SUOMEN TERVEYSTALO OYJ STOCK EXCHANGE RELEASE August 14, 2008 at 1.00 p.m. Terveystalo's interim report January 1 - June 30, 2008 Terveystalo's January-June 2008 turnover and operating profit increased significantly; turnover was EUR 108.7 million and operating profit was EUR 6.6 million. - January-June 2008 (January-June 2007): -- Turnover EUR 108.7 million (57.6). Growth is mainly due to the big acquisition in September 2007. -- Operating profit EUR 6.6 million (2.8). Operating profit excluding one-off items was EUR 5.2 million. - Full year 2008 turnover and operating profit is estimated to clearly exceed the turnover and operating profit of 2007. - The Board of Directors has updated the company's strategy. The strategy for 2008-2011 focuses on strengthening the company's market leadership position through profitable growth. -------------------------------------------------------------------------------- | KEY FIGURES | 1.4.-| 1.4.-| 1.1.-| 1.1.-| 1.1.-| | | 30.6.2008| 30.6.2007| 30.6.2008| 30.6.2007| 31.12.2007| | | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Turnover, EUR 1,000 | 55,844 | 28,297 | 108,713 | 57,561 | 140,719 | -------------------------------------------------------------------------------- | Operating profit, | 2,151 | 254 | 6,593 | 2,849 | 401 | | EUR 1,000 | | | | | | -------------------------------------------------------------------------------- | Earnings per share, | 0.01 | 0.00 | 0.02 | 0.02 | -0.05 | | EUR | | | | | | -------------------------------------------------------------------------------- | Equity per share, | 1.22 | 1.26 | 1.22 | 1.26 | 1.20 | | EUR | | | | | | -------------------------------------------------------------------------------- | Net gearing, % | 187.5 | 10.6 | 187.5 | 10.6 | 184.8 | -------------------------------------------------------------------------------- | Return on | 6.8 | 1.6 | 7.0 | 6.6 | 0.6 | | investment, % | | | | | | | (ROI)* | | | | | | -------------------------------------------------------------------------------- | Return on equity, % | 2.4 | 0.6 | 3.1 | 4.6 | -5.0 | | (ROE)* | | | | | | -------------------------------------------------------------------------------- | Capital adequacy, % | 28.1 | 62.0 | 28.1 | 62.0 | 27.5 | -------------------------------------------------------------------------------- | Operating profit / | 3.9 | 0.9 | 6.1 | 4.9 | 0.3 | | turnover, % | | | | | | -------------------------------------------------------------------------------- * The income statement figures used to calculate ROI and ROE have been annualized. Suomen Terveystalo Oyj´s (Terveystalo) Group turnover increased in January-June 2008 by 88.9 percent compared to the corresponding period in the previous year and amounted to EUR 108.7 million (EUR 57.6 million in January-June 2007). The growth in turnover is mainly due the big acquisition in September. Operating profit increased by 131.4 percent and amounted to EUR 6.6 million (2.8). Operating profit excluding one-off items grew by 80.8 percent and amounted to EUR 5.2 million. Martti Kiuru, President and CEO: ”Terveystalo's operational growth and improved profitability are visible in the Group's second quarter results compared to the corresponding period in 2007. We continued integrating our services and internal operating methods, a process that was started in the fall of 2007. The integration program - with which we clarify operating procedures, boost the efficiency of the unit network, reduce overlaps and simplify support and administration services - has progressed according to plan. In accordance with the strategy updated by the Board of Directors, we will in the future focus on strengthening our market leadership position through profitable organic growth and possible acquisitions. Over the next few years the focus growth areas are the Helsinki region and other growth centers in particular.” Market situation The value of the Finnish healthcare service market is approximately EUR 12 billion. Traditionally the public sector has been the biggest producer of healthcare services. The market share of private sector players has increased heavily in the past years and the market share of private service providers is expected to continue growing. Despite the recent centralization development there is still over 11,000 companies in the sector of which the majority is small companies. Terveystalo, which was founded in 2001, has carried out over 110 acquisitions so far. In 2007, the company became Finland's leading healthcare sector company in terms of turnover and the extent of operations. The demand for private healthcare services is affected, for instance, by the ageing of the population, the increase in wealth and general interest towards health, an increase in outsourcing services (such as specialist consultations, surgery, imaging, screening and other research services), regard for occupational healthcare services, a demand for flexibility and the outsourcing trend as the requirements of working life increase. Increased efficiency in service production as medical technology develops and insurance products becoming more common in the healthcare sector also affect Terveystalo's market environment. 1.4.-30.6.2008 In April-June 2008 Terveystalo´s turnover increased by 97.4 percent compared to the corresponding period in the previous year and amounted to EUR 55.8 million (EUR 28.3 million in April-June 2007). The growth was mainly due to the business operations of Medivire Työterveyspalvelut Oy which became part of the Terveystalo Group in September 2007. In April-June 2008 operating profit increased by 747.9 percent compared to the corresponding period in the previous year and amounted to EUR 2.2. million, representing 3.9 percent of turnover (EUR 0.3 million, 0.9% of turnover in April-June 2007). The operating profit growth was affected by the turnover growth, as well as the results of the integration program including integration and better effectiveness of operations and integration of units. Operating profit includes a EUR 0.7 million one-off expense item mainly related to an arbitration case of a copyright dispute related to a patient information system. Operating profit excluding one-off items increased by 1,024.8 per cent and amounted to EUR 2.9 million (EUR 0.3 million, 0.9% in April-June 2007). In addition the operating profit in April-June 2008 includes EUR 0.4 million of reversed depreciation in January-March 2008. In April-June 2008 total of EUR 2.2 million was recognized in financial income from interest rate hedging instruments. 1.1.