Quarterly Report • Nov 5, 2025
Quarterly Report
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MLP SAĞLIK HİZMETLERİ A.Ş. AND ITS SUBSIDIARIES
CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS FOR THE PERIOD ENDED 1 JANUARY- SEPTEMBER 30, 2025
| INDEX | PAGE | |
|---|---|---|
| CONSOLIDATED INTERIM STATEMENT OF FINANCIAL POSITION | 1-2 | |
| CONSOLIDATED INTERIM STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME |
3 | |
| CONSOLIDATED INTERIM STATEMENT OF CHANGES IN EQUITY | 4 | |
| CONSOLIDATED INTERIM STATEMENT OF CASH FLOWS | 5 | |
| NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 6-38 | |
| NOTE 1 NOTE 2 NOTE 3 NOTE 4 NOTE 5 NOTE 6 NOTE 7 NOTE 8 NOTE 9 NOTE 10 NOTE 11 NOTE 12 NOTE 13 NOTE 14 |
ORGANIZATION AND OPERATIONS OF THE GROUP BASIS OF PRESENTATION OF CONSOLIDATED FINANCIAL STATEMENTS RELATED PARTY DISCLOSURES CASH AND CASH EQUIVALENTS FINANCIAL INSTRUMENTS TRADE RECEIVABLES AND PAYABLES OTHER RECEIVABLES AND PAYABLES INVENTORIES PREPAID EXPENSES AND DEFERRED INCOME PROPERTY, EQUIPMENT AND OTHER INTANGIBLE ASSETS RIGHT OF USE ASSETS PAYABLES FOR EMPLOYEE BENEFITS OTHER ASSETS AND LIABILITIES PROVISIONS |
|
| NOTE 15 NOTE 16 NOTE 17 NOTE 18 NOTE 19 NOTE 20 NOTE 21 NOTE 22 NOTE 23 NOTE 24 NOTE 25 NOTE 26 NOTE 27 |
COMMITMENTS SHARE CAPITAL/OTHER RESERVES REVENUE OPERATING EXPENSES OTHER INCOME AND EXPENSE FROM OPERATING ACTIVITIES INCOME AND EXPENSES FROM INVESTING ACTIVITIES FINANCE EXPENSES DISCLOSURES ON NET MONETARY POSITION GAINS (LOSSES) TAXES ON INCOME (DEFERRED TAX ASSET AND LIABILITIES INCLUDED) EARNINGS PER SHARE FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES BUSINESS COMBINATIONS EVENTS AFTER THE REPORTING PERIOD |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Unaudited | Audited | ||
|---|---|---|---|
| Notes | 30 September 2025 | 31 December 2024 | |
| ASSETS | |||
| Current Assets: | 19,943,484 | 14,032,886 | |
| Cash and cash equivalents | 4 | 7,845,995 | 3,421,243 |
| Trade receivables | 3,6 | 8,453,014 | 7,634,957 |
| - Due from related parties | 3 | 46,021 | 37,120 |
| - Trade receivables from third parties | 6 | 8,406,993 | 7,597,837 |
| Other receivables | 3,7 | 614,669 | 447,624 |
| - Due from related parties | 3 | 449,888 | 343,083 |
| - Other receivables from third parties | 7 | 164,781 | 104,541 |
| Inventories | 8 | 1,005,106 | 1,258,927 |
| Prepaid expenses | 9 | 928,322 | 785,172 |
| Other current assets | 13 | 1,096,378 | 484,963 |
| Non-current Assets: | 53,192,171 | 45,284,510 | |
| Trade receivables | 6 | 1,053 | 1,321 |
| Other receivables | 7 | 1,516,660 | 935,167 |
| Property plant and equipment | 10 | 12,842,966 | 9,735,843 |
| Intangible assets | 12,713,316 | 11,534,597 | |
| - Goodwill | 927,705 | 927,705 | |
| - Other intangible assets | 10 | 11,785,611 | 10,606,892 |
| Right of use assets | 11 | 17,373,572 | 15,771,659 |
| Prepaid expenses | 9 | 5,747,354 | 4,247,324 |
| Deferred tax assets | 23 | 2,997,250 | 3,058,599 |
| TOTAL ASSETS | 73,135,655 | 59,317,396 |
The accompanying notes form an integral part of these consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Unaudited | Audited | ||
|---|---|---|---|
| Notes | 30 September 2025 | 31 December 2024 | |
| LIABILITIES AND EQUITY | |||
| Current Liabilities: | 12,522,606 | 16,529,916 | |
| Short term borrowings | 5 | - | 3,134,393 |
| Short term portion of long term borrowings | 5 | 1,160,372 | 1,120,242 |
| Obligations under finance leases | 5 | 29,083 | 43,943 |
| Short term lease liabilities | 5 | 1,108,891 | 810,501 |
| Trade payables | 3,6 | 7,306,891 | 7,514,137 |
| - Due to related parties | 3 | 63,511 | 88,687 |
| - Trade payables to third parties | 6 | 7,243,380 | 7,425,450 |
| Payables related to employee benefits | 12 | 640,037 | 653,541 |
| Other payables | 3,7 | 402,128 | 513,489 |
| - Due to related parties | 3 | 18,244 | 22,883 |
| - Other payables to third parties | 7 | 383,884 | 490,606 |
| Deferred income | 9 | 1,315,096 | 2,022,795 |
| Short term provisions | 282,580 | 283,868 | |
| - Short term provisions for employment benefits | 12 | 172,108 | 171,376 |
| - Other short term provisions | 14 | 110,472 | 112,492 |
| Current tax liabilities | 23 | 277,528 | 433,007 |
| Non-current Liabilities: | 26,865,884 | 13,269,468 | |
| Long term borrowings | 5 | 12,379,345 | - |
| Obligations under finance leases | 5 | 17,016 | 17,645 |
| Long term lease liabilities | 5 | 5,363,334 | 4,893,755 |
| Other payables | 1,107,226 | 1,219,418 | |
| - Other payables to third parties | 7 | 1,107,226 | 1,219,418 |
| Deferred income | 9 | 1,053 | 1,321 |
| Long term provisions | 278,864 | 255,403 | |
| - Long term provisions for employee benefits | 12 | 278,864 | 255,403 |
| Deferred tax liabilities | 23 | 7,719,046 | 6,881,926 |
| EQUITY: | 33,747,165 | 29,518,012 | |
| Equity Attributable to the Owner of the Company: | 32,180,210 | 28,380,790 | |
| Share capital | 16 | 191,012 | 191,012 |
| Adjustments for paid-in capital | 16 | 4,020,734 | 4,020,734 |
| Share premium | 16 | 4,791,526 | 4,791,526 |
| Treasury shares | (984,336) | (984,336) | |
| Other comprehensive income or expenses that will not be reclassified |
(80,135) | (106,837) | |
| - Accumulated gain/(loss) on remeasurement of defined benefit | |||
| Plans | (80.135) | (106,837) | |
| Other comprehensive income or expenses that will be reclassified | 16 | (53.474) | 148 |
| - Foreign currency translation differences | (53.474) | 148 | |
| Restricted reserves | 16 | 118,636 | 118,636 |
| Accumulated income | 16 | 20,101,411 | 13,815,008 |
| Net profit for the period | 4,074,836 | 6,534,899 | |
| Non-controlling interest | 1,566,955 | 1,137,222 | |
| TOTAL LIABILITIES AND EQUITY | 73,135,655 | 59,317,396 |
The accompanying notes form an integral part of these consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Unaudited | Unaudited | Unaudited | Unaudited | ||
|---|---|---|---|---|---|
| 1 January-30 | 1 July-30 | 1 January-30 | 1 July-30 | ||
| September | September | September | September | ||
| Notes | 2025 | 2025 | 2024 | 2024 | |
| PROFIT OR LOSS | |||||
| Revenue | 17 | 39,221,033 | 13,064,033 | 36,748,527 | 13,039,311 |
| Cost of sales (-) | 17 | (28,275,397) | (9,084,720) | (26,791,122) | (9,133,950) |
| GROSS PROFIT | 10,945,636 | 3,979,313 | 9,957,405 | 3,905,361 | |
| General administration expenses (-) | 18 | (3,403,751) | (1,067,630) | (3,061,907) | (1,118,310) |
| Other income from operating activities | 19 | 1,533,587 | 230,987 | 839,216 | 300,307 |
| Other expenses from operating activities (-) | 19 | (1,595,053) | (475,443) | (1,062,633) | (325,080) |
| OPERATING PROFIT | 7,480,419 | 2,667,227 | 6,672,081 | 2,762,278 | |
| Income from investing activities | 20 | 416,014 | 415,711 | 2,315,326 | 1,123,724 |
| Expense from investing activities (-) | 20 | (2,044) | (76) | (7,810) | - |
| OPERATING PROFIT BEFORE | |||||
| FINANCE EXPENSE | 7,894,389 | 3,082,862 | 8,979,597 | 3,886,002 | |
| Finance expenses (-) | 21 | (3,196,399) | (987,508) | (2,606,938) | (838,206) |
| Monetary gain/(loss) | 22 | 1,688,608 | 416,709 | 1,496,188 | 185,708 |
| NET PROFIT BEFORE TAX | 6,386,598 | 2,512,063 | 7,868,847 | 3,233,504 | |
| Tax expense from operations | (1,882,029) | (680,558) | (1,943,523) | (292,283) | |
| Current tax expense | 23 | (992,461) | (291,728) | (772,964) | (369,344) |
| Deferred tax gain/loss net | 23 | (889,568) | (388,830) | (1,170,559) | 77,061 |
| NET PROFIT | 4,504,569 | 1,831,505 | 5,925,324 | 2,941,221 | |
| Allocation of net profit | |||||
| Non-controlling interest | 429,733 | 212,606 | 537,964 | 154,332 | |
| Equity holders of the parent | 4,074,836 | 1,618,899 | 5,387,360 | 2,786,889 | |
| NET PROFIT FOR THE YEAR | 4,504,569 | 1,831,505 | 5,925,324 | 2,941,221 | |
| Basic gain per share | 24 | 21.33 | 8.48 | 28.20 | 14.59 |
| OTHER COMPREHENSIVE EXPENSES | (26,920) | (26,297) | (11,685) | 877 | |
| Items that will not be reclassified | |||||
| subsequently to profit or loss | |||||
| Remeasurement of defined benefit plans | 35,603 | (21,066) | (15,580) | 1,169 | |
| Income tax relating to items that will not be | |||||
| reclassified subsequently | (8,901) | 5,266 | 3,895 | (292) | |
| Items that will be reclassified subsequently | |||||
| to profit or loss | |||||
| Foreign currency translation differences | (53,622) | (10,497) | - | - | |
| TOTAL COMPREHENSIVE INCOME | 4,477,649 | 1,805,208 | 5,913,639 | 2,942,098 | |
| Total comprehensive profit distribution | |||||
| Non-controlling interest | 429,733 | 212,606 | 537,964 | 154,332 |
The accompanying notes form an integral part of these consolidated financial statements
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Other comprehensive income or expenses that will not be reclassified |
Other comprehensive income or expenses that will be reclassified |
Accumulated gain | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Share capital |
Share premium |
Positive distinction from share capital adjustment |
Treasury shares |
Accumulated gain/(loss) on remeasurement of defined benefit plans |
Foreign currency translation differences |
Restricted reserves |
Accumulated deficit |
Net profit for the period |
Equity Attributabe to the Owner of the Company |
Non controlling interest |
Total equity | |
| Balance as at January 1, 2024 | 208,037 | 4,025,063 | 4,791,526 | (3,487,124) | (73,864) | - | 118,636 | 9,168,598 | 8,202,807 | 22,953,679 | 393,502 | 23,347,181 |
| Other comprehensive income for the period, net of tax | - | - | - | - | (11,685) | - | - | - | - | (11,685) | - | (11,685) |
| Net profit for the period | - | - | - | - | - | - | - | - | 5,387,360 | 5,387,360 | 537,965 | 5,925,325 |
| Total comprehensive gain/(loss) for the period | - | - | - | - | (11,685) | - | - | - | 5,387,360 | 5,375,675 | 537,965 | 5,913,640 |
| Transfers | - | - | - | - | - | - | - | 8,202,807 | (8,202,807) | - | - | - |
