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Tue 4 Oct 2005, 10:56 Medi-Clinic - Proposed black ownership initiative
Medi-Clinic - Proposed black ownership initiative and capital restructuring     
Medi-Clinic Corporation Limited                                                 
(Incorporated in the Republic of South Africa)                                  
(Registration number 1983/010725/06)                                            
JSE share code: MDC                                                             
ISIN: ZAE000004370                                                              
("Medi-Clinic" or "the Company")                                                
PROPOSED BLACK OWNERSHIP INITIATIVE AND CAPITAL RESTRUCTURING                   
HIGHLIGHTS                                                                      
-    R1.1 billion Black Ownership Initiative                                    
-    Immediate introduction of 15% black shareholding in Medi-Clinic            
-    Capital restructuring                                                      
-    Special dividend of approximately R1.6 billion                             
1. INTRODUCTION                                                                 
1.1  Black Ownership Initiative                                                 
The Board of Directors of Medi-Clinic ("the Board") is pleased to announce 
     that the Company has, subject to, inter alia, shareholder approval, entered
     into a series of agreements aimed at the introduction of black shareholders
     to Medi-Clinic (the "Black Ownership Initiative"). The Black Ownership     
Initiative is aimed at introducing Phodiso Holdings Limited ("Phodiso") and
     Circle Capital Ventures (Proprietary) Limited ("Circle Capital")           
     (collectively "the Strategic Black Partners") as strategic partners and    
     shareholders to Medi-Clinic ("Proposed SBP Transaction"). Furthermore, Medi
Clinic intends to introduce all employees up to, and including, first line 
     management level ("Participating Employees"), as shareholders to the       
     Company ("Proposed Employee Transaction").                                 
     The proposed Black Ownership Initiative will result in the transfer, in    
aggregate, of 15% of Medi-Clinic"s entire issued ordinary share capital    
     ("Medi-Clinic Shares") to the Strategic Black Partners and Participating   
     Employees. The Strategic Black Partners will jointly hold 11% and the      
     Participating Employees 4% of Medi-Clinic Shares. On implementation of the 
Proposed SBP Transaction, Phodiso will hold approximately 6.9% and Circle  
     Capital approximately 4.1% of Medi-Clinic Shares ("Proposed Shareholding").
     The Proposed SBP Transaction will be effected through a scheme of          
     arrangement in terms of Section 311 of the Companies Act, 1973 (Act 61 of  
1973), as amended ("the Companies Act") ("the Scheme"), and the issue of   
     new Medi-Clinic Shares at par as detailed in paragraph 4.3 below. The      
     Proposed SBP Transaction will be implemented through two special purpose   
     vehicles, Mpilo Investment Holdings 1 (Proprietary) Limited and Mpilo      
Investment Holdings 2 (Proprietary) Limited ("Mpilo 1" and "Mpilo 2",      
     respectively, and, collectively, the "Mpilo Companies"), each being wholly 
     owned by a Strategic Black Partner. "Mpilo" is derived from a Nguni word   
     "Impilo" which means "health".                                             
The introduction of Participating Employees will be effected through the   
     issue of new Medi-Clinic Shares to an Employee Share Trust (the "Mpilo     
     Trust"), formed specifically for that purpose.                             
     The total value of the proposed Black Ownership Initiative is approximately
R1.1 billion, which value is based on the proposed transaction price of    
     R18.40 per share. The price was calculated as the 30-day volume weighted   
     average price of the Medi-Clinic shares as traded on the JSE Limited ("the 
     JSE") to the close of business on 30 September 2005.                       
1.2  Capital Restructuring                                                      
     As indicated in the profit announcement for the year ended 31 March 2005,  
     Medi-Clinic has been exploring various alternatives aimed at optimising its
     capital structure. In addition, the Board has investigated several         
alternatives through which excess capital can be distributed to            
     shareholders. In this regard, the Board has decided to introduce debt      
     funding in the amount of R700 million arranged by The Standard Bank of     
     South Africa Limited ("Standard Bank"). This debt will be used to pay down 
existing inter company indebtedness in the Medi-Clinic group. The          
     introduction of such debt in relation to the facilities arranged by        
     Standard Bank will leave sufficient capacity to allow the group to fund    
     future strategic initiatives and respond to expansion opportunities.       
In addition, the Board is pleased to announce the declaration of a special 
     dividend in the amount of R4.02 per share, which, taking into account the  
     envisaged enlarged number of shares in issue pursuant to the Black         
     Ownership Initiative, will amount to approximately R1.6 billion ("Special  
Dividend"). The Special Dividend will be paid to all shareholders upon the 
     successful completion of the Black Ownership Initiative. Further details of
     the Special Dividend are incorporated in paragraph 8 below.                
