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Wed 17 Nov 2004, 8:40 RESULTS FOR THE YEAR ENDED
NETWORK HEALTHCARE HOLDINGS LIMITED - AUDITED GROUP RESULTS FOR THE YEAR ENDED  
30 SEPTEMBER 2004                                                               
NETWORK HEALTHCARE HOLDINGS LIMITED                                             
Registration number 1996/008242/06)                                             
(Incorporated in the Republic of South Africa)                                  
(JSE share code: NTC)                                                           
(ISIN code: ZAE000011953)                                                       
(`Netcare` or `the Company`)                                                    
AUDITED GROUP RESULTS FOR THE YEAR ENDED 30 SEPTEMBER 2004                      
* Total revenue up 14,0%                                                        
* Cash generated from operating activities up 25,5%                             
* Capital distribution increased by 26,7%                                       
* Diluted HEPS up 12,2% (before abnormal items up 17,8%)                        
* Netpartner HMO model on track                                                 
* Netcare Healthcare UK positioned well for future growth                       
* Meaningful transformation initiatives                                         
* Strengthened executive team                                                   
Please note that certain prior year adjustments and non-recurring abnormal items
relating to 2003 and 2004 respectively have been included, which are more full  
explained in this report.                                                       
GROUP BALANCE SHEET                                                             
                                       Audited           Audited                
                                       30 Sept           Restated               
2004              30 Sept2003            
                                       (Rm)              (Rm)                   
Assets                                                                          
Non-current assets                     3 831,2           3 830,4                
Property, plant and equipment         2 880,0           2 704,0                
 Goodwill and development expenditure  227,2             169,6                  
 Associated companies, investments     681,3             488,6                  
and loans                                                                       
Deferred taxation asset               42,7              41,5                   
 Other financial assets                -                 426,7                  
Current assets                         1 665,2           1 946,7                
 Inventories                            241,6            344,8                  
Accounts receivable                   1 278,1            1 159,9               
 Cash and cash equivalents             145,5             442,0                  
Total assets                            5 496,4           5 777,1               
Equity and liabilities                                                          
Capital and reserves                   2 904,6           3 039,2                
 Share capital and premium             860,8             1 044,9                
 Treasury shares                       (865,3)            (143,2)               
 Reserves                              2 834,9            2 065,7               
Ordinary shareholders` equity         2 830,4           2 967,4               
  Minority interest                     74,2             71,8                   
Non-current liabilities                1 039,7           1 189,6                
 Interest bearing debt                 792,5             921,5                  
Deferred taxation liability            247,2            268,1                  
Current liabilities                    1 552,1           1 548,3                
 Accounts payable and provisions       935,3             974,0                  
 Short-term interest bearing debt      559,6              419,9                 
Taxation payable                      57,2              154,4                  
Total equity and liabilities            5 496,4           5 777,1               
Net equity per share (cents)            198,5            193,9                  
GROUP INCOME STATEMENT                                                          
Audited                      
                                      Audited      Restated                     
                                      30 Sept      30 Sept2003                  
                                      2004         (Rm)          %              
(Rm)                       Change         
Revenue                                6 852,5      6 012,6       14,0          
Operating profit before depreciation   1 247,3      1 150,2      8,4            
and amortisation                                                                
Depreciation and amortisation          (214,8)      (192,5)                     
Operating profit before abnormal       1 032,5      957,7         7,8           
items                                                                           
Abnormal items                        (56,6)       -                            
Operating profit                       975,9       957,7                        
Net finance charges                    (119,1)     (192,7)                      
Profit before taxation                856,8         765,0        12,0           
Taxation                              (219,1)       (173,9)                     
Profit after taxation                  637,7        591,1                       
Attributable earnings of associates   24,7          0,4                         
Profit after taxation including        662,4        591,5                       
associates                                                                      
Minority interests                    (2,4)        (1,1)                        
Attributable earnings                 660,0         590,4         11,8          
Earnings reconciliation                                                         
Attributable earnings                 660,0        590,4                        
Goodwill amortised                    10,7          6,9                         
Capital loss on discontinued          9,0          -                            
operations                                                                      
Profit on disposal of investment      -             (8,8)                       
Headline earnings                     679,7        588,5          15,5          
Earnings per share (cents)                                                      
Headline     - basic                  45,9         41,2           11,4          
             - diluted                44,1         39,3           12,2          
