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NTC - Netcare Limited - Unaudited Group interim results for the six months ended

Release Date: 17/05/2010 08:00
Code(s): NTC
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NTC - Netcare Limited - Unaudited Group interim results for the six months ended 31 March 2010 Netcare Limited ("Netcare", "the Company" or "the Group") Registration number: 1996/008242/06 (Incorporated in the Republic of South Africa) JSE share code: NTC ISIN code: ZAE000011953 Unaudited Group interim results for the six months ended 31 March 2010 14% increase in constant currency operating profit 2010: R2 072 million 2009: R1 822 million 28% increase in adjusted basic headline earnings per share 2010: 42.9 cents 2009: 33.4 cents 19% increase in capital reduction per share 2010: 19.0 cents 2009: 16.0 cents Commentary Group financial review The Group is pleased to announce a 28.4% increase in adjusted basic headline earnings per share (HEPS) to 42.9 cents for the six months under review. If the currency impact is excluded, adjusted basic HEPS increased 32.3% to 44.2 cents. Currency conversion had a major impact on both the half-year results and financial position of the Group. This was due to the prevailing strength of the Rand relative to the British Pound during the period. The average exchange rate used for converting income and expenditure was R12.00 to the Pound, compared to R14.73 in the comparative prior period, a change of 18.5%. The closing exchange rate used to convert assets and liabilities at 31 March 2010 was R11.03 to the Pound, compared to R13.64 at 31 March 2009, a change of 19.1%. Despite revenue growth in both the South African and United Kingdom (UK) operations, Group revenue was down 5.0% to R11 038 million (2009: R11 619 million) due to Rand appreciation. However, the Group`s operating margin improved from 15.7% to 16.7% reflecting underlying efficiency improvements and sound financial management. Net financial expenses decreased by R247 million to R1 005 million, a 19.7% reduction over last year. This was driven by reduced interest rates in South Africa (SA), lower average levels of debt compared to the prior period and the lower average exchange rate applicable to UK borrowing costs. The interest rate swaps are hedge accounted and fair value adjustments are recognised directly in equity to the extent that such hedging proves to be effective. Financial expenses were negatively affected by a GBP3.0 million non-cash charge, representing the ineffective portion of the fair value adjustment for the period. An interim capital reduction of 19.0 cents per share (2009: 16.0 cents) has been declared, representing an 18.8% increase over the prior year. Net debt at R24 862 million reduced from R26 454 million at 30 September 2009. This reduction was impacted by fluctuations in the closing exchange rate, which reduced debt by R1 723 million, and scheduled debt repayments in the UK, but offset by higher borrowings in SA required to fund ongoing capital and seasonal working capital requirements. Equity decreased by R136 million from 30 September 2009. This was mainly due to a decrease in the foreign currency translation reserve, and unfavourable non- cash mark-to-market fair value adjustments on the UK interest rate swaps recognised in the cash flow hedge accounting reserve. Cash generated by operations rose 5.9% to R1 894 million from R1 788 million in the prior comparative period primarily as a result of better cash conversion. The Group converted 78.9% (2009: 72.3%) of its EBITDA into cash. Capital expenditure of R423 million was incurred compared to R592 million in the prior period, mainly due to the timing of capital expenditure in SA and the UK. Divisional review South Africa Revenue grew 7.1% to R6 014 million from R5 616 million, while operating profit rose 12.3% to R849 million (2009: R756 million). The operating profit margin improved from 13.5% to 14.1%. The South African operations contributed 86.5% (2009: 89.5%) to basic HEPS. Cash generated by the SA operations of R738 million remained strong but was slightly lower than a year earlier. This was mainly due to higher working capital requirements, following an increase in The Commissioner for Occupational Injury and Disease (COID) debtors and stock levels required for the Easter holidays. Total capital expenditure was R270 million (2009: R293 million) of which R161 million was spent on replacements and R109 million on expansionary expenditure. The construction of the 425-bed Lesotho Hospital PPP remains on track and is scheduled for completion in 2011. The first of three off-site primary care clinics was opened this month, while the other two will be opened before month- end. This year, Netcare Education celebrates 21 years of training nursing staff. Currently over 3 500 students are being trained at its five campuses. Netcare maintained its position as the most empowered company in the JSE`s healthcare sector and was ranked thirteenth most empowered listed company overall in the Financial Mail`s Top Empowerment Companies survey. Netcare expresses its deepest regret at the passing away of Dr Molefi Sefularo, honourable Deputy Minister of Health. We congratulate Malebona Precious Matsoso on her appointment as Director General for the Department of Health. Hospitals and Emergency services Revenue from Hospitals and Emergency services was up 9.5% to R5 336 million (2009: R4 873 million), while EBITDA rose 9.1% to R1 029 million (2009: R943 million). The Hospital division maintained patient days off a high base with a 10.2% increase in revenue per patient day. The number of registered beds increased from 8 766 to 8 843 during the six months under review and Netcare continued to improve its infrastructure, including the addition of a 17-bed neo-natal intensive care unit at Netcare Garden City, commissioning of a new cardiac catherisation laboratory at Netcare Linksfield, renovating a 30-bed paediatric unit at Netcare Park Lane and the refurbishment of five theatres at Netcare Milpark. A fully integrated oncology centre was opened at Netcare Clinton, specialising in intensity modulated and image guided radiation therapy. In addition, the first neuro-interventional MRI (magnetic resonance imaging) and CT (computed tomography) theatre in Africa was opened at Netcare N1 City. Emergency services division, Netcare 911, recorded 5.3% growth in total lives under management to 7.9 million lives. The division continued to focus on improving operational efficiencies, which supported the results. Netcare 911 became SA`s first aeromedical emergency evacuation specialist to become accredited by the European Air Medical Institute (EURAMI) reflecting the high level of service excellence provided to patients. Primary care The division achieved a significant turnaround, following a strategic review of the managed care business and resultant termination of loss making contracts. Revenue decreased 8.7% to R678 million (2009: R743 million) primarily due to a contraction in managed care lives in Prime Cure, which reduced 28.4% to 172 000 lives. Medicross is rolling out a new practice management system which should enhance its overall efficiencies. Operating loss decreased significantly to R5 million compared to R25 million in the prior period. The performance was bolstered by improved operational efficiencies and internal controls. United Kingdom Netcare owns a 50.1% stake in General Healthcare Group (GHG), which operates a national network of private hospitals across the UK under the BMI brand name. GHG delivered a solid performance underpinned by continued demand for private healthcare facilities despite the recessionary environment, record unemployment rates and little to no inflation. The business continues to benefit from ongoing investment in extending its breadth of services and its geographic presence. Overall caseload in the UK grew 5.6% year-on-year, reflecting both organic growth and the