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Tue 21 May 2002, 0:00 Network Healthcare Holdings Limited - Interim Resu
NETWORK HEALTHCARE HOLDINGS LIMITED - INTERIM RESULTS FOR THE SIX MONTHS        
ENDED 31 MARCH 2002                                                             
Network Healthcare Holdings Limited                                             
(Registration number 1996/008242/06)                                            
(Incorporated in the Republic of South Africa)                                  
(JSE share code: NTC)                                                           
(ISIN code: ZAE000011953)                                                       
("Netcare" or "the Company")                                                    
INTERIM RESULTS FOR THE SIX MONTHS ENDED 31 MARCH 2002                          
TOTAL REVENUE INCREASED BY 27,5% (ORGANIC BY 19,7%)                             
HEADLINE EARNINGS PER SHARE INCREASED BY 36,2%                                  
CAPITAL DISTRIBUTION INCREASED BY 28,6%                                         
GROUP BALANCE SHEET                                                             
                         Unaudited  Unaudited         Audited                   
                         31 March   31 March          30 Sept                   
2002       2001              2001                      
                         (Rm)       (Rm)              (Rm)                      
Assets                                                                          
  Non-current assets                                                            
Property, plant and   2 292,9    1 992,8           2 202,8                   
   equipment                                                                    
   Intangible assets     7,4        59,0              (82,1)                    
   Investments and       184,2      108,3             139,7                     
loans                                                                        
   Deferred taxation     34,1       33,6              34,1                      
  Total non-current      2 518,6    2 193,7           2 294,5                   
  assets                                                                        
Current assets                                                                
   Inventories           215,2      161,3             164,2                     
   Accounts receivable   1 013,0    642,8             838,1                     
  Total current assets   1 228,2    804,1             1 002,3                   
Total assets             3 746,8    2 997,8           3 296,8                   
Equity and liabilities                                                          
  Capital and reserves                                                          
  Ordinary               1 939,1    1 444,4           1 592,0                   
shareholders` equity                                                          
  Interest of outside    9,1        126,8             134,1                     
  shareholders in                                                               
  subsidiaries                                                                  
Total shareholders`    1 948,2    1 571,2           1 726,1                   
  equity                                                                        
  Net interest-bearing   825,3      701,0             494,1                     
  debt                                                                          
Non-current                                                                   
  liabilities                                                                   
   Deferred taxation     100,1      60,0              100,1                     
  Current liabilities                                                           
Accounts payable      731,0      520,8             695,8                     
   Vendors for           -          -                 128,5                     
   acquisition                                                                  
   Taxation              142,2      144,8             152,2                     
Total current          873,2      665,6             976,5                     
  liabilities                                                                   
Total equity and         3 746,8    2 997,8           3 296,8                   
liabilities                                                                     
Net equity per share     134,2      104,2             119,0                     
(cents)                                                                         
GROUP INCOME STATEMENT                                                          
                         Unaudited  Unaudited         Audited                   
31 March   31 March          30 Sept                   
                         2002       2001       %      2001                      
                         (Rm)       (Rm)       change (Rm)                      
Revenue                  2 074,3    1 626,9    27,5   3 586,0                   
Operating profit before  406,6      305,8      33,0   697,2                     
depreciation (EBITDA)                                                           
Depreciation             (78,5)     (55,9)            (127,4)                   
Operating profit (EBIT)  328,1      249,9      31,3   569,8                     
Net finance charges      (59,7)     (52,2)            (87,6)                    
Profit before            268,4      197,7             482,2                     
exceptional items                                                               
Exceptional items        1,0        (1,6)             (31,4)                    
Profit before taxation   269,4      196,1      37,4   450,8                     
Taxation                 (75,2)     (55,3)            (127,2)                   
Profit after taxation    194,2      140,8      37,9   323,6                     
Attributable earnings    15,4       11,3              25,9                      
of associates                                                                   
Profit after taxation    209,6      152,1      37,8   349,5                     
including associates                                                            
Outside shareholders`    (2,7)      (12,7)            (22,8)                    
interests                                                                       
Earnings attributable    206,9      139,4      48,4   326,7                     
to ordinary                                                                     
shareholders                                                                    
EARNINGS RECONCILIATION                                                         
                         Unaudited  Unaudited         Audited                   
                         31 March   31 March          30 Sept                   
                         2002       2001       %      2001                      
(Rm)       (Rm)       change (Rm)                      
Attributable earnings    206,9      139,4             326,7                     
Goodwill                 (1,0)      1,6               (0,9)                     
(released)/amortised                                                            
Impairment loss on       -          -                 26,0                      
