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Mon 14 May 2012, 8:00 NTC - Netcare Limited - Unaudited Results for the 6 months ended 31 March 2012
NTC
NTC                                                                             
NTC - Netcare Limited - Unaudited Results for the 6 months ended 31 March 2012  
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                                                         
Commentary                                                                      
Overview                                                                        
A positive performance in South Africa (SA) was offset by weaker results in the 
United Kingdom (UK) primarily due to the challenging economic environment.      
Adjusted headline earnings per share (HEPS) increased 16.1% to 51.9 cents for   
the period under review. Operational efficiency and implementing business       
improvement plans were again key focus areas for the Group.                     
Group financial review                                                          
Financial performance                                                           
Revenue in both SA and the UK grew in their respective local currencies with    
total revenue rising 11.1% to R12 654 million. Currency conversion favourably   
impacted Group revenue by R630 million. Group operating profit increased 7.1% to
R1 818 million, while the operating profit margin declined from 14.9% to 14.4%  
due to lower margins in the UK.                                                 
Net financial expenses increased R25 million to R973 million. This was driven by
the higher average exchange rate on UK borrowing costs, as well as a non-cash   
charge of GBP8.1 million or R100 million (2011:      GBP5.4 million or R60      
million) on the ineffective portion of the fair value adjustment on UK interest 
rate swaps. Cash-based net financial expenses in the UK declined by GBP2.1      
million due to scheduled amortisation of debt balances, and the settlement of   
debt related       to two hospital properties sold in the prior year. In SA, net
financial expenses declined by R81 million and interest cover improved to a     
healthy 11.8 times (2011: 6.4 times).                                           
Group tax of R164 million represented an effective tax rate of 18.9% (2011:     
7.2%) and included R47 million of secondary tax on companies (STC) arising from 
dividends paid. No STC was paid in the comparative period as distributions took 
the form of capital reductions out of share premium. The Group tax charge was   
favourably impacted by a deferred tax release of R163 million (2011: R155       
million) in the UK, after a 1% reduction in the UK tax rate to 24%.             
Financial position and cash flow                                                
During the period under review, Netcare acquired a contractual economic interest
in the debt of the UK operating company (OpCo). The transaction value of the    
affected debt was at a 29.7% discount to its par value of GBP64.7 million. The  
economic benefit of the transaction totalling     GBP25.3 million, inclusive of 
interest receivable, will be recognised    in financial income over the         
remaining debt term, with a benefit of   GBP3.8 million (R48 million) accounted 
for in this reporting period.                                                   
Net debt rose to R25 974 million from R25 689 million at 30 September 2011. In  
SA, net debt increased to R4 218 million from R3 303 million at 30 September    
2011 due to the funding of normal seasonal working capital requirements, capital
expenditure, tax and dividend payments, as well as R582 million (GBP45.5        
million) used to acquire the economic interest in the UK OpCo debt. In the UK,  
debt was lowered further through scheduled debt amortisation payments of GBP19.5
million. The UK`s half-year cash balances of GBP123.1 million (2011: GBP89.9    
million) were a half-year record, despite declining from GBP130.6 million at 30 
September 2011 due to normal seasonal cash requirements.                        
Cash generated from operations was R212 million less than in the previous       
period. This was mainly due to the settlement of higher levels of payables on   
the statement of financial position at 30 September 2011, related to capital    
expenditure and the economic interest in UK OpCo debt. Debtor collections for   
the current period were marginally affected by the close of the period falling  
on a weekend. Working capital remained tightly controlled across both           
geographies.                                                                    
Capital expenditure was R570 million (including intangible assets), compared to 
R461 million in the prior period.                                               
Divisional review                                                               
South Africa                                                                    
Revenue grew 7.9% to R6 983 million and operating profit rose 12.1% to R1 145   
million. Earnings before interest, tax, depreciation and amortisation (EBITDA)  
margin increased to 19.6% from 18.7% in 2011. The EDITDA margin has increased   
310 basis points from 16.5% in 2009. SA HEPS increased 18.4% to 54.1 cents.     
Cash generated from operations, affected by higher seasonal working capital     
requirements and fell from R949 million in the comparative period to R657       
million for the current period. Capital expenditure including intangible assets 
totalled R378 million (2011: R242 million).                                     
Our Public Private Partnership (PPP) with the Government of Lesotho is fully    
operational. The PPP will operate the newly built 425-bed Queen `Mamohato       
Hospital and four primary care clinics for 18 years. We are confident that this 
innovative integrated approach to healthcare delivery will deliver improved     
clinical outcomes and a sustainable operating performance.                      
Netcare was recognised at the Metropolitan Oliver Empowerment Awards for Supply 
Chain, Community Development and New Black Business Development. In the         
Financial Mail`s Top Empowerment Companies Survey for 2012, Netcare was ranked  
the most empowered company in the JSE`s healthcare sector for the fourth        
consecutive year. Accelerating transformation is one of our strategic pillars   
and we are humbled that our efforts to assist in normalising our nation have    
been so consistently recognised.                                                
Hospitals and Emergency services                                                
Revenue from Hospitals and Emergency services grew 8.3% to R6 327 million, and  
EBITDA rose 11.2% to R1 324 million. The division grew patient days by 1.8%,    
while revenue per patient day increased 5.9%.                                   
