Nawaloka Hospitals PLC Annual Report 2015/16
Transcription
Nawaloka Hospitals PLC Annual Report 2015/16
Nawaloka Hospitals PLC Annual Report 2015/16 Pioneering Modern Healthcare mjpetPd kUj;Jtj;jpy; Kd;Ndhbahfr; nraw;gLgtu;fs; Nawaloka Hospitals PLC Annual Report 2015/16 wdfrda.Hd mrud ,dNd''' Health is our greatest wealth... Contents 08 10 12 14 16 Highlights Milestones About this Report Chairman/CEO’S Message Director/General Manager’s Review 18 30 70 103 145 Business Model Management Discussion and Analysis Stewardship Financial Reports Annexes 70 Board of Directors 18 Organisational Structure 30 Financial Capital 74Senior Management Team 104 Annual Report of the Board of Directors 145Independent Assurance Report 40 Investor Capital 108 Report of the Remuneration Committee 147 GRI Content Index 21 Operating Environment 109 Audit Committee Report 23 Goals and Strategies 54 Employee Capital 154 Ten Year Statistical Summary 18 About Nawaloka 24Stakeholders 28 Materiality and Value Creation 36 Intellectual Capital 42 Customer Capital 64 Business Partner Capital 66 Social and Environmental Capital 76 Executive Clinical Management Team 78 Corporate Governance 96 Risk Management 111 Board Related Party Transactions Review Committee Report 102Awards and Accolades 112 Directors’ Responsibility in Financial Reporting 113Independent Auditors’ Report 114 Statement of Financial Position 116 Statement of Profit or Loss and Other Comprehensive Income 117 Statement of Changes in Equity 118 Cash Flow Statement 2 Nawaloka Hospitals PLC Annual Report 2015/16 119 Notes to the Financial Statements 151 Investor Information 156 Quarterly Statistics 157 Corporate Information 158 Notice of Meeting Enclosed Form of Proxy kjH ffjoHlrKfha mqfrda.dñfhda Pioneering Modern Healthcare mjpetPd kUj;Jtj;jpy; Kd;Ndhbahfr; nraw;gLgtu;fs; 30 years ago we pioneered the establishment of the first fully-fledged multi specialty private hospital in Sri Lanka. That pioneering spirit and the eagerness to push boundaries have been the defining characteristics of Nawaloka through the years. Today these qualities are well evidenced by the state-of-the-art medical technologies and inventions – from CT Scanners to the first ever purpose built, equipped and operated cardiac care centre and many more. We see no reason to change this 30-year old entrepreneurial spirit in the years to come. Our Vision “To be the hospital of tomorrow”, to provide quality and safe healthcare to the people whilst maintaining leadership and excellence in the healthcare facility. Our Mission “Healing with feeling” to provide the best quality healthcare in accordance with international standards to the needy in a cost effective, timely and professional manner. Our Purpose We are committed to achieving and maintaining a standard of excellence in all we do. – Excellence in clinical care, service and communication – Collaboration within our Institution and with others who share our mission and goal – Leadership that sets the standards for healthcare today and innovations of the future – Accountability to our patients, community and each other for providing the best services in the most cost-effective way Nawaloka Hospitals PLC fm!rdKsl ñyska;,dj frday, MIHINTALAYA ANCIENT HOSPITAL The architectural plan on this page is that of a hospital built by King Sena II (853-887AD) at Mihintalaya. The plan illustrates a complete hospital complex, with 31 rooms arranged on an elevated platform. These rooms and illustrated areas consist of a consulting room, hot water baths, an outer court, inner verandah courtyard, a shrine room and a room for medicinal baths. The ruins seen today speak of an advanced medical ‘culture and discipline’ that was far beyond its time in history and attest to a well-developed medical system operating within a ‘hospital’ environment. Medicinal trough ^fnfy;A Trej& PLAN OF THE HOSPITAL MONASTERY Rooms for the patients ^l=á fm<& Inner verandah Court yard Shrine room ^nqÿ f.h& Refectory ^odk Yd,dj& Outer court (Communal space) Room for hot water baths Grinding stone ^WKq mekA f.h& ^weUreï .,& Preparation & Storage of medicine Consulting room ^idhkh& ^fnfy;A .nvdj& Entrance fm!rdKsl ñyska;,dj frday, MIHINTALAYA ANCIENT HOSPITAL (ARTIST’S IMPRESSION) This is an artist’s impression of the ancient Mihintalaya hospital complex as it would have appeared in its day. Many scholars have commented on this historic siteProfessor Arjuna Aluvihare wrote, “The oldest archaeological evidence we have so far of a hospital is in the ruins of Mihintale, where the remains of a hospital built in the 9th Century could still be seen”. Heinz E. Muller-Dietz in his publication ‘Historia Hospitalium’ of 1975 describes Mihintale hospital as perhaps the oldest in the world. Ajith Prasanna Kannangara in his study of dermatology, venereology and dermatopathology in different countries, expounded, “A piece of equipment or stamp which is now considered the hallmark for the identification of an ancient hospital in Sri Lanka, is the medicine trough or ‘behethoruwa’”. HIGHLIGHTS Group 2015/16 Rs. Company 2014/15 Rs. Variance % 2015/16 Rs. 2014/15 Rs. Variance % Income Statement Revenue 5,860,218,161 4,602,433,640 27 2,833,195,719 2,497,830,914 13 (2,906,572,342) (2,331,583,775) 25 (1,490,055,615) (1,229,903,547) 21 2,953,645,819 2,270,849,865 30 1,343,140,104 1,267,927,367 94,495,240 65,199,571 45 86,694,974 152,643,920 Profit from Operations 637,208,825 352,342,610 81 201,126,820 375,219,106 (46) Net Profit after Taxation 206,034,228 87,470,836 136 (127,565,499) 89,938,006 (242) 3,994,897,962 3,887,681,839 3 1,466,336,065 1,693,759,266 (13) 50 49 2 47 51 (7) Net Profit Ratio (%) 4 2 110 (5) 4 (225) Return on Capital Employed (%) 5 2 122 (9) 5 (264) Current Asset Ratio 0.89 1.03 (13) 1.83 1.62 Quick Asset Ratio 0.70 0.80 (13) 1.75 1.53 2 1 Debt/Equity Ratio 1.27 0.84 51 3.21 1.78 81 Earnings/(Loss) per Share (Rs.) 0.15 0.06 142 (0.09) 0.06 (242) Net Assets per Share (Rs.) 2.83 2.76 3 1.04 1.20 (13) Dividend per Share (Rs.) 0.07 0.06 17 0.07 0.06 17 Interest Cover Ratio (Times) 1.71 1.24 38 0.57 1.35 (58) 46.67 96.68 (52) (77.34) 94.03 (182) Cost of Services Gross Profit Other Operating Income 6 (43) Balance Sheet Data Shareholders’ Funds Financial Ratios Gross Profit Ratio (%) Return on Assets (%) Dividend Payout Ratio (%) 98 Net Profit (Rs. Mn) Gross Profit (Rs. Mn) 500 3,000 400 2,400 300 1,800 200 1,200 2011/12 2012/13 2013/14 2014/15 2015/16 0 2011/12 Net Asset per Share (Rs.) Revenue (Rs. Mn) 3.0 6,000 2.4 4,800 1.8 3,600 1.2 2,400 0.6 0 8 2 14 (206) 600 100 0 (2) 13 2012/13 2013/14 2014/15 2015/16 2012/13 2013/14 2014/15 2015/16 1,200 2011/12 2012/13 2013/14 2014/15 Nawaloka Hospitals PLC Annual Report 2015/16 2015/16 0 2011/12 Negombo Hospital successfully completed 1st year of operation Construction of new car park building in progress Passed 11,000 heart surgeries with 100% recovery Successfully completed over 41,000 Angiogram with PTCA Cosmetic Centre successfully completed 1st year Achieved 22,000 Bone Marrow transplant 100% recovered 11 patients with 2 Leukaemia patients Upgraded the Endoscopy with latest technology 1st time in Sri Lanka Upgraded the Chemotherapy treatment (Cancer Patients) with latest safety procedure Introduced Fibro Scan to quantify liver fibrosis Passed 16,000 operation theatre surgeries during the year Return on Capital Employed (%) Shareholders’ Funds (Rs. Mn) 5,000 15 4,000 12 3,000 9 2,000 6 3 1,000 0 births in total 2011/12 2012/13 2013/14 2014/15 2015/16 0 2011/12 2012/13 2013/14 2014/15 2015/16 Annual Report 2015/16 Nawaloka Hospitals PLC 9 MILESTONES 1985 1992 2000 zzEstablished zzFirst zzWe as the first fully-fledged private hospital in Sri Lanka zzFirst Intensive Care Unit in a private hospital Mammography Unit in Sri Lanka 1993 zzFirst Minimally Invasive Laparoscopic Surgery in Sri Lanka became the only ISO-Certified Hospital in Sri Lanka zzAwarded the ‘Baby Friendly Hospital’ status from the WHO and United Nations Children’s Fund 1994 zzFirst Cardiac Catheterisation Laboratory in Sri Lanka zzFirst Coronary Artery Bypass Surgery Unit in a private hospital 1987 zzFirst 2005 CT Scanner in Sri Lanka zzMade significant advances in Neuro Surgery and Cardiac Surgery zzIntroduced Laser Eye Surgery zzTogether 1995 zzFirst MRI Scanner in Sri Lanka 1998 zzWe are the only Hospital to win the Sri Lankan National Quality Award with our Indian affiliates, introduced a very successful IVF Treatment centre 2006 zzCommenced construction of the new building providing modern surgical units zzComputerising the entire operation of the Hospital 2007 zzFirst to introduce the Flat Panel – Angiography System with state-of-the-art technology zzFirst to introduce a Comprehensive Polysomnography System zzIntroduction of a state-of-the-art Pulmonary testing facility 10 Nawaloka Hospitals PLC Annual Report 2015/16 2008 2011 2015 zzFirst zzCommissioned zzCommenced zzAwarded zzIntroduced to introduce the Arcadis Orbics Isocentric Digital C-Arm X-Ray system for Orthopedics zzIntroduction of Digital Video Endoscopy System 2009 zzFirst Private Hospital in Sri Lanka with 400 beds zzFirst Private Hospital to introduce ERCP (Endoscopic Retrograde Cholangiopancreatography) zzInstalled the most technologically advanced Hemodialysis machine zzFirst Hospital to introduce ‘LED LAMPS’ in Operating Theatres 2010 zzIntroduced 16 slice CT Scanner with all accessories zzNew 4-D Scanner for Radiology and Gynaecology Introduced Ultrasonic Defector first state-of-the-art 3TESLA MRI Scanner in Sri Lanka ISO 9001:2008 Certification zzInaugurated Weight Management Centre zzInaugurated Breast Cancer Screening Centre zzSingle Balloon Enteroscope zzDoppler-Guided Hemorrhoid Artery Ligation and Rectal Anal Repair Bone Marrow Transplant Unit zzInstalled the most technologically advanced Mammography machine zzRetained the ‘Gold’ Award in the healthcare sector at the Annual Report Awards 2014 organised by ICASL zzOnly hospital to be recognised at the ACCA Business Awards 2014 zzInitiated 2012 zzFirst LIVE Donor LIVER Transplant surgery in Sri Lanka zzLaunch of Life Member Hospitality Card the construction of Car Park Building 2016 zzIntroduction of Fibro Scan to quantify Liver Fibrosis zzIntroduction 2013 zzVitro Regional Hospital operations in Negombo Retinal Eye Surgery zzEndovenous (Vericose) Laser Treatment - EVLT zzHigh Definition (HD) Arthroscopy System zzInfant, CPAP Ventilation for Paediatric Intensive Care Unit (PICU) 2014 zzInstalled of Self-Channeling System a new Chemotherapy Machine zzOnly Hospital to be recognised at the ACCA Sustainability Business Awards 2015 zzRetained the ‘Gold’ Award in the healthcare sector at the Annual Report Awards 2015 organised by ICASL zzAchieved 100% success rate in Bone Marrow Transplants zzIntroduced zzInstalled South Asia’s first and world’s fastest, most accurate 640-slice CT scanner zzInstalled a Neuro Navigation System during the year Gold Standard Acu Pulse, a safe, simple CO2 laser, manufactured in the USA, which is the Industry Standard that delivers outstanding results zzCertified as a CarbonConscious® hospital, making it Sri Lanka’s FIRST hospital to achieve this distinction zzApplied for the JCI Accreditation zzInstalled Advanced Lasik Eye Surgical Equipment for Eye Surgery zzIntroduced C-Arm machine for theatre unit Annual Report 2015/16 Nawaloka Hospitals PLC 11 ABOUT THIS REPORT This is our third consecutive integrated Annual Report which effectively and coherently communicates how our strategy, governance, performance and prospects lead to value creation over time. Value creation is a two-way process, as the ability of our business to create sustainable value for itself is also related to the value it creates for its stakeholders. To better demonstrate this duality of our value creation process at Nawaloka, we have seamlessly integrated financial reporting with sustainability reporting. Capital Formation Value creation leads to capital formation. We classify capital that is owned by Nawaloka as ‘internal’ capital, while capital that is not owed as ‘external’ capital. Our internal capital consists of financial capital and intellectual capital. The financial capital is reported mainly in our Financial Statements whilst intellectual capital are intangibles like brand image, corporate culture, integrity and specialised knowledge. Our external forms of capital thus centre on key stakeholders and comprise investor capital, customer capital, employee capital, business partner capital and social and environmental capital. Reporting Period The Annual Report 2015/16 covers the 12-month period from 1st April 2015 to 31st March 2016 and is consistent with our usual annual reporting cycle as regards to our financial and sustainability reporting. The previous Annual Report covered the period 1st April 2014 to 31st March 2015. Report Boundary The boundary of this Report entails the affairs and activities of Nawaloka Hospitals PLC including those of its three subsidiaries – New Nawaloka Hospitals (Pvt) Ltd., New Nawaloka Medical Centre (Pvt) Ltd., Nawaloka Medicare (Pvt) Ltd. and joint venture – Nawaloka Metropolis Laboratory (Pvt) Ltd. 12 Nawaloka Hospitals PLC Annual Report 2015/16 Compliance This Report also reflects the Company’s compliance with the laws and regulations of the Companies Act No. 07 of 2007 and the subsequent amendments and Listing Rules of the Colombo Stock Exchange (CSE). The information contained in this Report is in compliance with all applicable laws, regulations and standards as well as guidelines for voluntary disclosures. In particular the Report adheres to the recommendations and guidelines set out by the International Financial Reporting Standards (IFRS) and the Sri Lanka Financial Reporting Standards (SLFRS)/LKAS applicable for financial periods beginning on or after 1st January 2012. The accounting policies adopted are detailed in the Financial Statements. In preparing this Report we have also drawn on the concepts, principles and guidance of the Global Reporting Initiatives (GRI) Sustainability Reporting Guidelines G4, the International Integrated Reporting Framework (December 2013) and the Smart Integrated Reporting MethodologyTM (September 2013) where applicable. Compared to the previous reporting periods, there are no significant changes in the scope and aspect boundaries. Precautionary Principle The Company applies the precautionary principle in relation to social and environmental sustainability. We are highly mindful of the impacts caused to society and environment by our actions and take necessary steps to mitigate such risks and the Company has taken necessary steps to mitigate environmental risks in operational planning and activities. Queries We welcome your comments or questions on this Annual Report. Please contact – The Accountant Nawaloka Hospitals PLC No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 00200, Sri Lanka. Email Address: [email protected] ‘Beheth Oruwa’ ^fnfy;a Trej& was a medical instrument found in the historic Mihintalaya hospital site. The length of it is 7 feet and the width is 2.5 feet which is spacious enough for an individual to lie comfortably for treatments as it is carved in the shape of the human body. Annual Report 2015/16 Nawaloka Hospitals PLC 13 CHAIRMAN/CEO’S MESSAGE Our foresighted aspiration to be ‘The Hospital of Tomorrow’ enables us to provide the most modern cutting edge treatments which go beyond advanced care Positioned as the people’s hospital, we are transforming the care we provide today and preparing for the future Nawaloka set the stage for private healthcare service providers to commence operations in our nation AS CHANGE AND CHALLENGE BRING OPPORTUNITY, NAWALOKA REMAINS WELL POSITIONED TO SUCCEED FAR INTO THE FUTURE 14 Nawaloka Hospitals PLC Annual Report 2015/16 iNdm;s$m%Odk úOdhl ks,Odßjrhdf.a mKsúvh Dear Shareholders, ys;j;a fldgiaysñhks" I warmly welcome you to the 27th Annual General Meeting of Nawaloka Hospitals PLC and present to you the Annual Report for the financial year 2015/16. kjf,dal frday,a mSt,aiS wdh;kfha 27 jk jd¾Isl uyd iNd /iaùug Tn ieu ud b;d iqyo j ms<s.kakd w;r" 2015$16 uQ,H j¾Ifha jd¾Isl jd¾;dj fï iu. bÈßm;a lrkq leue;Af;ñ' Y%S ,xldfõ fi!LH i;aldrl l¾udka;h úma,ùh fjkilg md;% lrñka" 1985 § kjf,dal frday, mßj¾;kd;aul ux fm;la újr lf<ah' by< u ;dlaIK Ys,amSh frda. ks¾Khsh yd m%;sldrl myiqlï j,ska iukaú; úYsIag;ajh imsß uOHia:dkhla f,i wms m;a lf<uq' kjf,dal frday," ck;djf.ka wm ,;a wkqmfïh m%;spdrhka ;=<ska" m%ikak mßirhl iqmsß fi!LH i;aldrhka ,eîu i|yd ;snQ wjYH;dj ukdj úoyd olajk ,§' m%ñ;sh" frda.Skaf.a ;Dma;su;a Ndjh" há;, myiqlï" uQ,H ld¾hidOkh" iqrlaIs;;dj we;=`: ;j;a fndfyda foa ms<sn| j woaú;Sh úYsIag;ajhla we;s lrñka" w;sYhska ÈhqKq frda. ks¾KhSh yd m%;sldrl ;dlaIK Ys,amSh fuka u úfYaI{ ffjoH i;aldrhka o i|yd wms m%fõYhka y÷kajd ÿkafkuq' wmf.a ck;djg ksrka;rfhka u fiajh iïmdokh lsÍug wm ;=< mj;akd lemùu" ck;d mßyrKh i|yd fkdfnda Èklska u újD; lsÍug bÈflfrñka mj;sk r: .d,a lefrk f.dvke.s,a, ms<sìUq fjhs' ck;djg kùk;u fi!LH i;aldrhka y÷kajd§fï wmf.a mqfrda.dó;ajh" zu;= ojfia frday,Z jYfhka wm ¥ro¾YS jQ wNs,dIh u.ska iy;sl lrkq ,en we;' ck;djf.a frday, jYfhka kula Èkd we;s wm úiska" wo ojfia imhkakd jQ o" fyg fjkqfjka iQodkï jkakd jQ o i;aldrhka j¾OkSh fjkilg Ndckh flf¾' fiiq ixj¾Okh fjñka mj;akd rgj,a iu. ixikaokh lsÍfï § Y%S ,xldj ie,lsh hq;= fi!LHuh id¾:l;ajhka ,nd ;sìh §;a" ckúldYkSh yd jix.;-mdol lreKq fya;=fldgf.k isÿ jkakdjQ mßj¾;khkag uqyqK§ug wms iQodkï j isáuq' jhia.; ck.yk j¾Okh" fnda fkdjkakd jQ frda. m%jk;dj by<hdu" ffjoH myiqlï i|yd ixpdrlhkaf.a meñKSu jeäùu wdÈh fulS mßj¾;khkag we;=<;a fõ' wmf.a frda.Ska yd m%cdjka flfrys wm olajk fkdief,k lemùu" fuu jd¾;dj ;=< úoyd ±lafõ' wm úiska w;am;alrkq ,en úfYAI{;djfhka hq;= j Ndú;d lrkakd jQ w;sYh ÈhqKq ffjoH ;dlaIKhka iy ld,dkqrEmS j Ôú; iqrlaIs; lrk yd iEu fokdf.a u fi!LHh j¾Okh flfrk kjuq l%shd ms<sfj;a tys olajd ;sfí' wdh;ksl md,kh" wdpdrO¾u yd ;sridr;ajh ms<sn| m%;sm;a;Ska u; msysgd" wm iud.u wLKAvj u úYsIag m%;sM, Wodlrk njg uu yqfola u iy;sl lrkq leue;af;ñ' fï nj fuu jd¾;dfjys wdh;ksl md,kh yd ;sridr;ajh mßÉfþohkays olajd we;' mßj¾;khka iy wNsfhda.hka ;=<ska j¾OkSh ux fm;a Wodlrkq ,nk fyhska" wkd.;fha § o id¾:l;ajh Èkd .ekSug kjf,dal frday, ie§ meye§ isà' kjf,dal frdayf,a ld¾h uKAv,fha iy úfYaI{ ffjoHjrekaf.a wm%;sy; fiajd iïmdokh yd lemùu ksid fkdjkakg" wmf.a id¾:l;ajh fuka u fjk;a fndfyda ch.%ykhka o w;alr .ekSu myiq fkdjkakg ;sìKs' wmf.a frda.Skag yd Tjqkaf.a mjq,aj, idudðlhskag iEu Èkl u wdo¾Yu;a i;aldrhka msßkeóug Tjqka ork m%h;akhka ms<sn| j uu w;sYhska wdvïnr fjñ' wmf.a fiajd,dNSkaf.a wLKav wkq.%dyl;ajh;a" wmf.a fldgialrejka jYfhka Tn wm ;=< ;nd we;s wp, úYajdih yd j.lSu;a uu ±ä fia w.h lrñ' In 1985, Nawaloka Hospital embarked on a transformative journey that revolutionised the healthcare industry of Sri Lanka. Established as a centre of excellence in high technology diagnostic and curative facilities, Nawaloka set the stage for private healthcare service providers to commence operations in our nation. The overwhelming response we received from the people demonstrated a long felt need for superior healthcare in a pleasant environment. Pursuing unsurpassed excellence in every aspect – quality, patient satisfaction, infrastructure, safety and more, we provide access to most advanced diagnostic and treatment technologies and expert medical care. Our unwavering commitment to serving our people is reflected in the new car park building which would be opened very soon for public patronage. Our foresighted aspiration to be ‘The Hospital of Tomorrow’ enables us to provide the most modern cutting edge treatments which go beyond advanced care. Positioned as the people’s hospital, we are transforming the care we provide today and preparing for the future. Even as Sri Lanka has made noteworthy achievements in health outcomes compared to other developing countries, we have geared ourselves to face changes brought on by demographic and epidemiological transitions. These changes include the increase in the aging population, rising incidents of non-communicable diseases and the gaining popularity of medical tourism. The unwavering commitment towards our patients and community is evidenced in the pages of this Report. They include our acquisition and expert use of the most advanced medical technology, and the innovative procedures that save lives and improve health of all, in sync with the times. I strongly assure that our Company delivers exceptional results consistently without compromising the principles of corporate governance, ethics and sustainability. This is further reflected in the corporate governance and sustainability sections of this Report. As a responsible corporate citizen, our strategies are aligned with sustainable business practices that balance the needs and aspirations of a multitude of stakeholders. Even as change and challenge bring opportunity, Nawaloka remains well positioned to succeed far into the future. Our success and many other achievements would not have been possible without the hard work and dedication of the staff and the consultants of Nawaloka Hospital. I take great pride in their efforts as they deliver exemplary care to our patients and families each day. I deeply appreciate the continued patronage of our customers and the unwavering confidence and trust placed in us by you; our valued shareholders. chka; O¾uodi iNdm;s$m%Odk úOdhl ks,Odß Jayantha Dharmadasa Chairman/Chief Executive Officer 2016 uehs 25 25th May 2016 Chairman/CEO’s Message Annual Report 2015/16 Nawaloka Hospitals PLC 15 DIRECTOR/GENERAL MANAGER’S REVIEW Sri Lanka’s healthcare industry has seen a rapid transformation in the recent years and we embrace these changes to help people to live healthier lives Our state-of-the-art Nawaloka Metropolis laboratory performs an extensive range of diagnostic tests and is equipped to conduct screening procedures as well With the recent refurbishment and upgrading of technology in the expanded coronary incentive care unit, our heart centre is in par with any international heart centre The newly established fully equipped 75 bed regional hospital in Negombo has made a significant contribution to our image and profitability Benchmarked for quality, Nawaloka Hospitals has gained recognition both locally and internationally as evidenced by the many awards we have won over the years 16 Nawaloka Hospitals PLC Annual Report 2015/16 THE GROUP’S TURNOVER INCREASED BY 27% YEAR ON YEAR The healthcare landscape is changing rapidly along with the aging and growing population. The potential impacts of a growing aging population on Sri Lanka’s healthcare system, workforce and budgets are profound. As a consequence of increased life expectancy, the Non-communicable deceases (NCDs) are also on the rise, in particular, cardiovascular deceases, cancers, asthma, bone deceases and eye deceases, are becoming widespread and persistent health problems. The Health Ministry estimates that 25% of the adult population is already suffering from hypertension and half the population is likely to suffer from diabetes by 2050. However, due to the rising per capita income over the years, there is also a greater demand for better treatment procedures in Sri Lanka. Sri Lanka’s healthcare industry has seen a rapid transformation in the recent years and we embrace these changes to help people to live healthier lives. Being an innovator and leader in healthcare is our responsibility as Sri Lanka’s pioneering private hospital. It is also essential to realize our vision of becoming ‘The Hospital of Tomorrow’. Futuristic technologies were introduced by us, as and when the need arose. The milestones which began from 1985 unravel a fascinating change of events which are detailed elsewhere in this report. They all underscore our commitment to staying at the leading edge of medical technology. Coupled with skillful and compassionate practitioners, we extend a matchless care for even the most complicated medical conditions. We established the first-ever purpose built, state-of-theart Bone Marrow Transplant Unit in the country. We are the first hospital to perform a successful transplant for leukaemia, in addition to bone marrow transplants for thalassaemia patients. I am happy to state that we have not only pioneered cutting edge technology but kept up with the advancements and continually raised the bar of the healthcare industry in Sri Lanka. Percentage of individuals over 60 years is expected to grow at an unprecedented rate. Care of the elderly will be a challenge for the next few decades. Advancements in the field of Geriatric Medicine is of paramount importance to our nation. Hence this year, we developed a specialised unit for the care of the elderly. Incidents of cancer have steadily risen in the past few years to an extent where it has become the second highest cause of hospital deaths in Sri Lanka which is a significant burden for the Government. Screening programmes for early detection of cancers will lead to both better health outcomes and considerable savings in treatment costs. Our state-of-theart Nawaloka Metropolis laboratory performs an extensive range of diagnostic tests and is equipped to conduct screening procedures as well. Along with the growing popularity for wellness and healthier lifestyles, aspects such as weight management, aesthetic and cosmetic surgery care needs are gaining prominence among both males and females. Addressing to this demand, our state-of-the-art Skin Care and Cosmetic Centre was established and board certified professionals providing the best service in par with international standards whilst maintaining strict confidentiality of patients. Cardiovascular diseases are the biggest cause of death in Sri Lanka and has increased to 24% in 2013, according to the World Bank. Pre-empting this fact, we were the first private hospital to establish a cardiac catheterisation laboratory in Sri Lanka, way back in 1994. The success of this pioneering effort spurred the development of cardiac units in the private sector. However, we still remain ahead with our most ultramodern cutting-edge technology, equipment and experienced staff providing 24 hours service to the heart patients in this country. The fact that we have performed over 12,000 open heart surgeries and over 20,000 catheterisation procedures is indeed a remarkable achievement. With the recent refurbishment and upgrading of technology in the expanded coronary incentive care unit, our heart centre is on par with any international heart centre. Sri Lanka is also fast becoming a global healthcare destination offering some of the best available medical treatments. This is evident when considering the increasing patronage by foreign patients in major city hospitals in the country. Our nation has a significant competitive advantage with its highly-skilled and internationally-trained medical doctors and specialists with extensive knowledge and experience. Director/General Manager’s Review We opened our first fully-fledged regional hospital in Negombo a year ago. Not only has this facility provided the people in the region convenient access to world-class healthcare but is positioned as a medical tourism destination as it lies within an area of geographic relevance and importance to tourists. Our aim is to attract high net worth tourists, as an effective way to draw foreign exchange to our country. Our performance during the fiscal year 2016 is noteworthy. The Group’s turnover increased by 27% Year on Year to Rs. 5,860 Mn largely contributed by increased Admissions, Investigation services like Laboratory, Radiology and Surgical services. The newly established fully equipped 75 bed regional hospital in Negombo has made a significant contribution to our image and profitability. The strong brand image we have built over the years, our dedicated team of staff members and the state-of-the-art technology contributed significantly to the performance during the year. The 14 floor building with a multi-storey car park and specialist centre once completed this year will make Nawaloka Hospitals the single largest private hospital complex with 900,000 square feet of built-up area. The new building will have 550 parking spaces, modular channelled consultation chambers, pharmacy, laboratory, radiology services and dedicated areas for wellness centres, diabetes and renal care which will offer exceptional patient comfort and family centred care. Looking forward, the citizens of our country need urgent access to comprehensive medical insurance schemes, which are currently accessible only to a limited sector of the population. This will enable better healthcare to be accessible to more people and to fulfil its growth potential. In addition, the scarcity of trained professional medical staff remains a challenge for the industry as a whole. As the healthcare needs of Sri Lanka grow, matching the demand for trained medical professionals, and nurses remains an obstacle. Shortage of skilled workforce is a major hindrance to healthcare development in Sri Lanka. Benchmarked for quality, Nawaloka Hospitals has gained recognition both locally and internationally as evidenced by the many awards we have won over the years. We are extremely proud to work with our committed, dedicated and talented staff of professionals who bring life to our vision and mission. Finally my deep appreciation goes to our customers, medical staff, business associates and other stakeholders for the continued loyalty and trust placed on Nawaloka Hospitals. Professor Lal Chandrasena Director/General Manager 25th May 2016 Annual Report 2015/16 Nawaloka Hospitals PLC 17 BUSINESS MODEL Founded in 1985, Nawaloka Hospitals PLC, is the first fully-fledged private hospital in Sri Lanka Our own Nurses’ Training School has enabled us to become a key employment generator in the private sector Our pioneering spirit is reflected in the many ‘firsts’ we have introduced to the healthcare sector in Sri Lanka – from the first CT Scanner to the first fully-fledged Cardio-Thoracic Unit and many others Our objective is to ensure premium healthcare is accessible to a wider community of people in our country We mirrored the most reputed hospitals in the region, their expert medical systems and technology platforms ABOUT NAWALOKA Founded in 1985, Nawaloka Hospitals PLC, is the first fully-fledged private hospital established in Sri Lanka. Set up under the visionary guidance of our late Chairman, Deshamanya H.K. Dharmadasa, Nawaloka Hospital paved the way for the proliferation of a vibrant private sector healthcare system in Sri Lanka which was then, state dominated. The Hospital’s ‘reason for being’ is to be a centre of excellence embracing high technology diagnostic and curative facilities supported by excellence in leadership. We mirrored the most reputed hospitals in the region, their expert medical systems and technology platforms. Our aim was to provide the finest healthcare facilities available in the world to Sri Lanka and thereby eliminate the need for the people of our nation to travel abroad to seek specialised medical treatment. Driven by the vision to be the Hospital of Tomorrow, we have gained recognition as a centre of excellence and a preferred healthcare institution in the country. Our pioneering spirit is reflected in the many ‘firsts’ we have introduced to the healthcare sector in Sri Lanka - from the first CT Scanner to the first fully-fledged Cardiothoracic Unit and many others. Our own Nurses’ Training School has enabled us to become a key employment generator in the private sector. We are today truly a people’s hospital serving customers from all walks of life with an ethos that enshrines the ‘healthcare over profit’ philosophy. Nawaloka Hospitals PLC consists of three subsidiaries – New Nawaloka Hospitals (Pvt) Ltd., New Nawaloka Medical Centre (Pvt) Ltd., Nawaloka Medicare (Pvt) Ltd. and one joint venture – Nawaloka Metropolis Laboratory (Pvt) Ltd. Nawaloka Hospital was listed on the Colombo Stock Exchange in 2004. ORGANISATIONAL STRUCTURE Nawaloka Hospitals PLC New Nawaloka Hospital (Pvt) Ltd. New Nawaloka Medical Centre (Pvt) Ltd. Fully Owned Subsidiaries Nawaloka Medicare (Pvt) Ltd. Nawaloka Metropolis Laboratories (Pvt) Ltd. 18 Nawaloka Hospitals PLC Annual Report 2015/16 Joint Venture ‘Kuti Pela’ ^l=á fm<& was the second section of the hospital consisting of a house of statues with chambers, surrounded by compound in the centre. There are 27 chambers, all connected with a passage open to the compound in the centre, designed to give both physical and mental wellness to patients. Annual Report 2015/16 Nawaloka Hospitals PLC 19 Sri Lanka remains ahead of its regional peers in terms of health indicators largely due to the Government’s policy of providing free universal healthcare The private sector adopts the most advanced medical technology in the world The number of private hospitals registered stood at 241 by end of 2015, with a capacity of 5,883 beds The total Government expenditure on health had increased to Rs. 177.8 Bn in 2015 ‘Baraniya’ ^nrKsh& was a Persian vase found in the Mihintalaya historic hospital site. It belongs to 9th century A.D. approximately. This was used to store medicine. 20 Nawaloka Hospitals PLC Annual Report 2015/16 OPERATING ENVIRONMENT The Global Economy Global economic activity remained subdued in 2015 and is estimated to have grown by 3.1% in 2015, with 1.9% growth for advanced economies and 4.0% growth for emerging market and developing economies. Growth in emerging market and developing economies accounted for over 70% of global growth, however, declined for the fifth consecutive year. A modest recovery continued in advanced economies. The recession in Russia in 2015 was broadly in line with expectations and conditions worsened in most other Commonwealth of Independent States (CIS) economies. This was consequent to the, spillover effects from Russia as well as the adverse impact of lower oil prices on net oil exporting countries. Global industrial production, particularly of capital goods, remained subdued throughout 2015. This weakness was consistent with depressed investment worldwide-particularly in energy and mining-as well as the deceleration of China’s manufacturing activity. Global growth is projected to remain modest in 2016, at 3.2%, before picking up to 3.5% in 2017. Emerging market and developing economies will still account for the lion’s share of world growth in 2016. The proliferation of chronic diseases, in part, is a consequence of increased life expectancy which has serious repercussions in both developed and emerging countries. Non-Communicable Diseases (NCDs) such as obesity, cardiovascular diseases, hypertension, and dementia are becoming persistent. The widespread health problems related to NCDs in particular will be challenging public health systems to meet increasing demand for drugs and treatments. The health sector needs to strengthen its healthcare organisation, provision and regulation not only to deliver services effectively and efficiently, but also to provide quality care and guarantee patient satisfaction. The Local Economy The Sri Lankan economy grew by 4.8% in 2015 marginally lower than the 4.9% growth recorded in 2014. The growth of the export sector was impacted by slowdown in the growth of demand in Sri Lanka’s traditional export markets. However, the strengthening US economy prompted short-term capital outflows. The lower international commodity prices offset the impact of these developments to a certain extent during the year. The economy benefited by the increased tourist arrivals and higher spending by tourists. Inflation based on CCPI (2006/7=100) remained below mid-single levels. Inflation Based on CCPI (%) 10 8 6 4 2 0 2011/12 2012/13 CCPI Annual Average 2013/14 2014/15 2015/16 CCPI Year on Year The Industry Sri Lanka remains ahead of its regional peers in terms of health indicators largely due to the Government’s policy of providing free universal healthcare. However, the industry faces numerous challenges such as the increase of NCDs owing to the ageing population and dietary and lifestyle changes, the ongoing epidemiological transition, resource constraints and the need to improve the quality of healthcare facilities. Recent developments such as the increased demand for fast food has reduced the demand for organic food exerting a negative impact on organic farmers. This has led to a reduction of supply of healthy food in the long run. Additionally, consumption of fast food leads to unhealthy lifestyles and also increases the probability of high blood pressure, cholesterol and cancers. The increased number of women in the workforce impacts the society at large. As a result, there has been a rise in the consumption of convenient foods and children getting less attention from their parents. In addition, the continuous use of chemicals in agriculture has increased the tendency of kidney diseases to an alarming rate. The Government is moving towards organic products and carbon neutral products to reverse this trend. There is a high demand for health-related services as well. However, due to unaffordability and lack of education, the process of increasing carbon neutral products is still in progress. The Private Sector and the Industry The private sector mainly consisted of a few leading hospital chains and a large number of small regional players. The capacity concentration is moderate, with the top five hospitals accounting for close 45% of the private healthcare sector. Sri Lanka’s private hospitals are poised for strong growth, with one of the world’s fastest-growing, ageing populations, rising incidence of non-communicable diseases (NCDs) and the increase in per capita income. The private sector adopts the most advanced medical technology in the world and its dependence on medical technology cannot be overstated. The technology of these medical equipments needs to be upgraded, every three years on average to keep abreast of the latest medical advances and also in compliance with best practices. Business Model Annual Report 2015/16 Nawaloka Hospitals PLC 21 The majority of pharmacies are privately run and there is a high degree of bargaining power among pharmaceutical suppliers. This has posed challenges to the hospital services due to continuous supplier evaluations and vendor management. As per the available statistics, more than half of all Out Patients Department (OPD) patients seek treatment at private sector healthcare institutions. In addition, a substantial number of state sector medical personnel are routinely engaged in some part of part-time private consultancy. Contribution of Private Hospitals As per the Central Bank of Sri Lanka, the number of private hospitals registered with the Private Health Services Regulatory Council stood at 241 by end 2015, with a capacity of 5,883 beds. The medical tourism market was a key growth driver for the private sector, especially with the increased tourist arrivals to Sri Lanka. Major Policy Changes in the Health Sector in the Year 2015 In 2015, the Government implemented a number of new health policies to improve the well-being of the general public, whilst taking measures to enhance the quality of healthcare services. In this context, a National Policy and Strategy on Health of young individuals was introduced with the broad objective of addressing the health issues faced by young people in the contemporary society. Also, a National Policy on Alcohol Control was approved by the Ministry of Health incorporating Government’s obligations under the World Health Organisation’s (WHO) Global Alcohol Policy Initiative and the WHO Global Plan to reduce mortality caused by NCDs by 25% by 2015. To ensure that necessary medical drugs and devices of high quality are available at affordable prices all over the country, the Parliament approved the National Medicines Regulatory Authority Act in March 2015. Sri Lanka’s Healthcare Sector Performance The universal healthcare and the robust public health network across the country has enabled Sri Lanka to make a noteworthy achievement in health outcomes compared to other developing countries. Private Sector – Beds (Nos.) Sri Lanka has performed well in areas of child mortality, maternal mortality, reproductive health and combating epidemics, such as Malaria. This is evident by the decline in maternal mortality rate from 92 deaths per 100,000 live births in 1990 to 30 in 2015. The child mortality rate too has declined from 21 per 1,000 live births in 1990, to 10 in 2015. Whilst institutional deliveries have improved to almost 100%, the coverage of Rubella vaccination, Tetanus toxoid and Venereal Disease Research Laboratory (VDRL) test are nearing 100%, for expectant mothers. In addition, Sri Lanka qualified as a Malaria-free country as no indigenous cases of Malaria have been reported for three consecutive years. The number of Dengue cases dropped drastically to 29,777 in 2015, compared to 47,502 cases recorded in 2014. The fatality rate also dropped to 0.17% in 2015, compared to 0.21% in 2014. NDCs which include cardiovascular diseases, diabetes, cancer and chronic respiratory diseases are the leading cause of mortality in Sri Lanka. The Sustainability Development Goal (SDG) of reducing premature mortality from NCDs by one-third by 2030 through prevention and treatment and promoting mental health and well-being has helped set targets to mitigate the threat posed by these diseases. The strategy on preventing chronic NCDs includes addressing risk factors, such as smoking, alcohol, obesity, unhealthy diet and sedentary lifestyles, especially in adults and adolescents. The main causes for increasing NCDs in Sri Lanka is the prevalence of smokers, consuming a higher percentage of saturated fats compared to unsaturated fats, high daily intake of salt and added sugar, insufficient consumption of fruits and vegetable-based foods, poor engagement with regular recreational activities and the increased usage of alcoholic beverages. In order to promote the health and well-being of the population, ‘Healthy Lifestyle Centres’ (HLCs) have been established across the country to provide primary healthcare facilities as per the National NCD Policy. Accordingly, there were 814 HLCs island-wide as at end 2015, which provide services to check fasting blood sugar, Body Mass Index (BMI), total cholesterol and blood pressure. To effectively face the issues emanating from NCDs in the future, it is imperative to continue the strategic decisions oriented towards populationbased prevention and clinic and hospital-based care policies. The total Government expenditure on health had increased to Rs. 177.8 Bn in 2015 compared to Rs. 138.4 Bn in 2014 reflecting a Year on Year (YoY) increase of 29%. The Government expenditure on health, increased from 1.35% of Gross Domestic Product (GDP) to 1.55% of GDP in 2015. 6,000 5,500 5,000 4,500 4,000 3,500 22 2013/14 2014/15 Nawaloka Hospitals PLC Annual Report 2015/16 2015/16 Operating Environment Business Model GOALS AND STRATEGIES Regional Expansion 2015 2014 2013 610 601 603 76,781 76,918 74,636 475 484 481 19,429 17,903 17,553 1,017 1,055 1,057 32,272 31,964 30,928 Attendants 8,689 8,215 8,091 Doctor Person Ratio (Population Served by a Doctor) 1,079 1,155 1,175 650 683 662 22,672 22,422 21,060 Total Government Expenditure on Health (Rs. Bn) 177.8 138.4 119.5 Current Expenditure 140.6 116.2 99.6 Capital Expenditure 37.2 22.3 19.9 Government (No.) Hospitals (Practicing Western Medicine) Beds Primary Healthcare Units Doctors Assistant Medical Practitioners Nurses Nurse Person Ratio (Population Served by a Nurse) Ayurvedic (No.) Ayurvedic Physicians The Company is planning to invest further in expanding its presence by establishing more regional hospitals across the country. Our objective is to ensure premium healthcare is accessible to a wider community of people in our country due to the lack of medical coverage in certain regional areas. Furthermore, we are establishing hospitals in strategic locations specialised to provide services in niche segments of healthcare. Medical Tourism Medical tourism has gained significant recognition in recent years and recorded exceptional performance. Accordingly, Nawaloka achieved significant growth in medical tourism during the reporting year. There was a steady increase in the number of foreign patients who sought specialised medical treatment from the hospital due to affordability and the stateof-the-art medical technology used in diagnosis and treatment. Nawaloka Medicare (Pvt) Ltd., our regional hospital in Negombo is the main hospital that caters towards medical tourism. A greater contribution of medical tourism is expected in deriving future value as we are the only hospital in the South Asian Region which provides certain treatments with the latest technology. The Company is working towards Joint Commission International Accreditation (JCIA) to improve the presence of Nawaloka Hospitals in the global arena. Private Sector – Hospitals (Nos.) 250 Introduction of New Products and Services 240 We have introduced many new services during the financial year in concern, such as the painless and non-invasive fibro scan, the first bone marrow transplant unit, state-of-the-art cosmetic unit, upgrades for the neurological units and further expansions to our laboratory chain. 230 220 210 200 2013/14 2014/15 2015/16 Our action plan is to embrace continuous advancement in medical technology which is a significant aspect of our vision of being the leader of excellence. Business Model Operating Environment Annual Report 2015/16 Nawaloka Hospitals PLC 23 STAKEHOLDERS Our business is significantly impacted by the flow of relationships and influence that we share with many important stakeholders Identifying Stakeholders As a responsible entity we communicate with our stakeholders throughout the year and engaging with them is integrated into our business decision-making processes Our stakeholders are individuals or organisations that interact with us and are significantly affected by our activities, products and services and whose actions can reasonably affect our ability to successfully implement our strategies and achieve our objectives. The strategies and processes of Nawaloka Hospital are driven by a set of values it upholds, which enables the hospital to achieve the desired standard of excellence Our business is significantly impacted by the flow of relationships and influence that we share with many important stakeholders. Therefore, we attach great importance to correct identification and timely engagement with our key stakeholders who contribute immensely to our value creation process. The extent of value creation depends not only on our capabilities but also through the interaction among our stakeholders. In this context, our primary stakeholders are investors, customers, business partners, employees, society and the environment, in which we operate as well as regulators and Government authorities. Our service is under the influence of the nature of interaction we share between our stakeholders. Thus it is important for us to prioritise the stakeholders based on our own mechanism and ensure their needs are addressed appropriately towards deriving optimum value. Engaging with Our Stakeholders As a responsible entity we communicate with our stakeholders throughout the year and engaging with them is integrated into our business decision-making processes. The relationship we foster with them has a direct impact on our business. In formulating our strategic priorities, we consider the full range of topics or aspects that have the potential to impact Nawaloka’s ability to create value over the short, medium and long term 24 Nawaloka Hospitals PLC Annual Report 2015/16 Business Model The mode and frequency of engagement vary depending on the stakeholder group and the nature of a specific aspect to be addressed. These aspects are summarised below: Stakeholder Strategies Mode of Engagement Frequency of Engagement Key Topics Discussed Methodologies Employed to Respond Customers Innovation – New package/new test/ new high technology medical treatment Public relationship officer, social media, corporate website and other forms of ATL (Above the Line) and BTL (Below the Line) advertising Customer counter, Feedback forms Corporate website, Social media Daily Availability of services. The Advantages in terms of pricing, time consumption, quality Meetings by public relationship officers Customer Complaints Management (ISO Procedure) Public Relation Officer, Corporate website, Social media Whenever required Human Resource Development Inbound and Outbound Training Monthly/Weekly Employee engagement Continuous benefit schemes Rewards and recognition Grievance handling Meetings/Workshops Monthly meetings Whenever required Monthly Evaluation Grievance Committee Quarterly Whenever required Employee forums Monthly Social events like employee gettogether/cricket fiesta Operational updates via Emails Annually Service excellence of the hospital Customer network Employees Occupational health and safety and employee welfare Legislation and Regulators Responding to concern raised through Email and letters Customer support desk Whenever required Annually Quality of the services received New services/ technologies introduced Service locations outside NH premises Leadership Skills, Negotiation Skills, Crisis Resolution Skills Operational issues New procedure introduced Customer suggestions and complaints Risk involved in work place Periodic customer satisfaction survey feedback system Quarterly performance appraisal Post meeting feedback Emails Memos Training and awareness Achieving objectives One to one Targets vs. discussion achievements Whenever required Promote voluntary compliance codes Submitting reports Whenever required Private healthcare regulatory council Ongoing dialogue and reviews Adherence to all mandatory regulations Filling reports/returns Annually Legal and compliance department Press releases Corporate website Whenever required Whenever required Adherence to environmental regulations Taxes Other mandatory requirement Business Model Stakeholders Annual Report 2015/16 Nawaloka Hospitals PLC 25 Stakeholder Strategies Mode of Engagement Frequency of Engagement Key Topics Discussed Suppliers Laid down supplier selection policy Meetings Weekly meetings Tender procedure that optimises the level of competition throughout the supplier selection process Ethical sourcing practices Local sourcing and inclusive sourcing policy Effective dispute resolution mechanism News Papers, Emails Tender Committee Whenever required Prices, New products Ongoing dialogue and delivery local time Tender Committee meetings On time delivery Site visits Whenever required Services and periodic maintenance Contractual performance Community development and capacity building Education and literacy Sponsorships Whenever required Whenever required Health and nutritional development of society Participation in public events Press conferences Medical campaign Enhancing water Awareness programme and sanitary facilities Mainly dialogues and communications Promoting health through letters and of the schools e-communications Enhancing facilities Direct communication of the general with the consultants hospitals Ethical sourcing Call centre Whenever required Innovation – New package/new test High technology Annual General Meeting Media both ATL and BTL Annually Society Investor Quality Upgrading of equipment Whenever required Whenever required Annual Report Annually Quarterly Report Quarterly Announcements to stock exchange Press conferences Whenever required Whenever required Consultants Modern Technology Individual meetings Whenever required Customer network Consultant forum Monthly basis Service excellence of the hospital 26 Methodologies Employed to Respond Nawaloka Hospitals PLC Annual Report 2015/16 Governance of the Company Advantages of the new machine, time consumption Financial and non-financial performance and improvement of CSR activities Quarterly financial performance AGM Annual Reports Meetings Changes and improvement of governance Shareholder benefits Availability Ongoing dialogue of facilities Time schedules for practice New Technologies available in the global arena Contribution to the Hospital Consultant payments Additional facilities required Stakeholders Business Model ‘Abarum Gala’ ^weUreï .,& was a granite stone used for grinding medicine. This was used to prepare ingredients or substances by crushing and grinding them into a fine paste or powder. The hardness of granite was adequate to crush the substance and its cohesiveness prevented small particles of it being mixed with the ingredients. Annual Report 2015/16 Nawaloka Hospitals PLC 27 MATERIALITY AND VALUE CREATION External Initiatives Material Aspects Nawaloka Hospital has memberships and affiliations with the following institutions; through which it maintains external dialogues-on related aspects of the business: In formulating our strategic priorities, we consider the full range of topics or aspects that have the potential to impact Nawaloka’s ability to create value over the short, medium and long term. The extent of materiality of the aspect depends on its relevance and importance. The importance of an aspect depends on the magnitude of its impact and the probability of its occurrence. zzThe Association of Accounting Technicians of Sri Lanka (Accredited Training Partner) zzEmployees Federation of Ceylon zzCertified Management Accountants of Sri Lanka zzInstitute of Certified Professional Managers of Sri Lanka Values We Live By The strategies and processes of Nawaloka Hospital are driven by a set of values it upholds, which enables the hospital to achieve the desired standard of excellence. zzBe a forerunner in setting standards for current paediatric care and innovations of the future. zzAlways pursue excellence in clinical care, service and communication. zzCollaborate within our Institution and with others who share our mission and goals. zzBe a pioneer in setting standards for current paediatric care and innovations of the future. zzAlways be accountable to our patients, the community and to each other in providing the best service in the most cost effective manner. An aspect can be material from both perspectives; the hospital and its stakeholders. Therefore, Nawaloka has developed a two dimensional materiality matrix, which takes into consideration both perspectives in concern. We have mapped the economic, social and environmental aspects which are considered material to both Nawaloka and its stakeholder. Materiality Matrix High Institute of Chartered Accountants of Sri Lanka (Accredited Training Partner) 6, 8 Medium Sri Lanka-Malaysia Business Council zzThe 2, 3, 4, 7, 13, 15, 17, 25 1, 5, 9, 10, 11, 12, 14, 16, 18, 19, 20, 21, 22, 23, 24, 26, 27 Low Private Hospitals Association of Sri Lanka zzThe Importance to Stakeholders zzThe Low Medium High Importance to Nawaloka 28 Nawaloka Hospitals PLC Annual Report 2015/16 Stakeholders Business Model No. Aspect Indicators Importance to Nawaloka Importance to Stakeholders 1 Economic Performance G4-EC1 G4-EC2 G4-EC3 G4-EC4 High High 2 Market Presence G4-EC6 Medium Medium 3 Indirect Economic Impacts G4-EC8 Medium Medium 4 Procurement Practices G4-EC9 Medium Medium 5 Materials G4-EN1 High High 6 Energy G4-EN6 Medium High 7 Water G4-EN8 Medium Medium 8 Effluents and Waste G4-EN23 Medium High 9 Employment G4-LA1 High High G4-LA4 High High G4-LA6 High High High High Medium Medium G4-LA2 G4-LA3 10 Labour Management Relations 11 Occupational Health and Safety G4-LA7 12 Training and Education G4-LA9 G4-LA10 G4-LA11 13 Diversity and Equal Opportunity G4-LA12 14 Equal Remuneration for Women and Men G4-LA13 High High 15 Labour Practice Grievance Mechanism G4-LA16 Medium Medium 16 Non-Discrimination G4-HR3 High High 17 Freedom of Association and Collective Bargaining Power G4-HR4 Medium Medium 18 Child Labour G4-HR5 High High 19 Human Right Grievance Mechanisms G4-HR12 High High 20 Local Communities G4-SO1 High High 21 Anti-Corruption G4-SO3 High High 22 Anti-Competitive Behaviour G4-SO7 High High 23 Compliance G4-SO8 High High 24 Customer Health and Safety G4-PR1 High High 25 Product and Service Labelling G4-PR5 Medium Medium 26 Marketing Communications G4-PR6 High High High High G4-PR2 G4-PR7 27 Customer Privacy Business Model Materiality and Value Creation G4-PR8 Annual Report 2015/16 Nawaloka Hospitals PLC 29 MANAGEMENT DISCUSSION AND ANALYSIS FINANCIAL CAPITAL Group revenue increased by 27% Year on Year (YoY) Performed over 16,000 surgeries and 550 Coronary Artery Bypass Grafting (CABG) procedures during the year Economic Performance Despite the uncertainties and the challenging operating environment, particularly in the context of the Sri Lankan economy, that prevailed during the year as detailed in operating environment on page 21, we performed extremely well during the year, exceeding the expectations we had set for the year at the beginning. This strong performance is primarily attributed to the close integration we had with all our operating units, from top tier managers to lower level staff. We are pleased to record that we have seen growth across all major operational divisions. Our flexibility to swiftly respond to various requirements of patients is another critical factor behind this exceptional performance. Results of Operations At the Group level, revenue grew by 27% to Rs. 5,860 Mn compared to Rs. 4,602 Mn in 2014/2015. This double-digit growth was made possible as a result of the contribution from new services and new locations such as Bone Marrow, Cosmetic Centre, Operation Theatre and the regional hospital in Negombo. Revenue (Rs. Mn) 6,000 4,800 Total assets of the Group grew by 30% to Rs. 11,198 Mn as at year end 3,600 2,400 1,200 0 Nawaloka was the first private healthcare service provider to be awarded the ‘Baby Friendly’ status by the World Health Organisation and United Nations Children’s Fund 2011/12 2012/13 2013/14 2014/15 2015/16 The mammography unit, LASIK procedure and MRI and CT units made significant contribution towards investigating and diagnosing ailments through the provision of well women packages and surgery. The 640-slice CT scanner aided our cause in excelling in investigations. The success of Nawaloka is attributed to the strong brand image as the pioneer in modern healthcare, the immensely dedicated team members and the state-of-theart technology. Radiology Department which consist 3 Tesla MRI Machine, 640-slice one of the fastest CT machine had contributed to the success of the Company during the financial year too. The Company has continued upgrading theatres to Laminar flow to ensure that Nawaloka is in par with the modern theatre technology. Revenue Composition While the inward contribution continued to be the main driver of revenue, we experienced a shift in the composition of revenue in favour of Outward Contribution during the reporting period. The OPD Unit made a significant contribution during the financial year 2015/16, on account of the expansion in channelling. This is mainly due to the convenience and expediency services offered with the use of new technology and systems in place. 