INTERIM INTERIM RESUL RESULTS TS FOR FOR TH THE E SIX MO SIX - - PowerPoint PPT Presentation
INTERIM INTERIM RESUL RESULTS TS FOR FOR TH THE E SIX MO SIX - - PowerPoint PPT Presentation
INTERIM INTERIM RESUL RESULTS TS FOR FOR TH THE E SIX MO SIX MONT NTHS HS EN ENDED DED 30 30 SE SEPT PTEM EMBER BER 2011 2011 SALIE SALIENT FEA NT FEATURES TURES Solid performance by all three operating platforms
INTERIM INTERIM RESUL RESULTS TS
FOR FOR TH THE E SIX MO SIX MONT NTHS HS EN ENDED DED 30 30 SE SEPT PTEM EMBER BER 2011 2011
SALIE SALIENT FEA NT FEATURES TURES
Interim Results | 30 September 2011 3
- Solid performance by all three operating platforms
- Headline earnings increased by 19%
- Headline earnings per share increased by 10%
- Interim dividend per ordinary share maintained at 23.0
cents
Mediclinic International Ltd
AGEND GENDA
Mediclinic International Ltd Interim Results | 30 September 2011 4
- Group financial results
- Southern Africa
- Switzerland
- United Arab Emirates
- Consolidated
- Regional overview
- Southern Africa
- Switzerland
- United Arab Emirates
- Group prospects
- Questions
GR GROUP OUP FIN FINANC ANCIAL IAL RESUL RESULTS TS
Interim Results | 30 September 2011 5
SOUT SOUTHERN HERN AFR AFRICA ICA
MED MEDIC ICLIN LINIC IC SO SOUTHERN THERN AF AFRI RICA CA
MEDIC MEDICLINIC LINIC SOUTHERN SOUTHERN A AFRICA FRICA FIN FINAN ANCIA CIAL L RESUL RESULTS TS
Mediclinic International Ltd Interim Results | 30 September 2011 7
- Half-year revenue up 11%
- EBITDA margin 0.3% down mainly due to:
- rental income now included in revenue
- straight-lining of a major lease renewal
- Southern Africa contributed R394m to Group attributable income
- Further financial detail on all platforms provided in Appendices
ZAR million HY2012 HY2011 % change Revenue 4,695 4,244 11% EBITDA 989 910 9% Depreciation 123 112 10% Net finance charges 166 174
- 5%
Tax 230 195 18% Non-controlling interests 76 73 4% Attributable income 394 356 11% EBITDA margin 21.1% 21.4%
MEDIC MEDICLINIC LINIC SOUTHERN SOUTHERN A AFRICA FRICA EBITD EBITDA A MAR MARGI GIN N CO COMP MPAR ARISON ISON
Mediclinic International Ltd Interim Results | 30 September 2011 8
EBITDA margin would have increased from 20.9% to 21.1% if prior year was adjusted ZAR million HY2012 HY2011 Revenue as reported 4,695 4,244 Rental income included in revenue
- 51
Adjusted revenue 4,695 4,295 EBITDA as reported 989 910 Straight-lining of lease
- -11
Adjusted EBITDA 989 899 EBITDA margin
- As reported
21.1% 21.4%
- Adjusted
21.1% 20.9%
MEDIC MEDICLINIC LINIC SOUTHERN SOUTHERN A AFRICA FRICA REVENU REVENUE
Mediclinic International Ltd Interim Results | 30 September 2011 9 3.0 3.4 3.8 4.2 4.7 6.1 6.8 7.7 8.6 0.0 2.0 4.0 6.0 8.0 10.0 2008 2009 2010 2011 2012 ZARbn
Revenue
Half year Full year
CAGR:12% CAGR:13% CAGR:12% CAGR:13%
Southern African revenue growth has remained consistent
MEDIC MEDICLINIC LINIC SOUTHERN SOUTHERN A AFRICA FRICA EBITD EBITDA
Mediclinic International Ltd Interim Results | 30 September 2011 10 0.6 0.7 0.8 0.9 1.0 1.3 1.5 1.7 1.8 0.0 0.5 1.0 1.5 2.0 2.5 2008 2009 2010 2011 2012 ZARm
EBITDA and Margin
Half year Full year
CAGR:12% CAGR:12% 21.3% 21.3% 21.3% 21.4% 21.4% 21.5% 21.5% 21.5% 21.3%
EBITDA margin remained fairly stable
SWIT SWITZERLAND ZERLAND
HIR IRSLA SLANDEN DEN
HI HIRSLAND RSLANDEN EN FIN FINAN ANCIA CIAL L RESUL RESULTS TS (CH (CHF) F)
Mediclinic International Ltd Interim Results | 30 September 2011 12
- Half-year revenue 8% higher
- EBITDA margin 0.7% lower due to:
- lower operating margin at newly acquired Klinik Stephanshorn
- challenging conditions in Western region (discussed in more detail
under regional review) CHF million HY2012 HY2011 % change Revenue 606 562 8% EBITDA 129 124 4% Depreciation 33 29 14% Net finance charges 73 74
- 1%
Tax 15 16
- 6%
Attributable income 8 5 60% EBITDA margin 21.4% 22.1%
HI HIRSLAND RSLANDEN EN FIN FINAN ANCIA CIAL RESUL RESULTS TS (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 13
- The Rand was weaker against the Swiss franc during the current period
- In ZAR terms, revenue increased by 28% to R5.0bn
- EBITDA increased by 19% to R1.1bn
- Hirslanden contributed R69m to Group attributable income
ZAR million HY2012 HY2011 % change Revenue 5,001 3,913 28% EBITDA 1,070 866 24% Depreciation 268 217 24% Net finance charges 605 558 8% Tax 128 92 39% Attributable income 69 36 91% Average exchange rate 8.25 6.96 Spot exchange rate 8.96 7.18
HI HIRSLAND RSLANDEN EN REVENU REVENUE
Mediclinic International Ltd Interim Results | 30 September 2011 14 469 517 540 562 606 1001 1091 1134 1218 500 1000 1500 2008 2009 2010 2011 2012 CHFm
Revenue
Half year Full year
CAGR:7% CAGR:7%
Hirslanden has shown a steady revenue growth over the past few years
HI HIRSLAND RSLANDEN EN EBITD EBITDA
Mediclinic International Ltd Interim Results | 30 September 2011 15 98 114 120 124 129 222 245 266 285 100 200 300 400 2008 2009 2010 2011 2012 CHFm
EBITDA and Margin
Half year Full year
CAGR:7% CAGR:9% 22.1% 21.4% 20.9% 21.9% 22.2% 22.2% 22.5% 23.4% 23.4%
EBITDA margin was fairly stable
UNITED UNITED AR ARAB AB EMIRA EMIRATES TES
EMIRA EMIRATES TES HE HEAL ALTH THCARE ARE
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE FIN FINAN ANCIA CIAL L RESUL RESULTS TS (AED (AED)