2. RATIONALE FOR THE BLACK OWNERSHIP INITIATIVE AND CAPITAL RESTRUCTURING       
2.1  Black Ownership Initiative                                                 
     The Medi-Clinic Group operates in the private healthcare sector. Its main  
     business is to enhance the quality of life of patients by providing        
     comprehensive, high quality hospital services on a cost-effective basis.   
The Board views Medi-Clinic as an integral part of the South African       
     political, social and economic community. The Board, therefore, endorses   
     the process of democratisation and strives to support this process through 
     a policy of business practices that enhance broad-based black economic     
empowerment, which is regarded as a strategic opportunity to strengthen the
     economic base of South Africa. The Board regards the rapid capital         
     accumulation at all levels of society involving human, social, intellectual
     and physical capital, as a key success factor.                             
Medi-Clinic accordingly embarked on a process aimed at achieving the       
     following objectives:                                                      
     -    transforming Medi-Clinic as a growing company, and fulfilling a       
          leadership role in the healthcare sector in South Africa;             
-    active participation by  black partners in the management of Medi-    
          Clinic;                                                               
     -    participation by employees in a share ownership programme;            
     -    to the extent possible, financial neutrality to existing shareholders;
and                                                                   
     -    a commitment by all shareholders to the joint creation of wealth      
          within Medi-Clinic.                                                   
     The Board believes that employee share ownership presents a unique         
opportunity to achieve broad-based black economic empowerment. For this    
     reason, the Mpilo Trust will be established and will subscribe for Medi-   
     Clinic Shares that will be held for the benefit of approximately 10 927    
     Participating Employees (52% of which are black and 89% are women), which  
will include, inter alia, nursing staff, support staff and administrative  
     staff.                                                                     
     Medi-Clinic views the role of its people as crucial to the business success
     of the group. In offering participation to employees, Medi-Clinic aims to  
reward the contribution, loyalty and dedication of its employees.          
     Therefore, the level of participation will be linked to length of service  
     in the group. In addition, employee participation is aimed at encouraging  
     greater transparency and aligning the interests of Participating Employees 
with that of Medi-Clinic Shareholders.                                     
     A draft Health Charter was released for comment to all industry            
     participants on 12 July 2005. Medi-Clinic, as a significant stakeholder in 
     the industry, has, together with other industry participants, entered into 
a process of consultation in respect of, inter alia, the stipulated black  
     ownership targets. In view of this process, the Board has decided to adopt 
     a phased approach in respect of black economic empowerment, aimed at       
     transferring an initial 15% to black partners, with a view to increasing   
such stake in due course.                                                  
2.2  Capital Restructuring                                                      
     The Board has, as a separate strategic initiative, sought to optimise the  
     capital structure of the Company. In this regard, the introduction of new  
debt, together with the declaration of the Special Dividend is aimed at    
     restructuring the capital position of the Company with the ultimate        
     objective of increasing the return on Medi-Clinic Shareholders" equity.    
3. BACKGROUND INFORMATION ON THE STRATEGIC BLACK PARTNERS                       
3.1  Phodiso                                                                    
     Phodiso is a focused healthcare group which owns and operates a number of  
     successful businesses centred on the provision of quality healthcare       
     services. Phodiso is owned and operated by a group of 64 healthcare        
practitioners and business people, and has a black ownership component of  
     94.4%.                                                                     
     Phodiso was originally established by the current group of shareholders in 
     1989 to launch a new healthcare facility, the Legae Private Clinic, to     
service the emerging markets north-west of Pretoria. Today, Legae Private  
     Clinic is a significant participant in the region"s private healthcare     
     market and a highly successful business operation.                         
     In the 1990s Phodiso began to implement a strategy to develop new          
businesses which would support its core hospital services offering, these  
     include:                                                                   
     -    pharmaceuticals and medical supplies; and                             
     -    Independent Practitioner network management.                          
In the last few years Phodiso has expanded its presence in the hospital    
     services industry through a series of joint initiatives with Medi-Clinic,  
     which include:                                                             
     -    a 20.6% interest in Curamed; and                                      
-    a 49% interest in Protector.                                          
     Phodiso"s involvement in Medi-Clinic"s Black Ownership Initiative is a     
     natural progression from their existing working relationship with the      
     Company and is a key strategic imperative for Phodiso.                     
Two of Phodiso"s directors, Dr Nkaki Matlala and Dr Vincent Msibi will be  
     involved in the future management of Medi-Clinic. Dr Matlala has already   
     assumed a full time senior executive position in Medi-Clinic as Director of
     Clinical Relations and Dr Msibi will be available for nomination to the    
Medi-Clinic Board.                                                         
     Phodiso is well positioned to be Medi-Clinic"s long-term value adding      
     Strategic Black Partner given its focus, in-depth experience and successful
     track record in the healthcare sector.                                     
