Annual Report • Mar 25, 2024
Annual Report
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2023 Highlights
In this annual report, the number of employees includes the employees of 3 university hospitals, Liv Bona Dea Hospital and Liv Duna Medical Center operating under the management contract, interns, and employees within the scope of 4-1A. Therefore, the number of permanent employees is different from the 12,677 figure in the TFRS report (Employees within the scope of 4-1A - They are only subject to SSI deduction and are exempted from income and stamp tax liabilities. They are also not subject to retirement pay provision).
All figures in this annual report include the impact of TAS 29 unless otherwise stated.
As MLP Care, we have focused on steady and stable growth since our establishment and we maintain these efforts in awareness of our responsibility to be qualified across every field covering the health sector. In addition to centering patient satisfaction, we benefit from the latest developments in science and technology. We say, "Health everywhere, health for everyone" and aim to touch the lives of every person in Türkiye.
We will continue to add new achievements, pursuing strong and sustainable growth through the projects and investments we carry out at home and abroad.

We reach many parts of our country with an approach that centers on patient welfare and satisfaction. We are adding new hospitals to our portfolio with the aim of delivering our understanding of quality healthcare services to our entire country. In line with a growth strategy based on medium and large-scale hospitals in metropolises, we acquired Private Adana Metro Hospital and Private Adana Hospital.
Local and strategic


We are carrying out new projects in accordance with our strategy to reinforce our strength in international health tourism. This year, we signed a management service contract with Duna Medical Center in Budapest. With this development, we added the second hospital abroad and the eighth hospital in the Liv Hospital brand to our portfolio. We will continue to promote and expand our understanding of quality healthcare services abroad with our powerful brand identity.
Robust global


We attach importance to every topic related to sustainability and carefully consider each step in all our processes. Among the institutions serving in our country's healthcare sector, we were the first to be included in the BIST Sustainability Index. Additionally, we have demonstrated our determination and power to deliver sustainable benefits as a signatory to the UN Women's Empowerment Principles (WEPs).
Conscious and determined
UN Women's Empowerment Principles signatory
MLP Care provides sustainable healthcare services with the most modern infrastructure and technological facilities.


In addition to our 27 hospitals in 13 cities across Türkiye, we opened a hospital in Azerbaijan and Budapest.

Antalya
• Medical Park Çanakkale Hospital
• VM Medical Park Bursa Hospital
• Medical Park Antalya Hospital Complex
• VM Medical Park Mersin Hospital
• Liv Hospital Gaziantep
• Medical Park Adana Hospital
• Medical Park Ordu Hospital
• Medical Park Tokat Hospital
• Liv Bona Dea Hospital
• Liv Duna Medical Center

MLP Care increased its revenue to TL 22.4 billion in 2023 with strong financial performance.

** EBITDA calculated by deducting general administrative expenses from gross profit and adding depreciation and amortization expenses.


MLP Care is the largest Turkish private healthcare group operating 29 hospitals in 13 cities across Türkiye, Baku, Azerbaijan and Budapest, Hungary. MLP Care is a leader in the healthcare sector.

Founded in 1993 as Medical Park, MLP Sağlık Hizmetleri A.Ş. (MLP Care) continues to extend its reach with the Liv Hospital brand and the VM Medical Park concept for a quarter of a century. MLP Care is the largest Turkish private healthcare group operating 29 hospitals in 13 cities across Türkiye, Baku, Azerbaijan and Budapest, Hungary. MLP Care is a leader in the healthcare sector with its hospital facilities, affiliates, and more than 20,000 employees acting with the integrity of a family.
As Türkiye's leading multidisciplinary hospital group, MLP Care has a highly centralized business model that supports hospital field operations and central management, as well as a nationwide network spanning the most densely populated cities in Türkiye.
Maintaining strong and profitable growth, our business model as MLP Care is supported by a balanced payer profile. MLP Care's executive management team consists of senior professionals who have extensive industry knowledge and experience gained at Türkiye's leading healthcare institutions and enterprises.

MLP Care continues its activities with visionary leadership supported by an exceptional management team and outstanding platform for further growth.
MLP Care has a unique approach that allows our Company to target diverse segments in the population. Our Company provides services in Türkiye under two brands and one concept, featuring three pricing strategies: These are the Medical Park and Liv Hospital brands, and the VM Medical Park concept, respectively.






Premium Premium Mass Middle-Upper Mass
Attractive Turkish healthcare market offering robust growth potential for investors
Leader in private hospital provision
Strong brand recognition and unique business model addressing all price points
Clinical excellence and world-class service offering
Superior operational and financial performance
Outstanding platform for further growth
Visionary leadership supported by an exceptional management team
We aim to become a reference institution abroad and the most preferred private healthcare service provider in Türkiye.
We work to ensure that all people live healthy lives.
* Surgical Review Corporation

As MLP Care we continue our strong growth through acquisitions and the opening of new hospitals, our university affiliations and our brands targeting different price segments. Featuring two brands and one concept, our Company serves a diverse range of patients, including the middle-upper mass, premium mass, and premium segments.

With Medical Park, our first brand that we introduced with the "Health for Everyone" motto, we offer our services to middle and upper segments. The brand is mainly aimed at patients covered by SSI (Social Security Institution) health insurance. Currently, 13 of our Group hospitals operate under our brand.

Our VM Medical Park concept, which is named "Value Added Medicine," was launched in 2015. This concept targets the patients in higher income groups relying on private health insurance and self-pay patients willing to pay higher prices for high quality services. Under the VM Medical Park concept, our Company provides elevated service quality compared to the Medical Park brand in terms of advanced medical technology and equipment, high-caliber physicians, more nursing and administrative staff per patient, sophisticated contemporary décor, and inpatient suites. Currently, 8 of our Group hospitals operate under this concept.
VM Medical Park Maltepe Hospital
Launched in 2013, the Liv concept is our Company's premium segment service. Taking its name from the acronym for "Leading International Vision," Liv Hospital targets the premium segment, consisting mainly of self-pay patients or patients who have private health insurance and are willing to pay more for VIP service. Liv Hospital delivers an advanced level of comfort and hospitality services in terms of more staff per patient and the latest in-room technology. Our Company operates 8 hospitals under the Liv Hospital brand exclusively: Istanbul Ulus, Vadistanbul, Ankara Çankaya, Samsun, and Gaziantep along with Istinye University Hospital Liv Hospital Bahçeşehir, Liv Bona Dea Hospital and Liv Duna Medical Center, currently operating pursuant to a management contract.
Liv Hospital Vadistanbul
MLP Care added 22 hospitals to its portfolio, both through greenfield expansions and acquisitions, between 2014 and 2023.
We aim to continue providing our world-class services to all patient groups in different segments in the upcoming periods. We follow the strategies below to achieve these objectives.
Our proven track record of growth, both through greenfield expansions and acquisitions, added 22 hospitals to the Company's portfolio between 2014 and 2023. As part of its strategy to focus growth in metropolitan areas with mid-large scale hospitals, we evaluate the opportunities for greenfield expansions and acquisitions.
Ratio of people using private health insurance to the population in Türkiye 13%
In addition to organic growth, our Company regularly monitors acquisition opportunities in the sector. The Company expects to benefit from the consolidation trend of the fragmented private healthcare sector in the upcoming years.
Up to 13% of the total population in Türkiye is covered by private medical insurance; this ratio decreases to 9% when emergency and travel insurances are excluded. Of the total 11.1 million insurance policies sold in Türkiye, 2.9 million are comprehensive healthcare insurance and 4.1 million are top-up insurance policies. This growth was mainly driven by the affordability of the top-up insurance policies compared to the comprehensive healthcare insurance policies. Due to the Covid-19 pandemic that affected the whole world, the demand for top-up insurance has increased.
The medical tourism market in Türkiye is growing in terms of visitors and expenditures, representing the significant potential for our Company's business. Türkiye has an important position in the medical tourism market, offering both clinical excellence and competitive prices for the most common operations. As well, the country's advantageous position in the medical tourism market is supported by recent regulatory initiatives, including government financial incentives, such as Turquality, intended to stimulate medical tourism.
As of December 30, 2019, our Company became the first company in the service sector to be admitted to the Turquality Support Program with two different brands.

The Turquality Support Program is the first and only state-sponsored branding program that supports Turkish brands to become global players in international markets. Unlike traditional export supports, the focus of the Turquality Program is to contribute to companies' branding objectives, rather than simply increasing exports.
As a leading healthcare service provider in terms of revenue generated from medical tourism, we have consistently expanded our market share by offering high medical quality and affordable prices.
Our Company's portfolio includes 6 private medical school-affiliated hospitals. Medical Park Bahçelievler Hospital, BAU Medical Park Göztepe Hospital Complex, and YİÜ Medical Park Ankara Hospital are owned by our Company, while IAU VM Medical Park Florya Hospital, Istinye University Hospital Liv Hospital Bahçeşehir, and ISU Medical Park Gaziosmanpaşa are operated pursuant to a management contract.
The hospitals that are currently operated pursuant to a management contract are owned by their respective universities but operated under MLP Care brands and concepts; thus, they are included in our Company portfolio. While our Company does not own these hospitals, we are responsible for its setup and operation pursuant to long-term service contracts. In return, our Company receives a share of the hospitals' annual revenues and profit.
Our Company's ability to recruit physicians effectively depends on its strong brand and capability to support participation in scientific activities through affiliations with medical schools.
The total number of policies sold in Türkiye increased by 11% in 2023, reaching 7 million.

14% CAGR Total Growth 3% CAGR Comprehensive Healthcare Insurance Growth 59% CAGR Top-up Insurance Growth


Sultangazi hospital was opened by Muharrem Usta and Adem Elbaşı.
Istanbul Fatih hospital was opened.
The Company was established by incorporated by founders Muharrem Usta and Adem Elbaşı, together with Sancak İnşaat on a (50%/50%) ownership basis.
VM Medical Park Bursa Hospital was opened.
Istanbul Bahçelievler hospital was opened; Batman, Elazığ and Tokat hospitals were acquired.
Antalya, Gaziantep, and Istanbul Göztepe hospitals were opened.
Uşak hospital was acquired.
Gebze, Tarsus, and Izmir hospitals were opened.
Our first premium hospital, Liv Hospital Ulus was opened.

Kocaeli VM Hospital, the first hospital managed under the VM Medical Park concept, and Istanbul Gaziosmanpaşa Hospital were opened.
Istanbul Istinye University Hospital Liv Hospital Bahçeşehir commenced operations pursuant to a management contract.
• Liv Duna Medical Center was opened. It is the eighth hospital of Liv Hospital brand and our second hospital abroad.
In 2023, the Group's revenue from health tourism increased by 7%, reaching USD 114 million.
Dear shareholders, stakeholders and employees,
2023 was a year that left deep traces in our memories. At the very beginning of the year, we had to face a devastation in which we suffered heavy losses. The earthquakes in Kahramanmaraş and Hatay, two weeks apart, changed the definitions and images of many concepts in our minds. We experienced the purest forms of pain, anxiety, sadness, gratitude for a miracle, kindness and solidarity, and finally remembered what is possible with the power of social unity.
In 2023, we also observed once again that success is the natural result of processes that start with believing in a dream and continue with hard work and perseverance. We were proud of the international achievements of our athletes, and we were especially pleased with the success of our female athletes. Our national athletes demonstrated how women can build great achievements when given the opportunity.
2023 was the 100th anniversary of our republic and the 30th anniversary of our company.
The proud story of our republic, which began with the people's belief in the dream of enlightenment founded by Gazi Mustafa Kemal Atatürk, turned into an epic exactly a century ago, thanks to the same people's perseverance and determination to maintain their sovereignty even under the most unfavorable conditions.
As in the last century, we will continue to be inspired by our history for new achievements in the future. And of course, to work with determination, dreaming of being the best for our country...
I believe that Liv Duna Medical Center, which we put into service last year in Budapest, the capital of Hungary, will make a significant contribution to Turkey's goal of branding in health. Liv Duna
Medical Center, the 2nd abroad and the 8th branch of Liv Hospital, started to serve as the 29th hospital of our group.
In 2023, our health tourism revenue as a group increased by 7% to 114 million dollars. Health tourism provides an opportunity for our country to grow by creating added value. For this reason, we will continue to focus on this area in the coming period. In addition to our collaborations abroad, our strategy to grow in big cities in our country will also support this goal.
Last year, we commissioned 12 different departments in 6 hospitals and increased the capacity of beds and polyclinics in 1 hospital. Our newly opened departments range from pediatric subspecialties to home care. Specialization is an extremely important issue for us.
Our priorities are to deepen our expertise by providing services in a wide range of branches, including sub-branches, and to respond to the expectations of our people in this field by developing.
TL billion Net profit 5.8
Last year we celebrated the 30th anniversary of our group. I believe that anniversaries give us the opportunity to take stock. So, how far have we come in 30 years?
I would like to answer this question based on the results of the Hospital Awareness and Perception Survey conducted by Ipsos in 5 major cities where we have branches. Medical Park is the market leader in terms of brand awareness and share of mind in this awareness. The research shows that 98 out of every 100 people who have received services from private hospitals in the last 1 year know the Medical Park brand, and 21 of them think of Medical Park first when they think of a private hospital.
Liv Hospital, as the youngest player in the market among chain brands, is taking firm steps towards the leadership of its segment, having just turned 10 years old. In the last four years, it has increased its spontaneous recognition by 20 points and its first hospital brand score by 8 points.
According to the results of the same survey, Medical Park was the most admired private hospital, while Liv Hospital ranked 3rd along with two strong competitors in its segment.
Considering that dozens of national and local brands serve in our market, these results are a source of pride for us. It is an indicator that we are on the right track. However, we know that better is always possible...
As a leading organization, we will continue our growth in the coming period, while also being in a position to produce solutions to the problems in society with our exemplary practices and employees.
As the first hospital group to be included in the BIST Sustainability Index, we are deepening our efforts in this area. We will publish the 4th sustainability report this year. As you can follow from the report, we are moving forward in line with our targets in our commitments. Sustainability is becoming a management philosophy and a way of doing business for our organization. I believe that as an organization, we have adapted very quickly to this field with the effect of the fact that health is a business area that aims to ensure the continuity of well-being due to its nature. So much so that we aim to add new ones this year to the many projects we are continuing.
In addition, as a signatory of the Women Empowerment Principles, we continue our efforts to ensure that women are at the center of social and business life. As one of the companies with the highest number of female employees and managers in Turkey, we shared with you our goal of increasing our female manager ratio to 42% in 2025 through our sustainability report. I would like to inform you that this ratio reached 43% as of 2023 and we have already achieved this goal.
2024 will give us the opportunity to write new success stories together with all our stakeholders. I care about the bond and unity we create with our stakeholders, because successes create value only when we are together, and challenges become easier only when we are united. I would like to thank all my stakeholders who add value to our company with their presence.
With my deepest respect and greetings,
Dr. Muharrem Usta Chairman of the Board and CEO
In line with the strategy of growing with mid-large scale hospitals, as MLP Care, we expanded our hospital network with the opening of Liv Duna Medical Center in November 2023.
MLP Care continued its strong growth trend in 2023, with net profit of TL 4.8 billion and EBITDA up by 35.1% to TL 5.8 billion.
In line with the strategy of growing with mid-large scale hospitals, as MLP Care, we expanded our hospital network with the opening of Liv Duna Medical Center in November 2023.
Our application to the Capital Markets Board on February 20, 2023 for increasing the upper limit of the Company's registered capital ceiling from the current TL 875,000,000,000 to TL 5,740,000,000,000 in accordance with the Capital Markets Board's "Registered Capital System Communiqué II-18-1" ("Communiqué") and extending the validity period to cover the years 2023-2027 and amending Article 8 of the Articles of Association within this framework was approved.
Our Company's application dated February 13, 2023 was approved by the Capital Markets Board regarding the Board of Directors' decision at its meeting on January 31, 2023, in accordance with the Capital Markets Board's Communiqué on Debt Securities numbered II-31.1 and Article 31 of the Capital Market Law. Regarding this approval, our Company will be able to issue debt securities with a nominal amount up to TL 500,000,000 (Five Hundred Million Turkish Liras), maturity up to 5 (five) years, denominated in Turkish Lira, to be sold one or more at a time, without public offering to qualified investors in the domestic market.
The issuance of a TL 500,000,000 Finance Bond was completed.
As MLP Care, we extended the share buyback program to May 25, 2024. The share buyback program was initiated to support the healthy price formation of the Company's shares traded on the stock market, to contribute to the stability and fair value of the share price, and to protect shareholders and offer them a more attractive long-term investment opportunity.
The funds previously allocated for the share buyback program were increased by TL 750,000,000 to TL 1,400,000,000. The buy-back program will be realized through the purchase of publicly traded shares corresponding to 10% of our Company's issued capital.
Our Company's Board of Directors took the following, in accordance with the Capital Markets Board's Communiqué on Debt Securities numbered II-31.1 and Article 31 of the Capital Market Law;
Our Company will be authorized to apply to the Capital Markets Board regarding the issuance of debt securities to with a nominal amount up to TL 1,500,000,000 (One Billion Five Hundred Million Turkish Liras), maturity up to 5 (five) years, denominated in Turkish Lira, to be sold one or more at a time, without public offering to qualified investors in the domestic market within one year, in line with the validity period of the issuance of the certificate expected to be approved by the Capital Markets Board.
Financial bonds in the amount of TL 250,000,000 were redeemed.
Our Company's Board of Directors has decided to, acquire 25% of the capital of the company named Şile Cns Gayrimenkul Sağlık Hizmetleri A.Ş. ("Şile Cns"), in order to develop a new hospital project on its land located in Istanbul, Ataşehir. In this context, all management rights of

Şile Cns will be transferred to MLP Care, by registering and announcing the amendments of the articles of association of Şile Cns, increase the subsidiary MLP Gaziantep Sağlık Hizmetleri A.Ş., which owns Liv Hospital Gaziantep, share of MLP Care to 100% from 60%.
Our Company's Board of Directors took the following decisions at its meeting dated August 1, 2023; within the scope of the Capital Markets Law No. 6362, the Lease Certificates Communiqué (the "Communiqué") No. III-61.1 of the Capital Markets Board ("CMB"), and other legislation, our Company would be fund user/source entity of the issuance transactions of lease certificates based on a management contract with a nominal value of up to TL 2,000,000,000 (two billion Turkish Liras), with maturities in the range of 1-60 months, to be sold one or more at a time to qualified investors without public offering, planned to be carried out domestically through Yatırım Varlık Kiralama A.Ş..
Our Company's application was approved by the Capital Markets Board regarding the Board of Directors' decision at its meeting on May 31, 2023, in accordance with the Capital Markets Board's Communiqué on Debt Securities numbered II-31.1 and Article 31 of the Capital Market Law.
Regarding this approval, our Company will be able to apply to issue debt securities with a nominal amount up to TL 1,500,000,000 (One Billion Five Hundred Million Turkish Liras), maturity up to 5 (five) years, denominated in Turkish Lira, to be sold one or more at a time, without public offering to qualified investors in the domestic market within one year.
In line with our strategy to increase foreign health tourism revenues, a management service agreement was signed between the Company and Duna Medical Center Kft., based in Hungary.
Liv Hospital Duna Medical Center, the second hospital opened abroad by the Company, and the eighth hospital within the Liv Hospital brand, will play a major role in promoting Liv Hospital's strong brand and quality healthcare services abroad with its nearly 22,000 m2 closed area and 154-bed capacity.
TL 500,000,000 of financial bonds were redeemed.
Our Company's Board of Directors took the following decisions at its meeting dated October 30, 2023; - Within the registered capital ceiling of 5,740,000,000- (five thousand seven hundred forty million) Turkish Liras (TL) of our Company, the issued capital of the Company shall be increased from TL 208,037,202 (two hundred eight million thirty seven thousand two hundred and two) to TL 624,111,606 (six hundred twenty-four million one hundred eleven thousand six hundred and six) by converting the amounts in the "Share Premium" account into share capital, - Conducting the necessary procedures regarding the transfer of the "Share Premium" subject to the increase to the "Capital" account and the verification of the transfer with a certified public accountant report,
MLP Care was selected "Best Investor Relations Program" in the Emerging EMEA Healthcare and Pharmaceuticals category in Institutional Investor 2023, while Muharrem Usta, Chairman and CEO of MLP Care, was selected "Best CEO."
Application to Capital Markets Board (CMB) has been made on 03.11.2023 for the amendment of the 8th article of Our Company's Articles of Association titled "Capital" related to the increase of our Company's issued capital from TL 208,037,202 (two hundred eight million thirty seven thousand two hundred and two) to TL 624,111,606 (six hundred twenty-four million one hundred eleven thousand six hundred and six), within the registered capital ceiling of 5,740,000,000- (five thousand seven hundred forty million) Turkish Liras, by converting the amounts in the " Share Premium" account, and for the approval of the Issuance Certificate for the issued shares with a nominal value of TL 416,074,404 (four hundred and sixteen million seventy-four thousand four hundred and four).
TL 1,000,000,000 (one billion Turkish Lira) nominal value lease certificate issuance to qualified investors was completed.
Our Company's Board of Directors took the following decisions at its meeting dated December 19, 2023; - In order to maintain the stability of the share price and to prevent the re-listing of the repurchased shares on the stock exchange, it has been decided to redeem 17,025,000.00 TL nominal value and 17,025,000.00 shares corresponding to 8.18% of our Company's capital through capital reduction methods that do not require fund exit, in accordance with the 9th paragraph of Article 19 of the Capital Markets Board's ("CMB") Communique on Repurchased Shares (II-22.1), thereby reducing the issued capital from 208,037,202.00 TL to 191,012,202.00 TL, - To accept the Capital Reduction Report prepared

pursuant to paragraph 11/c of Article 19 of the CMB's Communiqué on Shares No. VII-128.1, to be submitted to the approval of the shareholders at the General Assembly Meeting,
Continuation of the buyback program within the framework of the previously announced principles,
Amendment of Article 8 titled "Capital" of the Articles of Association, application to the Capital Markets Board for the necessary approvals, submission of the amendment to the Articles of Association for approval by the shareholders at the upcoming General Assembly Meeting.
At the meeting of our Company's Board of Directors dated May 25, 2022, a share buyback program was initiated in order to support healthy price formation of MPARK shares in the equity market, to contribute to the formation of stable and appropriate share prices. The program, which was approved to last until May 25, 2024, aim at protecting shareholders and offering them a more attractive longterm investment opportunity. The fund amount for this buyback program was increased to 1,400,000,000 TL by the decision of our Board of Directors dated May 8, 2023, with the plan to buy back shares equivalent to 10% of the company's issued capital, totaling 20,803,720.00 TL in nominal value. As of December 21, 2023, the buyback of 17,285,500.00 TL in nominal value shares, representing 8.3084% of the issued capital, has been completed, and 1,367,688,313.00 TL of the approved 1,400,000,000.00 TL fund has been utilized.
At our company's Board of Directors meeting dated December 19, 2023, it was decided that the repurchased shares would not be subject to stock exchange transactions again and price stability would be maintained. For this purpose, 17,025,000.00 TL in nominal value shares,

corresponding to 8.18% of the company, were decided to be redeemed through methods of capital reduction that do not require fund disbursement, in accordance with the 19th article of the Capital Markets Board's ("CMB") Communique on Buybacks II-22.1, and this decision was disclosed to the public.
At the Board of Directors meeting dated December 21, 2023, it was decided to increase the total fund allocated for the buyback program by 750,000,000.00 TL to 2,150,000,000.00 TL.
With the decision of our Company's Board of Directors dated December 29, 2023, in order to finalize the Capital Reduction process as soon as possible, it has been decided to cancel our application for Bonus Issue Capital Increase and withdraw our request to be re-evaluated after the Capital Reduction process is completed.
Application has been made to the Capital Markets Board on December 29, 2023 to reduce the issued capital of TL 208,037,202.00- to TL 191,012,202.00- by redeeming our 17,025,000.00 shares with a nominal value of TL 17,025,000.00-, corresponding to 8.18% of our Company's capital, according to the capital reduction procedures that do not require fund outflow, to amend Article 8 titled "Capital" of the Articles of Association and to obtain the necessary permissions in this context.
As MLP Care, we were recognized by Institutional Investor in 2023 for successful investor relations practices for four consecutive years.
The Company was ranked at the top of the list in the EMEA Health Care and Pharmaceuticals category and recognized to have Best Investor Relations Program. MLP Care's Chairman of the Board of Directors and CEO Muharrem Usta was recognized as Best CEO; CFO Burcu Ozturk recognized as Best CFO; and Strategy and Investor Relations Director Deniz Can Yucel was recognized as Best Investor Relations Professional, in the Best Investor Relations Professional category.
In the BIST All category of the Best Investor Relations Program from the same research, CFO Burcu Ozturk was recognized as Best CFO, while Strategy and Investor Relations Director Deniz Can Yucel was recognized as Best Investor Relations Professional.
(All figures in this summary include the impact of TAS 29 (inflation accounting) unless otherwise stated.)
| Audited – TAS 29 | Unaudited – w/o TAS 29 | ||||||
|---|---|---|---|---|---|---|---|
| (TL million) | 2023 | 2022 | Change | 2023 | 2022 | Change | |
| Revenues | 22,449 | 18,903 | 18.8% | 18,201 | 9,837 | 85.0% | |
| EBITDA2 | 5,784 | 4,280 | 35.1% | 4,890 | 2,346 | 108.5% | |
| EBITDA margin (%)2 | 25.8% | 22.6% | 312bps | 26.9% | 23.8% | 302bps | |
| Net Profit/(Loss) Before Tax | 5,825 | 4,781 | 21.8% | 3,070 | 1,304 | 44.0% | |
| Net Profit/(Loss) | 4,748 | 4,891 | (2.9%) | 2,955 | 1,675 | 76.4% | |
| Net Profit/(Loss) equity holders | 4,530 | 4,742 | (4.5%) | 2,784 | 1,619 | 71.9% | |
| of the parent | |||||||
| Free Cash Flow | 4,227 | 2,723 | 55.2% | 2,074 | 608 | 241.0% | |
| Capital Expenditure | 1,372 | 1,796 | (23.6%) | 783 | 871 | (10.1%) | |
| Net Debt | 3,243 | 3,382 | (4.1%) | 3,243 | 2,053 | 58.0% | |
| Net Debt / EBITDA | 0.6x | 0.8x | 0.7x | 0.9x |
1 EBITDA and EBITDA margin calculated by deducting general administrative expenses from gross profit and adding depreciation and amortization expenses.

In 2023, EBITDA increased by 35.1% to TL 5,783 million. EBITDA margin increased by 312 bps to 25.8% in 2023.
| 2023 | 2022 | Change (bps) | |
|---|---|---|---|
| (% of Revenues) | 74.2% | 77.4% | (312) |
| Material | 13.8% | 17.9% | (411) |
| Doctor | 23.5% | 21.3% | 225 |
| Personnel | 19.5% | 16.4% | 316 |
| Rent | 0.8% | 1.2% | (44) |
| Outsourced services purchases | 6.0% | 7.1% | (110) |
| All other expenses | 10.7% | 13.6% | (288) |
Material expenses consist of expenses such as pharmaceuticals, consumables and laboratory supplies. Material expenses as a percentage of revenue declined by 411 bps to 13.8% in 2023. This was driven by the delayed impact of higher costs on expenses thanks to effective inventory management.
Doctor costs as a percentage of total revenue increased by 225 bps to 23.5% in 2023.
Personnel expenses as a percentage of total revenue increased by 316 bps to 19.5% in 2023 due to salary adjustments of the personnel in line with the minimum wage increase.
Outsourced services purchases that consists of laboratory, imaging, cleaning, catering, security expenses as a percentage of the total revenue decreased by 110 bps to 6.0% in 2023. This decline was a result of the reduced volume of expenses associated with outsourced PCR test services.
All other expenses (energy, foreign and domestic marketing expenses, etc.) as a percentage of total revenue decreased by 288 bps to 10.7% in 2023 due to the increase in energy expenses occurring below the inflation rate.
The operating cash flow increased by 23.5% to TL 5,644 million in 2023 due to the robust EBITDA growth. Therefore, the operating cash flow/EBITDA ratio come in at 97.6% in 2023.
Free cash flow increased by 55.2% to TL 4,227 million in 2023 on the back of strong operating cash flow
growth, lower working capital requirement and capex. Therefore, free cash flow/EBITDA ratio come in at 73.1% in 2023.
Total capital expenditures as a percentage of revenues declined to 6.1% in 2023 from 9.5% a year ago.
| Net debt by currency (TL million) | 2023 | Vertical % | 2022 | Vertical % | Change |
|---|---|---|---|---|---|
| TL | 1,924 | 59% | 2,096 | 62% | (8.2%) |
| USD + Euro (*) | (942) | (29%) | (799) | (24%) | 17.9% |
| Total loan, financial leasing | 982 | 30% | 1,297 | 38% | (24.3%) |
| TL (IFRS 16) | 2,138 | 66% | 1,927 | 57% | 10.9% |
| USD + Euro (IFRS 16) | 123 | 4% | 157 | 5% | (21.8%) |
| Total lease liabilities (IFRS16) | 2,261 | 70% | 2,085 | 62% | 8.5% |
| Total net debt | 3,243 | 100% | 3,382 | 100% | (4.1%) |
(*) There is a net long position of USD 32.1 million in foreign currency.
The net debt/EBITDA ratio was decreased to 0.6x in 2023 on the back of strong operating performance from 0.8x.
In 2023, net debt excluding obligations under operational leases related to TFRS 16 decreased by TL 315 million to TL 982 million.
The net debt/EBITDA ratio without IFRS 16 lease liability decreased to 0.2x in 2023 from 0.3x.
Total net debt including obligations under operational leases related to TFRS 16 decreased to TL 3,243 million.
We aim to provide environmental friendly healthcare services with our practices within the scope of our Fight against Climate Change.
2023 has been a year in which we developed our sustainability efforts around the strategy we built, saw the outputs of our work in a tangible way, and started developing collaborations.
We are experiencing globally that institutions, which can respond quickly to the changing needs of society and the environment, even anticipate these changes proactively and take positions in advance, can create more effective and permanent values in the business. On the other hand, it is becoming increasingly important to be a responsible company that stakeholders' opinions, suggestions, and concerns are taken into account while carrying out sustainability studies. We, as MLP Care, had only received opinions of our internal stakeholders at our first study on establishing our priorities of sustainability. With the awareness of being a responsible company, we have prepared an up-to-date materiality matrix by taking the opinions of our external stakeholders and reviewing our current sustainability priorities. With regards to matters we will address in the field of sustainability, we examined matters of priority from our sector within the global conjuncture and organized a workshop in order to be able to receive opinions of our departments, then we made a decision. Afterwards, we divided our external stakeholders into 11 main groups (Guests, Senior Management, Investors and Shareholders, Community, Public Institutions and Regulatory Authorities, Suppliers, Insurance Institutions, Media, Accreditation Institutions, Educational Institutions, Financial Institutions) and asked them to rate matters of priority we provided.
We used the outputs of this study as our compass while developing our sustainability strategy and determining our goals in line with our strategy.
As MLP Care, we determined our sustainability strategy in order to ensure the maximum efficiency and benefit in our sustainability efforts, to carry out our sustainability efforts in line with our corporate business strategy and our industry systematically, to meet the needs of the people we serve. While we were determining our strategy, we took into account the global risks, opportunities and trends, also evaluated the threats that our sector and our Company may be exposed to in the short term and long term and the opportunities that may arise. We concluded these outputs with our literature researches, our experience in the healthcare sector and the stances of our stakeholders. Rather than treating our sustainability efforts as a new subject that will be added to our usual business processes, we designed our sustainability strategy in a way that is aligned with our corporate business strategies and serves our business goals in order to make it our usual business manner.
We integrate our sustainability efforts into our way of doing business. In every chain of the service we provide, we build processes that create value for our Company, our stakeholders, our society and our environment. We group our sustainability efforts under four main themes within our vision to "create a sustainable value chain in everywhere we serve". These are Digitalization, People and Culture, Contribution to Society and Fight against Climate Change. We shape our works related to these four themes within the framework of a purpose for each theme. We aim to
We support all these efforts with a responsible governance structure within the framework of transparency and accountability principles.
By accepting our strategy as our roadmap, we set short, medium, long-term specific, measurable, achievable, relevant, and time-matched targets, we continue our efforts to take concrete and effective steps by measuring these targets, and we share our targets with

our stakeholders. You can review detailed information about our strategy and targets in our MLP Care 2022 Sustainability Report.
We started to carry out our sustainability efforts by forming a Sustainability Working Group consisting of our executives, in order to ensure that our work progresses regularly and efficiently, that understanding of sustainability aspects all our business processes, hospitals, and stakeholders. During this period, we further developed our sustainability governance structure and created focus sub-working groups to work under the existing Working Group. Digitalization and Innovation, Human and Culture, Corporate Governance, Contribution to Society and Communication with Stakeholders, Climate Change and Environment Sub-Working Groups operate under the Sustainability Working Group. With this structure, the priority issues that each sub-working group is responsible for have been determined, and the targets related to these priority issues are followed up by the Sub-Working Groups. At the same time, members of the Working Group assume the leadership of the Sub-Working Groups. Sub-Working Groups report the targets, projects and progress they have determined to their leaders, and the leaders provide guidance on matters that require decisions and/or resources. The organization of the Working Group is undertaken by the Investor Relations and Strategy Directorate, also the works are led by the Investor Relations and Strategy Director, who is a member of the Corporate Governance Committee and reports directly to the Chairman of the Board of Directors.
We were included in the BIST Sustainability Index as a result of the grading made in the last month of 2022, thanks to our sustainability steps we have intensified in recent years, the policies we have implemented, our strategy, our goals and our good practices. As being the leading healthcare group in the private healthcare sector, we add another leadership to this, we became the first company in the healthcare sector in Türkiye to be included in this index.
We became a member of the Business World and Sustainable Development Association (BCSD Türkiye) with the awareness that a sustainable business model can only be carried out through partnerships and collaborations. We signed the Women's Empowerment Principles in order to emphasize the importance we attach to the development of women and also show that we are wholeheartedly willing and determined to develop our practices related to women's empowerment by providing equal opportunities.
The Sustainability Principles Compliance Framework published by the Capital Markets Board (CMB) in 2020 includes the core principles that public companies are expected to disclosure about environmental, social and governance issues while carrying on their business. Based on this expectation, you could find our answers and explanations within the scope of the Capital Markets Board's Sustainability Principles Compliance Framework on pages between 86 and 92 of this report.
We receive consultancy service on environmental issues and hazardous material safety management in all our hospitals, and consultants collaborate with the Infection Control Committees in our hospitals.
As MLP Care, we have a safe environmental management system covering energy, water consumption and waste management in all our hospitals. While we carry on our environmental studies to meet national regulations, we improve our standards in order to enhance the service we offer to our guests and the environment in where we serve. We consider both national environmental legislation and the environment-related articles of the JCI (Joint Commission International) Accreditation Standards which evaluates international hospital management systems from both the patient and operational perspectives. We receive consultancy service on environmental issues and hazardous material safety management in all our hospitals, our consultants make evaluations continuously, carry out the studies to comply with the legislation and take the necessary improvement actions with the hospital management.
In addition, environmental consultants collaborate together with the Infection Control Committees in our hospitals. Thanks to this collaboration, we fulfill all the legal requirements in the light of both the Environmental Law and the European Agreement concerning the International Carriage of Dangerous Goods by Road. There are no incidents that affect the use of tangible assets, including all machines, equipment and devices at MLP Care hospitals, or that create environmental risk.
We have secured all the topics that form the basis of our Environmental Management System with the Environmental Policy, procedures and instructions created within this scope, and shared them with all our employees. While performing our sustainability efforts we put down our Energy Policy in writing and announced on our website in order to gather our maintenance works and practices related to energy use, to guide our following work, and to shared our perspective on energy which has become more critical because of the climate crisis. Our energy management issues are also
carried out in accordance with this Policy, and there is a Board of Directors decision in our Energy Policy, as in our Environmental Policy.
After our first emission calculations in 2021, we developed our emission source inventory in 2022, identified and included more emission sources in our calculation. This development has been an important study in terms of better understanding our environmental impact. While making this calculation, we used internationally accepted methods. The result of the calculation showed that our electricity consumption is the main emission source, so we started to evaluate our maintenance and improvement works which we are currently carrying out. We set sustainability targets in order to reduce our greenhouse gas emissions, support the combat climate crisis and save on energy. We plan to save 1,300,000 kWh of electricity and 74,000 Sm3 of natural gas by the end of 2023.
We have set the goal of net zero carbon emission by 2050 in order to be able to contribute to efforts put in the fight against the climate crisis both in our country and across the world. We are working on our roadmap for the net zero emission target, and we are intensifying our steps by setting short-term targets in this process. By 2025, we aim to reduce our Scope 1 and Scope 2 emission intensity by 45% compared to the 2021 base year.

As a result of the services we ensure that all people live healthy lives, we generate and collect our hazardous and non-hazardous wastes separately at source in our hospitals, and manage in accordance with the legislation. In the light of the United Nations Sustainable Development Goals, we carry on our waste management processes sensitively and efficiently to minimize the negative effects of wastes on the climate and the environment by supporting the recycling for a circular economy.
In 2023, we plan to carry out a project that we will start in pilot hospitals in order to improve our waste management processes, and as a result of this project, we plan to increase our recycling rate until 2025.
We collaborate with companies licensed by the Ministry of Environment, Urbanization and Climate Change for the disposal and transportation of hazardous wastes, in accordance with the legislation.
Characteristics of resources used as well as effective use of resources determine the amount of waste generated and the impact of such waste upon the environment. For this reason, we include our suppliers in our works that aim to reduce our environmental impact arising from our activities. Starting from 2023, we will add criteria related to environmental sustainability to the contracts we have made with our suppliers and we will consider selecting suppliers regarding their compliance with these criteria.
You can view detailed information on environmental management, emissions, energy and water use, waste management and our performance in 2022 in our MLP Care 2022 Sustainability Report.
In 2023, Liv Hospital Vadistanbul Hospital successfully completed the JCI Accreditation audit and received the JCI Accreditation Certificate.
The MLP Care Quality Management System was established in accordance with the accreditation standards of the JCI (Joint Commission International) and ISO 9001:2015 (International Standardization Organization) Quality Management Systems standards, which evaluates national and international hospital management systems from both patient and operational perspectives, and the Ministry of Health's Quality Standards for Healthcare. Our Quality Management System is focused on patients, employees, environmental safety and facility safety. The Group consistently ensures that patients receive healthcare that is timely, equitable and adequate, as well as efficient, effective and safe. Every year, inspectors from the Ministry of Health perform Healthcare Quality inspections at the Group's hospitals.
BAU Medical Park Göztepe Hospital Complex, Medical Park Bahçelievler Hospital, IAUH VM Medical Park Florya Hospital, Liv Hospital Vadistanbul and Liv Bona Dea Hospital underwent a rigorous audit conducted by the Joint Commission International (JCI), an internationally recognized accrediting body that works to improve healthcare service safety and quality. All three hospitals passed the inspection and received their certificates of accreditation. Audits are conducted to ensure the validity and reliability of the Quality Management System, periodically.
Liv Hospital Ulus successfully passed an international inspection conducted by SRC (Surgical Review Corporation) and obtained the Center of Excellence Certificate.
ISU Medical Park Gaziosmanpaşa was certified by the internationally recognized TS EN ISO 9001:2015 Quality Management System Standards for diagnosis and treatment services under the audit of TÜV Austria Cert procedure.
Liv Hospital Vadistanbul Hospital was certified in a short time after it started to operate, proving that it established and implemented a management system that complies with the requirements of ISO 9001: 2015 Quality Management System Standards. In 2023, it successfully completed the JCI Accreditation audit and received the JCI Accreditation Certificate.
In the first quarter of 2022, our VM Medical Park Pendik Hospital started and implemented the "Integrated Management System," which is based on the approach of creating a documentation system that can be used jointly, by gathering more than one management system under one roof. Integrated Management System adopts the approach of auditing all standards together instead of auditing the systems separately. In this context, our VM Medical Park Pendik Hospital deals with the environment, occupational health and safety and quality processes together, and with the audit conducted by TÜV Austria Cert, TS EN ISO 9001:2015 Quality Management, TS EN IS0 14001:2015 Environmental Management and TS EN ISO 45001:2018 Occupational Health and Security Management Integrated Management System certificate. In 2023, with the surveillance audit it underwent, it ensured the continuity of its existing certificates and included the TS EN ISO 10002:2018 Customer Satisfaction Management System certificate in the system.
In 2023, IAUH VM Medical Park Florya Hospital successfully had its academic standards, in addition to JCI's hospital standards, approved by the JCI Accreditation audit. It became the first university hospital among MLP Care group hospitals and the 5th university hospital in Türkiye to have JCI Accreditation certificate.
Our MLP Care information security process was certified by TÜV Austria Türk with the TS EN ISO 27001:2013 Information Security Management System Certificate. System continuity is ensured by periodic annual audits.
MLP Care provides high-quality services in every specialty area. This is achieved thanks to our Company's advanced technological infrastructure, state-of-the-art hospital facilities, internationally recognized operational and surgical success (five JCI accreditations, three SRC Center of Excellence awards), academic collaborations with university hospitals, and a full range of services in various disciplines.
Company affiliations with university hospitals include the three affiliations of Ankara, Göztepe, and Bahçelievler Hospitals with Bahçeşehir University, Altınbaş University, and the Yüksek İhtisas University respectively (in accordance with the Procedures and Principles concerning the Affiliation Between Foundation Universities and Private Hospitals); and the management consulting services provided by MLP Care to three hospitals, namely Istinye University Hospital in Bahçeşehir and Gaziosmanpaşa, and Istanbul Aydın University hospital in Florya.
Such arrangements also offer physicians the opportunity to participate in exchange programs and various seminars, allow for more flexibility in the Company's physician portfolio, and create an attractive work environment for talented and experienced physicians in Türkiye. Currently, 453 academicians serve as physicians at the Group's hospitals.
Academicians serve as physicians at the Group's hospitals
We, at MLP Care provide equal opportunity to our employees in our recruitment, promotion and assignment procedures and we believe that our comprehensive corporate identity is a wealth for our ecosystem.
To create a corporate culture aiming to increase employee engagement with fair and incentive human resources practices and processes, we have four main human resources strategies that support the development of our employees and prioritize open communication.
The first of these strategies is to dynamically shape the organization structures to achieve an efficient and effective operation in line with the strategic goals and to ensure sustainability of this operation. Another of our goals while achieving this is to create an encouraging, fair performance culture in which success is evaluated against measurable and concrete criteria. Additionally, building effective human resources systems that maximize technology use taking into consideration cost and speed factors and developing a service-oriented HR structure that contributes to the performances of work units with its process and infrastructure are also among our critically important strategies. Our fourth strategy is, in addition to attract new talents to our Group, to support these talents with career opportunities, training and development programs to ensure sustainability of the organization.
Based on the belief that a company can be as strong as its weakest link we think that our employees should have distinctive qualities.
We, at MLP Care provide equal opportunity to our employees in our recruitment, promotion and assignment procedures and we believe that our comprehensive corporate identity is a wealth for our ecosystem. We employ candidates who have improved themselves in their area of expertise throughout their academic life and career journey and who are open for continuous improvement. We believe that the most important driving force together with our improvement-oriented management approach, which makes us successful is our people. We maintain our position as the leader in the healthcare industry thanks to our 20 thousand employees who act in unison and work hard to meet healthcare needs of millions of people everywhere in Türkiye
As of December 31, 2023, we have a total of 20,067 employees, of which 14,099 are in our payroll.
In this annual report, the number of employees includes the employees of 3 university hospitals, Liv Bona Dea Hospital and Liv Duna Medical Center operating under the management contract, interns, and employees within the scope of 4-1A. Therefore, the number of permanent employees is different from the 12,677 figure in the TFRS report (Employees within the scope of 4-1A - They are only subject to SSI deduction and are exempted from income and stamp tax liabilities. They are also not subject to retirement pay provision).











