TIDMAMS

RNS Number : 3559Z

Advanced Medical Solutions Grp PLC

14 September 2022

 
   14 September 2022 
 

Advanced Medical Solutions Group plc

("AMS" or the "Group")

Interim results for the six months ended 30 June 2022

Winsford, UK, 14 September 2022: 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 2022 (the "Period").

Financial Highlights:

 
                                          H1      H1   Reported         Change 
                                                         change    at constant 
                                                                   currency(1) 
                                        2022    2021 
                                     -------  ------  --------- 
   Revenue (GBP million)                58.3    50.2        16%            16% 
-----------------------------------  -------  ------  ---------  ------------- 
   Adjusted Measures 
   Adjusted(2) profit before 
    tax (GBP million)                   13.6    12.4        10% 
   Adjusted(2) profit before 
    tax (%)                            23.4%   24.6%     -1.2pp 
   Adjusted(2) diluted earnings 
    per share (p)                       5.01    4.64         8% 
 
   Reported Measures 
   Profit before tax (GBP million)      12.3    11.2        10% 
   Profit before tax (%)               21.2%   22.3%     -1.1pp 
   Diluted earnings per share 
    (p)                                 4.42    4.10         8% 
   Net operating cash flow (GBP 
    million)                            12.5    13.7        -8% 
   Net cash (3) (GBP million)           75.3    61.1        23% 
 
   Interim dividend per share 
    (p)                                0.64p   0.58p       +10% 
-----------------------------------  -------  ------  ---------  ------------- 
 

Business Highlights (including post period end):

The encouraging start to trading in 2022 continued despite having to manage the increasing macro-economic challenges of supply chain and inflation. AMS is pleased to report strong growth in revenue and profitability as well as significant regulatory and clinical progress in the Period whilst continuing to invest in developing its next-generation products.

Financial

-- Revenue increased by 16% to GBP58.3 million (2021 H1: GBP50.2 million) predominately driven by commercial progress and increased pricing to recover inflationary cost increases

   --      Gross margins increased to 58.9% (2021 H1: 55.9%) as a result of increased volumes 

-- Total investment in R&D increased to GBP5.4 million (2021 H1: GBP4.4 million), representing 9.3% (2021 H1: 8.7%) of revenue, as progress was made on key projects across the Group

-- The Group reports a 10% increase in adjusted profit before tax to GBP13.6 million (2021 H1: GBP12.4 million) despite increased investment in R&D. Adjusted profit before tax margin of 23.4% remains in line with that generated for the full year 2021

-- Net cash increased to GBP75.3 million (FY 2021: GBP73.0 million)driven by strong trading and operational cash flow, partly offset by the acquisition of AFS Surgical

-- Surgical Business Unit revenues increased to GBP35.9 million (2021 H1: GBP30.4 million), an increase of 18% at constant currency

-- Woundcare Business Unit revenues increased to GBP22.4 million (2021 H1: GBP19.8 million), an increase of 11% at constant currency

-- Given the Group's strong net cash position and reflecting the Board's continued confidence in the future, the interim dividend is increased to 0.64p per share (2021 H1: 0.58p)

Operational

-- As announced in May 2022, the LiquiBand(R) XL 510(k) approval has been received and initial orders have been fulfilled in Q3. This approval provides access to a new $60m, long wound sealant market in the US and strengthens our market share across the entire LiquiBand(R) product portfolio

-- The acquisition of AFS Surgical was completed in the Period and integration is going well. The Board remains excited about the commercial synergies that this acquisition provides. Financial performance continues to be in line with initial expectations

-- As previously reported, recruitment for the US clinical trial of LiquiBandFix8 (R) has now been completed and the Premarket Approval (PMA) filing remains on track for H2 2022 once all the patients have completed their 12-month follow up

-- The Seal-G(R) and Seal-G(R) MIST human clinical trials have continued and approximately half of the total of 160 patient procedures have now been completed. Patient recruitment has been slower than initially planned but is now ramping up. With nine sites now actively recruiting patients, procedures are expected to be completed in the first half of 2023

Outlook

AMS has delivered strong revenue growth in the first half driven by solid underlying performance, management activities to protect margin and the continuing recovery in overseas markets. Trading has continued to progress well in Q3 and AMS remains confident that momentum will continue throughout the second half with the Company on track to meet expectations for the full year.

Commenting on the interim results, Chris Meredith, Chief Executive Officer of AMS, said: "I am pleased to report AMS's continued robust financial performance in the first half with strong revenue, profitability and cash generation. We have also seen significant regulatory and clinical progress in meeting enhanced regulatory requirements and developing the next generation of innovative products, including the launch of LiquiBand(R) XL, that we expect to drive further growth over the coming years. This progress has been achieved against a backdrop of challenging macro-economic conditions which is testament to the quality and dedication of the AMS teams involved. The Group's ongoing, robust financial health makes it well placed to deliver organic and acquisitive growth; reflecting this confidence, the Board has decided to increase the dividend for the first half."

- 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 2022 H1, were GBP1.6 million (2021 H1: GBP1.6 million) and a GBP0.3 million credit for a change in long-term liabilities (2021 H1: credit of GBP0.4 million) as defined in the financial review. Adjusted operating margin is shown before amortisation of acquired intangible assets.

3 Net cash in 2022 H1 was GBP75.3 million (2021 H1: GBP61.1 million) and consists of cash and cash equivalents of GBP75.3 million (2021 H1: GBP61.1 million).

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 
 
 Consilium Strategic Communications          Tel: +44 (0) 20 3709 
                                                             5700 
 Mary-Jane Elliott / Matthew Neal / Lucy 
  Featherstone 
 Investec Bank plc (NOMAD) & Broker          Tel: +44 (0) 20 7597 
                                                             5970 
 Daniel Adams / Gary Clarence 
 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(R) , RESORBA(R) , LiquiBandFix8(R) and Seal-G(R) . AMS also supplies wound care dressings such as silver alginates, alginates and foams through its ActivHeal(R) brand as well as under white label. Since 2019, the Group has made four acquisitions: Sealantis, an Israeli medical device company with a patent-protected sealant technology platform; Biomatlante, an established French developer and manufacturer of innovative surgical biomaterial technologies, Raleigh, a UK leading coater and converter of materials predominately for woundcare and bio-diagnostics products and AFS Medical, a specialist distributor of minimally invasive surgical devices based in Austria.

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

Chief Executive's Review

Surgical Business Unit

The Surgical Business Unit includes tissue adhesives, sutures, biosurgical devices and internal fixation devices marketed under the AMS brands LiquiBand(R) , RESORBA(R) and LiquiBandFix8(R) .

Significant revenue growth in the Surgical Business Unit was driven by commercial progress, increased pricing and ongoing stock building by some partners. Revenue increased by 18% in the Period to GBP35.9 million (2021 H1: GBP30.4 million) on a reported and constant currency basis.

