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NTC - Netcare - Unaudited group interim results for the six months ended 31

Release Date: 14/05/2007 07:00
Code(s): NTC
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NTC - Netcare - Unaudited group interim results for the six months ended 31 March 2007 Network Healthcare Holdings Limited (Registration number: 1996/008242/06) (Incorporated in the Republic of South Africa) (JSE share code: NTC) & (ISIN code: ZAE000011953) ("Netcare", "the Company" or "the Group") UNAUDITED GROUP INTERIM RESULTS FOR THE SIX MONTHS ENDED 31 MARCH 2007 Group financial highlights *14% revenue growth in South African operations *13% growth in South African stand-alone adjusted HEPS to 32,4 cents *26% EBITDA margin in GHG *8% growth in interim distributions per share to 13 cents Group operational highlights *Commissioned two new hospitals in South Africa *40% increase in SA nurses and paramedics trained *GHG integration on track *Two new facilities opened for the NHS Sandton, South Africa - 14 May 2007, Network Healthcare Holdings Limited ("Netcare"), an investment holding company listed on the JSE Limited, South Africa, operating through its subsidiaries, the largest private hospital networks in South Africa and the United Kingdom ("UK"), announces interim group results for the six months ended 31 March 2007. The results have been prepared in accordance with International Financial Reporting Standards ("IFRS"). Overview Group operating revenue increased 128,9% to R9 176 million, driven by the acquisitive growth of R4 582 million from General Healthcare Group ("GHG"), our 50,1% owned UK subsidiary, and solid revenue growth of 14,1% in South Africa. Operating profit increased by 165,8% to R1 519 million with the operating profit margin expanding from 14,2% to 16,5%. The South African business continued to deliver strong results increasing basic headline earnings per share before GHG related financing costs by 31,2%, from 24,7 to 32,4 cents per share. As expected, the GHG acquisition diluted earnings by 8,7 cents per share in the period, resulting in a decrease of 7,4% in basic headline earnings per share from 25,6 cents to 23,7 cents. The dilution resulted from financing costs for the GHG investment and the GHG net loss for the period of R23 million (GBP1,7 million). The following table reconciles our South African basic adjusted headline earnings per share to the Group reported basic headline earnings per share. Cents per share 31 March 31 March % 30 September 2007 2006 2006 South African basic 32,4 28,7 13 70,5 adjusted'1 headline earnings per share Abnormal items - HPFL (4,0) (4,5) BEE share expense South African basic2 32,4 24,7 31 66,0 headline earnings per share GHG dilution impact on (8,7) 0,9 (9,8) headline earnings Basic headline earnings 23,7 25,6 (7) 56,2 per share 1' Before abnormal item (HPFL BEE share expense) and GHG financing related costs 2' Before GHG financing related costs Group CEO Richard Friedland said: "Netcare has moved forward to consolidate its position as a leading provider of high quality, affordable healthcare in South Africa and the United Kingdom. We have delivered strong operational performances and have made significant gains in positioning the Group for long- term sustainable growth in both our core markets. In the six months ended 31 March 2007, we continued to systematically tackle the complex and distinct healthcare challenges in South Africa and the United Kingdom with commitment and innovation. We are on track to meet our stated operational and financial targets for the full year." Business update South Africa Demand for private healthcare in South Africa remains strong, fuelled by new growth in the medically insured population, which is being supported by government initiatives and a growing self-pay market. This demand is being further underpinned by an ageing population, new technology and treatment options, as well as the increasing incidence of lifestyle diseases. We are meeting this demand through continued investment and this year we opened two greenfield hospitals in South Africa, Alberlito Hospital in KwaZulu-Natal and Blaauwberg Hospital