7437001AEZHLL3UEX093 2023-01-01 2023-12-31 7437001AEZHLL3UEX093 2023-12-31 7437001AEZHLL3UEX093 2022-12-31 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 7437001AEZHLL3UEX093 2021-12-31 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:IssuedCapitalMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:IssuedCapitalMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:IssuedCapitalMember 7437001AEZHLL3UEX093 2022-12-31 Terveyst:ReserveForInvestedUnrestrictedEquityMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 Terveyst:ReserveForInvestedUnrestrictedEquityMember 7437001AEZHLL3UEX093 2023-12-31 Terveyst:ReserveForInvestedUnrestrictedEquityMember 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:TreasurySharesMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:TreasurySharesMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:TreasurySharesMember 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:RetainedEarningsMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:RetainedEarningsMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:RetainedEarningsMember 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:ReserveOfExchangeDifferencesOnTranslationMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:ReserveOfExchangeDifferencesOnTranslationMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:ReserveOfExchangeDifferencesOnTranslationMember 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:EquityAttributableToOwnersOfParentMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:EquityAttributableToOwnersOfParentMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:EquityAttributableToOwnersOfParentMember 7437001AEZHLL3UEX093 2022-12-31 ifrs-full:NoncontrollingInterestsMember 7437001AEZHLL3UEX093 2023-01-01 2023-12-31 ifrs-full:NoncontrollingInterestsMember 7437001AEZHLL3UEX093 2023-12-31 ifrs-full:NoncontrollingInterestsMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:IssuedCapitalMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:IssuedCapitalMember 7437001AEZHLL3UEX093 2021-12-31 Terveyst:ReserveForInvestedUnrestrictedEquityMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 Terveyst:ReserveForInvestedUnrestrictedEquityMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:TreasurySharesMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:TreasurySharesMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:RetainedEarningsMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:RetainedEarningsMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:ReserveOfExchangeDifferencesOnTranslationMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:ReserveOfExchangeDifferencesOnTranslationMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:EquityAttributableToOwnersOfParentMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:EquityAttributableToOwnersOfParentMember 7437001AEZHLL3UEX093 2021-12-31 ifrs-full:NoncontrollingInterestsMember 7437001AEZHLL3UEX093 2022-01-01 2022-12-31 ifrs-full:NoncontrollingInterestsMember iso4217:EUR iso4217:EUR xbrli:shares
TERVEYSTALO
 
PLC
Report of the Board of Directors and consolidated financial statements
 
31 December 2023
(Unofficial translation)
2
Terveystalo
 
Group’s
 
Report of
 
the Board
 
of Directors
 
and Consolidated
 
Financial Statements
 
31 December
2023
Report of the Board of the Directors
 
......................................................................................................................
 
4
Calculation of financial ratios and alternative performance
 
measures
 
.....................................................................
 
37
Reconciliation of alternative performance measures ...............................................................................................
 
39
Consolidated financial statements,
 
IFRS
Consolidated statement of comprehensive income
 
..................................................................................................
 
42
Consolidated statement of financial position ............................................................................................................
 
43
Consolidated statement of cash flows ......................................................................................................................
 
44
Consolidated statement of changes in equity
 
...........................................................................................................
 
45
1. Corporate information
 
...........................................................................................................................................
 
46
2. Accounting policies for the consolidated financial statements .............................................................................
 
46
 
2.1 Basis of preparation
 
..........................................................................................................................................
 
46
 
2.2 Application of new and amended IFRSs and new
 
IFRIC agenda decisions
 
....................................................
 
46
 
2.3 Critical accounting estimates and judgments ...................................................................................................
 
47
 
2.4 Principles of consolidation ................................................................................................................................
 
48
 
2.5 Foreign currency transactions ..........................................................................................................................
 
50
 
2.6 Property, plant
 
and equipment .........................................................................................................................
 
50
 
2.7 Investment properties .......................................................................................................................................
 
50
 
2.8 Goodwill and other intangible assets
 
................................................................................................................
 
51
 
2.9 Impairment
 
........................................................................................................................................................
 
52
 
2.10 Leases ............................................................................................................................................................
 
52
 
2.11 Financial
 
assets and liabilities ........................................................................................................................
 
53
 
2.12 Inventories ......................................................................................................................................................
 
54
 
2.13 Employee benefits ..........................................................................................................................................
 
54
 
2.14 Provisions and contingent liabilities
 
................................................................................................................
 
55
 
2.15 Revenue recognition
 
.......................................................................................................................................
 
55
 
2.16 Segment information ......................................................................................................................................
 
56
 
2.17 Government grants
 
.........................................................................................................................................
 
56
 
2.18 Operating profit
 
...............................................................................................................................................
 
56
 
2.19 Earnings per share .........................................................................................................................................
 
57
 
2.20 Income taxes ..................................................................................................................................................
 
57
3. Business combination
 
...........................................................................................................................................
 
58
4. Segment information.............................................................................................................................................
 
61
5. Revenue ...............................................................................................................................................................
 
62
6. Other operating income ........................................................................................................................................
 
64
7. Material and services
 
............................................................................................................................................
 
64
8. Employee benefit expenses .................................................................................................................................
 
64
9. Depreciation, amortization and impairment ..........................................................................................................
 
65
10. Other operating expenses ..................................................................................................................................
 
65
11. Financial income
 
and expenses .........................................................................................................................
 
66
12. Taxes ..................................................................................................................................................................
 
66
 
12.1 Income taxes ..................................................................................................................................................
 
66
 
12.2 Deferred tax assets and liabilities
 
...................................................................................................................
 
67
13. Earnings per share .............................................................................................................................................
 
69
14. Tangible
 
assets
 
...................................................................................................................................................
 
70
 
14.1 Property, plant
 
and equipment .......................................................................................................................
 
70
 
14.2 Right of-use-assets
 
.........................................................................................................................................
 
71
 
14.3 Lease liabilities ...............................................................................................................................................
 
71
15. Intangible assets
 
.................................................................................................................................................
 
73
16. Impairment testing of cash-generating units including
 
goodwill
 
.........................................................................
 
74
17. Investment properties .........................................................................................................................................
 
76
18. Associated companies
 
........................................................................................................................................
 
77
19. Share-based payments ......................................................................................................................................
 
77
20. Financial assets and liabilities – carrying amount, fair value
 
and fair value hierarchy
 
.......................................
 
80
3
21. Financial risks
 
.....................................................................................................................................................
 
81
 
21.1. Financial risk management
 
............................................................................................................................
 
81
 
21.2. Interest rate risk currency risk .......................................................................................................................
 
81
 
21.3 Credit risk.
 
......................................................................................................................................................
 
82
 
21.4. Liquidity risk
 
..................................................................................................................................................
 
82
 
21.5. Capital management .....................................................................................................................................
 
83
22. Trade and other receivables and contract
 
assets ..............................................................................................
 
84
23. Cash and cash equivalents ................................................................................................................................
 
85
24. Share capital and invested non-restricted equity reserve ..................................................................................
 
86
25. Financial liabilities
 
...............................................................................................................................................
 
87
26. Trade and other payables
 
...................................................................................................................................
 
88
27. Provisions ...........................................................................................................................................................
 
88
28. Defined benefit plans
 
..........................................................................................................................................
 
89
29. Collateral and contingent liabilities .....................................................................................................................
 
90
30. Related party transactions
 
..................................................................................................................................
 
90
31. Group companies ...............................................................................................................................................
 
94
32. Subsequent events
 
.............................................................................................................................................
 
96
Parent company’s financial statements,
 
FAS
Parent company’s statement of income ...................................................................................................................
 
97
Parent company’s statement of financial position ....................................................................................................
 
98
Parent company’s statement of cash flows ..............................................................................................................
 
99
Parent company’s accounting policies and
 
measurement and recognition principles and methods .......................
 
99
Notes to the parent company’s financial statements ..............................................................................................
 
100
Signatures to the financial statements and Board of
 
Director’s report
 
..........................................................
 
106
4
Report of the Board
 
of Directors
 
Operating environment
Target
 
markets
In 2023, demand for healthcare services in Finland continued to be strong. Seasonal variations in demand and booking rates
 
normalised
compared to the exceptional comparison period. Demand for basic laboratory
 
services largely normalised to pre-pandemic levels. As the
pandemic receded, customer visits were focused on brick-and-mortar
 
as the demand for COVID-19 testing, digital services, and remote
appointments declined materially year-on-year.
 
Demand from corporate and insurance customers remained
 
strong. In the public-pay market, staffing
 
services saw continued strong
demand. In the second half of the year, demand for
 
out-of-pocket dental care
 
services and massage services was dampened by weaker
consumer confidence and purchasing power.
 
The public-pay private-provision market
 
is yet to see a broader increase in demand and new,
smaller tenders have been limited to digital services.
 
In Sweden, increased economic uncertainty during the second half of the year affected
 
the demand for organisation and leadership
consultation and harmful use rehabilitation services, which are more sensitive to macroeconomic
 
changes.
Terveystalo
 
continued to invest in the recruitment of professionals
 
throughout the year and was successful in steadily increasing supply.
 
To
strengthen supply, development
 
efforts were increasingly shifted towards
 
solutions that enhance the work and productivity of
professionals.
 
A tight labour market and inflation created increasing pressure
 
on operating costs, including wages, throughout 2023. The overall
employment remains decent. However,
 
significant changes could affect the demand for occupational health services in Finland.
The long-term growth prospects for Terveystalo’s
 
addressable markets in Finland and Sweden are solid; the underlying demand is strong,
and megatrends, such as the ageing population, digitalisation of healthcare, and lengthening queues in public healthcare,
 
support growth in
the future. As the most preferred employer,
 
Terveystalo
 
is well-positioned to drive growth going forward,
 
supported by its strong market
position.
The impacts of inflation
Despite the stabilised inflation, some procurement categories
 
had continued cost pressure. Terveystalo
 
has actively negotiated with its
suppliers to limit the impact of inflation on costs. Electricity prices levelled off from the comparison
 
period.
 
One of the key areas of the profit improvement program
 
is to fight inflation and reduce costs in selected product and service categories.
A tight labour market, and continued inflation put upward pressure
 
on wages in healthcare services. In the private healthcare sector,
 
a two-
year collective agreement is binding for the duration of 1 May 2022
 
- 30 April 2024, which applies to Terveystalo's
 
largest group of
employees, nurses. In 2022, salary increases were 2.0 percent from 1 October
 
2022 onwards, and for 2023, the increases were in total 2.95
percent and came into effect on 1 November 2023. In addition, the agreed,
 
one-time instalment of 450 euros was paid in June 2023. In
other professions, wage inflation is also present. The large
 
majority of the physicians who work in Terveystalo
 
are private practitioners
(approximately 96 percent), who are not in employment with the company.
Terveystalo
 
implements commercial initiatives to mitigate the effect
 
of inflation as a part of the profit improvement program.
 
The
successful pricing actions impact both 2023 and 2024 financials.
 
5
The treatment queues and regulatory environment in Finland
The contraction of non-urgent care during COVID-19 restrictions
 
resulted in a significant treatment gap for
 
other illnesses. Treatment
queues for specialised care have continued to grow.
 
In August 2023, close to 178,000 patients were waiting for access to public provision
 
of
non-urgent specialised medical care according to Finnish Institute
 
for Health and Welfare (THL). Of those patients, more
 
than 30,500 (17.2
percent) had been waiting for more than half a year to get treatment.
 
In August 2023, the number of patients who had been waiting for
more than half a year for treatment had grown by 9,400 from April 2023.
 
The responsibility for the organisation of social and healthcare services was transferred
 
to the 21 wellbeing services counties and the City of
Helsinki at the beginning of 2023. The wellbeing services county councils decide on the service strategies, principles of the service network,
service level of emergency services, budget and financial planning of the well-being services county,
 
and appointment of members to
governing bodies. The wellbeing services counties have launched smaller tenders for
 
example digital service solutions, but no decisions on
larger tenders from the private sector
 
have so far been made.
 
The government program published in the summer of 2023 aims to increase cooperation
 
between private and public healthcare and to
improve the effectiveness and cost-efficiency of
 
the healthcare system. As a first concrete
 
measure, the government decided to raise Kela
reimbursements. The new Kela reimbursements came into
 
effect on 1 January 2024 (
https://www.kela.fi/medical
 
-expenses
). In total, Kela
compensations will be increased by 500 million between 2024 and 2027, of which the state's financial contribution is 335 million.
 
The aim of
increasing the reimbursements is to shorten the treatment queues in primary care. The measures
 
of the government program are
estimated to support the growth of demand for private
 
service production and will bring new opportunities for the implementation of
publicly funded and privately provided services.
 
Impact of the global political situation and conflicts
The direct impacts of political tensions and conflicts, such as the war in Ukraine,
 
have been minimal to Terveystalo.
 
The company does not
have business operations in or with Ukraine, Israel, or countries that
 
are subject to sanctions. The indirect financial impact arises from high
inflation and potential disruptions in the supply chain and financial markets. The indirect economic impacts are visible in weakened
consumer confidence and purchasing power.
 
The impacts may also have a delayed economic impact through declining employment, which
could negatively impact the demand for Terveystalo’s
 
services.
6
Guidance for
 
2024
Terveystalo
 
estimates its revenue for 2024 to grow (2023:
 
EUR 1,286 million) and its adjusted EBITA margin to
 
be between 10.1 and 11.5
percent (9.8 percent in 2023).
The estimates are based on the end of 2023 projections for inflation, consumer demand and employment,
 
normal morbidity, and a
predictable labour market in Finland. The estimates include the impact of the successful completion of
 
the profit improvement program and
an annual decrease of approximately EUR 10 million in revenue in the Portfolio
 
Businesses segment's outsourcing business. The Sweden
segment's revenue is expected to decline due to macro weakness
 
and the exchange rate is expected to
 
remain stable. The estimates do not
include significant acquisitions or divestments.
 
Financial targets
Terveystalo’s
 
financial targets are:
 
●
annual revenue growth of at least 5 percent through organic
 
growth and acquisitions
●
an adjusted EBITA margin of at
 
least 12 percent in 2025
●
net debt/adjusted EBITDA ratio of 3.5x or less
 
However,
 
indebtedness may temporarily exceed the target
 
level, such as in conjunction with acquisitions.
●
to distribute a minimum of 40 percent of net profit as dividends annually
 
However,
 
the dividend proposal must consider Terveystalo’s
 
long-term development potential and financial position.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7
Key figures
Terveystalo Group, MEUR
2023
2022
2021
Revenue
1,286.4
1,259.1
1,154.6
Adjusted EBITDA, *
1)
200.2
178.0
206.1
Adjusted EBITDA, % *
1)
15.6
14.1
17.8
EBITDA
1)
179.2
168.8
201.8
EBITDA, %
1)
13.9
13.4
17.5
Adjusted EBITA *
1)
125.6
105.2
141.0
Adjusted EBITA, % *
1)
9.8
8.4
12.2
EBITA
1)
104.4
95.9
136.7
EBITA, %
1)
8.1
7.6
11.8
Adjusted operating profit (EBIT) *
1)
93.1
73.4
114.4
Adjusted operating profit (EBIT), % *
1)
7.2
5.8
9.9
Operating profit (EBIT)
-14.7
33.9
110.1
Operating profit (EBIT), %
-1.1
2.7
9.5
Return on equity (ROE), %
1)
-7.6
4.1
13.6
Equity ratio, %
1)
36.5
40.2
42.2
Earnings per share, EUR
-0.33
0.19
0.63
Net debt
598.1
566.6
519.0
Gearing, %
1)
116.0
95.7
85.2
Net debt/Adjusted EBITDA
1)
3.0
3.2
2.5
Total assets
1,419.5
1,479.4
1,448.6
Average personnel FTE
6,426
6,552
5,643
Personnel (end of period)
9,824
10,933
9,805
Private practitioners (end of period)
6,092
5,928
5,754
Adjusted EBITDA, excluding IFRS 16 *
1)
142.8
122.2
156.9
Net debt, excluding IFRS 16
379.0
386.8
340.6
Net debt/Adjusted EBITDA, excluding IFRS 16 *
1)
2.7
3.2
2.2
* Adjustments are material items outside the
 
ordinary course of business, and these relate to acquisition
 
-related expenses, restructuring-related
 
expenses, gain / losses on sale of assets
 
(net),
impairment losses, strategic projects and other
 
items affecting comparability.
1)
 
Alternative performance measure. Terveystalo
 
presents alternative performance measures
 
as additional information to financial measures defined
 
in IFRS. Those are performance measures
 
that
the company monitors internally,
 
and they provide management, investors,
 
securities analysts and other parties significant additional
 
information related to the company's
 
results of operations,
financial position and cash flows. These should not be considered
 
in isolation or as a substitute to the measures
 
under IFRS.
Share
-
related key
 
figures
Share-related key figures
 
2023
2022
2021
Equity per share, EUR
4.1
4.7
4.8
Earnings per share, EUR
-0.33
0.19
0.63
Dividend per share, EUR
0.30
0.28
0.28
Dividend payout ratio, %
190.9 %*
145.0 %
44.3 %
* In 2023, the dividend payout ratio of adjusted earnings
 
per share (0.47 EUR) was 63.8 percent.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8
Financial development
Revenue
 
The Group’s revenue for
 
2023
increased by 2.2 percent year-on-year and amounted to
 
EUR 1,286.4 (1,259.1) million. The Healthcare
Services segment revenue increased by 5.7 percent and was EUR 948.6 (897.8) million. The revenue
 
increase was mainly driven by
improved sales mix and successful pricing actions.
Visits to laboratory services decreased substantially year-on-year
 
as COVID testing decreased. A total of approximately
 
6,800 (335,000)
COVID-19 tests were performed
1)
. Revenue from other laboratory services increased year-on-year.
 
Revenue from surgical operations and
imaging services grew year-on-year.
 
The Portfolio Businesses segment revenue decreased by 8.1 percent
 
million due to expired outsourcing contracts and was EUR 267.2
(290.7) million. The revenue from Sweden decreased by 0.4 percent and came
 
to EUR 92.5 (92.8) million. Without the currency effect, the
revenue grew by 7.2 percent.
 
Acquisitions increased revenue in Sweden by approximately
 
EUR 4.6 million.
 
1) Excludes sample collection services
Revenue, MEUR
2023
2022
Change,
 
percent
Healthcare Services
948.6
897.8
5.7
Portfolio Businesses
267.2
290.7
-8.1
Sweden
92.5
92.8
-0.4
Eliminations
-21.8
-22.2
-1.7
Total
1,286.4
1,259.1
2.2
Financial performance
 
and cash
 
flow
The Group’s adjusted earnings for 2023
 
before interest, taxes,
 
amortization, and impairment losses (EBITA)
 
increased by 19.4 percent to
EUR 125.6 (105.2) million, representing 9.8 (8.4) percent of revenue. Profitability
 
improved in all business areas. Profitability was
strengthened by normalization of the sales mix, successful pricing actions, and the progress of the profit
 
improvement program.
Adjusted EBITA, MEUR
2023
2022
Change,
 
Healthcare Services
109.0
99.2
9.9
Portfolio Businesses
8.7
3.5
149.4
Sweden
3.7
2.6
42.5
Other
4.2
-0.1
>200.0
Total
125.6
105.2
19.4
Section Other reported figures mainly consist of
 
parent company expenses, unallocated
 
Group level adjustments, and provisions.
 
Material expenses and service purchasing increased by 2.0 percent year-on-year
 
and amounted to EUR 536.2 (525.7) million. Employee
benefit expenses decreased by 1.8 percent year-on-year and amounted to
 
EUR 447.0 (455.0) million due to the actions of the profit
improvement program, lower sick leaves, and terminated
 
outsourcing contracts. The decrease was partially offset
 
by recruitment and salary
increases. Other operating expenses increased by 14.2 percent to
 
EUR 128.2 (112.3) million mainly due to advisory fees of the profit
improvement program, as well as higher costs related
 
to rents and premises.
 
9
The Group’s adjusted EBITDA increased
 
by 12.5 percent year-on-year to EUR
 
200.2 (178.0) million. Adjusted EBIT amounted to EUR 93.1
(73.4) million. Operating result (EBIT) came to EUR -14.7 (33.9) million. The operating result was
 
weakened by EUR 84.6 million write-offs
related to goodwill and to purchase price allocations relating to public
 
outsourcing customer relationships within the Portfolio
 
Businesses.
In the comparison period, impairment of other intangible assets EUR 28.9 million decreased the operating profit.
Net financing costs increased to EUR 24.2 (2.9) million due to the increased interest
 
rate, as well as the increase in the fair value of interest
rate hedges during the comparison period. The result before tax
 
was EUR -38.9 (30.9) million. Income taxes were EUR -3.3 (6.5) million. The
result for the reporting period amounted to EUR -42.2 (24.4) million, and earnings per share were EUR
 
-0.33 (0.19).
 
Cash flow from operating activities increased to EUR 158.0 (140.9) million due to improved
 
profitability and timing differences in corporate
tax payments. Growth was dampened by growth in working capital
 
employed.
 
Cash flow from investing activities decreased to EUR -44.2 (-93.9) million. The change from the comparison period mainly consisted
 
of a
decrease in M&A activities and investments in intangible assets.
Cash flow from financing activities amounted to EUR -116.2 (-44.6) million.
The change from the comparison period was mainly due to
refinancing and increased net financial expenses during the reporting period.
Profit improvement programs
 
During the fourth quarter of 2022, Terveystalo
 
launched a profit improvement program, which aims for an inflation-adjusted,
 
annualised
(run-rate) EBITA
 
improvement of at least EUR 50 million by the end of 2024. The program progressed
 
well, and the overall target was
exceeded ahead of schedule. The measures implemented by the end of the reporting period are estimated
 
to have an annual run-rate
impact of over EUR 60 million on profitability. The adjusted
 
EBITA impact of the program
 
during the fourth quarter was approximately EUR
13 million and during 2023 EUR 37 million.
During the fourth quarter of 2022, a profit improvement program
 
was launched in Sweden targeting a structural change in the profitability
in 2025.
The total costs related to the programs in 2022–2024
 
are estimated to be EUR 30-35 million. The costs are related
 
to restructuring and
advisory fees. Advisory fees are tied to the results achieved by the programs.
 
The costs of the programs are treated as items affecting
comparability. The costs of
 
the programs, treated as items affecting
 
comparability, were
 
EUR 5.3 million during the fourth quarter and EUR
21.7 million during 2023.
Financial position
Terveystalo’s
 
liquidity position is good. Cash and cash equivalents at the end of the reporting period amounted to EUR 37.7 (40.2) million.
The total assets of the Group amounted to EUR 1,419.5 (1,479.4) million.
 
Equity attributable to owners of the parent company totalled
 
EUR 515.4 (592.0) million.
 
Gearing (including lease liabilities) was 116.0 (97.7) percent and net debt amounted to EUR 598.1 (566.6)
million. The increase in net debt is
mainly due to lease liabilities. Net debt, excluding IFRS 16 (lease liabilities) amounted to EUR 379.0 (386.8) million. The average
 
maturity of
Terveystalo's
 
financial loans was 3.0 (2.3) years at the end of the fourth quarter of 2023, and the weighted average
 
interest rate for
 
the
quarter was 4.8 (1.2) percent. During the reporting period, the company fulfilled the covenant
 
requirement included in its financing
agreements reflecting relative indebtedness.
During the reporting period, the company signed an agreement for a long-term loan of EUR 135 million linked
 
to sustainability targets and
refinanced the current revolving credit facility.
 
The loan is a bullet loan, and the maturity of the loan is three years supplemented by an
extension option of one year.
 
EUR 125 million of the loan was withdrawn and used to refinance bank loans maturing during 2023 and 2024.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10
In connection with the refinancing, the company agreed on the refinancing of a EUR 40 million revolving credit facility
 
maturing in 2024. The
maturity of the syndicated credit revolving facility is three
 
years supplemented by an extension option of one year.
During the second quarter of 2023, Terveystalo
 
issued senior unsecured sustainability-linked notes in the aggregate principal amount
 
of
EUR 100 million. The notes will mature on 1 June 2028 and carry initially a fixed annual interest of 5.375 percent.
 
The notes were listed on
the official list maintained by Nasdaq Helsinki Ltd on 5 June 2023.
At the end of the reporting period, the unused part of credit based on financing agreements and bank accounts with a credit facility
amounted to EUR 98.0 (99.6) million.
Return on equity for financial year was -7.6 (4.1) percent. The equity ratio
 
was 36.5 (40.2) percent. In accordance with the 2023 Annual
General Meeting’s decision, a dividend of EUR 0.28 per share has been paid based on the balance sheet adopted for the fiscal year
 
ending
31 December 2022. The dividend was paid in two instalments. The first dividend instalment was
 
paid to shareholders on 3 April 2023 and
the second dividend instalment on 9 October 2023.
Seasonal variation
 
and the
 
impact of
 
the number
 
of business
 
days
Terveystalo’s
 
revenue from corporate and private
 
customers has typically been lower during the vacation seasons, particularly in the
summer months. The number of business days influences the revenue and earnings development, particularly when comparing quarterly
performance. There was 251 (253) working days in 2023. In 2024, there are 252 working days.
 
Because of the seasonal nature of business,
the required net working capital varies during the year.
 
Variation is caused by the timing of pension and VAT
 
payments, vacation pay
obligations, and service fees related to occupational healthcare, etc.
Number of working days by quarter
2022
2023
2024
Q1
63
64
63
Q2
61
60
61
Q3
66
65
66
Q4
63
62
62
Full year
253
251
252
Investments and
 
acquisitions
Net investments* in 2023, including M&A, amounted to EUR 43.9 (94.1) million. The Group’s
 
net capital expenditure, excluding M&A,
amounted to EUR 40.2 (60.0) million. The investments consisted mainly of investments
 
in digital application and service development, IT
system projects, medical equipment, and network. The relative
 
share of intangible investments in gross investments
 
decreased year-on-
year.
During the second quarter, Terveystalo
 
subsidiary, Feelgood Svenska
 
AB, entered into agreements for two
 
acquisitions. Feelgood acquired
Växjö Hälsoforum and Quality Care's operations,
 
of which the former was finalised during the third quarter and the latter during the
 
fourth
quarter.
 
* Net investments do not include increases
 
in right-of-use assets related
 
to leases for business premises. Net investments
 
include the acquisition of non-controlling interests.
Development expenses
Capitalised development expenses in 2023 were EUR 23.2 (16.4) million and were included in other intangible assets.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11
Personnel
The number of Terveystalo’s
 
employed staff on 31 December 2023 in Finland was 8,950 (10 100), in Sweden 874 (833) and in total 9,824
(10,933). In FTEs, the average number of personnel in Finland was 5,596 (5,865), in Sweden 829 (687) and in total 6,426 (6,552).
 
The
number of private practitioners in Finland was 5,987 (5,822), in Sweden 105 (106) and in total
 
6,092 (5,928). The number of employees in
Finland was affected by a reduction in the number of employees working in COVID
 
-19 related services, the measures of the profit
improvement program and the termination of outsourcing contracts.
Reporting segments
Starting from 1 January 2023, Terveystalo
 
has changed its financial reporting structure to better highlight the performance of
 
Terveystalo's
businesses. The new reporting structure reflects Terveystalo's
 
new operating model and is aligned with the way the company’s
management follows the operational performance of Terveystalo's
 
businesses. Terveystalo
 
Group comprises of three reporting segments:
Healthcare Services, Portfolio Businesses, and Sweden.
Healthcare Services
 
Healthcare Services business segment offers customers in Finland integrated care paths from preventive occupational health
 
services to
primary care services and to different fields of specialized care, diagnostic, and day surgery.
 
In Healthcare Services, Terveystalo
 
aims for
industry-leading profitability and the best care outcomes.
Key figures
2023
2022
Change, %
Revenue, MEUR
948.6
897.8
5.7
EBITA, MEUR
107.1
93.8
14.2
EBITA,
 
%
11.3 %
10.4 %
0.8 %-p.
Adjusted EBITA, MEUR
109.0
99.2
9.9
Adjusted EBITA, % of revenue
11.5 %
11.0 %
0.4 %-p.
The revenue from Healthcare Services for 2023
 
increased by 5.7 percent and was EUR 948.6 (897.8) million.
 
The revenue from corporate customers
 
increased by 7.9 percent to EUR 564.0 (522.9) million. Revenue from preventive
 
occupational health
services
1)
 
increased year-on-year.
 
Revenue from healthcare appointments also increased, even though the sales from
 
COVID-related
services dropped year-on-year.
 
The revenue from consumers increased by 6.4 percent
 
to EUR 296.1 (278.4) million. Revenue increased
especially due to higher sales from services produced for insurance companies. The revenue from
 
public sector customers decreased by 8.3
percent to EUR 88.5 (96.4) million due to terminated contracts and ending of COVID
 
-related services sales. Revenue from services provided
for municipal occupational health customers grew due to successful pricing actions.
 
The revenue from appointment services increased by 11.2 percent to
 
EUR 618.3 (556.3) million mainly due to improved customer mix and
successful pricing actions. The number of physical appointments increased slightly year-on-year.
 
The number of remote appointments
decreased by 19.0 percent due to the COVID-related digital visits during the comparison
 
period. Revenue from diagnostics services
(laboratory and imaging) decreased by 8.2 percent and was EUR 229.6 (250.0) million. The number of laboratory
 
visits decreased clearly
from the comparison period when there was a high number of COVID tests done. Excluding COVID
 
testing, the number of laboratory visits
increased from the comparison period. The revenue from other services increased by 10.0 percent
 
and was EUR 100.7 (91.5) million driven
by surgical operations.
1) The statutory task of occupational healthcare
 
is to prevent work-related adverse health effects.
 
Preventive services include, for example,
 
workplace surveys to examine the
conditions and exposures at the workplace;
 
health examinations; suggested
 
measures to improve work conditions and to promote
 
the employees’ ability to work; guidance and
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12
counselling; participation in the planning and implementation
 
of measures that maintain work ability; promotion
 
of coping at work and, when necessary,
 
referrals to rehabilitation
in case of reduced work ability; guidance in first
 
aid preparedness at the workplace; and assessment
 
and monitoring of the quality and impact of occupational
 
healthcare activities.
Healthcare Services, revenue by customer groups, and services
Revenue, MEUR
2023
2022
Change, %
By customer
Corporate
564.0
522.9
7.9
Consumer
296.1
278.4
6.4
Public sector
88.5
96.4
-8.3
By service
Appointments
618.3
556.3
11.2
Diagnostics
229.6
250.0
-8.2
Other
100.7
91.5
10.0
Corporate customers
 
constitute Terveystalo’
 
s largest customer group. Terveystalo’
 
s corporate customers consist
 
of the company’s occupational
 
health customers, excluding
municipal
 
occupational healthcare customers,
 
which are included in the public sector customer
 
group. The company provides
 
statutory occupational health services and
 
other
occupational health and well-being services for
 
corporate customers of all sizes.
Consumer customers
 
are Terveystalo’
 
s third-largest customer group. Consumer
 
customers include private individuals and families.
 
Services for consumers are paid for either by
 
the
customers themselves or by their insurance companies.
The services offered to
public sector
 
customers include specialized care services,
 
other healthcare services produced in the clinic network,
 
as well as occupational
 
health services for
the public sector. Outsourcing
 
and staffing services are included in Portfolio
 
Businesses,
Healthcare Services, number of visits
Visits
2023
2022
Change, %
Appointments
6,069,111
6,351,339
-4.4
Physical appointments
4,750,619
4,723,915
0.6
Remote appointments
1,318,492
1,627,424
-19.0
Diagnostics
1,285,980
1,460,908
-12.0
Other
48,984
41,278
18.7
Total
7,404,075
7,853,525
-5.7
In 2023
,
adjusted earnings before interest, taxes,
 
amortization, and impairment losses (EBITA)
 
increased by 9.9 percent and amounted to
EUR 109.0 (99.2) million, representing 11.5 (11.0) percent of revenue. The drop in COVID-19 testing
 
volumes had a negative impact on
profitability, whereas successful
 
pricing actions and improved sales mix in non-COVID-related services strengthened
 
the profitability. The
profit improvement program targeting at
 
least 50-million-euro annualised (run-rate) EBITA
 
improvement by the end of 2024, progressed
well and the overall target was exceeded
 
ahead of schedule. The measures implemented by the end of the reporting period are estimated
to have an annual run-rate impact of over EUR 60 million on profitability.
 
The adjusted EBITA impact of
 
the program during 2023 was EUR
37 million.
Portfolio Businesses
 
The Portfolio Businesses segment consists of business areas that aim for independent value creation utilising Terveystalo’s
 
capabilities
according to their needs. Portfolio Businesses include public sector outsourcing, staffing services, and dental
 
care, as well as other businesses
such as public sector digital services, rehabilitation, child welfare, and massage services, as well as interpretation services.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13
Key figures
2023
2022
Change, %
Revenue, MEUR
267.2
290.7
-8.1
EBITA, MEUR
8.3
2.0
>200.0
EBITA, %
3.1 %
0.7 %
2.4 %-p.
Adjusted EBITA, MEUR
8.7
3.5
149.4
Adjusted EBITA, % of revenue
3.3 %
1.2 %
2.1 %-p.
Portfolio Businesses, revenue by services
Revenue, MEUR
2023
2022
Change, %
Outsourcing services
91.1
118.7
-23.3
Staffing services
84.7
84.1
0.6
Dental care
54.5
52.2
4.3
Other
36.9
35.6
3.7
Total
267.2
290.7
-8.1
In the Portfolio Businesses, revenue in 2023
decreased by 8.1 percent and amounted to EUR 267.2 (290.7) million. Revenue from
outsourcing services decreased by 23.3 percent due to terminated outsourcing contracts
 
and amounted to EUR 91.1 (118.7) million.
Revenue from staffing services increased by 0.6 percent
 
driven by growth in the demand for specialised care and amounted to EUR
 
84.7
(84.1) million. Higher demand for specialist care services had a positive impact on revenue. Revenue
 
from nurse staffing decreased due to a
decrease in COVID-related services year-on-year.
 
Revenue from dental care increased by 4.3 percent
 
and amounted to EUR 54.5 (52.2)
million. Revenue from other services increased by 3.7 percent and amounted to EUR 36.9 (35.6)
 
million.
 
In 2023
,
adjusted earnings before interest, taxes,
 
amortization, and impairment losses (EBITA)
 
increased to EUR 8.7 (3.5) million,
representing 3.3 (1.2) percent of revenue. Termination
 
of low-margin outsourcing contracts, successful pricing actions, cost
 
cutting, as well
as increased demand improved profitability year-on-year.
 
Higher costs of specialised care in outsourcing services, as well as inflation
impacted negatively.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14
Sweden
The Sweden segment consists of Feelgood subsidiaries’ operations in Sweden, which are focused on occupational health and consultation
 
for
organisational management and harmful use. In Sweden, Terveystalo
 
aims for profitable growth in the medium and long term.
Key figures
2023
2022
Change, %
Revenue, MEUR
92.5
92.8
-0.4
EBITA, MEUR
2.1
1.9
10.1
EBITA, %
2.3 %
2.0 %
0.2 %-p.
Adjusted EBITA, MEUR
3.7
2.6
42.5
Adjusted EBITA, % of revenue
4.0 %
2.8 %
1.2 %-p.
In the Sweden segment, revenue in 2023
 
decreased by 0.4 percent and amounted to EUR 92.5 (92.8) million. The weakening of
 
the
Swedish krona from the comparison period had a negative impact on revenue. Without the currency
 
effect, the revenue grew by 7.2
percent. Demand was at a good level during the first half of the year,
 
particularly in organisational leadership consultation and harmful use
rehabilitation services. During the third quarter,
 
the demand for preventive occupational health services started to
 
pick up slower after the
holiday period than the previous year.
 
During the second half of the year, the increased
 
economic uncertainty affected the demand for
services, which are sensitive to macroeconomic changes. Acquisitions increased revenue in Sweden by approximately
 
EUR 4.6 million.
In 2023
,
adjusted earnings before interest, taxes,
 
amortization, and impairment losses (EBITA)
 
increased by 42.5 percent to EUR 3.7 (2.6)
million, representing 4.0 (2.8) percent of revenue. Profitability was
 
strengthened by increased operational efficiency.
 
During the fourth
quarter, a profit improvement
 
program was launched in the business area targeting a structural
 
change in the profitability in 2025.
Statement of non-financial information
Terveystalo
 
is the largest private health care service provider in Finland in terms of
 
revenue and network and a leading occupational health
provider in the Nordic region. Terveystalo
 
employs in total over 15,500 health and well-being professionals. The company
 
is listed on the
Helsinki Stock Exchange and has predominantly Finnish ownership. In 2023, Terveystalo
 
had 1.2 million individual customers in Finland and
some 7.6 million customer visits were made.
 
Terveystalo’s
 
mission is to fight for a healthier life by focusing on meaningful matters.
 
Terveystalo’s
 
strategy is to deliver integrated,
 
data-
driven outpatient and preventive care with best-in-class
 
care outcomes and people experience. The key targets
 
are to reach industry-
leading profitability and to have a net positive impact on society.
 
Terveystalo’s
 
values constitute the foundation for all Terveystalo’s
operations.
Terveystalo
 
reports on its sustainability work as part of the Annual Report. This section summarizes the key themes,
 
targets, and results.
The double materiality assessment conducted in 2023 serves as the foundation for Terveystalo’s
 
sustainability efforts and the specifies the
information included in sustainability reporting. Terveystalo’s
 
material sustainability themes are related to Terveystalo’s
 
consumers and end
users, own workforce and ethical business conduct. In addition, Terveystal
 
o
 
promotes sustainable consumption and climate action.
Terveystalo’s
 
sustainability efforts are guided by the company’s
 
Code of Conduct, values, and strategic goals as well as the material
sustainability themes based on the double materiality assessment. Terveystalo
 
is committed to the UN Guiding Principles on Business and
Human Rights, the conventions of the International Labour Organisation (ILO),
 
and the Ten Principles of the UN Global Compact.
Terveystalo’s
 
systematic sustainability management aims to
 
ensure that the company achieves its sustainability targets.
 
The continuous
improvement model ensures that Terveystalo’s
 
services will continue to create value for customers
 
in the future.
 
15
The most significant risks related to material sustainability themes
 
are assessed and mitigated as part of the company's overall risk
management process.
 
There is a constant shortage of educated professionals
 
in the industry, while the need for and demand for
 
healthcare services continues to
grow. The main sustainability risks
 
are related to the availability of health care professionals
 
and thus access to care. The company mitigates
these risks by, among other things, automating routine tasks,
 
using technology, and allocating resources
 
according to the need for care. In
addition, the company continues to strengthen its position as the most attractive
 
workplace in the industry by developing, among other
things, multi-professional cooperation, and leadership.
Terveystalo
 
believes it can leverage its position as the most attractive employer
 
in
the industry to grow faster than the market.
Good health and well-being
The core of Terveystalo’s
 
operations and the company’s key positive
 
impact is the provision of appropriate, high-quality,
 
effective, and safe
care for all customers. Terveystalo
 
is a pioneer in data-driven integrated care. The company
 
uses data to support care and target effective
prevention and continuously measures the effectiveness of
 
care and the benefits to the customer.
 
The company's integrated care model
provides fast access to care, links the differ
 
ent stages of care into seamless multi-professional
 
and multi-channel care paths, and actively
guides the patient, supporting continuity of care throughout the care paths. Terveystalo’s
 
digital solutions play a key role in integrated
 
care
paths and their development.
 
