Half year results presentation - 6 months ended 30 June 2021 - Bupa
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Agenda Section 1 Overview Section 2 Market Unit performance Section 3 Financial review Section 4 Outlook and operating priorities Section 5 Questions and answers Martin Potkins Gareth Gareth Evans Interim Chief Roberts Group Financial Group Financial Treasurer Officer Controller Bupa half year results presentation 2021 2
Section 1 Section 2 Section 3 Section 4 Section 5 Overview Martin Potkins Interim Chief Financial Officer Bupa half year results presentation 2021 3
Section 1 Section 2 Section 3 Section 4 Section 5 Group financial highlights The Half Year results show Revenue1 Solvency II capital coverage ratio2 early signs of a return to growth, as we navigate the ongoing impacts of COVID- £6.5bn 163% 10% AER FY 2020: 160% 19 9% CER Statutory profit before taxation Net cash generated from operating activities £245m £440m 2020: £153m AER 2020: £843m AER Underlying profit before taxation Ratings £191m A3 BBB+ +36% AER Moody’s senior Fitch senior +44% CER debt rating debt rating stable negative outlook 1 Balances have been restated for a gross up between other revenue and financial expense in relation to the remeasurement of i mputed revenue and interest in respect of interest-free refundable accommodation deposits received by the Group as payment for aged care units in Bupa Villages and Aged Care - Australia. 2 The 2021 Solvency II capital position is an estimate, and it is unaudited. Bupa half year results presentation 2021 4
Section 1 Section 2 Section 3 Section 4 Section 5 Operational highlights We launched our new 3x6 Strategy We launched a global and introduced our ambition to be talent programme, eco-Disruptive, "the world's most customer that brings together Bupa teams centric healthcare company“. and eco-startups. We announced our commitment to Our 2021 People Pulse employee the Science Based Target survey showed 78% overall Initiative (SBTi) to reduce our engagement carbon emissions. Bupa half year results presentation 2021 5
Section 1 Section 2 Section 3 Section 4 Section 5 Our new Strategy and Values Our purpose Helping people live longer, healthier, happier lives and making a better world Our ambition To be the world’s most customer-centric healthcare company Bupa half year results presentation 2021 6
Section 1 Section 2 Section 3 Section 4 Section 5 New Strategy – Driving Bupa’s transformation Our purpose Helping people live longer, healthier, happier lives and making a better world Our ambition To be the world’s most customer-centric healthcare company 3x Ambition KPIs 40% of customer care 60% active digital Net Promoter Score of 80 touchpoints owned by Bupa customers 6x Strategic and Enabling Pillars Customers Growth Obsession with our customers’ experience Strong performance and governance Transformation Sustainability Continuous innovation and preparation Making a positive impact on the world Data Agile Culture Enhanced data driven decision making The best, most diverse people and a great place to work Bupa half year results presentation 2021 7
Section 1 Section 2 Section 3 Section 4 Section 5 Market Unit performance Martin Potkins Interim Chief Financial Officer Bupa half year results presentation 2021 8
Section 1 Section 2 Section 3 Section 4 Section 5 Australia and New Zealand Results largely driven by increased customer volumes in Revenue1 Revenue by business £2.5bn A. Bupa Health Health Services, lower operating costs in Australian Aged Insurance 77% Care and improved margins in health insurance B. Bupa Health Services 13% 2020: £2.4bn CER C. Bupa Villages and Aged Care Australia 7% ▪ Health Insurance: Revenue growth largely due to customer retention, +6% CER D. Bupa Villages and Aged Care premium increases and non-recurring customer support given in 2020. +13% AER New Zealand 3% Underlying profit ▪ Health Services: Revenue growth driven by improved customer volumes across most businesses. ▪ Australia Villages and Aged Care: Revenue was stable. Closing £132m C D 2020: £66m CER B occupancy rate was 88% (HY 2020: 82%). +100% CER ▪ New Zealand Villages and Aged Care: Revenue was flat and underlying +113% AER profit declined. Closing occupancy remained stable at 88% (HY 2020: 89%). Combined operating ratio2 A Bupa HI Pty Ltd (Australia) 2021 93%3 2020 95% 1 Balances have been restated for a gross up between other revenue and financial expense in relation to the remeasurement of i mputed revenue and interest in respect of interest-free refundable accommodation deposits received by the Group as payment for aged care units in Bupa Villages and Aged Care - Australia. 