Mediclinic International Ltd Interim Results | 30 September 2011 17
- Half-year revenue up 35%
- EBITDA margin 0.9% higher
AED million HY2012 HY2011 % change Revenue 406 301 35% EBITDA 63 45 40% Depreciation 24 18 33% Net finance charges 8 9
- 11%
Non-controlling interests 15 9 67% Attributable income 16 9 78% EBITDA margin 15.6% 14.7%
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE FIN FINAN ANCIA CIAL L RESUL RESULTS TS (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 18
- The Rand was stronger against the UAE dirham over the current period
- In ZAR terms, revenue increased by 26% to R771m
- EBITDA increased by 33% to R120m
- Emirates Healthcare operations contributed R31m to Group attributable
income ZAR million HY2012 HY2011 % change Revenue 771 611 26% EBITDA 120 90 33% Depreciation 45 36 25% Net finance charges 14 18
- 22%
Non-controlling interests 30 18 67% Attributable income 31 18 72% Average exchange rate 1.90 2.03 Spot exchange rate 2.20 1.90
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE REVENU REVENUE
Mediclinic International Ltd Interim Results | 30 September 2011 19 118 147 237 301 406 249 341 529 681 250 500 750 2008 2009 2010 2011 2012 AEDm
Revenue
Half year Full year
CAGR:36% CAGR:40%
Emirates Healthcare has shown exceptional revenue growth due to recent acquisitions and expansions
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE EBITD EBITDA
Mediclinic International Ltd Interim Results | 30 September 2011 20 12 14 45 63 26
- 3
62 122
- 20
30 80 130 180 2008 2009 2010 2011 2012 AEDm
EBITDA and Margin
Half year Full year
CAGR:51% CAGR:67% 11.8% 14.7% 10.0% 5.7% 10.4%
- 0.9%
18.0% 15.6%
EBITDA margin is gradually increasing
CONSOLID CONSOLIDATED TED FIN FINANCIAL ANCIAL RESUL RESULTS TS
Interim Results | 30 September 2011 21
MEDIC MEDICLINIC LINIC GR GROU OUP SUMMA SUMMARISED RISED RESUL RESULTS TS (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 22
- Revenue increased by 19% for the period under review
- Headline earnings rose by 19%
- The lower HEPS growth is due to the increased weighted average number
- f shares in issue which resulted from last year’s rights offer
ZAR million HY2012 HY2011 % change Revenue 10,467 8,768 19% EBITDA 2,179 1,866 17% Net finance charges 766 709 8% Headline earnings 484 407 19% Headline earnings per share (cents) 77.2 70.2 10%
Weighted ave. no. of shares in issue (m)
627 580 8% EBITDA margin 20.8% 21.3%
MEDIC MEDICLINIC LINIC GR GROU OUP P FIN FINAN ANCIA CIAL L POSIT POSITIO ION N (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 23
- Debt increased mainly due to the weaker closing ZAR/CHF rate from
R7.42 to R8.96
- Foreign debt is matched to Swiss and Middle Eastern assets in currencies
applicable to the respective platforms ZAR million
30 Sep 11 31 Mar 11 % change
Total interest-bearing debt 26,093 22,248 17% Total assets 50,962 43,537 17% Total equity 11,572 10,560 10% Total cash and investments 3,388 3,016 12%
Cash and cash equivalents
1,635 1,567 4%
Money market funds and investment grade bonds
1,753 1,449 21%
REVENU REVENUE E AN ANAL ALYSIS SIS
Mediclinic International Ltd Interim Results | 30 September 2011 24
4,695 45% 5,001 48% 771 7%
Revenue HY2012 (Rm)
Total: R10.5 billion 4,244 48% 3,913 45% 611 7%
Revenue HY2011 (Rm)
Southern Africa Switzerland UAE Total: R8.8 billion
REVENU REVENUE E GR GROWTH WTH CO CONST NSTAN ANT T RA RATE TES
Mediclinic International Ltd Interim Results | 30 September 2011 25 4,244 4,244 4,695 3,913 4,637 5,001 611 572 771
- 2,000
4,000 6,000 8,000 10,000 12,000 HY2011 HY2011 (HY2012 rate) HY2012 R millions Southern Africa Switzerland UAE Total: 8.8bn Total: 9.5bn Total: 10.5bn
8% rate difference 11% actual growth 19% total growth
EBITD EBITDA A AN ANAL ALYSIS SIS
Mediclinic International Ltd Interim Results | 30 September 2011 26
989 45% 1,070 49% 120 6%
EBITDA HY2012 (Rm)
Total: R2.2 billion 910 49% 866 46% 90 5%
EBITDA HY2011 (Rm)
Southern Africa Switzerland UAE Total: R1.9 billion
EBITD EBITDA A GR GROWTH WTH CO CONST NSTAN ANT T RA RATE TES
Mediclinic International Ltd Interim Results | 30 September 2011 27 910 910 989 866 1,027 1,070 90 86 120
- 1,000
2,000 3,000 HY2011 HY2011 (HY2012 rate) HY2012 R millions Southern Africa Switzerland UAE Total: 1.9bn Total: 2.0bn Total: 2.2bn
8% rate difference 8% actual growth 17% total growth
DEBT DEBT AN AND D FIN FINAN ANCE COST CE COST
Mediclinic International Ltd Interim Results | 30 September 2011 28
3,744 14% 21,837 84% 512 2%
Debt at 30 Sep 2011 (Rm)
Total: R26.1 billion 186 23% 610 75% 14 2%
Finance Cost HY2012 (Rm)
Southern Africa Switzerland UAE Total: R0.8 billion
HEADLINE HEADLINE EARNINGS EARNINGS CONTRIB CONTRIBUTI UTION ON
Mediclinic International Ltd Interim Results | 30 September 2011 29 394 81% 69 14% 31 7%
- 10
- 2%
Headline Earnings HY2012 (Rm)
Southern Africa Switzerland UAE Corporate Total: R484 million 353 87% 36 9% 18 4%
Headline Earnings HY2011 (Rm)
Total: R407 million
HEAD HEADLINE LINE EARN EARNIN INGS GS
Mediclinic International Ltd Interim Results | 30 September 2011 30 70.2 77.2 6.6 5.7 2.2 (1.7) (5.8) 0.0 25.0 50.0 75.0 100.0 HY2011 MCSA contribution Hirslanden contribution EHHL contribution Corporate Rights