30 Nawaloka Hospitals PLC Annual Report 2015/16 Revenue Composition (%) 1985 Inward 59 Outward 41 The profit from operations had increased substantially compared to the last year as a result of decrease in cost of sales, administration and other costs and an increase in other income. Despite the constraints such as the steady increase in inflation, the acute shortage of healthcare professionals and intense competition, Nawaloka recorded a noteworthy performance in the year under review. The following control mechanisms were implemented to ensure efficient cost management: zzEmployee awareness campaigns were implemented through meetings and circulars to ensure better use of Company resources. zzProcurement Managers were placed at key points providing performance based incentives to ensure aligning cost efficiency policies with decision-making. zzSupplier selection policy is revisited to ensure greater emphasis placed on transparency and cost reduction. Despite the intense competition in the healthcare sector in Sri Lanka, Nawaloka Medicare (Pvt) Ltd., recorded a steady performance during the financial year and made a positive contribution to the Group being the first regional hospital located in Negombo. From a single building in Colombo we began our journey of revolutionising the healthcare industry of Sri Lanka. Over the years we have expanded our operations, widened our service offer and geographical cover to serve a wider population of our country. Here’s how we expanded our presence over the years 1985 -Nawaloka Hospitals PLC 1995 -New Nawaloka Hospital (Pvt) Ltd. 2007-New Nawaloka Medical Centre (Pvt) Ltd. 2014 -Nawaloka Medicare (Pvt) Ltd. (Negombo) 2017 -Car Park – Proposed to be completed This indicates the confidence of the public in our services and motive of providing superior healthcare towards being the hospital of tomorrow. Other Operating Income The gross profit margin of the Group increased by 1% from 49% in year 2014/15 to 50 % in 2015/16. The growth was as a result of setting challenging targets to each department and establishing a monitoring mechanism to provide due diligence. Proportionate to the revenue, all costs including cost of sales, administration expenditure and staff cost declined. Other Operating Income (Rs. Mn) 100 80 60 40 20 0 2011/12 2012/13 2013/14 2014/15 Management Discussion and Analysis Financial Capital 2015/16 Annual Report 2015/16 Nawaloka Hospitals PLC 31 Financial Position Radiology and Imaging Sciences In terms of financial position, total assets of the Group grew by 30% to Rs. 11,198 Mn as at 31st March 2016 primarily as a result of additions to capital work-in-progress on account of multistoried car park project and investment on medical equipment funded primarily through borrowings from the banking sector. Consequently, debt to equity ratio increased from 0.84 in 2014/15 to 1.27 as at 31st March 2016. With the profits retained, the Group net assets per share marginally increased to Rs. 2.86 as at 31st March 2016 compared to Rs. 2.76 a year ago. Being the Pioneer in Modern Healthcare Services, we have left our mark in the aspects of radiology as well. We introduced our third CT (Computed Tomography) scanner in 2014. This Toshiba Aquillion ONE VISION CT scanner is one of the world’s fastest and accurate 640-slice CT scanner available in South Asia providing the following features: zzMotion-free zzNext imaging with routine 0.275 second scanning Generation Quantum Vi detector zzTransform your diagnosis from morphological to functional zzIntegrated dose – reduction solutions assured Business Unit Performance The following section provides a detailed analysis of the performance and trends of the key departments in Nawaloka Hospitals PLC. Surgical Department The features of the above novelty ensure that the diagnosis we perform are accurate and ensures effective decision-making. Furthermore, we introduced the first state-of-the-art 3 Tesla MRI (Magnetic Resonance Imaging) Scanner in Sri Lanka in 2011. This is one of Nawaloka’s most successful departments that have continually proved itself in generating value. The department performed over 16,000 surgeries and 550 Coronary Artery Bypass Grafting (CABG) procedures during the year. The number of surgeries performed during the year reflects that Nawaloka is the preferred healthcare institution in the country, especially with the surge in medical tourism. As a fully-fledged imaging unit, functioning 24/7, manned by radiologists and equipped with state-of-the-art technologies as mentioned above, we have been able to record excellent performance in this department. As in the past, the Surgical Intensive Care Unit (SICU) had the highest occupancy and attributed to the expansion of affordable surgical packages and the product mix on offer, factoring the affordability of the patients. Using this unique formula, the surgical department excelled in pre/intra/post operative care, gaining the confidence of visiting surgeons, prompting a pragmatic shift to major surgical procedures in liver, neuro and vascular. 150 The use of the theatres is optimised by a unique combination of visiting and resident surgeons, while the 24/7 call roster for all major sub-specialties with 24 hour Anaesthetists’ cover is available. All of these factors contributed towards maximising the volume of the surgeries. We have recorded a growth of 30% in cases reported in 2015/16 compared to cases in 2014/15. Operation Theatre Revenue (%) 150 90 60 90 60 30 0 Base Year - 2013/14 2014/15 2015/16 Lasik Department The laser-assisted in situ keratomileusis (LASIK) established in Nawaloka Hospitals PLC is a state-of-the-art solution provider for disorders such as short sightedness, far sightedness, and astigmatism. We are functioning 24/7 and offer emergency and laser treatment. 30 32 120 Taking just 20 minutes to complete, LASIK can most importantly be provided as an outpatient service which ensures convenience, affordability and minimal disruption. 120 0 Revenue from CT/MRI/X–RAY Cases (%) Base Year - 2013/14 2014/15 Nawaloka Hospitals PLC Annual Report 2015/16 2015/16 With the help of highly skilled ophthalmologists and nurses and access to the latest technology, we can provide the patients the best eye care they deserve. Financial Capital Management Discussion and Analysis Nawaloka was the first private healthcare service provider to be awarded the ‘Baby Friendly’ status by the World Health Organisation and United Nations Children’s Fund. Lasik Cases (%) 175 The Nawaloka Maternity Unit provides comprehensive care, from pregnancy through childbirth to after care. Special seminars were organised for ‘Mothers to be’ which were free for all expectant mothers. 140 105 70 35 0 Base Year - 2013/14 2014/15 2015/16 During the financial year 2015/16, we have recorded a 30% growth in cases compared to the year 2013/14 and a 7% growth in comparison to 2014/15. Mammography Unit As the hospital of tomorrow we are constantly on the look out for possible avenues to ensure maintaining our standards and hence, we had introduced the world’s most accurate mammography machine. With an investment of Rs. 48 Mn., the unit recorded a robust increase in the number of cases as follows: Our paediatric unit is equipped with the only PICU (Paediatric Intensive Care Unit) in Sri Lanka and is attended by the top paediatricians in the country. The Maternity Unit was refurbished and promoted via an effective advertising campaign during the year. The Company continues their maternity and paternity for the normal and caesarean patients where all costs are fixed. Admissions (%) 109 106 103 100 97 Mammography Cases (%) 94 250 Base Year - 2013/14 2014/15 2015/16 The Company has performed exceptionally in terms of admissions in the current year and this reflects the trust our patients place on us in relevance to our best healthcare services provided by the most experienced staff. 200 150 100 50 0 Base Year - 2013/14 2014/15 2015/16 As per the above chart, we can confirm that we have performed exceptionally well as there is a 42% growth from the year 2014/15 to 2015/16. Cath Lab Cases (%) 150 120 90 60 Maternity and Paediatric Unit 30 0 Base Year - 2013/14 2014/15 2015/16 Our Cath Lab, the first ever in Sri Lanka demonstrated a steady growth from years 2014 to 2015. A 12% growth was realised in the year 2014/15, and another 12% increase in the year 2015/16. Management Discussion and Analysis Financial Capital Annual Report 2015/16 Nawaloka Hospitals PLC 33 Value Generated and Distributed 2015/16 Rs. 2014/15 Rs. 2013/14 Rs. 2012/13 Rs. 2011/12 Rs. Value Added Revenue Less: Cost of Materials and Services Obtained 5,860,218,161 4,602,433,640 3,993,473,302 4,222,907,733 3,710,878,442 (3,646,563,430) (2,983,613,751) (2,418,803,334) (2,432,734,726) (2,333,546,116) Add: Other Income 94,495,240 65,199,571 64,194,796 44,047,999 30,210,655 2,308,149,971 1,684,019,460 1,638,864,764 1,834,221,006 1,407,542,981 Salaries, Wages, Incentive and Other Benefits 1,151,309,690 968,758,629 832,696,146 865,042,371 717,949,353 Total Employees 1,151,309,690 968,758,629 832,696,146 865,042,371 717,949,353 Interest on Loans and Leases 372,317,361 285,092,893 202,170,943 104,009,192 59,932,975 Total Interest on Loans and Leases 372,317,361 285,092,893 202,170,943 104,009,192 59,932,975 109,218,200 9,176,683 83,783,780 2,832,483 91,418,057 109,218,200 9,176,683 83,783,780 2,832,483 91,418,057 Distribution Value Added To Employees To Lenders To Government Taxation Total Government To Provision Results of Associate Companies – – – – – Impairment Profit/(Loss) – – – – – Revaluation Deficit – – – – – Total Provision – – – – – To Expansion and Growth Excess on Acquisition 469,423,205 351,695,092 303,447,828 265,422,430 267,556,033 Depreciation 205,881,515 69,296,227 216,766,067 596,914,530 270,686,563 Retained Profit/(Loss) 675,304,720 420,991,319 520,213,895 862,336,960 538,242,596 2,308,149,971 1,684,019,460 1,638,864,764 1,834,221,006 1,407,542,981 Total Expansion and Growth Financial Assistance Received from Government A tax exemption was granted to Nawaloka Medicare (Pvt) Ltd. for 6 years commencing either from two years of commencing business or the first year in which profit is reported. A tax exemption was granted to the new Nawaloka Medical Centre for 10 years commencing from 2009 to 2019. 34 Nawaloka Hospitals PLC Annual Report 2015/16 Financial Capital Management Discussion and Analysis ‘Sayanaya’ ^idhkh& was a chamber close to the gate and located in the first section of the hospital. A clinic generally provides outpatient services. Patients are examined at the clinic and then sent to the inpatient unit for treatments if required. Annual Report 2015/16 Nawaloka Hospitals PLC 35 INTELLECTUAL CAPITAL Nawaloka has a storehouse of knowledge, expertise and professional excellence with a history spanning over 30 years Nawaloka is an ethical institution which embraces the highest business principles and integrity which are deployed across the Organisation. It is reflected in every aspect of our operation The Nawaloka brand is 30 years strong and it was built on the ideals of pioneering spirit, integrity, innovativeness, loyalty, quality, affordability, customer satisfaction and the fostering of long-term relationships Intellectual capital comprises the intangible aspects of our Company. This non-financial capital which is accounting for an increasingly significant proportion of the value of our Company includes the corporate culture, organisational knowledge, business ethics and integrity, brand equity likewise. Organisational Knowledge Nawaloka has a storehouse of knowledge, expertise and professional excellence with a history spanning over 30 years. It is the pioneering private, modern healthcare service provider in Sri Lanka, offering premium healthcare solutions at an affordable price. We set up the first Cath Lab Heart Unit in Sri Lanka and made an immense contribution to address heart-related diseases in the country. Over 12,000 cardiac surgery interventions were performed by our professional team during the year. Embracing cutting-edge technology, we introduced the first CT Scanner, MRI Scanner, the latest 640-slice CT Scanner, 4D Ultra Sound Scanner and the Fibro Scanner to Sri Lanka. Our Bone Marrow Unit recorded an exemplary performance by achieving a 100% success rate in all transplants performed. In addition, we are the only hospital in the country to treat leukaemia related Bone Marrow Transplants. The newly established Cosmetic Centre and the Serene Centre showcase our prowess in providing medical solution to emerging healthcare trends. The recognition received by Nawaloka from professional institutions such as The Institute of Chartered Accountants of Sri Lanka (CA Sri Lanka), Association of Chartered Certified Accountants and the Sri Lanka Institute of Training and Development reflect the calibre of our skilled staff. Nawaloka became the first ISO–Certified hospital in Sri Lanka in the year 2000 which speaks volumes of the quality of our systems and procedures. Corporate Ethics Nawaloka is an ethical institution which embraces the highest business principles and integrity which are deployed across the Organisation. It is reflected in every aspect of our operation. The corporate governance section on page 78 to 94 of this Report details our compliance to various ethical and regulatory regimes, enactments, codes and control mechanisms. These are reviewed and updated from time to time to ensure they remain valid and relevant always. Brand Equity The Nawaloka brand is 30 years strong and it was built on the ideals of pioneering spirit, integrity, innovativeness, loyalty, quality, affordability, customer satisfaction and the fostering of long-term relationships. As mentioned, our vision is 'to be the hospital of tomorrow’, to provide quality and safe healthcare to the people whilst maintaining leadership and excellence in the healthcare industry. Thus we would ensure achievement of our aspiration by sustained brand equity development. 36 Nawaloka Hospitals PLC Annual Report 2015/16 Management Discussion and Analysis We have undertaken numerous projects during the reporting year to ensure that our brand equity is geared towards serving future generations and a majority of those constitute medical camps, awareness programmes, corporate sponsorships and other brand building campaigns. Furthermore, our unique culture is a source of enhancing our brand equity as a means of being an exceptional employer and an entity which positively responds to the needs of the local community and the broader stakeholder categories. The reporting year under consideration focused mainly on brand development and enhancing the scope of our market. Brand Platforms Nawaloka’s major brand platforms are – zzPioneering Spirit Centric Culture zzInnovative Services zzInnovative Cutting Edge Technology zzHighest Successful Clinical Outcomes zzReputation of Clinical Staff zzEthical Governance Policy zzFinancial Stewardship zzCost Effectiveness zzStrategic Location zzCustomer IT Capabilities and Developments Description of the Process Business Impact (High/Medium/Low) Remarks OPD Queue Management System (QMS) High Improved public relations and better patient management LAB Queue Management System (QMS) High Improved public relations and better patient management Online Medical and Surgical Package Payment through www.nawaloka.com Hospital Website High Improved services Online Final Bill Payment through www.nawaloka.com Hospital Website High Improved services Automated OPD Consultation Medium Electronic Medical Record for OPD Patients Automated ETU Consultation Medium Electronic Medical Record for ETU Patients Facebook Page and a Group for Nawaloka for Social Network Promotions High Better social network Maintenance Agreement with MIT for Sun Servers and Disk Array High Part of disaster recovery plan Microsoft Windows Licensing High Adhere ethics of industry Introduced Fingerprint for Attendance and Register Points High Improve controls and accurate data Integrated Consultation of OPD, ETU and IPD medium Much more accurate electronic medical records Electronic Discharge Summary High Accurate and efficient electronic medical records Electronic Diagnosis Card High Accurate and efficient electronic medical records New Discharge Procedure for Patients High Minimise the delay and monitor department-wise discharge time User ID/Password Registration – New Format High More security and individual responsibilities has been implemented New System Implementation at Negombo High Growth of business Wi-Fi Facility Medium Improved services Management Discussion and Analysis Intellectual Capital Annual Report 2015/16 Nawaloka Hospitals PLC 37 Description of the Process Business Impact (High/Medium/Low) Remarks New Accounting Software – Tally High Minimise to workload on Final Account preparation New Call Billing System High Automated call system New Fibber Backbone Cablings High Zero down time and fasten the Internet LAN New IT System (ERP Solution) High Better cost and staff controls, greater efficiency and reliability New Virus Guard – Eset Smart Security High Secured Local Area Network (LAN) Heart Centre Website High Market and Promote Hospital Cardiac Centre OPD System High Streamline hospital outpatient caring process Maternity Package System High More efficient system for drug request Automated Blue Card High More accurate and efficient system for nurse station to request drugs from utilities Introducing Privilege Card for Co-operate and Individual Clients In Different Categories Platinum, Gold and Silver High This will facilitate clients with a dedicated counter to serve them on top priority basis and provide them with online service and room reservation Online Appointment Booking through www.nawaloka.com High Patient convenient, more speedy way to access hospital channel appointments SMS Campaign High Improve public relations with awareness Unique Patient Identification Number (UPIN) with Patient Registration High Much accurately identify the patient and history of the patient Document Management System (DMS) High High availability of the scanned documents through network Firewall High Data protection CT/MRI, Di-Com Image Reporting System High Most accurate reporting result HIS Server Migration High From the legacy infrastructure to a new platform Oracle Licensing High Compliant with regulations New Payroll System Medium In-house maintained, easy controlled New PBX and Call Centre Solution High Improve customer service and revenue Doctor Find Touch Screens in Lobbies High Better customer service Hospital Mobile Application High Improve patient’s convenience. Easy access 38 Nawaloka Hospitals PLC Annual Report 2015/16 Intellectual Capital Management Discussion and Analysis Corporate Culture As a company recognised for sustainable human resource management by independent accredited bodies, we are confident in assuring you that our culture is exceedingly customer centric and employee friendly. 1987 Our culture is deemed unique as we explore out of the box strategies to ensure employee satisfaction such as flexible working arrangements, continuous employee training, educational reimbursements, sponsoring employees for seminars to improve skills and capabilities, on site medical care and so on. This is embedded deep in our culture as we take pride in being customer centric and we are always committed towards being the best employer. Procurement Policy The procurement policy of Nawaloka is geared to achieve cost optimisation and operational excellence through efficient and standardised procurement procedures. It is formulated to promote favourable outcomes for the hospital’s economic performance, the environment and the society. The following measures are implemented to ensure the effectiveness of our procurement policy: zzAssess and continuously monitor supplier agreements to ensure they have the proper licenses to operate. zzEstablish a Standard Operating Procedure (SOP) in procurement and vendor management, communicate the SOP to relevant parties and provide the necessary training to staff. zzMaintain an updated vendor master file and implement supplier selection criteria. zzPriorities suppliers with sound environmental and labour policies. zzConduct regular audits to assess suppliers according to defined environmental performance. zzEstablish and update standards to measure performance of suppliers in terms of OTD (On Time Delivery), quality, and rejection. zzEstablish clear roles and responsibilities for procurement staff. zzTrain procurement staff to correctly identify and select suppliers who meet the procedures. zzReview at least three quotations prior to making a purchase decision to ensure an equal opportunity to all suppliers. zzIn addition, the procurement staff are given performance goals, objectives and sustainable procurement aspects for which they are held accountable through their personal development evaluations and assessments. Management Discussion and Analysis Intellectual Capital Constant innovation is the hallmark of Nawaloka Hospitals. We don’t just keep up with technology, but we continually introduce, anticipate and build on advances to ensure our patients receive the finest care available. We are committed to be the ‘Hospital of Tomorrow’. These are some of the ‘Firsts’ we introduced to Sri Lanka 1987 - First CT Scanner 1995 - First MRI Scanner 2010 - Fully-loaded 16 Slice CT Scanner 2011 - Commissioned the first state-of-the-art 3TESLA MRI Scanner 2014 - South Asia’s first and world’s fastest, most accurate 640-slice CT Scanner Annual Report 2015/16 Nawaloka Hospitals PLC 39 INVESTOR CAPITAL The Dividend Policy Market Activity 2015/16 2014/15 Highest Price (Rs.) 3.90 3.90 Lowest Price (Rs.) 2.90 2.90 Year End Price (Rs.) No. of Share Transactions 3.50 2.90 2,690 3,853 No. of Shares Traded 372,106,762 38,729,490 Share Turnover (Rs.) 1,463,392,640.00 132,721,899.60 9.65 12.59 Shares held by public (%) Performance of Nawaloka Share Ordinary Share Information Nominal Value Per Share Rs. 1.00 Market Price per Share (Rs.) 31.03.2016 31.12.2015 30.09.2015 30.06.2015 31.03.2015 31.12.2014 30.09.2014 30.06.2014 High 3.7 3.7 3.9 3.2 3.5 3.6 3.9 3.5 Low 3.1 3.0 2.9 2.9 2.9 3 3.2 3.2 Closing 3.5 3.3 3.6 3.1 2.9 3.3 3.7 3.2 2.83 2.84 2.78 2.8 2.76 2.79 2.76 2.8 Financial Measures Net Assets per Share Key Financial Indicators – Over Five-Year Period Group 2015/16 Company 2014/15 2013/14 2012/13 2011/12 2015/16 2014/15 2013/14 2012/13 2011/12 Financial Ratios Return on Capital Employed (%) 5 2.25 5.35 12.02 8.54 5.31 6.32 15.36 10.18 0.89 1.03 1.11 0.71 0.58 1.83 1.62 1.12 0.53 0.57 0.7 0.80 0.85 0.48 0.42 1.75 1.53 1.01 0.48 0.53 2 1 3 8 5 2 2 7 5 Debt/Equity Ratio 1.27 0.84 0.58 0.25 0.28 3.21 1.78 1.20 0.16 0.20 Earnings/(Loss) per Share (Rs.) 0.15 0.06 0.15 0.32 0.19 (0.09) 0.06 0.08 0.18 0.11 Net Assets per Share (Rs.) 2.83 2.76 2.77 2.67 2.25 1.04 1.20 1.21 1.18 1.06 Dividend per Share (Rs.) 0.07 0.06 0.05 0.05 0.05 0.07 0.06 0.05 0.05 0.05 Current Assets Ratio Quick Assets Ratio Return on Assets (%) 40 Nawaloka Hospitals PLC Annual Report 2015/16 (9) (2) Management Discussion and Analysis ‘Vaidya Mewalam’ ^ffjoH fuj,u& was made out of metal and was used to prepare medicine. Annual Report 2015/16 Nawaloka Hospitals PLC 41 CUSTOMER CAPITAL Our Products and Services Nawaloka offers its customers an extensive portfolio of healthcare services which are premium in quality and interventions that meet a spectrum of healthcare needs of customers with a strong brand identity. These include – Radiology Services Hospital Services Cardiac Services C.T. Scanning Doppler Scanning MRI Scanning Ultra Sound Scanning X Ray Facilities Mammogram OPD Services Consultation Pharmacy Physiotherapy and Rehabilitation Speech Therapy Fully-Equipped ICUs Pain Clinic Immunisation Clinic Home Nursing ETU and Ambulance Service CABG Normal CABG (High risk without IABP) CABG (High risk with IABP) Coronary Angiogram PTCA Angiography ECHO Cardiography ECG, Exercise ECG ENT Services Audiology Clinic Speech Therapy ENT Tymponoplasty EEG Ophthalmology Services Vitrectomy Ultrasound Laser System (TPPV) Vitrectomy Ultrasound Laser System (RP) Fluid Gas Exchange Silicon Oil Removal Repeat TPPV Squint Correction Surgery Keratoplasty Surgery Cataract Eye Package (OPD/Inward) Avesting Eye Injection Special Laser Cataract Package Gynaecology Services Dental Unit Gynaecology – Abdominal Hysterectomy Abdominal Myomectomy Gynaecology – L.S.C.S Gynaecology – Normal Delivery Maternity Packages Diagnostic Laparoscopy Laparoscopy and Dye Test Laparoscopy Adhesiolysis Laparoscopy Sterilisation Laparoscopy Salpingectomy Laparoscopy Cystectomy Laparoscopy Ovarian Drilling Oopherectomy Antenatal Exercise Classes Maternity Awareness Programme Cardiac Units Echo Cardiography, ECG/EEG, Exercise ECG Angiography Other Health Services Ambulatory Blood Pressure Monitor Holter Monitor Sleep Study Carpal Tunnel Release Lung Function Test Dialysis Haemodialysis unit DEXA Scanning Fibro Scan Laboratory services Surgical Services Specialist Consultations Services Serene Health Screening Centre Services Diabetic Centre Sleep Lab Serene Health Screening Centre Fertility Center Centre for Liver Disease Dental Unit Obstetrics and Gynaecology Eye Centre (Lasik) Heart Centre Serene Centre for Weight Management Paediatric Immunisation Unit Serene Breast Cancer Screening Unit Headache Unit Neo Natal Unit Dementia Clinic Preliminary Screen package (Under 40 years) Classic Screening Package (Under 40 years) Premier Packages (Under 40 years) Standard Package (Under 40 years) Comprehensive Screening Package (Over 40 years) Cardiac Screening Package Andropause Check (Over 50 years) Screening Package for Senior Citizens (Over 50 years) Joint Pain and Arthritis Package (Over 50 years) Premarital Screening Package Feminine Package for Teens Diabetic Screening Package Food Handler’s Check Dementia Package 42 Dementia Clinic Nawaloka Hospitals PLC Annual Report 2015/16 Laparoscopic Cholecystectomy Laparoscopic Appendectomy (Open) Appendectomy Haemorrhoids Circumcision TURP Laminectomy Headache Clinic Thoracoscopy Package Laser Varicose Package Sleep Lab Package Enterscopy Day Care Packages – OPD Surgical Packages General Surgery – Appendectomy General Surgery – Circumcision General Surgery – Lap Appendectomy General Surgery – Lap Cholecystectomy Lung/Kidney/Liver Transplants Cosmetic Unit Services Phototherapy Skin Rejuvenation Scar Removal Laser Hair Removal Body Contouring Surgery Hair Transplant Wrinkle Reduction Management Discussion and Analysis Niche Market Products Most of our products are offered to the mass market. However, certain services such as Cosmetic Centre Services and Geriatric Care are extended to a niche comprising high income earners. 1998 Nawaloka Metropolis The only referral laboratory chain in Sri Lanka, Nawaloka Metropolis is a joint venture between Metropolis India and Nawaloka Hospitals PLC. The 5000-sq.ft state-of-the-art facility is attuned with the changing face of the diagnostic market, and continuously strives to upgrade and facilitate a higher quality of service to the people it serves. For doctors and patients across Sri Lanka, Nawaloka Metropolis has become synonymous with reliability and accuracy. Offering an extensive range of services, Nawaloka Metropolis remains committed to innovation and ethical practices. The lab offers world class quality services in – Immunology/Special Chemistry Microbiology zzBiochemistry zzGenetics zzHistopathology zzPreventive Health Check-up zzHome Health Services zzClinical Trial Services zz zz Our overarching ambition is to be the very best in everything we do. Therefore, we continually strive to achieve a level of clinical and service excellence that will raise the bar of the healthcare industry in Sri Lanka. That’s why we work to exceed the most rigorous standards of quality and be the Centre of Excellence. Nawaloka Hospitals is now a benchmark in healthcare and is no stranger to winning awards. The impressive list of awards given below is a testament of the high standards we have achieved 1998 - The only Hospital to win the Sri Lankan National Quality Award 2000 - The ISO-Certified Hospital in Sri Lanka 2011 - Awarded ISO 9001:2008 Certification 2014 - The only Hospital to be recognised at the ACCA sustainability Award 2014 2014 - Certified as a Carbon Conscious® Hospital, making Nawaloka Sri Lanka’s first hospital to achieve this distinction 2015 - The only Hospital to be recognised at the ACCA Sustainability Business Award 2015 Management Discussion and Analysis Customer Capital Annual Report 2015/16 Nawaloka Hospitals PLC 43 Nawaloka offers its customers an extensive portfolio of healthcare services Nawaloka Medicare (Pvt) Ltd. As the pioneer of the private healthcare industry in Sri Lanka, our vision is to lead the healthcare industry by delivering superior services aided by most advanced technology and the best care to our patients The first regional hospital of Nawaloka is a state-of-the art 75 bed hospital in Negombo We offer laboratory services at the doorstep of the patients to enhance convenience The first hospital in Sri Lanka to have won the ISO 9001:2008 Sri Lanka Quality Award and National Business Excellence Award The state-of-the-art 75 bed hospital in Negombo is a subsidiary of Nawaloka Hospitals PLC. It is the first regional hospital of Nawaloka, in the Gampaha District. The Hospital is equipped with three operating theatres, a technologically advanced Intensive Care Unit and an Emergency Treatment Unit; It offers an extensive range of diagnostic and treatment facilities including CT and Ultrasound scanning, ECG, physiotherapy, and dental screening and treatment services as well as a fully-fledged Dialysis Centre. Nawaloka Medicare (Pvt) Ltd., has made a significant impact on the lives of people in the region by providing them with convenient access to world class healthcare and thereby eliminating the need for people to get medical treatment from hospitals in Colombo for their serious health issues. We have contributed to achieve the Millennium Development Goals of the country by meeting the healthcare needs of the local communities. For the 16 months of operations, Nawaloka Medicare has achieved significant milestones - Over 150 visiting medical consultants from different specialties Performed A over 200 successful deliveries customer base of more than 100 corporate clients Completed over 2,500 corporate medical screenings Performed more than 3,000 OPD medical screenings Set up three specialty centres – a fully-fledged orthopaedic surgery facility, an advanced Urology Centre and a state-of-the-art Dialysis Centre Over 44 Nawaloka Hospitals PLC Annual Report 2015/16 2,000 theatre surgeries Customer Capital Management Discussion and Analysis Pharmacy Revenue 2015/16 (%) Over 150 Medical Specialists Visiting the Hospital Covering all Specialities 250 200 150 100 50 Over 6,500 Patients Admitted for Indoor Treatment Nawaloka Medicare (Pvt) Ltd. Achievements for the past 16 months Over 90,000 Channel Appointments Successfully Performed more than 2,000 Surgeries including Total hip replacement, Whipple Surgery and Caesarean Surgeries 0 Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 Theatre No. of Cases 2015/16 (%) 200 160 120 80 40 0 Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 CT Scan No. of Cases 2015/16 (%) Admissions 2015/16 (%) 250 200 200 160 150 120 100 80 50 40 0 0 Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 Channel Appointments 2015/16 (%) 250 200 150 100 50 0 Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 Note: All graphs have been drawn as a ratio considering April 2015 as the base month. Management Discussion and Analysis Customer Capital Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 Our Presence As the trendsetter of the private healthcare industry in Sri Lanka, our vision is to lead the healthcare industry by delivering superior services aided by most advanced technology and the best care to our patients. To make this a reality, we adopt a bottom up approach to obtain the most relevant and effective ideas in the market. We are one of the largest and most sought after employers in the country. Through continuous training we have achieved a high staff retention rate and empowered our employees to perform exceptionally. Therefore, we employ a large number of skilled employees with diverse exposure and skills. One of our objectives is to disperse our facilities island-wide to make them accessible to all citizens. With many medical centres set up across the island we have lessened the burden on the national healthcare system to meet the healthcare needs of all Sri Lankans. Annual Report 2015/16 Nawaloka Hospitals PLC 45 Jaffna District Point Pedro Nelliyadi Puttur Chankanai Moolai Kokuvil Kondavil Thirunelveli Pasayur Main Street Jaffna Town Nallur Thondamanaru Nawaloka Metropolis Laboratories (Pvt) Ltd. Gampaha District Seeduwa Katunayake Pitipana Pohorathota Kochchikade Mukalangamuwa Colombo District Moratuwa Koralawalla Ratmalana Boralesgamuwa Kalubowila Mattakkuliya Athurugiriya Thalagala Juntion Thalawatugoda Mattakkuliya Mulleriyawa Thotalanga Thalwatta Jaffna Killinochchi Mullaitivu Vavuniya Mannar Trincomalee Anuradhapura Puttalam Batticaloa Kurunegala 46 Matale Kandy Negombo Kegalle Gampaha Ampara Colombo Moneragala Galle Galle District Karapitiya Gintota Deveta Morawaka Mapalagama Hikkaduwa Imaduwa Kotapola Udugama Ambalangoda Ahangama Deniyaya Thawalama Balapitiya Weligama Neluwa Elpitiya Pitabaddara Nawaloka Hospitals PLC Annual Report 2015/16 Trincomalee District Eravur Chenkalady Santhyveli Valaichchenai Pesalai Ottamavady Badulla Nuwara Eliya Kalutara Kalutara District Bulathsinhala Raigama Egaloya Wadduwa Agalawatta Bandaragama Pimbura Kalutara Govinna Mahavila Aluthgama Horana Eluvila Dargatown Pokunuvita Nagoda Atalugama Gorakapola Mathugama Millaniya Horana Wathara Polonnaruwa Ratnapura Matara Hambantota Ratnapura District Avissawella Minnana Dala Thalduwa Panukarapitiya Kalawana Yatiyantota Eheliyagoda Hangamuwa Karawanella Kiriella Kuruwita Ruwanwella Ingiriya Dehiowita Kithulgala Nivithigala Batticaloa District Kattankudy Kalmunai Sainthamaruthu Nintavur Sammanthurai Kokadicholai Hambantota District Dikwella Walasgala Ranna Beliatta Gatamanna Weerakatiya Kirinda Embilipitiya Dondra Walasmulla Sooriyawewa Hakmana Middeniya Hambantota Gandara Hungama Ambalantota Customer Capital Management Discussion and Analysis Customer Growth The following graph illustrates the total number of patients who patronised Nawaloka through channelling services compared monthly over two financial years: Nawaloka Cosmetic Unit Total Channelling (Nos.) 50,000 40,000 30,000 20,000 10,000 0 Apr May Jun 2015/16 Jul Aug Sep Oct Nov Dec Jan Feb Mar 2014/2015 Web-Based Channelling This is an illustration of web-based channelling usage over the financial year 2015/16. Web-Based Channeling 2015/16 (Nos.) We are pleased that our recent strategic expansion into the Cosmetology Sector in March 2015 has enhanced our market presence. The Nawaloka Cosmetic Unit offers the following services: zzPhototherapy zzSkin Rejuvenation zzScar Removal 14,500 zzLaser Hair Removal 14,000 zzBody Contouring Surgery 13,500 zzHair 13,000 zzWrinkle 12,500 12,000 Apr May Jun 15 15 15 Jul Aug Sep Oct Nov Dec Jan Feb Mar 15 15 15 15 15 15 16 16 16 Base month April 2015 - 100% Growth in Foreign Customers We achieved commendable results in our efforts to increase our foreign customer base by promoting our services in new markets. As a result, foreign patient admissions increased by 14% compared to the previous financial year. Transplant Reduction All these services are performed under safe and sterile conditions by Board certified professionals including consultant dermatologists, plastic surgeons and an oculoplastic surgeon. We are proud to be the first private healthcare facility to provide state-of-the-art FDA approved full body Phototherapy, CO2 Laser and Diode Laser to Sri Lanka. For example the Gold Standard Acu Pulse, a safe, simple CO2 laser, manufactured in USA is the latest Industry standard that delivers outstanding results. It can be used for 34 aesthetic indications, more than any other CO2 laser available in Sri Lanka. It offers a multitude of capabilities which includes skin rejuvenation, removal of stretch marks, scar removal and wrinkle reduction thus allowing the patient to have flawless smooth skin. Furthermore, Gold Standard Acu Pulse stands out providing quick, painless and much needed personalised treatments for each individual. Our aspiration of being the ‘Hospital of Tomorrow’ had resulted in us committing ourselves to achieving the latest standard. Management Discussion and Analysis Customer Capital Annual Report 2015/16 Nawaloka Hospitals PLC 47 Financial Implications and Other Risks and Opportunities Due to Climate Change Description of Climate Change Classification (Risk/Opportunity) Impact (Both Financial and Other) Management Response Cost of Response Increase in medical tourism as a result of Sri Lanka being perceived as a top tourist destination Opportunity Increases the revenue potential that could be derived from foreign customers Enhanced marketing response to promote brand image Marketing and advertising expenditure Investment on capacity improvement to cater to the demand High capital expenditure in expansion Continuous improvement in global standards of medical technology resulting in the need to update medical technology frequently Risk May lose the reputation as the pioneer in modern healthcare Upgrade technology to match the standards Inability to recover the capital expenditure of high-valued machines as they are replaced frequently Increased foreign direct investments and increased emergence of international businesses Opportunity Increases the revenue potential that could be derived from local customers Recruit more staff to cater to the increased demand Increased staff cost Emergence of a market interested in luxury services Increased service opportunities for new clients Staff salary reforms to increase allowances 48 Risk Nawaloka Hospitals PLC Annual Report 2015/16 May face reputational risk and legal implications on failure to comply Ensure new investments for luxury services Enhanced marketing response to promote brand image Investments towards improving capacities to cater to demand Comply with reforms to ensure conformance Increased capital cost in enhancing luxury services Marketing and advertising expenditure High capital expenditure for expansion Increased staff costs Customer Capital Management Discussion and Analysis ‘Unu Pangeya’ ^WKq mekaf.h& had been used from ancient times. It is a special type of treatment with leaves of medicinal plants simmered and the body is exposed to the resulting steam. Annual Report 2015/16 Nawaloka Hospitals PLC 49 Measuring Customer Satisfaction Multistoried Car Park Due to the rapid growth in the scale of our operations, the need for an organised car park emerged. The Management took a prompt decision to build a state-of-the-art car park adjoining the main hospital to address the grievances of customers, employees and the other stakeholders. A wellstructured car parking facility is a critical success factor for efficient operations and deliver value to clients. Having earned the reputation as ‘The Pioneer’ in the industry, we constantly broaden our horizon by pioneering and delivering value to the nation. Therefore, we have ensured this building once completed would be the tallest steel structure in Sri Lanka. The 14 floor building includes six floors of car parking space consisting of 550 parking slots. The remaining floors will house the new modular concept Channel Section, Laboratories, 24/7 Pharmacy, Information Counter and a Physiotherapy Section; each area segregated for patient comfort and safety and deliver additional services. This project is expected to derive a high return as there is a very high demand for parking facilities. Due to the lack of incentive for a project of this nature, it is difficult to find investors who would invest. Considering the vast number of vehicles without parking facilities in the vicinity, we are confident that the parking facility will be fully utilised. The project is in the final stage of completion and has progressed as per the budgeted expenditure and timelines for the reporting period. We are assured that the project will progress in a similar manner until completion in the ensuing financial year. As the ‘People’s Hospital’ we continually strive to provide a superior service that enhance customer value. We have priced our medical products and services affordably and facilitated patients from all walks of life to receive our expert medical care without any discrimination. Our customers are the ideal stakeholders to measure the quality of our service and we value their feedback immensely. Accordingly, we have designed an effective mechanism to measure, evaluate and fine tune our operations to meet their expectations. Several measures were implemented to monitor customer satisfaction – zzNawaloka distributes complaints and suggestion forms to customers/patients at the time of admission. The completed responses are collected when the patients are discharged from the Hospital. This feedback is monitored and committed to a prompt response. The Marketing Division executes the needed action. zzThe Mystery Patient System is implemented to continuously monitor the performance of the employees. This is an effective mechanism to identify lapses in the service delivered to the customers and take corrective action. zzSuggestion boxes were placed in public areas around the Hospital to encourage and welcome customer suggestions about services. zzActive involvement in social network sites to address any concerns raised by our stakeholders. Quality Benchmarked for quality, Nawaloka Hospitals has nurtured an environment which is healthy and safe and implemented a quality management system, compliant with ISO 9001:2008 International Standards. It is the first hospital in Sri Lanka to have won the ISO 9001:2008 Sri Lanka Quality Award and National Business Excellence Award. The standards have been maintained to ensure continuity of the certification and the Hospital is in the process of upgrading to ISO 9001:2015. A strong Quality Management Programme is in place to provide patients with efficient access to healthcare, enhance the departmental clinical and operational quality and thereby achieve 100% patient satisfaction. Quality related data is reviewed regularly by the Quality Improvement and Patient Safety Committee. The Quality Assurance Department maintains and analyses all data pertaining to patient safety and infection control to ensure safety of the patients and staff members. The Nawaloka Metropolis Laboratory is accredited and certified for ISO 15189 by Sri Lanka Accreditation Board. These accreditations have spurred the reliability and accuracy of the test results, conducted at the laboratory. 