and Revolving Credit Facility (due for renewal June 2024).

 

As at 31 March 2023 net cash of the Group was (£2.0m), and there was cash
headroom of £8.0m. The Group has access to borrowing facilities of up to
£10.0m. Consequently, the Directors believe that the Group has sufficient
liquidity to meet obligations as they fall due up to the end of May 2024 and
consider it appropriate to prepare the financial statements on the going
concern basis.

 

Operating and Financial Review

 

I am pleased to report on the Group performance for the financial year ended
31 January 2023 ("FY2023").

 

REVENUE

 

Group revenue increased 0.4% to £41.2m (FY2022: £41.1m).

 

Group Domestic revenue increased by 13% to £19.9m (FY2022: £17.6m) primarily
driven by continuing growth in Infusion Therapies, partially offset by the
planned exiting of domestic service revenue from distributed ventilation
products.  Macro-economic uncertainty, particularly in China, as well as the
geopolitical consequence of the conflict in Ukraine, resulted in International
revenue reducing overall by 9% to £21.3m (FY2022: £23.4m).

 

It is worth highlighting that 31% of full year revenue was generated in the
fourth quarter. This expected increase in our order inflow and subsequent
delivery of product was driven by increased Domestic and International capital
purchases, particularly of ventilators.

 

BRANDED PRODUCTS

Branded Products revenue grew 8% to £24.4m (FY2022: £22.5m) driven by the
fourth quarter increase in ventilator sales, referred to above, and also due
to the planned exit of distributed products following the acquisition of SLE
Ltd. This growth was despite the impact of global market uncertainty on
certain export markets.

 

DISTRIBUTED PRODUCTS

Distributed Products revenue was flat year-on-year at £13.6m (FY2022:
£13.6m). Continued growth in our Infusion product range was offset by the
planned exit from third-party ventilator sales. These third-party ventilators
are being replaced with SLE ventilators in the UK and Ireland, contributing to
an increase in Branded Products.

 

TECHNOLOGY SUPPORT

Technology Support revenue reduced 37% to £2.9m (FY2022: £4.6m). This
reduction was impacted by the planned exiting of third-party ventilators and
the Tecotherm cooling device change of service arrangements related to its end
of life. Group total revenue also includes £0.3m of freight (FY2022: £0.4m).

 

GROSS PROFIT

Gross profit of £18.1m was 12% lower than the prior year (FY2022: £20.6m).
With revenue broadly flat, this reflected a gross margin reduction from 50.2%
to 43.9%.  This reduction was driven by the mix of products in different
territories and a lower revenue from Technology Support which is at high
margins.

 

OPERATING PROFIT

The Group reported Adjusted Operating Profit (before non-recurring items) of
£1.6m (FY2022: £4.3m).

 

Administrative expenses were broadly flat year-on-year at £16.5m (FY2022:
£16.3m), despite the highly inflationary macro-economic environment.

 

There were £1.2m of non-recurring items in the year (FY2022: nil), comprising
£0.5m of leased property impairment relating to the consolidation of our
property portfolio following the move to the new Manufacturing and Technology
Centre, £0.5m of aborted acquisition costs and £0.2m of other costs (see
note 4).

 

This resulted in an Operating profit, post non-recurring items, of £0.4m
(FY2022: £4.3m).

 

Adjusted EBITDA reduced to £4.0m (FY2022: £6.4m). With revenue and
administrative expenses broadly flat year-on-year, this reduction was
primarily driven by the mix of products in different territories. Adjusted
EBITDA margin reduced from 15.6% to 9.7%.

 

                                    2023     2022    Change
                                    £'000    £'000   £'000
 Operating Profit                   431      4,255   (3,824)
 Non-recurring items                1,158    -       1,158
 Adjusted Operating Profit          1,589    4,255   (2,666)
 Depreciation                       1,354    1,069   285
 Amortisation of intangible assets  931      837     94
 Impairment of right of use asset    -       122     (122)
 Share based payment                132      139     (7)
 Adjusted EBITDA                    4,006    6,422   (2,416)

 

Taxation

The Group has recorded a tax credit of £196,000 (FY2022: £271,000).

 

Earnings Per Share ("EPS")

Basic EPS and diluted EPS were 0.40p per share and 0.39p per share,
respectively (FY2022: 6.22p and 6.16p).

 

Adjusted basic and diluted EPS (before non-recurring items) were 2.99p and
2.95p, respectively (FY2022: 7.11p and 7.04p).

 

Cash Flow

Net cash (cash and cash equivalents less the Company's Revolving Credit
Facility "RCF" and invoice financing facility) was £(3.8)m as at 31 January
2023 (FY2022: £9.3m). The £13.1m decrease in the year was driven by the
investment in the new Manufacturing and Technology Centre in Croydon
(including an earlier than expected payment), increased inventory levels to
ensure continuity of supply chain and customer service level, higher debtors
due to strong fourth quarter revenues and non-recurring items.

