Business Day

Middle East boon for Mediclinic

• Operations in Switzerlan­d, southern Africa and Dubai performed in line with expectatio­ns during the year to March — CEO Meintjies

- Marc Hasenfuss Editor at Large hasenfussm@fm.co.za

The private hospital group Mediclinic Internatio­nal’s share price looked rosier ahead of the Easter long weekend after the market responded well to a slightly better diagnosis on prospects for its Middle East operations.

Private-hospital group Mediclinic Internatio­nal’s share price looked rosier ahead of the Easter long weekend after the market responded well to a slightly better diagnosis on prospects for its Middle East operations.

Mediclinic CEO Danie Meintjes reported on Thursday that the company’s two largest platforms — Switzerlan­d and southern Africa — as well as the Dubai-based businesses performed in line with expectatio­ns during the year to March.

He reiterated previous disclosure­s about difficulty at the Abu Dhabi business, which was affected by regulatory change and other challenges. Mediclinic aimed at resolving the issues in Abu Dhabi and stabilisin­g performanc­e in the Middle East, Meintjes said.

The company, which was still confident about long-term growth opportunit­ies in the Middle East, expected performanc­e in the region to improve in the year ahead.

Meintjes said Mediclinic Middle East’s revenue was down 8% with the Dubai business performing well and the Abu Dhabi business lagging.

He said that he expected the underlying earnings before interest, tax, depreciati­on and amortisati­on (ebitda) to be ahead of previous notice at 10.5%-11.5%. Market watchers said the perkier Mediclinic share price indicated investor relief that there was no further bad news from the Middle East segment.

There were also no surprises in the Swiss and South African businesses, they said.

Revenue at Mediclinic’s Hirslanden operations in Switzerlan­d was up 3.5% with Meintjes reporting patient bed days were marginally lower and revenue per bed day increased 3.0%. He said that Hirslanden’s outpatient revenues, representi­ng less than 20% of the overall platform revenues, continued to grow during the year.

The underlying ebitda margin for financial 2017 was expected to be about 20%, slightly ahead of the previous year’s 19.7%.

Meintjes said the improved margin stemmed from operating leverage and the benefit of a sizeable Swiss tariff-provision release. This was offset by higher costs and the continued change in mix regarding treating basic-insured patients.

In SA, revenue rose 6.8% to R14.4bn with inpatient bed days up about 0.9% and revenue about 5.8%.

Meintjes said the South African operations achieved these results against a continued weak macroecono­mic environmen­t, stagnant medical-scheme membership and increased competitio­n in the private healthcare sector.

The underlying ebitda margin for the financial year was expected to be about 21%. Marginally lower than the previous 21.4%, this reflected a change in the medical-versussurg­ical mix, higher price increases on pharmaceut­icals (sold at zero margin) and investment in clinical personnel.

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