- ffer
HY2012
HEPS Bridge: HY2011 - HY2012
Description HY2012 HY2011 % change Headline earnings (R million) 484 407 19%
Weighted ave. no. of shares in issue (m)
627 580 8% Headline earnings per share (cents) 77.2 70.2 10%
GR GROWTH WTH SINCE Y SINCE YEAR EAR-END END
Mediclinic International Ltd Interim Results | 30 September 2011 31
Capacity grew by 26 beds over the past six months
Mediclinic Paarl Klinik Beau-Site Mediclinic Stellenbosch
Southern Africa Hirslanden Emirates Healthcare Total Capacity at 31 March 2011 7,103 1,457 336 8,896 Stellenbosch 10 10 Paarl 2 2 Klinik Beau-Site 14 14 Capacity at 30 September 2011 7,115 1,471 336 8,922
CU CURR RRENT ENT DEBT STR DEBT STRUC UCTURE TURE
Mediclinic International Ltd Interim Results | 30 September 2011 32
Local Currency (millions) ZAR (millions) Propco Debt 2,770 2,770 Dec 2011 (50%) - Dec 2013 (50%) (a) 11.0% - 11.1% (1) Opco Debt 510 510 Mar 2015 (a) 9.3% - 11.4% Capex Facility 146 146 Apr 2014 (b) JIBAR + 1.4% Other (3) 245 245 2011 - 2023
- Overdraft
73 73
- Total Mediclinic SA
ZAR 3,744 3,744 Barcap Facility (3) 2,433 21,800 Oct 2014 (c) 5.62% (1) Secured Bank Loans 4 37 2013 - 2016 1.9% - 2.7% Intergroup Loan (4) 21 188 2015 2.5% Total Hirslanden CHF 2,458 22,025 Secured Bank Loans 233 512 2015 - 2020 (b) Variable (2) Total Emirates Healthcare AED 233 512 Elimination of intergroup debt
- 188
TOTAL DEBT 26,093
Note: Majority of the Mediclinic Southern Africa loans are held by Standard Bank. EHHL loans are held by UNB and Standard Chartered.
(a) Bullet loan. (1) Effective interest rate taking swaps into account. (b) Amortizing loan. (2) Linked to EIBOR. (c) c.98% bullet payment in October 2014. (3) Includes Capitalised Financing Expenses. (4) Between Hirslanden and Treasury
HIRSLANDEN EMIRATES HEALTHCARE 30 September 2011 Maturity Effective Interest Asset MEDICLINIC SOUTHERN AFRICA
- An efficient capital structure is important to Mediclinic
- Property backed businesses able to sustain higher levels of debt
- Swiss and UAE debt is matched to assets in the same currency
- Swiss and UAE debt is without recourse to Southern African
- perations
- Strong financial position
- R1.4bn rights issue completed in August 2010, to finance Swiss
growth opportunities
- Unused overdraft facilities of R760m, provides sufficient
headroom
- South African facility of R1.4bn which was due in December 2011
has been successfully renewed for one year
- Long term financing in place with a spread of facility maturities
ST STRONG ONG FIN FINANC ANCIAL IAL POS POSITION ITION AN AND D EF EFFICIENT FICIENT CA CAPIT PITAL S AL STR TRUC UCTURE TURE
Mediclinic International Ltd Interim Results | 30 September 2011 33
- R21.8bn Swiss facility committed until October 2014, fixed at an
attractive interest rate and secured against assets of R30.5bn (CHF3.4bn)
- An independent valuation was carried out recently and the
valuation for Swiss properties has been confirmed at CHF3.4bn (versus CHF3.3bn in the last valuation)
- The Group continuously reviews and assesses its capital
structure
- Range of options available to refinance facilities
- Confident about refinancing the Hirslanden acquisition debt
- Plan in place to take steps in a prudent fashion
- Confidential ratings were obtained from S&P and Moody’s earlier
this year
- A number of discussions regarding options are underway
- Current volatile market conditions have been taken into
consideration for the timing on potential refinancing
ST STRONG ONG FIN FINANC ANCIAL IAL POS POSITION ITION AN AND D EF EFFICIENT FICIENT CA CAPIT PITAL S AL STR TRUC UCTURE TURE
Mediclinic International Ltd Interim Results | 30 September 2011 34
CA CASH SH CO CONV NVERSION ERSION
Mediclinic International Ltd Interim Results | 30 September 2011 35
- The Group converted 88% of EBITDA into cash generated
from operations, mainly affected by:
- Non cash flow IAS19 pension fund adjustment at Hirslanden
(R53m) (CHF6.4m)
- Decrease in Swiss payables (R104m) (CHF12m) in respect of
major building projects
REGION REGIONAL AL OVER VERVIEW VIEW
SOUT SOUTHERN HERN AFR AFRICA ICA MEDICLINIC MEDICLINIC SOUT SOUTHERN A HERN AFRICA FRICA
Mediclinic International Ltd Interim Results | 30 September 2011 38
ES ESTABLISHE ABLISHED D LE LEADER ADER IN IN QU QUALITY CAR ALITY CARE
* includes FTEs filled through staff agencies
At 30 September 2011 Hospitals 52 Beds 7 115 Admitting specialists 2 200 Employees (FTEs)* 16 200
INTE INTERIM RES RIM RESUL ULTS TS CO COMMENT MMENTAR ARY
- 11% revenue growth driven by:
- 3.2% increase in bed-days sold
- 5.5% increase in average income per bed-day
- 2.3% increase in other revenue
- Strong cash flow: 96% of EBITDA converted into cash
generated from operations
Mediclinic International Ltd 39 Interim Results | 30 September 2011
- Green Paper published 12 August 2011 (comments by 31
December)
- Must be read in conjunction with other documents:
- National Health Amendment Bill – creation of a quality
regulator
- Discussion Document on PHC re-engineering (November
2010)
- Draft HR strategy document (August 2011)
- Mediclinic and HASA submissions
NHI NHI UPD UPDATE TE GR GREE EEN P N PAPER APER
Mediclinic International Ltd 40 Interim Results | 30 September 2011
