FULL YEAR RESULTS PRESENTATION 12 MONTHS ENDED 31 DECEMBER 2012
12 March 2013
1 www.bupa.com
AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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FY 2012 HIGHLIGHTS
CONTINUED GROWTH IN 2012 IN SPITE OF SOME CHALLENGING MARKETS
Revenues up 4% to £8.4bn
Underlying profit before tax up 8% to £604m
Customer numbers up 9% to 11.8m
Strong results in Australia, Spain and International PMI
Continued focus on quality care, product innovation and cost control
Continued strong levels of capital investment – £246.5m in 2012
Continuing challenges in the UK with soft economic backdrop
Ambition defined in new Bupa 2020 vision accompanied by new organisation structure
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EXTERNAL LANDSCAPE
ECONOMIC
Continued growth in Asia Pacific / Australia
Economic uncertainty in Europe
Pressure on government spending in UK and Spain
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POLITICAL/REGULATORY
Australia
Means testing for PHI rebate was introduced in 2012
Aged care reforms proposed in April raise questions about funding
Federal election probable in second half of 2013, resulting in a likely change in Government
United Kingdom
Government spending restraint impacting aged care fees and referral levels
Social Care White Paper / Draft Bill
Engaging with Competition Commission investigation into private healthcare market
Spain
Austerity measures intensify
Cuts to public expenditure, especially healthcare
BUPA 2020
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NEW ORGANISATION STRUCTURE
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MARKET UNITS
Australia and New Zealand
United Kingdom
Spain and Latin America Domestic
International Development Markets
International PMI
BUPA EXECUTIVE TEAM
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Stuart Fletcher Chief Executive Officer
Evelyn Bourke Chief Financial Officer
Dean Holden Managing Director, Australia and New Zealand
Richard Bowden Managing Director, UK
Robert Lang Managing Director, International PMI
Denise Collis Chief People Officer
Yasmin Jetha Chief Information Officer
Paul Zollinger-Read Chief Medical Officer
Iñaki Ereño Managing Director, Spain and Latin America Domestic
Alison Platt Managing Director, International Development Markets
Steve John Director, Corporate Affairs
Nicholas Beazley Company Secretary
The Bupa Executive Team takes collective responsibility for Bupa's purpose and for Bupa 2020. This means working across accountabilities and addressing challenges together so that Bupa is better able to serve more people as their healthcare partner.
(1) Theresa Heggie to join the executive team as Chief Marketing and Strategy Officer
ACQUISITIONS
Continued investment, including acquisitions: – strengthening position in existing business areas and geographies – providing exciting growth opportunities in new markets
Second PPP in Spain via 50% stake in Torrejón Hospital in Madrid and remaining 40% in Manises hospital
Innovative Care’s 10 care homes, making Bupa the largest aged care provider in Australia
LUX MED, largest private healthcare provider in Poland(1)
Dental Corporation, Australia and New Zealand’s largest dental group, with 190 clinics and more than 560 dentists(1)
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(1) Pending approvals
AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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£8.0bn
£8.4bn
FY 2012 FINANCIAL OVERVIEW
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(up 4%) (up 165%) (up 8%)
REVENUES PROFIT BEFORE TAX UNDERLYING PROFIT BEFORE TAX
NET CASH GENERATED FROM OPERATING ACTIVITIES
LEVERAGE(1) NET ASSETS
£220.0m
£583.6m
£559.0m
£604.0m
£515.5m
£742.9m
(up 44%) (down 1%) (up 8%)
20.2%
19.2%
£4.4bn
£4.8bn
FY2011 FY2012 (1) Gross debt (including hybrid debt) / gross debt plus equity
UNDERLYING PROFIT
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2012 2011 £m £m
Summary of results Total revenues 8,373.9 8,018.1 Underlying profit before taxation 604.0 559.0 Non underlying items (20.4) (339.0) Profit before taxation 583.6 220.0 Taxation (134.9) (84.1) Profit for the year 448.7 135.9
2012 2011 £m £m
Restructuring costs 23.2 – Impairment of intangible assets arising on business combinations – 299.5 Amortisation of intangible assets arising on business combinations 26.8 34.9 Net property revaluation and impairment charge 5.1 17.5 Gains on return seeking assets, net of hedging (26.1) (6.6) Other (8.6) (6.3) Total non-underlying profit items 20.4 339.0
NON-UNDERLYING PROFIT ITEMS
AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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Health Insurance Care Services Australia Care Services New Zealand
AUSTRALIA AND NEW ZEALAND
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Health Insurance Revenue and profits up, driven by strong growth in corporate market and successful product launches
Healthcare reforms making some customers more price-sensitive
Customer numbers up, with higher share of customer growth than any competitor in 12 months to June 2012
Care Services In Australia, revenue and profit growth driven by acquisitions and investments
Occupancy down marginally to 92.8% despite growth in number of residents because of capacity increase
In New Zealand, continued revenue and profit growth due to increased capacity, resident growth and property investment gains
