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Advanced Medical Solutions Group plc

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Annual Report 2016

Creating quality 
outcomes

About Us

Advanced Medical Solutions 
is a leading developer and 
manufacturer of innovative 
and technologically advanced 
products for the global surgical 
and advanced woundcare 
markets.
Our primary focus is to  
create quality outcomes  
for our customers, patients 
and shareholders.

Go online 
For more information, please visit 
www.admedsol.com

Governance
42    Board of Directors
44    Senior Management
46    Corporate Governance 

Report
 Audit Committee Report

51  
55    Remuneration Report
65    Directors’ Report
70    Independent Auditors Report

Contents

Company Overview
01    Highlights 2016
02    Our Markets
03    Our Brands

Strategic Report
04    Chairman’s Statement
06    Chief Executive’s Statement
 Our Strategic Objectives 
13  
 Our Business Model
14  
 Business Units
16  
16  
20  
24  
28  

 Branded Direct
 Branded Distributed
 OEM
 Bulk Materials

29    Financial Review
33    Our Key Performance 

Indicators

34    Corporate Social 
Responsibility
38    Risk Management

Financial Statements
71  

 Consolidated Income 
Statement
 Consolidated Statement  
of Comprehensive Income

71  

72    Consolidated Statement  
of Financial Position
73    Consolidated Statement  
of Changes in Equity
 Consolidated Statement  
of Cash Flows
 Notes Forming Part of the 
Consolidated Financial 
Statements

74  

75  

103   Company Balance Sheet
103   Statement of Changes  

in Equity

104   Notes to the Company 
Financial Statements

108   Five Year Summary
109   Notice of Meeting
112   Advisors

Advanced Medical Solutions Group plc Annual Report 2016Highlights 2016

Creating quality 
outcomes through our 
financial strength

Financial

Group revenue (£ million)
Adjusted2 operating margin (%)
Adjusted2 profit before tax (£ million)
Profit before tax (£ million)
Adjusted2 diluted earnings per share (p)
Diluted earnings per share (p)
Net operating cash flow3  
pre-exceptional items (£ million)
Net cash (£ million)4 

2016

82.6

23.9

19.7

19.1

7.66

7.38

22.3

51.1

2015

68.6

25.4

17.4

17.0

6.86

6.68

22.5

34.2

Reported 
growth

20%

(150bps)

13%

12%

12%

10%

(1%)

49%

Growth at 
constant 
currency1

13%

–

–

–

–

–

–

–

Proposed final dividend of 0.62p per share, making a total dividend for the year 
of 0.92p (2015: 0.80p), up 15%

Business
 e Good sales progress across all Business Units:

•  Branded Distributed up 42% to £20.8 million (2015: £14.6 million), and up 30% 

at constant currency

•  Branded Direct up 10% to £24.6 million (2015: £22.3 million), and up 3% 

at constant currency

•  OEM up 16% to £32.1 million (2015: £27.7 million), and up 12% 

at constant currency

•  Bulk Materials up 33% to £5.2 million (2015: £3.9 million),  

and up 21% at constant currency

 e Continued strong performance in the US with LiquiBand® tissue adhesive range:

•  Revenues up 56% to £12.5 million (2015: £8.0 million) and 39% 

at constant currency

•  As at 31 December 2016, market share by volume5 increased to 23%  

(June 2016: 19%) and initial 20% target share achieved in the combined hospital 
and non-hospital market

 e Successful launch of antimicrobial and atraumatic foam dressings into Europe
 e Antimicrobial dressing revenues including both silver and PHMB 

(Polyhexamethylene Biguanide) up 13% to £17.5 million (2015: £15.5 million) 
and 9% at constant currency

 e Sales of the hernia mesh fixation device, LiquiBand® Fix8™ increased 73% 
to £1.7 million (2016: £1.0 million), 68% at constant currency, and is in use 
in 25 countries; now preparing for Pre Market Approval (PMA) in the US

 e German and Czech RESORBA® business up 15% to £13.1 million 

(2015: £11.3 million) and 4% at constant currency
 e Successful launch of RESORBA® sutures into the US
 e ActivHeal® business declined 5% to £6.0 million (2015: £6.4 million)

01

Group revenue

£82.6m

(2015: £68.6m)

Adjusted2 profit 
before tax

£19.7m

(2015: £17.4m)

Adjusted2 diluted  
earnings per share

7.66p

(2015: 6.86p)

Net cash4

£51.1m

(2015: £34.2m)

1  Constant currency removes the effect of currency movements by 
re-translating the current period’s performance at the previous 
period’s exchange rates

2  All items are shown before exceptional items which were 

£0.4 million (2015: £nil) and amortisation of acquired intangible 
assets which, in 2016, were £0.2 million (2015: £0.4 million) as 
defined in the financial review

3  Operating cash flow is arrived at by taking the operating profit for 
the period before exceptional items of £0.4 million (2015: £nil), 
depreciation, amortisation, working capital movements and other 
non cash items

4 Net cash is defined as cash and cash equivalents plus short term 

investments less financial liabilities and bank loans

5  Data supplied by Global Healthcare Exchange

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201602

Our Markets

Creating quality outcomes 
for the global surgical and 
advanced woundcare markets...

Our addressable market is large and growing.

Addressable market

~4-6% Market 
growth

£82.6m

Global sales

£19.7m

*Adjusted PBT

23.9%

*Adjusted operating margin

7

Locations

>100

Distribution partners

Surgical market

£5.7bn

+65

Countries

Favourable global 
healthcare trends

Advanced 
woundcare market1 
(excluding NPWT)

£2.8bn

Structurally 
growing markets

High degree of 
recurring revenues

Low clinical  
R&D risks

* Adjusted PBT and adjusted operating margin are 

shown before amortisation of intangible fixed assets 
and exceptional items.

1  Advanced woundcare market includes alginates, 

gelling fibre dressings, contact layers, hydrocolloids, 
hydrogels, superabsorbents, silvers/other 
antimicrobials and foams. It excludes Negative 
Pressure Wound Therapy (NPWT).

Advanced Medical Solutions Group plc Annual Report 201603

RESORBA®
Our comprehensive range 
of sutures sold in Europe 
and the Rest of the World. 
Approval to sell our sutures 
in the US was obtained 
in September 2015 and a 
range of sutures for dental 
use were launched in the 
US in 2016.

We also have a range of 
haemostats based on 
collagen approved for use 
in Europe.

RESORBA® sutures and 
haemostats can be used 
for both surgical and 
dental applications.

Our Brands

... through quality 

respected brands

LiquiBand®
Our range of medical 
adhesives, based on 
cyanoacrylate. We have 
a range of formulations 
and applicators for topical 
skin closure.

We have approval to use 
the adhesive internally 
in Europe for hernia 
mesh fixation with our 
LiquiBand® Fix8™ device. 
Work has started to gain 
approval for this device 
in the US.

ActivHeal®
Our brand of advanced 
woundcare products that 
are sold to the NHS in the 
UK, providing significant 
cost savings to payor 
without compromising 
on clinical effectiveness.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201604

Chairman’s Statement

Creating quality  
outcomes...

AMS has had another year of strong performance 
and continues to progress as a leading, 
international provider of high quality, high 
value, innovative and technologically advanced 
products for the surgical and advanced  
woundcare markets. We are pleased that we have 
delivered another year of strong revenue growth, 
profit performance and good cash generation.

I am pleased to report a 20% increase in 
revenue to £82.6 million (2015: £68.6 million), 
representing growth of 13% on a constant 
currency basis and an increase in adjusted6 profit 
before tax before exceptional items of 13% to 
£19.7 million (2015: £17.4 million), and an increase 
in profit before taxation of 12% to £19.1 million 
(2015: £17.0 million). The continued strong cash 
flow generation of the business has resulted 
in the Group ending the year with net cash 
of £51.1 million (2015: £34.2 million).

Our strategy of having multiple products and 
multiple routes to market continues to pay off 
and we have made good progress across all 
Business Units in the last year. Whilst revenue 
growth was steady in our Branded Direct 
Business Unit, our Branded Distributed Business 
Unit’s success in the US has continued with 
LiquiBand® gaining market share, and surpassing 
our initial 20% target market share. We have 
also launched a range of dental sutures into 
the US through a new partner and we intend 
to expand our distribution network more widely 
by targeting market opportunities in Asia-Pacific 
and South America.

Advanced Medical Solutions Group plc Annual Report 201605

We ensure that the Group is managed in 
accordance with the UK Corporate Governance 
Code as far as is reasonably practicable, 
although it is not a requirement for an AIM 
quoted company. The Board believes that 
effective corporate governance will assist in the 
delivery of shareholder value and safe-guarding 
shareholders’ long-term interests.

AMS continues to be in robust financial health 
and is well positioned to invest in both internal 
and external opportunities in line with the 
Group’s long-term strategy priorities and 
growth objectives.

Peter Allen
Chairman

28 April 2017

Revenue

+20%

+13%*
to £82.6m
(2015: £68.6m)
* at constant currency

Adjusted* profit before tax 

+13%

to £19.7m
(2015: £17.4m)
* Profit is shown before amortisation of 
intangible assets and exceptional items

Our OEM and Bulk Business Units have 
performed well. Our partners have delivered 
good growth supported by a number of new 
foam product launches. This follows on from 
our success with LiquiBand® Fix8™ Hernia 
Mesh Fixation Device, our first surgical device 
using medical adhesive inside the body, with 
plans in place for open surgery hernia use 
and other secondary indications subject to 
regulatory approval. The success of these 
launches demonstrates the strength and 
breadth of our innovation and our product 
development pipeline.

The Board is proposing a final dividend of 0.62p 
per share, making a total dividend for the year 
of 0.92p per share (2015: 0.80p), an increase of 
15%. If approved at the Annual General Meeting, 
this dividend will be paid on 16 June 2017 to 
shareholders on the register at the close of 
business on 26 May 2017.

On behalf of the Board, I would like to thank all 
of our employees for their contributions during 
the past year which have been central to the 
Company’s strong performance. I would also 
like to thank our customers, suppliers, business 
partners and shareholders for their continued 
support in helping AMS achieve its goals.

... through strong  

governance

“ AMS continues to be in robust financial health 
and is well positioned to invest in both internal 
and external opportunities in line with the 
Group’s long-term strategic priorities and 
growth objectives.”

Peter Allen
Chairman

6  All items are shown before amortisation of acquired intangible 
assets which, in 2016, was £0.2 million (2015: £0.4 million) as 
defined in the Financial Review and before exceptional items 
which were £0.4 million (2015 :£nil)

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201606

Chief Executive’s Statement

Creating quality  
outcomes...

I am pleased to report another strong set of results 
across the Group. Our revenue has increased 
20% to £82.6 million (2015: £68.6 million) and we 
have improved our adjusted6 profit before tax and 
before exceptional items by 13% to £19.7 million 
(2015: £17.4 million), marking the twelfth 
consecutive year we have delivered growth in 
revenue, profits and earnings per share.

We continue to deliver on our strategy for growth 
by expanding into new geographies, increasing 
our distribution of surgical products through 
our direct sales forces, enhancing our product 
portfolio and providing high quality products that 
add value to payors in our advanced woundcare 
and surgical markets.

Branded Distributed

The Branded Distributed Business Unit reports 
the sales of our brands through third party 
distributors where the Group does not have a 
direct sales force.

Branded Distributed reported revenue was 42% 
higher at £20.8 million (2015: £14.6 million) 
and 30% higher at constant currency. The main 
contributor to this growth continues to be the 
sales of our LiquiBand® range of products into 
the US, which accounted for 60% of the Business 
Unit’s total sales.

6  All items are shown before amortisation of acquired intangible 
assets which, in 2016, was £0.2 million (2015: £0.4 million) as 
defined in the Financial Review and before exceptional items 
which were £0.4 million (2015 :£nil)

Advanced Medical Solutions Group plc Annual Report 201607

Right: LiquiBand®Fix8™ Hernia 
Mesh Fixation device

... for our employees,  

customers and for patients

“ 2016 was the 
twelfth consecutive 
year we have 
delivered growth 
in revenue, profits 
and earnings 
per share.”

Chris Meredith
Chief Executive Officer

LiquiBand® in the US
Sales of LiquiBand® in the US increased by 56% 
to £12.5 million (2015: £8.0 million) at reported 
currency and by 39% at constant currency. 
We have now increased our volume market 
share in the US market to 23.7%7 up from the 
half year and exceeding the initial target of 20% 
set when we first launched this product into 
the US in 2010.

Our LiquiBand® range of products utilises 
different formulations of cyanoacrylate that 
meet the needs of the surgeon and are sold by 
our distributors throughout the whole of the US. 
LiquiBand® products combine cyanoacrylate 
adhesive technology with innovatively 
designed applicators that are able to meet the 
requirements of the surgeon and the treatment 
of the full spectrum of wounds that they need 
to close and protect. Our US based product sales 
specialists continue to work closely with our 
distributors to convert more hospitals and we are 
now targeting a further 10% market gain above 
our initial target over the next three years, to take 
our market share by volume to at least 30%.

LiquiBand® in the EU and Rest of the World 
(ROW)
Outside of the US, in the EU and ROW, our 
sales of LiquiBand® have increased by 29% to 
£2.2 million (2015: £1.7 million) at reported 
currency and 28% at constant currency. We have 
now started to increase our sales in Asia-Pacific 
by signing distributorships in these regions and 
are supporting these with personnel based in the 
region. We are already seeing some early success 
with an additional seven distributorships agreed, 
selling our tissue adhesives, haemostats and 
sutures. This provides a significant opportunity 
for us in the medium-term.

Our regulatory approval process for LiquiBand® 
in China has proved challenging and has been 
paused. The tissue adhesive market in China 
is small and nascent and will take some time 
to develop. In the meantime we will invest 
resources into gaining access into the more 
readily accessible markets in Asia and the 
Middle East.

7  Data supplied by Global Healthcare Exchange

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201608

Chief Executive’s Statement continued

Hernia Mesh Fixation Device - LiquiBand® Fix8™
AMS received approval to market LiquiBand® 
Fix8™ in Europe in May 2014. This was the Group’s 
first application using medical cyanoacrylate 
technology inside the body. It is used to hold 
hernia meshes in place within the body instead 
of traditional tacks and staples. This accurate 
laparoscopic application of adhesive is expected 
to reduce surgical complications, in particular 
the potential pain associated with the use of 
tacks and staples, thereby improving the patient 
experience and reducing healthcare costs overall.

Surgeon response to LiquiBand® Fix8™ has been 
very positive about the ease of use of this device 
and the benefit it brings to patients regarding 
the reduced incidence of post-operative pain. 
Sales of LiquiBand® Fix8™ in our Branded 
Distributed Unit increased by 69% to £1.1 million 
(2015: £0.7 million). A number of surgeons 
have endorsed the product and have provided 
valuable feedback about enhancements to the 
device as well as other possible non-hernia 
applications. The Company is actively exploring 
these opportunities. Having had more than 
12 months’ feedback from European usage, 
we have made improvements to the device. 
We are now in a position to start the process 
to gain approval to market this device in the 
US. As this will be a first-to-market device into 
the US, the regulatory process will be a full 
Pre Market Approval (PMA) involving clinical trials. 
Our estimate is that it will take around three years 
to achieve, requiring an investment of at least 
£3.0 million.

RESORBA®
Sales of RESORBA® products to all export 
markets (excluding Russia) increased by 
25% at reported currency to £3.9 million 
(2015: £3.1 million), and by 12% at constant 
currency. Within this, our sales of dental products 
have increased 33% to £1.9 million and 20% at 
constant currency. This includes our first sales of 
dental sutures into the US following their approval 
from the FDA in 2015.

We launched a range of dental sutures into the 
US with a specialised dental distributor in March 
2016 and have achieved £0.2 million of sales 
in the first year. Gaining US approval for the 
RESORBA® product range has been an aim for 
the Group since we acquired the business in late 
2011 and now provides a significant opportunity 
for the Group in the medium-term. The total 
US surgical suture market is estimated to be 
in excess of $1 billion in size and is dominated 
by a few major brands.

Sales in Russia increased by 28% at constant 
currency, and increased 29% at reported 
currency to £1.0 million (2015: £0.8 million) 
reflecting improved market conditions.

Research and Development

In R&D our focus is on continuing to improve 
the formulations of the base monomers 
that are used in our adhesives as well as 
improving the design and innovation around 
our devices. We have modified the tip and 
priming mechanism of our hernia fixation device 
following surgeon feedback and have started the 
process to get FDA approval to sell this product 
into the US.

Development work has also started on an open 
hernia mesh fixation device which we hope will 
gain approval in Europe this year.

In addition, work has begun on gaining approval 
in Europe for the LiquiBand® Fix 8™ device for 
new indications and it is expected we will be 
selling the first of these in 2018.

Branded Direct

The Branded Direct Business Unit reports sales 
of our branded products through our own 
sales teams in the UK, Germany and Czech 
Republic. Reported revenue increased 10% to 
£24.6 million (2015: £22.3 million) and grew by 
3% at constant currency.

UK
Within the UK we supply our range of woundcare 
dressings, ActivHeal® into the NHS, supplying 
both hospitals and community care. We supply 
LiquiBand®, haemostats and sutures as part of 
our surgical offering.

ActivHeal®
ActivHeal® is our range of high quality 
woundcare dressings that offer the NHS 
significant cost savings without compromising 
on clinical outcomes or patient care. Sales of our 
ActivHeal® range decreased by 5% to £6.0 million 
(2015: £6.4 million) as we failed to make up the 
lost ground that occurred during destocking 
in the first half of the year. We have been 
disappointed by this performance and have 
taken a number of initiatives to reinvigorate sales. 
We have refocused our sales efforts, provided 
further training to our commercial team and 
have enhanced our education and marketing 
materials. We have also strengthened our brand 
by broadening the product range being offered 
to include our antimicrobial and atraumatic 
foam dressings. ActivHeal® offers a compelling 
proposition for the NHS and remains a significant 
opportunity for the Group.

Advanced Medical Solutions Group plc Annual Report 201609

LiquiBand®
Sales of LiquiBand® into the Accident and 
Emergency Room (A&E) in the UK increased 
1% to £2.3 million (2015: £2.3 million), reversing 
the decline of the prior year and addressing the 
competitive challenges we have seen, while sales 
of LiquiBand® into the Operating Room (OR) 
increased 31% to £0.9 million (2015: £0.7 million). 
We are confident of the market opportunity 
for LiquiBand® in the UK, particularly in the 
Operating Room. Sales of LiquiBand® Fix8™ in the 
UK increased to £0.1 million (2015: £0.05 million).

Germany and the Czech Republic
Germany is one of the key markets in Europe 
and sales of LiquiBand® in Germany, and the 
Czech Republic, increased 20% at reported 
currency to £1.7 million (2015: £1.4 million) 
and by 8% at constant currency, while sales of 
LiquiBand® Fix8™ increased 88% to £0.5 million 
(2015: £0.2 million). We are pleased with the 
steady progress we are making in converting 
doctors and surgeons to the benefits of 
LiquiBand® and LiquiBand® Fix8™.

RESORBA®
Sales of RESORBA® branded products in 
Germany and the Czech Republic increased 
15% at £13.1 million (2015: £11.3 million) at 
reported level and 4% at constant currency. 
Within this, sales of haemostats increased 
by 21% to £3.9 million (2015: £3.3 million) 
and by 9% at constant currency, sales of 
sutures and collagens into the dental market 
increased by 14% to £3.5 million and by 3% at 
constant currency, whilst sales of sutures into 
hospitals were increased by 11% to £4.7 million 
(2015: £4.1 million) and flat at constant currency. 
We are seeing some success in targeting smaller 
accounts that should prove quicker to convert. 
However, it can take some time for conversions 
to be fully effective. We believe our ability to 
supply a comprehensive range of high quality 
sutures that provide cost savings to hospitals 
remains compelling.

Sales of RESORBA® sutures and haemostats 
into the NHS increased by 18% to £0.2 million 
(2015: £0.2 million) and this still remains a 
sizeable opportunity for us, even though 
conversion remains slower than we would like.

Research and Development
In R&D, our focus is on extending the attributes 
of our collagens to meet the needs of dental 
surgeons as well as including new antibiotics 
in our haemostats. We also may consider 
licensing our technology to other parties if 
this will result in products being quicker to 
launch. Longer term we are looking to develop 
innovative applications for collagen to address 
unmet clinical needs or improve the outcome 
of current surgical procedures.

OEM

The OEM Business Unit reports the sales of 
products that are sold under third parties’ brands. 
We have been working with several of the world’s 
major woundcare companies for a number 
of years. We provide manufacturing services 
to supply their woundcare dressings, new 
products they can incorporate into their portfolio 
of brands, as well as regulatory assistance in 
obtaining product approvals in overseas markets.

OEM revenue increased by 16% at reported 
currency to £32.1 million (2015: £27.7 million) 
and by 12% at constant currency.

Our OEM business is dependent on the success 
of the customers that our partners serve and 
the outcome of their strategies. Historically, it is 
prone to volatility as a result of ordering patterns, 
pipeline filling associated with new product 
launches and variability surrounding tender 
award allocations. Consequently, revenues and 
product mix can vary from year to year and can 
impact operating margin. In general, as we work 
with a large number of partners, the potential 
effects of this volatility are mitigated. Through the 
latter part of 2016 we have identified that there 
has been a slowdown in activity in the Middle 
East resulting in delays in the determination 
of some hospital tender awards; this is having 
an impact on some of our partners that have 
significant business in the region. We are yet 
to see a reversal of this trend in 2017. This may 
impact performance of this Business Unit in the 
short term, however, we continue to believe in 
the long-term potential of this growth market.

In 2016 we introduced two new ranges of 
foam products; our antimicrobial foam range 
containing Polyhexamethylene Biguanide (PHMB) 
and our atraumatic foam range incorporating 
silicone, facilitating easy dressing removal from 
sensitive skin. These have been successfully 
launched this year.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201610

Chief Executive’s Statement continued

Research and Development
We continue to work on extending our advanced 
woundcare portfolio with focus on extending our 
antimicrobial range, improving the absorbency of 
dressings and combining a number of materials 
to enhance product performance.

Bulk Materials

The Bulk Materials Business Unit reports sales of 
bulk materials to third party converters as well as 
supplying foam into the OEM and Branded Direct 
Business Units as a key material in our foam-
based wound dressings.

Bulk Materials revenue increased by 33% at reported 
currency to £5.2 million (2015: £3.9 million) and by 
21% at constant currency.

Rollstock foam contributed around 93% of Bulk 
Materials revenue and good growth was seen 
by several partners.

Research and Development
In R&D, the focus is on developing new foam 
formulations, working in conjunction with the 
OEM Business Unit.

Operations

Efficiency and gross margins
We continue to make operational improvements 
by reducing set up times, eliminating non-value 
added activities and increasing outputs wherever 
possible. These incremental efficiencies help to 
improve gross margins across the Group.

The launches of the two new foam dressing 
ranges have required new converting processes 
to be developed and the success of the launches 
has resulted in significant volumes of new 
product being required. We are pleased that we 
met these significant volume demands, however, 
the initial efficiencies of these processes have 
been lower than for our more established 
ranges and lower than we would expect to 
obtain on a regular basis. We estimate that these 
operating effects have had a negative impact 
of around 400 basis points on the operating 
margins for the OEM Business Unit, where 
most of the sales of these products have been 
recorded. Changes are currently being made 
to the manufacturing processes to improve our 
efficiencies and we would expect to see margin 
improvement in 2017.

We received CE approval in Europe for 
our antimicrobial dressing on 1 September 
2015. PHMB has been shown to be effective 
against several bacteria including, amongst 
others, Staphylococcus Aureus including the 
methicillin resistant type, (MRSA) and Escherichia 
Coli (E-Coli) and this dressing may be used 
throughout the healing process on moderate to 
heavily exuding chronic and acute wounds that 
are infected or are at risk of infection as well as 
on pressure ulcers, leg and foot ulcers, diabetic 
ulcers and surgical wounds. 

Our PHMB foam dressing range augments our 
antimicrobial, silver alginate dressing ranges 
and provides an alternative method of treating 
infected wounds. We are currently working to 
achieve approval for our PHMB foam dressings 
in the US and once this is received we expect 
to be able to launch later this year. 

Our silver alginate business grew by 4% to 
£16.2 million (2015: £15.5 million) at a reported 
level, but sales were flat at constant currency with 
the silver range taken by one specific partner 
being particularly affected by the slow-down in 
the Middle East. Excluding this partner’s sales, 
the rest of the silver alginate business grew 5% 
at constant currency. 

Our new PHMB dressings may have had some 
impact on our silver alginate business, however, 
our combined sales of all antimicrobial ranges 
have increased by 13% at a reported level to 
£17.5 million (2015: £15.5 million) and by 9% 
at constant currency.

The launch of our range of atraumatic foam 
dressings into our advanced woundcare range 
has further extended our foam portfolio and 
sales of all our foam-based dressings have 
increased 196% to £5.3 million (2015: £1.8 million) 
and by 191% at constant currency.

Sales of other woundcare products have also 
continued to perform well and have increased 
by 9% to £10.5 million (2015: £9.7 million) and by 
5% at constant currency.

During 2016, we renegotiated the supply 
agreement with an OEM partner for collagen 
products, from an exclusive to a non-exclusive 
arrangement, allowing us to now supply an 
enhanced range of collagen products through 
our distributors into the EU and through our 
direct sales force in the UK. In the medium-term, 
we expect increased sales in both our Branded 
Direct and Branded Distributed Business Units, 
as our collagen product portfolio is extended. 
As anticipated, given that the OEM partner is no 
longer required to meet a minimum amount 
of sales to maintain exclusivity, this has resulted 
in a decline of the sales of collagen products 
in the Business Unit, which reduced by 85% to 
£0.1 million and by 87% at constant currency.

Advanced Medical Solutions Group plc Annual Report 201611

Capacity and resource
Investment is being made in The Netherlands 
to increase our foam capacity by approximately 
40%. A new line is expected to be operational in 
the second half of 2017.

We continue to invest in improving our ERP 
(Enterprise Resource Planning) management 
and reporting systems and having already 
successfully completed the implementation 
in Winsford, Plymouth and The Netherlands 
facilities where we have converted to Oracle ERP. 
We are now working on implementing Oracle 
ERP in Germany. The project is expected to 
complete in the second half of 2017.

Regulatory and quality assurance
With the regulatory framework becoming 
increasingly complex, we have continued to 
invest in both Regulatory and Quality functions 
and systems to ensure that we are able to 
support our partners with winning approvals in 
new markets as well as obtaining approval for our 
own products.

The FDA conducted its first ever routine 
inspection at the Group in June 2016 at our 
Winsford site and we were pleased with the 
positive outcome.

On the back of our success with LiquiBand® 
Fix 8™ in Europe we have started work to gain 
approval to market this product in the US which 
will involve a full PMA and is likely to take at 
least three years with an investment of at least 
£3 million.

We are also working on identifying the regulatory 
pathway to approve the inclusion of antibiotics 
in collagens and progressing with obtaining 
approval to sell our collagen products in the 
US. The latter approval is expected in late 2017 / 
early 2018.

Our regulatory approval process for LiquiBand® 
in China has continued to be challenging. 
Having resubmitted our files to the Chinese FDA 
further extensive Chinese based clinical trials 
have been requested. As there is a lack of clarity 
around the nature of the trials we have decided 
to cease the process until there is more certainty 
around what is required for approval.

Our culture
As a Group that is highly dependent on the 
innovation and creativity of our employees for 
our future growth and success, it is important 
that we have a culture and set of values that is 
clearly understood across the business. We have 
adopted the business motto of ‘The AMS Care, 
Fair, Dare approach’ to summarise our culture, 
underpin our values, and to deliver results, 
building a sustainable future for our business. 
Under this motto, we have defined the principles 
and expectations of how we will operate 
together to deliver success.

We recognise the importance of our people to 
the Group and that it is only by their effective 
engagement that we will continue to be highly 
successful. We value their commitment and 
determination to achieve and deliver good 
results. Our working environment encourages 
openness, teamwork, an understanding 
of others’ needs and the ability ‘to make a 
difference’. We continue to develop the talent at 
AMS by training and by providing a place to work 
where our employees feel valued, incentivised 
and fulfilled.

Acquisition strategy
The Group is actively looking for businesses that 
fit its acquisition strategy. During the period, an 
opportunity was identified and work undertaken 
to understand the business in more detail. As a 
result of the outcome of this work, a decision 
was taken not to proceed. An exceptional charge 
of £0.4 million has been incurred relating to this 
activity. The Group continues to actively review 
suitable acquisition opportunities.

Referendum vote to leave the EU
There has been no immediate impact on 
the Group’s operations following the UK’s 
referendum vote to leave the EU other than the 
positive impact on currency exchange rates. 
The Group is considering the potential impact 
to the business once the UK leaves the EU 
and has started to plan for this outcome.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201612

Chief Executive’s Statement continued

Summary and Outlook

We have delivered a reported 20% revenue 
growth, 13% at constant currency, with good 
profitability and cash generation during the year.

All Business Units have delivered growth at 
constant currency with US sales, in particular, 
delivering a very strong performance and, not 
withstanding the OEM slight headwinds in 
emerging markets, we expect this to continue in 
the coming year. We have been very pleased with 
the launches of our antimicrobial and atraumatic 
foam dressings into our advanced woundcare 
range. With the continued success of our 
LiquiBand® Fix8™ Hernia Mesh Fixation Device, 
we are seeking approval for new indications 
and new market entry.

We continue to invest in research and 
development to keep improving our product 
range and deliver innovation that benefits payors 
and patients.

We are confident that the Group, with its highest 
quality products, is well placed to deliver growth 
and we remain optimistic about the prospects 
for our future.

Chris Meredith
Chief Executive Officer

28 April 2017

Right: Patient focus
Creating quality outcomes  
for patients using our silicone 
foam dressing

Advanced Medical Solutions Group plc Annual Report 201613

Our Strategic Objectives

Creating quality 
outcomes by delivering 
on our strategy

To become the best developer, producer and 
supplier of innovative medical devices in the areas  
of accelerating healing and managing wounds, 
minimising adverse surgical outcomes, and sealing 
and closing tissue.

Market Outlook
There is a rising incidence of both chronic and acute wounds.

Predisposing factors are on the increase such as obesity, 
diabetes and old age. There is also an increasing demand 
from emerging healthcare markets.

A continuing trend towards minimally invasive surgery further 
provides opportunities for innovations and market growth.

Healthcare economics demand cost-effective product 
solutions. AMS’s mission is to meet these needs.

Strategy for growth

1

2

3

4

Add value for payors in advanced woundcare and  
surgical markets

Increase direct distribution of surgical products through AMS’s 
sales forces in target markets

Continued geographic expansion 

Enhance product portfolio, technologies and pipeline  
through investment in in-house R&D, acquisitions and licensing

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016 
 
14

Our Business Model

Creating quality outcomes 
through our knowledge and 
experience in growing markets...

Our Value Chain

New product 
development

Marketing 
and regulatory 
approval

Operations

Research and development

Bringing product to market

Design and testing

Regulatory approval  
in key markets

Manufacturing and 
security of supply

Quality assurance

 e Strong regulatory affairs 

department with world-wide 
regulatory experience

 e Regulatory registrations in over 

70 countries

 e Clinical support teams supporting 
both product development and 
post market surveillance

 e Six manufacturing sites
 e All manufacturing sites compliant 
with ISO 13485 and FDA CFR 21 
part 820 Quality Management 
System (QMS)

 e Separate R&D teams focusing 
on different technologies:

•  Winsford: foams, fibres 

and antimicrobials

•  Plymouth: tissue adhesives

•  Nuremberg: haemostats 

and sutures

 e Collaborations with universities, 
key opinion leaders, surgeons 
and tissue viability nurses
 e Extensive patent portfolio:  
over 30 patent families

 e Stage gate process

Advanced Medical Solutions Group plc Annual Report 201615

... and clear routes to market 

through our divisions 

Our Routes to Market

Branded

l

i

a
c
g
r
u
S

e
r
a
c
d
n
u
o
W

Our Business Units

Branded 
Direct

Revenue

£24.6m

+3%*

Direct sales of AMS Group brands: 
ActivHeal®, LiquiBand®, and RESORBA®. 

–  Direct sales teams in Germany, UK 

and Czech Republic

For further information  
see page 16 

Branded 
Distributed

Sales of AMS Group brands: LiquiBand® 
and RESORBA®, through our global network 
of distributors.

–  Global network of >100 

distribution partners

For further information  
see page 20

Revenue

£20.8m

+30%*

Outcomes

Quality 
outcomes 
for patients

Value for 
payors

Third-party

OEM

Sales of finished products to our 
OEM partners.

–  Global advanced woundcare 

customer base

Long-term 
value for 
shareholders

Solid balance 
sheet

Revenue

£32.1m

+12%*

For further information  
see page 24

Bulk Materials

Sales of bulk materials to converters and 
healthcare companies.

Converters, packers, advanced 
woundcare partners

Revenue

£5.2m

+21%*

* at constant currency

For further information  
see page 28

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201616

Business Units

Branded Direct

The Branded Direct Business Unit is responsible for selling our 
brands: ActivHeal®, LiquiBand® and RESORBA® to end users in the 
UK, Germany and Czech Republic through our own direct sales 
teams. This Business Unit is also responsible for directing R&D 
for sutures and collagens.

Strategy
To increase market share of the Group’s 
brands in the UK, Germany and the 
Czech Republic by:

ActivHeal®
 e Ensuring ActivHeal® is included in relevant NHS tenders
 e Extending the ranges used in hospitals where ActivHeal® 

is listed

 e Converting new hospitals to ActivHeal®
 e Broadening the product range offered e.g. atraumatic and 

antimicrobial foam dressings

LiquiBand®
 e Increasing usage in the Operating Room (OR) in the 

UK, Germany and Czech Republic through our existing 
sales teams

 e Promoting the hernia mesh fixation device LiquiBand® Fix8™ 

into the OR in the UK and Germany

RESORBA®
 e Ensuring that RESORBA® is included in German and UK 

hospital tender processes

 e Targeting Group Purchase Organisations (GPOs)  

in Germany

 e Increasing the usage in the OR in the UK by cross-selling 

RESORBA® sutures and collagens with LiquiBand® products

 e Extending the attributes of our collagens by 

including antibiotics

 e Developing new applications of collagens for unmet 

surgical needs

Advanced Medical Solutions Group plc Annual Report 201617

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201618

Business Units continued

Branded Direct  
continued

Jeff Willis
Business Unit Director

Revenue

+10%

+3%*
to £24.6m
(2015: £22.3m)
* at constant currency

Above: RESORBA® suture range

2016 Sales
Branded Direct (£24.6m)

LiquiBand®

LiquiBand® Fix8™

ActivHeal®

RESORBA®

4.8

0.5

6.0

13.3

ActivHeal® is the Group’s brand of advanced 
woundcare dressings that it sells into the NHS 
in the UK. The proposition of this brand is that 
it provides a range of ‘good value’, advanced 
woundcare dressings that deliver cost savings 
to the NHS without compromising on clinical 
outcomes or patient care. The ActivHeal® range 
is supported by a dedicated team of experienced 
healthcare professionals and by online education 
modules that provide training on the treatment 
of wounds. With the NHS operating under 
budgetary constraints, ActivHeal® continues 
to provide a good growth opportunity for the 
Group. The range has now been extended to 
include atraumatic silicone foam dressings, 
silicone wound contact layers and antimicrobial 
PHMB foam dressings.

