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Fri 11 May 2012, 7:05 LHC - Life Healthcare Group Holdings Limited - Unaudited group results and
LHC
LHC                                                                             
LHC - Life Healthcare Group Holdings Limited - Unaudited group results and      
cash dividend for the six month period ended 31 March 2012                      
LIFE HEALTHCARE GROUP HOLDINGS LIMITED                                          
Incorporated in the Republic of South Africa                                    
Registration number: 2003/002733/06                                             
Income Tax number: 9557/379/154                                                 
ISIN: ZAE000145892                                                              
Share Code: LHC                                                                 
("Life Healthcare" or "the Company")                                            
UNAUDITED GROUP RESULTS AND CASH DIVIDEND FOR THE SIX MONTH PERIOD ENDED 31     
MARCH 2012                                                                      
Paid patient days (PPDs): +6,0%                                                 
Revenue: +11,7% to R5 271 million                                               
Normalised EBITDA: +17,5% to R1 370 million                                     
Operating profit: +22,4% to R1 208 million                                      
Normalised earnings per share: +21,9% to 62,3 cents                             
Interim dividend: 45 cents                                                      
Condensed consolidated statement of comprehensive income                        
                        6 months            6 months   12 months                
31 March            31 March   30 Sept                  
                        2012        Change  2011       2011                     
R Million                Unaudited   %       Unaudited  Audited                 
Revenue                   5 271      11,7    4 718       9 812                  
Other income             50                  50          102                    
Operating expenses       (4 144)             (3 785)    (7 838)                 
(Loss)/Gain on           (3)                  -         92                      
remeasuring of fair                                                             
value of equity                                                                 
interest before                                                                 
business combination                                                            
Additional receipt on    2                    -         5                       
previous disposed                                                               
business                                                                        
Profit on disposal of    32                  4           -                      
businesses                                                                      
Operating profit          1 208      22,4     987        2 173                  
Fair value gain on       8                   8           14                     
derivative financial                                                            
instruments                                                                     
Finance income           10                  30          37                     
Finance cost             (119)               (144)      (250)                   
Share of associates`     47                  56          115                    
net profit after tax                                                            
Profit before tax        1 154               937         2 089                  
Tax expense              (346)               (297)      (597)                   
Profit after tax          808        26,3     640        1 492                  
Other comprehensive                                                             
income, net of tax                                                              
Currency translation     (2)                 (1)        2                       
differences                                                                     
Total comprehensive       806        26,1     639        1 494                  
income for the period                                                           
Profit after tax                                                                
attributable to:                                                                
Ordinary equity holders   690        25,0    552         1 287                  
of the parent                                                                   
Non-controlling           118                88          205                    
interest                                                                        
                         808        26,3     640        1 492                   
Total comprehensive                                                             
income attributable to:                                                         
Ordinary equity holders   689                551         1 288                  
of the parent                                                                   
Non-controlling           117                88          206                    
interest                                                                        
                         806        26,1     639        1 494                   
Total shares in issue    1 042 210           1 042 210  1 042 210               
(`000)                                                                          
Weighted average shares   1 040 833           1 042 210  1 041 523              
in issue (`000)                                                                 
Diluted number of         1 041 057           1 042 210  1 041 523              
shares (`000)                                                                   
Earnings per share        66,3       25,1     53,0       123,6                  
(cents)                                                                         
Headline earnings per     63,8       21,3     52,6       119,5                  
share (cents)                                                                   
Diluted earnings per      66,3       25,1     53,0       123,6                  
share (cents)                                                                   
Diluted headline          63,8       21,3     52,6       119,5                  
earnings per share                                                              
(cents)                                                                         
Headline earnings                                                               
Profit attributable to    690                552         1 287                  
ordinary equity holders                                                         
Headline earnings                                                               
adjustable items (net                                                           
of tax)                                                                         
Impairment of             -                   -          54                     
intangible assets                                                               
Loss/(Gain)on            3                    -         (92)                    
remeasuring of fair                                                             
value of equity                                                                 
interest before                                                                 
business combination                                                            
