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Wed 16 Nov 2011, 17:37 LHC - Life Healthcare Group Holdings Limited - Audited group results and cash
LHC
LHC                                                                             
LHC - Life Healthcare Group Holdings Limited - Audited group results and cash   
distribution for the year ended 30 September 2011                               
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 DISTRIBUTION FOR THE YEAR ENDED 30               
SEPTEMBER 2011                                                                  
Life Healthcare Group                                                           
a world class provider of quality healthcare                                    
Paid patient days (PPDs): +5,4%                                                 
Operating profit: +16,4% to R2 173 million                                      
Revenue: +11,7% to R9 812 million                                               
Normalised earnings per share: +28,7% to 119,3 cents                            
Earnings per share: +91,6% to 123,6 cents                                       
Final distribution: 54 cents                                                    
Total distribution: 85 cents                                                    
Condensed consolidated statement of comprehensive income                        
for the year ended 30 September 2011                                            
                                     12 months         12 months                
                                     30 Sept           30 Sept                  
2011       Change 2010                     
R Million                             Audited    %      Audited                 
Revenue                                9 812     11,7   8 786                   
Other income                           102              94                      
Operating expenses                    (7 838)           (7 023)                 
Gain on remeasuring of fair value of  92                -                       
equity interest before business                                                 
combination                                                                     
Additional payment on previous        5                 -                       
disposed business                                                               
Profit on disposal of business        -                 10                      
Operating profit                       2 173     16,4   1 867                   
Fair value gains/(losses) on                                                    
derivative                                                                      
financial instruments                  14               (26)                    
Finance income                         37               41                      
Finance cost                          (250)             (342)                   
Share of associates` net profit        115              100                     
after tax                                                                       
Profit before tax                      2 089            1 640                   
Tax expense                           (597)             (805)                   
Profit after tax                       1 492     78,7    835                    
Other comprehensive income                                                      
Currency translation differences      2                 (3)                     
Total comprehensive income for the     1 494     79,6    832                    
year                                                                            
Profit after tax attributable to:                                               
Ordinary equity holders of the         1 287     93,8   664                     
parent                                                                          
Non-controlling interest               205              171                     
                                      1 492     78,7   835                      
Total comprehensive income                                                      
attributable to:                                                                
Ordinary equity holders of the         1 288            661                     
parent                                                                          
Non-controlling interest               206              171                     
1 494             832                     
Weighted average shares in issue       1 041             1 029                  
(`000)                                523               883                     
Earnings per share (cents)             123,6     91,6    64,5                   
Headline earnings per share (cents)    119,5     88,2    63,5                   
Diluted earnings per share (cents)     123,6     91,6    64,5                   
Diluted headline earnings per share    119,5     88,2    63,5                   
(cents)                                                                         
Headline earnings                                                               
Profit attributable to ordinary        1 287            664                     
equity holders                                                                  
Headline earnings adjustable items                                              
(net of tax)                                                                    
Impairment of intangible assets        54               -                       
Gain on remeasuring of fair value of  (92)              -                       
equity interest before business                                                 
combination                                                                     
Additional payment on previous        (4)               -                       
disposed business                                                               
Profit on disposal of businesses      -                 (9)                     
Profit on disposal of property,       (1)               (1)                     
plant and equipment                                                             
Headline earnings                      1 244     90,2   654                     
Condensed consolidated statement of financial position                          
for the year ended 30 September 2011                                            
                                               30 Sept   30 Sept                
                                               2011      2010                   
R Million                                       Audited   Audited               
Assets                                                                          
Non-current assets                               6 775     6 194                
Property, plant and equipment                    3 753     3 258                
Intangible assets                                2 296     2 220                
Other non-current assets                         726       716                  
Current assets                                   1 693     1 678                
Other current assets                             1 293     1 196                
Cash and cash equivalents                        400       482                  
TOTAL ASSETS                                     8 468     7 872                
EQUITY AND LIABILITIES                                                          
Capital and reserves                                                            
Capital and reserves                             3 518     2 849                
Non-controlling interests                        867       667                  
TOTAL EQUITY                                     4 385     3 516                
LIABILITIES                                                                     
Non-current liabilities                          2 084     2 566                
Interest-bearing borrowings                      1 565     2 024                
Other non-current liabilities                    519       542                  
Current liabilities                              1 999     1 790                
Other current liabilities                        1 539     1 340                
Current portion of interest-bearing borrowings   460       450                  