Overall elective surgery volumes in our key markets continue to be restricted by hospital capacity and remain below pre-pandemic norms and as a result, the backlog of patients awaiting elective surgery is at record levels.

 
 Surgical Business          2022           2021   Reported         Growth 
  Unit                        H1             H1     Growth    at constant 
                             GBP    GBP million                  currency 
                         million 
 Advanced Closure           17.9           15.2        18%            15% 
                       ---------  -------------  ---------  ------------- 
 Internal Fixation 
  and Sealants               1.6            1.2        37%            39% 
                       ---------  -------------  ---------  ------------- 
 Traditional Closure         8.0            7.3        10%            12% 
                       ---------  -------------  ---------  ------------- 
 Biosurgical Devices         7.7            6.7        15%            18% 
                       ---------  -------------  ---------  ------------- 
 Other Distributed           0.7              -          -              - 
  Products 
                       ---------  -------------  ---------  ------------- 
 TOTAL                      35.9           30.4        18%            18% 
                       ---------  -------------  ---------  ------------- 
 

Advanced Closure

LiquiBand(R) 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        2022           2021   Reported         Growth 
                           H1             H1     Growth    at constant 
                          GBP    GBP million                  currency 
                      million 
 Americas                12.0           10.4        16%            11% 
                    ---------  -------------  ---------  ------------- 
 UK/Germany               3.4            2.8        22%            23% 
                    ---------  -------------  ---------  ------------- 
 Rest of World            2.5            2.0        25%            24% 
                    ---------  -------------  ---------  ------------- 
 TOTAL                   17.9           15.2        18%            15% 
                    ---------  -------------  ---------  ------------- 
 

Revenues increased to GBP17.9 million (2021 H1: GBP15.2 million) representing growth of 18% on a reported basis and 15% on a constant currency basis.

US LiquiBand(R) growth was strong as LiquiBand(R) Rapid continued to make good progress in the market. As previously reported, there has been a level of stock building by our partners as they recover from the COVID-19 pandemic, which continued and was completed in the Period.

LiquiBand(R) XL is now being sold in additional European territories following its launch in the United Kingdom in late 2021 and initial sales have also been made into Australia and Japan.

The 510(k) for LiquiBand(R) XL was received in the Period and initial orders to the US are being fulfilled in Q3 2022. This approval provides access to a new $60 million market and unlocks further growth potential in the LiquiBand(R) business with all partners.

Internal Fixation and Sealants

LiquiBandFix8(R) 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 37% on a reported basis to GBP1.6 million (2021 H1: GBP1.2 million) and 39% on a constant currency basis due to commercial progress, increasing volumes of hernia surgery and, to a lesser extent, the acquisition of AFS which increases the Group's end sales of the product. Encouraging growth has been seen in the UK following recommendation from the National Institute for Clinical Excellence (NICE) to consider the use of cyanoacrylate adhesives in place of invasive tackers.

The acquisition of AFS, who are specialist distributors of LiquiBandFix8(R) , will strengthen our ability to further penetrate into existing markets and will complement our existing sales expertise.

The US clinical trial for LiquiBandFix8 (R) continues to progress well with completed patient procedure numbers on track to submit the clinical module of the Premarket Approval (PMA) filing in the second half of 2022, after the 12-month patient follow-up. AMS continues to be encouraged about the long-term prospects for the LiquiBandFix8(R) portfolio with entry into the US being a significant milestone for the Group.

In the Period, the clinical trials for both Seal-G(R) MIST ( laparoscopic surgery) and Seal-G(R) (open surgery ) progressed with nine sites now being used in the trial and about half of the 160 procedures now complete. Recruitment into the trial has been slower than initially expected but is ramping up and completion is now anticipated in H1 2023. We continue to develop our relationships with Key Opinion Leaders and potential partners and remain positive about the opportunity that this product presents to answer a high unmet patient need for an effective GI sealant. Follow-on pivotal clinical trial design is now underway, with a view to starting in 2023.

Traditional Closure

RESORBA(R) 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 10% to GBP8.0 million and by 12% at constant currency (2021 H1: GBP7.3 million) with significant growth in sales of dental sutures into the US.

Biosurgical Devices

The Biosurgical Devices category comprises antibiotic-loaded collagen sponges, collagen membranes and cones, oxidised cellulose, synthetic bone substitutes and bio-absorbable screws. R evenue increased by 15% to GBP7.7 million (2021 H1: GBP6.7 million) and by 18% at constant currency driven by demand for collagens both with and without antibiotics.

The Group is working towards its first collagen approval in the US with a 510(k) submission expected in H1 2023 for a dental application to support haemostasis and healing following tooth extraction.

Sales of our RESORBA (R) branded bone substitutes range in Germany, the Czech Republic and elsewhere continued to grow since launching in 2020.

The Group intends to launch into the US Bone Substitutes market in the next 12 months via an Independent Rep model. This will initially incorporate a number of existing Biomatlante products and in time is expected to be supplemented by adding our more innovative Freeze-Dried Bone Substitute range that requires more development and regulatory work before it can be commercialised.

Other Distributed Products

The Other Distributed category comprises products distributed by AFS, including minimally invasive access ports and laparoscopic instruments, following its acquisition in the Period. This category excludes sales of LiquiBandFix8(R) which are recorded within the Internal Fixation and Sealants category. Since acquisition trading has been in line with expectations.

Plymouth facility expansion

The construction phase of the Plymouth facility expansion started in the Period and the two-year project remains on track. The extension will significantly increase the manufacturing capacity for Seal-G (R) , Fix8(R) and LiquiBand(R) as well as provide more 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 (R) label, plus a portfolio of specialist medical bulk materials and multi-layer woundcare products.

The Woundcare Business Unit delivered growth due to higher ordering from OEM partners, growth in increased ActivHeal (R) sales overseas and royalties as well as increased pricing to recover inflationary cost increases . Revenue increased by 13% in the Period to GBP22.4 million (2021 H1: GBP19.8 million) and by 11% on a constant currency basis.

 
 Woundcare Business          2022           2021   Reported         Growth 
  Unit                         H1             H1     Growth    at constant 
                              GBP    GBP million                  currency 
                          million 
 Infection Management         7.2            6.7         6%             4% 
                        ---------  -------------  ---------  ------------- 
 Exudate Management          11.1           10.0        11%            11% 
                        ---------  -------------  ---------  ------------- 
 Other Woundcare              4.1            3.1        32%            27% 
                        ---------  -------------  ---------  ------------- 
 TOTAL                       22.4           19.8        13%            11% 
                        ---------  -------------  ---------  ------------- 
 

Infection Management

The infection management category comprises advanced woundcare dressings that incorporate antimicrobials such as Silver and Polyhexamethylene Biguanide (PHMB). Revenue increased by 6% on a reported basis and by 4% on a constant currency basis to GBP7.2 million (2021 H1: GBP6.7 million) due to sales growth with a number of OEM partners and ActivHeal (R) growth in the Gulf States . Sales of PHMB were adversely impacted, however, due to a raw material supply issue which has since been resolved in the second half of the year.

