KPJ Healthcare: 30 Years of Compassion
KPJ Healthcare: 30 Years of Compassion
SUSTAINABILITY
Cover Rationale
Inspired by its passion to deliver quality services, KPJ Healthcare Berhad has been continuously
serving the community with undivided compassion and medical care.
KPJ has made great strides over the past three decades in terms of performance, delivery of
care, and community service, and while doing so, has remained steadfast in its dedication to
provide quality and compassionate care.
KPJs future direction for growth is shaped by many factors and it is now a time of change  a
time for making changes that matter to the community and the business, a time of Change
for Sustainability.
The cover reflects 2011 as a year of change where KPJ has transformed itself from within to
achieve greater unity among its team members and to further improve all aspects of its business
while keeping the needs of its customers close to its heart.                                       THE 19TH
In celebrating its 30th anniversary, KPJ continues to work towards greater engagement between
caregivers and patients and with an unending fervor to care for the communitys most essential     ANNUAL
needs  their health.
This implementation of change has and continues to improve the quality of services
                                                                                                   GENERAL MEETING
provided to all who walk through the doors of KPJ hospitals, as KPJ continues its unending         will be held at
journey to Care for Life.                                                                          Permata Ballroom,
                                                                                                   Level B2, The Puteri Pacific Hotel,
                                                                                                   Jalan Abdullah Ibrahim,
                                                                                                   80000 Johor Bahru,
                                                                                                   Johor
                                                                                                   on Monday,
                                                                                                   25 June 2012 at 12.00 pm
      Corporate Directory   CONTENTS
                            03    Vision, Mission and Core Values
                            05    Corporate Information
                            06    Corporate Profile
                            07    Corporate Structure
                            09    Network of KPJ Hospitals and Companies
                            11    Financial and Operational Hightlights
                            12    Summary of Financial Statements
                                   Statements of Comprehensive Income
                                   Statements of Financial Position
                            13    Corporate History
                            19    Awards and Achievements
                            21    Media Spotlight
                            23    Statement to Shareholders
                            32    Board and Management
                                   Board of Directors
                                   Directors Profile
                                   Executive Committee
                                   Hospital Medical Directors
                                   Hospital Management Committee
                                   Divisional Committee
                            50    Corporate Governance
                                   Statement on Corporate Governance
                                   Statement on Internal Control
                                   Audit Committee Report
                                   Medical Advisory Committee Report
                            82    Business Review
                                   Hospital Operations
                                   Medical Tourism
                                   New Developments - Hospitals
                                   New Development - Aged Care and Retirement Village
                                   EduKATE - KPJ University College
                                   Ancillary Services
                                   Corporate Responsibility
                            122   Financial Statements
                                   Directors Report
                                   Statement By Directors
                                   Independent Auditors Report
                                   Statement of Comprehensive Income
                                   Statement of Financial Position
                                   Consolidated Statement of Changes in Equity
                                   Company Statement of Changes in Equity
                                   Statement of Cashflows
                                   Notes to the Financial Statements
                            186   Statistics and Notice of Annual General Meeting
                                   Shareholdings Statistics
                                   Warrantholdings Statistics
                                   Compliance Information
                                   Listing of Properties
                                   Notice of Annual General Meeting
                                   Statement Accompanying Notice of Annual General Meeting
                                   Form of Proxy
                            200   Publications
                                                 As a healthcare provider of choice, KPJ continues to transform its approach to meet the changing
                                                 demands of customers and adopts new systems and techniques to enhance its services and
                                                 quality of patient care while remaining steadfast in its commitment to CARE FOR LIFE.
                                                 The celebration of its 30th anniversary further strengthens its commitment to provide customers
                                                 with services of the highest standards and treatment through harmonized teamwork and unity
                                                 between the Medical Consultants and the clinical as well as non-clinical staff, to ensure the best
                                                 possible outcome.
                                                 There are no bounds in KPJs care for the community and this unending commitment to provide
                                                 extraordinary services to those in need rests on its CORE VALUES of:
                                                    Ensuring SAFETY
                                                    Delivering service with COURTESY
                                                    Performing duties with INTEGRITY
                                                    Exercising PROFESSIONALISM at all times
                                                    Striving for CONTINUOUS IMPROVEMENT
                                                 In living its vision to become THE PREFERRED HEALTHCARE PROVIDER, KPJ aspires to be the
                                                 lifelong companion of its customers healthcare journey  sharing their experiences and joys of life,
                                                 treating them with compassion and care, and sympathizing with their loss while helping them every
                                                 inch of the way in their healthcare needs.
                                                 This is reflected in its focus on community care and well-being, supporting and fostering the spirit
                                                 of giving to the indigent as well as caring for the environment.
                                                 Patient safety remains, at all times, of utmost importance and is exemplified through adherence to
                                                 best practices and internationally-accepted standards.
                                                 By remaining true to its calling to deliver quality healthcare services, KPJ continues to gain the trust
                                                 and confidence of its customers and, by abiding always to its core values, the Group will continue
                                                 to grow from strength to strength, thus returning its best to shareholders.
Corporate Information                                                   Corporate Profile
                                                                        KPJ Healthcare Berhad (KPJ) is the leading healthcare service provider in Malaysia, operating the countrys largest
                                                                        network of 20 private specialist hospitals, and it also has a presence in the Indonesian Archipelago with two hospitals
           REGISTERED OFFICE                                            in Jakarta.
          KPJ Healthcare Berhad
              Suite 12B, Level 12,                                      As the healthcare arm of Johor Corporation, the Johor state-owned development corporation, KPJ has now served the
                    Menara Ansar,                                       community for three decades since the opening of its first hospital in Johor Bahru in 1981.
                                     AUDITOR
                    65 Jalan Trus,   Ernst & Young                      Today, KPJ has more than 2,600 operating beds at its network of hospitals and serves more than two million patients
              80000 Johor Bahru,     Level 23A, Menara Milenium,        annually. In 2011 alone, KPJ hospitals treated about 2.4 million outpatients and over 240,000 inpatients, and delivered
                            Johor.   Jalan Damanlela,                   more than 16,000 babies.
                T (607) 226 7692     Pusat Bandar Damansara,
                F (607) 222 3044     50490 Kuala Lumpur,                Its staff strength stands at 8,992 employees, who support the medical services provided by 860 Medical Consultants
                                     Wilayah Persekutuan.               specializing in various disciplines including Cardiology, Oncology, Orthopaedic, Plastic and Reconstructive Surgery,
                                                                        among others.
         CORPORATE OFFICE
          KPJ Healthcare Berhad                                         Driven by innovation and technological advancement, KPJ continues to invest in the latest equipment with state-
                                     PRINCIPAL BANKERS
         No 1 Jalan Pahang Barat,                                       of-the-art medical technology in its effort to provide positive patient experience as well as to enhance medical and
                                     Malayan Banking Berhad
             53000 Kuala Lumpur,                                        surgical outcomes.
                                     343, Jalan Pahang,
             Wilayah Persekutuan.    Setapak,                           Its commitment to quality and compassionate care has attracted many local and foreign patients from all over the globe,
                T (603) 4022 6222    53300 Kuala Lumpur,                further aided by aggressive business strategies to enhance its position as a major healthcare service provider.
                F (603) 4022 7237    Wilayah Persekutuan.
          E kpj@kpjhealth.com.my                                        Customers trust and confidence in KPJ has steered the Group to greater achievements in both financial and operational
                                     CIMB Bank Berhad                   performance as well as quality initiatives.
                                     Ground Floor, No 338,
                                                                        KPJ earned its first annual billion-ringgit turnover in fiscal 2007, with revenue totalling RM1.11 billion that year, and
     COMPANY SECRETARIES             Bangunan AMAL,
                                                                        continued to achieve new records in subsequent years, rising to RM1.27 billion, RM1.46 billion and RM1.65 billion in 2008,
                                     Jalan Tuanku Abdul Rahman,
                                                                        2009 and 2010, respectively.
                                     50100 Kuala Lumpur,
                                     Wilayah Persekutuan.               KPJ achieved a new record high in 2011, ending the year with total revenue of RM1.91 billion and pre-tax profit of
                                                                        RM204.60 million.
                                     HSBC Bank Malaysia Berhad
                                     No. 2, Lebuh Ampang,               Investors confidence propelled KPJ into the ranks of the Top 100 Companies on Bursa Malaysia by market capitalization
                                     P.O. Box 10244,                    when its share price soared to a historic high of RM6.51 at end-2009, scoring the 91st spot with a market capitalization
                                     50912 Kuala Lumpur,                of RM1.37 billion.
                                     Wilayah Persekutuan.               KPJ has since climbed up by several notches, standing on the 85th spot in the subsequent year and 75th placing at end-
                                                                        2011, with its market capitalization doubling over these two years to RM2.74 billion.
               Salmah Abd Wahab
                                     STOCK EXCHANGE LISTING             This accomplishment also won KPJ recognition from The Edge Billion Ringgit Club, which named KPJ as the Best Performing
                    (LS 0002140)
                                     Bursa Malaysia Securities Berhad   Stock - Highest Returns to Shareholders Over 3 Years (Trading/Services) in July 2011. KPJ was also dubbed The Most
                                     Main Market                        Outstanding Healthcare Provider in Asia 2011 by The Globals Over 50s Housing Healthcare, London, in November.
                                     (Since 29 November 1994)
                                                                        Meanwhile, quality initiatives continued to remain in focus, with more KPJ hospitals undergoing the accreditation
                                                                        survey by the Malaysian Society for Quality in Health (MSQH) in 2011 as well as certification by other international
                                                                        bodies such as TUV Rheinland for Integrated Management System (IMS) that integrates and emphasizes on Quality
                                                                        Management System (MS ISO 9001:2000), Environment (MS ISO 14001:2004) and Occupational Safety and Health
                                                                        (OSHAS 18001:1999).
                                                                        To date, 11 KPJ hospitals have been accredited by MSQH, with KPJ Tawakkal Specialist Hospital being the latest recipient
                                                                        of the first cycle of the MSQH Accreditation for a three-year period beginning 17 November 2011.
                                                                        For KPJ, the strategy for sustainability depends on values that support the growth of the organization as well as the
                    Rohaya Jaafar                                       support from the community, and this can be achieved through good business sense alongside true commitment to care
                    (LS 0008376)                                        for the community and the environment.
                     REGISTRAR                                          To this end, KPJ inspires its staff members to observe good ethics and best practices and empowers them through
      Pro Corporate Management                                          various learning opportunities.
               Services Sdn Bhd
                                                                        They are also encouraged to preserve the environment for future generations and to care for the indigent by offering their
              Suite 12B, Level 12,
                                                                        assistance in various ways and through many charitable events conducted by the Group.
                    Menara Ansar,
                    65 Jalan Trus,                                      As a responsible corporate citizen, KPJ also reaches out to the community through public health screening, health talks
              80000 Johor Bahru,                                        and other events.
                            Johor.
                T (607) 226 7692                                        It has touched the lives of many others through the Klinik Waqaf An-Nur (KWAN) initiative, where it has served more than
                F (607) 222 3044                                        760,000 patients since the inception of the first of 15 charity clinics throughout Malaysia. It also operates Hospital Waqaf
                                                                        Pasir Gudang in Johor.
KPJ JOHOR SPECIALIST HOSPITAL                    KPJ IPOH SPECIALIST HOSPITAL                         KPJ AMPANG PUTERI SPECIALIST HOSPITAL                KPJ DAMANSARA SPECIALIST HOSPITAL                     KPJ SELANGOR SPECIALIST HOSPITAL                      KPJ SEREMBAN SPECIALIST HOSPITAL
T (607) 225 3000 F (607) 224 8213                T (605) 240 8777 F (605) 254 1388                    T (603) 4270 2500 F (603) 4270 2443                  T (603) 7722 2692 F (603) 7722 2617                   T (603) 5543 1111 F (603) 5543 2222                   T (606) 767 7800 F (606) 767 5900
E jsh@jsh.kpjhealth.com.my                       E ish@ish.kpjhealth.com.my                           E apsh@apsh.kpjhealth.com.my                         E dsh@dsh.kpjhealth.com.my                            E kpjselangor@kpjselangor.kpjhealth.com.my            E ssh@ssh.kpjhealth.com.my
W www.jsh.kpjhealth.com.my                       W www.ish.kpjhealth.com.my                           W www.apsh.kpjhealth.com.my                          W www.dsh.kpjhealth.com.my                            W www.kpjselangor.kpjhealth.com.my                    W www.ssh.kpjhealth.com.my
                                                                                                                                                                                                                                                                                   HEAD OFFICE
                                                                                                                                                                                                                                                                                   KPJ HEALTHCARE BERHAD
                                                                                                                                                                                                                                                                                   (Company No: 247079 M)
                                                                                                                                                                                                                                                                                   No.1 Jalan Pahang Barat,
                                                                                                                                                                                                                                                                                   53000 Kuala Lumpur,
                                                                                                                                                                                                                                                                                   Wilayah Persekutuan.
                                                                                                                                                                                                                                                                                   T (603) 4022 6222
                                                                                                                                                                                                                                                                                   F (603) 4022 7237
                                                                                                                                                                                                                                                                                   E kpj@kpjhealth.com.my
                                                                                                                                                                                                                                                                                   W www.kpjhealth.com.my
KPJ PERDANA SPECIALIST HOSPITAL                  KPJ KAJANG SPECIALIST HOSPITAL                       KPJ PENANG SPECIALIST HOSPITAL                       KEDAH MEDICAL CENTRE                                  KPJ TAWAKKAL SPECIALIST HOSPITAL
T (609) 745 8000 F (609) 747 2877                T (603) 8769 2999 F (603) 8769 2808                  T (604) 548 6688 F (604) 5486700                     T (604) 730 8878 F (604) 733 2869                     T (603) 4026 7777 F (603) 4021 0635
E perdana@perdana.kpjhealth.com.my               E kpjkajang@kpjkajang.kpjhealth.com.my               E kpjpenang@kpjpenang.kpjhealth.com.my               E kmc@kedahmedical.com.my                             E tawakal@tawakal.kpjhealth.com.my
W www.perdana.kpjhealth.com.my                   W www.kpjkajang.kpjhealth.com.my                     W www.kpjpenang.kpjhealth.com.my                     W www.kmc.kpjhealth.com.my                            W www.tawakal.kpjhealth.com.my
PUTERI SPECIALIST HOSPITAL          KUANTAN SPECIALIST HOSPITAL            KUCHING SPECIALIST HOSPITAL             SENTOSA MEDICAL CENTRE                DAMAI SPECIALIST HOSPITAL                 KLUANG UTAMA                            TAIPING MEDICAL CENTRE                  SABAH MEDICAL CENTRE
T (607) 225 3222 F (607) 223 8833   T (609) 567 8588 F (609) 567 8098      T (6082) 365 777 F (6082) 364 666       T (603) 4043 7166 F (603) 4043 7761   T (6088) 222 922 F (6088) 243 540         SPECIALIST HOSPITAL                     T (605) 807 1049 F (605) 806 3713       T (6088) 211 333 F (6088) 272 622
E psh@psh.kpjhealth.com.my          E ksh@ksh.kpjhealth.com.my             E kcsh@kcsh.kpjhealth.com.my            E sentosa@sentosa.kpjhealth.com.my    E dsc@dsc.kpjhealth.com.my                T (607) 771 8999 F (607) 772 8999       E tmc@tmc.kpjhealth.com.my              E prsmckk@smckk.kpjhealth.com.my
W www.psh.kpjhealth.com.my          W www.ksh.kpjhealth.com.my             W www.kcsh.kpjhealth.com.my             W www.sentosa.kpjhealth.com.my        W www.dsc.kpjhealth.com.my                E kush@kush.kpjhealth.com.my            W www.tmc.kpjhealth.com.my              W www.sabahmedicalcentre.com.my
                                                                                                                                                                                                   W www.kush.kpjhealth.com.my
                                          GROUP (RM,000)
                                          Revenue                            1,908,993    1,654,611    1,456,353   1,267,305   1,108,024
                                          Gross profit                         601,857      503,895      419,089     368,355     327,389
                                          Profit from operations              159,165      144,019      140,467     114,218        90,291
                                          Finance income                        10,295        7,157        2,651       6,122        2,809
                                          Finance costs                       (19,688)     (13,597)     (16,721)    (18,533)     (20,206)
                                          Share of results from associates      54,825       23,919       18,888      18,705       12,361
                                          Others                                     -        6,460            -     (6,460)            -
                                          Profit before zakat and tax         204,597      167,958      145,285     114,052       85,255
                                          Zakat                                (1,300)      (1,269)      (1,395)          -            -
                                          Profit before taxation              203,297      166,689      143,890     114,052       85,255
                                          Taxation                            (49,038)     (40,468)     (29,154)    (24,744)       7,464
                                          Net profit for year                 154,259      126,221      114,736      89,308       77,791
                                          Profit attributable to:
                                          Equity holders of company           143,670      118,894      110,880      85,644       74,237
                                          Minority interest                    10,589        7,327        3,856       3,664        3,554
                                                                              154,259      126,221      114,736      89,308       77,791
                                          GROUP (RM,000)
                                          Non-current assets                 1,252,530    1,024,563      842,246     689,499      771,592
                                          Current assets                       612,443      549,502      426,111     342,475      309,817
                                          Non-current assets held for sale       94,291     105,974      103,765     246,478      123,249
                                          Current liabilities                (456,743)    (362,242)    (290,332)   (251,506)    (231,358)
                                          Non-current liabilities              (62,198)     (54,986)    (35,556)    (29,930)     (24,800)
                                          Borrowings                         (443,471)    (399,423)    (368,796)   (368,443)    (393,930)
                                          TOTAL                               996,852      863,388      677,438     628,573      554,570
  The construction of the first private hospital in Johor, KPJ Johor   Official opening of KPJ Johor Specialist Hospital.        Official opening of KPJ Ipoh Specialist Hospital.                      YAB Tan Sri Muhyiddin Yassin, then Chief Minister of Johor,
  Specialist Hospital.                                                                                                                                                                                  launching KPJ Johor Specialist Hospitals Lithotripsy Centre.
  YB Tan Sri Lee Kim Sai, then Minister of Health, launching Puteri    Listing of KPJ Healthcare Berhad on Main Board of Kuala   Duli Yang Maha Mulia Paduka Seri Sultan Azlan Muhibbuddin Shah         KPJ Ampang Puteri Specialist Hospital, the first hospital in
  Nursing College.                                                     Lumpur Stock Exchange.                                    ibni Almarhum Sultan Yussuf Izzuddin Shah Ghafarullahu-Lah,            Malaysia to receive a full 3-year accreditation from the Malaysian
                                                                                                                                 Sultan of Perak, officially launching KPJ Ipoh Specialist Hospitals   Society for Quality in Health, accepting the certificate from
                                                                                                                                 MRI Centre.                                                            YB Dato Chua Jui Meng, then Minister of Health.
  KPJ Healthcare Berhad holding its first Medical Conference.   YAB Dato Abdul Ghani Othman, Chief Minister of Johor, at            Duli Yang Maha Mulia Tuanku Ismail Petra ibni Sultan Yahya   Duli Yang Maha Mulia Tuanku Alhaj Abdul Halim Muadzam
                                                                the official opening of KPJ Johor Specialist Hospitals new          Petra, Sultan of Kelantan, officially opening KPJ Perdana    Shah Ibni Almarhum Sultan Badlishah, Sultan of Kedah,
                                                                Physician Consulting Block.                                          Specialist Hospital.                                         launching Kedah Medical Centres new 10-storey building.
  Duli Yang Maha Mulia Almarhum Tuanku Jaafar ibni Almarhum    Duli Yang Maha Mulia Sultan Ibrahim Ibni Almarhum Sultan Iskandar,   YAB Dato Abdul Ghani Othman, Chief Minister of Johor, and   YB Tan Sri Nor Mohamed Yakcop, then Minister of Finance II,
  Tuanku Abdul Rahman, Yang Di-Pertuan Besar Negeri Sembilan,   Sultan of Johor, opening the first Hospital Waqaf An-Nur in Pasir    Board of Directors of KPJ Healthcare Berhad (KPJ), KPJ       launching the prospectus of Al-`Aqar Healthcare REIT (formely
  officially launching KPJ Seremban Specialist Hospital.        Gudang, Johor, when he was the Crown Prince of Johor.                Johor Specialist Hospital and KPJ Ipoh Specialist Hospital   known as Al-`Aqar KPJ REIT), the first Islamic healthcare REIT
                                                                                                                                     celebrating KPJs 25th anniversary.                          in the region. He was acompanied by Datin Paduka Siti Sadiah
                                                                                                                                                                                                  Sheikh Bakir and Tan Sri Dato Azman Hashim, Chairman of
                                                                                                                                                                                                  AmBank Group Berhad.
    Duli Yang Maha Mulia Raja Zarith Sofiah binti Almarhum Sultan      Duli Yang Maha Mulia Paduka Seri Sultan Azlan Muhibbuddin          KPJ Damansara Specialist Hospital successfully conducted its   YAB Pehin Seri Abdul Taib Mahmud, Chief Minister of Sarawak,
    Idris Shah, the consort of Duli Yang Maha Mulia Sultan Ibrahim     Shah ibni Almarhum Sultan Yussuf Izzuddin Shah Ghafarullahu-       first live bariatric surgery.                                opening KPJ Kuching Specialist Hospital.
    Ibni Almarhum Sultan Iskandar (now Sultan of Johor), officiating   Lah, Sultan of Perak, officially opened KPJ Ipoh Specialist
    at the 2006 National Healthcare Conference.                        Hospitals new 5-storey building.
    YAB Dato Sri Diraja Adnan Yaakob, Chief Minister of Pahang,       YB Datuk Seri Mohamed Khaled Nordin, Minister of Higher            YAB Dato Sri Mohd Najib Tun Abdul Razak, Prime Minister       YAB Dato Seri Dr Md Isa Sabu, Chief Minister of Perlis,
    officiating the ground-breaking ceremony of KPJ Pahang             Education, awarding University College status to KPJ               of Malaysia, announcing the Economic Transformation            officiating KPJ Perlis Specialist Hospitals ground-breaking
    Specialist Hospital.                                               International University College of Nursing and Health Sciences.   Programme (ETP) projects, including five of KPJ Healthcare     ceremony.
                                                                                                                                          Berhads new hospitals.
1 2
8 9
3 5 7 10 11 12
    1. The Edge 100 Billion Club  KPJ Healthcare Berhad - Best Performing Stock - Highest Return To Shareholders Over 3 Years (Trading             8. Frost & Sullivan  KPJ Healthcare Berhad - Healthcare Service Provider of The Year 9. Malaysian Institute of Directors  KPJ
    and Services) 2. Malaysian Business Leadership Award  Datin Paduka Siti Sadiah Sheikh Bakir - Global Leadership Award                         Healthcare Berhad - Innovative Leadership in Globalization (Healthcare) 10. Malaysia HR Award 2011  KPJ Healthcare Berhad - Gold
    - Masterclass Women CEO of The Year 3. The Asia Pacific Brands Foundation  Datin Paduka Siti Sadiah Sheikh Bakir - The                        Award Employer of Choice Category 11. The EU Analysis Alliance  KPJ Penang Specialist Hospital - lnternational Standard Quality
    BrandLaureate Transformational - Corporate Leader Brand ICON Leadership Award 2011 4. Lumesse Inspiring Talent Management                      Award - Quality Beauty and Healthcare Category 12. The EU Analysis Alliance  KPJ Johor Specialist Hospital - International Standard
    KPJ Healthcare Berhad - 2011 E-Recruitment Award and Symposium 5. The Asia Pacific Brands Foundation  KPJ Selangor Specialist                  Quality Award
    Hospital - The Brand Laureate Award - Best Brands Category (Healthcare Hospital) 6. Markplus  KPJ Ampang Puteri Specialist Hospital
    - Malaysia Service to Care 7. Asia Pacific Excellence Entrepreneur Alliance  KPJ Johor Specialist Hospital - Asia Pacific International
    Entrepreneur Excellence Award 2011
                                                                    The unceasing efforts have translated into a growing list of      Healthy Dividends
                                                                    achievements, ranging from realization of financial goals to      In concluding fiscal 2011, we are pleased to be able to
                                                                    enhanced patient care programmes, and quality certifications      declare a fourth interim dividend of 4.7 sen per share of
                                                                    towards higher clinical standards and patient safety.             RM0.50 each, bringing the years total dividends to 12.1
                                                                                                                                      sen per share.
                                                                    KPJs robust growth demonstrates our ability to capitalize
                                                                    on new opportunities through continuous physical growth           Investor Relations
                                                                    and expansion, prioritizing human capital and transforming        Significant emphasis was placed on corporate disclosure
                                                                    through innovation.                                               as KPJ continued to enhance engagement with the
                                                                                                                                      investing community and build investors confidence
                                                                    We are therefore pleased to share with you KPJ Groups            through transparency and accountability to shareholders.
                                                                    key developments, the remarkable results scored for the           This has also helped put KPJ under the coverage of more
                                                                    financial year ended 31 December 2011 and how KPJ                 research houses.
                                                                    plans to further strengthen the system in order to create
                                                                    sustainable value for all stakeholders.                           During the year, the management and investor relations
                                                                                                                                      team met with analysts and fund managers from more
                                                                                                                                      than 40 investment and stockbroking companies and
                                                                    Delivering Outstanding Results                                    participated in some 20 roadshows and international
                                                                    Throughout the year, we focused on making a bigger                conferences as a platform for open discussion with over
                                                                    difference to those whose lives we touch by enhancing             100 different fund managers.
                                                                    engagement and serving with genuine dedication.
                                                                                                                                      Each year, we communicate our ideas and hold healthy
                                                                    Despite challenges of heightened competition amidst               discussions with our shareholders on the Groups
                                                                    healthcare sector liberalization and uncertainty in global        developments during the Annual General Meeting and on
                                                                    financial markets, KPJ brought home to shareholders the           other occasions, dialogues are also held with shareholders
                                                                    highest ever earnings performance and bagged a number             and others such as the Minority Shareholders Watchdog
                                                                    of awards in fiscal 2011.                                         Group (MSWG).
                                                                    Financial Performance                                             The Group also ensures timely and equitable dissemination
                                                                    During the year 2011, revenue growth outpaced costs with          of information to all stakeholders through public
                                                                    a double-digit 15.3% expansion to RM1.91 billion as a             announcements and the website in accordance with good
                                                                    result of organic growth and acquisitions, translating into its   disclosure practices.
                                                                    best performance yet in 30 years, while profit before zakat
                                                                    and tax surged 21.8% year-on-year to RM204.60 million.            Share Price Performance
                                                                    KPJ also scored a 20.8% rise in net profit attributable to        Indeed, 2011 was a historic year in many ways.
                                                                    shareholders to RM143.67 million in fiscal 2011 while its
                                                                    liquidity position remained strong with a cash balance of         KPJ wrapped up its third decade in the healthcare business
                                                                    RM252.08 million.                                                 with both financial and business growth, accompanied by
                                                                                                                                      a number of noteworthy accolades.
                                                                    The Malaysian operations continued to dominate,
                                                                    accounting for 90% of the Groups income for the year, with       A major milestone was KPJs remarkable performance on
                                                                    revenue rising 12.1% on-year to RM1.72 billion in financial       the Malaysian stock exchange, Bursa Malaysia, which
                                                                    year 2011 as all KPJ hospitals in the country continued to        translated into significant returns to shareholders.
                                                                    record positive earnings growth amid capacity expansion
                                                                    and new services.                                                 KPJ shares opened at RM3.72 on 3 January 2011 and
                                                                                                                                      continued to climb over the subsequent eight months to its
                                                                                                                                      highest level at the time at RM4.69.
                                                                                                                                Pahang Chief Minister at KPJ Pahang Specialist Hospitals                  Perlis Chief Minister and Datin Paduka Siti Sadiah viewing the Perlis
One-year share price trend                                     Five-year share price trend                                      groundbreaking ceremony                                                    Specialist Hospital model
                                                                                                                                         Jeta Gardens Retirement Village                                 Unity and teamwork, employee engagement, as well as
                                                                                                                                                                                                         opportunities for learning and improvement are among
                                                                                                                                         The Way Forward                                                 the key pillars to creating a sustainable workplace and to
                                                                                                                                         The way forward rests on several key strategies, namely,        further hone the necessary skills of KPJs employees to
                                                                                                                                         broadening KPJs growth via organic expansion or                serve patients to the best of their abilities.
                                                                                                                                         acquisitions, prioritizing human capital, supporting
                                                                                                                                         community affairs, and transforming through innovation          As much as RM7 million is spent annually to finance
                                                                                                                                         while also ensuring good corporate governance.                  employees further education, on-the-job training and other
                                                                                                                                                                                                         skill enhancement programmes, as well as to equip them
                                                                                                                                         Broadening KPJs Network                                        with the necessary knowledge and skills for any emergency
                                                                                                                                         KPJ continues to broaden its network and the strategy to        through annual disaster and fire drills.
                                                                                                                                         add one to two hospitals to the Group each year remains
                                                                                                                                         on track with the new developments outlined above.
Kamaruzzaman, other KPJ Board Members viewing the model of the new KPJ Specialist Hospital Bandar Dato Onn during the 18th AGM
                                                                                                                                                                                                           HIGHER EDUCATION PROGRAMMES
                                                                                                                                         Al-`Aqar Healthcare REIT will continue to play a key role         Master of Business Administration,
                                                                                                                                         in facilitating KPJs expansion. By monetizing the assets,        Henley School of Business, University of Reading
Two other hospitals to be opened are KPJ Muar Specialist                  It was a positive change and a step in the direction that
Hospital in Johor and KPJ Perlis Specialist Hospital in                   would soon open up more opportunities for KPJ and could        KPJ can unlock value and free up cashflow for further             Masters in Nursing, UNISA
Kangar, Perlis. On 20 November 2011, YAB Dato Seri                       potentially pave the way for the Group to lead in the aged     development, trim borrowings and reduce interest costs.           MBA in Healthcare Management, IBS, UTM
Dr. Md Isa Bin Sabu, the Chief Minister of Perlis state,                  care segment in Malaysia with a model that epitomizes                                                                            Master of Business Administration,
formalized the ground-breaking ceremony of KPJ Perlis                     modern living for Baby Boomers who are now approaching         Since the launch of the real estate investment trust (REIT),
                                                                                                                                                                                                           University of East London
Specialist Hospital in Pengkalan Asam, Mukim Seriab in                    their golden years.                                            KPJ has injected more than RM1 billion worth of assets into
                                                                                                                                         the REIT.                                                         Other MBA programmes e.g. MBA UiTM, MBA
Kangar, the state capital of Perlis.
                                                                                                                                                                                                           UNIMAS
                                                                          Expanding Education
Medical Tourism                                                           A landmark achievement for KPJ International University        Excellent Team Members                                            Executive Master of Business Administration,
Meanwhile, efforts to grow KPJs medical tourism segment                  College of Nursing and Health Sciences in 2011 was the         The Group finds its strength in its team of dedicated             IBS, UTM
included more aggressive marketing and promotions                         University College status, which was bestowed by the           employees and the professionalism of 860 Medical                  Bachelor of International Nursing,
abroad and greater participation in international                         Ministry of Higher Education (MOHE) in July, along with the    Consultants specializing in various medical disciplines.          Hertfordshire University
exhibitions, which paid off with a 40% increase in the                    approval to set up a Medical School that would see KPJ
                                                                                                                                                                                                           Nursing Post Basic Certificates
number of international patients.                                         leveraging on the strength of 860 Medical Consultants who      The Medical Consultants continuously enhance their
                                                                          are practicing within the Group.                               skills and knowledge by participating in conferences and
                                                                                                                                         attend seminars to keep abreast of the latest medical           Our employees are empowered with the confidence
The medical tourism industry is poised for further growth
                                                                          KPJ University College held its First Convocation Ceremony     developments in the world.                                      and skills to lead and guide others and we aim to
and KPJ is targeting to raise the revenue contribution from
                                                                          on 5 December 2011, during which the Chancellor and                                                                            transform ordinary individuals into extraordinary high
this segment to as high as 25% by 2020. In 2011, this
                                                                          Pro-Chancellor were also appointed.                            They also share their knowledge with others in the healthcare   performers    through    transformational   leadership.
segment generated revenue of about RM45 million, with
patients mainly from Indonesia as well as other countries                                                                                industry through speaking opportunities at conferences and
                                                                          We were honoured to have Tan Sri Dato Seri Arshad Ayub        seminars, both locally and internationally, and participate     Capable individuals with high potential are identified for
such as Australia, New Zealand, Somalia, Singapore,                       accepting the position as Chancellor of KPJ University         actively in KPJs medical workshops.                            management positions within the Group under the Talent
India, UK and US and the Middle East.                                     College, while Datin Paduka Siti Sadiah Sheikh Bakir,                                                                         Management programme, which forms part of KPJs
                                                                          Managing Director of KPJ Healthcare Berhad, was appointed                                                                      Succession Development Plan, to ensure management
Potential growth markets include China and Middle East,                                                                                  For KPJ, significant emphasis continues to be placed on
                                                                          as the first Pro-Chancellor of the university college.                                                                         continuity.
which shares similar culture and values with Malaysia.                                                                                   the development of employees through transformational
                                                                          A very distinguished academician, Professor Dato Dr Lokman    leadership, motivation, and training.
