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MEDICLINIC INTERNATIONAL LIMITED - Summarised audited group results for the year ended 31 March 2014 and declaration of cash dividend

Release Date: 21/05/2015 07:30
Code(s): MDC     PDF:  
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Summarised audited group results for the year ended 31 March 2014 and declaration of cash dividend

Mediclinic International Limited
Incorporated in the Republic of South Africa
Registration Number: 1983/010725/06
ISIN code: ZAE000074142
Income tax no: 9950122714
JSE Share Code: MDC
NSX Share Code: MCI
("Mediclinic" or "the Company")


SUMMARISED AUDITED GROUP RESULTS OF MEDICLINIC INTERNATIONAL LIMITED AND ITS SUBSIDIARIES FOR THE YEAR 
ENDED 31 MARCH 2015 AND DECLARATION OF CASH DIVIDEND


SALIENT FEATURES
  - Strong growth in patient numbers
  - Successful R3.1bn capital raise
  - Acquired 2 Swiss hospitals and hospital site in Dubai
  - Commissioned Mediclinic Midstream in South Africa
  - Swiss debt refinanced on favourable terms
  - Positive impact of currency movements
  - Basic normalised headline earnings per share increased by 9% to 408.2 cents
  - Final dividend per ordinary share increased by 11% to 75.5 cents (2014: 68.0 cents)


Danie Meintjes, CEO of Mediclinic International commented:

"The Group has shown continued strong growth in patient numbers at all our operating platforms. We continue to 
invest to support further growth across our businesses as well as in systems to enhance quality and long-term 
efficiency."



CONSOLIDATED SUMMARISED INCOME STATEMENT

For the year ended 31 March                                              2015          increase          2014
                                                                          R'm                 %           R'm

Revenue                                                                35 238               16%        30 495
Cost of sales                                                         (19 887)                        (17 189)
Administration and other operating expenses                            (8 116)                         (6 562)
Operating profit before depreciation (EBITDA)                     1     7 235                7%         6 744
Depreciation and amortisation                                          (1 512)                         (1 239)
Operating profit                                                        5 723                           5 505
Other gains and losses                                            2        93                               2
Income from associates                                                      2                               3
Loss from joint venture                                                    (1)                              -
Finance income                                                            103                              73
Finance cost                                                      3    (1 179)                         (1 221)
Profit before tax                                                       4 741                           4 362
Income tax expense                                                       (206)                           (776)
Profit for the year                                                     4 535                           3 586

Attributable to:
Equity holders of the Company                                           4 297                           3 385
Non-controlling interests                                                 238                             201
                                                                        4 535                           3 586

PER SHARE PERFORMANCE 
                                                                       Number                          Number
                                                                        ('000)                          ('000)
Weighted average number of shares
  Before equity raising                                               842 779                         809 319
  Adjustment for equity raising (IAS33 para 26)                           606                           2 764
  Weighted average number of ordinary shares in issue                 843 385                         812 083
Diluted weighted average number of shares
  Before equity raising                                               858 712                         826 956
  Adjustment for equity raising (IAS33 para 26)                           606                           2 764
  Diluted weighted average number of ordinary shares in issue         859 318                         829 720

Earnings per ordinary share                                             cents                           cents

 -  Basic earnings basis                                                509.5                22%        416.8
 -  Diluted earnings basis                                              500.0                           408.0
 -  Basic headline earnings basis                                       483.9                17%        413.1
 -  Diluted headline earnings basis                                     474.9                           404.4
 -  Basic normalised headline earnings basis                            408.2                 9%        375.8
 -  Normalised diluted headline earnings basis                          400.6                           367.8                                                          

Dividends per ordinary share
-  interim                                                               31.0                            28.0
-  final                                                                 75.5                            68.0
                                                                        106.5                            96.0


EARNINGS RECONCILIATION                                                                                      
                                                                          R'm                             R'm
  Profit attributable to shareholders                                   4 297                27%        3 385
   Re-measurements for headline earnings                                 (248)                            (38)
   Profit on sale of property, equipment and vehicles                     (87)                             (4)
   Impairment of property                                                  31                               8
   Insurance proceeds                                                    (158)                            (40)
   Gain on disposal of subsidiary                                         (34)                              -
   Gain from a bargain purchase                                             -                              (2)
   Income tax effects                                                      32                               8

