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NTC - Netcare Limited - Unaudited Results for the 6 months ended 31 March 2012

Release Date: 14/05/2012 08:00
Code(s): NTC
Wrap Text

NTC - Netcare Limited - Unaudited Results for the 6 months ended 31 March 2012 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 Commentary Overview A positive performance in South Africa (SA) was offset by weaker results in the United Kingdom (UK) primarily due to the challenging economic environment. Adjusted headline earnings per share (HEPS) increased 16.1% to 51.9 cents for the period under review. Operational efficiency and implementing business improvement plans were again key focus areas for the Group. Group financial review Financial performance Revenue in both SA and the UK grew in their respective local currencies with total revenue rising 11.1% to R12 654 million. Currency conversion favourably impacted Group revenue by R630 million. Group operating profit increased 7.1% to R1 818 million, while the operating profit margin declined from 14.9% to 14.4% due to lower margins in the UK. Net financial expenses increased R25 million to R973 million. This was driven by the higher average exchange rate on UK borrowing costs, as well as a non-cash charge of GBP8.1 million or R100 million (2011: GBP5.4 million or R60 million) on the ineffective portion of the fair value adjustment on UK interest rate swaps. Cash-based net financial expenses in the UK declined by GBP2.1 million due to scheduled amortisation of debt balances, and the settlement of debt related to two hospital properties sold in the prior year. In SA, net financial expenses declined by R81 million and interest cover improved to a healthy 11.8 times (2011: 6.4 times). Group tax of R164 million represented an effective tax rate of 18.9% (2011: 7.2%) and included R47 million of secondary tax on companies (STC) arising from dividends paid. No STC was paid in the comparative period as distributions took the form of capital reductions out of share premium. The Group tax charge was favourably impacted by a deferred tax release of R163 million (2011: R155 million) in the UK, after a 1% reduction in the UK tax rate to 24%. Financial position and cash flow During the period under review, Netcare acquired a contractual economic interest in the debt of the UK operating company (OpCo). The transaction value of the affected debt was at a 29.7% discount to its par value of GBP64.7 million. The economic benefit of the transaction totalling GBP25.3 million, inclusive of interest receivable, will be recognised in financial income over the remaining debt term, with a benefit of GBP3.8 million (R48 million) accounted for in this reporting period. Net debt rose to R25 974 million from R25 689 million at 30 September 2011. In SA, net debt increased to R4 218 million from R3 303 million at 30 September 2011 due to the funding of normal seasonal working capital requirements, capital expenditure, tax and dividend payments, as well as R582 million (GBP45.5 million) used to acquire the economic interest in the UK OpCo debt. In the UK, debt was lowered further through scheduled debt amortisation payments of GBP19.5 million. The UK`s half-year cash balances of GBP123.1 million (2011: GBP89.9 million) were a half-year record, despite declining from GBP130.6 million at 30 September 2011 due to normal seasonal cash requirements. Cash generated from operations was R212 million less than in the previous period. This was mainly due to the settlement of higher levels of payables on the statement of financial position at 30 September 2011, related to capital expenditure and the economic interest in UK OpCo debt. Debtor collections for the current period were marginally affected by the close of the period falling on a weekend. Working capital remained tightly controlled across both geographies. Capital expenditure was R570 million (including intangible assets), compared to R461 million in the prior period. Divisional review South Africa Revenue grew 7.9% to R6 983 million and operating profit rose 12.1% to R1 145 million. Earnings before interest, tax, depreciation and amortisation (EBITDA) margin increased to 19.6% from 18.7% in 2011. The EDITDA margin has increased 310 basis points from 16.5% in 2009. SA HEPS increased 18.4% to 54.1 cents. Cash generated from operations, affected by higher seasonal working capital requirements and fell from R949 million in the comparative period to R657 million for the current period. Capital expenditure including intangible assets totalled R378 million (2011: R242 million). Our Public Private