SAMDP Represents medical providers in the public & private sector and the army; Also represents black doctors at the South African Medical Association (SAMA); Is a Section 21 company; Has an investment company called SGH Is a shareholder in Afrocentric, a company that owns 100% of Medscheme Profile of SP Net; SP NX and the South African Medical and Dental Practitioners (SAMDP)

SAMDP Provider Network (SP Net) Is a national network of General Practitioners (GP) affiliated to more than 21 Independent Providers Associations (IPAs) Represents about (GPs) spread all over the country; Is an association of IPAs and GPs Is an organisation associated with SAMDP

SP NX Management Services (SP NX) Pty Limited provides services and manages contracts on behalf of SP Net. has contracts with the medical industry players and other companies is a legal persona (Pty Limited) has been part of the broader GP national networks that is contracted to schemes Has a PPP with the Department of Social Development managed by the South African Social Services Agency (SASSA)

The Business of SP NX Provide comprehensive management services to all its affiliated IPAs Provides an employment Agency role for doctors Offer managed medical services to the industry and Contract on behalf of SP Net Pursue business activities that emanates from the collective potential of its IPAs and providers Provide education, information and support to doctors to optimize their function Peer mentoring and management of its providers for all contracts.

Service offering to SP Net affiliates Support of affiliated practices -negotiated various contracts on behalf of network -provided dispensing course and applied for dispensing license for all affiliates -Quality Assurance on contracts: Peer Review Process; -building network of providers, organise CPD meetings -monthly newsletters, electronic, SMS and other forms of communication -regular visits to the various IPAs -offer advise to practices, and represent them in disputes with medical schemes

Service offering to SP Net affiliates (Cont) Provide complete integrated business solutions to affiliated practices Practice management software (PMS), collection of accounts Hardware and software supply, including Internet connection Bureau services and complete management of practices Setting up, and support of practices Negotiate alternate reimbursement models for providers

Current contracts of SP NX PPP with SASSA whereby its doctors assess members for Disability Grants (DG) and Care Dependency Grants (CDG) A co-operative agreement with major GP networks on the market: ASAIPA, SAMCC; DFPA; and Primecure: these networks represent more than 70% of the GP Market. It is one of the founding organizations of the IPA Foundation of SA (IPAF) Procurement contracts with pharmaceutical suppliers: S Buys = medicines and the SOP manual

PPP with the South African Social Services Agency (SASSA) contract Doctors do sessions and are paid a per patient assessment rate More than 250 doctors have been trained to deliver this service Contract started 15 May 2005 in Gauteng, it has now been extended to the Northwest province Objective of SP NX is to extend these PPP to the other provinces, and to various government departments, including offering ARVS; and management of chronic illnesses and other services

Shareholding structure SP Net Trust; SAMDP Section 21; Management; Unallocated shares (Warehouse) The Board is accountable to all of its shareholders and has responsibility for relationships with its stakeholders SP NX is looking for strategic partnerships that will assist it in broadening its service offering

Operational Structure, executive directors and corporate governance Executive directors: Dr Elijah Nkosi (CEO); Dr Nkateko Munisi: (Financial Director); Dr Martha Mpotoane (Marketing and Administration Director) The board of SP NX comprises of the 3 executive directors and 2 non-executives: Dr Sam Tshabangu and Dr Joe Maelane Board of Governors (National Council)  Is comprised of the chairperson of the various affiliated IPAs  It is the governing body and sets policies for the organisation  Meets at least biannually

Profile of the directors Dr Elijah Nkosi (CEO): MB ChB (Medunsa); MAP and MBA (Wits University) - Non executive director of Phumelela Horse racing (JSE listed company) - Former Chairman of the board at Chris Hani Baragwanath hospital ( ) - Trustee of a medical aid Profmed - Director in BEE companies: PPI and Rixile; - Practices as a GP in Soweto Dr Nkateko Munisi (Financial Director) MB ChB (Wits) - Board member at Germiston hospital - Chairman of Eskom Pension and Provident Fund medical panel - Director of Nigel and district IPA (NADIPA) - Financial director of SP NX and SAMDP - Practices as a GP in Nigel Dr Martha Mpotoane (Marketing and Administration director): MB ChB (Medunsa) - hospital board member at Kopanong hospital; Director at Kemano Investment Holdings and the Vaal IPA (VAIPA) - Currently registered for B Com (Marketing) - Practices as a GP in Vereeniging