TIDMAMS

RNS Number : 4848S

Advanced Medical Solutions Grp PLC

17 March 2021

 
   17 March 2021 
 

Advanced Medical Solutions Group plc

("AMS" or the "Group")

Unaudited Preliminary Results for the year ended 31 December 2020

Robust financial and operational performance despite COVID-19 impacts; in line with current consensus forecasts; set for strong growth in 2021 and beyond

Winsford, UK: Advanced Medical Solutions Group plc (AIM: AMS), the surgical and advanced woundcare specialist company, today announces its unaudited preliminary results for the year ended 31 December 2020.

Financial Summary:

 
                                       2020    2019   Reported         Change 
                                                        change    at constant 
                                                                  currency(1) 
                                     ------  ------  --------- 
   Revenue (GBP million)               86.8   102.4       -15%           -15% 
-----------------------------------  ------  ------  ---------  ------------- 
   Adjusted Measures 
   Adjusted(2) profit before 
    tax (GBP million)                  13.4    26.6       -50% 
   Adjusted(2) profit before 
    tax %                             15.4%   26.0%    -10.6pp 
   Adjusted(2) diluted earnings 
    per share (p)                      5.44    9.83       -45% 
 
   Reported Measures 
   Profit before tax (GBP million)     10.1    24.3       -58% 
   Profit before tax %                11.6%   23.7%    -12.1pp 
   Diluted earnings per share 
    (p)                                3.94    8.72       -55% 
   Net operating cash flow             21.5    21.7        -1% 
   Net cash (GBP million)              53.8    64.8       -17% 
 
   Proposed full year dividend 
    per share (p)                     1.70p   1.55p       +10% 
-----------------------------------  ------  ------  ---------  ------------- 
 

Operational Highlights (including post period end):

-- Having prioritised employee safety, all manufacturing sites have remained in operation throughout the COVID-19 pandemic servicing customers and meeting order demand. Nonetheless, as previously announced, and in line with consensus market forecasts, on a Group level, sales and profitability were heavily impacted by COVID-19, as shown in the above table

-- Given the Group's strong net cash position and reflecting the Board's confidence in the future, an increased full year dividend is proposed. In line with best practice, AMS repaid the GBP0.4 million of UK government furlough support that had been received during the year

-- Approval and launch of LiquiBand (R) Rapid(TM), albeit at a restricted level due to current lack of access to surgeons. Successful completion of LiquiBand (R) XL clinical trials keeps us on track for approval and launch towards the end of 2021

-- Investment in R&D increased to GBP7.9 million (2019: GBP6.5 million) as progress continued on all key projects across the Group

-- US clinical trial to support the Premarket Approval (PMA) for LiquiBandFix8 (R) progressed well with more than 65% of the total required patient procedures now complete. Filing for the device is expected in 2022, following the 12 month follow-up stipulated by the FDA

-- Patient enrolment for the first human clinical study of Seal-G(R) and Seal-G(R) MIST began in February and CE mark extensions for the product are expected imminently giving AMS access to a new $1 billion addressable market with a differentiated product to fulfil a significant unmet need

-- Acquisition of Raleigh Adhesive Coatings Limited ("Raleigh") in November 2020 for GBP22 million provides a strong strategic fit with commercial synergies and new commercial opportunities

-- Grahame Cook was appointed as Non-Executive Director and joined the Audit, Nomination and Remuneration Committees in January; Steve Bellamy, who has been an AMS Board member since 2007, will retire from the Board at the AGM in June.

Commenting on the results Chris Meredith, Chief Executive Officer of AMS, said: "In what was a very challenging year for everyone, I am pleased with how the team and the business performed and the Group closed the year in line with current consensus forecasts. Despite the severe COVID-19 disruption, the Group remained profitable and generated strong operational cash flows, whilst continuing to invest in key projects and an increasing dividend with significant progress across many of the Group's key strategic initiatives. The progress made on LiquiBand (R) XL, Sealantis and the Fix8 PMA, as well as the acquisition of Raleigh will be catalysts for accelerated growth as elective surgery volumes recover.

Looking forward, the Group saw a continuing gradual recovery over the last two quarters of 2020 and 2021 has started well with a healthy order book in both Business Units. "

Notes

1. Constant currency removes the effect of currency movements by re-translating the current year's performance at the previous year's exchange rates

2. Adjusted profit before tax is shown before exceptional items which were GBP0.8 million (2019: GBP1.1 million), amortisation of acquired intangible assets which was GBP2.3 million (2019: GBP1.7 million) and change in fair value of long-term liability expense of GBP0.2 million (2019: credit of GBP0.3 million) as defined in the Financial Review. Adjusted operating margin is shown before exceptional items and amortisation of acquired intangible assets

3. Net cash is defined as cash and cash equivalents plus short term investments less bank loans and financial liabilities excluding those relating to IFRS16

- End -

For further information, please visit www.admedsol.com or contact:

 
 Advanced Medical Solutions Group plc             Tel: +44 (0) 1606 
                                                             545508 
 Chris Meredith, Chief Executive Officer 
  Eddie Johnson, Chief Financial Officer 
 
 Consilium Strategic Communications            Tel: +44 (0) 20 3709 
                                                               5700 
 Mary-Jane Elliott / Matthew Neal / Olivia 
  Manser 
 
 Investec Bank PLC (NOMAD & Broker)            Tel: +44 (0) 20 7597 
                                                               5970 
 Daniel Adams / Patrick Robb / Gary Clarence 
 

About Advanced Medical Solutions Group plc

AMS is a world-leading independent developer and manufacturer of innovative and technologically advanced products for the global surgical and woundcare markets, focused on quality outcomes for patients and value for payers. AMS has a wide range of surgical products including tissue adhesives, sutures, haemostats, and internal fixation devices, which it markets under its brands LiquiBand (R) , RESORBA (R) , and LiquiBandFix8 (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. In 2019, the Group made two acquisitions: Sealantis, an Israeli medical device company with a patent-protected sealant technology platform; and Biomatlante, an established developer and manufacturer of innovative surgical biomaterial technologies based in France. In 2020, the Group acquired Raleigh Adhesive Coatings, a leading coater and converter of materials predominately for woundcare and bio-diagnostics products based in the UK.

AMS's products, manufactured in the UK, Germany, France, Israel, the Netherlands, and the Czech Republic, 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, 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 Statement

COVID-19 impact

Having created a designated COVID-19 working group, prioritised safe working practices and complied with government measures on social distancing, all AMS sites have remained in operation throughout the pandemic and the Group has therefore been able to service the demand of its healthcare partners throughout 2020 while maintaining its robust balance sheet.

As part of this, AMS has:

   --    Enabled working from home arrangements for all roles that can do so; 

-- Implemented support processes for staff who have tested positive or have otherwise had to isolate;

-- Set up a designated team to closely monitor and risk assess the impact of COVID-19 on operations and taken steps to establish safe working practices in all AMS sites;

-- Undertaken a full evaluation of the supply chain to ensure any risks are identified and mitigated;

-- Adjusted working patterns and put in place controls to minimise physical interactions and ensure social distancing;

   --    Maintained payment terms to support all of the Group's suppliers; 

-- Provided contractual order flexibility to customers whose demand has clearly been impacted by the COVID-19 downturn;

-- Repaid the GBP0.4 million of UK job retention scheme support received relating to our employees who were unable to work during the year due to COVID-19 restrictions. Furloughed employees received full salary at the Group's cost;

-- Maintained a strong year end net cash position of GBP53.8 million and proposed a 10% increase in full year dividend.