The LiquiBand® range of medical adhesives and 
sealants, based on cyanoacrylate, is used to 
close and protect wounds in a safe and secure 
way. In the UK, LiquiBand® is well recognised 
in the majority of Accident and Emergency 
(A&E) units where its attribute of high strength 
makes it the product of first choice for closing 
trauma wounds.

We also sell LiquiBand® into the OR in the 
UK and Germany where it is used to make 
the final topical skin closure following the 
surgical procedure.

In 2014 we launched our innovative LiquiBand® 
Fix8™ device which uses our cyanoacrylate 
technology within the body for hernia 
mesh fixation.

Below: RESORBA® Collagen

Advanced Medical Solutions Group plc Annual Report 201619

RESORBA®’s high quality comprehensive 
suture range includes several brands such as 
CAPROLON®, GLYCOLON®, MOPYLEN® and 
RESOPREN® that are sold into hospitals, private 
practices and to oral surgeons. Our suture range 
is extensive and includes both absorbable and 
non-absorbable sutures, mono and multifilament 
threads, and a wide range of needle shapes 
and sizes.

RESORBA®’s haemostat range includes 
COLLAGEN-resorb and GENTA-COLL-resorb. 
The latter is a very pure collagen that includes the 
antibiotic gentamicin for use in wounds where 
there is a high risk of infection. Combining the 
suture and collagen technologies, RESORBA® 
has developed products and brands that are 
particularly applicable to the oral surgery market, 
e.g. PARASORB® Sombrero® is a collagen cone 
used for dental implants.

The R&D focus of the Business Unit is on 
extending the attributes of our collagens and 
adding a range of antibiotics into our haemostats. 
Consideration may also be given to licensing 
technologies to other partners to increase speed 
to market.

Our model of providing ‘high quality good 
value’ ranges to the NHS is applicable to 
our RESORBA® suture range and we are 
actively working to promote our RESORBA® 
products within the NHS. We are also aiming 
to extend the use of RESORBA®’s sutures 
within the German hospital system.

Right: GENTA-FOIL RESORBA® 
in place within the middle joint  
of the index finger

Creating quality outcomes  
with a proactive approach
Joint infection following an incision  
with a utility knife

“ Four days prior to presenting at the hospital, Mr F. had 
cut himself with a utility knife upon the middle joint of 
his right index finger (extensor). The wound was initially 
repaired using cutaneous sutures; following this the case 
was referred to our healthcare facility.

The patient began to experience increased swelling and 
tenderness upon palpation of the joint. Surgery revealed 
that the original incision had severed the central slip of 
the extensor tendon and had opened the articular 
capsule. A cloudy coloured liquid was draining from the 
location of the joint. A swab was taken and the area 
thoroughly rinsed. The cartilage of the adjacent articular 
surfaces was found to be intact, allowing for a 
preservative course of action to be taken. A GENTA-FOIL 
RESORBA® was cropped to meet the required size and 
shape and was then inserted into the joint with forceps.

A joint-spanning external fixator was placed along 
the extended finger in order to temporarily immobilise 
the joint. The swab collected during surgery produced 
a positive culture of Staphylococcus aureus and 
Staphylococcus sp. (coag neg), The fixator was used 
to immobilise the joint for four weeks, after which it 
was removed and then physiotherapy provided. There 
was no need to remove the GENTA-FOIL RESORBA®.

Outcome: Thanks to a proactive approach and the use  
of the external fixator to keep the joint immobilised, the 
implementation of GENTA-FOIL RESORBA® was a 
success with the joint being subsequently preserved.”

Presented by 

Dr. med Vanessa Haug, Dr. med Thomas Pillukat, 
Pillukat Clinic for Hand Surgery

for more detail please visit  
www.admedsol.com/our-brands/resorba

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201620

Business Units continued

Branded Distributed

The Branded Distributed Business Unit is responsible for driving sales 
of our LiquiBand® and RESORBA® branded products to all markets 
where the Group does not have its own sales teams and sales are 
made through distributors. It is also responsible for directing R&D 
for medical adhesives and sealants.

Strategy
The strategy of this Business Unit is to 
increase sales of the Group’s brands in 
all markets where the Group does not 
have a sales force by:

Increasing the market share of LiquiBand®  
in the US:
 e Partner with key distributors that access the US 

healthcare market

 e Develop and launch new products
 e Train partner personnel, and provide marketing and 

account support

 e Targeting 30% market share by volume in the next  

three years 

Developing and launching new products:
 e Next generation internal applications of cyanoacrylate for 
fixation including new indications for LiquiBand® Fix8™ and 
new product variations for open hernia repair

Maximising opportunities across Europe,  
Asia-Pacific, the Middle East, and 
Latin America:
 e Leverage the combined existing distributor network for 

LiquiBand® and RESORBA®

 e Appointment of local regional Business Development 
and Product Training personnel to support customer 
sales activities

Accessing new markets:
 e Gain regulatory approval for LiquiBand® topical skin 

adhesives, LiquiBand® Fix8™ and RESORBA® collagen  
products in select geographies

 e Progress approval for LiquiBand® Fix8™ in the US
 e Identify new market opportunities

Advanced Medical Solutions Group plc Annual Report 201621

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201622

Business Units continued

Branded Distributed  
continued

The Group works with many distributors to 
promote our LiquiBand® and RESORBA® range 
of products, accessing over 70 countries 
throughout the world.

One of the key growth drivers is accessing the US 
market. This is the largest market for LiquiBand® 
topical skin adhesives and continues to be a 
major focus for this Business Unit.

We have a range of formulations with different 
attributes. Some provide quick, precision closure 
and other formulations are more film forming. 
Having received FDA Approval in November 2015 
for LiquiBand® Exceed™, our market share of the 
TSA market in the US has now increased to 23%.

LiquiBand® is also promoted and supported 
throughout the rest of the world.

This Business Unit is also responsible for 
LiquiBand® Fix8™ which uses the cyanoacrylate 
technology within the body for hernia mesh 
fixation. Work is progressing to extend the 
application range of this product.

Jeff Willis
Business Unit Director

Revenue

+42%

+30%*
to £20.8m
(2015: £14.6m)
* at constant currency

LiquiBand® in the US

56%

+39%*
to £12.5m
(2015: £8.0m)
* at constant currency

2016 Sales
Branded Distributed (£20.8m)

LiquiBand® US 

LiquiBand® EU & ROW

LiquiBand® Fix8™

RESORBA®

Other

12.5

2.2

1.1

4.9

0.1

Above: LiquiBand® Exceed™
Our LiquiBand® Exceed™ product can be used to 
cover wounds of up to 30cm in length as well as a 
single device being suitable for intra-operative reuse 
for up to 90 minutes on a single patient.

Advanced Medical Solutions Group plc Annual Report 201623

Creating quality outcomes  
with innovative products
Transabdominal preperitoneal (TAPP) 
laparoscopic repair for inguinal hernia 
using glue fixation

“ Glue fixation seems to offer a proper and safe 
mesh fixation during TAPP repair, without any 
concerns regarding dangerous areas and no 
postoperative pain. This allows a faster recovery 
and return to normal activity for the patients.”

Presented by 

Dr Victor Calu (Consultant Surgeon, Elias Emergency 
Hospital , Bucharest, Romania) at the European Association 
of Endoscopic Surgery conference in Amsterdam from  
15-18 June 2016.

for more detail please visit  
www.admedsol.com/our-brands/liquiband

Development work on an open hernia mesh 
fixation device has started, which we hope will 
gain approval in Europe in 2017. Work has also 
begun on gaining approval in Europe for new 
indications for the LiquiBand® Fix8™ device.

The RESORBA® suture and collagen ranges are 
sold throughout Europe, the Middle East and 
Asia. Approval to market the majority of our 
suture range in the US was received in November 
2015 and the first sales of sutures for dental 
applications were achieved in 2016.

During 2016 a supply agreement with an 
OEM partner for collagen products, including 
RESODURA® and GENTA-COLL®, was re-
negotiated from an exclusive to a non-exclusive 
arrangement. This allows this Business Unit to 
supply an enhanced range of collagen products 
both in the EU and to the rest of the world.

This Business Unit also includes all sales made 
by our Russian subsidiary, which are made both 
by the direct sales team in Moscow and by the 
distributor network that the Moscow sales team 
supports throughout the rest of Russia.

Creating quality outcomes 
for our US partners

“ We think the needs of our 
customers have been under 
met for years with existing 
adhesives.

In AMS, Medtronic has  
found a partner who has 
thoughtfully engineered a 
solution that benefits patients, 
clinicians and hospitals,  
as well as Medtronic itself.”

Christopher Ward,
Vice President, marketing surgical innovations 
Medtronic PLC.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201624

Business Units continued

OEM

The OEM Business Unit is responsible for supporting our 
business-to-business partners with a multi-product portfolio that 
is globally competitive and comprises our intellectual property, 
technology and know-how. It is responsible for directing R&D 
for our advanced woundcare products and technologies. 

Strategy
The strategy of this Business Unit is to 
support the Group’s partners to be 
successful with the products we supply, 
and to increase their market share in 
our areas of technical expertise by:

Strong partner relationships:
 e Key account management
 e Reliability of service and quality
 e Expansion of product portfolio
 e Regulatory support for expansion into new markets
 e Strong pipeline of innovative products with links with global 

reputable universities for new emerging technologies

Securing new partners through:
 e Reputation for quality, customer service and regulatory 
capability to assist with expansion into new geographies

Develop new products including:
 e Expansion of the foam portfolio
 e Expansion of the fibre range
 e Enhanced product performance

Advanced Medical Solutions Group plc Annual Report 201625

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201626

Business Units continued

OEM  
continued

Becky Walmsley
Business Unit Director

Revenue

+16%

+12%*
to £32.1m
(2015: £27.7m)
* at constant currency

Above: Antimicrobrial dressings
Our R&D pipeline is delivering 
results with antimicrobial foam 
dressings and atraumatic foam 
dressing, launched in Europe

2016 Sales
OEM (£32.1m)

Other foam products

PHMB foam
REQUIRE HIGH RES IMAGE 
Silver alginate
FROM CLIENT

Other woundcare products

Other

4.0

1.3

16.2

10.5

0.1

Unlike many of our competitors we offer a 
full design, development, manufacture and 
distribution service supported by regulatory, 
clinical and marketing professionals.

We partner with many of the world’s leading 
healthcare companies, supplying them with 
finished packed products which are provided 
under their own brand. Our technologies 
include foams, fibres, collagens, hydrogels 
and hydrocolloids.

We are also able to add antimicrobials such as 
silver and PHMB to our platform technologies, 
which are a key growth driver for this 
Business Unit.

We support our partners to access new markets 
through our regulatory expertise with strong 
marketing collateral backed by clinical evidence.

Following approval in 2015, we successfully 
launched our PHMB foam dressing into Europe 
in 2016. PHMB is an antimicrobial effective 
against several bacteria including, amongst 
others, Staphylococcus Aureus including the 
methicillin resistant type, (MRSA) and Escherichia 
Coli (E-Coli). This dressing may be used 
throughout the healing process on moderate 
to heavily exuding chronic and acute wounds 
that are infected or are at risk of infection as 
well as on pressure ulcers, leg and foot ulcers, 
diabetic ulcers and surgical wounds. Approval to 
market this product in the US is ongoing and we 
expect to launch the product in the US in 2017.

We also successfully launched our atraumatic 
silicone product range into Europe and the US 
in 2016. 

We continue to extend our product range 
by developing new products.

Advanced Medical Solutions Group plc Annual Report 201627

Performance

Total Fluid Handling Performance1
Be confident this foam can handle 
patient exudate.

AMS 
Silicone Foam

28.9g

10cm2/24hr

Allevyn 
Gentle*

23.7g

10cm2/24hr

Peel adhesion over 7 days1
Secure but pain free removal.

AMS 
Silicone Foam

2.7 (N/2.5cm)

Allevyn 
Gentle*

1.4 (N/2.5cm)

Creating quality outcomes for  
chronic and acute wounds
The management of pressure damage 
upon removal of full leg cast following 
fracture to the right patella

“ The Silicone Non Border dressings were applied 
to the category 3 pressure ulcer to assist in the 
management of exudate, prevent adherence and 
trauma at dressing changes along with providing 
a moist wound environment to aid wound healing. 
Reducing the potential mechanism for pain at 
dressing changes helped promote patient comfort 
and improve clinical outcomes.

The dressing was able to provide effective exudate 
handling as no signs of maceration visible to the  
peri wound area, whilst maintaining a moist wound 
environment and promoting wound progression as 
the wound reduced in size and showed areas of 
new epithelial tissue. The Silicone Foam dressing 
was easy to apply and remove and was atraumatic 
to the patient and was able to aid in the 
management of friable, vulnerable traumatic 
damaged tissue, and the achievement of 
satisfactory clinical outcomes for both the 
patient and the clinician.”

Carolynne Sinclair, Tissue Viability Nurse

for more detail please visit  
http://www.admedsol.com/our-divisions/oem-supply/fibres/

1  Data on file 2016

* Allevyn Gentle is a registered trademark of Smith & Nephew

Right: Silicone Foam dressing

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201628

Business Units continued

Bulk Materials

This Business Unit is responsible for providing Bulk Materials including foams, 
hydrocolloids, fibres and pattern coated films, to third party converters and 
partners who have their own converting capability. It is also responsible for 
supplying Bulk Materials within the Group.

Rollstock foam contributes the majority of sales 
from this Business Unit.

Our medical grade hydrophilic polyurethane 
foam is characterised by its ultrasoft, open-pored, 
medium density structure. It is very conformable 
and offers a high rate of absorbancy with good 
lateral control and fluid uptake.

We are looking to extend our foam range. 
The development of our antimicrobial PHMB 
foam which was launched in 2016 is an example 
of the types of products we are working on.

We are also able to supply film membranes 
with excellent moisture vapour transmission 
rates as well as film-foam membranes that have 
applications in scar reduction.

As the range of foam products we manufacture 
increases, we are investing in increasing our foam 
making capacity in the Netherlands. Our new 
line, which will increase capacity by 40%, is 
expected to be operational in the second half 
of 2017.

Below: Rollstock foam

Becky Walmsley
Business Unit Director

Revenue

+33%

+21%*
to £5.2m (2015: £3.9m)

* at constant currency

Strategy
The strategy of this Business Unit is to:

Extend the product offering through  
new product development

Expand commercial focus to new markets 
and customers

Reduce the cost of the foam process 
through operational improvements to 
enable partners to be more competitive

Advanced Medical Solutions Group plc Annual Report 201629

Financial Review

Creating quality outcomes  
and good financial performance

Group revenue increased by 20% to £82.6 million 
(2015: £68.6 million). At constant currency, revenue growth 
was 13%.

The Group uses alternative performance measures such as 
adjusted operating margin, adjusted profit before tax, net operating 
cash flow pre-exceptional items, together with current revenue 
measures restated at constant exchange rates, to allow the users of 
the accounts to gain a clearer understanding of the performance 

of the business, allowing the impacts of amortisation, exceptional 
items and exchange rate volatility to be separately identified.

The Group incurred an exceptional expense of £0.4 million in the 
year relating to an aborted acquisition (2015: nil).

Amortisation of acquired intangible assets was £0.2 million in the 
period (2015: £0.4 million).

To aid comparison, the Group’s adjusted income statement is 
summarised in Table 1 below.

Table 1: Adjusted Income Statement

Revenue

Gross profit

Distribution costs
Adjusted administration costs8
Other income

Adjusted operating profit

Net finance costs

Adjusted profit before tax

Amortisation of acquired intangibles

Exceptional Items

Profit before tax

Tax

Profit for the period
Adjusted earnings per share – basic9
Earnings per share – basic9
Adjusted earnings per share – diluted9
Earnings per share – diluted9
8 Adjusted administration costs exclude amortisation of acquired intangible assets and exceptional items

9  See Note 15 Earnings per Share for details of calculation

Year ended  
31 December 2016 
£’000 

Year ended  
31 December 2015 
£’000

82,621

47,427

(1,047)

(27,293)

621

19,708

(3)

19,705

(242)

(361)

19,102

(3,410)

15,692
7.77p

7.48p

7.66p

7.38p

68,596

39,908

(951)

(22,138)

589

17,408

(45)

17,363

(367)

–

16,996

(2,877)

14,119
6.95p

6.78p

6.86p

6.68p

% Change

20%

19%

13%

13%

12%

11%
12%

10%

12%

10%

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements30

Financial Review continued

Revenues were favourably impacted by approximately 
£4.9 million due to the effects of currency movements in the year. 
Gross margin reduced overall by 80bps due to adverse operational 
variances on new woundcare ranges, partly offset by mix changes 
and the favourable impact of currency movements.

and further investment in selling and marketing, particularly to 
support the Branded Direct Business Unit. There was also a benefit 
from the translation of US dollar receivables. The Group expensed 
£2.3 million of R&D to the Income Statement (2015: £1.8 million). 
Spend as a percentage of sales increased to 2.8% (2015: 2.6%).

Adjusted operating profit before exceptional items increased 
by 13% to £19.7 million (2015: £17.4 million) but the adjusted 
operating margin reduced by 150 bps to 23.9% (2015: 25.4%). 
Administration costs excluding exceptional items increased by 
23% to £27.3m (2015: £22.1 million) due to currency movements 

Profit before tax for the year was 12% higher at £19.1 million 
(2015: £17.0 million).

Table 2: Taxation

Weighted average Group tax rate

Loss utilisation and recognition

Patent box relief

R&D relief

Expenses not deductible, prior year adjustments, depreciation and share based payments

Effective taxation rate

%

22.11

(1.06)

(1.27)

(0.96)

(0.97)

17.85

The Board is proposing a final dividend of 0.62p per share, to be 
paid on 16 June 2017 to shareholders on the register at the close 
of business on 26 May 2017. This follows the interim dividend of 
0.30p per share that was paid on 28 October 2016 and would, if 
approved, make a total dividend for the year of 0.92p per share 
(2015: 0.80p), a 15% increase on 2015.

The operational performance of the Business Units is shown 
in Table 3 on page 31. The adjusted profit from operations and 
the adjusted margin are shown after excluding amortisation of 
acquired intangibles. To aid comparison and in determining the 
operational margins of the individual Business Units, the revenue of 
the Bulk Materials Business Unit sales made to other Business Units 
of £1.8 million (2015: £0.8 million) is included.

The Group’s effective rate of tax for the year was 17.9% 
(2015: 16.9%). This is reflective of the utilisation of previously 
unrecognised brought-forward UK tax losses, Patent Box relief 
and R&D tax credits. It also reflects the impact of blending profits 
and losses from different countries and the different tax rates 
associated with these countries. The effective tax rate of the Group 
is expected to increase in 2017, as the Group is no longer classified 
as a Small Medium Enterprise (SME) and will no longer be able 
to gain R&D tax credits at the SME rate. We estimate that this will 
increase our taxation rate by approximately 2%.

A reconciliation between the weighted average Group tax rate  
and the Group’s effective rate is summarised in Table 2 above.

Earnings (excluding amortisation of acquired intangible assets 
and before exceptional items) increased by 12% to £16.3 million 
(2015: £14.5 million), resulting in a 12% increase in adjusted basic 
earnings per share to 7.77p (2015: 6.95p) and a 12% increase in 
adjusted diluted earnings per share to 7.66p (2015: 6.86p).

Profit after tax increased by 11% to £15.7 million 
(2015: £14.1 million), resulting in a 10% increase in basic earnings 
per share to 7.48p (2015: 6.78p) and a 10% increase in diluted 
earnings per share to 7.38p (2015: 6.68p).

Advanced Medical Solutions Group plc Annual Report 201631

Table 3: Operating Result by Business Segment Year ended 31 December 
2016

Revenue

Profit from operations

Amortisation of acquired intangibles
Adjusted profit from operations10
Adjusted operating margin10
Year ended 31 December 2015

Revenue

Profit from operations

Amortisation of acquired intangibles
Adjusted profit from operations10
Adjusted operating margin10
10 Excludes amortisation of intangible assets and exceptional items

Branded 
Distributed
£’000

20,753

6,337

84

6,421

30.9%

14,631

4,366

127
4,493

30.7%

Branded Direct
£’000

OEM
£’000

Bulk Materials
£’000

24,553

4,976

141

5,117

20.8%

22,344

5,235

214
5,449

24.4%

32,070

6,881

17

6,898

21.5%

27,674

7,139

25
7,164

25.9%

7,040

1,796

–

1,796

25.5%

4,772

814

–
814

17.1%

Branded Distributed

OEM

The adjusted operating margin of this Business Unit increased to 
30.9% (2015: 30.7%), supported by US sales growth, but was lower 
than the margin reported in H1 2016 (35.4%), reflecting a higher 
than usual proportion of US sales in H1 and an increase in business 
unit operating expenses as a result of investment in sales and 
marketing personnel.

Branded Direct

The adjusted operating margin of this Business Unit reduced to 
20.8% (2015: 24.4%) mainly due to continued investment in sales 
and marketing and was lower than the position at H1 2016 (23.7%) 
mainly due to the phasing of fee income which occurred in the 
first six months of the year.

The adjusted operating margin of this Business Unit reduced to 
21.5% (2015: 25.9%) due to adverse operational variances on new 
woundcare ranges albeit higher than the margin reported at H1 
2016 (18.1%). It is worth noting that some of the margin benefit 
arising from the substantial increase in OEM foam sales is reported 
in the Bulk Materials Business Unit and is part of the reason for the 
increase in operating margin in that Business Unit.

Bulk Materials

The adjusted operating margin of this Business Unit increased 
to 25.5% (2015: 17.1%), and improved from the position in H1 
2016 (22.9%). Margins were affected by the higher volumes 
of production and sales, including a substantial increase in 
intercompany sales to the OEM Business Unit.

Table 4: Geographic Breakdown of Group Revenues

Europe (excluding UK and Germany)

Germany

UK

USA

Rest of the World

2016
£ millions

21.4

18.3

17.4

23.5

2.0

% of total

25.9%

22.1%

21.1%

28.5%

2.4%

2015
£ millions

19.1

13.4

16.7

17.8

1.6

% of total

27.8%

19.5%

24.3%

25.9%

2.3%

Geographic Breakdown of Revenues

The geographic breakdown of Group revenues in 2016 is shown in 
Table 4 above: 

48% of the Group’s sales are in Europe (excluding the UK) of 
which 59% are denominated in Euros. Approximately 95% of all 
sales to the US are denominated in US Dollars. The Group hedges 
significant transaction exposure by using forward contracts 
and options and aims to have 70% of its estimated transactional 

exposure for the next 12 months hedged. The Group estimates 
that a 10% movement in the £:US$ or £:Euro exchange rate 
will impact Sterling revenues by approximately 2.7% and 3.1% 
respectively and in the absence of any hedging this would have an 
impact on profit of 2.2% and 0.5%.

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements32

Financial Review continued

Table 5 summarises the Group’s cash flows.

Table 5: Group Cash Flows Year ended 31 December

Adjusted operating profit (Table 1)

Non-cash items
Adjusted EBITDA11
Working capital movement

Operating cash flow before exceptional items

Exceptional items

Operating cash flow after exceptional items

Capital expenditure and capitalised R&D

Net interest

Tax

Free cash flow

Dividends paid

Proceeds from share issues

Exchange gains/(losses)

2016
£’000

19,708

4,023

23,731

(1,480)

22,251

(361)

21,890

(2,536)

(3)

(2,065)

17,286

(1,783)

868

553

2015
£’000

17,408

3,153

20,561

1,983

22,544

–

22,544

(2,675)

(47)

(1,253)

18,569

(1,521)

494

(621)

Net increase in cash and cash equivalents
11 Adjusted EBITDA is earnings before interest, tax, depreciation, intangible asset amortisation, share based payments  

and exceptional items

16,924

16,921

Adjusted EBITDA increased by 15% to £23.7 million 
(2015: £20.6 million).

Working capital increased in the year in line with the growth of the 
business. 4.4 months of supply of inventory was held across the 
Group (2015: 4.4 months of supply). Trade receivable days were in 
line with prior year at 41 days (2015: 41 days) while trade payable 
days decreased slightly to 33 days (2015: 34 days).

The Group generated net cash from operating activities of 
£21.9 million (2015: £22.5 million) (see Table 5) and had net cash 
of £51.1 million (2015: £34.2 million) at the end of the year.

In the year, we invested £2.6 million in capital equipment, software 
and capitalised R&D (2015: £2.7 million), including ERP software 
and internally developed products.

The Group generated a free cash flow of £17.3 million in the year 
(2015: £18.6 million). The conversion of adjusted operating profit 
into free cash flow was 88% (2015: 107%).

The Group paid its final dividend for the year ended 31 December 
2015 of £1.2 million (2015: for the year ending 2014, £1.0 million) 
on 10 June 2016, and its interim dividend for the six months 
ended 30 June 2016 of £0.6 million (2015: £0.6 million) on 
28 October 2016.

Table 6: Movement in Net Cash

Net cash as at 1 January 2016

Exchange rate impacts

Free cash flow

Dividends paid

Proceeds from share issues

Net cash as at 31 December 2016

The Group’s going concern position is fully described in Note 2.

In December 2014 the Group entered into a five-year, £30 million, 
multi-currency revolving credit facility with an accordion option 
under which AMS can request up to an additional £20 million on 
the same terms. The previous facility for £4 million was due to 
expire in 2015. The Group chose to take advantage of favourable 
credit conditions to put in place a more suitable facility to support 
its growth ambitions. The new facility is provided jointly by the 
Group’s existing bankers, HSBC, as well as The Royal Bank of 
Scotland PLC. It is unsecured and has not been drawn down. 
This facility carries an annual interest rate of LIBOR or EURIBOR 
plus a margin that varies between 0.65% and 1.75% depending on 
the Group’s net debt to EBITDA ratio.

At the end of the period, the Group had net cash of £51.1 million 
(2015: £34.2 million). The movement in net cash from the start of 
the year to net cash at the end of the year is reconciled in Table 
6 below:

£’000

34,201

553

17,286

(1,783)

868

51,125

Advanced Medical Solutions Group plc Annual Report 201633

Our Key Performance Indicators

Creating quality outcomes by 
measuring our performance

Revenue growth (%)1
at constant currency

13%

Why we measure it
We see revenue growth as a 
contributing factor to our aim 
of providing long-term value for 
our shareholders.

Adjusted3 operating 
margin (%)1

24%

Why we measure it
We see operating margin 
as important to ensure the 
sustainability of our business and 
to our aim of providing long-term 
value for our shareholders.

57%

11%

9%

11%

13%

Customer service (OTIF)2

94%

96%

99%

96%

90%

90%

12

13

14

15

16

12

13

14

15

16

Why we measure it
We see OTIF as a contributing 
factor to our aim of providing 
excellent service to our customers.

Progress made in the year
Revenue has increased by 
20% in 2016 to £82.6 million 
(2015: £68.6 million), representing 
growth of 20% (13% on a constant 
currency basis). Our strategy 
of having multiple products 
and multiple routes to market 
continues to pay off and we have 
made good progress across all 
Business Units in the last year.

Progress made in the year
OTIF fell to 90% in 2016 
(2015: 96%), which is lower 
than the average Group OTIF 
of 96% over the previous four 
years. OTIF was impacted 
by an interruption in service 
from our steriliser, who 
experienced difficulties when 
they commissioned a new plant 
resulting in extended turnaround 
times. These issues have now 
been resolved. OTIF is expected to 
return to levels of previous years 
in 2017.

24%

24%

25%

25%

24%

Adjusted3 diluted earnings
per share growth (%)1

24%

6%

14%

10%

12%

12%

12

13

14

15

16

12

13

14

15

16

Why we measure it
We see EPS as an important factor 
to our aim of providing value for 
our shareholders.

Progress made in the year
Adjusted diluted earnings per 
share has increased by 12% to 
7.66p (2015: 6.86p).

Progress made in the year
The launch of the two new foam 
dressing ranges has required 
new converting processes to be 
developed and the success of the 
launches has resulted in significant 
volumes of new product being 
required. The initial efficiencies of 
these processes have been lower 
than for our more established 
ranges and lower than we would 
expect to obtain on a regular 
basis. This has had a negative 
impact at the Winsford site. 
Improvements are being made to 
our processes in 2017.

1  Includes twelve months contribution from RESORBA® acquisition in 2012

2  OTIF – ‘On time in full’

3  Before exceptional items and amortisation of acquired intangible assets

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements34

Corporate Social Responsibility

Creating quality outcomes... 

We continually review our business practices to ensure that our business 
operates in a responsible manner with respect to Employees, Ethical Standards, 
Health, Safety, Environment and Community. We remain committed to 
continuous improvement contributing to the success of the business. 

Employees

At AMS we focus on creating an engaging 
place to work where employees are able to 
develop and are challenged to achieve both their 
ambitions and the long-term strategic goals of 
the business. With over 600 employees globally, 
AMS is focused on retaining and attracting 
the right calibre of people and providing an 
environment where individuals can deliver to 
the best of their capabilities. We recognise the 
importance of our people and that it is only 
by their effective engagement that we will 
continue to be highly successful. We value 
their commitment and determination to 
achieve and deliver good results. Our working 
environment encourages openness, teamwork, 
an understanding of others’ needs and the ability 
‘to make a difference’.

We develop the talent at AMS by training 
with programs such as the Management 
Development Programme and principles of Lean 
Manufacturing, and by providing a place to work 
where our employees feel valued, incentivised 
and fulfilled. We continue to support a number 
of apprenticeship schemes and graduate 
recruitments across the Group and intend to 
expand the number of schemes we operate 
in 2017.

AMS promotes communication with employees 
who are encouraged to put forward their views 
to the Company through both our monthly 
briefing meetings and also through our 
employee surveys. Employees are encouraged 
to participate in suggesting and implementing 
improvements across the Group. 

Employee Diversity

We are committed to actively encouraging 
a more inclusive and diverse workplace and 
look for opportunities to reinforce this where 
appropriate, although we continue to recruit on 
merit. The Group is committed to eliminating all 
forms of discrimination and giving fair and equal 
treatment to all employees and job applicants 
in terms of recruitment, pay conditions, 
promotions, training and all employment matters 
regardless of their age, disability, race, sex, sexual 
orientation, marriage and civil partnership, 
pregnancy and maternity, gender reassignment, 
religion or belief. The female representation on 
the Board, Senior Management Team and across 
the Group at the year-end is shown here:

Gender Ratio

Main Board

6

Male 

Female

4

2

Senior Management Team

8

Male 

Female

5

3

Total Employees

601

Male 

Female

269

332

Advanced Medical Solutions Group plc Annual Report 201635

... by ensuring that our 

business is conducted  
in a responsible manner...

Ethical Standards
We recognise the importance of operating a 
business in an ethical manner.

AMS has set appropriate standards and policies to 
uphold all laws relevant to prevention of bribery 
and corruption in all jurisdictions in which we 
operate. The Group also has in place policies 
and procedures covering Gifts and Hospitality, 
Whistleblowing, the Modern Slavery Act and the 
Market Abuse Regulations.

Culture
AMS is highly dependent on the innovation and 
creativity of our employees for our future growth 
and success. It is important that we have a culture 
and set of values that are clearly understood 
across the business, and that employees 
embrace. We aim to operate to the highest 
ethical standards. We have adopted the business 
motto of ‘The AMS Care, Fair, Dare approach’ to 
summarise our culture, underpin our values, and 
to deliver results, building a sustainable future 
for our business. Under this motto, we have 
defined the principles and expectations of how 
we will operate together to deliver success as the 
Company continues to grow. Care, Fare, Dare 
will be reviewed and updated throughout 2017 
following input gained from employees across 
the Group.

The Advanced Medical Solutions’ ‘Care Fair Dare’ Approach

A culture  
of:

A focus  
on:

A behavioural  
style which is:

A leadership 
style which:

A set of 
values which:

 e Listening and 
understanding

 e Valuing 

contribution

 e Right first time
 e The “Bigger  

Picture”

 e Open minded
 e Sensitive to others

 e Builds  

engagement
 e Motivates and 
retains staff

 e Ownership and  
responsibility

 e Leading by 
example

 e Helping not  

judging

 e The team not 
the individual

 e Trustworthy
 e Inclusive

 e Proactively  
collaborates

 e Takes 

responsibility

 e Optimism
 e Determination 
and persistence

 e Solutions not 
problems
 e Continuous  
improvement

 e Responsive
 e Creative

 e Challenges the  

status quo
 e Promotes 
openness

E
R
A
C

R

I

A
F

E
R
A
D

 e Define the  
AMS culture

 e Are understood 

across the 
Group

 e Deliver results

 e Will build a 
sustainable 
future

... and developing talent 
within the business

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements36

Corporate Social Responsibility continued

Supply Chain

Health, Safety and Environment

Our Sourcing Policy requires suppliers to confirm 
they engage in ethical treatment of employees 
and observe prevailing laws in relation to other 
ethical issues, and ensures that suppliers:

 e Do not employ any forced, bonded or 

involuntary labour;

 e Do not use child labour;
 e Provide safe and hygienic working conditions;
 e Take adequate steps to prevent accidents and 
injury to health arising out of, associated with, 
or occurring in the course of employment;
 e Pay wages and benefits and apply working 
hours for a standard working week that are 
no less than the applicable minimum national 
legal standard; 

 e Do not discriminate on grounds of 

gender, age, religion, political affiliation or 
sexual orientation;

 e Do not permit harsh or inhumane treatment of 

its employees;

 e Do not supply equipment used in the unethical 

treatment of individuals;

 e Do not supply or trade in any banned or 

proscribed substances or materials in breach of 
the prevailing laws; 

 e Do not engage in practices that amount to 

bribery; and

 e Respect and seek to avoid any unlawful 

infringement of the intellectual property rights 
of third parties

The Health and Safety of our staff, visitors to 
our facilities, and those who carry out work 
on our behalf, is of the utmost importance to 
us. Identifying and complying with applicable 
legislation underpins our Health and Safety 
activities and improvement initiatives. The Board 
provides Health, Safety and Environmental 
(HSE) leadership and the Chief Executive 
Officer has primary responsibility for setting 
the principles. The Chief Financial Officer, 
supported by the Group Operations Director, 
ensures adequate resource is available to support 
operational health, safety and environmental 
improvement plans.

We have established HSE Committees at each 
site which meet monthly. These Committees 
report monthly to the Senior Management Team 
and to the Board. We focus on the prevention 
of accidents and incidents through proactive 
reporting of potential hazards.

Over the last 12 months we have focused our 
resources to improve the level of accountability 
and expectation for continuous improvement 
in Health and Safety. Initiatives to improve 
involvement and accountability will continue 
over the foreseeable future to help us to further 
reduce our accident potential. 

Safety Performance 2016

Our All Injury Rate (AIR) was 5.353 in 2016 and 
has been below the target of 6.0 over the past 3 
years. We endeavour to take proactive initiatives 
to ensure our AIR remains below our target. 
Our AIR is measured as follows:

AIR (per 100,000)
No more than 6.0

5.764

4.296

5.353

6.0

AIR =   Total number of injuries x 100,000

14

15

16

Total labour hours worked

Advanced Medical Solutions Group plc Annual Report 2016 
AMS sponsors a number of sports charities and 
clubs in the area. We have sponsored the annual 
Pie & Peas 5 mile race for three years, which 
is organised by the local athletics club based 
in Winsford, Cheshire, Vale Royal A.C. As well 
as sponsoring this local race, employees are 
encouraged to participate in pre-race training 
programs to foster employee well being as well 
as enjoying good-humoured rivalry. AMS aims to 
promote participation in sports and exercise so as 
to encourage healthy lifestyles.

We also sponsor our local ladies football club, 
Witton Albion Ladies FC, who receive no 
other funding and are coached by one of our 
employees in their spare time, as well as a local 
junior rugby team (Crewe and Nantwich RUFC 
Junior Colts).

