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MDC Mediclinic International Plc

501.00
0.00 (0.00%)
23 Apr 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Mediclinic International Plc LSE:MDC London Ordinary Share GB00B8HX8Z88 ORD 10P
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 501.00 0.00 01:00:00
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
0 0 N/A 0

Mediclinic International plc Annual Financial Report (4462C)

18/06/2021 4:30pm

UK Regulatory


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TIDMMDC

RNS Number : 4462C

Mediclinic International plc

18 June 2021

Mediclinic International plc

(Incorporated in England and Wales)

Company Number: 08338604

LSE Share Code: MDC

JSE Share Code: MEI

NSX Share Code: MEP

ISIN: GB00B8HX8Z88

LEI: 2138002S5BSBIZTD5I60

("Mediclinic", or the "Company", or the "Group")

18 June 2021

POSTING OF ANNUAL REPORT AND FINANCIAL STATEMENTS,

NOTICE OF ANNUAL GENERAL MEETING AND PROXY FORM

Mediclinic announces that its Annual Report and Financial Statements in respect of the financial year ended 31 March 2021 ("2021 Annual Report") and notice of the Company's 2021 annual general meeting ("AGM") (the "Notice") are being published today on the Company's website.

The 2021 Annual Report, together with the Group's 2021 Clinical Services and Sustainable Development Reports, are being made available on the Group's annual reporting website at: annualreport.mediclinic.com ; the Notice at: investor.mediclinic.com/shareholder-centre/shareholder-meetings .

In accordance with Listing Rule 9.6.1, the 2021 Annual Report and the Notice are also being submitted to the National Storage Mechanism and will shortly be available for inspection there at:

https://data.fca.org.uk/#/nsm/nationalstoragemechanism .

Shareholders who elected to receive shareholder information electronically are being noti ed that these documents are available on the Company's website and hard copies of the documents are being posted today to shareholders who elected to receive shareholder information in hard copy.

In accordance with DTR 6.3.5 of the FCA's Disclosure Guidance and Transparency Rules, additional information is set out in the appendix to this announcement. The information in the appendix is extracted from the 2021 Annual Report and should be read in conjunction with the Company's preliminary results announcement issued on 26 May 2021 (RNS number 8045Z). Together, these constitute the information required by DTR 6.3.5 to be communicated in full unedited text through a Regulatory Information Service. This material is not a substitute for reading the full 2021 Annual Report.

Arrangements for the AGM and Shareholder Event

The AGM will be held on Tuesday, 27 July 2021 at 15:00 BST at Rosewood London Hotel, 252 High Holborn, London, WC1V 7EN, United Kingdom ("UK"). Due to continued uncertainty regarding the UK Government's restrictions on large indoor public events and travel, as well as the higher potential COVID-19 transmission risk of indoor events, the AGM will be scaled back.

It is expected to be purely functional, principally putting the resolutions to shareholders and calling the poll. Shareholders and corporate representatives are strongly encouraged not to attend in person and not to appoint any proxy other than the chair of the AGM to attend.

However, to ensure that all shareholders have the opportunity to engage with the Board before submitting their proxy votes, there will be a live online shareholder engagement event on Monday, 19 July 2021 at 14:00 (BST). Further information can be found in the notice of AGM.

Mediclinic will continue to closely monitor the latest COVID-19 legislation and guidance issued by the UK Government. The Company will notify shareholders as soon as reasonably practicable of any proposed changes to the arrangements for the AGM through an announcement to the London Stock Exchange ("LSE") and JSE and on investor.mediclinic.com/events/event-details/2021-agm .

In compliance with JSE requirements, for shareholders on the South African Branch Register: (i) the record date for the purpose of determining which shareholders are entitled to participate in and vote at the AGM is Friday, 23 July 2021; and (ii) the last day to trade in the Company's shares in order to be recorded as a shareholder by the voting record date is therefore Tuesday, 20 July 2021.

About Mediclinic International plc

Mediclinic is a diversified international private healthcare services group, established in South Africa in 1983, with divisions in Switzerland, Southern Africa (South Africa and Namibia) and the United Arab Emirates ("UAE").

The Group's core purpose is to enhance the quality of life.

Its vision is to be the partner of choice that people trust for all their healthcare needs.

Mediclinic is focused on providing specialist-orientated, multi-disciplinary services across the continuum of care in such a way that the Group will be regarded as the most respected and trusted provider of healthcare services by patients, medical practitioners, funders and regulators of healthcare in each of its markets.