Headline earnings                                                       4 081                22%        3 355
   Re-measurements for normalised headline earnings                      (613)                           (352)
   Realised gain on foreign currency forward contracts                    (32)                              -
   Ineffective cash flow hedges                                           342                               -
   Swiss tax charges relating to prior years                             (712)                           (111)
   Discount on repayment of loan                                         (211)                              -
   Past service cost                                                        -                            (241)
   Income tax effects                                                     (25)                             49
  Normalised headline earnings                                          3 443                13%        3 052


NOTES TO THE SUMMARISED FINANCIAL STATEMENTS

                                                                         2015           increase         2014
                                                                          R'm                  %          R'm
1 EBITDA RECONCILIATION
Operating profit before depreciation (EBITDA)                           7 235                           6 744
Adjusted for:
  Past service cost                                                         -                            (241)
  Impairment of property and equipment                                     31                               8
  Insurance proceeds                                                        -                             (40)
  Profit on sale of property, equipment and vehicles                      (87)                             (4)
  Normalised EBITDA                                                     7 179                11%        6 467

2 OTHER GAINS AND LOSSES
Realised gain on foreign currency forward contracts                        32                               -
Gain on disposal of subsidiary                                             34                               -
Ineffective cash flow hedges                                             (342)                              -
Gain on a bargain purchase                                                  -                               2
Discount on loan repayment                                                211                               -
Insurance proceeds                                                        158                               -
                                                                           93                               2

3 FINANCE COST
  Interest                                                                933                             990
  Amortisation of capitalised financing costs                             147                             133
  Preference share dividend                                               128                             125
  Less: amounts included in the cost of qualifying assets                 (29)                            (27)
                                                                        1 179                           1 221

4 COMMITMENTS
  Capital commitments                                                   3 779                           3 233
    Southern Africa                                                     2 325                           1 717
    Middle East                                                           782                             683
    Switzerland                                                           672                             833

5 EXCHANGE RATES
                                                                            R                               R
    Average Swiss franc (ZAR/CHF)                                       11.91                           11.05
    Closing Swiss franc (ZAR/CHF)                                       12.55                           11.96
    Average UAE dirham (ZAR/AED)                                         3.01                            2.76
    Closing UAE dirham (ZAR/AED)                                         3.32                            2.88

6 NUMBER OF SHARES ISSUED                                           No. ('000)                      No. ('000)
  Ordinary shares in issue                                            867 957                         826 957
  Ordinary shares held in treasury                                    (13 483)                        (13 521)
  Ordinary shares in issue net of treasury shares                     854 474                         813 436

7 FAIR VALUE MEASUREMENT

  Derivative financial instruments comprise interest rate swaps and are measured at the present value of 
  future cash flows estimated and discounted based on the applicable yield curves derived from quoted interest
  rates. Based on the degree to which the fair values are observable, the interest rate swaps are grouped as 
  Level 2. Level 2 means that inputs other than quoted prices included within level 1 that are observable for 
  the asset or liability, either directly (that is, as prices) or indirectly (that is, derived from prices), 
  whereas Level 1 refers to quoted prices (unadjusted) in active markets for identical assets or liabilities.

8 INVESTMENTS TO EXPAND OPERATIONS
                                                                                           2015          2014
                                                                                            R'm           R'm
  Cash flow on business combinations
  Hirslanden Clinique La Colline SA                                                       1 333             -
  Swissana Clinic AG                                                                        107             -
  Radiotherapie Hirslanden AG                                                                 -             5
  IMRAD SA                                                                                    6             -
                                                                                          1 446             5

  On 25 June 2014, Hirslanden AG acquired a 100% interest in the operating company of Hirslanden Clinique la 
  Colline SA. Hirslanden Clinique La Colline SA is a private hospital based in Geneva, Switzerland.
  The goodwill of R1 136m arising from the acquisition is attributable to the earnings potential of the 
  business. None of the goodwill recognised is expected to be deductible for income tax purposes.