As is well known, COVID-19 restrictions have disrupted our global markets in 2020, with a resulting slowdown in surgical and wound treatment volumes. In addition, reduced access to hospitals has significantly restricted business development activities during the year. As COVID-19 vaccine programmes roll out in key markets, we await the reduction in infection rates and a gradual return to normalised levels of elective surgery across all of our markets.

Whilst it is expected that the short term impact of COVID-19 will dissipate, it is anticipated that long term behavioural impacts could provide AMS with new opportunities, such as increased 'direct to patient' supply of products.

Product portfolio progress opening up new markets

Driven by favourable global healthcare and demographic trends, global surgical and advanced woundcare markets are expected to grow in the medium to long term providing ongoing growth potential for AMS. In addition, the key R&D and regulatory projects in the Group's pipeline will significantly increase the size of the market that is addressable by our products.

LiquiBand (R) range

Following the successful clinical trials for LiquiBand (R) XL the Group expects to obtain 510(k) approval in H2 2021 which will allow entry in to the growing $50 million large wound closure market towards the end of 2021. This product launch has the added benefit of unlocking further growth potential in the base LiquiBand (R) business.

The clinical trial for the LiquiBand Fix8 (R) US Pre-Market Approval process is progressing well and both trial results and surgeon feedback has been positive. It is expected that patient procedures will be complete in 2021 followed by FDA filing in 2022. US approval would be a significant milestone for the Group, being the first product of its type to enter the $250 million US hernia fixation market. This positive progress supports efforts to secure more specialist partners for LiquiBand Fix8 (R) which is expected to drive much stronger growth for this category globally as elective surgery volumes recover.

Sealantis

The Sealantis clinical trial commencement in February and the extended product approvals expected imminently position AMS with a differentiated product to address the high unmet medical need for an effective internal sealant following bowel surgery. The planned Seal G range of products will allow the Group to enter the global $1 billion internal sealants market starting as planned in H1 2021 with a soft launch whilst further clinical evidence is built that will facilitate a full European launch in 2022.

Raleigh

The acquisition of Raleigh enhances the Group's woundcare capabilities and growth potential and enables entry into the bio-diagnostic testing sector for the first time, demonstrating the Group's strategy of utilising its strong financial position to acquire businesses with complementary products, exciting technologies and new routes to market.

Woundcare

AMS further increased its addressable market in woundcare with a number of product launches and approvals:

-- The US launch of Silver Moisture Wicking Fabric provides access to the growing market for the management of skin folds and skin-on-skin friction;

-- The US approval of the Debridement pad opens the market for wound bed preparation devices; and

-- The CE mark approval of Silicone PHMB foam, which sits alongside the existing US approval, facilitates greater penetration of the antimicrobial foam market.

These new woundcare products enable the Group's partners to participate in new markets worth a total of $200 million.

AMS has also made significant R&D and regulatory progress in expanding the product indications for our Silver High Performance Dressing which positions the Group to obtain a full anti-microbial claim by the end of 2021. This important indication will unlock deeper penetration of the US antimicrobial gelling fibre market with a competitive product.

Acquisition strategy

The Group continues to seek acquisitions that deliver additional value for shareholders and meet the criteria of being accretive businesses with strong R&D and manufacturing capabilities, and that have products or customers that offer effective commercial synergies. The acquisition of Raleigh demonstrates a good fit with this strategy, and integration is progressing well. The Board remains optimistic about Raleigh's growth prospects, as well as the potential for significant cross-selling and cost saving synergies.

During the year, the Group incurred exceptional costs of GBP0.8 million relating to both the acquisition of Raleigh and its participation in a process, in which AMS was unsuccessful, for a sizeable surgical business.

Regulatory opportunities and progress

The Board is confident that the implementation of Medical Device Regulation (MDR) will provide opportunities for AMS due to anticipated competitor product withdrawals. The Group is making strong progress in its own MDR preparations having already secured additional time by extending the Group's existing MDD filings.

As a result of the COVID-19 pandemic, the deadline for Notified Bodies to review Medical Device Directive (MDD) certificates was extended by one year to May 2021, allowing AMS and other companies additional time to get new products approved or existing products reapproved under MDD. The end date, when all MDD certificates become invalid, remains as 26 May 2024.

AMS utilised the MDD extension to submit and obtain CE mark approval for Silicone PHMB foam and to file for extensions to the Sealantis CE mark.

In 2020, AMS successfully completed its final MDD recertifications so that all products now have extended MDD certificates allowing ample time for compliance with the new European Medical Devices Regulation by 2024. AMS is well prepared for the stricter requirements on product safety and performance, clinical evaluation and post-market clinical evidence stipulated by MDR and in the year submitted its first four MDR files for Notified Body review.

The senior management team's extensive preparations leave the Group well placed to exploit opportunities that will undoubtedly arise in the next few years during the implementation of MDR.

AMS obtained various product approvals for new territories in 2020 including the Group's first approvals in India for both LiquiBand(R) and LiquiBandFix8(R) .

Brexit

The Group's extensive preparations for Brexit enabled it to navigate the end of the transition period on 31 December 2020 with limited impact on the business. UK product certificates have been reassigned to BSI Netherlands, Advanced Medical Solutions BV has been appointed as the EU Authorised Representative for the Group's UK manufactured products and the other necessary administrative and labelling changes have been put in place. The Group now intends to unwind the increased stock levels that were built to mitigate possible Brexit delays.

In 2021, AMS is expected to experience a minimal level of Brexit related disruption in the following areas:

   --      Delays in port 

-- Increased freight costs including surcharges, paperwork and proof of origin declaration costs

   --      Further labelling changes such as for the additional UK CA mark to be phased in 
   --      MDR importer requirements to be phased in 

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 would not have been possible.

Outlook

Despite the ongoing challenges posed by COVID-19 across the globe, the Group has seen a continuing gradual recovery across the business over recent quarters and 2021 has started well with a healthy order book in both Business Units.

Strong progress has been made in product development, regulatory approvals in new geographies and product indications, significantly increasing the size of the Group's addressable market in the near term including the approval of LiquiBand (R) Rapid(TM) and the successful clinical trials for LiquiBand (R) XL. On this basis the Group is set for strong organic growth in 2021 and beyond. AMS will continue to invest in R&D programmes and, in particular, in Sealantis, the LiquiBandFix8 (R) PMA and Medical Device Regulation, which are expected to provide significant growth opportunities in the medium term.

The Board is committed to its strategy of building organic and acquisitive growth and is confident in both the short and long-term prospects for AMS.

Operational review

Group performance

Given that all products and regions were impacted by COVID-19 restrictions, the Group performed well and saw improving results in Q3 and Q4. However, as previously stated, Group revenue declined to GBP86.8 million (2019: GBP102.4 million) and the resulting adverse operating leverage led to adjusted profit before tax reducing to GBP13.4 million (2019: GBP26.6 million) and adjusted diluted earnings per share reducing to 5.4p (2019: 9.8p).

Surgical Business Unit

The Surgical Business Unit includes tissue adhesives, sutures, biosurgical devices and internal fixation devices marketed predominately under the AMS brands LiquiBand(R) , RESORBA(R) and LiquiBandFix8(R) . Business Unit revenue reduced by 11% to GBP50.2 million (2019: GBP56.5 million) due to sales volumes being adversely impacted by the effects of COVID-19.

