Metropolitan Health Dec Dec Key aspects 2012 2013 Change • Slow-down in GEMS membership growth Total principal members 1 179 043 1 182 746 - • Acquisition of GEMS 662 469 681 218 3% Providence Health Other schemes 516 574 501 528 (3)% • Consolidation continues Rm Rm • Operational Operating profit after tax 70 75 7% efficiencies Focus on operational efficiencies