NHI NHI UPD UPDATE TE CER CERTAIN AINTIE TIES S AN AND D UN UNCER CERTAIN AINTIE TIES
Reasonable clarity
- 1. Primary health
care re-engineering
- 2. Quality
regulator
- 3. Insurance
model
- 4. Purchaser/
provider split
Lack of clarity
- 1. Cost
implications
- 2. Source of
financing
- 3. Human
resources
- 4. Benefit
package
- 5. Role of medical
schemes
- 6. Governance and
accountability
- 7. Provider payment
and price determination
- 8. Freedom of
choice
Mediclinic International Ltd 41 Interim Results | 30 September 2011
NHI NHI UPD UPDATE TE – GREE GREEN P N PAPE APER POSIT POSITIVES IVES AN AND D CO CONC NCERNS ERNS Positives
- Pragmatic
- Phased implementation plan
- Iterative with pilots
- Focus on primary care
- Acknowledgement of quality issues in the public sector
- Acknowledgement on HR shortage
Concerns
- Lack of clarity on important key aspects
- Lack of alignment between implementation plans and HR
Strategy Plan
Mediclinic International Ltd 42 Interim Results | 30 September 2011
3.6% 8.3% 2.0% 3.1% 2.6% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 2006 2007 2008 2009 2010
GEMS
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET CO CONSIST NSISTENT ENT GR GROWTH WTH IN IN BE BENEFICIA NEFICIARIES RIES
Average annual growth of 3.8% over the 5 year period
Source of data: CMS Annual Reports
Mediclinic International Ltd 43 Interim Results | 30 September 2011
11.2% 11.9% 12.2% 12.4% 12.4% 12.9% 13.0% 20.7% 26.1% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% Free State Western Cape Gauteng Mpumalanga Eastern Cape Northern Cape KwaZulu Natal North West Limpopo
% Increase in beneficiaries 2006 - 2009
379,930 1,294,986 2,909,955 553,501 690,619 168,711 1,233,940 440,911 379,429 Total = 8.1m
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET GR GROWTH WTH IN IN BE BENEFICIA NEFICIARIES B RIES BY Y PR PROVIN VINCE CE
Mediclinic International Ltd 44 Interim Results | 30 September 2011
Source of data: CMS
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET SIGN SIGNIFICA IFICANT NT IN INCR CREASE EASE I IN RES N RESER ERVES VES
Mediclinic International Ltd 45 Interim Results | 30 September 2011 5.3 7.1 9.6 13.8 18.7 20.9 21.8 24.1 27.0 27.9 30.9
- 5.0
10.0 15.0 20.0 25.0 30.0 35.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Accumulated Reserves in Billions
Source of data: CMS Annual Reports
2010 Excess Reserves Using Risk Based Capital Approach: R15.2bn
20.2% 22.9% 29.3% 37.3% 39.1% 37.9% 38.0% 36.6 32.9% 31.6% 20.4%
Solvency Ratio
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET CO CONSOLID NSOLIDATION TION – A H
HIST ISTOR ORIC ICAL L L LON ONG G TERM M TREND ND
Source: Prof. McLeod, IMSA Policy Brief 8
Mediclinic International Ltd 46 Interim Results | 30 September 2011
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET CO CONSOLID NSOLIDATION TION – A N
NECESSARY TREND ND
Size of Risk Pools 2008
Sources: Prof. McLeod, IMSA Policy Brief 8; Managed Healthcare Business Models for Hospital Organisations, Millman and Robertson
Mediclinic International Ltd 47 Interim Results | 30 September 2011
MEDICAL MEDICAL SCHE SCHEME ME MARK MARKET ET CO CONSOLID NSOLIDATION TION – IN
INCREASE IN IN C CON ONCENTRA NTRATIO ION
Source of data: CMS Annual Reports and HASA
Mediclinic International Ltd 48 Interim Results | 30 September 2011
2,181 1,800 1,635
- 500
1,000 1,500 2,000 2,500 2003 2004 2005 2006 2007 2008 2009 2010 H H I Private Hospital Concentration Administrator Concentration Concentrated Market Administrator Concentration with GEMS separate
2,139
CAP CAPACITY CITY GR GROWT WTH
Mediclinic International Ltd 49 Interim Results | 30 September 2011 10 20 30 40 50 60 1000 2000 3000 4000 5000 6000 7000 8000 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 H2012 Hospitals Beds Beds Hospitals Development phase Acquisition phase
OPE OPERA RATION TIONAL AL PE PERFORMAN RFORMANCE CE
Mediclinic International Ltd 50 Interim Results | 30 September 2011
BED BED OCC OCCUP UPANC ANCY Y AN AND D DEVEL DEVELOPMENT OPMENT
Mediclinic International Ltd 51 Interim Results | 30 September 2011
- Licensed beds increased from 7103 at 30 March 2011 to 7115
- Bed occupancy level calculated on operational beds
- Additional capacity (difference between licensed and operational beds) is
for projects and expansions at hospitals
- Average additional capacity is 8% of licensed beds
67.2% 69.2% 69.4% 69.3% 70.3%
60.0% 65.0% 70.0% 75.0% 80.0%
- 3,000
6,000 9,000 HY2008 HY2009 HY2010 HY2011 HY2012 Bed occupancy rate Number of beds Operational beds Additional capacity Bed occupancy rate CAGR = 0.9% (HY2008 - HY2012) 6,872 6,808 6,859 7,051 7,115
Mediclinic Stellenbosch
- 10 additional beds
Mediclinic Paarl
- 2 beds and 1 theatre
Mediclinic Cape Town
- New consulting block
BUILDING UILDING PR PROJE OJECTS CTS CO COMPL MPLET ETED ED
Mediclinic Paarl Mediclinic Cape Town Mediclinic International Ltd 52 Interim Results | 30 September 2011
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS – COMPL
OMPLETE IN IN N NEXT 6 6 MON MONTHS HS
Mediclinic Kloof Mediclinic International Ltd 53 Interim Results | 30 September 2011