 
 Surgical Business           2020        2019    Reported          Change 
  Unit                    GBP'000     GBP'000      Growth     at constant 
                                                                 currency 
 Advanced closure          22,751      30,085        -24%            -24% 
                       ----------  ----------  ----------  -------------- 
 Internal Fixation 
  and Sealants              2,104       2,629        -20%            -20% 
                       ----------  ----------  ----------  -------------- 
 Traditional Closure       12,993      14,407        -10%             -9% 
                       ----------  ----------  ----------  -------------- 
 Biosurgical Devices       12,321       9,423         31%             30% 
                       ----------  ----------  ----------  -------------- 
 TOTAL                     50,169      56,544        -11%            -11% 
                       ----------  ----------  ----------  -------------- 
 

Advanced Closure

Advanced Closure comprises LiquiBand(R) , incorporating medical cyanoacrylate adhesives in purpose-built applicators used to close and protect topical wounds as well as surgical sealants sold under partners' brands.

 
 Advanced Closure         2020        2019    Reported          Change 
                       GBP'000     GBP'000      Growth     at constant 
                                                              currency 
 Americas               13,940      18,999        -27%            -26% 
                    ----------  ----------  ----------  -------------- 
 UK/Germany              4,955       6,850        -28%            -28% 
                    ----------  ----------  ----------  -------------- 
 ROW                     3,856       4,236         -9%             -9% 
                    ----------  ----------  ----------  -------------- 
 TOTAL                  22,751      30,085        -24%            -24% 
                    ----------  ----------  ----------  -------------- 
 

Revenues decreased by 24% on a reported and constant currency basis to GBP22.8 million (2019: GBP30.1 million).

Following its approval and restricted launch in 2020, the commercial launch of LiquiBand(R) Rapid(TM) in 2021 will enable a key partner to regain ground with an improved product.

In addition, the planned 2021 launch of LiquiBand(R) XL will enable AMS to compete in the treatment of large wounds and unlock further growth potential in the LiquiBand(R) business. 510(k) approval is expected in H2 2021 following successful clinical trials in late 2020, with the product demonstrating very positive performance characteristics against the predicate device.

Whilst US procedural volumes remain depressed and hospital access limited, based on the above factors, US LiquiBand(R) is expected to deliver strong growth in 2021 and beyond.

AMS continues to obtain approvals for LiquiBand(R) in new geographies and notably obtained approval for LiquiBand(R) in India during the year. The Group is now in the process of screening and selecting the best go-to-market partner for its first commercial activity into this large market.

Internal Fixation and Sealants

This category comprises LiquiBandFix8(R) and Seal G(R) . LiquiBandFix8(R) is used to fix hernia meshes inside the body with accurately delivered individual drops of cyanoacrylate adhesive. Seal-G(R) is used to reinforce the staple / suture line to minimise anastomotic leaks following gastrointestinal bowel surgery.

LiquiBandFix8(R) revenue decreased by 20% to GBP2.1 million (2019: GBP2.6 million). Despite the restrictions, pleasing progress has been made in product training and new territory approvals. The sales teams delivered virtual symposia with prominent hernia societies attended by more than 8,000 surgeons to increase awareness of the reduced post-operative complications when using LiquiBandFix8(R) instead of staples or tacks. The Group also obtained approvals for LiquiBandFix8(R) in other geographies, notably in India and Brazil, with distributor selection and launch planning now in process.

The clinical trial for the Fix8(R) Pre-Market Approval process had to be suspended for approximately six months due to COVID-19 but has since regained momentum with over 65% of the total required patient procedures now complete. FDA approval is expected to be filed in 2022 upon completion of the 12 month follow-up stipulated by the FDA. AMS continues to be excited about the long-term prospects for the LiquiBandFix8(R) portfolio, with entry into the US being a significant milestone for the Group. Feedback from surgeons and hospital centres involved in the trial has been very encouraging to date.

During 2020, commercial research activity was completed with European Key Opinion Leaders which provided positive feedback on Seal-G & Seal-G MIST as solutions to the high unmet need for an effective GI sealant.

Post-period end, the Group progressed two major milestones towards the Sealantis soft launch in H1 2021 and full European commercial launch in 2022:

-- Began patient enrolment for the first clinical study of Seal-G(R) & Seal-G MIST(R) in February 2021, following COVID-19 related delays in 2020

-- Progressed CE mark extensions to final notified body review to strengthen the portfolio by obtaining approval for the laparoscopic Seal-G MIST(R) device and extending the open Seal-G(R) CE mark to include a blue colourant to aid visibility during surgery. Both approvals are expected imminently.

Traditional Closure

The Traditional Closure category comprises the RESORBA(R) branded Absorbable and Non-absorbable Suture ranges, which includes certain surgical specialties (such as dental and ophthalmic).

Revenue decreased by 10% at reported and 9% at constant currency to GBP13.0 million (2019: GBP14.4 million).

AMS expects to drive suture growth by focusing on specific opportunities such as targeted GPO promotions in the DACH region, increasing its US footprint, dental portfolio selling with Biomatlante and RESORBA(R) products and leveraging its Moorfields Eye Hospital site advocacy to grow the ophthalmic business.

The Group continues to look for ways to make its suture portfolio more comprehensive. In 2019, AMS added a long lasting synthetic PDO thread material, followed by the 2020 launch of a high tensile strength OT Cord range for orthopaedic and sports medicine. In 2021, a barbed suture range to provide knotless tissue security is expected to be launched.

Biosurgical Devices

The Biosurgical Devices category comprises RESORBA(R) and Biomatlante technologies including antibiotic loaded collagen sponges, collagen membranes and cones, synthetic bone substitutes and bio-absorbable screws.

Biosurgical revenue increased by 31% at reported and 30% at constant currency to GBP12.3 million (2019: GBP9.4 million) reflecting the inclusion of Biomatlante sales following its acquisition in November 2019. AMS expects to make significant progress selling Biomatlante products under the RESORBA (R) brand through the existing sales infrastructure and some initial sales have been made into Germany during the year. In addition, AMS is looking to sell more of its dental and orthopaedic collagens and sutures via the existing Biomatlante customer base.

In November 2020, the Group filed a 510(k) application for freeze dried bone substitute (FDBS) which would be the first US approval for any of Biomatlante's newer innovative products. The FDBS platform has strong cohesive properties when mixed with fluids, can be easily moulded for optimal surgical placement and will open up opportunities for the addition of active ingredients such as platelets, stem cells or synthetic peptides. AMS anticipates 510(k) approval in the next 12 months.

Collagen loaded with Vancomycin has been sold in Germany for several years on a named patient prescription only basis and we continue to progress a full CE mark to allow broader promotion and sales. AMS is currently progressing with an MDD application but will move to proceed under MDR as necessary. The Group continues to work with both EU and US regulators on wider market approvals for its antibiotic loaded collagen pacemaker pouch, also currently sold via prescription in Germany.

Woundcare Business Unit

The Woundcare Business Unit is comprised of a multi-product portfolio of advanced woundcare dressings sold under partner brands and under the ActivHeal(R) brand, plus a portfolio of specialist medical bulk materials now including the multi-layer woundcare and bio-diagnostics products that came with the Raleigh acquisition.

Revenue decreased by 20% to GBP36.6 million (2019: GBP45.8 million) due to COVID-19 impacts on sales volumes.

 
 Woundcare Business           2020        2019    Reported    Change at 
  Unit                     GBP'000     GBP'000      Growth     constant 
                                                               currency 
 Infection Management       15,289      20,555        -26%         -25% 
                        ----------  ----------  ----------  ----------- 
 Exudate Management         15,413      19,271        -20%         -20% 
                        ----------  ----------  ----------  ----------- 
 Other Woundcare             5,925       5,998         -1%          -1% 
                        ----------  ----------  ----------  ----------- 
 TOTAL                      36,627      45,824        -20%         -20% 
                        ----------  ----------  ----------  ----------- 
 

During 2020, AMS successfully obtained MDD extensions until 2024 for all the remaining products in its woundcare range. Consequently, the Group has secured the maximum time possible to complete compliance with the new MDR certification requirements. AMS has a dedicated team in place focused on completing the work for each product in good time to allow regular approvals across the next three years.