in the Western Cape, adding 204 beds to our portfolio. During the period we made significant investments in new facilities including the ICU units at Parklane, Linksfield and Akasia, trauma units at Pretoria East and Sunward Park, a neuro vascular unit at Unitas, cardiac catheterisation laboratories at St Augustines and St Annes and upgrades to several of our facilities. Netcare has made significant progress in building its primary care network in South Africa and developing effective lower income healthcare models, anchored by the recently acquired and now successfully integrated Prime Cure. Fully accounted for in the six-months under review, Prime Cure added 2,9% growth to the South African revenue, albeit at a lower operating margin. Viewed in the context of our strategy to extend the reach of affordable quality healthcare to all South Africans through innovative, low cost provisioning models, the shift to higher-volume lower-margin business is a clear indicator of Netcare`s commitment in this regard. We recently concluded a Public Private Partnership ("PPP") agreement with the Eastern Cape Department of Health for a refurbishment of Settlers hospital in Grahamstown and the building of a new hospital in Port Alfred. Netcare, in conjunction with its partners, has a concession to operate private wards in each hospital. We have continued to proactively address the chronic skills shortage in nursing, a key business risk. Our investments in training nurses and retaining our high calibre nursing staff, as well as introducing a new model of care to better utilise our nursing skills, pushed expenditure higher and impacted operating margins in the period. This year, Netcare`s Training Academy will train some 3 410 nurses and paramedics, an increase of 1 000 from 2006. Netcare South Africa reported strong results with revenue up 14,1% and operating profit, before the Health Partners for Life ("HPFL") Black Economic Empowerment ("BEE") share expense, increased by 9,5%. Headline earnings per share ("HEPS`) adjusted for the HPFL BEE share expense and GHG financing related costs increased by 12,9%, to 32,4 cents per share (2006: 28,7 cents). The Earnings before Interest, Taxation, Depreciation and Amortisation ("EBITDA") margin, before the HPFL BEE share expense, declined from 19,1% to 18,7%. Hospital and trauma services Revenue from the hospital and trauma division increased 11,7% to R3 480 million in the six months ending 31 March 2007 due to strong market dynamics in South Africa and an increase in the number of doctors using our facilities in the period, resulting in 4,1% growth in patient days. Total admissions increased by 7,5%. Maternity cases increased by 6,4% and theatre cases by 1,5%. The revenue contribution from Netcare 911 increased as a result of the strong growth in aero-medical services, industrial contracts and road- side emergency services. The number of patients attended to by Netcare 911 increased by 22,1% to 96 460. Operating profit from this division increased by 9,3% to R553 million and the operating margin declined from 16,2% to 15,9% due to increased nurse training and retention costs as well as costs incurred in commissioning the two new hospitals. Ancillary healthcare services Revenue from the ancillary healthcare services increased by 24,0% to R947 million due to the 10,3% growth in GP and dentist visits of 1,6 million in the six month period to 31 March 2007, largely attributable to the acquisition of Prime Cure. Managed care lives increased from 130 000 at 30 September 2006 to 155 000 as Prime Cure secured several new contracts and continued to experience good momentum in the Government Employee Medical Scheme (GEMS) membership. Operating profit from this division increased by 130,2% to R123 million. Excluding the HPFL BEE share expense of R52 million in the comparative six month period, operating profit increased by 16,9% and the operating profit margin decreased from 13,8% to 13,0%. The decrease was largely due to the increased contribution from Prime Cure at lower margins. United Kingdom Over the past six months, GHG has undergone significant restructuring. Management has made good progress in