-30.6.2008 In January-June 2008 Terveystalo´s turnover increased by 88.9 percent compared to the corresponding period in the previous year and amounted to EUR 108.7 million (EUR 57.6 million in January-June 2007). The growth is mainly due to the business operations of Medivire Työterveyspalvelut Oy which became part of the Terveystalo Group in September 2007. In January-June 2008 the operating profit increased by 133.1 percent compared to the corresponding period in the previous year and was EUR 6.6 million representing 6.1 percent of turnover (EUR 2.8 million, 4.9% of turnover in January-June 2007). Excluding one-off items operating profit increased by 80.8 percent and amounted to EUR 5.2 million representing 4.7 percent of turnover. The one-off items during the period include a EUR 2.1 million sales gain reported in January-March from the selling of the central laboratory business, and a EUR 0.7 million expense item reported in April-June related mainly to an arbitration case of a copyright dispute related to a patient information system. In January-June 2008 a total of EUR 1.5 million was recognized in financial income from interest rate hedging instruments. The earnings belonging to the owners of the parent company was EUR 1.3 million representing 1.2 percent of turnover (EUR 1.2 million, 4.2%). Earnings per share calculated from earnings belonging to the owners of the parent company were EUR 0.02 (EUR 0.02). Business segments As of January 1, 2008 the Group's business operations are divided into three business segments: Occupational Healthcare segment, the Clinics and Hospitals segment and the Diagnostics segment. Until the end of 2007 all imaging and laboratory services were reported as part of the Diagnostics segment. From the beginning of 2008, sample-taking laboratory operations and express analytics as well as imaging services are reported as part of the Clinics and Hospitals segment, in terms of clinic hospitals and clinics, and as part of the Occupational Healthcare segment in terms of occupational clinics. Business operations not allocated to any particular segment, which mainly consists of the company's holding in the business operations of AVA clinics specializing in infertility treatments are reported as part of Other segment. The Other segment also includes the costs from Group functions (HR, quality, sales, finance, ICT and communications) and national appointment and customer service operations, as well as costs deriving from group structure creation and the Group's integration program. Occupational Healthcare segment As a result of the Medivire Työterveyspalvelut Oy acquisition carried out at the beginning of September 2007, Terveystalo Group became the leading provider of occupational healthcare services in Finland, measured by both turnover and the extent of the network. At the end of 2007 the company was responsible for the healthcare services of more than 12,000 corporate customers and more than 365,000 individuals. At the end of June, Terveystalo offered occupational healthcare service at some 100 units across Finland. In January-June 2008, Terveystalo continued integrating the processes and operating models in occupational healthcare that began in late 2007. By the end of June, the company had standardized its uniform operating methods in its two patient information systems. A large share of occupational healthcare agreements was renewed in April-June to correspond with Terveystalo Group's uniform service levels. Clinics and Hospitals segment In January-June 2008, Terveystalo continued developing its service selection. The aim is that the company's large clinic hospitals will support the service offering of smaller units and ensure the availability of Terveystalo's services regionally and nationally. A new clinic hospital was opened in Turku in March and in Rovaniemi in April. At the end of June, Terveystalo had 15 clinic hospitals across Finland. Diagnostics segment The Diagnostics segment is responsible for X-ray and MRI imaging in the imaging units that belong to this segment and offers mobile imaging and screening services to external customers, as well as internally to complement the healthcare services offered to the customers of the Occupational Healthcare and Clinics and Hospitals segments. The Diagnostics segment also has Group-wide responsibility for developing diagnostics services and for ensuring that the diagnostics equipment used in the Group is up-to-date. Turnover by segment In January-June 2008 the Occupational Healthcare segment's share of turnover was 56.7 percent, the Clinics and Hospitals segment's share was 29.8 percent and the Diagnostics segment's share was 11.9 percent. -------------------------------------------------------------------------------- | Turnover by segment | | | | | -------------------------------------------------------------------------------- | EUR 1,000 | 1.4.-| 1.4.-| 1.1.-| 1.1.-| 1.1.-| | | 30.6.2008| 30.6.2007| 30.6.2008| 30.6.2007| 31.12.2007| | | | | | | | -------------------------------------------------------------------------------- | Occupational | 37,067 | 8,787 | 68,868 | 18,077 | 63,808 | | Healthcare segment | | | | | | -------------------------------------------------------------------------------- | Clinics and | 17,881 | 14,080 | 36,187 | 27,609 | 54,897 | | Hospitals segment | | | | | | -------------------------------------------------------------------------------- | Diagnostics segment | 6,756 | 8,357 | 14,402 | 16,558 | 32,489 | -------------------------------------------------------------------------------- | Other | 958 | 978 | 2,035 | 2,025 | 2,667 | -------------------------------------------------------------------------------- | Group eliminations | -6,819 | -3,905 | -12,780 | -6,708 | -13,142 | -------------------------------------------------------------------------------- | Group total | 55,844 | 28,297 | 108,713 | 57,561 | 140,719 | -------------------------------------------------------------------------------- The segments' comparative data has been adjusted to correspond with the segment division introduced at the beginning of 2008. In 2007 business operations was divided into two segments which were the Clinics and Hospitals segment and the Diagnostics segment. As of the beginning of 2008, business operations has been divided into three segments which are the Occupational Healthcare segment, the Clinics and Hospitals segment and the Diagnostics segment. Other segment contains the Group's share of the operations of the AVA clinics that focus on fertilization treatment. Operating profit by segment -------------------------------------------------------------------------------- | Operating profit by segment | | | | | -------------------------------------------------------------------------------- | EUR 1,000 | 1.4.-| 1.4.-| 1.1.-| 1.1.-| 1.1.