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Netcare - Results for the six months ended 31 March 2006

Release Date: 11/05/2006 08:52
Code(s): NTC
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Netcare - Results for the six months ended 31 March 2006 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" or "the Group") Unaudited Interim Results for the six months ended 31 March 2006 (Incorporating first time adoption of International Financial Reporting Standards) HIGHLIGHTS - 11.8% increase in Revenue - 22.0% increase in diluted HEPS (before abnormal item) - 20.0% increase in Capital Distribution - Significant corporate activity - Expansion initiatives in South Africa - Acquisition of General Healthcare Group (United Kingdom) Restated Restated
Unaudited Unaudited Audited 31 March 31 March 30 September 2006 2005 2005 (Rm) (Rm) (Rm)
ASSETS Non-current assets 4,550.8 3,946.1 4,280.7 Property, plant and equipment 3,282.4 2,908.5 3,134.1 Goodwill and development expenditure 456.9 313.1 325.0 Associated companies, investments and loans (note 1) 792.8 691.2 802.9 Deferred taxation asset 18.7 33.3 18.7 Current assets 2,464.8 2,009.4 1,991.5 Investments and loans (note 1) 104.6 117.5 75.8 Inventories 285.7 274.4 274.6 Accounts receivable 1,585.4 1,407.4 1,348.2 Cash and cash equivalents 489.1 210.1 292.9 Total assets 7,015.6 5,955.5 6,272.2 GROUP BALANCE SHEET AT 31 MARCH 2006 Restated Restated Unaudited Unaudited Audited 31 March 31 March 30 September 2006 2005 2005
(Rm) (Rm) (Rm) EQUITY AND LIABILITIES Capital and reserves 3,623.6 3,062.3 3,418.1 Share capital and premium 1,067.8 711.1 597.2 Treasury shares (1,588.9) (897.5) (897.5) Reserves 4,064.9 3,173.5 3,642.6 Ordinary shareholders" equity 3,543.8 2,987.1 3,342.3 Minority interest 79.8 75.2 75.8 Non-current liabilities 1,052.4 995.1 714.2 Interest-bearing debt 800.2 794.1 492.9 Deferred lease liability 158.3 156.7 159.5 Deferred taxation liability 93.9 44.3 61.8 Current liabilities 2,339.6 1,898.1 2,139.9 Accounts payable and provisions 1,209.9 1,055.6 1,217.4 Interest-bearing debt 1,125.9 721.3 913.4 Taxation payable 3.8 121.2 9.1 Total equity and liabilities 7,015.6 5,955.5 6,272.2 Ordinary shareholders" equity per share(cents) 244.4 209.3 231.1 GROUP INCOME STATEMENT FOR THE SIX MONTHS ENDED 31 MARCH 2006 Restated Audited Year
Restated ended Unaudited Unaudited 30 31 March 31 March September 2006 2005 % 2005
(Rm) (Rm) Change (Rm) Revenue 4,009.2 3,585.9 11.8 7,533.7 Cost of sales (1,211.8) (1,108.6) (2,312.4) Gross profit 2,797.4 2,477.3 5,221.3 Other income 89.5 76.2 165.0 Administrative and other expenses (note 4) (2,332.7) (2,066.0) (4,234.1) Operating profit 554.2 487.5 13.7 1,152.2 Financial income (note 2) 50.7 29.6 75.7 Financial expenses (note 3) (93.3) (81.7) (176.0) Share of profit of associates 20.4 21.8 62.9 Profit before taxation 532.0 457.2 1,114.8 Taxation (160.2) (116.2) (299.5) Profit for the period 371.8 341.0 815.3 Attributable to: Ordinary shareholders 367.8 340.0 16.4 813.6 Minority interests 4.0 1.0 1.7 371.8 341.0 9.0 815.3 GROUP EARNINGS PER SHARE FOR THE SIX MONTHS ENDED 31 MARCH 2006 Restated Restated Audited Unaudited Unaudited Year ended 31 March 31 March 30 September
2006 2005 % 2005 (Rm) (Rm) Change (Rm) Profit attributable to ordinary shareholders 367.8 340.0 8.2 813.6 Impairment of goodwill 19.9 Impairment of investments 2.7 7.0 293 Reversal of impairment of land and buildings (9.8) Net capital (profit) / loss on disposal of subsidiary and assets (0.4) 6.1 Headline earnings 370.1 347.0 6.7 859.1 Earnings per share (cents) Headline - basic 25.6 24.3 5.3 60.0 - diluted 25.0 23.6 5.9 58.3 Attributable - basic 25.4 23.9 6.3 56.8 - diluted 24.8 23.1 7.4 55.2 SUPPLEMENTARY GROUP EARNINGS PER SHARE INFORMATION FOR THE SIX MONTHS ENDED 31 MARCH 2006 Restated
Restated Audited Unaudited Unaudited Year ended 31 March 31 March 30 September 2006 2005 % 2005
(Rm) (Rm) Change (Rm) Headline earnings 370.1 347.0 6.7 859.1 Abnormal items - net of taxation 57.6 2.5 Headline earnings - before abnormal items 427.7 347.0 23.3 861.6 Headline earnings per share before abnormal items (cents) - basic 29.5 24.3 21.4 60.2 - diluted 28.8 23.6 22.0 58.5 GROUP CASH FLOW STATEMENT FOR THE SIX MONTHS ENDED 31 MARCH 2006 Restated Restated Audited Unaudited Unaudited Year ended
