Advanced News 1

"I shall most definitely recommend this hospital

to everyone!”

News

Compliments centre on caring staff, hassle-free admission and pleasing interior decoration. Some comments are ‘great

experience’, ‘excellent treatment’, ‘all on shift were great’, ‘a superb clinic’ and ‘everybody was friendly and helpful’.

The most heartening comment of all was from the relative of a senior executive at a major medical scheme, who was a patient at the Groenkloof, Pretoria day hospital:

“Very friendly, warm and comforting. I shall most definitely recommend this hospital to everyone!”

Doctors appreciate the short periods between procedures as a result of the compact building design, the fast admission time,

the quality equipment in spacious theatres and the quality of nursing assistance and care, including the fact that nursing staff are highly qualified and thus able to assist should complications arise.

Who says what about us...Patients who used the feedback mechanisms at Advanced day

hospitals seem pleased with the service.

Advanced Health has invaded the social media in a well-planned campaign to reach its target audiences with fresh and regular news snippets and happenings in the company. Follow the action through:•Facebook(https://www.facebook.com/advancedhealthdayhospitals/);•Twitter(http://www.twitter.com/@Ahdayhospitals);and•LinkedIn(https://www.linkedin.com/company/advanced-health-day-hospitals).

SendnewssnippetstoJacolenevanTonder,jacolene@quirkydesign.co.za.

FacebookwasahiveofactivityinMarch,recording272Likesandahighestreach of 313 on 22 March. Highest posting reach was 269 on the Day Hospital Association testimony at Competition Commission. Total reaches were 2 912 at month-end.

WE WENT SOCIAL!

ADVANCED >May 2016

Advanced Health establishes, invests in and manages day hospitals in Australia and South Africa. Formoreinformation,visitwww.advancedhealth.co.za.

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Year-end 2015ChatswoodPrivateHospital(CPH)in Sydney receives its New South Wales department of health licence following inspections which started on a Monday at the crack of dawn (06:00).

“The certification was extremely arduous as the certifier on the Friday insisted on a number of key and critical changes. This required a number of consultants, key trades and key staff being called to work through the weekend in order to be ready for the inspection,” says PMA CEO Marc Resnik.

11 JANUARY

CPH welcomes its first patients, operated on by Dr Ray Sacks and Dr John Downie.

The Australian Private Hospitals Association published an extensive report on the new hospital, saying it has emerged as a national leader: “A new private hospital on Sydney’s north shore has solidified the area’s reputation as a national leader in the treatment of patients withear,nose,throat(ENT)andeyeconditions.ChatswoodPrivateHospital became Sydney’s only dedicated private hospital for such procedures when it opened to the public.”

Dr Ray Sacks, pictured here with his team of assistants, was the first ENT surgeon to perform surgery at the new Chatswood Private Hospital.

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1 FEBRUARY

The Advanced Groenkloof Day Hospital in Pretoria opens. The hospital is experiencing good support and everybody are very impressed with the facility and the competence.

11 FEBRUARY

The Advanced Worcester Surgical Centre team hosts doctors who will work at the newly completed facility. Five days later the DOH inspection was successfully completed and the licence was granted on 4 March.

14 MARCH

The first Proveo Modular Platform Microscopes in South Africa is delivered to Groenkloof and Soweto. The microscopes set the benchmark for ophthalmic surgery, with two separate beam paths that increase depth of field and four individual beam paths that deliver straight red reflex to ensure consistent, uncompromised images during surgery.

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Advanced News 3

31 MARCH

The Worcester facility opens

1: Worcester theatre2. Worcester reception3 and 4: Neil and Sam-Riley were the first patients in the new facility5. Worcester ward

14 MARCH

The first Proveo Modular Platform Microscopes in South Africa is delivered to Groenkloof and Soweto. The microscopes set the benchmark for ophthalmic surgery, with two separate beam paths that increase depth of field and four individual beam paths that deliver straight red reflex to ensure consistent, uncompromised images during surgery.

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Advanced Health end-February reported on-target financial results for the six months ended 31 December 2015. The focus was on the solid growth in infrastructure, with the flagship six-theatre Chatswood Private Hospital in Sydney having opened and the number of operational day hospitals in South Africa having grown from two to five, with

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ON-TARGET RESULTSanother four scheduled to open during 2016. Both the Australian and South African subsidiaries performed according to expectations. The mature Australian operation increased revenue by 12%, while, in South Africa, development and ramp-up costs caused the expected short-term decline in bottom-line contribution.

4 Advanced News

DR JUNET BASED AT ADVANCED DURBANVILLE Ophthalmologist Dr Junet van der Merwe has based her practice at the Durbanville Eye Clinic in the Advanced Durbanville Surgical Centre.

After obtaining an MBChB degree from the University of Stellenbosch, Dr Junet obtained a DipOphth (SA)in2005andafellowshipinophthalmologyFCOphth(SA)in2009, both from the College of Medicine of South Africa, and an MMed Ophthalmology from the University of Cape Town, awarded with distinction in the dissertation.

Her experience started with her internship at the Tambo Memorial Hospital in Boksburg.

