The Healthcare Sector In South Africa 2022

The Healthcare Sector in South Africa

Healthcare expenditure in South Africa, which is over R500bn a year, is roughly evenly split between the public and private healthcare sectors, despite the former providing care for 85% of South Africans. The healthcare sector was put to the test through the COVID-19 pandemic. Public healthcare, already under strain from lack of resources and sub-quality care, struggled to cope with service provision during the pandemic and the distraction it caused from attending to urgent communicable and non-communicable disease epidemics.

Funding

Healthcare funding concerns are increasing and public healthcare budget cuts are expected due to pressure on government finances, while private healthcare costs continue to rise above inflation, causing a reduction in the already small pool of medically-insured people. Government expects National Health Insurance to fund over 90% of all healthcare in the public and private sectors. The private sector has raised concerns about its affordability, the state’s ability to implement it and the impact it will have on the private healthcare sector.

Private Sector Recovery

The pandemic significantly reduced the revenue of private sector hospitals, which also had to incur additional pandemic-related costs. However, they recorded a strong recovery in 2021 and 2022, refinanced or reduced debt and improved cash flow, and improved revenue as trading conditions normalised.

Report Coverage

This report focuses on the public and private healthcare sector in South Africa, including hospitals and other medical facilities, medical practitioners, emergency services and pathology services. It includes comprehensive information on the state of the sector, statistics, the performance of notable players, corporate actions and other major developments. There are profiles of 47 companies including hospital groups such as Netcare, Mediclinic, Life Healthcare, Lenmed and RH Bophelo, pathology practices such as Ampath, ambulance services such as ER24 and optometry groups including Torga Optical and Neovision.

1. INTRODUCTION

2. DESCRIPTION OF THE INDUSTRY

2.1. Industry Value Chain
2.2. Geographic Position
2.3. Size of the Industry
2.4. Key Success Factors and Pain Points

3. LOCAL

3.1. Key Trends
3.2. Notable Players
3.3. Corporate Actions
3.4. Regulations
3.5. Enterprise Development and Social Economic Development

4. AFRICA5. INTERNATIONAL

6. INFLUENCING FACTORS

6.1. COVID-19
6.2. Economic Environment
6.3. Labour
6.4. Environmental Issues
6.5. Technology, Research and Development (R&D) and Innovation
6.6. Implementation of National Health Insurance
6.7. Input Costs

7. COMPETITIVE ENVIROMENT

7.1. Competition
7.2. Ownership Structure of the Industry
7.3. Barriers to Entry

8. SWOT ANALYSIS9. OUTLOOK10. INDUSTRY ASSOCIATIONS

11. REFERENCES

11.1. Publications
11.2. Websites

Appendix - SUMMARY OF NOTABLE PLAYERS

Government Hospitals
Private Hospitals
Medical and Dental Practices
Optical
Pathology Practices
Ambulance Services
Blood Banks

COMPANY PROFILES - Government & Private Hospitals

Advanced Health Ltd
Ahmed Al-Kadi Private Hospital Ltd
Busamed (Pty) Ltd
CareWell Robertson Private Hospital (Pty) Ltd
Clinix Health Group (Pty) Ltd
Cormed Kliniek (Pty) Ltd
Cure Day Hospitals Holdings (Pty) Ltd
Joint Medical Holdings (Pty) Ltd
Lenmed Investments Ltd
Life Healthcare Group (Pty) Ltd
M-Care (Pty) Ltd
Mediclinic International PLC
Melomed Hospital Holdings (Pty) Ltd
National Department of Health
National Hospital Network NPC
Netcare Ltd
Nurture Care Group (Pty) Ltd
RH Bophelo Ltd
Spescare (Pty) Ltd

COMPANY PROFILES - Medical & Dental Practices

Kaelo Prime Cure (Pty) Ltd
Medicross Healthcare Group (Pty) Ltd
Momentum Metropolitan Holdings Ltd
Novahealth (Pty) Ltd

