New €1 billion hospital near Ankara receives financing commitment under public-private scheme



25 June 2015 – London, UK and Ankara, Turkey – The European Bank for Reconstruction and Development (EBRD) has announced a comprehensive long-term financing package for the development of a €1.12 billion high-tech hospital in the Etlik neighbourhood near Turkey’s capital, Ankara.

With a loan of €125 million for its own account and €131 million syndicated to commercial banks, the EBRD is the largest lender among 11 financiers in a complex financing structure which brings together international and local commercial banks as well as international financial institutions.


The Etlik hospital campus will be designed, built, equipped and managed by the private developer Ankara Etlik Hastane Saglık Hizmetleri İşletme Yatırım (Ankara Etlik Health Investment), which was set up by Astaldi and Türkerler, an Italian and a Turkish construction company, respectively.

The campus will span 11 hospital buildings with 3,566 beds, delivering better hospital facilities for the Turkish capital and central Anatolia, a region with about 12 million people. Under a 27.5-year concession, the buildings will be leased to Turkey’s Ministry of Health. The private developer will act as facilities manager, providing building maintenance and non-clinical services, while medical services will remain the remit of the Ministry of Health.

The Etlik hospital is the largest project to be financed to date under the Turkish government’s €12 billion programme to build or expand about 60 hospitals across the country in collaboration with the private sector. Faced with the need for large investments, the government is seeking to tap private sector resources and know-how to construct and manage infrastructure facilities more quickly and efficiently.

Mehmet Müezzinoğlu, the Turkish Minister of Health, said at the signing ceremony: “We decided to undertake the biggest transformation in health care. The Ankara Etlik Integrated Health Campus will be one of the world’s largest health complexes in terms of bed numbers. Along with its modern architecture and social use areas, the campus is being built, and will operate, using environmentally friendly practices.”

James Hyslop, EBRD Director for Municipal and Environmental Infrastructure, said: “We are proud to have brought together international financial institutions and local and international commercial banks in the largest financing package for a hospital PPP project in Turkey to date. This sends a strong signal about the opportunities available on the Turkish market and about investors’ confidence for long-term engagement in the country.”

Serhat İnanç, the CEO of Ankara Etlik Health Investment and Member of the Board of Directors of Türkerler Holding, said: “This is the first time in Turkey’s history that a project finance agreement of such an amount and quality has been signed, bringing  together international financial institutions and leading commercial banks.”

Șule Kiliç, EBRD Deputy Director for Turkey, added: “This financing is not only a commitment for the development of a large high-tech hospital near the capital city, but yet another demonstration of the EBRD’s strong and continuing support for the Turkish government’s plan to significantly expand quality hospital facilities across the country under the public-private partnership model.”

The EBRD started investing in Turkey in 2009 and currently operates from offices in Istanbul, Ankara and Gaziantep. In just six years the Bank has invested over €5.5 billion in Turkey through more than 150 projects in infrastructure, energy, agribusiness, industry and finance. It has also mobilised over €12 billion for these ventures from other sources of financing.

For more about EBRD projects in Turkey, go to http://www.ebrd.com/turkey.html

The European Bank for Reconstruction and Development (EBRD) was established in 1991 to nurture the private sector in Central and Eastern Europe and ex-Soviet countries. The EBRD uses investment to help build market economies and democracies from central Europe to central Asia. The EBRD is the largest single investor in the region and mobilizes significant foreign direct investment beyond its own financing. Owned by 61 countries and two intergovernmental institutions, the EBRD provides project financing for banks, industries and businesses. For more information, visit http://www.ebrd.com/index.htm

Source: EBRD

Based on a story by Olga Rosca