Despite the lower market growth rates and consolidation activity in the woundcare market, the Board is confident that the following catalysts position our woundcare business unit for good growth:

   -     The approval of several new products 
   -     The addition of Raleigh 
   -     ActivHeal(R) potential in select new markets 
   -     The opportunities expected to arise from MDR 

Infection Management

The infection management category comprises advanced woundcare dressings that incorporate antimicrobials such as Silver and Polyhexamethylene Biguanide (PHMB). Revenue decreased by 26% on a reported basis and 25% on a constant currency basis to GBP15.3 million (2019: GBP20.6 million) predominantly due to COVID-19 impacts.

During the year, the Group's Silver Moisture Wicking Fabric product was launched with two US partners and Silver High-Performance Dressings were launched with a second US partner. Volumes were impacted by COVID-19 restrictions, which limited access to potential customers and promotional opportunities.

In November 2020, AMS obtained CE mark approval for the Silicone PHMB foam range which sits alongside the US approval for this product which was granted in late 2019. The silicone variant of the Group's PHMB range provides gentle but secure adhesion in addition to existing performance characteristics such as rapid microbial activity and eradication of pathogens. This provides AMS with a strong product for the growing antimicrobial foam market.

During 2020, AMS completed the development of a debridement pad which clinicians use to prepare the wound bed and enhance wound healing. The Group successfully obtained approval for use in FDA markets and also progressed European approval by submitting the CE mark application.

Following progress made in 2020, the Group is now positioned to obtain a full anti-microbial claim for our Silver High Performance Dressing in 2021 which will unlock deeper penetration of the US antimicrobial gelling fibre market with a patent protected product that has excellent performance characteristics. We expect to submit the special 510(k) application in Q2 2021.

In December 2020, an exclusive five year agreement for one of the Group's silver alginates came up for renewal. Although discussions are on-going with the customer, the new terms the customer is seeking are not acceptable to AMS and therefore the contract may not be renewed. We are also assessing various other options to maximise the value to AMS for the next five years.

Looking ahead, the Group continues to work on developing next generation high-gelling products with differentiated anti-biofilm claims and an application of its surgical tissue scaffolds in a woundcare environment.

Exudate Management

Exudate management comprises advanced woundcare dressings and gels which do not incorporate any antimicrobial elements. Raleigh's results are reported within exudate management and provides significant growth opportunities. Revenue decreased by 20% to GBP15.4 million (2019: GBP19.3 million).

AMS has progressed the initiative to find and appoint new distribution partners for ActivHeal(R) in markets with strong demand for high quality, cost effective dressings and where current key partners have no or low presence. A number of ActivHeal(R) contracts were signed in 2020 and are expected to launch in 2021, contributing significant additional sales value over the next five years. Registrations are also being pursued in additional territories with a view to further exploiting this growth opportunity.

The acquisition of Raleigh in November 2020 significantly strengthens AMS's woundcare position by bringing acrylic and silicone coating and perforation in house, providing opportunities for cost savings and aiding product development. In addition, Raleigh's products and expertise will allow AMS to win new customers and enter into new markets such as the bio-diagnostic testing sector and brings an R&D pipeline of new projects in the medical space. AMS recorded GBP0.7 million of sales in 2020 relating to Raleigh.

With the heightened attention on the prevention of pressure ulcers in all major markets, it is pleasing to add a product in this indication to the existing US silicone foam range. It will enable all the Group's customers to promote the expanded range for this increasingly important patient concern.

Other Woundcare

Other Woundcare comprises royalties, fees and woundcare sealants. Revenue decreased by 1% on a reported and constant currency basis to GBP5.9 million (2019: GBP6.0 million) mainly due to a minor decrease in sealant revenue. Royalty and fee income, which includes the Group's licensing arrangement with Organogenesis, remained consistent.

Chris Meredith

Chief Executive Officer

Financial Review

Summary

Group revenue declined by 15% at reported and constant currency. Adjusted profit before tax reduced by 50% as investment in R&D and other key projects continued and the employee base was retained, resulting in adverse operating leverage.

To provide the clearest possible insight into 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 reconcile them as appropriate. The measures used in this statement include constant currency revenue growth, adjusted operating margin, adjusted profit before tax, adjusted earnings per share and adjusted net cash inflow from operating activities, allowing the impacts of exchange rate volatility, exceptional items, amortisation and the change in fair value of long-term liability to be separately identified. Net cash is an additional non-GAAP measure used.

Excluding exceptional items, administration expenses reduced marginally to GBP33.7 million (2019: GBP34.6 million) inclusive of losses arising from foreign exchange movements as the Group implemented effective cost management although these were partially offset by higher amortisation of intangibles. The Group operated its factories at much lower volumes, resulting in under-absorption of its fixed costs and, to reflect the need for operational staff to continue attending Group sites during the lockdown period, additional one-off payments were made to these employees totalling GBP0.3 million. Furthermore, GBP0.4 million of UK job retention scheme support was repaid relating to our employees who were unable to work but still received their salary in full at the Group's cost.

The Group incurred GBP7.9 million of gross R&D spend in the period (2019: GBP6.5 million), representing 9.1% of sales (2019: 6.3%) reflecting increased investment in innovation and in meeting the increasing regulatory standards.

Exceptional items were GBP0.8 million in the year (2019: GBP1.1 million) relating to both the acquisition of Raleigh and our participation in a process, in which AMS was unsuccessful, for a sizeable surgical business.

Amortisation of acquired intangible assets was GBP2.3 million in 2020 (2019: GBP1.7 million) due to the full period effect of the acquisition of Sealantis in January 2019 and Biomatlante in November 2019.

A GBP0.2 million expense was recorded due to the change in the fair value of long-term liabilities recognised on acquisition of Sealantis in 2019 (2019: credit of GBP0.3 million).

Adjusted operating margin decreased by 1,050 bps to 15.9% (2019: 26.4%) and operating margin decreased by 1,130 bps to 12.4% (2019: 23.7%) predominately due to COVID-19 impacts.

Adjusted profit before tax decreased by 50% to GBP13.4 million (2019: GBP26.6 million) and profit before tax decreased by 58% to GBP10.1 million (2019: GBP24.3 million).

 
Reconciliation of profit before tax to adjusted 
 profit before tax 
                                                    (Unaudited)  Audited 
                                                           2020     2019 
                                                        GBP'000  GBP'000 
-------------------------------------   ----------  -----------  ------- 
Profit before tax                                        10,089   24,257 
--------------------------------------------------  -----------  ------- 
Amortisation of acquired intangibles                      2,269    1,683 
Change in fair value of long-term 
 liability                                                  167    (345) 
Exceptional items                                           834    1,053 
--------------------------------------------------  -----------  ------- 
Adjusted profit before tax                               13,359   26,648 
--------------------------------------------------  -----------  ------- 
 
 

The Group's effective tax rate, reflecting the blended tax rates in the countries where we operate and including UK patent box relief, decreased to 14.9% (2019: 21.8%). The decrease was due to patent box claims relating to the newly granted LiquiBand (R) Exceed patents which can be retrospectively claimed.

Adjusted diluted earnings per share decreased by 45% to 5.44p (2019: 9.83p) and diluted earnings per share decreased by 55% to 3.94p (2019: 8.72p).