COMPANY PROFILES - Optical

Benmore Optometrists CC
Dynamic Vision Network (Pty) Ltd
KFML Holdings (Pty) Ltd
Mellins IStyle Optometrists Inc
Moffatt Inc
Neovision Group (Pty) Ltd
Torga Optical (Pty) Ltd

COMPANY PROFILES - Pathology Practices

AC Mauff and Partners
Ampath Trust
Bio Analytical Research Corporation South Africa (Pty) Ltd
Dietrich Voigt Mia (Pty) Ltd
Ishara Ramparsad Inc
Medilab Clinical Pathology (Pty) Ltd
National Health Laboratory Service
Pathology Lab One (Pty) Ltd

COMPANY PROFILES - Ambulance Services

Cape Medical Response CC
David's Medical Response CC
ER24 EMS (Pty) Ltd
Friedcorp 529 CC
Gardmed Ambulance Service Trust
KwaZulu Private Ambulance CC
Netcare Ltd
Relay EMS (Pty) Ltd

COMPANY PROFILES - Blood Banks

South African National Blood Service NPC
Western Cape Blood Service NPC

Companies Mentioned

AC Mauff and Partners
Activo Health (Pty) Ltd
Activo Healthcare Assets (Pty) Ltd
Adapt Office Suites (Pty) Ltd
Advanced De La Vie Day Hospital (Pty) Ltd
Advanced De La Vie Doctors Investments (Pty) Ltd
Advanced Durvanville Doctors Investments (Pty) Ltd
Advanced East Rand Day Hospital (Pty) Ltd
Advanced East Rand Doctors Investments (Pty) Ltd
Advanced Groenkloof Day Hospital (Pty) Ltd
Advanced Groenkloof Doctors Investments (Pty) Ltd
Advanced Harbour Bay Doctors Investments (RF) (Pty) Ltd
Advanced Harbour Bay Surgical Centre (Pty) Ltd
Advanced Health Brackenfell Surgical Centre (Pty) Ltd
Advanced Health Ltd
Advanced Knysna Doctors Investments (Pty) Ltd
Advanced Knysna Surgical Centre (Pty) Ltd
Advanced Panorama Surgical Centre (Pty) Ltd
Advanced Panorma Doctors Investments (Pty) Ltd
Advanced Soweto Day Hospital (Pty) Ltd
Advanced Vergelegen Doctors Investments (Pty) Ltd
Advanced Worcester Doctors Investments (Pty) Ltd
Advanced Worcester Surgical Centre (Pty) Ltd
Africa and Worldwide Medical Assistance Services (Pty) Ltd
Africa Healthcare (Pty) Ltd
Afrocentric FastPulse Employee Benefit Solutions (Pty) Ltd
AfroCentric Integrated Solutions (Pty) Ltd
AHC Emergency Medical Services (Pty) Ltd
AHC Training Services (Pty) Ltd
Ahmed Al-Kadi Private Hospital Ltd
Ahmed Kathrada Private Hospital (Pty) Ltd
Akeso Cape Town Props (Pty) Ltd
Akeso Clinics (Pty) Ltd
Akeso Clinics - George (Pty) Ltd
Akeso Clinics - Nelspruit (Pty) Ltd
Akeso Clinics - Polokwane (Pty) Ltd
Akeso Clinics Alberton (Pty) Ltd
Akeso Clinics Arcadia (Pty) Ltd
Akeso Clinics Bloemfontein (Pty) Ltd
Akeso Clinics Milnerton (Pty) Ltd
Akeso Clinics Parktown (Pty) Ltd
Akeso Clinics Pietermaritzburg (Pty) Ltd
Akeso Clinics Port Elizabeth (Pty) Ltd
Akeso Clinics Richards Bay (Pty) Ltd
Akeso Clinics Soweto (Pty) Ltd
Akeso Clinics Umhlanga (Pty) Ltd