At 31 March 2021, Mediclinic comprised 74 hospitals, five subacute hospitals, two mental health facilities, 18 day case clinics and 18 outpatient clinics. Hirslanden operated 17 hospitals and four day case clinics in Switzerland with more than 1 900 inpatient beds; Mediclinic Southern Africa operations included 50 hospitals (three of which in Namibia), five sub-acute hospitals, two mental health facilities and 12 day case clinics (four of which operated by Intercare) across South Africa, and around 8 600 inpatient beds; and Mediclinic Middle East operated seven hospitals, two day case clinics and 18 outpatient clinics with more than 900 inpatient beds in the UAE. In addition, under management contracts, Mediclinic Middle East operates one hospital in Abu Dhabi and will open a 200-bed hospital in the Kingdom of Saudi Arabia in mid-2022.

The Company's primary listing is on the LSE in the UK, with secondary listings on the JSE in South Africa and the Namibian Stock Exchange in Namibia.

Mediclinic also holds a 29.9% interest in Spire Healthcare Group plc, a leading private healthcare group based in the United Kingdom and listed on the LSE.

For further information, please contact:

Company Secretary, Link Company Matters Limited

Caroline Emmet

+44 (0)333 300 1930

Investor Relations, Mediclinic International plc

James Arnold, Head of Investor Relations

ir@mediclinic.com

+44 (0)20 3786 8181

Media queries

FTI Consulting

Ben Atwell/Ciara Martin - United Kingdom

+44 (0)20 3727 1000

Sherryn Schooling - South Africa

+27 (0)21 487 9000

Registered address: 6(th) Floor, 65 Gresham Street, London, EC2V 7NQ, United Kingdom

Website: www.mediclinic.com

Corporate broker (United Kingdom): Morgan Stanley & Co International plc and UBS Investment Bank

JSE sponsor (South Africa): Rand Merchant Bank (A division of FirstRand Bank Limited)

NSX sponsor (Namibia): Simonis Storm Securities (Pty) Ltd

APPIX

A. PRINCIPAL RISKS AND UNCERTAINTIES

The Group's principal risks and uncertainties are detailed below, as extracted from pages 98-104 of the 2021 Annual Report. For further information, please refer to the 2021 Annual Report.

 
 1. PANDEMICS AND INFECTIOUS DISEASES 
 Type of       Owner                               RISK APPETITE                                            RISK 
 risk:          Group Chief Clinical Officer        Low                                                     RATING 
 External                                                                                                   Critical 
 risk/Threat 
------------  ----------------------------------  -------------------------------------------------------  ----------- 
 Principal     Key stakeholders                    Key mitigation                                           TR 
 Risk           *    Clients                        *    Hospital and business incident response planning   FY21 : 
 A pandemic                                                                                                 Stable 
 occurs when                                                                                                FY20 : 
 an             *    Employees                      *    Central coordination of task teams and clinical    Increase 
 infectious                                              governance                                         The risk 
 disease                                                                                                    relating 
 rapidly        *    Governments and authorities                                                            to the 
 infects                                            *    Monitoring                                         COVID-19 
 many people                                                                                                pandemic 
 and spreads    *    Investors                                                                              remains at 
 to multiple                                        *    Financial scenario planning                        an 
 countries                                                                                                  elevated 
 and            *    Medical practitioners                                                                  level. 
 continents.                                        *    Communication strategy                             Link to 
 These risks                                                                                                strategy 
 refer to       *    Professional societies                                                                 Goal 1 
 the Group's                                                                                                Goal 2 
 ability to                                                                                                 Goal 3 
 respond       Considered in viability 
 effectively   assessment 
 to the        Yes, modelled adverse impact on 
 potential     volumes caused by COVID-19 
 adverse       pandemic. 
 clinical, 
 operational 
 and 
 business 
 effects 
 caused by a 
 pandemic or 
 infectious 
 disease. 
------------  ----------------------------------  -------------------------------------------------------  ----------- 
 
 
 2. Disruptive innovation and digitalisation 
 Type of risk:       OWNER                         RISK APPETITE                                                RISK RATING 
  Strategic          Group Chief Innovation         Moderate to significant                                      Critical 
                     Officer 
------------------  ----------------------------  -----------------------------------------------------------  --------------- 
 Principal Risk      Key stakeholders              Key mitigation                                               TR 
 Disruptive           *    Clients                  *    Dedicated Innovation function which includes digital   FY21 : 
 innovation and                                          transformation                                         Increase 
 digitalisation                                                                                                 FY20 : 
 risks incorporate    *    Employees                                                                            Increase 
 the                                                *    Strategic planning processes                           The increased 
 disintermediation                                                                                              risk relates 
 and erosion          *    Industry partners                                                                    to increased 
 of the Mediclinic                                  *    Proactive monitoring                                   demand from 
 business model                                                                                                 clients and 
 due to the impact    *    Investors                                                                            stakeholders 
 of technological                                   *    Continuum of care strategy                             for adoption 
 development. It                                                                                                of virtual 
 refers               *    Medical practitioners                                                                solutions and 
 to the extent and                                                                                              innovation. 
 speed at which                                                                                                 Link to 
 new technologies    Considered in viability                                                                    strategy 
 (and combinations   assessment                                                                                 Goal 1 
 thereof) change     No.                                                                                        Goal 3 
 and transform 
 industries, and 
 to what extent an 
 organisation can 
 exploit these 
 opportunities by 
 being responsive 
 and innovative, 
 while managing 
 associated risks. 
------------------  ----------------------------  -----------------------------------------------------------  --------------- 
 
