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MEDICLINIC INTERNATIONAL LIMITED - Unaudited interim group results for the six months ended 30 September 2013 and declaration of cash dividend

Release Date: 06/11/2013 07:30
Code(s): MDC     PDF:  
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Unaudited interim group results for the six months ended 30 September 2013 and declaration of cash dividend

MEDICLINIC INTERNATIONAL LIMITED
Incorporated in the Republic of South Africa
Reg. no. 1983/010725/06
Share code: MDC
ISIN code: ZAE000074142
Income tax no: 9950122714
("Mediclinic" or "the Company")


UNAUDITED INTERIM GROUP RESULTS OF MEDICLINIC INTERNATIONAL LIMITED AND ITS SUBSIDIARIES FOR THE SIX MONTHS ENDED 30 SEPTEMBER 2013
AND DECLARATION OF CASH DIVIDEND


SALIENT FEATURES

- Strong growth in patient admissions and bed-days sold

- Positive effects of Group refinancing as well as acquisition of minority interests in Mediclinic Middle East completed in October 2012

- Basic normalised headline earnings per share increased by 58% to 152.0 cents

- Interim dividend per ordinary share increased to 28.0 cents (2012: 25.3 cents) 

Danie Meintjes, CEO of Mediclinic International commented:

"We note continued positive contributions from all our operating platforms during the six months under review. Our steady earnings 
momentum is supported by general increases in bed-days sold, average income per bed-day, number of patients admitted and the average length
of stay, as acuity levels continue to rise. 

We have benefited from our refinanced capital structure and the acquisition of minorities in Mediclinic Middle East, as we continue to grow 
our business. Hirslanden has made a particularly pleasing contribution in this period and provides further testimony to the resilience of our 
revenue and earnings streams across our diverse platforms in Southern Africa, Switzerland and the United Arab Emirates." 


Enquiries:
Mediclinic International: T +27 21 809 6500
Danie Meintjes, CEO
Craig Tingle, CFO
Gert Hattingh, Company Secretary

CapitalVoice: T +27 82 921 9110
Johannes van Niekerk


TRADING RESULTS

We are pleased to report that the Group has maintained its consistent growth pattern.

Group normalised revenue increased by 21% to R14 128m (2012: R11 672m) for the period under review. Normalised operating profit before 
interest, tax, depreciation and amortisation ("normalised EBITDA") is 17% higher at R2 829m (2012: R2 418m). The leveraging effect of the 
Groups capital structure, together with the positive effects of the Group refinancing and acquisition of the minority interests in 
Mediclinic Middle East completed in October 2012, augmented the Groups financial performance and resulted in basic normalised headline 
earnings per share growth of 58% to 152.0 cents (2012: 96.1 cents).

The Groups normalised EBITDA margin decreased from 20.7% to 20.0% for the period under review. 

The current Group results include a one-off past-service cost credit of R215m (R172m after tax) arising in the main Hirslanden pension 
fund. The comparative results included a one-off net unrealised gain of R185m on foreign exchange forward contracts reported under Other 
gains and losses in the consolidated income statement. 

Including these one-off items, headline earnings increased by 67% to R1 401m (2012: R840m) and basic headline earnings per ordinary share 
increased by 40% to 173.2 cents (2012: 123.3 cents).

The average ZAR/Swiss franc (CHF) exchange rate was R10.40 compared to R8.63 for the comparative period and the average ZAR/UAE dirham (AED) 
exchange rate was R2.65 compared to R2.23 for the comparative period. These movements in the exchange rates had a significant positive 
effect on the reported results, as detailed under Hirslandens and Mediclinic Middle Easts financial performance sections.

Finance cost

Finance cost includes amortisation of capitalised financing expenses of R63m (2012: R32m).

The capitalised financing expenses are amortised over the terms of the relevant loans in line with future cash payments as prescribed in 
IAS 39 Financial Instruments.

Cash flow

The Groups cash flow continued to be strong. The Group converted 107% (2012: 105%) of normalised EBITDA into cash generated from operations.
Cash and cash equivalents decreased from R2 705m at 31 March 2013 to R2 633m at 30 September 2013.

Interest-bearing borrowings

Interest-bearing borrowings increased from R26 362m at 31 March 2013 to R28 675m at 30 September 2013, mainly as a result of the change in 
the closing ZAR/CHF exchange rate. The closing ZAR/CHF exchange rate moved from R9.69 at 31 March 2013 to R11.12 at 30 September 2013. It is 
important to note that the foreign debt of the Groups Swiss and Middle Eastern operations, amounting to R22 887m, is matched with foreign 
assets in the same currencies. The foreign debt has no recourse to the Southern African operations assets.

Assets

Property, equipment and vehicles increased from R40 137m at 31 March 2013 to R45 941m at 30 September 2013 and intangible assets increased 
from R7 279m at 31 March 2013 to R8 307m at 30 September 2013. These increases are mainly as a result of the change in the closing ZAR/CHF 
and the ZAR/AED exchange rates, as mentioned above.

Weighted average number of shares adjustment

The weighted average number of shares was adjusted in accordance with IAS 33 paragraph 26 as a result of the rights issue completed in 
October 2012.

