This project is still under review by the EWS. Project information and/or project analysis may be incomplete.
Adana Hospital PPP Project (EBRD-45707)

  • Turkiye
Geographic location where the impacts of the investment may be experienced.
Financial Institutions
  • European Bank for Reconstruction and Development (EBRD)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Sep 17, 2014
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Investment Amount (USD)
Not Disclosed
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Primary Source

Original disclosure @ EBRD website

Disclosed by Bank Jun 20, 2014

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.
TRANSLATED VERSION OF THIS PSD:TURKISH Translated version of this PSD: PROJECT DESCRIPTION The EBRD is considering financing a hospital infrastructure PPP project involving the design, construction, equipping, financing, and maintenance of an integrated health campus in Adana, Turkey, pursuant to a 28 years concession awarded by Turkey's Ministry of Health. Under this PPP structure, the Concessionaire will supply and maintain the hospital facilities, while the provision of medical care and services will remain the responsibility of the Ministry of Health. Total project costs are estimated at circa EUR460 million. TRANSITION IMPACT The transition impact of the Project will be derived from three main sources: THE CLIENT The client is ADN PPP Saglik Yatirim A.S.,a special purpose company established by a consortium to build, finance and maintain an integrated health campus with 1,550 beds in the city of Adana for an operation period of 25 years following a construction period of 3 years. The consortium is comprised of Ronesans Holding A.S. ("Ronesans Holding"), Ronesans Saglik Yatirim A.S, ("Ronesans Medical"), a Ronesans Holding subsidiary (together "Ronesans"), Sila Danismanlik Bilisim Saglik Ins. Tic. A.S. ("Sila"), Sam Yapi Sanayi ve Ticaret Ltd. Sti ("Sam"), TTT Saglik Hizmetleri Egi. Ins. San. Tic. A.S. ("TTT Saglik") and Meridiam Eastern Europe S.a.r.l. ("MIEE"). EBRD FINANCE EBRD A loan of up to EUR100 million and a B loan, the size of which remains to be determined. The EBRD financing will be in parallel with facilities from other international financing institutions and commercial banks. PROJECT COST EUR460 million. ENVIRONMENTAL IMPACT The project was categorised "B" by European Bank for Reconstruction and Development (EBRD), which means that an environmental and social analysis of the project and information on existing conditions were required by the Bank, in accordance with the 2008 Environmental and Social Policy and Performance Requirements. The project has some environmental and social impacts which can be readily addressed through mitigation measures and an action plan. TECHNICAL COOPERATION None. COMPANY CONTACT Korkut ErsozogluProject ManagerRonesans Saglik Yatirim A.S.
Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.
ACCOUNTABILITY MECHANISM OF EBRD The Project Complaint Mechanism (PCM) is the independent complaint mechanism and fact-finding body for people who have been or are likely to be adversely affected by an European Bank for Reconstruction and Development (EBRD)-financed project. If you submit a complaint to the PCM, it may assess compliance with EBRD's own policies and procedures to prevent harm to the environment or communities or it may assist you in resolving the problem that led to the complaint through a dialogue with those implementing the project. Additionally, the PCM has the authority to recommend a project be suspended in the event that harm is imminent. You can contact the PCM at or you can submit a complaint online using an online form, You can learn more about the PCM and how to file a complaint at

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