integration of the prior year acquisitions of Fitzroy Square, Woodlands Hospital and City Medical consulting suites, as well as the addition of the Kingston private patient unit in the period. Private Medical Insurance (PMI) patient volumes remained stable on a same site basis, excluding a decline resulting from the exceptionally severe weather conditions experienced in January. The shift in business mix emanating from 2009 continued, with strong growth in NHS patients offsetting lower numbers of self- pay patients. Pleasingly, the self-pay market is showing early signs of recovery. The NHS Choose and Book (C&B) programme, which allows the public, through their GPs, to select private facilities directly for their treatment has been well received and uptake has been encouraging. Future demand under this initiative should entrench the private healthcare sector as a key partner to the NHS in ensuring the delivery of the UK`s national healthcare needs. Revenue from UK operations for the six months rose 2.8% to GBP418.7 million (2009: GBP407.4 million). EBITDA was up 4.7% to GBP110.9 million (2009: GBP105.9 million) and operating profit 9.4% higher at GBP79.2 million (2009: GBP72.4 million). The performance reflected the benefits of ongoing efficiency improvements and standardisation, coupled with stringent cost control, which underpinned margins. The results were boosted by a non-recurring capital benefit of GBP3.7 million relating to a gain on the bargain purchase of assets under a business combination. Non-recurring expenses, comprising mostly restructuring and retrenchment costs, of GBP2.1 million were incurred (2009: GBP3.5 million). Profit after tax amounted to GBP15.3 million, an increase of 188.7% over the prior period. Capital expenditure including intangible assets amounted to GBP14.3 million compared to GBP25.3 million in 2009. GHG continued to invest in its hospital infrastructure to ensure that its patients and consultants have access to leading-edge medical equipment and facilities. Net debt reduced by GBP14 million to GBP1 873 million (September 2009: GBP1 887 million). Working capital increased by GBP13 million since the 2009 year-end due to underlying business growth and the increased NHS caseload at longer payment cycles. Cash collection remains a key focus to manage the impact on resources of this industry-wide shift in business mix. GHG continued to meet its financial covenants and has sufficient headroom for the remaining debt term. The debt relating to the UK is without recourse to the SA operations. As per the SENS announcement on 8 December 2009, Netcare`s partners in GHG, in accordance with the terms of the Partnership Agreement, informed Netcare of their desire to pursue an Initial Public Offering (IPO) of the GHG Operating Company (OpCo) on the London Stock Exchange (LSE). Whilst preparation for the IPO has progressed well, given prevailing market conditions, a final decision as to the IPO and its timing has yet to be made. Shareholders will be updated as and when the position changes. Outlook Barring any unforeseen circumstances, and particularly given the general financial soundness of medical aid funds and the strong underlying demand for private healthcare, the outlook for SA remains stable and positive. The prospects of healthcare reform facilitating greater healthcare access and care for all South Africans is seen as an imperative and viewed positively in terms of the Group`s wide range of healthcare services on offer. Over and above the capital expenditure planned for the year of R800 million in SA, the Board has approved an additional R670 million to be invested over the next three years on capital projects. These include the new Waterfall Hospital in Midrand, Gauteng, 12 large projects that will add 295 new beds, a refurbishment of 238 beds, three new theatres, 30 doctors consulting rooms and 21 smaller projects. Recessionary pressures in the UK economy are expected to limit the growth of PMI and self-pay spending on private healthcare in the short term. However, the growth in NHS activity should provide sufficient offset. The demographics of an ageing population and increasing incidence of lifestyle diseases are expected to support growth in private caseload over the longer term. The underlying fundamentals of the UK private healthcare sector remain sound, with NHS budgetary pressures likely to increase demand for private facilities further. The scale and quality of GHG`s facilities, infrastructure, consultant network and management team position the company well to succeed in the current market and to benefit from the compelling prospects for private healthcare in the UK. Board changes Andile Ngcaba resigned as a non-executive director effective 7 April 2010. The Board expresses its gratitude and appreciation to Andile for his significant contribution to Netcare over his term of office. Declaration of capital reduction number 22 In accordance with the authority given to the directors by way of an ordinary resolution passed on 29 January 2010, the Board of Directors declared on Thursday, 13 May 2010 an interim capital reduction (number 22) out of share premium of 19.0 cents per ordinary share, payable on Monday, 26 July 2010, to shareholders recorded in the register of the Company as at Friday, 23 July 2010. In terms of Article 54.12 of the Company`s Articles of Association, all capital reductions with a value of R5,00 or less will be donated to a registered charity approved by the directors of the Company. In compliance with the requirements of Strate, the following dates are applicable: Last day to trade cum the capital reduction Friday, 16 July 2010 (LDT) Trading ex capital reduction commences Monday, 19 July 2010 Record date Friday, 23 July 2010 Date of payment Monday, 26 July 2010 Share certificates may not be dematerialised nor rematerialised between Monday, 19 July 2010 and Friday, 23 July 2010, both days inclusive. On behalf of the Board Jerry Vilakazi Chairman Richard Friedland Chief Executive Officer Vaughan Firman Chief Financial Officer Sandton 13 May 2010 Group statement of financial position Unaudited Unaudited Audited 31 March 31 March 30 September
Rm Note 2010 2009 2009 Assets Non-current assets Property, plant and equipment 23 538 27 818 25 097 Goodwill 13 235 16 271 14 303 Intangible assets 337 397 366 Associated companies, investments and loans 4 182 90 130 Deferred taxation 1 040 638 1 147 Total non-current assets 38 332 45 214 41 043 Current assets Loans and receivables 4 52 67 54 Inventories 677 643 621 Trade and other receivables 3 661 3 963 3 416 Cash and cash equivalents 1 094 618 803 5 484 5 291 4 894 Assets held for sale 5 6 4 4 Total current assets 5 490 5 295 4 898 Total assets 43 822 50 509 45 941 Equity and liabilities Capital and reserves Ordinary share capital and premium 819 1 240 1 065 Treasury shares (767) (767) (767) Option premium on convertible bond 169 175 169 Other reserves (11) (98) 231 Retained earnings 3 966 2 982 3 446 Equity attributable to owners of the parent 4 176 3 532 4 144 Preference share capital and premium 644 644 644 Non-controlling interest 2 177 2 070 2 345 Total shareholders` equity 6 997 6 246 7 133 Non-current liabilities Long-term debt 23 613 29 056 25 423 Financial liability - Derivative financial instruments 2 739 3 914 2 797 Post-retirement benefit obligations 288 132 297 Deferred lease liability 119 98 114 Deferred taxation 4 617 5 866 5 041 Provisions 39 48 48 Total non-current liabilities 31 415 39 114 33 720 Current liabilities Trade and other payables 2 841 2 934 2 924 Short-term debt 1 920 1 871 1 745 Taxation payable 226 292 330 Bank overdrafts 423 52 89 Total current liabilities 5 410 5 149 5 088 Total equity and liabilities 43 822 50 509 45 941 Group income statement Unaudited six Audited Note months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Continuing operations Revenue 11 038 11 619 (5.0) 23 232 Cost of sales (6 404) (6 833) (13 701) Gross profit 4 634 4 786 (3.2) 9 531 Other income 118 111 232 Administrative and other expenses (2 909) (3 075) (6 063) Operating profit 6 1 843 1 822 1.2 3 700 Financial income 7 24 66 171 Financial expenses 8 (1 029) (1 318) 21.9 (2 431) Attributable earnings of associates 16 10 27 Profit before taxation 854 580 47.2 1 467 Taxation (185) (142) (350) Profit for the period from continuing operations 669 438 52.7 1 117 Discontinued operation Profit for the period from discontinued operation 5 634 634 Profit for the period 669 1 072 (37.6) 1 751 Attributable to: Owners of the parent 551 1 002 1 564 Preference shareholders 28 37 73 Profit attributable to shareholders 579 1 039 1 637 Non-controlling interest 90 33 114 669 1 072 1 751 Earnings per share (cents) Basic 43.4 79.4 (45.3) 123.8 Continuing operations 43.4 29.2 48.6 73.6 Discontinued operation 50.2 50.2 Diluted 41.8 79.3 (47.3) 122.6 Continuing operations 41.8 29.1 43.6 72.9 Discontinued operation 50.2 49.7 Capital reduction per share (cents) 19.0 16.0 18.8 38.0 Group statement of comprehensive income Unaudited six Audited months ended year ended