We respond to needs and expectations of all of our employees working in our Group and measure and assess their job satisfaction levels every year to increase engagement and improve their motivation. Our employee satisfaction was 80% in 2023 and our goal is to maintain and increase this rate even more in the next reporting period.
We offer equal opportunities to all of our employees working in our hospitals under MLP Care Group in line with the universal human rights regardless of their ethnical origin, gender, skin color, race, nationality, economic status and religion/faith. We are committed to protecting the rights of all of our employees with our business processes that are in compliance with laws, legal regulations and human rights. Our main expectation from all of our employees is to embrace all rights offered in MLP Care at the maximum level, and improve their engagement and use the working environment where they can provide their services effectively.
We believe that women should have social and economic freedom and build their career expectations independently for a free and equal society. In line with this approach, we are diligent about employing women in our Group. Our total number of employees was 20,067 in 2023 (2022: 18,930). The total number of female employees was 12,800 in 2023 (2022:12,048) and total number of male employees was 7,267 in 2023 (2022: 6,882).
We offer job opportunities for disabled people who are considered as a vulnerable group with the aim to overcome prejudice. We care about providing equal job opportunities in our Group where social status based on gender, physical and mental disabilities is cancelled. The total number of female disabled employees was 132 (2022: 106), and male disabled employees was 259 in 2022 (2022: 232).
Our Company is not a party to any collective bargaining agreements. Under applicable laws, our Company's employees can join labor unions. If requested by the employees, labor union membership fees may be cut from their salaries and paid to the union.
Number of women employees
Within the Company, the MLP Care Development Academy conducts face-to-face orientation programs, technical trainings, competency-based trainings, leadership programs and corporate culture trainings.
We know that investing in employee development is fundamental to contributing to their success and performance, as are the trainings we provide. At MLP Care, we design various development and training programs to support the growth of all our employees. We aim to enhance individual knowledge and skills by diversifying training programs according to needs, allowing employees to specialize in competency areas.
Within the Company, the MLP Care Development Academy conducts face-to-face (in-class) orientation programs, technical trainings, competency-based trainings (communication, teamwork skills, etc.), leadership programs and corporate culture trainings.
Additionally, an e-learning platform accessible to all employees has been established; allowing access to the MLP Care Development Academy platform from any location with internet, e-learning, exams, and surveys can be assigned to all employees simultaneously.
In 2023, the emphasis on digital training continued, including e-orientation packages, technical processes, screen training videos, and more. Personal development training sessions were provided, covering topics such as "Problem Solving," "Conflict Management and the Art of Communication," "Nonviolent Communication," "Stress and Anger Management," "Elixir of Success: Individual Motivation," and "10 Basic Rules of Fluent Speaking." Following the earthquake in our country, we shared training sessions and articles such as "What to Do Before, During and After an Earthquake" to contribute to employees' knowledge and provide psychological support. As part of our sustainability efforts, "Waste Management" and "Neck Exercises" e-training sessions were assigned to all employees.
In addition, professional development e-trainings were delivered, covering topics such as "Personal Image in Professional Life," "Ethical Principles," "Basic Tips for Public Speaking," and "Managing Excitement and Techniques for Preparing Effective Presentations."
Approximately 100 e-trainings and e-books were added to the MLP Care Development Academy in the last year. Of these, 21 e-trainings focus on personal development topics for our employees.
In 2023, the total training time for in-class and online sessions assigned to all employees was 739,427 hours, with an average training time per person of 38.4 hours.
As the healthcare sector is in a high-risk group in terms of Occupational Health and Safety (OHS), in-person training in hospitals was supported by online training. Interactive, sixhour learning packages were assigned to all employees to enable an annual review of OHS Technical Topics, General Topics, and Health Topics. To raise employee engagement, the new e-training packages featured interactive content with questions, animations and videos.
A significant project in 2023 was the implementation of "Guest Services Training" for our teams, who play a crucial role in our hospitals. In collaboration with Enstitü Istanbul ISMEK and Regional Employment Offices, individuals who will assume Guest Services roles at Istanbul Hospitals undergo a 10-day certification program in ISMEK classrooms prior to employment.
hours Total training time 739,427

Provided by MLPCARE internal trainers and managers, the program covers professional information related to Guest Services processes, practical demonstrations in computer classrooms using our hospitals' HIS system, and information about the healthcare sector, as well as training on guest satisfaction, communication, conflict management and more. To date, seven groups have completed this program, and the employment process continues in the respective hospitals. The project is planned to continue in 2024 and beyond.
Another significant project in 2023 was the "Assistant General Manager Identification and Development" project, initiated in line with our internal promotion policy. Announced in October, the project involved sending a digital survey to employees in managerial positions to determine their interest in participating in the academy system. Those who volunteered among the 154 managers were sent a personality inventory measuring competencies, and their seniors were asked to evaluate their performance through the Academy System. The 123 managers who passed these stages participated in the Assessment Center Application (DMU), conducted by a professional consulting firm. Completed in December, the DMU process assessed participants' potential and their suitability for our institution's eight competencies. Based on the results, candidates will be identified for the positions of Deputy General Manager Responsible for Processes and Deputy General Manager Responsible for Finance. These individuals will be included in a training program in 2024 that supports their development. The seven-month training program will include orientations in Central Functions and Hospital Departments, along with Leadership and Technical trainings, and mentorship support.
Additionally, articles published in world-renowned magazines on personal development, leadership, and global trends in business are shared with all employees via "Perspective," the Company's weekly e-newsletter.
The Company can effectively recruit physicians based on several factors. These include its strong brand, high patient traffic, and the overall company size and the number of hospitals in the portfolio. The opportunity to be promoted academically through affiliations with medical schools is another factor, as is an agenda for advancing science (including in cooperation and affiliation with universities and institutional support for participation in scientific activities). Additional benefits include state-of-the-art medical equipment, and regular and on-time payments, as well as access to large volumes of patient data, which is applicable for scientific work, and vast experience to draw on in complex cases.
The Company attaches great importance to ensuring the service quality of its physicians. Therefore, each physician is carefully monitored on a scorecard system.
In line with the Company's HR strategies, the Digital HR project was launched in May 2019 in order to render the Human Resources systems and processes more efficient and to support the dissemination of the digital transformation culture throughout the Company. Within the scope of the project, the first phase, Staff Demand Management, was launched in November 2020, and all recruitment processes were transferred to the live system in the first quarter of 2023. Efforts are underway to carry out career management (promotion, transfer, job change) processes in a digital environment.
As part of the Company's Human Resources digitalization efforts, during the Exit Interview Process, we can receive employees' resignation requests in a digital environment. The Human Resources teams are thus provided with the opportunity to conduct these processes quickly and easily.
By switching to the PowerBI reporting system, we improved our ability to comment on the current situation and future of our Company by reporting all MLP Care information in a more understandable and analysable way.
We can follow up on employees' "Two-Month Trial" and "Six-Month Evaluation Process" forms in a digital environment, thus offering employees and managers a platform on which they can request, approve and follow up. We initiated the process in six pilot hospitals and, in the last quarter of 2023, we implemented it across all our hospitals. We continue to develop these processes within the scope of digitalization.
The increased risk of infectious diseases due to the pandemic has once again demonstrated the importance of digitalization. Considering the employees who work from home and consequently cannot use the Personnel Attendance Control System (PACS) functions such as a finger, face or user card recognition, also taking into account the infection risk of using these systems, a digital HR platform, owned by MLP Care, has been established where the work hours can be logged in.
With this system, it has become possible to plan all employees' working hours, overtime, leave, reports, etc. and track them more transparently on a digital platform. Thus, managers can plan the work hours of the employees and the employees can review their schedule and request revisions. The payroll system is carried out within the scope of this data.
Although it is still in practice in our pilot hospitals, the SSI Entry Robot allows the robot to provide the SSI entry declarations of the entire Group and to send details of the transaction with the relevant individuals and the entry declaration as a PDF.
With the personnel enforcement system, we saved the salary seizure letters received by personnel in the whole Group from e-mail traffic and the possibility of being overlooked, and enabled them to be tracked with notifications and time stamps in the system. With the pilot application used in our hospitals in Istanbul, the entire process – from the correspondence clerk to the Legal Department – proceeds digitally; at the end of the process, errors and loss of time are avoided thanks to the integration of the payroll program.
Through the mobile application Mobil PDKS and the digital module, we aim for a more accurate accounting of personnel working hours via the check-in and check-out buttons on the mobile app, and to reach clearer and more realistic data in our FTE and salary calculations. Our aim in terms of the pilot application deployed in Liv Hospital Vadistanbul is to ensure its extension to all our hospitals in the first quarter of 2023.
With the simulation development conducted on the Informatics Payroll program, we started to carry out budget analysis studies, preventing deviations in the budget studies by merging the current status of hospital budgets with digital HR data, without having to wait for a specific time period.
By switching to the PowerBI reporting system, we improved the ability to comment on the current status and future of the Company by reporting all information in a manner that allows further reporting and analysis. In the current situation, we started to work with a clearer understanding of areas in which we need to improve.
We moved the workflow to the digital platform, where we forecast the monthly course of HR expense items and manually track the closing data. We created a flow that will enable simultaneous budget calculations by linking monthly manual HR expense items with the payroll program and digital HR FTE management. We set up a structure in which the closing figures of each month are digitally transferred to the relevant item headings, including payroll data and financial affairs trial balance figures, by constructing the closing budget of each month with the same systematic. Thus, we started to manage the process digitally, which we had followed manually.
The Corporate Performance Management System is implemented at MLP Care. In order to improve performance in line with the Company's strategies, task-based numerical targets are set for hospital and department leaders. The determined targets are assigned to our employees monthly, and premium payments are made according to the realization rates of these targets.

Occupational Health and Safety Approach
MLP Care has an effective Occupational Health and Safety Management System based on international standards and experience of many years, which has turned into a corporate culture over time to create safe working environments.
Our main expectation from our Occupational Health and Safety activities is to ensure that we have the highest standards for health and safety as required by our sector. Our goal in our Occupational Health and Safety activities in our hospitals under the MLP Care is to keep potential occupational accident risks under control, provide a healthy and safe working environment and to increase awareness on Occupational Health and Safety culture with the participation of all of our staff. We have an effective Occupational Health and Safety Management System based on international standards and experience of many years, which has turned into a corporate culture over time to create safe working environments. We carry out Occupational Health and Safety (OHS) activities in our MLP Care hospitals with the strong commitment and demand of the senior management.
This strong commitment provides the basis for all activities and the management system and is shared with all stakeholders using the Occupational Health and Safety policy. Our commitment which we clearly explain in this policy is carried out effectively using tools such as internal procedures and training programs, workshops, plans, instructions, checklists and forms. We detect areas of improvement through inspections and depending on the results of such inspections we review our management system and take actions in line with the continuous improvement principle.
As MLP Care, we never compromise Occupational Health and Safety and consider everyone as MLP Care staff and include them in the Occupational Health and Safety system including our contractors' employees and temporary employees during their work in our hospitals.
SUSTAINABILITY

We carry out all of our activities in accordance with the Occupational Health and Safety Law no 6331 and standards of globally recognized organizations and implement a comprehensive risk management. We analyze all aspects of the activities we carry out to identify risks and take necessary measures. We proactively detect risks with the risk based approach of the Occupational Health and Safety System and ensure that necessary measures are taken right from the beginning. We take suitable improvement actions against all risks and dangers identified with our proactive approach and identify temporary measures against risks and dangers for which improvement actions are taken and we secure the area or situation until all related work is completed.
Healthy and safe
working environment
Every hospital under the MLP Care has an OHS Committee and a Facility Safety Committee and these committees meet at regular intervals (monthly) in
accordance with the applicable laws. During these meetings, the committees review OHS, facility safety and infrastructure compliance performances and any detected major risk and requests and feedback are discussed and actions to be taken are decided. These committees consist of the people stipulated by law and meetings are held in a transparent and participatory environment.
In our hospitals Occupational Health and Safety work is carried out by the Occupational Health and Safety departments. An occupational health and safety specialist, a workplace doctor and other healthcare professionals work in these departments. Our Occupational Health and Safety departments continue their work under the organization of the OHS Committee and Facility Safety Committee and they carry out site visits, inspections and on-site observations to identify risks and take necessary actions to reduce the possibility and impact of such risks.
As MLP Care, we support clubs, athletes, sports complexes and organizations of different branches with our Medical Park and Liv Hospital brands.
The social responsibility project "We Score Goal Against Obesity in Every Age " aims to raise awareness on child obesity, among the most dangerous diseases of our time. We operate this project in collaboration with children and the Galatasaray Football Club players Bafetimbi Gomis and Berkan Kutlu.
In collaboration with the Laughter Heals Association, we organized a photography exhibition with children undergoing cancer treatment. The exhibition was held at Vadistanbul Shopping Mall.
With the importance we attach to public health as Liv Hospital, we conducted a social responsibility project on breast cancer in October, designated as Breast Cancer Awareness month. Components of the project included breast examinations and mammograms for female employees of Kağıthane Municipality, as well as to other women participating in the event. The project was designed to raise awareness on the importance of annual health checks for early detection of breast cancer.

We conducted the Breathe to DMD event to raise awareness on muscular dystrophy. The event was held on World Duchenne Muscular Dystrophy (DMD) Awareness Day at Liv Hospital Vadistanbul, in association with the World Muscle Disease Association, the No Barriers in Art Foundation, and the Water and Women Platform Association.
As MLP Care, we support clubs, athletes, sports complexes and organizations of different branches with our Medical Park and Liv Hospital brands. We take pride in sponsoring the health of dozens of sports clubs from
various branches including Galatasaray, Adana Demirspor Club, Ümraniye Sports Club, Giresunspor Club, THY Sports Club, Bahçeşehir Koleji Basketball Club, IBB Sports Club, Beykoz Municipality Handball Club, Adam Volleyball Sports Club, Çukurova Woman Basketball Club, Elazığ Social Cooperation Sports Club, Kasımpaşa Sports Club, Samsunspor Football Club, Nesibe Aydın Youth and Sports Club, Fatih Karagümrük Sports Club, Karabağ Football Club (Azerbaijan), and the Neftçi Professional Football Club.
In 2023, we donated TL 8,300,446 and spent TL 22,879,447 on social responsibility projects (2022: TL 6,735,307 and TL 15,519,145, respectively).

