LHC: LIFE HEALTHCARE GROUP HOLDINGS LIMITED - Interim results ended 31 March 2017, scrip distribution with cash dividend alternative and trading statement

2017-05-12 07:05:00
LHC: LIFE HEALTHCARE GROUP HOLDINGS LIMITED - Interim results ended 31 March 2017, scrip distribution with cash dividend alternative and trading statement
Interim results ended 31 March 2017, scrip distribution with cash dividend alternative and trading statement
LIFE HEALTHCARE GROUP HOLDINGS LIMITED
Registration number: 2003/002733/06
Income tax number: 9387/307/15/1
ISIN: ZAE000145892
Share code: LHC
UNAUDITED GROUP RESULTS FOR THE SIX MONTHS ENDED 31 MARCH 2017,
DECLARATION OF SCRIP DISTRIBUTION WITH CASH DIVIDEND ALTERNATIVE AND TRADING STATEMENT
     Life                     Health                             Care
Well-being and         Clinical excellence             Quality, service, respect  
quality of life     in world-class facilities       and empathy for those entrusted  
                                                              to our care
OUR MISSION IS TO IMPROVE THE LIVES OF PEOPLE THROUGH THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE
HIGHLIGHTS
REVENUE 
+22.6% to R9.6 billion
NORMALISED EBITDA
+15.2% to R2.4 billion
INTERIM DIVIDEND OF 35 CENTS PER SHARE
R504 million
HEADLINE EARNINGS PER SHARE DECREASED to 26.7 CENTS 
-71.3%
ACQUISITION OF ALLIANCE MEDICAL ENTERPRISE VALUE 
R14.3 billion 
(including contingent consideration payable)
Condensed consolidated statement of profit or loss and other comprehensive income
for the period ended 31 March 2017
                                                                     6 months        %   6 months
                                                                     31 March   Change   31 March
R'm                                                                      2017                2016
Revenue                                                                 9 638     22.6      7 860
Operating expenses                                                     (7 848)             (6 081)
Operating profit                                                        1 790      0.6      1 779
Contingent consideration released                                           -                  66
Transaction costs                                                        (254)                (11)
Impairment of investment                                                 (142)                  -
Fair value adjustment of contingent consideration                         (18)                  -
Reorganisation and contract mobilisation costs                            (18)                  -
Fair value (loss)/gain on derivative financial instruments                (18)                 12
Other                                                                     (14)                 (8)
Finance income                                                             30                  33
Finance cost                                                             (713)               (279)
Share of associates' and joint ventures' net loss after tax                (9)                 (1)
Profit before tax                                                         634               1 591
Tax expense                                                              (331)               (458)
Profit after tax                                                          303    (73.3)     1 133
Other comprehensive (loss)/income, net of tax
Items that may be reclassified to profit or loss
Movement in foreign currency translation reserve                         (638)                124
Items that will not be reclassified to profit or loss
Retirement benefit asset and post-employment medical aid                   (6)                 (4)
Total comprehensive (loss)/income for the year                           (341)  (127.2)     1 253
Profit after tax attributable to:
Ordinary equity holders of the parent                                     144    (85.1)       965
Non-controlling interest                                                  159                 168
                                                                          303    (73.3)     1 133
Total comprehensive (loss)/income attributable to:
Ordinary equity holders of the parent                                    (496)  (146.0)     1 078
Non-controlling interest                                                  155                 175
                                                                         (341)  (127.2)     1 253
Weighted average number of shares in issue (million)                    1 054               1 038
Earnings per share (cents)                                               13.7    (85.3)      93.0
Headline earnings per share (cents)                                      26.7    (71.3)      93.0
Diluted earnings per share (cents)                                       13.7    (85.2)      92.7
Diluted headline earnings per share (cents)                              26.6    (71.3)      92.7
Headline earnings (R'm)
Profit attributable to ordinary equity holders                            144                 965
Headline earnings adjustable items
Impairment of investment                                                  142                   -
Other                                                                      (5)                  -
Headline earnings                                                         281    (70.9)       965
Condensed consolidated statement of financial position
as at 31 March 2017
                                                                     31 March        30 September
R'm                                                           Notes      2017                2016
Assets
Non-current assets                                                     28 912              14 395
Property, plant and equipment                                          10 002               7 752
Intangible assets                                                1     15 312               3 196
Other non-current assets                                                3 598               3 447
Current assets                                                          5 841               3 102
Cash and cash equivalents                                               1 430                 604
Restricted cash                                                           674                   -
Other current assets                                                    3 737               2 498
Total assets                                                           34 753              17 497
Equity and liabilities
Capital and reserves
Stated capital                                                          4 186               3 666
Reserves                                                                  352               1 820
Non-controlling interest                                                1 138               1 312
