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Mon 17 May 2010, 8:00 NTC - Netcare Limited - Unaudited Group interim results for the six months ended
NTC
NTC                                                                             
NTC - Netcare Limited - Unaudited Group interim results for the six months ended
31 March 2010                                                                   
Netcare Limited                                                                 
("Netcare", "the Company" or "the Group")                                       
Registration number: 1996/008242/06                                             
(Incorporated in the Republic of South Africa)                                  
JSE share code: NTC                                                             
ISIN code: ZAE000011953                                                         
Unaudited Group interim results for the six months ended 31 March 2010          
14% increase in constant currency operating profit 2010: R2 072 million         
2009: R1 822 million                                                            
28% increase in adjusted basic headline earnings per share 2010: 42.9 cents     
2009: 33.4 cents                                                                
19% increase in capital reduction per share 2010: 19.0 cents                    
2009:  16.0 cents                                                               
Commentary                                                                      
Group financial review                                                          
The Group is pleased to announce a 28.4% increase in adjusted basic headline    
earnings per share (HEPS) to 42.9 cents for the six months under review. If the 
currency impact is excluded, adjusted basic HEPS increased 32.3% to 44.2 cents. 
Currency conversion had a major impact on both the half-year results and        
financial position of the Group. This was due to the prevailing strength of the 
Rand relative to the British Pound during the period. The average exchange rate 
used for converting income and expenditure was R12.00 to the Pound, compared to 
R14.73 in the comparative prior period, a change of 18.5%. The closing exchange 
rate used to convert assets and liabilities at 31 March 2010 was R11.03 to the  
Pound, compared to R13.64 at 31 March 2009, a change of 19.1%.                  
Despite revenue growth in both the South African and United Kingdom (UK)        
operations, Group revenue was down 5.0% to R11 038 million (2009: R11 619       
million) due to Rand appreciation. However, the Group`s operating margin        
improved from 15.7% to 16.7% reflecting underlying efficiency improvements and  
sound financial management.                                                     
Net financial expenses decreased by R247 million to R1 005 million, a 19.7%     
reduction over last year. This was driven by reduced interest rates in South    
Africa (SA), lower average levels of debt compared to the prior period and the  
lower average exchange rate applicable to UK borrowing costs. The interest rate 
swaps are hedge accounted and fair value adjustments are recognised directly in 
equity to the extent that such hedging proves to be effective. Financial        
expenses were negatively affected by a GBP3.0 million non-cash charge,          
representing the ineffective portion of the fair value adjustment for the       
period.                                                                         
An interim capital reduction of 19.0 cents per share (2009: 16.0 cents) has been
declared, representing an 18.8% increase over the prior year.                   
Net debt at R24 862 million reduced from R26 454 million at 30 September 2009.  
This reduction was impacted by fluctuations in the closing exchange rate, which 
reduced debt by R1 723 million, and scheduled debt repayments in the UK, but    
offset by higher borrowings in SA required to fund ongoing capital and seasonal 
working capital requirements.                                                   
Equity decreased by R136 million from 30 September 2009. This was mainly due to 
a decrease in the foreign currency translation reserve, and unfavourable non-   
cash mark-to-market fair value adjustments on the UK interest rate swaps        
recognised in the cash flow hedge accounting reserve.                           
Cash generated by operations rose 5.9% to R1 894 million from R1 788 million in 
the prior comparative period primarily as a result of better cash conversion.   
The Group converted 78.9% (2009: 72.3%) of its EBITDA into cash.                
Capital expenditure of R423 million was incurred compared to R592 million in the
prior period, mainly due to the timing of capital expenditure in SA and the UK. 
Divisional review                                                               
South Africa                                                                    
Revenue grew 7.1% to R6 014 million from R5 616 million, while operating profit 
rose 12.3% to R849 million (2009: R756 million). The operating profit margin    
improved from 13.5% to 14.1%. The South African operations contributed 86.5%    
(2009: 89.5%) to basic HEPS.                                                    
Cash generated by the SA operations of R738 million remained strong but was     
slightly lower than a year earlier. This was mainly due to higher working       
capital requirements, following an increase in The Commissioner for Occupational
Injury and Disease (COID) debtors and stock levels required for the Easter      
holidays. Total capital expenditure was R270 million (2009: R293 million) of    
which R161 million was spent on replacements and R109 million on expansionary   
expenditure.                                                                    
The construction of the 425-bed Lesotho Hospital PPP remains on track and is    
scheduled for completion in 2011. The first of three off-site primary care      
clinics was opened this month, while the other two will be opened before month- 
end.                                                                            
This year, Netcare Education celebrates 21 years of training nursing staff.     
Currently over 3 500 students are being trained at its five campuses.           
