Latest news with #Healthscope
Bloomberg
a day ago
- Business
- Bloomberg
Brookfield Nurses $1.3 Billion Loss in Australia
Welcome to The Brink. I'm Sharon Klyne, a reporter in Sydney, where I'm looking at Brookfield's failed bet on an Australian hospital group. We also have news on disqualified lender lists, QVC Group, New World and EchoStar. Follow this link to subscribe. Send us feedback and tips at debtnews@ Healthscope, an Australian hospital group owned by Brookfield, entered into administration this week, leaving one of the world's largest alternative asset managers nursing an estimated A$2 billion ($1.3 billion) loss, according to people familiar with the matter.
News.com.au
2 days ago
- Business
- News.com.au
Criterion: Healthscope's collapse puts private hospitals in a world of pain, but there's still a faint pulse
The unlisted Healthscope's misfortune casts the spotlight on the listed Ramsay Health Care Private hospital profitability has shrunk, but the sector still accounts for more than 40% of admissions Ramsay's rehab includes putting its loss-making French business up for sale Private hospital operator Healthscope's lapse into administration this week highlights the role sector's financial woes that have been brewing for years – along with that of the private equity owner's excessive debt. As the country's second biggest hospital operator, the unlisted Healthscope is a case of 'too big to fail'. The operating business is expected to be sold and recapitalised, with lenders and landlords taking a suitable haircut. Notably, the Commonwealth Bank (ASX:CBA) was comfortable enough to extend a $100 million loan to keep the wards ticking over across Healthscope's 37 hospitals. But the structural pressures will remain, with private insurance payors not adequately compensating the hospitals for ratcheting costs (notably wages). The insurers, in turn, are being squeezed by the government's control over premium increases. At the same time, medical advances mean more procedures are done via day surgery, which is less lucrative. The private hospital sector should have much going for it, given the ageing populace and the pressures on the public hospitals. According to the Australian Private Hospitals Association, the 'privates' accounted for 41.2% of all hospital admissions in the 2022-23 year, a gain on the pre-pandemic 40.3% share in 2018-19. They also account for 705 of elective procedures. Global expansion puts Ramsay in the sick bay Healthscope was listed until 2019, when it was purchased by private equity. That leaves Ramsay Health Care (ASX:RHC), the country's biggest operator, as the only ASX-listed exponent. Ramsay owns or operates 76 hospitals and clinics locally, as well as 34 in the UK and 244 in Europe. In a misguided expansion, Ramsay acquired just over half of French group Ramsay Sante – the crux of its European ops – for around $140 million in 2010. Sante means 'good health' but there hasn't been much of that. In early 2022 Ramsay then acquired Elysium, which runs mental health and rehabilitation facilities in the UK, for $1.5 billion. The French and UK hospitals face similar headwinds to the local sector – probably more so given the reliance on governments that have been equally stingy with keeping up with cost inflation. As a result, Ramsay's overseas operations have performed worse than its local ones, resulting in the board's decision to find a buyer for Ramsay Sante. In the words of Allan Gray analyst Tim Hillier, 'grossly inadequate government funding has made Ramsay Santé an unsustainable essential services charity.' Serious but stable condition Ramsay shares have declined around 25% over the last year and halved over the last five years. Despite this decline, most brokers have a 'hold' call on the stock. In other words, they think Ramsay's condition will improve but they're not braving a 'buy' call until a peer puts their delicates on the line first. Ramsay CEO Natalie Davis describes 'significant value and growth opportunity' in the Australian business, albeit with a 'multi-year transformation required.' In the first (December) half, Ramsay reported a 6% revenue increase to $8.54 billion, with a reported loss of $105 million but underlying earnings from continuing operations steady at $500 million. But Elysium's earnings declined 41% to $14.9 million, while Ramsay Sante's contribution fell 23% to $102 million. Ramsay is pursuing operational improvements and tightening capital expenditure'. Value emerges amid aversity While myriad risks remain, Ramsay's subdued valuation arguably more than compensates for them. One wildcard is that Ramsay will receive a better-than-expected price for the French ops. In any event, the divestment would remove a gangrenous limb. There's also the 'replacement value' consideration. Allan Gray's Hillier notes a new 100-bed hospital would cost $150 million today – and Ramsay has 9300 beds across its network. Ramsay's $8 billion market cap also pales against the $30 billion, $88 a share billion cash bid lobbed by private equiteer KKR in 2022. The unrequited deal offers some glimpse of the potential upside should Ramsay's stint in rehab prove successful. But as broker Wilsons cautions: 'this situation is going to get harder before it gets easier. Easier means change and change is hard'.