 

Net cash flows used in operating activities was a £3.5m outflow (FY2022:
£3.6m inflow), with the decrease reflecting the increased working capital
level, referred to above, as well as lower profitability.

 

Cash outflow on investing activities was £8.3m (FY2022: £4.0m) of which
£2.0m related to capital development expenditure and the majority of the
balance to investment in the new Manufacturing and Technology Centre. There
was also £1.3m of financing outflows.

 

The Group has a £5m RCF in place and during December 2022 entered into an
invoice discounting facility of up to £5m. As at 31 January 2023, £4.0m of
the RCF and £2.1m of the invoice discounting facility were utilised. Total
headroom as at 31 January was £6.2m.

 

Net Assets

The value of non-current assets as at 31 January 2023 totalled £30.8m
(FY2022: £25.1m). The net £5.7m year-on-year increase mostly relates to
investment in the new Manufacturing and Technology Centre.

 

Inventory increased to £9.9m (FY2022: £6.4m) which was impacted by the need
to secure components to ensure continuity of supply chain. Trade and other
receivables increased by £2.6m to £11.9m (FY2022: £9.3m), reflecting a
planned strong fourth quarter order and revenue level. Trade and other
payables decreased by £0.8m to £5.8m (FY2022: £6.6m).

 

Net Assets remained flat at £35.5m as at 31 January 2023.

 

Dividends

The interim dividend of 0.205p per share (FY2022: 0.205p) was paid on 28
December 2022. The Board is recommending a final dividend of 0.41p per share
(FY2022: 0.41p) to make a total dividend for the year of 0.615p per share
(FY2021: 0.615p). If approved by shareholders at the AGM, the final dividend
will be paid on 28 July 2023 to shareholders on the register on 30 June 2023.

 

Review of Business and Future Developments

On a Group basis the business review and future prospects are set out in the
Chairman's Report above.

 

Share Price During the Year

The range of market prices during the year from 1 February 2022 to 31 January
2023 was 52p to 113.5p and the mid-market price of the Company's ordinary
shares at 31 January 2023 was 52p.

 

Neil Campbell

Chief Executive Officer

3 May 2023

 

 

Consolidated Income Statement

for the year ended 31 January 2023

 

                                                            2023       2023                 2023      2022
                                                      Note             Non-recurring items  Total     Total

                                                                       £'000                £'000     Restated

                                                            Adjusted                                  £'000

                                                            £'000

   Revenue                                            2     41,233     -                    41,233    41,050
   Cost of sales                                            (23,140)                        (23,140)  (20,458)
                                                                       -
   Gross profit                                             18,093     -                    18,093    20,592
   Administrative expenses                            4     (16,504)   (1,158)              (17,662)  (16,337)

   Operating profit                                         1,589      (1,158)              431       4,255

   Finance income                                           40         -                    40        9
   Finance expense                                          (395)      -                    (395)     (301)

   Profit before tax                                        1,234      (1,158)              76        3,963

   Income tax                                         3     196        -                    196       271

   Profit for the year attributable to
   owners of the parent company                             1,430      (1,158)              272       4,234

   Earnings per share, attributable to owners of the
   parent company
   Basic expressed in pence per share                 5     2.99p                           0.40p     6.22p
   Diluted expressed in pence per share               5     2.95p                           0.39p     6.16p

 

A Prior Year Adjustment has been made in relation to Deferred Tax and
consequently, an adjustment to Income Tax has been made to the Consolidated
Income Statement for the year ended 31 January 2022. Please see Note 12 for
further detail.

 

Consolidated Statement of Comprehensive Income

for the year ended 31 January 2023

 

                                                       2023       2023                 2023     2022
                                                                  Non-recurring items  Total    Restated

                                                                  £'000                £'000      £'000

                                                       Adjusted

                                                       £'000

   Profit for the year                                 1,430      (1,158)              272      4,234
   Other comprehensive income
   Items that may be reclassified to profit or loss

   Cash flow hedges                                    -          -                    -        9

   Total other comprehensive income for the year       -          -                    -        9

   Total comprehensive income for the year             1,430      (1,158)              272      4,243

 

Consolidated Statement of Financial Position

as at 31 January 2023

 (Registered Number: 03587944)
                                          2023      Restated

                                                    2022
                                Note      £'000     £'000

 Assets
 Non-current assets
 Intangible assets              7         17,004    15,825
 Property, plant and equipment  8         7,497     1,798
 Right of use assets                      5,970     7,383
 Deferred tax asset             11        324       87
                                          30,795    25,093

