120-bed regional referral hospital, delivered in 11 months

The regional ministry of health needed a secondary-care referral hospital for a population of 620,000 with no tertiary facility within three hours. A conventional build was quoted at 38 months. The ministry had 14 months before the monsoon made the site inaccessible for heavy construction. They called us.

Brifaj: 120 yataktan oluşan hasta servisi, 4 ameliyathane, 8 yataklı YBÜ, acil servis, ayaktan tedavi, görüntüleme (BT, MR, röntgen, ultrason), laboratuvar, eczane, steril hizmetler, diyaliz ve personel konaklaması. Altı kat. Sismik Bölge 2. Yaz tasarım sıcaklığı 48 °C.

We specified 340 volumetric modules of three base sizes (6×3 m, 9×3 m, 12×3 m) in an EN 1090 steel frame, assembled on a cast-in-place raft foundation our partner poured while the modules were in production. The envelope is a 120 mm PIR sandwich panel system, thermally broken, rated EI-60 at every compartment line.

Every module was fitted end-to-end in Ankara: MEP terminated, medical gas piped and pressure-tested, flooring laid, casework fixed, equipment installed, and factory-acceptance-tested. Modules shipped by sea via Mersin → Umm Qasr, then by road convoy to site. On-site erection took 9 weeks for shell, 6 weeks for MEP inter-module connections, and 3 weeks for SAT. Handover happened 47 weeks after contract signature, with four weeks of monsoon buffer remaining.

• Week 0Contract signature and 30% design freeze.
• Week 1–6Detailed design, tender of long-lead medical equipment, site survey.
• Week 3–30Ankara'da modül üretimi — zirve haftada 14 modül.
• Week 18Sahada dökülen (iş ortağı) radye temel, modül varışına hazır.
• Week 22–36Modüller deniz yoluyla gönderildi, 20 sefer, her gemide 17 modül.
• Week 28–37On-site erection — 9 weeks shell, 6 weeks MEP interconnect.
• Week 43–46SAT commissioning with ministry and third-party witness.
• Week 47Teslimat. Hastane 49. haftada hastalara açıldı.

The hospital received its first patients 49 weeks after contract signature, with full license and ministry acceptance. Eighteen months post-opening, it is running at 94% occupancy and has been designated the reference trauma centre for three governorates. No structural or envelope defects have been reported; one minor HVAC control issue on level 3 was resolved under warranty in week 54.

Life-cycle cost per bed-day is within 4% of our original estimate — a margin that has allowed the ministry to fund expansion on an adjacent parcel, which we are now building.