3.2  Circle Capital                                                             
     Circle Capital, a new order, blue chip investment holding company, aims to 
     add value to and grow established companies, assisting them in             
     systematically navigating the challenges of transformation to increase     
shareholder value. Circle Capital participates in investments in companies 
     of various sizes with varying needs such as Black Economic Empowerment     
     ("BEE"), strategic leadership, access to capital and operational           
     management.                                                                
Circle Capital was founded by Hlumelo Biko and Blessing Rugara in 2002.    
     Since inception, a highly skilled and experienced executive management team
     has been assembled with a demonstrated track record of success in the      
     private equity and empowerment investment arenas. Circle Capital enjoys    
significant private and institutional investor support of its acquisition  
     programme.                                                                 
     Circle Capital"s sustainable partnership philosophy is cemented in its     
     commitment to help create opportunities for black South Africans by making 
strategic investments in companies where Circle Capital will be able to    
     exert influence in human capital and transformation. The investment        
     philosophy of Circle Capital is based on investing in businesses that will 
     deliver sound business returns while enhancing transformation in the South 
African business landscape.                                                
     Circle Capital"s business development initiatives are based on its         
     Integrated Service Platform ("ISP") model to drive growth and shareholder  
     value. The core elements of the ISP that are instilled within Circle       
Capital and its investment companies are the development of human capital, 
     intellectual capital, social capital and physical capital.                 
     The Circle Capital investment strategy is a diversified one and the company
     actively pursues opportunities in the financial services,                  
telecommunications, manufacturing, healthcare, consumer goods and the      
     information, communications & technology sectors.                          
     Circle Capital has identified the healthcare sector as one of the fastest  
     growing and most important sectors in the new South African economy. As    
Chairperson of Circle Capital, Dr Ramphele"s vast experience both locally  
     and globally in the fields of human development makes for a mutually       
     beneficial partnership between Circle Capital and Medi-Clinic. Dr Ramphele 
     is already a member of the Board.                                          
4. SUGGESTED MECHANICS FOR THE PROPOSED SBP TRANSACTION                         
4.1 Capitalisation                                                              
     The Mpilo Companies are wholly owned subsidiaries of the Strategic Black   
     Partners and will be capitalised as follows:                               
-    Standard Bank will subscribe for A preference shares in each of the   
          Mpilo Companies pro rata to their Proposed Shareholding in Medi-Clinic
          for an aggregate amount of R200 million.                              
     -    The Strategic Black Partners will subscribe for ordinary shares in    
each of the Mpilo Companies pro rata to their Proposed Shareholding in
          Medi-Clinic for an aggregate amount of R80 million.                   
     The equity contribution from Phodiso will be in the form of healthcare     
     interests that will be sold to Medi-Clinic. This transaction may, in       
certain instances, require regulatory approval and, therefore, in order to 
     bridge such equity contribution, Standard Bank will also subscribe for an  
     extra special preference share in the amount of R50 million in Mpilo 1.    
4.2  The Scheme                                                                 
In terms of the Scheme, the Mpilo Companies will, in aggregate, acquire    
     from each Scheme Participant 4.25 ordinary shares for every 100 shares held
     ("the Scheme Shares") at the close of business on Thursday, 15 December    
     2005 ("the Record Date") for a consideration of R18.40 per Medi-Clinic     
Share.                                                                     
     A total of approximately 14.9 million Scheme Shares will be acquired by the
     Strategic Black Partners pro rata to their Proposed Shareholding in Medi-  
     Clinic, through their respective Mpilo Companies for an aggregate          
consideration of approximately R273.5 million.                             
     The implementation of the Scheme is subject to the fulfilment of the       
     conditions precedent set out in paragraph 7 of this announcement.          
4.3  Issue of Medi-Clinic shares                                                
Medi-Clinic will issue approximately 28.5 million ordinary shares to the   
     Mpilo Companies, pro rata to their Proposed Shareholding in Medi-Clinic, at
     par, with an estimated market value of approximately R524.7 million (R18.40
     per Medi-Clinic Share).                                                    
At the same time, Medi-Clinic will subscribe, at a nominal consideration,  
     for a special preference share in each of the Mpilo Companies, which       
     entitles Medi-Clinic to receive dividends in the aggregate amount of R524.7
     million from the Mpilo Companies proportionate to their Proposed           
Shareholding. The special preference shares will rank ahead of the A       
     preference shares and the ordinary shares in respect of cash flow and,     
     therefore, the monies accruing to the Mpilo Companies through, inter alia, 
     the special dividend will, via the special preference share, be paid back  
to Medi-Clinic as a payment in terms of such special preference share.     