Quality is managed at all
 
levels of the organisation
 
 
The cornerstones of Terveystalo’s
 
quality management system are patient safety
 
and the national legislation governing the industry.
Quality is managed on all levels of the organisation. The quality system ensures fast
 
access to care and
 
patient safety, a high-quality and
continuously evolving customer experience, data
 
protection and security, compliance, and
 
continuous improvement of the effectiveness
 
of care.
Terveystalo’s operations are guided by
 
the company’s operating policy,
 
quality policy, internal control and
 
risk management policy, self-auditing
program, Code of Conduct, and
 
data protection and information security
 
policy. The harmonised processes and
 
procedures that ensure patient safety
and high-quality care are documented
 
in Terveystalo’s integrated management system.
 
Policies and procedures on the
 
data protection of patient
data are documented in the
 
Data Protection Handbook for
 
patient care. Terveystalo’s operations are
 
also guided by the ISO
 
9001:2015 quality
management system, the Current Care
 
Guidelines and
the laws and regulations governing
 
the industry and the operations
 
of private service providers,
and customer agreements.
 
Targets
 
for quality and effectiveness
 
of care
Terveystalo
 
has defined three
 
key targets
 
to promote the achievement
 
of Terveystalo’s
 
quality objectives.
 
Two of the
 
targets are also
included in the sustainability
 
-linked financing
 
framework published
 
in 2023.
Effective care for
 
mental health issues
Mental health issues are among the three most common diagnosis categories in Terveystalo
 
and are a significant cause of human suffering,
related sickness absences, and early retirement in Finland. Providing appropriate
 
and effective treatment for
 
mental health problems is one
of the priorities of Terveystalo's
 
medical quality development. Patients who receive brief psychotherapy
 
recover faster than those given
only sick leave and/or medication. Patients who go through
 
brief psychotherapy also have fewer
 
sickness absences. Terveystalo
 
aims to
increase the use of brief psychotherapy in occupational healthcare in the treatment
 
of people diagnosed with depression or anxiety
disorders. When more patients receive care at an early stage,
 
resources for long-term rehabilitative psychotherapy
 
are freed up for those
who need it due to the severity of their condition. Terveystalo
 
has systematically developed mental
 
health care paths and increased the
proportion of patients referred to brief psychotherapy.
 
Terveystalo’s
 
target is to increase the share of occupational healthcare
 
patients diagnosed with anxiety or depression and who are referred
to brief psychotherapy to 25 percent by 2026. In 2023, the share
 
of occupational health patients referred to brief
 
psychotherapy was 12.6
(8.5) percent of all occupational health patients diagnosed with anxiety or depression. Total
 
number of diagnoses of depression and anxiety
in occupational health was 87,335 (80,702). The results achieved in 2023 were in line with the target.
 
 
 
 
 
 
 
 
16
Excellent customer experience
NPS (Net Promoter Score) is Terveystalo’s
 
most important indicator of the quality of the customer experience. Terveystalo
 
aims to stand out
by providing an excellent experience in all customer encounters.
 
The company develops its services by listening to customers
 
and utilising
new technology. NPS expresses the share of
 
Terveystalo’s
 
patients who would recommend Terveystalo’s
 
services to others. Terveystalo’s
NPS is exceptionally high compared to the industry average
 
(38), and maintaining this performance requires a continuous effort.
 
Terveystalo’s
 
target is to maintain a customer satisfaction
 
score (NPS) of at least 83. In 2023, the NPS for appointments was 84.8 (82.7).
Effective care at every
 
visit
 
Terveystalo
 
uses PEI indicator (Patient Enablement Instrument) to measure the appointment
 
-specific effectiveness of care. PEI measures
the customer’s perception of coping with their illness or condition after an appointment, i.e. whether the customer
 
feels that they can cope
with their symptom or illness much better,
 
better,
 
same as before, or worse after the appointment (on a scale of 1–4).
 
The aim of collecting
individual customer feedback is to improve both the customer experience and the professional
 
experience. The PEI indicator is commonly
used in primary healthcare, and it has been selected by the Finnish Institute for Health and Welfare
 
(THL) as one of the key indicators for
measuring the effectiveness of Finnish healthcare in the future.
Terveystalo’s
 
target is to maintain an appointment-specific
 
PEI index of at least 2.9. In 2023, the PEI index was 2.9 (2.9). Approximately
 
60
percent of Terveystalo's
 
customers feel they cope better or much better with
 
their illness after an appointment.
Target
Indicator (KPI)
Scope of application
Target level
Target year
Baseline
2023
2022
2021
Increase the share of
occupational healthcare
patients diagnosed with
anxiety or depression
and who are referred to
brief psychotherapy to
25% by 2026 1)
The share of
occupational
healthcare patients
diagnosed with
anxiety or
depression and who
are referred to brief
psychotherapy
Occupational
healthcare customers
in Finland
 
25%
2026
2022
12.6%
8.5%
6.2%
Maintain a customer
satisfaction score (NPS)
of at least 83 2)
NPS (Net Promoter
Score) for
appointments
 
Terveystalo’s
customers, who have
visited appointments
in Finland
At least 83
Continuous
2022
84.8
82.7
83.0
Maintain an
appointment-specific
PEI index 3) of at least
2.9
 
PEI index (Patient
Enablement
Instrument)
Terveystalo’s
customers, who have
visited doctor’s
appointments in
Finland
At least 2.9
Continuous
2022
2.9
2.9
-
1) Occupational healthcare patients with a diagnosis
 
of depression or anxiety and who are referred
 
to brief psychotherapy / Occupational healthcare
 
patients with a diagnosis of
depression or anxiety.
2) NPS measures the individual patient's experience
 
of the service received shortly after the service experience.
 
The patient is asked to assess
 
how likely (on a scale of 0–10) they
 
are
to recommend Terveystalo’s
 
services. The Net Promoter Score is calculated by subtracting
 
the share of those who gave a score of 0–6 (detractors)
 
from the share of those gave a
score of 9–10 (promoters).
 
3) The PEI index (Patient Enablement
 
Instrument) is used to measure whether
 
the customer feels that they are able to
 
cope with their symptom or illness
 
much better, better,
 
same
as before, or worse after the appointment.
 
The scale is 1–4.
 
 
17
In addition to the aforementioned targets, Terveystalo
 
continuously measures its clinical, experienced and process results based on
international best practices and publishes its continuously updated quality indicators
 
on its
website
. The progress against the quality targets
is monitored by Terveystalo’s
 
Quality Steering Group on a quarterly basis.
Responsible work
Competent and committed personnel form the foundation
 
for Terveystalo’s
 
operations. There are shortages of competent
 
professionals in
many places, and the most significant risks in the line of operation related
 
to personnel are related to the availability and
 
retention of
competent professionals.
 
A key strategic goal for
 
Terveystalo
 
is to ensure that the company has enough health and well-being professionals
to meet the growing demand and achieve its strategic targets.
 
Terveystalo
 
aims to be the best and most attractive employer in its industry.
 
Terveystalo’s
 
attractiveness as an employer and the occupational well-being and job satisfaction
 
of the people who work at Terveystalo
constitute the foundation for all operations. Terveystalo
 
strives to strengthen its attractiveness as
 
a workplace by providing professionals
with interesting and meaningful work, competitive pay,
 
diverse career,
 
and development opportunities, and ensuring that professionals can
work smoothly and focus on meaningful matters. Equality,
 
fairness and non-discrimination are core principles. In 2023, Terveystalo
 
was
rated by industry professionals as the most popular employer
 
in Finland for the fourth consecutive time.
1) Universum employer survey 2023
At the end of 2023, Terveystalo
 
had 8,950 (10,100) employees and 5,987 (5,822) independent private practitioners in its operations
 
in
Finland. In Sweden, Terveystalo’s
 
subsidiary Feelgood had 874 (833) employees and 105 (106) private practitioners. The
 
number of
employees in Finland was affected by a reduction in the number of employees working
 
in COVID-19 related services, the measures of the
profit improvement program and the termination of outsourcing
 
contracts.
Terveystalo’s
 
operating principles concerning human resources management
Terveystalo
 
has drawn up operating principles for managing material impacts on its personnel. Terveystalo’s
 
Code of Conduct includes key
principles concerning equality, fairness and non-discrimination. In accordance
 
with Finnish law, Terveystalo
 
respects the right of its
employees to be members of trade unions or similar advocacy organisations
 
and participate in their activities.
Terveystalo
 
also respects the
collective bargaining rights of employees. Eighty percent of Terveystalo’s
 
employees in Finland are covered by collective labour agreements.
In Sweden, the corresponding figure is 100 percent.
Terveystalo’s
 
work community development plan includes targets and actions for developing and
 
maintaining professional competence and
promoting occupational well-being. The development plan also includes Terveystalo’s
 
equality and non-discrimination plan. Pay equality is
assessed and promoted as part of the work community development plan. Gender,
 
for example, cannot be a factor that influences pay.
Terveystalo’s
 
working group on equality became operational at the beginning of 2023. Its aim is to promote
 
equality in Terveystalo’s
 
work
communities and customer encounters.
One of the areas of Terveystalo’s
 
people strategy is the development of meaningful and competitive incentive and remuneration
 
models
that strengthen the performance and commitment of professionals
 
and Terveystalo’s
 
attractiveness as an employer.
 
Terveystalo’s
remuneration principles are set out in the remuneration policy and are based on performance,
 
fairness and competitiveness. The aim is to
ensure that Terveystalo
 
is an attractive employer for motivated
 
and skilled professionals. Remuneration must support the achievement
 
of
Terveystalo’s
 
strategic targets, incentivise behaviour that
 
is consistent with Terveystalo’s
 
values, and reward excellent performance.
Terveystalo’s
 
goal is to be the best and most attractive employer in its industry
 
Terveystalo’s
 
goal is to be the best and most attractive employer in its industry for
 
all professionals. The professional survey is one of
Terveystalo’s
 
most important tools for improving internal procedures
 
and supervisor work. The survey is aimed at all of Terve
 
ystalo’s
professionals, including private practitioners. In the survey,
 
the employee Net Promoter Score (eNPS) is used as a key indica
 
tor of well-being
and coping at work. The eNPS figure indicates the proportion of the employees and private
 
practitioners who would recommend
Terveystalo
 
as a workplace to others. In the 2023 professional survey,
 
the eNPS recommendation index was 19 (28). In 2023, Terveystalo
 
 
 
 
18
implemented changes to its operating model and streamlined organisational
 
structures in connection with a profit improvement program.
These changes had a negative impact on the eNPS. Terveystalo’s
 
long-term strengths include well-functioning work communities, effective
cooperation and good team leadership. These were perceived increasingly
 
positively. The willingness to continue working
 
at Terveystalo
also remained at a good level. The target is for the eNPS indicator
 
to be at least 25 in 2025.
Target
Indicator (KPI)
Scope of
application
Target
level
Target
year
Base
year
2023
2022
Being the industry’s
best and most
attractive employer
 
Employee Net
Promoter Score
(eNPS)
Terveystalo’s
employees and
private
practitioners
25
2025
2022
 
19
28
The employee Net Promoter Score (eNPS) indicates
 
the proportion of the personnel and private practitioners
 
who would recommend Terveystalo
 
as a
workplace to others.
Well-being and strong work communities
The core of Terveystalo’s
 
people strategy is to build strong work communities with a humanely efficient
 
working culture where people have
high job satisfaction and their work is smooth and productive. To
 
achieve this, Terveystalo
 
looks after the health and safety of the personnel
by providing occupational health services that exceed the legal requirements and by continuously
 
developing the safety culture in work
communities. Nurturing a healthy work-life balance is part of a humanely efficient working culture. Terveystalo’s
 
work communities are
equal, non-discriminatory, and diverse. Good and
 
effective supervisory work is a key factor
 
in performance and job satisfaction, and it is
strengthened by supporting and training supervisors.
Occupational safety
The occupational safety
 
of Terveystalo’s
 
personnel in Finland
 
is developed and managed
 
at the Group level,
 
taking company-specific
 
and
business-specific differences
 
into account. The
 
different levels
 
of the organisation
 
know and recognize
 
their responsibilities
 
concerning
ensuring occupational
 
safety in compliance
 
with Finnish legislation.
 
Terveystalo’s
 
goal is to be a
 
safer working environment
 
every day.
 
The development of occupational
 
safety at Terveystalo
 
is focused on the
 
identification,
 
prevention, and
 
mitigation of
 
health hazards and
adverse health
 
impacts arising from
 
working conditions,
 
as well as protecting
 
and promoting the
 
safety,
 
work ability,
 
and health of
employees. An annual
 
action plan is drawn
 
up for the development
 
of occupational safety.
 
In 2023, the goal was
 
to develop the
systematic
 
management of occupational
 
safety at the
 
individual, unit, business,
 
and Group levels
 
by, for
 
example, clarifying
responsibilities related
 
to occupational safety,
 
ensuring careful orientation
 
training, and increasing
 
occupational safety
 
management
through supervisory work.
 
A new operating
 
model for the risk
 
assessment of work
 
tasks was introduced
 
in 2023.
All occupational accidents
 
and commuting accidents
 
at Terveystalo
 
are reported and
 
investigated.
 
The operational
 
safety is further
developed with the
 
help of safety
 
observations. Terveystalo
 
has not had any occupational
 
accidents or commuting
 
accidents resulting
 
in
death or severe
 
injury for years.
 
The accident frequency
 
in Finland in 2023 was
 
20 (18).
 
In Sweden (Feelgood),
 
occupational health
 
and safety are
 
organised following
 
the Swedish legislation.
 
The certified ISO
 
45001
occupational health and
 
safety system
 
guides the operations.
 
The number of accidents
 
in Sweden in 2023
 
was 16 (13).
 
Occupational healthcare
Occupational healthcare
 
plays a key
 
role in the identification
 
of health risk factors
 
and the prevention
 
of illnesses. In
 
Finland, Terveystalo’s
occupational healthcare
 
and occupational safety
 
are organised
 
on a company-specific
 
and regional basis
 
in accordance with
 
Finnish
legislation. According
 
to the law,
 
the employer shall
 
arrange occupational
 
healthcare at its
 
own expense to
 
prevent and control
 
health
risks and problems
 
related to work
 
and working conditions
 
and to protect
 
and promote the
 
safety,
 
working capacity,
 
and health of
employees.
In addition to the
 
statutory requirements,
 
Terveystalo
 
provides its employees
 
in Finland with a comprehensive
 
range of primary
19
healthcare, speciali
 
sed care, and well
 
-being services, such
 
as occupational physiotherapy
 
and services that support
 
mental well-being.
Short-term psychotherapy
 
is also a part of Terveystalo’s
 
occupational health
 
services.
 
Terveystalo
 
itself provides occupational
 
healthcare services
 
to its personnel
 
throughout Finland.
 
Terveystalo’s
 
occupational
 
health
services are certified
 
under ISO 9001:2015
 
quality certificate
 
.
 
In the occupational
 
health services, significant
 
focus is placed on
 
maintaining the personnel’s
 
work ability and the
 
treatment of
 
illnesses.
Sickness absences among
 
the personnel
 
decreased from the
 
previous year,
 
and the sickness absence
 
rate in Finland
 
was 4.0 (5.2) percent
of hours worked.
 
In Sweden (Feelgood),
 
occupational healthcare
 
is organised in
 
accordance with
 
Swedish legislation.
 
Operations are
 
certified by ISO 45001
occupational health and
 
safety system.
 
In Sweden, the sickness
 
absence rate
 
was 4.8 (5.5) in 2023.
 
 
Work-life balance
A healthy work-life balance supports the well-being, productivity,
 
and job satisfaction of the personnel. As an employer,
 
Terveystalo
 
strives
to support its personnel in reconciling work and private life. All Terveystalo
 
employees are entitled to statutory leave. In 2023, the share
 
of
employees taking statutory leave was
 
7.4 percent of all employees, of whom 8.1 percent were women and 4.2 percent men. Work
 
at
Terveystalo
 
is flexible and location-independent. Work goals and effectiveness
 
determine the where and how the work is performed.
 
Professional growth and focusing on
 
meaningful matters
Terveystalo
 
offers its employees and private practitioners
 
high-quality training in various areas. Skills development aims at strong and up-
to-date professional skills and excellent leadership.
In 2023, Terveystalo
 
organised training in Finland on average 11.7 hours
 
per employee.
In addition to internal training, Terveystalo
 
cooperates in research and education with several
 
universities and promotes youth employment
through trainee programs.
To enable smooth and efficient way
 
of working for professionals, the structures, tools, and processes are
 
continuously developed. In 2023,
all of Terveystalo’s
 
occupational health customers were given access to the Symptom Assessment
 
tool, a CE-marked medical device that
makes the use of occupational healthcare services smoother in the event of illness. The Symptom Assessment tool
 
supports the work of
healthcare professionals by taking care of certain routine
 
tasks on the professional’s
 
behalf, allowing them to allocate more time to
customer encounters.
Ethical business conduct
Ethical, responsible and compliant conduct of business is essential in Terveystalo’s
 
operations. Terveystalo’s
 
operations are guided by the
legislation governing the sector and private healthcare services, as well as the regulations and requirements
 
established by the authorities.
In addition, the work of healthcare professionals is guided by their own ethical codes of conduct.
The Code of Conduct provides a framework that helps ensure compliance with Terveystalo’s
 
values and internal guidelines as well as
applicable legislation. The Code of Conduct also reflects Terveystalo’s
 
commitments to its key stakeholders. Terveystalo
 
is committed to
promoting ethical business practices and requires that all the company’s
 
operations are conducted in compliance with the applicable laws
and regulations. In addition to compliance with legislation and Terveystalo’s
 
Code of Conduct, Terveystalo
 
is committed to the UN Guiding
Principles on Business and Human Rights, the conventions of the International Labour Organisation
 
(ILO) and the Ten Principles of
 
the UN
Global Compact. Terveystalo
 
continuously develops its compliance program and the related
 
processes and controls to ensure that they
correspond to the changes in the operating environment.
Terveystalo’s
 
Code of Conduct comprises Terveystalo’s
 
key principles regarding anti-bribery and anti-corruption,
 
compliance with fair
competition and environmental requirements, ensuring privacy
 
and patient safety,
 
employee equality,
 
non-discrimination, and the freedom
of association, as well as the reporting of misconduct, among other things.
 
Terveystalo
 
Group also expects its suppliers to observe high standards of sustainable
 
business concerning ethical, social and environmental
perspectives, as well as occupational health and safety.
 
Each year,
 
Terveystalo
 
purchases services, materials, and supplies for its clinics from
 
20
approximately 5,000 suppliers. Of these, the 190 largest suppliers
 
account for about 80 percent of total purchasing expenditure.
 
The largest
procurement categories are subcontracted
 
services, such as cleaning, consulting, and laboratory services, ICT procurement, renting of
business premises, pharmaceutical products, and healthcare supplies and equipment.
 
Terveystalo
 
Group’s Supplier Code of Conduct sets out the minimum requirements
 
that all suppliers and partners need to satisfy to engage
in business with Terveystalo
 
and its subsidiaries. All Terveystalo’s
 
contract suppliers and suppliers participating in tendering processes
 
are
required to accept Terveystalo’s
 
Supplier Code of Conduct. Terveystalo’s
 
Supplier Code of Conduct was updated in 2023. The Supplier Code
of Conduct is available on the Terveystalo
 
website.
 
One important aspect
 
of Terveystalo’s
 
culture of doing
 
the right thing is
 
that everyone who
 
acts on behalf of or
 
with Terveys
 
talo, and
every customer,
 
partner and supplier,
 
feels that they
 
can freely report
 
any suspicions of
 
misconduct and trust
 
that Terveystalo
 
will take
appropriate measures
 
to investigate
 
any actions that
 
are or are suspected
 
of violating the Code
 
of Conduct. Terveystalo
 
has online
training on the Code
 
of Conduct aimed at
 
everyone in the organisation.
 
The training includes
 
instructions on highlighting
 
and reporting
misconduct. Actual or
 
suspected violations
 
of the Code of Conduct
 
must be reported
 
to the supervisor,
 
the supervisor’s supervisor,
 
or
Terveystalo’s
 
Legal & Compliance
 
department. Suspected
 
misconduct can also
 
be reported via Terveystalo’s
 
reporting channel
 
(WhistleB),
which is open to everyone.
 
In 2023, Terveystalo
 
received a total
 
of 13 (19) reports through
 
the reporting channel.
 
Of the reports
 
received
in 2023 whose investigation
 
has been completed,
 
a violation of the
 
Code of Conduct was
 
observed in two
 
instances, which led
 
to a
disciplinary process.
 
For certain reports
 
received late
 
in the year,
 
the investigations
 
are still ongoing.
 
The findings from
 
the reports and
completed investigations
 
have been taken into
 
consideration
 
in the development
 
of Terveystalo’s
 
processes.
 
Respecting human rights
Terveystalo
 
does not tolerate any form of discrimination, harassment,
 
bullying, racism, or inappropriate treatment, nor does Terveystalo
condone the use of child labour, any form
 
of forced labour or other human rights violations in its own operations or its value chain or supply
chain. Terveystalo
 
respects the human rights set out in the UN Declaration of Human Rights as well as the workers’
 
rights defined by the
International Labour Organisation (ILO) and related international
 
conventions. The company is committed to the UN Global Compact
initiative and its principles pertaining to human rights and labour rights. Terveystalo’s
 
service providers, suppliers and other partners are
expected to observe the same principles and respect internationally recognised human rights. Human
 
rights principles are included in
Terveystalo’s
 
Code of Conduct and Supplier Code of Conduct.
Targets
 
related to ethical business
Terveystalo
 
measures the realisation of ethical and responsible business at Terveystalo
 
and in its value and supply chain.
 
Everyone at Terveystalo
 
is required to observe the Code of Conduct, regardless of their business unit or role
 
in the company. The target
 
is
for all Terveystalo
 
employees to have completed Terveystalo’s
 
training on the Code of Conduct and correct action. In 2023, 72 (69) percent
of Terveystalo’s
 
employees in permanent, full-time employment relationship completed the training. The figures include Terveystalo’s
Finnish operations.
Contractual suppliers and suppliers participating in tendering processes must approve
 
Terveystalo’s
 
Supplier Code of Conduct, which
includes guidelines and requirements pertaining to anti-corruption and bribery,
 
human rights, fundamental rights at work, occupational
health and safety, taxation,
 
and environmental responsibility.
 
The target is for 100 percent of Terveystalo’s
 
key suppliers to have approved
the Supplier Code of Conduct. At the end of 2023, 81 (80) percent of key suppliers representing
 
80 percent of Terveystalo’s
 
total
procurement for operations in Finland had approved the Supplier Code of
 
Conduct. The figures include Terveystalo’s
 
Finnish operations.
 
Target
Indicator (KPI)
Scope of application
Target level
Target year
2023
2022
All employees have
completed training on the
Code of Conduct and
correct action
Percentage of
employees in
permanent, full-time
employment
relationship who
have completed
 
the training relative
Terveystalo’s
 
Finnish
operations
100%
Continuous
72%
1)
69%
1)
 
21
to all employees in
permanent, full-time
employment
relationship 1)
Key suppliers accounting
for over 80% of total
procurement have
approved the Supplier
Code of Conduct
 
Percentage of
suppliers who
 
have approved the
Supplier Code of
Conduct 2)
 
Terveystalo’s
 
Finnish
operations
100%
Continuous
81%
80%
1)
The figures are not comparable due to the training completion
 
periods not being of equal length and due to
 
change in the group of personnel whose course
 
completions are
reported. The new compliance course was
 
introduced and moved to a new online platform
 
in spring 2023. The figures for 2023 only include completions
 
after the course was
revised and only completions of
employees in permanent, full-time employment
 
relationship in Finnish operations. The figures for
 
2022 also include course completions that
took place in the second half of 2021 and, in
 
addition to course completions of employees
 
in permanent, full-time employment relationship, also
 
course completions of other
employees in Finnish operations.
2)
Terveystalo measures
 
the share of suppliers who have approved the Supplier
 
Code of Conduct from Terveystalo’s
 
key suppliers representing approximately
 
80 percent of the
total procurement expenditure of Terveystalo’s
 
operations in Finland. The procurement expenditure
 
does not include expenses related to fees
 
paid to private practitioners,
purchases for operations in Sweden, one-off
 
purchases or purchases of low significance.
 
 
22
Anti-corruption and anti-bribery
In the area of anti-corruption and anti-bribery, Terveystalo
 
complies with the law and other applicable regulations and guidelines.
Terveystalo
 
is also committed to the UN Global Compact initiative and its anti-corruption principles. Terveystalo’s
 
operations are guided by
the Code of Conduct, which includes anti-corruption and anti-bribery guidelines regarding, for example,
 
giving and accepting gifts and
hospitality as well as the avoidance of conflicts of interest.
All of Terveystalo’s
 
contract suppliers and suppliers participating in tendering processes are
 
required to accept Terveystalo’s
 
Supplier Code
of Conduct, which includes anti-corruption and anti-bribery guidelines and requirements, among other things.
 
According to Terveystalo’s
 
Code of Conduct gifts or other benefits that could affect business decisions or have considerable
 
personal or
financial value are not given or accepted in Terveystalo.
 
Terveystalo’s
 
Code of Conduct dictates that the company does not support political
activities. Terveystalo
 
does not make financial contributions to political parties or organisations,
 
directly or indirectly, nor does Terveystalo
fund the election campaigns of individual candidates.
Observed or suspected
 
misconduct related
 
to the Code of Conduct,
 
can be reported
 
anonymously at
http://www.report.whistleb.com/en/terveystalo
.
 
No cases of corruption or bribery were reported in 2023. Terveystalo
 
continues to develop
 
its anti-corruption and anti-bribery compliance
program and related processes to reflect
 
the changes in its operating environment.
 
Ensuring patient data protection and information security
The protection of privacy and data protection is the responsibility
 
of everyone working at Terveystalo
 
and everyone working on behalf of
Terveystalo.
 
The company pays special attention to the appropriate
 
and legally compliant processing of personal data. Terveystalo
 
provides
its personnel with training and instructions on the processing of personal data and emphasises the confidentiality
 
and protection of patient
data. Terveystalo
 
introduced a revised online data protection course
 
for all employees in the fall of 2023.
 
At Terveystalo,
 
patient data is stored in information security-certified
 
patient information systems.
 
Terveystalo’s
 
patient information
systems in Finland are category A systems
 
and they have undergone information security certification
 
following the regulations related to
providing Kanta services. In addition, Terveystalo’s
 
data protection and information security are regularly audited under the
 
ISO 9001:2015
certification, both internally and by an external party.
Terveystalo
 
applies the appropriate physical, technical and administrative
 
protection measures to protect data from
 
misuse. These
measures include, among other things, control and filtering of network traffic,
 
use of encryption techniques and secure data centres,
appropriate access control, controlled granting
 
of access rights and supervising their use, issuing instructions to personnel participating in
personal data processing, and risk management related to the planning, implementation,
 
and maintenance of services. Terveystalo
 
chooses
its subcontractors carefully and uses agreements and other arrangements
 
to ensure that they process data in compliance with the law and
good data protection practices.
Terveystalo
 
creates value for its stakeholders
Responsible business is also financially profitable and sustainable. Terveystalo
 
creates value for its customers, society,
 
and our shareholders
by continuously developing the clinical, operational, and experienced quality of its services, enabling faster access to
 
care, reducing sickness
absences, and employing directly and indirectly more than 15,500 professionals. The most significant
 
cash flows from Terveystalo’s
operations consist of revenue from service sales, purchases from suppliers of goods
 
and services, salaries paid to our personnel, fees paid to
private practitioners, taxes,
 
investments, and dividends paid to the shareholders.
In 2023, Terveystalo’s
 
revenue and other operating income totalled EUR 1,290.6 (1,261.8) million. The goods, materials, and services
purchased from suppliers amounted to EUR 536.2 (525.7) million. Salaries and remuneration amounted
 
to EUR 375.7 (381.5) million. Net
financial expenses to creditors amounted to EUR 24.2 (2.9) million. Dividends paid to our shareholders
 
in 2023 based on the results of the
previous fiscal year amounted to EUR 35.4 (35.4) million. Terveystalo
 
invested a total of EUR 40.2 (58.5) million to business development.
 
23
In 2023, Terveystalo’s
 
tax footprint totalled EUR 212.1 (235.7) million. The tax footprint
 
is an indicator of the total tax revenue and tax
 
-like
charges generated for society by Terveystalo’s
 
business activities. In addition, Terveystalo
 
paid a total of EUR 380.1 (340.6) million in fees to
private practitioners, who pay their individual taxes
 
separately.
 
The taxes paid by private practitioners
 
are not included in Terveystalo’s
 
tax
footprint.
Sustainable consumption and climate action
Terveystalo
 
is committed to the targets agreed upon in international
 
climate summits for the mitigation of climate change. Terveystalo’s
goal is zero emissions from its operations in 2030. The conservation and sustainable
 
use of natural resources in Terveystalo’s
 
supply chains
are promoted by minimising the generation of waste in all of Terveystalo’s
 
operations and forwarding all waste to be recovered.
 
Digital
services enable simultaneously improving access to care and reducing customers’ travel
 
times and the emissions generated by travel.
Based on the results of the 2023 double materiality assessment, climate change is not one of Terveystalo’s
 
material sustainability topics.
This is because Terveystalo’s
 
carbon footprint is not significant due to the nature of its operations.
 
The service sector is considered to be
low in emissions due to its low energy intensity.
 
The impacts of climate change and adaptation to climate change do not present
 
significant
risks or opportunities to Terveystalo’s
 
business or strategy. However,
 
for the sake of transparency and the continuity of reporting,
Terveystalo
 
reports key information on its environmental
 
impacts.
Terveystalo’s
 
environmental policy
 
Terveystalo
 
Group’s environmental
 
policy describes the environmental principles that all employees, managers, officials, board
 
members,
consultants and other personnel working under the management of Terveystalo
 
Group are expected to follow.
 
Terveystalo
 
operates in line with the principles of sustainable development to reduce and eliminate
 
environmental risks. In addition to
being committed to the Group’s
 
environmental policy,
 
Terveystalo
 
is committed to full compliance with the applicable legislation, the
regulations issued by the authorities, industry operating practices that ensure occupational safety
 
and patient safety,
 
and the continuous
improvement of environmentally friendly operating
 
practices.
 
Adverse environmental impacts are prevented
 
by, for example,
 
reducing energy consumption and transitioning to carbon-neutral energy,
reducing the volume of waste created in operations and increasing
 
our recycling rate, optimising the life cycle of healthcare
 
equipment,
taking environmental perspectives into account
 
in the travel and car policy,
 
as well as developing digital services. In addition, adverse
environmental impacts are prevented
 
by planned pharmaceutical services, taking environmental perspectives into
 
account in centralised
procurement with efficient inventory management and by taking
 
sustainable development and environmental perspectives
 
into account in
network and business premises projects.
Terveystalo’s
 
environmental program covers
 
all clinics in Finland and its appropriateness is evaluated in quality management and
environmental management system
 
audits. Terveystalo’s
 
environmental management system
 
is certified under the ISO 14001 standard.
The standard provides a framework for
 
the continuous development of processes and practices that minimise negative environmental
impacts. In 2023, ISO 14001:2015 environmental certification was expanded to cover
 
all of the units in Terveystalo’s
 
medical clinic network
in Finland. Some of the Feelgood operating locations in Sweden are also ISO 14001:2015 certified.
 
Zero emissions from own operations 2023
Terveystalo’s
 
goal is to reduce its carbon footprint so that its own operations will generate
 
zero emissions in 2030. A further goal is to
reduce direct and indirect CO
2
 
emissions (Scope 1 and Scope 2) by 80 percent by 2025 (using 2018 as the baseline). As regards energy
consumption, the goal is for green electricity to account for
 
100 percent of purchased electricity. In addition, the company
 
aims to minimise
the generation of waste and ensure the recycling and recovery
 
of waste in all its operations.
 
 
24
Target
Indicator (KPI)
Scope of application
Target
level
Target
year
Base
year
level
Base year
2023
2022
2021
Zero emissions from
own operations 2030 1)
Reduction of direct
(Scope 1) and indirect
(Scope 2) greenhouse
gas emissions
compared to 2018
Finnish and Swedish
operations
-100 %
2030
6,316.8
2018
-56 %
-76 %
-89 %
Reduce direct and
indirect CO
2
 
emissions
(Scope 1 and Scope 2)
by 80% by 2025 (using
2018 as the baseline)
Direct (Scope 1) and
indirect (Scope 2)
greenhouse gas
emissions, tCO2
Finnish and Swedish
operations
-80 %
2025
6,316.8
2018
2755,4
1 544,1
664,0
Purchase 100% green
electricity by 2025 2)
Share of green
electricity of all
purchased electricity,
%
Finnish and Swedish
operations
100 %
2025
62 %
2020
70 %
72 %
89 %
Minimise waste in all
operations and forward
all waste to be
recovered
The recovery rate of
waste generated at
Terveystalo units, % 3)
Finnish operations
100 %
2025
99 %
2020
100 %
100 %
100 %
The recycling rate of
waste generated at
Terveystalo units, % 3)
Finnish operations
100 %
2025
61 %
2020
68 %
67 %
64 %
1) Scope 2 emissions are market-based.
 
The market-based Scope 2 emission
 
calculation takes into account
 
the green electricity guarantees of origin purchased by
 
Terveystalo,
 
which
in 2023 covered approximately 70 (72) percent
 
of the electricity consumption. The emissions
 
of the remaining purchased electricity have been calculated
 
using the residual mix
emission factors for Finland and Sweden (AIB,
 
European Residual Mixes). Finland's residual emission
 
factor increased by 83% from 2022 due
 
to a higher share of fossil fuels in the
residual mix (Finland's residual emission factor in
 
2022 was 0.285 kgCO2e/kWh and in
 
2023 0.5208 kgCO2e/kWh). The market
 
-based Scope 2 emissions for 2022 have been
recalculated for Finland, because Terveystalo
 
purchased the green electricity guarantee of
 
origin for the period 1 September - 31 December
 
2022 at the beginning of 2023. From
2022 onwards, the figures for energy use and
 
carbon footprint also include the Swedish
 
operations. The figures for 2021 include only the Finnish
 
operations.
2) In units where Terveystalo
 
purchases electricity itself.
3) Excludes waste fractions that cannot
 
be recycled or recovered under any circumstances,
 
such as hazardous waste.
Terveystalos’s
 
carbon
 
footprint
In 2023, Terveystalo’s carbon footprint in
 
Finland from Scope 1 and 2
 
emissions (market-based) was 2,716.0 (1,401.9) tCO
2
e. In
Sweden, Feelgood’s Scope 1 and
 
2 emissions totalled 39.4
 
(142.2) tCO
2
e. Terveystalo’s carbon footprint consists mainly of
 
the
production of the electricity consumed by
 
properties, emissions generated by transport
 
and travel as well as the
 
waste generated in
hospitals and clinics. The emissions generated
 
by Terveystalo’s operations are reduced, for
 
example, by increasingly transitioning to
green electricity and prioritizing low-emission
 
vehicles. Terveystalo develops the measurement
 
of its impacts throughout the
 
value
chain and works with its key suppliers
 
to reduce the emissions generated
 
by the value chain.
 
 
Terveystalo reports the direct (Scope 1)
 
and indirect (Scope 2) greenhouse gas
 
emissions arising from its operations
 
– and part of its
indirect Scope 3 emissions
 
– in accordance with the GHG
 
Protocol. Emissions from Swedish operations have
 
been reported starting
from 2022.
 
25
Scope 1
As Terveystalo does not, for
 
the most part, own or control
 
the properties at which it operates,
 
the greenhouse gas emissions mostly
consist of the emissions from
 
the fleet of cars controlled
 
by Terveystalo and the trucks
 
used for imaging operations. The emissions
arising from the company’s own driving and
 
driving under its direct control
 
are calculated based on fuel consumption.
 
In 2023, Scope
1 CO
2
 
emissions in Finland totalled 137.5
 
(134.5) tCO
2
e. In Sweden, Scope 1
 
emissions were 18.2 (39.9) tCO
2
e.
 
Scope 2
Indirect Scope 2 greenhouse gas
 
emissions arise from the production of electricity
 
purchased by Terveystalo and the production
 
of
district heating consumed at properties
 
controlled by Terveystalo. In 2023, a
 
total of 16,171 (15,841) MWh of
 
electricity was
purchased for the properties controlled by
 
Terveystalo in Finland. The company’s
 
electricity portfolio (electricity purchased for
properties) has been zero-CO
2
green electricity since the beginning
 
of 2020. Zero CO
2
 
electricity purchased in Finland for
 
the
consumption year 2023 totalled 11,220
 
(11,395)) MWh, which corresponds to approximately
 
69 (72)
percent
of the electricity
consumption of the company’s operations in
 
Finland. The amount of electricity purchased
 
to properties not included in the
electricity portfolio totalled 4,951 (4,447)
 
MWh, which corresponds to 2,578.5 (1,267.4)
 
tCO
2
e (market-based). The growth in the
market-based Scope 2 emissions is
 
mainly due to an 83
 
percent increase in the Finland's residual
 
emission factor used in the
emissions calculation from the comparison
 
period1). The amount of purchased electricity
 
outside the electricity portfolio in
 
Finland
increased by approximately 11 percent, which also
 
affected the Scope 2 emissions
 
growth from the comparison period.
 
In Swedish
operations, 2,081 (1,328) MWh of electricity
 
was purchased for properties controlled by
 
Feelgood, of which approximately 74
percent (67 percent) was zero CO
2
 
green electricity. The Scope 2 emissions
 
from purchased electricity in Sweden
 
totalled 21.1
(102.3) tCO
2
e. Terveystalo’s target is for green
 
electricity to account for 100
 
percent of purchased electricity by 2025.
1) Scope 2 emissions are market-based.
 
The market-based Scope 2 emission
 
calculation takes into account
 
the green electricity guarantees of origin purchased by
 
Terveystalo,
 
which
in 2023 covered approximately 70 (72) percent
 
of the electricity consumption. The emissions
 
of the remaining purchased electricity have been calculated
 
using the residual mix
emission factors for Finland and Sweden (AIB,
 
European Residual Mixes). Finland's residual emission
 
factor increased by 83 percent from
 
2022 due to a higher share of fossil fuels
 
in
the residual mix (Finland's residual emission factor
 
in 2022 was 0.285 kgCO2e/kWh and
 
in 2023 0.5208 kgCO2e/kWh). The market
 
-based Scope 2 emissions for 2022 have been
recalculated for Finland, because Terveystalo
 
purchased the green electricity guarantee of
 
origin for the period 1 September - 31 December
 
2022 at the beginning of 2023.
 
Scope 3
For indirect Scope 3 emissions, Terveystalo
 
reports emissions arising from work-related travel by
 
employees and emissions from the
waste generated by the company’s operations.
Terveystalo aims to avoid unnecessary work-related
 
travel by encouraging to favour remote
 
meetings whenever possible.
Terveystalo’s personnel in Finland flew
 
a total of 0.8 (0.7) million
 
kilometres in work-related travel, corresponding to
 
85.5 (84.1)
tCO
2
e. Reimbursable work-related travel by Terveystalo’s
 
personnel in Finland totalled 2.7 (2.6)
 
million kilometres, corresponding to
448.2 (440.8) tCO
2
e. Terveystalo encourages its personnel to
 
choose low-emissions vehicles as company cars.
 
The average emissions
of the company cars used by
 
Terveystalo in Finland amount to
 
64 (72) gCO
2
e/km. In Sweden, work-related travel
 
by air generated
60.8 (45.1) tCO
2
e in emissions. The total
 
emissions from work-related travel by
 
the personnel in Sweden amounted to
 
260.4 (262.6)
tCO
2
e.
 