31 March 31 March 30 September 2006 2005 2005 (Rm) (Rm) (Rm) Cash received from customers 3,787.9 3,456.6 7,462.7 Cash paid to suppliers and employees (3,305.4) (2,872.3) (5,842.8) Cash generated from operating activities 482.5 584.3 1,619.9 Interest paid (93.3) (81.7) (176.0) Taxation paid (133.4) (201.4) (465.7) Capital distributions (217.2) (163.7) (307.8) Net cash retained from operating activities 38.6 137.5 670.4 Cash flows from investing activities (336.2) (243.8) (612.9) Capital expenditure (279.2) (145.9) (494.7) Capital expenditure to maintain operations (207.1) (121.9) (187.4) Capital expenditure to expand operations (72.1) (24.0) (307.3) Proceeds from sale of non current assets 8.4 40.3 Interest received 34.7 15.5 46.5 Net investment in businesses and loans to businesses (97.8) (81.2) (172.8) Share buy-backs (2.3) (32.2) (32.2) Cash flows from financing activities 497.0 170.9 89.9 Movement in interest-bearing liabilities 501.4 163.3 54.1 Net equity movements (4.4) 7.6 35.8 Increase in cash and cash equivalents 199.4 64.6 147.4 Cash and cash equivalents at beginning of period 292.9 145.5 145.5 Net cash resources assumed on acquisition of businesses (3.2) Cash and cash equivalents at end of period 489.1 210.1 292.9 GROUP STATEMENT OF CHANGES IN EQUITY FOR THE SIX MONTHS ENDED 31 MARCH 2006 Share Non- Share capital distri- based and Treasury butable payment
(Rm) premium shares reserves reserve Interest of all shareholders Balance at beginning of period 597.2 (897.5) 212.2 Adjustment to opening balances for changes in accounting policies 4.8 Balance at beginning of period as restated 597.2 (897.5) 212.2 4.8 Negative goodwill derecognised Fair value deficit on investments net of tax (0.8) Currency translation reserves and other movements 25.2 Net income/ (expense) recognised directly in equity 24.4 Attributable earnings Total recognised income and expense for the period 24.4 Issue of shares 687.8 HPFL treasury shares (689.1) Share buy-backs (2.3) Capital distributions (217.2) Share-based payment reserve 57.6 Balance at end of period 1,067.8 (1,588.9) 236.6 62.4 Restated Distri- Unaudited Unaudited butable Minority 31 March 31 March
(Rm) reserves interest 2006 2005 Interest of all shareholders Balance at beginning of period 3,430.4 75.8 3,418.1 2,904.6 Adjustment to opening balances for changes in accounting policies (4.8) (108.6) Balance at beginning of period as restated 3,425.6 75.8 3,418.1 2,796.0 Negative goodwill derecognised 116.6 Fair value deficit on investments net of tax (0.8) (5.4) Currency translation reserves and other movements (27.5) (2.3) (4.0) Net income/ (expense) recognised directly in equity (27.5) (3.1) 107.2 Attributable earnings 367.8 4.0 371.8 341.0 Total recognised income and expense for the period 340.3 4.0 368.7 448.2 Issue of shares 687.8 14.0 HPFL treasury shares (689.1) Share buy-backs (2.3) (32.2) Capital distributions (217.2) (163.7) Share-based payment reserve 57.6 Balance at end of period 3,765.9 79.8 3,623.6 3,062.3 Restated Audited Year ended 30 Sept
(Rm) 2005 Interest of all shareholders Balance at beginning of period 2,796.0 Adjustment to opening balances for changes in accounting policies Balance at beginning of period as restated 2,796.0 Negative goodwill derecognised 116.6 Fair value deficit on investments net of tax (10.3) Currency translation reserves and other movements (8.5) Net income/ (expense) recognised directly in equity 97.8 Attributable earnings 815.3 Total recognised income and expense for the period 913.1 Issue of shares 44.2 HPFL treasury shares Share buy-backs (32.2) Capital distributions (307.8) Share-based payment reserve 4.8 Balance at end of period 3,418.1 KEY FINANCIAL INFORMATION FOR THE SIX MONTHS ENDED 31 MARCH 2006 Restated Restated Audited
Unaudited Unaudited Year ended 31 March 31 March 30 September 2006 2005 2005 Ordinary shares (millions) In issue 1,450.0 1,427.0 1,446.2 Weighted average number of shares 1,448.3 1,425.2 1,431.5 Diluted weighted average number of shares 1,482.9 1,472.9 1,473.8 Distributions Capital distributions (cents per share) 12.0 10.0 25.0 Other salient features Operating margin (%) 15.3* 13.6 15.3 Effective taxation rate (%) 30.0 25.0 25.9 Operating profit return on net assets (%) 26.7* 24.8 29.1 Return on shareholders" equity (%) 24.8* 23.9 28.3 Debt: equity ratio (%) 39.7 42.6 32.6 Interest cover (times) 9.7 7.6 9.1 *Excludes effect of HPFL transaction SUPPLEMENTARY NOTES FOR THE SIX MONTHS ENDED 31 MARCH 2006 Abnormal items Health Partners for Life ( BEE transaction), share-based payment costs in terms of IFRS 2 ("HPFL IFRS charge") 57.6 Legal expenses incurred on single exit pricing regulations 3.5 5. Operating lease charges 67.0 57.4 130.4 6. Commitments Capital commitments contracted 365.7 223.8 260.0 Operating lease commitments 747.9 824.0 798.6 7. Contingent liabilities 627.9 378.7 381.1 Restated Restated Unaudited Unaudited Audited