Netcare maintained its position as the most empowered company in the JSE`s      
healthcare sector and was ranked thirteenth most empowered listed company       
overall in the Financial Mail`s Top Empowerment Companies survey.               
Netcare expresses its deepest regret at the passing away of Dr Molefi Sefularo, 
honourable Deputy Minister of Health.                                           
We congratulate Malebona Precious Matsoso on her appointment as Director General
for the Department of Health.                                                   
Hospitals and Emergency services                                                
Revenue from Hospitals and Emergency services was up 9.5% to R5 336 million     
(2009: R4 873 million), while EBITDA rose 9.1% to R1 029 million (2009: R943    
million).                                                                       
The Hospital division maintained patient days off a high base with a 10.2%      
increase in revenue per patient day.                                            
The number of registered beds increased from 8 766 to 8 843 during the six      
months under review and Netcare continued to improve its infrastructure,        
including the addition of a 17-bed neo-natal intensive care unit at Netcare     
Garden City, commissioning of a new cardiac catherisation laboratory at Netcare 
Linksfield, renovating a 30-bed paediatric unit at Netcare Park Lane and the    
refurbishment of five theatres at Netcare Milpark. A fully integrated oncology  
centre was opened at Netcare Clinton, specialising in intensity modulated and   
image guided radiation therapy. In addition, the first neuro-interventional MRI 
(magnetic resonance imaging) and CT (computed tomography) theatre in Africa was 
opened at Netcare N1 City.                                                      
Emergency services division, Netcare 911, recorded 5.3% growth in total lives   
under management to 7.9 million lives. The division continued to focus on       
improving operational efficiencies, which supported the results. Netcare 911    
became SA`s first aeromedical emergency evacuation specialist to become         
accredited by the European Air Medical Institute (EURAMI) reflecting the high   
level of service excellence provided to patients.                               
Primary care                                                                    
The division achieved a significant turnaround, following a strategic review of 
the managed care business and resultant termination of loss making contracts.   
Revenue decreased 8.7% to R678 million (2009: R743 million) primarily due to a  
contraction in managed care lives in Prime Cure, which reduced 28.4% to 172 000 
lives. Medicross is rolling out a new practice management system which should   
enhance its overall efficiencies.                                               
Operating loss decreased significantly to R5 million compared to R25 million in 
the prior period. The performance was bolstered by improved operational         
efficiencies and internal controls.                                             
United Kingdom                                                                  
Netcare owns a 50.1% stake in General Healthcare Group (GHG), which operates a  
national network of private hospitals across the UK under the BMI brand name.   
GHG delivered a solid performance underpinned by continued demand for private   
healthcare facilities despite the recessionary environment, record unemployment 
rates and little to no inflation. The business continues to benefit from ongoing
investment in extending its breadth of services and its geographic presence.    
Overall caseload in the UK grew 5.6% year-on-year, reflecting both organic      
growth and the integration of the prior year acquisitions of Fitzroy Square,    
Woodlands Hospital and City Medical consulting suites, as well as the addition  
of the Kingston private patient unit in the period.                             
Private Medical Insurance (PMI) patient volumes remained stable on a same site  
basis, excluding a decline resulting from the exceptionally severe weather      
conditions experienced in January. The shift in business mix emanating from 2009
continued, with strong growth in NHS patients offsetting lower numbers of self- 
pay patients. Pleasingly, the self-pay market is showing early signs of         
recovery. The NHS Choose and Book (C&B) programme, which allows the public,     
through their GPs, to select private facilities directly for their treatment has
been well received and uptake has been encouraging. Future demand under this    
initiative should entrench the private healthcare sector as a key partner to the
NHS in ensuring the delivery of the UK`s national healthcare needs.             
Revenue from UK operations for the six months rose 2.8% to GBP418.7 million     
(2009: GBP407.4 million).                                                       
EBITDA was up 4.7% to GBP110.9 million (2009: GBP105.9 million) and operating   
profit 9.4% higher at GBP79.2 million (2009: GBP72.4 million). The performance  
reflected the benefits of ongoing efficiency improvements and standardisation,  
coupled with stringent cost control, which underpinned margins.                 
The results were boosted by a non-recurring capital benefit of GBP3.7 million   
relating to a gain on the bargain purchase of assets under a business           
combination. Non-recurring expenses, comprising mostly restructuring and        
retrenchment costs, of GBP2.1 million were incurred (2009: GBP3.5 million).     
Profit after tax amounted to GBP15.3 million, an increase of 188.7% over the    
prior period.                                                                   
Capital expenditure including intangible assets amounted to GBP14.3 million     
compared to GBP25.3 million in 2009. GHG continued to invest in its hospital    
infrastructure to ensure that its patients and consultants have access to       
leading-edge medical equipment and facilities.                                  
