ORI provides Turn-key Specialty
Hospital Development and
Senior Operating Management Oversight

Acting as a principal or as a consulting developer, ORI undertakes a comprehensive array of tasks to get facilities open:

• Identifies a competitively distinctive clinical and business proposition and develops a full business plan with financial feasibility studies
• Organizes a local development team which includes local architectural design and engineering resources, legal and accounting services, and senior team leadership to complement ORI’s U.S.-based resources
• Leads the team in obtaining regulatory approvals
• Identifies and secures sites
• Negotiates financing arrangements
• Sets out requirements for equipment and information technology and oversees procurement efforts
• Negotiates construction contracts and oversees construction activity
• Develops staffing plans and recruits doctors, nurses, senior administrators and support staff directly or oversees the work of recruiting firms
• Organizes training programs with leading US academic medical institutions
• Establishes all clinical and administrative policies and procedures
• Oversees hospital commissioning

In its principal role, ORI also develops joint ventures or other business arrangements with equity partners to pursue hospital development and operations activity.

Working under a management contract, ORI oversees hospital operations generally, and focuses especially on continuing recruiting and training of clinical staff, on further development efforts beyond an initial hospital, and on introducing clinical and operations improvements continuously to maintain first-rate performance.

Guidelines ORI follows in its work

ORI’s follows these strategic guidelines to build profitable hospital businesses with strong and sustained growth prospects:

1. Seek projects in under-supplied markets or market niches in developed medical markets and in emerging countries

2. Follow a specialty approach focusing on high-volume, relatively predictable elective case types provided in ‘focused factory’ specialist facilities

3. Minimize development and pre-opening costs through design/build modular construction approaches where appropriate

4. Adopt best practice American clinical and operations techniques in a detailed and comprehensive manner including pragmatic, evidence based clinical guidelines, efficient team structures in peri-operative and ward areas, and rigorous, carefully tracked patient service standards

5. Sustain clinical excellence through intensive interaction with leading US academic medical institutions and clinical leaders

ORI adopts these organizational and financial principles in its projects:

1. Drive quickly to an initial ‘bankable’ hospital project deal or set of deals, with understood high levels of prospective returns as a pre-condition to establishing enterprises with equity partners

2. Seek partners who can bring local or specific specialty knowledge to bear as well as provide equity

3. Use debt financing prudently to contain need for equity

4. Following applicable law and regulations, provide leading physicians working in the institution an equity or equity-like financial stake in the enterprise or in specific hospital facilities