50 Nawaloka Hospitals PLC Annual Report 2015/16 Customer Capital Management Discussion and Analysis In addition, the 5S Japanese Concept was implemented in year 2014 to improve productivity and streamline the work environment. This 5S concept is followed daily by the Nawaloka employees in the process of their daily tasks. Inter-departmental 5S competitions are conducted annually to motivate staff and sustain the activity. During the year under review, there were no incidents of non-compliance with regulations and voluntary codes concerning marketing communications, including advertising, promotion and sponsorship by type of outcomes. Marketing Communications We believe in portraying the true identity and character of our organisation in our marketing communication processes. Therefore, we strictly ensure that all communications uphold the values we abide by and conform to the regulatory provisions and any other applicable codes of conduct that prevail in Sri Lanka. We keep a close tab on all our communications to ensure they are ethical and are within the bounds of law and good taste. Hence, all medical camps for public, TV and radio advertising, printed media, PR activities and sponsorships are subject to close scrutiny. Since our brand image is highly sensitive to matters related to confidentiality and sensitive data, we conform to the latest information technology security policies as well. The Hospital also conducts other quality related training programmes to improve knowledge, skills and attitudes of staff. We promoted a work improvement culture to implement the 5S concept in the Hospital. The 5S concept has effected a speedy enhancement in the working environment and service quality by involving all the staff members of the Hospital. We have set targets for the Marketing Division which are linked to the ethics of the organisation. Performance appraisal is carried out for ethical compliance as well. There is clear segregation of duties to ensure responsibility and accountability of the decisions made by the Department. Also, all decisions taken are reviewed every quarter to identify and address any disparities. During the year under review, there were no incidents of non-compliance with regulations and voluntary codes concerning marketing communications, including advertising, promotions and sponsorships. Sale of Banned or Disputed Products Product and Service Labelling As a provider of an essential service in the healthcare sector, Nawaloka conforms to the highest standards to provide customers comprehensive information pertaining to the service offered. Therefore, treatments, procedures and interventions are clearly explained at every patient – hospital touch point. When using third party products such as pharmaceuticals, we ensure they are sourced from reputed and reliable suppliers who adhere to the quality and information standards. Management Discussion and Analysis Customer Capital Nawaloka does not provide services which are banned or are against the law of the country. We organise awareness campaigns for the general public on our services and about the developments in the healthcare industry. In addition, we provide continuous medical education and organise events to commemorate days of special significance to health. We strictly abide by the relevant codes of conduct and regulatory codes in doing so. There were no incidence of non-compliance pertaining to the sale of banned or disputed products during the year in review. Customer Privacy As a responsible private hospital in the country, Nawaloka conforms to the norms and regulations pertaining to customer information, its storage and use. Whilst we treat all patient information and records with strict confidentiality, effective measures have been implemented to ensure protection of personal data. Our systems and processes, IT in particular are designed to deliver such protection at all times. Annual Report 2015/16 Nawaloka Hospitals PLC 51 We are pleased to record that there were no complaints regarding breach of customer privacy and losses of customer data during the year under review. Bone Marrow Transplant Unit The following measures have been implemented by Nawaloka to ensure customer privacy. zzOur organisation culture is designed to ensure customer privacy. zzOur clinical staff, nurses and general employees are continuously given training on ethical behaviour to ensure confidentiality. zzElectronic medical records (EMR) to store the patient’s information. zzElectronic Diagnosis Card system to store information. zzStrict enforcement of access controls such as passwords and biometrics. Patient Health and Safety Nawaloka has in place a well-developed health and safety regime to ensure the well-being of patients at every instance. We strictly comply with regulations on health and safety, food and hygiene and all the relevant voluntary codes to avert any incidents that compromise the safety of our customers. Prior to introducing a service to the market, we conduct a comprehensive check to assess its safety. The Internal Audit Division of Nawaloka conducts periodic checks to identify risk exposure, assess the impact and provide recommendations to mitigate. We pride in being the only functioning Bone Marrow Unit that has performed 11 successful bone marrow transplant surgeries. It is the first and only hospital to treat bone marrow transplant surgeries related to Leukaemia as well. We have made a special effort to keep the cost of transplant procedures affordable to a wider cross section of the population compared to other countries. During the year there were no recorded incidents of non-compliance pertaining to patient health and safety. Anti-Corruption/Anti-Competitive Behaviour/ Compliance Corruption exerts a strong negative implication on businesses and it is a common manifestation in South Asian economies. To eliminate exposure to corruption, the Risk Management Committee of Nawaloka Hospitals has put in place a range of controls. We always ensure that ethical principles and integrity are maintained in our business operations. Since, competition helps to develop the industry; we welcome competition and strictly follow fair business practices in our organisation. We are pleased to report that there were no incidents related to the non-compliance of regulations and voluntary codes concerning health and safety impacts of our services. 52 Nawaloka Hospitals PLC Annual Report 2015/16 Customer Capital Management Discussion and Analysis ‘Hunugal Abarum Gala’ ^yqKq.,a weUreï .,& was used to grind medicine. It is made of Calcium Carbonate which is of medicinal value. When ingredients or substances are crushed using this grinder, a small amount of Calcium is also mixed in and is good for the health. Annual Report 2015/16 Nawaloka Hospitals PLC 53 EMPLOYEE CAPITAL Our success is largely attributable to the knowledge, skills and commitment of this closely knit and motivated team We employed a total of 2,157 persons by year end In order to promote mutual trust and promote mutual prosperity, Nawaloka encourages open communication between staff members and management 531 employees were recruited to the Organisation during the year At Nawaloka, we recognise that our employees are our most important asset. They drive our business. Our success is thus largely attributable to the knowledge, skills and commitment of this closely knit and motivated team. We attract best of talent, develop and retain employees of the highest calibre, who are qualified professionals in their respective fields of expertise. We nurture a fair and collaborative workplace that promotes diversity and upholds the highest ethical practices. Healthcare is all about caring for people, hence it is imperative that our employees also be infused by passion, care and integrity for their job, extending an exemplary care to people at all times. The human resource development agenda is geared to develop our people by offering a range of personal and professional development opportunities that enables them to utilise their full potential. We provide equal opportunities for all employees. In turn, we reward performance. Our employees have a strong affinity towards the Organisation and most have been with the Company for long years. As an employer of choice, our human resource practices have gained recognition. Winning the Peoples Award 2014/15 for best practice in human resource development is a testament of this fact. Our Workforce At Nawaloka we employed a total of 2,157 persons by year end, with the composition of gender, age, service period and geographic location, all reflecting the desired levels of diversity. Analysis by Region (%) Central - 5 Sabaragamuwa - 2 Western - 79 Southern - 9 Eastern - 0 Uva - 1 North Central - 3 Northern - 0 North Western - 1 The reduction in employee turnover is a strong indication of the employee friendly status and the increased value generated for our employees 54 Nawaloka Hospitals PLC Annual Report 2015/16 Management Discussion and Analysis Analysis by Gender Analysis by Employee Category Employee Category Female Male Grand Total 1 4 5 Employee Category Executive Female Male Director Executive 52 59 111 General 670 339 1,009 Medical 42 23 Nursing 852 1,617 Grand Total Director Total Female Male 1 4 5 – – – 5 52 59 111 – – – 111 65 General – – – 670 339 115 967 Medical 42 23 65 540 2,157 Nursing 95 86 181 – – 65 115 967 967 1,522 454 1,976 2,157 1,000 1,250 800 1,000 600 750 400 500 200 250 Female General Medical 0 Nursing Director Executive 1,009 – Analysis by Employee Category (Nos.) Executive 1,009 852 Analysis by Gender (Nos.) Director Total Executive Grand Total 0 Grand Total Non-Executive General Medical Nursing Male Age Analysis Employee Category 18-29 Years Female Male 30-50 Years Total Female Male More than 51 Years Total Female Male Grand Total Total Director – – – 1 2 3 – 2 2 5 Executive 18 10 28 17 35 52 17 14 31 111 General 387 123 510 230 169 399 53 47 100 1,009 Medical 3 1 4 28 13 41 11 9 20 65 Nursing 409 45 454 373 61 434 70 9 79 967 Grand Total 817 179 996 649 280 929 151 81 232 2,157 Analysis by Gender (Nos.) Service Analysis (Nos.) 1,000 1,500 800 1,200 600 900 400 600 200 300 0 Director Female Executive General Medical Male Management Discussion and Analysis Employee Capital Nursing 0 Female Less than 10 Years 10 - 20 Years More than 50 Years Male Annual Report 2015/16 Nawaloka Hospitals PLC 55 Service Analysis Employee Category Less than 10 Years Female 10-20 Years Male Total Female Male More than 20 Years Total Female Male Grand Total Total Director – – – 1 2 3 2 2 5 Executive 42 47 89 5 5 10 5 7 12 111 General 538 257 795 85 57 142 47 25 72 1,009 Medical 30 15 45 11 6 17 1 2 3 65 Nursing Grand Total – 613 87 700 143 16 159 96 12 108 967 1,223 406 1,629 245 86 331 149 48 197 2,157 Recruitment and Retention Parental Leave To ensure long-term success we review our staff structures at Nawaloka periodically. We recruits employees based on merit, such as skills, experience and ability, regardless of age, race, gender, religion or ethnicity. Retention of staff is an important area of focus in maintaining operational efficiencies. Our Human Resources team is actively involved in sourcing new talent in the market. We also provide career guidance to the new graduates as a means of our social responsibility. During the year under review our staff strength increased by 2.4% from 2,105 to 2,157 persons. Recruitment by Employee Category and Gender Employee Category Female Male Our high rates of retention and return to work serves in up lifting employee morale as well as productivity. Return to work – 85% Retention Rate – 100% Training and Development Grand Total Director – – – Executive 19 24 43 General 170 96 266 Medical 10 8 18 Nursing 172 32 204 Total Our female employees are entitled to maternity leave. We provide them the opportunity to avail this benefit without any constraints while also facilitating their return to work. 531 Our shared success at Nawaloka is driven by the calibre and performance of our people. We recognise that it is essential to equip our employees at all levels to meet the changing needs in the industry. Training not only enhances the efficiency of employees but helps to build a motivated and highly engaged team that enhances the Company’s competitive position. A range of professional development opportunities including career development, education, talent management and leadership programmes are offered to our employees to realise their career goals. All senior managers of Nawaloka are recruited from within the country. Senior managers include heads of departments. Localised recruitments refer to hires from within Sri Lanka. Significant locations of operations are businesses generating revenue of over Rs. 1 Bn in the year under review. 56 Nawaloka Hospitals PLC Annual Report 2015/16 Employee Capital Management Discussion and Analysis Investment on Training (Rs. Mn) Company-wide training to support professional staff 25 20 Knowledge skill training Training based on staff qualifications 15 OJT 10 5 Self development Advance training for assistant manager staff qualifications Language training Orientation training for newly promoted staff Advance training for specialists Focused OJI with special them 0 2011/12 2012/13 2013/14 2014/15 2015/16 2013/14 2014/15 2015/16 Training Hours (Nos.) 2,500 2,000 1,500 1,000 500 0 2011/12 2012/13 All training needs are effectively identified through the staff performance evaluation process. Training provides an avenue to bridge any gaps identified in the target and actual performance of employees. Orientation training for newly specialists All training programmes are aligned with the long-term goals of the Organisation, staff performance appraisals and career aspirations of employees. Our programmes are of very high quality; they enhance staff motivation and empower our employees to effectively discharge their responsibilities. During the year, Nawaloka provided development opportunities to many categories of employees to ensure continued employability. They included the senior management, medical officers, front office staff, sales and marketing staff, nurses and para-medical staff. Investment on Training Year Cost Rs. Hours 2015/16 23,926,176 2,499 2014/15 21,465,321 2,141 2013/14 19,210,425 1,785 2012/13 14,100,221 1,582 2011/12 13,978,300 1,262 Management Discussion and Analysis Employee Capital Annual Report 2015/16 Nawaloka Hospitals PLC 57 Training Programmes Conducted for the Year Training Programme Internal/ External/ Foreign Main Subject Basic Life Support Internal Cardiopulmonary Resuscitation Palliative Care External Elders Nursing Programme 16 Nurses 2 Lead Auditor Transition Training Programme External Auditor Transition 16 Auditors 7 Basic Life Support Internal Cardiopulmonary Resuscitation 84 Healthcare Workers National HR Conference External HR 18 Front Office Internal Customer Care 36 Front Office The Game of a CFO – Executive Training External CFO 16 Head of Finance Performance Excellence External Quality Standard 18 ISO Team Overseas Training Foreign Sectorial 32 Secretaries to the Chairman DGM Workshop on Energy External Efficiency and Energy Saving Energy Efficiency and Energy Saving 24 Maintenance Department Training Programme Fire Survey and Report External Fire Survey and Report IVF Training Foreign IVF 16 Embryologist Safety External Fire 33 All Employees Nursing Internal Palliative Care 12 PCN Instructional Course External Urology 64 Urology Nurses Embryologist Training Foreign Embryologist 36 Trainee Embryologist 1 Strategic CFO Training External Strategic CFO 8 Director and Head of Finance Auditors Conference External Auditing 9 Auditors Nurses Training Internal Nurses Training Training Hours per Persons 60 9 1,920 To Whom to Conduct No. of Participants Healthcare Workers HR Team Lab Staff Nurses Conducted by Organised by Training Manager HRM Japanese Elders Nursing Programme Head of Finance 9 SGS Lanka (Pvt) Ltd. Head of Finance 178 4 Training Manager HRM 4 6 IPM HRM 163 15 Training Manager HRM Female Male 178 4 1 15 17 1 Sri Lanka Standards Institution ISO Manager 1 Malaysia HRM 2 HRM Chairman Construction Industry Development Authority 18 8 Mr. M.N.P. Harischandra HRM 1 Indian Company HRM 335 49 External Trainer HRM 26 0 Training Manager HRM 8 0 Urology Department HRM India Embryologist Association HRM 2 Strategic CFO Association Chairman 1 2 The Institute of Internal Auditors Sri Lanka Chapter Head of Finance 93 – NTS NTS PRAG Service (Pvt) Ltd. ISO Manager Sri Lanka Accreditation Board HRM Seminar - Disciplinary External Procedure Disciplinary Procedure 8 HR Team Seminar on Supporting the Delivery of Health and Social Care External Health and Social Care 8 Nurses Infection Prevention Workshop Foreign Infection Prevention 16 HR and Medical Superintendant 1 IMEXPO – Sri Lanka External Import and Export 16 Accountant 1 Pre Congress Workshop on Soft Tissue Management in Trauma External Soft Tissue Management 24 Surgeons 2,499 58 Nawaloka Hospitals PLC Annual Report 2015/16 The Institute of Head of Chartered Accountants Finance of Sri Lanka 1 12 3 HRM 1 4 1,044 International Chamber of Commerce Sri Lanka Head of Finance The College of HRM Surgeons of Sri Lanka 130 Employee Capital Management Discussion and Analysis ‘Beheth Gabadawa’ ^fnfy;a .nvdj& was similar to a pharmacy. This is where the preparation and storage of medicine takes place. Annual Report 2015/16 Nawaloka Hospitals PLC 59 Employees are given professional training to equip them with the required skills to better perform their jobs. These include aspects such as patient care, health and safety and resuscitation procedures amongst many. Customised programmes were offered to the senior management, on areas such as knowledge management, change management, and conflict management whilst lower and middle level staff members were trained on aspects such as negotiation skills and task management. Soft Skills Development Interpersonal Skill Self Management Goal Management Innovation and Creativity Conflict Resolution Memory Enhancement Rapport Building Negotiation Skill Anger Management Leadership People Skill Coping Skill Emotional Intelligence Decision-Making Train the trainer Management Skill Personality Development Interviewing Skill Motivation Business Etiquette Presentation Skill Stress Management Attitude & Skill building Team Building Business Communication Art of delegation Assertive Skills Language Skill Change Management Art of influence Employee Engagement As an Organisation which ensures higher degree of work ethics and professionalism, we encourage open communication between management and employees in order to strengthen mutual trust and mutual prosperity. This is further supported by our four basic principles of personnel management. Creating a workplace environment where employees can work with their trust in the Company. zzStable employment where layoff and dismissals are not readily made. zzSteadily maintain and improve working conditions from a medium to long-term perspective. zzEnsure fairness and consistency. Creating a mechanism for promoting constant and voluntary initiatives in continue improvement. zzShare the management mindset and sense of critical urgency through thorough communication. zzReflect working results in working conditions. Given below is an analysis of how the organisation responded to the key topics and concerns raised by employees. Category % of Employees Evaluated Male Female Job related knowledge and skills: 80 89 Quality of work: (Neatness, Accuracy, Creativeness and Timely Action) 91 96 Reliability: (Dependability on him/her) 77 82 Work Attitude: (Co-operation, Sense of responsibility etc.) 92 96 Leadership: (Ability to get a job done) 94 97 Inter-Personal Relationship: (Ability to get on with the staff) 94 94 Public Relations: (Positive relationship with the customer) 98 99 General Conduct: (Observation of Rules and Regulations) 94 98 Carrier Development: (Learning through experience) 91 89 Punctuality: (Unauthorised leave and Absenteeism records) 90 93 A Conducive Working Environment The Company strives to be as inclusive as possible by involving staff in its forward journey. Whilst promoting inter-staff communication, we also offer opportunities for them to offer their ideas and opinions on several aspects of how the Company is run and should develop. We conduct the ‘Nawaloka Nawa Adahas’ programme which optimally captures such staff comments. Employee welfare is enhanced by improving the working conditions and promoting a holistic and balanced lifestyle for employees. As a measure of employee satisfaction Nawaloka welcomes feedback from employees by providing confidential channels through which employee feedback and staff suggestions could be submitted. Quarterly No. of Ideas No. of Ideas Implemented Fully committed and thorough human resource development. zzPromote personal growth through work. 1st Quarter 2nd Quarter Promoting teamwork aimed at pursuit of individual roles and optimisation of the entire team. zzTeam results and creating a sense of unity 8 3 12 4 3rd Quarter 6 2 4th Quarter 10 5 zzThorough consensuses building and achievement in signal trust 60 Nawaloka Hospitals PLC Annual Report 2015/16 Employee Capital Management Discussion and Analysis Grievance Handling An effective mechanism is in place to handle grievances in a transparent, fair, sensitive and expeditious manner. The employee is able to complain with dignity with the assurance of obtaining a fair resolution from an impartial decision-maker. An institutionalised mechanism has also been set up for conflict resolution. The grievances about labour practices filed, addressed and resolved through formal grievance mechanisms are detailed below: Identified and Filed Grievances Priority Addressed Remarks 1. Employee Accommodation High √ Fully-fledged hostel complex 2. Employee Vehicle Parking High √ Extra parking facilities with shuttle services 3. Staff Meals Moderate √ In-house meals provided to departments at a concessionary rate 4. Long Shifts High √ Short hour shift rotations Collective Bargaining and Freedom of Association Remuneration Nawaloka has, over the years, implemented many enablers to encourage employee engagement within the Group. Periodic surveys are conducted to benchmark our remuneration levels against the industry, to ensure an equitable reward system that is also competitive in the market. Our policy on freedom of association and collective bargaining allows formal and informal types of collective bargaining within the Group. All permanent staff members are covered by collective bargaining agreements. Due to the effective transparent policies in place, there were no incidents of violation of freedom of association of employees and collective bargaining during the reporting period. Whistle-blowing Policy The whistle-blowing policy encourages employees to raise concerns and bring any violations on human rights to the notice of the Human Resource Department at an early stage. The performance-based pay implemented at Nawaloka is a transparent process that rewards employees based on the skills, effort, working conditions and the level of responsibility attached to the job. Benefits Offered to Permanent Employees Nawaloka offers an emolument structure that is fair and equitable to all employees across all grades. The pay scales conform to the minimum wage levels established in Sri Lanka. Given below are the benefits offered to our permanent employees. zzFixed Minimum Notice Periods There were no significant changes in the operations during the year under review. However the general policies regarding the operational changes are as follows. Type of Change Minimum Notice Period Transfer Immediate or 2 weeks Termination 1 Month Retirements 3 Months Dismissal Immediate Resignation 1 Month monthly salary, annual bonus-based on the overall performance of the Company, performance based incentives and festival advances zzTravelling allowances, fuel allowances, vehicle allowances, staff loans at concessionary interest rates, reimbursement of membership fees zzHostel/Apartment facilities zzFree medication, ODP medical scheme, death donations and insurance zzForeign zzStaff training meals at concessionary rates and dry ration packs zzMarriage allowance, a discount of 50% on the hospital bill for the first baby, scholarships for children of employees who passed GCE A/Level and O/Levels. For more details on employee defined benefit plan obligations, please refer notes to the financials on page 133 of this Annual Report. Management Discussion and Analysis Employee Capital Annual Report 2015/16 Nawaloka Hospitals PLC 61 Health and Safety Due to the nature of operations, Nawaloka is exposed to a significant level of occupational hazards. Therefore, the Company has designed a hazard identification and mitigation framework to identify, assess, prioritise and manage risk exposure to deliver a secure healthcare system. Before a new service is launched by Nawaloka, it is subject to a thorough risk assessment. This is an assurance that our processes are free from risk exposure. Safety features are embedded in the business process at each level and all staff members are provided with adequate training to ensure employee and patient safety. The following preventive measures are implemented at Nawaloka to minimise occupational hazards: Analysis of Injuries and Occupational Diseases Description % from Workforce Lost Days Absenteeism Rate from Workforce zzProvision zzProvide training on handling medical instruments zzTraining Injuries Occupational Diseases Male 0.5 17 1.0 Female 1.0 35 2.5 0.75 12 1.0 2.5 18 1.1 Male Female Major Risk Involved Safety Measurement Phlebotomist Risk of injuries due to sharp items Regular-training and ISO procedures Nurses All type of communicable diseases Vaccination/ Infection Control Department Doctors All type of communicable diseases Vaccination/ Infection Control Department Janitorial staff Risk of germs/ Chemical allergies Industry accepted safety practices nurses on hygiene factors zzSetting up triage counters manned by qualified and experienced nurses to make an initial determination about the nature and severity of a patient’s illness/injury zzAdopting zzRegular Occupation of surgical gloves and masks to staff members zzOverall special surgical preventive policies supervision by senior medical personnel supervision by Medical Superintendents zzRegular Radiology Staff Radiation risk Following atomic energy authority guide Others Regular evaluation of risk and preventive actions Depend on the situation monitoring by the Medical Risk Management Committee Diversity and Equal Opportunity As an equal opportunity employer, Nawaloka is committed to hiring, developing and promoting individuals who best meet the requirements of the Company. We understand that diversity enrich our human capital and strengthen the collective human talent of the Organisation. We treat employees fairly and with respect irrespective of their ethnicity, gender, race, religion or age. We maintain a workplace that is free from harassment or discrimination on any basis. Therefore, all training programmes are developed based on employees’ strengths and needs, to enable them to perform to their highest potential. Rewards are based solely on competencies, performance, contribution and experience of each staff member. The reduction in employee turnover is a strong indication of the employee friendly status and the increased value generated for our employees. Among the many examples of diversity at Nawaloka, the initiatives taken to create a conducive and enabling work environment for women stands out. We strive to facilitate women to build a career with us by making Nawaloka a workplace that facilitates women to work and raise their families as well. We also prioritise localised recruitment that contributes to sustainable development of the local communities. 62 Nawaloka Hospitals PLC Annual Report 2015/16 Employee Capital Management Discussion and Analysis Gender Equity in Remuneration Our unbiased remuneration policy rewards people irrespective of their gender differences, which speak volumes about the organisational values and human resource ethos. The Ratio of Basic Salary of Women to Men by Employee Category We also offer equal opportunities in recruitment, development and retention of human resources and adhere to the relevant national regulations concerning employees and their interests. Suggestions Received by Year Category Category Director 2015/16 % 2014/15 % 75 73 2013/14 % 67 2012/13 % 2011/12 % 65 60 Managers and Executives 80 79 77 65 62 Clerical and Minor Staff 70 68 60 55 45 Nursing 97 96 90 84 80 Medical Officer 85 84 81 83 77 Non-Discrimination We abide by applicable labour laws and adhere to the regulatory framework pertaining to human resources. During the year, there were no incidents of discrimination reported in our Company. The following measures are implemented at Nawaloka to facilitate equal opportunity and non-discrimination. zzA strong value system that ensures every employee is provided with equal opportunities. zzA performance driven culture where rewards are based on merit. zzContinuous training and rewards for management staff to effectively implement a zero tolerance policy on discrimination. zzA Grievance Management Committee to resolve grievances. zzA whistle-blower policy to address grievances in a timely and appropriate manner. Adhering to Human Rights Nawaloka fully supports basic principles of human rights and has implemented a number of practices throughout the Company to support these principles. These include freedom of association, right to collective bargaining, elimination of child labour and sexual harassment. In addition, we follow best practices on working hours, minimum working age limit and health and safety measures at the workplace. 2015/16 2014/15 2013/14 2012/13 Organisation Oriented 218 195 176 184 Employee Oriented 281 280 282 264 Patient Oriented 326 318 267 249 825 793 725 697 Suggestions Received (by Year) 350 280 210 140 70 0 Organisation Oriented 2012/13 Employee Oriented 2013/14 2014/15 2015/16 Patient Oriented During the year under review, the security personnel were trained on human rights policies, relevant to their operations. Nawaloka being a healthcare Organisation, all operations have been subject to human rights assessment. The medical suppliers who entered into a business agreement with Nawaloka during the year were assessed on their adherence to human rights principles. Child Labour We do not engage children in employment. As a general practice, person below the age of 18 years are not employed in any of our companies. The Human Resource Recruitment Policy has been communicated to all employees to prevent child labour. We do not engage with business associates and suppliers who engage child labour in their businesses. The HR Department has imposed stringent screening procedures to avert recruitment of individuals below 18 years to the Organisation. Therefore, documents such as Grama Niladari certificates, police reports, referees reports, character certificates and educational certificates are scrutinised prior to recruitment. No grievances pertaining to human rights were recorded during the year under review. Management Discussion and Analysis Employee Capital Annual Report 2015/16 Nawaloka Hospitals PLC 63 BUSINESS PARTNER CAPITAL As the hospital of tomorrow we ensure that we possess the best possible solutions in managing Nawaloka’s vendors and partners. Nawaloka attracts the highest number of visiting consultants of all private sector hospitals in the country. They make an important contribution to the Company by providing superior professional inputs to patient care and treatment. Their presence also enhances our standing and the portfolio of services we provide to the patients. Hence we are committed to furthering mutual prosperity in establishing, strengthening and growing our relationships with the Company’s business partners. The suppliers are responsible for the timely provision of goods and services that meet the stringent quality requirements of our Company. The Hospital’s close engagement with suppliers helps to keep the enterprise operating smoothly. As illustrated in the diagram below, the business partners of Nawaloka, mainly comprise visiting consultants and suppliers. Business Partners Consultants To address issues and streamline operations pertaining to consultants, we have a feedback form process and arrange weekly meetings between consultants and senior management. 2015/16 2014/15 2013/14 2012/13 2011/12 369 365 314 295 289 Pharmacy 199 164 147 128 115 General 376 255 235 226 215 Consultants Suppliers Growth in Consultants and Suppliers (Nos.) 400 300 200 100 0 2011/12 Visiting Consultants 2012/13 2013/14 Suppliers – Pharmacy 2014/15 2015/16 Suppliers – General Consultants Average Length of Relationships 2015/16 2014/15 2013/14 2012/13 2011/12 7 Years 6 Years 6 Years 4 Years 3 Years Pharmacy 16 Years 16 Years 15 Years 13 Years 13 Years General 10 Years 9 Years 8 Years 6 Years 5 Years Suppliers Consultant Suppliers 64 Nawaloka Hospitals PLC Annual Report 2015/16 Management Discussion and Analysis ‘Sethkam Ayudhaya’ ^ie;alï wdhqOh& was a metallic tool that was used in ancient days to perform surgeries. Annual Report 2015/16 Nawaloka Hospitals PLC 65 Nawaloka has a portfolio of sustainable CSR activities to deliver a meaningful value and uplift the people and communities across the country SOCIAL AND ENVIRONMENTAL CAPITAL The Society As the pioneering healthcare institution in the country, Nawaloka embrace many responsibilities towards the society at large. We ensure that our organisation conduct business in a responsible manner minimising the impact on the local community and the environment. We strongly believe the value we create for ourselves is linked with the value we create for others. Nawaloka and Local Communities Since its inception Nawaloka has prioritised corporate accountability and social responsibility. ‘Nawaloka Sathkara’ is our flagship CSR programme focused on providing specialised water filtering systems, water tanks and fittings to rural schools in areas afflicted by chronic kidney disease We understand that sustainable national development is achieved by social development and the empowerment of communities and individuals. Therefore, Nawaloka has a portfolio of sustainable CSR activities to deliver a meaningful value and uplift the people and communities across the country. These are conducted with the participation of the employees who are encouraged to be generous with their time, effort and talent in serving the community. CSR Project Investment (%) 115 110 ‘Nawaloka Sathkara’ programme donated stationary and school bags to impoverished children In order to minimise pollution caused by our operation, we continuously upgrade our equipment to use energy-efficient latest technology 105 100 95 90 2011/12 2012/13 2013/14 2014/15 2015/16 ‘Nawaloka Sathkara’ – Our CSR Engine ‘Nawaloka Sathkara’ is our flagship CSR programme focused on providing specialised water filtering systems, water tanks and fittings to rural schools in areas afflicted by chronic kidney disease. Kidney disease is prevalent due to high fluoride content in ground water and the exposure of the farming communities to inorganic pesticides and fertilizers. We organise awareness campaigns to raise awareness of these problems. These efforts are in keeping with our mission of providing best healthcare and continually striving to serve the society in the most effective and professional manner. Promoting Health through Sanitation Care Proper sanitation facilities are important for the health and hygiene of people. During the year in review, we provided sanitation facilities to three schools, namely, Baduraliya Vidyalaya, Bolluna Vidyalaya and Hedigolla Vidyalaya which are located in remote areas of Sri Lanka. These schools were in critical need for proper sanitation facilities and the facilities were provided and upgraded under the ‘Nawaloka Sathkara’ programme. Promoting Education Towards a Better Future Children in certain areas in the Anuradhapura District have poor access to education. They need the assistance from the Government and external parties to obtain a proper education. Identifying this need, the ‘Nawaloka 66 Nawaloka Hospitals PLC Annual Report 2015/16 Management Discussion and Analysis Sathkara’ programme donated stationary and school bags to 125 children of the Lunuwetiyawea Daham Vidyalaya in Kebithigollewa, which were sufficient for a whole year. Simultaneously, Nawaloka is positioned to reap the benefits of medical tourism in the nation. As a hospital that offers most advanced medical technology, and excellent medical care on par with reputed hospitals in the region at an affordable price, there is an increased number of foreign nationals who obtain medical treatment from us. This has become valuable foreign currency generator for the country. We make a significant contribution to uplift the nursing standards in Sri Lanka. The skills and competencies of the nurses are developed through our Nurses Training School. Nawaloka extended their care towards the community by continuing to conduct free medical camps in rural and suburb areas in the country. Public awareness campaigns are conducted by our expert panel of consultants on contemporary diseases, possible precautionary methods and treatment. These are conducted by way of medical camps and television programmes. Several medical and awareness camps were conducted during the year in numerous companies to ensure a hazard free work environment. The Environment We use materials, energy, electricity and water in our operations and emit waste and other effluents to the environment. Hence, responsible consumption and disposal of these aspects are critical to ensure sustainability of our enterprise and all the stakeholders. Compliance Healthcare deals with patients. Hence, it is a sensitive area associated with a high level of risk. Therefore, it is important to identify the related risks and respond effectively. Nawaloka has assessed the associated risks in all its operations and taken appropriate measures to mitigate. Materials No legal actions were taken against Nawaloka for anticompetitive behaviour, anti-trust and monopoly practices during the year in review. Neither were there incidents of non-compliance with relevant laws and regulations. Nawaloka does not manufacture any line of product or ancillary items it uses, in the provision of premium healthcare services. All the required raw materials are sourced from other companies and most materials are sourced locally without resorting to expensive foreign imports. Indirect Economic Impact We have built a reliable network of local suppliers. By imparting technical know-how we help them to upgrade their manufacturing skills so that they continue to meet our exacting quality standards. We only engage reputed suppliers who are able to meet our high quality standards. The entry of Nawaloka Hospitals into the state-dominated healthcare sector paved the way for the private healthcare system take root in Sri Lanka. Mirroring reputed hospitals in the region, Nawaloka offer advanced medical technology and expert medical care to the people of Sri Lanka. This has eliminated the need for people to travel out of the country for specialised medical treatment, resulting in the saving of substantial foreign currency outflows from Sri Lanka. Management Discussion and Analysis Social and Environmental Capital Energy Nawaloka is a high energy intensive company. Since it’s a 24/7 operation, the demand on energy is considerably high. Energy use results energy waste which could cause pollution if not disposed in an appropriate manner, either by reusing for a value adding purpose. Annual Report 2015/16 Nawaloka Hospitals PLC 67 Although healthcare industry causes the least amount of pollution in comparison to other industries, as a responsible company, we need to constantly minimise pollution caused by our operations. In order to achieve this, we continuously upgrade our equipment to use energy-efficient latest technology. Inter departmental competitions are organised by us on efficient management of energy. Since ours is a 24/7 operation, we have been consciously reviewing and addressing energy conservation methods across our operations. Given below are some of the measures adopted to effectively manage energy consumption. zzEnergy Leader The Hospital has appointed an ‘Energy Leader’ for each high energy consumption unit with authority to take appropriate action and implement effective methods to manage energy consumptions. They are rewarded for their efforts and the results. zzAutomatic Damper System An automatic damper system was installed in the channelling rooms which resulted in the reduction in the energy cost as given below: Monthly Saving by using automatic dampers (102 Nos.) Total cost without using Dampers Total cost with Dampers Monthly Savings by using Dampers zzAir - Rs. 3,608,842/- Rs. 1,443,535/- Rs. 2,165,305/- Conditioners All the gas, split and window type air conditioners in the hospital were converted to the chill water system. The monthly energy use decreased by 14% from Kwz1590 to Kwz1818 as a result. All the air-conditioning units were set at a constant minimum of 25oC. zzIntelligent Automatic System and LED Lighting Sensor lights and LED bulbs were fixed in certain high energy consuming locations such as the ground-floor reception and lobby area. zzLED TV All the CRT televisions were replaced with new LED televisions in the entire Hospital. In addition, we implemented several other measures to conserve energy. They include conducting awareness campaigns and training on conservative energy consumption for employees, promoting energy conservation through sign boards and announcements. One such measure was programming the computers to revert to standby mode in five minutes. Our new car park building is designed to derive the maximum benefit from natural light and adopt energy-efficient building codes. In addition to conducting annual energy audits, a building management system has been introduced for efficient control of energy consumption. We plan to introduce an intelligent automatic system in the ensuing year which would contribute towards energy conservation. 68 Nawaloka Hospitals PLC Annual Report 2015/16 Electricity Monthly Electricity Consumption against Revenue 2011-2016 2015/16 Rs. 2014/15 Rs. 2013/14 Rs. 2012/13 Rs. 2011/12 Rs. Apr-15 632.02 525.68 515.79 517.39 426.13 May-15 626.74 540.37 548.70 506.52 392.08 Jun-15 683.25 560.20 640.49 585.57 463.86 Jul-15 708.83 543.30 598.35 622.32 475.06 Aug-15 659.21 611.00 578.18 556.92 450.30 Sep-15 716.01 563.75 592.16 562.19 489.09 Oct-15 754.49 594.89 556.33 543.35 463.51 Nov-15 808.54 713.76 528.05 561.84 496.36 Dec-15 848.22 697.81 651.39 608.76 567.71 Jan-16 806.36 659.54 606.74 635.07 568.91 Feb-16 795.10 687.27 622.86 553.51 480.81 Mar-16 716.92 629.18 526.24 495.07 503.82 Water The water consumption of Nawaloka is very high. Water is used for a range of activities in its daily operations, including sanitation, heating, ventilation, air-conditioning, food preparation, laundry and many others. The two main sources of water for the Hospital are well and pipe-borne water. The latter is from the national water supply. The Hospital has adopted several measures to reduce the consumption of water. To generate a behavioural change in employees to conserve water, charts were displayed in departments tracking monthly water usage. We raised awareness and displayed notices to make employees conscious about saving water. Sensor taps were installed in public areas and solar power to generate hot water in patient rooms. A sewerage plant was installed in the Negombo hospital to optimise waste water. The Maintenance Department checks for leaks each week to reduce water wastage and we have installed highly efficient equipment to minimise evaporation of water from cooling towers. Emissions We make a conscious effort to minimise emissions from our operations. Many green concepts have been adopted in the Hospital to reduce our carbon footprint. We also upgrade machinery and systems to make our operations efficient. In addition, incinerators are used to dispose of medical waste without the emission of harmful gases. We are pleased to state that our activities do not result in the emission of Nitrogen Dioxide or Sulfur Dioxide. Social and Environmental Capital Management Discussion and Analysis Effluents and Waste Systematic waste disposal is imperative for Nawaloka. Given the nature of its operations, high amounts of medical waste get generated daily. Therefore, Nawaloka have installed a state-of-the-art waste disposal system to dispose waste in a safe and responsible manner. The Standards Department of the Hospital continuously engages in upgrading the technology to minimise waste. 1993 A garbage separation system enables to dispose waste responsibly. Nawaloka are moving towards a paperless office environment, which substantially reduces the use of paper. Using recyclable paper bags, recycling print cartridges also contribute towards the Company’s efforts of minimising waste. The employees are regularly trained on safe practices and the proper handling of hazardous material. Implementing the ‘5S’ concept has contributed towards increasing the efficiency of Nawaloka’s operations. The different categories of waste generated by Nawaloka Hospital are as follows: Clinical Waste Potentially dangerous and carry a high risk of infection to the general public and employees. Laboratory Waste Includes chemicals used in the pathological laboratory, microbial cultures and clinical specimens, slide, culture dish, needle, syringes, as well as radioactive waste such as Iodine-125, Iodine-131 etc. These are high in risk as well. Non-clinical Waste Includes organic material, paper, polythene or plastic, which have not been in contact with the body fluid of a patient. Nawaloka Hospitals is the nationally recognised leader in medical care. Embracing medical, surgical and technological innovations, we offer breakthrough treatments to our patients. This has made Nawaloka Hospitals the place to turn to for the best, most current treatments in Sri Lanka. Here are some of the ground breaking innovative treatments we introduced to our nation – 1993- First Minimally Invasive Laparoscopic Surgery in Sri Lanka 1994- First Coronary Artery Bypass Surgery Unit in a private hospital 2011 - First ever lung transplant in Sri Lanka 2015- First bone marrow transplant in Sri Lanka Kitchen Waste Includes food waste and waste water used for food preparation. They breed pests and therefore, pose an indirect potential hazard to employees and patients. Monthly Insulator Details (Inclusive of the Lab, Negombo Hospital and the Medical Centre) Waste Kg. Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Diesel Per L/per Kg Ltr. 7,235 2,614 2.77 7,265 2,616 2.78 7,300 2,652 2.75 7,325 2,640 2.77 7,460 2,688 2.78 7,110 2,562 2.78 7,375 2,658 2.77 7,160 2,580 2.78 7,225 2,601 2.78 7,360 2,652 2.78 7,060 2,544 2.78 7,225 2,601 2.78 Management Discussion and Analysis Social and Environmental Capital Annual Report 2015/16 Nawaloka Hospitals PLC 69 STEWARDSHIP BOARD OF DIRECTORS Mr. Jayantha Dharmadasa Mr. Rienzie Theobald Wijetilleke Chairman and C.E.O. – Executive Director FCIB (UK), FIB (Sri Lanka), CCMI (UK) Mr. Jayantha Dharmadasa has been a Director of the Company since 1985. He is a businessman by profession and counts over 39 years of experience in Executive Management and 30 years in the healthcare industry. He is a Fellow Member of the Institute of Certified Professional Managers (FCPM). He is the Chairman/CEO of Nawaloka Hospitals PLC. He is also the Chairman of Nawaloka Holdings (Pvt) Ltd., Nawaloka Aviation (Pvt) Ltd., Nawaloka Polysacks Sharjah., Sasiri Polysacks (Pvt) Ltd., Nawaloka Construction Company (Pvt) Ltd., Nawaloka Trading Co. Ltd., Nawaloka Petroleum (Pvt) Ltd., Koala (Pvt) Ltd.,New Ashford International (Pvt) Ltd., New Nawaloka Hospitals (Pvt) Ltd., Nawaloka Medical Centres (Pvt) Ltd., New Nawaloka Medical Centre (Pvt) Ltd., Nawaloka Medicare (Pvt) Ltd., Nawaloka Metropolis Laboratories (Pvt) Ltd., Outstanding Song Creators’ Association (OSCA), Cinestar Foundation and Nation Lanka Finance PLC., Nawaloka Hospitals International (Pvt) Ltd., Nawaloka Engineering (Pvt) Ltd., International Medical Institute (Pvt) Ltd., Ceyoka (Pvt) Ltd., Nawaloka College of Higher Studies (Pvt) Ltd., East West Marketing (Pvt) Ltd., Nawaloka Steel Industries (Pvt) Ltd., Millennium Housing Development (Pvt) Ltd., Nawaloka Guardian International (Pvt) Ltd., Waves Destinations (Pvt) Ltd., Nawaloka Air Services (Pvt) Ltd., Nawaloka Agri (Pvt) Ltd., Nawaloka MEP Concept (Pvt) Ltd., Ceyoka Overseas (Pvt) Ltd. Independent Non-Executive Director and Vice-Chairman Director/General Manager, Executive Director Mr. Rienzie T. Wijetilleke has been a Director of the Company since 2003 and appointed as Vice-Chairman in August 2011. He is a Fellow of the Chartered Institute of Bankers, United Kingdom and also Fellow of the Institute of Bankers, Sri Lanka and Companion of the Chartered Management Institute, UK. Professor Chandrasena has been a Director of the Company since 2003. He is a Clinical Biochemist by profession and counts 24 years of University Academic Service and 28 years experience in Hospital and Healthcare Administration and Laboratory Sciences. He is the Emeritus Professor of Biochemistry and Clinical Chemistry, Faculty of Medicine, University of Kelaniya. In late 2010, Mr. Wijetilleke completed 50 years as a Practicing Banker and in 2011 retired from the position of Chairman, HNB. He is a past chairman and Director of the Colombo Stock Exchange. He is also the settlor and the main trustee of ‘The Rehabilitation of Buddhist Temples Foundation’ (incorporation) Act No. 17 of 2014. Mr. Dharmadasa is the Honorary Consul-General of the Republic of Singapore in Sri Lanka. He was a Director of Sri Lanka Telecom, former President of Sri Lanka Cricket and a past President of the Asian Cricket Council. He was the Former Chairman of the National Film Corporation. He is also the Vice-President of Sri Lanka Cricket. 