Question to the Minister of Health - NW3051

11 October 2023 - NW3051

Clarke, Ms M to ask the Minister of Health

Whether he has been informed of electricity bills of hospitals; if not, what is the position in this regard; if so, what (a) is the total amount in outstanding electricity bills at each hospital in each province and (b) measures has the provincial health departments put in place to mitigate the outstanding debts?

Source
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Reply:

The responsibility for the payment of electricity bills resides with the respective provincial Departments of Health. Indicated below are the amounts owing as received from the provinces for various hospitals as appears in the tables:

a) The amounts owing to the various municipalities shown here are as the end of July 2023.

EASTERN CAPE

No.	Municipality	Outstanding Debt
	Sarah Baartman	R
1	Sarah Baartman DM	1 044 492,88
2	Blue Crane Route	1 047 910,64
3	Camdeboo	0,00
4	Kouga	1 363 996,64
5	Koukamma	564 841,14
6	Makana	1 902 886,27
7	Ndlambe	332 805,52
8	Sundays River Valley	628 719,94
9	Baviaans / Ikwezi / Dr Beyers Naude	1 215 075,41

Total	8 100 728,44



	Nelson Mandela
10	Nelson Mandela Metro	24 145 981,30

Total	24 145 981,30

	Amathole
11	Amathole DM	15 204 200,95
12	Amahlathi	1 004 040,50
13	Great Kei	128 909,13
14	Mbashe	75 952,00
15	Mnquma	29 136,00
16	Ngqushwa	76 581,50
17	Nkonkobe / Nxuba / Raymond Mhlaba	20 811 489,12

Total	37 330 309,20

	Buffalo City
18	Buffalo City Metro	6 600 804,35

Total	6 600 804,35


	Chris Hani
19	Chris Hani DM	20 986 174,81
20	Emalahleni	1 964 407,15
21	Engcobo	522,35
22	Sakhisizwe	2 478 085,35
23	Intsika Yethu	468 884,20
24	Inxuba Yethemba	844 200,73
25	Inkwanca / Lukhanji /Tsolwana / Enoch Mgijima LM	4 539 032,16

Total	26 742 274,59

	Joe Gqabi
26	Joe Gqabi DM	1 382 332,82
27	Elundini	103 544,30
28	Senqu	1 410 656,03
29	Garriep / Maletswai / Walter Sisulu	3 464 505,18

Total	6 361 038,33


	OR Tambo
30	OR Tambo	7 085 527,07
31	KSD	9 608 874,60
32	Mhlontlo	8 429,53
33	Nyandeni	844 423,00
34	Ingquza Hill	8 686,65
35	Port St Johns	2 120,31

Total	17 558 061,16

	Alfred Nzo
36	Alfred Nzo DM	18 052 297,74
37	Matatiele	6 987 581,43
38	Mbizana / Winnie Madikizela	4 828 870,90
39	Ntabankulu	3 900,69
40	Umzimvubu	69 166,84

Total	29 941 817,60

	Grand Total	161 320 047,13

a) Acknowledgement of debt has been made to the relevant municipalities. There are ongoing mechanisms in place to ensure disconnection by the municipalities is avoided. After Budget Adjustment Estimates the Department will further engage relevant municipalities again with a purpose of re-arranging payments terms for this financial year and negotiate the payment terms for the next financial year.

The Department has engaged Reonet (Pty) LTD through the EC Department of Public Works with the aim of verifying all outstanding debts and billings by certain municipalities are valid and accurate.

FREE STATE

a) The Free State Department of Public Works & Infrastructure is responsible for payment of all property rates, sanitation and refuse removal accounts for all Provincial Departments. The Department of Public Works & Infrastructure is also responsible for the electricity and water accounts excluding for the schools and leased out properties where the electricity and water is metered separately and paid for by the user.