-| | | 30.6.2008| 30.6.2007| 30.6.2008| 30.6.2007| 31.12.2007| | | | | | | | -------------------------------------------------------------------------------- | Occupational | 3,459 | -787 | 6,068 | -440 | -2,929 | | Healthcare segment | | | | | | -------------------------------------------------------------------------------- | Clinics and | 3,099 | 4,191 | 6,286 | 7,327 | 11,310 | | Hospitals segment | | | | | | -------------------------------------------------------------------------------- | Diagnostics segment | 899 | 602 | 4,954 | 1,856 | 4,225 | -------------------------------------------------------------------------------- | Other | -5,307 | -3,752 | -10,716 | -5,893 | -12,204 | -------------------------------------------------------------------------------- | Group total | 2,151 | 254 | 6,593 | 2,849 | 401 | -------------------------------------------------------------------------------- The segments' comparative data has been adjusted to correspond with the segment division introduced at the beginning of 2008. In 2007 business operations was divided into two segments which were the Clinics and Hospitals segment and the Diagnostics segment. As of the beginning of 2008, business operations has been divided into three segments which are the Occupational Healthcare segment, the Clinics and Hospitals segment and the Diagnostics segment. The January-June 2008 operating profit of the Occupational Healthcare includes a EUR 0.5 million one-off expense item and the operating profit of the Clinics and Hospitals segment includes a EUR 0.2 million one-off expense item. The operating profit of the Diagnostics segment includes a EUR 2.1 million one-off sales gain. The Other segment includes the costs from Group functions (HR, quality, sales, finance, ICT and communication) and national appointment and customer service operations, as well as costs deriving from group structure creation and the Group's integration program. The biggest cost items causing the EUR 10.7 million operating loss in the Other segment came from invoicing, appointment and customer service operations' costs, costs from the Group's centralized sales and marketing operations and costs related to centralized patient information and other IT systems. The fertility treatment operations reported in the Other segment did not have a considerable effect on the segment's operating result in January-June 2008. Return on assets Annualized return on investments (ROI) in January-June 2008 was 7.0 percent (6.6% in January-June 2007). Annualized return on equity (ROE) was 3.1 percent (4.6%). Investments In January-June 2008, Terveystalo continued investing in updating and developing premises and in imaging equipment. During the review period, for instance, the new clinic hospital in Turku opened in March and the new clinic hospital in Rovaniemi opened in April, as well as new or renewed premises in for instance Forssa, Joensuu, Kemi, Kokkola, Kotka and Varkaus, were furnished. In January-June 2008 investments in tangible assets amounted to EUR 5.9 million and in intangible assets to EUR 1.4 million. Sales returns on tangible assets amounted to EUR 0.7 million and to intangible assets to EUR 0.9 million. Balance sheet and financing At the end of June 2008 the balance sheet total was EUR 295.7 million (EUR 138.8 million at the end of June 2007). The balance sheet has grown considerably due to the Medivire Työterveyspalvelut Oy acquisition in September 2007. At the end of June 2008 the quick rate of the Terveystalo Group was 0.6 (1.1 at the end of June 2007). The Group's liquid assets, including financial securities, amounted to EUR 7.5 million (17.5) at the end of June 2008. The amount of liquid assets at the end of June 2007 was affected by the company's IPO in March 2007. In January-June 2008 the company withdrew new short-term interest bearing loans for EUR 8.0 million. Net gearing was 187.5 percent at the end of the review period (10.6%). The company has agreed on the covenant levels related to its financing agreements with its principal financers in June 2008. The covenant levels depending on the date are as follows: 1) Capital adequacy at least 22.5-30 percent 2) Ratio between net liabilities and operating margin at least 7.0:1 - 4.0:1 3) Ratio between the operating margin and net financing costs at least 1.9 - 3.0 4) Investments in a fiscal period at most EUR 10-16 million. Interest rate in accordance with the loan agreement is six months Euribor + margin, which varies between 0.60 and 2.75 percentage points. The interest margin is determined through scales in relation of net liabilities to the operating margin on the basis of rolling 12 months as follows: Net interest-bearing Margin, percentage points liabilities / EBITDA 7,00 ≥ x ≥ 6,25 2,75 6,25 > x ≥ 5,50 2,25 5,50 > x ≥ 4,50 1,50 4,50 > x ≥ 3,25 1,25 3,25 > x ≥ 2,25 0,85 2,25 > x 0,60 The capital in financial liabilities to which the covenants apply was EUR 134.5 million on June 30, 2008. The company's interest margin from July 1, 2008 is 2.75 percent. Terveystalo has hedged its financial liabilities with covenants so that the company pays a fixed 4.45 percent interest + margin on EUR 40 million in loan capital and the interest rate for the EUR 40 million loan capital is fixed between 3.95 and 4.90 percent + margin using interest rate swaps. The average rate percentage during the period January 1 - June 30, 2008 was 6.71. Cash flow In January-June 2008 operational cash flow was EUR 8.4 million (EUR 7.0 million in January-June 2007). Paid interest has, deviating from the reporting practices in the previous fiscal period, been presented in cash flow from financing and the comparison data for January 1 - June 30, 2008 and 2007 have been adjusted accordingly. Personnel The average number of personnel in January-June 2008 was 2,365 (1,354 in January-June 2007 and 1,689 in 2007). At the end of June the number of personnel was 2,328 (1,447 at the end of June 2007 and 2,398 at the end of 2007). At the end of the period, more than 2,000 professional independent entrepreneurs (practitioners) were receiving patients in the Group companies' premises. Based on a decision by the Board of Directors Suomen Terveystalo Oyj Group has launched a result and reward system for 2008 concerning all personnel. Group structure At the end of June 2008, Terveystalo Group consisted of the parent company Suomen Terveystalo Oyj and its 34 subsidiaries. The subsidiary Vaasa Reilab Oy that was part of the Terveystalo Group merged with another subsidiary Seinäjoen Työterveyskeskus Oy on 30 April 2008. No acquisitions of businesses or business operations were made in April-June 2008. Organization Suomen Terveystalo Oyj's Annual General Meeting on April 17, 2008 confirmed the company's number of Board members as eight. The following people were re-elected as Board members: Managing Director Ari Ahola; Pentti Parkkinen Lic. Med.; Kari Puro, M.D. Surgeon, Dr. Pol.Sc; Kaija Pöysti M.Sc.; Pekka Roto, M.D.Surgeon, university lecturer; and Petteri Walldén M.Sc., and Kari Neilimo, Doctor of Economics and Matti Roto, Director, were appointed as new members. The Chairman of the Board is Pentti Parkkinen and the deputy chairman is Kari Neilimo. Jukka Yli-Hankala M.Sc. started work as Terveystalo Oyj's CFO and member of the Group Management Team on June 1, 2008. As part of an integration program that began in the fall of 2007 and that will continue until the end of 2008, Terveystalo's operations in many towns have been or will be partly or fully integrated into larger entities in order to ensure service availability, increase efficiency and generate cost savings. At the end of June 2008, Terveystalo had over 100 units in over 50 cities across Finland. Shares and share capital At the end of June, Suomen Terveystalo Oyj's share capital was EUR 681,416.63 (EUR 681,416.63 at the end of 2007) and the total number