The total number of beds increased from 9 052 to 9 143 during the six months    
under review. Major expansion projects completed include building projects at   
Netcare Mulbarton (30 surgical and six neo-natal intensive care unit (ICU)      
beds), Netcare Kingsway (23 medical and 12 surgical beds) and Netcare The Bay   
(18 medical and 14 ICU beds). Current projects include Netcare Montana (46 beds)
and Netcare Linmed (31 beds). In addition to expanding our ability to service   
the escalating demand for healthcare, a portion of our capital investment is    
focused on upgrading and replacing existing equipment, in line with our         
commitment to quality patient care.                                             
According to Stats SA, hospital inflation in 2010 and 2011 was 7.0% and 5.5%    
respectively which compares favourably with medical insurance inflation of 13.0%
and 10.3% respectively. This is evidence of cost containment efforts by private 
hospital operators such as Netcare.                                             
Primary Care                                                                    
The division delivered pleasing results for the period, with revenue up 4.5% to 
R656 million. The EBITDA margin has increased to 6.9% from 3.3% in 2011         
underpinned by stringent cost control measures and operational efficiencies, as 
well as sound risk management in the managed care division. Operating profit    
rose to R31 million (2011: R8 million).                                         
Medicross and Prime Cure is the largest private national network of group GP and
dental practices. Primary care delivery is becoming increasingly more important 
in the delivery of sustainable and affordable healthcare.                       
United Kingdom                                                                  
Despite a very difficult trading environment characterised by continuing        
recessionary pressures and ongoing NHS reforms, our UK operations delivered a   
robust performance for the period under review. Revenue rose by 2.5% to         
GBP456.8, although EBITDA declined 1.3% to GBP88.9 mainly due to the reduction  
in insured lives.                                                               
General Healthcare Group`s (GHG) overall caseload increased by 3.2% compared to 
the prior period, driven by NHS Choose & Book (C&B) growth, offset by a         
continued decline in Private Medical Insurance (PMI) volumes. High levels of    
unemployment and low levels of disposable income continued to cause the number  
of insured lives across the wider PMI market to contract. Self-pay volumes have 
recovered after two years of decline. This has been driven by NHS waiting times 
increasing further due to financial constraints and regulatory changes in the   
healthcare sector. Pleasingly, NHS activity has continued to increase and GHG   
has grown its market share in this segment to become the largest private        
hospital service provider to the NHS under C&B.                                 
The EBITDA margin declined to 19.5% from 20.2% in the comparative period mainly 
as a result of the continued shift from private patient volumes to lower-margin 
NHS volumes and a shift to more day cases. GHG`s operational efficiency and cost
rationalisation programmes have however continued to offset this effect.        
Net financial expenses were adversely affected by an GBP8.1 million   (2011:    
GBP5.4 million) non-cash charge, representing the ineffective portion of the    
movement in the fair value of GHG`s interest rate swaps.                        
A tax benefit of GBP13.6 million (2011: GBP14.0 million) was recognised for the 
period, following a further 1% reduction in the UK statutory company tax rate to
24%. GHG recorded a loss after tax of GBP2.3 million     (2011: profit after tax
of GBP7.1 million).                                                             
Capital expenditure (including intangible assets) amounted to       GBP15.1     
million (2011: GBP19.9 million), relating mainly to projects initiated in the   
2011 financial year and spending on the existing    asset base. Net debt        
declined GBP9.0 million from 30 September 2011 to   GBP1 776.4 million. Working 
capital was tightly controlled and the improvements of the prior year were      
sustained during the period. Closing cash balances remain high at GBP123.1      
million compared to GBP89.9 million in the comparative period.                  
GHG continues to meet all financial covenants on both the OpCo and property-    
owning companies (PropCo) debt facilities. PropCo remains focused on achieving a
solution to the PropCo debt facility, which matures in October 2013. Advisors   
have been appointed and various options are being evaluated. The PropCo debt is 
ring-fenced from the OpCo and is also without recourse to Netcare`s SA          
operations. Furthermore, in terms of the long-term lease arrangements in place  
(19 years remaining plus additional extensions of 10 years), OpCo has the right 
to ongoing use and occupation of the hospital premises as long as it complies   
with its contractual rental obligations to PropCo.                              
Outlook                                                                         
Netcare, in consultation with key stakeholders, has completed an extensive      
scenario analysis of the South African healthcare environment. In every possible
future scenario, healthcare demand continues to expand. While this is the basis 
for growth in health services, it also poses a risk insofar as these demands may
not be met nationally by current healthcare delivery systems or resources. The  
launch of 10 NHI pilot sites is a significant step forward in assessing the     
supply and demand parameters of healthcare delivery. Netcare is firmly committed
to increasing access to quality health care. We believe we can play a meaningful
role in assisting future NHI delivery, in partnership with government given our 
broad portfolio of healthcare services and experience over the last decade in   
the UK of working with the NHS in public health delivery.                       
In the UK, a firm foundation has been set for the remainder of the financial    
year, although the challenges remain significant. These include the economic    
headwinds and their impact on personal incomes and the PMI market, as well as   
government austerity measures and changing dynamics within the NHS. However, GHG
continues to be focused on its core businesses, ensuring efficiency and quality,
and being ready to capitalise on the inevitable return to growth of the private 
healthcare market.                                                              
Declaration of interim dividend number 6                                        
Notice is hereby given that on Thursday, 10 May 2012, the board of directors of 
Netcare Limited declared an interim gross dividend of    22.0 cents per ordinary
share (18.7846 cents per ordinary share net of dividend withholding tax and STC 
credits) (2011: 22.0 cents), for the six months ended 31 March 2012. The board  
has determined that, taking all relevant factors into account, this dividend is 
appropriate in working towards a sustainable dividend policy of between 2.5 to  
3.0 times cover over time. The board have confirmed by resolution that the      
solvency and liquidity test as contemplated by the Companies Act 71 of 2008 has 
been duly considered, applied and satisfied.                                    
The dividend has been declared from income reserves.                            
