Smith & Nephew plc Announces 3rd Quarter Results


LONDON, UK, Nov. 4, 2004 (PRIMEZONE) -- Smith & Nephew - Strong Third Quarter

4 November 2004

Smith & Nephew plc (LSE:SN) (NYSE:SNN), the global medical technology business, today announces its results for the third quarter ended 2 October 2004.

Q3 Highlights



 -  Group sales up 12%
 -  Orthopaedics global sales up 19% - US sales up 23%
 -  Endoscopy momentum sustained - sales up 8%
 -  Wound Management - sales up 6% as US works through product switch
 -  Operating margins improve to 19.4%
 -  Earnings per share up 15% to 4.99p

All sales increases given above are underlying which excludes the effects of currency translation and the acquisition of Midland Medical Technologies ("MMT").

Earnings per share are stated before goodwill amortisation and exceptional items.

Commenting on the quarter's results and the outlook for the year, Sir Christopher O'Donnell, Chief Executive, said:

"Our sales growth stepped up in the third quarter. Orthopaedics sales growth was particularly strong in the US where we continue to take market share. Our Endoscopy and Advanced Wound Management divisions both improved their growth rates. We are on track to meet our underlying mid-teens EPSA growth target this year."

A conference call for analysts to discuss the company's third quarter results will be held at 1.30pm GMT/8.30am EST today. This will be broadcast live on the web and will be available on demand shortly following the close of the conference call at http://www.smith-nephew.com/Q304. If interested parties are unable to connect to the web, a listen-only service is available by calling 020 8974 7900 in the UK or 1 866 804 8688 in the US and entering the passcode C869752.

Analysts should contact Julie Allen on +44 (0) 20 7401 7646 or via email at julie.allen@smith-nephew.com for conference call details.

Third Quarter Results

Third quarter performance saw group sales return to double digit underlying growth of 12%, making 11% for the year to date, and margins improve to 19.4% from 17.6% in the same quarter last year. Reported sales in the third quarter were reduced by 8% due to translational currency and benefited by 2% from the acquisition of Midland Medical Technologies ('MMT'), resulting in reported growth of 6%.

Profit before goodwill amortisation, exceptional items and tax was GBP66m, a 15% increase over the third quarter last year. Adjusted earnings per share before goodwill amortisation and exceptional items for the quarter were 4.99p, an increase of 15% compared to the same quarter last year.

In order to provide a consistent measure of sales growth, references in the following business review refer to underlying sales. Underlying sales excludes the effects of currency translation, the acquisition of MMT and, in the 9 months results, the effect of extra sales days in the first quarter.

Orthopaedics

Orthopaedics gained market share in the third quarter, especially in hips and knees in the US. Overall sales growth was 19%, comprising 23% in the US and 10% outside the US.

In reconstruction, knee sales increased by 22% (25% in the US and 16% outside the US) and hip sales by 15% (14% in the US and 17% outside the US). Sales growth has been driven by continuing strong market conditions, particularly in the US, the expansion of our sales force and acceptance of our Minimal Incision Surgery ('MIS') procedures. Sales of the MMT hip resurfacing product, which was acquired in March this year and is sold in Europe and Australia, added 5% to Orthopaedic sales in the quarter. Sales pricing in reconstruction and trauma increased by approximately 3% in the US.

Trauma sales benefited from the substantial investment in the dedicated US sales force achieving a sales increase of 13%, (18% in the US and 5% outside the US). Clinical Therapy sales also benefited from increased sales force investment in the quarter, growing by an outstanding 49% compared with the same quarter last year.

The number of revisions of the macrotextured knee product withdrawn from the market in August 2003 was 640 as of 29 October, 22% of the total implanted. We have reached mutually satisfactory settlements with more than half the patients revised and continue to believe the withdrawal of this product remains manageable.

Endoscopy

The Endoscopy division sustained its momentum, achieving 8% sales growth in the quarter, 6% in the US and 10% outside the US.

The new progressive scan camera system increased visualisation sales by 23% in the quarter. Repair product sales grew by 13%, led by shoulder fixation. Radio frequency products were impacted by the injunction on US sales in the ongoing patent dispute with a competitor, and declined by 6%. The re-use of blades does not appear to be increasing and blade sales grew by 1%.

