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Mon 16 May 2011, 7:05 NTC - Netcare Limited - Unaudited Group interim results for the six months
NTC
NTC                                                                             
NTC - Netcare Limited - Unaudited Group interim results for the six months      
ended 31 March 2011                                                             
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 2011          
Basic headline earnings per share (cents) 2011: 48.0 cents                      
2010: 41.5 cents                                                                
Free cash flow (Rm) 2011: R1 586 million                                        
2010: R1 264 million                                                            
Distributions per share (cents) 2011: 22.0 cents                                
2010: 19.0 cents                                                                
Commentary                                                                      
Group financial review                                                          
Overview                                                                        
For the six months ended 31 March 2011, earnings attributable to shareholders   
increased by 15.0% to R666 million from R579 million in the prior year.         
Headline earnings per share (HEPS) increased by 15.7% to 48.0 cents. A strong   
performance in South Africa (SA) offset weaker results in the United Kingdom    
(UK), which were negatively impacted by the challenging economic environment.   
The Group continued to focus on operational efficiency, cost containment and    
the implementation of business improvement plans to support robust and          
sustainable businesses. Netcare`s financial position is underpinned by strong   
cash generation with free cash flow increasing by 25.5% from the prior year.    
Financial performance                                                           
In the respective local currencies, revenue grew in SA and the UK. On a         
constant currency basis, Group revenue rose by 7.1% compared to the same        
period last year, while reported revenue increased 3.2% to R11 392 million      
(2010: R11 038 million).                                                        
Group operating profit decreased by 7.9% to R1 698 million (2010: R1 843        
million). Currency conversion accounted for 3.0% of this reduction with the     
balance largely attributable to lower profits in the UK.                        
Net financial expenses decreased by R57 million to R948 million, driven by      
strong cash generation in SA and the UK, reduced interest rates in SA and a     
lower average exchange rate on UK borrowing costs. Financial expenses were      
negatively affected by a R61 million non-cash charge, representing the          
ineffective portion of the fair value adjustment on the interest rate swaps     
for the period. The interest rate swaps are hedge accounted and fair value      
adjustments are recognised directly in equity to the extent that the hedging    
is effective.                                                                   
Group taxation of R54 million, represents an effective tax rate of 7.2%. This   
arises from the favourable impact of a deferred tax release of R155 million     
in the UK, following a further 1% reduction in the UK tax rate to 26%.          
Excluding the impact of the rate change, the Group`s effective tax rate was     
27.8%.                                                                          
Financial position and cash flow                                                
Net debt reduced to R23 838 million (R24 197 million at 30 September 2010),     
due to a lower closing exchange rate and debt repayments in the UK.             
Equity increased by R1 484 million from 30 September 2010. This was mainly      
due to favourable non-cash mark-to-market fair value adjustments on the UK      
interest rate swaps recognised in the cash flow hedge accounting reserve, as    
well as profit of R699 million for the period.                                  
Free cash flow improved by 25.5% to R1 586 million (2010: R1 264 million)       
reflecting the Group`s focus on cash generation. During the period, capital     
expenditure including intangible assets, of R461 million (2010: R449 million)   
was invested to ensure that future demand for services can be met. Capital      
expenditure of R1 433 million had been committed at 31 March 2011.              
Divisional review                                                               
South Africa                                                                    
Revenue grew 7.6% to R6 472 million from R6 014 million, and operating profit   
rose 20.3% to R1 021 million (2010: R849 million). The operating profit         
margin improved from 14.1% to 15.8%. The SA operations contributed 95.2%        
(2010: 86.5%) to basic HEPS.                                                    
Cash generated in SA increased by 28.6% to R949 million (2010: R738 million),   
bolstered by exceptional inventory and trade receivables management. Capital    
expenditure including intangible assets was R242 million (2010: R278 million)   
of which R142 million was spent on expanding our operations.                    
Netcare won the Metropolitan Oliver Empowerment Awards for Top Empowered        
Company of the Year, Top Empowered Big Business and Healthcare and              
Pharmaceuticals sector. In the Financial Mail`s Top Empowerment Companies       
Survey for 2011, Netcare was ranked the most empowered company in the JSE`s     
healthcare sector for the third year in a row. Netcare was also named a Level   
1 Gold Community Contributor by the National Department of Social               
Development, recognising our commitment to uplifting the communities in which   
we operate. Accelerating transformation is one of Netcare`s strategic pillars   
and it is humbling to be recognised among SA`s best companies for our           
progress in this regard.                                                        
We are pleased to advise that on 24 March 2011 the JSE Limited and SRI Index    
Advisory Committee reinstated Netcare to the SRI Index for 2011. This           
followed representations by the Company to the JSE regarding the organ          
transplant matter.                                                              
Netcare is committed to good corporate governance as the foundation for         
building trust among all our stakeholders. The Board has adopted the            
governance principles espoused by the Code of Corporate Practices (King Code)   
and has undertaken a thorough review of the revised King Code (King III).       
Enhanced sustainability is a key strategic imperative for Netcare`s executive   
committee. It is supported by a dedicated Sustainability Committee, which       
manages our efforts to embed sustainability principles into our daily           
business practices. The disclosure of material sustainability issues and        
performance against appropriate key performance indicators in Netcare`s         
Integrated Report for the year ending 30 September 2011, will be overseen by    
the Board and relevant committees.                                              
Hospitals and Emergency services                                                
Revenue from Hospitals and Emergency services grew 9.5% to   R5 844 million     
(2010: R5 336 million), and EBITDA rose 15.7% to R1 191 million (2010: R1 029   
million). The division grew patient days by 2.8%, with a 6.7% increase in net   
revenue per patient day.                                                        
The Hospital division continued to invest in infrastructure. We upgraded the    
existing catheterisation laboratory at Netcare Sunward Park Hospital to a new   
hybrid catheterisation theatre for cardiac and general vascular procedures.     
This enables less invasive procedures leading to faster results, reduced        
hospitalisation and significant cost savings. It utilises the latest in         
robotic technology to improve treatment capabilities. Operating theatres at     