In terms of the new Dividends Tax effective 1 April 2012, the following         
additional information is disclosed:                                            
* The dividend is subject to dividend withholding tax at 15%. In determining    
dividend withholding tax, STC credits must be taken into account and the STC    
credits utilised as part of this dividend declaration amount to R8 178 401.     
* The STC credits utilised per share amounts to 0.564 cents per share.          
* Tax payable is 3.2154 cents per share, which results in a net dividend of     
18.7846 cents per share to shareholders who are not exempt from dividends       
withholding tax.                                                                
* The amount of shares in issue at the date of this declaration is 1 451 328 433
(inclusive of treasury shares) and the Company`s tax reference number is        
9999/581/71/4.                                                                  
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, 13 July 2012                     
Trading ex dividend commences          Monday, 16 July 2012                     
Record date                            Friday, 20 July 2012                     
Payment date                           Monday, 23 July 2012                     
Share certificates may not be dematerialised nor rematerialised between Monday, 
16 July 2012 and Friday, 20 July 2012, both days inclusive.                     
On Monday, 23 July 2012, 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,     23 July 2012 will be posted on that date.
Holders of dematerialised shares will have their accounts credited at their     
participant or broker on Monday, 23 July 2012.                                  
On behalf of the Board                                                          
Jerry Vilakazi                                                                  
Chairman                                                                        
Richard Friedland                                                               
Chief Executive Officer                                                         
Keith Gibson                                                                    
Chief Financial Officer                                                         
Sandton                                                                         
10 May 2012                                                                     
Group income statement                                                          
Rm                    Notes  Unaudited          %        Audited                
                            six months ended   change   year ended              
                            31 March 31 March           30 September            
2012     2011               2011                    
Revenue                       12 654   11 392    11.1     23 221                
Cost of sales                 (7 359)  (6 681)            (13 513)              
Gross profit                  5 295    4 711     12.4     9 708                 
Other income                  143      177                408                   
Administrative and            (3 620)  (3 190)            (6 415)               
other expenses                                                                  
Operating profit      3       1 818    1 698     7.1      3 701                 
Investment income     4       90       26                 115                   
Financial expenses    5       (970)    (904)              (1 847)               
Other losses - net    6       (93)     (70)               (23)                  
Attributable                  25       3                  23                    
earnings of                                                                     
associates                                                                      
Profit before                 870      753       15.5     1 969                 
taxation                                                                        
Taxation                      (164)    (54)               (114)                 
Profit for the                706      699       1.0      1 855                 
period                                                                          
Attributable to:                                                                
Owners of the                 699      642                1 570                 
parent                                                                          
Preference                    22       24                 47                    
shareholders                                                                    
Profit attributable           721      666                1 617                 
to shareholders                                                                 
Non-controlling               (15)     33                 238                   
interest                                                                        
706      699                1 855                  
Earnings per share                                                              
(cents)                                                                         
Basic                         53.6     50.2      6.8      122.1                 
Diluted                       52.9     48.7      8.6      119.2                 
Dividend per share           22.0     22.0               53.0                   
(cents)                                                                         
Group statement of comprehensive income                                         
Rm                         Note  Unaudited            Audited                   
                                six months ended     year ended                 
                                31 March  31 March*  30 September               
                                2012      2011       2011                       
Profit for the period             706       699        1 855                    
Other comprehensive               (172)     1 091      22                       
(loss)/income, net of tax                                                       
Actuarial losses on                                    (1)                      
defined benefit                                                                 
plans                                                                           
Effect of cash flow                                                             
hedge accounting                                                                
Change in the fair                (78)      1 130      (608)                    
value of cash flow                                                              
hedges                                                                          
Reclassification of   6           (9)       1          43                       
the cash flow hedge                                                             
reserve                                                                         
Effect of                         (85)      (40)       588                      
translation of                                                                  
foreign entities                                                                
Total comprehensive               534       1 790      1 877                    
income for the                                                                  
period                                                                          
Attributable to:                                                                
Owners of the parent              594       1 210      1 605                    
Preference                        22        24         47                       
shareholders                                                                    
Non-controlling                   (82)      556        225                      
interest                                                                        
                                534       1 790      1 877                      
* Restated refer to note 2.                                                     
Condensed Group statement of financial position                                 
                                   Unaudited           Audited                  
Rm                            Note  31 March  31 March* 30 September            
                                    2012      2011      2011                    
ASSETS                                                                          
Non-current assets                                                              
Property, plant and                  25 875    23 534    26 416                 
equipment                                                                       
Goodwill                             14 704    13 057    15 034                 
Intangible assets                    335       324       366                    
Associated companies,         7      890       249       494                    
investments and loans                                                           
Financial asset - Derivative  10     3         13        3                      
financial instruments                                                           
Deferred taxation                    2 098     1 376     2 165                  
Total non-current assets             43 905    38 553    44 478                 
Current assets                                                                  
Investments and loans         7      47        45        43                     
Financial asset - Derivative  10     3         8         2                      
financial instruments                                                           
Inventories                          772       689       721                    
Trade and other receivables          3 536     3 322     3 057                  
Cash and cash equivalents            2 038     1 384     2 355                  
                                    6 396     5 448     6 178                   
Assets held for sale          8      5         8         8                      
Total current assets                 6 401     5 456     6 186                  
Total assets                         50 306    44 009    50 664                 
EQUITY AND LIABILITIES                                                          
Equity attributable to               5 447     4 985     5 155                  
owners of the parent                                                            
Preference share capital and         644       644       644                    
premium                                                                         
Non-controlling interest             1 803     2 215     1 886                  
Total shareholders` equity           7 894     7 844     7 685                  
Non-current liabilities                                                         
Long-term debt                9      25 286    21 199    25 106                 
Financial liability -         10     5 309     2 579     5 319                  
Derivative financial                                                            
instruments                                                                     
Post-retirement benefit              195       182       188                    