Partnership (PPP) with the Government of Lesotho is fully operational. The PPP will operate the newly built 425-bed Queen `Mamohato Hospital and four primary care clinics for 18 years. We are confident that this innovative integrated approach to healthcare delivery will deliver improved clinical outcomes and a sustainable operating performance. Netcare was recognised at the Metropolitan Oliver Empowerment Awards for Supply Chain, Community Development and New Black Business Development. In the Financial Mail`s Top Empowerment Companies Survey for 2012, Netcare was ranked the most empowered company in the JSE`s healthcare sector for the fourth consecutive year. Accelerating transformation is one of our strategic pillars and we are humbled that our efforts to assist in normalising our nation have been so consistently recognised. Hospitals and Emergency services Revenue from Hospitals and Emergency services grew 8.3% to R6 327 million, and EBITDA rose 11.2% to R1 324 million. The division grew patient days by 1.8%, while revenue per patient day increased 5.9%. The total number of beds increased from 9 052 to 9 143 during the six months under review. Major expansion projects completed include building projects at Netcare Mulbarton (30 surgical and six neo-natal intensive care unit (ICU) beds), Netcare Kingsway (23 medical and 12 surgical beds) and Netcare The Bay (18 medical and 14 ICU beds). Current projects include Netcare Montana (46 beds) and Netcare Linmed (31 beds). In addition to expanding our ability to service the escalating demand for healthcare, a portion of our capital investment is focused on upgrading and replacing existing equipment, in line with our commitment to quality patient care. According to Stats SA, hospital inflation in 2010 and 2011 was 7.0% and 5.5% respectively which compares favourably with medical insurance inflation of 13.0% and 10.3% respectively. This is evidence of cost containment efforts by private hospital operators such as Netcare. Primary Care The division delivered pleasing results for the period, with revenue up 4.5% to R656 million. The EBITDA margin has increased to 6.9% from 3.3% in 2011 underpinned by stringent cost control measures and operational efficiencies, as well as sound risk management in the managed care division. Operating profit rose to R31 million (2011: R8 million). Medicross and Prime Cure is the largest private national network of group GP and dental practices. Primary care delivery is becoming increasingly more important in the delivery of sustainable and affordable healthcare. United Kingdom Despite a very difficult trading environment characterised by continuing recessionary pressures and ongoing NHS reforms, our UK operations delivered a robust performance for the period under review. Revenue rose by 2.5% to GBP456.8, although EBITDA declined 1.3% to GBP88.9 mainly due to the reduction in insured lives. General Healthcare Group`s (GHG) overall caseload increased by 3.2% compared to the prior period, driven by NHS Choose & Book (C&B) growth, offset by a continued decline in Private Medical Insurance (PMI) volumes. High levels of unemployment and low levels of disposable income continued to cause the number of insured lives across the wider PMI market to contract. Self-pay volumes have recovered after two years of decline. This has been driven by NHS waiting times increasing further due to financial constraints and regulatory changes in the healthcare sector. Pleasingly, NHS activity has continued to increase and GHG has grown its market share in this segment to become the largest private hospital service provider to the NHS under C&B. The EBITDA margin declined to 19.5% from 20.2% in the comparative period mainly as a result of the continued shift from private patient volumes to lower-margin NHS volumes and a shift to more day cases. GHG`s operational efficiency and cost rationalisation programmes have however continued to offset this effect. Net financial expenses were adversely affected by an GBP8.1 million (2011: GBP5.4 million) non-cash charge, representing the ineffective portion of the movement in the fair value of GHG`s interest rate swaps. A tax benefit of GBP13.6 million (2011: GBP14.0 million) was recognised for the period, following a further 1% reduction in the UK statutory company tax rate to 24%. GHG recorded a loss after tax of GBP2.3 million (2011: profit after tax of GBP7.1 million). Capital expenditure (including intangible assets) amounted to GBP15.1 million (2011: GBP19.9 million), relating mainly to projects initiated in the 2011 financial year and spending on the existing