# The Gauteng Health Department owes 225-million-rand to municipalities due to cash shortages, invoice delays, and missing Service Level Agreements.The largest amount owing is 160-million-rand to Emfuleni Municipality for cost of employment and goods and services, as well as 14.9-million-rand to Midvaal. Johannesburg is owed 21.6-million-rand for water, waste removal and electricity. Emfuleni is owed 160-million-rand, with 17.84-million-rand owed to Ekurhuleni for services across several hospitals. Tshwane is owed 6.11-million-rand and West Rand councils five-million-rand.
Gauteng health owes municipalities R225-million amid invoice issues