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Green Cross Health (GXH) / HY24

Pharmacy EBIT fell 25% as COVID tail faded; net cash flipped to net debt

The 29.5% headline revenue drop reflects the Community Health divestment, but continuing operations show eroding margins and a balance sheet that no

Healthcare / Pharmacy and health services

GXH revenue trajectory

Revenue context before the current result.

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FY26 was $546m, versus $264.4m in HY26.

GXH Operating profit margin

Operating profit margin across covered periods.

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FY26 was 8.3%, versus 6.6% in HY26.

GXH operating cash flow

Operating cash flow across covered periods.

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FY26 was $54.6m, versus $21.6m in HY26.

GXH working-capital movement

Operating working-capital absorption or release by reporting period.

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  • HY24 GXH: Outside range low operating working-capital movement. $-11.8m; 3-period range $-3.7m to $8.7m. Operating working-capital movement: NZ$-11.8m, below normal range; 2/3 prior periods had builds averaging NZ$5.6m, and 1 had releases averaging NZ$-3.7m.
  • HY26 GXH: Outside range high operating working-capital movement. $8.7m; 3-period range $-11.8m to $2.5m. Operating working-capital movement: NZ$8.7m, above normal range; 1/3 prior periods had builds averaging NZ$2.5m, and 2 had releases averaging NZ$-7.7m.
Operating working-capital movement: NZ$8.7m, above normal range; 1/3 prior periods had builds averaging NZ$2.5m, and 2 had releases averaging NZ$-7.7m.
Release date
29 November 2023
Published
22 April 2026
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Key metrics

Numbers worth scanning first

HY24 vs HY23

Revenue

$250.2m

-29.5% ↓ vs $355.1m

Net profit after tax

$5.6m

-50.9% ↓ vs $11.4m

Net cash inflow from operating activities

$18.8m

-35.0% ↓ vs $28.9m

Interim dividend per share

2.5c

— vs —

Operating profit

$14.9m

-39.5% ↓ vs $24.7m

Profit before tax

$10.5m

-50.7% ↓ vs $21.3m

Cash and cash equivalents

$18.5m

-57.7% ↓ vs $43.6m

Total assets

$374.9m

-9.5% ↓ vs $414.5m

What changed

The reported -29.5% revenue decline (NZ$250.2m versus NZ$355.1m) and -50.9% NPAT decline (NZ$5.6m versus NZ$11.4m) are not like-for-like

The prior comparable included Community Health, which contributed NZ$106.5m of revenue and NZ$6.6m of segment profit in HY23 and is absent in HY24. On a continuing-operations basis, management states revenue rose 1% and group operating profit fell 17% to NZ$14.9m, with Pharmacy operating profit down 25% as higher-margin COVID-19 activity normalised.

The balance sheet moved alongside the earnings step-down. Operating cash flow fell 35.0% to NZ$18.8m, pre-lease FCF of NZ$15.6m sits at the bottom of the three-period range (mean NZ$21.5m), cash on hand fell from NZ$43.6m to NZ$18.5m, and gross borrowings rose 26.7% to NZ$31.4m. The group moved from net cash of NZ$18.9m to net debt of NZ$12.9m.

What matters

The underlying read is COVID-margin runoff, not divestment

  1. Pharmacy segment margin contracted from 6.45% to 4.77% on essentially flat revenue (NZ$181.5m versus NZ$179.5m), and Medical margin contracted from 13.56% to 10.68%. Stripping out Community Health, the continuing business has held revenue but lost roughly a quarter of Pharmacy segment profit. This matters because the 4.77% Pharmacy margin is likely the new baseline, not a one-off.

  2. Balance sheet flexibility narrowed. A NZ$25.2m fall in cash, a NZ$6.6m rise in borrowings, and inventory days at 23.8 (above the historical range of 16.6–23.4) all moved in the wrong direction at once. ROE fell to 3.4% from 6.5%, sitting at the lower edge of the recent range. This matters because the company no longer has the cushion it carried into HY23 to absorb earnings volatility while continuing to distribute.