This section provides information on system, programs and units that covers corporate governance. More detailed explanations regarding the Corporate Governance Compliance Statement are included under the Corporate Governance Title.
The Corporate Risk Management Program is designed to provide an environment in which risks are defined, impact and probability evaluations are made, and the most efficient and appropriate responses are developed for identified risks. In our corporate risk management processes, we revise risk management processes by considering opportunities along with threats. These threats/ opportunities are measured in line with the risk appetite of the Company and ultimately enable the Company to consciously take risk reduction, transfer, acceptance or risk aversion decisions. The implementation of the Corporate Risk Management Program is carried out according to the policies determined by the Quality and Risk Management Directorate and approved by the Board of Directors.
To contribute to sustainable growth by determining and measuring the risk portfolio of our Company, by increasing the awareness of all our employees regarding this matter, and by assessing risks as a whole.
To provide reasonable assurance for the systematic and efficient determination and management of the risks our Company is exposed to and the opportunities it encounters during its operations, and to make risk management an indispensable part or the company culture and the strategic decision-making process.
• To implement the Corporate Risk Management Program regularly, and to contribute to the development of the Program by making necessary improvements as a result of evaluations.
The fundamental processes which we consider and against which we plan precautions in relation to the risks we grouped under 4 categories are as follows:
The Quality and Risk Management Department works in cooperation with all departments within the Company to identify, assess and control the risks associated with the strategic objectives and operational processes of the departments.
We aim to limit the negative effects by focusing on the early detection of risks.
We aim to continue our medical services in our hospitals pursuant to International Patient Safety objectives. Compliance with patient safety objectives requires taking measures to prevent simple errors that might affect patients, identifying and reporting these errors, and planning and implementing improvement actions.
We use a reporting system based on voluntariness and confidentiality in order to prevent possible negligence and adverse incidents that may reflect on the patient during the medical services. The System is an information-sharing network where doctors, nurses and other healthcare
professionals can report any errors encountered in medical procedures. It is critical for our organization that the notifications are based on confidentiality. To prevent future mistakes, we focus on identifying the fault rather than the person making the mistake. Thus, we aim to be a learning organization that learns from its mistakes.
Additionally, our notification system is integrated with the Ministry of Health Notification System; and incidents in our hospitals are reported transparently to the Ministry. Through this system, the Ministry aims to detect irregularities regarding patient safety in healthcare institutions. Reports on notifications contribute to improvements in patient safety in health institutions in our country, and are also used for the purpose of developing Quality Standards in Healthcare. MLP Care aims to be a pioneer in contributing to this national goal.
The Data-Based Quality Performance System is used to oversee the operations of our hospitals in accordance with the Indicator Management Plan developed by the Central Management team. The Plan defines the Health Care Quality Indicators – which are based on JCI's International Library of Measures, the Ministry of Health's Quality Indicator System and International Patient Safety Standards – by identifying high-risk patients for triage and with references to clinical departments. The quality performance of our Group hospitals is evaluated against each target Quality Performance Indicator on a monthly basis. Hospitals that deviate from target values are identified and relevant department managers are notified so that corrective action can be taken.
The Internal Audit Department works under the MLP Care Board of Directors in administrative and functional terms and carries out its duties in accordance with the scope of the Internal Audit Guide (Manual Handbook). In this context, the Department carries out its activities independently and objectively in order to improve the operations of hospitals and to create added value by complying with the international standards of The Institute of Internal Audit.
The purpose of the unit is to provide modern, entrepreneurial internal audit and consultancy services. For this purpose, audits include consultancy elements, particularly on how the audit findings should be handled and how processes can be best applied.
According to the Internal Audit Guide, within the scope of the audit and consultancy services, audits are conducted for each hospital at least once every two years; in the first years for the new hospitals, and within three to six months in case of the general manager replacement at any hospital. However, follow-up audits are also conducted depending on the results of the relevant audits.
Regarding the 2023 Audit Plan prepared according to the risk matrix:
A total of 13 audits and 7 project consulting activities realized including the Full Comprehensive Internal Control System (3), Monitor Audit (1), Consulting Activity (7), New Hospital Audit and Other Audits (7).
In addition, the Internal Audit Department is a participant in the Audit and Early Detection of Risk Committees meetings held quarterly.
We highly need the information technologies while serving our guests and conducting our activities, and therefore increase our investments in these systems.
With the COVID-19 pandemic, we started to improve our IT infrastructure, and increase the internet bandwidth and security measures in order to ensure that all our administrative units and information systems employees can continue their work remotely, safely and uninterruptedly. Security of our data is one of our priorities. Since the number of cyber-attacks increased during the pandemic, we emphasized infiltration tests to minimize our vulnerabilities. In addition, we plan to continue with our phishing tests we conducted in 2022, and monitor the level of awareness within the company concerning possible attacks.
Accordingly, we update our software and hardware used in our security systems, and continue to protect our data. We can detect any infiltration with our Intrusion Prevention System, and ensure the security of both our patients' and our company's data.
Moreover, with the Cyber Security Operation Service we launched in 2020, we continue our prevention efforts proactively. In addition to these, we started our works in 2020 for obtaining ISO 27001 Information Security Certificate, and we published our Information Security Management System Policy which contains our commitments, targets and responsibilities on our company website. In order to satisfy the anonymization conditions in data analysis work, we fulfill the requirements for complying with the Personal Data Protection Law.
As an indication of our environmental sensitivity, we launched our paper-free hospital project. In this way, we aim to minimize unnecessary resource usage, increase patient information security, and improve our processes.
We utilize the Hospital Information Management System (HIMS) in our hospitals' basic operational practices. As of 2022, we completed the HIMS digital transformation program. A big data environment is supported in the HIMS program, and it has parametric and structured data storage features. We have made it user-friendly by integrating our mobile applications with our web-based application.
In our HIMS program, we provided the infrastructure for decision support systems and artificial intelligence works. We aim to follow the process in an integrated manner with new technologies while keeping the user experience at the forefront in terms of process and technique.
As R&D unit that continues its projects under the Information Systems Coordinatorship, in 2022, primarily within the scope of the announcement, which was made by the Ministry of Health General Directorate of Health Information Systems, about the establishment of a Remote Healthcare Information System (USBS) and the regulation published on the Delivery of Remote Healthcare Services No. 31746, we developed our MLP Online product. By integrating our MLP Online USBS software with the hospital information management system and the Ministry data recording system, and adding features such as video calls and messaging between doctor and patient, we started to offer remote healthcare services with the infrastructure we developed ourselves. During the product development phase, we received ISO IEC 15504 Spice Certification and registered the software in the Ministry of Health system. Following the registration process, a physical inspection was carried out by the Ministry of Health and then we got our activity permit. Via the MLP Online USBS software, we actively offer many people throughout Türkiye an opportunity to meet their basic health needs through our mobile applications. We plan to augment the product and turn it into a platform by adding translation and subtitle features with the principles of image processing, mood analysis and artificial intelligence-based machine translation.
During the process, we also began work for the "Patient Admission Applications in New Generation Healthcare Services" project, intended to offer a seamless online transaction process for patients during their stay at the hospitals, from the appointment to the treatment, and from the billing process to insurance payments. We are actively working on the completion of this project. We aim to ensure that transactions made in our hospitals can be performed online without the need for registration desks or staff. With the mobile check-in feature of the application, activated as a pilot for self-paying patients, we bring our patients directly to doctors without visiting the counter.
For the Medical Park and Liv Hospital mobile applications, we added online appointment payment features and electronic wallet technology. Video calls between doctors and patients are also performed through the mobile applications.
The program that provided the integration between HIMS and ERP utilizes old technologies and has performance problems. The new program uses updated technologies and is now being deployed in many of our hospitals.
Within the scope of the Mobile Hospital project, which will offer product sales, video calls, wallet usage in payments, medicine supply and home care services, we continued mobile and web-based activities throughout the year. This service has not yet been put into use but is planned to open for service in the near future.
Within the scope of paperless hospitalization, we ensured that 75% of the paper forms used by patient care services can now be completed digitally and, to the extent permitted by the legislation, we ensured that they are all filled out securely on digital platforms and logged with a timestamp. In addition, by developing the Physician Council Module in the HIS, we both digitized the council decision form and supported a multidisciplinary approach in the process.
HIS integration was performed with devices such as ECG and Endoscopy. In this context, in 14 hospitals, it was ensured that the shots in the devices flowed parametrically to the HIS and were stored in a digital environment. This work is being expanded to all hospitals.
Our R&D Artificial Intelligence unit has successfully completed the Tübitak-supported "Lesion Detection with Artificial Intelligence in Mammography Images" project and our MLPCAD Plus product was test-oriented and launched at I.A.U. VM Medical Park Florya Hospital. Since the MLPCAD Plus product is currently developed to work with different types of radiology images of more than one artificial intelligence model, it can be used as a base platform for future artificial intelligence models in radiology to be produced.
Our team also made academic contributions by publishing two papers, one of which is international, on our work within the scope of the MLPCAD Plus project. The international paper was presented at the 18th International Conference of Computational Methods in Sciences and Engineering ICCMSE 2022 Crete conference with the title "Breast Lesion Detection from DCE-MRI using YOLOV7," and published in the conference proceedings. The national paper was presented at the 8th International Conference on Computer Science and Engineering UBMK 2023 with the title "Development of a Knowledge-Based Multimodal Deep Learning System for Automatic Breast Lesion Segmentation and Diagnosis in MG/DMR Images" and published in IEEE Xplore.
Due to the MLPCAD Plus project, our institution has gained substantial experience through the work done on radiology images and libraries developed/adapted for image processing, as well as in joint efforts with roles such as radiologist-technical team-hospital management; solutions developed in response to technical, organizational and environmental challenges encountered throughout the project, and the know-how and technology infrastructure of the ongoing projects have been provided.
As of this year, the Artificial Intelligence team has started working on text analysis, intention understanding, and meaning extraction with large language models. Following pilot studies, we aim to work with natural language processing models in projects scheduled for 2024. As a first target, the user support project with Chatbot on the mobile application was initiated.
As the R&D Project Unit, in 2023, we made great strides towards our goal of taking an active role and responsibility in European-funded projects. Accordingly, we developed a network between our R&D unit and other international and domestic stakeholders in both ITEA and Horizon support programs. This year, we applied for two ITEA projects, one of which is the consortium leader of Turkish stakeholders.
We created a web-based product called Digital Business by combining the applications serving our departments, which we developed within the R&D unit, under a single roof. Thus, we provided ease of use and ease of access for end users. We also made application traffic traceable and manageable through Digital Business.
As MLP Care, we developed Mobil-Iz, a web-based, IOS and Android-based product to make it easier for staff to plan and track their shifts in our ever-growing organization. Mobil-Iz allows managers to create shifts for their teams; employees can report the start and end of their shifts through the mobile application without the need to print physical cards. Thanks to the reports created for staff and managers, they can see their shifts transparently. In addition, Mobil-Iz can automatically transfer payroll data for Oracle and Payroll service providers. The project is currently being piloted in all our hospitals and, we plan to make it available to all employees in 2024. Further development on the application is planned in 2024, including the addition of services that provide self-service opportunities for staff and managers, as well as the attendance system structure.
In 2023, another area where we produced solutions was the TrackMat mobile product, developed for use in the supply chain process and compatible with both IOS and Android devices. By mobilizing the processes of goods acceptance, internal goods acceptance, returns to the supplier, internal shipments, patient deductions, and transfers between warehouses, we ensure that these processes are carried out on time and on site; we also
aim to provide efficiency in inventory management by minimizing the margin of error. The TrackMat application continues to be deployed in four hospitals with its current functions. Work on the new function and dissemination of the product will be ongoing in 2024.
With oncology decision support systems, we enable developments in the field of oncology and the adoption of more effective and personalized approaches in cancer treatment processes for patients. Since treatment plans are complex and sensitive, we offer significant support to healthcare professionals by digitalizing the treatment process through the oncology decision support system. These systems deploy artificial intelligence and machine learning techniques to analyze large data sets for patients' cancer treatments, including the evaluation of medical histories, genetic characteristics, tumor characteristics and many other factors. In this way, we can provide physicians with important information related to the treatment process more quickly and comprehensively.
Oncology decision support systems guide physicians in the formulation and implementation of the treatment plan while emphasizing the points to be considered. By identifying treatment options and possible side effects, the system helps to create the most appropriate and effective treatment plan for the patient. Decision support systems not only support the decision-making process of physicians in patients' cancer treatments, but also supports the creation of more successful and personalized treatments by minimizing the details that may be overlooked in the treatment plan.
Personalized digital diet programs are designed to assist individuals in achieving healthy eating goals. These programs analyze users' personal information such as age, gender, weight, health status, eating habits, allergies, preferred foods, etc. to create a personalized diet plan. Thanks to technologies such as artificial intelligence and data analytics, the programs also monitor the impact on the user's food preferences and health goals over time, helping to improve the nutrition plan.
With the personalized digital diet program, served via our mobile applications, we aim to help individuals improve their healthy lifestyle and eating habits and make this process more accessible through the power of technology.
Digital fitness programs offer personalized exercise plans that assist individuals in reaching their fitness goals. These programs assess various personal information such as age, gender, weight, physical condition, exercise habits and current fitness levels. Based on this data, a personalized exercise plan is created and adapted over time. Technologies like artificial intelligence and data analytics enable these programs to track users' workout performances and progress, enhancing the effectiveness of the program.
With the digital fitness programs planned to be offered via the mobile application, individuals can create exercise plans tailored to their goals without going to a gym or working with a trainer, thus making it easier and more convenient to follow these plans.
We care about digital transformation projects and focus on efforts that will increase our service quality.
As MLP Care, we established the Digital Transformation office with the mission of staying abreast of trends in the healthcare sector and leading technological innovations on a national and international scale. The primary goals of the Digital Transformation office include improving the quality of healthcare services, increasing guest satisfaction, enhancing planning and organization, and ensuring effective and efficient business management. As the digital transformation office, we have initiated projects on current issues and commissioned the completed projects throughout the Group. We plan to continue our project development activities with the same determination in the coming years.
Throughout 2023, we consistently initiated and completed projects in various areas. While embracing technological innovations, these projects focused on understanding hospital needs, as well as considering stakeholder feedback and customizing solutions to meet their expectations.
Digitalization and digital transformation are not merely our goals, but integral elements of our organizational culture. Digitalization involves changing and improving our working methods, with the ultimate aim of improving the patient experience, enhancing the efficiency of healthcare professionals and, most important, making healthcare services more accessible by adopting the latest technologies in the industry.
In collaboration with the Radiology Processes Directorate, our projects related to radiological imaging underwent comprehensive end-to-end evaluations. We have planned patient processes in radiology departments, concluded service deliveries, and integrated department devices with our systems; in addition, we conducted studies on teleradiology, and performed analyses on PACS images and clinical decision support processes. Our collaboration with Istanbul University, utilizing supercomputers in the field of image processing, raised the projects' output speeds.
Within the projects carried out in collaboration with the Human Resources Coordination Directorate, all processes related to employee management and satisfaction are evaluated end-to-end. Efforts are made to ensure the effective participation of employees in patient satisfaction through task planning. Various software and process development projects, such as Digital HR, Mobilization, and Training System, have progressed throughout the calendar year.
In collaboration with the Performance Management and Business Intelligence Directorate, the "Leonardo" project was developed to make performance management transparent, effective and trackable within the Group. "Leonardo" allows effective central management in physician contract management, as well as certain audit issues and reporting processes. In 2023, we developed infrastructure to support Türkiye's healthcare sector in the field of health tourism, creating frameworks for the effective control and monitoring of patient processes.
The Digital Satisfaction Project allows guests receiving services from our hospitals to provide personalized survey scores (NPS - Net Promoter Score) with decision support algorithms. This application evaluates services such as doctors, nurses, counters, operating rooms and admission services, enabling improvements across the ecosystem. We evaluate guest services with parametric structures and share successful examples among our hospitals, continuously enhancing guest satisfaction. Additionally, several projects related to guest satisfaction have continued, integrated with our systems, aiming to develop different satisfaction frameworks based on the services received by guests. In 2023, we developed three new algorithms to improve NPS calculation accuracy.
The supply chain is managed under two separate structures, medical and non-medical. We maintain dialogues with our suppliers in all procurement processes based on a partnership approach, emphasizing sustainable competition, transparency and trust. Mobile applications developed for more effective medical inventory and expiration control contribute to increasing material management efficiency.
With the Digital Invoicing Project, we utilized Robotic Process Automation (RPA) technology to facilitate revenue cycle operations through automatic invoicing for services provided in hospitals. RPA has streamlined the billing process, reduced request denials, and positively impacted accounts receivable. We continuously and periodically improve RPA algorithms and processes. In 2023, we developed more than 10 new control factors in the field of RPA and Intelligent Pricing modules, integrating them with existing systems.
In collaboration with the International Patient Center Directorate, we initiated a process to manage all projects in the field of health tourism centrally across the organization. Processes for the hybrid organization of central and hospital joint management are in development. All our infrastructure tools were evaluated in scope of this issue and plans were made according to the most appropriate process work. With the Healthverse system, foreign patients were able to see our hospitals more closely and receive information.
The Digital Management System, initiated for use by the Digital Transformation Directorate, aims to build the infrastructure required to realize the digital health management philosophy. Leveraging our extensive experience in control centers, business intelligence projects, decision support system projects and artificial intelligence algorithms, as well as our expertise in business processes, we plan to actively contribute to the new generation of management philosophy and digital management systems. This project is underway, utilizing our capabilities in the fields of digital management and business process management to create an appropriate infrastructure for the realization of a digital health management philosophy.
Throughout 2023, an effective working discipline was established through powerful Business Process Management (BPM) tools; and structures were prepared for small processes outside of our automation systems to be prepared as processes for ERP, CRM or other systems using BPM. Various projects related to travel reservations, capex requests, expenditure processes, digitization of personnel clothing allocation processes, and more have been designed and implemented on BPM platforms. Additionally, efforts commenced for the effective use of the document management system.
Work with the Process and Business Analysis and Project Management Teams continued, as did ongoing work on business processes and digitization efforts. Prioritizing mobile and cloud applications with strong contributions from our mobile development teams and business development partners, we improved our processes with these applications. Improvements in payment processes were made with "Bankless Hospital Management," enabling patients to reach our teams in cleaning and room services quickly and effectively via QR codes. We enhanced inventory and maintenance management by migrating to more up-to-date systems, introducing significant functionalities with mobile applications. Security tracking systems in hospitals were actively used, ensuring facility security.
Collaborating with the Business Intelligence Directorate and stakeholder directorates, new dashboards prioritizing 2023 guest satisfaction were developed and made available to hospital and central managers. A project was launched to minimize appointment delays and planning deficiencies originating from the hospitals; this project will serve as a basis for the improvement of many internal processes. The parameters in all of our systems related to the end-to-end tracking of the International Patient Center are gathered on common screens, providing ease of management and organization. Currently, we bear the responsibility of being a leading organization in the healthcare sector in terms of business intelligence planning and management. This year, we have conducted dozens of development and analysis studies in our field. With our long-standing business intelligence infrastructure, we believe that the Digital Management System Project initiated in 2023 will create a new vision in the coming years.
In collaboration with the Biomedical Directorate, a project focusing on the improvement of device inventory management, calibration and maintenance failure processes is ongoing, as is work directed towards providing the digital infrastructure of data generated by medical devices in our group. Clinical decision support infrastructure studies were carried out for the digital pathology and genetic cardiology branches, and gastroenterology departments.
The year 2023 witnessed the rise of artificial intelligence (AI) technologies, and numerous algorithms, analysis studies and reports were generated by interacting with web-based AI tools developed with new large language models. These outputs were evaluated, plans were devised, and actions were taken in favor of the institution.
Furthermore, in collaboration with Istanbul University, special training, internship and employment opportunities were provided to the new graduates and interns within our organization. These individuals actively participated in digital transformation projects, gaining opportunities to develop themselves, understand the healthcare sector and our healthcare group, and work on structures that will meet the qualified personnel needs of future projects.
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 1.1. FACILITATING THE EXERCISE OF SHAREHOLDER RIGHTS | ||||||
| 1.1.2 - Up-to-date information and disclosures which may affect the exercise of shareholder rights are available to investors at the corporate website. |
√ | http://investor.mlpcare. com/en/ |
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| 1.2. RIGHT TO OBTAIN AND REVIEW INFORMATION | ||||||
| 1.2.1- Management did not enter into any transaction that would complicate the conduct of special audit. |
√ | Annual Report printed version - Other Information Related to Operating Activities > Other |
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| 1.3. GENERAL ASSEMBLY | ||||||
| 1.3.2 -The company ensures the clarity of the General Assembly agenda, and that an item on the agenda does not cover multiple topics. |
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| 1.3.7- Insiders with privileged information have informed the board of directors about transactions conducted on their behalf within the scope of the company's activities in order for these transactions to be presented at the General Shareholders' Meeting. |
√ | There are no insiders with privileged information |
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| 1.3.8 - Members of the board of directors who are concerned with specific agenda items, auditors, and other related persons, as well as the officers who are responsible for the preparation of the financial statements were present at the General Shareholders' Meeting. |
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| 1.3.10 - The agenda of the General Shareholders' Meeting included a separate item detailing the amounts and beneficiaries of all donations and contributions. |
√ | The agenda of the 2022 General Shareholders' Meeting included the item detailing the amounts of all donations and contributions. However, the beneficiaries of all donations and contributions were not included. Actions are being taken for full compliance in the upcoming periods. |
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| 1.3.11 - The General Shareholders' Meeting was held open to the public, including the stakeholders, without having the right to speak. |
√ |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 1.4. VOTING RIGHTS | ||||||
| 1.4.1-There is no restriction preventing shareholders from exercising their shareholder rights. |
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| 1.4.2-The company does not have shares that carry privileged voting rights. |
√ | Only on the matters listed on the Articles of Association Article 18 ("Qualified Matters Requiring Increased General Assembly Resolution Quorum"), the affirmative votes of the shareholders holding at least 85% (eighty five per cent) of the capital represented by the Class A shares shall be required. |
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| 1.4.3-The company withholds from exercising its voting rights at the General Shareholders' Meeting of any company with which it has cross-ownership, in case such cross ownership provides management control. |
√ | We have no subsidiary with cross-ownership relation that provides management control. |
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| 1.5. MINORITY RIGHTS | ||||||
| 1.5.1- The company pays maximum diligence to the exercise of minority rights. |
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| 1.5.2-The Articles of Association extend the use of minority rights to those who own less than one twentieth of the outstanding shares, and expand the scope of the minority rights. |
√ | In accordance with Article 27 of the Articles of Association, provisions of the Turkish Commercial Code, the Capital Markets Law, the capital markets legislation and other relevant legislation shall be applied in respect of matters not covered by these Articles of Association. Effective investor relations activities are conducted in order to prevent possible conflicts. |
| Company Compliance Status | Explanation | ||||||
|---|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 1.6. DIVIDEND RIGHT | |||||||
| 1.6.1 -The dividend policy approved by the General Shareholders' Meeting is posted on the company website. |
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| 1.6.2-The dividend distribution policy comprises the minimum information to ensure that the shareholders can have an opinion on the procedure and principles of dividend distributions in the future. |
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| 1.6.3 - The reasons for retaining earnings, and their allocations, are stated in the relevant agenda item. |
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| 1.6.4 - The board reviewed whether the dividend policy balances the benefits of the shareholders and those of the company. |
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| 1.7. TRANSFER OF SHARES | |||||||
| 1.7.1 - There are no restrictions preventing shares from being transferred. |
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| 2.1. CORPORATE WEBSITE | |||||||
| 2.1.1.-The company website includes all elements listed in Corporate Governance Principle 2.1.1. |
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| 2.1.2-The shareholding structure (names, privileges, number and ratio of shares, and beneficial owners of more than 5% of the issued share capital) is updated on the website at least every 6 months. |
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| 2.1.4 -The company website is prepared in other selected foreign languages, in a way to present exactly the same information with the Turkish content. |
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| 2.2. ANNUAL REPORT | |||||||
| 2.2.1-The board of directors ensures that the annual report represents a true and complete view of the company's activities. |
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| 2.2.2 - The annual report includes all elements listed in Corporate Governance Principle 2.2.2. |
√ |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 3.1. CORPORATION'S POLICY ON STAKEHOLDERS | ||||||
| 3.1.1- The rights of the stakeholders are protected pursuant to the relevant regulations, contracts and within the framework of bona fides principles. |
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| 3.1.3-Policies or procedures addressing stakeholders' rights are published on the company's website. |
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| 3.1.4 - A whistleblowing programme is in place for reporting legal and ethical issues. |
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| 3.1.5-The company addresses conflicts of interest among stakeholders in a balanced manner. |
√ | |||||
| 3.2. SUPPORTING THE PARTICIPATION OF THE STAKEHOLDERS IN THE CORPORATION'S MANAGEMENT |
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| 3.2.1-The Articles of Association, or the internal regulations (terms of reference/manuals), regulate the participation of employees in management. |
√ | |||||
| 3.2.2 - Surveys/other research techniques, consultation, interviews, observation method etc. were conducted to obtain opinions from stakeholders on decisions that significantly affect them. |
√ | Surveys, consultation methods etc. were held in order to obtain the opinions of stakeholders. More comprehensive actions are being planned for the upcoming periods. |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 3.3. HUMAN RESOURCES POLICY | ||||||
| 3.3.1- The company has adopted an employment policy ensuring equal opportunities, and a succession plan for all key managerial positions. |
√ | |||||
| 3.3.2-Recruitment criteria are documented. |
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| 3.3.3 - The company has a policy on human resources development, and organises trainings for employees. |
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| 3.3.4-Meetings have been organised to inform employees on the financial status of the company, remuneration, career planning, education and health. |
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| 3.3.5 - Employees, or their representatives, were notified of decisions impacting them. The opinion of the related trade unions was also taken. |
√ | We do not have any collective bargaining agreement. By law, our employees may join or form trade unions if they wish and, at their request, we would deduct trade union membership fees from salaries for payment to the trade union. |
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| 3.3.6 - Job descriptions and performance criteria have been prepared for all employees, announced to them and taken into account to determine employee remuneration. |
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| 3.3.7 - Measures (procedures, trainings, raising awareness, goals, monitoring, complaint mechanisms) have been taken to prevent discrimination, and to protect employees against any physical, mental, and emotional mistreatment. |
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| 3.3.8 - The company ensures freedom of association and supports the right for collective bargaining. |
√ | |||||
| 3.3.9 - A safe working environment for employees is maintained. |
√ |
| Company Compliance Status | Explanation | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 3.4. RELATIONS WITH CUSTOMERS AND SUPPLIERS | |||||||||
| 3.4.1-The company measured its customer satisfaction, and operated to ensure full customer satisfaction. |
√ | ||||||||
| 3.4.2-Customers are notified of any delays in handling their requests. |
√ | ||||||||
| 3.4.3 - The company complied with the quality standards with respect to its products and services. |
√ | ||||||||
| 3.4.4 - The company has in place adequate controls to protect the confidentiality of sensitive information and business secrets of its customers and suppliers. |
√ | ||||||||
| 3.5. ETHICAL RULES AND SOCIAL RESPONSIBILITY | |||||||||
| 3.5.1-The board of the corporation has adopted a code of ethics, disclosed on the corporate website. |
√ | ||||||||
| 3.5.2-The company has been mindful of its social responsibility and has adopted measures to prevent corruption and bribery. |
√ | ||||||||
| 4.1. ROLE OF THE BOARD OF DIRECTORS | |||||||||
| 4.1.1 - The board of directors has ensured strategy and risks do not threaten the long-term interests of the company, and that effective risk management is in place. |
√ | ||||||||
| 4.1.2 - The agenda and minutes of board meetings indicate that the board of directors discussed and approved strategy, ensured resources were adequately allocated, and monitored company and management performance. |
√ |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 4.2. ACTIVITIES OF THE BOARD OF DIRECTORS | ||||||
| 4.2.1-The board of directors documented its meetings and reported its activities to the shareholders. |
√ | |||||
| 4.2.2-Duties and authorities of the members of the board of directors are disclosed in the annual report. |
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| 4.2.3-The board has ensured the company has an internal control framework adequate for its activities, size and complexity. |
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| 4.2.4-Information on the functioning and effectiveness of the internal control system is provided in the annual report. |
√ | |||||
| 4.2.5 - The roles of the Chairman and Chief Executive Officer are separated and defined. |
√ | As indicated in the Article 15.9.1. of IOC (Turkish version), Shareholder Agreement signed between Company's shareholders assigned the roles of the Chairman and Chief Executive Officer to Muharrem Usta. |
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| 4.2.7 - The board of directors ensures that the Investor Relations department and the corporate governance committee work effectively. The board works closely with them when communicating and settling disputes with shareholders. |
√ | |||||
| 4.2.8 - The company has subscribed to a Directors and Officers liability insurance covering more than 25% of the capital. |
√ |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
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| 4.3. STRUCTURE OF THE BOARD OF DIRECTORS | ||||||
| 4.3.9-The board of directors has approved the policy on its own composition, setting a minimal target of 25% for female directors. The board annually evaluates its composition and nominates directors so as to be compliant with the policy. |
√ | Even if there is no approved Company policy on its own Board of Directors' composition, existing composition complies with this rule. We are planning to add a policy to the Articles of Association regarding this rule in the upcoming periods. |
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| 4.3.10-At least one member of the audit committee has 5 years of experience in audit/accounting and finance. |
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| 4.4. BOARD MEETING PROCEDURES | ||||||
| 4.4.1-Each board member attended the majority of the board meetings in person. |
√ | |||||
| 4.4.2-The board has formally approved a minimum time by which information and documents relevant to the agenda items should be supplied to all board members. |
√ | |||||
| 4.4.3 - The opinions of board members that could not attend the meeting, but did submit their opinion in written format, were presented to other members. |
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| 4.4.4-Each member of the board has one vote. |
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| 4.4.5-The board has a charter/written internal rules defining the meeting procedures of the board. |
√ | |||||
| 4.4.6-Board minutes document that all items on the agenda are discussed, and board resolutions include director's dissenting opinions if any. |
√ | |||||
| 4.4.7-There are limits to external commitments of board members. Shareholders are informed of board members' external commitments at the General Shareholders' Meeting. |
√ | There are no limits to external commitments of board members. However, this does not create neither any conflict nor disruption of Board of Director duties in the Company. External commitments of Board Members announced at the General Assembly Meeting via Annual Report. |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
||
| 4.5. BOARD COMMITTEES | ||||||
| 4.5.5-Board members serve in only one of the Board's committees. |
√ | Due to having 2 independent board members, the requirement of committee chairman to be selected from independent board members, and cross related subjects of some committees, some of our Board Members take responsibilities in more than one committee. |
||||
| 4.5.6 - Committees have invited persons to the meetings as deemed necessary to obtain their views. |
√ | |||||
| 4.5.7-If external consultancy services are used, the independence of the provider is stated in the annual report. |
√ | In 2023, there was no need for external consultancy services in the committee activities. In case of having external consultancy services, necessary statements will be provided in the annual reports. |
||||
| 4.5.8-Minutes of all committee meetings are kept and reported to board members. |
√ |
| Company Compliance Status | Explanation | |||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Exempted | Not Applicable |
||
| 4.6. FINANCIAL RIGHTS | ||||||
| 4.6.1-The board of directors has conducted a board performance evaluation to review whether it has discharged all its responsibilities effectively. |
√ | The board of directors did not conduct a board performance evaluation. We are planning to appoint external consultants to conduct the board performance evaluation in the upcoming periods. |
||||
| 4.6.4-The company did not extend any loans to its board directors or executives, nor extended their lending period or enhanced the amount of those loans, or improve conditions thereon, and did not extend loans under a personal credit title by third parties or provided guarantees such as surety in favour of them. |
√ | As stated in the Consolidated Financial Statements for the year ended December 31,2023 and Independent Auditor's Report, The Company has current net other receivables from shareholders account from Muharrem Usta of TL 130.1 million and Adem Elbaşı of TL 4.6 million. Interest is accrued for the related receivables. Except this disclosed accounts the Company did not extend any loans to its board directors or executives, nor extended their lending period or enhanced the amount of those loans, or improve conditions thereon, and did not extend loans under a personal credit title by third parties or provided guarantees such as surety in favour of them. |
||||
| 4.6.5-The individual remuneration of board members and executives is disclosed in the annual report. |
√ | It is stated that there were no remuneration to the other board members. Total of the salaries, premiums and similar benefits provided to executives are announced in the annual report but not disclosed individually. |
| 1. SHAREHOLDERS | ||||||
|---|---|---|---|---|---|---|
| 1.1. Facilitating the Exercise of Shareholders Rights | ||||||
| The number of investor meetings (conference, seminar/etc.) organised by the company during the year |
In 2023, the Company organized a total of 174 investor conferences and meetings (44 meetings at 8 roadshows, 130 investor and analyst meetings). |
|||||
| 1.2. Right to Obtain and Examine Information | ||||||
| The number of special audit request(s) | None. | |||||
| The number of special audit requests that were accepted at the General Shareholders' Meeting |
None. | |||||
| 1.3. General Assembly | ||||||
| Link to the PDP announcement that demonstrates the information requested by Principle 1.3.1. (a-d) |
https://www.kap.org.tr/en/Bildirim/1130754 | |||||
| Whether the company provides materials for the General Shareholders' Meeting in English and Turkish at the same time |
Materials for the General Shareholders' Meeting are provided both in English and Turkish at the same time. |
|||||
| The links to the PDP announcements associated with the transactions that are not approved by the majority of independent directors or by unanimous votes of present board members in the context of Principle 1.3.9 |
There is no such transactions that are not approved by unanimous votes of present board members. |
|||||
| The links to the PDP announcements associated with related party transactions in the context of Article 9 of the Communique on Corporate Governance (II-17.1) |
There is no such related party transactions in the context of Article 9 of the Communique on Corporate Governance (II-17.1) |
|||||
| The links to the PDP announcements associated with common and continuous transactions in the context of Article 10 of the Communique on Corporate Governance (II-17.1) |
There is no such common and continuous transactions in the context of Article 10 of the Communique on Corporate Governance (II-17.1) |
|||||
| The name of the section on the corporate website that demonstrates the donation policy of the company |
Investor Relations > Policies > Donations and Aids Policy |
|||||
| The relevant link to the PDP with minute of the General Shareholders' Meeting where the donation policy has been approved |
https://www.kap.org.tr/en/Bildirim/1141121 | |||||
| The number of the provisions of the articles of association that discuss the participation of stakeholders to the General Shareholders' Meeting |
Article 18 of the Articles of Association includes information regarding the General Assembly Meetings. Article 27 indicated that the Provisions of the Turkish Commercial Code, the Capital Markets Law, the capital markets legislation and other relevant legislation shall apply in respect of matters not covered by these Articles of Association. |
|||||
| Identified stakeholder groups that participated in the General Shareholders' Meeting, if any |
Representative from independent auditor, representative from ministry office, representative of legal consultant, and technical team participated in the General Assembly Meeting in 2022. There is no restriction on stakeholders' participation in General Assembly. |
| Whether the shares of the company have differential Yes. voting rights Only on the matters listed on the Articles of Association Article 18 ("Qualified Matters Requiring Increased General Assembly Resolution Quorum"), the affirmative votes of the shareholders holding at least 85% (eighty five per cent) of the capital represented by the Class A shares shall be required. Each Class A and Class B shares have only one voting right. However, on the matters listed on the Articles of Association Article In case that there are voting privileges, indicate the 18 ("Qualified Matters Requiring Increased General owner and percentage of the voting majority of shares. Assembly Resolution Quorum") are Class A shares are evaluated as privileged. There are 88,229,127 Class A shares in total. Lightyear Healthcare B.V. holds 53%, Sancak İnşaat Turizm Nakliyat ve Dış Ticaret A.Ş. holds 24%, Muharrem Usta holds 14%, Adem Elbaşı holds 5%, İzzet Usta holds 2%, Saliha Usta holds 1%, and Nurgül Dürüstkan Elbaşı holds 1% of Class A shares. The percentage of ownership of the largest 36.42% shareholder 1.5. Minority Rights Whether the scope of minority rights enlarged (in terms of content or the ratio) in the articles of the No. association If yes, specify the relevant provision of the articles of None. association 1.6. Dividend Right The name of the section on the corporate website that Investor Relations > Corporate Governance > Policies describes the dividend distribution policy > Dividend Policy Approval is suggested for the Profit Distribution offer made with March 8, 2023 dated decision of the Board of Directors. The offer in question is given as a written memorial, the memorial is determined as being suitable and read by the Meeting Chairman. Whereas; "According to the Company's consolidated financial statements for the period between January 1, 2022- December 31, 2022, which were prepared and independently audited as per the Capital Markets Board's Communiqué on the "Principles of Financial Reporting in Capital Markets" (II-14.1), a Net Profit of Minutes of the relevant agenda item in case the board TL 1,674,656,000.00 was recorded. 2) As a result of the of directors proposed to the general assembly not to calculations made in accordance with the provisions of distribute dividends, the reason for such proposal and the Tax Procedure Law, Corporate Tax, and Income Tax information as to use of the dividend Law a Net Distributable Profit of TL 242,726,368.07 was |
1.4. Voting Rights | |
|---|---|---|
| of the Company and further increase its financial flexibility, the Net Distributable Profit of the fiscal year of 2022 will not be distributed, and will be transferred to the "Retained Earnings" account, 4) And to submit this proposal for approval at the Ordinary General Assembly meeting for the year 2022." Meeting Chairman presented the read offer for voting. As the result of the voting, the offer in question is accepted unanimously and it is decided not to distribute any profit. PDP link to the related general shareholder meeting |
recorded. 3) In order to strengthen the financial structure | |
| https://www.kap.org.tr/en/Bildirim/1141121 minutes in case the board of directors proposed to the general assembly not to distribute dividends |
| General Meeting Date |
The number of information requests received by the company regarding the clarification of the agenda of the General Shareholders' Meeting |
Shareholder participation rate to the General Shareholders' Meeting |
Direct representation shares rate |
Rate of shares represented by proxy |
Specify the name of the page of the corporate website that contains the General Shareholders' Meeting minutes, and also indicates for each resolution the voting levels for or against |
Specify the name of the page of the corporate website that contains all questions asked in the general assembly meeting and all responses to them |
The number of the relevant item or paragraph of General Shareholders' Meeting minutes in relation to related party transactions |
The number of declarations by insiders received by the board of directors |
The link to the related PDP general shareholder meeting notification |
|---|---|---|---|---|---|---|---|---|---|
| April 26, 2023 |
0 | 67.47% | 0.00% | 67.47% | Investor Relations > Corporate Governance > General Assembly > 2022 |
Investor Relations > Corporate Governance > General Assembly > 2022 |
None. | 62 | https://www. kap.org.tr/ en/Bildi rim/1141121 |
| 2. DISCLOSURE AND TRANSPARENCY | |
|---|---|
| 2.1. Corporate Website | |
| Specify the name of the sections of the website providing the information requested by the Principle 2.1.1. |
Information required by Corporate Governance Principles numbered 2.1.1. are included in the Investor Relations section on Company website. |
| If applicable, specify the name of the sections of the website providing the list of shareholders (ultimate beneficiaries) who directly or indirectly own more than 5% of the shares. |
Investor Relations > MLP Care at a Glance > Shareholder Structure |
| List of languages for which the website is available | Turkish and English |
| 2.2. Annual Report | |
| The page numbers and/or name of the sections in the Annual Report that demonstrate the information requested by principle 2.2.2. |
|
| a) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on the duties of the members of the board of directors and executives conducted out of the company and declarations on independence of board members |
The information on the duties of the members of the board of directors and executives conducted out of the company - Corporate Governance Section > The Board of Directors; Declarations on independence of board members - Corporate Governance Section > Statements of Independence |
| b) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on committees formed within the board structure |
Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
| c) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on the number of board meetings in a year and the attendance of the members to these meetings |
Corporate Governance Section > The Board of Directors > Working Principles of the Board Of Directors |
| ç) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on amendments in the legislation which may significantly affect the activities of the corporation |
Other Information Related to Operating Activities > Other |
| d) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on significant lawsuits filed against the corporation and the possible results thereof |
Other Information Related to Operating Activities > Other |
| e) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on the conflicts of interest of the corporation among the institutions that it purchases services on matters such as investment consulting and rating and the measures taken by the corporation in order to avoid from these conflicts of interest |
Other Information Related to Operating Activities > Other |
| f) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on the cross ownership subsidiaries that the direct contribution to the capital exceeds 5% |
There is no cross ownership subsidiary. |
| g) The page numbers and/or name of the sections in the Annual Report that demonstrate the information on social rights and professional training of the employees and activities of corporate social responsibility in respect of the corporate activities that arises social and environmental results |
Sustainability |
| 3. STAKEHOLDERS | ||||||
|---|---|---|---|---|---|---|
| 3.1. Corporation's Policy on Stakeholders | ||||||
| The name of the section on the corporate website that demonstrates the employee remedy or severance policy |
Investor Relations > Corporate Governance > Policies > MLP Care Compensation Policy |
|||||
| The number of definitive convictions the company was subject to in relation to breach of employee rights |
349 | |||||
| The position of the person responsible for the alert mechanism (i.e. whistleblowing mechanism) |
Discipline Committee | |||||
| The contact detail of the company alert mechanism. | [email protected] | |||||
| 3.2. Supporting the Participation of the Stakeholders in the Corporation's Management | ||||||
| Name of the section on the corporate website that demonstrates the internal regulation addressing the participation of employees on management bodies. |
There are many committees within the company whose responsibilities and authorities are defined in the Board, Council and Committee Manual. Both managers and employees can take part in these committees. |
|||||
| Corporate bodies where employees are actually represented |