TOTAL LIABILITIES                                4 083     4 356                
TOTAL EQUITY AND LIABILITIES                     8 468     7 872                
Condensed consolidated statement of changes in equity                           
for the year ended 30 September 2011                                            
                                 Total                                          
                                 capital    Non-                                
                                 and        controlling  Total                  
R Million                         reserves   interest     equity                
Balance at 1 October 2010         2 849       667         3 516                 
Total comprehensive income for     1 288      206          1 494                
the year                                                                        
Profit for the year                1 287      205          1 492                
Other comprehensive income         1          1           2                     
Transactions with non-controlling 12         -            12                    
interests                                                                       
Non-controlling interests arising -          128          128                   
on business acquisition                                                         
Change in ownership that does not -          16           16                    
result in loss of control                                                       
Distribution to shareholders      (625)      (150)        (775)                 
Treasury shares                   (6)        -            (6)                   
Balance at 30 September 2011      3 518      867          4 385                 
Balance at 1 October 2009          2 320      610          2 930                
Total comprehensive income for     661        171          832                  
the year                                                                        
Profit for the year                664        171          835                  
Other comprehensive income        (3)        -            (3)                   
Share-based payment reserve       75         -            75                    
movement                                                                        
Deferred tax on share-based       20         -            20                    
payment reserve modification                                                    
Transactions with non-controlling (19)       -            (19)                  
interest                                                                        
Capital repayments to non-        -          (28)         (28)                  
controlling interest                                                            
Distribution to shareholders      (530)      (86)         (616)                 
Issue of shares at listing        4 341      -            4 341                 
Share repurchase                  (4 019)    -            (4 019)               
Balance at 30 September 2010      (2 849)    667          3 516                 
Condensed consolidated statement of cash flows                                  
for the year ended 30 September 2011                                            
                                            12 months  12 months                
                                            30 Sept    30 Sept                  
2011       2010                     
R Million                                    Audited    Audited                 
Cash generated from operations                2 562     2 233                   
Income tax paid                              (617)      (396)                   
Net cash inflow from operating activities     1 945      1 837                  
Net cash outflow from investing activities   (688)      (695)                   
Net cash outflow from financing activities   (1 378)    (788)                   
Net (decrease)/ increase in cash and cash    (121)       354                    
equivalents                                                                     
Cash and cash equivalents - beginning of      482        101                    
the year                                                                        
Cash balances acquired through business       39         27                     
combinations                                                                    
Cash and cash equivalents - end of the year   400        482                    
Segmental report                                                                
During the reporting periods all the operating segments operated in Southern    
Africa and therefore no geographical segments are presented.                    
Assets and liabilities are not reviewed on an individual segment basis but      
rather on a Group basis and are therefore not presented.                        
There are no inter-segment revenue streams.                                     
Year ended  Year ended                
                                          30 Sept     30 Sept                   
                                          2011        2010                      
R Million                                  Audited     Audited                  
Operating segments                                                              
Revenue                                                                         
Southern Africa                                                                 
Hospitals                                   9 136       8 140                   
Healthcare Services                         674         636                     
Other                                       2           10                      
Total                                       9 812       8 786                   
Profit before items below                                                       
Southern Africa                                                                 
Hospitals                                   1 917       1 595                   
Healthcare Services                         141         118                     
Other                                       191         161                     
Operating profit before amortisation,       2 249       1 874                   
disposals and impairment of intangible                                          
assets                                                                          
Amortisation of intangible assets           (110)       (122)                   
Impairment of intangible assets             (65)       -                        
Profit on disposal of businesses           -            10                      
Retirement benefit asset                    2           102                     
Post-retirement medical aid                -            3                       
Gain on remeasuring of fair value of       92          -                        
equity interest before business                                                 
combination                                                                     
Additional payment on previous disposed    5           -                        
business                                                                        
Operating profit                           2 173       1 867                    
Fair value gains/(losses) on derivative     14          (26)                    
financial instruments                                                           
Finance income                              37          41                      
Finance costs                               (250)       (342)                   
Share of associate`s net profit after tax   115         100                     
Profit before tax                           2 089       1 640                   
Operating profit before amortisation, disposals and impairment of intangible    
assets include the segment`s share of shared services and rental costs. These   
costs are all at market related rates.                                          
Acquisition of investments                                                      
Increase in ownership interest in subsidiaries as a result of non-controlling   
interest transactions                                                           
The Group had marginal increases in its shareholding in subsidiary companies.   
