Finland's healthcare regions face bleak financial outlook as losses accumulate

Over half of the country's regional healthcare authorities revised their financial reports for 2024 to reflect increased budget deficits.

Photo shows a healthcare worker walking down a corridor in a hospital.
File photo. Image: Antro Valo / Yle
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Finland's regional healthcare authorities — also known as wellbeing services counties — are on course to report significantly higher losses for the fiscal year 2024 than previously estimated, according to calculations provided to Yle by the Ministry of Finance.

Figures submitted by the regional authorities to the ministry in April set the combined total losses for this year at some 860 million euros.

However, according to the revised figures, the budget deficit for 2024 will be around 1.25 billion euros — an increase of about 400 million euros on the original estimate.

A further revision of the figures is expected later this month.

Based on the latest data, over half of the regional authorities estimate that they will make larger losses than expected this year.

The wellbeing services county of Southwest Finland, for example, had previously reported a loss of 85 million euros this year — but this has nearly doubled to 160 million euros. The regions of North Savo, Lapland, Pirkanmaa and Central Finland are also on course to see large-scale budget deficits this year.

In addition, the City of Helsinki — which provides health and social services in the capital region — currently predicts that its budget deficit will be seven-fold higher than previously estimated, up from 5 million to 35 million euros.

Only five regions managed to lower their deficit estimates.

Table shows a comparison between the budget estimates originally provided by the healthcare regions and the City of Helsinki, and the latest figures.
RegionOriginal budget 2024 (all figures in millions of €)Revised estimates (all figures in millions of €)
South-Karelia–32–50
South Ostrobothnia–36–32
South Savo–49–41
Helsinki–5–35
Eastern Uusimaa–16–31
Kainuu–27–25
Kanta-Häme–67–66
Central Ostrobothnia2–18
Central Finland–50–103
Central Uusimaa–32–47
Kymenlaakso–65–65
Lapland–39–70
Western Uusimaa–4–12
Pirkanmaa–24–67
Ostrobothnia–34–39
North Karelia–15–23
North Ostrobothnia–61–60
North Savo–37–96
Päijät-Häme–34–52
Satakunta–57–62
Vantaa-Kerava–100–100
Southwest Suomi–85–160
Total–866–1252

In 2023, the combined losses exceeded 1.3 billion euros. The wellbeing services counties are obligated to cover all budget deficits for this year and last year by 2026.

In addition, the government has set a target of 2025 for all welfare services counties to balance their books, as additional funding of about 1.5 billion euros will be provided.

However, if the healthcare and social services sectors remain heavily in the red next year, the government may look to either borrow more money to cover the deficit or introduce further spending cuts.

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