Competition Commission v Netcare Hospital Group (Pty) Ltd and Another (27/CR/Mar07) [2008] ZACT 19; [2008] 1 CPLR 60 (CT) (10 March 2008)

60 Reportability
Competition Law

Brief Summary

Competition Law — Merger Control — Failure to notify merger — Application for confirmation of settlement agreement between Competition Commission and respondents regarding alleged contraventions of the Competition Act — Respondents implemented merger without approval and adopted same pricing structure while being competitors — Settlement reached with penalty of R6 million to address non-notification and collusion — Tribunal confirms settlement agreement as reasonable and appropriate under the circumstances.

COMPETITION TRIBUNAL OF SOUTH AFRICA
       Case No: 27/CR/Mar07   
In the matter between:                                                       
Competition Commission Applicant
 And 
Netcare Hospital Group (Pty) Ltd First Respondent
Community Hospital Group (Pty) Ltd Second Respondent
In re  the large merger between
Netcare Hospital Group (Pty) Ltd  Acquiring Firm
And
Community Hospital Group (Pty) Ltd   Target Firm
Panel : N Manoim (Presiding Member), U Bhoola (Tribunal Member) 
and Y Carrim (Tribunal Member), 
Heard on : 05 December 2007
Order Issued : 10 March 2008
Reasons Issued: 10 March 2008
Failure to notify
DECISION

1] This   is   an   application   for   the   Tribunal   to   confirm   a   settlement   agreement  
reached between the Commission and the respondents in terms of section 49D  
of the Competition Act (the ‘Act’).The agreement purports to settle two alleged  
contraventions   by   the   respondents.   The   Commission   alleges   that   the  
respondents:  
a) implemented   a   merger   without   the   approval   of   the   Competition  
authorities in contravention of section 13 A(3) of the Act; and
b) contravened   section   4(1)(b)   of   the   Act,   in   that   whilst   not   being  
members of a single economic entity, and being instead  competitors,  
they adopted the same pricing structure for the tariffs charged by the  
hospitals in their respective groups
2] The   respondents   have   agreed   to   pay   a   penalty   of   R6   million   as   an  
administrative penalty to settle both matters. 1 The penalty is treated as a lump  
sum and thus it is not clear from the agreement what proportion of the penalty  
has   been   allocated   to   the   respective   contraventions.   In   oral   argument   Ms  
Mkhwanazi,   who   appeared   for   the   Commission,   said   that   for   their   internal  
purposes the penalty had been allocated as follows:
Failure to notify –  R500   000.00
  Section 4(1)(b) – R5   500  000.00
     Total ­   R6   000  000.00
3] The respondents have not done a similar exercise, but regard the quantum as  
a reasonable settlement figure. 2
4] The facts of this case appear more fully in our decision in respect of the merger  
1  Clause 7.1 of the agreement read with clause 7.5
2  As we discuss later, the respondents do not think that the Commission can proceed against  
them under both sections for the same conduct, but as they consider the amount reasonable  
in respect of the contravention of section 13A(3) they do not contest the point.
  2

