Final Notice

On , the Financial Conduct Authority issued a Final Notice to NMC Health Plc
FINAL NOTICE

To:


NMC Health Plc (in Administration)

Address:

c/o Alvarez & Marsal Europe LLP

1.
ACTION

1.1.
For the reasons given in this Final Notice, the Authority hereby publish a public

censure pursuant to section 123(3) of the Act in respect of NMC Health Plc (“NMC”

or the “Company”) for committing market abuse (dissemination).

1.2.
The Authority considers that NMC’s market abuse merits a financial penalty. Had

NMC not been placed into administration in April 2020, it being presently

anticipated that no funds will be available after creditor claims have been met,

the Authority would have imposed on it a substantial financial penalty.

1.3.
NMC agreed to resolve this matter.

2.
SUMMARY OF REASONS

2.1.
NMC is one of the leading private healthcare operators in the Arab States of the

Gulf. On 2 April 2012, its shares were admitted to trading on the Premium

Segment of the London Stock Exchange and in 2017 entered the FTSE 100. In

its 2018 Annual Accounts it assured the market that:

“it maintained proper accounting records, sufficient to show and explain its

transactions and disclose with reasonable accuracy, at any time, its financial

position.”

2.2.
In practice, between at least 7 March 2019 (the commencement date for the

purposes of this notice) and 27 February 2020 (the date the Company’s shares

were suspended from trading) (“the Relevant Period”) NMC had been materially

under-reporting to the market its levels of debt.

2.3.
On 7 March 2019, NMC published its financial report for the year ended 31

December 2018 (the “March Statement”) which stated that the Group’s total debt

was USD 1.99 billion. Subsequent investigations later estimated that its true level

of debt should have been stated as USD 5.91 billion, of which approximately USD

4 billion was guaranteed by NMC Health Plc.

2.4.
On 20 May 2019, NMC published its 2018 Annual Report which affirmed its debt

position as set out in its March Statement.

2.5.
On 22 August 2019, NMC published its interim report for the six months ended 30

June 2019 (the “August Statement”) which stated that the Group’s total debt was

USD 2.1 billion, when it is estimated that it should have been stated as USD 6.2

billion.

Allegations, investigation and debt revelations

2.6.
On 17 December 2019, Muddy Waters Capital LLC (“Muddy Waters”) published a

report which set out a number of detailed allegations impugning the accuracy of

NMC’s financial reporting to the market (“the Allegations”).

2.7.
In announcements made on 18 and 19 December 2019, NMC denied the veracity

of the Allegations but announced that it would be commencing an independent

third-party review to investigate them (“the Review”).

2.8.
On 26 February 2020, NMC announced that the Review had identified potential

discrepancies and inconsistencies in the Company's bank statements and ledger

entries. The following day, the Authority agreed to NMC’s request for a temporary

suspension of its shares to ensure the smooth operation of the market.

2.9.
On 10 March 2020, the Company announced that the Review had identified over

USD 2.7 billion in debt facilities that had previously not been disclosed to or

approved by the Board. On 24 March 2020, NMC announced that it currently

estimated its debt position to be around USD 6.6 billion.

The appointment of administrators and cancellation of listing

2.10.
On 6 April 2020, NMC announced that one of its principal creditors had filed an

application with the High Court of Justice for the appointment of administrators.

That application was successful and Joint Administrators (“the Administrators”)

were appointed on 9 April 2020.

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2.11.
On 27 April 2020, NMC requested that the listing of its ordinary shares be

cancelled. They were delisted the next day.

Accounting malpractice

2.12.
NMC had been operating with dual sets of partial accounting records throughout

the Relevant Period. These records included the maintenance of internal

spreadsheets, where borrowing recorded as “Non-Showing” was not included in

the figures reported to the market, whereas borrowing recorded as “Showing” was

reported.

Unreported supply chain finance facilities

2.13.
Supply chain finance (“SCF”) facilities had been set up and heavily drawn upon

by certain suppliers which were related parties to NMC Healthcare LLC, for which

NMC Health Plc was the ultimate guarantor. These amounted to Related Party

transactions which should have been included in the figures reported to the

market but were not.

2.14.
The Authority has found that NMC committed market abuse by publishing false or

misleading information about its debt position within its March and August

Statements and 2018 Annual Report and by failing to declare Related Party

transactions therein, and by the false or misleading statements in its 18 and 19

December Announcements (“the Disseminated Information”), when it knew, or

ought to have known, that the information was false or misleading, in breach of

Article 15 of EU MAR.

