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Mon 19 Nov 2007, 7:00 NTC - Network Healthcare Holdings Limited - Audite
NTC
 NTC                                                                             
NTC - Network Healthcare Holdings Limited - Audited group results for the year  
ended 30 September 2007                                                         
Network Healthcare Holdings Limited                                             
(Registration number: 1996/008242/06)                                           
(Incorporated in the Republic of South Africa)                                  
(JSE share code: NTC) (ISIN code: ZAE000011953)                                 
("Netcare", "the Company" or "the Group")                                       
Audited group results for the year ended 30 September 2007                      
Group financial highlights                                                      
*27% increase in adjusted headline earnings per share                           
*20% increase in final reductions of capital per share                          
*15% increase in South African revenue                                          
*14% increase in South African operating profit                                 
Group business highlights                                                       
*Strong organic growth in South Africa                                          
*Commissioned two new hospitals in South Africa                                 
*Acquired the remaining interest in Community Hospital Group                    
*3 700 nurses and paramedics trained                                            
*Successful integration of General Healthcare Group                             
Group balance sheet at 30 September                                             
                                              Note    2007      2006*           
                                                    Rm        Rm                
ASSETS                                                                          
Non-current assets                                                              
Property, plant and equipment                          26 683    27 246         
Goodwill                                               16 091    16 745         
Intangible assets                                      289       271            
Associated companies, investments and loans    4       298       255            
Financial asset - Derivative financial                 1 453     834            
instruments                                                                     
Deferred taxation                                      514       396            
Total non-current assets                               45 328    45 747         
Current assets                                                                  
Investments and loans                          4       56        51             
Inventories                                            600       571            
Accounts receivable                                    2 875     2 706          
Cash and cash equivalents                              1 361     1 463          
                                                      4 892     4 791           
Assets held for sale                           5       319                      
Total current assets                                   5 211     4 791          
Total assets                                           50 539    50 538         
EQUITY AND LIABILITIES                                                          
Capital and reserves                                                            
Ordinary share capital and premium                     1 819     1 497          
Treasury shares                                        (5 555)   (5 555)        
Other reserves                                         2 035     1 357          
Retained earnings                                      5 833     4 938          
Ordinary shareholders` equity                          4 132     2 237          
Preference share capital and premium                   644       644            
Minority interest                                      3 806     3 355          
Total shareholders` equity                             8 582     6 236          
Non-current liabilities                                                         
Long-term debt                                         28 944    29 224         
Financial liability - Derivative financial             1 156     2 152          
instruments                                                                     
Post-retirement benefit obligations                    115       294            
Deferred lease liability                               63        64             
Deferred taxation                                      6 073     6 399          
Total non-current liabilities                          36 351    38 133         
Current liabilities                                                             
Accounts payable                                       2 570     2 624          
Short-term debt                                        2 086     2 953          
Taxation payable                                       410       138            
Bank overdrafts                                        461       454            
                                                      5 527     6 169           
Liabilities in disposal group held for sale    5       79                       
Total current liabilities                              5 606     6 169          
Total equity and liabilities                           50 539    50 538         
*Restated (refer to note 2)                                                     
Group income statement for the year ended 30 September                          
                                      Note   2007      2006      %              
Rm        Rm        change           
Continuing operations                                                           
Revenue                                       18 607    11 152    66,8          
Cost of sales                                 (10 856)  (6 376)                 
Gross profit                                  7 751     4 776                   
Other income                                  204       349                     
Administrative and other expenses             (4 965)   (3 547)                 
Operating profit                       6      2 990     1 578     89,5          
Financial income                       7      328       563                     
Financial expenses                     8      (2 463)   (1 490)                 
Attributable earnings of associates           32        28                      
Profit before taxation                        887       679       30,6          
Taxation                               9      99        (229)                   
Profit for the year from continuing           986       450       119,1         
operations                                                                      
Discontinued operation                                                          
Profit for the year from discontinued  5      109       87        25,3          
operation                                                                       
Profit for the year                           1 095     537       103,9         
                                                                                
Attributable to:                                                                
Ordinary shareholders                         927       729                     
Preference shareholders                       30        12                      
Profit attributable to shareholders           957       741                     
Minority interest                             138       (204)                   
                                             1 095     537                      
                                                                                
Earnings per share (cents)                                                      
Basic                                         75,4      50,3      49,9          
  Continuing operations                      66,5      44,3      50,1           
  Discontinued operation                     8,9       6,0       48,3           
