Quarterly financial information as of September 30, 2019
IFRS - Regulated information - Not audited

Cegedim: Revenue grew in the third quarter of 2019

  • Like-for-like revenues grew 6.9% over the quarter and 6.6% over the first nine months
  • Reported revenues grew 8.8% over the quarter and 8.3% over the first nine months
Disclaimer: This press release is available in French and in English. In the event of any difference between the two versions, the original French version takes precedence. This press release may contain inside information. It was sent to Cegedim’s authorized distributor on October 24, 2019, no earlier than 5:45 pm Paris time.
The terms “business model transformation” and “BPO” are defined in the glossary.
The Group applies the IFRS 15 accounting standard, “Revenue from contracts with customers”.

FR : +33 1 72 72 74 03  USA : +1 844 286 0643  UK : +44 (0)207 1943 759PIN CODE: 90588486#
The webcast is available at:

Boulogne-Billancourt, France, October 24, 2019, after the market close

Cegedim, an innovative technology and services company, generated consolidated Q3 revenues of €118.4 million in 2019, an increase of 8.8% as reported and 6.9% like-for-like compared with the same period in 2018.

Over the first nine months of 2019, Cegedim generated consolidated revenues of €364.2 million, an increase of 8.3% as reported and 6.6% like-for-like compared with the same period in 2018.

In the third quarter and over the first nine months, all the operating divisions made positive year-on-year contributions to the Group’s like-for-like growth.

BPO activities revenues reached €32.1 million over the first nine months of 2019, a 20.6% improvement compared with 2018.

Revenue trends by division

·Third quarter of 2019

  Third quarter
in € million 20192018Chg. L-f-lChg. Reported
Health insurance, HR and e-services 79.671.68.2%11.1%
Healthcare professionals
Corporate and others 0.80.9(7.1)%(7.1)%
Cegedim 118.4108.86.9%8.8%

Currency translation had no impact.

The €2 million boost from scope effects, or 1.9%, was chiefly due to the acquisition of BSV in France on January 31, 2019, the acquisition of Ximantix in Germany on January 21, 2019, and that of NetEDI in the UK in August 2019.

·First nine months of 2019

  First nine months
in € million 20192018Chg. L-f-lChg. Reported
Health insurance, HR and e-services 242.1221.27.3%9.5%
Healthcare professionals 119.6112.45.5%6.3%
Corporate and others 2.52.8(9.7)%(9.7)%
Cegedim 364.2336.46.6%8.3%

The favorable currency translation impact is under 0.2%.

The €5 million boost from scope effects, or 1.5%, was chiefly due to the acquisitions of BSV, Ximantix and NetEDI.

Analysis of business trends by division

·Health insurance, HR and e-services

in € million 20192018Chg. L-f-lChg. Reported
Third quarter revenue 79.671.68.2%11.1%
First nine months revenue 242.1221.27.3%9.5%

Over the first nine months of 2019, acquisitions made a positive contribution of 2.1%, or €4.7 million. The main contributions came from BSV, Ximantix andNetEDI.

The businesses that made the biggest contributions to this growth in the first nine months of 2019 were—in the health insurance sector—BPO and third-party payment flow processing activities, Cegedim Health Data (data and analytics for the healthcare market), Cegedim e-business (document and process digitization), and Cegedim SRH (HR management solutions).

·Healthcare professionals

in € million 20192018Chg. L-f-lChg. Reported
Third quarter revenue 3836.34.7%4.7%
First nine months revenue 119.6112.45.5%6.3%

Over the first nine months of 2019, acquisitions made a positive contribution of 0.3%, while currency effects contributed 0.5%.

The businesses that made the biggest positive contributions over the first nine months were the computerization solutions for doctors and allied health professionals in France, for doctors in the UK, and for doctors and pharmacists in Romania, as well as the Docavenue appointment scheduling and remote consultation portal.

·Corporate and others

in € million 20192018Chg. L-f-lChg. Reported
Third quarter revenue 0.80.9(7.1)%(7.1)%
First nine months revenue 2.52.8(9.7)%(9.7)%


To the best of the company’s knowledge, there were no events or changes during the third quarter of 2019 that would materially alter the Group’s financial situation.