31 March 31 March 30 September Rm 2010 2009 2009 Profit for the period 669 1 072 1 751 Other comprehensive loss, net of tax (540) (3 499) (3 086) Actuarial losses on defined benefit plans (130) Effect of cash flow hedge accounting (134) (3 274) (2 086) Effect of translation of foreign entities (406) (225) (870) Total comprehensive income/(loss) for the period 129 (2 427) (1 335) Attributable to: Owners of the parent 268 (820) (48) Preference shareholders 28 37 73 Non-controlling interest (167) (1 644) (1 360) 129 (2 427) (1 335) Group statement of cash flows Unaudited six Audited
months ended year ended 31 March 31 March 30 September Rm 2010 2009 2009 Cash flows from operating activities Cash received from customers 10 664 10 976 22 921 Cash paid to suppliers and employees (8 770) (9 188) (18 281) Cash generated from operations 1 894 1 788 4 640 Interest paid (993) (1 321) (2 430) Continuing operations (993) (1 316) (2 425) Discontinued operation (5) (5) Taxation paid (302) (247) (526) Continuing operations (302) (241) (520) Discontinued operation (6) (6) Ordinary dividends paid by subsidiaries (1) (3) (3) Preference dividends paid (28) (37) (73) Capital reductions paid (279) (227) (430) Net cash from operating activities 291 (47) 1 178 Continuing operations 291 (46) 1 179 Discontinued operation (1) (1) Cash flows from investing activities Purchase of property, plant and equipment (423) (592) (1 283) Continuing operations (423) (581) (1 272) Discontinued operation (11) (11) Proceeds on disposal of property, plant and equipment 46 5 60 Additions to intangible assets (26) (53) (144) (Increase)/decrease in investments and loans (34) 30 40 Proceeds from disposal of businesses 852 852 Interest received 18 65 150 Dividends received 1 1 1 Acquisition of subsidiaries and businesses, net of cash acquired (19) (9) (9) Net cash from investing activities (437) 299 (333) Continuing operations (437) 310 (322) Discontinued operation (11) (11) Cash flows from financing activities Proceeds from issue of ordinary shares 33 3 31 Repurchase of shares (3) (11) Settlement of derivatives (19) Long-term liabilities raised/(repaid) 2 (532) (840) Short-term liabilities raised/(repaid) 128 (95) (139) Net cash from financing activities 163 (627) (978) Continuing operations 163 (623) (974) Discontinued operation (4) (4) Net increase/(decrease) in cash and cash equivalents 17 (375) (133) Translation effects on cash and cash equivalents of foreign entities (60) (21) (115) Cash and cash equivalents at beginning of the period 714 962 962 Cash and cash equivalents at end of the period 671 566 714 Group condensed statement of changes in equity Unaudited six Audited months ended year ended
31 March 31 March 30 September Rm 2010 2009 2009 Balance at beginning of period 7 133 8 851 8 851 Ordinary shares issued 33 3 31 Capital reduction paid (279) (227) (430) Repurchase of shares 68 68 Repurchase of convertible bond 4 Share-based payment reserve movements 12 15 32 Capital gains tax on capital reductions attributable to treasury shares (7) Preference dividends paid (28) (37) (73) Other movements (3) (8) Total comprehensive income/(loss) for the period 129 (2 427) (1 335) Balance at the end of the period 6 997 6 246 7 133 Comprising: Ordinary share capital and premium 819 1 240 1 065 Treasury shares (767) (767) (767) Option premium on convertible bond 169 175 169 Foreign currency translation reserve 759 1 306 976 Cash flow hedge accounting reserve (1 282) (1 827) (1 216) Other reserves 512 423 471 Retained earnings 3 966 2 982 3 446 Equity attributable to owners of the parent 4 176 3 532 4 144 Preference shareholders 644 644 644 Non-controlling interest 2 177 2 070 2 345 Total shareholders` equity 6 997 6 246 7 133 Headline earnings Unaudited six Audited
months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Reconciliation of headline earnings Profit for the period from continuing operations 669 438 52.7 1 117 Less: Preference shareholders (28) (37) (73) Non-controlling interest (90) (33) (114) Earnings used in the calculation of basic earnings per share from continuing operations 551 368 49.7 930 Adjusted for: Gain on bargain purchase (44) Impairment of investments 2 Impairment of land and buildings 10 13 Reversal of impairment of land and buildings (1) Profit on disposal of property, plant and equipment (1) (4) (5) Tax effect of headline adjusting items 1 2 Non-controlling share of headline adjusting items 22 Headline earnings from continuing operations 527 375 942 Earnings from discontinued operation 634 634 Adjusted for: Profit on disposal of discontinued operation (678) (678) Tax effect of headline adjusting item 90 90 Headline earnings from discontinued operation 46 46 Headline earnings 527 421 25.2 988 Adjusted for: Ineffectiveness arising from interest rate swaps 36 2 5 Non-controlling share of headline adjusting item (18) (1) 1 Adjusted headline earnings 545 422 29.1 994 Headline earnings per share (cents) Basic 41.5 33.3 24.6 78.2 Continuing operations 41.5 29.7 39.7 74.6 Discontinued operation 3.6 3.6 Diluted 40.0 33.3 20.1 77.5 Continuing operations 40.0 29.7 34.7 73.9 Discontinued operation 3.6 3.6 Adjusted basic headline earnings per share 42.9 33.4 28.4 78.7 Continuing operations 42.9 29.8 44.0 75.1 Discontinued operation 3.6 3.6 Notes 1. Basis of preparation and accounting policies The interim financial information for the six months ended 31 March 2010 has been prepared in accordance with the measurement and recognition criteria of International Financial Reporting Standards (IFRS) and complies with IAS 34 Interim Financial Reporting. The accounting policies applied in the preparation of the interim financial statements are consistent with those applied for the year ended 30 September 2009, except for the following: - IFRS 3 Business Combinations (revised) and IAS 27 Consolidated and Separate Financial Statements (amended) - IFRS 7 Financial Instruments: Disclosures (amended) - IFRS 8 Operating Segments - Improvements to International Financial reporting standards 2008 and 2009 (certain improvements have been adopted earlier than required) The implementation of these standards had no impact on the financial position or performance of the Group and has mainly been of a presentation and disclosure nature. 2. Acquisition of businesses The following business combinations took effect during the year: 2.1 Effective 1 October 2009, the Group acquired an additional 25% in Netcare Parklands Linac Joint Venture (Proprietary) Limited (Parklands Linac) and 15% in Netcare St Anne`s Linac Joint Venture (Proprietary) Limited (St Anne`s Linac), changing the Group`s effective holding to 75% and 65% respectively. Both were previously accounted for as joint ventures. 