Advanced Wound Management

The Advanced Wound Management division generated underlying sales growth of 6%, both inside and outside the US. This improvement in growth in the US reflects the reducing impact of the switch in enzyme debrider products. Sales growth, in the US, excluding enzyme debriders was 15%. Outside the US, healthcare reforms in Europe, particularly Germany, adversely impacted growth in the quarter.

ACTICOAT() antimicrobial dressings again made substantial progress with sales growing by 40%, and ALLEVYN() dressings and DERMAGRAFT() dermal replacement also saw good sales growth of 10% and 19% respectively.

9 Months Results

Underlying sales growth in the 9 months to date was 11%. Reported sales benefited by 1% from extra sales days in the first quarter and 2% from the acquisition of MMT in March, but adverse translational currency reduced reported sales by 8%. Reported group sales were consequently up 6% to GBP916m.

Profit before goodwill amortisation, exceptional items and tax was GBP195m, a 15% increase over the same 9 months of 2003. The operating profit margin before exceptional items improved to 19.2% from 17.8%. Profit before taxation and after goodwill amortisation and exceptional items increased by 10% to GBP180m.

After a tax charge of 29%, adjusted earnings per share before goodwill amortisation and exceptional items were 14.81p (74.05p per ADS) for the 9 months, an increase of 14% compared to the same period last year. Basic unadjusted earnings per share were 13.18p (65.90p per ADS).

Operating cash flow was GBP80m, which is an operating profit to cash conversion ratio of 46%, before rationalisation and integration expenditure of GBP2m, compared to 76% last year. This reflects the build-up of inventory and instruments at Orthopaedics to fuel its increased growth, together with insurance receivables in respect of settled macrotextured claims. The Group's net debt of GBP162m, includes GBP69m of acquisition cost for MMT.

Had our 9 months results been reported in US dollars translated at average rates of exchange ($1.82 in 2004, $1.61 in 2003), reported group sales and earnings per ADS before goodwill amortisation and exceptional items would have been as follows:



 Reported Group Sales             $1.7bn             +19%
 Earnings per ADS                 $1.35              +29%

International Financial Reporting Standards

International Financial Reporting Standards ("IFRS") will apply from 2005 onwards. Smith & Nephew will give a webcast presentation and teleconference on 17 November on the application of IFRS and will provide pro-forma statements, on a quarterly basis, for 2003 and 2004 together with EBITA, PBTA and EPSA information under IFRS. Our preliminary results for 2004, will also include a quantification of the application of IFRS on those results.

Outlook

In the last quarter we expect to deliver strong growth, capitalising on our recent investment in sales forces and new products. Market fundamentals continue to be favourable. We expect both Orthopaedics and Endoscopy to benefit from a seasonally stronger last quarter.

We have strong momentum going into 2005, which should see us achieving high teens sales growth at Orthopaedics and high single digit growth at Endoscopy and Wound Management next year. We also plan further margin improvements. We are thus well placed to sustain our underlying mid-teens EPSA growth target from this year into next.

About us

Smith & Nephew is a global medical technology business, specialising in Orthopaedics, Endoscopy and Advanced Wound Management products. Smith & Nephew leads the world in arthroscopy and advanced wound management and is one of the fastest growing global orthopaedics companies.

Smith & Nephew is dedicated to helping improve people's lives. The company prides itself on the strength of its relationships with its surgeons and professional healthcare customers, with whom its name is synonymous with high standards of performance, innovation and trust. The company has over 8,000 employees and operates in 32 countries around the world generating annual sales of nearly GBP1.2 billion.

Forward-Looking Statements

This press release contains certain "forward-looking statements" within the meaning of the US Private Securities Litigation Reform Act of 1995. In particular, statements regarding planned growth in our business and in our operating margins discussed under "Outlook" are forward-looking statements. These statements, as well as the phrases "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions, are generally intended to identify forward-looking statements. Such forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause the actual results, performance or achievements of Smith & Nephew, or industry results, to differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. Please refer to the documents that Smith & Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith & Nephew's most recent annual report on Form 20F, for a discussion of certain of these factors.

