CompuGroup Medical SE Annual Report 2017 B 01 Essence of 2017 of Essence Contents About us
Essence of 2017 CompuGroup Medical stands for the best possible Key figures 2017 01 Key facts 2017 02 Chairman’s Statement healthcare. We support healthcare through available, 04 Business Segments 12 Key Performance Indicators structured medical data. We facilitate diagnosis and therapy, simplify workflows and enhance the To Our Shareholders €58m €128m €0.63 14 Management Board exchange between all those involved in healthcare. Cash Net Income (€ million) EBITDA (€ million) Earnings per share (€) 15 Report of the Supervisory Board We successfully employ intelligent IT in healthcare – 18 Corporate Governance Statement to provide better and ever more financially sustainable
Combined healthcare in the best interest of all people. Management Report 4,600 19 55 22 The CGM Group Employees Offices Countries 27 Report on Economic Position 36 Annual Financial Statements of CompuGroup Medical SE 38 Net assets of CompuGroup Medical SE Our revenue 2017 38 Report on Expected Developments 7 39 Risk Report 46 Report on Opportunities CompuGroup Medical is a leading global eHealth provider The heart of CGM beats in the Rhineland-Palatinate city of Koblenz. 17 48 Takeover-related Disclosures with office locations in 19 countries. Today we have the trust CGM’s success story started here around 30 years ago. Today, 52 Share Repurchase Programs of customers from Koblenz to Kuala Lumpur, from Kiruna around 750 employees – 16 percent of our global workforce – work 52 Corporate Governance €582m to Cape Town and Lublin to Los Angeles – in 55 countries in the company headquarter on the grounds of the historical Maria worldwide. Our products assist doctors and dentists, hospitals, Trost site. declaration Total revenue 7 52 Remuneration System 1 laboratories, pharmacies and other care providers towards safer and more efficient healthcare. Financial Statements 57 Consolidated Statement of Financial Position 59 Income Statement 60 Consolidated Statement Revenue breakdown by business segments: of Comprehensive Income 61 Changes in Consolidated Equity 2017 Ambulatory Pharmacy 62 Cash Flow Statement Information Systems Information Systems 63 Consolidated Notes 166 Changes in Intangible and Tangible Assets 170 Segment Report €334m €105m 174 Segment Report by Regions Revenue Revenue 176 Statement by the Management Board page 04 page 06 177 Independent Auditor’s Read more on Read more on Report
Additional Information 181 Share Information Hospital Information Health Connectivity 182 Investor Relations Systems Services 183 Financial Calendar 2018 184 Imprint €101m €42m Revenue Revenue
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CGM countries with own locations (physical office) Additional countries with customers, but no CGM location Additional countries with resellers, but no CGM customer or CGM location
Annual Report 2017 CompuGroup Medical SE 02 03 Essence of 2017 of Essence Chairman’s Statement
The healthcare system in our home country This was accompanied by information through self-service. It is natural and obvious new global services like CLICKDOC – Germany has set a target that exceeds systems for hospitals, laboratories, for many people to do travel arrangements, a smart combination of doctors search, Dear any other milestone reached over the last pharmacies, rehabilitation clinics and banking, communication, home automation appointment booking and doctor-to-patient decades: No less than a seamless digital social care institutions. Today, CGM is fully and more through mobile solutions, smart communication. With this service, the CGM network with absolute security to connect committed to serving all of these healthcare apps and intelligent IT. This is also true in LIFE personal health record will no longer the complete healthcare sector is now the providers and organizations. With intelligent the context of healthcare and we believe just be an integrated part of our solutions, shared objective of the progressive forces and effective networking solutions, like consumer engagement will increase but will also become more visible as a stand- Shareholders, of medicine, nursing, pharmacy, politics, the Telematics Infrastructure, we can build significantly in the years to come. alone product. corporations and associations with the and grow internationally on this unique so-called Telematics Infrastructure as the foundation. Our company is the driving To enable people to actively manage their And of course we will continue our approach it is with great pleasure that I present ultimate goal. force that enables healthcare providers to health and that of their families, CGM based on “Software Assisted Medicine” engage in an ever closer dialogue and thus already developed the first innovations (SAM). We firmly believe that SAM, with to you our Annual Report for 2017. The bold statement from this united group: make care more effective and efficient. in digital technology for personal health its data-driven intelligence and patient- Nobody should suffer or die just because records more than ten years ago. It was from centered approach, will be recognized as there was a lack of information. Nobody We have made tremendous progress in the outset a clear goal to reliably tie health- a third pillar of modern care – alongside should wait because better information 2017. In the hospital market, we were related data in the form of a patient-centric MedTech and pharmaceuticals. In our for planning purposes was not available. overwhelmed by the interest shown in our electronic medical record with other medical most recent implementation, the personal Nobody should experience suffering new CGM CLINICAL suite from customers information and place it under the direct medication records in the German state because a medication was known to the in Germany, Austria and Switzerland. Our control of the individual person in order of North Rhine-Westphalia, we have just family doctor, but not in the hospital. innovative approach in this area is based to be able to use all the information at any entered