News.com.au
2 days ago
- Business
- News.com.au
Scott Power: ASX health stocks rise as Healthscope landlord agrees to rent deferral deal
ASX health stocks up 1.2% over past five days while the broader market is up 0.8% HealthCo REIT agrees to short-term partial rent deferral with troubled Healthscope and its receivers New-Zealand-based soft-tissue repair company Aroa Biosurgery delivers maiden full-year profit Healthcare and life sciences expert Scott Power, who has been a senior analyst with Morgans Financial for 27 years, gives his take on the ASX healthcare sector for the week and his 'Powerplay' stock pick. The big story for Australia's health care sector this week was Australia's second largest private hospital provider unlisted Healthscope appointing receivers after Canadian private equity owner Brookfield earlier handed the business over to its lenders owing ~$1.6 billion. The HMC Capital (ASX:HMC) controlled Healthco Healthcare and Wellness REIT (ASX:HCW) – which owns four properties tenanted by Healthscope – have struck a short-term partial rent deferral deal with Healthscope and its receivers. In 2023, HCW and the Unlisted Healthcare Fund (UHF) bought 11 privately owned hospital buildings from NYSE-listed Medical Properties Trust for a total of $1.2bn. Healthscope is the tenant in all 11 hospitals — four owned by HCW and seven by UHF. HCW owns 49.6% of UHF, with the rest owned by other large institutional investors. Under the rental deal: All outstanding rent arrears for March and April 2025 and 85% of rent for May 2025 will be paid immediately HCW and UHF will receive 85% of the rent due for the period June-August 2025 The remaining 15% deferred rent for the May-August 2025 period is due in September 2025 HCW said it had also received formal expressions of interest from alternative Australian hospital operators to re-tenant the facilities. In a note to clients Morgans' research analyst Liam Schofield wrote the deal represented positive progress, with the temporary 15% incentive lower than the 50% incentive for the initial two years agreed under the recently expired original lease agreement. "The agreement calls for the 15% incentive (from May to Aug) to be repaid in Sep-25 (suggesting there is potential for HCW to receive full rent going forward)," he wrote. "We have factored in a permanent ~20% rent reduction to the Healthscope assets, with the 15% incentive potentially pointing to a reduced rent level something closer to market (in our opinion) and above our expectations." Schofield wrote the HCW unit price would likely rise if a revised lease agreement was secured, where 100% of a slightly reduced rent (around 10-15% below the current level) was paid consistently and sustainably. However, he believes this is unlikely to happen until Healthscope is formally sold by receivers. He wrote that HCW was a diversified healthcare REIT with high-quality assets and scale. "The portfolio is valued at $1.6bn, with 57% of the portfolio exposed to private hospitals. "The financial restructure of Healthscope (a key tenant) and its capacity to pay 100% of the rent is the key catalyst (currently 50% rent abatement)." Given the uncertainty, Morgans have a hold rating on HCW and 90 cent price target based on its net asset valuation. Stronger week for healthcare stocks At 2.45pm (AEST) on Friday the S&P/ASX 200 Health Care index was up 1.2% for the past five days, while the benchmark ASX 200 rose 0.8% for the same period. "Markets are holding their ground" Power said. Power's Powerplay: Neuren on track for phase III trial Neuren Pharmaceuticals (ASX:NEU) is Power's pick of the week after holding its AGM on Tuesday. Power said a main takeaway from the AGM was that its second drug candidate NNZ-2591 continues to progress in development for multiple neurodevelopmental disorders with a pivotal trial for Phelan-McDermid Syndrome on track to start later this year. Neuren became the first company in the world to develop a treatment for Rett Syndrome with trofinetide (marketed as Daybue) approved by the US Food and Drug Administration (FDA) in March 2023. "They're planning to start the pivotal trial for Phelan-McDermid later this year and they've got plenty of cash to execute on that so are in a pretty good position." The Neuren share price is up ~10% for the week. Aroa reports maiden full-year profit for FY25 New-Zealand-based soft-tissue repair company Aroa Biosurgery (ASX:ARX) has delivered its first full-year profit since listing on the ASX in 2020. With the New Zealand financial year ending on