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MLP SAĞLIK HİZMETLERİ A.Ş.

Quarterly Report May 7, 2025

8921_rns_2025-05-07_3c7466b4-8637-4c25-8216-01b9d4797d45.pdf

Quarterly Report

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(CONVENIENCE TRANSLATION OF THE CONSOLIDATED INTERIM FINANCIAL STATEMENTS ORIGINALLY ISSUED IN TURKISH)

MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES

CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS FOR THE PERIOD ENDED 1 JANUARY- MARCH 31, 2025

CONVENIENCE TRANSLATION INTO ENGLISH OF CONSOLIDATED FINANCIAL STATEMENTS ORIGINALLY ISSUED IN TURKISH

CONDENSED CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD ENDED 1 JANUARY - MARCH 31, 2025

INDEX PAGE
CONSOLIDATED INTERIM STATEMENT OF FINANCIAL POSITION 1-2
CONSOLIDATED INTERIM STATEMENT OF PROFIT OR LOSS
AND OTHER COMPREHENSIVE INCOME 3
CONSOLIDATED INTERIM STATEMENT OF CHANGES IN EQUITY 4
CONSOLIDATED INTERIM STATEMENT OF CASH FLOWS 5
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS 6-41
NOTE 1 ORGANIZATION AND OPERATIONS OF THE GROUP
NOTE 2 BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS
NOTE 3 RELATED PARTY DISCLOSURES
NOTE 4 CASH AND CASH EQUIVALENTS
NOTE 5 FINANCIAL INSTRUMENTS
NOTE 6 TRADE RECEIVABLES AND PAYABLES
NOTE 7 OTHER RECEIVABLES AND PAYABLES
NOTE 8 INVENTORIES
NOTE 9 PREPAID EXPENSES AND DEFERRED INCOME
NOTE 10 PROPERTY, EQUIPMENT AND OTHER INTANGIBLE ASSETS
NOTE 11 RIGHT OF USE ASSETS
NOTE 12 PAYABLES FOR EMPLOYEE BENEFITS
NOTE 13 OTHER ASSETS AND LIABILITIES
NOTE 14 PROVISIONS
NOTE 15 COMMITMENTS
NOTE 16 SHARE CAPITAL/OTHER RESERVES
NOTE 17 REVENUE
NOTE 18 OPERATING EXPENSES
NOTE 19 OTHER INCOME AND EXPENSE FROM OPERATING ACTIVITIES
NOTE 20 INCOME AND EXPENSES FROM INVESTING ACTIVITIES
NOTE 21 FINANCE EXPENSES
NOTE 22 EXPLANATION ON NET MONETARY POSITION GAINS/ (LOSES)
NOTE 23 TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED)
NOTE 24 EARNINGS PER SHARE
NOTE 25 FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES
NOTE 26 EVENTS AFTER THE REPORTING PERIOD

APPENDIX I EARNINGS BEFORE INTEREST TAXES DEPRECIATION AND AMORTISATION ("EBITDA") 42

CONSOLIDATED INTERIM STATEMENT OF FINANCIAL POSITION AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Unaudited Audited
Notes 31 March 2025 31 December 2024
ASSETS
Current Assets: 13,815,147 12,313,667
Cash and cash equivalents 4 3,614,754 3,002,094
Trade receivables 6 7,657,942 6,699,571
- Due from related parties 3,6 35,222 32,548
- Trade receivables from third parties 7,622,720 6,667,023
Other receivables 7 422,881 392,784
- Due from related parties 3,7 319,998 301,050
- Other receivables from third parties 102,883 91,734
Inventories 8 902,169 1,104,691
Prepaid expenses 9 816,869 688,978
Other current assets 13 400,532 425,549
Non-current Assets: 42,352,857 39,736,545
Trade receivables 6 1,053 1,159
Other receivables 7 986,086 820,596
Property plant and equipment 10 8,786,041 8,543,071
Intangible assets 10,143,893 10,121,452
- Goodwill 814,048 814,048
- Other intangible assets 10 9,329,845 9,307,404
Right of use assets 11 15,438,151 13,839,418
Prepaid expenses 9 4,370,052 3,726,970
Deferred tax assets 23 2,627,581 2,683,879
TOTAL ASSETS 56,168,004 52,050,212

The accompanying notes form an integral part of these consolidated financial statements.

CONSOLIDATED INTERIM STATEMENT OF FINANCIAL POSITION AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Unaudited Audited
31 March 31 December
Notes 2025 2024
LIABILITIES AND EQUITY
Current Liabilities: 14,037,021 14,504,777
Short term borrowings 5 1,733,658 2,750,387
Short term portion of long term borrowings 5 591,882 982,997
Obligations under finance leases 5 33,460 38,559
Short term lease liabilities 5 845,841 711,204
Trade payables 6 6,529,954 6,593,553
- Due to related parties 3,6 95,664 76,233
- Trade payables to third parties 6,434,290 6,517,320
Payables related to employee benefits 12 888,220 573,473
Other payables 7 397,102 450,579
- Due to related parties 3,7 18,244 20,080
- Other payables to third parties 378,858 430,499
Deferred income 9 1,993,088 1,774,976
Short term provisions 282,342 249,091
- Short term provisions for employment benefits 12 185,971 150,380
- Other short term provisions 14 96,371 98,711
Current tax liabilities 23 741,474 379,958
Non-current Liabilities: 14,912,411 11,643,779
Long term borrowings 5 2,003,052 -
Obligations under finance leases 5 12,185 15,484
Long term lease liabilities 5 5,335,162 4,294,203
Other payables 1,020,941 1,070,023
- Other payables to third parties 7 1,020,941 1,070,023
Deferred income 9 1,052 1,159
Long term provisions 264,651 224,113
- Long term provisions for employee benefits 12 264,651 224,113
Deferred tax liabilities 23 6,275,368 6,038,797
EQUITY: 27,218,572 25,901,656
Equity Attributable to the Owner of the Company: 26,114,774 24,903,759
Share capital 16 191,012 191,012
Adjustments for paid-in capital 3,504,738 3,504,738
Share premium 4,204,499 4,204,499
Treasury shares 16 (863,742) (863,742)
Other comprehensive income or expenses that will not be reclassified (35,105) (93,748)
- Accumulated gain/(loss) on remeasurement of defined benefit plans (35.105) (93,748)
Other comprehensive income or expenses that will be reclassified (17,264) 130
- Foreign currency translation differences related to the translation of
foreign operations (17,264) 130
Restricted reserves 104,191 104,191
Accumulated income 16 17,856,679 12,181,771
Net profit for the period 1,169,766 5,674,908
Non-controlling interest 1,103,798 997,897
TOTAL LIABILITIES AND EQUITY 56,168,004 52,050,212

The accompanying notes form an integral part of these consolidated financial statements.

CONSOLIDATED INTERIM STATEMENT OF PROFIT OR LOSS FOR THE THREE-MONTH PERIOD ENDED 1 JANUARY - MARCH 31,2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Unaudited Audited
1 January-31 1 January-31
Dipnotlar March 2025 March 2024
PROFIT OR LOSS
Revenue 17 11,754,257 10,993,413
Cost of sales (-) 17 (8,521,835) (8,126,997)
GROSS PROFIT 3,232,422 2,866,416
General administration expenses (-) 18 (1,077,754) (895,873)
Other income from operating activities 19 518,260 397,490
Other expenses from operating activities (-) 19 (416,009) (380,977)
OPERATING PROFIT 2,256,919 1,987,056
Income from investing activities 20 222 298
Expense from investing activities (-) 20 (2,094) -
OPERATING PROFIT BEFORE FINANCE EXPENSE 2,255,047 1,987,354
Finance expenses (-) 21 (953,860) (823,682)
Monetary gain/(loss) 22 643,911 1,641,195
NET PROFIT BEFORE TAX 1,945,098 2,804,867
Tax expense from operations (669,431) (1,766,428)
Current tax expense 23 (396,110) (239,987)
Deferred tax gain/loss net 23 (273,321) (1,526,441)
NET PROFIT 1,275,667 1,038,439
Allocation of net profit
Non-controlling interest 105,901 95,206
Equity holders of the parent 1,169,766 943,233
NET PROFIT FOR THE YEAR 1,275,667 1,038,439
Basic gain per share 24 6,12 4,53
OTHER COMPREHENSIVE EXPENSES
Items that will not be reclassified subsequently to profit or loss
Remeasurement of defined benefit plans 78,191 (42,039)
Income tax relating to items that will not be reclassified
subsequently (19,548) 10,510
Items that will be reclassified to profit or loss
Foreign currency translation differences (17,394) -
TOTAL COMPREHENSIVE INCOME 1,316,916 1,006,910
Total comprehensive profit distribution
Non-controlling interest 105,901 95,207
Equity holders of the Parent 1,211,015 911,703
Total Comprehensive Income 1,316,916 1,006,910

The accompanying notes form an integral part of these consolidated financial statements

CONSOLIDATED INTERIM STATEMENT OF CHANGES IN EQUITY FOR THE THREE-MONTH PERIOD ENDED 1 JANUARY - MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Positive Accumulated Equity
distinction gain/(loss) on Foreign Attributable
from share remeasurement currency to the Owner Non
Share
capital
capital
adjustment
Share
premium
Treasury
shares
of defined
benefit plans
translation
differences
Restricted
reserves
Accumulated
deficit
Net profit for
the period
of the
Company
controlling
interest
Total
equity
Balance as at January 1, 2024 208,037 3,506,451 4,204,499 (3,059,904) (64,815) - 104,102 8,045,321 7,197,853 20,141,544 345,293 20,486,837
Other comprehensive income for the period, net
of tax - - - - 31,529 - - - - 31,529 - 31,529
Net profit for the period - - - - - - - - 943,233 943,233 (19,547) 923,686
Total comprehensive gain/(loss) for the period - - - - 31,529 - - - 943,233 974,762 (19,547) 955,215
Transfers - - - - - - - 7,197,853 (7,197,853) - - -
Increase/(decrease) due to share repurchase
transactions - - - (503,730) - - - - - (503,730) - (503,730)
Balance as at March 31, 2024 208,037 3,506,451 4,204,499 (3,563,634) (33,286) - 104,102 15,243,174 943,233 20,612,576 325,746 20,938,322
--
Balance as at January 1, 2025 191,012 3,504,738 4,204,499 (863,742) (93,748) 130 104,191 12,181,771 5,674,908 24,903,759 997,897 25,901,656
Other comprehensive income for the period, net
of tax - - - - 58,643 (17,394) - - - 41,249 - 41,249
Net profit for the period - - - - - - - - 1,169,766 1,169,766 105,901 1,275,667
Total comprehensive gain/(loss) for the period - - - - 58,643 (17,394) - - 1,169,766 1,211,015 105,901 1,316,916
Transfers - - - - - - - 5,674,908 (5,674,908) - - -
Increase/(decrease) due to share repurchase
transactions - - - - - - - - - - - -
Balance as at March 31, 2025 191,012 3,504,738 4,204,499 (863,742) (35,105) (17,264) 104,191 17,856,679 1,169,766 26,114,774 1,103,798 27,218,572

The accompanying notes form an integral part of these consolidated financial statements.

