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31 July 2020

MDMG DEMONSTRATES SUSTAINABLE RESULTS IN CHALLENGING ENVIRONMENT

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31 July 2020, Moscow – MD Medical Group Investments Plc (“MD Medical Group”, “MDMG” or the “Company” – LSE: MDMG), a leading Russian private healthcare provider, today announces its operating and unaudited financial results for H1 2020.

Key highlights for H1 2020:

  • Total revenue increased by 2% year-on-year (y-o-y) to RUB 7,974 mln;
  • Total deliveries were nearly flat y-o-y and amounted to 3,668. Revenue from deliveries increased by 2% y-o-y to RUB 1,148 mln;
  • Total IVF cycles decreased by 32% y-o-y to 5,799. Revenue from IVF decreased by 25% y-o-y to RUB 1,346 mln;
  • Total in-patient treatments increased by 23% y-o-y to 48,603. Revenue from in-patient treatments increased by 61% y-o-y to RUB 2,405 mln;
  • Total out-patient treatments decreased by 15% y-o-y to 729,121. Revenue from out-patient treatments decreased by 12% y-o-y to RUB 2,172 mln.

Mark Kurtser, CEO of MD Medical Group, said:

“We completed the first six months of 2020 with a solid operating performance despite the unprecedented and challenging environment due to the pandemic.

“Starting from mid-March, MD Medical Group was on the frontline of the fight with COVID-19. We managed to quickly convert our Lapino hospital for the treatment of patients with coronavirus, while transferring all other patients to the MD Group hospital in Moscow. The Company has gained valuable experience in the efficient admission and treatment of a large inflow of patients of all ages, including pregnant women, and has further expanded its competences. We have achieved strong medical results helping our patients to recover and emerged out of this period more prepared to face similar extraordinary situations, including a potential second wave of COVID-19. By demonstrating our ability to quickly adapt and offer new in-demand medical services of a high level, we further strengthened customer loyalty. Amid the decreased inflow of patients with coronavirus, from 8 June, the Lapino hospital has returned to its normal format.

“All the Company’s other medical centres have continued business as usual. As a result, in H1 2020, we increased our revenue by 2% year-on-year to RUB 7,974 mln. In-patient treatments grew by 23% year-on-year, mainly due to the planned growth in Oncology, Trauma and Surgery treatments. This indicator was also supported by treatment of COVID-19 patients at Lapino. Deliveries remained nearly flat year-on-year, while the corresponding revenue grew 2% thanks to a higher average check. At the same time, in Q2 2020, deliveries demonstrated a 3% year-on-year growth. The number of IVF cycles and out-patient treatments declined by 32% and 15%, respectively. This was due to the temporary ban of IVF and a number of other elective medical services introduced by local authorities in order to prevent the spread of СOVID-19 in the majority of regions where the Group operates. This decline was also due to the changes in consumer behaviour amid self-isolation measures. As a result, our patients did not have an opportunity to get IVF or other planned medical procedures and were forced to temporarily postpone treatment. However, we expect that these patients will return to us for such medical services which in turn will positively impact our performance in H2 2020. We are already seeing signs of recovery in demand.

“Amid strong results in H1 2020, the Company has maintained a solid financial position. As of the end of the reporting period, net debt declined by 35% from the beginning of 2020.

“I want to once again thank our doctors, medical staff and management for their dedicated and efficient performance in such a challenging period which we successfully got through together.”

Key operational highlights for H1 2020:

Deliveries

  • In H1 2020, total deliveries were nearly flat y-o-y and amounted to 3,668;
  • Total like-for-like (LFL) deliveries decreased by 2% y-o-y;
  • Revenue from deliveries grew by 2% y-o-y and amounted to RUB 1,148 mln, or 14% of the Group’s total revenue;
  • The average check for deliveries amounted to RUB 425 thsd (up by 7% y-o-y) in Moscow and the Moscow Region, and RUB 151 thsd in the regions (up by 2% y-o-y).

