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 |
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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 |
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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) | 5 | (19) | (18) | |||
International | |||||||
Diagnostic services | (732) | 111 | (621) | (521) | |||
Healthcare services | (118) | 46 | (72) | (62) | |||
Growth initiatives | (17) | 3 | (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 | 4 | 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 |
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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 | 4 | 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 profit2 | 2 180 | (40) | 2 140 | 3 944 | |||
Fair value adjustments to contingent consideration | (37) | – | (37) | 2 | |||
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.