Terveystalo’s goal is to minimise
 
mixed waste in all of Terveystalo’s operations
 
and forward as large a
 
share of waste as possible to
be recovered. The indirect emissions arising from
 
waste in Finland amounted to
 
42.6 (41.7) tCO
2
e. In Sweden, the amount of waste
generated and emissions from waste are
 
very low since waste is mainly
 
generated in offices. The emissions arising
 
from waste in
Sweden totalled 3.4 (2.1) tCO
2
e.
 
Terveystalo’s
 
CO
2
 
emissions intensity is low due
 
to the nature of the
 
Group’s operations. In 2023, Terveystalo’s emissions
 
intensity
(Scope 1 and 2, market-based)
 
relative to revenue was 2.1 (1.2)
 
gCO
2
e/EUR. Relative to the number of
 
employees, the emissions
intensity was 0.4 (0.2) tCO
2
e. The figures also include Terveystalo’s operations
 
in Sweden.
 
 
26
EU taxonomy reporting
The EU taxonomy is a classification system
 
for sustainable finance that establishes criteria for
 
determining environmentally sustainable
business. The regulation, which entered into force in July 2020, lays
 
the foundations for the EU's taxonomy
 
by setting out the general
conditions that economic activity must meet to be classified as environmentally sustainable.
 
The regulation sets out six environmental
objectives: climate change mitigation, climate change adaptation,
 
sustainable use and protection of water and marine resources, transition
to a circular economy,
 
prevention and reduction of pollution, and protection and restoration of
 
biodiversity and ecosystems. Economic
activities that contribute to one of these objectives without harming others can be considered environmentally
 
sustainable under certain
criteria. Large companies must report the share of sustainable business in their business in accordance with taxonomy
 
criteria.
At present, EU taxonomy
 
mainly concerns the economic activities that play the most important role in achieving the environmental
objectives. As a result, many industries, such as health care services, are almost completely excluded
 
from the scope of the current
taxonomy.
Terveystalo
 
has determined its taxonomic eligibility by examining its activities in relation
 
to the economic activities listed in the taxonomy.
Only one of Terveystalo’
 
s businesses is classified in taxonomy (12.1 Residential care activities).
After this, Terveystalo
 
has evaluated the taxonomy
 
alignment of the operation. The activity is classified as aligned with the taxonomy
 
if the
taxonomy's criteria are met: 1. The activity essentially supports the achievement
 
of at least one environmental goal, 2. it does not have
significant adverse effects from the perspective
 
of other environmental goals, and 3. the activity complies with the minimum social
safeguards defined in the taxonomy
 
(Minimum safeguards). Based on this assessment, Terveystalo's
 
activities listed in the taxonomy (12.1
Residential care activities) cannot be considered taxonomy
 
-aligned, because the activities, due to their nature, do not target or support the
achievement of the taxonomy's environmental
 
objectives.
As a result of the assessment, the significance of Terveystalo’
 
s taxonomic functions is negligible in terms of indicators. The key
 
figures are
the share of taxonomy-eligible and taxonomy
 
-aligned operations (percent) in terms of revenue, operating costs,
 
and investments.
According to the company's estimate, one percent of
 
Terveystalo’s
 
revenue, operating costs and investments are
 
eligible with the current
taxonomy and 99 percent are non-eligible. The share of
 
revenue is calculated by dividing the revenue from child welfare
 
services
(taxonomy-eligible activity) by the Group's total consolidated
 
revenue. The share of investments (CapEX)
 
is calculated by dividing the
investments made in child welfare services during the year (renovation
 
of apartments, investments in machinery and equipment) by the net
investments of the company,
 
excluding acquisitions. The share of operating expenditure (OpEx)
 
is calculated by dividing the operating
expenditure for child welfare services by the total operating
 
expenditure of the group (excluding depreciation and amortisation).
Furthermore, zero percent of Terveystalo’s
 
revenue, operating costs and investments are
 
taxonomy-aligned, and 100 percent are non-
taxonomy-aligned. The evaluation according to
 
the EU-taxonomy classification system
 
described above has been performed through an
internal assessment by representatives of the Sustainability
 
and Finance organisation.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
27
Proportion of turnover from products or services associated with Taxonomy-aligned economic activities 2023
1 January - 31 December 2023
2023
Substantial contribution criteria
DNSH criteria (“Does Not Significantly
Harm”)
 
 
 
Economic Activities (1)
Code
(2)
Turnover (3)
Propor
tion of
turnov
er,
year N
(4)
Climate Change Mitigation (5)
Climate Change Adaptation (6)
Water (7)
Pollution (8)
Circular Economy (9)
Biodiversity (10)
Climate Change Mitigation (11)
Climate Change Adaptation (12)
Water (13)
Pollution (14)
Circular
Economy (15)
Biodiversity (16)
Minimum Safeguards (17)
Proportion of Taxonomy
-
aligned (A.1.) or
-
eligible (A.2.) turnover, year N
-
1 (18)
Category enabling a
ctivity (19)
Category transitional activity (20)
 
 
MEUR
%
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y/N
Y/N
Y/
N
Y/
N
Y/
N
Y/N
Y/N
%
E
T
A TAXONOMY-ELIGIBLE ACTIVITIES
A.1 Environmentally sustainable activities (Taxonomy
 
-aligned)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Turnover of environmentally sustainable
activities (Taxonomy-aligned) (A.1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which enabling
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which transitional
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A.2 Taxonomy-eligible but not environmentally
 
sustainable activities (not Taxonomy
 
-aligned activities)
 
EL; N/EL
EL; N/EL
EL; N/EL
EL; N/EL
EL; N/EL
EL; N/EL
 
 
 
 
 
 
 
 
 
 
Child welfare services
CCA
12.1
 
12
 
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Turnover of Taxonomy
 
-eligible but not
environmentally sustainable activities
(not Taxonomy-aligned activities) (A.2)
 
12
 
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
A Turnover of Taxonomy
 
-eligible
activities (A1.+A.2)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B TAXONOMY-NON-ELIGIBLE ACTIVITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Turnover of Taxonomy
 
-non-eligible
activities
 
1 274
 
99 %
 
 
 
 
 
 
 
 
 
 
 
 
 
99 %
 
 
TOTAL
 
1 286
 
100 %
 
 
 
 
 
 
 
 
 
 
 
 
 
100
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
28
Proportion of CapEx from products or services associated with Taxonomy-aligned economic activities 2023
1 January - 31 December
2023
2023
Substantial contribution criteria
DNSH criteria (“Does Not Significantly Harm”)
 
 
 
Economic Activities (1)
Code
(2)
Cap
Ex
(3)
Proportion of CapEx, year N (4)
Climate Change Mitigation (5)
Climate Change Adaptation (6)
Water (7)
Pollution (8)
Circular Economy (9)
Biod
iversity (10)
Climate Change Mitigation (11)
Climate Change Adaptation (12)
Water (13)
Pollution (14)
Circular Economy (15)
Biodiversity (16)
Minimum Safeguards (17)
Proportion of Taxonomy
-
aligned (A.1.) or
-
eligible
(A.2.)
CapEx, year N
-
1 (18)
Categ
ory enabling activity (19)
Category transitional activity (20)
 
 
MEU
R
%
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
%
E
T
A. TAXONOMY-ELIGIBLE ACTIVITIES
A.1 Environmentally sustainable activities (Taxonomy
 
-aligned)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CapEx of environmentally sustainable
activities (Taxonomy-aligned) (A.1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which enabling
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which transitional
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A.2 Taxonomy-eligible but not environmentally
 
sustainable activities (not Taxonomy
 
-aligned activities)
 
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
 
 
 
 
 
 
 
 
 
 
Child welfare services
CCA
12.1
0
0 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
-
 
 
CapEx of Taxonomy-eligible but not
environmentally sustainable activities
(not Taxonomy-aligned activities)
(A.2)
0
0 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
A. CapEx of Taxonomy-eligible
activities (A1.+A.2)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B. TAXONOMY-NON-ELIGIBLE ACTIVITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CapEx of Taxonomy-non-eligible
activities
40
100
%
 
 
 
 
 
 
 
 
 
 
 
 
 
99 %
 
 
TOTAL
40
100
%
 
 
 
 
 
 
 
 
 
 
 
 
 
100
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
29
Proportion of OpEx from products or services associated with Taxonomy-aligned economic activities 2023
1 January - 31
December 2023
2023
Substantial contribution criteria
DNSH criteria (“Does Not Significantly Harm”)
 
 
 
Economic Activities (1)
Code
(2)
OpE
x (3)
Proporti
on of
OpEx,
year N
(4)
Climate Change Mitigation (5)
Climate Change Adaptation (6)
Water (7)
Pollution (8)
Circ
ular Economy (9)
Biodiversity (10)
Climate Change Mitigation (11)
Climate Change Adaptation (12)
Water (13)
Pollution (14)
Circular Economy (15)
Biodiversity (16)
Minimum Safeguards (17)
Proportion of Taxonomy
-
aligned (A.1.) or
-
eligible
(A.2.)
OpEx, year N
-
1 (18)
Category enabling activity (19)
Category transitional activity (20)
 
 
MEU
R
%
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y; N;
N/EL
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
%
E
T
A TAXONOMY-ELIGIBLE ACTIVITIES
A.1 Environmentally sustainable activities (Taxonomy
 
-aligned)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
OpEx of environmentally
sustainable activities (Taxonomy-
aligned) (A.1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which enabling
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Of which transitional
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A.2 Taxonomy-eligible but not environmentally
 
sustainable activities (not Taxonomy
 
-aligned activities)
 
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
KEL;
E/KEL
 
 
 
 
 
 
 
 
 
 
Child welfare services
CCA
12.1
10
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
OpEx of Taxonomy-eligible but
not environmentally sustainable
activities (not Taxonomy-aligned
activities) (A.2)
10
1 %
 
 
 
 
 
 
 
 
 
 
 
 
 
1 %
 
 
A OpEx of Taxonomy-eligible
activities (A1.+A.2)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B TAXONOMY-NON-ELIGIBLE ACTIVITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
OpEx of Taxonomy-non-eligible
activities
1101
99 %
 
 
 
 
 
 
 
 
 
 
 
 
 
99 %
 
 
TOTAL
 
100 %
 
 
 
 
 
 
 
 
 
 
 
 
 
100
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
30
Form 1: Nuclear power and fossil gas related activities
 
Nuclear power-related activities
1.
The undertaking carries out or finances research, development, demonstration and
deployment of innovative power generation facilities that produce energy through a
nuclear reaction with minimum waste in the fuel cycle, or has responsibilities related to
such activities.
NO
2.
The undertaking carries out or finances the construction and safe operation of new
nuclear installations for the production of electricity or process heat, including for district
heating or industrial processes such as hydrogen production, and the improvement of
their safety, using the best available technology,
 
or has responsibilities relating to such
activities.
NO
3.
The undertaking carries out or finances the safe operation of existing nuclear installations
for the production of electricity or process heat, including for district heating or industrial
processes such as the production of hydrogen from nuclear energy, and the improvement
of their safety, or has responsibilities relating to such operations.
NO
 
Fossil gas related activities
4.
The undertaking carries out or finances the construction or operation of electricity
generation plants using fossil gaseous fuels, or has liabilities related to such activities.
NO
5.
The undertaking carries out, finances or has responsibilities for the construction,
rehabilitation and operation of combined heat or cooling and power plants using fossil
gaseous fuels.
NO
6.
The undertaking undertakes, finances or has responsibilities for the construction,
rehabilitation and operation of heating or cooling plants using fossil gaseous fuels.
NO
Shares and
 
shareholders
Terveystalo
 
Plc has one share series (TTALO), which is listed
 
on Nasdaq Helsinki Ltd. At the end of 2023, Terveystalo’s
 
market value was EUR
983 (794) million and the closing price was EUR 7.74 (6.25). During 2023, the highest price of Terveystalo’s
 
share was EUR 8.53 (11.94), the
lowest price was EUR 6.43 (6.06), and the average price was EUR 7.50 (9.41). A total
 
of 20.6 (29.5) million shares were traded. At the end of
the reporting period, the number of Terveystalo
 
shares registered in the Trade
 
Register was 127,036,531 (127,036,531). The total number
of shareholders was 34,025 (30,938) at the end of 2023. Terveystalo
 
and its subsidiaries hold 480,230 (488,536) own shares for reward
purposes, corresponding to 0.4 percent of all outstanding shares.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31
The largest registered shareholders
 
on 31 December 2023
Name
Number of shares
% of shares
Votes
% of votes
Varma Mutual Pension Insurance Company
 
22,151,945
17.44
 
22,151,945
17.44
Rettig Group AB
 
21,153,191
16.65
 
21,153,191
16.65
Pohjola Insurance Ltd
 
10,530,332
8.29
 
10,530,332
8.29
Hartwall Capital
 
 
8,231,690
6.48
 
8,231,690
6.48
OP Life Assurance Company Ltd
 
7,155,854
5.63
 
7,155,854
5.63
Skandinaviska Enskilda Banken AB
 
5,733,851
 
4.51
 
5,733,851
 
4.51
Ilmarinen Mutual Pension Insurance Company
 
5,119,495
4.03
 
5,119,495
4.03
Local Tapiola Mutual Insurance Company
 
2,600,000
2.05
 
2,600,000
2.05
Elo Mutual Pension Insurance Company
 
2,508,000
 
1.97
 
2,508,000
 
1.97
Evli Finnish Small Cap Fund
 
1,967,033
1.55
 
1,967,033
1.55
Ten largest in total
 
87,151,391
 
68.60
 
87,151,391
 
68.60
The list is based on the register of shareholdings maintained by Euroclear,
 
and it does not include nominee-registered shares.
Distribution of ownership 31 December 2023
Number of shares
Number of
shareholders
% of
shareholders
Number of
securities
% of
securities
Number of
votes
% of
votes
1–100
15,740
46.26
701,279
0.55
701,279
0.55
101–500
12,677
37.26
3,188,040
2.51
3,188,040
2.51
501–1,000
2,927
8.60
2,246,249
1.77
2,246,249
1.77
1,001–5,000
2,156
6.34
4,431,586
3.49
4,431,586
3.49
5,001–10,000
241
0.71
1,763,531
1.39
1,763,531
1.39
10,001–50,000
206
0.61
4,627,671
3.64
4,627,671
3.64
50,001–100,000
27
0.08
2,109,499
1.66
2,109,499
1.66
100,001–500,000
29
0.09
6,428,528
5.06
6,428,528
5.06
500,001–
22
0.06
101,540,148
79.93
101,540,148
79.93
Total
34,025
100.00
127,036,531
100.00
127,036,531
100.00
of which nominee-
registered
11
0.03
9,214,087
7.25
9,214,087
7.25
Non-transferred, total
0
0
0
0
0
In general account
0
0
0
0
In special accounts, total
0
0
0
0
Total issued
127,036,531
100.00
127,036,531
100.00
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
32
Shareholder groups, 31 December 2023
Shareholders by sector
Number of shares
% of shares
Households
13,337,151
11.32
Public entities
31,236,163
26.51
Financial and insurance institutions
30,372,798
25.78
Companies
17,898,422
15.19
Non-profit institutions
3,747,089
3.18
Foreign owners
21,230,821
18.02
Total
117,822,444
100.00
Nominee-registered
9,214,087
7.25
Management shareholding, 31 December 2023
Name
Position
Number of
shares
% of shares
% of votes
Kari Kauniskangas
Chairman of the Board of Directors
21,802
0.02 %
0.02 %
Matts Rosenberg
Member of the Board of Directors
14,498
0.01 %
0.01 %
Carola Lemne
Member of the Board of Directors
5,126
0.00 %
0.00 %
Kristian Pullola
Member of the Board of Directors
8,207
0.01 %
0.01 %
Katri Viippola
Member of the Board of Directors
11,453
0.01 %
0.01 %
Ari Lehtoranta
Member of the Board of Directors
6,504
0.01 %
0.01 %
Sofia Hasselberg
Member of the Board of Directors
2,499
0.00 %
0.00 %
Ville Iho
President and CEO
13,306
0.01 %
0.01 %
Juuso Pajunen
Chief Financial Officer
19,000
0.01 %
0.01 %
Petri Bono
Chief Medical Officer
2,087
0.00 %
0.00 %
Henri Mäenalanen
Interim Executive Vice President, Healthcare Services
2,230
0.00 %
0.00 %
Stefan Kullgren
Executive Vice President of the Swedish Business Area
0
0.00 %
0.00 %
Ilari Richard
Senior Vice President, Digital Services
3,134
0.00 %
0.00 %
Mikko Tainio
Senior Vice President, Portfolio Businesses
5,596
0.00 %
0.00 %
Minttu Sinisalo
Senior Vice President, Human Resources
1,400
0.00 %
0.00 %
Management shareholding in total
116,842
0.09 %
0.00 %
Number of shares total
127,036,531
100.00 %
100.00 %
Notifications of major shareholdings
During 2023, Terveystalo
 
Plc did not receive any notifications pursuant to Chapter 9, Section 5 of the Finnish Securities Markets
 
Act.
The Board’s authorizations
The Board has been authorized to resolve the repurchase and/or
 
on the acceptance as pledge of the company’s own shares using the
unrestricted equity of the Company.
 
The authorization covers a maximum of 12,703,653 own shares in total,
 
which corresponds to
approximately 10 percent of all shares in the Company.
 
The Board has also been authorized to resolve the issuance of shares and special rights entitling to shares as referred
 
to in Chapter 10,
Section 1 of the Finnish Companies Act. The authorization covers a maximum of 12,703,653 own shares in total, which corresponds
 
to
approximately 10 percent of all shares in the Company.
 
Authorizations were not used during the financial period.
 
33
Dividend Policy
 
and distribution
 
of profits
 
for 2023
 
proposed by
 
the Board
The objective of Terveystalo’s
 
Dividend Policy is to distribute a minimum of 40 percent of earnings per share in dividends. The current
financial performance, development potential, financial position, and capital requirements are
 
taken into account. In 2023, earnings per
share were EUR -0.33 (0.19).
 
The parent company’s distributable funds totalled
 
EUR 535.9 (530.8) million, of which EUR 40,5 (23,7) million is result for the financial year.
The Board of Directors proposes to the Annual General Meeting that a dividend of
 
EUR 0,30 (0.28) per share totaling EUR 38.0 (35.4) million
be paid based on the balance sheet adopted for the financial year ended 31 December 2023. The dividend would be paid in two
installments as follows:
The first dividend installment of EUR 0.15 per share would be paid to the shareholders who
 
are registered in the shareholders' register
 
of
the Company maintained by Euroclear Finland Ltd on the record
 
date of the first dividend installment on 28 March 2024. The Board
 
of
Directors proposes that the first dividend installment would
 
be paid on 8 April 2024.
The second dividend installment of EUR 0.15 per share would be paid to shareholders who are registered
 
in the shareholders' register of the
Company maintained by Euroclear Finland Ltd on the record
 
date of the second dividend installment on 9 October 2024. The Board of
Directors proposes that the second dividend installment would
 
be paid on 16 October 2024. The Board of Directors also proposes that the
Annual General Meeting would authorize the Board of Directors to
 
resolve, if necessary, on a new record
 
date and date of payment for the
second dividend installment should the rules of Euroclear Finland Ltd or statutes
 
applicable to the Finnish book-entry system
 
change or
otherwise so require.
No substantial changes have occurred in the company’s
 
financial position since the end of the financial year.
 
The company’s liquidity is good
and, in the Board’s opinion, will not be jeopardized by the proposed
 
distribution of profits.
Decisions of
 
the Annual
 
General Meeting
 
2023 and
 
the first
 
Board meeting
The Annual General Meeting of Terveystalo
 
Plc was held on 23 March 2023 in Helsinki, Finland. The Annual General Meeting adopted the
financial statements for the fiscal year 2022 and discharged the members of
 
the Board of Directors and the CEO from liability.
 
The Annual
General Meeting approved the remuneration report for
 
governing bodies.
The Annual General Meeting decided, in accordance with the proposal of the Board of Directors,
 
that a dividend of EUR 0.28 per share
(totalling approximately EUR 35.4 million with the current number of shares) be paid based on the balance sheet adopted for
 
the fiscal year
ended 31 December 2022.
 
The dividend was paid in two instalments as follows:
●
The first dividend instalment of EUR 0.14 per share was paid to shareholders
 
who are registered in the shareholders' register
 
of
the Company maintained by Euroclear Finland Oy on the record date of
 
the first dividend instalment 27 March 2023. The first
dividend instalment was paid to shareholders on 3 April 2023.
●
The second dividend instalment of EUR 0.14 per share was paid to shareholders who are registered
 
in the shareholders' register of
the Company maintained by Euroclear Finland Oy on the record date of
 
the second dividend instalment 2 October 2023. The
second dividend instalment was paid on 9 October 2023. The Annual General Meeting authorized the Board
 
of Directors to
resolve, if necessary, on a new record
 
date and date of payment for the second dividend instalment
 
should the rules of Euroclear
Finland Oy or statutes applicable to the Finnish book-entry system
 
change or otherwise so require.
The number of members of the Board of Directors was confirmed to be seven (7).
 
Kari Kauniskangas, Carola Lemne, Kristian Pullola,
 
Matts
Rosenberg, and Katri Viippola were re-elected as members
 
of the Board, and Sofia Hasselberg and Ari Lehtoranta were
 
elected as new
members of the Board for a term that ends at the end of the Annual General Meeting 2024.
 
KPMG Oy Ab was re-elected as the Company's auditor.
 
KPMG Oy Ab has notified that Henrik Holmbom, APA, would be acting as the
principal auditor.
 
As proposed by the Board of Directors, the Annual General Meeting resolved
 
to authorize the Board of Directors to resolve on
 
the
repurchase and/or on the acceptance as pledge of the Company's own shares using the unrestricted
 
equity of the Company. The
 
34
authorization covers a maximum of 12,703,653 shares, which corresponds to approximately
 
10 percent of all shares in the Company.
 
In
addition, as proposed by the Board of Directors, the Annual General Meeting resolved to
 
authorize the Board of Directors to decide on the
issuance of shares and the issuance of special rights entitling to shares referred to
 
in Chapter 10, Section 1 of the Companies Act. The
authorization covers a maximum of 12,703,653 shares, which corresponds to approximately
 
10 percent of all shares in the Company.
 
These
authorizations are effective until the end of the next Annual General
 
Meeting, however no longer than until 30 June 2024.
As proposed by the Board of Directors, the Annual General Meeting resolved
 
to authorize the Board of Directors to decide on donations
 
in a
total maximum of EUR 150,000 for charitable or corresponding purposes. In addition, the Annual General Meeting resolved
 
to authorize the
Board of Directors to decide on the donation recipients, purposes of use, and other terms of the donations. The authorization
 
will remain
effective until the end of the next Annual General Meeting 2024, however
 
no longer than for a period of 18 months from the date of the
resolution of the Annual General Meeting.
In its organizing meeting, the new Board of Directors Terveystalo's
 
Board of Directors elected Kari Kauniskangas
 
as Chairman of the Board
and Matts Rosenberg as Vice Chairman of the Board. Kristian Pullola was elected Chairman of the Audit Committee
 
and Matts Rosenberg,
Katri Viippola and Sofia Hasselberg were elected members. Kari Kauniskangas
 
was elected Chairman of the Remuneration Committee and
Carola Lemne and Ari Lehtoranta were elected members.
Changes in Terveystalo’s
 
Executive Team
As of 1 January 2023, Terveystalo's
 
organisation has consisted of three business areas: Healthcare Services, Portfolio
 
Businesses, and
Sweden.
Ilari Richardt was appointed Senior Vice President of Digital Services and a member of the Executive Team
 
as of 29 March 2023 as Kati Sulin
left the Company.
Henri Mäenalanen was appointed as the Chief Operating Officer of Terveystalo
 
Healthcare Services as of 12 April 2023 as Siina Saksi left the
Company.
 
Terveystalo
 
announced changes to the Executive Team
 
on 31 October 2023. Sari Heinonen, b.1976, PhD, Marketing, was appointed
Executive Vice President of the Healthcare Services Business Area and a member of Terveystalo's
 
Executive Team
 
as of 5 February 2024.
Chief Operating Officer Henri Mäenalanen served as interim EVP of the Healthcare Services business area until Sari Heinonen took up her
position, after which he will took over the position of Executive Vice President of Portfolio
 
Businesses. Stefan Kullgren, who started as
Executive Vice President of the Swedish Business Area and CEO of Feelgood
 
AB on 1 October 2023, was appointed as a member of
Terveystalo's
 
Executive Team
 
as of 1 November 2023.
In addition to the above-mentioned executives, Terveystalo's
 
Executive team includes Petri Bono, Chief Medical
 
Officer, Juuso Pajunen,
Chief Financial Officer and Minttu Sinisalo, Senior Vice President of People and Careers.
 
All the above report to President, and CEO Ville Iho.
Corporate governance
Terveystalo
 
Plc’s Corporate Governance Statement,
 
Remuneration Policy,
 
and Remuneration Report for 2023 will be published as part of
the Annual Report 22 February 2024.
Events after the end of the reporting period
Terveys
 
talo's Board of Directors
 
has approved a new performance period
 
covering the years 2024-2026 of the long-term
share-based incentive plan for key
 
personnel
Terveystalo
 
Plc's Board of Directors has approved a new performance period covering
 
the years 2024-2026 of the long-term share-based
incentive plan for key personnel. The purpose of the program
 
is to align the objectives of shareholders and key personnel to
 
increase the
company's value in the long term, and to commit key
 
personnel to implementing Terveystalo's
 
strategy by offering them a competitive,
share-based incentive program.
The Performance Share Plan is based on a rolling 3-year performance
 
period structure, with a new performance period starting at the
beginning of each year if so decided by the Board. The Board decides on the participants, performance measures, and targets
 
as well as
 
35
earning opportunities on an annual basis. Terveystalo
 
published the establishment of the program and its main terms in a stock exchange
release on 3 December 2020.
Performance Period 2024-2026 of the
 
Performance Share Plan (PSP)
During the performance period 2024-2026, the participants are awarded for successful shareholder
 
value creation. The performance
indicators based on which share rewards may
 
be paid to 90 percent of the participants are absolute and relative (compared
 
to the OMX HKI
benchmark CAP GI index) Total
 
Shareholder Return. For 10 percent of the participants, the value creation is measured by EBITA
 
(adjusted
earnings before interest, taxes,
 
and amortization) of the business area or independent business that they lead.
Terveystalo's
 
Board of Directors confirms the total amount of shares earned after
 
the end of the performance period. The share rewards
that may be paid based on the 2024–2026 earning period will be paid in Terveystalo
 
Plc shares after the end of the performance period,
provided that the performance targets set for the program
 
by the Board are achieved. The maximum number of shares to be paid based on
this plan is 640,000 shares. Taxes
 
and tax-like payments to the recipient are deducted
 
from the reward, after which the remaining net
amount is paid to the participants in shares.
No more than approximately 75 people selected by the Board are eligible to participate
 
in the program, including members of Terveystalo's
Executive Team.
Terveystalo
 
applies a share ownership requirement to the members of the Executive
 
Team. Each
 
member of the Executive Team is
 
expected
to retain at least 50 percent of the net shares received
 
under the long-term incentive plan until his or her shareholding in Terveystalo
 
is at
least equal to his or her annual gross base salary.
Performance Period 2024-2026 of the
 
Restricted Share Plan (RSP)
The purpose of the Restricted Share Plan is to function as a supplementary structure for separately
 
selected key personnel of Terveystalo
 
in
special situations.
The share rewards will be paid in Terveystalo
 
Plc shares after the end of the performance period, provided that the individual participants
are still employed by Terveystalo.
 
The maximum number of shares to be paid based on this plan is 64,000 shares.
The most
 
significant short
-
term risks
 
and uncertainty
 
factors
Terveystalo’s
 
risk management is governed by the risk management policy approved by the Board. The policy defines goals,
 
principles,
organizations, responsibilities, and practices for risk management.
 
The management of financial risks complies with the Group’s financing
policy approved by Terveystalo’s
 
Board.
 
The risks and uncertainty factors described below are considered to
 
potentially have a significant impact on the company’s
 
business
operations, financial results, and outlook within the next 12 months. The list is not intended to be exhaustive.
 
The order in which the risks
are presented does not describe the magnitude of the impact of the risks' realization or the probability of
 
their occurrence.
●
Achieving the targeted financial effects of the launched profit improvement
 
program is necessary to combat the impact of high
inflation and to achieve the financial targets set by the company.
●
The company’s business operations rely on its capacity to identify,
 
recruit, and retain competent and professional
 
healthcare
professionals, employees, and executives. The increased
 
supply of services and increased competition may affect the availability
of healthcare professionals, particularly in major cities. Turnover
 
in key employees involves the risk of losing knowledge and
expertise.
 
●
Weak general economic performance and high inflation in Finland and their effects
 
on the financial circumstances of private
individuals, employers, and public entities may adversely affect Terveystalo’s
 
business and results of operations by decreasing the
demand for Terveystalo’s
 
services, as well as may adversely affect the availability of
 
financing.
 
●
The development and implementation of information system
 
projects and services, service products, and operating models
involve risks. The company develops new digital customer
 
solutions, which increases the overall risk related to information
systems. A failure in the development of digital systems
 
may expose Terveystalo
 
to potential technical faults and disturbances.
 
●
The company may not be able to find suitable acquisition targets or expansion opportunities
 
under favourable terms, and the
integration of acquisition targets is not necessarily realized
 
as planned.
●
Terveystalo’s
 
expansion to new geographical locations involves
 
several risks, and failure to identify expansion opportunities,
recruit new employees, and achieve estimated benefits may adversely
 
affect Terveystalo’s
 
business and the results of operations.
36
●
The company’s business is very dependent on functioning information systems,
 
data communication, and external service
providers. Interruptions can result from hardware
 
failure, software failure, or cyber threats. Long-lasting
 
malfunction of
information systems or payment transfers
 
can lead to significant loss of sales and a decline in customer satisfaction.
 
●
Endangered information security or privacy can lead to losses, claims for
 
damages, and endanger reputation.
●
Pandemics or epidemics and related restrictive measures may
 
adversely affect the business operations of Terveystalo
 
through,
among other things, demand for certain healthcare services and challenges in the supply chain.
●
Changes in the competitive landscape, new competitors entering the markets,
 
and increasing price competition may have a
negative impact on the company’s profitability
 
and growth potential.
 
●
Terveystalo
 
is exposed to changes in demand for occupational healthcare services due to demographic trends,
 
aging and shrinking
working-age population.
 
●
The Social Welfare and Healthcare Reform
 
in Finland and its legal interpretations may have impacts
 
on Terveystalo’s
 
business and
results of operations.
 
●
Changes in compensation systems for healthcare
 
services may adversely affect Terveystalo’s
 
business, financial position, and
results of operations.
●
Failures
 
or deficiencies in the operational risk management, medical quality,
 
and internal control processes may result in failure
 
of
quality control, including medical quality, or otherwise adversely
 
affect Terveystalo's
 
profitability and reputation.
●
Terveystalo’s
 
operations could be subject to labour disruptions or disputes.
●
The company is a party to and may become a party to, legal action or administrative
 
procedures initiated by the authorities,
patients, or third parties.
According to the company’s opinion, its currently
 
pending legal obligations and court cases are not
significant in nature.
 
Risk management at Terveystalo
 
and risks related to the company’s business are
 
described in more detail on the company’s website
 
and in
the company’s Annual Review.
Annual General
 
Meeting in
 
2024
 
Terveystalo
 
Plc's Annual General Meeting (AGM) is planned to be held on Tuesday 26 March
 
2024. The meeting will be convened by the
company's Board of Directors separately
 
at a later date.
Terveystalo
 
Plc
Board of Directors
 
 
 
 
 
 
 
37
Calculation of financial ratios and alternative performance measures
Financial ratios
Earnings per share, (EUR)
=
Profit for the period attributable to owners of the parent
 
company
Average number of shares during the period
Terveystalo presents alternative performance measures as additional information to the financial
 
measures defined in IFRS. Those are
performance measures that the company monitors internally
 
and they provide significant additional information related
 
to the company's results of
operations,
 
financial position and cash flows to the management,
 
investors, securities analysts and other
 
parties. These should not be considered
in isolation or as a substitute to the measures under
 
IFRS.
Alternative performance measures to the statement
 
of financial position
The company presents the following alternative performance
 
measures to the statement of financial position as
 
they are, in the company's view,
useful indicators of the company's ability to obtain
 
financing and service its debt.
Return on equity, %
=
Profit/loss for the period (LTM)
x 100%
Equity (including non-controlling interest) (average)
Equity ratio, %
=
Equity (including non-controlling interest)
x 100%
Total assets - advances received
Gearing, %
=
Interest-bearing liabilities - interest-bearing receivables and
 
cash and cash
equivalents
x 100%
Equity
Net debt/Adjusted EBITDA (LTM) *
=
Interest-bearing liabilities - interest-bearing receivables and
 
cash and cash
equivalents
Adjusted EBITDA (LTM)
Net debt/Adjusted EBITDA (LTM), excluding
IFRS 16 *
=
Interest-bearing liabilities excluding lease liabilities - interest-bearing
 
receivables
and cash and cash equivalents
Adjusted EBITDA (LTM), excluding IFRS 16
Alternative performance measures to the statement
 
of income
The company presents the following alternative performance
 
measures to the statement of income, as in
 
the company's view, they increase
understanding of the company's results of operations.
 
In addition, the adjusted alternative performance
 
measures are widely used by analysts,
investors and other parties and facilitates comparability
 
between periods.
Adjusted EBITDA*
=
Earnings Before Interest, Taxes, Depreciation, Amortisation, Impairment losses
and adjustments
 
 
 
 
 
 
38
Adjusted EBITDA, %*
=
Earnings Before Interest, Taxes, Depreciation, Amortisation, Impairment losses
and adjustments
x 100%
Revenue
Adjusted EBITA*
=
Earnings Before Interest, Taxes, Amortisation, Impairment losses and adjustments
Adjusted EBITA, %*
=
Earnings Before Interest, Taxes, Amortisation, Impairment losses and
adjustments
x 100%
Revenue
Adjusted operating profit (EBIT)*
=
Earnings Before Interest, Taxes and Share of profits in associated companies,
and adjustments
Adjusted operating profit (EBIT), %*
=
Earnings Before Interest, Taxes and Share of profits in associated companies,
and adjustments
x 100%
Revenue
EBITDA
=
Earnings Before Interest, Taxes, Depreciation and Amortisation and Impairment losses
EBITDA, %
=
Earnings Before Interest, Taxes, Depreciation and Amortisation and Impairment
losses
x 100%
Revenue
EBITA
=
Earnings Before Interest, Taxes, Amortisation and Impairment losses
EBITA, %
=
Earnings Before Interest, Taxes, Amortisation and Impairment losses
x 100%
Revenue
Operating profit (EBIT)
=
Earnings Before Interest, Taxes and Share of profits in associated companies
Operating profit (EBIT), %
=
Earnings Before Interest, Taxes and Share of profits in associated companies
x 100%
Revenue
Adjusted EBITDA, excluding IFRS 16 *
=
Earnings Before Interest, Taxes, Depreciation, Amortisation, Impairment losses
and adjustments, excluding IFRS 16 lease adjustments
* Adjustments are material items outside the ordinary
 
course of business and these relate to acquisition-related
 
expenses, restructuring-related
expenses, gains and losses on sale of assets (net),
 
impairment losses, strategic projects and other
 
items affecting comparability.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
39
Reconciliation of alternative performance measures
Return on equity, %
2023
2022
2021
Net income
-42.2
24.4
80.4
Equity (including non-controlling interest) (average)
553.7
600.4
590.1
Return on equity, %
-7.6
4.1
13.6
Equity ratio, %
2023
2022
2021
Equity (including non-controlling interest)
515.4
592.0
608.9
Total assets
1,419.5
1,479.4
1,448.6
Advances received
6.4
7.1
6.1
Equity ratio, %
36.5
40.2
42.2
Gearing, %
2023
2022
2021
Interest-bearing liabilities
635.8
607.0
557.2
Interest-bearing receivables and cash and cash equivalents
37.7
40.4
38.2
Equity
515.4
178.0
608.9
Gearing, %
116.0
95.7
85.2
Net debt /Adjusted EBITDA
2023
2022
2021
Interest-bearing liabilities
635.8
607.0
557.2
Interest-bearing receivables and cash and cash equivalents
37.7
40.4
38.2
Adjusted EBITDA
200.2
178.0
206.1
Net debt / Adjusted EBITDA
3.0
3.2
2.5
Adjusted EBITDA, EUR mill.
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Depreciation, amortisation and impairment losses
193.8
134.9
91.7
Adjustments*
21.1
9.2
4.3
Adjusted EBITDA
200.2
178.0
206.1
Adjusted EBITDA, %
2023
2022
2021
Adjusted EBITDA
200.2
178.0
206.1
Revenue
1,286.4
1,259.1
1,154.6
Adjusted EBITDA, %
15.6
14.1
17.8
.
Adjusted EBITA, EUR mill.
2023
2022
2021
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
40
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Amortisation and impairment losses
119.1
62.0
26.6
Adjustments*
21.2
9.2
4.3
Adjusted EBITA
125.6
105.2
141.0
Adjusted EBITA, %
2023
2022
2021
Adjusted EBITA
125.6
105.2
141.0
Revenue
1,286.4
1,259.1
1,154.6
Adjusted EBITA, %
9.8
8.4
12.2
Adjusted operating profit (EBIT), EUR mill.
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Adjustments*
107.8
39.5
4.3
Adjusted EBIT
93.1
73.4
114.4
Adjusted operating profit (EBIT), %
2023
2022
2021
Adjusted EBIT
93.1
73.4
114.4
Revenue
1,286.4
1,259.1
1,154.6
Adjusted EBIT, %
7.2
5.8
9.9
EBITDA, EUR mill.
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Depreciation, amortisation and impairment losses
193.8
134.9
91.7
EBITDA
179.2
168.8
201.8
EBITDA, %
2023
2022
2021
EBITDA
179.2
168.8
201.8
Revenue
1,286.4
1,259.1
1,154.6
EBITDA, %
13.9
13.4
17.5
EBITA, EUR mill.
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Amortisation and impairment losses
119.1
62.0
26.6
EBITA
104.4
95.9
136.7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
41
EBITA, %
2023
2022
2021
EBITA
104.4
95.9
136.7
Revenue
1,286.4
1,259.1
1,154.6
EBITA, %
8.1
7.6
11.8
Operating profit (EBIT), EUR mill.
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
EBIT
-14.7
33.9
110.1
Operating profit, (EBIT), %
2023
2022
2021
EBIT
-14.7
33.9
110.1
Revenue
1,286.4
1,259.1
1,154.6
EBIT, %
-1.1
2.7
9.5
Adjustments based on subject area* , EUR mill.
2023
2022
2021
Acquisition-related expenses
1)
-0.8
2.8
3.1
Restructuring-related expenses
2)
3.2
1.5
0.3
Impairment losses
80.8
30.3
-
Strategic projects and other items affecting to comparability
18.8
5.0
0.8
Adjustments
101.9
39.5
4.3
Adjustments based on account group* , EUR mill.
2023
2022
2021
Other operating income
-0.8
-0.1
-0.4
Personnel expenses
3.1
1.3
0.3
Other operating expenses
18.7
8.0
4.4
Depreciation and impairment
86.7
30.3
-
Deferred tax
-5.9
-
-
Adjustments
101.9
39.5
4.3
Adjusted EBITDA, excluding IFRS 16
2023
2022
2021
Net income
-42.2
24.4
80.4
Income tax expense
3.3
6.5
20.3
Share of profits in associated companies
0.0
0.1
0.3
Net finance expenses
24.2
2.9
9.0
Depreciation, amortisation and impairment losses
193.8
134.9
91.7
Adjustments*
21.1
9.2
4.3
IFRS 16 lease expense adjustment
-57.4
-55.8
-49.2
Adjusted EBITDA, excluding IFRS 16
142.8
122.2
156.9
Net debt/Adjusted EBITDA, excluding IFRS 16
2023
2022
2021
Interest-bearing liabilities
416.7
427.2
378.8
Interest-bearing receivables and cash and cash equivalents
37.7
40.4
38.2
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
42
Adjusted EBITDA
142.8
122.2
156.9
Net debt/Adjusted EBITDA, excluding IFRS 16
2.7
3.2
2.2
* Adjustments are material items outside the ordinary
 
course of business, and these relate to acquisition-related
 
expenses, restructuring-related
expenses, gain /losses on sale of assets (net), impairment
 
losses, strategic projects and other items affecting comparability.
1)
Including transaction costs and expenses from integration
 
of acquired businesses
2)
 