2.2 With effect from 1 January 2010, the Group acquired 100% of the shares in Sterilplus Limited in the United Kingdom. Subsequent to acquisition, the company was renamed to BMI Hospital Decontamination Limited. From the dates of acquisition to 31 March 2010, the following amounts have been included in the Group`s income statement: Parklands St Anne`s Sterilplus Rm Linac Linac Limited Total Revenue 9 3 10 22 Operating profit 3 1 (1) 3 The following table reflects the fair values at acquisition: Parklands Linac St Anne`s Sterilplus Rm Linac Limited Property, plant and equipment 16 1 58 Loans and receivables 2 1 Trade and other receivables 3 1 7 Cash and cash equivalents 1 Long-term debt (7) Short-term debt (4) Trade and other payables (9) (3) (5) Taxation payable (1) Fair value of net assets acquired 61 Investment in joint venture (1) (1) 61 Goodwill/(gain on bargain purchase) 3 1 (44) Purchase consideration 2 1 17 Cash and cash equivalents in acquiree (1) Cash outflow on acquisition 2 1 16 The fair values reflected above are equal to the carrying values at acquisition. 3. Reclassification of comparative information Statement of financial position Long-term provisions in the March 2009 statement of financial position have been reclassified from trade and other payables, included in current liabilities, to provisions which are classified as non-current liabilities. This adjustment is in line with the disclosure at 30 September 2009. Unaudited six Audited months ended year ended 31 March 31 March 30 September Rm 2010 2009 2009 4. Associated companies, investments and loans Non-current Associated companies* 149 70 122 Available-for-sale investments 22 Other loans 11 20 8 182 90 130 Current Loans 52 67 54 234 157 184 * Directors` valuation of associated companies 304 292 395 5 Assets held for sale 5.1 Land and buildings held for sale Certain land and buildings were classified as held for sale. A reversal of impairment amounting to R1 million was recognised in the current year. 6 4 4 5.2 Discontinued operation - Ampath Holdings Trust Sale of our interest in Ampath Holdings Trust was completed in February 2009, following Competition Commission approval. The sale of our units and claims amounted to R1 027 million. Our 50% share of the discontinued operation was as follows: Revenue 267 267 Administrative and other expenses (198) (198) Operating profit 69 69 Financial expenses (5) (5) Profit before taxation 64 64 Taxation (18) (18) Profit for the period before profit on disposal 46 46 Profit on disposal of discontinued operation, net of tax 588 588 Profit for the period from discontinued operations 634 634 The cash flows are as follows: Net cash from operating activities (1) (1) Net cash from investing activities (11) (11) Net cash from financing activities (4) (4) The profit on the sale of Ampath Holdings Trust can be reconciled as follows: Rm Sale of units and claims 1 027 Less: Carrying value (349) Claims settled (174) Net asset value (175) Profit on disposal 678 Less: Capital gains tax (90) Profit on disposal of discontinued operation, net of tax 588 Unaudited six Audited months ended year ended 31 March 31 March 30 September
Rm 2010 2009 2009 6. Operating profit After charging: Depreciation and amortisation 557 652 1 227 Operating lease charges 199 197 410 7. Financial income Dividends received 1 1 1 Recycling of cash flow hedge reserve 5 20 Interest received 18 65 150 24 66 171 8. Financial expenses Foreign exchange losses (net) 1 Ineffectiveness recognised in the income statement arising from cash flow hedges (net) 36 2 5 Interest paid 993 1 316 2 425 1 029 1 318 2 431 9. Commitments Capital commitments 745 951 869 South Africa 461 401 441 United Kingdom 284 550 428 Operating lease commitments 3 090 3 345 3 215 South Africa 1 312 1 115 1 369 United Kingdom 1 778 2 230 1 846 10. Contingent liabilities (guarantees and suretyships) South Africa 656 601 632 United Kingdom 109 656 710 632 Condensed segment report Unaudited six Audited
months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Income statement Revenue 11 038 11 619 (5.0) 23 232 South Africa 6 014 5 616 7.1 11 832 Hospitals and Emergency services 5 336 4 873 10 319 Primary care 678 743 1 513 United Kingdom 5 024 6 003 (16.3) 11 400 EBITDA 2 400 2 474 (3.0) 4 927 South Africa 1 035 927 11.7 2 018 Hospitals and Emergency services 1 029 943 2 042 Primary care 6 (16) (24) United Kingdom 1 319 1 549 (14.8) 2 919 Capital items 46 (2) (10) South Africa 1 (1) (9) United Kingdom 45 (1) (1) Operating profit 1 843 1 822 1.2 3 700 South Africa 849 756 12.3 1 662 Hospitals and Emergency services 854 781 1 703 Primary care (5) (25) (41) United Kingdom 948 1 068 (11.2) 2 048 Capital items 46 (2) (10) South Africa 1 (1) (9) United Kingdom 45 (1) (1) Net interest paid 975 1 251 22.1 2 275 South Africa 200 272 26.5 463 United Kingdom 775 979 20.8 1 812 Statement of financial position Total assets 43 816 50 505 (13.2) 45 937 South Africa 9 096 8 447 7.7 8 611 United Kingdom 34 720 42 058 (17.4) 37 326 Debt net of cash 24 862 30 361 18.1 26 454 South Africa 4 212 4 255 1.0 3 903 United Kingdom 20 650 26 106 20.9 22 551 The segment report excludes the disposal group and assets held for sale. Foreign exchange impact Reported Adjusted* Reported 31 March 31 March 31 March % Rm 2010 2010 2009 change Income statement Revenue 11 038 12 184 11 619 4.9 South Africa 6 014 6 014 5 616 7.1 United Kingdom 5 024 6 170 6 003 2.8 EBITDA 2 400 2 713 2 474 9.7 South Africa 1 035 1 035 927 11.7 United Kingdom 1 319 1 632 1 549 5.4 Capital items 46 46 (2) South Africa 1 1 (1) United Kingdom 45 45 (1) Operating profit 1 843 2 072 1 822 13.7 South Africa 849 849 756 12.3 United Kingdom 948 1 177 1 068 10.2 Capital items 46 46 (2) South Africa 1 1 (1) United Kingdom 45 45 (1) Net interest paid 975 1 152 1 251 7.9 South Africa 200 200 272 26.5 United Kingdom 775 952 979 2.8 Basic headline earnings per share (cents) 41.5 42.8 33.3 28.5 South Africa 35.9 35.9 29.8 20.5 United Kingdom 5.6 6.9 3.5 97.1 Adjusted basic headline earnings per share (cents) 42.9 44.2 33.4 32.3 South Africa 35.9 35.9 29.8 20.5 United Kingdom 7.0 8.3 3.6 130.6 Statement of financial position Total assets 43 816 52 037 50 505 3.0 South Africa 9 096 9 096 8 447 7.7 United Kingdom 34 720 42 941 42 058 2.1 Debt net of cash 24 862 29 751 30 361 2.0 South Africa 4 212 4 212 4 255 1.0 United Kingdom 20 650 25 539 26 106 2.2 * The United Kingdom numbers have been recalculated at constant exchange rates to remove the impact of foreign currency fluctuations. Adjusted to exclude the ineffectiveness on the interest rate swaps. Salient features Unaudited Unaudited Audited
31 March 31 March 30 September 2010 2009 2009 Share statistics Ordinary shares Total shares in issue (million) 1 271 1 263 1 266 Weighted average number of shares (million) 1 269 1 262 1 263 Diluted weighted average number of shares (million) 1 318 1 264 1 275 Market price per share (cents) 1 320 799 1 037 Currency conversion guide (R:GBP) Closing exchange rate 11.03 13.64 11.95 Average exchange rate for the period 12.00 14.73 13.73 Registered office: 76 Maude Street (corner West Street), Sandton 2196,Private Bag X34, Benmore 2010 Executive directors: RH Friedland (Chief Executive Officer), VE Firman (Chief Financial Officer), VLJ Litlhakanyane Non-executive directors: SJ Vilakazi (Chairman), APH Jammine, JM Kahn, MJ Kuscus, HR Levin, KD Moroka, MI Sacks, N Weltman Company Secretary: L Kok Sponsor: Nedbank Capital, a division of Nedbank Group Limited Transfer secretaries: Link Market Services (Proprietary) Limited, 11 Diagonal Street, Johannesburg, 2001 Investor relations: +27 11 301 0212; ir@netcare.co.za Date: 17/05/2010 08:00:04 Supplied by www.sharenet.co.za Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited (`JSE`). The JSE does not, whether expressly, tacitly or implicitly, represent, warrant or in any way guarantee the truth, accuracy or completeness of the information published on SENS. The JSE, their officers, employees and agents accept no liability for (or in respect of) any direct, indirect, incidental or consequential loss or damage of any kind or nature, howsoever arising, from the use of