| Increase/(decrease) due to share repurchase transactions | - | - | - | (828,891) | - | - | - | - | - | (828,891) | - | (828,891) |
| Dividend distribution | - | - | - | - | - | - | (166,484) | - | (166,484) | - | (166,484) | |
| Balance as at September 30, 2024 | 208,037 | 4,025,063 | 4,791,526 | (4,316,015) | (85,549) | - | 118,636 | 17,204,921 | 5,387,360 | 27,333,979 | 931,467 | 28,265,446 |
| Balance as at January 1, 2025 | 191,012 | 4,020,734 | 4,791,526 | (984,336) | (106,837) | 148 | 118,636 | 13,815,008 | 6,534,899 | 28,380,790 | 1,137,222 | 29,518,012 |
| Other comprehensive income for the period, net of tax | - | - | - | - | 26,702 | (53,622) | - | - | - | (26,920) | - | (26,920) |
| Net profit for the period | - | - | - | - | - | - | - | - | 4,074,836 | 4,074,836 | 429,733 | 4,504,569 |
| Total comprehensive gain/(loss) for the period | - | - | - | - | 26,702 | (53,622) | - | - | 4,074,836 | 4,047,916 | 429,733 | 4,477,649 |
| Transfers | - | - | - | - | - | - | - | 6,534,899 | (6,534,899) | - | - | - |
| Dividend distribution | - | - | - | - | - | - | - | (248,496) | - | (248,496) | - | (248,496) |
| Balance as at September 30, 2025 | 191,012 | 4,020,734 | 4,791,526 | (984,336) | (80,135) | (53,474) | 118,636 | 20,101,411 | 4,074,836 | 32,180,210 | 1,566,955 | 33,747,165 |
The accompanying notes form an integral part of these consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Unaudıted 1 January- 30 |
Unaudıted 1 January- 30 |
||
|---|---|---|---|
| Notes | September 2025 | September 2024 | |
| CASH FLOWS FROM OPERATING ACTIVITIES Profit / (loss) for the period |
5,158,392 4,504,569 |
8,019,315 5,925,324 |
|
| Profit / (loss) continuing operations | 4,076,333 | 935,647 | |
| - Adjustments related to depreciation and amortization expenses | 10 | 2,913,065 | 2,552,208 |
| - Adjustments related to impairment (reversal | 6,892 | (18,892) | |
| Adjustments related to impairment (reversal) of receivables | 6,892 | (18,892) | |
| - Adjustments related to provisions | 6 | 106,975 | 45,905 |
| Adjustments related to (reversal) of provision for employment benefits | 26,702 | (11,685) | |
| Adjustments related to lawsuit (reversal) of provision for lawsuit | 80,273 | 57,590 | |
| - Adjustments related to interest (income) expense | 1,164,115 | 1,793,091 | |
| Adjustments related to interest income | (1,651,400) | (628,645) | |
| Adjustments related to interest expense | 21 | 2,815,515 | 2,421,736 |
| - Adjustments related to tax (gain) loss | 23 | 1,201,470 | 1,516,018 |
| - Other adjustments related to non-cash items | (30,766) | (42,823) | |
| - Adjustments regarding to (gain) loss on sale of fixed assets | (966) | 7,810 | |
| Adjustments regarding to (gain) loss on sale of tangible assets | (966) | 7,810 | |
| Adjustments for losses (gains) arising from disposal of subsidiaries or joint operations | (414,936) | (2,315,326) | |
| Monetary gain/ loss | (869,516) | (2,602,344) | |
| Changes in working | (2,304,891) | 1,955,239 | |
| - Adjustments related to increase in trade receivables | (3,068,940) | (3,234,770) | |
| - Adjustments related to increase in inventories | 253,821 | 652,866 | |
| - Adjustments related to increase in trade payables | 1,307,984 | 2,242,044 | |
| - Adjustments related to inrcrease in other payables from operations | (724,241) | 1,962,761 | |
| - Adjustments related to other (increase) decrease in working capital | (73,515) | 332,338 | |
| Adjustments related to inrcrease in other payables from other asset | (73,515) | 332,338 | |
| Cash generated from operations | 6,276,011 | 8,816,210 | |
| - Payments related with provision for employee benefits - Tax paid |
(155,405) | (97,834) | |
| Payments for other provisions | 23 | (956,413) | (730,341) |
| - Other cash inflows (outflows) | 6 | (6,200) 399 |
31,193 87 |
| CASH FLOWS FROM INVESTING ACTIVITIES | (7,195,586) | (3,464,734) | |
| -Proceeds from sales of property, plant, equipment and intangible assets | 10 | 2,616 | 5,629 |
| Proceeds from sales of property, plant, equipment | 2,616 | 5,629 | |
| -Payment for purchase of property, plant and equipment, intangible assets | (5,712,374) | (3,272,979) | |
| Payment for purchase of property, plant and equipment | 10 | (4,862,835) | (2,903,644) |
| Payment for purchase of intangible assets | 10 | (849,539) | (369,335) |
| - Cash payments for capital expenditures | 9 | (1,485,828) | (197,384) |
| CASH FLOWS FROM FINANCING ACTIVITIES | 7,209,191 | (3,782,170) | |
| - Cash inflows from borrowings | 13,092,815 | 1,047,044 | |
| Cash inflows from loans | 6,092,815 | 1,047,044 | |
| Cash inflows from debt securities issued | 7,000,000 | - | |
| - Bank borrowings paid | (2,590,546) | (895,160) | |
| Cash used for repayment of borrowings | (590,546) | (228,690) | |
| Cash used for repayment of bonds | (2,000,000) | (666,470) | |
| - Repayment of lease liabilities | (1,699,532) | (1,326,113) | |
| - Repayment of obligations under finance leases | (15,489) | (24,270) | |
| - Interest paid | (2,980,961) | (2,216,941) | |
| - Interest received | 1,651,400 | 628,645 | |
| - Dividend paid | (248,496) | (166,484) | |
| - Cash Outflows Related to Repurchase of Own Shares or Reduced Capital (-) | - | (828,891) | |
| NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS BEFORE THE EFFECT OF FOREIGN CURRENCY TRANSLATION DIFFERENCES |
5,171,997 | 772,411 | |
| THE EFFECT OF FOREIGN CURRENCY TRANSLATION DIFFERENCES | |||
| ON CASH AND CASH EQUIVALENTS | (53,622) | ||
| NET INCREASE / (DECREASE) IN CASH AND CASH EQUIVALENTS | 5,118,375 | - 772,411 |
|
| CASH AND CASH EQUIVALENTS AT THE BEGINNING OF THE PERIOD | 4 | 3,421,243 | 5,093,031 |
| INFLATION EFFECT ON CASH AND CASH EQUIVALENTS | (693,623) | (1,344,304) |
The accompanying notes form an integral part of these consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
MLP Sağlık Hizmetleri A.Ş. ("MLP Sağlık") has started its healthcare services operations in 1993, with the opening of Sultangazi Medical Center within the structure of Yükseliş Sağlık Hizmetleri Gıda Tekstil San. Ltd. Şti. in which Muharrem Usta is the majority shareholder. Following this, in 1995, it continues its operations, with the opening of Fatih Hospital under the legal entity of Saray Sağlık Hizmet Ticaret ve Sanayi A.Ş. in which Muharrem Usta was the majority shareholder. In 2005, with the establishment of MLP Sağlık, Fatih and Sultangazi Hospitals were merged under the legal entity of MLP Sağlık.
As of September 30, 2025, MLP is the holding company of 16 subsidiaries (December 31, 2024: 15) (collectively referred as the "Group"), each operating in the healthcare sector in Turkey.
The Company's head office is located in Otakçılar Caddesi No 78 3450, Eyüp, İstanbul.
The Group has an agreement with the Social Security Institution of Turkey (the "SSI") which includes service commitment in all branches disclosed in the Operations Approval Document. SSI is a state enterprise which pays the healthcare expenditures of the citizens of Turkey who are members of the social security system based on the law numbered 5510, and manages social security premiums and short and long term insurance expenses. According to the agreement, the Group is obliged to provide the healthcare services and to issue invoices to the SSI and patients in line with the Communiqué of Health Services published by the SSI. This transaction is performed through Medula, a web based software system, by assessing the right of the patient and obtaining provisions. As a result of the assessment the expenses relating to patients with no SSI, coverage is not charged to SSI. The healthcare expenses provided to the patients are invoiced based on the terms of the Communiqué of Health Services. In this Communiqué SSI determined a price list based on the treatments provided. Invoices are issued based on the price list announced by the Communiqué. SSI has the right not to pay the invoice or make a deduction if the treatments provided are not in compliance with the terms.
The Company is registered to the Capital Markets Board ("CMB") and its shares have been quoted on the Borsa İstanbul A.Ş. ("BİAŞ or "Borsa" or "BİST") since February 13, 2018. In accordance with the resolution numbered 21/655 on July 23, 2010 of CMB; according to the records of Central Registry Agency (CRA); shares representing 41.73% as of September 30 2025, of MLP Sağlık are accepted as "in circulation". As of October 1, 2025, this ratio is 41.73% (Note 16).
The number of employees of the Group as at 30 September 2025 is 12,446 (31 December 2024: 13,278)
Board of Directors has approved the financial statements and delegated authority for publishing it on November 5, 2025.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
As of September 30, 2025, the subsidiaries of the Company are:
| Location and base | |
|---|---|
| Name | of operation |
| 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 |
| 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 |
| 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 |
| Livist Sağlık Hizmetleri Ltd, | Kıbrıs |
| MLP İzmir Sağlık Hizmetleri A.Ş. | İstanbul – İzmir |
| MLP Ataşehir Sağlık Hizmetleri A.Ş. | İstanbul |
| MLPARK Facilities Management Services L.L.C | Dubai |
The condensed consolidated financial statements of the Group have been prepared in accordance with the Turkish Financial Reporting Standards, ("TFRS") and interpretations as adopted in line with international standards by the Public Oversight Accounting and Auditing Standards Authority of Turkey ("POA") in line with the communiqué numbered II-14.1 "Communiqué on the Principles of Financial Reporting In Capital Markets" ("the Communiqué") announced by the Capital Markets Board of Turkey ("CMB") on June 13, 2013 which is published on Official Gazette numbered 28676.
