Our businessmodel
THE RESOURCES WE RELY ON
Availability, quality and affordability of our capitals
FINANCIAL CAPITAL
Financial and liquidity management are essential within the current high inflation and elevated interest rate
environment. Despite these challenges, due to prudent management, the Group continued to grow revenue.
Although historically there has been significant investment in IT system and infrastructure modernisation, we
have made substantial advancements in our collaboration with Sanlam on the technology front. We believe
this collaboration will continue to support our aim of enhanced systems stability, enable significant cost
savings and serve to strengthen our resilience around our hardware infrastructure.
HUMAN CAPITAL
A significant risk affecting employee acquisition and retention is the overall skills shortage present in the
sector. Increasing mental health challenges globally are also on our radar as a potential risk for our human
capital. The Group provides comprehensive learning and development initiatives, an employee wellness
programme and other upliftment opportunities. We also invest in growing skills throughout the sector to
ensure sustainable healthcare provision in the future.
INTELLECTUAL CAPITAL
Innovation within the healthcare sector has accelerated at unprecedented levels. Businesses that cannot innovate quickly risk becoming obsolete. Collaboration to grow intellectual capital is crucial. As the Group advances its digital engagement, we continue to invest in upgrading our software systems and processes.
Our intellectual capital is enhanced through continuous learning, process improvement, and the integration of advanced technologies and knowledge systems. By focusing on developing intellectual capital, the Group aims to maintain its competitive edge and ensure sustainable growth in an increasingly digital and knowledge-driven healthcare environment.
SOCIAL AND RELATIONSHIP CAPITAL
Effective management of stakeholder relationships, including the communities where we operate, remains
an integral part of our operating environment to accelerate growth.
MANUFACTURED CAPITAL
The Group continuously invests in upgrading buildings, facilities, and physical IT infrastructure. This is
essential for maintaining and improving operational efficiency and service delivery. Although initially
impacting profitability, these investments enhance the quality and affordability of our services over time by
increasing operational efficiencies and reducing long-term costs. The availability of modern infrastructure
and well-maintained buildings and facilities is crucial for supporting the Group's strategic goals and ensuring
sustainable growth in a highly competitive and rapidly evolving healthcare sector.
NATURAL CAPITAL
Although load-shedding has decreased, we still rely on diesel generators during outages, adversely
impacting financial and natural capital. We also recognise that in South Africa, grid electricity has a significant
environmental impact due to the reliance on coal-fired power plants, which produce high levels of greenhouse
gas (GHG) emissions and air pollution. By shifting to solar energy, we aim to decrease our carbon footprint
and promote cleaner energy solutions while lessening the strain on the national grid. Additionally, we are
making progress on borehole installations across our operations. We remain judicious in our use of water
in our water-scarce region, whether from boreholes or municipal sources, to ensure sustainable resource
management.
INPUTS
Financial capital
The pool of funds (equity) the Group relies on:
- Funds reinvested in the Group
- Return on investments
- Revenue generated from services
- R3.4 billion net asset value (2023: R3.5 billion)
- R212.6 million*
Intellectual capital
The knowledge-based intangible assets:
- Systems and processes
- Customised IT systems
- Licences
- Business and industry knowledge
- IT systems and relevant licences
- Fraud management software
- Medical administration knowledge
- R151.4 million spent on software and IT system development (2023: R149.5 million)
Manufactured capital
The physical assets that are available for use within the Group's operations:
- Buildings
- Facilities
- Equipment
- IT infrastructure (hardware and physical components)
- R73.9 million spent on physical infrastructure modernisation (2023: R74.7 million)
Human capital
Our employees' and contractors' skills, wellness and motivation
- 5 944 employees (2023: 5 867)
- R5.2 million invested in training employees (2023: R5.8 million)
- R5.2 million invested in bursaries (2023: R1.4 million)
Social and relationship capital
The quality of AfroCentric's relationships with our material stakeholders
- Managing stakeholder relations
- Social licence to operate
Natural capital#
We consume various resources to provide services
- Water consumption: 30 573 kl (2023: 31 751 kl)
- Electricity consumption: 6 035 MWh (2023: 7 803 MWh)
- Diesel consumption (used in generators): 166 810 litres (2023: 290 497 litres)
- Petrol (used in Company-owned vehicles) 37 940 litres (2023: 12 188 litres)
- Paper used: 13 211 kg (2023: N/A)
| * | Value excludes the impact of the impairment of goodwill. |
| # | Data relates to Medscheme, not the Group as a whole. |
ACTIVITIES
AfroCentric's activities focus on broadening healthcare access by expanding our presence, integrating our operations and optimising costs across the value chain to measurably improve access to quality care.
Our primary activities at the Group level focus on acquiring, developing and integrating businesses that enable us to optimise the healthcare value chain to increase the value of the healthcare spend.
The healthcare value chain comprises primary care, medicine, specialist care and hospitalisation solutions.
To optimise costs and healthcare delivery to our stakeholders, the Group is organised into three clusters incorporating businesses across the value chain.
(See our cluster performance for more information.)
ACQUIRING
INTEGRATING
DEVELOPING
OUTPUTS
Our products and services
Enhanced access to healthcare through health administration and risk management services.
We provide efficient, client-centric administration services to leading medical schemes in Southern Africa.
We provide health risk management by identifying and managing clinical and financial risks for our client schemes in a coordinated manner to improve the members' clinical outcomes.