of shares was 68,141,663. The share ticker in the book-entry system is SUT1V. In January-June 2008 the highest share price was EUR 1.99 and the lowest was EUR 1.42. In January-June, the trading-weighted average share price was EUR 1.64 and the closing price on June 30, 2008 was EUR 1.65. In January-June, 4,826,881 shares were exchanged, which corresponds to 7.1 percent of the number of shares at the end of the period. The market value of the stock using the closing price for the review period on June 30, 2008 was EUR 112.4 million. At the end of the review period the company had xx shareholders (6,510 at the end of 2007). Parent company Suomen Terveystalo Oyj does not own any company shares. The Group's subsidiaries Suomen Terveystalo Lääkäriasema Oy and Nova Clinic Oy own a total of 55,691 parent company shares. This corresponds to 0.08 percent of the stock and votes. Related party transactions The company's related parties consist of the board members, managing director, members of the management group and associates of Suomen Terveystalo Oyj. The parent company has bought services from Starnet Innovations Oy, indirectly owned by Media Invest Int Oy, in the review period for approximately EUR 56,000 related to the LIS control system used in the Central Laboratory. Media Invest Oy is owned by Ari Ahola and Matti Roto. Terveystalo's cooperation with Starnet Innovations Oy ended when the central laboratory was divested. Salaries and fees paid by Terveystalo to the related parties and short-term employee benefits amounted to approximately EUR 713,000 in January-June 2008. A receivable amounting to EUR 17,000 from an associate company and a liability amounting to approximately EUR 522,000 to an associate company is included in consolidated balance sheet at the end of June. Events after the review period On July 17, 2008, Suomen Terveystalo Oyj's Board of Directors approved the integration plan aiming at a simplification of the Group structure and lightening of the administrative structure which involves merging of subsidiaries. In the future operative business will focus on one subsidiary. The merger is estimated to be carried out on January 1, 2009 when a total of 17 Terveystalo Group companies will be merged into another Group company: Suomen Terveystalo Työterveys Oy will merge into Medivire TTP Holding Oy, Pohjanmaan Röntgen Oy into Oy Työterveyshuolto Medicentra Företagshälsovård Ab, Magneettikymi Oy into Tietotomo Oy, Joensuun Röntgen Oy into Itä-Suomen Kuvantamiskeskus Oy and Kouvolan Lääkäritalon Röntgen Oy, Espoontorin Lääkäriasema Oy, Lääkäriasema Septum Oy, Lääkäriasema Linikka Oy, Petosen Lääkärikeskus Medina Oy, Lääketieteellinen Tutkimuslaitos Toritutkain Oy, Lääkäri- ja laboratoriopalvelu Tammer Tutka Oy, Tampereen Gynekologiakeskuksen Laboratorio- ja konsultaatiopalvelut Oy, Seinäjoen Työterveyskeskus Oy, Oy Työterveyshuolto Medicentra Företagshälsovård Ab, Suomen Terveystalo Lääkäriasema Oy, Medivire TTP Holding Oy and Lappeenrannan Lääkäriasema Oy into Suomen Terveystalo Diagnostiikka Oy. Terveystalo´s strategy The target set for the previous strategy period to, as a Group, be the leading provider of private healthcare services in Finland by the end of 2008 measured by turnover was reached already in 2007. This was affected by the acquisition of Medivire Työterveyspalvelut Oy in 2007. Updated strategy Terveystalo's updated strategy that the Board of Directors has approved on August 14, 2008 for the years 2008-2011 is based on the company's mission, which is “Healthcare services for people's benefit”. The strategy is carried out in line with the company's values, expertise and caring. The aim of the strategy is to realize the company's vision "Leader - best services”. The strategy is divided into profitable growth, customer and service strategies. Terveystalo´s strategic success factors: - market leadership - service availability and extensive service selection - creating customer benefits - being a forerunner - skilled professionals In accordance with its profitable growth strategy Terveystalo's aim is to strengthen its market leader position in Finland by growing profitably organically and possible acquisitions. The aim is to grow faster than market growth during the strategy period. According to published studies, private healthcare services are expected to grow by an average of nine percent annually. Terveystalo has growth preconditions related particularly to occupational healthcare services, outsourcing to the public sector and insurance company cooperation. The profitability target is to reach an operating profit level of over 10 percent towards the end of the strategy period. The growth strategy that focuses on profitability benefits the customers, staff, entrepreneurs and shareholders. The company ensures the availability of its services with an extensive national unit network. Over the strategy period the focus growth areas are the Helsinki region and other Finnish growth centers. The company's international operations are small thus far and growth will continue focusing on Finland in the strategy period. Expansion into adjacent geographical areas requires careful market research. Should the preconditions for business growth exist, the company will proceed one step at a time, acting either alone or together with a reliable partner depending on the extent of the targeted operations. Operational growth areas include deeper and more extensive cooperation with the public sector and insurance companies, as well as producing comprehensive services for employer companies and corporations in occupational healthcare services. Reorganization of units and operations as well as unification of operating methods improve Terveystalo's preconditions to create synergy benefits, which better and more efficiently support the current and future needs of the expanding operations. The aim of the company is to continue developing the materialization of agreed on processes and operating methods throughout the Group in line with its quality system and to develop its operations in a way that benefits the entire Group. In accordance with its customer strategy, Terveystalo offers healthcare, occupational healthcare, research and hospital services to private individuals, companies and other corporations, insurance companies and to public sector actors. Customers are primarily offered comprehensive solutions. The aim is to create customer benefits related to preventive healthcare and/or medical treatment in a profitable and cost efficient way. Terveystalo wants to optimize the sufficiency of its healthcare resources by offering each customer the best possible level of expertise services that suits the customer's needs. Our aim is to always ensure the best possible medical outcome. Good customer service aims at ensuring good service availability. Terveystalo focuses on comprehensive customer service and a nation-wide unit network to ensure extensive and high-quality services. Customer satisfaction is measured regularly as part of the company's quality system. The benefits for different customers and