Diluted*                                      71,7      49,6      44,6          
Continuing operations                      63,3      43,7      44,9           
  Discontinued operation                     8,4       5,9       42,4           
Capital distributions per share               31,0      27,0      14,8          
(cents)                                                                         
*Restated (refer to note 2)                                                     
Group cash flow statementfor the year ended 30 September                        
                                                     2007     2006              
                                                    Rm       Rm                 
Cash flows from operating activities                                            
Cash received from customers                          18 869   11 433           
Cash paid to suppliers and employees                  (14      (9 304)          
                                                    895)                        
Cash generated from operating activities              3 974    2 129            
Interest paid                                         (2 355)  (838)            
  Continuing operations                              (2 348)  (838)             
  Discontinued operation                             (7)                        
Taxation paid                                         (286)    (234)            
  Continuing operations                              (269)    (234)             
  Discontinued operation                             (17)                       
Preference dividends paid                             (30)     (12)             
Reductions of capital paid                            (347)    (391)            
Net cash from operating activities                    956      654              
  Continuing operations                              882      654               
  Discontinued operation                             74                         
Cash flows from investing activities                                            
Purchase of property, plant and equipment             (1 389)  (1 014)          
Proceeds on disposal of property, plant and equipment 40       50               
Settlement of post-retirement benefit obligation      (151)                     
Additions to intangible assets                        (103)    (111)            
(Increase)/decrease in investments and loans          (52)     171              
Proceeds from disposal of investments and             1        9                
subsidiaries                                                                    
Interest received                                     158      151              
Dividends received                                    1        1                
Acquisition of subsidiaries and businesses, net of    (169)    (16 393)         
cash acquired                                                                   
Share buy-backs                                                 (682)           
Net cash from investing activities                    (1 664)  (17 818)         
  Continuing operations                              (1 632)  (17 818)          
  Discontinued operation                             (32)                       
Cash flows from financing activities                                            
Proceeds from issue of ordinary shares                669      1 678            
Proceeds from issue of preference shares                       644              
Repurchase of shares                                           (134)            
Long-term liabilities raised                          262      25 021           
Short-term liabilities repaid                         (317)    (7 936)          
Net cash from financing activities                    614      19 273           
  Continuing operations                              617      19 273            
Discontinued operation                             (3)                        
Translation effects on cash and cash equivalents of   39       (1 393)          
foreign entities                                                                
(Decrease)/increase in cash and cash equivalents      (55)     716              
Cash and cash equivalents at beginning of the year    1 009    293              
Cash in disposal group held for sale                  (54)                      
Cash and cash equivalents at end of year              900      1 009            
Statement of recognised income and expense                                      
for the year ended 30 September                                                 
                                                     2007      2006             
                                                    Rm         Rm               
Effect of translation of foreign entities             (93)      1 427           
Fair value (losses)/gains on investments              (24)      5               
Effect of cash flow hedge accounting                  600       (299)           
Net investment hedges - fair value losses for the                (98)           
year                                                                            
Actuarial gains/(losses) taken directly to equity     1         (12)            
Movement in contingency reserve                       6         2               
Disposal of shares in subsidiary                      (36)                      
Fair value deficit on disposal of shares              (7)                       
Negative goodwill derecognised                                  820             
Other reserve movements                                         1               
Net income recognised directly in equity              447       1 846           
Profit for the year                                   1 095     537             
Total recognised income for the year                  1 542     2 383           
Attributable to:                                                                
Ordinary shareholders                                 1 062     (909)           
Preference shareholders                               30        12              
Minority interest                                     450       3 280           
                                                     1 542     2 383            
Headline earnings for the year ended 30 September                               
                                  Note     2007        2006*      %             
Rm          Rm        change           
Reconciliation of headline                                                      
earnings                                                                        
Profit for the year from                    986         450                     
continuing operations                                                           
Less:                                                                           
Preference shareholders                     (30)        (12)                    
Minority interest                           (138)       204                     
Earnings used in the calculation            818         642       27,4          
of basic earnings per share from                                                
continuing operations                                                           
Adjusted for:                                                                   
Impairment of goodwill                      16          2                       
Impairment of intangible assets             40                                  
Impairment of investments                   1           21                      
Impairment of land and buildings                        14                      
Reversal of impairment of land and          (11)                                
buildings                                                                       
Profit on disposal of property,             (1)         (4)                     
plant and equipment                                                             
Profit on disposal of                       (1)         (120)                   
subsidiaries/investments                                                        
Minority share of headline                  (16)                                
adjusting items                                                                 
Headline earnings from continuing           846         555       52,4          