 
 3. Economic and business environment 
 Type of risk:   OWNER                               RISK APPETITE                                               RISK RATING 
 External         Group CFO                           Moderate to significant                                     High 
 risk/Threat 
--------------  ----------------------------------  ----------------------------------------------------------  ------------ 
 Principal       Key stakeholders                    Key mitigation                                              TR 
 Risk             *    Clients                        *    Monitor developments and trends in the economic and   FY21 : 
 These risks                                               business environments and early warning indicators    Stable 
 relate to the                                                                                                   FY20 : 
 downturn in      *    Governments and authorities                                                               Increase 
 the general                                          *    Proactive monitoring and negotiation by the Group's   The global 
 economic and                                              Funder Relations functions                            economic 
 business         *    Healthcare insurers                                                                       environment 
 environments                                                                                                    and outlook 
 impacting                                            *    Focus on quality and continuum of care to reinforce   remain 
 the              *    Investors                           the Group's market position                           uncertain. 
 affordability                                                                                                   Link to 
 of healthcare                                                                                                   strategy 
 for funders     Considered in viability                                                                         Goal 1 
 and             assessment                                                                                      Goal 2 
 self-paying     Yes, modelled volume reduction                                                                  Goal 6 
 patients.       and downturn in the macroeconomic 
 The business    and business environment. 
 environment 
 risks include 
 the effect of 
 market 
 dynamics on 
 tariffs and 
 fees. 
--------------  ----------------------------------  ----------------------------------------------------------  ------------ 
 
 
 4. Regulatory and compliance 
 Type of risk:   OWNER                               RISK APPETITE                                               RISK RATING 
 External        Group Chief Governance Officer       Low                                                         High 
 risk/Threat     and divisional CEOs 
--------------  ----------------------------------  ----------------------------------------------------------  ------------- 
 Principal       Key stakeholders                    Key mitigation                                              TR 
 Risk             *    Governments and authorities    *    Proactive engagement with stakeholders                FY21 : 
 These risks                                                                                                     Stable 
 relate to                                                                                                       FY20 : 
 adverse          *    Industry partners              *    Health policy units created to conduct research and   Increase 
 changes in                                                provide strategic input into reform processes         The risk 
 legislation                                                                                                     remains 
 and              *    Investors                                                                                 stable for 
 regulations                                          *    Active industry participation across all divisions    the period 
 impacting on                                                                                                    under 
 the Group,       *    Medical practitioners                                                                     review. It 
 or where                                             *    Company Secretarial, Legal and Compliance functions   relates to 
 failure to                                                support operational management, monitor regulatory    the 
 comply with     Considered in viability                   developments, and, where necessary, obtain expert     continued 
 legislation     assessment                                legal advice for the effective implementation of      healthcare 
 and             Yes, modelled reductions in               compliance initiatives                                reform and 
 regulations     tariffs and volumes.                                                                            the 
 may result in                                                                                                   introduction 
 losses,                                              *    Compliance risks identified and assessed as part of   of new 
 fines,                                                    compliance management processes                       legislation 
 penalties                                                                                                       or 
 or damage to                                                                                                    regulations. 
 reputation.                                          *    Group's Sustainable Development Strategy addresses    Link to 
 The Group is                                              environmental risks (refer to page 55)                strategy 
 also exposed                                                                                                    Goal 1 
 to an                                                                                                           Goal 2 
 increasing                                                                                                      Goal 5 
 compliance                                                                                                      Goal 6 
 monitoring 
 cost. 
 The risks 
 include 
 healthcare 
 reform by 
 regulators 
 aimed at 
 reducing the 
 cost of 
 healthcare, 
 broadening 
 the access to 
 quality 
 healthcare 
 and 
 increasing 
 quality 
 standards 
 monitoring by 
 regulators. 
 The Group 
 monitors the 
 emerging 
 risks from 
 climate 
 change in 
 line with 
 regulatory 
 changes 
 and 
 disclosure 
 requirements. 
 The actions 
 the Group is 
 taking to 
 mitigate the 
 impact of 
 climate 
 change, and 
 minimise its 
 impact on the 
 environment, 
 are described 
 on page 58. 
--------------  ----------------------------------  ----------------------------------------------------------  ------------- 
 