Total equity                                                            5 676               6 798
Liabilities
Non-current liabilities                                                 9 067               6 111
Interest-bearing borrowings                                      2      7 331               5 469
B share consideration liability                                           610                   -
Other non-current liabilities                                           1 126                 642
Current liabilities                                                    20 010               4 588
Bank overdraft                                                            818               1 030
Interest-bearing borrowings                                      2     14 645               1 312
Other current liabilities                                               4 547               2 246
Total liabilities                                                      29 077              10 699
Total equity and liabilities                                           34 753              17 497
Condensed consolidated statement of changes in equity
for the period ended 31 March 2017
                                                          Total capital  Non-controlling    Total
R'm                                                        and reserves         interest   equity
Balance at 1 October 2016                                         5 486            1 312    6 798
Total comprehensive (loss)/income for the period                   (496)             155     (341)
Profit for the period                                               144              159      303
Other comprehensive loss                                           (640)              (4)    (644)
Issue of new shares                                                 490                -      490
Non-controlling interest arising on restructuring                     -               13       13
Non-controlling interest arising on business combination                               3        3
Increase in ownership interest in subsidiaries                        -             (180)    (180)
Distributions to shareholders                                      (973)            (165)  (1 138)
Life Healthcare Employee Share Trust charge                          22                -       22
Long Term Incentive Scheme charge                                    22                -       22
Purchase of treasury shares                                         (13)               -      (13)
Balance at 31 March 2017                                          4 538            1 138    5 676
Balance at 1 October 2015                                         5 168            1 280    6 448
Total comprehensive income for the period                         1 078              175    1 253
Profit for the period                                               965              168    1 133
Other comprehensive income                                          113                7      120
Issue of new shares                                                 230                -      230
Transactions with non-controlling interests                          30              (30)       -
Increase in ownership interest in subsidiaries                      (50)               -      (50)
Distributions to shareholders                                      (897)            (203)  (1 100)
Life Healthcare Employee Share Trust charge                          16                -       16
Long Term Incentive Scheme charge                                    13                -       13
Purchase of treasury shares                                         (11)               -      (11)
Balance at 31 March 2016                                          5 577            1 222    6 799
Condensed consolidated statement of cash flows
for the period ended 31 March 2017
                                                                   6 months        %     6 months
                                                                   31 March   Change     31 March
R'm                                                       Notes        2017                  2016
Cash generated from operations                                        1 951     20.1        1 625
Interest received                                                        30                    33
Tax paid                                                               (513)                 (398)
Net cash generated from operating activities                          1 468     16.5        1 260
Capital expenditure                                                    (603)                 (345)
Acquisition of Alliance Medical (net of cash acquired)        1      (9 932)                    -
Other investments(1)                                          1        (109)                 (989)
Other                                                                  (261)                   (9)
Net cash utilised in investing activities                           (10 905)               (1 343)
Interest-bearing borrowings raised                                   16 193                 1 655
Interest-bearing borrowings repaid                                   (4 307)                 (767)
Dividends paid                                                         (484)                 (666)
Interest paid                                                          (673)                 (251)
Other                                                                  (183)                 (217)
Net cash generated/(utilised) in financing activities                10 546                  (246)
Net increase/(decrease) in cash and cash equivalents                  1 109                  (329)
Cash and cash equivalents - beginning of the period                    (426)                  255
Cash balances acquired through business combinations                      -                    54
Effect of foreign currency movement                                     (71)                  (46)
Cash and cash equivalents - end of the period                           612                   (66)
(1) The other investments comprise the acquisitions of Albaro for R102 million and Bohes Trust for R7 million.
During the prior year, the other investments comprised of the acquisitions in Poland for R669 million, and the
additional shares in Max Healthcare Institute Limited, India for R320 million.
Segmental report
The Hospital and complementary services segment comprises all the acute hospitals and complementary services in
southern Africa. The Healthcare services segment comprises of Life Esidimeni and Life Employee Health Solutions
(Life Occupational Health and Careways Wellness) in southern Africa.
Poland comprises healthcare services in Poland, and Alliance Medical comprises diagnostic services in the
United Kingdom and Europe.
Inter-segment revenue that is eliminated relates to revenue with Careways Wellness Proprietary Limited of
R2 million (2016: R3 million).
