INTEGRATED REPORT 2019


Annexure A

1. SIGNIFICANT ACCOUNTING POLICIES
 

The significant accounting policies applied in the preparation of these Group and Company financial statements are set out below. These accounting policies have been consistently applied to all the years presented, unless otherwise stated.

Summary of significant accounting policies
1.1 Revenue and other income
1.1.1 Revenue 1.1.2 Other income
1.2 Employee benefits
Short-term benefits Termination benefits Post-employment benefits Share-based payments
Group accounting
1.3 Consolidation 1.4 Equity accounting 1.5 Translation of foreign operations
Operating assets
1.6 Property, plant and equipment 1.7 Intangible assets 1.8 Leases 1.9 Inventories 1.10 Assets held for sale
1.11 Financial instruments
Initial recognition and measurement Subsequent measurement Offsetting
1.12 Capital and reserves
Share capital and equity   Treasury shares
1.13 New and amended accounting standards adopted by the Group
1.14 New accounting standards and IFRIC interpretations not yet effective
1.1 Revenue and other income
1.1.1 Revenue from contracts with customers (accounting policy applied from 1 October 2018)

Recognition of revenue

The Group is in the business of providing hospital and complementary services (which include acute rehabilitation, mental healthcare, renal dialysis and oncology), healthcare services as well as diagnostic services. Revenue is measured at the amount which the Group expects to become entitled to as a result of providing those goods or services under the specific contract.

Credit risk is accounted for separately as part of the impairment consideration for financial instruments.

Southern Africa

Hospital and complementary services

These services include charges for ward, theatre, pathology, equipment, radiology and pharmaceutical goods used.

Performance obligations   Recognition
  • The provision of accommodation, meals and healthcare professional services
  Revenue is recognised over time in relation to the services provided, as the customer simultaneously receives and consumes the benefits provided by the Group during the patient’s stay
  • The use of operating theatres and/or equipment
  Revenue is recognised over time as the services are performed on a per usage basis
  • Dispensing of medicine and medicine supplies
  Revenue is recognised at the point in time when the medicine is dispensed to the customer, which is either as the patient consumes the product (for example, consumables used in theatre); or upon delivery to the customer (for example medicine dispensed and medical supplies)

Performance obligations are measured from admission to the point when there are no further services required for the patient, which is the time of discharge.

The transaction price is determined based on gross charges for services provided.

The services are provided on a fee for service basis. The fees are determined on various tariff agreements with funders and/or medical aids.

Certain discounts are contractually agreed upon with funders upfront and recorded as a deduction from revenue at the time the related revenues are recorded. Any settlement discounts or other ad hoc discounts approved by funders or at hospital discretion subsequent to discharge are recorded as an expense.

Private patients may be required to make a co-payment or to pay a deposit upfront, and is recognised as revenue when the future goods or services are billed.

Healthcare services

Healthcare services comprise Life Esidimeni and Life Employee Health Solutions.

Life Esidimeni

Life Esidimeni care centres work through public-private partnership (PPP) contracts with the South African government.

Through these centres the Group provides long-term chronic mental healthcare, frail care rehabilitation, step-down care, correctional services, primary healthcare and substance abuse recovery programmes to patients from the public sector.

The above is considered to be a single performance obligation as it is considered an interdependent service for providing accommodation, clinical and non-clinical support as well as dispensing medicine. The drug revenue which is separately identifiable is not allocated as it constitutes an insignificant portion of the total cost of the services.

The services are provided on an all-inclusive rate per patient day.

Revenue is recognised over time as the services are provided.

There are instances where the Group together with the government have approved a modification to the contract price, subsequent to the performance of the obligations. In general these are not significant. In this case the modification is treated as an adjustment to revenue and trade receivables, in the period wherein the modified price is agreed.

Life Employee Health Solutions

Life Employee Health Solutions provides contracted on-site occupational and primary healthcare services to large employer groups in the commercial, industrial, mining and state-owned sectors as well as encourages and supports healthy and balanced living in employees, improving their well-being and promoting maximum productivity for employers. Wellness services are provided to companies and institutions across the public and private sectors.

The contract with the client is negotiated as a package and includes a series of distinct services that are substantially the same. The services stipulated in the contracts are considered to be a single performance obligation.

The services are provided either on a fixed fee basis for services performed in terms of the contract or on a fee-for-service basis for those services or goods not stipulated in the contract.

The fixed monthly revenue is recognised over time based on the term of the contract.

Fee-for-services revenue is recognised at a point of time when services are performed.

International

Diagnostic services

Performance obligations include the provision of diagnostic imaging services, molecular imaging services and patient services as well as the development, manufacturing and distribution of radiopharmaceuticals.

Imaging services focus on magnetic resonance imaging (MRI), computerised tomography (CT) and molecular imaging via positron emission tomography-computerised tomography (PET-CT) services across the UK and Europe.

These services are predominantly supplied to public funders, such as the National Health Service (NHS) in the UK and Azienda Sanitaria Locale (ASL) in Italy, and numerous public and private funders across Europe.

Revenue is provided on a fixed fee basis for imaging services (per scan or per day rate) depending on the terms of the contract.

Radiopharmaceuticals are developed, manufactured and distributed for PET-CT scanning operations and clinical trials.

Revenue is provided on a fixed fee basis (per dose or per delivery) for manufacturing activities and on reaching contractual obligations or as a royalty percentage of sales of products for development activities.

Revenue is recognised at the point of time when the goods are used, distributed or sold.