70 Professor Lal Gotabhaya Chandrasena Nawaloka Hospitals PLC Annual Report 2015/16 Professor Chandrasena has a Doctorate in Philosophy from the University of Liverpool (UK), a Bachelor of Science (Hons.) from the University of Liverpool (UK). Fellow of the Institute of Chemistry, Ceylon and is a Chartered Chemist. Fellow of Royal Society of Chemistry (UK) and Fellow of the National Academy of Sciences of Sri Lanka, Post-Doctoral Fellow, Colorado State University, USA. He is also a Fellow Member of the Institute of Certified Professional Managers and hold a certificate in Hospital Administration from the Indian Institute of Management, Ahmedabad. He is also a Director of Nawaloka Medicare (Pvt) Ltd., Nawaloka Hospitals International (Pvt) Ltd., Nawaloka Metropolis Laboratories (Pvt) Ltd., Nawaloka College of Higher Studies (Pvt) Ltd. and Non-Executive Director of Sri Lanka Insurance Corporation Ltd. He is presently the President of the Association of Private Hospitals and Nursing Homes, and a member of the Private Health Services Regulatory Council – Ministry of Health. Stewardship Deshabandu Tilak de Zoysa Mr. Tissa K. Bandaranayake Mr. D. Sunil AbeyRatna FCMI (UK), FPRI (SL) FCA, BSc Senior Independent Non-Executive Director Senior Independent Non-Executive Director PhD (UH-USA), FCA (SL), FCMA (SL), FCMA (UK), CMA (Aust.) A well-known figure in the Sri Lankan business community, Tilak de Zoysa, FCMI (UK) FPRI (SL), Honorary Consul for Croatia and Global Ambassador for HelpAge International was conferred the title of ‘Deshabandu’ by His Excellency the President of Sri Lanka in recognition of his services to the country and was the recipient of ‘The Order of the Rising Sun. Gold Rays with Neck Ribbon’ conferred by His Majesty the Emperor of Japan. Mr. Tissa K. Bandaranayake joined the Company as a Director in 2009. He is a Fellow of The Institute of Chartered Accountants of Sri Lanka and graduated with a BSc from the University of Ceylon. In addition to being the Chairman of the Supervisory Board and Advisor to the Al-Futtaim Group of Companies in Sri Lanka, he Chairs Carsons Cumberbatch PLC, Associated CEAT (Pvt) Ltd., Amaya Hotels and Resorts USA (Radisson), AMW Capital Leasing and Finance PLC, Jetwing Zinc Journey Lanka (Pvt) Ltd. and HelpAge Sri Lanka, Trinity Steel (Pvt) Ltd., CG Corp Global Sri Lanka. He is also the Vice-Chairman of Ceat Kelani Holdings (Pvt) Ltd., Orient Insurance Ltd., and serves on the Boards of several listed and private companies which include John Keells PLC, Taj Lanka Hotels PLC, TAL Hotels and Resorts Ltd., Lanka Walltiles PLC, Nawaloka Hospitals PLC, Dutch Lanka Trailer Manufacturers (Tata Group), Associated Electrical Corporation Ltd., Inoac Polymer Lanka (Pvt) Ltd.,Cinnovation INC., GVR Lanka (Pvt) Ltd. and Varun Beverages Lanka (Pvt) Ltd. (Pepsi). Deshabandu Tilak de Zoysa is a past Chairman of the Ceylon Chamber of Commerce, the National Chamber of Commerce of Sri Lanka, HelpAge International (UK) and served as Member of the Monetary Board of Sri Lanka (2003-2009). Stewardship Board of Directors Independent Non-Executive Director He has more than 45 years of commercial and professional experience. He was with Ernst & Young, Sri Lanka for 27 years until retirement as a Senior Partner in April 2009, managing a large portfolio of clients both local and multinational in various industries. He is a Director of Brown & Co. PLC, Samson International PLC, Laugfs Gas PLC, Harischandra Mills PLC, Renuka Foods PLC, Renuka Holdings PLC, Overseas Reality (Ceylon) and Micro Holdings (Pvt) Ltd. Also serves as an Advisor/Consultant to the Board of Directors of Noritake Lanka Porcelain (Pvt) Ltd. Mr. Bandaranayake was a past Chairman of the Audit Faculty of The Institute of Chartered Accountants of Sri Lanka and a past president of the Practicing Chartered Accountants Forum. Mr. D. Sunil AbeyRatna counts over 40 years of experience in the fields of Finance, Audit and Tax. He is a Fellow of The Institute of Chartered Accountants of Sri Lanka, The Institute of Management Accountants of UK and Certified Management Accountants of Sri Lanka. He is also a Member of the Certified Management Accountants of Australia and has a Doctorate in Philosophy from the University of Honolulu, USA. He is the sole proprietor of AbeyRatna & Company – Chartered Accountants and a Director of AGN International Ltd. UK, which is the 4th largest Independent Accounting Association in the World based in over 108 countries and 478 office locations. He is also a Director of KBSL Information Technologies Ltd., East West Properties PLC, Rosewell Investment (Pvt) Ltd., Eastern Brokers (Pvt) Ltd., Carplan Ltd. and KIA Motors (Lanka) Ltd., and the Managing Director of Lankem Tea & Rubber Plantations (Pvt) Ltd. Mr. Bandaranayake is also a VicePresident of National Stroke Association of Sri Lanka, Member of Rotary International Finance Committee 2013-2016 and Rotary International District Governor for Sri Lanka 1999-2000. He currently serves as the Chairman of the Quality Assurance Board of Sri Lanka comprising representatives of the private sector and regulators. Annual Report 2015/16 Nawaloka Hospitals PLC 71 Mr. Ugitha Harshith Dharmadasa Mr. Anisha Givantha Dharmadasa Ms. Ashani Givanthi Dharmadasa Executive Director Executive Director Executive Directress Mr. Harshith Dharmadasa has been a Director of the Company since 2000. He has 21 years of experience in Executive Management. Mr. Anisha Dharmadasa has been a Director of the Company since 2000. He has 19 years of experience in Executive Management. Ms. Givanthi Dharmadasa has been a Directress of the Company since 2003 and has 15 years experience in Executive Management. He is the Chairman of Millennium Housing Developers PLC, Managing Director of Ceyoka (Pvt) Ltd., Nawaloka Trading (Pvt) Ltd., Nawaloka Agri (Pvt) Ltd., Ceyoka Engineering (Pvt) Ltd., Nawaloka Mep Concepts (Pvt) Ltd., Koala (Pvt) Ltd., and Ceyoka Overseas (Pvt) Ltd. Mr. H. Dharmadasa is also a Director of Nawaloka Holdings (Pvt) Ltd., Nawaloka Hospitals PLC, New Nawaloka Hospitals (Pvt) Ltd., Nawaloka Hospitals International (Pvt) Ltd., Nawaloka Engineering (Pvt) Ltd., Nawaloka Aviation (Pvt) Ltd., International Medical Institute (Pvt) Ltd., Nawaloka College of Higher Studies (Pvt) Ltd., East West Marketing (Pvt) Ltd., Nawaloka Petrolium (Pvt) Ltd., Nawaloka Guardian International (Pvt) Ltd., Nawaloka Air Services (Pvt) Ltd., Nawaloka Construction Co. Ltd., Nawaloka Medicare (Pvt) Ltd., Nawaloka Metropolis Clinical Laboratories (Pvt) Ltd., Nation Lanka Finance PLC, Sasiri Polysacks (Pvt) Ltd., Melvin Wirenail Industries (Pvt) Ltd., Ceyoka Exports (Pvt) Ltd. and Concord Ventures Exports Lanka (Pvt) Ltd. 72 Mr. Anisha Dharmadasa is the Chairman of Sikure Security Services (Pvt) Ltd., Director of Nawaloka Medical Centre (Pvt) Ltd., Ceyoka (Pvt) Ltd., Waves Destinations (Pvt) Ltd., Nawaloka Holdings (Pvt) Ltd., Nawaloka Hospitals PLC, Nawaloka Hospitals International (Pvt) Ltd., Nawaloka Engineering (Pvt) Ltd., International Medical Institute (Pvt) Ltd., Nawaloka College of Higher Studies (Pvt) Ltd., East West Marketing (Private) Ltd., Nawaloka Petroleum (Pvt) Ltd., Nawaloka Guardian International (Pvt) Ltd., Nawaloka Air Services (Pvt) Ltd., Concord Ventures Exports Lanka (Pvt) Ltd., Nawaloka Medicare (Pvt) Ltd., New Nawaloka Trading (Pvt) Ltd., Nawaloka Trading (Pvt) Ltd., Nawaloka Construction Co. Ltd., Nawaloka Aviation (Pvt) Ltd., Nawaloka Professional Academy (Pvt) Ltd., Quincy (Pvt) Ltd., Sasiri Polysacks (Pvt) Ltd., and Melvin Wirenail Industries (Pvt) Ltd. Nawaloka Hospitals PLC Annual Report 2015/16 She is a Directress of Nawaloka Holdings (Pvt)Ltd., Nawaloka Hospitals PLC, Nawaloka Engineering (Pvt) Ltd., Nawaloka Medicare (Pvt) Ltd., East West Marketing (Pvt) Ltd., Nawaloka Guardian International (Pvt) Ltd., Nawaloka Air Services (Pvt) Ltd., Redline Services(Pvt) Ltd., Redline Design & Printing (Pvt) Ltd. Redline International (Pvt) Ltd., Nawaloka Professional Academy (Pvt) Ltd., Nawaloka Aviation (Pvt) Ltd., Sasiri Polysacks (Pvt) Ltd. and Melvin Wirenail Industries (Pvt) Ltd. Board of Directors Stewardship Mr. Palitha Kumarasinghe PC Mr. Victor R. Ramanan Independent Non-Executive Director Non-Executive Director Mr. Palitha Kumarasinghe is leading President’s Counsel specialised in civil commercial litigations. He was enrolled as an Attorney-at-Law on 27th September 1982. He had his education at Mahinda College, Galle and thereafter, entered to Sri Lanka Law College in 1979. Having devilled in the Chambers of Mr. Romesh de Silva, President’s Counsel, Mr. Kumarasinghe is now in active practise in the District Court of Colombo, Commercial High Court of the Western Province and the Superior Courts. He has an extensive commercial law practise and he is the Counsel for a large number of Banks and Finance Houses. Mr. Victor Ramanan is a BSc Graduate and holds a Diploma in Software Engineering, Business Admin. & Sales Techniques (UK). He was a Vice-President and Executive Committee Member of Bar Association and Chairman of Various committees inclusive of National Law Conference, Ethics and Professional Conduct and Continuing Legal Education. He was once the President of Colombo Law Society. He served in the Public Service Commission for a period of six years and was a member of Council Legal Education (2010-2015) and its Board of Studies, Chairman of Environment Council (20102013), a member of Advisory Commission on Intellectual Property (2001-2004). He is a versatile marketer and administrator with more than 28 years of hands on experience working in many countries including United Kingdom, Kuwait, Dubai, Bahrain, Germany, France, USA and Sri Lanka. He has worked in areas such as IT, HR, Marketing and Business Development of which more than 17 years has been in the fields of Oil, Gas and Logistics sectors. Presently holds positions as a Director and Chairman in the under mentioned companies: - Adventus Education (Pvt) Ltd. – Chairman - Nawaloka Hospitals PLC – Director - Nation Lanka Finance PLC – Director - Nawaloka College of Higher Studies (NCHS) – Deputy Chairman - Millennium Housing Developers PLC – Non-Executive Director/Deputy Chairman - Ideal Getaways (Pvt) Ltd. – Director He also served as the Chairman of Disciplinary Committee of Sri Lanka Cricket, since 2012, the Chairman of Legal Advisory Committee in 2012-2015 and the Chairman of the Governance Committee (2012). He is an Independent Non-Executive Director of Laugfs Gas PLC, since 2012. Stewardship Board of Directors Annual Report 2015/16 Nawaloka Hospitals PLC 73 SENIOR MANAGEMENT TEAM Dr. Uthpala Malawara Arachchi Ms. G. Warusavithana Mr. Kanishka Warusavitarana Medical Superintendent Chief Nursing Officer Senior Manager – Operations Dr. Uthpala Malawara Arachchi graduated with MBBS from Faculty of Medical Sciences, University of Sri Jayewardenepura in 2002. Ms. G. Warusavithana Graduated as a Staff Nurse from the Nurses Training School, Galle. Postgraduated in Post-Basic School of Nursing, Colombo. Qualified in Midwifery Diploma in Nursing Administration, Management and Supervision, Maternal and child health international special training in Khon Kaen University – Thailand and Neurosurgery special training in Fujitha University – Japan, Accident and Emergency special training at Royal Hospital – Oman. She Has over 40 years experience in the State Sector, Overseas and Private Sector. Mr. Kanishka Warusavitarana is a member of the Association of Accounting Technicians, Sri Lanka. He joined Nawaloka Hospitals in 1988. He has 8 years experience in a reputed firm of Chartered Accountants and 28 years experience in the Healthcare Industry. Mr. Indika Prasath Balasuriya Mr. Chaminda Rupasena Head of Information Technology Manager – Human Resources/ Administration/Training He holds MSc in Medical Administration awarded by the Postgraduate Institute of Medicine and a Diploma in Occupational Health and Safety from the University of Colombo. He has served as a Medical Officer-inCharge in many Government institutions. From 2007 to 2009, he was attached to the National Health Service, United Kingdom in the field of Medical Administration. He joined Nawaloka Hospitals as a Medical Superintendent in 2014. He has over 14 years experience in Clinical and Medical Administration. Mr. I.P. Balasuriya has obtained the MSc in IT – University of KEELE (UK) in 2005 and a member of BCS, CSSL & CPM. He has also followed NIBM Diploma in IT. He has over 18 years experience in the fields of Project Management, ERP Project Consulting, Application Development, Implementation and User Training. He also has working experience with multinational companies. He joined Nawaloka Hospitals in 2008. 74 Nawaloka Hospitals PLC Annual Report 2015/16 Mr. C. Rupasena is a holder of BSc. Business Administration (Human Resources Management) Special Degree at the University of Sri Jayewardenepura. He is an Attorney-at-Law, Notary Public, Commissioner of Oaths and registered Company Secretary. He is also a holder of Diploma in Psychological Counselling and possess over 12 years of experience in Human Resources Management. Stewardship Mr. Nalaka Niroshana Mr. Upatissa Mannapperuma Mr. M.D. Ariyawansa Head of Finance and Corporate Planning Unit Senior Co-ordinating Officer and Maintenance Manager Senior Co-ordinating Officer Mr. Nalaka Niroshana is an Associate Member of the Chartered Institute of Management Accountants – UK and Associate Member of Chartered Global Management Accountants, Member of Certified Professional Manager and is a Graduate from University of Sri Jayewardenepura. He joined Nawaloka Hospitals in 2011 and has over 9 years executive experience in Diversified Conglomerates in Sri Lanka. Mr. M.D. Ariyawansa obtained his Diploma in Business Management from the National Institute of Business Management in 1983 and joined Nawaloka Hospitals in 1985 as an Executive Officer and worked in several business units of the Hospital. He has obtained a Certificate in Hospital Management from Japan Overseas Health Administration Centre, Yokohama in 1999. He is presently the Senior Co-ordinating Officer responsible for Co-ordinating Public Relations functions of the strategic business units. He has 31 years experience in the Healthcare Industry. Mr. Upatissa Mannapperuma obtained his National Certificate of Technology from the University of Moratuwa in 1980 and joined Nawaloka Group of Companies, Construction Division and in 1983, he joined the Maintenance Division of Nawaloka Hospitals. He is certified in Hospital Management from Japan Overseas Health Administration Centre, Yokohama in 1995. He has 31 years experience in the Healthcare Industry. Mr. Lakmal Sooriyapperuma Mr. Anura Samaradiwakara Mr. A.A. Weraniyagode Head of Marketing Senior Co-ordinating Officer Electrical and Mechanical Engineer Mr. Sooriyapperuma has over 18 years experience in Marketing/International Trade and Business Development. He has obtained the Masters in Business Administration from University of Wales in UK. Mr. Samaradiwakara is working as Senior Co-ordinating Officer of Nawaloka Hospitals since 2003 and he has more than 35 years experience in the service sector. Mr. A.A. Weraniyagode has obtained a Diploma on Refrigeration & Airconditioning from City & Guilds Institute of London in 1983. He has a work experience of 25 years as a Maintenance Engineer in the Hotel Trade in Sri Lanka and overseas. He joined Nawaloka Hospitals in 2009 as an Electrical and Mechanical Engineer. Stewardship Senior Management Team Annual Report 2015/16 Nawaloka Hospitals PLC 75 EXECUTIVE CLINICAL MANAGEMENT TEAM Dr. Maiya Gunasekera Dr. V.I. Tennekoon Dr. W.A.M. Gunasekera MBBS, FRCS (Eng), FICS, FRCS (Ed), MS (Surgery) MBBS, MD, FRCP, FRACP, FCCP MB, MRCP (UK), FRCP (Lon), FCCP Consultant Chest Specialist/Physician and Physician-in-charge in Medical Intensive Care Unit Consultant Physician and Physicianin-Charge Ward Medical Services Dr. Sandeep K. Sharma Dr. Hemant Digambar Waikar Dr. A.G. Jayakrishnan MD (Anaesthesiology) MBBS, MS, DA (ANAE), PDCC, (Cardiac and Neuroanaesthesia) MS, FRCSI, FRCS (CTh) Consultant Surgeon General Surgery/Gastroenteroscopy/ Laparoscopy and Endoscopy Consultant in-charge of Surgical Service Consultant Cardiac Anaesthetist and Intensivist Consultant Cardiac Anaesthetist Dr. (Mrs.) Roshan Z Zaid Dr. Chandana Kanakaratna MBBS (Cey), MRCOG (UK), DFSRH (UK), FMAS (Delhi), UK Board Certified Consultant Geriatrician (Geriatric Physician) MBBS (SL), MD (SL), FRCP (LONDON), MSC Geriatric Medicine (UK), Diploma in Geri. Med. (London), Diploma in Geri. Med. (Glasgow)Board Certification in General Medicine (SL) CCT General Medicine (UK), CCT Geriatric Medicine (UK) Consultant Obstetrician, Gynaecologist and Laparoscopic Surgeon Chief Cardiothoracic, Vascular and Transplant Surgeon Consultant Physician 76 Nawaloka Hospitals PLC Annual Report 2015/16 Stewardship Dr. Duminda Pathirana Dr. Harindu Wijesinghe Dr. Chandima De Mel M.D. MBBS (Col), DCH (Col), MD (Col), MRCP (UK), MRCP, CH (UK), FCCP MBBS, MD, MRCP (UK) FRCP (Lond), FCCP, M. Phil (Lond), D. Path Consultant Paediatrician Consultant in Rheumatology, Rehabilitation and Sports Medicine, Consultant-in-Charge Nawaloka Pain Management Centre Dr. Punsith Gunewardene Dr. D. Maruthini Deivanayagam MBBS (Colombo), MS (Colombo) MBBS, MS (Col), MRCOG (UK), MD (UK), DGO Consultant Neurosurgeon Consultant Subspecialist in Reproductive Medicine and Surgery, Consultant Obstetrician and Gynaecologist Stewardship Executive Clinical Management Team Consultant Physician Annual Report 2015/16 Nawaloka Hospitals PLC 77 CORPORATE GOVERNANCE Clinical Governance Policy Purpose of the Clinical Governance Standards The continuous involvement of the healthcare practices, diseases and ailments had resulted in the requirement of a unified set of healthcare standards which are on par with the global context. Therefore our Hospital designs and continuous updates to clinical standards, controls and processes in order to provide superior healthcare services to our customers and to be the leader in the healthcare profession. Our standards ensure that our managers, clinicians, health professionals and users of health services are provided with the following assistance: zzDevelop and implement clinical governance processes and systems within the Hospital. zzIncrease organisational awareness of clinical governance and contribute to the development and implementation of clinical governance systems and processes. zzAssist clinicians and management to embed clinical governance within the organisational culture. zzAssist Nawaloka Hospitals PLC to demonstrate improved accountability for the delivery of safe, high quality healthcare services through the implementation of clinical governance systems and processes. Clinical Governance is Defined as: A framework through which the Hospital is able to continually improve the quality of its services and safeguard high standards of care by creating an environment in which excellence in clinical care will flourish. There are seven key elements to clinical governance. These are outlined below, along with the mechanisms in use in the practice to deliver each of the elements and the expectations that are placed on partners and staff at the Practice. zzContinuing Professional Development: This includes the ongoing and regular education and research activities linked to the responsibilities and needs of the clinicians employed by the Hospital. It is the professional duty of all clinical staff to ensure active participation in regular Continuing Professional Development (CPD) to keep their knowledge updated. Medical Officers (MOs) and the Nursing Staff should be – zzEngaging in professional support within the workplace in the context of the Performance Appraisal and Development Plan. zzUtilising education and training opportunities to demonstrate ongoing professional development. zzEngaging in Continuing Professional Development through an accreditation programme. All clinicians are expected to document their learning for the purpose of individual learning portfolios. Following any external CPD paid for by the Hospital, MOs and nurses are expected to share their learning with colleagues, either formally in clinical or nurse team meetings, documentation or through informal means. It is the responsibility of each clinician to ensure that any urgent updates are brought to the attention of all colleagues to whom the information is relevant immediate after the learning event. MOs have a responsibility to support the nursing team through formal teaching sessions, on the job learning and other forms of disseminating knowledge. The Hospital will arrange a clinical meeting each month at which one of the functions is to allow clinicians with specialised knowledge to share updates with the rest of the clinical team. It is recognised that non-clinical staff also need to update their skills regularly in order to support the delivery of high quality medical services. Education and Training Towards ensuring retention of capable, skilled and experienced staff of our existing workforce and continuously expanding our Human Resources Personnel, the following actions are considered: zzCompetency Standards: The Hospital must be confident that the current staff possess adequate skills; experience and training related to their field, towards undertaking their responsibilities of their positions within the Hospital. The Hospital’s Management verifies and approves competencies, standards and qualifications. This validation process is in place to justify that the competencies, standards or qualifications are authentic or evidence-based. Validation processes at the level of the individual include (but are not limited to) the following elements: zzVerifying that the individual is registered or accredited. Clinical Audit Clinical audit is defined as ‘the systematic measurement and evaluation of the efficiency and effectiveness of organisational systems and processes’. Clinical audits analyse the quality of clinical care outcome, including the procedures used for diagnosis and treatment, the use of resources and the adequacy of evaluation of clinical outcome and patient quality of life. This may refer to: zzThe application of the results of independent international and local audits to our patient population and the identification of areas of improvement. zzThe use of case studies to highlight specific issues that are then generalised within our patient population. The monthly clinical meeting provides a forum for the purpose of disseminating results of audits and the exchange of opinions in improving clinical practice. zzVerifying that the individual has evidence of Continuing Professional Development. 78 Nawaloka Hospitals PLC Annual Report 2015/16 Stewardship These meetings will be held on different days of the week and will be attended by all MOs and members of the nursing team who are required to be present. Those clinicians who are not called to attend meetings may choose to do so in their own time but in any case the responsibility of raising awareness at the conclusion of the meeting is vested with the clinician chairing the meeting. When appropriate, the meetings will be attended by the Medical Superintendent (MS) or other senior administrative staff to aid the process of dissemination and to ensure that any administrative changes needed to support improvement to the proposals are carried through. The range of topics covered in local audits should meet one of the following key criteria: zzRespond to newly-published local pathways zzRespond to newly-published national evidence zzRespond to newly-available drug or other therapy (if recommended by the relevant Authority) zzRespond to a clinically significant event or substantiated complaint zzProvide a balance across a range of specialties (i.e. clinicians should not at all focus on a narrow range of conditions) zzProvide a general update in an area of the clinician’s own expertise Clinical indicators are measures or benchmarks that enable the Hospital to compare them against similar health services. To facilitate health system improvement clinical indicators must be meaningful and reflect clinical practice standards. In addition, clinicians are expected to read journals and/or websites regularly to maintain current awareness of best practice. This should include regular scanning of national guidelines for changes in recommended practice. Patient and Public Involvement – Openness Processes which are open to public scrutiny, while respecting the individual patient and practitioner confidentiality, are an essential part of quality assurance. The Hospital uses various mechanisms to enable patients and other interested parties to be involved in identifying needs and improvements. These include Patient Bill of Rights. zzThe Hospital website – promotes regular and ad hoc services, along with information about the staff, the complaints procedure and a comment facility. zzPatient Reference Group – Group representatives of the Hospital’s demographic make-up conducts annual patient survey and scrutinizes the Hospital’s response to the views expressed by patients. zzComplaints The MS is designated to: zzManage the agenda of clinical meetings. zzTo ensure that the areas selected at clinical meetings meet the criteria of knowledge transfer. zzTo arrange for a clinical evaluation to be presented on any topic that is causing particular concern either locally or more widely. All papers presented at a clinical meeting should be made available to participants through respective emails. It is the responsibility of the clinician presenting the paper to ensure that this is completed. – all patient complaints are analysed regularly for learning points and for patterns. Complaints about clinical care are shared immediately with the clinician concerned and those that give rise to clinical learning points are shared more widely at a clinical meeting. zzSuggestions – a suggestion box with forms to complete are available at the waiting area. The Hospital aims to co-operate at all times in a spirit of openness with other healthcare providers, local authority organisations, and any organisation which has an interest in our operations. Risk Management Clinical Effectiveness Clinical Effectiveness is about providing the best evidencebased care for the patient, whilst making good use of available clinical resources. Clinicians in the Hospital are expected to work within formalities, protocols and pathways where these have been developed for specific conditions. These include: Clinical standards incorporate clinical guidelines, pathways and local practice protocols. These standards may be set by bodies such as the Sri Lanka Medical Council, which is the authoritative body of the Ministry of Health in setting clinical standards and the Sri Lanka Medical Association. Stewardship Corporate Governance Risks – to patient, clinicians, other staff and the Organisation as a whole – are managed through a range of policies and protocols, through risk assessment. This is achieved through the identification and reduction of potential risks and examination of adverse incidents for causative and contributing factors and trends within and across the services. To maximise learning opportunities lessons should be shared within the Hospital. Some aspects of clinical risk management are: zzIncident and adverse event reporting, monitoring and trend analysis: This incorporates activities such as learning from local incidents or patterns of incidents, including near hits and management of serious adverse events and maintaining a risk register and monitoring medico-legal cases. Annual Report 2015/16 Nawaloka Hospitals PLC 79 zzSentinel data for clinical governance purposes. Patient records will be searched to provide evidence for internal audits and case studies and to ensure clinical effectiveness. zzRisk Human Resources event reporting, monitoring and clinical investigation: Defines the process for identification, reporting and investigating sentinel events in line with Quality and Patient Safety Committee. profile analysis: including the identification, investigation, analysis and evaluation of clinical risks and the selection of the most appropriate method of correcting, eliminating or reducing identifiable risks. The key policies relating to minimising risk for patients are: zzPatient Bill of Rights zzConsent zzInfection Policy Control Policy zzIdentification zzVerbal zzHigh of Patients Policy Alert Medication Policy zzCorrect zzPatient Site, Correct Procedure, Correct Patient Surgery Falls Policy Risks are minimised through other aspects of clinical governance, especially due to attention provided to education and training, clinical audit and clinical effectiveness. The Hospital is committed to delivering medical care through a team of fully-qualified and suitably-experienced clinicians, supported by an adequate administrative resource. In order to achieve this, the Hospital regularly reviews the skill set of its clinical team, offering development opportunities where appropriate and ensuring that the full range of primary care skills is available at an appropriate level. This means that all clinical staff are encouraged to work within the higher range of their skill set rather than carrying out tasks that could be fulfilled by a less qualified clinician. When recruiting potential new MOs or nurses, the interview will always include questions designed to demonstrate an awareness of clinical governance principles. The Hospital operates within a full suite of human resources policies and protocols to ensure that every member of the team, whether clinical or not, is working with the best interests of the patients in mind at all times. Governance Structure of Nawaloka Hospitals PLC The Hospital encourages all staff to discuss any incident that has or could pose a risk. The experience from incidents is shared across the whole Hospital and any actions are reviewed until fully-implemented. Clinical incidents are referred to a clinical meeting, to facilitate a detailed discussion in a confidential environment. One of the most vital aspects of conducting the business of the Hospital is ensuring that it enacts the highest standards of governance. The governance structure of Nawaloka Hospitals PLC is designed to satisfy the legitimate claims of all stakeholders and to fulfil the Hospital’s economic, environmental and social responsibilities in an accountable, sustainable and transparent manner. Information Management The business activities of the Hospital are conducted by adhering to the highest standards which are based on the best contemporary principles and practices whilst conforming to all applicable laws and regulations. The major external steering instruments on Governance could be identified as follows: High quality clinical care depends on high quality information management. This starts with the generation of good patient records and it is the responsibility of every clinician to ensure that the details of their consultations are recorded in a way that: - is easily understood by colleagues and by the patient, if requested zzCompanies of Best Practice on Corporate Governance issued jointly by The Institute of Chartered Accountants of Sri Lanka and the Securities and Exchange Commission of Sri Lanka. - reflects exactly what takes place in the consultation, including any discussion relating to risk, e.g. consent, offer of a chaperone zzListing - provides clear information about the agreed care plan zzThe - uses codes and templates as agreed within the Hospital to enable effective searching of patient data - EMR (Electronic Medical Records) with UPIN. This helps us retrieve patient information on the system with no hassle of paper documents The Hospital will use patient data for purposes consistent with our data protection registration (see Data Protection Policy) and will maintain patient confidentiality at all times when using 80 Nawaloka Hospitals PLC Annual Report 2015/16 Act No. 07 of 2007. zzCode Rules of the Colombo Stock Exchange. Board of Directors, being the highest governance body of the Hospital, ensures alignment of the Hospital’s business strategy to sustainable business performance, whilst creating value to stakeholders. The Hospital’s Governance Structure portrayed below demonstrates the linkage mechanism that ensures alignment of business strategy and direction through effective engagement and communication with its stakeholders, Board of Directors, Board Subcommittees and Management. Corporate Governance Stewardship Corporate Governance Structure Nawaloka Hospitals PLC New Nawaloka Hospitals (Pvt) Ltd. (Fully-owned subsidiary) New Nawaloka Medical Centre (Pvt) Ltd. (Fully-owned subsidiary) Nawaloka Medicare (Pvt) Ltd. (Fully-owned subsidiary) Nawaloka Metropolis Laboratories (Pvt) Ltd. (50% Joint Venture) Shareholders Board Subcommittees (Refer page 106). Board of Directors (05 ED/05 INED/01 NED) Audit Committee 04 INED 03 INED Remuneration Committee 03 INED Nomination Committee Related Party Transaction Review Committee 03 INED & DGM Risk Management Committee DGM and 03 ED C hairman/CEO and 03 ED Strategic Planning Committee Sustainability Committee C hairman, DGM and 02 ED DGM - Director General Manager The Board comprises five Executive Directors including the Chairman, five Independent Non-Executive Directors and one Non-Executive Director, as shown below, who are professional experts in business and administrative matters in multiple industrial fields in which they have achieved excellence. Their contribution is the main driving force in guiding the Hospital to achieve excellence. Mr. H.K. Jayantha Dharmadasa (Chairman/CEO) - Executive Director Mr. Rienzie T. Wijetilleke - Independent (Non-Executive Vice-Chairman) Non-Executive Director ED - Executive Directors towards good governance of its activities. These Committees meet regularly to consider and discuss matters falling within the respective Charters and their recommendations are duly communicated to the Main Board. These committees consist of Executive Directors and Non-Executive Directors in varying proportions as set out in the above structure. The main responsibilities of the Board are as follows: zzFormulate the mission, overall business policy and strategy, provide directions and establish goals for management, set priorities and standards for the management and the conduct of the business. Deshabandu Tilak De Zoysa - Senior Independent Non-Executive Director Professor Lal Chandrasena (General Manager) - Executive Director Mr. Tissa K. Bandaranayake - Senior Independent Non-Executive Director Mr. Ugitha Harshith Dharmadasa - Executive Director Mr. Anisha Givantha Dharmadasa - Executive Director Ms. Ashani Givanthi Dharmadasa - Executive Director Mr. D. Sunil AbeyRatna - Independent Non-Executive Director zzEstablish Mr. Palitha Kumarasinghe PC - Independent Non-Executive Director zzApprove/review Mr. Victor Rajamanner Ramanan - Non-Executive Director zzAppoint the Chief Executive Officer, determine the remuneration of senior executives and report to the Shareholders on their stewardship. zzEnsure The Hospital has in place a number of mandatory and voluntary Board Subcommittees to fulfil regulatory requirements and Stewardship Corporate Governance INED - Independent Non-Executive Directors that adequate internal controls and highest ethical standards are maintained. zzReport to the Shareholders quarterly on the performance of the Hospital. zzBe conscious of the need for the Company to be environmentally friendly by placing emphasis on complying with relevant regulations. Clinical Governance procedures and continue to improve the same. the Hospital’s annual, quarterly and monthly programmes for the patient safety, quality and care. zzEstablish a mechanism to monitor the Hospital’s programmes for the patient safety, quality and care. zzReview on a monthly basis and act on reports of the patient safety, quality and care. Annual Report 2015/16 Nawaloka Hospitals PLC 81 The Board engages with the Shareholders and employees in the following ways towards communicating relevant information: Shareholders zzAnnual General Meetings and Extraordinary General Meetings to deliberate on matters which are relevant and are of concern to the general membership. zzAccess to the Board and the Company Secretaries. zzThe Hospital’s website which is accessible to all stakeholders and the general public. zzInterim In addition, monthly presentations and review of operations are conducted by the Senior Management team including the Chairman/CEO and the DGM. This review covers the operations for the current month and the year to date, Clinical audit and review reports, clinical indicator reports, clinical incident monitoring report as well as future projections and the liquidity position of the Company. Reports. Employees zzThe Board of Directors includes one employee Director namely, the Director/General Manager who bridges the communication gap between the rest of the employees and the Board. zzThe Hospital’s Board of Directors and Board subcommittees conduct effective dialogue with the members of the corporate management on matters pertaining to the overall strategic direction of the Hospital. zzStaff are subjected to are performance appraisal which is conducted quarterly. This is a well-established process and has become an ideal forum for employees to engage in aligning with strategic objectives of the Hospital. The Board meets on a monthly basis and ad hoc meetings are held as and when required. At these meetings, the Board reviews the exposure to key business risk, the strategic direction of the Hospital, targets and budgets, progress made towards achieving those budgets, capital expenditure programmes, reports on patient safety, quality and care, Sentinel events Monitoring report and Customer/Patient satisfaction report. The Board has delegated the primary authority to implement policies and achieve the strategic objectives of the Hospital to the Chairman/Chief Executive Officer (CEO) and the Director/General Manager. The responsibilities of the Director/General Manager are as follows: zzRecommend policies, strategic plans, and budgets to the Board of Directors. zzThe Hospital’s overall, day-to-day operations. zzFinancial Management. zzQuality Management. zzCompliance with applicable laws and regulations. zzRespond to any reports from inspection and regulatory agencies. zzSystems to manage and to control human, financial and other resources. The Chairman/CEO and the DGM exercise this authority within the policy framework established by the Board and the ethical framework and business practices inherent to the Hospital, in accordance with best practices in dealing with employees, customers, suppliers, consultants and the community at large. 82 The Chairman/CEO and the Director/General Manager (DGM) review in detail the monthly performance, budgets, capital expenditure proposals and business strategies prior to recommending them to the Board. Nawaloka Hospitals PLC Annual Report 2015/16 Conflict of Interest The Governance Structure of the Hospital ensures that the Directors take all necessary steps to avoid conflict of interest, in their activities with and commitments to, other organisations or related parties. In pursuance of the requirements under the Sections 192 and 193 of the Companies Act No. 07 of 2007, the Directors duly disclose the financial accommodation made. The framework of rules and practices by which a Board of Directors ensures accountability, fairness, and transparency in a company’s relationship with all its stakeholders (financiers, customers, management, employees, Government and the community). The Corporate Governance framework consists of; 1. Explicit and implicit contracts between the Company and the stakeholders for distribution of responsibilities, rights, and rewards. 2. Procedures for reconciling the sometimes conflicting interests of stakeholders in accordance with their duties, privileges and roles. 3. Procedures for proper supervision, control and information flows to serve as a system of checks-and-balances. Good Corporate Governance is globally accepted as being fundamental to an organisation’s competitiveness, growth and sustainability. There is great attention on Boards of Directors to discharge their duties with high ethical values and accountability in their commitment to good governance practices. Strong business ethics, sound policies and procedures, effective and efficient monitoring systems are considered as ingredients of good Corporate Governance system. We, as pioneers in Modern Healthcare industry, strictly adhere to the following regulatory benchmarks: 1. Companies Act No. 7 of 2007 2. Listing Rules of CSE (Colombo Stock Exchange) 3. The Code of Best Practice on Corporate Governance as published by the SEC (Securities and Exchange Commission) and the ICASL (The Institute of Chartered Accountants of Sri Lanka). 4. Recommendations of the UK Corporate Governance Code as practicable in the context of the nature of business risks and profiles. Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC A. Directors A.1 The Board Presence of an effective Board to Direct, Lead and Control the Company. Meeting A.1.1 Adopted During the financial year 2015/16, there were 11 Board meetings held towards reviewing the contemporary organisational strategy. Decisions in relevance to the organisation’s strategy were made as and when required. All meetings are called well in advance and Directors are expected to participate at the meetings. Attendance of the Board of Directors: Name of Director Board Responsibilities A.1.2 Adopted Number of Meetings Attended Attendance Mr. H.K.J. Dharmadasa 11 100 Mr. Rienzie T. Wijetilleke 10 91 Deshabandu Tilak De Zoysa 11 100 Professor Lal Chandrasena 11 100 Mr. Tissa K. Bandaranayake 11 100 Mr. U.H. Dharmadasa 08 73 Mr. A.G. Dharmadasa 08 73 Ms. A.G. Dharmadasa 03 27 Dr. T. Senthilverl (Resigned w.e.f. 10th March 2016) 07 64 Mr. D. Sunil AbeyRatna 10 91 Mr. Palitha Kumarasinghe PC (Appointed on 24th March 2016) 01 9 Mr. V.R. Ramanan (Appointed on 24th March 2016) 01 9 % The Board possesses the required skills and qualifications in the following: 1. Setting strategic direction and monitoring its effective implementation. 2. The Non-Executive Directors collaborating with the Executive Directors to evaluate the systems of Risk Management, Internal Control and Compliance. 3. The Management appoints the External Auditors of the Company. 4. The Non-Executive Directors are provided with the opportunity to criticise and question the actions of the Board especially related to the integrity of the financial reporting process. 5. The Non-Executive Directors ensure that the strategies fall under the scope of ethical standards. Stewardship Corporate Governance Annual Report 2015/16 Nawaloka Hospitals PLC 83 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC Rules and Regulations A.1.3 The Board collectively acted in accordance with the rules and regulations of the country which are applicable to the Company. Adopted The following rules and regulations are adhered to in relevance to Corporate Governance by our Company: 1. Companies Act No. 7 of 2007. 2. Listing Rules of CSE (Colombo Stock Exchange). 3. The Code of Best Practice on Corporate Governance as published by the SEC (Securities and Exchange Commission) and the ICASL (The Institute of Chartered Accountants of Sri Lanka). 4. Recommendations of the UK Corporate Governance Code as practicable in the context of the nature of business risks and profiles. Company Secretaries A.1.4 Adopted All Directors have direct access to the Company Secretaries which is a firm consisting of members from Attorneys-at-Law and qualified Company Secretaries comprising a Senior Attorney-at-Law and several Associates who are also Attorneys-at-Law. The Company Secretaries ensure the effective circulation of information among Executive and Non-Executive Directors. The Company Secretaries facilitate the Board meetings and the Annual General Meeting. Independent Judgment A.1.5 Adopted The Directors are welcome to bring their independent professional judgments towards the decision-making process. The Board will create a forum to discuss the suggestions and select the best solution for the Company. Adequate time and Effort A.1.6 Adopted The Chairman and the members dedicate adequate time for their duties. All Board meetings are organised well in advance. The Company Secretaries ensure that all requested information is delivered to the Directors for their independent judgment. In addition to the Board meetings, the Directors attend to the following Subcommittee meetings: Audit Committee Remuneration Committee Nomination Committee Related Party Transaction Review Committee Risk Management Committee Strategic Planning Committee Sustainability Committee Training 84 A.1.7 Adopted Nawaloka Hospitals PLC Annual Report 2015/16 New Directors are provided with adequate inductions and grooming for their Director roles. All Directors have well recognised the need for continuous training and expansion of knowledge and skills required to effectively perform their duties. Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC A.2 The Chairman and Chief Executive Officer The code requires clear division of responsibilities of the Chairman and Chief Executive Officer. Division of responsibilities of the Chairman and Chief Executive Officer A.2.1 Adopted Role of the Chairman and Chief Executive Officer is held by one and the same person. The Chief Executive Officer's role includes developing and implementing high-level strategies and implementing major corporate decisions. The Board unanimously agrees to the role of the Chairman and CEO being handled by one person, due to – 1. Exposure he has in the operations of the relevant Company which makes him the ideal CEO. 2. The superior skills he possesses in mediating communication between the Management and the Shareholders. The Chairman will act as the main pivot of communication between the Board of Directors and the Shareholders. As the role of the Chairman and Chief Executive Officer is not separated. Deshabandu Tilak De Zoysa has been appointed as Senior Independent Director (SID) in compliance with A.2.1. A.3 Chairman's Role The Chairman's role for good Corporate Governance The Chairman is responsible for an effective Board. The Chairman should ensure effective discharge of Board functions. A.3.1 Adopted The Chairman is responsible for leadership of the Board. The Chairman facilitates the effective contribution and performance of all Board members whilst identifying any development needs of the Board. He plays the role as a mediator of communication among the Shareholders and Management towards resolving issues of concern. Further, the Chairman ensures that the balance of power between Executive Directors and Non-Executive Directors is adequate. A.4 Financial Acumen The Board to ensure the availability within it of those with sufficient financial acumen and knowledge to offer guidance on matters of finance. Availability of sufficient financial acumen A.4 Stewardship Corporate Governance Adopted The Board is consistently endowed with sufficient financial acumen as three of the Board members have sound financial knowledge and hold fellowships of respective professional accounting bodies. Annual Report 2015/16 Nawaloka Hospitals PLC 85 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC A.5 Board Balance It is preferred that the Board has a balance of Executive Directors and Non-Executive Directors such that no individual or small group of individuals can dominate the Board's decision-making. Adequate number of Non-Executive Directors A.5.1 Adopted The Board consists of Eleven Directors out of which Six Directors are Non-Executive Directors. This has ensured that no additional powers are vested by an individual or small group of individuals to dominate the Board. Furthermore, the composition of Non-Executive Directors exceeds the required 1/3 proportion of the Board. Adequate number of Independent Non-Executive Directors A.5.2 Adopted The Board consists Five Independent Non-Executive Directors out of Six Non-Executive Directors. Independency of Directors A.5.3 Adopted All Five Independent Non-Executive Directors are free from any material relationship with the Company which ensures their independence is not compromised. Signed declaration of independence by the Non-Executive Directors A.5.4 Adopted All Non-Executive Directors have made written submissions to declare their level of independence. Declaration in the Annual Report A.5.5 Adopted The Board has determined the Independence and Non-Independence of the Non-Executive Directors based on the declaration and all other available information. No circumstances have arisen for the determination of independence by the Board, beyond the criteria set out in the Code. The following Non-Executive Directors have been declared as the Independent Non-Executive Directors: Mr. Rienzie T. Wijetilleke Deshabandu Tilak De Zoysa Mr. Tissa K. Bandaranayake Mr. D. Sunil AbeyRatna Mr. Palitha Kumarasinghe PC Alternate Director A.5.6 N/A During the course of the year there had not been any appointments of Alternate Directors. Senior Independent Director A.5.7 Adopted Deshabandu Tilak De Zoysa has been appointed as the Senior Independent Director (SID), as the role of the Chairman and Chief Executive Officer is not separated. Confidential Discussion with Senior Independent Director A.5.8 Adopted The Senior Independent Director has made himself available for any material discussion with any of the Directors. Meeting with the Chairman and Non-Executive Directors A.5.9 Adopted The Chairman meets with the Non-Executive Directors when the need arises. Recording of concerns in Board minutes A.5.10 Adopted All concerns arisen had been resolved unanimously, resulting in the requirement for recording such concerns in minutes being limited. 86 Nawaloka Hospitals PLC Annual Report 2015/16 Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC A.6 Supply of Information The Board should be fully equipped with timely information to discharge their duties. Timely Information A.6.1 Adopted The Management has provided the Board with the required information to discharge their duties effectively. Additional information is dispersed by the Management as and when required. Board Papers A.6.2 Adopted The Board Paper is sent seven days in advance of the Board meeting for initial preparation. A.7 Appointments to the Board Presence of a formal and transparent procedure for the appointment of new Directors to the Board. Nomination Committee A.7.1 Adopted The Nomination Committee makes recommendations to the Board for all new appointments. The Nomination Committee will consist of the following: Deshabandu Tilak De Zoysa – Chairman (Senior Independent Non-Executive Director) Tissa K. Bandaranayake – Member (Senior Independent Non-Executive Director) Mr. D. Sunil AbeyRatna – Member (Independent Non-Executive Director) Assessment of Board Composition A.7.2 Adopted The Board as a whole annually assesses the composition of the Board to ascertain whether combined knowledge and experience of the Board match with the strategic demands faced by the Company. New Board Members will be appointed as and when the need arises. Disclosure to Shareholders A.7.3 Adopted The Board has disclosed the appointments of new Directors to the shareholders with the material information. A.8 Re-election All Directors should be required to submit themselves for re-election at regular intervals and at least once in every three years. Appointment of Non-Executive Directors A.8.1 Adopted Re-election procedure of the Board of Directors has been performed as per the Articles of Association of the Company. Election of the Directors A. 8.2 Adopted The Directors are appointed at the Annual General Meeting. A.9 Appraisal of Board Performance The Board should appraise their own performance in order to ensure that the Board responsibilities are satisfactorily discharged. Appraisal of Board Performance A.9.1 Adopted The Board’s performance is assessed annually against preset targets relating to self-evaluation of individual performance and collective performance of the Board as a whole. Appraisal of selfperformance A.9.2 Adopted Please refer above comment. (A.9.1) Performance criteria A.9.3 Adopted Please refer above comment. (A.9.1) Stewardship Corporate Governance Annual Report 2015/16 Nawaloka Hospitals PLC 87 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC A.10 Disclosure of Information in Respect of Directors The Shareholders are to be kept advised of relevant details in respect of Directors. Disclosure in Annual Report A.10.1 Adopted Please refer pages 70 to 73 for the Profiles of the Directors. A.11 Appraisal of the Chief Executive Officer The Board should be required to evaluate annually the performance of the Chief Executive Officer. Targets A.11.1 Adopted In each financial year, the Board has set short-term, medium-term and long-term targets with the consultation of the Chief Executive Officer along with its objectives. This includes financial and non-financial targets. Evaluation of the Targets A.11.2 Adopted There is an ongoing process of evaluating the performance of the Chief Executive Officer in achieving the set targets. B. Directors' Remuneration B.1 Remuneration Procedure Establish a formal and transparent procedure for developing policy on executive remuneration and for fixing the remuneration packages of individual Directors. Remuneration Committee B. 1.1 Adopted The Company has established a Remuneration Committee to make recommendations to the Board within the agreed terms of reference for compensating the Executive Directors. Refer page 108. Composition of the Remuneration Committee B. 1.2 Adopted The Remuneration Committee comprises the following Non-Executive Directors: Refer page 108. B. 1.3 Adopted Deshabandu Tilak De Zoysa – Chairman (Senior Independent Non-Executive Director) Mr. Tissa K. Bandaranayake – Member (Senior Independent Non-Executive Director) Mr. D. Sunil AbeyRatna – Member (Independent Non-Executive Director) Remuneration of the Non-Executive Directors B. 1.4 Adopted The Board collectively decides the remuneration of the Non-Executive Directors. Non-Executive Directors receive a fee for their presence in the Board as well as in the Committees. Advices to the Chairman and the Chief Executive Officer B. 1.5 Adopted The Chairman and the Chief Executive Officer obtain advice from the Remuneration Committee in relevance to the procedure in compensating the Executive Directors. The Remuneration Committee consults the Chairman in relevance to the remuneration of other Executive Directors and if required access to professional advice from within and outside the Company. 