and   need   not   be   repeated   in   full   here. 3  In  brief,   the   Community   Healthcare  
Hospital Group (CHG), is a company that owns 5 private hospitals. CHG arose  
out of the ashes of the former Malesela Group of hospitals that was liquidated  
in 1999.      In the first phase of its existence CHG, then nominally owned by an  
attorney acting for the future shareholders, pursued a strategy of securing the  
erstwhile   Malesela   hospitals   and   rights   from   the   liquidators.   In   this   it   was  
partially successful. Once these rights were secured, the nominee transferred  
ownership to the current shareholders who then held shares in the following  
proportions: Netcare (with a 43.75% shareholding), Community Hospital Group  
(with a 43.75% shareholding), Duelco Investments 65 (Pty) Ltd (“Duelco”) (with  
a 6.25% shareholding), and Private Preview Investments 27 (Pty) Ltd (“Private  
Preview”) (with a 6.25% shareholding). 
5] We are advised that the shareholders’ agreement was concluded in 2002 and  
in   terms   of   this   agreement,   Netcare   and   CHG   Holdings,   the   latter   the  
investment vehicle of two erstwhile Malesela shareholders, ­ Anna Mokgokong  
and Joe Madugundaba ­ enjoyed joint control of CHG. It is common cause that  
this acquisition of joint control by Netcare was not notified to the Commission  
and hence the sanction contained in the consent agreement. What is not clear  
either to the Commission or the respondents is whether joint control may have  
already   been   acquired   before   this   date.   The   reason   for   this   difficulty   is   that  
Netcare was active both in the implementation of strategy around the rescue  
efforts, lent money to CHG, and, once the hospitals were rescued, introduced  
some of its systems into the hospitals and took over   their pharmacies. Thus  
Netcare is more than likely to have exercised joint control over CHG for the  
period   preceding   the  conclusion   of   the  shareholders   agreement.   This   period

period   preceding   the  conclusion   of   the  shareholders   agreement.   This   period  
was probably about 24 months. Netcare continued to exercise joint control over  
the group until its decision to acquire the entire shareholding in CHG from the  
other shareholders.  This  latter transaction to acquire the full  equity, was  the  
subject   of   a   notification   by   the   respondents   on   14   August   2006,   and   was  
approved by us without conditions on 2 August 2007.
6] The non­notification of the prior merger was only brought to the Commission’s  
3   See our decision reported as  Netcare Hospital Group (Pty) Ltd and Community Hospital  
Group (Pty) Ltd  Case No. 68/LM/Aug06.
  3

attention in July 2005 when a third party, Pro Sano Medical Scheme, brought a  
complaint to the Commission alleging that CHG had adopted the Netcare tariffs  
for   the   purpose   of   determining   its   fees   and   that   this   amounted   to   a  
contravention of section 4(1)(b) of the Act which states:
1) An   agreement   between,   or   concerted   practice   by,   firms,   or   a  
decision   by  an  association  of   firms,  is  prohibited   if  it   is  between  
parties in a horizontal relationship and if – 
a) ...;
b) it involves any of the following:
i) directly or indirectly fixing a purchase or selling  
price or any other trading condition;
ii) dividing   markets   by   allocating   customers,  
suppliers,  territories,  or specific  types of goods  
and services; or
iii) collusive tendering. 
7] When confronted by the Commission, Netcare’s response was to say that:
“.. after consideration of the relevant facts in the context of  
section   12(2)(g)   of   the   Act,   it   appeared   that   Netcare   had  
acquired   control   over   Community,   and   accordingly   that  
Netcare  and  Community  failed  to  notify  this  acquisition   of  
control.”4
Did   the   Commission   give   due   weight   to   all   the   facts   concerning   the  
section 13A(3) contravention.
4  See paragraph 3.2 of the consent order.
  4

8] No explanation for the failure to notify is made in the papers nor was one given  
to   the   Commission   during   negotiations   in   respect   of   the   present   consent  
agreement.5  We can only surmise from the record in the merger hearings that  
due to the limping manner in which the group was reconstituted, no ‘crystalline  
moment’,   to  quote   Netare’s   counsel,   emerged   during   the  period   prior   to  the  
conclusion of the shareholders agreement at which it appeared that joint control  
had   arrived   and   hence   animated   the   shareholders   attention   sufficiently   to  
consider notification. Even if one gives the merging parties the benefit of the  
doubt   due   to   the   murky   nature   of   legal   relationships   during   this   embryonic  
period, no explanation is given to account for the period after the conclusion of  
that agreement, when clarity as to the parties’ legal relationships must at last  
have crystallised. 6  Given hospital  groups  history  of  interest  in one  another’s  
mergers that has manifested itself in hearings before us it hardly seems likely  
that Netcare at least, was ignorant of these considerations. Where matters of  
this   nature   appear   to   have   been   discussed   in   the   minutes   of   Netcare,   the  
relevant portions have been excised by the attorneys on the basis of alleged  
privilege.7
9] A   fair   reading   of   the   minutes   suggests   that   Netcare   had   an   interest   in   not  
appearing as a controlling shareholder of CHG during its formative years. The  
motive   for   keeping   CHG’s   real   control   structure   opaque   was   not   to   escape  
competition   scrutiny,   but   rather   to   present   CHG   to   the   outside   world   as   an  
emerging   empowerment   company,   an   image   that   would   have   been  
compromised if it was known to be subject to the control of one of the three  
large private hospital groups. This appears to have been important for several

