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Raffles Medical Group - CIMB Research 2016-02-23: Growth comes at a cost

Raffles Medical Group - CIMB Research 2016-02-23: Growth comes at a cost RAFFLES MEDICAL GROUP LTD R01.SI 

Raffles Medical Group - Growth comes at a cost 

  • 4Q15 core net profit broadly in line, with FY15 forming 102% of our forecast (99% of consensus). 
  • ISOS acquisition contributed positively to topline, but margin pressure weighed down on profitability. 
  • Hospital services growth (+7% yoy) mostly driven by domestic patient load. 
  • Medical tourism still weak, registering 2% growth vs. historical 20+%. 
  • Our SOP-based target price is trimmed on EPS cuts to factor margin contraction. 


■ Topline ahead of expectations on ISOS contributions 

  • 4Q15’s revenue grew a strong 14.7% yoy to S$114.7m, with contributions from ISOS (c.S$9.5m, consolidated from Oct 15) accounting for ~2/3 of the growth. 
  • Ex-ISOS, 4Q topline growth was only 5.3%. However, margins at ISOS are lower (management disclosed that ISOS’s staff costs are c.60% of sales vs. RMG’s c.50%). 
  • 4Q’s core net profit (S$21m) was therefore just about in line with our expectations (S$20m) and consensus (S$22m). 

■ FY15 hospital services mostly driven by local patient load 

  • Recall that the biggest positive surprise in 3Q15’s results was the 11.7% yoy growth in hospital services (1H15 grew at 6-7%), which was mostly (~2/3) driven by higher case intensity. 
  • We therefore read FY15’s hospital growth of 7% yoy (5% higher patient load, 2% greater acuity) as slightly disappointing, given that we were expecting the momentum of higher average bill sizes to continue into 4Q. 

■ Medical tourism still weak 

  • The trend of slowing medical tourism has not abated, although this is more to do with the weak macroeconomic conditions and currencies in neighbouring ASEAN countries than anything else. 
  • Management highlighted that total foreign patients grew a marginal 2% in FY15, with Indonesian patients most affected (down 5-10%). 

■ Continued margin contraction 

  • The margin contraction continues. This is not helped by lower margins at the recently acquired ISOS. 
  • Shaw Centre is taking longer than expected to break even (guidance is now 2 years instead of original 1 year), incurring losses of c.S$1.5m in its six months of operations since Jun 15. 
  • Staff costs remain the biggest pressure and we think RFMD will continue to add headcount in preparation for its hospital extension and Shanghai. 
  • FY15 OP margin at 19.6% (FY14: 21.4%). 

■ Margin pressure to weigh down growth plans in the near-term 

  • RFMD declared a final dividend of 4.5 Scts, bringing FY15 DPS to 6 Scts (FY14: 5.5 Scts), representing a yield of 1.4% and c.50% payout ratio. 
  • No change to the guidance on timeline regarding the various expansion projects. 
  • The company also proposed a 1:3 share split, subject to shareholder approval.
  •  Our EPS cuts factor in the further margin pressure and lower our SOP-based target price to S$4.45. 
  • Maintain Hold.



Jonathan SEOW CIMB Securities | Kenneth NG CFA CIMB Securities | http://research.itradecimb.com/ 2016-02-23
CIMB Securities SGX Stock Analyst Report HOLD Upgrade REDUCE 4.45 Down 4.67


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