We are involved with some international charities. 
We sponsor a number of children in Africa 
and Asia through Plan International, a charity 
that promotes child rights and aims to end 
child poverty.

We intend to continue to provide ongoing 
support to these and other events.

Environment

It is the Group’s policy to abide by all laws, 
directives and regulations relevant to its field 
of operations and to act in a manner so as 
to minimise the effects of our operations on 
the environment. 

As AMS has operations across a number 
of countries, local management drives 
environmental performance. Specific  
site-level objectives are established to 
ensure compliance with local legislative and 
external management system requirements. 
AMS uses a variety of indicators to monitor 
environmental performance.

Community

We are committed to supporting and having a 
positive interaction with our local communities. 

The Whitechapel Centre is the leading homeless 
and housing charity for the Liverpool region. 
They work with people who are sleeping rough, 
living in hostels or struggling to manage their 
accommodation. They are committed to helping 
people find and maintain a home and learn 
the life skills essential for independent living. 
AMS has supported the Whitechapel Centre for 
the last two years and at Christmas employees 
provided over two hundred shoe boxes wrapped 
as presents containing essential items such as 
toiletries and warm clothing, and Christmas gifts. 
These contributions are matched financially by 
the Company.

37

Left: Witton Albion Ladies FC 
Team Photo
We were delighted that Advanced 
Medical Solutions chose to 
support us. We had a fantastic 
season, thoroughly enjoyed our 
football, and really appreciate 
the support and commitment 
we received.

Anthony Lee 
Manager, Witton Albion Ladies.

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements38

Risk Management

Creating quality outcomes  
by managing risk

Risk and uncertainty are an inherent part of 
doing business and could have an impact on our 
business, brands, assets, revenue, profits, liquidity 
and capital resources. To meet our strategic 
objectives, build shareholder value and promote 
our stakeholders’ interests, we must manage 
this risk.

An effective and successful risk management 
process balances risk and reward and is 
dependent on the judgement of the likelihood 
and impact of the risk involved. The Board has 
overall responsibility for ensuring there is an 
effective risk management framework, which 
underpins our business model.

The Business Units, Senior Management Team 
(SMT), Audit Committee and Board review risks 
throughout the year. These risks are documented 
in the Risk Register which is formally reviewed 
by the SMT, Internal Audit and the Board twice 
annually. The plans and actions assigned to 
the Executive Directors and SMT members are 
reviewed to ensure progress in being made with 
risk and mitigation plans.

We believe that the policies, procedures and 
monitoring systems that are in place are 
sufficient to effectively manage the risks faced by 
our business.

Key Roles and Responsibilities

Board

 e Overall responsibility for corporate strategy, 

 e Defining the Group’s appetite for risk 

governance, performance, internal controls and Risk 
Management Framework

 e Identification, review and management of identified 

Group strategic risks 

 e Assessing the effectiveness of the risk management 

processes adopted across the Group

 e Challenging the content of the Risk Register 

y
t
i
l
i

b
i
s
n
o
p
s
e
r
g
n
i
t
r
o
p
e
r
d
n
a
g
n
i
r
o
t
i
n
o
M

Audit  
Committee

 e Assessing the effectiveness of the risk management 

 e Monitoring compliance with internal control systems 

processes adopted across the Group

and manages Internal Audit arrangements

 e Ensuring compliance with legislation, rules 

and regulations

Senior 
Management  
Team

 e Management of the business and delivery of strategy

 e Challenging the appropriateness and adequacy of 

 e Identification and monitoring of the key risk indicators 

action plans to mitigate risk

and taking timely action where appropriate 

 e Analysing the aggregation of risk across the Group

 e Ensuring implementation of the Group’s actions and 

 e Provision of cross functional/Business Unit resource 

mitigation plans required to manage risk

to effectively mitigate risk

Business  
Units

 e Execution of the delivery of the actions associated 

 e Identification and reporting of strategic risks to the 

with managing risk

Senior Management Team

 e Timely reporting on the implementation and progress 

 e Implementation of a risk management approach 

of agreed action plans

which promotes the ongoing identification, 
evaluation, prioritisation, mitigation and monitoring  
of operational risk

y
t
i
l
i

b
i
s
n
o
p
s
e
r

e
c
n
a

i
l

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o
c
d
n
a
n
o
i
t
a
t
n
e
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e
p
m

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I

Advanced Medical Solutions Group plc Annual Report 2016 
 
 
 
 
 
39

Identifying Risks

A robust methodology is used to identify key risks 
across the Group; in Business Units, operations 
and during projects. This is an ongoing process.

Analysing Risks

Once identified, the process will evaluate identified 
risks to establish root causes, financial and non-
financial impacts and likelihood of occurrence. 
We use a scoring system to assess the likelihood 
of a risk materialising and the potential financial 
impact on the Group. The risks are prioritised 
in terms of severity based on the scoring and 
a mitigation plan is prepared to reduce the 
risk. Once controls and mitigating factors are 
considered, the risk is reassessed and re-scored 
(mitigated score) to ascertain the net exposure.

Managing Risk

The SMT, Internal Audit and the Board review 
the Risk Register formally at least twice a year, 
assessing whether the risks are still the most 

Risk Management Model

significant facing the Group and whether new 
risks have arisen. Effectiveness, adequacy of 
controls and mitigating actions are assessed 
and if additional controls or actions are required, 
these are identified and actions assigned. 
The Risk Register documents this. 

Monitoring and Reporting Risk 

The SMT is responsible for monitoring progress 
to mitigate key risks. The risk management 
process is continuous; key risks are reported  
to the Board following the bi-annual review  
of the Group’s Risk Register. 

Internal Audit

Additionally, the Board is supported by a program 
of Internal Audits. Internal Audit reports to 
the Audit Committee on progress of control 
or process improvements following Internal 
Audit recommendations.

C o r p o r a t e Governance

Identify
Identify risks
Assess existing  
controls

Analyse
Assess mitigating  
factors
Score mitigating  
risks

Risk  
Management  
Process

Monitor  
and Report
Monitor  
execution of  
actions

Manage
Assign  
responsibility
Develop  
action plan

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements40

Risk Management continued

Principal Risks: Impact, key 
controls and mitigating factors

Risk

Key Controls and Mitigating Factors

Market share growth declines/
developing new markets is slower 
than expected

Impact
 eIncome shortfall
 eLoss of OEM partners

Lack of innovation/slow adoption 
of new products

Impact
 eLoss of market share
 eReturn on R&D investment is poor
 eMisidentification of new, 
competitive technology

 eLoss of business

 eEffective alignment of strategy to consider the market changes and promote quality and cost savings
 eNew territories for revenue growth developed
 eContinued development of new products and projects to deliver growth to provide differentiation
 eMarketing strategy to support partners and products 

 ePipeline of new products / technologies identified and prioritised
 eR&D progress is monitored against the stage gate process to ensure projects are progressing to plan 

and action is taken if necessary

 eStrong links with partners, including Universities, to reduce the risk of missed opportunities
 eInvestment in clinical programmes, Key Opinion Leaders, clinical training and symposia to foster the 

adoption of new approaches

 eConsideration of licensing technology

Industry consolidation/loss of business 
at key account level

Impact
 eIncome shortfall

 eNo over reliance on any one customer. No one customer is more than 10% of the Group’s revenue
 eAll customers have contracts with agreed termination clauses
 eEvaluation of opportunities to broaden reach into new markets
 eUnique products protected by Intellectual Property (IP)

Increased global competition 
reduces profitability

 eFull service offering including strong regulatory and quality assurance together with product development, 

product differentiation and clinical support to mitigate a pure cost of supply proposition

Impact
 eIncome shortfall

Regulatory risk

Impact
 eInability to supply product
 eProduct launches delayed
 eLoss of customer, revenue 

and reputation

Making the wrong acquisition

Impact
 eImpaction Group performance, 

revenue and market capitalisation

 eReputational loss

 eContacts have agreed set minimas which allow terms to be renegotiated or agreements terminated
 eDiversified approach reduces the impact on any one project, partner or product

 eStringent regulatory regime in place
 eExperienced regulatory team
 eStrong regulatory pathway ensures that the increased regulatory requirements are met to gain approvals 
 eWork with partners and distributors where they have local expertise
 eStrictly controlled Quality Management System

 eStrategy set and M&A objectives defined
 eAdvisors appointed
 eDetailed market intelligence and identification of targets
 eExtensive due diligence process established

Advanced Medical Solutions Group plc Annual Report 201641

Risk

Brexit implications

Impact
 eHigher costs
 eMore complicated/longer 

product approvals

 eLonger lead times for customers

Forex exposure

Impact
 eLoss of income
 eShortfall in profit
 eMarket expectations missed

Key Controls and Mitigating Factors

 eBrexit team established with plans outlined
 eMonitor Brexit discussions and agree course of action once decisions are made
 eSet up as an Authorised Economic Operator to allow quicker customs clearance
 eEvaluate benefits of establishing a distribution hub in Mainland Europe
 eUtilise existing European subsidiaries to best advantage

 eTreasury policy on forex exposure determined
 eAt least 70% of estimated transactional exposure for next 12 months hedged

Vulnerability to single source supply

Impact
 eInability to supply specific products and 

 eDual source key components wherever possible
 eHold levels of inventory to prevent operational issues arising from delays
 eBusiness Interruption Insurance to cover significant interruption of supply

 eR&D prioritising assessment of ability to patent
 ePatented technologies reviewed for inclusion into new developments
 eIP portfolio reviewed regularly
 eLegal team working closely with R&D and patent attorneys
 eStrong enforcement if IP infringed

 eCyber Security audits carried out
 ePenetration testing 
 eOngoing user education
 eImplementation of audit and testing recommendations

exposed to price increases

 eIncreased cost of supply

Insufficient focus on protection of IP

Impact
 eCommercial value of products 

not maximised
 eLoss of revenue
 ePotential patent infringement

Cyber-Risk (Systems and 
Data compromised)

Impact
 eLoss of sensitive data
 eLoss of reputation

Mary Tavener 
Company Secretary 

28 April 2017

Advanced Medical Solutions Group plc Annual Report 2016Company OverviewStrategic Report  GovernanceFinancial Statements42

Board of Directors

Peter V Allen

Non-Executive  
Chairman

Mr Allen was appointed as Non-Executive Chairman 
of the Group in January 2014. He is currently the  
Non-Executive Chairman of LSE listed Future plc, 
AIM listed Clinigen plc, and Diurnal plc, together with 
privately owned Oxford Nanopore Technologies 
Limited. He is a qualified Chartered Accountant.

Mr Allen has extensive experience in the healthcare 
industry, having held key senior positions in a number 
of companies and playing a significant role in their 
development. This includes 12 years at Celltech Group 
plc (1992-2004) as CFO and Deputy CEO, 6 years 
as Chairman (2007-13) and interim CEO (2010-11) of 
ProStrakan Group plc, and three years as Chairman 
of Proximagen Neurosciences plc (2009-12).

A

R N*

Chris Meredith

N

Chief Executive  
Officer

Mr Meredith was appointed Group Chief Executive 
Officer in January 2011. He joined AMS as Group 
Commercial Director in July 2005 following a 
successful 18-year career in international healthcare 
sales, marketing and business development. 
His experience prior to joining AMS covered 
business-to business contract manufacturing, 
product development and clinical research as well as 
branded product sales all within the medical device, 
pharmaceutical or consumer healthcare markets. 
He was appointed Managing Director of Advanced 
Woundcare in February 2008 and in January 2010 
he became Chief Operating Officer for the Group. 
Mr Meredith has previously held senior positions at 
Smiths Industries, Cardinal Health, Banner Pharmacaps, 
and Aster Cephac.

Mary G Tavener

Chief Financial  
Officer

C

Ms Tavener joined AMS as Finance Director in 1999. 
Prior to this she was the Group Financial Controller 
at BTP plc during a period of considerable corporate 
activity and was involved in the acquisition and disposal 
of several businesses that repositioned BTP plc as 
a fine chemical company prior to it being sold to 
Clariant AG. Her experience has been gained in several 
manufacturing companies and she has held financial 
positions with Cadburys Ltd and Parker Hannifin,  
a US Engineering Corporation. Prior to BTP plc she was 
the Finance Director of Churchill Tableware Ltd. She is 
a qualified Chatered Management Accountant and 
member of the Association of Corporate Treasurers.

Advanced Medical Solutions Group plc Annual Report 201643

Key
*   Denotes Chairman
C   Company Secretary
A   Audit Committee
R   Remuneration Committee
N   Nomination Committee

Registered Office 
Premier Park, 33 Road One, 
Winsford Industrial Estate, 
Winsford, 
Cheshire CW7 3RT

Registered Number
2867684

Penny Freer

A

R* N

Stephen G Bellamy

A*

R

N

Senior Independent  
Non-Executive Director

Non-Executive  
Director

Ms Freer was appointed as Senior Independent  
Non-Executive Director of AMS in March 2010. 
She is a partner of London Bridge Capital Partners, 
a corporate advisory business, and a Non-Executive 
Director of Empresaria Group plc, Crown Place VCT plc 
and Sinophi Healthcare.

Mr Bellamy was appointed as Non- Executive Director 
of AMS in February 2007. He is currently Chairman of 
Becrypt Ltd (data security and protection technology) 
and a founding partner of Accretion Capital LLP 
(provider of strategic capital and advice to European 
emerging technology companies).

With 25 years’ experience in investment banking she 
was formerly Head of Equities for Robert W Baird 
in London and prior to this held senior positions at 
Credit Lyonnais and NatWest Markets.

Formerly an Executive Director of Sherwood 
International plc and Brierley Investments’ London 
operations, he has also held a number of other  
Non-Executive Directorships and advisory roles. 
He is a New Zealand qualified Chartered Accountant.

Peter M Steinmann

Non-Executive  
Director

A

R

N

Mr Steinmann was appointed as Non-Executive 
Director of AMS in July 2013. He is a Swiss national with 
over 25 years of commercial experience in Medical 
Devices and Diagnostics. He has held senior roles 
within Johnson & Johnson, Medtronic International 
and Boehringer Mannheim. Most recently, he was 
Regional Vice President Global Surgery and Shared 
Services, Medical Devices and Diagnostics, Austria, 
Germany and Switzerland at Johnson & Johnson AG, 
Switzerland as well as Chairman of the Board.

Having worked throughout Europe and North America, 
he has extensive knowledge of the global medical 
devices market. He is currently Chairman of Advanced 
Perfusion Diagnostics SA, a Non-Executive Director of 
DistaMotion SA and is a Board Observer with Orthimo 
AG, and has held a number of other Non-Executive 
Directorships prior to joining AMS.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201644

Senior Management

Simon Coates

Group IS Manager

Simon joined AMS in 2002 as Group Information 
Systems Manager and, during the Company’s growth 
since then, he has overseen many key IT projects 
including implementing ERP systems across the Group, 
integrating acquisitions and relocating the business into 
its existing Winsford site.

Simon has over 25 years’ experience in IT infrastructure, 
systems implementation and software development 
gained from a number of different industries. Prior to 
joining AMS he was Worldwide IT manager at Whitford 
Plastics Ltd, a manufacturer of fluropolymer coatings, 
supporting them through a period of rapid growth, 
managing multiple sites and key IT projects including 
ERP implementation and adoption of the Euro for the 
European offices.

Simon was appointed to the Senior Management Team 
in January 2015.

Rose Guang

Group Quality Assurance/  
Regulatory Affairs (QA/RA) Director

Rose joined AMS in May 2013 as Group QA/RA Director. 
Having completed her Masters Degree in Precision 
Engineering from Nanyang Technology University in 
Singapore, Rose has over 20 years’ experience working 
for medical device companies and has a strong 
background in setting up effective quality systems. 
Rose has worked for Bausch & Lomb International 
Healthcare, Nypro and spent nine years at Medical 
House Products plc as Director of Quality, Regulatory 
Affairs and Operations. Prior to joining AMS, Rose was 
Head of Quality and Regulatory Affairs at Bespak, part 
of Consort Medical plc.

Rose is also a 6 Sigma Master Black Belt.

Eddie Johnson

Group Financial Controller

Eddie joined AMS in October 2011. Having gained a 
first class degree in Maths and Computer Science from 
Keele University in 1993, he qualified as a Chartered 
Accountant in 1996. Since moving into industry in 
1996 Eddie has held a number of senior finance roles 
in various sectors including, more recently, Head of 
Commercial Finance at Norcros plc and Western 
European Financial Controller for Sumitomo Electrical 
Wiring Systems.

In November 2012, Eddie was appointed Group 
Financial Controller

Advanced Medical Solutions Group plc Annual Report 201645

Pieter van Hoof

Jeff Willis

Group Operations Director

Pieter joined AMS B.V. in November 2009. Having 
completed a Masters degree in Engineering in 
Chemistry and Biochemistry at the Katholieke 
Universiteit Leuven (Belgium). Pieter joined Janssen 
Pharmaceutica working as a production supervisor in 
the manufacturing unit for sterile injectable products 
before joining the DuPont Engineering Polymers 
business in September 1999. At DuPont Engineering 
Polymers Pieter worked in a number of business 
process improvement roles in Supply Chain, certifying 
as a 6 Sigma Master Black Belt, before moving 
into Sales and Marketing, gathering experience in 
account management and business development. 
Before joining Advanced Medical Solutions B.V. 
Pieter held the position of European Customer Services 
Manager for DuPont Engineering Polymers.

Pieter was appointed Director of our Bulk Materials 
Business Unit in November 2012 and became the 
Operations Manager for our Winsford and Etten-Leur 
sites in February 2015. He was promoted to Group 
Operations Director in December 2016, following 
Richard Stenton’s retirement.

Business Unit Director,  
Branded Direct and Branded Distributed

Jeff joined AMS in October 2005 as Vice President 
Business Development, Americas. Jeff graduated 
with a degree in Biomedical Engineering from the 
University of Florida in 1996 and completed a Masters 
programme in Management of Technology at Georgia 
Institute of Technology in 2001. He spent ten years with 
Kimberly-Clark Health Care in various R&D, Product 
Development, and New Business Development 
roles. In 2004, Jeff joined Abbott Laboratories in 
Columbus, Ohio as Manager of Licensing and Business 
Development supporting the medical nutritional and 
consumer products division.

In October 2009, Jeff assumed the role of Vice 
President of Group Marketing for AMS, relocating to 
the UK. In December 2011, Jeff also took responsibility 
for the Integration of RESORBA®.

Jeff was appointed Director of our Branded Distributed 
Business Unit in November 2012, and following a 
recent re-organisation is now also Director of the 
Branded Direct Business Unit. He resides in the US.

Becky Walmsley

Business Unit Director,  
OEM and Bulk Materials

Becky joined AMS in July 2015 as Business Unit Director 
of OEM and Bulk Materials. Becky graduated with a 
degree in Modern Languages (French and German) 
with International Studies from South Bank University in 
1993 and completed an Executive Masters of Business 
Administration at Lancaster University in 2000.

Becky has more than 13 years’ experience in the 
Medical Device sector, having held various senior 
management roles, most recently as European Sales 
Director for Scapa Healthcare.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201646

Corporate Governance Report

Governance Statement 

The Company’s shares are quoted on the AIM market and are subject to the AIM Admission Rules of the London Stock Exchange and 
consequently are not required to comply with the provisions or report in accordance with the UK Corporate Governance Code (the 
Code) issued by the Financial Reporting Council in 2014. The Code was updated in April 2016 for accounting periods beginning on 
or after 17 June 2016 and will be applied for the following financial year. The Board is however committed to the principles of good 
corporate governance covering leadership, effectiveness, accountability, remuneration and shareholder relations as outlined in the Code. 
The Directors have applied the Code as far as is practicable and appropriate for a public company of the Group’s size.

Role of the Board

The role of the Board is to establish the vision and strategy for the Group, to deliver shareholder value and it is responsible for the  
long-term success of the Company. Individual members of the Board have equal responsibility for the overall stewardship, management 
and performance of the Group and for the approval of its long-term objectives and strategic plans.

Division of Responsibilities

There is a clear division of responsibilities between the role of the Chairman and Chief Executive Officer of the Company. The roles are 
clearly set out in writing and reviewed by the Board.

Board Responsibilities

Role

Chairman

Name

Peter Allen
Appointed Chairman on 1 January 
2014 (following his appointment 
as a Non-Executive Director on 
4 December 2013)

Responsibility
 e Leadership and management of the Board
 e Setting the Board’s Agenda, style and tone of discussions
 e Ensuring the Board’s effectiveness in all aspects of its role
 e Work closely with the Chief Executive Officer on developing the 

Group’s strategy, and providing general advice and support

Chief Executive 
Officer

Chris Meredith

Senior Independent 
Director 

Penny Freer
Appointed Senior Independent  
Director in 2010

Non-Executive 
Directors

Steve Bellamy

Peter Steinmann

 e Facilitating active engagement by all members
 e Participating in shareholder communications
 e Promoting high standards of corporate governance

 e Managing the Group’s business
 e Developing Group strategy for consideration and approval by the Board
 e Leading the Senior Management Team (SMT) in delivering the Group’s 

strategic and day-to-day operational objectives

 e Leading and maintaining communications with all stakeholders

 e Acting as an intermediary for other Directors when necessary
 e Available to meet with shareholders and aid communication of 

shareholder concerns when normal channels of communication 
are inappropriate

 e Chair meetings of Non-Executive Directors if, and when, required
 e All responsibilities of a Non-Executive Director as outlined below

 e Constructively challenging and contributing to the development of 

Group strategy

 e Monitoring the integrity of financial information, financial controls 

and systems of risk management to ensure they are robust

 e Reviewing the performance of Executive Management
 e Formulating Executive Director remuneration

The Non Executive Directors

Each of the Non-Executive Directors are free from any relationship with the Executive Management of the Company and are free from 
any business or other relationship that could affect or appear to affect the exercise of their independent judgement. The Board considers 
that all of the Company’s Non-Executive Directors are Independent Directors, in both character and judgement, in accordance with the 
recommendations of the Code. This is explained in more detail on page 48. The Chairman, Peter Allen, was considered independent on 
his appointment.

Advanced Medical Solutions Group plc Annual Report 201647

The Operation of the Board

The Board has the authority for ensuring that the Group is appropriately managed and achieves the strategic objectives it sets. 
To achieve this, the Board reserves certain matters for its own determination including matters relating to Group strategy, approval 
of interim and annual financial results, dividends, major capital expenditure, budgets, monitoring performance, treasury policy, risk 
management, corporate governance and the effectiveness of its internal control systems. It has a schedule of matters specifically 
reserved for its approval. Matters are delegated to the Board Committees, Executive Directors and the Senior Management Team where 
appropriate. The Board performs its responsibilities through an annual programme of meetings and by continuous monitoring of the 
performance of the Group.

Matters considered by the Board in 2016 included:

 e Finance and operations review
 e Annual budget
 e Risk review
 e Strategic plans
 e  Health and Safety

 e Potential merger and acquisition targets
 e  Reports from the Board Committees
 e  Board evaluation
 e Acquisition strategy
 e Impact of Brexit

 e Market Abuse Regulations (MAR)
 e Consultant appointments across Group
 e Major capital expenditure

The Board also delegates a number of its responsibilities to Committees and Management as described below.

Board Committees

The Board has delegated specific authority to the Audit Committee, Remuneration Committee and the Nomination Committee. 
Peter Allen, Steve Bellamy, Penny Freer and Peter Steinmann are members of the Audit, Remuneration and Nomination Committees. 
Chris Meredith is a member of the Nomination Committee.

The Terms of Reference of all three Board Committees are available on the corporate website ‘www.admedsol.com’.

Board and Committee Meetings

The Board meets on a formal basis regularly, and met formally eight times in 2016. Members are supplied with financial and operational 
information in good time for review in advance of the meetings. Most Board Committee meetings are scheduled around Board meetings.

The Directors attended the following meetings in the year ended 31 December 2016:

Peter Allen

Steve Bellamy

Penny Freer

Chris Meredith

Peter Steinmann

Mary Tavener
* By invitation

Board

Audit 
Committee

Remuneration 
Committee

Nomination 
Committee

8

8

8

8

8

8

3

3

3
2*
3
3*

4

4

4
4*
4
4*

1

1

1

1

1
1*

All Directors have access to the advice and services of the Company Secretary. The Board approves the appointment and removal of the 
Company Secretary. The Non-Executive Directors are able to contact the Executive Directors, Company Secretary, Deputy Company 
Secretary or Senior Managers at any time for further information.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201648

Corporate Governance Report continued

Effectiveness

Board Composition

Board Composition
The Board comprises the Non-Executive Chairman, two Executive Directors and three Non-Executive 
Directors. The Directors’ profiles appear on pages 42 and 43 and detail their experience and 
suitability for leading and managing the Group. Together they bring a valuable range of expertise and 
experience to the Group. No individual or group of individuals dominates the Board’s decision making 
process. The Chairman fosters a climate of debate and challenge in the boardroom, built on his 
challenging but supportive relationship with the Chief Executive Officer which sets the tone for Board 
interaction and discussions.

Appointment of Non-Executive Directors
Non-Executive Directors are appointed to the Board following a formal, rigorous and transparent 
process, involving external recruitment agencies, to select individuals who have a depth and breadth 
of relevant experience, thus ensuring that the selected candidates will be capable of making an 
effective and relevant contribution to the Board. The process for the appointment of Non- Executive 
Directors is managed by the Nomination Committee, whose responsibilities are outlined on page 49.

Diversity
We recognise the importance of diversity at Board level and our Board members comprise a number 
of different nationalities with a wide range of skills and experiences from a variety of business 
backgrounds. Our current female representation on the Board is 33.3%, already above the minimum 
representation level which was to be achieved by 2015. Additionally, the Senior Management Team 
also has a diverse experience. Its members comprise of several nationalities and female representation 
is 37.5%.

Non-Executive Chairman

Executive Directors

Non-Executives Directors

1 

2

3

Gender Diversity of Board

Terms of Appointment and Time Commitment
All Non-Executive Directors are appointed for an initial term of three years subject to satisfactory 
performance. After this time they may serve additional three year terms following review by the 
Board. All Non-Executive Directors are expected to devote such time as is necessary for the proper 
performance of their duties. Directors are expected to attend all Board meetings and Committee 
meetings of which they are members and any additional meetings as required.

Male

Female

Further details of their terms and conditions are summarised in the Remuneration Report on page 
62 and the terms and conditions of appointment of the Non-Executive Directors are available at the 
Company’s Registered Office.

Board Tenure

Tenure Chart
The size of the Board during 2016 was six and the tenure was as follows.

The Company follows the Code as far as is practicable. The Board notes the tenure requirement for 
a Non-Executive Director who has served on the Board for more than nine years from the date of first 
election to not be considered to be independent (Code Provision B.1.1.). Steve Bellamy has served 
as a Non-Executive Director for 10 years (February 2017). Due to his extensive experience with the 
Company, and that the Board consider him to be independent of character and judgement, he is 
considered to be an independent Director. As such Steve Bellamy will be subject to annual re-election 
starting in 2017 (Code Provision B.7.1.).

0-3 years

4-7 years

8+ years

4

2

nil

3

3

The Board further notes that under Code Provision B.1.2 a smaller company (below FTSE 350) must 
have at least 2 independent Non-Executive Directors. The Board consider Peter Allen, Steve Bellamy, 
Penny Freer and Peter Steinmann to be independent.

Peter Allen, Steve Bellamy and Penny Freer own shares in the Company. These holdings have been 
highlighted to shareholders and are small. They are not considered to impact Non-Executive Director 
independence under Code Provision B.1.1.

Code Provision B.2.3. states that any term beyond six years for a Non-Executive Director should 
be subject to rigorous review, taking into account the need for progressive refreshing of the Board. 
The Board reviewed the appointments of Steve Bellamy and Penny Freer, and consider that their 
continued appointment does not present any issues.

Advanced Medical Solutions Group plc Annual Report 201649

Induction and Professional Development
New Directors are given a formal induction process including details of how the Board and Committees operate, meetings with Senior 
Management and information on Group strategy, products and performance. Training and development needs of Directors are reviewed 
regularly. The Directors are kept appraised of developments in legal, regulatory and financial matters affecting the Group by the Deputy 
Company Secretary and the Group’s External Auditors and advisors.

Professional Advice, Indemnities and Insurance
There is provision for Directors to take independent professional advice relating to the discharge of their responsibilities should they feel 
they need it. The Company has arranged Directors’ and Officers’ liability insurance against certain liabilities and defence costs. However, 
the Directors’ insurance does not provide protection in the event of a Director being found to have acted fraudulently or dishonestly.

Board and Committee Evaluation
The performance evaluation of the Board, its Committees and Directors is undertaken by the Chairman annually and implemented in 
collaboration with the Committee Chairmen. The 2016 Board and Committee evaluations were conducted by way of each Director and 
Committee member completing comprehensive questionnaires. The results were collated, discussed and acted upon by the Board and 
Committees. The Board reviews the outcomes of the Committee evaluations and assesses their performance. The Chairman confirms 
that the performance of the Non-Executive Directors continues to be effective.

Election and Re-Election of Directors
The Company’s Articles of Association require all Directors to retire and submit themselves for re-election at the first AGM after 
appointment and thereafter at least every three years. The Notice of AGM will give details of those Directors seeking re-election.

Remuneration Committee
The Remuneration Committee comprises Penny Freer (Chairman), Peter Allen, Steve Bellamy and Peter Steinmann. The Committee 
has Terms of Reference that are reviewed at least annually, were updated at the end of 2016 and are available to view on the Company 
Website ‘www.admedsol.com’. The Deputy Company Secretary acts as Secretary to the Committee.

The Remuneration Committee met four times in 2016. The Committee, in consultation with the Chief Executive Officer, determines the 
Group’s policy on Executive remuneration, employment conditions and the individual remuneration packages of the Executive Directors 
of all Group companies and all Management earning in excess of £100,000 per annum. It also approves all new incentive schemes, the 
grants of options under the Group’s share option schemes and the grant of shares under the Group’s Long-Term Incentive Plan (LTIP). 
The report of the Committee is included on pages 55 to 64.

Nomination Committee
The Nomination Committee comprises Peter Allen (Chairman), Penny Freer, Steve Bellamy, Chris Meredith and Peter Steinmann and 
meets as and when it is necessary to do so. The Committee has Terms of Reference that are reviewed at least annually, were updated 
at the end of 2016 and are available to view on the Company Website ‘www.admedsol.com’. The Deputy Company Secretary acts as 
Secretary to the Committee. The Committee met once during the year.

The Committee’s role is to:

 e Ensure that appropriate procedures are in place for the nomination and selection of candidates for appointment to the Board 

considering the balance of skills, knowledge and experience of the Board;

 e Make recommendations to the Board regarding re-election of Directors, succession planning and Board composition, having due 

regard for diversity, including gender; and

 e Consider succession planning for Senior Management and membership of the Audit and Remuneration Committees.

Audit Committee
The Audit Committee comprises Steve Bellamy (Chairman), Peter Allen, Penny Freer, and Peter Steinmann. Steve Bellamy, a qualified 
Chartered Accountant, chairs the Committee. The Committee has Terms of Reference that are reviewed at least annually, were updated 
at the end of 2016 and are available to view on the Company Website ‘www.admedsol.com’. The Deputy Company Secretary acts as 
Secretary to the Committee.

The Committee met three times during the year. The Chief Executive Officer, Chief Financial Officer, Group Financial Controller, External 
Audit Partner and Internal Auditor attended a number of these meetings. The Audit Committee also met with the External Audit partner 
without the Executives and Senior Managers present. The Audit Committee Report is included on pages 51 to 54.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201650

Corporate Governance Report continued

Going Concern
In carrying out their duties in respect of going concern, the Directors have carried out a review of the Group’s financial position and cash 
flow forecasts for the next 12 months from signing of the accounts. These have been based on a comprehensive review of revenue, 
expenditure and cash flows, taking into account specific business risks and the current economic environment.

With regard to the Group’s financial position, it had cash and cash equivalents at the year end of £51.1 million (2015: £34.2 million) and 
was debt free (2015: debt free). The Group agreed a five-year, £30 million, multi-currency, revolving credit facility in December 2014 with 
an accordion option under which AMS can request up to an additional £20 million on the same terms. The new facility is provided jointly 
by the Group’s existing bank HSBC, as well as The Royal Bank of Scotland PLC and replaced the previous £4 million facility. It is unsecured 
on the assets of the Group and is currently undrawn.

While the current economic environment is uncertain, AMS operates in a market whose demographics are favourable, underpinned by 
an increasing need for products to treat chronic and acute wounds. Consequently, market growth is predicted. The Group has a number 
of long-term contracts with customers across different geographic regions and also with substantial financial resources, ranging from 
government agencies through to global healthcare companies.

Having taken the above into consideration, the Directors have reached the conclusion that the Group is well placed to manage its 
business risks in the current economic environment. Accordingly, they continue to adopt the going concern basis in preparing the 
Financial Statements.

Remuneration
The level of remuneration of the Directors is set out in the Remuneration Report on pages 55 to 64.

Relations with Shareholders
The Board appreciates that effective communication with the Company’s shareholders and the investment community as a whole 
is a key objective. The Chairman’s Statement, Chief Executive’s Statement and the Strategic Report and Financial Review, together with 
the information in the Annual Report of the Group, provides a detailed review of the business. The views of both institutional and private 
shareholders are important, and these can be varied and wide-ranging, as is their interest in the Company’s strategy, reputation and 
performance. The Executive Directors have overall responsibility for ensuring effective communication and the Company maintains 
a regular dialogue with its shareholders, mainly in the periods following the announcement of the interim and final results, but also 
at other times during the year. The views of shareholders are sought through direct contact and via feedback from advisors and are 
communicated to the Board as a whole. The Board encourages the participation of shareholders at its Annual General Meeting, notice 
of which is sent to shareholders at least 20 working days before the meeting. The AMS website ‘www.admedsol.com’ is regularly updated 
and provides additional information on the Group including information on the Group’s products and technology.

Annual General Meeting
This year’s AGM will, as last year, include a presentation by the Chief Executive Officer on the current progress of the business and 
allow the opportunity for questions on this or any of the resolutions. The Company proposes separate resolutions for each issue and 
specifically relating to the report and accounts. The Company ensures all proxy votes are counted and indicates the level of proxies on 
each resolution along with the abstentions after it has been dealt with on a show of hands.

After the meeting, shareholders have the opportunity to talk informally to the Board and raise any further questions or issues they may 
have. The outcome of the AGM, a copy of the AGM presentation and details of the poll results will be posted on the Company’s website 
after the meeting.

Mary Tavener 
Company Secretary 

28 April 2017

Advanced Medical Solutions Group plc Annual Report 201651

Audit Committee Report

Aims and Objectives

The overall aim of the Committee is to monitor the integrity of the Group’s financial statements and announcements, its accounting 
processes, and the effectiveness of its internal controls and risk management system. The Committee assists the Board in fulfilling its 
responsibility to ensure that the Group’s financial systems provide accurate and up-to-date information on its financial position, and 
supports the Board in its consideration as to whether the Group’s published Financial Statements are fair, balanced and understandable.