large private hospital groups. This appears to have been important for several  
reasons not least of which was to ensure that the group acquired transfer of the  
licences   from   the   erstwhile   Malesela   group   as   the   following   passage   from  
Netcare’s   memorandum   to   the   board   of   directors   dated   22   March   2001  
5   According to Commissions’ counsel,  “The explanation wasn’t absolutely clear as to why the  
notification did not occur.”
6   Interestingly in the opinion of one of the shareholders and the chief executive of CHG who  
was commenting on control of hospitals in an earlier and unrelated merger proceeding and  
who stated that in his experience   “ a company gets controlled by two ways. The one is by  
knowledge and the other is by capital.”   If this thesis is correct, Netcare which provided both  
know­how and capital to CHG after it emerged from liquidation, probably enjoyed joint control  
prior   to   the   conclusion   of   the   shareholders   agreement.   See   record   of   Business   Venture  
Investments and Afrox Healthcare Ltd  Case number 105/LM/Dec04, page 32 
7  See record of merger proceedings pages 365 and 1053 for examples.
  5

suggests:
“Netcare   also   recognised   MHG’s   potential   strategic   appeal   in  
that   a   closer   association   with   MHG   would   increase   Netcare’s  
network of referral and cooperative hospitals. Having committed  
to  the   project   as  consultants   to  Malesela,   the  strategy   was  to  
develop   and   promote   a   contest   between   Malesela   and   Afrox  
Healthcare,   a   contest   which   was   politically   far   more   easily  
manageable.
I will not herein dilate on the details of the   fascinating contest  
and   exchange   that   has   taken   place   between   Malesela,   the  
Macmed liquidators, Afrox Healthcare, the bondholders in each  
case, the bank’s creditors involved,  save to record that Malesela  
are emerging with a degree of credibility and honour far greater  
than they previously enjoyed and have developed a groundswell  
of support for their re­entry into the private healthcare industry  
(Afrox excluded). 8   (Our underlining)
10] Ms   Mkhwanazi   referred   us   to   an   earlier   merger   involving   a   takeover   of   the  
Afrox   group   by   a  consortium.   CHG,   emerged   as   an   objector   and   applied   to  
intervene in those proceedings. In the course of the intervention application, the  
then chief executive officer of CHG, Dewald Dempers gave evidence and was  
cross­examined on the relationship between Netcare and CHG. He alleged that  
Netcare   did   not   control   CHG.   This   emerges   from   the   following   extract   from  
those proceedings where counsel for Afrox is cross­examining Dempers: 9
“    ADV SUBEL    : In other words, it would be fair to say, is it not,  
that   Community   Hospital   Group  (Pty)   Limited   and   its  various  
subsidiaries   or   hospital   interest   is   a   joint   venture   company  
between Netcare on the one hand and Community Healthcare  
8  See record of merger proceedings page 1398.
9   See  Business Venture Investments and Afrox Healthcare Ltd,  Case number 105/LM/Dec04,

9   See  Business Venture Investments and Afrox Healthcare Ltd,  Case number 105/LM/Dec04,  
transcript of hearing dated 8 February 2005, pages 47­8.
  6