transforming a largely unaligned group of hospitals into a far more efficient, compliant network benefiting from economies of scale and standardised processes as well as the introduction of new products and services. The integration of GHG has gained traction and produced excellent results as we moved aggressively to fix its operating base. Although results for Netcare UK, the National Health Service ("NHS") division of GHG, were impacted by new project mobilisation costs, its strong NHS project pipeline augurs well for the future. Despite delays in concluding several of our NHS contracts, we expect most of these to be finalised in due course. The results from our UK business reflect GHG including Netcare UK for the full six month period. The figures for the comparative period reflect Netcare UK only as GHG was purchased on 12 May 2006. Revenue for the period under review was R4 749 million and operating profit was R843 million for the six month period. Excluding Netcare UK`s mobilisation and bid costs of R19 million the operating profit was R862 million and the margin was 18,1%. On the same basis, the EBITDA was R1 240 million and the EBITDA margin was 26,1%, an improvement from the 24,0% reported to 30 September 2006. Private hospital services (BMI) Our primary focus within the BMI hospitals (the private hospital division of GHG) has been to implement several of the operating efficiencies employed in South Africa. For example, new nursing models similar to those used in South Africa have been introduced, which have resulted in an improved allocation of nursing resources based on capacity utilisation and a 5% reduction in headcount. The improved control of nursing hours and the management of unproductive time, coupled with efficient centralised procurement and other initiatives are expected to save around GBP10 million this year. Further efficiencies in several areas of the operations will be targeted including operating theatres, outpatients and administration. Revenue from our UK private hospital network was R4 582 million for the six month period ended 31 March 2007. During the period, private patient day growth was steady as reflected in private medical insurance and self pay case volume growth. NHS patient day growth was lower than the prior period as a result of once-off short-term contracts in 2006 not being renewed. Operating profit was R843 million and the operating profit margin was 18,4%. The EBITDA margin expanded to 26,5% from the 24,4% reported to 30 September 2006. Public services (Netcare UK) In January 2007 Netcare UK opened a unit in Stracathro, the first Independent Sector Treatment Centre ("ISTC") in Scotland. In February 2007 our first Commuter Walk-in-Centre ("CWIC") was opened in Leeds. During the period we were also awarded preferred bidder status on the North and East Yorkshire and North Lincolnshire ("NEYNL") scheme. A significant amount of effort and resources were focused on these new projects and several others that we expect to mobilise in the next 12 months. Revenue from Netcare UK increased by 29,3% to R168 million for the six month period ended 31 March 2007. Netcare UK reported an operating loss for the period of R1 million compared to a profit in the comparative six month period of R12 million due to an increase in employee costs and other costs incurred to mobilise the new projects. Mobilisation and NHS bidding costs in the period were R10 million and R9 million. Excluding such costs, Netcare UK`s EBITDA and operating profit would be R25 million and R18 million respectively, and EBITDA and operating profit margins at 15,1% and 10,7%. Group financial review Netcare`s results for the six month period ended 31 March 2007 reflect the benefits of the GHG and Prime Cure acquisitions and recent investments aimed at improving capacity, efficiencies and the quality of our healthcare offering. Group operating revenue increased by 128,9% to R9 176 million and EBITDA was R2 047 million, with the EBITDA margin for the period at 22,3% compared to 17,4% in the comparative six month period. Following the acquisitions mentioned above, the consolidated net financial expenses increased from R67 million