Healthcare services

In Poland private healthcare and medical services are provided. This includes medical consultations, primary healthcare, diagnostics, medical transportation, inpatient hospitalisation, analytical tests and home visits.

Contracts with government (NHF) make up approximately 79.9% of revenue.

Revenue from hospital services based on NHF contracts is provided on a fixed fee basis (per NHF procedure list or per month) and recognised over time based on the term of the contract.

For these fixed-price contracts, revenue is recognised based on the actual service provided to the end of the reporting period as a proportion of the total services to be provided.

Revenue from other NHF contracts and commercial patients (private insurance companies, corporate clients and private patients) is provided on a fixed fee-for-service basis per procedure and recognised at a point in time when the services are performed.

Growth initiatives

Growth initiatives focus on newly developed and emerging products and services that will be rolled out into one of our current revenue streams in future.

Revenue from growth initiatives mainly includes royalty charged on the worldwide sales of the medical product Neuraceq as well as proceeds from the sale of specialty components used in the manufacturing process of medical isotopes.

Revenue is provided on reaching contractual obligations or as a royalty percentage of sales of products for development activities.

Revenue is recognised at the point of time when the goods are dispatched or sold.

Contract balances

Trade receivables

Where the Group has established an unconditional right to receive consideration (for example, upon discharge), a trade receivable is recognised. Thereafter, as the trade receivable is a financial asset, the recognition and measurement is as per the accounting policies detailed for financial assets (under 1.11).

Revenue (accounting policy applied before 1 October 2018)

            Includes     Recognition     Measurement
Revenue     Sales of services     Acute healthcare services, wellness programme services, same-day surgical centres, diagnostic- related services and sale (manufacturing and distribution) of radiopharmaceuticals.     The revenue recognised relates to invoiced fees for private healthcare, radiopharmaceuticals and fees for healthcare and diagnostic-related services and is recognised when the related service is provided.     The services are provided on a fixed-price basis. The revenue is recognised over the period during which the service is rendered, by reference to the stage of completion of the specific transaction and assessed on the basis of the actual service provided as a proportion of the total services to be provided.
1.1.2 Other income
 
Interest income     Interest income on funds invested, unwinding of the discount on debtors, changes in the fair value of financial assets at fair value through profit or loss, foreign exchange gains and gains on hedging instruments are recognised in profit or loss.     Interest income is recognised, in profit or loss, using the effective interest rate method, unless it is doubtful.    

Effective interest method

When a loan and receivable is impaired, the Group reduces the carrying amount to its recoverable amount, being the estimated future cash flow discounted at the original effective interest rate of the instrument, and continues unwinding the discount as interest income. Interest income on impaired loans and receivables is recognised using the original effective interest rate.

Rental income     Rental income arising from operating leases.     Accounted for on a straight-line basis over the lease term in profit or loss.     Fair value.
Dividend income     External dividends.     Dividend income is recognised in profit or loss when the Group’s right to receive payment is established.     Fair value.

Company financial statements

Revenue comprises dividends received from Life Healthcare Group Proprietary Limited.

1.2 Employee benefits
 

Short-term employee benefits

Includes     Paid leave, sick leave, bonuses and non-monetary benefits such as medical care.
Accounting treatment    

The cost of all short-term employee benefits is recognised as an expense during the period in which the employee renders the related service.

Accruals for employee entitlement to wages, salaries, bonuses and annual leave represent the amount which the Group has a present obligation to pay as a result of employees’ services provided up to the reporting date. The accruals have been calculated at undiscounted amounts based on the current wage and salary rates and are included in trade and other payables in the statement of financial position.

The expected cost of profit sharing and bonus payments is recognised as an expense with corresponding liability when there is a legal or constructive obligation to make such payments as a result of past performance, and a reliable estimate of the obligation can be made.

Termination benefits

Includes     Benefits when an employee’s employment is terminated before the normal retirement date or whenever an employee accepts voluntary redundancy in exchange for these benefits.
Accounting treatment    

The Group recognises termination benefits at the earlier of the following dates: (a) when the Group can no longer withdraw the offer of those benefits; and (b) when the Group recognises costs for a restructuring that is within the scope of IAS 37 and involves the payment of terminations benefits. In the case of an offer made to encourage voluntary redundancy, the termination benefits are measured based on the number of employees expected to accept the offer. Benefits falling due more than 12 months after the end of the reporting period are discounted to present value.

Post-employment benefits

Defined contribution plan
      Fund name     Includes
Southern Africa schemes    
  • Life Healthcare DC Pension Fund
    A pension plan under which the Group pays fixed contributions into a separate entity. The Group has no legal or constructive obligation to pay further contributions if the fund does not hold sufficient assets to pay all employees the benefits relating to employee service in the current and prior periods.
   
  • Life Healthcare Provident Fund
   
Alliance Medical Scheme    
  • TFR scheme
   
Accounting treatment    
  • The payments to defined contribution retirement benefit plans are charged as an expense as they fall due.
  • Prepaid contributions are recognised as an asset to the extent that a cash refund or a reduction in the future payments is available.
Defined benefit plan
Includes     A pension plan that is not a defined contribution plan.
Fund name    
  • Life Healthcare DB Pension Fund
  • Lifecare Group Holdings Pension Fund
  • Life Healthcare Provident Fund (ESA)
  • Post-employment medical aid benefit (phased out)
Accounting treatment    

For defined benefit plans the cost of providing the benefits is determined using the projected unit credit method.

Actuarial accounting valuations are conducted on an annual basis by independent actuaries separately for each plan. Consideration is given to any event that could impact the funds up to reporting date where the interim valuation is performed at an earlier date.

