social infrastructure

healthcare facilities

WHAT WE DO

SECTORS covered

Providing access to quality healthcare facilities is a fundamental basic public good in most societies.  Healthcare infrastructure generally consists of publicly and privately owned and operated hospitals; clinics; laboratories; diagnostics, treatment and rehabilitation facilities; elderly care facilities; medical research facilities; administrative facilities; outpatient, staff and visitor/guest facilities.  In jurisdictions offering "socialize medical care" (such as in most of Europe, Canada and Australia) healthcare facilities tend to be predominantly public-owned and many healthcare services also tend to be publicly administered.  In other jurisdictions that do not offer a significant degree of "socialized medical care", the private sector normally takes a much larger role in both the ownership and management of healthcare facilities as well as with respect to providing healthcare services.

To be clear, the topic of "healthcare infrastructure" does not include any element of the healthcare and medical practices and services which occur within the facilities.   "Healthcare Infrastructure" involves the planning, design, financing, operations and maintenance of the physical healthcare buildings and related physical assets and furnishings in and around the buildings. In the case of larger medical campuses, "healthcare infrastructure" assets may also include auxiliary assets related to healthcare facilities can include assets such as interior and parking facilities; building heating, cooling and ventilation (HVAC) systems and/or campus district heating and cooling plants; medical gas distribution systems; waste and medical waste handling and disposal systems; electrical and communications systems; maintenance facilities; restricted entry, security and surveillance systems and facilities; food/dining services; and in some cases, guest/visitor accommodations and staff lounges, childcare and fitness facilities.  The functional design and operation of each type of healthcare facility needs to accommodate the exact types of healthcare practice(s) that occur within the facility.  General practice hospitals have very different functional design requirements and very different functional design and operating requirements than do specialty practice hospitals.  Different types of specialty practice hospitals may also have very different requirements from one another.  For example a childrens' hospital will tend to have very different functional and design requirements compared to a specialized cancer care hospital.

DCS experts can assist both public and private sector clients in evaluating, planning, financing, developing, constructing, operating and managing all types of healthcare infrastructure assets.

In the healthcare infrastructure segment, DCS experts can add significant value through application of innovative technologies and processes, and public-private partnerships.  Our advisory services help our clients align the capabilities of private sector capital, innovation, "know-how", efficiencies, life-cycle operational and maintenance discipline, and management resources with the societal objectives of providing access to highly functional, high-quality and well-maintained healthcare facilities.  Our experts also have significant experience and competence in delivering social infrastructure assets under various development, financing, operating and ownership models, including Design-Build (D-B), Engineering Procurement and Construction (EPC), Design-Build-Finance (DBF), Operations & Maintenance (O&M), Design-Build-Transfer (DBT), Design-Build-Operate-Transfer (DBOT), Design-Build-Operate-Maintain (DBOM), Design-Build-Finance-Operate-Maintain (DBFOM), Design-Build-Own-Operate (DBOO), Design-Build-Own-Operate-Transfer (DBOOT), and similar variations.  We also have significant experience advising on public-private partnership (P3), privatization and M&A transactions within the infrastructure/social infrastructure space.  Our broad and global experience also includes all forms of P3 models, under a regulated or deregulated user fee regimes, long-term availability payment, user-fee and hybrid concession and/or lease transactions as well as stock/share, trade and asset sales/acquisitions, joint-ventures (JVs) and Initial Public Offerings (IPOs) with respect to infrastructure/social infrastructure companies and assets.

Within the healthcare infrastructure segment DCS experts maintain relationships with related project consultants and participants including: both international and local legal advisors; technical, engineering and environmental/social advisors, economic/market consultants; contractors, vendors and technology providers; strategic and financial equity sponsors; lenders (including commercial lenders, international/development financial institutions (IFIs/DFIs), Export Credit Agencies and Export-Import Banks (ECA/Ex-IMs), institutional lenders, bond funds and investment banks) and credit rating agencies (if applicable).  We are always prepared and highly experienced in taking on a lead transaction advisory or project/program management role where we coordinate and manage (in some cases, procure and retain via subcontract) various technical, legal and other consultants required for the project.  On behalf of our clients we are also prepared and accustomed to leading and concluding negotiations with governmental/public sector or equity sponsors, contractors and venders, lenders, rating agencies and regulators, as may be relevant for a given project.

In many client cases, there may also be a significant nexus between healthcare infrastructure facilities and other sectors that we specialize in, such as technology and telecommunications (urban/campus mobility, intelligent transportation systems), transportation (parking facilities and systems, rail, bus and shuttle systems), real estate (mixed-use, shared-use, transit-oriented development, co-location, multimodal), energy & utilities (campus power plants, electricity and gas distribution, district heating and cooling plants), water & wastewater (campus water and wastewater treatment and distribution facilities), solid waste (campus waste and medical waste collection and disposal systems) and others, as relevant.  We are prepared to bring our complementary expertise in these other sectors to our healthcare sector clients, as their specific project may benefit.  There may be many collaborative partnership opportunities between diverse companies and public and private service providers, who may also have synergistic objectives and opportunities related to healthcare infrastructure assets and systems.  We can help our clients expand the horizons of their project and analyze and understand synergistic economic and commercial impacts related to healthcare infrastructure assets and services.  This will help forge potential new innovative partnerships with both private and public sector parties, where significant added-value can be realized.  

Please click on the below links to learn more about the specific services related to the healthcare infrastructure segment that DCS experts can offer:​

• ​Transaction Advisory
• Project/Program Management
• Strategic Planning
• Feasibility Studies
• Debt and Equity Capital Raising
• Contract Drafting & Negotiation
• Financial Modeling, Review and Audit
• Business and Asset Valuation​
• Tender Management: RFEI/RFQ/RFP
• Mergers & Acquisitions Advisory
• Workouts and Restructuring​
• Corporate Governance
• Training and Capacity Building

DCS focuses on providing the above services in the healthcare infrastructure sector to the following categories of clients:

• Developers/Sponsors/Concessionaires
• Investors
• Corporations
• Governments/Governmental Entities
• Contractors/Vendors
• Utilities
• Lenders
• Regulators​
• Investment Banks
• International Agencies
• International Finance Institutions