customer groups are assessed and measured using suitable indicators. The strategy that focuses on customer profitability benefits all stakeholders: customers, staff, entrepreneurs and shareholders. It also enables continuous and long-term development of operations, which helps create preconditions to introduce the newest and best innovations in healthcare and medicine to Terveystalo's customers. In accordance with its service strategy, Terveystalo produces the most extensive service selection available to its customers. The selection includes GP and specialist services, hospital operations that focus on surgical operations, occupational healthcare services including preventive healthcare and medical treatment to employer companies and corporations, as well as extensive diagnostics services. The aim of the extensive service selection is to produce as extensive services as possible at the different units in view of the population base. If necessary, customers are referred to the nearest larger unit to ensure required expertise or special equipment and sufficient patient volumes. Terveystalo is, in accordance with its vision, a forerunner. The company tries to create customer benefits through its know-how center, clinic and center concepts, by introducing new innovative treatments and by utilizing the development of medical technology. An extensive service selection that utilizes joint operating methods together with innovativeness creates a clear competitive edge. Know-how and extensive expertise as well as good customer service are also important success factors. Operations are monitored and developed in accordance with the company's quality system in a way that considers what is best for the Group. The interests of the patient - the best possible care according to the customer's needs - are always of primary importance in everything we do. Short-term risks and uncertainty factors The most significant risks related to Terveystalo's operations include risks related to growth and acquisitions, financing related risks, social and legislative risks, risks related to malpractice cases and liability for damages, risks related to contracts, risks related to customer relationships, risks related to personnel and risks related to technology - including functionality of IT systems and information security. The aim is to manage these risks through operation guidelines and rules or to transfer them to another party through agreements and insurance policies. The company manages risks related to financial costs and loan repayments for instance with interest rate hedging and continued communication with the financers. Short-term risks are also related to the effects of the launch of new clinics and hospitals on the company's profitability in the short term if the implementation of operations in the new premises does not progress as planned. The purpose of the company's risk management is to systematically and comprehensively identify risks associated with the operations, maintain risk-awareness and ensure that risks are managed appropriately in making of business decisions. In January-June 2008 the company continued developing its systematic risk management and internal supervision processes and systems. Outlook According to published studies, private healthcare services are expected to grow annually by an average of nine percent in the coming years. Terveystalo will continue striving to grow faster than the average market growth in its sector. The company still expects its whole year 2008 turnover to clearly exceed the 2007 level. The growth in turnover is mainly due the big acquisition in September. In the fall of 2007 the company launched an integration program to improve its operational efficiency and profitability. The Group expects to reach annual synergy benefits of EUR 3-5 million starting in 2008. The integration program has progressed as planned and the company still expects its full year 2008 operating profit to clearly exceed the 2007 operating profit. Financial reports 2008 Terveystalo will publish its January-September interim report on November 13, 2008 at around 1 p.m. SUOMEN TERVEYSTALO GROUP Suomen Terveystalo Oyj's 1.1.-30.6.2008 interim report has been compiled in accordance with the recognition and measurement principles set out in the International Financial Reporting Standards (IFRS) and applying the IAS 34 standard. When compiling this interim report the company has applied the same principles as in the financial statement for the fiscal year that ended on December 31, 2007 apart from the interest rate costs presented in cash flow from financing in the cash flow statement. The figures in the income statement and balance sheet are Group figures. All integral Group companies are consolidated in the Group's interim report. The interim report is unaudited. -------------------------------------------------------------------------------- | CONSOLIDATED BALANCE SHEET, EUR 1,000 | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | ASSETS | 30.6.2008 | 30.6.2007 | 31.12.2007 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | LONG-TERM ASSETS | | | | -------------------------------------------------------------------------------- | Property, plant and | 57,573 | 47,748 | 58,926 | | equipment | | | | -------------------------------------------------------------------------------- | Goodwill | 146,724 | 41,943 | 147,042 | -------------------------------------------------------------------------------- | Other intangible assets | 40,328 | 8,398 | 42,932 | -------------------------------------------------------------------------------- | Investment property | 45 | 47 | 45 | -------------------------------------------------------------------------------- | Investments in associates | 1,391 | 1,414 | 1,262 | -------------------------------------------------------------------------------- | Receivables from | 17 | 17 | 17 | | associates | | | | -------------------------------------------------------------------------------- | Financial assets | 1,233 | 1,212 | 1,231 | | available for sale | | | | -------------------------------------------------------------------------------- | Deferred tax receivables | 4,564 | 2,826 | 4,924 | -------------------------------------------------------------------------------- | TOTAL LONG-TERM ASSETS | 251,874 | 103,605 | 256,380 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CURRENT ASSETS | | | | -------------------------------------------------------------------------------- | Inventories | 2,131 | 1,780 | 2,102 | -------------------------------------------------------------------------------- | Accounts receivable and | 32,652 | 15,936 | 24,928 | | other receivables | | | | -------------------------------------------------------------------------------- | Financial assets at fair | 1,662 | 391 | 397 | | value through profit or | | | | | loss | | | | -------------------------------------------------------------------------------- | Cash and cash equivalents | 7,364 | 17,102 | 13,088 | -------------------------------------------------------------------------------- | TOTAL