Netcare Parklane and Garden City hospitals were renovated and the paediatric    
wards at Netcare Unitas and St. Anne`s hospitals were also refurbished.         
In conjunction with our empowerment partners, the construction of the 132-bed   
private hospital in Waterfall, Midrand, is progressing well and we anticipate   
its opening in July 2011. The construction of the 425-bed Lesotho Hospital,     
part of the Lesotho Public Private Partnership (PPP), remains on track and is   
scheduled to open in October 2011. The three primary care clinics that form     
part of the overall PPP delivery model are performing at expected levels with   
very good clinical outcomes.                                                    
Primary Care                                                                    
The division continued its return to profitability. Revenue decreased by 7.4%   
to R628 million (2010: R678 million), mainly due to a 22.4% contraction in      
managed care lives in Prime Cure. Operating profit improved to R8 million       
from the R5 million operating loss in the prior period. This was due to         
stringent cost control measures and a strategy to reduce the proportion of      
full risk lives under managed care.                                             
The division improved access to affordable primary healthcare services          
through its national footprint of `one stop` Medicross family medical and       
dental centres (Medicentres). In conjunction with the Prime Cure clinics,       
approximately 1.6 million patient visits were managed during the period.        
United Kingdom                                                                  
General Healthcare Group (GHG) experienced a difficult trading period           
characterised by severe recessionary pressures and proposals for far-reaching   
regulatory changes in the healthcare sector. As anticipated, recessionary       
pressures constrained privately funded caseload in both the Private Medical     
Insurance (PMI) and self-pay markets. A higher VAT rate also added to GHG`s     
costs, as it is unable to claim input VAT.                                      
However, GHG remains the leading private healthcare player in the UK, with      
its geographic presence and range of services providing a distinct              
competitive advantage in challenging conditions.                                
Overall caseload grew 19.4% year-on-year, driven largely by growth in NHS       
activity through the Choose and Book (C&B) programme. However, growth in this   
market segment was tempered by NHS funding constraints and caution as the UK    
Department of Health seeks to clarify issues related to implementing its        
White Paper reforms. The recently acquired Abbey hospitals and our investment   
in the Transform cosmetic surgery business contributed to volume growth, but    
this was offset by volume decline as the NHS Independent Sector Treatment       
Centre (ISTC) contracts wind down. Case mix was also negatively affected by     
an increase in day-case surgery versus inpatient admissions.                    
Revenue from the UK operations rose by 6.5% to GBP445.8 million (2010:          
GBP418.7 million) for the period. However, the fall in private volumes and      
the growing partnership between the private sector and the NHS through the      
higher volume, lower margin C&B programme has changed the business mix. This    
has resulted in an 18.2% decline in EBITDA to GBP90.1 million (2010: GBP110.1   
million). Operating profit for the period of GBP55.9 million (2010: GBP79.2     
million) was 29.4% lower, impacted by increased VAT costs as well as winding    
down of the profitable ISTC contracts. A major rationalisation process is       
underway to significantly reduce the cost base of the business with             
restructuring and redundancy costs of GBP4.3 million incurred in this period.   
Related cost savings will only materialise in the second half of the year.      
Financial expenses were adversely affected by a GBP5.4 million (2010: GBP3.0    
million) non-cash charge, representing the ineffective portion of the           
movement in the fair value of the interest rate swaps. A tax benefit of         
GBP14.0 million was recognised at half-year, following a 1% reduction in the    
UK statutory company tax rate to 26%. Profit after tax amounted to GBP7.1       
million (2010: GBP15.3 million).                                                
Capital expenditure including intangible assets amounted to GBP19.9 million     
compared to GBP14.3 million in the prior period. The business continues to      
invest in strategic projects that will yield future growth and maintain its     
market-leading hospital infrastructure and facilities.                          
Net debt reduced by GBP20 million to GBP1 855 million from September 2010,      
reflecting the benefits of stringent working capital management. This was       
driven by improved cash collection processes introduced to manage the impact    
of the industry-wide shift in business mix to higher NHS caseload at longer     
payment cycles. Cash balances increased to GBP90 million from GBP80 million     
in the prior period. Following the sale of the hospital land and buildings at   
the BMI Duchy Hospital in Harrogate in January 2011, GBP11 million of debt      
was repaid. GHG successfully met all financial covenants with sufficient        
headroom relating to its UK debt facilities, which are without recourse to      
the SA operations.                                                              
Outlook                                                                         
Netcare remains confident that the demand for private healthcare services at    
primary and tertiary levels will be sustained in SA over the medium and long    
term. Our capital investment in expansion will boost growth in SA.              
The fundamentals of the UK private healthcare sector remain sound and the       
proposed White Paper reforms are positive for the private sector in the long    
term. The success of the NHS C&B programme is expected to entrench the          
private healthcare sector as a key partner to the NHS in delivering national    
healthcare needs. GHG is well placed to play a significant role in this         
regard. In the short term, however, recessionary pressures in the UK economy    
are expected to prevail for at least the remainder of this year, constraining   
growth in the PMI and self-pay markets. Growth in C&B activity is expected to   
continue, although this may be disrupted by NHS funding pressures and the       
uncertainty around the White Paper reforms.                                     
Board and management changes                                                    
Thevendrie Brewer was appointed as an independent non-executive director with   
effect from 24 January 2011. The Board welcomes Thevendrie and looks forward    
to her contribution.                                                            
Lynelle Bagwandeen was appointed Company Secretary with effect from 1 March     
2011, following the resignation of Bert Kok on 28 February 2011. The Board      
expresses its gratitude to Bert for his significant contribution to Netcare     
and welcomes Lynelle to the Group.                                              
Michael Sacks has advised the Board that he will be retiring as a non-          
executive director effective 30 September 2011.                                 
Declaration of interim dividend number 4                                        
Notice is hereby given that interim dividend number 4 of 22.0 cents per         
ordinary share (2010: capital reduction out of share premium of 19.0 cents      
per ordinary share), has been declared for the six months ended 31 March        
2011.                                                                           
In accordance with the provisions of STRATE, the electronic settlement and      
custody system used by the JSE Limited, the relevant dates for the dividend     
are as follows:                                                                 
                                                                                
