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The Healthscope Offer
                                                  April 2007




Strictly Private and Confidential
Table of Contents
1. Executive Summary                  1

2. Valuation of Symbion               3

3. Analysis of Offer                  7

4. Offer Pricing Strategy            10

5. Healthscope Contingencies         13

6. Scenario Analysis                 15

7. Next Steps                        17

 8. Appendix

          I.     Industry Overview   20
          II.    Symbion             22
          III.   Valuation           25
          IV.    Synergies           30
          V.     Bid                 34
1. Executive Summary




1
Executive Summary
Healthscope’s offer should be rejected as it significantly undervalues Symbion.




    Valuation of Symbion    Symbion valued as a standalone entity at $4.60



                            Minimum offer significantly undervalues Symbion
      Analysis of Offer
                            Offer contains onerous terms and conditions precedent


                            Recommend rejection of current Healthscope offer
    Symbion Response
                            Aim to secure a price floor of $4.60 for Symbion


        Healthscope         May revise offer and propose an amended Scheme of Arrangement
       Contingencies        May undertake a hostile takeover




     Scenario Analysis      Choose appropriate strategy based on Healthscope’s response




        Next Steps          Implementing our recommendation




2
2. Valuation of Symbion




3
Indicative Valuation
                                                                                                          Enterprise Value   2007F EV / EBITDA
    Valuation Measure                                            Price per Share (A$)                      Low       High      Low       High

    Market Valuation                           Pre-bid 3 Month                            Advised SYB
                                                VWAP: $3.50                                Price: $4.60


     6 Month Trading Range                      $3.07                             $4.30                   2,409    3,203       9.5 x   12.7 x


     Trading Comps - EV / 2007F EBITDA                      $3.70              $4.09                      2,816    3,067      11.1 x   12.1 x


     Transaction Comps - EV / LTM EBITDA                               $4.21              $4.60           3,145    3,397      12.4 x   13.4 x


    DCF Valuation


     Symbion                                                        $4.01                         $4.90   3,016    3,377      11.9 x   13.3 x


    Indicative Bid Valuation


     Pre-Bid 3 Month VWAP¹ + (31.5% premium)            $3.50                             $4.60           2,687    3,397      10.6 x   13.4 x


     Broking Analyst Price Targets                                 $4.00         $4.25                    3,009    3,171      11.9 x   12.5 x



     Synergies




4
Discounted Cash Flow

                                    Jun-06   Jun-07      Jun-08   Jun-09            Jun-10        Jun-11         Jun-12         Jun-13     Jun-14
    Cash flows
    EBIT                            173.7    210.3       280.1    294.5             316.8         319.8          317.9          332.4       347.5
    Tax on EBIT                     (52.1)   (63.1)      (84.0)   (88.4)            (95.0)        (95.9)         (95.4)         (99.7)     (104.3)
    NOPAT                           121.6    147.2       196.0    206.2             221.7         223.9          222.5          232.7       243.3
    Dep&Amort                        49.3     42.7        46.4     51.2              46.8          48.9           51.1           53.4        55.8
    Capex                           (61.4)   (44.1)      (48.2)   (51.2)            (46.8)        (48.9)         (51.1)         (53.4)      (55.8)
    Change in Working Capital         0.0      1.7        (2.6)     1.5               1.0           1.3            1.7            0.5         0.5
    FCF To Firm                     109.5    147.5       191.7    207.7             222.8         225.1          224.2          233.1       243.8
    Terminal Value                                                                                                                        3,610.8
    Total Cash Flow                 109.5    147.5       191.7    207.7             222.8         225.1          224.2          233.1     3,854.5

    Discount Factor from mid year      n/a   1.0321      0.9385   0.8535            0.7762        0.7059         0.6419         0.5838     0.5309
    Discounted Cash Flow               n/a   152.3       179.9    177.3             172.9         158.9          143.9          136.1     2,046.4


    Output                                                                                   Terminal value
     Valuation Date                                   30 Apr 07                              Terminal growth                    3.00%
     PV of Annual Cash Flows                            1,121.3   35.4%
     PV of Terminal Value                               2,046.4   64.6%
     NPV                                                3,167.7
                                                                                                              Terminal Growth
     Net Debt                                             414.0
                                                                            $4.27       2.50%        2.75%          3.00%        3.25%      3.50%
     Equity Value                                       2,753.7
                                                                           9.45%         $4.37        $4.49         $4.62         $4.77      $4.92
     Number of Shares                                     645.5            9.70%         $4.21        $4.32         $4.44         $4.57      $4.71
                                                                   WACC
     Implied Share Price                                   4.27            9.95%         $4.06        $4.16         $4.27         $4.39      $4.51
     Current Share Price                                   3.50           10.20%         $3.91        $4.01         $4.11         $4.22      $4.33
     Premium to Share Price                              21.9%            10.45%         $3.78        $3.87         $3.96         $4.06      $4.17




5
Synergy Analysis
Synergies of c$74.2m are estimated to accrue from the transaction.



Estimated cost synergies

               Area                     Estimated Quantity pa ($m)                                                   Details

                                                                                           Laboratory consolidation
      Pathology cost synergies                     68.9                                    Procurement of consumables
                                                                                           Rationalisation of pathology support functions
                                                                                           Rationalisation of firm-wide corporate functions
      Corporate cost synergies                     5.3                                     Costs saved from de-listing Symbion
                                                                                           Costs saved from using a common IT platform
                                          Total    74.2



Timeline for pathology synergies                             Implementation costs


                                                                     Costs(1) ($m)                                             Details


                                                                                                               Implementation costs relating to
                                                                           51.6
                                                                                                                pathology lab synergies


                                                              (1)   One-off implementation cost staggered over three years




6
3. Analysis of Offer




7
Offer Price and Terms
In addition to undervaluing Symbion, Healthscope’s offer has attached to it undesirable terms and
conditions precedent.


Implied Offer Price                                                                            Terms and Conditions Precedent


                                                                                                                                   Comments

                                              Healthscope VWAP
                                                                                                 Management        Seek to retain 1-2 Symbion Board members
                                                                                                  Structure         in MergeCo
                                          $5.30 -       $5.60 -        $6.06 -
                          <$5.30(1)                                                  >$6.51
                                          $5.60         $6.06          $6.51
                                                                                                                   Symbion directors should be allowed to
                                                                                                  Exclusivity       consider better third-party proposals that
                                                                                                Period & Break      maximise shareholder value
          Exchange                       0.4642 –                     0.4393 –                       Fee
                               -                        0.4393                       0.4089                        Break fee acceptable
          Ratio                          0.4393                       0.4086


                                                                                                  Regulatory       ACCC anti-competition concerns for
      Pro-forma                                                                                    Approval         pathology business in Victoria
                                         55.9% –                      54.5% –
      SYB                      -                         54.5%                        52.7%
                                         54.5%                        52.7%
      Ownership
                                                                                                  IAC Debt         Undesirable to have IAC debt commitment
                                                                                                 Commitment         as a hurdle requirement
           Implied                                      $4.30 –
                               -          $4.30                         $4.50         $4.50
           Value                                        $4.50
                                                                                                 CGT Roll-over     CGT roll-over relief available for the scrip
                                                                                                    Relief          component of the offer
    (1)    As a Healthscope VWAP of $5.30 is a condition precedent, anything lower would not
           result in the offer going ahead



8
Offer Characteristics
There are several concerns for Symbion shareholders with the Healthscope offer.



Attraction                                                          Concerns


                                                                                        Offer price significantly undervalues
    Contribution
                     Symbion receives a proportionally higher         Offer Price       Symbion
                      ownership stake in MergeCo given its
      Ratio           EBITDA contribution