into a second European project And nobody should die because of an on three pillars; placing planning processes time in all relevant processes, but without on the basis of CGM LIFE and our drug illegible prescription. at the center of the solution, informally requiring the person to assure completeness safety solution i:fox. The interim result opening up all sectoral boundaries and, in of information coming from a large number from the first round scientific evaluation Instead, all relevant information should particular, actively involving patients and of heterogeneous provider systems. shows that the use of the CGM LIFE-based be available where it is needed and the relatives in the continuum of care. This medication records not only reduces overall information must be authentic, trustworthy approach is regarded in the market as a Today, CGM LIFE is the only personal health drug prescribing by 14%, but also reduces and reliable. “game-changer” and has been welcomed record that gives consumers complete hazards due to incorrect dosages, drug with open arms. The first CGM CLINICAL technical control over his or her data. interactions and contraindications. We in CGM help to create this future, implementations, where essential core Around one million people in Germany using all our strength and our many years clinical processes have been mapped now rely on products that have CGM LIFE And this is just an inspiring example of of experience. As the first and still only using the CGM CLINICAL suite, were done as an integrated secure information base. how products that integrate CGM LIFE can supplier in Germany we are in a position this year with the first deliveries to the One example is CGM LIFE eServices, which be embedded in daily life and how this to provide all necessary components regional hospitals of the Vorarlberg Hospital enables patients to schedule appointments technology leads to even better care and to doctors, dentists and hospitals to Organization (KHBG) in Austria. Three of with doctors from all disciplines in a even greater patient safety. participate in the Telematics Infrastructure. the five KHBG houses were successfully highly comfortable manner – an example We take responsibility for all the underlying commissioned in the last quarter of 2017 of a functioning digital doctor-patient I would like to thank our employees, our technologies and offer a complete turnkey and all in all, we are clearly on the growth communication with advantages for shareholders and the entire CGM family solution from the on-site installation to the path also in the hospital market. We all concerned. for their extraordinary commitment which daily operation and support in the years already serve more than 1,500 hospital, accompanied us in 2017. I also thank our to come. rehabilitation and social care customers in For CGM LIFE as well as all our solutions customers for their trust. I promise to Europe which makes us among the largest for healthcare providers, privacy and data continue to develop CGM with their needs This fantastic position does not come by European HIS providers overall. security are of paramount importance. All as the guiding principle of our actions. chance, but has its roots in a vision that has of these systems contain highly sensitive determined the direction of our company for In our other segments, we were able to data that we always treat in a commensurate decades. With intelligent software, we help further grow our international presence way. For this reason, we have adopted to preserve health and provide people with in the healthcare sector through the the specifications of the EU General Data Yours sincerely, the best possible care and inclusion in the acquisition of Barista and Advanced Protection Regulation at an early stage and healthcare system. Technology Explained in Belgium, Farmages have implemented this directive carefully in Spain and FabLab in Italy during 2017. and on time in our entire organization and in The original starting point for the digital all our products. transformation in healthcare was in many But the most important part of our evolution Frank Gotthardt ways the primary care level, where vital is still to come: Consumers today are used Based on these many achievements, Chairman, CEO services are provided every day by the to being digitally assisted in their daily we will continue to move forward in 29 March 2018 dedicated team of doctors and dentists lives and to do most of their daily business 2018 and beyond. We are excited about using their ambulatory information systems.
Annual Report 2017 CompuGroup Medical SE 04 05 Essence of 2017 of Essence Business Segments
Ambulatory Information Systems (AIS) Modern information systems for the ambulatory sector
Our integrated practice management software and electronic medical records are packaged into an end-to- end solution that covers all clinical, administrative and financial functions needed to operate a modern care facility. 2 1 2 2 2 0 The solution from CGM creates safe and CGM was one of the first companies to efficient structures for general practitioners, develop a fully integrated online consumer office-based specialists, dentists, service for medical offices worldwide. medical care centers, physician networks, With CGM, doctors and patients are in 77% school healthcare and other ambulatory direct contact with each other – whether Recurring revenue care providers. it is about an appointment request, a prescription renewal, an online consultation Whether it is documentation, prescriptions, or requesting findings. The online services billing or administration – we make sure that not only represent an innovative additional bureaucracy and paperwork disappear and service for patients, they also lower that the most important medical information administrative expenditures. This results 2013 2014 2015 2016 2017 is provided where and when it is needed. in the entire medical office team having more time for what is really important: 57% patient care. Revenue (EUR million) AIS* of Group revenue: AIS
*The numbers are based on our new business segments.