Net debt reduced by GBP14 million to GBP1 873 million (September 2009: GBP1 887 
million). Working capital increased by GBP13 million since the 2009 year-end due
to underlying business growth and the increased NHS caseload at longer payment  
cycles. Cash collection remains a key focus to manage the impact on resources of
this industry-wide shift in business mix. GHG continued to meet its financial   
covenants and has sufficient headroom for the remaining debt term. The debt     
relating to the UK is without recourse to the SA operations.                    
As per the SENS announcement on 8 December 2009, Netcare`s partners in GHG, in  
accordance with the terms of the Partnership Agreement, informed Netcare of     
their desire to pursue an Initial Public Offering (IPO) of the GHG Operating    
Company (OpCo) on the London Stock Exchange (LSE). Whilst preparation for the   
IPO has progressed well, given prevailing market conditions, a final decision as
to the IPO and its timing has yet to be made. Shareholders will be updated as   
and when the position changes.                                                  
Outlook                                                                         
Barring any unforeseen circumstances, and particularly given the general        
financial soundness of medical aid funds and the strong underlying demand for   
private healthcare, the outlook for SA remains stable and positive. The         
prospects of healthcare reform facilitating greater healthcare access and care  
for all South Africans is seen as an imperative and viewed positively in terms  
of the Group`s wide range of healthcare services on offer.                      
Over and above the capital expenditure planned for the year of R800 million in  
SA, the Board has approved an additional R670 million to be invested over the   
next three years on capital projects. These include the new Waterfall Hospital  
in Midrand, Gauteng, 12 large projects that will add 295 new beds, a            
refurbishment of 238 beds, three new theatres, 30 doctors consulting rooms and  
21 smaller projects.                                                            
Recessionary pressures in the UK economy are expected to limit the growth of PMI
and self-pay spending on private healthcare in the short term. However, the     
growth in NHS activity should provide sufficient offset. The demographics of an 
ageing population and increasing incidence of lifestyle diseases are expected to
support growth in private caseload over the longer term. The underlying         
fundamentals of the UK private healthcare sector remain sound, with NHS         
budgetary pressures likely to increase demand for private facilities further.   
The scale and quality of GHG`s facilities, infrastructure, consultant network   
and management team position the company well to succeed in the current market  
and to benefit from the compelling prospects for private healthcare in the UK.  
Board changes                                                                   
Andile Ngcaba resigned as a non-executive director effective 7 April 2010. The  
Board expresses its gratitude and appreciation to Andile for his significant    
contribution to Netcare over his term of office.                                
Declaration of capital reduction number 22                                      
In accordance with the authority given to the directors by way of an ordinary   
resolution passed on 29 January 2010, the Board of Directors declared on        
Thursday, 13 May 2010 an interim capital reduction (number 22) out of share     
premium of 19.0 cents per ordinary share, payable on Monday, 26 July 2010, to   
shareholders recorded in the register of the Company as at Friday, 23 July 2010.
In terms of Article 54.12 of the Company`s Articles of Association, all capital 
reductions with a value of R5,00 or less will be donated to a registered charity
approved by the directors of the Company.                                       
In compliance with the requirements of Strate, the following dates are          
applicable:                                                                     
Last day to trade cum the capital reduction    Friday, 16 July 2010             
(LDT)                                                                           
