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NTC - Network Healthcare Holdings Limited - Audited group results for the year

Release Date: 19/11/2007 07:00
Code(s): NTC
Wrap Text

NTC - Network Healthcare Holdings Limited - Audited group results for the year ended 30 September 2007 Network Healthcare Holdings Limited (Registration number: 1996/008242/06) (Incorporated in the Republic of South Africa) (JSE share code: NTC) (ISIN code: ZAE000011953) ("Netcare", "the Company" or "the Group") Audited group results for the year ended 30 September 2007 Group financial highlights *27% increase in adjusted headline earnings per share *20% increase in final reductions of capital per share *15% increase in South African revenue *14% increase in South African operating profit Group business highlights *Strong organic growth in South Africa *Commissioned two new hospitals in South Africa *Acquired the remaining interest in Community Hospital Group *3 700 nurses and paramedics trained *Successful integration of General Healthcare Group Group balance sheet at 30 September Note 2007 2006* Rm Rm ASSETS Non-current assets Property, plant and equipment 26 683 27 246 Goodwill 16 091 16 745 Intangible assets 289 271 Associated companies, investments and loans 4 298 255 Financial asset - Derivative financial 1 453 834 instruments Deferred taxation 514 396 Total non-current assets 45 328 45 747 Current assets Investments and loans 4 56 51 Inventories 600 571 Accounts receivable 2 875 2 706 Cash and cash equivalents 1 361 1 463 4 892 4 791 Assets held for sale 5 319 Total current assets 5 211 4 791 Total assets 50 539 50 538 EQUITY AND LIABILITIES Capital and reserves Ordinary share capital and premium 1 819 1 497 Treasury shares (5 555) (5 555) Other reserves 2 035 1 357 Retained earnings 5 833 4 938 Ordinary shareholders` equity 4 132 2 237 Preference share capital and premium 644 644 Minority interest 3 806 3 355 Total shareholders` equity 8 582 6 236 Non-current liabilities Long-term debt 28 944 29 224 Financial liability - Derivative financial 1 156 2 152 instruments Post-retirement benefit obligations 115 294 Deferred lease liability 63 64 Deferred taxation 6 073 6 399 Total non-current liabilities 36 351 38 133 Current liabilities Accounts payable 2 570 2 624 Short-term debt 2 086 2 953 Taxation payable 410 138 Bank overdrafts 461 454 5 527 6 169 Liabilities in disposal group held for sale 5 79 Total current liabilities 5 606 6 169 Total equity and liabilities 50 539 50 538 *Restated (refer to note 2) Group income statement for the year ended 30 September Note 2007 2006 % Rm Rm change
Continuing operations Revenue 18 607 11 152 66,8 Cost of sales (10 856) (6 376) Gross profit 7 751 4 776 Other income 204 349 Administrative and other expenses (4 965) (3 547) Operating profit 6 2 990 1 578 89,5 Financial income 7 328 563 Financial expenses 8 (2 463) (1 490) Attributable earnings of associates 32 28 Profit before taxation 887 679 30,6 Taxation 9 99 (229) Profit for the year from continuing 986 450 119,1 operations Discontinued operation Profit for the year from discontinued 5 109 87 25,3 operation Profit for the year 1 095 537 103,9 Attributable to: Ordinary shareholders 927 729 Preference shareholders 30 12 Profit attributable to shareholders 957 741 Minority interest 138 (204) 1 095 537 Earnings per share (cents) Basic 75,4 50,3 49,9 Continuing operations 66,5 44,3 50,1 Discontinued operation 8,9 6,0 48,3 Diluted* 71,7 49,6 44,6 Continuing operations 63,3 43,7 44,9 Discontinued operation 8,4 5,9 42,4 Capital distributions per share 31,0 27,0 14,8 (cents) *Restated (refer to note 2) Group cash flow statementfor the year ended 30 September 2007 2006 Rm Rm Cash flows from operating activities Cash received from customers 18 869 11 433 Cash paid to suppliers and employees (14 (9 304) 895) Cash generated from operating activities 3 974 2 129 Interest paid (2 355) (838) Continuing operations (2 348) (838) Discontinued operation (7) Taxation paid (286) (234) Continuing operations (269) (234) Discontinued operation (17) Preference dividends paid (30) (12) Reductions of capital paid (347) (391) Net cash from operating activities 956 654 Continuing operations 882 654 Discontinued operation 74 Cash flows from investing activities Purchase of property, plant and equipment (1 389) (1 014) Proceeds on disposal of property, plant and equipment 40 50 Settlement of post-retirement benefit obligation (151) Additions to intangible assets (103) (111) (Increase)/decrease in investments and loans (52) 171 Proceeds from disposal of investments and 1 9 