SENS or the use of, or reliance on, information disseminated through SENS. NTC NTC - Netcare Limited - Unaudited Group interim results for the six months ended 31 March 2010 Netcare Limited ("Netcare", "the Company" or "the Group") Registration number: 1996/008242/06 (Incorporated in the Republic of South Africa) JSE share code: NTC ISIN code: ZAE000011953 Unaudited Group interim results for the six months ended 31 March 2010 14% increase in constant currency operating profit 2010: R2 072 million 2009: R1 822 million 28% increase in adjusted basic headline earnings per share 2010: 42.9 cents 2009: 33.4 cents 19% increase in capital reduction per share 2010: 19.0 cents 2009: 16.0 cents Commentary Group financial review The Group is pleased to announce a 28.4% increase in adjusted basic headline earnings per share (HEPS) to 42.9 cents for the six months under review. If the currency impact is excluded, adjusted basic HEPS increased 32.3% to 44.2 cents. Currency conversion had a major impact on both the half-year results and financial position of the Group. This was due to the prevailing strength of the Rand relative to the British Pound during the period. The average exchange rate used for converting income and expenditure was R12.00 to the Pound, compared to R14.73 in the comparative prior period, a change of 18.5%. The closing exchange rate used to convert assets and liabilities at 31 March 2010 was R11.03 to the Pound, compared to R13.64 at 31 March 2009, a change of 19.1%. Despite revenue growth in both the South African and United Kingdom (UK) operations, Group revenue was down 5.0% to R11 038 million (2009: R11 619 million) due to Rand appreciation. However, the Group`s operating margin improved from 15.7% to 16.7% reflecting underlying efficiency improvements and sound financial management. Net financial expenses decreased by R247 million to R1 005 million, a 19.7% reduction over last year. This was driven by reduced interest rates in South Africa (SA), lower average levels of debt compared to the prior period and the lower average exchange rate applicable to UK borrowing costs. The interest rate swaps are hedge accounted and fair value adjustments are recognised directly in equity to the extent that such hedging proves to be effective. Financial expenses were negatively affected by a GBP3.0 million non-cash charge, representing the ineffective portion of the fair value adjustment for the period. An interim capital reduction of 19.0 cents per share (2009: 16.0 cents) has been declared, representing an 18.8% increase over the prior year. Net debt at R24 862 million reduced from R26 454 million at 30 September 2009. This reduction was impacted by fluctuations in the closing exchange rate, which reduced debt by R1 723 million, and scheduled debt repayments in the UK, but offset by higher borrowings in SA required to fund ongoing capital and seasonal working capital requirements. Equity decreased by R136 million from 30 September 2009. This was mainly due to a decrease in the foreign currency translation reserve, and unfavourable non- cash mark-to-market fair value adjustments on the UK interest rate swaps recognised in the cash flow hedge accounting reserve. Cash generated by operations rose 5.9% to R1 894 million from R1 788 million in the prior comparative period primarily as a result of better cash conversion. The Group converted 78.9% (2009: 72.3%) of its EBITDA into cash. Capital expenditure of R423 million was incurred compared to R592 million in the prior period, mainly due to the timing of capital expenditure in SA and the UK. Divisional review South Africa Revenue grew 7.1% to R6 014 million from R5 616 million, while operating profit rose 12.3% to R849 million (2009: R756 million). The operating profit margin improved from 13.5% to 14.1%. The South African operations contributed 86.5% (2009: 89.5%) to basic HEPS. Cash generated by the SA operations of R738 million remained strong but was slightly lower than a year earlier. This was mainly due to higher working capital requirements, following an increase in The Commissioner for Occupational Injury and Disease (COID) debtors and stock levels required for the Easter holidays. Total capital expenditure was R270 million (2009: R293 million) of which R161 million was spent on replacements and R109 million on expansionary expenditure. The construction of the 425-bed Lesotho Hospital PPP remains on track and is scheduled for completion in 2011. The first of three off-site primary care clinics was opened this month, while the other two will be opened before month- end. This year, Netcare Education celebrates 21 years of training nursing staff. Currently over 3 500 students are being trained at its five campuses. Netcare maintained its position as the most empowered company in the JSE`s healthcare sector and was ranked thirteenth most empowered listed company overall in the Financial Mail`s Top Empowerment Companies survey. Netcare expresses its deepest regret at the passing away of Dr Molefi Sefularo, honourable Deputy Minister of Health. We congratulate Malebona Precious Matsoso on her appointment as Director General for the Department of Health. Hospitals and Emergency services Revenue from Hospitals and Emergency services was up 9.5% to R5 336 million (2009: R4 873 million), while EBITDA rose 9.1% to R1 029 million (2009: R943 million). The Hospital division maintained patient days off a high base with a 10.2% increase in revenue per patient day. The number of registered beds increased from 8 766 to 8 843 during the six months under review and Netcare continued to improve its infrastructure, including the addition of a 17-bed neo-natal intensive care unit at Netcare Garden City, commissioning of a new cardiac catherisation laboratory at Netcare Linksfield, renovating a 30-bed paediatric unit at Netcare Park Lane and the refurbishment of five theatres at Netcare Milpark. A fully integrated oncology centre was opened at Netcare Clinton, specialising in intensity modulated and image guided radiation therapy. In addition, the first neuro-interventional MRI (magnetic resonance imaging) and CT (computed tomography) theatre in Africa was opened at Netcare N1 City. Emergency services division, Netcare 911, recorded 5.3% growth in total lives under management to 7.9 million lives. The division continued to focus on improving operational efficiencies, which supported the results. Netcare 911 became SA`s first aeromedical emergency evacuation specialist to become accredited by the European Air Medical Institute (EURAMI) reflecting the high level of service excellence provided to patients. Primary care The division achieved a significant turnaround, following a strategic review of the managed care business and resultant termination of loss making contracts. Revenue decreased 8.7% to R678 million (2009: R743 million) primarily due to a contraction in managed care lives in Prime Cure, which reduced 28.4% to 172 000 lives. Medicross is rolling out a new practice management system which should enhance its overall efficiencies. Operating loss decreased significantly to R5 million compared to R25 million in the prior period. The performance was bolstered by improved operational efficiencies and internal controls. United Kingdom Netcare owns a 50.1% stake in General Healthcare Group (GHG), which operates a national network of private hospitals across the UK under the BMI brand name. GHG delivered a solid performance underpinned by continued demand for private healthcare facilities despite the recessionary environment, record unemployment rates and little to no inflation. The business continues to benefit from ongoing investment in extending its breadth of services and its geographic presence. Overall caseload in the UK grew 5.6% year-on-year, reflecting both organic growth and the integration of the prior year acquisitions of Fitzroy Square, Woodlands Hospital and City Medical consulting suites, as well as the addition of the Kingston