She has also worked at various provincial hospitals – including Stellenbosch and George and gained further experience at the Princess of Wales Hospital in Bridgend, Wales.

She was the medical officer and registrar, ophthalmology at Groote Schuur Hospital and more recently held the position as specialist ophthalmologist at the ophthalmology clinic at the Eerste River Hospital.

She is involved in outreach programmes – cataract, glaucoma and diabetic retinopathy screening in the West Coast District of the Western Cape and the screening and treatment of ocular diseases through the non-profit Radiance Foundation, of which she is a member.

KNYSNA KEY PERSONNEL APPOINTEDSr Anthea Tait and Sr Rita van Zyl have been appointed as Joint Facility Managers of the Advanced Knysna Surgical Centre.

An experienced Rita van Zyl started her healthcare career in 1970 at Vereeniging Hospital as a student nurse and worked at various private hospitals as a professional nurse, including Eugene Marais, ZAH, Faerie Glen and for the past eleven yearsatLifeKnysnaHospital.

A young, but dynamic Anthea Tait, who started her career in the Eastern Cape, will be Rita’s protégé until her retirement. Anthea joins AdvancedfromLifeKnysnaPrivateHospital, where she was scrub sister.

ELAINE TAKES THE REINS AT WORCESTERSr Elaine Dreyer joined Advanced Health on 1 January as Facility Manager at Advanced Worcester Surgical Centre.

ShestudiedattheSGLourensCollege in Pretoria and worked in various Pretoria hospitals, including Medforum, Pretoria Eye and Mediclinic Kloof. Prior to joining Advanced, she worked at Mediclinic Worcester for six years.

As a trained and experienced theatre nurse, she worked as part of the surgical teams, building expertise in ophthalmology, ENT, urology, gynaecology and general, plastic, Maxilla facial and minor and medium orthopaedic surgery.

Elaine’s passion for her work and her integrity was a driving factor in the commitment of Worcester specialists to work at the new day hospital.

Anthea TaitRita van Zyl Elaine Dreyer Dr Junet van der Merwe

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Advanced Health... a dream spanning three decadesProviding affordable, quality surgical services – this has been the dream of Advanced Health founder Carl Grillenberger since 1983, when he first evaluated day-hospital investments in the United States.

Carl returned from the USA and started developing day hospitals in South Africa in the mid-80s, in PresMedLimited,acompanyhefloated on the JSE, first on the development capital board and eventually on the main board. PresMed eventually became the hospitalgroupnowknownasLifeHealthcare.

“At the time, we were able to provide cost-effective surgical facilities, but it was more lucrative to invest in private hospitals. The market was not ripe for day-hospital development,” says Carl.

He went to Australia and developed what is today PresMed Australia, the Australian arm of Advanced Health.

“The new company was a success, because Australian healthcare environment was conducive for the development of day hospitals,” he says.

In 2013, two events in the South African healthcare industry triggered the establishment of a company which would house South Africa day hospitals.

“I realised the South African environment has changed when the Competition Commission announced its investigation into the private hospital industry, which is perceived to be too expensive and which might be involved with theprevention,distortionand/orrestriction of competition. At last day hospitals were in a position to compete with the larger private hospital groups.

“Also, Discovery Health announced that it would pay an enhancement fee to specialists who attend to short-stay procedures in day hospitals. I knew the tide is turning, with the funding industry exploring viable alternatives to contain cost.”

FOCUS AREASIn 2016, three new day hospitals will open in South Africa. These are the Advanced Soweto Day Hospital in Gauteng, the Advanced Knysna Surgical Centre in the Western Cape and the Advanced Vergelegen Surgical Centre in Somerset West.

“We are also looking at the development of additional day hospitals in association with existing licence holders.

“We foresee growth in our industry niche and plan to move the Advanced listing to the JSE main board in 2017 and implement a rights issue to fund the development of additional day hospitals.

“Lastly,weplantorewardourshareholders with a maiden dividend in 2018, as foreseen in the pre-listing prospectus.”Now that more than 75% of all surgical interventions can be attended to in day hospitals, Carl is more convinced than ever that day hospitals can render quality surgical services more cost-effectively than what is available in South Africa. The Advanced philosophy is in line with the changes which are taking place in the hospital industry in the United States and in Europe, and the move to compact and custom-designed short-procedure facilities are being accelerated by technology, the latest being the so-called key-hole surgery, in conjunction with modern anaesthesiological techniques.

ACHIEVEMENTSAdvanced Health was listed on the JSE AltX division to secure funds for the development of day hospitals and the Australian and newly established South African arms were incorporated into the listed entity. At this stage Australian facilities generate some 80% of income, but the ratio should equalise by 2020, when Advanced plans to operate 20 day hospitals in SA and six in Australia.Achievements to date include:•aR100-millioncapitalraise

through the listing in 2014, which prompted

•thestartofdevelopmentworkon five new day hospitals in SouthAfrica;and

•puttingfivenewfacilitiesinoperation:– Advanced Durbanville

Surgical Centre in Cape Town,

– Chatswood Private Day Hospital in Sydney Australia,

– Advanced Panorama Surgical Centre in Cape Town,

– Advanced Groenkloof Day Hospital in Pretoria, and

– Advanced Worcester SurgicalCentre(WesternCape).