Akeso Crescent Clinic (Pty) Ltd
Ampath Trust
B Mc Gillewie (Pty) Ltd
Benmore Optometrists CC
Bio Analytical Research Corporation South Africa (Pty) Ltd
Botle Facilities Management (Pty) Ltd
Botshilo Properties (Pty) Ltd
Busamed (Pty) Ltd
Cape Medical Response CC
CareWell Robertson Private Hospital (Pty) Ltd
Ceres Hospitaal (Pty) Ltd
Chuma Mall (Pty) Ltd
Clinix Agency (Pty) Ltd
Clinix Botshelong-Empilweni Private Hospital (Pty) Ltd
Clinix Health Group (Pty) Ltd
Clinix Health Management (Pty) Ltd
Clinix Lesedi Private Hospital (Pty) Ltd
Clinix Tshepo-Themba Private Hospital (Pty) Ltd
Clinix-Phalaborwa Private Hospital (Pty) Ltd
Complete Facilities Management (Pty) Ltd
Cormed Kliniek (Pty) Ltd
Crimson Clover Trading 10 (Pty) Ltd
Cure Day Hospitals Holdings (Pty) Ltd
David's Medical Response CC
Denmar Specialist Psychiatric Hospital (Pty) Ltd
Dietrich Voigt Mia (Pty) Ltd
Dosimeter Services (Pty) Ltd
Dowpoint (Pty) Ltd
Dr GM Pitje Day Hospital (Pty) Ltd
Dr Phakisa Mokhesi Private Hospital (Pty) Ltd
Dreamtec Innovations (Pty) Ltd
Dynamic Vision Network (Pty) Ltd
Eastcape Clinic (Pty) Ltd
Elsitron (Pty) Ltd
Elskapax (Pty) Ltd
eMalahleni Day Hospital Doctors Investments (Pty) Ltd
EMH Oncology (Pty) Ltd
EMH Oncology Docco (RF) (Pty) Ltd
Emikapoint (Pty) Ltd
ER24 EMS (Pty) Ltd
Esidimeni Recovery Centre NPC
Essential Group (Pty) Ltd
Fauchard Tandheelkundige Sentrum (Pty) Ltd
Fenetiq (Pty) Ltd
Fezinet (Pty) Ltd
FirstHelp (Pty) Ltd
Flodoc (RF) (Pty) Ltd
Fountain Private Hospital (Pty) Ltd (The)
Friedcorp 529 CC
Gamma Knife South Africa (Pty) Ltd
Gardmed Ambulance Service Trust
Gatesville Medical Centre (Pty) Ltd
Glyndoc (RF) (Pty) Ltd
Henley Solutions (Pty) Ltd
Highway Sub Acute (Pty) Ltd
Intelimed (Pty) Ltd
Intercare Group Hospital Holdings (Pty) Ltd
Ishara Ramparsad Inc
Ismatype (Pty) Ltd
Ithrive Business Solutions (Pty) Ltd
Itokolle-Clinix Private Hospital Mafikeng (Pty) Ltd
Joint Medical Holdings (Pty) Ltd
Kaelo Prime Cure (Pty) Ltd
KFML Holdings (Pty) Ltd
KwaZulu Private Ambulance CC
Ladysmith Hospital Holdings (Pty) Ltd
Ladysmith Hospital Properties (Pty) Ltd
Langeberg Same Day Surgical Theatre No 3 (Pty) Ltd
Lenasia Renal Centre (Pty) Ltd
Lenmed Health Bokamoso Private Hospital (Pty) Ltd
Lenmed Health Kathu Private Hospital (Pty) Ltd
Lenmed Health Kathu Properties (Pty) Ltd
Lenmed Health La Verna (Pty) Ltd
Lenmed Health Shifa (Pty) Ltd
Lenmed Health Zamokuhle (Pty) Ltd
Lenmed Investments Ltd
Lenmed Management Services (Pty) Ltd
Les Marais Dokters Beleggings (RF) (Pty) Ltd
Life Anncron Docco (RF) (Pty) Ltd
Life Anncron Hospital (Pty) Ltd
Life Brackenview (Pty) Ltd
Life Brackenview Docco (RF) (Pty) Ltd