Additional receipt on    (2)                  -         (4)                     
previous disposed                                                               
business                                                                        
Profit on disposal of    (27)                (3)         -                      
businesses                                                                      
Profit on disposal of     -                   -         (1)                     
property, plant and                                                             
equipment                                                                       
Headline earnings        665         21,1    549         1 244                  
Condensed consolidated statement of financial position                          
                                  31 March    31 March   30 Sept                
                                  2012        2011       2011                   
R Million                          Unaudited   Unaudited  Audited               
Assets                                                                          
Non-current assets                  7 582       6 266      6 775                
Property, plant and equipment       3 791       3 346      3 753                
Intangible assets                   2 242       2 164      2 296                
Other non-current assets1           1 549       756        726                  
Current assets                      1 771       1 624      1 693                
Other current assets                1 558       1 360      1 293                
Cash and cash equivalents           213         264        400                  
TOTAL ASSETS                        9 353       7 890      8 468                
EQUITY AND LIABILITIES                                                          
Capital and reserves                                                            
Capital and reserves                3 629       3 102      3 518                
Non-controlling interests           878         686        867                  
TOTAL EQUITY                        4 507       3 788      4 385                
LIABILITIES                                                                     
Non-current liabilities             2 685       2 292      2 084                
Interest-bearing borrowings2        2 213       1 786      1 565                
Other non-current liabilities       472         506        519                  
Current liabilities                 2 161       1 810      1 999                
Other current liabilities           1 402       1 346      1 539                
Current portion of interest-        474         464        460                  
bearing borrowings                                                              
Bank overdraft                     285          -          -                    
TOTAL LIABILITIES                   4 846       4 102      4 083                
TOTAL EQUITY AND LIABILITIES        9 353       7 890      8 468                
1 The increase includes the investment made in Max Healthcare during the        
current period.                                                                 
2 The increase includes the new funding regarding the acquisition of Max        
Healthcare during the current period.                                           
Condensed consolidated statement of changes in equity                           
for the period ended 31 March 2012                                              
                                 Total                                          
capital    Non-                                
                                 and        Controlling  Total                  
R Million                         reserves   Interest     equity                
Balance at 1 October 2011         3 518      867          4 385                 
Total comprehensive income for    689        117          806                   
the year                                                                        
Profit for the year               690        118          808                   
Other comprehensive income        (1)        (1)          (2)                   
Share-based payment reserve       7           -           7                     
movement                                                                        
Non-controlling interests arising  -         2            2                     
on business acquisition                                                         
Distribution to shareholders      (562)      (108)        (670)                 
Treasury shares                   (23)        -           (23)                  
Balance at 31 March 2012          3 629      878          4 507                 
Balance at 1 October 2010          2 849      667          3 516                
Total comprehensive income for     551        88           639                  
the year                                                                        
Profit for the year                552        88           640                  
Other comprehensive income        (1)         -           (1)                   
Transactions with non-controlling 4           -           4                     
interests                                                                       
Distribution to shareholders      (302)      (69)         (371)                 
Balance at 31 March 2011          3 102      686          3 788                 
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 interest 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                 
Condensed consolidated statement of cash flows                                  
                                6 months    6 months   12 months                
31 March    31 March   30 Sept                  
                                2012        2011       2011                     
R Million                        Unaudited   Unaudited  Audited                 
Cash generated from operations    1 003      1 069      2 562                   
Tax paid                         (375)       (301)      (617)                   
Net cash inflow from operating    628         768        1 945                  
activities                                                                      
Net cash outflow from investing  (909)       (207)      (688)                   
activities1                                                                     
Net cash outflow from financing  (193)       (779)      (1 378)                 
activities2                                                                     
Net decrease in cash and cash    (474)       (218)      (121)                   
equivalents                                                                     
Cash and cash equivalents -       400         482        482                    
beginning of the year                                                           
Cash balances acquired through    2           -          39                     
business combinations                                                           
Cash and cash equivalents - end  (72)         264        400                    
of the year                                                                     
1 The increase includes the investment made in Max Healthcare during the        
current period.                                                                 
2 The decrease includes the new funding regarding the acquisition of Max        
Healthcare during the current period.                                           
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.                                     