                                                                   6 months              6 months
                                                                   31 March              31 March
R'm                                                                    2017                  2016
Operating segments
Revenue
Southern Africa
Hospitals and complementary services                                 7 228                  6 842
Healthcare services                                                    399                    446
Poland
Healthcare services                                                    530                    572
Alliance Medical
Diagnostic services                                                  1 481                      -
Total                                                                9 638                  7 860
EBITDA
Southern Africa
Hospitals and complementary services                                 1 661                  1 695
Healthcare services                                                     59                     75
Poland
Healthcare services                                                     27                     77
Alliance Medical
Diagnostic services                                                    410                      -
Corporate                                                              261                    252
EBITDA before items detailed below                                   2 418                  2 099
Depreciation                                                          (441)                  (270)
Southern Africa
Hospitals and complementary services                                  (226)                  (211)
Healthcare services                                                     (7)                    (6)
Poland
Healthcare services                                                    (30)                   (31)
Alliance Medical
Diagnostic services                                                   (158)                     -
Corporate                                                              (20)                   (22)
Amortisation                                                          (187)                   (65)
Southern Africa
Hospitals and complementary services                                   (65)                   (56)
Healthcare services                                                      -                      -
Poland
Healthcare services                                                    (11)                    (9)
Alliance Medical
Diagnostic services                                                   (111)                     -
Corporate                                                                -                      -
Operating profit before items detailed below                         1 790                  1 764
Southern Africa
Hospitals and complementary services                                 1 370                  1 428
Healthcare services                                                     52                     69
Poland
Healthcare services                                                    (14)                    37
Alliance Medical
Diagnostic services                                                    141                      -
Corporate                                                              241                    230
Retirement benefit asset and post-employment medical aid expense         -                     15
Operating profit                                                     1 790                  1 779
Contingent consideration released                                        -                     66
Transaction costs                                                     (254)                   (11)
Impairment of investment                                              (142)                     -
Fair value adjustment of contingent consideration                      (18)                     -
Reorganisation and contract mobilisation costs                         (18)                     -
Fair value (loss)/gain on derivative financial instruments             (18)                    12
Other                                                                  (14)                    (8)
Finance income                                                          30                     33
Finance costs                                                         (713)                  (279)
Share of associates 'and joint ventures' net loss after tax             (9)                    (1)
Profit before tax                                                      634                  1 591
Operating profit before items detailed includes the segment's share of shared services and rental costs. 
These costs are all at market-related rates.
                                                                  31 March           30 September
R'm                                                                   2017                   2016
Total assets before items below
Southern Africa                                                     11 184                 11 433
India                                                                2 535                  2 547
Poland                                                               2 310                  2 602
Alliance Medical                                                    16 883                      -
                                                                    32 912                 16 582
Employee benefit assets                                                424                    433
Deferred tax assets                                                    621                    426
Derivative financial assets                                              9                     17
Restricted cash                                                        674                      -
Income tax receivable                                                  113                     39
Total assets per the balance sheet                                  34 753                 17 497
Net debt
Southern Africa                                                      6 485                  6 121
Poland                                                               1 027                  1 086
Alliance Medical                                                     2 306                      -
Acquisition funding (Alliance Medical)                              11 546                      -
                                                                    21 364                  7 207
Liabilities are reviewed on a net debt basis, which comprises all interest-bearing borrowings and overdraft
balances (net cash on hand).
Acquisitions and disposals of investments
Changes in ownership interest in subsidiaries as a result of non-controlling interest transactions
The Group had increases and decreases in its shareholdings in a number of its subsidiary companies due to
transactions with minority shareholders. The individual transactions are immaterial.
Business combinations
The Group acquired the business of the Bohes Trust on 1 October 2016 for a total consideration of R9 million
(including a contingent consideration of R1.8 million). The trust had no significant contingent liabilities  
at the acquisition date.
Alliance Medical Group Limited (Alliance Medical) acquired 100% of Albaro, incorporated in Italy, on 
30 December 2016 for a total consideration of R102 million (EUR7 million). The company had no significant 
contingent liabilities at the acquisition date.
1. Acquisition of Alliance Medical
On 21 November 2016, the Group acquired 93.78% of the issued share capital of Alliance Medical, incorporated in 
the United Kingdom. This is accounted for as a 100% subsidiary in terms of International Financial Reporting 
Standards (IFRS). The exchange rate as at 21 November 2016 and 31 March 2017 was GBP1:R17.88 and GBP1:R16.84 
respectively. The acquisition has been provisionally accounted for in terms of IFRS 3 "Business combinations".
The following presents the impact on the consolidated information of the Group for the period 21 November 2016 
to 31 March 2017, converted at an average rate of GBP1:R16.72:
                                                                       R'm
Revenue                                                              1 481
EBITDA                                                                 410
Depreciation and amortisation                                         (269)
EBIT                                                                   141
Transaction costs                                                     (138)
Finance costs                                                          (54)
Fair value adjustment of contingent consideration                      (18)
Taxation                                                                15
Net loss                                                               (54)
Impact on consolidated information if the business combination took place on 1 October 2016, converted at an 
average rate of GBP1:R16.72:
Revenue                                                              2 073
Net profit                                                              41
Details of the net assets acquired and goodwill are as follows:
Total purchase consideration                                       (10 832)
Cash portion                                                         9 884
Contingent consideration(1)                                            358
B share liability assumed(2)                                           590
Provisional fair value of net assets acquired                        1 198
Fair value of net assets acquired                                    1 198
Provisional goodwill arising on acquisition(3)                      (9 634)
(1) The sellers of Alliance Medical are also entitled to an earn-out consideration of GBP4 for each GBP1 
of the adjusted EBITDA result of Alliance Medical, calculated with reference to the 12 months ending 
31 March 2017, in excess of GBP66 million, subject to a maximum of GBP40 million. At acquisition, the fair
value of the contingent consideration was estimated at GBP20 million (R358 million).