to R1 122 million in the period. The Group was efficiently hedged so as to avoid costs relating to increased interest rates in the UK. As expected, the GHG acquisition was dilutive in the period, contributing to a decrease of 7,4% in basic headline earnings per share from 25,6 cents to 23,7 cents. The South African business increased basic headline earnings before the HPFL BEE charge and GHG related financing costs by 12,9%, from 28,7 to 32,4 cents per share. The change in the UK company tax rate from 30% to 28% is expected to result in a decrease in net deferred tax liabilities of approximately R399 million (GBP27 million). This amount will only be recognised in income once the rate reduction has been substantively enacted. We expect the legislation to be tabled before the House of Commons in July 2007. Cash generated from operating activities increased to R1 522 million from R483 million which funded a capital distribution of R185 million and capital expenditure of R607 million in the period. A significant portion of the South African capital expenditure of R368 million relates to the commissioning of the two new hospitals, Alberlito and Blaauwberg, and investments in medical equipment. The GHG capital expenditure of R239 million is largely sustaining capital for the hospitals and includes the purchase of the Harbour Hospital previously leased from the NHS. The balance sheet was impacted by the appreciation of the Rand against the Pound Sterling over the period with total assets reduced by R858 million as a result of the currency movement. Total debt net of cash decreased by 1,9% from 30 September 2006 to R30,565 million. R25,448 million of the debt net of cash is in the GHG group and, as previously indicated is without recourse to the South African business and secured against the assets in the United Kingdom. In October 2006 we refinanced the short-term UK acquisition debt with long- term Propco debt of GBP1 650 million and Opco debt of GBP214 million. In South Africa, we continued our programme to refinance debt and issued R1,7 billion guaranteed convertible bonds listed on the Singapore Bond Exchange with a 6% coupon rate and a conversion premium of 25,4% on a reference price of R12,20. The Netpartner debt and related zero cost collar derivatives were settled through the issue of 47,4 million shares, raising R638 million and thereby reducing cost, complexity and the level of gearing and leverage in the South African business. Net financial liabilities decreased from R1 318 million at 30 September 2006 to R116 million over the period, largely as a result of favourable movements in the mark-to-market value of the UK long-term floating- to-fixed interest rate swaps in line with the increase in long-term interest rates in the UK, as well as the settlement of the zero cost collars relating to Netpartner in South Africa. The fair value of assets and liabilities of GHG at acquisition date has been reviewed as required by IFRS 3 - Business Combinations and where necessary, these values have been amended and the balance sheet as at 30 September 2006 restated. The most significant of the changes was to provide for deferred tax assets at acquisition of GBP14 million. This adjustment recognises that the assessed losses in GHG at acquisition date (12 May 2006) have value, which is likely to be realised and accordingly needs to be brought to account. Declaration of capital distribution number 16 In accordance with the authority given by the Board of Directors by way of an ordinary resolution passed on 26 January 2007, the Board of Directors declared an interim capital distribution (number 16), out of share premium amounting to 13 cents per ordinary share, which represents an 8,3% increase compared to the previous year interim dividend of 12 cents per share. In compliance with the requirements of STRATE the following dates are applicable: Last date to trade "CUM" the capital distribution ("LDT"): Friday, 6 July 2007 Trading commences "Ex" the capital distribution: Monday 9 July Record date: Friday, 13 July 2007 Day of payment: Monday, 16 July 2007 Share certificates may not be dematerialised nor rematerialised between Monday, 