REG-MD Medical Group Investments Plc MD Medical Group Investments Plc: MD Medical Group announces operating results for Q3 2022
31/10/2022 07:15
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MD Medical Group Investments Plc (MDMG)
MD Medical Group Investments Plc: MD Medical Group announces operating
results for Q3 2022
31-Oct-2022 / 10:00 MSK
Dissemination of a Regulatory Announcement that contains inside
information in accordance with the Market Abuse Regulation (MAR),
transmitted by EQS Group.
The issuer is solely responsible for the content of this announcement.
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MD Medical Group announces operating results for Q3 2022
31 October 2022 – MD Medical Group Investments Plc (“MD Medical Group”,
“MDMG”, “Group” or the “Company”; LSE and MOEX: MDMG), a leading Russian
private healthcare provider, today announces its operating and unaudited
financial results for the third quarter of 2022.
Key financial highlights for Q3 2022:
• Total revenue increased by 3.3% year-on-year (y-o-y) to
RUB 6,444 million.
• Like-for-like (LFL) revenue gained 1.6% y-o-y.
• Revenue of the Group’s hospitals in Moscow decreased by 2.8% y-o-y to
RUB 3,375 million due to fewer deliveries in Moscow amid overall
downward trend in Russia’s birth rate.
• Revenue of the Group's regional hospitals grew by 16.1% y-o-y to RUB
1,660 million thanks to the strong operational performance of the
medical cluster in Tyumen 1 1 , target utilisation rates achieved at
IDK hospital in Samara and Avicenna hospital in Novosibirsk, as well
as the solid results of MD Group Lakhta hospital.
• Revenue from out-patient clinics in Moscow and the Moscow Region rose
by 6.0% y-o-y to RUB 642 million.
• Revenue of the Group’s clinics in other regions dropped by 5.7% y-o-y
to RUB 764 million due to the gradual utilisation of IVF quotas
covered by the Mandatory Health Insurance (MHI) programme in some
regions of the Russian Federation, along with the growing numbers of
in-patient days.
Key operational highlights for Q3 2022:
• Total out-patient treatments increased by 0.5% y-o-y to 463,651, with
the average ticket up 14.3% to RUB 5.4 thousand in Moscow and up 3.8%
y-o-y to RUB 2.2 thousand in other regions.
• Total in-patient treatments went up by 12.4% y-o-y to 38,755, with the
average ticket up 5.8% to RUB 98.4 thousand in Moscow and down 7.6%
y-o-y to RUB 31.7 thousand in other regions.
• Total IVF cycles remained flat at 4,213, with the average ticket
increasing by 8.6% to RUB 280.0 thousand in Moscow and by 5.9% y-o-y
to RUB 241.4 thousand in other regions.
• Total deliveries increased by 7.8% y-o-y to 2,413, with the average
ticket rising by 0.5% y-o-y to RUB 474.5 thousand in Moscow and by
13.4% y-o-y to RUB 184.6 thousand in other regions.
Key events during Q3 2022 and after the reporting period:
• Opening of MGIMO Med University. On 1 September 2022, MD Medical Group
jointly with the Moscow State Institute of International Relations
(MGIMO) opened MGIMO Med, a medical university.
• Bank loan repaid early. Between July and October 2022, MD Medical
Group completed early repayment of outstanding liabilities under a
loan of RUB 2,729 million raised to build hospitals in Samara and
Moscow.
• Dividends for H1 2022. On 26 October 2022, the Board of Directors
approved an interim dividend of RUB 642,318,835.50 or RUB 8.55 per
ordinary share / GDR for 6M 2022.
Key financial highlights for 9M 2022:
• Total revenue increased by 2.0% y-o-y to RUB 18,603 million.
• Revenue of the Group’s Moscow hospitals decreased by 3.8% y-o-y to
RUB 9,730 million due to a lower utilisation rate at the Lapino-4
COVID treatment facility.
