Not a quantity surveyor's estimate · appoint a registered QS before committing funds
Capital cost
That equates to roughly R1.1 million per bed all-in, excluding land and equipment — in the normal band for a mid-tier residential recovery centre.
Operating budget
Why it can be sustainable
Occupancy is the swing factor: at 60% occupancy the cost per occupied bed-day rises to roughly R1 170; at 90% it falls toward R800. Holding occupancy is the centre's most important operating discipline.
Excluded from the build cost
- Land / erf purchase
- FF&E and equipment — beds, medical, kitchen, gym, IT, furniture
- The 22-seater minibus
- Solar PV and battery backup
- Statutory, licensing and EIA costs
Rates derive from the AECOM Africa Property & Construction Cost Guide 2025/26, excluding VAT; site infrastructure, professional fees, escalation and VAT are added in the build-up. Western Cape construction averages around R13 150/m² across building types; zone rates are blended up for clinical space and down for recreation. Figures are for planning only and are not financial advice.