                                                                                        Price floor of $4.30 due to double collar
                                                                      Uncertainty of
                                                                      Consideration     But exact value of consideration is
                                                                                         uncertain
                     Symbion shareholders who elect to receive
      Business
                      a scrip component have exposure across 4
    Scale and Mix     different market segments                                         Potential for volatility in MergeCo’s price
                                                                       Volatility of     post-transaction
                                                                       MergeCo’s
                                                                         Price          An oversupply of MergeCo shares will exert
                                                                                         downward pressure on price

                     Individual shareholders have flexibility to                       Long-term success of MergeCo predicated
      Form of
                      maximise cash consideration or scrip                               on the full realisation of synergies
    Consideration     consideration
                                                                     Integration and
                                                                      Synergy Risks     No guarantee that Healthscope will be able
                                                                                         to integrate Symbion successfully




9
4. Offer Pricing Strategy




10
Fair Value of Symbion
Minimum price acceptable to Symbion is $4.60.


Valuation                                                                                                          Offer Price Considerations
                                                                                                           Enterprise Value
 Valuation Measure                                               Price per Share (A$)

 Market Valuation                              Pre-bid 3 Month                            Advised SYB                                          Board owes duty to shareholders to only
                                                VWAP - $3.50                               Price - $4.60
                                                                                                                                                accept offers that maximise shareholder
     6 Month Trading Range                      $3.07                             $4.30                                        Maximise         value
                                                                                                                              Shareholder
     Trading Comps - EV / 2007F EBITDA                      $3.70              $4.09
                                                                                                                                Value          Scheme proposal implies payment of full
                                                                                                                                                value for Symbion to ensure a friendly
     Transaction Comps - EV / LTM EBITDA                               $4.21              $4.60
                                                                                                                                                transaction
 DCF Valuation


     Symbion                                                        $4.01                     $4.90
                                                                                                                                               Potentially the last available acquisition
                                                                                                                                 Era of         in the healthcare industry due to sector
 Indicative Bid Valuation
                                                                                                                              Consolidation     consolidation
     Pre-bid 3 Month VWAP¹ + (31.5% premium)            $3.50                             $4.60                               Coming to an
                                                                                                                                  End          A higher price will be sought to take
     Analyst Price Targets                                         $4.00          $4.25                                                         advantage of the opportunity

     Synergies
                                                                                                                                               Symbion has significant market share in
                                                                                                                                                each of its business divisions

                                                                                                                                Future         Spare debt capacity to fund future
                                                                                                                               Prospects        growth

                                                                                                                                               Strong industry growth prospects (eg
                                                                                                                                                due to ageing population)



11
Healthscope Offer Determinants
It is unlikely that Healthscope will be prepared to pay more than $4.60.


Offer price considerations(1)                                                                    MergeCo versus Healthscope EPS accretion / dilution

                                                                                                           Offer price $4.60                  Offer price $4.70
                                      Difficult for Healthscope to sell a dilutive               15.0%                             15.0%
         EPS                           offer to its shareholders                                                            12.5%
                                                                                                                                                                 10.6%
       Accretion /                                                                                10.0%                             10.0%
        Dilution                      Scrip of merged entity more attractive than
                                       that of Symbion on an EPS basis                             5.0%                               5.0%
                                                                                                                    2.2%

                                                                                                   0.0%                               0.0%
                                                                                                            2008F   2009F   2010F              2008F     2009F   2010F
                                                                                                  (5.0%)                             (5.0%)              -0.2%

                                      Value of deal is synergy-driven                                      -6.6%
                                                                                                 (10.0%)                            (10.0%)    -8.4%
       Synergies                      Offer of $4.60 provides buffer for EPS
                                       dilution from synergy risk                                MergeCo EPS comparison (offer of $4.60)

                                                                                                 Earnings Per Share (cents)            2008F           2009F     2010F
                                                                                                 Symbion                                26.4            28.6      31.8
                                      Opportunity for Symbion shareholders to
                                                                                                 Healthscope                            33.5            35.2      39.8
                                       participate in synergies of the transaction
       Merger of                                                                                 MergeCo (Excl C&P)                     31.3            36.0      44.8
        Equals                        Resulting ownership of MergeCo in favour
                                       of Symbion shareholders(2)


 (1)   Analysis assumes cash portion of bid is fully funded by debt (i.e. 40% debt, 60% scrip)
 (2)   Symbion shareholders to own ~52% of MergeCo



12
5. Healthscope Contingencies




13
Decision Tree Analysis
Rejection of the offer increases the chance for a favourable result for Symbion.


      Recommendation                   Healthscope Response                        Likely Outcome



                                           Revised Scheme                     Transaction Successful
                                     Proposal of scheme at $4.60           Board recommendation of
                                      and implementing more                  revised scheme
                                      favourable terms
                                                                            Thorough due diligence
                                     75% threshold easier to                undertaken
                                      achieve that 90% required for
         Reject Offer                 alternative hostile takeover bid      75% acceptance at scheme
                                                                             vote achieved
      Offer undervalues
       Symbion based on
       DCF and transaction
       comparables

      Duty to maximise                    Hostile Takeover                        Unsuccessful Bid
       shareholder value
                                     At the same price and on same         Rejection of offer by Symbion
                                      terms as scheme proposal               board

                                     80% minimum for CGT rollover          Retail shareholders will follow
                                      relief to be available for scrip       recommendation of the board
                                      portion
                                                                            Greater risk due to less reliable
                                     90% minimum acceptance                 due diligence
                                      condition
                                                                            90% minimum acceptance not
                                                                             reached
14
6. Scenario Analysis




15
Scenario Analysis
There are a number of scenario-based strategies that can be employed after rejecting the initial offer.



                                                Description                                                   Strategy

                                                                                        Recommend Symbion shareholders reject the offer
                                                                                         listing key reasons
     Hostile Takeover     Healthscope pursues an off market hostile takeover bid
            Bid            rather than proposing a revised scheme
                                                                                        May implement a takeover defence strategy such as a
                                                                                         share buyback


                                                                                        Acceptance of scheme proposal did not maximise
                                                                                         shareholder value
        Walk Away         Healthscope abandons all plans of a merger
                                                                                        Use available debt capacity to fund future growth


                                                                                        Revised proposal will require 75% acceptance of
                                                                                         shareholders by votes and 50% by number
      Interloper in a     Healthscope offers a revised proposal and an interloper
     Revised Scheme        takes a blocking stake to prevent the merger                 Maximum blocking stake is 19.9%

                                                                                        Pitch approval of the scheme to all shareholders



     Superior Proposal    A superior proposal is put forward by a third party post-    Recommend if offer pays at least full value for
      by a Third Party     rejection of the scheme offer                                 Symbion pending analysis of offer consideration




16
7. Next Steps




17
Next Steps



              Reject offer and provide reasons to Symbion shareholders




                   Analyse any revised offers from Healthscope




                         Accept new offer or proceed with defence strategies




18
8. Appendix




19
Appendix I – Industry Overview




20
Key Segments
Pathology, diagnostic imaging and medical centres are key growth segments in Australian healthcare.


                        Pathology                                 Diagnostic Imaging                        Medical Centres

                                                                                                                                   Symbion
                                                Other                                                                  IPN
                                                                                                                                     2%    Primary
                                      Primary    7%                                                                    2%
                                                                                                                                             3%
                                        5%
                                                                      Other                      DCA
                         St John of                       Sonic       33%                        35%
                            God                           38%
                             5%

                        Healthscope
                           10%
      Key players


                                                                                                                                            Other
                                                                     Symbion                                                                93%
                                Symbion                                                        Sonic
                                                                       16%
                                  35%                                                          16%