                                6 months    6 months   12 months                
                                31 March    31 March   30 Sept                  
                                2012        2011       2011                     
R Million                        Unaudited   Unaudited  Audited                 
Operating segments                                                              
Revenue                                                                         
Southern Africa                                                                 
Hospitals                         4 905       4 393      9 136                  
Healthcare Services               365         324        674                    
Other                             1           1          2                      
Total                             5 271       4 718      9 812                  
Profit before items below                                                       
Southern Africa                                                                 
Hospitals                         1 040       859        1 917                  
Healthcare Services               71          68         141                    
Other                             100         93         191                    
Operating profit before           1 211       1 020      2 249                  
amortisation, disposals and                                                     
impairment of intangible assets                                                 
Amortisation of intangible        (57)        (60)       (110)                  
assets                                                                          
Impairment of intangible assets   -           -          (65)                   
Profit on disposal of businesses  32          4          -                      
Retirement benefit asset          21          20         2                      
movement                                                                        
Post-retirement medical aid       2           3          -                      
movement                                                                        
(Loss)/Gain on remeasuring of     (3)         -          92                     
fair value of equity interest                                                   
before business combination                                                     
Additional receipt on previous    2           -          5                      
disposed business                                                               
Operating profit                  1 208       987        2 173                  
Fair value gain on derivative     8           8          14                     
financial instruments                                                           
Finance income                    10          30         37                     
Finance costs                     (119)       (144)      (250)                  
Share of associates` net profit   47          56         115                    
after tax                                                                       
Profit before tax                 1 154       937        2 089                  
Operating profit before amortisation, disposals and impairment of intangible    
assets includes 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 a marginal increase in its interest in Little Company of Mary     
Trust.                                                                          
Acquisition of shareholding in Max Healthcare Institute Limited, India (Max     
Healthcare)                                                                     
On 23 January 2012, the Group acquired a 26% shareholding in Max Healthcare     
for a cash investment of R823 million. This is funded through a long-term       
finance agreement of R820 million.                                              
Decrease of ownership interest in subsidiaries as a result of non-controlling   
interest transactions                                                           
The Group disposed of a marginal percentage of its holding in a subsidiary      
company to a non-controlling interest, maintaining control.                     
Disposal of investments                                                         
Disposal of associates                                                          
On 1 December 2011, the Group disposed of its 50% interest in Occuli Trust      
and Bloemfontein Eye Clinic.                                                    
Disposal of subsidiary                                                          
On 1 March 2012, the Group disposed of its total interest in Birchmed Day       
Clinic Partnership and property.                                                
Basis of presentation and accounting policies                                   
These condensed consolidated interim financial statements for the six months    
ended 31 March 2012 have been prepared in accordance with IAS 34, "Interim      
Financial Reporting" and in the manner required by the Companies Act of South   
Africa and Section 8.57 of the JSE Listings Requirements. The condensed         
consolidated interim 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).                                                               
The accounting policies applied are consistent with those applied in            
preparation of the annual financial statements for the year ended 30            
September 2011, unless otherwise stated.                                        
Costs that occur unevenly during the year are anticipated or deferred in the    
interim report only if it would also be appropriate to anticipate or defer      
such costs at the end of the financial year.                                    
These interim financial results have been prepared under the supervision of     
RJ Hogarth (CA)(SA), the Chief Financial Officer of the Group.                  
Unaudited results                                                               
The results for the period to 31 March 2012 have not been reviewed or audited   
by the Group`s auditors.                                                        
Commentary                                                                      
Overview                                                                        
Life Healthcare continued to grow 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 6,0% as a result of an increased demand for   
hospital services due to high incidence of disease together with a growing      
and aging medical aid population and preferred network arrangements.            
Additional beds have been added to the business to cater for this additional    
demand including the opening of Life Glynnview (Mental Health) in April 2011,   
the acquisition of Life Midmed in August 2011, the opening of Life Vincent      
Palotti Rehabilitation in September 2011 and the addition of 154 beds in the    
current period including the opening of Life Piet Retief Hospital and Life St   
Josephs (Mental Health).                                                        
The total number of registered beds at 31 March 2012 is 8 212.                  