Slight reduction in occupancy as capacity increased at faster rate than residential numbers
REVENUE
£3,554.0m (2011: £3,252.8m Up 9%) PROFIT
£278.3m (2011: £249.0m Up 12%)
CUSTOMERS
3.5m (2011: 3.4m Up 4%)
EMPLOYEES
10,400 (2011: 9,600 Up 8%)
Very strong growth in revenue and profit across each of the three businesses despite challenging economic and regulatory environment
Strong growth in customer numbers
Completed acquisition of 10 care homes from Innovative Care and proposed acquisition of Dental Corporation (1)
REVENUES BY BUSINESS
(1) Pending shareholder agreement
UNITED KINGDOM
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Health Insurance & wellbeing Rising costs, low consumer confidence and significant structural issues in PMI market
New products and services to address need for more affordable healthcare
Multi-million pound investment in UK dental capability, targeting 50 centres by 2015
Care Services Occupancy stable at 87.3%, but profits impacted by local authority and PCT fee pressure and above inflation cost increases
Continued investment, with £45m capital spend in 2012
Home healthcare Continued growth fuelled by increased number of home Total Parenteral Nutrition patients and oncology services
Cromwell Hospital Double digit growth due to increased outpatient services and rapid referral service for GPs
REVENUE
£2,528.8m (2011 : £2,506.2m Up 1%)
PROFIT
£109.7m (2011 : £140.9m Down 22%) CUSTOMERS
2.8m (2011 : 3.0m Down 6%)
EMPLOYEES
31,700 (2011 : 32,000 Down 1%)
Revenues up but profits down
Challenging trading conditions continued, particularly in our insurance business
We continued to innovate with new product development
Health insurance and wellbeing Care Services Home Healthcare Bupa Cromwell Hospital
REVENUES BY BUSINESS
SPAIN AND LATIN AMERICA DOMESTIC
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Health Insurance Services Double digit profit growth with over 44,000 additional customers
New product range, including more affordable products targeted at self-employed, SMEs and large corporates
Hospitals & Provision Growth driven by integration of funding and provision services
Increasing customers at CIMA hospital in Barcelona
Dental Over 183,000 new dental customers, with 41 centres added in 2012
Care Services Declining public social services expenditure
Increased occupancy resulting in stable revenues
Marginal decline in profit due to increased operating costs
Latin Domestic Examining entry strategy for 2013 / 2014 expansion
REVENUE
£1,190.8m (2011 : £1,212.6m Down 2%)
PROFIT
£113.4m (2011 : £106.1m Up 7%)
CUSTOMERS
2.6m (2011 : 2.0m Up 28%)
EMPLOYEES
8,400 (2011 : 7,500 Up 12%)
Strong performance despite on-going difficult conditions in Spanish economy
Continued customer and profit growth
Acquisition of second PPP in Spain with 50% Torrejon hospital
Health insurance services Hospitals and provision Care Services Dental
REVENUES BY BUSINESS
INTERNATIONAL DEVELOPMENT MARKETS
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Arabia Revenue, profit and customer numbers up following expansion of field sales force, new retail outlets and product launches
India
Increased revenue and customer numbers driven by improved sales management and productivity
Hong Kong Strong performance driven by growth in customer numbers
Thailand Revenue and profit increases with double digit customer growth, driven by major contract wins and customer retention
Health Dialog Reduced revenue as result of in-sourcing of disease management by large regional insurers
Restructured to better position for 2013
REVENUE (1)
£227.3m (2011 : £244.2m Down 7%)
PROFIT/(LOSS)
£(11.5)m (2011 : £(9.1)m Down 26%)
CUSTOMERS
2.2m (2011 : 1.8m Up 24%)
EMPLOYEES
800 (2011 : 1,300 Down 39%)
Strong revenue growth in insurance businesses
24% increase in insurance customer numbers driven by reputation for customer service and delivery
Continued challenges in Health Dialog resulting in decline in overall performance of market unit
Announced intention to acquire LUX MED in December
Bupa Hong Kong Bupa Arabia Health Dialog Bupa Thailand Max Bupa India
(1) Revenues of £227.3m do not include revenues from Max Bupa, India (joint venture) and Bupa Arabia (associate company)
REVENUES BY BUSINESS
INTERNATIONAL PMI
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Bupa International Rapid increase in individual and corporate customers with strong growth in revenue and profit
New partnerships in Libya, with continued expansion into new territories
Bupa Latin America Continued development helped by new sales offices and marketing campaign in Mexico
New management teams in Ecuador, Bolivia and Dominican Republic
REVENUE
£872.0m (2011 : £795.9m Up 10%)
PROFIT
£96.2m (2011 : £84.9m Up 13%)
CUSTOMERS
0.74m (2011 : 0.70m Up 6%)
EMPLOYEES
1,600 (2011 : 1,400 Up 14%)
Very strong performance with continued growth in revenues and profits
Performance driven by new partnerships, product innovation, sales capability and customer service
Bupa International Bupa Latin America
REVENUES BY BUSINESS
AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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CASH GENERATION
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(1) Includes restricted cash
2012 2011 £m £m
