Turnkey Hospital Projects: Feasibility Study Before Construction – Complete Guide | ACCO Construction

4️⃣ Financial Feasibility & Cost Estimation

A hospital is a heavy investment project. The feasibility study includes:

Estimated Construction Cost (Example for 50–100 Bed Hospital):

5️⃣ Architectural & Engineering Design

ACCO provides complete design including:

• Main Hospital Layout

• OPD, IPD, and ICU Design

• Operation Theatres

• Pharmacy

• Diagnostic Labs

• Waiting Areas

• Emergency Department

• Ventilation & HVAC planning

• Nurse Stations & Administrative Offices

• Patient flows & circulation routes

All designs follow international standards such as WHO, FGI, and AIA Healthcare Guidelines.

6️⃣ Turnkey Construction Execution (Design + Build + Deliver)

Under Turnkey Contracting, ACCO handles:

1. Pre-construction Planning

2. Architectural Design

3. Civil Structure

4. MEP Works (Mechanical, Electrical, Plumbing)

5. Fire Fighting & Safety Systems

6. Medical Gas Pipelines

7. Modular Operation Theatres

8. Interior Finishing

9. Furniture, Fixtures & Equipment (FF&E)

10. Medical Equipment Procurement

11. Commissioning & Testing

12. Final Handover – Ready-to-Operate Hospital

You simply receive the keys to your complete facility.

7️⃣ Operational Planning & Staffing Model

A hospital can only run successfully if operations are well structured.

The feasibility covers:

• Staffing requirements

• Salary budgets

• Departmental SOPs

• Patient management system

• Revenue & service pricing model

• Marketing strategy

8️⃣ Return on Investment (ROI) & Revenue Forecasting

Based on location & services, a hospital may break even in 3–7 years.

Revenue sources include:

• OPD/IPD services

• Emergency department

• Diagnostic lab

• Radiology

• Pharmacy

• Specialized procedures

• Room rent & ICU charges

⭐ Pros & Cons of Turnkey Hospital Projects

✅ Pros

• ✔ Single-Window Responsibility – No dealing with multiple contractors

• ✔ Time & Cost Savings – Faster project completion

• ✔ Standardized Quality – One team handles all stages

• ✔ Reduced Risk – Contractor takes full responsibility

• ✔ Improved Coordination

• ✔ Predictable Budgeting & Timelines

❌ Cons

• ✘ Less design flexibility after project start

• ✘ Full reliance on one contractor

• ✘ Higher initial professional fee

❓ Frequently Asked Questions (FAQs)

1. How long does a hospital feasibility study take?

Typically 30–90 days depending on project size.

2. How many beds are recommended for a profitable hospital?

Usually 30–50 beds for small cities and 80–150 beds for major urban areas.

3. Is PHC approval necessary before construction?

Yes, PHC guidelines must be incorporated into the design stage.

4. What is the cost of building a 50-bed hospital in Pakistan?

PKR 400–900 million, depending on equipment and design standards.

5. Does ACCO provide full turnkey hospital construction services?

Yes, from feasibility to commissioning.