CURRENT ASSETS | 43,809 | 35,209 | 40,516 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | TOTAL ASSETS | 295,683 | 138,814 | 296,896 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | SHAREHOLDERS' EQUITY AND | 30.6.2008 | 31.3.2007 | 31.12.2007 | | LIABILITIES | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | SHAREHOLDERS' EQUITY | | | | -------------------------------------------------------------------------------- | Share capital | 681 | 680 | 681 | -------------------------------------------------------------------------------- | Share premium account | 459 | 31,670 | 459 | -------------------------------------------------------------------------------- | Unrestricted equity | 77,825 | 46,357 | 77,809 | | reserve | | | | -------------------------------------------------------------------------------- | Retained earnings | 2,176 | 5,268 | 889 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Minority interest | 1,706 | 2,011 | 1,682 | -------------------------------------------------------------------------------- | TOTAL SHAREHOLDERS' | 82,846 | 85,986 | 81,520 | | EQUITY | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | LONG-TERM LIABILITIES | | | | -------------------------------------------------------------------------------- | Deferred tax liabilities | 12,259 | 3,637 | 12,492 | -------------------------------------------------------------------------------- | Interest-bearing | 131,148 | 19,230 | 21,292 | | liabilities | | | | -------------------------------------------------------------------------------- | Other liabilities | 440 | 446 | 459 | -------------------------------------------------------------------------------- | TOTAL LONG-TERM | 143,847 | 23,313 | 34,243 | | LIABILITIES | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CURRENT LIABILITIES | | | | -------------------------------------------------------------------------------- | Accounts payable and | 36,991 | 22,190 | 38,462 | | other liabilities | | | | -------------------------------------------------------------------------------- | Current tax liabilities | 257 | 333 | 195 | -------------------------------------------------------------------------------- | Current interest-bearing | 31,741 | 6,991 | 142,476 | | liabilities | | | | -------------------------------------------------------------------------------- | TOTAL CURRENT LIABILITIES | 68,989 | 29,514 | 181,133 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | TOTAL EQUITY AND | 295,683 | 138,814 | 296,896 | | LIABILITIES | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CONSOLIDATED | 1.4.-| 1.4.-| 1.1.-| 1.1.-| 1.1.-| | PROFIT AND LOSS | 30.6.2008| 30.6.2007| 30.6.2008| 30.6.2007| 31.12.2007| | ACCOUNT, EUR 1,000 | | | | | | -------------------------------------------------------------------------------- | Turnover | 55,844 | 28,297 | 108,713 | 57,561 | 140,719 | -------------------------------------------------------------------------------- | Other operating | 253 | 399 | 2,906 | 564 | 1,049 | | income | | | | | | -------------------------------------------------------------------------------- | Share of profit of | 309 | 143 | 431 | 331 | 365 | | associates | | | | | | -------------------------------------------------------------------------------- | Raw material and | -9,194 | -4,686 | -16,546 | -9,296 | -23,955 | | consumables used | | | | | | -------------------------------------------------------------------------------- | Employee benefit | -24,980 | -12,396 | -50,478 | -24,338 | -63,476 | | costs | | | | | | -------------------------------------------------------------------------------- | Depreciation and | -4,703 | -2,678 | -10,039 | -5,137 | -14,134 | | impairment | | | | | | -------------------------------------------------------------------------------- | Other operating | -15,377 | -8,825 | -28,484 | -16,835 | -40,166 | | expenses | | | | | | -------------------------------------------------------------------------------- | OPERATING PROFIT | 2,151 | 254 | 6,593 | 2,849 | 401 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Financial income | 2,211 | 302 | 1,535 | 321 | 564 | -------------------------------------------------------------------------------- | Financial expenses | -3,054 | -421 | -6,308 | -1,296 | -5,092 | -------------------------------------------------------------------------------- | PROFIT BEFORE | 1,307 | 135 | 1,821 | 1,875 | -4,126 | | TAXES | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Income taxes | -805 | -49 | -498 | -472 | 1,146 | -------------------------------------------------------------------------------- | PROFIT FOR THE | 502 | 87 | 1,323 | 1,403 | -2,980 | | PERIOD | | | | | | -------------------------------------------------------------------------------- | Attributable to: | | | | | | -------------------------------------------------------------------------------- | Parent group | 377 | 31 | 1,286 | 1,249 | -3,088 | | owners | | | | | | -------------------------------------------------------------------------------- | Minority interest | 125 | 56 | 36 | 154 | 107 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Earnings per share calculated on the earnings belonging to the owners of | | the parent company (EUR) | -------------------------------------------------------------------------------- | Undiluted | 0.01 | 0.00 | 0.02 | 0.02 | -0.05 | -------------------------------------------------------------------------------- | Diluted | 0.01 | 0.00 | 0.02 | 0.02 | -0.05 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CONDENSED CASH FLOW STATEMENT | | | -------------------------------------------------------------------------------- | EUR 1,000 | 1.1.-| 1.1.-| 1.1.-| | | 30.6.2008| 30.6.2007| 31.12.2007| -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Cash flow from operations | | | | -------------------------------------------------------------------------------- | Profit for the period | 1,323 | 1,403 | -2,980 | -------------------------------------------------------------------------------- | Adjustments to the profit for | 12,531 | 6,229 | 17,052 | | the period | | | | -------------------------------------------------------------------------------- | Change in working capital | -5,236 | 179 | -3,231 | -------------------------------------------------------------------------------- | Interest received | 38 | 309 | 514 | -------------------------------------------------------------------------------- | Taxes paid | -210 | -1,108 | -1,870 | -------------------------------------------------------------------------------- | Net cash flow from operations | 8,446 | 7,012 | 9,485 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Cash flow from investments | | | | -------------------------------------------------------------------------------- | Acquired operations | 0 | -728 | -130,236 | -------------------------------------------------------------------------------- | Investments in tangible and | -5,623 | -8,377 | -15,455 | | intangible assets | | | | -------------------------------------------------------------------------------- | Disposal