Court of Accounts uncovers widespread irregularities in Turkey's PPP city hospitals
A 2025 audit by the Court of Accounts identified numerous contractual and financial breaches in the Health Ministry’s public-private partnership hospitals, and opposition MP Nermin Yıldırım Kara warned that no corrective action has been taken.
In its 2025 regularity audit, the Court of Accounts reported extensive irregularities across the Health Ministry’s public-private partnership city hospitals. Seventeen hospitals failed to obtain the mandatory final completion certificate after the 24-month period, resulting in unresolved financial settlements. Construction began before official site handovers at all 18 hospitals, but the ministry only adjusted operating periods for Ankara Bilkent City Hospital, ignoring the others.
The audit also uncovered unfinished construction, missing medical devices, unreflected VAT exemptions, and uncharged extra commercial space, leading to inflated service payments. Despite the ministry’s claim of new final-account procedures in 2025, no hospital had completed the process by early 2026. Opposition MP Nermin Yıldırım Kara condemned the ministry’s inaction, saying the findings could fill an encyclopedia yet no measures have followed.
Why it matters
The audit reveals systemic flaws in Turkey’s hospital PPPs, risking public funds and patient care quality.
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