All forward-looking statements in this press release are based on information available to Smith & Nephew as of the date hereof. All written or oral forward-looking statements attributable to Smith & Nephew or any person acting on behalf of Smith & Nephew are expressly qualified in their entirety by the foregoing. Smith & Nephew does not undertake any obligation to update or revise any forward-looking statement contained herein to reflect any change in Smith & Nephew's expectation with regard thereto or any change in events, conditions or circumstances on which any such statement is based.

() Trademark of Smith & Nephew. Certain names registered at the US Patent and Trademark Office.



            Unaudited Group Profit and Loss Account
         For the 3 Months and 9 Months to 2 October 2004

 3 Months  3 Months                            9 Months      9 Months
    2003       2004                   Notes        2004          2003
    GBPm       GBPm                                GBPm          GBPm

   330.2      349.0    Turnover                 1,040.3         988.5
                       including
                       share of
                       joint venture
  (41.3)     (41.9)    Share of                 (124.0)       (122.3)
                       joint venture
   _____      _____                                _____        _____

   288.9      307.1    Group              1       916.3         866.2
                       turnover from
                       continuing
                       operations
  (86.4)     (81.1)    Cost of sales            (246.4)       (258.6)
 (135.0)    (149.7)    Selling,                 (445.0)       (405.1)
                       general and
                       administrative
                       expenses
  (16.6)     (16.8)    Research and              (49.4)        (48.5)
                       development
                       expenses
   _____      _____                                _____        _____

    50.9       59.5    Operating                  175.5         154.0
                       profit before
                       goodwill
                       amortisation
                       and
                       exceptional
                       items
   (4.6)      (5.5)    Goodwill                  (15.3)        (14.0)
                       amortisation *
  (17.6)          -    Exceptional        2           -        (21.9)
                       items *
   _____      _____                                _____        _____

    28.7       54.0    Group              1       160.2         118.1
                       operating
                       profit from
                       continuing
                       operations
     6.6        6.2    Share of                    17.5          16.5
                       operating
                       profit of the
                       joint venture
                       before
                       exceptional
                       items
   (1.2)          -    Share of           4           -         (1.8)
                       joint venture
                       exceptional
                       items *
  ______      _____                               ______        _____
    34.1       60.2                               177.7         132.8
     1.4          -    Share of                       -           4.8
                       operating
                       profit of
                       associated
                       undertaking
    31.5          -    Net profit         3           -          31.5
                       on disposal
                       of associated
                       undertaking *
   _____      _____                                _____        _____

    67.0       60.2    Profit on                  177.7         169.1
                       ordinary
                       activities
                       before
                       interest
   (1.7)        0.1    Interest           5         2.0         (5.7)
   _____      _____                                _____        _____
    65.3       60.3    Profit on                  179.7         163.4
                       ordinary
                       activities
                       before
                       taxation
  (30.7)      (19.0)   Taxation           6      (56.5)        (61.6)
   _____      _____                                _____        _____
    34.6       41.3    Attributable                123.2        101.8
                       profit
       -           -   Ordinary           7      (17.8)        (17.2)
                       dividends
   _____      _____                                _____        _____
    34.6       41.3    Retained                   105.4          84.6
                       profit
   _____      _____                                _____        _____
   3.72p      4.41p    Basic              8      13.18p        10.95p
                       earnings per
                       ordinary
                       share
   3.70p      4.40p    Diluted            8      13.11p        10.89p
                       earnings per
                       ordinary
                       share
                       *Results
                       before
                       goodwill
                       amortisation
                       and
                       exceptional
                       items

  GBP57.2m  GBP65.8m   Profit before      9     GBP195.0m   GBP169.6m
                       taxation
   4.35p      4.99p    Adjusted           9      14.81p        12.94p
                       basic
                       earnings per
                       ordinary
                       share
   4.33p      4.98p    Adjusted           9      14.73p        12.87p
                       diluted
                       earnings per
                       ordinary
                       share