Restatement of comparative numbers

The impacts of the application of the revised IAS 19 standard and the new IFRS 11 standard are as follows:

- The revised IAS 19 standard deals with the accounting for defined benefit obligations and plan assets. Previously the net interest income 
  on Hirslandens plan assets was recognised in profit or loss based on the expected return on plan assets. The net interest rate on plan 
  assets is no longer calculated based on expected return but rather equal to the discount rate used for determining retirement benefit 
  obligations.

- The new IFRS 11 standard deals with the accounting of joint ventures. Previously Wits University Donald Gordon Medical Centre (Pty) Ltd 
  was proportionately consolidated whereas, under IFRS 11, the company is now equity accounted.

Refer to Changes to accounting policy note for details of the restated comparative numbers.

Normalised non-IFRS financial measures

The Group uses normalised revenue, normalised EBITDA, normalised headline earnings and normalised basic headline earnings per share as 
non-IFRS measures in evaluating performance and as a method to provide shareholders with clear and consistent reporting. These non-IFRS 
measures are defined as reportable EBITDA, headline earnings and basic headline earnings per share in terms of accounting standards, 
excluding one-off items, as detailed above.


OPERATIONS IN SOUTHERN AFRICA

MEDICLINIC SOUTHERN AFRICA 

Financial performance

Mediclinic Southern Africas normalised revenue increased by 11% to R5 638m (2012: R5 068m) for the period under review. Normalised EBITDA 
was 12% higher at R1 214m (2012: R1 085m). 

After incurring depreciation charges of R151m (2012: R128m), net finance charges of R219m (2012: R151m), taxation of R253m (2012: R222m) 
and deducting the interest of minority shareholders in the attributable income of the Southern African group amounting to R101m (2012: R82m),
the Southern African operations contributed R490m (2012: R502m) to the normalised attributable income of the Group.

Business performance

The 11% revenue growth was driven by a 5.8% increase in bed-days sold and a 5.1% increase in the average income per bed-day. The number of 
patients admitted increased by 4.3%, while the average length of stay increased by 1.4%.

The normalised EBITDA margin of the Southern African operations increased from 21.4% to 21.5%.

Mediclinic Southern Africas cash flow continued to be strong as it converted 109% (2012: 112%) of normalised EBITDA into cash generated 
from operations. 

Cash and cash equivalents decreased from R1 305m at 31 March 2013 to R1 159m at 30 September 2013.

Interest-bearing borrowings decreased from R5 809m at 31 March 2013 to R5 789m at 30 September 2013.

Projects and capital expenditure

During the reporting period the Southern African operations spent R326m (2012: R242m) on capital projects and new equipment to enhance its 
business and R117m (2012: R124m) on the replacement of existing equipment. In addition, R149m (2012: R134m) was spent on the repair 
and maintenance of property and equipment, charged through the income statement. For the current financial year, R765m is budgeted for 
capital projects and new equipment to enhance its business, R276m for the replacement of existing equipment and R279m for repairs and 
maintenance. Incremental EBITDA resulting from capital projects in progress or approved is budgeted to amount to R42m and R83m in 2014 
and 2015 respectively.

The number of licensed hospital beds increased from 7 436 to 7 493 during the period under review.

During the past six months a number of building projects were completed at various hospitals, creating 57 additional beds as well as new 
consulting rooms, a cardiology unit and involving a number of facility upgrades.

Building projects in progress, which should be completed during the next six months, will add 107 additional beds as well as new consulting 
rooms and a number of facility upgrades.

The number of licensed beds is expected to increase from 7 493 to 7 600 during the next six months.

Several building projects in progress should be completed during the 2015 financial year of which the establishment of the new Mediclinic 
Centurion (176 beds) is the most significant development.

Regulatory environment 

Within the broader health sector context, the government remains committed to achieving universal coverage through a National Health 
Insurance (NHI) system. Mediclinic will engage with both government and other stakeholders on the most appropriate mechanisms to pursue 
universal coverage in the South African context, once the White Paper on the NHI is published by government. 

The Competition Commission is set to initiate an inquiry into the private healthcare sector within the next few months. Mediclinic has met 
with the Commissions representatives and provided input on the draft Terms of Reference. We await the final terms.


OPERATIONS IN SWITZERLAND

HIRSLANDEN 

Financial performance

Hirslandens normalised revenue increased by 29% (7% at constant foreign exchange rates) to R7 025m (CHF675m) (2012: R5 446m (CHF631m)) 
for the period under review. Normalised EBITDA was 25% higher (4% higher at constant foreign exchange rates) at R1 360m (CHF131m) 
(2012: R1 088m (CHF126m)).

After incurring depreciation charges of R357m (CHF34m) (2012: R285m (CHF33m)), net finance charges of R397m (CHF38m) (2012: R625m (CHF72m)) 
and tax of R97m (CHF9m) (2012: R122m (CHF14m)), Hirslanden contributed R509m (CHF50m) (2012: R56m (CHF7m)) to the attributable income of 
the Group.

Business performance

The 7% normalised revenue growth was driven by inpatient admissions increasing by 5.4%, while the average length of stay increased slightly 
and the average revenue per case increased by 2.0%, mainly due to higher acuity levels.