The Company prepared its condensed interim financial statements for the period ended 30 September 2025 in accordance with ("IAS") 34 "Interim Financial Reporting". The condensed interim financial statements and its accompanying notes are presented in compliance with the format recommended by CMB including its mandatory information. In compliance with the IAS 34, entities have preference in presenting their interim financial statements whether full set or condensed. In this framework, the Company preferred to present its interim financial statements in condensed.
Interim condensed financial statements of the Group do not include all the information and disclosures required in the annual financial statements, therefore should be read in conjunction with the Company's annual financial statements as of 31 December 2024.
The financial statements of each entity within the Group are presented in the currency of the primary economic environment in which they operate (the functional currency). The financial position and performance of each entity are expressed in Turkish Lira ("TL"), which is the Group's functional currency as well as the presentation currency for the consolidated financial statements. As of September 30, 2025, the functional currency of the Kosovo branch of Samsun Medikal Grup Özel Sağlık Hizmetleri A.Ş. is the Euro ("EUR"), while the functional currency of the company operating in Dubai is the United Arab Emirates Dirham ("AED").The income statements of Group companies that prepare their financial statements in a functional currency other than TL are translated into TL at the average exchange rate for the relevant year. The assets and liabilities of these Group companies are translated into TL at the closing exchange rate at the end of the period. Exchange differences arising from the translation of the opening net assets of these companies into TL, as well as the differences between the average and closing exchange rates, are recognized under equity in the foreign currency translation differences account.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
The Group's consolidated financial statements have been prepared in comparison with the previous period in order to give accurate trend analysis regarding the financial position and performance. Where necessary, comparative figures have been reclassified to conform to the presentation of the current period consolidated financial statements and significant changes are explained.
The details of the Company's subsidiaries as at September 30, 2025 and December 31, 2024 are as follows:
| Subsidiaries | Place of incorporation and operation |
30 September 2025 |
31 December 2024 |
Principal activity |
|---|---|---|---|---|
| Tokat Hastanesi | Tokat | 58,84% | 58,84% | Hospital services |
| Samsun Hastanesi (2) | Samsun | 80,00% | 80,00% | Hospital services |
| MS Sağlık | Ankara | 100,00% | 100,00% | Hospital services |
| Mediplaza | Gebze-İzmit | 75,00% | 75,00% | Hospital services |
| BTR Sağlık Hizmetleri | İstanbul | 100,00% | 100,00% | Hospital services |
| Meditime Sağlık | İstanbul | 100,00% | 100,00% | Hospital services |
| MLP Gaziantep Sağlık | Gaziantep | 100,00% | 100,00% | Hospital services |
| Sotte Sağlık Temizlik Yemek | İstanbul - Ankara | 100,00% | 100,00% | Hospital services |
| Livist Sağlık Hizmetleri Ltd. | Kıbrıs | 99,99% | 99,99% | Hospital services |
| MLP İzmir | İstanbul - İzmir | 65,00% | 65,00% | Hospital services |
| Kuzey | Ankara | 100,00% | 100,00% | Ancillary services |
| Artımed | Ankara | 100,00% | 100,00% | Ancillary services |
| 21. Yüzyıl Anadolu Vakfı (1) | İstanbul | 100,00% | 100,00% | Ancillary services |
| Kuzey Doğu | İstanbul | 100,00% | 100,00% | Ancillary services |
| MLP Ataşehir | İstanbul | 64,00% | 64,00% | Ancillary services |
| MLPARK Facilities Man. Serv. L.L.C (3) | Dubai | 100,00% | 100,00% | Ancillary services |
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.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
The consolidated financial statements incorporate the financial statements of the Company and entities controlled by the Company and its subsidiaries. Control is achieved when the Company:
The Company reassesses whether or not it controls an investee if facts and circumstances indicate that there are changes to one or more of the three elements of control listed above.
In cases where the Company has no majority voting rights on the company/asset invested, it still has the control power over that company/asset if the Company alone has sufficient voting rights to manage the investment operations of that company/asset. The Company considers all events and requirements including the items listed below to evaluate if its voting power is sufficient to get control power in an investment:
Consolidation of a subsidiary begins when the Company obtains control over the subsidiary and ceases when the Company loses control of the subsidiary. Specifically, income and expenses of a subsidiary acquired or disposed of during the year are included in the consolidated statement of profit or loss and other comprehensive income from the date the Company gains control until the date when the Company ceases to control the subsidiary.
Profit or loss and each component of other comprehensive income are attributed to the owners of the Company and to the non-controlling interests. Total comprehensive income of subsidiaries is attributed to the owners of the Company and to the non-controlling interests even if this results in the non-controlling interests having a deficit balance.
Where necessary, adjustments are made to the financial statements of subsidiaries to bring their accounting policies in line with those used by other members of the Group.
All intra-group assets and liabilities, equities, income and expenses and cash flows resulting from of Group companies' transactions are eliminated on consolidation.
Changes in the Group's ownership interests in subsidiaries that do not result in the Group losing control over the subsidiaries are accounted for as equity transactions. The carrying amounts of the Group's interests and the noncontrolling interests are adjusted to reflect the changes in their relative interests in the subsidiaries. Any difference between the amount by which the non-controlling interests are adjusted and the fair value of the consideration paid or received is recognized directly in equity and attributed to owners of the Company.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
Changes in the Group's ownership interests in existing subsidiaries (Continued)
When the Group loses control of a subsidiary, a gain or loss is recognised in profit or loss and is calculated as the difference between (i) the aggregate of the fair value of the consideration received and the fair value of any retained interest and (ii) the previous carrying amount of the assets (including goodwill), and liabilities of the subsidiary and any non-controlling interests. All amounts previously recognised in other comprehensive income in relation to that subsidiary are accounted for as if the Group had directly disposed of the related assets or liabilities of the subsidiary (i.e. reclassified to profit or loss or transferred to another category of equity as specified/permitted by applicable IFRSs). The fair value of any investment retained in the former subsidiary at the date when control is lost is regarded as the fair value on initial recognition for subsequent accounting under IAS 39, when applicable, the cost on initial recognition of an investment in an associate or a joint venture.
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 30 September 2025, 31 December 2024 and 30 September 2024 inflation adjustment has been made in accordance with TAS 29.
The financial statements and related figures for previous periods have been restated for changes in the general purchasing power of the functional currency and, consequently, the financial statements and related figures for previous periods are expressed in terms of the measuring unit current at the end of the reporting period in accordance with TAS 29 Financial Reporting in Hyperinflationary Economies.
TAS 29 applies to the financial statements, including the consolidated financial statements, of each entity whose functional currency is the currency of a hyperinflationary economy. If an economy is subject to hyperinflation, TAS 29 requires an entity whose functional currency is the currency of a hyperinflationary economy to present its financial statements in terms of the measuring unit current at the end of the reporting period.
As at the reporting date, entities operating in Turkey are required to apply TAS 29 "Financial Reporting in Hyperinflationary Economies" for the reporting periods ending on or after 31 December 2023, as the cumulative change in the general purchasing power of the last three years based on the Consumer Price Index ("CPI") is more than 100%.
The table below shows the inflation rates for the relevant years calculated by taking into account the Consumer Price Indices published by the Turkish Statistical Institute (TURKSTAT):
| Date | Indeks | Adjusment Coefficient |
|---|---|---|
| 30.09.2025 | 3,367.22 | 1.00000 |
| 31.12.2024 | 2,684.55 | 1.25430 |
| 30.09.2024 | 2,526.16 | 1.33294 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
Restatement of financial statements during periods of high inflation (Continued)
The main lines of TAS 29 indexation transactions are as follows:
Significant changes made in accounting policies are applied retrospectively and prior year financial statements are restated. In current period, the Group has no changes in its accounting policies other than the change disclosed in Note 2.1.
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.
Preparation of consolidated financial statements requires management to make estimations and assumptions which may affect the reported amounts of assets and liabilities as of the statement of financial position date, the disclosure of contingent assets and liabilities and the reported amounts of income and expenses during the financial period. The accounting assessments, estimates and assumptions are reviewed considering past experiences, other factors and reasonable expectations about future events under current conditions. Although the estimations and assumptions are based on the best estimates of the management's existing incidents and operations, they may differ from the actual results.
a) Amendments that are mandatorily effective from 2025
Amendments to TAS 21 Lack of Exchangeability
The amendments contain guidance to specify when a currency is exchangeable and how to determine the exchange rate when it is not. Amendments are effective from annual reporting periods beginning on or after 1 January 2025.
The Group evaluates the effects of these standards, amendments and improvements on the consolidated financial statements.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
The Group has not yet adopted the following standards and amendments and interpretations to the existing standards:
TFRS 17 Insurance Contracts
Amendments to TFRS 17 Initial Application of TFRS 17 and TFRS 9 — Comparative
Information
TFRS 18 Presentation and Disclosures in Financial Statements
Amendments TFRS 9 and TFRS 7 Classification and measurement of financial instruments
Amendments TFRS 9 and TFRS 7 Power purchase arrangements
TFRS 19 Subsidiaries without Public Accountability: Disclosures
Annual Improvements Annual Improvements to TFRS Accounting Standards –
Volume 11
TFRS 17 requires insurance liabilities to be measured at a current fulfillment value and provides a more uniform measurement and presentation approach for all insurance contracts. These requirements are designed to achieve the goal of a consistent, principle-based accounting for insurance contracts. TFRS 17 has been deferred for insurance, reinsurance and pension companies for a further year and will replace TFRS 4 Insurance Contracts on 1 January 2026.
Amendments have been made in TFRS 17 in order to reduce the implementation costs, to explain the results and to facilitate the initial application.
The amendment permits entities that first apply TFRS 17 and TFRS 9 at the same time to present comparative information about a financial asset as if the classification and measurement requirements of TFRS 9 had been applied to that financial asset before. Amendments are effective with the first application of TFRS 17.
TFRS 18 includes requirements for all entities applying TFRS for the presentation and disclosure of information in financial statements. Applicable to annual reporting periods beginning on or after 1 January 2027.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
c) New and revised TFRSs in issue but not yet effective
The amendments address matters identified during the post-implementation review of the classification and measurement requirements of TFRS 9 Financial Instruments. Amendments are effective from annual reporting periods beginning on or after 1 January 2026.
The amendments aim at enabling entities to include information in their financial statements that in the IASB's view more faithfully represents contracts referencing nature-dependent electricity. Amendments are effective from annual reporting periods beginning on or after 1 January 2026.
TFRS 19 specifies the disclosure requirements an eligible subsidiary is permitted to apply instead of the disclosure requirements in other IFRS Accounting Standards. Applicable to annual reporting periods beginning on or after 1 January 2027.