4.4 Salient terms of Shareholders" Agreements                                   
     Medi-Clinic has, inter alia, entered into a shareholders" agreement with   
     each of the Strategic Black Partners in respect of their shareholding in   
the Mpilo Companies. The salient terms of such shareholders" agreements    
     include the following:                                                     
     -    the Strategic Black Partners will each nominate one person to the     
          Board;                                                                
-    the shareholding of the Strategic Black Partners in the Mpilo         
          Companies, and the shareholding of the Mpilo Companies in Medi-Clinic,
          will be subject to a lock-in period of at least ten years. This lock- 
          in period is intended to establish a long-term working relationship   
between Medi-Clinic and the Strategic Black Partners to the benefit of
          all Medi-Clinic Shareholders; and                                     
     -    the Strategic Black Partners have, inter alia, undertaken not to have 
          any involvement in any organisation that competes with any of Medi-   
Clinic"s businesses.                                                  
5. INTRODUCTION OF EMPLOYEES AS SHAREHOLDERS IN MEDI-CLINIC                     
5.1  Proposed terms of the Mpilo Trust                                          
     All employees of the Company up to, and including, first line management   
level will participate in the Black Ownership Initiative through the Mpilo 
     Trust. It is intended that the mechanism for such participation will be for
     the benefit of current and, to a limited extent, future employees. The     
     total current Participating Employees will be approximately 10 927, of     
which 52% are black and 89% are women.                                     
     Upon implementation, participation rights will be awarded to the           
     Participating Employees. The participation rights will legally vest on day 
     one and will entitle Participating Employees to full economic rights       
attaching to a specified number of Medi-Clinic Shares. It is envisaged that
     the participation rights will be allocated as follows:                     
     -    a minimum of 1 000 Medi-Clinic shares per employee; and               
     -    a further allocation of approximately 80 Medi-Clinic shares for every 
completed year of service.                                            
     There will be a total of five trustees to the Mpilo Trust, selected as     
     follows:                                                                   
     -    three trustees will be elected from the ranks of the Participating    
Employees and they will hold office based on a rotational basis; and  
     -    two trustees will be appointed by the Board.                          
     The trustees shall be responsible for, inter alia, the day-to-day          
     administration of the Mpilo Trust and voting the Medi-Clinic Shares held by
the Mpilo Trust. Participating Employees will have the opportunity to      
     direct the trustees as to the manner in which such Medi-Clinic Shares are  
     to be voted.                                                               
     After the expiry of a ten-year period from the date upon which the Mpilo   
Trust acquires the Medi-Clinic Shares, the Employees will, individually, be
     able to:                                                                   
     -    choose to remain as a participant in the Mpilo Trust on the same terms
          and conditions;                                                       
-    sell sufficient Medi-Clinic Shares to satisfy any outstanding capital 
          contribution; or                                                      
     -    take delivery of all allocated Medi-Clinic Shares by satisfying any   
          outstanding capital contribution.                                     
5.2  Proposed mechanism                                                         
     The Mpilo Trust will be formed through capital contributions by Medi-      
     Clinic"s operating subsidiaries totalling approximately R290.2 million. The
     operating subsidiaries will be corporate beneficiaries and will have a     
right to payment of dividends.                                             
     The funds received as a result of the capital contributions will be used to
     subscribe for approximately 15.8 million Medi-Clinic Shares at a market    
     value of R18.40 per share, which will represent a 4.0% shareholding in the 
enlarged issued share capital of Medi-Clinic.                              
     The dividends earned by the Mpilo Trust on the Medi-Clinic Shares will be  
     utilised as follows:                                                       
     -    100% of any special dividends will be distributed to the operating    
subsidiaries of Medi-Clinic, as corporate beneficiaries of the Mpilo  
          Trust;                                                                
     -    80% of any ordinary dividends will be distributed to the operating    
          subsidiaries of Medi-Clinic, as corporate beneficiaries of the Mpilo  
Trust; and                                                            
     -    20% of any ordinary dividends will be paid in cash to the relevant    
          Participating Employees in accordance with their participation rights.
6. GROUP STRUCTURE                                                              
The diagram illustrating the group structure subsequent to the implementation of
the Black Ownership Initiative will be published in the press.                  