2.15.
In making this finding, the Authority does not specifically find that each and every

member of NMC’s board knew, or ought to have known, that the Disseminated

Information was false or misleading. However, the Authority is satisfied that there

was knowledge within NMC at a sufficiently senior level that the Disseminated

Information was false or misleading for that knowledge to constitute the

knowledge of NMC, within the specific context of, and for the purposes of, market

abuse.

2.16.
The Authority considers that NMC’s conduct was serious because such market

abuse undermines investor confidence in the integrity of the financial markets.

2.17.
Given that NMC was placed into administration in April 2020, it being presently

anticipated that no funds will be available after creditor claims have been met,

the Authority is satisfied that it is preferable for NMC to meet these claims, rather

than to impose a financial penalty which would reduce the funds available to

creditors.

2.18.
The Authority therefore proposes to publish the censure set out in this notice

pursuant to section 123(3) of the Act.

3.
DEFINITIONS

3.1.
The definitions below are used in this Notice:

“the Act” means the Financial Services and Markets Act 2000;

“the Administrators” means the Joint Administrators appointed in respect of the

Company by order of the High Court of Justice on 9 April 2020;

“the Allegations” means the report published by Muddy Waters on 17 December

2019 which set out a number of detailed allegations impugning the accuracy of

NMC’s financial reporting to the market;

“the 2018 Annual Report” means NMC’s Annual Report and Accounts made up to

31 December 2018, authorised for issue by the Board on 6 March 2019 and

published on 20 May 2019;

“the August Statement” means NMC’s interim financial report for the six months

ended 30 June 2019 announced by NMC on 22 August 2019;

“the Authority” means the Financial Conduct Authority;

“the 18 December Announcement” means NMC’s announcement on 18 December

2019 purporting to rebut the Allegations;

“the 19 December Announcement” means NMC’s announcement on 19 December

2019 purporting to rebut the Allegations;

“DEPP” means the Decision Procedure and Penalties manual, part of the

Authority’s Handbook of Rules and Guidance;

“the Disseminated Information” means the false or misleading information as to

the Company’s debt position within its March and August Statements and 2018

Annual Report and its failure to declare Related Party transactions therein, and

the false or misleading statements in its 18 and 19 December Announcements;

“EU MAR” means Regulation (EU) No 596/2014 of the European Parliament and

of the Council of 16 April 2014 on market abuse;

“Handbook” means the Authority’s Handbook of Rules and Guidance;

“the March Statement” means NMC’s financial report for the year ended 31

December 2018 announced by NMC on 7 March 2019;

“Muddy Waters” means Muddy Waters Capital LLC;

“NMC”, “the Company” means NMC Health Plc (In Administration)

“the Group” means NMC Healthcare Ltd (In Administration, Previously NMC
Healthcare LLC) and the operating entities that constituted the NMC group in the
Relevant Period;

“NMC shares” means NMC’s shares traded on the Premium Segment of the London

Stock Exchange;

“RDC” means the Regulatory Decisions Committee of the Authority;

“Related Party” means a party related to the Company, including substantial

shareholders and senior management of the group companies, their associates

and entities controlled, jointly controlled or significantly influenced by such

parties, or where such parties are members of the key management personnel of

the entities, without reference to every, or any particular, member of such a

group;

“the Relevant Period” means the period from 7 March 2019 to 26 February 2020;

“RNS” means the Regulatory News Service operated by the London Stock

Exchange;

“the Spreadsheets” means NMC’s internal accounts categorising borrowings into

Showing and Non-Showing, only those classified as Showing were disclosed to the

market;

“Sukuk” refers to financial products whose terms and structures comply with

sharia law, with the intention of creating returns similar to those of conventional

fixed-income instruments like bonds;

“SCF” means supply chain finance, an arrangement whereby a borrower can

obtain finance to bridge the gap between the time when it pays its supplier and

the time when it receives payment from its customer. A borrower can receive an

earlier payment of its invoice at a discount from the lender which is usually a

financial institution. The lender then obtains a full payment of the invoice plus

financial costs from the borrower later when the borrower receives payment from

its customers;

“the Treasury Department” means NMC’s Treasury, Banking & Trade Operations

Department, and

“the Tribunal” means the Upper Tribunal (Tax and Chancery Chamber).

4.
FACTS AND MATTERS

4.1.
NMC is a company which was incorporated in England and Wales on 20 July 2011.

On 2 April 2012 its shares were admitted to trading on the Premium Segment of

the London Stock Exchange and entered the FTSE 100 in 2017.

