Real estate
Signs off a heat pump rollout in the maintenance plan without first checking whether the existing grid connection can carry it.
Grip without extra workload
Healthcare
Care buildings run 24 hours a day, and the energy behind them usually isn't managed by one team but by four: real estate, procurement, operations and sustainability, each making reasonable decisions in isolation.
COMCAM manages energy as one portfolio across all four, so continuity of care, budget certainty and your sustainability targets stop competing with each other.
The force field
Three forces that pull on every energy decision
We see the same pattern in every sector. A market that keeps moving, what your connection and your own profile allow, and where sustainability has to take you. Each on its own is manageable. The bigger problems arise where they overlap, and that is where most of our work is.
Choose an area in the diagram
All three at once
Real estate, procurement, operations and sustainability each take reasonable decisions. Together they produce a full connection and a power bill nobody foresaw.
How COMCAM helps
One portfolio, one team: analysis, strategy, trading and risk management across all three forces.
Where it actually goes wrong
Four teams, one energy bill
Within most healthcare organisations, energy responsibility is split across four teams that each optimise their own piece. Electrifying without aligning procurement raises market exposure. A sustainability roadmap that skips a grid-capacity check stalls. The challenge is rarely ambition: it's coordination between teams that were never designed to plan energy together.
Procurement
Locks in a multi-year energy contract sized to last year's usage, then finds real estate's electrification plans have quietly doubled the winter peak.
Operations
Vetoes a flexibility plan the week before go-live because no one checked it against critical-care backup requirements first.
Sustainability
Tracks CO2 against the Green Deal Duurzame Zorg 3.0 targets and reports under CSRD and the EED audit obligation.
What's pushing this now
Five pressures that don't show up on one desk
Each of these sits with a different team. None of them waits for the others to catch up.
Grid capacity blocking electrification
Heat pumps and e-boilers need more connection capacity precisely as transport capacity gets scarcer. A sustainability investment that skips this check risks stalling at the connection request, not at the budget.
ETS2 pricing the gas you still depend on
A separate EU emissions-pricing mechanism for buildings and smaller-scale gas use (ETS2) is set to add a new, rising cost component on top of the gas many care buildings still burn for heating and sterilisation. Its start was pushed back a year, to 2028, under an EU regulation adopted in March 2026, so it's worth checking the current status before building it into a budget.
CSRD, EED and the Erkende Maatregelenlijst
Sites using more than 50,000 kWh of electricity or 25,000 m³ of gas-equivalent a year fall under the energy-saving obligation, with its own recognised-measures list for healthcare and a payback bar currently set at five years (position as of September 2026). A proposal to raise that to seven years went to public consultation in 2026, which closed in August; it is not yet in force.
Climate control is a patient-safety matter, not comfort
In a care building, a failed climate system doesn't just mean an uncomfortable afternoon: it can mean an infection-control risk, or a wing that can no longer safely operate. That changes what "optimise" is allowed to mean here.
A building stock built up over decades
Most healthcare portfolios grew in phases, so the installations behind one roofline rarely match, and a site with a heat/cold storage system (WKO) carries its own balance to keep in check. The Green Deal Duurzame Zorg 3.0's own interim target, sector-wide 30% less CO2 from real estate and energy by the end of 2026 against a 2018 baseline, applies regardless of how mismatched that stock is.
Where do you stand
Ten questions most care organisations can't answer from one desk
Each answer usually sits with a different team. That's the point.
Question
Why it matters
Does your WKO balance get checked?
An unchecked heat/cold storage balance quietly loses efficiency over several seasons before it shows up on the energy bill.
When was your standby set last load-tested under real conditions?
A weekly test proves it starts. It doesn't prove it can carry the building's full critical load for as long as an outage might last.
Is your long-term maintenance plan (MJOP) aligned with your sustainability roadmap?
Replacing an installation and upgrading it for energy performance in the same visit is cheaper than doing either twice.
Do you know your site's actual peak in kW, not just annual kWh?
Grid feasibility and transport capacity are set by peak demand, not by how much you use over a year.
Has procurement seen the electrification roadmap before it was approved?
A heat pump or e-boiler project approved without checking market exposure and connection capacity can price itself out after the fact.
Do you know which Erkende Maatregelenlijst measures for healthcare you've already taken?
The information obligation asks you to report what you've done, not to reconstruct it during an audit.
Is your CSRD/EED reporting built on your own quarter-hour data, or on estimates?
An estimate can pass a first audit. It rarely survives a second one.
Does your flexibility plan already account for what operations will and won't let you shift?
A flexibility plan built without operations gets vetoed after the work is done, not before.
Does your energy budget separate fixed contract costs from variable market exposure, or is it one line?
One line hides which part of next year's bill is already locked in and which part still moves with the market.
Is your standby generator's fuel contract sized for the outage duration your continuity plan assumes, or just a standard top-up?
A tank sized for a routine top-up runs dry exactly when a longer outage would test it most.
Our approach
How COMCAM brings your four teams into one plan
We act as your central energy desk. We run these four steps continuously, not only at contract renewal, so your teams can stay focused on care rather than on the energy market.
Analysis
We map your quarter-hour consumption data against your existing contracts and the connection's actual headroom, reading real estate, procurement, operations and sustainability at once instead of team by team.
Read more
Energy strategy
We design a procurement approach that balances price certainty against the flexibility your site can safely offer, and pick up the subsidy routes that apply, such as SDE++ or ISDE. Never at the cost of a safety-critical system.
Read more
Trading
We actively manage your position in the market and adjust as prices and regulation shift, so a fixed decision from eighteen months ago doesn't quietly become the wrong one.
Read more
Risk management
We monitor the portfolio continuously and surface grid or budget exposure long before it becomes a stalled connection request or a billing surprise.
Read moreIn practice
How COMCAM helped Amarant align real estate, procurement and sustainability
Amarant, a healthcare organisation with around 430 buildings, needed to bring real estate, procurement and sustainability decisions into one plan instead of three.
430 buildings, one picture
Residential care locations, offices, schools, swimming pools, even a bakery and workshops: granular load-profile analysis gave Amarant visibility into actual connection utilisation across the full portfolio.
Green Deal 3.0: -55% CO2 by 2030
Against a 2008 baseline. Reaching it meant aligning the sustainability investment with what the grid could actually support, not the other way around.
Procurement, tied to the real estate strategy
Instead of running separately, buying decisions and building decisions were connected, with guarantee-of-origin-backed green power built into the same plan, together with COMCAM.
That four-step process works whatever the size of your portfolio, from a single site to hundreds of buildings. Amarant's numbers are Amarant's. The next step is seeing what yours would show.
Start with clarity
What would your portfolio actually show?
Stop optimising in silos. We start by looking at your energy position across real estate, procurement, operations and sustainability together, not one desk at a time.
No obligation. Just a clear view of your actual connection headroom, market exposure and compliance readiness.
What clients say
Don't take our word for it
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Solutions
Solutions that fit this sector
A selection from our solutions that ties in with the questions on this page. Each one explains what it is, who it is for and how the work runs.
CHP calculation and control
When running your CHP pays off, and, if you wish, steering it on that basis.
Peak and capacity analysis
Where peaks drive your bill and block your growth.
Electrification scenario
What switching from gas to power means for cost and capacity.
CSRD reporting
Energy data that survives the auditor's questions.
Available for new projects
Let's shape your energy future
Whether you're navigating market volatility, optimising your portfolio, or exploring sustainable solutions - we're here to help.
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35,000+ connections managed
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