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Healthia Limited: Fill Your Boots!
Healthia Limited: Fill Your Boots!
Healthcare Services
each clinic. Clinic Class Shares currently represent a 14.4% economic interest in the
HLA consolidated clinic earnings, which we forecast to increase to 15% in the medium-term.
Source: Fact Set
Acquisition assumptions: We are forecasting HLA to acquire physiotherapy and podiatry
Priced as of close of business 24 October 2018 clinics to the value of $12m p.a.(pre-minorities) at an average 4x EBITDA multiple. We
Canaccord Genuity (Australia) Limited has received a fee as
expect acquired annualised EBITDA to be a 50/50 split of physiotherapy and podiatry
the Lead Manager and Underwriter to the Healthia Limited earnings, and the issuing of future Clinic Class Shares in relation to minority interests will
Initial Public Offer in September 2018. represent ~15% of the acquired clinic earnings.
Earnings forecasts: We are forecasting FY19 and FY20 EPS adj. of 8.3cps and 9.7cps
respectively, which is after minority interests. We have factored in a final 2cps dividend
for FY19, and a 50% dividend payout ratio on normalised earnings thereafter.
Valuation & recommendation: We initiate coverage on HLA with a BUY recommendation
and Target Price of $1.35/share. Our key DCF valuation assumptions are a WACC of
10.0%, a cost of equity of 12.5%, and a terminal growth rate of 3% longer term.
Canaccord Genuity is the global capital markets group of Canaccord Genuity Group Inc. (CF : TSX)
The recommendations and opinions expressed in this research report accurately reflect the research analyst's personal, independent and objective views about any and all
the companies and securities that are the subject of this report discussed herein.
For important information, please see the Important Disclosures beginning on page 28 of this document.
Healthia Limited
Initiation of Coverage
Sales Revenue 69.4 72.4 93.5 113.0 133.1 EPS (cps) - pre NRI's 7.1 8.3 9.7 12.1 14.7
EBITDA 9.3 10.5 13.8 17.0 20.3 EPS (cps) - normalised 7.1 8.3 9.7 12.1 14.7
Depreciation -1.3 -1.6 -2.1 -2.4 -2.7 PER (x) 16.5 14.1 12.1 9.6 7.9
EBITA 8.0 8.9 11.7 14.6 17.6 PER Rel - All Ind. 8.2% -14.3% -20.2% -29.0% -35.1%
Amort - Intangiables -0.4 -0.4 -0.4 -0.4 -0.4 PER Rel - Small Ind. 8.9% -30.3% -28.1% -36.1% -41.5%
EBIT 7.7 8.5 11.3 14.2 17.2 Enterprise Value ($m) 83.9 92.4 101.6 108.2 114.4
Net Interest Expense -1.0 -1.3 -1.5 -1.8 -2.2 EV / EBITDA (x) 9.0 8.8 7.4 6.4 5.6
NPBT 6.7 7.3 9.9 12.4 15.0 EV / EBIT (x) 10.9 10.8 9.0 7.6 6.6
Tax expense -2.1 -2.3 -3.1 -3.8 -4.5 DPS (cps) 0.0 2.0 4.5 5.5 7.0
Minorities - CCS & DBS -0.5 -0.8 -1.0 -1.3 -1.6 Dividend Yield (%) 0.0% 1.7% 3.8% 4.7% 6.0%
NPAT - pre-NRI's 4.1 4.2 5.8 7.3 8.9 Franking (%) 0% 0% 0% 0% 0%
Non-recurring items 0.0 0.0 0.0 0.0 0.0 CFPS (cps) 9.6 9.9 14.8 17.2 20.3
NPAT - reported 4.1 4.2 5.8 7.3 8.9 P / CFPS (x) 12.1 11.8 7.9 6.8 5.8
NPAT - normalised 4.5 4.6 6.1 7.6 9.3
Profitability ratios 2018A (PF) 2019F 2020F 2021F 2022F
Cash Flow ($m) 2018A (PF) 2019F 2020F 2021F 2022F EBITDA Margin (%) 13.5 14.4 14.7 15.0 15.2