Including restructuring of network and business
 
operations
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
43
Consolidated financial statements, IFRS
Consolidated statement of comprehensive income
EUR mill.
Note
1.1.-31.12.2023
1.1.-31.12.2022
Revenue
4, 5
1,286.4
1,259.1
Other operating income
6
4.2
2.7
Materials and services
7
-536.2
-525.7
Employee benefit expenses
8
-447.0
-455.0
Depreciation, amortisation and impairment losses
9
-193.8
-134.9
Other operating expenses
10
-128.2
-112.3
Operating result
-14.7
33.9
Financial income
11
1.2
7.5
Financial expenses
11
-25.4
-10.4
Net finance expenses
-24.2
-2.9
Share of results in associated companies
0.0
-0.1
Result before taxes
-38.9
30.9
Income tax expense
12
-3.3
-6.5
Net income
-42.2
24.4
Profit attributable to
Owners of the parent company
-42.2
24.4
Non-controlling interests
-
0.0
Other comprehensive adjustments
Items that may be reclassified to profit or loss
 
Translation differences from foreign operations
0.1
-5.3
Items that will not be reclassified to profit or loss
 
Remeasurements of post-employment benefit
 
obligations
28
-0.1
0.2
Other comprehensive income for the period, net
 
of tax
0.0
-5.1
Total comprehensive income
-42.2
19.3
Total comprehensive income attributable to:
Owners of the parent company
-42.2
19.3
Non-controlling interest
-
0.0
Earnings per share for profit attributable to the
 
shareholders of the parent
company, in euro
Basic earnings per share
13
-0.33
0.19
Diluted earnings per share
13
-0.33
0.19
The notes are an integral part of the Consolidated
 
financial statements.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
44
Consolidated statement of financial position
EUR mill.
Note
31 Dec
2023
31 Dec
2022
ASSETS
Non-current assets
Property, plant and equipment
14
84.2
82.0
Right-of-use assets
14
212.1
173.9
Goodwill
15, 16
823.5
879.5
Intangible assets
15
100.0
145.2
Investment properties
17
0.3
0.5
Investments in associates
18
0.0
0.0
Loan receivables
20
0.0
0.3
Deferred tax assets
12
6.0
7.7
Other non-current assets
20
0.8
0.8
Total non-current assets
1,226.8
1,289.8
Current assets
Inventories
7.1
6.6
Trade and other receivables
22
143.1
138.4
Current tax receivables
4.8
4.5
Cash and cash equivalents
23
37.7
40.2
Total current assets
192.6
189.7
TOTAL ASSETS
1,419.5
1,479.4
EQUITY AND LIABILITIES
Equity attributable to equity holders of the
 
Company
Share capital
0.1
0.1
Invested non-restricted equity reserve
492.8
492.8
Treasury shares
-15.7
-15.8
Translation differences
-5.2
-5.3
Retained earnings
43.4
120.2
Equity attributable to equity holders of the Company
 
total
515.4
592.0
Non-controlling interest
-
0.0
TOTAL EQUITY
515.4
592.0
Non-current liabilities
Non-current financial liabilities
20, 21, 25
394.4
383.1
Non-current lease liabilities
14, 21, 25
172.6
133.2
Deferred tax liabilities
12
20.2
29.5
Provisions
27
2.8
8.3
Other liabilities
13.7
16.2
Total non-current liabilities
603.7
570.3
Current liabilities
Current financial liabilities
20, 21, 25
22.3
44.2
Current lease liabilities
14, 21, 25
46.5
46.5
Current tax liabilities
3.6
0.0
Provisions
27
3.3
3.2
Trade and other payables
26
224.7
223.2
Total current liabilities
300.3
317.1
TOTAL LIABILITIES
904.1
887.4
TOTAL EQUITY AND LIABILITIES
1,419.5
1,479.4
The notes are an integral part of the consolidated
 
financial statements.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
45
Consolidated statement of cash flows
EUR mill.
Note
1.1.-31.12.2023
1.1.-31.12.2022
Cash flows from operating activities
Profit before income taxes
-38.9
30.9
Adjustments for
Non-cash transactions
 
 
Depreciation, amortisation and impairment
 
losses
9
193.8
134.9
 
Change in provisions
27
-2.1
0.5
 
Other non-cash transactions
-6.7
-4.1
Gains and Losses on sale of property, plant, equipment and other
 
changes
-0.2
-0.3
Net finance expenses
11
24.2
2.9
Changes in working capital
 
Trade and other receivables
-8.7
1.6
 
Inventories
-0.5
-0.2
 
Trade and other payables
2.5
0.4
Interests received
1.2
0.3
Income taxes paid
-6.6
-26.0
Net cash from operating activities
158.0
140.9
Cash flows from investing activities
Acquisition of subsidiaries, net of cash acquired
3
-4.0
-34.9
Acquisition of property, plant and equipment
-24.6
-30.2
Acquisition of intangible assets
-16.4
-29.0
Proceeds from the disposal of associates
-
0.1
Sale of business operation, net of cash disposed of
0.3
-
Acquisition of business operations, net of cash
 
acquired
3
-0.3
-0.7
Proceeds from sale of property, plant and equipment
0.8
0.7
Dividends received
0.0
0.0
Net cash from investing activities
-44.2
-93.9
Cash flows from financing activities
Acquisition of non-controlling interests
3
-0.1
-0,0
Proceeds from non-current borrowings
25
224.6
169.5
Repayment of non-current borrowings
25
-210.0
-40.0
Proceeds from current borrowings
25
26.8
41.0
Repayment of current borrowings
25
-47.1
-116.7
Payment of lease liabilities
25
-50.9
-49.3
Payment of hire purchase liabilities
25
-4.3
-5.3
Interests and other financial expenses paid
-19.9
-8.4
Dividends paid
-35.4
-35.4
Net cash from financing activities
-116.2
-44.6
Net change in cash and cash equivalents
-2.4
2.3
Cash and cash equivalents at 1 January
40.2
38.1
Exchange rate differences
-0.1
-0.3
Cash and cash equivalents at 31 December
37.7
40.2
The notes are an integral part of these Consolidated
 
financial statements.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
46
Consolidated statement of changes in equity
 
Equity attributable to owners of the parent
 
company
EUR mill.
Share
capital
Invested
non-
restricted
equity
reserve
Treasury
shares
Retained
earnings
Translation
differences
Total
Non-
controlling
interests
Total
equity
Equity 1 Jan 2023
0.1
492.8
-15.8
120.2
-5.3
592.0
0.0
592.0
Comprehensive income
Net income
-
-
-
-42.2
-
-42.2
-
-42.2
Other comprehensive income
-
-
-
-0.1
0.1
0.0
-
0.0
Transactions with owners
 
Share-based payments
-
-
0.1
1.3
-
1.4
-
1.4
 
Dividends
-
-
-
-35.4
-
-35.4
-
-35.4
Transactions with non-controlling
interests
Transactions with non-controlling
interest
-
-
-
-
-
-
-0,0
-0,0
Other
Other corrections*
-
-
-
-0.4
-
-0.4
-
-0.4
Equity 31 Dec 2023
0.1
492.8
-15.7
43.5
-5.2
515.4
-
515.4
* Correction to previous financial years figures.
 
Equity attributable to owners of the parent
 
company
EUR mill.
Share
capital
Invested
non-
restricted
equity
reserve
Treasury
shares
Retained
earnings
Translation
differences
Total
Non-
controlling
interests
Total
equity
Equity 1 Jan 2022
0.1
492.8
-18.0
134.8
-0.8
608.9
0.0
608.9
Comprehensive income
Net income
-
-
-
24.4
-
24.4
0.0
24.4
Other comprehensive income
-
-
-
-0.5
-4.5
-5.1
-
-5.1
Transactions with owners
Share-based payments
-
-
2.2
-3.0
-
-0.8
-
-0.8
Dividends
-
-
-
-35.4
-
-35.4
-
-35.4
Transactions with non-controlling
interests
Transactions with non-controlling
interest
-
-
-
-
-
-
0,0
0.0
Equity 31 Dec 2022
0.1
492.8
-15.8
120.2
-5.3
592.0
0.0
592.0
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
47
COMPANY INFORMATION
Name of reporting entity or other means of identification
Terveystalo Oyj
Country of incorporation
Finland
Legal form of entity
Public Limited Company
Domicile of entity
Finland
Address of entity's registered office
Jaakonkatu 3 A 00100 Helsinki
Principal place of business
Finland and Sweden
Description of nature of entitys operations and
 
principal
 
activities
Terveystalo offers comprehensive wellbeing services, primary
healthcare and specialized medical care services for corporate and
private customers as well as the public sector.
Name of parent entity
Terveystalo Oyj
 
1. Corporate information
Terveystalo
 
Plc
 
is
 
a
 
Finnish
 
public
 
limited
 
liability
 
company
 
organised
 
under
 
the
 
laws
 
of
 
Finland
 
and
 
domiciled
 
in
Helsinki, Finland.
 
The parent
 
company,
 
Terveystalo
 
Plc, is
 
listed on
 
the Nasdaq
 
Helsinki. Terveystalo
 
Group (“the
Group”,
 
“Terveystalo”)
 
consists
 
of
 
the
 
parent
 
company
 
and
 
24
 
subsidiaries.
 
More
 
information
 
on
 
subsidiaries
 
is
presented
 
in
 
note
 
31.
 
A
 
copy
 
of
 
the
 
consolidated
 
financial
 
statements
 
is
 
available
 
at
 
the
 
Group’s
 
website
www.terveystalo.com
, from Terveystalo
 
Oyj / Corporate Communications,
 
Jaakonkatu 3, 00100 Helsinki,
 
Finland, or
via e-mail at investors@terveystalo.com.
 
 
 
Terveystalo
 
is a
 
leading private
 
healthcare
 
service
 
provider
 
in Finland
 
and
 
leading occupational
 
health
 
provider in
Nordic
 
region.
 
The
 
company
 
offers
 
general
 
practice
 
and
 
specialist
 
medical
 
care,
 
diagnostic
 
services,
 
outpatient
surgery, dental services
 
and other adjacent services to corporate, private and public
 
sector customers.
 
In
 
its
 
meeting
 
on
 
13
 
February
 
2024,
 
the
 
Board
 
of
 
Directors
 
of
 
Terveystalo
 
Plc
 
approved
 
the
 
publishing
 
of
 
these
consolidated financial statements.
According
 
to
 
the
 
Finnish
 
Limited
 
Liability
 
Companies
 
Act,
 
shareholders
 
have
 
the
 
right
 
to
 
approve
 
or
 
reject
 
the
financial
 
statements
 
in
 
the
 
Annual
 
General
 
Meeting
 
held
 
after
 
the
 
publication
 
of
 
the
 
financial
 
statements.
 
The
Annual General Meeting also has the right to make a
 
decision to amend the financial statements.
2. Accounting policies for the consolidated financial
 
statements
 
2.1 Basis of preparation
The consolidated financial statements of
 
Terveystalo
 
have been prepared in accordance with
 
International Financial
Reporting Standards
 
(IFRS) as
 
adopted by
 
the European
 
Union. The
 
consolidated financial
 
statements have
 
been
prepared in compliance with the IAS and IFRS standards
 
as well as the SIC and IFRIC interpretations
 
in force on 31
December 2023.
 
The consolidated
 
financial statements
 
also comply
 
with the
 
regulations of
 
Finnish accounting
 
and
company legislation complementing the IFRSs.
 
The consolidated financial statements are
 
presented in millions of euro and
 
have been prepared under the
 
historical
cost
 
basis,
 
unless
 
otherwise
 
stated
 
in
 
the
 
accounting
 
principles.
 
All
 
figures
 
presented
 
have
 
been
 
rounded,
 
and
consequently the sum of individual figures may deviate from the
 
presented aggregate figure.
2.2 Application of new and amended IFRSs and new
 
IFRIC agenda decisions
48
New and amended standards applied in the financial year
 
2023
The
 
Group
 
has
 
applied
 
as
 
from
 
1 January
 
2023
 
the
 
following
 
new
 
and
 
amended
 
standards
 
that
 
have
 
come
 
into
effect:
●
 
Amendments
 
to
 
IAS
 
1
 
–
Disclosure
of
 
Accounting
 
Policies
:
 
The
 
amendments
 
clarify
 
the
 
application
 
of
materiality to disclosure of accounting policies.
●
 
Amendments
 
to
 
IAS
 
8
 
–
Definition
 
of
 
Accounting
 
Estimates
:
 
The
 
amendments
 
clarify
 
how
 
companies
should
 
distinguish
 
changes
 
in
 
accounting
 
policies
 
from
 
changes
 
in
 
accounting
 
estimates,
 
with
 
a
 
primary
focus on the definition of and clarifications on accounting estimates.
●
 
Amendments to
 
IAS 12
 
–
Deferred Tax
 
related to
 
Assets and
 
Liabilities arising
 
from a
 
Single Transaction
:
The
 
amendments
 
narrow
 
the
 
initial
 
recognition
 
exemption
 
(IRE)
 
and
 
clarify
 
that
 
the
 
exemption
 
does
 
not
apply
 
to
 
transactions
 
such
 
as
 
leases
 
and
 
decommissioning
 
obligations
 
which
 
give
 
rise
 
to
 
equal
 
and
offsetting temporary differences.
●
 
Amendments to IAS
 
12 –
International Tax
 
Reform —
 
Pillar Two
 
Model Rules
: The amendments
 
give relief
from accounting
 
for deferred
 
taxes arising
 
from the
 
OECD’s
 
(Organisation
 
for Economic
 
Co-operation
 
and
Development) international
 
tax reform
 
and require
 
new disclosures
 
to compensate
 
for the
 
potential loss
 
of
information resulting from the relief.
The
 
impacts
 
of
 
the
 
above-mentioned
 
amendments
 
on
 
Terveystalo’s
 
consolidated
 
financial
 
statements
 
have
 
not
been significant.
New and
 
amended standards
 
applied in
 
the financial
 
year 2023
 
that have
 
no impact
 
on Terveystalo’s
 
consolidated
financial statements:
●
 
IFRS
 
17
Insurance
 
Contracts
,
 
including
Amendments
 
Initial
 
Application
 
of
 
IFRS
 
17
 
and
 
IFRS
 
9
 
–
Comparative Information
Adoption of new and amended standards and interpretations
 
applicable in future financial years
At
 
the
 
publication
 
day
 
of
 
this
 
Group
 
consolidated
 
financial
 
statements,
 
Terveystalo
 
has
 
not
 
applied
 
following
 
new
and amended standards and interpretations that are effective
 
in future periods:
 
●
 
Amendments to
 
IFRS 16
 
–
Lease Liability
 
in a
 
Sale and
 
Leaseback
 
(effective for
 
financial years
 
beginning
on or after 1 January 2024, early application is permitted)
●
 
Amendments
 
to
 
IAS
 
1
 
–
Classification
 
of
 
Liabilities
 
as
 
Current
 
or
 
Non-current
 
Date;
 
Classification
 
of
Liabilities
 
as
 
Current
 
or
 
Non-current
 
–
 
Deferral
 
of
 
Effective
 
Date;
 
Non-current
 
Liabilities
 
with
 
Covenants*
(effective for financial years beginning on or after 1 January
 
2024, early application is permitted)
●
 
Amendments
 
to
 
IAS
 
7
 
and
 
IFRS
 
7
 
–
Supplier
 
Finance
 
Arrangements
*
 
(effective
 
for
 
financial
 
years
beginning on or after 1 January 2024, early application
 
is permitted)
●
 
Amendments to IFRS 10 and IAS 28 –
Sale or Contribution of Assets between an Investor
 
and its Associate
or Joint Venture
* (available for optional adoption, effective date
 
deferred indefinitely)
The
 
impact
 
on
 
above-mentioned
 
standards
 
and
 
amendments
 
on
 
Terveystalo’s
 
consolidated
 
financial
 
statements
are not expected to be significant.
New and
 
amended standards
 
and interpretations
 
applicable in
 
future financial
 
years that
 
are not
 
expected to
 
have
impact on Terveystalo’s
 
consolidated financial statements:
●
 
Amendments
 
to
 
IAS
 
21
 
–
Lack
 
of
 
Exchangeability*
 
(effective
 
for
 
financial
 
years
 
beginning
 
on
 
or
 
after
 
1
January 2025, early application is permitted)
* = not yet endorsed for use by the European Union
 
as of 31 December 2023.
49
2.3 Critical accounting estimates and judgements
The preparation
 
of the
 
financial statements
 
requires management
 
to make
 
certain estimates
 
and assumptions
 
that
are based
 
on management's
 
best view
 
of the
 
circumstances
 
prevailing at
 
the reporting
 
date, prior
 
experience
 
and
assumptions
 
about
 
future
 
events
 
related,
 
among
 
other
 
things,
 
to
 
the
 
expected
 
development
 
of
 
the
 
Group's
economic
 
environment
 
in
 
terms
 
of
 
sales
 
and
 
cost
 
level.
 
However,
 
it
 
is
 
possible
 
that
 
the
 
realised
 
outcomes
 
differ
from the
 
estimates and
 
assumptions used
 
in the
 
financial statements.
 
In addition,
 
the application
 
of the
 
accounting
policies requires judgement,
 
especially when the current
 
IFRS standards have alternative
 
accounting, valuation and
presentation methods.
 
The Group
 
monitors
 
the realisation
 
of the
 
estimates
 
and
 
assumptions
 
and changes
 
in the
 
underlying
 
factors
 
on a
regular basis
 
together with
 
the operating
 
units by
 
using several
 
internal and external
 
information sources.
 
Changes
in
 
estimates
 
or assumptions
 
are recogni
 
sed
 
in
 
the
 
period
 
when
 
the
 
estimate
 
or
 
assumption
 
is revised,
 
and
 
in
 
the
future periods if the change affects the subsequent
 
periods.
The most important issues requiring management’s judgement
 
are presented below:
Lease contracts
Terveystalo’s
 
lease contracts
 
include both
 
termination and
 
extension options.
 
Group uses
 
the options
 
in managing
lease contracts
 
to ensure
 
the flexible
 
use of
 
premises in
 
the Group’s
 
businesses.
 
Management uses
 
judgement to
determine the use
 
of termination and
 
extension options
 
and assesses
 
the lease termination
 
dates and lease
 
terms.
Based on management’s
 
judgement, the
 
termination options
 
which relate
 
to perpetual
 
lease contracts
 
for premises
that are significant will not be used and such lease contracts
 
are recognised as long-term lease contracts.
Provisions
The
 
most
 
significant
 
provisions
 
in
 
the
 
statement
 
of
 
financial
 
position
 
relate
 
mainly
 
to
 
loss-making
 
contracts.
Management makes estimates mainly concerning the
 
total loss of the loss-making contracts.
 
The critical accounting estimates are presented below:
Intangible assets in connection with business combinations
IFRS 3
 
requires
 
the
 
acquirer
 
to
 
recognise
 
intangible
 
assets
 
separately
 
from
 
goodwill,
 
if
 
certain
 
criteria
 
are
 
met.
Recognising
 
intangible
 
assets
 
separately
 
at fair
 
value
 
requires management
 
to
 
estimate the
 
expected
 
future
 
cash
flows.
 
Management
 
has
 
used
 
available
 
market
 
information
 
when
 
possible
 
in
 
determining
 
the
 
fair
 
values.
 
If
 
no
market
 
information
 
of
 
the
 
asset
 
has
 
been
 
available,
 
the
 
measurement
 
of
 
the
 
intangible
 
asset
 
is
 
based
 
on
 
the
historical yield
 
of the
 
asset and
 
the planned
 
use in
 
operations. The
 
valuations are
 
based on
 
discounted cash
 
flows
and
 
estimated
 
disposal
 
or
 
replacement
 
prices,
 
and
 
the
 
valuation
 
requires
 
management
 
to
 
make
 
estimates
 
of
 
the
future use of the asset and impact on the company’s
 
financial position.
 
Management believes
 
that the
 
used estimates
 
and assumptions
 
are reasonable
 
for measurement
 
of fair
 
values. In
addition, the Group’s
 
property,
 
plant and equipment
 
and intangible assets
 
are assessed to determine
 
whether there
is any indication of impairment at least at each reporting
 
date.
The valuation of contingent considerations
Management
 
makes
 
discretionary
 
decisions
 
and
 
estimates
 
when
 
determining
 
the
 
valuation
 
of deferred
 
contingent
considerations in business
 
combinations. Judgement
 
is applied especially
 
when estimating the
 
expected amount
 
of
50
payments
 
and
 
is
 
based
 
on
 
potential
 
scenarios
 
for
 
future
 
returns,
 
amounts
 
paid
 
under
 
different
 
scenarios
 
and
 
the
probability of each scenario.
Impairment testing
Impairment
 
testing
 
for cash
 
-generating
 
units
 
to which
 
goodwill has
 
been allocated
 
is carried
 
out
 
at
 
least annually.
Besides goodwill, the Group has no other intangible
 
assets with an indefinite useful life. The recoverable
 
amounts of
cash
 
generating
 
units
 
are
 
estimated
 
based
 
on
 
the
 
calculations
 
of
 
their
 
value
 
in
 
use.
 
Preparation
 
of
 
these
calculations
 
requires
 
use
 
of
 
estimates.
 
Even
 
though
 
management
 
believes
 
that
 
the
 
used
 
estimates
 
and
assumptions are appropriate, the estimated recoverable amounts
 
may differ from the actual results.
 
2.4 Principles of consolidation
Subsidiaries
The
 
consolidated
 
financial
 
statements
 
include
 
the
 
parent
 
company
 
Terveystalo
 
Plc
 
and
 
all
 
its
 
subsidiaries
 
where
over 50 percent of
 
the voting rights
 
are controlled by
 
the parent company
 
or the parent company
 
otherwise controls
the
 
company.
 
The
 
Group
 
controls
 
an
 
entity
 
when
 
it
 
is
 
exposed
 
to,
 
or
 
has
 
rights
 
to
 
variable
 
returns
 
from
 
its
involvement with the entity,
 
and has the ability to affect those returns through
 
its power over the entity.
The
 
subsidiaries
 
are
 
included
 
in
 
the
 
consolidated
 
financial
 
statements
 
starting
 
from
 
the
 
date
 
on
 
which
 
control
commences until the date on which control ceases.
All subsidiaries
 
are consolidated
 
by using
 
the acquisition
 
method. The
 
consideration transferred
 
for the
 
acquisition
of
 
a
 
subsidiary
 
comprise
 
assets
 
transferred,
 
liabilities
 
incurred,
 
and
 
the
 
equity
 
interests
 
issued
 
by
 
the
 
Group
measured
 
at fair
 
value. Identifiable
 
assets
 
acquired
 
and
 
liabilities
 
and contingent
 
liabilities assumed
 
in a
 
business
combination
 
are
 
measured
 
initially
 
at
 
fair
 
value
 
at
 
the
 
acquisition
 
date.
 
On
 
an
 
acquisition-by-acquisition
 
basis,
non-controlling
 
interest
 
in
 
the
 
acquiree
 
is
 
measured
 
either
 
at
 
fair
 
value
 
or
 
at
 
value
 
which
 
equals
 
the
 
proportional
share of the non-controlling interest in the identifiable
 
net assets acquired.
All
 
acquisition
 
costs,
 
except
 
costs
 
related
 
to
 
issue
 
of
 
debt
 
or
 
equity
 
securities,
 
are
 
recognised
 
as
 
an
 
expense
 
as
incurred. Transactions treated separately
 
from the acquisition are recognised
 
through the income statement and are
not
 
included
 
in
 
the
 
consideration
 
transferred.
 
Any
 
contingent
 
consideration
 
is
 
measured
 
at
 
fair
 
value
 
and
 
it
 
is
classified either
 
as a
 
liability or
 
equity.
 
Contingent consideration
 
classified as
 
a liability
 
is measured
 
at fair
 
value at
the
 
end
 
of
 
reporting
 
period
 
and
 
the
 
resulting
 
profit
 
or
 
loss
 
is
 
recognised
 
in
 
the
 
statement
 
of
 
income.
 
Contingent
consideration classified as equity is not remeasured.
If the Group gains control
 
in stages in the
 
acquiree, the existing interest
 
will be measured at
 
fair value through profit
or loss.
Goodwill arising
 
from an
 
acquisition is
 
recognised as
 
the excess
 
of the
 
aggregate of
 
the consideration
 
transferred,
the amount
 
of non-controlling
 
interests in
 
the acquiree
 
and previously
 
held equity
 
interest in
 
the acquiree
 
over the
fair value of the Group’s share of the identifiable
 
net assets acquired. If the consideration transferred
 
is less than the
fair value of the net assets of the subsidiary acquired, the
 
resulting gain is recognised in profit or loss.
Intra-group transactions,
 
receivables, liabilities
 
and unrealised
 
gains, as
 
well as
 
the distribution
 
of profits
 
within the
Group are eliminated in
 
the preparation of the
 
consolidated financial statements.
 
Accounting policies of subsidiaries
have been aligned where necessary to correspond to the Group’s
 
principles.
Transactions with
 
non-controlling interests
 
that do not
 
result in the
 
loss of control
 
are treated as
 
equity transactions
–
 
in
 
other
 
words,
 
as
 
transactions
 
with
 
owners
 
when
 
they
 
are
 
acting
 
as
 
owners.
 
The
 
difference
 
between
 
the
 
fair
value of the consideration
 
paid or received and
 
the book value
 
of the portion of
 
the net assets acquired
 
or disposed
is recognised in equity.
 
When the
 
Group
 
ceases
 
to
 
have control
 
or significant
 
influence,
 
any retained
 
interest
 
in the
 
entity
 
is measured
 
at
fair value through profit or loss.
 
51
Associates
Associates
 
are entities
 
over
 
which the
 
Group
 
has significant
 
influence.
 
Significant influence
 
generally arises
 
when
the Group
 
holds over
 
20 percent
 
of the
 
voting rights,
 
or otherwise
 
has significant
 
influence, but
 
no control
 
over the
entity.
Associates
 
are
 
consolidated
 
using
 
the
 
equity
 
method.
 
They
 
are
 
initially
 
recognised
 
at
 
cost,
 
which
 
includes
transaction
 
cost.
 
If
 
the
 
Group’s
 
share
 
of
 
the
 
associated
 
company’s
 
losses
 
exceeds
 
the
 
carrying
 
amount
 
of
 
the
investment,
 
the
 
investment
 
is
 
recognised
 
at
 
zero
 
value
 
in
 
the
 
consolidated
 
statement
 
of
 
financial
 
position.
Recognition of further losses
 
exceeding the carrying amount
 
is discontinued, unless the
 
Group has incurred legal
 
or
constructive obligations on behalf of the associate.
Unrealised gains resulting
 
from the transactions
 
between the Group
 
and associates are
 
eliminated according
 
to the
Group’s share
 
of ownership.
 
Goodwill relating
 
to an
 
associate is
 
included in
 
the carrying
 
amount of
 
the investment.
The
 
Group’s
 
share
 
of
 
the
 
associated
 
company’s
 
profit
 
or
 
loss
 
for
 
the
 
period
 
is
 
separately
 
disclosed
 
below
 
net
finance expenses.
 
Adjustments have
 
been made
 
when necessary
 
to the
 
associate’s
 
accounting policies
 
to align
 
to
those of the Group.
At
 
each
 
reporting
 
date,
 
the
 
Group
 
reviews
 
the
 
carrying
 
amounts
 
of
 
the
 
investments
 
in
 
associates
 
to
 
determine
whether
 
there
 
is
 
any
 
objective
 
indication
 
of
 
impairment.
 
If
 
any
 
such
 
evidence
 
of
 
impairment
 
exists,
 
then
 
the
impairment loss
 
is determined.
 
An impairment
 
loss is
 
the amount by
 
which the carrying
 
amount of
 
an investment in
associate exceeds its recoverable amount. An impairment
 
loss is recognised in the statement of income.
If the
 
Group’s
 
ownership
 
interest
 
in
 
an
 
associate
 
is reduced,
 
but significant
 
influence
 
is retained,
 
only
 
the
 
relative
portion
 
of
 
previously
 
recognised
 
amounts
 
in
 
other
 
comprehensive
 
income
 
and
 
the
 
value
 
of
 
the
 
investment
 
in
 
the
consolidated financial statements are recognised in the
 
statement of income as part of the gain or loss.
 
2.5 Foreign currency transactions
The consolidated
 
financial
 
statements are
 
presented in
 
euros which
 
is the
 
functional
 
and presentation
 
currency
 
of
the
 
parent
 
company.
 
Transactions
 
in
 
foreign
 
currencies
 
are
 
translated
 
into
 
respective
 
functional
 
currency
 
at
 
the
exchange rate prevailing on the transaction
 
date. Gains and losses arising from transactions
 
denominated in foreign
currency and from translation of monetary items are recogni
 
sed in profit or loss as financial income or expenses.
 
The
 
functional
 
currency
 
of
 
the
 
Feelgood
 
subgroup
 
is
 
Swedish
 
krona
 
which
 
differs
 
from
 
Group’s
 
presentation
currency,
 
and thus
 
its statement
 
of income,
 
statement
 
of cash
 
flows and
 
statement
 
of financial
 
position have
 
been
translated into presentation currency as follows:
-
 
Statement of income and statement of cashflows are translated
 
at average exchange rates
-
 
Statement of financial position is translated at the closing
 
exchange rate at the reporting date
-
 
All resulting exchange differences are recognised
 
in other comprehensive income
2.6 Property, plant
 
and equipment
Items of property,
 
plant and equipment are
 
measured at cost less accumulated
 
depreciation and impairment losses.
Depreciation
 
is
 
recognised
 
on
 
a
 
straight-line
 
basis
 
over
 
the
 
estimated
 
useful
 
lives
 
of
 
items
 
of
 
property,
 
plant
 
and
equipment. Land is not depreciated.
The estimated useful lives are as follows:
 
Magnetic resonance imaging equipment
10 years
Buildings
10–40 years
Machinery and equipment
2–7 years
52
Improvements to office premises
3–10 years
Premises used
 
in operations
 
are depreciated
 
on a
 
straight-line basis
 
over a
 
40-year depreciation
 
period. Property,
plant and equipment also includes artwork which is not
 
depreciated.
Gains
 
and
 
losses
 
on
 
the
 
sale
 
and
 
disposal
 
of
 
property,
 
plant
 
and
 
equipment
 
are
 
presented
 
in
 
other
 
operating
income or other operating expenses.
Maintenance expenditure
 
are not included
 
in the carrying
 
amounts of property,
 
plant and equipment.
 
When parts of
the
 
magnetic
 
resonance
 
imaging
 
equipment
 
are
 
replaced,
 
the
 
Group
 
capitalises
 
the
 
replacement
 
costs
 
as
 
a
separate item.
 
The residual values and useful lives of property,
 
plant and equipment are reviewed at each reporting date.
2.7 Investment properties
Investment property
 
refers to properties
 
held by the
 
Group in
 
order to earn
 
rental income
 
or for capital
 
appreciation
or both. Apartments, which
 
are not used in
 
business operations, are
 
mainly accounted for as
 
investment properties.
Investment
 
properties
 
are
 
measured
 
at
 
acquisition
 
cost
 
and
 
depreciated
 
on
 
a
 
straight-line
 
basis
 
over
 
a
 
40-year
depreciation period.
2.8 Goodwill and other intangible assets
Goodwill
Goodwill
 
arising
 
in
 
a
 
business
 
combination
 
is
 
recognised
 
as
 
the
 
excess
 
of
 
the
 
aggregate
 
of
 
the
 
consideration
transferred,
 
the
 
amount
 
of
 
non-controlling
 
interests
 
in
 
the
 
acquiree
 
and
 
previously
 
held equity
 
interest
 
in
 
acquiree
over the fair value of the Group’s share of the
 
identifiable net assets acquired.
Goodwill
 
is
 
not
 
amortised
 
but
 
tested
 
for
 
impairment
 
annually.
 
For
 
impairment
 
testing,
 
goodwill
 
is
 
allocated
 
to
cash-generating
 
units
 
or
 
groups
 
of
 
cash-generating
 
units.
 
Goodwill
 
is
 
measured
 
at
 
cost
 
less
 
accumulated
impairment losses. An impairment loss in respect of goodwill
 
is not reversed.
Gain or loss on disposed unit includes also the carrying
 
amount of goodwill.
Intangible assets
Intangible assets include software
 
and licenses, as well as
 
acquired companies’ customer relationships,
 
trademarks
and
 
other
 
intangible
 
assets.
 
Intangible
 
assets
 
are
 
recognised
 
initially
 
at
 
cost
 
if
 
the
 
cost
 
of
 
the
 
asset
 
can
 
be
measured
 
reliably
 
and
 
if
 
it
 
is
 
probable
 
that
 
the
 
future
 
economic
 
benefits
 
attributable
 
to
 
the
 
asset
 
will
 
flow
 
to
 
the
Group.
Cloud computing arrangements which meet the
 
definition of an intangible asset are
 
recognized as intangible assets.
Configuration and customisation
 
costs which do
 
not meet the definition
 
of an intangible
 
asset and which
 
are distinct
from the cloud computing arrangement,
 
are recognised as an expense
 
as the service is received.
 
Configuration and
customisation
 
costs
 
which
 
are
 
not
 
distinct
 
from
 
the
 
cloud
 
computing
 
arrangement,
 
are
 
recognised
 
as
 
prepaid
expenses
 
in
 
the
 
statement
 
of
 
financial
 
position
 
and
 
expensed
 
over
 
the
 
expected
 
duration
 
of
 
the
 
cloud
 
computing
arrangement.
Intangible assets
 
acquired in a
 
business combination
 
are recognised
 
at fair value
 
at the acquisition
 
date separately
from goodwill if the assets meet the definition of an asset,
 
are identifiable or rise from contractual or legal rights.
Intangible assets
 
are measured
 
at cost
 
and amortised
 
on a
 
straight-line
 
basis over
 
the known
 
or estimated
 
useful
lives.
The Group has no intangible assets with indefinite useful
 
life except for goodwill.
53
Amortisation periods used for intangible assets are as follows:
Immaterial rights
3–7 years
Software
3–5 years
Customer agreements and related customer relationships
3–12 years
Trademarks
20 years or shorter useful life
Other intangible assets
3–5 years
Research and development
Research
 
expenditure
 
are
 
recognised
 
as
 
an
 
expense
 
as
 
incurred
 
in
 
the
 
statement
 
of
 
income.
 
Development
expenditure
 
are
 
capitalised
 
as
 
intangible
 
assets
 
when
 
certain
 
capitalisation
 
criteria
 
are
 
met.
 
Development
expenditure
 
that
 
do
 
not
 
qualify
 
for
 
the
 
capitalisation
 
are
 
recognised
 
as
 
an
 
expense.
 
The
 
estimated
 
useful
 
lives
 
of
capitalised development expenditure are 3–5 years.
2.9 Impairment
Tangible and intangible
 
assets
At
 
the
 
end
 
of
 
each
 
reporting
 
period,
 
the
 
Group
 
assesses
 
whether
 
there
 
are
 
any
 
indications
 
of
 
impairment.
 
If
 
any
indications of
 
an impairment
 
exist, the
 
recoverable amount
 
of the
 
asset is
 
determined.
 
For goodwill
 
and intangible
assets not yet available for use,
 
the recoverable amount is determined
 
annually,
 
irrespective of whether there is
 
any
evidence of impairment. Evidence of
 
impairment is assessed at the
 
level of the Group’s
 
cash-generating units, i.e at
the
 
lowest
 
unit
 
level,
 
which
 
is
 
largely
 
independent
 
of
 
the
 
other
 
units
 
and
 
whose
 
cash
 
flows
 
can
 
be
 
distinguished
from the cash flows of equivalent units.
The recoverable amount of
 
an asset is the higher
 
of its fair value less
 
costs to sell or value-in-use.
 
The value-in-use
is the
 
amount of
 
estimated future
 
cash flows
 
of an
 
asset or
 
cash generating
 
unit discounted
 
to present
 
value. The
discount
 
rate
 
used
 
is
 
the
 
pre-tax
 
discount
 
rate,
 
which
 
reflects
 
the
 
market
 
view
 
on
 
the
 
time
 
value
 
of
 
money
 
and
specific risks related to the asset.
An
 
impairment
 
loss
 
is
 
recognised
 
when
 
the
 
carrying
 
amount
 
of
 
an
 
asset
 
exceeds
 
its
 
recoverable
 
amount.
 
The
impairment loss is recognised in
 
the statement of income. If
 
impairment loss is related to a
 
cash generating unit, the
impairment loss is allocated first to reduce the carrying
 
amount of any goodwill allocated to the cash
 
generating unit,
and then to reduce the carrying amounts
 
of the other assets on a pro
 
rata basis. The useful life of an
 
asset, which is
subject to
 
depreciation or
 
amortisation, is
 
reassessed when
 
an impairment
 
loss is
 
recognised. The
 
impairment loss
recognised for other assets than
 
goodwill is reversed if
 
there has been a change
 
in estimates used to determine
 
the
recoverable
 
amount.
 
The
 
reversal
 
of
 
the
 
impairment
 
loss
 
cannot
 
exceed
 
the
 
carrying
 
amount
 
of
 
the
 
asset
 
if
impairment loss had not been recognised. Impairment
 
loss recognised for goodwill is not reversed.
Financial assets
At the end of each reporting
 
period the Group evaluates indicators
 
of potential impairment of a single
 
financial asset
or a group of financial assets.
The
 
Group
 
recognises
 
an
 
expected
 
credit
 
loss
 
for
 
trade
 
receivables
 
and
 
contract
 
assets
 
based
 
on
 
a
 
simplified
approach. Expected
 
credit loss
 
rates have
 
been calculated
 
using historical
 
information of
 
actual impairment
 
losses,
and
 
the
 
current
 
conditions
 
and
 
the
 
Group’s
 
view
 
of
 
the
 
economic
 
conditions
 
over
 
the
 
expected
 
lives
 
of
 
the
receivables have been taken into account.
54
2.10 Leases
Group as a lessee
The
 
Group
 
assesses
 
whether
 
a
 
contract
 
is
 
or
 
contains
 
a
 
lease
 
at
 
the
 
inception
 
of
 
a
 
contract.
 
A
 
contract
 
is
 
or
contains a lease if the contract conveys the right
 
to control the use of an identified asset
 
for a period in exchange for
consideration. A
 
lessee recognises
 
a right-of-use asset
 
and a lease
 
liability on statement
 
of financial position
 
at the
lease commencement date.
A lease term is determined as the
 
non-cancellable period of a lease. The
 
lease term includes periods covered
 
by an
option to extend
 
or terminate the
 
lease, if the
 
Group is reasonably
 
certain to exercise
 
the extension option
 
or not to
exercise the termination
 
option. Perpetual
 
lease contracts related
 
to significant premises
 
are accounted for
 
as long-
term lease contracts,
 
as, according to
 
management judgment,
 
the termination
 
options for
 
such contracts
 
will not be
used. The lease term for such contracts is determined
 
based on the Group’s strategy and network plan.
The Group does not recognise short-term
 
leases (a lease that has a lease
 
term of 12 months or less) and
 
leases for
which
 
the
 
underlying
 
asset
 
is
 
of
 
low
 
value.
 