CONSOLIDATED INTERIM STATEMENT OF CASH FLOWS

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Unaudited 1 Unaudited 1
January- 31 January- 31
Notes March 2025 March 2024
CASH FLOWS FROM OPERATING ACTIVITIES 2,327,543 2,548,095
Profit / (loss) for the period 1,275,667 1,038,439
Adjustments related to reconcilation of net profit / (loss) for the period 1.748.736 1.514.263
- Adjustments related to depreciation and amortization expenses 10-11 789,230 838,226
- Adjustments related to impairment (reversal 4,332 13,500
Adjustments related to impairment (reversal) of receivables 6 4,332 13,500
- Adjustments related to provisions 93,247 48,252
Adjustments related to (reversal) of provision for employment benefits 58,643 31,529
Adjustments related to lawsuit (reversal) of provision for lawsuit 34,604 16,723
- Adjustments related to interest (income) expense 407,039 576,090
Adjustments related to interest income 21 (234,476) (172,391)
Adjustments related to interest expense 21 641,515 748,481
- Adjustments related to tax (gain) loss 23 669,431 809,257
- Other adjustments related to non-cash items (20,565) (33,867)
- Adjustments regarding to (gain) loss on sale of fixed assets (1,872) (298)
Adjustments regarding to (gain) loss on sale of tangible assets (1,872)
(192,106)
(298)
(736,897)
Monetary loss/gain 22 (288,350) 338,661
Changes in working capital
- Adjustments related to increase in trade receivables
(2,184,847) (1,136,061)
- Adjustments related to increase in inventories 202,522 (60,318)
- Adjustments related to increase in trade payables 538,635 940,417
- Adjustments related to increase in other payables from operations 940,601 307,648
- Adjustments related to other (increase) decrease in working capital 214,739 286,975
Adjustments related to increase in other payables from other asset 214,739 286,975
Cash generated from operations 2,736,053 2,891,363
- Payments related with provision for employee benefits (23,583) (28,065)
- Tax paid 23 (379,958) (316,016)
- Payments for other provisions (5,094) 780
- Other cash inflows (outflows) 6 125 33
CASH FLOWS FROM INVESTING ACTIVITIES (1,410,155) (518,493)
- Proceeds from sales of property, plant, equipment and intangible assets
18,578 348
Proceeds from sales of property, plant, equipment 10 18,578 348
- Payment for purchase of property, plant and equipment, intangible assets (790,061) (183,093)
Payment for purchase of property, plant and equipment 10 (743,960) (180,266)
Payment for purchase of intangible assets 10 (46,101)
(638,672)
(2,827)
(335,748)
- Cash payments for capital expenditures (12,859) (2,382,905)
CASH FLOWS FROM FINANCING ACTIVITIES 2,469,634 130,682
- Cash inflows from borrowings
Cash inflows from loans
2,469,634 130,682
- Bank borrowings paid (1,340,620) (875,675)
Cash used for repayment of borrowings (340,620) (185,156)
Cash used for repayment of bonds (1,000,000) (690,519)
- Repayment of lease liabilities (544,998) (428,902)
- Repayment of obligations under finance leases (8,398) (23,445)
- Interest paid (822,953) (854,226)
- Interest received 234,476 172,391
- Cash Outflows Related to Repurchase of Own Shares or Reduced Capital (-) - (503,730)
NET INCREASE (DECREASE) BEFORE THE EFFECT OF
FOREIGN CURRENCY TRANSLATION DIFFERENCES 904,529 (353.303)
Inflation effect on cash and cash equivalents (274,475) (585,069)
Foreign currency translation differences (17,394) -
NET INCREASE / (DECREASE) IN CASH AND CASH EQUIVALENTS 4 612,660 (938,372)
CASH AND CASH EQUIVALENTS AT THE BEGINNING OF THE PERIOD 4 3,002,094 4.469.066
CASH AND CASH EQUIVALENTS AT THE END OF THE PERIOD 4 3,614,754 3,530,694

The accompanying notes form an integral part of these consolidated financial statements.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 1 - ORGANIZATION AND OPERATIONS OF THE GROUP

MLP Sağlık Hizmetleri A.Ş. ("MLP Sağlık") has started its healthcare services operations in 1993, with the opening of Sultangazi Medical Center within the structure of Yükseliş Sağlık Hizmetleri Gıda Tekstil San. Ltd. Şti. in which Muharrem Usta is the majority shareholder. Following this, in 1995, it continues its operations, with the opening of Fatih Hospital under the legal entity of Saray Sağlık Hizmet Ticaret ve Sanayi A.Ş. in which Muharrem Usta was the majority shareholder. In 2005, with the establishment of MLP Sağlık, Fatih and Sultangazi Hospitals were merged under the legal entity of MLP Sağlık.

As of March 31, 2025, MLP is the holding company of 15 subsidiaries (December 31, 2024: 15) (collectively referred as the "Group"), each operating in the healthcare sector in Turkey.

The Company's head office is located in Otakçılar Caddesi No 78 3450, Eyüp, İstanbul.

The Group has an agreement with the Social Security Institution of Turkey (the "SSI") which includes service commitment in all branches disclosed in the Operations Approval Document. SSI is a state enterprise which pays the healthcare expenditures of the citizens of Turkey who are members of the social security system based on the law numbered 5510, and manages social security premiums and short and long term insurance expenses. According to the agreement, the Group is obliged to provide the healthcare services and to issue invoices to the SSI and patients in line with the Communiqué of Health Services published by the SSI. This transaction is performed through Medula, a web based software system, by assessing the right of the patient and obtaining provisions. As a result of the assessment the expenses relating to patients with no SSI, coverage is not charged to SSI. The healthcare expenses provided to the patients are invoiced based on the terms of the Communiqué of Health Services. In this Communiqué SSI determined a price list based on the treatments provided. Invoices are issued based on the price list announced by the Communiqué. SSI has the right not to pay the invoice or make a deduction if the treatments provided are not in compliance with the terms.

The Company is registered to the Capital Markets Board ("CMB") and its shares have been quoted on the Borsa İstanbul A.Ş. ("BİAŞ or "Borsa" or "BİST") since February 13, 2018. In accordance with the resolution numbered 21/655 on July 23, 2010 of CMB; according to the records of Central Registry Agency (CRA); shares representing 26.71% as of March 31 2025, of MLP Sağlık are accepted as "in circulation". As of April 1, 2025, this ratio is 26.71% (Note 16).

The number of employees of the Group as at 31 March 2025 is 13,449 (31 December 2024: 13,278).

Approval of financial statements

Board of Directors has approved the financial statements and delegated authority for publishing it on May 7, 2025.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 1 - ORGANIZATION AND OPERATIONS OF THE GROUP (Continued)

As of March 31, 2025, the subsidiaries of the Company are:

Name Location and base
of operation
Temar Tokat Manyetik Rezonans Sağlık Hizmetleri ve Turizm A.Ş. ("Tokat Hastanesi")
Samsun Medikal Grup Özel Sağlık Hizmetleri A.Ş. ("Samsun Hastanesi")
Kuzey Medikal Pazarlama İnşaat Taşımacılık San. ve Tic. Ltd. Şti. ("Kuzey")
Artımed Medikal Sanayi ve Ticaret A.Ş. ("Artımed")
MS Sağlık Hizmetleri Ticaret A.Ş. ("MS Sağlık")
Mediplaza Sağlık Hizmetleri Ticaret A.Ş. ("Mediplaza")
21. Yüzyıl Anadolu Vakfı ("21.Yüzyıl Anadolu Vakfı")
Tokat
Samsun-İstanbul
Ankara
Ankara
Ankara
Gebze – İzmit
İstanbul
Sotte Sağlık Temizlik Yemek Medikal Turizm Insaat San. ve Tic. A.Ş. ("Sotte Sağlık
Temizlik Yemek")
BTR Sağlık Hizmetleri A.Ş. ("BTR Sağlık")
İstanbul Meditime Sağlık Hizmetleri Ticaret Ltd. Şti. ("Meditime Sağlık")
MLP Gaziantep Sağlık Hizmetleri Anonim Şirketi ("MLP Gaziantep Sağlık")
Kuzey Doğu Sağlık Hizmetleri ve Tic. A.Ş. ("Kuzey Doğu")
Livist Sağlık Hizmetleri Ltd.
MLP İzmir Sağlık Hizmetleri A.Ş.
MLP Ataşehir Sağlık Hizmetleri A.Ş.
İstanbul - Ankara
İstanbul
İstanbul
Gaziantep
İstanbul
Kıbrıs
İstanbul - İzmir
İstanbul

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS

2.1 Basis of Presentation

Statement of Compliance with TFRS

The condensed consolidated financial statements of the Group have been prepared in accordance with the Turkish Financial Reporting Standards, ("TFRS") and interpretations as adopted in line with international standards by the Public Oversight Accounting and Auditing Standards Authority of Turkey ("POA") in line with the communiqué numbered II-14.1 "Communiqué on the Principles of Financial Reporting In Capital Markets" ("the Communiqué") announced by the Capital Markets Board of Turkey ("CMB") on June 13, 2013 which is published on Official Gazette numbered 28676.

The Company prepared its condensed interim financial statements for the period ended 31 March 2024 in accordance with ("IAS") 34 "Interim Financial Reporting". The condensed interim financial statements and its accompanying notes are presented in compliance with the format recommended by CMB including its mandatory information. In compliance with the IAS 34, entities have preference in presenting their interim financial statements whether full set or condensed. In this framework, the Company preferred to present its interim financial statements in condensed.

Interim condensed financial statements of the Group do not include all the information and disclosures required in the annual financial statements, therefore should be read in conjunction with the Company's annual financial statements as of 31 December 2024.