The Max Healthcare India investment of R823 million resulted in a 26%           
shareholding.                                                                   
Life Healthcare continued to improve on its clinical quality metrics during     
the period under review resulting in an improvement in its hospital acquired    
infection rate.                                                                 
Financial performance                                                           
Group revenue increased by 11,7% to R5 271 million (2011: R4 718 million).      
Hospital division revenue increased by 11,7% to R4 905 million (2011: R4 393    
million) driven by the 6,0% increase in PPDs and higher revenue per PPD of      
5,2%. Healthcare Services revenue increased by 12,7% to R365 million (2011:     
R324 million). Life Esidimeni revenue grew in line with inflation while Life    
Occupational concluded new contracts and provided additional services to        
existing clients.                                                               
The Group continues to focus on efficiencies across the business to ensure      
services remain affordable. The alternative reimbursement model (ARM)           
provides an incentive to actively manage input costs, which together with       
slightly higher occupancies of 70,3% (2011: 69,5%) allowed the Group to         
leverage efficiencies across the existing base resulting in an operating        
profit increase of 22,4% to R1 208 million (2011: 987 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      
intangible assets as well as excluding profit/loss and fair value adjustments   
on disposal of businesses and surpluses/deficits on retirement benefits)        
which increased by 17,5% to R1 370 million (2011: R1 166 million).              
                                6 months    6 months   12 months                
                                31 March    31 March   30 Sept                  
                                2012        2011       2011                     
R Million                        Unaudited   Unaudited  Audited                 
Normalised EBITDA                                                               
Operating profit                  1 208       987        2 173                  
Profit on disposal of business    (32)        (4)        -                      
Additional payment on previous    (2)         -          (5)                    
disposed business                                                               
(Loss)/Gain on remeasuring of     3           -          (92)                   
fair value of equity interest                                                   
before business combination                                                     
Depreciation on property, plant   160         146        299                    
and equipment                                                                   
Impairment of intangible assets   -           -          65                     
Amortisation of intangible        57          60         110                    
assets                                                                          
Retirement benefit asset          (21)        (20)       (2)                    
movement                                                                        
Post-retirement medical aid       (2)         (3)        -                      
movement                                                                        
Normalised EBITDA                1 370       1 166      2 548                   
Normalised EBITDA as % of        26,0%       24,7%      26,0%                   
turnover                                                                        
Cash flow                                                                       
The business generated solid cash flows, however, weak collections of           
government related debt, contributed to a decrease of 6,2% in cash generated    
from operations to R1 003 million (2011: R1 069 million).                       
Financial position                                                              
The Group is in a strong financial position with a low gearing at Net debt to   
normalised EBITDA of 0,97 as of 31 March 2012 after the Max Healthcare          
investment. The Group has the financial flexibility to continue investing in    
the growth of the business.                                                     
Normalised earnings per share                                                   
The earnings on a normalised basis, which excludes non-trading related items    
as set out below, increased by 21,9% to 62,3 cps (2011: 51,1 cps) and           
excluding the amortisation of intangibles by 19,9% to 66,2 cps (2011: 55,2      
cps).                                                                           
6 months            6 months 12 months                                          
31 March            31 March   30 Sept                
                          2012       %        2011       2011                   
R Million                  Unaudited  Change   Unaudited  Audited               
Normalised earnings                                                             
Profit attributable to      690                 552        1 287                
ordinary equity holders                                                         
Adjustments (net of tax):                                                       
Profit on disposal of       (27)                (3)        -                    
businesses                                                                      
Additional payment on       (2)                 -          (4)                  
previous disposed                                                               
business                                                                        
Loss/(Gain) on              3                   -          (92)                 
remeasuring of fair value                                                       
of equity interest before                                                       
business combination                                                            
Impairment of  intangible   -                   -          54                   
assets                                                                          
Retirement funds            (16)                (17)       (2)                  
Normalised earnings         648                 532        1 243                
Amortisation of             41                  43         79                   
intangible assets (net of                                                       
tax)                                                                            
Normalised earnings         689                 575        1 322                
(excluding amortisation                                                         
of intangible assets)                                                           
Normalised EPS (cents)      62,3      21,9      51,1       119,3                
Normalised EPS -            66,2      19,9      55,2       126,9                
excluding amortisation                                                          
(cents)                                                                         
Dividend to shareholders                                                        
Notice is hereby given that the directors have declared an interim cash         
dividend of 45 cents per ordinary share (2011: 31 cents per ordinary share)     
out of income reserves in respect of the six months to 31 March 2012. The       
Group has utilised STC credits amounting to 9.877 cents per share. The          
balance of the dividend will be subject to a dividend withholding tax at a      
rate of 15%, which will result in a net dividend of 39.732 cents per share to   
those shareholders who are not exempt in terms of section 64F of the Income     
Tax Act.                                                                        
The issued share capital at the declaration date is 1 042 209 750 ordinary      
shares. The salient dates for the dividend will be as follows:                  
Last day to trade cum the distribution         Friday, 1 June 2012              
Trading ex dividend commences                  Monday, 4 June 2012              
Record date                                    Friday, 8 June 2012              
Payment date                                   Monday,11 June 2012              
Share certificates may not be dematerialised or rematerialised between          
Monday, 4 June 2012 and Friday, 8 June 2012, both days inclusive.               
