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Tue 30 Nov 2010, 13:26 LHC - Life Healthcare - Audited group results and cash dividend declaration for
LHC
LHC                                                                             
LHC - Life Healthcare - Audited group results and cash dividend declaration for 
the year ended 30 September 2010                                                
Life Healthcare Group Holdings Limited                                          
(Incorporated in the Republic of South Africa)                                  
(Registration number: 2003/002733/06)                                           
ISIN: ZAE000145892                                                              
Share Code: LHC                                                                 
("Life Healthcare", "the Group" or "the Company")                               
AUDITED GROUP RESULTS AND CASH DIVIDEND DECLARATION FOR THE YEAR ENDED 30       
SEPTEMBER 2010                                                                  
Life Healthcare Group                                                           
a world class provider of quality healthcare                                    
Revenue +10.8% to R8 786 million                                                
Operating profit +20.1%                                                         
Earnings per share (12.5%) to 64.5 cents                                        
Normalised earnings per share +26.1% to 92.7 cents                              
Cash generated from operations +18% to R2 233 million                           
Final dividend 29 cents per share (total 52 cents per share)                    
Our 4 drivers... focusing on and investing in:                                  
GROWTH, QUALITY, EFFICIENCY AND SUSTAINABILITY                                  
Condensed consolidated statement of comprehensive income                        
for the year ended           30 September            30 September               
R`m                          2010                    2009                       
Revenue                      8 786          10.8%    7 930                      
Other income                 94                      79                         
Operating expenses           (7 013)                 (6 454)                    
Operating profit             1 867          20.1%    1 555                      
Fair value losses on         (26)                    (64)                       
derivative financial                                                            
instruments                                                                     
Finance income               41                      54                         
Finance cost                 (342)                   (337)                      
Share of associates` net     100                     101                        
profit after tax                                                                
Profit before tax            1 640                   1 309                      
Tax expense                  (805)                   (372)                      
Profit after tax             835            (10.9%)  937                        
Other comprehensive income                                                      
Foreign currency             (3)                     (1)                        
translation differences                                                         
Total comprehensive income   832            (11.1%)  936                        
for the year                                                                    
Profit after tax                                                                
attributable to:                                                                
Ordinary equity holders of   664            (12.5%)  759                        
the parent                                                                      
Non-controlling interest     171                     178                        
835                     937                         
Earnings per share (cents)    64.5          (12.5%)  73.7                       
Headline earnings per share   63.5          (14.8%)  74.5                       
(cents)                                                                         
Diluted earnings per share    64.5          (10.4%)  72.0                       
(cents)                                                                         
Diluted headline earnings     63.5          (12.7%)  72.7                       
per share (cents)                                                               
Weighted number of shares     1 029 883              1 029 747                  
in issue (`000)                                                                 
Headline earnings per share                                                     
Profit attributable to        664                    759                        
ordinary equity holders                                                         
Adjustments (net of tax):                                                       
Impairment of intangible     -                       9                          
assets                                                                          
Profit on disposal of         (9)                    (1)                        
investments in                                                                  
subsidiaries, joint                                                             
ventures and associates                                                         
Profit on disposal of        (1)                     (1)                        
property, plant and                                                             
equipment                                                                       
Headline earnings             654           (14.6%)  766                        
Headline earnings per share   63.5          (14.8%)  74.5                       
Condensed consolidated statement of financial position                          
                                      30 September  30 September                
R`m                                    2010          2009                       
ASSETS                                                                          
Non-current assets                      6 194         5 663                     
Property, plant and equipment           3 258         2 905                     
Intangible assets                       2 220         2 156                     
Other non-current assets                716           602                       
Current assets                          1 678         1 223                     
Other current assets                    1 196         1 122                     
Cash and cash equivalents               482           101                       
TOTAL ASSETS                            7 872        6 886                      
EQUITY AND LIABILITIES                                                          
Capital and reserves                                                            
Capital and reserves                    2 849         2 320                     
Non-controlling interest                667           610                       
TOTAL EQUITY                            3 516         2 930                     
LIABILITIES                                                                     
Non-current liabilities                 2 566        2 073                      
Interest bearing borrowings             2 024         1 631                     
Other non-current liabilities           542           442                       