Trading ex capital reduction commences         Monday, 19 July 2010             
Record date                                    Friday, 23 July 2010             
Date of payment                                Monday, 26 July 2010             
Share certificates may not be dematerialised nor rematerialised between Monday, 
19 July 2010 and Friday, 23 July 2010, both days inclusive.                     
On behalf of the Board                                                          
Jerry Vilakazi              Chairman                                            
Richard Friedland           Chief Executive Officer                             
Vaughan Firman              Chief Financial Officer                             
Sandton                                                                         
13 May 2010                                                                     
Group statement of financial position                                           
                                  Unaudited Unaudited  Audited                  
31 March  31 March   30 September             
Rm                           Note  2010      2009       2009                    
Assets                                                                          
Non-current assets                                                              
Property, plant and                                                             
equipment                           23 538    27 818     25 097                 
Goodwill                            13 235    16 271     14 303                 
Intangible assets                   337       397        366                    
Associated companies,                                                           
investments and loans        4      182       90         130                    
Deferred taxation                   1 040     638        1 147                  
Total non-current assets            38 332    45 214     41 043                 
Current assets                                                                  
Loans and receivables        4      52        67         54                     
Inventories                         677       643        621                    
Trade and other receivables         3 661     3 963      3 416                  
Cash and cash equivalents           1 094     618        803                    
                                   5 484     5 291      4 894                   
Assets held for sale         5      6         4          4                      
Total current assets                5 490     5 295      4 898                  
Total assets                        43 822    50 509     45 941                 
Equity and liabilities                                                          
Capital and reserves                                                            
Ordinary share capital and                                                      
premium                             819       1 240      1 065                  
Treasury shares                     (767)     (767)      (767)                  
Option premium on                                                               
convertible bond                    169       175        169                    
Other reserves                      (11)      (98)       231                    
Retained earnings                   3 966     2 982      3 446                  
Equity attributable to                                                          
owners of the parent                4 176    3 532       4 144                  
Preference share capital and                                                    
premium                             644       644        644                    
Non-controlling interest            2 177     2 070      2 345                  
Total shareholders` equity          6 997     6 246      7 133                  
Non-current liabilities                                                         
Long-term debt                      23 613    29 056     25 423                 
Financial liability -                                                           
Derivative financial                                                            
instruments                         2 739     3 914      2 797                  
Post-retirement benefit                                                         
obligations                         288       132        297                    
Deferred lease liability            119       98         114                    
Deferred taxation                   4 617     5 866      5 041                  
Provisions                          39        48         48                     
Total non-current                                                               
liabilities                         31 415    39 114     33 720                 
Current liabilities                                                             
Trade and other payables            2 841     2 934      2 924                  
Short-term debt                     1 920     1 871      1 745                  
Taxation payable                    226       292        330                    
Bank overdrafts                     423       52         89                     
Total current liabilities           5 410     5 149      5 088                  
Total equity and liabilities                                                    
                                   43 822   50 509      45 941                  
Group income statement                                                          
                           Unaudited six               Audited                  
                      Note months ended                year ended               
                           31 March  31 March  %       30 September             
Rm                          2010      2009      change  2009                    
Continuing operations                                                           
Revenue                      11 038    11 619    (5.0)   23 232                 
Cost of sales                (6 404)   (6 833)           (13 701)               
Gross profit                 4 634     4 786     (3.2)   9 531                  
Other income                 118       111               232                    
Administrative and                                                              
other expenses               (2 909)  (3 075)            (6 063)                
Operating profit       6     1 843     1 822     1.2     3 700                  
Financial income       7     24        66                171                    
Financial expenses     8     (1 029)   (1 318)   21.9    (2 431)                
Attributable earnings                                                           
of associates               16        10                27                      
Profit before                                                                   
taxation                     854       580       47.2    1 467                  
Taxation                     (185)     (142)             (350)                  
Profit for the period                                                           
from continuing                                                                 
operations                   669       438       52.7    1 117                  
Discontinued                                                                    
operation                                                                       
Profit for the period                                                           
from discontinued                                                               
operation              5               634               634                    
Profit for the period        669       1 072    (37.6)   1 751                  
Attributable to:                                                                
Owners of the parent         551       1 002             1 564                  
Preference                                                                      
shareholders                 28        37                73                     
Profit attributable                                                             
to shareholders              579       1 039             1 637                  
Non-controlling                                                                 
interest                     90        33                114                    
                            669       1 072             1 751                   
Earnings per share                                                              
(cents)                                                                         
Basic                        43.4      79.4     (45.3)   123.8                  
Continuing operations        43.4      29.2      48.6    73.6                   
Discontinued                                                                    
operation                              50.2              50.2                   
Diluted                     41.8       79.3     (47.3)   122.6                  
Continuing operations        41.8      29.1      43.6    72.9                   
Discontinued                                                                    
operation                              50.2              49.7                   
Capital reduction per                                                           
share (cents)               19.0      16.0      18.8    38.0                    
Group statement of comprehensive income                                         
                                  Unaudited six        Audited                  
months ended         year ended               
                                  31 March   31 March  30 September             
Rm                                 2010       2009      2009                    