Complementary services
- Coordinated day-to-day healthcare provision
- Medicine delivery
Products
- Medicine and vitamins
OUTCOMES
Financial capital
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Normalised headline earnings per share 41.99 cents (restated 2023: 45.77 cents) |
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R330 million in cash reserves (2023: R190 million) |
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30.6% decrease in share price (2023: 5.5% decrease) |
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Operating profit increased by 0.8% (2023: 23.6% decrease) |
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Total revenue increased by 0.4% (2023: 2.0% increase) |
Intellectual capital
Launched HCP, resulting in:
- Improved customer experience
- Service in the moment
- Informed decision-making through instant access to relevant member, medical aid scheme, and administration information, aiding informed healthcare decisions and reducing payment issues
Manufactured capital
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4.0 million lives under administration (2023: 3.9 million) |
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15 client medical schemes in Southern Africa (2023: 15) |
Human capital
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14.8% employee turnover (2023: 13.4%) |
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75 individuals recruited to meet growing need for clinical staff |
Social and relationship capital
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R4.2 million invested in enterprise development (ED) (2023: R12.5 million) |
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R5.9 million invested in supplier development (SD) (2023: R8.7 million) |
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R4.6 million invested in socioeconomic development (SED) (2023: R16.6 million) |
Natural capital
Environmental impact monitoring and management Optimised energy, water and paper use
Enhanced awareness communication Group-wide
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Direct emissions decreased by 29.0% from 2023 to 2024 |
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Indirect emissions increased by 7.2% from 2023 to 2024 |
FINANCIAL CAPITAL
- Revenue growth: Prudent financial and liquidity management has led to sustained revenue growth despite challenging economic conditions
- Profitability: Investment in IT systems and infrastructure is expected to improve profitability over time by enhancing operational efficiencies
- Value creation and preservation: Reinvesting funds into the Group has helped to ensure long-term sustainability for shareholders
Outcomes for our overarching goals
- Enhanced quality of life: Financial stability allows AfroCentric to invest in initiatives that directly enhance the quality of life of its stakeholders, supporting the broader purpose of transforming healthcare
MANUFACTURED CAPITAL
- Infrastructure quality: Significant investments in upgrading buildings, facilities, and IT infrastructure have improved the quality and reliability of the Group's physical assets
- Service delivery: Enhanced physical infrastructure supports better service delivery, contributing to overall customer satisfaction
- Long-term sustainability: Modernised facilities and infrastructure ensure the Group can meet future demands and remain sustainable
Outcomes for our overarching goals
- Widely accessible healthcare: Our facilities and infrastructure enable our reach, providing more communities with access to high-quality healthcare services
INTELLECTUAL CAPITAL
- Innovation: Continuous investment in IT systems and processes has driven innovation, keeping the Group competitive in the healthcare sector
- Knowledge enhancement: Developing customised IT solutions and improving business processes have enhanced the Group's intellectual assets
- Operational efficiency: Improved systems and software have streamlined operations, reducing costs and improving service delivery
Outcomes for our overarching goals
- Affordable healthcare: Enhanced intellectual capital allows for the development of more efficient and affordable healthcare solutions, making healthcare more accessible and affordable
HUMAN CAPITAL
- Employee retention: Comprehensive learning and development programmes, along with wellness initiatives, have improved employee retention and satisfaction
- Skills development: Investing in employee skills has ensured the Group has a capable and motivated workforce, ready to meet industry challenges
- Empowered workforce: A motivated and skilled workforce is essential for delivering on AfroCentric's purpose of enhancing the quality of life through improved healthcare services
Outcomes for our overarching goals
- Health and wellbeing: Focus on mental health and wellness has led to a healthier, more productive workforce
NATURAL CAPITAL
- Environmental impact: While our operations as a service provider do not entail intensive utilisation or degradation of natural resources, our net impact on natural capital is negative as business activity inevitably involves some degree of resource consumption, whether through energy use, waste generation, or other factors. Despite our efforts to minimise these effects through sustainable practices, the cumulative impact of our operations means that a certain level of environmental cost is unavoidable. Nonetheless, we are committed to mitigating these impacts through responsible environmental practices and proactive strategies. For instance, by investing in grid-tied solar systems and reducing diesel consumption, we aim to significantly mitigate the environmental impact of the Group's operations
- Resource efficiency: Efforts to manage water and energy usage have led to more efficient resource consumption, aligning with sustainability goals
- Resilience: Enhancements in natural capital management have increased the Group's resilience to external environmental challenges, such as load‑shedding
Outcomes for our overarching goals
- Sustainable healthcare: Reducing our environmental impact preserves natural resources and minimises pollution while also promoting healthier communities. Sustainable healthcare practices ensure that medical services are provided in an environmentally conscious manner, leading to lower emissions, reduced waste, and enhanced resource efficiency. This holistic approach helps create a healthier environment, which is fundamental to the wellbeing of our stakeholders. Integrating environmental stewardship into our operations contributes to a more resilient and sustainable healthcare system that benefits everyone involved
SOCIAL AND RELATIONSHIP CAPITAL
- Community engagement: Effective stakeholder management has strengthened relationships with communities, ensuring the Group's social licence to operate
- Collaboration: Working closely with stakeholders, including shareholders and communities, has accelerated growth and supported the Group's strategic objectives
- Reputation: Strong relationships with stakeholders have enhanced the Group's reputation and trust within the industry
Outcomes for our overarching goals
- Stakeholder quality of life: Engaging with communities and stakeholders supports AfroCentric's broader purpose by addressing healthcare needs and trends and contributing to overall quality-of-life improvements