                                                                                                                                                                                                         As an Equal Opportunity Employer, KPJs workforce of
Aged Care                                                                 Saim, who was appointed as President and Dean of School
                                                                                                                                         KPJ recognises the essential importance of the employees,       8,992 employees  of whom about 400 are managers and
KPJs quest to ensure sustainable growth also took us to                  of Medicine of KPJ University College effective 1 February
                                                                                                                                         which is a fundamental driving force of the Groups             half are executives in charge of various services at KPJ
distant shores of Australia, where the Group invested in                  2012, spearheads the development of the Medical School
                                                                          with a new approach and the introduction of innovative ideas   success, and continue to emphasize on human capital             hospitals  are presented with various opportunities to better
retirement village Jeta Gardens in Brisbane as a viable
                                                                          to spur the growth of this university college.                 development within the company through efforts                  themselves and vie for positions of higher responsibilities
aged care business with immense growth potential.
                                                                                                                                         to create a sustainable workplace and to strengthen the         based on ability and performance.
                                                                                                                                         workforce in tandem with rapid expansions.
                                                                                                                                                            In 2011, the Group committed about RM70 million worth of            Stakeholder engagement will continue to include open
                                                                                                                                                            investments in new equipment for KPJ hospitals throughout           dialogues and timely disclosure of information.
                                                                                                                                                            the country, and notable among them is the countrys first
                                                                                                                                                            digital operation theatre with a dedicated knee navigation          Clinical conduct is governed by KPJs clinical policies
                                                                                                                                                            system. Wards were also upgraded to enhance ambience                and procedures and monitored by the Medical Advisory
                                                                                                                                                            and comfort.                                                        Committee and other clinical committees at both the
                                                                                                                                                                                                                                Group and at the hospitals to ensure strict compliance
                                                                                                                                                            Adoption of health information technology (IT) at KPJ               to all regulations as well as best practices according to
                                                                                                                                                            hospitals has helped to enhance patient safety by                   internationally-accepted standards.
                                                                                                                                                            dramatically reducing errors and improving coordination
                                                                                                                                                            and efficiency, and this strategy will be rigorously pursued        KPJ also abides by the policies and practices outlined in
                                                                                                                                                            to place KPJ as a key healthcare player with a reputable            the Private Healthcare Facilities and Services Act 1998
Datin Paduka Siti Sadiah receiving the University College certificate from Minister of Higher Education of Malaysia, YB Dato Seri Mohamed Khaled Nordin                                                                       and other regulations laid out by the Ministry of Health.
                                                                                                                                                            name in the region.
                                                                                                                                                            The IT infrastructure was further refined and tailored              As the Groups network of hospitals expands its range
These initiatives collectively grow KPJs talent pool and,                    KPJ also extols the spirit of giving and like us, our employees
                                                                                                                                                            towards a more seamless integration of the healthcare               of facilities and services, we are also cognizant of the
using measurable processes and achievements such as                           are also convinced that we can brighten the lives of the
                                                                                                                                                            information systems and user capabilities.                          increasing importance to enhance patient experience at
Staff Performance Appraisal Review (SPAR), the Group                          indigent through small acts of kindness and by helping the
                                                                                                                                                                                                                                the hospitals.
identifies and promotes competent employees and                               community in any way, be it big or small.
enhances capability of others through more targeted                                                                                                         We leverage on the capabilities of the existing Hospital
                                                                                                                                                            Information Technology System (HITS), which has been                We believe this can be achieved through our genuine
training programmes.                                                          This includes providing free basic health screening,                                                                                              commitment to delivering compassionate care alongside
                                                                              lending a helping hand to the needy such as orphanages                        implemented at all 20 KPJ hospitals in Malaysia, and
                                                                                                                                                            integrate it with the newer systems of Enterprise Information       the adoption of core procedures and processes at KPJ
This ability to attract and retain quality employees within the               and home for the aged, raising funds for those living                                                                                             hospitals that will minimize risks to patients, thus giving
Group, enrich the talent pool through continuous training                     in poverty and hardship, as well as through zakat                             System (EIS), KPJ Clinical Information System (KCIS) and
                                                                                                                                                            Picture Archiving Communication System (PACS), as we                utmost priority to patient safety and customers needs.
and up-skilling programmes as well as high employee                           contributions and donations.
engagement, won KPJ the Employer of Choice Award 2011                                                                                                       head towards a paperless environment.
                                                                                                                                                                                                                                Our hospitality will reflect who we are and the way we
from the Malaysian Institute of Human Resource Management.                    KPJs core corporate social responsibility (CSR) initiative                                                                                       conduct ourselves is in line with the principles of the
                                                                                                                                                            The overall result of this initiative are better health outcomes,
                                                                              to help the community, particularly the indigent and                                                                                              Service Excellence  KPJ Way Group Alignment and Re-
                                                                                                                                                            lower risk of errors, improvement in patient engagement as
KPJ also bagged the Lumesse e-Recruitment Award                               underprivileged, is through the chain of charity clinics                                                                                          Engineering (SEGAR) initiative as well as the Standard
                                                                                                                                                            well as waiting time, while preserving the environment by
2011, beating 30 others in the country to win the medal                       under Klinik Waqaf An-Nur (KWAN) programme, where the                                                                                             People Practice (SPP).
                                                                                                                                                            reducing waste and use of chemicals.
at The Business Impact of New Talent Acquisition 2011                         needy are provided basic medical care at a nominal fee of
e-Recruitment Awards & Symposium.                                             only RM5.00.                                                                  To continuously improve the hospital IT technology, KPJ             KPJs ultimate goal remains to provide our customers with
                                                                                                                                                            has also committed to invest in R&D to develop information          safe care and excellent services.
To further enhance employee engagement, KPJ will                              The objective is to provide them with basic medical care to                   systems that can better serve the complex healthcare
continue to hold annual assemblies, or Pedoman, and                           enable them to lead a healthier life.                                                                                                             The commitment to providing safe care is reflected in KPJs
                                                                                                                                                            ecosystem that has intricate relationships and differing
more frequent dialogues with staff members and partners                                                                                                                                                                         efforts to have the hospitals recognized by accreditation
                                                                                                                                                            specific requirements.
as well as promote team spirit through various events and                     KPJ and its parent company Johor Corporation began this                                                                                           bodies such as Malaysian Society of Quality in Health
sporting activities, including the annual sports carnival.                    initiative began in 1998 with one clinic in Johor Bahru and                   Accountability to All Stakeholders                                  (MSQH) and Joint Commission International (JCI), and to
                                                                              today, KWAN has a network of 15 clinics throughout the                        KPJ will continue to put significant emphasis on                    obtain other certifications like Integrated Management
Supporting Community Affairs                                                  country and one hospital in Johor and to date, has treated                    transparency, accountability and good corporate                     System (IMS), ISO, and SIRIM.
Emphasis is placed on patient safety and complementing                        more than 760,000 patients.                                                   governance to ensure long-term sustainability.
                                                                                                                                                                                                                                To date, 11 KPJ hospitals have been accredited by
quality compassionate care with adherence to
                                                                                                                                                            This includes strict compliance with Bursa Malaysias               MSQH, with KPJ Tawakkal Specialist Hospital being the
internationally-accepted standards of best practices.                         KPJ provides the clinical resources as well as medication
                                                                                                                                                            listing and disclosure requirements and close monitoring            latest one to receive the certification in 2011, and two are
                                                                              and also contributes more than RM2 million annually in
                                                                                                                                                            by the Audit Committee as well as efforts to strengthen             slated to undergo the survey in 2012. MSQH-accredited
                                                                              financial aid to support KWANs activities.
                                                                                                                                                            processes through the Award Tender Committee and                    hospitals KPJ Ampang Puteri Specialist Hospital and KPJ
                                                                                                                                                            Building Committee.                                                 Seremban Specialist Hospital are also undertaking the JCI
                                                                                                                                                                                                                                accreditation survey in 2012.
 5       6   7   8   9   10   11        Chairman                         Board Members            5.   Dr Kok Chin Leong        7.   Ahamad Mohamad           9.   Datuk Azzat Kamaludin
                                   1.   Kamaruzzaman Abu Kassim     3.   Zainah Mustafa                Independent                   Non-Independent               Independent
                                                                         Independent                   Non-Executive Director        Non-Executive Director        Non-Executive Director
                                        Managing Director                Non-Executive Director
     4       1       2        3    2.   Datin Paduka Siti Sadiah                                 6.   Abd Razak Haron          8.   Datuk Dr Hussein Awang   11. Rozan Mohd Saat
                                        Sheikh Bakir                4.   Dr Yoong Fook Ngian           Non-Independent               Independent                   Non-Independent
                                                                         Independent                   Non-Executive Director        Non-Executive Director        Non-Executive Director
                                       Executive Director                Non-Executive Director
                                   10. Amiruddin Abdul Satar
Directors Profile
                                                                                           Datin Paduka Siti Sadiah Sheikh Bakir
                                                                                           Managing Director
                                                                                           Datin Paduka Siti Sadiah Sheikh Bakir,       She is a member of the Malaysia
                                                                                           aged 59, is the Managing Director of KPJ      Productivity Council (MPC) Consultative
                                                                                           Healthcare Berhad (KPJ) since 1 March         Panel on Healthcare since 2001 and a
                                                                                           1993. She graduated with a Bachelor of        member of the National Patient Safety
                                                                                           Economics from University of Malaya and       Council, Ministry of Health since 2003. In
                                                                                           holds an MBA from Henley Management           2009, she was appointed as a member of
                                                                                           College, University Reading, London.          the Malaysian Healthcare Travel Council,
                                                                                                                                         Ministry of Health.
                                                                                           Her career with Johor Corporation (JCorp)
                                                                                           commenced in 1974 and she is directly         Datin Paduka was a Board member of
                                                                                           involved with JCorps Healthcare Division     MATRADE from 1999 to 2010 and was an
                                                                                           since 1978. Datin Paduka was appointed as     Independent Non-Executive Director of
                                                                                           the Chief Executive of Kumpulan Perubatan     Bursa Malaysia from 2004 to April 2012.
                                                                                           (Johor) Sdn Bhd (KPJSB) from 1989 until the
                                                                                           listing of KPJ in November 1994.              In 2010, Datin Paduka was named the
                                                                                                                                         CEO of The Year 2009 by The New
                                                                                           Datin Paduka is the Chairman of various       Straits Times Press and the American
                                                                                           hospitals and companies in the KPJ            Express. In 2011, Datin Paduka achieved
                        Kamaruzzaman Abu Kassim                                                                                          three more awards, namely the Asia
                                                                                           Group, as well as MIT Insurance Brokers
                        Chairman                                                                                                         Leading Woman CEO of The Year at the
                                                                                           Sdn Bhd. She is a Non-Independent,
                                                                                           Non-Executive Director of Kulim (Malaysia)    Women in Leadership (WIL) Forum Asia,
                        Kamaruzzaman Abu Kassim, aged 47, was appointed as a Non-                                                        the Masterclass Woman CEO of The
                                                                                           Bhd, KFC Holdings (Malaysia) Bhd,
                        Independent Non-Executive Director of KPJ Healthcare Berhad                                                      Year by the Global Leadership Awards
                                                                                           QSR Brands Bhd and Damansara REIT
                        (KPJ) on 3 January 2011 and subsequently as Chairman of KPJ on                                                   and the BrandLaureate Transformational
                                                                                           Managers Sdn Bhd. Datin Paduka is also
                        12 January 2011. He is currently the President & Chief Executive                                                 Corporate     Leader     Brand    ICON
                                                                                           a Director of Waqaf An-Nur Corporation
                        Officer of Johor Corporation (JCorp).                                                                            Leadership Awards 2011 from The Asia
                                                                                           Bhd, a non-governmental organisation
                                                                                           dedicated to the provision of healthcare      Pacific Brands Foundation.
                        He graduated with a Bachelor of Commerce majoring in
                                                                                           services to the less fortunate.
                        Accountancy from the University of Wollongong, New South
                        Wales, Australia in 1987. He embarked his career as an Audit
                                                                                           Committed to promoting excellence in
                        Assistant with Messrs K.E Chen & Associates in May 1988
                                                                                           healthcare, Datin Paduka is the President
                        and later joined Coopers & Lybrand (currently known as
                                                                                           of the Malaysian Society for Quality in
                        PricewaterhouseCoopers) in Johor Bahru.
                                                                                           Health (MSQH), elected since its inception
                                                                                           in 1997 to date.
                        In December 1992, he left the firm to join JCorp as Deputy
                        Manager, Corporate Finance Department. He was later promoted
                        to become the Executive Director at Damansara Realty Berhad
                        (a company of which JCorp is the majority shareholder) in 1999
                        until September 2006.
                                              Zainah Mustafa, aged 57, has served as a       She started her career as an Assistant      Ahamad Mohamad, aged 57, was                 At present, he is the Chief Executive of
                                              Director of KPJ Healthcare Berhad (KPJ)        Senior Auditor in Perbadanan Nasional       appointed to the Board of KPJ Healthcare     Palm Oil Division of JCorp. He is currently
                                              since 21 February 1994 and is also a           Berhad in 1977 after graduating from        Berhad (KPJ) on 1 January 2005. He is        the Managing Director of Kulim (Malaysia)
                                              member of the KPJ Audit Committee. She         Institut Teknologi MARA (presently          currently a Non-Independent and Non-         Berhad, Deputy Chairman of QSR Brands
                                              has been an Independent Non-Executive          UiTM). She obtained her Association         Executive Director of KPJ.                   Bhd and KFC Holdings (Malaysia) Bhd and
                                              Director since 1 December 2004.                of Chartered Certified Accountants                                                       a director of New Britain Palm Oil Limited
                                                                                             (ACCA) United Kingdom in 1976. She is       He graduated with a Bachelor of              (Papua New Guinea) as well as several
                                              She also sits on the board of four             now a Fellow of Association of Certified    Economics (Honours) degree in 1976 from      other companies within the JCorp Group.
                                              other companies in the JCorp Group             Chartered Accountant (FCCA).                the University of Malaya. He joined JCorp
                                              of Companies namely Damansara                                                              in 1976 as a Company Secretary for various
                                              Realty Berhad, Puteri Hotels Sdn Bhd,          She joined JCorp in October 1978 and        companies within the JCorp Group. He has
                                              Damansara REIT Managers Sdn Berhad             rose through the ranks to the Group Chief   been involved in many of JCorps projects
                                              and Al-`Aqar Capital Sdn Bhd.                  Financial Officer before retiring on 31     among them, the early development of the
                                                                                             October 2002.                               Johor Specialist Hospital, prefabricated
                                                                                                                                         housing project and the Kotaraya Complex
                                                                                                                                         in Johor Bahru.
Dr Yoong Fook Ngian, aged 70, is a            In 1972, he established the ENT                                                                                                         Dr Kok Chin Leong, aged 54, is a Director       His medical career started in 1986 at
Director of KPJ Healthcare Berhad (KPJ)       Department in Hospital Ipoh. His last                                                                                                   of KPJ and was appointed to the Board of        Kuala Lumpur General Hospital in Clinical
and was appointed to the Board of KPJ on      posting with the Ministry of Health was as                                                                                              KPJ Healthcare Berhad (KPJ) on 7 July           Paediatrics, worked as Senior House Officer/
7 July 2005. He is an Independent Non-        Head of ENT Surgery in General Hospital                                                                                                 2005. He is an Independent Non-Executive        Registrar at Derby Childrens Hospital, United
Executive Director of KPJ and the Chairman    Kuala Lumpur before venturing into private                                                                                              Director of KPJ and a member of the KPJ         Kingdom in 1990.
of the Medical Advisory Committee and         practice in 1975.                                                                                                                       Clinical Governance Policy committee
Chairman of KPJ Building Committee.                                                                                                                                                   since 2001 and presently the Chairman for       He served as the Clinical Specialist in
                                              In private practice, he was ENT Consultant                                                                                              the Committee since 2005 and the Advisor        Paediatrics at Hospital Sultanah Aminah,
He received his Bachelor of Medicine          at Our Ladys Hospital in Ipoh from 1975                                                                                                for KPJs Clinical Information System since     Johor Bahru from 1991 to 1992 and was the
and Bachelor of Surgery (MBBS) from           to 1982. He has been Resident ENT                                                                                                       January 2003.                                   Head of Department of Paediatrics at Batu
the University of Sydney in 1966. He          Consultant in Ipoh Specialist Hospital                                                                                                                                                  Pahat Hospital from 1991 to 1993 and Senior
obtained his post-graduate qualification in   since 1983 and is one of its founding-                                                                                                  He is also the Executive Board Member           Consultant Paediatrician at Hospital Sultanah
Otolaryngology in 1972 and was conferred      doctors. He has been the Medical Director                                                                                               for Malaysian Society for Quality in Health     Aminah, Johor Bahru from 1993 until 1994.
a Fellow of the Royal College of Surgeons     of Ipoh Specialist Hospital since 1994 until                                                                                            (MSQH) and Asian Society for Quality in
of Edinburgh.                                 December 2006.                                                                                                                          Healthcare (ASQua). He presently also sits      He was the Project Coordinator/Chairman for
                                                                                                                                                                                      in the Executive committee of the Malaysian     the Batu Pahat Rotary Club Haemodialysis
He is also a Fellow of the College of         He is a Life Member of the Malaysian                                                                                                    Paediatric Association (MPA) since 2009,        Center from 1992 to 1993 and was the
Surgeons of Malaysia and a member of the      Medical Association and a Past-                                                                                                         and is the President Elect 2013-2015 of         Southern Representative for Malaysian
Academy of Medicine of Malaysia. He was       Chairman of the Perak branch. He is also                                                                                                the Association.                                Paediatric Association from 2000 to 2004
employed by the Ministry of Health from       a Past-President of the Perak Medical                                                                                                                                                   and the Southern Coordinator for Infant
1966 to 1975.                                 Practitioners Society.                                                                                                                 He received his Bachelor of Medicine and        Touch Therapy. He was a Board Member
                                                                                                                                                                                      Bachelor of Surgery (MBBS) in 1982 from         in Association of Private Hospital Malaysia
                                                                                                                                                                                      University of Malaya and completed his post-    (APHM) from 2008 to 2010.
                                                                                                                                                                                      graduate studies in Paediatrics (Master of
                                                                                                                                                                                      Medicine Paediatrics) in 1990 from Universiti   He has been the Resident Consultant
                                                                                                                                                                                      Kebangsaan Malaysia.                            Paediatrician at Puteri Specialist Hospital
                                                                                                                                                                                                                                      since 1994 and was appointed as the
                                                                                                                                                                                      He was conferred a Fellow of the Royal          Medical Director in February 2000 until
                                                                                                                                                                                      College of Physician of United Kingdom          June 2006. His main interests are in Health
                                                                                                                                                                                      in 1990 and registered as full medical          Informatics, Patient Safety in Healthcare
                                                                                                                                                                                      practitioner with the Malaysian Medical         Delivery, Clinical Governance, and Clinician
                                                                                                                                                                                      Council in 1983.                                Performance & Appraisal Assessment.
                                                            Datuk Azzat Kamaludin, aged 66, was           Datuk Dr Hussein Awang, aged 71, was             He was also the Honorary Professor of
                                                            appointed to the Board of Directors of KPJ    appointed to the Board of KPJ Healthcare         Surgery (Urology) Department of Surgery,
                                                            Healthcare Berhad (KPJ) on 1 September        Berhad (KPJ) on 21 February 1994 and             Universiti Kebangsaan Malaysia, Selangor,
                                                            1994. He is currently an Independent Non-     was appointed as a member of the Audit           from 1978 to May 1984. Datuk Dr Hussein
                                                            Executive Director and is also a member of    Committee on 12 December 2005.                   is a Foundation Fellow of the Academy of
                                                            the Audit Committee of KPJ.                                                                    Science Malaysia.
                                                                                                          He received his Bachelor of Medicine and
                                                            A lawyer by training, he was admitted as an   Bachelor of Surgery (MBBS) in 1964 from          He is presently the Consultant
                                                            advocate and solicitor of the High Court in   University of Melbourne, Australia.              Urological Surgeon at Hospital
                                                            1979 and has been in practice since then                                                       Tawakal, a position he has held
                                                            as partner of Azzat and Izzat, a law firm.    He was made a Fellow of the Australasian         since May 1984.
                                                                                                          College of Surgeons in 1972. He was the Senior
                                                            Prior to that, from 1970 to 1979, he served   Consultant Urological Surgeon and Head of
                                                            as an administrative and diplomatic officer   Department of Urology, General Hospital, Kuala
                                                            with the Ministry of Foreign Affairs.         Lumpur from 1976 to May 1984.
Rozan Mohd Saat, aged 52, is a Director       In 1994, he was appointed as the General                                                                    Abd Razak Haron, aged 48, was appointed        He sat on the International Academic
of KPJ Healthcare Berhad (KPJ) and             Manager of JCorps Tourism Division                                                                         as the Non-Independent Non- Executive          Relations Committee of the IIA Inc
was appointed to the Board of KPJ on           before assuming the post of Chief                                                                           Director of KPJ Healthcare Berhad (KPJ)        (1997/2000) and participated in the setting
1 January 2009. He is a Non-Independent        Executive of the same Division on 15                                                                        on 1 July 2011.                                up of the Asian Confederation of the
Non-Executive Director of KPJ. He is the       June 1996, a post which he held until his                                                                                                                  Institute of Internal Auditors (IIA) ACIIA
Managing Director of Sindora Berhad.           appointment as the General Manager,                                                                         Abd Razak is currently the Executive Vice      through forums in Hong Kong, Bangkok,
He is also the Chief Executive Officer of      Business Development, JCorp beginning                                                                       President (Compliance) overseeing the          Singapore and Philippines and also sat on
Hospitality Division of JCorp.                 January 1999.                                                                                               Johor Corporation (JCorp)s Group Internal     the Professional Issues Committee of IIA
                                                                                                                                                           Audit and the Enterprise Risk Management       Global from 2008 to 2010.
He holds a Bachelor of Economics               Prior to his appointment as the Managing                                                                    Unit. He joined the Group in 1994 as the
(Honours) majoring in Statistics from          Director of Sindora Berhad, he served as                                                                    Group Internal Audit Manager in one of the     Abd Razak has more than 20 years
Universiti     Kebangsaan          Malaysia.   the Senior General Manager, Business                                                                        listed subsidiary of the Group and became      internal auditing experience in various
He started his career in 1983 as an            Development of JCorp from 2000 until                                                                        the Group Chief Auditor in 1997.               industries including energy, secondary
Administrative Officer in Planning &           August 2002. He is also a Director of                                                                                                                      mortgage market, property, timber,
Research Department of JCorp before being      Kulim (Malaysia) Berhad and Waqaf An-                                                                       He graduated with Honors in Accounting         stock broking, unit trusts management,
seconded as Operations Manager in Sergam       Nur Corporation Berhad.                                                                                     and Finance from University of East London     plantation and healthcare services.
Berhad, a subsidiary of JCorp in 1986.                                                                                                                     in 1986. He is a Certified Internal Auditor
                                                                                                                                                           (CIA) (1998) and a Fellow Chartered            He was a member of the Taskforce on
From 1987 to 1988, he served in the                                                                                                                        Member of the Institute of Internal Auditors   Guidelines on Internal Audit Function
Corporate Communications Department,                                                                                                                       Malaysia (CFIIA). He also holds an             of Bursa Malaysia. He had delivered
JCorp as an Administrative Officer.                                                                                                                        Executive Certificate in Management from       various     presentations/seminars     in
                                                                                                                                                           Henley Management College, UK (2006).          Internal Auditing, Risk Management and
From 1988 to 1993, he was the Executive                                                                                                                                                                   Corporate Governance including the
Director of several subsidiaries in                                                                                                                        At the national level, he was a member of      Capital Market Workshop of the Securities
JCorp Group.                                                                                                                                               the Board of Governor of the Institute of      Commission, Mandatory Accreditation
                                                                                                                                                           Internal Auditors Malaysia from 1996 to        Programmes of the Bursa Malaysia and
                                                                                                                                                           2011 and was the Past President from 2002      Directors Programmes of the Companies
                                                                                                                                                           until 2004.                                    Commission of Malaysia (CCM).
11                                                      Committee Chairman          4.   Jasimah Hassan                    7.   Mohd Johar Ismail          9.   Ahmad Nasirruddin Harun         11. Rafeah Ariffin
         9       7           8       10       12
                                                   1.   Datin Paduka Siti Sadiah        Chief Education and                    Senior General Manager -        Senior General Manager -            Senior General Manager -
                                          6
     5       3                   4                      Sheikh Bakir                     Knowledge Management                   Group Hospital Operation        Group Business Transformation       Group Marketing and
                     1   2
                                                        Managing Director                (EduKATE)                                                              and Strategic Direction             Corporate Communications
                                                                                                                           8.   Datin Sabariah Fauziah
                                                   2.   Amiruddin Abdul Satar       5.   Abdol Wahab Baba                       Jamaluddin                 10. Norhaizam Mohammad               12. Mah Lai Heng
                                                        Executive Director and           Chief Risk Officer                     Senior General Manager -        Senior General Manager -            Senior General Manager -
                                                        Chief Operating Officer                                                 Group Human Capital             Group Finance and                   Group Clinical and Quality
                                                                                    6.   Yusof Ismail                                                           Investor Relations
                                                   3.   Mohd Sahir Rahmat                Group General Manager -
                                                        Chief Financial Officer          Education and
                                                                                         Corporate Social Responsibility
First row from left                                                              Second row from left                                                        Third row from left
1.   Dr Wan Hazmy Che Hon               5.   Datin Paduka Siti Sadiah           9.   Dato Dr Ismail Yaacob           13. Dato Dr Shahrudin Mohd Dun       17. Dr Lim Keok Tang                    21. Dr Mahayidin Muhamad
     KPJ Seremban Specialist Hospital        Sheikh Bakir                             Kedah Medical Centre                KPJ Selangor Specialist Hospital       Damai Specialist Hospital              KPJ Perdana Specialist Hospital
                                             Managing Director
2.   Dato Dr Fadzli Cheah Abdullah                                              10. Dr Mohd Harris Lu Abdullah        14. Dr Khaled Mat Hassan              18. Dr Choong Yean Yaw                  22. Dato Dr N Sivamohan
     KPJ Ipoh Specialist Hospital       6.   Dr Yoong Fook Ngian                      Sentosa Medical Centre              Kuantan Specialist Hospital            Pusat Pakar Mata Centre For Sight      KPJ Klang Specialist Hospital
                                             Medical Advisory
3.   Dr Mohd Hafetz Ahmad                    Committee Chairman                  11. Dato Dr Shaharudin               15. Dr David Ling Sheng Tee           19. Dr Ong Boon Teik @Taik              23. Dr Ahmad Farid Daud
     KPJ Johor Specialist Hospital                                                   Abd Jalal Ajmain                    Kuching Specialist Hospital            Taiping Medical Centre                 Kluang Utama Specialist Hospital
                                        7.   Dato Dr Mohd Rani Jusoh                 Puteri Specialist Hospital
     Committee Chairman                      KPJ Ampang Puteri                                                         16. Dr G Ruslan Nazaruddin            20. Dr Wong Chya Wei                    24. Dr Ewe Khay Guan
4.   Datuk Dr Hussein Awang                  Specialist Hospital                 12. Dr Balakrishnan Subramaniam           Simanjuntak                           Sibu Specialist Medical Centre         KPJ Penang Specialist Hospital
     Tawakal Health Centre                                                            KPJ Kajang Specialist Hospital      KPJ Tawakkal Specialist Hospital
                                        8.   Dato Dr Azizi Omar
                                             KPJ Damansara Specialist Hospital
First row from left Second row from left Third row from left
1.   Rafeah Ariffin                    7.   Amiruddin Abdul Satar            13. Hazarul Azly Hamzah                 19. Mohd Nasir Mohamed                25. Yusmah Mohd Salleh               32. Zaiton Sulaiman
     Senior General Manager -               Executive Director and               General Manager                        Chief Executive Officer                 General Manager                    General Manager
     Group Marketing and                    Chief Operating Officer              RS Medika Permata Hijau                KPJ Ipoh Specialist Hospital            KPJ Johor Specialist Hospital      Kluang Utama Specialist Hospital
     Corporate Communications
                                       8.   Jasimah Hassan                   14. Dr Munirah Khudri                   20. Abd Aziz Abd Rahman               26. Zaharah Osman                    33. Mohd Azhar Abdullah
2.   Datin Sabariah                         Chief Education and                  Chief Executive Officer                Chief Executive Officer                 General Manager                    Chief Operating Officer
     Fauziah Jamaluddin                     Knowledge Management (EduKATE)       KPJ Tawakkal Specialist Hospital       KPJ Seremban Specialist Hospital        KPJ Klang Specialist Hospital      Sabah Medical Centre
     Senior General Manager -
     Group Human Capital               9.   Mohd Johar Ismail                15. Maisarah Omar                       21. Roslan Ahmad                      27. Mohamad Badri Hussin             34. Mohamad Hafiz Zaini
                                            Senior General Manager -             Chief Executive Officer                Chief Executive Officer                 General Manager                    General Manager
3.   Abdol Wahab Baba                       Group Hospital Operation             KPJ Kajang Specialist Hospital         KPJ Selangor Specialist Hospital        RS Medika Bumi Serpong Damai       Sibu Specialist Medical Centre
     Chief Risk Officer
                                       10. Norhaizam Mohammad                16. Mohd Taufik Ismail                  22. Alice Liu Ghee Voon               28. Mohamad Sofian Ismail            35. Muhammad Gunasingam
4.   Yusof Ismail                           Senior General Manager -             Chief Executive Officer                Chief Executive Officer                 General Manager                     Retnasabapathy
     Group General Manager -                Group Finance and                    KPJ Damansara Specialist Hospital      KPJ Penang Specialist Hospital          Taiping Medical Centre             General Manager
     Education and                          Investor Relations                                                                                                                                     Tawakal Health Centre
     Corporate Social Responsibility                                         17. Asmadi Mohd Bakri                   23. Zabidi Abdul Razak                29. Gunavathy Kalee
                                       11. Ahmad Nasirruddin Harun               Chief Executive Officer                Chief Executive Officer                 General Manager                 36. Mahazan Kamis
5.   Mohd Sahir Rahmat                      Senior General Manager -             KPJ Perdana Specialist Hospital        Kedah Medical Centre                    Sentosa Medical Centre             General Manager
     Chief Financial Officer                Group Business Transformation                                                                                                                          Damai Specialist Hospital
                                            and Strategic Direction          18. Norita Ahmad                        24. Khairun Ahmad                     30. Yasser Arafat Ishak
     Committee Chairman                                                          Chief Executive Officer                Chief Executive Officer                 General Manager                 37. Noor Haslina Harun
6.   Datin Paduka Siti Sadiah         12. Mah Lai Heng                          KPJ Johor Specialist Hospital          Puteri Specialist Hospital              Kuching Specialist Hospital        General Manager
     Sheikh Bakir                           Senior General Manager -                                                                                                                               KPJ Ampang Puteri Specialist Hospital
     Managing Director                      Group Clinical and Quality                                                                                     31. Haliza Khalid
                                                                                                                                                                General Manager
                                                                                                                                                                Kuantan Specialist Hospital
First row from left Second row from left Third Row from left
1.   Rafeah Ariffin                    5.   Mohd Sahir Rahmat                9.   Mohd Johar Ismail               13. Maria Khong Poh Fong            18. Iskandar Baharudin           23. Andrew William Burr
     Senior General Manager -               Chief Financial Officer               Senior General Manager -            Senior Corporate Manager -         General Manager -                 Senior Corporate Manager -
     Group Marketing and Corporate                                                Group Hospital Operation            Investor Relations                 Project Development and           Group Marketing
     Communications                         Committee Chairman                                                                                           Commissioning
                                       6.   Datin Paduka Siti Sadiah        10. Norhaizam Mohammad               14 . Dr Aliza Jamaluddin                                             24. Eric Sim Kam Seng
2.   Datin Sabariah                         Sheikh Bakir                          Senior General Manager -            Senior Corporate Manager -      19. Khairol Badariah Basiron         General Manager -
     Fauziah Jamaluddin                     Managing Director                     Group Finance and                   Group Clinical and Quality         General Manager -                 Information Technology
     Senior General Manager -                                                     Investor Relations                                                     Internal Audit
     Group Human Capital               7.   Amiruddin Abdul Satar                                                 15. Dr KV Anitha                                                     25. Yusri Ali
                                            Executive Director and           11. Ahmad Nasirruddin Harun              Senior Corporate Manager -      20. Elman Mustafa El-Bakri           General Manager -
3.   Abdol Wahab Baba                       Chief Operating Officer               Senior General Manager -            Group Clinical and Quality         Senior Corporate Manager -        Information Technology
     Chief Risk Officer                                                           Group Business Transformation                                          Bio-Medical Engineering
                                       8.   Jasimah Hassan                        and Strategic Direction         16. Noreen Abdul Rashid                                              26. Dr Mubashir Iftikhar
4.   Yusof Ismail                           Chief Education and                                                       Senior Corporate Manager -      21. Hanida Mohd Hassan               Chief Information Officer
     Group General Manager -                Knowledge Management (EduKATE)   12. Mah Lai Heng                         Legal and Secretarial              Deputy Manager -
     Education and                                                                Senior General Manager -                                               Total Patient Experience
     Corporate Social Responsibility                                              Group Clinical and Quality      17. Othman Abdullah
                                                                                                                      General Manager -               22. Maygala Arumugam
                                                                                                                      Credit Control and Operations      Group Chief Nursing Officer
                                         CORPORATE
                                         GOVERNANCE
The Board of Directors of KPJ Healthcare Berhad subscribes to       The size of the Board is optimum for the complexity and              As Chairman, his focus is to provide an oversight role on        Oversee the conduct of the companys business to
and supports the Malaysian Code on Corporate Governance             scale of operations of healthcare business. Whilst the               governance and compliance. In turn, the Board monitors            evaluate whether the business is being properly manage
(revised 2007) as a minimum basis for practices on corporate        Company has a significant shareholder (Johor Corporation),           the functions of Board Committees in accordance with              The Board is responsible to oversee and review the
governance. The Board of KPJ Healthcare Berhad (KPJ) is             the investment of minority shareholders is fairly reflected          their respective term of references to ensure its own             Groups annual budget, operational and financial
pleased to report to the shareholders in particular and other       through Board representation of Independent Non-Executive            effectiveness.                                                    performance on a periodic basis against the budget. At
stakeholders that highest standards of corporate governance         Directors and all of them have fulfilled the criteria of                                                                               Board meetings, all operational matters will be discussed
has been continuously practiced and upheld in accordance            independence as defined in the Bursa Malaysia Securities             The current Chairman has never held the position of               and appropriate consultation will be sought if necessary.
with the Principles as set out in Part 1 of the Malaysian Code      Berhads Listing Requirements which require at least two             Managing Director of the Company.                                 Where and when available, the performance of the
on Corporate Governance (The Code). The Board, to the             directors or one-third of the total number of Directors,                                                                               Group will be benchmarked and compared against the
best of their knowledge, confirms that the Group has complied       whichever is higher, to be Independent Directors.                    The Managing Director of the Company, Datin Paduka                performance of its competitors.
with the Best Practices as set out in Part 2 of the Code                                                                                 Siti Sadiah Sheikh Bakir, began her career with JCorp
throughout the financial year ended 31 December 2011.               The Independent Non-Executive Directors do not engage                and has been directly involved with JCorps Healthcare           Identify and manage principal risks and ensure the
                                                                    in any business dealings or other relationships and the              Division since 1978. She has the principal responsibility         implementation of appropriate systems to manage
The Board recognises the importance of Corporate                    day-to-day management of the Company. Hence, they are                of implementing the policies and decisions approved by            these risks.