  Cash consideration for Hirslanden Clinique La Colline SA                                1 361
  Assets
  Property, equipment and vehicles                                                          123
  Intangible assets                                                                         322
  Inventories                                                                                23
  Trade and other receivables                                                               179
  Cash and cash equivalents                                                                  28
  Total assets                                                                              675

  Liabilities
  Borrowings                                                                                185
  Derivative financial instrument                                                             3
  Other liabilities                                                                           3
  Provisions                                                                                 15
  Pension liability                                                                          68
  Deferred tax liabilities                                                                   81
  Income tax payable                                                                          3
  Trade and other payables                                                                   92
  Total liabilities                                                                         450

  Total identifiable net assets at fair value                                               225
  Goodwill                                                                                1 136

  Total                                                                                   1 361
  Analysis of cash flow on acquisition  
  Total consideration transferred                                                         1 361
  Net cash acquired with the subsidiary                                                     (28)
  Net cash flow on acquisition                                                            1 333

  Acquisition-related costs of R9m have been charged to administrative expenses in the consolidated income 
  statement.

  From the date of acquisition, Hirslanden Clinique la Colline SA has contributed R576m of revenue and 
  R126m to the profit before tax of the Group. If the business combination had taken place at the beginning
  of the financial year, revenue from continuing operations would have been R757m and the profit before tax
  for the Group would have been R167m.

  On 8 August 2014, Hirslanden AG acquired a 100% interest in the operating company of Swissana Clinic AG. 
  Swissana Clinic AG is a private hospital based in Meggen, Switzerland.

  The goodwill of R103m arising from the acquisition is attributable to the earnings potential of the business. 
  None of the goodwill recognised is expected to be deductible for income tax purposes.
  Cash consideration for Swissana Clinic AG                                                 108

  Total assets                                                                               59
  Total liabilities                                                                         (54)
  Total identifiable net assets at fair value                                                 5
  Goodwill                                                                                  103
  Total                                                                                     108

  Analysis of cash flow on acquisition
  Total consideration transferred                                                           108
  Net cash acquired with the subsidiary                                                      (1)
  Net cash flow on acquisition                                                              107

  Acquisition-related costs of R1m have been charged to administrative expenses in the consolidated income 
  statement.

  From the date of acquisition, Swissana Clinic AG has contributed R79m of revenue and R2m to the net profit
  before tax of the Group. If the combination had taken place at the beginning of the financial year, revenue 
  from continuing operations would have been R112m and the loss before tax for the Group would have been R5m.


CONSOLIDATED SUMMARISED STATEMENT OF COMPREHENSIVE INCOME

For the year ended 31 March                                              2015          increase          2014
                                                                          R'm                 %           R'm
   
Profit for the year                                                     4 535               26%         3 586

Other comprehensive income
Items that may be reclassified to the income statement
Currency translation differences                                        1 643                           4 371
Fair value adjustment to cash flow hedges (net of tax)                    (94)                             29

Items that may not be reclassified to the income statement
Actuarial gains and losses                                               (561)                            138
Other comprehensive income, net of tax                                    988                           4 538
Total comprehensive income for the year                                 5 523                           8 124

Attributable to:
Equity holders of the Company                                           5 287                           7 922
Non-controlling interests                                                 236                             202
                                                                        5 523                           8 124



CONSOLIDATED SUMMARISED STATEMENT OF FINANCIAL POSITION

As at 31 March                                                                             2015          2014
                                                                                            R'm           R'm
                                
ASSETS
Non-current assets                                                                       65 813        59 308
  Property, equipment and vehicles                                                       53 776        49 597
  Intangible assets                                                                      11 565         9 210
  Investments in associates                                                                   2             4
  Investments in joint venture                                                               65            67
  Other investments and loans                                                                93            68
  Derivative financial instruments                                                           10            60
  Deferred income tax assets                                                                302           302

Current assets                                                                           13 366        11 226
  Inventories                                                                             1 074           904
  Trade and other receivables                                                             7 479         6 768
  Current income tax assets                                                                  34            33
  Cash and cash equivalents                                                               4 779         3 521
Total assets                                                                             79 179        70 534

EQUITY AND LIABILITIES
Total equity                                                                             33 162        25 391
  Share capital and reserves                                                             32 064        24 468
  Non-controlling interests                                                               1 098           923