operations                                                                      
Headline earnings from                      109         87                      
discontinued operation                                                          
Headline earnings                           955         642       48,8          
Headline earnings per share (cents)                                             
Basic                                       77,6        44,3      75,2          
  Continuing operations                    68,8        38,3      79,6           
Discontinued operation                   8,8         6,0       46,7           
Diluted                                     73,8        43,7      68,9          
  Continuing operations                    65,4        37,8      73,0           
  Discontinued operation                   8,4         5,9       42,4           
*Restated (refer to note 2)                                                     
Notes for the year ended 30 September                                           
1.   Basis of preparation and accounting policies                               
    The condensed financial statements have been extracted from the             
Group financial statements which have been prepared in accordance            
   with International Financial Reporting Standards, the Listing                
   Requirements of the JSE Limited and the South African Companies              
   Act, 1973, as amended.                                                       
The accounting policies have been applied consistently with those           
   of the prior year, except for the following accounting standards,            
   interpretations and amendments to published accounting standards             
   which were adopted prior to their effective dates:                           
*IAS 23 Revision of International Accounting Standard 23                   
    Borrowing costs                                                             
     *IFRIC Interpretation 10 Interim Financial Reporting and                   
    Impairment                                                                  
*IFRIC Interpretation 11 Group and Treasury Share Transactions             
     *IFRIC Interpretation 12 Service Concession Arrangements                   
     *IFRIC Interpretation 14 IAS 19 - The Limit on a Defined Benefit           
    Asset, Minimum Funding Requirements and their Interaction                   
2.   Restatement of comparative information                                     
    2.1  Business                                                               
       combinations                                                             
         In accordance with IFRS 3 Business Combinations, adjustments           
to the provisional accounting for business combinations have             
       been made. This has resulted in adjustments to the 30                    
       September 2006 balance sheet as follows:                                 
                         As             Adjustments             As restated     
previously    Rm                     Rm                   
                      reported                                                  
                      Rm                                                        
         Balance sheet                                                          
Goodwill        16 907         (162)                   16 745          
         Deferred        196            200                     396             
       taxation -                                                               
       asset                                                                    
Accounts        2 707          (1)                     2 706           
       receivable                                                               
         Accounts        (2 587)        (37)                    (2 624)         
       payable                                                                  
The above restatements had no effect on profit or equity.              
    2.2  Earnings per share                                                     
         Headline earnings and the diluted weighted average number of           
       shares at 30 September 2006 have been restated. The effect               
thereof is detailed below.                                               
         Headline earnings                                                      
         Headline earnings has been restated as a result of Circular            
       8/2007 issued on 31 July 2007 by the South African Institute             
of Chartered Accountants. Long-term debt reorganisation costs            
       were excluded from headline earnings in the comparative year.            
       These costs are not adjusting re-measurements as identified              
       in Circular 8/2007 and are now included in headline earnings.            
Diluted weighted average number of shares                              
         The diluted weighted average number of shares has been                 
       restated to include the effect of the fair value of services             
       to be received in the future from participants in the Netcare            
Share Incentive Scheme and the HPFL trusts.                              
         The effect of the restatements are as follows:                         
                                                                   2006         
         Headline earnings                                         Rm           
As previously reported                                  814            
         Effect of restatement                                   (172)          
         As restated                                                642         
                                                                                
Diluted weighted average                                  m            
       number of shares                                                         
         As previously reported                                  1 510          
         Effect of restatement                                   (41)           
As restated                                                1 469       
                                                                                
         Headline                                                   cents       
       earnings per                                                             
share - Basic                                                            
         As previously reported                                     56,2        
         Effect of restatement                                    (11,9)        
         As restated                                                 44,3       

         Headline earnings per                                      cents       
       share - Diluted                                                          
         As previously reported                                   53,9          
Effect of restatement                                    (10,2)        
         As restated                                                 43,7       
                                                                                
         Earnings per                                                cents      
share - Diluted                                                          
         As previously reported                                   48,3          
         Effect of restatement                                    1,3           
         As restated                                                 49,6       

3.   Reclassification of comparative information                                
   The following reclassifications to the 30 September 2006 income              
   statement have been made:                                                    
Financial income                                                            
   Fair value adjustments on investments, profit on disposal of                 
   subsidiaries and investments previously included in financial                
   income have been reclassified to other income. These                         
reclassifications amounted to R136 million.                                  