7. CONDITIONS PRECEDENT                                                         
7.1  The Proposed SBP Transaction is subject to, inter alia, the fulfilment of  
the following conditions precedent:                                        
     7.1.1     signature of all relevant agreements relating to the Proposed SBP
               Transaction;                                                     
     7.1.2     obtaining of all approvals required from the JSE for the         
implementation of the Proposed SBP Transaction;                  
     7.1.3     obtaining of any other regulatory approvals required for the     
               implementation of the Proposed SBP Transaction;                  
     7.1.4     obtaining of all approvals from Medi-Clinic Shareholders for the 
implementation of the Proposed SBP Transaction, including        
               shareholder approval required by the JSE Listings Requirements to
               authorise the issue of Medi-Clinic Shares as contemplated in 4.3 
               above;                                                           
7.1.5     the approval of the Scheme by a majority representing not less   
               than three-fourths of the votes exercisable by Scheme members    
               present and voting either in person or by proxy at the Scheme    
               meeting;                                                         
7.1.6     sanctioning of the Scheme in terms of the Companies Act by the   
               Court;                                                           
     7.1.7     registration of a certified copy of the Order of Court           
               sanctioning the Scheme by the Registrar of Companies in terms of 
the Companies Act; and                                           
     7.1.8     provision of a guarantee by Circle Capital for its obligations to
               subscribe and pay for the Ordinary Shares in terms of the        
               Proposed SBP Transaction.                                        
7.2  The Proposed Employee Transaction is subject to, inter alia, the fulfilment
     of the following conditions precedent:                                     
     7.2.1     obtaining of all approvals required from the JSE for the         
               implementation of the Proposed Employee Transaction;             
7.2.2     obtaining of any other regulatory approvals required for the     
               implementation of the Proposed Employee Transaction; and         
     7.2.3     obtaining of all approvals from Medi-Clinic Shareholders for the 
               implementation of the Proposed Employee Transaction, including   
shareholder approval required by the JSE Listings Requirements to
               authorise the issue of Medi-Clinic Shares as contemplated in 5.2 
               above.                                                           
8. SPECIAL DIVIDEND                                                             
As discussed in paragraph 1.2 above, the Board has resolved to declare a Special
Dividend in the amount of R4.02 per Medi-Clinic Share subsequent to the         
implementation of the Black Ownership Initiative. The salient dates for the     
Special Dividend are as indicated below. The decision to pay the Special        
Dividend after the successful implementation of the Black Ownership Initiative  
was carefully considered by the Board and approved for the following reasons:   
-    the share price movements following the declaration of a special dividend  
     are unpredictable;                                                         
-    to establish certainty as to the transaction price and, thereby, adding to 
     the sustainability of the Black Ownership Initiative; and                  
-    the size of the Special Dividend per share to all shareholders was         
     positively impacted by the circular flow of funds back to Medi-Clinic in   
respect of the special preference shares and capital contributions.        
9. ECONOMIC COST                                                                
Medi-Clinic has estimated the economic cost of the Black Ownership Initiative to
be approximately R224.1 million. This translates into approximately 3.48% of the
market capitalisation of Medi-Clinic calculated with reference to the Medi-     
Clinic Share price of R18.40 per share. The estimate does not include any costs 
or taxes that may be directly attributable to Medi-Clinic Shareholders.         
10. 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 Black Ownership     
Initiative and the Capital Restructuring on the earnings per share ("EPS"),     
headline EPS ("HEPS"), net asset value ("NAV") and tangible NAV ("TNAV") per    
share. These unaudited pro forma financial effects do not constitute a          
representation of the future financial position of the Company on implementation
of the Black Ownership Initiative and Capital Restructuring. 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.                                                     
For the purposes of clarity, the financial effects are presented under the      
following scenarios:                                                            
-    the sole implementation of the Black Ownership Initiative;                 
-    the sole implementation of the Capital Restructuring;                      
-    the cumulative effect of the Black Ownership Initiative and Capital        
     Restructuring; and                                                         
-    the cumulative effect of the Black Ownership Initiative and Capital        
     Restructuring excluding the once-off effect of Secondary Tax on Companies  
     ("STC") charged on the Special Dividend.                                   
BLACK OWNERSHIP INITIATIVE                                                      
Audited                                                                 
        before the      Unaudited                   Unaudited                   
        Black           pro forma                   pro forma                   
        Ownership       adjustments                 after the                   
Initiative      Black                       Black                       
        and Capital     Ownership                   Ownership     Percentage    
        Restructuring1  Initiative                  Initiative    change        
EPS                                                                             
(cents) 157.5           (1.8)2                      155.7         (1.1)         
HEPS                                                                            
(cents) 145.7           (1.8)2                      143.9         (1.2)         
NAV per                                                                         
share                                                                           
(cents) 772.6           (1.2)3                      771.4         (0.2)         
TNAV                                                                            
Per                                                                             
share                                                                           
(cents) 758.6           (1.2)3                      757.4         (0.2)         
CAPITAL RESTRUCTURING                                                           
        Unaudited                                                               
pro forma                    Unaudited      Unaudited                   
        after the                    pro forma      pro forma                   
        Black                        adjustments    after the                   
        Ownership                    Capital        Capital       Percentage    
Initiative1                  Restructuring  Restructuring change        
EPS                                                                             