4.2.
NMC is the holding company of the largest private healthcare operator in the

United Arab Emirates with international services across 19 countries. In its 2018

Annual Report it reported revenues of USD 2.1 billion.

NMC’s financial statements announced during the Relevant Period

4.3.
On 7 March 2019, NMC published its financial report for the year ended 31

December 2018 (the “March 2019 Statement”) which stated that the Group’s total

debt was USD 1.99 billion. In fact, its debt was USD 5.91 billion.

4.4.
On 20 May 2019, NMC published its 2018 Annual Report which affirmed its debt

position as set out in its March Statement.

4.5.
On 22 August 2019, NMC published its interim report for the half year ended 30

June 2019 (the “August 2019 Statement”) which stated that the Group’s total

debt was USD 2.1 billion, but by that time it was in fact USD 6.2 billion.

Allegations made by Muddy Waters against NMC

4.6.
On 17 December 2019, Muddy Waters published a report which set out its

Allegations. These were summarised in the report’s opening paragraph:

“We are short NMC Health plc. We have serious doubts about the company’s

financial statements, including its asset values, cash balance, reported

profits, and reported debt levels. At the worst of times, the company has

invested in large assets at costs that we find too high to be plausible –

including from parties we believe are de facto under common control. This

behaviour gives rise to concerns about fraudulent asset values and theft of

company assets. At somewhat better times, the company seems to “only”

materially mislead, such as by trying to give investors the (false) impression

it does not engage in reverse factoring, and by understating (we believe

intentionally) lease debt.”

Announcements by NMC leading to its suspension from trading

4.7.
On 18 December 2019, NMC announced that it noted the publication of the

Allegations and the resultant share price reaction. It said that it would review the

assertions, insinuations and accusations made in the report, “which appear

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principally unfounded, baseless and misleading, containing many errors of fact”,

and said that it would respond in detail in due course. It also stated that:

“NMC reaffirms its broader trading and operational guidance for the business

for both 2019 and 2020 as disclosed at its recent Capital Markets Day held

4.8.
On 19 December 2019, NMC announced that it had considered the Allegations,

and concluded they were false and misleading. Within the announcement the

company purported to outline factual inaccuracies and to provide important

additional information.

4.9.
On 23 December 2019, NMC announced that it would be commencing the Review.

It also used this announcement to state that despite having issued a detailed

rebuttal of the Allegations, it was “disappointed with the very material and, we

believe, unwarranted share price reaction”, adding:

“We are confident that this review, when complete, will be entirely

confirmatory of the disclosures provided by the Company to date. We will

also be progressing relevant legal and regulatory options following the

actions taken by third parties to mislead the market and manipulate the

share price.”

“The Company believes that the current share price is not a fair reflection of

the value of the Company which has a consistent track record of strong

growth and cash generation.”

4.10.
On 26 February 2020, NMC announced that the Review was ongoing but that it

had updated the Board in relation to certain material findings to date. It said that

the Review had identified and was examining certain supply chain financing

arrangements that had been entered into by the Company.

4.11.
The announcement, alongside announcing some changes to NMC’s personnel, also

informed the market that:

“In the course of their work to reconcile NMC's cash balances and net debt

as at 15 December 2019, the Review Advisers have identified potential

discrepancies and inconsistencies in the Company's bank statements and

ledger entries. The Committee and the Review Advisers are investigating

these matters and seeking to determine the materiality of the

discrepancies.”

4.12.
On 27 February 2020, the Authority agreed to NMC’s request for a temporary

suspension of its shares to ensure the smooth operation of the market.

Announcements by NMC after its suspension from trading

4.13.
On 10 March 2020, NMC announced that its debt position was materially above

the last reported number as at 30 June 2019, and was currently estimated to be

around USD 5 billion though work on verifying this figure was ongoing. The

announcement also informed the market that:

“In addition to $2.1bn [USD] Group debt reported at 30 June 2019, the

Company has identified over $2.7bn [USD] in facilities that had previously

not been disclosed to or approved by the Board.”

4.14.
Underlining the precariousness of NMC’s finances, the announcement confirmed

that the Company was fully focused on “safeguarding its operational liquidity” and

had “successfully completed the payment of its February payroll”.

4.15.
On 24 March 2020, NMC announced that its debt position was currently estimated

to be around USD 6.6 billion, including USD 360 million convertible bond and USD

400 million Sukuk.