                           Major customer bases are referring                                               Primary source of referrals
                            doctors and hospitals                   Top 3 private operators control c67%    Private GPs comprise c70% of market
                                                                     of market share                          with large, integrated healthcare
                           Medicare rebates accounted for c93%
                                                                                                              providers comprising 30%
     Salient features       of total industry revenue             Significant growth potential due to
                                                                   aging population                          Projected 5-year CAGR of 2.7%
                           Existing Medicare Agreement caps
                            funding growth at 5%pa but estimated  Funding structure similar to pathology    Government incentives to promote the
                            to increase                                                                       consolidation of independent practices




21
Appendix II – Symbion




22
Share Register Overview
                                Estimated Ownership
                              Retail Investors   Institutional Investors




                                                      30%




                                       70%


Substantial shareholders

               Holder      Number of Shares      % Ownership                      Investment Strategy

                              62,587,624              9.7                    Appears to be a long term investor


                              59,360,508              9.2                    Appears to be a long term investor


                              54,352,948              8.5                  Trader rather than buy and hold investor


                              51,694,537              8.0                  Trader rather than buy and hold investor

                              32,594,863
                                                      5.1                    Appears to be a long term investor




23
Share Price Chart
                                                                          SYB v Healthcare Index (1)

             130




             120




             110




             100




               90




               80
                May-06                                  Aug-06                                 Nov-06                               Feb-07   May-07

                                                                                  Healthcare Index              Symbion

 (1)   Healthcare Index is a market capitalisation-weighted index comprising of Sonic, Healthscope, Primary, Blackmores and Sigma


24
Appendix III – Valuation




25
Valuation Assumptions

                                                                         WACC Calculation
                    Medicare rebates capped at 5% growth affecting
                     pathology and medical imaging                         DCF assumptions
     Legislative    Rebates set to expire in FY09, but assumed to         Risk-free Rate          6.50%
                     remain in place                                       Market Risk Premium     6.00%
                                                                           Equity Beta              0.85
                   Revenue                     EBITDA Margin               Cost of Equity          11.6%
                    Pathology – 12.5%          Assumed to be
                     growth FY07                 slightly higher than      Cost of Debt            7.50%
                    Diagnostic imaging –        FY07 numbers due          Margin                     -
                     5% growth FY07              to cost savings and       Tax Rate                 30%
                    Consumer – 12%              high operating            Pre-tax Cost of Debt    7.50%
                     growth FY07                 leverage                  Post-tax Cost of Debt   5.25%
                    Pharmacy – 12.5%
                     growth FY07               Capex and D&A               Target Gearing (D/E)    35.0%
     Operating                                  Maintenance capex
                                                                           E/V                     74.1%
                    Longer-term growth for      assumed forecasted
                     radiology tied to           as a percentage of        D/V                     25.9%
                     Medicare rebate             revenue
                     scheme                     D&A forecast as a %       Post-tax WACC           9.95%
                    Longer-term growth for      of capex merging into
                     consumer and                100% of capex in
                     pharmacy tied to CPI        perpetuity




     Financing      7.5% cost of debt (no margin)




26
Trading Comparables

Valuation
     Earnings       Median multiple applied to 2007                                              Enterprise Value
       2007F            Low               High                                                    Low           High
       253             11.1x              12.1x                                                  2808           3061
                                                      Plus Associates                              0             0
                                                      Less Net Debt & Minorities                 (418)         (418)
                                                      Implied Equity Value                       2390           2643
                                                      Shares Outstanding                         645.5         645.5
                                                      Implied Value Per Share                    $3.70         $4.09
                                                      3-Mth VWAP (Pre-Bid)                       $3.50         $3.50
                                                      Premium / (Discount) Over Current          5.5%          14.5%



List of Comparables                                                                Graph

 Trading Comparables                    EV / 2007F EBITDA                              14.0x
 Healthscope                                          10.4x                                                    Median 11.6x
                                                                                       12.0x
 Symbion                                              11.1x
                                                                                       10.0x
 Sonic Healthcare                                     11.5x
 Primary                                              11.7x                               8.0x

                                                                                                                                                     12.7x   13.2x
 API                                                  12.7x                        M
                                                                                   e
                                                                                   p
                                                                                   u
                                                                                   t
                                                                                   i
                                                                                   l      6.0x
                                                                                                                  11.1x         11.5x       11.7x
                                                                                                    10.4x
 Sigma                                                13.2x                               4.0x
 Median                                               11.6x
                                                                                          2.0x

                                                                                          0.0x
                                                                                                 Healthscope     Symbion        Sonic      Primary   API     Sigma
                                                                                                                              Healthcare


27
Transaction Comparables

Sum of the Parts                                                                                     List of Transactions
                      Earnings               Median multiple                         Value             Pathology & Medical Centres
                                                                                                         Target Company                  Date     Acquiror                 EV (US$m)   EV / LTM EBITDA
 30-Jun-06              LTM              Low                 High            Low             High
                                                                                                         Clinical Pathology Labs         Aug-05   Sonic Healthcare           375                  9.5x
 Divisional EBITDA                                                                                       QML                             Jun-02   Mayne Group                268                  9.9x
 Pathology              110              13.4x               14.4x           1474            1584        LabOne                          Aug-05   Quest Diagnostics          934                 13.8x
 Diagnostic Imaging      54              9.5x                10.5x           513              567        Dynacare                        May-02   Lab Corp of America        672                 14.0x
                                                                                                         IPN                             Jun-04   Sonic Healthcare           105*                15.3x
 Consumer                47              13.0x               14.0x           611              658
                                                                                                         Ameripath Inc                   Apr-07   Quest DIagnostics          2398*               17.2x
 Pharmacy                36              15.0x               16.0x           540              576                                                                           Median               13.9x
                        247
                                                                                                       Imaging
                                   Enterprise Value                          3138            3385
                                                                                                         Target Company                  Date     Acquiror                 EV (A$m)    EV / LTM EBITDA
                                   Plus Associates                            0                0         MIA                             Jun-04   DCA                        934                  9.6x
                                   Less Net Debt & Minorities                (418)           (418)       DCA Group                       Sep-06   CVC Asia Pacific           2414                10.0x
                                   Implied Equity Value                      2720            2967        Qld Diagnostic Imaging          Feb-02   Mayne Group                 87                 10.1x
                                                                                                                                                                            Median               10.0x
                                   Shares Outstanding                        645.5        645.5
                                   Implied Value Per Share                   $4.21        $4.60        Pharmacy
                                   3-Mth VWAP (Pre-Bid)                      $3.50        $3.50          Target Company                  Date     Acquiror                 EV (A$m)    EV / LTM EBITDA
                                   Premium Over Current                      20.4%       31.3%           Chronimed                       Aug-04   Mayne Group                115                  9.4x
                                                                                                         CCS Medical                     Oct-05   Sonic                      630                 10.5x
                                                                                                         Mayne Pharmaceuticals           Sep-06   Hospira Inc                2523                14.9x
                                                                                                         Accredo                         Feb-05   Medco Health Solutions     2499                16.1x
                                                                                                         Priority healthcare             Jul-05   Quest                      1341                16.7x

Valuation of Consumer and Pharmacy                                                                       Arrow Pharmaceuticals           Aug-05   Sigma Pharmaceuticals      680
                                                                                                                                                                            Median
                                                                                                                                                                                                 17.7x
                                                                                                                                                                                                 15.5x


                          Earnings                Median multiple                     Value            Consumer
 30-Jun-06                    LTM               Low             High          Low             High       Target Company                  Date     Acquiror                 EV (US$m)   EV / LTM EBITDA