IVF

  • In H1 2020, total IVF cycles decreased by 32% y-o-y to 5,799. This decline was mainly due to the temporary ban on IVF in a number of the regions where the Group operates amid the COVID-19 pandemic. Cycles completed under the Mandatory Health Insurance (MHI) programme accounted for 49% of the total number of cycles for H1 2020;
  • Total LFL IVF cycles declined by 32% y-o-y and amounted to 5,524;
  • Revenue from IVF declined by 25% y-o-y to RUB 1,346 mln, or 17% of the Group’s total revenue;
  • MHI services accounted for 31% of revenue from IVF (down by 3 p.p. from H1 2019);
  • The average check for commercial IVF cycles increased by 5% y-o-y to RUB 313 thsd, while the average check for IVF cycles under MHI increased by 9% y-o-y to RUB 146 thsd.

In-patient treatments

  • In H1 2020, total in-patient treatments grew by 23% y-o-y to 48,603 on the back of:
    • A 341% increase in internal medicine in-patient treatments due to performance at Lapino hospital amid the COVID-19 pandemic;
    • A 100% increase in oncology in-patient treatments, mainly due to performance at hospitals in Novosibirsk, Ufa and Lapino;
    • A 32% increase in traumatology in-patient treatments, mainly due to performance at hospitals in Tyumen and Lapino;
  • Total LFL in-patient treatments increased by 17% y-o-y to 46,177;
  • Revenue from in-patient treatments grew by 61% y-o-y to RUB 2,405 mln, or 30% of the Group’s total revenue. This growth was mainly driven by the clinical hospital Lapino;
  • The average check for in-patient treatments amounted to RUB 60.5 thsd (up by 22% y-o-y) in Moscow and the Moscow Region and RUB 36.3 thsd in other regions (up by 28% y-o-y). Growth in the average check was due to solid development of oncology and surgery service offering – both in Moscow and regional hospitals. The average check was also supported by treatment of COVID- 19 patients.

Out-patient treatments

  • In H1 2020, total out-patient treatments decreased by 15% y-o-y to 729,121, on the back of:
    • A 25% decrease in paediatrics out-patient treatments;
    • A 10% decrease in OBGYN out-patient treatments;
    • An 12% decrease in other medical services out-patient treatments.
  • Total LFL out-patient treatments declined by 17% y-o-y to 704,196;
  • Revenue from out-patient treatments declined by 12% y-o-y to RUB 2,172 mln, or 27% of the Group’s total revenue.
  • The average check for out-patient treatments amounted to RUB 3.0 thsd (up by 3% y-o-y).

Revenue and average check

In H1 2020, total revenue grew by 2% y-o-y (up by RUB 149 mln y-o-y) to RUB 7,974 mln. Growth in revenue and average check for in-patient treatments was driven by Internal Medicine services, as well as by Oncology, Trauma and Surgery services, which the Group has continued to systematically roll out in the recent years and which are comparable in terms of margins to our medical services for women and children on which the Company was originally focused.

The average check for key services in H1 2020 amounted to:

  • RUB 313 thsd for deliveries, up by 2% y-o-y;
    • Moscow and the Moscow Region – RUB 425 thsd;
    • Other regions – RUB 151 thsd;
  • RUB 232 thsd for IVF, up by 10% y-o-y;
  • RUB 49.5 thsd for in-patient treatments, up by 31% y-o-y;
  • RUB 3.0 thsd for out-patient treatments, up by 3% y-o-y.

Net debt

As of 30 June 2020, net debt decreased by RUB 1,221 mln, or by 35%, compared to 31 December 2019, to RUB 2,309 mln.

CAPEX

Total CAPEX in H1 2020 decreased by 40% y-o-y to RUB 1,338 mln. Major investments included theconstruction of Lapino-2.

Operating results for Q2 and H1 2020

Consolidated dataLike-for-like
H1 2020H1 2019y-o-y, %Q2 2020Q2 2019y-o-y, %H1 2020H1 2019y-o-y, %
OBSTETRICS AND GYNAECOLOGY
Deliveries 3 6683 6790%1 9201 868+3%3 5893 679-2%
In-patient treatments (except deliveries)9 70911 607-16%4 2475 708-26%9 30111 607-20%
Out-patient treatments254 010282 777-10%112 372142 007-21%245 632274 854-11%
IVF
IVF5 7998 505-32%1 8514 650-60%5 5248 090-32%
PAEDIATRICS
In-patient treatments10 70411 406-6%4 0235 161-22%10 51411 406-8%
Out-patient treatments167 410222 701-25%59 663110 876-46%162 029222 701-27%
OTHER MEDICAL SERVICES
In-patient treatments28 19016 498+71%17 9208 008+124%26 36216 498+60%
Out-patient treatments
307 701351 011-12%124 649174 514-29%296 535349 981-15%
TOTAL
Total deliveries3 6683 6790%1 9201 868+3%3 5893 679-2%
Total IVF5 7998 505-32%1 8514 650-60%5 5248 090-32%
Total in-patient treatments48 60339 511+23%26 19018 877+39%46 17739 511+17%
Total out-patient treatments729 121856 489-15%296 684427 397-31%704 196847 536-17%