Currency Used

The individual financial statements of each Group entity are presented in the currency of the primary economic environment in which the entity operates (its functional currency). For the purpose of the consolidated financial statements, the results and financial position of each entity are expressed in TL. As at 31 March 2025, the functional currency of Kosovo branch of Samsun Medikal Grup Özel Sağlık Hizmetleri A.Ş. is Euro ('EUR'). The income statements of Group companies that present their financial statements in a functional currency other than TL are translated into TL at the average exchange rate for the year. The assets and liabilities of these Group companies are translated into TL at the closing rate. Exchange differences arising on the translation of the opening net assets of these Group companies and differences between the average and closing exchange rates are taken to the currency translation reserve in equity.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.1 Basis of Presentation (Continued)

Restatement of financial statements during periods of high inflation

In accordance with the CMB's decision dated 28 December 2023 and numbered 81/1820, issuers and capital market institutions subject to financial reporting regulations applying Turkish Accounting/Financial Reporting Standards are required to apply inflation accounting by applying the provisions of TAS 29 to their annual financial statements for the accounting periods ending on 31 December 2023.

POA made an announcement on 23 November 2023 regarding the scope and application of TAS 29. It stated that the financial statements of the entities applying Turkish Financial Reporting Standards for the annual reporting period ending on or after 31 December 2023 should be presented in accordance with the related accounting principles in TAS 29, adjusted for the effects of inflation.

In this framework, while preparing the consolidated financial statements dated 31 March 2025, 31 December 2024 and 31 March 2024 inflation adjustment has been made in accordance with TAS 29.

The financial statements and related figures for previous periods have been restated for changes in the general purchasing power of the functional currency and, consequently, the financial statements and related figures for previous periods are expressed in terms of the measuring unit current at the end of the reporting period in accordance with TAS 29 Financial Reporting in Hyperinflationary Economies.

TAS 29 applies to the financial statements, including the consolidated financial statements, of each entity whose functional currency is the currency of a hyperinflationary economy. If an economy is subject to hyperinflation, TAS 29 requires an entity whose functional currency is the currency of a hyperinflationary economy to present its financial statements in terms of the measuring unit current at the end of the reporting period.

As at the reporting date, entities operating in Turkey are required to apply TAS 29 "Financial Reporting in Hyperinflationary Economies" for the reporting periods ending on or after 31 December 2023, as the cumulative change in the general purchasing power of the last three years based on the Consumer Price Index ("CPI") is more than 100%.

The table below shows the inflation rates for the relevant years calculated by taking into account the Consumer Price Indices published by the Turkish Statistical Institute (TURKSTAT):

Three-year cumulative
Date Index Adjustment coefficient inflation rates
31.03.2025 2,954.69 1.00000 250%
31.12.2024 2,684.55 1.10063 291%
31.03.2024 2,139.47 1.38104 309%

The main lines of TAS 29 indexation transactions are as follows:

• As of the balance sheet date, all items other than those stated in terms of current purchasing power are restated by using the relevant price index coefficients. Prior year amounts are also restated in the same way.

• Monetary assets and liabilities are expressed in terms of the purchasing power at the balance sheet date and are therefore not subject to restatement. Monetary items are cash and items to be received or paid in cash.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.1 Basis of Presentation (Continued)

Restatement of financial statements during periods of high inflation (continued)

• Fixed assets, subsidiaries and similar assets are indexed to their acquisition values, which do not exceed their market values. Depreciation has been adjusted in a similar manner. Amounts included in shareholders' equity have been restated by applying general price indices for the periods in which they were contributed to or arose within the Company.

• All items in the income statement, except for the effects of non-monetary items in the balance sheet on the income statement, have been restated by applying the multiples calculated over the periods when the income and expense accounts were initially recognised in the financial statements.

• The gain or loss arising on the net monetary position as a result of general inflation is the difference between the adjustments to non-monetary assets, equity items and income statement accounts. This gain or loss on the net monetary position is included in net profit.

The impact of the application of TAS 29 Inflation Accounting is summarised below:

Restatement of the Statement of Financial Position

Amounts in the statement of financial position that are not expressed in terms of the measuring unit current at the end of the reporting period are restated. Accordingly, monetary items are not restated because they are expressed in the currency of the reporting period. Non-monetary items are required to be restated unless they are expressed in terms of the currency in effect at the end of the reporting period.

The gain or loss on the net monetary position arising on restatement of non-monetary items is recognised in profit or loss and presented separately in the statement of comprehensive income.

Restatement of the Statement of Profit or Loss

All items in the statement of profit or loss are expressed in terms of the measuring unit current at the end of the reporting period. Therefore, all amounts have been restated by applying changes in the monthly general price index.

Cost of inventories sold has been restated using the restated inventory balance.

Depreciation and amortisation expenses have been restated using the restated balances of property, plant and equipment, intangible assets, investment property and right-of-use assets.

Restatement of Statement of Cash Flows

All items in the statement of cash flows are expressed in terms of the measuring unit current at the end of the reporting period.

Consolidated financial statements

The financial statements of a subsidiary whose functional currency is the currency of a hyperinflationary economy are restated by applying the general price index before they are included in the consolidated financial statements prepared by the parent company. If the subsidiary is a foreign subsidiary, its restated financial statements are translated at the closing rate.

When consolidating financial statements with different reporting period ends, all monetary and non-monetary items are restated in accordance with the measuring unit current at the date of the consolidated financial statements.

Comparative figures

Relevant figures for the previous reporting period are restated by applying the general price index so that the comparative financial statements are presented in the measuring unit applicable at the end of the reporting period. Information disclosed for prior periods is also expressed in terms of the measuring unit current at the end of the reporting period.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.1 Basis of Presentation (Continued)

Restatement and errors in the accounting policies and estimates

The Group's consolidated financial statements have been prepared in comparison with the previous period in order to give accurate trend analysis regarding the financial position and performance. Where necessary, comparative figures have been reclassified to conform to the presentation of the current period consolidated financial statements and significant changes are explained.

Within the scope of interim financial statements for the period of January 1 – March 31, 2024, the inflation effect of deferred tax amounting to TRY 957,171, included in Note 22 – Deferred Tax Liabilities Movement Table, has been classified under the 'Monetary Gain/(Loss)' line item in the statement of profit or loss.

Basis of Consolidation

The details of the Company's subsidiaries as at March 31, 2025 and December 31, 2024 are as follows:

Subsidiaries Place of incorporation
and operation
31 March
2025
31 December
2024
Principal activity
Tokat Hastanesi Tokat %58.84 %58.84 Hospital Services
Samsun Hastanesi (2) Samsun %80.00 %80.00 Hospital Services
MS Sağlık Ankara %100.00 %100.00 Hospital Services
Mediplaza Gebze-İzmit %75.00 %75.00 Hospital Services
BTR Sağlık Hizmetleri İstanbul %100.00 %100.00 Hospital Services
Meditime Sağlık İstanbul %100.00 %100.00 Hospital Services
MLP Gaziantep Sağlık Gaziantep %100.00 %100.00 Hospital Services
Sotte Sağlık Temizlik Yemek İstanbul - Ankara %100.00 %100.00 Hospital Services
Livist Sağlık Hizmetleri Ltd. Kıbrıs %99.99 %99.99 Hospital Services
MLP İzmir İstanbul - İzmir %65.00 %65.00 Hospital Services
Kuzey Ankara %100.00 %100.00 Ancillary Services
Artımed Ankara %100.00 %100.00 Ancillary Services
21. Yüzyıl Anadolu Vakfı (1) İstanbul %100.00 %100.00 Ancillary Services
Kuzey Doğu İstanbul %100.00 %100.00 Ancillary Services
MLP Ataşehir İstanbul %64.00 %64.00 Ancillary Services

(1) Represents voting power held. In 2011, the Group with the help of its real person shareholders decided to establish a medical university. Based on current legislation, foundations have to be owned by real persons rather than companies and since MLP Sağlık could not be the shareholder of an association, Muharrem Usta, one of the shareholders in the company, was assigned as the chairman of the board of the foundation. The purpose of the foundation is to establish a medical university in order to align one of the hospitals of the Group to that university. Although, MLP Sağlık has no shareholder interest in the foundation, the financial statements of the foundation are consolidated to the financial statements in accordance with TFRS 10 as the Company achieved the control by having power and the ability to use its power on the future benefit and cost of the foundation. In addition, the Company has rights to the financial and operating policies of the university from its involvement with the investee.

(2) As of October 2024, a hospital operating in Kosovo was opened to be affiliated to Samsun Hospital. The functional …..currency of the related branch is Euro.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.1 Basis of Presentation (Continued)

The consolidated financial statements incorporate the financial statements of the Company and entities controlled by the Company and its subsidiaries. Control is achieved when the Company:

  • Has power over the investee,
  • Is exposed, or has rights, to variable returns from its involvement with the investee and
  • Has the ability to use its power to affect its returns.

The Company reassesses whether or not it controls an investee if facts and circumstances indicate that there are changes to one or more of the three elements of control listed above.

In cases where the Company has no majority voting rights on the company/asset invested, it still has the control power over that company/asset if the Company alone has sufficient voting rights to manage the investment operations of that company/asset. The Company considers all events and requirements including the items listed below to evaluate if its voting power is sufficient to get control power in an investment:

  • The comparison of the Company's voting right and other shareholders' voting rights;
  • Potential voting rights of the Company and other shareholders;
  • Rights emerging from other agreements upon contracts;
  • Other events and requirements showing the potential power of the Company in managing operation decisions (including the voting held on prior period general assemblies).

Consolidation of a subsidiary begins when the Company obtains control over the subsidiary and ceases when the Company loses control of the subsidiary. Specifically, income and expenses of a subsidiary acquired or disposed of during the year are included in the consolidated statement of profit or loss and other comprehensive income from the date the Company gains control until the date when the Company ceases to control the subsidiary.

Profit or loss and each component of other comprehensive income are attributed to the owners of the Company and to the non-controlling interests. Total comprehensive income of subsidiaries is attributed to the owners of the Company and to the non-controlling interests even if this results in the non-controlling interests having a deficit balance.

Where necessary, adjustments are made to the financial statements of subsidiaries to bring their accounting policies in line with those used by other members of the Group.

All intra-group assets and liabilities, equities, income and expenses and cash flows resulting from of Group companies' transactions are eliminated on consolidation.