The normalised EBITDA margin of Hirslanden decreased from 20.0% to 19.4%.

Hirslanden converted 115% (2012: 99%) of normalised EBITDA into cash generated from operations.

Cash and cash equivalents increased from R536m (CHF55m) at 31 March 2013 to R611m (CHF55m) at 30 September 2013, due to the increase in the 
closing ZAR/CHF exchange rate.
 
Interest-bearing borrowings reported in ZAR increased from R18 997m (CHF1 960m) at 31 March 2013 to R21 330m (CHF1 918m) at 30 September 2013,
due to the increase in the closing ZAR/CHF exchange rate.

Projects and capital expenditure

During the reporting period Hirslanden invested R397m (CHF38m) (2012: R243m (CHF28m)) in capital projects and new equipment to enhance its 
business and R283m (CHF27m) (2012: R160m (CHF19m)) on the replacement of existing equipment. In addition, R184m (CHF18m) 
(2012: R138m (CHF16m)) was spent on the repair and maintenance of property and equipment, charged through the income statement. For the 
current financial year CHF58m is budgeted for capital projects and new equipment, CHF52m for the replacement of existing equipment and CHF34m 
for repairs and maintenance. Incremental EBITDA resulting from capital projects in progress or approved is budgeted to amount to CHF6m 
and CHF13m in 2014 and 2015 respectively.

The number of fully operational inpatient beds increased from 1 487 to 1 509 during the period under review, mainly as a result of the 
partial opening of the new wing at Klinik Hirslanden.

Building projects completed during the period under review were:

- The new wing at Klinik Hirslanden in Zurich formally opened during May 2013. The additional beds will be commissioned in a phased approach 
  in order to balance supply and demand over time. It is planned that all additional beds will be in operation at financial year end.
 
- In August 2013 Klinik Stephanshorn completed the expansion of the intensive care unit (ICU) and Klinik Beau-Site opened its health centre 
  at the train station in Berne.

Investments in medical technology during the period under review were:

- In July 2013 a cardiac centre, together with a hybrid operating theatre, was commissioned at Klinik Hirslanden.

- At Salem Spital, Clinique Cecil, Klinik Im Park and Klinik Stephanshorn new MRI machines were installed. 

- At Klinik Aarau and Klinik Im Park new CT scanners were installed.

The major ongoing expansion projects are as follows:

- The radiotherapy department at Spital Männedorf is expected to be commissioned in early 2014.

- An additional cardiac catheterisation laboratory will be operational in November 2014 at Klinik Beau Site.

The number of operational beds is expected to increase from 1 509 to 1 536 during the next six months.

Regulatory environment

From 1 July 2013 the cantons have the discretion to reintroduce the moratorium on the licensing of doctors in the outpatient sector. 
This moratorium will apply to 30 June 2016 and is not expected to have a major impact on Hirslanden.

Developments in regulations pertaining to the provision of highly specialised medicine are carefully monitored and appropriate steps will 
be taken to protect our position.


OPERATIONS IN UNITED ARAB EMIRATES

MEDICLINIC MIDDLE EAST 

Financial performance

Mediclinic Middle Easts normalised revenue increased by 27% (6% at constant foreign exchange rates) to R1 465m (AED553m) (2012: R1 158m 
(AED519m)) for the period under review. Normalised EBITDA increased by 4% (decreased by 13% at constant exchange rates) to R255m (AED96m) 
(2012: R245m (AED110m)).

After incurring depreciation charges of R67m (AED25m) (2012: R52m (AED23m)), net finance charges of R48m (AED18m) (2012: R17m (AED7m)) and 
the sharing of minority shareholders in the attributable income of Mediclinic Middle East in the comparative period of R87m (AED39m), 
Mediclinic Middle East contributed R140m (AED53m) (2012: R89m (AED41m)) to the attributable income of the Group.

Business performance

The 6% revenue growth was driven by inpatient hospital admissions increasing by 1%, while hospital outpatient consultations and visits to 
the emergency units increased by 1%. Clinic outpatient consultations increased by 3%.

The normalised EBITDA margin of Mediclinic Middle East decreased from 21.2% to 17.4%, mainly due to the temporary revenue impact of doctor
turnover at Mediclinic Welcare Hospital and the start-up costs of the new clinic.

Mediclinic Middle East converted 50% (2012: 99%) of normalised EBITDA into cash generated from operations, impacted by teething problems 
with the recent introduction of the national e-claims system.

Cash and cash equivalents decreased from R629m (AED250m) at 31 March 2013 to R586m (AED214m) at 30 September 2013. Compared to 31 March 2013,
the reported interest-bearing borrowings balance of R1 556m (AED568m) (2012: AED 619m) remained consistent, mainly because of the increase 
in the closing ZAR/AED exchange rate.