Current liabilities                     1 790         1 883                     
Other current liabilities               1 340         1 160                     
Current portion of interest bearing     450           723                       
borrowings                                                                      
TOTAL LIABILITIES                       4 356        3 956                      
TOTAL EQUITY AND LIABILITIES           7 872         6 886                      
Condensed consolidated statement of changes in equity                           
for the year ended             Total         Non-                               
                              capital and   controlling  Total                  
R`m                            reserves      interest     equity                
Balance at 1 October 2009      2 320         610          2 930                 
Total comprehensive income     661           171          832                   
Profit for the year             664           171          835                  
Other comprehensive income     (3)           -            (3)                   
Issue of shares                 4 341        -            4 341                 
Share repurchase               (4 019)       -            (4 019)               
Share based payment reserve     75           -            75                    
movement                                                                        
Deferred tax on realisation    20            -            20                    
of share based payment                                                          
Movement on transactions with  (19)          -            (19)                  
non-controlling interest                                                        
Capital repayments to non-     -              (28)        (28)                  
controlling interests                                                           
Dividends paid                 (530)         (86)         (616)                 
Balance at 30 September 2010   2 849         667          3 516                 
Balance at 1 October 2008      1 813         537          2 350                 
Total comprehensive income     758           178          936                   
Profit for the year            759           178          937                   
Other comprehensive income     (1)           -            (1)                   
Share based payment reserve    52            -            52                    
movement                                                                        
Deferred tax on share based    57            -            57                    
payment reserve modification                                                    
Capital repayments to non-     -             (39)         (39)                  
controlling interests                                                           
Dividends paid                 (260)         (66)         (326)                 
Share repurchase               (100)         -            (100)                 
Balance at 30 September 2009   2 320         610          2 930                 
Condensed consolidated statement of cash flows                                  
for the year ended                     30 September  30 September               
R`m                            Notes   2010          2009                       
Cash generated from                    2 233         1 895                      
operations                                                                      
Income tax paid                        (396)         (493)                      
Net cash inflow from                   1 837         1 402                      
operating activities                                                            
Net cash outflow from                  (695)         (466)                      
investing activities                                                            
Net cash outflow from                  (788)         (1 249)                    
financing activities                                                            
Net (decrease)/ increase in            354           (313)                      
cash and cash equivalents                                                       
Cash and cash equivalents -            101           412                        
beginning of the year                                                           
Cash balances acquired                  27           2                          
through business combinations                                                   
Cash and cash equivalents -            482           101                        
end of the year                                                                 
Segmental report                                                                
During the reporting years all the segments operated in southern Africa and     
therefore no geographical segments are presented.                               
Assets and liabilities are not reviewed on individual segment basis but rather  
on a Group basis and are therefore not presented.                               
There are no inter-segment revenue streams.                                     
R`m                                              2010     2009                  
Operating segments                                                              
Revenue                                                                         
Southern Africa                                   8 786    7 930                
Hospitals                                         8 140    7 298                
Healthcare services                               636      614                  
Corporate                                         10       18                   
Profit before items detailed below                                              
Southern Africa                                   1 874    1 670                
Hospitals                                         1 595    1 419                
Healthcare services                               118      92                   
Corporate                                         161      159                  
                                                 1 874    1 670                 
Amortisation of intangible assets                (122)     (123)                
Impairment of intangible assets                  -         (9)                  
Profit on disposal of businesses                  10       1                    
Post-retirement medical aid movement              3        7                    
Retirement benefit asset movement                 102      9                    
Fair value gains/(losses) on derivative           (26)     (64)                 
financial instruments                                                           
Finance income                                    41       54                   
Finance costs                                     (342)    (337)                
Share of associate`s net profit after tax         100      101                  
Profit before tax                                 1 640    1 309                
                                                                                
Acquisition and disposal of investments                                         
Increase in ownership interest in subsidiaries as a result of non-controlling   
interest transactions                                                           
The Group had marginal increases in its investment in Flohoc Investments (Pty)  
Ltd, The New Kensington Clinic (Pty) Ltd, and Wilgeheuwel Hospital (Pty) Ltd.   