The
 
lease
 
payments
 
associated
 
with
 
such
 
leases
 
are
 
expensed
 
on
 
a
straight-line basis.
Initially a right-of-use asset is measured at cost,
 
which comprises the amount of the initial measurement
 
of the lease
liability, any
 
lease payments made at
 
or before the commencement
 
date, less any lease
 
incentives, any initial direct
costs incurred
 
by the
 
Group, and
 
an estimate
 
of restoration
 
costs to
 
be incurred
 
by the
 
Group. If
 
a lease
 
contains
several lease components, they are accounted for separately.
Subsequently
 
right-of-use
 
assets
 
are
 
measured
 
at
 
cost
 
less
 
any
 
accumulated
 
depreciation
 
and
 
any
 
accumulated
impairment
 
losses
 
and
 
adjusted
 
for
 
any
 
remeasurements
 
of
 
the
 
lease
 
liability.
 
A
 
right-of-use
 
asset
 
is
 
depreciated
from the
 
commencement
 
date to
 
the
 
earlier of
 
the end
 
of the
 
useful
 
life of
 
the right-of-use
 
asset or
 
the end
 
of the
lease term. If
 
the Group
 
is reasonably certain
 
to exercise
 
the purchase
 
option, the right-of-use
 
asset is
 
depreciated
over its useful life. The estimated useful lives of right-of-use
 
assets are 1-16 years.
The book
 
value
 
and useful
 
life of
 
a right-of-use
 
asset
 
are reviewed
 
where
 
necessary
 
but at
 
least annually
 
and
 
an
impairment loss is recognised if there is a change in
 
expectations of the future economic benefits.
A
 
lease
 
liability
 
is
 
initially
 
measured
 
at
 
the
 
present
 
value
 
of
 
the
 
lease
 
payments
 
that
 
are
 
not
 
paid
 
at
 
the
commencement date.
 
The Group uses
 
an incremental
 
borrowing rate as
 
the discount
 
rate. A
 
lease liability includes
fixed payments, including
 
in-substance fixed
 
payments; variable lease
 
payments that depend
 
on an index
 
or a rate,
initially measured
 
using the
 
index or
 
rate as
 
at the
 
commencement date;
 
amounts expected
 
to be
 
payable under
 
a
residual value
 
guarantee, and
 
the exercise
 
price under
 
a purchase
 
option that
 
Terveystalo
 
is reasonably
 
certain to
exercise.
Subsequently
 
a
 
lease
 
liability
 
is
 
measured
 
at
 
amortised
 
cost
 
using
 
the
 
effective
 
interest
 
method.
 
It
 
is remeasured
when there
 
is a
 
change in
 
future lease
 
payments arising
 
from a
 
change in
 
an index
 
or rate,
 
if there
 
is a
 
change in
the Terveystalo’s
 
estimate of
 
the amount
 
expected to
 
be payable
 
under a
 
residual value
 
guarantee or
 
if the
 
Group
changes
 
its
 
assessment
 
of
 
whether
 
it
 
will
 
exercise
 
a
 
purchase,
 
extension
 
or
 
termination
 
option.
 
When
 
a
 
lease
liability
 
is remeasured
 
in
 
this
 
way,
 
a corresponding
 
adjustment
 
is
 
made
 
to the
 
carrying
 
amount
 
of
 
the
 
right-to-use
asset or is recorded
 
in the statement of
 
income if the carrying
 
amount of the right-of-use
 
asset has been reduced
 
to
zero.
2.11 Financial assets and
 
liabilities
Financial assets
55
The
 
Group’s
 
financial
 
assets
 
are
 
classified
 
at
 
fair
 
value
 
through
 
the
 
statement
 
of
 
income
 
or,
 
at
 
amortised
 
cost.
Classification is based on the purpose of the acquisition
 
of the item and is made upon initial recognition.
Financial
 
assets
 
at
 
fair
 
value
 
through
 
the
 
statement
 
of
 
income
 
comprise
 
of
 
derivate
 
assets,
 
non-quoted
 
equity
instruments and
 
loan receivables.
 
Realised
 
or unreali
 
sed gains
 
and losses
 
arising from
 
changes in
 
fair values
 
are
recognised in the statement of income in the period in
 
which they are incurred.
 
Financial
 
assets
 
at
 
amortised
 
cost
 
consist
 
of
 
trade
 
receivables
 
and
 
other
 
receivables.
 
They
 
are
 
measured
 
at
amortised cost and they are
 
included in non-current assets
 
unless the Group has an intention
 
to hold the instrument
for less than 12 months from the reporting date, in which
 
case they are included in current assets.
The Group
 
has not
 
had financial
 
assets at
 
fair value
 
through other
 
comprehensive income
 
during the
 
periods 2022
or 2023.
The
 
financial
 
asset
 
is
 
derecognised
 
when
 
the
 
contractual
 
rights
 
to
 
the
 
cash
 
flows
 
expire,
 
or
 
the
 
financial
 
asset
 
is
transferred to another
 
party and
 
the Group
 
substantially transfers
 
all the risks
 
and rewards
 
of ownership
 
to another
party.
Cash and cash equivalents
Cash and
 
cash equivalents
 
include cash
 
in hand,
 
bank deposits
 
available on
 
demand, and
 
other short-term
 
highly
liquid
 
investments.
 
Items
 
included
 
in
 
cash
 
and
 
cash
 
equivalents
 
have
 
original
 
maturities
 
of
 
three
 
months
 
or
 
less
from the acquisition date.
Financial liabilities
The Group’s financial liabilities are measured at
 
fair value through the statement of income or at amortised
 
cost.
Financial
 
liabilities
 
at
 
fair
 
value
 
through
 
the
 
statement
 
of
 
income
 
comprise
 
derivative
 
liabilities
 
and
 
contingent
considerations.
 
Realised
 
or
 
unrealised
 
gains
 
and
 
losses
 
arising
 
from
 
changes
 
in
 
fair
 
values
 
are
 
recognised
 
the
statement of income in the period in which they are incurred.
 
Financial liabilities
 
at amorti
 
sed cost
 
include loans
 
from financial
 
institutions, bonds,
 
lease liabilities,
 
hire purchase
liabilities
 
and
 
trade
 
and
 
other
 
payables.
 
They
 
are
 
initially
 
recognised
 
at
 
fair
 
value
 
which
 
is
 
based
 
on
 
the
consideration
 
received.
 
Transaction
 
costs
 
are
 
included
 
in
 
the
 
initial
 
amount
 
recognised
 
and
 
subsequently
 
the
financial liability is measured at amortised cost using
 
the effective interest method.
Financial liabilities
 
are included
 
in non-current
 
and current
 
liabilities and
 
they can
 
be either
 
interest-bearing or
 
non-
interest-bearing. Financial
 
liabilities are
 
classified as
 
current liabilities,
 
unless the
 
Group has
 
an unconditional
 
right
to postpone the payment of the liability to at least 12 months
 
from the reporting date.
The
 
Group
 
has
 
not
 
had
 
financial
 
liabilities
 
at
 
fair
 
value
 
through
 
other
 
comprehensive
 
income
 
during
 
the
 
periods
2022 or 2023.
Financial liability
 
is derecognised when
 
the Group either
 
settles the
 
liability or has
 
been legally discharged
 
from the
obligation related to the liability either through a legal process
 
or by the borrower.
2.12 Inventories
Inventories
 
are
 
measured
 
at
 
the
 
lower
 
of
 
cost
 
and
 
net
 
realisable
 
value.
 
The
 
cost
 
of
 
inventories
 
is
 
determined
 
by
using FIFO (first in, first out) method. Net realisable value
 
is the cost of inventory less obsolescence allowance.
2.13 Employee benefits
Pension benefits
56
Pension
 
plans
 
are
 
classified
 
as
 
either
 
defined
 
contribution
 
plans
 
or
 
defined
 
benefit
 
plans.
 
In
 
defined
 
contribution
plans, the Group makes
 
fixed contributions into
 
the plan. The
 
Group has no
 
legal or constructive
 
obligation to make
additional
 
payments
 
if the
 
pension insurance
 
company
 
is unable
 
to pay
 
pension
 
benefits earned
 
by employees
 
in
the
 
reporting
 
period
 
or
 
in
 
previous
 
periods.
 
Contributions
 
made
 
into
 
defined
 
contribution
 
plans
 
are
 
recognised
through profit or loss in the reporting period to which they
 
relate.
A defined
 
benefit plan
 
is a
 
pension plan
 
under which
 
the Group
 
itself has
 
the obligation
 
to pay
 
retirement benefits
and
 
bears
 
the
 
risk
 
of change
 
in
 
the
 
value
 
of
 
plan
 
liability
 
and
 
assets.
 
The
 
liability
 
recognised
 
on
 
the
 
statement
 
of
financial position in
 
respect of defined
 
benefit pension
 
plans is the
 
present value
 
of the defined
 
benefit obligation
 
at
the end
 
of the
 
reporting period
 
less fair
 
value of
 
plan assets.
 
The pension
 
liability is
 
presented in
 
other non-current
liabilities
 
in
 
the
 
statement
 
of
 
financial
 
position.
 
The
 
defined
 
benefit
 
obligation
 
is
 
calculated
 
annually
 
by
 
an
independent
 
actuary
 
using
 
the projected
 
unit credit
 
method.
 
The
 
present value
 
of
 
the defined
 
benefit
 
obligation
 
is
determined
 
by
 
discounting
 
the
 
estimated
 
future
 
cash
 
outflows
 
using
 
interest
 
rates
 
of
 
high-quality
 
corporate
 
or
government
 
bonds
 
with
 
approximating
 
terms
 
to
 
maturity
 
and
 
that
 
are
 
denominated
 
in
 
the
 
currency
 
in
 
which
 
the
benefits are expected to be paid.
Actuarial gains
 
and losses
 
related to
 
remeasurements of
 
a defined
 
benefit plan
 
are recognised
 
directly in
 
the other
comprehensive income.
 
Interest and
 
other expenses
 
related to
 
defined benefit
 
plans are
 
recognised directly
 
in the
statement of income.
 
If a plan
 
is amended or
 
curtailed, the portion
 
of the changed
 
benefit related to
 
past service by
the employees,
 
or the
 
gain or
 
loss on
 
curtailment, is
 
recognised directly
 
in the
 
statement of
 
income when
 
the plan
amendment or curtailment occurs.
Share-based payment transactions
The
 
benefits
 
granted
 
in
 
accordance
 
with
 
the
 
incentive
 
plan
 
are
 
measured
 
at
 
fair
 
value
 
at
 
the
 
grant
 
date
 
and
 
are
expensed
 
on
 
a
 
straight-line
 
basis
 
over
 
the
 
vesting
 
period.
 
The
 
share-based
 
payments
 
settled
 
with
 
equity
instruments
 
are
 
not
 
revalued
 
subsequently,
 
and
 
cost
 
from
 
these
 
arrangements
 
is
 
recognised
 
as
 
an
 
increase
 
in
equity.
 
The cash-settled
 
share-based incentives
 
are valued
 
at fair
 
value at
 
each reporting
 
date until
 
the settlement
date and recognised as a liability.
The
 
expensed
 
amount
 
of
 
the
 
benefits
 
is
 
based
 
on
 
the
 
Group’s
 
estimate
 
of
 
the
 
amount
 
of
 
benefits
 
to
 
be
 
paid
 
in
accordance with the fulfilment of service
 
and performance-based vesting conditions
 
at the end of the vesting period.
Market conditions
 
are considered
 
in
 
determining
 
the fair
 
value
 
of the
 
benefit.
 
Instead,
 
the
 
non-market
 
criteria,
 
like
profitability, are
 
not considered in measuring
 
the fair value of
 
the benefit but are
 
taken into account when
 
estimating
the final amount
 
of benefits. The
 
estimate is updated
 
at each reporting
 
date and changes
 
in estimates are
 
recorded
through the statement of income
2.14 Provisions and contingent liabilities
A provision is
 
recognised when the
 
Group has a
 
present legal or
 
constructive obligation
 
as a result
 
of a past
 
event,
and
 
it
 
is
 
probable
 
that
 
an
 
outflow
 
of
 
economic
 
benefits
 
will
 
be
 
required
 
to
 
settle
 
the
 
obligation,
 
and
 
a
 
reliable
estimate
 
can
 
be
 
made
 
of
 
the
 
amount
 
of
 
the
 
obligation.
 
Provisions
 
are
 
recognised
 
at
 
the
 
present
 
value
 
of
 
the
expenditure
 
required
 
to
 
fulfil
 
the
 
obligation.
 
If
 
the
 
obligation
 
can
 
be
 
partially
 
compensated
 
by
 
a
 
third
 
party,
 
the
compensation
 
is
 
treated
 
as
 
a
 
separate
 
asset,
 
but
 
only
 
when
 
it
 
is
 
virtually
 
certain
 
that
 
the
 
compensation
 
will
 
be
received.
A
 
provision
 
is
 
recognised
 
for
 
contracts
 
when
 
the
 
unavoidable
 
costs
 
of
 
meeting
 
the
 
obligations
 
under
 
the
 
contract
exceed the economic benefits expected to be received
 
under it.
 
A
 
contingent
 
liability
 
is
 
a
 
possible
 
obligation
 
arising
 
as
 
a
 
result
 
of
 
past
 
events,
 
and
 
whose
 
existence
 
will
 
be
confirmed
 
only
 
when
 
an uncertain
 
future
 
event
 
takes
 
place, not
 
wholly
 
within
 
control
 
of the
 
entity.
 
Also, a
 
present
obligation which
 
probably does
 
not require
 
a cash
 
settlement or
 
on which
 
the value
 
cannot be
 
reliably estimated
 
is
considered as a contingent liability.
 
Contingent liabilities are disclosed in the notes.
2.15 Revenue recognition
57
The
 
Group’s
 
revenue
 
consists
 
mainly
 
of
 
occupational
 
healthcare
 
services,
 
general
 
practice
 
and
 
clinic
 
hospital
operations,
 
dental
 
services
 
as
 
well
 
as
 
diagnostic
 
services.
 
The
 
Group
 
also
 
provides
 
diverse
 
primary
 
healthcare,
special
 
healthcare,
 
child welfare
 
and
 
digital healthcare
 
services
 
for public
 
sector
 
as well
 
as
 
amongst
 
other
 
things,
massage and rehabilitation
 
services.
 
The Group’s
 
customer contracts
 
include primarily one
 
performance obligation,
which is
 
typically a
 
single appointment,
 
and the
 
transaction prices
 
are mainly
 
fixed. In
 
some cases,
 
the transaction
price includes a variable consideration such as a
 
discount or penalty.
 
Possible variable considerations are assessed
at
 
each
 
reporting
 
date
 
and
 
are
 
allocated
 
to
 
one
 
or
 
more
 
performance
 
obligations.
 
The
 
terms
 
of
 
payment
 
and
payment
 
periods
 
in
 
customer
 
contracts
 
vary,
 
but
 
payment
 
time
 
is
 
nonetheless
 
clearly
 
below
 
one
 
year.
Consequently,
 
customer
 
contracts do
 
not include
 
a significant
 
financing component.
 
Revenue is
 
recognised
 
to the
extent that the Group expects
 
to be entitled to in
 
exchange for the goods
 
and services taking into account
 
the terms
and conditions of the customer contracts and business practices.
Revenue from individual appointments
 
is recognised at a point
 
in time as the service has
 
been completed. For long-
term contracts
 
for predetermined
 
services or
 
a bundle
 
of services,
 
revenue is
 
recognised
 
as Terveystalo
 
fulfils the
performance
 
obligation
 
by
 
performing
 
the
 
promised
 
service.
 
The
 
Group’s
 
long-term
 
contracts
 
are
 
assessed
 
to
include
 
a
 
single
 
performance
 
obligation
 
where
 
the
 
services
 
provided
 
by
 
the
 
Group
 
are
 
integrated
 
into
 
a
 
single
bundle
 
of
 
services.
 
The
 
customer
 
simultaneously
 
receives
 
and
 
consumes
 
the
 
benefits
 
from
 
the
 
service
 
and,
consequently,
 
the criteria
 
for recognising
 
revenue over
 
time is
 
met. For
 
long-term contracts,
 
Terveystalo
 
measures
the progress towards complete satisfaction
 
of the performance obligation by
 
applying the input method, in
 
which the
revenue is recognised based on
 
time elapsed. The Group views
 
that the used method best
 
describes the transfer of
control for the
 
services provided. Estimated
 
costs and revenues
 
will be re-assessed
 
regularly during performing
 
the
services.
 
Revisions
 
in
 
profit
 
estimates
 
as
 
well
 
as
 
projected
 
potential
 
losses
 
on
 
contracts
 
are
 
charged
 
through
 
the
statement of
 
income in
 
the period
 
in which
 
they become
 
known. The
 
Group has
 
not incurred
 
any substantial
 
costs
for obtaining customer contracts.
Regarding
 
private
 
practitioners,
 
Terveystalo
 
acts
 
as
 
the
 
principal
 
and
 
recognises
 
revenue
 
on
 
a
 
gross
 
basis.
 
Fees
related to purchasing these services are recognised in materials
 
and services expenses.
2.16 Segment information
Terveystalo
 
has
 
changed
 
its
 
operating
 
model
 
that
 
came
 
into
 
effect
 
at
 
the
 
beginning
 
of
 
the
 
year
 
2023,
 
and,
 
as
 
a
result,
 
the
 
financial
 
reporting
 
structure
 
to
 
better
 
highlight
 
the
 
performance
 
of
 
Terveystalo's
 
businesses.
 
The
 
new
reporting
 
structure
 
reflects
 
Terveystalo's
 
new
 
operating
 
model
 
and
 
is
 
aligned
 
with
 
the
 
way
 
the
 
company’s
 
chief
operating
 
decision
 
maker
 
follows
 
the
 
operational
 
performance
 
of
 
Terveystalo's
 
businesses.
 
Terveystalo
 
Group
comprises
 
of
 
three
 
operating
 
segments
 
that
 
are
 
reportable
 
segments:
 
Healthcare
 
Services,
 
Portfolio
 
Businesses,
and Sweden.
 
Monitoring of
 
profitability is
 
primarily based
 
on operating
 
segments. In
 
addition, Terveystalo
 
provides
disclosure
 
on
 
revenue
 
for
 
Healthcare
 
Services
 
on
 
customer
 
and
 
service
 
level
 
and
 
for
 
Portfolio
 
Businesses
 
on
service level.
 
Terveystalo’s
 
chief
 
operating
 
decision
 
maker
 
is
 
the
 
CEO
 
who
 
is
 
monitoring
 
the
 
operating
 
results
 
of
 
operating
segments for
 
the purpose
 
of assessing
 
performance and
 
making decisions
 
about resource
 
allocation. Key
 
financial
performance measures of the segments
 
comprise primarily revenue and
 
segment adjusted earnings before
 
interest,
taxes, amortisation and
 
impairment (EBITA)
 
.
 
The evaluation of
 
segment performance
 
and allocation of
 
resources is
primarily based
 
on segment
 
adjusted EBITA
 
which the
 
management
 
estimates the
 
most relevant
 
measure for
 
this
purpose.
Healthcare Services offers
 
customers in Finland
 
integrated care paths
 
from preventive occupational
 
health services
to
 
primary
 
care
 
services
 
and
 
to
 
different
 
fields
 
of
 
specialized
 
care,
 
diagnostic,
 
and
 
day
 
surgery.
 
In
 
Healthcare
Services, Terveystalo
 
aims for industry-leading profitability and the best care
 
outcomes.
The
 
Portfolio
 
Businesses
 
segment
 
consists
 
of
 
business
 
areas
 
that
 
aim
 
for
 
independent
 
value
 
creation
 
utilising
Terveystalo’s
 
capabilities
 
according to
 
their
 
needs.
 
Portfolio
 
Businesses
 
include
 
public sector
 
outsourcing,
 
staffing
services,
 
and
 
dental
 
care,
 
as
 
well
 
as
 
other
 
businesses
 
such
 
as
 
public
 
sector
 
digital
 
services,
 
rehabilitation,
 
child
welfare, and massage services, as well as sign language interpretation
 
services.
58
The Sweden segment
 
consists of Feelgood
 
subsidiaries’ operations
 
in Sweden, which
 
are focused on
 
occupational
health and consultation for
 
organizational management and
 
harmful use. In Sweden,
 
Terveystalo
 
aims for profitable
growth in the medium and long term.
In addition to operating
 
segments, Terveystalo
 
provides information for
 
Other section. Other
 
reported figures mainly
consist of parent company expenses as well as unallocated
 
Group level adjustments and provisions.
 
2.17 Government grants
Government grants
 
are presented in
 
other operating income
 
as far as
 
they do not
 
relate to acquired
 
assets. Grants
are recognised when
 
there is reasonable
 
assurance that grants
 
will be received, and
 
the Group will comply
 
with the
conditions associated with the grants.
2.18 Operating profit
IAS 1
 
standard does
 
not define
 
operating profit.
 
The Group
 
has defined
 
it as
 
follows: Operating
 
profit is
 
calculated
by
 
adding
 
other
 
operating
 
income
 
to
 
revenue,
 
deducting
 
costs
 
related
 
to
 
materials
 
and
 
services,
 
deducting
 
costs
related to employee benefits, depreciation, amortisation
 
and impairments as well as other operating expenses.
 
2.19
Earnings per share
Basic
 
earnings
 
per
 
share
 
is
 
calculated
 
by
 
dividing
 
profit
 
or
 
loss
 
attributable
 
to
 
the
 
shareholders
 
of
 
the
 
parent
company
 
by
 
the
 
weighted
 
average
 
number
 
of
 
shares
 
outstanding
 
during
 
the
 
financial
 
period.
 
The
 
Group’s
 
share-
based incentive plan has a dilution effect related to
 
the earnings per share.
2.20 Income taxes
Income
 
taxes
 
primarily
 
include
 
current
 
and
 
deferred
 
taxes.
 
Tax
 
related
 
to
 
items
 
recognised
 
directly
 
in equity
 
or in
other comprehensive income is also
 
recognised in equity or
 
in other comprehensive income.
 
Current tax assets and
liabilities are
 
measured at
 
the amount
 
expected to
 
be received
 
from or
 
paid to
 
taxation authorities,
 
using the
 
rates
and
 
laws
 
that
 
have
 
been
 
enacted
 
by
 
the
 
date
 
of
 
the
 
statement
 
of
 
financial
 
position.
 
Income
 
taxes
 
include
 
any
adjustment to tax in respect of previous years.
Deferred
 
tax
 
is
 
recognised
 
in
 
respect
 
of
 
all
 
temporary
 
differences
 
between
 
the
 
carrying
 
amounts
 
of
 
assets
 
and
liabilities
 
for
 
financial
 
reporting
 
purposes
 
and
 
the
 
amounts
 
in
 
taxation.
 
Deferred
 
tax
 
is
 
not
 
recognised
 
in
 
the
 
initial
recognition
 
of
 
assets
 
or
 
liabilities
 
in
 
a
 
transaction
 
that
 
is
 
not
 
a
 
business
 
combination
 
and
 
that
 
affects
 
neither
accounting
 
nor
 
taxable
 
profit
 
nor
 
loss
 
at
 
the
 
date
 
of
 
the
 
transaction.
 
Deferred
 
tax
 
is
 
not
 
recognised
 
for
 
non-tax-
deductible
 
goodwill
 
or
 
for
 
subsidiaries’
 
retained
 
earnings
 
to
 
the
 
extent
 
that
 
it
 
is
 
probable
 
that
 
the
 
temporary
difference
 
will
 
not
 
reverse
 
in
 
the
 
foreseeable
 
future.
 
Deferred
 
taxes
 
relate
 
primarily
 
to
 
the
 
difference
 
between
 
the
book value and tax base of
 
capitalised customer relationships
 
and trademarks, and to provisions
 
related primarily to
loss making contracts.
A deferred tax asset
 
is recognised to the
 
extent that it is
 
probable that future taxable
 
profits will be available
 
against
which they can be used and using the losses is considered
 
probable.
Deferred taxes are calculated using tax rates enacted
 
by the reporting date.
59
3. Business Combinations
During the year 2023, the Group has made one corporate
 
acquisition and one business acquisition.
On 15 August 2023 Feelgood Företagshälsovård
 
AB acquired 100 percent of the occupational health
 
provider Växjö
Hälsoforum AB.
On 2
October 2023 Feelgood Sjukvård AB acquired the
 
occupational health care business of Quality Care
 
AB.
The
 
following
 
table
 
summarises
 
the
 
acquisition
 
date
 
fair
 
values
 
of
 
the
 
consideration
 
transferred
 
as
 
well
 
as
 
the
recognised
 
amounts
 
of
 
assets
 
acquired
 
and
 
liabilities
 
assumed
 
at
 
the
 
acquisition
 
date.
 
The
 
statement
 
of
 
financial
position
 
of
 
acquired
 
companies
 
has
 
been
 
prepared
 
in
 
accordance
 
with
 
IFRS
 
and
 
Terveystalo’s
 
accounting
principles
 
in
 
all
 
material
 
respect.
 
The
 
following
 
table
 
is
 
preliminary,
 
and
 
the
 
information
 
has
 
been
 
consolidated,
because the acquisitions are not material individually.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consideration transferred
EUR mill.
Purchase price, payable in cash
0.6
Contingent consideration
0.5
Total consideration transferred
1.0
Identifiable assets acquired and liabilities assumed
EUR mill.
Cash and cash equivalents
0.2
Intangible assets
0.1
Property, plant and equipment
0.0
Right-of-use assets
0.3
Trade and other receivables
0.1
Lease liabilities
-0.3
Trade and other payables
-0.3
Deferred tax liabilities
0.0
Total identifiable net assets acquired
0.0
Goodwill
1.0
As a
 
result of
 
these
 
business
 
combinations,
 
a preliminary
 
goodwill
 
amounting
 
to
 
EUR 1.0
 
million was
 
recognised.
The goodwill is
 
attributable to skills
 
of the workforce
 
and synergies expected
 
to be achieved.
 
EUR 0.7 million
 
of the
recognised goodwill
 
is deductible
 
in taxation.
 
Cashflow impact
 
of the
 
acquisitions made
 
during 2023
 
was EUR
 
-0.3
million.
In
 
these
 
business
 
combinations,
 
the
 
Group
 
has
 
acquired
 
customer
 
relationships.
 
The
 
fair
 
value
 
of
 
customer
contracts and
 
related customer
 
relationships included
 
in intangible
 
assets has
 
been determined
 
on the
 
basis of
 
the
estimated duration of customer relationships and the discounted
 
net cash flows from existing customer contracts.
 
The
 
fair
 
value
 
of
 
the
 
acquired
 
trade
 
and
 
other
 
receivables
 
amounted
 
to
 
EUR
 
0.1
 
million,
 
for
 
which
 
the
 
risk
 
of
impairment has been deemed as non-significant.
The
 
Group
 
has
 
incurred
 
acquisition-related
 
expenses
 
of
 
EUR
 
0.1
 
million
 
related
 
to
 
consulting,
 
valuation
 
or
equivalent services. The expenses have been included
 
in other operating expenses.
60
The contributed
 
revenue recognised
 
from the
 
acquisitions during
 
the year
 
2023 was
 
EUR 0.4
 
million and
 
loss was
EUR 0.0 million.
 
If the acquisition had occurred
 
on 1 January 2023, management
 
estimates that the Group’s
 
consolidated revenue in
2023 would
 
have been
 
EUR 1,286.9
 
million and
 
the consolidated
 
result for
 
the period
 
would have
 
been EUR
 
-42.2
million.
61
Business Combinations 2022
During the year 2022, the Group has made 12 corporate
 
acquisitions and 3 business acquisitions.
On
 
1
 
February
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
occupational
 
health
provider Vantaan Työterveys
 
Oy.
 
On
 
1
 
February
 
2022
 
Feelgood
 
Företagshälsovård
 
AB
 
acquired
 
100
 
percent
 
of
 
the
 
Swedish
 
occupational
 
health
provider Länshälsan Uppsala Ab.
On
 
31
March
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
physiotherapy
 
service
provider Lapin Liikuntaklinikka Oy.
On
 
31
March
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
physiotherapy
 
service
provider OMT Klinikka Kokkola Oy.
On
 
31
March
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
physiotherapy
 
and
occupational
 
therapy
 
service
 
provider
 
Suomen
 
Fysiogeriatria
 
Oy
 
and
 
an
 
indirect
 
100
 
percent
 
ownership
 
in
 
its
subsidiaries Aktiivi-Fysioterapia Tampere
 
Oy, Mimmin
 
Terapia
 
Oy and toi.minna Oy.
On 1
May 2022
 
Feelgood
 
Företagshälsovård
 
AB acquired
 
100
 
percent
 
of the
 
shares
 
of the
 
Swedish occupational
health provider Jobbhälsan i Norr AB.
On
 
1
May
 
2022
 
Feelgood
 
Svenska
 
AB
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
Swedish
 
addiction
 
treatment
provider Nämndemansgården AB and its subsidiaries.
On
 
31
May
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
physiotherapy
 
service
provider Into Te
 
rveys Oy.
On
 
30
June
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
physiotherapy
 
service
provider Kunnon Syke Oy.
On 31
August 2022
 
Terveystalo
 
Healthcare Oy
 
acquired 100
 
percent of
 
the shares
 
of the
 
therapy service
 
provider
Ludus Oy Tutkimus-
 
ja Kuntoutuspalvelut.
On 31
August 2022 Suomen Terveystalo
 
Oy acquired the dental clinic business of Hammasrasti.
On
 
31
August
 
2022
 
Suomen
 
Terveystalo
 
Oy
 
acquired
 
the
 
physiotherapy
 
and
 
therapy
 
businesses
 
of
FysioProfessionals.
 
On 30
September 2022 Terveystalo
 
Healthcare Oy acquired
 
100 percent of the
 
shares of the
 
physiotherapy service
provider Saimaan Urheilufysioterapia Oy.
On 30
September 2022 Suomen Terveystalo
 
Oy acquired the dental clinic business of Hymyn Paikka.
On
 
31
 
October
 
2022
 
Terveystalo
 
Healthcare
 
Oy
 
acquired
 
100
 
percent
 
of
 
the
 
shares
 
of
 
the
 
chat
 
and
 
video
connection solution provider Somia Reality Oy.
The
 
following
 
table
 
summarises
 
the
 
acquisition
 
date
 
fair
 
values
 
of
 
the
 
consideration
 
transferred
 
as
 
well
 
as
 
the
recognised
 
amounts
 
of
 
assets
 
acquired
 
and
 
liabilities
 
assumed
 
at
 
the
 
acquisition
 
date.
 
The
 
statement
 
of
 
financial
position
 
of
 
acquired
 
companies
 
has
 
been
 
prepared
 
in
 
accordance
 
with
 
IFRS
 
and
 
Terveystalo’s
 
accounting
principles in
 
all material
 
respect. The
 
information has
 
been consolidated,
 
because the
 
acquisitions are
 
not material
individually.
 
62
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consideration transferred
EUR mill.
Purchase price, payable in cash
37.8
Contingent consideration
5.1
Total consideration transferred
42.9
Identifiable assets acquired and liabilities assumed
EUR mill.
Cash and cash equivalents
4.4
Intangible assets
6.0
Property, plant and equipment
1.1
Right-of-use assets
4.4
Deferred tax assets
0.2
Inventories
0.2
Trade and other receivables
5.2
Financial liabilities
-0.5
Lease liabilities
-4.4
Trade and other payables
-6.2
Deferred tax liabilities
-1.1
Interest bearing liabilities
-0.1
Total identifiable net assets acquired
8.9
Goodwill
34.0
As a result of these business combinations,
 
a preliminary goodwill amounting to EUR
 
34.0 million was recognized in
2022. In
 
2023, effect
 
to goodwill
 
arising
 
from corporate
 
acquisitions
 
made in
 
year
 
2022 was
 
EUR
 
0.3 million.
 
The
goodwill
 
is
 
attributable
 
to
 
skills
 
of
 
the
 
workforce
 
and
 
synergies
 
expected
 
to
 
be
 
achieved.
 
EUR
 
1.0
 
million
 
of
 
the
recognised goodwill is deductible
 
in taxation. Cashflow
 
impact of the acquisitions
 
made during 2022 was
 
EUR -32.9
million.
 
In
 
2023,
 
cash
 
flow
 
effect
 
from
 
corporate
 
acquisitions
 
made
 
in
 
year
 
2022
 
was
 
EUR
 
-4.0
 
million
 
due
 
to
adjustments to purchase prices and additional purchase prices
 
paid.
In these
 
business
 
combinations,
 
the Group
 
has acquired
 
customer
 
relationships
 
and technology
 
-related
 
intangible
assets. The
 
fair value
 
of customer
 
contracts and
 
related customer
 
relationships included
 
in other
 
intangible
 
assets
has been
 
determined on
 
the basis
 
of the estimated
 
duration of
 
customer relationships
 
and the
 
discounted net
 
cash
flows
 
from
 
existing
 
customer
 
contracts.
 
The
 
fair
 
value
 
of
 
technology
 
has
 
been
 
determined
 
using
 
the
 
estimated
replacement cost.
 
The
 
fair
 
value
 
of
 
the
 
acquired
 
trade
 
and
 
other
 
receivables
 
amounted
 
to
 
EUR
 
5.2
 
million,
 
for
 
which
 
the
 
risk
 
of
impairment has been deemed as non-significant.
The Group has incurred acquisition-related
 
expenses of EUR 1.3 million related
 
to transfer tax, consulting, valuation
or equivalent services. The expenses have been included in
 
other operating expenses.
The contributed revenue
 
recognised from the
 
acquisitions during the
 
year 2022 was
 
EUR 18.3 million
 
and loss was
EUR 1.0 million.
 
If the acquisition had occurred
 
on 1 January 2022, management
 
estimates that the Group’s
 
consolidated revenue in
2022 would
 
have been
 
EUR 1 268.0
 
million and
 
the consolidated
 
result for
 
the period
 
would have
 
been EUR
 
23.3
million.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
63
4. Segment information
Terveystalo
 
Group’s
 
operating
 
segments
 
are
 
Healthcare
 
Services,
 
Portfolio
 
Businesses,
 
and
 
Sweden.
 
These
 
are
also reportable segments and operating segments are
 
not aggregated.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Segment information
1.1.-31.12.2023
Healthcare
services
Portfolio
Businesse
s
Sweden
Segments
total
Other
Internal
eliminatio
ns
Total
EUR mill.
Revenue
Revenues from external customers
933.5
260.7
92.3
1,286.4
-
-
1,286.4
Revenues from transactions with other operating segments
of the same entity
15.1
6.5
0.2
21.8
-
-21.8
-
Total revenue
948.6
267.2
92.5
1,308.2
-
-21.8
1,286.4
Adjusted EBITA
109.0
8.7
3.7
121.4
4.2
-
125.6
Depreciations
5.9
1.0
6.9
13.8
60.9
-
74.6
 
1.1.-31.12.2022
Healthcare
services
Portfolio
Businesse
s
Sweden
Segments
total
Other
Internal
eliminatio
ns
Total
EUR mill.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenue
Revenues from external customers
882.5
284.0
92.6
1,259.1
-
-
1,259.1
Revenues from transactions with other operating segments
of the same entity
15.3
6.7
0.2
22.2
-
-22.2
-
Total revenue
897.8
290.7
92.8
1,281.3
-
-22.2
1,259.1
Adjusted EBITA
99.2
3.5
2.6
105.3
-0.1
-
105.2
Depreciations
5.6
0.9
6.6
13.1
59.7
-
72.8
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Reconciliation of the total of the reportable segment's adjusted EBITA to the Group's profit before taxes
12/31/2023
12/31/2022
EUR mill.
Profit before taxes
-38.9
30.9
Share of profits in associated companies
0.0
0.1
Net finance expenses
24.2
2.9
64
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Amortisation and impairment losses
119.1
62.0
Adjustments
21.2
9.2
Other
-4.2
0.1
Adjusted EBITA
121.4
105.3
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-current assets by geographical areas
Non-current assets include property, plant and equipment, right-of-use assets, goodwill, other intangible assets,
investment properties and investments in associates.
EUR mill.
31 Dec
2023
31 Dec
2022
Finland
1,144.7
1,206.3
Sweden
75.3
74.8
Total
1,220.0
1,281.1
5. Revenue
 
The
 
Group's
 
distribution
 
of
 
revenue
 
is
 
based
 
on
 
three
 
segments:
 
Healthcare
 
Services,
 
Portfolio
 
Businesses,
 
and
Sweden.
 
For
 
more
 
information
 
on
 
segments,
 
refer
 
to
 
Note
 
4,
 
Segment
 
information.
 
The
 
revenue
 
of
 
Healthcare
Services
 
is divided
 
by services
 
and customer
 
groups.
 
The revenue
 
of Portfolio
 
Businesses
 
is divided
 
by services.
Terveystalo
 
offers
 
its
 
primary
 
and
 
outpatient
 
secondary
 
health
 
care
 
services
 
to
 
three
 
distinct
 
customer
 
groups:
corporate
 
customers,
 
private
 
customers,
 
and
 
public
 
customers.
 
The
 
Group
 
does
 
not
 
have
 
customers
 
whose
revenue exceeds 10 percent of the Group's total revenue.
Corporate customers constitute
 
Terveystalo’s
 
largest customer group.
 
Terveystalo’s
 
corporate customers
 
consist of
the
 
company’s
 
occupational
 
health
 
care
 
customers,
 
excluding
 
municipal
 
occupational
 
health
 
care
 
customers.
 
The
company provides
 
statutory occupational
 
health services
 
and other
 
occupational health
 
and well-being
 
services for
corporate customers of all sizes.
 
 
Private
 
customers
 
include
 
private
 
individuals
 
and
 
families.
 
The
 
company’s
 
strong
 
brand,
 
easy
 
access
 
to
 
services
without
 
long
 
waiting
 
times,
 
leading
 
service
 
portfolio
 
for
 
private
 
customers,
 
families,
 
and
 
senior
 
citizens,
 
and
personalised
 
digital services
 
give Terveystalo
 
a competitive
 
edge over
 
public
 
health care
 
services
 
and
 
encourage
customers
 
to
 
invest
 
in
 
their
 
own
 
health.
 
Services
 
for
 
private
 
customers
 
are
 
paid
 
for
 
either
 
by
 
the
 
customers
themselves or by their insurance companies.
Terveystalo’s
 
public
 
customer
 
group
 
is
 
made
 
up
 
of
 
Finnish
 
public
 
sector
 
organisations,
 
such
 
as
 
municipalities,
municipal federations,
 
and hospital districts,
 
as well as
 
municipal occupational
 
health care customers.
 