Hospital Additional beds Mediclinic Kimberley (additional beds) 8 Mediclinic Kloof (additional beds) 32 Mediclinic Welkom (additional beds and upgrade) 36 Mediclinic Legae (additional beds and upgrade) 4 Mediclinic Potchefstroom (additional beds) 13 Mediclinic Highveld (additional beds) 27 Mediclinic Otjiwarongo (additional beds) 2 Total 122
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS – COMPL
OMPLETE DUR URIN ING G 20 2013 13
Mediclinic Limpopo Mediclinic Nelspruit Mediclinic International Ltd 54 Interim Results | 30 September 2011
Hospital Additional beds Mediclinic Nelspruit (additional beds) 66 Mediclinic Limpopo (additional beds and upgrade) 60 Mediclinic Cottage (additional beds and upgrade) 14 Mediclinic Hoogland (consulting block and upgrade)
- Mediclinic Louis Leipoldt (upgrade)
- Total
140
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS – COMPL
OMPLETE DUR URIN ING G 20 2013 13
Mediclinic Limpopo Mediclinic International Ltd 55 Interim Results | 30 September 2011
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS – COMPL
OMPLETE DUR URIN ING G 20 2013 13
Mediclinic Louis Leipoldt Mediclinic International Ltd 56 Interim Results | 30 September 2011
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS – COMPL
OMPLETE DUR URIN ING G 20 2014 14
Mediclinic International Ltd 57 Interim Results | 30 September 2011 Mediclinic Pietermaritzburg
Hospital Additional beds Mediclinic Pietermaritzburg (cardiology unit, additional beds, consulting rooms and upgrade) 80 Mediclinic Windhoek (additional beds and consulting rooms) 26 Total 106
BUILDING UILDING PR PROJE OJECTS CTS APPR APPROVED VED
Mediclinic International Ltd 58 Interim Results | 30 September 2011 Centurion Private Hospital
Hospital Additional beds Centurion Private Hospital (new development) 174 Mediclinic Stellenbosch (upgrade)
- Mediclinic Milnerton (additional beds)
10 Total 184
SWIT SWITZERLAND ZERLAND HIRSLANDEN HIRSLANDEN
Mediclinic International Ltd Interim Results | 30 September 2011 60
HIRSLANDEN HIRSLANDEN TOD ODAY
At 30 September 2011 Hospitals 14 Beds 1 471 Admitting specialists 1 350 Employed specialists 210 Employees 5 700
HIRSLANDEN HIRSLANDEN ACH CHIEVEMENTS IEVEMENTS
- Continuous growth: Steady development in all dimensions
- Increase of inpatients by 6.4% to 37 800
- Increase of midnight census days by 4.6% to 184 000
- Increase of average income per bed day by 2.1%
- Strengthened Leadership: New EXCO structure
- Growing together: Realising convergence and synergies
- Continuous investments: Expanding our capacities and
capabilities
Mediclinic International Ltd 61 Interim Results | 30 September 2011
Interim Results | 30 September 2011 62
UND UNDERP ERPERF ERFORMA ORMANCE NCE WES WESTE TERN RN REGI REGION ON
- Illness of 3 major doctors - back in second six months
- Difficulty in recruiting new doctors due to list uncertainties –
now resolved
- Pre-opening expenses at Klinik Beau Site due to expansion
project
- Generally lower than expected frequencies experienced by
insurance companies
Mediclinic International Ltd
CON CONTINUOUS TINUOUS GR GROWT WTH ST STEAD EADY Y DEVEL DEVELOPMENT OPMENT IN IN AL ALL DIM DIMENSION ENSIONS Key figures
20,000 40,000 60,000 80,000 100,000 2005 2006 2007 2008 2009 2010 2011 2012
Inpatients
CAGR FY: 5.0% (HY 3.9%) 100,000 200,000 300,000 400,000 500,000 2005 2006 2007 2008 2009 2010 2011 2012
Patient days (H+)
Half year Full year CAGR FY: 4.8% (HY 3.3%) 200 400 600 800 1,000 1,200 1,400 2005 2006 2007 2008 2009 2010 2011 2012 Revenue (MCHF) CAGR FY: 8.6% (HY 7.3%) 50 100 150 200 250 300 2005 2006 2007 2008 2009 2010 2011 2012 EBITDA (MCHF) CAGR FY: 8.4% (HY 7.3%) Mediclinic International Ltd 63 Interim Results | 30 September 2011
CON CONTINUOUS TINUOUS GR GROWT WTH IN INPATIE TIENT NT SE SEASON ASONALITY ALITY 1st versus 2nd half year frequencies
4,500 5,000 5,500 6,000 6,500 7,000 7,500 8,000 8,500 April May June July August September October November December January February March Inpatients
FY 2009 FY 2010 FY 2011 FY 2012
1Q 2Q
Mediclinic International Ltd 64 Interim Results | 30 September 2011
ST STRENGTHE RENGTHENED NED LE LEADERSHIP ADERSHIP NEW NEW EX EXCO CO S STR TRUC UCTURE TURE
CFO
Andreas Kappeler
COO WESTERN REGION
Adrian Dennler
Klinik Beau-Site Salem-Spital Clinique Cecil Clinique Bois-Cerf Klinik Permanence
COO CENTRAL REGION
Nicolaus Fontana
Klinik Im Park Klinik St. Anna Hirslanden Klinik Aarau AndreasKlinik Cham Zug Klinik Birshof
COO EASTERN REGION
André Steiner
Klinik Hirslanden Klinik Belair Marketing Investments Real Estate + Movables
CHO
Magnus Oetiker
ICT-Services Human Resources Funder Relations Clinical Services
- Admin. Functions
Group Accounting Group Controlling Supply Chain Management
CEO
- Dr. Ole Wiesinger
BOARD EXCO
Klinik Stephanshorn Klinik Am Rosenberg Hirslanden Klinik Aarau Klinik Birshof Klinik Im Park Klinik St. Anna AndreasKlinik Cham Zug Service Centre FIN Business Unit CONTR New Hospital Manager
NEW NEW NEW NEW NEW
Mediclinic International Ltd 65 Interim Results | 30 September 2011
GR GROWING WING TOGET OGETHER HER REALISING REALISING CON CONVER VERGENC GENCE E & S & SYN YNER ERGI GIES ES
Central Organisation
Shared Service Centre Group Controlling Group Accounting
CFO Hospitals / Head Office