 Current assets
 Inventories                              9,935     6,449
 Trade and other receivables              11,888    9,313
 Cash and cash equivalents      9         2,276     9,253
                                          24,099    25,015

 Total assets                             54,894    50,108

 Liabilities
 Current liabilities
 Trade and other payables                 (5,812)   (6,552)
 Lease liabilities                        (822)     (647)
 Borrowings                     10        (2,079)   -
 Contract liabilities                     (531)     (524)

                                          (9,244)   (7,723)

 Non-current liabilities
 Lease liabilities                        (6,176)   (6,896)
 Borrowings                     10        (4,000)   -
                                          (10,176)  (6,896)

 Total liabilities                        (19,420)  (14,619)

 Net assets                               35,474    35,489

 Shareholders' equity
 Called up share capital                  6,813     6,812
 Share premium account                    18,842    18,838
 Reverse acquisition reserve              (16,164)  (16,164)
 Share based payment reserve              405       278
 Retained earnings                        25,578    25,725
 Total equity                             35,474    35,489

 

 

A Prior Year Adjustment has been made in relation to Deferred Tax and
consequently, adjustments to Goodwill and Deferred Tax have been made in the
Consolidated Statement of Financial Position as at 31 January 2022. Please see
Note 12 for further detail.

 

 

 

Consolidated Statement of Changes in

Shareholders' Equity

 

                                                                                                   Share
                                                                 Issued   Share    Reverse                based
                                                                 share    premium  acquisition            payment  Other          Retained
                                                                 capital  account  reserve                reserve  Reserves       earnings  Total
                                                                 £'000    £'000    £'000                  £'000    £'000          £'000     £'000

                                                                 6,812    18,838         (16,164)  139                  (9)       21,903    31,519

 At 1 February 2021 (Restated)
 Profit for the year (Restated)                                  -        -              -                -             -         4,234     4,234
 Cash flow hedges:                                               -        -              -                -             9         -         9

 Income recognised on hedging instruments

 Total comprehensive income for the year                         -        -              -                -             9         4,234     4,243

 Transactions with owners in
 their capacity as owners
 Dividends                                                       -        -              -                -             -         (412)     (412)
 Employee share scheme expense                                   -        -              -                139           -         -         139
 Total transactions with owners                                  -        -              -                139           -         (412)     (273)

 At 31 January 2022 (Restated)                                   6,812    18,838         (16,164)  278                  -         25,725    35,489
 Profit for the year                                             -        -              -                -             -         272       272

 Total comprehensive income for the year                         -        -              -                -             -         272       272

 Transactions with owners in
 their capacity as owners
 Issue of ordinary shares, net of transaction costs and tax      1        4              -                (5)           -         -         -
 Dividends                                                       -        -              -                -             -         (419)     (419)
 Employee share scheme expense                                   -        -              -                132           -         -         132

 Total transactions with owners                                  1        4              -                127            -        (419)     (287)

 At 31 January 2023                                              6,813    18,842         (16,164)         405           -         25,578    35,474

 

 

Consolidated Cash Flow Statement

 

for the year ended 31 January 2023

                                                               2023       Restated

                                                                          2022
                                                         Note  £'000      £'000

 Cash flows from operating activities
 Profit for the year                                           272        4,234
 Adjustments for:
 Depreciation and amortisation                                 2,285      1,906
 Remeasurement of leases                                       (25)       (46)
 Impairment of right of use assets                             446        122
 Employee share scheme expense                                 132        139
 (Profit)/Loss on disposal of tangible assets                  (26)       192
 Loss on disposal of intangible assets                         6          133

 Finance income                                                (40)       (9)
 Finance expense                                               395        301
 Income tax                                              3     (196)      (271)
                                                               3,249      6,701

 (Increase)/decrease in inventories                            (3,486)    1,741
 Increase in trade and other receivables                       (2,501)    (4,037)
 Decrease in trade and other payables                          (740)      (266)
 Increase/(Decrease) in contract liabilities                   7          (9)

 Cash flows (used in)/generated from operations                (3,471)    4,130

 Taxation paid                                           3     -          (554)

 Net cash (used in)/generated from operating activities        (3,471)    3,576

 Cash flows from investing activities

 Bank interest received                                        5          1
 Interest received on leases                                   35         8
 Purchase of property, plant and equipment                     (6,226)    (1,425)
 Purchase of intangible assets                           7     (140)      (338)
 Capitalised development costs                           7     (1,976)    (2,208)

 Net cash used in investing activities                         (8,302)    (3,962)

 Cash flows from financing activities
 Principal elements of lease payments                          (697)      (382)
 Principle elements of lease receipts                          217        74
 Interest paid on lease liabilities                            (300)      (244)
 Interest paid on loans and borrowings                         (84)       (50)
 Dividends paid to the holders of the parent                   (419)      (412)
 Proceeds from loans and borrowings                      10    6,079      -