The Audit Committee is required to: 

 e Oversee and advise the Board on the current risk exposures of the Company and related future risk strategies
 e Oversee the activities of Internal Audit 
 e Review internal control policies and procedures for the identification, assessment and reporting of material financial and  

non-financial risks 

 e Review the Group’s procedures for detecting fraud 
 e Review the Group’s procedures for the prevention of bribery and corruption 
 e Review the Group’s procedures for ensuring that appropriate arrangements are in place to enable employees to raise matters 

of possible impropriety in confidence 

 e Review the effectiveness of the Group’s financial reporting 
 e Review the content of the Annual Report and advise the Board whether, taken as a whole, it is fair, balanced and understandable, and 

provides the information necessary for shareholders to assess the Group’s position, performance, business model and strategy

 e Review the engagement, effectiveness and independence of the External Auditor
 e Review audit and non audit services and fees
 e Review the Committee Terms of Reference

Audit Committee Activities

To discharge its responsibilities, during the year, the Committee has undertaken the following activities: 

Financial Statements and Reports 
 e Reviewed and discussed changes to the UK Corporate Governance framework, including the update issued on 16 June 2016, and its 

impact on reporting requirements

 e Reviewed and approved the External Audit fees for 2016 
 e Reviewed the annual and half-yearly financial reports and related statements and discussed:

•  Key accounting judgements 

•  The Income Statement for both the half year and the full year 

•  Exceptional items - The Committee has challenged the basis and the nature of the items and determined whether separate 

disclosure was appropriate or not

•  Cost of capital

•  Goodwill impairment

•  Brexit effect 

 e Reviewed and considered the significant issues in relation to the Financial Statements and how these have been addressed, including: 

•  Going Concern – The 2014 UK Corporate Governance Code provision C.2.2 has set out a requirement for the Directors to explain 
in the Annual Report how they have assessed the prospects of the Company, over what period they have done so and why they 
consider that period to be appropriate. The Committee reviews the analysis undertaken in relation to strategic risk management and 
risk assessment, risk appetite, internal control, risk and control reporting structure and the principal risks identified on an ongoing 
basis. This monitoring and review validates the draft statement which was documented for the first time in 2016.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201652

Audit Committee Report continued

External Audit
 e Monitored the independence and ensured the objectivity of the External Auditor
 e Approved all non-audit service work over £10,000
 e Reviewed and approved the Audit Plan for the 2016 audit
 e Reviewed the performance of the External Auditor and considered the reappointment of Deloitte LLP as auditor for 2017 and 

recommended appointment to the Board

 e Considered and recommended to the Board the new engagement partner for the audit in line with partner rotation rules

Internal Audit
 e Considered and agreed the strategic and annual Internal Audit plan
 e Reviewed and followed up on management responses to Internal Audit findings and recommendations
 e Reviewed the performance of RSM UK and considered their reappointment
 e Reviewed the performance and the resulting recommendations of the Internal Audits into the Site Operational Review and Payroll 

Risk Management
 e Reviewed the key risks to the Group and the plans to mitigate these risks
 e Reviewed the Purchasing Approval levels of the Group

Terms of Reference
 e The Committee’s Terms of Reference are reviewed annually in line with the Institute of Chartered Secretaries and Administrators (ICSA) 

guidance to reflect the UK Governance Code. 

To assess the effectiveness of our External Auditor, a formal performance review is undertaken on an annual basis to identify the 
adequacy of their approach to: 

Resource quality: – it is important that the External Auditor has achieved the right balance of audit team resource. With the team 
providing both continuity and knowledge, as well as a fresh perspective through new team members to allow processes and accounting 
policies to be challenged. 

Effective communication: – key audit judgements are communicated at the earliest opportunity to promote discussion and challenge 
between the External Auditors and management, informing AMS of audit issues as they arise, so that these can be dealt with in a timely 
manner. Communication regarding good practice, changes to reporting requirements and accounting standards is also needed to 
enable the company to be prepared prior to year end. Timely provision of audit papers is required to enable adequate management 
review and feedback. The quality of the reports and publications provided by the External Auditor in terms of content, relevance and 
presentation is reviewed. 

Scoping and planning: – specifically relating to the year-end audit work: timely provision of the External Audit strategy and timetable 
to Audit Committee and management. 

Fees: – are transparent and communicated prior to the commencement of any work undertaken. Where variations occur, these are 
informed at the earliest opportunity to enable dialogue and negotiation to be undertaken.

Auditor independence: – the Committee continues to monitor the External Auditor’s compliance with applicable ethical guidance and 
guidelines and considers the independence and objectivity of the External Auditor as part of the Committee’s duties. The Committee 
received and reviewed written confirmation from the External Auditor on all relationships that, in their judgement, may bear on their 
independence. The External Auditor has also confirmed that they consider themselves independent within the meaning of UK regulatory 
and professional requirements. 

Advanced Medical Solutions Group plc Annual Report 201653

The External Auditor may be appointed to provide non-audit services where it is in the Group’s best interests to do so, provided a number 
of criteria are met. These are that the External Auditor does not: 

 e Audit their own work
 e Make management decisions for the Group
 e Create a conflict of interest 
 e Find themselves in the role of an advocate for the Group

All projects where forecasted expenditure exceeded £10,000 were approved by the Audit Committee. Deloitte LLP has been the Group’s 
External Auditor for eight financial years and the engagement partner has completed his five years as audit partner. Therefore, to aid in the 
smooth transition of engagement partner in 2017, Deloitte has already commenced the introduction of a new engagement partner to 
the Group and the External Audit team. Following the positive outcome of a performance and effectiveness evaluation undertaken by the 
management, the Audit Committee concluded that it was appropriate to recommend to the Board the reappointment of Deloitte LLP as 
the Group’s External Auditor for the next financial year. 

Internal Audit

Internal Audit at AMS is managed and delivered by an external firm of Auditors, RSM UK, to provide this service under the direction and 
guidance of the Audit Committee. Against an agreed mandate, this function performs independent Internal Audits across the Group. 
A two-year Internal Audit strategy and an annual Internal Audit plan are approved by the Audit Committee each year. Internal Audits target 
areas of risk and provide assurance that key controls are effectively designed and operated consistently. Audit reports are produced to 
convey the extent of control assurance derived from the formal testing of controls. RSM UK’s findings and recommendations are reported 
directly to the Audit Committee.

The Audit Committee:
 e Reviews and approves the charter of the Internal Audit function and ensures the function has the necessary resources and access 
to information to enable it to fulfil its mandate and is equipped to perform in accordance with appropriate professional standards 
for Internal Auditors;

 e Approves the appointment and the termination of the Internal Auditors;
 e Ensures the Internal Auditor has direct access to the Board Chairman and to the Committee Chairman and is accountable to 

the Committee;

 e Reviews and assesses the annual Internal Audit workplan;
 e Receives a report on the results of the Internal Auditors work at least twice per year;
 e Reviews and monitors management’s responsiveness to the Internal Auditor’s findings and recommendations and the corrective 

actions taken;

 e Meets with the Internal Auditor at least once a year without the presence of management; and
 e Monitors and reviews the effectiveness of the Company’s controls in the context of the Company’s overall risk management system.

All Internal Audit reports are discussed with the Audit Committee and the External Auditor, and the recommendations considered 
and acted upon. RSM UK attends Audit Committee meetings twice a year and updates the Audit Committee in writing ahead of each 
Committee meeting.

In 2016 the Internal Auditor undertook detailed audits of the Process Improvement Plan and Group Payroll at Plymouth, together with 
a review of previous audit reports. The recommendations of Internal Audit were accepted by the Audit Committee and acted upon. 
In 2017 audits are scheduled for Cyber Security and Planning and Forecasting. The Group also calls on the services of external bodies 
to review the controls in certain areas of the Group. The quality assurance systems are reviewed by the Group’s notified bodies, the 
British Standards Institute (BSI) and TÜV Rheinland LGA Products GmbH, on a regular basis.

The Internal Controls Framework is available for all employees to view on the Intranet. Updates are driven by an underlying process 
change or by the outcomes of Internal Audit projects. Issues are identified, the policies are updated and then approved by the Group 
Financial Controller and Chief Financial Officer. The updated policies are then formally approved by the Board.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201654

Audit Committee Report continued

Risk Management and Internal Controls

To achieve good internal controls the Board takes responsibility for the Group’s system of internal control and for reviewing its 
effectiveness, taking guidance from the Audit Committee. The Board monitors and reviews all material controls including financial, 
operational and compliance controls. Risks arising from operations can only be managed rather than eliminated. Only reasonable 
and not absolute assurances can be made against material loss or misstatement. Key features of the internal control system are:

 e The Group has an organisational structure with clear responsibilities and lines of accountability. The Group promotes the values 

of integrity and professionalism. The members of the Board are available to hear, in confidence, any individual’s concerns 
about improprieties;

 e The Board has a schedule of matters reserved for its consideration. This schedule includes potential acquisitions, capital projects, 
treasury policies and management systems, risk management systems and policies, approval of budgets, re-forecasts and Health 
and Safety

 e The Board or the Audit Committee reviews the Risk Register at least twice a year;
 e The Board monitors the activities of the Group through the management accounts, monthly forecasts and other reports on current 

activities and plans. The Senior Management Team, at least monthly, monitors financial and operational performance in detail; 

 e The Group has set appropriate levels of authorisation which must be adhered to as the Group concludes its business; 
 e An Enterprise Resource Planning (ERP) system with in-built controls over process and authority, minimising manual intervention and 

overall strengthening controls is in place in the UK and the Netherlands and is being implemented in Germany; and

 e The Group operates a ‘whistle-blowing’ policy enabling any individual with a concern to approach any of the Non-Executive Directors 

in confidence.

As part of the External Auditor’s annual review process, any weaknesses identified in the Group’s internal control system are reported 
to and discussed with the Audit Committee and corrective actions are agreed.

Risk Management
The Group’s corporate objective is to maximise long-term shareholder value, recognising that creating value is the reward for taking and 
accepting risk. The Directors consider risk management to be crucial to the Group’s success and give it a high priority to ensure that 
adequate systems are in place to evaluate and limit risk exposure.

Management formally reviews the Risk Register at least twice a year. Risks are evaluated for both likelihood and financial impact and 
scored against both criteria. This is used to identify the most significant risks the business faces. These risks have been identified and are 
discussed in more detail in the Strategic Review on pages 4 to 41. Actions are agreed to mitigate the risks. 

At each review, progress on actions is assessed and further actions may be identified. Risks are re-scored and the effects of mitigating 
actions taken are used to identify a residual risk score. Management also gives consideration to other risks that have been identified, score 
these risks to understand significance and assign actions to be taken to mitigate, if required. The process for identifying, evaluating and 
managing the risks faced by the Group is ongoing throughout the year.

Management report to the Audit Committee at least twice a year on the Risk Register. The Audit Committee reviews the Group’s Risk 
Register and the effectiveness of Management’s actions to mitigate the risks. 

As part of the External Auditor’s annual review process, any key risks and areas of audit focus are also identified and agreed with the 
Audit Committee. 

In September 2014 the FRC issued guidance on ‘Risk Management, Internal Control and Related Financial & Business Reporting’. 
The new guidance was applied in the Group’s 2015 accounting period. The Audit Committee believes it meets the FRC requirements.

Mary Tavener
Company Secretary

28 April 2017

Advanced Medical Solutions Group plc Annual Report 201655

Remuneration Report

The Board presents the Remuneration Report for the year ended 31 December 2016.

As an AIM quoted company, Advanced Medical Solutions Group plc is not required to comply with the Directors’ Remuneration Report 
regulations requirements under Main Market UK Listing Rules or those aspects of the Companies Act applicable to listed companies. 
The following disclosures are made voluntarily.

The Remuneration Committee (Committee) comprises the three Non-Executive Directors of the Group and the Chairman of the Board. 
Penny Freer is the Chairman of the Committee. Biographical information on the Committee members is set out on pages 42 to 43. 
They have no personal financial interest, other than as shareholders, in the matters to be decided. They have no conflict of interest arising 
from cross-directorships and no day-to-day involvement in running the business. They do not participate in any bonus, share option or 
pension arrangements. The Committee met four times during the year. All the meetings were attended by all members. The Board has 
accepted the Committee’s recommendations in full.

The Committee, on behalf of the Board, and in consultation with the Chief Executive Officer, determines the Group’s policy on executive 
remuneration, employment conditions and the individual remuneration packages of the Executive Directors of all Group companies 
and management and staff earning in excess of £100,000 per annum. It administers the share option schemes, determines the design 
of performance-related pay schemes, sets the targets for such schemes and approves payment under such schemes. The Terms of 
Reference of the Committee are reviewed each year and are available on the Company’s website, ‘www.admedsol.com’.

A resolution will be put to shareholders at the Annual General Meeting on 7 June 2017 asking them to consider and approve this Report.

The activities the Remuneration Committee undertook in 2016 were:

Month

February

June

October

Principal Activities
 e Review of 2015 personal objectives and setting of 2016 personal objectives for Executive Directors
 e Review of 2015 Executive Director and Senior Management Team (SMT) bonus and Deferred Annual 

Bonus awards

 e Review of proposed share option and LTIP awards

 e Ratification of LTIP and share option awards for SMT
 e Ratification of bonus and Deferred Annual Bonus awards for Executive Directors and SMT
 e Review of Leaver Delegation Policy 
 e Review of legal and corporate governance developments

 e Review of compliance with Executive Shareholding Policy for Executive Directors and SMT
 e Review of UK pension arrangements
 e Review of net settling of LTIPs and unapproved options
 e Review of Hermes Remuneration Principles and consideration of remuneration market trends
 e Initiation of salary benchmarking project with Towers Watson

November

 e Consideration and approval of 2017 basic salary for Executive Directors and SMT
 e Discussion on pension arrangements for Executive Directors and SMT
 e Review of results of Committee Self Assessment questionnaire, Terms of Reference and Directors 

Expenses Policy

 e Agreement of 2017 Remuneration Committee Meeting dates

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201656

Remuneration Report continued

Remuneration Policy

The remuneration policy is formulated around the need to provide a remuneration structure that is competitive to attract, retain and 
motivate Senior Executives of the calibre required to develop and implement the Company’s strategy and enhance earnings over the 
long-term, whilst at the same time not paying more than is necessary for this purpose. A cohesive reward structure consistently applied 
with links to corporate performance is seen as crucial in ensuring attainment of the Group’s strategic goals. It is the intention of this policy 
to conform to best practice as far as reasonably practicable. It will continue to apply for 2017 and subsequent years, subject to regular 
review and supported by independent advice. The Committee retains the right for discretion, although no discretion was used in 2016. 
The policy is based around the following key principles:

 e Total rewards will be set at levels that are sufficiently competitive to enable the recruitment and retention of high calibre 

Senior Executives;

 e Total incentive-based rewards will be earned through the achievement of performance conditions consistent with 

shareholder interests;

 e The design of long-term incentives will be prudent and will not expose shareholders to unreasonable financial risk; and
 e In considering the market positioning of reward elements, account will be taken of the performance of the Group and of each 

individual Executive Director.

Kepler, part of Mercer (previously Kepler Associates), were engaged in 2014 to advise the Committee with regard to the remuneration 
of the Executives and SMT. The Committee took into account recommendations which included the introduction of an Executive 
Shareholding Policy requiring the Executive Directors and SMT to hold a minimum of 100% and 50% respectively, of their pre-tax annual 
salary in Company shares within five years of attaining office, as well as changes to the bonus scheme. As a result of the Committee’s 
recommendations a Deferred Annual Bonus (DAB) Scheme was approved by shareholders at the 2014 AGM and options have been 
issued under the DAB every year since its introduction. All SMT members exceeded the threshold as at 31 December 2016, except one 
member who had only been appointed 18 months earlier. Each Executive Director’s remuneration package consists of basic salary, 
bonus, LTIPs, health and insurance benefits, and pension contributions. The Committee ensures that there is a balance between fixed 
and performance related remuneration elements.

Consideration of Shareholder Views

In formulating the remuneration policy, the Committee takes into account guidance issued by shareholder representative bodies, 
including the Investment Association, the Pensions and Lifetime Savings Association and Institutional Shareholder Services. 
The Committee also takes into consideration any views expressed by shareholders during the year (including at the AGM) and encourages 
open dialogue with its largest shareholders. Major shareholders are consulted in advance about changes to the remuneration policy.

Consideration of Employment Conditions elsewhere in the Group

The Committee considers the general basic salary increase for the broader employee population when determining the annual salary 
increases and remuneration for the Executive Directors. For example, as explained on page 59, reflecting the wider cost of living increase 
for the 2017 financial year, the Committee determined to only increase the basic salary for the Executive Directors by the cost of living.

Statement of Voting at General Meeting

At the 2016 AGM, the percentages of votes cast ‘for’, ‘against’ and ‘withheld’ in respect of the Directors’ Remuneration Report were 
as follows:

Resolution

To approve the Directors’ Remuneration Report

No. of shares

Votes cast ‘for’ Votes cast ‘against’

122,758,450

99.95%

0.05%

Advanced Medical Solutions Group plc Annual Report 201657

Overview of Director’s Remuneration Policy

Directors’ Policy Table

Element of  
remuneration

Purpose and how it  
supports strategy

How the element operated  
and maximum opportunity

Framework used to  
assess performance

Where there is a change in responsibility, 
progression in the role, change in size or structure 
of the Group or increased experience of the 
Executive Director or member of the SMT, the 
Committee retains the discretion to award a 
higher increase than the UK workforce.

Base Salary

To provide competitive 
fixed remuneration.

To attract, retain and 
motivate Executive 
Directors and the SMT 
of the right calibre to 
deliver the Company’s 
strategy and to provide 
a core level of reward 
for the role.

In line with the policy outlined on page 56 
salary levels of Executive Directors and the SMT 
are set after taking into account experience, 
responsibilities and performance, both on an 
individual and business perspective, and external 
market data (benchmarked against companies of 
a similar size and complexity and other companies 
in the same industry sector).

Salaries are reviewed annually (normally 
December, with any changes effective from 
1 January). Details of the current salaries of the 
Executive Directors are set out below. This review 
was last carried out in November 2016. There is 
no prescribed maximum annual increase. 
The Committee will take into account the general 
increase for the broader employee population in 
the UK but on occasions may need to recognise, 
for example, an increase in the scale, scope or 
responsibility of the role. Current salary levels are 
set out on page 59.

Benefits

Annual 
Performance 
Bonus

To attract, retain and 
motivate Executive 
Directors and the 
SMT of the right 
calibre to deliver the 
Company’s strategy 
by providing a market 
competitive level of 
benefit provision.

Drives and rewards 
performance against 
annual financial and 
operational goals 
which are consistent 
with the medium to 
long-term strategic 
needs of the business.

N/A

The range of benefits that may be provided 
by the Committee after taking into account 
local market practice. The Executive Directors’ 
benefits currently comprise private medical 
insurance. Additional benefits may be provided as 
appropriate. There is no defined maximum as the 
cost benefits can vary annually and the Company 
requires the ability to remain competitive.

Each of the Executive Directors is entitled 
under the terms of their service agreements to 
receive an Annual Bonus to be determined by 
the Committee based on the Group’s financial 
performance and the achievement of specific 
personal targets set by the Committee.

The maximum Annual Bonus potential is 120% 
of salary for the Chief Executive Officer and 
100% of salary for the Chief Financial Officer, of 
which 85% of the award is dependent on financial 
performance targets and 15% on personal 
objectives. Bonuses are paid in a mixture of cash 
and shares with an element deferred under the 
Deferred Annual Bonus scheme.

The annual performance bonus is focused on the 
delivery of strategically important performance 
targets. These include demanding financial and 
non-financial measures. The financial targets 
are currently set against Group revenue, Group 
profit before tax and Earnings Per Share. 85% 
of the award is dependent upon the financial 
performance of the Group and 15% is achievable 
for meeting personal objectives.

The SMT are entitled to receive up to 50% of 
their salary in bonus, of which 86% of the award 
is dependent on financial performance targets 
and 14% on personal objectives. The Committee 
may use different measures and/or weightings for 
future bonus cycles to take into account changes 
in the strategic needs of the business.

Deferred Annual 
Bonus (DAB)

Provides mechanism 
to exercise 
malus provisions.

N/A

Following advice from Mercer (formally Kepler) 
regarding corporate governance developments 
in remuneration, the Committee introduced 
a Deferred Annual Bonus (DAB) Scheme after 
receiving shareholder approval at the 2014 AGM 
whereby both Executive Directors and the SMT are 
required to defer up to 25% of their Annual Bonus 
into share awards that will vest after three years.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201658

Remuneration Report continued

Element of  
remuneration

Purpose and how it  
supports strategy

How the element operated  
and maximum opportunity

Deferred Share 
Bonus Plan (DSB)

To align the interests 
of the Executive 
Directors, the SMT 
and the employees 
with shareholders, 
incentivise long-term 
value creation and is a 
key tool for retention 
of staff.

Long Term 
Incentive Plan 
(LTIP)

To align the interests 
of the Executive 
Directors and the SMT 
with shareholders and 
incentivise long-term 
value creation.

The Deferred Share Bonus Plan (DSB) is available 
to all employees and allows them to choose for 
the payment of some bonus to be made in the 
form of shares. It also allows for the provision of 
matching shares if the bonus shares are held for 
a set period. The DSB encourages employees 
to acquire shares in the Company and retain 
those shares to receive additional free shares 
from the Company. It acts as a valuable retention 
tool aligning employees’ interests with those of 
shareholders. The first year that the DSB operated 
was in 2007. The existing scheme received 
shareholder approval at the 2015 AGM.

The Company introduced a new Long-Term 
Incentive Plan (2014 LTIP) at the 2014 AGM, 
replacing the LTIP introduced in 2006. The LTIP 
permits an annual grant of shares that vest subject 
to performance and continued employment. 
The LTIP awards are granted in accordance 
with the rules of the plan. Individuals who are 
entitled to awards under the 2014 LTIP are not 
eligible to receive options under the Company’s 
Share Option Plan or the Executive Share 
Option Scheme.

Under the rules of the LTIP, the maximum annual 
award size is 200% of salary. Details of the 
proposed award level for 2016 are set out below. 
Awards under the LTIP may be granted in the 
form of nil-cost options or cash (where the award 
cannot be settled in shares). Awards are currently 
structured with a consideration of £1.

Framework used to  
assess performance

N/A

50% of the Award is determined based on the 
Total Shareholder Return (TSR) performance of 
the Company compared with the AIM Healthcare 
Share Index over the vesting period and 50% of 
the Award is determined by the growth in the 
average Earnings Per Share (EPS) per year of the 
Company over the three-year vesting period 
commencing on the award date. 

Of the 50% of the Award that is determined by 
reference to the AIM Healthcare Share Index, no 
shares will be awarded if the Company is ranked 
below the median. Awards will vest on a sliding 
scale from 25% to 100% for performance above 
median to upper quartile performance against 
the Index. The performance measurement for 
EPS will be based on the percentage increase 
of the Company’s EPS over a three-year period 
commencing on the 1 January. Awards will vest 
on a sliding scale from 25% to 100% for an average 
increase of EPS from target EPS to an average 
increase of EPS of 20% over the vesting period. 
No awards will be made for an average increase 
of EPS below target EPS. In 2014 the EPS target 
was set at 5%.

The Committee has the flexibility to make 
appropriate adjustments to the performance 
conditions to ensure that the Award achieves 
its purpose. Any vesting is also subject to the 
Committee being satisfied that the Company’s 
performance on these measures is consistent with 
the underlying performance of the business.

Pensions

To provide a 
market competitive 
remuneration 
package to enable 
the recruitment 
and retention of the 
Executive Directors 
and SMT.

N/A

All UK employees are entitled to become 
members of the Group Pension and Life 
Assurance Scheme which was set up with effect 
from 1 February 1999. The Scheme entitles 
Executive Directors to contribute up to 10% of 
salary with the Group contributing 10%. All other 
UK employees contribute a minimum of 3% of 
their salary which is matched by a 6% contribution 
of the Group. The Pension Plan is a money 
purchase scheme. In 2011, the Group made 
arrangements allowing individuals to sacrifice their 
salary for pension contributions. 

Following changes in the taxation of personal UK 
pension contributions, and limitations on the size 
of individual personal pension funds, the Group 
has agreed that an employee may substitute the 
pension contributions they would have received 
from the Group for salary.

Automatic enrolment has been implemented for 
all UK employees.

Advanced Medical Solutions Group plc Annual Report 201659

Directors’ Emoluments – Single Figure of Remuneration

The various elements of the remuneration for each Executive Director in 2015 and 2016:

Salary and fees

Annual Bonus

Deferred Annual 
Bonus

LTIPs vested

Gains on DSBs 
vested

Benefits

Pensions

Total 
remuneration

Name

Chris Meredith

Mary Tavener

Peter Allen

Steve Bellamy

Penny Freer

Peter Steinmann

2016 
£’000 

265
200*
69

41

41

35

2015 
£’000

2016 
£’000 

2015 
£’000

2016 
£’000 

2015 
£’000

255

180

68

38

38

34

173

111

181

118

–

–

–

–

–

–

–

–

58

37

–

–

–

–

60

39

–

–

–

–

2016 
£’000 

254

204

–

–

–

–

284
Total
* Sacrificed salary of £5,125 in January to March 2016 in lieu of Pension. Annual Salary of £205,000

458

299

651

613

99

95

2015 
£’000

2016 
£’000 

2015 
£’000

2016 
£’000 

2015 
£’000

2016 
£’000 

2015 
£’000

2016 
£’000 

2015 
£’000

218

169

–

–

–

–

387

7

–

–

–

–

–

7

–

–

–

–

–

–

–

1

1

–

–

–

–

2

1

1

–

–

–

–

2

26

26

–

–

–

–

26

40

784

579

–

–

–

–

69

41

41

35

741

547

68

38

38

34

52

66 1,549 1,466

The table above summarises the payments made and additional amounts earned by the Executive Directors and Non-Executive 
Directors for the 2015 and 2016 financial years. The Chairman of the Audit Committee and Remuneration Committee (Steve Bellamy 
and Penny Freer) received a supplementary fee of £3,000 for chairing the Committees. The Deferred Annual Bonus recorded in the 
table above is in respect of the 2015 and 2016 financial years, to be paid or deferred into shares, which will not be received until 2018 and 
2019 respectively. The Executive Directors were granted further LTIPs as detailed on page 60. All Directors have confirmed that, save as 
disclosed in the single figures of remuneration tables above, they have not received any other items in the nature of remuneration.

Salaries and Fees

Executive Directors
The Remuneration Committee determined there would be an increase of 2% for Executive Director base salary for 2017. The Group’s 
employees also received a 2% salary increase for the 2017 financial year.

Director 

Chris Meredith

Mary Tavener 

Annual Performance Bonus

2017 

2016

% increase

£270,300 

£265,000

£209,100

£205,000 

2%

2%

The Annual Bonus contains two elements — the cash element and the deferred share element. The bonus is determined on both 
financial targets and personal objectives. Up to 25% of the bonus is deferred into shares in line with the malus provisions. The Annual 
Bonus payments presented in the table above were based on performance against growth in Group revenue, adjusted Profit before Tax, 
and EPS, and performance against personal performance objectives measured over the relevant financial year. The maximum bonus 
potential for the year ending 31 December 2017 will remain as 120% of salary for the Chief Executive Officer and 100% for the Chief 
Financial Officer. 

The personal objectives for the Executive Directors are usually set on an individual basis. The personal objectives of each Executive 
Director for the year ended 31 December 2016 were linked to the corporate, financial, strategic and other non-financial objectives of 
the Company. 

Up to 18% of salary was payable to the Chief Executive Officer and 15% of salary to the Chief Financial Officer upon achievement of 
personal objectives. Based on the assessment against objectives set, the Committee determined that the performance of the Chief 
Executive Officer and Chief Financial Officer warranted a 50% payout in relation to the non-financial elements of their respective 
bonuses, which resulted in payment worth 9% of salary to the Chief Executive Officer and 7.5% of salary to the Chief Financial Officer. 
The Committee consider the 2017 objectives to be commercially sensitive as they give our competitors insight into our business plans 
and therefore are not detailed in this Report.

The bonus for the 2016 financial year is accrued and paid in 2017. Overall the 2016 bonus payments made in respect of the 2015 financial 
year were as follows:

Name

Chris Meredith

Mary Tavener

Bonus paid in 2016 
(2015 Financial 
Year)

Deferred Annual 
Bonus

Percentage of 
salary (for total 
bonus)

Maximum % of 
salary

£180,752

£118,138

£60,251

£39,379

94.5%

78.8%

120%

100%

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201660

Remuneration Report continued

Vesting of LTIPs for the year ended 31 December 2016

The LTIPs granted on 19 September 2013 to the Executive Directors under the 2006 Long-Term Investment Plan were based on 
performance criteria during the three-year period, including the year ended 31 December 2015. The LTIPs vested on 19 September 2016. 
The performance conditions were: 

 e  50% of the Award is subject to a performance condition based on the Company’s Total Shareholder Return (TSR) performance over 
the performance period relative to the constituent companies of the AIM Healthcare Share Index over the performance period; and
 e   50% of each Award is subject to a performance condition based on the growth in the Company’s underlying diluted earnings per share 

(EPS) over the performance period

The Performance Targets were as follows:

TSR Performance
Below 50% of the comparator group

Between 50% and 75% of comparator group

Vesting %

0%

Pro-rata vesting between 0% and 100% based on the ranking in the 
comparator group

EPS compound annual growth rate
<10% CAGR

10%-20% CAGR

Vesting %
0%

Pro-rata vesting between 25% and 100%

Following a review of the performance conditions of the LTIPs granted in September 2013, 50% of the award vested in September 2016. 

In the Directors’ emoluments single figure remuneration table on page 59, the figure attributable to the LTIPs granted on 19 September 
2013 is calculated by multiplying the number of shares in respect of which the Award vested by the share price on the vesting date. 

Directors’ Interests in the Long-Term Incentive Plan (LTIP)

On 18 April 2016 the following LTIP awards were granted to each Executive Director:

Director

Chris Meredith

Type of  
Award

Basis of grant awarded

Share price  
at date  
of grant (£)

Number of  
shares granted

Face value 
of grant (£)

Nil-cost option

100% of salary

1.846

143,553

265,000

Vesting determined  
by performance over
See below 

Mary Tavener

Nil-cost option

100% of salary

1.846

111,050

205,000

See below

EPS – Three financial years to 31 December 2018
TSR – Three years to 18 April 2019

Outstanding Share Awards

The maximum number of shares to be allocated to the Executive Directors under the LTIP, in each case for an aggregate consideration 
of £1, are as follows:

Chris Meredith

Mary Tavener

As at
31 December
2015

188,628

143,631

227,111

210,753

168,316

–

111,314

176,011

148,817

132,013

Exercised in the year

Issued in the 
year

Lapsed in the 
year

As at
31 December
2016

Market price
at date of
grant (p)

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

143,553

–

–

–

–

111,050

–

–

113,556

–

–

–

–

88,006

–

–

–

188,628

143,631

113,555

210,753

168,316

143,553

111,314

88,005

 148,817

132,013

111,050

88.00

76.75

90.00

116.25

151.50

184.60

76.75

90.00

116.25

151.50

184.60

First vesting date

15 April 2014 (vested)

6 September 2015 (vested)

19 September 2016 (vested)

6 June 2017

10 September 2018

18 April 2019

6 September 2015 (vested)

19 September 2016 (vested)

6 June 2017

10 September 2018

18 April 2019

The entitlement to shares under the LTIP is subject to achieving the performance conditions referred to on page 58. The figures shown 
are maximum entitlements and the actual number of shares (if any) will depend on these performance conditions being achieved. 
During the year ended 31 December 2016 the Executive Directors did not exercise any LTIPs. Awards made have no performance  
re-testing facility.

Advanced Medical Solutions Group plc Annual Report 201661

Approach to Remuneration of Executive Directors on Recruitment

In the cases of appointing a new Executive Director, the Committee may make use of all the existing components of remuneration. 
The salaries of new appointments will be determined by reference to the experience and skills of the individual, relevant market data, 
internal relativities and their current salary. New appointments will be eligible to receive a personal pension, benefits and to participate 
in the Company’s share schemes.

Non-Executive Directors

Non-Executive Directors are appointed under arrangements that may generally be terminated by either party on six months notice 
and their appointment is reviewed annually. The fees of the Non-Executive Directors are determined by the Executive Directors, taking 
into account the time and responsibility of each role. Additional fees relate to the supplementary fee paid to the Chairmen of the Audit 
and Remuneration Committees. No Director or Senior Manager shall be involved in any decisions as to their own remuneration.  
Non-Executive Directors receive travel expenses but do not participate in any incentive arrangements. All Non-Executive Directors have 
confirmed that, save as disclosed in the single figures of remuneration tables above, they have not received any other items in the nature 
of remuneration. Further details of the Non-Executive Director fees are outlined below.

Element of remuneration

Purpose and how it supports strategy

Non-Executive 
Director fees 
and benefits

Reflects time commitments, 
responsibilities of each role, fees 
paid and benefits provided by similar 
sized companies

Framework used to assess performance

Non-Executive Directors do 
not participate in variable pay 
arrangement and do not not receive 
retirement benefits

How the element operated  
and maximum opportunity

As per the Executive Directors there 
is no prescribed maximum annual 
increase. The Board is guided by 
the general increase in the Non-
Executive Director market and the 
broader employee population but 
on occasion may need to recognise, 
for example, an increase in the scale, 
scope or responsibility of the role. 
Current fee levels are set out on 
page 59

Service Agreements

Executive Director service contracts, including arrangements for early termination, are carefully considered by the Committee and 
are designed to recruit, retain and motivate Directors of the quality required to manage the Company. The service contract of each 
Executive Director is not fixed term and is terminable by either party giving not less than 12 months’ notice in writing. The Executive 
Directors’ contracts are available to view throughout the year at the Company’s registered office and at the Annual General Meeting. 
The Remuneration Committee reviews the contractual terms for new Executive Directors to ensure they reflect best practice. 
Details of the service contracts for the Executive Directors and letters of appointment of the Non-Executive Directors are as follows:

Executive Director

Chris Meredith

Mary Tavener

Non-Executive Directors

Peter Allen

Steve Bellamy

Penny Freer

Peter Steinmann

Date of Contract

3 May 2005

28 June 1999

Unexpired Term (months)  
or Rolling Contract

Rolling Contract

Rolling Contract

4 December 2013

Rolling Contract

1 February 2007

1 March 2010

1 July 2013

Rolling Contract

Rolling Contract

Rolling Contract

Notice Period (months)

12

12

6

6

6

6

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201662

Remuneration Report continued

Policy on Payment for Loss of Office – Executive Directors

The Remuneration Committee considers the circumstances of individual cases of early termination and determines compensation 
on a case-by-case basis accordingly, taking into account the relevant contractual terms, the circumstances of the termination 
and any applicable duty to mitigate. There are no special provisions in the event of loss of office or for payment in lieu of notice 
(PILON). The Remuneration Committee considers the circumstances of individual cases of early termination and determines 
compensation accordingly.

If such circumstances were to arise, the Executive Director concerned would have no claim against the Company for damages or any 
other remedy in respect of the termination. The Remuneration Committee would apply general principles of mitigation to any payment 
made to a departing Executive Director and will honour previous commitments as appropriate. 

The table below summarises how the awards under the Annual Bonus and 2014 LTIP are typically treated in different leaver scenarios and 
on a change of control. Whilst the Remuneration Committee retains overall discretion for determining ‘Good Leaver’ status, it typically 
defines a ‘Good Leaver’ for the Annual Bonus and 2014 LTIP as circumstances which include retirement, ill health or injury, disability, 
redundancy and the employing company ceasing to be under the control of the Group. 

The 2014 DAB defines a ‘Good Leaver’ as ceasing to be a Director or employee of a Group Company where that individual is not a ‘Bad 
Leaver’. A ‘Bad Leaver’ is defined as a Director or employee leaving the business due to the financial statements requiring restatement. 
Final treatment is subject to the Committee’s discretion.