obligations                                                                     
Deferred lease liability             58        49        54                     
Deferred taxation                    4 871     4 709     5 178                  
Cash-settled compensation                                1                      
liability                                                                       
Provisions                           85        32        89                     
Total non-current                    35 804    28 750    35 935                 
liabilities                                                                     
Current liabilities                                                             
Trade and other payables             3 727     3 173     3 901                  
Short-term debt               9      2 290     3 807     2 388                  
Taxation payable                     155       219       205                    
Bank overdrafts                      436       216       550                    
Total current liabilities            6 608     7 415     7 044                  
Total equity and liabilities         50 306    44 009    50 664                 
* Restated refer to note 2.                                                     
Group statement of cash flows                                                   
Rm                                   Unaudited           Audited                
                                    six months ended    year ended              
                                    31 March   31 March 30 September            
2012       2011     2011                    
Cash flows from operating                                                       
activities                                                                      
Cash received from customers          12 135     11 349   23 645                
Cash paid to suppliers and            (10 363)   (9 365)  (18 073)              
employees                                                                       
Cash generated from operations        1 772      1 984    5 572                 
Interest paid                         (936)      (902)    (1 836)               
Taxation paid                         (427)      (346)    (674)                 
Ordinary dividends paid by            (1)        (1)      (3)                   
subsidiaries                                                                    
Ordinary dividends paid               (405)      (269)    (553)                 
Preference dividends paid             (22)       (24)     (47)                  
Capital reductions paid                          (83)     (83)                  
Distributions to beneficiaries of     (31)       (38)     (47)                  
the HPFL trusts                                                                 
Net cash from operating activities    (50)       321      2 329                 
Cash flows from investing                                                       
activities                                                                      
Purchase of property, plant and       (561)      (436)    (1 327)               
equipment                                                                       
Proceeds on disposal of property,     27         144      415                   
plant and equipment                                                             
Additions to intangible assets        (9)        (25)     (81)                  
(Increase)/decrease in investments    (364)      85       (250)                 
and loans                                                                       
Interest received                     54         26       115                   
Increase in equity interest in                            (11)                  
subsidiaries                                                                    
Net cash from investing activities    (853)      (206)    (1 139)               
Cash flows from financing                                                       
activities                                                                      
Proceeds from issue of ordinary       16         36       74                    
shares                                                                          
Proceeds on disposal of treasury      119        62       123                   
shares                                                                          
Equity premium on repurchase of                           (10)                  
convertible bond                                                                
Long-term liabilities                 680        (286)    477                   
raised/(repaid)                                                                 
Short-term liabilities repaid         (79)       (37)     (1 544)               
Net cash from financing activities    736        (225)    (880)                 
Net (decrease)/increase in cash       (167)      (110)    310                   
and cash equivalents                                                            
Translation effects on cash and       (36)       (7)      210                   
cash equivalents of foreign                                                     
entities                                                                        
Cash and cash equivalents at          1 805      1 285    1 285                 
beginning of the period                                                         
Cash and cash equivalents at end      1 602      1 168    1 805                 
of the period                                                                   
Consisting of:                                                                  
Cash on hand and balances with        2 038      1 384    2 355                 
banks                                                                           
Short-term money market borrowings    (436)      (216)    (550)                 
and bank overdrafts                                                             
1 602      1 168    1 805                  
Condensed Group statement of changes in equity                                  
Rm                        Ordinary  Treasury  Option      Cash flow             
                         share      shares   premium on  hedge                  
capital             convertible accounting             
                         and                 bond        reserve                
                          premium                                               
Balance at                 624       (767)     164         (1 790)              
30 September 2010                                                               
Shares issued during the   36                                                   
period                                                                          
Capital reduction          (83)                                                 
Sale of treasury shares              26                                         
Share-based payments                                                            
reserve movements                                                               
Capital gains tax on                                                            
capital reductions                                                              
attributable to treasury                                                        
shares                                                                          
Preference dividends                                                            
paid                                                                            
Dividends paid                                                                  
Distributions to                                                                
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve movements                                                         
Restated total                                             588                  
comprehensive loss for                                                          
the period                                                                      
Total comprehensive                                        588                  
income for the period as                                                        
previously reported                                                             
Prior year restatement                                                          
(Refer to note 2)                                                               
Restated balance at        577       (741)     164         (1 202)              
31 March 2011                                                                   
Balance at 31 March 2011   577       (741)     164         (1 202)              
as previously reported                                                          
Prior year restatement                                                          
(Refer to note 2)                                                               
Shares issued during the   38                                                   
period                                                                          
Sale of treasury shares              27                                         
Repurchase of                                  6                                
convertible bonds                                                               
Share-based payments                                                            
reserve movements                                                               
Preference dividends                                                            
paid                                                                            
Dividends paid                                                                  
Distributions to                                                                
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve movements                        (170)                            
Increase in equity                                                              
interest in subsidiaries                                                        
Total comprehensive                                        (889)                
income for the period                                                           
Balance at                 615       (714)                 (2 091)              
30 September 2011                                                               
Shares issued during the   16                                                   
period                                                                          
Sale of treasury shares              56                                         
Share-based payments                                                            
reserve movements                                                               
Preference dividends                                                            
paid                                                                            
Dividends paid                                                                  
Distributions to                                                                
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve movements                                                         