Revenue for H1 2020, RUB mln1

Consolidated dataLike-for-like
H1 2020H1 2019y-o-y, %H1 2020H1 2019y-o-y, %
Deliveries1 1481 129+2%1 1371 129+1%
IVF1 3461 789-25%1 2931 712-24%
In-patient treatments2 4051 494+61%2 3191 494+55%
Out-patient treatments2 1722 481-12%2 1272 451-13%
Other revenue904932-3%870932-7%
Other revenue7 9747 825+2%7 7467 7180%

Average check for H1 2020, RUB thsd1

Consolidated dataLike-for-like/b>
H1 2020H1 2019y-o-y, %H1 2020H1 2019y-o-y, %
Deliveries313307+2%317307+3%
Moscow and the Moscow Region425398+7%425398+7%
Other regions151147+2%151147+3%
IVF232210+10%234212+11%
Commercial cycles313298+5%311296+5%
MHI146134+9%147134+10%
In-patient treatments49,537,8+31%50,237,8+33%
Moscow and the Moscow Region60,549,8+22%60,549,8+22%
Other regions36,328,4+28%36,428,4+28%
Out-patient treatments3,02,9+3%3,02,9+4%

1 Minor discrepancies in calculating percentage changes and totals in this and other tables of this press release are due to rounding. Data is based on management accounts.

This announcement contains inside information.

For further information please contact:

InvestorsMedia
Dmitry Yakushkin

MD Medical Group Investments Plc
Tel: +7 495 331 41 20
d.yakushkin@mcclinics.ru
EM

Tom Blackwell: +7 919 102 9064
Sergii Pershyn: +1 929 855 8188

About MD Medical Group

MD Medical Group is a leading provider in the highly attractive Russian private healthcare service market. The company manages 42 modern healthcare facilities, including 6 hospitals and 36 out-patient clinics in Moscow and the Moscow Region, St. Petersburg, Ufa, Perm, Samara and the Samara Region, Irkutsk, Novosibirsk, Irkutsk, Yaroslavl, Ryazan, Kostroma, Novokuznetsk, Krasnoyarsk, Omsk, Barnaul, Vladimir, Tyumen, Voronezh, Nizhny Novgorod, Volgograd, Tula, Kazan, Vladivostok, Krasnodar and Rostov on Don

The Company’s shares have been listed on the London Stock Exchange (LSE ticker “MDMG”) in the form of Global Depositary Receipts (GDRs) since 12 October 2012.

Forward-Looking Statements:

This press release contains forward looking statements, which are based on the Company’s current expectations and assumptions and may involve known and unknown risks and uncertainties that could cause actual results, performance or events to differ materially from those expressed or implied in such statements. The forward looking statements contained in this press release are based on past trends or activities and should not be taken that such trends or activities will continue in the future. It is believed that the expectations reflected in these statements are reasonable, but they may be affected by a number of variables which could cause actual results or trends to differ materially, including, but not limited to: conditions in the market, market position of the Company, earnings, financial position, cash flows, return on capital and operating margins, anticipated investments and economic conditions; the Company’s ability to obtain capital/additional finance; a reduction in demand by customers; an increase in competition; an unexpected decline in revenue or profitability; legislative, fiscal and regulatory developments, including, but not limited to, changes in environmental and health and safety regulations; exchange rate fluctuations; retention of senior management; the maintenance of labour relations; fluctuations in the cost of input costs; and operating and financial restrictions as a result of financing arrangements. No statement in this press release is intended to constitute a profit forecast, nor should any statements be interpreted to mean that earnings or earnings per share will necessarily be greater or lesser than those for the relevant preceding financial periods for the Company. Each forward looking statement relates only as of the date of the particular statement.


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