Care is a mission, excellence is a rule

Shaping the future of healthcare through Italian excellence

Hospital Healthcare Holdings (HHH) is opening a new chapter in healthcare excellence.

Under the leadership of President, Mr. Kamel Ghribi, the pioneering HHH brand combines two pillars of excellence: the clinical leadership of Gruppo San Donato (GSD) and the strategic and operational expertise of GKSD. Together, they form a distinctive brand that redefines premium healthcare on an international scale.

Gruppo San Donato (GSD), founded in 1957, is Italy’s largest private hospital group and a key player in the National Health Service (NHS). It manages a network of hospitals, smart clinics, universities, and research centres in Italy, Poland, Romania and Iraq. Through its private, non-profit university, Vita-Salute San Raffaele, GSD distinguishes itself for its integrated model of clinical excellence, pioneering research, and education, remaining at the forefront of global healthcare innovation.

Gruppo GKSD, established in 2011, is a multidisciplinary organisation active in healthcare, engineering, infrastructure, energy, green solutions and construction. Over the years, it has become a trusted partner for the conception, development, and management of complex healthcare projects across Italy, the Middle East, and Africa.

Through the integration, HHH positions itself as a global brand that merges medical excellence with premium environments and a holistic approach to care. Its portfolio of hospitals and clinics embodies the highest standards of healthcare while offering a unique model of hospitality, comfort, and well-being.

Vision

To build a worldwide network of hospitals and clinics where world-class medicine is delivered in environments defined by comfort, discretion, and excellence.

HHH aspires to be a global standard-bearer: a place where innovation, care, and humanity converge to set the direction of healthcare for the decades ahead.

Mission

To deliver uncompromising quality of care through cutting-edge technologies, advanced medical expertise, and an international network of physicians.

Every patient journey with HHH is designed around safety, comfort, and well-being — enriched by innovation, compassion, and the highest standards of service.

Our Numbers

Facilities - San Donato Group

Million Patients per Year

Physicians (Italy)

Billion Turnover (EUR) in 2024

Hospital Beds

Research Institute in Italy by impact factor (The World University Ranking, 2023)

Among the top 20 Universities in the World (Young University Rankings, 2023)

Master's Degree Course in Medicine in Italy (Censis Non-State Universities, 2023-2024)

What sets us apart

HHH represents excellence in Italian healthcare, offering a personalised care experience where quality of care, wellness, innovation, technology and premium hospitality become exclusivity and harmony.

Italian Excellence

We bring together the clinical expertise of Gruppo San Donato and strategic capabilities of GKSD into one trusted global partner.

High quality and personalised clinical services

Each patient has access to a personalised care pathway, designed around their specific needs as well as those of their families. The availability of leading international specialists delivering is coupled with the most advanced technologies.

Design Meets Care

Every detail — from facility architecture to patient experience — reflects precision, sophistication, and comfort.

International Network

A growing international network, With projects across Europe, the Middle East, and North Africa, that adapts world-class standards to local contexts, ensuring sustainable impact.

Relentless Innovation

Continuous investment in advanced technologies, digital health, AI, genomics, regenerative medicine, and longevity solutions to remain at the forefront of medical progress.

Our Solutions

Healthcare facilities

Management of third-party public and private hospital

Training programmes of excellence

Advisory And Consultancy

01. Healthcare facilities

Acquisition, revamping or construction and direct management of healthcare facilities positioned at the highest standards of quality, comfort, and technology, focused on premium clientele. Our goal is to create an international network of hospitals and clinics distinguished by VIP services, exclusive care, and integration of advanced technologies with precision medicine.

Premium Hospitals

State-of-the-art hospitals designed to deliver the highest standards of medical care.
Focus on advanced specialties, integrated clinical pathways, and world-class technologies accompanied by the best international doctors.
Patient-centered environments combining safety, efficiency, according to international standards, and premium hospitality standards.

Smart Lives Care – Smart Clinics

Agile, technology-driven facilities offering high-level outpatient services, low-invasive procedures, day hospital activities, advanced diagnostics with state-of-the-art instrumentation for imaging, laboratory tests and clinical assessments.

