Healthcare Investment and Finance

Our role in the sector

Private healthcare provision across the region is expanding rapidly as public systems modernise and household incomes rise, creating demand for facilities, diagnostics and specialised services.

We finance and structure healthcare investment — from single-facility development to multi-site platform growth — with the governance standards institutional investors require.

We may consider an investment only after the project and risks have been independently assessed.

Technical development, construction and operation remain with the responsible parties.

Where another group company is the operating specialist, ERAM Invest’s role remains limited to investment, financing, capital structuring, advisory and transaction support — operational execution stays with the relevant specialist.

Two clinicians with a tablet beside a CT scanner in an imaging room

Where we focus

We look at facilities, diagnostics, medical infrastructure and service platforms.

Hospitals & Clinics: Private hospital and clinic development and expansion.
Diagnostics: Laboratory and diagnostic-imaging services.
Medical Infrastructure: Specialised facilities and equipment financing.
Health Services: Care, rehabilitation and outpatient service platforms.

The full capital stack

Senior Debt: Banks, DFIs and IFIs — term, project and capex facilities.
Private Credit: Direct lending and structured credit where banks step back.
Mezzanine: Subordinated and quasi-equity bridging the funding gap.
Equity: Institutional, strategic and co-investment equity via SPVs.

Frequently Asked Questions

Frequently asked questions

What healthcare assets do you finance?

Private hospital and clinic development, diagnostic and imaging services, specialised medical facilities and equipment, and multi-site care or outpatient platforms.

Corporate & Project Finance →Link to this question

Is healthcare investable in the Western Balkans?

Increasingly. Rising household incomes, modernising public systems and unmet demand for private provision support the sector — with the caveat that regulatory and reimbursement analysis matters more here than in most sectors.

Market Insights →Link to this question

Can healthcare be delivered as a PPP?

Yes. Social-infrastructure concessions for hospitals and clinics are an established structure regionally, often with IFI participation.

PPP & Infrastructure →Link to this question

Do you back single clinics or only large platforms?

Both, subject to our minimum participation of approximately €5 million. Single facilities with a credible operator and a path to multi-site growth are of particular interest.

Ownership & Sale →Link to this question