(cents) 155.7                         (77.7)4        78.0         (49.9)        
HEPS                                                                            
(cents) 143.9                         (77.3)4        66.6         (53.7)        
NAV per                                                                         
share                                                                           
(cents) 771.4                        (449.8)5       321.6         (58.3)        
TNAV                                                                            
per                                                                             
share                                                                           
(cents) 757.4                        (449.5)5       307.9         (59.3)        
CUMULATIVE EFFECT OF THE BLACK OWNERSHIP INITIATIVE AND CAPITAL RESTRUCTURING   
                                                    Unaudited                   
        Audited                                     pro forma                   
        Before the      Unaudited                   after the                   
Black           pro forma    Unaudited      Black                       
        Ownership       adjustments  pro forma      Ownership                   
        Initiative      Black        adjustments    Initiative                  
        and Capital     Ownership    Capital        and Capital   Percentage    
Restructuring1  Initiative   Restructuring  Restructuring change        
EPS                                                                             
(cents) 157.5           (1.8)2        (77.7)4        78.0         (50.5)        
HEPS                                                                            
(cents) 145.7           (1.8)2        (77.3)4        66.6         (54.3)        
NAV per                                                                         
share                                                                           
(cents) 772.6           (1.2)3       (449.8)5       321.6         (58.4)        
TNAV                                                                            
per                                                                             
share                                                                           
(cents) 758.6           (1.2)3       (449.5)5       307.9         (59.4)        
CUMULATIVE EFFECT OF THE BLACK OWNERSHIP INITIATIVE AND CAPITAL RESTRUCTURING   
EXCLUDING THE ONCE-OFF EFFECT OF STC                                            
                                                    Unaudited                   
        Audited                      Unaudited      pro forma                   
before the      Unaudited    pro forma      after the                   
        Black           pro forma    adjustments    Black                       
        Ownership       adjustments  Capital        Ownership                   
        Initiative      Black        Restructuring  Initiative                  
and Capital     Ownership    (excluding     and Capital   Percentage    
        Restructuring1  Initiative   STC)           Restructuring change        
EPS                                                                             
(cents) 157.5           (1.8)2       (25.6)4        130.1         (17.4)        
HEPS                                                                            
(cents) 145.7           (1.8)2       (25.6)4        118.3         (18.8)        
Notes and assumptions:                                                          
1.   Extracted from the audited published results of Medi-Clinic for the year   
ended 31 March 2005.                                                       
2.   For the purposes of calculating EPS and HEPS in respect of the Black       
     Ownership Initiative, it was assumed that:                                 
     a)   The Black Ownership Initiative was effected on 1 April 2004.          
b)   In terms of the application of IFRS 2 on the Proposed Employee        
          Transaction, the income statement will, over the 10-year vesting      
          period of the shares, be debited with an employee benefit expense of  
          R5.9 million per year.                                                
3.   For the purposes of calculating NAV per share and TNAV per share in respect
     of the Black Ownership Initiative, it was assumed that:                    
     a)   The Black Ownership Initiative was effected on 31 March 2005.         
     b)   15 774 209 new shares will be issued to the Mpilo Trust at R18.40 per 
share in terms of the Proposed Employee Transaction.                  
     c)   28 515 026 new shares will be issued to the Strategic Black Partners  
          at 10 cents per share.                                                
     d)   The 15 774 209 Medi-Clinic ordinary shares to be issued to the Mpilo  
Trust at R18.40 per share are treated as treasury shares due to the   
          consolidation of the Mpilo Trust.                                     
     e)   Estimated transaction costs amounting to R5.7 million will be paid in 
          cash and set off directly against reserves.                           
4.   For the purposes of calculating EPS and HEPS in respect of the Capital     
     Restructuring, it was assumed that:                                        
     a)   The Capital Restructuring was effected on 1 April 2004.               
     b)   The payment of the Special Dividend of R1 585.3 million in terms of   
the Capital Restructuring will attract a net once-off STC charge of   
          R198.2 million.                                                       
     c)   Dividends to be returned by the Mpilo Trust and the Strategic Black   
          Partners will contribute future STC savings of R29.7 million.         
d)   The Capital Restructuring will result in an increase in net finance   
          cost of R90.1 million after taxation. An interest rate of 6.7% (after 
          tax 4.7%) on surplus funds and 10.3% (after tax 7.2%) on new debt was 
          assumed.                                                              
5.   For the purposes of calculating NAV per share and TNAV per share in respect
     of the Capital Restructuring, it was assumed that:                         
     a)   The Capital Restructuring was effected on 31 March 2005.              
     b)   The Special Dividend of R1 585.3 million and the related STC charge of
R198.2 million will reduce reserves by R1 783.5 million.              
     c)   Dividends of R63.4 million are to be returned by the Mpilo Trust and  
          dividends of R174.4 million are to be returned by the Strategic Black 
          Partners. These dividends and related future STC savings of R29.7     
million will increase reserves by R267.5 million.                     
     d)   A Standard Bank long-term loan of R700 million will be raised.        
6.   For the purposes of calculating the unaudited pro forma financial effects, 
     the weighted and issued number of ordinary shares is reduced by 34 656 818 
shares, treated as treasury shares, being 15 774 209 shares attributable to
     the consolidation of the Mpilo Trust and 18 882 609 shares being the       
     portion of the total amount of shares issued to the Strategic Black        
     Partners for which settlement of the transaction consideration remains     
outstanding.                                                               
7.   The South African Institute of Chartered Accountants ("SAICA") has issued  
     two exposure drafts, ED 199 and ED 200 which deal with the accounting for  
     BEE transactions. ED 200 is based on the International Financial Reporting 
Interpretations Committee document D16 ("IFRIC D16"). Based on these, the  
     International Financial Reporting Standard 2 ("IFRS 2") may in future      
     become applicable to the Proposed SBP Transaction.                         
