1.

Mining companies having undergone extensive restructuring often neglect the cost of healthcare provision.

2.

Shareholders have increased pressure to dispose of non-mining assets therefore mine hospitals need to be sold into the private sector. 

3.

Mining operations have closed and supporting health care infrastructure has become sub-economic.

4.

The challenge is to reposition the medical facilities in such a way as to keep them relevant

5.

Because of the declining number of employees in the mining industry, company hospitals have not been proportionally restructured.

6.

Ongoing relationship between the new healthcare provider and the mining company is very important.