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Wed 13 Nov 2002, 17:06 Mediclinic Corporation Limited - Interim Report
MEDICLINIC CORPORATION LIMITED - INTERIM REPORT                                 
MEDICLINIC CORPORATION LIMITED                                                  
Reg. No. 1983/010725/06                                                         
Share code: MDC                                                                 
ISIN-code: ZAE000004370                                                         
HIGHLIGHTS                                                                      
* Growth in hospital turnover:          19%                                     
* Headline earnings per share growth:   25%                                     
* Distribution per share up:            24%                                     
CONSOLIDATED INCOME STATEMENT                                                   
                         6 months to              6 months to    Year to        
30/09/2002     Increase  30/09/2001     31/03/2002     
                         R`000          %         R`000          R`000          
Revenue                  1 378 416      19        1 161 443      2 437 938      
Operating income         273 427       16         236 426        505 944        
Dividend received        -                        4 327          5 060          
Interest received        17 827                   8 343          19 929         
Income from associates   9 092                    9 196          18 129         
Profit on sale of                                                               
equipment                194                      -              329            
Amortisation of                                                                 
goodwill                 (660)                    (203)          (1 089)        
Depreciation             (34 490)                 (36 924)       (70 849)       
Interest paid            (3 942)                  (10 708)       (17 121)       
Minority interests       (17 228)                 (12 731)       (27 976)       
Net income before                                                               
taxation                 244 220                  197 726        432 356        
Taxation                 70 197                   55 512         123 866        
Attributable earnings    174 023                  142 214        308 490        
Headline earnings reconciliation:                                               
  Attributable earnings  174 023                  142 214        308 490        
Amortisation of                                                               
goodwill                 660                      203            1 089          
  Profit on sale of                                                             
equipment                (194)                    -              (329)          
Attributable headline                                                         
 earnings                174 489        23        142 417        309 250        
Headline earnings                                                               
per ordinary share                                                              
- cents                  51,1           25        40,8           88,7           
Earnings per ordinary                                                           
share - cents            50,9                     40,7           88,5           
Capital distribution                                                            
per ordinary share - cents                                                      
Interim                  9,7            24        7,8            7,8            
Final                    -                        -              19,5           
                         9,7                      7,8            27,3           
CONSOLIDATED BALANCE SHEET                                                      
                              30/09/2002     30/09/2001     31/03/2002          
                              R`000          R`000          R`000               
Assets                                                                          
Non-current assets            1 470 377      1 501 095      1 432 792           
Property, plant and                                                             
equipment                     1 376 318      1 347 551      1 346 681           
Intangible assets             16 860         9 910          17 835              
Investments - unlisted        19 790         95 171         18 245              
Deferred taxation             57 409         48 463         50 031              
Current assets                `777 197       578 360        714 794             
Cash and cash equivalents     294 986        132 788        208 447             
Other current assets          482 211        445 572        506 347             
Total assets                  2 247 574      2 079 455      2 147 586           
Equity and liabilities                                                          
Share capital and reserves    1 771 328      1 578 220      1 660 270           
Minority interests            79 741         75 558         74 708              
Interest-bearing debt         39 015         119 210        57 937              
Interest-free debt            357 490        306 467        354 671             
Total equity and liabilities  2 247 574      2 079 455      2 147 586           
Number of ordinary                                                              
shares (`000)                 342 025        349 846        341 466             
Weighted number of                                                              
ordinary shares (`000)        341 569        349 431        348 761             
Net asset value                                                                 
per ordinary share - cents    518            451            486                 
Directors` valuation                                                            
of unlisted investments       90 374         95 171         105 856             
STATEMENT OF CHANGES IN EQUITY                                                  
                              30/09/2002     30/09/2001     31/03/2002          
                              R`000          R`000          R`000               
Opening balance               1 660 270      1 488 117      1 488 117           