The pronouncement comprises the following amendments:
Annual reporting periods beginning on or after 1 January 2026.
(Amounts expressed in thousands Turkish Lira ("TRY") 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.
The details of short-term receivables and payables as of 30 September 2025 are as follows:
| 30 September 2025 | ||||||
|---|---|---|---|---|---|---|
| Receivables | Payables | |||||
| Short-term | Short-term | |||||
| Shareholders | Trade | Non-trade | Trade | Non-trade | ||
| Muharrem Usta (*) | - | 369,795 | - | 50 | ||
| Adem Elbaşı | - | 17,606 | - | - | ||
| Hikmet Çavuş | - | 62,348 | - | - | ||
| Fatih Mehmet Yalçınkaya | - | - | - | 18,183 | ||
| Other companies controlled by the shareholders | ||||||
| A ve A Sağlık A.Ş. (2) | 1,177 | - | 15,612 | - | ||
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 1,732 | - | 22,569 | - | ||
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (3) | - | - | 11,025 | - | ||
| Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. | 2 | - | 509 | - | ||
| Saray Eczanesi | - | - | 63 | - | ||
| Samsunpark Özel Sağlık Tıbbı | - | - | 13,623 | - | ||
| Malz. İnş. Tur. Tem. Tic. A.Ş. (4) | ||||||
| Tokat Emar Sağlık Hiz. Ltd. Şti. | - | - | 110 | - | ||
| Özel Gebze Sentez Sağlık Hizmetleri Ve Tic. A.Ş. | - | - | - | 7 | ||
| MLP Healthcare Uk (5) | 41,638 | - | - | - | ||
| Miniso Mağazıcılık A.Ş. | 1,421 | - | - | - | ||
| Other | 51 | 139 | - | 4 | ||
| 46,021 | 449,888 | 63,511 | 18,244 |
(*) Non-trade receivables from Muharrem Usta is short term due date and interest charge from the current value of internal debt ratio of Group.
(1) A ve A Özel Sağ. Hiz. ve Cih. Teks. San. Tic. Ltd. Şti. provides cleaning materials for the hospitals.
(2) Fom Grup Mimarlık İnşaat ve Tic. A.Ş. provides turn key project management services for the furniture & fixture and leasehold improvements of the hospitals and audit of construction of the Group hospitals.
(3) Samsunpark Özel Sağlık Tıbbı Malz. İnş. Tur. Tem. Tic. A.Ş. provides cleaning, catering and laundry services for the Group.
(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.
(5) MLP Healthcare UK operates in the healthcare sector and provides healthcare-related consulting services.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| 31 December 2024 | ||||||
|---|---|---|---|---|---|---|
| Receivables | Payables | |||||
| Short-term | Short-term | |||||
| Shareholders | Trade | Non-trade | Trade | Non-trade | ||
| Muharrem Usta (*) | - | 315.379 | - | 63 | ||
| Adem Elbaşı | - | 14.026 | - | - | ||
| Hikmet Çavuş | - | 13.504 | - | - | ||
| Fatih Mehmet Yalçınkaya | - | - | - | 22.807 | ||
| Other companies controlled by the shareholders | ||||||
| A ve A Sağlık A.Ş. (2) | - | - | 26.427 | - | ||
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (4) | - | - | 11.173 | - | ||
| Pozitif Medikal Sistemler San. ve Tic. Ltd. Şti. | - | - | 638 | - | ||
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 292 | - | 28.208 | - | ||
| Saray Eczanesi | - | - | 85 | - | ||
| Samsunpark Özel Sağlık Tıbbı Malz. İnş. Tur. Tem. Tic. A.Ş. (3) | - | - | 21.949 | - | ||
| MLP Healthcare Uk (5) | 36.727 | - | - | - | ||
| Tokat Emar Sağlık Hiz. Ltd. Şti. | - | - | 207 | - | ||
| Özel Gebze Sentez Sağlık Hizmetleri Ve Tic. A.Ş. | - | - | - | 9 | ||
| Other | 101 | 174 | - | 4 | ||
| 37.120 | 343.083 | 88.687 | 22.883 |
(*) Non-trade receivables from Muharrem Usta is short term due date and interest charge from the current value of internal debt ratio of Group.
(5) MLP Healthcare UK operates in the healthcare sector and provides healthcare-related consulting services.
| Advances given to related parties and prepaid expenses | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 13,850 | 17,372 |
| Sanport Gayrimenkul Geliştirme İnş.Ve Tic.A.Ş | 279 | 349 |
| 14,129 | 17,721 | |
| Fixed asset advances given to related parties | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (1) | 1,759,870 | 1,759,870 |
| 1,759,870 | 1,759,870 |
(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.
(1) Fom Grup Mimarlık İnşaat ve Tic. A.Ş. provides turnkey project management services for the furniture & fixture and leasehold improvements of the hospitals and audit of ongoing construction of the Group hospitals.
(2) A ve A Özel Sağ. Hiz. ve Cih. Teks. San. Tic. Ltd. Şti. provides cleaning materials for the hospitals.
(3) Samsunpark Özel Sağlık Tıbbı Malz. İnş. Tur. Tem. Tic. A.Ş. provides cleaning, catering and laundry services for the Group.
(4) Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. provides cleaning and catering services for the Group.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| 30 September 2025 | 31 December 2024 | |||
|---|---|---|---|---|
| Lease liabilities from related parties | Short-term | Long-term | Short-term | Long-term |
| Sanport Gayrimenkul Geliştirme İnş. ve Tic. A.Ş | 188,293 | 779,971 | 247,258 | - |
| Fom Grup Mimarlık İnşaat Ve Tic. A.Ş. | 56,308 | 59,532 | 47,701 | 97,142 |
| Atakum Özel Sağlik Hizmetleri İnş.Turizm ve San. Tic. A.Ş. | 13,550 | 422,470 | 23,744 | 499,478 |
| Özel Gebze Sentez Sağlık Hizmetleri ve Tic. A.Ş. | 42,424 | 12,375 | 27,815 | 35,742 |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. | 18,302 | 15,315 | 15,400 | 26,548 |
| Bilmed Eğitim ve Sağlık Hizmetleri A.Ş. | 30 | 13,278 | - | - |
| Usfam Sağlık Bilişim Tic. A.Ş. | 29 | 13,278 | - | - |
| 318,936 | 1,316,219 | 361,918 | 658,910 |
| 1 January-30 | 1 January-30 | |
|---|---|---|
| Purchases from related parties | September 2025 | September 2024 |
| A ve A Sağlık A.Ş. (1) | 86,435 | 105,897 |
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. (2) | 52,480 | 55,263 |
| 138,915 | 161,160 |
(1) Cleaning material purchaases
(2) Hospital rent expenses
| 1 January-30 | 1 January-30 | |
|---|---|---|
| Operating expenses (including purchase of services) | September 2025 | September 2024 |
| Sanport Gayrimenkul Geliştirme İnş. ve Tic.A.Ş (1)(5) | 433,885 | 323,974 |
| Samsunpark Özel Sağ. Tıbbi Malz. İnş. Tur. Tem. Tic. A.Ş. (3) | 87,797 | 122,129 |
| Atakum Özel Sağlik Hiz. İnş. Turizm ve San. Tic. A.Ş. (1) | 108,303 | 80,308 |
| Cotyora Med. Özel Sağ. Taah. Hz. İnş. Tr. Loj. Ltd. Şti. (3) | 57,489 | 55,601 |
| Livart Tüp Bebek Özel Sağlık Hizm. A.Ş. (2) | 32,535 | 66,401 |
| Atk Sağlık Hizmetleri Ve Danışmanlık A.Ş. | 21,371 | 15,442 |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. (1) | 20,385 | 19,383 |
| Tokat Emar Sağlık Hiz. Ltd. Şti. (2) (4) | 12,167 | 12,094 |
| Saray Eczanesi | 595 | 1,875 |
| Özdenler Sağ. Hiz. Dan. Turz. Gıd. San. Tic. Ltd. Şti. (2) | 3,264 | 2,390 |
| 777,791 | 699,597 |
(1) Hospital rent expenses
(2) Doctor expenses
(3) Cleaning, catering and laundry services
(4) Medical equipment rent expenses
(5) Drug purchase expenses
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Sales to related parties | 1 January-30 September 2025 |
1 January-30 September 2024 |
|---|---|---|
| A ve A Sağlık A.Ş. | 1,127 | 723 |
| Cotyora Med.Özel Sağ.Taah. Hz. İnş. Tr. Loj. Ltd. Şti. | 1,753 | 1,366 |
| Samsunpark Özel Sağlık Tıbbi Malz. İnş. Turizm. Tem. Tic. A.Ş. | 2,230 | 1,937 |
| Fom Grup Mimarlık İnşaat ve Tic. A.Ş. | 1,558 | 936 |
| Tokat Medikal Grup Sağlık Turizm İnş. San. Tic. A.Ş. | 239 | 220 |
| Miniso Mağazacılık A.Ş. | 1,360 | - |
| Mlp Health UK | 109 | - |
| 8,376 | 5,182 |
| Interest income from related parties | 1 January-30 September 2025 |
1 January-30 September 2024 |
|---|---|---|
| Muharrem Usta | 120,112 | 87,930 |
| Adem Elbaşı | 5,541 | 3,116 |
| Hikmet Çavuş | 1,715 | - |
| 127,368 | 91,046 |
Key management personnel comprise general managers, deputy general managers and chief physicians of hospitals and head office management team.
The remuneration of directors and other members of key management during the year were as follows:
| 1 January 30 September 2025 |
1 July 30 September 2025 |
1 January 30 September 2024 |
1 July 30 September 2024 |
|
|---|---|---|---|---|
| Salaries and other short term benefits | 189,976 | 52,811 | 148,872 | 52,177 |
| 189,976 | 52,811 | 148,872 | 52,177 |
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Cash on hand | 47,971 | 54,902 |
| Cash at banks | 7,736,159 | 3,319,054 |
| - Demand deposit | 507,732 | 830,785 |
| - Time deposit | 7,228,427 | 2,488,269 |
| Other cash equivalents (*) | 61,865 | 47,287 |
| 7,845,995 | 3,421,243 |
(*) Other cash equivalents consist of credit card receivables from banks.
As of 30 September 2025, the interest rates of the Group's time deposits in TRY are respectively 30%-43.25% and their terms are less than 3 months. (31 December 2024: 10%-48%)
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Short Term Bank Borrowings | - | 625,801 |
| Short Term Bonds Issued | - | 2,508,592 |
| Current Portion of Long Term Borrowings | 1,151,691 | 664,810 |
| - Current portion of long-term bank loans | 1,151,691 | 664,810 |
| Interest Expense Accruals | 8,681 | 455,432 |
| 1,160,372 | 4,254,635 | |
| Long Term Bank Borrowings | 5,379,345 | - |
| Long Term Bonds Issued | 7,000,000 | - |
| 12,379,345 | - | |
| Total Borrowings | 13,539,717 | 4,254,635 |
The Group issued bonds amounting to TL 5,000,000 on June 30, 2025, to be sold to qualified investors, with maturity of 24 months. The principal repayment will be made on June 28, 2027, and the interest rate is TLRef + 1.75%.
