MD Medical Group reports 51% growth in Revenue in 1H 2021

29 July 2021 – 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 2021.

Key highlights for H1 2021:

• Total revenue increased by 51% year-on-year (y-o-y) to RUB 12,009 mln;
• Total deliveries grew 10% y-o-y and amounted to 4,027. Revenue from deliveries increased by 17% y-o-y to RUB 1,340 mln;
• Total IVF cycles increased by 41% y-o-y to 8,154. Revenue from IVF increased by 42% y-o-y to RUB 1,908 mln;
• Total in-patient treatments increased by 49% y-o-y to 76,196. Revenue from in-patient treatments increased by 83% y-o-y to RUB 4,397 mln;
• Total out-patient treatments increased by 23% y-o-y to 897,396. Revenue from out-patient treatments increased by 31% y-o-y to RUB 2,853 mln.

Mark Kurtser, CEO of MD Medical Group, said:

“In the first half of the year, we demonstrated growth across all key business lines as expected, resulting in revenue growth by 51% year-on-year. Moreover, the majority of our performance indicators not only grew compared to H1 2020 but also exceeded our performance in the pre-pandemic H1 2019.

“Our growth was mainly driven by the strong performance in our traditional areas of expertise, such as women’s health and paediatrics, where we saw further recovery in demand. More importantly, our investments in such areas as oncology, trauma and cardiology proved to be efficient, with each of these service lines demonstrating solid dynamics.

“In the first six months of the year, our deliveries and IVF cycles grew 10% and 41%, respectively. In-patient days increased by 49%, mainly thanks to our performance in oncology, internal medicine, trauma and orthopaedics, while the respective revenue grew at an even faster pace – by 83%. Out-patient visits also demonstrated solid growth of 23%.

“Among the drivers of this growth were the increase in capacity utilisation and further ramp-up at our new hospitals Lapino-2 and Lapino-4.

“Capacity utilisation at the surgery building Lapino-2, which we opened last year, has continued to grow, and we expect it to reach 40% by year end. Capacity utilisation at our new Lapino-4 building is expected to reach 80% by year end. At the latter, our doctors are focusing all of their efforts on assisting COVID-19 patients with both in-patient and out-patient treatment including via telemedicine. I would also like to highlight the successful launch of the post-COVID check-up and rehabilitation programmes at all our hospitals, which enable us to provide a full cycle of medical services in this area.

“We have also seen a growing number of patients coming to Lapino for oncology treatments. Recently, we carried out our first open-heart surgery at the hospital, which now allows us to provide a full cycle of cardiac and cardiac surgery care to patients with cardiovascular diseases.

“As a result, Lapino has developed into a true multifunctional hospital complex, and we are currently planning its further expansion. Our solid operational performance was also supported by our regional hospitals, particularly in Tyumen and Samara, as well as clinics across our network.

“The Group continues to work on a number of new projects at the moment. These primarily relate to the expansion of Lapino. We are currently considering the construction of Lapino-3 with a 12,000 sqm area, which would provide a full cycle of oncology treatments, as well as the construction of 100-bed Lapino-5 with a 10,000 sqm area. As part of our expansion in the Moscow Region, we are also preparing to launch the construction of a multifunctional hospital in Domodedovo with a 15,000 sqm area, which would be built in line with our standard regional hospital project. We have also started to prepare the new hospital project at our site in St Petersburg. At the same time, we continue expanding our out-patient network and are preparing the launch of a new format for our Group – a chain of test collection laboratories in Moscow and the Moscow Region under the MD LAB brand. Capital expenditure for these three facilities should amount to RUB 12 billion, and we plan to complete them within three years. Our strong operational and financial results allow us to implement our CAPEX programme using our own funds while continuing to pay dividends amounting to 50% of our net profit twice a year”.

Key operational highlights for H1 2021:

Deliveries

• In H1 2021, total deliveries and total like-for-like (LFL) deliveries increased by 10% y-o-y and amounted to 4,027. Key growth drivers were the regional Group’s hospitals:
• Deliveries at Mother&Child IDK Samara clinical hospital grew by 53% y-o-y;
• Deliveries at Mother&Child Tyumen clinical hospital grew by 47% y-o-y;
• Deliveries at Lapino and MD Group hospitals in Moscow grew by 3% y-o-y.
• Revenue from deliveries grew by 17% y-o-y and amounted to RUB 1,340 mln, or 11% of the Group’s total revenue;
• The average check for deliveries amounted to RUB 469 thsd (up by 10% y-o-y) in Moscow and the Moscow Region, and RUB 164 thsd in the regions (up by 9% y-o-y).