Holdings on the other? 
MR DEMPERS : It’s jointly owned company. That’s correct sir. 
ADV SUBEL : Look colloquially it’s a JV company. 
MR DEMPERS : No I don’t think so. 
ADV   SUBEL :   Well,   there   is   a   common   interest   at   both  
Netcare… 
MR DEMPERS : There is a common equity holding. That’s correct sir and that’s it. 
ADV SUBEL : Netcare and Community Healthcare Holdings each own 43.75% of the  
shares in Community Hospital Group (Pty) Limited. 
MR DEMPERS : That’s correct. 
ADV SUBEL : And through that company both Netcare and the  
first applicant conduct these various hospital businesses. 
MR DEMPERS : No sir. 
ADV SUBEL : Not? 
MR DEMPERS : No. 
ADV SUBEL : Well why not? 
MR DEMPERS : Through that company the hospital business is  
conducted.   Netcare   has   got   no   control   over   Community  
Hospital Group. It has got one Board representative out of 6  
members. 
ADV SUBEL : It’s represented on the Board of Community Hospital Group. 
MR DEMPERS : One Board member out of six, that’s correct sir. 
ADV   SUBEL :   Yes,   and   it’s   as   significant   a   shareholder   in   that   company   as   is  
Community Healthcare Holdings. 
MR DEMPERS : That’s correct sir. 
ADV SUBEL : Well does it have any more or less influence than  
  7

does Community Healthcare Holdings? 
MR DEMPERS :  It’s got much less influence than Community Healthcare Holdin gs. 
ADV SUBEL : Why? 
MR DEMPERS :  Because of the Board representation..”
11] For this reason in our present consent order hearing the Commission’s counsel  
submitted that when the Commission commenced investigating the Pro Sano  
complaint,   it   did   so   on   the  assumption   that   Netcare   could   not   control   CHG.  
Netcare’s   representatives   responded   by   alleging   that   CHG   was   in   fact   the  
subject of joint control and had been at the relevant time period to which the  
Pro Sano complaint related.
12] It is clear why it suits the respondents to allege joint control now faced with an  
allegation that there has been collusion between Netcare and CHG. In the past,  
the  Commission   has   settled   contraventions   for   unlawful   implementation   of   a  
merger   at   penalties   that   are   miniscule   in   relation   to   those   for   prohibited  
practices. By emphasizing joint control now, and de­emphasizing the aspect of  
collusion,   Netcare   tries   to   put   the   best   face   on   an   unfortunate   set   of   facts.  
However, as the quote from Dempers (above) illustrates, this only underlines  
the cynicism with which this relationship has been used in the past. When it  
suited   the   respondents   to   allege   that   Netcare   did   not   have   control   over   the  
group it did so. When it became apparent that Netcare was taking sole control  
then   the   history   was   glossed   in   an   entirely   different   manner.   Contrary   to  
Dempers testimony in   Afrox Healthcare , Netcare now emerges as having,  at  
the least, joint control over CHG and indeed being the most influential of the  
three shareholders.
13] There   has   been   no   change   in   the   de   jure  or   de   facto  relationship   between  
Netcare   and   CHG,   that   is   on   record,   that   would   reconcile   the   evidence   of

Dempers   in   Afrox   Healthcare   and   the   respondents’   version   in   the   present  
proceedings.   In   the   absence   of   such   an   explanation   it   would   appear   that  
Netcare’s role as a shareholder has been finessed to suit the legal exigiencies  
of the moment.   
  8

