SEGMENTAL INFORMATION

for the year ended 30 September 2020

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The Group's segments are aligned to those business units that are evaluated regularly by the chief operating decision maker (CODM) in deciding how to allocate resources and in assessing performance.

In southern Africa, the hospitals and complementary services segment comprises all the acute hospitals and complementary services which include mental health, acute rehabilitation, renal dialysis and oncology. The healthcare services segment comprises Life Esidimeni and Life Employee Health Solutions.

International comprises diagnostic services (Alliance Medical) and healthcare services (Scanmed) across Europe and the United Kingdom.

Growth initiatives comprise the new outpatient business model, developing the imaging services opportunity, investing in data analytics and clinical quality products within South Africa and product development internationally.

Corporate is a non-operating segment.

The operating businesses have been aggregated into different segments based on the similar nature of products and services, similar economic characteristics, similar type of customers and operating in a similar regulatory environment.

Inter-segment revenue of R5 million (2019: R5 million) is eliminated and relates to revenue between Life Employee Health Solutions and the southern Africa business.

2020
Reported
R'm
Impact of
IFRS 16
R'm
2020
Pre-IFRS 16
Pro forma
R'm
  2019
R'm
 
Revenue1
Southern Africa
  Hospitals and complementary services 15 899 15 899   17 213  
  Healthcare services 1 346 1 346   1 259  
International
  Diagnostic services 6 286 6 286   5 582  
  Healthcare services 1 535 1 535   1 349  
Growth initiatives 320 320   269  
25 386 25 386   25 672  
1 Revenue of approximately 31% (2019: 33%) is derived from two (2019: two) external customers. The revenue is attributable to the southern Africa segment.
2020  
Reported2
R'm  
Impact of 
IFRS 16 
R'm 
2020  
Pre-IFRS 162
Pro forma  
R'm  
  2019 
R'm 
 
Normalised EBITDA1, 4 
Southern Africa 
  Hospitals and complementary services  2 583   (219) 2 364     3 933   
  Healthcare services  135   (1) 134     148   
International 
  Diagnostic services  1 311   (127) 1 184     1 253   
  Healthcare services  191   (51) 140     97   
Growth initiatives  (60)  (4) (64)    (25)  
Corporate 
  Recoveries  1 205   154  1 359     1 292   
  Corporate costs  (1 019)  –  (1 019)    (971)  
4 346   (248) 4 098     5 727   
Depreciation 
Southern Africa 
  Hospitals and complementary services  (636)  33  (603)    (576)  
  Healthcare services  (24)  (19)    (18)  
International 
  Diagnostic services  (732)  111  (621)    (521)  
  Healthcare services  (118)  46  (72)    (62)  
Growth initiatives  (17)  (14)    (10)  
Corporate  (67)  10  (57)    (49)  
(1 594)  208  (1 386)    (1 236)  
EBITA3, 4 
Southern Africa 
  Hospitals and complementary services  1 947   (186) 1 761     3 357   
  Healthcare services  111   115     130   
International 
  Diagnostic services  579   (16) 563     732   
  Healthcare services  73   (5) 68     35   
Growth initiatives  (77)  (1) (78)    (35)  
Corporate  119   164  283     272   
  2 752   (40) 2 712     4 491   
1 Normalised EBITDA is defined as operating profit before depreciation on property, plant and equipment, amortisation of intangible assets and non-trading-related costs or income.
2 Difference between reported and pre-IFRS 16 totals relates to the impact of IFRS 16, which is a once-off adjustment in FY2020.
3 EBITA is defined as normalised EBITDA less depreciation.
4 The presentation of normalised EBITDA and EBITA is not an IFRS requirement, nor a JSE Listing requirement and is a measurement used by the CODM. Investors should not consider normalised EBITDA and EBITA in isolation or as an alternative to operating profit, profit after tax or any other measure of financial performance presented. Normalised EBITDA and EBITA as disclosed above may not be comparable to other similarly titled measures of performance of other companies.
  2020  
Reported1
R'm  
Impact of 
IFRS 16 
R'm 
2020  
Pre-IFRS 161
Pro forma  
R'm  
  2019 
R'm 
 