Attributable - basic                   44,6        41,3           8,0           
             - diluted                42,8         39,5           8,4           
Note: Abnormal items consist of                                                 
non-recurring charges relating to:                                              
- Traumanet (Netcare 911)             (26,9)                                    
restructuring costs, cancellation of                                            
forex-linked contracts and                                                      
discontinuance of loss-making units                                             
and products                                                                    
- Closure of Middle Eastern           (22,7)                                    
Operations                                                                      
- Legal expenses incurred on Single   (7,0)                                     
Exit Pricing regulations                                                        
Total                                 (56,6)                                    
SUPPLEMENTARY INFORMATION                                                       
                                                   Audited                      
Audited      Restated                     
                                      30 Sept      30 Sept                      
                                      2004         2003          %              
                                      (Rm)         (Rm)          Change         
Headline earnings - after abnormal    679,7         588,5         15,5          
items                                                                           
Abnormal items - net of taxation      33,3         -                            
Headline earnings - before abnormal   713,0        588,5         21,2           
items                                                                           
Headline earnings per share before                                              
abnormal items (cents)                                                          
- basic                               48,2         41,2          17,0           
- diluted                             46,3         39,3          17,8           
STATEMENT OF CHANGES IN SHAREHOLDERS EQUITY                                     
                                                                Audited         
              Share               Non-                Audited   Restated        
Capital             Distribu- Distri-   30 Sept   30 Sept         
              &         Treasury  table     butable   2004      2003            
              Premium   shares    Reserves  Reserves  (Rm)      (Rm)            
Ordinary      1 044,9   (143,2)   164,2     1 901,5   2 967,4   2 187,7         
shareholders`                                                                   
equity at                                                                       
beginning of                                                                    
year                                                                            
Prior year                                                      (52,1)          
adjustments                                                                     
Adjustment to                                                   46,1            
opening                                                                         
balances on                                                                     
adoption of                                                                     
AC 133                                                                          
Attributable                                660,0     660,0     590,4           
earnings                                                                        
Issue of      61,5                                    61,5      315,6           
shares                                                                          
Share buy-              (236,8)                       (236,8)   (79,8)          
backs                                                                           
Fair value                        71,3                71,3      118,6           
surplus on                                                                      
available for                                                                   
sale                                                                            
investments                                                                     
(net of tax)                                                                    
Treasury                (485,3)                       (485,3)                   
shares on                                                                       
unwinding of                                                                    
Netcare Trust                                                                   
financial                                                                       
asset                                                                           
Capital       (245,6)                                 (245,6)   (183,1)         
distributions                                                                   
Currency                          (4,7)     42,6      37,9      24,0            
translation                                                                     
reserves &                                                                      
other                                                                           
movements                                                                       
Ordinary      860,8     (865,3)   230,8     2 604,1   2 830,4   2 967,4         
shareholders`                                                                   
equity at end                                                                   
of year                                                                         
ABRIDGED GROUP CASH FLOW STATEMENT                                              
                                             Audited       Audited              
                                             30 Sept       Restated             
                                             2004          30 Sept              
(Rm)          2003                 
                                                           (Rm)                 
Cash generated from operations                1 190,7      1 128,8              
Working capital movements                     (88,1)       (250,0)              
Cash generated from operating activities      1 102,6      878,8                
Net finance charges                           (119,1)      (192,7)              
Taxation paid                                 (357,6)      (153,6)              