9 July 2007 and Friday, 13 July 2007, both dates inclusive. Outlook It is the Board`s view that the combined South African and United Kingdom operations are well positioned to benefit from the scale and the potential efficiencies of growing demand in the expanding private healthcare markets on both continents. Notwithstanding the present dilutive impact of GHG on the Group`s earnings, the Board is satisfied with the company`s operating profit growth trends and remains cautiously confident that GHG will make a positive contribution to the Group`s earnings in advance of our initial expectations. Furthermore, in the absence of any unforeseen adverse change in regulatory and economic circumstances in South Africa, the business should continue to improve its earnings performance. A tribute to our nurses As 12 May is International Nurses Day, we pay tribute to members of the nursing profession. We salute our nurses as members of a noble profession and commend them for their dedication to caring for others and unselfishly helping to preserve the sanctity of life. Their devotion, caring and dedication help us maintain our standards of excellent patient care and provide invaluable support to the doctors and medical professionals. Our patients place their lives in the hands of our nurses, feeling safe in the knowledge that they will give them the best care and attention possible. Our nurses are a lifeline to those in need and make us proud and we thank them. On behalf of the Board Michael I Sacks Dr Richard Friedland Peter Nelson Chairman Chief Executive Officer Chief Financial Officer Sandton 10 May 2007 Group balance sheet At Note Unaudited Restated Restated 31 March Unaudited Audited 2007 31 March 30 September
Rm 2006 2006 Rm Rm ASSETS Non-current assets Property, plant and 26 837,3 3 222,4 27 246,3 equipment Goodwill 3 16 409,1 445,6 16 734,6 Intangible assets 291,5 61,1 270,9 Associated companies, 5 264,2 818,4 255,3 investments and loans Financial asset - 1 386,1 834,3 Derivative financial instruments Deferred taxation 3 368,0 28,9 405,7 Total non-current 45 556,2 4 576,4 45 747,1 assets Current assets Investments and loans 5 60,6 104,6 51,5 Inventories 597,3 285,7 570,6 Accounts receivable 3 2 915,2 1 588,4 2 706,1 Cash and cash 1 175,5 489,1 1 462,7 equivalents Total current assets 4 748,6 2 467,8 4 790,9 Total assets 50 304,8 7 044,2 50 538,0 EQUITY AND LIABILITIES Capital and reserves Share capital and 1 949,4 1 067,8 1 496,8 premium Treasury shares (5 555,0) (1 588,9) (5 555,0) Other reserves 2 033,1 299,0 1 356,9 Retained income 5 203,2 3 765,9 4 938,1 Ordinary shareholders` 3 630,7 3 543,8 2 236,8 equity Preference share 643,9 643,9 capital and premium Minority interest 3 794,7 79,8 3 355,4 Total shareholders` 8 069,3 3 623,6 6 236,1 equity Non-current liabilities Long-term debt 30 177,0 800,2 29 224,0 Financial liability - 1 502,3 2 152,0 Derivative financial instruments Post-retirement benefit 183,1 71,4 293,7 obligations Deferred lease 60,4 158,3 64,4 liability Deferred taxation 6 274,7 93,9 6 399,1 Total non-current 38 197,5 1 123,8 38 133,2 liabilities Current liabilities Accounts payable 3 2 255,7 1 167,1 2 624,2 Short-term debt 1 453,1 1 125,9 2 952,6 Taxation payable 219,3 3,8 137,8 Bank overdrafts 109,9 454,1 Total current 4 038,0 2 296,8 6 168,7 liabilities Total equity and 50 304,8 7 044,2 50 538,0 liabilities Group income statement For the period ended Note Unaudited Restated % Restated 31 March Unaudited change Audited 2007 31 March 30 September
Rm 2006 2006 Rm Rm Revenue 9 175,9 4 009,2 128,9 11 615,9 Cost of sales (5 270,7) (2 063,0) (6 375,9) Gross profit 3 905,2 1 946,2 5 240,0 Other income 141,1 89,3 214,5 Administrative and other (2 527,8) (1 464,3) (3 886,5) expenses Operating profit 6 1 518,5 571,2 165,8 1 568,0 Financial income 7 196,2 51,0 699,4 Financial expenses 3,8 (1 318,0) (118,1) (1 531,4) Attributable earnings of 15,0 20,4 28,0 associated companies Profit before taxation 411,7 524,5 (21,5) 764,0 Taxation 3 (110,2) (152,7) (226,7) Profit for the period 301,5 371,8 (18,9) 537,3 Attributable to: Ordinary shareholders 278,9 367,8 729,3 Preference shareholders 29,9 12,2 Minority interest (7,3) 4,0 (204,2) 301,5 371,8 537,3 Earnings per share (cents) Basic earnings per share 22,9 25,4 (9,8) 50,4 Fully diluted basic 24,9 24,8 0,4 48,3 earnings per share Capital distribution per 13,0 12,0 8,3 27,0 share (cents) Headline earnings For the period ended Note Unaudited Unaudited % Audited 31 March 31 March change 30 September 2007 2006 2006