Reflecting the Group's strong net cash position and confidence in the Group's prospects, the Board is proposing an increased final dividend of 1.20p per share, to be paid on 18 June 2021 to shareholders on the register at the close of business on 28 May 2021. This follows the interim dividend of 0.50p per share paid on 23 October 2020 and would, if approved, make a total dividend for the year of 1.70p per share (2019: 1.55p) an increase of 10%. In line with best practice, AMS repaid the GBP0.4 million of UK government furlough support that had been received during the year.

 
 Operating result by business segment 
 Year ended 31 December 2020     Surgical   Woundcare 
                                  GBP'000     GBP'000 
------------------------------  ---------  ---------- 
 Revenue                           50,169      36,627 
 Segment operating profit           6,962       5,220 
 Amortisation of acquired 
  intangibles                       2,132         137 
 Adjusted segment operating 
  profit(4)                         9,094       5,357 
 Adjusted operating margin(4)       18.1%       14.6% 
------------------------------  ---------  ---------- 
 Year ended 31 December 2019 
 Revenue                           56,544      45,824 
 Segment operating profit          14,411      11,370 
 Amortisation of acquired 
  intangibles                       1,675           8 
 Adjusted segment operating 
  profit (4)                       16,086      11,378 
 Adjusted operating margin(4)       28.4%       24.8% 
------------------------------  ---------  ---------- 
 

(Note 4: Adjusted for exceptional items and amortisation of acquired intangible assets)

(Table is reconciled to statutory information in note 3 of the financial information.)

Surgical

Surgical revenues decreased by 11% to GBP50.2 million (2019: GBP56.5 million) at both reported currency and constant currency. Adjusted operating margin decreased 1,030 bps to 18.1% (2019: 28.4%) as the Group was unable to offset costs in the same proportion to the decrease in revenue and as a result of increased investment in R&D, clinical and regulatory affairs.

Woundcare

Woundcare revenues decreased by 20% at both reported currency and constant currency to GBP36.6 million (2019: GBP45.8 million). Adjusted operating margin decreased by 1,020 bps to 14.6% (2019: 24.8%).

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 year, approximately one third of sales was invoiced in Euros and approximately one quarter was 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 2.8% and 3.4% respectively and in the absence of any hedging this would have an impact on profit of 2.2% and 0.1%.

Cash flow

Despite the unprecedented conditions, the Group delivered a strong net cash inflow from operating activities of GBP21.5 million (2019: GBP21.7 million) with the reduction in operating profit being mostly offset by working capital management.

 
 Reconciliation of Net cash inflow from operating activities 
  to Adjusted net cash inflow from operating activities 
------------------------------------------------------------------------- 
                                               (Unaudited)      (Audited) 
                                                Year ended     Year ended 
                                               31 December    31 December 
                                                      2020           2019 
                                                   GBP'000        GBP'000 
-------------------------------------------  -------------  ------------- 
 
 Net cash inflow from operating activities          21,511         21,699 
 Add back exceptional items                            613          1,053 
-------------------------------------------  -------------  ------------- 
 Adjusted net cash inflow from operating 
  activities                                        22,124         22,752 
-------------------------------------------  -------------  ------------- 
 

At the end of the period, following the acquisition of Raleigh for GBP22.0 million, the Group had net cash of GBP53.8 million (31 December 2019: GBP64.8 million).

Working capital decreased during the year, due to a decrease in receivables as a result of lower sales, partially offset by increased inventory levels and lower payables. Inventory cover was temporarily increased to 5.7 months of supply (2019: 5.1 months) in preparation for potential supply chain risks relating to COVID-19 and the end of the Brexit transition period. Debtor days decreased to 45 days (2019: 49 days) due to customer mix and Creditor days decreased to 30 days (2019: 34 days).

Capital investment in equipment, R&D and regulatory costs decreased slightly to GBP5.3 million (2019: GBP5.9 million).

Cash outflow relating to taxation decreased to GBP3.7 million (2019: GBP5.9 million) due to lower taxable profits, partially offset by the requirement to accelerate payments on account in the UK.

The Group paid its final dividend for the year ended 31 December 2019 of GBP2.3 million in June 2020 (2019: for the year ending 2018, GBP1.9 million in June 2019), and its interim dividend for the six months ended 30 June 2020 of GBP1.1 million in October 2020 (for the 6 months ended 30 June 2019: GBP1.1 million in October 2019).

The Group has an undrawn unsecured GBP80 million credit facility provided jointly by The Royal Bank of Scotland and HSBC which is in place until December 2023. This facility carries an annual interest rate of LIBOR or EURIBOR 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 
---------------------------------------------------------------------------------  -----------  -------- 
Year ended 31 December                      (Unaudited)                           (Audited) 
                                      Before                               Before 
                                 exceptional  Exceptional             exceptional  Exceptional 
                                       items        items      2020         items        items      2019 
                          Note       GBP'000      GBP'000   GBP'000       GBP'000      GBP'000   GBP'000 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Revenue from continuing 
 operations                3          86,796            -    86,796       102,368                102,368 
Cost of sales                       (40,756)            -  (40,756)      (41,885)            -  (41,885) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Gross profit                          46,040            -    46,040        60,483            -    60,483 
Distribution costs                   (1,071)            -   (1,071)         (997)            -     (997) 
Administration costs                (33,658)        (834)  (34,492)      (34,566)      (1,053)  (35,619) 
Other income                             253            -       253           376            -       376 
                                                                     ------------  -----------  -------- 
Profit from operations     4          11,564        (834)    10,730        25,296      (1,053)    24,243 
Finance income                           220            -       220           406            -       406 
Finance costs                          (861)            -     (861)         (392)            -     (392) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Profit before taxation                10,923        (834)    10,089        25,310      (1,053)    24,257 
Income tax                 5         (1,505)            -   (1,505)       (5,338)            -   (5,338) 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Profit for the year 
 attributable to equity 
 holders of the parent                 9,418        (834)     8,584        19,972      (1,053)    18,919 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
Earnings per share 
Basic                      6           4.38p      (0.39p)     3.99p         9.30p      (0.49p)     8.81p 
Diluted                    6           4.32p      (0.38p)     3.94p         9.21p      (0.49p)     8.72p 
Adjusted diluted           6           5.44p      (0.38p)     5.06p         9.83p      (0.49p)     9.34p 
------------------------  ----  ------------  -----------  --------  ------------  -----------  -------- 
 
 
CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME 
                                                    (Unaudited)  (Audited) 
                                                           2020       2019 
                                                        GBP'000    GBP'000 
----------------------------------------------      -----------  --------- 
Profit for the year                                       8,584     18,919 
--------------------------------------------------  -----------  --------- 
Exchange differences on translation 
 of foreign operations                                    3,507    (3,538) 
Gain arising on cash flow hedges                            842      3,091 
Deferred tax charge arising on 
 cash flow hedges                                         (160)      (130) 
--------------------------------------------------  -----------  --------- 
Total other comprehensive income/(expense) 
 for the year                                             4,189      (577) 
--------------------------------------------------  -----------  --------- 
Total comprehensive income for 
 the year attributable to equity 
 holders of the parent                                   12,773     18,342 
--------------------------------------------------  -----------  --------- 
 

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

 
                                                           (Unaudited)     (Audited) 
                                                           31 December   31 December 
                                                                  2020          2019 
                                                               GBP'000       GBP'000 
 Assets 
 Non-current assets 
 Acquired intellectual property rights                           9,879         9,478 
 Technology based intangible assets                             22,357        15,985 
 Software intangibles                                            2,437         2,832 
 Development costs                                               7,368         5,039 
 Goodwill                                                       68,911        53,558 
 Property, plant and equipment                                  30,064        27,707 
 Deferred tax assets                                                 -            96 
 Trade and other receivables                                       364           531 
---------------------------------------  -----------------------------  ------------ 
                                                               141,380       115,226 
 Current assets 
 Inventories                                                    21,025        17,655 
 Trade and other receivables                                    21,107        29,221 
 Current tax assets                                              1,214           129 
 Cash and cash equivalents                                      53,829        64,751 
---------------------------------------  -----------------------------  ------------ 
                                                                97,175       111,756 
---------------------------------------  -----------------------------  ------------ 
 Total assets                                                  238,555       226,982 
---------------------------------------  -----------------------------  ------------ 
 