properties                                                                      
Medicross restructuring  -          -                 6,3                       
(net of tax)                                                                    
Minority share of        -          -                 (2,2)                     
adjustments                                                                     
Headline earnings        205,9      141,0      46,0   355,9                     
Earnings per share                                                              
(cents)                                                                         
Headline - basic         14,3       10,5       36,2   26,7                      
Headline - fully         13,7       10,3              25,8                      
diluted                                                                         
Attributable - basic     14,4       10,4              24,5                      
Attributable - fully     13,8       10,2              23,7                      
diluted                                                                         
Cash equivalent          19,4       14,2       36,6   37,9                      
earnings per share                                                              
Note: In terms of AC135 and AC123 Netcare now depreciates its owner occupied    
properties. Prior year results have been restated accordingly.                  
STATEMENT OF CHANGES IN SHAREHOLDERS` EQUITY                                    
Unaudited   Unaudited  Audited                     
                             31 March    31 March   30 Sept                     
                             2002        2001       2001                        
                             (Rm)        (Rm)       (Rm)                        
Ordinary shareholders`       1 592,0     1 394,0    1 394,0                     
equity at beginning                                                             
of period                                                                       
Prior year adjustment        -           (52,3)     (52,3)                      
Restated balance             1 592,0     1 341,7    1 341,7                     
Earnings attributable to     206,9       139,4      326,7                       
ordinary shareholders                                                           
As previously reported       206,9       148,0      343,9                       
Prior year adjustment        -           (8,6)      (17,2)                      
Issue of shares              212,4       56,9       64,1                        
Treasury shares acquired     -           (59,1)     (57,1)                      
Capital distributions paid   (72,2)      (34,5)     (83,4)                      
Ordinary shareholders`       1 939,1     1 444,4    1 592,0                     
equity at end of period                                                         
ABRIDGED GROUP CASH FLOW STATEMENT                                              
                             Unaudited   Unaudited  Audited                     
31 March    31 March   30 Sept                     
                             2002        2001       2001                        
                             (Rm)        (Rm)       (Rm)                        
Cash generated from          406,3       304,2      691,0                       
operations                                                                      
Working capital movements    (184,6)     (54,1)     74,5                        
Cash generated from          221,7       250,1      765,5                       
operating activities                                                            
Net finance charges          (59,7)      (52,2)     (87,6)                      
Taxation paid                (85,2)      (66,3)     (87,4)                      
Cash inflow from operating   76,8        131,6      590,5                       
activities                                                                      
Capital distributions paid   (72,2)      (37,6)     (86,3)                      
Net cash retained            4,6         94,0       504,2                       
Other investing and          (335,8)     (217,3)    (420,6)                     
financing activities                                                            
Capital expenditure          (166,9)     (93,2)     (229,5)                     
Net investment in            (137,9)     (21,9)     (93,5)                      
businesses                                                                      
Other                        (31,0)      (102,2)    (97,6)                      
Movement in net interest-    (331,2)     (123,3)    83,6                        
bearing debt                                                                    
Net interest-bearing debt                                                       
  At beginning of period     (494,1)     (577,7)    (577,7)                     
At end of period           (825,3)     (701,0)    (494,1)                     
KEY FINANCIAL INFORMATION                                                       
                             Unaudited   Unaudited  Audited                     
                             31 March    31 March   30 Sept                     
2002        2001       2001                        
Ordinary shares (millions)                                                      
In issue                     1 445,2     1 386,8    1 337,7                     
Weighted average number of   1 440,7     1 337,5    1 335,2                     
shares                                                                          
Fully diluted weighted       1 502,0     1 372,3    1 379,0                     
average number of shares                                                        
Distributions                                                                   
Capital distributions        4,5         3,5        8,5                         
(cents per share)                                                               
Other salient features                                                          
EBITDA margin (%)            19,6        18,8       19,4                        
EBIT margin (%)              15,8        15,4       15,9                        
Interest cover (times)       5,5         4,8        6,5                         
Effective taxation rate (%)  28,0        28,0       26,4                        
Operating profit return on   28,0        24,2       27,9                        
net assets (%)                                                                  
Return on ordinary           23,3        20,2       24,3                        
shareholders` equity (%)                                                        
Debt:equity ratio (%)        42,4        44,6       28,6                        
Capital expenditure for the  166,9       93,2       229,5                       
period (Rm)                                                                     
Capital commitments -        128,9       75,0       155,5                       
contracted (Rm)                                                                 
Note: In terms of AC135 and AC123 Netcare now depreciates its owner occupied    
properties. Prior year results have been restated accordingly.                  