Shares issued                 -              988            1 437               
Distributed to shareholders   (66 586)       (53 099)       (80 387)            
Net income for the period     174 023        142 214        308 490             
Movement in shares held                                                         
in treasury                   3 621          -              (57 387)            
                              1 771 328      1 578 220      1 660 270           
CONSOLIDATED CASH FLOW STATEMENT                                                
                              30/09/2002     30/09/2001     31/03/2002          
R`000          R`000          R`000               
Cash flow from operating                                                        
 activities                   158 226        166 479        353 004             
  Cash flow from operations   308 878        296 959        537 801             
Net interest                                                                  
received/(paid)               13 885         (2 365)        2 808               
  Dividends received          -              -              28 512              
  Taxation paid               (89 194)       (66 077)       (123 056)           
Cash distributions to                                                         
minorities                    (8 757)        (8 939)        (12 674)            
  Capital distributions to                                                      
 shareholders                 (66 586)       (53 099)       (80 387)            
Cash flow from investment                                                       
 activities                   (56 386)       (99 267)       (95 861)            
Cash flow from financing                                                        
activities                    (15 301)       (14 395)       (128 667)           
Net movement in                                                                 
cash and cash equivalents     86 539         52 817         128 476             
Opening balance of                                                              
cash and cash _equivalents    208 447        79 971         79 971              
Closing balance of                                                              
 cash and cash _equivalents   294 986        132 788        208 447             
COMMENTARY                                                                      
We are pleased to report that the group has maintained its consistent growth    
pattern.                                                                        
Turnover, which consists entirely of hospital fees levied, increased by 19% to  
R1 378 million (2001: _R1 161 million) for the six months under review.         
Operating income before interest, taxation, depreciation and amortisation       
(EBITDA) was 16% higher at R273 million (2001: R236 million*).  Headline        
earnings rose by 23% to R174 million (2001: R142 million*) resulting in an      
increase of 25% in headline earnings per ordinary share to 51,1 cents (2001:    
40,8 cents*). The proposed interim capital distribution per ordinary share at   
9,7 cents (2001: 7,8 cents) is 24% higher.                                      
The group`s EBITDA margin declined from 20,4% to 19,8% due to three items, each 
of which should enhance shareholder value over the long term. Firstly, the group
initiated a unique retention bonus for nursing staff to reward loyal employees  
who select Medi-Clinic as their employer of choice. Against the background of a 
national and international nursing shortage, the group is confident that this   
scheme will have significant long-term benefits. Secondly, in line with a more  
focused strategy, the operational and capital budgets of the ER24 pre-hospital  
services increased materially compared with the previous review period. This    
revised strategy should provide an attractive return on investment in the near  
future. Thirdly, due to the fact that staff share options are now funded through
the group`s treasury stock of its own shares, the true cost of the scheme is    
charged against the income statement instead of the mere dilution of the        
earnings per share as in the past. This will avoid further dilution of          
shareholder value. Had these expenses, of which the retention bonus is the most 
significant, not been incurred, the EBITDA margin would have been 20,9%.        
The positive impact of the acquisition of 9 million of the group`s own shares   
towards the end of the previous financial year is now evident when comparing the
23% increase in headline earnings with the 25% increase in headline earnings per
share. These shares are held in treasury and, subsequent to the 399 700 shares  
which were previously utilised, 558 900 shares were utilised during the review  
period in terms of the group`s share option scheme.                             
The trading environment remained tight as the country as a whole experienced    
limited economic growth and the medical scheme membership remained virtually    
unchanged. The current high inflationary environment may further impact on the  
medical scheme membership. The group is grateful to have experienced an increase
in bed days and theatre hours sold as well as a favourable mix change towards   
more acute cases.                                                               
Cash flow continued to be strong during the period under review. As in the past,
the group managed to limit the growth rate in working capital to considerably   
less than the growth rate in turnover. As a result the group earned net finance 
income of R13,9 million compared with a net charge of R2,4 million previously.  
Interest-bearing debt was reduced from R58 million to R39 million resulting in  
an improved debt:equity ratio from 3% to 2%. Cash and cash equivalents increased
to R295 million from R208 million. The group`s strong cash flow underlines the  
quality of its earnings.                                                        
Capital expenditure for the period under review was R64 million (2001: R55      
million). Capital commitments (including amounts approved but not yet contracted
for) amounted to R272 million (2001: R135 million).                             
PROSPECTS                                                                       
The group expects to continue its consistent growth pattern.                    