Operating EBITDA 9.3 10.5 13.8 17.0 20.3 EBITA Margin (%) 11.6 12.3 12.5 12.9 13.2
- Interest & Tax Paid 3.1 3.6 4.5 5.6 6.7 EBIT Margin (%) 11.0 11.8 12.1 12.6 12.9
+/- change in Work. Cap. -0.2 -1.4 -0.2 -0.8 -0.8 ROE (%) 9.9 6.1 7.7 9.0 10.2
- other 0.0 -0.8 -0.3 -0.3 0.0 ROA (%) 12.9 9.6 10.9 12.3 13.5
Operating Cashflow 6.1 6.3 9.3 10.8 12.8 ROIC (%) 26.9 11.7 12.1 14.3 16.6
- Capex -1.7 -2.0 -2.3 -2.8 -3.3
- other 0.0 -0.8 0.0 0.0 0.0 Balance Sheet ratios 2018A (PF) 2019F 2020F 2021F 2022F
- equity acquired 0.0 -30.2 -12.7 -10.2 -10.2 Net Debt (cash) 10.2 18.7 27.8 34.5 40.7
Free Cashflow 4.3 -26.7 -5.7 -2.2 -0.7 Net Gearing (%) 21.8 27.1 38.5 45.0 49.9
- Ord Dividends 0.0 0.0 -2.4 -3.1 -3.8 Interest Cover (x) 9.7 8.3 9.5 9.4 9.2
- Equity /other -1.5 18.2 -1.0 -1.3 -1.6 NTA per share ($) -0.15 -0.21 -0.33 -0.40 -0.46
Net Cashflow 2.8 -8.5 -9.2 -6.6 -6.2 Price / NTA (x) -7.7 -5.5 -3.5 -2.9 -2.5
Cash at beginning of period 0.0 2.8 4.3 2.2 3.5 Shares on issue 63.0 63.0 63.0 63.0 63.0
+/- borrowings / other 0.0 10.0 7.0 8.0 7.0 EFPOWA (m) - fully diluted 63.0 55.3 63.0 63.0 63.0
Cash at end of period 2.8 4.3 2.2 3.5 4.3
Growth ratios 2019F 2020F 2021F 2022F
Balance Sheet Dec-17 2019F 2020F 2021F 2022F Sales revenue ($m) 4.4% 29.0% 20.9% 17.8%
Cash 1.9 4.3 2.2 3.5 4.3 EBITDA ($m) 12.0% 31.8% 23.0% 19.6%
Inventories 2.1 2.9 3.6 4.3 5.1 EBIT ($m) 11.4% 32.4% 25.5% 21.3%
PP&E 7.4 11.3 13.1 14.7 16.6 NPAT ($m) 2.8% 36.6% 26.5% 22.5%
Debtors 2.0 2.9 3.6 4.3 5.1 EPS (cps) 16.8% 17.3% 24.9% 21.4%
Intangibles 56.4 75.9 86.8 95.4 104.0 DPS (cps) 300.0% 400.0% 500.0% 600.0%
Other assets 2.5 0.0 0.0 0.0 0.0
Total Assets 72.4 97.4 109.1 122.2 135.0 Interim Analysis 1H18PF 2H18PF 1H19F 2H19F
Borrowings 16.1 23.0 30.0 38.0 45.0 Revenues 33.5 35.9 31.0 41.4
Trade Creditors 2.5 2.2 3.3 4.0 4.7 EBITDA 4.4 4.9 4.6 5.9
Other Liabilities 8.2 3.2 3.5 3.7 3.7 EBITDA margin (%) 13.2% 13.7% 14.7% 14.3%
Total Liabilities 26.9 28.4 36.7 45.7 53.4 EBIT 3.8 3.9 3.7 4.8
NET ASSETS 45.5 69.0 72.3 76.5 81.6 NPATA - normalised 2.2 1.9 2.1 2.1
EPS - normalised 3.5 3.6 3.8 4.5
DPS 0.0 0.0 0.0 2.0
Target PE Multiple
Substantial Shareholders Shareholding % EPS (c) 8.3
Darren Stewart - CEO Podiatry 8.0 12.6% PER Target (x) 18.3
Greg Dower - Chief Development Office - Podiatry 8.0 12.6% Per Share $ 1.51
Glen Richards - Non-Executive Chairman 4.3 6.9%
Dean Hartley - Chief Information Officer - Podiatry 3.8 6.0% Discounted Cash Flow
Monash Investors 3.5 5.6% Cost of equity 12.2% WACC 9.8%
Cost of debt 5.0% Terminal Growth Rate 3.0%
Source: Company reports & Canaccord Genuity estimates / (PF) Pro Forma Net Debt/ Net debt + equity 27.1% Per Share $ 1.35
Company Overview
Healthia (ASX: HLA) was formed to capitalise on favorable industry dynamics within
the allied health services industry, with a specific focus on the physiotherapy and
podiatry industries.
Prior to listing, HLA was the holding company of the Group that owned and operated
56 podiatry clinics under the My FootDr Podiatry brand, in addition to an orthotics
manufacturing laboratory (iOrthotics) and a 50% holding in allied health supplies
business (DBS Medical).