Changes in the Group's ownership interests in existing subsidiaries

Changes in the Group's ownership interests in subsidiaries that do not result in the Group losing control over the subsidiaries are accounted for as equity transactions. The carrying amounts of the Group's interests and the noncontrolling interests are adjusted to reflect the changes in their relative interests in the subsidiaries. Any difference between the amount by which the non-controlling interests are adjusted and the fair value of the consideration paid or received is recognized directly in equity and attributed to owners of the Company.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.1 Basis of Presentation (Continued)

When the Group loses control of a subsidiary, a gain or loss is recognised in profit or loss and is calculated as the difference between (i) the aggregate of the fair value of the consideration received and the fair value of any retained interest and (ii) the previous carrying amount of the assets (including goodwill), and liabilities of the subsidiary and any non-controlling interests. All amounts previously recognised in other comprehensive income in relation to that subsidiary are accounted for as if the Group had directly disposed of the related assets or liabilities of the subsidiary (i.e. reclassified to profit or loss or transferred to another category of equity as specified/permitted by applicable IFRSs). The fair value of any investment retained in the former subsidiary at the date when control is lost is regarded as the fair value on initial recognition for subsequent accounting under IAS 39, when applicable, the cost on initial recognition of an investment in an associate or a joint venture.

2.2 Changes in Accounting Policies

Significant changes made in accounting policies are applied retrospectively and prior year financial statements are restated. In current period, the Group has no changes in its accounting policies other than the change disclosed in Note 2.1.

2.3 Changes in the Accounting Estimates and Errors

If changes in accounting estimates are for only one period, changes are applied on the current year but if the changes in accounting estimates are for the following periods, changes are applied both on the current and the following years prospectively. In the current period, the Group has no changes in the accounting estimates and errors.

2.4 Significant Accounting Estimates and Decisions

Preparation of consolidated financial statements requires management to make estimations and assumptions which may affect the reported amounts of assets and liabilities as of the statement of financial position date, the disclosure of contingent assets and liabilities and the reported amounts of income and expenses during the financial period. The accounting assessments, estimates and assumptions are reviewed considering past experiences, other factors and reasonable expectations about future events under current conditions. Although the estimations and assumptions are based on the best estimates of the management's existing incidents and operations, they may differ from the actual results.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)

2.5 New and Amended Turkish Financial Reporting Standards

a) Amendments that are mandatorily effective from 2025

Amendments to TAS 21 Lack of Exchangeability

Amendments to TAS 21 Lack of Exchangeability

The amendments contain guidance to specify when a currency is exchangeable and how to determine the exchange rate when it is not. Amendments are effective from annual reporting periods beginning on or after 1 January 2025.

The Group evaluates the effects of these standards, amendments and improvements on the consolidated financial statements.

b) New and revised TFRSs in issue but not yet effective

The Group has not yet adopted the following standards and amendments and interpretations to the existing standards:

TFRS 17 Insurance Contracts

Amendments to TFRS 17 Initial Application of TFRS 17 and TFRS 9 — Comparative Information

TFRS 17 Insurance Contracts

TFRS 17 requires insurance liabilities to be measured at a current fulfillment value and provides a more uniform measurement and presentation approach for all insurance contracts. These requirements are designed to achieve the goal of a consistent, principle-based accounting for insurance contracts. TFRS 17 has been deferred for insurance, reinsurance and pension companies for a further year and will replace TFRS 4 Insurance Contracts on 1 January 2026.

Amendments to TFRS 17 Insurance Contracts and Initial Application of TFRS 17 and TFRS 9 – Comparative Information

Amendments have been made in TFRS 17 in order to reduce the implementation costs, to explain the results and to facilitate the initial application.

The amendment permits entities that first apply TFRS 17 and TFRS 9 at the same time to present comparative information about a financial asset as if the classification and measurement requirements of TFRS 9 had been applied to that financial asset before. Amendments are effective with the first application of TFRS 17.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 3 - RELATED PARTY DISCLOSURES

Transactions between the Company and its subsidiaries, which are related parties of the Company, have been eliminated on consolidation and are not disclosed in this note.

The details of short-term receivables and payables as of 31 March 2025 are as follows:

31 March 2025
Receivables Payables
Short-term Short-term
Shareholders Trade Non-trade Trade Non-trade
Muharrem Usta (*) - 283,107 - 50
Adem Elbaşı - 12,946 - -
Hikmet Çavuş - 23,805 - -
Mehmet Fatih Yalçınkaya - - - 18,183
Other companies controlled by the shareholders
A ve A Sağlık A.Ş. (2) 326 - 31,398 -
Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) - - 16,508 -
Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. 2 - 509 -
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) 792 - 22,569 -
Saray Eczanesi - - 369 -
MLP Healthcare Uk (5) 33,662 - - -
Samsunpark Öz. Sağ. Tıbbı Malz. Tur. Tem. Tic. A.Ş. (3) - - 24,146 -
Tokat Emar Sağlık Hiz. Ltd. Şti. - - 165 -
Özel Gebze Sentez Sağlık Hizmetleri Ve Tic. A.Ş. - - - 7
Other 440 140 - 4
35,222 319,998 95,664 18,244

(*) Non-trade receivables from Muharrem Usta is short term due date and interest charge from the current value of internal debt ratio of Group.

(1) A ve A Özel Sağ. Hiz. ve Cih. Teks. San. Tic. Ltd. Şti. provides cleaning materials for the hospitals.

(2) Fom Grup Mimarlık İnşaat ve Tic. A.Ş. provides turn key project management services for the furniture & fixture and leasehold improvements of the hospitals and audit of construction of the Group hospitals.

(3) Samsunpark Özel Sağlık Tıbbı Malz. İnş. Tur. Tem. Tic. A.Ş. provides cleaning, catering and laundry services for the Group.

(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.

(5) MLP Healthcare UK operates in the field of healthcare services and provides consultancy services in this area.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 3 - RELATED PARTY DISCLOSURES (Continued)

31 December 2024
Receivables Payables
Short-term Short-term
Shareholders Trade Non-trade Trade Non-trade
Muharrem Usta (*) - 276,741 - 55
Adem Elbaşı - 12,307 - -
Hikmet Çavuş - 11,849 -
Fatih Mehmet Yalçınkaya - - - 20,013
Other companies controlled by the shareholders
A ve A Sağlık A.Ş. (2) - - 23,175 -
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) 233 - 23,189 -
Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) - - 9,804 -
Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. - - 560 -
Samsunpark Özel Sağlık Tıbbı
Malz. İnş. Tur. Tem. Tic. A.Ş. (3) - - 19,248 -
MLP Healthcare Uk (5) 32,227 -
Saray Eczanesi - - 75 -
Tokat Emar Sağlık Hiz. Ltd. Şti. - - 182 -
Özel Gebze Sentez Sağlık Hizmetleri Ve Tic. A.Ş. - - - 7
Other 88 153 - 5
32,548 301,050 76,233 20,080

(*) Non-trade receivables from Muharrem Usta is short term due date and interest charge from the current value of internal debt ratio of Group.

(1) Fom Grup Mimarlık İnşaat ve Tic. A.Ş. provides turnkey project management services for the furniture & fixture and leasehold improvements of the hospitals and audit of ongoing construction of the Group hospitals.

(2) A ve A Özel Sağ. Hiz. ve Cih. Teks. San. Tic. Ltd. Şti. provides cleaning materials for the hospitals.

(3) Samsunpark Özel Sağlık Tıbbı Malz. İnş. Tur. Tem. Tic. A.Ş. provides cleaning, catering and laundry services for the Group.

(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.

(5) MLP Healthcare UK operates in the field of healthcare services and provides consultancy services in this area.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 3 - RELATED PARTY DISCLOSURES (Continued)

Advances given to related parties, prepaid expenses 31 March 2025 31 December 2024
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) 13,850 15,244
Sanport Gayrimenkul Geliştirme İnş.Ve Tic.A.Ş 279 306
Atk Sağlık Hizmetleri Ve Danışmanlık A.Ş. 11 -
A ve A Sağlık A.Ş. 211 -
14,351 15,550
Fixed asset advances given to related parties 31 March 2025 31 December 2024
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) 1,544,262 1,544,262
1,544,262 1,544,262

(1) Fom Grup Mimarlık İnşaat ve Tic. A.Ş. provides turn key project management services for the furniture & fixture and leasehold improvements of the hospitals and audit of ongoing construction of the Group hospitals.

31 March 2025 31 December 2024
Lease liabilities from related parties Short-term Long-term Short-term Long-term
Sanport Gayrimenkul Geliştirme İnş. ve Tic. A.Ş 304,315 861,380 216,966 -
Fom Grup Mimarlık İnşaat Ve Tic. A.Ş. 43,728 74,241 41,857 85,240
Atakum Özel Sağlik Hizmetleri İnş.Tur. ve San. Tic. A.Ş. 11,953 429,670 20,835 438,285
Özel Gebze Sentez Sağlık Hizmetleri ve Tic. A.Ş. 37,425 34,915 24,408 31,363
Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. 13,072 17,585 13,512 23,297
410,493 1,417,791 317,578 578,185

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 3 - RELATED PARTY DISCLOSURES (Continued)

1 January-31 1 January-31
Purchases from related parties March 2025 December 2024
A ve A Sağlık A.Ş. (1) 34,654 33,887
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (2) 15,150 18,762
49,804 52,649

(1) Cleaning material purchases

(2) Hospital rent expenses

Operating expenses (including purchase of services) 1 January-31
March 2025
1 January-31
December 2024
Sanport Gayrimenkul Geliştirme İnş. ve Tic.A.Ş (1)(6) 141,285 100,777
Samsunpark Özel Sağ. Tıbbi Malz. İnş. Tur. Tem. Tic. A.Ş. (3) 30,090 37,513
Atakum Özel Sağlik Hiz. İnş. Turizm ve San. Tic. A.Ş. (1)(6) 38,483 27,896
Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (3) 18,376 17,244
Livart Tüp Bebek Özel Sağlık Hizm. A.Ş. (2) 23,438 22,253
Atk Sağlık Hizmetleri Ve Danışmanlık A.Ş. 10,266 4,599
Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. (1)(6) 11,747 12,290
Tokat Emar Sağlık Hiz. Ltd. Şti. (2) (4) 3,738 3,338
Saray Eczanesi (5) 307 402
Özdenler Sağ. Hiz. Dan. Turz. Gıd. San. Tic. Ltd. Şti. (2) 980 728
278,710 227,040

(1) Hospital rent expenses

(2) Doctor expenses

(3) Cleaning, catering and laundry services

(4) Medical equipment rent expenses

(5) Drug purchase expenses

(6) Material purchase expenses

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 3 - RELATED PARTY DISCLOSURES (Continued)

1 January-31 1 January-31
Sales to related parties March 2025 December 2024
A ve A Sağlık A.Ş. (1) 305 355
Cotyora Med.Özel Sağ.Taah. Hz. İnş. Tr. Loj. Ltd. Şti. 520 364
Samsunpark Özel Sağlık Tıbbi Malz. İnş. Turizm. Tem. Tic. A.Ş. 719 604
Fom Grup Mimarlık İnşaat ve Tic. A.Ş. 636 308
Adem Elbaşı 1,456 887
Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. 80 78
Hikmet Çavuş 375 -
MLP Health Uk 1,666 -
Miniso Mağazacılık A.Ş. 368 314
6,125 2,910

(1) Outsourcing laboratory services

Interest income from related parties 1 January-31
March 2025
1 January-31
December 2024
Muharrem Usta 32,410 25,258
32,410 25,258

Compensation of key management personnel:

Key management personnel comprise general managers, deputy general managers and chief physicians of hospitals and head office management team.