subsidiaries Interest received 158 151 Dividends received 1 1 Acquisition of subsidiaries and businesses, net of (169) (16 393) cash acquired Share buy-backs (682) Net cash from investing activities (1 664) (17 818) Continuing operations (1 632) (17 818) Discontinued operation (32) Cash flows from financing activities Proceeds from issue of ordinary shares 669 1 678 Proceeds from issue of preference shares 644 Repurchase of shares (134) Long-term liabilities raised 262 25 021 Short-term liabilities repaid (317) (7 936) Net cash from financing activities 614 19 273 Continuing operations 617 19 273 Discontinued operation (3) Translation effects on cash and cash equivalents of 39 (1 393) foreign entities (Decrease)/increase in cash and cash equivalents (55) 716 Cash and cash equivalents at beginning of the year 1 009 293 Cash in disposal group held for sale (54) Cash and cash equivalents at end of year 900 1 009 Statement of recognised income and expense for the year ended 30 September 2007 2006 Rm Rm Effect of translation of foreign entities (93) 1 427 Fair value (losses)/gains on investments (24) 5 Effect of cash flow hedge accounting 600 (299) Net investment hedges - fair value losses for the (98) year Actuarial gains/(losses) taken directly to equity 1 (12) Movement in contingency reserve 6 2 Disposal of shares in subsidiary (36) Fair value deficit on disposal of shares (7) Negative goodwill derecognised 820 Other reserve movements 1 Net income recognised directly in equity 447 1 846 Profit for the year 1 095 537 Total recognised income for the year 1 542 2 383 Attributable to: Ordinary shareholders 1 062 (909) Preference shareholders 30 12 Minority interest 450 3 280 1 542 2 383 Headline earnings for the year ended 30 September Note 2007 2006* % Rm Rm change
Reconciliation of headline earnings Profit for the year from 986 450 continuing operations Less: Preference shareholders (30) (12) Minority interest (138) 204 Earnings used in the calculation 818 642 27,4 of basic earnings per share from continuing operations Adjusted for: Impairment of goodwill 16 2 Impairment of intangible assets 40 Impairment of investments 1 21 Impairment of land and buildings 14 Reversal of impairment of land and (11) buildings Profit on disposal of property, (1) (4) plant and equipment Profit on disposal of (1) (120) subsidiaries/investments Minority share of headline (16) adjusting items Headline earnings from continuing 846 555 52,4 operations Headline earnings from 109 87 discontinued operation Headline earnings 955 642 48,8 Headline earnings per share (cents) Basic 77,6 44,3 75,2 Continuing operations 68,8 38,3 79,6 Discontinued operation 8,8 6,0 46,7 Diluted 73,8 43,7 68,9 Continuing operations 65,4 37,8 73,0 Discontinued operation 8,4 5,9 42,4 *Restated (refer to note 2) Notes for the year ended 30 September 1. Basis of preparation and accounting policies The condensed financial statements have been extracted from the Group financial statements which have been prepared in accordance with International Financial Reporting Standards, the Listing Requirements of the JSE Limited and the South African Companies Act, 1973, as amended. The accounting policies have been applied consistently with those of the prior year, except for the following accounting standards, interpretations and amendments to published accounting standards which were adopted prior to their effective dates: *IAS 23 Revision of International Accounting Standard 23 Borrowing costs *IFRIC Interpretation 10 Interim Financial Reporting and Impairment *IFRIC Interpretation 11 Group and Treasury Share Transactions *IFRIC Interpretation 12 Service Concession Arrangements *IFRIC Interpretation 14 IAS 19 - The Limit on a Defined Benefit Asset, Minimum Funding Requirements and their Interaction 2. Restatement of comparative information 2.1 Business combinations In accordance with IFRS 3 Business Combinations, adjustments to the provisional accounting for business combinations have been made. This has resulted in adjustments to the 30 September 2006 balance sheet as follows: As Adjustments As restated previously Rm Rm