Following the receipt of an enhanced 510(k) approval for our Silver High Performance Dressing incorporating an antimicrobial indication in the prior year, we have continued to penetrate both the US and the Middle East antimicrobial gelling fibre markets with this patent-protected technology.

The Group's CE marked Silicone PHMB foam range, previously sold at low levels into the MEA region, was launched into the UK and a number of other European countries in the Period. US and APAC launches are expected to follow in 2023.

AMS submitted a 510(k) application for its high gelling antimicrobial product, in the Period. We have received, and are working through, FDA questions and anticipate approval at around the end of 2022 with commercial launch now expected in 2023.

AMS continues to invest in its R&D pipeline to develop the next generation of advanced woundcare products and our reputation for innovative solutions and expertise means we are regularly approached by partners seeking to collaborate with AMS.

Exudate Management

Exudate management comprises advanced woundcare dressings and gels which do not incorporate any antimicrobial elements. Revenue increased by 11% on a reported and constant currency basis to GBP11.1 million (2021 H1: GBP10.0 million) due to increased orders from OEM partners and ActivHeal (R) growth driven by a tender win in the Republic of Ireland.

Following the acquisition of Raleigh, the AMS and Raleigh woundcare teams have worked closely together to develop next-generation products and evaluate commercial opportunities for Raleigh products. Progress has also been made with the in-sourcing of elements of the woundcare manufacturing process which commenced in the first half of 2022, albeit at lower levels than planned due to supply chain challenges.

AMS has continued to appoint new ActivHeal (R) distribution partners in markets where its key partners have no or low presence but the demand for a high quality, cost effective woundcare dressing range still exists. Several new contracts have been signed in the first half of the year, expanding the Group's branded distribution network, with launches planned in the second half of the year and into 2023 upon receipt of market registrations.

Having gained regulatory approvals for its Mechanical Debridement product in 2021, AMS is currently in discussions with a number of potential commercial partners with launch expected in 2023.

AMS has applied its iosurgical collagen technology into developing a tissue scaffold designed to treat hard to heal and stalled wounds such as diabetic foot ulcers and venous leg ulcers. A 510(k) submission was made in the Period and the Group continues to evaluate the optimal commercial strategy.

AMS continues to develop a customer-specific negative pressure dressing and expects to record initial sales in the second half of 2022 as our partner continues with its 510(k) process. In addition, we expect to start work on the partner's next generation device in the near future. The Group sees considerable medium-term potential in the negative pressure wound treatment space.

As part of the Medical Devices Regulation (MDR) transition we have been able to add a number of claims to existing products during the Period including an extended wear and tear claim for Silicone Wound Contact Layer as well as a claim to use under negative pressure wound therapy and bony prominences. A pressure injury prevention claim has also been added for the Silicone Foam range.

Other Woundcare

Other Woundcare comprises royalties, fees and woundcare sealants. Revenue increased by 32% at reported currency and by 27% at constant currency to GBP4.1 million (2021 H1: GBP3.1 million) due to increased partner demand for membranes, higher sales of Silicone Wound Contact Layer and a higher royalty income from the Group's licensing arrangement with Organogenesis.

Regulatory

The Group continues to make progress with its preparation for MDR with 10 certificates now received and a further 13 files submitted which together represent 40% of our planned number of submissions. The Group remains well prepared for the stricter requirements on product safety and performance, clinical evaluation and post-market clinical evidence stipulated by MDR and further submissions and approvals are anticipated in the second half of the year.

The Group's extensive preparations leave it well placed to exploit opportunities that it expects will arise in Europe in the next few years during the implementation of MDR.

Supply chain and inflation

The Group continues to face supply chain challenges, like many other businesses across all sectors globally, with inflationary pressure being felt across the business and shortages of material in some areas. AMS aims to recover the impact of cost inflation from its customers predominately during annual price review negotiations and is on track to achieve this in FY 2022. Shortages of material did not have a significant impact on our operations in the Period but there remains the risk of disruption in future periods. We continue to review stockholding levels and our strong balance sheet allows us to forward order where possible.

In the second half of 2022, AMS started to provide additional support to its lower paid employees across the Group to help them to cope with the cost-of-living crisis.

Board changes

As part of the ongoing plan to refresh the Non-Executive Directors, Penny Freer stepped down during the Period after 12 years on the Board. As announced in August 2022, Liz Shanahan has since been appointed to replace Penny as an Independent Non-Executive Director. With considerable plc Board experience in healthcare and life sciences and specialist skills in communications, Liz will join the Audit, Nomination and Remuneration Committees and will be responsible for Workforce Engagement in line with the UK Corporate Governance Code requirements.

Key management appointments support strategic growth

AMS is committed to pursue growth opportunities through investment in organic and acquisitive growth opportunities. As part of this process, the Group has created a dedicated corporate business development team to strengthen its ability to identify new targets that will expand and complement the Company's portfolio of tissue-healing technologies and distribution capability. The new team is headed by Brian Dowd, formerly the Global Marketing Manager for the Surgical Business Unit at AMS. Based in the US, Brian already has extensive knowledge of the Group's global strategy and the competitive profile of its key markets, so is ideally placed to pursue new M&A opportunities.

The Group has also appointed Andy Donnelly as Group R&D Director who joins AMS with over 25 years of experience in pharmaceutical, medical device and formulation development and will be focussed on further strengthening the Group's innovation, product development and ability to meet MDR requirements. Joining AMS from Bespak, Andy replaces Chris Locke who joined AMS in July 2021 to head up the R&D function and left the business earlier this year.

Russia

The Group continues to review the activities in its small legacy sales office in Moscow that has historically contributed approximately 1% of the Group's operating profit.

Environmental, Social & Governance

The Group continues to make strong progress on ESG led by our Steering Committee which manages ESG activities across the Group. Our ESG strategy continues to focus on our environmental impact, the well-being of our workforce, driving equality, diversity and inclusion, and further strengthening our corporate governance, internally and across our supply chain to meet ever increasing customer requirements. During the Period we have commenced the development of a pathway to net zero with an external consultant appointed to support our journey as we seek to reduce our carbon footprint and waste and we have launched an electric vehicle scheme for our employees. We continue to support good causes in our local community with financial support and employee volunteering.

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 of this year, and the years prior, would not have been possible.

Summary

AMS delivered strong revenue growth, profitability and cash generation in the first half of 2022 driven by good underlying performance and the continuing recovery from the COVID-19 pandemic. The Group made significant regulatory and clinical progress in the Period as it continues to increase its investments in developing next-generation products.

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 change in long-term liabilities to be separately identified. Net cash is an additional non-GAAP measure used.

Overview

Revenue increased by 16% at reported and constant currency to GBP58.3 million (2021 H1: GBP50.2 million).

