Public–Private Partnership Healthcare Projects in Turkey

Project finance is a financing mechanism to fund long-term investments considering the expected cash flow from the project at which asset and liabilities are generally booked in financial statements of special purpose vehicle (SPV). For recent years, healthcare services in Turkey are somewhat delegated to private sector through Public Private Partnership (PPP) model that project finance plays a critical role. In this model, investment is realized by private sector and risks are shared among related parties. The fund needed for investment can be raised through syndicated loans with the contribution of domestic banking system. Nevertheless, banking sector in Turkey has limited capacity to raise long term capital considering the funds utilized for these projects. This study aims to examine the finance structure of long-term PPP Healthcare Projects in Turkey by conducting interviews with the bankers who have been involved in this process.