4.16.
It further particularised these debts by saying that, since 10 March 2020, the

Company had verified that a further USD 0.3 billion was currently outstanding

which related to facilities which were known to the Board as at June 2019; USD

0.8 billion of newly identified facilities undisclosed as at June 2019 and

unapproved by the Board; and an additional USD 0.4 billion of facilities were

entered into post June 2019 and unidentified as at 10 March 2020.

4.17.
NMC confirmed that it was continuing to work with its advisers to understand the

exact nature and quantum of the undisclosed facilities, including the

circumstances in which they were obtained.

4.18.
On 6 April 2020, NMC announced that one of its principal creditors had filed an

application with the High Court of Justice for the appointment of administrators.

That application was successful and the Administrators were appointed on 9 April

2020.

4.19.
On 27 April 2020, NMC requested that the listing of its ordinary shares be

cancelled. They were delisted the following day.

Assurances in NMC’s 2018 Annual Report

4.20.
NMC’s 2018 Annual Report provided assurances in relation to its governance,

stating that it had strengthened its internal controls and kept its approach to risk

under review during a period of sustained growth and integration.

4.21.
It stated that it had in place a governance and control environment which was

both appropriate for the Group and consistent with the standards which would be

expected of a FTSE 100 Company traded on the Premium Segment of the London

Stock Exchange. It also stated that it took proper steps to ensure that Related

Party transactions were reported in the Group’s financial statements.

4.22.
NMC’s 2018 Annual Report provided assurances that it maintained proper

accounting records, sufficient to show and explain its transactions and disclose

with reasonable accuracy, at any time, its financial position.

4.23.
NMC’s 2018 Annual Report also confirmed that, to the best of the Company’s

knowledge, its financial statements, gave a true and fair view of the assets,

liabilities, financial position and profit or loss of the Company and the undertakings

included in the consolidation taken as a whole.

Irregularities in NMC’s financial affairs

“Showing” and “Non-Showing” accounts

4.24.
During the Relevant Period, NMC operated with two parallel sets of partial financial

records. These financial records included spreadsheets maintained by the Group’s

Treasury, Banking & Trade Operations Department (“the Treasury Department”)

that categorised debts into “Showing” and “Non-Showing” in its internal accounts

(“the Spreadsheets”).

4.25.
The
Non-Showing
debts
recorded
in
the
Spreadsheets,
representing

approximately 200% of the reported debts, had been granted by creditors during

the years 2015 to 2019 but were not disclosed in any of NMC’s financial

statements published during the Relevant Period. Only those borrowings classified

as Showing had been disclosed to the market. As a result, by 30 June 2019 the

Group’s level of unreported debt totalled USD 4.1 billion.

4.26.
Prior to and throughout the Relevant Period, the Group had entered into supply

chain finance (“SCF”) agreements, as the ultimate guarantor, with financial

institutions which in turn provided SCF facilities to its subsidiary NMC Healthcare

LLC. NMC Healthcare LLC paid suppliers who were Related Parties using those SCF

facilities. NMC did not report these balances at 31 December 2018 or 30 June

2019.

4.27.
Purported suppliers of NMC Healthcare LLC could thereby be paid earlier than the

invoice due dates, utilising the SCF facilities ultimately guaranteed by NMC. NMC

bore the financial liabilities until NMC Healthcare LLC fully repaid the invoice

amount with the related finance costs to the financial institutions. Such an

arrangement carried clear credit risks and liquidity risks to NMC.

NMC’s dissemination of misleading information

4.28.
During the Relevant Period NMC issued a number of announcements regarding its

financial position. None of them properly accounted for the Group’s true level of

debt. Its debts were, however, recorded on the Group’s Non-Showing

Spreadsheets.

Financial Report published on 7 March 2019

4.29.
On 7 March 2019, NMC published its financial report for the year ended 31

December 2018 (the “March Statement”).

4.30.
The March Statement recorded that the Group’s total debt, as of 31 December

2018, was USD 1.99 billion, whereas it should have been recorded as

approximately USD 5.91 billion. The total undisclosed debt was therefore 3.91

billion, of which USD 227 million related to SCF facilities where NMC Healthcare

LLC was the obligor and NMC Health Plc the guarantor. A summary of reported

debt positions shown in the March Statement is set out in Table A, below,

alongside those debt positions which went unreported:

Debts in
USD’000 (a)

Reported
Amount (b)
Identified
Amount (c)

Unreported
Amount (d)

(d) as % of
(b)

Term Loans
1,040,754
3,709,382
2,668,628
256%

Short-term
borrowings
168,950
1,414,342
1,245,392
737%

Convertible
bond & Sukuk
783,009
783,009
-
0%

Total Debts
1,992,713
5,906,733

3,914,020

4.31.
Emails dated 31 December 2018, 2 January 2019 and 7 March 2019 circulated

within the Treasury Department included the Spreadsheets which categorised

Showing and Non-Showing debts due to various lenders as at 31 December 2018.