Management bodies that represents the employees are as follows: - Executive Committee -Discipline Committee -Academic and Ethics Committee -Organ and Tissue Transplantation Coordination Committee -Occupational Health and Safety Board -Quality Council -Drug Management Committee -Transfusion Committee -Infection Control Committee -Patient Safety Committee -Evaluation and Caring Committee -Patients Right and Satisfaction Committee -Education Committee -Facility Safety Committee -Radiation Safety Committee |
|||||
| 3.3. Human Resources Policy | ||||||
| The role of the board on developing and ensuring that the company has a succession plan for the key management positions |
Succession plan for the key management positions are prepared annually and are presented to the Board of Directors. |
|||||
| The name of the section on the corporate website that demonstrates the human resource policy covering equal opportunities and hiring principles. Also provide a summary of relevant parts of the human resource policy. |
Investor Relations > Corporate Governance > Policies > MLP Care Human Rights Policy |
|||||
| Whether the company provides an employee stock ownership programme |
There isn't an employee stock ownership programme. | |||||
| The name of the section on the corporate website that demonstrates the human resource policy covering discrimination and mistreatments and the measures to prevent them. Also provide a summary of relevant parts of the human resource policy. |
Investor Relations > Corporate Governance > Policies > MLP Care Human Rights Policy |
|||||
| The number of definitive convictions the company is subject to in relation to health and safety measures |
0 | |||||
| 3.5. Ethical Rules and Social Responsibility | ||||||
| The name of the section on the corporate website that demonstrates the code of ethics |
Investor Relations > Corporate Governance > Code of Ethics |
|||||
| The name of the section on the company website that demonstrates the corporate social responsibility report. If such a report does not exist, provide the information about any measures taken on environmental, social and corporate governance issues. |
Information was provided under the Sustainability section of the Annual Report, published on our website. |
|||||
| Any measures combating any kind of corruption including embezzlement and bribery |
It is specified in the Company's Anti-Bribery and Anti Corruption Policy. Investor Relations > Corporate Governance > Policies > Anti-Bribery and Anti-Corruption Policy |
| 4. BOARD OF DIRECTORS-I | ||
|---|---|---|
| 4.2. Activity of the Board of Directors | ||
| Date of the last board evaluation conducted | None. | |
| Whether the board evaluation was externally facilitated | No. | |
| Whether all board members released from their duties at the GSM |
Yes. | |
| Name(s) of the board member(s) with specific delegated duties and authorities, and descriptions of such duties |
There is no board member with specific delegated duties and authorities. |
|
| Number of reports presented by internal auditors to the audit committee or any relevant committee to the board |
5 | |
| Specify the name of the section or page number of the annual report that provides the summary of the review of the effectiveness of internal controls |
Information was provided under the Corporate Approach in the Sustainability section. |
|
| Name of the Chairman | Muharrem Usta | |
| Name of the CEO | Muharrem Usta | |
| If the CEO and Chair functions are combined: provide the link to the relevant PDP announcement providing the rationale for such combined roles |
As indicated in the Article 15.9.1. of IOC (Turkish version), Shareholder Agreement signed between Company's shareholders assigned the roles of the Chairman and Chief Executive Officer to Muharrem Usta. There is no PDP announcement other than IOC announcement on 25.01.2018 : https://www.kap.org.tr/ tr/Bildirim/655665 |
|
| Link to the PDP notification stating that any damage that may be caused by the members of the board of directors during the discharge of their duties is insured for an amount exceeding 25% of the company's capital |
https://www.kap.org.tr/en/Bildirim/1207728 | |
| The name of the section on the corporate website that demonstrates current diversity policy targeting women directors |
Due to having ratio of 33% female directors in the Board, no additional information announced in the company website. |
|
| The number and ratio of female directors within the Board of Directors |
The number of female directors within the Board of Directors is 2 (one of them is independent) out of 6 total Board of Directors. The ratio of female directors within the Board of Directors is 33%. |
| Name, Surname of Board Member |
Whether Executive Director or Not |
Whether Independent Director or Not |
The First Election Date to Board |
Link to PDP Notification that Includes the Independency Declaration |
Whether the Independent Director Considered by the Nomination Committee |
Whether She/He is the Director Who Ceased to Satisfy the Independence or Not |
Whether the Director Has at Least 5 Years' Experience on Audit, Accounting and/or Finance or Not |
|---|---|---|---|---|---|---|---|
| Muharrem Usta | Executive Director |
Not Independent Director |
28/12/2005 | - | Not considered | Irrelevant | No |
| Seymur Tarı | Not Executive Director |
Not Independent Director |
08/05/2014 | - | Not considered | Irrelevant | Yes |
| Haydar Sancak | Not Executive Director |
Not Independent Director |
06/02/2006 | - | Not considered | Irrelevant | No |
| Hatice Hale Özsoy Bıyıklı |
Not Executive Director |
Not Independent Director |
08/05/2014 | - | Not considered | Irrelevant | Yes |
| Meral Kurdaş | Not Executive Director |
Independent Director |
14/05/2018 | https://www. kap.org.tr/en/ Bildirim/1015063 |
Considered | No | Yes |
| Tayfun Bayazıt | Not Executive Director |
Independent Director |
14/05/2018 | https://www. kap.org.tr/en/ Bildirim/1015063 |
Considered | No | Yes |
| 4. BOARD OF DIRECTORS-II | ||
|---|---|---|
| 4.4. Meeting Procedures of the Board of Directors | ||
| Number of physical or online board meetings in the reporting period (meetings in person) |
5 | |
| Director average attendance rate at board meetings | 100% | |
| Whether the board uses an electronic portal to support its work or not |
No. | |
| Number of minimum days ahead of the board meeting to provide information to directors, as per the board charter |
Even though the Board Charter does not include the number of minimum days ahead of the board meeting, in order to provide equal information flow all board members are provided information at reasonable days ahead of board meetings. |
|
| The name of the section on the corporate website that demonstrates information about the board charter |
Article 14 of the Article of Association named Meetings of the Board of Directors, Meeting and Resolution Quorums demonstrates the relevant information. Section of The Articles of Association on the website: Investor Relations > Corporate Governance > Corporate Governance-More on Corporate Governance > Articles of Association |
|
| Number of maximum external commitments for board members as per the policy covering the number of external duties held by directors |
There are no limits to external commitments of board members. However, this does not create neither any conflict nor disruption of Board of Director duties in the Company. External commitments of Board Members announced in the company website: Investor Relations > Corporate Governance > Management and BOD > Board of Directors |
| 4.5. Board Committees | ||
|---|---|---|
| Page numbers or section names of the annual report where information about the board committees are presented. |
Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board Of Directors |
|
| Link(s) to the PDP announcement(s) with the board committee charters |
Board committee charters are announced at Prospectus in April 30, 2021 with PDP announcement. PDP Announcement link: https://www.kap.org.tr/en/ Bildirim/934146 |
| Composition of Board Committees-I |
Name of Committees Defined as "Other" in the First Column |
Name-Surname of Committee Members |
Whether Committee Chair or Not |
Whether Board Member or Not |
|---|---|---|---|---|
| Audit Committee | - | Tayfun Bayazıt | Yes | Board Member |
| Audit Committee | - | Meral Kurdaş | No | Board Member |
| Corporate Governance Committee |
- | Tayfun Bayazıt | Yes | Board Member |
| Corporate Governance Committee |
- | Meral Kurdaş | No | Board Member |
| Corporate Governance Committee |
- | Hatice Hale Özsoy Bıyıklı |
No | Board Member |
| Corporate Governance Committee |
- | Deniz Can Yücel | No | Not Board Member |
| Other | Nomination and Remuneration Committee |
Meral Kurdaş | Yes | Board Member |
| Other | Nomination and Remuneration Committee |
Tayfun Bayazıt | No | Board Member |
| Other | Nomination and Remuneration Committee |
Hatice Hale Özsoy Bıyıklı |
No | Board Member |
| Committee of Early Detection of Risk |
- | Meral Kurdaş | Yes | Board Member |
| Committee of Early Detection of Risk |
- | Tayfun Bayazıt | No | Board Member |
| Committee of Early Detection of Risk |
- | Hatice Hale Özsoy Bıyıklı |
No | Board Member |
| 4. BOARD OF DIRECTORS-III | ||||
|---|---|---|---|---|
| 4.5. Board Committees-II | ||||
| Specify where the activities of the audit committee are presented in your annual report or website (Page number or section name in the annual report/website) |
Corporate website - Investor Relations > Corporate Governance > Management and BOD > Board Committees > MLP Care Audit Committee Charter Annual report -Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
|||
| Specify where the activities of the corporate governance committee are presented in your annual report or website (Page number or section name in the annual report/website) |
Corporate website - Investor Relations > Corporate Governance > Management and BOD > Board Committees > MLP Care Corporate Governance Committee Charter Annual report -Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
|||
| Specify where the activities of the nomination committee are presented in your annual report or website (Page number or section name in the annual report/website) |
Corporate website - Investor Relations > Corporate Governance > Management and BOD > Board Committees > MLP Care Nomination and Remuneration Committee Charter Annual report -Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
|||
| Specify where the activities of the early detection of risk committee are presented in your annual report or website (Page number or section name in the annual report/website) |
Corporate website - Investor Relations > Corporate Governance > Management and BOD > Board Committees > MLP Care Early Detection of Risk Committee Charter Annual report -Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
|||
| Specify where the activities of the remuneration committee are presented in your annual report or website (Page number or section name in the annual report/website) |
Corporate website - Investor Relations > Corporate Governance > Management and BOD > Board Committees > MLP Care Nomination and Remuneration Committee Charter Annual report -Corporate Governance Section > The Board of Directors > The Number, the Structure and the Independence of the Committees within the Board of Directors |
|||
| 4.6. Financial Rights | ||||
| Specify where the operational and financial targets and their achievement are presented in your annual report (Page number or section name in the annual report) |
MLP Care in 2023 | |||
| Specify the section of website where remuneration policy for executive and non-executive directors are presented. |
Investor Relations > Corporate Governance > Policies > Remuneration Policy |
|||
| Specify where the individual remuneration for board members and senior executives are presented in your annual report (Page number or section name in the annual report) |
Other Information Related to Operating Activities > Compensation and Benefits Provided to Board Members and Senior Managers |
| Names of the Board Committees |
Name of Committees Defined as "Other" in the First Column |
The Percentage of Non-executive Directors |
The Percentage of Independent Directors in the Committee |
The Number of Meetings Held in Person |
The Number of Reports on its Activities Submitted to the Board |
|---|---|---|---|---|---|
| Audit Committee |
- | 100% | 100% | 6 | 6 |
| Corporate Governance Committee |
- | 75% | 50% | 4 | 4 |
| Other | Nomination and Remuneration Committee |
100% | 67% | 1 | 1 |
| Committee of Early Detection of Risk |
- | 100% | 67% | 6 | 6 |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not Applicable |
|||
| Sustainability Compliance Report | ||||||
| A. GENERAL PRINCIPLES | ||||||
| A1. Strategy, Policy and Goals | ||||||
| A1.1. The prioritised | ||||||
| environmental, social and corporate governance (ESG) issues, risks and opportunities have been determined by the Company's Board of Directors. |
X | MLP Care 2023 Annual Report - Corporate Governance Approach, page 60 |
||||
| A1.1. The ESG policies (Environmental Policy, Energy Policy, Human Rights and Employee Policy etc.) have been created and disclosed to the public by the Company's Board of Directors. |
X | https://investor.mlpcare.com/en/ corporate-governance/policies/ |
||||
| A1.2. The short and longterm targets set within the scope of ESG policies have been disclosed to the public. |
X | MLP Care 2022 Sustainability Report Our Sustainability Goals, page 33 - 35 |
||||
| A2. Implementation/Monitoring | ||||||
| A2.1. The responsible | ||||||
| committees and/or business units for the implementation of ESG policies and the senior officials related to ESG issues in the Company and their duties have been identified and disclosed to the public. |
X | MLP Care 2022 Sustainability Report Our Sustainability Working Group, page 32 |
||||
| A2.1. The activities carried out within the scope of policies by the responsible committee and/or unit have been reported to the Board of Directors at least once a year. |
X | MLP Care 2022 Sustainability Report Our Sustainability Working Group, page 32, Our Employee Profile, page 55 |
||||
| A2.2. In line with the ESG targets, the implementation and action plans have been formed and disclosed to the public. |
X | |||||
| A2.3. The Key ESG Performance Indicators (KPI) and the level of reaching these indicators have been disclosed to the public on yearly basis. |
X | As 2022 is the first year we have shared our goals, we will share the progress of our goals in future years. |
||||
| A2.4. The activities for improving the sustainability performance of the business processes or products and services have been disclosed to the public. |
X | MLP Care 2023 Annual Report - Information Technologies and Digital Business Culture - page 61 |
| Sustainability Principles Compliance Framework | Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
|||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not | |||
| A3. Reporting | Applicable | |||||
| A3.1. The information about the sustainability performance, targets and actions have been given in annual reports of the Company an understandable, |
X | MLP Care 2023 Annual Report Sustainability - page 52 |
||||
| accurate and sufficient manner. A3.2. The information about activities which are related to the United Nations (UN) 2030 Sustainable Development Goals have been disclosed to |
X | MLP Care 2022 Sustainability Report UN Sustainable Development Goals and MLPCARE, page 36 - 37 |
||||
| the public. A3.3. The lawsuits filed and/ or concluded against the Company about ESG issues which are material in terms of ESG policies and/or will significantly affect the Company's activities, have been disclosed to the public. |
X | In 2023, there were no lawsuits involving our company in these matters. |
||||
| A4. Verification A4.1. The Company's Key ESG Performance metrics have been verified by an independent third party and |
X | MLP Care does not receive independent assurance on sustainability performance measures. |
||||
| publicly disclosed. B. ENVIRONMENTAL PRINCIPLES |
||||||
| B1. The policies and practices, action plans, environmental management systems (known by the ISO 14001 standard) and programs have been disclosed. |
X | Our policy on environmental management is published on our website. In addition, our practices and action plans related to this issue are discussed under the title "Our Environmental Approach" on page 42 of the 2023 Annual Report. Each of our hospitals receives Environmental Consultancy and Hazardous Substance Safety Consultancy services and works are carried out with an environmental management system mechanism in cooperation with Infection Control Committees, Technical Services and Administrative Affairs Departments. ISO 14001:2015 Environmental Management System Certificate has started to be obtained for our hospitals. |
MLP Care 2022 Sustainability Report Memberships and Our Certificates, page 17 |
|||
| B2. The environmental reports prepared to provide information on environmental management have been disclosed to the public which is including the scope, reporting period, reporting date and limitations about the reporting conditions. |
X | MLP Care 2022 Sustainability Report About The Report, page 6 |
||||
| B4. The environmental targets within the scope of performance incentive systems which included in the rewarding criteria have been disclosed to the public on the basis of stakeholders (such as members of the Board of Directors, managers and employees). |
X | We plan to organize sustainability-focused competitions and implement award mechanisms for the development of sustainability-related projects. |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not | |||
| B5. How the prioritised environmental issues have been integrated into business objectives and strategies has been disclosed. |
X | Applicable | MLP Care 2022 Sustainability Report page 44-50 MLP Care 2023 Annual Report - Sustainability, page 52 |
|||
| B7. The way of how environmental issues has been managed and integrated into business objectives and strategies throughout the Company's value chain, including the operational process, suppliers and customers has been disclosed. |
X | MLP Care 2022 Sustainability Report Sustainability iin the Supply Chain, page 38 |
||||
| B8. Whether the Company have been involved to environmental related organizations and non governmental organizations' policy making processes and collaborations with these organizations has been disclosed. |
X | We are not a member of any organization on environmental issues. In the coming periods, we aim to evaluate cooperation opportunities where we can provide the highest benefit to our organization and our stakeholders. |
||||
| B9. In the light of environmental indicators (Greenhouse gas emissions (Scope1 (Direct), Scope2 (Energy indirect), Scope3 (Other indirect), air quality, energy management, water and wastewater management, waste management, biodiversity impacts)), information on environmental impacts is periodically disclosed to the public in a comparable manner. |
X | MLP Care 2022 Sustainability Report Our Efficient Energy Use, page 46, Our Fight With The Climate Crisis, page 47, Our Emission Management, page 48, Our Waste Management, page 49, Our Water Management, page 50 |
||||
| B10. Details of the standard, protocol, methodology, and baseline year used to collect and calculate data has been disclosed. |
X | MLP Care 2022 Sustainability Report Our Sustainability Goals, page 33-35, Our Efficient Energy Use, page 46, Our Fight With The Climate Crisis, page 47, Our Emission Management, page 48, Our Waste Management, page 49, Our Water Management, page 50 |
||||
| B11. The increase or decrease in Company's environmental indicators as of the reporting year has been comparatively disclosed with previous years. |
X | MLP Care 2022 Sustainability Report Our Efficient Energy Use, page 46, Our Emission Management, page 48, Our Waste Management, page 49, Our Water Management, page 50 |
||||
| B12. The short and long term targets for reducing the environmental impacts have been determined and the progress compared to previous years' targets has been disclosed. |
X | We have set and announced short, medium and long term goals in the areas of environment, social and governance. We will provide information on the progress of the goals through our Sustainability Reports. |
MLP Care 2022 Sustainability Report Our Sustainability Goals, page 33-35 |
|||
| B13. A strategy to combat the climate crisis has been created and the planned actions have been publicly disclosed. |
X | MLP Care 2022 Sustainability Report - Our Fight with the Climate Crisis, page 47 MLP Care 2023 Annual Report - Sustainability, page 52 |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not | |||
| B14. The programs/procedures to prevent or minimize the potential negative impact of products and/or services on the environment have been established and disclosed. |
X | Applicable | MLP Care 2022 Sustainability Report Our Fight With The Climate Crisis, page 47 |
|||
| B14. The actions to reduce greenhouse gas emissions of third parties (suppliers, subcontractors, dealers, etc.) have been carried out and disclosed. |
X | Greenhouse gas emissions of third parties have started to be calculated, but since all emission sources have not yet been included in the calculation, no mitigation action has been taken. |
||||
| B15. The environmental benefits/gains and cost savings of initiatives/projects that aims reducing environmental impacts have been disclosed. |
X | We are working to reduce our environmental impacts, and we will measure these impacts in the coming periods and disclose them comparatively on a yearly basis. |
MLP Care 2022 Sustainability Report Our Efficient Energy Use, page 45-46, Our Water Management, page 50 |
|||
| B16. The data related to energy consumption (natural gas, diesel, gasoline, LPG, coal, electricity, heating, cooling, etc.) has been disclosed as Scope1 and Scope2. |
X | MLP Care 2022 Sustainability Report Our Emission Management, page 48 |
||||
| B17. The information related to production of electricity, heat, steam and cooling as of the reporting year has been disclosed. |
X | There is no production of electricity, heat, steam and cooling. |
MLP Care 2022 | |||
| B18. The studies related to increase the use of renewable energy and transition to zero/ low carbon electricity have been conducted and disclosed. |
X | With the Solar Power Plant Project, we have started the production of renewable energy to be used in our hospitals. |
Sustainability Report Our Efficient Energy Use, page 46, Our Fight with the Climate Crisis, page 47, Our Emission Management, page 48, Our Waste Management, page 49, Our Water Management, page 50 |
|||
| B19. The renewable energy production and usage data has been publicly disclosed. |
X | MLP Care does not use any renewable energy. |
||||
| B20. The Company conducted projects about energy efficiency and the amount of reduction on energy consumption and emission achieved through these projects have been disclosed. |
X | Energy efficiency projects are underway and energy and emission reductions have not been matched to the projects and disclosed. |
MLP Care 2022 Sustainability Report Our Efficient Energy Use, page 46-47 |
|||
| B21. The water consumption, the amount, procedures and sources of recycled and discharged water from underground or above ground (if any), have been disclosed. |
X | MLP Care 2022 Sustainability Report Our Water Management, page 50 |
||||
| B22. The information related to whether Company's operations or activities are included in any carbon pricing system (Emissions Trading System, Cap & Trade or Carbon Tax). |
X | MLP Care is not included in the carbon pricing system. |
||||
| B23. The information related to accumulated or purchased carbon credits within the reporting period has been disclosed. |
X | We have no carbon credits accumulated or purchased. |
||||
| B24. If carbon pricing is applied within the Company, the details have been disclosed. |
X | Carbon pricing is not applied. |
||||
| B25. The platforms where the Company discloses its environmental information have been disclosed. C. SOCIAL PRINCIPLES |
X | Our Annual Reports and Sustainability Reports are available on the Public Disclosure Platform and on our website. |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not | |||
| C1. Human Rights and Employee Rights | Applicable | |||||
| C1.1. The Institutional Human Rights and Employee Rights Policy has been established in the light of the Universal Declaration of Human Rights, ILO Conventions ratified by Turkey and other relevant legislation. The policy and the officials that responsible for the implementation of it have been determined and disclosed. |
X | https://investor.mlpcare.com/en/ corporate-governance/code-of ethics/ https://investor.mlpcare.com/en/ corporate-governance/policies/mlp care-humanrights-policy/ https://investor.mlpcare.com/en/ corporate-governance/policies/mlp care-humanresources-policy/ |
||||
| C1.2. Considering the effects of supply and value chain, fair workforce, improvement of labor standards, women's employment and inclusion issues (gender, race, religion, language, marital status, ethnic identity, sexual orientation, gender identity, family responsibilities, union activities, political opinion, disability, social and cultural differences, etc., such as non discrimination) are included in its policy on employee rights. |
X | https://investor.mlpcare.com/en/ corporate-governance/code-of ethics/ https://investor.mlpcare.com/en/ corporate-governance/policies/mlp care-humanresources-policy/ |
||||
| C1.3. The measures taken for the minority rights/equality of opportunity or the ones who are sensitive about certain economic, environmental, social factors (low income groups, women, etc.) along the supply chain have been disclosed. |
X | MLP Care 2022 Sustainability Report - Our Employee Profile, page 55, Diversity and Inclusion, page 59-60 https://investor.mlpcare.com/en/ corporate-governance/code-of ethics/ https://investor.mlpcare.com/en/ corporate-governance/policies/mlp care-humanrights-policy/ |
||||
| C1.4. The developments regarding preventive and corrective practices against discrimination, inequality, human rights violations, forced and child labor have been disclosed. |
X | MLP Care 2022 Sustainability Report - Diversity and Inclusion, page 59-60 https://investor.mlpcare.com/en/ corporate-governance/code-of ethics/ https://investor.mlpcare.com/en/ corporate-governance/policies/mlp care-human-rights-policy/ |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not Applicable |
|||
| C1.5. Investments in employees (education, development policies), compensation, fringe benefits, right to unionize, work/life balance solutions and talent management are included in the employee |
X | MLP Care 2022 Sustainability Report- Our Human Resources Approach page 53, Our Employee Profile, page 56, Employee Engagement and Satisfaction, page 57, Investing in Employee Development, page 58 MLP Care 2023 Annual Report Sustainability - page 52-60 |
||||
| rights policy. | https://investor.mlpcare.com/ kurumsal-yonetim/politikalar/ mlpcare insan-kaynaklaripolitikalari/ |
|||||
| C1.5. The mechanism for | https://investor.mlpcare.com/en/ corporate-governance/policies/ mlpcare humanresources-policy/ |
|||||
| employee complaints and resolution of disputes have been established and related solution processes have been determined. |
X | https://investor.mlpcare.com/en/ corporate-governance/code ofethics/ |
||||
| MLP Care 2023 Annual Report - Corporate Governance , page 66-85 |
||||||
| C1.5. The activities carried out within the reporting period which related to ensure employee satisfaction have been disclosed. |
X | MLP Care 2022 Sustainability Report- Employee Engagement and Satisfaction, page 57 |
||||
| C1.6. The occupational health and safety policies have been established and disclosed. |
X | https://investor.mlpcare.com/en/ corporate-governance/policies/mlp careoccupational-health-andsafety policy/ |
||||
| C1.6. The measures taken for protecting health, preventing occupational accidents and related statistics have been disclosed. |
X | We will be sharing statistics on occupational health and safety in the future. |
MLP Care 2022 Sustainability Report - Occupational Health and Safety, page 61 |
|||
| C1.7. The personal data protection and data security policies have been established and disclosed. |
X | https://www.mlpcare.com/kisisel verilerin-korunmasi https://www.mlpcare.com/ykb-yrd 38-00-mlp-bilgiguvenligi-yonetim |
||||
| C1.8. The ethics policy have been established and disclosed. |
X | sistemipolitikasi-.Pdf https://investor.mlpcare.com/en/ corporate-governance/code-of |
||||
| C1.9. The studies related to social investment, social responsibility, financial inclusivity and access to finance have been explained. |
X | Our Company's social responsibility projects are shared in detail in the Annual Reports and Sustainability Reports every year. |
ethics/ MLP Care 2023 Annual Report - Sustainability, page 58 - 59 |
|||
| C1.10. The informative meetings and training programs related to ESG policies and practices have been organized for employees. |
X | MLP Care 2022 Sustainability Report - Sustainability Approach, page 31, Our Sustainability Working Group, page 32 Our Environmental Management, page 44 |
| Company Status | Explanation | Report Information on Publicly Disclosed Information (Page number, menu name on the website) |
||||
|---|---|---|---|---|---|---|
| Yes | Partial | No | Not Applicable |
|||
| C2. Stakeholders, International Standards and Initiatives | ||||||
| C2.1. The customer satisfaction policy regarding the management and resolution of customer complaints has been prepared and disclosed. |
X | https://investor.mlpcare.com/en/ corporate-governance/policies/ mlp-care-complaintmanagement policy/ |
||||
| C2.2. The information about the communication with stakeholders (which stakeholder, subject and frequency) have been disclosed. |
X | MLP Care 2022 Sustainability Report - Our Stakeholder Communication, page 39 - 41 |
||||
| C2.3. The international reporting standards that adopted in reporting have been explained. |
X | Our 2022 Sustainability Report in compliance with GRI Standards is available on our website. |
https://investor.mlpcare.com/ site/assets/files/2959/mlpcare_ sustainability_report_2022.pdf |
|||
| C2.4. The principles adopted regarding sustainability, the signatory or member international organizations, committees and principles have been disclosed. |
X | In addition to being a member of the Business Council for Sustainable Development, our CEO is a signatory of the Women's Empowerment Principles (WEPs). |
||||
| C2.5. The improvements have been made and studies have been carried out in order to be included in the Borsa Istanbul sustainability indices and/or international index providers. |
X | Since December 2022, we have been included in the BIST Sustainability Index. |
||||
| D. CORPORATE GOVERNANCE PRINCIPLES | ||||||
| D1. The opinions of stakeholders have been sought in the determination of measures and strategies related to sustainability field. |
X | MLP Care 2022 Sustainability Report - Our Material Topics, page 30 |
||||
| D2. The social responsibility projects, awareness activities and trainings have been carried out to raise awareness about sustainability and its importance. |
X | MLP Care 2023 Annual Report - Sustainability, page 58 - 59 |
| Shareholders | Share in Capital (%) | Number of Shares (TL thousand) |
|---|---|---|
| Lightyear Healthcare B.V. (*) | 34.67% | 71,131 |
| Sancak İnşaat Turizm Nakliyat ve Dış Tic. A.Ş. | 15.35% | 31,943 |
| Muharrem Usta | 8.98% | 18,678 |
| Adem Elbaşı | 2.99% | 6,226 |
| İzzet Usta | 1.20% | 2,490 |
| Saliha Usta | 0.90% | 1,868 |
| Nurgül Dürüstkan Elbaşı | 0.90% | 1,868 |
| Publicly Traded (**) | 35.01% | 72,833 |
| Nominal Capital | 100.00% | 208,037 |
(*) Turk Ventures Adv. Ltd. provides consultancy services in its Istanbul liaison office to Dutch shareholders TPEF (Hujori Financieringen B.V. ("Hujori") and Lightyear Healthcare B.V. ("Lightyear")). Consulted Hujori and Lightyear have merged under Lightyear. With this merger, 8,287 thousand shares corresponding to 3.98% of the non-public portion and 418 thousand shares corresponding to 0.57% of the publicly traded portion owned by Hujori were transferred to Lightyear.
(**) The shareholders of the Group purchased 6,827 thousand shares from the publicly traded portion of the capital. Distribution of the shares purchased is as follows; 3,224 thousand shares representing 4.43% of the publicly traded portion were purchased by Lightyear, 1,613 thousand shares representing 2.21% of the publicly traded portion of the capital were purchased by Sancak İnşaat, 943 thousand shares representing 1.29% of the publicly traded portion of the capital were purchased by Muharrem Usta, 418 thousand shares representing 0.57% of the publicly traded portion of the capital were purchased by Hujori, 314 thousand shares representing 0.43% of the publicly traded portion of the capital were purchased by Adem Elbaşı and lastly other shareholders purchased 314 shares representing 0.43% of the publicly traded portion. 1,613 thousand shares purchased by Sancak İnşaat from the publicly traded portion were sold on September 24, 2018. 126 thousand shares purchased by İzzet Usta and 18 thousand shares purchased by Adem Elbaşı from the publicly traded portion were sold.
The operations and the administration of the Company are carried out by the Board of Directors, which comprises six members who are elected by the General Assembly. Board members are subject to the conditions stated in the Turkish Commercial Code and the Capital Markets Regulations.
Provided that the A Group shares continue to be at least 20% of the issued capital of the Company, three members of the Board of Directors will be elected from the candidates nominated by this Group. These members of the Board of Directors, who will be elected from the candidates nominated by the A Group shareholders, are not going to be the independent members as stated in the Corporate Governance Principles of the Capital Markets Board.
In case the shares of the A Group fall below 20% of the issued capital of the Company, the abovementioned privilege to nominate candidates for the Board of Directors will be abolished automatically and irreversibly, starting from the moment that the legal transaction that causes the aforementioned situation is carried out. Furthermore, during the first General Assembly meeting following this transaction, this Article of Association will be amended and the references to the share groups will be removed.
The required number of independent members of the Board of Directors is elected by the General Assembly in accordance with the guidelines regarding the independence of the Board members stated in the Corporate Governance Principles of the Capital Markets Board. The independent members should have the required qualifications that are stated in the regulations of the Capital Markets Board regarding corporate governance.
Board members can be elected for a maximum of three years. When their term ends, the Board members can be re-elected. The Company complied with the regulations of the Capital Markets Board regarding corporate governance and the Articles of Association. In accordance with the resolution of the Board of Directors dated February 10, 2021, appointments of the independent board members were carried out. 3 year appointments of both independent board members and other board members were approved at the General Assembly dated April 15, 2021.
The CVs of the Board members are provided below:
Muharrem Usta was born in Trabzon in 1965. Mr. Usta graduated from Trabzon High School in 1983, from Dokuz Eylül University Medical School in 1989, and became an ENT specialist in 1992. In 1993, Mr. Usta switched to hospital management business and took initial steps for the establishment of MLP Care. Mr. Usta served as the Chairman of the Istanbul Chamber of Commerce Health Committee, Member of the Istanbul Metropolitan Municipality Assembly and the President of the Health Commission, and the Founding President of the Turkish Association of Private Hospital and Healthcare Institutions (OHSAD). Mr. Usta, MLP Care's (Medical Park and Liv Hospital) Chairman and CEO, also serves as the Chairman of the Board of Trustees of İstinye University.
Seymur Tarı was elected as a Member of the Board of Directors for a three-year term at the General Assembly meeting held in April 2021. Mr. Tarı is currently working at Turk Ventures Advisory Limited, a firm providing consultancy services to private equity funds. He previously served at McKinsey & Company, focusing on corporate portfolio strategy, and at Caterpillar Inc., as a product manager with responsibility for the EMEA and CIS regions. Mr. Tarı holds an MBA degree from INSEAD, and MSc and BSc degrees in Mechanical Engineering and Robotics from ETH Zurich.
Hatice Hale Özsoy Bıyıklı was elected as a member of the Board of Directors for a three-year term at the General Assembly meeting held in April 2021. Ms. Özsoy Bıyıklı is currently working at Turk Ventures Advisory Limited, a firm providing consultancy services to private equity funds. She has previously served as a Senior Associate at Goldman Sachs Investment Banking Division in London and also worked for The Boston Consulting Group and Andersen Business Consulting in Istanbul and Amsterdam. Ms. Özsoy Bıyıklı holds an MBA degree from Harvard Business School and MSc and BSc degrees in Electrical Engineering and Computer Science from MIT.
Haydar Sancak was elected as a member of the Board of Directors for a three year term at the General Assembly meeting held in April 2021. In addition to his position at MLP Care, Mr. Sancak also serves at various in positions in or out group companies of Sancak Group such as the Chairman at Sancak İnşaat Turizm Nakliyat ve Dış Tic. A.Ş., Vice Chairman at both Sancak Enerji Hizmetleri A.Ş. and Sanport Gayrimenkul Geliştirme İnşaat Tic. A.Ş..
Meral Kurdaş graduated from Boğaziçi University, Faculty of Administrative Sciences, Department of Business Administration. She later completed the Executive MBA program at the University of Wales, Manchester Business School, and the Executive MIS program at Boğaziçi University. Starting her professional career at Interbank in 1985, Ms. Kurdaş then served as Assistant General Manager at Garanti Investment Bank. In 1997, she joined Yapı Kredi Bank as President of the Corporate Marketing Department. In 2002, she transferred to Sabancı Group as CEO of AK Emeklilik. Ms. Kurdaş served as the CEO of AvivaSA Emeklilik ve Hayat A.Ş. between 2007 and 2016, and acted as Human Resources Group President at Sabancı Holding and served as a Board Member at Sabancı Group companies between 2017 and 2018. In 2018, Ms. Kurdaş started her management consultancy firm.
After receiving a B.S. Degree in Engineering Mechanics and Materials in 1980, Tayfun Bayazıt graduated from Columbia University's Finance and International Relations M.B.A. program. Mr. Bayazıt started his banking career at Citibank, served 13 years at Çukurova Group as Executive Vice President at Yapı ve Kredi Bankası, President and Chief Executive Officer
at Interbank A.Ş., and President and Chief Executive Officer at Banque de Commerce et de Placements S.A. Switzerland. In 1999, Mr. Bayazıt became Vice Chairman of Doğan Şirketler Grubu Holding A.Ş. and Dışbank Executive Director and he was appointed as CEO of Dışbank in 2001. Tayfun Bayazıt, became the Vice Chairman of Dışbank in 2003 and later appointed to Fortis Türkiye CEO position following the Dışbank's acquisition by Fortis in 2005 and Chairman position in 2006. Tayfun Bayazıt appointed as the CEO and Chairman of Yapı Kredi (JV of Koc Holding and UniCredit Group) and became the Chairman of the Bank in 2009. In 2011, Tayfun Bayazıt established his own company providing advisory services. Tayfun Bayazıt also serves as a board member in several companies and actively works in several non-governmental organizations like TÜSİAD, Eğitim Gönüllüleri Vakfı (TEGV), Kurumsal Yönetim Derneği (TKYD), WRI Türkiye and Darüşşafaka.
It is aimed to carry out the duties of the Board in accordance with the Corporate Governance Principles in a transparent, accountable, fair and responsible manner. In this context and line with the Corporate Governance Principles, the Board meetings are conducted regularly in such a way that it can efficiently carry out its duties. The Board Members also hold meetings whenever necessary. The provisions of the Turkish Commercial Code and the Capital Market Regulations are applied regarding the quorum during the Board meetings.
| Board Members |
Independence Status |
Board of Directors (5 meetings) |
Corporate Governance Committee (4 meetings) |
Early Detection of Risk Committee (6 meetings) |
Audit Committee (5 meetings) |
Nomination and Remuneration Committee (1 meeting) |
|---|---|---|---|---|---|---|
| Muharrem Usta |
- | 5/5 | ||||
| Seymur Tarı | - | 5/5 | ||||
| Hatice Hale Özsoy Bıyıklı |
- | 5/5 | 4/4 | 6/6 | 1/1 | |
| Haydar Sancak |
- | 5/5 | ||||
| Meral Kurdaş | + | 5/5 | 4/4 | 6/6 | 5/5 | 6/6 |
| Tayfun Bayazıt | + | 5/5 | 4/4 | 6/6 | 5/5 | 6/6 |
According to Article 17 of the Articles of Association titled The Duties and the Responsibilities of the Board of Directors and as part of the Capital Markets Regulations Corporate Governance Principles, in order to ensure that the Board carries out its duties and responsibilities properly, the Committees that are required by law or deemed appropriate by the Board will be established, including the Early Detection of Risk Committee, the Audit Committee, the Corporate Governance Committee, the Nomination Committee, and the Remuneration Committee, within the Board of Directors. However, in case the Nomination and Remuneration Committees cannot be established due to the structure of the Board of Directors, the Corporate Governance Committee carry out their duties. The responsibilities, operating principles, and Committee members are determined by the Board and announced to the public. All members of the Audit Committee and the Chairman of the other Committees should be selected from the independent members of the Board.
In this context, by the decision of the Board dated January 15, 2018, and numbered 2018/3, the Audit Committee, the Corporate Governance Committee and the Early Detection of Risk Committee were established within the Company.
Nomination and Remuneration Committee was established by the decision of the Board dated April 30, 2021 and numbered 2021/23. With the same decision Nomination and Remuneration Committee charter was established, charters of Audit Committee, Corporate Governance Committee, and Early Detection of Risk Committee revisions were accepted with the attached charters, and brought to the attention of stakeholders on the Company website. The members of these Committees were appointed also on April 30, 2021.
The duties and working principles (Charters) of the Committees are already published. In accordance with the Articles of Association, changing these is subject to the approval of the General Assembly. The Committee Charters are available on the Company's website.
Audit Committee: The main purpose of the Committee is the supervision of the Company's accounting system and accounting practices, public disclosure of the Company's financial information, the operation and efficiency of the internal and external audit of the Company and the compliance of the Company with the applicable legislation. The Committee also performs the duties imposed on it under the Articles of
Association and the Communiqué. Within this context, the Committee fulfills the duties and responsibilities indicated in the Charter. The Audit Committee also works continuously to increase the level of compliance with the legislation and company regulations, and to reinforce transparency, accountability, fairness, predictability and efficiency, and meets at least four times a year on a quarterly basis. The Committee held five meetings in 2022 on a quarterly basis and submitted the reports to the Board of Directors. The Audit Committee consists of two independent board members as stated below. None of the Committee Members have executive duties in the Company.
| Name - Surname | Title | ||
|---|---|---|---|
| Tayfun Bayazıt | Chairman of the Audit | ||
| (Independent) | Committee | ||
| Meral Kurdaş | Member of the Audit | ||
| (Independent) | Committee |
Corporate Governance Committee: The Committee assists the Board of Directors in relation to compliance with the Corporate Governance Principles, including the regulation of the investigations and conflicts of interest which may occur in case of violation of the Corporate Governance Principles. The Committee shall also monitor the Investor Relations Unit. The Committee meets whenever its assigned duties requires but at least four times a year. The Committee held four meetings in 2022 on a quarterly basis and submitted the reports to the Board of Directors. The Corporate Governance Committee consists of three Board members (two of whom are independent board members) and the Strategy and Investor Relations Director. None of the Committee members – except the Strategy and Investor Relations Director – have executive duties at the Company.
| Name - Surname | Title |
|---|---|
| Tayfun Bayazıt | Chairman of the Corporate |
| (Independent) | Governance Committee |
| Meral Kurdaş | Member of the Corporate |
| (Independent) | Governance Committee |
| Hatice Hale Özsoy Bıyıklı | Member of the Corporate Governance Committee |
| Deniz Can Yücel | Member of the Corporate |
| (Executive) | Governance Committee |
Early Detection of Risk Committee: The Committee assists the Board of Directors in identifying in a timely manner the risks that might jeopardize the existence, improvement, and continuation of the Company, establishment of an expert committee for the implementation of appropriate risk management strategies and risk management, and also performs other duties imposed on it under the applicable legislation. The Committee convene at the frequency required by the duties assigned to it, but in any event at least six times per year. The Committee held six meetings in 2022 and submitted the reports to the Board of Directors. The Early Detection of Risk Committee consists of three Board members (two of whom are independent board members). None of the Committee Members have executive duties at the Company.
| Name - Surname | Title |
|---|---|
| Meral Kurdaş | Chairman of the Early |
| (Independent) | Detection of Risk Committee |
| Tayfun Bayazıt | Member of the Early |
| (Independent) | Detection of Risk Committee |
| Hatice Hale Özsoy Bıyıklı | Member of the Early Detection of Risk Committee |
Nomination and Remuneration Committee: Our Nomination and Remuneration Committee was established in 2021 with the resolution of the Board of Directors dated April 30, 2021 and No. 2021/23. The Committee charged with the following duties:
The Committee held two meetings and fulfill the determined duties by convening at least two meetings a year. In 2022, the Committee held two meetings and presented the report to the Board of Directors. Nomination and Remuneration Committee consist of three Board members, two of them independent. No member has any execution duties in the Company.
| Name Surname | Title |
|---|---|
| Meral Kurdaş (Independent) |
Chairman of the Nomination and Remuneration Committee |
| Tayfun Bayazıt (Independent) |
Member of the Nomination and Remuneration Committee |
| Hatice Hale Özsoy Bıyıklı | Member of the Nomination and Remuneration Committee |
| Name – Surname | Title | Total Professional Experience |
Working at MLP Care as of |
|---|---|---|---|
| Dr. Muharrem Usta | CEO | 31 | 1995 |
| Burcu Öztürk | CFO | 20 | 2014 |
| Dr. Adem Elbaşı | Chief Operations Coordinator | 35 | 1995 |
| Dr. Hikmet Çavuş | Chief Strategy and Performance 31 Coordinator |
2003 | |
| Şerafettin Demiray | Chief Human Resources Coordinator | 26 | 2021 |
| Gürkan Cağlıoğlu | IT & Digital Transformation Coordinator |
2019 | |
| Hakan Ercan | Internal Audit Director | 25 | 2021 |
| Deniz Can Yücel | Strategy and Investor Relations Director |
25 | 2017 |
The main purpose of the Ethical Values Policy is to ensure the effective use of resources; the open, transparent and lawful maintenance of all services and activities; prevention of unfair competition; and the creation of an awareness of corporate and social responsibility in our managers and employees. The following persons are required to comply with the Ethical Values Policy:
the Company's directors, managers, and employees;
the Company's affiliates, subsidiaries and members of the Board of Directors/Managers/employees of the Company's business partners, doctors who are contracted as business partners and who are employed by the Company; and
representative offices of the Company
Under the Ethical Values Policy, all persons noted above must act with integrity and honesty in all business processes. These persons are required to comply with relevant regulations such as healthcare and data protection (e.g. keeping patient information confidential) during their tenure at the Company. Additionally, they are also obliged to avoid any kind of conflict of interest under the Business Ethic Policy.
The Anti-Bribery and Anti-Corruption Policy aims to prevent corruption and bribery and draw attention to the Company's strict compliance with anti-corruption laws. All employees and managers of MLP Care and Affiliated Companies, third parties (i.e., suppliers and consultants) and their employees are subject to the Anti-Bribery and Anti-Corruption Policy, which encourages employees to report to the Company any illegal or unethical behavior they witness. The Anti-Bribery and Anti-Corruption Policy includes detailed information about how to deal with public officials and other third parties in order to prevent bribery and corruption risks. The Policy informs employees regarding offers of gifts, entertainment or other hospitality to third parties, and sets limits on the value of such gifts or hospitality.
The Disciplinary Committee oversees the disciplinary processes applied to the employees of MLP Care and Affiliated Companies, who are subject to the rules and principles set forth by the Disciplinary Committee and Operating Procedures.
The Strategy and Investor Relations Department is responsible for managing MLP Care's relationships with investors and shareholders in accordance with the Company's Public Disclosure Policy, which is published on the corporate website and implemented under the supervision of the Board of Directors. The Strategy and Investor Relations Director is a natural member of the Corporate Governance Committee, which is also responsible for supervising the Strategy and Investor Relations Department. The purpose of the Public Disclosure Policy is to ensure active, effective and transparent communication by sharing all kinds of information that are not a trade secret in a complete, fair, accurate, prompt, clear, low-cost and easily accessible manner, in conformity with the provisions of the regulations binding the Company and the Articles of Association, with all stakeholders including shareholders, investors, employees, and customers. The Board of Directors has the authority and responsibility to oversee and develop the Public Disclosure Policy.
The main activities of the Strategy and Investor Relations Department are as follows: Carrying out transactions with the Central Registry Agency (MKK), and ensuring that correspondence between the Investors and the Company, as well as documents and records of other information, are maintained in secure, safe and updated condition; • In line with the Company's Public Disclosure Policy, providing clear answers to the questions and shareholders' relevant information requests submitted to the Department during the period – excluding the information that is not publicly disclosed, confidential or a trade secret – by using communication tools or faceto-face methods of communication; • Preparing the special case announcements and
sharing them with the public via KAP (Public Disclosure Platform) after they are electronically signed, and publishing them on the Company's website on the next business day following the public disclosure; • Preparing the documents that must be provided to shareholders for the General Assembly meeting, and taking necessary measures to make sure that the General Assembly meeting is held in line with the relevant legislation, the Articles of Association and other internal procedures of the Company; • Supervising and monitoring the process of fulfilling obligations arising from the Capital Markets Legislation, including all sorts of issues related to corporate governance and public disclosure, ensuring coordination of the public communication activities in addition to the disclosures required by the legislation, and attending conferences, meetings, seminars, and roadshows in order to meet with investors and analysts.
Updated information regarding the personnel working at the Company's Strategy and Investor Relations Department in 2023 is provided below. Strategy and Investor Relations Director Dr. Deniz Can Yücel works full-time and reports directly to Muharrem Usta, the Chairman of the Board of Directors and CEO.
Information regarding the personnel working in the Company's Strategy and Investor Relations Department:
Dr. Deniz Can Yücel Strategy and Investor Relations Director Phone: +90 212 227 55 55 (ext: 1148) Fax: +90 212 227 23 28 e-mail: [email protected] Licenses: CMB Advanced and CMB Corporate Governance Rating Specialist Licenses
Umut Kater Strategy and Investor Relations Specialist Phone: +90 212 227 55 55 Fax: +90 212 227 23 28 e-mail: [email protected]
In 2023, the Company organized a total of 174 investor conferences and meetings (44 meetings at 8 roadshows, 130 investor and analyst meetings).
The Strategy and Investor Relations Department is responsible for overseeing and monitoring all matters related to public disclosure. Accordingly, the Department plays an essential role in protecting the rights of shareholders and facilitating the exercise of these rights, particularly the rights to information and inspection.
There are no provisions within the scope of the Articles of Association of the Company restricting the process of performing a private audit. Moreover, the Company's management avoids any actions restricting the process of private audit. The Company acts in conformity with the relevant provisions of the Turkish Commercial Code regarding using the right to request a private audit. In 2023, no request was made for appointing a private auditor.
As per Article 438 of the Turkish Commercial Code, every shareholder may request the General Assembly to clarify certain cases through a private audit, in case it is necessary for exercising shareholders' rights, even if the right to demand information or review is exercised beforehand, and even if it is not on the agenda. If the General Assembly approves the request, the Company, or any shareholder, may appeal to the Istanbul Commercial Courts of First Instance in the area where the Company Headquarters is located and may make a request for appointing a private auditor within thirty days.
According to Article 18 General Assembly Meetings of the Articles of Association, the process of the General Assembly Meeting has been regulated by an internal directive. The aforementioned Internal Directive on Working Principles and Procedures of the General Assembly entered into force in 2013. Therefore, MLP Care's Annual Ordinary General Assembly Meeting for the year 2021 has been arranged in accordance with this directive.
In the meeting dated March 14, 2023, the Board of Directors resolved by a majority of votes to hold the Annual Ordinary General Assembly Meeting for the year 2022 on Wednesday, April 26, 2023, at 10:00 a.m. at the address İstinye Üniversitesi Topkapı Kampüsü, Kongre Merkezi – Maltepe Mahallesi, Teyyareci Sami Sokak, No.3 Zeytinburnu, Istanbul, with the agenda below, to make related announcements and take all necessary actions required by the Turkish Commercial Code and the Articles of Association, as well as other related regulations to materialize and finalize the meeting.
Also, within the framework of the measures announced by the Turkish Ministry of Trade, it was emphasized to advise that shareholders participate in the general assembly meetings electronically without participating in the physical environment, and to remind shareholders who want to participate in the General Assembly electronically that they can vote with the Electronic General Assembly System.
An invitation for the General Assembly Meeting was issued three weeks prior to the General Assembly meeting date – date of making the call, and meeting date excluded – via all types of communication tools including electronic communication, in addition to the methods stipulated in the legislation. The invitation for the meeting was also