    Unaudited Abridged Group Balance Sheet as at 2 October 2004

                                        2 October     27 September
                                             2004             2003
                                             GBPm             GBPm

     Intangible assets                      343.3            289.6
     Tangible assets                        277.8            260.8
     Investment in joint venture A          125.2            123.3
     Investments                              5.3              4.8
                                            _____            _____
                                            751.6            678.5
                                            _____            _____
     Stock                                  291.6            242.3
     Debtors                                334.2            295.3
     Cash                                    39.3             43.4
     Creditors                            (352.3)          (286.7)
                                            _____            _____
                                            312.8            294.3
     Borrowings                           (216.9)          (276.5)
     Provisions
     - deferred tax                        (69.7)           (51.6)
     - other                               (25.4)           (27.9)
                                            _____            _____
     Shareholders' funds                    752.4            616.8
                                            _____            _____



 A  Investment in joint venture comprises goodwill GBP69.9 million,
    share of gross assets GBP119.2 million less share of gross
    liabilities GBP63.9 million.



          Unaudited Abridged Movement in Shareholders' Funds
                For the 9 Months to 2 October 2004

                                                9 months     9 months
                                                    2004         2003
                                                    GBPm         GBPm

  Opening shareholders' funds as at 1              640.8        516.9
  January
  Attributable profit B                            123.2        101.8
  Dividends                                       (17.8)       (17.2)
  Exchange adjustments B                             1.8          1.2
  Goodwill on disposals                                -          8.2
  Share based expense recognised in the              1.4          1.2
  profit and loss account
  Cost of own shares purchased                     (2.4)            -
  Issues of shares                                   5.4          4.7
                                                   _____        _____
  Closing shareholders' funds                      752.4        616.8
                                                   _____        _____



 B  These items are the only components of the statement of total
    recognised gains and losses.



         Unaudited Abridged Group Cash Flow to 2 October 2004

   3 Months     3 Months                        9 Months     9 Months
       2003         2004                            2004         2003
       GBPm         GBPm                            GBPm         GBPm

       28.7         54.0    Operating profit       160.2        118.1
       20.2         20.6    Depreciation and        58.4         57.4
                            amortisation
       19.9        (15.7)   Working capital       (71.2)       (40.4)
                            and provisions
      _____        _____                           _____        _____
       68.8         58.9    Net cash inflow        147.4        135.1
                            from operating
                            activities C
     (15.0)       (24.1)    Capital               (67.9)       (44.2)
                            expenditure and
                            financial
                            investment
      _____        ______                          _____        _____
       53.8         34.8    Operating cash          79.5         90.9
                            flow
          -            -    Joint venture            5.9          2.7
                            dividend
      (1.2)          0.5    Interest                 3.0        (3.8)
     (12.5)        (9.2)    Taxation              (24.9)       (35.8)
     (17.2)            -    Dividends             (28.9)       (45.1)
      (0.3)        (0.9)    Acquisitions          (77.8)        (3.9)
       52.4            -    Disposals                  -         52.4
          -            -    Own shares             (2.4)            -
                            purchased
        2.4          1.2    Issue of shares          5.4          4.7
      _____        _____                           _____        _____
       77.4         26.4    Net cash flow         (40.2)         62.1
        0.3       (15.0)    Exchange                 5.7          4.0
                            adjustments
    (288.5)       (173.0)   Opening net          (127.1)      (276.9)
                            borrowings
      _____        _____                           _____        _____
    (210.8)      (161.6)    Closing net          (161.6)      (210.8)
                            borrowings
      _____        _____                           _____        _____
                            Gearing                  21%          34%



 C  After GBP2.0 million of outgoings on rationalisation, acquisition
    integration and divestment costs in the 9 months (2003 - GBP8.3
    million) and in 2003 GBP17.6 million on Centerpulse transaction
    costs.

Net borrowings includes GBP16.0 million of net currency swap assets (2003 - GBP22.3 million net currency swap assets).



