presentation mediq – 30 june 2011 · mediq pharmacies netherlands . adopting to changed market...
TRANSCRIPT
17 February 2011
Presentation Mediq – 30 June 2011
1
Agenda • Profile and strategy Mediq
• Financials
• Management agenda and outlook
2
Profile
International provider of medical devices, pharmaceuticals and associated care • Revenues 2010 € 2.6 billion
• 8,200 employees in 15 countries
• Largest player in Dutch market
• Attractive international platforms
• Incorporated in 1899
• Listed on Euronext Amsterdam since 1992
3
Three distribution channels
DIRECT
Homecare deliveries of medical devices, biopharmaceuticals and
the associated care
PHARMACIES
Pharmacies and wholesaling
INSTITUTIONAL
Marketing, sales & distribution of medical devices and
pharmaceuticals to hospitals and other care institutions
4
Transformation
In past 5 years, Mediq transformed from • Focus on pharmaceuticals to focus on medical devices
• Dutch to multinational
• OPG to Mediq
5 5
Active in 15 countries
USA • Direct Netherlands
• Pharmacies • Direct
• Institutional
Hungary • Direct
Switzerland • Institutional
Belgium • Institutional
Germany • Direct
Denmark • Direct
• Institutional Estonia/Latvia/ Lithuania • Institutional
Poland • Pharmacies
Norway • Direct
• Institutional Sweden • Institutional
Finland • Institutional
France • Institutional
6
Our mission
THE PATIENT IS AT THE CENTER OF EVERYTHING WE DO
We improve patients’ health with the best and most efficient healthcare delivery We do so by providing pharmaceuticals, medical devices and the associated care
7 7
Market trends
Volume growth with aging population
Price pressure to keep healthcare affordable
Patients are increasingly well informed
8 8
Strategy
Building an international company in healthcare • Growth Direct & Institutional
• Strengthening leading pharmacy position (NL, P)
• Efficiency improvement
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Enabling patients to cope more effectively with their condition • Discrete home deliveries
• Ostomy/ diabetes/ incontinence/ woundcare supplies, respiratory care, enteral nutrition, biopharmaceuticals
• 24X7 dedicated customer service and nurses
• Brand neutral
• 760,000 active patients
Mediq Direct
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Mediq Direct
Why we are the provider of choice
• Access to a broad assortment • Brand neutrality • Ease of web-based prescription system • Subcontractor for home treatment • Management information • Innovative care concepts
PRESCRIBERS
• Broad assortment of products & services
• Cost effectiveness • Nationwide delivery • Management information • Innovative care concepts
PAYORS
• Compliance programs for patients • Market intelligence • Supply chain management • Nationwide delivery • Sales and market power
MANUFACTURERS
• Specific centres of expertise • One stop shopping • Reorder reminders • Web services • Ease of reimbursement • 24/7 customer service
PATIENTS
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Mediq Institutional
Partner for professionals • Marketing, sales and distribution to care institutions
• Broad product range
• Including training for professionals
MEDICAL DEVICES PHARMACEUTICALS
• Medical disposables
• Medical technical equipment
• Service contracts
• Training programmes
• Wholesale for hospitals and nursing homes
• Cooperation with hospital pharmacies and support of their operational business
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Mediq Institutional
Customer segments
NL BE FR DK GE NO SW FI EE LT LV CH
CARE INSTITUTIONS
✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
HOSPITALS ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
GPs & SPECIALISTS
✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
RETAIL ✔ ✔ ✔ ✔ ✔ ✔ ✔
INDUSTRY / OTHER
✔ ✔ ✔
LABORATORY ✔ ✔ ✔ ✔ ✔
3RD PARTY LOGISTICS
✔ ✔
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Growth driver: Direct & Institutional
€ 386 mn
€ 1,041 mn
•18 acquisitions in 5 years and solid organic growth
•Consolidator in growing market
CAGR 22%
2005 2010
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Clear shift in profile Mediq
EBIT ordinary activities
Direct & Institutional Pharmacies NL, Poland
2005 2010
42% 58%
76%
24%
•Pressure on sales and EBIT of Pharmacy business •Compensated by steady growth D&I