March 31, Aroa reported a normalised EBITDA profit of NZ$4.2 million for FY25, rebounding from a NZ$3.1 million loss in FY24. Total revenue for FY25 of NZ$84.7m was an increase of 23% on the previous year and exceeded guidance of NZ$81-84m. Product revenue for the year reached NZ$84m, up 24% from the previous year, driven largely by the continued strong performance of its Myriad product family. Aroa has provided FY26 total revenue guidance of NZ$92-100m, which is 10 to 20% growth on FY25 on a constant currency basis. "They reported ahead of their guidance bearing in mind their guidance had been revised down so it was good they could slightly exceed it," Power said. "They've set themselves what we consider to be conservative guidance for '26 so we think they will come in at the upper end or above that." Power said Morgans had adjusted its sales numbers down slightly, which still has it at the top end of guidance. "We have brought our EBITDA number down quite significantly to sit at the top end of guidance for FY26 so we have our adjusted our price target back to 77 cents from 93 cents so still plenty of upside from the current share price," he said. Morgans maintains a speculative buy on Aroa. Fisher & Paykel Healthcare FY25 results beat guidance Meanwhile, New Zealand-based medical devices supplier Fisher & Paykel Healthcare (ASX:FPH) reported stronger-than-expected results for FY25, with an adjusted net profit of NZ$377.2 million, up 43% beating both market expectations (NZ$362m) and company guidance (NZ$320–370m). Revenue came in at NZ$2.02bn, up 16% and also slightly ahead of expectations. The strong result was driven by solid growth across hospital consumables, an increase in gross profit margin to 62.9% and lower-than-expected operating expenses at NZ$761m. This led to a jump in operating profit margin to 25.2%, ahead of the expected 24.5%. Fisher & Paykel Healthcare declared a final dividend of 24 cents, bringing the full-year dividend to 42.5 cents, a 2% increase. "The hospital division is showing good progress, with consumable uptake exceeding expectations," Morgans healthcare analyst Derek Jellinek wrote in a note to clients. "As for as the Homecare division goes, it should come as little surprise that growth is being driven by increased mask sales, given new product launches and abating supply chain issues." Jellinek said in the Homecare division, it was no surprise that growth was being fuelled by higher sales of its obstructive sleep apnoea (OSA) masks with new product launches and easing supply chain issues. He said despite Philips still largely absent from the OSA market following a product recall in 2021 and strong underlying demand in the sector – even with growing attention on possible impact of obesity drugs – Morgans don't expect Fisher & Paykel to significantly affect the solid growth of leader in sleep-related respiratory disorders ResMed (ASX:RMD). Lumos grows US Medicare coverage for FebriDx Lumos Diagnostics (ASX:LDX) continues to grow its US Medicare coverage for FebriDx test, a rapid point-of-care (POC) diagnostic designed to differentiate between bacterial and non-bacterial acute respiratory infections. Lumos this week announced FebriDx would be included in the medicare coverage for Medicare Administrative Contractor CGS Administrators, which is responsible for managing medicare payments in the US states of Kentucky and Ohio. Coverage by CGS at US$41.38 per test per test will be backdated to May 1, 2025. Lumos now has Medicare reimbursement from six of seven Medicare Administrative Contractors, representing more than 85% of total US Medicare payment coverage. National Government Services remains the only Medicare Administrative Contractor to be added, which Lumos said it remained committed to securing. Medicare comprises around 20-24% of the US payor mix and often sets a precedent for private payors. Lumos said achieving reimbursement coverage was a critical validation milestone on the path to meaningful adoption of FebriDx in the US. "Getting Medicare coverage in the US is an important step forward for Lumos," Power said. The views, information, or opinions expressed in the interview in th is article are solely those of the interviewee and do not represent the views of Stockhead. Stockhead has not provided, endorsed or otherwise assumed responsibility for any financial product advice contained in this article. At Stockhead, we tell it like it is. While Aroa Biosurgery and Lumos Diagnostics are Stockhead advertisers, the companies did not sponsor this article.