Governance and conscientiously attains highest business             capable of exercising independent judgment and act in                the Board and progressively reports and communicates              Various committees in relation to clinical and professional
ethics and governance in conducting the day today business          the best interests of the Company and its shareholders.              all strategic and operational matters to the Board for            risk were set up under the Medical Advisory Committee
and affairs of the Group. Thus, at all times the practice of good   All Independent Non-Executive Directors are qualified                decision-making purposes. She is further supported                and the functions of each committee are disclosed in
corporate governance is the main priority in safeguarding and       professionals in their respective fields and carry with them         by the newly appointed Executive Director, Amiruddin              pages 72 to 81. Building Committee was formed to
enhancing the shareholders value and protecting the interests      vast industry experience along with subject matter expertise         Abdul Satar, who carries with him vast experience in              oversee the risks involving projects and development of
of all stakeholders.                                                in medical, legal, accounting and business management.               managing the hospital operations. He has been with the            new hospitals.
                                                                                                                                         Group since 1991 and is the current Chief Operating
The Board believes that good corporate governance adds              The presence of five (5) Independent Non-Executive                   Officer (COO).                                                   Succession       planning,     including      appointing,
value to the main business of the KPJ Group and will ensure         Directors ensures that the Board is well balanced and                                                                                  training and fixing the compensation of, and where
that this practice continues.                                       could carry sufficient weight on Boards decisions.                  The Board has also developed and approved the corporate           appropriate, replacing senior management.
                                                                    Although all the Directors have equal responsibilities for           objectives for 2012, for which the Managing Director and          The Board will deliberate on the latest plans and actions
The Board of Directors believes in playing an active role in        the Groups operations, the role of these Independent                Executive Director are responsible to achieve.                    taken in respect of the succession planning as provided
directing management through its review and approval of             Non-Executive Directors is particularly important in                                                                                   by the Group Human Capital Services. More importantly,
the Groups direction and strategy and acknowledged that            ensuring that all business strategies proposed by the                Terms of Reference                                                after several years of continuous efforts in emphasizing
their primary role is to lead and control, via its monitoring       executive management are fully and independently                     Terms of reference have been developed for both the Board         and communicating the importance of succession
of professional standards and business performance, its             discussed and assessed, and take into account the                    and Management, defining their respective                         planning, the subject has now become an ongoing
review of the adequacy and integrity of the Groups internal        long term interest, not only of shareholders, but also               authorities, duties and responsibilities, and this is covered     agenda being reviewed and discussed at various high-
control systems, including the identification of principal risks    employees, customers, suppliers, and the many                        by the Groups Code of Conduct and Business Ethics. While         level management and operational meetings of the
and ensuring the implementation of appropriate systems to           communities in which the Group operate.                              the Chairman encourages full discussion and deliberation          Group. An overview of the Group Human Capital and its
manage those risks, are part of its underlying duty to ensure                                                                            of issues affecting the Group by all Board Members,               importance to the Group are mentioned on pages 117 to
                                                                    This Board composition complied with the Bursa Malaysia
that the Group meets its responsibilities to its shareholders.                                                                           the Board has appointed Zainah Mustafa, the Senior                118 of this Annual Report.
                                                                    Securities Berhads Listing Requirements.
                                                                                                                                         Independent Non-Executive Director, to whom concerns
Board Of Directors                                                  Responsibility between Chairman and                                  pertaining to the Group maybe conveyed by shareholders           Develop and implement investors relations
                                                                    Managing Director                                                    and other stakeholders.                                           programme or shareholder communications policy
Board Structure, Composition and Balance                                                                                                                                                                   for the Group.
                                                                    The responsibility between the Chairman and Managing Director
During the financial year, there have been few changes in                                                                                Board Responsibility                                              The Group has introduced many activities with regards
                                                                    are clearly divided to ensure that there is a balance of power and
the composition of the Board of Directors of KPJ from the                                                                                In discharging their duties and responsibilities, the Board       to engagement and communication with investors to
                                                                    authority. Kamaruzzaman Abu Kassim, who was appointed as the
previous year. On 1 January 2011, Amiruddin Abdul Satar,                                                                                 ensures that all decisions made are in the best interests         ensure that they are well informed about the Group
                                                                    President and Group CEO of JCorp on 1 December 2010, was
Chief Operating Officer of the Company was appointed as                                                                                  of the Company and stakeholders. The key duties of the            affairs and developments. Details of investors activities
                                                                    appointed as Director and Chairman of the Company on 3 January
Executive Director of the Company and on 16 June 2011                                                                                    Board include the following:                                      are disclosed on pages 61 to 62 of this Annual Report.
                                                                    2011 and 12 January 2011, respectively.
one Independent Non-Executive Director, Tan Sri Dato
Seri Arshad Ayub, had resigned which reduced down the               He carried with him vast experience and wide experience               Review and adopt the business strategic plans for              Review the adequacy and integrity of the internal
number of Independent Non-Executive Directors to five.              within the corporate business and has been with the                    the Group.                                                      controls of the Group and management information
                                                                    JCorp Group since December 1992. He is also a Director                 The strategic and business plan for the period 2012            systems, including compliance with applicable laws,
As a result of the above changes, the composition of the            and Chairman of other listed companies within the JCorp                2016 was tabled, discussed and approved by the Board            regulations, rules, directives and guidelines.
Board of Director is as follows:                                    Group, Kulim Berhad, QSR Brands Berhad, KFC Holdings                   at its meeting on 29 November 2011. Additionally, on            The Boards function as regard to fulfilling these
1. One Non-Executive Chairman                                       Malaysia Berhad and Sindora Berhad.                                    an ongoing basis as need arises, the Board will assess          responsibilities effectively are supported and reinforced
2. Three Non-Executive Directors                                                                                                           whether projects, purchases and sale of equity as well as       through the various Committees established at both the
3. Five Independent Non-Executive Directors                         Other than actively involved in the corporate business,                other strategic consideration being proposed at Board           Board and Managements level. Aided by an Independent
4. One Managing Director                                            he also contributed significantly to the development of                meetings during the year are in line with the objectives        function of the Group Internal Audit Services, the active
5. One Executive Director                                           the JCorp Groups commitment towards Corporate Social                  and broad outline of the adopted strategic plans.               functioning of these Committees through their regular
                                                                    Responsibility. He is also a director in Waqaf An-Nur                                                                                  meetings and discussions would provide a strong check
The present size and composition remains well balanced and is       Corporation Berhad, an Islamic endowment institution                                                                                   and balance and reasonable assurance on the adequacy
made up of professionals with a wide range of knowledge and         that spearheads JCorp Groups Corporate Responsibility                                                                                 of the Groups internal controls. Details of these functions
experience in business, operations and finance relevant to the      programmes, including the unique Corporate Waqaf                                                                                       are discussed in the Internal Control Statement and Audit
direction of a large expanding Group. The profiles, inclusive of    Concept initiated by JCorp. He also sits as Director of                                                                                Committee report in this Annual Report.
caliber, credibility, skill and experience, of each Board Member    Damansara REIT Managers Sdn Bhd. Besides that,
are disclosed on pages 35 to 40 of this Annual Report.              he is also the Chairman and/or Director of several other
                                                                    companies within the JCorp Group.
                                                                     The Directors, whether as a full Board or in the individual      Ahamad Mohamad (a)                                                      57,500                                            57,500
                                                                     capacities, have access to all information within the Company    Rozan Mohd Saat (a)                                                    58,800                                            58,800
The Board Members remain committed and dedicated in                  and could where necessary take independent advice at the         Abd Razak Haron (a)                                                     28,000                                            28,000
fulfilling their duties and responsibilities and this is reflected   Groups expense, in the furtherance of their duties.
via their attendance at each Board meeting as listed below:                                                                           Independent Non-Executive Directors
                                                                                                                                      Tan Sri Dato Seri Arshad Ayub                                          31,056                                            31,056
                                                                                                                                      Zainah Mustafa                                                          65,500                                            65,500
  No         Name                                                                        BOD              Attendance                  Datuk Azzat Kamaludin (b)                                               62,000            18,000                          80,000
                                                                                                                                      Datuk Dr Hussein Awang (c)                                              92,000            21,000                         113,000
   1.        Kamaruzzaman Abu Kassim                                                     Chairman         5/5
   2.        Datin Paduka Siti Sadiah Sheikh Bakir                                      Members          5/5                         Dr Kok Chin Leong (d)                                                  144,750            18,200                         162,950
   3.        Amiruddin Abdul Satar                                                       Members          2/2                         Dr Yoong Fook Ngian (e)                                                253,000             6,200                         259,200
   4.        Tan Sri Dato Seri Arshad Ayub                                              Members          2/2
   5.        Datuk Dr Hussein Awang                                                      Members          5/5                         Managing Director
   6.        Datuk Azzat Kamaludin                                                       Members          4/5                         Datin Paduka Siti Sadiah Sheikh Bakir              998,600             82,500            90,000          70,600     1,241,700
   7.        Zainah Mustafa                                                              Members          5/5
                                                                                                                                      Executive Director
   8.        Ahamad Mohamad                                                              Members          5/5
   9.        Dr Kok Chin Leong                                                           Members          5/5                         Amiruddin Abdul Satar                               584,550             28,000            36,000          15,521         664,071
   10.       Dr Yoong Fook Ngian                                                         Members          5/5                         Total                                             1,583,150          1,013,662          189,400           86,121     2,872,333
   11.       Abd Razak Haron                                                             Members          2/2
   12.       Rozan Mohd Saat                                                            Members          5/5
                                                                                                                                     (a) Representatives of majority shareholders
                                                                                                                                     (b) Received allowances for appointment as Independent Director of subsidiary company
                                                                                                                                     (c) Received allowances for professional advisory services as Group Healthcare Adviser
                                                                                                                                     (d) Received allowances for professional advisory services on implementation of KPJ Clinical Information System (K-CIS)
                                                                                                                                     (e) Received allowances for professional advisory services as Medical Advisory Committee Chairman
Datin Paduka SIti Sadiah giving a corporate presentation on KPJ during Invest Malaysia 2011.
The Board of Directors of KPJ Healthcare Berhad (KPJ)           The Group has implemented the policy on Code of Ethics           All operational matters are deliberated at the Operational                   The Group focused its Risk Management activities on
is pleased to provide the following statement on the state      and Business Conduct to emphasize the commitment of              Committee, chaired by the Executive Director.                                incident reporting, root cause analysis, adopting the Seven
of internal controls of the Group for the financial year        the Group towards ethical values.                                                                                                              Patient Safety Goals of the World Health Organization and
ended 31st December 2011, which has been prepared                                                                                 Various committees were formed to identify, evaluate, monitor                monitoring activities that depart from best practices. This
in accordance with Paragraph 15.27 (b) of the Listing           All hospitals and companies within the Group have been            and manage the significant risks affecting the achievement of                is to ensure that every incident is investigated and root
Requirements of Bursa Malaysia and the Statement on             requested to sign an integrity pledge with their suppliers,       business objectives. These committees are:                                   cause identified to prevent future recurrence and ensure
Internal Control  Guidance for Directors of Public Listed      contractors and other related third parties.                                                                                                   patient safety is given top priority.
Companies. The system of internal controls is designed to                                                                         1. Medical Advisory Committee
manage risks to an acceptable level within the context of       Commitment To Competence                                             Responsible for monitoring the ethical and good                           Control Activities
the business environment throughout the Group.                  As a service provider, the Group is committed to improve             medical practice of medical consultants.
                                                                the skills and competencies of its management, medical                                                                                         Policies and Procedures
Board Responsibilities                                          consultants and employees through various training                2. Clinical Governance Committee                                             Policies and procedures are documented comprehensively
The primary responsibility of the Board is to ensure the        programmes, seminars, workshops and quality initiatives.             a. Responsible for the establishment of framework                         in the Malaysian Society for Quality in Healthcare (MSQH)
adequacy and integrity of the Groups internal controls                                                                                 for all the clinicians with the Group to:                              accreditation standards as well as the MS ISO 9001:2008
system which cover financial, operational and compliance        The Group has made it mandatory for each staff to undergo               i. Continuously improve service quality                                standard operating procedure manuals, which are updated
controls management. The principal objective of                 at least 30 hours of training per year as part of the indicator         ii. Ensure high standard of care                                       from time to time. These policies and procedures help
the internal controls system is to manage business              in the Key Performance Indicators with the objective of                 iii. Create an environment that promotes                               to ensure management directives are carried out and
risks effectively, enhance the value of shareholders           encouraging knowledge management and initiatives.                            excellence in clinical care                                       necessary actions are taken to address and minimize risks.
investments and safeguards assets of the Group. The             Training on work related areas such as customer services,            b. There are various sub-committees under the Clinical                    All hospitals in the Group are targeted to obtain the MSQH
role of Managing Director and Management is to assist           fire safety and corporate culture are done either internally            Governance Committee; namely Clinical Governance                       Accreditation certification ultimately.
in the design and implementation of the Boards policies        or through external moderators.                                         Policy Committee, Clinical Governance Action
on internal control system.                                                                                                             Committee and Clinical Risk Management Committee.                      For the year 2011, 11 of the hospitals in the Group have
                                                                The Group also organizes the KPJ Medical Conference,                                                                                           been accredited by the MSQH Accreditation Certification
Since internal controls are designed to manage and              Medical Workshop and Nursing Convention yearly for                3. Procurement/Tender Committee                                              and two hospitals namely KPJ Ampang Puteri Specialist
reduce risks rather than eliminate them, therefore such         the medical consultants, nurses and allied health staff to           a. Ensure that purchases of equipment and tender of                       Hospitals and KPJ Seremban Specialist Hospitals are
internal controls can provide only reasonable assurance         deliberate and discuss medical and clinical issues related              projects are made in accordance with the standard                      undergoing JCI Accreditation process.
to Management and the Board of Directors regarding the          to their practices to promote patient safety, best practices            operating procedures as well as leveraging on
achievement of company objectives through:-                     as well as standardization of practices.                                bulk discounts.                                                        As for the year 2012, four hospitals have been identified to
 effectiveness and efficiency of operations                                                                                         b. Coordinates the standardization of equipment,                          get the MSQH Accreditation certification.
 reliability of financial reporting                            New and creative ideas are encouraged through suggestion                pharmaceutical items and medical supplies purchased.
 compliance with applicable laws and regulations               schemes and Innovative Circle Committee competitions,
                                                                                                                                                                                                               Segregation of Duties
                                                                held yearly, whereby the winner of this event will represent      Risk Assessment Framework and Process                                        The delegation of responsibilities to the Board, the
The Board still relies on the COSO Internal Control Framework   KPJ at the higher level of competition at JCorp, the ultimate
                                                                                                                                                                                                               Management and Operating Units are clearly defined and
to ensure an appropriate and sound system of internal           holding corporation.                                              Company-Wide Objectives                                                      authority limits are strictly enforced. Different authority
controls, which encompasses five interrelated components                                                                          Enterprise-Wide Risk Management has been implemented                         limits are set for different categories of executives for the
i.e. the Control Environment, Risk Assessment Framework,
                                                                Organisation Structure                                            across the Group through Risk Coordinators, appointed                        procurement of capital expenditure. Similarly, cheque
                                                                The organization structure of the Group, headed by the
Control Activities, Information and Communication and                                                                             at each hospital to co-ordinate and monitors the                             signatories and authority limits are clearly defined and
                                                                Managing Director, is divided into three (3) main divisions:
Continuous Monitoring process.                                                                                                    implementation of risk management activities. All hospitals                  enforced. As a measure to curb and reduce the incident of
                                                                Financial, Professional Services and Operation. For the
                                                                                                                                  and companies are encouraged to identify and mitigate                        fraud and error, duties and tasks are segregated between
                                                                year 2011, the Group has created new position ie Executive
Control Environment                                                                                                               relevant risks that may affect the achievement of the                        different members of staff especially those in finance and
                                                                Director, to overseeing operational matters of the Group.
                                                                                                                                  Groups Key Performance Indicators and report to their                       purchasing services.
Integrity And Ethical Values                                    As for the hospitals, the day-to-day operations are               respective Board.
The Management is committed to enforce ethical                  managed by the Executive Directors cum Chief
behaviour in employees and medical consultants. At              Executives Officer or the General Manager.
the annual staff assembly or Pedoman (Perhimpunan,
Dialog dan Anugerah Tahunan Anggota Pekerja) in the             The Executive Directors cum Chief Executive Officers
hospitals, new staff take an oath and sign a Service           and the General Managers are assisted by the Medical
Pledge declaration form. All employees and medical             Directors in relation to clinical issues in the hospitals.
consultants are reminded during the Pedoman of
the five Core Values adopted by the Group, which                At the Corporate level, the Group is assisted by the Medical
are Safety, Courtesy, Integrity, Professionalism and            Advisory Committee and Clinical Governance Committee
Continuous Improvement.                                         on matters pertaining to clinical issues.
Employees are also encouraged to report directly to             Assignment of Authority and Responsibility
the Managing Director of any misconduct or unethical            The Board assigns authority and responsibility mainly to the
behaviour committed by any staff of the Group through           Executive Committee (EXCO) to manage the strategic issues
 the Borang Peradaban declaration.                              pertaining to the delivery of services and future direction of
                                                                the Group. Major purchases are discussed and deliberated
                                                                by the EXCO before they are tabled at the respective
                                                                hospitals Board meetings. The objective is to ensure Group
                                                                synergy, standardization and bulk discounts.
                                                                                                                                  KPJ Penang Specialist Hospital receiving the MSQH Accrediation certificate
                                                                 Separate Evaluations
                                                                 All hospitals certified with the MSQH accreditation have
                                                                 to undergo stringent surveillance audit by the respective
                                                                 surveyors and audit teams to ensure compliance.
First row from left Second row from left Third row from left First row from left Second row from left Third row from left
1.   Dr Kok Chin Leong              6.   Dato Dr Azizi Omar                     11. Amiruddin Abdul Satar            1.   Dato Dr Mohd Rani Jusoh                6.   Dr Abd Razak Samsudin              10. Dr KV Anitha
     Clinical Governance Policy          Research Development                         Executive Director and               Medical Director                             Consultant General Surgeon              Senior Corporate Manager -
     Committee Chairman                  Committee Chairman                           Chief Operating Officer              Consultant Physician and Neurologist         Puteri Specialist Hospital              Group Clinical and Quality
     Consultant Paediatrician            Medical Director and                                                              KPJ Ampang Puteri Specialist Hospital
     Puteri Specialist Hospital          Consultant Paediatrician                12. Dr KV Anitha                                                                  7.   Dr Wan Hazmy Che Hon               11. Mah Lai Heng
                                         KPJ Damansara Specialist Hospital            Senior Corporate Manager -      2.   Tan Sri Dato Dr Yahya Awang                 Medical Director                        Senior General Manager
2.   Datin Paduka Siti Sadiah                                                        Group Clinical and Quality           Consultant Cardiothoracic Surgeon            Consultant Orthopaedic Surgeon          Group Clinical and Quality
     Sheikh Bakir                   7.   Dato Dr Zaki Morad                                                               KPJ Damansara Specialist Hospital            KPJ Seremban Specialist Hospital
     Managing Director                   Mohamad Zaher                           13. Mah Lai Heng                                                                                                          12. Dr Aliza Jamaluddin
                                         Clinical Ethics Committee Chairman           Senior General Manager               Committee Chairman                      8.   Dr Mahayidin Muhamad                    Senior Corporate Manager -
     Committee Chairman                  Consultant Physician Nephrologist            Group Clinical and Quality      3.   Dr Kok Chin Leong                            Medical Director                        Group Clinical and Quality
3.   Dr Yoong Fook Ngian                 KPJ Ampang Puteri Specialist Hospital                                             Consultant Paediatrician                     Consultant Radiologist
     Consultant Ear, Nose                                                        14. Maygala Arumugam                      Puteri Specialist Hospital                   KPJ Perdana Specialist Hospital    13. Maygala Arumugam
     and Throat Surgeon             8.   Dr Mohd Hafetz Ahmad                         Group Chief Nursing Officer                                                                                               Group Chief Nursing Officer
     KPJ Ipoh Specialist Hospital        Medical Director                                                             4.   Datuk Dr Johan Thambu                   9.   Dr Alex Tang Tuck Hon
                                         Consultant Obstetrician                 15. Dr Aliza Jamaluddin                   Abd Malek                                    Consultant Paediatrician
4.   Datuk Dr Hussein Awang              and Gynaecologist                            Senior Corporate Manager             Consultant Obstetrician and                  KPJ Johor Specialist Hospital
     Hospital Medical Directors          KPJ Johor Specialist Hospital                - Group Clinical and Quality         Gynaecologist
     Committee Chairman                                                                                                    KPJ Tawakkal Specialist Hospital
     Medical Director               9.   Dato Dr Shahrudin Mohd Dun             16. Jasimah Hassan
     Consultant Urologist                Clinical Governance Action                   Chief Education and Knowledge   5.   Dato Dr Fadzli Cheah Abdullah
     Tawakal Health Centre               Committee Chairman                           Management (EduKATE)                 Medical Director
                                         Medical Director                                                                  Consultant Neuro Surgeon
5.   Dato Dr S Jenagaratnam             Consultant General Surgeon                                                        KPJ Ipoh Specialist Hospital
     Clinical Risk Management            KPJ Selangor Specialist Hospital
     Committee Chairman
     Consultant Anaesthetist        10. Dato Dr Ngun Kok Weng
     KPJ Ipoh Specialist Hospital        Consultant General Surgeon
                                         Kuantan Specialist Hospital
First row from left Second row from left Third row from left First row from left Second row from left Third row from left
1.   Dr Mohd Harris Lu                   6.   Dr Mohamed Namazie Ibrahim         11. Dr K V Anitha                  1.   Dr Primuharsa Putra Sabir               6.   Dr Siti Salwa Mohd Nazri                11. Dr KV Anitha
     Medical Director                         Consultant Anaesthetist                 Senior Corporate Manager -         Husin Athar                                  Medical Officer                              Senior Corporate Manager -
     Consultant Ophthalmologist               KPJ Selangor Specialist Hospital        Group Clinical and Quality         Consultant Ear, Nose, Throat,                KPJ Ampang Puteri Specialist Hospital        Group Clinical and Quality
     Sentosa Medical Centre                                                                                              Head and Neck Surgeon
                                         7.   Dr G Ruslan Nazaruddin             12. Dr Aliza Jamaluddin                 KPJ Seremban Specialist Hospital        7.   Dato Dr Azlin Azizan                   12. Abdol Wahab Baba
2.   Dato Dr Ismail Yaacob                   Simanjuntak                             Senior Corporate Manager -                                                      Consultant Radiologist                       Chief Risk Officer
     Medical Director                         Medical Director                        Group Clinical and Quality    2.   Dato Dr N Sivamohan                         KPJ Ampang Puteri Specialist Hospital
     Consultant Physician                     Consultant Orthopaedic Surgeon                                             Medical Director                                                                     13. Mah Lai Heng
     Kedah Medical Centre                     KPJ Tawakkal Specialist Hospital   13. Mah Lai Heng                        Consultant Obstetrician                 8.   Dr Norita Ahmad                              Senior General Manager -
                                                                                      Senior General Manager -           and Gynaecologist                            Consultant Physician                         Group Clinical and Quality
     Committee Chairman                  8.   Dr Khaled Mat Hassan                    Group Clinical and Quality         KPJ Klang Specialist Hospital                KPJ Perdana Specialist Hospital
3.   Dato Dr Shahrudin Mohd Dun              Medical Director                                                                                                                                                14. Dr Aliza Jamaluddin
     Medical Director                         Consultant Obstetrician            14. Maygala Arumugam                    Committee Chairman                      9.   Dato Dr Zurin Adnan                         Senior Corporate Manager -
     Consultant General Surgeon               and Gynaecologist                       Group Chief Nursing Officer   3.   Dato Dr S Jenagaranam                       Abd Rahman                                   Group Clinical and Quality
     KPJ Selangor Specialist Hospital         Kuantan Specialist Hospital                                                Consultant Anaesthetist                      Consultant Surgeon
                                                                                                                         KPJ Ipoh Specialist Hospital                 KPJ Damansara Specialist Hospital       15. Maygala Arumugam
4.   Dr Balakrishnan Subramaniam         9.   Abdol Wahab Baba                                                                                                                                                     Group Chief Nursing Officer
     Medical Director                         Chief Risk Officer                                                    4.   Dr Noor Hisham Mansor                   10. Dr Shaharudin
     Consultant Obstetrician                                                                                             Consultant Physician                        Abdul Jalal Ajmain
     and Gynaecologist                   10. Dr Ewe Khay Guan                                                            KPJ Tawakkal Specialist Hospital             Medical Director
     KPJ Kajang Specialist Hospital           Medical Director                                                                                                        Consultant Radiologist
                                              Consultant Ear, Nose                                                  5.   Dato Dr Abd Wahab Ghani                     Puteri Specialist Hospital
5.   Dato Dr Azizi Omar                      and Throat Surgeon                                                         Deputy Medical Director
     Medical Director                         KPJ Penang Specialist Hospital                                             Consultant Orthopaedic Surgeon
     Consultant Paediatrician                                                                                            KPJ Ampang Puteri Specialist Hospital
     KPJ Damansara Specialist Hospital
Clinical Governance is defined as A framework through                  1.   Identify Patients Correctly                              vi.    Monitoring of Medication Error / Adverse Events       viii. Clinical Indicators
which the organization is accountable for continually                   2.   Improve Effective Communication                                 As a part of the Incident Reporting program all             The Group has been collecting, analyzing and
improving the quality of their services and safeguarding                3.   Improve the Safety of Using Medication                          medication error and other adverse events are               monitoring clinical indicators to improve patient
high standards of care by creating an environment in which              4.   Ensure       Correct-Site,  Correct-Procedure,                  monitored, root cause analysis (RCA) done and               outcomes. The program started in 2001 with seven
excellence in clinical care will flourish and the Group                     Correct-Patient Surgery                                         corrective actions and improvement measures put             indicators and currently 20 indicators are being
is committed to continuously strive to enhance clinical                 5.   Improved Hand Hygiene to Prevent Health Care-                   into practice routinely.                                    monitored and whereas Patient Safety indicators
governance as the main thrust for improving the quality of                   Associated Infection                                                                                                        that are being monitored include O&G, Diagnostic
care, ensuring patient safety and developing the capacity               6.   Reduce the Risk of Patient Harm Resulting                vii.   Safety Research or Studies                                  Imaging, Radiotherapy and Hospital-wide indicators.
to maintain high standards.                                                  from Falls                                                      Currently the following research safety and quality         (Table 4)
                                                                                                                                             studies are being monitored by the KPJ Research &
                                                                                                                                             Development Committee:                                In 2011, MAC also reviewed the current governing policies
At the Group level, the Group Medical Advisory Committee         iii.   WHO World Alliance on Patient Safety Challenges
                                                                                                                                             KPJ Johor:       Epidemiology of Medication Errors    of which currently there are a total of 99 policies complied
(MAC) develops and monitors clinical governance activities              Clean Care is Safe Care (2005-2006)
                                                                                                                                                              in KPJ Johor Specialist Hospital     into 4 groups i.e. Clinical Governance (CG 001  012),
and guidelines for the Group. Whereas at the individual                 The WHO guidelines on hand hygiene were reviewed
                                                                                                                                             KPJ Ipoh:        The occurrence of sharp injury       Clinical Services (CS 001  050), Hospital Operations (HO
hospital level, the Hospital MAC under the chairmanship of              and adapted for KPJ Hospitals use in 2008. Continuous                                 among workers in KPJ Ipoh from       001  027) and Pharmacy (PS 001  010). To be in line with
the hospital Medical Director facilitates the implementation            training and monitoring of hand hygiene compliance is                                 2007  2010                          KPJs objective to be a paper-less organization these policies
and oversees compliance to clinical governance through                  part of the regular activities of the hospital Infection             KPJ Damansara: 1. Comparison on the effectiveness     have been converted to electronic media called e-Governing
various clinical sub-committees such as the Hospital                    Control Unit.                                                                             of the current teaching module   Policy which can be accessed by all Medical Directors &
Credentialing & Privileging, Audit & Medical Education,                                                                                                           versus traditional method on     medical staff and all other KPJ staff in the future.
Infection Control, Medical Records, Mortality Review,                   Safe Surgery Saves Lives (2007-2008)                                                      hand hygiene practice among
Pharmacy & Therapeutics and Surgical Medical Intervention               The Peri-operative Check List for KPJ was                                               healthcare providers             MAC continues to monitor all other clinical governance
Committees and other hospital committees.                               established at the end of 2009 based on the WHO                                       2. Effectiveness of Shift Handover   activities for the Group including:
                                                                        Check List and the Ministry of Health Check List                                          among State Registered Nurses     Mortality reports and Hospital Mortality Review
MAC governs and functions through a number of committees,               and the pilot project was successfully carried out. In                                    at KPJ Damansara                     Committee reports
namely the Clinical Governance Policy Committee (CGPC),                 2010 all KPJ Hospitals started implementing this and                 KPJ Selangor: Epidemiology of fall and the             Diagnostic groups admitted to the Group
Clinical Governance Action Committee (CGAC), Clinical                   compliance is being monitored.                                                        effectiveness of the KPJ Fall Risk    Antibiogram and Antibiotic Resistance reports, etc.
Risk Management Committee (CRM), Central Credentialing                                                                                                        Assessment Tool
& Privileging Committee (CCPC) and Central Mortality                    Tackling Antimicrobial Resistance (2009-2010)                        KPJ Tawakkal: A 12 month study of inpatients
Review Committee (CMRC); including two new committees                   The Infection Control Policy and Procedure are being                                  complaints at KPJ Tawakkal
started in 2010; Clinical Ethics Committee and Research &               reviewed and the National Antibiotic Guidelines 2008
Development Committee. (Table 1)                                        have been adopted for use for the Group. Antibiogram
                                                                        and antibiotic resistance patterns are being monitored
In KPJs journey to always improve quality of care and to               at hospital as well as Group level.
ensure patient safety the Group has embarked on various
programs over the years. Starting with quality improvement       iv.    Infection Control Program (ICP)
certifications (ISO, OSH certifications, etc.) to look at               ICP Manpower Status for the year 2011 showed that
proper documentation & processes, followed by MSQH                      there are 22 Infection Control Officers / Infection Control
accreditation and 10 hospitals have been accredited thus far            Nurse (ICO / ICN) in the Group. All accredited and non
i.e. KPJ Ampang, KPJ Johor, KPJ Damansara, KPJ Ipoh, KPJ                accredited hospitals with more than 110 beds comply
Selangor, KPJ Seremban, KPJ Perdana, KPJ Kajang, KPJ                    with the regulatory requirement of having dedicated
Penang and Kedah Medical Centre.                                        ICOs. ICOs are being supported by a total of 199
                                                                        ICNs to facilitate and implement the Infection Control
Numerous quality and safety programs have been                          Program (ICP).
implemented from the time when the Medical Advisory
Committee began in full swing in the year 2002. The report              Monitoring and Surveillance on Hospital Acquired
on the Patient Safety programs for the year 2011 follows:               Infection (HAI)
                                                                        6 parameters are monitored currently (Table 2) and
i.   Quality Committees & Quality Officer                               HAI monitoring results showed significant reduction
     All hospitals have Quality Committees and Quality                  in Surgical Site Infection (SSI) and Catheter Related
     Officers. The Quality Officer collects, complies,                  Blood Stream Infection (CRBSI) when compared to the
     analyzes, monitors the statistics and trends and                   same period last year. Currently this surveillance study
     reports to the Quality Committee quarterly and                     conducted in ICU/CICU only and will be extended to
     all reports are presented to the Hospital Board of                 other areas of the hospital next year.
