The Motley Fool

Ramsay Health Care Limited (ASX:RHC) share price falls 2.5% on tough FY18 result

Private hospital operator Ramsay Health Care Limited (ASX: RHC) this morning reported its annual result for the year to 30 June 2018.

It reported that group revenue increased by 5.4% to $9.2 billion and group earnings before interest, tax, depreciation and amortisation (EBITDA) increased by 6.2% to $1.4 billion.

The important Australian segment reported that its revenue went up by 5.5% to $4.9 billion despite challenging industry conditions. Its hospital admissions growth rate remained above the industry’s growth rate in the face of affordability concerns surrounding private health insurance. Australia EBITDA increased by 12.1% to $896 million.

France revenue grew by 0.3% to €2.2 billion and EBITDAR fell 0.6% to €445.7 million. The company said that Ramsay Generale De Sante performed in line with expectations considering the negative tariff environment.

Ramsay UK reported revenue was down 5.2% to £424.2 million and EBITDAR dropped 9.8% to £102.7 million. NHS volumes suffered a “significant downturn” due to demand management strategies and the positive tariff adjustment was not enough to offset this in FY18.

Ramsay’s favoured profit measure of core net profit after tax (NPAT) went up by 6.8% to $579.3 million and core earnings per share (EPS) grew by 7% to 279.8 cents. Management attributed the growth to disciplined cost management and achieving further operational efficiencies, as well as some one-off benefits.

However, statutory profit fell by 20.6% to $388.3 million and statutory earnings per share (EPS) dropped by 21% to 185.6 cents. Affecting the statutory result were: the restructuring of Ramsay Generale De Sante costing $29.9 million in FY18, the impairment of Ramsay UK totalled $122 million and there were $39.1 million of ‘other’ items.

The full-year dividend was increased by 7.1% to 144 cents, adding another year to the consecutive dividend growth streak which has been going since 2000.

During FY18 Ramsay completed $171.2 million of brownfield projects, including seven operating theatres and 21 consulting suites.

Ramsay approved $325 million of brownfield projects in FY18. This will result in an additional 229 net beds, 24 operating theatres and 39 consulting suites.

In FY19 Ramsay expects to complete $242 million worth of work adding 216 net beds, 30 consulting suites, 15 operating theatres and one emergency department.

Management remain on the lookout for acquisition opportunities, particularly in Asia and Europe. Ramsay Generale De Sante recently launched a takeover bid for European healthcare business Capio. Ramsay also launched a joint venture global procurement business to save on supplier costs.

FY19 Outlook

However, despite the range of growth initiatives the short-term outlook for the current financial year remains challenging.

Assuming no negative unforeseen circumstances Ramsay is targeting core EBITDA growth of between 4% to 6%. Higher interest and tax payments mean that Ramsay is aiming for core EPS growth of up to 2%.

But, the long-term industry fundamentals should help earnings grow beyond FY19.

Foolish takeaway

The fairly muted market response to today’s report shows that this tough year was mostly expected and that FY19 wouldn’t be better.

Ramsay has a lot of attractive features like the ageing tailwind and strong re-investment into the business, however a business growing at low single digits may struggle to justify trading at 20x FY18’s underlying earnings unless growth picks up soon.

I’m in no rush to buy Ramsay shares unless they fall to below $50, in which case I’ll consider it.

Until then, I’d much rather buy shares of one of these top shares which also has strong demographic tailwinds.

3 Top Shares To Buy In September

For many, blue chip stocks mean stability, profitability and regular dividends, often fully franked..

But knowing which blue chips to buy, and when, can be fraught with danger.

The Motley Fool’s in-house analyst team has poured over thousands of hours worth of proprietary research to bring you the names of "The Motley Fool’s Top 3 Blue Chip Stocks for FY19."

Each one pays a fully franked dividend. Each one has not only grown its profits, but has also grown its dividend. One increased it by a whopping 33%, while another trades on a grossed up (fully franked) dividend yield of almost 7%.

The names of these Top 3 ASX Blue Chips are included in this specially prepared free report. But you will have to hurry. Depending on demand – and how quickly the share prices of these companies moves – we may be forced to remove this report.

Click here to claim your free report.

Motley Fool contributor Tristan Harrison owns shares of Ramsay Health Care Limited. The Motley Fool Australia has recommended Ramsay Health Care Limited. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy. This article contains general investment advice only (under AFSL 400691). Authorised by Scott Phillips.

FREE REPORT: Five Cheap and Good Stocks to Buy now…

Our Motley Fool experts have FREE report, detailing 5 dirt cheap shares that you can buy today.

One stock is an Australian internet darling with a rock solid reputation and an exciting new business line that promises years (or even decades) of growth… while trading at an ultra-low price…

Another is a diversified conglomerate trading near a 52-week low all while offering a 2.7% fully franked yield…

Plus 3 more cheap bets that could position you to profit over the next 12 months!

See for yourself now. Simply click the link below to scoop up your FREE copy and discover all 5 shares. But you will want to hurry – this free report is available for a brief time only.