 Divisional EBITDA                                                                                       Rexall Sundown (Royal Numico)   Jun-03   NBTY                       250                  6.4x
                                                                                                         Roche Consumer Health           Jul-04   Bayer                      2962                12.5x
 Consumer                     47             13.0x              14.0x          611            658
                                                                                                         Rexall Sundown                  May-00   Royal Numico               1649                14.4x
 Pharmacy                     36             15.0x              16.0x          540            576        Pfizer Consumer Healthcare      Jun-06   Johnson & Johnson         22668*               20.8x
                              83                                                                                                                                            Median               13.5x
                                                          Enterprise Value    1151            1234     *Figures in AUD




28
Transaction Comparables (Cont.)

Pathology and Medical Centres                                                       Diagnostic Imaging
     16.0x                                                                              12.0x
                     Median 13.8x
     14.0x                                                                                        Median 10.0x
                                                                                        10.0x
     12.0x

     10.0x                                                                               8.0x

                                                                    17.2x
      8.0x                                                15.3x                          6.0x
M




                                    13.8x      14.0x
e
p
u




                                                                                    M
t
i
l




                                                                                    e
                                                                                    p
                                                                                    u
      6.0x                                                                                                            10.0x               10.1x




                                                                                    t
                                                                                    i
                                                                                    l
                                                                                                      9.6x
             9.5x        9.9x                                                            4.0x
      4.0x

      2.0x                                                                               2.0x

      0.0x
             CLP        QML         LabOne Dynacare       IPN     Ameripath              0.0x
                                                                    Inc                               MIA           DCA Group        Qld Diagnostic
                                                                                                                                        Imaging
Pharmacy                                                                            Consumer
     20.0x                                                                              16.0x
                                                                                                Median 13.5x
                      Median 15.5x                                                      14.0x
     16.0x
                                                                                        12.0x
     12.0x                                                                              10.0x                                                     20.8x

                                                                            17.7x        8.0x
M




      8.0x                                        16.1x         16.7x
e
p
u




                                       14.9x                                                                                     14.4x
t




                                                                                    M
i
l




                                                                                    e
                                                                                    p
                                                                                    u
                                                                                                                  12.5x
      4.0x    9.4x        10.5x                                                     t
                                                                                    i
                                                                                    l    6.0x
                                                                                         4.0x
                                                                                                     6.4x
      0.0x                                                                               2.0x
                                                                                         0.0x
                                                                                                    Rexall        Roche          Rexall        Pf izer
                                                                                                   Sundown       Consumer       Sundown      Consumer
                                                                                                (Royal Numico)    Health                     Healthcare


29
Appendix IV – Synergies




30
Synergy Analysis

Divisional Synergies

 Divisional Synergies (A$m)                                         2006A      2007F      2008F      2009F       2010F       2011F   2012F      2013F   2014F
 Implied Operating Expenses
  Synergistic Division             Pathology & Medical Centres        507        572        586        634         686         725        771     809     850
                                   Radiology                          246        258        273        287         301         316        332     349     366
                                   Consumer                           153        169        183        197         207         220        233     240     247
                                   Pharmacy                          2265       2543       2740       2945        3093        3185       3281    3379    3481
     Synergistic Division          Corporate Costs                      8          8          8          8           8           8          8       8       8
                                   Consolidated                      3179       3551       3790       4071        4294        4454       4625    4785    4952

     Symbion & Healthscope         Pathology & Medical Centres                             1460       1579        1702        1791       1869    1941    2015
                                   Corporate                                                  5          5           5           5          5       5       5
     3 year average                                       68.9



Synergy Realisation

 Synergy Realisation (A$m)                                 2008F      2009F      2010F      2011F       2012F       2013F       2014F
 Timing of Pathology Realisation                              6.9       34.4       68.9       68.9        68.9        68.9        68.9
 Corporate Synergies                                          5.3        5.3        5.3        5.3         5.3         5.3         5.3
 Implementation Costs                                       -10.3      -20.7      -20.7
 Total                                                        1.9       19.1       53.5      74.2        74.2        74.2        74.2
 % realisation                                              10%        50%       100%       100%        100%        100%        100%




31
Synergy Analysis (Cont.)

Computation of MergeCo Synergies
 Computation of MergeCo Synergies (A$m)             2007F     2008F      2009F     2010F
 Assume 95% of Pathology and Medical Centre Costs    0.95
 Pathology Division Operating Cost Estimate          543.8    556.7      602.3     651.6
 Number of Pathology Labs                            149.0    149.0      149.0     149.0
 Average Cost Per Pathology Lab                       3.6      3.7        4.0       4.4
 Synergistic Labs                                   112.00
 Closures                                            37.0
 Less Potential Synergistic Labs                     20.0
 Total Lab Closure                                   17.0
 Cost Saving                                         62.0     63.5       68.7      74.3
 3 year average                                      68.9




Implementation Costs

 Implementation Costs (A$m)                          2008F      2009F     2010F
 Number of Labs Closed                       17
 Percentage of Fixed Costs                 75%
 Fixed Cost Estimate                                  417.5     451.7      488.7
 Fixed Costs Per Lab                                   2.80      3.03       3.28
 Store Closures                              17
 Total Cost                                            47.6       51.5      55.8
 3 year Average                           51.64




32
Synergy Analysis (Cont.)

Sensitivities
                              Cost Savings From Rationalising Labs (A$m)
                                          27.0     32.0          37.0       42.0    47.0
             2008F            41.6       -0.18     1.85          3.87       5.90    7.92
       Implementation Costs   46.6       -1.18     0.85          2.87       4.90    6.92
                              51.6       -2.18    -0.15          1.87       3.90    5.92
                              56.6       -3.18    -1.15          0.87       2.90    4.92
                              61.6       -4.18    -2.15         -0.13       1.90    3.92

                              Cost Savings From Rationalising Labs (A$m)
                                          27.0     32.0          37.0       42.0    47.0
             2009F            41.6        2.84    12.96         23.09      33.22   43.34
       Implementation Costs   46.6        0.84    10.96         21.09      31.22   41.34
                              51.6       -1.16     8.96         19.09      29.22   39.34
                              56.6       -3.16     6.96         17.09      27.22   37.34
                              61.6       -5.16     4.96         15.09      25.22   35.34

                              Cost Savings From Rationalising Labs (A$m)
                                         27.0      32.0          37.0       42.0    47.0
             2010F            41.6      17.01     37.27         57.52      77.77   98.03
       Implementation Costs   46.6      15.01     35.27         55.52      75.77   96.03
                              51.6      13.01     33.27         53.52      73.77   94.03
                              56.6      11.01     31.27         51.52      71.77   92.03
                              61.6       9.01     29.27         49.52      69.77   90.03




33
Appendix V – Bid




34
Deal Rationale
There is a strong strategic case for Healthscope to combine with Symbion.



                                                                     Fully Integrated Network
                                                                      Create a fully integrated
                                                                       healthcare network
                                        Gain Market Share                                          Participate in Synergies
                                                                      Unified referral base to
                                                                       improve margins and          Offer allows Symbion
                                      Creation of Australia’s         increase patient volumes      shareholders to participate
                                       largest pathology provider
                                                                                                     in any upside from
                                                                                                     synergies
                                      Market-leading positions in
                                       private hospitals,
                                                                                                    Revenue synergies
       The combination of the          diagnostic imaging and
                                                                                                     potentially achievable in
                                       medical centres
      Healthscope and Symbion                                                                        the longer term
     businesses will yield several
          strategic benefits




35
Potential Bidders
There are a number of potential bidders that might be interested in Symbion.



                                   Market
                                                  Enterprise Value
              Potential Bidder   Capitalisation                                             Strategic Rationale
                                                      (A$m)*
                                   (A$m)*

                                                                      Opportunity to derive synergies for its pathology and medical
                                     4,287             5,027
                                                                       imaging business groups



                                                                      Has already engaged Symbion for a potential merger
                                     1,450             1,678
                                                                      Synergies available through the complementary pathology assets