On listing, HLA completed acquisitions of an additional 16 podiatry clinics to the
existing My FootDr network of 56 clinics, 30 physiotherapy clinics which included the
Allsports Physiotherapy network of 14 clinics, and Extend Rehabilitation network of
seven hand therapy clinics, while ownership of the DBS Medical was increased to
75%.
On listing, HLA’s consolidated portfolio of allied health clinics and wholesale
operations were as follows:
72 podiatry clinics that will all operate under the My FootDr brand;
23 physiotherapy clinics of which 12 will operate under Allsports
Physiotherapy;
7 hand therapy clinics that will operate under the Extend Rehabilitation
brand;
1 orthotics manufacturing laboratory (iOrthodics); and
1 podiatry wholesale business (D.B.S. Medical) of which Healthia will own
75%.
Post listing, HLA have completed the acquisition of three additional physiotherapy
clinics, increasing physiotherapy clinic numbers to 26, while a heads of agreement
remains in place for an additional physiotherapy clinic to be acquired.
HLA is now the holding company of three key subsidiary businesses operating as My
FootDr, Allsports Physiotherapy and Extend Hand Rehabilitation, while minority
interests exist across the clinic network through the issuing of Clinic Class Shares
which currently represent an economic interest of ~14.4% of clinic earnings and we
expect this to increase to 15% in the medium-term.
The retaining of minority interests by clinicians in the consolidated clinic network of
HLA represents a key component of HLA Clinician Retention Program.
Figure 2: Healthia corporate structure
Business Model
HLA’s business model is to identify, acquire, integrate and manage allied health
clinics, while leveraging the wholesale businesses and scale that the HLA network and
capabilities will provide.
Growth strategies for HLA include the following:
1) Organic growth
Organic growth will be driven through the introduction of key strategies and
efficiencies gained from managing a larger group of clinics. HLA has designed and
implemented various programs to assist in generating organic growth for the clinics
including:
Implementation of education programs and Clinical Advisory Committees: Clinical
Advisory Committees will be established for both the podiatry and physiotherapy
disciplines, made up of experienced clinicians, who will oversee the clinical
governance, compliance and education programs of the Group.
Clinician Retention Program: a key initiative in the retention and engagement of its
workforce, with the key strategies being:
Structured education and training which have been established within the My
FootDr and Allsports Physiotherapy businesses;
Clinic Class Shares which allow for clinicians to have a minority ownership in
the practice in which they work. Clinic Class Shares are designed to create
alignment between clinicians, HLA and Shareholders (Refer to page 24 for
additional detail);
Larger well-equipped clinics, utilising the latest technology and procedures;
and
Community engagement which will be facilitated and leveraged though the
larger network of the broader Group
Leverage existing clinic footprint with multi-disciplined services: We note, of the 14
Allsports Physiotherapy clinics acquired, 11 practices already offer podiatry services,
with physiotherapy being the anchoring allied health service. This multi-disciplined
approach to allied health services is seen as a key driver of growth, aiming to improve
patient engagement, and is a collaborative approach to allied health care for patients.
Centralised Administration: effectively established within the My FootDr business prior
to listing, the centralised functions include finance, education, information technology,
human resources, and marketing.
Common practice management system: all clinics are expected to operate on the
Nookal practice management system which is designed for healthcare practitioners.
Currently there are 68 podiatry clinics and 14 physiotherapy clinics operating on
Nookal, and it is expected that all clinics within the current network will be operating
on the Nookal practice management system by calendar year end. The only exception
being the Extend Rehabilitation businesses of seven clinics which will run a separate
system specific to their requirements.
Patient engagement: The Group intends to work with its Clinics to attract new patients
through various marketing initiatives and campaigns (both locally and nationally), and
to enhance communication and behavioral skills to improve patient retention.
2) Acquisitions
Consolidation will be a key pillar in HLA’s growth strategy, for which there will be
significant opportunity given the fragmented nature of the allied health industries that
HLA is operating in.
Targeted acquisition criteria is as follows:
Targeted acquisition multiplies of 3.0x to 4.5x EBITDA for both podiatry and
physiotherapy acquisitions. We note HLA paid 4x EBITDA for the one
physiotherapy acquisition subsequent to listing;
Podiatry Clinics – revenues of >$0.45m and 1.5 or more podiatrists;
Physiotherapy Clinics – revenues of >$0.8m and 4 or more physiotherapists;
and
Clinics to be located in capital or major regional cities with populations of
>40,000.
Integration credentials established: Both the My FootDr and Allsports Physiotherapy
businesses have established track records of consolidation, with 41 clinics acquired
across the two groups in the 24-months prior to listing. We note for My FootDr that
this includes the acquisition of the Balance Podiatry Group in December 2016 which
consisted of 11 podiatry clinics and the iOrthotics business.