The services
offered
 
to
 
public
 
sector
 
customers
 
include
 
full
 
and
 
partial
 
outsourcings,
 
health
 
care
 
staffing
 
services,
 
specialised
care services,
 
other health
 
care services,
 
as well
 
as occupational
 
health care
 
services for
 
municipalities, municipal
federations, and hospital districts.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dissagregation of revenue
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Healthcare services
948.6
897.8
Portfolio Businesses
267.2
290.7
Sweden
92.5
92.8
Eliminations
-21.8
-22.2
Eliminations
1,286.4
1,259.1
65
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Healthcare services, revenue
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
By customer
Corporate
564.0
522.9
Consumer
296.1
278.4
Public sector
88.5
96.4
Total
948.6
897.8
By service
Appointments
618.3
556.3
Diagnostics
229.6
250.0
Other
100.7
91.5
Total
948.6
897.8
Portfolio Businesses, revenue
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Outsourcing services
91.1
118.7
Staffing services
84.7
84.1
Dental care
54.5
52.2
Other
36.9
35.6
Total
267.2
290.7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Timing of satisfying performance obligations
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
At a point in time
1,192.9
1,134.4
Over time
93.5
124.6
Total
1,286.4
1,259.1
 
 
 
 
 
 
 
 
 
 
 
 
 
Balances in the statement of financial position
EUR mill.
31 Dec 2023
31 Dec 2022
Contract assets
10.2
12.8
Contract liabilities
8.8
10.3
The Group will satisfy performance obligations related to the contract liabilities within one
year.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
6. Other operating income
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Rental income
0.9
1.1
Gains on sale of property, plant and equipment
0.2
0.3
Other items
3.1
1.2
Total
4.2
2.7
 
 
 
 
 
 
 
 
 
 
 
7. Materials and services
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Purchases of materials
-40.8
-44.1
66
 
 
 
 
 
 
 
 
 
Change in inventories
0.5
0.2
External services
-495.9
-481.8
Total
-536.2
-525.7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8. Employee benefit expenses
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Wages and salaries
-374.3
-379.5
Share-based payments
-1.4
-2.0
Pension expenses — defined contribution plans
-58.7
-61.0
Other social security costs
-12.6
-12.5
Total
-447.0
-455.0
Number of personnel at the end of the reporting
 
period
9,824
10,933
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
9. Depreciation, amortisation and impairment
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Depreciation and amortization by asset type
Intangible assets
 
Trademarks
-4.7
-4.5
 
Customer relationships
-9.4
-4.8
 
Other intangible assets
-18.2
-20.9
Total
-32.2
-30.1
Property, plant and equipment
 
Buildings
-0,0
-0,0
 
Machinery and equipment
-14.9
-14.6
 
Improvement to premises
-6.4
-5.9
Total
-21.3
-20.5
Right-of-use assets
-53.3
-52.4
Investment property
-0,0
-0,0
Depreciation and amortisation total
-107.0
-103.0
Impairment losses by asset groups
 
Goodwill
-57.3
-
 
Customer relationships
-29.3
-
 
Other intangible assets
-0,0
-30.5
 
Machinery and equipment
-0,0
-0.8
 
Improvement to premises
-0,0
-0.2
 
Investment property
-0.2
-
 
Associated companies
-
-0.4
Impairment total
-86.9
-31.9
Total depreciation, amortisation and impairment losses
-193.8
-134.9
 
 
10. Other operating expenses
Specification of other operating expenses
67
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
External services
-22.7
-3.7
Operating and maintenance expenses for premises
 
and equipment
-25.1
-22.6
ICT expenses
-40.4
-39.7
Non-statutory personnel expenses
-7.4
-7.1
Leases and charges
-4.9
-5.1
Travel expenses
-6.9
-6.5
Marketing and communication
-8.7
-8.5
Acquisition-related expenses
-0.1
-1.6
Other costs
-12.0
-17.4
Total
-128.2
-112.3
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Auditor's fees
In thousands of euro
1.1.-31.12.2023
1.1.-31.12.2022
Audit and auditor's statements based on laws
 
and regulations
 
Audit, KPMG
-481.1
-387.9
 
Auditor's statements based on laws and regulations,
 
KPMG
-11.0
-13.4
Total
-492.1
-401.4
Non audit services
 
Tax services, KPMG
-4.3
-2.8
 
Other services, KPMG
-
-49.5
Total
-4.3
-52.3
Auditor's fees total
-496.4
-453.6
Auditor's fees have been presented excluding value-added
 
tax. Non-audit services paid for the parent company’s auditor, KPMG Oy Ab,
 
were
4 (52) thousand euros in total.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11. Financial income and expenses
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Interest income on loans and other receivables
1.2
0.3
Dividend income
 
0.0
0.0
Change in fair value of interest rate derivatives, no
 
hedge accounting
-
7.1
Total financial income
1.2
7.5
Interest expense on loans from financial institutions
-14.3
-5.9
Interest expense on bonds
-3.2
-
Interest expenses on lease liabilities
-5.2
-3.9
Change in fair value of interest rate derivatives, no
 
hedge accounting
-1.9
-
Other financial expenses
-0.9
-0.5
Total financial expenses
-25.4
-10.4
Net finance expenses
-24.2
-2.9
12. Taxes
 
12.1 Income taxes
68
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Income taxes in the statement of income
 
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Current tax for the reporting year
-10.8
-8.3
Income taxes for previous periods
-0.1
0.0
Change in deferred taxes
7.6
1.8
Total income taxes
-3.3
-6.5
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Reconciliation of the Group's tax rate to the Finnish tax rate
EUR mill.
1.1.-31.12.2023
1.1.-31.12.2022
Profit or loss before taxes
-38.9
30.9
Tax using the parent company's tax rate
7.8
-6.2
Tax rates in foreign jurisdictions
-0,0
-0,0
Tax exempt income
0.6
0.2
Non-deductible expenses
-11.7
-0.5
Share of profit in associated companies
0.0
-0,0
Recognition of previously unrecognised tax losses
0.2
0.2
Tax losses for which no deferred taxes are recognised
-0.2
-0.2
Taxes from previous periods
-0.1
0.0
Other
0.1
0.0
Total income taxes in the statement of income
-3.3
-6.5
 
Global minimum top-up tax (Pillar 2)
Terveystalo
 
Group has assessed the impacts of Global minimum top-up tax (Pillar 2) regulation on the taxation of its Group
companies. Besides Finland, the Group has operations in Sweden and to a minor extent in Estonia. In Finland and in Sweden
effective tax rate is above global minimum top-up tax rate of 15%. Thefore the Group is not expecting to pay top tax due to Pillar 2
minimum top-up tax regulation.
 
The Group has applied a temporary mandatory relief from deferred tax accounting that arises from international tax reform
enforcement legislation.
 
 
 
 
 
 
 
 
 
 
 
 
 
12.2 Deferred tax assets and liabilities
Deferred tax assets 2023
EUR mill.
1 Jan 2023
Business
combinations
Recognised
in the
statement
of income
Translatio
n
difference
s
31 Dec 2023
Provisions
1.6
-
-0.4
-
1.2
Tax losses carried forward
1.8
-
-0.3
-
1.5
Leases
1.4
0.0
0.1
0.0
1.5
Interest rate derivatives
0.7
-
-0.7
-
0.0
Other temporary differences
2.1
-
-0.4
-
1.8
Total
7.7
0.0
-1.7
0.0
6.0
 
 
Deferred tax liabilities 2023
69
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill.
1 Jan 2023
Business
combinations
Recognised
in the
statement
of income
Translatio
n
difference
s
31 Dec 2023
Reversal of goodwill amortisation
3.0
-
0.2
-
3.2
Business combinations
21.1
0.0
-9.3
-0,0
11.9
Depreciation difference
2.5
-
0.8
-
3.3
Loan withdrawal expense
0.1
-
0.1
-
0.2
Interest rate derivatives
2.0
-
-1.0
-
0.9
Other temporary differences
0.8
-
-0,0
-
0.8
Total
29.5
0.0
-9.2
-0,0
20.2
The Group has no material deductible temporary differences, unused tax losses or unused tax credits for
which no deferred tax asset has been recognised.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Deferred taxes from lease agreements
EUR mill.
1 Jan 2023
Business
combinations
Additions
Disposals
Recognised
in the
statement of
income
31 Dec
2023
Deferred tax asset
 
36.2
0.1
22.8
-3.5
-10.7
44.8
Deferred tax liability
-34.8
-0.1
-22.8
3.5
10.8
-43.3
Total
1.4
0.0
0.0
-0,0
0.1
1.5
 
 
 
 
 
 
 
 
 
 
 
 
Deferred tax assets 2022
EUR mill.
1 Jan 2022
Recognise
d in the
statement
of income
Translation
difference
31 Dec 2022
Provisions
1.5
0.1
-
1.6
Tax losses carried forward
0.0
1.8
-
1.8
Leases
1.4
0.0
-0,0
1.4
Interest rate derivatives
0.2
0.4
-
0.7
Other temporary differences
2.3
-0.2
-0,0
2.1
Total
5.4
2.0
-0,0
7.7
 
 
 
 
 
 
 
 
 
 
 
 
 
Deferred tax liabilities 2022
EUR mill.
1 Jan 2022
Business
combinations
Recognise
d in the
statement
of income
Translation
difference
31 Dec 2022
Reversal of goodwill amortisation
2.9
-
0.1
-
3.0
Business combinations
23.5
1.2
-3.4
-0.1
21.1
Depreciation difference
1.3
-
1.2
-
2.5
Loan withdrawal expense
0.1
-
-0,0
-
0.1
Interest rate derivatives
0.1
-
1.9
-
2.0
Other temporary differences
0.6
-
0.2
-0,0
0.8
70
 
 
 
 
Total
28.5
1.2
-0.1
-0.1
29.5
The Group has no material deductible temporary differences, unused tax losses or unused tax credits for
which no deferred tax asset has been recognised.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Deferred taxes from lease agreements
EUR mill.
1 Jan 2022
Business
combinations
Additions
Disposals
Recognised
in the
statement of
income
Translatio
n
difference
31 Dec
2022
Deferred tax asset
 
35.9
0.9
11.1
-1.1
-10.5
-0.1
36.2
Deferred tax liability
-34.5
-0.9
-11.1
1.1
10.5
0.1
-34.8
Total
1.4
0.0
0.0
0.0
0.0
-0,0
1.4
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13. Earnings per share
1.1-31.12.2023
1.1-31.12.2022
Result attributable to the equity holders of the
 
company, EUR mill.
-42.2
24.4
Weighted average number of outstanding shares, in thousands
126,555
126,508
Diluted average number of outstanding shares, in
 
thousands
127,037
127,037
Basic earnings per share for result attributable
 
to the equity holders of the company, EUR
-0.33
0.19
Diluted earnings per share for result attributable
 
to the equity holders of the company,
EUR
-0.33
0.19
 
 
 
 
 
 
 
 
 
 
71
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14. Tangible assets
14.1 Property, plant and
equipment
2023
Land and
water,
buildings and
constructions
Machinery
and
equipment
Improvement to
premises
Other tangible
assets and
advances paid
Total
EUR mill.
Acquisition cost 1 Jan 2023
2.3
165.1
64.4
4.2
236.0
Business combination
-
0.0
-
-
0.0
Additions
-
13.8
1.7
8.8
24.3
Disposals
-
-0.5
-0.1
-
-0.6
Translation differences
0.0
0.0
0.0
0.0
0.0
Transfers between items
-
1.2
10.6
-11.8
-
Acquisition cost 31 Dec 2023
2.3
179.7
76.6
1.1
259.7
Accumulated depreciation and impairment
losses 1 Jan 2023
-1.2
-117.1
-35.8
-
-154.0
Depreciation
-0,0
-14.9
-6.4
-
-21.3
Impairment losses
-
-0,0
-0,0
-
-0,0
Translation differences
-0,0
-0,0
-0,0
-
-0,0
Accumulated depreciation and impairment
losses 31 Dec 2023
-1.2
-132.1
-42.2
-
-175.5
Carrying amount 1 Jan 2023
1.2
47.9
28.7
4.2
82.0
Carrying amount 31 Dec 2023
1.2
47.5
34.5
1.1
84.2
.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2022
Land and
water,
buildings and
constructions
Machinery
and
equipment
Improvement to
premises
Other tangible
assets and
advances paid
Total
EUR mill.
Acquisition cost 1 Jan 2022
2.1
144.4
55.0
3.0
204.4
Business combination
0.2
0.4
0.5
0.0
1.1
Additions
-
20.0
4.9
6.1
31.0
Disposals
-
-0.4
-
-0,0
-0.4
Translation differences
-0,0
-0.2
-0,0
-0,0
-0.2
Transfers between items
-
1.0
4.0
-4.9
0.1
Acquisition cost 31 Dec 2022
2.3
165.1
64.4
4.2
236.0
Accumulated depreciation and impairment
losses 1 Jan 2022
-1.1
-101.7
-29.6
-
-132.4
Depreciation and impairment losses
-0,0
-14.6
-5.9
-
-20.6
Impairment losses
-
-0.8
-0.2
-
-1.0
Translation differences
0.0
0.1
0.0
-
0.1
Accumulated depreciation and impairment
losses 31 Dec 2022
-1.2
-117.1
-35.8
-
-154.0
Carrying amount 1 Jan 2022
1.0
42.6
25.4
2.9
72.0
Carrying amount 31 Dec 2022
1.2
47.9
28.7
4.2
82.0
 
 
 
 
 
 
 
72
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14.2 Right of-use-assets
2023
Premises
Other right-of-
use assets
Total
EUR mill.
Acquisition cost 1 Jan 2023
331.7
41.5
373.1
Business combination
0.3
-
0.3
Additions
108.2
0.6
108.9
Disposals
-16.5
-1.2
-17.7
Translation differences
0.2
0.0
0.3
Acquisition cost 31 Dec 2023
424.0
40.9
464.9
Accumulated depreciation and impairment
losses 1 Jan 2023
-167.5
-31.8
-199.3
Depreciation for the reporting period
-50.2
-3.1
-53.3
Translation differences
-0.2
-0,0
-0.2
Accumulated depreciation and impairment
losses 31 Dec 2023
-217.9
-34.9
-252.8
Carrying amount 1 Jan 2023
164.2
9.7
173.9
Carrying amount 31 Dec 2023
206.1
6.0
212.1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2022
Premises
Other right-of-
use assets
Total
EUR mill.
Acquisition cost 1 Jan 2022
278.7
41.1
319.8
Business combination
4.4
-
4.4
Additions
54.5
0.8
55.3
Disposals
-4.7
-0.3
-5.0
Translation differences
-1.3
-
-1.3
Acquisition cost 31 Dec 2022
331.7
41.5
373.1
Accumulated depreciation and impairment
losses 1 Jan 2022
-119.0
-28.3
-147.3
Depreciation for the reporting period
-48.8
-3.5
-52.3
Translation differences
0.3
0.0
0.3
Accumulated depreciation and impairment
losses 31 Dec 2022
-167.5
-31.8
-199.3
Carrying amount 1 Jan 2022
159.7
12.7
172.5
Carrying amount 31 Dec 2022
164.2
9.7
173.9
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14.3 Lease liabilities
2023
Premises
Other lease
liabilities
Total
EUR mill.
Non-current lease liabilities
166.8
5.8
172.6
Current lease liabilities
44.0
2.5
46.5
Total lease liabilities
210.8
8.3
219.1
The group has lease agreements that involve repair
 
or renovation responsibilities related to the
 
leased premises, which may result in changes to
 
the
future rental level.
2022
Premises
Other lease
liabilities
Total
EUR mill.
Non-current lease liabilities
124.2
9.0
133.2
Current lease liabilities
43.7
2.8
46.5
Total lease liabilities
167.9
11.8
179.8
 
 
 
73
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
15. Intangible assets
2023
Goodwill
Customer
relationships
Trademarks
Other
intangible
assets and
advances
paid
Total
EUR mill.
Acquisition cost 1 Jan 2023
947.5
167.8
88.7
140.2
1,344.2
Business combination
1.3
0.1
-
-
1.4
Additions
-
-
-
16.3
16.3
Disposals
-0,2
-
-
-0,0
-0.2
Translation differences
0.1
0.0
0.0
0.1
0.2
Acquisition cost 31 Dec 2023
948.8
167.8
88.7
156.6
1,361.9
Accumulated amortisations and impairment losses
 
1 Jan
2023
-68.0
-117.5
-38.5
-95.6
-319.6
Amortisation
-
-9.4
-4.7
-18.2
-32.2
Impairment losses*
-57.3
-29.3
-
-0,0
-86.6
Translation differences
-
-0,0
-0,0
-0.1
-0.1
Accumulated amortisations and impairment losses
 
31
Dec 2023
-125.3
-156.2
-43.2
-113.9
-438.6
Carrying amount 1 Jan 2023
879.5
50.3
50.2
44.6
1,024.7
Carrying amount 31 Dec 2023
823.5
11.6
45.6
42.8
923.4
* As a result of the impairment test, EUR
 
55.3 million write-offs related to goodwill and EUR 29.3
 
million write-offs to purchase price allocations
relating to public outsourcing customer relationships
 
within the Portfolio Businesses segment public
 
payor CGU were made. The impaired goodwill
was recognised mainly in the acquisition of Attendo
 
Healthcare Services in 2018. Customer relationship
 
write-offs relate solely to the legacy
Outsourcing business, acquired in the Attendo transaction
 
that is gradually being phased out. In
 
addition during the year an EUR 2.0 million
impairment of goodwill made related to reorganisation
 
of Portfolio businesses in connection to sale
 
of business operations.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2022
Goodwill
Customer
relationships
Trademarks
Other
intangible
assets and
advances
paid
Total
EUR mill.
Acquisition cost 1 Jan 2022
916.6
166.5
88.8
111.0
1,282.9
Business combination
34.4
2.0
-
4.1
40.4
Additions
-
-
-
26.1
26.1
Reclassifications
-
-
-
-0.1
-0.1
Translation differences
-3.5
-0.7
-0.1
-0.9
-5.2
Acquisition cost 31 Dec 2022
947.5
167.8
88.7
140.2
1,344.2
Accumulated amortisations and impairment losses
 
1 Jan
2022
-68.0
-107.4
-33.7
-50.0
-259.1
Amortisation
-
-10.2
-4.8
-15.1
-30.1
Impairment losses*
-
-
-
-30.5
-30.5
Translation differences
-
0.1
0.0
0.1
0.2
Accumulated amortisations and impairment losses
 
31
Dec 2022
-68.0
-117.5
-38.5
-95.6
-319.6
Carrying amount 1 Jan 2022
848.6
59.1
55.1
61.0
1,023.8
Carrying amount 31 Dec 2022
879.5
50.3
50.2
44.6
1,024.7
* Includes approx. EUR 29 million impairment related
 
to discontinued sub-projects of the basic IT system
 
development.
Development expenditure
Other intangible assets include development expenditure as follows:
 
 
 
 
 
 
 
 
 
74
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
EUR mill.
Acquisition cost 1 Jan 2023
34.5
Additions
12.4
Transfers from advance payments
10.8
Translation differences
0.1
Acquisition cost 31 Dec 2023
57.8
Accumulated amortisations and impairment losses
 
1 Jan 2023
-13.0
Amortisation and impairment losses
-12.2
Accumulated amortisations and impairment losses
 
31 Dec 2023
-25.2
Carrying amount 1 Jan 2023
21.6
Carrying amount 31 Dec 2023
32.6
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2022
EUR mill.
Acquisition cost 1 Jan 2022
18.2
Business combination
0.1
Additions
6.8
Transfers from advance payments
9.6
Translation differences
-0.2
Acquisition cost 31 Dec 2022
34.5
Accumulated amortisations and impairment losses
 
1 Jan 2022
-5.2
Amortisation and impairment losses
-7.8
Accumulated amortisations and impairment losses
 
31 Dec 2022
-13.0
Carrying amount 1 Jan 2022
12.8
Carrying amount 31 Dec 2022
21.6
16. Impairment testing of cash-generating units including
 
goodwill
Goodwill is not amortised but it is tested for impairment
 
at least annually.
Terveystalo
 
has changed
 
its operating
 
model that
 
came into
 
effect in
 
2023, and,
 
as a
 
result, the
 
financial reporting
structure has
 
changed. Previously
 
cash-generating
 
units were
 
divided based
 
on regions.
 
The basis
 
for impairment
testing in 2023
 
is, for the
 
first time, the
 
new management and
 
reporting structure
 
introduced at the
 
beginning of
 
the
year,
 
where
 
Terveystalo
 
Group
 
consists
 
of
 
three
 
operating
 
segments:
 
Healthcare
 
Services,
 
Portfolio
 
Businesses,
and Sweden.
 
Healthcare
 
Services and
 
Sweden are
 
also cash
 
-generating units.
 
The Portfolio
 
Businesses segment
includes
 
Public
 
and
 
Private
 
payor
 
cash-generating
 
units.
 
Comparison
 
figures
 
are
 
not
 
presented
 
due
 
to
 
changed
reporting structure.
Healthcare Services
 
and Sweden
 
consist of
 
units with
 
their own
 
budgets and
 
performance
 
measurement,
 
and are
centrally
 
managed.
 
Portfolio
 
Businesses
 
are
 
managed
 
as
 
a
 
whole,
 
they
 
partly
 
share
 
resources
 
and
 
are
 
centrally
managed, but
 
cash flows
 
generated, marketing
 
functions and
 
identifiable assets
 
are different
 
for Public
 
and Private
payors.
As
 
a
 
result
 
of
 
the
 
impairment
 
test,
 
the
 
Group
 
made
 
EUR
 
55.3
 
million
 
impairment
 
related
 
to
 
goodwill
 
in
 
Portfolio
Businesses
 
Public
 
payor
 
cash-generating
 
unit.
 
The
 
impaired
 
goodwill
 
was
 
recognised
 
mainly
 
in
 
the
 
acquisition
 
of
Attendo Healthcare
 
Services
 
in 2018.
 
After the
 
impairment,
 
the remaining
 
goodwill related
 
to Portfolio
 
Businesses
Public payor cash-generating unit amounts to EUR 146.4
 
million in total.
Based
 
on
 
impairment
 
testing
 
calculations
 
performed,
 
there
 
is
 
no
 
impairment
 
needs
 
to
 
goodwill
 
for
 
other
 
cash-
generating units. For those cash-generating units, recoverable
 
amounts exceeded their carrying amounts.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
75
Goodwill
 
arising
 
from
 
business
 
combinations
 
has
 
been
 
allocated
 
to
 
cash-generating
 
units
 
as
 
shown
 
in
 
the
 
table
below.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
.
31 Dec 2023
31 Dec 2023
EUR mill.
Goodwill
%
Impairment
Healthcare Services
603.6
73.3 %
-
Portfolio Businesses, Public payor
146.4
17.8 %
55.3
Portfolio Businesses, Private payor
29.1
3.5 %
-
Sweden
44.4
5.4 %
-
Total
823.5
100.0 %
55.3
In
 
financial
 
year
 
2023
 
there
 
were
 
four
 
cash
 
generating
 
units
 
in
 
total.
 
The
 
recoverable
 
amounts
 
of
 
the
 
cash-
generating
 
units
 
are
 
based
 
on
 
value-in-use
 
calculations
 
which
 
have
 
been
 
calculated
 
using
 
discounted
 
cash
 
flow
projections.
 
The
 
key
 
assumptions
 
used
 
in
 
the
 
calculations
 
are
 
terminal
 
period
 
revenue
 
growth
 
rate,
 
profitability
(EBIT %) and
 
the discount
 
rate. The projections
 
are based on
 
the budgets
 
and estimates for
 
the years
 
2024–2027,
including the long-term growth, which have been approved
 
by the management.
 
 
 
 
 
The assumptions used in impairment calculations
 
in 2023
Healthcare
Services
Portfolio
Businesses,
Public payor
Portfolio
Businesses,
Private payor
Sweden
The length of impairment testing period
4 years
4 years
4 years
4 years
Terminal period revenue growth rate
2.0 %
2.0 %
2.0 %
2.0 %
Profitability (EBIT %) during the terminal period
13.2 %
5.3 %
6.2 %
5.2 %
Discount rate (Pre-tax WACC)
9.6 %
10.9 %
9.6 %
8.0 %
Discount rate (Post-tax WACC)
8.1 %
9.1 %
8.1 %
6.8 %
Revenue growth
 
during the
 
terminal period
 
is based
 
on a
 
flat growth
 
factor which
 
corresponds to
 
long-term
 
target
inflation
 
of
 
the
 
European
 
Central
 
Bank.
 
Profitability
 
during
 
the
 
terminal
 
period
 
is
 
based
 
on
 
the
 
assumed
 
organic
growth under
 
normal market situation, general
 
development in health
 
care services market and
 
long-term estimates
by the Group’s management.
The
 
discount
 
rate
 
used
 
in
 
impairment
 
testing
 
has
 
been
 
Pre-tax
 
WACC
 
of
 
which
 
the
 
components
 
are
 
risk-free
interest rate,
 
risk premiums,
 
industry-specific beta,
 
industry-specific cost
 
of debt,
 
and industry
 
specific equity
 
/ debt
ratios.
 
Sensitivity analysis
The Group has assessed
 
the sensitivity of
 
the impairment testing
 
to the effect
 
of the most critical
 
assumptions used
in the
 
calculation. The
 
table below
 
shows the
 
required change
 
in a
 
single assumption
 
that the
 
recoverable amount
would fall below the carrying amount.
Variable
2023
Terminal period revenue growth rate
Healthcare Services
Decrease over 17.1 percentage points
 
 
 
76
Portfolio Businesses, Public payor
Not applicable
Portfolio Businesses, Private payor
Decrease over 10.2 percentage points
Sweden
Decrease over 1.0 percentage points
Profitability (EBIT %) during the terminal period
Healthcare Services
Decrease over 10.6 percentage points
Portfolio Businesses, Public payor
Not applicable
Portfolio Businesses, Private payor
Decrease over 4.2 percentage points
Sweden
Decrease over 0.9 percentage points
Discount rate (Pre-tax WACC)
Healthcare Services
Increase over 14.3 percentage points
Portfolio Businesses, Public payor
Not applicable
Portfolio Businesses, Private payor
Increase over 8.9 percentage points
Sweden
Increase over 1.0 percentage points
When
 
assessing
 
the
 
recoverable
 
amounts
 
of
 
cash
 
generating
 
units,
 
management
 
believes
 
that
 
no
 
reasonably
possible
 
change
 
in
 
any
 
of
 
the
 
key
 
variables
 
used
 
would
 
lead
 
to
 
a
 
situation
 
where
 
the
 
recoverable
 
amount
 
of
 
the
units
 
would
 
fall
 
below
 
their
 
carrying
 
amount
 
in
 
Healthcare
 
Services
 
or
 
Portfolio
 
Businesses,
 
Private
 
payor
 
cash-
generating units.
 
In Portfolio
 
Businesses,
 
Public payor
 
cash-generating
 
unit the
 
value in
 
use is
 
equivalent
 
to
 
book
value
 
of
 
assets
 
at
 
the
 
time
 
of
 
impairment
 
testing
 
and
 
in
 
consequence
 
sensitivity
 
analysis
 
does
 
not
 
apply
 
to
 
this
cash-generating unit.
According to the
 
impairment testing,
 
for Sweden cash-generating
 
unit, changes in
 
critical assumptions presented
 
in
table
 
above
 
would
 
lead
 
to
 
carrying
 
amount
 
of
 
assets
 
to
 
be
 
equivalent
 
to
 
recoverable
 
amount.
 
Sweden
 
cash-
generating unit’s carrying amount of assets
 
at the time of impairment testing was EUR 65.3 million.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
17. Investment properties
Carrying amount of investment properties
EUR mill.
1.1-31.12.2023
1.1-31.12.2022
Carrying amount at the beginning of the period
0.5
0.5
Impairment
-0.2
-
Depreciation
-0.0
-0.0
Carrying amount at the end of the period
0.3
0.5
 
 
 
 
 
 
 
 
 
 
 
 
Income and expenses related to investment properties
EUR mill.
1.1-31.12.2023
1.1-31.12.2022
Rental income from investment properties
0.1
0.1
Operating expenses for investment properties
-0.0
-0.0
Total
0.0
0.1
 
 
 
 
 
 
 
 
77
 
Income and expenses relating to investment properties are presented
 
based on the Group’s ownership in the
investment properties. There are no other contractual obligations
 
related to investment properties.
 
 
 
 
 
 
 
 
 
 
 
Fair values of investment properties
Investment
m2
Value per m2 (In thousands of euro)
Total value (In thousands
of euro)
Koy Jyväskylän Väinönkatu 30
1,348
0.2
269
The value of Kiinteistö Oy Jyväskylän Väinönkatu has been
 
determined based on the Group’s share of
 
ownership
(16.81 %).
 
 
 
 
 
 
 
 
 
 
 
 
 
18. Associated companies
Terveystalo
 
has the following associated companies which are all consolidated using the equity method. The Group has
no individually material associates.
Associated companies 31 Dec 2023
Domicile
Ownership
Voting rights
Terveyden Tuottajat Oy
Finland
0.0 %
48.2 %
 
 
 
 
 
 
 
 
 
 
 
Summarised financial information on associated companies
EUR mill.
2023
2022
Carrying amount
0.0
0.0
Group's share of total comprehensive income
0.0
-0.1
19. Share-based payments
Performance Share Plan 2021
Performance
 
Share
 
Plan
 
is targeted
 
to Terveystalo’s
 
key employees.
 
The
 
long-term
 
share-based
 
payment
 
plan is
based on a
 
rolling three
 
year performance
 
period structure,
 
with a new
 
performance period starting
 
each year,
 
if so
decided by the Board. The Board decides on the participants,
 
performance measures and targets as well as earning
opportunities
 
on
 
an
 
annual
 
basis.
 
Rewards
 
are
 
conditional
 
on
 
the
 
fulfilment
 
of
 
a
 
three-year
 
service
 
condition
 
and
performance conditions tied
 
to financial targets
 
that are set separately.
 
The reward is
 
granted as a
 
gross number of
Terveystalo
 
shares,
 
including
 
a
 
cash
 
portion
 
for
 
taxes
 
and
 
tax-related
 
expenses
 
arising
 
from
 
the
 
reward
 
to
 
the
employee.
 
The
 
reward
 
is
 
settled
 
as
 
net
 
shares.
 
The
 
plan
 
is
 
fully
 
accounted
 
for
 
as
 
an
 
equity
 
settled
 
share-based
payment.
 
Under
 
the
 
plan,
 
three
 
(3)
 
performance
 
periods
 
2021–2023,
 
2022–2024
 
and
 
2023-2025
 
have
 
been
launched. The
 
impact of
 
the Performance
 
Period 2021–2023
 
to the
 
result for
 
the period
 
has been
 
EUR 0.4
 
million
and the expected total cost of the plan is EUR
 
2.5 million. 37 persons are included in the Performance
 
Period 2021–
2023 arrangement. The impact of
 
the Performance Period 2022–2024
 
to the result for the period
 
has been EUR 0.5
million
 
and
 
the
 
expected
 
total
 
cost
 
of
 
the
 
plan
 
is
 
EUR
 
1.9
 
million.
 
51
 
persons
 
are
 
included
 
in
 
the
 
Performance
Period 2022–2024
 
arrangement. The
 
impact of
 
the Performance
 
Period 2023–2025
 
to the
 
result for
 
the period
 
has
been
 
EUR
 
0.4
 
million
 
and
 
the
 
expected
 
total
 
cost
 
of
 
the
 
plan
 
is
 
EUR
 
1.6
 
million.
 
55
 
persons
 
are
 
included
 
in
 
the
Performance Period 2023–2025 arrangement.
 
Performance Share Plan 2021
2023-2025
2022-2024
2021-2023
Grant date
3 Apr 2023
1 Apr 2022
1 Apr 2021
Maximum number of share awards
640,000
683,085
642,000
Outstanding at 1 Jan 2023
-
577,864
486,556
Granted share awards during the period
582,000
-
-
Forfeited share awards during the period
49,000
121,890
94,000
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
78
Exercised share awards during the period
-
-
 
Outstanding at 31 Dec 2023
533,000
455,974
392,556
 
Fair value of the share award at grant date
6.6
9.2
12.6
End of the performance period
28 Feb 2026
28 Feb 2025
29 Feb 2024
End of the vesting period, expected
31 Mar 2026
31 Mar 2025
31 Mar 2024
Vesting conditions
Service
condition,
total
Shareholder
Return
(TSR)
Service
condition,
total
Shareholder
Return
(TSR)
Service
 
condition,
total
 
Shareholder
Return
 
(TSR),
productivity
 
and
digital sales
Exercised
In
 
shares
and cash
In
 
shares
and cash
In shares and cash
Bridge Plan
Bridge
 
Plan
 
is
 
targeted
 
for
 
President
 
and
 
CEO.
 
Rewards
 
are
 
conditional
 
on
 
the
 
fulfilment
 
of
 
a
 
two-year
 
service
condition
 
and
 
performance
 
conditions
 
tied
 
to
 
financial
 
targets
 
that
 
are
 
set
 
separately.
 
The
 
reward
 
is
 
granted
 
as
 
a
gross
 
number
 
of
 
Terveystalo
 
shares
 
including
 
a
 
cash
 
portion
 
for
 
taxes
 
and
 
tax-related
 
expenses
 
arising
 
from
 
the
reward to
 
the
 
employee.
 
The
 
reward
 
is settled
 
as net
 
shares.
 
The
 
plan
 
is
 
fully
 
accounted
 
for
 
as
 
an
 
equity
 
settled
share-based payment.
 
The plan ended
 
during the
 
year 2023
 
and in consequence,
 
the shares
 
earned were
 
granted
according
 
to
 
realization
 
of
 
the
 
plan’s
 
conditional
 
performance
 
measures.
 
The
 
plan’s
 
impact
 
to
 
the
 
result
 
for
 
the
period has been EUR 0.0 million.
 
 
 
 
 
 
Bridge Plan
2021-2022
Grant date
24 May 2021
Maximum number of share awards
58,600
 
Outstanding at 1 Jan 2023
58,600
 
Granted share awards during the period
-
 
Forfeited share awards during the period
50,294
 
Exercised share awards during the period
8,306
 
Outstanding at 31 Dec 2023
-
 
Fair value of the share award at grant date
14.1
End of the performance period
28 Feb 2023
End of the vesting period
10 Mar 2023
Vesting conditions
Service
 
condition,
 
total
 
Shareholder
Return (TSR), productivity and digital
sales
Exercised
In shares and cash
Restricted Share Plan
Restricted Share Plan offers individually
 
selected employees an opportunity to earn
 
a fixed number of shares after a
vesting
 
period.
 
Rewards
 
are
 
conditional
 
on
 
the
 
fulfilment
 
of
 
a
 
service
 
condition
 
during
 
the
 
vesting
 
period.
 
The
reward
 
is
 
granted
 
as
 
a
 
gross
 
number
 
of
 
Terveystalo
 
shares,
 
including
 
a
 
cash
 
portion
 
for
 
taxes
 
and
 
tax-related
expenses arising from
 
the reward to
 
the employee. The
 
reward is settled
 
as net shares.
 
The plan is
 
fully accounted
for
 
as
 
an
 
equity
 
settled
 
share-based
 
payment.
 
Three
 
(3)
 
vesting
 
periods
 
have
 
been
 
launched
 
in
 
the
 
plan.
 
At
 
the
reporting period
 
end, twelve
 
(12) persons were
 
included in the
 
arrangement. The
 
impact to the
 
result of the
 
vesting
periods 2021–2023,
 
2022–2024 and 2023-2025
 
has been EUR 0.
 
1
 
million and the
 
expected total cost of
 
the plan is
EUR 0.4 million.
 
 
Restricted Share Plan
2023-2025
2022-2024
2021-2023
Grant date
3 Apr 2023
22 Jun 2022
15 Apr 2021
Maximum number of share awards
64,000
68,309
64,200
Outstanding at 1 Jan 2023
-
3,000
7,000
Granted share awards during the period
29,000
6,000
-
 
 
 
79
Forfeited share awards during the period
-
-
-
Exercised share awards during the period
-
-
-
Outstanding at 31 Dec 2023
29,000
9,000
7,000
Fair value of the share award at grant date
6,6
9.5
11.2
End of the performance period
28 Feb 2026
28 Feb 2025
29 Feb 2024
End of the vesting period, expected
31 Mar 2026
31 Mar 2025
31 Mar 2024
Vesting conditions
Service
condition
Service
condition
Service condition
Exercised
In
 
shares
 
and
cash
In
 
shares
 
and
cash
In shares and cash
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
20. Financial assets and liabilities – carrying amount, fair values and fair value hierarchy
EUR mill. 31 Dec 2023
Financial assets
and liabilities at
fair value
Financial assets and
liabilities at
amortised cost
Carrying
amount
Fair value
Fair value
hierarchy
Financial assets
Non-current
 
Loan receivables
0.0
-
0.0
0.0
Level 2
 
Unquoted equity investments
0.8
-
0.8
0.8
Level 3
Current
 
Trade receivables
-
127.6
127.6
127.6
 
Cash and cash equivalents
-
37.7
37.7
37.7
 
Interest rate derivatives
4.8
-
4.8
4.8
Level 2
Total
5.6
165.3
170.8
170.8
Financial liabilities
Non-current
 
Loans from financial institutions
-
294.0
294.0
294.0
Level 2
 
Bonds
-
99.1
99.1
102.7
Level 1
 
Hire purchase liabilities
-
1.3
1.3
1.3
Level 2
 
Contingent considerations
3.3
-
3.3
3.3
Level 3
Current
 
Loans from financial institutions
-
19.8
19.8
19.8
Level 2
 
Hire purchase liabilities
-
2.5
2.5
2.5
Level 2
 
Trade payables
-
49.5
49.5
49.5
 
Contingent considerations
2.6
-
2.6
2.6
Level 3
 
Interest rate derivatives
0.1
-
0.1
0.1
Level 2
Total
6.0
466.2
472.2
475.7
Financial assets and liabilities classified at fair
 
value hierarchy level 3 consist of unquoted
 
equity investments and contingent
considerations from business combinations. The measurement
 
of unquoted equity investments is based
 
on the managements estimate
of future cash flows arising from the investments and
 
the measurement of contingent considerations is
 
based on the amounts specified
in purchase agreements and the management estimate
 
on whether the consideration will be realised.
 
The effect on earnings arising
from the changes of fair values of financial assets and
 
liabilities classified at fair value hierarchy level 3
 
has been EUR 1,6 million
(2022: EUR -2,4 million).
 
 
 
 
 
 
 
 
80
 
Terveystalo issued a senior unsecured sustainability-linked bonds in the aggregate principal
 
amount of EUR 100 million. Bonds will
mature on 1 June 2028 and carry initially a fixed
 
annual interest of 5.375 per cent. Nasdaq
 
Helsinki admitted the Bonds to trading on
the official list of Nasdaq Helsinki on 5 June 2023.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill. 31 Dec 2022
Financial assets
and liabilities at
fair value
Financial assets and
liabilities at
amortised cost
Carrying
amount
Fair value
Fair value
hierarchy
Financial assets
Non-current
 
Loan receivables
0.3
-
0.3
0.3
Level 2
 
Unquoted equity investments
0.8
-
0.8
0.8
Level 3
Current
 
Trade receivables
-
106.9
106.9
106.9
 
Contract assets
-
12.8
12.8
12.8
 
Cash and cash equivalents
-
40.2
40.2
40.2
 
Interest rate derivatives
9.9
-
9.9
9.9
Level 2
Total
11.0
159.9
170.9
170.9
Financial liabilities
Non-current
 
Loans from financial institutions
-
379.2
379.2
379.2
 
Hire purchase liabilities
-
3.9
3.9
3.9
Level 2
 
Contingent considerations
5.6
-
5.6
5.6
Level 3
Current
 
Loans from financial institutions
-
40.0
40.0
40.0
 
Hire purchase liabilities
-
4.2
4.2
4.2
 
Trade payables
-
49.0
49.0
49.0
 
Contingent considerations
5.0
-
5.0
5.0
Level 3
 
Interest rate derivatives
3.4
-
3.4
3.4
Level 2
Total
14.0
476.2
490.2
490.2
.
21. Financial risks
21.1 Financial risk management
The Group
 
is exposed
 
to various
 
financial
 
risks
 
in its
 
normal business
 
activities.
 