14] It may well be that such an explanation is possible. But it is a material issue in  
assessing the extent of the penalty in respect of non­notification as it is relevant  
to   the   consideration   of   whether   the   parties   have   “   co­operated   with   the  
Commission   and   Tribunal”   (section   59(3)(f))   and   an   assessment   of   “the  
behaviour   of   the   respondents”   (59(3)(c)).   In   other   words,   even   though   the  
respondents   may   have   come   clean   when   confronted   at   the   time   of   the  
Commission’s   non  –notification  investigation,   the  Commission  is  entitled  and  
indeed ought to have had regard to the history of inconsistent explanations on  
the   same   issues   before   the   Competition   Authorities   to   assess   properly   the  
firms’ behaviour and degree of co­operation. If one or both of the respondents  
had   been   less   than   frank   on   this   issue   with   the   competition   authorities   this  
should   be   taken   into   account   as   an   aggravating   factor   in   assessing   an  
appropriate quantum for the penalty.
15] In our view, the Commission by failing to seek a satisfactory explanation on this  
aspect   has   given   no   consideration   or   insufficient   weight   to   this   issue   in  
considering an appropriate penalty. 
16] Another   criticism   we   have   of   the   Commission’s   approach   is   the   fact   that   it  
entered into the consent order prior to the conclusion of the merger hearing. As  
a   matter   of   law   it   could   do   so.   However,   by   settling   prematurely   the  
Commission   was   not   able   to   assess   the   degree   to   which   the   illegal  
implementation   compromised   its   ability   to   investigate   the   merger.   As   we  
pointed out in the merger decision, the prior implementation had affected the  
  9

ability of the Commission to conduct its investigation. 10  Ms Mkwhanazi very  
candidly conceded this point in argument and stated 
MS   MKHWANAZI:     Chair   we   fully   accept,   you   know,  
that   that   is   in   fact   the   position   and   it   presented   the  
difficulties   the   Commission   faced   in   making   its   case  
during   the   merger   hearing   and   we   did   look   at   the  
reasons and did contemplate revisiting.   Perhaps what  
we do accept in fact not perhaps we do accept that the  
agreement was concluded much earlier than the merger  
was   finalized   and   at   the   time   we   may   not   have  
anticipated that the prime implementation would present  
the   very   difficulties   that   we   faced   during   the   merger  
hearing.  
This is basically you know the submission that I’ve  
made earlier that we you know gun jumping does  
pose   you   know   a   significant   difficulty   to   the  
Commission and to yourselves as the Tribunal  in  
evaluating the mergers and while we would like a  
message to  be send out  to  firms that in fact  this  
conduct cannot be accepted. 
17] We certainly  cannot say that if the Commission had  been able to overcome  
these   difficulties   the   merger   would   have   been   prohibited,   but   what   the   prior  
implementation   did   achieve   was   to   prevent   the   optimal   adjudication   of   the  
10  “ ...   Many   of   the   witnesses,   including   some   solicited   by   the   merging   parties,   seem  
concerned about the private hospital sector. What they have not been able to say is that the  
merger  has  contributed   to   this   problem   or   whether   it   is   a  problem   inherent   in   the   present  
market structure, dominated as it is by the three major groups. Without such testimony it is  
difficult to impugn this merger. Whether such testimony might have been forthcoming if the  
merger had not been implemented already for some years, is one of those imponderables we

merger had not been implemented already for some years, is one of those imponderables we  
cannot resolve. We can certainly say that many of the funder witnesses found it difficult to  
conceptualise   and   independent   CHG   –   something   they   had   never   known   –   and   then   to  
hypothesise as to how it might have behave differently outside of Netcare’s grasp. That this  
has redounded to the benefit of Netcare in defending the merger and to the detriment of the  
Commission   in   opposing   it   is   also   clear.   It   reinforces   why   under   our   system   prior  
implementation   is   unlawful.”   See   page   41   of   our   reasons   for   decision   in   the   merger  
proceedings.
  10

issues. Given that the Commission was of the view that the merger should be  
prohibited   and   that   some   industry   representatives   expressed   concern   during  
the course of the hearing – it is by no means a forgone conclusion that if the  
merger   had   been   heard   in   the   normal   course   i.e.   at   a   stage   before   it   was  
implemented that it would have been approved unconditionally.
 
