Healthperm’s H118 results showed strong revenue growth of 188% and a 281% rise in gross profit. Revenue was boosted by a 188% rise in the number of candidates deployed and gross profit has benefited from an improved mix. The company remains loss making as its ramp-up phase continues but the outlook is positive, supported by a good run of contract wins and entry into new markets. We have maintained our estimates and valuation.
Written by
Healthperm Resourcing |
Positive H118 results |
H1 results |
Industrial support services |
4 October 2018 |
Share price performance
Business description
Next events
Analyst
Healthperm Resourcing is a research client of Edison Investment Research Limited |
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Healthperm’s H118 results showed strong revenue growth of 188% and a 281% rise in gross profit. Revenue was boosted by a 188% rise in the number of candidates deployed and gross profit has benefited from an improved mix. The company remains loss making as its ramp-up phase continues but the outlook is positive, supported by a good run of contract wins and entry into new markets. We have maintained our estimates and valuation.
Year end |
Revenue (£m) |
PBT* |
EPS* |
DPS |
P/E |
Yield |
12/16 |
0.0 |
(1.8) |
(20.8) |
0.0 |
N/A |
N/A |
12/17 |
0.2 |
(1.9) |
(23.9) |
0.0 |
N/A |
N/A |
12/18e |
0.9 |
(2.3) |
(26.3) |
0.0 |
N/A |
N/A |
12/19e |
2.8 |
(0.6) |
(7.3) |
0.0 |
N/A |
N/A |
Note: *PBT and EPS are normalised, excluding amortisation of acquired intangibles, exceptional items and share-based payments.
H118 saw strong revenue and gross profit growth
Healthperm saw a 188% rise in candidates deployed in H118, which led to an equivalent rise in revenue to £297k. Gross profit rose even faster, by 281%, which reflects a more profitable mix. The company is still in a ramp-up phase so made a loss before taxation of £1,364k compared to a loss of £840k last year. Cash conversion improved, due mainly to better working capital, and we think as Healthperm grows, its position with customers and suppliers will strengthen, and its working capital will probably improve further.
Positive outlook supported by contract wins
Healthperm had a good level of new contracts wins covering nine hospitals in H118, including with Medway, its largest ever contract. The company has also entered Ireland, Saudi Arabia and Kuwait for the first time. The tone of the outlook was encouraging, saying ‘the board anticipates the group will agree additional mandates with NHS hospitals in the UK and healthcare organisations in the Middle East for the recruitment of nurses, doctors and other allied healthcare professionals’.
A growing shortage of healthcare professionals
We think the structural outlook for Healthperm is good as its main markets of the UK and the Middle East have a growing shortage of healthcare professionals. We note that the UK’s Migration Advisory Committee last month recommended that after Brexit the UK no longer should give favourable treatment to EU immigrants and we think this could favour Healthperm, which recruits from outside the EU.
Valuation: DCF gives 121% upside
Our preferred measure for valuing companies is a DCF. We think this is particularly useful in the case of Healthperm, given it is likely to be loss making until 2019, but thereafter profits should rise sharply. Our base case DCF ascribes a value of 288p for Healthperm, which represents 121% upside to the current share price. Our DCF uses a WACC of 8.9% and a terminal growth rate of 1.0%.
H118 results show strong revenue growth
In H118 revenue grew by 188% due to an equivalent rise in the number of candidates deployed, from 50 to 144 (Exhibit 1). Gross profit increased by 281%, and we think the company can continue to improve its pricing as it speeds up the process of placing nurses through better selection and training. The operating loss widened by 54% we think as Healthperm continues to invest for growth.
Exhibit 1: Healthperm’s P&L results
£000s |
H117 |
H118 |
% change |
Revenue |
103 |
297 |
188% |
Gross profit |
62 |
236 |
281% |
Operating loss |
(792) |
(1,217) |
54% |
Loss before taxation |
(840) |
(1,364) |
62% |
EPS (p) |
(9.12) |
(15.75) |
73% |
Source: Healthperm
Expansion in all Healthperm’s markets
All three of Healthperm’s markets showed strong growth (Exhibit 2). The UK reported the fastest expansion where we think it has benefited from a good level of new contract wins.
