Peru’s private investment promotion agency PROINVERSIÓN is advancing toward signing a concession contract for the operation and maintenance of the Hospital de Emergencias Villa El Salvador (HEVES), a key public health facility serving Lima Sur. The move is expected to formalize a multimillion-dollar concession arrangement with Ortiz Construcciones y Proyectos S.A., Sucursal del Perú, marking another step in the country’s push to strengthen essential public services through private participation.
PROINVERSIÓN confirmed that coordination work is underway with the selected private operator to complete procedures required before the contract is signed. The agreement is expected to cover long-term responsibilities focused on facility operations, maintenance services, and performance-based service delivery, rather than clinical care.
HEVES is considered strategically important for emergency response capacity in southern Lima, one of the capital’s fastest-growing zones. The hospital has played a critical role in expanding emergency healthcare access, particularly for communities where demand has increased sharply alongside urban expansion and population growth.
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Contract expected to focus on non-clinical services
While detailed concession terms have not been fully disclosed publicly, infrastructure-sector hospital concessions in Peru typically focus on non-clinical service packages—including upkeep of buildings and equipment, security, cleaning, patient logistics support, energy systems, and asset renewal. These contracts are structured to keep medical services under public control while transferring operational efficiency and maintenance risk to the private sector.
Sector specialists note that for emergency hospitals, reliable maintenance contracts are especially significant because uptime and rapid response readiness depend heavily on facility systems—power, oxygen lines, sanitation, HVAC, and critical infrastructure support. Any improvement in these areas can directly affect service availability and the hospital’s ability to manage surges.
Ortiz Construcciones strengthens presence in Peru’s PPP health market
The expected concession signing also reinforces the growing role of international contractors and operators in Peru’s infrastructure-led healthcare reforms. Ortiz Construcciones y Proyectos, through its Peruvian branch, has been involved in regional infrastructure delivery and is expanding its footprint in public service concessions.
Peru’s model of pairing state oversight with privately delivered support services has gained traction in multiple sectors, from transport to sanitation. In healthcare, the aim is to reduce long-standing bottlenecks—delayed repairs, maintenance backlogs, equipment downtime, and underfunded facility renewal—issues that often weaken patient experience even when medical staffing is adequate.
Part of the broader pipeline of PPP structuring
The HEVES concession milestone comes as PROINVERSIÓN continues to structure and prepare additional social infrastructure projects, particularly in healthcare. In recent months, the agency has announced progress on other major initiatives, including consultancy contracts and structuring efforts for large-scale hospital PPP pipelines.
Peru has increasingly used PROINVERSIÓN to package projects with clearer risk allocation, long-term service standards, and payment mechanisms tied to performance—elements considered critical for attracting qualified operators and ensuring service quality for the public.
Lima Sur remains a high-demand healthcare zone
Lima Sur is consistently flagged by planners as a high-demand zone for public health infrastructure due to a combination of population density, mobility constraints, and rapid urban expansion. For residents in Villa El Salvador and neighbouring districts, emergency response time and hospital access remain essential concerns.
The concession framework is expected to support stable hospital operations by ensuring predictable funding and accountability for non-clinical services. Observers say this can also help free up public health budgets by shifting lifecycle costs to planned, contract-managed maintenance rather than costly emergency repairs.
Next steps
With preparations nearing completion, the concession signing is expected to be the next formal milestone. Once executed, the contract would move the project into implementation, with the private concessionaire taking on defined operational and maintenance duties under PROINVERSIÓN’s oversight framework.
If finalized as anticipated, the HEVES concession would represent another notable example of Peru’s ongoing effort to modernize public service delivery and improve infrastructure reliability through concession-based models.