made available via the Company's website, the Public Disclosure Platform (KAP) and the Turkish Trade Registry Gazette (TTSG). The Balance Sheet and Income Statement for the year 2021, the Annual Report of the Board of Directors, and the Corporate Governance Compliance Report in its enclosure (Compliance Report Format-CRF and Corporate Governance Information Form-CGIF), the dividend distribution proposal of the Board of Directors, the Independent Audit Report and the information document regarding the agenda were made available on both the Public Disclosure Platform (KAP) and the Company's (http:// investor.mlpcare.com) website.
• While preparing the agenda of the Ordinary General Assembly Meeting, there were no written requests from shareholders delivered to the Investor Relations Unit in writing, or written requests to add an item to the meeting agenda by shareholders, the CMB or other government institutions, which were related to the Company.
• In order to raise shareholder attendance at the General Assembly meeting, it was aimed to hold the meeting without causing any inequities between shareholders and enable shareholders to attend the meeting at a minimum cost. In this context, it was determined that the General Assembly meeting should be held at the above-mentioned address. • The chairman of the Ordinary General Assembly took specific care in conveying information regarding the subjects on the agenda objectively and in a detailed, clear and unbiased manner. Shareholders were provided opportunities under equivalent conditions to present their considerations and ask questions. The meeting chairman ensured that all shareholder' questions that do not impinge on trade secrets were answered at the General Assembly Meeting, and that questions irrelevant to the agenda or with a wide scope were not asked, as it is not possible to provide an immediate response to such questions.
• In accordance with the Corporate Governance Principles article 1.3.7, there were no transactions by persons who have the privilege to access Company information on their behalf within the Company's field of activity, and thus there was no need to inform the General Assembly.
• There were no cases requiring the approval of the majority of the independent Board members for the Board of Directors to make a decision, and where the decision was left to be resolved by the General Assembly because this condition was not met.
The Annual Shareholders Ordinary General Assembly Meeting was held on Wednesday, April 26, 2023, at 10:00 am due to the 2022 calendar year operations. The List of Attendees and the Minutes of Meeting, together with decisions taken during the meeting, were attached to the Public Disclosure Platform announcement (KAP) dated April 26, 2023. In the Meeting, it was seen that among 208,037,202 shares corresponding to Company's total TL
208,037,202 capital were represented; that 159,785,248 shares corresponding to TL 140,352,885 capital were represented by proxy; and TL 19,432,363 capital were represented electronically. Thus, the minimum quorum envisaged in the law and the Articles of Association was available.
The Company avoids any practices that would hinder the right to vote and pays utmost attention to provide each shareholder with the opportunity to use their right to vote, including across the border, in the easiest and most suitable manner through established mechanisms. In this regard, according to the Company's Articles of Association, persons who are entitled to attend the Company's General Assembly meetings in the electronic environment were determined as per the Turkish Code of Commerce Article 1527. It has been ensured that shareholders and their representatives may use the aforementioned rights through the system established at the Ordinary General Assembly Meeting of the year 2022.
Since there is no cross-shareholding relationship between the Company and the majority shareholders, there has been no vote in the general assemblies of such companies.
As per the Board of Directors' resolution numbered 2024/ and dated 21.03.2024
It was unanimously decided:
According to the Company's consolidated financial statements for the period between January 1, 2023- December 31, 2023, which were prepared and independently audited as per the Capital Markets Board's Communiqué on the Principles of Financial Reporting in Capital Markets (II-14.1), a Net Profit of TL 4,747,932,000 was recorded.
As a result of the calculations made in accordance with the provisions of the Tax Procedure Law, Corporate Tax and Income Tax Laws, as a result of the deduction of the provision for repurchased shares from retained earnings, retained losses are higher than the profit for the period. Therefore, there is no distributable net profit for the period.
In order to strengthen the financial structure of the Company and further increase its financial flexibility, the Net Distributable Profit of the fiscal year of 2023 will not be distributed, and will be transferred to the Retained Earnings account,
And to submit this proposal for approval at the Ordinary General Assembly meeting for the year 2023.
Following its periodic annual review of the corporate credit rating, JCR Eurasia Rating rated the consolidated structure of MLP Care in an investment grade category at national level and upgraded the ratings as A+ (Tr) from A (Tr) on the Long-Term National Scale. The Short-Term National Scale with "J1 (Tr)" and "Stable'' outlooks. On the other hand, the Long Term International Foreign and Local Currency Ratings have been assigned as "BB/ Negative" which are capped with the sovereign ratings of Republic of Türkiye.
The rating upgrade was driven by MLP Care's leading position in the private healthcare industry, supported by established brands and concepts, the maintenance of strong revenue and EBITDA growth, the continuation of an upward trend in profit margins through operational performance, an asset-light expansion strategy, the successful ramp-up of acquired hospitals, continued low net financial debt levels, diversification of income streams that support predictable cash flow generation, competitive advantages across the sector owing to listed structures and an established track record in the domestic debt issuance market, and a well-managed business model. ongoing net working capital deficit, intensified competition in the sector, and increased uncertainty due to global economic downturn and geopolitical risks, along with the negative impact of worldwide monetary tightening on growth forecasts, have been realized.
| April 25, 2023 | April 25, 2022 | |
|---|---|---|
| Long-Term International Foreign Currency Rating |
BB / (Negative Outlook) | BB / (Stable Outlook) |
| Long-Term International Local Currency Rating |
BB / (Negative Outlook) | BB / (Stable Outlook) |
| Long-Term National Scale Rating | A+ (Tr) / (Stable Outlook) | A (Tr) / (Stable Outlook) |
| Long-Term National Scale Issuer Rating | A +(Tr) | A (Tr) |
Registered Head Office Address: Otakçılar Caddesi Flatofis Istanbul No: 78 Kat: 3 D-Blok No: 103 Eyüp, Istanbul 34050 Trade Registration Office: Istanbul Trade Registration Number: 574014
In accordance with the Capital Markets Board "Registered Capital System Communiqué II-18-1" ("Communiqué") our application was approved on February 20, 2023 by the Capital Markets Board of Türkiye for the amendment of article 8 of the Articles of Association of the Company as attached in order to increase the registered capital ceiling from TL 875.000.000 to TL 5.740.000.000 valid for the period 2023-2027. The amendment of the Articles of Association for the approval of 2022 Ordinary General Assembly is below:
CAPITAL ARTICLE 8
The Company has adopted the registered capital system under the provisions of the Capital Markets Law, and has initiated the registered capital system based on the permission of the Capital Markets Board dated 3 November 2017 No. 39/1351.
The upper limit of the Company's registered capital is 875,000,000- (eight hundred seventy five million) Turkish Liras (TL), which is divided into 875,000,000 (eight hundred seventy five million) registered shares, each with a nominal value of TL 1- (one) TL.
This upper limit of registered capital allowed by the Capital Markets Board is valid for the years 2017 through 2021 (for 5 years). Even if the upper limit of registered capital is not yet reached by the end of 2021, in order for the Board of Directors to pass capital increase resolutions after 2021, an authorization must be granted by the General Assembly for the previously permitted upper limit or a new upper limit, covering a new period not exceeding 5 years, provided that the permission of the Capital Markets Board of the Prime Ministry of the Republic of Türkiye is obtained. In case such authorization is not granted, capital increases may not be affected based on the resolution of the Board of Directors.
The issued capital of the Company is TL 208,037,202- (two hundred eight million thirty seven thousand two hundred and two). This capital has been fully paid up in cash, free from any simulation. The Company's issued capital of TL 208,037,202- is divided into 88,229,127 (eighty eight million two hundred and twenty nine thousand one hundred and twenty seven) Class A registered shares, each with a nominal value of TL 1- (one) and 119,808,075 (one hundred nineteen million eight hundred and eight thousand seventy five) Class B registered shares, each with a nominal value of TL 1- (one).
The Company has adopted the registered capital system under the provisions of the Capital Markets Law, and has initiated the registered capital system based on the permission of the Capital Markets Board dated 3 November 2017 No. 39/1351.
The upper limit of the Company's registered capital is 5,740,000,000- (five billion seven hundred forty million) Turkish Liras (TL), which is divided into 5,740,000,000 (five billion seven hundred forty million) registered shares, each with a nominal value of TL 1- (one) TL.
This upper limit of registered capital allowed by the Capital Markets Board is valid for the years 2023 through 2027 (for 5 years). Even if the upper limit of registered capital is not yet reached by the end of 2027, in order for the Board of Directors to pass capital increase resolutions after 2027, an authorization must be granted by the General Assembly for the previously permitted upper limit or a new upper limit, covering a new period not exceeding 5 years, provided that the permission of the Capital Markets Board is obtained. In case such authorization is not granted, capital increases may not be affected based on the resolution of the Board of Directors.
The issued capital of the Company is TL 208,037,202- (two hundred eight million thirty seven thousand two hundred and two). This capital has been fully paid up in cash, free from any simulation. The Company's issued capital of TL 208,037,202- is divided into 88,229,127 (eighty eight million two hundred and twenty nine thousand one hundred and twenty seven) Class A registered shares, each with a nominal value of TL 1- (one) and 119,808,075 (one hundred nineteen million eight hundred and eight thousand seventy five) Class B registered shares, each with a nominal value of TL 1- (one).
The issued capital of the Company within the registered capital ceiling of TL 875,000,000, is TL 208,037,202.
To date, MLP Care has grown by greenfield investments and through acquisitions.
In November 2023, Liv Duna Medical Center Hospital was inaugurated. The development of this hospital continues as planned.
In 2023, MLP Care's capital expenditure was TL 1,372 million.
MLP Care has various investment incentive certificates that were signed by the Turkish Ministry of Economy and approved by the General Directorate of Incentive Implementation and Foreign Capital. With those incentives, the Company 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 TL 632,806,000 (December 31, 2022: TL 200.394.000). Respective deferred tax asset was calculated to be 15%-40% of total investment contribution with regards to the respective investment incentive certificates. Additionally, MLP Care is entitled to social security premium support from the Turkish Ministry of Economy, related to the hospitals that have completed their greenfield investments.
The Company made a gross payment of TL 103,313,000 in total to senior managers for the fiscal year ended on December 31, 2023 (2022: TL 77,494,000). No remuneration was paid to the Members of the Board of Directors, other than the Independent Members, because of the roles they assume as Board Members.
The Company spent approximately TL 33.3 million for sponsored research and development activities in line with its R&D Policy.
The situations where the Company has directly and indirectly increased or decreased its ownership stake in its affiliates and subsidiaries in 2023 are outlined below:
The trade name of the Company was changed from "Şile Cns Gayrimenkul Sağlık Hizmetleri A.Ş." to "MLP Ataşehir Sağlık Hizmetleri A.Ş." on page 1065 of the TTSG dated 24.10.2023 and numbered 10942.
The trade name of the Company was changed from "MA Group Sağlık ve Danışmanlık Hizmetleri Ticaret A.Ş." to "Liquidated MA Group Sağlık ve Danışmanlık Hizmetleri Ticaret A.Ş." on page 180 of the TTSG dated 19.09.2023 and numbered 10917.
As of 13.12.2023, the capital of MLP Gaziantep Sağlık was TL 185,000,000.00.
As of 25.10.2023, MS Sağlık's capital amounted to TL 611,000,000.00.
There are no amendments in the legislation which may significantly affect the activities of the corporation in 2023.
The Company did not purchase any of its shares during the reporting period.
The Company's management did not enter into any transaction that would complicate the conduct of the special audit. No special audit request was received in 2023.
The Company operates in an industry and a country that have high exposure to administrative lawsuits, business lawsuits, contractual demands and medical malpractice cases. In the last 12 months, there have been no lawsuits, legal proceedings or arbitration cases within the knowledge of the Company that are pending, at risk of initiation, and/or that could have a substantial adverse effect on the Company's financial condition or profitability.
The Company accounted for a TL 30,587,000 litigation provision for the risk that may arise from pending cases and proceedings (2022: TL 50,257,000). The plaintiffs have the right to raise their claims during the proceeding and, therefore, there is a possibility that the aforementioned amount may be higher.
There are no administrative or judicial sanctions imposed on the Company or its Board Members due to violation of laws and regulations.
None of the Board Members have requested a report defined under Article 199 (paragraph four) of the Turkish Commercial Code.
The Company has a strong financial position and it is not under risk of capital loss or insolvency.
Board Members, either for themselves or on behalf of another person, do not have business dealings with the Company or engage in prohibited competitive activities, to the extent permitted by the General Assembly.
Information about conflicts of interest that may arise between the Company and the firms providing investment consulting and credit rating services to the Company, and measures are taken by the Company to prevent such conflicts of interest:
There have been no situations that involve a conflict of interest during the reporting period. The Company complies with all CMB regulations when purchasing services and uses the utmost care to avoid situations that may result in a conflict of interest.
We hereby enclose the consolidated financial statements for the period January-December 2023, which have been prepared in accordance with the Capital Markets Board's (CMB) Communiqué on the Principles of Financial Reporting in Capital Markets Series No: II-14.1 (the Communiqué), the Turkish Accounting Standards/Turkish Financial Reporting Standards (TAS/TFRS), and the mandatory formats defined by the Capital Markets Board; and independently audited, and approved by the Company's Board of Directors.
We hereby certify that:
a) The consolidated financial statements dated December 31, 2023, have been reviewed by us,
b) To the best of our knowledge and in line with our roles and responsibilities at the Company, the consolidated financial statements, in all material respects, do not contain any untrue representations or any omissions that would lead to misleading conclusions as at disclosure date,
c) To the best of our knowledge and in line with our roles and responsibilities at the Company, the consolidated financial statements prepared in line with applicable financial reporting standards fairly represent the Company's assets, liabilities, financial position, profit and loss as well as the risks and uncertainties facing the Company.
Respectfully yours,
Tayfun Bayazıt Member of the Audit Committee
Meral Kurdaş Audit Committee
Burcu Öztürk Chairman of the CFO
The Company's twelve-month Annual Report for the accounting period of January-December 2023, prepared pursuant to the legislation and the Turkish Accounting Standards/Turkish Financial Reporting Standards framework issued in accordance with Capital Markets Board's (CMB) Communiqué on Principles of Financial Reporting in Capital Markets (II-14.1), Compliance Report Format (CRF) and the Corporate Governance Information Form (CGIF) which were prepared pursuant to the Resolution No. 2/49 made by the Capital Markets Board of Türkiye on January 10, 2019, approved by the Board of Directors are attached.
a) The annual report, Compliance Report Format (CRF) and Corporate Governance Information Form (CGIF) dated December 31, 2023, has been reviewed by us,
b) To the best of our knowledge and in line with our roles and responsibilities at the Company, the annual report, in all material respects, does not contain any untrue representations or any omissions that would lead to misleading conclusions as at disclosure date,
c) To the best of our knowledge and in line with our roles and responsibilities at the Company, the annual report prepared in line with applicable financial reporting standards fairly represents the development and performance of the business, the Company's financial position as well as the risks and uncertainties facing the Company.
Respectfully yours,
Tayfun Bayazıt Member of the Audit Committee
Meral Kurdaş Audit Committee
Burcu Öztürk Chairman of the CFO
Date: April 1, 2022
In the context of the Article 4.3.6. of the Corporate Governance Communique (II-17.1.), I hereby declare that I comply with the independency criteria stated below with respect to MLP Sağlık Hizmetleri A.Ş. and this compliance will continue for the remainder of my 3-year independent membership of the Board of Directors (until April 2024).
• No employment relationship has been established during the last five years between me, my spouse, and my relatives by blood or marriage up to second degree and the company, partnerships which the company controls the management of or has material influence over or shareholders who control the management of or have material influence over the company and legal entities which these shareholders control the management of, which has caused me to assume important duties and responsibilities in an executive position nor have I/we individually or jointly held more than 5% of the capital or voting rights or privileged shares in or established a material business relationship with the same,
• I was not a shareholder of (%5 and more) nor held an executive position which would cause me to assume important duties and responsibilities or officiated as a board member, during the last five years, in any company from or to which the company purchases or sells a substantial quantity of services or products based on agreements made, during the periods these services or products were sold or purchased including especially those companies which carry out audit (including tax audits, legal audits, internal audits), rating and consultancy services for the company,
• I have the professional education, knowledge and experience necessary to duly carry out the duties which I shall assume due to my position as an independent board member,
• I am not a full-time employee with any public entity or organization following my election as a member with the exception of employment as a university professor provided that such employment is in compliance with the laws and regulations that are applicable to universities,
• I am assumed to be a resident in Türkiye in accordance with the Income Tax Law dated 31.12.1960, numbered 193,
• I have strong ethical standards, professional reputation and experience that shall allow me to contribute positively to the activities of the company, maintain partiality in conflicts of interests between the company and its shareholders and decide freely by taking into account the rights of beneficiaries,
• I am able to dedicate a sufficient amount of time to the affairs of the company in a manner to follow up the conduct of company activities and duly perform the duties I have assumed,
• I did not officiate as a board member at the board of directors of the company for longer than 6 years during the last ten years,
• I am not officiating as an independent board member with more than three of the companies which the company controls or shareholders that control the management of the company control the management and in total more than five of the companies which are traded on the stock exchange and that therefore, I will serve in my position as a member of the Company's Board of Directors as an independent board member,
• I have not been registered and announced as a board member representing the legal entity for which I will be elected and so that I will be performing my duties as an independent board member.
Meral Kurdaş Tayfun Bayazıt
(CONVENIENCE TRANSLATION OF INDEPENDENT AUDITOR'S REPORT ON THE MANAGEMENT'S ANNUAL REPORT ORIGINALLY ISSUED IN TURKISH)
To the General Assembly of MLP Sağlık Hizmetleri A.Ş.
As we have audited the full set consolidated financial statements of MLP Sağlık Hizmetleri A.Ş. ("the Company") and its subsidiaries ("the Group") for the period between 01/01/2023–31/12/2023, we have also audited the annual report for the same period.
In our opinion, the consolidated financial information provided in the Management's annual report and the Management's discussions on the Group's financial performance, are fairly presented in all material respects, and are consistent with the full set audited consolidated financial statements and the information obtained from our audit.
We conducted our audit in accordance with the Standards on Independent Auditing ("SIA") which is a part of Turkish Auditing Standards accepted by regulations of the Capital Markets Board and published by the Public Oversight Accounting and Auditing Standards Authority ("POA"). Our responsibility is disclosed under Responsibilities of the Independent Auditor on the Independent Audit of the Annual Report in detail. We declare that we are independent from the Group in accordance with the Code of Ethics for Independent Auditors ("Code of Ethics") issued by POA, together with the ethical requirements included in the regulations of the Capital Markets Board and other regulations that are relevant to our audit. We have fulfilled other responsibilities in accordance with these requirements and the Code of Ethics. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
We have presented unqualified opinion for the Group's full set consolidated financial statements for the period between 01/01/2023– 31/12/2023 in our Auditor's Report dated 19 March 2024.
The Group's Management is responsible for the following in accordance with Article 514 and 516 of the Turkish Commercial Code No. 6102 ("TCC") and "Communiqué on Principles of Financial Reporting in Capital Markets" with No.14.1 of the Capital Markets Board ("the Communiqué"):
a) Preparing the annual report within the three months following the reporting date and presenting it to the General Assembly,
b) Preparing the annual report with the all respects of the Group's flow of operations for that year and the Group's consolidated financial performance accurately, completely, directly and fairly. In this report, the consolidated financial position is assessed in accordance with the consolidated financial statements. The Group's development and risks that the Group may probably face are also pointed out in this report. The Board of Director's evaluation on those matters are also stated in this report.
The Board of Directors also considers the secondary regulations prepared by the Ministry of Trade and related institutions while preparing the annual report.
Our aim is to express an opinion and prepare a report about whether the Management's discussions and consolidated financial information in the annual report within the scope of the provisions of the TCC and the Communiqué are fairly presented and consistent with the information obtained from our audit.
We conducted our audit in accordance with the regulations of the Capital Markets Board and the SIA. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the Management's discussions on the Group's financial performance, are fairly presented in all material respects, and are consistent with the full set audited consolidated financial statements and the information obtained from our audit.
The engagement partner on the audit resulting in this independent auditor's report is Volkan Becerik.
DRT BAĞIMSIZ DENETİM VE SERBEST MUHASEBECİ MALİ MÜŞAVİRLİK A.Ş. Member of DELOITTE TOUCHE TOHMATSU LIMITED
Volkan Becerik, SMMM Partner
112 İstanbul, 25 March 2024 DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr Mersis No: 0291001097600016 Ticari Sicil No : 304099
(CONVENIENCE TRANSLATION OF THE CONSOLIDATED FINANCIAL STATEMENTS ORIGINALLY ISSUED IN TURKISH)
CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD ENDED 1 JANUARY- 31 DECEMBER 2023 AND INDEPENDENT AUDITOR'S REPORT
Mali Müşavirlik A.Ş. Maslak no1 Plaza
İstanbul, Türkiye
www.deloitte.com.tr Mersis No: 0291001097600016 Ticari Sicil No : 304099
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye DRT Bağımsız Denetim ve Serbest Muhasebeci Eski Büyükdere Caddesi
Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr Maslak Mahallesi No:1 Maslak, Sarıyer 34485 Tel : +90 (212) 366 6000
Mersis No: 0291001097600016 Ticari Sicil No : 304099 Fax : +90 (212) 366 6010
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A) Konsolide Finansal Tabloların Bağımsız Denetimi 1) Görüş TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal durum tablosu ile aynı tarihte sona eren hesap dönemine ait; konsolide kâr veya zarar ve diğer kapsamlı gelir tablosu, TAV Havalimanları Holding A.Ş. Genel Kurulu'na A) Konsolide Finansal Tabloların Bağımsız Denetimi 1) Görüş
BAĞIMSIZ DENETÇİ RAPORU
olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz. Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal durum tablosu ile aynı tarihte sona eren hesap dönemine ait; konsolide kâr veya zarar ve diğer kapsamlı gelir tablosu, konsolide özkaynak değişim tablosu ve konsolide nakit akış tablosu ile önemli muhasebe politikalarının özeti de dâhil olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz. Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal
durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını
Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması için yeterli ve uygun bir dayanak oluşturduğuna inanıyoruz. 2) Görüşün Dayanağı Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için www.deloitte.com/about adresini ziyaret ediniz.
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için www.deloitte.com/about adresini ziyaret ediniz.
© 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
© 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
Ticari Sicil No : 304099
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr Mersis No: 0291001097600016
| BAĞIMSIZ DENETÇİ RAPORU | |
|---|---|
| TAV Havalimanları Holding A.Ş. Genel Kurulu'na | |
| A) Konsolide Finansal Tabloların Bağımsız Denetimi 1) Görüş |
|
| TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal durum tablosu ile aynı tarihte sona eren hesap dönemine ait; konsolide kâr veya zarar ve diğer kapsamlı gelir tablosu, konsolide özkaynak değişim tablosu ve konsolide nakit akış tablosu ile önemli muhasebe politikalarının özeti de dâhil olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz. |
|
| Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir biçimde sunmaktadır. |
|
| 2) Görüşün Dayanağı |
|
| Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir |
parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki |
| sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması için yeterli ve uygun bir dayanak oluşturduğuna inanıyoruz. |
|
| Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için |
|
| www.deloitte.com/about adresini ziyaret ediniz. © 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz. |
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr Mersis No: 0291001097600016
| Ticari Sicil No : 304099 |
|---|
| BAĞIMSIZ DENETÇİ RAPORU |
| TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal durum tablosu ile aynı tarihte sona eren hesap dönemine ait; konsolide kâr veya zarar ve diğer kapsamlı gelir tablosu, konsolide özkaynak değişim tablosu ve konsolide nakit akış tablosu ile önemli muhasebe politikalarının özeti de dâhil olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz. |
| Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal |
| durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir |
parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal
için yeterli ve uygun bir dayanak oluşturduğuna inanıyoruz.
getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için www.deloitte.com/about adresini ziyaret ediniz.
© 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr
BAĞIMSIZ DENETÇİ RAPORU TAV Havalimanları Holding A.Ş. Genel Kurulu'na A) Konsolide Finansal Tabloların Bağımsız Denetimi
1) Görüş
TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal
Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal
olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz.
durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir biçimde sunmaktadır. 2) Görüşün Dayanağı Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki
Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu
sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin
beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve
© 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr
Ticari Sicil No : 304099
2) Görüşün Dayanağı
TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal
Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal
durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir biçimde sunmaktadır.
Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki
sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin
Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması için yeterli ve uygun bir dayanak oluşturduğuna inanıyoruz.
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve
ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için www.deloitte.com/about adresini ziyaret ediniz. © 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
TAV Havalimanları Holding A.Ş. ("Şirket") ile bağlı ortaklıklarının ("Grup") 31 Aralık 2023 tarihli konsolide finansal
olmak üzere konsolide finansal tablo dipnotlarından oluşan konsolide finansal tablolarını denetlemiş bulunuyoruz.
Görüşümüze göre, ilişikteki konsolide finansal tablolar, Grup'un 31 Aralık 2023 tarihi itibarıyla konsolide finansal durumunu ve aynı tarihte sona eren hesap dönemine ait konsolide finansal performansını ve konsolide nakit akışlarını Türkiye Finansal Raporlama Standartları'na (TFRS'lere) uygun olarak tüm önemli yönleriyle gerçeğe uygun bir
Yaptığımız bağımsız denetim, Sermaye Piyasası Kurulu düzenlemeleri çerçevesinde kabul edilen ve Kamu Gözetimi, Muhasebe ve Denetim Standartları Kurumu (KGK) tarafından yayımlanan Türkiye Denetim Standartları'nın bir parçası olan Bağımsız Denetim Standartları'na (BDS'lere) uygun olarak yürütülmüştür. Bu Standartlar kapsamındaki sorumluluklarımız, raporumuzun Bağımsız Denetçinin Konsolide Finansal Tabloların Bağımsız Denetimine İlişkin Sorumlulukları bölümünde ayrıntılı bir şekilde açıklanmıştır. KGK tarafından yayımlanan Bağımsız Denetçiler için Etik Kurallar (Etik Kurallar) ile Sermaye Piyasası Kurulu mevzuatında ve ilgili diğer mevzuatta konsolide finansal tabloların bağımsız denetimiyle ilgili olarak yer alan etik hükümlere uygun olarak Grup'tan bağımsız olduğumuzu beyan ederiz. Etik Kurallar ve mevzuat kapsamındaki etiğe ilişkin diğer sorumluluklar da tarafımızca yerine getirilmiştir. Bağımsız denetim sırasında elde ettiğimiz bağımsız denetim kanıtlarının, görüşümüzün oluşturulması
Deloitte; İngiltere mevzuatına göre kurulmuş olan Deloitte Touche Tohmatsu Limited ("DTTL") şirketini, üye firma ağındaki şirketlerden ve ilişkili tüzel kişiliklerden bir veya birden fazlasını ifade etmektedir. DTTL ve üye firmalarının her biri ayrı ve bağımsız birer tüzel kişiliktir. DTTL ("Deloitte Global" olarak da anılmaktadır) müşterilere hizmet sunmamaktadır. Global üye firma ağımızla ilgili daha fazla bilgi almak için www.deloitte.com/about adresini ziyaret ediniz.
© 2024. Daha fazla bilgi için Deloitte Türkiye (Deloitte Touche Tohmatsu Limited üye şirketi) ile iletişime geçiniz.
DRT Bağımsız Denetim ve Serbest Muhasebeci Mali Müşavirlik A.Ş. Maslak no1 Plaza Eski Büyükdere Caddesi Maslak Mahallesi No:1 Maslak, Sarıyer 34485 İstanbul, Türkiye Tel : +90 (212) 366 6000 Fax : +90 (212) 366 6010 www.deloitte.com.tr Mersis No: 0291001097600016 Ticari Sicil No : 304099
BAĞIMSIZ DENETÇİ RAPORU TAV Havalimanları Holding A.Ş. Genel Kurulu'na
A) Konsolide Finansal Tabloların Bağımsız Denetimi
için yeterli ve uygun bir dayanak oluşturduğuna inanıyoruz.
1) Görüş
durum tablosu ile aynı tarihte sona eren hesap dönemine ait; konsolide kâr veya zarar ve diğer kapsamlı gelir tablosu, konsolide özkaynak değişim tablosu ve konsolide nakit akış tablosu ile önemli muhasebe politikalarının özeti de dâhil
biçimde sunmaktadır.
2) Görüşün Dayanağı
| INDEX | PAGE | |
|---|---|---|
| CONSOLIDATED STATEMENT OF FINANCIAL POSITION | 122-123 1-2 |
|
| CONSOLIDATED STATEMENT OF PROFIT OR LOSS | ||
| AND OTHER COMPREHENSIVE INCOME | 3 124 |
|
| CONSOLIDATED STATEMENT OF CHANGES IN EQUITY | 4 125 |
|
| CONSOLIDATED STATEMENT OF CASH FLOWS | 5 126 |
|
| NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 127-197 6-77 |
|
| NOTE 1 | ORGANIZATION AND OPERATIONS OF THE GROUP | 127-128 6-7 |
| NOTE 2 | BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS | 128-151 7-30 |
| NOTE 3 | SIGNIFICANT ACCOUNTING JUDGEMENTS, ESTIMATES AND ASSUMPTIONS | 152-154 31-33 |
| NOTE 4 | INTERESTS IN OTHER ENTITIES | 154 33 |
| NOTE 5 | RELATED PARTY DISCLOSURES | 155-159 34-38 |
| NOTE 6 | CASH AND CASH EQUIVALENTS | 159 38 |
| NOTE 7 | FINANCIAL INSTRUMENTS | 160-163 39-42 |
| NOTE 8 | TRADE RECEIVABLES AND PAYABLES | 164 43 |
| NOTE 9 | OTHER RECEIVABLES AND PAYABLES | 165 44 |
| NOTE 10 | INVENTORIES | 165 44 |
| NOTE 11 | PREPAID EXPENSES AND DEFERRED INCOME | 166 45 |
| NOTE 12 | PROPERTY, PLANT AND EQUIPMENT AND OTHER INTANGIBLE ASSETS | 167-169 46-48 |
| NOTE 13 | RIGHT-OF-USE ASSETS | 170 49 |
| NOTE 14 | GOODWILL | 170-171 49-50 |
| NOTE 15 | EMPLOYEE BENEFITS | 172-173 51-52 |
| NOTE 16 | OTHER CURRENT ASSETS | 173 52 |
| NOTE 17 | PROVISIONS, CONTINGENT ASSETS AND PAYABLES | 173-174 52-53 |
| NOTE 18 | COMMITMENTS | 174-175 53-54 |
| NOTE 19 | SHARE CAPITAL, RESERVES AND OTHER EQUITY ITEMS | 176-177 55-56 |
| NOTE 20 | REVENUE AND COST OF SALES | 177 56 |
| NOTE 21 | GENERAL ADMINISTRATIVE EXPENSES | 178 57 |
| NOTE 22 | OTHER INCOME AND EXPENSE FROM OPERATING ACTIVITIES | 178-179 57-58 |
| NOTE 23 | INCOME AND EXPENSES FROM INVESTING ACTIVITIES | 179 58 |
| NOTE 24 | FINANCE EXPENSES | 179 58 |
| NOTE 25 | INCOME TAXES (INCLUDING DEFERRED TAX ASSET AND LIABILITIES) | 180-183 59-62 |
| NOTE 26 | EARNINGS PER SHARE | 184 63 |
| NOTE 27 | FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES | 184-193 63-72 |
| NOTE 28 | FINANCIAL INSTRUMENTS (FAIR VALUE DISCLOSURES AND EXPLANATIONS ON | |
| HEDGE ACCOUNTING) | 194-196 73-75 |
|
| NOTE 29 | BUSINESS COMBINATIONS | 196-197 75-76 |
| NOTE 30 | EVENTS AFTER THE REPORTING PERIOD | 197 76 |
| APPENDIX I OTHER ADDITIONAL INFORMATION | 198 77 |
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AS AT 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES | Audited | Audited | |
|---|---|---|---|
| Notes | 31 December 2023 | 31 December 2022 | |
| AUDITED CONSOLIDATED STATEMENT OF FINANCIAL POSITION ASSETS |
|||
| AS AT 31 DECEMBER 2023 Current Assets: (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) |
8.459.545 | 6.964.561 | |
| Cash and cash equivalents | 6 | 2.812.373 | 1.261.961 |
| Financial investments | 7 | Audited -- |
Audited 352.909 |
| Trade receivables | Notes | 31 December 2023 | 31 December 2022 |
| 8 | 3.657.198 | 3.009.894 | |
| - Due from related parties | 5,8 | 113 | 86 |
| ASSETS - Trade receivables from third parties |
3.657.085 | 3.009.808 | |
| Current Assets: | 9 | 8.459.545 | 6.964.561 |
| Other receivables | 212.981 | 203.696 | |
| - Due from related parties | 5,9 | 134.865 | 126.607 |
| Cash and cash equivalents | 6 | 2.812.373 | 1.261.961 |
| - Other receivables from third parties | 78.116 | 77.089 | |
| Financial investments | 7 | -- | 352.909 |
| Inventories | 10 | 1.076.596 | 1.173.794 |
| Trade receivables | 8 | 3.657.198 | 3.009.894 |
| Prepaid expenses | 11 | 491.648 | 664.376 |
| - Due from related parties Other current assets - Trade receivables from third parties |
5,8 16 |
113 208.749 3.657.085 |
86 297.931 3.009.808 |
| Other receivables | 9 | 212.981 | 203.696 |
| Non-current Assets: | 19.955.558 | 15.651.507 | |
| - Due from related parties | 5,9 | 134.865 | 126.607 |
| Trade receivables | 8 | 1.053 | 1.735 |
| - Other receivables from third parties | 9 | 78.116 | 77.089 |
| Other receivables | 222.539 | 4.050 | |
| Inventories | 10 | 1.076.596 | 1.173.794 |
| Property plant and equipment | 12 | 3.865.840 | 3.509.971 |
| Prepaid expenses | 11 | 491.648 | 664.376 |
| Intangible assets | 4.492.593 | 4.458.315 | |
| Other current assets | 16 | 208.749 | 297.931 |
| - Goodwill | 14 | 512.279 | 512.279 |
| Non-current Assets: | 12 | 19.955.558 | 15.651.507 |
| - Other intangible assets | 3.980.314 | 3.946.036 | |
| Right of use assets | 13 | 7.241.449 | 4.485.867 |
| Trade receivables | 8 | 1.053 | 1.735 |
| Prepaid expenses | 11 | 2.322.864 | 1.818.132 |
| Other receivables | 9 | 222.539 | 4.050 |
| Deferred tax assets | 25 | 1.809.220 | 1.373.437 |
| Property plant and equipment | 12 | 3.865.840 | 3.509.971 |
| Intangible assets | 4.492.593 | 4.458.315 | |
| TOTAL ASSETS | 28.415.103 | 22.616.068 |
1
The accompanying notes form an integral part of these consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Audited | Audited | ||
|---|---|---|---|
| MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES | Notes | 31 December 2023 | 31 December 2022 |
| LIABILITIES AUDITED CONSOLIDATED STATEMENT OF FINANCIAL POSITION |
|||
| Current Liabilities: AS AT 31 DECEMBER 2023 |
8.886.964 | 7.968.031 | |
| (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) Short term borrowings |
7 | 2.166.870 | 1.522.077 |
| Short term portion of long term borrowings | 7 | 500.125 | 797.832 |
| Obligations under finance leases | 7 | 39.451 | 126.320 |
| Short term lease liabilities | 7 | Audited 355.985 |
Audited 266.395 |
| Trade payables | 8 | 4.082.221 | 3.951.182 |
| Notes - Due to related parties |
5,8 | 31 December 2023 60.032 |
31 December 2022 91.882 |
| - Trade payables to third parties | 4.022.189 | 3.859.300 | |
| ASSETS Payables related to employee benefits |
15 | 345.895 | 272.678 |
| Other payables | 9 | 184.982 | 184.507 |
| Current Assets: - Due to related parties |
5,9 | 8.459.545 61 |
6.964.561 1.296 |
| - Other payables to third parties | 184.921 | 183.211 | |
| Cash and cash equivalents 6 Deferred income |
11 | 2.812.373 857.144 |
1.261.961 638.172 |
| Financial investments 7 Short term provisions |
-- 125.466 |
352.909 124.710 |
|
| - Short term provisions for employment benefits | 15 | 78.409 | 56.715 |
| Trade receivables 8 - Other short term provisions |
17 | 3.657.198 47.057 |
3.009.894 67.995 |
| - Due from related parties 5,8 Current tax liabilities |
25 | 113 228.825 |
86 84.158 |
| - Trade receivables from third parties | 3.657.085 | 3.009.808 | |
| Non-current Liabilities: Other receivables 9 |
6.635.816 212.981 |
4.751.037 203.696 |
|
| Long term borrowings | 7 | 1.072.954 | 401.122 |
| - Due from related parties 5,9 Obligations under finance leases |
7 | 134.865 14.918 |
126.607 64.738 |
| - Other receivables from third parties Long term lease liabilities |
7 | 78.116 1.905.391 |
77.089 1.818.366 |
| Inventories 10 Other payables |
1.076.596 272.231 |
1.173.794 484.576 |
|
| - Other payables to third parties | 9 | 272.231 | 484.576 |
| Prepaid expenses 11 Deferred income |
11 | 491.648 33.681 |
664.376 113.024 |
| Other current assets 16 Long term provisions |
208.749 112.823 |
297.931 101.207 |
|
| - Long term provisions for employee benefits | 15 | 112.823 | 101.207 |
| Non-current Assets: Deferred tax liabilities |
25 | 19.955.558 3.223.818 |
15.651.507 1.768.004 |
| EQUITY: | 12.892.323 | 9.897.000 | |
| Trade receivables 8 |
1.053 | 1.735 | |
| Other receivables 9 Equity Attributable to the Owner of the Company: |
222.539 12.675.031 |
4.050 9.891.660 |
|
| Property plant and equipment 12 Share capital |
19 | 3.865.840 208.037 |
3.509.971 208.037 |
| Intangible assets Share capital adjustment differences |
19 | 4.492.593 2.129.483 |
4.458.315 2.129.483 |
| Share premium | 19 | 2.645.882 | 2.645.882 |
| - Goodwill 14 Treasury shares |
19 | 512.279 (1.925.591) |
512.279 (650.344) |
| - Other intangible assets 12 Other comprehensive income or expenses that will not be reclassified |
3.980.314 (40.788) |
3.946.036 18.431 |
|
| - Accumulated gain/(loss) on remeasurement of defined benefit plans Right of use assets 13 |
(40.788) 7.241.449 |
18.431 4.485.867 |
|
| Restricted reserves | 19 | 65.511 | 64.571 |
| Prepaid expenses 11 Accumulated income |
2.322.864 5.062.903 |
1.818.132 734.003 |
|
| Deferred tax assets 25 Net profit for the period |
1.809.220 4.529.594 |
1.373.437 4.741.597 |
|
| Non-controlling interest | 217.292 | 5.340 | |
| TOTAL ASSETS TOTAL LIABILITIES AND EQUITY |
28.415.103 28.415.103 |
22.616.068 22.616.068 |
1
The accompanying notes form an integral part of these consolidated financial statements.
Audited Consolidated Statement of Profit or Loss and Other Comprehensive Income for the Period 1 January - 31 December 2023 MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES AUDITED CONSOLIDATED STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME FOR THE PERIOD 1 JANUARY – 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES | Audited | Audited | |
|---|---|---|---|
| 1 January-31 | 1 January-31 | ||
| December | December | ||
| AUDITED CONSOLIDATED STATEMENT OF FINANCIAL POSITION | Dipnotlar | 2023 | 2022 |
| AS AT 31 DECEMBER 2023 PROFIT OR LOSS |
|||
| (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) Revenue |
20 | 22.449.345 | 18.902.871 |
| Cost of sales (-) | 20 | (16.018.962) | (14.015.535) |
| GROSS PROFIT | Audited 6.430.383 |
Audited 4.887.336 |
|
| Notes | 31 December 2023 | 31 December 2022 | |
| General administration expenses (-) ASSETS |
21 | (2.188.941) | (1.869.451) |
| Other income from operating activities Other expenses from operating activities (-) |
22 22 |
953.189 (822.946) |
897.874 (940.611) |
| Current Assets: | 8.459.545 | 6.964.561 | |
| OPERATING PROFIT Cash and cash equivalents 6 |
4.371.685 2.812.373 |
2.975.148 1.261.961 |
|
| Income from investing activities Financial investments 7 |
23 | 78.129 -- |
999.939 352.909 |
| Expense from investing activities (-) Trade receivables 8 |
23 | (10.723) 3.657.198 |
(176.699) 3.009.894 |
| - Due from related parties 5,8 OPERATING PROFIT BEFORE FINANCE EXPENSE |
113 4.439.091 |
86 3.798.388 |
|
| - Trade receivables from third parties Finance expenses (-) |
24 | 3.657.085 (1.713.213) |
3.009.808 (1.241.346) |
| Other receivables 9 Monetary gain/(loss) |
212.981 3.099.062 |
203.696 2.223.522 |
|
| - Due from related parties 5,9 NET PROFIT BEFORE TAX |
134.865 5.824.940 |
126.607 4.780.564 |
|
| - Other receivables from third parties | 78.116 | 77.089 | |
| Tax expense from operations Inventories 10 |
1.076.596 | 1.173.794 | |
| Prepaid expenses 11 Current tax expense |
25 | 491.648 (534.583) |
664.376 (106.007) |
| Other current assets 16 Deferred tax gain/loss net |
25 | 208.749 (542.425) |
297.931 216.887 |
| NET PROFIT Non-current Assets: |
4.747.932 19.955.558 |
4.891.444 15.651.507 |
|
| Allocation of net profit | |||
| Trade receivables 8 Non-controlling interest |
1.053 218.338 |
1.735 149.847 |
|
| Other receivables 9 Equity holders of the parent |
222.539 4.529.594 |
4.050 4.741.597 |
|
| Property plant and equipment 12 NET PROFIT FOR THE YEAR |
3.865.840 4.747.932 |
3.509.971 4.891.444 |
|
| Intangible assets Basic gain per share |
26 | 4.492.593 21,77 |
4.458.315 22,79 |
| - Goodwill 14 OTHER COMPREHENSIVE EXPENSES |
512.279 | 512.279 | |
| - Other intangible assets 12 Items that will not be reclassified subsequently to profit or loss |
3.980.314 | 3.946.036 | |
| Right of use assets 13 Remeasurement of defined benefit plans |
7.241.449 (78.959) |
4.485.867 24.575 |
|
| Prepaid expenses 11 Income tax relating to items that will not be reclassified |
2.322.864 | 1.818.132 | |
| Deferred tax assets 25 subsequently |
1.809.220 19.740 |
1.373.437 (6.144) |
|
| TOTAL ASSETS TOTAL COMPREHENSIVE INCOME |
28.415.103 4.688.713 |
22.616.068 4.909.875 |
|
| Total comprehensive profit distribution | |||
| Non-controlling interest | 218.338 | 149.847 | |
| Equity holders of the Parent | 4.470.375 | 4.760.028 |
1
The accompanying notes form an integral part of these consolidated financial statements.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES Financial investments 7 Trade receivables 8
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
AUDITED CONSOLIDATED STATEMENT OF FINANCIAL POSITION
AS AT 31
DECEMBER
2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Audited
Notes
ASSETS
Current Assets:
Cash and cash equivalents
6
2.812.373 --
3.657.198 113
212.981 134.865 78.116 1.076.596 491.648 208.749
31 December 2023
8.459.545
6.964.561
1.261.961
352.909
3.009.894
86
3.009.808
203.696
126.607
77.089
1.173.794
664.376
297.931
31 December 2022
Audited
Audited Consolidated Statement of Changes in Equity for the Period 1 January - 31 December 2023 AUDITED CONSOLIDATED STATEMENT OF CHANGES IN EQUITY FOR THE PERIOD 1 JANUARY – 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)- Due from related parties 5,8 - Trade receivables from third parties 3.657.085Other receivables 9 - Due from related parties 5,9
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)- Other receivables from third parties Inventories
Prepaid expenses
Other current assets
Other comprehensive
16
10 11
| income or expenses | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Non-current Assets: | that will not be reclassified |
19.955.558 | Accumulated gain | 15.651.507 | ||||||
| Trade receivables | 8 | 1.053 | 1.735 | Equity Attributable |
||||||
| Other receivables | Accumulated gain/(loss) on 12 9 |
222.539 | Net profit 4.050 |
to the Owner of |
Non | |||||
| Property plant and equipment Intangible assets |
Share capital |
Share premium |
Treasury shares |
remeasurement of defined benefit plans |
Restricted reserves 3.865.840 4.492.593 |
Accumulated gain |
for the period 4.458.315 3.509.971 |
the Company |
controlling interest |
Total equity |
| Goodwill - Balance as at January 1, 2022 |
2.337.520 | 2.645.882 | -- | -- 14 |
63.647 512.279 |
(142.641) | 786.092 512.279 |
5.690.500 | 353.392 | 6.043.892 |
| Other intangible assets Other comprehensive income for the period, net of tax - |
-- | -- | -- | 18.431 12 |
-- 3.980.314 |
-- | -- 3.946.036 |
18.431 | -- | 18.431 |
| Net profit for the period | -- | -- | -- | -- | -- | -- | 4.741.597 | 4.741.597 | 149.847 | 4.891.444 |
| Right of use assets Total comprehensive gain/(loss) for the period |
-- | -- | -- | 18.431 13 |
-- 7.241.449 |
-- | 4.741.597 4.485.867 |
4.760.028 | 149.847 | 4.909.875 |
| Prepaid expenses Transfers |
-- | -- | -- | -- 11 |
924 2.322.864 |
785.168 | (786.092) 1.818.132 |
-- | -- | -- |
| Deferred tax assets (Note 19) Increase/(decrease) due to share repurchase transactions |
-- | -- | (650.344) | -- 25 |
-- 1.809.220 |
-- | -- 1.373.437 |
(650.344) | -- | (650.344) |
| Loss of control in subsidiaries | -- | -- | -- | -- | -- | 307.072 | -- | 307.072 | (544.624) | (237.552) |
| TOTAL ASSETS Changes in non-controlling interests |
-- | -- | -- | -- | -- 28.415.103 |
(164.296) | -- 22.616.068 |
(164.296) | 46.725 | (117.571) |
| Dividend distribution | -- | -- | -- | -- | -- | (51.300) | -- | (51.300) | -- | (51.300) |
| 31, 2022 Balance as at December |
2.337.520 | 2.645.882 | (650.344) | 18.431 | 64.571 | 734.003 | 4.741.597 | 9.891.660 | 5.340 | 9.897.000 |
| Balance as at January 1, 2023 | 2.337.520 | 2.645.882 | (650.344) | 18.431 | 64.571 | 734.003 | 4.741.597 | 9.891.660 | 5.340 | 9.897.000 |
| Other comprehensive income for the period, net of tax | -- | -- | -- | (59.219) | -- | -- | -- | (59.219) | -- | (59.219) |
| Net profit for the period | -- | -- | -- | -- | -- | -- | 4.529.594 | 4.529.594 | 218.338 | 4.747.932 |
| Total comprehensive gain/(loss) for the period | -- | -- | -- | (59.219) | -- | -- | 4.529.594 | 4.470.375 | 218.338 | 4.688.713 |
| Transfers | -- | -- | -- | -- | 940 | 4.740.657 | (4.741.597) | -- | -- | -- |
| Increase/(decrease) due to share repurchase transactions | -- | -- | (1.275.247) | -- | -- | -- | -- | (1.275.247) | -- | (1.275.247) |
| Changes in non-controlling interests | -- | -- | -- | -- | -- | (366.798) | -- | (366.798) | (6.386) | (373.184) |
| Dividend distribution | -- | -- | -- | -- | -- | (44.959) | -- | (44.959) | -- | (44.959) |
| 31, 2023 Balance as at December |
2.337.520 | 2.645.882 | (1.925.591) | (40.788) | 65.511 | 5.062.903 | 4.529.594 | 12.675.031 | 217.292 | 12.892.323 |
The accompanying notes form an integral part of these consolidated financial statements.
4
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AUDITED CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Audited | Audited | ||
|---|---|---|---|
| MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES | 1 January | 1 January-31 | |
| 2023-31 | December | ||
| Notes | December 2023 | 2022 | |
| AUDITED CONSOLIDATED STATEMENT OF FINANCIAL POSITION CASH FLOWS FROM OPERATING EXPENSES |
4.475.698 | 3.626.483 | |
| AS AT 31 Profit loss for the period DECEMBER 2023 |
4.747.932 | 4.891.444 | |
| Adjustments related to reconcilation of net profit / (loss) for the period (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) Adjustments related depreciation and amortisation expense |
12-13 | (414.384) 1.542.287 |
(2.088.424) 1.261.724 |
| Adjustments related to impairment (reversal) | 15.528 | 5.554 | |
| Adjustments related to impairment (reversal) of receivables | 8 | 15.528 | 5.554 |
| Adjustments related to provisions | Audited | 87.642 | Audited 59.065 |
| Adjustments related to (reversal) of provision of provision for employment benefits | 87.555 | 31.410 | |
| Notes 31 December 2023 Adjustments related to lawsuit (reversal) of provision for lawsuit |
87 | 31 December 2022 27.655 |
|
| Adjustments related to interest (income) expense | 963.943 | 688.270 | |
| ASSETS Adjustments related to interest income Adjustments related to interest expense |
24 24 |
(314.794) 1.278.737 |
(199.551) 887.821 |
| Adjustments related to tax (gain) loss | 25 | 1.077.008 | (110.881) |
| Current Assets: Other adjustments related to non-cash items |
8.459.545 | (81.940) | 6.964.561 (3.723) |
| Adjustments regarding to (gain) loss on sale of fixed assets | 3.498 | 137.328 | |
| Cash and cash equivalents 6 Adjustments regarding to (gain) loss on sale of property, plant and equipment |
2.812.373 | 3.498 | 1.261.961 137.328 |
| Adjustments related to losses (gains) on disposal of subsidiaries or joint operations Financial investments 7 |
-- -- |
58.061 352.909 |
|
| Monetary loss/gain | (4.022.350) | (4.183.823) | |
| Trade receivables 8 Changes in working capital |
3.657.198 | 580.117 | 3.009.894 886.857 |
| Adjustments related to (increase) decrease in trade receivables - Due from related parties 5,8 Adjustments related to (increase) decrease in inventories |
113 | (2.087.308) 97.198 |
(593.922) 86 (296.808) |
| Adjustments related to increase (decrease) in trade payables | 1.853.437 | 1.403.348 | |
| - Trade receivables from third parties Adjustments related to increase (decrease) in other payables related with operations |
3.657.085 | 689.193 | 3.009.808 266.043 |
| Other receivables 9 Adjustments related to other increase (decrease) in working capital |
212.981 | 27.597 | 203.696 108.196 |
| Decrease (increase) in other operating assets - Due from related parties 5,9 |
134.865 | 27.597 | 108.196 126.607 |
| Cash flows from operating activities | 4.913.665 | 3.689.877 | |
| - Other receivables from third parties Payments related to provisions for employee benefits |
78.116 | (77.500) | 77.089 (26.311) |
| Tax payments Inventories 10 |
25 1.076.596 |
(359.672) | (46.235) 1.173.794 |
| Payments related to other provisions Other cash inflows |
6 | (1.268) 473 |
8.229 923 |
| Prepaid expenses 11 CASH FLOWS FROM INVESTING ACTIVITIES |
491.648 | (1.821.583) | 664.376 (2.195.636) |
| Other current assets 16 Cash outflows related to share purchases in subsidiaries |
208.749 | (373.184) | 297.931 (117.571) |
| Proceeds from sale of property, plant and equipment and intangible assets | 6.851 | 700.603 | |
| Non-current Assets: Proceeds from sale of property, plant and equipment and intangible assets |
19.955.558 | 6.851 | 15.651.507 700.603 |
| Cash outflows from the acquisition of property, plant and equipment and intangible assets | (1.371.645) | (1.795.521) | |
| Trade receivables Cash outflows from purchase of property, plant and equipment 8 Cash outflows from purchase of intangible assets |
12 1.053 12 |
(1.272.221) (99.424) |
1.735 (992.355) (803.166) |
| Other receivables 9 Cash advances given and payables |
222.539 | (507.418) | 4.050 (435.799) |
| Interest received | 70.904 | 43.111 | |
| Property plant and equipment 12 Cash outflows related to disposals that result in the loss of control of subsidiaries |
3.865.840 | -- | 3.509.971 (237.550) |
| Intangible assets Other cash outflows |
4.492.593 | 352.909 | 4.458.315 (352.909) |
| CASH FLOWS FROM FINANCING ACTIVITIES - Goodwill 14 |
512.279 | (656.656) | (1.743.966) 512.279 |
| Cash inflows from borrowings | 3.670.220 | 1.106.190 | |
| - Other intangible assets 12 Cash inflows from loans |
3.980.314 | 420.220 | 3.946.036 230.890 |
| Cash inflows from debt instruments issued Right of use assets 13 Cash outflows related to debt payments |
7.241.449 | 3.250.000 (1.844.447) |
875.300 4.485.867 (1.078.940) |
| Prepaid expenses 11 Cash outflows related to loan repayments |
2.322.864 | (424.447) | 1.818.132 (403.640) |
| Cash outflows related to other financial debt payments | (1.420.000) | (675.300) | |
| Deferred tax assets 25 Cash outflows related to debt payments arising from lease agreements |
1.809.220 | (718.551) | 1.373.437 (390.005) |
| Cash outflows related to debt payments arising from financial lease agreements | (136.688) | (432.995) | |
| TOTAL ASSETS Interest paid |
28.415.103 | (550.874) | 22.616.068 (403.012) |
| Interest received | 243.890 | 156.440 | |
| Dividend payment | (44.959) | (51.300) | |
| Cash Outflows Related to Repurchase of Own Shares or Reduction in Capital (-) | (1.275.247) | (650.344) | |
| NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS BEFORE THE EFFECT OF FOREIGN CURRENCY TRANSLATION DIFFERENCES |
1.997.459 | (313.119) | |
| INFLATION EFFECT ON CASH | (447.047) | (266.141) | |
| NET INCREASE IN CASH AND CASH EQUIVALENTS | 1.550.412 | (579.260) | |
| CASH AND CASH EQUIVALENTS AT THE BEGINNING OF THE PERIOD | 6 | 1.261.961 | 1.841.221 |
| CASH AND CASH EQUIVALENTS AT THE END OF THE PERIOD | 6 | 2.812.373 | 1.261.961 |
The accompanying notes form an integral part of these consolidated financial statements.
5
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
MLP Sağlık Hizmetleri A.Ş. (the "Company" or "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 31 December 2023, MLP is the holding company of 14 subsidiaries (31 December 2022: 14) (collectively referred as the "Group"), each operating in the healthcare sector in Türkiye.
The Group'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 13 February 2018. Pursuant to the CMB's Principle Decision dated 30 October 2014 and numbered 31/1059, as per the Principle Decision dated 23 July 2010 and numbered 21/655; according to the Merkezi Kayıt Kuruluşu A.Ş. ("MKK") records; as of 31 December 2023, the shares representing 33.16% of MLP Sağlık's capital are considered to be in circulation. As of 1 January 2024, this ratio is 33.16% (Note 19).
The number of employees of the Group as at 31 December 2023 is 12,677 (31 December 2022: 11,699).
The consolidated financial statements have been approved by the Group Management and authorized for issue on 19 March 2024. Although there is no such intention, the General Assembly and certain regulatory bodies have the power to make changes following the publication of the financial statements.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
