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How we create value

LIFE, HEALTH and CARE form the essence of what makes us unique.

We balance these three elements to deliver sustainable value to our stakeholders

LIFE

Well-being and quality of life

HEALTH

Clinical excellence in world-class facilities

CARE

Quality, service, respect and empathy for those entrusted to our care

The value we create is based on our external operating environment1 along with economic, social and environmental factors, and the nature and quality of our relationships with stakeholders2.

By analysing these spheres in the context of our business, we can identify our risks and opportunities3 which, in turn, enables us to develop those matters that are most material to our business and mitigate any negative effects, which could impact our ability to create value in the short, medium or long term.

We manage our risks strategically to ensure sustainable value creation into the future4

1External operating environment.
2Stakeholder relationships.
3Risks and opportunities.
4Material matters.

Statement of financial value added

Through the power of efficiency, quality, sustainability and growth, we improve lives and deliver value to our stakeholders.

2020 
R'm
 
   2019 
R'm 
   2018 
R'm 
  
Revenue  25 386     25 672     23 488    
Less: Purchased cost of goods and services  (14 283)    (13 292)    (11 936)   
Financial value added  11 103     12 380     11 552    
Other income1  101     1 715     104    
Financial wealth created  11 204     14 095     11 656    
Employees  6 843     6 493     5 976    
Providers of equity  778     1 321     1 209    
Providers of funding2  672     1 018     819    
Governments  726     1 022     1 095    
Maintenance and expansion of capital  2 925     1 986     1 704    
Reinvestment in the Group3  (740)    2 255     853    
Financial wealth distributed  11 204     14 095     11 656    
Average number of employees  21 660     21 795     21 227    
Financial wealth created per employee (R'000) 517     647     549    
Weighted average number of shares (million) 1 455     1 456     1 451    
Financial wealth created per share (R) 7.70     9.69     8.03    
1 Other income in 2019 includes the profit on disposal of Max of R1.5 billion before withholding tax.
2 The decrease from 2019 to 2020 is mainly due to a repayment of debt in Q4 FY19. The increase in 2019 is mainly due to the acquisition of the equity holding of 6.22% from the Alliance Medical management for GBP35.7 million (R640 million) in June 2018, and the acquisition of the European Scanning Centre (ESC) in December 2018 for GBP10.6 million (R195 million) offset by the settlement of debt during 2019
3 The reinvestment in the Group includes impairment of R798 million, with R793 million related to impairment of investment in Poland. 2019 includes impairment of R164 million for 2019, with R125 million related to impairment of investment in Poland and R39 million software development costs relating to our southern Africa operations.

Despite the challenges faced in 2020, our strategy remains sound, and we aim to diversify our offerings to support long-term growth in becoming a global, people-centred, diversified healthcare organisation.

FINANCIAL WEALTH CREATE PER EMPLOYEE (R’000)

FINANCIAL WEALTH CREATED PER SHARE (R)