During 2009, the Group had marginal increases in its investment in Flohoc       
Investments (Pty) Ltd, The New Kensington Clinic (Pty) Ltd and Little Company of
Mary Trust, as well as indirectly buying out the remaining non-controlling      
interest in Wilgers Hospital Ltd.                                               
 R`m                                                2010   2009                 
 Value of investments acquired:                                                 
 Value of increased ownership in subsidiary          (14)   (28)                
Transactions with non-controlling interest          (23)  -                    
 reserve                                                                        
 Goodwill                                           -       (15)                
 Cash flow on increase of investments in            (37)   (43)                 
subsidiaries under common control                                              
Decrease of ownership interest in subsidiaries as a result of non-controlling   
interest transactions                                                           
The Group disposed of marginal percentages in Little Company of Mary Trust and  
Flohoc Investments (Pty) Ltd to non-controlling interests.                      
During 2009 the Group disposed of a marginal percentage of its investment in    
Little Company of Mary Trust and Flohoc Investments (Pty) Ltd to non-controlling
interests.                                                                      
The Group still maintained control over the subsidiary entities after the part  
disposal of the investments.                                                    
Disposal of investments in subsidiaries, associates and joint ventures          
The Group disposed of its investments in Vincent Pallotti Oncology Joint Venture
on 31 May 2010 and Joint Radiotherapy (Pty) Ltd on 30 November 2009.            
Business combinations                                                           
During June 2010, the Group acquired Amabubesi Hospitals (Pty) Ltd (Bay view    
Hospital) and Amabubesi Healthcare Properties (Pty) Ltd. Due to a change in the 
shareholders` agreement, the Group has gained control of LCM Oncology (Pty) Ltd 
and Wilgers Cathlab Trust.                                                      
R`m                                        2010        2009                     
Details of the net assets acquired and                                          
goodwill are as follows:                                                        
Purchase consideration                                                          
Total purchase consideration                267         9                       
Cash portion                               260         9                        
Non-cash portion                           7           -                        
Non-controlling interest                   3           -                        
Fair value of net assets acquired           (97)        (1)                     
Intangible assets                           (93)        (3)                     
Goodwill                                    80          5                       
The assets and liabilities arising from the acquisition were as                 
follows:                                                                        
                                                      Acquiree`s                
carrying                  
                                          Fair value  amount                    
R`000                                      2010        2010                     
Cash and cash equivalents                   27          27                      
Inventories                                 6           6                       
Trade and other receivables                 25          25                      
Property, plant and equipment               118         77                      
Trade and other payables                    (26)        (26)                    
Contingent liabilities                      (9)        -                        
Current income tax liability                (13)        (13)                    
Deferred tax                                (31)       -                        
Intangible assets                           0           0                       
Fair value of the net assets                97          96                      
The contingent liability relates to                                             
potential tax liabilities identified                                            
during the due diligence process of                                             
acquiring businesses and were not                                               
accounted for at the acquisition date in                                        
the records of the company. These                                               
liabilities will in all likelihood become                                       
contractual obligations in the short                                            
term.                                                                           
Total purchase consideration                                                    
Transactions with non-controlling           37          43                      
interest reserve                                                                
Business combinations                       267         9                       
                                           304        52                        
Basis of preparation and presentation of annual financial statements            
These consolidated condensed financial results have been prepared in accordance 
with IAS 34 "Interim Financial Reporting", in the manner required by the        
Companies Act of South Africa and the JSE Listings Requirements. The financial  
results have been prepared in accordance with those IFRS standards and          
International Financial Reporting Interpretations Committee ("IFRIC")           
interpretations issued and effective or issued and early adopted as at 30       
September 2010. The consolidated condensed financial statements should be read  
in conjunction with the annual financial statements for the year ended 30       
September 2010 which have been prepared in accordance with International        
Financial Reporting Standards (IFRS).                                           
These accounting policies have been consistently applied to all the years       
presented, unless otherwise stated.                                             
Board of directors                                                              
During the year under review the following changes were made to the board of    
directors as non-executive directors:                                           