Amortisation of intangible assets 
Southern Africa 
  Hospitals and complementary services  (64)  –  (64)    (110)  
International 
  Diagnostic services  (466)  –  (466)    (411)  
  Healthcare services  (14)  –  (14)    (17)  
Growth initiatives  (20)  –  (20)    (18)  
Corporate  (40)  –  (40)    (30)  
(604)  –  (604)    (586)  
Operating profit before items detailed below 
Southern Africa 
  Hospitals and complementary services  1 883   (186) 1 697     3 247   
  Healthcare services  111   115     130   
International 
  Diagnostic services  113   (16) 97     321   
  Healthcare services  59   (5) 54     18   
Growth initiatives  (97)  (1) (98)    (53)  
Corporate  79   164  243     242   
2 148   (40) 2 108     3 905   
Retirement benefit asset and post-employment medical aid income  32   –  32     39   
Operating profit 2 180   (40) 2 140     3 944   
Fair value adjustments to contingent consideration  (37)  –  (37)     
Fair value loss on derivative financial instruments  (5)  –  (5)    (438)  
Gain on derecognition of lease asset and liability  75   –  75     –   
Impairment of assets and investments  (798)  –  (798)    (164)  
Profit on disposal of investment in joint venture  –   –  –     1 501   
Profit on disposal of investment in subsidiary  –   –  –     11   
Loss on disposal of property, plant and equipment  (6)  –  (6)    –   
Transaction costs relating to acquisitions and disposals  (17)  –  (17)    (148)  
Other  –   –  –     (22)  
Finance income  93   –  93     60   
Finance cost  (918)  65  (853)    (1 058)  
Share of associates' and joint ventures' net profit after tax  14   –  14     18   
Profit before tax  581   25  606     3 706   
1 Difference between reported and pre-IFRS 16 totals relates to the impact of IFRS 16, which is a once-off adjustment in FY2020.
2 Operating profit before items detailed includes the segment's share of shared services and rental costs. These costs are all at market-related rates.
Reported
2020
R'm 
Impact of
IFRS 16
R'm 
Pre-IFRS 16
Pro forma 2020
R'm 
  2019
R'm 
 
Total assets before items below 
Southern Africa  14 659  (488) 14 171    13 550   
International  26 332  (976) 25 356    22 342   
40 991  (1 464) 39 527    35 892   
Employee benefit assets  379  379    448   
Deferred tax assets  1 162  –  1 162    1 102   
Income tax receivable  173  –  173    124   
Total assets per the balance sheet  42 705  (1 464) 41 241    37 566   
Net debt1 
Southern Africa  5 366  (558) 4 808    4 481   
International  8 750  (1 011) 7 739    6 837   
14 116  (1 569) 12 547    11 318   
Cash and cash equivalents (net)
Southern Africa  (1 463) –  (1 463)   (141)  
International  1 561  –  1 561    818   
  98  –  98    677   
1 Net debt is a key measure for the Group, which comprises all interest-bearing borrowings, overdraft balances and cash on hand. Net debt is not an IFRS requirement, nor a JSE Listing requirement.

Pro forma information

The adoption of IFRS 16 from 1 October 2019 complicates performance comparison between the results of the year under review and the prior financial year. To provide a more meaningful assessment of the Group's performance, pro forma information has been presented for the year ended 30 September 2020. The pro forma financial information has been prepared for illustrative purposes and represents the impact on segmental information for FY2020 as if IFRS 16 had not been applied at 1 October 2019. This is a once-off adjustment in FY2020.

The tables above show the impact of IFRS 16 on the numbers disclosed on the segmental statement of profit or loss, total assets and net debt as at 30 September 2020. IFRS 16 balances have been removed from the reported figures in order to determine the pro forma figures to enable a like-for-like comparison to FY2019 where IFRS 16 had not been applied.


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