Last day to trade cum dividend  Friday, 15 July 2011                            
Trading ex dividend commences   Monday, 18 July 2011                            
Record date                     Friday, 22 July 2011                            
Payment date                    Monday, 25 July 2011                            
Share certificates may not be dematerialised nor rematerialised between         
Monday, 18 July 2011 and Friday, 22 July 2011, both days inclusive.             
On Monday, 25 July 2011, the dividend will be electronically transferred to     
the bank accounts of all certificated shareholders where this facility is       
available. Where electronic funds transfer is either not available or not       
elected by the shareholder, cheques dated Monday, 25 July 2011 will be posted   
on that date. Holders of dematerialised shares will have their accounts         
credited at their participant or broker on Monday, 25 July 2011.                
On behalf of the Board                                                          
                                                                                
Jerry Vilakazi        Chairman                                                  
Richard Friedland     Chief Executive Officer                                   
Vaughan Firman        Chief Financial Officer                                   
Sandton                                                                         
12 May 2011                                                                     
Group statement of financial position                                           
                                     Unaudited   Unaudited  Audited             
                                     31 Mar      31 Mar     30 Sep              
Rm                               Note 2011         2010       2010              
Assets                                                                          
Non-current assets                                                              
Property, plant and equipment          23 534      23 538     23 852            
Goodwill                               13 057      13 235     13 153            
Intangible assets                      324         337        331               
Associated companies,                                                           
investments and loans            2     249         182       180                
Financial asset - Derivative                                                    
financial instruments                  13                     26                
Deferred taxation                      1 071        1 040     1 446             
Total non-current assets               38 248      38 332     38 988            
Current assets                                                                  
Investments and loans            2     45          52         45                
Financial asset - Derivative                                                    
financial instruments                  8                     6                  
Inventories                            689         677        652               
Trade and other receivables            3 322       3 661      3 290             
Cash and cash equivalents              1 384       1 094      1 378             
                                      5 448       5 484      5 371              
Assets held for sale             3     8           6          13                
Total current assets                   5 456       5 490      5 384             
Total assets                           43 704      43 822     44 372            
Equity and liabilities                                                          
Capital and reserves                                                            
Ordinary share capital and                                                      
premium                                577         819        624               
Treasury shares                        (741)       (767)      (767)             
Option premium on convertible                                                   
bond                                   164         169        164               
Other reserves                         104         (11)       (496)             
Retained earnings                      4 968       3 966      4 632             
Equity attributable to owners                                                   
of the parent                          5 072       4 176     4 157              
Preference share capital and                                                    
premium                                644         644        644               
Non-controlling interest               2 297       2 177      1 728             
Total shareholders` equity             8 013       6 997      6 529             
Non-current liabilities                                                         
Long-term debt                         21 199      23 613     21 630            
Financial liability -                                                           
Derivative financial                                                            
instruments                            2 579       2 739      4 113             
Post-retirement benefit                                                         
obligations                            182         288        179               
Deferred lease liability               49          119        122               
Deferred taxation                      4 235       4 617      4 430             
Provisions                             32          39         30                
Total non-current liabilities          28 276      31 415     30 504            
Current liabilities                                                             
Trade and other payables               3 173       2 841      3 118             
Short-term debt                        3 807       1 920      3 852             
Taxation payable                       219         226        276               
Bank overdrafts                        216         423        93                
Total current liabilities              7 415       5 410      7 339             
Total equity and liabilities           43 704      43 822     44 372            
Group income statement                                                          
                                                           Audited              
                                Unaudited                  year                 
                                six months ended           ended                
%       30 Sep               
                                                   change  2010                 
                                                                                