    Financial expenses                                                          
   Impairment of goodwill and investments previously included in                
   financial expenses have been reclassified to administrative and              
other expenses. These reclassifications amounted to R23 million.             
                                                2007               2006         
                                            Rm                Rm                
4.   Associated companies, investments and                                      
loans                                                                        
    Non-current                                                                 
    Associated companies                       282                242           
    Other loans                                16                 13            
298                255         
    Current                                                                     
    Held-for-trading                                               5            
   investments                                                                  
Loans                                       56                 46           
                                                 56                 51          
                                                 354                306         
    Directors` valuation of                    466                423           
associated companies                                                         
5.   Disposal group and assets held for sale                                    
    Assets held for sale                                                        
    Assets in disposal group - Ampath         275                               
Holdings Trust                                                               
    Land and buildings held for sale          44                                
                                                 319                            
    Liabilities in disposal group held for    (79)                              
sale                                                                         
                                                 240                            
    5.1 Discontinued operation -                                                
      Ampath Holdings Trust                                                     
The Ampath Holdings Trust                                               
      has been classified as a                                                  
      disposal group held for                                                   
      sale. Results from the                                                    
discontinued operation                                                    
      are as follows:                                                           
        Revenue                                  507                465         
        Other income                                                2           
Administrative                           (380)              (363)       
      and other                                                                 
      expenses                                                                  
        Operating profit                         127                104         
Financial                                (7)                (11)        
      expenses                                                                  
        Profit before taxation                  120                93           
        Taxation                                 (11)               (6)         
Profit for the year                     109                87           
        The assets and                                                          
      liabilities of the Ampath                                                 
      Holdings Trust disposal                                                   
group are as follows:                                                     
        Property, plant and                     54                              
      equipment                                                                 
        Goodwill                                 72                             
Investments and loans                   5                               
        Inventories                              8                              
        Accounts receivable                     76                              
        Taxation receivable                     6                               
Cash and cash equivalents               54                              
        Long-term debt                           (6)                            
        Post-retirement benefit                 (10)                            
      obligation                                                                
Accounts payable                         (57)                           
        Short-term debt                          (6)                            
        The cash flows                                                          
      are as follows:                                                           
Cash flows from operating               74                              
      activities                                                                
        Cash flows from investing               (32)                            
      activities                                                                
Cash flows from financing               (3)                             
      activities                                                                
    5.2 Land and buildings held                                                 
      for sale                                                                  
Certain land and                                                        
      buildings have been                                                       
      classified as                                                             
      held for sale. A reversal                                                 
of impairment amounting                                                   
      to                                                                        
      R11 million was                                                           
      recognised at 30                                                          
September 2007.                                                           
        Land and                                 44                             
      buildings held                                                            
      for sale                                                                  
6.   Operating profit                                                           
    After charging:                                                             
    Depreciation and amortisation              1 044              542           
    Operating lease charges                    190                208           
7.   Financial income                                                           
    Dividends received                          1                  1            
    Fair value gain on cross-                                     442           
   currency swap contracts                                                      
Fair value gain on interest                65                               
   rate swaps                                                                   
    Foreign exchange gains (net)               104                              
    Interest received                           158                120          
328                563         
8.   Financial expenses                                                         
    Fair value loss on cross-                  115                              
   currency swap contracts                                                      
Foreign exchange losses (net)                                 454           
    Fair value loss on interest                                   85            
   rate swaps                                                                   
    Interest paid                               2 348              951          
2 463              1 490       