Profit for the period               669        1 072     1 751                  
Other comprehensive loss, net of                                                
tax                                 (540)      (3 499)   (3 086)                
Actuarial losses on defined                                                     
benefit plans                                            (130)                  
Effect of cash flow hedge                                                       
accounting                          (134)     (3 274)    (2 086)                
Effect of translation of foreign                                                
entities                            (406)     (225)      (870)                  
Total comprehensive income/(loss)                                               
for the period                      129        (2 427)   (1 335)                
Attributable to:                                                                
Owners of the parent                268        (820)     (48)                   
Preference shareholders             28         37        73                     
Non-controlling interest            (167)      (1 644)   (1 360)                
                                   129        (2 427)   (1 335)                 
Group statement of cash flows                                                   
Unaudited six       Audited                   
                                  months ended                                  
                                                      year ended                
                                  31 March  31 March  30 September              
Rm                                 2010      2009      2009                     
Cash flows from operating                                                       
activities                                                                      
Cash received from customers        10 664    10 976    22 921                  
Cash paid to suppliers and                                                      
employees                          (8 770)   (9 188)    (18 281)                
Cash generated from operations      1 894     1 788     4 640                   
Interest paid                       (993)     (1 321)   (2 430)                 
Continuing operations               (993)     (1 316)   (2 425)                 
Discontinued operation                        (5)       (5)                     
Taxation paid                       (302)     (247)     (526)                   
Continuing operations               (302)     (241)     (520)                   
Discontinued operation                        (6)       (6)                     
Ordinary dividends paid by                                                      
subsidiaries                        (1)       (3)       (3)                     
Preference dividends paid           (28)      (37)      (73)                    
Capital reductions paid             (279)     (227)     (430)                   
Net cash from operating activities  291       (47)      1 178                   
Continuing operations               291       (46)      1 179                   
Discontinued operation                        (1)       (1)                     
Cash flows from investing                                                       
activities                                                                      
Purchase of property, plant and                                                 
equipment                           (423)     (592)     (1 283)                 
Continuing operations               (423)     (581)     (1 272)                 
Discontinued operation                        (11)      (11)                    
Proceeds on disposal of property,                                               
plant and equipment                 46        5         60                      
Additions to intangible assets      (26)      (53)      (144)                   
(Increase)/decrease in investments                                              
and loans                           (34)      30        40                      
Proceeds from disposal of                                                       
businesses                                   852        852                     
Interest received                   18        65        150                     
Dividends received                  1         1         1                       
Acquisition of subsidiaries and                                                 
businesses, net of cash acquired    (19)      (9)       (9)                     
Net cash from investing activities  (437)     299       (333)                   
Continuing operations               (437)    310        (322)                   
Discontinued operation                        (11)      (11)                    
Cash flows from financing                                                       
activities                                                                      
Proceeds from issue of ordinary                                                 
shares                              33        3         31                      
Repurchase of shares                          (3)       (11)                    
Settlement of derivatives                               (19)                    
Long-term liabilities                                                           
raised/(repaid)                     2         (532)     (840)                   
Short-term liabilities                                                          
raised/(repaid)                     128       (95)      (139)                   
Net cash from financing activities  163       (627)     (978)                   
Continuing operations               163       (623)     (974)                   
Discontinued operation                        (4)       (4)                     
Net increase/(decrease) in cash                                                 
and cash equivalents                17        (375)     (133)                   
Translation effects on cash and                                                 
cash equivalents of foreign                                                     
entities                           (60)       (21)      (115)                   
Cash and cash equivalents at                                                    
beginning of the period            714        962       962                     
Cash and cash equivalents at end                                                
of the period                       671       566       714                     
Group condensed statement of changes in equity                                  
                                  Unaudited six       Audited                   
months ended        year ended                
                                  31 March  31 March  30 September              
Rm                                 2010      2009      2009                     
Balance at beginning of period      7 133     8 851     8 851                   
Ordinary shares issued              33        3         31                      
Capital reduction paid              (279)     (227)     (430)                   
Repurchase of shares                          68        68                      
Repurchase of convertible bond                          4                       
Share-based payment reserve                                                     
movements                           12        15        32                      
Capital gains tax on capital                                                    
reductions attributable to                                                      
treasury shares                                         (7)                     
Preference dividends paid           (28)      (37)      (73)                    
Other movements                     (3)                 (8)                     
Total comprehensive income/(loss)                                               
for the period                      129       (2 427)   (1 335)                 
Balance at the end of the period    6 997     6 246     7 133                   
Comprising:                                                                     
Ordinary share capital and                                                      
premium                             819       1 240     1 065                   
Treasury shares                     (767)     (767)     (767)                   
Option premium on convertible                                                   
bond                                169       175       169                     
Foreign currency translation                                                    
reserve                             759       1 306     976                     
Cash flow hedge accounting                                                      
reserve                             (1 282)   (1 827)   (1 216)                 
Other reserves                      512       423       471                     
Retained earnings                   3 966     2 982     3 446                   
Equity attributable to owners of                                                
the parent                          4 176     3 532     4 144                   
Preference shareholders             644       644       644                     
Non-controlling interest            2 177     2 070     2 345                   
Total shareholders` equity          6 997     6 246     7 133                   
Headline earnings                                                               
Unaudited six                Audited                  
                          months ended                 year ended               