As at 31 March 2017, the provisional contingent consideration was calculated as GBP21 million (R354 million).  
This is due to the positive performance of Alliance Medical and the signing of six community diagnostic 
centre (CDC) contracts. The adjustment to the fair value of the contingent consideration of GBP1 million 
(R18 million) was recognised through profit and loss.
The maximum contingent consideration of GBP40 million was paid into escrow and is treated as restricted cash.
(2) The Bidco B shares were issued to key management in exchange for a portion of their B shares held in
Alliance Medical. The B share liability at the acquisition date amounted to GBP36.2 million (R647 million), 
of which GBP33 million (R590 million) is considered part of the business combination and GBP3.2 million 
(R57 million) is recognised as a post-acquisition expense in profit or loss.
(3) The goodwill is attributable to the Group's future earnings potential related to diagnostic businesses,
and related future growth globally.
The provisional fair values of the assets and liabilities arising from the acquisition are as follows:
                                                                       R'm
Inventories                                                              7
Trade and other receivables                                            911
Trade and other payables                                            (1 866)
Cash and cash equivalents                                              667
Current tax liability                                                 (187)
Interest-bearing borrowings                                         (3 620)
Property, plant and equipment                                        2 209
Brand                                                                  129
Customer relationship                                                3 246
Software                                                                79
Deferred tax                                                          (374)
Non-controlling interest                                                (3)
                                                                     1 198
Cash outflow to acquire Alliance Medical, net of cash acquired
Cash consideration                                                   9 884
Less: cash at acquisition                                             (667)
Restricted cash paid into escrow account                               715
                                                                     9 932
The fair values identified on acquisition will remain provisional and are subject to further review.
The increase in intangible assets at 31 March 2017 mainly relates to the goodwill recognised of 
R9.6 billion and fair value uplift of intangible assets of R3.5 billion related to the Alliance Medical 
acquisition.
2. Interest-bearing borrowings
                                                                       R'm
Total borrowings at 30 September 2016                                6 781
Bridge facility for Alliance Medical acquisition                    10 579
Bridge facility for repayment of Alliance Medical existing debt      4 022
Net borrowings arising on acquisition of Alliance Medical              906
Additional loans raised                                              1 592
Repayment of existing loans                                         (1 617)
Exchange difference                                                   (287)
Total borrowings at 31 March 2017                                   21 976
The net proceeds of R8.8 billion received from the rights offer during April 2017 have been used to 
repay a portion of the bridge facility drawn down for the Alliance Medical acquisition.
Basis of presentation and accounting policies
The condensed consolidated interim financial statements contained in the interim report are prepared in 
accordance with the requirements of the JSE Limited Listings Requirements for preliminary reports, and the 
requirements of the Companies Act of South Africa applicable to summary financial statements, and are 
consistent with those applied in the previous consolidated annual financial statements. The Listings 
Requirements require preliminary reports to be prepared in accordance with the framework concepts and the 
measurement and recognition requirements of IFRS and the South African Institute of Chartered Accountants (SAICA) 
Financial Reporting Guides as issued by the Accounting Practices Committee and Financial Pronouncements as issued 
by the Financial Reporting Standards Council and to also, as a minimum, contain the information required by 
IAS 34 "Interim Financial Reporting". 
These interim financial results have been prepared under the supervision of PP van der Westhuizen (CA(SA)), the
Group Chief Financial Officer.
Unaudited results
The results for the period ended 31 March 2017 have not been reviewed or audited by the Group's auditors.
The directors take full responsibility for the preparation of the interim report.
Commentary
Overview
Life Healthcare´s strategic objective is to establish a sizeable international business and to accelerate the 
transition from a South African-focused acute care group to an international, diversified healthcare provider. 
Life Healthcare´s international expansion strategy has been focused on selected attractive markets that display 
supportive characteristics for the longer-term growth of the private healthcare market. 
In line with this strategy, Life Healthcare completed the acquisition of Alliance Medical in November 2016. 
The Group acquired Alliance Medical for an enterprise value of around GBP800 million (R14.3 billion) including a 
maximum contingent consideration of GBP40 million (R715 million). The acquisition was initially funded through 
ZAR and GBP debt bridge facilities, which have subsequently been partially repaid through the successful completion 
of the rights offer.
The Group results for the six months ended 31 March 2017 have been impacted by the acquisition of Alliance Medical 
with revenue up 22.6%, normalised EBITDA up 15.2% and headline earnings per share down 71.3%. The Group´s earnings 
have also been impacted by the once-off items related to the Alliance Medical acquisition and a further impairment 
of the investment in Poland.