Past service costs are charged to the income statement when the plan amendment or curtailment occurs.

Gains or losses on the curtailment or settlement of a defined benefit plan are recognised when curtailment or settlement occurs.

Statement of financial position     Assets or liabilities     The present value of the defined benefit obligation at the end of the reporting period less the fair value of the plan assets, together with adjustments for unrecognised past service costs.
    Assets     Any asset is limited to unrecognised actuarial losses, and unrecognised past service cost plus the present value of available refunds and reduction in future contributions to the plan.
Right to reimbursement measured at fair value.
Statement of profit or loss and other comprehensive income     Profit or loss    
  • Net interest income;
  • Current service cost.

These costs are included in the statement of profit or loss and other comprehensive income under retirement benefit asset and post-employment medical aid income.

    Other comprehensive income    
  • Remeasurements arising from experience adjustments and changes in actuarial assumptions.
  • Changes in asset ceiling.
Medical aid costs
Includes     It is Group policy not to provide for post-employment medical aid benefits. However, due to a previous business combination transaction the Group did become party to a contractual obligation to provide post-employment medical aid benefits to certain employees. The entitlement for an employee to receive these benefits is dependent on the employee remaining in service until retirement age.
Accounting treatment     For past service, the Group recognises and provides for the actuarially determined present value of post-employment medical aid employer contributions on an accrual basis using the projected unit credit method. Actuarial gains and losses arising from experience adjustments and changes in actuarial assumptions are charged to other comprehensive income in the period in which they arise. Independent qualified actuaries carry out annual valuations of these obligations.

Shared-based payments (IFRS 2)

Cash-settled
Includes    

Long-term incentive scheme (Alliance Medical – effective from 2016)

The scheme is a bonus scheme available to senior employees. C-shares in Life UK Healthcare Limited were issued to management on 21 November 2016. Each C-share subscriber grants to Life UK Holdco Limited, on and from the business day immediately following the day on which the agreed market value (MVA) as at 30 September 2021 has been determined, an option for Life UK Holdco Limited to purchase all of each C-share subscriber’s C-shares in cash at the relevant C-share price. The C-share value as at 30 September 2021 shall be:

(a)

if the compound return rate as at that date is equal to or greater than 11%, an amount equal to:

(i) (A) MVA; minus (B) the number resulting from compounding annually over the investment period the initial investment at a hurdle return rate of 11% per annum to the calculation date; the result of (A) minus (B) being multiplied by
(ii) the applicable percentage (between 12% and 15%); and
(b) if the compound return rate as at that date is less than 11%, the aggregate nominal value of all of the C-shares in issue, which is GBP0.003 per share.

MVA is calculated based on the agreed market value at calculation date and the dividends declared from effective date to the calculation date. A bad leaver’s shares are converted to deferred shares which have a minimal value.

Long-term incentive scheme effective from 2019 (International)

Life Healthcare granted awards to its international group and country executives as well as senior management (qualifying employees) on 1 January 2019. The value of awards will be tier-based and linked to individual performance. Each award will be converted into notional performance shares. The shares vest on 31 December 2021 (vesting date), with vesting subject to a range of non-market performance conditions.

The benefits payable to these qualifying employees will be determined in ZAR and converted to their local currency at the prevailing exchange rates at the time, on vesting date.

The number of awards that vest as ordinary shares in Life Healthcare are dependent on a service condition as well as various performance conditions, set out below:

Group executives:

  • Capital efficiency (40% weighting)
  • Normalised Group HEPS (40% weighting)
  • Life core purposes outcome (20% weighting)

Country executives:

  • Capital efficiency (30% weighting)
  • Normalised country EBIT (30% weighting)
  • Life core purposes outcome (40% weighting)

Country managers:

  • Capital efficiency (15% weighting)
  • Normalised country EBIT (35% weighting)
  • Life core purposes outcome (50% weighting)

Capital efficiency is measured as return on capital employed compared to WACC.

Normalised Group HEPS is based on growth of HEPS in excess of CPI.

Normalised country EBIT is based on growth of EBIT in excess of CPI.

Life core purpose outcomes are based on country specific non-financial measures that drive long-term sustainability of the Group.

The number of vested shares paid out in cash to the qualifying employees is based on the 30-day VWAP of ordinary shares in Life Healthcare as at the vesting date. Life Healthcare shares will be purchased on vesting date. A modifier of between 1 and 2 can be applied to the allocation for key talent retention, this is applicable to all participants at the discretion of the Group CEO. The employees are not entitled to any dividends declared on the shares underlying the awards over the period from the grant date to the vesting date.

If a participant ceases to be employed by the Group prior to the vesting of the grant, the following will apply:

  • Good leavers with a date of termination of employment:
    • that is more than one year before the vesting date of the grant, will result in all notional performance shares held by the participant being forfeited and cancelled for no consideration; or
    • that is one year or less before the vesting date of the grant, will retain all notional performance shares and he/she shall continue to be treated as a participant as if his/her employment had not been terminated.
  • Bad leavers with a date of termination of employment prior to vesting date, will result in all notional performance shares held by the participant being forfeited and cancelled for no consideration.
Accounting treatment     The benefits are measured at the fair value of the liability at each reporting date and at the date of settlement, with any changes in fair value recognised in profit or loss for the period. The value of the services received (expense), and the related liability are recognised over the vesting period.
Equity-settled
Includes     Long-term incentive scheme (southern Africa)     Life Healthcare employee share trust
Accounting treatment     The Group operates these incentive schemes as equity-settled share-based payments schemes. Equity-settled share-based payments are measured at fair value (excluding the effect of non-market-based vesting conditions) at the grant date. At the end of the reporting period, the Group revises its estimate of the number of awards that are expected to vest, based on the number of employees remaining in the scheme and it recognises the corresponding impact of the revision of original estimates, if applicable, in profit or loss with a corresponding adjustment to equity. Refer note 20.
  Group accounting
1.3