Resignations                                                                    
RCM Laubscher resigned on 21 April 2010                                         
NV Mokhesi resigned on 20 August 2010                                           
EW Mbuthia resigned on 23 August 2010                                           
AG Aitken (alternate director) resigned on 23 August 2010                       
Appointments                                                                    
PJ Golesworthy was appointed on 10 June 2010                                    
LM Mojela was appointed on 10 June 2010                                         
TS Munday was appointed on 10 June 2010                                         
Report of the independent auditor                                               
These results have been audited by PricewaterhouseCoopers Inc. Registered       
auditors. Their unqualified opinion is available for inspection at the company`s
registered office.                                                              
Commentary                                                                      
Overview                                                                        
Life Healthcare performed well during the period under review and is in a       
healthy financial position to deliver on its strategic objectives. The high     
incidence of disease together with a growing and ageing medical aid population  
contributed to an increased demand for hospital services. These factors and the 
increase in bed capacity resulted in hospital paid patient days increasing by   
2.5%.                                                                           
Initial public offer (IPO), listing on the JSE and earnings                     
The Group completed its IPO on 10 June 2010 with new investors taking up 387    
million shares. The listing included the issuing of 321 million new shares      
raising R4 341 million and simultaneously repurchasing an equal number of shares
out of share premium (R803 million) and distributable reserves (R3 216 million),
which attracted an STC charge of R322 million. The remaining 66 million shares  
were sold by shareholders to the new investors. These transactions had the      
following effect :                                                              
Share capital                                          
                         and share       Distributable                          
                         premium         reserves       Total                   
Issue of shares at         4 341          -               4 341                 
listing                                                                         
Share repurchase           (803)           (3 216)        (4 019)               
STC arising on share      -                (322)          (322)                 
repurchase                                                                      
3 538            (3 538)       -                       
The Group did not raise any cash as a result of the listing as it has sufficient
facilities and capacity to meet expected operating requirements. Total          
shareholder funds were not affected by the new share issue and repurchase,      
however the structure of the repurchase through distributable reserves and the  
STC charge has resulted in negative retained earnings at September 2010 of R1   
079 million.                                                                    
The majority of the IPO costs and the STC payable of R322 million were borne by 
the selling shareholders. The IPO constituted a liquidity event for the Employee
Trust and the unamortised future cost of R36 million had to be recognised in    
terms of IFRS 2 with a total charge for the year of R61 million (2009: R25      
million).                                                                       
Financial performance                                                           
Revenue increased by 10.8% to R8 786 million (2009: R7 930 million). The        
hospital division revenue increased by 11.6% as a result of higher revenue per  
paid patient day and a 2.5% increase in paid patient days (PPDs). Revenue in    
Healthcare Services increased by 3.6% primarily as a result of inflation linked 
price increases offset by reduced volumes following the completion of two       
contracts with the Eastern Cape Department of Health.                           
A key management measure which is a non-IFRS measure of business performance is 
normalised EBITDA (earnings before interest, tax, depreciation and amortisation)
which increased by 14.8% to R2 173 million (2009: R1 893 million). Life         
Healthcare defines normalised EBITDA as operating profit plus depreciation,     
amortisation of intangibles, impairment of goodwill as well as excluding        
profit/loss on disposal of businesses, surpluses/deficits on retirement benefits
and the accelerated employee trust charge.                                      
                              30 September          30 September                
R`m                            2010                  2009                       
Normalised EBITDA                                                               
Operating profit                1 867                 1 555                     
Profit on sale of businesses   (10)                  (1)                        
Depreciation on property,      263                   223                        
plant and equipment                                                             
Impairment of intangible       -                     9                          
assets                                                                          
Amortisation of intangible     122                   123                        
assets                                                                          
Employee trust accelerated     36                    -                          
charge                                                                          
Retirement benefit asset       (102)                 (9)                        
movement                                                                        
Post-retirement medical aid    (3)                   (7)                        
movement                                                                        
Normalised EBITDA               2 173         14.8%  1 893                      
Normalised EBITDA as % of      24.7%                 23.9%                      
turnover                                                                        
Operating profit increased by 20.1% to R1 867 million (2009: R1 555 million) due
to strong business performance, leveraging efficiencies across the Group to     
contain costs, and a R105 million actuarial gain on the retirement benefits.    