private patient unit in the period. Private Medical Insurance (PMI) patient volumes remained stable on a same site basis, excluding a decline resulting from the exceptionally severe weather conditions experienced in January. The shift in business mix emanating from 2009 continued, with strong growth in NHS patients offsetting lower numbers of self- pay patients. Pleasingly, the self-pay market is showing early signs of recovery. The NHS Choose and Book (C&B) programme, which allows the public, through their GPs, to select private facilities directly for their treatment has been well received and uptake has been encouraging. Future demand under this initiative should entrench the private healthcare sector as a key partner to the NHS in ensuring the delivery of the UK`s national healthcare needs. Revenue from UK operations for the six months rose 2.8% to GBP418.7 million (2009: GBP407.4 million). EBITDA was up 4.7% to GBP110.9 million (2009: GBP105.9 million) and operating profit 9.4% higher at GBP79.2 million (2009: GBP72.4 million). The performance reflected the benefits of ongoing efficiency improvements and standardisation, coupled with stringent cost control, which underpinned margins. The results were boosted by a non-recurring capital benefit of GBP3.7 million relating to a gain on the bargain purchase of assets under a business combination. Non-recurring expenses, comprising mostly restructuring and retrenchment costs, of GBP2.1 million were incurred (2009: GBP3.5 million). Profit after tax amounted to GBP15.3 million, an increase of 188.7% over the prior period. Capital expenditure including intangible assets amounted to GBP14.3 million compared to GBP25.3 million in 2009. GHG continued to invest in its hospital infrastructure to ensure that its patients and consultants have access to leading-edge medical equipment and facilities. Net debt reduced by GBP14 million to GBP1 873 million (September 2009: GBP1 887 million). Working capital increased by GBP13 million since the 2009 year-end due to underlying business growth and the increased NHS caseload at longer payment cycles. Cash collection remains a key focus to manage the impact on resources of this industry-wide shift in business mix. GHG continued to meet its financial covenants and has sufficient headroom for the remaining debt term. The debt relating to the UK is without recourse to the SA operations. As per the SENS announcement on 8 December 2009, Netcare`s partners in GHG, in accordance with the terms of the Partnership Agreement, informed Netcare of their desire to pursue an Initial Public Offering (IPO) of the GHG Operating Company (OpCo) on the London Stock Exchange (LSE). Whilst preparation for the IPO has progressed well, given prevailing market conditions, a final decision as to the IPO and its timing has yet to be made. Shareholders will be updated as and when the position changes. Outlook Barring any unforeseen circumstances, and particularly given the general financial soundness of medical aid funds and the strong underlying demand for private healthcare, the outlook for SA remains stable and positive. The prospects of healthcare reform facilitating greater healthcare access and care for all South Africans is seen as an imperative and viewed positively in terms of the Group`s wide range of healthcare services on offer. Over and above the capital expenditure planned for the year of R800 million in SA, the Board has approved an additional R670 million to be invested over the next three years on capital projects. These include the new Waterfall Hospital in Midrand, Gauteng, 12 large projects that will add 295 new beds, a refurbishment of 238 beds, three new theatres, 30 doctors consulting rooms and 21 smaller projects. Recessionary pressures in the UK economy are expected to limit the growth of PMI and self-pay spending on private healthcare in the short term. However, the growth in NHS activity should provide sufficient offset. The demographics of an ageing population and increasing incidence of lifestyle diseases are expected to support growth in private caseload over the longer term. The underlying fundamentals of the UK private healthcare sector remain sound, with NHS budgetary pressures likely to increase demand for private facilities further. The scale and quality of GHG`s facilities, infrastructure, consultant network and management team position the company well to succeed in the current market and to benefit from the compelling prospects for private healthcare in the UK. Board changes Andile Ngcaba resigned as a non-executive director effective 7 April 2010. The Board expresses its gratitude and appreciation to Andile for his significant contribution to Netcare over his term of office. Declaration of capital reduction number 22 In accordance with the authority given to the directors by way of an ordinary resolution passed on 29 January 2010, the Board of Directors declared on Thursday, 13 May 2010 an interim capital reduction (number 22) out of share premium of 19.0 cents per ordinary share, payable on Monday, 26 July 2010, to shareholders recorded in the register of the Company as at Friday, 23 July 2010. In terms of Article 54.12 of the Company`s Articles of Association, all capital reductions with a value of R5,00 or less will be donated to a registered charity approved by the directors of the Company. In compliance with the requirements of Strate, the following dates are applicable: Last day to trade cum the capital reduction Friday, 16 July 2010 (LDT) Trading ex capital reduction commences Monday, 19 July 2010 Record date Friday, 23 July 2010 Date of payment Monday, 26 July 2010 Share certificates may not be dematerialised nor rematerialised between Monday, 19 July 2010 and Friday, 23 July 2010, both days inclusive. On behalf of the Board Jerry Vilakazi Chairman Richard Friedland Chief Executive Officer Vaughan Firman Chief Financial Officer Sandton 13 May 2010 Group statement of financial position Unaudited Unaudited Audited 31 March 31 March 30 September
Rm Note 2010 2009 2009 Assets Non-current assets Property, plant and equipment 23 538 27 818 25 097 Goodwill 13 235 16 271 14 303 Intangible assets 337 397 366 Associated companies, investments and loans 4 182 90 130 Deferred taxation 1 040 638 1 147 Total non-current assets 38 332 45 214 41 043 Current assets Loans and receivables 4 52 67 54 Inventories 677 643 621 Trade and other receivables 3 661 3 963 3 416 Cash and cash equivalents 1 094 618 803 5 484 5 291 4 894 Assets held for sale 5 6 4 4 Total current assets 5 490 5 295 4 898 Total assets 43 822 50 509 45 941 Equity and liabilities Capital and reserves Ordinary share capital and premium 819 1 240 1 065 Treasury shares (767) (767) (767) Option premium on convertible bond 169 175 169 Other reserves (11) (98) 231 Retained earnings 3 966 2 982 3 446 Equity attributable to owners of the parent 4 176 3 532 4 144 Preference share capital and premium 644 644 644 Non-controlling interest 2 177 2 070 2 345 Total shareholders` equity 6 997 6 246 7 133 Non-current liabilities Long-term debt 23 613 29 056 25 423 Financial liability - Derivative financial instruments 2 739 3 914 2 797 Post-retirement benefit obligations 288 132 297 Deferred lease liability 119 98 114 Deferred taxation 4 617 5 866 5 041 Provisions 39 48 48 Total non-current liabilities 31 415 39 114 33 720 Current liabilities Trade and other payables 2 841 2 934 2 924 Short-term debt 1 920 1 871 1 745 Taxation payable 226 292 330 Bank overdrafts 423 52 89 Total current liabilities 5 410 5 149 5 088 Total equity and liabilities 43 822 50 509 45 941 Group income statement Unaudited six Audited Note months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Continuing operations Revenue 11 038 11 619 (5.0) 23 232 Cost of sales (6 404) (6 833) (13 701) Gross profit 4 634 4 786 (3.2) 9 531 Other income 118 111 232 Administrative and other expenses (2 909) (3 075) (6 063) Operating profit 6 1 843 1 822 1.2 3 700 Financial income 7 24 66 171 Financial expenses 8 (1 029) (1 318) 21.9 (2 431) Attributable earnings of associates 16 10 27 Profit before taxation 854 580 47.2 1 467 Taxation (185) (142) (350) Profit for the period from continuing operations 669 438 52.7 1 117 Discontinued operation Profit for the period from discontinued operation 5 634 634 Profit for the period 669 1 072 (37.6) 1 751 Attributable to: Owners of the parent 551 1 002 1 564 Preference shareholders 28 37 73 Profit attributable to shareholders 579 1 039 1 637 Non-controlling interest 90 33 114 669 1 072 1 751 Earnings per share (cents) Basic 43.4 79.4 (45.3) 123.8 Continuing operations 43.4 29.2 48.6 73.6 Discontinued operation 50.2 50.2 Diluted 41.8 79.3 (47.3) 122.6 Continuing operations 41.8 29.1 43.6 72.9 Discontinued operation 50.2 49.7 Capital reduction per share (cents) 19.0 16.0 18.8 38.0 Group statement of comprehensive income Unaudited six Audited months ended year ended