31 March 31 March 30 September 2006 2005 2005 (Rm) (Rm) (Rm) 1. Associated companies, investments and loans Non-current Investments and loans to associated companies 759.9 610.0 728.4 Investments and loans (from) /to joint ventures (25.6) 30.1 11.7 Other loans 58.5 51.1 62.8 792.8 691.2 802.9
Current Held-for-trading investments 66.1 72.9 49.9 Loans 38.5 44.6 25.9 104.6 117.5 75.8
897.4 808.7 878.7 Directors" valuation of investments and loans to associated companies 1,198.4 701.6 823.9 2. Financial income Fair value adjustments on held- for-trading investments 16.0 14.1 29.2 Interest income 34.7 15.5 46.5 50.7 29.6 75.7 3. Financial expenses Interest expense 90.1 81.7 176.0 Preference share dividend 3.2 93.3 81.7 176.0 4. Administrative and other expenses Administrative and other expenses includes the following items: Depreciation and amortisation Depreciation of property, plant and equipment 125.6 117.4 248.2 Amortisation of development expenditure 2.4 0.5 3.4 INTRODUCTION The Netcare Board is pleased to report that significant strategic, financial and operational progress was achieved during the six month period ended 31 March 2006. STRATEGIC REVIEW The past six months have been transforming for Netcare as the developments within the South African market and acquisition of General Healthcare Group ("GHG") elevates Netcare into a global healthcare company. Netcare has identified a dual strategy of becoming the leading African healthcare Group, committed to its growth strategy within the local market while pursuing further growth opportunities in the United Kingdom ("UK"). As the macro environment continues to evolve through positive developments arising from tax reforms; the Government Employee Medical Scheme ("GEMS"); the Low Income Medical Scheme ("LIMS") and the growing formally employed sector, Netcare is well positioned to work with stakeholders in improving access and affordability to quality healthcare for more South Africans. Evidence of this continues through improved volumes in the business units and as demand for healthcare from an aging population increases. From a corporate perspective the Group has successfully completed the following significant transactions: the implementation of the Health Partners for Life broad based black economic empowerment transaction ("HPFL"); the acquisition by Medicross of Primecure; the unwind of the Netpartner cross shareholding; and the acquisition of a controlling interest in GHG in the UK. Further references to other strategic developments are contained herein. At a management level, the formalisation of the executive committees ("Exco") in both South Africa and the UK have ensured that the organisation is operationally well managed with clear transformation and succession planning in place, as well as strategically aligned and defined deliverables with performance based rewards. During the period the Exco reviewed the Group"s key leadership strategies and added Organisational Growth and Embracing Transformation to the existing themes of: Best and Safest Patient Care; Growing with Passionate People; Physician Partnerships; and Operational Efficiency These themes remain the cornerstone of Netcare"s strategic focus and development going forward. As 12 May is International Nurses Day, we pay tribute to members of the nursing profession. We salute you as a member of a noble profession. We commend you for your dedication to caring for others and unselfishly helping to preserve the sanctity of life. Your commitment, care and passion help us realise our standards of excellent patient care and you provide invaluable support to the doctors and medical professionals with whom you work. Your devotion to our patients is a major reason why Netcare continues to deliver quality patient care. Our patients place their lives in your hands, feeling safe in the knowledge that you will give them the best care and attention possible. You are a lifeline to those in need and make us proud. Thank you! FINANCIAL REVIEW The six month period under review generated pleasing growth in revenue, operating profit and headline earnings before the HPFL IFRS charge of 11.8%, 25.5%, and 23.3% respectively. A pro-forma analysis of Revenue and Operating Profit of the business groupings of Netcare is set out below: REVENUE Unaudited Unaudited 31 March 31 March