The Advertiser
2 days ago
- Health
- The Advertiser
Insurers accused of 'playing people for mugs'
Health insurers are spending more but leaving Australians with higher out-of-pocket expenses, sparking scorn from private hospitals. A record $12.3 billion was dished out by private health insurers in the year to March, according to official data released on Friday. But the same data shows the average Australian is paying $470.80 per hospital visit, about $46 more than a year earlier. The average gap for general treatments rose $3 to $61.64 per service. Insurers also covered less for services like accommodation, nursing, medical services and medical devices in the March quarter, compared with the December quarter. Private hospitals - already suffering workforce shortages and rising costs for supplies - say insurers were being unfair to patients by allowing gaps to increase. "Welcome to private health insurance in the modern era, too tricky by half in trying to play people for mugs," Australian Private Health Association chief executive Brent Heffernan said. "If it costs me $10 to provide a service and you pay me $8, I'm $2 out of pocket. "Next year it costs me $15 to provide that service and you pay me $10, so I'm even worse off despite you paying me more than you did last year." Insurers say they are spending $61 more per person from last year to this year. This is despite technology and changing clinical practice meaning people have shorter hospital stays. They laid the blame for higher out-of-pocket claims on specialist doctors, whose consultations cannot be covered by health insurers. "Several trends have been dampening demand for private hospital care, including the high cost to see a specialist doctor in the community," Private Healthcare Australia chief executive Rachel David said. "A 7.7 per cent increase year-on-year is a good result for private hospitals that have had a hard time due to the pandemic and inflation." Almost 12.5 million people in Australia have hospital cover, or about 45 in every 100 people. About 15.1 million have general treatment cover. More than 81,000 people signed up for hospital cover in the first three months of 2025, with the largest increase coming from 40-44 year olds. The data from the financial regulator comes after the collapse of major hospital operator Healthscope after lenders voted to stop support for their parent company Brookfield. Healthscope treats 650,000 patients a year and has 19,000 staff across 37 hospitals in the nation. Insurers say they are optimistic the private system won't crumble. "We have a good supply of private hospital services across most parts of the country, so we are confident people with hospital cover will retain access to high-quality services near their homes," Dr David said. The Commonwealth Bank threw Healthscope a $100 million lifeline while fellow lender Westpac pledged to help the company sell to a new owner. Health insurers are spending more but leaving Australians with higher out-of-pocket expenses, sparking scorn from private hospitals. A record $12.3 billion was dished out by private health insurers in the year to March, according to official data released on Friday. But the same data shows the average Australian is paying $470.80 per hospital visit, about $46 more than a year earlier. The average gap for general treatments rose $3 to $61.64 per service. Insurers also covered less for services like accommodation, nursing, medical services and medical devices in the March quarter, compared with the December quarter. Private hospitals - already suffering workforce shortages and rising costs for supplies - say insurers were being unfair to patients by allowing gaps to increase. "Welcome to private health insurance in the modern era, too tricky by half in trying to play people for mugs," Australian Private Health Association chief executive Brent Heffernan said. "If it costs me $10 to provide a service and you pay me $8, I'm $2 out of pocket. "Next year it costs me $15 to provide that service and you pay me $10, so I'm even worse off despite you paying me more than you did last year." Insurers say they are spending $61 more per person from last year to this year. This is despite technology and changing clinical practice meaning people have shorter hospital stays. They laid the blame for higher out-of-pocket claims on specialist doctors, whose consultations cannot be covered by health insurers. "Several trends have been dampening demand for private hospital care, including the high cost to see a specialist doctor in the community," Private Healthcare Australia chief executive Rachel David said. "A 7.7 per cent increase year-on-year is a good result for private hospitals that have had a hard time due to the pandemic and inflation." Almost 