reported Rm Balance sheet Goodwill 16 907 (162) 16 745 Deferred 196 200 396 taxation - asset Accounts 2 707 (1) 2 706 receivable Accounts (2 587) (37) (2 624) payable The above restatements had no effect on profit or equity. 2.2 Earnings per share Headline earnings and the diluted weighted average number of shares at 30 September 2006 have been restated. The effect thereof is detailed below. Headline earnings Headline earnings has been restated as a result of Circular 8/2007 issued on 31 July 2007 by the South African Institute of Chartered Accountants. Long-term debt reorganisation costs were excluded from headline earnings in the comparative year. These costs are not adjusting re-measurements as identified in Circular 8/2007 and are now included in headline earnings. Diluted weighted average number of shares The diluted weighted average number of shares has been restated to include the effect of the fair value of services to be received in the future from participants in the Netcare Share Incentive Scheme and the HPFL trusts. The effect of the restatements are as follows: 2006 Headline earnings Rm As previously reported 814 Effect of restatement (172) As restated 642 Diluted weighted average m number of shares As previously reported 1 510 Effect of restatement (41) As restated 1 469 Headline cents earnings per share - Basic As previously reported 56,2 Effect of restatement (11,9) As restated 44,3
Headline earnings per cents share - Diluted As previously reported 53,9 Effect of restatement (10,2) As restated 43,7 Earnings per cents share - Diluted As previously reported 48,3 Effect of restatement 1,3 As restated 49,6
3. Reclassification of comparative information The following reclassifications to the 30 September 2006 income statement have been made: Financial income Fair value adjustments on investments, profit on disposal of subsidiaries and investments previously included in financial income have been reclassified to other income. These reclassifications amounted to R136 million. Financial expenses Impairment of goodwill and investments previously included in financial expenses have been reclassified to administrative and other expenses. These reclassifications amounted to R23 million. 2007 2006 Rm Rm 4. Associated companies, investments and loans Non-current Associated companies 282 242 Other loans 16 13 298 255
Current Held-for-trading 5 investments Loans 56 46 56 51 354 306 Directors` valuation of 466 423 associated companies 5. Disposal group and assets held for sale Assets held for sale Assets in disposal group - Ampath 275 Holdings Trust Land and buildings held for sale 44 319 Liabilities in disposal group held for (79) sale 240 5.1 Discontinued operation - Ampath Holdings Trust The Ampath Holdings Trust has been classified as a disposal group held for sale. Results from the discontinued operation are as follows: Revenue 507 465 Other income 2 Administrative (380) (363) and other expenses Operating profit 127 104 Financial (7) (11) expenses Profit before taxation 120 93 Taxation (11) (6) Profit for the year 109 87 The assets and liabilities of the Ampath Holdings Trust disposal group are as follows: Property, plant and 54 equipment Goodwill 72 Investments and loans 5 Inventories 8 Accounts receivable 76 Taxation receivable 6 Cash and cash equivalents 54 Long-term debt (6) Post-retirement benefit (10) obligation Accounts payable (57) Short-term debt (6) The cash flows are as follows: Cash flows from operating 74 activities Cash flows from investing (32) activities Cash flows from financing (3) activities 5.2 Land and buildings held for sale Certain land and buildings have been classified as held for sale. A reversal of impairment amounting to R11 million was recognised at 30 September 2007. Land and 44 buildings held for sale 6. Operating profit After charging: Depreciation and amortisation 1 044 542 Operating lease charges 190 208 7. Financial income Dividends received 1 1 Fair value gain on cross- 442 currency swap contracts Fair value gain on interest 65 rate swaps Foreign exchange gains (net) 104 Interest received 158 120 328 563
8. Financial expenses Fair value loss on cross- 115 currency swap contracts Foreign exchange losses (net) 454 Fair value loss on interest 85 rate swaps Interest paid 2 348 951 2 463 1 490
9. Taxation Taxation of R99 million includes a credit of R372 million due to the release of deferred tax as a result of the 2% reduction in the UK tax rate. 10. Abnormal items Share-based payment expense - 65 HPFL 11. Commitments Capital commitments 1 007 1 054 Operating lease commitments 5 413 3 352 12. Contingent liabilities (guarantees and suretyships) South Africa 236 263 United Kingdom 112 147 348 410 Salient features for the year ended 30 September 2007 2006