Consolidation

Subsidiaries and trust beneficiary accounts

Initial recognition and measurement

Entities (including structured entities) over which the Group has control are consolidated in the Group annual financial statements. The Group applies the acquisition method to account for business combinations. The financial results of the Group and its subsidiaries are consolidated into the Group’s results from acquisition date until control ceases. The financial statements of the subsidiaries (excluding the financial statements of Dadley Investments Limited (Dadley)) are prepared for the same period as the parent company. The financial statements of Dadley are prepared for the period ended 31 December using consistent accounting policies. When necessary, amounts reported by subsidiaries have been adjusted to conform to the Group’s accounting policies.

Acquisition-related costs are expensed as incurred.

If the business combination is achieved in stages, the acquisition date carrying value of the acquirer’s previously held equity interest in the acquiree is remeasured to fair value at the acquisition date and the adjustment is recognised in profit or loss.

At the date of acquisition, acquired deferred income tax assets may not be fully recognised under IFRS. Adjustments to the initial recognition of acquired deferred tax assets under IFRS, subsequent to the acquisition date, are recognised in profit or loss unless the adjustment qualifies as a measurement period adjustment in which case it is recognised as an adjustment to goodwill.

Company financial statements

In the financial statements of the Company, investments in subsidiaries are accounted for at cost less impairment. Cost is adjusted to reflect changes in consideration arising from contingent consideration amendments.

Non-controlling interest

On an acquisition-by-acquisition basis, the Group recognises any non-controlling interest in the acquiree at fair value or at the non-controlling interest’s proportionate share of the acquiree’s identifiable net assets.

Contingent consideration

Contingent consideration is recognised at fair value at the acquisition date. If an obligation to pay contingent consideration that meets the definition of a financial instrument is classified as equity, then it is not remeasured and the settlement thereof is accounted for wholly within equity. Alternatively other contingent considerations are remeasured at fair value at each reporting date and subsequent changes in fair value are recognised in profit or loss.

Gain on bargain purchase

In the case of a bargain purchase, where the fair value of the net assets of the subsidiary acquired is more than the total of:

  • the total consideration transferred; plus
  • the existing non-control interest recognised; plus
  • any previous held interest;

the difference is recognised in profit or loss.

Inter-company transactions

Inter-company transactions, balances and unrealised gains or losses on transactions between Group companies are eliminated on consolidation.

Changes in ownership without change in control

Transactions with non-controlling interests that do not result in a loss of control are accounted for as equity transactions, that is, as transactions with the owners in their capacity as owners. The difference between the fair value of any consideration paid and the relevant share acquired of the carrying value of net assets of the subsidiary is recorded in equity. Gains or losses on disposals to non-controlling interest are also recorded in equity.

Loss of control

When the Group ceases to have control, any retained interest in the entity is remeasured to its fair value at the date when control is lost, with the change in carrying amount recognised in profit or loss. The fair value is the initial carrying amount for the purposes of subsequently accounting for the retained interest as an associate, joint venture or financial asset. In addition, any amounts previously recognised in other comprehensive income in respect of that entity are accounted for as if the Group had directly disposed of the related assets and liabilities. This may mean that amounts previously recognised in other comprehensive income are reclassified to profit or loss.

The profit or loss realised on disposal or termination of an entity is calculated after taking into account the carrying amount of any related goodwill.

1.4 Equity accounting
 

Equity-accounted investments consist of associates and joint ventures.

The accounting policies of the associated companies do not differ materially from the Group’s accounting policies. The Group adjusts for these differences in accounting policies to align with those of the Group.

Initial recognition and measurement

Investments in associates and interests in joint ventures are initially recognised at cost in accordance with the equity method of accounting.

Changes in ownership interest

If the ownership interest in an associate or joint venture is reduced but significant influence or joint control is retained, only a proportionate share of the amounts previously recognised in other comprehensive income is reclassified to profit and loss where appropriate. If the ownership interest is increased, without gaining control, the cost of the additional interest is added to the carrying value of the associate or joint venture.

Subsequent measurement

Subsequent to initial recognition, the Group recognises its share of profit or loss and other comprehensive income until the date on which joint control or significant influence ceases. The cumulative post-acquisition movements are adjusted against the carrying amount of the investment. The Group does not recognise further losses, when the Group’s share of losses in an associate or joint venture equals or exceeds its interest in the associate or joint venture, unless the Group has incurred legal or constructive obligations, issued guarantees or made payments on behalf of the associate or joint venture.

Impairment

The Group determines at each reporting date whether there is any objective evidence that the investment in the associate or joint venture is impaired. If this is the case, the Group calculates the amount of impairment as the difference between the recoverable amount of the associate or joint venture and its carrying value and recognises the amount in “share of associates’ or joint ventures’ net profit/loss after tax” in profit or loss.

Unrealised gains and losses

Unrealised gains on transactions between the Group and its associates and joint ventures are eliminated to the extent of the Group’s interest in the associates and joint ventures. Unrealised losses are eliminated unless the transaction provides evidence of an impairment of the asset transferred.