Business Unit Controlling Marketing & Recruiting Staff & leadership development Operations, Staffing & Salary
CHO
Central HR Klinik Hirslanden
Business Partner Business Partner
Klinik Im Park
Business Partner
Head Office
Business Partner Business Partner Business Partner
Mediclinic International Ltd 66 Interim Results | 30 September 2011
CON CONTINUOUS TINUOUS INVEST INVESTMENT MENTS EXP EXPAN ANDIN DING G OU OUR R CA CAPACITIES CITIES AN AND D CA CAPAB ABILITIE ILITIES CAPEX projects completed last half-year
- Aarau: Renovation ward
- Berne: New doctors building
- Lucerne: Renovation of two
departments
- Movables:
- Zurich: SPECT-CT, 3T MRI, MRI
Symphony (upgrade)
- Lucerne: MRI (outpatient centre
main station)
Mediclinic International Ltd 67 Interim Results | 30 September 2011
LOOK OOKING ING FORWARD FORWARD CH CHALLE ALLENG NGES ES AND AND OPPOR OPPORTUNI TUNITIE TIES
- Macroeconomic environment: Challenges for a small
economy
- Internal growth: On going investment in our future
- External growth: Seizing the opportunities of beginning
market consolidation
- Regulatory environment: Being ready for new
regulatory conditions 2012
Mediclinic International Ltd 68 Interim Results | 30 September 2011
ECONOMIC ECONOMIC ENVIR ENVIRONMENT ONMENT CH CHALLE ALLENG NGES ES F FOR OR A A SMALL SMALL ECO ECONO NOMY MY
- Economic outlook for Switzerland has deteriorated over past months
- Main factors are unfavourable foreign trade conditions:
- Slowing down of world economy
- High valuation of the Swiss Franc – even after introduction of
exchange rate floor to the Euro
- Negative impact on exports and company investments
- Effect on real economy is “painful but bearable” (Credit Suisse)
- Forecasts predict a temporarily drop in GDP growth over next
quarters
- For 2012 as whole the GDP forecasts have all been lowered but are
still positive
- Acute care market:
- Empirically fewer elective treatments observable
- Altogether low effect on acute care market expected
Mediclinic International Ltd 69 Interim Results | 30 September 2011
INTE INTERN RNAL AL GR GROWT WTH ON ONGO GOIN ING G IN INVEST VESTMENT MENT IN IN OUR OUR FUTURE FUTURE Major CAPEX Projects
Mediclinic International Ltd 70 Interim Results | 30 September 2011
BUILDING UILDING PR PROJE OJECTS CTS IN IN PR PROG OGRESS RESS
Mediclinic International Ltd 71 Interim Results | 30 September 2011
Complete in next 6 months
Hospital Additional beds Klinik Beau-Site (additional beds and upgrade) 9 Klinik Bois-Cerf (radiology department)
- Total
9
Complete during 2013
Hospital Additional beds Klinik Bois-Cerf (radiotherapy department)
- Total
- Complete during 2014
Hospital Additional beds Klinik Hirslanden (additional beds and consulting rooms) 71 Total 71
Klinik Beau-Site Klinik Bois-Cerf Klinik Hirslanden
North-western part Central part Western part (mainly French speaking) Midland Eastern part Southern (Italian speaking) part
EXT EXTERN ERNAL AL GR GROWT WTH GR GRASP ASP OPPOR OPPORTUNI TUNITIE TIES S – WEL WELL-CO CONSIDERED NSIDERED The market consolidation has already begun…
Mediclinic International Ltd 72 Interim Results | 30 September 2011
REGULA REGULATOR ORY Y ENVIR ENVIRONMENT ONMENT NEW NEW HO HOSP SPIT ITAL AL REGU REGULA LATION TION IN IN AB ABOU OUT T 50 50 D DAYS
Regulatory changes Key topics Challenges KVG Revision
Hospital planning Hospital financing Highly specialised medicine
“Dual-fix“ financing system including invest portion Minimum case numbers Fee for service (introduction of SwissDRG) Cantonal service mandates (hospital listing status) Conflict of interests for cantons (multiple role) fair treatment of private sector Economically viable tariffs (base rate, invest quota) DRG readiness: documentation, coding, IT Structural requirements Defining requirements Meeting requirements Equal footing of all listed (!) hospitals
Opportunities
Advantage for superior management expertise Market consolidation (expansion private sector) Private-sector financing
Mediclinic International Ltd 73 Interim Results | 30 September 2011
REGULA REGULATOR ORY Y ENVIR ENVIRONMENT ONMENT ST STILL ILL VAR ARIO IOUS US UN UNCER CERTAIN AINTIE TIES
AG AR BE BL LU SG SH VD ZG ZH
List status (service mandates) Regulations for listed hospitals Base rate (tariffs) Highly specialised medicine
Severe burns, organ transplantation, cochlea implants, proton therapy, transplant of stem cells Neurology, neurosurgery, neuro-radiology, stroke, and severe injuries Visceral surgery (esophageal resection, rectum resection, pancreas resection, major liver surgery and complex bariatric surgery)
Status (progress)
No results yet Finished Favourable Suboptimal Unfavourable
Mediclinic International Ltd 74 Interim Results | 30 September 2011
REGULA REGULATOR ORY Y ENVIR ENVIRONMENT ONMENT MEASURES MEASURES TAK AKEN EN
EXCO
Funder Relations Public Affairs Corporate Communications
- Corp. Legal /
Tariff Expert Hospital man. Hospital man. Hospital man. Expert panel External LEGAL DRG task force Task force hospital financing
- Internal monitoring and reporting
- Expert panel
- Central support (Head Office)
- Meeting with cantonal authorities
- Internal / external communication
- Formal consultations / complaints
- Publications (position papers, etc.)