                          31 March  31 March  %        30 September             
Rm                         2010      2009      change   2009                    
Reconciliation of headline                                                      
earnings                                                                        
Profit for the period from                                                      
continuing operations       669      438        52.7     1 117                  
Less:                                                                           
Preference shareholders     (28)      (37)               (73)                   
Non-controlling interest    (90)      (33)               (114)                  
Earnings used in the                                                            
calculation of basic                                                            
earnings per share from                                                         
continuing operations       551      368        49.7     930                    
Adjusted for:                                                                   
Gain on bargain purchase    (44)                                                
Impairment of investments                               2                       
Impairment of land and                                                          
buildings                            10                 13                      
Reversal of impairment of                                                       
land and buildings          (1)                                                 
Profit on disposal of                                                           
property, plant and                                                             
equipment                   (1)       (4)                (5)                    
Tax effect of headline                                                          
adjusting items                       1                  2                      
Non-controlling share of                                                        
headline adjusting items    22                                                  
Headline earnings from                                                          
continuing operations       527       375                942                    
Earnings from discontinued                                                      
operation                            634                634                     
Adjusted for:                                                                   
Profit on disposal of                                                           
discontinued operation                (678)             (678)                   
Tax effect of headline                                                          
adjusting item                        90                 90                     
Headline earnings from                                                          
discontinued operation                46                 46                     
Headline earnings           527       421       25.2     988                    
Adjusted for:                                                                   
Ineffectiveness arising                                                         
from interest rate swaps    36        2                  5                      
Non-controlling share of                                                        
headline adjusting item    (18)       (1)                1                      
Adjusted headline earnings  545       422       29.1     994                    
Headline earnings per                                                           
share (cents)                                                                   
Basic                      41.5      33.3       24.6    78.2                    
Continuing operations      41.5      29.7       39.7    74.6                    
Discontinued operation               3.6                3.6                     
Diluted                    40.0      33.3       20.1    77.5                    
Continuing operations      40.0      29.7       34.7    73.9                    
Discontinued operation               3.6                3.6                     
Adjusted basic headline                                                         
earnings per share         42.9      33.4       28.4    78.7                    
Continuing operations      42.9       29.8      44.0    75.1                    
Discontinued operation                3.6               3.6                     
Notes                                                                           
1. Basis of preparation and accounting policies                                 
The interim financial information for the six months ended 31 March 2010 has    
been prepared in accordance with the measurement and recognition criteria of    
International Financial Reporting Standards (IFRS) and complies with IAS 34     
Interim Financial Reporting.                                                    
The accounting policies applied in the preparation of the interim financial     
statements are consistent with those applied for the year ended 30 September    
2009, except for the following:                                                 
- IFRS 3 Business Combinations (revised) and IAS 27 Consolidated and Separate   
Financial Statements (amended)                                                  
- IFRS 7 Financial Instruments: Disclosures (amended)                           
- IFRS 8 Operating Segments                                                     
- Improvements to International Financial reporting standards 2008 and 2009     
(certain improvements have been adopted earlier than required)                  
The implementation of these standards had no impact on the financial position or
performance of the Group and has mainly been of a presentation and disclosure   
nature.                                                                         
2. Acquisition of businesses                                                    
The following business combinations took effect during the year:                
2.1 Effective 1 October 2009, the Group acquired an additional 25% in Netcare   
Parklands Linac Joint Venture (Proprietary) Limited (Parklands Linac) and 15% in
Netcare St Anne`s Linac Joint Venture (Proprietary) Limited (St Anne`s Linac),  
changing the Group`s effective holding to 75% and 65% respectively. Both were   
previously accounted for as joint ventures.                                     
2.2 With effect from 1 January 2010, the Group acquired 100% of the shares in   
Sterilplus Limited in the United Kingdom. Subsequent to acquisition, the company
was renamed to BMI Hospital Decontamination Limited.                            
From the dates of acquisition to 31 March 2010, the following amounts have been 
included in the Group`s income statement:                                       
                     Parklands      St Anne`s     Sterilplus                    
Rm                    Linac          Linac         Limited     Total            
Revenue               9              3             10          22               
Operating profit      3              1             (1)         3                
The following table reflects the fair values at acquisition:                    
                          Parklands Linac St Anne`s      Sterilplus             
Rm                                         Linac          Limited               
Property, plant and                                                             
equipment                  16              1              58                    
Loans and receivables       2              1                                    
Trade and other                                                                 
receivables                 3              1              7                     
Cash and cash equivalents                                 1                     
Long-term debt              (7)                                                 
Short-term debt             (4)                                                 
Trade and other payables    (9)             (3)            (5)                  
Taxation payable            (1)                                                 
Fair value of net assets                                                        
acquired                                                  61                    
Investment in joint                                                             
venture                    (1)                                                  
                          (1)                            61                     
Goodwill/(gain on bargain                                                       
purchase)                  3                1             (44)                  
Purchase consideration     2               1              17                    
Cash and cash equivalents                                                       
in acquiree                                               (1)                   
Cash outflow on                                                                 
acquisition                2               1              16                    
The fair values reflected above are equal to the carrying values at acquisition.
3. Reclassification of comparative information                                  
Statement of financial position                                                 
Long-term provisions in the March 2009 statement of financial position have been
reclassified from trade and other payables, included in current liabilities, to 
provisions which are classified as non-current liabilities. This adjustment is  
in line with the disclosure at 30 September 2009.                               