 
 5. Information systems security and cyberattacks 
 Type of risk:    OWNER                                      RISK APPETITE                                                RISK RATING 
 External          Group Chief Information Officer            Low                                                          High 
 risk/Threat 
---------------  -----------------------------------------  -----------------------------------------------------------  ------------- 
 Principal Risk   Key stakeholders                           Key mitigation                                               TR 
 Information       *    Clients                               *    Comprehensive information systems identity access      FY21 : 
 systems                                                           management, change and physical access controls        Stable 
 security and                                                                                                             FY20 : 
 cyberattack       *    Employees and potential applicants                                                                Increase 
 risks relate                                                 *    Regular security reviews                               The risk 
 to the                                                                                                                   relates to 
 unauthorised      *    Governments and authorities                                                                       the 
 access to                                                    *    Disaster recovery planning                             continued 
 information                                                                                                              external 
 systems           *    Investors                                                                                         threat from 
 through                                                      *    Group information security and data privacy policies   cyberattacks 
 external or                                                                                                              and 
 internal         Considered in viability assessment                                                                      breaches, 
 attack or        No.                                         *    Group ICT Security Committee                           which has 
 unauthorised                                                                                                             remained at 
 breaches                                                                                                                 similar 
 resulting in                                                                                                             levels to 
 the                                                                                                                      the prior 
 unavailability                                                                                                           reporting 
 of systems,                                                                                                              period. 
 failure of                                                                                                               Link to 
 data integrity                                                                                                           strategy 
 and loss of                                                                                                              Goal 1 
 confidential                                                                                                             Goal 3 
 data.                                                                                                                    Goal 4 
---------------  -----------------------------------------  -----------------------------------------------------------  ------------- 
 
 
 6. Competition 
 Type of risk:          OWNER                         RISK APPETITE                               RISK RATING 
 External risk/Threat   Group CEO and divisional       Moderate                                    Medium 
                        CEOs 
---------------------  ----------------------------  ------------------------------------------  --------------------- 
 Principal Risk         Key stakeholders              Key mitigation                              TR 
 This risk relates to    *    Clients                  *    Proactive monitoring                  FY21 : Decrease 
 the uncertainty                                                                                  FY20 : Increase 
 created by existing                                                                              Providers in the 
 and/or emerging         *    Employees                *    Strategic planning processes          healthcare market 
 competitors with                                                                                 remain competitive 
 alternative business                                                                             with a slightly 
 models.                 *    Healthcare insurers      *    Quality and value of care processes   improved risk 
 The risk includes                                                                                exposure 
 the outmigration of                                                                              for the Group. 
 care (partly driven     *    Industry partners                                                   Link to strategy 
 by further                                                                                       Goal 1 
 technological                                                                                    Goal 2 
 developments)           *    Investors                                                           Goal 3 
 and the development                                                                              Goal 6 
 of alternative care 
 models.                 *    Medical practitioners 
 
 
                        Considered in viability 
                        assessment 
                        Yes, modelled reductions in 
                        volumes as well as tariffs. 
---------------------  ----------------------------  ------------------------------------------  --------------------- 
 
 
 7. Workforce risks 
 T ype of risk    OWNER                                      RISK APPETITE                                                RISK RATING 
 Internal         Group Chief Strategy and Human Resources    Low                                                          Medium 
 preventable      Officer and divisional CEOs 
 risk 
---------------  -----------------------------------------  -----------------------------------------------------------  -------------- 
 Principal Risk   Key stakeholders                           Key mitigation                                               TR 
 There is a        *    Employees and potential applicants    *    Systems to monitor satisfaction, movement and          FY21 : Stable 
 shortage of                                                       profiles of medical practitioners                      FY20 : Stable 
 skilled                                                                                                                  Vacancies and 
 labour,           *    Investors                                                                                         turnover 
 particularly                                                 *    Details on the relationship and engagement with        ratios in 
 of qualified                                                      medical practitioners provided in the 2021             respect of 
 and               *    Medical practitioners                      Sustainable Development Report                         skilled 
 experienced                                                                                                              resources and 
 nursing                                                                                                                  medical 
 employees        Considered in viability assessment          *    Employment, recruitment and retention strategies       practitioners 
 in Southern      Yes, modelled shortage of qualified and          explained in the 2021 Sustainable Development Report   are 
 Africa.          experienced healthcare employees.                                                                       expected to 
 The                                                                                                                      remain at 
 availability                                                 *    Extensive training and skills development programme    similar 
 and support of                                                    and international recruitment programme explained in   levels to the 
 admitting                                                         the 2021 Sustainable Development Report                prior 
 medical                                                                                                                  reporting 
 practitioners,                                                                                                           period. 
 whether                                                      *    The wellbeing of all employees is actively monitored   Link to 
 independent or                                                    and managed through well-established support           strategy 
 employed,                                                         structures. Refer to the 'The people who set           Goal 2 
 are critical                                                      Mediclinic apart' case study on page 18 and the 2021 
 to the Group's                                                    Sustainable Development Report for more information 
 services. 
 The risk 
 includes the 
 potential 
 negative 
 effect of 
 COVID-19 on 
 frontline 
 healthcare 
 workers, 
 who are 
 working under 
 immense and 
 unprecedented 
 pressure for 
 extended 
 periods and 
 putting 
 their 
 physical, 
 mental and 
 social 
 wellbeing at 
 risk 
---------------  -----------------------------------------  -----------------------------------------------------------  -------------- 
 