Total comprehensive                                        (45)                 
income for the period                                                           
Balance at 31 March 2012   631       (658)                 (2 136)              
Rm                      Foreign      Other     Retained Equity                  
currency     reserves  earnings attributable             
                       translation                     to owners                
                       reserve                         of the                   
                                                       parent                   
Balance at               769          551       4 518    4 069                  
30 September 2010                                                               
Shares issued during                                     36                     
the period                                                                      
Capital reduction                                        (83)                   
Sale of treasury                                30       56                     
shares                                                                          
Share-based payments                  14                 14                     
reserve movements                                                               
Capital gains tax on                            (1)      (1)                    
capital reductions                                                              
attributable to                                                                 
treasury shares                                                                 
Preference dividends                            (24)     (24)                   
paid                                                                            
Dividends paid                                  (269)    (269)                  
Distributions to                                (38)     (38)                   
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve                         19        (28)     (9)                    
movements                                                                       
Restated total           (20)                   666      1 234                  
comprehensive loss for                                                          
the period                                                                      
Total comprehensive      (21)                   666      1 233                  
income for the period                                                           
as previously reported                                                          
Prior year restatement   1                               1                      
(Refer to note 2)                                                               
Restated balance at      749          584       4 854    4 985                  
31 March 2011                                                                   
Balance at               722          584       4 968    5 072                  
31 March 2011 as                                                                
previously reported                                                             
Prior year restatement   27                     (114)    (87)                   
(Refer to note 2)                                                               
Shares issued during                                     38                     
the period                                                                      
Sale of treasury                                25       52                     
shares                                                                          
Repurchase of                                   (21)     (15)                   
convertible bonds                                                               
Share-based payments                  9                  9                      
reserve movements                                                               
Preference dividends                            (23)     (23)                   
paid                                                                            
Dividends paid                                  (284)    (284)                  
Distributions to                                (9)      (9)                    
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve                         104       80       14                     
movements                                                                       
Increase in equity                              (30)     (30)                   
interest in                                                                     
subsidiaries                                                                    
Total comprehensive      362                    945      418                    
income for the period                                                           
Balance at               1 111        697       5 537    5 155                  
30 September 2011                                                               
Shares issued during                                     16                     
the period                                                                      
Sale of treasury                                53       109                    
shares                                                                          
Share-based payments                  9                  9                      
reserve movements                                                               
Preference dividends                            (22)     (22)                   
paid                                                                            
Dividends paid                                  (405)    (405)                  
Distributions to                                (31)     (31)                   
beneficiaries of the                                                            
HPFL trusts                                                                     
Other reserve                         5         (5)                             
movements                                                                       
Total comprehensive      (60)                   721      616                    
income for the period                                                           
Balance at               1 051        711       5 848    5 447                  
31 March 2012                                                                   
Rm                             Preference   Non-        Total                   
                              share        controlling share-                   
                              capital and  interest    holders`                 
premium                  equity                   
Balance at                      644          1 645       6 358                  
30 September 2010                                                               
Shares issued during the                                 36                     
period                                                                          
Capital reduction                                        (83)                   
Sale of treasury shares                                  56                     
Share-based payments reserve                             14                     
movements                                                                       
Capital gains tax on capital                             (1)                    
reductions attributable to                                                      
treasury shares                                                                 
Preference dividends paid                                (24)                   
Dividends paid                               (1)         (270)                  
Distributions to                                         (38)                   
beneficiaries of the HPFL                                                       
trusts                                                                          
Other reserve movements                      15          6                      
Restated total comprehensive                 556         1 790                  
loss for the period                                                             
Total comprehensive income                   555         1 788                  
for the period as previously                                                    
reported                                                                        
Prior year restatement                       1           2                      
(Refer to note 2)                                                               
Restated balance at             644          2 215       7 844                  
31 March 2011                                                                   
Balance at 31 March 2011        644          2 297       8 013                  
as previously reported                                                          
Prior year restatement                       (82)        (169)                  
(Refer to note 2)                                                               
Shares issued during the                                 38                     
period                                                                          
Sale of treasury shares                                  52                     
Repurchase of convertible                                (15)                   
bonds                                                                           
Share-based payments reserve                             9                      
movements                                                                       
Preference dividends paid                                (23)                   
Dividends paid                               (2)         (286)                  
Distributions to                                         (9)                    
beneficiaries of the HPFL                                                       
trusts                                                                          
Other reserve movements                      (15)        (1)                    
Increase in equity interest                  19          (11)                   
in subsidiaries                                                                 
Total comprehensive income                   (331)       87                     
for the period                                                                  
Balance at                      644          1 886       7 685                  
30 September 2011                                                               
Shares issued during the                                 16                     
period                                                                          
Sale of treasury shares                                  109                    
Share-based payments reserve                             9                      
movements                                                                       
Preference dividends paid                                (22)                   
Dividends paid                               (1)         (406)                  
Distributions to                                         (31)                   