IVF

• In H1 2021, total IVF cycles and total LFL IVF cycles increased by 41% y-o-y to 8,154. Cycles completed under the Mandatory Health Insurance (MHI) programme accounted for 52% of the total number of cycles for H1 2021;
• Revenue from IVF increased by 42% y-o-y to RUB 1,908 mln, or 16% of the Group’s total revenue;
• MHI services accounted for 36% of revenue from IVF;
• The average check for commercial IVF cycles was flat y-o-y and amounted to RUB 314 thsd, while the average check for IVF cycles under MHI increased by 10% y-o-y to RUB 160 thsd.

In-patient treatments

• In H1 2021, total in-patient treatments and total LFL in-patient treatments grew by 49% y-o-y to 76,196 on the back of:
• A 228% increase in oncology in-patient treatments, mainly due to performance at the hospital in Lapino where key patient flows in this area took place at the medical antitumor therapy and oncohaematology departments, the surgery departments – in particular related to head and neck tumours – as well as coloproctology.
• A 24% increase in internal medicine in-patient treatments due to performance at the hospital in Lapino;
• A 75% increase in traumatology and orthopaedics in-patient treatments, mainly due to performance at hospitals in Lapino, Samara and Tyumen. In this area, we expanded the range of surgery procedures to include hand, foot and spine surgery in addition to endoprosthetics of major joints.
• Revenue from in-patient treatments grew by 83% y-o-y to RUB 4,397 mln, or 37% of the Group’s total revenue. This growth was mainly driven by the clinical hospital Lapino;
• The average check for in-patient treatments continued to grow in H1 2021 and amounted to RUB 74.2 thsd (up by 23% y-o-y) in Moscow and the Moscow Region and RUB 34.8 thsd in other regions (up by 7% y-o-y). Growth in the average check was driven by the development of such areas as oncology, internal medicine, trauma and orthopaedics, as well as surgery.

Out-patient treatments

• In H1 2021, total out-patient treatments increased by 23% y-o-y to 897,396;
• Total LFL out-patient treatments increased by 23% y-o-y to 897,129, partly due to the recovery in demand for elective medical services;
• Revenue from out-patient treatments increased by 31% y-o-y to RUB 2,853 mln, or 24% of the Group’s total revenue, mainly due to performance at the hospital in Lapino in such services as gynaecology and paediatrics, as well as at the diagnostic and treatment centre.
• The average check for out-patient treatments amounted to RUB 3.2 thsd (up by 7% y-o-y).

Revenue and average check

In H1 2021, total revenue grew by 51% y-o-y (up by RUB 4,035 mln y-o-y) to RUB 12,009 mln on the back of revenue growth for the following service lines:

• A 17% increase in revenue from deliveries;
• A 42% increase in revenue from IVF;
• A 83% increase in revenue from in-patient treatments;
• A 31% increase in revenue from out-patient treatments;
• A 67% increase in other revenue.

The average check for key services in H1 2021 amounted to:

• RUB 333 thsd for deliveries, up by 6% y-o-y;
• Moscow and the Moscow Region – RUB 469 thsd;
• Other regions – RUB 164 thsd;
• RUB 234 thsd for IVF, up by 1% y-o-y;
• RUB 57.7 thsd for in-patient treatments, up by 23% y-o-y;
• RUB 3.2 thsd for out-patient treatments, up by 7% y-o-y.

Net debt

As of 30 June 2021, net debt decreased by 38% (by RUB 1,112 mln) to RUB 1,831 mln, compared to 31 December 2020.

CAPEX

Total CAPEX in H1 2021 decreased by 45% y-o-y to RUB 712 mln. Major investments included expansion of the service range at Lapino-2 (such as dentistry and oncosurgery), the completion of construction of Lapino-4, design of the new Lapino-3 building, launch of three out-patient clinics and two test collection laboratories in Moscow and the Moscow Region, and three clinics in other Russian regions.

Operating results for Q2 and H1 2021

Revenue for H1 2021, RUB mln¹

Average check for H1 2021, RUB thsd ¹