Capital expenditure                                                             
During the current period, Life Healthcare invested R1 033 million (2011:       
R235 million) including capital projects of R199 million (2011: R235 million)   
and the Max Healthcare India investment of R823 million. The board has          
approved a capital expenditure budget of R686 million for the financial year    
and capital expenditure of R440 million has been approved as at 31 March        
2012. This investment in the Group`s facilities is to ensure that the demand    
for services is met and the Group remains abreast of modern technology and      
standards.                                                                      
An additional 141 beds are projected to be commissioned in the second six       
months.                                                                         
Changes to board of directors                                                   
There have been no changes to the board of directors during the period ended    
31 March 2012.                                                                  
Outlook                                                                         
Subject to the current economic conditions prevailing for the rest of the       
financial year, the Group expects continued growth in earnings.                 
Growth                                                                          
The Group will continue to focus on its growth objectives in South Africa by    
adding additional beds through brownfield expansion and mental healthcare,      
including the 80 bed Life Poortview mental health facility in Gauteng. Life     
Healthcare will assist Max Healthcare to improve its business operations.       
Efficiency                                                                      
The Group will continue to focus on driving operational efficiencies in South   
Africa through; cost of sales, procurement, streamlined administrative          
processes; the re-engineering of certain IT systems and improving hospital      
occupancies to enable the leveraging of the fixed cost base.                    
Sustainability                                                                  
The Group will continue to focus on and expand its 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.   
Thanks                                                                          
The contribution of the doctors, nurses and employees of Life Healthcare have   
greatly enhanced the quality of our performance.  For their effort, we extend   
our thanks.                                                                     
Approved by the board of directors on 10 May 2012 and signed on its behalf:     
Professor Jakes Gerwel             Michael Flemming                             
Chairman                           Chief Executive Officer                      
10 May 2012                                                                     
Executive Directors: CMD Flemming (Chief Executive Officer),                    
RJ Hogarth (Chief Financial Officer)                                            
Non-executive Directors: Prof GJ Gerwel (Chairman), MA Brey,                    
FA du Plessis, PJ Golesworthy, KM Gordhan, LM Mojela, TS Munday JK              
Netshitenzhe, MP Ngatane, GC Solomon                                            
Company Secretary: F Patel                                                      
Registered office: Oxford Manor, 21 Chaplin Road, Illovo.                       
Private Bag X13, Northlands 2116                                                
Sponsors: RAND MERCHANT BANK (a division of FirstRand Bank Limited)             
Note regarding forward-looking statements: The Company advises investors that   
any forward-looking statements or projections made by the Company, including    
those made in this announcement, are subject to risk and uncertainties that     
may cause actual results to differ materially from those projected.             
For more information see: www.lifehealthcare.co.za                              
Illovo                                                                          
10 May 2012                                                                     
Sponsor                                                                         
RAND MERCHANT BANK (A division of FirstRand Bank Limited)                       
Date: 11/05/2012 07:05:01 Produced by the JSE SENS Department.                  
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