18] The   Commission   pointed   out   in   argument   that   historically   contraventions   of  
section 13A(3) had not attracted high penalties – certainly they are dwarfed by  
the size of penalties in prohibited practice cases. This observation is certainly  
correct. It may well be that reconsideration of this approach is long overdue.  
However   in   this   case   we   have   a   failure   to   notify   accompanied   by  
implementation of the merger, a status that had already existed for a period of  
between six to seven years by the time of the adjudication  of the merger in  
June 2007. The long duration of the implementation of a merger that was not  
without   competition   implications   despite   our   eventual   decision   to   approve   it  
unconditionally,   deserves   a   penalty   that   reflects   the   serious   nature   of   this  
conduct. 
19] If   administrative   penalties   are   about   deterring   wrongful   conduct   then   the  
present penalties exhibit  insufficient  disincentive  on firms not to notify –  and  
indeed firms may well construe low penalties as an acceptable cost of doing  
business if prior implementation impedes proper adjudication. 11
Was the Commission correct to regard this as both a contravention of section  
13A and section 4(1)(b)?
20]   Although   not   argued   as   a   point   of   objection   to   the   present   consent   order,  
Netcare   has   argued   that   it   is   artificial   to   allege   that   the   firm   has   both  
implemented a merger without consent and contravened section 4. Were we to

implemented a merger without consent and contravened section 4. Were we to  
confirm the order it would not be necessary to consider this argument. Given  
that we have referred the matter back, it would be necessary for us to give the  
parties our   prima facie   view on this matter, should they choose  to negotiate  
another consent order.
11   See our merger decision for more on the implications of why under our merger system  
prior implementation frustrates proper adjudication of a merger.
  11

21] In our view, the approach taken by the Commission is correct. Jurisprudentially  
these are separate and distinctive contraventions of the Act. Not all unlawful  
implementations  of  a  merger involve   at  the  same  time  a  prohibited  practice.  
Thus a vertical merger or a conglomerate merger, or a merger between firms in  
the   same   line   of   production   who   were   not   competitors   in   the   same   market  
would   typically   not   give   rise   to   a   prohibited   practice   even   if   implemented  
unlawfully. 
22] The respondents argue that because the merger not notified was about joint  
control, had the merger been approved, Netcare and CHG (jointly controlled by  
Netcare) would have been considered as a single economic entity and thus it  
would be artificial to say that it had both failed to notify and contravened section  
4.
23] The problem with this argument is that it equates the consequences of   joint  
control and sole control. Our jurisprudence and that of other jurisdictions has  
treated them as separate notions and for very sound reasons – a firm that is  
subject   to   joint   control   does   not   necessarily   have   controllers   with   the   same  
incentives.  12 Thus Netcare in considering pricing or investment decisions may  
have regard for how those decisions in CHG in which it has only a 43.75 %  
interest impact on its much larger interests in Netcare which  it wholly owns.  
CHG Holdings, which has no hospital interests outside of CHG, may have had  
a different view, and as a long as they both enjoyed joint control, an outcome  
may have been different from that of Netcare, as sole controller.
24] Thus without a full merger Netcare and CHG cannot be considered part of a  
single economic entity for the purpose of section 4. Absent an exemption in  
terms   of   section   10,   firms   setting   prices   together   can   validly   be   found   to

12  See   ICI/Tioxide  1991   (4)   CMLR   854   where   it   was   stated   that:   “...   because   decisive  
influences   exercised   solely   is   substantially   different   to   decisive   influence   exercised   jointly,  
since the latter has to take into account the potentially different interests of the other party or  
parties concerned .. By changing the quality of decisive influence exercised by ICI on Tioxide,  
the transaction will bring about a durable change of the structure of the concerned parties.”  
(This statement was quoted with approval by the Tribunal in  Iscor limited and Saldanha Steel  
(Pty) Ltd  Case No. 67/LM/Dec01 on page 7).
  12