Cash inflow from operating activities        625,9         532,5                
Capital distributions paid                    (245,6)      (183,1)              
Net cash retained                             380,3        349,4                
Cash utilised in investing activities         (543,3)      (680,9)              
Capital expenditure                           (362,3)       (425,1)             
Net investment in businesses and loans to     (181,0)       (255,8)             
businesses                                                                      
Cash effects of financing activities         (128,4)        639,3               
Movement in interest bearing liabilities      10,7         378,7                
Share buy-backs                               (236,8)      (79,8)               
Net equity movements                          97,7         340,4                
(Decrease)/increase in cash and cash          (291,4)      307,8                
equivalents                                                                     
Cash and cash equivalents at beginning of    442,0          210,6               
year                                                                            
Net cash resources assumed on acquisition     (5,1)         (76,4)              
of businesses                                                                   
Cash and cash equivalents at end of year     145,5          442,0               
KEY FINANCIAL INFORMATION                                                       
                                                           Audited              
                                             Audited       Restated             
30 Sept       30 Sept              
                                             2003          2004                 
                                             (Rm)          (Rm)                 
Ordinary shares (millions)                                                      
In issue                                     1 425,8        1 530,7             
Weighted average number of shares            1 479,7        1 428,8             
Diluted weighted average number of shares    1 540,4        1 496,5             
Distributions                                                                   
Capital distributions (cents per share)      19,0           15,0                
Other salient features                                                          
EBITDA margin before abnormal items (%)      18,2           19,1                
EBIT margin before abnormal items (%)         15,1          15,9                
Interest cover (times)                        8,2           5,0                 
Effective taxation rate (%)                   25,0          22,8                
Operating profit return on net assets (%)     25,1          27,8                
Return on ordinary shareholders` equity (%)   23,4          22,8                
Debt/equity ratio (%)                        41,5           29,6                
Capital commitments (Rm)                     388,3          185,4               
Contingent liabilities (Rm)                  372,8          153,0               
INTRODUCTION                                                                    
The 2004 financial year has undoubtedly been very challenging for the private   
healthcare industry in general and the Netcare Group in particular.             
From an operational perspective, however, Netcare is pleased to report that     
despite a number of obstacles, the Group has recorded consistent growth, solid  
cash generation and sound progress on our strategy to create value for          
stakeholders.                                                                   
Prior year results have been adjusted in terms of AC 133 (Financial Instruments 
- Recognition and Measurement), AC 103 (Accounting Policies, Changes in         
accounting estimates and errors) and AC 116 (Employee Benefits) and include     
adjustments in respect of accounting for interest income on financial assets,   
leave pay and supplier rebates. The effect of these changes is set out in the   
Financial Review below.                                                         
Apart from the Group`s core business of providing comprehensive healthcare      
services, the more significant focus areas for 2004 included the following:     
Strategic* Implementation of the Group`s challenge to the regulations relating  
to the Medicines and Related Substances Act (`the regulations`);                
* Closure of selected non-performing business units;                            
* Strategic interventions to restore Netcare 911 to profitability during 2005;  
* Implementation of international expansion plans;                              
* Resolution of the Netcare Trust;                                              
* Broadening of Netpartner network to facilitate accessible, affordable quality 
healthcare;                                                                     
* Strengthening the Netcare Board, executive team and committee structures in   
line with best practice guidelines and for the next phase of growth; and        
* Active progress on Black Economic Empowerment transformation.                 
Operational                                                                     
* Successful renegotiation of hospital tariffs;                                 
* Review of processes, policies, procedures and feasibility of all business     
units;                                                                          
* Continued investment in leading-edge technology to ensure best clinical       
outcomes;                                                                       
* Identification, development and submission of PPP proposals;                  
* Attainment of highest patient satisfaction ratings;                           
* Continued drive to maintain Netcare`s rating as an employer of choice; and    
* Extension of physician advisory boards and formation of a Medical Ethics      
committee.                                                                      
The key strategic and operational areas for 2005 include the following:         
Strategic                                                                       
* Resolution of the impasse with Government regarding regulatory interventions  
and the healthcare environment;                                                 
* Implementation of BEE and transformation programmes and support of existing   
BEE partners;                                                                   
* Expansion of international division;                                          
* Expansion of diagnostic services;                                             
* Extend mining joint ventures and occupational health; and                     
* Integrate IT platform with patient medical records.                           