88 Nawaloka Hospitals PLC Annual Report 2015/16 Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC B.2 The Level and Make-up of Remuneration Ensure adequate level of remuneration to retain and motivate the Directors both Executive and Non-Executive to operate the Company effectively. Further, a proportion of the Executive Directors' remuneration should be structured to link rewards to the achievement of corporate objectives. Remuneration for Executive Directors B. 2.1 Adopted The Company is mindful of adequate remuneration to the Executive Directors to retain and motivate them. The Remuneration package has been designed to enhance the value of the shareholders through achieving the Company's short-term, medium-term and the long-term objectives. Comparison between similar companies B. 2.2 Adopted The Remuneration Committee decides the remuneration taking into consideration the comparative levels of remuneration paid by other similar companies. Comparison of Remuneration across the Group B. 2.3 Adopted Consistent reviews are made in relevance to information related to executive remuneration to ensure that the Company is in par with the market/industry rates as well as it is aligned to the strategic objectives of the Company. Performance-based remuneration to the Executive Directors B. 2.4 Adopted The Company provides compensation which is variable to the performance of the allocated responsibilities of the Executives. Executive Share Option Schemes B. 2.5 N/A The Company has not offered any share option schemes during the financial year under review. Deciding the Performance-related remuneration B. 2.6 Adopted The Company has taken into consideration the guidelines given in Schedule D in decisions pertaining to performance remuneration related. Early termination of Director B. 2.7 N/A Not applicable to the Board except to the CEO whose terms of employment are governed by the contract of service. Early termination of Director not included in the contract B. 2.8 N/A Refer above comment. Remuneration to the Non-Executive Directors B. 2.9 Adopted Non-Executive Directors receive a fee in line with the market price. No share option scheme has been offered to the Non-Executive Directors. B.3 Disclosure of Remuneration Disclosure of the Remuneration policy in the Annual Report. Disclosure of Remuneration B. 3.1 Adopted The Remuneration Committee is headed by a Non-Executive Director. Please refer to the comment on B.1.3 for further information. Refer page 108 also. Remuneration policy focuses on the compensation to employees for the services provided and to retain employees with skills required to effectively manage the operations. Stewardship Corporate Governance Annual Report 2015/16 Nawaloka Hospitals PLC 89 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC C. Relations with Shareholders C.1 Constructive Use and Conduct of General Meetings The Board to use the Annual General Meeting to communicate with the shareholders and encourage their participation. Use of Proxy votes C.1.1 Adopted The Company has a mechanism to record the Proxy votes and proxy votes lodged for each resolution. Separate Resolutions C.1.2 Adopted The Company proposes separate resolutions for each substantial item towards providing shareholders the opportunity to cast their votes separately in relevance to the above items. Availability of the Chairman of Audit, Remuneration and Nomination Committees C.1.3 Adopted The Chairman of Audit, Remuneration and Nomination Committees are made available by the Company to clarify any queries, especially at the time of the AGM. Notice of Meeting C.1.4 Refer page 106 – Board Subcommittees. Adopted The Annual Report is sent to each shareholder well in advance for their early preparation for the Annual General Meeting. All queries are clarified at the Annual General Meeting. Procedures of voting at a General Meeting C.1.5 Adopted Voting procedures at the General Meeting have been communicated to the shareholders. C.2 Communications with Shareholders The Board should implement effective communication with the shareholders. Communication Channels C.2.1 Adopted The Board engages with the shareholders in the following ways to communicate relevant information. Communication Methodology C.2.2 Adopted Annual General Meetings and Extraordinary General Meetings to address matters which are relevant and of concern to the General Membership. Implementation C.2.3 Adopted - Access to the Board and the Company Secretaries. - The Hospital's website which is accessible to all stakeholders and the general public. - Interim Reports – www.cse.lk Responsibility of communication C.2.4 C.2.5 C.2.6 Adopted The Board of Directors includes one Employee Director namely, the Director General Manager and the Company Secretaries to bridge the communication gap between the rest of the shareholders and the Board. Shareholder Matters C.2.7 Adopted Please refer C. 2.4 C.3 Major Transactions Disclosure of all material transactions to the shareholders which would materially alter/vary the Company's net assets base or in the case of a company with subsidiaries, the consolidated Group net assets base. Shareholder Matters 90 C.3.1 Adopted Nawaloka Hospitals PLC Annual Report 2015/16 All material transactions have been disclosed to the shareholders. Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC D. Accountability and Audit D.1 Financial Reporting To present a balanced and understandable assessment of the Company's financial position, performance and prospects. Statutory Reporting D.1.1 Adopted Adhering to the statutory and legal requirements, the Company has published the following reports to disclose relevant information to the stakeholders: - Quarterly Financial Statements - Annual Reports The Company has strictly complied with the requirements of the Companies Act No. 07 of 2007 and amended hereto. The Financial Statements are prepared based on the International Financial Reporting Standards (IFRS). Directors’ Report D.1.2 Adopted Refer pages 104 to 107. Auditors’ Report D.1.3 Adopted Refer page 113. Management Discussion and Analysis D.1.4 Adopted Refer pages 30 to 69. Declaration by the Board that the business is a going concern D.1.5 Adopted Refer page 107 and 112. Summon an Extraordinary General Meeting to notify loss of capital D.1.6 Adopted Likelihood of such circumstances is remote; if such a situation arises an Extraordinary General Meeting would be summoned to inform the shareholders. D.2 Internal Controls The Board should maintain a sound system of internal controls to safeguard the Shareholders’ investments and the Company assets. Review of the Internal Control System D.2.1 Adopted The Board continuously evaluates the effectiveness of the internal control system in the Company to safeguard the shareholder investment. The Board of Directors is satisfied with the presence of the level of internal controls in business operations. Refer page 110 – Internal Controls & Internal Audit. Need for Internal Audit Function D.2.2 Adopted An in-house Internal Audit functions in the Company. Regular Reviews of Internal Controls D.2.3 Adopted Our Internal Audit Function carries out regular reviews, spot audits to identify the effectiveness of the internal controls established. Stewardship Corporate Governance Annual Report 2015/16 Nawaloka Hospitals PLC 91 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC D.3 Audit Committee The Board is required to establish formal and transparent arrangements for considering as to how they should select and apply accounting policies, financial reporting and internal control principles and maintaining appropriate relationship with the Company's Auditors. Composition of Audit Committee D.3.1 Adopted The Audit Committee is comprised of four Independent Non-Executive Directors: Mr. Tissa K. Bandaranayake – Chairman (Senior Independent Non-Executive Director) Mr. Rienzie T. Wijetilleke – Member (Independent Non-Executive Director) Deshabandu Tilak De Zoysa – Member (Senior Independent Non-Executive Director) Mr. D. Sunil AbeyRatna – Member (Independent Non-Executive Director) Duties of Audit Committee D.3.2 Adopted The Audit Committee continuously evaluates the independence, effectiveness and objectivity of the Auditors. Further, the Committee evaluates the nature of the non-audit services carried out by the Auditors. Terms of Reference of the Audit Committee D.3.3 Adopted The Audit Committee is guided by the Committee Charter which is reviewed annually. The Committee assists the Board to oversee the following aspects: - Preparation, Presentation and Adequacy of Disclosures in the Financial Statements. - Compliance with financial reporting requirements, information requirements of the Companies Act No. 07 of 2007 and other financial reporting related regulations and requirements. - Ensuring that the Internal Control System of the Company is effective. - Ability to continue as a going concern in the foreseeable future. - Assessing the independence and performance of the Company’s External Auditors. Disclosure 92 D.3.4 Adopted Nawaloka Hospitals PLC Annual Report 2015/16 Refer pages 109 to 111. Corporate Governance Stewardship Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC D.4 Code of Business Conduct and Ethics – The Company to develop a Code of Ethics for Directors and members of the Senior Management team and promptly disclose if there are any waivers of the Code for Directors and others. Code of Business Conduct and Ethics D.4.1 Adopted The Company has developed a Code of Business Conduct and Ethics focusing on the following important areas: - Integrity - Objectivity - Professional competence and due care - Confidentiality - Fair dealing - Encouraging the reporting of any illegal or unethical behaviour - Conflict of interest - Bribery and corruption - Entertainment and gifts - Integrity of Financial Statements - Corporate opportunities - Protection and proper use of the Company assets - Compliance with rules and regulations All our Directors and Senior Executives have declared their commitment to operate in adherence to these principles. Affirmation of the Code of Business Conduct and Ethics (Report by the Chairman affirming that there were no incidents involving the breach of mentioned ethical policies) D.4.2 Adopted Refer the Chairman's Report in pages 14 to 15. D.5 Corporate Governance Disclosures The Directors are required to disclose the extent to which the Company adheres to established principles and practices of Good Corporate Governance. Disclosure of Corporate Governance D.5.1 Stewardship Corporate Governance Adopted The Report in pages 78 to 94 provides a detailed disclosure on our Corporate Governance practices. Annual Report 2015/16 Nawaloka Hospitals PLC 93 Corporate Governance Principle SEC and ICASL Adoption Code Reference Status Level of Compliance by the Nawaloka Hospitals PLC E. Institutional Investors E.1 Shareholder Voting The institutional shareholders are required to make considered use of their votes and should be encouraged to ensure that their voting intentions are translated into practice. Dialogue with the Shareholders E.1.1 Adopted - The Annual General Meeting provides a platform for effective communication with the shareholders. - All concerns of the shareholders are recorded in the minutes of the meeting and addressed thereafter. - The Board reviews the minutes of the meetings and ensures that the shareholders’ issues are resolved systematically. E.2 Evaluation of Governance Disclosure The Company should encourage Institutional Investors to provide due diligence to all relevant factors in the Board Structure and Composition. F. Other Investors F.1 Investing/Divesting Decision Individual Shareholders F.1 Adopted Individual shareholders are encouraged to carry out adequate analysis or seek out independent advice for matters related to investing/ divesting decisions. F.2 Adopted Individual shareholders are encouraged to participate at General Meetings and exercise their voting rights. F.2 Shareholder Voting Individual Shareholder Voting 94 Nawaloka Hospitals PLC Annual Report 2015/16 Corporate Governance Stewardship ‘Savikala Abarum Gala’ ^iúl< weUreï .,& was another type of grinding stone which is fixed to the ground at the centre and can be rotated. It is used to grind herbal foliage for the extraction of juice. Annual Report 2015/16 Nawaloka Hospitals PLC 95 RISK MANAGEMENT Managing the unexpected is an essential daily concern in high-risk organisations, especially for service organisations in the healthcare sector such as ours. Consistent and thorough processes are the hallmark of Nawaloka Hospital’s successful risk management process. Adhering to a bottom-up risk management approach, the Hospital encourages employees at all levels to participate in the risk management process. In addition, Nawaloka constantly reviews and updates the risk management process on a regular basis and thus, believes it to be a common thread, throughout the entire Hospital. Risk Objectives Monitoring & Control Identification & Prioritising Risk Analysing & Quantifying Risk Communication Evaluation & Identification of Solutions Implementation & Documentation Matching Solution with the Identified risk Summary of Risk Management Identified Risk Responding Actions Objectives Financial Risk: zzTimely zzMaintain zzProper zzAppropriate This includes risks related to capital structure, projects invested, asset utilisation etc. appropriate decisions on funding, investing and dividend payment. management of working capital. Use of compatible concepts in financing and investing. zzNegotiation of favourable credit terms and discounts. zzAppropriate Operational Risk: Risk of direct and indirect losses resulting from inadequate or failed internal processes, people and systems or from external events. liquidity while maximising profit. capital structure and gearing. zzMinimise the adverse impact of changes in financial market. zzCompliance with covenants. funding strategies. zzReview and continuously update controls according to the changes in business operations. zzRegularly analyse by cause the deviations and losses and take action to improve systems and controls to prevent recurrence in the future. zzRevise and implement business continuity planning. zzEradicate opportunities for misappropriation. zzReduce wastage and increase cost saving. zzEnsure controls are adequate to curtail business processes, minimise human error beside systems and procedural failures. zzEnsure that effective independent internal audits are carried out with objectivity. zzTake timely action on the recommendation given by internal audit. 96 Nawaloka Hospitals PLC Annual Report 2015/16 Stewardship Identified Risk Responding Actions Objectives Clinical Risk: zzCreate zzEnsure and maintain high quality medical and safety standards. the provision of a quality service to the patients. zzIdentify any potential risk to involved parties and take preventive action. zzThe Hospital adheres to international therapist and diagnostic norms to ensure that it complies with WHO standards. zzIn addition, ISO internal/external audits are carried out to maintain ISO procedures. Human Resources Risk: zzProper HR and remuneration policies to be in place. zzProvide training and develop staff skills and knowledge. zzReduce staff turnover. zzReduce dependence on individual staff. zzRetain top performers. zzPlan career path progress and succession planning. zzJob rotation and staff training for multiple skills. zzImprove decision-making processes by motivating employees. Information Technology Risk: zzService level maintenance agreement for hardware and software. zzZero zzSecurity zzZero implementation with firewall and virus protection. losses of data during a system down time. down time of the application servers connectivity. zzOnline and offline backup procedures for application data storage. zzMirror data storage. zzAlternative zzHardware connections for servers. backup. zzRegular health checks of the systems and networks. zzError zzAd logs and user logs maintenance. hoc backup restorations. zzImplementation Reputation Risk: of disaster recovery plan. zzFocus on treating employees, patients, doctors, suppliers, communities and the environment in the optimum way to achieve Company objectives. zzMaintain a good image among the Company’s stakeholders and ensure its positive impact on business. zzMaintain regular and effective communication with shareholders. zzMaintain constant improvement in the quality of the output of the Company. Stewardship Risk Management Annual Report 2015/16 Nawaloka Hospitals PLC 97 Identified Risk Responding Actions Objectives Legal and Regulatory Environment Risk: zzEnsure zzComply compliance with laws and regulations with legal advice. with all statutory or regulatory obligations. zzMinimise claims arising from litigations initiated by clients by providing proper and adequate service. zzReliability. zzMaintain an accurate patient data base. Asset Risk Including Information: zzAppropriate zzMinimise Impact on the Company’s assets due to theft, natural disaster or human error zzBackup zzMinimise Technological Obsolescence Risk: zzCompetent zzEmploy Procurement Risk: zzEnsure zzMinimise Includes buying quality products on time. zzEstablish The impact of changing technology on the Company’s operations. insurance covers for identified risks. of vital machinery and equipment components. zzRestrict access to information and ensure employee awareness of the importance of the confidentiality of patient data. biomedical team to keep abreast with developments in medical equipment and introduce new technology to maintain high technological standards and continuous investment in medical equipment. standardised quality. relationship with multiple suppliers. zzNegotiate Credit Risk: zzThe Includes defaults of debtors and other parties who obtain credit from the Hospital. zzTimely Intellectual Risk: zzCreate This includes the use of the Company’s brand name by other parties. 98 for better prices and discounts. Company evaluates the credit worthiness of companies before granting credit and whether they have a good credit policy. breakdown of equipment and other assets. the cost on information. zzMinimise the loss of assets due to fire and theft. all available highly advanced equipment to provide a better quality service to patients. instances of running out of stock. zzMinimise the effect of price increases. zzQuality of pharmaceutical products to be maintained. zzReduce debtors’ defaults. collections from patients are carried out. brand awareness through sustained advertising and marketing. Nawaloka Hospitals PLC Annual Report 2015/16 zzTo protect against brand infringement. Risk Management Stewardship Identified Risk Responding Actions Objectives Competition Risk: zzIncrease zzProtect The possibility of fluctuation in revenue caused by changes in market variables and competitors. zzGood service quality by adopting market developments in the continuously changing environment. and expand market share. customer relationships. zzProvide better quality at affordable prices. Risk Management Committee The Risk Management Committee of Nawaloka Hospital has been established with a clear and that precise objective to ensure that proper risk management policies and procedures are in place. The Committee comprises 32 members, chaired by Professor Lal Chandrasena who is Director/General Manager of Nawaloka Hospitals PLC. Board Members of the Risk Management Committee The Committee conducts monthly meetings to oversee and approve the risk management, internal compliance and control policies and practices of the Company. Three Lines of Defense The Company deploys a ‘three lines of defense’ governance model which facilitates accountability and transparency through clear identification and segregation of roles as given below: Professor Lal Chandrasena – Chairman (DGM/ED) Mr. U. Harshith Dharmadasa – Member (ED) Mr. A.G. Dharmadasa – Member (ED) Ms. A.G. Dharmadasa – Member (ED) Board of Directors/Audit Committee Senior Management/Risk Committee First Line Second Line Operational Management The first line of defense comprises of a sound internal control system which creates employees accountable for the risks accepted during the course of business. Control of Risk Stewardship Risk Management Third Line Risk Management This level consists of risk management, compliance and other supporting functions such as finance, security, quality assurance and human resource management. Confirmation of Control Internal Audit This level consists of internal and external audit which provides an independent assurance to the Board over the first and second lines of defense. Overview of Control Annual Report 2015/16 Nawaloka Hospitals PLC 99 Risks zzNawaloka Nawaloka takes bottom-up approach, which encourages employees at all levels to contribute and be a part of the risk management process. The risks have been mapped into various categories prior to implementation of the risk management process. In accordance with the monthly discussions and evaluations of the Risk Matrix, the Committee has identified several risks associated with Nawaloka. Thus, they have been categorised into the following domains: zzOperational zzFinancial zzLegal Risk Risk and Regulatory Environment Risk zzReputation Risk Operational Risk Nawaloka has identified operational risks as of the utmost importance due to the nature of the business. Operational risks arise due to failure in the internal processes, people, clinical and IT system. The Committee regularly performs operational risk monitoring activities in order to promptly detect deficiencies in the policies, procedures and processes. Internal Process Nawaloka ensures risk management in operations by maintaining proper internal control systems initiating prompt response to arising risks. Following are some of the standards in place to ensure that internal process risks have been reduced within a controlled environment: zzDesignated Manager, Head of System and Control who monitors and controls the risk and internal controls on a daily basis, assists in identifying failures within the processes and takes prompt action to mitigate and reduce the risk. zzNawaloka is the first healthcare services provider in Sri Lanka to obtain the ISO 9001:2008. Thus, it conforms to the ISO procedures and ISO audit standards. zzAudit trails have been conducted by the Internal Audit teams at scheduled times in an appropriate manner. Hence, red flags (if any) are raised and proper action are recommended and implemented. zzOffering precise and clear job responsibilities to employees at each level allow the Hospital to adhere to established standards and follow protocol in a highly vulnerable service industry. Any deviation will be monitored and immediate action taken. Employees have been reminded of the job expectation periodically and continuous on-the-job and off-the-job training is provided. Clinical Risks associated with patient care are extremely important for a hospital. As a service organisation in the healthcare sector, clinical risk management plays a crucial role in enabling Nawaloka to identify, contain and manage risks related to patient safety. 100 Nawaloka Hospitals PLC Annual Report 2015/16 has identified several key elements that influence the degree of clinical risk, namely – staff participation, safety culture, learning from incidents or errors, education and training. zzThe Hospital provides a fully-fledged training programme to both doctors and nurses. In addition, the programme encourages maintaining good communication. zzBiomedical instruments and equipment play a vital role in the upkeep of the Hospital as well as the patients; thus, maintaining and replacing the respective technological equipment on time. zzThe Hospital ensures to enter into service agreements only with established, esteemed and reputed organisations so as to abide by Nawaloka’s clinical service policies and procedures. zzNawaloka serves as an ethical service organisation in terms of drug suppliers. We make sure that the suppliers maintain high quality business standards, conforms to national and international guidelines together with recognised quality parameters. People Management of human resources and employee behaviour can become a major source of operational risk to the Hospital. Risks range from the potential employee negligence, conflict of interest, fraud and mismanagement or due to poorly trained employees. zzStaff training is crucial to the successful management of risk exposures resulting from the interaction of humans and medical technology. However, Nawaloka has invested time and money to create an appropriate risk culture, in which employees are aware of operational risk. zzNawaloka offers and conducts comprehensive training programmes to both in-house staff as well as to external parties (non-core outsourced businesses). Non-core outsourced businesses feature the security, cleaning, maintenance and businesses under service agreements. zzAs a measure of monitoring the strengths and weaknesses of the training programmes, performance appraisals are conducted every three months. Simultaneously, any ambiguity that highlights likelihood of risks is being analysed, evaluated and revised through action plans. IT System Complex-designed or poorly implemented systems and processes can give rise to operational risks. This may result in the Hospital experiencing a plethora of problems including information security failures, fraud and processing errors. Further, the increased automation and adaptability to advances in technology have the potential to transform risks from minor manual processing errors to key systematic failures. zzNawaloka has converted all manual processes into computerised systems. The Enterprise Resource Planning (ERP) system of Nawaloka is subjected to constant updates Risk Management Stewardship and upgrades to ensure that risks are minimised. The design and the implementation of the robust HIS platform specifically identifies all business processes and healthcarerelated risks. zzThe Hospital has taken measures for online and offline backup procedures for application data storage. In addition, certain proper security measures have been installed through firewall and virus protection, thereby ensuring zero losses of data during a system failure. Financial Risk Financial risks associated with Nawaloka are related to capital structure, project investments, asset utilisation, credit quality of debtors and counterparts. Thus, enhancing the risk of the Hospital’s ability to earn, raise or access capital. The following provides an outline of the risks involved and measures taken as regards liquidity risk, credit risk and assets risk. Liquidity Risk Liquidity risk involves the risk that funds potentially required on short-term basis cannot be sourced or sold expeditiously. In addition, the risks associates with the cash on hand and the availability of credit line facilities. Nawaloka has taken stringent measures to minimise the risks in relation to liquidity. zzA dedicated team of experts, headed by the Financial Controller, conducts daily cash flow analysis. The analysis provides a reliable and a valuable perspective on the Hospital’s financial performance. Further, it assists in identifying any shortfalls or surpluses, making smart investment planning decisions and daily cash flow activities. Thus, it improves cash flow control and helps to ensure that cash flow concerns are dealt with effectively. zzImposing a proper debt collection policy circumventing a build up of bad debts and debtors. zzEstablishing proper authorisation levels in order to control expenditures. Credit Risk Credit risk occurs through the default of the debtors and other parties who obtain credit from Nawaloka. The main objective is to reduce the impact of debtors’ defaults. Following strict protocols are adhered to by the Hospital in managing credit risks and debtors. zzIt operates under a sound credit-granting process, which maintains an appropriate credit evaluation administration, measurement and monitoring process. In addition, the Hospital evaluates the creditworthiness of the companies prior to the granting of credit, thus ensuring that, payment is obtained as quickly as possible for such credit. Asset Risk Asset risk to an organisation is a threat when an organisation’s assets are vulnerable to theft, natural disaster or human error. Implementing precautionary measures helps control and minimise asset risks. zzAcquiring appropriate insurance covers for identified risks provides a relief to the Hospital under unavoidable circumstances such as breakdown or natural disasters. zzCreating backup of vital machinery, equipment components as well as documentation helps to reduce the cost of loss of vital information. Legal Risk Legal risks crop up during periods when the organisations have been non-compliant with the laws and regulations. The Company has taken respective measures and appropriate care to ensure that risks are minimised in the legal and regulatory environment. Operating with a clear objective in conforming to all standards and in compliance with all statutory or regulatory obligations, the following are specific actions taken by the Risk Management Committee: zzEnsure compliance with laws and regulations with legal advice. zzMinimise claims arising from litigations initiated by clients by providing proper and adequate services. This highlights reliability and credibility of the Hospital. Reputation Risk Prominent in any service organisation, reputation risk is a risk related to the credibility of the business. This may be a matter of corporate trust, which has a great influence on damaging the reputation and causing a severe impact on shareholder value. Non-compliance with the risks in the aforesaid domains (operations, finance and legal), will create a significant impact and raise the reputation risk of Nawaloka. zzNawaloka Hospital has been well established for the past 30 years. As an esteemed service organisation, understanding the vulnerability of saving lives and importance of medical technology, Nawaloka stands in the forefront of healthcare in the country. zzMaintaining strong relationships with stakeholders by building confidence and trust, ensuring operational efficiency, financial transparency and conformance to international best practices, Nawaloka Hospital can live up to the vision of maintaining its prestigious reputation for generations to come. zzThe Hospital has established a noteworthy credit policy, which reduces the risk of bad debt, minimise the costs of granting credit and help maintain a good cash flow. Stewardship Risk Management Annual Report 2015/16 Nawaloka Hospitals PLC 101 AWARDS AND ACCOLADES Institute Award Description Category Sri Lanka Institute of Training and Development People Development Award (PDA) Best Practicing Human Resources Development Silver Award Health Sector The Institute of Chartered Accountants Sri Lanka (ICASL) Annual Report Gold Award Health Sector 2015 Annual Report Gold Award Health Sector 2014 Annual Report Gold Award Health Sector 2013 Gold Award Health Sector 2012 Annual Report Gold Award Health Sector 2011 Annual Report Gold Award Health Sector 2010 Annual Report Silver Award Health Sector 2007 Annual Report Silver Award Health Sector 2009 Annual Report Certificate of Recognition Service Organisation 2006 Annual Report Merit Certificate Service Organisation 2005 Runner-up General Services and Utility Category 2015 Runner-up General Services and Utility Category 2014 Runner-up Leisure and Services Category 2013 Certificate of Recognition Occupational Safety and Health Merit Award Certificate of Award National Business Excellence Awards (NBEA) Asia Pacific Entrepreneurship Award (APEA) SGS 2015 Annual Report ACCA SL Sustainability Award National Institute of Occupational Safety and Health Year of Issue 2012 Health Sector 2015 5 Crowns for Food Hygiene 2015 5 Crowns for Food Hygiene 2014 5 Crowns for Food Hygiene 2013 5 Crowns for Food Hygiene 2012 2012 Silver Health care and Related Service Sector Runner-up Best Tech-Savvy Company 2011 Winner Health care and Related Service Sector 2011 Winner Health care and Related Service Sector 2010 Winner Health care and Related Service Sector 2009 Winner Health care and Related Service Sector 2007 1st Runner-up Other Service Sector 2006 Winner Other Service Sector 2005 Special Achievement 2012 ISO 9001 : 2000 2007 ISO 9001 : 2008 2007 SL National Quality Award Winner Nawaloka Group Best Company Nawaloka Group SL National Quality Award 102 Nawaloka Hospitals PLC Annual Report 2015/16 Service Large Category 1998 2001 Winner Service Large Category 1998 Stewardship FINANCIAL REPORTS 2015/16 104 108 109 111 112 113 114 116 117 118 119 Annual Report of the Board of Directors Report of the Remuneration Committee Audit Committee Report Board Related Party Transactions Review Committee Report Directors’ Responsibility in Financial Reporting Independent Auditors’ Report Statement of Financial Position Statement of Profit or Loss and Other Comprehensive Income Statement of Changes in Equity Cash Flow Statement Notes to the Financial Statements Financial Calendar 2013/2014 2014/2015 2015/2016 2016/2017 12th August 2013 14th August 2014 14th August 2015 August 2016 2nd Quarter Results 12th November 2013 7th November 2014 15th November 2015 November 2016 3rd Quarter Results 12th February 2014 10th February 2015 15th February 2016 February 2017 4th Quarter Results 30th May 2014 22nd May 2015 30th May 2016 May 2017 1st Quarter Results Annual Report Annual General Meeting June 2014 June 2015 June 2016 June 2017 30th June 2014 30th June 2015 30th June 2016 30th June 2017 Annual Report 2015/16 Nawaloka Hospitals PLC 103 ANNUAL REPORT OF THE BOARD OF DIRECTORS The Directors have pleasure in presenting to the members, their Report together with the Audited Financial Statements for the year ended 31st March 2016 The details set out herein provide the pertinent information required under the Companies Act No. 07 of 2007, the Listing Rules of the Colombo Stock Exchange and recommendations in adherence with best accounting practices. Legal Form Nawaloka Hospitals PLC is a public company with limited liability incorporated in Sri Lanka on 1st July 1982 under the Companies Ordinance No. 51 of 1938 and re-registered under the provisions of the Companies Act No. 07 of 2007 on 07th September 2007, with the Company Re-Registration No. PQ 78. Since 2004 its shares are quoted on the Colombo Stock Exchange. This information is disclosed as required by Section 168 of the Companies Act No. 07 of 2007, which also requires the following information to be disclosed. Principal Business Activities Nature of the business of the Company and the Group are described below as required by Section 168 (1) (a) of the Companies Act No. 07 of 2007. There has been no material change to the activities of the Company or any of it’s subsidiaries during the period under review. Company Subsidiaries Review of Business/Future Development New Nawaloka Hospitals (Pvt) Ltd. This is a private company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007. It is also domiciled in Sri Lanka and is a wholly-owned subsidiary of Nawaloka Hospitals PLC. New Nawaloka Medical Centre (Pvt) Ltd. This too is a private company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007. It is also domiciled in Sri Lanka and is a wholly-owned subsidiary of Nawaloka Hospitals PLC. Nawaloka Metropolis Laboratories (Pvt) Ltd. This joint venture company was established in the year 2005 along with Metropolis India to provide laboratory services. Nawaloka Hospitals PLC holds 50% shares in this Company. Nawaloka Medicare (Pvt) Ltd. This is a private company with limited liability incorporated in Sri Lanka in the year 2014 under the provisions of the Companies Act No. 07 of 2007. It is also domiciled in Sri Lanka and is a wholly-owned subsidiary of Nawaloka Hospitals PLC. A review of the business of the Company and the Group and its performance during the year is contained in the Chairman’s review/ Chief Executive Officer’s Performance Review and of the Director/General Manager’s Operational & Management review at pages 14, 15, 16 and 17 respectively of this Report. These reviews form an integral part of this Report and together with the Financial Statements described in detail of the state of affairs of the Company and the Group. Financial Statements The Financial Statements which include the Statement of Comprehensive Income, Statement of Financial Position, Statement of Changes in Equity, Cash Flow Statements and Notes to the Financial Statements are given on pages 114 to 144 and have been prepared in conformity with the Sri Lanka Accounting Standards and the requirements of Section 168 (1) (b) of the Companies Act No. 07 of 2007 and the Listing Rules of the Colombo Stock Exchange. Auditors’ Report The Financial Statements for the period under review were audited by Messrs KPMG (Chartered Accountants) for the year ended 31st March 2016 and the Independent Auditor’s Report issued thereon appears at page 113 of this Annual Report as required by Section 168 (1) (c) of the Companies Act No. 07 of 2007. The principal activity of the Company is the providing of healthcare and hospital services. Financial Results Group Company 2015/16 Rs. 2014/15 Rs. Profit before Taxation 315,252,428 96,647,519 Less: Taxation (109,218,200) (9,176,683) 26,603,594 Net Profit after Taxation 206,034,228 87,470,836 (127,565,499) 89,938,006 Profit attributable to Equity Holders of the Company 205,881,515 69,296,227 (128,757,809) 73,403,771 0.15 0.06 (0.09) 0.06 (All figures in Sri Lankan Rupees) Earnings per share 104 Nawaloka Hospitals PLC Annual Report 2015/16 2015/16 Rs. (154,169,093) 2014/15 Rs. 97,821,426 (7,883,420) Financial Reports Accounting Policies and Changes During the Year The accounting policies adopted in the preparation of Financial Statements of the Company and the Group are given on pages 119 to 126 of this Annual Report as required by Section 168 (1) (d) of the Companies Act No. 07 of 2007. There have been no changes in the accounting policies adopted by the Company during the period under review other than the depreciation rates. Entries in the Interests Register The interests register is maintained by the Company, as required by Section 168 (1) (e) of the Companies Act No. 07 of 2007. Directors’ Remuneration and Other Benefits Directors’ remuneration and other benefits of Directors are given at Note 24 to the Financial Statements on page 138 as required by Section 168 (1) (f) of the Companies Act No. 07 of 2007. Donations Total donations made by the Group during the year amounted to Rs. 4,480,289/- and is being disclosed as required by Section 168 (1) (g) of the Companies Act No. 07 of 2007 and this expenditure was incurred upon the mandate conferred upon the Board by the shareholders at the last Annual General Meeting. Shareholders’ Funds After the above mentioned appropriation, the total Group Shareholders’ Funds as at 31st March 2016, stood at Rs. 3,994,897,962/-. The total Shareholders’ Funds of the Company as at 31st March 2015 stood at Rs. 3,887,681,839/-. The movements are shown in the Statement of Changes in Equity. Interim Dividend Interim dividend of Rs. 0.07 per share was paid in July 2015. Directorate The Directors, who served on the Board during the financial year are the following and this information is provided as required by Section 168 (1) (h) of the Companies Act No. 07 of 2007. Name of Director Executive/NonExecutive Status Status of Independence Mr. H.K. Jayantha Dharmadasa (Chairman and Chief Executive Officer) Executive Mr. Rienzie T. Wijetilleke (Non-Executive Vice-Chairman) Non-Executive Independent Deshabandu Tilak de Zoysa (Senior Independent Director) Non-Executive Independent Professor Lal Chandrasena (General Manager) Executive Mr. Tissa K. Bandaranayake (Senior Independent Director) Non-Executive Mr. U. Harshith Dharmadasa Executive Mr. A.G. Dharmadasa Executive Ms. A.G. Dharmadasa Executive Dr. T. Senthilverl (resigned w.e.f. 10th March 2016) Non-Executive Mr. D. Sunil AbeyRatna Non-Executive Independent Mr. Palitha Kumarasinghe PC (Appointed on 24th March 2016) Non-Executive Independent Mr. V.R. Ramanan (Appointed on 24th March 2016) Non-Executive Independent The qualifications and experience of each of the Directors are given in the individual profiles of the Board of Directors on pages 70 to 73 of the Annual Report. Mr. D. Sunil AbeyRatna who retire from the Board by rotation at the forthcoming Annual General Meeting and being eligible for re-election, offer themselves for re-election. Appointments and Resignations Additionally, Mr. Rienzie T. Wijetilleke who has attained the age of 76 and being eligible for re-election in terms of Section 211 of the Companies Act No. 07 of 2007 offers himself to be reappointed as a Director of the Company. New appointments to the Board are based on the collective decision of the Board. In making new appointments, the Board considers the composition of the Board in order to assess whether they have the right mix of skills, experience and competence in the management of the Company. The information of new appointments and resignations to the Board of Directors of the Company are shown as an integral part of the Annual Report of the Board of Directors, in compliance with Section 168 (1) (h) of the Companies Act No. 07 of 2007. New Appointments There were in fact two new appointments to the Board during the financial year under review. Mr. Palitha Kumarasinghe PC (Appointed on 24th March 2016) Mr. V.R. Ramanan (Appointed on 24th March 2016) Recommendations for Re-election In terms of Article 74 of the Articles of Association of the Company, Mr. U.H. Dharmadasa, Ms. A.G. Dharmadasa and Financial Reports Annual Report of the Board of Directors Mr. Tissa K. Bandaranayake who has attained the age of 73 and being eligible for re-election in terms of Section 211 of the Companies Act No. 07 of 2007 offers himself to be reappointed as a Director of the Company. Further, Professor Lal Chandrasena who has attained the age of 70 and being eligible for re-election in terms of Section 211 of the Companies Act No. 07 of 2007 offers himself to be reappointed as a Director of the Company. Mr. Palitha Kumarasinghe PC who retires in terms of Article 81 of the Articles of Association of the Company, offers himself to be reappointed as a Director of the Company. Mr. V.R. Ramanan who retires in terms of Article 81 of the Articles of Association of the Company, offers himself to be reappointed as a Director of the Company. Annual Report 2015/16 Nawaloka Hospitals PLC 105 Independent Directors Nomination Committee Members Mr. Rienzie T. Wijetilleke, Deshabandu Tilak De Zoysa who were appointed as Independent Directors of the Company on 16th October 2013 have served on the Board continuously for a period of nine years, the Board resolved on 30th November 2012 as required by Rule 7.10.3 (b) that despite the said two Independent Directors serving on the Board for more than nine years they are yet regarded as Independent Directors in terms of Rule 7.10.4 (read with sub - rules [a] to [h] of the Revised Rules of the Colombo Stock Exchange. Deshabandu Tilak De Zoysa – Chairman (INED) Further, Mr. Tissa K. Bandaranayake, Mr. D. Sunil AbeyRatna and Mr. Palitha Kumarasinghe PC were appointed as Independent Directors of the Company on 27th May 2009, 28th February 2012 and 24th March 2016 respectively. Mr. D. Sunil AbeyRatna – Member (INED) Board Subcommittees Strategic Planning Committee Members Mr. H.K. Jayantha Dharmadasa – Chairman/CEO Mr. Tissa K. Bandaranayake – Member (INED) Professor Lal Chandrasena – Member (ED) Mr. D. Sunil AbeyRatna – Member (INED) Mr. U. Harshith Dharmadasa – Member (ED) Related Party Transactions Review Committee Members Mr. A.G. Dharmadasa – Member (ED) Mr. Tissa K. Bandaranayake – Chairman (INED) Sustainability Committee Members Mr. H.K. Jayantha Dharmadasa – Chairman/CEO Deshabandu Tilak De Zoysa – Member (INED) Professor Lal Chandrasena – Member (ED) Mr. U. Harshith Dharmadasa – Member (ED) Professor Lal Chandrasena – Member (ED) Mr. A.G. Dharmadasa – Member (ED) Board Members of the Risk Management Committee DGM - Director General Manager ED - Executive Directors INED - Independent Non-Executive Directors Professor Lal Chandrasena – Chairman (DGM/ED) The Board Sub-Committees established by the Board continue to oversee matters relating to policy and governance. A Related Party Transactions Review Committee was established to comply with the new directives issued by the Securities and Exchange Commission to ensure that the interests of shareholders as a whole are taken into account by a listed entity when entering into related party transactions. The composition of the Subcommittees during the Financial year is as follows: Mr. U. Harshith Dharmadasa – Member (ED) Directors’ Meetings Mr. A.G. Dharmadasa – Member (ED) Details of meetings which comprise Board meetings, the Board’s Subcommittee meetings of the Audit Committee, Remuneration Committee, Strategic Planning Committee, Nomination Committee, Related Party Transactions Review Committee and Risk Management Committee are dealt with on pages 83, 99, 108,110 and 111 of this Annual Report. Board Audit Committee Members The aggregate shareholding of the Directors for the year ended 31st March 2016 and the previous year, are as follows: Mr. Tissa K. Bandaranayake – Chairman (INED) Ms. A.G. Dharmadasa – Member (ED) Directors’ Shareholding Mr. Rienzie T. Wijetilleke – Member (INED) Deshabandu Tilak De Zoysa – Member (INED) Mr. D. Sunil AbeyRatna – Member (INED) Remuneration Committee Members Deshabandu Tilak De Zoysa – Chairman (INED) Mr. Tissa K. Bandaranayake – Member (INED) Mr. D. Sunil AbeyRatna – Member (INED) Mr. H.K.J. Dharmadasa Mr. Rienzie T. Wijetilleke Deshabandu Tilak De Zoysa Professor Lal Chandrasena Mr. U.H. Dharmadasa Mr. A.G. Dharmadasa Ms. A.G. Dharmadasa Mr. D. Sunil AbeyRatna Mr. Tissa K. Bandaranayake Mr. V.R. Ramanan Mr. Palitha Kumarasinghe PC 106 Nawaloka Hospitals PLC Annual Report 2015/16 2015/16 Ordinary 2014/15 Ordinary 462,736,182 462,736,182 33,332 33,332 218,000 218,000 601,198 601,198 3,360 3,360 3,004,026 3,004,026 5,066,686 5,066,686 NIL NIL NIL NIL 3,400,000 NIL NIL NIL Annual Report of the Board of Directors Financial Reports Related Party Transactions Appointment of Auditors The Directors have also disclosed the transactions if any, that could be classified as Related Party Transactions’ in terms of LKAS 24 – ‘Related Party Disclosures’ and thus complied with the CSE Listing Rules. Related Party Transactions are given in Note 28 to the Financial Statements. Messrs KPMG (Chartered Accountants) who are willing to continue in office are recommended for reappointment, at a remuneration to be decided by the Board of Directors. Directors’ Interests The Interests Register is maintained by the Company, as per the Companies Act No. 07 of 2007. Capital Expenditure Details of Property, Plant & Equipment and their movements in the Company and the Group during the year, are listed in Note 02 to the accounts at pages 127 and 128. As far as the Directors are aware, the Auditors do not have any relationship (other than that of an Auditor) with the Company or any of its subsidiaries other than those disclosed above. The Auditors also do not have any interest in the Company or its subsidiaries as required by Section 168 (1) (j) of the Companies Act No. 07 of 2007. Stated Capital The stated capital of the Company is 1,409,505,596 ordinary shares. There were no changes in the Stated Capital during the year. Group Company 2015/16 Rs. 2014/15 Rs. 2015/16 Rs. 2014/15 Rs. At the beginning of the year 1,207,388,876 1,207,388,876 1,207,388,876 1,207,388,876 At the end of the year 1,207,388,876 1,207,388,876 1,207,388,876 1,207,388,876 Stated Capital The fees paid to the Auditors are disclosed in Note 24 to the Financial Statements. For and on behalf of the Board, Issued and Fully Paid Share Information The composition of shareholders and the information relating to share trading, net assets, market value per share, are given on pages 151, 152, 153 and 156 of this Annual Report. Major Shareholders The 20 largest shareholders of the Company as at 31st March 2016 are given on page 153 of this Annual Report. The number of persons employed by the Group as at 31st March 2016 was 2,157. Jayantha Dharmadasa Chairman/Chief Executive Officer Group Revenue The Revenue of the Group was Rs. 5,860 Mn (2015 – Rs. 4,602 Mn). The analysis thereof is given in Note 22 to the Financial Statements. Stock Exchange Listing The Company was listed on the Main Board of the Colombo Stock Exchange in the year 2004. By Order of the Board, Employment Policy Going Concern The Company’s Employment Policy is totally non-discriminatory, and equality of opportunity The Company’s Employment Policy is totally non-discriminatory, and equality of opportunity for all employees irrespective of ethnic, origin, religion, political opinion, gender or marital status. The Board firmly believes that the Company and its subsidiaries have sufficient resources to continue in operational existence for a very long foreseeable future. Therefore, Financial Statements of the Group have been prepared on the principle of a ‘Going Concern’. The Company applies ‘equal opportunity policy’ in selection, training, development and promotion opportunities, ensuring that all decisions are based on merit and qualification. The employees are always encouraged to discuss issues relating to operations and to make suggestions to improve performance. Professor Lal Chandrasena Director/General Manager Sgd. M & A Company Secretaries (Private) Limited 25th May 2016 Events Occurring after the Reporting Date There are no significant events that have occurred after the Reporting date which would have any material effect on the Company or on the Group that require adjustments to or disclosure in the Financial Statements, except as qualified by the Auditors. Financial Reports Annual Report of the Board of Directors Annual Report 2015/16 Nawaloka Hospitals PLC 107 REMUNERATION COMMITTEE REPORT Formation, Composition and Structure 4. Approving remuneration levels at each designation of senior management. The Remuneration Committee is a Subcommittee, appointed by and responsible to the Board of Directors, consists of three Independent Non-Executive Directors. 5. Maintain competitive and attractive remuneration packages to senior managers and ensure that it is in par with the industry levels. Deshabandu Tilak De Zoysa – Chairman (Independent Non-Executive Director) 6. Recommend promotion of Key Management Personnel to BOD. Mr. Tissa K. Bandaranayake – Member (Independent Non-Executive Director) 7. Deciding performance based remuneration, increments, incentive and bonus with the regular evaluation of performance against targets. Mr. D. Sunil AbeyRatna – Member (Independent Non-Executive Director) The Committee meetings held during the financial year subject to the following criteria’s: 8. Make direction regarding to the statutory payments made by the Company on behalf of its employees. Duties and Responsibilities Challenges The RC review and recommend the policy on remuneration of the Executive Staff and the Specific remuneration package for the Executive Directors while considering following: In a highly competitive environment attracting and retaining high calibre executives is a key challenge faced by the Group. 1. Determining the compensation of the Chairman and the BOD, while ensuring that no Director is involved in setting their own remuneration or any other benefit. 2. Establishing transparent procedure to determine remuneration for Executives and Directors. In this context, the Remuneration Committee took into account: Evaluation of the Effectiveness of the Committee The Board reviews and updates the Committee Charter annually. The minutes of meetings and other reports from the Remuneration Committee are submitted to the Board of Directors, and in addition, plans have been initiated for the Non-Committee members to evaluate the Committee on an annual basis by way of a checklist. a.Competition b. Qualification and experience c. Market information d. Business performance In declaring the overall remuneration policy of the Group. 