9. SEGMENT INFORMATION
 

IFRS 8 requires operating segments to be identified on the basis of internal reports about the components of the Group that are regularly reviewed by the chief operating decision maker (CODM) in order to allocate resources to the segments and to assess their performance.

The Group痴 segments are aligned to those business units that are evaluated regularly by the 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.

Refer to note 2 for a split of the major revenue streams.

  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 attributed to the southern Africa segment.
     2020 
Reported3
R知
 
    Impact of 
IFRS 16 
R知
 
   2020 
Pre-IFRS 163
Pro forma 
R知
 
   2019
R知 
  
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)   
EBITA2, 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    
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)   
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 EBITA is defined as normalised EBITDA less depreciation.
3 Difference between reported and pre-IFRS 16 totals relate to impact of IFRS 16, which is a once-off adjustment in FY2020.
4 Non-IFRS measure.
   2020 
Reported1
R知
 
   Impact of 
IFRS 16 
R知
 
   2020 
Pre-IFRS 161
Pro forma 
R知
 
   2019
R知 
  
Operating profit before items detailed belowイ                         
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 profit  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 (refer note 11) (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 relate to 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.
   2020 
Reported2
R知
 
   Impact of 
IFRS 16 
R知
 
   2020 
Pre-IFRS 162
Pro forma 
R知
 
   2019 
R知 
  
Total assets before items detailed below  14 659     (488)    14 171     13 550    
Southern Africa 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 3                         
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 of bank overdrafts)                        
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.
2 Difference between reported and pre-IFRS 16 totals relate to the impact of IFRS 16, which is a once-off adjustment.
3 Non-IFRS measure.

Pro forma information

The adoption of IFRS 16 from 1 October 2019 complicates performance comparison between the results for the year and the prior financial year. To provide a more meaningful assessment of the Group痴 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 on this note 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.