Finances

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The financial statements for 2019 showed a deficit. Demand for HUS services continues to grow.

In 2019, HUS finances showed a deficit of EUR 15 million. Binding net costs exceeded the budgeted amount by EUR 16 million.

At the same time, the volume of operations exceeded the budget by 3.3%. In 2019, a total of 680,621 patients were treated at HUS. The number of patients treated, including health center patients at joint emergency clinics, increased by 10.8% on the previous year. This was due particularly to the transfer of emergency clinic services at Haartman and Malmi Hospitals from the City of Helsinki to HUS at the beginning of 2019. The number of health center patients treated at joint emergency clinics in 2019 was 191,214, an increase of 70.6% on 2018.

The comparable number of referrals for non-urgent treatment was 330,189, an increase of 4.7% on the previous year. Nearly one in three of the residents of member municipalities used specialist medical care services provided or organized by HUS in 2019.

HUS member municipalities’ specialist medical care costs per resident were EUR 1,057 on average in 2019.

Operating costs increased

HUS operating costs exceeded the budget by EUR 131 million, or 5.8%. Operating costs increased by EUR 223 million, or more than 10%, on 2018. Discounting the functions transferred from member municipalities to HUS, operating costs increased by 6.4%.

This increase was mainly due to the growing costs of pharmaceuticals, nursing supplies and ICT services, outsourced medical services and facilities costs. Personnel costs also exceeded the budget, by EUR 21 million. Personnel costs increased by EUR 100 million on the previous year.

The several transfers of functions that took place in 2019 increased HUS operating costs by about EUR 79 million. This contributed among other things to the increase in personnel costs.

Income statement, EUR 1000 FS 2019 Budget 2019 Deviation % FS 2019 / Budget 2019 FS 2018 Change % FS 2019 / FS 2018 Forecast 2019 Deviation % FS 2019 / Forecast 2019
Operating revenue, total 2,512,142 2,376,883 5.7% 2,307,546 8.9% 2,469,660 1.7%
Sales income 2,370,508 2,265,419 4.6% 2,148,095 10.4% 2,346,762 1.0%
Member municipalities’ contributions 1,782,108 1,681,975 6.0% 1,584,394 12.5% 1,761,056 1.2%
Other income from services 435,920 438,547 −0.6% 424,486 2.7% 435,646 0.1%
Other sales income 128,037 120,392 6.4% 114,609 11.7% 125,555 2.0%
State subsidy for education and research 24,443 24,506 −0.3% 24,605 −0.7% 24,505 −0.3%
Payments income 91,282 91,283 0.0% 83,423 9.4% 91,329 −0.1%
Subsidies and grants, total 22,943 9,571 139.7% 24,907 −7.9% 20,537 11.7%
Other operating revenue, total 27,410 10,610 158.3% 51,121 −46.4% 11,031 148.5%
Operating costs, total 2,408,948 2,277,810 5.8% 2,186,175 10.2% 2,387,220 0.9%
Personnel expenses 1,333,841 1,312,842 1.6% 1,233,827 8.1% 1,327,504 0.5%
Purchased services 473,914 407,511 16.3% 400,900 18.2% 465,668 1.8%
Materials, supplies and consumables 489,184 449,055 8.9% 462,192 5.8% 483,880 1.1%
Subsidies, total 5,704 4,159 37.2% 5,301 7.6% 5,627 1.4%
Other operating costs 106,305 104,243 2.0% 83,955 26.6% 104,540 1.7%
Operating margin 103,195 99,073 4.2% 121,371 −15.0% 82,439 25.2%
Financing income and expenses 12,921 13,052 −1.0% 11,746 10.0% 13,095 −1.3%
Annual margin 90,274 86,021 4.9% 109,625 −17.7% 69,344 30.2%
Depreciation and reductions in value, total 105,296 106,021 −0.7% 109,625 −3.9% 105,229 0.1%
Extraordinary items 0 0 0.0% 0 0.0% 0 0.0%
Financial performance −15,022 −20,000 0 −35,884
TOTAL OPERATING COSTS AND DEPRECIATION 2,514,243 2,383,831 5.5% 2,295,800 9.5% 2,492,449 0.9%
BINDING NET COSTS 1,797,130 1,701,975 5.6% 1,584,394 13.4% 1,796,941 0.0%

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