2 Combined Operating Ratio is an alternative performance metric for insurance businesses. It is calculated based on incurred cl aims and operating expenses divided by net earned premiums. 3 Bupa HI Pty Ltd (Australia): based on the Solvency II S.05.01 Quantitative Reporting Template (estimated and unaudited). Bupa half year results presentation 2021 9
Section 1 Section 2 Section 3 Section 4 Section 5 Europe and Latin America Solid revenue growth driven by increased customers Revenue Revenue by business2 across healthcare provision and insurance businesses £2.0bn A. Sanitas Seguros 31% B. Sanitas Dental 5% Spain: C. Sanitas Hospitals 6% 2020: £1.8bn CER D. Sanitas Mayores 3% ▪ Sanitas Seguros: Solid revenue growth. Underlying profit declined due to E. Bupa Chile 27% higher claims. +14% CER F. LUX MED (Poland) 12% +10% AER G. Bupa Acıbadem Sigorta (Turkey) 5% ▪ Sanitas Dental and Sanitas Hospitals: Revenue and underlying profit H. Care Plus (Brazil) 4% grew driven by higher activity. Underlying profit I. Bupa Global Latin America 7% ▪ Sanitas Mayores: Underlying profit improved. Closing occupancy rate was 80% (HY 2020: 78%). £68m 2020: £70m CER Other countries: I -3% CER H ▪ Bupa Chile: Revenue grew driven by outpatient businesses. Underlying -7% AER G profit was down driven by higher claims. A Combined operating ratio F ▪ LUX MED (Poland): Good revenue growth and stable profit. Sanitas S.A de Seguros (Spain) 2021 ▪ Bupa Acıbadem Sigorta (Turkey): Good revenue and customer growth. 89%1 B ▪ Care Plus (Brazil), Bupa Mexico and BGLA all delivered improved 2020 E C D performance year-on-year. 84% 1 Sanitas S.A de Seguros (Spain): Prepared under local GAAP (unaudited). Bupa half year results presentation 2021 10 2 Bupa Mexico is not displayed on the chart as its revenue accounts for below 1%
Section 1 Section 2 Section 3 Section 4 Section 5 Bupa Global and UK Revenue growth driven by customer growth in dental Revenue Revenue by business appointments £1.7bn A. Bupa UK Insurance 46% B. Bupa Global 22% C. Bupa Dental Care 15% ▪ UK Insurance: Revenue was up and underlying profit increased due to 2020: £1.5bn CER D. Bupa Care Services 12% improved product mix. The impact of the return of premium provision E. Bupa Health Services 5% reduced compared to 2020. +9% CER +8% AER ▪ Bupa Global: Revenue stable and underlying profit declined as claims E levels increased. Underlying profit £9m D ▪ Dental Care: Improved performance with strong revenue growth due to increased private customer visits. 2020: £22m CER A C ▪ Care Services: Revenue was flat year-on-year. Underlying profit was stable. Occupancy up to 82% (HY 2020: 78%). -59% CER -59% AER ▪ Health Services: Revenue increased. Underlying profit was stable. B Combined operating ratio Bupa Insurance Ltd (UK) 2021 97%1 2020 94% 1 Bupa Insurance Limited: Prepared under local GAAP. Excludes our Irish insurer and our associate, Highway to Health (GeoBlue). Bupa half year results presentation 2021 11
Section 1 Section 2 Section 3 Section 4 Section 5 Other businesses ▪ Revenue up 5% to Bupa Arabia Max Bupa (India) Bupa Hong Kong £232m. ▪ Bupa Arabia is a listed company ▪ Profit declined year-on-year driven ▪ Revenue was up driven by higher and its results will be published by higher COVID-19 related check-up and nursing services in ▪ Underlying profit in shortly on the Kingdom of Saudi claims. health provision. other businesses was Arabia stock exchange, the Tadawul. ▪ The business is being rebranded ▪ We formed Bupa Asia Pacific on down 16% to £26m at as Niva Bupa and is overseen by 1 July 2021 incorporating Bupa CER largely driven by the Bupa Global & UK Market Unit Hong Kong and our businesses Max Bupa in India. from 1 July 2021. in Australia and New Zealand. Bupa half year results presentation 2021 12
Section 1 Section 2 Section 3 Section 4 Section 5 Financial review Gareth Gareth Evans Roberts Group Group Financial Treasurer Controller Bupa half year results presentation 2021 13
