“…The application of gas engines for the improvement of the energy supply to hospitals has a decade-long history in Hungary, with both successful and less successful solutions. In the present market environment, and based on the significant (both electric and heatside) energy demands of hospitals (Erdélyi, A., Pulay Gy., 2021), as well as the special distribution of this demand in time, a service package that offers a solution for the provision of essential, continuously available, reliable and quality energy supply (Elekes, A., 2018) may completely transform the present system of relations between hospitals and energy suppliers, creating an arrangement that is successful for both parties (Gurieff, N., Green, D., Koskinen, I., et al, 2020). Another reason why this research is particularly timely is the fact that the majority of the combined gas engine production units established for the KÁP/KÁT (mandatory takeover support, earlier KÁP) electricity sale, which was fairly widespread in the 2000s, have been technically fully amortised, moreover, the heat supply contracts of hospitals are close to expiry or already expired, and they are extended only temporarily with the present equipment and service provider.…”