The remuneration of directors and other members of key management during the year were as follows:

1 January-31
March 2025
1 January-31
December 2024
Salaries and other short term benefits 64,501 49,320
64,501 49,320

NOTE 4 - CASH AND CASH EQUIVALENTS

31 March 2025 31 December 2024
Cash on hand 42,185 48,176
Cash at banks 3,559,073 2,912,425
- Demand deposit 1,922,158 729,003
- Time deposit 1,636,915 2,183,422
Other cash equivalents (*) 13,496 41,493
3,614,754 3,002,094

(*) Other cash equivalents consist of credit card receivables from banks.

As of 31 March 2025, the interest rates of the Group's time deposits in TRY is respectively 10%-44,50% and their terms are less than 3 months. (31 December 2024: 10%-48%)

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 5 - FINANCIAL INSTRUMENTS

Bank Loans and Bonds

31 March 2025 31 December 2024
Short Term Bank Borrowings 563,032 549,132
Short Term Bonds Issued 1,000,000 2,201,255
Current Portion of Long Term Borrowings 591,882 583,362
- Current portion of long-term bank loans 591,882 583,362
Interest Expense Accruals 170,626 399,635
2,325,540 3,733,384
Long Term Bonds Issued 2,003,052 -
2,003,052 -
Total Borrowings 4,328,592 3,733,384

The Group issued sukuk amounting to 1,000,000 TL with a maturity of 18 months, to be sold to qualified investors on 12 December 2023. The principal payment will be paid on 12.06.2025, which is the maturity date, and the interest rate is 50%.

The reconciliation of the liabilities arising from financing activities as of 1 January- 31 March 2025 and 1 January- 31 December 2024 are as follows:

1 January
2025
Financing
cash flows
Foreign
exchange effect
(Note 21)
Other (*) Effect of
Inflation
31 March 2025
Bank Loans 3,733,384 781,856 156,375 - (343,023) 4,328,592
Finance lease obligations 54.043 (3,457) 2,350 - (7,291) 45,645
Lease obligations 5,005,407 (544,998) 9,061 2,166,278 (454,745) 6,181,003
8,792,834 233,401 167,786 2,166,278 (805,059) 10,555,240
1 January Financing Foreign
exchange effect
Effect of 31 December
2024 cash flows (Note 21) Other (*) Inflation 2024
Bank Loans 5,943,050 (382,907) - - (1,826,759) 3,733,384
Finance lease obligations 86.397 (8,981) 666 - (24,039) 54,043
Lease obligations 3,593,490 (1,546,515) 12,218 4,045,500 (1,099,286) 5,005,407
9,622,937 (1,938,403) 12,884 4,045,500 (2,950,084) 8,792,834

(*) Some of the lease obligations within the scope of TFRS 16 are due to the re-measurement of the reduced lease obligations and interest expenses due to the change in the lease payments realized within the period.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 5 - FINANCIAL INSTRUMENTS (Continued)

As of March 31, 2025 and December 31, 2024 the repayment schedule of the total borrowings as follows: 31 March 2025

Weighted Average Effective Interest
Currency Type Rate Current Non-Current Total
TRY 45.12% 2,288,040 - 2,288,040
TRY TLRef-5.80 37,500 - 37,500
EUR EurLibor+0.89+3.40+3.60 - 2,003,052 2,003,052
2,325,540 2,003,052 4,328,592

31 December 2024

Weighted Average Effective Interest
Currency Type Rate Current Non-Current Total
TL 49.25% 3,650,837 - 3,650,837
TL TLRef+13.55-TLRef+5.80 82,547 - 82,547
3,733,384 - 3,733,384

As of March 31, 2025, there are no blocked cash accounts related to the group's loans (December 31, 2024: None).

As at March 31, 2025 and December 31, 2024 the repayment schedule of the borrowings in TRY are as follows:

31 March 2025 31 December 2024
Interest expense accruals 170,626 399,636
To be paid within 1 year (*) 2,154,914 3,333,748
To be paid between 1-2 years 1,377,456 -
To be paid between 2-3 years 133,702 -
To be paid between 3-4 years 133,702 -
To be paid between 4-5 years 133,702 -
To be paid between 5-10 years 224.490 -
4,328,592 3,733,384

(*) TRY 500,000 of the loans to be paid within one year consists of revolving loans and TRY 1.000.000 part consists of bond payments which will be redeemed within 1 year.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 5 - FINANCIAL INSTRUMENTS (Continued)

Covenants:

The Group has seven banks consisting of Türkiye İş Bankası A.Ş., Türkiye Garanti Bankası A.Ş., Denizbank A.Ş., Denizbank AG, Odeabank A.Ş., ING European Financial Services PLC and ING Bank A.Ş. Syndication loan was signed on December 31, 2015. The use of the syndicated loan took place in February 2016. Regarding the loan in question, the share pledge on 25% of the Group's non-public shares has been removed. The commercial enterprise pledge and the Group's bank account pledge regarding the Company's shares in companies that are subsidiaries of the Group and all fixed assets owned by the Company continue. In addition, the Group's receivables arising from medical tourism contracts and insurance policies have also been assigned.

The syndicate loan includes a number of financial covenants stated below:

The Debt Service Coverage Ratio ("DSCR") cannot be below 1.1 during the term of the agreement (2016-2025). DSCR is tested every six months starting from December 31, 2016.

Net debt to EBITDA Ratio cannot be above x4.0 for the year ended December 31, 2016 and for the six months period ended June 30, 2017, x3.5 for the year ended December 31, 2017 and for the six months period ended June 30, 2018, x3.0 for the year ended December 31, 2018 and for the six months period ended June 30, 2019 and x2.5 for the remaining period of the syndicate loan.

Lease Obligations

The Group has the following finance lease obligations which arose mainly due to lease of medical machinery and equipment:

Minimum lease paymets Present value of minimum lease
payments
31 March 2025 31 December 2024 31 March 2025 31 December 2024
Within one year 39,200 54,049 33,460 38,560
In the second to sixth years inclusive 14,275 10,040 12,185 15,483
53,475 64,089 45,645 54,043
Less: Future finance charges (7,830) (10,046) - -
Present value of finance lease obligations 45,645 54,043 45,645 54,043

NOTE 6 - TRADE RECEIVABLES AND PAYABLES

Trade Receivables

Current trade receivables 31 March 2025 31 December 2024
Trade receivables 5,426,466 4,966,244
Notes receivables 919 1,013
Trade receivables from related parties (Note 3) 35,222 32,548
Income accruals from continuing treatments 2,331,267 1,838,693
Other trade income accruals 15,384 23,103
Allowance for doubtful receivables (-) (151,316) (162,030)
7,657,942 6,699,571

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 6 - TRADE RECEIVABLES AND PAYABLES (Continued)

Non-current trade receivables 31 March 2025 31 December 2024
Income accruals 1.053 1.159
1.053 1.159

Allowance for doubtful receivables for the trade receivables is determined depending on past experiences of irrecoverable amounts.

As of March 31, 2025, trade receivables of an initial value of TRY 151,316 (December 31, 2024: TRY 162,030) were fully impaired and fully provided for. No collaterals are received in relation to these trade receivables.

1 January-31 March 1 January-31 December
Movement of allowance for doubtful receivables 2025 2024
Opening balance 162,030 223,476
Charge for the period (Note 18) (4,332) (10,007)
Collections (125) (95)
Inflation effect (6,257) (51,344)
Ending balance 151,316 162,030

Trade Payables

Current trade payables 31 March 2025 31 December 2024
Trade payables 4,586,375 4,605,130
Trade payables due to related parties (Note 3) 95,664 76,233
Other expense accruals 1,800,560 1,862,465
Other trade payables 47,355 49,725
6,529,954 6,593,553

NOTE 7 - OTHER RECEIVABLES AND PAYABLES

Other Receivables

Other current receivables 31 March 2025 31 December 2024
Receivables from tax office 37,456 41,226
Non-trading receivables due from related parties (Note 3) 1,279 1,153
Deposits given 319,998 301,050
Other miscellaneous receivables 64,148 49,355
422,881 392,784
Other non-current receivables 31 March 2025 31 December 2024
Deposits and guarantees given 986,086 820,596

986,086 820,596

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 7 - OTHER RECEIVABLES AND PAYABLES (Continued)

Other Payables

Other current payables 31 March 2025 31 December 2024
Other taxes and funds payable 211,709 246,589
Payables relating to business combinations (*) 155,835 171,383
Non-trading payables due to related parties (Note 3) 18,244 20,080
Other miscellaneous payables 11,314 12,527
397,102 450,579
Other non-current payables 31 March 2025 31 December 2024
Payables relating to business combinations (*) 1,020,941 1,070,023
1,020,941 1,070,023

(*) The Group has committed a payment schedule that will continue in the upcoming years as a result of some business combination contracts signed in 2014, 2020, 2022 and 2024. This liability represents the net present value of forthcoming payments. The weighted average interest rate of TL denominated contracts is 35% and the average maturity is 9 years (2024: 35% and 9 years). The weighted average interest rate of USD denominated contracts is 9% and the maturity is 2 years (2024:9% and 2 years).