Section 1 Section 2 Section 3 Section 4 Section 5 Financial highlights Solvency II capital Statutory profit before taxation Underlying profit coverage ratio1 before taxation 163% £245m £191m FY 2020: 160% 2020: £153m AER 2020: £133m CER +36% AER +44% CER 1 The 2021 Solvency II capital position is an estimate, and it is unaudited. Bupa half year results presentation 2021 14
Section 1 Section 2 Section 3 Section 4 Section 5 Financial overview Revenue Underlying profit before taxation1 Combined operating ratio2 2021 2021 2021 £6.5bn £191m 95% 2020 (CER) 2020 (CER) 2020 £5.9bn £133m 92% +9% CER +44% CER +3 ppts +10% AER +36% AER ▪ Revenue up 9% due to portfolio growth, price ▪ The Group’s combined operating ratio stands ▪ Underlying profit up by 44%. Reduction in rises in a majority of our insurance markets and at 95%, compared to 92% at prior year. insurance profits due to higher claims was more increased activity in health provision. than offset by higher profits in health provision ▪ Revenue in health insurance grew by 5% due and aged care. to increased membership portfolio with growth in ▪ Central expenses and net interest margin were ELA and premium rises in Australia. lower as higher investment returns were partly ▪ Health provision revenue grew 3% reflecting offset by additional interest costs associated with higher customer numbers. debt issuances completed in June 2020. ▪ Aged care revenue broadly in line with 2020. 1 Underlying profit is a non-GAAP financial measure. This means it is not comparable to other companies. Underlying profit reflects our trading performance and excludes a number of items included in statutory profit before taxation, to facilitate year-on-year comparison. These items include impairment of intangible assets and goodwill arising on business combinations, as well as market movements such as gains or losses on foreign exchange, on return-seeking assets, on property revaluations and other material items not considered part of trading performance. 2 Combined operating ratio is an alternative performance metric for insurance businesses. It is calculated based on incurred cl aims and operating expenses divided by net earned premiums. The Group combined operating ratio is calculated based on the S.05.01 Prudential Regulation Authority (SII) form (estimated and unaudited). Bupa half year results presentation 2021 15
Section 1 Section 2 Section 3 Section 4 Section 5 Statutory profit Statutory profit before HY 2021 HY 2020 taxation was £245m, up £m (AER) £92m on 2020, reflecting £m higher underlying profit, Underlying profit before taxation 191 140 and gains made on Impairment of intangible assets and goodwill arising on business combinations (1) - acquisitions and divestments, including Net gain/(loss) on disposal of businesses and transaction costs on business combinations 9 (5) a one-off gain arising upon Net property revaluation gains 7 11 the transfer of customers Realised and unrealised foreign exchange gains 9 14 from CS Healthcare into UK Insurance. Gains/(losses) on return seeking assets, net of hedging 3 (5) Other non-underlying items 27 (2) Total non-underlying items 54 13 Statutory profit before taxation 245 153 Bupa half year results presentation 2021 16
Section 1 Section 2 Section 3 Section 4 Section 5 Solvency1 HY 2021 Solvency position Solvency II coverage ratio ▪ Capital coverage at the year end was 163% with £1.6bn surplus over Group Own Funds £4.1bn SCR. 2021 163% ▪ Solvency coverage ratio remains within Solvency Capital £2.5bn Surplus £1.6bn FY 2020 160% our target capital working range of Requirement 140% to 170% of SCR. ▪ Our capital coverage is relatively stable Risk sensitivities2 to exposure from market risk sensitivities. Solvency Coverage Ratio 163% ▪ Property remains the most sensitive Property values - 10% 149% risk to our capital coverage. HY21 loss ratio worsening by 2% 156% Interest rate -100bps 161% Sterling appreciates by 10% 162% Group specific parameter (GSP)3 +0.2% 162% Credit spreads + 100bps assuming no credit transition 163% Pension risk +10% 163% Equity markets -20% 163% 1 The HY 2021 Solvency II capital position, SCR and coverage ratio are estimates and unaudited. 2 While this table only shows the impact of individual stresses, it is a helpful illustration of the relatively low risk inherent in our capital base. Bupa half year results presentation 2021 17 3 Group Specific Parameter (GSP) is substituted for the insurance premium risk parameter in the standard formula, reflecting the Group’s own loss experience