3) Greenfield openings
Both the My FootDr and Allsports businesses have opened 2 new clinics each in the
past two years. HLA will peruse the opening of new clinics where:
a multidiscipline allied health practice can be anchored by physiotherapy and/ or
podiatry services, which is already evident within the Allsports Physiotherapy
network of 14 clinics. Additional services may include hand therapy, fracture
clinics, pilates, paediatric, nutritionists, sports doctors, and
a professional service and footwear retail practice can be co-located within a
shopping centre location.
The benefits of the roll out strategy include the low levels of capital required to set up,
and utilisation of the podiatry and physiotherapy systems which have already been
developed and rolled out through the existing network.
4) Vertical integration
A large portfolio of clinics should allow HLA scale benefits with regards to the sourcing
of goods, services and equipment. HLA owns and operates an Orthotics Laboratory
and manufacturing operation, iOrthotics, and an allied health supplies business in
DBS Medical, which allows the Group to vertically integrate a number of the core
supply functions of the Group’s podiatry businesses.
We also note that HLA will consider acquiring further wholesale businesses where
such an investment would further the strategic objectives of the Group.
My FootDr
My FootDr Podiatry (My FootDr) was found in Bulimba, Queensland, in 2004 by
podiatrists Darren Stewart and Greg Dower. The business expanded from a single
clinic to 19 podiatry clinics by 31 December, 2016, then merged with the Balance
Podiatry Group of 12 clinics.
By February 2018, the My FootDr network had expanded to 56 podiatry clinics and
was the largest portfolio of podiatry clinics in Australia.
On listing, My FootDr has increased its network to 72 podiatry clinics, 11 of which are
located within the Allsports Physiotherapy network of practices. All podiatry clinics
within the division will operate under the My FootDr brand.
Portfolio concentration remains significant in Queensland where 37 of the 72
expected clinics will be located, representing 51% of the podiatry network; however, a
national footprint has been established.
Figure 4: My FootDr Podiatry portfolio
iOrthotics
iOrthotics is an Orthotics Manufacturing Laboratory which was established as part of
the expansion of the Balance Podiatry Group in 2009 by Glen Evangelista (COO
Podiatry), Dean Hartley (CIO Podiatry) and Damian Vassallo. My FootDr acquired 100%
the business as part of the merger with Balance Podiatry in December 2016.
iOrthotics designs and manufactures custom made milled foam rubber EVA (Ethyl
Vinyl Acetate) and 3D printed polypropylene orthotic devices, using computer software
and hardware. R&D undertaken by iOrthotics has established systems to produce 3D
printed orthotics which reduce wastage and cost effective against other production
methods.
The iOrthotics business provides the Group with an integrated vertical solution for the
buying of custom orthotics for the My FootDr podiatry practices. As the number of
podiatry clinics owned by HLA increases, iOrthotics production numbers are also
expected to increase.
iOrthodics has recently added a second 3D printer for the expanded My FootDr
podiatry network, which will also allow for increased levels of third party sales.
DBS Medical
Supplies
DBS sells podiatry and foot care supplies and equipment to podiatrists, hospitals,
medical centres, nursing homes and allied health professionals in Australian, New
Zealand, the South Pacific, Singapore and Hong Kong.
DBS has been in operation for over 15 years and is based in Byron Bay New South
Wales. The business contributes to HLA’s vertically integrated approach and also
benefits from sales to third parties.
My FootDr owns ~75% of the ordinary shares on DBS Medical Pty Ltd, the owner of
DBS Medical, while founders own the remaining 25% of the shares and they remain
employed in the business.
Physiotherapy
The Physiotherapy operations currently consist of 33 clinics which comprises 26
physiotherapy clinics and seven hand rehabilitation clinics. The Physiotherapy
operations were established through the acquisition of the Allsports Physiotherapy
network of 14 clinics, with additional acquisitions resulting in a current portfolio that
also includes 12 independent physiotherapy clinics and the seven Extend Hand
rehabilitation clinics.
The physiotherapy clinics provide a broad range of physiotherapy services, including
musculoskeletal, sports, pilates, hydrotherapy, women’s health and paediatrics, while
the Extend Rehabilitation clinics are specifically focused on hand and upper arm
rehabilitation.
Allsports
Physiotherapy
Allsports Physiotherapy was co-founded by physiotherapists Tony Ganter and Lisa
Roach in 1992. Tony and Lisa were integral in expanding Allsports Physiotherapy from
a single location in Jindalee, Queensland, to a 14-clinic network by February, 2018,
with 12 clinics branded Allsports Physiotherapy and two branded Q Pilates
Physiotherapy.