The following table indicates hospitals in the Free State province with verified outstanding electricity accounts:

FACILITY NAME	MUN CODE	TOWN	SUBURB	VERIFIED OUTSTANDING ELECTRICITY
DIAMOND HOSPITAL	FS162	JAGERSFONTEIN	JAGERSFONTEIN	R356 083,95
TROMSBURG - ALBERT NZULA HOSPITAL	FS162	TROMPSBURG Farm	TROMPSBURG Farm	R905 032,78
SMITHFIELD HOSPITAL	FS163	SMITHFIELD	SMITHFIELD	R273 713,70
EMBEKWENI HOSPITAL	FS163	ZASTRON RD	ZASTRON RD	R322 470,39
WINBURG HOSPITAL	FS181	WINBURG RD	WINBURG RD	R548 546,84
THUSANONG DISTRICT HOSPITAL	FS184	ODENDAALSRUS	ODENDAALSRUS	R1 039 539,70
KATLEHO HOSPITAL	FS184	VIRGINIA	VIRGINIA	R1 098 783,50
BONGANI REGIONAL HOSPITAL	FS184	WELKOM RD	WELKOM RD	R6 456 031,14
NALA HOSPITAL	FS185	BOTHAVILLE	BOTHAVILLE	R235 524,37
MOHAU HOSPITAL	FS185	HOOPSTAD	HOOPSTAD	R771 548,09
JOHN DANIEL NEWBERRY HOSPITAL / CLINIC	FS191	CLOCOLAN	CLOCOLAN	R168 413,33
PHUTHULOHA DISTRICT HOSPITAL	FS191	FICKSBURG	FICKSBURG	R164 537,07
ITEMOHENG HOSPITAL - SENEKAL	FS191	SENEKAL	SENEKAL	R225 643,91
PHEKOLONG HOSPITAL	FS192	BETHLEHEM	BETHLEHEM	R10 854 908,76
DIHLABENG HOSPITAL	FS192	BETHLEHEM	BETHLEHEM	R5 061 231,19
NKETOANA HOSPITAL	FS193	REITZ RD	REITZ RD	R334 285,13
THEBE DISTRICT HOSPITAL	FS194	HARRISMITH	HARRISMITH	R0,00
ELIZABETH ROSS HOSPITAL	FS194	HARRISMITH RD	HARRISMITH RD	R0,00
MOFUMAHADI MANAPO MOPELI HOSPITAL	FS194	QWA-QWA	PHUTHADITJHABA-A	R0,00
PHUMELELA HOSPITAL/VREDE CLINIC	FS195	VREDE	VREDE	R0,00
SENORITA NHLABATHI HOSPITAL	FS196	LADYBRAND	LADYBRAND	R857 455,55
BOITUMELO HOSPITAL	FS201	KROONSTAD RD	KROONSTAD RD	R3 915 423,49
TOKOLLO HOSPITAL	FS203	HEILBRON	HEILBRON	R1 594 812,28
PARYS HOSPITAL	FS203	PARYS	PARYS	R1 131 364,09
Fezi Ngumbentombi Hospital	FS204	PARYS RD	PARYS RD	R12 565 856,06
MAFUBE HOSPITAL	FS205	FRANKFORT	FRANKFORT	R0,00
NATIONAL DISTRICT HOSPITAL	MAN	BLOEMFONTEIN	BLOEMFONTEIN	R20 785 268,98
PSYCHIATRIC COMPLEX	MAN	BLOEMFONTEIN	BLOEMFONTEIN	R31 590 119,88
PELONOMI HOSPITAL	MAN	BLOEMFONTEIN	BLOEMFONTEIN	R43 334 465,10
UNIVERSITAS ACADEMIC HOSPITAL	MAN	BLOEMFONTEIN	BLOEMFONTEIN	R66 108 250,22
BOTSHABELO HOSPITAL	MAN	BOTSHABELO	BOTSHABELO-BA	R18 733 852,05
DR J S MOROKA HOSPITAL	MAN	THABA `NCHU	THABA 'NCHU	R0,00

b) The Free State Department of Public Works & Infrastructure continue to negotiate with service providers not to disconnect the electricity supply as it will hamper service delivery and may cause loss of lives if a hospital electricity is disconnected. The Province is continuously assisting the department in identifying savings which are then re-directed to augment the budget pressure in this regard.