Selected ratios Operating profit margin (%) 16,1 14,1 Operating profit return on net assets (%) 8,0 7,7 Return on shareholders` equity (%) 26,6 19,9 Debt/equity ratio (%) 351,1 499,8 Interest cover (times) 1,4 1,9 Share statistics Ordinary shares Total shares in issue (million) 1 245 1 183 Weighted average number of shares (million) 1 230 1 448 Diluted weighted average number of shares (million) 1 293 1 469 Market price per share (cents) 1 193 1 240 Currency conversion guide (R:GBP) Closing exchange rate 14,03 14,53 Average exchange rate for the year 14,13 11,90 Average exchange rate from GHG acquisition date (12 13,04 May 2006 - 30 September 2006) Segment report for the year ended 30 September 2007 2006 % Rm Rm change
INCOME STATEMENT Revenue* 18 607 11 152 66,8 South Africa 8 869 7 720 14,9 Hospitals and Trauma 7 782 6 907 12,7 Primary care 1 087 813 33,7 United Kingdom 9 738 3 432 183,7 EBITDA* 4 034 2 120 90,3 South Africa 1 685 1 494 12,8 Hospitals and Trauma 1 584 1 403 12,9 Primary care 101 91 11,0 United Kingdom 2 411 504 378,4 Other (62) 122 Operating profit* 2 990 1 578 89,5 South Africa 1 406 1 238 13,6 Hospitals and Trauma 1 328 1 171 13,4 Primary care 78 67 16,4 United Kingdom 1 646 218 655,0 Other (62) 122 Net interest paid* 2 190 831 163,5 South Africa 456 152 200,0 United Kingdom 1 734 679 155,4 BALANCE SHEET Total assets* 50 220 50 538** (0,6) South Africa 7 387 7 155 3,2 Hospitals and Trauma 6 934 5 520 25,6 Primary care 453 1 635 (72,3) United Kingdom 42 833 43 383 (1,3) Debt net of cash* 30 130 31 168 (3,3) South Africa 5 246 5 444 (3,6) United Kingdom 24 884 25 724 (3,3)
*Excludes disposal group and assets held for sale except for the 2006 balance sheet. **This figure has been restated as a result of adjustments to the provisional accounting for business combinations. Refer to note 2. Commentary Network Healthcare Holdings Limited (Netcare), an investment holding company listed on the JSE Limited, operating through its subsidiaries, the largest private hospital networks in South Africa and the United Kingdom (UK), announces audited group results for the year ended 30 September 2007. The results have been prepared in accordance with International Financial Reporting Standards (IFRS). The results include General Healthcare Group (GHG), our 50,1% UK subsidiary, for the full year compared to the four-and-a-half month period from 12 May 2006 included in the prior year. It is anticipated that our 50% investment in Ampath will be sold and in terms of IFRS 5: Non-current Assets Held for Sale and Discontinued Operations, it has accordingly been treated as a discontinued operation. In the 2006 financial year, the capital costs relating to the reorganisation of long-term debt on the acquisition of GHG were excluded in determining headline earnings. In terms of Circular 8/2007 : Headline Earnings issued by the South African Institute of Chartered Accountants in July 2007 such costs are no longer excluded in the calculation of headline earnings. Accordingly, the 2006 headline earnings per share (HEPS) has been restated from 56,2 cents to 44,3 cents and the fully diluted HEPS has been restated from 53,9 cents to 43,7 cents. Financial review Group operating revenue from continuing operations increased 66,8% to R18 607 million, driven by strong revenue growth of 14,9% in South Africa to R8 869 million. Group operating profit from continuing operations increased by 89,5% to R2 990 million with South African operating profit growth of 13,6% to R1 406 million and UK operating profit of R1 646 million. The group operating profit margin expanded from 14,1% to 16,1% as a result of the full year consolidation of GHG with comparatively higher margins than those in South Africa. Included in group operating profit is net expenditure of a non-recurring nature of R62 million largely relating to impairments of NHS projects of R40 million (GBP2,8 million) compared to net income of R122 million in the prior year. Group headline earnings per share increased 75,2% to 77,6 cents per share. The South African basic headline earnings per share increased by 18,3% from 65,2 cents (restated) to 77,1 cents per share. As expected, GHG reduced headline earnings per share by 15,3 cents to 61,8 cents per share before considering the credit to income arising from the change in the UK corporate tax rate. The tax credit improved headline earnings per share by 15,8 cents to 77,6 cents. Adjusted* group headline earnings per share increased by 26,6% from 48,8 cents to 61,8 cents. Consolidated net financial expenses increased from R927 million to R2 135 million largely as a result of the inclusion of GHG for the full 12-month period. The Group was effectively hedged against increasing interest rates in the UK and recognised fair value gains of R65 million in financial income and R1 112 million (including minority interests) directly in equity on the interest rate swap