9.   Taxation                                                                   
    Taxation of R99 million                                                     
   includes a credit of R372                                                    
million due to the release of                                                
   deferred tax as a result of                                                  
   the 2% reduction in the UK                                                   
   tax rate.                                                                    
10.  Abnormal items                                                             
    Share-based payment expense -                                 65            
   HPFL                                                                         
11.  Commitments                                                                
Capital commitments                         1 007              1 054        
    Operating lease commitments                5 413              3 352         
12.  Contingent liabilities                                                     
   (guarantees and suretyships)                                                 
South Africa                                236                263          
    United Kingdom                              112                147          
                                                 348                410         
Salient features for the year ended 30 September                                
2007     2006             
Selected ratios                                                                 
Operating profit margin (%)                           16,1      14,1            
Operating profit return on net assets (%)             8,0       7,7             
Return on shareholders` equity (%)                    26,6      19,9            
Debt/equity ratio (%)                                 351,1     499,8           
Interest cover (times)                                1,4       1,9             
Share statistics                                                                
Ordinary shares                                                                 
Total shares in issue (million)                       1 245     1 183           
Weighted average number of shares (million)           1 230     1 448           
Diluted weighted average number of shares (million)   1 293     1 469           
Market price per share (cents)                        1 193     1 240           
Currency conversion guide (R:GBP)                                               
Closing exchange rate                                 14,03     14,53           
Average exchange rate for the year                    14,13     11,90           
Average exchange rate from GHG acquisition date (12             13,04           
May 2006 - 30 September 2006)                                                   
Segment report for the year ended 30 September                                  
                                   2007       2006      %                       
Rm         Rm        change                    
INCOME STATEMENT                                                                
Revenue*                           18 607     11 152    66,8                    
 South Africa                      8 869      7 720     14,9                    
Hospitals and Trauma              7 782      6 907     12,7                    
 Primary care                      1 087      813       33,7                    
 United Kingdom                    9 738      3 432     183,7                   
EBITDA*                            4 034      2 120     90,3                    
South Africa                      1 685      1 494     12,8                    
 Hospitals and Trauma              1 584      1 403     12,9                    
 Primary care                      101        91        11,0                    
 United Kingdom                    2 411      504       378,4                   
Other                             (62)       122                               
Operating profit*                  2 990      1 578     89,5                    
 South Africa                      1 406      1 238     13,6                    
 Hospitals and Trauma              1 328      1 171     13,4                    
Primary care                      78         67        16,4                    
 United Kingdom                    1 646      218       655,0                   
 Other                             (62)       122                               
Net interest paid*                 2 190      831       163,5                   
South Africa                      456        152       200,0                   
 United Kingdom                    1 734      679       155,4                   
                                                                                
BALANCE SHEET                                                                   
Total assets*                      50 220     50 538**  (0,6)                   
 South Africa                      7 387      7 155     3,2                     
 Hospitals and Trauma              6 934      5 520     25,6                    
 Primary care                      453        1 635     (72,3)                  
United Kingdom                    42 833     43 383    (1,3)                   
Debt net of cash*                  30 130     31 168    (3,3)                   
 South Africa                      5 246      5 444     (3,6)                   
 United Kingdom                    24 884     25 724    (3,3)                   

*Excludes disposal group and assets held for sale except for the 2006           
balance sheet.                                                                  
**This figure has been restated as a result of adjustments to the               
provisional accounting for business combinations. Refer to note 2.              
Commentary                                                                      
Network Healthcare Holdings Limited (Netcare), an investment holding company    
listed on the JSE Limited, operating through its subsidiaries, the largest      
private hospital networks in South Africa and the United Kingdom (UK), announces
audited group results for the year ended 30 September 2007. The results have    
been prepared in accordance with International Financial Reporting Standards    
(IFRS).                                                                         
The results include General Healthcare Group (GHG), our 50,1% UK subsidiary, for
the full year compared to the four-and-a-half month period from 12 May 2006     
included in the prior year. It is anticipated that our 50% investment in Ampath 
will be sold and in terms of IFRS 5: Non-current Assets Held for Sale and       
Discontinued Operations, it has accordingly been treated as a discontinued      
operation. In the 2006 financial year, the capital costs relating to the        
reorganisation of long-term debt on the acquisition of GHG were excluded in     
determining headline earnings. In terms of Circular 8/2007 : Headline Earnings  
issued by the South African Institute of Chartered Accountants in July 2007 such
costs are no longer excluded in the calculation of headline earnings.           
Accordingly, the 2006 headline earnings per share (HEPS) has been restated from 
56,2 cents to 44,3 cents and the fully diluted HEPS has been restated from 53,9 
cents to 43,7 cents.                                                            
Financial review                                                                
Group operating revenue from continuing operations increased 66,8% to R18 607   
million, driven by strong revenue growth of 14,9% in South Africa to R8 869     
million. Group operating profit from continuing operations increased by 89,5% to
R2 990 million with South African operating profit growth of 13,6% to R1 406    
million and UK operating profit of R1 646 million. The group operating profit   
margin expanded from 14,1% to 16,1% as a result of the full year consolidation  
of GHG with comparatively higher margins than those in South Africa. Included in
group operating profit is net expenditure of a non-recurring nature of R62      
million largely relating to impairments of NHS projects of R40 million (GBP2,8  
million) compared to net income of R122 million in the prior year.              
