Impact

At Healthcare Activos we firmly believe our purpose steers our actions to make a meaningful contribution towards mitigating the current world’s demographic challenge through focusing on putting together the right asset, in the right place with the right partner.

The right asset, in the right
place with the right partner

Our success as a business depends on our ability to provide high-quality and affordable care. To achieve this, since our inception and to ensure our positive social impact, we remain true to our fundamentals when investing, which allow us to guarantee the Affordability, Quality, Accessibility, and Availability of our assets.
Nursing homes
Affordability Quality

Right Asset

Sectorized assets

Independent living units of max 30 users

+80% individual rooms

Outdoor space

100-150 beds

Highly efficient

Accessibility Affordability

Right Place

Coverage ratio 20%

Close to public transport

Consolidated urban areas

Calidad Accesibilidad

Right Partner

Operators with quality certificate

Largest multinational operators with appropriate scale and efficiency

Right asset
Sectorized Units

Sectorized into independent living units of a maximum of 30 people, enabling specialization in controlled and familiar environments.

Mostly single rooms

Mostly single rooms, to provide high-quality individualized care while maintaining affordability.

Assets with outdoor space

Contact with nature and fresh air is key to the well-being of our users, especially since some have limited ability to leave the building unaccompanied. Green areas within the buildings are also an effective way to increase the biodiversity share of our land plots—an increasingly important consideration in consolidated urban areas.

Assets with a minimum of 100 beds

Scale is key to offering affordable high-quality services. However, overly large assets may hinder quality, while the growth of economies of scale begins to decline. Assets between 100 and 150 beds allow us to benefit from cost efficiencies through at least four independent living units, while still maximizing quality of service.

Highly efficient assets.

To meet high quality standards while keeping costs under control, our assets must be efficient—both in terms of internal operations (e.g. optimized layouts to maximize staff time spent on care) and of resource performance (minimizing energy, water and waste intensity while maximizing self-generation and Electrification yields).

Right place
Coverage ratio 20%

The starting point of our entire investment process is a clear principle: we only invest in assets where there is an urgent need for care. Specifically, we focus on areas where the coverage ratio (total beds over the population aged 80 and above) is 20% or lower —reflecting the proportion of the 80+ population that the WHO estimates to be dependent.

Close to public transportation

Dependent population often suffer from social exclusion and unwanted loneliness. To help prevent this, we invest in assets physically and geographically accessible whether by public or private transportation.

Consolidated urban areas

Access to basic services and participation of the community also contributes to avoiding unwanted loneliness. For that reason, in addition to proximity to public transport, we always invest in assets located in consolidated urban areas.

Right partner
Operator mindset

We have standing lease agreements with 7 out of the top 10 operators in continental Europe and open discussions with all of them. Combining this with our operator’s mindset and the access to the sector deal flow enable us to find the ideal match between asset and operator

Quality certification

Quality must be guaranteed, thus we work only with partners that can prove their quality with 3rd party certification (e.g. ISO 9001) or equivalent.

Largest multinational operators

We tend to work with operators that have a proven track record of standardized successful operations.

Alligned with international standards

Impact Investment Allignment

Our way of doing things is intended to provide a long-lasting positive impact in our communities. To that end, we strive to follow the three pillars that all impact investments should fulfil.

Intentionality
We believe that the current demographic challenge affecting the world will pose increasing pressure on the healthcare and social infrastructure leading to massive investments which, if not guided by certain requirements, may fail to truly address the issue.

This “theory of change” has led us to follow strict “investment fundamentals” to guide our investment desicions

Impact measurement and management
As an essential part of our investment process, our investment fundamentals are periodically monitored and used to improve future decisions.

Additionally, whenever possible, we intend to align our investment fundamentals with our sustainability linked financing as well as conducting regular 3rd party audits of those fundamentals when necessary.

Additionality
This pillar ensures that investments are directed to areas that need it. The key foundation is the coverage ratio, which limits the number of beds that can be added to a given area, guaranteeing that we only serve unattended or underserved areas.

AAAQ Alignment

Our sustainability framework is also alligned with the AAAQ aimed to provide assets that provide Healthcare services which are acceptable, accessible, available and of high quality

Accessibility
Assets that are physically accessible welcoming everyone

Assets geographically accessible, close to public transportation main roads and within consolidated urban areas

Assets that are financially accessible by providing acceptable Effort rates for operator to be able to offer affordable fees to users and patients

Acceptability
Assets located where the prevalence requires so, offering high quality assets for everyone.

Multinational operators, adapted to different cultures and needs.

Sectorized nursing homes that enable enough flexibility to cover different kind of needs

Availability
Scalable model, offering an attractive solution for every key stakeholder to enable replicability.

Investors benefit from a risk adjusted investment with a long-term strategy, stable over time.

Financial institutions benefit from a low risk operation backed with strong operators and institutional investors.

Users benefit from a high quality service, adapted to their needs at a just price.

Quality
Assets designed to optimize operations, enabling assets’ staff to focus on patients and users, maximizing service quality

Efficient assets with maximum comfort at minimum price

Best in class operators with operations quality certified and extensive experience in multiple locations

To better understand the AAAQ framework click below

Sustainability report

Be updated of our Impact and ESG advances year over year

Governance, Accountability and transparency

ESG performance & perspectives