                                      n/a               n/a           Holds a portfolio of healthcare companies worldwide




                                                                      Seeks distribution networks for its consumer and pharmacy
                                      237               263
                                                                       businesses



                                                                      Seeks distribution networks for its consumer and pharmacy
                                      366               374
                                                                       businesses

 *Data as at 30 April 2007




36
Healthscope Board
                      Kevin McCann
                                 Chairman       Appointed Chairman in March 1994

                                                Former Chairman of Allens Arthur Robinson specialising in commercial law
                                    Age: 65



                       Linda Nicholls
                          Deputy Chairman       Appointed in January 2000

                                                Has experience in the financial services industry and health sectors
                                    Age: 58



                   Richard England
      Chair of Audit & Compliance Committee     Appointed in October 1996

                                                Chartered Accountant with financial accounting and management experience
                                    Age: 56



                           Ron Evans
                      Non-executive director    Joined the Board in June 2005

                                                Has held senior financial management positions at BHP Billiton and Orica Limited
                                    Age: 67



                   Ziggy Switkowski
                                                Joined the Board in January 2006
                                    Director
                                                Director of Suncorp-Metway Limited, Tabcorp Holdings
                                    Age: 58
                                                Brings executive experience




37
© 2007 Dillon Capital. Authorised and regulated by the Australian Prudential Regulatory Authority. All rights reserved. Dillon Capital is a trademark and service mark of Dillon Holdings Inc. or its affiliates and are used and registered
throughout the world.

Dillon Capital and its affiliates do not provide tax or legal advice. Any discussion of tax matters in these materials (i) is not intended or written to be used, and cannot be used or relied upon, by you for the purpose of
avoiding any tax penalties and (ii) may have been written in connection with the “promoting marketing” or any transaction contemplated hereby (“Transaction”). Accordingly, you should seek advice based on your
particular circumstances from an independent tax advisor.
Any terms set forth herein are intended for discussion purposes only and are subject to the final terms set forth in separate definitive written agreements. This presentation is not a commitment to lend, syndicate a financing, underwrite
or purchase securities, or commit capital nor does it obligate us to enter into such a commitment. Nor are we acting in any other capacity as fiduciary to you. By accepting this presentation, subject to applicable law or regulation, you
agree to keep confidential the existence of an proposed terms for any Transaction.
Prior to entering into any Transaction, you should determine, without reliance upon us or our affiliates, the economic risks and merits (and independently determine that you are able to assume these risks) as well as the legal, tax and
accounting characterisations and consequences of any such Transaction. In this regard, by accepting this presentation, you acknowledge that (a) we are not in the business of providing (and you are not relying on us for) legal, tax or
accounting advice, (b) there may be legal, tax or accounting risks associated with any Transaction, (c) you should receive (and rely on) separate and qualified legal, tax and accounting advice and (d) you should apprise senior
management in your organisation as to such legal, tax and accounting advice (and any risks associated with any Transaction) and our disclaimer as to these matters.
Any prices or levels contained herein are preliminary and indicative only and do not represent bids or offers. These indications are provided solely for your information and consideration, are subject to change at any time without notice
and are not intended as a solicitation with respect to the purchase of any instrument. The information contained in this presentation may include results of analyses from a quantitative model which represent potential future events that
may or may not be realised, and is not a complete analysis of every material fact representing any product. Any estimates included herein constitute our judgment as of the date hereof and are subject to change without notice.

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Ubs investment banking challenge campus finals presentation (dillon capital)