12.5 million people in Australia have hospital cover, or about 45 in every 100 people. About 15.1 million have general treatment cover. More than 81,000 people signed up for hospital cover in the first three months of 2025, with the largest increase coming from 40-44 year olds. The data from the financial regulator comes after the collapse of major hospital operator Healthscope after lenders voted to stop support for their parent company Brookfield. Healthscope treats 650,000 patients a year and has 19,000 staff across 37 hospitals in the nation. Insurers say they are optimistic the private system won't crumble. "We have a good supply of private hospital services across most parts of the country, so we are confident people with hospital cover will retain access to high-quality services near their homes," Dr David said. The Commonwealth Bank threw Healthscope a $100 million lifeline while fellow lender Westpac pledged to help the company sell to a new owner. Health insurers are spending more but leaving Australians with higher out-of-pocket expenses, sparking scorn from private hospitals. A record $12.3 billion was dished out by private health insurers in the year to March, according to official data released on Friday. But the same data shows the average Australian is paying $470.80 per hospital visit, about $46 more than a year earlier. The average gap for general treatments rose $3 to $61.64 per service. Insurers also covered less for services like accommodation, nursing, medical services and medical devices in the March quarter, compared with the December quarter. Private hospitals - already suffering workforce shortages and rising costs for supplies - say insurers were being unfair to patients by allowing gaps to increase. "Welcome to private health insurance in the modern era, too tricky by half in trying to play people for mugs," Australian Private Health Association chief executive Brent Heffernan said. "If it costs me $10 to provide a service and you pay me $8, I'm $2 out of pocket. "Next year it costs me $15 to provide that service and you pay me $10, so I'm even worse off despite you paying me more than you did last year." Insurers say they are spending $61 more per person from last year to this year. This is despite technology and changing clinical practice meaning people have shorter hospital stays. They laid the blame for higher out-of-pocket claims on specialist doctors, whose consultations cannot be covered by health insurers. "Several trends have been dampening demand for private hospital care, including the high cost to see a specialist doctor in the community," Private Healthcare Australia chief executive Rachel David said. "A 7.7 per cent increase year-on-year is a good result for private hospitals that have had a hard time due to the pandemic and inflation." Almost 12.5 million people in Australia have hospital cover, or about 45 in every 100 people. About 15.1 million have general treatment cover. More than 81,000 people signed up for hospital cover in the first three months of 2025, with the largest increase coming from 40-44 year olds. The data from the financial regulator comes after the collapse of major hospital operator Healthscope after lenders voted to stop support for their parent company Brookfield. Healthscope treats 650,000 patients a year and has 19,000 staff across 37 hospitals in the nation. Insurers say they are optimistic the private system won't crumble. "We have a good supply of private hospital services across most parts of the country, so we are confident people with hospital cover will retain access to high-quality services near their homes," Dr David said. The Commonwealth Bank threw Healthscope a $100 million lifeline while fellow lender Westpac pledged to help the company sell to a new owner. Health insurers are spending more but leaving Australians with higher out-of-pocket expenses, sparking scorn from private hospitals. A record $12.3 billion was dished out by private health insurers in the year to March, according to official data released on Friday. But the same data shows the average Australian is paying $470.80 per hospital visit, about $46 more than a year earlier. The average gap for general treatments rose $3 to $61.64 per service. Insurers also covered less for services like accommodation, nursing, medical services and medical devices in the March quarter, compared with the December quarter. Private hospitals - already suffering workforce shortages and rising costs for supplies - say insurers were being unfair to patients by allowing gaps to increase. "Welcome to private health insurance in the modern era, too tricky by half in trying to play people for mugs," Australian Private Health Association chief executive Brent Heffernan said. "If