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Thu 4 Mar 2004, 14:37 EXPANSION OF NETCARE'S INTERNATIONAL ACTIVITIES
Netcare - Expansion Of Netcare"s International Activities                       
  Network Healthcare Holdings Limited                                             
  Incorporated in the Republic of South Africa                                    
  (Registration number 1996/008242/06)                                            
  ("Netcare")                                                                     
  JSE Share Code: NTC                                                             
  ISIN number: ZAE000011953                                                       
  EXPANSION OF NETCARE"S INTERNATIONAL ACTIVITIES                                 
  Introduction                                                                    
  Netcare is pleased to announce that its International Division, through Netcare 
  Healthcare (UK) Limited (Netcare UK), has concluded a Memorandum of             
  Understanding with Fidelidade Mundial, S.A. (FMSA), a leading insurance         
  institution in Portugal, for the joint expansion and development of FMSA"s      
  private healthcare subsidiary, Hospitais Privados de Portugal S.G.P.S. (HPP).   
  FMSA enjoys approximately 22% of the Portuguese healthcare insurance market     
  covering 350 000 lives.                                                         
  FMSA is owned by Caixa Geral de Depositos Group (CGD), a Portuguese Government  
  owned enterprise which is the largest financial institution in Portugal, having 
  assets in excess of Euro66 billion.                                             
  Research into the selection of a strategic partner for the HPP project commenced
  during June 2003 and Netcare was selected from amongst numerous international   
  healthcare providers who satisfied the qualifying criteria prescribed by HPP.   
  HPP has subsidiaries operating in Northern, Central and Southern Portugal.  The 
  HPP Group currently operates five hospitals with 299 beds, located in Lisbon,   
  Porto and the Algarve, with another two hospitals presently being planned for   
  construction.  The hospital businesses are complemented by ancillary healthcare 
  services providing primary care, radiology and pathology.                       
  Netcare Healthcare UK                                                           
  Netcare has previously reported on its successful progress as contractor and    
  preferred bidder for selected National Health Service (NHS) provider contracts  
  in the United Kingdom, having a potential aggregate value of R1,4 billion over  
  five years.  Having regard to these compelling developments, an operational     
  infrastructure has now been established in the UK and Group Chief Operating     
  Officer, Dr Richard Friedland, has temporarily relocated to the UK to manage and
  expand the Group"s international operations, which will include, for the time   
  being, those activities both in the UK and Portugal.                            
  Rationale                                                                       
  Following on from Netcare UK"s success with the NHS, the Group has seen         
  significant interest in public/private partnerships ("PPP") by several          
  Governments in Europe. As a result thereof, Netcare"s International Division has
  embarked on a deliberate strategy to secure partnerships with several strategic 
  healthcare enterprises to tender for PPP"s.                                     
  Given the similarities in strategy indicated by the ultimate shareholder in HPP,
  CGD, it is the intention of the parties that Netcare UK will, subject to        
  confirmation of the transaction by the South African Reserve Bank, invest and   
  become a strategic shareholder in HPP in order to partner CGD in initially      
  expanding the Group and tendering for PPP projects throughout Portugal. It is   
  further contemplated that the transaction will include Netcare UK entering into 
  a service level agreement for the provision of selected value adding products   
  and services for the HPP Group.                                                 
  This investment presents a formidable opportunity for Netcare UK due, inter     
  alia, to the following key factors:                                             
   -   HPP"s key competitive advantages are the support provided by its           
  shareholders" financial and insured markets and also the track record of        
  creating and supplying a distinguished quality service.                         
  -   The impressive management expertise and local knowledge within the HPP     
  group and its shareholders.                                                     
   -   The Portuguese Government"s progressive and practical PPP plan to launch 10
  projects over a 3 year period (2 new and 8 replacement facilities). These       
  projects are anticipated to have an infrastructural value in excess of Euro750m,
  with the aggregate for clinical services amounting to almost Euro4.5bn over a 10
  year period.                                                                    
   -   CGD has indicated its intention to jointly invest with Netcare in expanding
  into selected European markets as well as other Portuguese speaking regions.    
  Financial effects                                                               
  The financial effects of Netcare"s relationship with HPP are, at this stage, not
  significant on a pro-forma basis.  However, the successful implementation of    
  Netcare"s service level commitments, as well as the potential returns on        
  Netcare"s investment in HPP and its expanded operations should impact positively
  on the Netcare Group in future.                                                 
  Further announcements regarding the status and progress of Netcare UK will be   
  published from time to time.                                                    
  Sandton                                                                         
  4 March 2004                                                                    
  Netcare Sponsor                                                                 
  Merrill Lynch South Africa (Pty) Limited                                        
  Date: 04/03/2004 01:15:03 PM Produced by the JSE SENS Department
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