                                                                                
31 Mar   31 Mar                                 
Rm                         Note  2011     2010                                  
Revenue                           11 392   11 038    3.2     22 474             
Cost of sales                    (6 681)  (6 404)           (12 893)            
Gross profit                      4 711    4 634     1.7     9 581              
Other income                      177      118               255                
Administrative and other                                                        
expenses                         (3 190)  (2 909)           (6 128)             
Operating profit           4      1 698    1 843     (7.9)   3 708              
Financial income           5      26       24                106                
Financial expenses         6      (974)   (1 029)    5.3     (2 084)            
Attributable earnings of                                                        
associates                        3        16                24                 
Profit before taxation            753      854       (11.8) 1 754               
Taxation                          (54)     (185)             (294)              
Profit for the period             699      669       4.5     1 460              
Attributable to:                                                                
Owners of the parent              642      551               1 233              
Preference shareholders           24       28                53                 
Profit attributable to                                                          
shareholders                      666      579               1 286              
Non-controlling interest          33       90                174                
                                 699      669               1 460               
Earnings per share (cents)                                                      
Basic                             50.2     43.4      15.7    97.0               
Diluted                           48.7     41.8      16.5    94.6               
Distributions per share                                                         
(cents)                                                                         
Capital reduction                         19.0              25.5                
Dividend                         22.0                       21.0                
                                22.0     19.0      15.8    46.5                 
Group statement of comprehensive income                                         
Audited              
                                         Unaudited         year                 
                                         six months ended  ended                
                                                           30 Sep               
2010                 
                                                                                
                                                                                
                                         31 Mar    31 Mar                       
Rm                                 Note   2011      2010                        
Profit for the period                      699       669     1 460              
Other comprehensive income/(loss),                                              
net of tax                                1 089     (540)   (1 519)             
Actuarial gains on defined benefit                                              
plans                                                        29                 
Effect of cash flow hedge                                                       
accounting                                                                      
Change in the fair value of cash                                                
flow hedges                               1 130      (129)  (1 118)             
Recycling of cash flow hedge       5 & 6                                        
accounting reserve (net)                   1         (5)    (10)                
Effect of translation of foreign                                                
entities                                   (42)     (406)   (420)               
Total comprehensive income/(loss)                                               
for the period                             1 788     129     (59)               
Attributable to:                                                                
Owners of the parent                       1 209     268     441                
Preference shareholders                    24        28      53                 
Non-controlling interest                   555       (167)   (553)              
1 788     129     (59)                
Headline earnings                                                               
                               Unaudited                 Audited                
                               six months ended          year ended             
%       30 Sep                 
Rm                                                change  2010                  
                                                                                