1.5 Translation of foreign operations
 

Procedures followed to translate to presentation currency

The results and financial position of all the Group entities (none of which has the currency of a hyperinflationary economy) that have a functional currency different from the presentation currency are translated into the presentation currency using the following procedures:

  • Assets and liabilities including goodwill and fair value adjustments arising on acquisition, are translated at the closing rate at reporting date;
  • Income and expenses are translated at an average exchange rate which is a reasonable approximation of the prevailing exchange rate at the date of each transaction.

The resulting differences in translation between these rates are recognised in the foreign currency translation reserve in other comprehensive income.

Exchange differences on monetary items

Exchange differences arising on a monetary item that forms part of a net investment in a foreign operation are recognised initially in other comprehensive income and recognised in profit or loss on disposal of the net investment as part of the gain or loss on the sale.

Cash flows

The cash flows of a foreign subsidiary are translated at average exchange rates (unless this is not a reasonable approximation of the cumulative effect of the rates prevailing on the transaction dates, in which case cash flows are translated at the dates of the transactions).

  Operating assets
1.6 Property, plant and equipment
 
Categories     Initial measurement and recognition     Subsequent measurement     Depreciation method
Land     Cost     Cost less accumulated impairment losses     Not depreciated
Assets under construction         Cost less accumulated depreciation and impairment losses.     Depreciated on the straight-line method to their residual values over the useful life
Buildings – owned            
Medical equipment            
Other property, plant and equipment – owned            
Motor vehicles            
Buildings – leased            

Depreciated over the shorter of:

  • the estimated useful lives of the assets on the same basis as owned assets; or
  • the remaining period of the lease, unless there is a reasonable certainty the lessee will obtain ownership of the asset by the end of the lease term in which case it is depreciated over its useful life.
Other property, plant and equipment – leased            
Leasehold improvements            

Replacements of linen, cutlery and crockery and certain medical instruments are charged as an expense in the profit or loss over a 12-month period from the date of purchase.

1.7 Intangible assets
 
Categories     Initial measurement and recognition     Subsequent measurement     Amortisation method
Goodwill     Excess of consideration transferred over the fair value of the net identifiable assets acquired at acquisition date.     Cost less accumulated impairment losses     Not amortised
Customer relations and hospital licences     Cost represents the fair value as at the date of the business combination, valued on the royalty method or the multi-period earnings excess method (MEEM).     Cost less accumulated amortisation and impairment losses     Amortised on the straight-line method over the estimated useful life
Brand name            
Product development            
Computer software     Cost        
Other intangible assets            

Costs associated with the developing or maintaining of computer software programs are recognised as an expense as incurred. Costs that are directly associated with the production of identifiable and unique software and internally generated intangible assets in respect of product development costs controlled by the Group that will probably generate economic benefits exceeding costs beyond one year, are recognised as intangible assets when the criteria per IAS 38 have been met.

Development costs previously recognised as an expense are not recognised as an asset in a subsequent period. Other development expenditures that do not meet these criteria are recognised as an expense, in profit or loss, as incurred.

1.8 Leases
 

The Group is the lessee of various hospital and administrative office properties leased under non-cancellable leases that are classified as operating leases. The Group is also the lessee of other assets that meet the definition of a finance lease.

At inception of an arrangement, the Group determines whether the arrangement is or contains a lease.

Any contingent rentals are expensed in the period they are incurred.

Finance leases – lessee
Initial measurement and recognition     Subsequent measurement     Depreciation method

Finance leases are recognised as assets and liabilities at amounts equal to the fair value of the leased asset or, if lower, the present value of the minimum lease payments.

The discount rate used in calculating the present value of the minimum lease payments is the interest rate implicit in the lease.

   
  • Asset at cost less depreciation
  • Liability at amortised cost
    Finance lease assets are depreciated over their expected useful lives on the same basis as owned assets, or where shorter, the terms of the leases.

Operating leases – lessee and lessor

Initial measurement and recognition

Operating lease income and expenses under operating leases are recognised in profit or loss on a straight-line basis over the term of the relevant lease.

The difference between the amounts recognised as an expense and the contractual payments are recognised as an operating lease asset or operating lease liability in the statement of financial position.

Neither the asset nor the liability is discounted.

1.9 Inventories
 

Inventories are measured at the lower of cost or net realisable value on the first-in-first-out basis.

All medical consumables are carried at cost which is lower than the net realisable value. The cost of inventories written off as expired stock, is recorded as an expense and included in drugs and consumables in profit or loss.

1.10 Assets held for sale
 

Non-current assets and disposal groups are classified as assets held for sale, if their carrying amount will be recovered principally through a sale transaction rather than continuing use. This condition is regarded as met only when the sale is highly probable and the asset or disposal group is available for immediate sale in its present condition. Management must be committed to the sale, which should be expected to qualify for recognition as a completed sale within one year from the date of classification.

Immediately before classification as held for sale, the assets (and all assets and liabilities in a disposal group) are measured in terms of the applicable IFRS. Then, on initial classification as held for sale, non-current assets and disposal groups are recognised at the lower of the carrying amount and the fair value less costs to sell.

1.11 Financial instruments
 

A financial instrument is any contract that gives rise to a financial asset of one entity and a financial liability or equity instrument of another entity.

Financial assets (accounting policy applied from 1 October 2018)

The Group has the following financial assets:

  • Cash and cash equivalents
  • Trade and other receivables
  • Other assets, which include:
    • Loans receivable
    • Loans to associates
    • Derivative assets – includes interest rate swaps and foreign option exchange contracts

Initial recognition and measurement

Financial assets in the Group are classified at initial recognition and subsequently measured as either amortised cost or fair value through profit or loss.