3. Recommending corporate management appointments to the Board. Deshabandu Tilak De Zoysa Chairman 25th May 2016 108 Nawaloka Hospitals PLC Annual Report 2015/16 Financial Reports AUDIT COMMITTEE REPORT In keeping with the Code of Best Practice on Corporate Governance and the requirements of the Securities and Exchange Commission for public limited companies, Nawaloka Hospitals PLC has established an Audit Committee whose functions, authority and duties have been clearly identified in the Audit Committee Charter. This Charter integrates all the requirements of the Securities and Exchange Commission and Code of Best Practice on Corporate Governance. The role of the Audit Committee is to oversee the financial reporting system of the Company with a view to safeguarding the interests of all the stakeholders and ensuring that it has been extended to its subsidiaries. This includes selecting and applying appropriate accounting policies for the purpose of financial reporting, ensuring sound internal control principles and its effective implementation, ensuring the integrity of Financial Statements and maintaining an appropriate independent relationship with the Company’s Auditors. Formation and Composition of the Committee Broad Purpose of the Audit Committee The Audit Committee was established by the Board with a formal and transparent arrangement and it comprises four Independent Non-Executive Directors. The Audit Committee assisted the Board in the following manner: zzEnsuring The Chairman of the Audit Committee is Mr. Tissa K. Bandaranayake, who is an Independent Non-Executive Director, a fellow member of The Institute of Chartered Accountants of Sri Lanka and a former Senior Partner of Messrs Ernst & Young, Chartered Accountants with expert knowledge in Accounting and Finance. Member of the Audit Committee Name of Director Non-Executive Independent Mr. Tissa K. Bandaranayake – Chairman Mr. Rienzie T. Wijetilleke Deshabandu Tilak De Zoysa Mr. D. Sunil AbeyRatna that the preparation, presentation and adequacy of disclosure in the Financial Statements are in accordance with LKAS/ SLFRS and with the requirements of the Companies Act No. 07 of 2007 and other relevant Financial reporting related regulatory requirements. zzR eviewing the appropriateness of the procedures in place for the identification, evaluation and management of business risks whilst seeing that the systems of internal control with regard to all functions are adequate and functioning properly. zzAssessing the Company’s ability to continue as a going concern in the foreseeable future and also in addition, ensuring compliance with Laws and Company policies. zzOverseeing of the independence and performance of the Company’s External Auditors. Duties and Responsibilities In brief, the duties and responsibilities performed by the Audit Committee are as follows: External Audit zzRecommending the reappointment of Messrs KPMG, Chartered Accountants, as Auditors of Nawaloka Hospitals PLC for the financial year ended 31st March 2017. zzExamine any non-audit work performed by the Auditors and the fees thereon to ensure that their objectivity and independence is not impaired. zzReviewing the scope and result of the audit and its effectiveness. zzDiscussing with the External Auditors before commencement of the audit and at the conclusion of the audit, in relation to audit plan, key audit issues and their resolution, management responses and the remuneration of the Auditors. Compliance with Laws and Regulations and Company policies Financial Reports zzReviewing the Quarterly Financial Statements and discussing with the Management. zzReviewing the extent of compliance with the laws of the country, governmental regulations, listing rules and established policies of the Company. Annual Report 2015/16 Nawaloka Hospitals PLC 109 Internal controls and internal audit zzReviewing the internal audit function and making recommendations. zzEnsuring that there are satisfactory arrangements for monitoring internal control in keeping with delegated authorities. zzEstablishing mechanisms for the confidential receipt and treatment of complaints alleging fraud received from internal/external sources and pertaining to internal control, accounting or other such matters. This is currently in progress. zzMonitoring the implementation of strategies, plans, as well as the manning of organisation for internal auditing in line with the methodologies promulgated as best practices. zzEnsuring that if and when employees or former employees of the Auditors are hired the established regulatory requirements are followed, so that audit independence is not impaired. Also implementing other internal controls related to IT, HR, Finance, Marketing and Administration etc, as required and ensuring that these are soundly conceived and effectively administered to seek assurance that the control systems are in place, and operating efficiently and are regularly monitored. Risk Management zzMonitoring the policies and practices related to risk management. zzObtaining statements of business risks; evaluating the severity, the process in place for the management of these risks and persons responsible for the management of risks within specified time frames. Financial Statements zzEnsuring proper standardised updated systems for financial reporting. zzHolding of meetings with the Head of Finance to ensure the proper controls and segregation of duties to minimise risks. zzReviewing Company’s quarterly unaudited and annually Audited Financial Statements and making recommendations to the Board for their releases. Meetings The Audit Committee held four meetings during the year under review. The proceedings of the Audit Committee are regularly reported to the Board of Directors. The attendance of members at these meetings is given below: Name of Director No. of Attendance Meetings Percentage Attended % Mr. Tissa K. Bandaranayake 4 100 Mr. Rienzie T. Wijetilleke 3 75 Deshabandu Tilak De Zoysa 3 75 Mr. D. Sunil AbeyRatna 4 100 The Committee has provided the Chairman of the Audit Committee with all powers to convene regular meetings with the Financial Controller, Internal Audit, Sectional Heads and Company’s External Auditors, separately and periodically. Evaluation of the Effectiveness of the Committee The Board reviews and updates the Committee Charter annually according to the changes in the business environment and operations of the organisation. The minutes of meetings and other reports from the Audit Committee are submitted to the Board of Directors, and also in addition, plans have been initiated for the non-committee members to evaluate the Committee on an annual basis by way of a checklist. Mr. Tissa K. Bandaranayake Chairman 25th May 2016 110 Nawaloka Hospitals PLC Annual Report 2015/16 Audit Committee Report Financial Reports BOARD RELATED PARTY TRANSACTIONS REVIEW COMMITTEE REPORT Composition of the Committee The Board appointed Related Party Transactions Review Committee (BRPTRC), comprising one Executive Director and three Independent Non-Executive Directors, as stipulated by the Code of Best Practices on Related Party Transactions, issued by the Colombo Stock Exchange (CSE). The (BRPTRC) as at the end of the year was comprised the following members: Mr. Tissa K. Bandaranayake – Chairman (Independent Non-Executive Director) Mr. D. Sunil AbeyRatna – Member (Independent Non-Executive Director) Mr. Palitha Kumarasinghe PC – Member (Independent Non-Executive Director) Professor Lal Chandrasena – Member (Executive Director) Terms of Reference of the Committee The BRPTRC was formed by the Board at the end of 2014, to assist the Board in reviewing all Related Party Transactions (RPT) carried out by the Group, by adopting the Code of Best Practice on Related Party Transactions, as issued by the CSE, which is mandatory from 1st January 2016. The mandate of the Committee includes inter alia the following: zzDeveloping and recommending for adoption by the Board of Directors of the Company and its related parties, a RPT policy consistent with that proposed by the CSE. zzUpdating the Board of Directors on the RPT of each of the related parties of the Group. zzMaking immediate market disclosures on applicable RPT, as required by Section 9 of the Continuing Listing requirements of the CSE. zzMaking appropriate disclosures on RPT in the Annual Report, as required by Section 9 of the Continuing Listing Requirements of the CSE. The Committee will schedule quarterly meetings to review and report to the Board, on matters involving RPT falling under its Terms of Reference. Activities in 2015/16 A committee meeting was held and all related party transactions occurred during the financial year 2015/16 was reviewed and the Committee is in the opinion that the transactions are on normal commercial terms, and are not prejudicial to the interests of the entity and its minority shareholders. Proceedings of the Committee meetings were regularly reported to the Board of Directors. Mr. Tissa K. Bandaranayake Chairman 25th May 2016 Financial Reports Annual Report 2015/16 Nawaloka Hospitals PLC 111 DIRECTORS’ RESPONSIBILITY IN FINANCIAL REPORTING The responsibility of the Directors in relation to the Financial Statements is set out in the following statement. The Board of Directors of Nawaloka Hospitals PLC are responsible under Section 148 of the Companies Act No. 07 of 2007 for keeping proper accounting records which have been disclosed with reasonable accuracy, at all times, the financial position of the Company and of the Group and to enable them to ensure that the Financial Statements comply with, inter alia the Companies Act No. 07 of 2007. In preparing these Financial Statements, the Directors of the Company have to comply with the requirements specified in Sections 150 (1), 151 (1), 152 (1) and 153 (1) of the Companies Act No. 07 of 2007. In accordance therewith the Directors of the Company and the Group maintain proper Books of Accounts of all the transactions and prepare Financial Statements that give a true and fair view of the state of affairs of the Company at the date of the Statement of Financial Position and the profit or loss for the year ending on that date of the Statement of Financial Position. Accordingly, the Directors are of the view that 1. Appropriate accounting policies have been selected and applied in a consistent manner and material departures if any, have been disclosed and explained; 2. All applicable and relevant Accounting Standards have been followed; and 3.They have exercised due and proper judgment and estimates which are reasonable and prudent. 112 The Financial Statements of the Company and the Group have been certified by the Company’s Chief Financial Officer, the person responsible for its preparation, as required by the Act. Financial Statements of the Company and the Group have been signed by two Directors on 25th May 2016 as required by Sections 150 (1) (c) and 152 (1) (c) of the Companies Act. Accordingly, the Board of Directors wish to confirm that they have complied with all the requirements of the Companies Act No. 07 of 2007 and have also met all the requirements under Section 7 of the Listing Rules of the Colombo Stock Exchange. The Directors also have taken reasonable steps to safeguard the assets of the Company and to prevent and detect frauds and other irregularities. In this regard, the Directors have instituted an effective and comprehensive system of internal controls and an effective system of monitoring its effectiveness, internal audit being one of them. The Board has been provided additional assurance on the reliability of the Financial Statements through a process of independent and objective reviews conducted by the Audit Committee. The Report of the Audit Committee is on pages 109 to 110 of this Annual Report. Compliance Report The Directors also confirm that to the best of their knowledge, all taxes, duties and levies payable by the Company, all contributions, levies and taxes payable on behalf of and in respect of the Employees of the Company and other known statutory dues as were due and payable by the Company as at the date of the Statement of Financial Position have been paid or where necessary provided for, in arriving at the financial results for the year under review. Further, all documents required by the Companies Act No. 07 of 2007 to be filed with Registrar of Companies have been duly filed and compliance has been made with all the other legal requirements in connection with the said Companies Act and all dividend cheques have been dispatched by the due date. By Order of the Board, Sgd. M & A Company Secretaries (Private) Limited 25th May 2016 The Directors are also of the view that the Company has adequate resources to continue in business for the foreseeable future and have applied the ‘Going Concern’ basis in preparing these Financial Statements. The Directors are confident that they have discharged their responsibility as set out in the statement. Nawaloka Hospitals PLC Annual Report 2015/16 Financial Reports INDEPENDENT AUDITORS’ REPORT TO THE SHAREHOLDERS OF NAWALOKA HOSPITALS PLC Report on the Financial Statements We have audited the accompanying Financial Statements of Nawaloka Hospitals PLC, (“the Company”), and the Consolidated Financial Statements of the Company and its subsidiaries (“Group”), which comprise the statement of financial position as at 31st March 2016, and the statement of profit or loss and other comprehensive income, statement of changes in equity and, cash flow statement for the year then ended, and a summary of significant accounting policies and other explanatory information as set out on pages 114 to 144. Board’s Responsibility for the Financial Statements The Board of Directors (“Board”) is responsible for the preparation of these Financial Statements that give a true and fair view in accordance with Sri Lanka Accounting Standards, and for such internal control as Board determines is necessary to enable the preparation of Financial Statements that are free from material misstatement, whether due to fraud or error. Auditors’ Responsibility Our responsibility is to express an opinion on these Financial Statements based on our audit. We conducted our audit in accordance with Sri Lanka Auditing Standards. Those standards require that we comply with ethical requirements and plan and perform the Financial Reports Report on Other Legal and Regulatory Requirements audit to obtain reasonable assurance about whether the Financial Statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the Financial Statements. The procedures selected depend on the Auditors’ judgment, including the assessment of the risks of material misstatement of the Financial Statements, whether due to fraud or error. In making those risk assessments, the Auditor considers internal control relevant to the entity’s preparation of the Financial Statements that give a true and fair view in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by Board, as well as evaluating the overall presentation of the Financial Statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the Consolidated Financial statements give a true and fair view of the financial position of the Group as at 31st March 2016, and of its financial performance and cash flows for the year then ended in accordance with Sri Lanka Accounting Standards. As required by Section 163 (2) of the Companies Act No. 07 of 2007, we state the following: (a) The basis of opinion and scope and limitations of the audit are as stated above. (b) In our opinion: - we have obtained all the information and explanations that were required for the audit and, as far as appears from our examination, proper accounting records have been kept by the Company, - The Financial Statements of the Company give a true and fair view of its financial position as at 31st March 2016, and of its financial performance and cash flows for the year then ended in accordance with Sri Lanka Accounting Standards. - The Financial Statements of the Company, and the Group comply with the requirements of Sections 151 and 153 of the Companies Act No. 07 of 2007. CHARTERED ACCOUNTANTS Colombo, 25th May 2016. Annual Report 2015/16 Nawaloka Hospitals PLC 113 STATEMENT OF FINANCIAL POSITION Group Company Note 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. Property, plant & equipment 2 8,009,872,280 5,842,254,219 2,428,987,577 2,453,512,945 Leasehold Right Over Land 3 224,975,452 227,910,976 48,617,196 49,510,203 Investment property 4 – – 192,417,100 192,417,100 Investment in subsidiaries 5 – – 2,016,985,376 1,245,933,056 Equity accounted investee 6 118,230,763 90,241,313 2,500,000 2,500,000 Advance for land 7 952,343,085 952,343,085 9,305,421,580 7,112,749,593 4,689,507,249 3,943,873,304 As at 31st March Assets Non-current assets Total non-current assets – – Current assets Inventories 8 409,117,083 335,763,359 144,130,234 114,650,320 Trade and other receivables 9 519,018,172 428,373,535 319,919,013 265,300,017 Deposits and advances 10 192,351,662 144,112,688 124,249,177 112,077,389 Receivable from related parties 11 204,079,352 160,381,424 2,272,862,092 1,434,884,270 Short-term investments 427,886,374 415,601,334 321,319,481 39,011,945 Cash and cash equivalents 135,605,771 48,988,035 99,298,780 34,538,792 Total current assets Total assets 1,888,058,414 1,533,220,375 3,281,778,777 2,000,462,733 11,193,479,994 8,645,969,968 7,971,286,026 5,944,336,037 1,207,388,876 1,207,388,876 Equity and Liabilities Capital and reserves Stated capital 12 1,207,388,876 1,207,388,876 Revaluation reserve 13 990,872,361 990,872,361 Retained earnings 1,796,636,725 1,689,420,602 258,947,189 486,370,390 Total equity 3,994,897,962 3,887,681,839 1,466,336,065 1,693,759,266 1,480,047,383 – – Non-current liabilities Debentures 14 1,484,104,507 1,480,047,383 1,484,104,507 Employee benefits 15 184,237,790 170,953,704 166,252,434 158,673,474 Deferred tax liabilities 16 305,060,480 227,899,587 92,347,774 119,113,956 Borrowings falling due after one year 17 3,002,368,366 1,269,045,093 2,970,442,441 1,260,255,153 Finance leases payable after one year 18 108,000,000 116,000,000 5,083,771,143 3,263,945,767 Total non-current liabilities 114 Nawaloka Hospitals PLC Annual Report 2015/16 – 4,713,147,156 – 3,018,089,966 Financial Reports Group Company Note 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 19 486,959,763 473,368,248 424,381,781 424,320,318 2,721,515 2,610,056 2,721,515 2,610,056 As at 31st March Current liabilities Trade creditors and other payables Unclaimed dividends Current tax liabilities 20 24,765,638 2,250,608 – Payable to related companies 21 15,595,918 13,849,554 8,747,060 8,491,106 Borrowings falling due within one year 17 594,325,684 351,370,388 545,401,924 311,369,588 Finance leases payable within one year 18 – 8,000,000 8,000,000 982,442,371 642,893,508 810,550,525 485,695,737 Total current liabilities 2,114,810,889 1,494,342,362 1,791,802,805 1,232,486,805 Total liabilities 7,198,582,032 4,758,288,129 6,504,949,961 4,250,576,771 11,193,479,994 8,645,969,968 7,971,286,026 5,944,336,037 2.83 2.76 1.04 1.20 Bank overdrafts Total equity and liabilities Net assets per share – – Notes form an integral part of these Financial Statements. Figures in brackets indicate deductions. It is certified that the Financial Statements have been prepared and presented in compliance with the requirements of the Companies Act No. 07 of 2007. Mr. Nalaka Niroshana Head of Finance The Board of Directors is responsible for the preparation and presentation of these Financial Statements. Approved and signed for and on behalf of the Board of Directors; Mr. Jayantha Dharmadasa Chairman/Chief Executive Officer Professor Lal Chandrasena Director Colombo 25th May 2016 Financial Reports Statement of Financial Position Annual Report 2015/16 Nawaloka Hospitals PLC 115 STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME Group Note 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 22 5,860,218,161 4,602,433,640 2,833,195,719 2,497,830,914 (2,906,572,342) (2,331,583,775) (1,490,055,615) (1,229,903,547) 2,953,645,819 2,270,849,865 1,343,140,104 1,267,927,367 94,495,240 65,199,571 86,694,974 152,643,920 For the year ended 31st March Revenue Cost of services Gross profit Other income Company 23 Staff cost (1,151,309,690) (968,758,629) (544,111,104) (477,481,620) Administrative expenses (1,089,179,752) (916,087,291) (567,391,842) (497,222,102) (170,442,792) (98,860,906) (117,205,312) (70,648,459) Other operating expenses Profit from operations 24 637,208,825 352,342,610 201,126,820 375,219,106 Finance cost 25 (372,317,361) (285,092,829) (355,295,913) (277,397,680) Share of profits of equity accounted investee, net of tax Profit/(loss) before tax Tax expense 26 Profit/(loss) for the year 50,360,964 29,397,738 – – 315,252,428 96,647,519 (154,169,093) 97,821,426 (109,218,200) (9,176,683) 26,603,594 (7,883,420) 206,034,228 87,470,836 (127,565,499) 89,938,006 Other comprehensive income Defined benefits plan actuarial losses 15.3 Deferred tax impact on defined benefits plan actuarial losses 16.4 (309,060) 27,860 (17,481,666) 2,500,039 Equity accounted investee’s share of OCI 128,487 (3,192,982) Other comprehensive income/(loss) for the year, net of tax (152,713) (18,174,609) (1,354,898) 162,588 – (1,192,310) (18,820,799) 2,286,564 – (16,534,235) Total comprehensive income/(loss) for the year 205,881,515 69,296,227 (128,757,809) 73,403,771 Net profit/(loss) attributable to equity holders of the Company 205,881,515 69,296,227 (128,757,809) 73,403,771 0.15 0.06 (0.09) 0.06 Earnings/(loss) per share 27 Notes form an integral part of these Financial Statements. Figures in brackets indicate deductions. 116 Nawaloka Hospitals PLC Annual Report 2015/16 Financial Reports STATEMENT OF CHANGES IN EQUITY For the year ended 31st March 2016 Stated Capital Rs. Revaluation Reserve Rs. Retained Earnings Rs. Total Equity Rs. 1,207,388,876 990,872,361 1,704,694,711 3,902,955,948 Group Balance as at 01st April 2014 Profit for the year – – 87,470,836 87,470,836 Other comprehensive income – – (18,174,609) (18,174,609) – – (84,570,336) (84,570,336) Transaction with the owners of the Company Dividends paid Balance as at 31st March 2015 1,207,388,876 990,872,361 1,689,420,602 3,887,681,839 206,034,228 206,034,228 Profit for the year – – Other comprehensive income – – (152,713) (152,713) – – (98,665,392) (98,665,392) Transaction with the owners of the Company Dividends paid Balance as at 31st March 2016 1,207,388,876 990,872,361 1,796,636,725 3,994,897,962 1,704,925,830 Company Balance as at 01st April 2014 – 497,536,954 Profit for the year 1,207,388,876 – – 89,938,006 89,938,006 Other comprehensive income – – (16,534,235) (16,534,235) Transaction with the owners of the Company Dividends paid Balance as at 31st March 2015 – 1,207,388,876 – (84,570,336) – 486,370,390 (84,570,335) 1,693,759,266 Loss for the year – – (127,565,499) (127,565,499) Other comprehensive income – – (1,192,310) (1,192,310) – – (98,665,392) (98,665,392) – 258,947,189 Transaction with the owners of the Company Dividends paid Balance as at 31st March 2016 1,207,388,876 1,466,336,065 Notes form an integral part of these Financial Statements. Figures in brackets indicate deductions. Financial Reports Annual Report 2015/16 Nawaloka Hospitals PLC 117 CASH FLOW STATEMENT Group For the year ended 31st March Note Company 2016 Rs. 2015 Rs. 315,252,428 96,647,519 2016 Rs. 2015 Rs. Cash flows from operating activities Profit/(Loss) before tax (154,169,093) 97,821,426 Adjustments for: 2/3 479,732,756 397,776,647 326,152,985 300,670,179 Finance cost 25 372,317,361 285,092,829 355,295,913 277,397,680 Interest income 23 (30,384,641) (31,311,710) (50,360,964) (29,397,738) 33,427,021 26,235,983 9,114,875 Depreciation and amortisation Share of profit of equity accounted investee net of tax Provision for employee benefits 15.2 (13,734,180) – (13,047,638) – 25,530,843 22,473,388 8,006,844 7,376,592 Provision for bad and doubtful debts 24 3,272,625 Provision for deemed interest tax 24 26,668,154 – 26,668,154 8 2,000,000 – 2,000,000 23 (7,006,687) 24 42,758,125 54,244,933 41,528,139 39,101,201 1,187,676,178 802,813,774 587,772,918 616,432,929 Provision for slow moving inventories Profit on disposal of property, plant & equipment – Dividend income Impairment for other receivable balances Operating profit before working capital changes (5,589,564) – – – (7,006,687) (5,589,564) (22,500,000) (109,770,335) Changes in working capital (75,353,724) (29,413,830) (31,479,914) (176,328,559) (206,080,084) (107,739,965) (91,865,890) Increase/decrease in related party balances (50,537,364) (157,547,002) (1,617,359,990) (1,107,077,221) Decrease in creditors and other payables (13,076,639) 27,482,268 Increase in inventories Increase/decrease in debtors, deposits and advances (26,606,691) (5,427,820) (365,558,648) (1,783,186,560) (1,202,302,802) 872,379,892 437,255,126 (1,195,413,642) (585,869,873) (368,260,237) (281,536,637) (351,238,789) (273,841,489) (19,306,781) (17,045,448) (315,296,286) Cash generated from operating activities Interest paid Gratuity paid Current tax paid 15.1 (20,451,995) (17,385,483) 20 (9,514,418) (17,585,304) Net cash generated from/(used in) operating activities 2,068,129 474,153,242 120,747,702 – – (1,565,959,212) (876,756,810) (293,727,923) (653,617,450) Cash flows from investing activities (2,639,234,088) Purchase of property, plant & equipment 2 Purchase of investment property 4 – – – (192,417,100) Investment in subsidiary 5 – – – (300,000,000) Investment in land 7 – (1,917,055,176) (68,789,654) – Interest received 28,360,063 31,311,710 During the year investment (10,260,462) (32,430,344) (270,860,706) Dividend received 22,500,000 24,999,999 22,500,000 – Expenses incurred on related parties 1,825,482 Proceeds from disposal of property, plant & equipment Net cash used in investing activities 471,956,698 58,046,338 (2,596,809,005) (1,431,960,429) 2,828,645,181 1,390,867,211 2,287,350 – – (539,801,279) – 13,047,638 247,592,487 109,770,335 471,956,698 58,046,338 (245,621,054) Cash flows from financing activities Proceeds from long-term borrowings and leases 17 Repayments of long-term borrowings and leases 17/18 Dividends paid Net cash generated from financing activities 2,697,409,436 (860,366,612) (298,508,344) (753,189,812) (98,553,933) (84,570,336) (98,553,933) 1,869,724,636 1,007,788,531 1,845,665,691 1,252,076,271 (200,508,144) (84,570,335) 966,997,792 Net increase/(decrease) in cash and cash equivalents during the year (252,931,127) (303,424,197) (260,094,800) Cash and cash equivalents at the beginning of the year (593,905,473) (290,481,276) (451,156,945) (295,776,873) Cash and cash equivalents at the end of the year (846,836,600) (593,905,473) (711,251,745) (451,156,945) (155,380,072) Analysis of cash and cash equivalents at the end of the year Cash at bank and in hand Bank overdraft 135,605,771 48,988,035 99,298,780 34,538,792 (982,442,371) (642,893,508) (810,550,525) (485,695,737) (846,836,600) (593,905,473) (711,251,745) (451,156,945) Notes form an integral part of these Financial Statements. Figures in brackets indicate deductions. 118 Nawaloka Hospitals PLC Annual Report 2015/16 Financial Reports NOTES TO THE FINANCIAL STATEMENTS 1.1 Reporting Entity 1.1.1 Legal Form 1.1.2 Total Number of Employees a.Nawaloka Hospitals PLC (‘Company’) is a quoted public company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007. The Company does not have an identifiable parent of its own. The registered office and the principal place of business of the Company is located at No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 02. Company 1,052 (2015 – 1,002) Group 2,157 (2015 - 2,105) b.New Nawaloka Hospitals (Pvt) Ltd., is a private company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007. The Ultimate Parent of the Company is Nawaloka Hospitals PLC. c. New Nawaloka Medical Centre (Pvt) Ltd., is a private company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007. The Ultimate Parent of the Company is Nawaloka Hospitals PLC. d.Nawaloka Metropolis Laboratories (Pvt) Ltd. is a private company with limited liability incorporated in Sri Lanka under the provisions of the Companies Act No. 17 of 1982 and re-registered under the new Companies Act No. 07 of 2007, which is also a 50:50 joint venture investment between Nawaloka Hospitals PLC and Metropolis Health Services (India) Private Ltd. e. Nawaloka Medicare (Pvt) Ltd. is a limited liability company incorporated in Sri Lanka under the Companies Act No. 07 of 2007 (Registration No. PV 93186) and the Board of Investment Law No. 04 of 1978. It is having its registered office at No. 23, Deshamanya H.K Dharmadasa Mawatha, Colombo 02. The Ultimate Parent of the Company is Nawaloka Hospitals PLC. The ‘Company’, in the Financial Statements, refers to Nawaloka Hospitals PLC and ‘Group’ refers to the Company and all its subsidiaries and joint venture, whose Financial Statements have been consolidated. Financial Reports a going concern. Therefore, the Financial Statements continue to be prepared on a going concern basis. Basis of Measurement 1.1.3 Principal Activities and Nature of Operations The principal activities of the Company and the Group is to provide health and laboratory services. There were no significant changes in the nature of principal activities of the Company and the Group during the financial year under review. 1.2 Basis of Preparation 1.2.1 Statement of Compliance The Financial Statements of the Company and the Group comprise the Statement of Financial Position, Statement of Profit or Loss and Other Comprehensive Income, Statement of Changes in Equity and Cash Flows together with the Notes to the Financial Statements. financial instruments classified as ‘Loans and receivables’ and ‘other financial liabilities’ measured at amortised cost; zzBuildings on leasehold lands are measured at fair value; zzDefined benefit obligations are measured at its present value, based on an actuarial valuation as explained in Note 15. 1.2.4 Functional and Presentation Currency These Consolidated Financial Statements were authorised for issue by the Board of Directors on 25th May 2016. 1.2.2 Responsibility for Financial Statements The Board of Directors of the Company is responsible for the preparation and presentation of the Financial Statements for the Group and the Company according to the requirements of Companies Act No. 07 of 2007 and SLFRSs and LKASs. The management has made an assessment of its ability to continue as a going concern and is satisfied that it has the resources to continue in business for the foreseeable future. Furthermore, the management is not aware of any material uncertainties that may cast significant doubt upon the Group’s/Company’s ability to continue as zzNon-derivative These Financial Statements have been prepared on the basis that the Company and the Group would continue as a going concern for the foreseeable future. The Consolidated Financial Statements have been prepared in accordance with Sri Lanka Accounting Standards (SLFRS/LKAS) laid down by The Institute of Chartered Accountants of Sri Lanka and the requirements of Companies Act No. 07 of 2007. 1.2.3 Going Concern The Consolidated Financial Statements have been prepared on the historical cost basis and applied consistently with no adjustments being made for inflationary factors affecting the Financial Statements, except for the following material items in the Statement of Financial Position: Items included in the Financial Statements of each of the Group’s entities are measured using the currency of the primary economic environment in which the entities operate (‘the functional currency’). The Consolidated Financial Statements are presented in Sri Lankan Rupees, which is the Company’s functional and presentation currency. All financial information presented in Rupees has been rounded to the nearest Rupee. 1.2.5 Materiality and Aggregation Each material class of similar item is presented separately in the Financial Statements. Items of dissimilar nature or function are presented separately, unless they are immaterial as permitted by the LKAS 1 – ‘Presentation of Financial Statements’. 1.2.6 Comparative Information The Financial Statements for the comparative periods comprise results for the 12 month periods from 1st April 2014 to 31st March 2015. In this circumstance, the comparative Annual Report 2015/16 Nawaloka Hospitals PLC 119 information for the Statement of Financial Position, Statement of Profit or Loss and Other Comprehensive Income, Statement of Changes in Equity and Cash Flow Statement and related notes are comparable with the current period. The previous year figures and phrases have been rearranged wherever necessary to conform with current year’s presentation. 1.2.7 Significant Accounting Judgments, Estimates and Assumptions The preparation of the Consolidated Financial Statements inconformity with SLFRS/LKAS requires management to make judgments, estimates and assumptions that affect the application of Accounting Policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates. Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimates are revised and in any future periods affected. Information about critical judgments in applying accounting policies that have the most significant effect on the amounts recognised in the Consolidated Financial Statements is included in the following notes; Assessment of Impairment – Key Assumptions Used in Discounted Cash Flow Projections The Company and Group assesses at each Reporting Date whether there is objective evidence that an asset or portfolio of assets is impaired. The recoverable amount of an asset or cash-generating unit (CGU) is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future cash flows are discounted to present value using appropriate discount rates that reflects the current market assessments of the time value of money and risks specific to the asset. Useful Life Time of the Property, Plant & Equipment The Group reviews the residual values, useful lives and methods of depreciation of property, plant & equipment at each Reporting Date. Judgment of the management is exercised in the estimation of these values, rates, methods and so, they are subject to uncertainty. Deferred Taxation – Utilisation of Tax Losses zzThe fair value of the consideration transferred; plus zzThe Deferred tax assets are recognised for all unused tax losses to the extent that it is probable that taxable profit will be available against which the losses can be utilised. Management judgment is required to determine the amount of deferred tax assets that can be recognised, based upon the level of future taxable profits together with future tax planning strategies. Defined Benefit Plan The assessment of the liability of defined benefit obligations involves a significant element of assumptions; including discount rates, future salary increases, mortality rates and future pension increases and due to the long-term nature of these plans, such estimates are subject to uncertainty. Current Taxation Current tax liabilities are provided for in the Financial Statements applying the relevant tax statutes and regulations which the management believes reflect the actual liability. There can be instances where the stand taken by the Company and Group on transactions is contested by revenue authorities. Any additional costs on account of these issues are accounted for as a tax expense at the point the liability is confirmed on any Group entity. Significant Accounting Policies The Accounting Policies set out below have been applied consistently to all periods presented in these Consolidated Financial Statements and have been applied consistently by the Group’s entities. 1.3 Basis of Consolidation 1.3.1 Business Combinations Business combinations are accounted for using the acquisition method as at the acquisition date-i.e. when control is transferred to the Group. Control is the power to govern the financial and operating policies of an entity so as to obtain benefits from its activities. In assessing control, the Group takes into consideration potential voting rights that are currently exercisable. 120 Nawaloka Hospitals PLC Annual Report 2015/16 The Group measures goodwill at the acquisition date as: recognised amount of any noncontrolling interests in the acquire; plus zzIf the business combination is achieved in stages, the fair value of the pre-existing equity interest in the acquire; less zzThe net recognised amount (generally fair value) of the identifiable assets acquired and liabilities assumed. When the excess is negative, a bargain purchase gain is recognised immediately in the profit or loss. The consideration transferred does not include amounts related to the settlement of pre-existing relationships. Such amounts are generally recognised in profit or loss. Transaction costs, other than those associated with the issue of debt or equity securities, that the Group incurs in connection with a business combination are expensed as incurred. Any contingent consideration payable is measured at fair value at the acquisition date. If the contingent consideration is classified as equity, then it is not remeasured and settlement is accounted for within equity. Otherwise, subsequent changes in the fair value of the contingent consideration are recognised in profit or loss. 1.3.2 Non-Controlling Interests For each business combination, the Group elects to measure any non-controlling interests in the acquire either: zzat fair value; or zzAt their proportionate share of the acquirer’s identifiable net assets, which are generally at fair value. Changes in the Group’s interest in a subsidiary that do not result in a loss of control are accounted for as transactions with owners in their capacity as owners. Adjustments to non-controlling interests are based on a proportionate amount of the net assets of the subsidiary. Notes to the Financial Statements Financial Reports 1.3.3 Subsidiaries Subsidiaries are those enterprises controlled by the Group. The Financial Statements of subsidiaries are included in the Consolidated Financial Statements from the date that control commences until the date that control ceases. Adjustments required to the accounting policies of subsidiaries have been changed whereever necessary to align them with the policies adopted by the Group. In the Company’s Financial Statements investments in subsidiaries are carried at cost less impairment if any in net recoverable value. The consolidated accounts are prepared to a common financial year end of 31st March. 1.3.4 Loss of Control On the loss of control, the Group derecognises the assets and liabilities of the subsidiary, any non-controlling interests and the other components of equity related to the subsidiary. Any surplus or deficit arising on the loss of control is recognised in profit or loss. If the Group retains any interest in the previous subsidiary, then such interest is measured at fair value at the date that control is lost. Subsequently that retained interest is accounted for as an equity-accounted investee or as an available-for-sale financial asset depending on the level of influence retained. 1.3.5 Transactions Eliminated on Consolidation Intra-group balances and transactions are eliminated in preparing the Consolidated Financial Statements. 1.3.6 Joint Ventures Joint ventures are those entities over whose activities that the Group has joint control established by contractual agreement and requiring unanimous consent for strategic financial and operating decisions. The result of the joint venture, Nawaloka Metropolis Laboratories (Pvt) Ltd., in which the Company has a 50% holding has been accounted for using the equity method. They are initially recognised at cost, which includes transaction costs, subsequent to initial recognition, the Consolidated Financial Statements include the Group’s share of the Profit & Loss and other comprehensive income of equity accounted investees, until the date on which significant influence or joint control ceases. 1.4 Foreign Currency Translation The Financial Statements of the Group are presented in Sri Lankan Rupees, which is the functional and presentation currency of the Group. Recorded at the functional currency rate ruling at the date of the transaction. Monetary assets and liabilities denominated in foreign currencies are retranslated at the functional currency rate of exchange ruling at the date of Statement of Financial Position. Non-monetary items that are measured in terms of historical cost in foreign currency are translated using the exchange rates as at the dates of the initial transactions. Non-monetary items measured at fair value denominated in a foreign currency are translated using the exchange rates at the date when the fair value was determined. Foreign Currency differences arising on retranslation are generally recognised in profit or loss. 1.5 Financial Instruments Non-Derivative Financial Assets The Company and Group initially recognises loans and receivables on the date that they are originated. All other financial assets are recognised initially on the trade date, which is the date that the Company and the Group becomes a party to the contractual provisions of the instrument. The Company and the Group derecognises a financial asset when the contractual rights to the cash flows from the asset expire, or it transfers the rights to receive the contractual cash flows in a transaction in which substantially all risks and rewards of ownership of the financial asset are transferred. Any interest in such transferred financial assets that is created or retained by the Company and the Group is recognised as a separate asset or liability. Financial Reports Notes to the Financial Statements Financial assets and liabilities are offset and the net amount presented in the Statement of Financial Position when, and only when, the Company and the Group has a legal right to offset the amounts and intends either to settle them on a net basis or to realise the asset and settle the liability simultaneously. The Company and the Group only holds financial assets that are categorised into the ‘loans and receivables’ classification. Loans and Receivables Loans and receivables are financial assets with fixed or determinable payments that are not quoted in an active market. Such assets are recognised initially at fair value plus any directly attributable transaction costs. Subsequent to initial recognition, loans and receivables are measured at amortised cost using the effective interest method, less any impairment losses. Loans and receivables comprise cash and cash equivalents and trade and other receivables. Cash and Cash Equivalents Cash and cash equivalents comprise cash balances, placement in Government Securities and placements in repurchase agreements with maturities of three months or less from the acquisition date that are subject to on insignificant risk of changes in their fair value and are used by the Company and the Group in the Management of its short-term commitments. 1.6 Non-Derivative Financial Liabilities The Company and Group initially recognises subordinated liabilities on the date, which is the date that the Company and the Group becomes a party to the contractual provisions of the instrument. The Company and Group derecognises a financial liability when its contractual obligations are discharged, cancelled or expired. The Company and Group classifies non-derivative financial liabilities into the ‘other financial liabilities’ category. Such financial liabilities are recognised initially at fair value less any directly attributable transaction costs. Subsequent to initial Annual Report 2015/16 Nawaloka Hospitals PLC 121 recognition, these financial liabilities are measured at amortised cost using the effective interest method. Other financial liabilities comprise loans and borrowings, refundable rental and other deposits, bank overdrafts and trade and other payables. Bank overdrafts that are repayable on demand and form an integral part of the Company’s and the Group’s cash management are included as a component of cash and cash equivalents for the statement of cash flows. Stated Capital Ordinary Shares Ordinary shares are classified as equity. Costs attributable to the issue of ordinary shares are recognised as an expense. 1.7 Assets and Bases of Their Valuation 1.7.1 Property, Plant & Equipment Owned Assets 1.7.1.1 All items of Property, Plant & Equipment are initially recorded at cost. Where items of Property, Plant & Equipment are subsequently revalued, the entire class of such assets is revalued. Revaluations are made with sufficient regularity to ensure that their carrying amounts do not differ materially from their fair values at the Reporting Date. Revaluation of Property, Plant & Equipment are undertaken by professionally qualified valuers. Subsequent to the initial recognition of the asset at cost, the revalued Property, Plant & Equipment are carried at revalued amounts less accumulated depreciation thereon and accumulated impairment losses. Revaluation of Property, Plant & Equipment are undertaken by professionally-qualified valuers. Revaluation model is applied for buildings on leasehold land by the Company and the Board has decided to revalue the said buildings every 3-5 years thereafter to comply with requirement of Revaluation Model under the Sri Lanka Accounting Standard (LKAS) 16 – ‘Property, Plant & Equipment’. Property, Plant & Equipment other than the buildings on leasehold land are recorded at cost less accumulated depreciation and accumulated impairment losses, in accordance with the ‘Cost Model’ as set out in LKAS 16 – ‘Property, Plant & Equipment’. 1.7.1.2 The cost of an item of Property, Plant & Equipment comprises its purchase price and any directly attributable costs of bringing the asset to working condition for its intended use. 1.7.1.3 Expenditure incurred for the purpose of acquiring, extending or improving assets of a permanent nature by means of which to carry on the business or to increase the earning of the business has been treated as capital expenditure. The corresponding principal amount payable to the lessor is shown as a liability. Lease payments are apportioned between the finance charges and reduction of the lease liability so as to achieve balance of the liability. The interest payable over the period of the lease is transferred to an interest in suspense account. The interest element of the rental obligations pertaining to each financial year is charged to the Statement of Comprehensive Income over the period of lease. The cost of improvements to leasehold property is capitalised, disclosed as leasehold improvements and depreciated over the unexpired period of the lease or the estimated useful life of the improvements, whichever is shorter. 1.7.3 Leasehold Right Over Land Leasehold right over land are amortised over the lease term in accordance with the pattern of benefits provided. 1.7.1.4 Depreciation is provided on the straight-line method at the following rates per annum, so as to write-off the cost or revaluation of the assets over its effective useful life: 1.7.4 Investment Property 1.7.1.5 The useful life, depreciating methods and residual values are assessed annually or in an earlier date where any circumstance indicates such assessment is required. Category Rate Leasehold Property Over the lease period Buildings Leasehold Land Over 60 years Investment property is property held either to earn rental income or for capital appreciation or for both, but not for sale in the ordinary course of business, use in the production or supply of goods or services or for administrative purposes. Investment property is measured at cost. When the use of a property changes such that it is reclassified as property, plant and equipment, its carrying value at the date of reclassification becomes its cost for subsequent accounting. Fixtures and Fittings 10% Plant and Machinery 20% Hospital Equipment 10% Medical Equipment 10% Motor Vehicles 20% 1.7.5 Investments Furniture and Fittings 10% 1.7.5.1 Long-Term Investments Computer Equipment 25% In the Parent Company’s Financial Statements, the investments in unquoted subsidiaries and joint venture are carried at cost. The Carrying amounts of long-term investments are reduced to recognise a decline which is considered other than temporary, in the value of investments, determined on an individual investment basis. In the Company’s Financial Statements, investments in subsidiaries and joint ventures have been accounted for at cost, net of any impairment losses which are charged to the Statement of Comprehensive Income. Depreciation is provided from the date of available for use up to the date of disposal. 1.7.2 Property, Plant & Equipment Leased Assets Property, Plant & Equipment on finance leases, which effectively transfer to the Company substantially all risks and benefits incidental to ownership of the leased items, are capitalised and disclosed as finance leases at their cash price and depreciated over the period the Group is expected to benefit from the use of the leased assets. 122 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports 1.7.6 Inventories ii. Non-Financial Assets 1.8.3 Employee Benefits Inventories have been valued at lower of cost and net realisable value after making due allowance for obsolete items. The First-In First-Out (FIFO) basis is adopted to arrive at the cost of inventories. The carrying amounts of the Company’s and the Group’s non-financial assets, other than inventories are reviewed at each Reporting Date to determine such indication exists, and then the asset’s recoverable amount is estimated. An impairment loss is recognised if the carrying amount of an asset or cash-generating unit (CGU) exceeds its recoverable amount. 1.8.3.1 Defined Benefit Plan – Employee Benefits 1.7.7 Impairment i. Non-Derivative Financial Assets Financial assets classified as ‘loans and receivables’ are assessed at each Reporting Date to determine whether there is objective evidence that it is impaired. A financial asset is impaired if there is objective evidence of impairment as a result of one or more events that occurred after the initial recognition of the asset and that loss event(s) had an impact on the estimated future cash flows of that asset that can be estimated reliably. Objective evidence that financial assets are impaired includes default or delinquency by a debtor, restructuring of an amount due to the Company and the Group on terms that the Company and the Group would not consider otherwise, indications that a debtor or issuer will enter bankruptcy, adverse changes in the payment status of borrowers or issuers, economic conditions that correlate with defaults or the disappearance of an active market for a security. Financial Assets Measured at Amortised Cost The Company and the Group considers evidence of impairment for financial assets measured at amortised cost (loans and receivables and held-to-maturity financial assets) on specific assets. Accordingly, all individually significant assets are assessed for specific impairment. An impairment loss in respect of financial asset measured at amortised cost is calculated as the difference between its carrying amount and the present value of the estimated future cash flows discounted at the asset’s original effective interest rate. Losses are recognised in profit or loss and reflected in an allowance account against loans and receivables or held-to-maturity investment securities. Interest on the impaired asset continues to be recognised. When an event occurring after the impairment was recognised causes the amount of impairment loss to decrease, the decrease in impairment loss is reversed through profit or loss. The liability recognised in the Statement of Financial Position in respect of defined benefit plan is the present value of the defined benefit obligation at the Reporting Date. Benefits falling due more than 12 months after the Reporting Date are discounted to present value. The defined benefit obligation is calculated annually by Independent Actuaries using Projected Unit Credit (PUC) method as recommended by LKAS 19 – ‘Employee Benefits’. The recoverable amount of an asset or CGU is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the asset or CGU. For impairment testing, assets are grouped together into the smallest group of assets that generates cash inflows from continuing use that are largely independent of the cash inflows of other assets or CGUs. Actuarial gains and losses in the period in which they occur have been recognised in the Statement of Other Comprehensive Income. The assumptions based on which the results of the actuarial valuation was determined, are included in Note 15 to the Financial Statements. Impairment losses are recognised in profit or loss. Impairment losses recognised in respect of CGUs are allocated to reduce the carrying amounts of the assets in the CGU (group of CGUs) on a pro rata basis. An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would have been determined, net of depreciation or amortisation, if no impairment loss had been recognised. 1.8 Liabilities and Provisions However, under the Payments of Gratuity Act No. 12 of 1983, the liability to an employee arises only on completion of five years of continued service. The Company is liable to pay gratuity in terms of the relevant statute. The Gratuity liability is not externally funded. 1.8.1 Liabilities 1.8.1.1 Liabilities classified as Current Liabilities in the Statement of Financial Position are those, which will fall due for payment on demand or within one year from the Reporting Date. 1.8.1.2 Liabilities classified as Non-Current Liabilities in the Statement of Financial Position are those, which will fall due for payment after one year from the Reporting Date. 1.8.2 Provisions Provisions are recognised when the Company has a legal or constructive obligation as a result of past events and it is probable that an outflow of economic benefits will be required to settle the obligation. Financial Reports Notes to the Financial Statements Gratuity liability was computed from the first year of service for all employees in conformity with Sri Lanka Accounting Standard (LKAS) 19 – ‘Employee Benefits’. Defined Contribution Plan Employees’ Provident Fund and Employees’ Trust Fund is a post-employment benefit plan under which an entity pays fixed contribution into a separate entity and will have no legal or constructive obligation to pay further amounts. All the employees who are eligible for Employees’ Provident Fund and Employees’ Trust Fund are covered by relevant contribution funds in line with the respective statutes. Employer’s contribution to the defined contribution plans are recognised as an expense in the Statement of Comprehensive Income when incurred. Annual Report 2015/16 Nawaloka Hospitals PLC 123 1.9 Statement of Comprehensive Income 1.9.1 Revenue Recognition Revenue is recognised to the extent that it is probable that the economic benefits will flow to the Group and the revenue can be reliably measured. Accordingly, hospital and pharmaceutical revenue is recognised at the point of delivering the service. However, the professional fees of medical specialists which are collected by the Group do not form part of revenue are excluded from the revenue. 