beneficiaries of the HPFL                                                       
trusts                                                                          
Other reserve movements                                                         
Total comprehensive income                   (82)        534                    
for the period                                                                  
Balance at 31 March 2012        644          1 803       7 894                  
Headline earnings                                                               
Rm                      Unaudited           %      Audited                      
                       six months ended    change year ended                    
                                                  30 September                  
2011                          
                       31 March  31 March                                       
                       2012      2011                                           
Reconciliation of                                                               
headline earnings                                                               
Profit for the period    706       699       1.0    1 855                       
Less:                                                                           
Preference               (22)      (24)             (47)                        
shareholders                                                                    
Non-controlling          15        (33)             (238)                       
interest                                                                        
Earnings used in the     699       642       8.9    1 570                       
calculation of basic                                                            
earnings per share                                                              
Adjusted for:                                                                   
Impairment of                                       24                          
investments                                                                     
Reversal of impairment             (1)              (7)                         
of property, plant and                                                          
equipment                                                                       
Profit on disposal of    (12)      (55)             (162)                       
property, plant and                                                             
equipment                                                                       
Tax effect of headline   2         8                23                          
adjusting items                                                                 
Non-controlling share    (1)       19               56                          
of headline adjusting                                                           
items                                                                           
Headline earnings        688       613       12.2   1 504                       
Adjusted for:                                                                   
Ineffectiveness         100       61                                            
arising from interest                                                           
rate swaps                                                                      
Reduction in UK         (163)     (155)                                         
statutory tax rate                                                              
Impairments and other   31        7                                             
Non-controlling share   20        46                                            
of adjusted items                                                               
Adjusted headline       676       572       18.2                                
earnings                                                                        
Headline earnings per    52.8      48.0      10.0   117.0                       
share (cents)                                                                   
Diluted headline         52.1      46.5      12.0   114.2                       
earnings per share                                                              
(cents)                                                                         
Adjusted headline       51.9      44.7      16.1                                
earnings per share                                                              
(cents)                                                                         
Condensed notes to the Group financial statements                               
1.  Basis of preparation and accounting policies                                
   The condensed financial statements for the six months ended                  
   31 March 2012 have been prepared in accordance with International            
Financial Reporting Standards (IFRS) and comply with IAS 34                  
   Interim Financial Reporting, the AC500 standards as issued by the            
   Accounting Practices Board or its successor, the Listings                    
   Requirements of the JSE Limited and the South African Companies              
Act No 71 of 2008.                                                           
                                                                                
   The accounting policies applied in the preparation of these                  
   condensed financial statements are consistent in all material                
respects with those applied in the audited financial statements              
   for the year ended 30 September 2011.                                        
                                                                                
   A significant portion of the UK PropCo debt matures in October               
2013, and the business is actively involved with its advisors in             
   order to seek a solution. Whilst no formally committed plan                  
   currently exists, it is premature at this stage, with 17 months              
   remaining before the maturity date, to conclude that a solution              
cannot be achieved. Furthermore, given the ring-fencing of the               
   PropCo debt from the UK OpCo, and the non-recourse nature of this            
   debt to Netcare`s SA operations, the directors are comfortable               
   with the going concern assessment.                                           

   The interim results have not been audited by the Group`s                     
   independent external auditors, Grant Thornton.                               
   The condensed financial statements have been prepared under the              
supervision of KN Gibson CA (SA), Chief Financial Officer of                 
   Netcare Limited.                                                             
2.  Restatement of comparative information                                      
   The annual financial statements for the year ended 30 September              
2011 included a prior year restatement resulting from a change in            
   GHG`s interpretation of IAS 12 Income taxes. This change related             
   to the differences that arise on the straight-lining of lease                
   rentals on operating leases between GHG`s wholly owned                       
subsidiaries, BMI Healthcare Limited and other group property                
   holding companies. In prior years, the differences were accounted            
   for as permanent differences with no deferred tax being raised.              
   Management concluded that fairer presentation would be achieved              
if these were treated as timing differences and the appropriate              
   deferred tax liability raised. More details are provided in note             
   33 of the annual financial statements for the year ended                     
   30 September 2011.                                                           

   The March 2011 statement of financial position, statement of                 
   changes in equity and statement of comprehensive income have been            
   restated to reflect the changes. The restatement did not result              
in any changes to earnings or headline earnings per share.                   
  The effect of this change is summarised below:                                
  Group statement of financial position for the six months ended                
  31 March 2011                                                                 
Rm                                Previously  Adjustment  Restated            
                                    reported                                    
  Non-current assets                                                            
  Deferred taxation                  1 071       305         1 376              
Non-current liabilities                                                       
  Deferred taxation                  (4 235)     (474)       (4 709)            
  Equity                                                                        
  Foreign currency translation       (722)       (27)        (749)              
reserve                                                                       
  Retained earnings                  (4 968)     114         (4 854)            
  Non-controlling interest           (2 297)     82          (2 215)            
  Rm                                Unaudited          Audited                  
six months ended   year ended               
                                    31 March  31 March 30 September             
                                    2012      2011     2011                     
3  Operating profit                                                             
.                                                                               
  After charging:                                                               
  Depreciation and amortisation      659       568      1 213                   
  Operating lease charges            272       176      469                     
4  Investment income                                                            
.                                                                               
  Return on retirement benefit                          49                      
  plan assets                                                                   
Interest on bank accounts and      90        26       66                      
  other                                                                         
                                     90        26       115                     
5  Financial expenses                                                           
.                                                                               
  Amortisation of arrangement fee    52        43       90                      
  Interest on convertible bonds                73       140                     
  (liability portion)                                                           
Interest on promissory notes       121       84       166                     
  Interest on preference shares      1         3        4                       
  classified as debt                                                            
  Interest on bank loans and         796       701      1 447                   