Projects and capital expenditure

During the reporting period Mediclinic Middle East invested R14m (AED5m) (2012: R21m (AED9m)) in capital projects and new equipment to 
enhance its business, apart from R27m (AED10m) (2012: R15m (AED7m)) on the replacement of existing equipment. In addition, R21m (AED8m) 
(2012: R17m (AED8m)) was spent on the repair and maintenance of property and equipment, charged through the income statement. For the current
financial year, AED88m is budgeted for capital projects and new equipment to enhance its business in the longer term, AED8m for the 
replacement of existing equipment and AED17m for repairs and maintenance. 

The number of licensed beds remained at 382, which includes 27 day beds available at the clinics. 

Ongoing capital projects:

- The expected completion date of the North Wing expansion project of Mediclinic City Hospital is in the second quarter of 2015. As previously
  reported, this project will include a state-of-the-art oncology unit developed in association with Hirslanden and create capacity for the 
  extension of Mediclinic City Hospital facilities.

- Mediclinic Middle Easts first clinic in Abu Dhabi, Mediclinic Corniche, is expected to open in February 2014.


CHANGES TO THE BOARD OF DIRECTORS

During the period under review, Mr Pieter Uys, an Investment Manager at Remgro, was appointed as a non-executive director of the Company with
effect from 1 April 2013, as previously reported.


PROSPECTS 

We continue to invest for growth in anticipation of the continuing increase in demand for cost-effective quality healthcare.


BASIS OF PREPARATION

The accounting policies applied in the preparation of these summarised Group interim financial statements, which are based on reasonable 
judgements and estimates, are in accordance with International Financial Reporting Standards (IFRS) and are consistent with those applied 
in the audited financial statements for the year ended 31 March 2013, except for the adoption of the new and revised standards. The adoption 
of the IFRS 11 Joint Arrangements and the revised IAS 19 Employee Benefits required a restatement of the comparative figures. Refer to the 
section Restatement of comparative numbers and the Changes in accounting policy note for further detail. The summarised Group interim 
financial statements have been prepared in terms of IAS 34 Interim Financial Reporting as well as in compliance with the Companies Act 71 
of 2008, as amended, and the Listings Requirements of the JSE Limited. The preparation of the summarised Group interim financial statements 
was supervised by the Chief Financial Officer, Mr CI Tingle (CA(SA)). 


CASH DIVIDEND TO SHAREHOLDERS

Notice is hereby given that the directors have declared an interim gross cash dividend in respect of the period under review of 28.0 cents 
(2012: 25.3 cents) (23.80 cents (2012: 21.5050 cents) net of dividend withholding tax) per ordinary share. The dividend declared increased 
by 11% compared to the comparative period. The dividend has been declared from income reserves and no secondary tax on companies credits have
been utilised. A dividend withholding tax of 15% will be applicable to all shareholders who are not exempt therefrom. The Companys issued 
share capital at the declaration date is 826 957 325 ordinary shares.

The salient dates for the dividend will be as follows:

Last date to trade cum dividend                Friday, 29 November 2013
First date of trading ex dividend               Monday, 2 December 2013
Record date                                     Friday, 6 December 2013 
Payment date	                                Monday, 9 December 2013 

Share certificates may not be dematerialised or rematerialised from Monday, 2 December 2013 to Friday, 6 December 2013, both days inclusive. 


CONSOLIDATED ABRIDGED STATEMENT OF FINANCIAL POSITION
                        
                                                                                                          
                                                                                                          Unaudited             Audited
                                                                                         Unaudited            as at               as at
                                                                                             as at        30/9/2012           31/3/2013
                                                                                         30/9/2013        (restated)          (restated)
                                                                                               R'm              R'm                 R'm              
ASSETS
Non-current assets                                                                          54 876           43 367              47 885 
  Property, equipment and vehicles                                                          45 941           36 400              40 137 
  Intangible assets                                                                          8 307            6 613               7 279 
  Investments in associates                                                                      3                                   2 
  Investments in joint venture                                                                  67               59                  65 
  Retirement benefit assets                                                                     25                                    
  Other investments and loans                                                                   65               61                  63 
  Derivative financial instruments                                                             235                                 100 
  Deferred income tax assets                                                                   233              234                 239 

Current assets                                                                               9 142            9 150               8 857 
  Inventories                                                                                  803              608                 681 
  Trade and other receivables                                                                5 670            5 130               5 427 
  Current income tax assets                                                                     36               15                  44 
  Derivative financial instruments                                                                             185                    
  Other investments and loans                                                                                   28                    
  Cash and cash equivalents                                                                  2 633            3 184               2 705 
Total assets                                                                                64 018           52 517              56 742 

EQUITY AND LIABILITIES
Total equity                                                                                22 026           12 372              18 002 
  Share capital and reserves                                                                21 208           11 060              17 206 
  Non-controlling interests                                                                    818            1 312                 796 

LIABILITIES
Non-current liabilities                                                                     35 239           33 814              32 692 
  Borrowings                                                                                27 135           23 231              25 351 
  Deferred income tax liabilities                                                            7 233            5 523               6 182 
  Retirement benefit obligations                                                               329              981                 709 
  Provisions                                                                                   479              265                 365 
  Derivative financial instruments                                                              63            3 814                  85 