   Liabilities 
 Current liabilities 
 Trade and other payables                                       13,139        14,043 
 Current tax liabilities                                           319         1,781 
 Lease liabilities                                               1,257         1,353 
                                                                14,715        17,177 
 Non-current liabilities 
 Trade and other payables                                        3,229         3,150 
 Deferred tax liabilities                                        8,536         6,409 
 Lease liabilities                                               9,864         8,347 
 Borrowings                                                          -           664 
---------------------------------------  -----------------------------  ------------ 
                                                                21,629        18,570 
---------------------------------------  -----------------------------  ------------ 
 Total liabilities                                              36,344        35,747 
---------------------------------------  -----------------------------  ------------ 
 Net assets                                                    202,211       191,235 
---------------------------------------  -----------------------------  ------------ 
 
   Equity 
 Share capital                                                  10,769        10,745 
 Share premium                                                  36,288        36,226 
 Share-based payments reserve                                   11,142         9,466 
 Investment in own shares                                        (162)         (159) 
 Share-based payments deferred tax 
  reserve                                                          430           649 
 Other reserve                                                   1,531         1,531 
 Hedging reserve                                                 1,237           555 
 Translation reserve                                             3,258         (249) 
 Retained earnings                                             137,718       132,471 
---------------------------------------  -----------------------------  ------------ 
 Equity attributable to equity holders 
  of the parent                                                202,211       191,235 
---------------------------------------  -----------------------------  ------------ 
 

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 2019    10,674    35,192      7,333        (156)           708     1,531   (2,406)         3,289    116,560   172,725 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Consolidated 
  profit 
  for the year to 
  31 December 2019         -         -          -            -             -         -         -             -     18,919    18,919 
 Other 
  comprehensive 
  income/(expense)         -         -          -            -             -         -     2,961       (3,538)          -     (577) 
------------------                                                                      --------  ------------  ---------  -------- 
 Total 
  comprehensive 
  income                   -         -          -            -             -         -     2,961       (3,538)     18,919    18,342 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Share-based 
  payments                 -         -      1,856            -          (59)         -         -             -          -     1,797 
 Share options 
  exercised               71     1,034        277            -             -         -         -             -          -     1,382 
 Shares purchased 
  by EBT                   -         -          -        (603)             -         -         -             -          -     (603) 
 Shares sold by 
  EBT                      -         -          -          600             -         -         -             -          -       600 
 Dividends paid            -         -          -            -             -         -         -             -    (3,008)   (3,008) 
                                                                                                                           -------- 
 At 31 December 
  2019 (Audited)      10,745    36,226      9,466        (159)           649     1,531       555         (249)    132,471   191,235 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Consolidated 
  profit 
  for the year to 
  31 December 2020         -         -          -            -             -         -         -             -      8,584     8,584 
 Other 
  comprehensive 
  income                   -         -          -            -             -         -       682         3,507          -     4,189 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Total 
  comprehensive 
  income                   -         -          -            -             -         -       682         3,507      8,584    12,773 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 Share-based 
  payments                 -         -      1,611            -         (219)         -         -             -          -     1,392 
 Share options 
  exercised               24        62         65            -             -         -         -             -          -       151 
 Shares purchased 
  by EBT                   -         -          -        (542)             -         -         -             -          -     (542) 
 Shares sold by 
  EBT                      -         -          -          539             -         -         -             -          -       539 
 Dividends paid            -         -          -            -             -         -         -             -    (3,337)   (3,337) 
                                                                                                                           -------- 
 At 31 December 
  2020 (Unaudited)    10,769    36,288     11,142        (162)           430     1,531     1,237         3,258    137,718   202,211 
------------------  --------  --------  ---------  -----------  ------------  --------  --------  ------------  ---------  -------- 
 

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

 
                                                   (Unaudited)    (Audited) 
                                                    Year ended   Year ended 
                                                                31 December 
                                              31 December 2020         2019 
                                        Note           GBP'000      GBP'000 
--------------------------------------  ----  ----------------  ----------- 
Cash flows from operating activities 
Profit from operations                                  10,730       24,243 
Adjustments for: 
Depreciation                                             3,467        3,154 
Amortisation - intellectual property 
 rights                                                  2,269        1,683 
- software intangibles                                     563          519 
- development costs                                        533          492 
Increase in inventories                                (1,892)      (2,454) 
Decrease/(Increase) in trade and 
 other receivables                                      10,262        (574) 
Decrease in trade and other payables                   (2,292)      (1,275) 
Share-based payments expense                             1,611        1,856 
Taxation                                               (3,740)      (5,945) 
Net cash inflow from operating 
 activities                                             21,511       21,699 
--------------------------------------  ----  ----------------  ----------- 
Cash flows from investing activities 
Purchase of software                                     (126)        (826) 
Capitalised research and development                   (2,788)      (2,355) 
Purchases of property, plant and 
 equipment                                             (2,346)      (2,673) 
Disposal of property, plant and 
 equipment                                                 136            4 
Interest received                                          277          422 
Acquisition of subsidiaries net 
 of cash                                 7            (21,924)     (24,145) 
Net cash used in investing activities                 (26,771)     (29,573) 
--------------------------------------  ----  ----------------  ----------- 
Cash flows from financing activities 
Dividends paid                                         (3,337)      (3,008) 
Repayment of principal under lease 
 liabilities                                           (1,150)        (925) 
Repayment of loan                                        (664)            - 
Issue of equity shares                                      65        1,066 
Shares purchased by EBT                                  (542)        (603) 
Shares sold by EBT                                         539          600 
Interest paid                                            (735)        (709) 
Net cash used in financing activities                  (5,824)      (3,579) 
--------------------------------------  ----  ----------------  ----------- 
Net decrease in cash and cash 
 equivalents                                          (11,084)     (11,453) 
Cash and cash equivalents at the 
 beginning of the year                                  64,751       76,391 
Effect of foreign exchange rate 
 changes                                                   162        (187) 
Cash and cash equivalents at the 
 end of the year                                        53,829       64,751 
--------------------------------------  ----  ----------------  ----------- 
 

Notes Forming Part of the Condensed 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 twelve months ended 31 December 2020 comprise the Company and its subsidiaries (together referred to as the "Group").

The Group is primarily involved in the design, development and manufacture of novel high-performance polymers (both natural and synthetic) for use in advanced woundcare dressings and materials, and medical adhesives and sutures for closing and sealing tissue, for sale into the global medical device market and dental market.

   2.   Basis of preparation 

These condensed unaudited consolidated financial statements have been prepared in accordance with the accounting policies set out in the annual report for the year ended 31 December 2019 except for new standards adopted for the year.

In the current year the Group has applied a number of amendments to IFRSs issued by the IASB. Their adoption has not had a material impact on the disclosures or on the amounts reported in the Annual Financial Statements. The following amendments were applied:

   --              Amendments to References to the Conceptual Framework in IFRS Standards 
   --              Definition of a Business (Amendments to IFRS 3) 
   --              Definition of Material (amendments to IAS 1 and IAS 8) 
   --              Interest Rate Benchmark Reform (Amendments to IFRS 9, IAS 39 and IFRS7) 
   --              Conceptual Framework for Financial Reporting (Revised) 

While the financial information included in this preliminary announcement has been prepared in accordance with the recognition and measurement criteria of International Financial Reporting Standards (IFRSs), this announcement does not itself contain sufficient information to comply with IFRSs. The Group expects to publish full financial statements that comply with IFRSs in April 2021.