Operational                                                                     
* Enhancement and monitoring of ethical standards and clinical outcomes;        
* Netpartner:                                                                   
  * Pilot Health Maintenance Organisation (`HMO`) model with medical aid        
schemes;                                                                        
  * Listing on the JSE Alternative Exchange;                                    
* Develop operational capacity;                                               
  * Launch of Clinical Trials business;                                         
* Continue growth of patient days;                                              
* 1 000 new beds under management by 2006;                                      
* Restoration of Netcare 911 to break even;                                     
* Develop wholesale pharmacy business;                                          
* Review capital structure; and                                                 
* Recognise, grow and build the Group`s people.                                 
The Group continues to embrace its four leadership strategies of:               
* BEST & SAFEST PATIENT CARE;                                                   
* PHYSICIAN PARTNERSHIPS;                                                       
* OPERATIONAL EFFICIENCY; and                                                   
* GROWING WITH PASSIONATE PEOPLE                                                
in creating sustainable shareholder value while focusing the minds and efforts  
of its more than 18 800 members of staff to add meaningfully to the lives of    
patients, medical practitioners and stakeholders each and every day. FINANCIAL  
REVIEWThe financial performance for the period should be reviewed taking the    
following factors into account:                                                 
Non-recurring items                                                             
* Netcare 911 recorded a once off charge of R26,9 million due to restructuring  
costs, cancellation of forex-linked contracts and the discontinuation of loss   
making business units and products;                                             
* The issue of 100 million Netcare shares to, and investment in, Netpartner on  
30 September 2003 has had the predictable short-term dilutive effect on headline
earnings per share of approximately 3% for the period;                          
* Due to the volatility experienced in the politically sensitive Middle East, a 
strategic decision was made to discontinue all operations and related operations
in that region. The Group has written off an amount of R22,7 million relating to
development expenditure, closure costs and retrenchments in this period; and    
* Due to the introduction of the regulations relating to single exit pricing    
applicable to pharmaceuticals that were implemented on 2 May 2004, the Group has
been impacted negatively by a higher cost of drug purchases for the period from 
the release of the draft regulations up until the court ruling, which was       
followed by successful renegotiation of hospital tariffs with the medical aid   
funders.                                                                        
Prior year adjustmentsThe effect of the prior year adjustments referred to above
on the 2003 income statement is a reduction in attributable earnings of R66,7   
million and a reduction in the tax charge of R28,6 million. Attributable        
earnings per share decreased from 44,6 cents to 41,3 cents per share while      
headline earnings per share decreased from 46,0 cents to 41,2 cents. The effect 
on the 2003 balance sheet is a reduction in inventories of R31,7 million, an    
increase in accounts payable and provisions of R102,9 million and a decrease in 
the provision for tax payable of R40,4 million. Accordingly, the 3,0% decrease  
in net assets for 2003 amounted to R94,2 million.                               