The Allsports Physiotherapy operation is now responsible for the growth in the
physiotherapy network which now includes its established 14-clinic network, the
addition 12 remain independently-branded physiotherapy locations and the seven
Extend Rehabilitation hand therapy clinics.
Extend
Rehabilitation
Extend Rehabilitation was founded in Brisbane, Queensland, in 2002 by Mary Mitchell
(physiotherapist) and Wilma Walsh and Marguerite Copley (occupational therapists).
Extend Rehabilitation is specifically focused on caring for the hand and upper arm
region; including injuries to the hand, wrist, elbow and shoulder, and neck, as well as
offering general musculoskeletal physiotherapy.
We note prior to being acquired by HLA, three of the seven Extend Rehabilitation
clinics were already operating within an Allsports Physiotherapy facility.
Financial Information
Profit and loss
Revenues: HLA will derive the majority of its revenues from the provision of
physiotherapy and podiatry services, with patients paying for services on a per
consultation or per procedure basis.
We note that within Podiatry revenues are also derived from the sale of goods
including orthotics, retail shoes and other medical equipment and consumables.
The Podiatry operations benefit from the vertically integrated iOrthotics laboratory and
manufacturing business, which supplies both the My FootDr clinic network and third
party podiatry clinics, as does the DBS Wholesale operation.
Other income is generated from the collection of rental/ facility fees from other allied
health businesses who pay a fee to co-locate with the physiotherapy practices.
Expenses: HLA’s largest expense item relates to employee costs which reflects the
professional service nature of the business. Employee expenses over the historical
and forecast pro forma period are steady at 58 to 59% of revenues.
Occupancy expenses have ranged 10.2% in FY16 to a forecast 11.6% in FY19 on a
pro forma basis. The uplift into FY19 largely reflects a number of the Allsports
Physiotherapy clinics moving into larger facilities in recent years for which the full
benefit is yet to emerge.
Other operating expenses have been reduced as a percentage of revenue as the
business has grown and are forecast to be ~19% of FY19 pro forma revenues from
22% for FY16. The most significant cost items here are associated with consumables
for practices, insurances, marketing and IT related costs.
Prospectus Forecasts
Figure 7: Prospectus forecasts
Physiotherapy
Pro forma forecasts reflect 12 months of the 30 physio therapy businesses that were
acquired on listing which consists of the 14 Allsports Physiotherapy clinics, the
network of seven Extend Hand therapy clinics and nine independent physiotherapy
clinics.
On a statutory basis, the contribution from the 30 physiotherapy clinics is only
captured from the listing date.
Podiatry
Pro forma forecasts reflect 12 months of the 56 My FootDr clinics, the additional 16
podiatry clinics acquired on listing and the iOrthotics and DBS Wholesale (75% HLA
owned post listing).
Statutory forecasts reflect a full 12 month contribution from the 56 My FootDr clinics,
iOrthotics and DBS Wholesale (50% HLA pre-listing) which were all owned by HLA prior
to listing, and then the additional 16 clinics and increased ownership in DBS
Wholesale (75% from 50%) from the date of listing.
Corporate overheads
On a pro forma basis corporate overheads of $5m largely reflect the head office
function established through HLA’s ownership of the My FootDr business prior to
listing. We expect the established corporate overhead function will be able to absorb
the expanded operations post listing and absorb further consolidation activity in the
medium-term.
On a statutory basis, corporate overhead forecasts of $7.5m include costs of $1.9m
in relation to the acquisitions completed on listing, while additional costs and charges
of $0.6m were made in bringing the Healthia Group to market through an IPO. Both
the $1.9m and $0.6m are considered one-off costs.
We have assumed acquired EBITDA of $3m p.a. (pre minorities) to be acquired evenly
over a 12-month period, or make a 50% contribution in the year of acquisition. The
exception here being in FY19 in which we have assumed $3m of acquired EBITDA will
contribute $1m in FY19 (33.3%) and $2m in FY20 (66.6%). This is a result of HLA
listing in September, but we are comfortable that an investment in acquisitions of
$12m (pre minorities) in total will still be made.
We have also assumed organic growth rates for both the Physiotherapy and Podiatry
operations at this stage of 3%.
Physiotherapy
The physiotherapy operations derive revenues from physiotherapy services, with
patients paying on a per-consultation or per-procedure basis.
We note that eight of the 30 physiotherapy clinics acquired by HLA have undergone
practice relocations or renovations since late 2016. These relocations/ renovations
have been undertaken to provide the practice a larger physical foot print to increase
the number of physiotherapists and introduce new allied health services to leverage
the facility.