                                    Unaudited six      Audited                  
                                    months ended       year ended               
                                    31 March  31 March 30 September             
Rm                              2010      2009     2009                     
4.   Associated companies,                                                      
    investments and loans                                                       
    Non-current                                                                 
Associated companies*            149       70       122                     
    Available-for-sale investments   22                                         
    Other loans                      11        20       8                       
                                     182       90       130                     
Current                                                                     
    Loans                            52        67       54                      
                                     234       157      184                     
    * Directors` valuation of                                                   
associated companies             304       292      395                     
5    Assets held for sale                                                       
5.1  Land and buildings held for                                                
    sale                                                                        
Certain land and buildings                                                  
    were classified as held for                                                 
    sale.                                                                       
    A reversal of impairment                                                    
amounting to R1 million was                                                 
    recognised in the current                                                   
    year.                           6         4        4                        
5.2  Discontinued operation -                                                   
Ampath Holdings Trust                                                       
    Sale of our interest in Ampath                                              
    Holdings Trust was completed                                                
    in February 2009, following                                                 
Competition Commission                                                      
    approval. The sale of our                                                   
    units and claims amounted to                                                
    R1 027 million.                                                             
Our 50% share of the                                                        
    discontinued operation was as                                               
    follows:                                                                    
    Revenue                                    267      267                     
Administrative and other                                                    
    expenses                                   (198)    (198)                   
    Operating profit                           69       69                      
    Financial expenses                         (5)      (5)                     
Profit before taxation                     64       64                      
    Taxation                                   (18)     (18)                    
    Profit for the period before                                                
    profit on disposal                         46       46                      
Profit on disposal of                                                       
    discontinued operation, net of                                              
    tax                                        588      588                     
    Profit for the period from                                                  
discontinued operations                    634      634                     
    The cash flows are as follows:                                              
    Net cash from operating                                                     
    activities                                 (1)      (1)                     
Net cash from investing                                                     
    activities                                 (11)     (11)                    
    Net cash from financing                                                     
    activities                                (4)       (4)                     
The profit on the sale of Ampath Holdings Trust can be reconciled as follows:   
                                                           Rm                   
Sale of units and claims                                     1 027              
Less: Carrying value                                         (349)              
Claims settled                                               (174)              
Net asset value                                              (175)              
Profit on disposal                                           678                
Less: Capital gains tax                                      (90)               
Profit on disposal of discontinued operation, net of tax     588                
                                  Unaudited six       Audited                   
                                  months ended                                  
                                                      year ended                
31 March  31 March  30 September              
    Rm                            2010      2009      2009                      
6.   Operating profit                                                           
    After charging:                                                             
Depreciation and amortisation  557       652       1 227                    
    Operating lease charges        199       197       410                      
7.   Financial income                                                           
    Dividends received             1         1         1                        
Recycling of cash flow hedge                                                
    reserve                        5                   20                       
    Interest received              18        65        150                      
                                   24        66        171                      
8.   Financial expenses                                                         
    Foreign exchange losses (net)                     1                         
    Ineffectiveness recognised in                                               
    the income statement arising                                                
from cash flow hedges (net)    36        2         5                        
    Interest paid                  993       1 316     2 425                    
                                   1 029     1 318     2 431                    
9.   Commitments                                                                
Capital commitments            745       951       869                      
    South Africa                   461       401       441                      
    United Kingdom                 284       550       428                      
    Operating lease commitments    3 090     3 345     3 215                    
South Africa                   1 312     1 115     1 369                    
    United Kingdom                 1 778     2 230     1 846                    
10.  Contingent liabilities                                                     
    (guarantees and suretyships)                                                
South Africa                   656       601       632                      
    United Kingdom                           109                                
                                   656       710       632                      
Condensed segment report                                                        
Unaudited six                Audited                  
                          months ended                 year ended               
                          31 March   31 March  %       30 September             
Rm                         2010       2009      change  2009                    
Income statement                                                                
Revenue                     11 038     11 619    (5.0)   23 232                 
South Africa                6 014      5 616     7.1     11 832                 
Hospitals and Emergency                                                         
services                    5 336      4 873             10 319                 
Primary care                678        743               1 513                  
United Kingdom              5 024      6 003    (16.3)   11 400                 
EBITDA                      2 400      2 474     (3.0)   4 927                  
South Africa                1 035      927       11.7    2 018                  
Hospitals and Emergency                                                         
services                   1 029       943               2 042                  
Primary care                6          (16)              (24)                   
United Kingdom              1 319      1 549    (14.8)   2 919                  
Capital items               46         (2)               (10)                   
South Africa                1          (1)               (9)                    
United Kingdom              45         (1)               (1)                    
Operating profit            1 843      1 822     1.2     3 700                  
South Africa                849        756       12.3    1 662                  
Hospitals and Emergency                                                         
services                   854         781               1 703                  
Primary care                (5)        (25)              (41)                   
United Kingdom              948        1 068    (11.2)   2 048                  
Capital items               46         (2)               (10)                   
South Africa                1          (1)               (9)                    
United Kingdom              45         (1)               (1)                    
Net interest paid           975        1 251     22.1    2 275                  
South Africa                200        272       26.5    463                    
United Kingdom              775        979       20.8    1 812                  
Statement of financial                                                          
position                                                                        
Total assets                43 816     50 505   (13.2)   45 937                 
South Africa                9 096      8 447     7.7     8 611                  
United Kingdom              34 720     42 058   (17.4)   37 326                 
Debt net of cash            24 862     30 361    18.1    26 454                 
South Africa                4 212      4 255     1.0     3 903                  
United Kingdom              20 650     26 106    20.9    22 551                 
The segment report excludes the disposal group and assets held for sale.        