Gross profit increased to GBP34.4 million (2021 H1: GBP28.1 million) as a result of the sales increases in the Period and gross margin as a percentage of revenue improved to 58.9% (2021 H1: 55.9%) as a result of higher volumes. Whilst we are experiencing inflationary supply pressure across the business we aim to recover these additional costs from customers.

Administration expenses increased to GBP21.6 million (2021 H1: GBP16.5 million) inclusive of foreign exchange movements as business activity returned to more routine levels and the business invested in its commercial and technical teams as well as its wider business infrastructure in preparation for further growth. The acquisition of AFS added GBP0.5 million of administration costs and GBP0.2 million of one-off fees in relation to the acquisition which have not been deemed material enough to disclose as exceptional in nature.

The Group incurred GBP5.4 million of gross R&D spend in the Period (2021 H1: GBP4.4 million), representing 9.3% of sales (2021 H1: 8.7%) which reflects an ongoing investment in innovation and in accommodating the heightened regulatory environment.

No exceptional costs have been incurred in the six-month period (2021 H1: GBPnil) and amortisation of acquired intangible assets was GBP1.6 million in the six-month period (2021 H1: GBP1.6 million).

Adjusted operating profit which excludes amortisation of acquired intangibles, increased by 9% to GBP13.8 million (2021 H1: GBP12.7 million) whilst the adjusted operating margin decreased by 150 bps to 23.7% (2021 H1: 25.2%) as the Group continued to invest in growth opportunities.

GBP0.3 million was recorded within finance income due to the movement in long-term liabilities recognised on acquisition of Sealantis in 2019 (2021 H1: GBP0.4 million).

The Group generated adjusted profit before tax of GBP13.6 million (2021 H1: GBP12.4 million) and profit before tax of GBP12.3 million (2021 H1: GBP11.2 million).

 
 Reconciliation of profit before tax to adjusted profit before 
  tax 
-------------------------------------------------------------------- 
                                           Six months     Six months 
                                                ended          ended 
                                         30 June 2022   30 June 2021 
                                              GBP'000        GBP'000 
--------------------------------------  -------------  ------------- 
 Profit before tax                             12,336         11,193 
 Amortisation of acquired intangibles           1,573          1,587 
 Change in long-term liabilities                (283)          (407) 
--------------------------------------  -------------  ------------- 
 Adjusted profit before tax                    13,626         12,373 
--------------------------------------  -------------  ------------- 
 

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 21.6% (2021 H1: 20.2%). The increase on the previous period has arisen as the Group has generated a higher proportion of its profits in Germany where the tax rate is higher than in other countries in which the Group pays corporation tax.

Adjusted diluted earnings per share increased by 8% to 5.01p (2021 H1: 4.64p) and diluted earnings per share increased by 8% to 4.42p (2021 H1: 4.10p) reflecting the Group's increased earnings. Adjusted basic earnings per share also increased by 8% to 5.07p (2021 H1: 4.69p) and basic earnings per share increased by 8% to 4.47p (2021 H1: 4.15p).

The Board intends to pay an interim dividend of 0.64p per share on 21 October 2022 to shareholders on the register at the close of business on 30 September 2022. This is a 10% increase on the interim dividend paid in respect of the first half of 2021 reflecting the Board's confidence in the future growth in the Group.

 
 Operating result by business segment 
 Six months ended 30 June      Surgical   Woundcare 
  2022 
                                GBP'000     GBP'000 
----------------------------  ---------  ---------- 
 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% 
----------------------------  ---------  ---------- 
 Six months ended 30 June 
  2021 
 Revenue                         30,377      19,826 
 Segment operating profit         8,854       2,543 
 Amortisation of acquired 
  intangibles                     1,001         586 
 Adjusted segment operating 
  profit (4)                      9,855       3,129 
 Adjusted operating margin 
  (4)                             32.4%       15.8% 
----------------------------  ---------  ---------- 
 

(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 18% to GBP35.9 million (2021 H1: GBP30.4 million) at reported currency and constant currency. Adjusted operating margin decreased by 260 bps to 29.8% (2021 H1: 32.4%) due to continued investment in research and development, regulatory expenditure and the impact of inflation which has diluted the operating margin.

Woundcare

Woundcare revenues increased by 13% to GBP22.4 million (2021 H1: GBP19.8 million) at reported currency and by 11% at constant currency. Adjusted operating margin increased by 10 bps to 15.9% (2021 H1: 15.8%).

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 GBP:US$ or GBP:EUR exchange rate will impact Sterling revenues by approximately 3.8% and 3.2% respectively and in the absence of any hedging this would have an impact on the Group operating margin of 3.1% and 0.3% percentage points respectively.

Cash Flow

Net cash inflow from operating activities decreased by 8% to GBP12.5 million (2021 H1: GBP13.7 million) as a result of an increase in Inventory holdings.

At the end of the Period, the Group had net cash of GBP75.3 million (31 December 2021: GBP73.0 million).

In the first half of 2022, receivables increased by GBP0.9 million due to the addition of AFS and higher sales in the Period (2021 H1: GBP1.5 million increase) with debtor days at 43, a slight reduction from the 44 days at 31 December 2021 (2021 H1: 50 days). Payables increased by GBP5.5 million as a result of the addition of AFS which includes an element of contingent consideration and increased liabilities for foreign currency hedging (2021 H1: GBP1.8 million decrease). Creditor days increased to 35 days (2021 H1: 31 days) largely due to the impact of a number of capital expenditure projects. Inventory levels increased by GBP3.4 million in the Period but remained consistent at 5.5 months of supply in the Period (2021 H1: 5.5 months of supply) as the increase is in-line with revenue growth once the impact of AFS is considered. Attempts to hold higher stock levels have been offset by supply chain challenges.

In the Period, we invested GBP4.3 million in capital equipment, R&D and regulatory costs including investment in expanding the Plymouth site to increase factory and laboratory capacity (2021 H1: GBP2.8 million).

Tax payments decreased to GBP0.8 million (2021 H1: GBP1.9 million) which is GBP1.8 million lower than tax in the income statement due to a refund of taxes paid in the previous year.

In June 2022, the Group paid its final dividend for the year ended 31 December 2021 of GBP3.0 million (2021 H1: GBP2.6 million).

The Group has an unsecured, undrawn GBP80 million, multi-currency credit facility provided jointly by HSBC and NatWest, which is in place until December 2022. This facility carries an annual interest rate of the applicable reference rate such as SONIA in the case of sterling plus a margin that varies between 0.60% and 1.70% depending on the Group's net debt to EBITDA ratio.

