Healthcare & Housing

Healthcare & Housing

There is an important overlap between healthcare, social care and housing and the impact that these core public service areas have on every member of the public and the day-to-day running of the country.  


At BDO we currently work with both public sector organisations, Approved Housing Bodies (AHB's) and developers / builders in this sector to help implement sustainable, robust plans for housing. Our team comprise of multidisciplinary professionals with significant hands on experience in:
  • The public sector,
  • Housing,
  • Raising finance, and
  • Financial modelling & valuations, and tax matters
Our experts focus on addressing key challenges in the sector. For example, BDO has seen a growing trend of co-operation between private health and social care providers and Approved Housing Bodies (AHB’s) resulting in the development of tailor-made size and service appropriate independent living units in co-operation and co-location. BDO has also studied housing solutions in other countries for individuals who are aging and believe that planning, social care and housing policy should support such developments. There is a growing need to encourage quality continuing care communities as an accommodation and lifestyle solution which supports:
  • Health and social care needs of our people. 
  • The recycling of housing (often unsuitable for aging persons) in the broader community
Our housing team advice on projects focused on planning to meet the demands within this sector looking at alternative solutions to support this growth such as Rapid Build models, to become a more dominant force in the construction and housing sector.


BDO has one of Ireland’s most experienced and extensive healthcare advisory practices. Our firm has advised public, voluntary and private operators across acute, primary and social care sectors.

Hospital Advisory

Our team have undertaken a number of hospital reviews with regard to financing along with feasibility, financing and project management.  
Our operational understanding and in-depth knowledge have allowed us to undertake hospital capacity reviews, hospital valuations and best use studies for additional capacity found as part of our work. These assignments have led to notable improvements.

Nursing Home Advisory

In 2002, BDO commenced the sectoral analysis of the nursing home sector and this continuous source of data provides our team with authoritative insights to the sector.  Our Healthcare Advisory team has led assignments in the nursing home space ranging from:
  • Mergers and Acquisitions (M&A)
  • Commercial Due Diligence
  • Restructuring and examinership of healthcare facilities
  • Sale and leaseback
  • Banking and financing 
  • Operational reviews
  • Income negotiations
BDO has led on over €500 million of financing in the nursing home sector in the last 20 years.

Primary Care

In the primary care sector, we have assisted in negotiating income streams for new Patient-Centred Care (PCC’s) as well as renegotiated rents, which were below the level required to remain viable. We have also led the sale and leaseback of some of Ireland’s largest PCC’s.