NOTE 8 – INVENTORIES

31 March 2025 31 December 2024
Medical consumables inventory 683,264 917,289
Pharmaceutical inventory 216,108 186,572
Other inventories 2,797 830
902,169 1,104,691

NOTE 9 - PREPAID EXPENSES AND DEFERRED INCOME

Prepaid Expenses

Short term prepaid expenses 31 March 2025 31 December 2024
Advances given (*) 377,170 376,931
Prepaid insurance expenses 101,949 168,832
Prepaid rent expenses 44,254 67,831
Prepaid sponsorship expenses 4,335 2,833
Other 289,161 72,551
816,869 688,978

(*) Advances consist of mainly the turnkey hospital projects regarding new and renovated hospitals and the order advances given for the construction services for the hospitals under construction.

Long term prepaid expenses 31 March 2025 31 December 2024
Fixed asset advances given 2,809,323 2,170,651
Fixed asset advances given to related parties (Note 3) 1,544,262 1,544,262
Prepaid rent expenses - 87
Other 16,467 11,970
4,370,052 3,726,970

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 9 - PREPAID EXPENSES AND DEFERRED INCOME (Continued)

Deferred Income

Short term accrued income 31 March 2025 31 December 2024
Advances received (*) 1,968,828 1,736,595
Deferred revenue 24,260 38,381
1,993,088 1,774,976

(*) Advances are received from mainly local and medical tourism related patients with regards to cost of their treatments. After treatments are completed, realized remunerations are netted with advances.

Long term accrued income 31 March 2025 31 December 2024
Deferred revenue 1,052 1,159
1,052 1,159

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 10 - PROPERTY, EQUIPMENT AND OTHER INTANGIBLE ASSETS

Land Buildings Machinery and
equipments
Vehicles Furniture and
fixtures
Leased
assets
Leasehold
improvements
Construction
in progress
Total
Cost
Opening balance as of 1 January 2025 1,181,905 15,358 9,929,545 28,069 3,790,250 5,568,981 10,068,540 606,776 31,189,424
Additions - - 101,441 - 166,596 - 49,966 425,957 743,960
Disposals - - - - (1,222) - (16,134) - (17,356)
Foreign currency translation differences - - (8,992) - - - - - (8,992)
Closing balance as of 31 March 2025 1,181,905 15,358 10,021,994 28,069 3,955,624 5,568,981 10,102,372 1,032,733 31,907,036
Accumulated depreciations
Opening balance as of 1 January 2025 - (5,588) (7,549,687) (23,856) (3,073,748) (5,541,538) (6,451,937) - (22,646,354)
Charge for the period (*) - (72) (169,937) (269) (68,130) (27,443) (209,440) - (475,291)
Disposals - - - - 650 - - - 650
Closing balance as of 31 March 2025 - (5,660) (7,719,624) (24,125) (3,141,228) (5,568,981) (6,661,377) - (23,120,995)
Carrying value as of 31 March 2025 1,181,905 9,698 2,302,370 3,944 814,396 - 3,440,995 1,032,733 8,786,041

(*) Depreciation and amortization expense of TRY 458,814 (January 1 - March 31, 2024: TRY 404,595) has been charged in 'cost of service', TRY 40,137 (January 1-March 31, 2024: TRY 55,794) has been charged in 'operating expenses' for the period ended between January 1- March 31, 2025.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 10 - PROPERTY, EQUIPMENT AND OTHER INTANGIBLE ASSETS (Continued)

Machinery
Land Buildings and
equipments
Vehicles Furniture
and fixtures
Leased assets Leasehold
improvements
Construction
in progress
Total
Cost
Opening balance as of 1 January 2024 229,798 15,359 9,166,754 25,209 3,254,740 5,538,597 8,856,518 103,839 27,190,814
Additions - - 70,597 - 43,558 - 64,696 1,414 180,265
Disposals - - - - (50) - - - (50)
Closing balance as of 31 March 2024 229,798 15,359 9,237,351 25,209 3,298,248 5,538,597 8,921,214 105,253 27,371,029
Accumulated depreciations
Opening balance as of 1 January 2024 - (5,298) (6,915,741) (22,481) (2,729,810) (5,410,260) (5,857,834) - (20,941,424)
Charge for the period (*) - (72) (153,925) (157) (55,507) (30,993) (194,003) - (434,656)
Disposals - - - - 8 - - - 8
Closing balance as of 31 March 2024 - (5,370) (7,069,666) (22,638) (2,785,309) (5,441,253) (6,051,837) - (21,376,073)
Carrying value as of 31 March 2024 229,798 9,989 2,167,685 2,571 512,939 97,344 2,869,377 105,253 5,994,957

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 10 - PROPERTY, EQUIPMENT AND OTHER INTANGIBLE ASSETS (Continued)

Licenses Rights Other Total
Cost
Opening balance as of 1 January 2025 8,808,265 2,056,296 - 10,864,561
Additions - 46,101 - 46,101
Closing balance as of 31 March 2025 8,808,265 2,102,397 - 10,910,662
Accumulated amortization
Opening balance as of 1 January 2025 - (1,557,157) (1,557,157)
Charge for the period - (23,660) - (23,660)
Closing balance as of 31 March 2025 - (1,580,817) - (1,580,817)
Carrying value as of 31 March 2025 8,808,265 521,580 - 9,329,845
Licenses Rights Other Total
Cost
Opening balance as of 1 January 2024 5,844,366 1,939,440 465 7,784,271
Additions - 2,827 - 2,827
Closing balance as of 31 March 2024 5,844,366 1,942,267 465 7,787,098
Accumulated amortization
Opening balance as of 1 January 2024 - (1,458,798) (465) (1,459,263)
Charge for the period - (25,733) - (25,733)
Closing balance as of 31 March 2024 - (1,484,531) (465) (1,484,996)
Carrying value as of 31 March 2024 5,844,366 457,736 - 6,302,102

NOTE 11- RIGHT OF USED ASSETS

Hospital Buildings Total
Cost
1 January 2025 13,839,418 13,839,418
Additions 1,889,012 1,889,012
Charge of the period (*) (290,279) (290,279)
31 March 2025 15,438,151 15,438,151

(*) For the period ended March 31, 2025, right of use assets depreciation expenses of TRY 287,551 has been charged to 'cost of service' (1 January – 31 March 2024: TRY 374,837), TRY 2,728 to 'general administrative and marketing expenses (1 January – 31 March 2024: TRY 3,000).

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 11 - RIGHT OF USE ASSETS (Continued)

Hospital Buildings Total
Cost
1 January 2024 11,507,188 11,507,188
Additions 2,115,189 2,115,189
Charge of the period (377,837) (377,837)
31 March 2024 13,244,540 13,244,540

NOTE 12- PAYABLES FOR EMPLOYEE BENEFITS

Payables for employment benefits:

31 March 2025 31 December 2024
Fees payable to doctors and other personnel 506,984 414,532
Social security premiums payable 381,236 158,941
888,220 573,473

Short term provision for employment benefits:

31 March 2025 31 December 2024
Unused vacation provision 185,971 150,380
185,971 150,380

Long term provision for employment benefits:

31 March 2025 31 December 2024
Unused vacation provision 134,588 106,268
Retirement pay provision 130,063 117,845
264,651 224,113

NOTE 13 - OTHER ASSETS AND LIABILITIES

Other Current Asset

31 March 2025 31 December 2024
VAT carried forward 321,747 374,016
Other miscellaneous current assets 78,785 51,533
400,532 425,549

NOTE 14 - PROVISIONS

Other short term provisions

31 March 2025 31 December 2024
Litigation provisions 47,990 45,236
Social Security discounts provisions 48,381 53,475
96,371 98,711

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 15 - COMMITMENTS

Total TRY
31 March 2025 Equivalent TL USD EUR
A.CPM given on behalf of its own legal entity
- Collateral 1,974,447 1,839,933 156 3,160
- Pledge -- -- -- --
- Mortgage -- -- -- --
B. CPM given on behalf of the subsidiaries included in full consolidation
(*) -- -- -- --
- Collateral 218,376 218,376 -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
C. CPM given for execution of ordinary commercial activities to collect
third parties debt -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
D. Total amount of other CPM given -- -- -- --
i. Total Amount of CPM on behalf of the main partner -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
ii. Total amount of CPM given on behalf of other Company companies
that do not cover B and C -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
iii. Total amount of CPM on behalf of third parties that do not cover C -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
Total 2,192,823 2,058,309 156 3,160

(*) The Group has given guarantees amounting to TRY 320,511 related to the loans in Note 5 for the companies under full consolidation.

Guarantees given generally include letters of guarantee received from banks to be given to institutions and suppliers.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 15 - COMMITMENTS (Continued)

Toplam TL ABD
31 December 2024 karşılığı TL Doları Avro
A.CPM given on behalf of its own legal entity
- Collateral 1,702,750 1,568,325 171 3,160
- Pledge -- -- -- --
- Mortgage -- -- -- --
B. CPM given on behalf of the subsidiaries included in full consolidation
(*) -- -- -- --
- Collateral 191,958 191,958 -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
C. CPM given for execution of ordinary commercial activities to collect
third parties debt -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
D. Total amount of other CPM given -- -- -- --
i. Total Amount of CPM on behalf of the main partner -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
ii. Total amount of CPM given on behalf of other Company companies
that do not cover B and C -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
iii. Total amount of CPM on behalf of third parties that do not cover C -- -- -- --
- Collateral -- -- -- --
- Pledge -- -- -- --
- Mortgage -- -- -- --
Total 1,894,708 1,760,283 171 3,160

(*) The Group has given guarantees amounting to TRY 481,058 related to the loans in Note 5 for the companies under full consolidation.

Guarantees given generally include letters of guarantee received from banks to be given to institutions and suppliers.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

Shareholders % 31 March 2025 % 31 December 2024
Lightyear Healthcare B.V. 37.76% 72,131 37.76% 72,131
Sancak İnşaat Turizm Nakliyat ve Dış Ticaret A.Ş. 16.72% 31,943 16.72% 31,943
Muharrem Usta 9.78% 18,678 9.78% 18,678
Adem Elbaşı 3.26% 6,226 3.26% 6,226
İzzet Usta 1.30% 2,490 1.30% 2,490
Saliha Usta 0.98% 1,868 0.98% 1,868
Nurgül Dürüstkan Elbaşı 0.98% 1,868 0.98% 1,868
Halka Açık Kısım 29.22% 55,808 29.22% 55,808
100.00% 191,012 100.00% 191,012

NOTE 16 - SHARE CAPITAL/OTHER RESERVES

As of March 31, 2025 the total number of ordinary shares is 191,012 thousand shares (2024: 191,012 thousand shares) with a par value of TRY 1 per share (2024: TRY 1 per share).