Life Carstenhof Docco (RF) (Pty) Ltd
Life Carstenview (Pty) Ltd
Life Carstenview Docco (RF) (Pty) Ltd
Life Flora Docco (RF) (Pty) Ltd
Life Fourways Docco (RF) (Pty) Ltd
Life Healthcare Group (Pty) Ltd
Life Hilton Docco (RF) (Pty) Ltd
Life Hilton Oncology (Pty) Ltd
Life Kingsbury Docco (RF) (Pty) Ltd
Life Kingsbury Hospital (Pty) Ltd
Life Management (Pty) Ltd
Life St Vincent's Clinic (Pty) Ltd
Life St Vincent's Docco (RF) (Pty) Ltd
Life UK Holdco Ltd
Life Vincent Pallotti Docco (RF) (Pty) Ltd
M-Care (Pty) Ltd
Magnacorp 84 (Pty) Ltd
Main Street 1756 (RF) (Pty) Ltd
Maputo Private Hospital
Masiluleke Medical Group (Pty) Ltd
Medgate Day Clinic Doctors Investments (Pty) Ltd
Mediclinic Bloemfontein Day Clinic Investments (Pty) Ltd
Mediclinic Cape Gate Day Clinic Investments (Pty) Ltd
Mediclinic International PLC
Mediclinic Kathu Investments (Pty) Ltd
Mediclinic Limpopo Day Clinic (Pty) Ltd
Mediclinic Midstream Properties (Pty) Ltd
Mediclinic Nelspruit Day Clinic Investments (Pty) Ltd
Mediclinic Renal Services (Pty) Ltd
Mediclinic Renal Services Investments (Pty) Ltd
Mediclinic Vergelegen Day Clinic Investments (Pty) Ltd
Mediclinic Winelands (Pty) Ltd
Medicross Blaauwberg Day Theatre (RF) (Pty) Ltd
Medicross Bluff Day Theatre (RF) (Pty) Ltd
Medicross Boksburg Day Theatre (RF) (Pty) Ltd
Medicross Cape Town Foreshore Day Theatre (Pty) Ltd
Medicross Constantia Park Day Theatre (RF) (Pty) Ltd
Medicross Foreshore Day Theatre (Pty) Ltd
Medicross Germiston Day Theatre (RF) (Pty) Ltd
Medicross Healthcare Group (Pty) Ltd
Medicross Kalahari Day Theatre Eye and Cataract Centre (Pty) Ltd
Medicross Kimberley Day Theatre (Pty) Ltd
Medicross Kingsway Propco (Pty) Ltd
Medicross Langeberg Day Theatre (Pty) Ltd
Medicross Monte Vista Day Theatre (Pty) Ltd
Medicross Pinetown Day Theatre (RF) (Pty) Ltd
Medicross Potchefstroom Day Theatre (RF) (Pty) Ltd
Medicross Procare Sub Acute Hospital (Pty) Ltd
Medicross Richards Bay Day Theatre (RF) (Pty) Ltd
Medicross Silverton Day Theatre (RF) (Pty) Ltd
Medicross The Berg Day Theatre (RF) (Pty) Ltd
Medicross Tokai Day Theatre (RF) (Pty) Ltd
Medicross Upington Day Theatre (Pty) Ltd
Medilab Clinical Pathology (Pty) Ltd
Medstone Day Theatres (Pty) Ltd
Megafrack (Pty) Ltd
Mellins I Style Optometrists Inc
Melomed Hospital Holdings (Pty) Ltd
Melvest Investment Holdings (Pty) Ltd
Mmed Distribution (Pty) Ltd
MMG Health East London (Pty) Ltd
MMG Health Hilton (Pty) Ltd
MMG Health Port Elizabeth (Pty) Ltd
MMG Health Umdloti (Pty) Ltd
MMG Health Westville (Pty) Ltd
Moffatt Inc
Momentum Metropolitan Holdings Ltd
MPOF General Partner (Pty) Ltd
MPOF Hammarsdale (Pty) Ltd
My Walk Made With Soul NPC
MyLife Healthcare (Pty) Ltd
