15.1 Basis of preparation
Sponsor headline revenue and EBITDA margin are preserved exactly as briefed, and EBITDA is derived as revenue multiplied by margin. Everything beneath EBITDA is independently re-derived: component depreciation from the capital-expenditure register (facilities and buildings on a 20-year life, medical equipment 8-year and digital systems 5-year), interest on healthcare term debt at 13.0% (prime plus 250 basis points), 27% South African corporate tax with assessed-loss carry-forward, and working capital. Consistent with the invitation to structure the raise across funding rounds, the plan is funded through a R700 million Series A (Year 1) and a R600 million Series B (Year 3), each blending equity and term debt (R830 million equity and R470 million debt in total). Capital expenditure is phased across the rollout. The three statements integrate and the balance sheet ties to zero every year, enforced by an automated assertion. All figures are nominal rand millions unless stated.
15.2 Key assumptions
|
Assumption |
Value |
Basis |
|---|---|---|
|
Corporate tax rate |
27% |
SA rate; assessed losses carried forward |
|
Healthcare term-debt rate |
13.0% |
Prime 10.5% + 250bps; secured on facilities |
|
Funding |
R830m equity + R470m debt |
Series A R700m + Series B R600m |
|
Depreciation |
Component approach |
Facilities 20-yr; medical equipment 8-yr; digital 5-yr |
|
Working capital |
11% of revenue |
Medical-scheme & government receivables (slow) |
|
Capacity |
120 → 600 beds; 1 → 7 centres |
Occupancy 62% → 82% |
|
Repo / prime |
7.0% / 10.5% |
SARB, mid-2026 |
|
Exit valuation |
8×–12× EV/EBITDA |
Hospital-group / healthcare comparables |
Analyst flagThe healthcare-infrastructure J-curve: early losses during the build and ramp
Preserving revenue and EBITDA margin exactly, the fully-loaded model produces net profit of approximately −R60m, −R31m, −R41m, +R27m and +R114m across Years 1–5. The Year 1–3 losses are depreciation and interest: the flagship and subsequent centres carry full depreciation and financing while occupancy ramps (the Series-B build in Year 3 re-deepening the trough with new depreciation and interest), before the network reaches the scale and occupancy at which it turns strongly profitable. This J-curve is normal for a hospital-network build; it is disclosed rather than smoothed, and it is why the funding structure, grace period and liquidity buffer matter.
15.3 Projected profit & loss
|
R millions |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
|---|---|---|---|---|---|
|
Revenue |
180 |
320 |
500 |
760 |
1100 |
|
EBITDA |
14.4 |
48.0 |
100.0 |
174.8 |
275.0 |
|
Depreciation |
(41.8) |
(46.9) |
(80.1) |
(87.1) |
(101.8) |
|
EBIT |
(27.4) |
1.1 |
19.9 |
87.7 |
173.3 |
|
Interest (term debt) |
(32.5) |
(32.5) |
(61.1) |
(61.1) |
(56.2) |
|
Profit before tax |
(59.9) |
(31.4) |
(41.2) |
26.6 |
117.0 |
|
Taxation (27%) |
0.0 |
0.0 |
0.0 |
0.0 |
(3.0) |
|
Net profit after tax |
(59.9) |
(31.4) |
(41.2) |
26.6 |
114.0 |
|
Net margin |
(33.2%) |
(9.8%) |
(8.2%) |
3.5% |
10.4% |
15.4 Projected cash flow statement
|
R millions |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
|---|---|---|---|---|---|
|
EBITDA |
14.4 |
48.0 |
100.0 |
174.8 |
275.0 |
|
Taxation paid |
0.0 |
0.0 |
0.0 |
0.0 |
(3.0) |
|
Working-capital movement |
(19.8) |
(15.4) |
(19.8) |
(28.6) |
(37.4) |
|
Operating cash flow |
(5.4) |
32.6 |
80.2 |
146.2 |
234.6 |
|
Capital expenditure |
(565) |
(35) |
(470) |
(50) |
(180) |
|
Interest paid |
(32.5) |
(32.5) |
(61.1) |
(61.1) |
(56.2) |
|
Debt drawn / (repaid) |
250.0 |
0.0 |
220.0 |
(37.6) |
(34.6) |
|
Equity raised (Series A / B) |
450 |
0 |
380 |
0 |
0 |
|
Closing cash |
97.1 |
62.2 |
211.3 |
208.8 |
172.6 |
Analyst flagLiquidity through the ramp depends on the two rounds and a grace period
Operating cash flow is thin in the early ramp, and capex and interest are heavy, so the two funding rounds and a debt grace period are essential to liquidity: closing cash is held above roughly R60m throughout, supported by the Series A and the Series B in Year 3. An interest-only period on the term debt through construction and early ramp, and committed follow-on capital, should be treated as conditions of a prudent structure given the depth and length of the J-curve.