GAUTENG

a) The total amount in outstanding electricity bills at each hospital in each province amount to R285,357,103.13, from the amount R102,478,398.20 already processed on the system for payments. The total outstanding electricity bill amount to R182, 878, 704.93 of which the institutions to conduct verification for payment.

Refer to the table as below mentioned:

Vendor details	Institution	Awaiting Payment Run	Institution to approve, before payment is done
City of Johannesburg Municipality	Charlotte Maxeke	-	114 174 074,96
City of Johannesburg Municipality	Chris Hani Baragwanath Hospital	19 202 124,74	966 713,30
City of Johannesburg Municipality	Edenvale Hosp	2 205 293,14	-
City of Johannesburg Municipality	Health Head Office	-	593,14
City of Johannesburg Municipality	Helen Joseph	7 329 585,56	12 245 916,03
City of Johannesburg Municipality	Johannesburg Metro District Health	-	176 929,11
City of Johannesburg Municipality	Rahima Moosa Hosp (Coronation Hosp)	1 812 301,43	17 542 309,44
City of Johannesburg Municipality	South Rand Hosp	-	6 896 388,53
City of Johannesburg Municipality	Tara Hosp	207 047,83	523 177,46
City of Tshwane	Forensic Pathology Services	-	342 328,32
City of Tshwane	Jubilee District Hosp	-	3 286 238,53
City of Tshwane	Kalafong Hosp	1 589 028,09	-
City of Tshwane	Lebone College of Emergency	-	448 876,27
City of Tshwane	Mamelodi Hosp	589 336,07	-
City of Tshwane	Masakhane Cookfreeze	49 675,80	-
City of Tshwane	ODI District Hospital	-	399 425,03
City of Tshwane	Pretoria West	-	2 497 959,24
City of Tshwane	Steve Biko Hosp (PTA Academic Hosp)	-	96 503,47
City of Tshwane	Tshwane District Health	229 719,49	19 406,52
City of Tshwane	Tshwane District Hosp	-	-
City of Tshwane	Tshwane Rehab	-	501 685,89
City of Tshwane	Weskoppies	-	1 797 203,68
Ekurhuleni Metropolitan Municipality	Dunswart Hosp	884 844,00	-
Ekurhuleni Metropolitan Municipality	Ekurhuleni District Health	53 751 000,00	-
Ekurhuleni Metropolitan Municipality	Far East Rand Hospital	-	2 002 165,09
Ekurhuleni Metropolitan Municipality	Tambo Memorial Hosp	6 126 127,08	45 473,62
Ekurhuleni Metropolitan Municipality	Tembisa Hosp	-	3 268 538,16
Ekurhuleni Metropolitan Municipality	Thelle Mogoerane	-	220 000,04
Emfuleni - GP Local Municipality	Kopanong Hosp	7 094,31	521 335,48
Emfuleni - GP Local Municipality	Sebokeng Hosp	62 501,63	2 831 029,82
Emfuleni - GP Local Municipality	Sedibeng District Health	-	-
Lesedi - GP Local Municipality	Forensic Pathology Services	-	47 196,14
Lesedi - GP Local Municipality	Heidelburg	73 551,13	733 037,29
Merafong City - GP Local Municipality	Carlton Vill Clinic	-	8 815,87
Mogale City - GP Local Municipality	Dr Yusuf Dadoo	-	809 736,78
Mogale City - GP Local Municipality	Leratong Hosp	3 022 440,53	-
Mogale City - GP Local Municipality	Sterkfontein Hosp	2 251 647,14	-
Mogale City - GP Local Municipality	West Rand District Office	168 332,38	-
Rand West City - GP Local Municipality	West Rand District Office	402 852,88	21 284,42
ESKOM	Charlotte Maxeke	-	97 313,13
ESKOM	Ekurhuleni District Health	4 348,81	-
ESKOM	EMS	-	13 876,81
ESKOM	Johannesburg Metro District Health	1 224 494,37	409 322,98
ESKOM	Jubilee District Hosp	-	7 298 418,97
ESKOM	ODI District Hospital	-	265 607,22
ESKOM	Pholosong Hosp	-	397 829,63
ESKOM	Sedibeng District Health	117 874,95	75 465,31
ESKOM	Tara Hosp	497 564,22	-
ESKOM	Thelle Mogoerane	-	1 607 620,72
ESKOM	Tshwane District Health	469 739,63	138 186,88
ESKOM	West Rand District Office	199 872,99	150 721,65
Grand Total		102 478 398,20	182 878 704,93