The share capital is divided into 191,012 thousand shares (December 31, 2024: 191,012 thousand shares), with 88,229 thousand A type shares and 102,783 thousand B type shares.

In accordance with the Capital Markets Board's (the "CMB") Resolution No: 21/655 issued on July 23, 2010, it is regarded that 26.71% of the shares are in circulaton in accordance with CSD as of March 31, 2025 (Note 1). Shares in circulation rate is 26.71% as of April 1, 2025.

On February 7, 2018, the Group launched initial public offering ("IPO") of 72,834 thousand B type bearer shares corresponding to 35.01% of total shares. From the initial public offering, TRY600,000 was generated to the Group. After the IPO related expenses amounting to TRY12,259 were deducted from proceeds, out of TRY587,741, share capital increase was made with the amount of TRY31,579 and the remaning amount was used in the share premium increase by TRY556,162.

The related amount became 4,204,499 TRY after applying inflation accounting.

31 March 2025 31 December 2024
Share premiums 4,204,499 4,204,499
4,204,499 4,204,499

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 16- SHARE CAPITAL/OTHER RESERVES (Continued)

Reserves:

Legal reserves

The legal reserves consist of first and second legal reserves, appropriated in accordance with the Turkish Commercial Code. The first legal reserve is appropriated out of historical statutory profits at the rate of 5% per annum, until the total reserve reaches 20% of the historical paid-in share capital. The second legal reserve is appropriated after the first legal reserve and dividends, at the rate of 10% per annum of all cash dividend distributions.

31 March 2025 31 December 2024
Legal reserves 6,030 6,920
Restricted reserves appropriated from profit 98,161 97,271
104,191 104,191

NOTE 17 - REVENUE AND COST OF SERVICES

Revenue 1 January-31
March 2025
1 January-31
March 2024
Hospital services (*) 11,754,257 10,993,413
11,754,257 10,993,413

(*) Hospital services includes foreign medical revenue and other income.

1 January-31 1 January-31
Cost of services March 2024 March 2025
Material consumption (1,417,567) (1,564,222)
Doctor expenses (3,084,632) (2,653,763)
Personnel expenses (2,145,391) (1,873,965)
Depreciation and amortization expenses (Note 10,11) (746,365) (779,432)
Services rendered by third parties (257,988) (594,618)
Rent expenses (295,662) (40,843)
Other (*) (574,230) (620,154)
(8,521,835) (8,126,997)

(*) Other expenses mainly comprise expenses incurred for electricity, water and natural gas.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 18 - OPERATING EXPENSES

1 January-31 1 January-31
General administrative expenses March 2024 March 2025
Personnel expenses (618,233) (435,824)
Sponsorship and advertising expenses (*) (231,888) (290,707)
Depreciation and amortization expenses (Note 10,11) (42,865) (58,794)
Outsourcing expenses (59,265) (41,702)
Rent expenses (16,912) (12,363)
Taxes and duties (3,999) (3,352)
Bad debt allowance (Note 6) (4,332) (13,623)
Representation and entertainment expenses (998) (1,043)
Maintenance expenses (3,663) (2,193)
Service expenses (1,022) (1,138)
Communication expenses (6,874) (5,948)
Lawsuit provision (6,890) (16,720)
Other (80,813) (12,466)
(1,077,754) (895,873)

(*) Sponsorship and advertising expenses includes marketing expenses related to the income of domestic and foreing medical tourism.

NOTE 19 - OTHER INCOME AND EXPENSES FROM OPERATING ACTIVITIES

Other income from operating activities 1 January-31
March 2025
1 January-31
March 2024
Foreign exchange gains from operations 458,482 291,586
Trade payables discount (598) 64,127
Other income 60,376 41,777
518,260 397,490
1 January-31 1 January-31
Other expenses from operating activities March 2025 March 2024
Foreign exchange losses from operations (183,813) (224,058)
Trade receivables discount (4,595) (31,040)
SSI return expenses (19,246) (15,962)
Other expenses (208,355) (109,917)
(416,009) (380,977)

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 20 - INCOME AND EXPENSES FROM INVESTING ACTIVITIES

Income from investment activities 1 January-31
March 2025
1 January-31
March 2024
Gain on sale of fixed assets 222 298
222 298
1 January-31 1 January-31
Expenses from investment activities March 2025 March 2024
Loss on sale of fixed assets (2,094) --
(2,094) --

NOTE 21 - FINANCE EXPENSES

1 January-31
March 2025
1 January-31
March 2024
Interest expenses from bank borrowings (243,196) (332,815)
Interest expenses from financial lease obligations (1,897) (3,509)
Interest expenses from bonds issued (132,924) (215,467)
Bank commissions (158,591) (135,459)
Interest expenses from lease liabilities (*) (379,035) (234,707)
Other interest expenses (104,907) (61,231)
Total interest expenses (1,020,550) (983,188)
Interest expenses from lease liabilities (*) (9,061) (12,218)
Net foreign exchange loss (158,725) (666)
Total financial expenses (1,188,336) (996,072)
Interest income 234,476 172,390
Finance expenses, net (953,860) (823,682)

(*) Consists of interest expense and foreign exchange loss related to the lease liabilities under TFRS 16.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 22 - EXPLANATION ON NET MONETARY POSITION GAINS/ (LOSSES)

Non Monetary Items 31 March 2025

(669,431) (1,766,428)

Statement of financial position items
Inventories (16,517)
Prepaid expenses (Short term) 6,596
Property, plant and equipment 556,005
Intangible assets 339,507
Right of use assets 485,232
Prepaid expenses (Long term) 126,822
Deferred tax liability 292,309
Deferred income (48,240)
Share capital (19,221)
Share premium (55,965)
Treasury shares 61,045
Other comprehensive income or expenses that will not be reclassified 39,802
Restricted reserves (1,248)
Accumulated income/loses (1,404,391)
Statement of profit or loss items
Revenue (287,843)
Cost of sales 515,415
General administrative expenses 46,600
Other income from operating activities (12,941)
Other expenses from operating activities (-) 8,860
Finance expenses 12,166
Income from investing activities (82)
NET MONETARY POSITION GAINS/(LOSSES) 643,911

NOTE 23 - TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED)

Short term payables due to current tax 31 March 2025 31 March 2024
Current period tax liabilities 741,474 379,958
741,474 379,958
Current tax liabilities 31 March 2025 31 March 2024
Current corporate tax provision 1,329,102 1,026,718
Less: Prepaid taxes and funds (587,628) (646,760)
741,474 379,958
1 January -31 1 January -31
Tax (expense)/income March 2025 March 2024
Current tax income (396,110) (239,987)
Deffered tax income/(expense) (273,321) (1,526,441)

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 23 - TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED) (Continued)

Corporate Tax

The Group is subject to Turkish corporate taxes in force. The necessary provisions are allocated in the consolidated financial statements for the estimated liabilities based on the Group's results for the year. Turkish tax legislation does not permit a parent company and its subsidiary to file a consolidated tax return. Therefore, provisions for taxes, as reflected in the consolidated financial statements, have been calculated on a separate-entity basis.

Corporate tax is applied on taxable corporate income, which is calculated from the statutory accounting profit by adding non-deductible expenses, and by deducting dividends received from resident companies, other exempt income and investment incentives utilized.

The advance corporate income tax rate is 25% in 2025 (2024 25%).

In Turkey, provisional tax is calculated and accrued on a quarterly basis. The provisional tax rate to be calculated on corporate earnings during the taxation phase of 2025 corporate earnings as of temporary tax periods is 25% (2024: 25%). Losses can be carried forward for a maximum of 5 years, to be deducted from the taxable profits that will arise in future years. However, the losses incurred cannot be deducted retrospectively from the profits of previous years.

Deferred Tax

The Group recognizes deferred tax assets and liabilities based upon temporary differences arising between its financial statements as reported for TFRS purposes and its statutory tax financial statements. These differences usually result in the recognition of revenue and expenses in different reporting periods for TFRS and tax purposes and they are given below. As of 31 March 2025, tax rate used in the calculation of deferred tax assets and liabilities was 25% over temporary timing differences (31 December 2024: 25%) In Turkey, the companies cannot declare a consolidated tax return, therefore subsidiaries that have deferred tax assets position were not netted off against subsidiaries that have deferred tax liabilities position and disclosed separately.

Investment Incentive Certificate

The Group has various investment incentive certificates that were signed by the Turkish Ministry of Economy and approved by General Directorate of Incentive Implementation and Foreign Capital. With those incentives, the Group is eligible for a corporate tax deduction rate ranging between 40%- 80% for an unlimited time, which amounts to a total deferred tax asset of TRY 985,288 (December 31, 2024: TRY 1,060,503). Respective deferred tax asset was calculated to be 15%- 40% of total investment contribution with regards to the respective investment incentive certificates. Additionally, the Group is entitled to social security premium support from the Turkish Ministry of Economy, related to the hospitals that have completed their greenfield investments

As of March 31, 2025, the Group has tax loss amounting to TRY 318,354 (December 31, 2024: TRY 152,755). TRY 79,589 (December 31, 2024: TRY 38,188) deferred tax assets have been recorded concerning this loss.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 23 - TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED) (Continued)

Defered tax assets/ (liabilities) 31 March 2025 31 December 2024
Tax losses carried forward 79,589 38,188
Depreciation differences of tangible and intangible assets (2,903,618) (2,647,035)
Provision for employment termination benefits 35,258 35,790
Vacation pay liability 80,140 64,152
Temporary difference between the tax base and carrying amount of - -
financial liabilities (58,904) (59,046)
Tax advantage from investment incentive 985,288 1,060,503
Right of use asset (2,314,287) (2,208,503)
Other 448,747 361,033
(3,647,787) (3,354,918)
Deferred tax asset 2,627,581 2,683,879
Deferred tax liability (6,275,368) (6,038,797)
(3,647,787) (3,354,918)

Tax losses carried forward and their expiry dates are as follows:

31 March 2025 31 December 2024
Losses carried
forward for wich Losses carried forward
deferred tax assests for wich deferred tax
Expiration schedule of carryforward tax losses recognized assests recognized
Expiring in 2025 1,264 2,769
Expiring in 2026 260 1,391
Expiring in 2027 18,796 287
Expiring in 2028 130,402 20,687
Expiring in 2029 167,632 127,621
318,354 152,755

Movement of deferred tax (assets)/liabilities for the period ended March 31, 2025 and March 31, 2024 are as follows:

Movement of deferred tax liabilities:

1 January-31 1 January-31
Movement of deffered tax liabilities March 2025 March 2024
Opening balance as of January 1 (3,354,918) (2,247,898)
Charged to profit or loss (273,321) (1,526,441)
Charged to equity (19,548) 10,510
(3,647,787) (3,763,829)

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 23 - TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED) (Continued)

The reconciliation of the current tax expense and net income for the period is as follows:

Reconcilation of tax provision: 1 January-31
March 2025
1 January-31
March 2024
Loss before tax 1,945,098 2,804,867
Tax at the domestic income tax rate of 25% (2024: 25%) (486,275) (701,217)
Tax effects of
- Expenses that are not deductible in determining taxable profit (64,490) (26,128)
- Effect of tax advantage from investment incentive 21,744 55,985
- Reduced corporate tax effect 79,811 90,410
- Monetary gain loss effect (160,978) (1,128,170)
- Other (59,243) (57,308)
Income tax income recognised in profit or loss (669,431) (1,766,428)

NOTE 24 - EARNINGS PER SHARE

The weighted average number of shares and earnings per share is as follows:

1 January-31 1 January-31
March 2025 March 2024
Weighted average number of shares 191,012 208,037
Net gain/(loss) for the period for the equity holders of the parent 1,169,766 943,233
Earnings/(loss) per share for equity holder of the parent 6,12 4,53

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 25 - FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES

Financial Risk Factors

Foreign currency risk management

Foreign currency risk

Transactions in foreign currencies expose the Company to foreign currency risk. Exchange rate exposures are managed within approved policy parameters utilising forward foreign exchange contracts. The carrying amounts of the Group's foreign currency denominated monetary assets and monetary liabilities at the reporting date are as follows:

TL
Equivalents
(Functional
31 March 2025 currency) USD EUR GBP Other
1. Trade receivables 266,586 2,943 3,037 652 -
2a. Monetary financial assets 1,534,700 11,330 26,300 745 -
2b. Non monetary financial assets 301,841 2,520 5,074 3 -
3. Other 24,524 9 66 441 -
4. Current Assets 2,127,651 16,802 34,476 1,841 -
5. Trade receivables - - - - -
6a. Monetary financial assets - - - - -
6b. Non monetary financial assets - - - - -
7. Other 924,869 11,489 11,520 - 1,000
8. Non-current assets 924,869 11,489 11,520 - 1,000
3,052,520 28,291 45,997 1,841 1,000
9. Total assets
10. Trade Payables (192,238) (149) (4,584) - -
11a. Financial liabilities (leasing) (282,471) - (6,940) - -
11b. Financial liabilities (leasing) (24,044) - (591) - -
11c. Lease Liabilities (43,714) (1,074) - -
12a. Other monetary liabilities (202,567) (2,565) (2,563) (29) -
13. CURRENT LIABILITIES (745,034) (2,714) (15,752) (29) -
14.Trade Payables - - - - -
15a. Financial liabilities (leasing) (1,776,083) - (43,636) - -
15b. Financial liabilities (leasing) - - - - -
15c. Lease Liabilities (74,240) - (1,824) - -
16a. Other monetary liabilities (638,153) (16,898) - - -
16b. Other non-monetary liabilities - - - - -
17. LONG TERM LIABILITIES (2,488,476) (16,898) (45,460) - -
18. TOTAL LIABILITIES (3,233,510) (19,612) (61,212) (29) -
20. NET FOREIGN CURRENCY ASSET
LIABILITY (9+8+19)
(180,997) 8,680 (15,215) 1,812 1,000
21. MONETARY ITEMS NET FOREIGN
CURRENCY ASSET/LIABILITY POSITION
(1,432,223) (5,339) (31,875) 1,368 -

(1+2a+10+11a+11b+11c+12a+14+15+16a)

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 25 - FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES (Continued)

TL Equivalents
31 December 2024 (Functional
currency)
USD EUR GBP Other
1. Trade receivables 719,081 8,579 8,810 620 -
2a. Monetary financial assets 1,108,027 24,688 2,856 728 -
2b. Non monetary financial assets 61,699 48 1,476 3 -
3. Other 2,441 26 34 1 -
4. Current Assets 1,891,248 33,341 13,176 1,352 -
5. Trade receivables - - - - -
6a. Monetary financial assets - - - - -
6b. Non monetary financial assets - - - - -
7. Other 800,318 9,789 9,845 - 1,000
8. Non-current assets 800,318 9,789 9,845 - 1,000
9. Total assets 2,691,566 43,130 23,021 1,352 1,000
10. Trade Payables (80,913) (1,387) (670) (1) -
11a. Financial liabilities (leasing) - - - - -
11b. Financial liabilities (leasing) (25,033) - (619) - -
11c. Lease Liabilities (43,663) - (1,080) - -
12a. Other monetary liabilities (482,131) (4,956) (7,102) (57) -
13. CURRENT LIABILITIES (631,740) (6,343) (9,471) (58) -
14.Trade Payables - - - - -
15a. Financial liabilities (leasing) - - - - -
15b. Financial liabilities (leasing) - - - - -
15c. Lease Liabilities (85,248) - (2,108) - -
16a. Other monetary liabilities (641,775) (16,554) - - -
16b. Other non-monetary liabilities - - - - -
17. LONG TERM LIABILITIES (727,023) (16,554) (2,108) - -
18. TOTAL LIABILITIES (1,358,764) (22,898) (11,579) (58) -
20. NET FOREIGN CURRENCY ASSET LIABILITY (9+8+19) 1,332,802 20,232 11,442 1,294 1,000
21. MONETARY ITEMS NET FOREIGN CURRENCY
ASSET/LIABILITY POSITION 1,109,488 26,924 87 1,290 -
(1+2a+10+11a+11b+11c+12a+14+15+16a)

Foreign currency sensitivity

The Group is exposed to foreign exchange risk arising primarily from USD and EUR.

The following table details the Group's sensitivity to a 20% increase and decrease against the relevant foreign currencies. 20% is the sensitivity rate used when reporting foreign currency risk internally to key management personnel and represents management's assessment of the possible change in foreign exchange rates. The sensitivity analysis includes only outstanding foreign currency denominated monetary items and adjusts their translation at the period end for a 20% change in foreign currency rates. The sensitivity analysis includes external loans as well as loans to foreign operations within the Group where the denomination of the loan is in a currency other than the currency of the lender or the borrower. A positive number below indicates an increase in profit before tax.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

NOTE 25 - FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES (Continued)

31 March 2025
Profit / (Loss)
Valuation of
foreign currency
Devaluation of
foreign currency
In the case of US dollar gaining 20% value against TRY
1- USD net asset/liability 65,563 (65,563)
2- Portion hedged against USD risk (-) - -
3- USD net effect (1 +2) (65,563) 65,563
In the case of EUR gaining 20% value against TRY
4 -EUR net asset/liability (104,789) 104,789
5 - Portion hedged against EUR risk (-) - -
6- EUR net effect (4+5) (104,789) 104,789
In the case of GBP gaining 20% value against TRY
7- Other currency net asset/liabilitit 17,685 (17,685)
8 - Portion hedged against other currency risk (-) - -
9- Other currency net effect (7+8) 17,685 (17,685)
TOTAL (3+6) (21,541) 21,541
31 December 2024
Profit / (Loss)
Valuation of Devaluation of
foreign currency foreign currency
In the case of US dollar gaining 20% value against TRY
1- USD net asset/liability 156,872 (156,872)
2- Portion hedged against USD risk (-) - -
3- USD net effect (1 +2) 156,872 (156,872)
In the case of EUR gaining 20% value against TRY
4 -EUR net asset/liability 92,546 (92,546)
5 - Portion hedged against EUR risk (-) - -
6- EUR net effect (4+5) 92,546 (92,546)
In the case of GBP gaining 20% value against TRY
7- Other currency net asset/liabilitit 12,607 (12,607)
8 - Portion hedged against other currency risk (-) - -
9- Other currency net effect (7+8) 12,607 (12,607)
TOTAL (3+6) 249,419 (249,419)

NOTE 26 - EVENTS AFTER THE REPORTING PERIOD

None.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS AS AT MARCH 31, 2025

(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)

APPENDIX I EARNINGS BEFORE INTEREST TAXES DEPRECIATION AND AMORTISATION ("EBITDA")

Interest, Tax, Depreciation and Amortization ("EBITDA") is calculated by the Group Management with the addition of the period's depreciation and amortization, financial income and expenses, other adjustments and tax deductions to net loss before tax.

The EBITDA calculation movements for the period ended March 31, 2025 and March 31, 2024 are as follows:

31 March 31 March
EBITDA CALCULATION 2025 2024
i.
Net loss before tax
1,945,098 2,804,867
ii.
Depreciation and amortization of tangible and intangible fixed assets including
789,230 838,228
non-cash provisions related to assets such as goodwill
iii.
Total net finance expenses, net of interest income
786,074 810,798
iv.
Fx gains/losses, net under finance expenses
167,786 12,884
v.
Fair value differences of derivative instruments
- -
vi.
Extraordinary (income)/expenses
67,773 142,419
vii.
Rediscount income/expense (net imputed interest)
5,193 (33,087)
viii.
Gain on bargain purchase price
- -
ix.
Legal case provision expenditures which are reflected to financial statements by
(6,890) 16,720
general accounting principles
x.
Unused vacation pay provision expenses which are reflected to financial
63,911 78,797
statements by the general accounting principles
xi.
Retirement pay provision expenses which are reflected to financial statements
12,218 9,231
by the general accounting principles
xii.
Doubtful receivables provision expenses which are reflected to financial
4,332 13,623
statements by the general accounting principles
xiii.
Non-cash sale and lease back expenses which are reflected to financial
- 282
statements by the general accounting principles
xiv. (Income)/expenses from investment operations 1,872 (298)
xv.
Monetary gain / (loss)
(643,911) (1,641,195)
EBIDTA 3,192,686 3,053,269
TFRS 16 Lease payment effect (544,998) (428,902)
Adjusted EBITDA 2,647,688 2,624,367

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