Seven of the eight renovated clinics were within the Allsports Physiotherapy network.
The Physiotherapy operations are forecast to achieve FY19 EBITDA margins of ~13.6%
(pro forma 13.5%), which is up from 12.1% on pro forma FY18.
With regards to acquisition assumptions, we assume on a fully consolidated basis that
clinics acquired will deliver EBITDA of $1.5m p.a. and be acquired on a 4x EBITDA
multiple. We assume those clinics acquired are done so achieving a 14% EBITDA
margin on being consolidated into HLA, and help move the divisional margin longer-
term to 14%.
The one physiotherapy acquisition completed post listing is achieving annualised
revenues and EBITDA of $0.8m and $0.1m respectively, representing EBITDA margins
of 14.6%.
Podiatry
The Podiatry segment also derives gross revenues from services, with patients paying
on a per-consultation or per-procedure basis; however, Podiatry also derives revenue
from the sale of goods including orthotics, retail shoes and other medical equipment
and consumables.
The Podiatry business currently comprises 72 My FootDr podiatry clinics, the
iOrthotics laboratory and manufacturing operations, and the DBS Wholesale business
which provides consumables to podiatry clinics within the My FootDr network and to
third parties.
Podiatry is forecast to achieve pro forma EBITDA margins of ~26%, which reflects
margins of ~26% from the clinics and a similar margin from the combined iOrthotics
and DBS Wholesale operations, with iOrthotics achieving margins in excess of 40%.
Figure 11: Podiatry revenue splits – FY19F Figure 12: Podiatry EBITDA splits – FY19F
Podiatry ,
Podiatry ,
84%
85%
Source: Company reports & CG estimates Source: Company reports & CG estimates
Balance sheet
Figure 13: Balance Sheet forecasts
($m) - unless stated Dec-172 2019F 2020F 2021F 2022F
Cash 1.9 4.3 2.2 3.5 4.3
Inventories 2.1 2.9 3.6 4.3 5.1
PP&E 7.4 11.3 13.1 14.7 16.6
Debtors 2.0 2.9 3.6 4.3 5.1
Intangibles 56.4 75.9 86.8 95.4 104.0
Other assets 2.5 0.0 0.0 0.0 0.0
Total Assets 72.4 97.4 109.1 122.2 135.0
Borrowings 16.1 23.0 30.0 38.0 45.0
Trade Creditors 2.5 2.2 3.3 4.0 4.7
Other Liabilities 8.2 3.2 3.5 3.7 3.7
Total Liabilities 26.9 28.4 36.7 45.7 53.4
NET ASSETS 45.5 69.0 72.3 76.5 81.6
Source: Company reports & CG estimates / 2. Prospectus: 1H18 Pro Forma
On listing, Healthia raised $26.8m of new capital which was deployed as follows:
Fund acquisitions - $17.6m;
Fund exists shareholders - $2.5m;
Working capital - $2.0m;
Acquisition costs and charges - $2.3m; and
HLA, on listing, has drawn debt of $15m, with an additional $22m of capacity which
will be deployed for acquisition purposes. Based on pro forma forecasts, HLA had a
leverage ratio (Debt: EBITDA) of 1.5x, which has a cap of 2.5x.
We note on listing, deferred consideration of $2.5m is applicable to the vendors of the
My FootDr business if the Podiatry operations EBITDA is >$11m for the FY19 period.
We expect this will be paid in FY20.
Our annual acquisition assumptions are for HLA to acquire physiotherapy and podiatry
clinics for a total consolidated valuation of ~$12m p.a., and that on average the
issuing of Clinic Class Shares as part consideration will represent a 15% economic
interest in the acquired clinics, with the balance of ~$10.2m in consideration being
funded by HLA through existing debt capacity and operating cashflow. This is in line
with prospectus guidance for an annual investment of >$10m in cash applicable to
HLA.
Capex has been forecast at an annual rate of 2.5% of Group revenues which accounts
for both planned capital expenditure as well as contingency for ongoing maintenance
capital expenditure.
A dividend pay-out ratio of 40 - 60% of NPATA is the targeted ranged, with the first
distribution expected to be paid in October 2019. We have assumed a 50% dividend
pay-out ratio at this stge.
Figure 14: HLA – gearing metrics
($m) - unless stated 2019F 2020F 2021F 2022F
Net debt/ equity 25% 38% 45% 50%
Leverage ratio (Debt: EBITDA) 1.8 2.0 2.0 2.0
Source: Company reports & CG estimates
Cashflow
With around 90% of revenues related to providing clients a professional service which
are typically paid on a per-consultation or per-procedure basis, we expect a high
conversion rate of EBITDA to operating cashflow b/f interest & tax (OCFBIT), which we
estimate will be >90% on a continuing basis.