The classification of financial assets at initial recognition depends on the financial asset’s contractual cash flow characteristics and the Group’s business model for managing it.

The Group’s business model for managing financial assets refers to how it manages its financial assets in order to generate cash flows. The business model determines whether cash flows will result from collecting contractual cash flows, selling the financial assets, or both.

On initial recognition:

  • Financial assets held at fair value through profit and loss are measured initially at fair value, excluding transaction costs
  • Trade receivables, which do not have a significant financing component, are initially measured at the transaction price determined under IFRS 15, including transaction costs
  • All other financial assets are initially measured at fair value, including transaction costs

Subsequent measurement

Financial assets are subsequently measured as either:

  • Financial assets at amortised cost, or
  • Financial assets at fair value through profit or loss

Financial assets at amortised cost

The Group’s financial assets at amortised cost includes trade and other receivables, loans to associates, loans receivable and cash and cash equivalents.

The Group measures financial assets at amortised cost if both of the following conditions are met:

  • The financial asset is held with the objective to collect contractual cash flows, and
  • The contractual terms of the financial asset give rise to cash flows that are solely payments of principal and interest on the principal amount outstanding

This assessment is referred to as the SPPI test (solely payments of principal and interest) and is performed at an instrument level.

If it fails the criteria as indicated here it will be classified as fair value through profit or loss.

Financial assets at amortised cost are subsequently measured using the effective interest (EIR) method and are subject to impairment. Gains and losses are recognised in profit or loss when the asset is derecognised, modified or impaired.

Financial assets at fair value through profit or loss

Within the Group, this category comprises derivative instruments which include interest rate swaps and foreign option exchange contracts.

Financial assets at fair value through profit or loss are carried in the statement of financial position at fair value with changes in fair value recognised in the statement of profit or loss.

Derecognition

The Group derecognises a financial asset (ie removed from the Group’s consolidated statement of financial position) when:

  • the rights to receive cash flows from the asset have expired; or
  • the Group has transferred its rights to receive cash flows from the asset or has assumed an obligation and either:
    • the Group has transferred substantially all the risks and rewards of the asset, or
    • the Group has neither transferred nor retained substantially all the risks and rewards of the asset, but has transferred control of the asset.

When the Group has transferred its rights to receive cash flows from an asset it evaluates if, and to what extent, it has retained the risks and rewards of ownership.

When it has neither transferred nor retained substantially all of the risks and rewards of the asset, nor transferred control of the asset, the Group continues to recognise the transferred asset to the extent of its continuing involvement. In that case, the Group also recognises an associated liability. The transferred asset and the associated liability are measured on a basis that reflects the rights and obligations that the Group has retained.

Impairment of financial assets

The Group recognises an allowance for ECLs for all financial assets not held at fair value through profit or loss. ECLs are based on the difference between the contractual cash flows due in accordance with the contract and all the cash flows that the Group expects to receive, discounted at an approximation of the original effective interest rate.

Trade receivables

Further disclosures relating to impairment of financial assets are also provided in the following notes:

  • Disclosures for significant assumptions note 1.2.1
  • Risk management – credit risk relating to trade receivables note 31

For trade receivables, the Group applies a simplified approach in calculating ECLs.

The provision matrix is initially based on the Group’s historical observed default rates. The Group adjusts the historical credit loss experience with forward-looking information including macro-economic factors affecting the ability of the customer to settle outstanding balances. For instance, if the forecast economic conditions (ie GDP, unemployment, repo rate) are expected to lead to an increased number of defaults, the historical default rates are adjusted. At every reporting date, the historical observed default rates are updated and changes in the forward-looking estimates are analysed.

Therefore, the Group does not track significant increases in credit risk, but instead recognises a loss allowance based on lifetime ECLs at each reporting date. The Group has established a provision matrix that is based on its historical credit loss experience, adjusted for forward-looking factors specific to the trade receivables and the economic environment.

The Group considers a financial asset in default when contractual payments are past due which differ for each region. However, in certain cases, the Group may also consider a financial asset to be in default when internal or external information indicates that the Group is unlikely to receive the outstanding contractual amounts in full.

The Group considers the following factors:

  • The history of the specific customer
  • Indications of financial difficulties of the specific customer
  • Credit terms specific to the customer
  • General economic conditions

A financial asset is written off when there is no reasonable expectation of recovering the contractual cash flows. This is when the Group has exhausted all options regarding the debt, and it also includes the following factors:

  • The account is handed back from the debt collectors as uncollectable, ie the Group has followed full legal process
  • The debtor is deceased and the estate is insolvent
  • The debtor cannot be traced

Financial assets (accounting policy applied before 1 October 2018)

Financial assets and financial liabilities are recognised in the Group’s statement of financial position when the Group becomes party to the contractual provisions of the instrument.

Classification     Instruments included in the classification     Initial measurement     Subsequent measurement
Financial assets at fair value through profit or loss     These assets are held for trading or are designated as such and consist of derivative financial instruments, being foreign exchange option contracts and interest rate swaps.     Fair value with transaction costs expensed     Fair value with fair value gains and losses recognised in profit or loss as they arise.
Loans and receivables     The Group’s loans and receivables comprise: loans to associates, trade and other receivables, loans receivable and cash and cash equivalents.     Fair value plus direct transaction costs     Amortised cost using the effective interest method, less any provision for impairment.

Derecognition

Financial assets are derecognised when the rights to receive cash flows from the financial asset have expired or have been transferred and the Group has transferred substantially all risks and rewards of ownership.

