In this study, the formation process of city hospitals in Turkey is explained. In the study, examples of cases related to the subject are included, the issue of management of real estate added value in terms of hospitals is examined, and depending on the four perspectives related to real estate, the added values of the hospital real estate have been revealed as, to increase innovation, to increase user satisfaction, to improve culture, to reduce costs, to increase productivity, to increase well-being, to support image, control risks and improve financial position. As in all public projects in Turkey, the most important problem in the construction of hospitals is the problem of finding financial resources by the state. In order to overcome this problem, Public Private Partnership Model (PPP) is considered as a solution. However, this model has some problems that will occur after the construction phase and may be a burden to the state. In addition, when the model is applied, rents occur in the real estates around the public investments and the value of these real estates increases. Bringing this rent or increase in value to the public is seen as a necessity. For this, it is necessary to establish a legal basis in Turkey. In addition, the technical dimension of investments should be taken into account. This can only be done by experts who are experienced and trained in real estate management and development.