            NOTES TO THE 2004 QUARTER THREE RESULTS


 1. Segmental performance to 2 October 2004 was as follows:

     3       3                        9      9     Underlying growth
 Months Months                   Months Months         in sales
   2003   2004                     2004   2003             %
   GBPm   GBPm                     GBPm   GBPm
                                                  3 months   9 months
                   Group
                   turnover by
                   business
                   segment
  126.5   144.5    Orthopaedics   431.8  386.5          19         17
   72.2    72.0    Endoscopy      222.1  221.0           8          8
   90.2    90.6    Advanced       262.4  258.7           6          5
                   Wound
                   Management
   _____   ____                   _____  _____       _____      _____

  288.9   307.1                   916.3  866.2          12         11
   _____  _____                   _____  _____       _____      _____

                   Group
                   operating
                   profit by
                   business
                   segment
   25.4    32.3    Orthopaedics  98.4      83.8
   13.1    13.1    Endoscopy     41.7      41.0
   12.4    14.1    Advanced      35.4      29.2
                   Wound
                   Management
   _____  _____                  _____    _____

    50.9   59.5                   175.5   154.0
   (4.6)  (5.5)    Goodwill      (15.3)  (14.0)
                   amortisation
  (17.6)      -    Exceptional      -    (21.9)
                   items
   _____  _____                   _____   _____

    28.7   54.0                   160.2   118.1
   _____  _____                   _____   _____

                   Group
                   turnover by
                   geographic
                   market
  88.0     97.5    Europe D       301.1   270.0           7          8
  146.6   151.4    United         448.2   442.1          15         13
                   States
  54.3     58.2    Africa,        167.0   154.1          11         11
                   Asia,
                   Australasia
                   & other
                   America
   _____  _____                   _____   _____       _____      _____

  288.9   307.1                   916.3   866.2          12         11
   _____  _____                   _____   _____       _____      _____


 D  Includes United Kingdom 9 month sales of GBP94.8 million (2003 -
    GBP71.0 million) and 3 month sales of GBP32.9 million (2003 -
    GBP24.8 million).

Underlying sales growth is calculated by eliminating the effects of translational currency, acquisition of MMT and extra sales days. Reported growth in sales by business segment reconciles to underlying growth in sales for the 9 months and three months is as follows:



            Reported      Foreign  Acquisitions   Sales    Underlying
              growth     currency        effect    days     growth in
                  in  translation                effect         sales
               sales       effect
                   %            %             %       %             %

  9 Months
  Orthopaedics    12           10           (4)     (1)            17
  Endoscopy        -            9             -     (1)             8
  Advanced         1            5             -     (1)             5
  Wound
  Management
               _____        _____         _____     _____       _____

                   6            8           (2)     (1)            11
               _____        _____         _____     _____       _____

  3 Months
  Orthopaedics    14           10           (5)       -            19
  Endoscopy        -            8             -       -             8
  Advanced         -            6             -       -             6
  Wound
  Management
               _____        _____         _____     _____       _____

                   6            8           (2)       -            12
               _____        _____         _____     _____       _____



 2. Operating exceptional items in 2003 comprised GBP17.6 million of
    costs, net of a break fee of GBP10.8 million, written off as a
    consequence of the unsuccessful public offers to purchase
    Centerpulse AG and Incentive Capital AG and GBP4.3 million of
    acquisition integration costs.

 3. On 12 September 2003, the associated undertaking in AbilityOne was
    disposed of to Patterson Dental Inc. for GBP52.4 million cash. The
    net profit on disposal of GBP31.5 million was stated after
    deducting GBP8.2 million of acquisition goodwill previously set-
    off against reserves and GBP1.1 million of adjustments in respect
    of previous disposals.

 4. The group's share of exceptional items of the joint venture in
    2003 related to manufacturing rationalisation costs of BSN
    Medical.

 5. Interest receivable for the 9 months is after charging GBP1.0
    million (2003 - GBP1.2 million) in respect of the group's share of
    the net interest of BSN Medical and in 2003 GBP0.7 million in
    respect of the group's share of the net interest of AbilityOne.

 6. Taxation on the profit before goodwill amortisation and
    exceptional items, is at the full year estimated effective rate of
    29% (2003 - 29%). For the 9 months GBP5.1 million (2003 - GBP4.8
    million) arises in BSN Medical and in 2003 GBP1.3 million arose in
    AbilityOne and a tax charge of GBP12.3 million arose as a
    consequence of the net exceptional items.