Salaries, especially those of skilled nursing staff, continued to increase above
the rate of inflation and accounted for a large portion of the Group`s          
expenditure.                                                                    
Earnings per share (EPS), headline earnings per share (HEPS) and normalised     
earnings per share                                                              
Earnings per share and headline earnings per share reduced by 12.5% to 64.5     
cents (2009 73.7 cents) and by 14.8% to 63.5 cents (2009 74.5 cents)            
respectively. This was primarily due to the once-off STC charge of R322 million 
in respect of the share repurchase. Earnings on a normalised basis increased by 
26.1% to 92.7 cents (2009: 73.5 cents) and are underpinned by high cash         
generation.                                                                     
30 September          30 September                
R`m                            2010                  2009                       
Normalised earnings                                                             
Profit attributable to          664                   759                       
ordinary equity holders                                                         
Adjustments (net of tax):                                                       
Retirement funds                (76)                  (12)                      
STC on listing                  322                  -                          
Employee trust accelerated      36                    -                         
charge                                                                          
Listing cost                    17                   -                          
Impairment of intangible       -                     9                          
assets                                                                          
Profit on disposal of           (9)                   (1)                       
businesses                                                                      
Normalised earnings             954           26.2%  755                        
Normalised EPS (cents)          92.7          26.1%  73.5                       
Cash flow                                                                       
The business generated healthy cash flows. Streamlined administrative processes 
contributed to tight working capital management resulting in cash generated from
operations before interest and taxes of R2 233 million (2009 R1 895 million).   
Financial position                                                              
The Group is in a strong financial position with low gearing. The debt          
negotiated in 2005 was refinanced in May 2010 reducing interest costs,          
increasing flexibility in respect of future funding and extending the debt term.
The Group has adequate facilities to meet expected needs with a working capital 
facility of R250 million and an uncommitted revolving credit facility of R1     
billion. The Group is well within the debt covenants.                           
Capital expenditure                                                             
During 2010, Life Healthcare invested R813 million (2009: R603 million)         
comprising capital projects of R516 million (2009: R551 million) and            
acquisitions R297 million (2009 R52 million). A further R600 million has been   
allocated for capital projects in the 2011 financial year. This investment in   
the Group`s facilities ensures that the demand for services is met and the Group
remains abreast of modern technology and standards.                             
Growth                                                                          
During the year, the Life Beacon Bay Hospital in East London and the Life       
Orthopaedic Hospital in Cape Town were commissioned, and the Life Bay View      
Private Hospital in Mossel Bay, was acquired. This contributed to the increased 
number of registered hospital beds to 8 322 (including associate hospitals).    
Dividends                                                                       
The Board of directors has reviewed the dividend policy and has approved a      
dividend cover of between 1.75 and 2.75 times.                                  
The directors have declared a cash dividend of 29 cents per ordinary share      
payable to shareholders.                                                        
To comply with the requirements of Strate the relevant details are:             
Event                                    Date                                   
Last day to trade "cum" the dividend     Friday, 17 December 2010               
Shares to commence trading "ex" the                                             
dividend                                 Monday, 20 December 2010               
Record date (date shareholders                                                  
recorded in books)                       Friday, 24 December 2010               
Payment date                             Tuesday, 28 December 2010              
No share certificates may be                                                    
dematerialised or rematerialised between Monday, 20 December 2010 and Friday, 24
December 2010 (both days inclusive)                                             
Outlook                                                                         
Life Healthcare is confident that the demand for private healthcare in South    
Africa will continue due to the increasing disease burden and ageing medical aid
population.  Taking into consideration the proposed growth in hospital capacity 
as well as the business benefits of our efficiency programmes, Life Healthcare  
is optimistic that historical growth rates will be maintained.                  
On behalf of the board                                                          
Professor Jakes Gerwel                                                          
Chairman                                                                        
Michael Flemming                                                                
Managing director                                                               
30 November 2010                                                                
Executive directors: CMD Flemming (managing director), RJ Hogarth (financial    
director)                                                                       
Non-executive directors: Prof GJ Gerwel (chairman), MA Brey, YZ Cuba, Dr JPF    
Dalmeyer, GC Solomon. MP Ngatane, PJ Golesworthy, LM Mojela, TS Munday          
Company secretary: F. Patel                                                     
Registered Office: Oxford Manor, 21 Chaplin Road, Illovo. Private Bag X13,      
Northlands 2116                                                                 
Sponsors: RAND MERCHANT BANK (a division of FirstRand Bank Limited).            
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.                 
For more information please visit our website:  www.lifehealthcare.co.za        
Date: 30/11/2010 13:26:03 Produced by the JSE SENS Department.                  
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