of associates | 0 | 0 | 123 | -------------------------------------------------------------------------------- | Income from business operation | 3,339 | 0 | 0 | | divestments | | | | -------------------------------------------------------------------------------- | Gains on disposal of assets | 452 | 100 | 335 | -------------------------------------------------------------------------------- | Dividends received | 370 | 388 | 465 | -------------------------------------------------------------------------------- | Net cash flow from investments | -1,401 | -8,617 | -144,768 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Cash flow from financing | | | | -------------------------------------------------------------------------------- | Share issue payments | 0 | 48,413 | 48,187 | -------------------------------------------------------------------------------- | Costs of issuing equity | 0 | -2,020 | -2,065 | -------------------------------------------------------------------------------- | Withdrawals of loans | 8,000 | 1,462 | 134,829 | -------------------------------------------------------------------------------- | Repayment of loans | -8,196 | -32,351 | -33,191 | -------------------------------------------------------------------------------- | Interest paid | -10,326 | -1,496 | -2,327 | -------------------------------------------------------------------------------- | Repayment of finance lease | -2,233 | -1,871 | -3,603 | | liabilities | | | | -------------------------------------------------------------------------------- | Dividends paid | -14 | -2 | -29 | -------------------------------------------------------------------------------- | Net cash flow from financing | -12,769 | 12,135 | 141,800 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Liquid assets at beginning of | 13,088 | 6,571 | 6,571 | | period | | | | -------------------------------------------------------------------------------- | Liquid assets at end of period | 7,364 | 17,102 | 13,088 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CALCULATION OF CHANGES IN CONSOLIDATED SHAREHOLDERS' EQUITY 1.1. - 30.6.2008 | -------------------------------------------------------------------------------- | EUR 1,000 | Share | Share | Unrestr | Retained | Minority | Total | | | capit | premium | icted | earnings | interest | | | | al | account | equity | | | | | | | | reserve | | | | -------------------------------------------------------------------------------- | Shareholders' | 681 | 459 | 77,809 | 889 | 1,682 | 81,520 | | equity | | | | | | | | Jan 1, 2008 | | | | | | | -------------------------------------------------------------------------------- | Option program | 0 | 0 | 16 | 0 | 0 | 16 | -------------------------------------------------------------------------------- | Profit for the | 0 | 0 | 0 | 1,287 | 36 | 1,323 | | period | | | | | | | -------------------------------------------------------------------------------- | Redeemed | 0 | 0 | 0 | 0 | -12 | -12 | | subsidiary | | | | | | | | minorities | | | | | | | -------------------------------------------------------------------------------- | Shareholders' | 681 | 459 | 77,825 | 2,176 | 1,706 | 82,847 | | equity | | | | | | | | June 30, 2008 | | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CALCULATION OF CHANGES IN CONSOLIDATED SHAREHOLDERS' EQUITY 1.1. - 30.6.2007 | -------------------------------------------------------------------------------- | EUR 1,000 | Share | Share | Share | Unrestr | Retain | Minori | Total | | | capit | premium | issue | icted | ed | ty | | | | al | account | | equity | earnin | intere | | | | | | | reserve | gs | st | | -------------------------------------------------------------------------------- | Shareholders' | 472 | 31,211 | 315 | 630 | 4,021 | 1,892 | 38,541 | | equity | | | | | | | | | Jan 1, 2007 | | | | | | | | -------------------------------------------------------------------------------- | Costs of | 0 | 0 | 0 | -2,728 | 0 | 0 | -2,728 | | issuing | | | | | | | | | equity | | | | | | | | -------------------------------------------------------------------------------- | Deferred tax | 0 | 0 | 0 | 709 | 0 | 0 | 709 | | on costs of | | | | | | | | | issuing | | | | | | | | | equity | | | | | | | | -------------------------------------------------------------------------------- | Rights issue | 200 | 0 | 0 | 47,746 | 0 | 0 | 47,946 | -------------------------------------------------------------------------------- | Dividend | 0 | 0 | 0 | 0 | -2 | 0 | -2 | -------------------------------------------------------------------------------- | Unsubscribed | 0 | 0 | -315 | 0 | 0 | 0 | -315 | | share issue | | | | | | | | -------------------------------------------------------------------------------- | Conversion of | 8 | 459 | 0 | 0 | 0 | 0 | 467 | | convertible | | | | | | | | | bond into | | | | | | | | | shares | | | | | | | | -------------------------------------------------------------------------------- | Profit for | 0 | 0 | 0 | 0 | 1,249 | 154 | 1,403 | | the period | | | | | | | | -------------------------------------------------------------------------------- | Minority | 0 | 0 | 0 | 0 | 0 | -35 | -35 | | interests in | | | | | | | | | acquisitions | | | | | | | | | and other | | | | | | | | | changes | | | | | | | | -------------------------------------------------------------------------------- | Shareholders' | 680 | 31,670 | 0 | 46,357 | 5,268 | 2,011 | 85,986 | | equity | | | | | | | | | March 31, 2007| | | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | SEGMENT | 1.4.-| 1.4.-| 1.1.-| 1.1.-| 1.1.-| | REPORTING, | 30.6.2008| 30.6.2007| 30.6.2008| 30.6.2007| 31.12.2007| | 1,000 EUR | | | | | | -------------------------------------------------------------------------------- | Turnover by segment | | | | | -------------------------------------------------------------------------------- | Occupational | 37,067 | 8,787 | 68,868 | 18,077 | 63,808 | | Healthcare | | | | | | | segment | | | | | | -------------------------------------------------------------------------------- | Clinics and | 17,881 | 14,080 | 36,187 | 27,609 | 54,897 | | Hospitals segment | | | | | | -------------------------------------------------------------------------------- | Diagnostics | 6,756 | 8,357 | 14,402 | 16,558 | 32,489 | | segment | | | | | | -------------------------------------------------------------------------------- | Others | 958 | 978 | 2,035 | 2,025 | 2,667 | -------------------------------------------------------------------------------- | Eliminations | -6,819 | -3,905 | -12,780 | -6,708 | -13,142 | -------------------------------------------------------------------------------- | Total turnover | 55,844 | 28,297 | 108,713 | 57,561 | 140,719 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Operating profit by segment | | | | | -------------------------------------------------------------------------------- | Occupational | 3,459 | -787 | 6,068 | -440 | -2,929 | | Healthcare | | | | | | | segment | | | | | | -------------------------------------------------------------------------------- | Clinics