The Tallinn City Council has proposed the establishment of a joint-stock company, Tallinna Haigla (Hospital of Tallinn), to consolidate city-owned healthcare institutions into a single corporate group. This includes East Tallinn and West Tallinn Central Hospitals, the Children’s Hospital, the Dental Clinic and the Tallinn Ambulance Service. The objective is to improve operational efficiency and reduce duplication. The new company will also incorporate the Tallinn Hospital Development Foundation, the entity originally established to lead preparations for the creation of Tallinna Haigla, and will take over its functions.
In the first phase, a holding structure will be created, with legal mergers of the entities planned at a later stage (no exact timeline suggested). The new parent company will coordinate strategic operations and oversee the development of a new medical campus. Until the legal mergers are completed, providers within the group will continue to operate autonomously and remain individually contracted by the Estonian Health Insurance Fund.
This development is in line with Estonia’s Hospital Development Plan 2040, which envisions the eventual consolidation of the city’s two central hospitals and the children’s hospital with the state-owned North Estonian Medical Centre. However, this current step applies only to facilities owned by the Tallinn City Government, as there is no political consensus to proceed with a larger scale merger.