Annual Report 2017 CompuGroup Medical SE 06 07 Essence of 2017 of Essence Business Segments
Pharmacy Information Systems (PCS) Modern information systems for community pharmacies
Pharmacy Information Systems is focused on integrated clinical, administrative and financial software applications for pharmacies. 10 2
The software and related services provide Safe and cost-efficient dispensing to 7 accurate information and decision support patients is ensured through advanced
to manage the complete drug supply drug safety and control functions as well 1 chain from procurement and shipping as decision support tools for generic 68% of drugs through efficient management substitution and cost optimization Recurring revenue and control of inventory all the way to strategies. We also offer in-store and planning, execution and controlling online merchandising programs supported of the retailing function. by paper-based and screen-based communication and advertising solutions. 2013 2014 2015 2016 2017 18% Revenue (EUR million) PCS* of Group revenue: PCS
*The numbers are based on our new business segments.
Annual Report 2017 CompuGroup Medical SE 08 09 Essence of 2017 of Essence Business Segments
Hospital Information Systems (HIS) Modern information systems for secondary care institutions
During a patient’s stay in a hospital, he or she passes through many wards: from admission to in-patient care and medication, from operation to discharge. Our solution guides all management and medical specialists in all tasks and creates efficient structures and social care institutions. 10 10 101
Our hospital information system facilitates patient administration, resource and personnel management, medical documentation and billing programs in 61% addition to a number of clinical applications Recurring revenue aimed at various specialized departments and laboratories.
As a full service provider, CGM pursues an integrated care approach and provides customized solutions for practically all 2013 2014 2015 2016 2017 aspects of administration, planning and care delivery in secondary care institutions. 17% Revenue (EUR million) HIS* of Group revenue: HIS
*The numbers are based on our new business segments.
Annual Report 2017 CompuGroup Medical SE 10 11 Essence of 2017 of Essence Business Segments
Health Connectivity Services (HCS) Key to success: Information and knowledge at the decisive moment
With HCS services, we help doctors to identify specific patient groups (for example with rare or special diseases) and to provide treatment-relevant information – such as a vaccination reminder – exactly at the right time. This can make sustainable and long- term improvements in healthcare. 2 2 2 7
Our connectivity services are based on ERP system, all processes are linked to the earlier – and he receives it precisely at the the intelligence of modern software and pharmacy software. moment the patient is sitting in front of him. databases. All processes within a practice Together with physicians and payers, we and in the doctor-patient interaction Our Software Assisted Medicine (SAM) links create many ground-breaking innovations, are accompanied by the Ambulatory physicians, patients and payers and assists helpful programs and direct interfaces in our Information System and the integrated in the implementation of crucial initiatives SAM projects. HCS services. The situation is similar in the into practice. The physician receives pharmacy – from the sales counter to the information about signs of a rare disease
2013 2014 2015 2016 2017 7% Revenue (EUR million) HCS* of Group revenue: HCS
*The numbers are based on our new business segments.
Annual Report 2017 CompuGroup Medical SE 12 13 Essence of 2017 of Essence Key Performance Indicators
Measuring our performance
KPI #1 KPI #2 KPI #3 KPI #4 KPI #5 KPI #6 Sales Organic Recurring EBITDA Cash Net Return on revenue growth revenue Income Capital
Target 2017 Target 2017 Target 2017 Target 2017 Target 2017 Target 2017 –– €600 – 630 million –– 6% – 11% –– €395 million –– €138 – 150 million –– €85 – 93 million –– 10.5% – 11.8%
Performance Performance Performance Performance Performance Performance The reported revenue in 2017 is below The lower than expected organic growth The slightly lower than expected The lower than expected EBITDA in 2017 Changes in currency exchange rates Operating profit (EBIT) grew more the target range, reflecting mainly the in 2017 has the same underlying cause as recurring revenue in 2017 is caused by has the same underlying cause as the lead to non-cash translation losses on than invested capital in 2017. later start and lower than expected the overall revenue development. changes to currency exchange rates overall revenue development. Group internal debt booked as financial revenue from the roll-out of the which lowered reported revenue from expense. Telematics Infrastructure in Germany. Group companies outside the EURO zone.
Outcome Outcome Outcome Outcome Outcome Outcome €582m 2.8% €393m €128m €58m 9.8%