  • 1. The Healthscope Offer April 2007 Strictly Private and Confidential
  • 2. Table of Contents 1. Executive Summary 1 2. Valuation of Symbion 3 3. Analysis of Offer 7 4. Offer Pricing Strategy 10 5. Healthscope Contingencies 13 6. Scenario Analysis 15 7. Next Steps 17 8. Appendix I. Industry Overview 20 II. Symbion 22 III. Valuation 25 IV. Synergies 30 V. Bid 34
  • 4. Executive Summary Healthscope’s offer should be rejected as it significantly undervalues Symbion. Valuation of Symbion  Symbion valued as a standalone entity at $4.60  Minimum offer significantly undervalues Symbion Analysis of Offer  Offer contains onerous terms and conditions precedent  Recommend rejection of current Healthscope offer Symbion Response  Aim to secure a price floor of $4.60 for Symbion Healthscope  May revise offer and propose an amended Scheme of Arrangement Contingencies  May undertake a hostile takeover Scenario Analysis  Choose appropriate strategy based on Healthscope’s response Next Steps  Implementing our recommendation 2
  • 5. 2. Valuation of Symbion 3
  • 6. Indicative Valuation Enterprise Value 2007F EV / EBITDA Valuation Measure Price per Share (A$) Low High Low High Market Valuation Pre-bid 3 Month Advised SYB VWAP: $3.50 Price: $4.60 6 Month Trading Range $3.07 $4.30 2,409 3,203 9.5 x 12.7 x Trading Comps - EV / 2007F EBITDA $3.70 $4.09 2,816 3,067 11.1 x 12.1 x Transaction Comps - EV / LTM EBITDA $4.21 $4.60 3,145 3,397 12.4 x 13.4 x DCF Valuation Symbion $4.01 $4.90 3,016 3,377 11.9 x 13.3 x Indicative Bid Valuation Pre-Bid 3 Month VWAP¹ + (31.5% premium) $3.50 $4.60 2,687 3,397 10.6 x 13.4 x Broking Analyst Price Targets $4.00 $4.25 3,009 3,171 11.9 x 12.5 x Synergies 4
  • 7. Discounted Cash Flow Jun-06 Jun-07 Jun-08 Jun-09 Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Cash flows EBIT 173.7 210.3 280.1 294.5 316.8 319.8 317.9 332.4 347.5 Tax on EBIT (52.1) (63.1) (84.0) (88.4) (95.0) (95.9) (95.4) (99.7) (104.3) NOPAT 121.6 147.2 196.0 206.2 221.7 223.9 222.5 232.7 243.3 Dep&Amort 49.3 42.7 46.4 51.2 46.8 48.9 51.1 53.4 55.8 Capex (61.4) (44.1) (48.2) (51.2) (46.8) (48.9) (51.1) (53.4) (55.8) Change in Working Capital 0.0 1.7 (2.6) 1.5 1.0 1.3 1.7 0.5 0.5 FCF To Firm 109.5 147.5 191.7 207.7 222.8 225.1 224.2 233.1 243.8 Terminal Value 3,610.8 Total Cash Flow 109.5 147.5 191.7 207.7 222.8 225.1 224.2 233.1 3,854.5 Discount Factor from mid year n/a 1.0321 0.9385 0.8535 0.7762 0.7059 0.6419 0.5838 0.5309 Discounted Cash Flow n/a 152.3 179.9 177.3 172.9 158.9 143.9 136.1 2,046.4 Output Terminal value Valuation Date 30 Apr 07 Terminal growth 3.00% PV of Annual Cash Flows 1,121.3 35.4% PV of Terminal Value 2,046.4 64.6% NPV 3,167.7 Terminal Growth Net Debt 414.0 $4.27 2.50% 2.75% 3.00% 3.25% 3.50% Equity Value 2,753.7 9.45% $4.37 $4.49 $4.62 $4.77 $4.92 Number of Shares 645.5 9.70% $4.21 $4.32 $4.44 $4.57 $4.71 WACC Implied Share Price 4.27 9.95% $4.06 $4.16 $4.27 $4.39 $4.51 Current Share Price 3.50 10.20% $3.91 $4.01 $4.11 $4.22 $4.33 Premium to Share Price 21.9% 10.45% $3.78 $3.87 $3.96 $4.06 $4.17 5
  • 8. Synergy Analysis Synergies of c$74.2m are estimated to accrue from the transaction. Estimated cost synergies Area Estimated Quantity pa ($m) Details  Laboratory consolidation Pathology cost synergies 68.9  Procurement of consumables  Rationalisation of pathology support functions  Rationalisation of firm-wide corporate functions Corporate cost synergies 5.3  Costs saved from de-listing Symbion  Costs saved from using a common IT platform Total 74.2 Timeline for pathology synergies Implementation costs Costs(1) ($m) Details  Implementation costs relating to 51.6 pathology lab synergies (1) One-off implementation cost staggered over three years 6
  • 9. 3. Analysis of Offer 7
  • 10. Offer Price and Terms In addition to undervaluing Symbion, Healthscope’s offer has attached to it undesirable terms and conditions precedent. Implied Offer Price Terms and Conditions Precedent Comments Healthscope VWAP Management  Seek to retain 1-2 Symbion Board members Structure in MergeCo $5.30 - $5.60 - $6.06 - <$5.30(1) >$6.51 $5.60 $6.06 $6.51  Symbion directors should be allowed to Exclusivity consider better third-party proposals that Period & Break maximise shareholder value Exchange 0.4642 – 0.4393 – Fee - 0.4393 0.4089  Break fee acceptable Ratio 0.4393 0.4086 Regulatory  ACCC anti-competition concerns for Pro-forma Approval pathology business in Victoria 55.9% – 54.5% – SYB - 54.5% 52.7% 54.5% 52.7% Ownership IAC Debt  Undesirable to have IAC debt commitment Commitment as a hurdle requirement Implied $4.30 – - $4.30 $4.50 $4.50 Value $4.50 CGT Roll-over  CGT roll-over relief available for the scrip Relief component of the offer (1) As a Healthscope VWAP of $5.30 is a condition precedent, anything lower would not result in the offer going ahead 8
  • 11. Offer Characteristics There are several concerns for Symbion shareholders with the Healthscope offer. Attraction Concerns  Offer price significantly undervalues Contribution  Symbion receives a proportionally higher Offer Price Symbion ownership stake in MergeCo given its Ratio EBITDA contribution  Price floor of $4.30 due to double collar Uncertainty of Consideration  But exact value of consideration is uncertain  Symbion shareholders who elect to receive Business a scrip component have exposure across 4 Scale and Mix different market segments  Potential for volatility in MergeCo’s price Volatility of post-transaction MergeCo’s Price  An oversupply of MergeCo shares will exert downward pressure on price  Individual shareholders have flexibility to  Long-term success of MergeCo predicated Form of maximise cash consideration or scrip on the full realisation of synergies Consideration consideration Integration and Synergy Risks  No guarantee that Healthscope will be able to integrate Symbion successfully 9
  • 12. 4. Offer Pricing Strategy 10
  • 13. Fair Value of Symbion Minimum price acceptable to Symbion is $4.60. Valuation Offer Price Considerations Enterprise Value Valuation Measure Price per Share (A$) Market Valuation Pre-bid 3 Month Advised SYB  Board owes duty to shareholders to only VWAP - $3.50 Price - $4.60 accept offers that maximise shareholder 6 Month Trading Range $3.07 $4.30 Maximise value Shareholder Trading Comps - EV / 2007F EBITDA $3.70 $4.09 Value  Scheme proposal implies payment of full value for Symbion to ensure a friendly Transaction Comps - EV / LTM EBITDA $4.21 $4.60 transaction DCF Valuation Symbion $4.01 $4.90  Potentially the last available acquisition Era of in the healthcare industry due to sector Indicative Bid Valuation Consolidation consolidation Pre-bid 3 Month VWAP¹ + (31.5% premium) $3.50 $4.60 Coming to an End  A higher price will be sought to take Analyst Price Targets $4.00 $4.25 advantage of the opportunity Synergies  Symbion has significant market share in each of its business divisions Future  Spare debt capacity to fund future Prospects growth  Strong industry growth prospects (eg due to ageing population) 11
  • 14. Healthscope Offer Determinants It is unlikely that Healthscope will be prepared to pay more than $4.60. Offer price considerations(1) MergeCo versus Healthscope EPS accretion / dilution Offer price $4.60 Offer price $4.70  Difficult for Healthscope to sell a dilutive 15.0% 15.0% EPS offer to its shareholders 12.5% 10.6% Accretion / 10.0% 10.0% Dilution  Scrip of merged entity more attractive than that of Symbion on an EPS basis 5.0% 5.0% 2.2% 0.0% 0.0% 2008F 2009F 2010F 2008F 2009F 2010F (5.0%) (5.0%) -0.2%  Value of deal is synergy-driven -6.6% (10.0%) (10.0%) -8.4% Synergies  Offer of $4.60 provides buffer for EPS dilution from synergy risk MergeCo EPS comparison (offer of $4.60) Earnings Per Share (cents) 2008F 2009F 2010F Symbion 26.4 28.6 31.8  Opportunity for Symbion shareholders to Healthscope 33.5 35.2 39.8 participate in synergies of the transaction Merger of MergeCo (Excl C&P) 31.3 36.0 44.8 Equals  Resulting ownership of MergeCo in favour of Symbion shareholders(2) (1) Analysis assumes cash portion of bid is fully funded by debt (i.e. 40% debt, 60% scrip) (2) Symbion shareholders to own ~52% of MergeCo 12
