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Hospitals and healthcare is currently the most active sector for P3 in Canada, with many projects in procurement or complete in British Columbia, Ontario, Quebec, and New Brunswick. They range in size from the 100,000-square-foot Paramedic Service Headquarters in Ottawa, Ontario to the 772-bed Montreal University Health Centre (CHUM) project in Quebec. The preferred model has been the design-build-finance-maintain (DBFM), including hard facilities management and some other non-healthcare services such as food service, portering and security. With few exceptions, such as the private Shouldice Hospital in Thornhill, Ontario, governments have chosen to retain the provision of healthcare as a public service.
The Canadian Council for Public-Private Partnerships has assembled several resources to assist members and those interested in P3 hospital and healthcare projects.
Current Projects
For a list of current P3 hospital and healthcare projects, please refer to the Canadian PPP Project Database.
Case Studies
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2009 National Award Case Studies ORDER NOW Includes updated details on the Royal Jubilee Hospital Patient Care Centre in Kelowna, BC, including quick facts, procurement process, structure of the agreement, financial arrangements, risk allocation, benefits, communications, labour, monitoring, testimonials and partner contacts. Published: 06/2010; 131 pages.
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2008 National Award Case Studies ORDER NOW Includes updated details on the Abbotsford Regional Hospital and Cancer Centre in Abbotsford, BC, including quick facts, procurement process, structure of the agreement, financial arrangements, risk allocation, benefits, communications, labour, monitoring, testimonials and partner contacts. Published: 06/2009; 145 pages.
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2007 National Award Case Studies ORDER NOW Includes details of the Vancouver Island Health Authority Residential Care & Assisted Living Capacity Initiative. Published: 06/2008; 105 pages.
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Canadian PPP Project Directory: Selected Public-Private Partnerships Across Canada ORDER NOW Includes succinct case studies on 11 hospital/healthcare projects and a summary of Ontario's AFP hospital program. Published: 11/2006; 148 pages.
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Case Studies of the 2005 Award Winners ORDER NOW Includes project summary, contract details, benefits and contacts for the Abbotsford Regional Hospital and Cancer Centre (ARHCC) project (Abbotsford, BC). Published: 06/2006; 103 pages.
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The Canadian Case for Hospital PPP Projects ORDER NOW The publication outlines the state of Canada’s healthcare sector, cites applicable provisions of the Canada Health Act, details potential models for hospital PPP and presents case studies on hospital and healthcare delivery using successful PPP applications from Canada, Australia and the UK. Published: 11/2003; 94 pages.
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Case Studies of the 2001 Award Winners ORDER NOW Includes details on the Facility Management for the Royal Ottawa Health Care Group.
CCPPP Conference Sessions
The Ins and Outs of Financing Hospital Projects, National Conference 2004 Financial experts discuss what makes hospital financing unique and how the project teams deal with the challenges of prolonged negotiations and complex structures.
Opinion Editorial
Dale Richmond, President of The Canadian Council for Public-Private Partnerships, submitted an article to the Financial Post, which was published on February 20, 2008. The following is the reprint of that article concerning opposition to hospital PPPs, which appeared on the "Comment" page.
Michael Wilson, Chair of The Canadian Council for Public-Private Partnerships, submitted an article to the Globe & Mail, which was published on January 6, 2003. The following is the reprint of that article, which appeared on the "Comment" page.
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