·Acquisition of Cosytec in France

In July 2019 Cegedim acquired French company Cosytec, which was founded in 1990 and sells HR and equipment planning software that uses constraint programming technology. Cosytec’s offerings will augment Cegedim SRH’s product range.

The company’s client base is made up of SMEs and large corporations in the media, transportation, and services sectors.

Cosytec generated revenues of €1.3 million in 2018 and earned a profit. It began contributing to the Group’s consolidation scope in August 2019.

·Acquisition of NetEDI

In August 2019 Cegedim acquired UK company NetEDI, a major provider of e-procurement (using the PEPPOL EDI system) and e-invoicing for the UK National Health System. Building on the BSV and Ximantix acquisitions, the addition of NetEDI strengthens Cegedim e-business’ ability to work with its clients internationally.

NetEDI generated revenues of €2.8 million in 2018 and earned a profit. It began contributing to the Group’s consolidation scope in August 2019.

·Business activities of Pulse Inc. sold

In August 2019, Cegedim sold virtually all the business activities of its wholly owned subsidiary, Pulse Systems Inc., to CareTracker Inc., an affiliate of N. Harris. Under the terms of the sale, Pulse’s software solutions and services, RCM services, all customer contracts, a portion of supplier contracts, and much of its personnel were transferred to the buyer.

The divestment resulted in asset impairment totaling €16.3 million. Pulse contributed €11.3 million to the Group’s consolidated revenues in 2018 and €7.2 million over the first nine months of 2019.

·Director appointed to Cegedim SA’s board

At the annual general meeting on August 30, 2019, shareholders appointed Ms. Catherine Abiven to a six-year term as a director. Her term will expire following the AGM held to approve the financial statements for the year 2024.

On February 21, 2018, Cegedim S.A. received notice that French tax authorities would perform an audit of its accounts covering the period January 1, 2015, to December 31, 2016. The Group received the statement of tax adjustment on April 16, 2019. Cegedim replied on June 14, 2019, and based on its reply, the tax authorities rescinded the first proposal and made a second proposal on September 9, 2019. Cegedim is working with its lawyers to prepare its response. Based on ample precedent, the Group believes that the adjustment is unwarranted. As a result, Cegedim believes that there is little risk posed to the amount of deferred tax assets recorded on its balance sheet.

·Tessi lawsuit
On September 17, 2019, the Paris Court of Appeals overturned the Commercial Court’s ruling and reduced Cegedim’s penalty for financial damages resulting from the breach of a contract of sale to €2,857,693 from €4,586,000.

By our calculations, it appears that Cegedim can now demand that Tessi repay €1,615,660 of the €4,938,015.84 the Group paid in 2017, with the caveat that the court is responsible for calculating interest.

Significant transactions and events post September 30, 2019

To the best of the company’s knowledge, there were no post-closing events or changes that would materially alter the Group’s financial situation.


The Group confirms the targets it revised upward on September 19, 2019, i.e. like-for-like revenue and EBITDA* growth above 5%.

The Group does not expect to make any significant acquisitions in the second half of 2019.

And lastly, the Group does not provide earnings estimates or forecasts.

(*) Alternative performance indicator

EBITDA: This financial performance indicator is equivalent to operating profit from continuing activities plus net depreciation and amortization expenses.

·Potential impact of Brexit

In 2018, the UK accounted for 10.0% of consolidated Group revenues from continuing activities and 9.9% of consolidated Group EBIT.

Cegedim deals in local currency in the UK. Brexit is unlikely to have a material impact on Group EBIT from continuing activities.

With regard to healthcare policy, the Group has not identified any major European programs at work in the UK, and no contracts with entities in the UK contain clauses dealing with Brexit.

The figures cited above include guidance on Cegedim’s future financial performances. This forward-looking information is based on the opinions and assumptions of the Group’s senior management at the time this press release is issued and naturally entails risks and uncertainty. For more information on the risks facing Cegedim, please refer to Chapter 2, points 2.5, “Risk factors and insurance”, and 2.7, “Outlook”, of the 2018 Registration Document filled with the AMF on March 29, 2019.