Rm Rm Rm Reconciliation of headline earnings Profit attributable to 278,9 367,8 (24,2) 729,3 ordinary shareholders Adjusted for: Impairment of goodwill 12,2 2,1 Impairment of investments 2,7 20,6 Impairment of land and 14,6 buildings Profit on disposal of (8,4) (4,2) property, plant and equipment (Profit)/loss on disposal of (2,1) 8,0 (120,4) subsidiaries/investments Capital restructuring costs 171,8 Headline earnings 289,0 370,1 (21,9) 813,8 Headline earnings per share (cents) Basic 23,7 25,6 (7,4) 56,2 Fully diluted 25,6 25,0 2,4 53,9 Statement of recognised income and expense For the period ended Unaudited Unaudited Audited
31 March 31 March 30 September 2007 2006 2006 Rm Rm Rm Effect of translation of foreign (115,6) (2,3) 1 426,9 entities Fair value (loss)/gain on (23,5) (0,8) 4,5 investments Effect of cash flow hedge 1 055,4 (298,6) accounting Net investment hedges - fair value (98,1) losses Movement in contingency reserve 5,9 1,9 Negative goodwill derecognised 819,8 Other reserve movements 1,1 Actuarial losses taken directly to (12,0) equity Net income/(loss)recognised 922,2 (3,1) 1 845,5 directly in equity Profit for the period 301,5 371,8 537,3 Total recognised income for the 1 223,7 368,7 2 382,8 period Attributable to: Ordinary shareholders 755,2 364,7 2 574,8 Preference shareholders 29,9 12,2 Minority interest 438,6 4,0 (204,2) 1 223,7 368,7 2 382,8 Condensed reconciliation of movements in equity For the period ended Unaudited Unaudited Audited 31 March 31 March 30 September 2007 2006 2006 Rm Rm Rm
Balance at the beginning of the 6 236,1 3 418,1 3 418,1 period Net income/(loss) recognised 922,2 (3,1) 1 845,5 directly in equity Profit for the period 301,5 371,8 537,3 Ordinary shares issued 637,6 687,8 1 677,9 Repurchase of ordinary shares (387,7) Purchase of treasury shares (691,4) (4 657,5) Share-based payment reserve 13,7 57,6 77,6 movements Issue of convertible bond 172,4 Capital distributions (185,0) (217,2) (390,6) Preference dividends paid (29,9) (12,2) Other equity movements 0,7 Minorities` share in acquisitions 3 483,8 Issue of preference share capital 643,9 (net of issue expenses) Balance at the end of the period 8 069,3 3 623,6 6 236,1 Comprising: Share capital and premium 1 949,4 1 067,8 1 496,8 Treasury shares (5 555,0) (1 588,9) (5 555,0) Foreign currency translation 1 352,4 (15,3) 1 413,9 reserve Investment fair value reserve 206,7 224,9 230,2 Cash flow hedge accounting reserve 256,8 (298,6) Net investment hedging reserve (98,1) (98,1) Capital redemption reserve 38,5 27,5 24,7 Contingency reserve 7,3 (0,5) 1,4 Share-based payment reserve 97,1 62,4 83,4 Option premium on convertible bond 172,4 Retained income 5 203,2 3 765,9 4 938,1 Ordinary shareholders` equity 3 630,7 3 543,8 2 236,8 Preference shareholders 643,9 643,9 Minority interest 3 794,7 79,8 3 355,4 Total shareholders` equity 8 069,3 3 623,6 6 236,1 Group cash flow statement For the period ended Unaudited Unaudited Audited 31 March 31 March 30 September 2007 2006 2006
Rm Rm Rm Cash flows from operating activities Cash received from customers 8 941,3 3 787,9 11 432,6 Cash paid to suppliers and (7 419,6) (3 305,4) (9 315,7) employees Cash generated from operating 1 521,7 482,5 2 116,9 activities Interest paid (946,2) (93,3) (837,7) Taxation paid (77,9) (133,4) (234,3) Preference dividends paid (12,2) Capital distributions paid (185,0) (217,2) (390,6) Net cash from operating activities 300,4 38,6 654,3 Cash flows from investing activities Purchase of property, plant and (606,8) (244,4) (1 013,6) equipment Proceeds on disposal of property, 3,7 8,4 49,7 plant and equipment Additions to intangible assets (40,4) (34,8) (111,2) (Increase)/decrease in investments (22,9) 22,2 171,1 and loans Proceeds from disposal of 5,5 9,3 investments and subsidiaries Interest received 103,0 34,7 150,7 Dividends received 