Profit before tax 583.6 220.0 Financial income (124.6) (95.0) Financial expenses 69.8 74.5 Depreciation, amortisation and impairment 196.8 493.5 Other non-cash items 1.2 23.9 Changes in working capital and provisions/Other 137.2 (91.7) Tax paid (121.1) (109.7) Net cash generated from operating activities 742.9 515.5 Capital expenditure (245.6) (211.1) Net acquisitions/disposals of businesses (4.1) 155.9 Net interest income received/paid (7.0) (1.6) Other (11.1) 6.9 Cash available for repayment of borrowing 475.1 465.6 Repayment of borrowings (26.7) (205.4) Net increase in cash and financial investments 448.4 260.2 Closing cash and financial investments1 3,559.9 3,111.5
FY12
FY11
Return seeking assets Cash (e.g. deposits, liquidity funds)
CASH AND FINANCIAL INVESTMENTS
£3.6bn cash and financial investments
Increase in cash due to growing businesses and no short-term debt to repay
Conservative investment portfolio
Approximately 90% of portfolio held in investments rated >=A-/A3 by 1 or more agency
£250m return seeking asset portfolio; equivalent to 7% of Group cash and financial investments
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CASH AND INVESTMENT PORTFOLIO
FY12 CASH AND INVESTMENTS BY CREDIT RATING (%)
£3,111m
£3,560m
AAA AA A BBB <BBB/NR
DEC-12
JUN-12
DEC-11
JUN-11
DEC-10
BORROWINGS
New £800m bank facility agreed October 2012
This remains undrawn at FY 2012
Leverage marginally lower at 19.2%
Bupa Finance Plc senior debt ratings re-affirmed at A- (Fitch) and Baa2 (Moody’s)
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22.7%
19.2%
20.3%
19.5%
19.2%
FY12 FY11
£m £m
Borrowings under £800m facility – –
£350m senior bond due 2016 361 361
£330m hybrid bond (perpetual) 424 413
£235m care homes securitisation due 2029 / 2031 238 238
£50m debenture due 2014 53 55
Other borrowings 70 62
Total borrowings 1,146 1,129
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LEVERAGE
SOLVENCY CAPITAL
The Group’s IGD capital position estimated to be >320% at FY 2012
Solvency II – Delay to implementation of the new rules
– Bupa transitioning Solvency II activity to business-as-usual
– Based on the most recent rules, we expect to be comfortably solvent
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AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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CURRENT OPERATING PRIORITIES
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AUSTRALIA AND NEW ZEALAND Government regulation and reforms expected to continue
Committed to driving PHI market share momentum following the successful 2012 brand launch, growth in care home portfolio and development of dental services
INTERNATIONAL PRIVATE MEDICAL INSURANCE Focus on new market development and effective provider management
Expansion of onshore Latin American IPMI presence to drive growth, increase control over medical costs and explore new distribution channels
INTERNATIONAL DEVELOPMENT MARKETS Development opportunities in new markets alongside continued growth in existing businesses
Focused on utilising our healthcare analytics capability in both new and existing markets
SPAIN & LATAM DOMESTIC Focus on growing the strength of our integrated model
Development of our PPPs and dental services
In Latin America domestic we are exploring market entry opportunities
UNITED KINGDOM Trading environment expected to remain challenging with continued tightening of PMI demand and cost pressure on state-funded care home fees
Further development of the market unit to drive efficiencies and enable customer focus
Development of our dental provision, care home new build programme and redevelopment of the Cromwell Hospital
OUTLOOK
Good position to grow in 2013 including through acquisition and partnership
Difficult economic conditions continue in Europe
However, long-term trends continue to fuel demand for healthcare and drive Bupa’s growth
Continue to differentiate ourselves through healthcare expertise and expanding integrated funding and provision model
Bupa’s 2020 vision addresses the issues at the heart of a sustainable healthcare system. We are committed to becoming a healthcare partner to millions more people
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AGENDA
1.0 Introduction and Highlights Stuart Fletcher, Chief Executive Officer
2.0 Financial Review Evelyn Bourke, Chief Financial Officer 2.1 Group financial review 2.2 Segmental results 2.3 Cash, debt and solvency
3.0 Operating priorities and Outlook Stuart Fletcher, Chief Executive Officer
4.0 Q&A
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QUESTIONS AND ANSWERS
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APPENDIX: NEW DETAILED ORGANISATION STRUCTURE
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MARKET UNITS
Australia and New Zealand
United Kingdom
Spain and Latin America Domestic
International Development Markets
International PMI
Bupa Australia
Bupa Care Services Australia
Bupa Care Services New Zealand
Bupa Care Services UK
Bupa Health and Wellbeing
Bupa Home Healthcare
Bupa Cromwell Hospital
Sanitas Seguros
Sanitas Hospitales
Sanitas Dental
Sanitas Residencial
Latin America Domestic
Health Dialog
Bupa Hong Kong
Bupa Thailand
Bupa China
Max Bupa India
Bupa Arabia
New Market Development
Bupa International
Latin America IPMI
IM
CS
CS
CS
EA
CS
EA
CS
IM
EA
IM
IM
IM
IM
IM
IM
IM
LOCATION OF BUSINESSES IN PREVIOUS DIVISIONS
EA Europe and North America
IM International Markets
CS Care Services
EA
EA
EA