contravene   section   4   of   the   Act.   This   means   that   the   Act   of   unlawful   prior  
implementation   and   the   contravention   of   section   4   constitute   distinct  
contraventions,   and   the   same   set   of   facts   may   validly   give   rise   to   a  
contravention of both, without there being a suggestion that there has been a  
splitting of charges. However, and the Commission concedes this, to the extent  
of assessing the quantum of a penalty, it would be appropriate to have regard  
to the fact that the harm caused by one may overlap with the harm caused by  
the other, although they are not necessarily fully co­extensive. Thus if the harm  
caused by non­notification led to a collusive outcome and higher prices, then  
this would overlap with the harm associated with the contravention of section 4.
Was the assessment of the collusion penalty appropriate?
25] Although the Act does not require one to do so, it has been past practice of the  
Commission and Tribunal to fine a firm not on its entire turnover in the relevant  
financial year, but what has been termed the ‘affected’ turnover. By affected  
turnover we mean the turnover in the line of business in which the prohibited  
practice occurred. In this case the Commission has followed that approach and  
determined   that   the   affected   turnover   was   that   of   CHG   only.   There   is   no  
warrant for limiting the affected turnover in this restrictive manner in respect of  
either the section 4or section 13A(3) contravention. The Commission’s rationale  
seems to be that the adverse affects of the collusion would  only have been  
reflected   by   a   rise   CHG’s   price   for   its   services   –   because   it   was   the   junior  
partner in the collusion – and completely dwarfed by Netcare which would have  
charged the same prices for its services irrespective of whether the collusion  
took place. This is a dangerous basis for assessing cartel penalties and takes

took place. This is a dangerous basis for assessing cartel penalties and takes  
the   notion   of   affected   turnover   too   far.   Whilst   a   relevant   limit   to   affected  
turnover may be to limit the firms to overlapping turnover in respect of section  
4, it is wholly artificial and bad policy to limit the affected turnover further to that  
of the junior partner. We know of no precedent for treating firms involved  in  
cartel activities in such a liberal manner.
26] In relation to calculating the affected turnover of the parties for the purpose of  
the  section 13(A)(3)  violation,  there  is even  less  warrant  for determining  the  
  13

turnover by reference to that of the one party only. This can lead to serious  
under   deterrence.   Of   course   once   the   correct   affected   turnover   has   been  
assessed, the Commission in deciding on an appropriate level for the fine can  
reduce   the   level   of   the   fine   by   taking   factors   into   account   that   seem   to   be  
common cause in this case for example:
a) the affect of the central bargaining  process in the sector that  
was   only   prohibited   by   the   Commission’s   enforcement   of   a  
consent order in 2003; 13
b) the   degree   to   which   CHG’s   independent   pricing   power   may  
have impacted that of Netcare. 
27] However,   one   should   not   confuse   the   extent   of   the   affect   of   conduct   with  
affected turnover. In a collusion case all the turnover of overlapping activities is  
at the very least part of affected turnover. In a merger non­notification case the  
same would hold.
28] On   the   present   figures,   if   Netcares’   hospital   turnover   in   SA   was   taken   into  
account and added to that of CHG, then the present fine would constitute a tiny  
fraction of this figure ­ less than 1%. 14  This is miniscule indeed and pales in  
comparison with other penalties set in prohibited practice cases. 15
29] For  all   these   reasons   whilst   we   do   not   take  a   view   on  what   an   appropriate  
13  The central bargaining meant that for some period of the violation hospitals were charging  
uniform prices to funders.
14  This   would   be   arrived   at   by   taking   a   combined   turnover   of   R6   824  686  337.00   being  
R298  286  337.00   for   CHG,   the   present   figure   used   by   the   Commission   and   the   figure   of  
R6  526.4m, the hospital turnover of Netcare in South Africa according to its Group Audited  
Results, page 21. The Group Audited Results do not show whether or not the turnover figure