Decrease in ownership interest in subsidiaries as a result of non-controlling   
interest transactions                                                           
The Group disposed of a marginal percentage of its holding in subsidiary        
companies to non-controlling interest.                                          
The Group still maintained control over the subsidiary entities after the       
decrease in ownership interest.                                                 
Business combinations                                                           
On 1 August 2011, the Group acquired additional 12.5% interest in Middelburg    
Private Hospital (Proprietary) Limited and Middelburg Hospital Ltd (collectively
"Midmed") to obtain control over these entities. The Group previously had an    
interest of 45% in Midmed which were previously accounted for as an associate.  
Midmed had no significant contingent liabilities at the acquisition date.       
From the date of acquisition, Midmed contributed to revenue of R33 million and  
net profit of R8 million in the statement of comprehensive income.              
                                                          2011                  
The following presents the impact on the consolidated                           
information of the Group as if the business combination                         
took place 1 October:                                                           
Revenue                                                     187                 
Net profits                                                 17                  
Details of the net assets acquired and goodwill are as                          
follows:                                                                        
Purchase consideration                                                          
Total purchase consideration                                173                 
Cash portion                                                 38                 
Fair value of equity interest in Midmed held before the     135                 
business combination                                                            
Fair value of net assets acquired                                               
Fair value of net assets acquired                           (271)               
Fair value of non-controlling interest recognised           128                 
Goodwill                                                    30                  
The fair value of the assets and liabilities arising from the acquisition were  
as follows:                                                                     
Aquiree                 
                                                        carrying                
                                            Fair value  amount                  
R Million                                    2011        2011                   
Cash and cash equivalents                     39          39                    
Inventories                                   2           2                     
Trade and other receivables                   22          22                    
Property, plant and equipment                 75          75                    
Trade and other payables                      (8)         (8)                   
Loan accounts                                 (3)         (3)                   
Current income tax liability                  (7)         (7)                   
Deferred tax                                  (56)        2                     
Fair value of intangible assets acquired -    207        -                      
Hospital license                                                                
                                             271         122                    
Goodwill on the acquisition of Midmed relates to the excess of the purchase     
consideration over the  fair value of the assets and liabilities acquired       
including amounts paid for the expected synergies and anticipated profitability 
of the business acquired.                                                       
None of the goodwill recognised is expected to be deductible for income tax     
purposes.                                                                       
The non-controlling interest associated with the unlisted Midmed acquisition was
measured at fair value. This fair value was determined by using the discounted  
cash flow method with the key inputs being the discount rate and the expected   
future growth rates.                                                            
The Group recognised a gain of R92 million as a result of remeasuring at fair   
value its 45% equity interest in Midmed before the business combination.        
Acquisition related costs amounted to R0,4 million and were expensed in the     
statement of comprehensive income in other expenses.                            
Basis of presentation and accounting policies                                   
These consolidated condensed financial results have been prepared in accordance 
with IAS 34, "Interim Financial Reporting" and the AC 500 standards as issued by
the Accounting Practices Board and in the manner required by the Companies Act  
of South Africa and the JSE Listing 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 2011. The          
consolidated condensed financial statements should be read in conjunction with  
the annual financial statements for the year ended 30 September 2011 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.                                             
These financial results have been prepared under the supervision of Roger       
Hogarth (CA)(SA), the Chief Financial Officer of the Group.                     
