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Business model

Capitals we use to create value for our stakeholders

We create value by successfully implementing our business model, with our inputs and activities guided by the six capitals. As a result, we create positive and sustainable outputs and outcomes for our stakeholders.

FINANCIAL CAPITAL

The sustainability of our Group depends on how efficiently we manage the pool of funds entrusted to us by our shareholders and capital providers. Funds include equity capital, short and long-term loans, as well as profits generated from our business activities and reinvestments.

MANUFACTURED CAPITAL

Our clinical excellence is supported by our technologically advanced and multi-disciplinary facilities, optimal infrastructure, data and analytics capabilities, and world-class medical equipment and consumables.

INTELLECTUAL CAPITAL

We differentiate ourselves through excellent service offerings, responsible corporate governance and adherence to quality standards – the intangibles of our business that contribute to our competitive advantage.

HUMAN CAPITAL

We depend on the skills, knowledge and experience of our employees to implement our strategy. By delivering our products and services, our employees attend to our patients’ needs, thereby creating sustainable value for our stakeholders.

SOCIAL AND
RELATIONSHIP CAPITAL

Creating and nurturing long-term relationships with our key stakeholders – including doctors, patients, suppliers, business partners, governments and labour unions in southern Africa – is how we build our reputation and brand, which is essential to our success.

NATURAL CAPITAL

We make use of both renewable and non-renewable natural resources in the delivery of services to our patients. While our business has an unavoidable impact on the environment, we endeavour to reduce negative impacts by measuring and managing our activities.

KEY ACTIVITIES

OUR STRATEGY IS SUPPORTED BY THREE GENERAL TIERS OF HEALTHCARE AS WE PROVIDE QUALITY AND EFFECTIVE HEALTHCARE TO OUR PATIENTS.

OUR PRIMARY CARE OFFERING

– the broadest scope of healthcare – begins with health professionals as the first point of consultation for patients, including those with acute and chronic physical, mental and social health issues, as well as patients who want to maintain optimal health.

OUR SECONDARY CARE OFFERING

During secondary care, also known as acute care, health professionals treat patients for brief, but serious, illnesses, injuries or other health conditions. This type of care includes emergency medical services and intensive care, skilled attendance at childbirth, and medical imaging services.

OUR TERTIARY CARE OFFERING

Tertiary care comprises specialised consultative healthcare for inpatients and patients referred by primary and secondary healthcare professionals. It includes cancer management, cardiac and neurosurgery, and other complex medical and surgical interventions.


Growth

Efficiency

Quality

Sustainability


For more information on our Group structure and services, refer to what we do




OUTCOMES

EXCELLENT SERVICE
OFFERINGS
OPTIMAL
INFRASTRUCTURE
EFFICIENT
PERFORMANCE
HIGH-QUALITY
CARE

PROFESSIONAL AND
FULFILLED EMPLOYEES
SUCCESSFUL LONG-TERM
PARTNERSHIPS
ENVIRONMENTAL
IMPACT
INCREASED
PROFITABILITY

For specific outcomes, refer to outcomes

OUTPUTS

WE DELIVER HIGH-QUALITY, COST-EFFECTIVE CARE TO OUR PATIENTS BY OFFERING THE FOLLOWING SERVICES:

SOUTHERN AFRICA

HOSPITAL DIVISION
Acute Hospitals
Same-day surgical centres
ICUs
High-care units
Operating theatres
Emergency units
Maternity units
Cardiac units
Paediatric units
 
Complementary services

Acute rehabilitation

Mental health

Renal dialysis

Oncology

HEALTHCARE SERVICES DIVISION
Life Esidimeni
Long-term chronic mental healthcare
Frail care rehabilitation
Step-down care
Primary healthcare
Substance abuse recovery
Correctional services
 
Life EHS
On-site occupational healthcare services
On-site primary healthcare services
Employee wellness programmes
Direct doctor-to-patient virtual consultations
GROWTH INITIATIVE
MyLife Healthcare Centres
On-site primary healthcare clinics


INTERNATIONAL

ALLIANCE MEDICAL
 
MRI
CT
PET-CT
Other diagnostic imaging services
Radiopharmacy Product development
GROWTH INITIATIVE
Life Molecular Imaging
Product development
SCANMED
 
Broad-spectrum healthcare
Medical consultations
Primary healthcare
Diagnostics
Medical transportation
In-patient hospitalisation
Analytical tests
Home visits

For more information on our Group structure and services, refer to what we do


MANAGING TRADE-OFFS THAT INFLUENCE OUR VALUE CREATION
Protecting our employees to drive future growth

In light of the impacts of COVID-19, we had to carefully balance the expectations of our key stakeholders. This year, we made the decision to as far as possible not to reduce our employee headcount or apply any decreases to their salaries. We initiated several measures to assist employees including, establishing an employee assistance fund, accommodation, providing PPE and payment of funeral costs amongst others. As part of this decision we have, however, reduced temporary staff and increased the utilisation of our permanent employees. While this decision had a short-term cost impact, we believe this was the right decision to ensure we had sufficient capacity during the period to respond to the pandemic. Furthermore, this decision will drive the sustainability of our business in the long term, with the new ways of working being incorporated into future operating models.

Balancing short-term returns with long-term sustainability

The trade-off between short-term benefits and long-term sustainability continues to be an important consideration for the Group. With prevailing uncertainty in the environments in which we operate, we made the decision to not pay dividends for the 2020 financial year, as well as delayed capital projects without compromise to the business. These decisions were not taken lightly, and were made with the intention to conserve cash to safeguard our operations, as well as position the business to capture any future opportunities that may emerge.

Investing in future growth opportunities

While we strive to deliver strong financial returns, short-term results must be balanced with long-term growth. Last year, we made the decision to enter the imaging market in South Africa. Planning for success in LMI will require investment into sales and manufacturing distribution pipeline and is factored into our strategy. Notwithstanding this, we believe that, in the long term, our decision will allow us to deliver on our strategy to offer an integrated healthcare model and diagnostic imaging capability and create sustainable returns for our stakeholders. However, our entrance into the South African imaging market has been delayed as a result of the pandemic, with traction expected in 2021.