derivatives. The change in the UK company tax rate from 30% to 28% resulted in a credit to income of approximately R372 million (GBP27 million). Excluding the impact of the change in the UK corporate tax rate, the group`s effective tax rate was 28,3%. Cash generated from operating activities increased from R2 129 million to R3 974 million which was utilised to fund the reduction of capital of R347 million, capital expenditure of R1 389 million and taxation payments of R286 million. Net debt decreased by 3,3% to R30 130 million due to a reduction of R198 million in the South African debt to R5,246 million and the strengthening of the Rand against the Pound on conversion of the UK debt. R24 884 million of the net debt relates to GHG, which is secured against the assets in the UK without recourse to Netcare`s South African business. Business review South Africa Demand for private healthcare in South Africa remains strong, fuelled by new growth in the medically insured population. This growth is being supported by the Government Employee Medical Scheme (GEMS) initiative, and a growing self-pay market. Strong organic growth was evidenced by a 5,9% increase in the number of patients admitted into hospital or treated in our casualties during the year to over 1 million. Patient days increased by 4,5%. The 13,0% growth in self-pay hospital revenue alongside strong growth in casualty and maternity admissions, demonstrates the willingness of the medically uninsured to purchase healthcare. In our efforts to ensure private healthcare remains affordable, our average effective price increase in the hospital business was 5,7% for the year, in line with consumer and medical inflation in the same period. Netcare 911 experienced similar growth with a 5,1% increase in patients transported and a 42,7% increase in air ambulance hours flown. Netcare is meeting the growing market demand through continued capital investment and this year we opened two new hospitals in South Africa, Alberlito Hospital in KwaZulu-Natal and Blaauwberg Hospital in the Western Cape, adding 219 beds. During the period we made significant investments in new facilities including the ICU units at Parklane, Linksfield and Akasia, trauma units at Pretoria East and Sunward Park, a neuro vascular unit at Unitas, cardiac catheterisation laboratories at St Augustines and St Annes and upgrades to several of our facilities, adding a further 120 beds. Total registered beds increased 4,7% to 7 604 in our 44 owned hospitals at year end. In October 2007, we have expanded our network through the acquisition of the remaining interest in Community Hospital Group from our black empowerment partners, adding five new hospitals and a further 682 beds. Significant progress has been made in building our primary care network in South Africa, expanding it by 33,2% to 3 300 participating doctors. Managed care lives increased by 36,5% to 177 400 as Prime Cure secured several new contracts and continued to experience good growth in GEMS membership. We experienced a 9,4% growth in GP and dentist visits to 3,6 million across the 100 Medicross and Prime Cure facilities. Our average effective price increase for primary care visits was 2,6% well below medical inflation. As an accredited managed care organisation we have demonstrated our ability to deliver cost effective medical care according to evidenced based medicine formularies and protocols with lower admissions per thousand and shorter length of stays, coupled with reduced costs. The South African business delivered strong results with revenue from continuing operations up 14,9% to R8 869 million boosted by a particularly strong last quarter, the increased contribution from Prime Cure and the inclusion of the two new hospitals. Operating profit from continuing operations was up 13,6% to R1 406 million whilst the operating profit margin remained relatively flat at 15,9% compared to 16,0% in 2006. The operating leverage was offset by the start-up operating losses of R16 million from the two new hospitals opened during the year, an increase in training expenditure, as well as increasing nursing salaries and staffing levels. United Kingdom Over the past year, GHG has undergone significant restructuring to ensure that the business is well positioned to adapt to a changing healthcare environment and deliver accelerated revenue growth. Excellent progress has been made in implementing several of Netcare`s operating models including nursing models, which have resulted in improved balancing of resources based on patient needs. Further changes are currently