 
 CONDENSED CONSOLIDATED INCOME STATEMENT 
                                                     (Unaudited)     (Unaudited)      (Audited) 
                                                                      Six months     Year ended 
                                                Six months ended           ended    31 December 
                                                    30 June 2022    30 June 2021           2021 
 
                                                           Total           Total          Total 
                                       Note              GBP'000         GBP'000        GBP'000 
-----------------------------------  --------  -----------------  --------------  ------------- 
 
 
 Revenue                                 5                58,304          50,203        108,601 
 
 Cost of sales                                          (23,934)        (22,116)       (47,531) 
-----------------------------------  --------  -----------------  --------------  ------------- 
 
 Gross profit                                             34,370          28,087         61,070 
 Distribution 
  costs                                                    (781)           (627)        (1,483) 
 Administration 
  costs                                                 (21,579)        (16,512)       (36,970) 
 
 Other income                                                227             133            381 
 Operating 
  profit                                                  12,237          11,081         22,998 
 
 Finance income                                              436             451             84 
 
 Finance costs                                             (337)           (339)        (1,098) 
 Profit before 
  taxation                                                12,336          11,193         21,984 
 
 Income tax                              7               (2,668)         (2,261)        (4,503) 
-----------------------------------  --------  -----------------  --------------  ------------- 
 Profit for 
  the period 
  attributable 
  to equity holders 
  of the parent                                            9,668           8,932         17,481 
-----------------------------------  --------  -----------------  --------------  ------------- 
 Earnings per 
  share 
 
 Basic                                   4                 4.47p           4.15p          8.11p 
 
 Diluted                                 4                 4.42p           4.10p          8.01p 
 Adjusted diluted 
  (5)                                    4                 5.01p           4.64p          9.66p 
-----------------------------------  --------  -----------------  --------------  ------------- 
 
                               The above results relate to continuing operations 
 CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE 
  INCOME 
                                                     (Unaudited)     (Unaudited)      (Audited) 
                                                                      Six months     Year ended 
                                                Six months ended           ended    31 December 
                                                    30 June 2022    30 June 2021           2021 
                                                         GBP'000         GBP'000        GBP'000 
-----------------------------------  --------  -----------------  --------------  ------------- 
 Profit for 
  the period                                               9,668           8,932         17,481 
-----------------------------------  --------  -----------------  --------------  ------------- 
 Exchange differences on translation of 
  foreign operations                                       3,896         (3,891)        (5,194) 
 Loss arising on cash flow hedges                        (3,704)           (264)        (1,548) 
 Deferred tax credit arising on cash flow 
  hedges                                                       -              50            290 
---------------------------------------------  -----------------  --------------  ------------- 
 Other comprehensive credit /(charge) for 
  the period                                                 192         (4,105)        (6,452) 
---------------------------------------------  -----------------  --------------  ------------- 
 Total comprehensive income for the period 
  attributable to equity holders of the 
  parent                                                   9,860           4,827         11,029 
---------------------------------------------  -----------------  --------------  ------------- 
 

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

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

 
                                          (Unaudited)    (Unaudited)                         (Audited) 
                                              30 June                                      31 December 
                                                 2022   30 June 2021                              2021 
                                   Note       GBP'000        GBP'000                           GBP'000 
 Assets 
 Non-current assets 
 Acquired intellectual property 
  rights                                       13,219          9,364                             9,118 
 Technology based intangible 
  assets                                       18,908         20,563                            19,256 
 Software intangibles                           1,898          2,184                             2,107 
 Development costs                             12,614          8,929                            10,477 
 Goodwill                                      69,409         66,659                            66,032 
 Property, plant and equipment                 27,783         28,542                            27,441 
 Trade and other receivables                       79             90                               105 
--------------------------------  -----  ------------  -------------  -------------------------------- 
                                              143,910        136,331                           134,536 
 Current assets 
 Inventories                                   22,732         20,599                            19,300 
 Trade and other receivables                   21,985         19,892                            21,016 
 Current tax assets                               177          2,041                             1,692 
 Cash and cash equivalents                     75,341         61,114                            72,965 
--------------------------------  -----  ------------  -------------  -------------------------------- 
                                              120,235        103,646                           114,973 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Total assets                                 264,145        239,977                           249,509 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Liabilities 
 Current liabilities 
 Trade and other payables                      18,422         11,574                            14,958 
 Current tax liabilities                        1,746            307                               897 
 Lease liabilities                              1,109          1,196                             1,153 
                                               21,277         13,077                            17,008 
 Non-current liabilities 
 Trade and other payables                       5,724          2,777                             3,679 
 Deferred tax liabilities                       8,229          9,218                             7,438 
 Lease liabilities                              8,323          9,271                             8,707 
                                               22,276         21,266                            19,824 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Total liabilities                             43,553         34,343                            36,832 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Net assets                                   220,592        205,634                           212,677 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Equity 
 Share capital                       11        10,836         10,787                            10,804 
 Share premium                                 37,102         36,355                            36,996 
 Share-based payments reserve                  14,434         12,107                            13,180 
 Investment in own shares                       (167)          (164)                             (164) 
 Share-based payments deferred 
  tax reserve                                     569            557                               933 
 Other reserve                                  1,531          1,531                             1,531 
 Hedging reserve                              (3,725)          1,023                              (21) 
 Translation reserve                            1,960          (633)                           (1,936) 
 Retained earnings                            158,052        144,071                           151,354 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 Equity attributable to equity 
  holders of the parent                       220,592        205,634                           212,677 
--------------------------------  -----  ------------  -------------  -------------------------------- 
 

CONDENSED CONSOLIDATED Statement of Changes in Equity

Attributable to equity holders of the Group

 
                                        Share-   Investment   Share-based 
                    Share     Share      based       in own      payments     Other   Hedging   Translation   Retained 
                                                                 deferred 
                  capital   premium   payments       shares           tax   reserve   reserve       reserve   earnings              Total 
                  GBP'000   GBP'000    GBP'000      GBP'000       GBP'000   GBP'000   GBP'000       GBP'000    GBP'000            GBP'000 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 At 1 January 
  2022 
  (audited)        10,804    36,996     13,180        (164)           933     1,531      (21)       (1,936)    151,354            212,677 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 Consolidated 
  profit for 
  the 
  period to 30 
  June 2022             -         -          -            -             -         -         -             -      9,668              9,668 
 Other 
  comprehensive 
  income                -         -          -            -             -         -   (3,704)         3,896          -                192 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 Total 
  comprehensive 
  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 
                                                                 deferred 
                  capital   premium   payments       shares           tax   reserve   reserve       reserve   earnings              Total 
                  GBP'000   GBP'000    GBP'000      GBP'000       GBP'000   GBP'000   GBP'000       GBP'000    GBP'000            GBP'000 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 At 1 January 
  2021 
  (audited)        10,769    36,288     11,142        (162)           430     1,531     1,237         3,258    137,718            202,211 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 Consolidated 
  profit for 
  the period 
  to 30 June 
  2021                  -         -          -            -             -         -         -             -      8,932              8,932 
 Other 
  comprehensive 
  income                -         -          -            -             -         -     (214)       (3,891)          -            (4,105) 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 Total 
  comprehensive 
  income                -         -          -            -             -         -     (214)       (3,891)      8,932              4,827 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 Share-based 
  payments              -         -        878            -             -         -         -             -          -                878 
 Share options 
  exercised            18        67         87            -           127         -         -             -          -                299 
 Shares 
  purchased by 
  EBT                   -         -          -        (368)             -         -         -             -          -              (368) 
 Shares sold by 
  EBT                   -         -          -          366             -         -         -             -          -                366 
 Dividends paid 
  (Note 8)              -         -          -            -             -         -         -             -    (2,579)            (2,579) 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 At 30 June 
  2021 
  (unaudited)      10,787    36,355     12,107        (164)           557     1,531     1,023         (633)    144,071            205,634 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  ----------------- 
 