“Management is currently focused on turning new facilities into smooth-running, profitable day hospitals. Par t of this

focus is the promotion of these facilities in par tnership with like-minded specialists,” says Carl.

6 Advanced News

The pharmacist who sculpted far-reaching innovations in the healthcare industry, to the benefit of patients and service providers – this is probably the most apt summary of Marc Resnik’s journey in the South African and Australian healthcare industries. Marc is an executive director of Advanced Health, managing director of the company’sAustralianoperations,PresmedAustralia(PMA),andadirectorofallPMAsubsidiaries.

THE EARLY YEARS

Marc Resnik... transforming vision into success

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1981Marc entered the industry in 1981 as pharmacy intern at the Brenthurst Clinic in Johannesburg, then one of the leading multi-disciplinary hospitals in South Africa.

After that, he joined the Medical Corps for a compulsory two-year military service. He returned to civilian life with immense experience in medical- and surgical-product analyses for tenders.

He joined the Home and Hospitals Dispensary Group and was offered a position to manage the MBS Dispensary. A year later, he was offered the position of Brenthurst Clinic Pharmacy manager. He used his accumulated experience to play a leading role in implementing the concept of clinical pharmacy in South Africa, which saw clinical pharmacists accompanying medical specialists on patient ward rounds, resulting in professional interaction to the benefit of patients.

1987 Two years later, in 1987, Marc became Brenthurst Clinic hospital manager and in the subsequent five years spearheaded the facility through major renovations, growing it to ten theatres, 220 beds and a state-of-the-art ICU and high-care unit.

1992In1992,hejoinedtheLifecareClinics Group and became managing director 18 months later. Under his leadership, with his keen eye for recognising changes in the healthcare industry, the group grew to ten hospitals, including the only private hospital for drug and alcohol rehabilitation in the country. He introduced the first home healthcare business into South Africa and spearheaded the first joint business relationship between government and private hospitals. Within threeyears,Lifecarehadgrownto become one of the top five hospital groups in South Africa.

1996 In 1996, he approached Carl Grillenberger, now Advanced Health CEO and then founder and managing director of the listed President Medical Group(PresMed),withthestrategic idea to merge the two groups under their leadership. This vision was enacted by yearend, making PresMed one of the largest private hospital groups in South Africa, with Marc serving as a director on the board.

1997In 1997, Marc emigrated to Australia, joining Carl who had by then set up PMA, and became managing director of the company the following year. PMA was established as a healthcare company investing and specialising in the establishment and the management of ophthalmic day-surgery hospital facilities in Australia.

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GROWING PMAMarc set about cautiously and systematically growing PMA. Milestones include the opening of its first facility, the Ophthalmic Surgery Centre(OSC)inthebusinessdistrictof Chatswood. Once this business was established and its ethos became known in the ophthalmic industry, Epping Surgery Centre (ESC)wassetup15kmnorth-westof Chatswood in the business district of Epping.

Two years ago, through a strategic opportunity, PMA acquired the only dedicated ENT and facial day hospital(SENT)inSydney.

The growth in OSC and SENT led to the decision to merge the two businesses and in January 2016 the ChatswoodPrivateHospital(CPH)was opened.

This facility is recognised as one of the largest day hospitals with overnight facilities in Australia, with more than 55 accredited surgeons operating in its six theatres. PMA now has more than 80 accredited specialist surgeons associated with it.

and he lectured to many wildlife organisations. He also authored twomanuscripts,TheLifeofLionsand Bushwalks in the Kruger Park.

He is keen on fitness, believing this is essential to one’s wellbeing. He regularly participates in a contact martial art sport known asBrazilianJiuJitsu,andhasalsopractised in the Chinese martial art of Tai Chi.

Marc is also community driven and gives of his time after hours assisting those in need and in a less fortunate position.

Following research into areas of oppor tunity, another facility was established one hour nor th of Chatswood,

and the Central Coast Day Hospital (CCDH) was built.

GROWING THE INDUSTRY Marc’s input into the industry extends beyond PMA. Through a strategic association with a group of ophthalmologists in Bankstown in west Sydney, Marc has an involvement in the strategy and marketing of this company. He also co-founded the only laser vision clinic in the Central Coast of NSW.

He notched up another first for the industry by motivating a

group of ophthalmologists and philanthropists to set up a private ophthalmic day hospital to operate its business within a public eye hospital facility, to the benefit of all. He also co-founded the Independent Ophthalmic Network of Australia, consisting of over 200 independent ophthalmologists, which is now part of the Australian Society of Ophthalmologists.

AT HOMEAfter hours, he finds time to express his deep love for wildlife, having literally grown up in the Kruger National Park. His interest in wildlife photography saw him win numerous awards over the years

Some comments from colleagues:

Marc is a conservative, loyal and focussed individual.

He understands the principle of creating a strong team around him – it is easier for a team to achieve objectives than trying to do it on your own.

Punctual, accurate and organised...