                               31 Mar    31 Mar                                 
2011      2010                                   
                                                                                
Reconciliation of headline                                                      
earnings                                                                        
Profit for the period            699       669     4.5     1 460                
Less:                                                                           
Preference shareholders          (24)      (28)            (53)                 
Non-controlling interest         (33)      (90)            (174)                
Earnings used in the                                                            
calculation of basic earnings                                                   
per share                        642       551    16.5    1 233                 
Adjusted for:                                                                   
Impairment of goodwill                                     9                    
Impairment of investments                                  8                    
Impairment of property, plant                                                   
and equipment                                              19                   
Reversal of impairment of                                                       
property, plant and equipment    (1)       (1)             (1)                  
(Profit)/loss on disposal of                                                    
property, plant and equipment    (55)      (1)             1                    
Gain on bargain purchase                   (44)            (81)                 
Tax effect of headline                                                          
adjusting items                  8                                              
Non-controlling share of                                                        
headline adjusting items         19        22              38                   
Headline earnings                613       527     16.3    1 226                
Headline earnings per share                                                     
(cents)                                                                         
Basic                            48.0      41.5    15.7    96.5                 
Diluted                          46.5      40.0    16.3    94.1                 
Group statement of cash flows                                                   
                                     Unaudited           Audited                
six months ended                           
                                                         year ended             
                                     31 Mar    31 Mar    30 Sep                 
Rm                                    2011      2010      2010                  
Cash flows from operating activities                                            
Cash received from customers           11 349    10 664    22 518               
Cash paid to suppliers and employees  (9 365)    (8 770)   (17 584)             
Cash generated from operations         1 984     1 894     4 934                
Interest paid                          (902)     (993)     (1 981)              
Taxation paid                          (346)     (302)     (565)                
Capital reductions paid                (83)      (279)     (521)                
Ordinary dividends paid                (269)                                    
Ordinary dividends paid by                                                      
subsidiaries                           (1)       (1)       (1)                  
Preference dividends paid              (24)      (28)      (53)                 
Distributions to beneficiaries of the                                           
HPFL Trusts                            (38)                                     
Net cash from operating activities     321       291       1 813                
Cash flows from investing activities                                            
Purchase of property, plant and                                                 
equipment                             (436)      (423)     (1 284)              
Proceeds on disposal of property,                                               
plant and equipment                    144       46        19                   
Additions to intangible assets         (25)      (26)      (86)                 
Decrease/(increase) in investments                                              
and loans                              85        (34)      (29)                 
Additions to derivatives                                   (32)                 
Interest received                      26        18        93                   
Dividends received                               1         2                    
Increase in equity interest in                                                  
subsidiaries                                               (2)                  
Acquisition of subsidiaries and                                                 
businesses, net of cash acquired                 (19)      21                   
Net cash from investing activities     (206)     (437)     (1 298)              
Cash flows from financing activities                                            
Proceeds from issue of ordinary                                                 
shares                                 36        33        80                   
Proceeds on disposal of treasury                                                
shares                                 62                                       
Long-term liabilities (repaid)/raised  (286)     2         883                  
Short-term liabilities                                                          
(repaid)/raised                        (37)      128       (825)                
Net cash from financing activities     (225)     163       138                  
Net (decrease)/increase in cash and                                             
cash equivalents                       (110)    17         653                  
Translation effects on cash and cash                                            
equivalents of foreign entities        (7)       (60)      (82)                 
Cash and cash equivalents at                                                    
beginning of the period                1 285     714       714                  
Cash and cash equivalents at end of                                             
the period                             1 168     671       1 285                
Consisting of:                                                                  
Cash on hand and balances with banks   1 384     1 094     1 378                
Short-term money market borrowings                                              
and bank overdrafts                   (216)      (423)     (93)                 
                                      1 168     671       1 285                 
Group statement of changes in equity                                            
                                     Ordinary                                   
                                     share               Option                 
                                     capital             premium on             
and       Treasury  convertible            
Rm                                     premium  shares    bond                  
Balance at 30 September 2009           1 065     (767)     169                  
Shares issued during the period        33                                       
Capital reduction                      (279)                                    
Share-based payments reserve                                                    
movements                                                                       
Other reserve movements                                                         
Preference dividends paid                                                       
Dividends paid by subsidiaries                                                  
Total comprehensive income for the                                              
period                                                                          
Balance at 31 March 2010               819       (767)     169                  
Shares issued during the period        47                                       
Capital reduction                      (242)                                    
Repurchase of convertible bond                             (5)                  
Share-based payments reserve                                                    
movements                                                                       
Other reserve movements                                                         
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares                                                              
                                                                                