Acquisition of Alliance Medical Group
Rationale
Life Healthcare´s vision is to be a market-leading, international, diversified healthcare provider offering 
high-quality, cost-effective care in its chosen markets. Over the past few years, Life Healthcare has expanded into 
mental health, acute rehabilitation, renal dialysis and oncology. Life Healthcare views the entry into diagnostics 
as a natural part of this growth and diversification strategy. Alliance Medical is one of Western Europe´s leading 
providers of complex molecular and diagnostic imaging services, with strong market positions in the United Kingdom (UK), 
Italy and Ireland, and a platform for expansion more broadly with existing participation in 10 European markets. 
Alliance Medical is unique in Western Europe in terms of its vertically integrated model providing services across 
the molecular imaging value chain, ranging from radiopharmaceutical production to scanning services provision and 
results reporting. Alliance Medical is well-positioned in attractive growth markets underpinned by favourable 
structural drivers, including ageing populations, growing disease burden, capacity constraints in public health systems, 
and the demand for improved access to diagnostics.
Benefits of the acquisition
The acquisition of Alliance Medical exposes Life Healthcare to a faster growing diagnostics market with a company which 
generates good cash flows, good margins and with excellent growth prospects. It further continues Life Healthcare´s 
expansion of its complementary services business, adding diagnostics to mental health, acute rehabilitation, renal 
dialysis and oncology, firmly positioning Life Healthcare in a strategically important, high-growth business. 
Alliance Medical has a strong and highly complementary management team with broad healthcare experience to help support 
Life Healthcare´s international, diagnostic and oncology growth.
Operational review
Southern Africa
Revenue from the southern African operations increased by 4.7% to R7.6 billion (2016: R7.3 billion). Revenue was 
negatively impacted by the decline in activity with paid patient days (PPDs) declining by 1% (2016: increased by 2.7%) 
and the impact in the Healthcare services division of the non-renewal of the mental health contract by the Gauteng 
Department of Health as of 30 June 2016. Overall, lower activity volumes have been due to limited or no growth in the 
private healthcare market, a greater than expected slowdown in the South African economy and an increase in active case 
management by medical aids. The overall weighted occupancy for the period decreased to 68.4% (2016: 69.9%). EBITDA margins 
for the period declined to 26.0% (2016: 27.7%) due to the impact of the lower activities and the resultant lower occupancies, 
an increase in discounts for volume and cost pressures. 
An additional 82 beds (2016: 91) and 11 renal dialysis stations have been added to the business. The increase in beds 
in operation was primarily driven by the opening of the 60-bed mental health unit, Life Carstenview, in February 2017. 
Despite the lower trading in the southern Africa hospital division, the complementary services division continues to 
show good growth with revenue increasing by 22.7%. 
The Group continued to provide high-quality clinical care with an improvement in overall patient experience. 
Alliance Medical
The business has performed well against the comparative period, with normalised EBITDA for the six months ended 
31 March 2017 up 7.5% on a constant currency basis. On a regional basis, there were strong performances from the UK, on 
the back of increased PET-CT volumes, and Northern Europe. Ireland performed in line with expectations and revenue in 
Italy was relatively flat. This was due to the negative impact of the Appropriateness decree on MRI demand, but the 
business is starting to benefit from the Albaro acquisition.
Poland
The Scanmed Group (Scanmed) now consists of 624 beds, 12 inpatient cardiology centres and 40 medical centres. Scanmed 
operations performed to expectations, with revenue of R530 million (2016: R572 million). Normalised EBITDA is 
significantly below last year, with the EBITDA margin reducing to 5.1% (2016: 13.5%). This is primarily due to the impact 
of the reduction in cardiology tariffs as promulgated in Poland effective 1 July 2016 (-17%) and further cardiology tariff
reductions from 1 January 2017 (-11%). Cardiology initially represented 45% of the Scanmed business. An adjustment of 
R23 million related to prior year over-quota underprovision, excluding this adjustment the normalised EBITDA margin is 9.2%
The further tariff reductions in January 2017 have resulted in an additional impairment of R142 million of the 
Polish investment.
India
Max Healthcare reported strong growth, with revenue growing by 9.1% and EBITDA by 20.5%. The growth in revenue was 
primarily driven by the good growth in the phase 2 and 3 hospitals, which grew revenue by 25%. The EBITDA margin improved 
to 11.7% (2016: 10.6%) on the back of improved management of costs and a focus on driving efficiencies. Max Healthcare 
was impacted by the demonetisation of the currency and the introduction of regulatory changes including reduced pricing 
of stents, introducing a minimum wage and improved maternity benefits. The earnings of this business were impacted by 
both the funding cost, costs of acquisition and development incurred in respect of the business acquisitions. As these 
operations continue to ramp up, the earnings will be low. 
