Brazil Approves US$73 million Bond Financing for São Paulo Hospital PPP Project

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The Ministry of Health of Brazil has granted priority-project status to an existing PPP involving two public healthcare facilities in São Paulo state. The approval allows the private concessionaire, Inova Saúde São Paulo S.A., to seek financing of up to R$409.777 million (US$73 million) through eligible infrastructure debentures. 

The PPP covers the State Hospital of São José dos Campos and the Women's Health Reference Centre (Hospital Centro de Referência da Saúde da Mulher) in São Paulo city. The project involves the development, maintenance and operation of hospital infrastructure and non-clinical support services at both facilities. These services include hospital infrastructure works, the supply and maintenance of medical equipment and furniture, and other operational support services. Clinical healthcare services remain the responsibility of the public sector, while the private concessionaire manages the supporting infrastructure and associated non-clinical operations. The maximum financing amount of R$409.777 million represents 50% of the project's reported capital expenditure (CAPEX), which stands at R$819.554 million. The concessionaire may raise funds through incentivised debentures under Brazil's Law No. 12,431/2011 or infrastructure debentures under Law No. 14,801/2024, subject to the applicable regulatory requirements.

The financing is intended to provide an additional source of long-term private capital for expenditure associated with the hospital PPP. However, the authorised amount does not represent the total contract value or confirm that the full amount will be raised. The approval also establishes restrictions on the use of the proceeds. The concessionaire cannot use the bond proceeds to repay or reimburse financing supported by federal government resources or funds managed by the federal government. If the project receives relevant federal financial support, the eligible financing ceiling must be adjusted accordingly. The company is also required to report relevant contractual or corporate changes to the Ministry of Health and comply with the applicable monitoring and documentation requirements.

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