Preference dividends paid                                                       
Acquisition of shares in subsidiary                                             
Total comprehensive income for the                                              
period                                                                          
Balance at 30 September 2010           624       (767)     164                  
Shares issued during the period        36                                       
Capital reduction                      (83)                                     
Disposal of treasury shares                      26                             
Share-based payments reserve                                                    
movements                                                                       
Other reserve movements                                                         
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares                                                              
                                                                                
Preference dividends paid                                                       
Dividends paid                                                                  
Dividends paid by subsidiaries                                                  
Distributions to beneficiaries of the                                           
HPFL Trusts                                                                     
Total comprehensive income for the                                              
period                                                                          
Balance at 31 March 2011               577       (741)     164                  
                                            Foreign                             
                                            currency                            
Cash flow   translation  Other                  
Rm                               hedge       reserve      reserves              
Balance at 30 September 2009      (1 216)     976          471                  
Shares issued during the period                                                 
Capital reduction                                                               
Share-based payments reserve                               12                   
movements                                                                       
Other reserve movements                                    29                   
Preference dividends paid                                                       
Dividends paid by subsidiaries                                                  
Total comprehensive income for                                                  
the period                       (66)        (217)                              
Balance at 31 March 2010          (1 282)     759          512                  
Shares issued during the period                                                 
Capital reduction                                                               
Repurchase of convertible bond                                                  
Share-based payments reserve                               14                   
movements                                                                       
Other reserve movements                                    25                   
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares                                                              
                                                                                
Preference dividends paid                                                       
Acquisition of shares in                                                        
subsidiary                                                                      
Total comprehensive income for                                                  
the period                       (508)       (16)                               
Balance at 30 September 2010      (1 790)     743          551                  
Shares issued during the period                                                 
Capital reduction                                                               
Disposal of treasury shares                                                     
Share-based payments reserve                               14                   
movements                                                                       
Other reserve movements                                    19                   
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares                                                              
                                                                                
Preference dividends paid                                                       
Dividends paid                                                                  
Dividends paid by subsidiaries                                                  
Distributions to beneficiaries                                                  
of the HPFL Trusts                                                              
Total comprehensive income for                                                  
the period                       588         (21)                               
Balance at 31 March 2011          (1 202)     722          584                  
                                       Equity          Preference               

                             Retained                                           
Rm                            earnings                                          
                                       attributable    share                    
to owners       capital and              
                                       of the parent   premium                  
Balance at 30 September 2009   3 446     4 144           644                    
Shares issued during the                 33                                     
period                                                                          
Capital reduction                        (279)                                  
Share-based payments reserve             12                                     
movements                                                                       
Other reserve movements        (31)      (2)                                    
Preference dividends paid      (28)      (28)                                   
Dividends paid by                                                               
subsidiaries                                                                    
Total comprehensive income                                                      
for the period                579       296                                     
Balance at 31 March 2010       3 966     4 176           644                    
Shares issued during the                                                        
period                                   47                                     
Capital reduction                        (242)                                  
Repurchase of convertible                                                       
bond                          2          (3)                                    
Share-based payments reserve                                                    
movements                                14                                     
Other reserve movements        (26)      (1)                                    
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares             (7)       (7)                                    
Preference dividends paid      (25)      (25)                                   
Acquisition of shares in                                                        
subsidiary                                                                      
Total comprehensive income                                                      
for the period                 722       198                                    
Balance at 30 September 2010   4 632     4 157           644                    
Shares issued during the                                                        
period                                   36                                     
Capital reduction                        (83)                                   
Disposal of treasury shares    36        62                                     
Share-based payments reserve                                                    
movements                                14                                     
Other reserve movements        (28)      (9)                                    
Capital gains tax on capital                                                    
reductions attributable                                                         
to treasury shares             (7)       (7)                                    
Preference dividends paid      (24)      (24)                                   
Dividends paid                 (269)     (269)                                  
Dividends paid by                                                               
subsidiaries                                                                    
Distributions to                                                                
beneficiaries of the HPFL                                                       
Trusts                         (38)      (38)                                   
Total comprehensive income                                                      
for the period                 666       1 233                                  
Balance at 31 March 2011       4 968     5 072           644                    
Non-         Total                    
                                          controlling  shareholders`            
Rm                                         interest     equity                  
Balance at 30 September 2009                2 345        7 133                  
Shares issued during the period                          33                     
Capital reduction                                        (279)                  
Share-based payments reserve movements                   12                     
Other reserve movements                                  (2)                    
Preference dividends paid                                (28)                   
Dividends paid by subsidiaries              (1)          (1)                    
Total comprehensive income for the period   (167)        129                    
Balance at 31 March 2010                    2 177        6 997                  
Shares issued during the period                          47                     
Capital reduction                                        (242)                  
Repurchase of convertible bond                           (3)                    
Share-based payments reserve movements                   14                     
Other reserve movements                                  (1)                    
Capital gains tax on capital reductions                                         
attributable to treasury shares                                                 
                                                        (7)                     
Preference dividends paid                                (25)                   
Acquisition of shares in subsidiary         (63)         (63)                   
Total comprehensive income for the period   (386)        (188)                  
Balance at 30 September 2010                1 728        6 529                  
Shares issued during the period                          36                     
Capital reduction                                        (83)                   
Disposal of treasury shares                              62                     
Share-based payments reserve movements                   14                     
Other reserve movements                     15           6                      
Capital gains tax on capital reductions                                         
attributable to treasury shares                                                 
                                                        (7)                     
Preference dividends paid                                (24)                   
Dividends paid                                           (269)                  
Dividends paid by subsidiaries              (1)          (1)                    
Distributions to beneficiaries of the HPFL                                      
trusts                                                   (38)                   
Total comprehensive income for the period   555          1 788                  
Balance at 31 March 2011                    2 297        8 013                  
Notes                                                                           
1. Basis of preparation and accounting policies                                 
The interim financial information for the six months ended 31 March 2011 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 Listings Requirements of the JSE Limited and   
the Companies Act of South Africa.                                              
The accounting policies applied in the preparation of the interim financial     
statements are consistent with those applied for the year ended 30 September    
2010, except for the adoption of Improvements to International Financial        
Reporting Standards 2010 (certain improvements have been adopted earlier than   
required).                                                                      
The implementation of these changes had no impact on the financial position     
or performance of the Group.                                                    
                                       Unaudited         Audited                
                                       six months ended                         
                                                         year ended             
31 Mar    31 Mar  30 Sep                 
                                       2011      2010    2010                   
  Rm                                                                            
                                                                                