Exhibit 2: Healthperm’s revenue by geography
£000s |
H117 |
H118 |
% change |
UK |
57 |
204 |
258% |
UAE |
15 |
30 |
100% |
Philippines |
31 |
63 |
103% |
Total |
103 |
297 |
188% |
Source: Healthperm
UK (69% of H118 revenue)
In August Healthperm won its largest UK contract, with Medway NHS Foundation Trust, and the statement said that in the remainder of 2018, the company will start recruitment for an initial 400 nurses. New recruitment contracts were also signed with East & North Hertfordshire NHS Trust, Sherwood Forest Foundation Trust and Buckinghamshire Healthcare NHS Trust, covering nine hospitals.
The Objective Structured Clinical Examination pass rate for Healthperm candidates was 96% vs the UK national average of 56%, which we think is an important competitive advantage. Healthperm also signed its first recruitment contract in Ireland.
Middle East (10% of H118 revenue)
Healthperm’s language training centre saw students increase from eight to 158, which we think should support future growth in the UK, where some of these students will want to redeploy. First time recruitment contracts were signed in Saudi Arabia and Kuwait. We think Saudi Arabia, in particular, could be a large opportunity for Healthperm given that its population is 33m, whereas the UAE, which is Healthperm’s current base in the Middle East, has a population of nine million.
Philippines (21% of H118 revenue)
The Philippines is Healthperm’s main country for the recruitment of healthcare professionals and we think it reassuring the company was awarded an upgraded recruitment licence with the Philippine Overseas Employment Administration. Healthperm has signed partnership agreements in India and the Caribbean which will diversify its currently reliance on the Philippines.
Cash flow and balance sheet
Healthperm’s cash outflow improved slightly in H118 (Exhibit 3). Although the loss before taxation increased, working capital was better. We believe that as Healthperm becomes larger it can negotiate better terms with customers and suppliers.
Exhibit 3: Healthperm’s cash flow before financing
£000s |
H117 |
H118 |
% change |
Loss before taxation |
(840) |
(1,364) |
62% |
Depreciation and amortisation |
36 |
39 |
8% |
Share-based payments |
118 |
n/a |
|
Interest |
48 |
147 |
206% |
Sub-total |
(756) |
(1,060) |
40% |
Receivables |
(192) |
(111) |
(42%) |
Payables |
88 |
401 |
356% |
Sub-total |
(860) |
(770) |
(10%) |
Capex |
(3) |
(29) |
867% |
Total |
(863) |
(799) |
(7%) |
Source: Healthperm
To fund the cash outflow net debt increased from £2.6m at the end of FY17 to £3.6m, largely financed by the loan note facility. A total of £3.3m out of the £5.0m loan note facility has been drawn. The loan notes are provided by Gulf Healthcare Holdings and are repayable at the end of 2019.
Valuation
Our preferred measure for valuing companies is a DCF. We think this is particularly useful for valuing Healthperm as the company is likely to be loss making during 2019, but we then expect a substantial increase in profits as revenues ramp up. DCFs also lend themselves to valuing business services companies, which are people rather than asset based and are usually highly cash generative. Our base case valuation of Healthperm is 288p, which represents 121% upside to the current share price of 130.5p (Exhibit 4). Our DCF uses a WACC of 8.9% and a terminal growth rate of 1.0%.
Exhibit 4: DCF valuation
£000s |
|
Total discounted cash flows (FY19e to FY29e) |
12,254 |
Discounted terminal value |
17,742 |
Total EV |
29,997 |
Net debt (FY18) |
5,068 |
Equity value |
24,928 |