 Net cash generated from/(used in) financing activities        4,796      (1,014)

 Net decrease in cash and cash equivalents                     (6,977)    (1,400)

 Cash and cash equivalents at the beginning of the year        9,253      10,653

 Cash and cash equivalents at the end of the year              2,276      9,253

 

 

Notes forming part of the Consolidated Financial Statements

 

 

1                              Accounting
Policies

 

Inspiration Healthcare Group plc ("Company") is a public limited company
incorporated in England and Wales and domiciled in England. The Company's
registered address is Unit 2, Satellite Business Village, Crawley, West
Sussex, RH10 9NE and the registered company number is 03587944. The Company's
ordinary shares are traded on the AIM Market of the London Stock Exchange plc.

 

The principal activities of Inspiration Healthcare Group plc and its
subsidiaries (together, the "Group") continue to be the sale, service and
support of critical care equipment to the medical sector including hospitals.

 

Basis of preparation

 

The principal accounting policies adopted in the preparation of these
financial statements are set out below. These policies have been consistently
applied unless otherwise stated.

 

The individual financial statements of each entity in the Group are presented
in the currency of the primary economic environment in which it operates (the
functional currency). The Group Financial Statements are presented in pounds
sterling, which is the presentation currency of the Group.

 

Alternative financial measures

In the reporting of its financial performance, the Group uses certain measures
that are not defined under IFRS, the Generally Accepted Accounting Principles
(GAAP) under which the Group reports. The Directors believe that these
non-GAAP measures assist with the understanding of the performance of the
business.  These non-GAAP measures are not a substitute for, or superior to,
any IFRS measures of performance but they have been included as the Directors
consider them to be an important means of comparing performance year-on-year
and they include key measures used within the business for assessing
performance.

 

The Group refers to the following alternative financial measures, please refer
to the Operating and Financial Review for further information.

·      Adjusted EBITDA

·      Adjusted Operating Profit

·      Adjusted EPS

2    Revenue

 

The Group derives revenue from the transfer of goods and services over time
and at a point in time in the following geographical split:

 

                                          2023    2022
                                          £'000   £'000

 Domestic
 -       UK                               19,340  17,078
 -       Ireland                          547     545
 International
 -     Europe                             5,315   5,955
 -     Asia Pacific                       9,458   10,230
 -     Middle East & Africa               5,386   5,456
 -     Americas                           1,187   1,786

 Total                                    41,233  41,050

 

 Significant categories of revenue
                                            2023    2022
                                            £'000   £'000

 Revenue recognised at a Point in Time
 -       Branded Products                   24,360  22,524
 -       Distributor Products               13,624  13,606
 -       Technology Support *               261     304
 -       Freight                            360     356
 Revenue recognised Over Time
 -       Technology Support                 2,628   4,260

 Total                                      41,233  41,050

 

* Technology Support revenue recognised at a point in time relates to the
rental of our AlphaCore(5) patient warming equipment.

 

3              Income tax

 

   (a)  Analysis of tax charge for the year
                                                                    2023     2022
                                                                    £'000    £'000

   Domestic current year tax *
   UK corporation tax
   Current year                                                     14       -
   Prior year adjustment                                            28       56

   Total current tax expense                                        42       56

   Deferred tax
       Origination and reversal of temporary timing differences     (306)    (311)
       Prior year adjustment                                        68       (16)

   Total deferred tax                                                (238)    (327)

   Tax expense on profit on ordinary activities                     (196)     (271)

 

* All tax in both FY2023 and FY2022 arose in the UK.

 

   (b)  Analysis of current corporation tax assets
                                                     2023    2022
                                                     £'000   £'000

   Net liability at 1 February                       185     (313)

   Tax payments
   Final payments relating to prior year             -       554
   Total tax payments made during the year           -       554

   Current year UK corporation tax charge            (14)    -
   Prior year adjustment                             (28)    (56)

   Net asset at 31 January                           143     185

 

 

 (c) Factors affecting tax charge for the year

 

The tax assessed for the year is lower (2022: lower) than the standard rate of
corporation tax in the UK 19.00% (2022: 19.00%) as explained below:

 

                                                                                              Effective Tax Rate
                                                                           2023    2022       2023        2022

                                                                                   Restated               Restated
                                                                           £'000   £'000      %           %

 Profit on ordinary activities before taxation                             76      3,963
 Tax using the effective UK corporation tax rate of 19.00% (2022: 19.00%)  14      753

                                                                                              19.0        19.0
 Effects of:
 Non-deductible expenses                                                   188     56         247.3       1.4
 Additional deduction for research and development                         (314)   (497)

                                                                                              (413.7)     (12.5)
 Fixed asset differences                                                   44      49         58.3        1.2
 Other permanent differences                                               -       12         -           0.3
 Adjustment in respect of prior periods                                    96      40         126.5       1.0
 Amendments to deferred tax and timing                                     (224)   (684)      (295.2)     (17.3)
 Total tax expense                                                         (196)   (271)
 Effective tax rate                                                                           (257.8)     (6.9)

 

 

The effective tax rate for FY2023 is lower than FY2022. This decrease is
largely due to the recognition of previously unrecognised losses. The
non-deductible expenses largely relate to aborted acquisition costs incurred
in the year.