2. Associated companies, investments                                            
  and loans                                                                     
  Non-current                                                                   
  Associated companies*                 224       149     151                   
Available-for-sale investments        22        22      22                    
  Other loans                           3         11      7                     
                                        249       182     180                   
  Current                                                                       
Loans                                 45        52      45                    
                                        294       234     225                   
  * Directors` valuation of                                                     
  associated companies                  412       304     369                   

3. Assets held for sale                                                         
  Certain land and buildings were                                               
  classified as held for sale.                                                  
No reversal of impairment was                                                 
  recognised in the current year                                                
  (March and September 2010:                                                    
  R1 million).                          8         6       13                    

4. Operating profit                                                             
  After charging:                                                               
  Depreciation and amortisation         568       557     1 157                 
Operating lease charges               176       199     420                   
                                                                                
5. Financial income                                                             
  Dividends received                              1       2                     
Foreign exchange gains (net)                            1                     
  Interest received                     26        18      93                    
  Recycling of cash flow hedge                    5       10                    
  accounting reserve (net)                                                      
26        24      106                   
6. Financial expenses                                                           
  Fair value loss on financial asset    7                                       
  Foreign exchange losses (net)         1                                       
Ineffectiveness recognised in the                                             
  income statement arising from                                                 
  cash flow hedges (net)                61        36      103                   
  Interest paid                         904       993     1 981                 
Recycling of cash flow hedge                                                  
  accounting reserve (net)              1                                       
                                        974       1 029   2 084                 
7. Commitments                                                                  
Capital commitments                   1 433     745     1 392                 
  South Africa                          1 310     461     1 213                 
  United Kingdom                        123       284     179                   
  Operating lease commitments           3 089     3 090   3 048                 
South Africa                          1 151     1 312   1 212                 
  United Kingdom                        1 938     1 778   1 836                 
                                                                                