1.9.2 Other Income Other income comprises gain on disposal of Property, Plant & Equipment, dividend income, interest income and rental income. Net gains and losses of a revenue nature resulting from the disposal of Property, Plant & Equipment have been accounted for in the Statement of Comprehensive Income. Dividend income is recognised in the Statement of Comprehensive Income on the date that the Company’s and the Group’s right to receive payment is established, which in the case of quoted securities is normally thee x-dividend date. Interest income and rental income are accounted on accrued basis in the Statement of Comprehensive Income. 1.9.3 Expenditure All expenditure incurred in the running of the business and in maintaining the Property, Plant & Equipment in a state of efficiency has been charged to revenue in arriving at the profit/loss for the year. 1.9.4 Borrowing Costs Borrowing costs are recognised as an expense in the period in which they are incurred, except to the extent where borrowing costs are directly attributable to the acquisition, construction or production of Property, Plant & Equipment, that takes a substantial period of time to get ready for its intended use or sale and are capitalised as part of that asset during the period of construction/development. on the profit for the year adjusted for taxation purposes in accordance with the provisions of the Inland Revenue Act No. 10 of 2006, as amended by subsequent legislation. a. The Company is liable for income tax at the rate of 12% (2014/15 – 12%) on the taxable profits. b. New Nawaloka Hospitals (Pvt) Ltd. is liable for income tax at the rate of 12% on the taxable profits (2014/15 – 2% based on its turnover). c. New Nawaloka Medical Centre (Pvt) Ltd. is exempt from income tax for a period of ten years commencing from year of assessment 2008/09 in terms of the agreement entered into with the Board of Investment (BOI) of Sri Lanka. d. Nawaloka Metropolis Laboratories (Pvt) Ltd. (‘Joint Venture’), is liable for taxation at the rate of 12% (2014/15 – 12%). e. Nawaloka Medicare (Pvt) Ltd. is exempt from income tax for a period of six year started from where profit making financial year or after loss-making two years whichever is earlier. f. Income on other sources is liable for taxation at the rate of 28% (2014/15 – 28%). 1.9.5.2 Deferred Tax Deferred tax is recognised in respect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred tax is not recognised for: zztemporary differences on the initial recognition of assets or liabilities in a transaction that is not a business combination and that affects neither accounting nor taxable profit or loss; zztemporary differences related to investments in subsidiaries, associates and jointly controlled entities to the extent that the Group is able to control the timing of the reversal of the temporary differences and it is probable that they will not reverse in the foreseeable future; and 1.9.5 Income Tax Expenses 1.9.5.1 Current Taxation Company’s tax expense is made up with current taxation and deferred tax gain or loss during the year. Provision for taxation is based The measurement of deferred tax reflects the tax consequences that would follow the manner in which the Company and the Group expects, at the end of the Reporting Period, 124 Nawaloka Hospitals PLC Annual Report 2015/16 to recover or settle the carrying amount of its assets and liabilities. For investment property that is measured at fair value, the resumption that the carrying amount of the investment property will be recovered through sale has not been rebutted. Deferred tax is measured at the tax rates that are expected to be applied to temporary differences when they reverse, using tax rates enacted or substantively enacted at the Reporting Date. Deferred tax assets and liabilities are offset if there is a legally enforceable right to offset current tax liabilities and assets and they relate to taxes levied by the same tax authority on the same taxable entity, or on different tax entities, but they intend to settle current tax liabilities and assets on a net basis or their tax assets and liabilities will be realised simultaneously. A deferred tax asset is recognised for unused tax losses, tax credits and deductible temporary differences to the extent that it is probable that future taxable profits will be available against which they can be utilised. Deferred tax assets are reviewed at each Reporting Date and are reduced to the extent that it is no longer probable that the related tax benefit will be realised, based on the level of future taxable profit forecasts and tax planning strategies. 1.9.5.3 Tax Exposures In determining the amount of current and deferred tax, the Company and the Group takes into account the impact of uncertain tax positions and whether additional taxes and interest may be due. This assessment relies on estimates and assumptions and may involve a series of judgments about future events. New information may become available that causes the Company to change its judgment regarding the adequacy of existing tax liabilities; such changes to tax liabilities will impact tax expense in the period that such a determination is made. 1.9.5.4 Withholding Tax on Dividends Distributed by Subsidiaries and Joint Venture Company Dividend distributed out of taxable profit of the subsidiaries and joint venture company attracts a 10% deduction at source and is not Notes to the Financial Statements Financial Reports available for set off against the tax liability of the Company. Accordingly, the withholding tax deducted at source is added to the tax expense of the subsidiary companies and joint venture company in the Group Financial Statements as a consolidation adjustment. 1.10 Contingent Liabilities and Contingent Assets A contingent liability is a possible obligation that arises from paste vents whose existence will be confirmed by the occurrence or non-occurrence of one or more uncertain future events beyond the control of the Company and the Group or a present obligation that is not recognised because it is not probable that an outflow of resources will be required to settle the obligation. A contingent liability also arises in extremely rare cases where there is a liability that cannot be recognised because it cannot be measured reliably. The Company and the Group does not recognise a contingent liability but discloses its existence in the Financial Statements. A contingent asset is a possible asset that arises from past events whose existence will be confirmed by the occurrence or non-occurrence of one or more uncertain future events beyond the control of the Company and the Group. The Company and the Group does not recognise contingent assets but discloses its existence where inflows of economic benefits are probable, but not virtually certain. In the acquisition of subsidiaries by the Group under business combinations, contingent liabilities assume dare measured initially at their fair value at the acquisition date, irrespective of the extent of any minority interest. 1.11 Related Party Transactions Disclosure has been made in respect of the transactions in which one party has the ability to control or exercise significant influence over the financial and operating policies/decisions of the other, irrespective of whether a price is charged. 1.12 Events after the Reporting Date Events after the Reporting Date are those events favorable and unfavorable that occur between the Reporting Date and the date when the Financial Statements are authorised for issue. 1.17 Cash Flow Statement All material and important events which occur after the Reporting Date have been considered and disclosed in Note 32. 1.17.1 The Cash Flow Statement has 1.13 Earnings Per Share The Company and the Group presents basic earnings per share (EPS) data for its ordinary shares. Basic EPS is calculated by dividing the profit or loss attributable to ordinary shareholders of the Company by the weighted average number of ordinary shares outstanding during the period. 1.14 Dividends on Ordinary Shares Dividends on ordinary shares are recognised as a liability and deducted from equity when they are approved by the Company’s shareholders. Interim dividends are deducted from equity when they are declared and are no longer at the discretion of the Company. 1.15 Presentation Assets and liabilities are grouped by nature and listed in an order that reflects their relative liquidity and maturity pattern. Where appropriate, the significant accounting policies are disclosed in the succeeding notes. (a) Offsetting Income and Expenses Income and expenses are not offset unless required or permitted by accounting standards. 1.17.2 Interest paid is classified as operating cash flows, while interest received is classified as investing cash flows, for the purpose of presentation of the Cash Flow Statement, reported based on the indirect method. 1.18 Determination of Fair Values A number of the Company’s and the Group’s accounting policies and disclosures require the determination of fair value, for both financial and non-financial assets and liabilities. Fair values have been determined for measurement and/or disclosure purposes based on the following methods. Where applicable, further information about the assumptions made in determining fair values is disclosed in the notes specific to that asset or liability. When measuring the fair value of an asset or liability the Group uses market observable data as far as possible. Fair values are categorised into different levels in a fair value hierarchy based on the inputs used in the valuation techniques as follows: zzLevel (b) Offsetting Assets and Liabilities Assets and liabilities are offset and the net amount reported in the Statement of Financial Position only where there is; zza current enforceable legal right to offset the asset and the liability; and 1– Quoted prices (Unadjusted) in active markets for identifiable assets and liabilities. zzLevel 2 – Inputs other than quoted prices included in Level 1 that are observable from the asset or liability either directly (as Prices) or indirectly (derived prices). zzLevel 3 – Inputs from the asset or liability that are not based on observable market data (unobservable inputs). zzan intention to settle the liability simultaneously 1.16 Segmental Information A segment is a distinguishable component of an enterprise that is engaged in either providing products or services (Business segment) or in providing products or services within a particular economic environment (Geographical segment), which is subject to risk and rewards that are different from those of other segments. However, there are no distinguishable components to be identified as segments for the Group. Financial Reports Notes to the Financial Statements been prepared using the indirect method in accordance with Sri Lanka Accounting Standard (LKAS) 7 – ‘Statement of Cash Flows’. Cash and cash equivalents consist of cash in hand and at banks and short-term highly liquid investments, readily convertible to loan amounts net of outstanding bank overdrafts. If the inputs used to measure the fair value of an asset or a liability might be categorised in different levels of the fair value hierarchy, then the fair value measurement is categorised in its entirety in the same level of the fair value hierarchy as the lowest level input that is significant to the entire measurement. Annual Report 2015/16 Nawaloka Hospitals PLC 125 (a) Property, Plant & Equipment The fair value of Property, Plant & Equipment recognised as a result of a business combination is the estimated amount for which property could be exchanged on the acquisition date between a willing buyer and a willing seller in an arm’s length transaction after proper marketing wherein the parties had each acted knowledgeably. The fair value of items of plant, equipment, fixtures and fittings is based on the market approach and cost approaches using quoted market prices for similar items when available and depreciated replacement cost when appropriate. Depreciated replacement cost reflects adjustments for physical deterioration as well as functional and economic obsolescence. (b) Inventories The fair value of inventories acquired in a business combination is determined based on the estimated selling price in the ordinary course of business less the estimated costs of completion and sale and a reasonable profit margin based on the effort required to complete and sell the inventories. (c) Trade and Other Receivables The fair values of trade and other receivables, excluding construction work-in-progress, are estimated at the present value of future cash flows, discounted at the market rate of interest at the measurement date. Short-term receivables with no stated interest rate are measured at the original invoice amount if the effect of discounting is immaterial. Fair value is determined at initial recognition and, for disclosure purposes, at each annual Reporting Date. (d) Other Non-Derivative Financial Liabilities SLFRS 9 – Financial Instruments Other non-derivative financial liabilities are measured at fair value, at initial recognition and for disclosure purposes, at each Reporting Date. Fair value is calculated based on the present value of future principal and interest cash flows, discounted at the market rate of interest at the measurement date. SLFRS 9 – ‘Financial Instruments’ replaces the existing guidance in LKAS 39 – ‘Financial Instruments: Recognition and Measurement’. SLFRS 9 includes revised guidance on the classification and measurement of financial instruments including a new expected credit loss model for calculating impairment on financial assets. For finance leases the market rate of interest is determined with reference to similar lease agreements. SLFRS 9 is effective for annual period beginning on or after 1st January 2018 with early adoption permitted. (e) Contingent Consideration SLFRS 15 – Revenue Recognition from Customer Contracts The fair value of contingent consideration arising in a business combination is calculated using the income approach based on the expected payment amounts and their associated probabilities. When appropriate, it is discounted to present value. 1.19 New Accounting Standards Issued But Not Effective as at Reporting Date The Institute of Chartered Accountants of Sri Lanka has issued the following new Sri Lanka Accounting Standards which will become applicable for financial periods beginning on or after 1st January 2018. Accordingly, the Group has not applied the following new standards in preparing these Consolidated Financial Statements. 126 Nawaloka Hospitals PLC Annual Report 2015/16 SLFRS 15 – ‘Revenue from Contracts with Customers’ establishes a comprehensive framework for determining whether, how much and when revenue is recognised. It replaces existing revenue recognition guidance LKAS 18 – ‘Revenue’ – LKAS 11 – ‘Construction Contracts’. SLFRS 15 is effective for annual reporting period beginning on or after 1st January 2018, with early adoption permitted. The Group is assessing the potential impact on its Consolidated Financial Statements resulting from the above standards. Notes to the Financial Statements Financial Reports 2. Property, Plant & Equipment 2.1 Group Freehold Land Rs. Buildings Constructed on Leasehold Land Rs. Balance as at 01st April 2014 42,188,000 2,644,392,467 1,000,576 254,036,428 54,001,945 264,919,376 273,329,654 2,986,823,915 96,544,443 60,078,507 6,677,315,311 Additions 192,417,100 694,915,637 49,395,728 103,035,721 49,567,259 53,331,742 120,122,651 574,031,683 42,955,019 37,282,636 1,917,055,176 Disposal Balance as at 31st March 2015 – 234,605,100 Additions – Disposal – Balance as at 31st March 2016 234,605,100 – Work-inProgress Fixture and Fittings Plant and Machinery Motor Vehicles Hospital Equipment Medical Equipment Computer Equipment Furniture and Fittings Total Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. – – – (15,153,382) – (80,472,624) – – (95,626,006) 3,339,308,104 50,396,304 357,072,149 103,569,204 303,097,736 393,452,305 3,480,382,974 139,499,462 97,361,143 8,498,744,481 102,951,698 2,150,580,057 54,232,632 146,619 54,198,946 17,202,830 235,322,679 22,943,727 14,154,900 2,651,734,088 (14,231,332) (461,490) – 3,442,259,802 – – 2,200,976,361 – – 411,304,781 103,715,823 343,065,350 410,193,645 3,715,705,653 – 162,443,189 – (14,692,822) 111,516,043 11,135,785,747 Accumulated depreciation Balance as at 1st April 2014 – 160,433,610 – 149,683,700 54,001,945 163,896,421 140,206,098 1,550,860,102 61,803,136 23,910,158 2,304,795,170 Charge for the year – 39,043,157 – 20,728,259 3,373,290 52,452,316 24,544,636 230,306,238 16,398,617 8,017,811 394,864,324 Disposals – Balance as at 31st March 2015 – 199,476,767 Charge for the year – Disposals – Balance as at 31st March 2016 – 77,133,018 – – – – – (9,977,946) – (33,191,286) 170,411,959 57,375,235 206,370,791 34,587,111 8,947,341 30,382,039 29,695,960 (7,316,790) (57,237) 1,069,598 – – – 164,750,734 1,747,975,054 257,169,546 – – 78,201,753 24,000,433 – (43,169,232) 31,927,969 2,656,490,262 13,812,186 – – 476,797,232 (7,374,027) 276,609,785 1,069,598 204,999,070 66,322,576 229,436,040 194,389,457 2,005,144,600 102,202,186 45,740,155 3,125,913,467 Written down value As at 31st March 2016 234,605,100 3,165,650,017 2,199,906,763 206,305,711 37,393,247 113,629,310 215,804,188 1,710,561,053 60,241,003 65,775,888 8,009,872,280 As at 31st March 2015 234,605,100 3,139,831,337 50,396,304 186,660,190 46,193,969 96,726,945 228,701,571 1,732,407,920 61,297,709 65,433,174 5,842,254,219 2.1.1 The buildings constructed on leasehold lands of the Group were revalued at Rs. 2,598.6 Mn. by Mr. P.B. Kalugalagedara, Chartered Valuer in March 2013 and the value of these assets has been reflected in the Financial Statements at the revalued amounts. 2.1.2 Freehold Land reflects a land extent of 20.2 perches situated at No. 15, Nelson Lane, Kollupitiya, Colombo 03 and a land extent of 1019.1 perches situated at No. 169, Colombo Road, Negombo. 2.1.3 Details of fully depreciated assets in Property, Plant & Equipment are as follows; Group For the year ended 31st March Buildings constructed on leasehold land Fixture and fittings 2016 Rs. – 76,991,488 Company 2015 Rs. – 76,991,488 2016 Rs. – 15,794,731 2015 Rs. – 15,794,731 54,001,945 54,001,945 11,332,408 11,332,408 149,126,149 149,126,149 110,363,907 110,363,907 Hospital equipment 79,570,688 79,570,688 53,892,194 53,892,194 Medical equipment Plant and machinery Motor vehicles 937,380,304 887,738,283 221,366,527 211,963,814 Computer equipment 46,236,973 43,431,654 28,692,203 25,886,884 Furniture and fittings 8,029,881 5,754,751 7,064,782 4,789,652 1,351,337,428 1,296,614,958 448,506,752 434,023,590 2.1.4 There were no restrictions to the title of Property, Plant & Equipment of the Group as at Reporting Date. Financial Reports Notes to the Financial Statements Annual Report 2015/16 Nawaloka Hospitals PLC 127 2.2 Company Balance as at 1st April 2014 Freehold Land Work-inProgress Rs. Plant and Machinery Motor Vehicles Hospital Equipment Medical Equipment Computer Equipment Furniture and Fittings Total Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. 11,332,408 – 455,031,912 122,050,869 Additions – – 130,679,750 48,259,174 Disposal – – Balance as at 31st March 2015 42,188,000 Fixture and Fittings Rs. Buildings Constructed on Leasehold Land Rs. 42,188,000 Additions – Disposal – Balance as at 31st March 2016 42,188,000 – 61,403,714 – 585,711,662 170,310,043 17,399,709 24,907,050 – 61,403,714 – – – 206,598,996 195,648,619 2,067,378,344 78,189,306 52,332,458 3,230,750,912 – 48,861,792 62,419,779 331,192,730 16,823,809 15,380,416 – (15,153,382) 11,332,408 240,307,406 – 34,175,940 – (12,438,332) – (80,472,624) 258,068,398 2,318,098,450 12,422,420 – 133,504,885 – 653,617,450 (95,626,006) 95,013,115 67,712,874 3,788,742,356 17,446,319 4,967,886 306,227,923 – 270,490,818 2,451,603,335 – – 112,459,434 – 603,111,371 195,217,093 11,332,408 262,045,014 11,332,408 110,416,302 88,158,194 731,957,539 44,102,858 19,745,246 49,226,750 17,644,208 192,793,820 14,191,598 5,515,523 (12,438,332) 72,680,760 4,082,531,947 Accumulated Depreciation Balance as at 1st April 2014 – – 26,479,016 46,429,910 Charge for the year – – 6,997,592 13,407,679 Disposal – – Balance as at 31st March 2015 – – 33,476,608 59,837,589 Charge for the year – – 18,574,088 21,274,233 Disposal – – Balance as at 31st March 2016 – – – – – – – – 11,332,408 (9,977,946) – (33,191,286) – 149,665,106 105,802,402 891,560,073 58,294,456 – 26,267,603 19,563,705 214,845,566 17,483,335 – (6,945,019) 11,332,408 168,987,690 – – – 75,777,791 299,777,170 (43,169,232) 25,260,769 1,335,229,411 7,251,448 – 125,366,107 1,106,405,639 1,078,621,473 – 325,259,978 (6,945,019) 52,050,696 81,111,822 32,512,217 1,653,544,370 551,060,675 114,105,271 – 93,057,324 145,124,711 1,345,197,696 36,681,643 40,168,543 552,235,054 110,472,454 – 90,642,300 152,265,996 1,426,538,377 36,718,659 42,452,105 2,453,512,945 Net Book Value As at 31st March 2016 42,188,000 As at 31st March 2015 42,188,000 61,403,714 – 2,428,987,577 2.2.1 The buildings constructed on leasehold lands of the Company were revalued by Mr. P.B. Kalugalagedara, Chartered Valuer in March 2013. 2.2.2 Freehold land with a land extent of 20.2 perches is situated at No. 15, Nelson Lane, Kollupitiya, Colombo 03. 2.2.3 Leasehold period for the three companies is 99 years and remaining leasehold periods as at 31st March 2016 are as follows: Nawaloka Hospitals PLC 55 years New Nawaloka Hospitals (Pvt) Ltd. 76 years New Nawaloka Medical Centre (Pvt) Ltd. 87 years 2.2.4 There were no restrictions to the title of Property, Plant & Equipment of the Company, as at the Reporting Date. 2.3 The leasehold properties with a land extent of 511.80 perches are located in No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 02. 128 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports 3. Leasehold Right Over Land Group As at 31st March Balance as at beginning of the year Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 227,910,976 230,823,300 49,510,203 50,403,212 (2,935,524) Amortisation for the year Balance as at the end of the year (893,007) (2,912,324) 224,975,452 227,910,976 (893,009) 48,617,196 49,510,203 4. Investment Property – – 192,417,100 192,417,100 – – 192,417,100 192,417,100 4.1 Investment property reflects a land leased out to Nawaloka Medicare (Pvt) Ltd. by Nawaloka Hospitals PLC on 99-year lease agreement. Nawaloka Medicare (Pvt) Ltd. commenced its operations during 2014/15. 4.2 The Company has earned rental income of Rs. 1,816,152/- for the year ended 31st March 2016. (2015 – Rs. 587,120/-) 4.3 During the year, Director’s valuation was carried out for the investment properties and market value has not been changed materially over the year. 4.4 No items of investment properties of the Company were pledged as security as at the Reporting Date. 4.5 There were no restrictions to the title of the investment properties of the Company as at the Reporting Date. 4.6 Investment property reflects a land extent of 1,019.1 perches situated at No. 169, Colombo Road, Negombo. 5. Investment in Subsidiaries Group As at 31st March Holding % 2016 Rs. Company 2015 Rs. 2016 Rs. 2015 Rs. New Nawaloka Hospitals (Pvt) Ltd. 100 – – 245,933,056 245,933,056 Nawaloka Medicare (Pvt) Ltd. 100 – – 1,071,052,320 300,000,000 New Nawaloka Medical Centre (Pvt) Ltd. 100 – – 700,000,000 700,000,000 – – 2,016,985,376 1,245,933,056 Holding % 2016 Rs. 2015 Rs. 50 118,230,763 90,241,313 50 2,500,000 2,500,000 6. Equity Accounted Investee – Group As at 31st March Investment in Joint Venture – Nawaloka Metropolis Laboratories (Pvt) Ltd. Equity Accounted Investee – Company Investment in Joint Venture – Nawaloka Metropolis Laboratories (Pvt) Ltd. 250,000 Ordinary Shares Financial Reports Notes to the Financial Statements Annual Report 2015/16 Nawaloka Hospitals PLC 129 Nawaloka Metropolis Laboratories (Pvt) Ltd. is a joint venture company between Nawaloka Hospitals PLC and Metropolis Health Services (India) (Pvt) Ltd. a company incorporated in India. Nawaloka Metropolis Laboratories (Pvt) Ltd. was incorporated to provide laboratory services in Sri Lanka. The summarised financial information of the Group’s investment in Nawaloka Metropolis Laboratories (Pvt) Ltd. is given below: 6.1 Share of the Joint Venture’s Statement of Financial Position Group 2016 Rs. 2015 Rs. 60,500,956 69,577,464 Current assets 117,282,100 104,297,476 Non-current liabilities (11,861,134) (11,476,877) Current liabilities (47,691,159) (72,156,750) Net assets 118,230,763 90,241,313 368,583,777 324,011,505 (153,899,026) (138,507,042) 214,684,751 185,504,463 3,441,807 1,045,251 As at 31st March Non-current assets 6.2 Share of Joint Venture’s Revenue and Profit Revenue Cost of services Gross profit Other income Expenses Profit before tax (157,201,306) (153,030,721) 60,925,252 33,518,993 Income tax expenses (10,564,288) (4,121,255) Profit for the year 50,360,964 29,397,738 Other comprehensive income 128,487 (3,192,982) Total comprehensive income for the year 50,489,451 26,204,756 Dividend (22,500,000) (12,500,000) 27,989,451 13,704,756 6.3 SLFRS 11 replaces LKAS 31 – ‘Interest in Joint Ventures’ and SIC on Jointly Controlled Entities (JCEs) and non-monetary contributions by ventures. SLFRS 11 removes the option to account for JCEs using proportionate consolidation. Instead JCEs that need the definition of a joint venture must be accounted for using equity method of accounting. The application of the above standard had an impact on the financial position of the Group. This was due to the proportionate consolidating of the joint venture being changed to equity accounting. The Group has applied the equity method of accounting in the Financial Year of 2014/15. 7. Advance for Land Group As at 31st March Company 2016 Rs. 2015 Rs. 952,343,085 952,343,085 2016 Rs. 2015 Rs. – – This represents a payment of Rs. 952,343,085/- by New Nawaloka Hospitals (Pvt) Ltd. to Nawaloka Construction Company (Pvt) Ltd. which is a related party due to common Directorship, to purchase a land. This land was originally meant for the establishment of a private medical training institution, but due to the delay in obtaining the necessary approval, the management is now in the process of exploring alternative ways for the property. 130 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports Group As at 31st March Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 8. Inventories 396,204,933 323,268,846 140,407,087 108,995,263 General stocks 14,912,150 12,494,513 5,723,147 5,655,057 Provision for slow moving inventories (2,000,000) Pharmaceutical items – (2,000,000) – 409,117,083 335,763,359 144,130,234 114,650,320 465,020,367 352,128,366 289,833,552 231,981,482 9. Trade and Other Receivables Trade receivables Provision for bad and doubtful debts (46,168,101) 418,852,266 (42,295,476) 309,832,890 (39,387,355) (30,780,511) 250,446,197 201,200,971 ESC recoverable 46,394,997 56,018,804 37,277,411 49,881,774 Other debtors 53,770,909 62,521,841 32,195,405 14,217,272 519,018,172 428,373,535 319,919,013 265,300,017 77,333,650 25,725,038 17,408,157 3,294,863 10. Deposits and Advances Import control Staff loans Pre-payments Other deposit and advances 3,919,393 3,088,179 2,554,200 1,660,293 46,867,947 61,964,567 46,867,947 57,798,564 64,230,672 53,334,904 57,418,873 49,323,669 192,351,662 144,112,688 124,249,177 112,077,389 11. Receivables from Related Parties Alcobronz (Pvt) Ltd. Battaramulla Medical Centre Dehiwala Medical Centre East West Marketing (Pvt) Ltd. 5,000,000 – 10,651 20,731,658 – 2,236,943 3,150 – – – 1,054,365 2,236,943 10,651 3,150 1,119,377 – 117,965 185,068 117,965 185,068 Kiribathgoda Medical Centre 2,364,551 2,879,310 5,358,496 2,879,310 Karapitiya Medical Centre 5,832,570 – 5,832,570 Panadura Medical Centre 10,353,330 – 10,353,330 – Sasiri Polysacks (Pvt) Ltd. 3,400,000 – 3,400,000 – 499,164 – 508,859 – 2,797 – 2,797 – – 403,259 – Kandana Medical Centre Kottawa Medical Centre Moratuwa Medical Centre Mount Lavinia Medical Centre – – 621,932 414,358 621,932 414,358 Nawaloka College of Higher Studies 64,793,701 64,793,700 64,793,701 64,793,700 Nawaloka Construction Company (Pvt) Ltd. 29,181,230 27,494,860 Nawaloka Aviation (Pvt) Ltd. Nawaloka Medicare (Pvt) Ltd. Nawaloka Guardian International (Pvt) Ltd. Nawaloka Polysacks (Pvt) Ltd. New Nawaloka Hospitals (Pvt) Ltd. New Nawaloka Medical Centre (Pvt) Ltd. Wattala Medical Centre Nawaloka Hospitals Internationals (Pvt) Ltd. Financial Reports Notes to the Financial Statements – 1,806,750 22,429,200 12,207,543 9,707,543 – 17,770,108 699,206,107 – 1,806,750 – 22,429,200 26,429,200 – – 245,810,857 167,275,655 – – 1,842,326,479 425,808,401 – 75,000 75,000 26,429,200 – 36,858,853 35,944,835 36,858,853 35,944,835 204,079,352 160,381,424 2,272,862,092 1,434,884,270 Annual Report 2015/16 Nawaloka Hospitals PLC 131 Group As at 31st March Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 1,207,388,876 1,207,388,876 1,207,388,876 1,207,388,876 990,872,361 990,872,361 12. Stated Capital 1,409,505,596 ordinary shares 13. Revaluation Reserve Balance as at 01st April – Revaluation during the year Balance as at 31st March – – 990,872,361 990,872,361 – – – – – The revaluation reserve relates to revaluation of buildings on leasehold lands and represents the fair value changes of the buildings on leasehold lands as at the date of revaluation. Group As at 31st March 14. Debentures Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 1,484,104,507 1,480,047,383 1,484,104,507 1,480,047,383 During the financial year 2013/14, the Company has issued 15 Mn rated unsecured redeemable debentures at a par value of Rs. 100/- and its allocation is as follows: Class Issue Coupon Rate Listing Status Interest Payable Frequency Issued Date Maturity Date % Quantity Consideration Received Nos. Rs. Value as at Comparative 31st March Government 2016 Bonds Rates Rs. % Yield to Maturity % A Public 14.15 Listed Quarterly 9/30/2013 9/30/2018 10,427,900 1,042,790,000 1,032,512,184 8.65 B Public 14.15 Listed Quarterly 9/30/2013 9/30/2019 2,696,000 269,600,000 266,514,564 11.17 13.33 D Public 14.35 Listed Quarterly 9/30/2013 9/30/2021 1,645,500 164,550,000 162,346,275 11.55 11.96 E Public 14.40 Listed Quarterly 9/30/2013 9/30/2022 120,000 12,000,000 11,831,829 11.77 12.14 Quarterly 9/30/2013 9/30/2023 110,600 11,060,000 10,899,655 11.80 12.47 15,000,000 1,500,000,000 1,484,104,507 F Public 14.45 Listed 11.09 14.1 Market Summary Class A B Highest Rs. – 111.80 Lowest Rs. – – Last Traded Rs. – 111.80 Traded Quantity Last Traded Date – 1,000,000 – 16/11/2015 D – – – – – E – – – – – F – – – – – 14.2 Purpose of the Issue Purpose of the debenture issue was to repay high interest cost borrowings and finance the construction of a building including car park facilities, channelling, Outpatients Department and Indoor admission facilities. 14.3 Credit Ratings ICRA (Lanka) Ltd., has reaffirmed Nawaloka Hospitals PLC’s long and short-term corporate credit ratings as SLA – (Stable) which is read as [SL] A minus (Stable). 132 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports Group Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 184,237,790 170,953,704 166,252,434 158,673,474 134,424,735 15. Employee Benefits The amount recognised in the Statement of Financial Position Present value of defined benefit obligations 15.1 Movement in the Present Value of Defined Benefit Obligations (PV DBO) 170,953,704 144,621,538 158,673,474 Current service cost (Note 15.2) 17,186,421 11,412,094 10,456,863 8,262,450 Interest cost (Note 15.2) 16,240,600 14,823,889 15,073,980 14,210,938 309,060 17,481,666 1,354,898 18,820,799 Liability for defined benefit obligation at 1st April Actuarial (Gain)/Losses on PV DBO (Note 15.3) Payments made (20,451,995) (17,385,483) (19,306,781) (17,045,448) Liability for defined benefit obligation at 31st March 184,237,790 170,953,704 166,252,434 158,673,474 Company service cost 17,186,421 11,412,094 10,456,863 8,262,450 Interest cost 16,240,600 14,823,889 15,073,980 14,210,938 33,427,021 26,235,983 25,530,843 22,473,388 309,060 17,481,666 1,354,898 18,820,799 15.2 Amount Recognised in Income Statement 15.3 Amounts Recognised in Other Comprehensive Income Actuarial losses recognised during the year 15.4 Employee Benefits as at 31st March 2016 is calculated based on an actuarial valuation carried out by Mr. Piyal Gunathilaka, a qualified Actuary. As recommended by the Sri Lanka Accounting Standard (LKAS) 19 – ‘Employee Benefits’ the Projected Unit Credit (PUC) method has been used in this valuation. 15.5 Actuarial Assumptions For the year ended 31st March Retirement age Discount rate Salary increment rate 2016 2015 55 Years 55 Years 11.00% 9.50% 8% 8% 15.6 Sensitivity Analysis Reasonably possible changes at the Reporting Date to one of the relevant actuarial assumptions, holding other assumptions constant, would have affected the defined benefit obligation by the amounts shown below: Group Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 1% Increase in discount rate 175,998,868 163,779,249 160,094,126 152,795,905 1% decrease in discount rate 190,361,468 177,144,652 172,964,081 165,079,157 1% increase in salary increment rate 190,152,570 176,950,258 172,778,065 164,901,621 1% decrease in salary increment rate 176,074,128 163,849,284 160,159,514 152,858,312 As at 31st March 15.7 The above provision is not externally funded. Financial Reports Notes to the Financial Statements Annual Report 2015/16 Nawaloka Hospitals PLC 133 Group As at 31st March Company 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 305,060,480 171,569,526 92,347,774 119,113,956 16. Deferred Tax Liability Deferred tax liability (Other) Deferred tax liability (Revaluation reserve) – 56,330,061 – – 305,060,480 227,899,587 92,347,774 119,113,956 227,899,587 216,762,224 119,113,956 113,517,100 77,160,893 11,137,363 305,060,480 227,899,587 92,347,774 Temporary differences of PPE 414,670,547 303,679,460 199,927,963 187,722,702 Temporary differences of retirement provision on gratuity (21,980,170) (19,886,910) (19,950,292) (19,040,817) Tax loss carried forward (87,629,897) (55,892,963) (87,629,897) (49,567,929) 227,899,587 92,347,774 Balance as at 1st April Originating/(Reversal) during the year (Note 16.2) Balance as at 31st March (26,766,182) 5,596,856 119,113,956 16.1 Deferred Tax Provision as at the Year end is Made up as Follows: Deferred Tax Provision from 305,060,480 119,113,956 16.2 Originating during the Year Statement of other comprehensive income (Note 16.4) Statement of comprehensive income (Note 16.3) (27,860) (2,500,039) (162,588) (2,286,564) 77,188,753 13,637,402 (26,603,594) 7,883,420 77,160,893 11,137,363 (26,766,182) 5,596,856 77,188,753 13,637,402 (26,603,594) 7,883,420 77,188,753 13,637,402 (26,603,594) 7,883,420 16.3 Amount Recognised in Comprehensive Income Originating during the year 16.4 Amount Recognised in Other Comprehensive Income Deferred tax Impact on defined benefits plan actuarial losses (27,860) (2,500,039) (162,588) (2,286,564) (27,860) (2,500,039) (162,588) (2,286,564) 16.5 Deferred tax has been computed using a tax rate of 12% (2014/15 - 12%). 17. Borrowings DFCC Bank loan 410,149,446 442,683,700 410,149,446 442,683,700 BOC 304,704,983 379,365,571 304,704,983 379,365,571 Commercial Bank Sampath Bank PLC Nations Lanka PLC Hatton National Bank loans Borrowings falling due within one year Borrowings falling due after one year 994,894,896 1,628,417,300 – 681,980,100 988,572,636 681,980,100 67,595,370 59,000,000 67,595,370 59,000,000 199,527,425 48,790,740 125,000,000 3,596,694,050 1,620,415,481 3,515,844,365 (594,325,684) 3,002,368,366 (351,370,388) 1,269,045,093 – 1,628,417,300 (545,401,924) 2,970,442,441 – 1,571,624,741 (311,369,588) 1,260,255,153 17.1 Borrowings Opening balance as at 1st of April 1,620,415,481 520,056,614 1,571,624,741 520,056,614 Loans obtained during the year 2,828,645,181 1,390,867,211 2,697,409,436 1,252,076,271 Loans paid during the year Closing balance as at 31st March 134 Nawaloka Hospitals PLC Annual Report 2015/16 (852,366,612) 3,596,694,050 (290,508,344) 1,620,415,481 (753,189,812) 3,515,844,365 (200,508,144) 1,571,624,741 Notes to the Financial Statements Financial Reports 17.2 Details of loans obtained by the Group are set out below: Financial Institution Repayment Terms Principal Rs. Interest Security Rate % Annual Repayment Rs. Balance as at 31.03.2016 Rs. 82,534,254.00 360,149,446.00 Long-Term Loan Nawaloka Hospitals PLC DFCC Bank 59 equal monthly instalments of Rs. 7,503,114/- 450,000,000 AWPLR+1.25 Primary concurrent mortgage over leasehold rights of the land and building situated at Sir James Peiris Mawatha and Sugathodaya Mawatha owned by Nawaloka Hospitals PLC and New Nawaloka Hospitals (Pvt) Ltd. Joint and several Guarantees of Directors Mr. H.K.J. Dharmadasa, Mr. Ugitha Harshith Dharmadasa and Mr. Anisha Givantha Dharmadasa. DFCC Bank 60 equal monthly instalments of Rs. 1,666,667/- 100,000,000 AWPLR+1.25 Primary concurrent mortgage over – 50,000,000.00 leasehold rights of the land and building situated at Sir James Peiris Mawatha and Sugathodaya Mawatha owned by Nawaloka Hospitals PLC and New Nawaloka Hospitals (Pvt) Ltd. Joint and several Guarantees of Directors – Mr. H.K.J. Dharmadasa, Mr. Ugitha Harshith Dharmadasa and Mr. Anisha Givantha Dharmadasa. Bank of Ceylon To be repaid in 60 equal monthly Instalments 363,000,000 Bank of Ceylon 60 equal monthly instalments of Rs. 3,166,667/- 190,000,000 Sampath Bank 60 equal monthly instalments of Rs. 9,166,667/- 550,000,000 Sampath Bank 72 equal monthly instalments of Rs. 13,888,889/- 1,000,000,000 Sampath Bank 36 equal monthly instalments of Rs. 1,083,300 39,000,000 AWPLR+0.5 Joint and several Guarantees of 61,060,584.00 169,531,339.00 38,000,004.00 135,173,643.77 Directors – Mr. H.K.J. Dharmadasa, Mr. Ugitha Harshith Dharmadasa and Mr. Anisha Givantha Dharmadasa. AWPLR+0.5 Joint and several Guarantees of Directors – Mr. H.K.J. Dharmadasa, Mr. Ugitha Harshith Dharmadasa and Mr. Anisha Givantha Dharmadasa. AWPLR+0.5 Loan Agreement for Rs. 550,000,000/-, – 550,000,000.00 – 1,000,000,000.00 Corporate Guarantee of Nawaloka Construction Company (Pvt) Ltd. for Rs. 550,000,000/-. AWPLR+0.5 Loan Agreement for Rs. 1,000,000,000/-. Assignment over credit card receivables for Rs. 1,000,000,000/- including the receivables of the existing hospital operations and the car park, channelling centre and new rooms of the proposed building complex. Corporate Guarantee of the New Nawaloka Hospitals (Pvt) Ltd. for Rs. 1 Bn. AWPLR+0.5 Loan Agreement for Rs. 39,000,000/- 12,999,600.00 18,417,300.00 Primary Mortgage Bond over machinery for Rs. 39,000,000/Undertaking to mortgage over Machinery. Sampath Bank 72 equal monthly instalments of Rs. 6,994,500/- 500,000,000 Financial Reports Notes to the Financial Statements AWPLR+0.5 Loan Agreement for Rs. 500,000,000/- – 60,000,000.00 Annual Report 2015/16 Nawaloka Hospitals PLC 135 Financial Institution Repayment Terms Principal Rs. 1,000,000,000 Commercial Bank First 24 months Rs. 12,500,000, Next 35 months 19,400,000 and Final Rs. 21,000,000 instalments Hatton National Bank Monthly rollover basis 50,000,000 Hatton National Bank Monthly rollover basis 75,000,000 Interest Security Rate % Annual Repayment Rs. Balance as at 31.03.2016 Rs. – 988,572,636.00 AWPLR+1 Money Market loan – 50,000,000.00 AWPLR+1 Money Market loan – 75,000,000.00 AWPLR+0.5 Primary mortgage Bond over debit and credit card sales for Rs. 1,200,000,000/- to be executed over the card sales of the total hospital operations, Corporate Guarantee from New Nawaloka Hospitals (Pvt) Ltd. for Rs. 500,000,000/- to be signed by the Directors of the Company, Corporate Guarantee from New Nawaloka Medical Centre (Pvt) Ltd. for Rs. 500,000,000/to be signed by the Directors of the Company, General Terms and Conditions relating to Term Loan for Rs. 1,000,000,000/- to be signed by the Directors of the Company. New Nawaloka Hospitals (Pvt) Ltd. Hatton National Bank 60 equal monthly instalments of Rs. 3,333,400 200,000,000 AWPLR+1 Join and Several Guarantee of 96,000,800.00 51,203,425.00 2,496,000.00 17,504,000.00 680,000.00 5,820,000.00 H.K.J. Dharmadasa, U.H. Dharmadasa and A.G. Dharmadasa. Existing Primary Concurrent Mortgage Bond for Rs. 390.0 Mn (HNB – Rs. 260.0 Mn, Seylan – Rs. 130.0 Mn) over Leasehold Nawaloka Hospitals premises. Hatton National Bank 48 equal monthly instalments of Rs. 416,000/- 20,000,000 AWPLR+1 Join and Several Guarantee of H.K.J. Dharmadasa, U.H. Dharmadasa and A.G. Dharmadasa. Existing Primary Concurrent Mortgage Bond for Rs. 390.0 Mn (HNB – Rs. 260.0 Mn, Seylan – Rs. 130.0 Mn) over Leasehold land of Nawaloka Hospitals premises. Hatton National Bank 48 equal monthly instalments of Rs. 136,000/- 6,500,000 136 Nawaloka Hospitals PLC Annual Report 2015/16 AWPLR+1 Existing Primary Concurrent Mortgage Bond for Rs. 390.0 Mn (HNB – Rs. 260.0 Mn, Seylan – Rs. 130.0 Mn) over Leasehold Nawaloka Hospitals premises. Notes to the Financial Statements Financial Reports Bank Over Draft Financial Institution Closing Balance as at 31st March 2016 Rs. Principal Rs. Interest Rate % (249,324,750) 200,000,000 AWPLR+1 (89,217,979) 90,000,000 AWPLR+0.75 1,499,172 50,000,000 AWPLR+1 Security Nawaloka Hospitals PLC Hatton National Bank DFCC Bank Sampath Bank Corporate Guarantee of New Nawaloka Hospitals (Pvt) Ltd. for Rs. 75 Mn. Joint & several Guarantees of Directors – Mr. H.K.J. Dharmadasa, Mr. Ugitha Harshith Dharmadasa and Mr. Anisha Givantha Dharmadasa Bank overdrafts Agreement for Rs. 50,000,000/-. Join and Several Guarantee of H.K.J. Dharmadasa, U.H. Dharmadasa and G.A. Dharmadasa – Directors of the Company for Rs. 50,000,000/-. New Nawaloka Hospitals (Pvt) Ltd. Hatton National Bank (88,967,841) 100,000,000 AWPLR+1 Existing Primary Concurrent Mortgage Bond for Rs. 390 Mn (HNB – Rs. 260 Mn, Seylan – Rs. 130 Mn) Over Leasehold Nawaloka Hospital Premises. Group As at 31st March Company 2016 Rs. 2015 Rs. 116,000,000 124,000,000 2016 Rs. 2015 Rs. 18. Finance Leases Finance lease liability – – – 108,000,000 116,000,000 – – Finance leases payable between 1 to 5 years 40,000,000 40,000,000 – – Finance leases payable more than five years 68,000,000 76,000,000 – – 108,000,000 116,000,000 – – 124,000,000 132,000,000 – – – – – – Finance leases payable within one year Finance leases payable after one year (8,000,000) – (8,000,000) 18.1 Finance Leases Opening balance as at 1st April Lease paid during the year Closing balance as at 31st March (8,000,000) (8,000,000) 116,000,000 124,000,000 334,144,474 363,785,188 328,819,183 1,718,808 2,362,905 1,718,808 2,362,905 151,096,481 107,220,155 93,843,790 63,844,114 486,959,763 473,368,248 424,381,781 424,320,318 19. Trade Creditors and Other Payables Trade payables Doctors payable Other payables 358,113,299 20. Income Tax Payable Balance as at 1st April Under/(Over) provision during prior year 2,250,608 (990,683) 24,304,885 – – (25,662,263) – – – Provision for the year 33,020,131 21,193,290 – Income tax paid during the year (9,514,418) (17,585,304) – – Balance as at 31st March 24,765,638 2,250,608 – – Financial Reports Notes to the Financial Statements Annual Report 2015/16 Nawaloka Hospitals PLC 137 Group As at 31st March 2016 Rs. Company 2015 Rs. 2016 Rs. 2015 Rs. 21. Payable to Related Parties Nawaloka Construction Co. (Pvt) Ltd. Nawaloka Metropolis Laboratories (Pvt) Ltd. Battaramulla Medical Centre Mount Lavinia Medical Centre – 813,630 14,725,333 12,601,805 209,014 – – 8,056,987 – – 661,571 434,119 15,595,918 13,849,554 8,747,060 2016 Rs. 2015 Rs. 2016 Rs. 2015 Rs. 1,821,182,146 Group For the year ended at 31st March – 8,747,060 – 434,119 8,491,106 Company 22. Revenue Hospital revenue Pharmacy revenue 3,907,597,012 3,162,539,922 1,845,366,168 1,952,621,149 1,439,893,718 987,829,551 676,648,768 5,860,218,161 4,602,433,640 2,833,195,719 2,497,830,914 22,500,000 109,770,335 23. Other Income Dividend income – Savings interest – Interest on fixed deposits Profit on sale of property, plant & equipment Sundry income Rent – 20,343 – 20,343 30,384,641 31,311,710 13,734,180 13,027,295 7,006,687 5,589,564 7,006,687 5,589,564 50,800,087 22,905,323 37,150,282 18,182,695 6,303,825 5,372,631 6,303,825 6,053,688 94,495,240 65,199,571 86,694,974 152,643,920 45,590,061 41,400,675 45,590,061 41,400,675 24. Profit from Operations The operating profit has been arrived after charging all expenses including the following: Emoluments paid to Directors 2,020,000 1,819,000 705,000 635,000 Depreciation and amortisation 479,732,756 397,776,647 326,152,985 300,670,179 Staff costs 404,831,075 Auditors’ remuneration – Audit services 992,907,444 838,604,192 462,458,524 Employees’ Provident Fund 93,534,592 82,674,032 44,891,706 40,141,726 Employees’ Trust Fund 23,390,181 20,668,507 11,230,031 10,035,431 Charge/(Reversal) of provision for bad debts Provision for employee benefits Charity and donation Impairment for other receivable balances Exchange loss on foreign currency Provision for slow moving inventories Provision for Deemed Int. Tax 138 Nawaloka Hospitals PLC Annual Report 2015/16 3,272,625 9,114,875 8,006,844 7,376,592 33,427,021 26,235,983 25,530,843 22,473,388 4,480,289 7,082,114 4,283,789 6,715,114 42,758,125 54,244,933 41,528,139 39,101,201 – 7,830,431 – – 2,000,000 – 2,000,000 – 26,668,154 – 26,668,154 – Notes to the Financial Statements Financial Reports Group For the year ended at 31st March 2016 Rs. Company 2015 Rs. 2016 Rs. 2015 Rs. 25. Finance Costs Overdraft interest 37,848,420 24,041,066 26,030,496 19,143,926 Debenture interest 216,727,641 216,198,471 216,727,641 216,198,471 Lease and loan interest 111,704,749 42,618,062 106,868,737 40,383,815 6,036,551 2,235,230 5,669,039 1,671,468 372,317,361 285,092,829 355,295,913 277,397,680 Bank charges 26. Income Tax Expenses Income tax on current year profit (Note 26.1) Under/(over) provision during prior year (Reversal from)/transfer to deferred taxation (Note 16.3) Dividend tax on inter-company dividend 33,020,131 (990,684) 77,188,753 20,273,290 – (25,654,009) – 13,637,402 – 920,000 109,218,200 – – (26,603,594) 7,883,420 – 9,176,683 (26,603,594) 96,647,519 (154,169,093) – 7,883,420 26.1 Reconciliation of Accounting Profit and Taxable Profit Profit/(loss) before tax Other comprehensive income (loss) for the year Total comprehensive income Inter-company dividend Aggregate expenses disallowed for tax 315,252,428 (309,060) (20,674,648) 314,943,368 75,972,871 – 84,770,335 496,985,267 498,759,885 97,821,426 (1,354,898) (18,820,799) (155,523,991) 79,000,627 – – 416,158,577 412,123,712 (48,512,436) (109,770,335) (43,240,867) (109,770,335) (516,234,025) (506,201,970) (466,781,873) (493,320,056) Adjustments for tax losses 254,195,117 116,532,725 254,195,117 116,532,725 Profit exempt from tax (251,197,109) (29,216,388) (4,806,963) (4,566,673) Aggregate income not liable for tax Aggregate deductible expenses for tax Tax loss utilised during the year Taxable income for the year – – (4,806,963) (4,566,673) 245,373,219 126,280,450 – – Income tax 12 % 25,753,816 15,153,654 – – Income tax 28% 7,266,315 5,119,636 – – 33,020,131 20,273,290 – – 423,964,479 311,998,427 26.2 Reconciliation of Tax Losses Tax losses brought forward Tax loss utilised during the year (4,806,963) (4,566,673) 423,964,479 311,998,427 (4,806,963) (4,566,673) Loss for the year of assessment 254,195,117 116,532,725 254,195,117 116,532,725 Tax loss carried forward 673,352,633 423,964,479 673,352,633 423,964,479 27. Earnings/(Loss) Per Share The Company’s earnings/(loss) per share is based on the profit/(loss) attributable to the ordinary shareholders and the weighted average number of ordinary shares outstanding during the year. Group For the year ended 31st March Profit/(loss) for the year (Rs.) Weighted average number of ordinary shares in issue during the year Earnings/(loss) per share (Rs.) Financial Reports Notes to the Financial Statements 2016 Company 2015 206,034,228 87,470,836 1,409,505,596 1,409,505,596 0.15 0.06 2016 (127,565,499) 1,409,505,596 (0.09) 2015 89,938,006 1,409,505,596 0.06 Annual Report 2015/16 Nawaloka Hospitals PLC 139 28. Related Party Transactions The Company carries out transactions in the ordinary course of its business with parties who are defined as related parties in Sri Lanka Accounting Standard (LKAS) 24 – ‘Related Party Disclosures’, the details of which are reported below. The pricing applicable to such transactions is based on the assessment of risk and pricing model of the Company and is comparable with what is applied to transactions between the Company and its unrelated customers. 28.1 Transactions with Subsidiaries – Company Name of the Company New Nawaloka Hospitals (Pvt) Ltd. New Nawaloka Medical Centre (Pvt) Ltd. 100% Shareholding 2016 Rs. ’000 100% 2015 Rs. ’000 167,276 Opening balance due (to)/from subsidiaries (5,675) – Share issue 100% 2016 Rs. ’000 2015 Rs. ’000 2016 Rs. 2015 Rs. 425,808 352,980 699,207 471,957 (771,052) (300,000) – – Nawaloka Medicare (Pvt) Ltd. – Provision of services 328,380 (522,102) 302,382 (224,681) (2,183) Cost of pharmaceutical and general stores items 723,410 658,800 419,861 215,705 77,505 Drugs income transferred (121,830) (124,567) Fund transfer (851,425) 160,820 694,275 81,804 14,293 277,287 245,811 167,276 1,842,326 425,808 17,770 699,207 Closing balance due (to)/from subsidiaries Directors – – 86,147 163,816 – – Mr. H.K.J. Dharmadasa Mr. H.K.J. Dharmadasa Mr. H.K.J. Dharmadasa Mr. H.K.U.H. Dharmadasa Mr. H.K.U.H. Dharmadasa Mr. H.K.U.H. Dharmadasa Mr. A.G. Dharmadasa Mrs. C.S. Dharmadasa Mr. A.G. Dharmadasa Ms. A.G. Dharmadasa Transactions with subsidiaries are carried out in the ordinary course of the business. 