 

Budget 2021 announced that the UK corporation tax rate was to increase from
19% to 25% with effect from 1 April 2023. A small profits rate of 19% applies
for taxable profits of £50,000 or less and a tapered rate will apply to
companies with taxable profits between £50,001 and £249,999. This provision
was substantively enacted on 24 May 2021 and the deferred tax balances have
been calculated at 25%.

 

 

(d)  Factors that may affect future tax charges

 

The Group has gross unrecognised losses estimated at £6,019,271 (FY2022:
£6,019,271) which were transferred to the Group due to the reverse
acquisition of Inditherm. Brought forward losses transferred to the Group due
to the reverse acquisition are potentially available for relief against future
trading profits generated from the same trade. See note 11 Deferred Tax, for
more information.

 

4     Non-recurring Items

 

 During the year, the Group recognised the following non-recurring items:
                                                                               2023
                                                                               £'000
 Impairments of leased properties                                              446
 Aborted acquisition costs                                                     467
 Other                                                                         245
 Total Non-recurring items                                                     1,158

 Impairment of leased properties:

Following the move to our new Manufacturing and Technology Centre, the Group
 took the decision to consolidate its property portfolio and as a result, there
 was an impairment of our right of use assets of £446,000, relating to our
 Crawley and former Croydon properties.

 Aborted acquisition costs:

£467,000 were financial and tax due diligence work and consultancy fees
 related to an aborted acquisition.

 Other
 £105,000 relates to project consultancy costs incurred in the year. £140,000
 were legal fees relating to a contract dispute.

 

 

 

 

5      Earnings per ordinary share

 

Basic earnings per share for the year is calculated by dividing the profit
attributable to ordinary shareholders for the year after tax by the weighted
average number of shares in issue.

 

Diluted earnings per share is calculated by adjusting the weighted average
number of ordinary shares in issue to assume conversion of all potential
dilutive ordinary shares.

 

FY2022 earnings per share have been restated as a result of the Prior Year
adjustment relating to deferred tax, please see Note 12 for further detail.

                                                                       2023    2022

                                                                               Restated
                                                                       £'000   £'000

 Profit
 Profit attributable to equity holders of the company                  272     4,234
 Add back non-recurring items                                          1,158   -
 Add back amortisation of intangible assets acquired through business  605     605
 combinations

 Numerator for adjusted earnings per share calculation                 2,035   4,839

 

The weighted average number of shares in issue and the diluted weighted
average number of shares in issue were as follows:

 

                                                                      2023        2022

 Shares

 Number of ordinary shares in issue at the beginning of the year      68,127,447  68,121,447
 Weighted average number of shares issued during the year             5,771        -
 Weighted average number of ordinary shares in issue during the year  68,133,218  68,121,447
 for the purposes of basic earnings per share

 Dilutive effect of potential ordinary shares:
 Weighted average number of share options                             691,392     672,175

 Diluted weighted average number of shares in issue during the year
 for the purposes of diluted earnings per share                       68,824,610  68,793,622

 

 

The basic and diluted earnings per share for the year are as follows:

                                                                       Basic  Diluted  Basic      Diluted

                                                                       2023   2023     2022       2022

                                                                                       Restated   Restated
                                                                       pence  pence    pence      pence

 Earnings per share                                                    0.40   0.39     6.22       6.16
 Adjust for:
 Non recurring items                                                   1.70   1.68     -          -
 Add back amortisation of intangible assets acquired through business  0.89   0.88     0.89       0.88
 combinations
 Adjusted earnings per share                                           2.99   2.95     7.11       7.04

 

An adjusted basic earnings per share and an adjusted diluted earnings per
share have also been calculated as in the opinion of the Directors this will
allow shareholders to gain a clearer understanding of the trading performance
of the Group.

 

 

6      Dividends

 

The interim dividend for the year ended 31 January 2023 of 0.205p per share
(2021: 0.2p per share) was paid on 28 December 2022. The proposed final
dividend of 0.41p per share (2022: 0.4p per share) is subject to approval by
shareholders at the AGM and has not been recognised as a liability as at 31
January 2023. If approved, the final dividend will be paid on 28 July 2023 to
shareholders on the register on 30 June 2023.