 
 8. Business Projects 
 T ype of risk        OWNER                         RISK APPETITE                                   RISK RATING 
  Strategic           Group CEO, divisional CEOs     Moderate                                        Medium 
                      and Group Chief Information 
                      Officer 
-------------------  ----------------------------  ----------------------------------------------  ------------------- 
 Principal Risk       Key stakeholders              Key mitigation                                  TR 
 The Group is          *    Clients                  *    Effective project governance practices,   FY21 : Stable 
 adapting to the                                     methodologies                                  FY20 : Decrease 
 evolving                                                 and reporting                             These risks remain 
 operational and       *    Medical practitioners                                                   stable for the 
 regulatory                                                                                         year under review. 
 environment and                                     *    Experienced project management teams      Link to strategy 
 healthcare            *    Industry partners                                                       Goal 1 
 market.                                                                                            Goal 2 
 These risks refer                                   *    Proactive monitoring and oversight        Goal 3 
 to issues or          *    Investors                                                               Goal 6 
 occurrences that 
 could interfere 
 with successful       *    Suppliers 
 completion 
 of projects, 
 including             *    Employees 
 timelines, cost 
 and quality. 
                      Considered in viability 
                      assessment 
                      Yes, modelled failure to 
                      deliver sustainable cost 
                      savings. 
-------------------  ----------------------------  ----------------------------------------------  ------------------- 
 
 
 9. Patient safety and clinical quality 
 T ype of risk         OWNER                                          RISK APPETITE                                               RISK RATING 
 Internal               Group Chief Clinical Officer                   Low                                                         Medium 
 preventable risk 
--------------------  ---------------------------------------------  ----------------------------------------------------------  ------------- 
 Principal Risk            Key stakeholders                           Key mitigation                                              TR 
 These risks relate         *    Clients                               *    Refer to the 2021 Clinical Services Report for a      FY21 : 
 to all clinical                                                            detailed analysis of the strategies to manage and     Stable 
 risks associated                                                           monitor clinical risks                                FY20 : 
 with the provision         *    Employees and potential applicants                                                               Stable 
 of clinical care                                                                                                                 Clinical 
 resulting                                                             *    A Group-wide clinical risk register implemented per   processes 
 in undesirable             *    Healthcare insurers                        division                                              across all 
 clinical outcomes                                                                                                                divisions 
 Clinical risks are                                                                                                               remained a 
 managed daily at           *    Industry partners                     *    Accreditation processes                               key focus 
 all facilities.                                                                                                                  area for the 
 High-priority                                                                                                                    Group. 
 clinical risk areas        *    Medical practitioners                 *    Clinical governance processes                         Risk 
 include                                                                                                                          exposure 
 patient safety                                                                                                                   remained at 
 culture, adverse          Considered in viability assessment          *    Monitoring of clinical performance indicators         a comparable 
 obstetric outcomes,       Yes, modelled reductions in volumes as                                                                 level to the 
 medication errors,        well as tariffs.                                                                                       prior 
 surgical and                                                          *    Focus on quality management processes                 reporting 
 procedural                                                                                                                       period. 
 adverse events and                                                                                                               Link to 
 multidrug-resistant                                                   *    Stakeholder engagement and disclosure strategies      strategy 
 organisms.                                                                                                                       Goal 1 
 Such risks may also                                                                                                              Goal 2 
 result in damage to                                                   *    Clinical audits 
 Mediclinic's 
 reputation and 
 impact on brand 
 equity(1) 
 . 
--------------------  ---------------------------------------------  ----------------------------------------------------------  ------------- 
 
                       Note 
                        1. Brand equity refers to the commercial value derived 
                        from the consumer perception of the Group's brand names 
                        rather than the services provided under those brand names. 
 