asset base. Net debt declined GBP9.0 million from 30 September 2011 to GBP1 776.4 million. Working capital was tightly controlled and the improvements of the prior year were sustained during the period. Closing cash balances remain high at GBP123.1 million compared to GBP89.9 million in the comparative period. GHG continues to meet all financial covenants on both the OpCo and property- owning companies (PropCo) debt facilities. PropCo remains focused on achieving a solution to the PropCo debt facility, which matures in October 2013. Advisors have been appointed and various options are being evaluated. The PropCo debt is ring-fenced from the OpCo and is also without recourse to Netcare`s SA operations. Furthermore, in terms of the long-term lease arrangements in place (19 years remaining plus additional extensions of 10 years), OpCo has the right to ongoing use and occupation of the hospital premises as long as it complies with its contractual rental obligations to PropCo. Outlook Netcare, in consultation with key stakeholders, has completed an extensive scenario analysis of the South African healthcare environment. In every possible future scenario, healthcare demand continues to expand. While this is the basis for growth in health services, it also poses a risk insofar as these demands may not be met nationally by current healthcare delivery systems or resources. The launch of 10 NHI pilot sites is a significant step forward in assessing the supply and demand parameters of healthcare delivery. Netcare is firmly committed to increasing access to quality health care. We believe we can play a meaningful role in assisting future NHI delivery, in partnership with government given our broad portfolio of healthcare services and experience over the last decade in the UK of working with the NHS in public health delivery. In the UK, a firm foundation has been set for the remainder of the financial year, although the challenges remain significant. These include the economic headwinds and their impact on personal incomes and the PMI market, as well as government austerity measures and changing dynamics within the NHS. However, GHG continues to be focused on its core businesses, ensuring efficiency and quality, and being ready to capitalise on the inevitable return to growth of the private healthcare market. Declaration of interim dividend number 6 Notice is hereby given that on Thursday, 10 May 2012, the board of directors of Netcare Limited declared an interim gross dividend of 22.0 cents per ordinary share (18.7846 cents per ordinary share net of dividend withholding tax and STC credits) (2011: 22.0 cents), for the six months ended 31 March 2012. The board has determined that, taking all relevant factors into account, this dividend is appropriate in working towards a sustainable dividend policy of between 2.5 to 3.0 times cover over time. The board have confirmed by resolution that the solvency and liquidity test as contemplated by the Companies Act 71 of 2008 has been duly considered, applied and satisfied. The dividend has been declared from income reserves. In terms of the new Dividends Tax effective 1 April 2012, the following additional information is disclosed: * The dividend is subject to dividend withholding tax at 15%. In determining dividend withholding tax, STC credits must be taken into account and the STC credits utilised as part of this dividend declaration amount to R8 178 401. * The STC credits utilised per share amounts to 0.564 cents per share. * Tax payable is 3.2154 cents per share, which results in a net dividend of 18.7846 cents per share to shareholders who are not exempt from dividends withholding tax. * The amount of shares in issue at the date of this declaration is 1 451 328 433 (inclusive of treasury shares) and the Company`s tax reference number is 9999/581/71/4. In accordance with the provisions of Strate, the electronic settlement and custody system used by the JSE Limited, the relevant dates for the dividend are as follows: Last day to trade cum dividend Friday, 13 July 2012 Trading ex dividend commences Monday, 16 July 2012 Record date Friday, 20 July 2012 Payment date Monday, 23 July 2012 Share certificates may not be dematerialised nor rematerialised between Monday, 16 July 2012 and Friday, 20 July 2012, both days inclusive. On Monday, 23 July 2012, the dividend will be electronically transferred to the bank accounts of all certificated shareholders where this facility is available. Where electronic funds transfer is either not available or not elected by the shareholder, cheques dated Monday, 23 July 2012 will be posted on that date. Holders of dematerialised shares will have their accounts credited at their participant or broker on Monday, 23 July 2012. On behalf of the Board Jerry Vilakazi Chairman Richard Friedland Chief Executive Officer Keith Gibson Chief Financial Officer Sandton 10 May 2012 Group income statement Rm Notes Unaudited % Audited six months ended change year ended 31 March 31 March 30 September 2012 2011 2011