Results, page 21. The Group Audited Results do not show whether or not the turnover figure  
for Netcare’s hospitals in South Africa also include the CHG turnover. See Netcare’s Group  
Audited   Results   on   page   7   of   the   record   and   CHG’s   Consolidated   Annual   Financial  
Statements on page 27 of the record.
15  See for instance   Competition Commission v Federal Mogul Aftermarket Southern Africa  
(Pty) Ltd & Others Case 08/CR/Mar01 , where the penalty was 4.97% of turnover,   Harmony 
Gold   Mining   Company   Limited   and  Durban   Roodepoort   Deep   Limited   v   Mittal   Steel  South  
Africa   and   Macsteel   International   BV   Case   13/CR/Feb07 ,   where   the   penalty   was   5.5%   of  
turnover and   Competition Commission v Tiger Consumer Brands (Pty) Ltd 15/CR/Feb07 , a  
collusion case, where the penalty was 5.7% of turnover.
  14

penalty should be, we believe that the present agreement is inappropriately low  
and   that   we   cannot   approve   it.   Whilst   we   encourage   parties   to   negotiate  
settlements with the Commission and believe this is in both the public interest  
and the interests of affected parties, we cannot sanction agreements which fall  
far short of the standard of an appropriate penalty. For the reasons, given the  
Commission has failed to give due weight  to certain considerations or taken  
them into account at all and has erred in calculating the affected turnover, an  
appropriate penalty, absent a satisfactory explanation to some of the concerns  
we have raised, should be substantially higher than the present one.
30] We also raise one technical issue which does not affect the substance of our  
analysis. Although the consent order has been brought in terms of section 49D  
of   the   Act,   that   procedure   is   only   available   for   prohibited   practices,   i.e   the  
section 4 contravention not the section 13(A)3 contravention. This is because  
section 49D is expressly limited to settlements in prohibited practice cases. 
31] However, there is no bar on parties agreeing to the terms of a ‘settlement order’  
to settle disputes over litigation concerning other contraventions of the Act over  
which   we   exercise   jurisdiction.   As  the   Competition   Appeal   Court   held   in   the  
context of prohibited practice cases which get settled after the referral comes to  
the Tribunal:
“The Tribunal is entitled – at any time while it is seized with the matter  
–   to   make   an   order   proposed   and   agreed   to   by   the   respondent  
provided only that it acts in accordance with the requirements of just  
administrative action that is lawful,  reasonable  and procedurally  fair.  
And,   of   course,   that   it   is   thereafter   satisfied   that   the   order   is  
appropriate”16
32] The   procedural   distinction   between   a   consent   order   and   a   settlement

32] The   procedural   distinction   between   a   consent   order   and   a   settlement  
agreement, does not detract from the fact that in exercising our discretion to  
confirm the  order or to refuse to do so,  we exercise our  discretion from  the  
16    See the decision of the CAC in  Glaxo Smith Kline South Africa v David Lewis N.O. &  
Others  Case No. 62/CAC/Apr06 page 24.
  15

same vantage point  – do the terms of the settlement  adequately protect the  
public interest? ( See American Natural Soda Ash Corporation and Another v  
Competition Commission of SA and Others  (2005) 1 CPLR 1 (SCA). 17
 
33] In this case for the reasons that we have given earlier, we do not believe that  
the present agreement­ whether viewed in terms of our discretion to approve  
consent agreements in terms of section 49D or in terms of our more general  
powers   to   approve   an   appropriate   settlement   as   an   order   of   the   Tribunal   ­  
adequately   safeguards  the  public   interest,   and   for  that   reason,   we  refuse  to  
make the order sought.  18
________________ 10 March 2008
N Manoim  DATE
Tribunal Member
U Bhoola and Y Carrim concur in the judgment of N Manoim
Tribunal Researcher :  R Kariga
For the merging parties: D Unterhalter (SC) assisted by J Wilson, instructed by  
Webber Wentzel Bowens Attorneys  
For the Commission : W Mkwanazi, M Worsely and N Mokuena
17   In that case the court held in the context of prohibited practice cases that the orders the  
tribunal can give  “ are of a limited kind to be made in the pubic interest.”
18   See  Glaxo Smith Kline South Africa v David Lewis N.O. & Others  on page 19 where it is  
stated that:  “The Commission Acts on behalf of the South African Republic and, in particular,  
the South African consumers whenever it investigates a complaint, evaluates the results and  
determines whether or not to refer the matter to the Tribunal for adjudication”.
  16