Financial liabilities (accounting policy the same for 2019 and 2018)

The Group has the following financial liabilities:

  • Interest-bearing borrowings
  • Redeemable preference shares (included under interest-bearing borrowings)
  • Contingent consideration liabilities
  • Trade and other payables
  • Bank overdrafts
  • Other liabilities, which include:
    • Derivative liabilities – includes interest rate swaps and foreign option exchange contracts

Initial recognition and measurement

Financial assets are derecognised when the rights to receive cash flows from the financial asset have expired or have been transferred and the Group has transferred substantially all risks and rewards of ownership.

On initial recognition:

  • Financial liabilities held at fair value through profit and loss are measured initially at fair value, excluding transaction costs.
  • All other financial liabilities are initially measured at fair value, including transaction costs.

Subsequent measurement

Financial liabilities are subsequently measured as either:

  • Financial liabilities at amortised cost, or
  • Financial liabilities at fair value through profit or loss

Financial liabilities at amortised cost

Within the Group, this category applies to interest-bearing borrowings, redeemable preference shares, trade and other payables and bank overdrafts.

After initial recognition, these financial liabilities are subsequently measured at amortised cost, using the EIR method.

Gains and losses are recognised in profit or loss when the liabilities are derecognised, as well as through the EIR amortisation process.

This EIR amortisation is included as finance costs in the statement of profit or loss.

Amortised cost is calculated by taking into account any discount or premium on acquisition, and fees or costs that are an integral part of the EIR.

Financial liabilities at fair value through profit or loss

Within the Group, this category applies to contingent consideration liabilities and derivative liabilities.

The Group has derivative financial instruments that are not designated as hedging instruments in hedge relationships.

These liabilities are mandatorily measured at fair value through profit or loss in terms of IFRS 9.

As a result, gains or losses on the liabilities are recognised in the statement of profit or loss.

The Group has not designated any financial liability at fair value through profit or loss.

Trade and other payables include:

Other related liabilities

The employee-related payables represent the pro rata portion of a 13th cheque, accrued annual leave, a performance bonus scheme, as well as long-term incentive schemes for the international senior employees.

Insurance

Judgement is required in estimating the insurance provision. This is calculated based on the probability of future claims arising, taking into consideration the Group insurance excess applicable to the claim and the liability is the present value of the exposure at a market-related discount rate.

Derecognition

Financial liabilities are derecognised when the obligation specified in the contract is discharged, cancelled or has expired.

When an existing financial liability is replaced by another from the same lender on substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or modification is treated as the derecognition of the original liability and the recognition of a new liability. The difference in the respective carrying amounts is recognised in the statement of profit or loss.

Offsetting of financial instruments

Financial assets and liabilities are offset and the net amount is reported in the statement of financial position only when there is a legally enforceable right to offset, an intention to settle on a net basis or to realise the asset and settle the liability simultaneously.

1.12 Capital and reserves
 

Stated capital comprises ordinary share capital, share premium and treasury shares.

Share capital and equity

Share capital issued by the Company is recorded at the proceeds received, net of issue costs. Incremental costs directly attributable to the issue of new shares or options, other than in connection with a business combination, are shown in equity as a deduction, net of tax, from the proceeds.

Treasury shares

Treasury shares held by subsidiary companies and special purpose entities are treated as a deduction from the issued and weighted average number of ordinary shares. The consideration paid, including any directly attributable incremental costs (net of income taxes) is deducted from the Group’s total equity until the shares are cancelled, disposed of or vest in accordance with the terms of the Life Healthcare employee share trust or long-term incentive schemes.

1.13 New and amended accounting standards adopted by the Group
 

The Group has applied the following standards and amendments for the first time for their annual reporting period commencing 1 October 2018. The nature and effect of the changes as a result of adoption of the new accounting standard are described below.

IFRS 9 Financial Instruments

IFRS 9 replaces the requirements of IAS 39 that relate to the recognition, classification and measurement of financial assets and financial liabilities, derecognition of financial instruments, and impairment of financial assets.

Classification and measurement

The Group currently recognises the following financial assets – trade and other receivables, cash and cash equivalents and other assets which include loans to associates, loans receivable and derivative assets.

In terms of IFRS 9, all these financial assets will be measured at amortised cost, with the exception of derivative instruments which are recognised at fair value through profit or loss.

This is because the objective of the business model is to hold these financial assets for the collection of the contractual cash flows, and the contractual cash flows represent payments of principal and interest.

Consequently, the subsequent measurement (ie amortised cost) is the same under IAS 39 and IFRS 9.

Derivative financial assets are measured at fair value through profit or loss under IAS 39 and IFRS 9, and therefore no reclassification or remeasurement is required.

In summary, upon the adoption of IFRS 9, the Group had the following measurement categories:

  As at 30 Sep 2018
IAS 39
  As at 1 Oct 2018
IFRS 9
 
R’m Fair value
through
profit or loss
Loans and
receivables
at amortised
cost
  Fair value
through
profit or loss
Amortised
cost
 
Trade and other receivables1 – 3 636   – 3 656  
Cash and cash equivalents – 1 494   – 1 494  
Other assets            
   Loans receivable/loans to associates – 77   – 77  
   Derivative financial instruments 100 –   100 –  
1 The change in carrying amount is a result of changes to the expected credit loss provision.

See the discussion on impairment below for more details.

Impairment of financial assets

Under IFRS 9, the Group was required to revise its impairment methodology from an incurred loss model to an expected loss model.