Foreign exchange impact                                                         
                               Reported  Adjusted*  Reported                    
                               31 March  31 March   31 March %                  
Rm                              2010      2010       2009     change            
Income statement                                                                
Revenue                          11 038    12 184     11 619   4.9              
South Africa                     6 014     6 014      5 616    7.1              
United Kingdom                   5 024     6 170      6 003    2.8              
EBITDA                           2 400     2 713      2 474    9.7              
South Africa                     1 035     1 035      927      11.7             
United Kingdom                   1 319     1 632      1 549    5.4              
Capital items                    46        46         (2)                       
South Africa                     1         1          (1)                       
United Kingdom                   45        45         (1)                       
Operating profit                 1 843     2 072      1 822    13.7             
South Africa                     849       849        756      12.3             
United Kingdom                   948       1 177      1 068    10.2             
Capital items                    46        46         (2)                       
South Africa                     1         1          (1)                       
United Kingdom                   45        45         (1)                       
Net interest paid                975      1 152      1 251    7.9               
South Africa                     200       200        272      26.5             
United Kingdom                   775       952        979      2.8              
Basic headline earnings per                                                     
share (cents)                   41.5       42.8       33.3     28.5             
South Africa                     35.9      35.9       29.8     20.5             
United Kingdom                   5.6       6.9        3.5      97.1             
Adjusted basic headline                                                         
earnings per share (cents)      42.9      44.2       33.4     32.3              
South Africa                     35.9      35.9       29.8     20.5             
United Kingdom                   7.0       8.3        3.6      130.6            
Statement of financial                                                          
position                                                                        
Total assets                     43 816    52 037     50 505   3.0              
South Africa                     9 096     9 096      8 447    7.7              
United Kingdom                   34 720    42 941     42 058   2.1              
Debt net of cash                 24 862    29 751     30 361   2.0              
South Africa                     4 212     4 212      4 255    1.0              
United Kingdom                   20 650    25 539     26 106   2.2              
* The United Kingdom numbers have been recalculated at constant exchange rates  
to remove the impact of foreign currency fluctuations.                          
Adjusted to exclude the ineffectiveness on the interest rate swaps.             
Salient features                                                                
Unaudited  Unaudited  Audited                  
                                 31 March   31 March   30 September             
                                 2010       2009       2009                     
Share statistics                                                                
Ordinary shares                                                                 
Total shares in issue (million)    1 271      1 263      1 266                  
Weighted average number of shares                                               
(million)                          1 269      1 262      1 263                  
Diluted weighted average number                                                 
of shares (million)                1 318      1 264      1 275                  
Market price per share (cents)     1 320      799        1 037                  
Currency conversion guide (R:GBP)                                               
Closing exchange rate              11.03      13.64      11.95                  
Average exchange rate for the                                                   
period                            12.00      14.73       13.73                  
Registered office: 76 Maude Street (corner West Street), Sandton 2196,Private   
Bag X34, Benmore 2010                                                           
Executive directors: RH Friedland (Chief Executive Officer), VE Firman (Chief   
Financial Officer), VLJ Litlhakanyane                                           
Non-executive directors: SJ Vilakazi (Chairman), APH Jammine, JM Kahn, MJ       
Kuscus, HR Levin, KD Moroka, MI Sacks, N Weltman                                
Company Secretary: L Kok                                                        
Sponsor: Nedbank Capital, a division of Nedbank Group Limited                   
Transfer secretaries: Link Market Services (Proprietary) Limited, 11 Diagonal   
Street, Johannesburg, 2001                                                      
Investor relations:  +27 11 301 0212; ir@netcare.co.za                          
Date: 17/05/2010 08:00:04 Produced by the JSE SENS Department.                  
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