other                                                                         
                                     970       904      1 847                   
6  Other losses - net                                                           
.                                                                               
Foreign exchange (losses)/gains              (1)      5                       
  Ineffectiveness (losses)/gains     (100)     (61)     43                      
  on cash flow hedges                                                           
  Fair value loss on inflation                          (2)                     
rate swaps (not hedge                                                         
  accounted)                                                                    
  Fair value loss on derivative      (2)       (7)      (26)                    
  financial assets (not hedge                                                   
accounted)                                                                    
  Amount reclassified from cash      9         (1)      (43)                    
  flow hedge reserve                                                            
                                     (93)      (70)     (23)                    
Rm                              Unaudited          Audited                    
                                  six months ended   year ended                 
                                  31 March  31 March 30 September               
                                  2012      2011     2011                       
7  Associated companies,                                                        
.  investments                                                                  
  and loans                                                                     
  Non-current                                                                   
Associated companies             287       224      289                       
  Available-for-sale investments             22                                 
  Loans and receivables            603       3        205                       
                                   890       249      494                       
Current                                                                       
  Loans and receivables            47        45       43                        
                                   937       294      537                       
  The available-for-sale                                                        
investment represents an 8%                                                   
  investment in Phoenix Hospital                                                
  Limited, an unlisted group                                                    
  which comprises The Weymouth                                                  
Clinic Limited and  9 Harley                                                  
  Street Limited in the United                                                  
  Kingdom. An impairment loss of                                                
  R22 million was recognised                                                    
during the prior year.                                                        
  Included in loans and                                                         
  receivables is a net                                                          
  investment of R584 million                                                    
relating to the acquisition of                                                
  a contractual economic                                                        
  interest in the debt of the UK                                                
  OpCo.                                                                         
8.  Assets held for sale                                                        
   Certain land and buildings      5         8         8                        
   were classified as held for                                                  
   sale                                                                         
Rm                             Unaudited           Audited                   
                                  six months ended    year ended                
                                  31 March  31 March  30 September              
                                  2012      2011      2011                      
9.  Debt                                                                        
   Long-term debt                  25 286    21 199    25 106                   
   Short-term debt                 2 290     3 807     2 388                    
   Total debt                      27 576    25 006    27 494                   
Comprising:                                                                  
   Debt in South African Rand                                                   
   Finance leases                  51        57        57                       
   Redeemable cumulative           22        42        34                       
preference shares                                                            
   Convertible bonds (debt                   1 445                              
   portion)                                                                     
   Promissory notes                4 039     1 910     3 180                    
Unsecured liabilities           200       452       200                      
                                   4 312     3 906     3 471                    
   Debt in foreign currency                                                     
   Secured liabilities             22 927    20 903    23 563                   
Finance leases                  153       111       154                      
   Other                           184       86        306                      
                                   23 264    21 100    24 023                   
                                   27 576    25 006    27 494                   
Maturity                                                                      
  profile                                                                       
  Rm               Total    < 1    1 - 2   2 - 3    3 - 4   > 4                 
                            year   years   years    years   years               
31 March 2012                                                                 
  Debt in South     4 312    1 500  420     1 374    7       1 011              
  African Rand                                                                  
  Debt in           23 264   790    19      1 086    1 518   170                
foreign                          700                                          
  currency                                                                      
                    27 576   2 290  20      2 460    1 525   1 181              
                                   120                                          
31 March 2011                                                                 
  Debt in South     3 906    3 192  683     7        6       18                 
  African Rand                                                                  
  Debt in           21 100   615    440     17 421   86      2 538              
foreign                                                                       
  currency                                                                      
                    25 006   3 807  1 123   17 428   92      2 556              
  31 September                                                                  
2011                                                                          
  Debt in South     3 471    1 622  483     344      7       1 015              
  African Rand                                                                  
  Debt in           24 023   766    575     19 908   1 592   1 182              
foreign                                                                       
  currency                                                                      
                    27 494   2 388  1 058   20 252   1 599   2 197              
   Rm                              Unaudited          Audited                   
six months ended   year ended                
                                   31 March  31 March 30 September              
                                   2012      2011     2011                      
10  Derivative financial                                                        
.   instruments                                                                 
   Derivative financial assets                                                  
   European style call options                                                  
   South African Rand               3         21       5                        
Interest rate swaps                                                          
   South African Rand               3                                           
                                    6         21       5                        
   Included in:                                                                 
Non-current assets               3         13       3                        
   Current assets                   3         8        2                        
                                    6         21       5                        
   Derivative financial                                                         
liabilities                                                                  
   Interest rate swaps                                                          
   South African Rand               9         10       16                       
   Foreign currency                 5 297     2 569    5 300                    
5 306     2 579    5 316                    
   Inflation rate swaps                                                         
   South African Rand               3                  3                        
                                    5 309     2 579    5 319                    
Included in:                                                                 
   Non-current liabilities          5 309     2 579    5 319                    
   The inter-bank rate used in the fair value calculations of the               
   foreign currency interest rate swaps has been adjusted to take               
into account the credit risk to which the Group is exposed. The              
   value of the foreign currency interest rate swaps excluding the              
   counterparty valuation adjustment (CVA) at 31 March 2012 was R6              
   202 million.                                                                 
Rm                              Unaudited          Audited                   
                                   six months ended   year ended                
                                   31 March  31 March 30 September              
                                   2012      2011     2011                      
11  Commitments                                                                 
.                                                                               
   Capital commitments              1 270     1 433    1 268                    
   South Africa                     996       1 310    845                      