- Activities in industry associations
- Lobbying
- Scenario modelling
BOARD
Mediclinic International Ltd 75 Interim Results | 30 September 2011
ST STRA RATE TEGIC GIC OUTL OUTLOOK OOK QU QUALITY ALITY LE LEAD ADERSHIP ERSHIP – TOM OMOR ORROW AS W AS WE AR E ARE E TOD ODAY
- Active management of political environment
- Preparation for new regulatory conditions
- Expansion / renovation projects
- Screening the market for targets
- Supplementary business models
- Striving for business excellence
- Structural / organisational changes
- Convergence & synergies
Mediclinic International Ltd 76 Interim Results | 30 September 2011
UNIT UNITED ED ARA ARAB B EMIRA EMIRATES TES EMIRA EMIRATES TES HEAL HEALTHCARE THCARE
Mediclinic International Ltd Interim Results | 30 September 2011 78
LE LEADI ADING NG IN DUB IN DUBAI AI
* Excluding doctors
At 30 September 2011 Hospitals 2 Clinics 8 Beds: Hospitals 336 Beds: Clinics 10 Doctors (employed) 235 Doctors (self employed with admission rights) 161 Employees* 1 510
GR GROU OUP P PE PERFOR RFORMAN MANCE CE
Interim Results | 30 September 2011 79
- Strong growth in revenue & EBITDA across the group
- The City Hospital continues to grow, they now occupy a
further 30 beds and only have one floor vacant
- Welcare Hospital - at capacity, efficiency drove performance
- The three new clinics have been integrated and the second
half of the year is expected to be stronger
- Increased focus on Dubai Mall Medical Center, with 35
doctors, MRI, CT, Mammography, day ward, laboratory and Lasix Machine
- Ibn Battuta continues to exceed all expectations
- Other clinics are performing well
Mediclinic International Ltd
ECON ECONOM OMIC IC ENVIR ENVIRON ONMENT MENT
Interim Results | 30 September 2011 80
- Unrest in other parts of the Middle East continues to have
a positive effect on Dubai
- Property sector still struggling, but stabilised
- New competition, yet to open but on the horizon
- Renewed focus on Dubai Healthcare City
- Dubai Metro fully operational
Mediclinic International Ltd
ST STRA RATE TEGY GY GOIN GOING FORWAR G FORWARD
Interim Results | 30 September 2011 81
- Bring The City Hospital to capacity – last 30 beds
- Unified brand!
- Centres of competence (Breast Centre, Gamma knife,
Nuclear medicine etc)
- Dubai Mall Medical Centre focus
- Bring Ibn Battuta, Meadows & Arabian Ranches to
capacity
- EHHL office relocation
- Preparation for tariff reformation
- Proactive Growth Investigations
- Abu Dhabi
Mediclinic International Ltd
TOTAL P AL PATIE TIENTS NTS SE SEEN EN ALL ALL UN UNITS ITS
Interim Results | 30 September 2011 82 Mediclinic International Ltd
100 204 104 229 145 303 154 333 176 56 96 73 157 69 144 68 175 126
100 200 300 400 500 600 HY2008 FY2008 HY2009 FY2009 HY2010 FY2010 HY2011 FY2011 HY2012 Total patients (000s) Hospitals HY Clinics HY Hospitals FY Clinics FY
CAGR: 19.1% CAGR: 17.9%
TOTAL A AL ADM DMISS ISSIO IONS NS HO HOSP SPIT ITALS ALS
Interim Results | 30 September 2011 83 Mediclinic International Ltd
2 4 2 5 3 7 4 9 5 2 6 3 6 4 9 5 11 6
5 10 15 20 25 HY2008 FY2008 HY2009 FY2009 HY2010 FY2010 HY2011 FY2011 HY2012 Admissions (000s) Surgical HY Non-surgical HY Surgical FY Non-surgical FY
CAGR: 25.3% CAGR: 24.1%
BED BED-DAYS HO HOSP SPIT ITALS ALS
Interim Results | 30 September 2011 84
- Dubai (clinics & hospital southern side).
Mediclinic International Ltd
11.7 13.0 18.4 21.9 27.2 26.0 28.5 40.0 49.2
0.0 10.0 20.0 30.0 40.0 50.0 60.0 2008 2009 2010 2011 2012 Bed-days sold (000s) Half year Full year
CAGR: 23.6% CAGR: 23.6%
TOTAL B AL BIR IRTHS THS HO HOSP SPIT ITALS ALS
Interim Results | 30 September 2011 85
- Dubai (clinics & hospital southern side).
Mediclinic International Ltd
0.6 0.7 1.0 1.3 1.7 1.2 1.5 2.2 3.1
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 2008 2009 2010 2011 2012 Births (000s) Half year Full year
CAGR: 32.5% CAGR: 37.4%
GR GROUP OUP PR PROSP OSPECTS ECTS
PR PROSPE OSPECTS CTS
Interim Results | 30 September 2011 87
- Uniquely positioned across three diverse global platforms
- Stable and experienced management team
- The Group is focusing on:
- Establishment of a global hospital group
- Consolidating its collective intellectual capital
- Distinguishing itself through verifiable cost effective quality care
- Significant resources continue to be invested across the
platforms
- Constant monitoring of regulatory environment
- Optimistic about future prospects depending on the global
economic outlook
Mediclinic International Ltd
GR GROWTH WTH ST STRA RATE TEGY GY CO COUN UNTR TRY Y AN AND D REGI REGION ONAL L AL LEVEL EVEL
Interim Results | 30 September 2011 88 Mediclinic International Ltd
- Significant growth prospects in all operating platforms
- Short term opportunities presented under the operational
reviews
- Constantly evaluate growth opportunities to expand global
footprint
REBRANDING WHY DID WE CHANGE?