Section 1 Section 2 Section 3 Section 4 Section 5 Solvency1 Movement in Solvency II capital surplus from FY 2020 to HY 2021 10 60 50 240 50 20 1,610 20 1,454 1,520 Operating Acquisitions Net capex Debt financing Other Currency risk Capital SII SII Surplus capital and market tiering Surplus FY 2020 2 generation disposals risk restriction 3 HY 2021 1 The HY 2021 Solvency II capital position, SCR and coverage ratio are estimates and unaudited. 2 Operating capital of £240m includes adjusted IFRS comprehensive income, reflecting SII valuation differences and the exclusion of non-operating items. 3 Capital tiering restrictions are applied because the aggregate value of eligible Tier 2 and Tier 3 Own Funds cannot exceed 50% of the Group Solvency Capital Requirement. Bupa half year results presentation 2021 18
Section 1 Section 2 Section 3 Section 4 Section 5 Funding Leverage has reduced vs Leverage ratio1 ▪ Leverage has reduced again in Debt maturity profile FY 2020 and liquidity the period to 24.1% HY 2021 remains strong 24.1% ▪ At 30 June, the £800m revolving 1000 credit facility was drawn by FY 2020 £290m, having enabled the 25.3% £350m bond repayment in June. 800 HY 2020 27.3% ▪ There were no changes to Bupa’s credit ratings in the period. 600 FY 2019 25.1% 400 HY 2019 24.3% 200 Leverage ratio when accounting for 0 2021 2022 2023 2024 2025 2026 >2026 IFRS 16 lease liabilities HY 2021 Bupa Finance plc Senior 31.1% Bupa Finance plc Tier 2 Subordinated FY 2020 Bank facilities 32.4% FY 2019 1 Leverage is calculated based on gross debt (including hybrid debt) 32.7% divided by gross debt plus equity. Bupa half year results presentation 2021 19
Section 1 Section 2 Section 3 Section 4 Section 5 Cash and financial investments Net cash generated from operating activities ▪ Net cash generated from operating Net cash generated activities decreased from £843m in from operating activities H1 2020 to £440m as claims was £440m as claims £440m outflows return to a more normal outflows normalise level compared to 2020. £843m ▪ Cash and investments were marginally down. (44%) AER ▪ Conservative portfolio, primarily cash-based but with circa £640m bond and loan funds. Cash and investment portfolio ▪ Low yield environment continues to Conservative portfolio provide a challenging investment 2021 backdrop. £4.7bn 2020 FY £4.9bn Cash and cash-like instruments (e.g. deposits, liquidity funds, covered bonds) Return seeking assets Bupa half year results presentation 2021 20
Section 1 Section 2 Section 3 Section 4 Section 5 Sustainability & Environmental, Social and Governance (ESG) We continue to progress Highlights our Sustainability agenda ▪ We established a new Board Sustainability and this a key pillar of our Committee, which ensures the integrated management of ESG. new strategy. ▪ We committed to the Science Based Targets Initiative (SBTi) to reduce our carbon emissions. ▪ We launched eco-Disruptive, a global innovation challenge in which Bupa teams are interacting with eco start-ups. Bupa half year results presentation 2021 21
Section 1 Section 2 Section 3 Section 4 Section 5 Outlook and operating priorities Martin Potkins Interim Chief Financial Officer Bupa half year results presentation 2021 22
Section 1 Section 2 Section 3 Section 4 Section 5 Outlook and operating priorities A resilient business, • Several of our markets are in advanced stages of vaccine well-placed to pursue future deployment, but the pace will vary by country. growth from transformation. • COVID-19 is still impacting our economies and health systems, but we are positive about the future. • Conditions in some markets remain challenging and there is uncertainty as to the timing and volume at which insurance claims will return. • Major shifts in customer expectations and engagement, particularly in digital healthcare. The pandemic has increased people’s focus on their health and wellbeing. • Underlying financial strength, resilience and a diversified business model. • Focused on embedding our new strategy and driving growth from transformation. Bupa half year results presentation 2021 23