Event

Timing of vesting/award

Calculation of vesting/payment

Annual Bonus/DAB

‘Good Leaver’

 eAnnual Bonus payment would be negotiated as part of the 
terms of the leaving arrangements (at the discretion of the 
Remuneration Committee)

 eUnvested Deferred Annual Bonus share awards vest at 
the normal vesting date (or earlier at the Remuneration 
Committee’s discretion)

 eNo automatic entitlement to Annual Bonus on a pro-rata 
basis (at the discretion of the Remuneration Committee)

‘Bad Leaver’

 eNot applicable

 eIndividuals lose the right to their Annual Bonus and unvested 

Deferred Annual Bonus share awards

Change of control

 eAnnual Bonuses are paid and unvested Deferred Share 

 eAnnual Bonus is paid only to the extent that any 

Bonus share awards vest on the date of notification to the 
Executive Directors regarding the change of control

performance conditions have been satisfied and is  
pro-rated for the proportion of the financial year worked  
to the effective date of change of control

LTIP

‘Good Leaver’

 eOn normal vesting date (or earlier at the Remuneration 

Committee’s discretion)

 eUnvested awards vest to the extent that any performance 
conditions have been satisfied and a pro-rata reduction 
applies to the value of the awards to take into account the 
proportion of vesting period not served

‘Bad Leaver’

 eUnvested awards lapse

 eUnvested awards lapse on cessation of employment

Change of control

 eUnvested awards vest on the date of notification to the 
Executive Directors regarding the change of control

 eUnvested awards vest and a pro-rata reduction applies 

for the proportion of the vesting period not served

 eOutstanding deferred shares vest in full

Upon exit or change of control DSB awards will be treated in line with the DSB plan rules.

If employment is terminated by the Company, the departing Executive Director may have a legal entitlement (under statute or otherwise) 
to additional amounts, which would need to be met. In addition, the Committee retains discretion to settle other amounts reasonably 
due to the Executive Director.

In certain circumstances, the Committee may approve new contractual arrangements with departing Executive Directors including (but 
not limited to) settlement and/or consultancy arrangements. These will be used sparingly and only entered into where the Remuneration 
Committee believes that it is in the best interests of the Company and its shareholders to do so.

There are no agreements between the Group and its Directors or employees for loss of office or employment (whether through 
resignation, purported redundancy or otherwise) that occurs because of a takeover bid.

Payments to past Directors

No payments were made to past Directors during the year ended 31 December 2016.

Payments for Loss of Office

No payments for loss of office were made during the year ended 31 December 2016.

Advanced Medical Solutions Group plc Annual Report 201663

Statement of Directors’ Shareholdings and Share Interests

Director

Chris Meredith

Mary Tavener

Beneficially owned 
at 31 December  

2015

Beneficially owned  
at 31 December 
2016

Outstanding LTIP 
awards at  
31 December  
2016

Outstanding 
deferred share 
awards at  
31 December  
2016

Outstanding share 
awards under DSB 
at 31 December 
2016

Shareholding  
as a % of Issued 
Share Capital  
at 31 December  
2016

1,187,891

1,825,698

1,190,322

1,828,129

968,436

591,199

 82,218

57,870

28,995

16,516

0.56%

0.87%

Executive Directors are required to hold shares worth 100% of pre-tax annual salary in Company shares in compliance with the Executive 
Shareholding Policy. Compliance with this policy as at 31 December 2016 is shown below:

Director
Chris Meredith

Shares held*
1,190,322

Vested DSB’s
38,368

LTIPs (50% of vested 
/unexercised LTIPs)
222,592

Mary Tavener
* Beneficially held by the Executive Director (or their spouses and children)

1,828,129

25,006

99,659

Total Shares
1,451,282

1,952,794

Target 
shareholding
target (£)
265,000

Actual 
shareholding 
 value (£)
3,218,217

% vs  
holding target
1,214%

205,000

4,053,876

1,977%

The shareholding as a % shown above is based on the share price as at 31 December 2016.

CEO Total Remuneration

The total remuneration figure for the Chief Executive Officer during each of the last five financial years is shown in the table below. 
The total remuneration figure includes the salary, Annual Bonus based on that year’s performance, gains made on DSBs in that year and 
LTIP awards based on the three-year performance periods ending in the relevant year. The Annual Bonus payout and LTIP vesting level 
as a percentage of the maximum opportunity are also shown for each of these years.

Year ended 31 December

Total remuneration (£’000)

Annual Bonus (% of maximum)

LTIP vesting (% of maximum)

Relative Importance of Spend on Pay

2012

695

29.4%

81.7% 

2013

 331

50.1%

–

2014

645

59.7% 

61.5%

2015

741

78.76%

55.1%

2016 

785

72.5%

50%

The following table shows the Company’s actual spend on pay (for all employees) relative to dividends, tax and profits for the year 
attributable to owners of the parent:

Year ended 31 December

Staff costs
Dividends1
Tax

Profits for the year attributable to owners of the parent
1  The dividend figures relate to amounts payable in respect of the relevant financial year.

2015 (£m)

2016 (£m)

change %

21.6

1.5

2.9

14.1

26.2

1.8

3.4

15.7

21.3%

17.2%

18.5%

11.1%

£1,339,000 (2015:£1,108,000) of the staff costs figure relate to pay for the Directors, of which £778,000 relates to the highest paid 
Director (2015:£741,000). Total pension contributions were £944,000 (2015:£770,000) and for the highest paid Director £26,000 
(2015:£26,000).

Private Healthcare

Executive Directors and other senior employees are entitled to private healthcare and permanent health insurance.

Share Options

Employees, except for participants in the Long-Term Incentive Plan (LTIP), may be granted options over shares in the Company under the 
Company Share Option Plan and Executive Share Option Scheme, under which either approved or unapproved options may be granted. 
Options granted under these schemes are not offered at a discount.

The exercising of options under these schemes is conditional on certain performance conditions which are pre-determined by the 
Remuneration Committee. Options are exercisable normally only after the third anniversary of the date of grant (or such later time as may 
be determined at the time of grant) and cannot, in any event, be exercised later than the tenth anniversary of the date of grant. Awards will 
not vest if the Group is not profitable at the end of the performance period. Full details are included in Note 29 on pages 97 to 101.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201664

Remuneration Report continued

Company Share Option Plan (CSOP)

The Company received approval for a Company Share Option Plan (CSOP) on 2 June 2010. This was adopted after HMRC approval 
on 13 August 2010. This Plan allows relevant employees to receive up to £30,000 of Company shares by reference to the market value 
of these shares on the grant date and to benefit from the growth in value of those shares.

2009 Executive Share Option Scheme

Up until 2010, the Company was able to offer options under an Enterprise Management Incentive (EMI) Scheme. The Company no 
longer satisfies the requirements for operating this scheme, however, options already granted will be allowed to vest in accordance with 
the scheme rules.

Share Performance – 2016

The opening share price for 2016 was 181.25p and the closing price on the last trading day of the year, was 221.75p. The range during 
the year was 234p (high) and 157.65p (low). (Source: daily official list of the London Stock Exchange.)

Five-year Share Performance

For the five-year period ending 28 February 2017 the Advanced Medical Solutions Group plc share price has outperformed the FTSE  
All- Share Index by 101%, FTSE Techmark All-Share Index by 62%, FTSE All-Share Health Care Index by 80%, the FTSE Small Cap Index 
by 60%, and FTSE AIM All-Share Index by 121%.

)

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1
o
t
d
e
s
a
b
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r
(
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c
i
r
p
e
r
a
h
S

250

200

150

100

50

2012

2013

2014

2015

2016

2017

AMS

FTSE All Share

FTSE Techmark All Share

FTSE All Share Health

FTSE Small Cap

FTSE AIM All Share

For the five-year period ending 28 February 2017 the Advanced Medical Solutions Group plc Total Shareholder Return (TSR), defined as 
share price growth plus reinvested dividends, has outperformed the FTSE All-Share Index by 82%, FTSE Techmark All-Share Index by 41%, 
FTSE All-Share Health Care Index by 53%, the FTSE Small Cap Index by 42%, and FTSE AIM All-Share Index by 121%.

250

200

150

100

50

)

0
0
1
o
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(

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d
o
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a
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s

l

a
t
o
T

2012

2013

2014

2015

2016

2017

AMS

FTSE All Share

FTSE Techmark All Share

FTSE All Share Health

FTSE Small Cap

FTSE AIM All Share

Mary Tavener
Company Secretary

28 April 2017

Advanced Medical Solutions Group plc Annual Report 2016 
 
 
 
 
 
 
 
 
65

Directors’ Report 
For the year ended 31 December 2016

The Directors present their report, incorporating the Chairman’s Statement, the Strategic Report, the Chief Executive’s Statement, 
the Financial Review, and the audited Financial Statements for the year ended 31 December 2016.

Strategic Report

The Strategic Report can be found on pages 4 to 41. This report includes a balanced and comprehensive analysis of the development 
and performance of the business of the Group and a description of the main trends and factors likely to affect the future development, 
performance or position of the business at the end of the year, using key performance indicators where appropriate.

Principal Risks and Uncertainties

A description of the Group’s principal risks and uncertainties can be found on pages 38 to 41, which forms part of this Strategic Report.

Research and Development

The Group attaches a high priority to research and development aimed at developing new products and updating existing products. 
The Group has expensed to the Income Statement in the year ended 31 December 2016 £2,276,000 (2015: £1,817,000) on research 
and development. In accordance with International Accounting Standards a further £259,000 (2015: £373,000) has been capitalised. 
Following a review of development, £125,000 (2015: £nil) impairments were made in 2016.

Dividends

The Group made a profit before tax for the year to 31 December 2016 of £19.1 million (2015: £17.0 million). The Directors are 
recommending payment of a final dividend of 0.62p per share. The final dividend will, subject to shareholders’ approval, be paid 
on 16 June 2017 to shareholders on the register at the close of business on 26 May 2017. This will make a total dividend of 0.92p 
for the full year (2015: 0.80p).

Post-Balance Sheet Events

There have been no adjusting or non-adjusting post-balance sheet events.

Key Performance Indicators

The Directors have monitored the performance of the Group with particular reference to the relevant key performance indicators:

 e Revenue growth (%)1 at constant currency
 e Adjusted operating margin (%)1

 e Customer service (OTIF)2
 e Adjusted3 diluted Earnings per Share growth (%)

The Group monitors progress on a regular basis. Performance against the key performance indicators can be found on page 33.

Capital Structure

The Group is debt free. A five-year, £30 million, multi-currency, revolving, credit facility was agreed in December 2014 with an accordion 
option under which AMS can request up to an additional £20 million on the same terms. The new facility is provided jointly by the 
Group’s existing bank HSBC, as well as The Royal Bank of Scotland PLC and replaced the previous £4 million facility. It is unsecured 
on the assets of the Group and is currently undrawn.

Going Concern

After making enquiries and on the basis outlined in the Corporate Governance Report on pages 46 to 50, the Directors have a reasonable 
expectation that the Group has adequate resources to continue in operational existence for the foreseeable future and for this reason 
they continue to adopt the going concern basis in preparing the accounts.

Share Listing

The Company’s Ordinary Shares are admitted to and traded on the Alternative Investment Market of the London Stock Exchange (AIM), 
a market operated by the London Stock Exchange. Further information regarding the Company’s share capital, including movements 
during the year, are set out in Note 27 to the Financial Statements.

1  Includes twelve months contribution from RESORBA® acquisition in 2012

2  OTIF – ‘On time in full’

3  Before exceptional items and amortisation of acquired intangible assets

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201666

Directors’ Report continued
For the year ended 31 December 2016

Share Capital and Issue of Ordinary Shares

At 7 April 2017, the Group’s issued share capital comprised: 

Ordinary Shares of 5p each

Number

210,524,191

£000

10,526

% of
Issued Share
Capital

100%

The issued share capital of the Company is set out in Note 27 to the financial statements on page 96.

Substantial Shareholdings

As at 7 April 2017 the Company had been notified of, in accordance with the Disclosure and Transparency Rules, or was otherwise aware 
of, the following substantial interests of 3% or more in the Ordinary Share capital of the Company.

Octopus Investments Limited

AXA SA

BlackRock Inc

Hargreave Hale Ltd Stockbrokers

Investec Group

Schroders

Aviva plc

Charles Stanley Group

Directors

7 April 17

18,700,969

16,839,237

16,692,089

13,270,056

11,491,169

9,642,800

9,242,575

7,816,840

% of Issued  

Share Capital

8.88

8.00

7.93

6.30

5.46

4.58

4.39

3.71

The names of the current Directors together with brief biographies are shown on pages 42 and 43.

The Directors who were in office during the year ended 31 December 2016, the terms of the Directors’ service contracts and details 
of the Directors’ interests in the shares of the Company, together with details of share options granted and any other awards made 
to the Directors, are disclosed in the Remuneration Report commencing on page 55.

Directors are re-appointed by ordinary resolution at the Annual General Meeting of shareholders. The Board can appoint a Director 
during the year but that Director must be elected by an ordinary resolution at the next Annual General Meeting, Directors are subject 
to re-election at intervals of no more than three years. At the forthcoming Annual General Meeting, Peter Allen, Steve Bellamy and Peter 
Steinmann have indicated their willingness to be re-elected and will retire by rotation. The Directors continue to contribute effectively 
and demonstrate commitment to their roles. Details of the notice period in their service agreements are disclosed in the Remuneration 
Report on page 61.

Directors and their Interests

The Directors of the Company at 31 December 2016 and their interests, all of which are beneficially held, in the share capital of the 
Company were:

Ordinary Shares of 5p each 31 December 2016

Ordinary Shares of 5p each 31 December 2015

Shares

DSBs

LTIPs

Deferred
Bonus2

Shares

DSBs

LTIPs

Chris Meredith

Mary Tavener

Steve Bellamy

Peter Allen

1,190,322

1,828,129

100,000

50,000

28,995

968,436

82,218

1,187,891

25,116 

938,439 

16,516

591,199

57,870 1,825,698

12,637

568,155

–

–

–

–

–

–

–

100,000

50,000

13,888

–

–

–

–

–

–

–
Penny Freer
1  Deferred Bonus shares are in respect of the bonus earned relating to the 2013 and 2014 financial years.

13,888

–

2  Deferred Bonus shares are in respect of the bonus earned relating to the 2013, 2014 and 2015 financial years.

Further details of the Directors’ remuneration and benefits are included in the Remuneration Report on pages 55 to 64.

Deferred
Bonus1

49,580

36,538

–

–

–

Advanced Medical Solutions Group plc Annual Report 201667

The Board has agreed procedures for considering and, where appropriate, authorising Directors’ conflicts or potential conflicts of interest. 
Only independent Directors i.e. those who have no interest in the matter under consideration are able to take the relevant decision. 
In taking the decision the Directors must act in a way they consider, in good faith, will be most likely to promote the Company’s success. 
Directors will be able to impose limits or conditions when giving authorisation if they believe it is appropriate. The Board will report 
annually on the Company’s procedures for ensuring that the Board’s power of authorisation in respect of conflicts of interest operated 
effectively and that procedures have been followed. None of the Directors had any interest during or at the end of the year in any 
contract relating to the business of the Company or its subsidiaries.

Directors and Officers’ Liability Insurance

Insurance cover is in force in respect of the personal liabilities which may be incurred by Directors and Officers of the Company in 
the course of their service with the Group, as permitted by the Companies Act 2006. No cover is provided in respect of any fraudulent 
or dishonest act.

Employees

The Group depends on the skills and engagement of its employees in order to achieve its objectives. Staff at all levels are encouraged 
to make the fullest possible contribution to the Group’s success. The Group is an equal opportunities employer. It is committed to 
eliminating all forms of discrimination and to giving fair and equal treatment to all employees and job applicants in terms of recruitment, 
pay conditions, promotions, training and all employment matters regardless of age, disability, race, sex, sexual orientation, marriage 
or civil partnership status, pregnancy, maternity and paternity, gender reassignment, religion or belief. An Equality Policy is in force 
which aims to ensure that all employees are selected, trained, compensated, promoted and transferred solely on the strength of their 
ability, skills, qualifications and merit. The aim is to encourage a culture in which all employees have the opportunity to develop as 
fully as possible in accordance with their individual abilities and the needs of the Group. The Group also believes that all employees 
have a right to work in an environment free from harassment and bullying, and there is an emphasis upon providing a safe and healthy 
working environment.

The Group ensures that every consideration is given to applications for employment from disabled persons. Should an employee 
become disabled, every effort would be made to retrain the employee if required and offer suitable alternative employment within 
the Group.

The Group’s policy is to consult and discuss with employees, through meetings, both formal and informal, those matters likely 
to affect employees’ interests. The Employees’ Consultative Committee in the UK, which comprises representatives of employees 
and management, and the Work’s Council in Germany meet regularly to discuss business issues and areas of concern.

Management also communicates with staff through regular team briefs. Details of policies, procedures and other information of interest 
are regularly updated and are easily accessed by all employees on the Group’s intranet page. The Group undertakes an annual Employee 
Opinion Survey and takes into account comments and feedback received when updating and formulating policies and procedures.

The Group’s aim is to recruit and retain sufficient skilled and motivated employees to meet the needs of the business. The Group operates 
to the internationally recognised medical device standard ISO 13485. Staff work within a defined quality system, and have Personal 
Development Plans that identify their training requirements to help them progress their careers and development. Employees are 
encouraged to become involved in the financial performance of the Group through participation in the Group’s share option plans and 
are incentivised directly through the Company’s bonus scheme, performance reviews and training and development opportunities.

Employee Share Schemes

Employees, except for participants in the Long-Term Incentive Plan (2014 LTIP), may be eligible after a period of service to be granted 
options over shares in the Company under the Company Share Option Plan or Executive Share Option Scheme. The Group received 
HMRC approval in 2010 to adopt a Company Share Option Plan (CSOP). Under the CSOP, employees are allowed to receive up to 
£30,000 of options in a tax-efficient manner. Options granted under these schemes are not offered at a discount. Further details are 
included in the Remuneration Report on pages 55 to 64.

The Company also operates a Deferred Share Bonus Scheme (DSB) in which employees are invited to participate. The DSB encourages 
employee share ownership which helps to align the employees’ interests with those of the shareholders. The details on the DSB Scheme 
are provided in the Remuneration Report on page 58. The original DSB was set up in 2006 and having reached the end of its ten-year 
life a new DSB scheme was introduced on the same terms as the existing scheme following shareholder approval at the 2015 Annual 
General Meeting.

The Company no longer satisfies the requirements for granting tax-efficient options under its EMI scheme. Options already granted 
under this scheme will be allowed to vest in accordance with the rules of the scheme. 

1,452,000 Ordinary Shares (2015: 1,170,000) were issued during the year to employees exercising their share options and options 
over other share incentive schemes. Details are given in Note 29 to the Group Financial Statements.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201668

Directors’ Report continued
For the year ended 31 December 2016

Health and Safety

The Group is committed to high standards in health, safety and environmental performance. It is the Group’s policy to abide by, and 
where appropriate exceed, all laws, directives and regulations pertinent to its field of operations and to act in a manner so as to minimise 
the effects of its operations on the environment. The Group provides safe places and systems of work, safe plant and machinery, safe 
handling of materials and ensures appropriate information, instruction and training is given. Employees are encouraged to identify ‘near 
misses’ to ensure preventative actions are taken to avoid any unsafe work practices and a common All Incident Rate (AIR) reporting metric 
is used across the Group. Emphasis is placed on all employees having a responsibility to maintain a safe working environment. Health and 
Safety Committees at all sites assist with advice on safe working practices and ensure any corrective action is taken where necessary. 
Health and Safety reports are regularly received from Group sites and are reviewed by the Board. Regular audits are undertaken to 
evaluate compliance with Group policy. Health and Safety is a key component of the Group’s Corporate Social Responsibility Policy.

Environment

Where possible, the Group aims to reduce its impact on the environment. The facility at Winsford has been built with a high level of 
thermal insulation to reduce the Group’s carbon footprint. It incorporates a solar wall, a renewable energy source that captures the sun’s 
warmth and supplements the building’s heating system. Lighting is controlled by movement sensors to avoid wastage and the heating 
system is fully programmable. Further details are available in the Corporate Social Responsibility Report on pages 34 to 37.

Corporate Social Responsibility

AMS is committed to ensuring that the business operates in a responsible way across these key areas:

 e Employees
 e Ethical Standards

 e Health, Safety and Environment
 e Customer and Community

The Group has implemented a Corporate Social Responsibility Policy.

Directors’ Responsibilities Statement

The Directors are responsible for preparing the Annual Report and the Financial Statements in accordance with applicable law 
and regulations.

Company law requires the Directors to prepare Financial Statements for each financial year. Under that law the Directors are required to 
prepare the Group Financial Statements in accordance with International Financial Reporting Standards (IFRS) as adopted by the European 
Union and Article 4 of the IAS Regulation and have elected to prepare the Parent Company Financial Statements in accordance with 
United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law including FRS 101 
‘Reduced Disclosure Framework’). Under company law the Directors must not approve the accounts unless they are satisfied that they 
give a true and fair view of the state of affairs of the Company and of the profit or loss of the Company for that period.

In preparing the Parent Company Financial Statements the Directors are required to:

 e Select suitable accounting policies and then apply them consistently;
 e Make judgements and accounting estimates that are reasonable and prudent;
 e State whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained 

in the financial statements; and

 e Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Company will continue 

in business.

In preparing the Group Financial Statements, International Accounting Standard 1 requires that Directors:

 e Properly select and apply accounting policies;
 e Present information, including accounting policies, in a manner that provides relevant, reliable, comparable and 

understandable information;

 e Provide additional disclosures when compliance with the specific requirements in IFRS is insufficient to enable users to understand the 

impact of particular transactions, other events and conditions on the entity’s financial position and financial performance; and

 e Make an assessment of the Group’s ability to continue as a going concern.

The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Company’s 
transactions and disclose with reasonable accuracy at any time the financial position of the Company and enable them to ensure that 
the Financial Statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Company 
and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. The Directors are responsible 
for the maintenance and integrity of the corporate and financial information included on the Company’s website. Legislation in the United 
Kingdom governing the preparation and dissemination of Financial Statements may differ from legislation in other jurisdictions.

Advanced Medical Solutions Group plc Annual Report 201669

Responsibility Statement

We confirm that to the best of our knowledge:

 e The Financial Statements, prepared in accordance with the relevant financial reporting framework, give a true and fair view of 

the assets, liabilities, financial position and profit or loss of the Company and the undertakings included in the consolidation taken 
as a whole;

 e The Strategic Report and Directors’ Report include a fair review of the development and performance of the business and the position 
of the Company and the undertakings included in the consolidation taken as a whole, together with a description of the principal risks 
and uncertainties that they face; and

 e The Annual Report and Financial Statements, taken as a whole, are fair, balanced and understandable, and provide the information 

necessary for shareholders to assess the Group’s performance, business model and strategy.

Auditor

Each of the persons who is a Director at the date of approval of this Annual Report confirms that:

 e So far as the Director is aware, there is no relevant audit information of which the Company’s Auditor is unaware; and
 e The Director has taken all the steps that he/she ought to have taken as Director in order to make himself/herself aware of any relevant 

audit information and to establish that the Company’s Auditor is aware of that information.

This confirmation is given and should be interpreted in accordance with the provisions of S418 of the Companies Act 2006.

Deloitte LLP has expressed their willingness to continue in office as Auditor and a resolution to reappoint them will be proposed 
at the forthcoming Annual General Meeting.

Proposed resolutions for the Annual General Meeting

Details of the business to be conducted at the Annual General Meeting to be held on 7 June 2017 are contained in the Notice of the 
Annual General Meeting on pages 109 to 111. In the opinion of the Directors, the passing of these resolutions is in the best interest 
of the shareholders. Details of the Special Business to be conducted are outlined below.

Special Business

The effect of Resolution 8, to be proposed at the meeting would be to allow the Company to allot shares conferred by S551 of the 
Companies Act 2006.

The effect of Resolution 9, to be proposed at the meeting would be to disapply the statutory pre-emption rights conferred by S570 
of the Companies Act 2006.

The effect of Resolution 10, to be proposed at the meeting would be to allow the Company to purchase its own shares conferred 
by S701 of the Companies Act 2006.

Annual General Meeting

The Annual General Meeting will be held at 11.00 am on 7 June 2017 at the offices of Investec Bank plc, 2 Gresham Street, London, 
EC2V 7QP. Details of the Notice of the Annual General Meeting are given on pages 109 to 111. The Annual General Meeting provides an 
opportunity for private shareholders to question your Board and to meet informally with the executive management after the meeting.

On behalf of the Board

Mary Tavener
Company Secretary

28 April 2017

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201670

Independent Auditor’s Report to the members  
of Advanced Medical Solutions Group plc

We have audited the Financial Statements of Advanced Medical Solutions Group plc for the year ended 31 December 2016 which 
comprise the Consolidated Income Statement, the Consolidated Statement of Comprehensive Income, the Consolidated Statement of 
Financial Position, the Consolidated Statement of Changes in Equity, the Consolidated Statement of Cash Flows and the related Notes 1 
to 31, the Parent Company Balance Sheet, the Parent Company Statement of Changes in Equity and the related Notes 1 to 7. The financial 
reporting framework that has been applied in their preparation is applicable law and International Financial Reporting Standards (IFRSs) as 
adopted by the European Union. The Company Financial Statements is applicable law and United Kingdom Accounting Standards (United 
Kingdom Generally Accepted Accounting Practice), including FRS 101 'Reduced Disclosure Framework'.

This report is made solely to the Company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. 
Our audit work has been undertaken so that we might state to the Company’s members those matters we are required to state to them in 
an Auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone 
other than the Company and the Company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Respective Responsibilities of Directors and Auditor
As explained more fully in the Directors’ Responsibilities Statement, the Directors are responsible for the preparation of the Financial 
Statements and for being satisfied that they give a true and fair view. Our responsibility is to audit and express an opinion on the Financial 
Statements in accordance with applicable law and International Standards on Auditing (UK and Ireland). Those standards require us to 
comply with the Auditing Practices Board’s Ethical Standards for Auditors.

Scope of the Audit of the Financial Statements
An audit involves obtaining evidence about the amounts and disclosures in the Financial Statements sufficient to give reasonable 
assurance that the Financial Statements are free from material misstatement, whether caused by fraud or error. This includes an 
assessment of: whether the accounting policies are appropriate to the Group’s and the Parent Company’s circumstances and have been 
consistently applied and adequately disclosed; the reasonableness of significant accounting estimates made by the Directors; and the 
overall presentation of the Financial Statements. In addition, we read all the financial and non-financial information in the Annual Report 
to identify material inconsistencies with the audited Financial Statements and to identify any information that is apparently materially 
incorrect based on, or materially inconsistent with, the knowledge acquired by us in the course of performing the audit. If we become 
aware of any apparent material misstatements or inconsistencies we consider the implications for our Report.

Opinion on Financial Statements
In our opinion:
 e The Financial Statements give a true and fair view of the state of the Group’s and of the Parent Company’s affairs as at 31 December 

2016 and of the Group’s profit for the year then ended;

 e The Group Financial Statements have been properly prepared in accordance with IFRSs as adopted by the European Union;
 e The Parent Company Financial Statements have been properly prepared in accordance with United Kingdom Generally Accepted 

Accounting Practice; and

 e The Financial Statements have been prepared in accordance with the requirements of the Companies Act 2006.

Opinion on other matters prescribed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit:
 e The information given in the Strategic Report and the Directors’ Report for the financial year for which the Financial Statements 

are prepared is consistent with the Financial Statements; and

 e The Strategic Report and the Directors’ Report have been prepared in accordance with applicable legal requirements.

In the light of the knowledge and understanding of the Company and its environment obtained in the course of the audit, we have 
not identified any material misstatements in the Strategic Report and the Directors’ Report.

Matters on which we are required to report by exception
We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in 
our opinion:
 e Adequate accounting records have not been kept by the Parent Company, or returns adequate for our audit have not been received 

from branches not visited by us; or

 e The Parent Company Financial Statements are not in agreement with the accounting records and returns; or
 e Certain disclosures of Directors’ remuneration specified by law are not made; or
 e We have not received all the information and explanations we require for our audit.

Timothy Edge BSc FCA (Senior Statutory Auditor)
For and on behalf of Deloitte LLP

Chartered Accountants and Statutory Auditor 
Manchester, United Kingdom

28 April 2017

Advanced Medical Solutions Group plc Annual Report 2016Consolidated Income Statement
For the year ended 31 December 2016

Revenue

Cost of sales

Gross profit

Distribution costs

Administration costs

Other income

Profit from operations 

Finance income

Finance costs

Profit before taxation 

Income tax
Profit for the year attributable to equity holders  
of the parent 

Earnings per share

Basic

Diluted

Adjusted diluted

The above results relate to continuing operations.

71

Year ended 31 December 2016

Before  
exceptional items 
£’000 

Exceptional items 
(note 6)
£’000

82,621

(35,194)

47,427

(1,047)

(27,535)

621

19,466

108

(111)

19,463

(3,410)

–

–

–

–

(361)

–

(361)

–

–

(361)

–

Year ended  

31 December 2015

Total 
£’000

68,596

(28,688)

39,908

(951)

(22,505)

589

17,041

73

(118)

16,996

(2,877)

Total 
£’000

82,621

(35,194)

47,427

(1,047)

(27,896)

621

19,105

108

(111)

19,102

(3,410)

16,053

(361)

15,692

14,119

7.65p

7.55p

7.66p

(0.17p)

(0.17p)

(0.17p)

7.48p

7.38p

7.49p

6.78p

6.68p

6.86p

Note

4

4, 5

11

12

13

15

15

15

Consolidated Statement of Comprehensive Income
For the year ended 31 December 2016

Profit for the year

Items that will potentially be reclassified subsequently to profit and loss:

Exchange differences on translation of foreign operations

Loss arising on cash flow hedges

Other comprehensive income/(expense) for the year

Total comprehensive income for the year attributable to equity holders of the parent

Year ended  
31 December 2016 
£’000 

Year ended  
31 December 2015 
£’000

15,692

14,119

8,851

(3,009)

5,842

21,534

(3,348)

(3)

(3,351)

10,768

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201672

Consolidated Statement of Financial Position
At 31 December 2016

Assets

Non-current assets

Acquired intellectual property rights

Software intangibles

Development costs

Goodwill

Property, plant and equipment

Deferred tax assets

Trade and other receivables

Current assets

Inventories

Trade and other receivables

Current tax assets

Cash and cash equivalents

Total assets

Liabilities

Current liabilities

Trade and other payables

Current tax liabilities

Other taxes payable

Obligations under finance leases

Non-current liabilities

Trade and other payables

Deferred tax liabilities

Total liabilities

Net assets

Equity

Share capital

Share premium

Share-based payments reserve

Investment in own shares

Share-based payments deferred tax reserve

Other reserve

Hedging reserve

Translation reserve

Retained earnings

Equity attributable to equity holders of the parent

Note

2016 
£’000 

2015 
£’000

16

16

16

19

17

18

20

21

22

23

23

18

27

28

28

28

28

9,468

2,500

1,645

40,337

16,177

 – 

10

8,359

2,009

1,803

34,579

15,795

135

13

70,137

62,693

11,440

11,872

 432 

51,125

74,869

145,006

12,901

2,049

85

 – 

8,843

10,817

 9 

34,201

53,870

116,563

9,139

806

234

1

15,035

10,180

1,291

3,152

4,443

19,478

125,528

10,524

34,005

3,469

(152)

459

1,531

(3,534)

636

78,590

125,528

415

2,311

2,726

12,906

103,657

10,451

33,196

2,253

(152)

437

1,531

(525)

(8,215)

64,681

103,657

The Financial Statements of Advanced Medical Solutions Group plc (registration number 2867684) on pages 71 to 102 were approved by 
the Board of Directors and authorised for issue on 28th April 2017 and were signed on its behalf by:

Chris Meredith
Chief Executive Officer

28 April 2017

Advanced Medical Solutions Group plc Annual Report 2016Consolidated Statement of Changes in Equity
Attributable to equity holders of the Group 

73

Share
capital
£’000

Share
premium
£’000

Share-based
payments
£’000

Investment 
in own 
shares
£’000

Share-based
payments
deferred tax
£’000

10,393

32,742

1,563

(148)

278

Other 
reserve
£’000

1,531

Hedging
reserve 
£’000

Translation
reserve
 £’000

Retained
earnings
 £’000

Total
 £’000

(522)

(4,867)

52,083

93,053

At 1 January 2015
Consolidated profit for the 
year to 31 December 2015

Other comprehensive expense

Total comprehensive income

Share-based payments

Share options exercised

Shares purchased by EBT

Shares sold by EBT

Dividends paid

At 31 December 2015
Consolidated profit for the 
year to 31 December 2016

Other comprehensive expense

Total comprehensive income

Share-based payments

Share options exercised

Shares purchased by EBT

Shares sold by EBT

Dividends paid

 – 

 – 

 – 

 – 

58

 – 

 – 

 – 

 – 

 – 

 – 

 – 

454

 – 

 – 

 – 

 – 

 – 

 – 

709

(19)

 – 

 – 

 – 

10,451

33,196

2,253

 – 

 – 

 – 

 – 

73

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

1,230

809

 – 

 – 

 – 

(14)

 – 

 – 

 – 

At 31 December 2016

10,524

34,005

3,469

 – 

 – 

 – 

 – 

 – 

(262)

258

 – 

(152)

 – 

 – 

 – 

 – 

 – 

(449)

 449 

 – 

(152)

 – 

 – 

 – 

159

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

(3)

(3)

 – 

 – 

 – 

 – 

 – 

 – 

14,119

14,119

(3,351)

 – 

 14,119 

10,768

(3,348)

(3,348)

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

868

493

(262)

258

(1,521)

(1,521)

437

1,531

(525)

(8,215)

64,681

103,657

 – 

 – 

 – 

 22 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

15,692

15,692

(3,009)

(3,009)

 8,851 

 – 

 5,842 

 8,851 

 15,692 

 21,534 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

1,252

 868 

(449)

449

(1,783)

(1,783)

459

1,531

(3,534)

636

78,590 125,528

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201674

Consolidated Statement of Cash Flows
For the year ended 31 December 2016

Cash flows from operating activities

Profit from operations

Adjustments for:

Depreciation

Amortisation – intellectual property rights

– software intangibles

– development costs 
Impairment of development costs

Increase in inventories

(Increase)/decrease in trade and other receivables

Increase in trade and other payables

Share-based payments expense

Taxation

Net cash inflow from operating activities

Cash flows from investing activities

Purchase of software

Capitalised research and development

Purchases of property, plant and equipment

Disposal of property, plant and equipment

Interest received

Net cash used in investing activities

Cash flows from financing activities

Dividends paid

Finance lease 

Issue of equity shares

Shares purchased by EBT

Shares sold by EBT

Interest paid

Net cash used in financing activities

Net increase in cash and cash equivalents

Cash and cash equivalents at the beginning of the year

Effect of foreign exchange rate changes

Cash and cash equivalents at the end of the year

Year ended 
31 December 2016 
£’000 

Year ended 
31 December 2015 
£’000 

19,105

17,041

1,898

242

329

441
 125 

(2,005)

(674)

1,199

1,230

(2,065)

19,825

(795)

(259)

(1,523)

41

109

1,745

367

289

410
 – 

(1,501)

2,148

1,336

709

(1,253)

21,291

(472)

(373)

(1,907)

77

73

(2,427)

(2,602)

(1,783)

(1,521)

(1)

868

(449)

449

(111)

(1,027)

16,371

34,201

553

51,125

(2)

498

(262)

258

(118)

(1,147)

17,542

17,280

(621)

34,201

Advanced Medical Solutions Group plc Annual Report 2016 
 
75

Notes Forming Part of the Consolidated Financial Statements

1 Reporting Entity

Advanced Medical Solutions Group plc ('the Company') is a public limited company incorporated and domiciled in England and Wales 
(registration number 2867684). The Company’s registered address is Premier Park, 33 Road One, Winsford Industrial Estate, Cheshire, 
CW7 3RT.

