Zywiec Hospital



Project number:


Business sector:

Manufacturing and Services

Notice type:


Environmental category:


Approval date:

10 Dec 2014



PSD disclosed:

23 Sep 2014

Translated version of this PSD: Polish

Project Description

The project comprises the construction and operation of a general hospital in Zywiec (“Zywiec Hospital”), located in a small town in southern Poland, through a Public-Private Partnership (“PPP”) project. InterHealth Canada Zywiec (“ICZ”) is a special purpose vehicle formed for the sole purpose of executing the Zywiec Hospital PPP concession awarded to InterHealth Canada Limited – an international healthcare management company. The proceeds of the Bank’s financing (along with shareholder funds) are to be used for the design, construction, equipment and commissioning of the Zywiec Hospital. Under the PPP contract ICZ is obliged to design, build, equip and operate the hospital for a 30 years period.

Transition Impact

The project is expected to be the first comprehensive integrated new built and operate healthcare PPP project in the CEE region, thus demonstrating the benefits of this new type of financing for the development and operation of healthcare facilities in the region. The project is also expected to demonstrate the efficiency and quality of hospital services provided by a private operator. This should demonstrate the scope for further restructurings/operational improvements in public sector owned hospitals in the country where there are currently significant challenges in terms of operational performance and quality of provided services.

The Client

InterHealth Canada is a global healthcare management firm that specialises in the development and management of healthcare facilities and projects. It was established in 1994 for the purpose of exporting Canada’s intellectual and management expertise in healthcare to the international market.

EBRD Finance

PLN 43 million (EUR 10 million equivalent) senior secured loan to be provided in parallel to PLN 57 million (EUR 13 million equivalent) financing to be provided by Polish commercial banks.

Project Cost

PLN 194 million (EUR 45 million equivalent).

Environmental Impact

Categorisation: B

EBRD categorised the project as B in accordance with the 2008 Environmental and Social Policy. It means that there are some specific environmental and social issues associated with the project which can be readily addressed by adequate mitigation measures.

Environmental and Social Issues:

The project will significantly improve health care provisions for the local community by replacing the current poor state of the existing hospital with new modern hospital facilities. The project has been developed based on the strong local initiatives in accordance with Polish law as well as good international practice with extensive stakeholder consultation including that with hospital staff. ‎ The existing patients and medical staff will be transferred to the new facilities once they are completed. ‎

The site investigation confirmed that it is suitable for the new facilities. Official environmental permit is in place for the project. For the construction stage, Human Resources (HR), Occupational, Health and Safety (OHS) and Environmental (E) management systems will be in place in accordance with Polish law. For the operational stage, the client's HR, OHS and E management policies will be directly applied. In order to ensure the clinical service quality, internationally acknowledged Canadian hospital management accreditation will be pursued. A new bus stop will be introduced at the new hospital for the public access.

‎The client is required to ensure that the project complies with EBRD Performance Requirements (PRs) and IFC Environmental, Health and Safety Guidelines for

Health Care Facilities as well as to submit an Annual Environmental and Social Report to the Bank.

Environmental ‎and Social Action Plan (ESAP):

An ESAP is currently under development to address life and fire safety of the new hospital facilities, HR, OHS and E management for both the construction and operational stages and the clinical services quality assurance.

Project Monitoring: The Bank will monitor the project's environmental and social performance by reviewing an annual environmental and social report as well as site visit.

Technical Cooperation


For consultant opportunities for projects financed by technical cooperation funds, visit procurement of consultants.

Company Contact

Nasser Massoud, Executive Board Director,



Business opportunities

For business opportunities or procurement, contact the client company.

For state-sector projects, visit EBRD Procurement: Tel: +44 20 7338 6794
Email: procurement@ebrd.com

General enquiries

EBRD project enquiries not related to procurement:
Tel: +44 20 7338 7168
Email: projectenquiries@ebrd.com

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