  • 16. Decision Tree Analysis Rejection of the offer increases the chance for a favourable result for Symbion. Recommendation Healthscope Response Likely Outcome Revised Scheme Transaction Successful  Proposal of scheme at $4.60  Board recommendation of and implementing more revised scheme favourable terms  Thorough due diligence  75% threshold easier to undertaken achieve that 90% required for Reject Offer alternative hostile takeover bid  75% acceptance at scheme vote achieved  Offer undervalues Symbion based on DCF and transaction comparables  Duty to maximise Hostile Takeover Unsuccessful Bid shareholder value  At the same price and on same  Rejection of offer by Symbion terms as scheme proposal board  80% minimum for CGT rollover  Retail shareholders will follow relief to be available for scrip recommendation of the board portion  Greater risk due to less reliable  90% minimum acceptance due diligence condition  90% minimum acceptance not reached 14
  • 18. Scenario Analysis There are a number of scenario-based strategies that can be employed after rejecting the initial offer. Description Strategy  Recommend Symbion shareholders reject the offer listing key reasons Hostile Takeover  Healthscope pursues an off market hostile takeover bid Bid rather than proposing a revised scheme  May implement a takeover defence strategy such as a share buyback  Acceptance of scheme proposal did not maximise shareholder value Walk Away  Healthscope abandons all plans of a merger  Use available debt capacity to fund future growth  Revised proposal will require 75% acceptance of shareholders by votes and 50% by number Interloper in a  Healthscope offers a revised proposal and an interloper Revised Scheme takes a blocking stake to prevent the merger  Maximum blocking stake is 19.9%  Pitch approval of the scheme to all shareholders Superior Proposal  A superior proposal is put forward by a third party post-  Recommend if offer pays at least full value for by a Third Party rejection of the scheme offer Symbion pending analysis of offer consideration 16
  • 20. Next Steps  Reject offer and provide reasons to Symbion shareholders  Analyse any revised offers from Healthscope  Accept new offer or proceed with defence strategies 18
  • 22. Appendix I – Industry Overview 20
  • 23. Key Segments Pathology, diagnostic imaging and medical centres are key growth segments in Australian healthcare. Pathology Diagnostic Imaging Medical Centres Symbion Other IPN 2% Primary Primary 7% 2% 3% 5% Other DCA St John of Sonic 33% 35% God 38% 5% Healthscope 10% Key players Other Symbion 93% Symbion Sonic 16% 35% 16%  Major customer bases are referring  Primary source of referrals doctors and hospitals  Top 3 private operators control c67%  Private GPs comprise c70% of market of market share with large, integrated healthcare  Medicare rebates accounted for c93% providers comprising 30% Salient features of total industry revenue  Significant growth potential due to aging population  Projected 5-year CAGR of 2.7%  Existing Medicare Agreement caps funding growth at 5%pa but estimated  Funding structure similar to pathology  Government incentives to promote the to increase consolidation of independent practices 21
  • 24. Appendix II – Symbion 22
  • 25. Share Register Overview Estimated Ownership Retail Investors Institutional Investors 30% 70% Substantial shareholders Holder Number of Shares % Ownership Investment Strategy 62,587,624 9.7 Appears to be a long term investor 59,360,508 9.2 Appears to be a long term investor 54,352,948 8.5 Trader rather than buy and hold investor 51,694,537 8.0 Trader rather than buy and hold investor 32,594,863 5.1 Appears to be a long term investor 23
  • 26. Share Price Chart SYB v Healthcare Index (1) 130 120 110 100 90 80 May-06 Aug-06 Nov-06 Feb-07 May-07 Healthcare Index Symbion (1) Healthcare Index is a market capitalisation-weighted index comprising of Sonic, Healthscope, Primary, Blackmores and Sigma 24
  • 27. Appendix III – Valuation 25
  • 28. Valuation Assumptions WACC Calculation  Medicare rebates capped at 5% growth affecting pathology and medical imaging DCF assumptions Legislative  Rebates set to expire in FY09, but assumed to Risk-free Rate 6.50% remain in place Market Risk Premium 6.00% Equity Beta 0.85 Revenue EBITDA Margin Cost of Equity 11.6%  Pathology – 12.5%  Assumed to be growth FY07 slightly higher than Cost of Debt 7.50%  Diagnostic imaging – FY07 numbers due Margin - 5% growth FY07 to cost savings and Tax Rate 30%  Consumer – 12% high operating Pre-tax Cost of Debt 7.50% growth FY07 leverage Post-tax Cost of Debt 5.25%  Pharmacy – 12.5% growth FY07 Capex and D&A Target Gearing (D/E) 35.0% Operating  Maintenance capex E/V 74.1%  Longer-term growth for assumed forecasted radiology tied to as a percentage of D/V 25.9% Medicare rebate revenue scheme  D&A forecast as a % Post-tax WACC 9.95%  Longer-term growth for of capex merging into consumer and 100% of capex in pharmacy tied to CPI perpetuity Financing  7.5% cost of debt (no margin) 26
  • 29. Trading Comparables Valuation Earnings Median multiple applied to 2007 Enterprise Value 2007F Low High Low High 253 11.1x 12.1x 2808 3061 Plus Associates 0 0 Less Net Debt & Minorities (418) (418) Implied Equity Value 2390 2643 Shares Outstanding 645.5 645.5 Implied Value Per Share $3.70 $4.09 3-Mth VWAP (Pre-Bid) $3.50 $3.50 Premium / (Discount) Over Current 5.5% 14.5% List of Comparables Graph Trading Comparables EV / 2007F EBITDA 14.0x Healthscope 10.4x Median 11.6x 12.0x Symbion 11.1x 10.0x Sonic Healthcare 11.5x Primary 11.7x 8.0x 12.7x 13.2x API 12.7x M e p u t i l 6.0x 11.1x 11.5x 11.7x 10.4x Sigma 13.2x 4.0x Median 11.6x 2.0x 0.0x Healthscope Symbion Sonic Primary API Sigma Healthcare 27
  • 30. Transaction Comparables Sum of the Parts List of Transactions Earnings Median multiple Value Pathology & Medical Centres Target Company Date Acquiror EV (US$m) EV / LTM EBITDA 30-Jun-06 LTM Low High Low High Clinical Pathology Labs Aug-05 Sonic Healthcare 375 9.5x Divisional EBITDA QML Jun-02 Mayne Group 268 9.9x Pathology 110 13.4x 14.4x 1474 1584 LabOne Aug-05 Quest Diagnostics 934 13.8x Diagnostic Imaging 54 9.5x 10.5x 513 567 Dynacare May-02 Lab Corp of America 672 14.0x IPN Jun-04 Sonic Healthcare 105* 15.3x Consumer 47 13.0x 14.0x 611 658 Ameripath Inc Apr-07 Quest DIagnostics 2398* 17.2x Pharmacy 36 15.0x 16.0x 540 576 Median 13.9x 247 Imaging Enterprise Value 3138 3385 Target Company Date Acquiror EV (A$m) EV / LTM EBITDA Plus Associates 0 0 MIA Jun-04 DCA 934 9.6x Less Net Debt & Minorities (418) (418) DCA Group Sep-06 CVC Asia Pacific 2414 10.0x Implied Equity Value 2720 2967 Qld Diagnostic Imaging Feb-02 Mayne Group 87 10.1x Median 10.0x Shares Outstanding 645.5 645.5 Implied Value Per Share $4.21 $4.60 Pharmacy 3-Mth VWAP (Pre-Bid) $3.50 $3.50 Target Company Date Acquiror EV (A$m) EV / LTM EBITDA Premium Over Current 20.4% 31.3% Chronimed Aug-04 Mayne Group 115 9.4x CCS Medical Oct-05 Sonic 630 10.5x Mayne Pharmaceuticals Sep-06 Hospira Inc 2523 14.9x Accredo Feb-05 Medco Health Solutions 2499 16.1x Priority healthcare Jul-05 Quest 1341 16.7x Valuation of Consumer and Pharmacy Arrow Pharmaceuticals Aug-05 Sigma Pharmaceuticals 680 Median 17.7x 15.5x Earnings Median multiple Value Consumer 30-Jun-06 LTM Low High Low High Target Company Date Acquiror EV (US$m) EV / LTM EBITDA Divisional EBITDA Rexall Sundown (Royal Numico) Jun-03 NBTY 250 6.4x Roche Consumer Health Jul-04 Bayer 2962 12.5x Consumer 47 13.0x 14.0x 611 658 Rexall Sundown May-00 Royal Numico 1649 14.4x Pharmacy 36 15.0x 16.0x 540 576 Pfizer Consumer Healthcare Jun-06 Johnson & Johnson 22668* 20.8x 83 Median 13.5x Enterprise Value 1151 1234 *Figures in AUD 28
