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Green Cross Health (GXH) / HY26

NPAT grew 28.6% but pre-lease FCF fell to NZ$15.6m, a 3-year low

Working capital absorption and a near-tripling of capex weakened cash conversion even as reported earnings grew above the historical range.

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
28 November 2025
Published
22 April 2026
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Key metrics

Numbers worth scanning first

HY26 vs HY25

Revenue

$264.4m

+1.8% ↑ vs $259.9m

Net profit after tax

$7.2m

+28.6% ↑ vs $5.6m

Net cash inflow from operating activities

$21.6m

-14.6% ↓ vs $25.3m

Interim dividend per share

3.0c

+20.0% ↑ vs 2.5c

Profit before tax

$12.6m

+13.5% ↑ vs $11.1m

Cash and cash equivalents

$23.7m

-18.0% ↓ vs $28.9m

Total assets

$392.9m

+0.2% ↑ vs $392.3m

What changed

Revenue rose 1.8% to NZ$264.4m, but reported earnings grew much faster: PBT was up 13.5% to NZ$12.6m and NPAT up 28.6% to NZ$7.2m, the latter classified above the historical range against a three-period mean of -10.8%

Cash followed the opposite direction. Operating cash flow fell 14.6% to NZ$21.6m, and pre-lease free cash flow dropped to NZ$15.6m from NZ$23.1m, the lower edge of Annolyse's three-period historical range (mean NZ$21.5m).

The segment mix shifted meaningfully. Medical services revenue rose to NZ$82.7m and segment result jumped to NZ$11.6m from NZ$8.2m, while Pharmacy services revenue was roughly flat at NZ$181.7m and its result fell to NZ$7.7m from NZ$8.9m. Net debt improved to NZ$2.0m from NZ$5.7m, and the interim dividend was lifted 20% to 3.0 cps.

What matters

Cash conversion deteriorated despite stronger reported earnings

  • OCF fell 14.6% on a 1.8% revenue lift, and FCF pre-lease landed at the lower edge of the historical baseline. Operating working capital absorbed NZ$8.7m more cash than the prior comparable, and capex more than doubled to NZ$6.0m (2.3% of revenue, up from 0.8%). This matters because the headline NPAT growth rate of 28.6% is not being supported by underlying cash generation in the half.

  • Earnings mix is rotating toward Medical services. Segment result improved by NZ$3.4m in Medical services while Pharmacy services lost NZ$1.2m of result on essentially flat revenue. Derived margins moved from 10.6% to 14.1% in Medical services and from 4.9% to 4.2% in Pharmacy. The group's PBT growth of 13.5% is therefore being carried by the smaller segment, with the larger one going backwards on margin.

  • Capital allocation moved ahead of cash. The interim dividend was raised 20% to 3.0 cps, lifting the payout against pre-lease FCF to 27.6% from 15.6%, even though the pre-lease FCF base shrank. Net debt nonetheless fell to NZ$2.0m, indicating leverage was already low enough to absorb the squeeze, but the trend in payout-versus-cash bears watching.

Expectations

No stated targets accompany this release

The supplied second-half shape shows HY25 contributed 49.6% of FY25 revenue but only 35.3% of FY25 NPAT, so the business is materially second-half weighted on earnings. On that pattern, the implied H2 NPAT last year was NZ$10.3m, which is the relevant reference point for the FY26 H2 print rather than a like-for-like extrapolation of this half.

The 28.6% NPAT lift therefore does not, on its own, support a confident upgrade to the full-year run-rate, because the cash backing is weaker and Pharmacy result has deteriorated. The release does support the read that profitability is improving against a soft historical baseline; it does not yet support the read that this is translating into stronger cash generation.

Quality of result

The PBT growth of 13.5% is the cleaner operating read

The effective tax rate at 28.0% is consistent with the historical mean of 28.2%, so NPAT growth of 28.6% is not being flattered by tax distortion; the 15.1 percentage-point gap to PBT growth is mathematical, driven by a higher prior-period tax charge on a smaller base, not by a one-off below-the-line item disclosed in the data.

What is less durable is the cash quality. Pre-lease FCF of NZ$15.6m converts to 217.5% of NPAT, but that ratio is down from 408.4% in the prior half and is the weakest in the supplied three-period window. Two specific items absorb cash this half:

  • Operating working capital up NZ$8.7m, with debtor days actually below the historical range at 8.1 (favourable) but inventories and contract balances absorbing the offsetting movement.
  • Capex up 171.6% to NZ$6.0m, a step-change in intensity that the release does not separately explain.

Until the working-capital movement reverses and capex intensity normalises, the headline earnings growth should be discounted for cash backing.

Unresolved

Open questions

Why did Pharmacy services result fall to NZ$7.7m on flat revenue, and is the 70 bp segment-margin compression structural or cyclical?
What drove capex to step up to 2.3% of revenue from 0.8%, and is this a one-half investment or a sustained run-rate?
Why did operating working capital absorb NZ$8.7m more cash this half despite debtor days falling, and which specific balances are responsible?
How should investors expect cash conversion to track in H2 given the historical second-half weighting of NPAT?
Was the 20% dividend increase calibrated to current cash generation or to a forward view management has not yet disclosed?

This briefing cannot assess management's forward outlook, given that no stated targets, guidance, or forward-work disclosures are present in the supplied data.

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Ask follow-up questions about Green Cross Health's HY26 result.

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Why did Pharmacy services result fall to NZ$7.7m on flat revenue, and is the 70 bp segment-margin compression structural or cyclical?Why does "Cash conversion deteriorated despite stronger reported earnings" matter?How strong was the cash and earnings quality in HY26?What should I watch next for GXH after HY26?

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Data appendix

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Sources

Current period

GXH FY26H1 - Financial Statements

HY26 / financial report↗

GXH FY26H1 - Media Release

HY26 / results announcement↗

GXH FY26H1 - Media Release

HY26 / media release↗

Prior comparable period

GXH FY25H1 - Financial Statements

HY25 / financial report↗

GXH FY25H1 - Media Release

HY25 / media release↗

Full-year context

GXH FY25 - Financial Statements

FY25 / financial report↗

GXH FY25 - Media Release

FY25 / media release↗

Release context

GXH Annual Shareholders' Meeting Presentation 31 July 2025

HY26 / commentary↗

Related insights

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

Earnings quality and statutory distortions

PBT and NPAT growth diverged by 15.1pp.

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Dividend coverage and payout pressure

Dividend payout versus pre-lease FCF is 25.4%, with NPAT payout at 60.0%.

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Revenue growth context

Revenue growth was 1.8% for this reporting period.

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ROE and capital efficiency

ROE was 4.0%, +0.7pp 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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