Revenue 12 654 11 392 11.1 23 221 Cost of sales (7 359) (6 681) (13 513) Gross profit 5 295 4 711 12.4 9 708 Other income 143 177 408 Administrative and (3 620) (3 190) (6 415) other expenses Operating profit 3 1 818 1 698 7.1 3 701 Investment income 4 90 26 115 Financial expenses 5 (970) (904) (1 847) Other losses - net 6 (93) (70) (23) Attributable 25 3 23 earnings of associates Profit before 870 753 15.5 1 969 taxation Taxation (164) (54) (114) Profit for the 706 699 1.0 1 855 period Attributable to: Owners of the 699 642 1 570 parent Preference 22 24 47 shareholders Profit attributable 721 666 1 617 to shareholders Non-controlling (15) 33 238 interest 706 699 1 855
Earnings per share (cents) Basic 53.6 50.2 6.8 122.1 Diluted 52.9 48.7 8.6 119.2 Dividend per share 22.0 22.0 53.0 (cents) Group statement of comprehensive income Rm Note Unaudited Audited six months ended year ended 31 March 31 March* 30 September 2012 2011 2011 Profit for the period 706 699 1 855 Other comprehensive (172) 1 091 22 (loss)/income, net of tax Actuarial losses on (1) defined benefit plans Effect of cash flow hedge accounting Change in the fair (78) 1 130 (608) value of cash flow hedges Reclassification of 6 (9) 1 43 the cash flow hedge reserve Effect of (85) (40) 588 translation of foreign entities Total comprehensive 534 1 790 1 877 income for the period Attributable to: Owners of the parent 594 1 210 1 605 Preference 22 24 47 shareholders Non-controlling (82) 556 225 interest 534 1 790 1 877 * Restated refer to note 2. Condensed Group statement of financial position Unaudited Audited Rm Note 31 March 31 March* 30 September 2012 2011 2011 ASSETS Non-current assets Property, plant and 25 875 23 534 26 416 equipment Goodwill 14 704 13 057 15 034 Intangible assets 335 324 366 Associated companies, 7 890 249 494 investments and loans Financial asset - Derivative 10 3 13 3 financial instruments Deferred taxation 2 098 1 376 2 165 Total non-current assets 43 905 38 553 44 478 Current assets Investments and loans 7 47 45 43 Financial asset - Derivative 10 3 8 2 financial instruments Inventories 772 689 721 Trade and other receivables 3 536 3 322 3 057 Cash and cash equivalents 2 038 1 384 2 355 6 396 5 448 6 178 Assets held for sale 8 5 8 8 Total current assets 6 401 5 456 6 186 Total assets 50 306 44 009 50 664 EQUITY AND LIABILITIES Equity attributable to 5 447 4 985 5 155 owners of the parent Preference share capital and 644 644 644 premium Non-controlling interest 1 803 2 215 1 886 Total shareholders` equity 7 894 7 844 7 685 Non-current liabilities Long-term debt 9 25 286 21 199 25 106 Financial liability - 10 5 309 2 579 5 319 Derivative financial instruments Post-retirement benefit 195 182 188 obligations Deferred lease liability 58 49 54 Deferred taxation 4 871 4 709 5 178 Cash-settled compensation 1 liability Provisions 85 32 89 Total non-current 35 804 28 750 35 935 liabilities Current liabilities Trade and other payables 3 727 3 173 3 901 Short-term debt 9 2 290 3 807 2 388 Taxation payable 155 219 205 Bank overdrafts 436 216 550 Total current liabilities 6 608 7 415 7 044 Total equity and liabilities 50 306 44 009 50 664 * Restated refer to note 2. Group statement of cash flows Rm Unaudited Audited six months ended year ended 31 March 31 March 30 September 2012 2011 2011
Cash flows from operating activities Cash received from customers 12 135 11 349 23 645 Cash paid to suppliers and (10 363) (9 365) (18 073) employees Cash generated from operations 1 772 1 984 5 572 Interest paid (936) (902) (1 836) Taxation paid (427) (346) (674) Ordinary dividends paid by (1) (1) (3) subsidiaries Ordinary dividends paid (405) (269) (553) Preference dividends paid (22) (24) (47) Capital reductions paid (83) (83) Distributions to beneficiaries of (31) (38) (47) the HPFL trusts Net cash from operating activities (50) 321 2 329 Cash flows from investing activities Purchase of property, plant and (561) (436) (1 327) equipment Proceeds on disposal of property, 27 144 415 plant and equipment Additions to intangible assets (9) (25) (81) (Increase)/decrease in investments (364) 85 (250) and loans Interest received 54 26 115 Increase in equity interest in (11) subsidiaries Net cash