Aurelia Healthcare Business Plan › Section 2 › Project Overview

2.1 Platform Architecture

Aurelia Healthcare Group will be developed as a three-phase, ten-year
capital programme designed to assemble a defensible,
geographically-diversified, clinically-integrated platform. The phasing
approach allows capital to be deployed in disciplined tranches with
clear go/no-go gates, while creating early operational cash flow from
the flagship facility to partially de-risk subsequent phases.

2.2 Phase I — Aurelia Medical City, Johannesburg (Years 1–3)

The flagship development is conceived as a world-class integrated
academic medical city located in the Sandton-Modderfontein corridor —
South Africa’s densest concentration of insured population,
multinational corporate headquarters, and tertiary specialist
clinicians. Site selection prioritises proximity to the M1 highway, OR
Tambo International Airport (medical tourism corridor), and
complementary tertiary infrastructure.

Phase I — Facility Composition

2.3 Phase II — Regional Specialist Hospitals (Years 3–5)

Phase II extends the platform into three further metropolitan
markets, leveraging the brand equity, clinical protocols, technology
backbone, and back-office shared services of the Johannesburg flagship
to drive faster ramp-up and superior unit economics. Site selection is
informed by gravity modelling against insured population density,
specialist supply gaps, and competitor catchment overlap.

2.4 Phase III — Integrated Healthcare Ecosystem (Years 5–8)

The ecosystem build-out converts Aurelia from a hospital group into
an integrated healthcare platform, capturing patient flow upstream
(primary care, screening) and downstream (rehabilitation, chronic care,
telehealth) of the acute episode. The strategic rationale is threefold:
(i) lower customer acquisition cost via owned referral channels; (ii)
higher lifetime value per patient through longitudinal continuity; and
(iii) defensive moat against NHI fee compression by capturing service
margin across the care pathway.

• Outpatient & Day-Hospital Network: 14 sites
  in metropolitan and growth-corridor locations, branded under “Aurelia
  Care”, offering same-day surgery, outpatient consults, minor procedures,
  and preventative health.
• Dialysis Network: 11 dedicated dialysis centres
  co-located with high-density renal-failure catchments, contracted to
  medical schemes and (subject to accreditation) NHI from
  inception.
• Oncology Satellite Clinics: 6 satellite
  chemotherapy and infusion centres operating under hub-and-spoke clinical
  governance from the flagship Oncology Institute.
• Diagnostic Laboratories: Joint-venture pathology
  and molecular diagnostics laboratories with one of the established South
  African pathology majors, embedded in the EMR for closed-loop result
  reporting.
• Telemedicine & Digital Health: AurelaConnect
  platform offering scheduled and on-demand telehealth, e-prescriptions,
  remote chronic-disease monitoring, and behavioural-health
  programmes.
• AI-Enabled Radiology: Cloud-based AI triage and
  reporting for stroke, pulmonary embolism, intracranial haemorrhage,
  fracture, and breast-cancer screening, deployed across all in-network
  imaging.
• Occupational Healthcare Contracts: Site-based
  occupational health services for major mining, manufacturing, and
  corporate clients, embedded with a corporate wellness offering.

Figure 2.1

2.5 Platform Scale at Stabilization

At full stabilization in Year 6+, the platform will operate at the
following scale, positioning Aurelia as the credible “fourth force” in
South African private hospital services and the most digitally-mature
operator in the market.

Confidential — this business plan is provided to prospective investors and lenders for evaluation purposes only and may not be reproduced or distributed without the written consent of Aurelia Healthcare Holdings (Pty) Ltd.