• Revenue of the Group's regional hospitals grew by 13.7% y-o-y to RUB
4,747 million.
• Revenue from out-patient clinics in Moscow and the Moscow Region rose
by 10.8% y-o-y to RUB 1,923 million.
• Revenue of the Group’s clinics in other regions dropped by 0.6% y-o-y
to RUB 2,194 million due to the late allocation of IVF quotas covered
by the Mandatory Health Insurance (MHI) programme in some regions of
the Russian Federation in H1 2022. This effect was partly offset by an
increase in MHI revenue in Q3 2022. The remaining quotas will be used
in Q4 2022.
Key operational highlights for 9M 2022:
• Total out-patient treatments decreased slightly, by 1.2% y-o-y to
1,342,109.
• Total in-patient treatments decreased by 1.5% y-o-y to 109,692.
• Total IVF cycles increased by 0.5% y-o-y to 12,436.
• Total deliveries increased by 4.1% y-o-y to 6,522.
Mark Kurtser, CEO at MDMG, said:
“We are pleased with the Company's strong performance in Q3 2022. Despite
the volatile macroeconomic environment, we continue to streamline business
efficiency to deliver solid operational results in the reporting period.
“I am particularly happy about the robust performance of the regional
hospitals, which saw their revenue grow by 16%. Among other things, our
results in women's and children's healthcare continue to improve, with a
strong increase of 50% in the revenue from deliveries in Q3 2022. This
outstanding performance in deliveries was partly driven by the successful
launch of core operations at our MD Group Lakhta hospital in
St Petersburg, and impressive results of the Tyumen-1 multidisciplinary
hospital with a 30% growth in terms of deliveries.
“Our clinical hospitals in Samara and Novosibirsk are on track to reach
their respective design capacities as expected. For example, at the end of
Q3, the IDK multidisciplinary hospital in Samara reached a utilisation
rate of 73%, while Avicenna hospital in Novosibirsk hit a 71% utilisation
rate.
“We continue to stick to our key priorities – improving the quality and
range of services we offer, boosting operational efficiency, and achieving
growth in Russian regions. For example, in November we are launching an
out-patient clinic in Yekaterinburg with a focus on IVF cycles. This will
enable us to provide residents of the Sverdlovsk Region with access to our
hi-tech medical care.
“To sum it up, I would like to emphasise that our financial performance
remains stable as a result of effective liquidity management and the Net
Cash position we have built up. In line with our previous statements, we
continue to share our success with shareholders, as the Board of Directors
has approved an interim dividend payment of RUB 642 million for 6M 2022.”
Key Highlights for Q3 and 9M 2022
3Q 2022 3Q 2021 change,% 9M 2022 9M 2021 change,%
Operating indicators
Hospitals in Moscow
Out-patient visits 140,673 149,990 (6.2%) 406,181 422,407 (3.8%)
In-patient days 16,202 17,446 (7.1%) 47,803 61,299 (22.0%)
IVF cycles 685 638 7.4% 2,011 1,761 14.2%