Current liabilities                                                                          6 753            6 331               6 048 
  Trade and other payables                                                                   4 370            3 789               4 121 
  Borrowings                                                                                 1 540            1 911               1 011 
  Provisions                                                                                   288              170                 322 
  Derivative financial instruments                                                              16               66                  65 
  Current income tax liabilities                                                               539              395                 529 
Total liabilities                                                                           41 992           40 145              38 740 
Total equity and liabilities                                                                64 018           52 517              56 742 

Net asset value per ordinary share  cents                                                 2 619.9          1 754.7             2 129.8


CONSOLIDATED ABRIDGED INCOME STATEMENT
                                 
                                                                                                          Unaudited             Audited
                                                                           Unaudited                    6 months to             Year to
                                                                         6 months to                      30/9/2012           31/3/2013
                                                                           30/9/2013        Change        (restated)          (restated)
                                                         Notes                   R'm             %              R'm                 R'm                                                               
                     
Revenue                                                      1                14 128           21%           11 672              24 436 
Cost of sales                                                                 (8 050)                        (6 742)            (13 881)
Administration and other operating expenses                                   (3 034)                        (2 512)             (5 428)
Operating profit before depreciation (EBITDA)                2                 3 044           26%            2 418               5 127 
Depreciation and amortisation                                                   (574)                          (465)               (994)
Operating profit                                                               2 470                          1 953               4 133 
Other gains and losses                                       3                                                 183                 531 
Income from associates                                                                                                              2 
Income from joint venture                                                                                                           3 
Finance income                                               4                    38                             42                  69 
Finance cost                                                                    (610)                          (820)             (5 166)
Profit before tax                                                              1 898                          1 358                (428)
Income tax expense                                                              (393)                          (345)               (418)
Profit/(loss) for the period                                                   1 505                          1 013                (846)
Attributable to:    
  Equity holders of the Company                                                1 404                            843              (1 105) 
  Non-controlling interests                                                      101                            170                 259 
                                                                               1 505                          1 013                (846) 

PER SHARE PERFORMANCE                                                         Number                         Number              Number
                                                                                000                           000                000
Weighted average number of shares     
  Before rights offer                                                            n/a                        629 296             714 856 
  Adjustment for rights offer (IAS 33 para 26)                                   n/a                         51 872              27 002 
  Weighted average number of ordinary shares in issue                        808 868                        681 168             741 858 

Diluted weighted average number of shares     
  Before rights offer                                                            n/a                        651 986             735 860 
  Adjustment for rights offer (IAS 33 para 26)                                   n/a                         51 872              27 002 
  Diluted weighted average number of ordinary shares in issue                826 957                        703 858             762 862 

Earnings per ordinary share                                                    cents                          cents               cents
   Basic earnings/(loss) basis                                                173.5            40%           123.7              (148.9)
   Diluted earnings/(loss) basis                                              169.7                          119.8              (144.8)
   Basic headline earnings/(loss) basis                                       173.2            40%           123.3              (149.5)
   Diluted headline earnings/(loss) basis                                     169.4                          119.3              (145.4)
   Basic normalised headline earnings basis                                   152.0            58%            96.1               259.3 
   Normalised diluted headline earnings basis                                 148.6                           93.0               252.2 

Dividends per ordinary share      
   interim                                                                     28.0                           25.3                25.3
   final                                                                        n/a                            n/a                60.5
                                                                                                                                   85.8

EARNINGS RECONCILIATION                                                          R'm                            R'm                 R'm
Profit attributable to shareholders                                            1 404                            843              (1 105)
  Re-measurements for headline earnings                                           (4)                            (4)                 (6)
  Profit on sale of property, equipment and vehicles                              (4)                            (4)                 (6)
  Income tax effects                                                               1                              1                   1 

Headline earnings/(loss)                                                       1 401            67%             840              (1 110)
  Re-measurements for normalised headline earnings                              (215)                          (185)              3 331 
  Group one-off refinancing charges                                                                           (185)              3 215 
  Pre-acquisition tariff provision                                                                                                151 
  Past service cost                                                             (215)                                              (35)
  Income tax effects                                                              43                                              (297)

Normalised headline earnings                                                   1 229            88%             655               1 924


CONSOLIDATED ABRIDGED STATEMENT OF COMPREHENSIVE INCOME
  
                                                                                                          Unaudited             Audited
                                                                           Unaudited                    6 months to             Year to
                                                                         6 months to                      30/9/2012           31/3/2013
                                                                           30/9/2013         Change       (restated)          (restated)
                                                                                 R'm              %             R'm                 R'm      
Profit/(loss) for the period                                                   1 505            49%           1 013                (846)
Other comprehensive income           
Items that may be reclassified to the income statement    
  Currency translation differences                                             2 712                            469                1 699 
  Fair value adjustment to cash flow hedges (net of tax)                         139                             12                3 203 
Items that may not be reclassified to the income statement     
  Actuarial gains and losses (net of tax)                                        201                           (170)                  54 
  Other comprehensive income, net of tax                                       3 052                            311                4 956 
Total comprehensive income for the period                                      4 557                          1 324                4 110
Attributable to:    
  Equity holders of the Company                                                4 455                          1 112                3 808 
  Non-controlling interests                                                      102                            212                  302 
                                                                               4 557                          1 324                4 110