0,7 1,2 Acquisition of businesses (123,2) (16 392,6) Share buy-backs (682,7) (682,7) Net cash from investing activities (557,2) (1 019,8) (17 818,1) Cash flows from financing activities Proceeds from issue of ordinary 637,6 687,8 1 677,9 shares Proceeds from issue of preference 643,9 shares Repurchase of shares (134,0) Other equity movements (11,8) Settlement of post-retirement (110,6) obligations Long-term liabilities raised 1 248,2 288,9 25 021,3 Short-term liabilities (1 443,8) 212,5 (7 936,6) (repaid)/raised Net cash from financing activities 331,4 1 177,4 19 272,5 Translation effects on cash and (17,6) (1 393,0) cash equivalents of foreign entities Increase in cash and cash 57,0 196,2 715,7 equivalents Cash and cash equivalents at 1 008,6 292,9 292,9 beginning of period Cash and cash equivalents at end 1 065,6 489,1 1 008,6 of period Segment report For the period ended Unaudited Unaudited % Audited 31 March 31 March change 30
2007 2006 September Rm Rm 2006 Rm INCOME STATEMENT Revenue 9 175,9 4 009,2 128,9 11 615,9 South Africa 4 426,5 3 879,6 8 184,3 Hospitals and Trauma 3 480,0 3 116,0 11,7 6 526,4 Ancillary healthcare and 946,5 763,6 24,0 1 657,9 Corporate office United Kingdom 4 749,4 129,6 3 431,6 Private services 4 581,8 3 158,8 Public services 167,6 129,6 29,3 272,8 EBITDA 2 047,1 699,2 192,8 2 121,6 South Africa 826,5 682,4 1 617,1 Hospitals and Trauma 652,2 581,5 12,2 1 361,8 Ancillary healthcare and 174,3 100,9 72,7 255,3 Corporate office United Kingdom 1 220,6 16,8 504,5 Private services 1 214,2 490,5 Public services 6,4 16,8 (61,9) 14,0 Operating profit 1 518,5 571,2 165,8 1 568,0 South Africa 676,0 559,6 1 350,1 Hospitals and Trauma 553,3 506,3 9,3 1 146,8 Ancillary healthcare and 122,7 53,3 130,2 203,3 Corporate office United Kingdom 842,5 11,6 217,9 Private services 843,4 215,3 Public services (0,9) 11,6 2,6 Interest paid 1 211,3 93,3 962,0 South Africa 293,1 93,3 214,1 257,1 United Kingdom 918,2 704,9 BALANCE SHEET Total assets 50 304,8 7 044,2 50 538,0* South Africa 9 807,5 6 949,3 7 155,0 Hospitals and Trauma 7 826,9 5 210,4 50,2 5 519,9 Ancillary healthcare and 1 980,6 1 738,9 13,9 1 635,1 Corporate office United Kingdom 40 497,3 94,9 43 383,0 Private services 40 299,6 43 204,1 Public services 197,7 94,9 108,3 178,9 Debt net of cash 30 564,5 1 437,0 31 168,0 South Africa 5 116,4 1 467,0 5 443,9 United Kingdom 25 448,1 (30,0) 25 724,1 *This figure has been restated as a result of adjustments to the provisional accounting for business combinations. Refer to note 3. Notes 1. Basis of preparation The interim financial information for the six months ended 31 March 2007 has been prepared in compliance with International Financial Reporting Standards (IFRS) (in particular IAS 34, Interim Financial Reporting), the Listings Requirements of the JSE Limited and the South African Companies Act, 1973, as amended. 2. Accounting policies The accounting policies applied in the presentation of the interim financial information are consistent with those of the annual financial statements for the year ended 30 September 2006. This interim financial information has been prepared on the historical cost basis, except for certain financial instruments that are measured at fair value. 3. Restatement of comparative information In accordance with IFRS 3, Business Combinations, adjustments to the provisional accounting for business combinations have been made. This has resulted in retrospective adjustments as follows: As Adjustments As restated
previously Rm Rm reported Rm Balance sheet 31 March 2006 Goodwill 455,8 (10,2) 445,6 Deferred taxation - asset 18,7 10,2 28,9 30 September 2006 Goodwill 16 906,7 (172,1) 16 734,6 Deferred taxation - asset 195,9 209,8 405,7 Accounts receivable 2 706,7 (0,6) 2 706,1 Accounts payable (2 587,1) (37,1) (2 624,2) Income statement 31 March 2006 Financial expenses+ 110,6 7,5 118,1 Taxation 160,2 (7,5) 152,7 30 September 2006 Financial expenses+ 1 523,9 7,5 1 531,4 Taxation 234,2 (7,5) 226,7 The above restatements had no effect on profit and equity. 4. Reclassification of comparative information The following reclassifications to the 31 March 2006 balance sheet have been made: Joint venture loans Loans to and from joint ventures previously included in associated companies, investments and loans have been reclassified to accounts receivable and accounts payable. Unaudited Unaudited Audited