Operating resultsGroup revenue for the year increased by 14,0% to R6 852,5      
million (2003: R6 012,6 million), comprising mainly organic growth. Revenue     
growth in the core hospital business and other businesses amounted to 12,3% and 
19,5% respectively.                                                             
A pro-forma analysis of revenue and EBITDA (before abnormal items) of certain of
the larger business units of Netcare is set out below:                          
                       Revenue                  EBITDA                          
                       30 Sept  30 Sept         30 Sept  30 Sept                
2004     2003      %     2004     2003     %             
    Hospitals          5 195,1  4 625,1   12,3  1 072,2  1 011,0  6,1           
    Other businesses   1 657,4  1 387,5   19,5  175,1    139,2    25,8          
    Medicross          637,2    569,3     11,9  69,4     63,9     8,6           
Netcare            351,6    324,5     8,4   86,8     67,7     28,2          
    Diagnostics                                                                 
    Traumanet          249,8    219,3     13,9  (34,1)   (32,2)   (5,9)         
    (Netcare 911)                                                               
International      126,9    59,1      114,7 10,3     6,2      66,1          
    Other              291,9    215,3     35,6  42,7     33,6     27,1          
    Total              6 852,5  6 012,6   14,0  1 247,3  1 150,2  8,4           
Overall EBITDA margins (before abnormal items), declined to 18,2% (2003: 19,1%),
with the decline driven primarily due to the period-specific effect of the      
regulations and the absorption of increased costs in a low inflation            
environment.                                                                    
Basic headline EPS (before abnormal items) grew by 17,0% to 48,2 cents (2003:   
41,2 cents), with disclosed basic headline EPS growth amounting to 11,4%.       
Diluted headline EPS (before abnormal items) grew by 17,8% to 46,3 cents (2003: 
39,3 cents), with disclosed diluted headline EPS growth amounting to 12,2%.     
Meaningful Cash GenerationThe traditionally solid Group cash generation was once
again evidenced by a 25,5% increase in cash generated by operating activities.  
Cash inflows were applied substantially towards higher tax payments of R357,6   
million (2003: R153,6 million), share repurchases of R236,8 million (2003: R79,8
million), capital expenditure of R362,3 million (2003: R425,1 million) and other
investments and loans of R181,0 million (2003: R255,8 million). Despite these   
factors, as well as the significant equity impact of the treasury shares, the   
debt:equity ratio remained at a comfortable 41,5% (2003: 29,6%). Interest       
charges reduced to R119,1 million (2003: R192,7 million) reflecting, inter alia,
the reduced interest rate environment and effective treasury management.        
Interest cover improved to 8,2 times (2003: 5,0 times).                         
Significant Corporate Financial TransactionsThe more significant financial      
transactions during the year included:                                          
* The resolution of the Netcare Trust (Shareholders are referred to the SENS    
announcement dated 29 April 2004); and                                          
* The aggregate general repurchase of 51,4 million Netcare shares during the    
course of the year for a total consideration of R236,8 million;                 
Changes in DirectorateMr SR Favish (Group Chief Financial Officer) and Dr C     
Rossolimos (Executive Director - Netcare International) resigned from the Board 
of Directors on 2 August 2004 and 30 September 2004 respectively. Mr PG Nelson  
was appointed as Group Chief Financial Officer on 1 September 2004.             
Shareholders are also referred to the SENS announcement dated 16 November 2004  
for further information relating to changes to the Netcare Board of Directors.  
Accounting Policies and JSE Securities Exchange RequirementsThe financial       
statements comply with South African Statements of Generally Accepted Accounting
Practice. The principal accounting policies as set out in the 2003 Annual Report
have been consistently applied.                                                 
This announcement has been prepared in accordance with the listing requirements 
of the JSE Securities Exchange South Africa.                                    
Audit ReportThe joint auditors, Fisher Hoffman PKF (Jhb) Inc. and Grant         
Thornton, have issued their opinion on the Group`s financial statements for the 
year ended 30 September 2004. A copy of their unqualified report is available   
for inspection at the Company`s registered office.OPERATIONAL REVIEWImpact of   
new regulations on business units:The implementation of Section 18A of Act 101  
(1965) on 2 May 2004, which prohibits any form of rebates or discounts on       
ethical products, adversely affected the Group`s profitability and operating    
margins. This affected the hospital division for the duration of the court      
challenge to the regulations, during which time this division was obliged to    
charge `blue book` prices against a higher cost of purchases.                   