National Department of Health
National Health Laboratory Service
National Hospital Network NPC
Neovision Group (Pty) Ltd
Netcare Akasia Investments Company (RF) (Pty) Ltd
Netcare CBMH Cancer Centre (Pty) Ltd
Netcare Ceres Investments Company (Pty) Ltd
Netcare Diagnostics (Pty) Ltd
Netcare Ferncrest Investment Company (RF) (Pty) Ltd
Netcare Foundation
Netcare Garden City Investment Company (RF) (Pty) Ltd
Netcare Greenacres Day Hospital (Pty) Ltd
Netcare Greenacres Investment Company (Pty) Ltd
Netcare Health Partners for Life Finance Company (Pty) Ltd
Netcare Hospital Investments (Pty) Ltd
Netcare Innovative Healthcare Solutions (Pty) Ltd
Netcare Jet Air Ambulance (Pty) Ltd
Netcare Lakeview Day Hospital (Pty) Ltd
Netcare Lakeview Hospital (Pty) Ltd
Netcare Linksfield Investment Company (RF) (Pty) Ltd
Netcare Loftus Park Hospital Opco (Pty) Ltd
Netcare Ltd
Netcare Milpark Cancer Centre (Pty) Ltd
Netcare Milpark Intraop (Pty) Ltd
Netcare Montana Investment Company (RF) (Pty) Ltd
Netcare Moot Day Hospital (Pty) Ltd
Netcare Moot Investment Company (RF) (Pty) Ltd
Netcare N1 City Investment Company (RF) (Pty) Ltd
Netcare N17 Day Hospital (Pty) Ltd
Netcare Occupational Health (Pty) Ltd
Netcare Olivedale Investment Company (RF) (Pty) Ltd
Netcare Pinehaven Cancer Centre (Pty) Ltd
Netcare Pinehaven Hospital (Pty) Ltd
Netcare Plus (Pty) Ltd
Netcare Plus Solutions (Pty) Ltd
Netcare Pretoria East Investment Company (RF) (Pty) Ltd
Netcare St Annes Investment Company (RF) (Pty) Ltd
Netcare St Augustines Day Hospital (Pty) Ltd
Netcare Sunninghill Investment Company (RF) (Pty) Ltd
Netcare Sunward Park Investment Company (RF) (Pty) Ltd
Netcare The Bay Investment Company (RF) (Pty) Ltd
Netcare Umhlanga Investment Company (RF) (Pty) Ltd
Netcare Unitas Investment Company (RF) (Pty) Ltd
Netcare Vaalpark Investment Company (RF) (Pty) Ltd
Notamed (Pty) Ltd
Novahealth (Pty) Ltd
Nurture Care Group (Pty) Ltd
Oak Tree Services (Pty) Ltd
Pathology Lab One (Pty) Ltd
Patient Care and Passionate People Finance Company (Pty) Ltd
Pholoso Private Hospitals (Pty) Ltd
Pinehaven Hospital Properties (Pty) Ltd
Pinnacles at Menlyn (Pty) Ltd (The)
Pretoria North Sameday Surgical Centre Partnership
Relay EMS (Pty) Ltd
RH Bell Clinic (Pty) Ltd
RH Bell Pharmacy (Pty) Ltd
RH Bophelo Energy (Pty) Ltd
RH Bophelo Ltd
RH Bophelo Management Company (Pty) Ltd
RH Bophelo Operating Company (Pty) Ltd
RH Fauchard Day Hospital (Pty) Ltd
RH Financial Services (Pty) Ltd
RH Hospital REIT (Pty) Ltd
RH Integral (Pty) Ltd
RH Matjhabeng Pharmacy (Pty) Ltd
RH Matjhabeng Private Hospital (Pty) Ltd
RH Property

Methodology

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