underway, including improved allocation of nursing resources in operating theatres and outpatient facilities and shared administration services. The overall case load in the UK grew by 1,7% year-on-year with outpatient and self pay volumes both increasing by 3,1%. As expected the NHS cases reduced following the completion of the NHS general surgery contracts in 2006. Having successfully commenced the transformation of the business into an efficient, compliant network with standardised processes, there is increased focus on driving sales and marketing initiatives across the organisation to stimulate higher growth in future admissions, both from private medical insurers and the NHS. Netcare UK opened a surgical unit in Stracathro, the first Independent Sector Treatment Centre (ISTC) in Scotland and together with the surgical centre in Manchester and the mobile cataract units, 12 166 procedures were performed for the NHS during the year. In February 2007 we opened our first primary care Commuter Walk-in-Centre (CWIC) in Leeds, seeing close on 13 000 patients in the period. In April 2007 we opened a diagnostics centre in London. Netcare UK has now been fully integrated into GHG resulting in a reduction of back office and corporate office functions. The Department of Health for England (DH) has formally confirmed by public announcement that three of the Phase 2 NHS procured schemes in which Netcare UK was participating have been terminated, or substantially amended. The Cumbria & Lancashire (C&L) CATS, and the North East Yorkshire and North Lincolnshire (NEYNL) CATS schemes have both been terminated and the Manchester `A` scheme has been significantly downsized and Netcare UK will not be participating further in that scheme. Revenue from the UK business was R9 738 million (GBP689 million) for the year ended 30 September 2007. Operating profit for the year was R1 646 million (GBP116 million) and the operating profit margin was 16,9%. Operating profit was negatively impacted by GBP5,6 million of non-recurring costs. These included restructuring and retrenchment costs of GBP2,4 million, transaction costs of GBP1,8 million and NHS mobilisation and bid costs of GBP1,4 million. Excluding these abnormal costs, GHG`s core operating profit was R1 724 million (GBP122 million) with a core operating profit margin of 17,7% and core earnings before interest, taxation, depreciation and amortisation (EBITDA) was R2 489 million (GBP176 million). The significant progress made in transforming the business is evidenced by the 14,3% growth in core EBITDA against the comparative 12-month period. Direct investment in UK real estate, which experienced record high levels in 2006, has come under pressure as concerns over the sub prime market have resulted in wider spreads and reduced liquidity across debt markets. Accordingly, we continue to focus on the strategic and operational aspects of operating hospitals and will seek to monetise the properties at a time when maximum value can be realised. Sustainability review Netcare recognises the need to improve access to quality healthcare at affordable levels in South Africa and our contribution extends to assisting government to provide healthcare access to those that cannot afford it. In the past year we have contributed to various corporate social investment initiatives at a total cost of R29 million in South Africa, including the provision of emergency assistance by Netcare 911 to over 15 300 indigent patients at a cost of R18 million. Netcare remains concerned about the shortage of skills within the local healthcare sector and consider this a major obstacle to providing increased healthcare access and to our future growth. As the largest private nursing training institution in Southern Africa, we continue to play our part in addressing this critical shortage. Netcare Education trained 3 200 nurses in the year, an increase of over a 1 000 from 2006. 