b) The department conduct weekly meetings with Eskom and bilateral meetings with Municipalities, which are arranged and attended to by Representatives from Gauteng Treasury, COGTA, Department of Health: Head Office and Health Institutions (Hospitals & Entities).

KWAZULU-NATAL

a) The Department’s electricity bill across the province is all current, sitting at just over R31million.

b) The Department prioritise the water and electricity on a month-to-month basis resulting to the total debt owed being current.

LIMPOPO

a) Yes, The department has as at 31 August 2023 municipal bills of hospitals amounting to R8 590 999,33, of which the balances were within 30 Days.

The breakdown of the total bills as per the tables below:

Capricorn district

Mopani district

Sekhukhune District

Vhembe District

Waterberg District

b) All bills listed above were settled during the month of September 2023. The department is paying the municipalities monthly, hence all transactions reported are within 30 days. The department will continue reconciling the accounts and settle the debts accordingly.

MPUMALANGA

a) The hospitals will be able to process the electricity bills soon as the outstanding invoices are received and when the system is back. Attached hereunder, please find table detailing the outstanding electricity bill per hospital and payment status.

Name of Facilities	Status	Amount in Arrears	Comments
GERT SIBANDE DISTRICT

Bethal Hospital	Paid until September	604 953,00	Emzinoni Clinic billing from 2018, new matter still under investigation. A meeting schedule for tomorrow with CFO Govan Mbeki
Evander Hospital	Paid until September	300 000,00	A shortfall on the committed order, a new order to be generated
Carolina Hospital	Paid until July	-	waiting for August and September invoices. The municipal has implemented a new system which causes the delay.
Embhuleni Hospital	Paid until August	-	Invoice received after the cut-off date, yet to be processed
Ermelo Hospital	Paid until August	-	Awaiting for September invoice, a dispute was lodged on the initial invoice.
Msukalingwa Clinic	Paid until August	-	Invoice received after the cut-off date, yet to be processed
Total		904 953,00

EHLANZENI DISTRICT

Tintswalo Hospital	Paid until August	234 770,70	Invoice received after cut-off date
Themba Hospital	Paid until August	-	Waiting for invoice
Barberton TB Hospital	Paid until August	300 980,00	Invoice received after cut-off date.
Barberton Hospital	Paid until August	-	Waiting for invoice
Sabie Hospital	Paid until August	219 970,43	Invoice received after the cut-off date.
Total		755 721,13

NKANGALA DISTRICT

Kwamhlanga Hospital	Paid until 31st August 2023	37 450,00	September invoice received in process
Benice Samuel Hospital	Paid until 31st August 2023		September invoice not yet received
Middleburg Hospital	Paid until 31st August 2023	650 323,18	September invoice received in process
Mmamethlake Hospital	Paid until 31st July 2023		August and September invoice not yet received
Impungwe Hospital	Paid until 31st August 2023	253 361,19	September invoice received in process
Waterval boven	Paid until 31st August 2023		September invoice not yet received
HA Grove Hospital	Paid until 31st August 2023		September invoice not yet received
TB Hospital	Paid until 31st August 2023	192 141,36	September invoice received in process
PHC Facilities	Paid until 31st August 2023		September invoice not yet received
Total		1 133 275,73

Grand Total		2 793 949,86

b) Outstanding invoices will be processed upon receipts and captured invoices will be paid soon as the system is back.