 
 
 10. Availability and cost of capital 
 T ype of risk      OWNER               RISK APPETITE                                                 RISK RATING 
 External            Group CFO           Moderate                                                      Medium 
 risk/threat 
-----------------  ------------------  ------------------------------------------------------------  ----------------- 
 Principal Risk     Key stakeholders    Key mitigation                                                TR 
 The Group           *    Investors      *    Long-term planning of capital requirements and          FY21 : Stable 
 requires capital                             cash-flow forecasting                                   FY20 : Increase 
 to finance                                                                                           Interest rates 
 strategic           *    Banks                                                                       are expected to 
 expansion                               *    Scrutiny of cash-generating capacity within the Group   remain at 
 opportunities                                                                                        comparable 
 and/or refinance   Considered in                                                                     levels during 
 or                 viability            *    Proactive and long-term agreements with banks and       2021. Long-term 
 restructure        assessment                other funders relating to funding facilities            financing 
 existing debt -    Yes, modelled                                                                     arrangements are 
 the cost, terms    increased cost of                                                                 in place. 
 and availability   capital as well      *    Systems to monitor compliance with requirements of      The Group's 
 of which depend    as working                debt covenants                                          leverage across 
 on prevailing      capital                                                                           the divisions is 
 market             deterioration.                                                                    at levels where 
 conditions.                             *    Refer to note 17 of the Group annual financial          the refinancing 
                                              statements for further details on capital risk          at current 
                                              management and the Group's borrowings                   market 
                                                                                                      conditions 
                                                                                                      should be 
                                                                                                      possible. 
                                                                                                      Link to strategy 
                                                                                                      Goal 1 
                                                                                                      Goal 3 
                                                                                                      Goal 6 
-----------------  ------------------  ------------------------------------------------------------  ----------------- 
 
 
 11. Financial and credit risk 
 T ype of risk       OWNER                       RISK APPETITE                                               RISK RATING 
 External             Group CFO                   Low                                                         Medium 
 risk/threat 
------------------  --------------------------  ----------------------------------------------------------  -------------- 
 Principal Risk      Key stakeholders            Key mitigation                                              TR 
 Credit risks         *    Healthcare insurers    *    Preservation of a sound internal financial control    FY21 : Stable 
 relate to                                             environment                                           FY20 : 
 possible loss due                                                                                           Increase 
 to a funder's        *    Investors                                                                         The credit 
 inability to pay                                 *    Effective operational risk management processes       risks did not 
 the outstanding                                                                                             change 
 balance             Considered in viability                                                                 significantly 
 owing; default by   assessment                   *    Effective monitoring and oversight of operations      and remained 
 banks and/or        Yes, modelled working                                                                   stable. 
 other               capital deterioration.                                                                  Link to 
 deposit-taking                                   *    Regulated minimum solvency requirements for funders   strategy 
 institutions; or                                                                                            n/a 
 the inability to 
 recover                                          *    Monitoring of approved funders 
 outstanding 
 amounts due from 
 patients.                                        *    Group Treasury Policy 
 Credit risk with 
 respect to trade 
 receivables 
 consists mainly 
 of medical 
 schemes and 
 insurance 
 companies, which 
 are required to 
 maintain minimum 
 reserve levels. 
 In Switzerland 
 and the UAE, 
 a large part of 
 trade receivables 
 is owed by 
 cantonal or 
 government-funded 
 programmes, which 
 support 
 healthcare 
 providers with 
 early release of 
 payments due 
 during COVID-19 
 business 
 disruptions. 
------------------  --------------------------  ----------------------------------------------------------  -------------- 
 
 
 12. quality of service AND OPERATIONAL STABILITY 
 T ype of risk                                                 OWNER                         RISK APPETITE                                                 RISK RATING 
  Internal preventable risk                                    Group Chief Clinical           Low                                                           Medium 
                                                               Officer and divisional 
                                                               Chief Operating Officers 
------------------------------------------------------------  ----------------------------  ------------------------------------------------------------  -------------- 
 Principal Risk                                                Key stakeholders              Key mitigation                                                TR 
 Operational risks refer to diverse types of operational        *    Clients                  *    Patient satisfaction surveys (both internal and         FY21 : Stable 
 events with a potential for financial                                                             external)                                               FY20 : 
 loss, operational interruptions or reputational damage.                                                                                                   Increase 
 These risks refer to the quality of service and the            *    Employees                                                                             These risks 
 stability of the operations, including:                                                      *    Complaints monitoring                                   did not 
  *    incidents of poor service or where operational                                                                                                      change 
       management fails to respond effectively to               *    Investors                                                                             significantly 
       complaints;                                                                            *    Training programmes and supervision of service levels   and remain 
                                                                                                                                                           stable. 
                                                                *    Medical practitioners                                                                 Link to 
  *    operational interruptions, which refer to any                                          *    Emergency backup electricity generation                 strategy 
       disruption of the facility and may include the threat                                                                                               Goal 2 
       of disrupted electricity or water supply; and           Considered in viability                                                                     Goal 5 
                                                               assessment                     *    Emergency and disaster planning 
                                                               Not specifically. However, 
  *    fire and allied perils causing damage or business       volume reductions have been 
       interruption.                                           modelled.                      *    Extensive fire-fighting and detection systems, 
                                                                                                   including comprehensive maintenance processes 
 