     Director meeting.
                                                                 v.     Incident Reporting
ii. Patient Safety Day                                                  The Group hospitals have been reporting since
    In year 2011 all hospitals have commenced with the KPJ              2006 using a standardized format based on the
    Patient Safety Goals at their hospitals with participation          ICPS Classification for Patient Safety recommended
    of patients, visitors, consultants and all staff. KPJ               by the World Health Organization (WHO). List of
    hospitals have implemented and are monitoring the 6                 incidents reported include the following: (Refer to
    international Patient Safety Goals identified by WHO:               Table 3 for details)
Safety Indicators
 1   O&G indicators
     a. Birth trauma  injury to neonate
     b. Obstetric trauma during LSCS  injury to mother
     c. Urinary tract injury following hysterectomy
 2   Diagnostic Imaging indicators
     a. Morbidity associated with Percutaneous Needle Aspiration Cytology / Biopsy of Abdomen  Haemorrhage
     b. Wrong person / wrong site / wrong procedure / wrong dose error
 3   Radiotherapy
     a. Wrong person / wrong site / wrong procedure / wrong dose error
 4   Hospital wide indicators
     a. Patient Fall
     b. Sharps injury
     c. Medication error
     d. Blood / blood products transfusion error
     e. Burns during delivery of electro-therapeutic modalities & thermal agents
State-of-the-art Facilities
  24-hour Accident and Emergency Unit                     High Dependency Unit (HDU)/Neonatal HDU
  24-hour Ambulance Services                              Intensive Care Unit (ICU)/Neonatal ICU
  3-D/4-D Ultrasound                                      Laboratory
  Angiography and Cardiac Catheterization Lab (Cathlab)   Lithotripsy Centre
  Bone Densitometer                                       Digital and Navigated Orthopaedic Operation Theatre,
  Coronary Intensive Care Unit (CICU)                     Cardiac Operation Theatre and General Operation Theatre
  Coronary Care Unit (CCU)                                Oncology and Radiotherapy Centre/Linear Accelerator
  Cardiothoracic Centre                                   Ophthalmic Laser
  Convalescent Centre/Home Nursing                        Picture Archiving and Communications System (PACS)
  Diagnostic Imaging Superconductive MRI/Multi-slice      Pharmacy
  CT Scan/Digital Fluoroscopy/General X-Ray with CR       Physiotherapy and Rehabilitative Centre
  System/Mammography/Mobile X-Ray/Mobile C-Arm            Private Delivery Rooms
  Diagnostic/Screening Centre                             Special Care Nursery
  Dental X-Ray                                            Treadmill Stress Test
  Day Care Ward                                           Women and Baby Centre
  Haemodialysis Centre
Community projects and events were also conducted by            While KPJ continues to focus on promoting its brand and
every KPJ hospital as part of its contribution to building up   services to the local community, it is also marketing its
a healthier society and to create greater awareness about       hospitals abroad to attract more international patients.
the services that are available at the hospitals.
Increasing Capacity, Expanding                                  KPJ is investing some RM760 million over the next 3-4 years
Hospital Network                                                to develop five new hospitals in Malaysia  namely KPJ Klang
In view of the anticipated increase in patient numbers, from    Specialist Hospital, Sabah Medical Centre, Pasir Gudang
both domestic and international markets, KPJ had drawn          Specialist Hospital, KPJ Pahang Specialist Hospital and
up plans to expand its capacity over the next five years,       Bandar Dato Onn Specialist Hospital  which were named
in line with its aim to add 1-2 new hospitals to its network    under the ETP Healthcare Travel category.
via acquisitions or greenfield developments at locations that
KPJ has yet to set foot in.                                     These five projects will collectively add 822 beds to
                                                                KPJs existing capacity of more than 2,500 beds, and are
The expansion effort coupled with initiatives to expand its     expected to create over 3,000 new jobs and contribute
medical tourism market culminated in the announcement           an estimated RM1.2 billion in GNI for the country.
of KPJ as one of the 13 new project owners under the 8th
update of the Economic Transformation Programme (ETP)           These new investments, alongside other projects that are
by Malaysian Prime Minister YAB Dato Sri Mohd Najib Tun        currently in the pipeline, will bring KPJ closer to the local
Abdul Razak on 10 November 2011.                                community and enhance the services that will be available
                                                                to medical tourists.
The ETP has identified 12 National Key Economic Areas
(NKEAs)  11 industry sectors and Greater KL/Klang Valley       The tapping of this potential healthcare travel market
 that will drive overall economic growth in the country and     a hidden jewel  will also be accompanied by new job
to transform Malaysia into a high-income nation by 2020.        creation as well as opportunities for skill enhancement,
                                                                which will bode well for the economy and the healthcare
The healthcare sector, one of the 12 NKEAs, is viewed as        labour market over the long run.
a private-sector driven growth engine that will generate
RM35 billion in incremental gross national income (GNI)
contribution to reach RM50 billion by 2020. It will focus on
three sub-sectors, namely Pharmaceuticals, Health Travel
and Medical Technology Products.
While working on increasing the number of foreign patients,     Plans are also afoot to develop the KPJ Muar Specialist
KPJ also puts significant emphasis on the growing needs         Hospital, a project which began when KPJ first acquired the
of the local community and to this end, the Group has           partially-completed 7-storey building located along Jalan
committed to invest almost RM900 million to develop seven       Stadium in Muar, Johor for RM22 million. The acquisition
new hospitals over the next few years, including the five       was completed on 12 April 2010.
hospitals named under the ETP.
                                                                KPJ is currently completing the hospital building at an
With that, KPJ will bring new technologies and medical          estimated development cost of around RM26 million, and
                                                                                                                                 KPJ Specialist Hospital Bandar Dato Onn
services closer to the local community while setting its        anticipates a capacity of more than 100 beds with a floor
footprint in new locations.                                     space of more than 200,000 sq ft and almost 200 car park
                                                                bays. KPJ Muar Specialist Hospital is likely to be completed     The blueprint includes, among others, three operation
                                                                in early 2013 and is expected to provide various surgical        theatres alongside an intensive care unit and labour room
Blazing on the Expansion Trail
                                                                and medical services such as Orthopaedic, Mother and             as well as other medical facilities and services.
Having successfully concluded its acquisition of Sibu
Specialist Medical Centre in 2011, KPJ continues to look at     Child Care, Renal Care and many others.                          The new KPJ Perlis Specialist Hospital will also provide
new markets and plans are afoot to open its new KPJ Klang                                                                        Physiotherapy, Haemodialysis, Accident & Emergency as
Specialist Hospital in Bandar Baru Klang, Selangor, in the      In the more distant future, KPJ is also placing a flag in the
                                                                                                                                 well as 24-hour Outpatient Services.
first half of 2012.                                             Perlis state capital of Kangar following its signing of a
                                                                60-40 joint-venture agreement with Yayasan Islam Perlis          The hospital will be ready to serve the Perlis population and
Built at a cost of about RM50 million, KPJ Klang will           (YIP) on 11 July 2011 to develop the first private specialist    foreign patients from as far as southern Thailand by 2014.
have more than 300,000 sq ft in built-up area, allowing         hospital in the peninsulas northern-most state of Perlis. The
it a maximum capacity of 200 beds and 29 consultant             ground-breaking ceremony was held on 20 November 2011.           During that same year, KPJ is also anticipating two further
suites as well as ample space for various services and                                                                           additions to its network of hospitals.
medical facilities.                                             As part of the agreement, YIP will provide a 4.3-acre land                                                                       KPJ Pahang Specialist Hospital
                                                                land in Pengkalan Asam, Mukim Seriab, Kangar for the             KPJ will also be expanding its foothold in the Pahang state
                                                                development, while KPJ will leverage on its 30 years of          through the development of its new KPJ Pahang Specialist        These centres will be equipped with advanced medical
Down south, the KPJ Pasir Gudang Specialist Hospital
                                                                healthcare experience to develop the new hospital and to         Hospital, a 188-bedded hospital that will complement the        equipment based on state-of-the-art technologies.
in Johor is also slated for completion in 2012. The multi-
                                                                provide its expertise in administration, financial, general      services currently rendered by Kuantan Specialist Hospital
disciplinary hospital, which will be opened in phases, will                                                                                                                                      Currently, KPJ is also developing a new hospital building
                                                                management, and other services related to the running and        in Pahang.
enable KPJ to provide a comprehensive range of medical                                                                                                                                           in Kota Kinabalu, Sabah, which upon completion of its first
care to the local community as well as international patients   operation of a private specialist hospital.
                                                                                                                                 KPJ Pahang will be developed by Pahang Specialist               phase in 2012, will replace the existing premise that Sabah
from the neighbouring countries.                                                                                                 Hospital Sdn Bhd, a 70:30 joint venture company of KPJ and
                                                                This new development will change the landscape of                                                                                Medical Centre is currently operating in.
                                                                Kangar with a 6-storey hospital building that has a total        PASDEC Corp, a subsidiary of Pahang State Development
KPJ will spend more than RM40 million to develop this                                                                                                                                            The community can expect more comprehensive services
                                                                capacity of 90 beds and equipped with the latest facilities      Corporation (PKNP).
hospital, building up almost RM200,000 sq ft of floor space                                                                                                                                      alongside the medical care from Consultants with a wider
                                                                that will encompass a built-up area of 123,000 sq ft. The
to house more than 100 beds and medical facilities.                                                                              Further south, KPJ Specialist Hospital Bandar Dato Onn         range of medical disciplines when the new 11-storey
                                                                first phase of the projects development cost is estimated
                                                                at RM30 million.                                                 will begin construction soon at Bandar Dato Onn, a new         hospital in Kota Kinabalu is completed.
                                                                                                                                 township that is located within the Iskandar Development
                                                                                                                                 Region in Johor. The first phase of this development should
                                                                                                                                 be ready to welcome both domestic and international
                                                                                                                                 patients in two years time.
The RM200-million hospital is expected to house a total of        In some cases, where the need arises, KPJ will also
250 beds at full capacity along with 500 parking bays, and        build a new hospital building in place of an old facility to
it will be fitted with the latest equipment and facilities for    enable the hospital services to be enlarged and to allow
better outcomes and comfort.                                      for the provision of more facilities and services as well as
                                                                  installation of the latest medical equipment that employ
Enhancing Sustainability                                          state-of-the-art technologies.
through Organic Growth
KPJs expansion strategy also includes plans to expand            In 2009, KPJ opened a new hospital building in KPJ
existing hospitals to provide more bed capacity and               Penang Specialist Hospital as a replacement for the former
additional space for new facilities and the latest equipment as   Bukit Mertajam Specialist Hospital and the following year,
well as upgrading of existing services to provide customers       it opened the KPJ Tawakkal Specialist Hospital in place
with better quality care and improved ambience.                   of the old Tawakal Hospital, which is currently being re-
                                                                  developed at a cost of more than RM15 million to become
To this end, KPJ has committed some RM250 million                 Tawakal Health Centre.
to expand and upgrade its existing hospitals in order to
enhance patient experience at all KPJ hospitals.
                                                                                                                                     EduKATE
Aside from charting the expansion path for its network of
hospitals, KPJ has also travelled far to venture into another
new area of community care to enhance its range of
                                                                   Jeta Gardens
                                                                   Jeta Gardens was founded some four years ago with a
                                                                   vision to provide aged care and retirement living services
                                                                                                                                     - KPJ UNIVERSITY COLLEGE
services as well as provide an additional avenue of income         for the retirement community while recognizing also their
for the Group  Retirement Care.                                   needs to have the appropriate environment, culture and
                                                                   lifestyle amid modern amenities.
Times A-Changing for Golden Boomers
The Baby Boomers start to turn 65 in year 2011 and they are        The 64 acres of extensive parklands and renowned Chinese
transforming the retirement age. Surveys by independent            Gardens at Jeta Gardens, bordering the Logan River, is a
research houses have shown that the boomers have a                 profusion of scenery and wildlife as well as home to more
longer life span and have a whole new view on retirement,          than 200 residents living in 23 villas, 32 apartments and the
forcing a re-examination of the traditional assumptions            108-bedded aged care facility.
relating to retirement. In short, they will reinvent retirement.
                                                                   There are some 150 staff members at the resort who provide
As Baby Boomers retire, focus will also be on caregivers           various services to the residents.
and how they prepare for the impact of providing healthcare
to those in their golden years. And as a major healthcare          In December 2011, the Australian Federal Government
provider, KPJ must change with the times and continue its          awarded Jeta Gardens approval to add a further 70 beds
mission by transforming the way it provides care to meet           in its aged care facility and the resort is also developing 10
the changing needs of the population.                              additional villas.
As a dynamic business, KPJ must also be at the forefront
                                                                   To date about half of the land bank has been developed. Plans
in identifying new opportunities and potential markets to
                                                                   currently are on the drawing board on how best to maximize
sustain continued long-term growth for the Group.
                                                                   returns on the remaining land and to create the ultimate utopia
Hence, on 22 September 2010, KPJ signed an agreement               for the retirement community at Jeta Gardens.
to acquire up to 367,605 new ordinary units in Jeta Gardens
Waterford Trust (JGWT) and up to 3.3 million 10-year               Amplifying Services, Maximizing Returns
convertible notes for RM19 million in an all-cash deal, and        In addition to the development of more villas and the
this would give KPJ a 51% equity interest in JGWT.                 increase in occupational beds at the aged care facility,
                                                                   the blueprint for the expansion at Jeta also includes ideas
The exercise was concluded on 30 November 2011,                    to set up more facilities for the comfort and convenience
making JGWT a subsidiary of the KPJ Group.                         of the residents, including the possibility of setting up a
                                                                   Geriatric and Rehabilitation Hospital.
JGWT owns and operates Jeta Gardens  Australias first
retirement and aged care resort that incorporates Eastern          The effort to continuously improve the ambience and
values  which is located in Bethania, a southern suburb of        service rendered to the residents has not gone unnoticed,
Brisbane, Australia.                                               with Jetas Aged Care Facility securing the second cycle
                                                                   of accreditation in 2011, based on compliance with all 44
KPJs involvement in Jeta Gardens will be the gateway to           standards and assessment criteria, as well as receiving
the retirement world, allowing it to gain greater knowledge        an award as the most innovative aged care and retirement
and experience in providing retirement care to the elderly.        living business model.
The Group will also leverage on its experience as a primary        KPJs entry has also injected greater synergy into the
caregiver as well as the knowledge of its team of managers         retirement resort. The unique combination of Jetas
and clinicians to create a new experience and lifestyle for        successful operations alongside KPJs experience in the
the Golden Boomers in Malaysia.                                    healthcare industry has helped strengthen JGWTs financial
                                                                   position in 2011.
1. Dato Dr Azizi Omar                    4. Tan Sri Dato Seri Arshad Ayub   7. Prof Dr Durrishah Idrus        9. Dr Wan Hazmy Che Hon                11. Dato Dr Shahrudin Mohd Dun       13. Dr Abd Razak Samsudin
   Director                                 Chancellor                          Vice Chancellor cum                 Director                              Director                              Director
   Member, Senate                                                               Chief Executive Officer             Member, Senate                        Medical Director                      Consultant General Surgeon
   Member, Education Advisory Committee   5. Datin Paduka Siti Sadiah                                              Member, Research                      Consultant General Surgeon            Puteri Specialist Hospital
   Medical Director                          Sheikh Bakir                     8. Dato Dr Hussein Awang             and Development Committee             KPJ Selangor Specialist Hospital
   Consultant Paediatrician                 Pro-Chancellor and Chaiman          Medical Director                    Medical Director                                                         14. Dato Dr N Sivamohan
   KPJ Damansara Specialist Hospital                                            Consultant Urological Surgeon       Consultant Orthopaedic Surgeon     12. Dr Noor Hisham Mansor                 Medical Director
                                          6. Yusof Ismail                       Tawakal Health Centre               KPJ Seremban Specialist Hospital      Director                              Consultant Obstetrician
2. Prof Dato Dr Lokman Saim                Executive Director and                                                                                        Member, Senate                        and Gynaecologist
   President and                            Group Chief Executive Officer                                       10. Dr Mohd Harris Lu                     Member, Research                      KPJ Klang Specialist Hospital
   Dean of School of Medicine                                                                                       Director                              and Development Committee
                                                                                                                    Medical Director                      Consultant Physician               15. Dr Mohd Hafetz Ahmad
3. Jasimah Hassan                                                                                                   Consultant Ophthalmologist            KPJ Tawakkal Specialist Hospital      Director
   Chief Education and Knowledge                                                                                    Sentosa Medical Centre                                                      Medical Director
   Management (EduKATE)                                                                                                                                                                         Consultant Obstetrician
   and Deputy Chairman                                                                                                                                                                          and Gynaecologist
                                                                                                                                                                                                KPJ Johor Specialist Hospital
The intricate interplay of medical treatment calls for a host    The DIN EN ISO 9002 accreditation from IQNET, which
of integrated services that support the operations at KPJ        Lablink received in 2002, marked a major milestone
hospitals and complement the overall healthcare services,        for the company as it reflects international recognition
which the Group currently provides to customers.                 through such management and system assessments and
                                                                 certifications. LabLink is also ISO9001:2000 certified.
These ancillary services, which are provided for by several
key subsidiary companies of the Group, have helped               Central Purchasing & Distribution Services
KPJ keep some of its operating costs low and, as these           Aside from laboratory services, KPJ also leverages on
companies grow, they have also generated good earnings           economies of scale through its central purchasing arm,
income for the KPJ Group.                                        Pharmaserve Alliances Sdn Bhd (PASB), which has
                                                                 contributed significantly to the Groups earnings.
For fiscal year 2011, KPJ generated total revenue of
RM602.66 million from the provision of management                PASB, which was established in 2002, is a wholesaler and
services, pathology and laboratory services, marketing           distributor of pharmaceutical, medical and other hospital-
and distribution of pharmaceutical, medical and surgical         related products, mainly to support the needs of KPJ
products, and operating its private nursing college. This        hospitals and companies.
represented a 24% increase from the preceding year.
                                                                 Today, PASB is one of the largest buyers in the medical
Laboratory Services                                              industry after the Ministry of Health, and with volume
Following the expansion of KPJs hospital network and            purchases enable the Group to generate relatively better
extension of its range of services, the Group set up a           margins and also allow for the translation of cost savings to
subsidiary, Lablink (M) Sdn Bhd, in 1991 to manage all           KPJs customers.
laboratories at its hospitals and to enhance services
provided to customers through greater efficiency and             Its range of products include, among others, pharmaceutical,    Sterilization of medical instruments at KPJ Sterillization Centre in Rawang
speed in processing lab tests and results.                       medical disposables, radiological, rehabilitation, laboratory
                                                                 and other related goods, as well as sutures and catgut,
Specialising in laboratory and pathology services,               implants and stationeries.                                      Sterilization Services                                                        KPJ Eye Centre
LabLink began operating within the hospital premise at                                                                           To further improve the Groups efficiency and trim                            To further enhance its specialist services, KPJ Group had
KPJ Ampang Puteri Specialist Hospital in January 1999            The company also puts much emphasis on efficiency and           operating costs, KPJ opened its own Certified Sterilization                   in December 2010 acquired a strategic 80% stake in Sri
and subsequently extended its in-house services to Pusat         enhances its operations through the use of information          Service Centre (CSSS) in Rawang, Selangor in 2011                             Kota Refractive and Eye Centre Sdn Bhd, which has its
Pakar Tawakal, KPJ Damansara Specialist Hospital,                technology and best practices in management systems.            together with its joint-venture partner, Steril Gamma                         main office in Petaling Jaya, Selangor and a branch in
KPJ Ipoh Specialist Hospital, KPJ Perdana Specialist             PASB has its main office in Petaling Jaya, Selangor, but        Sdn Bhd.                                                                      Rawang, Selangor.
Hospital, Kuching Specialist Hospital and KPJ Seremban           also operates several sub-stores in a few KPJ hospitals to
Specialist Hospital.                                             better service the needs of the hospitals that are located in   The centre, which is owned and operated by KPJs                              Branded as Pusat Pakar Mata Centre For Sight (CFS), the
                                                                 various regions in Malaysia.                                    subsidiary Sterile Services Sdn Bhd (SSSB), was officially                    eye centre has been operating in Selangor since 2004.
LabLink also manages the laboratory at Nilai Cancer Institute.                                                                   opened by the Minister of Health, Dato Sri Liow Tiong Lai,
                                                                                                                                 on 11 January 2011.                                                           Currently, CFS offers outpatient and day care facility for
                                                                                                                                                                                                               about 20,000 patients and performing 1,600 procedures
                                                                                                                                 It essentially functions as the central sterilization and                     annually, alongside a comprehensive range of eye surgery
                                                                                                                                 supply network for sterile goods, where it is responsible for                 services including sub-specialties in cornea, vitreo-retinal
                                                                                                                                 the logistics relating to the management, supply, collection                  surgery, glaucoma, cataract, refractive surgery / lasik,
                                                                                                                                 and delivery of sterile goods to KPJ hospitals. This central                  oculoplastic surgery and paediatric ophthalmology.
                                                                                                                                 sterilization of all medical instruments from KPJ hospitals
                                                                                                                                 will result in significant cost savings and greater efficiency                As part of its expansion plan, CFS is planning to open
                                                                                                                                 for the hospitals.                                                            another branch in Kuala Lumpur in 2012, investing about
                                                                                                                                                                                                               RM10 million to set up the 5,000sq ft facility.
                                                                                                                                 Currently, its services are provided to Klang Valley hospitals
                                                                                                                                 but will be extended to KPJ hospitals in other parts of the                   Healthcare Technical Services
                                                                                                                                 country in future.                                                            KPJs rapid expansion called for the services of project
                                                                                                                                                                                                               managers and this boosted the growth of Healthcare
                                                                                                                                 SSSBs operations are properly documented and processes                       Technical Services Sdn Bhd (HTSSB), in which KPJ holds
                                                                                                                                 are carried out in compliance with certified standards, as                    a 30% interest.
                                                                                                                                 the company is aiming to achieve its ISO certification in 2012,
                                                                                                                                 specifically the QMS and sterilization process certifications.                HTSSB specializes in project management, specifically
                                                                                                                                                                                                               the construction of hospital buildings and is actively
                                                                                                                                 As a pioneer in Malaysias independent sterilization and                      involved in the development of KPJs new projects as well
                                                                                                                                 decontamination CSSC service sub-sector, SSSB vision                          as the expansion at existing hospitals.
                                                                                                                                 is to provide services that conform to international
                                                                                                                                 quality standards.
Currently, there are four companies under the Intrapreneur        Healthcare IT Solution Sdn Bhd (HITSSB) was set up to
stable and they have performed well despite the economic          manage the healthcare IT system for KPJ hospitals and,
uncertainties. The four are Teraju Farma Sdn Bhd, Fabricare       over time, has evolved to become a player in healthcare
Laundry Sdn Bhd, Healthcare IT Solution Sdn Bhd and               solutions for KPJ and other customers.
Skop Yakin (M) Sdn Bhd.
                                                                  The company continued to perform well in 2011, showing
                                                                  positive growth as more systems are introduced to the KPJ
                                                                  hospitals and external clients, and HITSSB is expected to
                                                                  continue riding the ICT wave in Malaysia.
                                                                  Skop Yakin
                                                                  As with all other enterprises, KPJ is also a consumer of
                                                                  printing and stationeries and the setting up of its Skop Yakin
                                                                  (M) Sdn Bhd was aimed at leveraging on bulk purchasing
                                                                  in order to bring down overall costs.
Over the past three decades, KPJ has developed a culture           Community
of socially responsible operations and a comprehensive           Delivering a Healthier Society
approach to sustainable business by aligning its practices        KPJs move to empower the community with
to its core values.                                               knowledge and good practices in order to improve
                                                                  their overall well-being is an ongoing effort and
The values of giving to the community, helping the                continues to form a significant part of the Groups
indigent and underprivileged, adopting good social                corporate responsibility strategy.
and environmental practices are deeply embedded in
KPJs operations and this continues to permeate the                During the year, KPJs team of Medical Consultants and
work culture within the Group through its Corporate                nurses and dietitians conducted a wide range of public
Responsibility (CR) initiatives.                                   health talks on various medical and nutritional topics and
                                                                   its employees also organized many events to promote
It maximizes the positive impact in this journey towards           healthy lifestyles and good hygiene practices.
sustainability by focusing on four key areas, namely, the
community, marketplace, workplace and environment, and             It is heartening to see the encouraging response from
it approaches these CR initiatives through five ways:              the public to KPJs community projects, because these
1. Community engagement  through health awareness                 initiatives form the platform for its staff members to                Dr Huzaimi Yaakob, General Surgeon of Kuantan Specialist Hospital, at   Dr Mohd Harris Lu Abdullah launching Klinik Waqaf An - Nur or KWAN
    programmes and educating the public with the aim of            better understand the needs of the people and to work                 Radio Pahang FM
1 4 7 10
2 5 8 11
3 6 9 12
1. 12 Feb 2011  KPJ Damansara Specialist Hospital - Chinese New Year Celebration 2. 14 Feb 2011  KPJ Perdana Specialist Hospital      7. 9 Sept 2011  Kuantan Specialist Hospital - World Heart Day 8. 10 Sept 2011  KPJ Healthcare Berhad - Merdeka Day
- Healthy Lifestyle Bazaar 3. 26 -27 Feb 2011  Damai Specialist Hospital - Wellness Journey 4. 13 May 2011  KPJ Tawakkal Specialist   Celebration 9. 16 Sept 2011  Sentosa Medical Centre - Hari Malaysia Baby 10. 21 Sept 2011  KPJ Healthcare Berhad - Hari
Hospital - Nurses Day Celebration 5. 16 - 17 Jul 2011  KPJ Tawakkal Specialist Hospital - Relay For Life 6. 20 - 24 Jul 2011  KPJ     Raya Open House 11. 25 Sept 2011  KPJ Ipoh Specialist Hospital - World Heart Day 12. 29 Dec 2011  Kuantan Specialist
Penang Specialist Hospital - KPJ Sports Carnival 2011                                                                                   Hospital - 25th Anniversary Celebration
1 4 7 10
2 5 8 11
3 6 9
1. 3 Feb 11  Kluang Utama Specialist Hospital - CPR Training 2. 26 Feb 11  Sentosa Medical Centre - GP talk by Dato Dr Abdul Samad        7. & 8. 2 Jul 11  Puteri Specialist Hospital - Antenatal Class 9. 15 - 17 Jul 11  KPJ Healhcare Berhad - Medical Workshop on
(Consultant Radiologist), Dr S. Sivabalan (Consultant General Surgeon) & Dr Bala Sundaram (Consultant Urologist) 3. 28 Apr 11  KPJ Kajang   Enhancing Engagement in Clinical Leadership by Datin Paduka Siti Sadiah Sheikh Bakir. 10. 6 Sep 11  Kuantan Specialist Hospital
Specialist Hospital - Dr Balbir Singh (Consultant Ophthalmologist) speaking on Common Eye Disease & Avoidable Blindness in Adults. 4.        - Dr Khairul Muhsein Abdullah, (Consultant Neurosurgeon) talks about Stroke on Radio at Pahang.fm. 11. 26 Nov 11  Sentosa Medical
30 Apr 11  Damai Specialist Hospital - Dr Joseph Lau Hui Lung (Consultant Obstetrician & Gynaecologist) speaking on Understanding           Centre - Educating children on proper hand hygiene.
Labour, Delivery & Pain Relief 5. 15 May 11  Kuantan Specialist Hospital - Dr Khairul Muhsein Abdullah, (Consultant Neurosurgeon)
speaking on Treatment for Stroke 6. 18 Jun 11  Kluang Utama Specialist Hospital - Talk by Dr Md Adhanizam (Consultant Obstetrician and
Gynaecologist) about Cervical Cancer
1 4 7 10
2 5 8 11
3 6 9 12
1. 7 Jan 2011  Taiping Medical Centre - CSR Activities with Majlis Perbandaran Taiping 2 & 3. 25 March 2011  KPJ Perdana Specialist   7. 15 May 2011  KPJ Ampang Puteri Specialist Hospital - Visit To Rumah Titian Kasih, Taman Titingwasa 8. 18 Aug 2011  KPJ Selangor
Hospital - Anti-Dengue Campaign 2011 with the Jalan Bayan Committee 4. 7 Apr 2011  KPJ Selangor Specialist Hospital - World Health     Specialist Hospital - Breaking Fast With Orphans From Rumah Anak-Anak Yatim Bangi 9. 15 Nov 2011  KPJ Seremban Specialist Hospital
Day and Wheelchair Presentation 5. 23 Apr 2011  KPJ Tawakkal Specialist Hospital - World Health Day and Health Awareness Campaign      - Presentation of Three Units of Computers to Sekolah Kebangsaan Temian Seremban 10 & 11. 4 Dec 2011  KPJ Johor Specialist Hospital
With Residents of Perkampungan Orang Asli Bukit Kala 6. 11 May 2011  Damai Specialist Hospital - Nurses Day and Community Services     - Programme for Underprivileged Students at Sekolah Kebangsaan Kampung Pasir, Tampoi 12. KPJ Kajang Specialist Hospital - Klinik Wakaf
at Seri Mengasih Sensory Centre, Tanjung Aru.                                                                                           An-Nur (KWAN) opens every Wednesday and Friday.
This effort is important as the knowledge gained will                                                                                                                    Career development opportunities are also offered to             KPJ was also named the Gold Winner of the MIHRM
                                                                                                                                                                         employees based on their ability and initiative to assume        Awards 2011, under the Employer of Choice category, by
                                                                                                                                             8,018
industry and KPJ must evolve along with the changing                                                                                                                                                                                      (MIHRM). The award was in recognition of KPJs
                                                                                                   6,160
needs of the patients and be even more receptive to                                                                                                                      The Succession Development Programme allows not only             outstanding achievement and significant best practices
                                                                                   5,799
clinical and quality excellence.                                                                                                                                         the management to prepare future leaders and also for the        in Human Resource Management that is aligned to the
                                                                     4,448
766
860
Existing mechanisms that are in place include strict                                                                                                                     Staff Performance Appraisal Review, Behavioural Event
                                                                                           572
613
                                                                                                                                       681
                                                                             439
compliance to Bursa Malaysias listing requirements and                                                                                                                  Interview, 360 Appraisal and the Psychometric Test.
other regulations, the critical functions of the Audit, Award
Tender and Building Committees, and KPJs whistle-                   2005          2006            2007          2008          2009          2010          2011          Good ethics, accountability and transparency play an
blowing policy.                                                        Total Staff               Total Consultants                                                       integral role in the development of KPJs human capital.
11 Jul 11 Signing of joint-venture agreement with Yayasan Islam Perlis to develop new hospital in Perlis
     2 Aug 11     Completion of disposal of Rumah Sakit Medika Bumi Serpong Damais building and Rumah Sakit
                  Medika Permata Hijaus building to Al-`Aqar KPJ REIT on 26 July 2011                                  FINANCIAL
     8 Aug 11     Extension of option expiry date from 1 August 2011 to 30 September 2011 in relation to the proposed
                  acquisition of 51% equity interest in JGWT
                                                                                                                        STATEMENTS
     19 Aug 11    Quarterly report on consolidated results for the financial period ended 30 June 2011
19 Aug 11 Second interim dividend of 2.5 sen single tier dividend per ordinary share of RM0.50 each
     30 Sep 11    Further extension of the options expiry date from 30 September 2011 to 30 November 2011 in relation
                  to the proposed acqusition of 51% equity interest in JGWT
     11 Nov 11    Signing of agreement for proposed acquisition of four plots of land in Klang, Selangor, measuring a
                  total of 1.84 hectares, from Sazean Development Sdn Bhd for RM23.76 million in cash
     11 Nov 11    Signing of Proposed Design, Build and Lease Agreement with Lembaga Kemajuan Wilayah Pulau
                  Pinang (PERDA) and Aseania Development Sdn Bhd for the construction of a medical care facility on
                  a four-acre land in Seberang Perai Tengah Pulau Pinang
29 Nov 11 Quarterly report on consolidated results for the financial period ended 30 September 2011
29 Nov 11 Third interim dividend of 2.5 sen single tier dividend per ordinary share of RM0.50 each
The directors have pleasure in presenting their report together with the audited financial statements of the Group and of        The directors declared fourth interim single tier dividend of 4.7 sen per share on 595,200,000 ordinary shares amounting
the Company for the financial year ended 31 December 2011.                                                                       to RM27,974,400 on 23 February 2012.
Principal activities										                                                                                                   The directors do not propose any final dividend for the financial year ended 31 December 2011.
                                                                                                                                 							
The principal activities of the Company are investment holding and provision of management services to subsidiaries.             Issue of shares										
The principal activities of the subsidiaries are mainly the operation of specialist hospitals.                                   										
                                                                                                                                 During the financial year, 25,077,310 new ordinary shares of RM0.50 each were issued by the Company for cash by virtue
The details of the principal activities of the subsidiaries are set out in Note 16 to the financial statements.                  of the conversion of warrants at an exercise price of RM1.70 per share.							