The Spreadsheets demonstrated that NMC were servicing debts and interest

repayments for both reported and unreported debts.

4.32.
On 13 February 2019, the Group provided its statutory auditors with a

spreadsheet containing a detailed breakdown of the consolidated financial

statements as at 31 December 2018. This contained the reported debts set out

in Table A, above, but not the debts categorised as Non-Showing in the

Spreadsheets.

4.33.
Loan documents and details of the unreported Term Loans (see Table A above)

aligned with the debts categorised as Non-Showing in the Spreadsheets.

4.34.
Short-Term borrowings (see Table A) included trust receipts to finance purchases

and invoice discounting facilities. The Spreadsheets contained a list of Non-

Showing lenders for trust receipts, the total outstanding Non-Showing trust

receipts debts amounted to USD 735,949,019, out of total Short-Term borrowings

4.35.
The debts due to the SCF facilities, as part of the above Short-Term borrowings,

were not disclosed in the March Statement. In the Spreadsheets they were

recorded as Non-showing debts and amounted to USD 226,969,862 as at 31

December 2018.

2018 Annual Report published on 20 May 2019

4.36.
On 20 May 2019, NMC published its 2018 Annual Report which affirmed its debt

position as set out in its March Statement.

Financial Report published on 22 August 2019

4.37.
On 22 August 2019, NMC published its interim financial report for the half year

ended 30 June 2019 (the “August Statement”).

4.38.
The August Statement recorded that the Group’s total debt, as of 30 June 2019

was USD 2.1 billion, whereas it should have been recorded as approximately USD

6.2 billion. The total undisclosed debt was therefore USD 4.1 billion, of which USD

332 million related to SCF facilities where NMC was the ultimate guarantor.

4.39.
A summary of reported debt positions shown in the August Statement is set out

in Table B, below, alongside those debt positions which went unreported:

Debts in
USD’000
(a)

Reported
Amount (b)
Identified
Amount (c)

Unreported
Amount (d)

(d) as % of
(b)

Term Loans
1,114,661
3,997,277
2,882,616
259%

Short-term
borrowings
190,351
1,414,885
1,224,534
643%

Convertible
bond &
Sukuk

790,193
790,193
-
0%

4,107,150

4.40.
As with the March Statement, the Treasury Department operated with two parallel

sets of financial records for the interim period ended 30 June 2019. Emails dated

28 June 2019, 1 July 2019 and 2 July 2019, circulated within the Treasury

Department included the Spreadsheets which categorised Showing and Non-

Showing debts due to various lenders as at 30 June 2019.

4.41.
On 7 August 2019, the Group provided its statutory auditors a spreadsheet

containing a detailed breakdown of the consolidated financial statements as at 30

June 2019. This contained the reported debts set out in Table B, above, but not

the debts categorised as Non-Showing in the Spreadsheets.

4.42.
As with the March Statement, loan documents and details of the unreported Term

Loans (see Table B) aligned with the debts categorised as Non-Showing in the

Spreadsheets.

4.43.
Short-Term borrowings (see Table B) included trust receipts to finance purchases

and invoice discounting facilities. Again the Spreadsheets contained a list of Non-

Showing lenders for trust receipts and invoice discounting facilities.

4.44.
The debts due to the SCF facilities, as part of the above Short-Term borrowings,

were not disclosed in the August Statement. In the Spreadsheets they were

recorded as Non-showing debts and amounted to USD 332 million, as at 30 June

2019.

NMC’s announcements in response to the Allegations

4.45.
On the morning of 17 December 2019, the Allegations were published by Muddy

Waters. During trading that day the price of NMC shares fell from £25.85 at the

close the previous day to £17.475, a fall of 32%. NMC made a series of public

announcements in response to this fall and to the Allegations.

4.46.
On 18 December 2019, NMC made an announcement entitled ‘Response to Share

Price Movement’ (“the 18 December Announcement”). This response noted the

Allegations and stated that NMC had “nothing to add to disclosures already made”.

It characterised the Allegations as “unfounded, baseless and misleading” and said

that the Company would “respond in due course”. It also stated that NMC had:

“a track record of significant, open and increasingly detailed disclosure to

the market, as monitored and reviewed by its entirely independent

disclosure committee”.