CONSOLIDATED ABRIDGED STATEMENT OF CHANGES IN EQUITY
             
                                                                                                          Unaudited              Audited
                                                                                          Unaudited     6 months to              Year to
                                                                                        6 months to       30/9/2012            31/3/2013
                                                                                          30/9/2013       (restated)           (restated)
                                                                                                R'm             R'm                  R'm      
Opening balance                                                                              18 002          11 487               11 487 
Shares issued                                                                                                                    5 000 
Share issue costs                                                                                                                 (104)
Movement in shares held in treasury                                                               3               9                   13 
Movement in share-based payment reserve                                                          10               3                    5 
Non-controlling interests acquired by the Group                                                                 (9)                (588)
Total comprehensive income for the period                                                     4 557           1 324                4 110 
Transactions with non-controlling shareholders                                                                 (16)              (1 268)
Gain on sale of nil-paid letters of allocation                                                                  42                   41 
Distributed to shareholders                                                                    (467)           (288)                (488)
Distributed to non-controlling interests                                                        (79)           (180)                (206)
Closing balance                                                                              22 026          12 372               18 002 
   
Comprising   
Share capital                                                                                11 027              65               11 027 
Share premium                                                                                                6 066                     
Treasury shares                                                                                (253)           (261)                (256)
Share-based payment reserve                                                                     150             138                  140 
Foreign currency translation reserve                                                          7 539           3 598                4 827 
Hedge reserve                                                                                   119          (3 211)                 (20)
Retained earnings                                                                             2 626           4 665                1 488 
Shareholders equity                                                                         21 208          11 060               17 206 
Non-controlling interests                                                                       818           1 312                  796 
Total equity                                                                                 22 026          12 372               18 002


CONSOLIDATED ABRIDGED STATEMENT OF CASH FLOWS

                                                                                                          Unaudited              Audited
                                                                                          Unaudited     6 months to              Year to
                                                                                        6 months to       30/9/2012            31/3/2013
                                                                                          30/9/2013       (restated)           (restated)
                                                                                                R'm             R'm                  R'm   
Cash flow from operating activities                                                           2 134           1 501                3 549 
  Cash generated from operations                                                              3 024           2 536                5 571 
  Net finance cost                                                                             (494)           (757)              (1 508)
  Taxation paid                                                                                (396)           (278)                (514)

Cash flow from investment activities                                                         (1 148)            554                 (527)
  Investment to maintain operations                                                            (426)           (299)                (792)
  Investment to expand operations                                                              (737)           (508)              (1 230)
  Proceeds on disposal of property, equipment and vehicles                                       17               8                   52 
  Proceeds from derivative financial instruments                                                                24                   25 
  Proceeds from other investments and loans                                                                      4                    4 
  Investment in joint venture                                                                    (2)             (6)                  (8)
  Amounts advanced to joint venture                                                                                                 (1)
  Proceeds from FVTPL financial assets                                                                         802                  868 
  Proceeds from money market funds                                                                           1 144                1 200 
  Purchases of money market funds                                                                             (627)                (657)
  Interest received                                                                                             12                   12 

Cash flow from financing activities                                                          (1 225)           (983)              (2 837)
  Proceeds from shares issued                                                                                                    5 000 
  Share issue costs                                                                                                               (104)
  Distributions to shareholders                                                                (467)           (288)                (488)
  Distributions to non-controlling interests                                                    (79)           (180)                (206)
  Proceeds from borrowings                                                                      206                              21 996 
  Repayment of borrowings                                                                      (888)           (540)             (24 939)
  Settlement of interest rate swap                                                                                              (1 633)
  Proceeds from disposal of treasury shares                                                       3              65                   27 
  Treasury shares purchased                                                                                    (14)                 (16)
  Acquisition of non-controlling interests                                                                     (26)              (1 971)
  Refinancing transaction costs                                                                                                   (615)
  Proceeds on disposal of nil-paid letters of allocation                                                                            41 
  Proceeds on disposal of non-controlling interest                                                                                  71 

Net movement in cash, cash equivalents and bank overdrafts                                     (239)          1 072                  185 
Opening balance of cash, cash equivalents and bank overdrafts                                 2 705           1 979                1 979 
Exchange rate fluctuations on foreign cash                                                      167              46                  541 
Closing balance of cash, cash equivalents and bank overdrafts                                 2 633           3 097                2 705 

Cash and cash equivalents                                                                     2 633           3 184                2 705 
Bank overdrafts                                                                                                (87)                    
                                                                                              2 633           3 097                2 705


ABRIDGED SEGMENTAL REPORT
                                                                                                          Unaudited              Audited
                                                                                          Unaudited     6 months to              Year to
                                                                                        6 months to       30/9/2012            31/3/2013
                                                                                          30/9/2013       (restated)           (restated)
                                                                                                R'm             R'm                  R'm   
Revenue    
  Southern Africa                                                                             5 638           5 068               10 059 
  Middle East                                                                                 1 465           1 158                2 485 
  Switzerland                                                                                 7 025           5 446               11 892 
                                                                                             14 128          11 672               24 436 