from investing activities (853) (206) (1 139) Cash flows from financing activities Proceeds from issue of ordinary 16 36 74 shares Proceeds on disposal of treasury 119 62 123 shares Equity premium on repurchase of (10) convertible bond Long-term liabilities 680 (286) 477 raised/(repaid) Short-term liabilities repaid (79) (37) (1 544) Net cash from financing activities 736 (225) (880) Net (decrease)/increase in cash (167) (110) 310 and cash equivalents Translation effects on cash and (36) (7) 210 cash equivalents of foreign entities Cash and cash equivalents at 1 805 1 285 1 285 beginning of the period Cash and cash equivalents at end 1 602 1 168 1 805 of the period Consisting of: Cash on hand and balances with 2 038 1 384 2 355 banks Short-term money market borrowings (436) (216) (550) and bank overdrafts 1 602 1 168 1 805
Condensed Group statement of changes in equity Rm Ordinary Treasury Option Cash flow share shares premium on hedge capital convertible accounting
and bond reserve premium Balance at 624 (767) 164 (1 790) 30 September 2010 Shares issued during the 36 period Capital reduction (83) Sale of treasury shares 26 Share-based payments reserve movements Capital gains tax on capital reductions attributable to treasury shares Preference dividends paid Dividends paid Distributions to beneficiaries of the HPFL trusts Other reserve movements Restated total 588 comprehensive loss for the period Total comprehensive 588 income for the period as previously reported Prior year restatement (Refer to note 2) Restated balance at 577 (741) 164 (1 202) 31 March 2011 Balance at 31 March 2011 577 (741) 164 (1 202) as previously reported Prior year restatement (Refer to note 2) Shares issued during the 38 period Sale of treasury shares 27 Repurchase of 6 convertible bonds Share-based payments reserve movements Preference dividends paid Dividends paid Distributions to beneficiaries of the HPFL trusts Other reserve movements (170) Increase in equity interest in subsidiaries Total comprehensive (889) income for the period Balance at 615 (714) (2 091) 30 September 2011 Shares issued during the 16 period Sale of treasury shares 56 Share-based payments reserve movements Preference dividends paid Dividends paid Distributions to beneficiaries of the HPFL trusts Other reserve movements Total comprehensive (45) income for the period Balance at 31 March 2012 631 (658) (2 136) Rm Foreign Other Retained Equity currency reserves earnings attributable
translation to owners reserve of the parent Balance at 769 551 4 518 4 069 30 September 2010 Shares issued during 36 the period Capital reduction (83) Sale of treasury 30 56 shares Share-based payments 14 14 reserve movements Capital gains tax on (1) (1) capital reductions attributable to treasury shares Preference dividends (24) (24) paid Dividends paid (269) (269) Distributions to (38) (38) beneficiaries of the HPFL trusts Other reserve 19 (28) (9) movements Restated total (20) 666 1 234 comprehensive loss for the period Total comprehensive (21) 666 1 233 income for the period as previously reported Prior year restatement 1 1 (Refer to note 2) Restated balance at 749 584 4 854 4 985 31 March 2011 Balance at 722 584 4 968 5 072 31 March 2011 as previously reported Prior year restatement 27 (114) (87) (Refer to note 2) Shares issued during 38 the period Sale of treasury 25 52 shares Repurchase of (21) (15) convertible bonds Share-based payments 9 9 reserve movements Preference dividends (23) (23) paid Dividends paid (284) (284) Distributions to (9) (9) beneficiaries of the HPFL trusts Other reserve 104 80 14 movements Increase in equity (30) (30) interest in subsidiaries Total comprehensive 362 945 418 income for the period Balance at 1 111 697 5 537 5 155 30 September 2011 Shares issued during 16 the period Sale of treasury 53 109 shares Share-based payments 9 9 reserve movements Preference dividends (22) (22) paid Dividends paid (405) (405) Distributions to (31) (31) beneficiaries of the HPFL trusts Other reserve 5 (5) movements Total comprehensive (60) 721 616 income for the period Balance at 1 051 711 5 848 5 447 31 March 2012 Rm Preference Non- Total share controlling share- capital and interest holders` premium equity