 
                                                                                              *    Comprehensive insurance cover for financial impact of 
                                                                                                   potential disasters 
------------------------------------------------------------  ----------------------------  ------------------------------------------------------------  -------------- 
 
 
 13.Businessinvestments and acquisitions 
 T ype of risk    OWNER                               RISK APPETITE                                 RISK RATING 
  Strategic        Group CFO                           Moderate                                      Medium 
---------------  ----------------------------------  --------------------------------------------  ----------------------- 
 Principal Risk   Key stakeholders                    Key mitigation                                TR 
 These risks       *    Governments and authorities    *    Strategic planning processes            FY21 : Stable 
 relate to                                                                                          FY20 : Decrease 
 increased                                                                                          The investment and 
 financial         *    Industry partners              *    Due diligence processes                 governance processes 
 exposure due                                                                                       remained unchanged for 
 to major                                                                                           the period under 
 strategic         *    Investors                      *    Investment mandates                     review. 
 business                                                                                           Link to strategy 
 investments                                                                                        Goal 1 
 and              Considered in viability              *    Board oversight                         Goal 3 
 acquisitions.    assessment                                                                        Goal 6 
 They include     No. 
 the                                                   *    Post-acquisition management processes 
 sensitivity of 
 the 
 assumptions 
 made when 
 capital is 
 allocated and 
 the effective 
 implementation 
 of major 
 investment 
 decisions. 
---------------  ----------------------------------  --------------------------------------------  ----------------------- 
 

Key:

 
 Increase:   Risk exposure has increased due to change in business 
              environment; increased investments; increased dependency 
              of operations on information technology; information 
              sensitivity; and associated cost. 
 Decrease:   Proactive and continuous monitoring; favourable 
              results of negotiations; effective treasury; and 
              risk management processes have resulted in lowering 
              of risk exposure. 
 Stable:     Risk exposure has remained largely unchanged as 
              the operating and regulatory environments have 
              remained stable, and enhanced risk mitigation measures 
              have kept the risk at the same level. 
 

B. STATEMENT OF DIRECTORS' RESPONSIBILITIES

The Statement of Directors' Responsibilities In Respect of the Financial Statements below is extracted from page 182 of the 2021 Annual Report. This statement relates solely to the 2021 Annual Report and is not connected to the information presented in this announcement or the preliminary results announcement released on 26 May 2021.

The directors are responsible for preparing the annual report and the financial statements in accordance with applicable legislation and regulations.

The Act requires the directors to prepare financial statements for each financial year. Under the Act, the directors have prepared the Group annual financial statements and the Company annual financial statements in accordance with IFRS as adopted by the EU. Under the Act, the directors must not approve the financial statements unless they are satisfied that these give a true and fair view of the state of affairs of the Group and Company and of the profit or loss of the Group and Company for the reporting period. In preparing the financial statements, the directors are required to:

 
 --   select suitable accounting policies and then apply them 
       consistently; 
 --   state whether applicable IFRS as adopted by the EU have 
       been followed for the Group annual financial statements 
       and for the Company annual financial statements, subject 
       to any material departures disclosed and explained in 
       the financial statements; 
 --   make judgements and accounting estimates that are reasonable 
       and prudent; and 
 --   prepare the financial statements on the going concern 
       basis unless it is inappropriate to presume that the 
       Group and Company will continue in business. 
 

The directors are also responsible for safeguarding the assets of the Group and Company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Group and Company's transactions and disclose with reasonable accuracy at any time the financial position of the Group and Company and enable them to ensure that the financial statements and the Remuneration Committee Report comply with the Act and the Group financial statements with Article 4 of the IAS Regulation.

The directors are responsible for the maintenance and integrity of the Company's website.

Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

DIRECTORS' CONFIRMATIONS

The directors consider that this Annual Report, and accounts, taken as a whole, is fair, balanced and understandable and provides the information necessary for shareholders to assess the Group and Company's position and performance, business model and strategy.