INTRODUCTION                                                                    
The Netcare Group`s focused strategy of investing in healthcare activities      
which directly or indirectly support the Group`s core hospital business has     
once again enhanced the growth and sustainability of the Group and yielded      
strong results for the six-months ended 31 March 2002.                          
These results reflect the benefits of increasing market share through a         
focused business model and a truly incentivised team, driven by a formalised    
Balanced Scorecard system that sets meaningful targets throughout the Group.    
Netcare was recently included in the JSE Securities Exchange South Africa       
("JSE") Industrial 25 Index ("INDI 25") for the first time.                     
FINANCIAL OVERVIEW                                                              
A strong performance from the Group`s hospital division, the inclusion of       
the results of Medicross for the six months to 31 March 2002, together with     
pleasing contributions from the other divisions in the value chain resulted     
in a 36,2% increase in headline EPS to 14,3 cents (2001: 10,5 cents).           
Revenue increased by 27,5% to R2 074,3 million (2001: R1 626,9 million),        
with organic growth of 19,7%, excluding the revenue from Medicross and the      
newly acquired Margate Hospital in KwaZulu Natal. Cash equivalent EPS           
increased 36,6% from 14,2 cents to 19,4 cents.                                  
The 33,0% increase in EBITDA to R406,6 million (2001: R305,8 million), arose    
largely due to improved efficiencies in the hospital division and meaningful    
contributions from other divisions.                                             
An analysis of the various components of the supply and value chain is set      
out below:                                                                      
                               Revenue                                          
                               31 March  31 March %                             
2002      2001     increase                      
Hospital Division              1 860,3   1 571,8  18,4                          
Medicross                      123,9     n/a      n/a                           
Traumanet ("Netcare 911")      53,9      31,5     71,1                          
Other                          36,2      23,6     53,4                          
Total                          2 074,3   1 626,9  27,5                          
                               EBITDA                                           
                               31 March  31 March %                             
2002      2001     increase                      
Hospital Division              375,7     299,5    25,4                          
Medicross                      21,0      n/a      n/a                           
Traumanet ("Netcare 911")      4,5       2,2      104,5                         
Other                          5,4       4,1      31,7                          
Total                          406,6     305,8    33,0                          
The Group`s debt:equity ratio of 42,4% (2001: 44,6%) improved                   
notwithstanding the payment of R128,5 million to settle the vendors of          
Medicross and R166,9 million (2001: R93,2 million) spent on an accelerated      
capital expenditure programme over 30 sites, which will increase the number     
of beds and theatres in use to meet increasing demand. While capex spend        
should be similar for the second half of the financial year, expenditure for    
financial 2003 is expected to slow down.                                        
Increases in working capital reflect the usual working capital cycle            
experienced in the hospital industry. In comparison to 31 March 2001, after     
adjusting for the impact of the inclusion of acquisitions and a temporary       
increase in non-trade debtors relating primarily to VAT timing issues,          
accounts receivable increased by 18,9% as compared to organic turnover          
growth of 19,7%.                                                                
ACCOUNTING POLICIES                                                             
The interim financial statements comply with South African Statements of        
Generally Accepted Accounting Practice and reflect the change to the Group`s    
accounting policy on depreciation with effect from 1 October 2001. In           
accordance with accounting standards AC135 and AC123, the Group now provides    
for depreciation on owner occupied properties. Comparative figures have been    
restated and the necessary prior year adjustments have been effected.           