Balance at 644 1 645 6 358 30 September 2010 Shares issued during the 36 period Capital reduction (83) Sale of treasury shares 56 Share-based payments reserve 14 movements Capital gains tax on capital (1) reductions attributable to treasury shares Preference dividends paid (24) Dividends paid (1) (270) Distributions to (38) beneficiaries of the HPFL trusts Other reserve movements 15 6 Restated total comprehensive 556 1 790 loss for the period Total comprehensive income 555 1 788 for the period as previously reported Prior year restatement 1 2 (Refer to note 2) Restated balance at 644 2 215 7 844 31 March 2011 Balance at 31 March 2011 644 2 297 8 013 as previously reported Prior year restatement (82) (169) (Refer to note 2) Shares issued during the 38 period Sale of treasury shares 52 Repurchase of convertible (15) bonds Share-based payments reserve 9 movements Preference dividends paid (23) Dividends paid (2) (286) Distributions to (9) beneficiaries of the HPFL trusts Other reserve movements (15) (1) Increase in equity interest 19 (11) in subsidiaries Total comprehensive income (331) 87 for the period Balance at 644 1 886 7 685 30 September 2011 Shares issued during the 16 period Sale of treasury shares 109 Share-based payments reserve 9 movements Preference dividends paid (22) Dividends paid (1) (406) Distributions to (31) beneficiaries of the HPFL trusts Other reserve movements Total comprehensive income (82) 534 for the period Balance at 31 March 2012 644 1 803 7 894 Headline earnings Rm Unaudited % Audited six months ended change year ended 30 September 2011
31 March 31 March 2012 2011 Reconciliation of headline earnings Profit for the period 706 699 1.0 1 855 Less: Preference (22) (24) (47) shareholders Non-controlling 15 (33) (238) interest Earnings used in the 699 642 8.9 1 570 calculation of basic earnings per share Adjusted for: Impairment of 24 investments Reversal of impairment (1) (7) of property, plant and equipment Profit on disposal of (12) (55) (162) property, plant and equipment Tax effect of headline 2 8 23 adjusting items Non-controlling share (1) 19 56 of headline adjusting items Headline earnings 688 613 12.2 1 504 Adjusted for: Ineffectiveness 100 61 arising from interest rate swaps Reduction in UK (163) (155) statutory tax rate Impairments and other 31 7 Non-controlling share 20 46 of adjusted items Adjusted headline 676 572 18.2 earnings Headline earnings per 52.8 48.0 10.0 117.0 share (cents) Diluted headline 52.1 46.5 12.0 114.2 earnings per share (cents) Adjusted headline 51.9 44.7 16.1 earnings per share (cents) Condensed notes to the Group financial statements 1. Basis of preparation and accounting policies The condensed financial statements for the six months ended 31 March 2012 have been prepared in accordance with International Financial Reporting Standards (IFRS) and comply with IAS 34 Interim Financial Reporting, the AC500 standards as issued by the Accounting Practices Board or its successor, the Listings Requirements of the JSE Limited and the South African Companies Act No 71 of 2008. The accounting policies applied in the preparation of these condensed financial statements are consistent in all material respects with those applied in the audited financial statements for the year ended 30 September 2011. A significant portion of the UK PropCo debt matures in October 2013, and the business is actively involved with its advisors in order to seek a solution. Whilst no formally committed plan currently exists, it is premature at this stage, with 17 months remaining before the maturity date, to conclude that a solution cannot be achieved. Furthermore, given the ring-fencing of the PropCo debt from the UK OpCo, and the non-recourse nature of this debt to Netcare`s SA operations, the directors are comfortable with the going concern assessment.
The interim results have not been audited by the Group`s independent external auditors, Grant Thornton. The condensed financial statements have been prepared under the supervision of KN Gibson CA (SA), Chief Financial Officer of Netcare Limited. 2. Restatement of comparative information The annual financial statements for the year ended 30 September 2011 included a prior year restatement resulting from a change in GHG`s interpretation of IAS 12 Income taxes. This change related to the differences that arise on the straight-lining of lease rentals on operating leases between GHG`s wholly owned subsidiaries, BMI Healthcare Limited and other group property holding companies. In prior years, the differences were accounted for as permanent differences with no deferred tax being raised. Management concluded that fairer presentation would be achieved if these were treated as timing differences and the appropriate deferred tax liability raised. More details are provided in note 33 of the annual financial statements for the year ended 30 September 2011.