15.5 Projected balance sheet
|
R millions |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
|---|---|---|---|---|---|
|
Net PP&E (facilities & equipment) |
523 |
511 |
901 |
864 |
942 |
|
Net working capital |
19.8 |
35.2 |
55.0 |
83.6 |
121.0 |
|
Cash & equivalents |
97.1 |
62.2 |
211.3 |
208.8 |
172.6 |
|
Total assets |
640 |
609 |
1168 |
1157 |
1236 |
|
Term debt |
250 |
250 |
470 |
432 |
398 |
|
Share capital (Series A + B) |
450 |
450 |
830 |
830 |
830 |
|
Retained earnings / (deficit) |
(59.9) |
(91.2) |
(132.4) |
(105.9) |
8.1 |
|
Total equity |
390.1 |
358.8 |
697.5 |
724.1 |
838.1 |
|
Total funding |
640 |
609 |
1168 |
1157 |
1236 |
StrengthThe balance sheet ties to zero every year
Total assets equal term debt plus equity in every projection year, enforced by an automated assertion (maximum difference: 0.0). The early retained-earnings deficit from the J-curve is fully funded by the two equity rounds, and the debt is secured against the facilities it finances, a fully-integrated, self-consistent three-statement model that finances its own build-and-ramp curve.
15.7 Asset productivity and payer detail
Two further lenses support the projections. Revenue per operational bed rises as occupancy, case mix and the outpatient, home-care and specialist-clinic streams leverage the fixed asset base, the core driver of the margin expansion. And the payer detail shows how the hybrid model diversifies revenue across medical schemes, government, private patients and ancillary streams as the network matures.
|
Payer / stream (R m) |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
|---|---|---|---|---|---|
|
Medical aid payments |
68 |
125 |
200 |
304 |
440 |
|
Government contracts |
32 |
61 |
100 |
152 |
220 |
|
Private patients |
27 |
48 |
75 |
114 |
165 |
|
Home healthcare |
16 |
26 |
40 |
61 |
88 |
|
Total revenue |
180 |
320 |
500 |
760 |
1100 |
15.6 Key financial ratios & debt cover
The ratio summary distils the plan’s trajectory: the EBITDA margin expanding from 8% to 25% as occupancy and scale mature, net margin crossing into positive territory from Year 4, and debt-service cover strengthening from a sub-1.0× ramp trough to comfortable levels as EBITDA grows.
|
Ratio |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
|---|---|---|---|---|---|
|
EBITDA margin |
8.0% |
15.0% |
20.0% |
23.0% |
25.0% |
|
Net margin |
(33.2%) |
(9.8%) |
(8.2%) |
3.5% |
10.4% |
|
DSCR (x) |
0.44× |
1.48× |
1.64× |
1.77× |
3.03× |
|
Net debt / EBITDA (x) |
10.6× |
3.9× |
2.6× |
1.3× |
0.8× |
|
Occupancy |
62.0% |
70.0% |
74.0% |
78.0% |
82.0% |