The objective
 
of
 
the Group’s
 
risk
management
 
is
 
to
 
minimise
 
the
 
negative
 
effects
 
of
 
changes
 
in
 
the
 
financial
 
markets
 
on
 
the
 
Group’s
 
result
 
and
valuation.
 
The
 
Group’s
 
main
 
financial
 
risks
 
are
 
interest
 
rate
 
risk,
 
credit
 
risk
 
and
 
liquidity
 
risk.
 
The
 
Group’s
 
risk
management principles are
 
approved by the
 
Board of Directors and
 
the Group’s financial
 
department is responsible
for
 
the
 
implementation
 
of
 
the
 
principles.
 
The
 
Group’s
 
financial
 
department
 
identifies
 
and
 
assesses
 
risks
 
and
acquires instruments needed to hedge against them.
 
21.2 Interest rate risk and currency risk
The Group’s
 
interest rate
 
risk
 
arises from
 
its loans
 
from financial
 
institutions
 
issued at
 
a floating
 
rate. In
 
2023, the
Group’s
 
average
 
interest
 
rate
 
for
 
loans
 
from
 
financial
 
institutions
 
has
 
been
 
4.0
percent
 
(2022:
 
1.2
 
percent).
 
If
 
the
interests
 
would
 
have
 
been
 
one
 
percentage
 
point
 
higher
 
it
 
would
 
have
 
caused
 
an
 
increase
 
of
 
EUR
 
4.1
 
million
 
in
interest expenses during the year 2023. (2022: EUR 3.9
 
million).
81
The Group does not apply hedge accounting according to
 
IFRS 9. The Group’s subsidiaries have
 
the following open
interest rate derivative contracts at the reporting date:
●
 
Interest rate
 
swap agreements
 
based
 
on which
 
the Group
 
pays
 
fixed 2.94,
 
0.48
 
and 2.92
 
percent
 
interest
rate and receives variable interest on EUR 30.0, 50.0
 
and 50.0 million loan capital.
●
 
Interest
 
rate
 
swap
 
agreements
 
based
 
on
 
which
 
the
 
Group
 
pays
 
variable
 
interest
 
rate
 
and
 
receives
 
fixed
interest on EUR 15.0 and 25.0 million loan capital.
Besides Finland,
 
the Group
 
has operations
 
in Sweden
 
and to
 
a minor
 
extent in
 
Estonia and
 
is thereby
 
exposed to
currency
 
risk
 
arising
 
from
 
Swedish
 
krona.
 
As
 
billing
 
and
 
purchasing
 
of
 
the
 
Group
 
companies
 
is
 
conducted
 
in
 
the
local
 
currency,
 
the
 
transaction
 
risk
 
exposure
 
for
 
Terveystalo
 
is
 
insignificant.
 
During
 
the
 
year
 
2023,
 
the
 
Group
incurred foreign
 
exchange
 
change of
 
EUR 0.0
 
million
 
(2022: EUR
 
-0.1 million).
 
However,
 
the group
 
is exposed
 
to
exchange rate translation differences,
 
which are booked in other
 
comprehensive income that may
 
be reclassified as
profit or loss.
 
21.3 Credit risk
The
 
majority
 
of
 
the
 
Group’s
 
incoming
 
cash
 
flows
 
are
 
payments
 
from
 
established
 
institutions,
 
public
 
sector
 
and
companies
 
with
 
appropriate
 
credit rating.
 
However,
 
the
 
Group’s
 
trade receivables
 
include credit
 
risk.
 
Credit
 
risk
 
is
managed
 
mainly
 
by monitoring
 
the
 
customer’s credit
 
rating
 
on
 
a regular
 
basis
 
and
 
by co-operating
 
with
 
collection
agencies.
 
In
 
addition,
 
the
 
Group’s
 
customers
 
include
 
private
 
people
 
whose
 
invoicing
 
is
 
primarily
 
carried
 
out
 
in
connection with the rendering of services.
The
 
Group
 
has
 
no
 
major
 
customer
 
specific
 
risk
 
concentrations
 
and
 
its
 
credit
 
risk
 
is
 
diversified.
 
Credit
 
risk
 
is
managed
 
by
 
monitoring
 
the
 
amount,
 
maturity
 
distribution
 
and
 
turnover
 
of
 
trade
 
receivables.
 
Credit
 
risk
 
is
 
also
monitored on a client by client basis.
The
 
Group’s
 
maximum
 
credit
 
risk
 
is
 
equal
 
to
 
the
 
carrying
 
amount
 
of
 
financial
 
assets
 
at
 
the
 
reporting
 
date.
 
The
maturity distribution of the Group’s trade receivables
 
is disclosed in note 22
Trade and other
 
receivables
.
21.4 Refinancing risk and Liquidity risk
The
 
group
 
aims
 
to
 
ensure
 
sufficient
 
liquidity
 
through
 
efficient
 
cash
 
management
 
and
 
adequate
 
credit
 
limits.
Refinancing
 
risk
 
is managed
 
through
 
a balanced
 
portfolio
 
that
 
includes
 
loans
 
with
 
sufficiently
 
long
 
maturities.
 
The
Group aims
 
to assess
 
and monitor
 
continuously the
 
amount of
 
funding required
 
by business
 
operations, in
 
order to
ensure sufficient
 
liquidity to
 
finance its
 
operations, to
 
repay maturing
 
loans as
 
well as
 
to carry
 
out investments
 
and
acquisitions of companies according to the growth strategy.
The Group’s
 
cash and cash
 
equivalents comprise
 
cash in
 
bank accounts,
 
cash in
 
hand and cash
 
payments not
 
yet
recorded into the Group’s bank accounts (cash
 
in transit) at the reporting date.
The Group manages liquidity risk by monitoring unused
 
liquidity reserves and forecasting future cash flows.
 
The Group has
 
an overdraft facility
 
and undrawn credit
 
facilities, of which
 
EUR 98.0 million
 
remained unused
 
at the
reporting date (2022: EUR 99.6 million).
The Group
 
has EUR
 
412.1 million
 
of bank
 
loans. Uncertainty
 
in financial
 
markets may
 
cause the
 
cost of
 
financing
needed
 
for
 
the
 
group’s
 
business
 
operations
 
to
 
rise
 
or
 
become
 
more
 
difficult
 
to
 
obtain.
 
The
 
Group
 
may
 
not
necessarily obtain financing on competitive terms
 
or at all, and it may not be able
 
to fulfill its obligations according to
the financing arrangements.
The
 
table
 
below
 
presents
 
a
 
contractual
 
maturity
 
analysis
 
of
 
financial
 
liabilities.
 
The
 
cash
 
flow
 
figures
 
are
undiscounted
 
and they
 
include both
 
interest
 
payments
 
and repayments
 
of principals.
 
Interest payments
 
which
 
are
based on variable rates have been presented using variable
 
rates as of the end of the reporting date.
 
 
 
 
82
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Maturity analysis of liquidity risk
31 Dec 2023
EUR mill.
Carrying amount
Contractual cash
flows
1 year
1–2 years
2–5 years
Over 5 years
Loans from financial institutions
313.8
331.6
15.8
137.0
167.6
11.2
Bonds
99.1
124.5
5.4
5.4
113.6
-
Lease liabilities
219.1
226.5
51.5
47.4
83.8
43.9
Hire purchase liabilities
3.8
3.8
2.6
1.2
0.1
-
Trade payables
49.5
49.5
49.5
-
-
-
Interest rate derivatives
0.1
0.4
0.3
0.4
-0.4
-
Total
688.6
728.6
122.5
188.8
362.1
55.1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31 Dec 2022
EUR mill.
Carrying amount
Contractual cash
flows
1 year
1–2 years
2–5 years
Over 5 years
Loans from financial institutions
419.2
446.9
52.3
220.3
151.5
22.5
Lease liabilities
179.8
191.9
49.9
43.2
74.8
24.0
Hire purchase liabilities
8.0
8.2
4.3
2.6
1.3
-
Trade payables
49.0
49.0
49.0
-
-
-
Interest rate derivatives
3.4
2.9
0.1
1.9
0.9
-
Total
659.4
698.5
155.6
267.9
228.5
46.4
.
21.5 Capital management
The
 
objective
 
of
 
the
 
Group’s
 
capital
 
management
 
is
 
to
 
support
 
business
 
operations
 
and
 
to
 
ensure
 
competitive
operating conditions with optimal capital structure, as
 
well as to enable the implementation of the strategy.
In
 
addition
 
to
 
operative
 
cash
 
flows,
 
the
 
capital
 
structure
 
is
 
managed
 
by
 
potential
 
share
 
issues,
 
acquisition
 
of
treasury shares
 
by increase
 
or repayment
 
of financial
 
liabilities, possible
 
conversions between
 
equity and
 
financial
liabilities,
 
as
 
well
 
as
 
through
 
operative
 
decisions
 
on
 
investments
 
and
 
growth
 
and
 
potential
 
disposals
 
of
 
assets
 
in
order to reduce
 
liabilities.
The development
 
of the
 
Group’s
 
capital structure
 
is monitored,
 
amongst other
 
things,
 
with the
 
following: change
 
in
net debt, ratio of net debt to operating margin, and the cash
 
flow forecast.
The
 
Group’s
 
net
 
debt
 
to
 
equity
 
ratio
 
(gearing)
 
was
 
116,0
 
percent
 
at
 
the
 
reporting
 
date
 
(2022:
 
95.7
 
percent).
 
The
ratio is
 
calculated by
 
dividing interest
 
-bearing net
 
debt with
 
equity.
 
The net
 
debt includes
 
interest-bearing liabilities
less interest-bearing
 
receivables and
 
cash and
 
cash equivalents.
 
The Group’s
 
interest-bearing liabilities
 
were EUR
635.8 million
 
at
 
the
 
reporting
 
date
 
(2022:
 
EUR
 
607.0
 
million).
 
A
 
significant
 
part
 
of
 
the
 
interest-bearing
 
liabilities
consists of loans from financial institutions.
The Group’s
 
loan agreements
 
include a
 
covenant,
 
based on
 
which creditors
 
can demand
 
an immediate
 
repayment
of the loans if a
 
certain covenant limit
 
is breached. The covenant
 
relates to the ratio
 
between EBITDA and
 
net debt.
The Group has met all covenant terms and conditions
 
during the reporting period and at the reporting date.
 
22. Trade and other receivables and contract assets
Carrying amounts of trade and other receivables and contract assets
83
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill.
2023
2022
Non-current
Loan receivables
0.0
0.3
Total non-current receivables
0.0
0.3
Current
Trade receivables
117.4
106.9
Other receivables
2.3
2.1
Prepaid expenses
8.4
6.5
Derivative assets
4.8
9.9
Contract assets
10.2
12.8
Total
143.1
138.4
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Specification of prepaid expenses
EUR mill.
2023
2022
Personnel related prepaid expenses
0.0
0.0
Other prepaid expenses
8.4
6.5
Total
8.4
6.5
During
 
the
 
reporting
 
period
 
the
 
Group
 
has
 
recognised
 
final
 
credit
 
losses
 
and
 
expected
 
credit
 
losses
 
on
 
trade
receivables and
 
contract assets
 
through the
 
statement of
 
income totaling
 
EUR 2.1 million
 
(2022: EUR
 
1.9 million).
Impairment loss provision
 
is based on a
 
simplified approach. Estimated
 
impairment loss rates
 
have been calculated
using
 
historical
 
information
 
of
 
actual
 
impairment
 
losses,
 
and
 
the
 
current
 
conditions
 
and
 
the
 
Group’s
 
view
 
of
 
the
economic conditions over the expected lives of the receivables
 
have been taken into account.
Based on the
 
Group’s view,
 
the carrying
 
amount of trade
 
receivables corresponds
 
to the maximum
 
credit risk
 
if the
contractual parties are unable to meet their obligations
 
related to trade receivables.
The fair value of other receivables and prepaid expenses corresponds
 
with their carrying amount.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ageing of trade receivables and recognised credit losses
2023
EUR mill.
Trade receivables and
contract assets total
Expected credit loss
Recognised expected
credit loss
Carrying amount
Contract assets
10.2
0.0 %
-0,0
10.2
Not past due
101.9
-0.1 %
-0.1
101.8
Past due
 
Less than 30 days
10.4
-0.4 %
-0,0
10.3
 
31–90 days
2.4
-1.3 %
-0,0
2.4
 
91–180 days
1.8
-8.4 %
-0.2
1.6
 
Over 180 days
3.0
-61.3 %
-1.8
1.1
Total
129.7
-2.1
127.6
84
Information about credit risk related to trade receivables is stated in note 21 Financial risks.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ageing of trade receivables and recognised credit losses
2022
EUR mill.
Trade receivables total
Expected credit loss
Recognised expected
credit loss
Carrying amount
Contract assets
12.8
0.0 %
-0,0
12.8
Not past due
95.0
-0.1 %
-0.1
95.0
Past due
 
Less than 30 days
7.3
-0.4 %
-0,0
7.3
 
31–90 days
2.3
-1.2 %
-0,0
2.3
 
91–180 days
1.0
-5.9 %
-0.1
1.0
 
Over 180 days
3.2
-55.5 %
-1.8
1.4
Total
121.6
-1.9
119.7
Information about credit risk related to trade receivables is stated in note 21 Financial risks.
23. Cash and cash equivalents
The
 
Group’s
 
cash
 
and
 
cash
 
equivalents
 
on
 
31 December
 
2023,
 
amounting
 
to
 
EUR
 
37.7
 
million
 
(2022:
 
EUR
40.2 million)
 
consist
 
of
 
cash
 
in
 
hand
 
and
 
bank
 
as
 
well
 
as,
 
cash
 
payments
 
on
 
the
 
bank
 
settlement
 
account
 
at
 
the
reporting date.
The carrying
 
amounts in
 
the statement
 
of financial
 
position correspond
 
to the
 
maximum amount
 
of credit
 
risk if
 
the
contractual
 
parties
 
are unable
 
to
 
meet
 
their
 
obligations.
 
However,
 
no significant
 
counterparty
 
risks
 
are associated
with cash and cash equivalents. The fair value of cash
 
and cash equivalents correspond to their carrying amounts.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
24. Share capital and invested non-restricted equity reserve
EUR mill.
Number of
outstanding
shares, 1,000
pcs
Number
of
treasury
shares,
1,000
pcs
Number
of shares
total,
1,000 pcs
Share capital
Invested non-
restricted equity
reserve
Treasury
shares
Total
1 Jan 2022
126,307
1,730
128,037
0.1
492.8
-18.0
474.9
Acquisition of treasury
shares
241
-241
-
-
-
2.2
2.2
Cancellation of treasury
shares
-
-1,000
-1,000
-
-
-
-
31 Dec 2022
126,548
489
127,037
0.1
492.8
-15.8
477.1
1 Jan 2023
126,548
489
127,037
0.1
492.8
-15.8
477.1
Acquisition of treasury
shares
8
-8
-
-
-
0.1
0.1
Cancellation of treasury
shares
-
-
-
-
-
-
-
85
 
 
 
 
 
 
 
 
 
 
 
 
31 Dec 2023
126,556
480
127,036
0.1
492.8
-15.7
477.2
Shares and share capital
On 31 December 2023, the amount
 
of shares is 127,036,531 of which
 
amount of outstanding shares is
 
126,556,301
and amount of treasury shares is 480,230.
 
The Company has a single share class. The
 
shares have no nominal value. All shares
 
issued have been paid in full.
Each
 
share
 
has
 
one
 
vote
 
at
 
the
 
Annual
 
General
 
Meeting
 
and
 
equal
 
rights
 
to
 
dividends
 
and
 
other
 
distribution
 
of
assets.
 
Terveystalo
 
PLC’s
 
share
 
is
 
listed
 
on
 
Nasdaq
 
Helsinki
 
Oy.
 
The
 
trading
 
code
 
is
 
TTALO.
 
Terveystalo
 
PLC’s
 
shares
belong to the book-entry system maintained by Euroclear
 
Finland Oy.
Invested non-restricted equity reserve
Invested non-restricted
 
equity
 
reserve
 
consists
 
of other
 
investments
 
similar to
 
equity
 
and
 
the subscription
 
price of
shares to the
 
extent that
 
it has not
 
been recorded
 
in share capital
 
according to specific
 
resolution. According
 
to the
current Finnish Companies
 
Act subscription price of
 
new shares is recogni
 
sed in the share
 
capital, unless it
 
has not
been according to Issuance Resolution fully or partly recognised
 
in invested non-restricted equity reserve.
Distributable funds
On 31 December 2023,
 
the distributable funds
 
of the parent company
 
totalled EUR 535.9
 
million including the
 
profit
of the
 
financial
 
period 2023
 
of EUR
 
40.5 million.
 
The Board
 
of Directors
 
proposes
 
to the
 
Annual
 
General
 
Meeting
that
 
a
 
dividend
 
of
 
EUR
0.30
 
(
0.28
)
 
per
 
share
 
totaling
 
EUR
38.0
 
(35.4)
 
million
 
be
 
paid
 
based
 
on
 
the
 
statement
 
of
financial
 
position
 
adopted
 
for
 
the
 
financial
 
year
 
ended
 
31
 
December
 
2023.
 
The
 
dividend
 
would
 
be
 
paid
 
in
 
two
instalments as follows:
●
 
The first
 
dividend installment
 
of EUR
 
0.15 per
 
share would
 
be paid
 
to the
 
shareholders who
 
are registered
in the shareholders'
 
register of the
 
Company maintained
 
by Euroclear Finland
 
Ltd on the
 
record date of
 
the
first
 
dividend
 
installment
 
on
 
28
 
March
 
2024.
 
The
 
Board
 
of
 
Directors
 
proposes
 
that
 
the
 
first
 
dividend
installment would be paid on 8 April 2024.
●
 
The second
 
dividend installment
 
of EUR
 
0.15 per
 
share would
 
be paid
 
to shareholders
 
who are
 
registered
in the shareholders'
 
register of the
 
Company maintained
 
by Euroclear Finland
 
Ltd on the
 
record date of
 
the
second dividend
 
installment on
 
9 October
 
2024. The
 
Board of Directors
 
proposes that
 
the second
 
dividend
installment
 
would
 
be
 
paid
 
on
 
16
 
October
 
2024.
 
The
 
Board
 
of
 
Directors
 
also
 
proposes
 
that
 
the
 
Annual
General Meeting would
 
authorize the
 
Board of Directors
 
to resolve, if
 
necessary,
 
on a new
 
record date and
date
 
of
 
payment
 
for
 
the
 
second
 
dividend
 
installment
 
should
 
the
 
rules
 
of
 
Euroclear
 
Finland
 
Ltd
 
or
 
statutes
applicable to the Finnish book-entry system change or
 
otherwise so require.
 
The dividend
 
proposed by
 
the Board
 
of Directors
 
to the
 
Annual General
 
Meeting is
 
not deducted
 
from distributable
equity until approved by the Annual General Meeting of
 
Shareholders.
 
No material
 
changes have
 
taken place
 
in the
 
company’s
 
financial position
 
since the
 
end of
 
the financial
 
year.
 
The
liquidity of the company is good and
 
the proposed allocation of funds, in
 
the view of the Board of Directors,
 
does not
endanger the company's solvency.
 
 
 
 
 
 
25. Financial liabilities
Non-cash changes
 
 
 
86
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill.
1 Jan 2023
Cash flows
Business
combinations
Other changes
Translation
differences
31 Dec 2023
Loans from financial institutions
419.2
-105.2
-
-0.2
-
313.8
Bonds
-
99.6
-
-0.5
-
99.1
Hire purchase liabilities
8.0
-4.3
-
-
-
3.8
Lease liabilities
179.8
-50.9
0.3
90.4
-0.5
219.1
Total
607.0
-60.8
0.3
89.7
-0.5
635.7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
.
Non-cash changes
EUR mill.
1 Jan 2022
Cash flows
Business
combinations
Other changes
Translation
differences
31 Dec 2022
Loans from financial institutions
365.4
53.8
0.5
-0.2
-0.4
419.2
Hire purchase liabilities
13.3
-5.3
-
-
-
8.0
Lease liabilities
178.5
-49.3
4.4
46.2
-0,0
179.8
Total
557.2
-0.8
4.9
46.0
-0.4
607.0
The Group’s
 
loan agreements
 
include a
 
covenant,
 
based on
 
which creditors
 
can demand
 
an immediate
 
repayment
of the loans if a
 
certain covenant limit
 
is breached. The covenant
 
relates to the ratio
 
between EBITDA and
 
net debt.
The Group has met all covenant terms and conditions
 
during the reporting period and at the reporting date.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
26. Trade and other payables
Carrying amounts of trade and other payables
EUR mill.
2023
2022
Trade payables
49.5
49.0
Other payables
80.1
81.9
Contract liabilities
8.8
10.3
Derivative liabilities
0.1
3.4
Accrued expenses
86.2
78.7
Total
224.7
223.2
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Specification of other payables
EUR mill.
2023
2022
Doctor's fee liabilities
48.5
48.2
VAT
 
liabilities
23.3
24.0
Other
 
8.3
9.7
Total
80.1
81.9
 
 
 
 
 
 
 
 
 
 
 
 
Specification of accrued expenses
EUR mill.
2023
2022
Personnel-related accrued expenses
74.0
71.4
 
 
 
 
 
 
 
87
 
 
 
 
 
 
 
 
 
Interest liabilities
6.3
1.5
Other
 
5.9
5.8
Total
86.2
78.7
 
 
 
 
 
 
 
 
 
 
27. Provisions
Carrying amounts of provisions
EUR mill.
2023
2022
Non-current provisions
2.8
8.3
Current provisions
3.3
3.2
Total
6.1
11.5
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR mill.
2023
2022
Onerous contracts
4.1
7.1
Other provisions
2.0
4.4
Total
6.1
11.5
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Changes in provisions during the financial year 2023
EUR mill.
Onerous
contracts
Other
provisions
Total
1 Jan 2023
7.1
4.4
11.5
Increase in provisions
1.1
0.9
2.1
Used provisions
-4.1
-3.4
-7.5
31 Dec 2023
4.1
2.0
6.1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Changes in provisions during the financial year 2022
EUR mill.
Onerous
contracts
Other
provisions
Total
1 Jan 2022
6.6
4.4
11.0
Increase in provisions
2.2
0.6
2.8
Used provisions
-1.7
-0.6
-2.3
31 Dec 2022
7.1
4.4
11.5
28. Defined benefit plans
The Group has defined benefit plans
 
in Sweden in the Feelgood subgroup
 
.
 
These consists of PSA and PA
 
-KL plans
which are closed
 
and for which
 
all the participants
 
have either retired
 
or left the
 
Group. There are
 
no assets related
to the Group’s defined
 
benefit plans.
 
The defined benefit plans determine
 
the amount of pension to be
 
paid and the
benefits to be paid
 
for disability and
 
at termination of
 
employment. The benefits
 
in these plans are
 
usually based on
the
 
length
 
of
 
employment
 
and
 
the
 
level
 
of
 
final
 
salary.
 
The
 
weighted
 
average
 
duration
 
of
 
the
 
defined
 
benefit
obligations was 7 years at the reporting date.
88
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Summary of the impact of the defined benefit plans in the financial statements
EUR mill.
2023
2022
Present value of the defined benefit obligations
1.3
1.3
Expenses related to defined benefit plans
0.0
0.0
Remeasurements of defined benefit obligations
0.1
-0.2
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Reconciliation of the defined benefit obligation
EUR mill.
2023
2022
1 Jan
 
1.3
1.7
Interest expense (+) / income (-)
0.1
0.0
Benefits paid
-0.1
-0.1
Remeasurement of the obligation
Actuarial gain (-) / loss (+) from change in financial
 
assumptions
0.1
-0.2
Translation differences
0.0
-0.1
31 Dec
 
1.3
1.3
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Applied actuarial assumptions
%
2023
2022
Discount rate
3.70
3.80
Inflation
1.70
1.90
The discount rate is determined based on the
 
yield of Swedish housing market bonds which have
 
a length that approximates the Group’s
pension obligations.
.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sensitivity analysis of the relevant actuarial assumptions’ impact on defined benefit obligation
EUR mill.
2023
2022
0.5%-point increase in the principal assumption
Discount rate
-0,0
-0,0
Inflation
0.0
0.0
0.5%-point decrease in the principal assumption
Inflation
-0,0
-0,0
An external actuary has performed the sensitivity
 
analysis for one variable at a time while holding
 
all other variables constant and regardless
of the actual volatility of the given variable. Consequently, the purpose of the
 
analysis is not to quantify expected change in the defined
benefit obligation but to illustrate the sensitivity of
 
the value of the obligation to these variables.
.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
29. Collateral and contingent liabilities
EUR mill.
31 Dec 2023
31 Dec 2022
Business mortgages
7.5
11.4
Total
7.5
11.4
 
 
 
 
 
 
 
 
 
89
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Securities for own debts
Deposits
0.2
0.5
Guarantees
0.2
0.4
Total
0.4
0.9
As part of the normal development and maintenance
 
of its branch and hospital network,
 
the Group has entered into a 20-
year lease agreement with an estimated annual rent
 
of EUR 3.5 million. The transfer of control
 
of the lease property is
planned to take place in 2027.
30. Related party transactions
Group’s related parties
The
 
Group’s
 
related
 
parties
 
include
 
the
 
parent
 
company
 
as
 
well
 
as
 
subsidiaries
 
and
 
associated
 
companies.
 
In
addition, related
 
parties include
 
also the
 
members of
 
the Board
 
of Directors,
 
Group management
 
and the
 
CEO as
well as their close family members and entities in which
 
they have control or joint control.
 
The relationships of the parent company and the subsidiaries
 
are disclosed in note 31
Group companies
.
 
 
 
 
 
 
 
 
 
 
 
Related party transactions
2023
Sales
Purchases
Receivables
Payables
Associated companies
0.6
9.7
0.2
0.8
Other related parties
0.0
-
-
-
Total
0.6
9.7
0.2
0.8
 
 
 
 
 
 
 
 
2022
Sales
Purchases
Receivables
Payables
Associated companies
0.6
10.6
0.3
1.0
Total
0.6
10.6
0.3
1.0
 
 
 
 
 
 
 
 
 
 
Compensation for the key management
Remuneration for CEO, in thousands of euro
2023
2022
Fixed pay
397.7
393.6
Other benefits
12.3
6.4
Short-term incentives
402.2
105.0
Share-based payments
348.1
546.9
Pensions (statutory)
133.4
82.9
Total
1,293.7
1,134.8
Renumeration for the CEO is presented on an accrual basis.
 
 
 
Remuneration to members of the Executive team
(excluding CEO), in thousands of euro
2023
2022
Fixed pay
1,348.3
1,638.5
Other benefits
28.7
28.1
 
 
 
 
 
 
 
 
90
 
 
 
 
Short-term incentives
606.7
146.1
Share-based payments
412.1
730.9
Termination benefits
226.3
305.9
Pensions (statutory)
330.7
301.6
Total
2,952.8
3,151.1
Renumeration to members of the Executive team is presented on an accrual basis.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Remuneration to Board of
Directors, in thousands of euro
2023
2022
Annual fee
settled in
cash
Annual fee
settled in
shares
Meeting
fees
Other
financial
benefits*
Annual fee
settled in
cash
Annual fee
settled in
shares
Meeting
fees
Other
financial
benefits*
Kari Kauniskangas (Chairman of
the board)
52.5
35.0
18.7
0.6
52.5
35.0
19.0
0.6
Kristian Pullola
31.2
20.8
11.7
0.3
31.2
20.8
14.2
0.3
Katri Viippola
24.9
16.6
13.7
0.3
24.9
16.6
15.5
0.3
Matts Rosenberg
31.2
20.8
12.4
0.3
31.2
20.8
10.4
0.3
Carola Lemne
24.9
16.6
18.0
0.3
24.9
16.6
14.7
0.3
Lehtoranta Ari**
24.9
16.6
8.5
0.3
-
-
-
-
Hasselberg Sofia**
24.9
16.6
15.4
0.3
-
-
-
-
Members of the Board of
Directors until 10 October 2022
Dag Andersson
-
-
-
-
41.5
0.0
13.8
0.0
Members of the Board until 7 April
2022
Niko Mokkila
-
-
-
-
0.0
0.0
3.8
0.0
Åse Aulie Michet
-
-
-
-
0.0
0.0
4.4
0.0
Tomas Von
 
Rettig
-
-
-
-
0.0
0.0
5.1
0.0
Total
214.5
143.0
98.1
2.3
206.2
109.8
100.7
1.8
* Other financial benefits include transfer tax fees
 
for the annual fees paid in shares.
** Member of the Board of Directors from 2023.
.
Bonus Scheme
The Company
 
operates a
 
bonus scheme,
 
which is
 
determined by
 
the Board
 
of Directors
 
of the
 
Company upon
 
the
recommendation of the Remuneration Committee.
 
The CEO and the members
 
of the Executive Team
 
are eligible to
participate
 
in
 
the
 
bonus
 
scheme
 
in
 
accordance
 
with
 
the
 
Company’s
 
bonus
 
policy.
 
Annual
 
bonuses
 
are
 
payable
based on the
 
attainment of key
 
performance targets of
 
the Company.
 
The key performance
 
targets of the
 
CEO and
the
 
Executive
 
Team
 
are
 
based
 
on
 
the
 
Company’s
 
adjusted
 
EBITA
 
as
 
well
 
as
 
the
 
individual
 
business
 
and
performance targets.
 
The individual
 
business and
 
performance targets
 
are set
 
by the
 
manager of
 
the participant
 
in
the bonus scheme.
91
The Board of
 
Directors of
 
Terveystalo
 
Plc has resolved
 
on share-based
 
incentive plans
 
directed to
 
the Group’s
 
key
employees. More information on the share-based incentive
 
plans is presented in note 19
 
Share-based payments.
 
 
 
 
 
 
 
 
 
Management holdings
Name
Position
31 Dec 2023
Kari Kauniskangas
Chairman of the Board of Directors
21,802
Matts Rosenberg
Member of the Board of Directors
14,498
Carola Lemne
Member of the Board of Directors
5,126
Kristian Pullola
Member of the Board of Directors
8,207
Katri Viippola
Member of the Board of Directors
11,453
Ari Lehtoranta
Member of the Board of Directors
6,504
Sofia Hasselberg
Member of the Board of Directors
2,499
Ville Iho
President and CEO
13,306
Juuso Pajunen
Chief Financial Officer
19,000
Petri Bono
Chief Medical Officer
2,087
Henri Mäenalanen
Interim Executive Vice President, Healthcare Services
2,230
Stefan Kullgren
Executive Vice President of the Swedish Business Area
-
Ilari Richard
Senior Vice President, Digital Services
3,134
Mikko Tainio
Senior Vice President, Portfolio Businesses
5,596
Minttu Sinisalo
Senior Vice President, Human Resources
1,400
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31. Group companies
The Group’s parent company is Terveystalo
 
Plc domiciled in Finland.
Subsidiaries as at 31 December 2023
Company name
Domicile
Group's share
Group's voting
rights
Alna Sverige AB
Sweden
100.0 %
100.0 %
EAM TTALO Holding Oy*
Finland
0.0 %
0.0 %
Feelgood Företagshälsa Dalarna AB
Sweden
100.0 %
100.0 %
Feelgood Företagshälsovård AB
Sweden
100.0 %
100.0 %
Feelgood Hälsoforum AB
Sweden
100.0 %
100.0 %
Feelgood Länshälsan AB
Sweden
100.0 %
100.0 %
Feelgood Sjukvård AB
Sweden
100.0 %
100.0 %
Feelgood Svenska AB
Sweden
100.0 %
100.0 %
Idavallen AB
 
Sweden
100.0 %
100.0 %
Länshälsan Skåne AB
Sweden
100.0 %
100.0 %
Medimar Scandinavia Ab
Finland
100.0 %
100.0 %
Nämndemansgården i Sverige AB
Sweden
100.0 %
100.0 %
Rela-hierojat Oy
Finland
100.0 %
100.0 %
Sauma Lastensuojelupalvelut Oy
Finland
100.0 %
100.0 %
92
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sivupersoona Oy
Finland
100.0 %
100.0 %
Suomen Hierojakoulut Oy
Finland
100.0 %
100.0 %
Suomen Terveystalo Oy
Finland
100.0 %
100.0 %
Terveystalo Estonia OÜ
Estonia
100.0 %
100.0 %
Terveystalo Healthcare Holding Oy
Finland
100.0 %
100.0 %
Terveystalo Healthcare Oy
Finland
100.0 %
100.0 %
Terveystalo Julkiset palvelut Oy
Finland
100.0 %
100.0 %
Terveystalo Kuntaturva Oy
Finland
100.0 %
100.0 %
Terveystalo Tactus
 
Oy
Finland
100.0 %
100.0 %
TT Ålands Tandläkarna Ab
Finland
100.0 %
100.0 %
*Evli Asset Management holds the ownership and voting
 
rights of EAM TTALO
 
Holding Oy by legal terms, but according to the agreement
Terveystalo has control
 
over the company and acts as the principal, whereas EAM
 
is an agent through the holding company.
 
Based on this
control arising from contractual terms, the holding company is
 
consolidated into the Group's IFRS financial statements
 
as a structured
entity.
Changes in the Group structure
Financial year 2023
The following mergers took place during the financial year
 
2023:
●
 
31.1.2023 Kunnon Syke Oy merged with Suomen Terveystalo
 
Oy.
●
 
28.2.2023 Ludus Oy merged with Suomen Terveystalo
 
Oy.
●
 
31.3.2023 Saimaan Urheilufysioterapia Oy merged with
 
Suomen Te
 
rveystalo Oy.
●
 
31.5.2023 Evalua International Ltd Oy merged with Suomen
 
Terveystalo
 
Oy.
●
 
31.8.2023 Somia Reality Oy merged with Suomen Terveystalo
 
Oy.
●
 
30.9.2023 Feelgood Jobbhälsan AB merged with Feelgood
 
Företagshälsovård AB.
●
 
30.9.2023 Medicin Direkt Östersund AB merged with Feelgood
 
Sjukvård AB.
●
 
30.9.2023 The Drawing Room AB merged with Nämndemansgården
 
Sverige AB.
The following company’s operations have ceased
 
during the financial year 2023:
●
 
22.2.2023 Evalua Nederland B.V.
●
 
31.12.2023 Rela Estonia ÖU
Financial year 2022
The following mergers took place during the financial year
 
2022:
●
 
30.4.2022 Attentio Oy merged with Suomen Terveystalo
 
Oy.
●
 
1.6.2022 Vantaan Työterveys
 
Oy merged with Suomen Terveystalo
 
Oy.
●
 
31.8.2022 Lapin Liikuntaklinikka Oy merged with Suomen Terveystalo
 
Oy.
●
 
31.8.2022 Hierojakoulu Relaxi Oy merged with Suomen Hierojakoulut
 
Oy.
●
 
31.8.2022 Feelgood Primärvård AB merged with Feelgood Företagshälsovård
 
AB.
●
 
31.8.2022 Feelgood Online AB merged with Feelgood
 
Företagshälsovård AB.
●
 
31.8.2022 Feelgood Företagshälsovård Östersund AB merged with
 
Feelgood Företagshälsovård AB.
●
 
31.8.2022 Feelgood Företagshälsovård Blekinge AB merged with
 
Feelgood Företagshälsovård AB.
●
 
31.8.2022 Feelgood Företagshälsovård Södra AB merged with
 
Feelgood Företagshälsovård AB.
●
 
30.9.2022 Jyväskylän lastensuojelupalvelut Oy merged
 
with Jyväskylän Hoitokoti Ankkuri Oy.
●
 
30.9.2022 Lastensuojelupalvelut Väylä Oy merged with Jyväskylän
 
Hoitokoti Ankkuri Oy.
●
 
30.9.2022 Ankkurin Huoltamo Oy merged with Jyväskylän Hoitokoti
 
Ankkuri Oy.
93
●
 
30.9.2022 Terapiatelakka
 
Oy merged with Jyväskylän Hoitokoti Ankkuri Oy.
●
 
31.10.2022 OMT-Klinikka Kokkola Oy merged with Suomen Terveystalo
 
Oy.
●
 
31.10.2022 Aktiivi-Fysioterapia Tampere
 
Oy merged with Suomen Fysiogeriatria Oy.
●
 
31.10.2022 Mimmin Terapia
 
Oy merged with Suomen Fysiogeriatria Oy.
●
 
31.10.2022 toi.minna Oy merged with Suomen Fysiogeriatria
 
Oy.
●
 
1.11.2022 Suomen Fysiogeriatria
 
Oy merged with Suomen Terveystalo
 
Oy.
●
 
30.11.2022 Keltaisen
 
Kartanon Kuntoutus Oy merged with Jyväskylän Hoitokoti Ankkuri
 
Oy.
●
 
30.11.2022 Into Terveys
 
Oy merged with Suomen Terveystalo
 
Oy.
32. Subsequent events
Terveystalo's
 
Board of
 
Directors has
 
approved a
 
new performance
 
period covering
 
the years
 
2024-2026 of
the
 
long-term
 
share-based
 
incentive
 
plan
 
for
 
key
 
personnel
Terveystalo
 
Plc's Board
 
of Directors
 
has approved
 
a new
 
performance period
 
covering the
 
years 2024-2026
 
of the
long-term
 
share-based
 
incentive
 
plan
 
for
 
key
 
personnel.
 
The
 
purpose
 
of
 
the
 
program
 
is
 
to
 
align
 
the
 
objectives
 
of
shareholders and
 
key personnel
 
to increase
 
the company's
 
value in
 
the long
 
term, and
 
to commit
 
key personnel
 
to
implementing Terveystalo's
 
strategy by offering them a competitive, share-based
 
incentive program.
The
 
Performance
 
Share
 
Plan
 
is
 
based
 
on
 
a
 
rolling
 
3-year
 
performance
 
period
 
structure,
 
with
 
a
 
new
 
performance
period
 
starting
 
at
 
the
 
beginning
 
of
 
each
 
year
 
if
 
so
 
decided
 
by
 
the
 
Board.
 
The
 
Board
 
decides
 
on
 
the
 
participants,
performance measures,
 
and targets
 
as well as
 
earning opportunities
 
on an annual
 
basis. Terveystalo
 
published the
establishment of the program and its main terms in a stock
 
exchange release on 3 December 2020.
Performance Period 2024-2026 of the Performance
 
Share Plan (PSP)
During the
 
performance period
 
2024-2026, the
 
participants are
 
awarded for
 
successful shareholder
 
value creation.
The performance indicators based
 
on which share rewards
 
may be paid to 90% of
 
the participants are absolute and
relative
 
(compared
 
to
 
the
 
OMX
 
HKI
 
benchmark
 
CAP
 
GI
 
index)
 
Total
 
Shareholder
 
Return.
 
For
 
10%
 
of
 
the
participants, the
 
value creation
 
is measured
 
by EBITA
 
(adjusted earnings
 
before interest,
 
taxes, and
 
amortization)
of the business area or independent business that they
 
lead.
Terveystalo's
 
Board
 
of
 
Directors
 
confirms
 
the
 
total
 
amount
 
of
 
shares
 
earned
 
after
 
the
 
end
 
of
 
the
 
performance
period. The share
 
rewards that may
 
be paid based
 
on the 2024–2026
 
earning period will
 
be paid in Terveystalo
 
Plc
shares
 
after the
 
end
 
of the
 
performance
 
period,
 
provided
 
that
 
the
 
performance
 
targets
 
set for
 
the
 
program
 
by the
Board are
 
achieved. The
 
maximum number
 
of shares
 
to be
 
paid based
 
on this
 
plan is
 
640,000 shares.
 