Section 1 Section 2 Section 3 Section 4 Section 5 Q&A Martin Potkins Gareth Gareth Evans Interim Chief Roberts Group Financial Group Financial Treasurer Officer Controller Bupa half year results presentation 2021 24
Section 1 Section 2 Section 3 Section 4 Section 5 Further information Website www.bupa.com/corporate/ our performance Investors: ir@bupa.com Bupa half year results presentation 2021 25
Appendix Bupa half year results presentation 2021 26
Bupa’s purpose is helping ▪ Founded in 1947, Bupa is a private people live longer, healthier, company limited by guarantee. With no shareholders, our customers are happier lives and making a our focus. We reinvest profits to better world. benefit our current and future customers. ▪ We are an international healthcare company serving over 31 million customers worldwide. ▪ Our global footprint has grown from our origins in the UK to Australia, Spain, Poland, Chile, Brazil, Mexico, Turkey, the Middle East, the US, Hong Kong SAR, New Zealand and Ireland. We also have associate businesses in Saudi Arabia and Australia and Europe and Latin Bupa Global and UK Bupa Hong Kong India. We directly employ around New Zealand America 85,000 people. Associate businesses in Saudi Arabia and India IPMI We also offer international private medical insurance (IPMI) for cover in most countries, including through our associate business Highway to Health (GeoBlue) in the US. Market Unit structure This infographic reflects our market unit structure as of 30 June 2021. Bupa half year results presentation 2021 27
Business mix1 Health insurance2 Health insurance accounts for 72% of our total revenue with 17.9m insurance customers worldwide. Strong domestic health insurance presence in: UK, Australia, Bupa in the context of the Spain, Chile, Hong Kong, Turkey, Brazil3 and Mexico and our associate businesses in Saudi Arabia and India wider insurance market International Private Medical Insurance: Bupa Global Dental insurance: Australia, UK, Spain, Chile, Poland, Hong Kong SAR, Brazil and through Bupa Global Provision Health provision accounts for 20% of our total revenue with Personal Lines Specialist P&C 13.6m customers worldwide. We operate around 390 health clinics, 22 hospitals and over 1,000 dental centres. Motor Hospitals: Spain, Chile, Poland and one in the UK Life Dental centres: UK, Ireland, Australia, Spain, Chile, New Zealand, Poland, Brazil and Hong Kong SAR. Clinics: Spain, Chile, Poland, the UK, Brazil4, Hong Kong SAR, Saudi Arabia5, Australia, New Zealand and China Aged Care Residential aged care accounts for 8% of total revenue. We provide aged care services in the UK, Spain, Australia and New Zealand 1 All numbers are updated as of FY 2020. 2 We also provide travel insurance, cash plans, subscription products and third party administration arrangements in different markets. 3 We have a growing domestic health insurance business in Mexico. 4 We also have very small numbers of clinics in other Latin American countries including Peru. 5 We have an interest in the MyClinic business in Saudi Arabia. Bupa half year results presentation 2021 28
Bupa’s footprint Australia and New Zealand Europe and Latin America Bupa Global and UK Other and Market Units Australia New Zealand Spain1 Poland Turkey Chile Brazil Bupa Global Latin America2,3 Mexico United Kingdom4 Bupa Global2 Saudi Arabia5 India5 Hong Kong SAR Mainland China (as of 30 June 2021) Funding Health insurance Pay-as-you-go Dental insurance Travel insurance Cash plans Health provision Clinics Hospitals Dental centres Optical and audiology Aged care provision Care homes Retirement villages Australia and New Zealand Europe and Latin America Bupa Global & UK Other Australia: New Zealand: Spain: Chile: UK: Saudi Arabia: Bupa Health Insurance Bupa Villages and Sanitas Seguros Bupa Chile Bupa UK Insurance Private health insurer, Bupa Hong Kong: Bupa Health Services Aged Care New Sanitas Hospitales Brazil: Bupa Dental Care4 Bupa Arabia5, in which Health insurance and Bupa Villages and Zealand and New Services CarePlus Bupa Care Services we have a 43.25% provision. Aged Care Australia Sanitas Dental Mexico: Bupa Health Services stake. We also have an Bupa China: Sanitas Mayores1 Bupa Mexico IPMI: interest in MyClinic, a Comprises our Poland: IPMI: Bupa Global2 health clinics business. representative office in LuxMed Bupa Global India: Beijing and an Turkey: Latin America2, 3 Max Bupa5: Private integrated medical Bupa Acıbadem health insurer in India, centre in Guangzhou. Sigorta in which we hold a 44.42% stake. 