The financial information set out in the announcement does not constitute the Group's statutory accounts for the years ended 31 December 2020 or 31 December 2019. The financial information for the year ended 31 December 2019 is derived from the statutory accounts for that year, which have been delivered to the Registrar of Companies. The auditor reported on those accounts; their report was unqualified, did not draw attention to any matters by way of emphasis without qualifying their report and did not contain a statement under s498 (2) or (3) Companies Act 2006. The audit of the statutory accounts for the year ended 31 December 2020 is not yet complete. These accounts will be finalised on the basis of the financial information presented by the Directors in this preliminary announcement and will be delivered to the Registrar of Companies following the Group's annual general meeting.

The financial statements have been prepared on the historical cost basis of accounting except as disclosed in the accounting policies set out in the annual report for the year ended 31 December 2019.

With regards to the Group's financial position, it had cash and cash equivalents at the 31 December 2020 of GBP53.8 million. In December 2018, the Group entered a five-year, unsecured, multi-currency, credit facility for GBP80 million and which was undrawn in 2020.

While the current economic environment is uncertain, the Group operates in markets whose demographics are favourable, underpinned by an increasing need for products to treat chronic and acute wounds. Consequently, market growth is predicted. The Group has a number of contracts with customers across different geographic regions and also with substantial financial resources, ranging from government agencies through to global healthcare companies. The Group has also considered the ongoing implications of COVID-19 and Brexit and developed appropriate risk management solutions to mitigate these risks.

Having taken the above into consideration and reviewed cash flow forecasts for the next 12 months, 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 preliminary announcement.

New accounting standards not yet applied

Certain new accounting standards and interpretations have been published that are not mandatory for 31 December 2020 reporting periods and have not been early adopted by the Group. These standards are not expected to have a material impact on the entity in the current or future reporting periods or on foreseeable future transactions.

   3.   Segment information 

As referred to in the Chief Executive's Statement, the Group is organised into two Business Units: Surgical and

Woundcare.   These Business Units are the basis on which the Group reports its 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 and income tax assets. These are the measures reported to the Group's Chief Executive for the purposes of resource allocation and assessment of segment performance.

Business segments

Segment information about these businesses is presented below.

 
     Year ended                               Surgical   Woundcare   Consolidated 
     31 December 2020 
     (Unaudited) 
                                               GBP'000     GBP'000        GBP'000 
    -------------------------------  -----------------  ----------  ------------- 
     Revenue 
  External sales                                50,169      36,627         86,796 
     Result 
    -------------------------------  -----------------  ----------  ------------- 
  Adjusted segment operating 
   profit                                        9,094       5,357         14,451 
  Amortisation of acquired 
   intangibles                                 (2,132)       (137)        (2,269) 
 ----------------------------------  -----------------  ----------  ------------- 
  Segment operating 
   profit                                        6,962       5,220         12,182 
  Unallocated expenses                                                      (618) 
  Exceptional costs                                                         (834) 
                                                                    ------------- 
  Operating profit                                                         10,730 
  Finance income                                                              220 
  Finance costs                                                             (861) 
 ----------------------------------  -----------------  ----------  ------------- 
  Profit before tax                                                        10,089 
  Tax                                                                     (1,505) 
 ----------------------------------  -----------------  ----------  ------------- 
  Profit for the year                                                       8,584 
 ----------------------------------  -----------------  ----------  ------------- 
 
     At 31 December 2020                      Surgical   Woundcare   Consolidated 
     (Unaudited) 
     Other information                         GBP'000     GBP'000        GBP'000 
    -------------------------------  -----------------  ----------  ------------- 
     Capital additions: 
  Software intangibles                              74          52            126 
  Development                                    1,659       1,129          2,788 
  Property, plant and 
   equipment                                     1,367         979          2,346 
  Depreciation and amortisation                (4,709)     (2,123)        (6,832) 
 ----------------------------------  -----------------  ----------  ------------- 
     Statement of Financial 
      Position 
     Assets 
  Segment assets                               155,301      82,999        238,300 
  Unallocated assets                                                          255 
 ----------------------------------  -----------------  ---------- 
  Consolidated total 
   assets                                                                 238,555 
 ----------------------------------  -----------------  ----------  ------------- 
     Liabilities 
  Segment liabilities                           20,354      15,990         36,344 
 ----------------------------------  -----------------  ----------  ------------- 
 
     Year ended                               Surgical   Woundcare   Consolidated 
     31 December 2019 
     (Audited)                                 GBP'000     GBP'000        GBP'000 
    ---------------------------------------  ---------  ----------  ------------- 
     Revenue 
  External sales                                56,544      45,824        102,368 
     Result 
    ---------------------------------------  ---------  ----------  ------------- 
  Adjusted segment operating 
   profit                                       16,086      11,378         27,464 
  Amortisation of acquired 
   intangibles                                 (1,675)         (8)        (1,683) 
 ------------------------------------------  ---------  ----------  ------------- 
  Segment operating profit                      14,411      11,370         25,781 
  Unallocated expenses                                                      (485) 
  Exceptional costs                                                       (1,053) 
                                                                    ------------- 
  Operating profit                                                         24,243 
  Finance income                                                              406 
  Finance costs                                                             (392) 
 ------------------------------------------  ---------  ----------  ------------- 
  Profit before tax                                                        24,257 
  Tax                                                                     (5,338) 
 ------------------------------------------  ---------  ----------  ------------- 
  Profit for the year                                                      18,919 
 ------------------------------------------  ---------  ----------  ------------- 
 
     At 31 December 2019                      Surgical   Woundcare   Consolidated 
     (Audited) 
    ---------------------------------------  ---------  ----------  ------------- 
     Other information                         GBP'000     GBP'000        GBP'000 
    ---------------------------------------  ---------  ----------  ------------- 
     Capital additions: 
  Software intangibles                             364         462            826 
  Development                                    1,346       1,009          2,355 
  Property, plant and equipment                  1,393       1,280          2,673 
  Depreciation and amortisation                (3,985)     (1,863)        (5,848) 
 ------------------------------------------  ---------  ----------  ------------- 
     Statement of Financial 
      Position 
     Assets 
  Segment assets                               160,241      66,354        226,595 
  Unallocated assets                                                          387 
 ------------------------------------------  ---------  ---------- 
  Consolidated total assets                                               226,982 
 ------------------------------------------  ---------  ----------  ------------- 
     Liabilities 
  Segment liabilities                           21,647      14,100         35,747 
 ------------------------------------------  ---------  ----------  ------------- 
  Consolidated total liabilities                                           35,747 
 ------------------------------------------  ---------  ----------  ------------- 
 
 

Geographic segments

The Group operates in the UK, The Netherlands, Germany, the Czech Republic, France, 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 revenue by geographical market, irrespective of the origin of the goods/services, based upon location of the Group's customers:

 
                                         (Unaudited)          (Audited) 
  Year ended 31 December                        2020               2019 
                                             GBP'000            GBP'000 
-----------------------------    -------------------  ----------------- 
 United Kingdom                               16,748             20,151 
 Germany                                      18,888             20,018 
 France                                        4,369              3,913 
 Rest of Europe                               18,027             19,563 
 United States of America                     23,690             34,879 
 Rest of World                                 5,074              3,844 
-------------------------------  -------------------  ----------------- 
                                              86,796            102,368 
  -----------------------------  -------------------  ----------------- 
 
