Medical Imaging Centre
The State Pays. Every Month. For 15 Years.
Public hospitals in Morocco's secondary cities have waited three months for an MRI scan.
The government has run out of excuses — and budget. The door is now open to private capital.
What the Ministry of Health offers in return is not a promise. It is a guarantee.
The queue of patients is not a detail. It is the mandate.
The Infrastructure Deficit That Cannot Wait
Drive into Béni Mellal on a Tuesday morning and the Hôpital Mohammed V will tell you everything. The waiting room for radiology is full before nine o'clock. Patients who need an MRI are sent to Casablanca, four hours away, with a referral letter and no appointment. The Ministry of Health knows this. The difference now is that they have a legal framework to fix it — and they need private capital to execute it. The DBFM concession is that framework, codified in Morocco's health sector PPP roadmap and fully funded in the PLF 2026.
The structure is already defined. What matters is how you position within it.
"You are not building a private clinic. You are installing sovereign infrastructure — and the sovereign has agreed to pay for its availability, whether or not a single patient walks through the door."
The DBFM Structure — What You Are Actually Buying
The private partner in a DBFM concession is not a healthcare operator in the traditional sense. You are, in legal and financial terms, a landlord and equipment maintainer contracted to a sovereign entity. You build the imaging centre, equip it with MRI, CT scanner, and full radiology capacity, and maintain it for 15 years under a manufacturer-backed SLA. In return, the Ministry of Health pays you a fixed monthly availability payment — guaranteed for the duration of the BEH, regardless of patient volumes. The examination fees collected on top of that are not the primary revenue. They are the upside layer on a structure that was already underwritten before a single scan was performed.
The full financial model, BEH template, and availability payment structure are restricted to qualified applicants.
Apply for Qualification for This Concession Under review only. Access is not automatic.How You Get Paid — The Two-Layer Revenue Model
Layer one is the availability payment. The Ministry of Health pays between MAD 600,000 and MAD 2 million per year, fixed at contract signature, regardless of how many patients use the centre. It is a contractual sovereign obligation backed by the Ministry of Finance — think of it as a lease payment where the tenant is a government ministry and the lease cannot be broken for fifteen years.
Layer two is examination fee revenue. Patients come through the public health system with no alternative referral path. You do not market to them. You receive them. At MAD 200 to MAD 600 per exam, the upside compounds on a structure that was already underwritten before the first scan. The state delivers the demand to your door.
The Government's Guarantee Package
The hospital building shell is provided free. The availability payment is backed by the Ministry of Finance. Patient referrals come through the public health system — creating a demand floor no commercial operator could build on its own. IFC and AfDB co-financing is available and Supremium manages that engagement for qualified partners. Most importantly: the government manufactures the patient flow. You do not carry demand risk.
What You Must Prepare Before Engaging
This mandate has non-negotiable sector requirements that eliminate the majority of applicants before a single meeting takes place. Medical equipment supply or established hospital management experience is mandatory. You must demonstrate a credible path to ISO 15189 accreditation or equivalent. The Ministry of Health's evaluation committee does not accept commitment letters as substitutes for track record — they have seen too many fail to materialise. If you have an existing relationship with GE Healthcare, Siemens, or Philips, that relationship is worth more than any financial model you could produce.
Three Ways to Execute This Mandate
The DBFM framework accommodates three distinct investor profiles. Each leads to the same availability payment. Each carries a different risk profile, capital requirement, and operational burden.
Full Operator.
Full Upside.
Management Partner.
Split Revenue.
DFI Co-Finance.
Pure Yield.
The Numbers Behind This Concession
Are Significant.
The full financial model — CAPEX breakdown, availability payment calculation, examination fee schedule, IFC co-financing terms, and 15-year DCF — is accessible only under the right structure. What can be said openly: this is not a transaction where the return depends on whether the market develops. The return is structured before the first patient enters the building.
The Ministry Moves With or Without You
The PLF 2026 allocation is fixed. The DBFM concession dossiers for Béni Mellal, Errachidia, and Laâyoune are in active preparation. The Ministry of Health does not wait for investors to complete their due diligence cycles. The dossiers will be published. The evaluation window will open and close. The concession will be awarded — to whichever qualified operator was positioned before the committee formed its view.
The investors who succeed in Moroccan health PPPs are not the ones with the best financial models. They are the ones who had the right conversations before the tender was published. Pre-market engagement is not a courtesy. It is the decisive variable.
Access Is Not Automatic.
Here Is What It Unlocks.
Supremium International provides end-to-end mandate execution — from the first Ministry of Health contact to signed concession and financial close. For qualified applicants in the P07 Medical Imaging DBFM mandate, the following materials and services are made available under a formal engagement agreement.
Qualification is not a formality. We evaluate whether your profile matches what the Ministry's evaluation committee will accept. We do not work with applicants who require the process to generate their credentials. If you have the right background, we can move in five working days.
Most who reach this point will not proceed.
Availability payment schedule · Evaluation matrix weighting · Hospital site coordinates · Ministry contact protocol · Pre-market engagement timeline · Provisional guarantee arrangement · Equipment supplier financing terms · Full fee structure breakdown