EBITDA   
  Southern Africa                                                                             1 214           1 085                2 163 
  Middle East                                                                                   255             245                  495 
  Switzerland                                                                                 1 575           1 088                2 469 
                                                                                              3 044           2 418                5 127 

Operating profit   
  Southern Africa                                                                             1 063             957                1 886 
  Middle East                                                                                   188             193                  382 
  Switzerland                                                                                 1 219             803                1 865 
                                                                                              2 470           1 953                4 133


NOTES TO THE ABRIDGED FINANCIAL STATEMENTS

                                                                                                          Unaudited             Audited
                                                                           Unaudited                    6 months to             Year to
                                                                         6 months to                      30/9/2012           31/3/2013
                                                                           30/9/2013         Change       (restated)          (restated)
                                                                                 R'm              %             R'm                 R'm   
1 REVENUE RECONCILIATION        
  Revenue                                                                     14 128                         11 672              24 436 
  Adjusted for:        
    Pre-acquisition tariff provision                                                                                              151 
  Normalised revenue                                                          14 128            21%          11 672              24 587 
          
2 EBITDA RECONCILIATION        
  Operating profit before depreciation (EBITDA)                                3 044                          2 418               5 127 
  Adjusted for:        
    Past service cost                                                           (215)                                              (40)
    Pre-acquisition tariff provision                                                                                               173 
  Normalised EBITDA                                                            2 829            17%           2 418               5 260 
          
3 OTHER GAINS AND LOSSES        
  Realised gains on forward contracts                                                                                             574 
  Unrealised gains on forward contracts                                                                        185                    
  Stamp duty                                                                                                                      (41)
  Other                                                                                                         (2)                 (2)
                                                                                                               183                 531 
          
4 FINANCE COST        
  Interest                                                                       496           (38%)            803               1 301 
  Amortisation of capitalised financing fees                                      63                             32                  89 
  Loan breakage charges                                                                                                            54 
  Preference share dividend                                                       62                                                59 
  Accelerated recognition of capitalised financing fees                                                                           163 
  Derecognition of Swiss interest rate swap                                                                                     3 531 
  Less: amounts included in the cost of qualifying assets                        (11)                           (15)                (31)
                                                                                 610                            820               5 166 

5 COMMITMENTS        
  Capital commitments                                                          2 067                          1 698               2 766 
  Southern Africa                                                              1 640                          1 086               2 050 
  Middle East                                                                     17                             31                  27 
  Switzerland                                                                    410                            581                 689 
          
6 EXCHANGE RATES                                                                   R                              R                   R
  Average Swiss franc (ZAR/CHF)                                                10.40                           8.63                9.05 
  Closing Swiss franc (ZAR/CHF)                                                11.12                           8.85                9.69 
  Average UAE dirham (ZAR/AED)                                                  2.65                           2.23                2.32 
  Closing UAE dirham (ZAR/AED)                                                  2.74                           2.26                2.51 
          
7 NUMBER OF SHARES ISSUED                                                     Number                         Number              Number
                                                                                '000                           '000                '000
  Ordinary shares in issue                                                   826 957                        652 315             826 957 
  Ordinary shares held in treasury                                           (17 474)                       (22 023)            (19 078)
  Ordinary shares in issue net of treasury shares                            809 483                        630 292             807 879


CHANGES IN ACCOUNTING POLICY

Impact on profit/(loss) for the period of the application of new and revised standards

                                                                             For the 
                                                                              period                                            For the
                                                                               ended                                             period
                                                                           30/9/2012                                              ended
                                                                       as previously         IFRS 11         IAS 19           30/9/2012
                                                                            reported     adjustments    adjustments           (restated) 
                                                                                 R'm             R'm            R'm                 R'm
Revenue                                                                       11 734             (62)             -              11 672
Cost of sales                                                                 (6 724)             30            (48)             (6 742)
Administration and other operating expenses                                   (2 524)             28            (16)             (2 512)
Depreciation and amortisation                                                   (468)              3              -                (465)
Income from joint venture                                                                         -              -                    
Finance income                                                                    41               1              -                  42
Income tax expense                                                              (358)              -             13                (345)
Profit for the year                                                            1 064                           (51)              1 013
Decrease in profit for the year attributable to:        
  Equity holders of the Company                                                  894                           (51)                843

Impact on other comprehensive income for the period of the 
application of the new and revised standards        
Actuarial gains and losses                                                      (255)                           85                (170)
Currency translation differences                                                 465                             4                 469
Other comprehensive income for the year, net of tax                              222                            89                 311
Decrease in total comprehensive income for the year attributable to:        
  Equity holders of the Company                                                1 074                            38               1 112

                                                                        
                                                                             For the 
                                                                                year                                            For the
                                                                               ended                                               year
                                                                           31/3/2013                                              ended
                                                                       as previously         IFRS 11         IAS 19           31/3/2013
                                                                            reported     adjustments    adjustments           (restated) 
                                                                                 R'm             R'm            R'm                 R'm
Revenue                                                                       24 562            (126)             -              24 436 
Cost of sales                                                                (13 845)             59            (95)            (13 881)
Administration and other operating expenses                                   (5 454)             61            (35)             (5 428)
Depreciation and amortisation                                                   (999)              5              -                (994)
Income from joint venture                                                                         3              -                   3 
Finance income                                                                    68               1              -                  69 
Income tax expense                                                              (442)             (3)            27                (418)
Loss for the year                                                               (743)                         (103)               (846)
Increase in loss for the year attributable to:        
  Equity holders of the Company                                               (1 002)                         (103)             (1 105)

