| |
Rm |
2009 |
|
2008 |
|
2007 |
|
| A. |
Cash generated from operations |
|
|
|
|
|
|
| |
Operating profit |
4 447 |
|
3 509 |
|
3 117 |
|
| |
Continuing operations |
3 700 |
|
3 370 |
|
2 990 |
|
| |
Discontinued operation |
747 |
|
139 |
|
127 |
|
| |
Adjustments for: |
|
|
|
|
|
|
| |
Depreciation |
1 161 |
|
1 204 |
|
1 017 |
|
| |
Continuing operations |
1 156 |
|
1 193 |
|
1 007 |
|
| |
Discontinued operation |
5 |
|
11 |
|
10 |
|
| |
Amortisation of intangible assets |
71 |
|
51 |
|
37 |
|
| |
Profit on disposal of property, plant and equipment |
(5) |
|
(28) |
|
(1) |
|
| |
Profit on disposal of subsidiaries |
|
|
|
|
(1) |
|
| |
Profit on disposal of joint venture |
(678) |
|
|
|
|
|
| |
Adjustment on goodwill |
|
|
53 |
|
|
|
| |
Reversal of impairment of land and buildings |
|
|
(17) |
|
(11) |
|
| |
Reversal of impairment of investments and loans |
(31) |
|
|
|
|
|
| |
Impairment of land and buildings |
13 |
|
|
|
|
|
| |
Impairment of investments and loans |
|
|
|
|
25 |
|
| |
Impairment of goodwill |
|
|
1 |
|
24 |
|
| |
Impairment of intangible assets |
|
|
|
|
40 |
|
| |
Share-based payment movements |
32 |
|
(20) |
|
27 |
|
| |
Unrealised net foreign exchange (profits)/losses |
(11) |
|
17 |
|
(31) |
|
| |
(Decrease)/increase in post-retirement benefit obligation |
(15) |
|
(54) |
|
10 |
|
| |
Increase/(decrease) in deferred lease liability |
23 |
|
28 |
|
(1) |
|
| |
Other non-cash flow items |
4 |
|
(9) |
|
|
|
| |
Cash generated from operations before working capital |
|
|
|
|
|
|
| |
changes |
5 011 |
|
4 735 |
|
4 252 |
|
| |
Increase in trade and other receivables |
(578) |
|
(644) |
|
(212) |
|
| |
Increase in inventories |
(46) |
|
(28) |
|
(27) |
|
| |
Increase in trade and other payables |
261 |
|
634 |
|
19 |
|
| |
Decrease in provisions |
(8) |
|
(34) |
|
(58) |
|
| |
|
4 640 |
|
4 663 |
|
3 974 |
|
| B. |
Taxation paid |
|
|
|
|
|
|
| |
Amounts payable at beginning of year |
268 |
|
410 |
|
138 |
|
| |
Charge per the income statement (excluding deferred taxation) |
464 |
|
84 |
|
552 |
|
| |
Acquisition of subsidiaries |
|
|
8 |
|
|
|
| |
Disposal of businesses |
90 |
|
|
|
|
|
| |
Taxation movement through equity |
34 |
|
10 |
|
|
|
| |
Translation of foreign entities |
(6) |
|
24 |
|
(11) |
|
| |
Amounts payable at end of year |
(330) |
|
(268) |
|
(410) |
|
| |
|
520 |
|
268 |
|
269 |
|
| C. |
Proceeds from disposal of businesses |
|
|
|
|
|
|
| |
Property, plant and equipment |
76 |
|
15 |
|
|
|
| |
Intangible assets |
45 |
|
|
|
|
|
| |
Investment in associated companies |
10 |
|
|
|
|
|
| |
Inventories |
11 |
|
|
|
|
|
| |
Trade and other receivables |
171 |
|
|
|
|
|
| |
Long-term debt |
(8) |
|
|
|
|
|
| |
Trade and other payables |
(56) |
|
|
|
|
|
| |
Income tax payable |
(16) |
|
|
|
|
|
| |
Net assets disposed |
233 |
|
15 |
|
|
|
| |
Loan from joint venture |
(59) |
|
|
|
|
|
| |
Non-controlling interest |
|
|
|
|
1 |
|
| |
|
174 |
|
15 |
|
1 |
|
| |
Profit on disposal |
678 |
|
|
|
|
|
| |
Cash proceeds on disposal |
852 |
|
15 |
|
1 |
|
| |
Comprising: |
|
|
|
|
|
|
| |
The Ampath Holdings Trust |
852 |
|
|
|
|
|
| |
Waterberg Lodge (Proprietary) Limited |
|
|
15 |
|
|
|
| |
Cancare (Proprietary) Limited |
|
|
|
|
1 |
|
| |
|
852 |
|
15 |
|
1 |
|
| D. |
Acquisition of businesses |
|
|
|
|
|
|
| |
Property, plant and equipment |
15 |
|
2 365 |
|
4 |
|
| |
Investments |
|
|
4 |
|
|
|
| |
Inventories |
|
|
26 |
|
|
|
| |
Trade and other receivables |
1 |
|
89 |
|
|
|
| |
Cash and cash equivalents |
5 |
|
50 |
|
|
|
| |
Long-term debt |
(15) |
|
(121) |
|
|
|
| |
Short-term debt |
|
|
(66) |
|
|
|
| |
Deferred taxation |
|
|
(318) |
|
|
|
| |
Trade and other payables |
(5) |
|
(284) |
|
|
|
| |
Taxation payable |
|
|
(8) |
|
|
|
| |
Fair value of assets acquired |
1 |
|
1 737 |
|
4 |
|
| |
Non-controlling interest |
|
|
(4) |
|
152 |
|
| |
|
1 |
|
1 733 |
|
156 |
|
| |
Goodwill |
13 |
|
700 |
|
13 |
|
| |
Less: Previously held investment |
|
|
(102) |
|
|
|
| |
Purchase consideration |
14 |
|
2 331 |
|
169 |
|
| |
Less: Amount issued in shares |
|
|
(169) |
|
|
|
| |
Cash and cash equivalents in acquiree |
(5) |
|
(50) |
|
|
|
| |
Cash outflow on acquisition |
9 |
|
2 112 |
|
169 |
|
| |
Comprising: |
|
|
|
|
|
|
| |
City Medical Limited |
6 |
|
|
|
|
|
| |
Thornbury Radiosurgery Centre Limited |
3 |
|
|
|
|
|
| |
Bougainville Private Hospital (Proprietary) Limited |
|
|
6 |
|
|
|
| |
Community Hospital Group (Proprietary) Limited |
|
|
(44) |
|
|
|
| |
Linkwood Clinic (Proprietary) Limited |
|
|
(5) |
|
|
|
| |
Nuffield hospitals |
|
|
2 156 |
|
|
|
| |
Oxford Musculoskeletal Clinic Limited Liability Partnership |
|
|
(1) |
|
|
|
| |
General Healthcare Group Limited |
|
|
|
|
153 |
|
| |
Health Management Technologies (Proprietary) Limited |
|
|
|
|
8 |
|
| |
Netpartner Investments Limited |
|
|
|
|
6 |
|
| |
Rosewood Clinic |
|
|
|
|
2 |
|
| |
Total consideration |
9 |
|
2 112 |
|
169 |
|
| E. |
Cash and cash equivalents and bank overdrafts |
|
|
|
|
|
|
| |
Cash on hand and balances with banks |
803 |
|
1 202 |
|
1 361 |
|
| |
Short-term money market borrowings and bank overdrafts |
(89) |
|
(240) |
|
(461) |
|
| |
|
714 |
|
962 |
|
900 |
|