The Group issued green bonds amounting to TL 2,000,000 on June 30, 2025, to be sold to qualified investors, with a maturity of 24 months. The principal repayment will be made on June 28, 2027, and the interest rate is TLRef + 1.75%
The reconciliation of the liabilities arising from financing activities as of 1 January- 30 September 2025 and 1 January- 31 December 2024 are as follows:
| Foreign exchange |
30 | |||||
|---|---|---|---|---|---|---|
| 1 January 2025 |
Financing cash flows |
effect (Note21) |
Other (*) | Effect of Inflation |
September 2025 |
|
| Bank Loans | 4,254,635 | 9,477,589 | 729,496 | - | (922,003) | 13,539,717 |
| Finance lease obligations | 61,588 | (9,837) | 4,671 | - | (10,323) | 46,099 |
| Lease obligations | 5,704,256 | (1,699,532) | 35,935 | 3,590,210 | (1,158,644) | 6,472,225 |
| 10,020,479 | 7,768,220 | 770,102 | 3,590,210 | (2,090,970) | 20,058,041 |
| 1 January 2024 |
Financing cash flows |
Foreign exchange effect (Note 21) |
Other (*) | Effect of Inflation |
31 December 2024 |
|
|---|---|---|---|---|---|---|
| Bank Loans | 6,772,811 | (436,368) | - | - | (2,081,808) | 4,254,635 |
| Finance lease obligations | 98,460 | (10,235) | 1,533 | - | (28,170) | 61,588 |
| Lease obligations | 4,095,208 | (1,762,437) | 31,320 | 4,610,328 | (1,270,163) | 5,704,256 |
| 10,966,479 | (2,209,040) | 32,853 | 4,610,328 | (3,380,141) | 10,020,479 |
(*) Some of the lease obligations within the scope of TFRS 16 are due to the re-measurement of the reduced lease obligations and interest expenses due to the change in the lease payments realized within the period.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
As of September 30, 2025 and December 31, 2024 the repayment schedule of the total borrowings as follows:
| Weighted Average Effective Interest | ||||
|---|---|---|---|---|
| Currency Type | Rate | Current | Non-Current | Total |
| TL | 31,32% | 420,408 | - | 420,408 |
| TL | TLRef+1,75,2,45 | - | 8,000,000 | 8,000,000 |
| Euro | Euribor +0,89; +3,40; +3,60 | 739,964 | 4,379,345 | 5,119,309 |
| 1,160,372 | 12,379,345 | 13,539,717 |
| Weighted Average Effective Interest | ||||
|---|---|---|---|---|
| Currency Type | Rate | Current | Non-Current | Total |
| TL | ||||
| 49,25% | 4,160,562 | - | 4,160,562 | |
| TL | TLRef+13,55,TRLibor+5,80 | 94,073 | - | 94,073 |
| 4,254,635 | - | 4,254,635 |
As of September 30, 2025, the Group has a cash blocked account amounting to TL 2,500,000 related to the loans utilized (December 31, 2024: None).
As at September 30, 2025 and December 31, 2024 the repayment schedule of the borrowings in TRY are as follows:
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Interest expense accruals | 8,681 | 455,433 |
| To be paid within 1 year | 1,121,805 | 3,799,202 |
| To be paid between 1-2 years | 10,423,650 | - |
| To be paid between 2-3 years | 709,224 | - |
| To be paid between 3-4 years | 554,031 | - |
| To be paid between 4-5 years | 399,852 | - |
| To be paid between 5-10 years | 322,474 | - |
| 13,539,717 | 4,254,635 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
The Group has the following finance lease obligations which arose mainly due to lease of medical machinery and equipment:
| Minimum lease payments | Present value of minimum lease payments |
|||
|---|---|---|---|---|
| 30 September 2025 |
31 December 2024 |
30 September 2025 |
31 December 2024 |
|
| Within one year | 36,143 | 61,596 | 29,083 | 43,943 |
| In second to sixth years inclusive | 13,710 | 11,441 | 17,016 | 17,645 |
| 49,853 | 73,037 | 46,099 | 61,588 | |
| Less: Future finance charges | (3,754) | (11,449) | - | - |
| Present value of finance lease obligations |
46,099 | 61,588 | 46,099 | 61,588 |
| Less: Amounts due to settlement within twelve months (shown under cuurent laibilities) |
- | - | 29,083 | 43,943 |
| Present value of finance lease obligations |
46,099 | 61,588 | 17,016 | 17,645 |
| Current trade receivables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Trade receivables | 6,055,916 | 5,659,597 |
| Notes receivables | 917 | 1,154 |
| Trade receivables from related parties (Note 3) | 46,021 | 37,120 |
| Income accruals from continuing treatments | 2,391,983 | 2,095,409 |
| Other trade income accruals | 111,036 | 26,329 |
| Allowance for doubtful receivables (-) | (152,859) | (184,652) |
| 8,453,014 | 7,634,957 |
| Non-current trade receivables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Income accruals | 1,053 | 1,321 |
| 1,053 | 1,321 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
Allowance for doubtful receivables for the trade receivables is determined depending on past experiences of irrecoverable amounts.
As of September 30, 2025, trade receivables of an initial value of TRY 152,859 (December 31, 2024: TRY 184,652) were fully impaired and fully provided for. No collaterals are received in relation to these trade receivables.
| 1 January-30 | 1 January-31 | |
|---|---|---|
| Movement of allowance for doubtful receivables | September 2025 | December 2024 |
| Opening balance | 184,652 | 254,677 |
| Charge for the period (Note 18) | 6,892 | 11,404 |
| Collections | (399) | (108) |
| Inflation effect | (38,286) | (81,321) |
| Ending balance | 152,859 | 184,652 |
| Current trade payables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Trade payables | 5,103,863 | 5,246,282 |
| Trade payables due to related parties (Note 3) | 63,511 | 88,687 |
| Other expense accruals | 2,073,123 | 2,122,499 |
| Other trade payables | 66,394 | 56,669 |
| 7,306,891 | 7,514,137 |
| Other current receivables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Receivables from tax office | 99,343 | 46,981 |
| Deposits given | 1,314 | 1,315 |
| Non-trading receivables due from related parties (Note 3) | 449,888 | 343,083 |
| Other miscellaneous receivables | 64,124 | 56,245 |
| 614,669 | 447,624 | |
| Other non-current receivables | 30 September 2025 | 31 December 2024 |
| Deposits and guarantess given | 1,516,660 | 935,167 |
1,516,660 935,167
| Other current payables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Other taxes and funds payable | 204,398 | 281,019 |
| Payables relating to business combinations (*) | 146,095 | 195,311 |
| Non-trading payables due to related parties (Note 3) | 18,244 | 22,883 |
| Other miscellaneous payables | 33,391 | 14,276 |
| 402,128 | 513,489 |
| Other non-current payables | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Payables relating to business combinations (*) | 1,107,226 | 1,219,418 |
| 1,107,226 | 1,219,418 |
(*) The Group has committed a payment schedule that will continue in the upcoming years as a result of some business combination contracts signed in 2014, 2020, 2022 and 2024. This liability represents the net present value of forthcoming payments.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Pharmaceutical Inventories | 785,305 | 1,045,360 |
| Labatory Inventories | 217,651 | 212,621 |
| Other inventories | 2,150 | 946 |
| 1,005,106 | 1,258,927 |
As of 30 September 2025, there are no pledges/mortgages on inventories (31 December 2024: None).
As of 30 September 2025, there is no impairment on inventories (31 December 2024: None).
| Short term prepaid expenses | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Advances given (*) | 444,238 | 411,836 |
| Advances given to related parties (Note:3) | 14,129 | 17,721 |
| Prepaid insurance expenses | 261,519 | 192,405 |
| Prepaid rent expenses | 124,172 | 77,301 |
| Prepaid sponsorship expenses | 4,449 | 3,229 |
| Other | 79,815 | 82,680 |
| 928,322 | 785,172 |
(*) Advances consist of mainly the turnkey hospital projects regarding new and renovated hospitals and the order advances given for the construction services for the hospitals under construction.
| Long term prepaid expenses | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Fixed asset advances given (*) | 3,959,543 | 2,473,714 |
| Fixed asset advances given to related parties | 1,759,870 | 1,759,870 |
| Prepaid rent expenses | - | 99 |
| Other | 27,941 | 13,641 |
| 5,747,354 | 4,247,324 |
(*) 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 | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Advances received (*) | 1,311,315 | 1,979,056 |
| Deferred revenue | 3,781 | 43,739 |
| 1,315,096 | 2,022,795 |
(*) 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 | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Deferred revenue | 1,053 | 1,321 |
| 1,053 | 1,321 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Land | Buildings | Machinery and equipments |
Vehicles | Furniture and fixtures |
Leased assets |
Leasehold improvements |
Construction in progress |
Total | |
|---|---|---|---|---|---|---|---|---|---|
| Cost | |||||||||
| Opening balance as of 1 January 2025 | 1,346,921 | 17,502 | 11,315,895 | 31,988 | 4,319,440 | 6,346,515 | 11,474,296 | 691,493 | 35,544,050 |
| Additions | 685,128 | - | 736,011 | - | 487,069 | - | 1,970,600 | 915,720 | 4,794,528 |
| Acquired Through Business Combinations(Note 26) | - | - | 68,307 | - | - | - | - | - | 68,307 |
| Foreign currency translation differences | - | - | 31,328 | - | - | - | - | - | 31,328 |
| Disposals | - | - | (77) | - | (4,316) | - | (18,652) | - | (23,045) |
| Closing balance as of 30 September 2025 |
2,032,049 | 17,502 | 12,151,464 | 31,988 | 4,802,193 | 6,346,515 | 13,426,244 | 1,607,213 | 40,415,168 |
| Accumulated depreciations | |||||||||
| Opening balance as of 1 January 2025 | - | (6,368) | (8,603,765) | (27,187) | (3,502,901) | (6,315,241) | (7,352,748) | - | (25,808,210) |
| Charge for the period (*) | - | (248) | (619,917) | (947) | (280,766) | (31,274) | (848,015) | - | (1,781,167) |
| Foreign currency translation differences | - | - | (1,295) | - | - | - | - | - | (1,295) |
| Disposals | - | - | 77 | - | 2,011 | - | 16,382 | - | 18,470 |
| Closing balance as of 30 September 2025 |
- | (6,616) | (9,224,900) | (28,134) | (3,781,656) | (6,346,515) | (8,184,381) | - | (27,572,202) |
| Carrying value as of 30 September 2025 |
2,032,049 | 10,886 | 2,926,564 | 3,854 | 1,020,537 | - | 5,241,863 | 1,607,213 | 12,842,966 |
(*) Depreciation and amortization expense of TRY 1,753,573 (January 1 - September 30, 2024: TRY 1,204,841) has been charged in 'cost of service', TRY 116,274 (January 1- September 30, 2024: TRY 152,608) has been charged in 'operating expenses' for the period ended between January 1- September 30, 2025.
