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Thu 19 Apr 2007, 16:59 MDC - Medi-Clinic - Acquisition of a controlling i
MDC
 MDC                                                                             
MDC - Medi-Clinic - Acquisition of a controlling interest in Emirates Healthcare
Holdings Limited, a private healthcare group in Dubai                           
MEDI-CLINIC CORPORATION LIMITED                                                 
Incorporated in the Republic of South Africa                                    
(Registration number:  1983/010725/06)                                          
(Share code:  MDC)                                                              
(ISIN:  ZAE000074142)                                                           
("Medi-Clinic" or "the company")                                                
ACQUISITION OF A CONTROLLING INTEREST IN EMIRATES HEALTHCARE HOLDINGS LIMITED, A
PRIVATE HEALTHCARE GROUP IN DUBAI                                               
1.   Introduction                                                               
Further to the SENS announcement on 28 April 2006, as well as the           
    announcement included in the interim results released on SENS on 8 November 
    2006, Medi-Clinic is pleased to announce that the acquisition of a          
    controlling interest in Emirates Healthcare Holdings Limited ("Emirates     
Healthcare") has become unconditional with effect from 27 March 2007 ("the  
    Transaction").                                                              
2.   Background and rationale                                                   
    2.1  As part of its strategic intention of expanding its business           
internationally, Medi-Clinic continuously evaluates investment         
         opportunities in other parts of the world.                             
    2.2  Emirates Healthcare owns and operates one of the two biggest private   
         hospitals in Dubai, the 120-bed Welcare Hospital, along with one       
ambulatory surgery centre and two clinics which are in close           
         proximity.  It has also commenced with the construction of the first   
         hospital in Dubai Health Care City ("DHCC"), the City Hospital with    
         210 beds, which is scheduled for commissioning towards the end of      
2007.  In addition, Emirates Healthcare has the right to develop a     
         further hospital in DHCC and plans to develop a further three related  
         clinics of which two will open during this year. This will make        
         Emirates Healthcare the largest private healthcare provider in Dubai.  
2.3  The private healthcare market in the United Arab Emirates ("UAE") can  
         be described as follows:                                               
         2.3.1     Background of the UAE and private healthcare market          
                   The UAE is one of the wealthiest countries in the Middle     
East, largely due to its oil industry.  The government of    
                   the UAE, in particular the Emirate of Dubai, has been        
                   successful in diversifying the country`s economy away from   
                   the reliance on oil.  In Dubai less than 10% of its GDP is   
derived from oil. The balance comes from commerce, industry  
                   and tourism.                                                 
                   The private healthcare market is currently under-developed   
                   and health services are still dominated by public services.  
Due to the growing economy and the concomitant growth in the 
                   expatriate worker population, the government of the UAE      
                   however finds it increasingly difficult to cope with the     
                   growing healthcare burden. It has a stated aim and policy to 
encourage private healthcare to assist them in meeting the   
                   needs; consequently private healthcare spending has been     
                   increasing and accounted for 56% of total healthcare spend   
                   in 2004.  Furthermore, developments such as DHCC have been   
successful in attracting substantial foreign investment in   
                   private healthcare.                                          
         2.3.2     Size of the market                                           
                   There are approximately 74 hospitals with 8 700 beds in the  
UAE (Dubai: 24 hospitals with 2 668 beds) of which           
                   approximately 20% (Dubai: 31%) are operated by private       
                   healthcare providers.                                        
                   The population of the UAE was estimated to be 4.6m in 2006   
(Dubai +/-1.4m) of which 74% are estimated to be expatriates 
                   (Dubai +/-80%). The unemployment rate is negligible.         
                   Authorities are aiming and have started to introduce         
                   comprehensive health insurance throughout the UAE, which     
will lead to the expansion of businesses that provide        
                   compulsory health cover for employees.                       
                   There is an increasing demand for hospital beds due to the   
                   expanding population and growing foreign direct investment.  
It is estimated that, in comparison to 2005, an additional 5 
                   082 hospital beds will be required by 2010.                  