and | 3,099 | 4,191 | 6,286 | 7,327 | 11,310 | | Hospitals segment | | | | | | -------------------------------------------------------------------------------- | Diagnostics | 899 | 602 | 4,954 | 1,856 | 4,225 | | segment | | | | | | -------------------------------------------------------------------------------- | Others | -5,307 | -3,752 | -10,716 | -5,893 | -12,204 | -------------------------------------------------------------------------------- | Total operating | 2,151 | 254 | 6,593 | 2,849 | 401 | | profit | | | | | | -------------------------------------------------------------------------------- | Operating | 3.9 | 0.9 | 6.1 | 4.9 | 0.3 | | profit/turnover,% | | | | | | | | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Financial income | -843 | -119 | -4,773 | -975 | -4,528 | | and expenses | | | | | | -------------------------------------------------------------------------------- | Profit before tax | 1,307 | 135 | 1,821 | 1,875 | -4,126 | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | Taxes | -805 | -49 | -498 | -472 | 1,146 | -------------------------------------------------------------------------------- | PROFIT FOR THE | 502 | 87 | 1,323 | 1,403 | -2,980 | | PERIOD | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | CONSOLIDATED PROFIT AND LOSS ACCOUNT, BY QUARTER, EUR 1,000 | | -------------------------------------------------------------------------------- | | 1.4.-| 1.1.-| 1.10.-| 1.7.-| 1.4.-| | | 30.6.2008| 31.3.2008| 31.12.2007| 30.9.2007| 30.6.2007| -------------------------------------------------------------------------------- | Turnover | 55,844 | 52,868 | 52,923 | 30,236 | 28,297 | -------------------------------------------------------------------------------- | Other | 253 | 2,653 | 321 | 164 | 399 | | operating | | | | | | | income | | | | | | -------------------------------------------------------------------------------- | Share in | 309 | 122 | -50 | 83 | 143 | | associated | | | | | | | companies | | | | | | | income | | | | | | -------------------------------------------------------------------------------- | Raw material | -9,194 | -7,262 | -9,780 | -4,879 | -4,686 | | and | | | | | | | consumables | | | | | | | used | | | | | | -------------------------------------------------------------------------------- | Employee | -24,980 | -25,497 | -24,271 | -14,854 | -12,396 | | benefit | | | | | | | costs | | | | | | -------------------------------------------------------------------------------- | Depreciation | -4,703 | -5,336 | -5,290 | -3,707 | -2,678 | -------------------------------------------------------------------------------- | Other | -15,377 | -13,107 | -13,766 | -9,579 | -8,825 | | operating | | | | | | | expenses | | | | | | -------------------------------------------------------------------------------- | OPERATING | 2,151 | 4,442 | 87 | -2,536 | 254 | | PROFIT | | | | | | -------------------------------------------------------------------------------- | Financial | 2,211 | 93 | 141 | 101 | 302 | | income | | | | | | -------------------------------------------------------------------------------- | Financial | -3,054 | -4,022 | -2,771 | -1,025 | -421 | | expenses | | | | | | -------------------------------------------------------------------------------- | Profit | 1,307 | 513 | -2,542 | -3,459 | 135 | | before tax | | | | | | -------------------------------------------------------------------------------- | Income taxes | -804 | -1,371 | 680 | 938 | -49 | -------------------------------------------------------------------------------- | PROFIT FOR | 502 | -858 | -1,862 | -2,522 | 87 | | THE PERIOD | | | | | | -------------------------------------------------------------------------------- | Attributable | | | | | | | to: | | | | | | -------------------------------------------------------------------------------- | Parent | 377 | -769 | -1,810 | -2,527 | 31 | | company | | | | | | | shareholders | | | | | | -------------------------------------------------------------------------------- | Minority | 125 | -89 | -52 | 5 | 56 | | interest | | | | | | -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- | OTHER INFORMATION | 1.1.-| 1.1.-| 1.1.-| | | 30.6.2008| 30.6.2007| 31.12.2007| -------------------------------------------------------------------------------- | Average personnel | 2,365 | 1,354 | 1,689 | -------------------------------------------------------------------------------- | Personnel at end of period | 2,328 | 1,447 | 2,398 | -------------------------------------------------------------------------------- Calculation of financial ratios: Return on equity, % = 100 x (Profit before tax - direct taxes)/ (Shareholders' equity + minority interest (average)) Return on investment, % = 100 x (Profit before tax + interest expenses + other financial expenses)/ (Balance sheet total - non-interest-bearing liabilities (average)) Capital adequacy, % = 100 x (shareholders' equity + minority interest) / (Balance sheet total - advances received) Net gearing = (Interest-bearing liabilities - liquid assets) / (Shareholders' equity + minority interest) Undiluted earnings per share = (Profit before tax - minority interest - income taxes) / Weighted average number of outstanding shares Diluted earnings per share = (Profit before tax - minority interest - income taxes) / Weighted average number of outstanding shares adjusted for dilution Equity per share = Shareholders' equity / Undiluted number of shares at end of the review period Quick ratio = Financial assets / (Short term liabilities - advances received) SUOMEN TERVEYSTALO OYJ Board of Directors FOR ADDITIONAL INFORMATION, PLEASE CONTACT: Managing Director Martti Kiuru, tel. 030 63 311, martti.kiuru@terveystalo.com CFO Jukka Yli-Hankala, tel. +358 400 96 2212, jukka.yli-hankala@terveystalo.com The bulletin and tables are available at: http://www.terveystalo.com Terveystalo: Terveystalo is Finland's leading healthcare service company offering versatile healthcare, occupational healthcare, diagnostic and hospital services. The company has more than 100 units across the country. Terveystalo, which was founded in 2001, has grown strongly. The company share is listed on the OMX Nordic Exchange Helsinki under the code SUT1V. The statements about the future are based on the situation when this bulletin was published and the actual outcome may differ from the statements. Anything in this bulletin that is not historical fact is a statement about the future. Statements about the future contain known and unknown risks, uncertainties and other factors that may lead to considerable deviation in Terveystalo Group's actual earnings, operations and accomplishments compared to any statements related to future earnings, operations and accomplishments included in such a statement on the future. Such factors include general economic and operating environment-related conditions, additions and changes to the competitive situation, the company's ability to utilize its investments and implement its integration program and its business strategy. Distribution: OMX Nordic Exchange Helsinki Principal media