NORTHERN CAPE

No response, after several engagement and follow ups with the province.

NORTH WEST

a) The department owes electricity bills of R5 017 155,17 outstanding as of September 2023, However, the R631 134.69 is in dispute with ESKOM.

Name of the Hospital	Total outstanding electricity bills
Ventersdorp CHC (Hospital)	352 035.81
Mafikeng Provincial Hospital	631 134.69
JST Hospital	2 879 515.91
Taung Hospital	1 154 468.76
	1 506 504.57

b) The outstanding bills are current. The department conduct regular reconciliation of the accounts with facilities when a need arises for settlement.

WESTERN CAPE

a) As of 31 August 2023, 99% of our outstanding balances are current. Some have been settled and reflect as 0 and some in credit reflected in brackets:

Hospital	Current electricity bill
Alexandra Hospital	(R1 023,27) in credit
Beaufort West Hospital	R 406 456,64
Brewelskloof Hospital	R 380 534,96
Caledon Hospital	R 365 431,18
Ceres Hospital	R 287 907,87
Citrusdal Hospital	R 421 045,97
DP Marais Hospital (vacant land)	0
Eerste River Hospital	0
False Bay Hospital	0
George Hospital	R 1 219 583,28
Groote Schuur Hospital	R 5 986,75
Harry Comay	R 166 705,81
Helderberg Hospital	0
Hermanus Hospital	R 35 710,22
Karl Bremer Hospital	0
Khayelitsha Hospital	0
Knysna Hospital	R 391 993,44
Ladismith Hospital	R 78 459,00
Laingsburg Hospital	R 75 264,00
Lapa Munnik Hospital	R 150 800,53
Lentegeur Hospital	0
Metro TB Hospital	0
Mitchells Plain Hospital	0
Montagu Hospital	0
Mosselbay Hospital	R 151 655,87
Mowbray Hospital	0
Murraysburg Hospital	R 45 654,65
Nelspoort Hospital	R 12 777,66
Oudtshoorn Hospital	0
Paarl Hospital	R 1 107 137,61
Prince Albert Hospital	R 135 198,70
Radie Kotze Hospital	R 68 478,58
Red Cross Childrens Hospital	R 2 994 987,92
Riversdale Hospital	R 210 159,68
Robertson Hospital	0
Somerset Hospital	R 805 743,74
Stellenbosch Hospital	R 270 917,51
Stikland Hospital	R 6 822,08
Swartland Hospital	R 2 582,18
Swellendam Hospital	R 168 770,49
Tygerberg Hospital	0
Valkenberg Hospital	0
Victoria Hospital	(R 400,00) in credit
Vredenburg Hospital	R 418 976,96
Vredendal Hospital	R 170 159,95
Wesfleur Hospital	R 227 512,42
Worcester Hospital	0

b) Measures in place:

Monthly reporting to Provincial Treasury (PT) Local Government Directorate on Rural debt, which manages outstanding Provincial municipal debt, based on identifying long outstanding debt. PT will engage with the said municipality and the Department to address the debt and identifying and resolving disputes,
Receipt of month-end outstanding billing from the City of Cape Town (Metro) to ensure all payments processed in that month are allocated to the correct accounts and all Metro accounts are reflected as current.
BAS reports are monitored monthly.

END.

Source file

RNW3051-231011.docx

11 October 2023 - NW3051

Clarke, Ms M to ask the Minister of Health

Reply:

Source file

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