    2.4  This investment in Dubai is an ideal platform to enter health care     
         markets in the rest of the Gulf Coalition Countries and the Middle     
East.                                                                  
3.   Terms of the Transaction                                                   
    3.1  The terms of the Transaction are recorded in a shareholders agreement  
         entered into between, inter alia, Sunny Varkey (founder of Emirates    
Healthcare), Medi-Clinic Middle East (Proprietary) Limited ("Medi-     
         Clinic Middle East") and General Electric Company ("GE"), a member of  
         the General Electric Group, on 26 April 2006, as amended ("the         
         Agreement").                                                           
3.2  In terms of and pursuant to the Agreement: -                           
         3.2.1     Medi-Clinic Middle East subscribed for an equity interest of 
                   50% plus one share in Emirates Healthcare for an amount of   
                   US$53,1 million (R384,2 million);                            
3.2.2     GE subscribed for a 6,59% equity interest in Emirates        
                   Healthcare for an amount of US$7 million;                    
         3.2.3     Sunny Varkey will retain an equity interest of 43,41% in     
                   Emirates Healthcare;  and                                    
3.2.4     the parties will endeavour to secure a further strategic     
                   equity investor in the subsidiary of Emirates Healthcare     
                   which owns the Dubai based operating companies.  Medi-Clinic 
                   Middle East subscribed for cumulative variable rate          
participating redeemable convertible preference shares       
                   ("Preference Shares") in Emirates Healthcare for an amount   
                   of US$21,5 million (R155,2 million) to fund a portion of the 
                   equity contribution reserved for the strategic equity        
investor.                                                    
    3.3  In terms of the Agreement, Medi-Clinic Middle East will be entitled to 
         appoint four of the seven directors on the Board of Emirates           
         Healthcare.                                                            
3.4  Medi-Clinic Middle East will also have management control of the       
         Emirates Healthcare Group.                                             
    3.5  The total equity capital referred to above together with debt funding  
         from local financial institutions in the amount of US$102 million is   
adequate to fund all the projects mentioned in 2.2 above. The debt     
         funding is in the process of being finalised.                          
4.   Financial effects                                                          
    The unaudited pro forma financial effects set out below have been prepared  
to assist Medi-Clinic shareholders to assess the impact of the Transaction  
    on the earnings per share ("EPS"), headline EPS ("HEPS"), net asset value   
    ("NAV") per share and tangible NAV ("TNAV") per share.  These unaudited pro 
    forma financial effects do not constitute a representation of the future    
financial position, changes in equity, results of operations or cash flows  
    of the company on implementation of the Transaction.  The material          
    assumptions are set out in the notes following the tables.  These unaudited 
    pro forma financial effects are the responsibility of the Board and are     
provided for illustrative purposes only.                                    
                            Unaudited    Unaudited    Unaudited    %            
                            (1) before   pro forma    pro forma    change       
                            the          effect of    after                     
Transaction  the          the                       
                                         Transaction  Transaction               
                                                                                
    EPS (cents)             76.2  (2)    (0.2) (2)    76.0         (0.2)        
HEPS (cents)            76.2  (2)    (0.2) (2)    76.0         (0.2)        
    NAV per share (cents)   503  (3)     -            503          (0.0)        
    TNAV per share (cents)  489  (3)     (132.4)      357          (27.1)       
    Notes and assumptions:                                                      
1.   Extracted from unaudited published interim results of Medi-Clinic for  
         the six months ended 30 September 2006.                                
    2.   Based on the assumption that the Transaction was implemented on 1      
         April 2006.  Interest foregone on cash utilised for the Transaction is 
calculated at an after-tax rate of 5,3%.                               
    3.   Based on the assumption that the Transaction was implemented on 30     
         September 2006.                                                        
    4.   In terms of "IAS 27 - Consolidated and Separate Financial Statements", 
Medi-Clinic is required to consolidate Emirates Healthcare since Medi- 
         Clinic has control over the entity.                                    
Stellenbosch                                                                    
19 April 2007                                                                   
Sponsor                                                                         
Rand Merchant Bank (A division of FirstRand Bank Limited)                       
Attorneys                                                                       
Hofmeyr Herbstein & Gihwala Inc.                                                
Investment Bank to Medi-Clinic                                                  
The Standard Bank of South Africa Limited                                       
Date: 19/04/2007 16:59:46 Produced by the JSE SENS Department.
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