South African healthcare provider Mediclinic International, which owns Abu Dhabi's Al Noor Hospitals, has revised down its Middle East revenue growth forecast to a single-digit for the 2019 financial year due to a slower first half.
The company’s Middle East revenues jumped about 5 per cent to Dh1.5 billion on the back of “the characteristically quieter” first half of the financial year 2019, which ends in March next year, it said in a statement to the London Stock Exchange, where its shares are listed.
Adjusted earnings before interest, tax, depreciation and amortization (Ebitda) margin rose to 9.5 per cent in the first half of the current financial year, it added. The company had reported the Ebitda margin of 8.5 in first six months of the financial year 2018.
"Trading in the first half of the year experienced the customary seasonality in …. the Middle East. We delivered a gradual improvement in revenue and margin expansion ahead of the anticipated stronger growth in the second half of the year,” Ronnie van der Merwe, chief executive of Mediclinic said.
“In the Middle East, full year Ebitda delivery remains on track with revenue growth lower than previously expected.”
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Read more:
Mediclinic forecasts double-digit revenue growth for Middle East unit in 2019
Exclusive: Abu Dhabi’s VPS Healthcare in IPO talks, eyeing London listing
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Healthcare providers such as Mediclinic are expanding in the broader Middle East, especially in the six member Arabian Gulf region as governments of the energy-rich states increase spending on healthcare. The GCC expenditure on health care is forecast to rise to $104.6bn in 2022 from $76.1bn in 2017, rising at a compound annual growth rate of 6.6 per cent, Dubai-based investment bank Alpen Capital said in a report earlier this year.
Mediclinic, which also operates hospitals and clinics in South Africa, the UK and Switzerland, said the inpatient admissions in the Middle East were up 3.1 per cent, while outpatient volumes fell by 0.8 per cent.
Ongoing investment across existing and new facilities is supporting the long-term growth of the Middle East division. Mediclinic opened at the end of September the 182-bed Mediclinic Parkview Hospital in Dubai which the company expects to gradually ramp up over the coming years.
The company has completed the acquisition of two Majid Al Futtaim clinics in Dubai in May. The investment projects at the two main Abu Dhabi hospitals, Mediclinic Airport Road Hospital and Mediclinic Al Noor Hospital are underway.
Mediclinic in May said it expects to invest Dh455m on expansion and has allocated Dh84m for maintenance capex for the 2019 financial year.
Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.
Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.
“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”
The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”
What is a robo-adviser?
Robo-advisers use an online sign-up process to gauge an investor’s risk tolerance by feeding information such as their age, income, saving goals and investment history into an algorithm, which then assigns them an investment portfolio, ranging from more conservative to higher risk ones.
These portfolios are made up of exchange traded funds (ETFs) with exposure to indices such as US and global equities, fixed-income products like bonds, though exposure to real estate, commodity ETFs or gold is also possible.
Investing in ETFs allows robo-advisers to offer fees far lower than traditional investments, such as actively managed mutual funds bought through a bank or broker. Investors can buy ETFs directly via a brokerage, but with robo-advisers they benefit from investment portfolios matched to their risk tolerance as well as being user friendly.
Many robo-advisers charge what are called wrap fees, meaning there are no additional fees such as subscription or withdrawal fees, success fees or fees for rebalancing.
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Living in...
This article is part of a guide on where to live in the UAE. Our reporters will profile some of the country’s most desirable districts, provide an estimate of rental prices and introduce you to some of the residents who call each area home.
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The National Archives, Abu Dhabi
Founded over 50 years ago, the National Archives collects valuable historical material relating to the UAE, and is the oldest and richest archive relating to the Arabian Gulf.
Much of the material can be viewed on line at the Arabian Gulf Digital Archive - https://www.agda.ae/en
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Director: James Cameron
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Tips to keep your car cool
- Place a sun reflector in your windshield when not driving
- Park in shaded or covered areas
- Add tint to windows
- Wrap your car to change the exterior colour
- Pick light interiors - choose colours such as beige and cream for seats and dashboard furniture
- Avoid leather interiors as these absorb more heat
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