The Company’s Ordinary Shares are traded on the AIM market of the London Stock Exchange plc. The Consolidated Financial Statements 
of the Company for the 12 months ended 31 December 2016 comprise the Company and its subsidiaries (together referred to as the 
'Group').

The Group is primarily involved in the design, development and manufacture of novel high performance polymers (both natural and 
synthetic) for use in advanced woundcare dressings, and distribution of medical adhesives, for closing and sealing tissue, and sutures and 
haemostats for sale into the global medical device market.

2 Basis of Preparation

The Group accounts have been prepared in accordance with International Financial Reporting Standards (IFRSs), as adopted by the EU.

The Financial Statements have been prepared on the historical cost basis of accounting except as disclosed in the accounting policies set 
out below.

The individual Financial Statements for each Group Company are presented in the currency of the primary economic environment in 
which it operates (its functional currency). For the purpose of the Consolidated Financial Statements, the results and financial position of 
each Group Company are expressed in Pounds Sterling, which is the functional currency of the Company, and the presentation currency 
for the Consolidated Financial Statements.

In carrying out their duties in respect of going concern, the Directors have carried out a review of the Group’s financial position and cash 
flow forecasts for the next 12 months. These have been based on a comprehensive review of revenue, expenditure and cash flows, taking 
into account specific business risks and the current economic environment. 

With regards to the Group’s financial position, it had cash and cash equivalents at the year end of £51.1 million. The Group also has in 
place a five year, unsecured, multi-currency, revolving credit facility for £30 million which was undrawn during 2016.

While the current economic environment is uncertain, the Group operates in markets whose demographics are favourable, underpinned 
by an increasing need for products to treat chronic and acute wounds. Consequently, market growth is predicted. The Group has a 
number of long-term contracts with customers across different geographic regions and also with substantial financial resources, ranging 
from government agencies through to global healthcare companies.

After taking the above into consideration, the Directors have reached a conclusion that the Group is well placed to manage its business 
risks in the current economic environment. Accordingly, they continue to adopt the going concern basis in preparing the accounts.

In the current year the Group has applied a number of amendments to IFRSs issued by the IASB. Their adoption has not had a material 
impact on the disclosures or on the amounts reported in the Annual Financial Statements. The following amendments were applied:

 e Amendments to IAS 1, Presentation of Financial Statements: Disclosure Initiative.
 e Amendments to IAS 16 and IAS 38, Clarification of Acceptable Methods of Depreciation and Amortisation.
 e Annual Improvements 2012-2014 Cycle, specifically amendments to (i) IFRS 5, Non-current Assets Held for Sale and Discontinued 

Operations, (ii) IFRS 7, Financial Instruments: Disclosures, and (iii) IAS 19, Employee Benefits.

3 Accounting Policies

Critical judgements in applying the Group’s accounting policies
In the process of applying the Group’s accounting policies, which are described below, the Directors have made the following 
judgements that have the most significant effect on the amounts recognised in the Financial Statements (apart from those involving 
estimations, which are dealt with below) and have been identified as being particularly complex or involve subjective assessments.

Share based payments 
The charge to the Income Statement in relation to options and incentive plans is based on the Black-Scholes Merton or the Monte Carlo 
Option Pricing Model valuation technique. These techniques require a number of assumptions to be made such as those in relation to 
share price volatility, movement in interest rates, dividend yields and staff behavioural patterns. Details of the accounting policies applied 
in respect of share based payments are set out on page 80.

Tax
A deferred tax asset is recognised when it is judged probable that the Group will generate taxable profits which can be offset against tax 
losses. The measurement of the tax benefit recognised in the Consolidated Financial Statements is based upon the largest amount of tax 
benefit that, in management’s judgement, is likely to be realised. Details of the accounting policies applied in respect of deferred tax are 
set out on page 77. 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201676

Notes Forming Part of the Consolidated Financial Statements  
continued
3 Accounting Policies continued

Key sources of estimation uncertainty
The key assumptions concerning the future, and other key sources of estimation uncertainty at the Balance Sheet date, that have 
a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year, 
are discussed below.

Impairment of goodwill, intangible assets and fixed assets
Determining whether goodwill, intangible assets and fixed assets are impaired requires an estimation of the value in use of the 
cash-generating units to which the assets have been allocated. The value in use calculation requires the entity to estimate the future 
cash flows expected to arise from the cash-generating unit and a suitable discount rate in order to calculate present value. The carrying 
amount of goodwill and intangible assets at the balance sheet date was £40.3m and £9.5m respectively (2015: £34.6m and £8.4m). 
Details of the accounting policies applied in respect of impairment are set out on page 78.

Basis of consolidation
Subsidiaries are entities controlled by the Group. Control exists when the Group has the power to govern the financial and operating 
policies of an entity so as to retain benefits from its activities. The Financial Statements of the subsidiaries are included in the Consolidated 
Financial Statements on the basis of acquisition accounting, from the date that control commences until the date that control ceases.

Intercompany transactions and balances between Group entities are eliminated upon consolidation.

Business combinations
The acquisition of subsidiaries is accounted for using the purchase method. The cost of the acquisition is measured at the aggregate 
of the fair values, at the date of exchange, of assets given, liabilities incurred or assumed, the equity instruments issued by the Group 
in exchange for control of the acquiree, plus any costs directly attributable to the issue of debt or equity. Acquisition related expenses 
are accounted for as expenses in the period in which the costs are incurred and the services rendered, with the exception of directly 
attributable costs incurred as a result of raising equity, which are off-set against share premium, and raising debt, which are capitalised 
and amortised over the term of the debt. The acquiree’s identifiable assets, liabilities and contingent liabilities that meet the conditions 
for recognition under IFRS 3 are recognised at their fair value at the acquisition date, except for non-current assets (or disposal groups) 
that are classified as held for sale in accordance with IFRS 5 Non-Current Assets Held for Sale and Discontinued Operations, which are 
recognised and measured at fair value less costs to sell.

Goodwill arising on acquisition is recognised as an asset and initially measured at cost, being the excess of the cost of the business 
combination over the Group’s interest in the net fair value of the identifiable assets, liabilities and contingent liabilities recognised. If, after 
reassessment, the Group’s interest in the net fair value of the acquiree’s identifiable assets, liabilities and contingent liabilities exceeds the 
cost of the business combination, the excess is recognised immediately in profit or loss.

Goodwill
Goodwill arising on consolidation represents the excess of the cost of acquisition over the Group’s interest in the fair value of the 
identifiable assets and liabilities of a subsidiary, associate or jointly controlled entity at the date of acquisition. Goodwill is initially 
recognised as an asset at cost and is subsequently measured at cost less any accumulated impairment losses. Goodwill which is 
recognised as an asset is reviewed for impairment at least annually. Any impairment is recognised immediately in profit or loss and 
is not subsequently reversed.

Revenue recognition
Revenue represents the fair value of sales of the Group’s products to external customers at amounts excluding value added tax, and is 
recognised when the products have been delivered and title has passed. Revenue is recognised to the extent that it is probable that the 
economic benefits will flow to the Group and the revenue can be reliably measured. 

Revenue from royalty income receivable under licence agreements from external customers at amounts excluding value added tax 
is recognised as the products under licence are sold and the revenue can be reliably measured. 

Other income
This represents non-refundable up-front licence payments received for the grant of rights for the development and marketing of 
products, and other sundry income. The income is recognised in the Income Statement, over the life of each development project, 
in proportion to the stage of completion of each project.

Finance income
Finance income relates to interest earned on cash, cash equivalents and investments. Interest income is accrued on a time basis, 
by reference to the principal outstanding and at the effective interest rate applicable.

Exceptional items
Exceptional items are those items that are unusual because of their size, nature or incidence, or that the Directors consider should be 
disclosed separately to enable a full understanding of the Group’s results. This includes non-recurring transaction costs (see Note 6). 
Exceptional items have been presented separately on the face of the Income Statement. The Directors consider that this presentation 
gives a fairer presentation of the results of the Group.

Advanced Medical Solutions Group plc Annual Report 201677

Finance costs
Finance costs relate to finance payments associated with financial liabilities. They are recognised in the Income Statement as they accrue 
using the effective interest method.

Finance costs directly attributable to the acquisition, construction or production of qualifying assets, which are assets that necessarily 
take a substantial period of time to get ready for their intended use, are added to the cost of those assets, until such time as the assets are 
substantially ready for their intended use.

Investment income earned on the temporary investment of specific borrowings pending their expenditure on qualifying assets 
is deducted from the borrowing costs eligible for capitalisation.

Provisions
Provisions are recognised when the Group has a present obligation (legal or constructive) as a result of a past event, it is probable that 
an outflow of resources embodying economic benefits will be required to settle the obligation and a reliable estimate can be made of 
the amount of the obligation.

Foreign currencies
Transactions in foreign currencies are translated at the foreign exchange rate ruling at the date of the transaction. Monetary assets 
and liabilities denominated in foreign currencies at the Balance Sheet date are translated at the foreign exchange rate ruling at that date. 
Foreign exchange differences arising on translation are recognised in the Income Statement. Non-monetary assets and liabilities that 
are measured in terms of historical cost in a foreign currency are translated using the exchange rate at the date of the transaction. 
Non-monetary assets and liabilities denominated in foreign currencies that are stated at fair value are translated at foreign exchange rates 
ruling at the date the fair value was determined.

The assets and liabilities of foreign operations, including goodwill and fair value adjustments arising on consolidation, are translated 
at foreign exchange rates ruling at the Balance Sheet date. The revenue and expenses of foreign operations are translated at an average 
rate for the year where this rate approximates to the foreign exchange rates at the dates of the transactions. Exchange differences arising 
on consolidation are recognised in equity.

Hedging
The Group designates certain hedging instruments, which include derivatives, embedded derivatives and non-derivatives in respect 
of foreign currency risk, as either fair value hedges, cash flow hedges, or hedges of net investments in foreign operations. Hedges of 
foreign exchange risk on firm commitments are accounted for as cash flow hedges. At the inception of the hedge relationship, the entity 
documents the relationship between the hedging instrument and the hedged item, along with its risk management objectives and its 
strategy for undertaking various hedge transactions. Furthermore, at the inception of the hedge and on an ongoing basis, the Group 
documents whether the hedging instrument is highly effective in offsetting changes in fair values or cash flows of the hedged item. 
Note 24 sets out details of the fair values of the derivative instruments used for hedging purposes. Movements in the hedging reserve 
in equity are detailed in the Consolidated Statement of Changes in Equity.

Taxation
Taxation expense includes the amount of current income tax payable and the charge for the year in respect of deferred taxation.

The income tax payable is based on an estimation of the amount due on the taxable profit for the year. Taxable profit is different from 
profit before tax as reported in the Income Statement because it excludes items of income or expenditure which are not taxable or 
deductible in the year as a result of either the nature of the item or the fact that it is taxable or deductible in another period. The Group’s 
liability for current tax is calculated by using tax rates that have been enacted or substantively enacted by the Balance Sheet date.

Deferred tax is accounted for on a basis of temporary differences, except to the extent where it arises from the initial recognition of 
goodwill or of an asset or liability in a transaction that is not a business combination. Deferred tax assets are recognised only to the extent 
that it is probable that future taxable profits will be available against which temporary differences can be utilised.

Deferred tax is charged or credited to the Income Statement, except when it relates to items charged or credited directly to equity, in 
which case it is dealt with within equity. It is calculated at the tax rates that are expected to apply to the period when the asset is realised 
or the liability is settled based on tax laws enacted or substantively enacted by the reporting date.

Intangible assets
Acquired intellectual property rights
Intellectual property rights that are acquired in a business combination are initially recognised at their fair value. Intellectual property 
rights purchased outright are initially recognised at cost. Intellectual property rights are capitalised and amortised over their estimated 
useful economic lives, usually not exceeding 18 years. In determining the useful economic life each asset is reviewed separately and 
consideration given to the period over which the Group expects to derive economic benefit from the asset.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201678

Notes Forming Part of the Consolidated Financial Statements  
continued
3 Accounting Policies continued

Development costs
Expenditure on research activities, undertaken with the prospect of gaining new scientific or technical knowledge, is recognised in the 
Income Statement as an expense in the period in which it is incurred.

Expenditure on development activities, where research findings are applied to a plan or design for the production of new or substantially 
improved products and processes, is capitalised once it can be demonstrated that the product or process is clearly identifiable, 
technically and commercially feasible, will generate future economic benefits, that the development costs of the asset can be measured 
reliably and the Group has sufficient resources to complete development. Expenditure capitalised is stated as the cost of materials and 
direct labour less accumulated amortisation.

Where development expenditure results in new or substantially improved products or processes and it is probable that recovery will take 
place, it is capitalised and amortised on a straight-line basis over the product’s useful life starting from the date on which serial production 
commences, which is between one and ten years. Patents and trademarks are measured initially at purchase cost and are amortised on 
a straight-line basis over their estimated useful lives, which is between three and 20 years.

Software intangibles
Where computer software is not integral to an item of property, plant or equipment its costs are capitalised and categorised as intangible 
assets. Amortisation is provided on a straight-line basis over its economic useful life, which is in the range of three to ten years.

Property, plant and equipment
Land and buildings and plant and equipment held for use in the production of goods and services or for administrative purposes are 
carried in the Balance Sheet at cost less any subsequent accumulated depreciation and subsequent accumulated impairment losses.

The Group elected to use the fair value as the deemed cost in respect of land and buildings at the date of transition to IFRS. Fair value 
was calculated by reference to their existing use at the date of transition.

Depreciation is provided to write off the cost, less estimated residual values, of all property, plant and equipment, over the expected 
useful life of the asset from the date that the asset is brought into use. It is calculated at the following rates:

 e Freehold property and improvements 
 e Leasehold improvements   
 e Plant and machinery 
 e Fixtures and fittings 
 e Motor vehicles 

—  4% per annum on cost

—  over the length of the lease

—  6.7% to 33.3% per annum on cost

—  33.3% per annum on cost

—  25% per annum on cost

Property, plant and equipment in the course of construction for production are carried at cost, less any recognised impairment loss. 
Depreciation of these assets, on the same basis as other property, plant and equipment assets, commences when the assets are ready 
for their intended use.

No depreciation is provided on freehold land.

Impairment of tangible and intangible assets excluding goodwill
The carrying amount of the Group’s assets other than inventories and deferred tax assets, are reviewed at each balance sheet date 
to determine whether there is any indication of impairment. If any such indication exists, the asset’s recoverable amount is estimated.

An impairment loss is recognised whenever the carrying amount of an asset or its cash-generating unit exceeds its recoverable amount. 
Impairment losses are recognised in the Income Statement.

Impairment losses recognised in respect of cash-generating units are allocated to reduce the carrying amount of the assets in the unit on 
a pro rata basis. A cash-generating unit is the smallest identifiable group of assets that generates cash inflows that are largely independent 
of the cash inflows from other assets or groups of assets.

Calculation of recoverable amount
The recoverable amount of the Group’s receivables carried at amortised cost is calculated as the present value of estimated future cash 
flows. As the Group’s receivables are of short duration they are not discounted.

Reversal of impairment
An impairment loss in respect of a receivable carried at amortised cost is reversed if the subsequent increase in recoverable amount 
can be related objectively to an event occurring after the impairment loss was recognised.

In respect of other assets, an impairment loss is reversed when there is an indication that the impairment loss may no longer exist 
and there has been a change in the estimates used to determine the recoverable amount.

An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would 
have been determined, net of depreciation or amortisation, if no impairment loss had been recognised.

Advanced Medical Solutions Group plc Annual Report 2016 
 
 
 
 
 
 
 
79

Inventory
Inventory is valued at the lower of cost or net realisable value. Cost comprises direct materials and, where applicable, direct labour 
costs that have been incurred in bringing the inventories to their present location and condition and an attributable proportion of 
manufacturing overheads based on normal levels of activity.

Net realisable value is based on estimated selling price less further costs to completion and disposal.

The Group makes provision for inventory deemed to be irrecoverable or where the net realisable value is lower than cost. This provision 
is established on a stock keeping unit (SKU) basis by reference to the age of the stock, the forward order book, management’s experience 
and its assessment of the present value of estimated future cash flow.

Financial Instruments
Classification of financial instruments 
Financial instruments are classified as financial assets, financial liabilities or equity instruments.

Financial instruments issued by the Group are treated as equity only to the extent that they meet the following two conditions

 e They include no contractual obligations upon the Group to deliver cash or other financial assets that are potentially unfavourable 

to the Group; and 

 e Where the instrument will or may be settled in the Group’s own equity instruments, it is either a non-derivative that includes no 
obligation to deliver a variable number of the Group’s own equity instruments or is a derivative that will be settled by the Group 
exchanging a fixed amount of cash or other financial assets for a fixed number of its own equity instruments.

To the extent that this definition is not met, the proceeds of issue are classified as a financial liability.

Recognition and valuation of financial assets

Cash and cash equivalents
Cash and cash equivalents comprise cash at bank and in hand and cash deposits and amounts under short-term guarantees usually three 
months or less that are held for the purpose of meeting short-term cash commitments and are subject to insignificant risk in change in 
value and which are readily convertible to a known amount of cash. Cash held in accounts with more than 90 days’ notice that are not 
required to meet short-term cash commitments are shown as an investment.

Investments
Cash held in accounts with more than 90 days’ notice that are not required to meet short-term cash commitments are shown as an 
investment. The Group invests funds which are surplus to requirements in fixed rate deposits operating within parameters for credit 
ratings and credit limits for individual institutions that are approved and monitored by the Board.

Under IAS 39 'Financial instruments; recognition and measurement', such investments are classified as loans and receivables and are 
recognised at fair value on initial recognition and subsequently measured at amortised cost using the effective interest method.

Trade and other receivables
Trade receivables are recognised and carried at the lower of their original invoiced value and recoverable amount. An impairment is made 
when it is likely that the balance will not be recovered in full. The recoverable amount is calculated as the present value of estimated 
future cash flows. Estimated future cash flows are not discounted due to the relatively short period of time between recognition of trade 
receivables and receipt of cash.

Recognition and valuation of equity instruments
Equity instruments are stated at par value. Any premium on issue is taken to the share premium account.

Recognition and valuation of financial liabilities
Financial liabilities are classified according to the substance of the contractual arrangements entered into.

Trade payables
Trade payables are initially recognised at fair value and are subsequently recognised at amortised cost using the effective interest method.

Other loans
Other loans are initially recognised at fair value and are subsequently recognised at amortised cost.

Financial liabilities at Fair Value Through Profit or Loss ('FVTPL')
A derivative that is not designated and effective as a hedging instrument is classified as held for trading. Financial liabilities are classified 
as at FVTPL where the financial liabilities are held for trading.

Financial liabilities at FVTPL are stated at fair value, with any resultant gain or loss recognised in profit or loss. Fair value is determined 
in the manner described in Note 24.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201680

Notes Forming Part of the Consolidated Financial Statements  
continued
3 Accounting Policies continued

Derivative financial instruments
The Group enters into foreign exchange forward contracts to manage its exposure to foreign exchange rate risk. Further details 
of derivative financial instruments are disclosed in Note 24 to the Financial Statements.

Derivatives are initially recognised at fair value at the date a derivative contract is entered into and are subsequently remeasured to 
their fair value at each Balance Sheet date. The resulting gain or loss is recognised in profit or loss (administrative costs) immediately 
unless the derivative is designated and effective as a hedging instrument, in which event the timing of the recognition in profit or loss 
depends on the nature of the hedge relationship. The Group currently designates certain derivatives as hedges of highly probable 
forecast transactions or hedges of foreign currency risk of firm commitments (cash flow hedges). A derivative with a positive fair value 
is recognised as a financial asset whereas a derivative with a negative fair value is recognised as a financial liability. 

Derivatives with remaining maturity of less than 12 months are presented as current assets or current liabilities.

Leased assets
Leases are classified as finance leases when the terms of the lease transfer substantially all the risks and rewards of ownership 
to the Group. All other leases are classified as operating leases.

Assets held as finance leases are recognised as assets of the Group at their fair value or, if lower, at the present value of the minimum 
lease payments during the lease term at the inception of the lease. Lease payments are apportioned between the reduction of the lease 
liability and finance charges in the Income Statement so as to achieve a constant rate of interest on the remaining balance of the liability. 
Assets held under finance leases are depreciated over the shorter of the estimated useful life of the assets and the lease term.

Assets leased under operating leases are not recorded on the Balance Sheet. Rental payments are charged directly to the Income 
Statement. Lease incentives, primarily up-front cash payments or rent-free periods, are capitalised and spread over the period of the 
lease term on a straight line basis unless another systematic basis is more representative of the time pattern of the users’ benefit. 
Payments made to acquire operating leases are treated as prepaid lease expenses and amortised over the life of the lease.

Pensions
The Group operates a money purchase pension scheme. The assets of the scheme are held separately from those of the Group 
in an independently administered fund. The amount charged against the Income Statement represents the contributions payable 
to the scheme in respect of the accounting period.

Share-based payments
The Group has applied the requirements of IFRS 2 ‘Share-based payments’. IFRS has been applied to all options granted after 7 November 
2002 that were unvested as of 1 January 2006.

The group issues equity–settled share-based payments to certain employees. Equity-settled share-based payments are measured 
at fair value at the date of grant. The fair value as determined at the grant date of equity–settled share-based payments is expensed 
on a straight-line basis over the vesting period, based on the Group’s estimate of options that will eventually vest.

Fair value is measured by use of a Black-Scholes Merton or Monte Carlo model. The expected life used in the model has been adjusted, 
based on management’s best estimate, for the effect of non-transferability, exercise restrictions and behavioural considerations.

Capital management
For the year ended 31 December 2016, the Group had net funds with no borrowings. Capital is managed by maximising retained 
profits. Working capital is managed in order to generate maximum conversion of these profits into cash and cash equivalents thereby 
maintaining capital. 

Capital includes share capital, share premium, investment in own shares, share-based payments reserve, share-based payments deferred 
tax reserve, other reserve, translation reserve and retained earnings reserve. There are no externally imposed capital requirements on 
the Group.

Employee Benefit Trusts
The Group operates an Employee Benefit Trust (EBT): ‘Advanced Medical Solutions Group plc UK Employee Benefit Trust’.

The Group has de facto control of the assets, liabilities and shares held by the Trust and bear their benefits and risks. The Group records 
assets and liabilities of the Trust as its own.

In compliance with IAS 32 ‘Financial Instruments: Presentation Group’, shares held by the EBT are included in the Consolidated Balance 
Sheet as a reduction in equity. Gains and losses on Group shares are recognised directly in reserves.

Advanced Medical Solutions Group plc Annual Report 201681

IFRS not yet effective and not adopted early
New accounting standards not yet applied

At the date of authorisation of the Annual Financial Statements, the following new and revised IFRSs that are potentially relevant 
to the Group, and which have not been applied in the Annual Financial Statements, were in issue but not yet effective (and in some 
cases had not yet been adopted by the EU):

 e IFRS 2, Share-based Payment - effective for accounting periods beginning on or after 1 January 2018.
 e IFRS 16, Leases - effective for accounting periods beginning on or after 1 January 2019.
 e IAS 7, Statement of Cash Flows - effective for accounting periods beginning on or after 1 January 2017.
 e IAS 12, Income Taxes - effective for accounting periods beginning on or after 1 January 2017.
 e IFRS 9, Financial Instruments: Classification and Measurement - effective for accounting periods beginning on or after 1 January 2018.
 e IFRS 15, Revenue from Contracts with Customers - effective for accounting periods beginning on or after 1 January 2018.

The Directors do not expect that the adoption of the standards listed above will have a material impact on the Financial Statements of the 
Group in future periods, except as follows:

 e IFRS 9 is effective for annual periods beginning 1 January 2018 and will replace IAS 39 Financial Instruments. This standard covers the 
classification, measurement, impairment and de-recognition of financial assets and financial liabilities, together with the new hedge 
accounting model. The Group does not expect the transition to the standard to have a material impact on the Financial Statements.
 e IFRS 15 is effective for annual periods beginning 1 January 2018 and will replace IAS 11 Construction Contracts and IAS 18 Revenue. 
This standard requires the separation of performance obligations within contracts with customers, and the contractual value to 
be allocated to each of the performance obligations. Revenue is then recognised as each performance obligation is satisfied. 
Retrospective application in the comparative year ending 31 December 2017 is optional, however the Group does not expect to 
undertake this option. An initial assessment has been performed and it is not anticipated that transition to IFRS 15 will have a material 
impact on the Group.

 e IFRS 16 is effective for annual periods beginning 1 January 2019, subject to EU endorsement, and will replace IAS 17 Leases. 

This standard requires lessees to recognise assets and liabilities for all leases, unless the lease term is 12 months or less, or the 
underlying asset is of low value. As at 31 December 2016, the Group holds a number of operating leases, which currently, under IAS 17, 
are expensed on a straight line basis over the lease term. Retrospective application in the comparative year ending 31 December 2018 
is optional, however the Group does not expect to undertake this option. An initial assessment has been performed and it is anticipated 
that transition to IFRS 16 will have a material impact on the value of lease assets and liabilities recognised in the Consolidated Balance 
Sheet. The Group will continue to monitor the impact until the transition date, providing further quantitative and qualitative measures as 
progress is made on implementation planning.

Beyond the information above, it is not practicable to provide a reasonable financial estimate of the effect of these standards until 
a detailed review has been completed.

4 Segment Information

As referred to in the Chief Executive’s Statement, the Group is organised into four Business Units: Branded Direct, Branded Distributed, 
OEM (Original Equipment Manufacturer) and Bulk Materials. These Business Units are the basis on which the Group reports its 
segment information.

Segment results, assets and liabilities include items directly attributable to a segment as well as those that can be allocated on a 
reasonable basis. Unallocated items comprise mainly investments, and related revenue, corporate assets, head office expenses, income 
tax assets and the Group’s external borrowings. These are the measures reported to the Group’s Chief Executive Officer for the purposes 
of resource allocation and assessment of segment performance.

Business segments
The principal activities of the Business Units are as follows:

Branded Direct
Selling, marketing, and innovation of the Group’s branded products sold directly by the Group’s sales teams.

Branded Distributed
Distribution, marketing and innovation of the Group’s brands sold by distributors in markets not serviced by the Group’s sales team.

OEM
Selling, marketing and innovation of the Group’s products supplied to partners under their brands.

Bulk Materials
Selling, marketing and innovation of bulk materials to medical device partners and converters. 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201682

Notes Forming Part of the Consolidated Financial Statements  
continued
4 Segment information continued

Segment information about these Business Units is presented below. 

Year ended 31 December 2016

Revenue

External sales

Inter-segment sales

Total revenue

Result

Segment result

Unallocated expenses

Profit from operations

Finance income

Finance costs

Profit before tax

Tax

Profit for the year

At 31 December 2016
Other Information

Capital additions:

Software intangibles

Research and development

Property, plant and equipment

Depreciation and amortisation

Balance sheet

Assets

Segment assets

Unallocated assets

Consolidated total assets

Liabilities

Segment liabilities

Consolidated total liabilities

Year ended 31 December 2015

Revenue

External sales

Inter-segment sales

Total revenue

Result

Segment result

Unallocated expenses

Profit from operations

Finance income

Finance costs

Profit before tax

Tax

Profit for the year

Branded 
Direct
£’000

Branded 
Distributed
£’000

OEM
£’000

Bulk Materials
£’000

Eliminations
£’000

Consolidated
£’000

24,553

20,753

32,070

 – 

 – 

 – 

24,553

20,753

32,070

5,245

1,795

7,040

 – 

(1,795)

(1,795)

4,976

6,337

6,881

1,796

 – 

82,621

 – 

82,621

19,990

(885)

19,105

108

(111)

19,102

(3,410)

15,692

Branded 
Direct
£’000

Branded 
Distributed
£’000

OEM
£’000

Bulk Materials
£’000

Consolidated
£’000

463

31

734

(843)

133

126

371

194

100

201

(466)

(1,340)

5

2

217

(260)

68,197

29,301

40,665

6,723

7,082

4,938

6,291

1,167

795

259

1,523

(2,909)

144,886

120

145,006

19,478

19,478

Branded 
Direct
£’000

Branded 
Distributed
£’000

OEM
£’000

Bulk Materials
£’000

Eliminations
£’000

Consolidated
£’000

22,344

 – 

22,344

14,631

 – 

14,631

27,675

 – 

27,675

3,946

826

4,772

 – 

(826)

(826)

68,596

 – 

68,596

5,235

4,366

7,139

814

 – 

17,554

(513)

17,041

73

(118)

16,996

(2,877)

14,119

Advanced Medical Solutions Group plc Annual Report 201683

31 December 2015 
Other Information

Capital additions:

Software intangibles

Research and development

Property, plant and equipment

Depreciation and amortisation

Balance sheet

Assets

Segment assets

Unallocated assets

Consolidated total assets

Liabilities

Segment liabilities

Consolidated total liabilities

Geographical Segments

Branded 
Direct
£’000

Branded 
Distributed
£’000

OEM
£’000

Bulk Materials
£’000

Consolidated
£’000

111

102

730

(855)

15

67

332

(431)

333

200

663

(1,309)

13

 4 

182

(217)

57,264

20,913

32,874

5,347

5,353

2,888

3,930

735

472

373

1,907

(2,812)

116,398

165

116,563

12,906

12,906

The Group operates in the UK, Germany, the Netherlands, the Czech Republic, with sales offices in Russia and a sales presence in the US. 
In presenting information on the basis of geographical segments, segment revenue is based on the geographical location of customers. 
Segment assets are based on the geographical location of the assets.

The following table provides an analysis of the Group’s sales by geographical market, irrespective of the origin of the goods/services, 
based upon location of the Group’s customers:

United Kingdom

Germany

Europe excluding United Kingdom and Germany

United States of America

Rest of the World

The following table provides an analysis of the Group’s total assets by geographical location.

United Kingdom

Germany

Europe excluding United Kingdom and Germany

United States of America

Year ended
31 December 
2016 
£’000 

Year ended
31 December 
2015 
£’000

17,457

18,345

21,360

23,505

1,954

82,621

16,657

13,371

19,223

17,766

1,579

68,596

Year ended
31 December 
2016 
£’000 

Year ended
31 December 
2015 
£’000

80,580

59,950

3,962

514

145,006

62,785

50,592

3,060

126

116,563

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201684

Notes Forming Part of the Consolidated Financial Statements  
continued
5 Profit from Operations

Profit from operations is arrived at after charging:

Depreciation of property, plant and equipment

Amortisation of: 

–  acquired intellectual property rights

–  software intangibles

–  development costs

Operating lease rentals - plant and machinery

- land and buildings

Research and development costs expensed to the Income Statement

Cost of inventories recognised as expense

Staff costs

Net foreign exchange loss

6 Exceptional Items

Year ended
31 December 
2016 
£’000 

Year ended
31 December 
2015 
£’000

1,898

1,754

242

329

441

253

917

2,276

34,132

26,162

1,271

367

289

410

250

896

1,817

27,836

21,579

391

During 2016, £361,000 of exceptional costs were incurred relating to an acquisition that was not progressed in the year (2015: £nil).

7 Auditor’s Remuneration

Amounts payable to Deloitte LLP and their associates in respect of both audit and non-audit services:

Fees payable to the Company’s Auditor and their associates for the audit  
of the Company’s annual accounts

Fees payable to the Company’s Auditor and their associates for other audit services to the Group

 - the audit of the Company’s subsidiaries

Total audit fees

Audit related assurance services

Other services

Corporate finance services

Total non audit fees

Year ended
31 December 
2016 
£’000 

Year ended
31 December 
2015 
£’000

 13 

 71 

 84 

 13 

 4 

 114 

 130 

 214 

 19 

 67 

 86 

 13 

 – 

 55 

 68 

 154 

Fees payable to the Company’s Auditor, Deloitte LLP and its associates, for non-audit services to the Company are not required 
to be disclosed in subsidiaries’ accounts because the Consolidated Financial Statements are required to disclose such fees on a 
consolidated basis.

A description of the work of the Audit Committee is set out in the Governance section of the Annual Report which includes explanations 
of how the audit objectivity and independence is safeguarded when non-audit services are provided by the Auditor.

Advanced Medical Solutions Group plc Annual Report 2016 
 
85

8 Employees

The average monthly number of employees of the Group during the year, including Executive Directors, was as follows:

Production

Research and development

Sales and marketing

Administration

Staff costs for all employees, including Executive Directors, consists of:

Wages and salaries

Social Security costs

Pension costs

Share-based payments (see Note 29)

Year ended
31 December 
2016 
Number

Year ended
31 December 
2015 
Number

303

30

120

86

539

274

29

107

78

488

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

20,979

2,965

988

1,230

26,162

17,543

2,523

804

709

21,579

The 2015 comparator has been restated to include an additional amount of £1,079,000 previously omitted from the Note 
in the 2015 accounts.

9 Directors’ Emoluments

Remuneration for management services

Pension

Amounts paid to third parties

Share-based payments

Executive Directors

Salaries and short-term employee benefits

Pension

Share-based payments

Highest paid Director

Salaries and short-term employee benefits

Pension

Share-based payments

Retirement benefits are accruing to the following number of Directors under money purchase schemes

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

967

52

65

442

1,526

988

66

30

207

1,321

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

845

52

442

1,339

835

66

207

1,108

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

496

26

256

778

2

497

26

121

644

2

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201686

Notes Forming Part of the Consolidated Financial Statements  
continued
10 Remuneration of Key Management Personnel

The key management of the Group comprises the Directors of the Group together with senior members of the management team. 
Their aggregate compensation is shown below:

Salaries and short-term employee benefits

Pension

Share based payments

11 Finance Income

Bank interest

12 Finance Costs

Amortisation of facility fees

Total interest expense

13 Taxation

a) Analysis of charge for the year

Current tax:

Tax on ordinary activities - current year

Tax on ordinary activities - prior year

Deferred tax:

Tax on ordinary activities - current year

Effect of reduction in UK corporation tax rates

Tax charge for the year

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

 2,334 

 108 

795

 3,237 

 2,225 

 114 

 356 

 2,695 

Year ended
31 December 
2016 
£’000

 108 

Year ended
31 December 
2015 
£’000

 73 

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

 111 

111

 118 

118

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

3,180

(358)

2,822

599

(11)

588

3,410

1,743

 58 

1,801

1,055

 21 

1,076

2,877

The Group has chosen to use a weighted average country tax rate rather than the UK tax rate for the reconciliation of the charge for 
the year to the profit per the Income Statement. The Group operates in several jurisdictions, some of which have a tax rate in excess of 
the UK tax rate. As such, a weighted average country tax rate is believed to provide the most meaningful information to the users of the 
Financial Statements.