Group headline earnings per share increased 75,2% to 77,6 cents per share. The  
South African basic headline earnings per share increased by 18,3% from 65,2    
cents (restated) to 77,1 cents per share. As expected, GHG reduced headline     
earnings per share by 15,3 cents to 61,8 cents per share before considering the 
credit to income arising from the change in the UK corporate tax rate. The tax  
credit improved headline earnings per share by 15,8 cents to 77,6 cents.        
Adjusted* group headline earnings per share increased by 26,6% from 48,8 cents  
to 61,8 cents.                                                                  
Consolidated net financial expenses increased from R927 million to R2 135       
million largely as a result of the inclusion of GHG for the full 12-month       
period. The Group was effectively hedged against increasing interest rates in   
the UK and recognised fair value gains of R65 million in financial income and R1
112 million (including minority interests) directly in equity on the interest   
rate swap derivatives.                                                          
The change in the UK company tax rate from 30% to 28% resulted in a credit to   
income of approximately R372 million (GBP27 million). Excluding the impact of   
the change in the UK corporate tax rate, the group`s effective tax rate was     
28,3%.                                                                          
Cash generated from operating activities increased from R2 129 million to R3 974
million which was utilised to fund the reduction of capital of R347 million,    
capital expenditure of R1 389 million and taxation payments of R286 million. Net
debt decreased by 3,3% to R30 130 million due to a reduction of R198 million in 
the South African debt to R5,246 million and the strengthening of the Rand      
against the Pound on conversion of the UK debt. R24 884 million of the net debt 
relates to GHG, which is secured against the assets in the UK without recourse  
to Netcare`s South African business.                                            
Business review                                                                 
South Africa                                                                    
Demand for private healthcare in South Africa remains strong, fuelled by new    
growth in the medically insured population. This growth is being supported by   
the Government Employee Medical Scheme (GEMS) initiative, and a growing self-pay
market. Strong organic growth was evidenced by a 5,9% increase in the number of 
patients admitted into hospital or treated in our casualties during the year to 
over 1 million. Patient days increased  by 4,5%. The 13,0% growth in self-pay   
hospital revenue alongside strong growth in casualty and maternity admissions,  
demonstrates the willingness of the medically uninsured to purchase healthcare. 
In our efforts to ensure private healthcare remains affordable, our average     
effective price increase in the hospital business was 5,7% for the year, in line
with consumer and medical inflation in the same period.                         
Netcare 911 experienced similar growth with a 5,1% increase in patients         
transported and a 42,7% increase in air ambulance hours flown.                  
Netcare is meeting the growing market demand through continued capital          
investment and this year we opened two new hospitals in South Africa, Alberlito 
Hospital in KwaZulu-Natal and Blaauwberg Hospital in the Western Cape, adding   
219 beds. During the period we made significant investments in new facilities   
including the ICU units at Parklane, Linksfield and Akasia, trauma units at     
Pretoria East and Sunward Park, a neuro vascular unit at Unitas, cardiac        
catheterisation laboratories at St Augustines and St Annes and upgrades to      
several of our facilities, adding a further 120 beds. Total registered beds     
increased 4,7% to 7 604 in our 44 owned hospitals at year end. In October 2007, 
we have expanded our network through the acquisition of the remaining interest  
in Community Hospital Group from our black empowerment partners, adding five new
hospitals and a further 682 beds.                                               
Significant progress has been made in building our primary care network in South
Africa, expanding it by 33,2% to 3 300 participating doctors. Managed care lives
increased by 36,5% to 177 400 as Prime Cure secured several new contracts and   
continued to experience good growth in GEMS membership. We experienced a 9,4%   
growth in GP and dentist visits to 3,6 million across the 100 Medicross and     
Prime Cure facilities. Our average effective price increase for primary care    
visits was 2,6% well below medical inflation. As an accredited managed care     
organisation we have demonstrated our ability to deliver cost effective medical 
care according to evidenced based medicine formularies and protocols with lower 
admissions per thousand and shorter length of stays, coupled with reduced costs.