United Kingdom                   274       123      423                      
   Operating lease commitments      5 665     3 089    4 510                    
   South Africa                     1 357     1 151    1 410                    
   United Kingdom                   4 308     1 938    3 100                    
12  Contingent liabilities                                                      
.   (guarantees and suretyships)                                                
   South Africa                     616       669      636                      
   United Kingdom                             13                                
616       682      636                      
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 have been removed from the UK segment for decision-                
making purposes.                                                                
Rm                         Unaudited          %       Audited                   
                          six months ended   change  year ended                 
31 March 31 March          30 September               
                          2012     2011              2011                       
INCOME STATEMENT                                                                
Revenue                                                                         
South Africa                6 983    6 472     7.9     13 361                   
Hospitals and Emergency     6 327    5 844     8.3     12 089                   
services                                                                        
Primary Care                656      628       4.5     1 272                    
United Kingdom              5 671    4 920     15.3    9 860                    
UK adjusted1                5 041    4 920     2.5     9 860                    
Exchange rate impact        630                                                 
Group reported              12 654   11 392    11.1    23 221                   
Exchange rate impact        (630)                                               
Group adjusted1             12 024   11 392    5.5     23 221                   
EBITDA                                                                          
South Africa                1 369    1 212     13.0    2 608                    
Hospitals and Emergency     1 324    1 191     11.2    2 543                    
services                                                                        
Primary Care                45       21        114.3   65                       
United Kingdom              1 103    998       10.5    2 209                    
UK adjusted1                984      998       (1.4)   2 209                    
Exchange rate impact        119                                                 
Capital items               5        56       (91.1)   97                       
South Africa                8        9                 (14)                     
United Kingdm               (3)      47                111                      
Group reported              2 477    2 266     9.3     4 914                    
Exchange rate impact        (119)                                               
Group adjusted1             2 358    2 266     4.1     4 914                    
1 The March 2012 UK numbers have been recalculated to remove the                
impact of foreign currency fluctuations since the March 2011                    
results.                                                                        
Rm                         Unaudited          %       Audited                   
six months ended           year ended                 
                                             change                             
                          31 March 31 March          30 September               
                          2012     2011              2011                       
Operating profit                                                                
South Africa                1 145    1 021     12.1    2 220                    
Hospitals and Emergency     1 114    1 013     10.0    2 182                    
services                                                                        
Primary Care                31       8         287.5   38                       
United Kingdom              668      621       7.6     1 384                    
UK adjusted1                598      621       (3.7)   1 384                    
Exchange rate impact        70                                                  
Capital items               5        56       (91.1)   97                       
South Africa                8        9                 (14)                     
United Kingdom              (3)      47                111                      
Group reported              1 818    1 698     7.1     3 701                    
Exchange rate impact        (70)                                                
Group adjusted1             1 748    1 698     2.9     3 701                    
Net interest expense                                                            
South Africa                98       162       39.5    327                      
United Kingdom              782      716       (9.2)   1 405                    
UK adjusted1                693      716       3.2     1 405                    
Exchange rate impact        89                                                  
Group reported              880      878       (0.2)   1 732                    
Exchange rate impact        (89)                                                
Group adjusted1             791      878       9.9     1 732                    
1 The March 2012 UK numbers have been recalculated to remove the                
impact of foreign currency fluctuations since the March 2011                    
results.                                                                        
Rm                         Unaudited          %       Audited                   
                                                                                
                                             change                             
31 March 31 March          30 September               
                          2012     2011              2011                       
STATEMENT OF FINANCIAL                                                          
POSITION                                                                        
Total assets2                                                                   
South Africa                10 969   9 395     16.8    10 262                   
United Kingdom              39 337   34 614    13.6    40 402                   
UK adjusted1               34 832    34 614   0.6      40 402                   
Exchange rate impact       (4 505)                                              
Group reported              50 306   44 009    14.3    50 664                   
Exchange rate impact        4 505                                               
Group adjusted1            45 801    44 009   4.1      50 664                   
Debt net of cash                                                                
South Africa                4 218    3 713    (13.6)   3 303                    
United Kingdom              21 756   20 125    (8.1)   22 386                   
UK adjusted1               19 264    20 125   4.3      22 386                   
Exchange rate impact       2 492                                                
Group reported              25 974   23 838    (9.0)   25 689                   
Exchange rate impact       (2 492)                                              
Group adjusted1            23 482    23 838   1.5      25 689                   
1 The March 2012 UK numbers have been recalculated to remove the                
impact of foreign currency fluctuations since the March 2011                    
results.                                                                        
2 Restated refer to note 2.                                                     
Salient features                                                                
                                  Unaudited           Audited                   
                                  31 March  31 March  30 September              
                                   2012      2011      2011                     
Share statistics                                                                
Ordinary shares                                                                 
Shares in issue (million)           1 448     1 441     1 446                   
Shares in issue net of treasury     1 306     1 277     1 295                   
shares (million)                                                                
Weighted average number of shares   1 303     1 279     1 286                   
(million)                                                                       
Diluted weighted average number     1 321     1 318     1 317                   
of shares (million)                                                             
Market price per share (cents)      1 423     1 450     1 305                   
Currency conversion guide (R:GBP)                                               
Closing exchange rate               12.25     10.85     12.54                   
Average exchange rate for the       12.42     11.02     11.09                   
period                                                                          
Registered office:                                                              
76 Maude Street (corner West Street), Sandton 2196, Private Bag X34, Benmore    
2010                                                                            
Executive directors:                                                            
RH Friedland (Chief Executive Officer)                                          
KN Gibson (Chief Financial Officer)                                             
Non-executive directors:                                                        
SJ Vilakazi (Chairman)                                                          
T Brewer                                                                        
APH Jammine                                                                     
JM Kahn                                                                         
MJ Kuscus                                                                       
HR Levin                                                                        
KD Moroka                                                                       
N Weltman                                                                       
Company Secretary:                                                              
L Bagwandeen                                                                    
Sponsor:                                                                        
Nedbank Capital, a division of Nedbank Group Limited                            
Transfer secretaries:                                                           
Link Market Services South Africa (Proprietary) Limited,                        
13th Floor, Rennie House, 19 Ameshoff Street, Braamfontein 2001                 
Investor relations: ir@netcare.co.za                                            
Date: 14/05/2012 08:00:01 Produced by the JSE SENS Department.                  
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