 
                                        Share-   Investment   Share-based 
                    Share     Share      based       in own      payments     Other   Hedging   Translation   Retained 
                                                                 deferred 
                  capital   premium   payments       shares           tax   reserve   reserve       reserve   earnings     Total 
                  GBP'000   GBP'000    GBP'000      GBP'000       GBP'000   GBP'000   GBP'000       GBP'000    GBP'000   GBP'000 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 At 1 January 
  2021 
  (audited)        10,769    36,288     11,142        (162)           430     1,531     1,237         3,258    137,718   202,211 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Consolidated 
  profit for 
  the year 
  to 31 
  December 2021         -         -          -            -             -         -         -             -     17,481    17,481 
 Other 
  comprehensive 
  income                -         -          -            -             -         -   (1,258)       (5,194)          -   (6,452) 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Total 
  comprehensive 
  income                -         -          -            -             -         -   (1,258)       (5,194)     17,481    11,029 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Share-based 
  payments              -         -      1,979            -           503         -         -             -          -     2,482 
 Share options 
  exercised            35       708         59            -             -         -         -             -          -       802 
 Shares 
  purchased by 
  EBT                   -         -          -        (366)             -         -         -             -          -     (366) 
 Shares sold by 
  EBT                   -         -          -          364             -         -         -             -          -       364 
 Dividends paid 
  (Note 8)              -         -          -            -             -         -         -             -    (3,845)   (3,845) 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 At 31 December 
  2021 
  (audited)        10,804    36,996     13,180        (164)           933     1,531      (21)       (1,936)    151,354   212,677 
---------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

 
                                                     (Unaudited)   (Unaudited)     (Audited) 
                                                      Six months    Six months 
                                                           ended         ended    Year ended 
                                                         30 June       30 June   31 December 
                                                              22            21            21 
                                              Note       GBP'000       GBP'000       GBP'000 
-------------------------------------------  -----  ------------  ------------  ------------ 
 Cash flows from operating activities 
 Operating profit                                         12,237        11,081        22,998 
 Adjustments for: 
 Depreciation                                              1,917         1,946         3,893 
 Amortisation - intellectual property 
  rights                                                   1,573         1,587         3,179 
 - development costs                                         436           336           529 
 - software intangibles                                      245           241         1,247 
 (Increase)/Decrease in inventories                      (2,355)         (190)           941 
 (Increase)/Decrease in trade and 
  other receivables                                      (1,098)           967       (1,769) 
 (Decrease)/Increase in trade and 
  other payables                                           (737)       (1,318)         2,105 
 Share-based payments expense                              1,141           878         1,979 
 Taxation                                                  (827)       (1,867)       (4,077) 
 Net cash inflow from operating 
  activities                                              12,532        13,661        31,025 
-------------------------------------------  -----  ------------  ------------  ------------ 
 Cash flows from investing activities 
 Purchase of software                                       (22)          (28)         (254) 
 Capitalised research and development                    (2,571)       (1,969)       (4,441) 
 Purchases of property, plant and 
  equipment                                              (1,669)         (848)       (1,768) 
 Disposal of property, plant and 
  equipment                                                   27            45            53 
 Interest received                                           156            43            84 
 Acquisition of subsidiary (net of 
  cash acquired)                                 9       (2,781)             -             - 
 Net cash used in investing activities                   (6,860)       (2,757)       (6,326) 
-------------------------------------------  -----  ------------  ------------  ------------ 
 Cash flows from financing activities 
 Dividends paid                                  8       (2,970)       (2,579)       (3,845) 
 Repayment of principal under lease 
  liabilities                                              (581)         (607)       (1,281) 
 Issue of equity shares                                      108            69           723 
 Shares purchased by EBT                                   (337)         (368)         (366) 
 Shares sold by EBT                                          334           366           364 
 Interest paid                                             (304)         (342)         (700) 
 Repayment of borrowings                         9         (331)             -             - 
 Net cash used in financing activities                   (4,081)       (3,461)       (5,105) 
-------------------------------------------  -----  ------------  ------------  ------------ 
 Net increase in cash and cash equivalents                 1,591         7,443        19,594 
 Cash and cash equivalents at the 
  beginning of the period                                 72,965        53,829        53,829 
 Effect of foreign exchange rate 
  changes                                                    785         (158)         (458) 
 Cash and cash equivalents at the 
  end of the period                                       75,341        61,114        72,965 
-------------------------------------------  -----  ------------  ------------  ------------ 
 

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 2022 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 2022 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 2021 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):

   -       Onerous Contracts - Cost of Fulfilling a Contract (Amendments to IAS37) 
   -       Property, Plant and Equipment: Proceeds before Intended Use (Amendments to IAS 16) 

- Annual Improvements to IFRS Standards 2018-2020 (Amendments to IFRS1, IFRS9, IFRS16 and IAS 41); and

   -       References to Conceptual Framework (Amendments to IFRS3) 

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 2021. 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       30 June   31 December 
                                               2022          2021          2021 
 Number of shares                              '000          '000         ' 000 
-------------------------------------  ------------  ------------  ------------ 
 Weighted average number of ordinary 
  shares for the purposes of basic 
  earnings per share                        216,272       215,468       215,677 
-------------------------------------  ------------  ------------  ------------ 
 Effect of dilutive potential 
  ordinary shares: share options, 
  deferred share bonus, LTIPs                 2,527         2,630         2,627 
-------------------------------------  ------------  ------------  ------------ 
 Weighted average number of 
  ordinary shares for the purposes 
  of diluted earnings per share             218,799       218,098       218,304 
-------------------------------------  ------------  ------------  ------------ 
 

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 change in long-term liabilities and is based on earnings of:

 
                                           (Unaudited)   (Unaudited) 
                                            Six months    Six months     (Audited) 
                                                 ended         ended    Year ended 
                                               30 June       30 June   31 December 
                                                  2022          2021          2021 
                                               GBP'000       GBP'000       GBP'000 
----------------------------------------  ------------  ------------  ------------ 
 Earnings 
 Profit for the year being attributable 
  to equity holders of the parent                9,668         8,932        17,481 
 Amortisation of acquired intangible 
  assets                                         1,573         1,587         3,179 
 Change in long-term liabilities                 (283)         (407)           426 
 Adjusted profit for the year being 
  attributable to equity holders of the 
  parent                                        10,958        10,112        21,086 
----------------------------------------  ------------  ------------  ------------ 
 
                                                 pence         pence         pence 
----------------------------------------  ------------  ------------  ------------ 
 Basic EPS                                        4.47          4.15          8.11 
 Diluted EPS                                      4.42          4.10          8.01 
 Adjusted basic EPS                               5.07          4.69          9.78 
 Adjusted diluted EPS                             5.01          4.64          9.66 
----------------------------------------  ------------  ------------  ------------ 
 

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 a fairer representation of the Group's trading performance.