The South African business delivered strong results with revenue from continuing
operations up 14,9% to R8 869 million boosted by a particularly strong last     
quarter, the increased contribution from Prime Cure and the inclusion of the two
new hospitals. Operating profit from continuing operations was up 13,6% to R1   
406 million whilst the operating profit margin remained relatively flat at 15,9%
compared to 16,0% in 2006. The operating leverage was offset by the start-up    
operating losses of R16 million from the two new hospitals opened during the    
year, an increase in training expenditure, as well as increasing nursing        
salaries and staffing levels.                                                   
United Kingdom                                                                  
Over the past year, GHG has undergone significant restructuring to ensure that  
the business is well positioned to adapt to a changing healthcare environment   
and deliver accelerated revenue growth. Excellent progress has been made in     
implementing several of Netcare`s operating models  including nursing models,   
which have resulted in improved balancing of resources based on patient needs.  
Further changes are currently underway, including improved allocation of nursing
resources in operating theatres and outpatient facilities and shared            
administration services.                                                        
The overall case load in the UK grew by 1,7% year-on-year with outpatient and   
self pay volumes both increasing by 3,1%. As expected the NHS cases reduced     
following the completion of the NHS general surgery contracts in 2006. Having   
successfully commenced the transformation of the business into an efficient,    
compliant network with standardised processes, there is increased focus on      
driving sales and marketing initiatives across the organisation to stimulate    
higher growth in future admissions, both from private medical insurers and the  
NHS.                                                                            
Netcare UK opened a surgical unit in Stracathro, the first Independent Sector   
Treatment Centre (ISTC) in Scotland and together with the surgical centre in    
Manchester and the mobile cataract units, 12 166 procedures were performed for  
the NHS during the year. In February 2007 we opened our first primary care      
Commuter Walk-in-Centre (CWIC) in Leeds, seeing close on 13 000 patients in the 
period. In April 2007 we opened a diagnostics centre in London. Netcare UK has  
now been fully integrated into GHG resulting in a reduction of back office and  
corporate office functions.                                                     
The Department of Health for England (DH) has formally confirmed by public      
announcement that three of the Phase 2 NHS procured schemes in which Netcare UK 
was participating have been terminated, or substantially amended.  The Cumbria &
Lancashire (C&L) CATS, and the North East Yorkshire and North Lincolnshire      
(NEYNL) CATS schemes have both been terminated and the Manchester `A` scheme has
been significantly downsized and Netcare UK will not be participating further in
that scheme.                                                                    
Revenue from the UK business was R9 738 million (GBP689 million) for the year   
ended 30 September 2007. Operating profit for the year was R1 646 million       
(GBP116 million) and the operating profit margin was 16,9%. Operating profit was
negatively impacted by GBP5,6 million of non-recurring costs. These included    
restructuring and retrenchment costs of GBP2,4 million, transaction costs of    
GBP1,8 million and NHS mobilisation and bid costs of GBP1,4 million. Excluding  
these abnormal costs, GHG`s core operating profit was R1 724 million (GBP122    
million) with a core operating profit margin of 17,7% and core earnings before  
interest, taxation, depreciation and amortisation (EBITDA) was R2 489 million   
(GBP176 million). The significant progress made in transforming the business is 
evidenced by the 14,3% growth in core EBITDA against the comparative 12-month   
period.                                                                         
Direct investment in UK real estate, which experienced record high levels in    
2006, has come under pressure as concerns over the sub prime market have        
resulted in wider spreads and reduced liquidity across debt markets.            
Accordingly, we continue to focus on the strategic and operational aspects of   
operating hospitals and will seek to monetise the properties at a time when     
maximum value can be realised.                                                  
Sustainability review                                                           
Netcare recognises the need to improve access to quality healthcare at          
affordable levels in South Africa and our contribution extends to assisting     
government to provide healthcare access to those that cannot afford it. In the  
past year we have contributed to various corporate social investment initiatives
at a total cost of R29 million in South Africa, including the provision of      
emergency assistance by Netcare 911 to over 15 300 indigent patients at a cost  
of R18 million.                                                                 
Netcare remains concerned about the shortage of skills within the local         
healthcare sector and consider this a major obstacle to providing increased     
healthcare access and to our future growth. As the largest private nursing      
training institution in Southern Africa, we continue to play our part in        
addressing this critical shortage. Netcare Education trained 3 200 nurses in    
the year, an increase of over a 1 000 from 2006. 500 paramedics qualified       
from the Netcare 911 School of Emergency and Critical Care in courses ranging   
from basic to advanced life support. Our total training cost for the year was   
R100 million.                                                                   
Netcare remains committed to the finalisation of the Health Sector Charter      
process and has been accredited by Empowerdex as a level 5 contributor in       
terms of the Department of Trade and Industry`s (DTI) Codes of Good Practice for
Broad-based Black Economic Empowerment. We are aiming to achieve a level 4 in   
2008.                                                                           
Outlook                                                                         
In South Africa, the strong growth experienced in private healthcare in both    
the insured and self-pay markets is expected to continue. However, capacity     
constraints at a number of our facilities are necessitating a review of our     
operating practices. We continue to restructure our pricing model and intend    
to convert a substantial portion of our fee-for-service pricing model into an   
alternative reimbursement and risk sharing model with funders, and are working  
with government to formulate the National Health Reference Price List. Netcare  
remains a committed partner to government in the transformation of healthcare,  
and in finding viable new delivery models that address the critical need to     
broaden access to quality affordable healthcare in South Africa.                
