**12. Conclusion**

**Figure 34***.*

**Figure 35.**

**Figure 36.**

**252**

*PACT repair cost tab with realizations.*

*PACT casualties / injuries.*

PACT Casualties/ Deaths Results*.*

*Natural Hazards - Impacts, Adjustments and Resilience*

Performance assessment can provide useful information for many decisions associated with real property. These include: demonstrating equivalence of alternative design approaches, selecting appropriate design criteria for new buildings, determining if an existing building constitutes an acceptable risk for a particular planned use, whether or not it should be upgraded, and if so, to what level, performing benefit–cost studies to determine a reasonable investment for improved seismic resistance in a building, determining whether or not insurance is a costeffective risk management technique.

In this study, a case study of a typical hospital building has been analyzed. The non-linear static pushover analysis results have showed that the collapse occurs at the building base in Mode-8. The linear static analysis results have demonstrated a maximum roof displacement of 7.69 cm. Consequently, the performance assessment that used the data from these analyses have shown a low repair cost of 8.37% (less than 40%). Thus, based on the past knowledge and recommendations that suggests 40% of the total building replacement cost can be a reasonable threshold for total loss of several buildings, the decision of retrofitting can be given for this case study since the repair cost is less than 40%.

The adaptation of the current study to the typical health-care facilities in many countries as Turkey is still on-going. It is believed that the results of this study will be valuable for the building owners, managers, insurance firms and for the process of benefit–cost performance and risk management.