it costs me $10 to provide a service and you pay me $8, I'm $2 out of pocket. "Next year it costs me $15 to provide that service and you pay me $10, so I'm even worse off despite you paying me more than you did last year." Insurers say they are spending $61 more per person from last year to this year. This is despite technology and changing clinical practice meaning people have shorter hospital stays. They laid the blame for higher out-of-pocket claims on specialist doctors, whose consultations cannot be covered by health insurers. "Several trends have been dampening demand for private hospital care, including the high cost to see a specialist doctor in the community," Private Healthcare Australia chief executive Rachel David said. "A 7.7 per cent increase year-on-year is a good result for private hospitals that have had a hard time due to the pandemic and inflation." Almost 12.5 million people in Australia have hospital cover, or about 45 in every 100 people. About 15.1 million have general treatment cover. More than 81,000 people signed up for hospital cover in the first three months of 2025, with the largest increase coming from 40-44 year olds. The data from the financial regulator comes after the collapse of major hospital operator Healthscope after lenders voted to stop support for their parent company Brookfield. Healthscope treats 650,000 patients a year and has 19,000 staff across 37 hospitals in the nation. Insurers say they are optimistic the private system won't crumble. "We have a good supply of private hospital services across most parts of the country, so we are confident people with hospital cover will retain access to high-quality services near their homes," Dr David said. The Commonwealth Bank threw Healthscope a $100 million lifeline while fellow lender Westpac pledged to help the company sell to a new owner.
Perth Now
2 days ago
- Health
- Perth Now
Insurers accused of 'playing people for mugs'
Health insurers are spending more but leaving Australians with higher out-of-pocket expenses, sparking scorn from private hospitals. A record $12.3 billion was dished out by private health insurers in the year to March, according to official data released on Friday. But the same data shows the average Australian is paying $470.80 per hospital visit, about $46 more than a year earlier. The average gap for general treatments rose $3 to $61.64 per service. Insurers also covered less for services like accommodation, nursing, medical services and medical devices in the March quarter, compared with the December quarter. Private hospitals - already suffering workforce shortages and rising costs for supplies - say insurers were being unfair to patients by allowing gaps to increase. "Welcome to private health insurance in the modern era, too tricky by half in trying to play people for mugs," Australian Private Health Association chief executive Brent Heffernan said. "If it costs me $10 to provide a service and you pay me $8, I'm $2 out of pocket. "Next year it costs me $15 to provide that service and you pay me $10, so I'm even worse off despite you paying me more than you did last year." Insurers say they are spending $61 more per person from last year to this year. This is despite technology and changing clinical practice meaning people have shorter hospital stays. They laid the blame for higher out-of-pocket claims on specialist doctors, whose consultations cannot be covered by health insurers. "Several trends have been dampening demand for private hospital care, including the high cost to see a specialist doctor in the community," Private Healthcare Australia chief executive Rachel David said. "A 7.7 per cent increase year-on-year is a good result for private hospitals that have had a hard time due to the pandemic and inflation." Almost 12.5 million people in Australia have hospital cover, or about 45 in every 100 people. About 15.1 million have general treatment cover. More than 81,000 people signed up for hospital cover in the first three months of 2025, with the largest increase coming from 40-44 year olds. The data from the financial regulator comes after the collapse of major hospital operator Healthscope after lenders voted to stop support for their parent company Brookfield. Healthscope treats 650,000 patients a year and has 19,000 staff across 37 hospitals in the nation. Insurers say they are optimistic the private system won't crumble. "We have a good supply of private hospital services across most parts of the country, so we are confident people with hospital cover will retain access to high-quality services near their homes," Dr David said. The Commonwealth Bank threw Healthscope a $100 million lifeline while fellow lender Westpac pledged to help the company sell to a new owner.