In the UK, we have successfully transferred much of Netcare`s South African     
intellectual property and delivered meaningful savings in GHG ahead of our      
initial business plan, creating an efficient platform to deliver future growth. 
Despite a flat private medical insurance market, long-term demographics remain  
attractive and management is focused on capitalising on this growth opportunity 
through various initiatives. Although the past year has seen several new        
entrants to the market, GHG is committed to maintaining its leadership position 
in an increasingly competitive sector. While the rollout of NHS central         
procurement contracts has been disappointing, GHG is well positioned through    
its extensive national network to benefit in the future from the NHS Patient    
Choice programme and continued local NHS procurement from the private sector.   
Directorate                                                                     
On 9 November 2007, Dr RN Noach resigned as an executive director effective 14  
December 2007. N Weltman`s status as an executive director changed to non-      
executive director from 1 September 2007.                                       
Declaration of reduction of capital number 17                                   
In accordance with the authority given to the directors by way of an ordinary   
resolution passed on 26 January 2007, the board of directors declared on        
Thursday, 15 November 2007 a final reduction of capital (number 17) out of share
premium of 18 cents per ordinary share, payable on Monday, 21 January 2008, to  
shareholders recorded in the register of the Company as at Friday, 18 January   
2008.                                                                           
In compliance with the requirements of Strate, the following dates are          
applicable:                                                                     
Last date to trade "cum" the reduction                                          
of capital ("LDT")                               Friday, 11 January 2008        
Date trading commences "ex" the reduction                                       
of capital                                     Monday, 14 January 2008          
Record date                                    Friday, 18 January 2008          
Date of payment                                Monday, 21 January 2008          
Share certificates may not be dematerialised nor rematerialised between Monday, 
14 January 2008 and Friday, 18 January 2008, both dates inclusive.              
On behalf of the board                                                          
Michael I Sacks                                                                 
Chairman                                                                        
Dr Richard Friedland                                                            
Chief Executive Officer                                                         
Peter Nelson                                                                    
Chief Financial Officer                                                         
Sandton                                                                         
16 November 2007                                                                
Note regarding forward-looking statements                                       
The Company advises investors that any forward looking statements or projections
made by the Company, including those made in this announcement, are subject to  
risk and uncertainties that may cause actual results to differ materially from  
those projected. Factors that may affect the Group`s operations are described   
under "Risk Factors" on the investor relations website www.netcareinvestor.co.za
Executive Directors:                                                            
Dr RH Friedland (Chief Executive Officer)                                       
PG Nelson (Chief Financial Officer)                                             
IM Davis, Dr VLJ Litlhakanyane                                                  
Non-executive Directors:                                                        
MI Sacks (Chairman), Dr APH Jammine, JM Kahn, HR Levin                          
Prof TR Mokoena, Adv KD Moroka SC, Dr AA Ngcaba, Dr JA van Rooyen, N Weltman    
Company Secretary: J Wolpert                                                    
Registered Office:                                                              
76 Maude Street (corner West Street), Sandton 2196 Private Bag X34, Benmore 2010
Transfer Secretaries: Link Market Services South Africa (Proprietary) Limited 11
Diagonal Street, Johannesburg, 2001 PO Box 4844, Johannesburg, 2000             
Sponsors: Merrill Lynch South Africa (Proprietary) Limited Registration number  
1995/001805/07 138 West Street, Sandown, Sandton 2196                           
Investor Relations                                                              
Belinda Williams                                                                
+27 11 301 0211                                                                 
belinda.williams@netcare.co.za                                                  
www.netcareinvestor.co.za                                                       
Date: 19/11/2007 07:00:01 Produced by the JSE SENS Department.                  
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