                                                                                                                                 			
There were no significant changes in the nature of these activities during the financial year ended 31 December 2011,            The new ordinary shares issued during the financial year rank pari passu in all respects with the existing ordinary shares
other than the additional activity of providing retirement village and aged care services arising from the acquisition of Jeta   of the Company.
Gardens Waterford Trust in Australia as disclosed in Note 16(b)(iv) to the financial statements.
                                                                                                                                 Directors
       Results
                                                                                                                                 The names of the directors of the Company in office since the date of the last report and at the date of this report are:
       	                                                                                  Group 	        Company
       	                                                                                 RM000 	          RM000                Kamaruzzaman bin Abu Kassim 				                               (Chairman)
       Profit net of tax	                                                                154,259	            81,669              Datin Paduka Siti Sadiah Sh Bakir				                         (Managing Director)
                                                                                                                                 Datuk Dr Hussien bin Awang
       Profit attributable to:                                                                                                   Datuk Azzat bin Kamaludin
       Owners of the Company	                                                            143,670	            81,669              Zainah binti Mustafa
       Non-controlling interests	                                                         10,589	                 -              Hj Ahamad bin Mohamad
                                                                                                                                 Dr Kok Chin Leong
       	                                                                                 154,259	81,669
                                                                                                                                 Dr Yoong Fook Ngian
                                                                                                                                 Hj Rozan bin Mohd Saat
                                                                                                                                 Abd Razak bin Haron					                                       (Appointed on 1 July 2011)
There were no material transfers to or from reserves or provisions during the financial year other than as disclosed in the      Amiruddin bin Abdul Satar					                                 (Appointed on 1 July 2011)
financial statements.                                                                                                            Tan Sri Dato Seri Arshad bin Ayub				                         (Retired on 16 June 2011)
                                                                                                                                 									
In the opinion of the directors, the results of the operations of the Group and of the Company during the financial year         In accordance with Article 96 of the Companys Articles of Association, Datin Paduka Siti Sadiah Sh Bakir, Zainah
were not substantially affected by any item, transaction or event of a material and unusual nature, other than the inclusion     binti Mustafa and Hj Rozan bin Mohd Saat, retire at the forthcoming Annual General Meeting and being eligible, offer
of the share of post acquisition accumulated fair value adjustments in relation to investments of an associated company          themselves for re-election.
as referred to in Note 17 to the financial statements.
                                                                                                                                 In accordance with Article 97 of the Companys Articles of Association, Amiruddin bin Adbul Satar and Abdul Razak bin
Dividends	                                                                                                                       Haron retire at the forthcoming Annual General Meeting and being eligible, offer themselves for re-election.
The amount of dividends paid and declared by the Company since 31 December 2010 were as follows:		                               In accordance with Section 129 (6) of the Companies Act 1965, Datuk Dr Hussein Bin Awang and Dr Yoong Fook Ngian
	                                                                                                                                retire and offer themselves for re-appointment and to hold office until the conclusion of the next Annual General Meeting
                                                                                                                                 of the Company.
                                                                                                            RM000
       In respect of the financial year ended 31 December 2010:		                                                                Directors benefits
       Fourth interim gross dividend of 5.0 sen per share on 565,821,150 ordinary shares,                                        Neither at the end of the financial year, not at any time during that year, did there subsist any arrangement to which
       less 25% tax, paid on 15 April 2011	                                                                  21,218              the Company was a party, whereby the directors might acquire benefits by means of the acquisition of shares in or
                                                                                                                                 debentures of the Company or any other body corporate, other than those arising from the share options granted under
       In respect of the financial year ended 31 December 2011:                                                                  the Employee Share Option Plan.
       First interim gross dividend on 568,306,400 ordinary shares, declared on		       Since the end of the previous financial year, no director has received or become entitled to receive a benefit (other than
       		                                                                               benefits included in the aggregate amount of emoluments received or due and receivable by the directors or the fixed
       16 June 2011 and paid on 29 July 2011 of:		                                      salary of a full-time employee of the Company as shown in Note 8 to the financial statements) by reason of a contract
       i. 0.4 sen per share, less 25% tax	                                        1,705 made by the Company or a related corporation with any director or with a firm of which he is a member, or with a company
       ii. 2.0 sen per share, single tier	                                       11,366 in which he has a substantial financial interest, except as disclosed in Note 33 to the financial statements.
       Second interim single tier dividend of 2.5 sen per share on 579,773,114                                                   None of the other directors in office at the end of the financial year had any interest in shares in the Company or its related
       ordinary shares, declared on 15 August 2011 and paid on 14 October 2011	                              14,494
       Third interim single tier dividend of 2.5 sen per share on 584,905,160
       ordinary shares, declared on 29 November 2011 and paid on 13 January 2012	                            14,623
       	63,406
                                                        As at 1.1.2011/
                                                            At date of                                                As at       (c) At the date of this report, the directors are not aware of any circumstances which have arisen which would render
                                                         appointment            Addition       (Disposal)        31.12.2011           adherence to the existing method of valuation of assets or liabilities of the Group and of the Company misleading or
                                                                                                                                      inappropriate.
 KPJ Healthcare Berhad
                                                                                                                                  (d) At the date of this report, the directors are not aware of any circumstances not otherwise dealt with in this report or
  Datin Paduka Siti Sadiah Sh Bakir
                                                                                                                                      the financial statements of the Group and of the Company which would render any amount stated in the financial
  - direct                                                    1,118,250                 -       (560,000)          558,250            statements misleading.
  - CimSec Noms (T) Sdn Bhd
                                                                                                                                  (e) As at the date of this report, there does not exist:
   (A/c CIMB Bank for Siti Sadiah Sh Bakir)                           -         560,000                    -      560,000            (i) any charge on the assets of the Group and of the Company which has arisen since the end of the financial year
                                                                                                                                          which secures the liabilities of any other person; or
  - indirect                                                    12,500                  -                   -       12,500
                                                                                                                                     (ii) any contingent liability of the Group and of the Company which has arisen since the end of the financial year.
  Datuk Azzat bin Kamaludin                                     60,000                  -                   -       60,000
  Hj Ahamad bin Mohamad                                                                                                           (f) In the opinion of the directors:
  - direct                                                         750                  -                   -          750           (i) no contingent or other liability has become enforceable or is likely to become enforceable within the period of
  Dr Kok Chin Leong                                            138,000                  -                   -      138,000               twelve months after the end of the financial year which will or may affect the ability of the Group and of the
                                                                                                                                         Company to meet their obligations when they fall due; and
  Dr Yoong Fook Ngian                                          325,000                  -        (25,000)          300,000           (ii) no item, transaction or event of a material and unusual nature has arisen in the interval between the end of the
  Hj Rozan bin Mohd Saat                                          500                  -                   -          500                financial year and the date of this report which is likely to affect substantially the results of the operations of the
                                                                                                                                          Group and of the Company for the financial year in which this report is made.
  Amiruddin bin Abdul Satar                                     30,000                  -        (23,000)            7,000
Note of the other directors in office at the end of the financial year had any interest in shares in the Company or its related
companies during the financial year.
Pursuant to Section 169(15) of the Companies Act, 1965                                                                    Report on the financial statements
We, Kamaruzzaman bin Abu Kassim and Datin Paduka Siti Sadiah Sh Bakir, being two of the directors of KPJ                 We have audited the financial statements of KPJ Healthcare Berhad, which comprise the statements of financial position
Healthcare Berhad, do hereby state that, in the opinion of the directors, the accompanying financial statements set out   as at 31 December 2011 of the Group and of the Company, and the statements of comprehensive income, statements of
on pages 130 to 185 are drawn up in accordance with Financial Reporting Standards and the Companies Act, 1965 in          changes in equity and statements of cash flows of the Group and of the Company for the year then ended, and a summary
Malaysia so as to give a true and fair view of the financial position of the Group and of the Company as at 31 December   of significant accounting policies and other explanatory notes, as set out on pages 130 to 185.
2011 and of their financial performance and cash flows for the year then ended.
                                                                                                                          Directors responsibility for the financial statements
The supplementary information set out in Note 44 to the financial statements on page 185 have been prepared in
accordance with the Guidance on Special Matter No. 1, Determination of Realised and Unrealised Profits or Losses in the   The directors of the Company are responsible for the preparation of financial statements that give a true and fair view in
Context of Disclosure Pursuant to Bursa Malaysia Securities Berhad Listing Requirements, as issued by the Malaysian       accordance with Financial Reporting Standards and the Companies Act, 1965 in Malaysia, and for such internal controls
Institute of Accountants, and the directive of Bursa Malaysia Securities Berhad.                                          as the directors determine are necessary to enable the preparation of financial statements that are free from material
                                                                                                                          misstatement, whether due to fraud or error.
Signed on behalf of the Board in accordance with
                                            wit a resolution of the directors dated 31 March 2012.
                                                                                                                          Auditors responsibility
                                                                                                                          Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit
                                                                                                                          in accordance with approved standards on auditing in Malaysia. Those standards require that we comply with ethical
                                                                                                                          requirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free
                                                                                                                          from material misstatement.
                                                                                                                          An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial
                                                                                                                          statements. The procedures selected depend on our judgement, including the assessment of risks of material misstatement
                                                                                                                          of the financial statements, whether due to fraud or error. In making those risk assessments, we consider internal control
KAMARUZZAMAN BIN ABU KASSIM                                 DATIN PADUKA SITI SADIAH SHEIKH BAKIR                        relevant to the entitys preparation of financial statements that give a true and fair view in order to design audit procedures
CHAIRMAN                                                    MANAGING DIRECTOR                                             that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the
                                                                                                                          entitys internal control. An audit also includes evaluating the appropriateness of the accounting policies used and the
                                                                                                                          reasonableness of accounting estimates made by the directors, as well as evaluating the overall presentation of the
Statutory Declaration                                                                                                     financial statements.
                                                                                                                          We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Pursuant to Section 169(16) of the Companies Act, 1965
                                                                                                                          Opinion
I, Mohd Sahir bin Rahmat, being the officer primarily responsible for the financial management of KPJ HealthcareBerhad,
do solemnly and sincerely declare that the accompanying financial statements set out on pages 130 to 185 are, in my       In our opinion, the financial statements have been properly drawn up in accordance with Financial Reporting Standards
opinion, correct and I make this solemn declaration conscientiously believing the same to be true and by virtue of the    and the Companies Act, 1965 in Malaysia so as to give a true and fair view of the financial position of the Group and of the
provisions of the Statutory Declarations Act, 1960.                                                                       Company as at 31 December 2011 and of their financial performance and cash flows for the year then ended.
Subscribed and solemnly declared by the                                                                                   Report on other legal and regulatory requirements
abovenamed Mohd Sahir bin Rahmat at
Johor Bahru in Johor                                                                                                      In accordance with the requirements of the Companies Act, 1965 in Malaysia, we also report the following:
on 31 March 2012                                                                                                          (a) In our opinion, the accounting and other records and the registers required by the Act to be kept by the Company and its
                                                                                                                              subsidiaries of which we have acted as auditors have been properly kept in accordance with the provisions of the Act.
                                                                                                                          (b) We have considered the financial statements and the auditors reports of all the subsidiaries which we have not
                                                                                                                              acted as auditors, which is indicated in Note16 (a) to the financial statements, being financial statements that have
                                                                                                                              been included in the consolidated financial statements.
                                                            MOHD SAHIR BIN RAHMAT
                                                            CHIEF FINANCIAL OFFICER
Before me,                                                                                                                (c) We are satisfied that the financial statements of the subsidiaries that have been consolidated with the financial
                                                                                                                              statements of the Company are in form and content appropriate and proper for the purposes of the preparation of the
                                                                                                                              consolidated financial statements and we have received satisfactory information and explanations required by us for
                                                                                                                              those purposes.
                                                                                                                          (d) The auditors reports on the financial statements of the subsidiaries were not subject to any qualification and did not
                                                                                                                              include any comment required to be made under Section 174(3) of the Act.
The supplementary information set out in Note 44 to the financial statements on page 185 is disclosed to meet the                                                                             2011            2010         2011         2010
requirement of Bursa Malaysia Securities Berhad. The directors are responsible for the preparation of the supplementary                                                      Notes          RM000          RM000       RM000       RM000
information in accordance with Guidance on Special Matter No.1, Determination of Realised and Unrealised Profits or
                                                                                                                              Revenue                                          4          1,908,993       1,654,611      136,599       82,968
Losses in the Context of Disclosure Pursuant to Bursa Malaysia Securities Berhad Listing Requirements, as issued by the
                                                                                                                              Cost of sales                                             (1,307,136)     (1,150,716)            -            -
Malaysian Institute of Accountants (MIA Guidance) and the directive of Bursa Malaysia Securities Berhad. In our opinion,
the supplementary information is prepared, in all material respects, in accordance with the MIA Guidance and directive
                                                                                                                              Gross profit                                                  601,857          503,895    136,599         82,968
of Bursa Malaysia Securities Berhad.
                                                                                                                              Administrative expenses                                     (451,351)        (365,500)    (29,228)      (22,304)
                                                                                                                              Other income                                                   11,957           12,484           -             -
This report is made solely to the members of the Company, as a body, in accordance with Section 174 of the Companies
                                                                                                                              Other operating expenses                                       (3,298)          (6,860)          -             -
Act 1965 in Malaysia and for no other purpose. We do not assume responsibility to any other person for the content of
this report.                                                                                                                  Operating profit                                             159,165          144,019      107,371       60,664
                                                                                                                              Associates
                                                                                                                              - share of results                                            54,825           23,919             -             -
                                                                                                                              - reversal of impairment of
                                                                                                                                interest in associates                                           -            6,460             -             -
                                                                                                                                                                                            54,825           30,379             -             -
The accompanying accounting policies and explanatory notes form an integral part of the financial statements.
   Current assets                                                                                       Total equity and liabilities                                1,959,264      1,680,039       986,268       904,616
   Inventories                           22     47,066             41,615           -            -
   Receivables                           23    304,636            298,427      57,393       32,727
   Tax refund receivable                         8,661             12,342           -        1,288
   Deposits, cash and bank balances      24    252,080            197,118       2,559       13,593
                                               612,443            549,502      59,952       47,608
   Non-current liabilities
   Deferred tax liabilities              21     47,413             41,204           -           -
   Borrowings                            27    302,480             36,747           -           -
   Payables                              26          -                  -     434,644     242,754
   Deposits                              29     14,785             13,782           -           -
                                               364,678             91,733     434,644     242,754
The accompanying accounting policies and explanatory notes form an integral part of the financial statements.
 Realisation of fair value reserve            -             -         -         -           -    (172)             -        172               -             -           -      At 31 December 2011                                    292,492       68,830          (23)     (18,722)    380,021
 Total other comprehensive income             -             -         -         -        300     (172)      (10,895)     12,179          1,412        (2,965)     (1,553)
                                                                                                                                                                               At 1 January 2010                                      211,051       31,369             -       26,495    268,915
 Total comprehensive income                   -             -         -         -        300     (172)      (10,895) 155,849          145,082         7,624      152,706
                                                                                                                                                                               Total comprehensive income                                   -             -            -       36,481      36,481
 Acquisition of subsidiaries                  -             -         -         -           -        -             -           -              -       1,533        1,533
 Issue of shares:
                                                                                                                                                                               Dividends on ordinary shares                                 -             -            -     (41,124)    (41,124)
 - exercise of share warants            12,538      30,093            -         -           -        -             -           -        42,631             -      42,631       Bonus issue                                             52,762      (31,369)            -     (21,393)           -
 Dividends on ordinary shares                 -             -         -         -           -        -             -    (63,406)      (63,406)             -     (63,406)      Issue of shares:
                                                                                                                                                                               - exercise of share warrants                            16,141       38,737             -             -      54,878
 At 31 December 2011                   292,492      73,852         (23)    (3,367)      (995)        -       45,215     485,780        892,954      103,898      996,852
                                                                                                                                                                               Treasury shares purchased                                    -            -          (23)             -         (23)
 At 1 January 2010                     211,051      36,391            -    (3,367)      (235)        -       50,456     337,715        632,011        45,427     677,438
 - changes in accounting policies             -             -         -         -           -        -             -       (755)          (755)            -        (755)      At 31 December 2010                                    279,954       38,737          (23)          459    319,127
 As restated                           211,051      36,391            -    (3,367)      (235)        -       50,456     336,960        631,256        45,427     676,683
 Comprehensive income
 Profit for the year                          -             -         -         -           -        -             -    118,894        118,894         7,327     126,221
 Other comprehensive income
 Translation of foreign subsidiaries          -             -         -         -     (1,060)       -              -           -        (1,060)             -     (1,060)
Total other comprehensive income - - - - (1,060) 172 5,654 - 4,766 3,453 8,219
Total comprehensive income - - - - (1,060) 172 5,654 118,894 123,660 10,780 134,440
At 31 December 2010 279,954 43,759 (23) (3,367) (1,295) 172 56,110 393,337 768,647 94,741 863,388
The accompanying accounting policies and explanatory notes form an integral part of the financial statements. The accompanying accounting policies and explanatory notes form an integral part of the financial statements.
   Profit before zakat and tax                                  204,597         167,958        87,728       45,759         Purchase of property, plant and equipment                  (138,792)        (215,012)             -              -
   Adjustments for:                                                                                                        Purchase of non-current assets held for sale                (37,149)         (12,526)             -              -
   Associates:                                                                                                             Purchase of investment property                                    -            (840)             -              -
   - share of results                                           (54,825)        (23,919)             -            -        Proceeds from disposal of property,
   - reversal of impairment of interest in associates                  -         (6,460)             -            -        plant and equipment                                            2,256             64,710           -              -
   Interest income                                                     -               -       (3,168)      (3,359)        Proceeds from disposal of non-current assets
   Finance income                                               (10,295)         (7,157)             -            -        held for sale                                                 50,270                -            -           -
   Finance costs                                                                                                           Acquisition of subsidiaries, net of cash acquired           (36,068)         (38,400)            -           -
   - interest expenses                                           19,379          13,268        19,643        14,905        Additional investment in subsidiaries                       (26,000)         (22,128)            -           -
   - accretion of interest                                           309            329             -             -        Proceeds from disposal of shares in associate                      -            1,134            -           -
   Dividend income                                                     -              -     (100,582)      (49,508)        Dividends received                                            26,465           20,085      100,582      41,903
   Bad debts recovered                                             (393)          (417)             -             -        Interest received                                             10,295            7,157        3,168       3,359
   Provision for impairment of trade receivables                   2285           4,923             -             -        Net cash (used in)/generated from investing activities     (148,723)        (195,820)      103,750      45,262
   Bad debts written off                                             871            489             -             -
   Gain on disposal of non-current assets held for sale          (1,321)              -             -             -        Financing activities
   Gain on fair value of investment properties                   (1,413)          (755)             -             -        Treasury shares purchased                                           -               (23)          -           (23)
   Loss/(gain) on disposal of property, plant and                                                                          Issue of shares:
   equipment                                                        320          (1,770)             -              -       - exercise of share warrants                                 42,631             54,878     42,631      54,878
   Property, plant and equipment                                                                     -              -      Bank borrowings:
   - depreciation                                                69,612          59,367              -              -      - drawdown                                                    32,498            120,200      15,000      50,000
   - written off                                                     655             15              -              -      - repayment                                                 (15,415)            (89,576)          -           -
   - revaluation (surplus)/deficit                               (1,877)            885              -              -      Dividends paid to shareholders                              (63,456)            (26,451)   (63,406)    (26,451)
   Inventories written off                                           644             28              -              -      Net cash (used in)/generated
   Amortisation of deferred consultancy expenses                   (305)          (414)              -              -      from financing activities                                    (3,742)             59,028     (5,775)     78,404
   Operating profit before working capital changes              228,243         206,370         3,621           7,797
                                                                                                                           Net changes in cash and cash equivalents                      52,619             51,484    (11,034)          3,402
   Changes in working capital:                                                                                             Currency translation differences                               1,220              7,767           -              -
   -Inventories                                                  (6,095)         (7,428)            -            -         Cash and cash equivalents
   -Receivables                                                  (8,972)         (4,811)        2,477        3,839         at beginning of the financial year                          197,100             143,849     13,593      10,191
   -Payables                                                     44,569          43,663         (884)      (5,448)         Cash and cash equivalents
   Related companies                                                   -               -     (90,225)    (109,875)         at end of the financial year *                                                  197,100      2,559      13,593
                                                                                                                                                                                       250,939
   Cash flows generated from/(used in) operations               257,745         237,794      (85,011)    (103,687)
                                                                                                                           Deposits, cash and bank balances (Note 24)                   252,080            197,118      2,559      13,593
                                                                                                                           Bank overdrafts (Note 27)                                     (1,141)               (18)         -           -
                                                                                                                                                                                        250,939            197,100      2,559      13,593
The accompanying accounting policies and explanatory notes form an integral part of the financial statements. The accompanying accounting policies and explanatory notes form an integral part of the financial statements.
2. Summary of significant accounting policies (continued)                                                                          2. Summary of significant accounting policies (continued)
  2.6    Foreign currency(continued)                                                                                                 2.7   Property, plant and equipment (continued)
          (b) Foreign currency transactions                                                                                                Any accumulated depreciation as at the revaluation date is eliminated against the gross carrying amount of the
                                                                                                                                           asset and the net amount is restated to the revalued amount of the asset. The revaluation surplus included in
             Transactions in foreign currencies are measured in the respective functional currencies of the Company                        the asset revaluation reserve in respect of an asset is transferred directly to retained earnings on retirement or
             and its subsidiaries and are recorded on initial recognition in the functional currencies at exchange                         disposal of the asset.
             rates approximating those ruling at the transaction dates. Monetary assets and liabilities denominated
             in foreign currencies are translated at the rate of exchange ruling at the reporting date. Non-monetary                       Freehold land has an unlimited useful life and therefore is not depreciated. Depreciation is computed on a
             items denominated in foreign currencies that are measured at historical cost are translated using the                         straight-line basis over the estimated useful lives of the assets as follows:
             exchange rates as at the dates of the initial transactions. Non-monetary items denominated in foreign
                                                                                                                                             Buildings                               2%
             currencies measured at fair value are translated using the exchange rates at the date when the fair value
                                                                                                                                             Renovation                             10%
             was determined.
                                                                                                                                             Medical and other equipment     7.5% - 25%
                                                                                                                                             Furniture and fittings          10% - 20%
             Exchange differences arising on the settlement of monetary items or on translating monetary items at the
                                                                                                                                             Motor vehicles                         20%
             reporting date are recognised in profit or loss except for exchange differences arising on monetary items
                                                                                                                                             Computers                       20% - 30%
             that form part of the Groups net investment in foreign operations, which are recognised initially in other
             comprehensive income and accumulated under foreign currency translation reserve in equity. The foreign
             currency translation reserve is reclassified from equity to profit or loss of the Group on disposal of the                    Capital work-in-progress included in plant and equipment are not depreciated as these assets are not yet
                                                                                                                                           available for use.
             foreign operation.
                                                                                                                                           The carrying values of property, plant and equipment are reviewed for impairment when events or changes in
             Exchange differences arising on the translation of non-monetary items carried at fair value are included in
                                                                                                                                           circumstances indicate that the carrying value may not be recoverable.
             profit or loss for the period except for the differences arising on the translation of non-monetary items in
             respect of which gains and losses are recognised as other comprehensive income. Exchange differences                          The residual value, useful life and depreciation method are reviewed at each financial year end, and adjusted
             arising from such non-monetary items are also recognised as other comprehensive income.                                       prospectively, if appropriate.
          (c) Foreign operations                                                                                                           An item of property, plant and equipment is derecognised upon disposal or when no future economic benefits
                                                                                                                                           are expected from its use or disposal. Any gain or loss on derecognition of the asset is included in the profit or
             The assets and liabilities of foreign operations are translated into RM at the rate of exchange ruling at the                 loss in the year the asset is derecognised.
             reporting date and income and expenses are translated at exchange rates at the dates of the transactions.
             The exchange differences arising on the translation are taken directly to other comprehensive income.                   2.8   Investment properties
             On disposal of a foreign operation, the cumulative amount recognised in other comprehensive income
             and accumulated in equity under foreign currency translation reserve relating to that particular foreign                      Investment properties are initially measured at cost, including transaction costs. Subsequent to initial recognition,
             operation is recognised in the profit or loss.                                                                                investment properties are measured at fair value which reflects market conditions at the reporting date. Fair
                                                                                                                                           value is arrived at by reference to market evidence of transaction prices for similar properties and is performed
             Goodwill and fair value adjustments arising on the acquisition of foreign operations are treated as                           by registered independent valuers having an appropriate recognised professional qualification and recent
             assets and liabilities of the foreign operations and are recorded in the functional currency of the foreign                   experience in the location and category of the properties being valued. Gains or losses arising from changes in
             operations and translated at the closing rate at the reporting date.                                                          the fair values of investment properties are included in profit or loss in the year in which they arise.
  2.7    Property, plant and equipment                                                                                                     A property interest under an operating lease is classified and accounted for as an investment property on a
                                                                                                                                           property-by-property basis when the Group holds it to earn rentals or for capital appreciation or both. Any such
         All items of property, plant and equipment are initially recorded at cost. The cost of an item of property, plant and             property interest under an operating lease classified as an investment property is carried at fair value.
         equipment is recognised as an asset if, and only if, it is probable that future economic benefits associated with
         the item will flow to the Group and the cost of the item can be measured reliably.                                                Investment properties are derecognised when either they have been disposed of or when the investment
                                                                                                                                           property is permanently withdrawn from use and no future economic benefit is expected from its disposal. Any
         Subsequent to recognition, plant and equipment and furniture and fixtures are measured at cost less accumulated                   gain or loss on the retirement or disposal of an investment property is recognised in profit or loss in the year of
         depreciation and accumulated impairment losses. When significant parts of property, plant and equipment are                       retirement or disposal.
         required to be replaced in intervals, the Group recognises such parts as individual assets with specific useful
         lives and depreciation, respectively. Likewise, when a major inspection is performed, its cost is recognised in             2.9   Intangible assets - Goodwill
         the carrying amount of the plant and equipment as a replacement if the recognition criteria are satisfied. All
         other repair and maintenance costs are recognised in profit or loss as incurred. Freehold land and buildings are                  Goodwill is initially measured at cost. Following initial recognition, goodwill is measured at cost less accumulated
         measured at fair value less accumulated depreciation on buildings and impairment losses recognised after the                      impairment losses.
         date of the revaluation. Valuations are performed with sufficient regularity to ensure that the carrying amount does
         not differ materially from the fair value of the freehold land and buildings at the reporting date.                               For the purpose of impairment testing, goodwill acquired is allocated, from the acquisition date, to each of the
                                                                                                                                           Groups cash-generating units that are expected to benefit from the synergies of the combination.
         Any revaluation surplus is recognised in other comprehensive income and accumulated in equity under the asset
         revaluation reserve, except to the extent that it reverses a revaluation decrease of the same asset previously                    The cash-generating unit to which goodwill has been allocated is tested for impairment annually and
         recognised in profit or loss, in which case the increase is recognised in profit or loss. A revaluation deficit is                whenever there is an indication that the cash-generating unit may be impaired, by comparing the carrying
         recognised in profit or loss, except to the extent that it offsets an existing surplus on the same asset carried in the           amount of the cash-generating unit, including the allocated goodwill, with the recoverable amount of the
         asset revaluation reserve.                                                                                                        cash-generating unit. Where the recoverable amount of the cash-generating unit is less than the carrying
                                                                                                                                           amount, an impairment loss is recognised in the profit or loss. Impairment losses recognised for goodwill are
                                                                                                                                           not reversed in subsequent periods.
2. Summary of significant accounting policies (continued)                                                                     2. Summary of significant accounting policies (continued)
   2.9    Intangible assets - Goodwill (continued)                                                                              2.12   Subsidiaries (continued)
          Where goodwill forms part of a cash-generating unit and part of the operation within that cash-generating                    The Group has taken advantage of the exemption provided under FRS 1222004 Business Combinations to
          unit is disposed of, the goodwill associated with the operation disposed of is included in the carrying amount               apply the standard prospectively. Accordingly, business combinations entered into prior to 1 January 2008
          of the operation when determining the gain or loss on disposal of the operation. Goodwill disposed of in this                have not been restated with this standard.
          circumstance is measured based on the relative fair values of the operations disposed of and the portion of
          the cash-generating unit retained.                                                                                    2.13   Associates
          Goodwill and fair value adjustments arising on the acquisition of foreign operations are treated as assets and               An associate is an entity, not being a subsidiary or a joint venture, in which the Group has significant influence.
          liabilities of the foreign operations and are recorded in the functional currency of the foreign operations and              An associate is equity accounted for from the date the Group obtains significant influence until the date the
          translated in accordance with the accounting policy set out in Note 2.6.                                                     Group ceases to have significant influence over the associate.
   2.10   Impairment of non-financial assets                                                                                           The Groups investments in associates are accounted for using the equity method. Under the equity method,
                                                                                                                                       the investment in associates is measured in the statement of financial position at cost plus post-acquisition
          The Group assesses at each reporting date whether there is an indication that an asset may be impaired.                      changes in the Groups share of net assets of the associates. Goodwill relating to associates is included in
          If any such indication exists, or when an annual impairment assessment for an asset is required, the Group                   the carrying amount of the investment. Any excess of the Groups share of the net fair value of the associates
          makes an estimate of the assets recoverable amount.                                                                         identifiable assets, liabilities and contingent liabilities over the cost of the investment is excluded from the
                                                                                                                                       carrying amount of the investment and is instead included as income in the determination of the Groups share
          An assets recoverable amount is the higher of an assets fair value less costs to sell and its value in use. For            of the associates profit or loss for the period in which the investment is acquired.
          the purpose of assessing impairment, assets are grouped at the lowest levels for which there are separately
          identifiable cash flows (cash-generating units (CGU)).                                                                     Under the equity method, unrealised profit and losses resulting from upstream (associate to investor) and
                                                                                                                                       downstream (investor to associate) associate should be eliminated to the extent of the investors interest in
          In assessing value in use, the estimated future cash flows expected to be generated by the asset are discounted              the associate. However, unrealised losses should not be eliminated to the extent that the transaction provides
          to their present value using a pre-tax discount rate that reflects current market assessments of the time value              evidence of an impairment of the assets transferred.
          of money and the risks specific to the asset. Where the carrying amount of an asset exceeds its recoverable
          amount, the asset is written down to its recoverable amount. Impairment losses recognised in respect of a                    After application of the equity method, the Group determines whether it is necessary to recognise an additional
          CGU or groups of CGUs are allocated first to reduce the carrying amount of any goodwill allocated to those                   impairment loss on the Groups investment in its associates. The Group determines at each reporting date
          units or groups of units and then, to reduce the carrying amount of the other assets in the unit or groups of                whether there is any objective evidence that the investment in the associate is impaired. If this is the case,
          units on a pro-rata basis.                                                                                                   the Group calculates the amount of impairment as the difference between the recoverable amount of the
          Impairment losses are recognised in profit or loss except for assets that are previously revalued where the                  associate and its carrying value and recognises the amount in profit or loss.
          revaluation was taken to other comprehensive income. In this case the impairment is also recognised in other
          comprehensive income up to the amount of any previous revaluation.                                                           The financial statements of the associates are prepared as of the same reporting date as the Company. Where
                                                                                                                                       necessary, adjustments are made to bring the accounting policies in line with those of the Group.
          An assessment is made at each reporting date as to whether there is any indication that previously recognised
          impairment losses may no longer exist or may have decreased. A previously recognised impairment loss is                      In the Companys financial statements, investments in associates are stated at cost less impairment losses.
          reversed only if there has been a change in the estimates used to determine the assets recoverable amount                   On disposal of such investments, the difference between net disposal proceeds and their carrying amounts is
          since the last impairment loss was recognised. If that is the case, the carrying amount of the asset is increased            included in profit or loss.
          to its recoverable amount. That increase cannot exceed the carrying amount that would have been determined,
          net of depreciation, had no impairment loss been recognised previously. Such reversal is recognised in profit         2.14   Financial assets
          or loss unless the asset is measured at revalued amount, in which case the reversal is treated as a revaluation
          increase. Impairment loss on goodwill is not reversed in a subsequent period.                                                Financial assets are recognised in the statement of financial position when, and only when, the Group and the
                                                                                                                                       Company become a party to the contractual provisions of the financial instrument.
   2.11   Non-current assets (or disposal groups) classified as assets held for sale
                                                                                                                                       When financial assets are recognised initially, they are measured at fair value, plus, in the case of financial
          Non-current assets (or disposal groups) are classified as assets held for sale and stated at the lower of                    assets not at fair value through profit or loss, directly attributable transaction costs.
          carrying amount and fair value less cost to sell if their carrying amount is recovered principally through a sale
          transaction rather than through a continuing use and a sale is considered highly probable.                                   The Group and the Company determine the classification of their financial assets at initial recognition, and the
                                                                                                                                       categories include loans and receivables and available-for-sale financial assets.
   2.12   Subsidiaries
                                                                                                                                       (a) Loans and receivables
          A subsidiary is an entity over which the Group has the power to govern the financial and operating policies so
          as to obtain benefits from its activities, generally accompanying a shareholding of more than one half of the                    Financial assets with fixed or determinable payments that are not quoted in an active market are classified
          voting rights. The existence and effect of potential voting rights that are currently exercisable or convertible                 as loans and receivables.
          are considered when assessing whether the Group controls another entity.