In addition, the retail pharmacy components of the Group were also negatively   
impacted, and in this regard, the Board would welcome resolution with the       
pricing committee by negotiating a more appropriate dispensing fee in the near  
future.                                                                         
CORE HOSPITAL NETWORK                                                           
* The core hospital division continued to gain market share in the year under   
review. This was evidenced by an increase in patient admissions and patient days
by 4,8% and 1,4% respectively.                                                  
* EBITDA margins declined to 20,6% (2003: 21,9%) which is representative of the 
following:                                                                      
* Impact of the implementation of the pharmacy regulations referred to under    
`Operational Review`;                                                           
* Increased costs in a low inflation environment; and                           
* Reduction in per diem billing following price reviews relating to the         
anticipated changes in regulations.                                             
* Although capital expenditure declined to R362,3 million (2003: R425,1         
million), the Group continued to expand and upgrade facilities within the       
hospital network, the benefits of which are likely to be visible as the         
facilities become fully operational. In addition, the net increase of 116       
medical specialists joining the organisation over the period bears testimony to 
Netcare`s focus of being doctor-centric with its key leadership strategy of     
building lasting physician partnerships.                                        
* The hospital division continues to contribute the majority of the Group`s     
revenue and EBITDA (before abnormal items) being 75,8% (2003: 76,9%) and 86,0%  
(2003: 87,9%) respectively. Netcare intends to focus investment and expansion   
strategies both locally and abroad with the aim of increasing contributions from
other `non-hospital` healthcare businesses.                                     
SUPPLY CHAINTraumanet (Netcare 911)In the Group`s results announcement and      
annual report for the year ended 30 September 2003, shareholders were advised of
the stringent remedial actions implemented to restore the feasibility of the    
Traumanet business model. Traumanet`s new management have responded to the      
challenge and Netcare 911 is confidently on track with its recovery. The        
majority of subscribers to Netcare 911 have renewed membership for 2005.        
While Traumanet financial performance continues to be impacted by the provision 
of emergency services to indigent patients, several alternatives are being      
explored to manage this offering more effectively.                              
The Vodacom/Netcare business partnership, that has provided life saving         
emergency medical services to many South Africans has significantly expanded its
strategic alliance with the recent announcement of joint initiatives that will  
benefit both organisations as well as include meaningful corporate and social   
responsibility projects.                                                        
In addition, during the period Netcare 911 and the AA (Automobile Association of
South Africa) formed a strategic alliance in which the AA will be handling all  
of Netcare 911`s roadside assistance, home assistance, tax and legal helpline   
services for clients that have purchased these value added services and the AA  
would make use of Netcare 911`s emergency services.                             
Netcare International The Group`s British subsidiary, Netcare Healthcare UK, has
made meaningful strides in negotiating and initiating two significant National  
Health Service (`NHS`) contracts relating to the provision of medical services  
over a five-year period. The first contract, which commenced in February 2004,  
is to provide over 44 500 cataract procedures, with the second contract being to
provide almost 45 000 general, orthopaedic and ENT surgical procedures, and is  
due to begin in January 2005. These contracts have an aggregate revenue value   
estimated at GBP114 million.                                                    
The Group`s growing reputation as a quality provider of healthcare both locally 
and abroad, has provoked the interest of several European Health departments for
similar outsourcing projects as a result of which further opportunities are     
being considered within the United Kingdom and several countries in central and 
eastern Europe.                                                                 
The intended investment in Hospitais Privados de Portugal S.G.P.S. is at the    
final stages of negotiation following the completion of a comprehensive due     
diligence.                                                                      
Netpartner - Developing the HMO model Since Netpartner`s launch during the last 
quarter of 2003, Netpartner has made substantial progress in developing its     
business model by:                                                              
* Increasing the number of medical professionals associated with Netpartner to  
more than 10 000;                                                               
* Establishing its portfolio of strategic investments in healthcare and         
healthcare-related enterprises; and                                             
* Forming Netcare Direct Managed Care (Proprietary) Limited (`Netdirect`), a    
managed care company which has facilitated the assembly of a national network   
promoting and providing managed care products.                                  