31 March 31 March 30 September Rm 2010 2009 2009 Profit for the period 669 1 072 1 751 Other comprehensive loss, net of tax (540) (3 499) (3 086) Actuarial losses on defined benefit plans (130) Effect of cash flow hedge accounting (134) (3 274) (2 086) Effect of translation of foreign entities (406) (225) (870) Total comprehensive income/(loss) for the period 129 (2 427) (1 335) Attributable to: Owners of the parent 268 (820) (48) Preference shareholders 28 37 73 Non-controlling interest (167) (1 644) (1 360) 129 (2 427) (1 335) Group statement of cash flows Unaudited six Audited
months ended year ended 31 March 31 March 30 September Rm 2010 2009 2009 Cash flows from operating activities Cash received from customers 10 664 10 976 22 921 Cash paid to suppliers and employees (8 770) (9 188) (18 281) Cash generated from operations 1 894 1 788 4 640 Interest paid (993) (1 321) (2 430) Continuing operations (993) (1 316) (2 425) Discontinued operation (5) (5) Taxation paid (302) (247) (526) Continuing operations (302) (241) (520) Discontinued operation (6) (6) Ordinary dividends paid by subsidiaries (1) (3) (3) Preference dividends paid (28) (37) (73) Capital reductions paid (279) (227) (430) Net cash from operating activities 291 (47) 1 178 Continuing operations 291 (46) 1 179 Discontinued operation (1) (1) Cash flows from investing activities Purchase of property, plant and equipment (423) (592) (1 283) Continuing operations (423) (581) (1 272) Discontinued operation (11) (11) Proceeds on disposal of property, plant and equipment 46 5 60 Additions to intangible assets (26) (53) (144) (Increase)/decrease in investments and loans (34) 30 40 Proceeds from disposal of businesses 852 852 Interest received 18 65 150 Dividends received 1 1 1 Acquisition of subsidiaries and businesses, net of cash acquired (19) (9) (9) Net cash from investing activities (437) 299 (333) Continuing operations (437) 310 (322) Discontinued operation (11) (11) Cash flows from financing activities Proceeds from issue of ordinary shares 33 3 31 Repurchase of shares (3) (11) Settlement of derivatives (19) Long-term liabilities raised/(repaid) 2 (532) (840) Short-term liabilities raised/(repaid) 128 (95) (139) Net cash from financing activities 163 (627) (978) Continuing operations 163 (623) (974) Discontinued operation (4) (4) Net increase/(decrease) in cash and cash equivalents 17 (375) (133) Translation effects on cash and cash equivalents of foreign entities (60) (21) (115) Cash and cash equivalents at beginning of the period 714 962 962 Cash and cash equivalents at end of the period 671 566 714 Group condensed statement of changes in equity Unaudited six Audited months ended year ended
31 March 31 March 30 September Rm 2010 2009 2009 Balance at beginning of period 7 133 8 851 8 851 Ordinary shares issued 33 3 31 Capital reduction paid (279) (227) (430) Repurchase of shares 68 68 Repurchase of convertible bond 4 Share-based payment reserve movements 12 15 32 Capital gains tax on capital reductions attributable to treasury shares (7) Preference dividends paid (28) (37) (73) Other movements (3) (8) Total comprehensive income/(loss) for the period 129 (2 427) (1 335) Balance at the end of the period 6 997 6 246 7 133 Comprising: Ordinary share capital and premium 819 1 240 1 065 Treasury shares (767) (767) (767) Option premium on convertible bond 169 175 169 Foreign currency translation reserve 759 1 306 976 Cash flow hedge accounting reserve (1 282) (1 827) (1 216) Other reserves 512 423 471 Retained earnings 3 966 2 982 3 446 Equity attributable to owners of the parent 4 176 3 532 4 144 Preference shareholders 644 644 644 Non-controlling interest 2 177 2 070 2 345 Total shareholders` equity 6 997 6 246 7 133 Headline earnings Unaudited six Audited
months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Reconciliation of headline earnings Profit for the period from continuing operations 669 438 52.7 1 117 Less: Preference shareholders (28) (37) (73) Non-controlling interest (90) (33) (114) Earnings used in the calculation of basic earnings per share from continuing operations 551 368 49.7 930 Adjusted for: Gain on bargain purchase (44) Impairment of investments 2 Impairment of land and buildings 10 13 Reversal of impairment of land and buildings (1) Profit on disposal of property, plant and equipment (1) (4) (5) Tax effect of headline adjusting items 1 2 Non-controlling share of headline adjusting items 22 Headline earnings from continuing operations 527 375 942 Earnings from discontinued operation 634 634 Adjusted for: Profit on disposal of discontinued operation (678) (678) Tax effect of headline adjusting item 90 90 Headline earnings from discontinued operation 46 46 Headline earnings 527 421 25.2 988 Adjusted for: Ineffectiveness arising from interest rate swaps 36 2 5 Non-controlling share of headline adjusting item (18) (1) 1 Adjusted headline earnings 545 422 29.1 994 Headline earnings per share (cents) Basic 41.5 33.3 24.6 78.2 Continuing operations 41.5 29.7 39.7 74.6 Discontinued operation 3.6 3.6 Diluted 40.0 33.3 20.1 77.5 Continuing operations 40.0 29.7 34.7 73.9 Discontinued operation 3.6 3.6 Adjusted basic headline earnings per share 42.9 33.4 28.4 78.7 Continuing operations 42.9 29.8 44.0 75.1 Discontinued operation 3.6 3.6 Notes 1. Basis of preparation and accounting policies The interim financial information for the six months ended 31 March 2010 has been prepared in accordance with the measurement and recognition criteria of International Financial Reporting Standards (IFRS) and complies with IAS 34 Interim Financial Reporting. The accounting policies applied in the preparation of the interim financial statements are consistent with those applied for the year ended 30 September 2009, except for the following: - IFRS 3 Business Combinations (revised) and IAS 27 Consolidated and Separate Financial Statements (amended) - IFRS 7 Financial Instruments: Disclosures (amended) - IFRS 8 Operating Segments - Improvements to International Financial reporting standards 2008 and 2009 (certain improvements have been adopted earlier than required) The implementation of these standards had no impact on the financial position or performance of the Group and has mainly been of a presentation and disclosure nature. 2. Acquisition of businesses The following business combinations took effect during the year: 2.1 Effective 1 October 2009, the Group acquired an additional 25% in Netcare Parklands Linac Joint Venture (Proprietary) Limited (Parklands Linac) and 15% in Netcare St Anne`s Linac Joint Venture (Proprietary) Limited (St Anne`s Linac), changing the Group`s effective holding to 75% and 65% respectively. Both were previously accounted for as joint ventures. 