Paul Stradins Clinical University Hospital (PSKUS) ended 2025 with losses of €12.93 million. The institution believes that the main reason for the financial problems is not inefficiency but that state tariffs for medical services do not cover the real costs of patient treatment.
According to the annual report of the hospital, PSKUS incurred losses of €12.93 million last year, which is €12.18 million more than the previous year. However, the actual losses turned out to be €680,000 less than the approved budget had anticipated.
The hospital emphasizes that over 90% of its income is generated from state-funded medical services. However, the current funding system, according to the management, does not take into account the real costs of treatment, especially in cases of complex and high-tech interventions.
The total revenue of PSKUS in 2025 amounted to €208.6 million, an increase of 2.45%, while expenses grew significantly faster — by 8.4%, reaching €221.5 million.
Labor costs increased the most — by €5.7 million. This is related to salary increases, the expansion of project activities, and the abandonment of external security services. Additionally, expenses for medications and medical materials increased by €8.8 million.
The issue of funding for inpatient treatment remains particularly acute. According to the hospital, in 2025, the cost of services provided under the diagnostic group system exceeded the allocated funding by €7.47 million. On average, state funding underpaid about €184 per patient.
One of the most problematic areas remains the treatment of heart rhythm disorders. The funding deficit for ablation procedures reached €4.9 million. In neurology, including stroke treatment, the current tariffs cover only about 65% of actual costs, leading to a shortfall of another €840,000.
Even patient nutrition is funded below cost. According to the hospital's calculations, the established rate of seven euros per bed-day creates an annual deficit of approximately one million euros.
Despite financial difficulties, the volume of medical assistance continues to grow. Last year, the hospital conducted nearly 335,000 outpatient consultations, which is 7% more than the previous year. The number of remote consultations increased by more than a third.
In the hospital, 48,682 patients received treatment. Additionally, 61,788 surgeries were performed, including 83 organ transplants: 47 kidney transplants, 24 corneal transplants, five heart transplants, and seven liver transplants.
Emergency medical assistance was provided to more than 64,000 patients over the year, which is almost three thousand more than the previous year.
The hospital believes that without revising tariffs and more fully covering the real costs of medical institutions, the problem of funding deficits will persist.