Given the future strategic benefits of HMO-type structures within the South     
African healthcare environment and the compelling transformation ideologies     
embraced by both Netpartner and Netcare, an agreement has been entered into     
between Netpartner and the South African Medical and Dental Practitioners       
Association (`SAMDP`), which has been more fully explained in the Sens          
announcement dated 15 November 2004. This initiative is seen as an imperative in
ensuring meaningful transformation in the private healthcare industry and       
aligning the interests of Netcare, Netpartner and the SAMDP to bring better care
to more people of South Africa.                                                 
From a managed care perspective, Netdirect has concluded contracts with the     
Discovery Health, Liberty, Momentum and Eclipse Medical Schemes, all of which   
will become operational in January 2005.                                        
Other healthcare investmentsThe businesses of, inter alia, National Renal Care, 
SAA Netcare Travel Clinics and the pharmacies forming part of Community Hospital
Group, all performed satisfactorily over the period given the status of the     
healthcare environment.ADMINISTRATION, LOGISTICAL AND SUPPORT SERVICESNetcare`s 
core competency in providing administrative, logistical and support services to 
a range of healthcare providers is evidenced by the performance of some of the  
Group`s ancillary business units reflected below.                               
Medicross                                                                       
Medicross has again presented a sound performance by generating an 11,9%        
increase in revenue to R637,2 million (2003: R569,3 million) and an 8,6%        
increase in EBITDA to R69,4 million (2003: R63,9 million). The lower EBITDA     
margin experienced arose primarily as result of the changes in the regulations. 
Patient visits grew by 7,8% to almost 3 million for the period, with dispensed  
prescriptions rising by 8,8%. The use of generics has increased to over 44,0%   
during the period.                                                              
The most encouraging indicator relating to Medicross managed operations is the  
5,3% decline in the average cost per script versus the prior period, which is   
the lowest in the industry.                                                     
Netcare DiagnosticsThe activity and efficiencies experienced by the diagnostics 
and imaging administration and management businesses falling within Netcare     
Diagnostics, has resulted in EBITDA increasing by 28,2% to R86,8 million (2003: 
R67,7 million). Market share gains are evidenced by an increase in patient      
visits by over 2% as against the comparable prior period.                       
New healthcare management initiativeGiven the success resulting from Netcare`s  
focused leadership strategies, the previously announced business initiative with
Harmony Gold Mining Company Limited (`Healthshare`) is seen by the Group as an  
important platform for further expansion to other industry players who can      
extract meaningful value by outsourcing their non-core healthcare services.     
EMBRACING TRANSFORMATION AND CORPORATE AND SOCIAL RESPONSIBILITY                
Netcare has invested significant time and effort in establishing and developing 
initiatives to foster meaningful transformation in the private healthcare       
industry. These initiatives include:                                            
* The appointment of Dr VLJ Litlhakanyane and Prof. MB Kistnasamy to the Board  
of Directors of Netcare with effect from 1 December 2004, as well as other high 
level appointments to the Boards of various Netcare subsidiaries and associates;
* The investment and support for Community Healthcare Holdings Limited (one of  
the largest black-owned healthcare enterprises in South Africa);                
* The financial and management support for the largest hospital clinical        
services PPP with the Free State Health Department;                             
* The Group`s policy of treating patients covered under the Road Accident Fund; 
* A contribution of more than R63 million towards nursing training over the     
year;                                                                           
* A variety of corporate and social responsibility initiatives, including the   
significant contribution by Netcare 911 of emergency services to indigent       
patients, totalling more than R65 million; and                                  
* The issue of share options to staff, the majority comprising previously       
disadvantaged individuals.GROWING WITH PASSIONATE PEOPLEThe year`s regulatory   
and industry challenges have unfortunately created uncertainty and insecurity.  
The Board would like to extend its sincere appreciation to staff and doctors    
whose united efforts and dedication have continued to deliver outstanding       
patient care.PROSPECTSThe flexibility of the Group`s business model,            
comprehensive operational resources and strengthened leadership team, will      
enable Netcare to pursue various sector opportunities both locally and abroad in
building stakeholder value into the future.                                     