 7. An interim dividend of 1.90 pence per ordinary share (2003 - 1.85
    pence per ordinary share) was declared on 5 August 2004 and will
    be paid on 12 November 2004 to all shareholders on the register at
    the close of business on 22 October 2004.

 8. The basic average number of ordinary shares in issue was 935
    million (2003 - 929 million). The diluted average number of
    ordinary shares in issue was 940 million (2003 - 935 million).

 9. Profit before taxation, goodwill amortisation and exceptional
    items and adjusted earnings per ordinary share are calculated as
    follows:

   3 Months     3 Months                        9 Months     9 Months
       2003         2004                            2004         2003
       GBPm         GBPm                            GBPm         GBPm

       65.3         60.3    Profit on              179.7        163.4
                            ordinary
                            activities before
                            taxation
                            Adjustments:
        4.6          5.5    Goodwill                15.3         14.0
                            amortisation
       17.6            -    Exceptional items          -         21.9

     (31.5)            -    Net profit on              -       (31.5)
                            disposal of
                            associated
                            undertaking
        1.2            -    Share of joint             -          1.8
                            venture
                            exceptional items
      _____         _____                          _____        _____
       57.2         65.8    Profit before          195.0        169.6
                            taxation,
                            goodwill
                            amortisation and
                            exceptional items

     (16.7)       (19.0)    Tax on profit         (56.5)       (49.3)
                            before goodwill
                            amortisation and
                            exceptional items
      _____         _____                          _____        _____
       40.5          46.8   Earnings before        138.5        120.3
                            goodwill
                            amortisation and
                            exceptional items
      _____        _____                           _____        _____
      4.35p        4.99p    Adjusted basic        14.81p       12.94p
                            earnings per
                            ordinary share
      4.33p        4.98p    Adjusted diluted      14.73p       12.87p
                            earnings per
                            ordinary share


 10. The quarter three financial information has been prepared on the
     basis of the accounting policies set out in the full annual
     accounts of the group for the year ended 31 December 2003.



         Independent Review Report to Smith & Nephew plc

Introduction

We have been instructed by the company to review the financial information for the three months and nine months ended 2 October 2004 which comprises the Group Profit and Loss Account, Abridged Group Balance Sheet, Abridged Movement in Shareholders' Funds, Abridged Group Cash Flow Statement and the related notes 1 to 10. We have read the other information contained in the interim report for quarter three and considered whether it contains any apparent misstatements or material inconsistencies with the financial information.

This report is made solely to the company in accordance with guidance contained in Bulletin 1999/4 'Review of interim financial information' issued by the Auditing Practices Board. To the fullest extent permitted by the law, we do not accept or assume responsibility to anyone other than the company, for our work, for this report, or for the conclusions we have formed.

Directors' Responsibilities

The interim report for quarter three, including the financial information contained therein, is the responsibility of and, has been approved by the directors. The directors are responsible for preparing the interim report for quarter three in accordance with the Listing Rules of the Financial Services Authority which require that the accounting policies and presentation applied to the interim report results should be consistent with those applied in preparing the preceding annual accounts except where any changes, and the reasons for them, are disclosed.

Review Work Performed

We conducted our review in accordance with guidance contained in Bulletin 1999/4 'Review of interim financial information' issued by the Auditing Practices Board for use in the United Kingdom. A review consists principally of making enquires of group management and applying analytical procedures to the financial information and underlying financial data, and based thereon, assessing whether the accounting policies and presentation have been consistently applied, unless otherwise disclosed. A review excludes audit procedures such as tests of controls and verification of assets, liabilities and transactions. It is substantially less in scope than an audit performed in accordance with United Kingdom Auditing Standards and therefore provides a lower level of assurance than an audit. Accordingly we do not express an audit opinion on the financial information.

Review Conclusion

On the basis of our review we are not aware of any material modifications that should be made to the financial information as presented for the three months and nine months ended 2 October 2004.



 Ernst & Young LLP
 London                                           3 November 2004



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