4.47.
In fact, the disclosure committee did not exist at the time of this announcement,

let alone prior to the publication of the impugned financial statements. It could

not therefore have had any role in monitoring or reviewing them.

4.48.
After the market closed on 19 December 2019, NMC issued another

announcement (“the 19 December Announcement”) purporting to re-confirm

accurate disclosure of its financial position and to rebut three specific accusations

made in the Allegations, relating to the following: its SCF arrangements; a USD

105 million loan from Lender A to NMC; and a USD 80 million loan from Lender B

4.49.
In respect of its SCF arrangements, in the 19 December Announcement NMC

stated that “no actual borrowing” by the Group from the financier was necessary

to pay suppliers early, and readers of the financial statements should expect to

see this recorded as “accounts payable rather than short-term borrowings”.

4.50.
According to NMC, contrary to the Allegations, these arrangements were no more

than a way of NMC paying invoices from its suppliers: NMC had “simply provided

an undertaking in the form of a guarantee to settle the accepted trade payables

against each invoice.” The announcement also said that NMC “is not assuming

any recourse on such supply finance facilities.”

4.51.
This was false because NMC Healthcare LLC was in fact the obligor on these

facilities but had not reported the balances as short-term borrowings. It was

misleading for the announcement to characterise liabilities as accounts payable,

because NMC knew that it was the obligor for those facilities and therefore liable

for the resultant balances.

4.52.
Those liabilities were in practice being recorded on the Spreadsheets maintained

within the Treasury Department as Non-Showing debts, not as accounts payable.

NMC’s announcement concerning a USD105 million facility from Lender A

4.53.
In respect of the USD 105 million facilities from Lender A, in the 19 December

Announcement, NMC described the Lender A facility as a “back stop for an

acquisition which did not materialize”. Thereby implying that the facility, although

agreed, was not utilised. This was false and misleading as the facility was in fact

utilised and the resulting outstanding debt to Lender A was recorded on the

Spreadsheets by the Group as at 31 December 2018 and 30 June 2019. Those

liabilities had not been disclosed in the March 2019 Statement, the 2018 Annual

Report or the August 2019 Statement.

4.54.
In practice, therefore, the evidence available to NMC supported this aspect of the

Allegations that the Group had entered into a loan arrangement with Lender A for

USD 105 million in December 2018 and had an outstanding liability exposure of

USD 105 million as at 31 December 2018 and 30 June 2019.

NMC’s announcement concerning a USD 80 million facility from Lender B

4.55.
In respect of the USD 80 million short-term facilities from Lender B, in the 19

December Announcement NMC acknowledged the existence of facilities from

Lender B. It also stated that it was bound by regulatory requirements to make

adequate disclosures in NMC’s financial statements. Thereby implying that there

had been adequate disclosure of debts due to Lender B. This response was

misleading because the outstanding liabilities due to Lender B existed as at 30

June 2019 but had not been disclosed in the August 2019 Statement.

4.56.
The Group had entered into a loan arrangement with Lender B for USD 80 million

in on 7 May 2019 and as at 30 June 2019, the outstanding term loan exposure

due to Lender B was USD 80 million. However, when NMC provided its auditors

with a Consolidated Financial Statement for the interim period on 7 August 2019,

it did not contain the loan from Lender B in the relevant figures.

Price impact

4.57.
In the period between the publication of the Allegations on 17 December 2019

and 26 February 2020, the Company’s share price fell by nearly 64% from

approximately £26 (market capitalisation at £5.4 billion) to approximately £9

(market capitalisation at £1.9 billion).

5.
FAILINGS

5.1.
The statutory and regulatory provisions relevant to this Notice are referred to in

Market abuse

5.2.
Throughout the Relevant Period shares in NMC were financial instruments

admitted to trading on a regulated market.

5.3.
For the reasons set out below NMC committed market abuse (market

manipulation) in breach of Article 15 of EU MAR.

Article 12(1)(c)

5.4.
Pursuant to Article 12(1)(c) of EU MAR market manipulation includes

disseminating information by any means, which gives, or is likely to give, false or

misleading signals as to the supply of, demand for, or price of, a financial

instrument, […] or secures, or is likely to secure, the price of one or several

financial instruments, […] at an abnormal or artificial level, including the

dissemination of rumours, where the person who made the dissemination knew,

or ought to have known, that the information was false or misleading.