The adoption of IFRS 9 has resulted in a decrease in the impairment provision of R20 million relating to trade receivables.

In calculating the provision on transition to IFRS 9, the Group applied the simplified approach to measure the ECLs, which uses a lifetime expected loss allowance.

While the remaining financial assets held at amortised cost are also subject to the impairment requirements under IFRS 9, the impairment provision on transition was determined to be immaterial.

Transition

It was determined that on transition to IFRS 9, it would not be possible to restate comparatives without the use of hindsight.

As a result, the Group did not restate prior periods, and rather recognised differences on initial application of IFRS 9 in opening retained earnings.

Consequently, the decrease in the ECL provision (outlined here) on the initial application of IFRS 9 resulted in an increase in trade receivables and retained earnings of R20 million.

The impact of the changes on the Group’s retained earnings is as follows:

  R’m  
Opening balance as at 1 October 2018 (as previously reported) 1 569  
Decrease in provision for ECL (under IFRS 9) 20  
Opening balance as at 1 October 2018 (restated) 1 589  

IFRS 15 Revenue from Contracts with Customers

IFRS 15 requires entities to recognise revenue, to depict the transfer of promised goods or services to customers, in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.

This core principle is achieved through a five-step methodology that is required to be applied to all contracts with customers.

The application of IFRS 15 will depend on the facts and circumstances present in a contract and will require the exercise of judgement.

Impact

All contracts with customers within the Group were assessed against the new standard. It was determined that the implementation of IFRS 15 does not have an impact on the Group’s revenue recognition and measurement.

Therefore, no adjustments were required and no practical expedients, as made available by IFRS 15, were used.

The presentation and disclosure requirements in IFRS 15 are more detailed than under the previous standard and where required, the Group’s presentation and disclosures have been updated.

Transition

The Group has applied the modified retrospective approach which will reflect the cumulative effect of IFRS 15 on adoption. There was no resultant impact on equity.

Other standards adopted

  • Classification and measurement of share-based payment transactions – amendments to IFRS 2.
  • Annual improvements 2014 – 2016 cycle.
  • Transfers to investment property – amendments to IAS 40.
  • IFRIC 22 – Foreign currency transactions and advance consideration

Impact

The implementation of these standards and amendments had no material financial impact on the Group.

1.14 New accounting standards and IFRIC interpretations not yet effective
 

The following new accounting standards are expected to impact the Group:

IFRS 16 Leases

Effective date     Annual periods beginning on or after 1 January 2019. This will impact the Group for the first time in the 2020 financial year.
Description of change     Life Healthcare as lessee will recognise right-of-use assets and lease liabilities for all lease contracts (with limited exceptions) on the statement of financial position. Lessor accounting will not substantially change under the new standard. Under IFRS 16, a contract is, or contains, a lease if the contract conveys the right to control the use of an identified asset for a period of time in exchange for consideration.
Description of impact    

The standard will affect primarily the accounting for the Group’s operating leases. As at the reporting date, the Group has non-cancellable operating lease commitments of R1 346 million, see note 29.

Management has assessed the financial impact of all external and high value leases for each territory (southern Africa, Alliance Medical and Poland) within the Group. Property lease contracts have the most significant impact.

Based on the assessment, the changes to the lessee accounting will have the following material impact in the 2020 financial year:

    approximately
Increase in property, plant and equipment as a result of the recognition of right-of-use assets     R950 million – R1 billion
Increase in interest-bearing borrowings as a result of the finance lease liabilities     R950 million – R1 billion
Increase in normalised EBITDA – taking out operating lease rentals on straight-line basis     R220 million – R250 million
Increase in depreciation   R210 million – R240 million
Increase in finance cost   R40 million – R60 million
Decrease in profit after tax   R25 million – R40 million

As a result of the above:

  • EBITDA margins will increase;
  • Net debt:EBITDA will deteriorate slightly from 1.96 times to 2.05 times.

The assessment has been made on current available information and exchange rates.

Transition option     Either on a fully retrospective basis, requiring the restatement of the comparative periods presented, or with the cumulative retrospective impact of IFRS 16 applied as an adjustment to equity (modified retrospective approach). The Group has elected the modified retrospective approach, and no restatement to comparative information is required.

The following amendments and IFRICs are effective for annual periods beginning on or after 1 January 2019:

  • Amendment to IAS 1 Presentation of financial statements and IAS 8 Accounting policies, changes in accounting estimates and errors – introduced a consistent definition of materiality throughout IFRS and the Conceptual Framework for Financial Reporting, clarifying when information is material and incorporate some of the guidance in IAS 1 about immaterial information.
  • Amendments to IFRS 3 Business combinations – the amended definition of a business requires an acquisition to include an input and a substantive process that together significantly contribute to the ability to create outputs. The amendments will likely result in more acquisitions being accounted for as asset acquisitions.
  • Amendments to IFRS 9 Financial instruments – prepayment features with negative compensation and modification of financial liabilities.
  • Amendments to IAS 19 Employment benefits – the amendment clarifies the accounting for defined benefit plan amendments, curtailments and settlements.
  • Amendments to IAS 28 Investments in associates and joint ventures – the amendments clarify the accounting for long-term interests in an associate or joint venture, which in substance form part of the net investment in the associate or joint venture, but to which equity accounting is not applied.
  • IFRIC 23 – the interpretation explains how to recognise and measure deferred and current income tax assets and liabilities where there is uncertainty over a tax treatment.
  • Annual improvements cycle 2015 – 2017.

All the amendments and IFRICs listed above are not expected to have a material impact on the Group in the current or future periods.