 

 

7      Intangible assets

 

                                              Intangible assets  Development  Intellectual  Software
                                    Goodwill  acquired           costs        property      costs     Total
                                    £'000     £'000              £'000        £'000         £'000     £'000

     Cost
     At 1 February 2021 (Restated)  7,610     5,528              2,035        276           485       15,934
     Capitalised in the year        -         -                  2,208        -             338       2,546
     Disposals                      -         -                  (116)        -             (67)      (183)

     At 1 February 2022             7,610     5,528              4,127        276           756       18,297

     Capitalised in the year        -         -                  1,976        -             140       2,116
     Disposals                      -         -                  (6)          -             -         (6)

     At 31 January 2023             7,610     5,528              6,097        276           896       20,407

     Accumulated Amortisation
     At 1 February 2021             -         423                625          276           361       1,685
     Charge in the year             -         605                155          -             77        837
     Disposal                       -         -                  -            -             (50)      (50)
     At 1 February 2022             -         1,028              780          276           388       2,472

     Charge in the year             -         605                157          -             169       931

     At 31 January 2023             -         1,633              937          276           557       3,403

     Net book value
     At 31 January 2023             7,610     3,895              5,160        -             339       17,004

     At 31 January 2022 (Restated)  7,610     4,500              3,347        -             368       15,825

 

The Group tests goodwill for impairment on an annual basis, or more frequently
if there are indications that the goodwill may be impaired. The recoverable
amounts of the cash-generating unit are determined from value in use
calculations. The key assumptions for the value in use calculations are the
discount and growth rates used for future cash flows and the anticipated
future changes in revenue and costs. The assumptions used reflect the past
experience of management and future expectations.

 

The forecasts covering a five-year period are based on the detailed budget for
the year ended 31 January 2024 approved by management. The cashflows beyond
the budget are extrapolated for a further four-year period based on future
expectations. This forecast is then extrapolated to perpetuity using a 2%
(2022: 2%) growth rate.

 

Annual growth rates for revenues for the five-year forecast period have been
included between 10% and 15% year-on-year and costs between 5% and 10%
year-on-year. A post-tax discount rate of 13% (2022: 13%) has been used in
these calculations. The discount rate uses weighted average cost of capital
which is reflective of a medical device Company operating both domestically
and internationally. A discount rate of 19% (2022: 31%) would need to be
applied for there to be zero headroom.

 

Sensitivity analyses have been performed on the carrying value of all
remaining goodwill using post-tax discount rates up to 13%. Revenue growth
would need to reduce by 4.1% year-on-year with no change in cost growth
assumptions for there to be zero headroom.

 

8      Property, Plant and Equipment

 

                           Leasehold improvements                                      Fixtures and fittings                                 Plant, machinery, office equipment  Motor                                             Total

vehicles
                           £'000                                                       £'000                                                 £'000                               £'000                                             £'000

 Cost
 At 1 February 2021        467                                                         121                                                   1,516                               58                                                2,162
 Additions in the year     899                                                         2                                                     525                                                       -                           1,426
 Disposals in the year     (220)                                                       (17)                                                  (154)                                                     -                           (391)
 At 1 February 2022        1,146                                                       106                                                   1,887                               58                                                3,197
 Additions in the year     5,894                                                       6                                                     326                                                       -                           6,226
 Disposals in the year     -                                                           -                                                     (6)                                                       -                           (6)
 At 31 January 2023        7,040                                                       112                                                   2,207                               58                                                9,417

 Accumulated Depreciation
 At 1 February 2021        114                                                         61                                                    1,061                               7                                                 1,243
 Charge in the year        73                                                          24                                                    249                                 17                                                363
 Disposals in the year     (58)                                                        (17)                                                  (132)                                                     -                           (207)
 At 1 February 2022        129                                                         68                                                    1,178                               24                                                1,399
 Charge in the year        241                                                         8                                                     257                                 17                                                523
 Disposals in the year                                -                                                        -                             (2)                                                       -                           (2)
 At 31 January 2023        370                                                         76                                                    1,433                               41                                                1,920

 Net book value
 At 31 January 2023        6,670                                                       36                                                    774                                 17                                                7,497
 At 31 January 2022        1,017                                                       38                                                    709                                 34                                                1,798

 

 

 

Depreciation charged for the financial year is split between cost of sales
£60,000 (2022: £19,000) and administrative expense £463,000 (2022:
£344,000) in the Consolidated Income Statement.

 

 

9              Cash and cash equivalents

 

Cash and cash equivalents comprise solely of cash at bank available on
demand.