As of 31 December 2023, the subsidiaries of the Group are as summarized below:
| Place of incorporation | |
|---|---|
| Name | and activity |
| Temar Tokat Manyetik Rezonans Sağlık Hizmetleri ve Turizm A.Ş. ("Tokat Hastanesi") |
Tokat |
| Samsun Medikal Grup Özel Sağlık Hizmetleri A.Ş. ("Samsun Hastanesi") | Samsun-İstanbul |
| Tasfiye Halinde Özel Samsun Medikal Tıp Merkezi ve Sağlık Hizmetleri Tic. Ltd. Şti. ("Samsun Tıp Merkezi") |
Samsun |
| Kuzey Medikal Pazarlama İnşaat Taşımacılık San. ve Tic. Ltd. Şti. ("Kuzey") | Ankara |
| Artımed Medikal Sanayi ve Ticaret A.Ş. ("Artımed") | Ankara |
| MS Sağlık Hizmetleri Ticaret A.Ş. ("MS Sağlık") | Ankara |
| Mediplaza Sağlık Hizmetleri Ticaret A.Ş. ("Mediplaza") | Gebze – İzmit |
| 21. Yüzyıl Anadolu Vakfı ("21. Yüzyıl Anadolu Vakfı") | İstanbul |
| Sotte Sağlık Temizlik Yemek Medikal Turizm Insaat San. ve Tic. A.Ş. ("Sotte Sağlık Temizlik Yemek") |
İstanbul – Ankara |
| MA Group Sağlık ve Danışmanlık Hizmetleri Ticaret A.Ş. ("MA Group") | İstanbul |
| BTR Sağlık Hizmetleri A.Ş. ("BTR Sağlık") | İstanbul |
| İstanbul Meditime Sağlık Hizmetleri Ticaret Ltd. Şti. ("Meditime Sağlık") | İstanbul |
| MLP Gaziantep Sağlık Hizmetleri Anonim Şirketi ("MLP Gaziantep Sağlık") | Gaziantep |
| Kuzey Doğu Sağlık Hizmetleri ve Tic. A.Ş. ("Kuzey Doğu") | İstanbul |
The accompanying consolidated financial statements are prepared in accordance with the requirements of Capital Markets Board ("CMB") Communiqué Serial II, No: 14.1 "Basis of Financial Reporting in Capital Markets", which was published in the Official Gazette No:28676 on 13 June 2013. The accompanying financial statements are prepared based on the Turkish Financial Reporting Standards and interpretations ("TFRS") that have been put into effect by the Public Oversight Accounting and Auditing Standards Authority ("POA") under Article 5 of the Communiqué.
In addition, the financial statements have been prepared in accordance with "Announcement on TFRS Taxonomy" published by POA on 4 October 2022 and with the "Examples of Financial Statements and the User Guide" issued by CMB.
The consolidated financial statements are prepared on the basis of historical cost, except for financial assets recognized at fair value and derivative financial instruments carried at fair value. In determining the historical cost, the fair value of the amount paid for the assets is generally taken as basis.
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.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
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 December 2023, 31 December 2022 and 2021, 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 |
| 31.12.2023 | 1,859.38 | 1,000 | 268% |
| 31.12.2022 | 1,128.45 | 1,647 | 156% |
| 31.12.2021 | 686.95 | 2,706 | 74% |
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.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
(1) Represents voting power held. In 2022, the liquidation process was started.
operating policies of the university from its involvement with the investee.
(3) The Company decided to liquidate on 25 December 2017.
(4) The Company's share has increased to 100% as of 31 December 2023.
2.1 Basis of Presentation (Continued)
Basis of Consolidation
Subsidiaries
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
Comparative Information and Restatement of Prior Period Consolidated Financial Statements
NOTE 2 - BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS (Continued)
The financial statements of the Group include comparative financial information to enable the determination of the financial position and performance trends. In order to comply with the presentation of the current period financial statements, comparative information is reclassed, and significant changes are disclosed if necessary.
The details of the Company and its subsidiaries as of 31 December 2023 and 31 December 2022 are as follows:
Tokat Hastanesi Tokat 58.84% 58.84% Hospital Services Samsun Hastanesi Samsun 80.00% 80.00% Hospital Services Samsun Tıp Merkezi (1) Samsun 100.00% 100.00% Hospital Services MS Sağlık Ankara 100.00% 100.00% Hospital Services Mediplaza Gebze-İzmit 75.00% 75.00% Hospital Services MA Group (3) İstanbul 51.00% 51.00% Hospital Services BTR Sağlık Hizmetleri İstanbul 100.00% 100.00% Hospital Services Meditime Sağlık İstanbul 100.00% 100.00% Hospital Services MLP Gaziantep Sağlık (4) Gaziantep 100.00% 60.00% Hospital Services Sotte Sağlık Temizlik Yemek İstanbul - Ankara 100.00% 100.00% Hospital Services Kuzey Ankara 100.00% 100.00% Ancillary Services Artımed Ankara 100.00% 100.00% Ancillary Services 21. Yüzyıl Anadolu Vakfı (2) İstanbul 100.00% 100.00% Ancillary Services Kuzey Doğu İstanbul 100.00% 100.00% Ancillary Services
(2) 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
31 December 2023 31 December 2022 Principal Activity
Place of establishment and operation
10
• 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:
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.
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.
All items in the statement of cash flows are expressed in terms of the measuring unit current at the end of the reporting period.
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.
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.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The financial statements of the Group include comparative financial information to enable the determination of the financial position and performance trends. In order to comply with the presentation of the current period financial statements, comparative information is reclassed, and significant changes are disclosed if necessary.
The details of the Company and its subsidiaries as of 31 December 2023 and 31 December 2022 are as follows:
| Place of | ||||
|---|---|---|---|---|
| establishment | 31 December | 31 December | Principal | |
| Subsidiaries | and operation | 2023 | 2022 | Activity |
| Tokat Hastanesi | Tokat | 58.84% | 58.84% | Hospital Services |
| Samsun Hastanesi | Samsun | 80.00% | 80.00% | Hospital Services |
| Samsun Tıp Merkezi (1) | Samsun | 100.00% | 100.00% | Hospital Services |
| MS Sağlık | Ankara | 100.00% | 100.00% | Hospital Services |
| Mediplaza | Gebze-İzmit | 75.00% | 75.00% | Hospital Services |
| MA Group (3) | İstanbul | 51.00% | 51.00% | Hospital Services |
| BTR Sağlık Hizmetleri | İstanbul | 100.00% | 100.00% | Hospital Services |
| Meditime Sağlık | İstanbul | 100.00% | 100.00% | Hospital Services |
| MLP Gaziantep Sağlık (4) | Gaziantep | 100.00% | 60.00% | Hospital Services |
| Sotte Sağlık Temizlik Yemek | İstanbul - Ankara | 100.00% | 100.00% | Hospital Services |
| Kuzey | Ankara | 100.00% | 100.00% | Ancillary Services |
| Artımed | Ankara | 100.00% | 100.00% | Ancillary Services |
| 21. Yüzyıl Anadolu Vakfı (2) | İstanbul | 100.00% | 100.00% | Ancillary Services |
| Kuzey Doğu | İstanbul | 100.00% | 100.00% | Ancillary Services |
(1) Represents voting power held. In 2022, the liquidation process was started.
10
(3) The Company decided to liquidate on 25 December 2017.
(2) 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.
(4) The Company's share has increased to 100% as of 31 December 2023.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The consolidated financial statements incorporate the financial statements of the Company and entities controlled by the Group and its subsidiaries. Control is achieved when the Company:
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.
When the Group has less than a majority of the voting rights of an investee, it has power over the investee when the voting rights are sufficient to give it the practical ability to direct the relevant activities of the investee unilaterally. The Company considers all relevant facts and circumstances in assessing whether or not the Company's voting rights in an investee are sufficient to give it power, including:
Consolidation of a subsidiary begins when the Group obtains control over the subsidiary and ceases when the Company loses control of the subsidiary. 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 of acquisition to the date of disposal.
Profit or loss and each component of other comprehensive income are attributed to the parent and to the noncontrolling interests. Total comprehensive income of subsidiaries is attributed to the parent and to the noncontrolling interests even if this results in the non-controlling interests having a deficit balance.
When necessary, adjustments are made to the financial statements of subsidiaries to bring their accounting policies into line with the Group's accounting policies.
All intragroup assets and liabilities, equity, income, expenses and cash flows relating to transactions between members of the Group are eliminated in full on consolidation.
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 Group.
When the Group loses control of a subsidiary, a gain or loss is recognized 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.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
All amounts previously recognized 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 TFRSs). 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 TFRS 9 Financial Instruments, when applicable, the cost on initial recognition of an investment in an associate or a joint venture.
Significant changes made in accounting policies are applied retrospectively and prior year financial statements are restated.
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.
| Amendments to TAS 1 | Disclosure of Accounting Policies |
|---|---|
| Amendments to TAS 8 | Definition of Accounting Estimates |
| Amendments to TAS 12 | Deferred Tax related to Assets and Liabilities arising from a |
| Single Transaction | |
| Amendments to TAS 12 | International Tax Reform — Pillar Two Model Rules |
The amendments require that an entity discloses its material accounting policies, instead of its significant accounting policies.
Amendments to TAS 1 are effective for annual reporting periods beginning on or after 1 January 2023 and earlier application is permitted.
With this amendment, the definition of "a change in accounting estimates" has been replaced with the definition of "an accounting estimate", sample and explanatory paragraphs regarding estimates have been added, and the differences between application of an estimate prospectively and correction of errors retrospectively have been clarified.
Amendments to TAS 8 are effective for annual reporting periods beginning on or after 1 January 2023 and earlier application is permitted.
Notes to the Consolidated Financial Statements MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
a) Amendments that are mandatorily effective from 2023 (Continued)
The amendments clarify that the initial recognition exemption does not apply to transactions in which equal amounts of deductible and taxable temporary differences arise on initial recognition.
Amendments to TAS 12 are effective for annual reporting periods beginning on or after 1 January 2023 and earlier application is permitted.
The amendments provide a temporary exception to the requirements regarding deferred tax assets and liabilities related to pillar two income taxes. Amendments to TAS 12 are effective for annual reporting periods beginning on or after 1 January 2023.
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 (Amendment to TFRS 17) | |
| Amendments to TFRS 4 | Extension of the Temporary Exemption from Applying |
| TFRS 9 | |
| Amendments to TAS 1 | Classification of Liabilities as Current or Non-Current |
| Amendments to TFRS 16 | Lease Liability in a Sale and Leaseback |
| Amendments to TAS 1 | Non-current Liabilities with Covenants |
| Amendments to TAS 7 and TFRS 7 | Supplier Finance Arrangements |
| TSRS 1 | General Requirements for Disclosure of Sustainability |
| related Financial Information | |
| TSRS 2 | Climate-related Disclosures |
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 2025.
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.
13
Amendments are effective with the first application of TFRS 17.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
b) New and revised TFRSs in issue but not yet effective (Continued)
The amendment changes the fixed expiry date for the temporary exemption in TFRS 4 Insurance Contracts from applying TFRS 9, so that insurance and reinsurance and pension companies would be required to apply TFRS 9 for annual periods beginning on or after 1 January 2024 with the deferral of the effective date of TFRS 17.
The amendments aim to promote consistency in applying the requirements by helping companies determine whether, in the statement of financial position, debt and other liabilities with an uncertain settlement date should be classified as current (due or potentially due to be settled within one year) or non-current.
Amendments to TAS 1 are effective for annual reporting periods beginning on or after 1 January 2024 and earlier application is permitted.
Amendments to TFRS 16 clarify how a seller-lessee subsequently measures sale and leaseback transactions that satisfy the requirements in TFRS 15 to be accounted for as a sale.
Amendments are effective from annual reporting periods beginning on or after 1 January 2024.
Amendments to TAS 1 clarify how conditions with which an entity must comply within twelve months after the reporting period affect the classification of a liability.
Amendments are effective from annual reporting periods beginning on or after 1 January 2024.
The Group evaluates the effects of these standards, amendments and improvements on the consolidated financial statements.
The amendments add disclosure requirements, and 'signposts' within existing disclosure requirements that ask entities to provide qualitative and quantitative information about supplier finance arrangements. Amendments are effective from annual reporting periods beginning on or after 1 January 2024.
TSRS 1 sets out overall requirements for sustainability-related financial disclosures with the objective to require an entity to disclose information about its sustainability-related risks and opportunities that is useful to primary users of general-purpose financial reports in making decisions relating to providing resources to the entity. The application of this standard is mandatory for annual reporting periods beginning on or after 1 January 2024 for the entities that meet the criteria specified in POA's announcement dated 5 January 2024 and numbered 2024-5 and for banks regardless of the criteria. Other entities may voluntarily report in accordance with TSRS.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
TSRS 2 sets out the requirements for identifying, measuring and disclosing information about climate-related risks and opportunities that is useful to primary users of general-purpose financial reports in making decisions relating to providing resources to the entity. The application of this standard is mandatory for annual reporting periods beginning on or after 1 January 2024 for the entities that meet the criteria specified in POA's announcement dated 5 January 2024 and numbered 2024-5 and for banks regardless of the criteria. Other entities may voluntarily report in accordance with TSRS.
A related party is a person or entity that is related to the entity that is preparing its financial statements.
(a) A person or a close member of that person's family is related to a reporting entity if that person:
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
A related party transaction is a transfer of resources, services or obligations between related parties, regardless of whether a price is charged.
The acquisition of subsidiaries and businesses are accounted for using the acquisition method. The consideration transferred in a business combination is measured at fair value, which is calculated as the sum of the acquisitiondate fair values of the assets transferred by the Group, liabilities incurred by the Group to the former owners of the acquiree and the equity interests issued by the Group in exchange for control of the acquiree. Acquisition-related costs are generally recognized in profit or loss as incurred.
At the acquisition date, the identifiable assets acquired and the liabilities assumed are recognized at their fair value, except that:
Goodwill is measured as the excess of the sum of the consideration transferred, the amount of any non-controlling interests in the acquiree, and the fair value of the acquirer's previously held equity interest in the acquiree (if any) over the net of the acquisition-date amounts of the identifiable assets acquired and the liabilities assumed. If, after reassessment, the net of the acquisition-date amounts of the identifiable assets acquired and liabilities assumed exceeds the sum of the consideration transferred, the amount of any non-controlling interests in the acquiree and the fair value of the acquirer's previously held interest in the acquiree (if any), the excess is recognized immediately in profit or loss as a bargain purchase gain.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Non-controlling interests that are present ownership interests and entitle their holders to a proportionate share of the entity's net assets in the event of liquidation may be initially measured either at fair value or at the noncontrolling interests' proportionate share of the recognized amounts of the acquiree's identifiable net assets. The choice of measurement basis is made on a transaction-by-transaction basis. Other types of non-controlling interests are measured at fair value or, when applicable, on the basis specified in another TFRS.
When the consideration transferred by the Group in a business combination includes assets or liabilities resulting from a contingent consideration arrangement, the contingent consideration is measured at its acquisition-date fair value and included as part of the consideration transferred in a business combination. Changes in the fair value of the contingent consideration that qualify as measurement period adjustments are adjusted retrospectively, with corresponding adjustments against goodwill.
Measurement period adjustments are adjustments that arise from additional information obtained during the 'measurement period' (which cannot exceed one year from the acquisition date) about facts and circumstances that existed at the acquisition date.
The subsequent accounting for changes in the fair value of the contingent consideration that do not qualify as measurement period adjustments depends on how the contingent consideration is classified. Contingent consideration that is classified as equity is not remeasured at subsequent reporting dates and its subsequent settlement is accounted for within equity. The fair value of other contingent consideration is remeasured and changes are recognised in profit or loss.
When a business combination is achieved in stages, the Group's previously held equity interest in the acquiree is remeasured to fair value at the acquisition date (i.e. the date when the Group obtains control) and the resulting gain or loss, if any, is recognized in profit or loss. Amounts arising from interests in the acquiree prior to the acquisition date that have previously been recognized in other comprehensive income are reclassified to profit or loss where such treatment would be appropriate if that interest were disposed of.
If the initial accounting for a business combination is incomplete by the end of the reporting period in which the combination occurs, the Group reports provisional amounts for the items for which the accounting is incomplete. Those provisional amounts are adjusted during the measurement period, or additional assets or liabilities are recognized, to reflect new information obtained about facts and circumstances that existed at the acquisition date that, if known, would have affected the amounts recognized at that date.
Business combinations are accounted for by using the purchase method in the scope of TFRS 3 "Business combinations". Any excess of the cost of acquisition over the acquirer's interest in the (i) net fair value of the acquiree's identifiable assets and contingent liabilities as of the acquisition date, (ii) amount of any non-controlling interest in the acquired entity and (iii) fair value of any equity interest previously held by acquirer is accounted for as goodwill. If those amounts are less than fair value of the net identifiable assets of the business acquired, the difference is recognised directly in "Gains from investment activities" as a gain from bargain purchase.
Goodwill arising on an acquisition of a business is carried at cost as established at the date of acquisition of the business less accumulated impairment losses, if any. For the purposes of impairment testing, goodwill is allocated to each of the Group's cash-generating units (or groups of cash-generating units) that is expected to benefit from the synergies of the combination.
A cash-generating unit to which goodwill has been allocated is tested for impairment annually, or more frequently when there is an indication that the unit may be impaired. If the recoverable amount of the cash-generating unit is less than its carrying amount, the impairment loss is allocated first to reduce the carrying amount of any goodwill allocated to the unit and then to the other assets of the unit pro rata based on the carrying amount of each asset in the unit. Any impairment loss for goodwill is recognized directly in profit or loss in the consolidated statement of profit or loss. An impairment loss recognized for goodwill is not reversed in subsequent periods.
On disposal of the relevant cash-generating unit, the attributable amount of goodwill is included in the determination of the profit or loss on disposal.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
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, which is the functional currency of the Company, and the presentation currency for the consolidated financial statements.
In preparing the financial statements of the individual entities, transactions in currencies other than TL (foreign currencies) are recorded at the rates of exchange prevailing on the dates of the transactions. At the end of each reporting period, monetary items denominated in foreign currencies are retranslated at the rates prevailing at that date. Non-monetary items carried at fair value that are denominated in foreign currencies are retranslated at the rates prevailing at the date when the fair value was determined. Non-monetary items that are measured in terms of historical cost in a foreign currency are not retranslated.
Exchange differences are recognized in profit or loss in the period in which they arise except for:
When a performance obligation is satisfied by transferring promised goods or services to a customer, the Group recognises the revenue as the amount of the transaction price that is allocated to that performance obligation. The goods or services are transferred when the control of the goods or services is delivered to the customers. Returns, discounts and provisions are reduced from the related amount.
Group recognises revenue based on the following five principles:
Group recognises revenue from its customer when all of the following criteria are met:
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Revenue is recognised only when it is probable that the economic benefits associated with the transaction will flow to the entity and when the revenue amount, the completion level of the transaction as of the reporting date and the cost required for the completion of the transaction can be measured reliably.
The assumptions for the reliability of revenue recognition after the agreement of third parties are as follows:
The Group recognises revenue from the following major sources:
Revenue is measured based on the consideration specified in a contract with a customer and excludes amounts collected on behalf of third parties. The Group recognises revenue when it transfers control of a product or service to a customer. Rebates, sales discounts, stock protection and other similar allowances obtained from the suppliers are accrued on an accrual basis when the rights of parties arise.
Revenue is generated from the healthcare services provided and some medical products sold. The main streams of revenue are policlinic revenue, revenue from surgical operations, x-ray revenue and all other revenue from hospital services.
Income is recognized in the period in which services are provided. Income relating to patient treatments which are partially complete at the financial year end is accrued and apportioned across financial years by reference to percentage of completion.
Inventories are stated at the lower of cost and net realizable value. Net realizable value represents the estimated selling price less all estimated costs of completion and costs necessary to make the sale. When the net realizable value of inventory is less than cost, the inventory is written down to the net realizable value and the expense is included in statement of income/(loss) in the period the write-down or loss occurred. When the circumstances that previously caused inventories to be written down below cost no longer exist or when there is clear evidence of an increase in net realizable value because of changed economic circumstances, the amount of the write-down is reversed. The reversal amount is limited to the amount of the original write-down.
Property, plant and equipment are carried at cost less accumulated depreciation and any accumulated impairment losses. Land is not depreciated and carried at cost less accumulated impairment. Depreciation is provided on all property and equipment using the straight-line method at rates which approximate estimated useful lives of the related assets as follows:
| Useful life |
|---|
| 35 years |
| 5-20 years |
| 4-5 years |
| 2-20 years |
| 5-15 years |
| 2-11 years |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The useful life and depreciation method are regularly reviewed and accordingly whether the method and the depreciation period are in line with the economic benefits to be obtained from the related asset are reviewed.
Assets held under finance leases are depreciated over their expected useful lives on the same basis as owned assets. However, when there is no reasonable certainty that ownership will be obtained by the end of the lease term, assets are depreciated over the shorter of the lease term and their useful lives.
If events or changes in circumstances indicate that the carrying amount of an item of property, plant and equipment may not be recoverable, the carrying amount of the asset is written down to its recoverable amount, less any provision for impairment. The recoverable amount of an item of property, plant and equipment is the higher of future net cash flows from its current use and its net selling price.
An item of property, plant and equipment is derecognized upon disposal or when no future economic benefits are expected to arise from the continued use of the asset. Any gain or loss arising on the disposal or retirement of an item of property, plant and equipment is determined as the difference between the sales proceeds and the carrying amount of the asset and is recognized in profit or loss.
Intangible assets mainly comprise software rights, hospital licenses obtained through business combinations or acquired separately and advances given for the purchase of hospital licenses. Intangible assets acquired separately are initially recorded at cost. The cost of an intangible asset acquired in a business combination is its fair value at the date of acquisition. After initial recognition, intangible assets are measured at cost less accumulated amortization and any accumulated impairment losses. Intangible assets (computer software) are amortized on a straight line basis over the best estimate of their useful lives (1 to 5). The amortization period and the amortization method for an intangible asset are reviewed at least at each financial year-end. The amortization expense on intangible assets is recognized in the statement of profit or loss.
Intangible assets acquired in a business combination and recognized separately from goodwill are initially recognized at their fair value at the acquisition date (which is regarded as their cost).
Subsequent to initial recognition, intangible assets acquired in a business combination are reported at cost less accumulated amortization and accumulated impairment losses, on the same basis as intangible assets that are acquired separately.
The hospital licenses are not amortized since there is no definite useful life for licenses. However, licenses are tested for impairment annually at the cash-generating unit level. As of 31 December 2023, there has been no indication regarding impairment of licenses.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
At the end of each reporting period, the Group reviews the carrying amounts of its property, plant and equipment and intangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any). If it is impracticable to calculate the recoverable value of an asset, the recoverable value of the cash generating unit to which it belongs is calculated.
The recoverable amount is the higher of fair value less costs to sell and value in use. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset for which the estimates of future cash flows have not been adjusted.
Intangible assets with indefinite useful lives are tested for impairment annually at the cash-generating unit level, as appropriate and when circumstances indicate that the carrying value may be impaired.
If the recoverable amount of an asset (or cash-generating unit) is estimated to be less than its carrying amount, the carrying amount of the asset (cash-generating unit) is reduced to its recoverable amount. An impairment loss is recognized immediately in the consolidated statement of profit or loss.
Where an impairment loss subsequently reverses, the carrying amount of the asset (cash-generating unit) is increased to the revised estimate of its recoverable amount, but so that the increased carrying amount does not exceed the carrying amount that would have been determined had no impairment loss been recognized for the asset (cash-generating unit) in prior years. A reversal of an impairment loss is recognized immediately in the consolidated statement of profit or loss, unless the relevant asset is carried at a revalued amount, in which case the reversal of the impairment loss is treated as a revaluation increase.
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 accompanying consolidated financial statements, have been calculated on a separate-entity basis.
Income tax expense represents the sum of the tax currently payable and deferred tax.
The tax currently payable is based on taxable profit for the year. Taxable profit differs from 'profit before tax' as reported in the consolidated statement of profit or loss because of items of income or expense that are taxable or deductible in other years and it excludes items that are never taxable or deductible. The Group's current tax is calculated using tax rates that have been enacted or substantively enacted by the end of the reporting period.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Deferred tax liability or asset is recognized on temporary differences between the carrying amounts of assets and liabilities in the financial statements and the corresponding tax basis which are used in the computation of taxable profit. Deferred tax liabilities are generally recognized for all taxable temporary differences. Deferred tax assets are recognized for all deductible temporary differences to the extent that it is probable that taxable profits will be available against which those deductible temporary differences can be utilized.
Deferred tax liabilities or assets arising from the initial recognition of assets or liabilities in the financial statements due to temporary timing differences, excluding goodwill or business combinations, are not calculated. These differences do not affect both commercial and financial profits or losses.
The company and its subsidiaries within the scope of consolidation have reflected deferred tax assets and liabilities in their financial statements by offsetting them, but no offsetting has been made on a consolidated basis. Deferred tax is calculated based on the tax rates expected to be applicable when the assets are realized or the liabilities are settled, and is recorded in the income statement as an expense or income. However, if the deferred tax is related to assets directly associated with equity in the same or different period, it is associated with the equity account group.
Prepaid corporation taxes and corporate tax liabilities are offset when they relate to income taxes levied by the same taxation authority.
The carrying amount of deferred tax assets is reviewed at the end of each reporting period and reduced to the extent that it is no longer probable that sufficient taxable profits will be available to allow all or part of the asset to be recovered.
Deferred tax assets and liabilities are measured at the tax rates that are expected to apply in the period in which the liability is settled or the asset realized, based on tax rates (and tax laws) that have been enacted or substantively enacted by the end of the reporting period.
The measurement of deferred tax liabilities and assets reflects the tax consequences that would follow from the manner in which the Group expects, at the reporting date, to recover or settle the carrying amount of its assets and liabilities.
Current and deferred tax are recognized in profit or loss, except when they relate to items that are recognized in other comprehensive income or directly in equity, in which case, the current and deferred tax are also recognized in other comprehensive income or directly in equity respectively.
In accordance with existing social legislation in Turkey, the Company and its subsidiaries in Turkey are required to make lump-sum termination indemnities to each employee whose employment is terminated due to retirement or for reasons other than resignation or misconduct. Per revised International Accounting Standard No. 19 "Employee Benefits" ("TAS 19"), these payments are regarded as defined benefit plans.
The severance pay liability recognised in the balance sheet is calculated by estimating the net present value of the future probable liability of the Company arising from the retirement of all employees and reflected in the financial statements. All actuarial gains and losses are recognised in other comprehensive income. All actuarial gains and losses are recognized in the statement of other comprehensive income.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The Group and its subsidiaries pay contributions to Social Security Institution on a mandatory basis. The Group has no further payment obligations once the contributions have been paid. The contributions are recognized as employee benefit expense when they are due.
Vacation pay liability recognized in the consolidated financial statements represents the probable liability of the Group related to the unused vacation days of the employees.
The functional and presentation currency of the Company and all of its subsidiaries is Turkish Lira ("TL"). Transactions in foreign currencies during the year have been translated at the exchange rates prevailing at the dates of such transactions. Assets and liabilities denominated in foreign currencies are translated by exchange rates valid on the balance sheet date. Exchange differences arising from the translation of foreign currency transactions and financial statement items into Turkish Lira are recognised in the statement of comprehensive income.
Basic earnings/(loss) are calculated by dividing the net profit/(loss) for the year by the weighted average number of ordinary shares outstanding during the period.
Under sale and leaseback transactions which are established at fair value and resulting in an operating lease, profits and losses are recognized immediately in the statement of comprehensive income. When the sale price is below fair value, any profits or losses are recognized immediately in the profit or loss except that, if the loss is compensated for by future lease payments at below market price, the losses are deferred and amortized in proportion to the lease payments over the period for which the asset expected to be used.
The Group assesses whether a contract is or contains a lease, at inception of the contract. The Group recognises a right-of-use asset and a corresponding lease liability with respect to all lease arrangements in which it is the lessee, except for short-term leases (defined as leases with a lease term of 12 months or less) and leases of low value assets. For these leases, the Group recognises the lease payments as an operating expense on a straight-line basis over the term of the lease unless another systematic basis is more representative of the time pattern in which economic benefits from the leased assets are consumed.
The lease liability is initially measured at the present value of the lease payments that are not paid at the commencement date, discounted by using the rate implicit in the lease. If this rate cannot be readily determined, the Group uses its incremental borrowing rate.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Lease payments included in the measurement of the lease liability comprise:
The lease liability is presented as a separate line in the consolidated statement of financial position. The lease liability is subsequently measured by increasing the carrying amount to reflect interest on the lease liability (using the effective interest method) and by reducing the carrying amount to reflect the lease payments made. The Group remeasures the lease liability (and makes a corresponding adjustment to the related right-of-use asset) whenever:
The Group did not make any such adjustments during the periods presented.
Right-of-use assets include initial recognition of lease liabilities, prepayments and other direct costs made on or before commencement date of the lease. These assets are then measured by cost value after reduction of accumulated depreciation and impairment losses.
The Group accounts a provision under TAS 37 in case of costs to be incurred by the lessee in dismantling and removing the underlying asset, restoring the site on which it is located or restoring the underlying asset to the condition required by the terms and conditions of the lease. These costs are included in cost of right-of-use assets unless those costs are incurred to produce inventories.
Right-of-use assets are depreciated over the shorter period of lease term and useful life of the underlying asset. If a lease transfers ownership of the underlying asset or the cost of the right-of-use asset reflects that the Group expects to exercise a purchase option, the related right-of-use asset is depreciated over the useful life of the underlying asset. The depreciation starts at the commencement date of the lease.
Right of use assets are presented as different item in consolidated statement of financial position.
The Group applies TAS 36 to determine whether a right-of-use asset is impaired and accounts for any identified impairment loss as described in the 'Property, Plant and Equipment' policy.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Variable rents that do not depend on an index or rate are not included in the measurement of the lease liability and the right-of-use asset. The related payments are recognised as an expense in the period in which the event or condition that triggers those payments occurs and are included in 'cost of sales' and "general administrative and marketing expenses" in profit or loss.
As a practical expedient, TFRS 16 permits a lessee not to separate non-lease components, and instead account for any lease and associated non-lease components as a single arrangement. The Group has not used this practical expedient.
The Group leases hospital buildings and offices. Rental contracts are typically made for fixed periods of 3 to 15 years but may have extension options as described below. Lease terms are negotiated on an individual basis and contain a wide range of different terms and conditions.
Until the 2018 financial year, leases of property, plant and equipment were classified as either finance or operating leases. Payments made under operating leases (net of any incentives received from the lessor) were charged to profit or loss on a straight-line basis over the period of the lease. From 1 January 2019, leases are recognised as a right-of-use asset and a corresponding liability at the date at which the leased asset is available for use by the group. Each lease payment is allocated between the liability and finance cost. The finance cost is charged to profit or loss over the lease period so as to produce a constant periodic rate of interest on the remaining balance of the liability for each period. The right-of-use asset is depreciated over the shorter of the asset's useful life and the lease term on a straight-line basis.
Assets and liabilities arising from a lease are initially measured on a present value basis. Lease liabilities include the net present value of the following lease payments:
The lease payments are discounted using the interest rate implicit in the lease. If that rate cannot be determined, the lessee's incremental borrowing rate is used, being the rate that the lessee would have to pay to borrow the funds necessary to obtain an asset of similar value in a similar economic environment with similar terms and conditions.
Right-of-use assets are measured at cost comprising the following:
Payments associated with short-term leases and leases of low-value assets are recognised on a straight-line basis as an expense in profit or loss. Short-term leases are leases with a lease term of 12 months or less. Low-value assets comprise information technology-equipment and small items of office furniture.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Financial assets and financial liabilities are recognised in the Group's statement of financial position when the Group becomes a party to the contractual provisions of the instrument. Financial assets and financial liabilities are initially measured at fair value. Transaction costs that are directly attributable to the acquisition or issue of financial assets and financial liabilities (other than financial assets and financial liabilities at fair value through profit or loss) are added to or deducted from the fair value of the financial assets or financial liabilities, as appropriate, on initial recognition. Transaction costs directly attributable to the acquisition of financial assets or financial liabilities at fair value through profit or loss are recognised immediately in profit or loss.
All regular way purchases or sales of financial assets are recognised and derecognised on a trade date basis.
The Group classifies its financial assets as (a) Business model used for managing financial assets, (b) financial assets subsequently measured at amortised cost, at fair value through other comprehensive income or at fair value through profit or loss based on the characteristics of contractual cash flows. The Company reclassifies all financial assets effected from the change in the business model it uses for the management of financial assets. The reclassification of financial assets is applied prospectively from the reclassification date. In such cases, no adjustment is made to gains, losses (including any gains or losses of impairment) or interest previously recognized in the financial statements.
Financial assets that meet the following conditions are measured subsequently at amortised cost:
Financial assets that meet the following conditions are measured subsequently at fair value through other comprehensive income (FVTOCI):
By default, all other financial assets are measured subsequently at fair value through profit or loss (FVTPL).
Despite the foregoing, the Group may make the following irrevocable election/designation at initial recognition of a financial asset; the Group may irrevocably elect to present subsequent changes in fair value of an equity investment in other comprehensive income if certain criteria are met.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Interest income on financial assets carried at amortized cost is calculated using the effective interest method. The effective interest method is a method of calculating the amortised cost of a debt instrument and of allocating interest income over the relevant period. This income is calculated by applying the effective interest rate to the gross carrying amount of the financial asset:
Interest income is recognised using the effective interest method for debt instruments measured subsequently at amortised cost and at FVTOCI.
Interest income is recognised in profit or loss and is included in the "interest income" line item (Note 24).
(ii) Financial assets at FVTPL
Financial assets that do not meet the criteria for being measured at amortised cost or FVTOCI (see (i) to (iii) above) are measured at FVTPL. Specifically:
Financial assets at FVTPL are measured at fair value at the end of each reporting period, with any fair value gains or losses recognised in profit or loss to the extent they are not part of a designated hedging relationship (see hedge accounting policy).
The carrying amount of financial assets that are denominated in a foreign currency is determined in that foreign currency and translated at the spot rate at the end of each reporting period. Specifically,
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The Group recognises a loss allowance for expected credit losses on investments in debt instruments that are measured at amortised cost or at FVTOCI, lease receivables, trade receivables and contract assets, as well as financial guarantee contracts. No impairment loss is recognised for investments in equity instruments. The amount of expected credit losses is updated at each reporting date to reflect changes in credit risk since initial recognition of the respective financial instrument.
The Group utilizes a simplified approach for trade receivables, contract assets and lease receivables that does not have significant financing component and calculates the allowance for impairment against the lifetime ECL of the related financial assets.
For all other financial instruments, the Group recognises lifetime ECL when there has been a significant increase in credit risk since initial recognition.
The measurement of expected credit losses is a function of the probability of default, loss given default (i.e. the magnitude of the loss if there is a default) and the exposure at default. The assessment of the probability of default and loss given default is based on historical data adjusted by forward-looking information as described above. As for the exposure at default, for financial assets, this is represented by the assets' gross carrying amount at the reporting date.
The expected credit loss of financial assets is the present value of the difference between the Group's contractually realized cash flows and all the cash flows (all cash deficits) that the Group expects to receive, calculated over the initial effective interest rate (or credit-adjusted effective interest rate for credit-impaired financial assets when purchased or created).
The Group derecognises a financial asset only when the contractual rights to the cash flows from the asset expire, or when it transfers the financial asset and substantially all the risks and rewards of ownership of the asset to another entity.
On derecognition of a financial asset measured at amortised cost, the difference between the asset's carrying amount and the sum of the consideration received and receivable is recognised in profit or loss. In addition, on derecognition of an investment in a debt instrument classified as at FVTOCI, the cumulative gain or loss previously accumulated in the investments revaluation reserve is reclassified to profit or loss. In contrast, on derecognition of an investment in equity instrument which the Group has elected on initial recognition to measure at FVTOCI, the cumulative gain or loss previously accumulated in the investments revaluation reserve is not reclassified to profit or loss, but is transferred to retained earnings.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Financial liabilities are classified as at FVTPL on initial recognition. On initial recognition of liabilities other than those that are recognised at FVTPL, transaction costs directly attributable to the acquisition or issuance thereof are also recognised in the fair value.
A financial liability is subsequently classified at amortized cost except:
The Group does not reclassify any financial liability.
The Group derecognises financial liabilities when, and only when, the Group's obligations are discharged, cancelled or have expired. The difference between the carrying amount of the financial liability derecognised and the consideration paid and payable, including any non-cash assets transferred or liabilities assumed, is recognised in profit or loss.
Provisions are recognized when the Group has a present obligation as a result of a past event, and it is probable that an outflow of resources embodying economic benefits will be required to settle that obligation, and a reliable estimate can be made of the amount of the obligation. Provisions are measured at management's best estimate of the expenditure required to settle the obligation at the reporting date, and are discounted to present value where the effect is material.
When some or all of the economic benefits required to settle a provision are expected to be recovered from a third party, the receivable is recognized as an asset if it is virtually certain that reimbursement will be received and the amount of the receivable can be measured reliably.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Possible assets that arise from past events and of which existence will be confirmed only by the occurrence or nonoccurrence of one or more uncertain future events.
A contingent liability is disclosed, unless the possibility of an outflow of resources embodying economic benefits is remote. If the possibility of transfer of assets is probable, contingent liability is recognized in the financial statements. A contingent asset is disclosed, when an inflow of economic benefits is highly probable.
Common shares are classified as equity. Dividends on common shares are recognized in equity in the period in which they are approved and declared.
In accordance with TFRS 8 "Operating Segments", an operating segment is a component of an entity: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same entity), (b) whose operating results are regularly reviewed by the entity's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. The Group's chief operating decision maker ("CODM") receives financial information on both an aggregate and on an individual hospital basis. No individual hospital exceeds 10% of the combined internal and external revenue of all the hospitals and it is not practicable to disclose segment information by individual hospital. Further, investment decisions are focused on potential acquisitions of new hospitals or further investment in the Group's existing hospitals in the aggregate. Therefore, the Group is considered as one single operating segment.
The Group adjusts the amounts recognised in its consolidated financial statements to reflect the adjusting events after the reporting date. If non-adjusting events after the reporting date have material influence on the economic decisions of users of the financial statements, they are disclosed in the notes to the consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
The preparation of the consolidated financial statements requires the disclosure of the amounts of assets and liabilities reported as of the reporting period, the disclosure of contingent assets and liabilities, and the determination of estimates and assumptions by the management that may affect the amounts of income and expenses reported during the accounting period. Accounting evaluations are evaluated by taking into account estimations and assumptions, past experience, other factors and reasonable expectations about future events under current conditions. Although these estimates and assumptions are based on management's best knowledge of current events and transactions, actual results may differ from their assumptions.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
In the process of applying the entity's accounting policies, which are described in note 2.6, management has made the following judgments that have the most significant effect on the amounts recognized in the financial statements (apart from those involving estimations, which are dealt with below under notes 3.2).
The Group accounts deferred tax assets and liabilities from the temporary differences between the statutory financial statements and the financial statements in accordance with TFRS.
Deferred income tax assets are recognized for tax losses carried forward to the extent that the realization of the related tax benefit through future taxable profits is probable. The subsidiaries of the Group have deferred tax assets for all deductible temporary differences to the extent that it is probable that taxable profits will be available against which those deductible temporary differences can be recognized. The recoverable amount of deferred tax assets, partially or fully, is estimated under the current conditions. During the assessment, future profit projections, losses incurred in current periods, the expiry dates of unused losses and other tax assets and tax planning strategies that can be used when necessary were taken into consideration.
Based on information gathered, if the future profit projections cannot enable the Group benefit from accumulated fiscal losses, allowance can be calculated fully or partially. Based on future profit projections, the Group estimates whole utilization of deferred tax assets.
The Group assess the recoverability of deferred tax assets related carried forward tax losses based on business models that contain management estimations related to taxable profit for future periods. The models include key management estimations such as growth rate, hospital capacities and foreign exchange rates. Based on the sensitivity analysis about carried forward tax losses performed, it is concluded that 10% increase/decrease in related estimations does not have any effect on the assessment of recoverability of deferred tax assets.
Government grants are not recognized until there is reasonable assurance that the Group will comply with the conditions attaching to them and that the grants will be received (Note 25).
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The key assumptions concerning the future, and other key sources of estimation uncertainty at the balance sheet date, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year, are discussed below;
The Group calculates the provision for impairment of trade receivables to cover the estimated losses resulting from the possible unconfirmed balances by the SSI and the inability of the patients to make required payments. The services rendered to patients covered by the SSI are subject to administrative review and audit by the SSI. The receivables that are not confirmed by the SSI are written off by the Group Management when the outcome is certain. As of 31 December 2023, provision for impairment of trade receivables amounting to TL 140,633 (31 December 2022: TL 198,515) (Note 8).
In addition, the Group has trade receivables arising from health services provided to foreign patients. These receivables have a longer maturity and higher profitability compared to other institutions that the Group works such as SSI and private insurance companies. Collections of these receivables are followed up regularly by the Group and the Group Management's expectation is that foreign patient receivables will be collected in 2023. The Group has overdue but not impaired trade receivables amounting to TL 857,137 as of 31 December 2023 (31 December 2022: TL 682,804).
In addition, the calculation of expected credit loss is performed based on the past experience of the Group and its expectations for the future indications.
As explained in Note 17, the Group management make provision amounting to TL 47,057 (31 December 2022: TL 67,995) for the lawsuits where the legal proceedings and penalties are still uncertain and there is a possibility of an outflow.
The Group tests annually whether goodwill has suffered any impairment, in accordance with the accounting policy stated in Note 2.6. The recoverable amounts of cash-generating units have been determined based on fair value less costs of disposal calculations. These calculations require the use of estimates (Note 14).
The impairment test was conducted as of 31 December 2023 and the "discounted cash flows method" calculation was used.