                                                                                                                                           Subsequent to initial recognition, loans and receivables are measured at amortised cost using the
          Subsidiaries are consolidated using the acquisition method of accounting except for Johor Specialist                             effective interest method. Gains and losses are recognised in profit or loss when the loans and
          Hospital Sdn Bhd and Ipoh Specialist Hospital Sdn Bhd which were consolidated using the merger method                            receivables are derecognised or impaired, and through the amortisation process.
          of accounting. The subsidiaries were consolidated prior to 1 April 2002 in accordance with Malaysia
          Accounting Standard 2 Accounting for Acquisitions and Mergers, the generally accepted accounting                               Loans and receivables are classified as current assets, except for those having maturity dates later than
          principles prevailing at that time.                                                                                              12 months after the reporting date which are classified as non-current.
2. Summary of significant accounting policies (continued)                                                                               2. Summary of significant accounting policies (continued)
   2.14   Financial assets (continued)                                                                                                    2.15   Impairment of financial assets (continued)
          (b) Available-for-sale financial assets                                                                                                If in a subsequent period, the amount of the impairment loss decreases and the decrease can be related
                                                                                                                                                 objectively to an event occurring after the impairment was recognised, the previously recognised impairment
             Available-for-sale financial assets are financial assets that are designated as available for sale or are not classified            loss is reversed to the extent that the carrying amount of the asset does not exceed its amortised cost at the
             as financial assets at fair value through profit or loss, loans and receivables or held-to-maturity investments.                    reversal date. The amount of reversal is recognised in profit or loss.
             After initial recognition, available-for-sale financial assets are measured at fair value. Any gains or losses                      (b) Available-for-sale financial assets
             from changes in fair value of the financial asset are recognised in other comprehensive income, except that
             impairment losses, foreign exchange gains and losses on monetary instruments and interest calculated                                    Significant or prolonged decline in fair value below cost, significant financial difficulties of the issuer or
             using the effective interest method are recognised in profit or loss. The cumulative gain or loss previously                            obligor, and the disappearance of an active trading market are considerations to determine whether there is
             recognised in other comprehensive income is reclassified from equity to profit or loss as a reclassification                            objective evidence that investment securities classified as available-for-sale financial assets are impaired.
             adjustment when the financial asset is derecognised. Interest income calculated using the effective
             interest method is recognised in profit or loss. Dividends on an available-for-sale equity instrument are                               If an available-for-sale financial asset is impaired, an amount comprising the difference between its
             recognised in profit or loss when the Groups right to receive payment is established.                                                  cost (net of any principal payment and amortisation) and its current fair value, less any impairment loss
                                                                                                                                                     previously recognised in profit or loss, is transferred from equity to profit or loss.
             Investments in equity instruments whose fair value cannot be reliably measured are measured at cost less
             impairment loss.                                                                                                                        Impairment losses on available-for-sale equity investments are not reversed in profit or loss in the
                                                                                                                                                     subsequent periods. Increase in fair value, if any, subsequent to impairment loss is recognised in other
             Available-for-sale financial assets are classified as non-current assets unless they are expected to be                                 comprehensive income. For available-for-sale debt investments, impairment losses are subsequently
             realised within 12 months after the reporting date.                                                                                     reversed in profit or loss if an increase in the fair value of the investment can be objectively related to an
                                                                                                                                                     event occurring after the recognition of the impairment loss in profit or loss.
             A financial asset is derecognised where the contractual right to receive cash flows from the asset has
             expired. On derecognition of a financial asset in its entirety, the difference between the carrying amount                   2.16   Cash and cash equivalents
             and the sum of the consideration received and any cumulative gain or loss that had been recognised in
             other comprehensive income is recognised in profit or loss.                                                                         Cash and cash equivalents comprise cash at bank and on hand, demand deposits, and short-term, highly liquid
                                                                                                                                                 investments that are readily convertible to known amount of cash and which are subject to an insignificant risk of
             Regular way purchases or sales are purchases or sales of financial assets that require delivery of assets                           changes in value. These also include bank overdrafts that form an integral part of the Groups cash management.
             within the period generally established by regulation or convention in the marketplace concerned. All
             regular way purchases and sales of financial assets are recognised or derecognised on the trade date,                        2.17   Inventories
             the date that the Group and the Company commit to purchase or sell the asset.
                                                                                                                                                 Inventories are stated at the lower of cost (determined on the weighted average basis) and net realisable value.
   2.15   Impairment of financial assets
                                                                                                                                                 Net realisable value is the estimated selling price in the ordinary course of business less the estimated costs
          The Group and the Company assess at each reporting date whether there is any objective evidence that a                                 of completion and the estimated costs necessary to make the sale.
          financial asset is impaired.
                                                                                                                                          2.18   Financial liabilities
          (a) Trade and other receivables and other financial assets carried at amortised cost
                                                                                                                                                 Financial liabilities are classified according to the substance of the contractual arrangements entered into and
             To determine whether there is objective evidence that an impairment loss on financial assets has been                               the definitions of a financial liability.
             incurred, the Group and the Company consider factors such as the probability of insolvency or significant
             financial difficulties of the debtor and default or significant delay in payments. For certain categories of                        Financial liabilities, within the scope of FRS 139, are recognised in the statement of financial position when,
             financial assets, such as trade receivables, receivables that are assessed not to be impaired individually                          and only when, the Group and the Company become a party to the contractual provisions of the financial
             are subsequently assessed for impairment on a collective basis based on similar risk characteristics.                               instrument. Financial liabilities are classified as either financial liabilities at fair value through profit or loss or
             Objective evidence of impairment for a portfolio of receivables could include the Groups and the                                   other financial liabilities.
             Companys past experience of collecting payments, an increase in the number of delayed payments in the
             portfolio past the average credit period and observable changes in national or local economic conditions                            (a) Financial liabilities at fair value through profit or loss
             that correlate with default on receivables.
                                                                                                                                                     Financial liabilities at fair value through profit or loss include financial liabilities held for trading and financial
             If any such evidence exists, the amount of impairment loss is measured as the difference between the                                    liabilities designated upon initial recognition at fair value through profit or loss.
             assets carrying amount and the present value of estimated future cash flows discounted at the financial
             assets original effective interest rate. The impairment loss is recognised in profit or loss.                                          Financial liabilities held for trading include derivatives entered into by the Group and the Company that
                                                                                                                                                     do not meet the hedge accounting criteria. Derivative liabilities are initially measured at fair value and
             The carrying amount of the financial asset is reduced by the impairment loss directly for all financial assets                          subsequently stated at fair value, with any resultant gains or losses recognised in profit or loss. Net gains
             with the exception of receivables, where the carrying amount is reduced through the use of an allowance                                 or losses on derivatives include exchange differences.
             account. When a receivable becomes uncollectible, it is written off against the allowance account.
                                                                                                                                                     The Group and the Company have not designated any financial liabilities at fair value through profit or loss.
2. Summary of significant accounting policies (continued)                                                                       2. Summary of significant accounting policies (continued)
   2.18   Financial liabilities (continued)                                                                                       2.20   Leases (continued)
              The Groups and the Companys other financial liabilities include trade payables, other payables and                           Leases where the Group retains substantially all the risks and rewards of ownership of the asset are
              loans and borrowings.                                                                                                          classified as operating leases. Initial direct costs incurred in negotiating an operating lease are added
                                                                                                                                             to the carrying amount of the leased asset and recognised over the lease term on the same bases as
              Trade and other payables are recognised initially at fair value plus directly attributable transaction costs                   rental income.
              and subsequently measured at amortised cost using the effective interest method.
                                                                                                                                  2.21   Provisions
              Loans and borrowings are recognised initially at fair value, net of transaction costs incurred, and
              subsequently measured at amortised cost using the effective interest method. Borrowings are classified                     Provisions are recognised when the Group has a present obligation (legal or constructive) as a result of a past
              as current liabilities unless the Group has an unconditional right to defer settlement of the liability for at             event, it is probable that an outflow of economic resources will be required to settle the obligation and the
              least 12 months after the reporting date.                                                                                  amount of the obligation can be estimated reliably.
              For other financial liabilities, gains and losses are recognised in profit or loss when the liabilities are                Provisions are reviewed at each reporting date and adjusted to reflect the current best estimate. Where the
              derecognised, and through the amortisation process.                                                                        effect of the time value of money is material, provisions are discounted using a current pre-tax rate that
                                                                                                                                         reflects, where appropriate, the risks specific to the liability. Where discounting is used, the increase in the
              A financial liability is derecognised when the obligation under the liability is extinguished. When an                     provision due to the passage of time is recognised as a finance cost.
              existing financial liability is replaced by another from the same lender on substantially different terms, or
              the terms of an existing liability are substantially modified, such an exchange or modification is treated          2.22   Employee benefits
              as a derecognition of the original liability and the recognition of a new liability, and the difference in the
              respective carrying amounts is recognised in profit or loss.                                                               (a) Short term benefits
   2.19   Borrowing costs                                                                                                                    Wages, salaries, bonuses and social security contributions are recognised as an expense in the period
                                                                                                                                             in which the associated services are rendered by employees of the Group. Short term accumulating
          Borrowing costs are capitalised as part of the cost of a qualifying asset if they are directly attributable to the                 compensated absences such as paid annual leave are recognised when services are rendered by
          acquisition, construction or production of that asset. Capitalisation of borrowing costs commences when                            employees that increase their entitlement to future compensated absences. Short term non-accumulating
          the activities to prepare the asset for its intended use or sale are in progress and the expenditures and                          compensated absences such as sick leave are recognised when the absences occur.
          borrowing costs are incurred. Borrowing costs are capitalised until the assets are substantially completed for
          their intended use or sale.                                                                                                    (b) Defined contribution plans
          All other borrowing costs are recognised in profit or loss in the period they are incurred. Borrowing costs                        The Group participates in the national pension schemes as defined by the laws of the countries in which
          consist of interest and other costs that the Group and the Company incurred in connection with the borrowing                       it has operations. The Malaysian companies in the Group make contributions to the Employees Provident
          of funds.                                                                                                                          Fund in Malaysia, a defined contribution pension scheme. Contributions to defined contribution pension
                                                                                                                                             schemes are recognised as an expense in the period in which the related service is performed.
   2.20   Leases
                                                                                                                                  2.23   Revenue recognition
          (a) As lessee                                                                                                                  Revenue is recognised to the extent that it is probable that the economic benefits will flow to the Group and the
                                                                                                                                         revenue can be reliably measured. Revenue is measured at the fair value of consideration received or receivable.
              Finance leases, which transfer to the Group substantially all the risks and rewards incidental to ownership
              of the leased item, are capitalised at the inception of the lease at the fair value of the leased asset or, if
                                                                                                                                         (a) Sale of goods and rendering of services
              lower, at the present value of the minimum lease payments. Any initial direct costs are also added to the
              amount capitalised. Lease payments are apportioned between the finance charges and reduction of the
                                                                                                                                             Revenue from hospital operations comprises inpatient and outpatient hospital charges, consultation fees,
              lease liability so as to achieve a constant rate of interest on the remaining balance of the liability. Finance
                                                                                                                                             and sales of pharmaceutical products and medical supplies. These are recognised when services are
              charges are charged to profit or loss. Contingent rents, if any, are charged as expenses in the periods in
                                                                                                                                             rendered and goods are delivered, net of discounts, rebates and returns.
              which they are incurred.
                                                                                                                                             Other hospital revenue mainly consists of clinic rental for consultants. These are recognised on an accrual
              Leased assets are depreciated over the estimated useful life of the asset. However, if there is no reasonable                  basis in accordance with the substance of the relevant agreements.
              certainty that the Group will obtain ownership by the end of the lease term, the asset is depreciated over
              the shorter of the estimated useful life and the lease term.                                                               (b) Deferred revenue
              Operating lease payments are recognised as an expense in profit or loss on a straight-line basis over the                      Deferred revenue represents revenue billed in advance in relation to students fees, accommodation
              lease term. The aggregate benefit of incentives provided by the lessor is recognised as a reduction of                         fees, resident fees for retirement village and fees for other external courses. Amounts are included in the
              rental expense over the lease term on a straight-line basis.                                                                   financial statements as deferred revenue at the commencement of the course and recognised as revenue
                                                                                                                                             on monthly basis over the duration of the course.
Dividend income is recognised when the Groups right to receive payment is established.
2. Summary of significant accounting policies (continued)                                                                          2. Summary of significant accounting policies (continued)
   2.23   Revenue recognition (continued)                                                                                            2.24    Income taxes (continued)
             Management fees represent fees charged to subsidiaries for assisting in the management of the                                       Deferred tax relating to items recognised outside profit or loss is recognised outside profit or loss. Deferred
             subsidiaries and these are recognised upon performance of services.                                                                 tax items are recognised in correlation to the underlying transaction either in other comprehensive
                                                                                                                                                 income or directly in equity and deferred tax arising from a business combination is adjusted against
          (e) Interest income                                                                                                                    goodwill on acquisition.
             Interest income is recognised on an accrual basis using the effective interest method.                                              Deferred tax assets and deferred tax liabilities are offset, if a legally enforceable right exists to set off
                                                                                                                                                 current tax assets against current tax liabilities and the deferred taxes relate to the same taxable entity
   2.24   Income taxes                                                                                                                           and the same taxation authority.
             Current tax assets and liabilities are measured at the amount expected to be recovered from or paid to the                      For management purposes, the Group is organised into operating segments based on their products and
             taxation authorities. The tax rates and tax laws used to compute the amount are those that are enacted or                       services which are independently managed by the respective segment managers responsible for the
             substantively enacted by the reporting date.                                                                                    performance of the respective segments under their charge. The segment managers report directly to the
                                                                                                                                             management of the Group who regularly review the segment results in order to allocate resources to the
             Current taxes are recognised in profit or loss except to the extent that the tax relates to items recognised                    segments and to assess the segment performance. Additional disclosures on each of these segments are
             outside profit or loss, either in other comprehensive income or directly in equity.                                             shown in Note 41, including the factors used to identify the reportable segments and the measurement basis
                                                                                                                                             of segment information.
          (b) Deferred tax
                                                                                                                                     2.26    Ordinary share capital and share issuance expenses
             Deferred tax is provided using the liability method on temporary differences at the reporting date between
             the tax bases of assets and liabilities and their carrying amounts for financial reporting purposes.                            An equity instrument is any contract that evidences a residual interest in the assets of the Group and of the
                                                                                                                                             Company after deducting all of its liabilities. Ordinary shares are equity instruments.
             Deferred tax liabilities are recognised for all temporary differences, except:
                                                                                                                                             Ordinary shares are recorded at the proceeds received, net of directly attributable incremental transaction
                 - where the deferred tax liability arises from the initial recognition of goodwill or of an asset or liability              costs. Ordinary shares are classified as equity. Dividends on ordinary shares are recognised in equity in the
                   in a transaction that is not a business combination and, at the time of the transaction, affects                          period in which they are declared.
                   neither the accounting profit nor taxable profit or loss; and
                                                                                                                                     2.27    Treasury shares
                 - in respect of taxable temporary differences associated with investments in subsidiaries, associates
                   and interests in joint ventures, where the timing of the reversal of the temporary differences can be                     When shares of the Company, that have not been cancelled, recognised as equity are reacquired, the amount
                   controlled and it is probable that the temporary differences will not reverse in the foreseeable future.                  of consideration paid is recognised directly in equity. Reacquired shares are classified as treasury shares and
                                                                                                                                             presented as a deduction from total equity. No gain or loss is recognised in profit or loss on the purchase, sale,
             Deferred tax assets are recognised for all deductible temporary differences, carry forward of unused tax                        issue or cancellation of treasury shares. When treasury shares are reissued by resale, the difference between
             credits and unused tax losses, to the extent that it is probable that taxable profit will be available against                  the sales consideration and the carrying amount is recognised in equity.
             which the deductible temporary differences, and the carry forward of unused tax credits and unused tax
             losses can be utilised except:                                                                                          2.28    Contingencies
                 - where the deferred tax asset relating to the deductible temporary difference arises from the initial                      A contingent liability or asset is a possible obligation or asset that arises from past events and whose existence
                   recognition of an asset or liability in a transaction that is not a business combination and, at the                      will be confirmed only by the occurrence or non-occurrence of uncertain future event(s) not wholly within the
                   time of the transaction, affects neither the accounting profit nor taxable profit or loss; and                            control of the Group.
                 - in respect of deductible temporary differences associated with investments in subsidiaries,                               Contingent liabilities and assets are not recognised in the statements of financial position of the Group.
                   associates and interests in joint ventures, deferred tax assets are recognised only to the extent that
                   it is probable that the temporary differences will reverse in the foreseeable future and taxable profit         3. Significant accounting judgements and estimates
                   will be available against which the temporary differences can be utilised.
                                                                                                                                     The preparation of the Groups financial statements requires management to make judgements, estimates and assumptions
             The carrying amount of deferred tax assets is reviewed at each reporting date and reduced to the extent                 that affect the reported amounts of revenues, expenses, assets and liabilities, and the disclosure of contingent liabilities
             that it is no longer probable that sufficient taxable profit will be available to allow all or part of the deferred     at the reporting date. However, uncertainty about these assumptions and estimates could result in outcomes that could
             tax asset to be utilised. Unrecognised deferred tax assets are reassessed at each reporting date and are                require a material adjustment to the carrying amount of the asset or liability affected in the future.
             recognised to the extent that it has become probable that future taxable profit will allow the deferred tax
             assets to be utilised.
                                                                                                                                     3.1     Critical judgements made in applying accounting policies
             Deferred tax assets and liabilities are measured at the tax rates that are expected to apply to the year
             when the asset is realised or the liability is settled, based on tax rates and tax laws that have been                          The following are the judgements made by management in the process of applying the Groups accounting
             enacted or substantively enacted at the reporting date.                                                                         policies that have the most significant effect on the amounts recognised in the financial statements.
3. Significant accounting judgements and estimates                                                                          6. Profit before zakat and tax
   3.1    Critical judgements made in applying accounting policies                                                            The following amounts have been included in arriving at the profit before zakat & tax:
          The Group tests goodwill for impairment annually whether goodwill has suffered any impairment, in accordance                                                                         2011              2010       2011        2010
          with its accounting policy stated in Note 2.10. More regular reviews are performed if events indicate that this                                                                    RM000            RM000     RM000      RM000
          is necessary.
                                                                                                                              Auditors remuneration:
          The recoverable amounts of cash-generating units have been determined based on value-in-use calculations.           - statutory audits                                                 913               800         73           73
          The calculations require the use of estimates as set out in Note 20.                                                Bad debts recovered                                              (393)             (417)          -            -
                                                                                                                              Provision for impairment of trade receivables                    2,285             4,923          -            -
                                                                                                                              Bad debts written off                                              871               489          -            -
                                                                                                                              Contribution to Klinik Waqaf An-Nur                              2,110             2,130          -            -
4. Revenue                                                                                                                    Directors remuneration (Note 8)                                 3,059             2,219      2,601        2,062
                                                                                                                              Inventories written off                                            644                28          -            -
                                                                           Group                     Company                  Professional fees                                                5,317             5,730      1,267        1,164
                                                                                                                              Repairs and maintenance                                         34,744            35,294        424          190
                                                                  2011               2010        2011          2010
                                                                                                                              Property, plant and equipment:
                                                                RM000             RM000      RM000        RM000
                                                                                                                              - depreciation                                                 69,612             59,367          -           -
                                                                                                                              - written off                                                      655                 15         -           -
  Hospital charges                                              689,665            638,193             -            -         - revaluation (surplus)/deficit                                (1,877)                885         -           -
  Consultation fees                                             535,962            490,011             -            -         Loss/(gain) on disposal of property, plant and equipment           320            (1,770)         -           -
  Sale of pharmaceutical, medical                                                                                   -         Gain on disposal of non-current assets held for sale           (1,321)                  -         -           -
  and surgical products                                         660,478            507,383             -                      Gain on fair value of investment properties (Note 15)          (1,413)              (755)         -           -
  Other hospital revenue                                                                                            -         Rental expense of land and buildings                           85,724             68,876        663          91
  - clinics rental                                               10,955             10,519           -                        Rental equipment and vehicles                                    1,534              2,319        24           7
  - others                                                       11,933              8,505           -             -          Employee benefits costs (Note 7)                              338,188            308,152     12,691      10,272
  Dividend income from subsidiaries                                   -                  -     100,582        49,508          Amortisation of deferred consultancy expenses                    (305)              (414)         -           -
  Interest income                                                     -                  -       3,168         3,359
  Management fees                                                     -                  -      32,849        30,101
                                                              1,908,993       1,654,611        136,599        82,968
                                                                                                                            7. Employee benefits costs
                                                                                                                                                                                                       Group                   Company
                                                                                                                                                                                               2011              2010       2011        2010
5. Finance income and costs                                                                                                                                                                  RM000            RM000     RM000      RM000
    The major components of income tax expenses for the years ended 31 December 2011 and 2010 are:
                                                                                                                            12. Earnings per share
                                                                            Group                    Company
                                                                                                                                (a) Basic earnings per share
                                                                   2011               2010        2011          2010
                                                                 RM000             RM000      RM000        RM000                Basic earnings per share of the Group is calculated by dividing the profit attributable to ordinary equity holders
                                                                                                                                    of the Company for the financial year by the weighted average number of ordinary shares in issue during the
   Statements of comprehensive income:                                                                                              financial year.
   Current income tax -
   - Malaysian income tax                                         43,832             36,382       6,577         9,181
                                                                                                                                                                                                                                       Group
   - Under/(over) provision in respect of previous years             764             (1,445)      (533)            87
                                                                  44,596             34,937       6,044         9,268                                                                                                          2011          2010
                                                                                                                                                                                                                             RM000        RM000
   Deferred income tax -
   - Origination and reversal of temporary differences              6,344             4,586               -             -     Profit attributable to ordinary equity holders of the Company (RM000)                        143,670        118,894
   - (Over)/under provision in respect of previous years          (1,902)               945               -             -     Weighted average number of ordinary shares of RM0.50 each (000)                              546,128        526,706
                                                                                                                              Basic earnings per share (sen)                                                                  26.31          22.57
                                                                    4,442             5,531               -             -
   Income tax expense recognised in profit or loss                49,038             40,468       6,044         9,268
   The current income tax is calculated at the statutory tax rate of 25% (2010: 25%) of the estimated assessable profit         (b) Diluted earnings per share
   for the year.
                                                                                                                                    For the diluted earnings per share calculation, the weighted average number of ordinary shares in issue is
   Reconciliation between tax expense and accounting profit                                                                         adjusted to assume conversion of all dilutive potential ordinary shares. The dilutive potential ordinary shares for
                                                                                                                                    the Group are the warrants issued.
   The reconciliation of income tax expense and the product of accounting profit multiplied by the applicable corporate
   rate for the years ended 31 December 2011 and 2010 is as follows:                                                                For the share warrants issued, a calculation is done to determine the number of shares that could have been
                                                                                                                                    acquired at fair value (determined as the average share price of the Companys shares) based on the monetary
                                                                            Group                    Company                        value of the subscriptions rights attached to outstanding warrants. The number of shares calculated as above
                                                                  2011                2010       2011           2010                is compared with the number of shares that would have been issued assuming the exercise of the warrants.
                                                                RM000              RM000     RM000         RM000                The difference is added to the denominator as an issue of ordinary shares for no consideration. This calculation
                                                                                                                                    serves to determine the bonus element in the ordinary shares outstanding for the purpose of computing the
  Profit before tax after zakat                                 203,297         166,689         87,713        45,749                dilution. No adjustment is made to profit for the financial year for the warrants calculation.
  Tax at statutory tax rate of 25%                               50,824             41,672       21,928       11,437
  Income not subject to taxation                                   (713)            (1,789)    (20,866)       (2,748)
  Non-deductible expenses                                          7,893            11,554        5,515           492                                                                                                             Group
  Share of results of associates                                 (7,067)            (5,980)           -             -                                                                                                          2011          2010
  Benefits from previously unrecognised tax losses                 (595)            (3,948)           -             -                                                                                                        RM000        RM000
  Benefits from previously unrecognised
      temporary differences                                        (166)               (27)           -                       Profit attributable to equity holders of the Company (RM000)                                 143,670        118,894
  Reversal of deferred tax liabilities due to exemption
      on taxes arising on disposal of buildings                                                                               Weighted average number of ordinary shares in issue (000)                                    546,128        526,706
      to Al-Aqar Healthcare REIT                                      -              (514)           -             -         Adjusted weighted average number of ordinary shares of RM0.50
  Under/(over) provision in respect of previous years                                                                          each in issue and issuable (000)                                                             69,503         58,832
  - current tax                                                      764            (1,445)      (533)            87          Weighted average number of ordinary shares for diluted earnings per share (000)              615,631        585,538
  - deferred tax                                                 (1,902)                945          -             -          Diluted earnings per share (sen)                                                                 23.34            20.31
  Tax expense for the year                                       49,038             40,468       6,044         9,268
13. Property, plant and equipment 13. Property, plant and equipment (continued)
Group                                                                                                                                                  2010
2011                                                                                                                                                   At 1 January
At 1 January                                                                                                                                           - cost                                                  19,536          -     61,626      12,219    362,618       203,200      32,535      691,734
- cost                                                  19,098     44,800    15,990       26,356     447,140      244,912      45,255      843,551     - valuation                                             22,027          -      5,848           -          -             -           -       27,875
- valuation                                              7,907      9,183     6,136            -           -            -           -       23,226     - effects of adoption of Amendments to FRS 117               -     19,572          -           -          -             -           -       19,572
                                                        27,005     53,983    22,126       26,356     447,140      244,912      45,255      866,777     As restated                                             41,563     19,572     67,474      12,219    362,618       203,200      32,535      739,181
Revaluation surplus                                          -        147      1,730           -           -              -         -        1,877     Currency translation differences                          (901)          - (1,707)             -       (139)         (145)           -       (2,892)
Currency translation differences                             -          -        231           2         330           (32)         -          531     Additions                                                 3,000      7,070      308       15,256     90,565        45,439       53,374      215,012
Additions                                                1,008          -        191       9,190      36,148        29,454     66,777      142,768     Acquisition of subsidiaries                                   -     32,640        -            9       3,805           806           -       37,260
Acquisition of subsidiaries                                                                                                                            Disposals                                                     -          -        -        (509)     (6,526)       (2,891)       (639)     (10,565)
- cost                                                  17,014       1,673       322       6,413        8,792        4,827           -      39,041     Write offs                                                    -          -        -            -     (3,183)         (592)           -       (3,775)
- valuation                                                830           -         -           -            -            -           -          830    Revaluation deficit                                           -      (746)    (139)            -           -             -           -         (885)
Reclassification to non-current assets held for sale         -           -         -           -            -            -       (117)        (117)    Revaluation surplus                                       1,771     10,383     (11)            -           -             -           -       12,143
Disposals                                                    -           -         -           -      (7,641)        (369)           -      (8,010)    Reclassification to non-current assets held for sale   (18,428)   (14,482) (33,456)        (619)           -         (905)    (40,015)    (107,905)
Write offs                                                   -           -         -       (109)      (1,727)      (2,216)           -      (4,052)    Revaluation restatement                                       -      (454) (10,343)            -           -             -           -     (10,797)
Reclassification                                             -           -         -       7,468          708            -     (8,176)            -
                                                                                                                                                                                                               27,005     53,983     22,126      26,356    447,140       244,912      45,255      866,777
                                                        45,857     55,803    24,600       49,320     483,750      276,576     103,739 1,039,645
                                                                                                                                                       At 31 December
At 31 December                                                                                                                                         - cost                                                  19,098     44,800     15,990      26,356    447,140       244,912      45,255      843,551
- cost                                                  37,120     46,620    18,464       49,320     483,750      276,576     103,739 1,015,589        - valuation                                              7,907      9,183      6,136           -          -             -           -       23,226
- valuation                                              8,737      9,183     6,136            -           -            -           -    24,056
                                                                                                                                                                                                               27,005     53,983     22,126      26,356    447,140       244,912      45,255      866,777
                                                        45,857     55,803    24,600       49,320     483,750      276,576     103,739 1,039,645
                                                                                                                                                       Accumulated depreciation
Accumulated depreciation                                                                                                                               2010
2011                                                                                                                                                   At 1 January                                                  -          -    (8,842)     (1,295) (177,531)      (104,315)            -   (291,983)
At 1 January                                                  -          -          -     (3,145) (206,048)      (120,811)            -   (330,004)     - effects of adoption of Amendments to FRS 117               -      (413)          -           -         -              -            -       (413)
                                                                                                                                                       As restated                                                   -      (413)    (8,842)     (1,295) (177,531)      (104,315)            -   (292,396)
Currency translation differences                              -          -      (65)           (1)          9            1            -         (56)
Charge for the financial year                                 -      (130)   (1,619)      (5,881)    (40,348)     (21,634)            -    (69,612)
                                                                                                                                                       Group (continued)
Acquisition of subsidiaries                                   -      (154)         -      (1,373)     (4,060)      (1,488)            -     (7,075)
                                                                                                                                                       Currency translation differences                              -          -         54           -          -            11            -          65
Disposals                                                     -          -         -             -      5,155          279            -       5,434
                                                                                                                                                       Charge for the financial year                                 -      (233)    (2,185)     (1,850)   (35,881)      (19,218)            -    (59,367)
Write offs                                                    -          -         -          109       1,617        1,671            -       3,397
                                                                                                                                                       Reclassification to non-current assets held for sale          -        192        568           -          -           824            -       1,584
At 31 December                                                -      (284)   (1,684)    (10,291) (243,675)       (141,982)            -   (397,916)    Disposals                                                     -          -         62           -      4,205         1,286            -       5,553
                                                                                                                                                       Write offs                                                    -          -          -           -      3,159           601            -       3,760
Net carrying amounts                                                                                                                                   Revaluation restatement                                       -        454    10,343            -          -             -            -      10,797
                                                                                                                                                       At 31 December                                                -           -         -     (3,145) (206,048)      (120,811)            -   (330,004)
At 31 December 2011                                     45,857     55,519    22,916       39,029     240,075      134,594     103,739      641,729
                                                                                                                                                       Net carrying amounts
At 31 December 2010 27,005 53,983 22,126 23,211 241,092 124,101 45,255 536,773
                                                                                                                                                            The freehold land and buildings stated at valuation were revalued by the directors on 31 December 2010 based on
                                                                                                                                                            open market valuations carried out by an independent firm of professional valuers to reflect fair value. The book
                                                                                                                                                            values of the buildings were adjusted to reflect the revaluation and the resultant surpluses were credited to
                                                                                                                                                            revaluation reserve.
                                                                                                                                                            If the total amounts of the freehold land and buildings had been determined in accordance with the historical cost
                                                                                                                                                            convention, they would have been included at:
                                                                                                                                                                                                                                                                                     Group
                                                                                                                                                                                                                                                                          2011                2010
                                                                                                                                                                                                                                                                        RM000              RM000
                                                                                                                                                         Costs
                                                                                                                                                         Freehold land                                                                                                   21,623              20,093
                                                                                                                                                         Buildings                                                                                                       15,990              15,990
                                                                                                                                                                                                                                                                         37,613              36,083
                                                                                                                                                         Accumulated depreciation
                                                                                                                                                         Buildings                                                                                                       (1,908)            (1,822)
                                                                                                                                                         Net carrying amounts                                                                                            35,705              34,261
13. Property, plant and equipment (continued)                                                                                            16. Interest in subsidiaries (continued)
     The additions and net book value of assets under hire purchase and finance leases are as follows:                                       (a) The following are subsidiaries of the Company:
                                                                                                                   Group                                                                                   Effective
                                                                                                            2011            2010                                                                            equity
                                                                                                          RM000          RM000                                                                           interest
                                                                                                                                                                                         Country of
     Assets under hire purchase and finance leases:                                                                                                                                                      2011 2010
                                                                                                                                          Name of company                                incorporation                 Principal activities
     - addition during the financial year (Note 32(i))                                                      3,976           6,117                                                                        %       %
     - net book value at the end of financial year                                                         31,263          29,642
                                                                                                                                          Johor Specialist Hospital Sdn Bhd              Malaysia        100   100     Operating as a specialist hospital
     The net book value of property, plant and equipment pledged for borrowing facility (Note 27) as at 31 December                       Ipoh Specialist Hospital Sdn Bhd               Malaysia        98    98      Operating as a specialist hospital
     2011 is RM10,293,000 (2010: RM4,000,000).
