45% is a fairly poor return from a specialist efforts - try 65 - 70% as the industry standard.
No dividends, no profits and workers locked into escrowed shares and lower returns then if they walked - how can this be a good growth option?
If they bring in cheaper oveseas docs, this will lead to another attepmt by govt to push down cataract prices, so another hit to theri bottom line!
How is the debt going to be repaid?