We note our FY19 forecasts reflect some initial working capital investment for the
broader network and expectations around additional acquisition growth near-term.
Figure 15: Cashflow forecasts
FY18
($m) - unless stated FY19F FY20F FY21F FY22F
Pro Forma
EBITDA 9.3 10.5 13.8 17.0 20.3
Net movement in working capital -0.2 -0.6 -0.5 -0.8 -0.8
OCFBIT 9.2 9.8 13.6 16.2 19.5
Interest & tax paid (3.1) (3.6) (4.5) (5.6) (6.7)
Operating cashflow 6.1 6.3 9.1 10.6 12.8
Industry Overview
Australian physiotherapy industry
Physiotherapy services account for approximately 1% of the national health care
spend with published data indicating that the Australian physiotherapy industry in
2016-2017 generated total revenue of over $1.6 billion, provided over $693 million in
wages and returned profits of over $312 million.
The physiotherapy services industry is involved in the provision of allied healthcare
services. In private practice, patients are predominantly seeking sports and
musculoskeletal and orthopaedic interventions.
Approximately 71% of patients attending a physiotherapy clinic are self-referred, whilst
only about 20% rely on a GP referral.
The Physiotherapy Board of Australia has estimated a physiotherapy workforce that
comprises around 32,000 professionals registered as a physiotherapist as at June
2018, with approximately 21% of the workforce aged between 25 to 29 years of age
and 40% of the workforce aged between 25 to 34 years of age.
Figure 17: Physiotherapists registered by age group
8000
7000
6000
5000
4000
3000
2000
1000
0
< 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 > 80
Source: Physiotherapy Board of Australia
Market trends
IBIS World has reported that in the five years through to 2016-17, industry revenue is
reported to have risen by an annualised rate of over 3.5% and is forecast to grow at
2.8% annually in five years from 2017 to 2022.
Australia’s ageing population is expected to drive continued growth in demand for
physiotherapy services, along with the projected rise in disposable incomes and
increase in health consciousness.
The number of consumers opting to take up private health insurance has also
contributed to industry growth, with appropriate extras cover reducing out of pocket
expenses for patients.
Increased specialisation is expected to occur over the next five years, resulting in a
rising number of physiotherapy establishments across Australia. There are an
increasing number of institutions now offering Bachelor and postgraduate degrees in
Physiotherapy which will allow the industry to keep up with the rising demand for more
specialised physiotherapy services.
Key Statistics
the physiotherapy industry is highly fragmented, and no one operator held more
than 3.0% of the physiotherapy industry revenue in 2016-2017;
private health participation drives industry revenue, as extra covers typically cover
these services and encourages clients to increase their take up of subsidised allied
health services;
the demand for physiotherapy services increases when there is an increase in
participation of organised and casual sports; and
the physiotherapy industry has sensitivity to levels of household disposable
income as services are generally not covered by Medicare.
1200
1000
800
600
400
200
0
< 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 > 80
Source: Podiatry Board of Australia
Approximately 60% of podiatrists in Australia operate in Victoria (32%) and New South
Wales (28%) and 60% of total registered podiatrists are women.
Market trends
In the five years through to 30 June, 2017, IBIS World estimates Other Health
Services industry revenue to have risen by an annualised rate of over 3.5% and is
forecast to grow at 2.4% annually in five years from 2017 to 2022 and reach $8.1bn.
The industry growth is expected to be driven from Australia’s ageing population, the
projected rise in disposable incomes and increase in health consciousness.
The number of consumers opting to take up private health insurance has also
contributed to industry growth, with appropriate extras cover reducing out of pocket
expenses for patients. In 2016-17, private health insurance was forecast to cover in
excess of 2.6 million podiatry sessions.
Key statistics
the podiatry industry is highly fragmented and there are no major players in the
space, and the My FootDr network of 72 clinics is the materially the largest in
Australia;
people in the age range of 18 to 64 years of age generally seek out Other Health
Services more regularly;
awareness of podiatry services is low with less than half the population aware of
the services a podiatrist can offer;
private health participation drives industry revenue, as extra covers typically cover
these services and encourage clients to increase their take up of subsides allied
health services; and
the podiatry industry has sensitivity to levels of household disposable income as
only a small portion of services covered by Medicare and other third-party insurers
such as Department of Veterans Affairs, NDIS, WorkCover and other not for profit
organisations.
Private health insurance membership – The incidence of private health insurance with
extras cover for podiatry services is relevant to the podiatry services industry, as
patients with private health insurance have lower out-of-pocket costs and are more
likely to visit the podiatry.