                                                                                                                                          Kumpulan Perubatan (Johor) Sdn Bhd             Malaysia        100   100     Investment holding, provision of
     Borrowing costs of RM2,962,710 (2010: Nil), arising on financing specifically entered into for the construction of the                                                                                            management services, rental of
     hospital building, were capitalised during the financial year and included in additions of property, plant and equipment of                                                                                       equipment and health screening
     the Group during the financial year.                                                                                                                                                                              services through wellness program
                                                                                                                                          Puteri Specialist Hospital (Johor) Sdn Bhd *   Malaysia        100   100     Operating as a specialist hospital
14. Prepaid leases
                                                                                                                                          Tawakal Holdings Sdn Bhd                       Malaysia        100   100     Investment holding
                                                                                                                  Group
                                                                                                                                          Subsidiary of Johor Specialist
                                                                                                              2011           2010
                                                                                                                                          Hospital Sdn Bhd
                                                                                                            RM000         RM000
                                                                                                                                          Renalcare Perubatan (M) Sdn Bhd                Malaysia        100   100     To be operating as an international
     Cost
                                                                                                                                                                                                                       specialist hospital
     At 1 January                                                                                                   -       19,572
     - effect of adoption of Amendments to FRS 117                                                                  -     (19,572)        Subsidiary of Tawakal Holdings Sdn Bhd
     As restated                                                                                                    -            -        Pusat Pakar Tawakal Sdn Bhd +                  Malaysia        100   100     Operating as a specialist hospital
                                                                                                                                          Kota Kinabalu Specialist Hospital Sdn Bhd      Malaysia        97    97      Operating as a specialist hospital
15. Investment properties
                                                                                                                                          Damansara Specialist Hospital Sdn Bhd ^        Malaysia        100   100     Operating as a specialist hospital
                                                                                                                  Group
                                                                                                             2011            2010         Kuantan Specialist Hospital Sdn Bhd            Malaysia        77    77      Operating as a specialist hospital
                                                                                                           RM000          RM000
     As fair value:                                                                                                                       Perdana Specialist Hospital Sdn Bhd            Malaysia        61    61      Operating as a specialist hospital
     At 1 January                                                                                           24,810          23,215
     Additions                                                                                                   -             840        Ampang Puteri Specialist Hospital Sdn Bhd      Malaysia        100   100     Operating as a specialist hospital
     Gain on fair value                                                                                      1,413             755
     At 31 December                                                                                         26,223          24,810        Kuching Specialist Hospital Sdn Bhd            Malaysia        70    70      Operating as a specialist hospital
The fair value of the properties was estimated at RM26,223,000 (2010: RM24,810,000) based on valuations by an independent                 Selangor Specialist Hospital Sdn Bhd ~         Malaysia        60    60      Operating as a specialist hospital
professionally qualified valuers, using the comparison method of actual sales transactions in the particular area surrounding the
property. Valuations were based on current prices in an active market for the respective properties.                                      Sentosa Medical Centre Sdn Bhd                 Malaysia        100   100     Operating as a specialist hospital
16. Interest in subsidiaries                                                                                                              Seremban Specialist Hospital Sdn Bhd           Malaysia        100   100     Operating as a specialist hospital
     Interest in subsidiaries is made up as follows:
                                                                                                                                          Kajang Specialist Hospital Sdn Bhd             Malaysia        100   100     Operating as a specialist hospital
                                                                                                                Company
                                                                                                                                          Taiping Medical Centre Sdn Bhd                 Malaysia        100   100     Operating as a specialist hospital
                                                                                                             2011            2010
                                                                                                           RM000          RM000
                                                                                                                                          Pusat Pakar Kluang Utama Sdn Bhd               Malaysia        100   100     Operating as a specialist hospital
     Unquoted shares, at cost                                                                              222,631         222,631
     Loans to subsidiaries                                                                                 647,383         539,991        Penang Specialist Hospital Sdn Bhd             Malaysia        100   100     Operating as a specialist hospital
                                                                                                           870,014         762,622
                                                                                                                                          Bandar Baru Klang Specialist                   Malaysia        100   100     To be operating as a specialist
During the financial year, the Company has reclassified amounts due from subsidiaries amounting to RM107.4 million (2010:
                                                                                                                                          Hospital Sdn Bhd                                                             hospital
RM540.0 million) to interest in subsidiaries. This reclassification is in compliance with FRS 139, Financial Instruments: Recognition
and Measurement to reclassify balances when the intercompany advances are not of commercial nature, and are interest free
with no fixed terms of repayment.                                                                                                         Sterile Services Sdn Bhd                       Malaysia        65    65      Providing sterile services
 Subsidiaries of Kumpulan Perubatan                                                                                  Point Zone (M) Sdn Bhd ~                       Malaysia        100   100     Providing treasury management
 (Johor) Sdn Bhd (continued)
                                                                                                                     Pahang Specialist Hospital Sdn Bhd ~           Malaysia        100   100     To be operating as a specialist hospital
 Puteri Nursing College Sdn Bhd              Malaysia        100   100     Operating a private university college
                                                                                                                     Skop Yakin (M) Sdn Bhd ~                       Malaysia        90    90      Distribution of general merchandise
 Pharmaserv Alliances Sdn Bhd                Malaysia        100   100     Marketing and distribution of                                                                                          / stationeries
                                                                           medical and pharmaceutical
                                                                           products                                  Healthcare IT Solutions Sdn Bhd ~              Malaysia        87    90      Providing healthcare information
PT Khasanah Putera Jakarta Medica ~ Indonesia 75 75 Operating as a specialist hospital Renal-Link Sentosa Sdn Bhd Malaysia 100 100 Dormant
 PharmaCARE Sdn Bhd ~                        Malaysia        100   100     Providing human resource, training        Sri Kota Refractive And Eye Centre Sdn Bhd ~ Malaysia          80    80      Providing medical profession and
                                                                           services and rental of human                                                                                           consultancy for eye services
                                                                           resource information system
                                                                                                                     Subsidiary of Selangor Specialist
 SMC Healthcare Sdn Bhd                      Malaysia        51    51      Operating as a specialist hospital        Hospital Sdn Bhd
Sibu Medical Centre Corporation Sdn Bhd ~ Malaysia 100 - Operating as a specialist hospital Hospital Pusrawi SMC Sdn Bhd ~ Malaysia 51 51 Operating as a specialist hospital
 Sibu Geriatric Health &                     Malaysia        100   -       Providing aged care services              Subsidiary of PharmaCARE Sdn Bhd
 Nursing Centre Sdn Bhd ~
                                                                                                                     Open Access Sdn Bhd                            Malaysia        100   100     Dormant
 Jeta Gardens Waterford Trust ~              Australia       51    -       Providing retirement village and age
                                                                           care services                             Subsidiaries of Pharmaserv
                                                                                                                     Alliances Sdn Bhd
 Diaper Technology Industries Sdn Bhd        Malaysia        94    94      Providing information technology
                                                                           related services and rental of            Medical Supplies (Sarawak) Sdn Bhd             Malaysia        75    75      Distribution of pharmaceutical
                                                                           software                                                                                                               products
 Fabricare Laundry Sdn Bhd ~                 Malaysia        100   90      Providing business of laundry             Malaysian Institute of Healthcare Management Malaysia          75    75      Dormant
                                                                           services                                  Sdn Bhd
 Teraju Farma Sdn Bhd                        Malaysia        75    75      Distribution of medical and               FP Marketing (S) Pte Ltd ~                     Singapore       100   100     Import, export and distribution
                                                                           pharmaceutical products                                                                                                of pharmaceutical, medical and
                                                                                                                                                                                                  consumer healthcare products
 Maharani Specialist Hospital Sdn Bhd        Malaysia        100   100     To be operating as a
                                                                           specialist hospital                       Subsidiary of SMC Healthcare Sdn Bhd
                                                                                                                     Amity Development Sdn Bhd                      Malaysia        100   100     Dormant
 Freewell Sdn Bhd                            Malaysia        80    80      Dormant
 Bayan Baru Specialist Hospital Sdn Bhd      Malaysia        55    55      Dormant                                  * Direct equity holding by the Company is 84 % (2010: 84%).
                                                                                                                    + Direct equity holding by the Company is 14 % (2010: 14%).
 PharmaCARE Surgical                         Malaysia        99    99      Dormant                                  ^ Direct equity holding by the Company is 10% (2010: 10%).
 Technologies (M) Sdn Bhd                                                                                           ~ Audited by a firm other than Ernst & Young
Lablink (M) Sdn Bhd Malaysia 100 100 Pathology and laboratory services
 Pasir Gudang Specialist Hospital Sdn Bhd    Malaysia        100   100     To be operating as a
                                                                           specialist hospital
        During the financial year, the Group completed its acquisition in new interests and increased its stake in                   The details of net assets acquired and cash flows arising from the acquisitions of the following significant
        several subsidiaries as follows:                                                                                             subsidiaries are as follows:
                                                                                                              2011
                                                                                                            RM000                                                                                                Acquirees
                                                                                                                                                                                                                    carrying
        Subscription of right issue in subsidiaries (Note (b)(ii) and (b)(iii))                              26,000                                                                                                amounts         Fair value
        Acquisition of interests in newly acquired subsidiaries (Note (b)(i) and (b)(iv))                    47,146                                                                                                  RM000          RM000
                                                                                                             73,146
        Less: Cash and cash equivalents of subsidiaries acquired                                            (11,078)            Sibu Medical Centre
        Cash outflow of the Group on acquisition of subsidiaries                                             62,068             Corporation Sdn Bhd
        A summary of the details of net assets acquired and cash flows arising from the acquisitions during the financial                                                                       Effective
        year are as follows:                                                                                                                                                                     equity
                                                                                                                                                                                                interest
                                                                                                                                                                              Country of      2011 2010
                                                                                                                              Name of company                                 incorporation   %       %       Principal activities
                                                                                           Acquirees
                                                                                             carrying                         Unit trusts
                                                                                            amounts         Fair value        Al-Aqar Healthcare REIT                        Malaysia        49      49      Real estate investment trust
                                                                                              RM000          RM000          (formerly known as KPJ Al-AQAR REIT)
  Property, plant and equipment                                                                 20,713          20,713        Associates of Kumpulan Perubatan
  Other investment                                                                                 146             146        (Johor) Sdn Bhd
  Interest in associates                                                                        23,902          23,902
  Receivables, deposits and prepayments                                                          5,034           5,034        Kedah Medical Centre Sdn Bhd                    Malaysia        46      46      Operating as a specialist hospital
  Deposits, bank and cash balances                                                              11,078          11,078
  Payables                                                                                    (34,953)        (34,953)        Hospital Penawar Sdn Bhd                        Malaysia        30      30      Operating as a specialist hospital
  Tax recoverable                                                                                  111             111
  Bank borrowings                                                                              (9,660)         (9,660)        Healthcare Technical Services Sdn Bhd           Malaysia        30      30      Project management and
  Deferred taxation                                                                              (738)           (738)
                                                                                                                                                                                                              engineering maintenance
  Fair value of net assets acquired                                                             15,633           15,633                                                                                       services for specialist hospital
  Groups share of post acquisition retained profits and reserves less losses *                 43,730           17,730
  Unquoted ordinary shares, at cost                                                             10,312           10,312     18. Available-for-sale financial assets
                                                                                               398,712       307,352
                                                                                                                                                                                                                                     Group
  Share of capital commitments for property, plant and equipment                                47,799            2,505
                                                                                                                                                                                                                            2011           2010
  Share of non-cancellable operating lease commitments                                         527,693           21,785                                                                                                   RM000         RM000
  Market value of quoted ordinary shares in Al-Aqar Healthcare REIT                           396,370       319,481
                                                                                                                              At 1 January                                                                                  3,447            3,275
                                                                                                                              Disposals                                                                                     (373)                -
                                                                                                                                                                                                                            3,074            3,275
   * Included in the Groups share of post acquisition retained profits are accumulated fair value adjustments amounting      Fair value gain recognised in other comprehensive income
     to RM25.9 million in relation to investment properties of an associate, Al-Aqar Healthcare REIT                         At 31 December                                                                                    -             172
                                                                                                                                                                                                                            3,074            3447
                                                                                                                              Analysed as follows:
                                                                                                                              - listed equity securities in Malaysia                                                            8                8
                                                                                                                              - unlisted equity securities in Malaysia                                                      3,066            3,439
Available-for-sale financial assets are denominated in Ringgit Malaysia. None of these financial assets is impaired.
                                                                                                    2011            2010
                                                                                                  RM000          RM000                                                                                                               Group
                                                                                                                                                                                                                                 2011          2010
    Cost                                                                                                                                                                                                                       RM000        RM000
    At 1 January                                                                                  136,317         115,591
    Acquisitions of subsidiaries (Note 16)                                                         31,513          20,726        Deferred tax assets                                                                            14,962         15,864
    At 31 December                                                                                167,830         136,317        Deferred tax liabilities
                                                                                                                                 - subject to income tax                                                                      (47,413)       (41,204)
                                                                                                                                 At 31 December                                                                               (32,451)       (25,340)
    The purchase price allocation (PPA) exercise on the acquisition of Sibu Medical Centre Corporation Sdn Bhd, Sibu
    Geriatric Health & Nursing College Sdn Bhd and Jeta Gardens Waterford Trust is still being carried out by the Group.
    The results of this independent valuation had not been received at the date of this report. Accordingly, the resultant     The movement in the deferred tax assets and liabilities (prior to offsetting of balances within the same tax jurisdiction)
    goodwill above represents a provisional amount pending the completion of the PPA exercise. In accordance with              during the financial year is as follows:
    Paragraph 45 of FRS 3, Business Combinations, the Group has a grace period of twelve months from the acquisition
    date to complete the PPA exercise.
                                                                                                                                                                                                                                       Group
    The key assumptions used in value-in-use calculations are as follows;                                                      Deferred tax liabilities (before offsetting)
                                                                                                                               - property, plant and equipment                                                                 (58,263)       (55,819)
                                                                                                  2011             2010
                                                                                                                                                                                                                               (58,263)       (55,819)
                                                                                                     %               %
                                                                                                                               Offsetting                                                                                       10,850         14,615
   Gross margin1                                                                                     30              29
   Growth rate2                                                                                       7               7        Deferred tax liabilities (after offsetting)                                                     (47,413)       (41,204)
   Discount rate3                                                                                    12              12
   Terminal growth rate                                                                               5               5
                                                                                                                               The amounts of deductible temporary differences and unutilised tax losses (both of which have no expiry date) for
                                                                                                                               which no deferred tax asset is recognised on the statement of financial position are as follows:
   Assumptions:
   1
     Budgeted gross margin                                                                                                                                                                                                             Group
   2
     Weighted average growth rate used to extrapolate cash flows beyond the budget period
   3
     Pre-tax discount rate applied to the cash flow projections                                                                                                                                                                  2011            2010
                                                                                                                                                                                                                               RM000          RM000
   The directors have determined budgeted gross margin based on past performance and expectations of market                    Unutilised tax losses                                                                             2,560          2,753
   development. The discount rates used are pre-tax and reflect specific risks relating to the relevant segments.
  Amount due from former ultimate holding corporation               217               185        -             -                                                                          2011              2010        2011           2010
  Amounts due from subsidiaries                                       -                 -   56,613        29,465                                                                        RM000            RM000      RM000         RM000
  Amounts due from associates                                        36               595       36            41
  Amounts due from former related companies                           -                95        -             -          Ringgit Malaysia                                              274,962           278,114      56,917           31,953
  Other receivables                                              59,393            41,490      268         2,447          Singapore Dollar                                                3,847               923           -                -
  Deposits                                                       19,794            28,697                      -          Indonesian Rupiah                                               2,860             1,896           -                -
  Prepayments                                                     5,160            17,494      476           774          Australian Dollar                                              17,807                 -           -                -
Total receivables 304,636 298,427 57,393 32,727 299,476 280,933 56,917 31,953
  Add: Deposits, cash and bank balances (Note 24)              252,080         197,118       2,559        13,593
                                                                                                                          The other classes within trade and other receivables do not contain impaired assets.
  Less: Prepayments                                             (5,160)        (17,494)      (476)         (774)
  Total loans and receivables                                  551,556         478,051      59,476        45,546          The maximum exposure to credit risk at the reporting date is the carrying value of each class of receivable mentioned
                                                                                                                          above. The Group does not hold any collateral as security.
  Advances given to subsidiaries amounting to RM56.3 million (2010: RM94.4 million) are unsecured, bearing effective
  weighted average interest rate of 3.68% (2010: 2.85%) per annum and shall be repaid within 7 years.
                                                                                                                       24. Deposits, cash and bank balances
  Credit terms of trade receivables range from 0 to 60 days (2010: 0 to 60 days).                                                                                                                 Group                     Company
                                                                                                                                                                                          2011              2010        2011          2010
                                                                                                                                                                                        RM000            RM000      RM000        RM000
Bank balances are deposits held at call with licensed banks and do not earn interest.
Deposits of the Group have an average maturity of 365 days (2010: 365 days). The currency exposure profile of payables is as follows:
                                                                                                                                                                                                          Group                     Company
25. Non-current assets held for sale                                                                                                                                                              2011              2010         2011        2010
                                                                                                                                                                                                RM000            RM000       RM000      RM000
                                                                                                            Group
                                                                                                                                    Ringgit Malaysia                                            266,510           295,640      91,570       29,062
                                                                                                       2011           2010
                                                                                                                                    Singapore Dollar                                              5,095             9,530           -            -
                                                                                                     RM000         RM000
                                                                                                                                    Indonesian Rupiah                                            14,132             2,937           -            -
                                                                                                                                    Australian Dollar                                            49,492                 -           -            -
   Hospitals land and buildings
                                                                                                                                                                                                335,229           308,107      91,570       29,062
   At 1 January                                                                                      105,974         103,765
   Additions                                                                                           37,149         12,526
   Reclassification from property, plant and equipment (Note 13)                                          117        106,321
   Disposals                                                                                         (48,949)      (116,638)
   At 31 December                                                                                     94,291        105,974
    (a) On 30 April 2010, the Group proposed to dispose its entire interest in Rumah Sakit Bumi Serpong Damai (RSBSD)
        Building, Kluang Utama Specialist Hospital Building and Bandar Baru Klang Specialist Hospital Building to Al-Aqar
        Healthcare Real Estate Investment Trust (Al-Aqar Healthcare REIT) for a proposed total sale consideration of
        RM138.77 million to be satisfied partly by cash consideration of RM83.26 million and partly by issuance of RM56.64
        million new units in Al-Aqar Healthcare REIT at an issue price of RM0.98 per unit to be credited as fully paid-up. The
        proposed disposal was approved by shareholders on 17 December 2010.
The proposed disposal of Kluang Utama Specialist Hospital Building was completed on 6 January 2012.
                                                                             Group                                                                                                                         Company
                                                                         2011          2010                                                                                                             2011           2010
                                                                       RM000        RM000                                                                                                           RM000         RM000
   Current                                                                                        Current
   Term loans (secured)                                                  5,477         7,988      Revolving credits (unsecured)
   Commercial papers (unsecured)                                             -       249,000      - Conventional                                                                                       50,000              -
   Revolving credits (unsecured)                                                                  - Al-Amin                                                                                            15,000         50,000
   - Conventional                                                      103,000        47,037      Commercial papers (unsecured)                                                                             -        249,000
   - Islamic                                                            15,000        50,000                                                                                                           65,000        299,000
                                                                       118,000        97,037
   Islamic facilities:
   - Hiwalah term loan (secured)                                         8,676         1,200
                                                                                                 Borrowings for the Group and the Company are denominated in Ringgit Malaysia.
   - Al-Ijarah                                                           1,585           207
                                                                        10,261         1,407
                                                                                                 The borrowings are secured by:
   Hire purchase and finance lease liabilities
                                                                                                 (a) fixed charge on certain landed properties of the Group (Note 13);
   - Conventional                                                        5,267         5,985
                                                                                                 (b) first fixed charge on certain assets of the Group by way of debenture;
   - Bai Al-Inah                                                           845         1,241
                                                                                                 (c) letter of awareness, letter of comfort and letter of subordinates from Johor Corporation;
                                                                         6,112         7,226
                                                                                                 (d) a negative pledge over some of the fixed and floating assets of the Group;
                                                                       139,850       362,658     (e) fixed first and floating charge over some movable and immovable assets of the Group; and
   Bank overdrafts (unsecured)                                           1,141            18     (f) finance leases are effectively secured as the rights to the leased asset revert to the lessor in the event of default.
                                                                       140,991       362,676
                                                                                                 Islamic Commercial Papers/Islamic Medium Term Notes (ICP/IMTN)
   Non-current
   Term loans (secured)                                                 35,234        18,599     Salient features of the ICP/IMTN are as follows:
   Islamic commercial papers (secured)                                 249,000             -
   Islamic facilities:                                                                           (1) Total outstanding nominal value of ICPs and IMTNs (collectively known as Notes) shall not exceed RM500 million.
   - Hiwalah term loan (secured)                                         5,862          900      (2) The tenure of the Facility is up to 7 years from date of the first issuance of any Notes (3 May 2011) under the Facility.
   - Al-Ijarah                                                           3,752          730      (3) ICP has a maturity of between 1,2,3,6 and 7 months and are mandatorily redeemed at nominal value upon
                                                                                                     maturity date. The ICP is issued at a discount to its value.
                                                                         9,614         1,630     (4) IMTN has a maturity of 1 year but not more than 7 years and on condition that the IMTN matures prior to the
                                                                                                     expiry of the tenure of the Facility. The IMTN shall be mandatorily redeemed at nominal value upon maturity date.
   Hire purchase and finance lease liabilities                                                       The interest for the IMTN shall be payable semi-annually upon maturity of IMTN.
   - Conventional                                                        6,055         9,987     (5) The ICP/IMTN Facility is issued on a clean basis and shall be fully repaid at the end of the tenure of the Facility.
   - Bai Al-Inah                                                         2,577         6,531
                                                                         8,632        16,518     As at 31 December 2011, the unutilised amount of ICP/IMTN amounted to RM251.0 million (2010: RM1.0 million).
                                                                       302,480        36,747
   Total                                                                                         On 3 May 2011, the Company refinanced its existing Commercial Papers/Medium Term Notes (CP/MTN) with the
   Term loans (secured)                                                 40,711        26,587     first issuance of ICP/IMTN up to RM500 million from RM250 million.
   Islamic commercial papers (secured)/Commercial papers (unsecured)   249,000       249,000
   Revolving credits (unsecured)                                                                 The ICP/IMTN is parked at Point Zone Sdn Bhd, a special purpose vehicle incorporated to raise funds for the Group.
   - Conventional                                                      103,000        47,037
   - Al-Amin                                                            15,000        50,000     The ICP/IMTN is pledged against the Groups investment in its associate, Al-Aqar Healthcare REIT amounting to
                                                                       118,000        97,037     RM235 million as security.
   Islamic facilities:
   - Hiwalah term loan (secured)                                        14,538         2,100
   - Al-Ijarah                                                           5,337           937
                                                                        19,875         3,037
   Hire purchase and finance lease liabilities
   - Conventional                                                       11,322        15,972
   - Bai Al-Inah                                                         3,422         7,772
                                                                        14,744        23,744
   Bank overdrafts (unsecured)                                           1,141            18
                                                                       443,471       399,423
2011                                                                                                                                                                              2010
Group                                                                                                                                                                             Group
Term loans (secured)                            RM/RM      Floating           3.28        40,711      5,477         6,186          3,601          1,643          682 23,122       Hire purchase and finance lease liabilities
Islamic commercial papers (secured)             RM/RM      Floating           3.70       249,000          -             -              -              -            - 249,000      - Conventional                                        6,009           4,830            3,771            1,835            2,287         10      18,742
Revolving credits (unsecured)                                                                                                                                                     - Bai Al-Inah                                         1,787           1,662            1,741            1,786              878          -       7,854
- Conventional                                  RM/RM      Floating           3.73       103,000 103,000                  -              -             -            -         -
                                                                                                                                                                                                                                        7,796           6,492            5,512            3,621            3,165         10      26,596
- Islamic                                       RM/RM      Floating           4.00        15,000 15,000                   -              -             -            -         -
 Islamic facilities:
                                                                                                                                                                                  Less: Future finance charges
- Hiwalah term loan (secured)                   RM/RM      Floating           6.32        14,538      8,676         5,608            254               -            -         -
                                                                                                                                                                                        - Conventional                                                                                                                           (2,770)
- Al-Ijarah                                     RM/RM      Floating           2.95         5,337      1,585         1,677          1,770             305            -         -
                                                                                                                                                                                        - Bai Al-Inah                                                                                                                               (82)
Hire purchase and finance lease liabilities
- Conventional                                  RM/RM      Floating           3.55        11,322      5,267         2,690          2,213             770         382          -                                                                                                                                                  (2,852)
- Bai Al-Inah                                   RM/RM      Floating           2.72         3,422        845           773            635             604         565          -
                                                                                                                                                                                                                                                                                                                                 23,744
Bank overdrafts (unsecured)                     RM/RM      Floating           7.56         1,141      1,141             -              -               -           -          -
                                                                                         443,471 140,991           16,934          8,473          3,322        1,629 272,122
Company
Revolving credits (unsecured)
- Conventional
- Al-Amin
                                                RM/RM
                                                RM/RM
                                                           Floating
                                                           Floating
                                                                              3.75
                                                                              4.30
                                                                                          50,000
                                                                                          15,000
                                                                                                     50,000
                                                                                                     15,000
                                                                                                                          -
                                                                                                                          -
                                                                                                                                         -
                                                                                                                                         -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                                    -
                                                                                                                                                                    -
                                                                                                                                                                              -
                                                                                                                                                                              -
                                                                                                                                                                                  28. Deferred revenue
                                                                                          65,000     65,000               -              -             -            -         -
                                                                                                                                                                                                                                                                                                         Group/Company
2010
Group                                                                                                                                                                                                                                                                                                    2011                2010
Term loans (secured)                            RM/RM      Floating           5.35        26,587   7,988            8,569          6,259             938       2,833          -                                                                                                                        RM000              RM000
Commercial papers (unsecured)                   RM/RM      Floating           2.90       249,000 249,000                -              -               -           -          -
Revolving credits (unsecured)
- Conventional                                  RM/RM      Floating           2.75        47,037     47,037               -              -             -            -         -        At 1 January                                                                                                      36,144             28,812
- Islamic                                       RM/RM      Floating           2.75        50,000     50,000               -              -             -            -         -        Additions                                                                                                       103,760              46,296
Islamic facilities:
- Hiwalah term loan (secured)                   RM/RM      Floating           7.80         2,100      1,200           900              -               -            -         -        Earned during the financial year                                                                                (41,565)           (38,964)
- Al-Ijarah                                     RM/RM      Floating           3.00           937        207           214            516               -            -         -
Hire purchase and finance lease liabilities                                                                                                                                            At 31 December                                                                                                    98,339                36,144
- Conventional                                  RM/RM      Floating           3.95        15,972      5,985         3,746          3,217          1,281        1,737         6
 - Bai Al-Inah                                  RM/RM      Floating           3.85         7,772      1,241         1,646          1,725          1,770        1,390         -
Bank overdrafts (unsecured)                     RM/RM      Floating           7.80            18         18             -              -              -            -         -         Represented by:
                                                                                         399,423 362,676           15,075         11,717          3,989        5,960         6         Students fees                                                                                                     2,307                 3,868
                                                                                                                                                                                       Accommodation fees                                                                                                   693                 1,028
Company
Commercial papers (unsecured)                   RM/RM      Floating           2.85       249,000 249,000                  -              -             -            -         -
                                                                                                                                                                                       Resident fees                                                                                                     44,748                     -
Revolving credits (unsecured)                   RM/RM      Floating           2.75        50,000 50,000                   -              -             -            -         -        KPJ Wellness Subcription Fees                                                                                     50,591                31,248
                                                                                         299,000 299,000                  -              -             -            -         -                                                                                                                          98,339                36,144
                                                                                              Later than
                                                                                             1 year and
                                                                                                                   Later than
                                                                                                                 2 years and
                                                                                                                                       Later than
                                                                                                                                     3 years and
                                                                                                                                                          Later than
                                                                                                                                                        4 years and
                                                                                                                                                                                  29. Deposits
                                                                        Not later than     not later than       not later than      not later than     not later than
                                                                                1 year            2 years              3 years             4 years            5 years     Total        Long term deposits represent amounts received from consultants, which are repayable on death, retirement (at age
                                                                              RM000             RM000               RM000              RM000             RM000     RM000
                                                                                                                                                                                       65) or disability of the consultants. Deposits are forfeited on termination of a consultants practice either by the Group
2011                                                                                                                                                                                   due to events of breach or on early termination by the consultant. However, the deposits may be refunded to the
Group                                                                                                                                                                                  consultants if approval from the Board of Directors is obtained.
Hire purchase and finance lease liabilities
- Conventional                                                                  5,606               2,776              2,792                  810               412     12,396
- Bai Al-Inah                                                                   1,057                 980                658                  623               582      3,900         Long term deposits previously measured at cost, are now measured at fair value initially and subsequently
                                                                                6,663               3,756              3,450                 1,433              994     16,296         at amortised costs using effective interest method. The differences between the fair value and cash value are
                                                                                                                                                                                       recognised as deferred consultancy expenses and amortised using remaining service period to retirement (at age
Less: Future finance charges
      - Conventional                                                                                                                                                    (1,074)
                                                                                                                                                                                       65) of consultants. These amortisation expenses are charged to profit or loss.
      - Bai Al-Inah                                                                                                                                                       (478)
                                                                                                                                                                        (1,552)
                                                                                                                                                                                                                                                                                                                 Group
                                                                                                                                                                        14,744
                                                                                                                                                                                                                                                                                                        2011                2010
                                                                                                                                                                                                                                                                                                      RM000              RM000
                                                                                                                          Under the single-tier tax system which came into effect from the year of assessment 2009, companies are not required to
      Issuance date        Expiry date          Exercise                   Number of warrants 2010/2015                   have tax credits under Section 108 of the Income Tax Act, 1967 for dividend payment purposes. Dividends paid under
                                                   price       At 1.1.2011         Exercised         At 31.12.2011        this system are tax exempt in the hands of shareholders.
                                               RM/share               000              000                  000
                                                                                                                          Companies with Section 108 credits as at 31 December 2011 may continue to pay franked dividends until the Section
    15 January 2010       14 January 2015            1.70           99,626           (25,077)               74,549        108 credits are exhausted or 31 December 2013 whichever if earlier unless they opt to disregard the Section 108 credits
                                                                                                                          to pay single-tier dividends under the special transitional provisions of the Finance Act, 2009. As at 31 December 2011,
                                                                                                                          KPJ has fully utilised its Section 108 balance.
                                                                                                                          The revaluation reserve includes surplus from the revaluation of Groups land and buildings and unrealised revaluation
                                                                                                                          reserves retained in the Groups interest in Al-Aqar Healthcare REIT.
32. Non-cash transactions                                                                                                         Bukit Mertajam Specialist Hospital Sdn Bhd         Management fees                                       -         (15)
                                                                                                                                                                                     Interest on advances given                            -         (22)
    The principal non-cash transactions during the financial year are as follows:
                                                                                                                                  Damansara Specialist Hospital Sdn Bhd              Management fees                                (2,484)       (2,366)
    (i) The acquisition of property, plant and equipment of which RM3,976,000 (2010: RM6,116,532) is by means of hire                                                                Advances received                             (10,117)       (6,599)
        purchase and finance lease.                                                                                                                                                  Dividend received (net)                       (27,000)       (1,178)
                                                                                                                                                                                     Interest expense                                   973         1,213
    (ii) In the previous financial year, the disposal of Pusat Pakar Tawakal Sdn Bhds new buildings for a total consideration
         of RM109.1 million, which was satisfied by issuance of RM58.7 million new units of shares in Al-Aqar Healthcare         Ipoh Specialist Hospital Sdn Bhd                   Management fees                                (3,032)       (2,709)
         REIT at RM0.95 each and cash consideration of RM50.4 million. The disposal resulted in gain on disposal of RM290,000.                                                       Dividend received (net)                        (1,614)       (1,568)
                                                                                                                                                                                     Interest expense                                 1,525           877
                                                                                                                                                                                     Advances received                                    -       (2,123)
                                                                                                                                  Puteri Specialist Hospital (Johor) Sdn Bhd         Management fees                                (1,981)       (1,841)
                                                                                                                                                                                     Dividend received (net)                        (5,368)       (3,900)
                                                                                                                                                                                     Interest expense                                   472           457
                                                                                                                                                                                     Advances received                              (8,016)       (7,983)
33. Significant related party disclosures (continued)                                                               34. Non-cancellable operating lease commitments (continued)
   (a) Significant related party transactions (continued)                                                              The Group has entered into a contractual agreement with Amanah Raya Berhad (as Trustee for Al-Aqar Healthcare
                                                                                                                       REIT) and Damansara REIT Managers Sdn Bhd to lease the hospital land and buildings including certain equipment
                                                                                                Company                for a period of fifteen years, with an option to renew for another fifteen years subject to terms and conditions as
 Paid/payable to/                                                                               2011        2010       stipulated in the agreement.
 (received/receivable from) subsidiaries (continued)   Type of transactions                   RM000      RM000
                                                                                                                    35. Contingent liabilities
 Penang Specialist Hospital Sdn Bhd                    Interest income                          (409)       (398)
                                                       Advances given                             713         602      Upon the adoption of FRS 139, the financial guarantees provided to financiers for subsidiaries are no longer disclosed
                                                                                                                       as contingent liabilities, but would instead be recorded as financial liabilities if considered likely to crystallise. The
 Selangor Specialist Hospital Sdn Bhd                  Management fees                        (1,635)     (1,586)      Company has assessed the financial guarantee contracts and concluded that the financial impact of the guarantees
                                                       Interest expense                           741         671      is not material.
 Sentosa Medical Centre Sdn Bhd                        Management fees                          (880)       (866)   36. Significant events
                                                       Dividend received (net)                (4,959)     (4,346)
                                                       Interest expense                           473         457      (a) Proposed Acquisition by Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB)
 Seremban Specialist Hospital Sdn Bhd                  Management fees                          (157)     (1,299)         On 22 June 2011, Pahang Specialist Hospital Sdn Bhd (PSHSB), a wholly-owned subsidiary of KPJSB, proposed
                                                       Advances received                      (3,412)     (2,301)         to acquire a 3.12 acre leasehold land for a total consideration of RM3,756,750 to be satisfied via issuance of
                                                                                                                          3,756,750 ordinary shares of RM1.00 each in PSHSB.
 Tawakal Holdings Sdn Bhd                              Dividend received (net)                (1,584)       (114)
                                                                                                                          The proposed acquisition is expected to be completed by 2nd quarter 2012.