Advanced Medical Solutions Group plc Annual Report 201687

b) Factors affecting tax charge for the year
The tax assessed for the year is lower (2015: lower) than the weighted average Group tax rate of 22.11% (2015: 22.35%) as explained below:

Profit before taxation

Weighted average group tax rate 22.11% (2015:22.35%) 

Effects of:

Expenses not deductible for tax purposes and other timing differences

Depreciation for period less than capital allowances

Utilisation and recognition of trading losses 

Patent Box Relief

Research and development relief

Share-based payments

Adjustments in respect of prior year - current tax

Adjustments in respect of prior year and rate changes - deferred tax

Taxation

Year ended
31 December 
2016 
£’000

19,102

4,224

Year ended
31 December 
2015 
£’000

16,996

3,798

50

(31)

(203)

(242)

(183)

(47)

(359)

201

43

(1)

(438)

(269)

(324)

10

58

 – 

3,410

2,877

Legislation to reduce the main rate of UK corporation tax to 19% and 17% was passed by Parliament in September 2016 to take effect 
from 1 April 2017 and 1 April 2020. The reduction in the main rate to 17% had been substantively enacted at the Balance Sheet date and, 
therefore, the deferred tax assets and liabilities are calculated in these Financial Statements at this rate.

In addition to the amount charged to the Income Statement and other Comprehensive Income, the Group has recognised directly 
in equity:

 e Excess tax deductions related to share-based payments on exercised options
 e Changes in excess deferred tax deductions related to share-based payments, totalling £22,000 deficit: (2015: £159,000 deficit)

14 Dividends

Amounts recognised as distributions to equity holders in the period:

Final dividend for the year ended 31 December 2015 of 0.55p (2014: 0.48p) per Ordinary Share

Interim dividend for the year ended 31 December 2016 of 0.30p (2015: 0.25p) per Ordinary Share

Proposed final dividend for the year ended 31 December 2016 of 0.62p (2015: 0.55p) per Ordinary Share

Year ended
31 December 
2016 
£’000

Year ended
31 December 
2015 
£’000

 1,150 

 633 

 1,783 

 935 

 586 

 1,521 

1,305

 1,305 

1,150

 1,150 

The proposed final dividend is subject to approval by the shareholders and has not been included as a liability in these Financial Statements.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016 
 
88

Notes Forming Part of the Consolidated Financial Statements  
continued
15 Earnings per Share

The calculation of the basic and diluted earnings per share is based on the following data:

Year ended 31 December

Profit for the year attributable to equity holders of the parent

Pre exceptional items

Post exceptional items

Number of shares

Weighted average number of Ordinary Shares for the purposes of basic earnings per share

Effect of dilutive potential Ordinary Shares:

share options, deferred share bonus, LTIPs

Weighted average number of Ordinary Shares for the purposes of diluted earnings per share

Profit for the year attributable to equity holders of the parent 
Earnings for the purposes of basic and diluted earnings per share being net profit attributable to equity 
holders of the parent

Amortisation of acquired intangible assets

Adjusted profit for the year attributable to equity holders of the parent 

Earnings per share

Basic – pre exceptional

Basic – post exceptional

Diluted – pre exceptional

Diluted – post exceptional

Adjusted basic (before exceptional items)

Adjusted diluted (before exceptional items)

 2016 
£’000

2015 
£’000

16,053

15,692

14,119

14,119

‘000

‘000

209,815

208,376

2,778

212,593

£’000

16,053

2,902

211,278

£’000

14,119

242

16,295

367

14,486

pence

7.65

7.48

7.55

7.38

7.77

7.66

pence

6.78

6.78

6.68

6.68

6.95

6.86

Advanced Medical Solutions Group plc Annual Report 201689

16 Acquired Intellectual Property Rights, Software Intangibles and Development Costs

2016

Cost

At beginning of year

Additions

Exchange differences

At end of year

Amortisation

At beginning of year

Charged in the year

Disposals / Impairment

Exchange differences

At end of year

Net book value

At 31 December 2016

At 31 December 2015

Acquired 
intellectual
property rights
£’000

Software
intangibles
£’000 

Development
costs 
£’000

Total
£’000

 11,541 

 – 

 1,356

 12,897 

 3,182 

 242 

 – 

5

 2,859 

 795 

70

 3,724 

 850 

 329 

 – 

45

 3,340 

 364 

 31 

 3,735 

 1,537 

 441

 125 

(13) 

 3,429 

 1,224 

 2,090 

 17,740 

 1,159 

1,457

 20,356 

 5,569 

 1,012 

 125 

37

 6,743 

 9,468 

 8,359 

 2,500 

 2,009 

 1,645 

 1,803 

 13,613 

 12,171 

Acquired intellectual property rights were initially recognised on the acquisition of MedLogic Global Limited representing patents and 
on the acquisition of RESORBA® representing brand names, know-how and customer listings and contracts.

Intangible assets are amortised on a straight-line basis and the amortisation is recognised within administration costs, the largest 
intangible asset being RESORBA® ‘know-how’ which is being amortised over ten years with five years remaining, with the exception of 
the RESORBA® brand name, which the Directors believe has an unlimited useful economic life and has a carrying value of £8,885,000. 
In reaching this assessment, the Directors have considered that the RESORBA® brand has existed for over 80 years and is widely 
recognised as a market leader in the surgical market.

2015

Cost

At beginning of year

Additions

Exchange differences

At end of year

Amortisation

At beginning of year

Charged in the year

Exchange differences

At end of year

Net book value

At 31 December 2015

At 31 December 2014

Acquired intellectual
property rights
£’000

Software
intangibles
£’000 

Development
costs 
£’000

Total
£’000

 12,089 

 – 

(548) 

 11,541 

 2,851 

 367 

(36) 

 3,182 

 8,359 

 9,238 

 2,402 

 468 

(11) 

 2,859 

 567 

 289 

(6)

 850 

 2,009 

 1,835 

 2,994 

 17,485 

 357 

(11)

 825 

(570)

 3,340 

 17,740 

 1,144 

 410 

(17) 

 1,537 

 1,803 

 1,850 

 4,562 

 1,066 

(59)

 5,569 

 12,171 

 12,923 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201690

Notes Forming Part of the Consolidated Financial Statements  
continued
17 Property, Plant and Equipment

2016

Cost

At beginning of year

Additions

Transfer of assets into use

Disposals

Exchange adjustment

At end of year

Depreciation

At beginning of year

Provided for the year

Disposals

Exchange adjustment

At end of Year 

Net book value

At 31 December 2016

At 31 December 2015

Freehold land,
property and
improvements
£’000

Short
leasehold
improvements
£’000

Plant and
machinery 
£’000

Fixtures 
and fittings 
£’000

Motor 
vehicles 
£’000

Assets under
 construction
 £’000

Total 
£’000

 4,443 

 12 

 22,430 

 679 

 29 

 – 

(2)

 564 

 5,034 

 451 

 124 

 – 

 82 

 657 

 – 

 – 

 – 

 – 

 1,247 

 72 

(493)

 620 

 12 

 – 

(18)

 15 

 12 

 23,876 

 688 

 10 

 11,566 

 340 

 – 

 – 

 – 

 1,572 

(457)

 302 

 58 

(17)

 5 

 10 

 12,983 

 386 

 4,377 

 3,992 

 2 

 2 

 10,893 

 10,864 

 302 

 339 

 641 

 235 

 – 

(239)

 82 

 719 

 115 

 144 

(157)

 14 

 116 

 603 

 526 

 72 

 – 

(72)

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 28,277 

 1,523 

 – 

(752)

 1,281 

 30,329 

 12,482 

 1,898 

(631)

 403 

 14,152 

 – 

 72 

 16,177 

 15,795 

At 31 December 2016, the Group had entered into contractual commitments for the acquisition of property, plant and equipment 
amounting to £354,000 (2015: £783,000).

The net book value of plant and equipment includes £167,000 (2015: £188,000) of capitalised borrowing costs relating to the 
Winsford site.

Freehold land,
property and
improvements
£’000

Short
leasehold
improvements
£’000

Plant and
machinery 
£’000

Fixtures 
and fittings 
£’000

Motor 
vehicles 
£’000

Assets under
 construction
 £’000

Total 
£’000

2015

Cost

At beginning of year

Additions

Transfer of assets into use

Disposals

Exchange Adjustment

At end of year

Depreciation

At beginning of year

Provided for the year

Disposals

Exchange Adjustment

At end of Year 

Net book value

At 31 December 2015

At 31 December 2014

 4,657 

 12 

 20,578 

 26 

 – 

(33)

(207)

 4,443 

 360 

 111 

 – 

(20)

 451 

 3,992 

 4,297 

 – 

 – 

 – 

 – 

 1,604 

 591 

(186)

(157)

 647 

 35 

 – 

 – 

(3)

 12 

 22,430 

 679 

 10 

 10,379 

 – 

 – 

 – 

 1,465 

(179)

(99)

 281 

 60 

 – 

(1)

 10 

 11,566 

 340 

 2 

 2 

 10,864 

 10,199 

 339 

 366 

 619 

 170 

 – 

(118)

(30)

 641 

 71 

 118 

(76)

 2 

 115 

 526 

 548 

 591 

 72 

(591)

 – 

 – 

 27,104 

 1,907 

 – 

(337)

(397)

 72 

 28,277 

 – 

 – 

 – 

 – 

 – 

 11,101 

 1,754 

(255)

(118)

 12,482 

 72 

 591 

 15,795 

 16,003 

Advanced Medical Solutions Group plc Annual Report 201691

18 Deferred Tax

The following are the major deferred tax liabilities and assets recognised by the Group and movements thereon during the current and 
prior reporting year.

Share-based
 payment 
£’000

Tax
losses
£’000

Advanced 
capital allowances
£’000

At 31 December 2014

Charge to income

Charge to equity

Exchange adjustment

At 31 December 2015

Charge to income

Charge to equity

Exchange adjustment

At 31 December 2016

 407 

(4)

 159 

 – 

 562 

 100 

 22 

 – 

 684 

 1,669 

(1,079)

 – 

 – 

 590 

(590)

 – 

 – 

 – 

Intangible
assets
£’000

(2,513)

 56 

 – 

 146 

(2,311)

(199)

 – 

(410)

Research 
and Development 
Assets
£’000

(382)

 29 

 – 

 – 

(353)

 50 

 – 

 – 

Total
£’000

(1,405)

(1,076)

 159 

 146 

(2,176)

(588)

 22 

(410)

(586)

(78)

 – 

 – 

(664)

 51 

 – 

 – 

(613)

(2,920)

(303)

(3,152)

Certain deferred tax assets and liabilities have been offset. The following is the analysis of the deferred tax balances (after offset) for 
financial reporting purposes:

Deferred tax liabilities

Deferred tax assets

2016 
£’000 

(916)

684

(232)

2015 
£’000

(1,017)

1,152

135

At the balance sheet date, the Group has unused tax losses of £0.6 million (2015: £8.0 million) available for offset against future profits. 
No deferred tax asset has been recognised in respect of this loss (2015: £4.7 million) due to the unpredictability of future profit streams.

19 Goodwill

Cost

At 1 January 

Exchange differences 

At 31 December 

2016 
£’000 

2015 
£’000

34,579

5,758

40,337

36,696

(2,117)

34,579

Two cash-generating units (CGU) exist within the Branded Distributed segment whereby goodwill has been allocated. CGU1 has 
goodwill and indefinite useful life intangible assets of £29.7m and £6.8m (2015: £25.4m and £6.4m) respectively, and CGU2 has £0.8m 
(2015: £1.0m) of goodwill allocated.

Goodwill arose on the acquisition of Advanced Medical Solutions B.V. on 30 September 2009 and the acquisition of RESORBA® on the 
22nd December 2011.

The goodwill and intangible assets with indefinite useful economic life have been allocated to the relevant Business Units in proportion to 
profit from operations on a consistent basis for all four segments, as follows:

At 31 December 2016

Goodwill

Intangible assets with indefinite useful life

Branded 
Direct
£’000

30,516

6,753

37,269

Branded 
Distributed
£’000

8,489

2,132

10,621

OEM
£’000

1,092

 – 

 1,092 

Bulk Materials 
£’000

240

 – 

 240 

Consolidated
£’000

40,337

8,885

49,222

The Group tests goodwill annually for impairment, or more frequently if there are indications that goodwill might be impaired. 

The recoverable amounts have been determined based on a value-in-use calculation on a cash generating unit basis, which uses 
cash flow projections based on financial budgets approved by the Directors covering a 12 month period. These budgets have been 
adjusted for specific risk factors that take into account sensitivities of the projection. The base 12 month projection is extrapolated using 
reasonable growth rates specific to each cash generating unit up to year five of between 0% and 15% and has not been inflated for 
years six to 20 which management believes does not exceed the long-term average growth rate for the industry or forecast company 
growth. The growth rate would have to fall significantly in order for an impairment to be required. A discount rate of between 6.5% and 
7.0% per annum (2015: between 6.0% and 7.5%), being the Group’s current pre tax weighted average cost of capital adjusted for risk, has 
been applied to these cash flows, being an estimation of current market risks and the time value of money. The Group has conducted a 
sensitivity analysis on the impairment test. The Directors believe that any reasonably possible further change in the key assumptions on 
which the recoverable amount is based would not cause any of the carrying amounts to exceed the relevant recoverable amount. 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201692

Notes Forming Part of the Consolidated Financial Statements  
continued
20 Inventories

Raw materials

Work in progress

Finished goods

2016 
£’000 

4,971

2,819

3,650

11,440

2015 
£’000

4,376

1,699

2,768

8,843

There is no material difference between the replacement cost of stock and the amount at which it is stated in the Financial Statements.

Included above are finished goods of £nil (2015: £nil) carried at net realisable value.

Total gross inventories

Inventory provision

Net inventory

Inventory impairment

At beginning of year

Income statement charge

Provision released

Provision utilised

At end of year

21 Trade and Other Receivables

Due: within one year

Trade receivables

Other receivables

Prepayments and accrued income

Amount receivable for the sale of goods 

Provision for impairment

2016 
£’000 

12,995

(1,555)

11,440

2016 
£’000 

(921)

(1,304)

69

601

(1,555)

2015 
£’000

9,764

(921)

8,843

2015 
£’000

(685)

(694)

36

422

(921)

2016 
£’000 

2015 
£’000

10,456

255

1,161

11,872

2016 
£’000 

10,692

(236)

10,456

9,376

41

1,400

10,817

2015 
£’000

9,644

(268)

9,376

The Group’s principal financial assets are cash and trade receivables. The Group’s credit risk is primarily attributable to its trade receivables.

The average credit period taken on sales of goods is 41 days (2015: 41 days). No interest is charged on the receivables within the 
contracted credit period. Thereafter, interest may be charged at 2% per month on the outstanding balance. In determining the 
recoverability of a trade receivable the Group considers any change in the credit quality of the trade receivable from the date credit was 
initially granted up to the reporting date. The concentration of credit risk is limited due to the Group’s large and unrelated customer base. 
Accordingly, the Directors believe that there is no further credit provision required in excess of the allowance for impairments.

Before accepting any new customer, the Group assesses the potential customer’s credit quality and defines credit limits by customer. 
Limits are reviewed on an ongoing basis and reflect current payment history.

Included in the Group’s trade receivable balance are debtors which are past due at the reporting date for which the Group has not 
provided as there has not been a significant change in credit quality and the amounts are still considered recoverable - a large proportion 
of debts overdue over 30 days were recovered post the Balance Sheet date. The Group does not hold any collateral or other credit 
enhancements over these balances. The carrying amount and ageing of these debtors are summarised on page 93.

Advanced Medical Solutions Group plc Annual Report 2016Ageing of overdue but not impaired receivables

31-60 days overdue

61 to 90 days overdue

Total

Movement in provision for impairment

Balance at the beginning of the year

Impairment losses recognised 

Amounts written off as uncollectible

Amounts recovered during the year

Balance at the end of the year

Ageing of impaired trade receivables

Not yet due

0 to 30 days overdue

31 to 60 days overdue

61 to 90 days overdue

Over 90 days overdue

Total

93

2015 
£’000

187

 56 

243

2015 
£’000

243

147

(9)

(113)

268

2015 
£’000

 82 

 – 

 3 

 – 

 183 

268

2016 
£’000 

128

20

148

2016 
£’000 

268

100

(1)

(131)

236

2016 
£’000 

3

–

2

18

213

236

Analysis of customers
In the year ended 31 December 2016, there were no customers accounting for more than 10% of revenue (2015: same).

22 Cash and Cash Equivalents

Cash and cash equivalents

2016 
£’000 

51,125

2015 
£’000

34,201

Cash and cash equivalents comprise cash and short-term bank deposits with an original maturity of three months or less. The carrying 
amount of these assets is approximately equal to their fair value.

23 Trade and Other Payables

Current liabilities

Trade payables

Other payables

Derivative financial instruments

Accruals and deferred income

Non-current liabilities

Other payables

Derivative financial instruments

2016 
£’000 

2015 
£’000

 3,278 

 1,599 

 2,605 

 5,419 

 12,901 

 362 

929

1,291

 3,339 

 1,367 

 525 

 3,908 

 9,139 

 415 

–

415

Trade payables, other payables and accruals and deferred income principally comprise amounts outstanding for trade purchases and 
ongoing costs. 

The average credit period taken for trade purchases is 33 days (2015: 34 days). No interest is charged on trade payables that are within 
pre-agreed credit terms. Thereafter, interest may be charged on the outstanding balances at various interest rates. The Group has 
financial risk management policies in place to ensure that all payables are paid within the pre-agreed credit terms. 

The Directors consider that the carrying amount of trade payables approximates to their fair value.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201694

Notes Forming Part of the Consolidated Financial Statements  
continued
24 Financial Instruments

Categories of financial instruments
All financial instruments held by the Group, as detailed in this Note, are classified as ‘Loans and Receivables’ (trade and other receivables, 
cash and cash equivalents), ‘Held to maturity investments’ (short-term investments), ‘Financial Liabilities Measured at Amortised 
Cost’ (trade and other payables, financial liabilities and obligations under finance leases), ‘Derivative instruments in designated hedge 
accounting relationships (cash flow hedges)’ and ‘Fair value through profit and loss (FVTPL)’ (derivative financial instruments) under IAS 39 
‘Financial Instruments: Recognition and Measurement’ and finance leases under IAS 17 ‘ Leases’.

Carrying value

2016 
£’000 

2015 
£’000

Financial assets

Loans and receivables (including cash and cash equivalents

 61,846 

 43,631 

Financial liabilities

Derivative instruments in designated hedge accounting relationships

Amortised cost

 3,534 

 14,192 

 525 

 9,555 

In December 2014 the Group entered into a multi-currency facility with the Royal Bank of Scotland and HSBC. The principle features 
of the facility are:

 e The committed value of the facility is £30 million
 e There is an uncommitted accordion of an additional £20 million
 e Is unsecured
 e Facility will expire in December 2019
 e The interest payable on drawings under the loan is based on inter-bank interest (EURIBOR or, if sterling denominated LIBOR) plus 

a sliding scale margin determined by the Group’s leverage: the margin is currently 0.65%

 e The facility has two covenants - interest cover (ratio of EBITDA to net finance charges) must be above 4:1 and leverage (ratio of Total 

Net Debt to adjusted EBITDA) should not exceed 3:1

 e It was undrawn at the end of the year

The Risk Management section on pages 38 to 41 provides an explanation of the financial risks faced by the Group and the objectives 
and policies for managing those risks. The information below deals with the financial assets and liabilities.

(a) Maturity of financial liabilities
The maturity profile of the Group’s financial liabilities, of which other loans and finance lease obligations are at fixed rates and 
denominated in Sterling whilst derivative financial instruments are non-interest bearing, is as follows:

2016

Trade and other payables

At 31 December 2016

2015

Trade and other payables

Finance lease creditors 

At 31 December 2015

Finance lease creditors 

On demand
or within
one year
£’000

 13,830 

 13,830 

On demand
or within
one year
£’000

 9,139 

 1 

 9,140 

Between
one and
two years
£’000

 53 

 53 

Between
one and
two years
£’000

 53 

 – 

 53 

Between
two and
five years
£’000

 158 

 158 

Between
two and
five years
£’000

 158 

 – 

 158 

Five
years 
or more
£’000

 151 

 151 

Five
years 
or more
£’000

 204 

 – 

 204 

Total
financial
liabilities
£’000

 14,192 

 14,192 

Total
financial
liabilities
£’000

 9,554 

 1 

 9,555 

Interest
rate
%

 –

Interest
rate
%

–

24%

Fixed rate financial liabilities

Weighted average period for 
 which rate is fixed

2016 
Years 

–

2015 
Years

5

Advanced Medical Solutions Group plc Annual Report 201695

Floating
£’000

Non-interest
bearing
£’000

Total
£’000

 16,195 

 136 

 2,625 

18,956

Floating
£’000

 5,543 

 51 

 2,192 

 7,786 

 30,621 

 46,816 

 973 

 575 

32,169

Non-interest
bearing
£’000

 24,048 

 528 

 1,839 

 26,415 

2016 
£’000 

 6,389 

 2,399 

 3,084 

11,872

 1,109 

 3,200 

51,125

Total
£’000

 29,591 

 579 

 4,031 

 34,201 

2015 
£’000

5,963

1,874

2,980

10,817

(b) Interest rate and currency of financial assets 
The currency and interest rate profile of the financial assets of the Group is as follows:

Cash and cash equivalents

Currency

Sterling

US Dollar

Euro

At 31 December 2016

Currency

Sterling

US Dollar

Euro

At 31 December 2015

Trade and other receivables
The Directors consider that the carrying amount of trade and other receivables approximates to their fair value.

Sterling

US Dollar

Euro

The financial assets all mature within one year.

(c) Currency exposures
At 31 December 2016, the Group had unhedged US Dollar currency exposures of £nil (2015: £nil) and unhedged Euro currency exposures 
of £nil (2015: £nil).

Risk sensitivity
The Group estimates that a 10% movement in the £:US$ or £:Euro exchange rate will impact 2016 Sterling revenues by approximately 
2.7% and 3.1% respectively and in the absence of any hedging this would have an impact on profit of 2.2% and 0.5%.

Forward foreign exchange contracts
It is the policy of the Group to enter into forward foreign exchange contracts to cover specific foreign currency payments and receipts.

The following table details the forward foreign currency contracts outstanding as at the year-end:

Outstanding contracts

Cash flow hedges

Average exchange rate 

Foreign currency

Contract value

Sell US dollars

Less than 3 months

3 to 6 months

7 to 12 months 

Over 12 months

2016
USD:£1

1.467

1.421

1.423

1.319

2015
USD:£1

2016
USD ‘000

2015
USD ‘000

2016
£’000

2015
£’000

1.606

1.527

1.526

1.524

5,250

5,250

10,500

22,200

43,200

5,100

4,000

8,600

3,000

20,700

3,579

3,696

7,377

16,829

31,481

3,176

2,619

5,634

1,969

13,398

Fair value

2016
£’000

(673)

(548)

(1,079)

(857)

(3,157)

2015
£’000

(257)

(80)

(167)

(56)

(560)

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201696

Notes Forming Part of the Consolidated Financial Statements  
continued
24 Financial Instruments continued 

Sell Euros

Less than 3 months

3 to 6 months

7 to 12 months 

Over 12 months

Average exchange rate 

Foreign currency

Contract value

2016
EUR:£1

1.290

1.263

1.245

1.192

2015
EUR:£1

1.309

1.358

1.358

1.356

2016
£’000

2015
£’000

2016
£’000

1,050

1,250

2,500

2,400

7,200

600

650

1,900

350

3,500

814

990

2,009

2,013

5,826

2015
£’000

459

479

1,399

258

2,595

Fair value

2016
£’000

2015
£’000

(85)

(73)

(146)

(72)

(376)

21

2

9

1

33

The fair value amounts presented above are the difference between the market value of equivalent instruments at the balance sheet date 
and the contract value of the instruments. No profits or losses are included in operating profit in the year (2015: £nil) in respect of FVTPL 
contracts. The loss of £3,533,000 (2015: £526,000 loss) in respect of cash flow hedges has been taken to reserves.

25 Fair Value of Financial Assets and Liabilities

The Directors consider that the fair value of the Group’s financial instruments do not differ significantly from their book values.

26 Foreign Exchange Rates

Currency

US Dollar

Euro

27 Share Capital

Number of Ordinary Shares of 5p each

At 1 January 2015

Share options exercised

At 31 December 2015

Share options exercised or Shares issued into Trust

At 31 December 2016

Average rate

Closing rate

Percentage change

2016 

2015

2016 

2015

Average
% 

Closing
%

1.3661

1.2352

1.5315

1.3740

1.2312

1.168

1.4833

1.3625

(11)

(10)

(17)

(14)

Allotted, called up
and fully paid
‘000

207,852

 1,170 

209,022

1,452

210,474

During the year, employees exercised share options and options over LTIPs for 965,958 shares (2015: 1,002,578) at a range of option 
prices from 17p to 132p.

During the year, 354,582 (2015: 167,422) shares were issued under the Deferred Share Bonus Scheme and the Deferred Annual Bonus 
Scheme at the nominal value of 5p per share. At the balance sheet date, 501,324 (2015: 450,000) of shares are retained by the Trust to 
meet the matching requirements of the scheme.

Ordinary Shares of 5p each

At 1 January 2015

Share options exercised

At 31 December 2015

New issues in the year

At 31 December 2016

28 Reserves

Investment in own shares
This is the nominal value of the shares held in trust on behalf of employees in respect of the DSB scheme.

Other reserve
This represents Advanced Medical Solutions Limited’s share premium account arising from merger accounting.

Allotted, called up
and fully paid
‘000

10,393

58

10,451

 73 

10,524

Advanced Medical Solutions Group plc Annual Report 201697

Hedging reserve
The hedging reserve represents the cumulative amount of gains and losses on hedging instruments deemed effective in cash flow 
hedges. The cumulative deferred gain or loss on the hedging instrument is recognised in profit or loss only when the hedged transaction 
impacts the profit or loss, or is included as a basis adjustment to the non-financial hedged item, consistent with the applicable 
accounting policy.

Translation reserve
Exchange differences relating to the translation of the net assets of the Group’s foreign operations, which relate to subsidiaries only, 
from their functional currency into the parents functional currency, being Sterling, are recognised directly in the translation reserve. 
Gains and losses on hedging instruments that are designated as hedges of net investments in foreign operations are included in the 
translation reserve.

A £8,851,000 gain has been recorded in the translation reserve during the period, which would otherwise have been recognised in 
administration costs (2015: £3,348,000 loss), if hedge accounting had not been adopted.

29 Share-Based Payments

The charge for share based payments under IFRS 2 arises across the following schemes:

Unapproved Executive Share Option Scheme, Enterprise Management Incentive Scheme  
and Company Share Option Scheme

Long-Term Incentive Plan

Deferred Share Bonus Scheme and Deferred Annual Bonus Scheme

2016 
£’000 

102

744

384

1,230

2015 
£’000

98

360

251

709

Unapproved Executive Share Option Scheme and Enterprise Management Incentive Scheme (EMI)  
and Company Share Option Plan (CSOP)
The fair value of the executive options is calculated based on a Black-Scholes Merton model assuming the inputs below:

Grant Date

12/04/2007

20/04/2009

16/04/2010

15/04/2011

08/09/2011

10/05/2012

20/06/2012

06/09/2012

Share price at grant date

Exercise price

Expected life

Contractual life

Risk free rate

Expected volatility

Expected dividend yield

Fair value of options

16.75p

16.75p

3.5 yrs

10 yrs

5.00%

27%

0%

2p

33.75p

33.75p

3 yrs

10 yrs

2.40%

34%

0%

6p

42.0p

42.0p

3.5 yrs

10 yrs

2.40%

34%

0%

9p

88.0p

88.0p

3 yrs

10 yrs

1.92%

18%

0.7%

9p

86.25p

86.25p

3 yrs

10 yrs

1.92%

18%

0.7%

9p

69.08p

69.08p

3 yrs

10 yrs

0.39%

34%

0.7%

13p

67.5p

67.5p

3 yrs

10 yrs

0.39%

34%

0.7%

12p

76.75p

76.75p

3 yrs

10 yrs

0.17%

34%

0.7%

17p

Grant Date

26/04/2013

21/05/2013

19/09/2013

15/04/2014

19/09/2014

02/04/2015

18/04/2016

Share price at grant date

Exercise price

Expected life

Contractual life

Risk free rate

Expected volatility

Expected dividend yield

Fair value of options

77.5p

77.5p

3 yrs

10 yrs

0.36%

36%

0.7%

15p

74.0p

74.0p

3 yrs

10 yrs

0.49%

36%

0.7%

14p

90.0p

90.0p

3 yrs

10 yrs

0.86%

36%

0.7%

14p

115.75p

115.75p

3 yrs

10 yrs

0.80%

36%

0.7%

23p

121.75p

121.75p

3 yrs

10 yrs

0.80%

36%

0.7%

24p

132.0p

132.0p

3 yrs

10 yrs

0.80%

31%

0.7%

22p

184.6p

184.6p

3 yrs

10 yrs

0.67%

25%

0.4%

25p

Under the terms of the Company’s Share Option Schemes, approved by Shareholders in 2010, the Board may offer options to purchase 
Ordinary Shares in the Company to all employees of the Company at the market price on a date to be determined prior to the date of the 
offer. Since 2005, individuals who are entitled to awards under the LTIP are no longer eligible to receive options under the Company’s 
Share Option Schemes.

Performance targets are assessed over a three-year period from the date of grant. Once options have vested they can be exercised during 
the period up to ten years from the date of grant.

The expected volatility was determined by calculating the historic volatility of the Group’s share price over the previous three years.

Options have been granted over the following number of Ordinary Shares which were outstanding at 31 December 2016:

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 201698

Notes Forming Part of the Consolidated Financial Statements  
continued
29 Share-Based Payments continued

Date of
grant

Option
price (p)

Weighted
average
price at
exercise (p)

No. of options
as at
1 January
2016

Remaining
life 
1 January
2016

Issued

Lapsed

Exercised

No. of options
as at 
31 December
2016

Remaining
life
31 December
2016

Unapproved Executive Share Option Scheme

16.04.10

20.06.12

26.04.13

21.05.13

19.09.13

15.04.14

19.09.14

02.04.15

18.04.16

42.00

67.50

77.50

74.00

90.00

115.75

121.75

132.00

184.60

192.38

192.38

198.35

5,000

 118,390 

 15,000 

202.73

 451,454 

215.25

 3,000 

 484,679 

 127,680 

 365,296 

 – 

 – 

 – 

 – 

4.3

6.5

7.3

7.4

7.7

8.3

8.7

9.2

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 755,572 

Enterprise Management Incentive Scheme

12.04.07

20.04.09

16.04.10

16.75

33.75

42.00

214.00

181.77

186.46

15,000

9,000

118,500

Company Share Option Plan

15.04.11

08.09.11

10.05.12

20.06.12

06.09.12

26.04.13

21.05.13

15.04.14

19.09.14

02.04.15

18.04.16

88.00

86.25

69.08

67.50

76.75

77.50

74.00

115.75

121.75

132.00

184.60

183.00

197.53

198.35

173.95

196.70

183.00

196.70

 – 

 – 

 – 

 – 

 19,000 

 3,000 

 51,000 

 128,591 

 2,500 

 85,000 

 119,865 

 135,321 

 116,320 

 99,704 

1.0

3.3

4.3

5.3

5.7

6.4

6.5

6.7

7.3

7.4

8.3

8.7

9.2

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 148,053 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

(5,000)

 – 

(43,056)

 75,334 

(15,000)

 – 

(391,454)

 60,000 

(3,000)

 – 

 – 

 – 

 – 

 – 

 484,679 

 127,680 

 365,296 

 755,572 

(15,000)

(6,000)

 – 

 3,000 

(60,500)

 58,000 

(11,000)

 – 

 – 

 – 

 – 

(2,000)

(2,000)

 6,000 

 1,000 

(22,000)

 29,000 

(128,591)

(2,500)

 – 

 – 

(15,000)

(69,000)

 1,000 

 – 

 – 

 – 

 – 

 – 

(74,716)

 45,149 

 – 

 – 

 – 

 – 

 135,321 

 116,320 

 99,704 

 148,053 

3.3

5.5

6.3

6.4

6.7

7.3

7.7

8.2

9.3

 – 

2.3

3.3

4.3

4.7

5.4

5.5

5.7

6.3

6.4

7.3

7.7

8.2

9.3

The weighted average remaining contractual life of the options outstanding at 31 December 2016 is 8.0 years (2015 7.8 years).

 2,473,300 

 903,625 

(26,000)

(839,817)  2,511,108 

2016

2015

Number of 
Options

Weighted average
exercise price (p) 

Number of 
Options

Weighted average
exercise price (p)

Outstanding at beginning of the year

 2,473,300 

97.52

 2,965,254 

Granted

Exercised

Lapsed

Outstanding at end of the year

Exercisable at end of year

 903,625 

(839,817)

(26,000)

 2,511,108 

 278,483 

184.60

194.23

81.94

138.49

64.99

 495,000 

(766,954)

(220,000)

 2,473,300 

 469,981 

84.32

132.00

149.70

106.20

97.52

59.70

Advanced Medical Solutions Group plc Annual Report 201699

Long Term Incentive Plan (LTIP)
The fair value of the LTIP is calculated based on a binominal tree model assuming the inputs below:

Grant date

15/04/2011

20/06/2012

06/09/2012

21/05/2013

19/09/2013

06/06/2014

02/04/2015

10/09/2015

18/04/2016

Share price of grant date

88.00p

Exercise price

Expected life

Contractual life

Risk free rate

Expected volatility

Expected dividend yield
Probability of performance 
conditions

Fair value of option

0p

3 yrs

10 yrs

1.92%

33%

0%

52%

76.5p

67.5p

0p

3 yrs

10 yrs

0.39%

34%

0.7%

44%

28.8p

76.8p

0p

3 yrs

10 yrs

0.39%

34%

0.7%

49%

36.4p

74.0p

0p

3 yrs

10 yrs

0.49%

35%

0.7%

64%

46.3p

90.0p

0p

3 yrs

10 yrs

0.86%

36%

0.7%

70%

60.9p

117.0p

132.0p

151.5p

184.6p

0p

3 yrs

10 yrs

0.80%

36%

0.7%

75%

85.9p

0p

3 yrs

10 yrs

0.80%

29%

0.7%

65%

64.4p

0p

3 yrs

10 yrs

0.67%

27%

0.4%

65%

75.5p

0p

3 yrs

10 yrs

0.67%

25%

0.4%

64%

159.0p

The expected volatility was determined by calculating the historic volatility of the Group’s share price over the previous three years. 

The entitlement to shares under the LTIP is subject to achieving the performance conditions referred to on page 58. The numbers shown 
are maximum entitlements and the actual number of shares (if any) will depend on these performance conditions being achieved.

Date of 
grant

Market
price at 
date of 
grant (p)

Number of 
LTIPs at
1 January
2016

Remaining
life
1 January
2016

Issued

Lapsed

Exercised

Number of 
LTIPs at
31 December
2016

Remaining 
life 
31 December
2016

Long-Term Incentive Plan

15.04.11

20.06.12

06.09.12

21.05.13

19.09.13

06.06.14

02.04.15

10.09.15

18.04.16

88.00

 188,628 

67.50

76.75

 55,118 

 254,945 

74.00

 100,000 

90.00

117.00

 403,122 

 857,957 

132.00

 494,357 

151.50

 300,329 

6.3

6.5

6.7

7.4

7.8

8.5

 9.3 

 9.7 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

188,628

(55,118)

 – 

 – 

254,945

(50,000)

(50,000)

 – 

(201,562)

 – 

201,560

(33,334)

(16,666)

807,957

(21,787)

(4,357)

468,213

 – 

 – 

 – 

300,329

632,016

184.60

 – 

 – 

 700,991 

(68,975)

5.3

 – 

5.7

 – 

6.8

7.5

8.3

8.7

9.7

The weighted average remaining contractual life of the LTIPs outstanding at 31 December 2016 is 7.9 years (2015: 8.3 years).