 

The Group currently use four banks; Royal Bank of Scotland plc, HSBC Bank plc,
Bank of Scotland plc and National Westminster Bank plc.  Moody's give
long-term ratings of A1 for all four banks as at 31 January 2023.

 

 

10           Borrowings

 

                                          2023    2022
                                    Note  £'000   £'000
 Revolving Credit Facility ("RCF")        4,000   -
 Invoice Financing                        2,079   -
                                          6,079   -

 

£4m has been presented as a non-current liability in the Statement of
Financial Position as at 31 January 2023 and £2.1m has been presented as a
current liability.

 

 

Revolving Credit Facility

 

The Group has a £5m RCF facility in place, which expires in 2024 with the
option to extend and attracts a 2.5% margin above SONIA. During the year, the
Group utilised £4m of the RCF facility. Banking covenants of EBITDA / finance
charges and net debt / EBITDA are in place and are tested quarterly. All
covenants have been complied with during the year ended 31 January 2023.

 

 

Drawdowns can be made on a 1, 2 or 3 month basis which can be rolled as
required until the facility expires.

 

The movement in the RCF facility during the year was as follows:

 

 

.

 

 

                                      £'000
 At 1 February 2022                   -
 Proceeds from drawdown of loans      4,000
 Interest payable                     84
 Interest paid                        (84)
 At 31 January 2023                   4,000

 

 

 

Invoice Financing Facility

 

During the year, the Group entered into an invoice financing facility to
borrow cash against notifiable trade receivables. The arrangement with the
bank is such that the customers remit cash directly with the bank and invoices
are settled against the facility directly. The Group continues to bear the
credit risk relating to any defaulting customers and therefore the related
trade receivables continue to be recognised on the Group's Statement of
Financial Position.

 

 

11           Deferred tax

 

The following are the major deferred tax liabilities and assets recognised by
the Group and movements thereon during the current and prior reporting year.

 

 

The Group has made a prior year adjustment in respect of the FY2021 deferred
tax asset arising on acquisition of SLE Limited. This note has been restated
accordingly. Please see Note 12 for further detail of the prior year
adjustment.

 

 Note that the effective future tax rate is 25% (2022: 25%).

                                                                 2023          2022

                                                                               Restated
                                                                 £'000         £'000
 Asset at beginning of year                                      2,012         900
 Credit to the Income Statement for the year                     351           1,112
 Asset at end of year                                            2,363         2,012

                                                                 2023          2022
                                                                 £'000         £'000
 Liability at beginning of year                                  (1,925)       (1,141)
 Charge to the Income Statement for the year                     (114)         (784)
 Liability at end of year                                        (2,039)       (1,925)

 The elements of deferred taxation provided for are as follows:
                                                                               Restated
                                                                 2023          2022
                                                                 £'000         £'000
 Unused tax losses relating to SLE                               1,959         1,661
 Unused tax losses relating to Inditherm                         331           351
 Short term timing differences                                   73            -
 Deferred tax asset                                              2,363         2,012

                                                                 2023          2022
                                                                 £'000         £'000
 Accelerated capital allowances                                  (186)         (140)
 Intangible assets                                               (879)         (751)
 Intangibles arising on business combinations                    (974)         (1,125)
 Short term timing differences                                   -             91
 Deferred tax liability                                          (2,039)       (1,925)

Presentation on the Consolidated Statement of Financial Position

 

                       2023  2022
 Deferred tax asset    324   87

 

 

At the year end date the Group had gross unused losses of £15,248,186 (2022:
£13,988,205) potentially available to offset against future profits. Unused
trading losses of £7,905,283 (2022: £6,645,302) arose in SLE Limited prior
to the acquisition by Inspiration Healthcare Group plc on 7 July 2020 and
brought forward losses transferred to the Group due to the reverse acquisition
of Inditherm plc amount to £7,342,903 (2022: £7,342,903). The Group has
received advice that these losses can be carried forward and utilised against
future taxable profits of the same business from which they were generated.
A streaming methodology has been devised to estimate profits from the business
relating to Inditherm plc. This has been projected forwards and it is
estimated that taxable profits will be generated in the future and
consequently, a deferred tax asset has been recognised in respect of these
losses. A deferred tax asset has also been recognised in respect of the
brought forward losses transferred to the Group following the acquisition of
SLE Limited. A prior year adjustment has been made to recognise a deferred tax
asset to the extent of the deferred tax liability relating to the intangibles
recognised on the acquisition of SLE Limited.

 The amounts of deferred tax not recognised are as follows:
                                                              2023    2022
                                                              £'000   £'000

 Unused tax losses                                            1,505   1,485

 

 

 

Budget 2021 announced that the UK corporation tax rate was to increase from
19% to 25% with effect from 1 April 2023. A small profits rate of 19% applies
for taxable profits of £50,000 or less and a tapered rate will apply to
companies with taxable profits between £50,001 and £249,999. This provision
was substantively enacted on 24 May 2021 and the deferred tax balances have
been calculated at 25%.