(Amounts expressed in thousands Turkish Lira ("TRY") 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 2024 | 261,881 | 17,503 | 10,446,609 | 28,729 | 3,709,163 | 6,311,889 | 10,093,053 | 118,336 | 30,987,163 |
| Additions | 797,634 | - | 353,541 | 933 | 583,239 | 34,626 | 801,372 | 332,299 | 2,903,644 |
| Acquired Through Business Combinations | - | - | 202,281 | - | - | - | - | - | 202,281 |
| Disposals | - | - | (1,013) | - | (2,807) | - | - | - | (3,820) |
| Closing balance as of 30 September 2024 |
1,059,515 | 17,503 | 11,001,418 | 29,662 | 4,289,595 | 6,346,515 | 10,894,425 | 450,635 | 34,089,268 |
| Accumulated depreciations | |||||||||
| Opening balance as of 1 January 2024 | - | (6,038) | (7,881,305) | (26,307) | (3,231,381) | (6,165,633) | (6,675,699) | - | (23,986,363) |
| Charge for the period | - | (248) | (486,988) | (551) | (200,935) | (112,055) | (471,272) | - | (1,272,049) |
| Disposals | - | - | 1,013 | - | 626 | - | - | - | 1,639 |
| Closing balance as of 30 September 2024 |
- | (6,286) | (8,367,280) | (26,858) | (3,431,690) | (6,277,688) | (7,146,971) | - | (25,256,773) |
| Carrying value as of 30 September 2024 |
1,059,515 | 11,217 | 2,634,138 | 2,804 | 857,905 | 68,827 | 3,747,454 | 450,635 | 8,832,495 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Licenses | Rights | Other | Total | |
|---|---|---|---|---|
| Cost | ||||
| Opening balance as of 1 January 2025 | 10,038,063 | 2,343,393 | - | 12,381,456 |
| Additions | - | 54,880 | - | 54,880 |
| Acquired through business combinations | 1,209,595 | - | - | 1,209,595 |
| Foreign currency translation differences | - | 2,999 | - | 2,999 |
| Closing balance as of 30 September 2025 | 11,247,658 | 2,401,272 | - | 13,648,930 |
| Accumulated amortization | ||||
| Opening balance as of 1 January 2025 | - | (1,774,565) | - | (1,774,565) |
| Charge for the period | - | (88,680) | - | (88,680) |
| Foreign currency translation differences | (74) | - | (74) | |
| Closing balance as of 30 September 2025 | - | (1,863,319) | - | (1,863,319) |
| Carrying value as of 30 September 2025 | 11,247,658 | 537,953 | - | 11,785,611 |
| Licenses | Rights | Other | Total | |
| Cost | ||||
| Opening balance as of 1 January 2024 | 6,660,350 | 2,210,220 | 557 | 8,871,127 |
| Additions | - | 369,335 | - | 369,335 |
| Acquired through business combinations | 3,377,710 | - | - | 3,377,710 |
| Closing balance as of 30 September 2024 | 10,038,060 | 2,579,555 | 557 | 12,618,172 |
| Accumulated amortization | ||||
| Opening balance as of 1 January 2024 | - | (1,662,472) | (557) | (1,663,029) |
| Charge for the period | - | (85,400) | - | (85,400) |
| Closing balance as of 30 September 2024 | - | (1,747,872) | (557) | (1,748,429) |
| Hospital Buildings | Total | |
|---|---|---|
| Cost | ||
| 1 January 2025 | 15,771,659 | 15,771,659 |
| Additions | 2,645,131 | 2,645,131 |
| Charge of the period | (1,043,218) | (1,043,218) |
| 30 September 2025 | 17,373,572 | 17,373,572 |
(*) For the period ended September 30, 2025, right of use assets depreciation expenses of TRY 1,022,711 has been charged to 'cost of service' (1 January – 30 September 2024: TRY 1,171,274), TRY 20,507 to 'general administrative and marketing expenses (1 January – 30 September 2024: TRY 23,485).
| Hospital Buildings | Total | ||
|---|---|---|---|
| Cost | |||
| 1 January 2024 | 13,113,807 | 13,113,807 | |
| Additions | 1,929,445 | 1,929,445 | |
| Charge of the period | (1,194,759) | (1,194,759) | |
| 30 September 2024 | 13,848,493 | 13,848,493 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Fees payable to doctors and other personnel | 445,739 | 472,408 |
| Social security premiums payable | 194,298 | 181,133 |
| 640,037 | 653,541 |
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Unused vacation provision | 172,108 | 171,376 |
| 172,108 | 171,376 |
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Unused vacation provision | 132,932 | 121,105 |
| Retirement pay provision | 145,932 | 134,298 |
| 278,864 | 255,403 |
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| VAT carried forward | 832,825 | 426,236 |
| Other miscellaneous current assets | 263,553 | 58,727 |
| 1,096,378 | 484,963 |
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Litigation provisions | 55,730 | 51,550 |
| Social Security discounts provisions | 54,742 | 60,942 |
| 110,472 | 112,492 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Total TRY | ||||
|---|---|---|---|---|
| 30 September 2025 | Equivalent | TRY | USD | EUR |
| A.CPM given on behalf of its own legal entity | ||||
| - Collateral | 1,889,715 | 1,729,508 | 156 | 3,160 |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| B. CPM given on behalf of the subsidiaries included in full | ||||
| consolidation (*) | - | - | - | - |
| - Collateral | 262,927 | 262,927 | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| C. CPM given for execution of ordinary commercial activities to | ||||
| collect third parties debt | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| D. Total amount of other CPM given | - | - | - | - |
| i. Total Amount of CPM on behalf of the main partner | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| ii. Total amount of CPM given on behalf of other Company companies | ||||
| that do not cover B and C | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| iii. Total amount of CPM on behalf of third parties that do not cover C | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| Total | 2,152,642 | 1,992,435 | 156 | 3,160 |
(*) The Group has given guarantees amounting to TRY 258,727 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 suppliers.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Total TRY | ||||
|---|---|---|---|---|
| 31 December 2024 | Equivalent | TRY | USD | EUR |
| A.CPM given on behalf of its own legal entity | ||||
| - Collateral | 1,940,485 | 1,787,292 | 171 | 3,160 |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| B. CPM given on behalf of the subsidiaries included in full | ||||
| consolidation (*) | - | - | - | - |
| - Collateral | 218,759 | 218,759 | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| C. CPM given for execution of ordinary commercial activities to | ||||
| collect third parties debt | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| D. Total amount of other CPM given | - | - | - | - |
| i. Total Amount of CPM on behalf of the main partner | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| ii. Total amount of CPM given on behalf of other Company | ||||
| companies that do not cover B and C | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| iii. Total amount of CPM on behalf of third parties that do not | ||||
| cover C | - | - | - | - |
| - Collateral | - | - | - | - |
| - Pledge | - | - | - | - |
| - Mortgage | - | - | - | - |
| Total | 2,159,244 | 2,006,051 | 171 | 3,160 |
(*) The Group has given guarantees amounting to TRY 548,221 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 suppliers.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Shareholders | % | 30 September 2025 | % | 31 December 2024 |
|---|---|---|---|---|
| Sancak İnşaat Turizm Nakliyat ve Dış Ticaret A.Ş. | 16,72% | 31.944 | 16,72% | 31.943 |
| Lightyear Healthcare B.V. | 14,04% | 26.822 | 36,76% | 72.131 |
| F.O.M. Grup Mimarlık İnşaat ve Ticaret A.Ş. | 10,60% | 20.248 | - | - |
| Muharrem Usta | 9,78% | 18.678 | 9,78% | 18.678 |
| Adem Elbaşı | 3,26% | 6.226 | 3,26% | 6.226 |
| İzzet Usta | 1,30% | 2.490 | 1,30% | 2.490 |
| Saliha Usta | 0,98% | 1.868 | 0,98% | 1.868 |
| Nurgül Dürüstkan Elbaşı | 0,98% | 1.868 | 0,98% | 1.868 |
| Publicly Traded | 42,34% | 80.868 | 29,22% | 55.808 |
| 100% | 191.012 | 100% | 191.012 | |
| Capital adjustment differences | 4.020.734 | 4.020.734 | ||
| Share capital | 4.211.746 | 4.211.746 |
As of September 30, 2025, the Group's share capital consists of 191,012 thousand shares (2024: 191,012 thousand shares). The nominal value of each share is TRY 1 (TRY 1 as of the beginning of 2024).
The share capital is divided into a total of 191,012 thousand shares, comprising 88,229 thousand registered Class A shares and 102,783 thousand bearer Class B shares, each with a nominal value of TRY 1 (December 31, 2024: 191,012 thousand shares).
In accordance with the Capital Markets Board (CMB) decisions dated October 30, 2014 (No. 31/1059) and July 23, 2010 (No. 21/655), based on the records of the Central Securities Depository (MKK), as of September 30, 2025, it is assumed that 41.73% of the Company's share capital is in circulation (Note 1). As of October 1, 2025, this ratio remains 41.73%.
On February 7, 2018, the Group received TRY 600,000 for the publicly offered portion of its paid-in capital, corresponding to 35.01% (72,834 thousand shares) of Class B shares. Of this amount, TRY 12,259 was used for public offering expenses, while the remaining TRY 587,741 was allocated as follows: TRY 31,579 was used for capital increase, and TRY 556,162 was recognized as share premium. The share premium represents the difference between the nominal value and the offering price of the publicly offered shares.
The related amount became 4,791,526 TRY after applying inflation accounting.
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Share premiums | 4,791,526 | 4,791,526 |
| 4,791,526 | 4,791,526 |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
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.
| 30 September 2025 | 31 December 2024 | |
|---|---|---|
| Legal reserves | 7,886 | 7,886 |
| Restricted reserves appropriated from profit | 110,750 | 110,750 |
| 118,636 | 118,636 |
| Revenue | 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|---|---|---|---|---|
| Hospital services (*) | 39,221,033 | 13,064,033 | 36,748,527 | 13,039,311 |
| 39,221,033 | 13,064,033 | 36,748,527 | 13,039,311 |
(*) Hospital services includes foreign medical revenue and other income.
| Cost of services | 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|---|---|---|---|---|
| Material consumption | (4,594,766) | (1,433,486) | (4,857,262) | (1,587,164) |
| Doctor expenses | (10,453,395) | (3,410,449) | (9,170,983) | (3,287,595) |
| Personnel expenses | (6,716,988) | (1,991,090) | (6,070,674) | (2,055,976) |
| Depreciation and amortization expenses (Note 10,11) | (2,776,284) | (1,032,526) | (2,376,115) | (659,427) |
| Services rendered by third parties | (806,819) | (259,206) | (2,079,416) | (740,460) |
| Rent expenses | (830,020) | (222,513) | (144,553) | (56,932) |
| Other (*) | (2,097,125) | (735,450) | (2,092,119) | (746,396) |
| (28,275,397) | (9,084,720) | (26,791,122) | (9,133,950) |
(*) Other expenses mainly comprise expenses incurred for rent, electricity, water and natural gas.