     The implementation of the proposed interpretation statement, IFRIC D16, on 
IFRS 2 may have the potential effect of a once-off charge to the income    
     statement of Medi-Clinic, with a corresponding increase in equity (a       
     separate reserve), for the fair value of shares issued at nominal value.   
     If ED199 and ED200 only become effective, prospectively, after 31 March    
2006, it should have no impact on Medi-Clinic"s income statement. However, 
     if it is implemented before 31 March 2006, or if it is implemented         
     retrospectively after 31 March 2006, a charge to Medi-Clinic"s income      
     statement for the financial year ended 31 March 2006 will realise.         
The accounting treatment of the Black Ownership Initiative can only be     
     finalised once comments have been received from the public on these        
     exposure drafts, by IFRIC and SAICA, and the related interpretation and/or 
     South African Statement of Generally Accepted Accounting Practice has been 
issued.                                                                    
11. LISTING ON THE JSE                                                          
It is intended that all new Medi-Clinic Shares issued to the Strategic Black    
Partners and the Mpilo Trust will be listed on the JSE on Monday, 19 December   
2005. An application for listing of such Shares will be submitted to the JSE on 
Monday, 24 October 2005.                                                        
12. OPINION AND RECOMMENDATION OF THE BOARD                                     
The Board is of the opinion that the terms and conditions of the Black Ownership
Initiative are fair and reasonable to the ordinary shareholders of Medi-Clinic. 
Accordingly, the Board recommends that ordinary shareholders vote in favour of  
the Scheme and the resolutions to be proposed at a general meeting of           
shareholders of Medi-Clinic. In respect of their personal holdings in Medi-     
Clinic, the Board members intend to vote in favour of the Scheme and the        
resolutions to be proposed at the general meeting.                              
Dr Mamphela Ramphele is a beneficiary to the Ramphele Family Trust which holds  
24.7% in Circle Capital Holdings ("Cicap"). Cicap holds a 64% interest in Circle
Capital. Accordingly, Dr Ramphele recused herself from the decision-making      
process of the Board in respect on the Black Ownership Initiative.              
13. SALIENT DATES AND TIMES                                                     
                                                                        2005    
Court Order issued to convene Scheme meeting            Thursday, 27 October    
Anticipated date for posting of the Circular to                                 
Medi-Clinic Shareholders                                 Tuesday, 1 November    
Last day to trade Medi-Clinic Shares on the JSE in                              
order to be recorded in the register of members of                              
Medi-Clinic to vote at the Scheme                                               
meeting on (note 2)                                      Friday, 11 November    
Record date for the Scheme meeting                        Friday, 18 November   
Last day for receipt of forms of proxy for the                                  
Scheme meeting by 10:00 on (notes 3 and 4)               Monday, 21 November    
Last day for receipt of forms of proxy for the                                  
General meeting by 10:00 on (notes 3 and 5)             Monday, 21 November     
General meeting to be held at 10:00 on                Wednesday, 23 November    
Scheme meeting to be held at 10:30 or 10 minutes                                
after the conclusion or adjournment of the general                              
meeting, whichever is the later, on                   Wednesday, 23 November    
Announcement of results of the general meeting and                              
the Scheme meeting on SENS on                         Wednesday, 23 November    
Announcement of results of the general meeting and                              
the Scheme meeting in the press on                     Thursday, 24 November    
Court hearing to sanction the Scheme on                 Thursday, 1 December    
Lodgement of the Court Order                            Thursday, 1 December    
IF THE SCHEME IS SANCTIONED AND IMPLEMENTED:                                    
Announcement on SENS regarding the sanctioning of                               
the Scheme                                              Thursday, 1 December    
Announcement in the press regarding the sanctioning                             
of the Scheme                                             Friday, 2 December    
Expected last day to trade in Medi-Clinic Shares on                             
the JSE in order for Medi-Clinic Shareholders to be                             
eligible to receive the Scheme Consideration on         Thursday, 8 December    
Expected first day to trade in Medi-Clinic Shares                               
under new ISIN on the JSE ex-entitlement to the                                 
Scheme Consideration on                                   Friday, 9 December    
Expected Record Date, being the date on which Medi-                             
Clinic Shareholders must be recorded on the register                            
of members of Medi-Clinic in order to be Scheme                                 
Participants and so become entitled to receive the                              
Scheme Consideration, at 17:00 on                      Thursday, 15 December    
Expected operative date of the Scheme, at the                                   
commencement of trading on the JSE on                    Monday, 19 December    
The Scheme Consideration is expected to be transferred                          
or posted (as the case may be), and new share                                   
certificates expected to be posted to certificated                              
Scheme Participants whose documents of title are                                
received by the transfer secretaries before 12:00 on                            
15 December 2005 on                                      Monday, 19 December    
Or                                                                              
failing receipt of documents of title before 12:00 on                           
15 December 2005, within five business days of receipt                          
thereof by the transfer secretaries.                                            
The Scheme Consideration is expected to be credited                             
to the dematerialised Scheme Participants" accounts                             
held at their CSDP or broker and share balances                                 
updated from                                             Monday, 19 December    
SALIENT DATES RELATING TO SPECIAL DIVIDEND                                      
Last date to trade cum Special Dividend                Thursday, 15 December    
Shares to commence trading ex Special Dividend           Monday, 19 December    
Record Date in respect of the Special Dividend           Friday, 23 December    
Payment Date of the Special Dividend                    Tuesday, 27 December    
Notes                                                                           
1.   The abovementioned times and dates are South African times and dates, and  
     are subject to change. Any such change will be published on SENS and in the
     press.                                                                     
2.   Shareholders are advised that as trading in Shares on the JSE is settled   
within the STRATE environment five business days following the trade,      
     shareholders acquiring dematerialised Shares after 11 November 2005 will   
     not be eligible to vote at the Scheme meeting.                             
