Case: should a hospital chain open in a tier-3 city?

The chain runs eight hospitals in metros at 70% occupancy. A tier-3 city offers cheap land and no organised competitor, but half the average revenue per bed and a shortage of specialists willing to relocate.

An intermediate-level session of about 10 minutes. You join 3 other speakers already in the discussion. You get 90 seconds to prepare before it starts.

Cheap land and no competitor is the half of the case that sells itself, and a group can spend eight minutes enjoying it. Half the revenue per bed and no specialists willing to relocate is the half that decides it, and the specialist problem is the one to press on, because it is not solved by money in the way land is — it is about schooling, spouses and professional isolation, and a group that treats it as a salary question has not thought about it. The seventy per cent occupancy in the metros is the number nobody uses: there is spare capacity in the existing eight hospitals, which makes expansion a choice rather than a necessity and puts a real alternative on the table.