8. Contingent liabilities (guarantees                                           
and surety ships)                                                             
  South Africa                          669       656     645                   
  United Kingdom                        13                                      
                                        682       656     645                   
Condensed segment report                                                        
The Group operates in two geographical regions, South Africa (SA) and the       
United Kingdom (UK). SA has two further segments, Hospital and Emergency        
services and Primary Care, which are separately monitored for decision-making   
purposes. The UK segment results are impacted by fluctuations in the Rand       
relative to the Pound Sterling on translation. The impact of foreign currency   
fluctuations were removed from the UK segment for decision-making purposes.     
                             Unaudited           %       Audited                
six months ended    change                         
                                                         year ended             
                             31 Mar     31 Mar           30 Sep                 
Rm                            2011       2010             2010                  
Income statement                                                                
Revenue                                                                         
South Africa                   6 472      6 014    7.6     12 541               
Hospitals and Emergency                                                         
services                       5 844      5 336    9.5    11 167                
Primary Care                   628        678      (7.4)   1 374                
United Kingdom                 4 920      5 024    (2.1)   9 933                
UK adjusted1                   5 349      5 024    6.5     9 933                
Exchange rate impact           (429)                                            
Group reported                 11 392     11 038   3.2     22 474               
Exchange rate impact           429                                              
Group adjusted1                11 821     11 038   7.1     22 474               
EBITDA                                                                          
South Africa                   1 212      1 035    17.1    2 249                
Hospitals and Emergency                                                         
services                       1 191      1 029   15.7     2 220                
Primary Care                   21         6        250.0   29                   
United Kingdom                 998        1 319   (24.3)   2 571                
UK adjusted1                   1 081      1 319   (18.0)   2 571                
Exchange rate impact           (83)                                             
Capital items                  56         46       21.7    45                   
South Africa                   9          1                (34)                 
UK adjusted1                   52         45               79                   
Exchange rate impact           (5)                                              
Group reported                 2 266      2 400    (5.6)   4 865                
Exchange rate impact          88                                                
Group adjusted1                2 354      2 400    (1.9)   4 865                
Operating profit                                                                
South Africa                   1 021      849      20.3    1 899                
Hospitals and Emergency                                                         
services                       1 013      854      18.6    1 893                
Primary Care                   8          (5)      260.0   6                    
United Kingdom                 621        948     (34.5)   1 764                
UK adjusted1                   670        948     (29.3)   1 764                
Exchange rate impact           (49)                                             
Capital items                  56         46       21.7    45                   
South Africa                   9          1                (34)                 
UK adjusted1                   52         45               79                   
Exchange rate impact           (5)                                              
Group reported                 1 698      1 843    (7.9)   3 708                
Exchange rate impact          54                                                
Group adjusted1                1 752      1 843    (4.9)   3 708                
Net interest expense                                                            
South Africa                   162        200      19.0    367                  
United Kingdom                 716        775      7.6     1 521                
UK adjusted1                   780        775      (0.6)   1 521                
Exchange rate impact           (64)                                             
Group reported                 878        975      9.9     1 888                
Exchange rate impact          64                                                
Group adjusted1                942        975      3.4     1 888                
Statement of financial                                                          
position                                                                        
Debt net of cash                                                                
South Africa                   3 713      4 212    11.8    3 706                
United Kingdom                 20 125     20 650   2.5     20 491               
UK adjusted1                   20 459     20 650   0.9     20 491               
Exchange rate impact           (334)                                            
Group reported                 23 838     24 862   4.1     24 197               
Exchange rate impact          334                                               
Group adjusted1                24 172     24 862   2.8     24 197               
1 The March 2011 UK numbers have been recalculated to remove the impact of      
foreign currency fluctuations since the March 2010 results.                     
Salient features                                                                
                                     Unaudited   Unaudited Audited              
31 Mar      31 Mar    31 Mar               
                                      2011        2010      2010                
Share statistics                                                                
Ordinary shares                                                                 
Shares in issue net of treasury                                                 
shares (million)                       1 277       1 271     1 277              
Weighted average number of shares                                               
(million)                              1 279       1 269     1 271              
Diluted weighted average number of                                              
shares (million)                       1 318       1 318     1 303              
Market price per share (cents)         1 450       1 320     1 384              
Currency conversion guide (R:GBP)                                               
Closing exchange rate                  10.85       11.03     10.93              
Average exchange rate for the period   11.02       12.00     11.63              
Registered office:   76 Maude Street (corner West Street), Sandton              
                    2196,Private Bag X34, Benmore, 2010                         
Executive            RH Friedland (Chief Executive Officer),                    
directors:           VE Firman (Chief Financial Officer),VLJ                    
                    Litlhakanyane                                               
Non-executive        SJ Vilakazi (Chairman), T Brewer, APH Jammine,             
directors:           JM Kahn, MJ Kuscus, HR Levin, KD Moroka,                   
                    MI Sacks, N Weltman                                         
Company Secretary:   L Bagwandeen                                               
Sponsor:             Nedbank Capital, a division of Nedbank Group               
Limited                                                     
Transfer             Link Market Services (Proprietary) Limited,                
secretaries:         11 Diagonal Street, Johannesburg, 2001                     
Investor relations:  ir@netcare.co.za; www.netcareinvestor.co.za                
Date: 16/05/2011 07:05:14 Produced by the JSE SENS Department.                  
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howsoever arising, from the use of SENS or the use of, or reliance on,          
information disseminated through SENS.
Profile Group (Pty) Ltd. has taken care in preparing all information on this website, but does not accept any liability for errors or out-of-date information.
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