Dissemination of information by any means

5.5.
NMC disseminated information by publishing false or misleading information as to

the Company’s debt position within its March and August Statements and 2018

Annual Accounts and by its failure to declare Related Party transactions therein,

and by publishing false or misleading information in its 18 and 19 December

Announcements (“the Disseminated Information”), when it knew, or ought to

have known, that the information was false or misleading.

Gives or likely to give false or misleading signals

5.6.
The Disseminated Information gave, or was likely to give, false or misleading

signals as to the price of its shares.

Knew or ought to have known that the information was false or misleading

5.7.
Whilst the Authority does not specifically find that each and every member of

NMC’s board knew, or ought to have known, that the Disseminated Information

was false or misleading, the Authority is satisfied that there was knowledge within

NMC at a sufficiently senior level that the Disseminated Information was false or

misleading for that knowledge to constitute the knowledge of NMC, within the

specific context of, and for the purposes of, market abuse.

The Disseminated Information

5.8.
The false and misleading information, and the Company’s publications in which it

was contained, are as follows:

(1) The March Statement, which was published on the 7 March 2019, giving the

Group’s full year financial results for 2018, which stated that the Group’s total

debt as of 31 December 2018 was USD 1.99 billion, when it was in fact USD

5.91 billion, of which USD 227 million related to SCF facilities where NMC

Healthcare LLC was the obligor and NMC Health Plc the guarantor.

(2) The 2018 Annual Report, which was published on 20 May 2019, and stated

that the Company’s financial statements gave a true and fair view of the

assets, liabilities and financial position of the Company, when they did not.

(3) The August Statement, which was published on 22 August 2019, giving the

Company’s interim half-year financial results for 2019, which stated that the

Group’s total debt as of June 2019 was USD 2.1 billion, when it was in fact

USD 6.2 billion, including USD 332 million related to SCF facilities where NMC

Healthcare LLC was the obligor and NMC Health Plc was the guarantor.

(4) The 18 December Announcement, in which the Company, in seeking to defend

its financial disclosures, cited the purported fact that its financial disclosures

were overseen by an independent disclosure committee, when in fact no such

committee had yet met.

(5) The 19 December Announcement, in which the Company (a) denied that it

was assuming recourse on any supply chain finance facilities, when in fact it

was, (b) implied that the loan facility from Lender A had not been utilised

when in fact it had, and (c) implied that there had been adequate disclosure

of debts due to Lender B when in fact there had not.

5.9.
For the reasons set out above and having regard to the provisions of EU MAR the

Authority considers that NMC committed market abuse contrary to Article 15 of

EU MAR.

5.10.
Pursuant to section 123(1)(a) of the Act, the Authority may therefore impose a

penalty of such amount on NMC as it considers appropriate.

5.11.
Section 123(3) of the Act states that if the Authority is entitled to impose a penalty

on a person it may, instead of imposing a penalty on him, publish a statement to

the effect that he has committed market abuse.

6.
SANCTION

6.1.
The Authority has had regard to the provisions of DEPP 6 regarding penalty, and

Chapter 7 of the Enforcement Guide. The Authority’s policy for imposing a financial

penalty or publishing a statement of misconduct is set out in Chapter 6 of DEPP.

DEPP 6.4.1G states that the Authority will consider all the relevant circumstances

of the case when deciding whether to impose a penalty or issue a public censure.

6.2.
In the particular circumstances of this case, the Authority does not consider it

would be appropriate to impose a penalty. Nor does the Authority consider that it

would be appropriate to indicate the level of the penalty which it would have

imposed, but for those circumstances.

6.3.
The Authority believes that its objectives may appropriately be achieved by means

of a public censure.

6.4.
In reaching this conclusion, the Authority has had regard to the following matters:

(1)
NMC’s conduct was serious and a very significant financial penalty would

ordinarily be justified.

(2)
NMC entered administration in April 2020. Such value as exists within the

Company is being utilised by the Administrators for the benefit of creditors

who, if the Authority imposed a financial penalty, would not be paid, or

would be paid a lower proportion of what they are owed. It is presently

anticipated that no funds will be available after creditor claims have been

met.

(3)
In addition to the facts and matters set out in this Notice relating to

misconduct during the Relevant Period, the Authority is aware of allegations

of similar and related misconduct by NMC in the preceding years 2012 to

2017. The Authority does not consider it proportionate to devote significant

additional investigative resource and time to investigation of that alleged

misconduct, given that NMC has already entered administration and has

effectively ceased as a going concern save for the efforts of the

administrators to recoup value for creditors.