| 1 January-30 | 1 July-30 | 1 January-30 | 1 July-30 | |
|---|---|---|---|---|
| September | September | September | September | |
| General administrative expenses | 2025 | 2025 | 2024 | 2024 |
| Personnel expenses | (1,932,674) | (617,607) | (1,458,178) | (505,524) |
| Sponsorship and advertising expenses (*) | (753,590) | (234,957) | (953,276) | (333,182) |
| Depreciation and amortization expenses (Note 10,11) | (136,781) | (41,665) | (176,093) | (46,032) |
| Outsourcing expenses | (167,638) | (44,088) | (150,578) | (54,498) |
| Rent expenses | (63,542) | (20,046) | (35,074) | (6,914) |
| Taxes and duties | (11,675) | (3,190) | (11,202) | (4,215) |
| Bad debt allowance (Note 6) | (6,892) | (591) | (18,892) | (10,023) |
| Representation and entertainment expenses | (3,390) | (958) | (3,150) | (1,157) |
| Maintenance expenses | (9,806) | (2,669) | (7,671) | (2,813) |
| Service expenses | (4,087) | (1,776) | (4,333) | (1,533) |
| Communication expenses | (22,357) | (7,067) | (20,763) | (7,205) |
| Lawsuit provision | (15,923) | (3,344) | (61,868) | (26,173) |
| Other | (275,396) | (89,672) | (160,829) | (119,041) |
| (3,403,751) | (1,067,630) | (3,061,907) | (1,118,310) |
(*) Sponsorship and advertising expenses includes marketing expenses related to the income of domestic and foreign medical tourism.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Other income from operating activities | 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|---|---|---|---|---|
| Foreign exchange gains from operations | 1,361,991 | 227,330 | 621,479 | 197,897 |
| Trade payables discount | 47,781 | - | 97,042 | 72,709 |
| Other income | 123,815 | 3,657 | 120,695 | 29,701 |
| 1,533,587 | 230,987 | 839,216 | 300,307 |
| Other expenses from operating activities | 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|---|---|---|---|---|
| Foreign exchange losses from operations | (741,689) | (143,048) | (511,844) | (169,866) |
| SSI return expenses | (77,455) | (30,881) | (84,127) | (29,724) |
| Non-operational hospital expenses | (180,813) | (58,525) | (70,664) | (26,118) |
| Trade receivables discount | (41,667) | (41,667) | (85,412) | (21,469) |
| Other expenses | (553,429) | (201,322) | (310,586) | (77,903) |
| (1,595,053) | (475,443) | (1,062,633) | (325,080) |
| 1 January-30 September |
1 July-30 September |
1 January-30 September |
1 July-30 September |
|
|---|---|---|---|---|
| Income from investment activities | 2025 | 2025 | 2024 | 2024 |
| Gains from bargain purchases | 414,936 | 414,936 | 2,315,326 | 1,123,343 |
| Gain on sale of fixed assets | 1,078 | 775 | - | 381 |
| 416,014 | 415,711 | 2,315,326 | 1,123,724 |
| Expenses from investment activities | 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|---|---|---|---|---|
| Loss on sale of fixed assets | (2,044) | (76) | (7,810) | - |
| (2,044) | (76) | (7,810) | - |
| 1 January 30 September 2025 |
1 July-30 September 2025 |
1 January 30 September 2024 |
1 July-30 September 2024 |
|
|---|---|---|---|---|
| Interest expenses from bank borrowings | (770,270) | (284,734) | (756,562) | (192,563) |
| Interest expenses from financial lease obligations | (5,503) | (1,468) | (9,765) | (2,602) |
| Interest epense on bond issues | (1,077,823) | (833,405) | (946,246) | (341,083) |
| Bank commissions | (563,321) | (181,484) | (462,248) | (164,304) |
| Interest expenses from lease liabilities | (1,262,182) | (430,011) | (780,994) | (268,264) |
| Other interest expense | (398,598) | (131,472) | (246,915) | (98,086) |
| Total interest expenses | (4,077,697) | (1,862,574) | (3,202,730) | (1,066,902) |
| Interest expenses from lease liabilities | (35,935) | (10,429) | (31,320) | (771) |
| Net foreign exchange loss (Note 5) | (734,167) | (213,139) | (1,533) | (15,750) |
| Total financial expenses | (4,847,799) | (2,086,142) | (3,235,583) | (1,083,423) |
| Interest income | 1,651,400 | 1,098,634 | 628,645 | 245,217 |
| Finance expenses, net | (3,196,399) | (987,508) | (2,606,938) | (838,206) |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
| Non-Monetary Items | 30 September 2025 |
|---|---|
| Statement of Financial Position Items | |
| Inventories | (14,901) |
| Prepaid Expenses (Current) | (4,652) |
| Property, Plant and Equipment | 759,051 |
| Intangible Assets | 855,720 |
| Right-of-Use Assets | 1,025,915 |
| Prepaid Expenses (Non-Current) | 410,904 |
| Deferred Tax Liability | 733,810 |
| Deferred Income | 16,731 |
| Paid-in Capital | (48,574) |
| Share Premium | (141,430) |
| Treasury Shares | 154,267 |
| Accumulated Other Comprehensive Income (Loss) Not to be Reclassified to Profit or Loss | 62,772 |
| Restricted Reserves Appropriated from Profit | (3,288) |
| Retained Earnings (Accumulated Losses) | (2,838,784) |
| Statement of Profit or Loss Items | |
| Revenue | (3,340,754) |
| Cost of Sales | 3,468,831 |
| General Administrative Expenses | 277,496 |
| Other Income from Operating Activities | (141,237) |
| Other Expenses from Operating Activities (-) | 135,179 |
| Income from Investing Activities | 210 |
| Finance Costs | 262,268 |
| Income Tax Expense | 59,074 |
| NET MONETARY POSITION GAINS (LOSSES) | 1,688,608 |
| Short term payables due to current tax | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Current period tax liabilities | 277,528 | 433,007 |
| 277,528 | 433,007 |
| Current tax liabilities | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Current corporate tax provision | 926,909 | 1,170,067 |
| Less: Prepaid taxes and funds | (649,381) | (737,059) |
| 277,528 | 433,008 |
| Tax (expense)/income | 1 January -30 September 2025 |
1 January -30 September 2024 |
|---|---|---|
| Current tax expense | (992,461) | (772,964) |
| Deffered tax income/(expense) | (889,568) | (1,170,559) |
| (1,882,029) | (1,943,523) |
The Group is subject to Turkish corporate taxes in force. The necessary provisions are allocated in the consolidated financial statements for the estimated liabilities based on the Group's results for the year. Turkish tax legislation does not permit a parent company and its subsidiary to file a consolidated tax return. Therefore, provisions for taxes, as reflected in the consolidated financial statements, have been calculated on a separate-entity basis.
Corporate tax is applied on taxable corporate income, which is calculated from the statutory accounting profit by adding non-deductible expenses, and by deducting dividends received from resident companies, other exempt income and investment incentives utilized.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
In Turkey, provisional tax is calculated and accrued on a quarterly basis. The provisional tax rate to be calculated on corporate earnings during the taxation phase of 2025 corporate earnings as of temporary tax periods is 25% (2024: 25%). Losses can be carried forward for a maximum of 5 years, to be deducted from the taxable profits that will arise in future years. However, the losses incurred cannot be deducted retrospectively from the profits of previous years.
The Group recognizes deferred tax assets and liabilities based upon temporary differences arising between its financial statements as reported for TFRS purposes and its statutory tax financial statements. These differences usually result in the recognition of revenue and expenses in different reporting periods for TFRS and tax purposes and they are given below. As of 30 September 2025, tax rate used in the calculation of deferred tax assets and liabilities was 25% over temporary timing differences (30 September 2024: 25%) for the part that will create tax effect in 2025, 25% for the part that will generate tax in 2025 and beyond (2024 25%)
In Turkey, the companies cannot declare a consolidated tax return, therefore subsidiaries that have deferred tax assets position were not netted off against subsidiaries that have deferred tax liabilities position and disclosed separately.
The Group has various investment incentive certificates that were signed by the Turkish Ministry of Economy and approved by General Directorate of Incentive Implementation and Foreign Capital. With those incentives, the Group is eligible for a corporate tax deduction rate ranging between 40%- 80% for an unlimited time, which amounts to a total deferred tax asset of TRY 1,064,426 (December 31, 2024: TRY 1,208,569). Respective deferred tax asset was calculated to be 15%- 40% of total investment contribution with regards to the respective investment incentive certificates.
Additionally, the Group is entitled to social security premium support from the Turkish Ministry of Economy, related to the hospitals that have completed their greenfield investments.
As of September 30, 2025, the Group has tax loss amounting to TRY 209,748 (December 31, 2024: TRY 174,080). TRY 52,437 (December 31, 2024: TRY 43,520) deferred tax assets have been recorded concerning this loss.