  3. The payout ratio looks stretched against earnings but not against cash. At 63.9%, the NPAT payout is above the historical range of 44.3–63.6%; against pre-lease FCF the 23.0% payout sits within the historical range. The interim of 2.5cps is therefore covered by current cash generation but leaves less retention if depressed earnings persist.

Expectations

No forward guidance was supplied

The seasonality context is distorted: HY23 was 71.9% of FY23 revenue but only 25.1% of FY23 NPAT because the FY23 full year included a disposal gain that lifted reported NPAT by 89% to NZ$45.2m. That makes the H1 NPAT share a poor anchor for forecasting H2 underlying earnings.

What the release supports is roughly flat continuing-operations revenue, structural margin compression in Pharmacy from COVID-19 service normalisation, and a tighter balance sheet. What it does not support is a clear view of where Pharmacy or Medical margins stabilise, or whether the elevated inventory level is structural.

Quality of result

Earnings quality is weakened by the source of the decline

The lost contribution is reduced higher-margin COVID-19 activity, which is unlikely to return, so the underlying earnings base has reset rather than absorbed a one-off. The 27.1% effective tax rate is below the historical mean of 28.5% and slightly flattered NPAT, but PBT and NPAT growth differ by only 0.2 percentage points so tax did not distort the read.

Cash quality is the weaker line. FCF-to-NPAT conversion of 277.7% looks supportive in isolation, but only because NPAT halved; absolute pre-lease FCF at NZ$15.6m is the lowest in the supplied historical range. Inventory days rising to 23.8 alongside a 1.3% capex intensity (versus 0.9% prior) absorbed cash that previously flowed to the balance sheet. The combination of falling reported earnings, weaker absolute cash generation, and a swing into net debt means more of this result is balance-sheet-assisted to maintain the distribution than the headline FCF cover suggests.

Unresolved

Open questions

What is the path back to historical Pharmacy EBIT margins now that COVID-19 services have rolled off, and is 4.77% the new structural baseline?
Why did inventory days rise to 23.8, above the supplied historical range, and is this category-mix, supply-driven, or a stocking decision?
How does management view the swing from NZ$18.9m net cash to NZ$12.9m net debt in the context of current dividend policy?
Will the 63.9% NPAT payout be sustainable if H2 continuing-operations earnings track the H1 run-rate?
What is the reinvestment plan for proceeds from the Community Health divestment, and what return is targeted?

This briefing cannot assess the valuation implication without an updated share price and analyst forecasts for FY24 continuing-operations earnings.

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Ask about GXH HY24

Ask follow-up questions about Green Cross Health's HY24 result.

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Sign in to ask questions about Green Cross Health's HY24 result.

What is the path back to historical Pharmacy EBIT margins now that COVID-19 services have rolled off, and is 4.77% the new structural baseline?Why does "The underlying read is COVID-margin runoff, not divestment" matter?How strong was the cash and earnings quality in HY24?What should I watch next for GXH after HY24?

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Data appendix

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Sources

Current period

GXH commentary HY to 30 Sept 2023

HY24 / results announcement↗

GXH commentary HY to 30 Sept 2023

HY24 / results release↗

GXH financial statements HY to 30 Sept 2023

HY24 / financial report↗

GXH presentation HY to 30 Sept 2023

HY24 / results presentation↗

Prior comparable period

GXH financial statements HY to 30 Sept 2022

HY23 / financial report↗

Full-year context

GXH FY23 - Financial Statements

FY23 / financial report↗

GXH FY23 - Media Release

FY23 / media release↗

Release context

GXH Annual Shareholders meeting presentation 31 July 2023

HY24 / commentary↗

Related insights

Cross-company views selected from the metrics in this briefing.

Dividend coverage and payout pressure

Dividend payout versus pre-lease FCF is 291.0%, with NPAT payout at 63.9%.

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Revenue growth context

Revenue growth was -29.5% for this reporting period.

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Earnings quality and statutory distortions

PBT and NPAT growth diverged by 0.2pp.

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ROE and capital efficiency

ROE was 3.4%, -3.1pp versus the prior comparable period.

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This briefing is based on available company filings and standard Annolyse calculations. It is general information only and does not constitute financial advice. The analysis may contain errors. Always read the original company filings and consult a licensed financial adviser before making investment decisions.

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