3.   If a form of proxy for the Scheme or general meeting is not received by the
time and date shown above, it may be handed to the chairperson of the      
     Scheme or general meeting by not later than 10 minutes before the Scheme or
     general meeting is due to commence.                                        
4.   If the date of the Scheme meeting is adjourned or postponed, forms of proxy
must be received by no later than 24 hours prior to the time of the        
     adjourned or postponed Scheme meeting, provided that for the purposes of   
     calculating the latest time by which forms of proxy must be received,      
     Saturdays, Sundays and public holidays will be excluded.                   
5.   If the date of the general meeting is adjourned or postponed, forms of     
     proxy must be received by no later than 24 hours prior to the time of the  
     adjourned or postponed general meeting, provided that for the purposes of  
     calculating the latest time by which forms of proxy must be received,      
Saturdays, Sundays and public holidays will be excluded.                   
6.   Shareholders may not dematerialise or rematerialise their Shares between   
     Friday, 9 December 2005 and Friday, 23 December 2005, both days inclusive. 
14. NOTICE OF MEETINGS AND FURTHER DOCUMENTATION                                
14.1      The general meeting                                                   
          A general meeting of Medi-Clinic Shareholders will be held at 10:00 on
          Wednesday, 23 November 2005 at Medi-Clinic Offices, Strand Road,      
          Stellenbosch to consider and, if deemed fit, pass, inter alia, the    
resolutions necessary to effect the Black Ownership Initiative.       
14.2      The Scheme meeting                                                    
          The Scheme meeting of Medi-Clinic Shareholders recorded in the        
          register of members of Medi-Clinic at the close of business on the    
Record Date will be held at 10:30 or 10 minutes after the conclusion  
          or adjournment of the general meeting, whichever is the later, on     
          Wednesday, 23 November 2005 at Medi-Clinic Offices, Strand Road,      
          Stellenbosch to consider and, if deemed fit, to approve the Scheme.   
14.3 Documentation                                                              
     A circular providing further details of the Black Ownership Initiative will
     be posted to Medi-Clinic Shareholders on or about Tuesday, 1 November 2005.
15. WITHDRAWAL OF CAUTIONARY ANNOUNCEMENT                                       
Shareholders are referred to Medi-Clinic"s cautionary announcement released on  
SENS on Friday, 30 September 2005 and are advised that such cautionary          
announcement is accordingly withdrawn.                                          
Stellenbosch                                                                    
4 October 2005                                                                  
Investment Bank to Medi-Clinic                                                  
Standard Bank                                                                   
Attorneys                                                                       
Hofmeyr Herbstein & Gihwala Inc.                                                
Reporting accountants and auditors                                              
PricewaterhouseCoopers Inc.                                                     
Tax advisors                                                                    
PricewaterhouseCoopers Tax Advisory Services (Proprietary) Limited              
Sponsor                                                                         
Rand Merchant Bank (A division of FirstRand Bank Limited)                       
Senior debt arranger and funder to the Mpilo Companies                          
Standard Bank                                                                   
Corporate advisor to Phodiso                                                    
PricewaterhouseCoopers Corporate Finance (Proprietary) Limited                  
Corporate advisor to Circle Capital                                             
Circle Capital Fund Managers (Proprietary) Limited                              
Legal advisor to the Strategic Black Partners                                   
Webber Wentzel Bowens                                                           
Date: 04/10/2005 10:57:17 AM Produced by the JSE SENS Department                
                                                                                
                                                                                
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