 Kajang Specialist Hospital Sdn Bhd                    Management fees                        (1,048)     (1,011)
                                                                                                                       (b) Disposal by Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB)
 Lablink (M) Sdn Bhd                                   Management fees                          (261)       (150)
                                                                                                                          On 30 April 2010, KPJ proposed to dispose its entire interest in Rumah Sakit Bumi Serpong Damai (RSBSD)
 Taiping Medical Centre Sdn Bhd                        Management fees                          (273)       (162)         Building, Kluang Utama Specialist Hospital Building and Bandar Baru Klang Specialist Hospital Building to
                                                                                                                          Al-Aqar Healthcare Real Estate Investment Trust (Al-Aqar Healthcare REIT) for a total sale consideration of
 Pusat Pakar Kluang Utama Sdn Bhd                      Management fees                          (326)       (230)         RM138.77 million to be satisfied partly by cash consideration of RM83.26 million and RM55.51 by the issuance
                                                       Advances given                               -     (3,077)         of 56.64 million new units in Al-Aqar at an issue price of RM0.98 per unit to be credited as fully paid-up. The
                                                                                                                          disposal was approved by shareholders on 17 December 2010.
                                                                                              Group/Company            (c) Issuance of up to RM500 million Islamic Commercial Papers/Islamic Medium Term Notes
                                                                                            2011            2010           (ICP/IMTN Programme)
                                                                                          RM000          RM000
                                                                                                                          On 3 May 2011, the Company refinanced its existing Commercial Papers/Medium Term Notes (CP/MTN) with
   Salaries, allowances and bonus                                                             2,843        3,399          the first issuance of ICP/IMTN up to RM500 million from RM250 million.
   Contribution to defined contribution plan                                                    317          408
                                                                                                                          The ICP/IMTN Programme will be utilised to repay the existing RM250 million CP/MTN programme and the
                                                                                              3,160        3,807
                                                                                                                          remaining balance to finance the expansion of healthcare related business.
                                                                                                                       (d) Joint Venture between Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB) and Yayasan Islam Perlis (YIP)
34. Non-cancellable operating lease commitments
                                                                                                                          On 11 July 2011, Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB) had signed a Joint Venture Agreement (JVA)
   The future minimum lease payments under non-cancellable operating leases are as follows:                               with Yayasan Islam Perlis (YIP) for the purpose of designing, developing, building, completing, owning and
                                                                                                                          subsequently operating from a hospital building to be known as KPJ Perlis Specialist Hospital (JV).
                                                                                                  Group
                                                                                                                       (e) Proposed Acquisition of Land at Klang District, Selangor.
                                                                                            2011            2010
                                                                                          RM000          RM000          On 11 November 2011, Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB) entered into a Sale and Purchase
                                                                                                                          agreement (SPA) with Sazean Development Sdn Bhd to acquire four (4) plots of land with an aggregate area of
   Represented by:                                                                                                        approximately 1.8 hectares, for a total cash consideration of RM23,762,400, located at Mukim of Klang District
   Not later than 1 year                                                                   71,398         75,306          of Klang State of Selangor.
   Later than 1 year but not later than 2 years                                            89,066         81,720
   Later than 2 years but not later than 5 years                                          224,854        251,706          The Proposed Acquisition is expected to be completed by the 4th quarter 2012.
   Later than 5 years                                                                     516,907        596,356
                                                                                          902,225       1,005,088
37. Capital commitments                                                                                                           39. Financial risk management objectives and policies (continued)
    Capital expenditure not provided for in the financial statements is as follows:                                                  (a) Credit risk (continued)
                                                                                                            Group                       The Group seeks to invest cash assets safely and profitability and buys insurance to protect itself against
                                                                                                                                        insurable risk. In this regard, counterparties are assessed for credit limits are set to minimise any potential losses.
                                                                                                      2011            2010              The Groups cash and cash equivalents and short term deposits are placed with creditworthy financial institutions
                                                                                                    RM000          RM000              and the risks arising there from are minimised in view of the financial strength of these financial institution.
   Approved by the directors and contracted                                                         188,031          88,969             Exposure to credit risk
   Approved by the directors but not contracted                                                     244,494         323,514
                                                                                                    432,525         412,483             At the reporting date, the Groups and the Companys maximum exposure to credit risk is represented by:
   Analysed as follows:                                                                                                                 - The carrying amount of each class of financial assets recognised in the statements of financial position.
   - Leasehold land                                                                                  10,431           9,536
   - Buildings                                                                                      301,372         267,804             Information regarding credit enhancements for trade and other receivables is disclosed in Note 23.
   - Medical equipment                                                                               29,628         106,506
   - Other property, plant and equipment                                                             91,094          28,637             Financial assets that are neither past due nor impaired
                                                                                                    432,525         412,483
                                                                                                                                        Information regarding trade receivables that are neither past due nor impaired is disclosed in Note 23. Cash and cash
                                                                                                                                        equivalents that are neither past due nor impaired are placed with or entered into with reputable financial institutions.
   The Groups interest in capital commitments of the associates is disclosed in Note 17.
                                                                                                                                        Financial assets that are either past due or impaired
                                                                                                                                        Information regarding trade receivables that are either past due or impaired is disclosed in Note 23.
38. Fair value of financial instruments
                                                                                                                                        Apart from those disclosed above, none of other financial assets is either past due or impaired.
   The following are classes of financial instruments that are not carried at fair value and whose carrying amounts are
   reasonable approximation of fair value:
                                                                                                                                     (b) Liquidity risk
                                                   Note
     Receivables                                   23                                                                                   Liquidity risk is the risk that the Group or the Company will encounter difficulty in meeting financial obligations due
                                                                                                                                        to shortage of funds. The Groups and the Companys exposure to liquidity risk arises primarily from mismatches
     Deposits, cash and bank balances              24
                                                                                                                                        of the maturities of financial assets and liabilities.
     Payables                                      26
     Borrowings                                    27
     Deposits                                      29
   The carrying amounts of these financial assets and liabilities are reasonable approximation of fair values, either due
   to their short-term nature or that they are floating rate instruments that are re-priced to market interest rates on or near
   the reporting date.
   The fair values of long term receivables and payables, which comprise advances to or from subsidiaries, are estimated
   by discounting expected future cash flows at market incremental lending rate for similar types of lending, borrowing
   or leasing arrangement at the reporting date.
   The following sections provide details regarding the Groups and Companys exposure to the above-mentioned
   financial risks and the objectives, policies and processes for the management of these risks.
      Credit risk is the risk of loss that may arise on outstanding financial instruments should a counterparty default
      on its obligations. The Groups and the Companys exposure to credit risk arises mainly from revenue made on
      deferred credit terms, cash and cash equivalents, and deposits with financial institutions. Risk arising from these
      are minimised through effective monitoring of receivable accounts that exceeded the stipulated credit terms.
      Credit limits are set and credit history is reviewed to minimise potential losses. The Group has no significant
      concentration of credit risk with any single customer.
39. Financial risk management objectives and policies (continued)                                                                 39. Financial risk management objectives and policies (continued)
    (b) Liquidity risk (continued)                                                                                                   (d) Foreign currency risk
       Analysis of financial instruments by remaining contractual maturities                                                            Foreign currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate
                                                                                                                                        because of changes in foreign exchange rates.
       The table below summarises the maturity profile of the Groups and of the Companys liabilities at the reporting
       date based on contractual undiscounted repayment obligations.                                                                    The Group has three subsidiaries abroad; a hospital in Jakarta, Indonesia, an aged care facility in Queensland,
                                                                                                                                        Australia and a pharmaceutical distributor in Singapore. The Group does not face significant exposure from
                                                                                                                                        currency risk as these subsidiaries operate independently; pharmaceutical drugs and medical supplies are
                                                               On demand or        One to five       Over five                          supplied from and distributed in the country these subsidiaries operate. Hence, transactions involving foreign
                                                              within one year           years           years          Total            currency are minimal and risks are limited to the translation of foreign currency functional financial statement to
                                                                      RM000         RM000           RM000         RM000             that of the presentation currency.
  31 December 2011
  Group                                                                                                                           40. Capital management
  Payables                                                            335,229                -              -        335,229
  Borrowings                                                          142,048           52,615        250,548        445,211         The primary objective of the Groups capital management is to ensure that it maintains a strong credit rating and
  Deposits                                                                  -            9,830          5,665         15,495         healthy capital ratios in order to support its business and maximise shareholder value.
  Total undiscounted financial liabilities                            477,277           62,445        256,213        795,935         The Group manages its capital structure and makes adjustments to it, in light of changes in economic conditions. To
                                                                                                                                     maintain or adjust the capital structure, the Group may adjust the dividend payment to shareholders, return capital
  Company                                                                                                                            to shareholders or issue new shares.
  Payables                                                             91,570         152,942         281,702        526,214
  Borrowings                                                           65,000               -               -         65,000         The Group monitors capital using a gearing ratio, which is total borrowings divided by shareholders funds.
  Total undiscounted financial liabilities                            156,570         152,942         281,702        591,214
                                                                                                                                     The Groups gearing ratios as at 31 December 2011 and 2010 were as follows:
  31 December 2010
  Group
  Payables                                                            308,107                -               -       308,107                                                                                                             Group
  Borrowings                                                          362,676           36,741               6       399,423                                                                                                        2011           2010
  Deposits                                                                  -            8,776           5,006        13,782                                                                                                      RM000         RM000
  Total undiscounted financial liabilities                            670,783           45,517           5,012       721,312
                                                                                                                                     Current borrowings                                                                           140,991        362,676
  Company                                                                                                                            Non-current borrowings                                                                       302,480         36,747
  Payables                                                             67,432         161,989          42,395        271,816         Total                                                                                        443,471        399,423
  Borrowings                                                          299,000               -               -        299,000
  Total undiscounted financial liabilities                            366,432         161,989          42,395        570,816         Shareholders funds                                                                          892,954        768,647
        Interest rate risk is the risk that the fair value of future cash flows of the Groups and the Companys financial        41. Segmental reporting
        instruments will fluctuate because of changes in market interest rates.
                                                                                                                                     The chief operating decision-maker has been identified as the management committee. This committee reviews
       The Groups and the Companys exposure to interest rate risk arises primarily from their loans and borrowings.                the Groups internal reporting in order to assess performance and allocate resources. The committee considers the
       The Groups policy is to manage interest cost using a mix of fixed and floating rate debts.                                   business from both geographic and nature of business.
       Sensitivity analysis for interest rate risk                                                                                   The Group principally operates in one main business segment namely the operating of specialist hospitals. Support
                                                                                                                                     services of the Group mainly comprise provision of management services and pathology and laboratory services,
        At the reporting date, if interest rates had been 10 basis points lower/higher, with all other variables held constant,      marketing and distribution of pharmaceutical, medical and surgical products and operating a private nursing college.
        the Groups profit net of tax would have been RM249,215 higher/lower, arising mainly as a result of lower/
        higher interest expense on floating rate loans and borrowings. The assumed movement in interest rate for interest
        rate sensitivity analysis is based on the currently observable market environment.
                                                                                                                               The Company had on 30 January 2012, disposed its 15,359 Redeemable Preference Shares (RPS) at the
                                                                                                                               total sale consideration of RM1,536,900 to Johor Corporation. The RPS was previously purchased on 26
                                                                                                                               November 2009.
(b) Acquisition of 8 units of service apartments for a total purchase consideration of RM1,934,880
                                                                                                                              On 8 February 2012, Kumpulan Perubatan (Johor) Sdn Bhd entered into separate Sale and Purchase Agreements
                                                                                                                              (SPAs) with JCorp Hotels and Resorts Sdn Bhd to acquire eight (8) units of Service Apartments for a total
                                                                                                                              purchase consideration of RM1,934,880. The purchase consideration for each one (1) unit of the Service
                                                                                                                              Apartment is RM241,860.00.
                                                                                                                              The Service Apartments are part of the Berjaya Tioman Suites developed by Tioman Island Resort Bhd. The Berjaya
                                                                                                                              Tioman Suites is located on a parcel of land at PN14711 Lot 5006, Bandar Tioman, Daerah Rompin, Pahang.
       On 23 March 2012, Kumpulan Perubatan (Johor) Sdn Bhd (KPJSB), proposed to purchase 80% equity interest           192   Listing of Properties
       in PT Khidmat Perawatan Jasa Medika (PT KPJ Medika) for a total cash consideration of RM15,840,000               193   Notice of Annual General Meeting
       (Proposed Acquisition) from Johor Corporation.                                                                   197   Statement Accompanying Notice of
       The Proposed Acquisition is expected to be completed within a month from the date of acceptance.                         Annual General Meeting
                                                                                                                          198   Form of Proxy
43. Comparatives
    (a) The presentation and classification of items in the current year financial statements have been consistent
        with the previous financial year except that certain comparative amounts have been reclassified to conform
        with current years presentation.
(b) The comparative figures have been audited by a firm of chartered accountants other than Ernst & Young.
Group
                                                                               As at 31.12.2011     As at 31.12.2010
                                                                                        RM000               RM000
     The disclosure of realised and unrealised earnings above is solely for compliance with the directive issued by the
     Bursa Malaysia Securities Berhad and should not be used for any other purpose.
     The total retained earnings of the Company as at 31 December 2011 amounting to RM18,722,000 (31 December
     2010: RM459,000) is fully realised.
7 Citigroup Noms (T) Sdn Bhd - A/C Employees Provident Fund Board (Nomura) 11,492,400 1.86 - Others 2,860 71.55 142,051,669 22.97
8 AmanahRaya Trustees Berhad - A/C Public Islamic Select Treasures Fund 10,417,700 1.68 Foreigners 219 5.48 75,960,947 12.28
9 Citigroup Noms (T) Sdn Bhd - A/C Employees Provident Fund Board (CIMB Prin) 9,211,700 1.49 TOTAL 3,997 100.00 618,487,016 100.00
 10       HSBC Noms (A) Sdn Bhd - A/C Exempt An for JPMorgan Chase Bank,
          National Association (Norges BK Lend)                                               9,164,800    1.48
                                                                                                                      Directors Shareholding as at 30 March 2012
 11       Cartaban Noms (A) Sdn Bhd - A/C SSBT Fund W4B3 for
          Wasatch Emerging Markets Small Cap Fund                                             9,130,393    1.48              Name                                                                              No. of shares         %
 12       Kumpulan Wang Persaraan (Diperbadankan)                                             9,019,300    1.46
                                                                                                                        1    Kamaruzzaman Bin Abu Kassim                                                             -                -
 13       AmanahRaya Trustees Berhad - A/C Public Islamic Optimal Growth Fund                 6,528,950    1.06
 14       AmanahRaya Trustees Berhad - A/C Public Islamic Dividend Fund                       6,310,700    1.02        2     YB Datin Paduka Siti Sadiah Sheikh Bakir
                                                                                                                             - Direct (2 a/cs)                                                     558,250
 15       AmSec Noms (T) Sdn Bhd - AmTrustee Berhad                                                                            CimSec Noms (T) Sdn Bhd
          for CIMB Islamic Dali Equity Growth Fund (UT-CIMB-DALI)                             6,175,800    1.00
                                                                                                                               - A/C CIMB Bank for Siti Sadiah binti Sh Bakir                     560,000      1,118,250        0.18%
 16       Johor Corporation                                                                   5,760,875    0.93                - Indirect (Amy Nadzlina binti Mohamed)                                            12,500         0.00%
 17       Citigroup Noms (T) Sdn Bhd - A/C Kumpulan Wang Persaraan                                                      3    Dr Yoong Fook Ngian                                                                  300,000        0.05%
          (Diperbadankan) (CIMB Equities)                                                     4,851,100    0.78
                                                                                                                        4    Dr Kok Chin Leong                                                                    138,000        0.02%
 18       AmanahRaya Trustees Berhad - A/C Public Islamic Opportunities Fund                  4,825,750    0.78
 19       HSBC Noms (A) Sdn Bhd - A/C Best Investment Corporation                             4,675,775    0.76         5    Datuk Azzat Bin Kamaludin                                                              60,000       0.01%
 20       AmanahRaya Trustees Berhad - A/C Public Islamic Sector Select Fund                  4,645,900    0.75         6    Amiruddin bin Abdul Satar                                                               7,000       0.00%
 21       Maybank Noms (T) Sdn Bhd - A/C Etiqa Takaful Berhad (Family PFR EQ)                 4,479,000    0.72         7    Ahamad bin Mohamad                                                                          750     0.00%
 22       AmanahRaya Trustees Berhad - A/C Public Islamic Equity Fund                         3,559,100    0.58         8    Rozan bin Mohd Saat                                                                        500     0.00%
 23       HSBC Noms (A) Sdn Bhd - A/C BBH and Co Boston                                                                 9    Datuk Dr Hussein Bin Awang                                                                    -         -
          for Matthews Asia Small Companies Fund                                              2,896,500    0.47         10   Abd Razak bin Haron                                                                           -         -
 24       AmanahRaya Trustees Berhad - A/C PB Growth Fund                                     2,857,200    0.46         11   Zainah bte Mustafa                                                                            -         -
In conformance with the Bursa Malaysia Listing Requirements, the following additional information is provided:
                                                                                                                                                                                                      Net book value      Tenure & A              Area
1. Utilisation of Proceeds Raised From Corporate Proposal                                                                     Location                                              Description        (RM million)       Expiry date        (in sq metre)
   The proceeds of RM249.0 million raised from the Commercial Papers/Medium Term Notes Programme have been
                                                                                                                              Tawakal Hospital                                           Car Park         10.5              Term in             4,048
   fully utilised in the following manner:                                                                                    Lot No 523, Seksyen 85A,                                                                     perpetuity
                                                                                                                              Jalan Pahang Barat, Kuala Lumpur
   CP/MTN                                                                                                    RM000
                                                                                                                              Unit No. 14-5-1,                                      Condominium            0.3              Freehold             114
   At start of the financial year                                                                           249,000
                                                                                                                              The Palladium Condominium,
   Issued during the financial year for working capital purposes                                                  0
                                                                                                                              Jalan Gurney 2, 54000 Kuala Lumpur
   At end of financial year                                                                                 249,000
                                                                                                                              KPJ Selangor Specialist Hospital                        Vacant land         8.0            Leasehold 99           15,484
                                                                                                                              Lot No 2, Jalan 18/24,                                                                   years expiring 2096
2. Treasury Shares                                                                                                            Seksyen 18, Shah Alam, Selangor
   During the financial year, the company did not make any purchase, re-sale and cancellation of shares.
                                                                                                                              No. 43, Jalan Mamanda 9,                                Commercial           2.2            Leasehold 99          1,650
3. Options, Warrants or Convertible Securities                                                                                Ampang Point, 68000 Ampang, Selangor                                       Building      years expiring 2092
   During the financial year, 25,077,310 new ordinary shares of RM0.50 each were issued by the Company for cash by
                                                                                                                              KPJ Damansara Specialist Hospital                       Vacant land         1.8               Freehold             945
   virtue of the conversion of warrant at exercise price of RM1.70 per share.                                                 Lot No. PT 12058,
                                                                                                                              Jalan SS 20/17, Damansara Utama,
4. American Depository Receipt (ADR) or Global Depository Receipt (GDR) Programme                                             47400 Petaling Jaya, Selangor
   During the financial year, the Company did not issue any ADR or GDR Programme.
                                                                                                                              No. 131, Jalan SS 20/10,                           Land and double           2.6              Freehold             916
5. Impositions of sanctions/penalties                                                                                         Damansara Utama,                                    storey detached
   There were no sanctions and/or penalties imposed on the Company and its subsidiaries, Directors or Management              47400 Petaling Jaya, Selangor                                 house
   by the relevant regulatory bodies.
                                                                                                                              No. 5 & 7, Persiaran Titiwangsa 3,                         Land and          3.9          Term in perpetuity   981.3 & 851.0
6. Non-audit Fees                                                                                                             53200 Kuala Lumpur                                    office building
   During the financial year, the Company only engaged audit services with the external auditor.
                                                                                                                              No. 3, Lorong San Ah Wing,                      Land and bungalow            4.6          Term in perpetuity      1,282
                                                                                                                              Off Lorong Gurney, 54100 Kuala Lumpur
7. Profit estimate , forecast or projections
   The Company did not make any release on the profit estimate, forecast or projections for the financial year.               24-N, 24-P & 24D-1,                                    Nurse Hostel          1.5              Freehold            2,027
                                                                                                                              Jalan Tarom, 81200 Johor Bahru
8. Profit guarantee
   There is no profit guarantee given by the Company in respect of the financial year.                                        KPJ Johor Specialist Hospital                           Land under           0.7           Freehold Land          1,002
                                                                                                                              No. 38B, Jalan Abdul Samad,                            development
9. Material contracts                                                                                                         80100 Johor Bahru, Johor
   There is no material contract by the Company and its subsidiary companies, involving Directors and major
   shareholders interest substituting at the end of the financial year.                                                      Hospital Pusrawi building                                  Clinic and        1.0              Freehold             149
                                                                                                                              No. 19, Jalan USJ 9/3F, Subang Jaya,                  office building
10. Recurrent related party transactions statement                                                                            47620 Petaling Jaya, Selangor
    At Annual General Meeting (AGM) held 16 July 2011, the Company obtained a shareholders mandate to allow the
                                                                                                                              Bangunan Pharmacare, Jalan Pahang Barat,             Office Building         8.0          Term in perpetuity      1,204
    Group to enter into recurrent related party transactions of revenue or trading nature with the following parties:
                                                                                                                              Off Jalan Pahang, 53000 Kuala Lumpur
NOTICE IS HEREBY GIVEN that the Nineteenth (19th) Annual General Meeting (AGM) of KPJ Healthcare Berhad                             As Special Business
(KPJ or the Company) will be held at the Permata Ballroom, Level B2, The Puteri Pacific Hotel, Jalan Abdullah                 To consider and if thought fit, to pass the following resolutions:
Ibrahim, 80000 Johor Bahru, Johor on Monday, 25 June 2012 at 12.00 pm for the purpose of transacting the following
businesses:-                                                                                                                      6. ORDINARY RESOLUTION 1
                                                                                                                                     AUTHORITY TO ISSUE SHARES PURSUANT TO SECTION 132D OF THE COMPANIES ACT, 1965                                  (Resolution 11)
1. To receive and adopt the Audited Financial Statements for the year ended 31 December 2011 and                (Resolution 1)       THAT pursuant to Section 132D of the Companies Act, 1965 (Act), the Articles of Association of
   the Reports of the Directors and Auditors thereon.                                                                                the Company and subject to the approvals of the relevant government and/or regulatory authorities,
                                                                                                                                     the Directors be and are hereby empowered to issue shares of the Company, from time to time, upon
2. To re-elect the following Directors retire in accordance with the Articles of Association of the Company:-                        such terms and conditions and for such purposes as the Directors may, in their absolute discretion
   i. Datin Paduka Siti Sadiah Sh Bakir (Article 96)                                                           (Resolution 2)       deem fit, provided that the aggregate number of shares issued pursuant to this resolution does not
   ii. Zainah Binti Mustafa (Article 96)                                                                        (Resolution 3)       exceed 10 percent (10%) of the issued share capital of the Company for the time being and that the
   iii. Rozan Bin Mohd Saat (Article 96)                                                                       (Resolution 4)       Directors be and are also empowered to obtain the approval for the listing of and quotation for the
   iv. Amiruddin Bin Abdul Satar (Article 97)                                                                                        additional shares so issued on the Bursa Malaysia Securities Berhad (Bursa Securities) and that
                                                                                                                (Resolution 5)
                                                                                                                                     such authority shall continue in force until the conclusion of the next Annual General Meeting of the
   v. Abd Razak Bin Haron (Article 97)                                                                          (Resolution 6)       Company. (See Note f)
3. To consider, and if thought fit, to pass the following resolutions pursuant to Section 129(6) of the                           7. ORDINARY RESOLUTION 2
   Companies Act 1965:-                                                                                                              PROPOSED RENEWAL OF THE SHARE BUY-BACK AUTHORITY (PROPOSED SHARE
   i. That Datuk Dr Hussein Bin Awang, who is above the age of seventy (70) years, be and is                                         BUY BACK)
       hereby re-appointed as Director and to hold office until the next Annual General Meeting of                                                                                                                                                  (Resolution 12)
                                                                                                                                     THAT, subject to Section 67A of the Act, Part IIIA of the Companies Regulations 1966, the
       the Company.                                                                                            (Resolution 7)       provisions of the Articles of Association of the Company, the Main Market Listing Requirements
   ii. That Dr Yoong Fook Ngian, who is above the age of seventy (70) years, be and is hereby re-
                                                                                                                                     (Listing Requirements) of the Bursa Securities and any other applicable laws, rules, regulations
       appointed as Director and to hold office until the next Annual General Meeting of the Company.          (Resolution 8)
                                                                                                                                     and guidelines at any point in time in force, the Directors of the Company be and are hereby
                                                                                                                                     authorised, to make purchase(s) of ordinary shares of RM0.50 each in the Companys issued and
4. To approve the payment of Directors fees in respect of the financial year ended 31 December 2011.           (Resolution 9)
                                                                                                                                     paid-up capital on Bursa Securities subject to the following:-
5. To re-appoint Messrs Ernst & Young as Auditors of the Company and to authorise the Directors to fix                               a. The maximum number of shares which may be purchased and/or held by the Company shall not
                                                                                                                (Resolution 10)         exceed ten percent (10%) of the total issued and paid-up share capital of the Company at any
   their remuneration.
                                                                                                                                        point in time subject to the restriction that the issued and paid-up capital of the Company does not fall
                                                                                                                                        below the applicable minimum share capital requirement of the Listing Requirements;
                                                                                                                                     b. The maximum fund to be allocated by the Company for the purpose of purchasing its shares shall not
                                                                                                                                        exceed the retained profits and the share premium account of the Company; and
                                                                                                                                     c. Upon completion of the purchase by the Company of its own shares, the Directors of the Company are
                                                                                                                                        authorised to deal with the shares so bought-back in their absolute discretion in any of the following
                                                                                                                                        manners:-
                                                                                                                                         i.   cancel the shares so purchased; or
                                                                                                                                         ii. retain the shares so purchased as Treasury Shares and held by the Company; or
                                                                                                                                         iii. retain part of the shares so purchased as Treasury Shares and cancel the remainder,
                                                                                                                                         iv. distribute the treasury shares as dividends to shareholders and/or resell on Bursa
                                                                                                                                             Securities and/or cancel all or part of them; or
                                                                                                                                     in any other manner as prescribed by the Act, rules, regulations and guidelines pursuant to the Act
                                                                                                                                     and the requirements of Bursa Securities and any other relevant authority for the time being in force;
                                                                                                                                     AND THAT the authority conferred by this resolution shall continue to be in force until:-
                                                                                                                                     a. the conclusion of the next Annual General Meeting (AGM) of the Company at which such resolution
                                                                                                                                        was passed, at which time the authority would lapse unless renewed by ordinary resolution passed
                                                                                                                                        either unconditionally; or
                                                                                                                                     b. the expiration of the period within which the next AGM is required to be held pursuant to Section
                                                                                                                                        143(1) of the Act (but shall not extend to such extension as may be allowed pursuant to Section
                                                                                                                                        143(2) of the Act); or
                                                                                                                                     c. revoked or varied by a resolution passed by the shareholders of the Company in general meeting,
                                                                                                                                     whichever is earlier.
                                                                                                                                     AND THAT the Directors of the Company be and are authorised to take all such steps to implement,
                                                                                                                                     finalise and give full effect to the Proposed Share Buy-Back with full power to assent to any conditions,
                                                                                                                                     modifications, revaluations and/or amendments as may be imposed by the relevant authorities and
                                                                                                                                     with full power to do all such acts and things thereafter in accordance with the Act, the provisions of
                                                                                                                                     the Memorandum and Articles of Association of the Company and the guidelines issued by Bursa
                                                                                                                                     Securities and any other relevant authorities. (See Note g)
Secretaries
Johor Bahru
Dated : 1 June 2012
   i.   Datuk Dr Hussein Bin Awang                                                                                                 or failing him/her, the Chairman of the meeting as my/our proxy to vote for me/us* on my/our* behalf at the Nineteenth
   ii. Dr Yoong Fook Ngian                                                                                                         (19th) Annual General Meeting of the Company to be held at the Permata Ballroom, Level B2, The Puteri Pacific Hotel,
                                                                                                                                   Jalan Abdullah Ibrahim, 80000 Johor Bahru, Johor on Monday 25 June 2012 at 12.00 pm and at any adjournment in
4. A total of five (5) Board Meetings were held during the financial year ended 31 December 2011. Details of attendance of         respect of my/our holdings of shares in the manner indicated below:
   Directors at Board Meetings held during the financial year ended 31 December 2011 are as follows :-
                                                                                                                                        Resolution             Description                                                                                                             For                    Against
                                                                    12 Jan      28 Feb       16 June     12 Sept      29 Nov
                                                                                                                                              1                TO RECEIVE THE REPORT AND AUDITED ACCOUNTS
  Non Executive Director
                                                                                                                                                               TO RE-ELECT DIRECTORS :
  Kamaruzzaman Bin Abu Kassim                                         p            p             p           p            p
  Ahamad Bin Mohamad                                                  p            p             p           p            p                    2               DATIN PADUKA SITI SADIAH SH BAKIR
  Rozan Bin Moha Saat                                                p            p             p           p            p                    3               ZAINAH BINTI MUSTAFA
  Abd Razak Bin Haron                                                 -            -             p           p            p                    4               ROZAN BIN MOHD SAAT
                                                                                                                                               5               AMIRUDDIN BIN ABDUL SATAR
  Independent Non Executive Director
                                                                                                                                               6               ABD RAZAK BIN HARON
  Tan Sri Datuk Arshad Bin Ayub                                       p            p             p           -            -
  Datuk Azzat Bin Kamaludin                                           p            p             p           o            p                                    TO RE-APPOINT :
  Datuk Dr Hussein Bin Awang                                          p            p             p           p            p                    7               DATUK DR HUSSEIN BIN AWANG
  Zainah Binti Mustafa                                                p            p             p           p            p                    8               DR YOONG FOOK NGIAN
  Dr Yoong Fook Ngian                                                 p            p             p           p            p
  Dr Kok Chin Leong                                                   p            p             p           p            p                    9               TO APPROVE DIRECTORS FEE
                                                                                                                                              10               TO RE-APPOINT AUDITORS
  Executive Director
  Datin Paduka Siti Sadiah Sh Bakir                                  p            p             p           p            p                                    ANY OTHER BUSINESS
  Amiruddin Bin Abdul Satar                                           -            -             -           p            p
                                                                                                                                              11               AUTHORITY TO ISSUE SHARES
                                                                                                                                              12               PROPOSED SHARE BUY-BACK
                                                                                                                                              13               PROPOSED RENEWAL OF RRPT MANDATE
  Date of Meeting             Day             Time            Venue
                                                                                                                                              14               PROPOSED AMENDMENTS
  12 January 2011             Wednesday       3.30 p.m.       Persada Johor International Convention Centre, Johor Bahru
                                                                                                                                   (Please indicate with a () in the appropriate box whether you wish your vote to be cast for or against the resolution. In the absence of specific direction, your proxy will vote or
  28 February 2011            Monday          9.30 a.m.       KPJ Tawakkal Specialist Hospital                                     abstain as he/she thinks fit.)
  16 June 2011                Thursday        9.30 a.m.       Persada Johor International Convention Centre, Johor Bahru
  12 September 2011           Monday          9.30 a.m.       Johor Corporation (Kuala Lumpur Office)
  29 November 2011            Tuesday         2.30 p.m.       Persada Johor International Convention Centre, Johor Bahru
                                                                                                                                   Signature(s)/Common Seal of Shareholder(s)                                                                                                          Dated this........day of...............2012
                                                                                                                                   NOTE:
5. Particulars of Directors seeking re-election at the Annual General Meeting are set out in the Directors Profile appearing in   1. A member of the Company entitled to be present and vote at the Meeting may appoint a proxy to vote instead of him. A proxy may but need not be a member of the
   pages 35-40 of the Annual Report.                                                                                                  Company and the provision of Section 149(1)(b) of the Companies Act, 1965 need not be complied with.
                                                                                                                                   2. The instrument appointing a proxy shall be in writing under the hand of the appointor or of his attorney duly authorised in writing or if the appointor is a corporation,
                                                                                                                                      either under the hand of its common seal or under the hand of an officer or attorney duly authorised. The instrument appointing the proxy shall be deemed to confer
                                                                                                                                      authority to demand or join in demanding a poll.
                                                                                                                                   3. Where a member of the Company is an authorised nominee as defined under the Securities Industry (Central Depositories) Act, 1991, he may appoint at least one
                                                                                                                                      (1) proxy in respect of each securities account he holds with ordinary shares of the Company standing to the credit of the said securities account.
                                                                                                                                   4. Any alteration made in this form should be initialled by the person who signs it.
                                                                                                                                   5. The instrument appointing a proxy, together with the power of attorney (if any) under which it is signed or a certified copy thereof, shall be deposited at the registered
                                                                                                                                      office of the Company at Suite 12B, Level 12, Menara Ansar, 65 Jalan Trus, 80000 Johor Bahru, Johor at least forty-eight (48) hours before the time appointed for
                                                                                                                                      holding the meeting or adjourned meeting at which the person named in such instrument proposes to vote; otherwise the person so named shall not be entitled to
                                                                                                                                      vote in respect thereof.
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