LIABILITIES
Non-current liabilities                                                                  38 078        36 899
  Borrowings                                                                             27 927        28 704
  Deferred income tax liabilities                                                         7 729         7 251
  Retirement benefit obligations                                                          1 292           414
  Provisions                                                                                665           492
  Derivative financial instruments                                                          465            38

Current liabilities                                                                       7 939         8 244
  Trade and other payables                                                                6 032         5 048
  Borrowings                                                                              1 229         1 666
  Provisions                                                                                429           376
  Derivative financial instruments                                                           21             -
  Current income tax liabilities                                                            228         1 154

Total liabilities                                                                        46 017        45 143

Total equity and liabilities                                                             79 179        70 534

Net asset value per ordinary share - cents                                              3 752.5       3 008.0



CONSOLIDATED SUMMARISED STATEMENT OF CHANGES IN EQUITY

For the year ended 31 March                                                                2015          2014
                                                                                            R'm           R'm

Opening balance                                                                          25 391        18 002
Shares issued                                                                             3 178             -
Share issue costs                                                                           (64)            -
Movement in shares held in treasury                                                         (16)            7
Movement in share-based payment reserve                                                      24            19
Increase in non-controlling interests                                                        62            24
Total comprehensive income for the year                                                   5 523         8 124
Transactions with non-controlling shareholders                                                9             2
Distributed to shareholders                                                                (822)         (688)
Distributed to non-controlling interests                                                   (123)          (99)
Closing balance                                                                          33 162        25 391

Comprising:                                                                                               
Share capital                                                                            14 141        11 027
Treasury shares                                                                            (265)         (249)
Share-based payment reserve                                                                 183           159
Foreign currency translation reserve                                                     10 840         9 197
Hedge reserve                                                                               (85)            9
Retained earnings                                                                         7 250         4 325
Shareholders' equity                                                                     32 064        24 468
Non-controlling interests                                                                 1 098           923
Total equity                                                                             33 162        25 391



CONSOLIDATED SUMMARISED STATEMENT OF CASH FLOWS

For the year ended March                                                                   2015          2014
                                                                             Notes          R'm           R'm

Cash flow from operating activities                                                       6 008         4 615
Cash generated from operations                                                            7 848         6 340
Net finance cost                                                                           (916)         (982)
Taxation paid                                                                              (924)         (743)
Cash flow from investment activities                                                     (4 594)       (2 539)
Investment to maintain operations                                                        (1 215)         (926)
Investment to expand operations                                                          (2 214)       (1 679)
Business combinations                                                           8        (1 446)           (5)
Proceeds on disposal of property, equipment and vehicles                                     98            32
Disposal of subsidiary                                                                       45             -
Insurance proceeds                                                                          158            40
Loans advanced                                                                              (25)            -
Proceeds from other investments and loans                                                     5             1
Investment in joint venture                                                                   -            (2)
Cash flow from financing activities                                                        (361)       (1 605)
Proceeds from shares issued                                                               3 178             -
Share issue costs                                                                           (64)            -
Distributions to shareholders                                                              (822)         (688)
Distributions to non-controlling interests                                                 (123)          (99)
Proceeds from borrowings                                                                  4 982           223
Repayment of borrowings                                                                  (7 443)       (1 074)
Proceeds from disposal of treasury shares                                                     5             7
Treasury shares purchased                                                                   (22)            -
Refinancing transaction costs                                                              (125)            -
Proceeds on disposal of non-controlling interest                                             73            26
Net movement in cash, cash equivalents and bank overdrafts                                1 053           471

Opening balance of cash, cash equivalents and bank overdrafts                             3 485         2 705
                                                                                          
Exchange rate fluctuations on foreign cash                                                  241           309
Closing balance of cash, cash equivalents and bank overdrafts                             4 779         3 485
Cash and cash equivalents                                                                 4 779         3 521
Bank overdrafts                                                                               -           (36)
                                                                                          4 779         3 485

SUMMARISED SEGMENTAL REPORT

                                                                                           2015          2014
                                                                                            R'm           R'm