| Deffered tax assets/ (liabilities) | 30 September 2025 | 31 December 2024 |
|---|---|---|
| Tax losses carried forward | 52,437 | 43,520 |
| Depreciation differences of tangible and intangible assets | (3,536,132) | (3,016,610) |
| Provision for employment termination benefits | 34,065 | 40,787 |
| Vacation pay liability | 76,252 | 73,109 |
| Temporary difference between the tax base and carrying amount of | ||
| financial liabilities | (109,297) | (67,290) |
| Prepaid building expenses | 446 | 521 |
| Tax advantage from investment incentive | 1,064,426 | 1,208,569 |
| Right of use asset | (2,725,337) | (2,516,851) |
| Other | 421,344 | 410,918 |
| (4,721,796) | (3,823,327) | |
| Deferred tax asset | 2,997,250 | 3,058,599 |
| Deferred tax liability | (7,719,046) | (6,881,926) |
| (4,721,796) | (3,823,327) |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
Tax losses carried forward and their expiry dates are as follows:
| Expiration schedule of carryforward tax losses | Losses carried forward for wich deffered tax assests recognized |
Losses carried forward for wich deffered tax assests not recognized |
|---|---|---|
| Expiring in 2025 | - | - |
| Expiring in 2026 | 553 | - |
| Expiring in 2027 | 260 | - |
| Expiring in 2028 | 17,852 | - |
| Expiring in 2029 | 86,381 | |
| Expiring in 2030 | 104,702 | - |
| 209,748 | - |
Movement of deferred tax (assets)/liabilities for the period ended September 30, 2025 and September 30, 2024 are as follows:
| 1 January-30 | 1 January-30 | |
|---|---|---|
| Movement of deffered tax liabilities | September 2025 | September 2024 |
| Opening balance as of January 1 | (3,823,327) | (2,561,748) |
| Charged to profit or loss | (889,568) | (1,170,559) |
| Charged to equity | (8,901) | 3,895 |
| Disposal of subsidiary | - | 661 |
| (4,721,796) | (3,727,751) |
The reconciliation of the current tax expense and net income for the period is as follows:
| Reconcilation of tax provision: | 1 January-30 September 2025 |
1 January-30 September 2024 |
|---|---|---|
| Loss before tax | 6,386,598 | 7,868,847 |
| Tax at the domestic income tax rate of 25% (2024: 25%) | (1,596,650) | (1,967,212) |
| Tax effects of | ||
| - Expenses that are not deductible in | (191,912) | (73,514) |
| - Effect of tax advantage from investment incentive | 41,369 | 324,454 |
| - Reduced corporate tax effect | 409,860 | 413,939 |
| - Other | (544,696) | (641,190) |
| Income tax income recognised in profit or loss | (1,882,029) | (1,943,523) |
The weighted average number of shares and earnings per share is as follows:
| 1 January-30 September 2025 |
1 July-30 September 2025 |
1 January-30 September 2024 |
1 July-30 September 2024 |
|
|---|---|---|---|---|
| Weighted average number of shares | 191,012 | 191,012 | 191,012 | 191,012 |
| Net gain/(loss) for the period for the equity holders | ||||
| of the parent | 4,074,836 | 1,618,899 | 5,387,360 | 2,786,889 |
| Earnings/(loss) per share for equity holder | ||||
| of the parent | 21.33 | 8.48 | 28.20 | 14.59 |
(Amounts expressed in thousands Turkish Lira ("TRY") 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 utilising forward foreign exchange contracts. The carrying amounts of the Group's foreign currency denominated monetary assets and monetary liabilities at the reporting date are as follows:
| TRY Equivalents (Functional |
|||||
|---|---|---|---|---|---|
| 30 September 2025 | currency) | USD | EUR | GBP | Other |
| Trade receivables | 902,979 | 14,376 | 5,480 | 715 | - |
| 2a. Monetary financial assets | 268,741 | 3,949 | 2,090 | 57 | - |
| 2b. Non monetary financial assets | 593,181 | 11,574 | 2,317 | 3 | - |
| 3. Other | 62,919 | 31 | 68 | 1,048 | - |
| 4. Current Assets | 1,827,820 | 29,930 | 9,955 | 1,823 | - |
| 5. Trade receivables | - | - | - | - | - |
| 6a. Monetary financial assets | - | - | - | - | - |
| 6b. Non monetary financial assets | - | - | - | - | - |
| 7. Other | 1,490,609 | 17,551 | 15,170 | - | 1,000 |
| 8. Non-current assets | 1,490,609 | 17,551 | 15,170 | - | 1,000 |
| 9. Total assets | 3,318,429 | 47,481 | 25,125 | 1,823 | 1,000 |
| 10. Trade Payables | (479,923) | (10,486) | (919) | (1) | - |
| 11a. Financial liabilities (leasing) | (576,478) | - | (11,850) | - | - |
| 11b. Financial liabilities (leasing) | (34,143) | - | (702) | - | - |
| 11c. Lease Liabilities | (56,308) | - | (1,157) | - | - |
| 12a. Other monetary liabilities | (354,958) | (4,546) | (3,389) | (26) | - |
| 13. CURRENT LIABILITIES | (1,501,810) | (15,032) | (18,017) | (27) | - |
| 14.Trade Payables | - | - | - | - | - |
| 15a. Financial liabilities (leasing) | (4,552,518) | - | (93,581) | - | - |
| 15b. Financial liabilities (leasing) | - | - | - | - | - |
| 15c. Lease Liabilities | (59,532) | - | (1,224) | - | - |
| 16a. Other monetary liabilities | (731,119) | (17,618) | - | - | - |
| 16b. Other non-monetary liabilities | - | - | - | - | - |
| 17. LONG TERM LIABILITIES | (5,343,169) | (17.618) | (94,805) | - | - |
| 18. TOTAL LIABILITIES | (6,844,979) | (32,650) | (112,822) | (27) | - |
| 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 (9+8+19) |
(3,526,550) | 14,831 | (87,697) | 1,796 | 1,000 |
| 21. MONETARY ITEMS NET FOREIGN CURRENCY ASSET/LIABILITY POSITION (1+2a+10+11a+11b+12a+14+15+16a) |
(5,673,260) | (14,325) | (105,251) | 745 | - |
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
NOTE 25 - FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES (Continued)
| 31 December 2024 1. Trade receivables 2a. Monetary financial assets 2b. Non monetary financial assets |
(Functional currency) 819,478 1,262,728 70,313 |
USD 8,579 |
EUR | GBP | |
|---|---|---|---|---|---|
| Other | |||||
| 8,810 | 620 | - | |||
| 24,688 | 2,856 | 728 | - | ||
| 48 | 1,476 | 3 | - | ||
| 3. Other | 2,781 | 26 | 34 | 1 | - |
| 4. Current Assets | 2,155,300 | 33,341 | 13,176 | 1,352 | - |
| 5. Trade receivables | - | - | - | - | - |
| 6a. Monetary financial assets | - | - | - | - | - |
| 6b. Non monetary financial assets | - | - | - | - | - |
| 7. Other | 912,058 | 9,789 | 9,845 | - | 1,000 |
| 8. Non-current assets | 912,058 | 9,789 | 9,845 | - | 1,000 |
| 9. Total assets | 3,067,358 | 43,130 | 23,021 | 1,352 | 1,000 |
| 10. Trade payables | (92,210) | (1,387) | (670) | (1) | - |
| 11a. Financial liabilities (loans) | - | - | - | - | - |
| 11b. Financial liabilities (leasing) | (28,528) | - | (619) | - | - |
| 11c. Lease liabilities | (49,759) | - | (1,080) | - | - |
| 12a. Other monetary liabilities | (549,446) | (4,956) | (7,102) | (57) | - |
| 13. Current liabilities | (719,943) | (6,343) | (9,471) | (58) | - |
| 14. Trade payables | - | - | - | - | - |
| 15a. Financial liabilities (loans) | - | - | - | - | - |
| 15b. Financial liabilities (leasing) | - | - | - | - | - |
| 15c. Lease liabilities | (97,150) | - | (2,108) | - | - |
| 16a. Other monetary liabilities | (731,379) | (16,554) | - | - | - |
| 16b. Other non-monetary liabilities | - | - | - | - | - |
| 17. Non-current liabilities | (828,530) | (16,554) | (2,108) | - | - |
| 18.Total liabilities | (1,548,472) | (22,897) | (11,579) | (58) | - |
| 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) |
1,518,886 | 20,232 | 11,442 | 1,294 | 1,000 |
| 21. Monetary Items Net Foreign Currency Asset/Liability Position (1+2a+10+11+12a+14+15+16a) |
1,265,114 | 26,924 | 87 | 1,290 | - |
The Group is exposed to foreign exchange risk arising primarily from USD and EUR.
The following table details the Group's sensitivity to a 20% increase and decrease against the relevant foreign currencies. 20% is the sensitivity rate used when reporting foreign currency risk internally to key management personnel and represents management's assessment of the possible change in foreign exchange rates. The sensitivity analysis includes only outstanding foreign currency denominated monetary items and adjusts their translation at the period end for a 20% change in foreign currency rates. The sensitivity analysis includes external loans as well as loans to foreign operations within the Group where the denomination of the loan is in a currency other than the currency of the lender or the borrower. A positive number below indicates an increase in profit before tax.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
NOTE 25 - FINANCIAL RISK MANAGEMENT OBJECTIVES AND POLICIES (Continued)
| 30 September 2025 | |||
|---|---|---|---|
| Profit / (Loss) | |||
| Valuation of | Devaluation of | ||
| foreign currency | foreign currency | ||
| In the case of US dollar gaining 20% value against TRY | |||
| 1- USD net asset/liability | 123,088 | (123,088) | |
| 2- Portion hedged against USD risk (-) | - | - | |
| 3- USD net effect (1 +2) | 123,088 | (123,088) | |
| In the case of EUR gaining 20% value against TRY | |||
| 4 -EUR net asset/liability | (853,253) | 853,253 | |
| 5 - Portion hedged against EUR risk (-) | - | - | |
| 6- EUR net effect (4+5) | (853,253) | 853,253 | |
| In the case of GBP gaining 20% value against TRY | |||
| 7- Other currency net asset/liabilitit | 20,001 | (20,001) | |
| 8 - Portion hedged against other currency risk (-) | - | - | |
| 9- Other currency net effect (7+8) | 20,001 | (20,001) | |
| TOTAL (3+6) | (710,164) | 710,164 | |
| 31 December 2024 | |||
| Profit / (Loss) | |||
| Valuation of | Devaluation of | ||
| foreign currency | foreign currency | ||
| In the case of US dollar gaining 20% value against TRY | |||
| 1- USD net asset/liability | 178,775 | (178,775) | |
| 2- Portion hedged against USD risk (-) | - | - | |
| 3- USD net effect (1 +2) | 178,775 | (178,775) | |
| In the case of EUR gaining 20% value against TRY | |||
| 4 -EUR net asset/liability 5 - Portion hedged against EUR risk (-) |
105,467 - |
(105,467) - |
|
| 6- EUR net effect (4+5) | 105,467 | (105,467) | |
| In the case of GBP gaining 20% value against TRY | |||
| 7- Other currency net asset/liabilitit | 14,367 | (14,367) | |
| 8 - Portion hedged against other currency risk (-) | - | - | |
| 9- Other currency net effect (7+8) | 14,367 | (14,367) | |
| TOTAL (3+6) | 284,242 | (284,242) |
The Group acquired Özel Medistanbul Hospital, located in Istanbul, as of September 1, 2025. TFRS 3 defines the concept of a "business" as "an integrated set of activities and assets that is capable of being conducted and managed to provide a return in the form of dividends, lower costs, or other economic benefits directly to investors or other owners, members, or participants. In accordance with the "Hospital Operation Agreements" signed with third parties, the Company has acquired the license and fixed assets of the hospital. In addition, under the "Building Lease Agreements" signed on the same date, the hospital building has been leased by the Company. As part of the agreement, the Company will pay building lease payments for a period of 10 years. Since these transactions include the "Input – Process – Output" elements defined in TFRS 3, they have been recognized as a business combination. As of September 30, 2025, the transaction has been provisionally accounted for in the consolidated financial statements in accordance with the provisions of TFRS 3 Business Combinations Standard. In line with TFRS 3, any differences arising from valuation studies to be completed in subsequent periods will be reflected in the consolidated financial statements of the following period.
(Amounts expressed in thousands Turkish Lira ("TRY") unless otherwise stated.)
The profit/loss calculation resulting from the acquisition, the total acquisition amount and the information regarding the acquired net assets are as follows:
| Total acquisition amount | (794,659) |
|---|---|
| Net assets acquired | 1,209,595 |
| Gain from bargain purchase(*) | 414,936 |
(*) Deferred tax expense and negative goodwill balance are shown gross.
| Assets/Liabilities | Fair value |
|---|---|
| Fixed Assets | |
| Tangible Fixed Assets | 68,307 |
| Intangible Fixed Assets | 1,209,595 |
| 1,277,902 | |
| Long-Term Liabilities | |
| Deferred Tax Liability | 103,734 |
| 103,734 | |
| Net Asset Purchase | 1,174,168 |
| Bargain Purchase Gain | 414,936 |
The Company has decided to increase its shareholding in its subsidiary MLP Ataşehir Sağlık Hizmetleri A.Ş. from 63.93% to 100% as of October 3, 2025.
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