MD Medical Group reports growth of all key operational results in H1 2019

31 July 2019, 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 resultsfor the first half of 2019.

Key highlights for H1 2019:

• Total revenue increased 10% year-on-year (y-o-y) to RUB 7,825 mln;
• Total deliveries increased 6% y-o-y to 3,679. Revenue from deliveries increased 5% y-o-y to RUB 1,129 mln;
• Total IVF cycles increased 8% y-o-y to 8,505. Revenue from IVF increased 12% y-o-y to RUB 1,789 mln;
• Total in-patient treatments increased 18% y-o-y to 39,623. Revenue from in-patient treatments increased 19% y-o-y to RUB 1,494 mln;
• Total out-patient treatments increased 9% y-o-y to 856,436. Revenue from out-patient treatments increased 8% y-o-y to RUB 2,481 mln.

Mark Kurtser, CEO of MD Medical Group, said:

“In H1 2019, MDMG continued to grow and expand its business by delivering growth across key operating indicators and revenue.

“In the first six months of the year, we grew revenue by 10% y-o-y to RUB 7,825 mln thanks to our solid operating results and continued ramp-up of our facilities. I would like to highlight in particular the 18% growth in in-patient days, which drove revenue from in-patient treatments higher by 19% y-o-y. Other Medical Services line grew at the fastest pace – by 38% y-o-y – thanks to strong results in cardiology, surgery, traumatology and general medicine. The overall number of deliveries increased by 6% y-o-y, and by 91% y-o-y at the Samara hospital and 41% y-o-y at the Novosibirsk hospital. In H1 2019, we increased the number of completed IVF cycles by 8% y-o-y, delivering 12% y-o-y growth in the respective revenue line, in part thanks to offering additional IVF services. IVF cycles under the Mandatory Healthcare Insurance (MHI) programme continued to growand accounted for 53% of the total number of cycles.We also increased out-patient treatments by 9% in H1 2019.

“In the first half of the year, we continued expanding our network by opening a clinical hospital in Tyumen and a new clinic in Vladivostok. We also continued renovation work at PMC, as well as the construction of Lapino-2, where interior construction work is already underway.

“Our solid results for H1 2019, combined with the significant potential of our projects, give us every confidence in the further successful development of the Group.”

Key operational highlights for H1 2019:

Deliveries

• In H1 2019, total deliveries increased 6% y-o-y to 3,679. Key growth drivers were regional hospitals:
  • Deliveries at the Mother&Child Samara hospital grew 91% y-o-y. In H1 2019, there were 281 deliveries at the hospital;
  • Deliveries at the Novosibirsk clinical hospital grew 41% y-o-y;
  • Deliveries at the Mother&Child Ufa clinical hospital grew 4% y-o-y.
• Total like-for-like (LFL) deliveries increased 2% y-o-y;
• Revenue from deliveries grew 5% y-o-y to RUB 1,129 mln, or 14% of the Group’s total revenue;
• The average check for deliveries amounted to RUB 398 thsd (up 6% y-o-y) in Moscow and the Moscow Region, and RUB 147 thsd in the regions (up 1% y-o-y).

IVF

• In H1 2019, total IVF cycles increased 8% y-o-y to 8,505. Cycles completed under the MHI programme accounted for 53% of the total number of cycles;
• Total LFL IVF cycles increased by 2% y-o-y to 8,007. Key growth drivers were Group’s out-patient clinics;
• Revenue from IVF grew 12% y-o-y to RUB 1,789 mln, or 23% of the Group’s total revenue;
• MHI services accounted for 34% of revenue from IVF, up 5 p.p. y-o-y;
• The average check for commercial IVF cycles increased by 4% y-o-y to RUB 297 thsd, while the average check for IVF cycles under MHI increased by 10% y-o-y to RUB 134 thsd.

In-patient treatments

• In H1 2019, total in-patient treatments grew by 18% y-o-y to 39,623 on the back of:
  • A 1% increase in OBGYN in-patient treatments (excluding deliveries);
  • A 13% increase in paediatric in-patient treatments;
  • A 38% increase in in-patient days using other medical services.

  Key growth drivers in the in-patient treatments segment were PMC andthe hospital in Novosibirsk, as well as the continued ramp-up of the Samara hospital.

• Total LFL in-patient treatments grew by 10% y-o-y to 37,061;
• Revenue from in-patient treatments grew by 19% y-o-y to RUB 1,494 mln, or 19% of the Group’s total revenue. The hospitals at Lapino and in the regions were key drivers behind this growth;
• The average check for in-patient treatments amounted to RUB 49.1 thsd (up 5% y-o-y) in Moscow and the Moscow Region, and RUB 28.6 thsd in other regions (down 1% y-o-y).

Out-patient treatments

• In H1 2019, total out-patient treatments increased by 9% y-o-y to 856,436 on the back of:
  • An 8% increase in OBGYN out-patient treatments;
  • A 7% increase in paediatric out-patient treatments;
  • An 11% increase in out-patient days using other medical services.
• Total LFL out-patient treatments grew by 5% y-o-y to 820,294;
• Revenue from out-patient treatments grew by 8% y-o-y to RUB 2,481 mln, or 32% of the Group’s total revenue. The hospitals in Lapino and the regions were key drivers of this growth;
• The average check for out-patient treatments amounted to RUB 2.9 thsd (flat y-o-y).

Revenue and average check

In H1 2019, total revenue grew 10% y-o-y (up RUB 695mln y-o-y) to RUB 7,825mln on the back of:

• A 5% increase in revenue from deliveries.
• A 12% increase in revenue from IVF.
• A 19% increase in revenue from in-patient treatments.
• An 8% increase in revenue from out-patient treatments.

The average check for key services in H1 2019 amounted to:

• RUB 307 thsd for deliveries, flat y-o-y.
  • Moscow and the Moscow Region – RUB 398 thsd.
  • Other regions – RUB 147 thsd.
• RUB 210 thsd for IVF, up 3% y-o-y.
• RUB 37.7 thsd for in-patient treatments, up 1% y-o-y.
• RUB 2.9 thsd for out-patient treatments, flat y-o-y.

Net debt

As of 30 June 2019, net debt increased by RUB 1,156 mln, or by 39%, compared to 31 December 2018, to RUB 4,106 mln on the back of raising funds for the construction of the Tyumen hospital, construction of Lapino-2 and renovation at PMC. The increase in net debt was also due to the payout of dividends for FY 2018 and a RUB 357 mln impact related to adoption of IFRS 16 Leases.

CAPEX

Total CAPEX in H1 2019 increased by 32% y-o-y to RUB 2,212 mln. Major investments included the construction of the Tyumen hospital, construction of Lapino-2 and renovation at PMC.

Changes in the network of clinics

To optimise costs and consolidate patients at multi-disciplinary hospitals, the Group has ceased operations at two out-patient clinics in Ufa and Samara. As a result, at the end of H1 2019, the Group comprised 40 medical institutions.

Operating results for Q2 and H1 2019

Revenue for H1 2019, RUB mln*

Average check for H1 2019, RUB thsd*

*Minor discrepancies in the calculation of percentage values and totals in this and other tables of the press release are due to rounding.Data is based on management accounts.