31 March 31 March 30 September 2007 2006 2006 Rm Rm Rm 5. Associated companies, investments and loans Non-current Investments and loans to 251,2 759,9 242,4 associated companies Loans 13,0 58,5 12,9 264,2 818,4 255,3 Current Held-for-trading investments 66,1 4,7 Loans 60,6 38,5 46,8 60,6 104,6 51,5 324,8 923,0 306,8 Directors` valuation of 459,7 1 198,4 423,4 investments and loans to associated companies 6. Operating profit After charging Depreciation and amortisation 528,6 128,0 553,6 Operating lease charges 153,9 67,0 225,0 7. Financial income Dividends received 0,7 0,3 1,2 Fair value adjustments on 2,0 16,0 16,1 investments Fair value gain on cross- 442,1 currency swap contracts Fair value gain on interest 14,0 rate swaps Foreign exchange gains (net) 71,0 Interest received 103,0 34,7 119,6 Profit on disposal of 3,1 9,3 investments Profit on disposal of 2,4 111,1 subsidiaries 196,2 51,0 699,4 8. Financial expenses Fair value loss on cross- 83,3 currency swap contracts Fair value loss on interest 85,4 rate swaps Foreign exchange losses (net) 1,6 453,8 Impairment of goodwill 19,6 7,5# 9,6# Impairment of investments and 3,8 7,7 20,6 loans Interest paid 1 211,3 93,3 962,0 Loss on disposal of 8,0 subsidiaries 1 318,0 118,1 1 531,4 9. Abnormal items Share-based payment expense - 57,6 64,5 HPFL 10. Commitments Capital commitments 732,3 365,7 1 054,3 Operating lease commitments 3 366,9 747,9 3 351,7 11. Contingent liabilities (guarantees and suretyships) South Africa 235,7 627,9 263,3 United Kingdom 186,6 146,7 422,3 627,9 410,0 +Adjustments have been made to impairment of goodwill. #This figure has been restated as a result of adjustments to the provisional accounting for business combinations. Refer to note 3. Salient features For the period ended Unaudited Unaudited Audited 31 March 31 March 30
2007 2006 September 2006 Selected ratios Operating profit margin (%) 16,5 14,2 13,5 Operating profit return on net 8,1 25,0 7,7 assets (%) Return on shareholders` equity (%) 19,7 21,5 29,2 Debt/equity ratio (%) 378,8 39,7 499,8 Interest cover (times) 1,4 9,6 1,9 Effective taxation rate (%) 27,1 30,2 27,6 Share statistics Ordinary shares Total shares in issue (million) 1 236,8 1 450,0 1 182,4 Weighted average number of shares 1 218,8 1 448,3 1 447,7 (million) Diluted weighted average number of 1 385,8 1 482,9 1 509,7 shares (million) Market price per share (cents) 1 385,0 905,0 1 240,0 Currency conversion guide (R:GBP) Closing exchange rate 14,24 10,88 14,53 Average exchange rate for the 14,07 11,10 11,90 period Average exchange rate from GHG 13,04 acquisition date (12 May 2006 - 30 September 2006) Note regarding forward-looking statements The Company advises investors that any forward looking statements or projections made by the Company, including those made in this announcement, are subject to risk and uncertainties that may cause actual results to differ materially from those projected. Factors that may affect the Group`s operations are described under "Risk Factors" on the investor relations website www.netcareinvestor.co.za More information is available on www.netcare.co.za Executive Directors: Dr RH Friedland (Chief Executive Officer), PG Nelson (Chief Financial Officer), IM Davis, Dr VLJ Litlhakanyane, Dr RN Noach, N Weltman Non-executive Directors: MI Sacks (Chairman), Dr APH Jammine, JM Kahn, HR Levin, Prof TR Mokoena, Adv KD Moroka SC, Dr AA Ngcaba, Dr JA van Rooyen Company Secretary: J Wolpert Registered Office: 76 Maude Street (corner West Street), Sandton 2196. Private Bag X34, Benmore 2010 Transfer Secretaries: Link Market Services South Africa (Proprietary) Limited. 11 Diagonal Street, Johannesburg, 2001. PO Box 4844, Johannesburg, 2000 Sponsors: Merrill Lynch South Africa (Proprietary) Limited. Registration number 1995/001805/07. 138 West Street, Sandown, Sandton 2196 Date: 14/05/2007 07:00:08 Supplied by www.sharenet.co.za Produced by the JSE SENS Department.

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