  • 31. Transaction Comparables (Cont.) Pathology and Medical Centres Diagnostic Imaging 16.0x 12.0x Median 13.8x 14.0x Median 10.0x 10.0x 12.0x 10.0x 8.0x 17.2x 8.0x 15.3x 6.0x M 13.8x 14.0x e p u M t i l e p u 6.0x 10.0x 10.1x t i l 9.6x 9.5x 9.9x 4.0x 4.0x 2.0x 2.0x 0.0x CLP QML LabOne Dynacare IPN Ameripath 0.0x Inc MIA DCA Group Qld Diagnostic Imaging Pharmacy Consumer 20.0x 16.0x Median 13.5x Median 15.5x 14.0x 16.0x 12.0x 12.0x 10.0x 20.8x 17.7x 8.0x M 8.0x 16.1x 16.7x e p u 14.9x 14.4x t M i l e p u 12.5x 4.0x 9.4x 10.5x t i l 6.0x 4.0x 6.4x 0.0x 2.0x 0.0x Rexall Roche Rexall Pf izer Sundown Consumer Sundown Consumer (Royal Numico) Health Healthcare 29
  • 32. Appendix IV – Synergies 30
  • 33. Synergy Analysis Divisional Synergies Divisional Synergies (A$m) 2006A 2007F 2008F 2009F 2010F 2011F 2012F 2013F 2014F Implied Operating Expenses Synergistic Division Pathology & Medical Centres 507 572 586 634 686 725 771 809 850 Radiology 246 258 273 287 301 316 332 349 366 Consumer 153 169 183 197 207 220 233 240 247 Pharmacy 2265 2543 2740 2945 3093 3185 3281 3379 3481 Synergistic Division Corporate Costs 8 8 8 8 8 8 8 8 8 Consolidated 3179 3551 3790 4071 4294 4454 4625 4785 4952 Symbion & Healthscope Pathology & Medical Centres 1460 1579 1702 1791 1869 1941 2015 Corporate 5 5 5 5 5 5 5 3 year average 68.9 Synergy Realisation Synergy Realisation (A$m) 2008F 2009F 2010F 2011F 2012F 2013F 2014F Timing of Pathology Realisation 6.9 34.4 68.9 68.9 68.9 68.9 68.9 Corporate Synergies 5.3 5.3 5.3 5.3 5.3 5.3 5.3 Implementation Costs -10.3 -20.7 -20.7 Total 1.9 19.1 53.5 74.2 74.2 74.2 74.2 % realisation 10% 50% 100% 100% 100% 100% 100% 31
  • 34. Synergy Analysis (Cont.) Computation of MergeCo Synergies Computation of MergeCo Synergies (A$m) 2007F 2008F 2009F 2010F Assume 95% of Pathology and Medical Centre Costs 0.95 Pathology Division Operating Cost Estimate 543.8 556.7 602.3 651.6 Number of Pathology Labs 149.0 149.0 149.0 149.0 Average Cost Per Pathology Lab 3.6 3.7 4.0 4.4 Synergistic Labs 112.00 Closures 37.0 Less Potential Synergistic Labs 20.0 Total Lab Closure 17.0 Cost Saving 62.0 63.5 68.7 74.3 3 year average 68.9 Implementation Costs Implementation Costs (A$m) 2008F 2009F 2010F Number of Labs Closed 17 Percentage of Fixed Costs 75% Fixed Cost Estimate 417.5 451.7 488.7 Fixed Costs Per Lab 2.80 3.03 3.28 Store Closures 17 Total Cost 47.6 51.5 55.8 3 year Average 51.64 32
  • 35. Synergy Analysis (Cont.) Sensitivities Cost Savings From Rationalising Labs (A$m) 27.0 32.0 37.0 42.0 47.0 2008F 41.6 -0.18 1.85 3.87 5.90 7.92 Implementation Costs 46.6 -1.18 0.85 2.87 4.90 6.92 51.6 -2.18 -0.15 1.87 3.90 5.92 56.6 -3.18 -1.15 0.87 2.90 4.92 61.6 -4.18 -2.15 -0.13 1.90 3.92 Cost Savings From Rationalising Labs (A$m) 27.0 32.0 37.0 42.0 47.0 2009F 41.6 2.84 12.96 23.09 33.22 43.34 Implementation Costs 46.6 0.84 10.96 21.09 31.22 41.34 51.6 -1.16 8.96 19.09 29.22 39.34 56.6 -3.16 6.96 17.09 27.22 37.34 61.6 -5.16 4.96 15.09 25.22 35.34 Cost Savings From Rationalising Labs (A$m) 27.0 32.0 37.0 42.0 47.0 2010F 41.6 17.01 37.27 57.52 77.77 98.03 Implementation Costs 46.6 15.01 35.27 55.52 75.77 96.03 51.6 13.01 33.27 53.52 73.77 94.03 56.6 11.01 31.27 51.52 71.77 92.03 61.6 9.01 29.27 49.52 69.77 90.03 33
  • 36. Appendix V – Bid 34
  • 37. Deal Rationale There is a strong strategic case for Healthscope to combine with Symbion. Fully Integrated Network  Create a fully integrated healthcare network Gain Market Share Participate in Synergies  Unified referral base to improve margins and  Offer allows Symbion  Creation of Australia’s increase patient volumes shareholders to participate largest pathology provider in any upside from synergies  Market-leading positions in private hospitals,  Revenue synergies The combination of the diagnostic imaging and potentially achievable in medical centres Healthscope and Symbion the longer term businesses will yield several strategic benefits 35
  • 38. Potential Bidders There are a number of potential bidders that might be interested in Symbion. Market Enterprise Value Potential Bidder Capitalisation Strategic Rationale (A$m)* (A$m)*  Opportunity to derive synergies for its pathology and medical 4,287 5,027 imaging business groups  Has already engaged Symbion for a potential merger 1,450 1,678  Synergies available through the complementary pathology assets n/a n/a  Holds a portfolio of healthcare companies worldwide  Seeks distribution networks for its consumer and pharmacy 237 263 businesses  Seeks distribution networks for its consumer and pharmacy 366 374 businesses *Data as at 30 April 2007 36
  • 39. Healthscope Board Kevin McCann Chairman  Appointed Chairman in March 1994  Former Chairman of Allens Arthur Robinson specialising in commercial law Age: 65 Linda Nicholls Deputy Chairman  Appointed in January 2000  Has experience in the financial services industry and health sectors Age: 58 Richard England Chair of Audit & Compliance Committee  Appointed in October 1996  Chartered Accountant with financial accounting and management experience Age: 56 Ron Evans Non-executive director  Joined the Board in June 2005  Has held senior financial management positions at BHP Billiton and Orica Limited Age: 67 Ziggy Switkowski  Joined the Board in January 2006 Director  Director of Suncorp-Metway Limited, Tabcorp Holdings Age: 58  Brings executive experience 37
  • 40. © 2007 Dillon Capital. Authorised and regulated by the Australian Prudential Regulatory Authority. All rights reserved. Dillon Capital is a trademark and service mark of Dillon Holdings Inc. or its affiliates and are used and registered throughout the world. Dillon Capital and its affiliates do not provide tax or legal advice. Any discussion of tax matters in these materials (i) is not intended or written to be used, and cannot be used or relied upon, by you for the purpose of avoiding any tax penalties and (ii) may have been written in connection with the “promoting marketing” or any transaction contemplated hereby (“Transaction”). Accordingly, you should seek advice based on your particular circumstances from an independent tax advisor. Any terms set forth herein are intended for discussion purposes only and are subject to the final terms set forth in separate definitive written agreements. This presentation is not a commitment to lend, syndicate a financing, underwrite or purchase securities, or commit capital nor does it obligate us to enter into such a commitment. Nor are we acting in any other capacity as fiduciary to you. By accepting this presentation, subject to applicable law or regulation, you agree to keep confidential the existence of an proposed terms for any Transaction. Prior to entering into any Transaction, you should determine, without reliance upon us or our affiliates, the economic risks and merits (and independently determine that you are able to assume these risks) as well as the legal, tax and accounting characterisations and consequences of any such Transaction. In this regard, by accepting this presentation, you acknowledge that (a) we are not in the business of providing (and you are not relying on us for) legal, tax or accounting advice, (b) there may be legal, tax or accounting risks associated with any Transaction, (c) you should receive (and rely on) separate and qualified legal, tax and accounting advice and (d) you should apprise senior management in your organisation as to such legal, tax and accounting advice (and any risks associated with any Transaction) and our disclaimer as to these matters. Any prices or levels contained herein are preliminary and indicative only and do not represent bids or offers. These indications are provided solely for your information and consideration, are subject to change at any time without notice and are not intended as a solicitation with respect to the purchase of any instrument. The information contained in this presentation may include results of analyses from a quantitative model which represent potential future events that may or may not be realised, and is not a complete analysis of every material fact representing any product. Any estimates included herein constitute our judgment as of the date hereof and are subject to change without notice.

Editor's Notes

  1. `