Operator mindset
Our approach is defined by our Operator Mindset, a unique philosophy that drives us to operate with a long-term management vision and a deep focus on the end-user. It allows us to look beyond real estate to understand and solve the operational challenges of the healthcare sector. We believe that healthcare infrastructure must be designed for the well-being of people and to allow professionals to concentrate fully on their care.
One key aspect of our relationship with operators is that we work with the best-in-class players to ensure that the users of the assets are treated with the maximum standards of quality. To achieve this goal, we only work with leading European operators.
Furthermore, this mindset leads us to act as a strategic partner to the operator, ensuring that the condition of our real estate assets is always optimal, both for care provision and for operational and financial stability.
We execute this philosophy through two interconnected activities: Asset Value and Facility Management.
Asset value
This activity focuses on long-term financial resilience and the functional alignment of the asset with the operator’s business success. We look beyond the rental price to ensure the center’s sustained operating performance.
We consider that our role goes beyond supervision and includes the early identification of operational, regulatory, market and facility risks; the detection of building improvement opportunities, the promotion of modernization initiatives, and the rigorous monitoring of contractual and operational commitments. This is complemented by the constant analysis of financial, operational, and consumption data provided by operators, giving us clear and up-to-date visibility into the actual performance of each facility,
Risk Mitigation
We maintain constant, active monitoring of the property and the operator’s business. This includes continuous conversations between the Asset Value team and the operators to obtain at least quarterly information regarding operational performance, such as P&L information to assess the center’s financial health. We also obtain data regarding any other relevant events such as important personnel changes, large suppliers moves, potential risks and/or opportunities regarding users, major renovations or projects, etc.
Stakeholder Dialogue
We also maintain a constant dialogue with public administrations, sector associations, and other key players, which allows us to anticipate regulatory changes and actively participate in shaping a regulatory environment that fosters sustainable quality of care.
Stakeholder Dialogue
In facilities managed under lease contracts with Healthcare Activos, staffing ratios in direct and indirect care exceed the minimum requirements to ensure both quality and warmth in service delivery. This model generates local, stable, and non-relocatable employment, turning our care homes into drivers of high-quality job creation within their communities and contributing to their socioeconomic development.
Monitoring the Effort Rate
The Effort Rate reflects the share of rental costs over the operational revenues of the care facility. We aim to maintain this rate around 50%, as it ensures the financial sustainability of rent payments for operators over the short, medium, and long term. At the same time, it reinforces a balanced partnership between ownership and operational management in delivering an essential social service.
Goal
To anticipate and reduce any potential risk (operational, market, or regulatory), thereby securing the asset’s high value and investment stability throughout its useful life.
51.7%
Effort rate in our
care facilities
care facilities
17.2%
Average coverage ratio
in our nursing homes
in our nursing homes
~5.7k
Indirect jobs
generated in
our assets
generated in
our assets
Facility management
This activity is dedicated to the physical conservation, efficiency, and continuous modernization of our buildings. It ensures that the assets are always future-proof and meet the highest quality standards for care.
Proactive Maintenance & Conservation
We conduct annual maintenance and conservation due diligence, generating action plans that are monitored on a daily basis by the Facility Management team, in coordination with each asset’s Facility manager and the operator’s operation managers. This ensures the asset’s longevity and functionality.
Efficiency and ESG
We collaborate directly with the operator to implement energy efficiency initiatives (e.g., solar panels, water reduction) and environmental improvements. This reduces the operator’s long-term operational costs while maximizing the building’s resilience and its compliance with our ESG goals.
Goal
To maintain the asset as a Tier 1 facility, optimized for care, and protected against obsolescence.