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Price fall in Dutch pharmacies
Dutch spending on pharmaceuticals is lowest in Western Europe
Average annual pharmaceutical spending per capita
SFK – Jan 2011
TEVA 15 capsules Pantoprazol
€ 1
Mars € 1
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Mediq Pharmacies Netherlands
Adopting to changed market circumstances • Provide innovative full-service pharmaceutical care and healthcare
related products and services
◦ In close cooperation with GPs, other primary healthcare providers
◦ Tailored to patient, paid for by insurers and suppliers
◦ Supported by specialist expertise of our direct companies
• Complemented with broad range of OTC • Further centralisation and standardisation of back-office functions
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New healthcare modules to increase compliance • Online service for chronic users
(mijnmedicijnkompas)
• Hayfever sms / app
• Blood sugar test on diabetes
• Asthma/COPD check
• Proactive repeat medication • Real Time Medication Monitoring
(SIMpill)
From product margin to fee-for-service
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Agenda • Profile and strategy Mediq
• Financials
• Management agenda and outlook
19
Strategic highlights 2010
Significant international expansion in Direct & Institutional
Leading in a changing pharmacy market in the Netherlands
Strengthening of Mediq brand and organisation
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Highlights Q1 2011
• Revenues +7% driven by acquisitions Direct & Institutional
• EBITA from ordinary operations + 14%; increase at all 3 segments
• Net result -14% due to non-operational proceeds in Q1 2010
• Several significant acquisitions D&I in line with growth strategy
• Further process optimisation at Pharmacies Netherlands
• Incipient recovery wholesaling activities in Poland
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Solid financial performance
PHARMACIES NETHERLANDS
PHARMACIES POLAND*
718 759 869 663 525
469 593 783882
1,0701,0931,1681,1291,142
1,041
2006 2007 2008 2009 2010
2,281 2,477
2,730 2,603 2,634
* Excluding non-operational items **known as Pharmacies International up until 2009, when Mediq still had pharmacy activities in Belgium
68 72
32 19
52 61
68 7586
5 4 3 5 519
2006 2007 2008 2009 2010
125 132
102 97 109
DIRECT & INSTITUTIONAL PHARMACIES NETHERLANDS PHARMACIES POLAND**
Pressure on sales and EBIT Pharmacy business… …compensated by steady growth D&I Sales, in € mn EBIT, in € mn
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Sound cash flow and capital structure
Financial ratios well within covenants
35% dividend pay out
Q1 10 Q2 10 Q3 10 Q4 10 Q1 11
INTEREST COVER
DEBT COVER
MIN. 5X
MAX. 3.5X
9.5
10.4 11.2 11.8 12.2
1.3 1.9 1.5 1.1 1.1
FREE CASH FLOW
CASH FLOW FROM OPERATING ACTIVITIES
CAPEX
Cash generative business
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Agenda • Profile and strategy Mediq
• Financials
• Management agenda and outlook
24
Outlook 2011
D&I • Revenue growth • Realisation further purchasing synergies • Operational (EBIT) margin 7% - 8% • EBITA margin 8% - 9%
Pharmacies NL • Slight decline in revenues due to loss 30 Lloyds pharmacies at wholesale
per June 2010 • - € 8 mn total effect of lower dispensing fee, lower claw back and
preference policy; will be largely offset by cost savings and volume growth
Pharmacies Poland • Revenue growth in line with market • Increase in profitability at both retail and wholesale operations
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Management agenda 2011 Growth Direct & Institutional ◦ Organic growth ◦ International acquisitions ◦ Expand collaboration Mediq Pharmacies NL ◦ Expand combined sourcing ◦ Expansion exclusive distribution agreements
Strengthening leading pharmacy formula ◦ Organic growth; increase sales from additional services and OTC ◦ Further collaboration with other healthcare providers and insurers in NL
Increase efficiency ◦ Centralisation and standardisation ◦ Optimise logistics wholesale operations in Poland
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Mediq in short Attractive market fundamentals
Leading market positions
Successful execution of strategy
Solid financial performance
Sound cash flow and capital structure