Buy Healthcare Locums - argues Rob Cullum, editor of TrendWatch

One key principle that underlies the TrendWatch investment strategy is that we normally only ever recommend shares that have just started a new uptrend. For the first time since the global credit crisis blew up, weve been forced to research more mature uptrends to find shares that satisfy our high standards. Fortunately, weve found a good un.

It wont be news to many investors that healthcare staffing in the UK is big business, but its quite an eye-opener nevertheless to be reminded just how big. The most recent figures available indicate that the staffing market was on course for an annual total of 5 billion.

Apart from the sheer size of the NHS, a number of factors contribute towards this huge figure: the desire for more flexible working conditions by staff, past failures to invest in the training of a sufficient number of specialist staff, the implementation of the Working Time Directive. But lying behind all of these are the demands of an ageing population, medical advances and also the fact that the vast sums sucked into administration actually seem to boost the need for external support, rather than the reverse.

The NHS accounts for around 45% of the total spend, but with another figure of 45% emanating from the provision of homecare staff. Demand for recruitment services provided by private-enterprise intermediaries such as Healthcare Locums is unlikely to be threatened by superbly organised and far-sighted direct recruitment policies of the client organisations such as the NHS, if you catch our drift.

Healthcare Locums, now four years old, is a group supplying specialist healthcare professionals to both the NHS and the private healthcare sector.

Its ruling ethos is the focus on higher-margin, longer-term specialist staff such as doctors, social workers and allied health professionals (AHPs), rather than the placement of nurses, for example. Working from two call-centres the group avoids the requirement for a costly high-street presence. The admission document argued that being able to supply staff nationwide without a local branch network enabled higher margins still.

This ethos means that, whilst it has lower volumes, there is a higher average transaction value and, in general, placements are longer term. Demand is not as immediate; and the overheads to service this market are therefore lower. It has an expanding database of registered locums across all specialties. Nearly half of these placed by the company at the time of its original flotation were from overseas; and the company had established an international recruitment division with 23 international partners across Europe, the Middle East, Australia, South Africa, New Zealand, the USA and Canada. This is a two-way trade placement outside the UK is a growing area of business.


On flotation, it comprised four discrete significant entities, brought together through acquisition.

the decade-old Thames Medics, a specialist in providing GPs, doctors and psychiatrists to the NHS and private hospitals. This was followed by
Eurosite Medical, a provider of AHPs to the same client groups. Then came
Medical Technical, a specialist in support staff (plaster technicians, sterile services technicians, phlebotomists and the like). This added scale, and also reach, enabling the group to access the supply of operating theatre technicians. Finally
Recruitment Specialist Group extended coverage to qualified social workers.
In November 2005 the company raised 13m at 55p. Six months into public life, it bought BBL for a total consideration of 10.5m, with 5.0m immediately payable in cash (financed by banking facilities) and a further 3m to be satisfied at completion by the issue of ordinary shares. 75% of BBL's income came from recruitment of hospital doctors; most of the rest came from recruitment of GPs.

After almost exactly a year as a public company, it raised 16m in the market at the same 55p price to acquire Blue Group, one of the leading qualified social-work agencies in the UK, for a maximum of 14m - with 10m payable in cash on completion. Blue Group's turnover in 2006 was 36m, and it was reckoned to have 15% of the market in Qualified Social Work (QSW) agencies. The acquisition was a three-way fit: First, Blue also had no branch network; the plan was to integrate the call centres. Second, the back-office integration was expected save 1m a year, starting in 2007. Third, it would help Healthcare Locums' intent of achieving a 33% split between its three core markets - AHPs, doctors and QSWs.

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This history makes the most recent figures for the 100m company irrelevant but the forecasts compelling (see table below).

2006 2007 2008*
Revenue (m) 64.63 144.1 169.50
Pre-tax profit (m) 1.08 12.40 16.90
Earnings per share (p) 7.10 9.00 12.30
Dividend per share (p) - 1.50 2.60

*Forecast
The main figure of interest in the 2006 accounts was the 16% organic growth. But the picture was clouded because it coincided with another substantial acquisition, JCT Locums, for 5.5m cash.

Current trading is robust and in line with management expectations, with one of the key drivers still being that of organic growth. The company is now market leader in each those three specialist divisions (AHPs, doctors and QSWs), and is very close to delivering the one-third income split targeted by the board. It says it will now cease strategic acquisitions so as to concentrate on integration.