 

12           Prior Year Adjustment

 

 A Prior Year Adjustment has been made in respect of the Group's deferred tax
asset. In FY2021, the Group recognised a deferred tax liability relating to
taxable temporary differences that arose from the recognition of intangibles
on the acquisition of SLE Limited in July 2020. At the time of the
acquisition, a deferred tax asset was not recognised.  However, accounting
standards require a deferred tax asset to be recognised to the extent of the
existing deferred tax liability and therefore a deferred tax asset should have
been recognised in FY2021. This has been corrected by restating each of the
affected financial statement line items for prior periods. The following
tables summarise the impacts on the Group's Consolidated Financial Statements.

 

 

 

 

 

 

Consolidated Statement of Financial Position

 

                         Impact of correction of error

 31 January 2022         As previously reported   Adjustments    As restated
                         £'000                   £'000          £'000
 Intangibles             16,782                  (957)          15,825
 Deferred Tax Asset      470                     (383)          87
 Other                   34,197                  (1)            34,196
 Total Assets            51,449                  (1,341)        50,108
 Deferred Tax Liability  (1,925)                 (1,925)        -
 Other                   (14,619)                 -             (14,619)
 Total Liabilities       (16,544)                (1,925)        (14,619)
 Retained Earnings       25,141                  584            25,725
 Other                   9,764                   -              9,764
 Total Equity            34,905                  584            35,489

 

 

Consolidated Income Statement

 

                                     Impact of correction of error

 For the year ended 31 January 2022  As previously reported   Adjustments    As restated
                                     £'000                   £'000          £'000
 Profit before tax                   3,963                   -              3,963
 Income Tax                          (370)                   641            271
 Profit for the year                 3,593                   641            4,234

 

 Earnings Per Share                  Impact of correction of error
 For the year ended 31 January 2022
                                     As previously reported   Adjustments    As restated
 Basic EPS                            5.28p                   0.94p          6.22p
 Diluted EPS                          5.22p                   0.94p          6.16p

 

 

 

 

 

 

Statement of directors' responsibilities

 

In preparing this preliminary announcement and summary financial statements
the directors have considered their statutory responsibilities in relation to
the preparation and approval of the annual report and financial statements.
In preparing the summary financial statements, the directors have:

 

• selected suitable accounting policies and then apply them consistently;

• stated whether applicable IFRSs as adopted by the European Union have been
followed for the Group summary financial statements and United Kingdom
Accounting Standards, comprising FRS 101, have been followed for the Company
financial statements, subject to any material departures disclosed and
explained in the summary financial statements;

• made judgements and accounting estimates that are reasonable and prudent;
and

• prepared the summary financial statements on the going concern basis
unless it is inappropriate to presume that the group and company will continue
in business.

 

In the case of each director in office at the date the summary financial
statements are approved:

• so far as the director is aware, there is no relevant audit information of
which the Group and Company's auditors are unaware; and

• they have taken all the steps that they ought to have taken as a director
in order to make themselves aware of any relevant audit information and to
establish that the Group and Company's auditors are aware of that
information.

 

Publication of non-statutory accounts

 

The financial information included in this preliminary announcement does not
constitute the Company's statutory accounts for the year ended 31 January 2023
and for the year ended 31 January 2022 but is derived from those accounts.
Statutory accounts for the year ended 31 January 2022 have been delivered to
the registrar of companies, and those for year ended 31 January 2023 will be
delivered in due course. The auditor has reported on those accounts; their
reports were (i) unqualified (ii) did not include a reference to any matters
to which the auditor drew attention to by way of emphasis without qualifying
their report, and (iii) did not contain a statement under section 498 (2) or
(3) of the Companies Act 2006. The consolidated financial statements of the
Company have been prepared in accordance with international accounting
standards in conformity with the requirements of the Companies Act 2006 and in
accordance with the UK adopted international accounting standards.

 

Forward looking statements

 

Certain statements contained in this document constitute forward-looking
statements. Such forward-looking statements involve risks, uncertainties and
other factors which may cause the actual results, performance or achievements
of Inspiration Healthcare Group plc to be materially different from any future
results, performance or achievements expressed or implied by such statements.
Such risks, uncertainties and other factors include, among others: general
economic conditions and business environment.

 

 

Annual Report

 

A further announcement will be made when the 2023 Annual Report and Financial
Statements are available on the Company's website
(www.inspirationhealthcaregroup.plc.uk
(http://www.inspirationhealthcaregroup.plc.uk/) ) and copies are sent to
shareholders.

 

 

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