Revenue
Southern Africa                                                                          12 323        11 205
Middle East                                                                               4 305         3 416
Switzerland                                                                              18 610        15 874
                                                                                         35 238        30 495
EBITDA
Southern Africa                                                                           2 676         2 453
Middle East                                                                                 940           752
Switzerland                                                                               3 619         3 539
                                                                                          7 235         6 744
Operating profit
Southern Africa                                                                           2 282         2 151
Middle East                                                                                 805           616
Switzerland                                                                               2 636         2 738
                                                                                          5 723         5 505


TRADING RESULTS

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

Group normalised revenue increased by 16% to R35 238m (2014: R30 495m) for the period under review. Normalised
operating profit before interest, tax, depreciation and amortisation ("normalised EBITDA") was 11% higher at 
R7 179m (2014: R6 467m) and basic normalised headline earnings per share was 9% higher at 408.2 cents 
(2014: 375.8 cents).

The Group's normalised EBITDA margin decreased from 21.2% to 20.4% for the period under review.

The current Group results included a number of one-off and exceptional items of R613m (R638m after tax) which 
were excluded in determining normalised headline earnings. The one-off items are:

  - positive Swiss prior year tax adjustments amounting to R712m;
  - a charge of R342m (R276m after tax) to account for the six month (1 October 2014 to 31 March 2015) 
    mark-to-market fair value adjustment relating to the Swiss interest rate swaps, which became ineffective 
    during this period with the introduction of negative Swiss interest rates; 
  - a discount of R211m (R170m after tax) on the repayment of the third lien Swiss loan; and 
  - realised gain on foreign currency forward contracts of R32m.

The comparative results included one-off items of R352m (R303m after tax) relating to a past-service cost credit 
of R241m (R192m after tax) and prior year tax adjustments amounting to R111m.

Including these one-off items, headline earnings increased by 22% to R4 081m (2014: R3 355m) and basic headline 
earnings per ordinary share increased by 17% to 483.9 cents (2014: 413.1 cents).

Movements in the exchange rates had a positive effect on the reported results. The average ZAR/Swiss franc (CHF) 
exchange rate was R11.91 compared to R11.05 for the comparative period and the average ZAR/UAE dirham (AED) 
exchange rate was R3.01 compared to R2.76 for the comparative period.

Finance cost

Finance cost includes amortisation of capitalised financing costs of R147m (2014: R133m). The capitalised 
financing costs are amortised over the term of the relevant loans in accordance with IAS 39 Financial 
Instruments.

Cash flow

The Group's cash flow continued to be strong. The Group converted 109% (2014: 98%) of normalised EBITDA into cash
generated from operations. Cash and cash equivalents increased from R3 521m at 31 March 2014 to R4 779m at 
31 March 2015.

Interest-bearing borrowings

Interest-bearing borrowings decreased from R30 370m at 31 March 2014 to R29 156m at 31 March 2015. The decrease 
is mainly as a result of debt amortisation. Foreign debt of the Group's Swiss and Middle Eastern operations, 
amounting to R23 522m, 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 R49 597m at 31 March 2014 to R53 776m at 31 March 2015, and 
intangible assets increased from R9 210m at 31 March 2014 to R11 565m at 31 March 2015. These increases are 
mainly as a result of additions as well as the change in the closing ZAR/CHF and the ZAR/AED exchange rates.

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 and exceptional items, as 
detailed above.


OPERATIONS IN SOUTHERN AFRICA


MEDICLINIC SOUTHERN AFRICA

Financial performance

Mediclinic Southern Africa's normalised revenue increased by 10% to R12 323m (2014: R11 205m) for the period 
under review. Normalised EBITDA was 9% higher at R2 625m (2014: R2 418m).

The Southern African operations contributed R1 118m (2014: R984m) to the normalised headline earnings of the 
Group after:

  - depreciation charges of R394m (2014: R302m);
  - net finance charges of R322m (2014: R403m);
  - loss from joint venture of R1m (2014:Rnil);
  - taxation of R552m (2014: R528m); and
  - non-controlling interests amounting to R238m (2014: R201m).

Business performance

The 10% revenue growth was driven by a 4.4% increase in bed-days sold and a 5.8% increase in the average income 
per bed-day. The number of patients admitted increased by 2.3%, while the average length of stay increased by 
2.1%.