   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 (R) brand predominantly to the UK NHS as well as bio diagnostics products following the acquisition of Raleigh in November 2020.

Segment information about these Business Units is presented below:

 
 Six months ended 
  30 June 2022                           Surgical   Woundcare   Consolidated 
 (Unaudited)                              GBP'000     GBP'000        GBP'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 
   (Unaudited)                      Surgical    Woundcare    Consolidated 
 Other information                   GBP'000      GBP'000         GBP'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 
--------------------------------  ----------  -----------  -------------- 
 Consolidated total liabilities                                    43,553 
--------------------------------  ----------  -----------  -------------- 
 
 
 Six months ended 
  30 June 2021                           Surgical   Woundcare   Consolidated 
 (Unaudited)                              GBP'000     GBP'000        GBP'000 
--------------------------------------  ---------  ----------  ------------- 
 Revenue                                   30,377      19,826         50,203 
--------------------------------------  ---------  ----------  ------------- 
 
 Result 
--------------------------------------  ---------  ----------  ------------- 
 Adjusted segment operating profit          9,855       3,129         12,984 
 Amortisation of acquired intangibles     (1,001)       (586)        (1,587) 
 Segment operating profit                   8,854       2,543         11,397 
 Unallocated expenses                                                  (316) 
                                                               ------------- 
 Operating profit                                                     11,081 
 Finance income                                                          451 
 Finance costs                                                         (339) 
--------------------------------------  ---------  ----------  ------------- 
 Profit before tax                                                    11,193 
 Tax                                                                 (2,261) 
--------------------------------------  ---------  ----------  ------------- 
 Profit for the period                                                 8,932 
--------------------------------------  ---------  ----------  ------------- 
 
 
 At 30 June 2021 
  (Unaudited)                      Surgical   Woundcare   Consolidated 
 Other information                  GBP'000     GBP'000        GBP'000 
--------------------------------  ---------  ----------  ------------- 
 Capital additions: 
 Software intangibles                    16          12             28 
 Development                          1,216         753          1,969 
 Property, plant and equipment          463         385            848 
 Depreciation and amortisation      (2,481)     (1,629)        (4,110) 
--------------------------------  ---------  ----------  ------------- 
 Balance sheet 
 Assets 
 Segment assets                     155,927      83,870        239,797 
 Unallocated assets                                                180 
--------------------------------  ---------  ---------- 
 Consolidated total assets                                     239,977 
--------------------------------  ---------  ----------  ------------- 
 Liabilities 
 Segment liabilities                 20,301      14,043         34,343 
--------------------------------  ---------  ----------  ------------- 
 Consolidated total liabilities                                 34,343 
--------------------------------  ---------  ----------  ------------- 
 
 
 Year ended 
  31 December 2021                       Surgical   Woundcare   Consolidated 
 (Audited)                                GBP'000     GBP'000        GBP'000 
--------------------------------------  ---------  ----------  ------------- 
 Revenue                                   64,630      43,971        108,601 
--------------------------------------  ---------  ----------  ------------- 
 
 Result 
--------------------------------------  ---------  ----------  ------------- 
 Adjusted segment operating profit         20,303       6,594         26,897 
 Amortisation of acquired intangibles     (2,005)     (1,174)        (3,179) 
 Segment operating profit                  18,298       5,420         23,718 
 Unallocated expenses                                                  (720) 
                                                               ------------- 
 Operating profit                                                     22,998 
 Finance income                                                           84 
 Finance costs                                                       (1,098) 
--------------------------------------  ---------  ----------  ------------- 
 Profit before tax                                                    21,984 
 Tax                                                                 (4,503) 
--------------------------------------  ---------  ----------  ------------- 
 Profit for the year                                                  17,481 
--------------------------------------  ---------  ----------  ------------- 
 
 
 Year ended 
  31 December 2021 
  (Audited)                        Surgical   Woundcare   Consolidated 
 Other information                  GBP'000     GBP'000        GBP'000 
--------------------------------  ---------  ----------  ------------- 
 Capital additions: 
 Software intangibles                   145         109            254 
 Development                          2,922       1,519          4,441 
 Property, plant and equipment        1,028         740          1,768 
 Depreciation and amortisation      (5,579)     (3,269)        (8,848) 
--------------------------------  ---------  ----------  ------------- 
 Balance sheet 
 Assets 
 Segment assets                     159,442      89,944        249,386 
 Unallocated assets                                                123 
--------------------------------  ---------  ---------- 
 Consolidated total assets                                     249,509 
--------------------------------  ---------  ----------  ------------- 
 Liabilities 
 Segment liabilities                 22,651      14,181         36,832 
--------------------------------  ---------  ----------  ------------- 
 Consolidated total liabilities                                 36,832 
--------------------------------  ---------  ----------  ------------- 
 

Geographical segments

The Group operates in the UK, Germany, the Netherlands, France, the Czech Republic, Israel, with a sales office located in Russia 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 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 2022       30 June 2021   31 December 2021 
                                      GBP'000            GBP'000            GBP'000 
--------------------------  -----------------  -----------------  ----------------- 
 United Kingdom                         9,515              8,488             18,454 
 Germany                               10,250              9,956             20,863 
 Rest of Europe                        14,596             12,487             22,913 
 United States of America              19,519             16,385             36,712 
 Rest of World                          4,424              2,887              9,659 
--------------------------  -----------------  -----------------  ----------------- 
                                       58,304             50,203            108,601 
--------------------------  -----------------  -----------------  ----------------- 
 

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

 
                                  (Unaudited)        (Unaudited)          (Audited) 
                             Six months ended   Six months ended         Year ended 
                                 30 June 2022       30 June 2021   31 December 2021 
                                      GBP'000            GBP'000            GBP'000 
--------------------------  -----------------  -----------------  ----------------- 
 United Kingdom                       145,112            133,038            142,056 
 Germany                               67,942             67,338             67,389 
 France                                 9,611              9,263              9,674 
 Rest of Europe                        14,697              6,860              7,853 
 Israel                                22,277             20,091             20,553 
 United States of America               4,506              3,387              1,984 
                                      264,145            239,977            249,509 
--------------------------  -----------------  -----------------  ----------------- 
 