Financial performance
Group revenue increased by 22.6% to R9.6 billion (2016: R7.9 billion), consisting mainly of a 4.7% increase in 
southern African revenue to R7.6 billion (2016: R7.3 billion), R1.5 billion new revenue from Alliance Medical and 
R530 million (2016: R572 million) revenue contribution from Poland. The southern Africa hospital and complementary 
services division revenue increased by 5.6% to R7.2 billion (2016: R6.8 billion) driven by a higher revenue per PPD 
of 6.3%, made up of a 6.1% tariff increase and a 0.2% positive case mix impact, partially offset by a 1.0% decrease in 
PPDs. Healthcare services revenue decreased by 10.5% to R399 million (2016: 446 million) due to the impact of the 
non-renewal of the mental health contract by the Gauteng Department of Health. 
Normalised EBITDA(1) increased by 15.2% to R2.4 billion (2016: R2.1 billion), with R410 million new EBITDA from 
Alliance Medical.
(1) Life Healthcare defines normalised EBITDA as operating profit before depreciation on property, plant and equipment 
and amortisation of intangible assets and non-trading-related costs and income.
                                                                  6 months         %     6 months
                                                                  31 March    Change     31 March
R'm                                                                   2017                   2016
Normalised EBITDA
Operating profit                                                     1 790                  1 779
Depreciation on property, plant and equipment                          441                    270
Amortisation of intangible assets                                      187                     65
Other                                                                    -                    (15)
Normalised EBITDA                                                    2 418      15.2        2 099
Southern Africa                                                      1 981      (2.0)       2 022
Alliance Medical                                                       410                      -
Poland                                                                  27                     77
Cash flow
The Group produced good cash flows from operations and continues to anticipate positive free cash flow. 
The overall net cash inflow position of the Group is positive as a result of the investment in Alliance Medical, 
and the related bridge loan funding raised for the acquisition and related costs.
Financial position
Net debt to normalised EBITDA as at 31 March 2017 was 3.99 times (30 September 2016: 1.67 times). The increase in net 
debt is primarily due to the R14.6 billion raised in respect of the acquisition of Alliance Medical. The bank covenant
for net debt to EBITDA is 2.75 and 3.0 times. The net debt ratio has decreased following the repayment of a portion of 
the debt raised with the net proceeds received from the rights offer, following which the net debt:EBITDA has reduced 
to approximately 2.35 times.
Capital expenditure
During the current financial period, Life Healthcare invested R10.9 billion (2016: R1.3 billion), comprising mainly 
capital projects of R603 million (2016: R345 million), and R9.9 billion (net of cash acquired) for the acquisition 
of Alliance Medical. The Group has approved R1.2 billion of its 2017 capital expenditure programme to date. 
Headline earnings per share (HEPS) and normalised earnings per share (EPS)
Headline earnings per share decreased by 71.3% to 26.7 cps (2016: 93.0 cps). Earnings per share on a normalised basis, 
which excludes non-trading-related items listed below, decreased by 35.7% to 56.0 cps (2016: 87.1 cps). 
                                                                  31 March         %     31 March
R'm                                                                   2017    Change         2016
Normalised earnings
Profit attributable to ordinary equity holders                         144                    965
Transaction costs                                                      254                     11
Contingent consideration released                                        -                    (66)
Fair value adjustment of contingent consideration                       18                      -
Reorganisation and contract mobilisation costs                          18                      -
Impairment of investment                                               142                      -
Other                                                                   14                     (6)
Normalised earnings                                                    590     (34.7)         904
Normalised EPS (cents)                                                56.0     (35.7)        87.1
Southern Africa operations (cents)                                    96.7                   97.3
Poland and India operations (cents)                                   (2.9)                   1.3
Alliance Medical operations (cents)                                   10.8                      -
Funding costs (international acquisitions) (cents)                   (48.6)                 (11.5)
Changes to board of directors
LM Mojela resigned from the board with effect from 25 January 2017. MEK Nkeli was appointed chairman of the social, 
ethics and transformation committee and PJ Golesworthy as a member of the social, ethics and transformation committee 
with effect from 25 January 2017.
Distribution consideration
In considering the dividend, the board has considered the impact of the rights offer, the once-off acquisition costs 
and the higher debt levels.
The Group's dividend policy is to pay a dividend that takes into account the underlying earnings and future growth 
needs of the Group, both in southern Africa and internationally, while retaining sufficient capital to fund ongoing 
operations and to manage gearing to acceptable levels.
Scrip Distribution and Cash Dividend alternative
1. Introduction
The board has declared an interim distribution for the period ended 31 March 2017, by way of the issue of fully paid 
Life Healthcare Group Holdings Limited ordinary shares of 0.0001 cent each (the Scrip Distribution) payable to 
ordinary shareholders (Shareholders) recorded in the register of the Company at the close of business on the Record 
Date, being Friday, 30 June 2017.
Shareholders will be entitled, in respect of all or part of their shareholding, to elect to receive a gross cash 
dividend of 35 cents per ordinary share in lieu of the Scrip Distribution, which will be paid only to those 
Shareholders who elect to receive the cash dividend, in respect of all or part of their shareholding, on or before 
12:00 on Friday, 30 June 2017 (the Cash Dividend). The Cash Dividend has been declared from income reserves. 