The recently announced acquisition of the Curamed Group, in conjunction with    
Nozala, Mvelaphanda and Utlwanang (a consortium of black medical professionals),
is of great strategic importance to the group. Curamed is a group of six        
Pretoria-based specialist hospitals comprising 706 beds. This transaction will  
not only enhance the Medi-Clinic stable, but the meaningful advent of black     
economic empowerment as part of the transaction, will provide a significant     
platform for joint growth into the future. The transaction is still subject to  
the approval of the Competition Authorities.                                    
Focus will remain on adapting to the needs of the market, thereby increasing the
utilisation of facilities. The group will also endeavour to continue expanding  
its facilities and services within its core competencies. Forces such as        
changing technology, consumerism and affordability will shape the hospital of   
the future. The group remains committed to exploring attractive overseas        
opportunities.                                                                  
New projects amounting to R179 million have recently been approved. The most    
significant are the expansions at Durbanville Medi-Clinic, Nelspruit Medi-Clinic
(which includes a cardiac unit) and Pietermaritzburg Medi-Clinic. Major upgrades
at Morningside Medi-Clinic and Sandton Medic-Clinic will also commence soon. It 
is envisaged that the total expenditure on projects over the next two years will
amount to about R400 million. Your group has, by invitation, commenced building 
private hospitals in Howick, KwaZulu-Natal (26 beds) and Tzaneen (60 beds) in   
partnership with the respective local communities. A 25-bed sub-acute unit in   
Plettenberg Bay, Medsac Private Health Centre, was also acquired subject to     
certain suspensive conditions. Together with the Curamed transaction, these     
investments demonstrate the group`s confidence in and commitment to the private 
hospital industry in South Africa.                                              
Following the 4% increase in theatre and ward tariffs proposed by the Board of  
Healthcare Funders for 2003, your group is now negotiating directly with various
funders. We are confident that a realistic increase will be granted.            
Furthermore, these negotiations should create the opportunity of establishing   
sound long-term relationships with individual strategic players in the funding  
environment.                                                                    
The acute shortage of skilled nursing staff is regarded as a serious threat to  
all hospitals in the country. The group has increased the amount spent on the   
training of nursing staff and certain other staff categories to 4% of its       
payroll cost in the current budget. Nursing staff of the group who have received
training have to date achieved excellent results in the SA Nursing Council`s    
registered examinations. The group is confident that such training, coupled with
the referred to retention bonus for nursing staff, will help to alleviate the   
acute shortage.                                                                 
Given acceptable economic growth in the country, the group remains optimistic   
about its prospects for the next six months.                                    
*ACCOUNTING POLICIES                                                            
The results have been prepared in accordance with South African Statements of   
Generally Accepted Accounting Practice.                                         
During the previous financial year the group changed its accounting policy in   
respect of post-retirement medical benefits to comply with the revised AC116,   
which resulted in a provision being raised in the balance sheet for post-       
retirement medical benefits. Accordingly, the operating profit, taxation charge,
interest-free debt and attributable income of the previous review period have   
been restated to incorporate the changed accounting policy. The restated        
headline earnings per share for the six months ended _30 September 2001         
decreased by 0,6 cents from 41,4 cents to 40,8 cents. With the exception of post
retirement medical benefits, the accounting policies used are consistent with   
those applied in the previous review period.                                    
CAPITAL DISTRIBUTION TO SHAREHOLDERS                                            
The board of directors has declared a capital distribution of 9,7 cents per     
ordinary share, which will be paid out of share premium.                        
In compliance with the requirements of STRATE, the following dates are          
applicable:                                                                     
Last date to trade cum capital distribution       Friday, 6 December 2002       
First date of trading ex capital distribution     Monday, 9 December 2002       
Record date                                       Friday, 13 December 2002      
Payment date                                      Tuesday, 17 December 2002     
Share certificates may not be dematerialised/rematerialised from Monday, 9      
December 2002 to Friday, 13 December 2002, both days inclusive.                 
Signed on behalf of the board of directors:                                     
E DE LA H HERTZOG                  LJ ALBERTS                                   
Chairman                           Managing Director                            
Stellenbosch, 11 November 2002                                                  
Date: 13/11/2002 04:10:52 PM Produced by the JSE SENS Department                


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