(4)
In some circumstances, the Authority may decide to identify a specific sum

which it would otherwise have imposed as a financial penalty. In this case,

the Authority considers that such an indication would not be appropriate, as

it would of necessity only indicate a penalty imposed on the basis of the

Relevant Period, rather than the full period for which there are allegations

of misconduct.

7.
PROCEDURAL MATTERS

7.1.
This Notice is given under section 390 of the Act. The following paragraphs are

important.

Decision maker

7.2.
The decision which gave rise to the obligation to give this Notice was made by the

Settlement Decision Makers.

7.3.
Sections 391(4), 391(6) and 391(7) of the Act apply to the publication of

information about the matter to which this notice relates. Under those provisions,

the Authority must publish such information about the matter to which this notice

relates as the Authority considers appropriate. The information may be published

in such manner as the Authority considers appropriate. However, the Authority

may not publish information if such publication would, in the opinion of the

Authority, be unfair to you or prejudicial to the interests of consumers or

detrimental to the stability of the UK financial system.

7.4.
The Authority intends to publish such information about the matter to which this

Final Notice relates as it considers appropriate.

Authority contacts

7.5.
For more information concerning this matter generally, contact Giles Harry (direct

line: 020 7066 8072) or Denise Ip (direct line: 020 7066 0237) of the Enforcement

and Market Oversight Division of the Authority.

Mario Theodosiou
Head of Department
Financial Conduct Authority
Enforcement and Market Oversight Division


ANNEX A

RELEVANT STATUTORY AND REGULATORY PROVISIONS

The Financial Services and Markets Act 2000 (“the Act”)

The Authority’s statutory objectives

1.
The Authority’s statutory objectives, set out in section 1B(3) of the Act, include the

integrity objective, which is protecting and enhancing the integrity of the UK financial

system and includes (amongst other matters) its not being affected by

contraventions by persons of Article 15 (prohibition of market manipulation) of EU

MAR.

Section 123 of the Act

2.
The Authority has the power under section 123(1)(a) and 123(2) of the Act to impose

a penalty of such amount as it considers appropriate on a person if it is satisfied that

the person has contravened Article 15 (prohibition of market manipulation) of EU

MAR. Under section 123(3) of the Act the Authority may, instead of imposing a

penalty on a person, publish a statement censuring the person.

Regulation (EU) No 596/2014 (“EU MAR”)

3.
Article 1 of EU MAR provides that:

This Regulation establishes a common regulatory framework on insider dealing,

the unlawful disclosure of inside information and market manipulation (market

abuse) as well as measures to prevent market abuse to ensure the integrity of

financial markets in the Union and to enhance investor protection and confidence

in those markets.

4.
Article 2(1)(a) of EU MAR provides that EU MAR applies to financial instruments

admitted to trading on a regulated market.

5.
Article 12(1) of EU MAR provides that for the purposes of this Regulation, market

manipulation shall comprise the following activities:

(c) disseminating information through the media, including the internet, or by

any other means, which gives, or is likely to give, false or misleading signals

as to the supply of, demand for, or price of, a financial instrument, […] or

secures, or is likely to secure, the price of one or several financial

instruments, […] at an abnormal or artificial level, including the

dissemination of rumours, where the person who made the dissemination

knew, or ought to have known, that the information was false or

misleading.”

6.
Article 15 of EU MAR (Prohibition of market manipulation) provides that a person

shall not engage in or attempt to engage in market manipulation.

The Authority’s Handbook of Rules and Guidance

Market Conduct (MAR)

7.
The part of the Authority’s Handbook of rules and guidance entitled “Market Conduct”

(“MAR”) provides guidance on EU MAR (see MAR 1.1.2G).

8.
Chapter 1.8 of MAR is headed Dissemination. MAR 1.8.4G (Factors to be taken into

account in determining whether or not behaviour amounts to dissemination) states

that:

“If a normal and reasonable person would know or ought to have known in

all the circumstances that the information was false or misleading, that

indicates that the person disseminating the information knew or ought to

have known that it was false or misleading.”

Decisions Procedures and penalties manual (DEPP)

9.
Chapter 6 of DEPP sets out the Authority’s statement of policy with respect to the

imposition and amount of financial penalties under the Act and can be accessed here:

https://www.handbook.fca.org.uk/handbook/DEPP/6/?view=chapter

The Enforcement Guide (EG)

10.
The Authority’s approach to financial penalties and public censures is set out in

Chapter 7 of EG and can be accessed here:


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