Interim Results | 30 September 2011 89 Mediclinic International Ltd
- Previous brand was dated
- Created more than 25 years ago
- Not flexible enough to be exported cross culturally
- Inherited fragmented brands through global acquisitions
- Lack of differentiation
- Similar visual language
- Similar tone of voice
- Development of the optimum brand architecture for
current and future global positioning
IN INTO THE O THE ST STRENG RENGTH TH OF O OF OUR UR FUTURE FUTURE
Interim Results | 30 September 2011 90 Mediclinic International Ltd
Interim Results | 30 September 2011 91 Mediclinic International Ltd
IN INTO THE O THE ST STRENG RENGTH TH OF O OF OUR UR FUTURE FUTURE
THE WA THE WAY Y FORWA FORWARD RD
Interim Results | 30 September 2011 92 Mediclinic International Ltd
Southern Africa
- Internal and external launch
- Look and feel of hospitals
- Patient Journey
Switzerland
- Working towards launching in 2013/14
Dubai
- Subject to the approval of all shareholders
QUES QUESTION TIONS
APPENDICES APPENDICES
MEDIC MEDICLINIC LINIC SOUTHERN SOUTHERN A AFRICA FRICA FIN FINAN ANCIA CIAL L RESUL RESULTS TS
Mediclinic International Ltd Interim Results | 30 September 2011 95
ZAR million HY2012 HY2011 % change Revenue 4,695 4,244 11% EBITDA 989 910 9% Depreciation 123 112 10% Operating profit 861 797 8% Net finance charges 166 174
- 5%
Tax 230 195 18% Non-controlling interests 76 73 4% Attributable income 394 356 11% EBITDA margin 21.1% 21.4% EBITDA interest cover 5.3x 4.7x ZAR million 30 Sep 11 31 Mar 11 % change Total interest-bearing debt 3,744 3,757 0% Total assets 6,338 6,200 2%
HI HIRSLAND RSLANDEN EN FIN FINAN ANCIA CIAL L RESUL RESULTS TS (CH (CHF) F)
Mediclinic International Ltd Interim Results | 30 September 2011 96
CHF million HY2012 HY2011 % change Revenue 606 562 8% EBITDA 129 124 4% Depreciation 33 29 14% Operating profit 97 95 2% Net finance charges 73 74
- 1%
Tax 15 16
- 6%
Attributable income 8 5 60% EBITDA margin 21.4% 22.1% EBITDA interest cover 1.6x 1.7x CHF million 30 Sep 11 31 Mar 11 % change Total interest-bearing debt 2,437 2,437 0% Total assets 4,558 4,602
- 1%
HI HIRSLAND RSLANDEN EN FIN FINAN ANCIA CIAL L RESUL RESULTS TS (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 97
ZAR million HY2012 HY2011 % change Revenue 5,001 3,913 28% EBITDA 1,070 866 24% Depreciation 268 217 24% Operating profit 802 663 21% Net finance charges 605 558 8% Tax 128 92 39% Attributable income 69 36 91% Average exchange rate 8.25 6.96 Spot exchange rate 8.96 7.18 ZAR million 30 Sep 11 31 Mar 11 % change Total interest-bearing debt 21,837 18,083 21% Total assets 40,836 34,150 20%
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE FIN FINAN ANCIA CIAL L RESUL RESULTS TS (AED (AED)
Mediclinic International Ltd Interim Results | 30 September 2011 98
AED million HY2012 HY2011 % change Revenue 406 301 35% EBITDA 63 45 40% Depreciation 24 18 33% Operating profit 40 27 47% Net finance charges 8 9
- 11%
Non-controlling interests 15 9 67% Attributable income 16 9 78% EBITDA margin 15.6% 14.7% EBITDA interest cover 7.6x 4.8x AED million 30 Sep 11 31 Mar 11 % change Total interest-bearing debt 233 221 5% Total assets 931 994
- 6%
EMIRA EMIRATE TES HEAL S HEALTHCA THCARE RE FIN FINAN ANCIA CIAL L RESUL RESULTS TS (ZAR (ZAR)
Mediclinic International Ltd Interim Results | 30 September 2011 99
ZAR million HY2012 HY2011 % change Revenue 771 611 26% EBITDA 120 90 33% Depreciation 45 36 25% Operating profit 75 54 39% Net finance charges 14 18
- 22%
Non-controlling interests 30 18 67% Attributable income 31 18 72% Average exchange rate 1.90 2.03 Spot exchange rate 2.20 1.90 ZAR million 30 Sep 11 31 Mar 11 % change Total interest-bearing debt 512 408 25% Total assets 2,048 1,838 11%
MEDIC MEDICLINIC LINIC GR GROU OUP CO CONSOLID NSOLIDATE TED FIN FINAN ANCIA CIAL L RESUL RESULTS TS
Mediclinic International Ltd Interim Results | 30 September 2011 100
ZAR million HY2012 HY2011 % change Revenue 10,467 8,768 19% EBITDA 2,179 1,866 17% Operating profit 1,743 1,515 15% Net finance charges 766 709 8% Tax 357 305 17% Headline earnings 484 407 19% Headline earnings per share (cents) 77.2 70.2 10%
Weighted ave. no. of shares in issue (m)
627 580 8% EBITDA margin 20.8% 21.3% Normalised debt / EBITDA1 4.7x 5.6x Normalised EV / EBITDA1 10.4x 10.6x EBITDA interest cover 2.6x 2.5x
- 1. Calculated using LTM EBITDA converted at the closing exchange rate. Also refer
to notes on financial flexibility slide
Interim Results | 30 September 2011 101 All statements other than those of historical facts included in this presentation are forward-looking statements. Where the Company expresses or implies an expectation or belief as to future events or results, such expectation or belief is expressed in good faith and believed to have a reasonable basis. However, forward-looking statements are subject to risks, uncertainties and other factors, which could cause actual results to differ materially from future results expressed, projected or implied by such forward-looking statements. Such risks include, but are not limited to, currency fluctuations, increased operational and capital costs, political and operational risks, governmental regulation and judicial outcomes. The Company gives no guarantees or warranties that any of the future events, expectations or results referred to in the forward-looking statements will happen or materialise. The Company also does not undertake any obligation to release publicly any revisions to any “forward-looking statement” to reflect events and circumstances after the date of this presentation, or to reflect the occurrence of unanticipated events, except as may be required under applicable securities laws.
DISCLAIMER
Mediclinic International Ltd