Hospital projects are funded on ramp-up, not on the building.
The civil cost is only part of it. Equipment, fit-out, clinician onboarding and 18 to 24 months of ramp-up all need funding before the facility breaks even.
Where most of these mandates start.
The civil cost is only part of it. Equipment, fit-out, clinician onboarding and 18 to 24 months of ramp-up all need funding before the facility breaks even.
Generic lenders size the loan against the building and ignore the ramp-up, leaving a gap exactly when cash burn peaks.
How capital providers actually assess this.
Healthcare projects are appraised on occupancy build-up, average revenue per occupied bed, payor mix and clinician retention. The moratorium has to match clinical ramp-up, not construction completion.
Equipment is often better funded separately, on tenor matched to the asset, while civil and infrastructure sit on longer-tenor project debt — with working capital sized for payor receivable cycles.
The parameters this is assessed against.
- Ticket size
- ₹10 Cr – ₹300 Cr
- Promoter contribution
- Typically 25–35% of project cost
- Moratorium
- Aligned to construction plus clinical ramp-up
- Security
- Land and building, equipment, escrow of receivables
- Timeline
- 10–16 weeks to sanction
What has to be on the table.
- Audited financials for the last three years plus latest provisional numbers
- GST returns and bank statements for the last 12 months
- Company profile, shareholding pattern and group structure
- KYC of the entity, promoters and directors
- Detailed project report with cost of project and means of finance
- Techno-economic viability study and independent cost estimates
- Land title, approvals, licences and statutory clearances
- EPC / vendor contracts, offtake or revenue contracts where applicable
- Promoter contribution proof and DSCR-tested financial model
- Bed and speciality mix with phased occupancy assumptions
- Clinician engagement plan and key medical staff profiles
- Equipment schedule with vendor quotations
- Payor mix — cash, insurance and government scheme exposure
We understand the capital requirement, structure the transaction and take it to the right capital providers.
Understand the requirement
Phasing across civil, equipment, working capital and ramp-up losses, so nothing is left unfunded at peak burn.
Structure the transaction
Split civil and equipment funding on matched tenors, size the moratorium to occupancy build-up, and stress DSCR against slower ramp-up.
Take it to the right capital providers
Institutional lenders, healthcare-focused funds and equipment financiers with genuine sector appetite.
Term sheets, negotiation and closure
We run competing term sheets side by side, negotiate pricing, covenants and security, manage diligence, and stay on the mandate through documentation and disbursement.
Answers before the first call.
How is hospital project finance assessed?
On projected occupancy build-up, revenue per occupied bed, payor mix and clinician strength — with DSCR stressed against a slower ramp-up than the base case.
Can medical equipment be funded separately?
Yes, and it usually should be. Equipment funding on asset-matched tenor keeps the long-tenor project debt focused on civil and infrastructure cost.
What moratorium is typical for a hospital project?
One matched to construction plus clinical ramp-up — commonly 18 to 30 months from first drawdown, depending on speciality mix.
Share the requirement. We will tell you candidly whether it is fundable, and how.
Senior-led review under a mutual NCND. No retainer — engagement is success-linked. Prefer a detailed brief? Use the full funding requirement form.