2006 2005 % R"m R"m Increase Hospital and Trauma 3,116.0 2,807.7 11.0 Ancillary Healthcare businesses 763.6 718.2 6.3 Netcare International 129.6 60.0 116.0 Total - pre abnormal items 4,009.2 3,585.9 11.8 Abnormal items - HPFL IFRS charge* Total after abnormal items 4,009.2 3,585.9 11.8 OPERATING PROFIT Unaudited Unaudited 31 March 31 March
2006 2005 % R"m R"m Increase Hospital and Trauma 506.3 403.4 25.5 Ancillary Healthcare businesses 93.9 80.3 16.9 Netcare International 11.6 3.8 205.3 Total - pre abnormal items 611.8 487.5 25.5 (57.6) Abnormal items - HPFL IFRS charge* Total after abnormal items 554.2 487.5 13.7 *IFRS 2 requires that share-based payments (the category within which the HPFL transaction falls) be expensed over the vesting period of those payments. An expense of R 57.6 million ("the HPFL IFRS charge") has been recognised during the interim period in regard to those allocations which have been issued and have a limited probability of forfeiture. The pro-forma financial information is the responsibility of the directors of Netcare. After taking the HPFL IFRS charge into consideration the results reflect a positive increase in operating profit of 13.7% to R554.2 million (2005: R487.5 million) which translates into an increase in fully diluted HEPS of 5.9% to 25.0 cents per share (2005: 23.6 cents per share). The Group"s strong cash generation was applied towards, inter alia, tax payments of R133.4 million (2005: R201.4 million), capital expenditure of R279.2 million (2005: R145.9 million), increased capital distributions of R217.2 million (2005: R163.7 million) and other investments of R97.8 million (2005: R81.2 million). Despite these factors, as well as the significant equity impact of the treasury shares, the debt:equity ratio declined to a sound 39.7% (2005: 42.6%). In terms of the Group"s commitment to infrastructure and a broadened hospital network within South Africa, the following capital expenditure has been incurred or is in progress: investments in new facilities and material expansions in Tableview, Ballito, Margate, Richards Bay and selected other hospitals across the country; investment in SAP based enterprise systems aimed at improving efficiencies, service, quality and reducing reporting cycles; investment in new technology and equipment with the aim of improving the delivery of quality healthcare and attracting the best medical professionals; the pending acquisition of the Umhlanga Hospital property (currently leased) with plans to expand; and investment in an aeromedical fleet to extend Netcare 911"s reach into Africa. OPERATIONAL REVIEW CORE HOSPITAL NETWORK AND TRAUMA The businesses forming part of this division achieved organic revenue growth of 11.0% with patient days increasing by 4.1% on the prior period (with the Easter holidays having fallen in the 1st half of the comparative period and due in the 2nd half of the current year). Interestingly, over 50% of this is attributable to patients over the age of sixty, reflecting a global trend of an aging population driving healthcare utilisation. Other key indicators include admissions, maternity cases and theatre cases all being up on the prior period by 4.6%, 5.5% and 3.9% respectively. Importantly, the percentage of revenue generated from private patients utilising Netcare facilities increased. The improved operating performance, exhibited by a 25.5% increase in operating profit against the aforementioned increase in revenue is largely attributable to improvements in nursing and administration efficiencies and better financial performance at Netcare 911. Progress has been made with regard to the development of the 100-bed Blaauwberg hospital in the Western Cape and the 100- bed Alberlito hospital on the north coast of KwaZulu Natal. In addition, the significant investments in technology and infrastructure in recent years is realising benefits. Netcare has been awarded preferred bidder status for the Port Alfred hospital and Grahamstown hospital as Public Private