A dividend withholding tax of 20% (2016: 15%) will be applicable to all shareholders not exempt therefrom after 
deduction of which the net Cash Dividend is 28.0 cents per share.
The new ordinary shares will, pursuant to the Scrip Distribution, be settled by way of capitalisation of the Company´s
distributable retained profits.
The Company´s total number of issued ordinary shares is 1 440 939 874 as at 11 May 2017. The Company´s Income Tax 
reference number is 9387/307/15/1.
2. Terms of the Scrip Distribution
The Scrip Distribution will be done at a 2.5% discount to the 15-day volume weighted average price (VWAP). The number 
of Scrip Distribution shares to which each of the Shareholders will become entitled pursuant to the Scrip Distribution
(to the extent that such Shareholders have not elected to receive the Cash Dividend) will be determined by reference 
to such Shareholder´s ordinary shareholding in Life Healthcare Group Holdings Limited (at the close of business on the
Record Date, being Friday, 30 June 2017) in relation to the ratio that 35 cents multiplied by 1.025 bears to the VWAP 
of an ordinary Life Healthcare Group Holdings Limited share traded on the JSE during the 15-day trading period ending 
on Monday, 19 June 2017. Where the application of this ratio gives rise to a fraction of an ordinary share, such 
fraction will be rounded down to the nearest whole number, resulting in allocations of whole ordinary shares and a 
cash payment for the fraction. 
The applicable cash payment will be determined with reference to the VWAP of an ordinary Life Healthcare Group Holdings 
Limited share traded on the JSE on Wednesday, 28 June 2017, (being the day on which an ordinary Life Healthcare Group 
Holdings Limited share begins trading `ex´ the entitlement to receive the Scrip Distribution or the Cash Dividend 
alternative), discounted by 10%. 
The applicable cash payment will be announced on Stock Exchange News Service (SENS) on Thursday, 29 June 2017.
Details of the ratio will be announced on the SENS of the JSE in accordance with the timetable that follows.
3. Circular and salient dates
A circular providing shareholders with full information on the Scrip Distribution and the Cash Dividend alternative, 
including a Form of Election to elect to receive the Cash Dividend alternative will be posted to Shareholders on or 
about Friday, 2 June 2017. The salient dates of events thereafter are as follows:
Announcement released on SENS in respect of the ratio applicable to the 
Scrip Distribution, based on the 15-day VWAP ending on Monday, 19 June 2017, 
discounted by 2.5%, by 11h00 on                                                                  Tuesday, 20 June 2017
Announcement published in the press of the ratio applicable to the Scrip Distribution, 
based on the 15-day VWAP ending on Monday, 19 June 2017, discounted by 2.5%, on                Wednesday, 21 June 2017
Last day to trade in order to be eligible for the Scrip Distribution and the 
Cash Dividend alternative                                                                        Tuesday, 27 June 2017
Ordinary shares trade "ex" the Scrip Distribution and the Cash Dividend alternative on         Wednesday, 28 June 2017
Listing and trading of maximum possible number of ordinary shares on the JSE in terms 
of the Scrip Distribution from the commencement of business on                                 Wednesday, 28 June 2017
Announcement released on SENS in respect of the cash payment for fractional entitlements, 
based on the VWAP traded on the JSE on Wednesday, 28 June 2017, discounted by 10% on            Thursday, 29 June 2017
Last day to elect to receive the Cash Dividend alternative instead of the Scrip Distribution, 
Forms of Election to reach the Transfer Secretaries by 12h00 on                                   Friday, 30 June 2017
Record Date in respect of the Scrip Distribution and the Cash Dividend alternative                Friday, 30 June 2017
Scrip Distribution certificates posted and Cash Dividend payments made, 
CSDP/broker accounts credited/updated, as applicable, on                                          Monday, 3 July  2017
Announcement relating to the results of the Scrip Distribution and the Cash Dividend 
alternative released on SENS on                                                                   Monday, 3 July  2017
Announcement relating to the results of the Scrip Distribution and the Cash Dividend 
alternative published in the press on                                                             Tuesday, 4 July 2017
JSE listing of ordinary shares in respect of the Scrip Distribution adjusted to 
reflect the actual number of ordinary shares issued in terms of the Scrip Distribution 
at the commencement of business on or about                                                     Wednesday, 5 July 2017
All times provided are South African local times. The above dates and times are subject to change. Any change will be
announced on SENS.
Share certificates may not be dematerialised or rematerialised between Wednesday, 28 June 2017 and 
Friday, 30 June 2017, both days inclusive.
Competition Commission Market Inquiry
A revised timetable for the Health Market Inquiry was released in December 2016, with a provisional report due in 
September 2017 and the final report due in December 2017. Life Healthcare remains committed to participating in the 
Healthcare Market Inquiry and continues to make detailed submissions on the subject matter.