Depreciation on buildings for the period amounted to R10,0 million (2001        
Restated: R9,6 million).                                                        
ACQUISITIONS                                                                    
During the period Netcare concluded the following transactions:                 
Acquired all the shares held by minorities in Clinic Holdings Limited           
("Clinics") in consideration for the issue of 98,5 million Netcare shares.      
Clinics was delisted in October 2001.                                           
Acquired the 58-bed Margate Hospital with effect from 1 March 2002 to           
complement the Group`s KwaZulu Natal hospital network. The cost of the          
transaction, which included the provision for profit and other warranties,      
amounted to approximately R19 million, payable partly in cash and partly in     
Netcare shares. The impact of the acquisition on the results for the period     
under review is immaterial.                                                     
The Group will continue to consider selected investments which support the      
core hospital business, add to the value chain and ensure sustainable           
growth.                                                                         
OPERATIONAL REVIEW                                                              
Hospital Division                                                               
Total admissions increased by 3,2% with organic revenue growth of 18,2%.        
This has been achieved despite the low activity over the Easter period which    
fell in March 2002 as against April 2001 and the closure of the Libertas        
Hospital in the Cape.                                                           
Approximately 15% of hospital revenue is currently generated from sources       
outside of the standard medical aid insurance model. Discussions are            
currently underway with funders to significantly increase the utilisation of    
alternative reimbursive payment methods, which currently account for nearly     
10% of revenue.                                                                 
Medicross                                                                       
The Medicross multi-disciplinary primary healthcare provider network has        
been successfully integrated into the Netcare Group and achieved a profit       
for the first time since its inception in 1994. This was due to greater         
efficiencies being obtained in business processes and economies of scale.       
Medicross has outperformed expectations with an EBITDA turnaround of            
approximately R15 million against the comparative prior year period. The        
full potential of the Medicross franchise model has yet to be explored, but     
the business continues to develop its alternative reimbursement methods and     
growth strategies.                                                              
Traumanet "Netcare 911"                                                         
The Traumanet ("Netcare 911") Division, which provides pre-hospital             
emergency services and related insurance products, continued to deliver         
exceptional growth and performance. Insured members grew by over 70% to 4,0     
million (2001: 2,3 million).                                                    
Ampath                                                                          
The increase in attributable earnings of associates compared to the prior       
period, reflects Netcare`s increased effective stake in the Ampath              
administration services group. Ampath`s results were negatively impacted by     
significant imported cost increases due to the decline in the Rand.             
Netcare International                                                           
Netcare International has completed certain consultancy contracts in the        
Middle East and is active in bidding for long-term management contracts in      
the region.                                                                     
Community Hospital Group ("CHG")                                                
Netcare`s empowerment associate has made pleasing progress with its current     
portfolio of three hospitals, while the 100-bed Kuilsrivier Hospital in the     
Cape, presently under construction, is scheduled to open in July 2002.          
CHG is engaged in discussions with certain Provinces relating to the            
establishment of Private Public Partnerships with Government.                   
Staff Training and Quality Care                                                 
To meet the challenges facing the Nursing profession, the Netcare Training      
Academy now has over 2000 graduates for the year, all of whom are on Netcare    
sponsored bursaries.                                                            
As part of the Group`s aim to remain at the forefront of quality healthcare     
delivery and to be an employer of choice, a comprehensive staff reward and      
recognition programme, branded as "Goldcare Winners Programme", has been        
successfully introduced. The objective of the programme is to improve           
patient care and enhance staff retention. In addition, the Group has been       
striving to improve nursing care and has been described by independent          
research house Twig SA as "..leaders in consistently delivering exceptional     
patient care" ahead of its competitors.                                         
PROSPECTS                                                                       
Netcare`s portfolio of operations is well positioned in the markets it          
serves and the Group remains committed to maintain its position as a low        
cost producer of quality healthcare services.                                   