Taxes
 
and
tax-like payments to the
 
recipient are deducted from
 
the reward, after which
 
the remaining net amount
 
is paid to the
participants in shares.
No more
 
than
 
approximately
 
seventy
 
(75)
 
people
 
selected
 
by the
 
Board
 
are eligible
 
to
 
participate
 
in
 
the
 
program,
including members of Terveystalo's
 
Executive Team.
Terveystalo
 
applies
 
a share
 
ownership
 
requirement
 
to
 
the
 
members
 
of
 
the
 
Executive
 
Team.
 
Each
 
member
 
of the
Executive Team
 
is expected
 
to retain
 
at least
 
50 percent
 
of the
 
net shares
 
received under
 
the long-term
 
incentive
plan until his or her shareholding in Terveystalo
 
is at least equal to his or her annual gross base salary.
Performance Period 2024-2026 of the Restricted
 
Share Plan (RSP)
The purpose
 
of
 
the
 
Restricted
 
Share
 
Plan
 
is to
 
function
 
as a
 
supplementary
 
structure
 
for separately
 
selected
 
key
personnel of Terveystalo
 
in special situations.
94
The share rewards
 
will be paid
 
in Terveystalo
 
Plc shares after
 
the end of
 
the performance
 
period, provided that
 
the
individual participants
 
are still
 
employed by
 
Terveystalo.
 
The maximum
 
number of
 
shares to
 
be paid
 
based on
 
this
plan is 64,000 shares.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
95
Parent company's financial statement, FAS
Parent company’s income statement
EUR
Note
1.1.-31.12.2023
1.1.-31.12.2022
Revenue
1.1
11,487,798
1,622,050
Materials and supplies
-1,684
-1,851
Employee benefit expenses
 
Wages and salaries
-1,889,541
-1,446,798
 
Social security expenses
 
Pension expenses
-232,335
-128,348
 
Other social security expenses
-153,776
-21,741
Depreciation, amortisation and impairment losses
1.2
-18,227
-8,199
Other operating expenses
1.4
-20,555,877
-4,804,758
Operating loss
-11,363,642
-4,789,646
Financial income and expenses
1.5
 
Other interest and financial income
 
From group companies
3,194,991
1,629
 
From others
-
10
 
Other interest and financial expenses
 
To group companies
-1,126,839
-10,753
 
To others
-3,833,481
-215,450
Loss before appropriations and taxes
-13,128,972
-5,014,210
Appropriations
1.6
 
Increase/decrease in depreciation in excess of
 
plan
-16,959
-8,937
 
Group contributions
63,777,000
34,634,000
Taxes
-10,132,230
-5,952,627
Profit for the period
40,499,784
23,658,227
Parent company’s statement of financial position
EUR
Note
31 Dec 2023
31 Dec 2022
ASSETS
Non-current assets
 
Property, plant and equipment
2.1
 
Machinery and equipment
86,887
60,753
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
96
Investments
 
Holdings in group companies
2.2
516,818,244
516,818,244
Loan receivables from group companies
2.3
100,000,000
-
Total non-current assets
616,905,132
516,878,997
Current assets
 
Receivables from group companies
2.3
87,022,736
41,133,012
 
Prepayments and accrued income
2.4
1,030,499
603,637
Total current assets
88,053,235
41,736,649
TOTAL ASSETS
704,958,366
558,615,647
EUR
Note
31 Dec 2023
31 Dec 2022
EQUITY AND LIABILITIES
Equity
2.5
 
Share capital
80,000
80,000
 
Invested non-restricted equity reserve
493,503,962
493,503,962
 
Retained earnings
1,855,024
13,632,562
Profit for the period
40,499,784
23,658,227
Total equity
535,938,771
530,874,751
Appropriations
 
Depreciation in excess of plan
25,896
8,937
Total appropriations
25,896
8,937
Liabilities
2.6
Non-current liabilities
 
Bonds
100,000,000
-
Current liabilities
 
Trade payables
2,296,985
1,541,585
 
Liabilities to group companies
56,730,930
25,190,668
 
Other liabilities
35,585
25,159
 
Accruals and deferred income
9,930,200
974,548
Total liabilities
168,993,700
27,731,959
TOTAL EQUITY AND LIABILITIES
704,958,366
558,615,647
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
97
Parent company's statement of cash flows
EUR
1.1.-31.12.2023
1.1.-31.12.2022
Cash flows from operating activities
Profit for the period before income taxes
50,631,069
29,610,853
Adjustments
 
Depreciations according to plan
18,227
8,199
 
Non-cash transactions
 
-60,564,902
-34,625,063
 
Financial income and expenses
1,765,330
224,564
Change in working capital
 
Change in trade and other receivables
-16,767,585
469,239
 
Change in trade and other payables
878,760
455,667
Taxes
-4,464,873
-10,546,536
Net cash from operating activities
-28,503,974
-14,403,077
Cash flows from investing activities
Acquisition of tangible and intangible assets
-44,361
-68,726
Granted loan receivables to subsidiary
-100,000,000
-
Net cash from investing activities
-100,044,361
-68,726
Cash flows from financial activities
Change in group bank account
31,521,429
-7,870,194
Proceeds of long-term borrowings
99,594,000
-
Received group contribution
34,634,000
58,000,000
Dividends paid
-35,435,764
-35,433,439
Interest and other financial expenses paid
-1,765,330
-224,564
Net cash from financial activities
128,548,335
14,471,803
Net change in cash and cash equivalents
-
-
Cash and cash equivalents at 1 January
-
-
Cash and cash equivalents at 31 December
-
-
Accounting policies of parent company’s
 
financial statements
The financial statements of Terveystalo
 
Oyj are prepared in accordance with Finnish
 
Accounting Standards (FAS).
Measurement and recognition principles and methods
Holdings in group companies
The carrying
 
amount of
 
holdings in
 
group companies
 
consists of
 
historical costs
 
less impairments.
 
If the
 
estimated
future
 
cash
 
flows
 
generated
 
by
 
a
 
non-current
 
asset
 
are
 
expected
 
to
 
be
 
permanently
 
lower
 
than
 
the
 
balance
 
of
carrying amount, an
 
adjustment to the value
 
must be made to
 
write-down the difference
 
as an expense.
 
If the basis
for the impairment can no longer be justified at the reporting
 
date, it is reversed.
Property, plant
 
and equipment,
 
and depreciation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
98
The
 
carrying
 
amount
 
of
 
property,
 
plant
 
and
 
equipment
 
consists
 
of
 
historical
 
costs
 
less
 
depreciation
 
and
 
other
deductions.
 
Property,
 
plant and
 
equipment
 
are depreciated
 
using straight-line
 
depreciation
 
based on
 
the expected
useful life of the asset.
The depreciation is based on the following expected useful
 
lives:
Machinery and equipment: 5 years.
Notes to the statement of income
1.1 Revenue
EUR
2023
2022
Finland
11,455,589
1,593,045
Sweden
32,209
29,005
Total
11,487,798
1,622,050
1.2 Depreciation, amortisation and impairment losses
EUR
2023
2022
Depreciation
-18,227
-8,199
Total
-18,227
-8,199
1.3 Personnel
Average number of personnel during financial year
4
4
1.4 Other operating expenses
EUR
2023
2022
External services
-19,452,524
-3,535,145
ICT expenses
-36,242
-33,527
Non-statutory personnel expenses
-109,863
-126,093
Leases
-14,731
-13,121
Travel expenses
-51,977
-33,135
Marketing and communication
-201,761
-239,655
Other costs
-688,779
-824,083
Total
-20,555,877
-4,804,758
Auditor's fees
EUR
2023
2022
Audit and auditor's statements based on laws
 
and regulations
 
Audit, KPMG
-101,000
-76,000
Auditor's fees total
-101,000
-76,000
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
99
1.5 Financial income and expenses
EUR
2023
2022
Other interest and financial income
From group companies
3,194,991
1,629
From others
-
10
Total
3,194,991
1,639
Other interest and financial expenses
To group companies
-1,126,839
-10,753
To others
-3,833,481
-215,450
Total
-4,960,321
-226,203
1.6 Appropriations
EUR
2023
2022
Increase/decrease in depreciation in excess of plan
-16,959
-8,937
Group contributions received
63,777,000
34,634,000
Appropriations total
63,760,041
34,625,063
Notes to the statement of the financial position
2.1 Property, plant and equipment
Machinery and equipment
EUR
2023
2022
Acquisition cost 1 Jan
107,614
38,888
Additions
44,361
68,726
Acquisition cost 31 Dec
151,975
107,614
Accumulated depreciation and impairment losses
 
1 Jan
-46,861
-38,661
Depreciation for the period
-18,227
-8,199
Accumulated depreciation and impairment losses
 
31 Dec
-65,087
-46,861
Carrying amount 1 Jan
60,753
227
Carrying amount 31 Dec
86,887
60,753
 
2.2 Investments
Holdings in group companies
EUR
2023
2022
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
100
Acquisition cost 1 Jan
516,818,244
516,818,244
Acquisition cost 31 Dec
516,818,244
516,818,244
Carrying amount 1 Jan
516,818,244
516,818,244
Carrying amount 31 Dec
516,818,244
516,818,244
Parent company ownerships:
Holdings in group companies
2023
2022
Terveystalo Healthcare Holding Oy
100%
100%
2.3 Receivables from group companies
EUR
2023
2022
Loan receivables
100,000,000
-
Total
100,000,000
-
EUR
2023
2022
Non-current receivables
4,418,475
4,494,632
Trade receivables
827,512
586,503
Group contribution receivables
63,777,000
34,634,000
Prepayments and accrued income*
17,999,749
1,417,878
Total
87,022,736
41,133,012
* 2023 including rechargeable management fees
 
EUR 14.8 million and interest receivables EUR 3.2
 
million
2.4 Prepayments and accrued income
EUR
2023
2022
VAT
 
receivables
477,423
393,681
Prepayments and accrued income
553,076
209,957
Total
1,030,499
603,637
2.5 Changes in equity
Restricted equity
Share capital
EUR
2023
2022
At the beginning of the period
80,000
80,000
At the end of the period
80,000
80,000
Total restricted equity
80,000
80,000
Unrestricted equity
Invested non-restricted equity reserve
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
101
EUR
2023
2022
At the beginning of the period
493,503,962
493,503,962
At the end of the period
493,503,962
493,503,962
Retained earnings
EUR
2023
2022
Retained earnings at the beginning of the period
37,290,789
49,066,001
Dividends paid
-35,435,764
-35,433,439
Retained earnings at the end of the period
1,855,024
13,632,562
Net income
40,499,784
23,658,227
Total unrestricted equity
535,858,771
530,794,751
Total equity
535,938,771
530,874,751
Distributable equity
EUR
2023
2022
Invested non-restricted equity reserve
493,503,962
493,503,962
Retained earnings
1,855,024
13,632,562
Net income
40,499,784
23,658,227
Total
535,858,771
530,794,751
Shares and share capital
On 31 December
 
2023, the amount
 
of shares is
 
127,036,531 of which
 
480,230 is held
 
by EAM TTALO
 
Holding Oy,
a company which is under the control of Terveystalo
 
PLC.
 
The company has a single
 
share class. The shares have
 
no nominal value. All shares
 
issued have been paid in
 
full.
Each
 
share
 
has
 
one
 
vote
 
at
 
the
 
Annual
 
General
 
Meeting
 
and
 
equal
 
rights
 
to
 
dividends
 
and
 
other
 
distribution
 
of
assets.
 
Terveystalo
 
PLC’s
 
share
 
is
 
listed
 
on
 
Nasdaq
 
Helsinki
 
Oy.
 
The
 
trading
 
code
 
is
 
TTALO.
 
Terveystalo
 
PLC’s
 
shares
belong to the book-entry system maintained by Euroclear
 
Finland Oy.
 
Invested non-restricted equity reserve
Invested non-restricted
 
equity
 
reserve
 
consists
 
of other
 
investments
 
similar to
 
equity
 
and
 
the subscription
 
price of
shares to the
 
extent that
 
it has not
 
been recorded
 
in share capital
 
according to specific
 
resolution. According
 
to the
current Finnish Companies Act, subscription
 
price of new shares is recognised
 
in the share capital, unless it
 
has not
been according to Issuance Resolution fully or partly recognised
 
in invested non-restricted equity reserve.
2.6 Liabilities
2.6.1 Non-current liabilities
EUR
2023
2022
Bonds
100,000,000
-
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
102
Total
100,000,000
-
Terveystalo Plc issued senior unsecured sustainability-linked notes in the aggregate principal
 
amount of EUR 100
million in June 2023. The Notes will mature
 
on 1 June 2028 and carry initially a fixed
 
annual interest of 5.375 per
cent. The notes were listed on the official list maintained
 
by Nasdaq Helsinki Ltd on 5 June 2023.
2.6.2 Current liabilities
EUR
2023
2022
Trade payables
2,296,985
1,541,585
Other liabilities to group companies
56,730,930
25,190,668
Other liabilities
35,585
25,159
Accruals
9,930,200
974,548
Total
68,993,700
27,731,959
2.6.3 Liabilities to Group companies
EUR
2023
2022
Trade payables
265,918
-
Group bank account payables
56,440,316
24,918,886
Accruals and deferred income
24,697
271,781
Total
56,730,930
25,190,668
2.6.4 Accruals and deferred expenses
EUR
2023
2022
Personnel-related accrued expenses
841,720
271,105
Other
2,845,628
274,428
Interest liabilities
3,195,139
-
Income tax liability
3,047,713
429,014
Total
9,930,200
974,548
Other notes
3. Collateral and other contingent liabilities
EUR
2023
2022
Suretyship*
305,000,000
420,000,000
Guarantees
81,927
81,927
* Suretyship given by Terveystalo Oyj to subsidiaries financial institution loans.
103
Signatures to the financial statements and Board of
 
Director’s report
Helsinki, 13 February 2024
Kari Kauniskangas
 
Kristian Pullola
Chairman of the Board of Directors
 
Member of the Board of Directors
Katri Viippola
 
Matts Rosenberg
Member of the Board of Directors
 
Member of the Board of Directors
Carola Lemne
 
Ari Lehtoranta
Member of the Board of Directors
 
Member of the Board of Directors
Sofia Hasselberg
 
Ville Iho
Member of the Board of Directors
 
President and CEO
AUDITORS NOTE
A report on the audit has been issued today.
Helsinki, 13 February 2024
KPMG Oy Ab
Audit firm
Henrik Holmbom
Authorised Public Accountant
This document is an English translation of
 
the Finnish auditor’s report. Only the
 
Finnish version of the report is legally binding.
104
Auditor’s Report
To
 
the Annual General Meeting of Terveystalo Plc
Report on the Audit of the Financial Statements
Opinion
We have audited
 
the financial statements
 
of Terveystalo
 
Plc (business identity
 
code 2575979-3)
 
for the year
 
ended
31 December
 
2023. The
 
financial statements
 
comprise
 
the consolidated
 
statement
 
of financial
 
position, statement
of
 
comprehensive
 
income,
 
statement
 
of
 
changes
 
in
 
equity,
 
statement
 
of
 
cash
 
flows
 
and
 
notes,
 
including
 
material
accounting policy information, as
 
well as the parent company’s
 
balance sheet, income statement,
 
statement of cash
flows and notes.
In our opinion
—
the
 
consolidated
 
financial
 
statements
 
give
 
a
 
true
 
and
 
fair
 
view
 
of
 
the
 
group’s
 
financial
 
position,
 
financial
performance and cash flows in accordance with IFRS
 
Accounting Standards as adopted by the EU
—
the financial
 
statements
 
give
 
a true
 
and
 
fair
 
view
 
of
 
the
 
parent
 
company’s
 
financial
 
performance
 
and
 
financial
position
 
in
 
accordance
 
with
 
the
 
laws
 
and
 
regulations
 
governing
 
the
 
preparation
 
of
 
financial
 
statements
 
in
Finland and comply with statutory requirements.
Our opinion is consistent with the additional report submitted to
 
the Audit Committee.
Basis for Opinion
We
 
conducted
 
our
 
audit
 
in
 
accordance
 
with
 
good
 
auditing
 
practice
 
in
 
Finland.
 
Our
 
responsibilities
 
under
 
good
auditing
 
practice
 
are
 
further
 
described
 
in
 
the
Auditor’s
 
Responsibilities
 
for
 
the
 
Audit
 
of
 
the
 
Financial
 
Statements
section of our report.
We
 
are
 
independent
 
of
 
the
 
parent
 
company
 
and
 
of
 
the
 
group
 
companies
 
in
 
accordance
 
with
 
the
 
ethical
requirements
 
that
 
are
 
applicable
 
in
 
Finland
 
and
 
are
 
relevant
 
to
 
our
 
audit,
 
and
 
we
 
have
 
fulfilled
 
our
 
other
 
ethical
responsibilities in accordance with these requirements.
To
 
our best knowledge and understanding, the non-audit
 
services that we have provided to the parent company
 
and
group companies
 
are in
 
compliance
 
with laws
 
and regulations
 
applicable
 
in Finland
 
regarding these
 
services,
 
and
we have
 
not
 
provided
 
any
 
prohibited
 
non-audit
 
services
 
referred to
 
in Article
 
5(1)
 
of EU
 
regulation
 
537/2014.
 
The
non-audit services that we have provided have been disclosed
 
in note 10 to the consolidated financial statements.
We believe that the audit evidence we have obtained
 
is sufficient and appropriate to provide a basis
 
for our opinion.
Materiality
The scope
 
of our
 
audit was
 
influenced by
 
our application
 
of materiality.
 
The materiality
 
is determined
 
based on
 
our
professional
 
judgement
 
and
 
is
 
used
 
to
 
determine
 
the
 
nature,
 
timing,
 
and
 
extent
 
of
 
our
 
audit
 
procedures
 
and
 
to
evaluate the effect of identified misstatements
 
on the financial statements as a whole. The
 
level of materiality we set
is based
 
on our
 
assessment of
 
the magnitude
 
of misstatements
 
that, individually
 
or in aggregate,
 
could reasonably
be
 
expected
 
to
 
have
 
influence
 
on
 
the
 
economic
 
decisions
 
of
 
the
 
users
 
of
 
the
 
financial
 
statements.
 
We
 
have
 
also
taken into account misstatements that in our opinion
 
are material for qualitative reasons for the users
 
of the financial
statements.
Key Audit Matters
Key audit matters
 
are those matters
 
that, in our
 
professional judgment, were
 
of most significance
 
in our audit
 
of the
financial statements
 
of the current
 
period. These
 
matters were addressed
 
in the context
 
of our audit
 
of the financial
statements
 
as
 
a
 
whole,
 
and
 
in
 
forming
 
our
 
opinion
 
thereon,
 
and
 
we
 
do
 
not
 
provide
 
a
 
separate
 
opinion
 
on
 
these
matters.
 
The
 
significant
 
risks
 
of
 
material
 
misstatement
 
referred
 
to
 
in
 
the
 
EU
 
Regulation
 
No
 
537/2014
 
point
 
(c)
 
of
Article 10(2) are included in the description of key audit
 
matters below.
We
 
have
 
also
 
addressed
 
the
 
risk
 
of
 
management
 
override
 
of
 
internal
 
controls.
 
This
 
includes
 
consideration
 
of
whether there was evidence of management bias that
 
represented a risk of material misstatement due to fraud.
 
 
 
 
 
 
 
105
THE KEY AUDIT MATTER
HOW THE MATTER
 
WAS ADDRESSED IN THE
AUDIT
Valuation of Goodwill and
 
acquisition related Intangible Assets (Accounting
 
Principles for
the Consolidated Financial Statements and the Notes 3,
 
15 and 16)
—
At
 
the
 
year-end
 
2023
 
the
 
goodwill
amounted
 
to
 
824
 
M€
 
and
 
accounted
 
for
 
58
%
 
of
 
the
 
consolidated
 
total
 
assets
 
and
 
for
160 % of the consolidated equity.
 
—
The
 
acquisition-related
 
recognised
 
assets
for
 
customer
 
relationships
 
and
 
trademark
and
 
at
 
the
 
year-end
 
2023
 
were
 
in
 
total
 
57
M€.
 
—
in
 
2023
 
Terveystalo
 
has
 
changed
 
the
operational
 
model
 
and
 
financial
 
reporting
structure.
 
Accordingly,
 
the
 
composition
 
of
the
 
cash-generating
 
units
 
changed
 
and
goodwill
 
was
 
reallocated
 
to
 
the
 
new
 
cash-
generating units.
—
Terveystalo
 
determines
 
recoverable
amounts
 
for
 
impairment
 
tests
 
based
 
on
value
 
in
 
use.
 
Preparation
 
of
 
cash
 
flow
projections
 
underlying
 
impairment
 
tests
requires
 
management
 
judgments
 
for
profitability,
 
long-term
 
growth
 
rate
 
and
discount rate.
—
As
 
a
 
result
 
of
 
the
 
impairment
 
tests,
 
the
Group
 
recognized
 
a
 
55
 
M€
 
million
impairment related
 
to goodwill
 
and a
 
29 M€
impairment
 
related
 
to
 
customer
relationships
 
for
 
the
 
Portfolio
 
Businesses
Public payor cash-generating unit.
—
Given
 
the
 
high
 
level
 
of
 
management
judgment
 
related
 
to
 
the
 
forecasts
 
used
 
and
the
 
significant
 
carrying
 
amounts
 
involved,
valuation of
 
goodwill and
 
acquisition related
intangible
 
assets
 
is
 
considered
 
a
 
key
 
audit
matter.
—
We
 
assessed
 
the
 
key
 
assumptions
 
used
 
in
the
 
impairment
 
tests,
 
such
 
as
 
profitability,
discount rate
 
and
 
long-term
 
growth rate.
 
To
analyse
 
the
 
forecasts,
 
we
 
applied
professional
 
judgement
 
in
 
testing
 
the
 
key
assumptions
 
and
 
assessing
 
the
 
resulting
effects on the sensitivity analysis.
 
—
We
 
assessed
 
the
 
appropriateness
 
of
 
the
assumptions
 
used
 
and
 
the
 
technical
accuracy of the calculations.
 
This included a
comparison
 
to
 
external
 
market
 
and
 
industry
forecasts.
—
In
 
addition,
 
we
 
considered
 
the
appropriateness
 
of
 
the
 
disclosures
 
in
respect
 
of
 
goodwill,
 
impairment
 
testing
 
and
acquisition related intangible assets.
Revenue Recognition (Accounting Principles for the Consolidated
 
Financial Statements and
the Note 5)
—
The
 
consolidated
 
revenue
 
for
 
2023
amounted
 
to
 
1.286
 
M€
 
million
 
and
 
consist
of
 
numerous
 
types
 
of
 
individual
 
service
transactions
 
and
 
service
 
combinations
—
As
 
part
 
of
 
our
 
audit
 
procedures,
 
we
evaluated
 
the
 
sales-related
 
internal
 
control
environment,
 
as
 
well
 
as
 
tested
 
the
 
key
controls.
 
We
 
also
 
performed
 
substantive
 
 
 
106
generated
 
to
 
various
 
customer
 
and
 
payer
groups
 
in
 
multiple
 
business
 
locations.
Volumes
 
of sales
 
transactions processed
 
in
the
 
IT
 
systems
 
are
 
substantial
 
and
Terveystalo
 
also
 
uses
 
a
 
number
 
of
 
service
pricing
 
models
 
and
 
client
 
contract
templates.
—
Given the variety
 
and large number
 
of sales
transactions,
 
revenue
 
recognition
 
is
considered a key audit matter.
 
audit procedures.
—
We
 
tested
 
the
 
processes
 
to
 
record
 
sales
transactions
 
as
 
well
 
as
 
the
 
sales
 
pricing
and
 
invoicing
 
processes.
 
We
 
assessed
 
the
appropriateness
 
of the
 
revenue
 
recognition
for the sales transactions.
 
—
We
 
evaluated
 
the
 
IT
 
systems
 
relevant
 
for
revenue recognition.
—
We
 
considered
 
the
 
appropriateness
 
of
 
the
disclosures
 
presented
 
for
 
revenue
 
in
 
the
consolidated financial statements.
 
Responsibilities of the Board of Directors and the Managing
 
Director (CEO) for the Financial Statements
The
 
Board
 
of
 
Directors
 
and
 
the
 
Managing
 
Director
 
(CEO)
 
are
 
responsible
 
for
 
the
 
preparation
 
of
 
consolidated
financial statements that give
 
a true and fair view
 
in accordance with IFRS Accounting
 
Standards as adopted by the
EU, and of financial statements
 
that give a true and
 
fair view in accordance
 
with the laws and
 
regulations governing
the preparation
 
of financial
 
statements
 
in
 
Finland
 
and
 
comply with
 
statutory
 
requirements.
 
The
 
Board
 
of
 
Directors
and the
 
Managing
 
Director (CEO)
 
are also
 
responsible
 
for such
 
internal control
 
as they
 
determine is
 
necessary
 
to
enable
 
the
 
preparation
 
of
 
financial
 
statements
 
that
 
are
 
free
 
from
 
material
 
misstatement,
 
whether
 
due
 
to
 
fraud
 
or
error.
In preparing
 
the financial
 
statements, the
 
Board of
 
Directors
 
and the
 
Managing Director
 
(CEO) are
 
responsible for
assessing
 
the parent
 
company’s
 
and the
 
group’s
 
ability
 
to continue
 
as a
 
going
 
concern,
 
disclosing,
 
as applicable,
matters
 
relating
 
to
 
going
 
concern
 
and
 
using
 
the
 
going
 
concern
 
basis
 
of
 
accounting.
 
The
 
financial
 
statements
 
are
prepared using
 
the going
 
concern basis
 
of accounting
 
unless there
 
is an
 
intention to
 
liquidate the
 
parent company
or the group or cease operations, or there is no realistic
 
alternative but to do so.
Auditor’s Responsibilities for the Audit of the Financial
 
Statements
Our objectives are
 
to obtain reasonable
 
assurance about whether
 
the financial statements
 
as a whole are
 
free from
material
 
misstatement,
 
whether
 
due
 
to
 
fraud
 
or
 
error,
 
and
 
to
 
issue
 
an
 
auditor’s
 
report
 
that
 
includes
 
our
 
opinion.
Reasonable assurance
 
is a
 
high level
 
of assurance,
 
but is
 
not a
 
guarantee that
 
an audit
 
conducted in
 
accordance
with good auditing
 
practice will
 
always detect a
 
material misstatement
 
when it exists.
 
Misstatements can
 
arise from
fraud or error
 
and are
 
considered material
 
if, individually or
 
in the aggregate,
 
they could reasonably
 
be expected
 
to
influence the economic decisions of users taken on the
 
basis of the financial statements.
As
 
part
 
of
 
an
 
audit
 
in
 
accordance
 
with
 
good
 
auditing
 
practice,
 
we
 
exercise
 
professional
 
judgment
 
and
 
maintain
professional scepticism throughout the audit. We
 
also:
—
Identify and assess
 
the risks of material
 
misstatement of the
 
financial statements, whether
 
due to fraud or
 
error,
design and
 
perform audit
 
procedures responsive
 
to those
 
risks, and
 
obtain audit
 
evidence that
 
is sufficient
 
and
appropriate to
 
provide a
 
basis for
 
our opinion.
 
The risk
 
of not
 
detecting a
 
material misstatement
 
resulting from
fraud is
 
higher than
 
for one
 
resulting from
 
error,
 
as fraud
 
may involve
 
collusion,
 
forgery,
 
intentional omissions,
misrepresentations, or the override of internal control.
—
Obtain
 
an
 
understanding
 
of
 
internal
 
control
 
relevant
 
to
 
the
 
audit
 
in
 
order
 
to
 
design
 
audit
 
procedures
 
that
 
are
appropriate in
 
the circumstances,
 
but not
 
for the
 
purpose of
 
expressing
 
an opinion
 
on the
 
effectiveness
 
of the
parent company’s or the group’s internal control.
 
—
Evaluate the
 
appropriateness of
 
accounting policies
 
used and
 
the reasonableness
 
of accounting
 
estimates and
related disclosures made by management.
—
Conclude on the appropriateness
 
of the Board of Directors’
 
and the Managing Director’s (CEO)
 
use of the going
concern
 
basis
 
of
 
accounting
 
and
 
based
 
on
 
the
 
audit
 
evidence
 
obtained,
 
whether
 
a
 
material
 
uncertainty
 
exists
related to
 
events or
 
conditions that
 
may cast
 
significant doubt
 
on the
 
parent company’s
 
or the
 
group’s ability
 
to
continue as a going concern.
 
If we conclude that
 
a material uncertainty exists,
 
we are required to
 
draw attention
107
in
 
our
 
auditor’s
 
report
 
to
 
the
 
related
 
disclosures
 
in
 
the
 
financial
 
statements
 
or,
 
if
 
such
 
disclosures
 
are
inadequate, to
 
modify our
 
opinion. Our
 
conclusions are
 
based on
 
the audit
 
evidence obtained
 
up to
 
the date
 
of
our auditor’s report. However,
 
future events or conditions
 
may cause the parent
 
company or the
 
group to cease
to continue as a going concern.
—
Evaluate
 
the
 
overall
 
presentation,
 
structure
 
and
 
content
 
of
 
the
 
financial
 
statements,
 
including
 
the
 
disclosures,
and
 
whether
 
the
 
financial
 
statements
 
represent
 
the
 
underlying
 
transactions
 
and
 
events
 
so
 
that
 
the
 
financial
statements give a true and fair view.
—
Obtain
 
sufficient
 
appropriate
 
audit
 
evidence
 
regarding
 
the
 
financial
 
information
 
of
 
the
 
entities
 
or
 
business
activities
 
within the
 
group
 
to
 
express
 
an opinion
 
on
 
the
 
consolidated
 
financial
 
statements.
 
We
 
are responsible
for
 
the
 
direction,
 
supervision
 
and
 
performance
 
of
 
the
 
group
 
audit.
 
We
 
remain
 
solely
 
responsible
 
for
 
our
 
audit
opinion.
We
 
communicate
 
with
 
those
 
charged
 
with
 
governance
 
regarding,
 
among
 
other
 
matters,
 
the
 
planned
 
scope
 
and
timing
 
of
 
the
 
audit
 
and
 
significant
 
audit
 
findings,
 
including
 
any
 
significant
 
deficiencies
 
in
 
internal
 
control
 
that
 
we
identify during our audit.
We
 
also
 
provide
 
those
 
charged
 
with
 
governance
 
with
 
a
 
statement
 
that
 
we
 
have
 
complied
 
with
 
relevant
 
ethical
requirements
 
regarding
 
independence,
 
and
 
communicate
 
with
 
them
 
all
 
relationships
 
and
 
other
 
matters
 
that
 
may
reasonably be thought to bear on our independence, and where
 
applicable, related safeguards.
From
 
the
 
matters
 
communicated
 
with
 
those
 
charged
 
with
 
governance,
 
we
 
determine
 
those
 
matters
 
that
 
were
 
of
most
 
significance
 
in
 
the
 
audit
 
of
 
the
 
financial
 
statements
 
of
 
the
 
current
 
period
 
and
 
are
 
therefore
 
the
 
key
 
audit
matters.
 
We
 
describe
 
these
 
matters
 
in
 
our
 
auditor’s
 
report
 
unless
 
law
 
or
 
regulation
 
precludes
 
public
 
disclosure
about
 
the
 
matter
 
or
 
when,
 
in
 
extremely
 
rare
 
circumstances,
 
we
 
determine
 
that
 
a
 
matter
 
should
 
not
 
be
communicated
 
in
 
our
 
report
 
because
 
the
 
adverse
 
consequences
 
of
 
doing
 
so
 
would
 
reasonably
 
be
 
expected
 
to
outweigh the public interest benefits of such communication.
Other Reporting Requirements
Information on our audit engagement
We
 
have
 
acted
 
as auditors
 
appointed
 
by the
 
Annual
 
General
 
Meeting
 
uninterrupted
 
for
 
twelve
 
years.
 
Terveystalo
Plc became a public interest entity on 13 October 2017.
Other Information
The
 
Board
 
of
 
Directors
 
and
 
the
 
Managing
 
Director
 
(CEO)
 
are
 
responsible
 
for
 
the
 
other
 
information.
 
The
 
other
information
 
comprises
 
the
 
report of
 
the
 
Board
 
of Directors
 
and the
 
information
 
included
 
in the
 
Annual
 
Report,
 
but
does not include the financial statements and our auditor’s report
 
thereon. We have obtained the report of
 
the Board
of Directors
 
prior to
 
the date
 
of this
 
auditor’s report,
 
and the
 
Annual Report
 
is expected
 
to be
 
made available
 
to us
after that date. Our opinion on the financial statements
 
does not cover the other information.
In connection
 
with our
 
audit of
 
the financial
 
statements, our
 
responsibility is
 
to read
 
the other
 
information identified
above
 
and,
 
in
 
doing
 
so,
 
consider
 
whether
 
the
 
other
 
information
 
is
 
materially
 
inconsistent
 
with
 
the
 
financial
statements, or our knowledge obtained
 
in the audit, or otherwise appears
 
to be materially misstated. With respect
 
to
the report
 
of the
 
Board of
 
Directors, our
 
responsibility also
 
includes considering
 
whether the
 
report of
 
the Board
 
of
Directors has been prepared in accordance with the applicable
 
laws and regulations.
In
 
our
 
opinion,
 
the
 
information
 
in
 
the
 
report
 
of
 
the
 
Board
 
of
 
Directors
 
is
 
consistent
 
with
 
the
 
information
 
in
 
the
financial statements
 
and the
 
report of
 
the Board
 
of Directors
 
has been
 
prepared in
 
accordance with
 
the applicable
laws and regulations.
If, based on the work
 
we have performed on
 
the other information
 
that we obtained prior
 
to the date of
 
this auditor’s
report,
 
we
 
conclude
 
that
 
there
 
is
 
a
 
material
 
misstatement
 
of
 
this
 
other
 
information,
 
we
 
are
 
required
 
to
 
report
 
that
fact. We have nothing to report in this regard.
Helsinki, 13 February 2024
KPMG Oy Ab
108
HENRINK HOLMBOM
Authorised Public Accountant, KHT
Independent Auditor’s Reasonable Assurance Report
 
on
Terveystalo
 
Plc’s ESEF Financial Statements
To
 
the Board of Directors of Terveystalo Plc
We
 
have
 
undertaken
 
a
 
reasonable
 
assurance
 
engagement
 
in
 
respect
 
of
 
whether
 
the
 
consolidated
 
financial
statements
 
for
 
the
 
year
 
ended
 
31
 
December,
 
2023
 
included
 
in
 
the
 
digital
 
financial
 
statements
7437001AEZHLL3UEX093-2023-12-31-en.zip
 
of
 
Terveystalo
 
Plc
 
(Business
 
ID
 
2575979-3)
 
have
 
been
 
marked
 
up
with iXBRL markups
 
in accordance with
 
the requirements
 
of Article 4
 
of EU Delegated
 
Regulation 2018/815
 
(ESEF
RTS).
The Responsibility of the Board of Directors and Managing Director
The Board of Directors and Managing
 
Director are responsible for preparing the
 
report of the Board of Directors
 
and
financial
 
statements
 
(ESEF
 
financial
 
statements)
 
that
 
comply
 
with
 
the
 
requirements
 
of
 
ESEF
 
RTS.
 
This
responsibility includes:
—
preparation of ESEF financial statements in XHTML format
 
in accordance with Article 3 of the ESEF RTS
—
marking
 
up
 
the
 
primary
 
statements
 
and
 
the
 
notes
 
to
 
the
 
consolidated
 
financial
 
statements,
 
and
 
the
 
company
identification data included
 
in the ESEF financial
 
statements with iXBRL
 
tags in accordance
 
with Article 4
 
of the
ESEF RTS; and
—
ensuring consistency between ESEF financial statements and
 
audited financial statements.
The
 
Board
 
of
 
Directors
 
and
 
the
 
Managing
 
Director
 
are
 
also
 
responsible
 
for
 
such
 
internal
 
control
 
as
 
they
 
deem
necessary to prepare the ESEF financial statements in
 
accordance with the requirements of the ESEF RTS.
Auditor’s Independence and Quality Management
We are independent
 
of the company
 
in accordance with
 
the ethical requirements
 
applicable in Finland,
 
which apply
to
 
the
 
engagement
 
we
 
have
 
performed,
 
and
 
we
 
have
 
fulfilled
 
our
 
other
 
ethical
 
responsibilities
 
in
 
accordance
 
with
these requirements.
The
 
auditor
 
applies
 
International
 
Standard
 
on
 
Quality
 
Management
 
ISQM
 
1,
 
which
 
requires
 
the
 
firm
 
to
 
design,
implement and operate a system
 
of quality management including
 
policies or procedures regarding
 
compliance with
ethical requirements, professional standards and applicable
 
legal and regulations requirements.
Auditor’s Responsibility
In accordance with
 
the Engagement
 
Letter our responsibility
 
is to express
 
an opinion on
 
whether the marking
 
up of
the consolidated financial
 
statements included
 
in the ESEF
 
financial statements comply
 
in all material
 
respects with
the
 
Article
 
4
 
of
 
the
 
ESEF
 
RTS.
 
We
 
conducted
 
our
 
reasonable
 
assurance
 
engagement
 
in
 
accordance
 
with
International Standard on Assurance Engagements 3000
.
The engagement involves procedures to obtain evidence
 
whether;
—
the primary
 
statements of
 
the consolidated
 
financial statements
 
included in
 
the ESEF
 
financial statements
 
are,
in all material respects, marked up with iXBRL tags in accordance
 
with Article 4 of the ESEF RTS, and;
—
whether the
 
notes to
 
the consolidated
 
financial statements
 
and the
 
company identification
 
data included
 
in the
ESEF financial
 
statements data,
 
have been
 
marked up,
 
in all
 
material respects,
 
with iXBRL
 
tags in
 
accordance
with Article 4 of the ESEF RTS; and
—
whether the ESEF financial statements and the audited financial statements
 
are consistent with each other.
109
The
 
nature,
 
timing
 
and
 
the
 
extent
 
of
 
procedures
 
selected
 
depend
 
on
 
practitioner’s
 
judgement.
 
This
 
includes
 
the
assessment
 
of
 
the
 
risks
 
of
 
material
 
departures
 
from
 
the
 
requirements
 
set
 
out
 
in
 
the
 
ESEF
 
RTS,
 
whether
 
due
 
to
fraud or error.
We believe that the evidence we have obtained is sufficient
 
and appropriate to provide a basis for our opinion.
Opinion
In
 
our
 
opinion,
 
the
 
primary
 
statements
 
of
 
the
 
consolidated
 
financial
 
statements,
 
the
 
notes
 
to
 
the
 
consolidated
financial statements
 
and the
 
company identification
 
data included
 
in the
 
ESEF financial
 
statements
 
of Terveystalo
Plc
 
identified
 
as
 
7437001AEZHLL3UEX093-2023-12-31-en.zip
 
for
 
the
 
year
 
ended
 
31
 
December,
 
2023
 
are,
 
in
 
all
material respects, marked up in compliance with the
 
ESEF Regulatory Technical
 
Standard.
Our
 
audit
 
opinion
 
on
 
the
 
audit
 
of
 
the
 
consolidated
 
financial
 
statements
 
of
 
Terveystalo
 
Plc
 
for
 
the
 
year
 
ended
 
31
December,
 
2023 is
 
set out
 
in our
 
Auditor’s Report
 
dated 13
 
February,
 
2024. In
 
this report,
 
we do
 
not express
 
any
audit opinion or other assurance conclusion on the consolidated
 
financial statements.
Helsinki 21 February,
 
2024
KPMG OY AB
Henrik Holmbom
Authorised Public Accountant, KHT