Outlook
General market conditions in southern Africa are not expected to improve substantially in the foreseeable future and 
we expect continued pressure on acute hospital volumes. The Group is well-positioned to continue driving its 
complementary services business through expansion in southern Africa and through Alliance Medical. The successful 
completion of the rights issue will result in the Group's net debt to EBITDA decreasing to approximately 2.35 times.
In southern Africa, the Group aims to add over 112 acute hospital brownfield beds in the next six months. 
The complementary services business will grow through the addition of 22 mental health beds, 10 renal stations and 
one oncology unit. Further growth will come from the mental health beds added in H1 and at the end of 2016. Pressure 
on costs and occupancies will continue, and the Group has implemented measures to mitigate the impact of these 
pressures and will continue to focus on driving efficiency programmes.
Alliance Medical will continue to execute on its growth strategies in both its existing territories as well as new
potential markets. The roll-out of the PET-CT programme will continue in the UK and the business will start rolling
out the CDCs with an initial focus on six sites. In Germany, the business has acquired Eckert & Zieglers cyclotron 
division for EUR13 million effective May 2017. This extends Alliance Medical's molecular imaging presence in 
Northern Europe and supplements PET-CT scanning services across the region as well as the radiopharmacy facilities 
in the UK and Italy. It creates the largest European integrated radiotracer supply and imaging organisation.
In Poland, Scanmed will continue to focus on improving efficiencies and cutting costs. In addition, Scanmed will focus
the business to benefit from the new NFZ contracts and tenders which are due out in the second half of the year, as 
well as increasing the percentage of business from non-government work.
The Max Healthcare business will continue to focus on driving revenue through increasing the number of operational beds, 
improving occupancies and its channel mix. Max Healthcare will continue to focus on improving operational efficiencies
despite the introduction of regulatory pricing on stents, the introduction of a minimum wage and extended maternity 
benefits. The International Finance Corporation (IFC) is currently in the process of disposing of its 7.5% shareholding 
in Max Healthcare. Both Life Healthcare and Max India will take up an equal share from the IFC at Rs105 per share. 
This will allow Life Healthcare to retain an equal shareholding in Max Healthcare, protect its existing shareholding rights
as well as continuing the partnership with Max Healthcare. Life Healthcare remains excited by the good growth prospects of 
the Indian healthcare market on the back of strong economic growth, a growing middle class, an ageing population and an 
increasing disease burden.
Trading statement for the 12 months ending 30 September 2017
Life Healthcare´s results for the full financial year ended 30 September 2017 are expected to show a decline of more than 
20% in EPS (minimum decline of 31.0 cps) and HEPS (minimum decline of 38.5 cps) from those reported for the financial year 
ended 30 September 2016 (EPS: 154.9 cps and HEPS: 192.5 cps). This is primarily due to the impact of the transaction costs 
as well as the increased funding costs related to the Alliance Medical acquisition and the impairment of Poland.
A detailed trading statement will be released in early October 2017. The forecast financial information on which this 
trading statement is based has not been reviewed and reported on by the Group´s external auditors.
Shareholders are advised that the investors presentation for the six months ended 31 March 2017 and the rights offer 
circular issued in April 2017 are published on Life Healthcare´s website (www.lifehealthcare.co.za).
Thanks
The contributions of the doctors, nurses and employees of Life Healthcare have greatly enhanced the quality of our 
performance. We thank them for their contributions.
Approved by the board of directors on 11 May 2017 and signed on its behalf:
Mustaq Brey             Andre Meyer
Chairman                Group Chief Executive Officer
Executive directors: A Meyer (Group Chief Executive Officer),  
PP van der Westhuizen (Group Chief Financial Officer)
Non-executive directors: MA Brey (Chairman), PJ Golesworthy, ME Jacobs,  
MEK Nkeli, JK Netshitenzhe, MP Ngatane, GC Solomon, RT Vice
Company secretary: F Patel
Registered office: Oxford Manor, 21 Chaplin Road, Illovo
Private Bag X13, Northlands, 2116
Sponsors: Rand Merchant Bank, a division of FirstRand Bank Limited
Date: 12 May 2017
Note regarding forward-looking statements: The Company advises investors that any forward-looking statements or 
projections made by the Company, including those made in this announcement, are subject to risk and uncertainties
that may cause actual results to differ materially from those projected.
LIFE HEALTHCARE GROUP HOLDINGS LIMITED
Registration number: 2003/002733/06
Income tax number: 9387/307/15/1
ISIN: ZAE000145892
Share code: LHC
www.lifehealthcare.co.za
Date: 12/05/2017 07:05:00 Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited ('JSE'). 
The JSE does not, whether expressly, tacitly or implicitly, represent, warrant or in any way guarantee the truth, accuracy or completeness of
 the information published on SENS. The JSE, their officers, employees and agents accept no liability for (or in respect of) any direct, 
indirect, incidental or consequential loss or damage of any kind or nature, howsoever arising, from the use of SENS or the use of, or reliance on,
 information disseminated through SENS.

Source: JSE News Service (SENS)

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