The normalised EBITDA margin of the Southern African operations decreased from 21.6% to 21.3% mainly due to 
pre-opening costs of Mediclinic Midstream.

Mediclinic Southern Africa's cash flow continued to be strong as it converted 106% (2014: 105%) of normalised 
EBITDA into cash generated from operations.

Cash and cash equivalents increased from R1 359m at 31 March 2014 to R1 498m at 31 March 2015.

Interest-bearing borrowings decreased from R5 842m at 31 March 2014 to R5 635m at 31 March 2015.

Projects and capital expenditure

During the year, the Southern African operations spent R1 131m (2014: R577m) on capital projects and new
equipment  to enhance its business and R305m (2014: R308m) on the replacement of existing equipment. In 
addition, R305m (2014: R289m) was spent on the repair and maintenance of property and equipment, charged 
through the income statement. For the next financial year, R813m is budgeted for capital projects and new 
equipment to enhance its business, R333m for the replacement of existing equipment and R316m for repairs 
and maintenance. Incremental EBITDA resulting from capital projects in progress or approved is budgeted to 
amount to R56m and R55m in 2016 and 2017 respectively.

The number of beds increased from 7 614 to 7 885 during the period under review.

During the past year a number of building projects were completed at various hospitals, that created 271 
additional beds as well as new consulting rooms, of which the most significant was the commissioning of 
Mediclinic Midstream (176 beds) during March 2015. Furthermore, at Mediclinic Durbanville a da Vinci surgical
robot was commissioned.

The number of beds is expected to increase from 7 885 to 8 044 during the next 12 months. Building projects in 
progress, which should be completed during the next financial year, will add 159 additional beds.

Regulatory environment

The Competition Commission is currently undertaking a market inquiry into the private healthcare sector in South 
Africa. In line with the Commission's published Terms of Reference and Administrative Guidelines, Mediclinic 
prepared and delivered a comprehensive submission.  Mediclinic has also submitted comments on the submissions of
other stakeholders.  Mediclinic has the assistance of expert legal and economic advisers and we believe that we 
are well prepared to participate fully in the inquiry.

The Minister of Health has published draft regulations dealing with the norms and standards applicable to 
health establishments, which will be implemented by the Office of Health Standards Compliance. Mediclinic 
Southern Africa has submitted comprehensive comment on the draft regulations. We support this initiative and 
believe this to be a positive development that should enhance the quality of care in both the public and 
private healthcare sectors once it has been implemented successfully.


OPERATIONS IN SWITZERLAND


HIRSLANDEN

Financial performance

Hirslanden's normalised revenue increased by 17% to R18 610m (2014: R15 874m) for the period under review. 
Normalised EBITDA was 10% higher at R3 614m (2014: R3 297m). In Swiss francs, normalised revenue increased by 
9% to CHF 1 563m (2014: CHF1 436m) and normalised EBITDA increased by 2% to CHF303m (2014: CHF298m).

Hirslanden contributed R1 567m (2014: R1 545m) to the normalised headline earnings of the Group after:

  - depreciation charges of R982m (2014: R801m);
  - net external finance charges of R708m (2014: R651m);
  - normalised tax of R359m (2014: R303m); and
  - income from an associate of R2m (2014: R3m).

In Swiss francs, Hirslanden contributed CHF132m (2014: CHF139m) to the normalised headline earnings of the Group 
after:

  - depreciation charges of CHF82m (2014: CHF73m);
  - net external finance charges of CHF59m (2014: CHF59m);
  - normalised tax of CHF30m (2014: CHF27m); and
  - income from an associate of CHF0.2m (2014: CHF0.3m).

Business performance

The 9% normalised revenue growth is a result of an 8% increase in inpatient admissions and increased revenue per
case due to increased numbers of complex cases.

The normalised EBITDA margin of Hirslanden decreased from 20.8% to 19.4%, impacted by an adjustment of the 
national outpatient tariff in October 2014 and increased number of generally insured patients.

Hirslanden converted 114% (2014: 92%) of normalised EBITDA into cash generated from operations.

Cash and cash equivalents increased from R1 138m (CHF95m) at 31 March 2014 to R2 497m (CHF199m) at 31 March 
2015.