2.2 With effect from 1 January 2010, the Group acquired 100% of the shares in Sterilplus Limited in the United Kingdom. Subsequent to acquisition, the company was renamed to BMI Hospital Decontamination Limited. From the dates of acquisition to 31 March 2010, the following amounts have been included in the Group`s income statement: Parklands St Anne`s Sterilplus Rm Linac Linac Limited Total Revenue 9 3 10 22 Operating profit 3 1 (1) 3 The following table reflects the fair values at acquisition: Parklands Linac St Anne`s Sterilplus Rm Linac Limited Property, plant and equipment 16 1 58 Loans and receivables 2 1 Trade and other receivables 3 1 7 Cash and cash equivalents 1 Long-term debt (7) Short-term debt (4) Trade and other payables (9) (3) (5) Taxation payable (1) Fair value of net assets acquired 61 Investment in joint venture (1) (1) 61 Goodwill/(gain on bargain purchase) 3 1 (44) Purchase consideration 2 1 17 Cash and cash equivalents in acquiree (1) Cash outflow on acquisition 2 1 16 The fair values reflected above are equal to the carrying values at acquisition. 3. Reclassification of comparative information Statement of financial position Long-term provisions in the March 2009 statement of financial position have been reclassified from trade and other payables, included in current liabilities, to provisions which are classified as non-current liabilities. This adjustment is in line with the disclosure at 30 September 2009. Unaudited six Audited months ended year ended 31 March 31 March 30 September Rm 2010 2009 2009 4. Associated companies, investments and loans Non-current Associated companies* 149 70 122 Available-for-sale investments 22 Other loans 11 20 8 182 90 130 Current Loans 52 67 54 234 157 184 * Directors` valuation of associated companies 304 292 395 5 Assets held for sale 5.1 Land and buildings held for sale Certain land and buildings were classified as held for sale. A reversal of impairment amounting to R1 million was recognised in the current year. 6 4 4 5.2 Discontinued operation - Ampath Holdings Trust Sale of our interest in Ampath Holdings Trust was completed in February 2009, following Competition Commission approval. The sale of our units and claims amounted to R1 027 million. Our 50% share of the discontinued operation was as follows: Revenue 267 267 Administrative and other expenses (198) (198) Operating profit 69 69 Financial expenses (5) (5) Profit before taxation 64 64 Taxation (18) (18) Profit for the period before profit on disposal 46 46 Profit on disposal of discontinued operation, net of tax 588 588 Profit for the period from discontinued operations 634 634 The cash flows are as follows: Net cash from operating activities (1) (1) Net cash from investing activities (11) (11) Net cash from financing activities (4) (4) The profit on the sale of Ampath Holdings Trust can be reconciled as follows: Rm Sale of units and claims 1 027 Less: Carrying value (349) Claims settled (174) Net asset value (175) Profit on disposal 678 Less: Capital gains tax (90) Profit on disposal of discontinued operation, net of tax 588 Unaudited six Audited months ended year ended 31 March 31 March 30 September
Rm 2010 2009 2009 6. Operating profit After charging: Depreciation and amortisation 557 652 1 227 Operating lease charges 199 197 410 7. Financial income Dividends received 1 1 1 Recycling of cash flow hedge reserve 5 20 Interest received 18 65 150 24 66 171 8. Financial expenses Foreign exchange losses (net) 1 Ineffectiveness recognised in the income statement arising from cash flow hedges (net) 36 2 5 Interest paid 993 1 316 2 425 1 029 1 318 2 431 9. Commitments Capital commitments 745 951 869 South Africa 461 401 441 United Kingdom 284 550 428 Operating lease commitments 3 090 3 345 3 215 South Africa 1 312 1 115 1 369 United Kingdom 1 778 2 230 1 846 10. Contingent liabilities (guarantees and suretyships) South Africa 656 601 632 United Kingdom 109 656 710 632 Condensed segment report Unaudited six Audited
months ended year ended 31 March 31 March % 30 September Rm 2010 2009 change 2009 Income statement Revenue 11 038 11 619 (5.0) 23 232 South Africa 6 014 5 616 7.1 11 832 Hospitals and Emergency services 5 336 4 873 10 319 Primary care 678 743 1 513 United Kingdom 5 024 6 003 (16.3) 11 400 EBITDA 2 400 2 474 (3.0) 4 927 South Africa 1 035 927 11.7 2 018 Hospitals and Emergency services 1 029 943 2 042 Primary care 6 (16) (24) United Kingdom 1 319 1 549 (14.8) 2 919 Capital items 46 (2) (10) South Africa 1 (1) (9) United Kingdom 45 (1) (1) Operating profit 1 843 1 822 1.2 3 700 South Africa 849 756 12.3 1 662 Hospitals and Emergency services 854 781 1 703 Primary care (5) (25) (41) United Kingdom 948 1 068 (11.2) 2 048 Capital items 46 (2) (10) South Africa 1 (1) (9) United Kingdom 45 (1) (1) Net interest paid 975 1 251 22.1 2 275 South Africa 200 272 26.5 463 United Kingdom 775 979 20.8 1 812 Statement of financial position Total assets 43 816 50 505 (13.2) 45 937 South Africa 9 096 8 447 7.7 8 611 United Kingdom 34 720 42 058 (17.4) 37 326 Debt net of cash 24 862 30 361 18.1 26 454 South Africa 4 212 4 255 1.0 3 903 United Kingdom 20 650 26 106 20.9 22 551 The segment report excludes the disposal group and assets held for sale. Foreign exchange impact Reported Adjusted* Reported 31 March 31 March 31 March % Rm 2010 2010 2009 change Income statement Revenue 11 038 12 184 11 619 4.9 South Africa 6 014 6 014 5 616 7.1 United Kingdom 5 024 6 170 6 003 2.8 EBITDA 2 400 2 713 2 474 9.7 South Africa 1 035 1 035 927 11.7 United Kingdom 1 319 1 632 1 549 5.4 Capital items 46 46 (2) South Africa 1 1 (1) United Kingdom 45 45 (1) Operating profit 1 843 2 072 1 822 13.7 South Africa 849 849 756 12.3 United Kingdom 948 1 177 1 068 10.2 Capital items 46 46 (2) South Africa 1 1 (1) United Kingdom 45 45 (1) Net interest paid 975 1 152 1 251 7.9 South Africa 200 200 272 26.5 United Kingdom 775 952 979 2.8 Basic headline earnings per share (cents) 41.5 42.8 33.3 28.5 South Africa 35.9 35.9 29.8 20.5 United Kingdom 5.6 6.9 3.5 97.1 Adjusted basic headline earnings per share (cents) 42.9 44.2 33.4 32.3 South Africa 35.9 35.9 29.8 20.5 United Kingdom 7.0 8.3 3.6 130.6 Statement of financial position Total assets 43 816 52 037 50 505 3.0 South Africa 9 096 9 096 8 447 7.7 United Kingdom 34 720 42 941 42 058 2.1 Debt net of cash 24 862 29 751 30 361 2.0 South Africa 4 212 4 212 4 255 1.0 United Kingdom 20 650 25 539 26 106 2.2 * The United Kingdom numbers have been recalculated at constant exchange rates to remove the impact of foreign currency fluctuations. Adjusted to exclude the ineffectiveness on the interest rate swaps. Salient features Unaudited Unaudited Audited
31 March 31 March 30 September 2010 2009 2009 Share statistics Ordinary shares Total shares in issue (million) 1 271 1 263 1 266 Weighted average number of shares (million) 1 269 1 262 1 263 Diluted weighted average number of shares (million) 1 318 1 264 1 275 Market price per share (cents) 1 320 799 1 037 Currency conversion guide (R:GBP) Closing exchange rate 11.03 13.64 11.95 Average exchange rate for the period 12.00 14.73 13.73 Registered office: 76 Maude Street (corner West Street), Sandton 2196,Private Bag X34, Benmore 2010 Executive directors: RH Friedland (Chief Executive Officer), VE Firman (Chief Financial Officer), VLJ Litlhakanyane Non-executive directors: SJ Vilakazi (Chairman), APH Jammine, JM Kahn, MJ Kuscus, HR Levin, KD Moroka, MI Sacks, N Weltman Company Secretary: L Kok Sponsor: Nedbank Capital, a division of Nedbank Group Limited Transfer secretaries: Link Market Services (Proprietary) Limited, 11 Diagonal Street, Johannesburg, 2001 Investor relations: +27 11 301 0212; ir@netcare.co.za Date: 17/05/2010 08:00:04 Supplied by www.sharenet.co.za Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited (`JSE`). The JSE does not, whether expressly, tacitly or implicitly, represent, warrant or in any way guarantee the truth, accuracy or completeness of the information published on SENS. The JSE, their officers, employees and agents accept no liability for (or in respect of) any direct, indirect, incidental or consequential loss or damage of any kind or nature, howsoever arising, from the use of SENS or the use of, or reliance on, information disseminated through SENS.

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