The March 2011 statement of financial position, statement of changes in equity and statement of comprehensive income have been restated to reflect the changes. The restatement did not result in any changes to earnings or headline earnings per share. The effect of this change is summarised below: Group statement of financial position for the six months ended 31 March 2011 Rm Previously Adjustment Restated reported Non-current assets Deferred taxation 1 071 305 1 376 Non-current liabilities Deferred taxation (4 235) (474) (4 709) Equity Foreign currency translation (722) (27) (749) reserve Retained earnings (4 968) 114 (4 854) Non-controlling interest (2 297) 82 (2 215) Rm Unaudited Audited six months ended year ended
31 March 31 March 30 September 2012 2011 2011 3 Operating profit . After charging: Depreciation and amortisation 659 568 1 213 Operating lease charges 272 176 469 4 Investment income . Return on retirement benefit 49 plan assets Interest on bank accounts and 90 26 66 other 90 26 115 5 Financial expenses . Amortisation of arrangement fee 52 43 90 Interest on convertible bonds 73 140 (liability portion) Interest on promissory notes 121 84 166 Interest on preference shares 1 3 4 classified as debt Interest on bank loans and 796 701 1 447 other 970 904 1 847 6 Other losses - net . Foreign exchange (losses)/gains (1) 5 Ineffectiveness (losses)/gains (100) (61) 43 on cash flow hedges Fair value loss on inflation (2) rate swaps (not hedge accounted) Fair value loss on derivative (2) (7) (26) financial assets (not hedge accounted) Amount reclassified from cash 9 (1) (43) flow hedge reserve (93) (70) (23) Rm Unaudited Audited six months ended year ended 31 March 31 March 30 September 2012 2011 2011 7 Associated companies, . investments and loans Non-current Associated companies 287 224 289 Available-for-sale investments 22 Loans and receivables 603 3 205 890 249 494 Current Loans and receivables 47 45 43 937 294 537 The available-for-sale investment represents an 8% investment in Phoenix Hospital Limited, an unlisted group which comprises The Weymouth Clinic Limited and 9 Harley Street Limited in the United Kingdom. An impairment loss of R22 million was recognised during the prior year. Included in loans and receivables is a net investment of R584 million relating to the acquisition of a contractual economic interest in the debt of the UK OpCo. 8. Assets held for sale Certain land and buildings 5 8 8 were classified as held for sale Rm Unaudited Audited six months ended year ended 31 March 31 March 30 September 2012 2011 2011 9. Debt Long-term debt 25 286 21 199 25 106 Short-term debt 2 290 3 807 2 388 Total debt 27 576 25 006 27 494 Comprising: Debt in South African Rand Finance leases 51 57 57 Redeemable cumulative 22 42 34 preference shares Convertible bonds (debt 1 445 portion) Promissory notes 4 039 1 910 3 180 Unsecured liabilities 200 452 200 4 312 3 906 3 471 Debt in foreign currency Secured liabilities 22 927 20 903 23 563 Finance leases 153 111 154 Other 184 86 306 23 264 21 100 24 023 27 576 25 006 27 494 Maturity profile Rm Total < 1 1 - 2 2 - 3 3 - 4 > 4 year years years years years 31 March 2012 Debt in South 4 312 1 500 420 1 374 7 1 011 African Rand Debt in 23 264 790 19 1 086 1 518 170 foreign 700 currency 27 576 2 290 20 2 460 1 525 1 181 120 31 March 2011 Debt in South 3 906 3 192 683 7 6 18 African Rand Debt in 21 100 615 440 17 421 86 2 538 foreign currency 25 006 3 807 1 123 17 428 92 2 556 31 September 2011 Debt in South 3 471 1 622 483 344 7 1 015 African Rand Debt in 24 023 766 575 19 908 1 592 1 182 foreign currency 27 494 2 388 1 058 20 252 1 599 2 197 Rm Unaudited Audited six months ended year ended
31 March 31 March 30 September 2012 2011 2011 10 Derivative financial . instruments Derivative financial assets European style call options South African Rand 3 21 5 Interest rate swaps South African Rand 3 6 21 5 Included in: Non-current assets 3 13 3 Current assets 3 8 2 6 21 5 Derivative financial liabilities Interest rate swaps South African Rand 9 10 16 Foreign currency 5 297 2 569 5 300 5 306 2 579 5 316
Inflation rate swaps South African Rand 3 3 5 309 2 579 5 319 Included in: Non-current liabilities 5 309 2 579 5 319 The inter-bank rate used in the fair value calculations of the foreign currency interest rate swaps has been adjusted to take into account the credit risk to which the Group is exposed. The value of the foreign currency interest rate swaps excluding the counterparty valuation adjustment (CVA) at 31 March 2012 was R6 202 million. Rm Unaudited Audited six months ended year ended 31 March 31 March 30 September 2012 2011 2011 11 Commitments . Capital commitments 1 270 1 433 1 268 South Africa 996 1 310 845 United Kingdom 274 123 423 Operating lease commitments 5 665 3 089 4 510 South Africa 1 357 1 151 1 410 United Kingdom 4 308 1 938 3 100 12 Contingent liabilities . (guarantees and suretyships) South Africa 616 669 636 United Kingdom 13 616 682 636