Interest-bearing borrowings reported in ZAR decreased from R23 040m (CHF1 926m) at 31 March 2014 to R22 512m
(CHF1 794m) at 31 March 2015, mainly as a result of debt amortisation. As detailed in a SENS announcement on
30 March 2015, the Swiss debt package was refinanced during March 2015 which will result in substantial future
finance cost savings.

Projects and capital expenditure

During the year Hirslanden invested R856m (CHF72m) (2014: R769m (CHF70m)) in capital projects and new equipment
to enhance its business and R835m (CHF70m) (2014: R558m (CHF51m)) on the replacement of existing equipment. In
addition, R457m (CHF38m) (2014: R397m (CHF36m)) was spent on the repair and maintenance of property and 
equipment, charged through the income statement. For the next financial year CHF70m is budgeted for capital 
projects and new equipment, CHF80m for the replacement of existing equipment and CHF39m for repairs and 
maintenance. Incremental EBITDA resulting from capital projects in progress or approved is budgeted to amount to
CHF8m and CHF6m in 2016 and 2017 respectively.

Major building projects completed during the period under review:

  - in January 2015, the outpatient clinic at the main station in Schaffhausen opened for business as a general 
    practitioner and walk-in practice; 
  - and in March 2015, Klinik Stephanshorn opened a new 24 bed ward.

Investments in medical technology during the period under review included a PET/CT, a 3 Tesla MRI, a hybrid 
operating theatre and a da Vinci surgical robot.

The major ongoing expansion projects are as follows:
  - major extensions including a radiology unit, additional theatre, new patient rooms, doctors consulting rooms
    and an expanded accident and emergency unit at Hirslanden Klinik Birshof are in progress, and 
  - a new practice centre is currently being built close to the railway station in Düdingen in the canton of 
    Fribourg.

The number of inpatient beds is expected to increase from 1 655 to 1 684 during the next financial year.

Regulatory environment

Hirslanden, together with other service providers instituted legal action regarding the processes dealing with 
the highly specialised medicine ("HSM") initiative. The Federal Administrative Court ruled on a revised process
to decide on what constitutes HSM and how mandates should be granted. Representatives from the private sector are
now also represented on the HSM advisory committee. The eventual outcome of the process is uncertain at this 
stage.


OPERATIONS IN UNITED ARAB EMIRATES


MEDICLINIC MIDDLE EAST

Financial performance

Mediclinic Middle East's normalised revenue increased by 26% to R4 305m (2014: R3 416m) for the period under 
review. Normalised EBITDA increased by 25% to R940m (2014: R752m). In UAE dirhams, normalised revenue increased 
by 16% to AED1 430m (2014: AED1 238m) and normalised EBITDA increased by 15% to AED312m (2014: AED272m).

Mediclinic Middle East contributed R758m (2014: R523m) to the normalised headline earnings of the Group after:

  - depreciation charges of R135m (2014: R136m); and
  - net finance charges of R47m (2014: R93m).

In UAE dirhams, Mediclinic Middle East contributed AED252m (2014: AED189m) to the normalised headline earnings 
of the Group after:

  - depreciation charges of AED45m (2014: AED49m); and
  - net finance charges of AED15m (2014: AED34m).

Business performance

The 16% revenue growth was driven by inpatient hospital admissions increasing by 6%, while hospital outpatient 
consultations and visits to the emergency units increased by 8%. Clinic outpatient consultations increased by 14%.

The normalised EBITDA margin of Mediclinic Middle East decreased from 22.0% to 21.8%, due to start-up losses in 
the two new clinics in Abu Dhabi.

Mediclinic Middle East converted 102% (2014: 102%) of normalised EBITDA into cash generated from operations.

Cash and cash equivalents increased from R724m (AED251m) at 31 March 2014 to R779m (AED235m) at 31 March 2015.
Interest-bearing borrowings decreased from R1 488m (AED517m) at 31 March 2014 to R1 010m (AED304m) at 31 March 
2015, mainly because of loan repayments.

Projects and capital expenditure

During the year, Mediclinic Middle East invested R227m (AED75m) (2014: R71m (AED26m)) in capital projects and
new equipment to enhance its business, apart from R74m (AED25m) (2014: R59m (AED22m)) on the replacement of 
existing equipment. In addition, R60m (AED20m) (2014: R52m (AED19m)) was spent on repairs and maintenance of 
property and equipment, as accounted for in the income statement.