Business combinations are accounted for using the acquisition method. The cost of the business combination is calculated as the total of fair values of assets acquired, liabilities assumed and the equity instruments issued at the date of the acquisition and other costs directly attributable to the business combination. Purchase price allocation is made in order to allocate purchase price to identifiable assets as defined in TFRS 3 "Business Combinations" and TAS 38 "Intangible Assets". As per TFRS 3 and TAS 38, fair value is defined as "the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date". Based on the evaluation of the Group's transactions accounted as business combinations, the hospital licenses are identified as intangible assets. The fair values of the hospital licenses are determined based on income approach.
In accordance with the accounting policy for the hospital licenses which have indefinite useful lives stated in Note 2.6, these assets are reviewed for impairment annually or whenever events or changes in circumstances indicate impairment by the Group.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Impairment tests for hospital licenses are performed by comparing the amount calculated according to the discounted cash flows of each cash generating unit based on long term projections, with the carrying value of the hospital licenses. These calculations require the use of estimates. As of 31 December 2023, there is no impairment on hospital licenses resulting to impairment test (Note 12).
The Group reviews the estimated useful lives of its property, plant and equipment at the end of each reporting period. The Group takes into consideration the intended use of the property, plant and equipment, the advancement in technology related to the particular type of property, plant and equipment as well as other factors that may require management to extend or shorten the useful lives and the assets' related depreciation (Note 12).
Summarised financial information in respect of each of the Group's subsidiaries that has material non-controlling interests is set out below:
| In Liquidation Samsun Tıp Merkezi | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Current assets | 934 | 1.163 |
| Non-current assets | -- | 15 |
| Current liabilities | 208 | 2.318 |
| Equity | (1.142) | (1.142) |
| 1 January-31 | 1 January-31 | |
| December 2023 | December 2022 | |
| Other income/(expense), net | (262) | (1.807) |
| Loss for the period | -- | (1.807) |
| Net cash inflow/(outflow) from operating activities | (9) | (6) |
| Net cash inflow/(outflow) from investing activities | 9 | 6 |
| Net cash inflow/(outflow) | -- | -- |
| 21.Yüzyıl Anadolu Vakfı | 31 December 2023 | 31 December 2022 |
| Current assets | 14.156 | 22.858 |
| Non-current assets | 201.122 | 167.485 |
| Current liabilities | 68.018 | 103.290 |
| Equity | 147.260 | 87.053 |
| Non-controlling interests | 38.651 | 38.651 |
| 1 January-31 | 1 January-31 | |
| December 2023 | December 2022 | |
| Revenue | 1.302 | 739 |
| Other income/(expense), net | 34.281 | 34.522 |
| Loss for the period | 35.583 | 35.261 |
| Net cash inflow/(outflow) from operating activities | 33.636 | 43.717 |
| Net cash inflow/(outflow) from investing activities | (33.637) | (41.949) |
| Net cash inflow/(outflow) | (1) | 1.768 |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
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.
As of 31 December 2023, the details of short-term receivables and payables as follows:
| 31 December 2023 | ||||
|---|---|---|---|---|
| Receivables | Payables | |||
| Short-term | Short-term | |||
| Shareholders | Trade | Non-trade | Trade | Non-trade |
| Muharrem Usta (*) | -- | 130.149 | -- | 50 |
| Adem Elbaşı | -- | 4.599 | -- | -- |
| Other companies controlled by the shareholders | ||||
| A ve A Sağlık A.Ş. (2) | -- | -- | 17.345 | -- |
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 6 | -- | 18.882 | -- |
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) | -- | -- | 7.951 | -- |
| Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. | 1 | -- | 509 | -- |
| Saray Eczanesi | -- | -- | 985 | -- |
| Samsunpark Özel Sağlık Tıbbı | ||||
| Malz. İnş. Tur. Tem. Tic. A.Ş. (3) | -- | -- | 13.782 | -- |
| Tokat Emar Sağlık Hiz. Ltd. Şti. | -- | -- | 578 | -- |
| Özel Gebze Sentez Sağlık Hizmetleri Ve Tic. A.Ş. | -- | -- | -- | 7 |
| Other | 106 | 117 | -- | 4 |
| 113 | 134.865 | 60.032 | 61 |
(*) 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 turn key 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.
34
(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 31 December 2022 | ||||
|---|---|---|---|---|
| Receivables | Payables | |||
| Short-term | Short-term | |||
| Shareholders | Trade | Non-trade | Trade | Non-trade |
| Muharrem Usta (*) | -- | 122.102 | -- | 82 |
| Adem Elbaşı | -- | 4.271 | -- | -- |
| Other companies controlled by the shareholders | ||||
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 10 | -- | 37.540 | -- |
| A ve A Sağlık A.Ş. (2) | -- | -- | 35.172 | -- |
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) | -- | -- | 5.426 | -- |
| Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. | 2 | -- | 839 | -- |
| Saray Eczanesi | -- | -- | 1.214 | -- |
| Samsunpark Özel Sağlık Tıbbı | ||||
| Malz. İnş. Tur. Tem. Tic. A.Ş. (3) | -- | -- | 9.644 | -- |
| Mp Sağlık ve Tic. A.Ş. | -- | -- | -- | 1.208 |
| Tokat Emar Sağlık Hiz. Ltd. Şti. | -- | -- | 845 | -- |
| Mt Sağlık Ürünleri San. ve Tic. A.Ş. | -- | -- | 227 | -- |
| Diasan Basım ve Form Matbaacılık San. ve Tic. A.Ş. | -- | -- | 12 | -- |
| Sanport Gayrimenkul Geliştirme İnş.ve Tic. A.Ş | -- | -- | -- | -- |
| Atk Sağlık Hizmetleri ve Danışmanlık A.Ş. | -- | -- | 963 | -- |
| Other | 74 | 234 | -- | 6 |
| 86 | 126.607 | 91.882 | 1.296 |
(*) 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 turn key 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.
35
(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Advances given to related parties and Prepaid expenses | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 13.850 | 22.821 |
| Özel Gebze Sentez Sağlık Hizmetleri ve Tic. A.Ş. | -- | 1.651 |
| Sanport Gayrimenkul Geliştirme İnş.Ve Tic. A.Ş | 279 | 459 |
| Atk Sağlık Hizmetleri Ve Danışmanlık A.Ş. | -- | 126 |
| 14.129 | 25.057 |
| Fixed asset advances given to related parties | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 992.760 | 606.710 |
| 992.760 | 606.710 |
(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.
| Related parties (sale and leaseback transactions) | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Sancak Grup Mimarlık İnşaat ve Tic. A.Ş. (peşin ödenmiş | ||
| giderler kalemi içerisinde) | 367 | 653 |
| Sancak Grup Mimarlık İnşaat ve Tic. A.Ş. (uzun dönem peşin | ||
| ödenmiş giderler kalemi içerisinde) | 33 | 605 |
| 400 | 1.258 |
| 31 December 2023 | 31 December 2022 | |||
|---|---|---|---|---|
| Lease liabilities from related parties | Short-term | Long-term Short-term | Long-term | |
| Sanport Gayrimenkul Geliştirme İnş. ve Tic. A.Ş | 102.120 | -- | 97.653 | -- |
| Fom Grup Mimarlık İnşaat Ve Tic. A.Ş. | 29.047 | 102.375 | 25.167 | 132.169 |
| Atakum Özel Sağlik Hizmetleri İnş.Turizm ve San. Tic. A.Ş. | 8.397 | 237.772 | 40.822 | 78.878 |
| Özel Gebze Sentez Sağlık Hizmetleri ve Tic. A.Ş. | 8.284 | -- | 7.922 | -- |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. | 5.864 | -- | 4.849 | -- |
| 153.712 | 340.147 | 176.413 | 211.047 |
Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Purchases from related parties | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| A ve A Sağlık A.Ş. (1) | 49.751 | 105.344 |
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (2) | 46.852 | 239.857 |
| 96.603 | 345.201 |
(1) Cleaning material purchase
(2) Building rent expense
| 1 January-31 December |
1 January-31 December |
|
|---|---|---|
| Operating expenses (including purchase of services) | 2023 | 2022 |
| Sanport Gayrimenkul Geliştirme İnş. ve Tic.A.Ş (1)(7) | 234.160 | 207.249 |
| Samsunpark Özel Sağ. Tıbbi Malz. İnş. Tur. Tem. Tic. A.Ş. (4) | 89.344 | 74.262 |
| Atakum Özel Sağlik Hiz. İnş. Turizm ve San. Tic. A.Ş. (1)(7) | 52.933 | 35.901 |
| Özel Gebze Sentez Sağlık Hizmetleri ve Tic. A.Ş. (1)(7) | 6.633 | 23.462 |
| Gazi Medikal Sağlık Tesisleri ve Tic. A.Ş. (1)(7) | -- | 21.413 |
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) | 33.897 | 22.998 |
| Livart Tüp Bebek Özel Sağlık Hizm. A.Ş. (2) | 42.669 | 36.244 |
| Mp Sağlık ve Tic.A.Ş. (1)(7) | -- | 42.015 |
| Atk Sağlık Hizmetleri Ve Danışmanlık A.Ş. | 11.553 | -- |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. (1)(7) | 10.074 | 10.636 |
| Miniso Mağazacılık A.Ş. | -- | 1.196 |
| Tokat Emar Sağlık Hiz. Ltd. Şti. (2) (5) | 6.965 | 4.405 |
| Saray Eczanesi (6) | 4.859 | 5.168 |
| Özdenler Sağ. Hiz. Dan. Turz. Gıd. San. Tic. Ltd. Şti. (2) | 1.907 | 2.191 |
| Mt Sağlık Ürünleri Sanayi ve Ticaret A.Ş. (3) | -- | 492 |
| 494.994 | 487.632 |
(1) Hospital rent expenses
(2) Doctor expenses
(3) Stationary and consumable expenses
(4) Cleaning, catering and laundry services
(5) Medical equipment rent expenses
(6) Pharmacological product expenses
(7) Evaluated within the scope of TFRS 16 and represents the rent expenses paid in the related period.
4.965 9.270
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 1 January-31 December |
1 January-31 December |
|
|---|---|---|
| Sales to related parties | 2023 | 2022 |
| A ve A Sağlık A.Ş. (1) | 660 | 6.001 |
| Cotyora Med.Özel Sağ.Taah. Hz. İnş. Tr. Loj. Ltd. Şti. | 531 | 421 |
| Samsunpark Özel Sağlık Tıbbi Malz. İnş. Turizm. Tem. Tic. A.Ş. | 1.330 | 1.157 |
| Miniso Mağazacılık A.Ş. | -- | 365 |
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. | 230 | 64 |
| Adem Elbaşı | 1.742 | 950 |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. | 466 | 300 |
| Samsunpark Özel Sağlık Hiz.İş Sağlığı ve Güvenlik. Dan. Eğitim. Müh.Tic.Ltd. Şti. | 6 | -- |
| Interest Income from Related Parties | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Muharrem Usta | 49.204 | 32.001 |
| 49.204 | 32.001 |
Key management personnel comprise general managers, deputy general managers and chief physicians of hospitals and head office management team. Remuneration to key management personnel include benefits such as wages, premiums, health insurances and transport. The remuneration of key management during the year were as follows:
| 1 January-31 December 2023 |
1 January-31 December 2022 |
|
|---|---|---|
| Salaries and other short term benefits | 103.313 | 77.494 |
| 103.313 | 77.494 |
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Cash on hand | 23.621 | 13.760 |
| Cash at banks | 2.780.898 | 1.235.517 |
| - Demand deposit | 703.346 | 160.771 |
| - Time deposit | 2.077.552 | 1.074.746 |
| Other cash equivalents (*) | 7.854 | 12.684 |
| 2.812.373 | 1.261.961 |
As of 31 December 2023, the interest rates of the Group's time deposits in TL are respectively 10%-46%. (As of December 31, 2022, the effective interest rates for the Group's time deposits denominated in Turkish Lira, US Dollar, and Euro are respectively 9%-17%, 0.15%-0.20%, and 0.15%, and are short-term, less than 3 months).
38
(*) Other cash equivalents consist of credit card receivables from banks.
Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Financial Assets
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Time Deposits (*) | -- | 352.909 |
| -- | 352.909 |
(*) Currency Protected TL Time Deposit Account is a deposit product that offers foreign exchange protection in case the USD exchange rate in TL increases more than the interest rate at the end of the term. Currency protected deposit accounts are accounted for as financial assets at fair value through profit or loss. The Group has currency hedged deposit financial assets amounting to TL 152,833 with an interest rate of 15% and TL 200,076 with an interest rate of 17% maturing on 1 January 2023 and 13 February 2023, respectively. There are no currency protected deposits as of 31 December 2023.
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Short-term bank borrowings | 666.870 | 418.098 |
| Short-term bonds issued | 1.500.000 | 1.103.979 |
| Current portion of long term borrowings | 173.615 | 692.844 |
| Current portion of long-term bank loans | 173.615 | 692.844 |
| Interest expense accruals | 326.510 | 104.988 |
| 2.666.995 | 2.319.909 | |
| Long-term bank loans | 72.954 | 401.122 |
| Long-term bonds issued | 1.000.000 | -- |
| 1.072.954 | 401.122 | |
| Total borrowings | 3.739.949 | 2.721.031 |
The Group issued sukuk totaling 500,000 TL with a maturity of 6 months on July 14, 2023, to be sold to qualified investors. The principal repayment will be made on the maturity date of January 9, 2024, with an interest rate of 41%.
The Group issued bonds totaling 1,000,000 TL with a maturity of 12 months on October 2, 2023, to be sold to qualified investors. The principal repayment will be made on the maturity date of October 1, 2024, with an interest rate of 48.5%.
The Group issued sukuk totaling 1,000,000 TL with a maturity of 18 months on December 12, 2023, to be sold to qualified investors. The principal repayment will be made on the maturity date of June 12, 2025, with an interest rate of 50%.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
As of 31 December 2023 and 31 December 2022, the repayment schedule of the total borrowings as follows:
| Weighted average | ||||
|---|---|---|---|---|
| Currency Type | effective interest rate | Current | Non-current | Total |
| TL | 47,50% | 1.502.106 | 1.000.000 | 2.502.106 |
| TL | TLRef+4,+ 13,55%- TRLibor+4%-5,80% |
1.164.889 | 72.954 | 1.237.843 |
| 2.666.995 | 1.072.954 | 3.739.949 |
| Weighted average | ||||
|---|---|---|---|---|
| Currency Type | effective interest rate | Current | Non-current | Total |
| TL | 25,40% | 1.492.602 | 3.470 | 1.496.072 |
| TLRef+4- | ||||
| TL | TRLibor+%3,50- | |||
| %4,00-%4,50-%5,80 | 827.307 | 397.652 | 1.224.959 | |
| 2.319.909 | 401.122 | 2.721.031 |
As of 31 December 2023, the Group does not have any cash blocked accounts for the loans used (31 December 2022: None).
As of 31 December 2023 and 31 December 2022, the repayment schedule of the borrowings in TL are as follows:
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Interest expense accruals | 326.510 | 104.988 |
| To be paid within 1 year (*) | 2.340.485 | 2.214.922 |
| To be paid between 1-2 years (**) | 1.072.954 | 279.312 |
| To be paid between 2-3 years | -- | 121.809 |
| 3.739.949 | 2.721.031 |
(*) TL 670,000 of the loans to be paid within one year consists of revolving loans and TL 1,500,000 part consists of bond and sukuk payments which will be redeemed within 1 year.
(**) TL 1,000,000 part of the loans consists of bond payments which will be redeemed between 1-2 years.
A syndicate loan agreement was signed on 31 December 2015 with seven banks including 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. The withdrawal of the syndicate loan took place in February 2016. Regarding the loan, lien on the 25% of the Group's non-public shares have been removed. The Company's shares in companies that are subsidiaries of the Group, and the commercial enterprise lien on all fixed assets owned by the Company and the Group's bank account lien continue. In addition, the Group's receivables arising from medical tourism contracts and insurance policies have also been assigned.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The syndicated loan also includes certain financial covenants mentioned below;
Debt Service Coverage Ratio ("DSCR") cannot fall below 1.1 during the contract period (2016-2024). The BSCR is tested every six months starting from 31 December 2016.
Net debt to EBITDA Ratio cannot be above x3.5 for the year ended 31 December 2017 and for the six months period ended June 30, 2018, x3.0 for the year ended 31 December 2018 and for the six months period ended 30 June 2019, x2.5 for the year ended 31 December 2019 and for the six months period ended 30 June 2020 and x2.5 for the remaining period of the syndicate loan. As of 31 December 2023, the Group has fulfilled the rates in the contract provisions stated above.
The table below details changes in the Group's liabilities arising from financing activities, including both cash and non-cash changes. Liabilities arising from financing activities are those for which cash flows were, or future cash flows will be, classified in the Group's consolidated statement of cash flows as cash flows from financing activities.
Reconciliation of obligations arising from financing activities as of 1 January - 31 December 2023 and 1 January - 31 December 2022:
| Foreign | |||||||
|---|---|---|---|---|---|---|---|
| Financing | exchange | Disposal | 31 | ||||
| 1 January | cash | effect | of | Inflation | December | ||
| 2023 | flows(net) | (Note 22) | subsdiary | Other (*) | effect | 2023 | |
| Bank Loans | 2.721.031 | 2.088.567 | -- | -- | -- | (1.069.649) | 3.739.949 |
| Finance lease | |||||||
| obligations | 191.058 | (73.889) | 16.168 | -- | -- | (78.968) | 54.369 |
| Lease liabilities | 2.084.761 | (718.551) | 73.806 | -- | 1.658.523 | (837.163) | 2.261.376 |
| 4.996.850 | 1.296.127 | 89.974 | -- | 1.658.523 | (1.985.780) | 6.055.694 | |
| Foreign | |||||||
| Financing | exchange | Disposal | 31 | ||||
| 1 January | cash | effect | of | Inflation | December | ||
| 2022 | flows(net) | (Note 22) | subsdiary | Other (*) | effect | 2022 | |
| Bank Loans | 4.400.585 | 42.151 | -- | -- | -- | (1.721.705) | 2.721.031 |
| Finance lease | |||||||
| obligations Lease liabilities |
624.052 2.416.534 |
(239.712) (642.623) |
61.387 53.431 |
-- (92.251) |
-- 1.304.278 |
(254.669) (954.608) |
191.058 2.084.761 |
(*) It arises from the addition of new building contracts in some lease obligations within the scope of TFRS 16, the effect of remeasurement of discounted lease obligations and business combination arising from changes in lease payments realized during the period and interest expenses.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The Group has the following finance lease obligations which arose mainly due to lease of medical machinery and equipment:
| Present value of minimum lease | |||||
|---|---|---|---|---|---|
| Minimum Lease Payments | payments | ||||
| 31 December 2023 |
31 December 2022 |
31 December 2023 |
31 December 2022 |
||
| Within one year In the second to fifth years |
56.032 | 163.234 | 39.451 | 126.320 | |
| inclusive | 10.455 | 70.363 | 14.918 | 64.738 | |
| 66.487 | 233.597 | 54.369 | 191.058 | ||
| Less: Future finance charge | (12.118) | (42.539) | -- | -- | |
| Present value of finance lease obligations |
54.369 | 191.058 | 54.369 | 191.058 |
Finance leases mainly include equipment with lease term of 7 years. The ownership of the leased items will be transferred to the Group by the end of the lease term. Interest rates on financial lease transactions at the contractual date were fixed during the lease term. The contractual effective interest rate TL is 19.17% (2022: 19.17%,). The contractual effective interest rate EUR is 6.36% (2022: 6.36%). The contractual effective interest rate USD is 5.25% (2022: 5.25%).
There is no amount in short-term finance lease payables that comprise hospital equipments and devices leased from third parties which are not financial institutions (31 December 2022: None).
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Within one year More than one year |
355.985 1.905.391 |
266.395 1.818.366 |
| 2.261.376 | 2.084.761 |
When measuring lease payables, the Group discounted the lease payments using the alternative borrowing rate on 1 January 2019. The average lessee's incremental borrowing rate applied to the TL lease liabilities is 28.50%, 22.25% and EUR lease liabilities is 16.07% on 1 January 2019.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Current trade receivables | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Trade receivables | 2.738.473 | 2.258.602 |
| Notes receivables | 916 | 68.175 |
| Trade receivables from related parties (Note 5) | 113 | 86 |
| Income accruals from continuing treatments | 1.001.828 | 817.827 |
| Other trade income accruals | 56.501 | 63.719 |
| Allowance for doubtful receivables (-) | (140.633) | (198.515) |
| 3.657.198 | 3.009.894 | |
| Non-current trade receivables | 31 December 2023 | 31 December 2022 |
| Income accruals | 1.053 | 1.735 |
| 1.053 | 1.735 |
Trade receivables due from the SSI constitute 46% (31 December 2022: 54%) and receivables due from foreign patients constitute 3,8% (31 December 2022: 4.4%) of total trade receivables.
The Group has trade receivables arising from health services given to foreign patients amounting to TL 104,617 as at 31 December 2023. These receivables have a longer maturity and higher profitability compared to other institutions that the Group works such as SSI and private insurance companies. Collections of these receivables are followed up regularly by the Group.
Allowance for doubtful receivables for the trade receivables is determined depending on past experiences of irrecoverable amounts.
As of 31 December 2023, trade receivables of an initial value of TL 140,633 (31 December 2022: TL 198,515) were fully impaired and fully provided for. No collaterals are received in relation to these trade receivables.
| Movement of allowance for doubtful receivables | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Opening balance | 198.515 | 339.165 |
| Charge for the period (Note 21) | 15.528 | 5.554 |
| Collections | (473) | (923) |
| Inflation effect | (72.937) | (133.788) |
| Disposal of subsidiary | -- | (11.493) |
| Ending balance | 140.633 | 198.515 |
The average maturity of trade receivables and notes receivables is 68 days (31 December 2022: 50 days).
Explanations for the nature and level of risks in trade receivables are given in Note 27.
| Current trade payables | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Trade payables | 3.011.369 | 2.818.400 |
| Trade payables due to related parties (Note 5) | 60.032 | 91.882 |
| Other expense accruals | 996.438 | 1.036.038 |
| Other trade payables | 14.382 | 4.862 |
| 4.082.221 | 3.951.182 |
43
The average maturity of trade payables and notes payable is 125 days (31 December 2022: 153 days).
Explanations for the nature and level of risks in trade payables are given in Note 27.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Other current receivables | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Receivables from tax office | 50.757 | 39.796 |
| Non-trading receivables due from related parties (Note 5) | 134.865 | 126.607 |
| Deposits given | 21 | 13.635 |
| Other miscellaneous receivables | 27.338 | 23.658 |
| 212.981 | 203.696 | |
| Other non-current receivables | 31 December 2023 | 31 December 2022 |
| Deposits and guarantess given | 222.539 | 4.050 |
| 222.539 | 4.050 |
| Other current payables | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Other taxes and funds payable | 128.111 | 102.225 |
| Payables relating to business combinations (*) | 48.259 | 77.104 |
| Non-trading payables due to related parties (Note 5) | 61 | 1.296 |
| Other miscellaneous payables | 8.551 | 3.882 |
| 184.982 | 184.507 | |
| Other non-current payables | 31 December 2023 | 31 December 2022 |
| Payables relating to business combinations (*) | 272.231 | 484.576 |
| 272.231 | 484.576 |
(*) 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 and 2022. This liability represents the net present value of forthcoming payments.
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Medical consumables inventory | 864.105 | 891.310 |
| Pharmaceutical inventory | 212.098 | 246.921 |
| Laboratory inventory | -- | 35.374 |
| Other inventories | 393 | 189 |
| 1.076.596 | 1.173.794 |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Short term prepaid expenses | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Advances given | 369.663 | 564.033 |
| Prepaid insurance expenses | 80.132 | 66.522 |
| Prepaid rent expenses | 10.554 | 479 |
| Prepaid sponsorship expenses | 2.242 | 2.984 |
| Other | 29.057 | 30.358 |
| 491.648 | 664.376 | |
| Long term prepaid expenses | 31 December 2023 | 31 December 2022 |
| Fixed asset advances given | 2.317.115 | 1.809.697 |
| Prepaid rent expenses | 55 | 1.040 |
| Other | 5.694 | 7.395 |
| 2.322.864 | 1.818.132 |
(*) 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.
| Short term accrued income | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Advances received (*) | 808.762 | 561.176 |
| Deferred revenue | 48.382 | 76.996 |
| 857.144 | 638.172 |
(*) 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 December 2023 | 31 December 2022 |
|---|---|---|
| Deferred revenue | 33.681 | 113.024 |
| 33.681 | 113.024 |
| S E |
nts |
|---|---|
| RI A |
e m |
| DI | e |
| SI B |
RIES Stat |
| U S |
A al |
| S | UBSIDI ci |
| T D I |
n a |
| N | ND ITS S n |
| A Ş. |
Fi d |
| A. | e A |
| Rİ | at A.Ş. d |
| E | oli Rİ |
| TL E |
s n |
| M Z |
METLE o C |
| Hİ | e |
| K | HİZ h K |
| ĞLI | o t ĞLI |
| A S |
s t A e |
| P L |
MLP S ot |
| M | N |
| (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) 0 2 ME er ATE R 2023 b m AL ST e MBE c e ANCI D CE 31 31 DE N D FI y - ATE RY - ar u OLID A n U a N d 1 J D 1 JA NS O HE C o O eri RI O T HE PE P e OTES T h R T or t O N F f |
3 | |
|---|---|---|
| NTS 2 |
||
| MENT AND OTHER INTANGIBLE ASSETS |
|---|
| PROPERTY, PLANT, EQUIP |
| NOTE 12 - |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Machinery | Furniture | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| and | and | Leased | Leasehold | Construction | |||||
| Land | Buildings | equipments | Vehicles | fixtures | assets | improvements | in progress | Total | |
| Cost | |||||||||
| Opening balance as of 1 January 2023 | -- | 9.665 | 5.254.230 | 15.168 | 1.634.456 | 3.629.476 | 5.218.762 | 133.812 | 15.895.569 |
| Additions | 144.611 | -- | 414.456 | 732 | 284.924 | -- | 356.527 | 70.971 | 1.272.221 |
| Disposals | -- | -- | (30.316) | (36) | (11.330) | (7.881) | (1.481) | (5.626) | (56.670) |
| Transfers | -- | -- | 170.250 | -- | 100.151 | (136.168) | (421) | (133.812) | -- |
| Closing balance as of 31 December 2023 | 144.611 | 9.665 | 5.808.620 | 15.864 | 2.008.201 | 3.485.427 | 5.573.387 | 65.345 | 17.111.120 |
| Accumulated depreciations | |||||||||
| Opening balance as of 1 January 2023 | -- | (3.152) | (4.023.083) | (14.184) | (1.663.882) | (3.328.682) | (3.352.615) | -- | (12.385.598) |
| Charge for the period (*) | -- | (182) | (355.739) | (379) | (131.201) | (83.864) | (334.641) | -- | (906.006) |
| Disposals | -- | -- | 26.761 | 36 | 10.713 | 7.881 | 933 | -- | 46.324 |
| Closing balance as of 31 December 2023 | -- | (3.334) | (4.352.061) | (14.527) | (1.784.370) | (3.404.665) | (3.686.323) | -- | (13.245.280) |
| Carrying value as of 31 December 2023 | 144.611 | 6.331 | 1.456.559 | 1.337 | 223.831 | 80.762 | 1.887.064 | 65.345 | 3.865.840 |
For the period ended 1 January - 31 December 2023, depreciation and amortisation expense amounting to TL 844,070 (1 January - 31 December 2022: TL 783,971) is included in cost of goods sold and TL 127,079 (1 January - 31 December 2022: TL 114,572) is included in marketing and general administrative expenses.
(*)
| Machinery and |
Furniture | Leased | Leasehold | Construction | |||||
|---|---|---|---|---|---|---|---|---|---|
| Land | Buildings | equipments | Vehicles | and fixtures | assets | improvements | in progress | Total | |
| Cost | |||||||||
| Opening balance as of 1 January 2022 | -- | 9.665 | 5.086.100 | 15.374 | 1.514.009 | 3.763.327 | 4.849.850 | 239.732 | 15.478.057 |
| Additions | -- | -- | 173.185 | 486 | 281.526 | -- | 372.215 | 164.943 | 992.355 |
| Disposals | -- | -- | (30.722) | (801) | (68.375) | (102) | (3.394) | (31.131) | (134.525) |
| Disposal of associate | -- | -- | (145.229) | -- | (156.863) | (138.226) | -- | -- | (440.318) |
| Transfers | -- | -- | 130.896 | 109 | 104.159 | 4.477 | 91 | (239.732) | -- |
| Closing balance as of 31 December 2022 | -- | 9.665 | 5.214.230 | 15.168 | 1.674.456 | 3.629.476 | 5.218.762 | 133.812 | 15.895.569 |
| Accumulated depreciations | |||||||||
| Opening balance as of 1 January 2022 | -- | (2.970) | (3.846.544) | (14.571) | (1.631.392) | (3.312.755) | (3.031.809) | -- | (11.840.041) |
| Charge for the period (*) | -- | (182) | (302.093) | (277) | (116.291) | (101.679) | (323.620) | -- | (844.142) |
| Disposals | -- | -- | 17.930 | 664 | 6.012 | 101 | 2.814 | -- | 27.521 |
| Disposal of associate | -- | -- | 107.624 | -- | 77.789 | 85.651 | -- | -- | 271.064 |
| Closing balance as of 31 December 2022 | -- | (3.152) | (4.023.083) | (14.184) | (1.663.882) | (3.328.682) | (3.352.615) | -- | (12.385.598) |
| Carrying value as of 31 December 2022 | -- | 6.513 | 1.191.147 | 984 | 10.574 | 300.794 | 1.866.147 | 133.812 | 3.509.971 |
47
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
FOR THE PERIOD 1 JANUARY
NOTE 12
Cost
Cost
Accumulated amortization
Acquired through business combination (Note 29
Closing balance as of 31 December 202
Accumulated amortization
rate of 63
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
- 31 DECEMBER 2023
- PROPERTY, PLANT, EQUIPMENT AND OTHER INTANGIBLE ASSETS (Continued)
Opening balance as of 1 January 2023 3.677.848 1.122.819 -- 4.800.667 Additions -- 99.424 -- 99.424 Disposals -- (1.477) -- (1.477) Closing balance as of 31 December 2023 3.677.848 1.220.766 -- 4.898.614
Opening balance as of 1 January 2023 -- (854.631) -- (854.631) Charge for the period -- (65.143) -- (65.143) Disposals -- 1.474 -- 1.474 Closing balance as of 31 December 2023 -- (918.300) -- (918.300) Carrying value as of 31 December 2023 3.677.848 302.466 -- 3.980.314
Opening balance as of 1 January 2022 3.634.956 928.464 308 4.563.728 Disposal of associate (560.832) (2.432) -- (563.264) Additions -- 199.442 -- 199.442
Disposals -- (2.655) (308) (2.963)
Opening balance as of 1 January 2022 -- (804.476) (308) (804.784) Disposal of associate -- 1.809 -- 1.809 Charge for the period -- (54.401) -- (54.401) Disposals -- 2.437 308 2.745 Closing balance as of 31 December 2022 -- (854.631) -- (854.631) Carrying value as of 31 December 2022 3.677.848 268.188 -- 3.946.036
reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows
had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10
(*) The projection period for the purposes of impairment testing was taken as 5 years between 202
and existing profitability is estimated to be maintained. Management believes that an
below of calculated fair value of these asset and no provision is needed for impairment
%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five
Licenses
Licenses
(*) Rights Other Total
(*) Rights Other Total
4 -202
1
5% per annum growth rate is
-year period are calculated
1
.
8 and a discount
5% growth rate
% and 1 2%
) 603.724 -- -- 603.724
2 3.677.848 1.122.819 -- 4.800.667
48
NOTE 12 - PROPERTY, PLANT, EQUIPMENT AND OTHER INTANGIBLE ASSETS (Continued)
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements
AND ITS SUBSIDIARIES
for the Period 1 January - 31 December 2023
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
31 DECEMBER 2023
FOR THE PERIOD 1 JANUARY -
for the Period 1 January - 31 December 2023 NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Licenses | ||||
|---|---|---|---|---|
| (*) | Rights | Other | Total | |
| Cost | ||||
| Opening balance as of 1 January 2023 | 3.677.848 | 1.122.819 | -- | 4.800.667 |
| Additions | -- | 99.424 | -- | 99.424 |
| Disposals | -- | (1.477) | -- | (1.477) |
| Closing balance as of 31 December 2023 | 3.677.848 | 1.220.766 | -- | 4.898.614 |
| Accumulated amortization | ||||
| Opening balance as of 1 January 2023 | -- | (854.631) | -- | (854.631) |
| Charge for the period | -- | (65.143) | -- | (65.143) |
| Disposals | -- | 1.474 | -- | 1.474 |
| Closing balance as of 31 December 2023 | -- | (918.300) | -- | (918.300) |
| Carrying value as of 31 December 2023 | 3.677.848 | 302.466 | -- | 3.980.314 |
| Licenses | ||||
| (*) | Rights | Other | Total | |
| Cost | ||||
| Opening balance as of 1 January 2022 | 3.634.956 | 928.464 | 308 | 4.563.728 |
| Disposal of associate | (560.832) | (2.432) | -- | (563.264) |
| Additions | -- | 199.442 | -- | 199.442 |
| Acquired through business combination (Note 29) | 603.724 | -- | -- | 603.724 |
| Disposals | -- | (2.655) | (308) | (2.963) |
| Closing balance as of 31 December 2022 | 3.677.848 | 1.122.819 | -- | 4.800.667 |
| Accumulated amortization | ||||
| Opening balance as of 1 January 2022 | -- | (804.476) | (308) | (804.784) |
| Disposal of associate | -- | 1.809 | -- | 1.809 |
| Charge for the period | -- | (54.401) | -- | (54.401) |
| Disposals | -- | 2.437 | 308 | 2.745 |
| Closing balance as of 31 December 2022 | -- | (854.631) | -- | (854.631) |
| Carrying value as of 31 December 2022 | 3.677.848 | 268.188 | -- | 3.946.036 |
(*) The projection period for the purposes of impairment testing was taken as 5 years between 2024 -2028 and a discount rate of 63%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five-year period are calculated 15% growth rate and existing profitability is estimated to be maintained. Management believes that an 15% per annum growth rate is reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10% and 12% below of calculated fair value of these asset and no provision is needed for impairment.
Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Hospital Buildings | Total | |
|---|---|---|
| Cost | ||
| 1 January 2023 | 4.485.867 | 4.485.867 |
| Additions | 3.326.720 | 3.326.720 |
| Charge of the period | (571.138) | (571.138) |
| 31 December 2023 | 7.241.449 | 7.241.449 |
| Hospital Buildings | Total | |
| Cost | ||
| 1 January 2022 | 2.962.399 | 2.962.399 |
| Additions | 1.978.900 | 1.978.900 |
| Charge of the period | (363.181) | (363.181) |
| Disposal of associate | (92.251) | (92.251) |
(*) For the period ended 31 December 2023, depreciation and amortisation expenses of right-of-use assets amounting to TL 560,517 (1 January-31 December 2022: TL 356,427) is included in cost of sales and TL 10,621 (1 January-31 December 2022: TL 6,754) is included in marketing and general administrative expenses.
| Date of | |||
|---|---|---|---|
| acquisition | 31 December 2023 | 31 December 2022 | |
| Saray Hospital | 2005 | 298.616 | 298.616 |
| Yükseliş Hospital | 2006 | 154.414 | 154.414 |
| Elazığ Hospital | 2007 | 46.046 | 46.046 |
| Tokat Hospital | 2007 | 10.841 | 10.841 |
| Acarkent Hospital | 2011 | 2.362 | 2.362 |
| 512.279 | 512.279 |
The Group Management regards each hospital as a single cash generating unit for the purpose of determining fair value less costs of disposal for impairment testing. In assessing value in use, the estimated future cash flows, which are based on financial budgets approved by the directors covering a five year period, are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset for which the estimates of future cash flows have not been adjusted. Fair value calculations include TRY based after-tax cash flow projections based on financial budgets approved by Group Management covering five-year period. Estimated cash flows beyond the five-year period are calculated by taking into account of the growth rates that stated below on a hospital basis and it is foreseen that the current profitability structure will be preserved. During the financial year, the Group assessed the recoverable amount of goodwill, and determined that there was no impairment.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The key assumptions used in the value in use calculations for above hospitals are as follows;
The projection period for the purposes of impairment testing was taken as 5 years between 2024-2028 and a discount rate of 63%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five-year period are calculated 15% growth rate and existing profitability is estimated to be maintained. Management believes that an 15% per annum growth rate is reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10% and 12% below of calculated fair value of these asset and no provision is needed for impairment.
The projection period for the purposes of impairment testing was taken as 5 years between 2024-2028 and a discount rate of 63%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five-year period are calculated 15% growth rate and existing profitability is estimated to be maintained. Management believes that an 15% per annum growth rate is reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10% and 12% below of calculated fair value of these asset and no provision is needed for impairment.
The projection period for the purposes of impairment testing was taken as 5 years between 2024-2028 and a discount rate of 63%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five-year period are calculated 15% growth rate and existing profitability is estimated to be maintained. Management believes that an 15% per annum growth rate is reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10% and 12% below of calculated fair value of these asset and no provision is needed for impairment.
The projection period for the purposes of impairment testing was taken as 5 years between 2024-2028 and a discount rate of 63%, 43%, 30%, 25%, 25%. Estimated cash flows beyond the five-year period are calculated 15% growth rate and existing profitability is estimated to be maintained. Management believes that an 15% per annum growth rate is reasonable since there will be no capacity increase over the projection period and this growth rate is considered to be mostly inflationary. Management believes that any reasonably possible change in the key assumptions on which recoverable amount is based would not cause the carrying amount of the hospitals to exceed its recoverable amount. If the estimated discount rate and growth rate in original assumption, used for the calculation of discounted cash flows had been 1% higher/lower than the management's estimate, fair value of hospital licences is respectively 10% and 12% below of calculated fair value of these asset and no provision is needed for impairment.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Payables for employment benefits:
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Fees payable to doctors and other personnel | 206.356 | 183.368 |
| Social security premiums payable | 139.539 | 89.310 |
| 345.895 | 272.678 |
Short-term provision for employment benefits:
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Unused vacation provision | 78.409 | 56.715 |
| 78.409 | 56.715 |
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Unused vacation provision | 51.080 | 33.357 |
| Retirement pay provision | 61.743 | 67.850 |
| 112.823 | 101.207 |
Provision for employment termination benefits:
Under Turkish Labor Law, the Group is required to pay termination benefits to each employee who has completed 25 years of service and whose employment is terminated without due cause, is called up for military service, dies or achieves the retirement age (58 for women and 60 for men).
The amount payable consists of one month's salary limited to a maximum of TL 35,058.58 for each period of service as of 31 December 2023 (2022: TL 15,371.40)
The liability is not funded, as there is no funding requirement. The provision has been calculated by estimating the present value of the future probable obligation of the Company arising from the retirement of employees. TAS 19 requires actuarial valuation methods to be developed to estimate the entity's obligation under defined benefit plans. Accordingly, the following actuarial assumptions were used in the calculation of the total liability:
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The principal assumption is that the maximum liability for each year of service will increase in line with inflation. Thus, the discount rate applied represents the expected real rate after adjusting for the anticipated effects of future inflation. Consequently, in the accompanying financial statements as at 31 December 2023, the provision has been calculated by estimating the present value of the future probable obligation of the Company arising from the retirement of the employees. The provisions at the respective balance sheet dates have been calculated assuming an annual salary inflation rate of 13% and a discount rate of 22,68%, resulting in a real discount rate of approximately 8.57% (31 December 2022: 8.57%). The employment termination benefit that will not be paid and that will stay on the Company for those employees who leave voluntarily is estimated to be 10% (2022: 10%). The basis considered in calculating the provisions is the amount of maximum liability of TL 35,058.58 which became effective as of 1 January 2024 (1 January 2023: TL 19,982.83).
Movement of provision for employment termination benefit as of 31 December 2023 and 2022 is as follows:
| Movement of retirement pay provision: | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Opening balance | 67.850 | 67.208 |
| Actuarial (gain)/loss | (78.959) | 24.575 |
| Service cost | 6.078 | 21.328 |
| Interest cost | 6.652 | 6.344 |
| Termination benefits paid | (77.500) | (26.311) |
| Inflation effect | 137.622 | (20.095) |
| Disposal of associate | -- | (5.199) |
| Closing balance | 61.743 | 67.850 |
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| VAT carried forward | 197.545 | 232.509 |
| Other miscellaneous current assets | 11.204 | 65.422 |
| 208.749 | 297.931 |
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Litigation provisions | 30.587 | 50.257 |
| Social Security discounts provisions | 16.470 | 17.738 |
| 47.057 | 67.995 |
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
NOTE 18 - COMMITMENTS (Continued)
A.CPM given on behalf of its own legal entity
B. CPM given on behalf of the subsidiaries included in full
C. CPM given for execution of ordinary commercial activities to
ii. Total amount of CPM given on behalf of other Company
suppliers in order to participate in government tenders.
iii. Total amount of CPM on behalf of third parties that do not cover
31 December 2022
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
consolidation (*) -- -- -- -- - Collateral 113.162 113.162 -- -- - Pledge -- -- -- -- - Mortgage -- -- -- --
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 -- -- -- --
companies that do not cover B and C -- -- -- -- - Collateral -- -- -- -- - Pledge -- -- -- -- - Mortgage -- -- -- --
C -- -- -- -- - Collateral -- -- -- -- - Pledge -- -- -- -- - Mortgage -- -- -- -- Total 677.773 668.039 156 150
(*) The Group has given guarantees amounting to TL 61.727 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
Total TRY
Equivalent TL USD EUR
54
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
Movement of provision for litigation as of 31 December 2023 and 2022 is as follows:
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Movement of litigation provision: | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Opening balances | 50.257 | 69.062 |
| Charge for the period (Note 21) | 40.213 | 45.568 |
| Payment regarding cases | (40.126) | (33.833) |
| Inflation effect | (19.757) | (27.020) |
| Disposal of associate | -- | (3.520) |
| Closing balance | 30.587 | 50.257 |
| Total TRY | ||||
|---|---|---|---|---|
| 31 December 2023 | Equivalent | TL | USD | EUR |
| A.CPM given on behalf of its own legal entity | ||||
| - Collateral | 538.904 | 431.472 | 156 | 3.157 |
| - Pledge | -- | -- | -- | -- |
| - Mortgage | -- | -- | -- | -- |
| B. CPM given on behalf of the subsidiaries included in full | ||||
| consolidation (*) | -- | -- | -- | -- |
| - Collateral | 143.042 | 143.042 | -- | -- |
| - 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 | 681.946 | 574.514 | 156 | 3.157 |
(*) The Group has given guarantees amounting to TL 83,206 related to the loans in Note 5 for the companies under full consolidation.
Commitments mostly comprise guarantee letters obtained from banks to be able to participate in state tenders, courts and to be given to suppliers.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Total TRY | ||||
|---|---|---|---|---|
| 31 December 2022 | Equivalent | TL | USD | EUR |
| A.CPM given on behalf of its own legal entity | ||||
| - Collateral | 564.611 | 554.877 | 156 | 150 |
| - Pledge | -- | -- | -- | -- |
| - Mortgage | -- | -- | -- | -- |
| B. CPM given on behalf of the subsidiaries included in full | ||||
| consolidation (*) | -- | -- | -- | -- |
| - Collateral | 113.162 | 113.162 | -- | -- |
| - 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 | 677.773 | 668.039 | 156 | 150 |
(*) The Group has given guarantees amounting to TL 61.727 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 in order to participate in government tenders.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
NOTE 19 - SHARE CAPITAL / OTHER RESERVES (Continued)
report date, there are no treasury shares that have been sold.
NOTE 20 - REVENUE AND COST OF SERVICES
(*) Hospital services includes foreign medical revenue and other income.
Additional Information for Capital, Legal Reserves and Other Equity Items
Reserves:
Legal reserves
distributions. Treasury shares
accounting are as follows:
31 December 2023
Restricted Reserves
Revenue
Cost of services
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
Legal reserves 3.738 2.798 Restricted reserves appropriated from profit 61.773 61.773
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
Treasury share procedures have been initiated and pursuant to the decision of the Board of Directors of the Company on 19 December 2023 for Company to continue to the share buyback program. Within the scope of the decision, the shares with a nominal value of TL 17,025, corresponding to 8.18% of the Company's capital, has been bought back at the amount of TL 1,275,247 including transaction costs as of 31 December 2023. As of the
A comparison of the Group's equity items restated for inflation in the consolidated financial statements as of 31 December 2023 and the restated amounts in the financial statements prepared in accordance with statutory
Share Capital Adjustment Differences 3.489.772 2.129.483 1.360.289 Share premium 4.941.840 2.645.882 2.295.958
Appropriated from Profit 87.432 65.511 21.921
Hospital services (*) 22.449.345 18.902.871
Doctor expenses (5.276.758) (4.017.817) Personnel expenses (3.441.131) (2.441.315) Material consumption (3.098.306) (3.386.621) Depreciation and amortization expenses (Note 12,13) (1.404.587) (1.130.181) Services rendered by third parties (1.267.128) (1.251.379) Rent expenses (138.784) (200.421) Other (*) (1.392.268) (1.587.801)
Inflation adjusted amounts in the financial statements prepared in accordance with statutory accounting
31 December 2023 31 December 2022
Inflation adjusted amounts in the financial statements prepared in accordance with TAS/TFRS
1 January-31 December 2023
1 January-31 December 2023
Differences recognized in retained earnings
1 January-31 December 2022
1 January-31 December 2022
22.449.345 18.902.871
(16.018.962) (14.015.535)
65.511 64.571
56
(*) Other expenses mainly comprise expenses incurred for electricity, water and natural gas.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 31 December | 31 December | |||
|---|---|---|---|---|
| Shareholders | % | 2023 | % | 2022 |
| Lightyear Healthcare B.V. | 34,67% | 72.131 | 34,67% | 72.131 |
| Sancak İnşaat Turizm Nakliyat ve Dış Tic.A.Ş. | 15,35% | 31.943 | 15,35% | 31.943 |
| Muharrem Usta | 8,98% | 18.678 | 8,98% | 18.678 |
| Adem Elbaşı | 2,99% | 6.226 | 2,99% | 6.226 |
| İzzet Usta | 1,20% | 2.490 | 1,20% | 2.490 |
| Saliha Usta | 0,90% | 1.868 | 0,90% | 1.868 |
| Nurgül Dürüstkan Elbaşı | 0,90% | 1.868 | 0,90% | 1.868 |
| Publicly Traded (**) | 35,01% | 72.833 | 35,01% | 72.833 |
| 100% | 208.037 | 100% | 208.037 | |
| Capital adjustment differences | 2.129.483 | 2.129.483 | ||
| Share capital | 2.337.520 | 2.337.520 |
(*) As of 9 March 2023, the title of Sancak İnşaat Turizm Nakliyat ve Dış Ticaret A.Ş. has been registered as "Sancak Yatırım İç ve Dış Ticaret Anonim Şirketi."
(**) The shareholders of the Company purchased 6,827 thousand shares from the publicly traded portion of the capital. Distribution of the shares purchased is as follows; 3,224 thousand shares representing 4.43% of the publicly traded portion were purchased by Lightyear ("Lightyear Healthcare B.V." and "Hujori Financieringen B.V."), 1,613 thousand shares representing 2.21% of the publicly traded portion of the capital were purchased by Sancak Yatırım, 943 thousand shares representing 1.29% of the publicly traded portion of the capital were purchased by Muharrem Usta, 418 thousand shares representing 0.57% of the publicly traded portion of the capital were purchased by Hujori, 314 thousand shares representing 0.43% of the publicly traded portion of the capital were purchased by Adem Elbaşı and lastly other shareholders purchased 314 shares representing 0.43% of the publicly traded portion. 1,613 thousand shares purchased by Sancak Yatırım from the publicly traded portion were sold on 24 September 2018. 126 thousand shares purchased by İzzet Usta and 18 thousand shares purchased by Adem Elbaşı from the publicly traded portion were sold.
As of 31 December 2023, the total number of ordinary shares is 208,037 thousand shares (2022: 208,037 thousand shares) with a par value of TL 1 per share (2022: TL 1 per share).
The share capital is divided into 208,037 thousand shares (31 December 2022: 208,037 thousand shares), with 88,229 thousand A type shares and 119,808 thousand B type shares.
In accordance with the Principle Decision No. 21/655 dated 23 July 2010, as amended by the CMB's Principle Decision No. 31/1059 dated 30 October 2014, it is regarded that 33.16% of the shares are in circulaton in accordance with CSD as of 31 December 2022 (Note 1). Shares in circulation rate is 33.16% as of 1 January 2024.
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Share premium | 2.645.882 | 2.645.882 |
| 2.645.882 | 2.645.882 |
On 7 February 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, TL 600,000 was generated to the Group. After the IPO related expenses amounting to TL 12,259 that were deducted from proceeds, out of amounting TL 587,741, share capital increase was made with the amount of TL 31,579 and the remaining amount was used in the share premium increase by TL 556,162. Share premiums represents the difference between the nominal amount and the sales amount of the publicly offered shares.
55
The related amount became 2,645,882 TL after applying inflation accounting.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Reserves:
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Legal reserves | 3.738 | 2.798 |
| Restricted reserves appropriated from profit | 61.773 | 61.773 |
| 65.511 | 64.571 |
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.
Treasury share procedures have been initiated and pursuant to the decision of the Board of Directors of the Company on 19 December 2023 for Company to continue to the share buyback program. Within the scope of the decision, the shares with a nominal value of TL 17,025, corresponding to 8.18% of the Company's capital, has been bought back at the amount of TL 1,275,247 including transaction costs as of 31 December 2023. As of the report date, there are no treasury shares that have been sold.
A comparison of the Group's equity items restated for inflation in the consolidated financial statements as of 31 December 2023 and the restated amounts in the financial statements prepared in accordance with statutory accounting are as follows:
| 31 December 2023 | Inflation adjusted amounts in the financial statements prepared in accordance with statutory accounting |
Inflation adjusted amounts in the financial statements prepared in accordance with TAS/TFRS |
Differences recognized in retained earnings |
|---|---|---|---|
| Share Capital Adjustment Differences | 3.489.772 | 2.129.483 | 1.360.289 |
| Share premium | 4.941.840 | 2.645.882 | 2.295.958 |
| Restricted Reserves | |||
| Appropriated from Profit | 87.432 | 65.511 | 21.921 |
| Revenue | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Hospital services (*) | 22.449.345 | 18.902.871 |
| 22.449.345 | 18.902.871 |
(*) Hospital services includes foreign medical revenue and other income.
| Cost of services | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Doctor expenses | (5.276.758) | (4.017.817) |
| Personnel expenses | (3.441.131) | (2.441.315) |
| Material consumption | (3.098.306) | (3.386.621) |
| Depreciation and amortization expenses (Note 12,13) | (1.404.587) | (1.130.181) |
| Services rendered by third parties | (1.267.128) | (1.251.379) |
| Rent expenses | (138.784) | (200.421) |
| Other (*) | (1.392.268) | (1.587.801) |
| (16.018.962) | (14.015.535) |
56
(*) Other expenses mainly comprise expenses incurred for electricity, water and natural gas.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
NOTE 23 - INCOME AND EXPENSES FROM INVESTING ACTIVITIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Other expenses from operating activities
Income from investment activities
Expenses from investment activities
NOTE 24 - FINANCE EXPENSES
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 22 - OTHER INCOME AND EXPENSES FROM OPERATING ACTIVITIES (Continued)
Foreign exchange losses from operations (344.064) (490.441) Trade receivables discount (85.964) (4.617) Non-operational hospital expenses (56.369) (35.317) SSI return expenses (29.118) (67.714) Other expenses (307.431) (342.522)
Exchange rate-protected time deposits 70.904 43.111 Income from sale in shares of associates -- 867.294 Income from business combinations -- 50.162 Gain on sale of fixed assets 7.225 39.372
Loss on sale of fixed assets (10.723) (176.699)
Interest expenses from bonds issued (714.561) (249.396) Interest expenses from lease liabilities (*) (588.392) (395.148) Bank commissions (223.903) (117.046) Interest expenses from bank borrowings (175.929) (393.310) Other interest expenses (146.637) (97.465) Interest expenses from financial lease obligations (17.707) (30.603) Total interest expenses (1.867.129) (1.282.968) Interest expenses from lease liabilities (*) (73.806) (53.431) Net foreign exchange loss (Note 7) (16.168) (61.387) Total financial expenses (1.957.103) (1.397.786) Interest income 243.890 156.440 Finance expenses, net (1.713.213) (1.241.346)
1 January-31 December 2023
1 January-31 December 2023
1 January-31 December 2023
1 January-31 December 2023
1 January-31 December 2022
1 January-31 December 2022
1 January-31 December 2022
1 January-31 December 2022
(822.946) (940.611)
78.129 999.939
(10.723) (176.699)
58
(*) Consists of interest expense and foreign exchange loss related to the lease liabilities under TFRS 16.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 1 January-31 | 1 January-31 | |
|---|---|---|
| General administrative expenses | December 2023 | December 2022 |
| Personnel expenses | (940.846) | (650.566) |
| Sponsorship and advertising expenses (*) | (818.602) | (817.924) |
| Depreciation and amortization expenses (Note 12,13) | (137.700) | (131.543) |
| Outsourcing expenses | (73.830) | (86.212) |
| Lawsuit provision (Note 17) | (40.213) | (45.568) |
| Rent expenses | (31.410) | (26.331) |
| Communication expenses | (17.489) | (26.625) |
| Bad debt allowance (Note 8) | (15.528) | (5.554) |
| Maintenance expenses | (7.944) | (11.981) |
| Taxes and duties | (6.824) | (7.697) |
| Service expenses | (4.319) | (6.057) |
| Representation and entertainment expenses | (2.196) | (5.241) |
| Other | (92.040) | (48.152) |
| (2.096.901) | (1.821.299) |
(*) Sponsorship and advertising expenses includes marketing expenses related to the income of domestic and foreign medical tourism.
The Group's explanation regarding the fees for the services rendered by the independent audit firms, which is based on the POA's letter dated 19 August 2021, the preparation principles of which are based on the Board Decision published in the Official Gazette on 30 March 2021 are as follows:
| 2023(*) | 2022(*) | |
|---|---|---|
| The independent audit fee for the reporting period | 2.479 | 1.974 |
| Fees for tax advisory services | -- | -- |
| Fee for other assurance services | 145 | 172 |
| Fees for services other than independent audit | -- | -- |
| 2.624 | 2.146 |
(*) The fees above have been determined by including the statutory audit and other related service fees for all subsidiaries and joint ventures.
| Other income from operating activities | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Foreign exchange gains from operations | 647.147 | 724.232 |
| Trade payables discount | 169.172 | 111 |
| Other income | 136.870 | 173.531 |
| 953.189 | 897.874 |
(10.723) (176.699)
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 1 January-31 | 1 January-31 | |
|---|---|---|
| Other expenses from operating activities | December 2023 | December 2022 |
| Foreign exchange losses from operations | (344.064) | (490.441) |
| Trade receivables discount | (85.964) | (4.617) |
| Non-operational hospital expenses | (56.369) | (35.317) |
| SSI return expenses | (29.118) | (67.714) |
| Other expenses | (307.431) | (342.522) |
| (822.946) | (940.611) |
| Income from investment activities | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Exchange rate-protected time deposits | 70.904 | 43.111 |
| Income from sale in shares of associates | -- | 867.294 |
| Income from business combinations | -- | 50.162 |
| Gain on sale of fixed assets | 7.225 | 39.372 |
| 78.129 | 999.939 | |
| 1 January-31 | 1 January-31 | |
| Expenses from investment activities | December 2023 | December 2022 |
Loss on sale of fixed assets (10.723) (176.699)
| 1 January-31 December 2023 |
1 January-31 December 2022 |
|
|---|---|---|