Report of the independent auditor                                               
These results have been audited by PricewaterhouseCoopers Inc, registered       
auditors. Their unqualified audit 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 of growth,    
efficiency and sustainability. Activities as measured by hospital paid patient  
days (PPDs), increased by 5,4% as a result of additional hospital beds,         
particularly Life Bay View, Life Glynnview and brownfield projects combined with
the increased demand for hospital services due to:                              
- the high incidence of disease together with a growing and aging medical aid   
population; and preferred network arrangements.                                 
Financial performance                                                           
Group revenue increased by 11,7% to R9 812 million (2010: R8 786 million).      
Hospital division revenue increased by 12,2% to R9 136 million (2010: R8 140    
million) driven by the 5,4% increase in PPDs and a higher revenue per PPD of    
6,3%. Healthcare Services revenues increased by 6,0% to R674 million (2010: R636
million). Life Esidimeni revenue was flat as the business stabilised in 2011    
after the completion of two contracts in 2010 and Life Occupational experienced 
a very good year as a result of new contracts and the selling of additional     
services to existing clients.                                                   
The Group continues to focus on driving efficiencies across the business to     
ensure services remain affordable and to improve margins. The alternative re-   
imbursement model (ARM) provides an incentive to actively manage input costs,   
which together with higher occupancies of 71,0% (2010: 69,5%) allowed the Group 
to leverage efficiencies across it`s fixed cost base resulting in an operating  
profit increase of 16,4% to R2 173 million (2010: R1 867 million).              
A key management measure which is a non-IFRS measure of business performance is 
normalised EBITDA (Life Healthcare defines normalised EBITDA as operating profit
plus depreciation, amortisation of intangible assets, impairment of goodwill as 
well as excluding profit/loss and fair value adjustments on disposal of         
businesses, surpluses/deficits on retirement benefits and the accelerated       
employee trust charge) which increased by 17,3% to R2 548 million (2010: R2 173 
million).                                                                       
                                        30 Sept    30 Sept                      
R Million                                2011       2010                        
Normalised EBITDA                                                               
Operating profit                          2 173      1 867                      
Profit on disposal of businesses         -           (10)                       
Additional payment on previous disposed  (5)        -                           
business                                                                        
Gain on remeasuring of fair value of      (92)      -                           
equity interest before business                                                 
combination                                                                     
Depreciation on property, plant and       299        263                        
equipment                                                                       
Impairment of intangible assets           65        -                           
Amortisation of intangible assets         110        122                        
Employee Trust accelerated charge        -           36                         
Retirement benefit asset movement         (2)        (102)                      
Post-retirement medical aid movement     -           (3)                        
Normalised EBITDA                         2 548      2 173                      
Normalised EBITDA as % of turnover       26,0%      24,7%                       
Cash flow                                                                       
The business generated healthy cash flows. Streamlined administrative processes 
contributed to a tight working capital management resulting in cash generated   
from operations before interest and taxes increasing by 14,7% to R2 562 million 
(2010: R2 233 million).                                                         
Financial position                                                              
The group is in a strong financial position with low gearing. Net debt to       
normalised Ebitda was 0,66 as of 30 September 2011. This low gearing provides   
the Group with the financial flexibility to continue to invest and also to      
complete it`s proposed Max Healthcare and Joint Medical Holdings Limited (JMH)  
transactions.                                                                   
Earnings per share (EPS), headline earnings per share (HEPS) and normalised     
earnings per share                                                              
The earnings on a normalised basis, which excludes non trading related items as 
set out below, increased by 28,7% to 119,3 cps (2010: 92,7 cps) and excluding   
the amortisation of intangibles by 25,4% to 126,9 cps (2010: 101,2 cps). This   
was largely due to the lower net financing costs following the re-financing of  
the Group`s debt during 2010 and costs associated with the 2010 listing         
including STC.                                                                  
                                   30      Change    30 Sept                    
Sept                                         
R Million                           2011    %         2010                      
Normalised earnings                                                             
Profit attributable to ordinary      1 287             664                      
equity holders                                                                  
Adjustments (net of tax):                                                       
Profit on disposal of businesses    -                  (9)                      
Additional payment on previous      (4)               -                         
disposed business                                                               
Gain on remeasuring of fair value    (92)             -                         
of equity interest before business                                              
combination                                                                     
Impairment of intangible assets      54               -                         
STC on listing                      -                  322                      
Employee Trust accelerated charge   -                  36                       
Retirement funds                     (2)               (76)                     
Listing cost                        -                  17                       
Normalised earnings                  1 243  30,3       954                      
Amortisation of intangible assets    79                88                       
Normalised earnings excluding        1 322  26,9       1 042                    
amortisation                                                                    
Normalised EPS (cents)               119,3  28,7       92,7                     
Normalised EPS - excluding           126,9  25,4      101,2                     
amortisation (cents)                                                            
Distributions                                                                   
The Company has revised its distribution policy. The distribution will be       
determined taking into account the trading results, financial position,         
commitments to third-parties and the requirements in respect of the business    
plans and investment opportunities, subject to the JSE Listings Requirements.   