For the next financial year, AED133m is budgeted for capital projects and new equipment to enhance the business 
in the longer term and AED145m is budgeted for the construction of Mediclinic Parkview Hospital, AED32m for the 
replacement of existing equipment and AED20m for repairs and maintenance.  EBITDA resulting from capital projects
in progress or approved is budgeted to amount to AED18m in 2017.

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

During the period under review, Mediclinic City Hospital continued construction on the North Wing extension, due 
to open in mid-2016. Furthermore, land was recently acquired in the fast growing southern side of Dubai for the 
construction of the 150-bed Mediclinic Parkview Hospital.


PROSPECTS

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


CHANGES TO THE BOARD OF DIRECTORS

There were no changes to the Board during the period under review.


REPORTS OF THE INDEPENDENT AUDITOR

The annual financial statements have been audited by PricewaterhouseCoopers Inc. and their unqualified audit 
reports on the comprehensive annual financial statements and the summarised annual financial statements are 
available for inspection at the registered office of the Company.

The auditor's report does not necessarily cover all of the information contained in this announcement. 
Shareholders are therefore advised that in order to obtain a full understanding of the nature of the auditor's 
work they should obtain a copy of that report together with the accompanying financial information from the 
registered office of the Company after the reports have been released on or before 24 June 2015.


BASIS OF PREPARATION

The accounting policies applied in the preparation of these summarised Group annual 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 prior year. The summarised Group annual financial
statements have been prepared in accordance with the Financial Reporting Guides issued by the Accounting 
Practices Committee of the South African Institute of Chartered Accountants and 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 annual 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 a final gross cash dividend in respect of the year under 
review of 75.5 cents (2014: 68.0 cents) (64.1750 cents (2014: 57.8000 cents) net of dividend withholding tax) 
per ordinary share. The dividend declared increased by 11% compared to the comparative period.

Together with the interim dividend declared during November 2014, the total gross dividend relating to the year 
under review increased by 11% to 106.5 cents (2014: 96.0 cents).

The dividend has been declared from income reserves. A dividend withholding tax of 15% will be applicable to all 
shareholders who are not exempt therefrom. The Company's issued share capital at the declaration date is 
867 957 325 ordinary shares.

The salient dates for the dividend will be as follows:

Last date to trade cum dividend        Thursday, 11 June 2015
First date of trading ex dividend        Friday, 12 June 2015
Record date                              Friday, 19 June 2015
Payment date                             Monday, 22 June 2015

Share certificates may not be dematerialised or rematerialised from Friday, 12 June 2015 to Friday, 
19 June 2015, both days inclusive.

Signed on behalf of the board of directors:

E DE LA H HERTZOG        DP MEINTJES
Chairman                 Chief Executive Officer

Stellenbosch, 21 May 2015


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)

COMPANY SECRETARY
Gert Hattingh

HEAD OFFICE ADDRESS AND REGISTERED OFFICE
Mediclinic Offices, Strand Road, Stellenbosch, 7600
Postal address: PO Box 456, Stellenbosch, 7599
Tel: +27 21 809 6500 
Fax: +27 21 886 4037
Ethics Line: 0800 005 316 (if dialling from South Africa) or ethics@mediclinic.com

WEBSITE
www.mediclinic.com

TRANSFER SECRETARIES
South Africa:
Computershare Investor Services Proprietary Limited
70 Marshall Street, Johannesburg, 2001
Postal address: PO Box 61051, Marshalltown, 2107
Tel: +27 11 370 7700 
Fax: +27 11 688 7716

Namibia:
Transfer Secretaries (Proprietary) Limited
4 Robert Mugabe Avenue, Windhoek
Postal address: PO Box 2401, Windhoek
Tel: +264 61 227 647 
Fax: +264 61 248 531

SPONSOR
South Africa: Rand Merchant Bank (a division of FirstRand Bank Limited)
Namibia: Simonis Storm Securities (Proprietary) Limited




Date: 21/05/2015 07:30:00 Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited ('JSE'). 
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