| Interest expenses from bonds issued | (714.561) | (249.396) |
| Interest expenses from lease liabilities (*) | (588.392) | (395.148) |
| Bank commissions | (223.903) | (117.046) |
| Interest expenses from bank borrowings | (175.929) | (393.310) |
| Other interest expenses | (146.637) | (97.465) |
| Interest expenses from financial lease obligations | (17.707) | (30.603) |
| Total interest expenses | (1.867.129) | (1.282.968) |
| Interest expenses from lease liabilities (*) | (73.806) | (53.431) |
| Net foreign exchange loss (Note 7) | (16.168) | (61.387) |
| Total financial expenses | (1.957.103) | (1.397.786) |
| Interest income | 243.890 | 156.440 |
| Finance expenses, net | (1.713.213) | (1.241.346) |
58
(*) Consists of interest expense and foreign exchange loss related to the lease liabilities under TFRS 16.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Corporate Tax
state.
Deferred Tax
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
have been separately calculated for all companies included in the consolidation scope.
investment deductions if preferred), calculated on the remaining basis.
installment by the end of the same month.
within five years, and tax calculations can be revised.
time effect, to the extent it is considered recoverable.
submitted from that date, will be applied at 25% (December 31, 2022: 23%).
NOTE 25 - INCOME TAXES (INCLUDING DEFERRED TAX ASSETS AND LIABILITIES) (Continued)
The Group is subject to corporate tax applicable in Turkey. Estimated tax liabilities related to the current period's operating results have been provided for in the attached financial statements. Turkish tax legislation does not allow the parent company, which consolidates subsidiary financial statements, to submit tax returns based on consolidated financial statements. Therefore, the tax liabilities reflected in these consolidated financial statements
Corporate income tax to be accrued on taxable corporate income is calculated based on the difference between deductible expenses in determining commercial profits and additions for non-deductible expenses, as well as deductions for tax-exempt gains, non-taxable income, and other deductions (such as previous year losses and
In Turkey, the general corporate tax rate is 25%. However, according to Law No. 7316 published in the Official Gazette dated April 22, 2021, which makes amendments to the Law on the Procedure for the Collection of Public Receivables and Some Other Laws, as of July 1, 2023, the rate for corporate profits for the 2023 tax period, to be
The corporate tax rate is applied to the net corporate income determined by adding non-deductible expenses according to tax laws and deducting exemptions and deductions provided for in tax laws. Corporate tax is declared by the twenty-fifth evening of the fourth month following the end of the relevant year and is paid in a single
Companies calculate provisional tax at a rate of 25% on their quarterly financial profits and declare and pay it by the fourteenth day of the second month following that period, until the seventeenth evening. The provisional tax paid during the year is offset against the corporate tax to be calculated for the year to be filed, and if there is any remaining amount after offsetting, it can be refunded in cash or offset against any other financial liability to the
According to the Corporate Tax Law, declared financial losses shown on the tax return can be deducted from the corporate tax base for up to five years. Declarations and related accounting records can be audited by the tax office
The Group accounts for deferred tax assets and liabilities arising from temporary timing differences resulting from differences between tax-based statutory financial statements and financial statements prepared in accordance with IFRS. These differences typically stem from certain income and expense items appearing in different periods in tax-based financial statements compared to those prepared under IFRS, and are detailed below. The tax rate used in calculating deferred tax assets and liabilities is 25% based on temporary timing differences expected to reverse in 2023 (2022: 23%), and 25% based on temporary timing differences expected to reverse after 2023 (2022: 23%). Due to the inability of businesses in Turkey to declare consolidated tax refunds, deferred tax assets of subsidiaries
The Group has revalued its properties and their related depreciations as of December 31, 2023, in accordance with the General Communiqué on Tax Procedure Law (Serial No: 530) issued by the Ministry of Treasury and Finance. However, it continues to account for them using the cost method in its IFRS financial statements. The Group has calculated the deferred tax asset/liability based on the temporary difference between the Tax Procedure Law (VUK) and IFRS financial statements using the updated VUK values resulting from revaluation, and has recognized the deferred tax income of 217,487 TL resulting from this practice in the income statement as a one-
are not offset against deferred tax liabilities of subsidiaries and are shown separately.
60
for the Period 1 January - 31 December 2023 NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Short term payables due to current tax | 31 December 2023 | 31 December 2022 | |
|---|---|---|---|
| Current period tax liabilities | 228.825 | 84.158 | |
| 228.825 | 84.158 | ||
| Current tax liabilities | 31 December 2023 | 31 December 2022 | |
| Current corporate tax provision | 537.422 | 101.578 | |
| Less: Prepaid taxes and funds | (308.597) | (17.420) | |
| 228.825 | 84.158 | ||
| 1 January-31 | 1 January-31 | ||
| Tax income/(expense) | December 2023 | December 2022 | |
| Current tax expense | (534.583) | (106.007) | |
| Deferred tax expense | (542.425) | 216.887 | |
| (1.077.008) | 110.880 | ||
| 1 January-31 December 2023 | Before tax amount | Tax benefit | Net of tax amount |
| Actuarial gains/(loss) | (78.959) | 19.740 | (59.219) |
| Other comprehensive income | (78.959) | 19.740 | (59.219) |
| 1 January-31 December 2022 | Before tax amount | Tax benefit | Net of tax amount |
| Actuarial gains/(loss) | 24.575 | (6.144) | 18.431 |
| Other comprehensive income | 24.575 | (6.144) | 18.431 |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The Group is subject to corporate tax applicable in Turkey. Estimated tax liabilities related to the current period's operating results have been provided for in the attached financial statements. Turkish tax legislation does not allow the parent company, which consolidates subsidiary financial statements, to submit tax returns based on consolidated financial statements. Therefore, the tax liabilities reflected in these consolidated financial statements have been separately calculated for all companies included in the consolidation scope.
Corporate income tax to be accrued on taxable corporate income is calculated based on the difference between deductible expenses in determining commercial profits and additions for non-deductible expenses, as well as deductions for tax-exempt gains, non-taxable income, and other deductions (such as previous year losses and investment deductions if preferred), calculated on the remaining basis.
In Turkey, the general corporate tax rate is 25%. However, according to Law No. 7316 published in the Official Gazette dated April 22, 2021, which makes amendments to the Law on the Procedure for the Collection of Public Receivables and Some Other Laws, as of July 1, 2023, the rate for corporate profits for the 2023 tax period, to be submitted from that date, will be applied at 25% (December 31, 2022: 23%).
The corporate tax rate is applied to the net corporate income determined by adding non-deductible expenses according to tax laws and deducting exemptions and deductions provided for in tax laws. Corporate tax is declared by the twenty-fifth evening of the fourth month following the end of the relevant year and is paid in a single installment by the end of the same month.
Companies calculate provisional tax at a rate of 25% on their quarterly financial profits and declare and pay it by the fourteenth day of the second month following that period, until the seventeenth evening. The provisional tax paid during the year is offset against the corporate tax to be calculated for the year to be filed, and if there is any remaining amount after offsetting, it can be refunded in cash or offset against any other financial liability to the state.
According to the Corporate Tax Law, declared financial losses shown on the tax return can be deducted from the corporate tax base for up to five years. Declarations and related accounting records can be audited by the tax office within five years, and tax calculations can be revised.
The Group accounts for deferred tax assets and liabilities arising from temporary timing differences resulting from differences between tax-based statutory financial statements and financial statements prepared in accordance with IFRS. These differences typically stem from certain income and expense items appearing in different periods in tax-based financial statements compared to those prepared under IFRS, and are detailed below. The tax rate used in calculating deferred tax assets and liabilities is 25% based on temporary timing differences expected to reverse in 2023 (2022: 23%), and 25% based on temporary timing differences expected to reverse after 2023 (2022: 23%). Due to the inability of businesses in Turkey to declare consolidated tax refunds, deferred tax assets of subsidiaries are not offset against deferred tax liabilities of subsidiaries and are shown separately.
The Group has revalued its properties and their related depreciations as of December 31, 2023, in accordance with the General Communiqué on Tax Procedure Law (Serial No: 530) issued by the Ministry of Treasury and Finance. However, it continues to account for them using the cost method in its IFRS financial statements. The Group has calculated the deferred tax asset/liability based on the temporary difference between the Tax Procedure Law (VUK) and IFRS financial statements using the updated VUK values resulting from revaluation, and has recognized the deferred tax income of 217,487 TL resulting from this practice in the income statement as a onetime effect, to the extent it is considered recoverable.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Expiration schedule of carryforward tax losses
follows:
Deferred tax (assets)/liabilities
Reconcilation of tax provision:
Effect on revaluation of immovables and other economic
consolidated statement of profit or loss.
Tax effects of:
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 25 - INCOME TAXES (INCLUDING DEFERRED TAX ASSETS AND LIABILITIES) (Continued)
Expiring in 2023 12.257 -- Expiring in 2024 4.379 -- Expiring in 2025 14.375 -- Expiring in 2026 9.320 -- Expiring in 2027 19.571 --
Movement of deferred tax (assets)/liabilities for the period ended 1 January - 31 December 2023 and 2022 are as
Opening balance as of January 1 (394.567) (299.493) Charged to profit or loss (542.425) 216.887 Effect of inflation (457.866) (318.105) Charged to equity (19.740) 6.144
Loss Before Tax 5.824.940 4.780.562 Tax at the domestic income tax rate of %25 (2022: %23) (1.456.235) (1.099.529)
Expenses that are not deductible in determining taxable profit (175.884) (76.117) Effect of tax advantage from investment incentive 266.296 196.683 Change in income tax rate from % 23 to %25 70.813 (394) Discounts and exemptions 206.934 193.864
assets subject to depreciation (*) 217.487 514.030 Other (**) (206.419) 382.343 Income tax income recognised in profit/(loss) (1.077.008) 110.880
(*) With Article 11 of the Law No. 7326 published in the Official Gazette on 9 June 2021, the opportunity to revalue the immovables and depreciable economic assets in the legal financial statements on the effective date of the law was introduced. The included assets will be subject to depreciation over the amount they are revalued with the D-PPI ("domestic producer price index"), and a 2% tax will be paid on the resulting value increase. Within the scope of the aforementioned law amendment, deferred tax asset has been calculated in the statement of financial position based on the revaluation records for fixed assets in the legal book, and the deferred tax income related to this asset has been recorded in the
The reconciliation of the current tax expense and net income for the period is as follows:
31 December 2022
1 January-31 December 2023
1 January-31 December 2023
Losses carried forward for which deferred tax assests not recognized
1 January-31 December 2022
1 January-31 December 2022
59.902 --
(1.414.598) (394.567)
Losses carried forward for which deferred tax assets recognized
62
(**) It is due to the additional tax payable amounting to TL 136,620 in accordance with the Law No. 7440 on the "Restructuring of Certain Receivables and Amending Certain Laws" published in the Official Gazette on 12 March 2023.
The Group holds various investment incentive certificates signed by the Ministry of Economy of the Republic of Turkey and approved by the Directorate General of Incentive Implementation and Foreign Capital. With these incentive certificates, the Group is entitled to a corporate tax reduction rate ranging from 40% to 80% with unlimited duration, corresponding to a total deferred tax asset of 266,296 TL (December 31, 2022: 193,864 TL). The relevant deferred tax assets are calculated as 15% to 40% of the total incentive contribution amount arising from the respective investment incentive certificates. Additionally, the Group has qualified for employer's share of social security premium support from the Ministry of Economy of the Republic of Turkey for hospitals that have completed investments from scratch.
As of December 31, 2023, the Group has accumulated tax losses amounting to 70,400 TL (December 31, 2022: 59,902 TL). A deferred tax asset of 17,600 TL related to these losses has been recognized (December 31, 2022: a deferred tax asset of 22,701 TL has been recognized).
| Deferred tax assets/(liabilities): | 31 December 2023 | 31 December 2022 |
|---|---|---|
| Tax losses carried forward | 17.600 | 22.701 |
| Depreciation differences of tangible and intangible assets | (963.136) | (671.198) |
| Provision for employment termination benefits | 21.851 | 36.538 |
| Vacation pay liability | 32.372 | 18.015 |
| Temporary difference between the tax base and | ||
| carrying amount of financial liabilities | (3.981) | (6.082) |
| Prepaid building expenses | 186 | (260) |
| Tax advantage from investment incentive | 632.806 | 603.910 |
| Right of use asset | (1.245.016) | (480.221) |
| Other | 92.720 | 82.030 |
| (1.414.598) | (394.567) | |
| Deferred tax asset | 1.809.220 | 1.373.437 |
| Deferred tax liability | (3.223.818) | (1.768.004) |
| (1.414.598) | (394.567) |
The years in which the right to utilize the deferred tax asset created from the accumulated tax losses will expire are as follows:
| 31 December 2023 | ||
|---|---|---|
| Losses carried | Losses carried | |
| forward for which | forward for which | |
| deferred tax assets | deferred tax assests | |
| Expiration schedule of carryforward tax losses | recognized | not recognized |
| Expiring in 2024 | 3.654 | -- |
| Expiring in 2025 | 12.113 | -- |
| Expiring in 2026 | 7.182 | -- |
| Expiring in 2027 | 12.421 | -- |
| Expiring in 2028 | 35.030 | -- |
| 70.400 | -- |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 31 December 2022 | ||
|---|---|---|
| Losses carried | Losses carried | |
| forward for which | forward for which | |
| deferred tax assets | deferred tax assests | |
| Expiration schedule of carryforward tax losses | recognized | not recognized |
| Expiring in 2023 | 12.257 | -- |
| Expiring in 2024 | 4.379 | -- |
| Expiring in 2025 | 14.375 | -- |
| Expiring in 2026 | 9.320 | -- |
| Expiring in 2027 | 19.571 | -- |
| 59.902 | -- |
Movement of deferred tax (assets)/liabilities for the period ended 1 January - 31 December 2023 and 2022 are as follows:
| 1 January-31 | 1 January-31 | |
|---|---|---|
| Deferred tax (assets)/liabilities | December 2023 | December 2022 |
| Opening balance as of January 1 | (394.567) | (299.493) |
| Charged to profit or loss | (542.425) | 216.887 |
| Effect of inflation | (457.866) | (318.105) |
| Charged to equity | (19.740) | 6.144 |
| (1.414.598) | (394.567) |
The reconciliation of the current tax expense and net income for the period is as follows:
| Reconcilation of tax provision: | 1 January-31 December 2023 |
1 January-31 December 2022 |
|---|---|---|
| Loss Before Tax | 5.824.940 | 4.780.562 |
| Tax at the domestic income tax rate of %25 (2022: %23) | (1.456.235) | (1.099.529) |
| Tax effects of: Expenses that are not deductible in determining taxable profit Effect of tax advantage from investment incentive Change in income tax rate from % 23 to %25 Discounts and exemptions Effect on revaluation of immovables and other economic assets subject to depreciation () Other (*) |
(175.884) 266.296 70.813 206.934 217.487 (206.419) |
(76.117) 196.683 (394) 193.864 514.030 382.343 |
| Income tax income recognised in profit/(loss) | (1.077.008) | 110.880 |
(*) With Article 11 of the Law No. 7326 published in the Official Gazette on 9 June 2021, the opportunity to revalue the immovables and depreciable economic assets in the legal financial statements on the effective date of the law was introduced. The included assets will be subject to depreciation over the amount they are revalued with the D-PPI ("domestic producer price index"), and a 2% tax will be paid on the resulting value increase. Within the scope of the aforementioned law amendment, deferred tax asset has been calculated in the statement of financial position based on the revaluation records for fixed assets in the legal book, and the deferred tax income related to this asset has been recorded in the consolidated statement of profit or loss.
(**) It is due to the additional tax payable amounting to TL 136,620 in accordance with the Law No. 7440 on the "Restructuring of Certain Receivables and Amending Certain Laws" published in the Official Gazette on 12 March 2023.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Financial Risk Factors
Credit risk management
effects on the financial performance of the Group.
risks of the counterparties and categorized the related parties.
The Group's current credit risk rating methodology includes the following categories:
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 27 - FINANCIAL RISK MANAGEMENT AND POLICIES (Continued)
The Group's activities expose it to a variety of financial risks: market risk (including currency risk, fair value interest rate risk, cash flow interest rate risk and price risk), credit risk and liquidity risk. The Group's overall risk management program focuses on the unpredictability of financial markets and seeks to minimize potential adverse
Risk management is carried out by a central treasury department (Group treasury) under policies approved by the board of directors. Group treasury identifies, evaluates and hedges financial risks in close co-operation with the Group's operating units. The board provides written principles for overall risk management, as well as written policies covering specific areas, such as foreign exchange risk, interest rate risk, credit risk, use of derivative
In order to minimise credit risk, the Group has adopted a policy of only dealing with creditworthy counterparties and obtaining sufficient collateral, where appropriate, as a means of mitigating the risk of financial loss from defaults. The Group monitors the credibility of the parties with whom they perform transactions and also takes into account the credit rating of the related instruments when making the investment preference. The credit rating information is supplied by independent rating agencies where available and, if not available, the Group uses other publicly available financial information and its own trading records to rate its major customers. The Group's exposure and the credit ratings of its counterparties are continuously monitored and the aggregate value of transactions concluded is spread amongst approved counterparties. Before accepting any new customer, credit limits by customer are determined and defined after the assessment of the potential customer's credit quality.
Credit risk refers to the risk that a counterparty will default on its contractual obligations resulting in financial loss to the Group. In order to minimize the credit risk, the Group has performed credit ratings considering the default
financial instruments and non-derivative financial instruments, and investment of excess liquidity.
64
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Weighted average of group shares and profit per unit share calculations are as follows:
| 1 January-31 December 2023 |
1 January-31 December 2022 |
|
|---|---|---|
| Weighted average number of shares | 208.037 | 208.037 |
| Net gain/(loss) for the period for the equity holders of the parent | 4.529.594 | 4.741.597 |
| Earnings/(loss) per share for equity holder of the parent | 21,77 | 22,79 |
The Group manages its capital through the optimization of the debt and the equity balance that minimizes the financial risk.
Through the forecasts regularly prepared by the Group, the future capital amount, debt to equity ratio and similar ratios are forecasted and required precautions are taken to strengthen the capital.
The Group's capital structure consists of equity items including debts, cash and cash equivalents and reserves, and retained earnings, including loans explained in Note 7.
The Group's Board of Directors analyze the capital structure in regular meetings. During these analyses, the Board of Directors also evaluates the risks associated with each class of capital together with the cost of capital. The Group, by considering the decisions of the Board of Directors, aims to balance its overall capital structure through the payment of dividends and new share issues as well as the issue of new debt or the redemption of existing debt.
As of 31 December 2023 and 31 December 2022, the net (receivable) debt / total capital ratio is as follows:
| 31 December 2023 | 31 December 2022 | |
|---|---|---|
| Total Borrowings | 6.055.694 | 4.996.849 |
| Less: Cash and Cash Equivalent | (2.812.373) | (1.261.961) |
| Net Debt | 3.243.321 | 3.734.888 |
| Total Equity | 12.892.323 | 9.897.000 |
| Total Capital | 16.135.644 | 13.631.888 |
| Net Debt/Total Capital Rate | 20% | 27% |
There has been no significant change in Group's financial risk policies and credit risk management implementations compared to prior periods.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The Group's activities expose it to a variety of financial risks: market risk (including currency risk, fair value interest rate risk, cash flow interest rate risk and price risk), credit risk and liquidity risk. The Group's overall risk management program focuses on the unpredictability of financial markets and seeks to minimize potential adverse effects on the financial performance of the Group.
Risk management is carried out by a central treasury department (Group treasury) under policies approved by the board of directors. Group treasury identifies, evaluates and hedges financial risks in close co-operation with the Group's operating units. The board provides written principles for overall risk management, as well as written policies covering specific areas, such as foreign exchange risk, interest rate risk, credit risk, use of derivative financial instruments and non-derivative financial instruments, and investment of excess liquidity.
In order to minimise credit risk, the Group has adopted a policy of only dealing with creditworthy counterparties and obtaining sufficient collateral, where appropriate, as a means of mitigating the risk of financial loss from defaults. The Group monitors the credibility of the parties with whom they perform transactions and also takes into account the credit rating of the related instruments when making the investment preference. The credit rating information is supplied by independent rating agencies where available and, if not available, the Group uses other publicly available financial information and its own trading records to rate its major customers. The Group's exposure and the credit ratings of its counterparties are continuously monitored and the aggregate value of transactions concluded is spread amongst approved counterparties. Before accepting any new customer, credit limits by customer are determined and defined after the assessment of the potential customer's credit quality.
Credit risk refers to the risk that a counterparty will default on its contractual obligations resulting in financial loss to the Group. In order to minimize the credit risk, the Group has performed credit ratings considering the default risks of the counterparties and categorized the related parties.
The Group's current credit risk rating methodology includes the following categories:
| Category | Description | Basis for recognizing expected credit loss |
|---|---|---|
| Secured receivables | Consist of secured receivables The counterparty has a low |
Not generating credit loss |
| Recoverable receivables | risk of default and secured Amount is past due or |
Not generating credit loss |
| Doubtful or past due receivables |
there has been a significant evidence |
%100 allowance for unsecured receivables |
| Write-off | There is evidence indicating the asset off is credit-impaired |
Amount is write |
| S |
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| E |
| RI |
| A |
| DI |
| SI |
| B |
| U |
| S |
| S |
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| D I |
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| Ş. |
| A. |
| Rİ |
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| M Z |
| Hİ |
| K |
| ĞLI |
| A |
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| L M |
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Trade receivables include a large number of customers scattered in various regions. There is no risk concentration on a specific customer or a group of customers. The credit reviews are performed continuously over the accounts receivable balance of the customers. The Group does not have a significant credit risk arising from any customer.
| Receivables | |||||
|---|---|---|---|---|---|
| Trade Receivables | Other Receivables | ||||
| 31 December 2023 | Related Party | Third Party | Related Party | Third Party | Deposits in bank |
| Maximum net credit risk as of balance sheet date (A+B+C+D+E) (*) | 113 | 3.658.138 | 134.865 | 300.655 | 2.780.898 |
| The part of maximum risk under guarantee with collateral etc - |
-- | -- | -- | -- | -- |
| A. Net book value of financial assets that are neither past due or impaired | 113 | 2.801.001 | 134.865 | 300.655 | 2.780.898 |
| B. Net book value of financial assets that are renegotiated, if not that will be | |||||
| accepted as past due or impaired | -- | -- | -- | -- | -- |
| C. Carrying value of financial assets that are past due but not impaired | -- | 857.137 | -- | -- | -- |
| the part under guarantee with collateral - |
-- | -- | -- | -- | -- |
| D. Net book value of impaired assets | -- | -- | -- | -- | -- |
| Past due (gross carrying amount) - |
-- | 140.633 | -- | -- | -- |
| Impairment (-) - |
-- | (140.633) | -- | -- | -- |
| The part of net value under guarantee with collateral etc. - |
-- | -- | -- | -- | -- |
| Not past due (gross carrying amount) - |
-- | -- | -- | -- | -- |
| Impairment (-) - |
-- | -- | -- | -- | -- |
| The part of net value under guarantee with collateral etc. - |
-- | -- | -- | -- | -- |
| E. Off-balance sheet items with credit risk | -- | -- | -- | -- | -- |
Tutarın belirlenmesinde, alınan teminatlar gibi, kredi güvenirliliğinde artış sağlayan unsurlar dikkate alınmamıştır.
(*)
| S E RI A |
|---|
| DI SI B |
| U S S |
| T D I |
| N A |
| Ş. A. |
| Rİ E TL |
| E M |
| Z Hİ K |
| ĞLI A |
| S P L M |
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Trade receivables include a large number of customers scattered in various regions. There is no risk concentration on a specific customer or a group of customers. The credit reviews are performed continuously over the accounts receivable balance of the customers. The Group does not have a significant credit risk arising from any customer.
| Receivables | |||||
|---|---|---|---|---|---|
| Trade Receivables | Other Receivables | ||||
| 31 December 2022 | Related Party | Third Party | Related Party | Third Party | Deposits in bank |
| Maximum net credit risk as of balance sheet date (A+B+C+D+E) (*) | 86 | 3.011.543 | 126.607 | 81.139 | 1.235.517 |
| A. Net book value of financial assets that are neither past due or impaired The part of maximum risk under guarantee with collateral etc - |
-- 86 |
-- 2.327.090 |
-- 126.607 |
-- 81.139 |
-- 1.235.517 |
| B. Net book value of financial assets that are renegotiated, if not that will be | |||||
| accepted as past due or impaired | -- | -- | -- | -- | -- |
| C. Carrying value of financial assets that are past due but not impaired | -- | 682.804 | -- | -- | -- |
| the part under guarantee with collateral - |
-- | -- | -- | -- | -- |
| D. Net book value of impaired assets | -- | -- | -- | -- | -- |
| Past due (gross carrying amount) - |
-- | 198.515 | -- | -- | -- |
| Impairment (-) - |
-- | (198.515) | -- | -- | -- |
| The part of net value under guarantee with collateral etc. - |
-- | -- | -- | -- | -- |
| Not past due (gross carrying amount) - |
-- | -- | -- | -- | -- |
| Impairment (-) - |
-- | -- | -- | -- | -- |
| The part of net value under guarantee with collateral etc. - |
-- | -- | -- | -- | -- |
| E. Off-balance sheet items with credit risk | -- | -- | -- | -- | -- |
The factors that increase credibility such as guarantees received are not taken into account in determination of amount.
(*)
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Allowances for doubtful receivables are recognized against financial assets based on estimated irrecoverable amounts determined by reference to past default experience of the counterparty.
The aging of overdue receivables is as follows:
| 31 December 2023 | Trade receivables | Total |
|---|---|---|
| Total overdue by 1-30 days | 210.607 | 210.607 |
| Total overdue by 1-3 months | 163.964 | 163.964 |
| Overdue by more than 3 months | 482.566 | 482.566 |
| Total overdue receivables | 857.137 | 857.137 |
| The part under guarantee with collateral etc. | -- | -- |
| 31 December 2022 | Trade receivables | Total |
| Total overdue by 1-30 days | 125.208 | 125.208 |
| Total overdue by 1-3 months | 194.956 | 194.956 |
| Overdue by more than 3 months | 362.640 | 362.640 |
| Total overdue receivables | 682.804 | 682.804 |
| The part under guarantee with collateral etc. | -- | -- |
Ultimate responsibility for liquidity risk management rests with the Board of Directors, which has built an appropriate liquidity risk management framework for the management of the Group's short, medium and longterm funding and liquidity management requirements. The Group manages liquidity risk by continuously monitoring forecasted and actual cash flows and matching the maturity profiles of financial assets and liabilities and maintaining adequate funds and reserves.
Conservative liquidity risk management includes maintaining sufficient cash, availability of sufficient amount of borrowings and funds and ability to settle market positions.
The Group manages its funding of actual and forecasted financial obligations by maintaining the availability of sufficient number of high quality loan providers.
The following table details the Group's expected maturity for its non-derivative financial liabilities. Interests which will be paid on borrowings in the future are included in the relevant columns in the following table.
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
NOTE 27 - FINANCIAL RISK MANAGEMENT AND POLICIES (Continued)
| Total cash outflow | ||||||
|---|---|---|---|---|---|---|
| according to contract | Less than 3 | 3-12 | 1-5 years | More than | ||
| 31 December 2023 | Carrying value | (I+II+III+IV) | months(I) | months(II) | (III) | 5 years(IV) |
| Non-derivative financial liabilities | ||||||
| Bank loans | 1.239.949 | 1.498.292 | 450.384 | 734.081 | 313.827 | -- |
| Debt instruments issued (Bond) | 2.500.000 | 3.755.014 | 823.486 | 1.675.972 | 1.255.556 | -- |
| Finance lease obligations | 54.369 | 66.488 | 56.032 | 10.455 | -- | -- |
| Lease liability | 2.261.376 | 3.664.859 | 202.843 | 515.865 | 2.094.479 | 851.672 |
| Trade and other payables | 4.539.434 | 6.151.488 | 4.845.690 | 939.627 | 318.226 | 47.945 |
| Payables for employment benefits | 345.895 | 345.895 | -- | -- | -- | -- |
| 10.941.023 | 15.482.036 | 6.378.435 | 3.876.000 | 3.982.088 | 899.617 | |
| Total cash outflow | ||||||
| according to contract | Less than 3 | 3-12 | 1-5 years | More than | ||
| 31 December 2022 | Carrying value | (I+II+III+IV) | months(I) | months(II) | (III) | 5 years(IV) |
| Non-derivative financial liabilities | ||||||
| Bank loans | 1.617.052 | 1.857.443 | 541.349 | 827.113 | 488.981 | -- |
| Debt instruments issued (Bond) | 1.103.979 | 1.244.254 | 123.367 | 1.120.886 | -- | -- |
| Finance lease obligations | 191.057 | 233.597 | 39.690 | 92.177 | 101.729 | -- |
| Lease liability | 2.084.761 | 3.902.687 | 199.445 | 499.926 | 2.217.056 | 986.260 |
| Trade and other payables | 4.620.266 | 4.816.058 | 2.598.871 | 1.590.565 | 428.895 | 197.728 |
| Payables for employment benefits | 272.678 | 272.678 | 272.678 | -- | -- | -- |
| 9.889.793 | 12.326.717 | 3.775.400 | 4.130.667 | 3.236.661 | 1.183.988 |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Foreign currency risk management
Transactions in foreign currencies expose the Company to foreign currency risk. Exchange rate exposures are managed within approved policy parameters utilizing 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 | |||||
|---|---|---|---|---|---|
| 31 December 2023 | (Functional currency) |
USD | EUR | GBP | Other |
| 1. Trade receivables | 192.395 | 4.930 | 1.451 | -- | -- |
| 2a. Monetary financial assets | 969.315 | 21.503 | 9.819 | 440 | -- |
| 2b. Non monetary financial assets | 7.122 | 28 | 190 | 3 | -- |
| 3. Other | 2.254 | 18 | 53 | -- | -- |
| 4. Current Assets | 1.171.086 | 26.479 | 11.513 | 443 | -- |
| 5. Trade receivables 6a. Monetary financial assets |
-- -- |
-- -- |
-- -- |
-- -- |
-- -- |
| 6b.Non monetary financial assets | 122.874 | 3.842 | 300 | -- | -- |
| 7. Other | 138.820 | 2.943 | 1.602 | -- | -- |
| 8. Non-current assets | 261.694 | 6.785 | 1.902 | -- | -- |
| 9. Total assets | 1.432.780 | 33.264 | 13.415 | 443 | -- |
| 10. Trade payables | (256.192) | (8.261) | (400) | -- | -- |
| 11a. Financial liabilities (loans) | -- | -- | -- | -- | -- |
| 11b. Financial liabilities (leasing) | (9.385) | -- | (288) | -- | -- |
| 11c. Lease liabilities | (29.056) | -- | (892) | -- | -- |
| 12a. Other monetary liabilities | (220.690) | (3.968) | (3.111) | (68) | -- |
| 13. Current liabilities | (515.323) | (12.229) | (4.691) | (68) | -- |
| 14. Trade payables | -- | -- | -- | -- | -- |
| 15a. Financial liabilities (loans) | -- | -- | -- | -- | -- |
| 15b. Financial liabilities (leasing) | -- | -- | -- | -- | -- |
| 15c. Lease liabilities | (102.380) | -- | (3.143) | -- | -- |
| 16a. Other monetary liabilities | -- | -- | -- | -- | -- |
| 16b. Other non-monetary liabilities | -- | -- | -- | -- | -- |
| 17. Non-current liabilities | (102.380) | -- | (3.143) | -- | -- |
| 18.Total liabilities | (617.703) | (12.229) | (7.834) | (68) | -- |
| 19. Net assets / liability position of | |||||
| off-balance sheet derivatives (19a-19b) | -- | -- | -- | -- | -- |
| 19a. Off balance sheet foreign currency | |||||
| derivative assets | -- | -- | -- | -- | -- |
| 19b. Off balance sheet foreign currency derivative liabilities |
-- | -- | -- | -- | -- |
| 20. Net foreign currency asset liability position (9-18+19) |
815.077 | 21.035 | 5.581 | 375 | -- |
| 21. . Monetary Items Net Foreign | |||||
| Currency Asset/Liability Position | |||||
| (1+2a+10+11+12a+14+15+16a) | 544.007 | 14.205 | 3.436 | 372 | -- |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| TL Equivalents | |||||
|---|---|---|---|---|---|
| 31 December 2022 | (Functional currency) |
USD | EUR | GBP | Other |
| 1. Trade receivables | 109.345 | 3.061 | 460 | (2) | -- |
| 2a. Monetary financial assets | 888.770 | 26.834 | 1.737 | 134 | -- |
| 2b. Non monetary financial assets | 56.336 | 37 | 1.677 | 3 | -- |
| 3. Other | 14.759 | -- | 449 | -- | -- |
| 4. Current Assets | 1.069.210 | 29.932 | 4.323 | 135 | -- |
| 5. Trade receivables | -- | -- | -- | -- | -- |
| 6a. Monetary financial assets | -- | -- | -- | -- | -- |
| 6b.Non monetary financial assets | 102.751 | 3.335 | -- | -- | -- |
| 7. Other | (306) | -- | (9) | -- | -- |
| 8. Non-current assets | 102.445 | 3.335 | (9) | -- | -- |
| 9. Total assets | 1.171.655 | 33.267 | 4.314 | 135 | -- |
| 10. Trade payables | (16.372) | (332) | (187) | -- | -- |
| 11a. Financial liabilities (loans) | -- | -- | -- | -- | -- |
| 11b. Financial liabilities (leasing) | (75.964) | (280) | (2.050) | -- | -- |
| 11c. Lease liabilities | (25.235) | -- | (768) | -- | -- |
| 12a. Other monetary liabilities | (212.888) | (4.026) | (2.653) | (46) | -- |
| 13. Current liabilities | (330.459) | (4.638) | (5.658) | (46) | -- |
| 14. Trade payables | -- | -- | -- | -- | -- |
| 15a. Financial liabilities (loans) | -- | -- | -- | -- | -- |
| 15b. Financial liabilities (leasing) | (9.460) | -- | (288) | -- | -- |
| 15c. Lease liabilities | (132.524) | -- | (4.035) | -- | -- |
| 16a. Other monetary liabilities | -- | -- | -- | -- | -- |
| 16b. Other non-monetary liabilities | -- | -- | -- | -- | -- |
| 17. Non-current liabilities | (141.984) | -- | (4.323) | -- | -- |
| 18.Total liabilities | (472.443) | (4.638) | (9.981) | (46) | -- |
| 19. Net assets / liability position of | |||||
| off-balance sheet derivatives (19a-19b) | -- | -- | -- | -- | -- |
| 19a. Off balance sheet foreign currency | |||||
| derivative assets | -- | -- | -- | -- | -- |
| 19b. Off balance sheet foreign currency | |||||
| derivative liabilities | -- | -- | -- | -- | -- |
| 20. Net foreign currency asset | |||||
| liability position (9-18+19) | 699.212 | 28.629 | (5.667) | 89 | -- |
| 21. . Monetary Items Net Foreign | |||||
| Currency Asset/Liability Position | |||||
| (1+2a+10+11+12a+14+15+16a) | 525.673 | 25.257 | (7.784) | 86 | -- |
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 value indicates an increase in profit before tax.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| 31 December 2023 | ||
|---|---|---|
| In the case of US dollar gaining 20% value against TRY | Valuation of foreign currency |
Devaluation of foreign currency |
| 1 - USD net asset/liability 2 - Portion hedged against USD risk (-) |
123.853 -- |
(123.853) -- |
| 3- USD net effect (1 +2) | 123.853 | (123.853) |
| In the case of EUR dollar gaining 20% value against TRY 4 - EUR net asset/liability 5 - Portion hedged against EUR risk (-) |
36.352 -- |
(36.352) -- |
| 6- EUR net effect (4+5) | 36.352 | (36.352) |
| TOTAL (3+6) | 160.205 | (160.205) |
| 31 December 2023 | ||
| In the case of US dollar gaining 20% value against TRY | Valuation of foreign currency |
Devaluation of foreign currency |
| 1- USD net asset/liability 2 - Portion hedged against USD risk (-) |
176.411 -- |
(176.411) -- |
| 3- USD net effect (1+2) | 176.411 | (176.411) |
| In the case of EUR dollar gaining 20% value against TRY | ||
| 4 - EUR net asset/liability | (37.227) | 37.227 |
| 5 - Portion hedged against EUR risk (-) 6- EUR net effect (4+5) |
-- (37.227) |
-- 37.227 |
| TOTAL (3+6) | 139.184 | (139.184) |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
The value of a financial instrument will fluctuate as a result of changes in market prices whether those changes are caused by factors specific to the individual security or its issuer or factors affecting all securities traded in the market. The Group is subject to interest risk in relation to its variable rate bank borrowings and financial lease obligations.
| 31 December 2023 | Increase/(decrease) in basis points |
Effect on loss before tax in nominal amount |
Effect on Equity |
|---|---|---|---|
| - TL | 2,5 | (29.217) | -- |
| (2,5) | 29.217 | -- | |
| 31 December 2022 | Increase/(decrease) in basis points |
Effect on loss before tax in nominal amount |
Effect on Equity |
| - TL | 2,5 | (40.509) | -- |
| (2,5) | 40.509 | -- |
Interest rate swap contracts:
Under interest rate swap contracts, the Group agrees to exchange the difference between fixed and floating rate interest amounts calculated on agreed notional principal amounts. Such contracts enable the Group to mitigate the risk of changing interest rates on the fair value of issued fixed rate debt held and the cash flow exposures on the issued variable rate debt held. The fair value of interest rate swaps at the reporting date is determined by discounting the future cash flows using the curves at the reporting date and the credit risk inherent in the contract, and is disclosed below. The average interest rate is based on the outstanding balances at the end of the financial year.
The Group is exposed primarily to the financial risks of changes in foreign exchange rates and interest rates. The Group utilizes the following financial instruments to manage the risks associated with the foreign exchange rates and interest rates. Also, the Group follows price changes and market conditions regularly and takes action in pricing instantaneously.
The Group prefers floating interest rates for long term borrowings. To hedge against the interest risk the Group uses interest swap contracts for some of its borrowings.
In the current period, there is no significant change in the Group's exposure to the market risks or the manner which it manages and measures risk when compared to the previous year.
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194
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Classes and fair values of financial instruments
| Financial assets liabilities at amortized |
instruments through Derivative financial mprehensive other co |
Derivative financial instruments through |
Carrying | ||
|---|---|---|---|---|---|
| 31 December 2023 | cost | me/(loss) inco |
profit or loss | value | Notes |
| Financial Assets | |||||
| Cash and cash equivalents | 2.812.373 | -- | -- | 2.812.373 | 6 |
| Trade receivables (related parties included) | 3.658.251 | -- | -- | 3.658.251 | 8 |
| Other receivables (related parties included) | 435.520 | -- | -- | 435.520 | 9 |
| Financial Liabilities | |||||
| Financial liabilities | 3.794.318 | -- | -- | 3.794.318 | 7 |
| Trade payables | 4.082.221 | -- | -- | 4.082.221 | 8 |
| Lease liabilities | 2.261.376 | -- | -- | 2.261.376 | 7 |
| Other liabilities (related parties included) | 457.213 | -- | -- | 457.213 | 9 |
| Payables for employee benefits | 345.895 | -- | -- | 345.895 | 15 |
MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
MLP SAĞLIK HİZMETLERİ A.Ş. Notes to the Consolidated Financial Statements for the Period 1 January - 31 December 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) AND ITS SUBSIDIARIES NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023 (Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) NOTE 28 – FINANCIAL INSTRUMENTS (FAIR VALUE DISCLOSURES AND EXPLANATIONS ON HEDGE ACCOUNTING) (Continued)
| Financial assets liabilities at amortized |
Derivative financial instruments through mprehensive other co |
Derivative financial instruments through |
Carrying | ||
|---|---|---|---|---|---|
| 31 December 2022 | cost | income/(loss) | profit or loss | value | Notes |
| Financial Assets | |||||
| Cash and cash equivalents | 1.261.961 | -- | -- | 1.261.961 | 6 |
| Trade receivables (related parties included) | 3.011.629 | -- | -- | 3.011.629 | 8 |
| Finansal yatırımlar | 352.909 | -- | -- | 352.909 | 7 |
| Other receivables (related parties included) | 207.746 | -- | -- | 207.744 | 9 |
| Financial Liabilities | |||||
| Financial liabilities | 2.912.088 | -- | -- | 2.912.088 | 7 |
| Trade payables | 3.951.182 | -- | -- | 3.951.182 | 8 |
| Lease liabilities | 2.084.761 | -- | -- | 2.084.761 | 7 |
| Other liabilities (related parties included) | 669.084 | -- | -- | 669.084 | 9 |
| Payables for employee benefits | 272.678 | -- | -- | 272.678 | 15 |
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.
Estimated fair values of financial instruments have been determined by the Group using available market information and appropriate valuation methods. However, estimates are necessary in interpreting market data to determine fair value. Accordingly, the estimates presented herein may not be indicative of the amounts the Group could realize in a current market transaction.
The following methods and assumptions were used to estimate the fair value of financial instruments:
It is assumed that the registered values of financial assets, including cash and cash equivalents, are equal to their fair values due to their short-term nature.
It is assumed that the registered values of trade receivables reflect the fair value together with the relevant impairment provisions.
It is assumed that the fair values of short-term bank loans and other monetary debts are close to their recorded values due to their short-term nature.
It is assumed that the book values as of the reporting date are approaching their fair values due to long-term financial debts mostly have variable interest rates and are repriced in the short term.
The Company acquired Özel Adana Metro Hastanesi and Özel Adana Hastanesi, located in Adana as of 1 December 2022. TFRS 3 defines the "business" as "an integrated set of activities and assets that is capable of being conducted and managed for the purpose of providing a return in the form of dividends, lower costs or other economic benefits directly to investors or other owners, members or participants". As per "Hospital Operation Contract" signed with third parties, the Company acquired hospital licence and fixed assets of the aforementioned hospital. Additionally, hospital building was leased by the Company as per "Building Rent Contracts" signed on the same dates. As purchase price, the Company will pay a total of TL 240,000 through machinery lease payments over the course of 10 years. As this transaction includes "Input – Process and Output" elements mentioned in TFRS, they are accounted as business combination. As of 31 December 2022 it has been provisionally accounted for in the consolidated financial statements under the rules of TFRS 3 "Business Combinations Standard", within the scope of TFRS 3. The amounts recognized as provisionals within the scope of TFRS 3 have been revalued in the current year and no difference has been observed.
The details on profit/loss calculation, total acquisition amount and net assets required as a result of acquisition are as follows:
| Net assets acquired | 606.363 |
|---|---|
| Total acquisition amount | (555.082) |
75
(*) Deferred tax expense and negative goodwill balance are presented gross.
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
| Adana | |
|---|---|
| Assets/Liabilities acquired | Fair value on Acqusition |
| Duran Varlıklar | |
| Property, plant and equipment | 98.679 |
| Intangible assets | 507.683 |
| 606.363 | |
| Long Term Liabilities | |
| Deferred tax liabilities | 10.255 |
| 10.255 | |
| Net assets acquired | 596.107 |
| Gain on the bargain purchase | 41.025 |
| Non-controlling interests | 8.206 |
76
None.
Other Additional Information for the MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.)
Period 1 January - 31 December 2023 OTHER ADDITIONAL INFORMATION
(Amounts expressed in thousands Turkish Lira ("TL") unless otherwise stated.) FOR THE PERIOD 1 JANUARY - 31 DECEMBER 2023
Earnings before interest taxes depreciation and amortization ("EBITDA") is calculated by the Group Management with the addition of the period's depreciation and amortization, financial expenses, other adjustments and tax expenses to net profit before tax.
The EBITDA calculation movements for the period ended 31 December 2023 and 31 December 2022 are as follow:
| 31 December | 31 December | |
|---|---|---|
| EBITDA CALCULATION | 2023 | 2022 |
| Net loss before tax | 5.824.940 | 4.780.562 |
| Depreciation and amortization of property, plant and equipment and intangible assets, including non-cash provisions for assets such as all kinds of fixed assets and goodwill that are not considered within the scope of working capital; |
1.542.287 | 1.261.724 |
| Total net finance cost, net of interest income; | 1.552.335 | 1.083.418 |
| Realized and unrealized foreign exchange gains deducted from and foreign exchange losses added to financial liabilities; |
89.975 | 114.817 |
| Fair value differences of derivative instruments (net) (Note 20); | - | - |
| Extraordinary (income)/expense | 266.450 | 188.861 |
| Rediscount income/expense, net (Note 20) | (83.208) | 4.506 |
| Income on bargain purchase price | - | - |
| Legal case provision expenditures which are reflected to financial statements by the general accounting principles; |
40.213 | 45.568 |
| Unused vacation pay provision expenses which are reflected to financial statements by the general accounting principles; |
39.417 | 54.664 |
| Employment termination benefit provision expenses which are reflected to financial statements by the general accounting principles; |
12.730 | 27.672 |
| One-off doubtful receivables provision expenses which are reflected to financial statements by the general accounting principles; |
15.055 | 4.631 |
| Non-cash sale and lease back expenses which are reflected to financial statements by the general accounting principles (Note 3); |
653 | 602 |
| Non-cash profit added to non-cash losses from the disposal or deactivation of property, plant and equipment or intangible assets; |
3.498 | (729.966) |
| Monetary gain /(loss) | 3.099.062 | 2.223.522 |
| EBITDA | 6.205.283 | 4.613.537 |
| TFRS 16 Lease payment effect | (718.551) | (642.623) |
| Adjusted EBITDA | 5.486.732 | 3.970.914 |
…………………
| A.Ş. | Joint-stock company |
|---|---|
| EBITDA | (Earnings Before Interest, Taxes, Depreciation and Amortization) A financial measure that we derive from our Financial Statements. EBITDA calculated by deducting general administrative expenses from gross profit and adding depreciation and amortization expenses. |
| HIMS | The Hospital Information Management System |
| JCI | Joint Commission International |
| Middle-Upper Mass | It includes patients demanding and has the power to pay for high-quality healthcare services. |
| n.m. | not meaningful |
| Payor Mix | The distribution of patients treated in MLP Care's hospitals according to payment types (private healthcare insurance, SSI, contracted institutions, etc.) |
| Premium Mass | The segment between middle-upper mass and premium segments |
| Premium Segment | It includes patients demanding and has the power to pay for Premium healthcare services. |
| Protocol | Each record opened or created for a patient treatment |
| SSI | The Social Security Institution (Sosyal Güvenlik Kurumu) of the Republic of Türkiye, authorized under the Social Security and Universal Health Insurance (UHI) Law as the only governmental social security and health insurance organization providing general health insurance privileges to individuals in exchange for premiums. The SSI was formed through the merger and dissolution of three previous social security funds: Social Insurance Institution (Sosyal Sigortalar Kurumu-SSK), Government Employees Retirement Fund (Emekli Sandığı) and Social Security Institution for Artisans and the Self-Employed (Bağ-Kur). |
| SSI Agreement(s) | The Agreement for Purchase of Healthcare Services executed with the SSI to provide healthcare services to individuals with general health insurance financed by the SSI, as amended or restated from time to time by the SSI. |
| Top-up Insurance | A healthcare insurance type that covers additional fees and other expenses that are not paid by SSI |
| TTSG (Türkiye Ticaret Sicili Gazetesi) |
Turkish Trade Registry Gazette |
Hospital Opening Year 2014 Location Ankara
Opening Year 2020 Location Ankara
Hospital Complex Opening Year 2008 Location Antalya
Bahçelievler Hospital Opening Year 2007 Location Istanbul
2006 Location Bursa
Opening Year 2014 Location Çanakkale
Florya Hospital Opening Year 2017 Location Istanbul
Gaziosmanpaşa Opening Year 2015 Location Istanbul
Hospital Opening Year 2011 Location Kocaeli
Göztepe Hospital Complex Opening Year 2008 Location Istanbul
Kocaeli VM Medical Park Maltepe Hospital
Opening Year 2019 Location Istanbul
Hospital Opening Year 2018 Location Mersin
Hospital Opening Year 2009 Location Ordu
Hospital Opening Year 2018 Location Istanbul
Samsun Hospital Opening Year 2009 Location Samsun
Hospital Opening Year 2007 Location Tokat
Hospital Opening Year 2014 Location Trabzon
Hospital Opening Year 2014 Location Trabzon
Opening Year 2014 Location Ankara
Bahçeşehir Opening Year 2016 Location
Opening Year 2020 Location Gaziantep
Istanbul
Opening Year 2017 Location Samsun
Opening Year 2013 Location Istanbul
Opening Year 2021 Location Istanbul
Opening Year 2022 Location Baku – Azerbaijan
Hospital Opening Year 2022 Location Adana
Hospital Opening Year 2022 Location Adana
Opening Year 2023 Location Budapest - Hungary
Head Office Address: Otakçılar Caddesi Flatofis Istanbul, No: 78, Kat: 3 D-Blok No: 103, Eyüp, Istanbul Phone: +90 212 227 55 55 Fax: +90 212 227 23 28 [email protected]
Address: Kent Koop Mah. 1868. Sok. No: 15, Batıkent-Yenimahalle, Ankara Phone: +90 312 666 80 00 Fax: +90 212 666 86 66 [email protected]
Address: Kalaba, 06120 Keçiören/Ankara Phone: +90 312 666 08 00 Fax: +90 312 666 02 00 Mail: [email protected]
Address: Fener Mah. Tekelioğlu Cad. No: 7 Lara, Antalya Phone: +90 242 314 34 34 Fax: +90 242 314 30 30 [email protected]
Address: Kültür Sok. No: 1 D100 Yolu, Bahçelievler Metro Durağı Üstü Metrobüs Hastaneler Durağı 34160 Bahçelievler, Istanbul Phone: +90 212 484 14 84 Fax: +90 212 484 17 84 [email protected]
Address: Fevzi Çakmak Caddesi Kırcaali Mahallesi No: 76 Osmangazi, Bursa Phone: +90 224 270 60 00 Fax: +90 224 223 55 71 [email protected]
Address: Barbaros Mahallesi, Troya Caddesi, No: 10, Merkez, Çanakkale Phone: +90 286 218 24 24 Fax: +90 0286 218 24 25 [email protected]
Address: Beşyol Mah., Akasya Sok., No: 4 Küçükçekmece, Istanbul Phone: +90 212 979 50 00 Fax: +90 212 979 50 45 [email protected]
Address: Merkez Mahallesi Çukurçeşme Cad. No: 57-59 Gaziosmanpaşa, Istanbul Phone: +90 212 979 30 00 Fax: +90 212 979 39 10 [email protected]
Address: Kavak Cad. No: 5 Belediye Yanı Gebze, Kocaeli Phone: +90 262 675 75 75 Fax: +90 262 675 75 15 [email protected]
Address: D100 Üzeri Nisan Sok. No: 23 Merdivenköy Kadıköy, Istanbul Phone: +90 0216 468 44 44 Fax: +90 216 468 45 67 [email protected]
Address: Ovacık Mahallesi, D100 Karayolu Üstü, No: 34, Symbol AVM Yanı, 41140 Başiskele, Kocaeli Phone: +90 262 888 30 00 Fax: +90 262 888 39 00 [email protected]
Address: Cevizli Bağdat Cad., No: 547, 34846 Maltepe, Istanbul Phone: +90 216 225 49 49 Fax: +90 216 225 49 50 [email protected]
Address: Gazi Mustafa Kemal Bulvarı., No: 676, Mezitli, Mersin Phone: +90 324 422 30 00 Fax: +90 324 422 39 50 [email protected]
Address: Akyazı Mah., Gaffar Okkan Cad., No: 9, Altınordu, Ordu Phone: +90 452 226 10 00 Fax: +90 452 226 14 90 [email protected]
Address: Fevzi Çakmak Mahallesi, D100, Cemal Gürsel Cad., No: 9, 34899 Pendik, Istanbul Phone: +90 216 275 40 00 Fax: +90 216 275 49 99 [email protected]
Address: Mimar Sinan Mah. Alparslan Bulvarı No: 17, Atakum, Samsun Phone: +90 362 311 40 40 Fax: +90 362 311 40 50 [email protected]
Address: Yeşilırmak Mah., Vali Zekai Gümüşdiş Cad., No: 29, Tokat Phone: +90 356 217 10 00 Fax: +90 356 213 02 02 [email protected]
Address: İnönü Mahallesi, Yavuz Selim Bulvarı, No: 190, Trabzon Phone: +90 462 229 70 70 Fax: +90 462 229 70 74 [email protected]
Address: Yıldızlı Beldesi Merkez Mahallesi Devlet Sahil Yolu Cad. No: 46, Akçaabat, Trabzon Phone: +90 462 455 61 11 Fax: +90 462 248 18 28 [email protected]
Adress: Atatürk Caddesi No: 23 Seyhan, Adana Phone: +90 322 459 22 22 [email protected]
Address: Kurtuluş Mahallesi Mustafa Kemal Paşa Bulvarı No: 15 Seyhan, Adana Phone: +90 322 456 19 00 [email protected]
Address: Bestekâr Sok., No: 8, 06680 Kavaklıdere Çankaya, Ankara Phone: +90 312 666 40 00 Fax: +90 312 666 40 40 [email protected]
Address: Aşık Veysel Mah. Süleyman Demirel Cad. No: 1, Esenyurt, Istanbul Phone: +90 212 979 40 00 Fax: +90 212 299 01 62 [email protected]
Address: Seyrantepe, 27080 Şehitkamil / Gaziantep Phone: +90 342 999 80 00 Fax: +90 0362 999 89 99 [email protected]
Address: Hançerli Mahallesi, 608 Sokak, No: 2, İlkadım, Samsun Phone: +90 362 999 80 00 Fax: +90 362 999 80 80 [email protected]
Address: Ahmet Adnan Saygun Cad. Canan Sok. No: 5, 34340 Ulus Beşiktaş, Istanbul Phone: +90 212 999 80 99 Fax: +90 212 287 10 57 [email protected]
Address: Liv Hospital Vadistanbul Ayazağa Mahallesi, Kemerburgaz Caddesi, Vadistanbul Park Etabı, 7F Blok, 34396 Sarıyer, Istanbul Phone: +90 212 919 60 00 [email protected]
Address: Mehdi Abbasov 2, Nizami Rayonu, Baku Azerbaijan Phone: +994 12 525 09 00 [email protected]
Adress: Budapest, Lechner Ödön fasor 5, 1095 Hungary Phone: +36 (1) 790 7070 [email protected]
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