The intention is to consider distributions twice annually. The board has        
approved a distribution to shareholders of 54 cents per share (2010 - 29 cents) 
consisting of a dividend of 18 cents per share (2010 - 29 cents) and a          
distribution of capital out of share premium of 36 cents per share.             
In compliance with the requirements of the JSE Limited, the following dates are 
applicable:                                                                     
Last day to trade cum the distribution  Friday, 2 December 2011                 
Trading ex the distribution commences   Monday, 5 December 2011                 
Record date                             Friday, 9 December 2011                 
Payment date                            Monday, 12 December 2011                
No share certificates may be dematerialised  Monday, 5 December 2011 and or     
rematerialised between (both days inclusive) Friday, 9 December 2011            
Capital expenditure                                                             
During 2011, Life Healthcare invested R780 million (2010: R813 million)         
comprising capital projects of R740 million (2010: R516 million) including the  
purchase of various hospital properties for R140 million and the business       
acquisitions R40 million (2010: R297 million).                                  
A further R686 million, excluding acquisitions, has been allocated for capital  
expenditure projects in the 2012 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.                                     
Changes to board of directors                                                   
LZ Brozin and CWJ Lyons resigned as Alternate Directors on 17 December 2010. PN 
Boynton resigned as Alternate Director on 1 March 2011. Dr JPF Dalmeyer and YZ  
Cuba retired as Non-Executive Directors on 27 January 2011. KM Gordhan, JK      
Netshitenzhe and FA du Plessis were appointed as Independent Non-Executive      
Directors on 30 November 2010.                                                  
Outlook                                                                         
Growth                                                                          
The group will continue to focus on its growth objectives in South Africa:      
- Developing the breadth and depth of the Group`s existing hospital network,    
through brownfield expansions                                                   
- Expanding our coverage and penetration in the South African market through    
acquisitions, new builds and new lines of business.                             
The Group aims to add on an additional 350 beds in 2012.                        
Efficiency                                                                      
The Group will continue to focus on driving operational efficiencies, cost of   
sales procurement and management and increasing hospital occupancies to enable  
the leveraging of the fixed cost base.                                          
Sustainability                                                                  
The Group will continue to focus on and expand it`s quality management programme
which is a comprehensive, consistently applied and measured programme which     
benchmarks clinical interventions against international best practice with the  
aim of enhancing patient outcomes. In addition the Group recognises the shortage
of healthcare skills and will continue to invest heavily in the training of     
doctors, nurses and pharmacists. In connection with the development of          
healthcare policy and proposed healthcare reforms the Group will continue to    
actively engage with the South African government.                              
On behalf of the board                                                          
Professor Jakes Gerwel            Michael Flemming                              
Chairman                          Chief Executive Officer                       
16 November 2011                                                                
Executive Directors: CMD Flemming (Chief Executive Officer), RJ Hogarth (Chief  
Financial Officer)                                                              
Non-executive Directors: Prof GJ Gerwel (Chairman), MA Brey, KM Gordhan, JK     
Netshitenzhe, FA du Plessis, 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                                                                 
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 see: www.lifehealthcare.co.za                              
Illovo                                                                          
16 November 2011                                                                
Sponsor                                                                         
RAND MERCHANT BANK (A division of FirstRand Bank Limited)                       
Date: 16/11/2011 17:37:00 Produced by the JSE SENS Department.                  
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