Partnerships ("PPP"s"). In addition, Netcare has been awarded a 250-bed license to establish a new private hospital in East London and a 200-bed licence with a group of empowerment partners for a hospital in Polokwane. These green-field developments will add to the Group"s network in terms of enterprise development and access in areas which are currently outside of Netcare"s geographical footprint. Netcare 911 Following the attainment of breakeven performance within Netcare 911 during the past financial year, the business continued to focus on major strategic initiatives aimed at growing revenues and developing its local and international geographic spread. The investments in aircraft and resultant performance of the aeromedical division continues to yield good growth. ANCILLARY HEALTHCARE BUSINESSES Administration and Logistical Services Netcare"s interests in administration and logistical support services have continued to yield satisfactory results as these businesses provide various healthcare providers with business infrastructures in order to enable them to specialise and enhance their business practices. Primary Care Services Medicross achieved reasonably static results as compared to the prior period which was pleasing given the increased competition within the retail pharmacy sector and pricing and regulatory dynamics. Medicross acquired Primecure in February 2006. The acquisition of Primecure is evidence of Netcare"s commitment to primary healthcare as a "core" business together with the Group"s tertiary medical facilities. With over 100 primary care centres nationally, the Group is committed to finding innovative ways to expand on the existing infrastructure and intellectual capital by broadening its offering both locally and abroad. In addition, significant progress has been made by Primecure as a provider to GEMS which is seen as a solid platform to improve access and affordability to private healthcare and assist in reducing the challenges being experienced in the public sector. Netcare has made progress in exploring the business models required to penetrate the lower LSM markets as part of Government"s strategy to broaden healthcare accessibility and affordability. Netcare Diagnostics The business units forming part of Netcare Diagnostics continue to benefit from volume / margin sensitivities, rationalisation and economies of scale usually exhibited by these kinds of operations. Following their solid performances in 2005, these businesses reflected performance increases in line with inflation over the period. The Board is reviewing its strategy in regard to certain of these investments in line with the Group"s growth and development plans. Community Hospital Group ("CHG") pharmacies The CHG pharmacies continued to perform well as the hospitals forming part of CHG experienced similar growth to that of the Netcare hospitals. NETCARE INTERNATIONAL Netcare UK performed well for the six month period. Revenue increased by 116.0% to R129.6 million (2005: R60.0 million) with operating profit having improved 205.3% to R11.6 million (2005: R3.8 million). The period has been evidenced by significant tender activity as the NHS continues to outsource services to the private sector. During the period Netcare UK concluded two 5-year contracts to provide primary care services in Commuter Walk in Centres ("CWICs") at Kings Cross Station in London and Leeds Station, which are expected to commence in July/August 2006. In addition, shareholders are referred to the announcement made on 25 April 2006 relating to Netcare"s acquisition of a controlling interest in GHG ("the GHG acquisition"). The GHG acquisition transforms Netcare into one of the world"s largest hospital groups with significant potential for future growth and value creation for all stakeholders, both locally and internationally. As GHG is currently in the process of formally revaluing each of the properties in its extensive property portfolio which is required to finalise the restatement of its financial results in line with IFRS and those of Netcare, it is not yet possible to quantify the pro- forma financial effects of the transaction with reasonable certainty. As a result the pro-forma financial effects of the GHG acquisition will only be announced once these implications have been finalised and reviewed by the reporting accountants. Further announcements and a