As for physiotherapy, continued growth in private health insurance out to 2022 should
be positive for demand in podiatry services.
Population median age – population growth and an increase in the median age of
Australians is expected to positively drive demand for podiatry services. Consequently,
Australia’s aging population is expected to be positive for industry revenue.
Awareness – community awareness of what services a podiatrist provides is still
growing with market research conducted by My FootDr in 2017 indicating that less
than half the population is aware of what a podiatrist offers. Furthermore, when
people suffer a foot condition only 1 in 10 Australians surveyed said they would visit a
podiatrist first, with 80% defaulting to their general practitioner.
As the awareness of the services that are provided by a podiatrist increase, so should
the demand for these services.
Health consciousness – Australians are becoming more concerned about maintaining
good health (health consciousness) and are more likely to use a variety of health
services such as podiatry. Health consciousness is forecast to rise and expected to
flow through and positively affect industry revenue.
Management
Wesley Coote – Chief Financial Officer & Company Secretary
Wesley is the former Chief Financial Officer and Company Secretary of Greencross Ltd.
Prior to Greencross, Wesley worked in Chartered Accounting where he provided
businesses advice within the health & property sectors and financial services industry.
Wesley holds a Bachelor of Commerce from the University of Queensland and is a
member of the Institute of Chartered Accountants, as well as a member of the
Governance Institute of Australia.
Lisa Roach – Chief Operating Officer Physiotherapy
Lisa has over 25 years’ experience in the physiotherapy private practice sector. Lisa
graduated from the University of Queensland in 1991 and joined Allsports
Physiotherapy in its year of inception in 1992. She is a founding partner in several of
the Allsports clinics throughout Brisbane and on the Gold Coast.
After spending 10 years in a clinical physiotherapy position Lisa moved to take on the
growing full-time role of business management and to oversee the evolving strategic
development for the Allsports Group.
In addition to the management of daily clinical operations, Lisa has been responsible
for the development of new initiatives for the group including complimentary allied
health services, university partnerships, education, teaching, and mentoring in private
practice.
Glen Evangelista – Chief Operating officer Podiatry
Glen founded Balance Podiatry in 2002 and co-founded iOrthotics in 2009. Balance
Podiatry were Australia’s first national podiatry brand with 11 clinics throughout Qld,
WA and the Northern Territory. Glen saw an opportunity to transform traditional
podiatry services through a medical-retail model through the location of clinics within
retail shopping centres.
Glen has extensive experience in multi-site podiatry and allied health service delivery
and management, greenfield expansion, footwear retail, shopping centre leasing,
clinic acquisitions, database marketing, and the integration and business
development of podiatry clinics.
Glen has been the Chief Operating Officer of the My FootDr group since December
2016, and is responsible for managing the national podiatry service, driving business
development
Chris Banks – Chief Commercial Officer
Possessing over a decade of professional experience across finance and strategy,
Chris initially joined Healthia in the role of Commercial Manger.
Prior to My FootDr, Chris worked for the Bank of Queensland (BoQ) where he held a
number of strategic leadership positions. During this time, Chris was responsible for
managing a range of projects and initiatives across the corporate development and
business banking divisions.
Before BoQ, Chris gained over eight years’ experience in corporate finance with KPMG
and Ernst & Young, advising on corporate transactions. Chris is a member of
Chartered Accountants Australia and New Zealand and holds a Masters in Applied
Finance.
Investment Recommendation
Date and time of first dissemination: October 24, 2018, 16:30 ET
Date and time of production: October 24, 2018, 12:48 ET
Target Price / Valuation Methodology:
Healthia Limited - HLA
For HLA we have derived a $1.35/share Target Price based on a DCF Valuation methodology. Our DCF Valuation methodology
incorporates a WACC of 10% which is derived from a 4.75% risk free rate, a 1.35x beta and a 5.5% equity risk premium. For HLA we have
assumed a terminal growth rate of 3%.
Risks to achieving Target Price / Valuation:
Healthia Limited - HLA
Integration of clinics may prove most expensive or challenging than anticipated. Executing on Acquisitions. Retention of key staff and
clinicians. Competition may enter the market on the back of HLA's consolidation activity. Private Health Insurance levels may decline and
impact total allied health spend.
Distribution of Ratings:
Global Stock Ratings (as of 10/24/18)
Rating Coverage Universe IB Clients
# % %
Buy 556 63.25% 46.40%
Hold 202 22.98% 30.20%
Sell 14 1.59% 21.43%
Speculative Buy 107 12.17% 63.55%
879* 100.0%
*Total includes stocks that are Under Review
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AUD1.20
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