Additional information

Third quarter 2019 revenue figures have not been audited by the Statutory Auditors.

The third quarter 2019 revenue presentation is available at:

−      The website:

−      The Group’s financial communications app, Cegedim IR. To download the app, visit:


Breakdown of revenue by quarter and division

·Year 2019

in € million Q1Q2Q3Q4Total
Health insurance, HR and e-services 79,23983,26079,585 242,084 
Healthcare professionals 39,10042,47238,014 119,586 
Corporate and others 882842836 2,561 
Revenue from continuing activities 119,222126,574118,435 364,231 
Revenue from activities held for sale 000 0 
IFRS 5 restatement 000 0 
Group revenue 119,222125,574118,435 364,231 

·Year 2018

in € million Q1Q2Q3Q4Total
Health insurance, HR and e-services 72,92376,61371,62086,526307,684 
Healthcare professionals 38,02938,13336,29143,731156,184 
Corporate and others 9899479009853,820 
Revenue from continuing activities 111,941115,693108,811131,242467,688 
Revenue from activities held for sale 2,0660002,066 
IFRS 5 restatement (36)000(36) 
Group revenue 113,970115,693108,811131,242469,717 

Breakdown of revenue by geographic zone and division

·As of September 30, 2019

Consolidated revenues in € million FranceEMEA excl. FranceAmericasAPAC
Health insurance, HR and e-services 232,7839,301--
Healthcare professionals 73,32538,7787,484-
Corporate and others 2,55110--
Cegedim 308,65948,0897,484-

Breakdown of revenue by currency and division

·As of September 30, 2019

Consolidated revenues in € million EuroGBPUSDOthers
Health insurance, HR and e-services 234,4325,513-2,228
Healthcare professionals 78,94630,1297,2023,309
Corporate and others 2,561---
Cegedim 315,84935,6427,2025,537

BPO (Business Process Outsourcing):  BPO is the contracting of non-core business activities and functions to a third-party provider. Cegedim provides BPO services for human resources, Revenue Cycle Management in the US and management services for insurance companies, provident institutions and mutual insurers.

Business model transformation: Cegedim decided in fall 2015 to switch all of its offerings over to SaaS format, to develop a complete BPO offering, and to materially increase its R&D efforts. This is reflected in the Group’s revamped business model. The change has altered the Group's revenue recognition and negatively affected short-term profitability.

Corporate and others: This division encompasses the activities the Group performs as the parent company of a listed entity, as well as the support it provides to the three operating divisions.

EBIT margin: EBIT margin is defined as the ratio of EBIT/revenue.

EBIT margin before special items: EBIT margin before special items is defined as the ratio of EBIT before special items/revenue.

EPS: Earnings Per Share is a specific financial indicator defined by the Group as the net profit (loss) for the period divided by the weighted average of the number of shares in circulation.
 External growth: External growth covers acquisitions during the current fiscal year, as well as those which have had a partial impact on the previous fiscal year, net of sales of entities and/or assets.

Free cash flow: Free cash flow is cash generated, net of the cash part of the following items: (i) changes in working capital requirements, (ii) transactions on equity (changes in capital, dividends paid and received), (iii) capital expenditure net of transfers, (iv) net financial interest paid and (v) taxes paid.

Internal growth: Internal growth covers growth resulting from the development of an existing contract, particularly due to an increase in rates and/or the volumes distributed or processed, new contracts, acquisitions of assets allocated to a contract or a specific project.

Life-for-like data (L-f-l): At constant scope and exchange rates.

Net cash: Net cash is defined as cash and cash equivalent minus overdraft.

Operating expenses: Operating expenses is defined as purchases used, external expenses and payroll costs.


About Cegedim:

Founded in 1969, Cegedim is an innovative technology and services company in the field of digital data flow management for healthcare ecosystems and B2B, and a business software publisher for healthcare and insurance professionals. Cegedim employs more than 4,500 people in more than 10 countries and generated revenue of €468 million in 2018. Cegedim SA is listed in Paris (EURONEXT: CGM).
To learn more, please visit:
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