 
 
   The following table provides an analysis of the Group's total 
   assets by geographical location: 
----------------------------------------------------------------------- 
                                         (Unaudited)          (Audited) 
   As at 31 December                            2020               2019 
                                             GBP'000            GBP'000 
-----------------------------    -------------------  ----------------- 
 United Kingdom                              125,343            117,055 
 Germany                                      71,752             69,501 
 France                                        9,703              9,614 
 Rest of Europe                                7,224              5,106 
 United States of America                      3,370              2,532 
 Israel                                       21,163             23,175 
-------------------------------  -------------------  ----------------- 
                                             238,555            226,982 
  -----------------------------  -------------------  ----------------- 
 
   4.   Profit from operations 
 
                                                           (Unaudited)         (Audited) 
  Year ended 31 December                                          2020              2019 
                                                               GBP'000           GBP'000 
------------------------------------  ------------  ------------------  ---------------- 
 Profit from operations is arrived at after 
  charging: 
 Depreciation of property, plant and equipment                   3,467             3,154 
 Amortisation of: 
 - acquired intellectual property rights                         2,269             1,683 
 - software intangibles                                            563               519 
 - development costs                                               533               492 
 Research and development costs expensed 
  excluding regulatory costs                                     3,727             3,195 
 Cost of inventories recognised as expense                      40,397            40,717 
 Write down of inventories expensed                                359               504 
 Staff costs                                                    35,828            33,179 
 Net foreign exchange loss                                         376             2,790 
--------------------------------------------------  ------------------  ---------------- 
 
 
   5.   Taxation 
 
                                                         (Unaudited)            (Audited) 
 Year ended 31 December                                         2020                 2019 
                                                             GBP'000              GBP'000 
--------------------------------------------   ---------------------  ------------------- 
 a) Analysis of charge for the year 
 Current tax: 
 Tax on ordinary activities - current 
  year                                                         1,514                5,195 
 Tax on ordinary activities - prior 
  year                                                            21                    5 
---------------------------------------------  ---------------------  ------------------- 
                                                               1,535                5,200 
 Deferred tax: 
 Tax on ordinary activities - current 
  year                                                           (3)                   61 
 Tax on ordinary activities - prior 
  year                                                          (27)                   77 
---------------------------------------------  ---------------------  ------------------- 
                                                                (30)                  138 
 --------------------------------------------  ---------------------  ------------------- 
 Tax charge for the year                                       1,505                5,338 
---------------------------------------------  ---------------------  ------------------- 
 
 
                            The Group has chosen to use a weighted average country tax rate 
                           rather than the UK tax rate for the reconciliation of the charge 
                             for the year to the profit per the income statement. The Group 
                                operates in several jurisdictions, some of which have a tax 
                             rate in excess of the UK tax rate. As such, a weighted average 
                                country tax rate is believed to provide the most meaningful 
                                      information to the users of the financial statements. 
------------------------------------------------------------------------------------------- 
                                                         (Unaudited)            (Audited) 
 Year ended 31 December                                         2020                 2019 
                                                             GBP'000              GBP'000 
--------------------------------------------   ---------------------  ------------------- 
 b) Factors affecting tax charge 
  for the year 
 Profit before taxation                                       10,089               24,257 
---------------------------------------------  ---------------------  ------------------- 
 Profit multiplied by the weighted 
  average Group tax rate of 24.6% 
  (2019: 21.6%)                                                2,481                5,248 
 Effects of: 
 Net expenses not deductible for 
  tax purposes and other timing differences                      268                  246 
 Patent Box Relief                                           (1,091)                (124) 
 Utilisation of trading losses                                     -                 (26) 
 Net impact of deferred tax on capitalised 
  development costs and R&D relief                             (186)                (131) 
 Share-based payments                                             39                   43 
 Adjustments in respect of prior 
  year - current tax                                              21                    5 
 Adjustments in respect of prior 
  year and rate changes - deferred 
  tax                                                           (27)                   77 
 Taxation                                                      1,505                5,338 
---------------------------------------------  ---------------------  ------------------- 
 
   6.   Earnings per share 

The calculation of the basic and diluted earnings per share is based on the following data:

 
                                                      (Unaudited)   (Audited) 
 Year ended 31 December                                      2020        2019 
 
   Number of shares                                          '000        '000 
---------------------------------------------------  ------------  ---------- 
 Weighted average number of ordinary shares 
  for the purposes of basic earnings per 
  share                                                   215,126     214,730 
---------------------------------------------------  ------------  ---------- 
 Effect of dilutive potential ordinary shares: 
  share options, deferred share bonus, LTIPs                2,705       2,107 
---------------------------------------------------  ------------  ---------- 
 Weighted average number of ordinary shares 
  for the purposes of diluted earnings per 
  share                                                   217,831     216,837 
---------------------------------------------------  ------------  ---------- 
 
                                                      (Unaudited)   (Audited) 
                                                             2020        2019 
                                                          GBP'000     GBP'000 
---------------------------------------------------  ------------  ---------- 
 Profit for the year attributable to equity 
  holders of the parent                                     8,584      18,919 
 Exceptional costs                                            834       1,053 
 Amortisation of acquired intangible assets                 2,269       1,683 
 Movement in fair value accounting for liabilities            167       (345) 
 Adjusted profit for the year attributable 
  to equity holders of the parent                          11,854      21,310 
---------------------------------------------------  ------------  ---------- 
 
                                                      (Unaudited)   (Audited) 
                                                             2020        2019 
                                                            pence       pence 
---------------------------------------------------  ------------  ---------- 
 Basic EPS                                                   3.99        8.81 
 Diluted EPS                                                 3.94        8.72 
 Adjusted basic EPS                                          5.51        9.92 
 Adjusted diluted EPS                                        5.44        9.83 
---------------------------------------------------  ------------  ---------- 
 
   7.   Acquisition of Raleigh 

On 23 November 2020 the Group acquired the entire issued share capital of Raleigh Adhesive Coatings Limited, a UK-based woundcare and bio-diagnostics coatings business. In the year ended 31 December 2020, Raleigh contributed GBP0.7 million revenue to the Group and had an operating profit of GBP0.1 million. In addition, amortisation of intangible assets of GBP0.1 million was recorded within the Group as a result of the acquisition. Had Raleigh been part of the Group since 1 January 2020, it would have contributed GBP6.4 million of revenue and GBP0.4 million of operating profit.

 
                                       GBP'000 
------------------------------------  -------- 
 Identifiable net assets acquired 
 Technology-based Intangible assets      1,320 
 Customer related intangible assets      7,390 
 Property, plant and equipment             587 
 Finance lease assets                      645 
 Trade and other receivables             1,999 
 Inventory                               1,009 
 Cash and cash equivalents                  76 
 Corporation tax debtor                     54 
 Trade and other payables              (1,891) 
 Lease liabilities                       (646) 
 Deferred tax                          (1,713) 
------------------------------------  -------- 
 Goodwill                               13,170 
------------------------------------  -------- 
 Total net assets acquired              22,000 
------------------------------------  -------- 
 
 
 Satisfied by          GBP'000 
--------------------  -------- 
 Cash consideration     22,000 
--------------------  -------- 
 
 
 Net cash flow on acquisition    GBP'000 
------------------------------  -------- 
 Cash consideration               22,000 
 Cash acquired                      (76) 
------------------------------  -------- 
                                  21,924 
------------------------------  -------- 
 

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

   8.   Events after reporting period 

There have been no material events subsequent to the end of the reporting period ended 31 December 2020.

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March 17, 2021 03:00 ET (07:00 GMT)

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