Circular, including the financial effects, will be released in due course. ASSOCIATES Netpartner In line with Netcare"s strategy of neutrality from a service provider and healthcare funder perspective, the cross- shareholding with Netpartner is in the process of being unwound pending the necessary approvals. The unwinding will simplify the corporate structures and have significant benefits for both Netcare and Netpartner, as well as other stakeholders within the industry and importantly releases value for Netpartner shareholders (including BEE shareholders), through, inter alia, giving them a direct stake in Netcare. This will also result in an increase in the direct BEE equity ownership within Netcare. Shareholders are referred to the SENS announcement published on 23 March 2006. A Circular is expected to be posted to shareholders during the last week of May 2006. Community Hospital Group ("CHG") The investment in CHG continues to yield solid returns with options being explored in relation to this entity. TRANSFORMATION Health Partners for Life ("HPFL") Following the effective implementation of Netcare"s HPFL transaction during October 2005, the Board is pleased to announce that this transaction is being rolled out to the approximately 45 000 stakeholders with meaningful value creation already having been achieved. The Group is committed to driving various initiatives in the areas of, inter alia, equity ownership, enterprise development, employment equity, procurement, HIV and AIDS, access and corporate social responsibility in further transforming Netcare into the future. Netcare is proud to have qualified, for the third successive year since its inception, for inclusion as a constituent in the 2006 JSE Socially Responsible Investment (SRI) index. CHANGES IN DIRECTORATE Dr J Shevel resigned as a Non-Executive director on 22 November 2005. Given the corporate activity within Netcare, and the Group"s transformation initiatives, further changes to the Board of Directors are expected to be announced in due course as a result of the GHG acquisition. PROSPECTS The world"s population is living longer and new technology is enabling earlier diagnosis and treatment of hitherto incurable or inoperable diseases. These are well documented trends internationally and with 65% of healthcare utilisation and costs driven by people over 60 years of age, it will have profound consequences on healthcare provision and capacity. Even in South Africa, adjusting for the impact of the HIV/AIDS pandemic, the population is aging. Internationally the trend of governments to become both providers and purchasers of healthcare is increasing and provides a substantial opportunity for growth. This remains an important avenue of development for Netcare. Having regard to; positive advancements in seeking ways to grow the medically insured population of South Africa; increased utilisation arising from aging populations; new facilities being planned and built due to new licences and PPP"s being awarded to Netcare which will broaden the Group"s network of medical facilities; improved stakeholder interaction to find sustainable solutions to the challenges of access and affordability; the Group"s expanded footprint in Primary Care; the rollout of the SAP integrated information technology platform; the medium term significance of Netcare"s acquisition of a controlling interest in GHG in one of the most attractive healthcare markets worldwide, and in the absence of any unforeseen circumstances in the South African and global economies and the healthcare regulatory environment (including the outcome of the Pharmacy regulations), it is considered that the Group has a well balanced portfolio of sustainable healthcare businesses to continue to generate meaningful returns and growth for all stakeholders over time. ACCOUNTING POLICIES AND JSE REQUIREMENTS Basis of preparation and International Financial Reporting Standards ("IFRS") adoption These interim consolidated financial statements have been prepared in accordance with IAS34, Interim Financial Reporting. Accounting policies used are consistent with those used in the published September 2005 annual financial statements, except as disclosed herein. The interim announcement has been prepared in accordance with the Listing Requirements of the JSE Limited. INTERNATIONAL FINANCIAL REPORTING STANDARDS In accordance with the