1 In Spain we also have day care centres. 2 Global international insurance coverage available in many countries. 3 BGLA’s main operations include Guatemala, Panama, Dominican Republic, Colombia, Ecuador, Bolivia and Chile and a provision business in Peru. 4 We also run dental centres in the Republic of Ireland. 5 Bupa Arabia (Saudi Arabia) and Max Bupa (India) are associate businesses. Bupa half year results presentation 2021 29
Breakdown of borrowings HY 2021 FY 2020 HY 2020 £m £m £m £330m perpetual hybrid bond (guaranteed by Bupa Insurance Ltd) - - 349 £350m senior bond due 2021 - 350 350 £500m subordinated bond due 2023 503 503 503 £300m senior bond due 2024 304 310 309 £400m subordinated bond due 2026 398 397 397 £300m senior bond due 2027 291 300 299 £350m subordinated bond due 2035 347 347 346 Revolving credit facility 290 - - Bupa Chile borrowings 90 177 172 Other 52 54 41 Total borrowings 2,275 2,438 2,766 Bupa half year results presentation 2021 30
Disclaimer Cautionary statement This document may contain certain ‘forward looking statements’. Statements that are not historical facts, including statements about the beliefs and expectations of The British United Provident Association Limited (Bupa) and Bupa’s directors or management, are forward looking concerning forward statements. In particular, but not exclusively, these may relate to Bupa’s plans, current goals and expectations relating to future financial looking statements condition, performance and results. By their nature, forward looking statements involve risk and uncertainty because they relate to events and depend upon future circumstances that may or may not occur, many of which are beyond Bupa’s control and all of which are solely based on Bupa’s current beliefs and expectations about future events. These circumstances include, among others, global economic and business conditions, market related risks such as fluctuations in interest rates and exchange rates, the policies and actions of governmental and regulatory authorities, the impact of competition, the timing, impact and other uncertainties of future mergers or combinations within relevant industries. Such forward looking statements involve known and unknown risks, uncertainties and other factors, which may cause the actual future condition, results, performance or achievements of Bupa or its industry to be materially different to those expressed or implied by such forward looking statements. Other than as required by law, Bupa expressly disclaims any obligations or undertakings to release publicly any updates or revisions to any forward looking statements to reflect any change in the expectations of Bupa with regard thereto or any change in events, conditions or circumstances on which any such statement is based. To the fullest extent possible by receipt of, and using, this document, you release Bupa and each of its affiliates, advisers, directors, employees and agents, in all circumstances (other than fraud) from any liability whatsoever and howsoever arising from your use of this document. In addition, no responsibility of liability or duty of care is or will be accepted by Bupa or its respective affiliates, advisers, directors, employees and agents, for updating the document (or any additional information), correcting any inaccuracies in it or providing any additional information to any person. Accordingly, none of Bupa or its affiliates, advisers, directors, employees or agents shall be liable (save in the case of fraud) for any loss (whether direct, indirect or consequential) or damage suffered by any person as a result of relying on any statement in, or omission from, the document. Forward-looking statements in this document are current only as of the date on which such statements are made. Neither the content of Bupa’s website nor the content of any other website accessible from hyperlinks on Bupa’s website is incorporated into, or forms part of, this document. Bupa half year results presentation 2021 31
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