Longevity, Wellness & Aesthetics Clinics

Integrated, science-driven care combining precision medicine, regenerative medicine, advanced aesthetics, and anti-inflammatory therapies.
Innovative proprietary protocols developed through our R&D, leveraging breakthroughs in genomics, epigenetics, immunology, and regenerative science.
Comprehensive longevity and beauty programmes:

Advanced diagnostics (biological age, microbiome, cognitive, hormonal).
Regenerative therapies: stem cells, PRP, plasmapheresis, IV & ozone protocols.
Anti-aging & performance therapies: cryotherapy, hyperbaric oxygen, red-light, biohacking solutions.

02. Management of third-party public and private hospital

With a consolidated model and extensive international experience, HHH ensures operational excellence across both clinical and non-clinical services. Our approach combines the knowledge transfer to strengthen local capabilities – thanks to our pool of international professional - with the implementation of international standards, including infrastructure management when required and the application of organisational models.

Full management and operations of healthcare facilities or departments owned by governments or private investors.

Application of Public–Private Partnership (PPP) frameworks, including Build–Operate–Transfer (BOT), concession models, and other contractual solutions to guarantee efficiency, quality, and financial sustainability.
Hiring services and comprehensive staffing plans to guarantee the right mix of local and international professionals.
Advisory services to support the facilities start-up, the implementation of best practices in governance, patient safety, digital health, and facility operations.

03. Training programmes of excellence

HHH invests in the advanced training of healthcare professionals through innovative programs, immersive technologies and digital solutions, in collaboration with the University Vita-Salute San Raffaele. Our solutions include:

Visiting Consulting: training programmes with international experts, offering on-site consulting and training.

Immersion training: Fellowship and observership program within the San Donato Group facilities
Virtual Training: digital platforms for distance learning, with interactive simulations and customised content.
VR Training (Virtual Reality): immersive environments for hands-on training, improving surgical and diagnostic skills in a safe and controlled environment.

04. Advisory And Consultancy

HHH offers comprehensive consulting services for healthcare organisations, delivering transformative and turnkey solutions. Our expertise enhances patient care quality, fosters innovation, and drive operational excellence.

We offer comprehensive consultancy services in the fields of health and healthcare management, operations, service design, health analytics, and health policies.

We provide specialised support for governments and private operators in designing, planning, and launching new healthcare facilities.
Full turnkey approach: from feasibility studies and due diligence of healthcare facility to healthcare operations planning, optimization and execution.

Healthcare of the future. One mission.

Ownership And Direct Operation Of Hospitals

Acquisition/construction and direct management of hospitals with a focus on premium clientele.
Our main goal is to create a network of hospitals renowned for VIP services and exclusive care, integrating advanced technologies with precision medicine.

Management Of Public And Private Hospitals

Thanks to a consolidated model and many years of experience in hospital management, HHH guarantees the implementation of standards of excellence, with the aim of ensuring clinical performance and economic sustainability.

Healthcare Franchising Model

The HHH trademark will only be granted to high-end hospitals and clinics to maintain control over standards and quality.

Main projects

HHH around the world

Modular Hospital – Benghazi, Libya

New Hospital in Tirana

Development of a Private Hospital Complex in Baghdad

The New Cairo Hospital

Smart Lives Care

View all

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An extraordinary customised healthcare experience where every patient feels like an exceptional guest.

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Team

Our team provides operational excellence

Angelino
Alfano
- Vice-President HHH
- President of Gruppo San Donato (GSD) SpA
Attilio
Tulimiero
- General Manager, HHH - Hospital Healthcare Holdings
Prof. Alberto
Zangrillo
- Full Professor in Anesthesiology and Intensive Care at Vita-Salute San Raffaele University
- Prorector for clinical activities at Vita-Salute San Raffaele University
- Director of Anesthesia and Intensive Care Unit at San Raffaele Research Hospital (IRCCS)
Masroor
Haq
- Managing Director GKSD Holding
- Global Head of Strategic Investments & Advisor to the Chairman
- Member of the Supervisory Board of GSD American Heart of Poland
Riccardo
Bordi
- Partner BonelliErede
- Focus Team Corporate Governance, Public International Law and Economic Diplomacy
Marco
Centenari
- CEO Gruppo San Donato (GSD) S.p.A.
Costanza
Santori
- Consultant, HHH - Hospital Healthcare Holdings
Mara
Caterino
- Project Manager, HHH - Hospital Healthcare Holdings
Vittorio
Preti
- Project Manager, HHH - Hospital Healthcare Holdings
Noemi
Fortunato
- Healthcare Management and Operations Consultant, HHH - Hospital Healthcare Holdings