2,654,456 

 700,991 

(375,658)

(126,141) 2,853,648 

Outstanding at beginning of the period

Granted

Exercised

Lapsed

Outstanding at end of the period

Exercisable at end of period

The exercise price of these options is £1 for each issue of LTIPs per individual.

2016
Number of
Options

2015
Number of
Options

 2,654,456 

 2,460,076 

 700,991 

(126,141)

(375,658)

 794,686 

(235,624)

(364,682)

 2,853,648 

 2,654,456 

 1,453,090 

 498,691 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016100

Notes Forming Part of the Consolidated Financial Statements  
continued
29 Share-Based Payments continued

Deferred Share Bonus Scheme (DSB)
The fair value of the DSB Shares are calculated based on a Black-Scholes Merton model assuming the inputs below:

Grant date

12/04/2007

12/04/2007

02/05/2008

23/04/2009

05/05/2010

05/05/2010

11/05/2011

11/05/2011

10/05/2012

Share price at grant date

18.25p

18.25p

35.50p

34.00p

40.32p

40.32p

83.00p

83.00p

70.625p

Exercise price

Expected life

Contractual life

Risk-free rate

Expected volatility

Expected dividend yield
Probability of performance 
conditions

Fair value of option

0p

3.5 yrs

10 yrs

5.00%

27%

0%

0p

3.5 yrs

10 yrs

5.00%

27%

0%

100%

14p

66.70%

9p

0p

3.5 yrs

10 yrs

5.00%

38%

0%

100%

30p

0p

3 yrs

10 yrs

2.40%

30%

0%

100%

29p

0p

5 yrs

10 yrs

2.40%

34%

0%

100%

34p

0p

3 yrs

10 yrs

2.40%

34%

0%

100%

34p

0p

5 yrs

10 yrs

1.92%

18%

0.7%

100%

72p

0p

3 yrs

10 yrs

1.92%

18%

0.7%

100%

72p

0p

5 yrs

10 yrs

0.39%

34%

0.7%

100%

61p

Grant date

10/05/2012

02/07/2013

02/07/2013

30/04/2014

30/04/2014

29/04/2015

29/04/2015

03/05/2016

03/05/2016

Share price at grant date

70.625p

74.125p

74.125p

126.0p

126.0p

141.5p

141.5p

183.0p

183.0p

Exercise price

Expected life

Contractual life

Risk-free rate

Expected volatility

Expected dividend yield
Probability of performance 
conditions

Fair value of option

0p

3 yrs

10 yrs

0.39%

34%

0.7%

100%

62p

0p

5 yrs

10 yrs

0.69%

36%

0.7%

100%

63p

0p

3 yrs

10 yrs

0.69%

36%

0.7%

100%

64p

0p

5 yrs

10 yrs

0.80%

36%

0.7%

100%

108p

0p

3 yrs

10 yrs

0.80%

36%

0.7%

100%

110p

0p

5 yrs

10 yrs

0.80%

31%

0.7%

100%

122p

0p

3 yrs

10 yrs

0.80%

31%

0.7%

100%

124p

0p

5 yrs

10 yrs

0.67%

25%

0.4%

100%

160p

0p

3 yrs

10 yrs

0.67%

25%

0.4%

100%

161p

The expected volatility was determined by calculating the historic volatility of the Group’s share price over the previous three years.

The entitlement to shares under the DSB is subject to a three-year holding period. Additionally, for certain levels of share matching, 
additional performance conditions also need to be achieved. The actual number of shares that will be matched will depend on these 
performance conditions. Details on the DSB are given on page 58.

Market
price at 
date of 
grant (p)

Number of 
 DSB matching 
shares at
1 January
2016

Remaining
life
1 January
2016

Issued

Lapsed

Exercised

Number of
 DSB matching 
shares at
31 December
2016

Remaining
life
31 December
2016

Deferred Share Bonus Plan

Date of 
grant

12.04.07

02.05.08

23.04.09

05.05.10

11.05.11

10.05.12

02.07.13

18.25

35.50

34.00

40.32

83.00

70.625

 17,970 

 15,048 

 53,275 

 99,450 

 60,508 

 51,471 

74.125

 379,905 

30.04.14

126.000

 171,514 

29.04.15

141.500

 252,563 

1.3

2.3

3.3

4.3

5.4

6.4

7.5

8.6

9.6

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

(2,191)

(1,408)

 15,779 

 13,640 

(18,063)

 35,212 

(70,310)

 29,140 

(26,487)

 34,021 

(14,543)

 36,928 

(191,489)

 188,416 

(8,303)

(2,338)

(10,624)

 152,587 

(7,803)

 242,422 

0.3

1.3

2.3

3.3

4.4

5.4

6.5

7.6

8.6

9.6

03.05.16

183.000

 – 

 – 

 367,204 

(18,104)

(2,949)

 346,151 

 1,101,704 

 367,204 

(28,745)

(345,867)  1,094,296 

The weighted average remaining contractual life of the DSBs outstanding at 31 December 2016 is 7.6 years (2015: 7.3 years).

Advanced Medical Solutions Group plc Annual Report 2016Deferred Share Bonus Scheme (DSB)

Outstanding at beginning of the period

Granted

Exercised

Forfeited

Outstanding at end of the period

Exercisable at end of period

The exercise price of the matching shares is £nil.

101

2016
Number of
Options

2015
Number of
Options

1,101,704

1,021,404

367,204

(345,867)

(28,745)

1,094,296

353,136

264,812

(167,422)

(17,090)

1,101,704

297,722

Deferred Annual Bonus Scheme (DABs)
The fair value of the DSB are calculated based on a Black-Scholes Merton model assuming the inputs below:

Grant date

Share price at grant date

Exercise price

Expected life

Contractual life

Risk-free rate

Expected volatility

Expected dividend yield

Probability of performance conditions

Fair value of option

21/05/2014

15/04/2015

18/04/2016

115.4p

0p

3 yrs

10 yrs

0.80%

31%

0.7%

100%

115p

129.0p

0p

3 yrs

10 yrs

0.80%

31%

0.7%

100%

129p

184.6p

0p

3 yrs

10 yrs

0.67%

25%

0.4%

100%

183p

The expected volatility was determined by calculating the historic volatility of the Group’s share price over the previous three years.

The Deferred Annual Bonus scheme (DAB) began on 21 May 2014. Participants compulsorily defer part of their bonus for the relevant 
financial year. The grant vests at the end of a three-year period determined by the Remuneration Committee starting from the date 
of grant.

Market
price at 
date of 
grant (p)

Number of 
 DAB matching 
shares at
1 January
2016

Remaining
life
1 January
2016

Date of 
grant

Issued

Lapsed

Exercised

Number  
of DAB 
shares at
31 December
2016

Remaining
life
31 December
2016

Deferred Annual Bonus 
Plan

21.05.2014

15.04.2015

18.04.2016

115.40

129.00

184.60

 52,398 

 81,961 

 – 

 8.6 

 9.6 

 – 

 134,359 

 18.2 

 – 

 – 

 94,201 

 94,201 

 – 

 – 

 – 

(1,585)

(3,668)

(3,462)

 50,813 

 78,293 

 90,739 

(8,715)

 219,845 

7.6

8.6

9.6

The weighted average remaining contractual life of the DABs outstanding at 31 December 2016 is 8.8 years (2015: 9.2).

Deferred Annual Bonus Plan (DAB)

Outstanding at beginning of the period

Granted

Exercised

Forfeited

Outstanding at end of the period

Exercisable at end of period

2016
Number of
Options

 134,359 

 94,201 

(8,715)

 – 

2015
Number of
Options

 52,398 

 81,961 

 – 

 – 

 219,845 

 134,359 

 – 

 – 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016102

Notes Forming Part of the Consolidated Financial Statements  
continued
30 Commitments under Operating Leases

As at 31 December 2016, the Group had outstanding commitments under operating leases, which fall due as follows:

Amounts payable under operating leases:

Within one year

In two to five years

After five years

31 Related Party Transactions

2016
Land and
buildings
£’000

908

3,633

2,207

6,748

2016
Other
£’000

83

143

7

233

2015
Land and
buildings
£’000

885

3,561

3,087

7,533

2015
Other
£’000

73

87

–

160

Transactions between the Company and its subsidiaries, which are related parties, have been eliminated on consolidation and there are 
no other related party transactions to disclose.

Advanced Medical Solutions Group plc Annual Report 2016Company Balance Sheet
At 31 December 2016

Non current assets

Investments in subsidiaries

Current assets

Investments

Trade and other receivables

Cash and cash equivalents

Current liabilities 

Trade and other payables

Net current assets

Net assets

Equity shareholders’ funds

Share capital

Share-based payments reserve

Investment in own shares

Share premium 

Retained earnings

Equity attributable to equity holders of the parent

Statement of Changes in Equity
For the Year ended 31 December 2016

At 1 January 2015

Share-based payments

Share options exercised

Shares purchased by EBT

Shares sold by EBT

Profit for the year

Dividends paid

At 31 December 2015

Share-based payments

Share options exercised

Shares purchased by EBT

Shares sold by EBT

Profit for the year

Dividends paid

At 31 December 2016

103

Notes

2016 
£’000 

2015 
£’000

3

4

5

6

 52,147 

52,082

 3,479 

 42,530 

 46,009 

(3,698)

 42,311 

 94,458 

 10,524 

 3,469 

(152)

 34,005 

 46,612 

 94,458 

212

28,693

 28,905 

(5,120)

23,785

 75,867 

10,451

2,253

(152)

33,196

30,119

 75,867 

Share-based 
payments
£’000

Investment 
in own shares 
£’000

Share premium
£’000

Retained earnings
£’000

Total
£’000

(148)

 32,742 

 13,640 

 58,190 

Share capital
£’000

 10,393 

 – 

 58 

 – 

 – 

 – 

 – 

10,451

 – 

 73 

 – 

 – 

 – 

 – 

 1,563 

 709 

(19)

 – 

 – 

 – 

 – 

2,253

 1,230 

(14)

 – 

 – 

 – 

 – 

 – 

 – 

(262)

 258 

 – 

 – 

(152)

 – 

 – 

(449)

 449 

 – 

 – 

 – 

 454 

 – 

 – 

 – 

 – 

33,196

 – 

 809 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

18,000

(1,521)

30,119

 – 

 – 

 – 

 – 

18,276

(1,783)

46,612

 709 

 493 

(262)

 258 

 18,000 

(1,521)

75,867

 1,230 

 868 

(449)

 449 

 18,276 

(1,783)

94,458

10,524

3,469

(152)

34,005

The Financial Statements of Advanced Medical Solutions Group plc (registration number 2867684) on pages 71 to 102 were approved by 
the Board of Directors and authorised for issue on 28 April 2017 and were signed on its behalf by:

Chris Meredith
Chief Executive Officer

28 April 2017

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016104

Notes to the Company Financial Statements
Year ended 31 December 2016

1 Significant Accounting Policies

Basis of preparation
These Financial Statements were prepared in accordance with Financial Reporting Standard 101 Reduced Disclosure Framework ('FRS 101').

In preparing these Financial Statements, the Company applies the recognition, measurement and disclosure requirements of International 
Financial Reporting Standards as adopted by the EU ('Adopted IFRSs'), but makes amendments where necessary in order to comply with 
Companies Act 2006 and has set out below where advantage of the FRS 101 disclosure exemptions has been taken.

In these Financial Statements, the Company has adopted FRS 101.

As permitted by FRS 101, the Company has taken advantage of the disclosure exemptions available under that standard in relation to 
share-based payments, financial instruments, capital management, presentation of a Cash Flow statement, presentation of comparative 
information in respect of certain assets, standards not yet effective, impairment of assets business combinations, discontinued operations 
and related party transactions.

IFRS 2 Share-based payments has not been applied to any equity instruments that were granted on or before 7 November 2002, nor has 
it been applied to equity instruments granted after 7 November 2002 that vested before 1 January 2005. This treatment is consistent with 
the transitional provisions taken when the Company adopted FRS 20, the UK equivalent standard.

In the transition to FRS 101 from UK GAAP, the Company has made measurement and recognition adjustments which are detailed below.

Critical judgements in applying the company’s accounting policies
In the process of applying the Company’s accounting policies, which are described below, the directors have made the following 
judgements that have the most significant effect on the amounts recognised in the Financial Statements (apart from those involving 
estimations, which are dealt with below) and have been identified as being particularly complex or involve subjective assessments.

Share-based payments
The charge to the Income Statement in relation to options and incentive plans is based on the Black-Scholes Merton or the Monte Carlo 
Option Pricing Model valuation technique. These techniques require a number of assumptions to be made such as those in relation to 
share price volatility, movement in interest rates, dividend yields and staff behavioural patterns. Details of the accounting policies applied 
in respect of share-based payments are set out on page 105.

Tax
A deferred tax asset is recognised when it is judged probable that the Company will generate taxable profits which can be offset against 
tax losses. The measurement of the tax benefit recognised in the Consolidated Financial Statements is based upon the largest amount 
of tax benefit that, in management’s judgement, is likely to be realised. Details of the accounting policies applied in respect of deferred 
tax are set out below.

Impairment of investments and intragroup receivables
Investment and receivable carrying values are reviewed for impairment if events or changes in circumstances indicate that the 
carrying amount of an asset or cash generating unit is not recoverable. Recoverable amount is the higher of fair value, as supported 
by management valuation, less costs to sell and value in use. In assessing value in use, the estimated future cash flows are discounted 
to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and risks specific 
to the asset for which the estimates of future cash flows have not been adjusted.

Investments in subsidiaries
Investments in subsidiaries are shown at cost less provision for impairment

Foreign currencies
Transactions in currencies other than Pounds Sterling are recorded at the rates of exchange prevailing on the dates of the transactions. 
At each Balance Sheet date, monetary assets and liabilities that are denominated in foreign currencies are retranslated at the rates 
prevailing on the Balance Sheet date. Non-monetary items that are measured in terms of historical cost in a foreign currency are not 
retranslated. Gains and losses arising on retranslation are included in the profit or loss for the period.

Taxation
Tax on the profit or loss for the period comprises current and deferred tax.

Current tax
Current tax is the expected tax payable on the taxable income for the year, using tax rates enacted or substantively enacted at the 
reporting date, and any adjustment to tax payable in respect of previous years.

Deferred tax
Deferred tax is recognised in respect of temporary differences between the carrying amounts of assets and liabilities for financial 
reporting purposes and the amounts used for taxation purposes. Temporary differences in respect of the initial recognition of assets 
and liabilities that affect neither accounting nor taxable profit are not provided for. The amount of deferred tax provided is based on the 
expected manner of realisation or settlement of the carrying amount of assets and liabilities, using tax rates enacted or substantively 
enacted at the reporting date.

Advanced Medical Solutions Group plc Annual Report 2016105

Trade and other creditors
Trade and other creditors are non-interest bearing and recognised initially at fair value. Subsequent to initial recognition they are 
measured at amortised cost using the effective interest method.

Finance charges
Finance charges comprise interest payable on interest-bearing loans and borrowings and fair value losses on interest rate swap derivative 
financial instruments. Finance charges are recognised in the Income Statement on an effective interest method.

Financial instruments
Financial assets and financial liabilities are recognised in the Company’s Balance Sheet when the Company becomes a party to the 
contractual provisions of the instrument. Financial assets are derecognised when the contractual rights to the cash flows from the 
financial assets expire or are transferred. Financial liabilities are derecognised when the obligation specified in the contract is discharged, 
cancelled or expires.

Derivatives
The Company uses derivative financial instruments to hedge its exposure to interest rate risks arising from operational, financing 
and investment activities. In accordance with its treasury policy, the Company does not hold or issue derivative financial instruments 
for trading purposes. However, derivatives that do not qualify for hedge accounting are accounted for as trading instruments. 
Derivative financial instruments are recognised initially at fair value and re-measured at each period end. The gain or loss on  
re-measurement to fair value is recognised immediately in the Income Statement. The Company has elected not to apply hedge 
accounting. Forward currency contracts are recognised at fair value in the Balance Sheet with movements in fair value recognised 
in the Income Statement for the period. The fair value of the instruments is the estimated amount that the Company would receive 
or pay to terminate the swap at the reporting date, taking into account current interest rates and the respective risk profiles of the 
swap counterparties.

Derivatives are presented as assets when the fair values are positive and as liabilities when the fair values are negative.

A derivative is presented as a non-current asset or a non-current liability if the remaining maturity of the instrument is more than 
12 months and it is not expected to be realised or settled within 12 months.

Share-based payments
The Company has applied the requirements of IFRS 2 Share-based payments.

The Company issues equity-settled share-based payments to certain employees. Equity-settled share-based payments are measured 
at fair value at the date of grant. The fair value determined at the grant date of the equity-settled share-based payments is expensed 
on a straight-line basis over the vesting period. At each Balance Sheet date, the Company revises its estimate of the number of equity 
instruments expected to vest as a result of the effect of non-market based vesting conditions. The impact of the revision of the original 
estimates, if any, is recognised in profit or loss such that the cumulative expense reflects the revised estimates with a corresponding 
adjustment to the equity-settled employee benefits reserve.

2 Income Statement

As permitted by section 408 of the Companies Act 2006 the Company has elected not to present its own Income Statement for the year. 
Advanced Medical Solutions Group plc reported a profit for the financial year ended 31 December 2016 of £18,276,000 (2015: profit of 
£18,000,000).

The Auditors’ remuneration for audit and other services is disclosed in Note 7 to the Consolidated Financial Statements.

The average number of employees in the year was 11 (2015: 11). The Directors’ remuneration is detailed in Note 9 to the Consolidated 
Financial Statements.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016106

Notes to the Company Financial Statements continued
Year ended 31 December 2016

3 Investments in Subsidiaries 

Cost

At 1 January 2016

Additions

At 31 December 2016

Provisions for impairment

At 1 January 2016

At 31 December 2016

Net Book value

At 31 December 2016

At 31 December 2015

Investments
in subsidiaries
£’000

80,752

 65 

80,817

28,670

28,670

52,147

52,082

In the year to 31 December 2014, a loan of £59,000,000 with Advanced Medical Solutions (Germany) GmbH was converted to an 
investment in Advanced Medical Solutions (Europe) Limited.

Shares in Group undertakings and loans to Group undertakings have been written down to recognise losses in subsidiary companies.

The following were subsidiary undertakings at the end of the year and have all been included in the consolidated accounts:

Name

Advanced Medical Solutions Limited

Advanced Medical Solutions (UK) Limited

Country of
Operation

England

England

Advanced Medical Solutions Trustee Company Limited England

Advanced Medical Solutions (Plymouth) Limited

Advanced Healthcare Systems Limited

Advanced Medical Solutions Group Inc.
MedLogic Global Holdings Limited
Innovative Technologies Limited

England

England

USA
England
England

Advanced Medical Solutions BV

Netherlands

Advanced Medical Solutions (Germany) GmbH

Resorba Medical GmbH

Resorba s.r.o.

Resorba ooo

MPN Medizin Produkte Neustadt GmbH

Advanced Medical Solutions (USA) Inc.

Advanced Medical Solutions (Europe) Limited
* Held indirectly through Advanced Medical Solutions Limited.

‡ Held indirectly through MedLogic Global Holdings Limited.

† Held indirectly through Advanced Medical Solutions (UK) Limited.

Germany

Germany
Czech 
Republic

Russia

Germany

USA

England

Proportion of
voting rights
and ordinary
share capital
Held

100%

100%

100%

100%

100%*
100% †
100%¶
100%‡
100%
100%^
100%#

100%#
100%#
100%#
100%¶
100%

Nature of business

Development and manufacture of medical products

Holding Company

Trustee Company

Development and manufacture of medical products

Dormant
Holding Company

Holding Company
Dormant

Development and manufacture of medical products

Holding Company

Development and manufacture of medical products

Manufacture and sales office of medical products

Sales office of medical products

Manufacturer of medical products

Marketing support of medical products

Providing financial support to other Group entities

^ s.291 of German Commercial Code invoked: No consolidated financial statements prepared for the German companies. 

¶ Held indirectly through Advanced Medical Solutions (Plymouth) Limited

#  Held indirectly through Advanced Medical Solutions (Germany) GmbH

The above table reflects the situation at the year-end.

Advanced Medical Solutions Group plc Annual Report 20164 Trade and Other Receivables

Due within one year

Prepayments and accrued income

Amounts due from Group undertakings

Derivative financial instruments

Amounts owed by Group undertakings

Cost

At 1 January

Movement

At 31 December

Provisions for impairment

At 1 January

At 31 December

Net book value

At 31 December

5 Creditors: Amounts Falling Due within One Year

Trade creditors

Other creditors

Amounts owed to Group undertakings

Accruals and deferred income

Derivative financial instruments

6 Share Capital

Details on the share capital of the Company are provided in Note 27 on page 96 to the Group’s accounts.

7 Share-based Payments

The charge for share-based payments under IFRS 2 arises across the following schemes:

Unapproved Executive Share Option Scheme, Enterprise Management Incentive Scheme and Company 
Share Option Scheme

Long-Term Incentive Plan

Deferred Share Bonus Scheme

107

2016 
£’000 

180

3,299

 – 

3,479

2016 
£’000 

2,340

 3,299 

5,639

2,340

2,340

2015 
£’000

178

 – 

34

212

2015 
£’000

2,399

(59)

2,340

2,340

2,340

 3,299 

 – 

2016 
£’000 

55

–

287

2,980

376

 3,698 

2016 
£’000 

102

744

384

 1,230 

2015 
£’000

 31 

 7 

 2,862 

 2,220 

 – 

 5,120 

2015 
£’000

98

360

251

709

Details on the share-based payments of the Company are provided in Note 29 on pages 97 to 101 in the Notes to the Group’s accounts.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016108

Five Year Summary

Consolidated Income Statement (Pre-exceptional)

Revenue

Profit from operations

Profit attributable to equity holders of the parent

Basic earnings per share

Consolidated Statement of Financial Position

Net assets employed

Non-current assets

Current assets

Total liabilities

Net assets

Shareholders’ equity

Share capital & investment in own shares

Share-based payments reserve

Share-based payments deferred tax reserve

Share premium account

Other reserve

Hedging reserve

Translation reserve

Retained equity

Equity attributable to equity holders of the parent

2016
£m

 82.6 

 19.1 

 15.7 

7.5p

 70.1 

 74.9 

(19.5)

125.5

 10.4 

 3.5 

 0.5 

 34.0 

 1.5 

(3.5)

 0.6 

 78.6 

 125.5 

2015
£m

 68.6 

 17.0 

 14.1 

6.8p

 62.7 

 53.9 

(12.9)

103.7

 10.3 

 2.3 

 0.4 

 33.2 

 1.5 

(0.5)

(8.2)

 64.7 

 103.7 

2014
£m

 63.0 

 15.2 

 12.9 

6.2p

 66.8 

 37.8 

(11.5)

93.1

 10.2 

 1.6 

 0.3 

 32.8 

 1.5 

(0.5)

(4.9)

 52.1 

 93.1 

2013
£m

 59.5 

 13.7 

 11.4 

5.5p

 71.3 

 25.8 

(11.0)

86.1

 10.2 

 1.3 

 0.2 

 32.4 

 1.5 

 0.7 

(0.7)

 40.5 

 86.1 

2012
£m

 52.6 

 12.3 

 10.5 

5.2p

 71.9 

 25.7 

(23.9)

73.7

 10.2 

 1.1 

 0.2 

 31.9 

 1.5 

(0.1)

(1.4)

 30.3 

 73.7 

Advanced Medical Solutions Group plc Annual Report 2016109

Notice of Meeting

Notice is hereby given that the twenty-third Annual General Meeting of the Company will be held at 11.00 am on 7 June 2017 at the 
offices of Investec Bank plc, 2 Gresham Street, London, EC2V 7QP, for the following purposes:

As Ordinary Business:

1.  To receive the Report of the Directors and the Financial Statements of the Company for the year ended 31 December 2016 (together 

with the Report of the Auditor thereon).

2.  To approve the Directors’ Remuneration Report for the year ended 31 December 2016.

3.  To reappoint Deloitte LLP as Auditor and to authorise the Directors to fix their remuneration.

4.  To re-elect Peter Allen (who retires by rotation in accordance with the Articles of Association) as a Director of the Company.

5.  To re-elect Steve Bellamy (who retires by rotation in accordance with the Articles of Association) as a Director of the Company.

6.  To re-elect Peter Steinmann (who retires by rotation in accordance with the Articles of Association) as a Director of the Company.

7.  To declare a final dividend of 0.62p per Ordinary Share, payable on 16 June 2017 to shareholders on the register at close of business 

on 26 May 2017.

As Special Business:

To consider and, if thought fit, to pass Resolution 8, which will be proposed as an Ordinary Resolution, and Resolutions 9 and 10, which 
will be proposed as Special Resolutions.

8.  To authorise the Directors generally and unconditionally for the purposes of section 551 of the Companies Act 2006 (the ‘2006 Act’) 

to exercise all the powers of the Company to allot shares in the Company and to grant rights to subscribe for or to convert any security 
into shares in the Company (each an allotment of ‘relevant securities’) up to an aggregate nominal amount of £3,508,736 provided that 
this authority is for a period expiring upon the earlier of the date of the Company’s next Annual General Meeting and 15 months after 
the date of the passing of this Resolution but the Company may before such expiry make an offer or agreement which would or might 
require relevant securities to be allotted after such expiry and the Directors may allot relevant securities in pursuance of such offer or 
agreement notwithstanding that the authority conferred by this Resolution has expired. This authority is in substitution for all subsisting 
authorities, to the extent unused.

9.  Subject to the passing of Resolution 8 above, to authorise the Directors pursuant to section 570 of the 2006 Act to allot equity 

securities (within the meaning of section 560 of the 2006 Act) wholly for cash pursuant to the authority conferred by Resolution 8 
above as if section 561(1) of the 2006 Act did not apply to any such allotment, provided that this power shall be limited to the allotment 
of equity securities:

(a) in connection with an offer of such securities by way of rights to holders of Ordinary Shares in proportion (as nearly as may be 

practicable) to their respective holdings of such shares, but subject to such exclusions or other arrangements as the Directors may 
deem necessary or expedient in relation to fractional entitlements or any legal or practical problems under the laws of any territory, 
or the requirements of any regulatory body or stock exchange;

(b) otherwise than pursuant to sub-paragraph (a) above up to an aggregate nominal amount of £1,052,620; and

(c) which shall expire on the earlier of the conclusion of the next Annual General Meeting of the Company and 15 months after the 
date of the passing of this Resolution, save that the Company may before such expiry make an offer or agreement which would 
or might require equity securities to be allotted after such expiry and the Directors may allot equity securities in pursuance of any 
such offer or agreement notwithstanding that the power conferred by this Resolution has expired.

10.  That the Company is hereby generally and unconditionally authorised for the purposes of Section 701 of the 2006 Act to make 

market purchases (within the meaning of Section 693(4) of the 2006 Act) of any of its Ordinary Shares of 5p each in the capital of the 
Company on such terms and in such manner as the Directors may from time to time determine provided that:

(a) the maximum number of Ordinary Shares which may be purchased is 10,526,209;

(b) the minimum price which may be paid for each Ordinary Share is 5p which amount shall be exclusive of expenses, if any;

(c)  the maximum price (exclusive of expenses) which may be paid for each Ordinary Share shall not be more than 5% above the 

average of the middle market quotations for an Ordinary Share as derived from The London Stock Exchange Daily Official List 
for the five business days immediately preceding the date on which the ordinary share is purchased;

(d) unless previously renewed, revoked or varied, this authority shall expire upon the earlier of the date of the Company’s next Annual 

General Meeting and 15 months after the date of the passing of this Resolution; and

(e) under this authority the Company may make a contract to purchase Ordinary Shares which would or might be executed wholly or 
partly after the expiry of this authority, and may make purchases of Ordinary Shares pursuant to it as if this authority had not expired.

By order of the Board

Mary Tavener
Company Secretary

28 April 2017

Registered office:
Premier Park, 33 Road One, Winsford Industrial Estate, 
Winsford, Cheshire, CW7 3RT.

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016110

Notice of Meeting continued

Notes

1. A member entitled to attend and vote at the meeting convened by the Notice set out on page 109 may appoint a proxy to attend, 

speak and, on a poll to vote in his place. A holder of more than one Ordinary Share may appoint different proxies in relation to each 
or any of those Ordinary Shares.

2. A member may appoint more than one proxy provided each proxy is appointed to exercise rights attached to different shares. 

A member may not appoint more than one proxy to exercise rights attached to any one share. To appoint more than one proxy notice 
must be given to the Company’s Registrars not later than 48 hours before the time appointed for the holding of the meeting.

3. A proxy does not need to be a member of the Company but must attend the meeting to represent you. Details of how to appoint the 
Chairman of the meeting or another person as your proxy using the proxy form are set out at Note 1 of the proxy form. If you wish 
your proxy to speak on your behalf at the meeting you will need to appoint your own choice of proxy (not the Chairman) and give your 
instructions directly to them.

4. On a vote on a Resolution on a show of hands at the meeting, a proxy has one vote for and one vote against if the proxy has been 

appointed by more than one member and the proxy has been instructed by one or more of the members to vote for the resolution 
and by one or more other member to vote against it.

5. Any corporation which is a member can appoint one or more corporate representatives who may exercise on its behalf all of its 

powers as a member provided that they do not do so in relation to the same shares.

6. A form of proxy is enclosed for use by members. To be effective, it must be completed and arrive not later than 48 hours before 

the time fixed for the Meeting at Capita Asset Services, PXS, 34 Beckenham Road, Beckenham, Kent BR3 4TU. You may also deliver 
by hand to The Registry, 34 Beckenham Road, Beckenham, Kent BR3 4TU during usual business hours.

7. The Register of Directors’ Interests in the shares of the Company will be available for inspection at the registered office of the Company 
during usual business hours on any weekday (public holidays excepted) until the date of the Meeting and also on that date and at the 
place of the Meeting from 9.00 am until the conclusion of the Meeting.

8. The Company, pursuant to Regulation 41 of the Uncertificated Securities Regulations 2001, specifies that only those shareholders 

registered in the Register of Members of the Company as at close of business on 5 June 2017 shall be entitled to attend or vote at the 
aforesaid Annual General Meeting in respect of the number of shares registered in their names at that time. Changes in the entries in 
the relevant register of Securities after close of business on 5 June 2017 shall be disregarded in determining the rights of any person 
to attend or vote at the meeting.

Notes on Special Business

Resolution 8: Authority to Allot Shares and other relevant securities
This Resolution would give the Directors the authority to allot Ordinary Shares up to an aggregate nominal amount equal to £3,508,736 
(representing 70,174,730 Ordinary Shares of 5p each). This amount represents approximately one-third of the issued Ordinary Share 
capital of the Company as at 31 March 2017, the latest practicable date prior to publication of this Notice.

The authority sought under this resolution will expire at the conclusion of the Annual General Meeting of the Company held in 2018 or, 
if earlier, 15 months after the passing of the resolution.

While the Directors have no present intention of issuing any of the authorised but unissued share capital, it is considered prudent and 
appropriate to maintain the flexibility that this authority provides.

Resolution 9: Disapplication of Pre-emption Rights
Your Directors also require additional authority from shareholders to allot shares or grant rights over shares or sell treasury shares 
where they propose to do so for cash and otherwise than to existing shareholders in proportion to their existing holdings. Accordingly, 
Resolution 9 will be proposed as a Special Resolution to grant such authority. Apart from rights issues, open offers or any other 
pre-emptive offer as mentioned the authority will be limited to the issue of shares and sales of treasury shares for cash up to an aggregate 
nominal value of £1,052,620 (being 10% of the Company’s issued Ordinary Share capital at 31 March 2017, the latest practicable date 
prior to publication of this Notice). This is in keeping with the extent for which such authority has been sought and given at each previous 
Annual General Meeting of the Company since 2006.

Allotments made under the authorisation in paragraph (a) of Resolution 9 would be limited to allotments by way of a rights issue only 
(subject to the right of the Directors to impose necessary or appropriate limitations to deal with, for example, fractional entitlements and 
regulatory matters).

If given, this authority will expire at the conclusion of the Annual General Meeting of the Company held in 2018 or, if earlier, 15 months 
after the passing of the Resolution.

Advanced Medical Solutions Group plc Annual Report 2016111

Resolution 10: Purchase by the Company of its own Shares
In certain circumstances, it may be advantageous for the Company to purchase its own shares. Under section 701 of the 2006 Act, the 
Directors of a Company may make market purchases of that Company’s shares if authorised to do so. Your Directors believe that granting 
such approval would be in the best interests of shareholders in allowing Directors the flexibility to react promptly to circumstances 
requiring market purchases.

Accordingly, Resolution 10, which will be proposed as a Special Resolution, will give the Directors the authority to purchase issued shares 
of the Company under section 701 of the 2006 Act.

The authority contained in this Resolution will be limited to an aggregate nominal value of £526,310 (representing 5% of the issued 
Ordinary Share capital of the Company as at 31 March 2017 the latest practicable date prior to publication of this Notice; representing 
10,526,209 Ordinary Shares of 5p each). The price which may be paid for those shares is also restricted as set out in the Resolution.

This authority will expire at the conclusion of the Annual General Meeting of the Company held in 2018 or, if earlier, 15 months after the 
passing of the Resolution.

The Board has no present intention of exercising this authority. However, this will be kept under review, and the Board will use this power 
only if and when, taking account of market conditions prevailing at the time, other investment opportunities, appropriate gearing levels 
and the overall financial position of the Group, they believe that the effect of such purchases will be in the best interests of shareholders 
generally and that they will result in an increase in earnings per share.

Shares purchased under this authority may be held as treasury shares. Shares held in treasury do not carry voting rights and no dividends 
will be paid on any such shares. Shares held in treasury in this way can be sold for cash or cancelled. This would allow the Company to 
manage its capital base more effectively and to replenish its distributable reserves.

If and when the Board resolves to exercise its authority to make market purchases, it will at that time decide whether shares purchased 
are to be cancelled or held in treasury.

As at 31 March 2017, the latest practicable date prior to publication of this Notice, there were share options outstanding over Ordinary 
Shares, representing 3.2% of the Company’s issued ordinary share capital. The Company has no warrants in issue in relation to its shares. 
If the buyback authority was to be exercised in full, these options would represent 3.3% of the Company’s ordinary issued share capital. 

Company OverviewStrategic Report  GovernanceFinancial StatementsAdvanced Medical Solutions Group plc Annual Report 2016112

Advisors

Nominated Advisor and Broker

Bankers

Investec Bank plc 
2 Gresham Street 
London EC2V 7QP

Auditor

Deloitte LLP 
Chartered Accountants and Statutory Auditor 
PO Box 500 
2 Hardman Street 
Manchester M60 2AT

Tax Adviser

PwC 
101 Barbirolli Square 
Lower Mosley Street 
Manchester M2 3PW

Solicitors

Brown Rudnick LLP 
8 Clifford Street 
London W1S 2LQ

Registrars and Transfer Office

Capita Registrars 
The Registry 
34 Beckenham Road 
Beckenham 
Kent BR3 4TU

HSBC 
99–101 Lord Street 
Liverpool L2 6PG 

Royal Bank of Scotland 
2nd Floor 
1 Spinningfields Square 
Manchester M3 3AP

Patent Attorneys

Marks & Clerk 
Manchester Office 
1 New York Street 
Manchester M1 4HD

Foley & Lardner LLC 
975 Page Mill Square 
Palo Alto CA 94304-1013

Public Relations

Consilium Strategic Communications 
41 Lothbury 
London EC2R 7HG

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