Listing Requirements of the JSE Limited, the Group is adopting IFRS with the effect from 1 October 2005. As the Group publishes comparative information in its financial statements, the date of transition to IFRS is 1 October 2004, which represents the start of the earliest period of comparative information presented. The financial information has been prepared in accordance with IFRS and interpretations in effect on 31 March 2006. Effect of the first time adoption of IFRS IFRS1 allows a number of exemptions upon adoption of IFRS and the Group has elected to utilise the following transitional arrangements: Business combinations: The Group has elected not to retrospectively apply the requirements of IFRS3, Business Combinations for business combinations that occurred prior to 1 October 2004. As a result, the carrying amount of goodwill was the amortised amount at 30 September 2004 less any impairment. Previously amortised goodwill eliminated against reserves has not been re-instated. Property, plant and equipment: A first-time adopter may elect to use the fair value of individual property, plant and equipment at transition date as the deemed cost. The Group has elected to continue accounting on the historical cost basis. Employee benefits: The Group has elected not to use the corridor approach that leaves some actuarial gains and losses unrecognised. Cumulative foreign currency translation reserve adjustment: The cumulative foreign currency translation reserve existing on transition will be retained. Share-based payments: The Group has elected not to apply the provisions of IFRS2, Share-based payments, to equity- settled awards granted on or before 7 November 2002, or to awards granted after that date but which had vested prior to 1 October 2004. Adjustments on adoption of IFRS The Group has changed its accounting policies with regards to share-based payments and goodwill to comply with IFRS. IFRS 3 Business Combinations The Group previously recognised acquired goodwill at cost less accumulated amortisation and any impairment. In terms of IFRS3, goodwill is no longer amortised but is subject to impairment reviews, both annually and where there are indications that the carrying value may not be recoverable. IFRS 2 Share-based Payments The fair value at the date of granting the options is charged to income over the relevant option vesting periods, adjusted to reflect actual and expected levels of vesting. Other adjustments GAAP Monitoring Panel ("GMP") The JSE Limited, based upon the recommendations of the GMP, requested Netcare to restate its interim results for the six months ended 31 March 2005. Refer to the SENS announcement dated 11 November 2005. The restatement removed from Netcare"s attributable earnings, its interest in the mark-to-market gains on Netcare shares held by its associate company, Netpartner Investments Limited. Such gains were considered by the GMP to arise from transactions with Netcare"s own shareholders and accordingly should not have been included in Netcare"s income. The restatement includes in Netcare"s attributable earnings the effect of the cross-holding between Netcare and Netpartner. IAS 17 Leases As guided by Circular 7/2005, issued by the South African Institute of Chartered Accountants, the Group revised its interpretation of IAS 17. Lease payments are now recognised as an expense on a straight-line basis over the lease term. Reclassification Held-for-trading investments and loans have been reclassified to current assets. IFRS effects As previously IFRS 3 IFRS 2 reported Adoption Adoption Rm Rm Rm
Reconciliation of profit for the year ended September 2005 Profit before share of profit of associates and taxation 1,056.7 (4.8) Share of profit of associates 62.9 Profit before taxation 1,119.6 (4.8) Taxation (299.5) Profit for the year 820.1 (4.8) Attributable to: Ordinary shareholders 818.4 (4.8) Minority interests 1.7 820.1 (4.8) Reconciliation of profit for the six months ended 31 March 2005 Profit before share of profit of associates and taxation 436.3 5.3 (2.4) Share of profit of associates 34.4 Profit before taxation 470.7 5.3 (2.4) Taxation (117.3) Profit for the period 353.4 5.3 (2.4) Attributable to: Ordinary shareholders 352.4 5.3 (2.4) Minority interests 1.0 353.4 5.3 (2.4) IFRS impact and change in comparative period classifications and disclosures Other adjustments GMP IAS 17 Reclassi- As revision revision fication restated Rm Rm Rm Rm