Focus areas over the next period will be to embrace the core value              
disciplines of best and safest product, customer intimacy and operational       
efficiencies.                                                                   
The Board of Netcare is confident that, in the absence of unforeseen            
circumstances, the Group will continue to grow earnings in the second six       
months of the financial year. Historically the Group reports a higher level     
of revenue, profits and cash generation in the second half of the financial     
year due to the seasonal nature of hospital usage.                              
CAPITAL DISTRIBUTION                                                            
In accordance with the authority given to the Board of directors by way of      
an ordinary resolution passed on 25 January 2002, the Board of directors has    
declared an interim capital distribution out of share premium of 4,5 cents      
per ordinary share (2001: 3,5 cents per share), payable to shareholders         
recorded in the register of the company on Friday, 5 July 2002. This            
represents an increase of 28,6% over the prior period.                          
In compliance with the requirements of STRATE the following dates are           
applicable:                                                                     
2002                   
Last date to trade ("CUM") the                                                  
cash distribution ("LDT")                     Friday, 28 June                   
Date trading commences ("EX")                                                   
the cash distribution                          Monday, 1 July                   
Record date                                    Friday, 5 July                   
Date of payment                                Monday, 8 July                   
Certificated shareholders may not dematerialise or rematerialise their share    
certificates between Monday, 24 June 2002 and Friday, 5 July 2002, both         
dates inclusive.                                                                
By order of the Board                                                           
Michael I Sacks                                Dr Jack Shevel                   
Chairman                              Chief Executive Officer                   
Sandton                                                                         
20 May 2002                                                                     
REGISTERED OFFICE                                                               
3rd Floor, Sanlam Park South, 9 Fredman Drive                                   
Cnr Bute Lane, Sandown, Sandton 2196                                            
(Private Bag X34, Benmore 2010)                                                 
TRANSFER SECRETARIES                                                            
Ultra Registrars (Pty) Limited, 11 Diagonal Street Johannesburg 2001            
(PO Box 4844, Johannesburg 2000)                                                
EXECUTIVE DIRECTORS                                                             
MI Sacks (Chairman) CTA CA(SA) AICPA (ISR) ,                                    
Dr J Shevel (Chief Executive Officer) MBBCh,                                    
Dr RH Friedland (Chief Operating Officer) BVSc                                  
MBBCh Dip Fin Man MBA,                                                          
SR Favish (Chief Financial Officer) BCom CA(SA) MBA,                            
Dr RH Bush MBBCh DCH (SA)                                                       
IM Davis Dip Pharm (MPS),                                                       
Dr I Kadish (Managed Care Operations and Information Technology) MBBCh MBA,     
PJ Lindeque CA(SA),                                                             
Dr C Rossolimos (Chief Executive Officer - International)                       
MBBCh (DMS) Dip Bus M Prac Acc,                                                 
P Warrener (Human Resources) BSocSci DPLR Dip Fin Man,                          
N Weltman CA(SA)                                                                
NON-EXECUTIVE DIRECTORS                                                         
Dr APH Jammine BSc (Hons) BA (Hons) MSC (LSE) PhD (LBS),                        
JM Kahn BA(Law) MBA DCom(hc) SOE,                                               
HR Levin BCom LLB LLM H Dip Tax Law H Dip Co Law,                               
Dr JA van Rooyen MBBCh M Med (Clin Path),                                       
Mrs SV Zilwa CA(SA) Adv Tax Cert (SA) CFP (SA)                                  
COMPANY SECRETARY                                                               
J Wolpert CA(SA) FCMA                                                           
For more information please visit our website at: www.netcare.co.za             
Date: 21/05/2002 07:22:00 AM Produced by the SENS Department                    


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