Impact on other comprehensive income for the year of the 
application of the new and revised standards        
Actuarial gains and losses                                                       201                          (147)                 54 
Currency translation differences                                               1 705                            (6)              1 699 
Other comprehensive income for the year, net of tax                            5 109                          (153)              4 956 
Decrease in total comprehensive income for the year attributable to:        
  Equity holders of the Company                                                4 064                          (256)              3 808


                                                                               As at
                                                                           30/9/2012                                       
                                                                                  as                                              As at
                                                                          previously         IFRS 11         IAS 19           30/9/2012
Impact on assets, liabilities and equity on the application of the          reported     adjustments    adjustments           (restated)       
new and revised standards                                                        R'm             R'm            R'm                 R'm
Property, equipment and vehicles                                              36 484             (84)             -              36 400 
Intangible assets                                                              6 614              (1)             -               6 613 
Investment in joint venture                                                                      59              -                  59 
Other investments and loans                                                       15              46              -                  61 
Deferred income tax assets                                                       236              (2)             -                 234 
Inventories                                                                      611              (3)             -                 608 
Trade and other receivables                                                    5 166             (36)             -               5 130 
Cash and cash equivalents                                                      3 191              (7)             -               3 184 
Borrowings (non-current)                                                     (23 235)              4              -             (23 231)
Deferred income tax liabilities                                               (5 492)              -            (31)             (5 523)
Retirement benefit obligations                                                (1 143)             10            152                (981)
Trade and other payables                                                      (3 803)             14              -              (3 789)
Total effect on net assets                                                    18 644                           121              18 765 

Retained earnings                                                             (4 548)                                            (4 548)
  Opening balance adjustments                                                                                   (83)                (83)
  Adjustments for the period                                                                                    (34)                (34)
                                                                                                                                 (4 665)

Other reserves (Foreign currency translation reserve)                         (3 594)              -             (4)             (3 598)
Total effect on equity                                                        (8 142)                         (121)             (8 263)


                                                                               As at
                                                                           31/3/2013                                       
                                                                                  as                                              As at
                                                                          previously         IFRS 11         IAS 19           31/3/2013
Impact on assets, liabilities and equity as at 31 March 2013                reported     adjustments    adjustments           (restated)       
of the application of the new and revised standards                              R'm             R'm            R'm                 R'm
Property, equipment and vehicles                                              40 233             (96)             -              40 137 
Intangible assets                                                              7 279                             -               7 279 
Investment in joint venture                                                                      65              -                  65 
Other investments and loans                                                       17              46              -                  63 
Deferred income tax assets                                                       244              (5)             -                 239 
Inventories                                                                      684              (3)             -                 681 
Trade and other receivables                                                    5 466             (39)             -               5 427 
Borrowings (non-current)                                                     (25 359)              8              -             (25 351)
Deferred income tax liabilities                                               (6 227)              -             45              (6 182)
Retirement benefit obligations                                                  (501)             10           (218)               (709)
Trade and other payables                                                      (4 135)             14                             (4 121)
Total effect on net assets                                                    17 701                          (173)             17 528 

Retained earnings                                                             (1 655)                                            (1 655)
  Opening balance adjustments                                                                                   (83)                (83)
  Adjustments for the period                                                                                    250                 250 
                                                                                                                                 (1 488)
Other reserves (Foreign currency translation reserve)                         (4 833)              -              6              (4 827)
Total effect on equity                                                        (6 488)                          173              (6 315)


Signed on behalf of the board of directors:

E DE LA H HERTZOG                              DP MEINTJES
Chairman                                       Chief Executive Officer

Stellenbosch

6 November 2013


DIRECTORS
Dr E de la H Hertzog (Chairman), DP Meintjes (Chief Executive Officer), CI Tingle (Chief Financial Officer), 
JJ Durand, JA Grieve (British), Prof Dr RE Leu (Swiss), Dr MK Makaba, N Mandela, TD Petersen, KHS Pretorius, 
AA Raath, DK Smith, PJ Uys, Dr CA van der Merwe, Dr TO Wiesinger (German)

SECRETARY
GC Hattingh

REGISTERED ADDRESS 
Mediclinic Offices, Strand Road, Stellenbosch 7600, South Africa 
PO Box 456, Stellenbosch 7599, South Africa 
Tel +27 21 809 6500
Fax +27 21 886 4037
Ethics line: 0800 005 316

WEBSITE
www.mediclinic.com

TRANSFER SECRETARIES
Computershare Investor Services (Pty) Ltd
70 Marshall Street, Johannesburg 2001, South Africa
PO Box 61051, Marshalltown 2107, South Africa
Tel +27 11 370 5000
Fax +27 11 688 7716

SPONSOR 
Rand Merchant Bank (A division of FirstRand Bank Limited)
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