500 paramedics qualified from the Netcare 911 School of Emergency and Critical Care in courses ranging from basic to advanced life support. Our total training cost for the year was R100 million. Netcare remains committed to the finalisation of the Health Sector Charter process and has been accredited by Empowerdex as a level 5 contributor in terms of the Department of Trade and Industry`s (DTI) Codes of Good Practice for Broad-based Black Economic Empowerment. We are aiming to achieve a level 4 in 2008. Outlook In South Africa, the strong growth experienced in private healthcare in both the insured and self-pay markets is expected to continue. However, capacity constraints at a number of our facilities are necessitating a review of our operating practices. We continue to restructure our pricing model and intend to convert a substantial portion of our fee-for-service pricing model into an alternative reimbursement and risk sharing model with funders, and are working with government to formulate the National Health Reference Price List. Netcare remains a committed partner to government in the transformation of healthcare, and in finding viable new delivery models that address the critical need to broaden access to quality affordable healthcare in South Africa. In the UK, we have successfully transferred much of Netcare`s South African intellectual property and delivered meaningful savings in GHG ahead of our initial business plan, creating an efficient platform to deliver future growth. Despite a flat private medical insurance market, long-term demographics remain attractive and management is focused on capitalising on this growth opportunity through various initiatives. Although the past year has seen several new entrants to the market, GHG is committed to maintaining its leadership position in an increasingly competitive sector. While the rollout of NHS central procurement contracts has been disappointing, GHG is well positioned through its extensive national network to benefit in the future from the NHS Patient Choice programme and continued local NHS procurement from the private sector. Directorate On 9 November 2007, Dr RN Noach resigned as an executive director effective 14 December 2007. N Weltman`s status as an executive director changed to non- executive director from 1 September 2007. Declaration of reduction of capital number 17 In accordance with the authority given to the directors by way of an ordinary resolution passed on 26 January 2007, the board of directors declared on Thursday, 15 November 2007 a final reduction of capital (number 17) out of share premium of 18 cents per ordinary share, payable on Monday, 21 January 2008, to shareholders recorded in the register of the Company as at Friday, 18 January 2008. In compliance with the requirements of Strate, the following dates are applicable: Last date to trade "cum" the reduction of capital ("LDT") Friday, 11 January 2008 Date trading commences "ex" the reduction of capital Monday, 14 January 2008 Record date Friday, 18 January 2008 Date of payment Monday, 21 January 2008 Share certificates may not be dematerialised nor rematerialised between Monday, 14 January 2008 and Friday, 18 January 2008, both dates inclusive. On behalf of the board Michael I Sacks Chairman Dr Richard Friedland Chief Executive Officer Peter Nelson Chief Financial Officer Sandton 16 November 2007 Note regarding forward-looking statements The Company advises investors that any forward looking statements or projections made by the Company, including those made in this announcement, are subject to risk and uncertainties that may cause actual results to differ materially from those projected. Factors that may affect the Group`s operations are described under "Risk Factors" on the investor relations website www.netcareinvestor.co.za Executive Directors: Dr RH Friedland (Chief Executive Officer) PG Nelson (Chief Financial Officer) IM Davis, Dr VLJ Litlhakanyane Non-executive Directors: MI Sacks (Chairman), Dr APH Jammine, JM Kahn, HR Levin Prof TR Mokoena, Adv KD Moroka SC, Dr AA Ngcaba, Dr JA van Rooyen, N Weltman Company Secretary: J Wolpert Registered Office: 76 Maude Street (corner West Street), Sandton 2196 Private Bag X34, Benmore 2010 Transfer Secretaries: Link Market Services South Africa (Proprietary) Limited 11 Diagonal Street, Johannesburg, 2001 PO Box 4844, Johannesburg, 2000 Sponsors: Merrill Lynch South Africa (Proprietary) Limited Registration number 1995/001805/07 138 West Street, Sandown, Sandton 2196 Investor Relations Belinda Williams +27 11 301 0211 belinda.williams@netcare.co.za www.netcareinvestor.co.za Date: 19/11/2007 07:00:01 Supplied by www.sharenet.co.za Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited (`JSE`). The JSE does not, whether expressly, tacitly or implicitly, represent, warrant or in any way guarantee the truth, accuracy or completeness of the information published on SENS. The JSE, their officers, employees and agents accept no liability for (or in respect of) any direct, indirect, incidental or consequential loss or damage of any kind or nature, howsoever arising, from the use of SENS or the use of, or reliance on, information disseminated through SENS.

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