28.2 Transactions with Equity Accounted Investees – Company Name of the Company Shareholding Nawaloka Metropolis Laboratories (Pvt) Ltd. 50% 2016 Rs. ’000 2015 Rs. ’000 8,057 (52,269) Dividend received (22,500) (25,000) Provision of services (21,610) Opening balance due (to)/from equity accounted investees Joint venture company collection transfer Transfer revenue Closing balance due (to)/from equity accounted investees 2,081 (355,061) (278,174) 399,861 361,419 8,747 8,057 Transactions with jointly controlled entities are carried out in the ordinary course of the business. Outstanding current account balances at year end are unsecured, interest free and settlement occurs in cash. 140 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports 28.3 Key Management Personnel According to Sri Lanka Accounting Standard (LKAS) 24 – ‘Related Party Disclosures’, Key Management Personnel, are those having authority and responsibility for planning, directing and controlling the activities of the entity. Accordingly, the Board of Directors (including Executive and Non-Executive Directors) of Nawaloka Hospitals PLC have been classified as Key Management Personnel of the Company. Group Company 2016 Rs. ’000 2015 Rs. ’000 2016 Rs. ’000 2015 Rs. ’000 45,590 41,401 45,590 41,401 28.3.1 Compensation of Key Management Personnel Short-term employee benefits Post employment benefits – – – – Other long-term benefits – – – – Termination benefits – – – – Share based payments – – – 45,590 – 45,590 41,401 41,401 28.4 Transactions with Other Related Entities – Company Name of the Company Nawaloka Construction Company (Pvt) Ltd. Nawaloka Aviation (Pvt) Ltd. Nawaloka Medical Centre (Pvt) Ltd. Relationships Common Directorship Common Directorship Common Directorship Nawaloka Hospitals Internationals (Pvt) Ltd. Common Directorship Nawaloka College of Higher Studies Common Directorship Year Opening Balance Due (to)/from Rendering of Services/ Sale of Goods Rs. ’000 Rs. ’000 Common Directorship Nawaloka Polysacks Sharjah U.A.E Common Directorship Sasiri Polysacks (Pvt) Ltd. Common Directorship Koala (Pvt) Ltd. Common Directorship Ceyoka ( Pvt) Ltd. Common Directorship Ceyoka Engineering ( Pvt) Ltd. Common Directorship Sikure Security Services (Pvt) Ltd. Common Directorship Nation Lanka Finance PLC Common Directorship Nawaloka Petroleum (Pvt) Ltd. Common Directorship Sampath Bank PLC Affiliate of Significant Shareholder Fund Transfer Closing Balance due (to)/from Rs. ’000 Rs. ’000 2016 9,708 – – 2,500 12,208 2015 9,396 – – 312 9,708 2016 414 1,659 2015 138 1,652 – (1,451) 622 (1,376) 414 13,364 2016 4,870 19,066 – (10,572) 2015 5,782 16,311 – (17,223) 4,870 2016 35,945 2,676 (1,762) 36,859 2015 East West Marketing (Pvt) Ltd. Receiving of Services/ Purchase of Goods Rs. ’000 2016 – 64,794 14,947 – – – – 2015 – – 2016 – – 2015 – – – – – 2016 26,429 (6,723) 20,998 35,945 – 64,794 64,794 64,794 7,842 1,119 – – (4,000) 22,429 2015 – – – 26,429 26,429 2016 – – – 3,400 3,400 2015 – – – 2016 (3,515) (38,983) – – 40,861 (1,637) 2015 (2,539) – (44,619) 43,643 (3,515) 2016 (36,653) – (202,797) 197,859 (41,591) 2015 (31,316) – (135,988) 130,651 (36,653) 2016 – – (5,767) 5,349 (418) 2015 – – 2016 (1,100) 2015 2016 2015 137,000 – – 49 (17,607) 16,218 (1,611) – (15,441) 15,952 67,595 – – (2,440) (1,100) – (8,595) 59,000 (69,405) 67,595 – – 2016 – – (240) 240 2015 – – (387) 387 – – (946,437) (1,628,417) – – (681,980) (681,980) 2016 2015 (681,980) – – – The amount payable to Nation Lanka Finance PLC is the remaining balance of the loan taken to acquire the investment property (Note 4) in 2014/15. Outstanding current account balances at year end are unsecured, interest free and settlement occurs in cash. Financial Reports Notes to the Financial Statements Annual Report 2015/16 Nawaloka Hospitals PLC 141 28.5 Non-Recurrent Related Party Transactions Name of the Company Relationship Transaction value Entered During 2015/16 Rs. Transaction as a % of Equity Transaction as a % of Total Assets Terms and Conditions Rationale for Entering into the Transaction New Nawaloka Medical Centre (Pvt) Ltd. Subsidiary 1,088,524,407 64% 18% Note 28.5.1 Note 28.5.1 Nawaloka Medicare (Pvt) Ltd. Subsidiary 771,052,320 46% 13% Note 28.5.2 Note 28.5.2 28.5.1 New Nawaloka Medical Centre (Pvt) Ltd. is a fully owned subsidiary of the Company which is located next to the Company and operated as a single business unit under Nawaloka Hospitals brand name. Nawaloka Hospitals assist the construction of multi storied building with car park facilities, Channelling, Outpatient Department and Indoor admission facilities adjoining the existing hospital building of the subsidiary. Construction of new car park would benefit to the subsidiary as well as the Company through allowing more patients to access to the Company and its subsidiary. Repayment of the investment would occur after commencing the operations of the car park building. Nawaloka Hospitals PLC charges AWPLR+1% for the funds transferred. 28.5.2 Nawaloka Medicare (Pvt) Ltd., fully-owned subsidiary of the Company has been restructured their balance sheet through issuing 77,105,232 shares to the Company by setting of the payable amount to its Parent Company. 28.6 Recurrent Related Party Transactions There were no other recurrent related party transactions which in aggregate value exceeds 10% of the consolidated revenue of the Company according to 31st March 2016 audited Financial Statements, except the transactions between New Nawaloka Hospitals (Pvt) Ltd. and New Nawaloka Medical Centre (Pvt) Ltd. which are fullyowned subsidiaries of the Company. The two subsidiaries are situated in the same premises and operate under the Nawaloka Hospitals brand name with the Company and therefore revenue and the expenses could occur mutually. However, the net transactions value does not exceed the 10% of the consolidated revenue of the Company. There were no material contingent liabilities existed as at 31st March 2016. 32. Events after the Reporting Date There are no events that have occurred after the Reporting Date, which would require adjustments to, or disclosure in the Financial Statements. 33. Directors’ Responsibilities The Board of Directors is responsible for the preparation and presentation of these Financial Statements according to the Sri Lanka Accounting Standards and Companies Act No. 07 of 2007. 29. Changes in Classification To facilitate comparison, relevant balances pertaining to the previous year, have been reclassified to conform to current year’s classification and presentation. 34. Accounting Classifications and Fair Values 30. Capital Commitments Nawaloka Hospitals construct a multistoried building with car park facilities, Channelling, Outpatients Department and Indoor Admission facilities adjoining the existing hospital building of the subsidiary and Rs. 1,249,234,452/- those to be invested. There were no material capital commitments existed as at 31st March 2016 other than disclosed above. 142 Nawaloka Hospitals PLC Annual Report 2015/16 31. Contingent Liabilities The Group do not designate any of its financial assets/liabilities at fair value, so, a classification between fair value hierarchy do not apply. Notes to the Financial Statements Financial Reports 34.1 Fair Values vs. Carrying Amounts Fair Value Through Profit or Loss Rs. 31st March 2016 Held-to-Maturity Rs. Loans and Available-for-Sale Receivables Rs. Other Financial Liabilities Total Carrying Amount Fair Value Rs. Rs. Rs. Rs. Cash and cash equivalents – – 563,492,145 – – 563,492,145 563,492,145 Trade and other receivables – – 519,018,172 – – 519,018,172 519,018,172 – – 1,082,510,317 – – 1,082,510,317 1,082,510,317 Debentures – – – – 1,484,104,507 1,484,104,507 1,484,104,507 Borrowings – – – – 3,596,694,050 3,596,694,050 3,596,694,050 Finance Leases – – – – 116,000,000 116,000,000 116,000,000 Trade and other payables – – – – 486,959,763 486,959,763 486,959,763 – – – – 5,683,758,320 5,683,758,320 5,683,758,320 Other Financial Liabilities Rs. Total Carrying Amount Rs. Fair Value 31st March 2015 Fair Value Through Held-to-Maturity Profit or Loss Rs. Rs. Loans and Available-for-Sale Receivables Rs. Rs. Rs. Cash and cash equivalents – – 453,619,833 – – 453,619,833 453,619,833 Trade and other receivables – – 439,343,071 – – 439,343,071 439,343,071 – – 892,962,904 – – 892,962,904 892,962,904 Debentures – – – – 1,480,047,383 1,480,047,383 1,480,047,383 Borrowings – – – – 1,620,415,481 1,620,415,481 1,620,415,481 Finance Leases – – – – 124,000,000 124,000,000 124,000,000 Trade and other payables – – – – 473,368,248 473,368,248 473,368,248 – – – – 3,697,831,112 3,697,831,112 3,697,831,112 35. Financial Instruments Risk Management Framework Financial Risk Management The Board of Directors has overall responsibility for the establishment and oversight of the Group’s risk management framework. Overview The Group has exposure to the following risks arising from financial instruments: zzCredit risk zzLiquidity zzMarket risk risk This note of presents information about the Group’s exposure to each of the above risks, the Company’s objectives, policies and processes for measuring and managing risk, and the Groups’ management of capital. The Group’s risk management policies are established to identify and analyse the risk faced by the Group, to set appropriate risk limits and controls and to monitor risk and adherence to limits. Risk management policies and systems are reviewed regularly to reflect changes in market conditions and the Group’s activities. The Group, through its training and management standards and procedures, aims to develop a disciplined and constructive control environment in which all employees understand their roles and obligations. Financial Reports Notes to the Financial Statements The Group Audit Committee monitors the process through which business risks are identified for action by the management and for the Board’s attention, monitors the effectiveness of the Company’s internal controls. The Audit Committee is assisted in its role by Internal Audit. Internal Audit undertakes both regular and ad hoc reviews of controls and procedures, the results of which are reported to the Audit Committee. Credit Risk Credit risk is the risk of financial loss to the Group if a customer or counterparty to a financial instrument fails to meet its contractual obligations, and arises principally from the Group’s receivables from customers and investment securities. Annual Report 2015/16 Nawaloka Hospitals PLC 143 Exposure to Credit Risk The carrying amount of the financial assets represents the maximum credit exposure. The maximum exposure to credit risk at the Reporting Date was as follows: 2016 Rs. 2015 Rs. Trade debtors and other receivables 519,018,172 428,373,535 Short-term Investment 427,886,374 415,601,334 (846,836,600) (593,905,473) 100,067,946 250,069,396 Description Cash and cash equivalents Total Trade and Other Receivables The Group’s exposure to credit risk is influenced mainly by the individual characteristics of each customer. However, the management also considers the demographics of the Group’s customer base, including the default risk of the industry and country in which customers operate, as these factors may have an influence on credit risk. The Group establishes an allowance for impairment that represents its estimate of incurred losses in respect of trade and other receivables. The main component of this allowance area specific loss component that relates to individually significant exposures and a collective loss component established for Groups of similar assets in respect of losses that have been incurred but not yet identified. The collective loss allowance is determined based on historical data of payments statistics for similar financial assets. The Group maintains the level of its cash and cash equivalents at an amount in excess of expected cash outflows on financial liabilities (other than trade payables) over the succeeding 60 days. The Group also monitors the level of expected cash inflows on trade and other receivables together with expected cash outflows on trade and other payables. In addition, the Group maintains Rs. 415 Mn overdraft facility that is unsecured. Interest would be payable at market rate. The disclosure shows net cash flow amounts for derivatives that are net cash settled and gross cash inflow and outflow amount for derivatives that have simultaneous gross cash settlement. It is not expected that cash flows included in the maturity analysis would occur significantly earlier or at significantly different amount. Market Risk Market risk is the risk that changes in market prices, such as foreign exchange rates, interest rates and equity prices will affect the Group’s income or the value of its holdings of financial instruments. The objective of market risk management is to manage and control market risk exposures within acceptable parameters, while optimising its returns. Currency Risk The Group is exposed to currency risk on receipts, payments and borrowings that are denominated in a currency other than Sri Lankan Rupees. In respect of other monetary assets and liabilities denominated in foreign currencies, the Company’s policy is to ensure that its net exposure is kept to an acceptable level by buying or selling foreign currencies at spot rates when necessary to address short-term imbalances. Interest Rate Risk The Company does not account for any fixed rate financial assets and liabilities at fair value through profit or loss and the Company does not designate derivatives as hedging instruments under a fair value hedge accounting model. Therefore, a change in interest rates at the Reporting Date would not affect profit or loss. Capital Management The Board’s policy is to maintain a strong capital base so as to maintain investor, creditor and market confidence and to sustain development of the business. Capital consists of ordinary shares, retained earnings and revaluation reserve of the Company. The Board of Directors monitors the return on capital as well as the level of dividends to ordinary shareholders. The Company’s net debt to adjusted equity ratio at the Reporting Date was as follows: Total liabilities Less: cash and cash equivalents 2016 Rs. 2015 Rs. 7,198,582,032 4,758,288,129 563,492,145 464,589,369 Net debt 6,635,089,887 4,293,698,760 Impairment Losses Total equity 3,994,897,962 3,887,681,839 Trade and other receivable at the Reporting Date was neither past due nor impaired. Net debt to equity ratio 1.66 1.04 Liquidity Risk Liquidity risk is the risk that the Group will encounter difficulty in meeting the obligations associated with its financial liabilities that are settled by delivering cash or another financial asset. The Group’s approach to managing liquidity is to ensure, as far as possible, that it will always have sufficient liquidity to meet its liabilities when due, under both normal and stressed conditions, without incurring unacceptable losses or risking damage to the Group’s reputation. 36. Segmental Analysis District Revenue Profit for the year Total assets Total liabilities Colombo Rs. ’000 Gampaha Rs. ’000 Total Rs. ’000 5,384,753,416 475,464,745 5,860,218,161 189,835,689 16,198,539 206,034,228 10,075,482,636 1,117,997,358 11,193,479,994 7,097,290,142 101,291,890 7,198,582,032 Based on geographical analysis. 144 Nawaloka Hospitals PLC Annual Report 2015/16 Notes to the Financial Statements Financial Reports ANNEXES INDEPENDENT ASSURANCE REPORT We have been engaged by the directors of Nawaloka Hospitals PLC (“the Company”) to provide reasonable assurance and limited assurance in respect of the Assured Sustainability Parameters as identified below for the year ended 31 March 2016. The Assured Sustainability Parameters are included in the Nawaloka Hospitals PLC’s annual report for the year ended 31 March 2016 (the “Report”). The Reasonable Assurance Sustainability Parameters covered by our reasonable assurance engagement are: Assured Sustainability Parameters Highlights (Financial Performance) Sustainability Report Page 8 The Limited Assurance Sustainability Parameters covered by our limited assurance engagement are: Limited Assurance Sustainability Parameters Sustainability Report Page Highlights (Non-Financial Performance) 9 Stakeholder Relationships 24-26 Information provided on following stakeholder groups Financial Capital and Intellectual Capital Investor Capital 30 - 39 40 Customer Capital 42 - 52 Employee Capital 54 - 63 Business Partner Capital Social and Environmental Capital 64 66 - 69 Our conclusions: Our conclusion has been formed on the basis of, and is subject to, the matters outlined in this report. We believe that the evidence we have obtained is sufficient and appropriate to provide a basis for our conclusions. Management is responsible for preventing and detecting fraud and for identifying and ensuring that the Company complies with laws and regulations applicable to its activities. Reasonable Assurance Sustainability Parameters In our opinion, the Reasonable Assurance Sustainability Parameters, as defined above, for the year ended 31st March 2016 are, in all material respects, are prepared and presented in accordance with the Global Reporting Initiative (GRI) G4 Content Index Guidelines. Management is also responsible for ensuring that staff involved with the preparation and presentation of the description and Report are properly trained, information systems are properly updated and that any changes in reporting encompass all significant business units. Our Responsibility Limited Assurance Sustainability Parameters Based on the limited assurance procedures performed and the evidence obtained, as described below, nothing has come to our attention that causes us to believe that the Limited Assurance Sustainability Parameters, as defined above, for the year ended 31st March 2016, have not in all material respects, been prepared and presented in accordance with the GRI G4 Content Index Guidelines. Management’s Responsibility Management are responsible for the preparation and presentation of the Reasonable Assurance Sustainability Parameters and the Limited Assurance Sustainability Parameters in accordance with the GRI G4 Content Index Guidelines. These responsibilities include establishing such internal controls as management determines are necessary to enable the preparation of the Reasonable Assurance Sustainability Parameters and the Limited Assurance Sustainability Parameters that are free from material misstatement whether due to fraud or error. Our responsibility is to express a reasonable assurance conclusion on the Company’s preparation and presentation of the Reasonable Assurance Sustainability Parameters and a limited assurance conclusion on the preparation and presentation of the Limited Assurance Sustainability Parameters included in the Report, as defined above. We conducted our assurance engagement in accordance with Sri Lanka Standard on Assurance Engagements SLSAE 3000: Assurance Engagements other than Audits or Reviews of Historical Financial Information (SLSAE 3000) issued by the Institute of Chartered Accountants of Sri Lanka. The Firm applies Sri Lanka Standard on Quality Control 1 and accordingly maintains a comprehensive system of quality control including documented policies and procedures regarding compliance with ethical requirements, professional standards and applicable legal and regulatory requirements. We have complied with the independence and other ethical requirements of the Code of Ethics issued by the Institute of Chartered Accountants of Sri Lanka, which is founded on fundamental principles of integrity, objectivity, Annual Report 2015/16 Nawaloka Hospitals PLC 145 professional competence and due care, confidentiality and professional behaviour. SLSAE 3000 requires that we plan and perform the engagement to obtain reasonable assurance about whether the Reasonable Assurance Sustainability Parameters are free from material misstatement and limited assurance about whether the Limited Assurance Sustainability Parameters are free from material misstatement. Reasonable assurance over Reasonable Assurance Sustainability Parameters The procedures selected in our reasonable assurance engagement depend on our judgment, including the assessment of the risks of material misstatement of the Reasonable Assurance Sustainability Parameters whether due to fraud or error. In making those risk assessments, we have considered internal control relevant to the preparation and presentation of the Reasonable Assurance Sustainability Parameters in order to design assurance procedures that are appropriate in the circumstances, but not for the purposes of expressing a conclusion as to the effectiveness of the Company’s internal control over the preparation and presentation of the Report. Our engagement also included assessing the appropriateness of the Reasonable Assurance Sustainability Parameters, the suitability of the criteria, being the GRI G4 Content Index Guidelines, used by the Company in preparing and presenting the Reasonable Assurance Sustainability Parameters within the Sustainability Report, obtaining an understanding of the compilation of the financial and non-financial information to the sources from which it was obtained, evaluating the reasonableness of estimates made by the Company, and re-computation of the calculations of the Reasonable Assurance Sustainability Parameters. Limited assurance on the Assured Sustainability Parameters Our limited assurance engagement on the Limited Assurance Sustainability Parameters consisted of making enquiries, primarily of persons responsible for the preparation of the Limited Assurance Sustainability Parameters, and applying analytical and other procedures, as appropriate. These procedures included: yy Interviews with senior management and relevant staff at corporate and selected site level concerning sustainability strategy and policies for material issues, and the implementation of these across the business; yy Enquiries of management to gain an understanding of the Company’s processes for determining material issues for the Company’s key stakeholder groups; yy Enquiries of relevant staff at corporate and selected site level responsible for the preparation of the Limited Assurance Sustainability Parameters; yy Enquiries about the design and implementation of the systems and methods used to collect and report the Limited Assurance Sustainability Parameters, including the aggregation of the reported information; yy Comparing the Limited Assurance Sustainability Parameters to relevant underlying sources on a sample basis to determine whether all the relevant information has been appropriately included in the Report; yy Reading the Limited Assurance Sustainability Parameters presented in the Report to determine whether they are in line with our overall knowledge of, and experience with, the sustainability performance of the Company; yy Reading the remainder of the Report to determine whether there are any material misstatements of fact or material inconsistencies based on our understanding obtained as part of our assurance engagement. 146 Nawaloka Hospitals PLC Annual Report 2015/16 The procedures performed in a limited assurance engagement vary in nature and timing from, and are less in extent than for, a reasonable assurance engagement, and consequently the level of assurance obtained in a limited assurance engagement is substantially lower than the assurance that would have been obtained has a reasonable assurance engagement been performed. Accordingly, we do not express a reasonable assurance conclusion on the Limited Assurance Sustainability Parameters. Purpose of Our Report In accordance with the terms of our engagement, this assurance report has been prepared for the Company for the purpose of assisting the Directors in determining whether the Company’s Reasonable and Limited Assurance Sustainability Parameters are prepared and presented in accordance with the GRI G4 Content Index Guidelines and for no other purpose or in any other context. Restriction of Use of Our Report Our report should not be regarded as suitable to be used or relied on by any party wishing to acquire rights against us other than the Company, for any purpose or in any other context. Any party other than the Company who obtains access to our report or a copy thereof and chooses to rely on our report (or any part thereof) will do so at its own risk. To the fullest extent permitted by law, we accept or assume no responsibility and deny any liability to any party other than the Company for our work, for this independent assurance report, or for the conclusions we have reached. Chartered Accountants Colombo 25th May 2016 Independent Assurance Report Annexes GRI CONTENT INDEX General Standard Disclosures GRI Indicator Description Page Number/Explanations External Assurance 15 157 42 157 119 157 46 12 54 61 64 None 12 and 100 28 28 18 12 28 and 29 12 12 12 12 24 24 25 and 26 25 and 26 12 12 12 12 147 145 - 146 81 Strategy and Analysis G4-1 Statement from the Chairman Organisation Profile G4-3 G4-4 G4-5 G4-6 G4-7 G4-8 G4-9 G4-10 G4-11 G4-12 G4-13 G4-14 G4-15 G4-16 Name of the Organisation Primary Brands, Products and/or Services Location of Organisation’s Head Quarters Number of countries where the Organisation operates and names of countries with either major operations or that are specifically relevant to the sustainability issues covered in the Report Nature of ownership and legal form Markets served Scale of the Reporting Organisation Total workforce by employment type, employment contract and region broken down by gender Percentage of employees covered by collective bargaining agreements Organisation’s supply chain Significant changes during the reporting period regarding size, structure or ownership Explanation of whether and how the precautionary approach or principle is addressed by the organisation Externally developed economic, environmental and social charters and principles or other initiatives to which the organisation subscribes or endorses Memberships in associations and/or national/international advocacy organisations Identified Material Aspects and Boundaries G4-17 G4-18 G4-19 G4-20 G4-21 G4-22 G4-23 Organisation’s entities covered by the report Process for Defining Report Content Material Aspects identified for Report Content Aspect Boundary for identified Material Aspects within the organisation Aspect Boundary for identified Material Aspects outside the organisation Explanation of the effect of any restatement of information provided in earlier reports and the reason for such restatement Significant changes from previous reporting periods in the Scope, Aspect boundaries in the Report Stakeholder Engagement G4-24 G4-25 G4-26 G4-27 List of stakeholder groups engaged by the Organisation Basis for identification and selection of stakeholders with whom to engage Approaches to stakeholder engagement, including frequency of engagement by type and by stakeholder group Key topics and concerns raised through stakeholder engagements and how the Organisation responded to them Report Profile G4-28 G4-29 G4-30 G4-31 G4-32 G4-33 Reporting period Date of most recent previous report Reporting cycle Contact point for questions regarding the Report or its Contents Compliance with GRI G4 Guidelines, GRI Content Index and the External Assurance Report Policy and current practice with regard to seeking external assurance for the Report Governance G4-34 Annexes Governance Structure of the Organisation, including committees under the highest governance body responsible for decision-making on economic, environment and social impacts Annual Report 2015/16 Nawaloka Hospitals PLC 147 General Standard Disclosures GRI Indicator Description Page Number/Explanations External Assurance 36 Page Number/Explanations External Assurance 34 34 48 123 34 56 56 67 67 39 39 67 67 67 68 68 68 68 69 69 Ethics and Integrity G4-56 The values, principles, standards and norms of behaviour Specific Standard Disclosures DMA and Indicators Material Aspects Category: Economic Material Aspect: Economic Performance G4 - DMA G4 - EC1 G4 - EC2 G4 - EC3 G4 - EC4 Direct economic value generated, distributed and retained Financial implications and other risks and opportunities for the organisation’s activities due to climate change Coverage of the organisation’s defined plan obligations Financial assistance received from Government Material Aspect: Market Presence G4 - DMA G4 - EC6 Proportion of senior management hired from the local community at significant locations of operation Material Aspect: Indirect Economic Impact G4 - DMA G4 - EC8 Significant indirect economic impacts, including the extent of impacts Material Aspect: Procurement Practices G4 - DMA G4 - EC9 Proportion of spending on local suppliers at significant locations of Operations Category: Environment Material Aspect: Materials G4 - DMA G4 - EN1 Materials used by weight or volume Material Aspect: Energy G4 - DMA G4 - EN6 Reduction of energy consumption Material Aspect: Water G4 - DMA G4 - EN8 Total water withdrawal by source Material Aspect: Emissions G4 - DMA Material Aspect: Effluents and Waste G4 - DMA G4 - EN23 Total weight of waste by type and disposal method 148 Nawaloka Hospitals PLC Annual Report 2015/16 GRI Content Index Annexes Specific Standard Disclosures DMA and Indicators Material Aspects Page Number/Explanations External Assurance 54 56 61 56 61 61 62 62 62 56 58 58 57 62 55 Category: Social Sub-Category: Labour Practices and Decent Work Material Aspect: Employment G4 - DMA G4 - LA1 Total number and rate of new employee hires and employee turnover by age group, gender and region G4 - LA2 Benefits provided to full-time employees that are not provided to temporary or part-time employees by significant locations of operation G4-LA3 Return to work and retention rates after parental leave by gender Material Aspect: Labour/Management Relations G4 - DMA G4 - LA4 Minimum notice periods regarding operational changes, including whether it is specified in collective agreements Material Aspect: Occupational Health and Safety G4 - DMA G4 - LA6 G4 - LA7 Type of injury and rates of injury, occupational disease, lost days, and absenteeism, and total number of work related fatalities, by region and by gender With high incidence or high risk of diseases related to their occupation Material Aspect: Training and Education G4 - DMA G4 - LA9 G4 - LA10 G4 - LA11 Average hours of training per year per employee by gender and by employee category Programmes for skills management and lifelong learning that support the continued employability of employees and assist them in managing career endings Percentage of employees receiving regular performance and career development reviews by gender and employee category Material Aspect: Diversity and Equal Opportunity G4 - DMA G4 - LA12 Composition of governance bodies and breakdown of employees per employee category according to gender, age group, minority group membership and other indicators of diversity Material Aspect: Equal Remuneration for Women and Men G4 - DMA G4 - LA13 Ratio of basic salary and remuneration of women to men by employee category by significant locations of operation 61 63 61 61 63 63 61 61 Material Aspect: Labour Practices and Grievance Mechanisms G4 - DMA G4 - LA16 Number of grievances about labour practices filed, addressed and resolved through formal grievance mechanisms Sub-Category: Human Rights Material Aspect: Non-Discrimination G4 - DMA G4 - HR3 Total number of incidents of discrimination and corrective actions taken Material Aspect: Freedom of Association and Collective Bargaining G4 - DMA G4 - HR4 Operations and suppliers identified in which the right to exercise freedom of association and collective bargaining may be violated or at significant risk and measures taken to support these rights Annexes GRI Content Index Annual Report 2015/16 Nawaloka Hospitals PLC 149 Specific Standard Disclosures DMA and Indicators Material Aspects Page Number/Explanations External Assurance 63 63 61 61 66 66 52 52 52 52 Material Aspect: Child Labour G4 - DMA G4 - HR5 Operations and suppliers identified as having significant risk for incidents of child labour and measures taken to contribute to the effective abolition of child labour Material Aspect: Human Rights Grievance Mechanisms G4 - DMA G4 - HR12 Number of grievances about human rights impacts filed, addressed and resolved through formal grievance mechanisms Sub-Category: Society Material Aspect: Local Communities G4 - DMA G4 - SO1 Percentage of operations with implemented local community engagement, impact assessments and development programmes Material Aspect: Anti-Corruption G4 - DMA G4 - SO3 Total number and percentage of operations assessed for risks related to corruption and the significant risks identified Material Aspect: Anti-competitive Behaviour G4 - DMA G4 - SO7 Total number of legal actions for anti-competitive behaviour, anti-trust, and monopoly practices and their outcomes Material Aspect: Compliance G4 - DMA G4 - SO8 Monetary value of significant fines and total number of non-monetary sanctions for non-compliance with laws and regulations 67 None 52 Sub-Category: Product Responsibility Material Aspect: Customer Health and Safety G4 - DMA G4 - PR1 Percentage of significant product and service categories for which health and safety impacts are assessed for improvement 52 G4 - PR2 Total number of incidents of non-compliance with regulations and voluntary codes concerning the health and safety impacts of products and services 52 51 50 51 Material Aspect: Product and Service Labelling G4 - DMA G4 - PR5 Results of surveys measuring customer satisfaction Material Aspect: Marketing Communications G4 - DMA G4 - PR6 Sale of banned or disputed products 51 G4 - PR7 Total number of incidents of non-compliance with regulations and voluntary codes concerning marketing communications, including advertising, promotion and sponsorship by type of outcomes 51 51 51 Material Aspect: Customer Privacy G4 - DMA G4 - PR8 Total number of substantiated complaints regarding breaches of customer privacy and losses of customer data 150 Nawaloka Hospitals PLC Annual Report 2015/16 GRI Content Index Annexes INVESTOR INFORMATION Top 20 Shareholders as at 31st March 2016 NIC/Company Reg. No. Name 1. Mr. H.K.J. Dharmadasa 2. Nawaloka Construction Company (Private) Ltd. 3. Mr. K.D.D. Perera 4. Employees Provident Fund 5. Miss. A.G. Dharmadasa 6. Mrs P. Nanayakkara 7. MR. D.M. Rajapaksa 8. Bank of Ceylon A/C Ceybank Unit Trust 9. Merchant Bank of Sri Lanka Ltd. A/C No. 1 10. Number of Shares % 483122195V 462,736,182 32.83 3836L 441,778,880 31.34 673632793V 344,566,068 24.45 2214L 9,567,443 0.68 795872094V 5,066,686 0.36 787902197V 5,066,666 0.36 473192462V 4,496,400 0.32 543L 4,241,898 0.30 254L 3,800,000 0.27 Mr. V.R. Ramanan 660661026V 3,400,000 0.24 771671446V 3,004,000 0.21 3181L 2,814,932 0.20 2,581,866 0.18 0.18 11. Mr. A.G. Dharmadasa 12. Nawaloka Developments (Pvt) Ltd. 13. Mrs C.S. Dharmadasa 545520016V 14. Mr. K.S. Warusavitarana 602370461V 2,500,066 15. Mr. U.H. Palihakkara 430160460V 2,384,498 0.17 16. Mrs. P. Ganeshan 467131273V 2,200,000 0.16 17. Mr. L. Hettiarachchi 390310919V 2,087,000 0.15 18. Mr. H.A. Pieris 330950099V 2,028,883 0.14 19. Mrs. N.H. Abdul Husein 427692353V 1,947,900 0.14 20. Tranz Dominion, L.L.C. 6130F 1,712,067 0.12 1,307,981,435 92.80 101,524,161 7.20 1,409,505,596 100.00 No. of Shares % of Shareholding Total Shares Balance Total No. of Shares Range of Shareholders No. of Shareholders As at 31st March 2016 1 - 500 2,127 334,393 29.84 501 - 5,000 2,655 5,989,456 37.24 5,001 - 10,000 820 6,255,582 11.50 10,001 - 20,000 616 9,469,296 8.64 20,001 - 30,000 305 8,067,889 4.28 30,001 - 40,000 151 5,321,012 2.12 40,001 - 50,000 99 4,704,384 1.39 50,001 - 100,000 167 12,811,209 2.34 100,001 - 1,000,000 165 43,268,002 2.31 24 1,313,284,373 0.34 7,129 1,409,505,596 100.00 1,000,001 & Total Annexes above Annual Report 2015/16 Nawaloka Hospitals PLC 151 Composition of Shareholders No. of Shareholders as at 31.03.2016 Total Holding % No. of Shareholders as at 31.03.2015 Total Holding % 87 459,279,117 1.22 63 492,039,933 0.85 Category Institutional Shareholders Individual Shareholders 7,042 950,226,479 98.78 7,326 917,465,663 99.15 Total 7,129 1,409,505,596 100.00 7,389 1,409,505,596 100.00 14 733,432 0.20 6 315,898 0.08 Resident Shareholders 7,115 1,408,772,164 99.80 7,383 1,409,189,698 99.92 Total 7,129 1,409,505,596 100.00 7,389 1,409,505,596 100.00 Non-Resident Shareholders Directors Shareholding as at 31st March 2016 Name No. of Shares Mr. H.K.J. Dharmadasa 462,736,182 Mr. Rienzie T. Wijetilleke 33,332 Deshabandu Tilak de Zoysa 218,000 Professor Lal Chandrasena 601,198 Mr. U.H. Dharmadasa 3,360 Mr. A.G. Dharmadasa 3,004,026 Ms. A.G. Dharmadasa 5,066,686 Mr. D. Sunil AbeyRatna NIL Mr. Tissa K. Bandaranayake NIL Mr. Victor Rajamanner Ramanan Mr. Palitha Kumarasinghe PC 152 Nawaloka Hospitals PLC Annual Report 2015/16 3,400,000 NIL Investor Information Annexes Shares held by the Public as at 31st March 2016 In calculating the shares held by the Public as at 31st March 2016, Shares held by the Directors, their Spouses, shares held by Nawaloka Construction Company (Pvt) Ltd., Nawaloka Developments (Private) Ltd., Shares held jointly by Mr. H.K.J. Dharmadasa/Seylan Bank PLC and shares held by Mr. Victor R. Ramanan and the holders of 10% and more than 10% have been excluded: Name of the Shareholder (Other than Public) No. of Shares Mr. H.K.J. Dharmadasa 462,736,182 Mr. Rienzie T. Wijetilleke 33,332 Deshabandu Tilak de Zoysa 218,000 Professor Lal Chandrasena 601,198 Mr. U.H. Dharmadasa 3,360 Mr. A.G. Dharmadasa 3,004,026 Ms. A.G. Dharmadasa 5,066,686 Mrs. C.S. Dharmadasa 2,581,866 Mrs. Prithiva Nanayakkara 5,066,666 Chandula Lasith Perera Nawaloka Construction Company (Pvt) Ltd. Nawaloka Developments (Pvt) Ltd. 13,332 441,778,880 2,814,932 Mr. H.K.U. Dharmadasa 532 Mrs. S.D. Chandrasena 48,000 Estate of Late Deshamanya H.K. Dharmadasa Mr. Victor R. Ramanan Mr. Palitha Kumarasinghe PC Mr. K.D.D. Perera Seylan Bank PLC/Thirugnanasambandar Senthilverl Total No. of Shares (other than public) % Shares held by Public % Total No. of Shares Number of Public Shareholders Annexes Investor Information 0 3,400,000 0 344,566,068 1,553,253 1,273,486,313 90.35 136,019,283 9.65 1,409,505,596 7,112 Annual Report 2015/16 Nawaloka Hospitals PLC 153 TEN YEAR STATISTICAL SUMMARY 2015/16 Group Income Statement Data Revenue Cost of services Gross profit Other operating income Profit from operations Net profit after taxation Balance Sheet Data Shareholders’ funds Financial Ratios Gross profit ratio (%) Net profit ratio (%) Increase in revenue (%) Return on capital employed (%) Current asset ratio (%) Quick asset ratio (%) Return on assets (%) Debt/equity ratio (%) Earnings/(loss) per share (Rs.) Net assets per share (Rs.) Dividend per share (Rs.) Company Income Statement Data Revenue Cost of services Gross profit Other operating income Profit from operations Net profit after taxation Balance Sheet Data Shareholders’ funds Financial Ratios Gross profit ratio (%) Net profit ratio (%) Increase in revenue (%) Return on capital employed (%) Current asset ratio (%) Quick asset ratio (%) Return on assets (%) Debt/equity ratio (%) Earnings/(loss) per share (Rs.) Net assets per share (Rs.) Dividend per share (Rs.) 154 Nawaloka Hospitals PLC Annual Report 2015/16 2014/15 2013/14 (Restated) 2012/13 2011/12 5,860,218,161 4,602,433,640 3,993,473,302 4,222,907,733 3,710,878,442 (2,906,572,342) (2,331,583,775) (1,910,510,751) (2,013,392,367) (1,823,670,511) 2,953,645,819 2,270,849,865 2,082,962,551 2,209,515,366 1,887,207,931 94,495,240 65,199,571 64,194,796 44,047,999 30,210,657 637,208,825 352,342,610 475,165,536 599,414,193 459,028,530 206,034,228 87,470,836 208,953,909 452,260,028 270,686,563 3,994,897,962 3,887,681,839 3,902,955,947 3,756,665,160 3,170,442,180 50 49 52 52 51 4 2 5 11 7 27 15 -5 14 15 5 2 5 12 9 0.89 1.03 1.11 0.71 0.58 0.70 0.80 0.85 0.48 0.42 2 1 3 8 5 1.27 0.84 0.58 0.25 0.28 0.19 0.15 0.06 0.15 0.32 2.83 2.76 2.77 2.67 2.25 0.07 0.06 0.05 0.05 0.05 2,112,827,471 2,082,532,459 1,806,857,492 2,833,195,719 2,497,830,914 (1,490,055,615) (1,229,903,547) 1,343,140,104 1,267,927,367 1,155,289,509 1,094,313,666 930,817,297 86,694,974 152,643,920 132,467,166 116,017,261 124,673,860 201,126,820 375,219,106 291,176,935 313,518,573 226,817,202 (127,565,499) 89,938,006 107,751,965 254,942,375 152,363,098 1,466,336,065 1,693,759,266 1,704,925,831 1,660,056,411 1,496,177,022 47 51 55 53 52 (5) 4 5 12 8 13 18 1 15 12 (9) (957,537,962) (988,218,793) (876,040,195) 5 6 15 10 1.83 1.62 1.12 0.53 0.57 1.75 1.53 1.01 0.48 0.53 2 2 7 5 3.21 1.78 1.20 0.16 0.2 (0.09) 0.06 0.08 0.18 0.11 1.04 1.20 1.21 1.18 1.06 0.07 0.06 0.05 0.05 0.05 (2) Annexes 2010/11 2009/10 2008/09 2007/08 2006/07 3,233,035,096 2,884,449,093 2,512,350,553 2,244,462,718 1,986,705,514 (1,645,969,580) (1,442,227,937) (1,306,238,370) (1,230,247,634) (1,088,274,165) 1,587,065,516 1,442,221,156 1,206,112,183 1,014,215,084 38,603,398 19,811,729 10,337,940 8,121,944 9,977,215 324,001,074 415,343,605 294,511,336 270,011,694 223,534,421 1,070,722,130 97,411,122 2,970,230,897 1,903,329,941 1,963,001,143 1,309,669,677 1,405,560,269 49 50 48 45 45 33 3 (4) (2) (6) 12 15 12 13 19 (108,502,591) (6) (46,557,898) (113,423,742) 36 5 0.43 0.74 0.62 0.79 1.10 0.29 0.63 0.51 0.68 0.95 24 2 0.23 0.63 0.60 0.66 0.54 (3) (4) 898,431,350 (2) (8) (4) 0.76 0.14 (0.15) (0.07) (0.16) 2.11 2.70 2.79 1.86 1.99 – – – 0.07 0.05 1,482,115,865 1,411,181,700 1,608,036,836 1,459,181,099 1,607,719,271 (767,116,507) (747,982,289) (837,431,514) (820,592,033) (830,801,032) 840,920,329 711,198,810 770,287,757 661,523,832 580,380,668 72,280,970 19,388,776 9,247,622 6,524,720 31,850,721 147,845,400 115,917,282 81,389,336 68,802,898 1,460,228 98,822,914 19,315,469 8,694,800 17,939,751 1,460,228 1,414,289,204 1,350,703,926 1,331,388,457 1,330,619,252 1,362,012,195 52 49 48 45 41 6 1 1 1 0 10 (13) (4) (11) 12 7 1 1 1 0 0.61 0.92 1.03 0.75 2.53 0.57 0.89 1.00 0.68 2.36 5 1 0 1 0 0.2 0.27 0.29 0.15 0.09 0.07 0.03 0.01 0.03 0.00 1 1.92 1.89 1.89 1.93 0.07 0.05 – Annexes – – Annual Report 2015/16 Nawaloka Hospitals PLC 155 QUARTERLY STATISTICS (Rs. ’000) Balance Sheet Data 2015/16 31.03.2016 As at 2014/15 31.12.2015 30.09.2015 30.06.2015 31.03.2015 31.12.2014 30.09.2014 30.06.2014 Total non-current assets 9,305,422 8,074,725 7,473,547 7,256,086 7,112,749 6,959,439 6,582,910 6,485,291 Shareholders’ funds 3,994,898 4,007,520 3,912,429 3,945,092 3,887,682 3,938,060 3,891,867 3,949,609 Total 31.03.2016 31.12.2015 30.09.2015 30.06.2015 Total 31.03.2015 31.12.2014 30.09.2014 30.06.2014 Revenue 5,860,218 1,473,316 1,575,942 1,448,821 1,362,139 4,602,434 1,222,277 1,214,044 1,108,272 1,057,841 Gross profit 2,953,646 743,900 789,191 732,248 688,307 2,270,850 598,484 613,495 543,717 515,154 315,252 15,436 135,903 90,003 73,910 96,648 52,193 28,557 46,927 31.03.2016 31.12.2015 30.09.2015 30.06.2015 31.03.2015 31.12.2014 30.09.2014 30.06.2014 3.70 3.70 3.90 3.20 3.50 3.60 3.90 3.50 Income Statement Data For the three months ended Net Profit before tax (31,029) Ordinary Share Information Nominal Value per Share Rs. 1.00 Market Price per Share (Rs.) High Low 3.10 3.00 2.90 2.90 2.90 3.00 3.20 3.20 Closing 3.50 3.30 3.60 3.10 2.90 3.30 3.70 3.20 31.03.2016 31.12.2015 30.09.2015 30.06.2015 31.03.2015 31.12.2014 30.09.2014 30.06.2014 Return on shareholders’ funds (%) 0.39 3.39 2.30 1.87 -0.80 1.33 0.73 1.19 Net assets per share (Rs.) 2.83 2.84 2.78 2.80 2.76 2.79 2.76 2.80 Financial Measures Revenue (Rs. Mn) Net Profit Before Tax (Rs. Mn) 1,750 150 1,400 120 1,050 90 700 60 350 30 0 Jun 15 Sep 15 Dec 15 Mar 16 0 Jun 15 Sep 15 Dec 15 Mar 16 Market Price Per Share (Rs.) 4.00 Highest Price 3.50 3.00 Closing Price 2.50 Lowest Price 2.00 1.50 Jun 15 Sep 15 Dec 15 Mar 16 156 Nawaloka Hospitals PLC Annual Report 2015/16 Annexes CORPORATE INFORMATION Name of the Company Auditors Nawaloka Hospitals PLC KPMG, Chartered Accountants, No. 32A, Sir Mohamed Macan Markar Mawatha, Colombo 00 300. Company Registration No. PQ 78 Registered Office No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 00 200, Sri Lanka. Telephone (+94 11) 2544444-56, 2305051-79 Telefax (+94 11) 2430393 E-mail/Website [email protected], www.nawaloka.com Legal Form Quoted Public Company with limited liability incorporated in Sri Lanka under the Companies Ordinance 1938 and reregistered under the Companies Act No. 07 of 2007. Board of Directors 1. Mr. H.K. Jayantha Dharmadasa (Chairman & CEO) 2. Mr. Rienzie T. Wijetilleke (Vice-Chairman) 3. Professor Lal Chandrasena (Director/General Manager) 4. Deshabandu Tilak de Zoysa 5. Mr. Tissa K. Bandaranayake 6. Mr. U.H. Dharmadasa 7. Mr. A.G. Dharmadasa 8. Ms. A.G. Dharmadasa 9. Mr. D. Sunil AbeyRatna 10. Mr. Palitha Kumarasinghe PC 11. Mr. V. Ramanan Lawyer(s) Nithi Murugesu & Associates Attorneys-at-Law & Notaries Public, No. 28 (Level 2), W.A.D. Ramanayake Mawatha, Colombo 00 200. Mr. H. Chandrakumar de Silva Attorney-at-Law, No. 7, Hedges Court, Colombo 00 100. Bankers Hatton National Bank PLC Sampath Bank PLC Commercial Bank of Ceylon PLC Bank of Ceylon Deutsche Bank DFCC Bank PLC Subsidiaries New Nawaloka Hospitals (Pvt) Ltd. New Nawaloka Medical Centre (Pvt) Ltd. Nawaloka Medicare (Pvt) Ltd. Joint Venture Nawaloka Metropolis Laboratories (Pvt) Ltd. Secretaries to the Company M & A Company Secretaries (Private) Limited, No. 28 (Level 2), W.A.D. Ramanayake Mawatha, Colombo 00 200. Annexes Annual Report 2015/16 Nawaloka Hospitals PLC 157 NOTICE OF MEETING Notice is hereby given that the 27th Annual General Meeting of NAWALOKA HOSPITALS PLC will be held at the Cinema hall of the ‘BMICH’ (Bandaranaike Memorial International Conference Hall) at Bauddhaloka Mawatha, Colombo on Thursday 30th June 2016, at 10.30 a.m. for the following purposes: Agenda 1. To receive and consider the Report of the Board of Directors on the Affairs of the Company and the Financial Statements for the year ended 31st March 2016, together with the Report of Auditors thereon; 2. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Mr. Rienzie T. Wijetilleke (who is currently 76 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in Section 210 of the said Act, shall not apply to him and subject to his rotation; 3. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Mr. Tissa K. Bandaranayake (who is currently 73 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in Section 210 of the said Act, shall not apply to him and subject to his rotation; 4. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Professor Lal Chandrasena (who is currently 70 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in Section 210 of the said Act, shall not apply to him and subject to his rotation; 5. To re-elect Directors as follows: (a) Re-elect, as a Director, in terms of Article 74, Mr. U.H. Dharmadasa who retires by rotation and offers himself for re-election; (b) Re-elect, as a Director, in terms of Article 74, Ms. A.G. Dharmadasa who retires by rotation and offers himself for re-election; (c) Re-elect, as a Director, in terms of Article 74, Mr. D. Sunil AbeyRatna who retires by rotation and offers himself for re-election; (d) Re-elect, as a Director, in terms of Article 81, Mr. Palitha Kumarasinghe PC who retires by rotation and offers himself for re-election; (e) Re-elect, as a Director, in terms of Article 81, Mr. V.R. Ramanan who retires by rotation and offers himself for re-election. 6. To authorise the Board of Directors to determine and make donations to charities; 7. To reappoint Messrs KPMG (Chartered Accountants) as Auditors of the Company and authorise the Board of Directors to determine their remuneration; and 8. To transact any other business of which due notice has been given. By Order of the Board, Sgd. M & A Company Secretaries (Pvt) Ltd. Company Secretaries 25th May 2016 Notes 1. A member is entitled to appoint a proxy to attend and vote instead of him/herself. A proxy need not be a member of the Company. A Form of Proxy accompanies this Notice. 2. The completed Form of Proxy must be deposited at the Registered Office, No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 02, Sri Lanka, not later than 10.30 a.m. on 28th June 2016 (Forty-Eight hours prior to the meeting). 3. A person representing a Corporation is required to carry a certified copy of the Resolution authorising him/her to act as the Representative of the Corporation. A Representative need not be a member. 4. A person representing a shareholder as the Attorney (Power of Attorney) is required to carry the original or a certified copy of the said Power of Attorney. 5. The Transfer Books of the Company will be kept open. 158 Nawaloka Hospitals PLC Annual Report 2015/16 Annexes FORM OF PROXY I/We …………………………………………………………………………………………… (NIC/PP No.) ………………………………………………… of …………………………………………………………………………………………………………………………………………………………………… being a member/members of NAWALOKA HOSPITALS PLC hereby appoint: Mr. H.K.J. Dharmadasa Mr. Rienzie T. Wijetilleke Professor Lal Chandrasena Deshabandu Tilak de Zoysa Mr. Tissa K. Bandaranayake Mr. U.H. Dharmadasa Mr. A.G. Dharmadasa Ms. A.G. Dharmadasa Mr. D. Sunil AbeyRatna Mr. Palitha Kumarasinghe PC Mr. Victor Rajamanner Ramanan or or or or or or or or or or or failing failing failing failing failing failing failing failing failing failing failing him him him him him him him her him him him as *my/our Proxy to ** …………………………………………… (NIC/ PP No.) ……………………………… vote as indicated hereunder for me*/us on my*/our behalf at the Annual General Meeting of the Company to be held on Thursday 30th June 2016 at 10.30 a.m. at the Cinema hall of the ‘BMICH’ (Bandaranaike Memorial International Conference Hall) at Bauddhaloka Mawatha, Colombo and at any adjournment thereof and at every poll which may be taken in consequence thereof. For i. To receive and consider the Report of the Board of Directors on the Affairs of the Company and the Financial Statement for the year ended 31st March 2016, together with the Report of Auditors thereon; ii. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Mr. Rienzie T. Wijetilleke (who is currently 76 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in Section 210 of the said Act, shall not apply to him and subject to his rotation; Against iii. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Mr. Tissa K. Bandaranayake (who is currently 73 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in section 210 of the said Act, shall not apply to him and subject to his rotation; iv. To resolve in terms of Section 211 of the Companies Act No. 07 of 2007 to appoint/reappoint Professor Lal Chandrasena (who is currently 70 years) and who retires at the end of the Annual General Meeting, as a Director until the next Annual General Meeting, notwithstanding him having exceeded the age of 70 years and to declare that the age limit referred to in Section 210 of the said Act, shall not apply to him and subject to his rotation; v. To re-elect Directors as follows: a. Re-elect, as a Director, in terms of Article 74, Mr. U.H. Dharmadasa who retires by rotation and offers himself for re-election; b. Re-elect, as a Director, in terms of Article 74, Ms. A.G. Dharmadasa who retires by rotation and offers himself for re-election; c. Re-elect, as a Director, in terms of Article 74, Mr. D. Sunil AbeyRatna who retires by rotation and offers himself for re-election; d. Re-elect, as a Director, in terms of Article 81, Mr. Palitha Kumarasinghe PC who retires by rotation and offers himself for re-election; e. Re-elect as a Director, in terms of Article 81, Mr. V.R. Ramanan who retires by rotation and offers himself for re-election. vi. To authorise the Board of Directors to determine and make donations to charities; vii. To reappoint Messrs KPMG (Chartered Accountants) as Auditors of the Company and authorise the Board of Directors to determine their remuneration; and viii. To transact any other business of which due Notice has been given. In witness*my/our hands this …………… day of ……………… Two Thousand and Sixteen. ……………………………………… Signature of Shareholder/s Note: a *Please delete the inappropriate words. b **If you wish your Proxy to speak at the meeting you should interpolate the words ‘Speak and’ in the place indicated with and initial such interpolation. Annual Report 2015/16 Nawaloka Hospitals PLC Instructions as to Completion 1. In terms of Article 40 (a) of the Articles of Association of the Company: The instrument appointing a proxy shall be in writing and 1. in the case of an individual, shall be signed by the appointer or his Attorney (if signed by the Attorney of the Company reserves the right to request to be furnished with a copy of the said Power of Attorney); and 2. in the case of a corporation or company shall be either under its common seal or seal or signed by its Attorney or by an Officer on behalf of the Company. The Company may, but shall not be bound to, furnish evidence of the authority of any such Attorney or Officer. A proxy need not be a member of the Company. 2. Kindly perfect the Form of Proxy by filling it legibly with your full name and address and it must be signed at the space provided. Please fill in the date of signature and indicate with an ‘X’ in the space provided, as to how your proxy is to vote on each resolution. If no indication is given, the proxy, in his/her discretion may vote as he/she thinks fit. 3. In terms of Article 52 of the Articles of Association of the Company in the case of joint-holding of a share, the Senior tenders a vote, whether in person or by proxy or by Attorney or by representative and that vote shall be accepted to the exclusion of the votes of the other joint-holders and for this purpose seniority shall be determined by the order in which the names stand in the Register of Members in respect of the joint-holding. 4. In case of a Joint-holding only one member or his duly appointed proxy may attend. 5. To be valid, the completed Form of Proxy should be deposited at the Registered Office of the Company situated at No. 23, Deshamanya H.K. Dharmadasa Mawatha, Colombo 02 not later than 48 hours of the date and time appointed for the meeting. Nawaloka Hospitals PLC Annual Report 2015/16 Form of Proxy This Nawaloka Hospitals PLC annual report has been produced by Smart Media The Annual Report Company, a certified carbon neutral organisation. Additionally, the greenhouse gas emissions resulting from activities outsourced by Smart Media in the production of this annual report, including the usage of paper and printing, are offset through verified sources. This Nawaloka Hospitals PLC annual report has been prepared using the Smart Integrated Reporting MethodologyTM of Smart Media The Annual Report Company. Nawaloka Hospitals PLC No. 23, Deshamanya H. K. Dharmadasa Mawatha, Colombo 2, Sri Lanka. Tel: +94 112 544 444-56, +94 115 577 111 Fax: +94 112 430 393 [email protected] www.nawaloka.com