South Africa’s Health Care sector is dominated primarily by 3 large groups who control more than 75% of total market share, while the balance is largely fragmented. Busa Holdings intends to be the first black-owned hospital group to compete with the big three. The vision is to be a consolidator of the fragmented health care market. This will be kick-started with the commercialisation of 4 hospital licenses amounting to 500 hospital beds, spread over three provinces, namely Gauteng, Cape Town and the Free State. With the first being in Gauteng, this hospital will be a world class orthopaedic and sports medicines centre, a first of its kind in Africa. The aim is to develop centres of excellence which will provide world-class services. The project size for the four hospitals is approximately ZAR 1.2 billion.