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Estimates of the Provincial Revenue and Expenditure (EPRE) %u2013 2025/26 Financial Year6 RECEIPTS AND FINANCING 6.1 Summary of receipts Table 2: Summary of departmental receipts Outcome Main appropriationAdjusted appropriation Revised estimate Medium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/28Equitable share 22 301 419 22 158 251 23 696 894 24 326 449 24 526 449 24 526 449 25 742 061 26 052 181 27 154 159 5.0Conditional grants 5 420 478 5 815 000 5 429 919 5 780 394 5 780 394 5 780 394 5 910 621 5 974 784 6 245 008 2.3District Health Programme Grant 3 116 477 3 221 279 2 878 805 3 077 003 3 077 003 3 077 003 3 110 225 3 253 178 3 400 306 1.1Health Facility Revitalisation Grant 685 588 730 829 725 690 789 942 789 942 789 942 775 953 731 947 765 047 (1.8)Health Professions,Training and Development Grant %u2013 %u2013 %u2013National Tertiary Services Grant 1 101 960 1 148 953 1 127 765 1 255 448 1 255 448 1 255 448 1 351 007 1 309 991 1 369 236 7.6National Health Insurance 41 272 121 009 106 065 63 501 63 501 63 501 64 899 65 769 68 748 2.2Human Papillomavirus Grant %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Expanded Public Works Programme- Integrated 1 960 1 906 1 943 2 010 2 010 2 010 12 111 %u2013 %u2013 502.5Expanded Public Works Programme- Social Sector 14 033 12 268 13 166 10 720 10 720 10 720 %u2013 %u2013 %u2013 (100.0)2019/20 Provincial Disaster Relief Grant %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Human Resources and Training Grant 459 188 578 756 576 485 581 770 581 770 581 770 596 426 613 899 641 671 2.5Total receipts 27 578 729 28 116 419 29 126 813 30 106 843 30 306 843 30 306 843 31 652 682 32 026 965 33 399 167 4.4of whichDepartmental receipts 73 578 186 733 227 622 324 782 324 782 324 782 339 722 370 984 355 009 4.62024/25 Table 2 above shows the summary of departmental receipts from 2021/22 to 2024/25 and over the 2025 of MTEF. Total receipts grew from R27.578 billion in 2021/22 to a revised estimate of R30.306 billion in 2024/25 mainly due additional funding provided for wage agreement and the appointment of Post-Community Services workers. The departmental receipts increased by 4.4 per cent in 2025/26 financial year from R30.306 billion to R31.652 billion when compared to the 2024/25 revised estimate mainly due to equitable share additional allocation to strengthen medical records for the reduction of medico legal contingencies, compensation of employees additional funding for the wage agreement and funding for payables and accruals of non-negotiable items. In addition, additional funding for conditional grants were provided largely on National Tertiary Services Grant to fund the Oncology Project. The departmental receipts allocation for 2026/27 and 2027/28 financial year amounts to R32.026 billion and R33.399 billion respectively and funding was provided for strengthen medical records and wage agreement. 6.2 Departmental receipts collection Table 3: Summary of departmental receipts and collectionOutcome Main appropriationAdjusted appropriation Revised estimate Medium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/28Tax receipts %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Casino taxes %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Horse racing taxes %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Liquor licences %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Motor vehicle licences %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Sales of goods and services other than capital assets 67 433 171 433 203 353 305 600 305 600 313 248 319 680 333 965 348 993 2.1Transfers received %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Fines, penalties and forfeits %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Interest, dividends and rent on land 255 353 307 458 458 272 479 503 526 76.1Sales of capital assets %u2013 4 190 1 734 %u2013 %u2013 344 %u2013 %u2013 %u2013 (100.0)Transactions in financial assets and liabilities 5 890 10 757 22 228 18 724 18 724 10 918 19 563 20 541 21 465 79.2Total departmental receipts 73 578 186 733 227 622 324 782 324 782 324 782 339 722 355 009 370 984 4.62024/25Table 3 depicts the summary of departmental own receipts. It shows that receipts increased from R73.578 million in 2021/22 to a 2024/25 revised estimate of R324.782 million. Departmental revenue is expected to grow by 4.6 per cent from R324.782 million in 2024/25 to R339.722 million in 2025/26 due to review and patients utilising health care facilities more frequently. In 2026/27 and 2027/28 financial year, the review collection estimate amounts to R355.009 million and R370.984 million respectively to focus on medical aid schemes, Road Accident Fund (RAF) and the rolling out of an efficient revenue system to all health institutions. 175