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Wed 29 Oct 2003, 15:49 PRESS RELEASE
AFROX HEALTHCARE LIMITED - PRESS RELEASE                                        
AFROX HEALTHCARE LIMITED                                                        
Share code: AHH                                                                 
ISIN: ZAE000022059                                                              
29 OCTOBER 2003                                                                 
AFROX HEALTHCARE MAINTAINS AN EXCELLENT TRACK RECORD - OPERATING PROFIT UP 19   
PERCENT                                                                         
Afrox Healthcare"s financial results for the year ended 30 September 2002,      
demonstrate a track record of continued growth and increased activity levels in 
the business.  Strong cash flow generation and earnings capability attest to the
financial strength of the company.                                              
Revenue increased 15 percent to R4,47 billion (2002: R3,88 billion) with the    
hospitals recording improved activity levels.  Operating profit appreciated by  
19 percent to R571 million (2002: R478 million), and headline earnings per share
increased by 22 percent to 138,2 cents (2002: 113,7 cents).                     
Afrox Healthcare has once again created wealth for shareholders with an         
increased final dividend of 40 cents per share (2002: 39,0 cents per share)     
bringing the total dividend for the year to 67 cents per share (2002: 57,0 cents
per share).  The dividend is covered twice by earnings of 135,5 cents per share.
The compounded annual growth rate in the dividend per share for the last four   
years is 46,8 percent.                                                          
Cash generated from operations was 35 percent higher at R733 million (2002: R544
million). Added to this a continued focus on asset management produced an       
impressive and strong balance sheet.                                            
Managing director, Michael Flemming, said, "We have achieved excellent results  
in a challenging environment, characterised by increased regulatory control and 
stiff competition.  The results indicate sound business fundamentals and        
strategies, a strong team, and the appropriate facilities.  Our drive to achieve
quality in every facet of the business, and our patient and customer-centric    
approach in both the hospitals and healthcare services operations, have laid a  
solid foundation for continued growth."                                         
In July 2003 Afrox Healthcare was rated `A" in the short term and `A1" in the   
long term by Global Credit Rating Company, based on the company"s strong        
position in the South African private healthcare industry and its history of    
consistent incremental earnings.  The company is ranked among the Financial     
Mail"s top 100 companies in South Africa, and was rated as the 13th best        
performing company on the JSE Securities Exchange in 2002.                      
"As affordability of quality healthcare remains a pressing issue, we have been  
proactive in establishing various risk-sharing reimbursement tariff models with 
individual funders," said Flemming.  "Our geographic spread, doctor networks and
cost management initiatives give us a competitive advantage in this price-      
sensitive market.  We have developed a low cost, high quality healthcare model, 
which will be offered to a significant number of medically insured patients in  
2004.  Other affordable healthcare models, aimed at the medically uninsured     
population, are well advanced."                                                 
Shareholdings were increased in the Little Company of Mary Hospital in Pretoria 
to 60 percent, and in Joint Medical Holdings in Durban where Afrox Healthcare   
now holds 49 percent of the shares.  Joint Medical Holdings incorporates City   
Hospital, Isipingo Hospital, Durdoc Hospital, Maxwell Clinic and Citi-med       
Ambulance and Emergency Services.                                               
Flemming said that synergy benefits derived from last year"s acquisition of the 
Amahosp hospitals in KwaZulu-Natal are now generating strong revenues.          
"We invested R270 million in building projects during the year.  This is part of
a continuous programme to meet and exceed the expectations of doctors and       
patients, as well as to expand capacity.  Construction and relocation of the new
124-bed Roseacres Clinic in Germiston was completed, providing a secure         
environment for the hospital.  In Rustenburg, in a joint venture with Anglo     
Platinum to cater for increased admissions, expansion of the Peglerae Hospital  
is in progress as well as upgrading of the Forona Clinic to a women"s wellness  
centre."                                                                        
A public/private partnership was concluded between a group of Afrox Healthcare  
hospitals and an empowerment company, Season Star Trading, as the two members of
a private consortium, and the Eastern Cape Department of Health.  Flemming says,
"We will manage the Humansdorp hospital, and our consortium will build a private
wing on to the hospital, benefiting both public and private patients in the     
Eastern Cape. We hope that this PPP, between our organisation and the state will
be the forerunner of several more."                                             
The healthcare services businesses, Afrohc, Direct Medicines, and Lifecare      
Special Health Services, performed consistently well.  Afrohc supplies on-site  
occupational and basic primary healthcare services contracted to commerce,      
industry and the mining sector.  New contracts led to a 20 percent increase in  
both the number of lives covered and on-site clinics serviced, which now total  
120 000 and 182 respectively.                                                   
"We are intent on extending Afrohc"s customer base and growing both Direct      
Medicines, our chronic benefit management business, and Lifecare, which operates
special health services facilities under contract to provincial governments.    
The services offered by Lifecare, Afrohc and Direct Medicines form an important 
component in the affordable healthcare products we are developing," said        
Flemming.                                                                       
In an equal partnership with Care UK plc, Afrox Healthcare has been accorded    
preferred bidder status for three United Kingdom National Health Service (NHS)  
contracts valued at R2,7 billion over a five year period.  The contracts are for
the management and operation of three diagnostic treatment centres and will     
assist the NHS to alleviate the backlog of patients awaiting surgical           
procedures. Flemming said, "We were nominated as preferred bidders for the three
units after a lengthy bidding process placing Afrox Healthcare"s service        
excellence among the best in the world."                                        
Referring to the nursing shortage in South Africa, Flemming said that the       
company had introduced initiatives to attract, support and retain nurses.  "One 
initiative is the Afrox Healthcare College of Learning where 700 nurses are     
currently enrolled and which accommodates nurse training at all levels.  In     
addition, we will give our specialised nurses the opportunity to work in the UK 
on a one-year renewable contract matched by working back the equivalent time in 
South Africa."                                                                  
Looking to the future Flemming said, "We are establishing a footprint in the    
United Kingdom with potential for future growth, and will continue to expand our
core competencies, networking around key technologies such as oncology,         
rehabilitation and renal dialysis.  We have budgeted R321 million for 2004      
capital expenditure, and this will cover expansion into new markets and organic 
growth projects.  Major building projects and improvements are planned at       
Rosepark and Glynnwood hospitals over the next financial year.  Approval has    
also been granted to develop a new 194-bed, eight-theatre private hospital in   
the Fourways area of Gauteng."                                                  
Since July, Afrox Healthcare and its parent company have operated under a joint 
cautionary stating that, `Afrox is in the process of considering its strategic  
options with regard to its shareholding in Afrox Healthcare Limited.  These     
discussions may or may not lead to a change in Afrox"s shareholding."           
Flemming said, "While we review our options we are unable to comment further but
we expect some conclusion in the near future.  When this occurs, stakeholders   
will be fully informed."                                                        
Ends                                                                            
Issued by Afrox Healthcare Limited                                              
For further information contact:                                                
Michael Flemming                                                                
011 490 0501 or 083 702 9327                                                    
or                                                                              
Ros Beart                                                                       
011 490 0712 or 082 891 5149                                                    
Date: 29/10/2003 02:45:21 PM Supplied by www.sharenet.co.za                     
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