Each of the directors, whose names and functions are listed from page 107 of this Annual Report, confirm that, to the best of their knowledge:

 
 --   the Company annual financial statements, which have been 
       prepared in accordance with IFRS as adopted by the EU, 
       give a true and fair view of the assets, liabilities, 
       financial position and profit or loss of the Company; 
 --   the Group annual financial statements, which have been 
       prepared in accordance with IFRS as adopted by the EU, 
       give a true and fair view of the assets, liabilities, 
       financial position and profit or loss of the Group; and 
 --   the Directors' Report includes a fair review of the development 
       and performance of the business and the position of the 
       Group and Company, together with a description of the 
       principal risks and uncertainties that these entities 
       face. 
 

In the case of each director in office at the date the Directors' Report is approved:

 
 --   so far as the director is aware, there is no relevant 
       audit information of which the Group and Company's auditors 
       are unaware; and; 
 --   they have taken all the steps that they ought to have 
       taken as a director in order to make themselves aware 
       of any relevant audit information and to establish that 
       the Group and Company's auditors are aware of that information. 
 
 
 CA van der Merwe                 PJ Myburgh 
  Group Chief Executive Officer    Group Chief Financial Officer 
  25 May 2021                      25 May 2021 
 

C. RELATED PARTY TRANSACTIONS

The following description of related party transactions involving the Company and is subsidiaries during the financial year ended 31 March 2021 is extracted from page 274 of the 2021 Annual Report.

   35.     RELATED PARTY TRANSACTIONS 

Remgro Ltd owns, through various subsidiaries (Remgro Healthcare [Pty] Ltd, Remgro Health Ltd and Remgro Jersey GBP Ltd), 44.56% (2020: 44.56%) of the Company's issued share capital.

The following transactions were carried out with related parties:

 
                                                         2021     2020 
                                                        GBP'm    GBP'm 
 i)      Transactions with shareholders 
        --------------------------------------------  -------  ------- 
         Remgro Management Services Ltd (subsidiary 
          of Remgro Ltd) 
        --------------------------------------------  -------  ------- 
  Managerial and administration fees                      0.3      0.4 
 ---------------------------------------------------  -------  ------- 
 ii)     Key management compensation(1) 
        --------------------------------------------  -------  ------- 
         Key management includes the directors 
          (executive and non-executive) and members 
          of the Group Executive Committee 
        --------------------------------------------  -------  ------- 
         Salaries and other short-term benefits 
        --------------------------------------------  -------  ------- 
  Short-term benefits                                       8        5 
 ---------------------------------------------------  -------  ------- 
 iii)    Transactions with associates and joint 
          ventures 
        --------------------------------------------  -------  ------- 
         Zentrallabor Zürich 
        --------------------------------------------  -------  ------- 
  Fees earned                                               -      (1) 
 ---------------------------------------------------  -------  ------- 
  Purchases                                                11        8 
 ---------------------------------------------------  -------  ------- 
         Wits University Donald Gordon Medical 
          Centre (Pty) Ltd 
        --------------------------------------------  -------  ------- 
  Fees paid                                                 2        2 
 ---------------------------------------------------  -------  ------- 
  Agency fees received                                    (1)      (2) 
 ---------------------------------------------------  -------  ------- 
         Spire Healthcare Group plc 
        --------------------------------------------  -------  ------- 
         Non-executive director fee(2)                      -        - 
        --------------------------------------------  -------  ------- 
 iv)     Loans to related parties 
        --------------------------------------------  -------  ------- 
  Wits University Donald Gordon Medical 
   Centre (Pty) Ltd                                         2        2 
 ---------------------------------------------------  -------  ------- 
  Bourn Hall LLC                                            2        2 
 ---------------------------------------------------  -------  ------- 
         Zentrallabor Zürich ZLZ(3)                    -        - 
        --------------------------------------------  -------  ------- 
 v)      Other receivables & payables due from/(to) 
          related parties 
        --------------------------------------------  -------  ------- 
  Wits University Donald Gordon Medical 
   Centre (Pty) Ltd                                         2        2 
 ---------------------------------------------------  -------  ------- 
  Zentrallabor Zürich ZLZ                            (1)      (1) 
 ---------------------------------------------------  -------  ------- 
 

Notes

(1.) Details of directors' remuneration are contained in the Remuneration Committee Report on pages 164-181.

(2.) Amount is less than GBP0.1m.

(3.) Amount is less than GBP0.5m.

Terms and conditions

Managerial and administration fees were bought on a cost-plus basis. All other transactions were made on normal commercial terms and conditions and at market rates.

The loan to Wits University Donald Gordon Medical Centre (Pty) Ltd is interest free and repayable on demand. The loan to Bourn Hall LLC earns interest at a rate of 7% per annum and is repayable in March 2022. The loan to Zentrallabor Zürich ZLZ is interest free and repayable in August 2022.

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