 
   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 2022. 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                              30                            30 
                June     30 June     31 Dec      June    30 June   31 Dec      June    30 June   31 Dec 
                 22         21         21         22        21        21        22        21        21 
              USD:GBP1   USD:GBP1   USD:GBP1   USD'000   USD'000   USD'000   GBP'000   GBP'000   GBP'000 
 Cash flow 
  hedges 
 Sell US 
  dollars 
 Less than 
  3 months      1.36       1.29       1.32      9,000     6,500    10,000     (791)      339       152 
 3 to 6 
  months        1.36       1.26       1.38     10,000     8,000     7,000     (868)      570      (114) 
 7 to 12 
  months        1.32       1.35       1.36     17,500    14,000    19,000    (1,012)     269      (184) 
 Over 12 
  months        1.30        -         1.34     25,000       -       7,500    (1,052)      -        14 
-----------  ---------  ---------  ---------  --------  --------  --------  --------  --------  -------- 
                                               61,500    28,500    43,500    (3,723)    1,178     (132) 
-----------  ---------  ---------  ---------  --------  --------  --------  --------  --------  -------- 
 
 
                     Ave. exchange rate              Foreign currency                 Fair value 
                  30                              30                            30 
                 June     30 June     31 Dec      June    30 June   31 Dec      June    30 June   31 Dec 
                  22         21         21         22        21        21        22        21        21 
               EUR:GBP1   EUR:GBP1   EUR:GBP1   EUR'000   EUR'000   EUR'000   GBP'000   GBP'000   GBP'000 
 Cash flow 
  hedges 
 Sell Euros 
 Less than 
  3 months       1.15       1.13       1.11       900       800       700        6        23        43 
 3 to 6 
  months         1.15       1.10       1.15       900       600       900        2        27        24 
 7 to 12 
  months         1.15       1.12       1.15      1,600     1,200     1,800      (5)       33        32 
 Over 12 
  months         1.15        -         1.14       800        -        600       (5)        -        12 
------------  ---------  ---------  ---------  --------  --------  --------  --------  --------  -------- 
                                                 4,200     2,600     4,000      (2)       83        111 
------------  ---------  ---------  ---------  --------  --------  --------  --------  --------  -------- 
 
   7.      Taxation 

The weighted average tax rate for the Group for the six month period ended 30 June 2022 was 24.4% (first half of 2021: 22.5%, year ended 31 December 2021: 23.0%). The Group's effective tax rate for the full year is expected to be 21.6%, which has been applied to the six months ended 30 June 2022 (first half of 2021: 20.2%, year ended 31 December 2021: 20.5%). This represents an increase on the previous period due to a higher proportion of the Group's profits arising in Germany where the tax rate is higher than in other countries in which the Group pays corporation tax.

   8.      Dividends 
 
                                        (Unaudited)   (Unaudited)     (Audited) 
                                         Six months    Six months 
                                              ended         ended    Year ended 
                                            30 June       30 June   31 December 
                                               2022          2021          2021 
 Amounts recognised as distributions 
  to equity holders in the period:          GBP'000       GBP'000       GBP'000 
-------------------------------------  ------------  ------------  ------------ 
 Final dividend for the year ended 
  31 December 2020 of 1.20p per 
  ordinary share                                  -         2,579         2,579 
 Interim dividend for the year 
  ended 31 December 2021 of 0.58p 
  per ordinary share                              -             -         1,266 
 Final dividend for the year ended 
  31 December 2021 of 1.37p per 
  ordinary share                              2,970             -             - 
------------------------------------- 
                                              2,970         2,579         3,845 
-------------------------------------  ------------  ------------  ------------ 
 
   9.      Acquisition of AFS 

On 28 April 2022, the Group acquired the entire issued share capital of AFS Medical GmbH, an Austria based distributor of minimally invasive surgical devices.

In the two month period from acquisition to 30 June 2022, AFS contributed GBP0.9 million of revenue to the Group and a negligible amount of operating profit. In addition, amortisation of intangible assets of GBP0.1 million was recorded within the Group as a result of the acquisition.

 
                                           GBP'000 
------------------------------------  ------------ 
 Identifiable net assets acquired 
 Customer related intangible assets          3,424 
 Marketing intangible assets                   524 
 Property, plant and equipment                 242 
 Trade and other receivables                   296 
 Inventory                                     845 
 Cash and cash equivalents                      42 
 Trade and other payables                  (1,294) 
 Lease liabilities                           (226) 
 Borrowings                                  (331) 
 Borrowings from AMS                       (2,526) 
 Deferred tax on intangible asset            (986) 
 
 Arising on acquisition 
 Goodwill                                    1,452 
------------------------------------  ------------ 
 Total net assets                            1,462 
------------------------------------  ------------ 
 

Borrowings from AMS arose as funds were advanced prior to completion of the acquisition to repay external funding. These borrowings are now eliminated on consolidation. GBP0.3 million of borrowings that existed at the date of acquisition have been repaid prior to 30 June 2022 as disclosed in the Condensed Consolidated Statement of Cash flows.

 
 Satisfied by                          GBP'000 
------------------------------  -------------- 
 Cash consideration                        297 
 Contingent consideration                1,165 
------------------------------  -------------- 
                                         1,462 
------------------------------  -------------- 
 
 Net cash flow on acquisition          GBP'000 
------------------------------  -------------- 
 Cash consideration                        297 
------------------------------  -------------- 
 Cash acquired                            (42) 
------------------------------  -------------- 
                                           255 
------------------------------  -------------- 
 

Contingent consideration arose on the acquisition in respect of up to EUR1.5 million which is payable subject to EBITDA delivery in 2022-2024. GBP1.2 million is the estimated fair value of it as at the acquisition date.

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

   10.     Contingent liabilities 

The Directors are not aware of any contingent liabilities faced by the Group as at 30 June 2022 (30 June 2021: GBPnil, 31 December 2021: GBPnil).

   11.    Share capital 

Share capital as at 30 June 2022 amounted to GBP10,836,000 (30 June 2021: GBP10,787,000, 31 December 2021: GBP10,804,000). During the period the Group issued 655,390 shares in respect of share options, LTIPS, Deferred Annual Bonus Scheme and the Deferred Share Bonus Scheme.

   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. These have been based on a comprehensive review of revenue, expenditure and cash flows, taking into account specific business risks and the current economic environment.

Due to the impact that COVID-19 has had on the global economy, the Group has deemed it appropriate to use 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, and importantly there remains significant margin between our covenants in place.

With regards to the Group's financial position, it had cash and cash equivalents at 30 June 2022 of GBP75.3 million and a four-year, GBP80 million, multi-currency, revolving credit facility, obtained in December 2018, with an accordion option under which AMS can request up to an additional GBP20 million on the same terms. The credit facility is provided jointly by HSBC and NatWest, is subject to leverage and interest cover covenants, is unsecured on the assets of the Group and is currently undrawn.

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 47-51 of the Annual Report and Accounts for the year ended 31 December 2021. 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 

There have been no material events subsequent to the end of the interim reporting period ended 30 June 2022.

   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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END

IR FXLLFLKLZBBD

(END) Dow Jones Newswires

September 14, 2022 02:02 ET (06:02 GMT)

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