Condensed segment report The Group operates in two geographical regions, South Africa (SA) and the United Kingdom (UK). SA has two further segments, Hospital and Emergency services and Primary Care, which are separately monitored for decision-making purposes. The UK segment results are impacted by fluctuations in the Rand relative to the Pound Sterling on translation. The impact of foreign currency fluctuations have been removed from the UK segment for decision- making purposes. Rm Unaudited % Audited six months ended change year ended 31 March 31 March 30 September
2012 2011 2011 INCOME STATEMENT Revenue South Africa 6 983 6 472 7.9 13 361 Hospitals and Emergency 6 327 5 844 8.3 12 089 services Primary Care 656 628 4.5 1 272 United Kingdom 5 671 4 920 15.3 9 860 UK adjusted1 5 041 4 920 2.5 9 860 Exchange rate impact 630 Group reported 12 654 11 392 11.1 23 221 Exchange rate impact (630) Group adjusted1 12 024 11 392 5.5 23 221 EBITDA South Africa 1 369 1 212 13.0 2 608 Hospitals and Emergency 1 324 1 191 11.2 2 543 services Primary Care 45 21 114.3 65 United Kingdom 1 103 998 10.5 2 209 UK adjusted1 984 998 (1.4) 2 209 Exchange rate impact 119 Capital items 5 56 (91.1) 97 South Africa 8 9 (14) United Kingdm (3) 47 111 Group reported 2 477 2 266 9.3 4 914 Exchange rate impact (119) Group adjusted1 2 358 2 266 4.1 4 914 1 The March 2012 UK numbers have been recalculated to remove the impact of foreign currency fluctuations since the March 2011 results. Rm Unaudited % Audited six months ended year ended
change 31 March 31 March 30 September 2012 2011 2011 Operating profit South Africa 1 145 1 021 12.1 2 220 Hospitals and Emergency 1 114 1 013 10.0 2 182 services Primary Care 31 8 287.5 38 United Kingdom 668 621 7.6 1 384 UK adjusted1 598 621 (3.7) 1 384 Exchange rate impact 70 Capital items 5 56 (91.1) 97 South Africa 8 9 (14) United Kingdom (3) 47 111 Group reported 1 818 1 698 7.1 3 701 Exchange rate impact (70) Group adjusted1 1 748 1 698 2.9 3 701 Net interest expense South Africa 98 162 39.5 327 United Kingdom 782 716 (9.2) 1 405 UK adjusted1 693 716 3.2 1 405 Exchange rate impact 89 Group reported 880 878 (0.2) 1 732 Exchange rate impact (89) Group adjusted1 791 878 9.9 1 732 1 The March 2012 UK numbers have been recalculated to remove the impact of foreign currency fluctuations since the March 2011 results. Rm Unaudited % Audited change 31 March 31 March 30 September
2012 2011 2011 STATEMENT OF FINANCIAL POSITION Total assets2 South Africa 10 969 9 395 16.8 10 262 United Kingdom 39 337 34 614 13.6 40 402 UK adjusted1 34 832 34 614 0.6 40 402 Exchange rate impact (4 505) Group reported 50 306 44 009 14.3 50 664 Exchange rate impact 4 505 Group adjusted1 45 801 44 009 4.1 50 664 Debt net of cash South Africa 4 218 3 713 (13.6) 3 303 United Kingdom 21 756 20 125 (8.1) 22 386 UK adjusted1 19 264 20 125 4.3 22 386 Exchange rate impact 2 492 Group reported 25 974 23 838 (9.0) 25 689 Exchange rate impact (2 492) Group adjusted1 23 482 23 838 1.5 25 689 1 The March 2012 UK numbers have been recalculated to remove the impact of foreign currency fluctuations since the March 2011 results. 2 Restated refer to note 2. Salient features Unaudited Audited 31 March 31 March 30 September 2012 2011 2011 Share statistics Ordinary shares Shares in issue (million) 1 448 1 441 1 446 Shares in issue net of treasury 1 306 1 277 1 295 shares (million) Weighted average number of shares 1 303 1 279 1 286 (million) Diluted weighted average number 1 321 1 318 1 317 of shares (million) Market price per share (cents) 1 423 1 450 1 305 Currency conversion guide (R:GBP) Closing exchange rate 12.25 10.85 12.54 Average exchange rate for the 12.42 11.02 11.09 period Registered office: 76 Maude Street (corner West Street), Sandton 2196, Private Bag X34, Benmore 2010 Executive directors: RH Friedland (Chief Executive Officer) KN Gibson (Chief Financial Officer) Non-executive directors: SJ Vilakazi (Chairman) T Brewer APH Jammine JM Kahn MJ Kuscus HR Levin KD Moroka N Weltman Company Secretary: L Bagwandeen Sponsor: Nedbank Capital, a division of Nedbank Group Limited Transfer secretaries: Link Market Services South Africa (Proprietary) Limited, 13th Floor, Rennie House, 19 Ameshoff Street, Braamfontein 2001 Investor relations: ir@netcare.co.za Date: 14/05/2012 08:00:01 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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