Reconciliation of profit for the year ended September 2005 Profit before share of profit of associates and taxation 1,051.9 Share of profit of associates 62.9 Profit before taxation 1,114.8 Taxation (299.5) Profit for the year 815.3 Attributable to: Ordinary shareholders 813.6 Minority interests 1.7 815.3 Reconciliation of profit for the six months ended 31 March 2005 Profit before share of profit of associates and taxation (3.8) 435.4 Share of profit of associates (12.6) 21.8 Profit before taxation (12.6) (3.8) 457.2 Taxation 1.1 (116.2) Profit for the period (12.6) (2.7) 341.0 Attributable to: Ordinary shareholders (12.6) (2.7) 340.0 Minority interests 1.0 (12.6) (2.7) 341.0 IFRS effects As
previously IFRS 3 IFRS 2 Reported Adoption Adoption Rm Rm Rm Reconciliation of Balance Sheet at 31 March 2005 ASSETS Non-current assets 3,954.3 121.9 Property, plant and equipment 2,908.5 Goodwill and development expenditure 191.2 121.9 Associated companies, investments and loans 821.3 Deferred taxation asset 33.3 Current assets 1,891.9 Total assets 5,846.2 121.9 EQUITY AND LIABILITIES Capital and reserves 3,064.3 121.9 Share capital and premium 711.1 Treasury shares (897.5) Reserves 3,175.5 121.9 Ordinary shareholders" equity 2,989.1 121.9 Minority interest 75.2 Non-current liabilities 883.8 Interest-bearing debt 794.1 Deferred lease liability Deferred taxation liability 89.7 Current liabilities 1,898.1 Total equity and liabilities 5,846.2 121.9 There are no adjustments to the September 2005 balance sheet Other adjustments
GMP IAS 17 Reclassi- As revision revision fication restated Rm Rm Rm Rm Reconciliation of Balance Sheet at 31 March 2005 ASSETS Non-current assets (12.6) (117.5) 3,946.1 Property, plant and equipment 2,908.5 Goodwill and development expenditure 313.1 Associated companies, investments and loans (12.6) (117.5) 691.2 Deferred taxation asset 33.3 Current assets 117.5 2,009.4 Total assets (12.6) 5,955.5 EQUITY AND LIABILITIES Capital and reserves (12.6) (111.3) 3,062.3 Share capital and premium 711.1 Treasury shares (897.5) Reserves (12.6) (111.3) 3,173.5 Ordinary shareholders" equity (12.6) (111.3) 2,987.1 Minority interest 75.2 Non-current liabilities 111.3 995.1 Interest-bearing debt 794.1 Deferred lease liability 156.7 156.7 Deferred taxation liability (45.4) 44.3 Current liabilities 1,898.1 Total equity and liabilities (12.6) 5,955.5 There are no adjustments to the September 2005 balance sheet CAPITAL DISTRIBUTION In accordance with the authority given to the Board of Directors by way of an ordinary resolution passed on 27 January 2006, the Board of Directors has declared an interim Capital Distribution (number 14), out of share premium amounting to 12 cents per ordinary share (2005:10 cents per share) payable to shareholders recorded in the register of the Company on Friday,14 July 2006. This represents an increase of 20.0% over the comparative prior period. In compliance with the requirements of STRATE the following dates are applicable - 2006 Last date to trade `CUM" the capital distribution `LDT" Friday, 7 July Trading commences `EX" the capital distribution Monday, 10 July Record date Friday, 14 July Date of payment Monday, 17 July Share certificates may not be dematerialised nor rematerialised between Monday,10 July 2006 and Friday, 14 July 2006, both dates inclusive. By order of the Board Michael I Sacks Chairman Dr Richard Friedland Chief Executive Officer Peter Nelson Chief Financial Officer Sandton 9 May 2006 This announcement is available on www.netcareinvestor.co.za Executive Directors: Dr RH Friedland (Chief Executive Officer); PG Nelson (Chief Financial Officer); IM Davis; Dr VLJ Litlhakanyane; N Weltman Non-Executive Directors: MI Sacks (Chairman); APH Jammine; JM Kahn; Prof MB Kistnasamy; HR Levin; Dr JA Van Rooyen Company Secretary: J Wolpert Registered Address: 76 Maude Street (corner West Street), Sandton 2196. Private Bag X34, Benmore 2010 Transfer Secretaries: Ultra Registrars (Proprietary) Limited, 11 Diagonal Street, Johannesburg 2001. PO Box 4844, Johannesburg 2000 Sponsor: Merrill Lynch South Africa (Proprietary) Limited, Registration number 1995/001805/07, 138 West Street, Sandown, Sandton 2196 Date: 11/05/2006 08:54:21 AM Supplied by www.sharenet.co.za Produced by the JSE SENS Department

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