The chief executive and 10% shareholder is Kate Bleasdale, a former nurse (ironic, given that her company avoids the nursing recruitment market). More importantly, however, shes a first-class businesswomen with a distinguished entrepreneurial history, and (by way of a footnote) a record-holder for the award of 2.2m damages when she sued her previous company for sex discrimination.

Performance to date has been dazzling; but it we should recognise that, with 13 acquisitions all told, this has, in a sense, been the easy bit. And with debt now running at 34m, up to nearly 6m to be paid out by way of deferred consideration and 67% of sales emanating from the NHS, the company may be a bit boxed-in.

Nevertheless, heading for earnings per share of 9p this year and 12.3p next works out to 12 times earnings in immediate prospect, falling to about 8.5 next year. These numbers leave plenty of medium-term price headroom. BUY

CREDIT SUISSE increase to 7.44% +

interestiing company this cant get my head around it.

surely if call me dave and Giddeon (rich george) are going to go for cuts in the NHS wont locums be making a bundle??????????????????????????????????????.

yOUR THOUGHTS HARRY AND SKINNERS PLEASE.

My take is that cuts means cuts, not lay off permanents & take on temps. So front line staff will continue to be employed but other services will be reviewed. Apparently you can get tattoos removed on the NHS is you know how to go about it. Also fertility treatment, obesity treatment and lots of other non-essential services will be trimmed down to only the most deserving, pushing many in to private treament clinics. Other countries also bring in revenue for HLO, so the NHS cut-backs should be mitigated by foreign revenue, imo.

CREDIT SUISSE increase again.

Unfortunately the trend is still down on the graph.

Unfortunately I vist my GP at frequent intervals and all I ever see is locums and a different one each time, I don't know if they are HLO, but somebody must be making some profit. As Harry says the graph is still down. SD

Looks a bit like the south face of the Eiger! Support at............100p? 80p?

80p I think... NHS is cutting locums drastically.

We are about to find out if 100p provides support. Currently 102p.

Looks like 80p next stop.

I'm waiting for 80p.

This lot just taken a 10% holding.

Sub 100p.

Statement re Press Speculation
TIDMHLO

RNS Number : 7017W

Healthcare Locums PLC

24 November 2010

24 November 2010

Healthcare Locums plc ("HCL" or "the Company")

Statement Regarding Press Speculation

Further to recent press speculation, HCL can confirm that it is in exclusive discussions with Healthcare Australia Holdings Pty Ltd which may or may not lead to a significant acquisition being made by the Company.

As stated in the interim results announcement on 27 September 2010, the Board will continue to look for strategic acquisitions provided that they demonstrably add value to shareholders, will enhance earnings per share, and will deliver further international presence in the global healthcare staffing marketplace.

The Directors currently expect that any potential acquisition would be funded by debt finance. A further announcement will be made in due course.

Acquisition of Healthcare Australia Holdings
TIDMHLO

RNS Number : 8756W

Healthcare Locums PLC

26 November 2010

26 November 2010

Healthcare Locums plc

Acquisition of Healthcare Australia Holdings Pty Ltd

The Board of Healthcare Locums plc ("HCL" or "the Company"), announces that the Company entered into an agreement on 26 November 2010 to acquire the entire issued and to be issued share capital of Healthcare Australia Holdings Pty Ltd ("HCA") from certain CHAMP Private Equity funds and a small number of private individuals, for a total consideration of AU$122.5m (approximately GBP75.2m) payable in cash on completion. The agreement is subject to certain conditions precedent, including finalisation of the debt financing for the acquisition. The consideration payable will be satisfied from new debt facilities and HCA is being acquired on a free of cash and free of debt basis.

The Board has recently stated its intention to pursue international acquisitions which will generate additional revenue outside of the UK. Currently HCL derives less than 50 per cent of its gross margin for the overall business from the NHS. The completion of this acquisition will broaden the HCL customer base outside of the UK and diversify the client base even further.

HCA was established in 2004 and is a leading provider of nursing agency staff to public and private health institutions in Australia. HCA has grown rapidly by acquisition in recent years and is today the largest national nursing agency in Australia, with a database of over 6,500 active nurses, which represents over 30% of the total nursing agency staff in Australia. The nursing agency market in Australia is highly fragmented and is estimated to be around AU$1bn in size.

Sadly, the market is underwhelmed at the news. Looks to be holding sub 100p.

Investors champion says disaster is waiting to happen here.

For what reason?

Go and read it in Investors Champion.

What is Inv Ch. Website, mag, paper? Try being a bit more helpful.