Number of shares |
8,658,181 |
Value per share (£) |
2.88 |
£000s |
Total discounted cash flows (FY19e to FY29e) |
Discounted terminal value |
Total EV |
Net debt (FY18) |
Equity value |
Number of shares |
Value per share (£) |
12,254 |
17,742 |
29,997 |
5,068 |
24,928 |
8,658,181 |
2.88 |
Source: Edison Investment Research
Exhibit 5: Financial summary
December year end |
£'000s |
2016 |
2017 |
2018e |
2019e |
2020e |
|
IFRS |
IFRS |
IFRS |
IFRS |
IFRS |
|||
PROFIT & LOSS |
Restated |
||||||
Revenue |
|
|
2 |
244 |
918 |
2,813 |
4,225 |
Cost of Sales |
(1) |
(65) |
(239) |
(660) |
(1,017) |
||
Gross Profit |
1 |
179 |
679 |
2,152 |
3,208 |
||
EBITDA |
|
|
(1,683) |
(1,712) |
(1,837) |
(142) |
825 |
Operating Profit (before amort. and except.) |
(1,753) |
(1,781) |
(1,906) |
(226) |
710 |
||
Intangible Amortisation |
0 |
0 |
0 |
0 |
0 |
||
Exceptionals |
(1,394) |
0 |
0 |
0 |
0 |
||
Other |
(1,754) |
(1,960) |
(2,585) |
(2,378) |
(2,497) |
||
Operating Profit |
(3,147) |
(1,781) |
(1,906) |
(226) |
710 |
||
Net Interest |
(36) |
(141) |
(370) |
(410) |
(501) |
||
Profit Before Tax (norm) |
|
|
(1,789) |
(1,922) |
(2,276) |
(636) |
209 |
Profit Before Tax (FRS 3) |
|
|
(3,183) |
(1,922) |
(2,276) |
(636) |
209 |
Defered tax |
72 |
(147) |
0 |
0 |
0 |
||
Profit After Tax (norm) |
(1,717) |
(2,069) |
(2,276) |
(636) |
209 |
||
Profit After Tax (FRS 3) |
(3,111) |
(2,069) |
(2,276) |
(636) |
209 |
||
Average Number of Shares Outstanding (m) |
8.3 |
8.7 |
8.7 |
8.7 |
8.7 |
||
EPS - normalised (p) |
|
|
(20.8) |
(23.9) |
(26.3) |
(7.3) |
2.4 |
EPS - normalised and fully diluted (p) |
|
(20.8) |
(23.9) |
(26.3) |
(7.3) |
2.4 |
|
EPS - (IFRS) (p) |
|
|
(37.6) |
(23.9) |
(26.3) |
(7.3) |
2.4 |
Dividend per share (p) |
0.0 |
0.0 |
0.0 |
0.0 |
0.0 |
||
Gross Margin (%) |
50.0 |
73.4 |
73.9 |
76.5 |
75.9 |
||
EBITDA Margin (%) |
N/A |
N/A |
N/A |
N/A |
19.5 |
||
Operating Margin (before GW and except.) (%) |
N/A |
N/A |
N/A |
N/A |
16.8 |
||
BALANCE SHEET |
|||||||
Fixed Assets |
|
|
431 |
211 |
220 |
248 |
291 |
Intangible Assets |
270 |
201 |
201 |
201 |
201 |
||
Tangible Assets |
1 |
10 |
19 |
47 |
90 |
||
Investments |
160 |
0 |
0 |
0 |
0 |
||
Current Assets |
|
|
106 |
301 |
979 |
2,881 |
4,299 |
Stocks |
0 |
0 |
0 |
0 |
0 |
||
Debtors |
84 |
245 |
922 |
2,824 |
4,242 |
||
Cash |
22 |
56 |
57 |
57 |
57 |
||
Other |
0 |
0 |
0 |
0 |
0 |
||
Current Liabilities |
|
|
(727) |
(463) |
(1,742) |
(5,337) |
(8,017) |
Creditors |
(727) |
(463) |
(1,742) |
(5,337) |
(8,017) |
||
Short term borrowings |
0 |
0 |
0 |
0 |
0 |
||
Long Term Liabilities |
|
|
(412) |
(2,711) |
(5,156) |
(6,017) |
(6,116) |
Long term borrowings |
(371) |
(2,680) |
(5,125) |
(5,986) |
(6,085) |
||
Other long term liabilities |
(41) |
(31) |
(31) |
(31) |
(31) |
||
Net Assets |
|
|
(602) |
(2,662) |
(5,699) |
(8,225) |
(9,543) |
CASH FLOW |
|||||||
Operating Cash Flow |
|
|
(1,517) |
(2,123) |
(2,066) |
(423) |
444 |
Net Interest |
0 |
0 |
(370) |
(410) |
(501) |
||
Tax |
0 |
0 |
0 |
0 |
0 |
||
Capex |
0 |
(9) |
(9) |
(28) |
(42) |
||
Acquisitions/disposals |
0 |
0 |
0 |
0 |
0 |
||
Financing |
0 |
0 |
0 |
0 |
0 |
||
Dividends |
0 |
0 |
0 |
0 |
0 |
||
Net Cash Flow |
(1,517) |
(2,132) |
(2,445) |
(861) |
(99) |
||
Opening net debt/(cash) |
|
|
804 |
349 |
2,624 |
5,068 |
5,929 |
HP finance leases initiated |
0 |
0 |
0 |
0 |
0 |
||
Other |
1,972 |
(143) |
1 |
0 |
0 |
||
Closing net debt/(cash) |
|
|
349 |
2,624 |
5,068 |
5,929 |
6,028 |
Source: Healthperm (historics), Edison Investment Research (forecasts)
|
|
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