The new Netpartner HMO model (`the Model`) has the potential to introduce       
alternative re-imbursive models and attract uninsured lives by offering greater 
access, simplicity and broader benefits at more affordable prices. The Model    
will be offered to closed schemes, specific industries (e.g. mining) and the    
proposed Statemed scheme.                                                       
The mutually beneficial resolution of issues between the Public and Private     
healthcare sectors, as well as meaningful transformation initiatives, bodes well
for an improved outlook for all South African`s requiring quality healthcare.   
The Board is confident that given the aforementioned, as well as the reduced    
weighted average number of shares in issue and the opportunity to reverse the   
Traumanet losses and non-recurring abnormal items experienced in the 2004 year, 
the prospects are favourable for above average growth in 2005.                  
Internationally, given the Group`s developing track record with the NHS, and    
other opportunities in markets where the private sector can provide healthcare  
solutions, the target is to cautiously contract and invest so as to increase the
revenue contribution of the International division to more than 20% within a    
period of approximately 3 years.                                                
Accordingly, in the absence of any unforeseen circumstances in the South African
and global economies or healthcare regulatory environment, it is considered that
the Group`s business model is well-balanced, sound and on track to continue     
during the current financial year to generate meaningful returns and growth for 
all stakeholders.DECLARATION OF CAPITAL DISTRIBUTION NO. 11In accordance with   
the authority given to the directors by way of an ordinary resolution passed on 
23 January 2004, the Board of Directors declared on Monday, 15 November 2004 a  
final capital distribution (No. 11) out of share premium of 11,5 cents per      
share, payable on Monday 14 February 2005, to shareholders recorded in the      
register of the Company as at Friday, 11 February 2005. Taken together with the 
interim distribution of 7,5 cents per share, the total distribution paid and to 
be paid in respect of the 2004 financial year amounts to 19,0 cents (2003: 15,0 
cents) per ordinary share, an increase of 26,7% over the prior period.          
The increased distribution has been based on the growth in HEPS before abnormal 
non-recurring items and the Board`s decision to reduce the dividend cover to 2,5
times, subject to revision depending on market conditions and investment and    
share buy-back opportunities.                                                   
In accordance with the requirements of STRATE, the following dates are          
applicable:                                                                     
Last date to trade `cum` the cash                                               
distribution (`LDT`)              Friday, 4 February 2005                       
Date trading commences `ex`                                                     
the cash                                                                        
distribution                      Monday, 7 February 2005                       
Record date                       Friday, 11 February 2005                      
Date of payment                   Monday, 14 February 2005                      
Share certificates may not be dematerialised nor rematerialised between Monday, 
7 February 2005 and Friday, 11 February 2005, both dates inclusive.By order of  
the BoardMichael I Sacks                                    Dr Jack             
ShevelChairman                                  Chief Executive OfficerSandton  
15 November 2004REGISTERED OFFICE                                               
76 Maude Street, Sandton 2196. Private Bag X34, Benmore 2010                    
TRANSFER SECRETARIES                                                            
Ultra Registrars (Pty) Limited, 11 Diagonal Street, Johannesburg 2001. PO Box   
4844, Johannesburg 2000.                                                        
EXECUTIVE DIRECTORS                                                             
MI Sacks (Chairman), Dr J Shevel (Chief Executive Officer, Dr RH Friedland      
(Chief Operating Officer) PG Nelson (Chief Financial Officer), Dr RH Bush, IM   
Davis, Dr I Kadish, PJ Lindeque, N Weltman                                      
NON-EXECUTIVE DIRECTORS                                                         
Dr APH Jammine, JM Kahn, HR Levin, Dr JA van Rooyen                             
COMPANY SECRETARY                                                               
J Wolpert                                                                       
for more information please visit Netcare`s website at: www.netcare.co.za
Profile Group (Pty) Ltd. has taken care in preparing all information on this website, but does not accept any liability for errors or out-of-date information.
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