Deliveries 1,178 1,305 (9.7%) 3,323 3,537 (6.1%)
Hospitals in regions
Out-patient visits 175,120 166,789 5.0% 504,005 503,387 0.1%
In-patient days 21,948 16,646 31.9% 60,110 48,741 23.3%
IVF cycles 757 772 (1.9%) 2,188 2,214 (1.2%)
Deliveries 1,235 934 32.2% 3,199 2,729 17.2%
Out-patient clinics in Moscow and Moscow region
Out patient visits 43,843 43,827 0.0% 128,495 129,823 (1.0%)
IVF cycles 947 1,025 (7.6%) 3,047 2,747 10.9%
Out-patient clinics in Regions
Out patient visits 104,015 100,587 3.4% 303,428 302,893 0.2%
In-patient days 605 375 61.3% 1,779 1,349 31.9%
IVF cycles 1,824 1,778 2.6% 5,190 5,646 (8.1%)
Total out-patient 463,651 461,193 0.5% 1,342,109 1,358,510 (1.2%)
visits
Total in-patient 38,755 34,467 12.4% 109,692 111,389 (1.5%)
days
Total IVF cycles 4,213 4,213 - 12,436 12,368 0.5%
Total deliveries 2,413 2,239 7.8% 6,522 6,266 4.1%
Revenue, RUB mln
Hospitals in Moscow
Out-patient visits 698 629 11.0% 2,000 1,791 11.7%
In-patient days 1,594 1,622 (1.7%) 4,485 4,904 (8.5%)
IVF cycles 191 183 4.4% 552 468 17.9%
Deliveries 559 616 (9.3%) 1,610 1,662 (3.1%)
Other revenue 333 424 (21.4%) 1,083 1,290 (16.0%)
Hospitals in regions
Out-patient visits 386 356 8.4% 1,122 1,036 8.3%
In-patient days 697 574 21.4% 2,032 1,665 22.0%
IVF cycles 193 178 8.7% 544 517 5.2%
Deliveries 228 152 50.0% 569 446 27.6%
Other revenue 156 170 (8.3%) 480 512 (6.3%)
Out-patient clinics in Moscow and Moscow region
Out-patient visits 306 294 4.1% 900 869 3.6%
IVF cycles 266 246 8.1% 811 678 19.6%
Other revenue 70 66 6.3% 212 188 12.8%
Out-patient clinics in regions
Out-patient visits 239 221 8.1% 715 656 9.0%
In-patient days 19 11 72.7% 47 36 30.6%
IVF cycles 430 403 6.6% 1,207 1,255 (3.8%)
Other revenue 76 87 (12.9%) 225 261 (13.8%)
Managing company and 3 4 (25.0%) 9 11 (18.2%)
other
Hospitals in Moscow 3,375 3,474 (2.8%) 9,730 10,115 (3.8%)
Hospitals in regions 1,660 1,430 16.1% 4,747 4,176 13.7%
Clinics in Moscow 642 606 6.0% 1,923 1,735 10.8%
and MR
Clinics in regions 764 723 5.7% 2,194 2,208 (0.6%)
Total Revenue 6,444 6,236 3.3% 18,603 18,245 2.0%
3Q 2022 3Q 2021 change,% 9M 2022 9M 2021 change,%
Average ticket, RUB
ths
Hospitals in Moscow
Out-patient visits 5.0 4.2 18.3% 4.9 4.2 16.1%
In-patient days 98.4 93.0 5.8% 93.8 80.0 17.3%
IVF cycles 278.8 286.8 (2.8%) 274.5 265.8 3.3%
Deliveries 474.5 472.0 0.5% 484.5 469.9 3.1%
Hospitals in regions
Out-patient visits 2.2 2.1 3.3% 2.2 2.1 8.2%
In-patient days 31.8 34.5 (7.9%) 33.8 34.2 (1.0%)
IVF cycles 255.0 229.9 10.9% 248.6 233.5 6.5%
Deliveries 184.6 162.7 13.4% 177.9 163.4 8.8%
Out-patient clinics in Moscow and Moscow region
Out patient visits 7.0 6.7 4.0% 7.0 6.7 4.6%
IVF cycles 280.9 240.0 17.0% 266.2 246.8 7.8%
Out-patient clinics in regions
Out patient visits 2.3 2.2 4.6% 2.4 2.2 8.8%
In-patient days 31.4 29.3 7.1% 26.4 26.7 (1.0%)
IVF cycles 235.7 226.9 3.9% 232.7 222.3 4.7%
LFL performance for Q3 and 9M 2022, % y-o-y
3Q 2022 9M 2022
Revenue Actual Average Revenue Actual Average
capacity ticket capacity ticket
Hospitals in Moscow
Out-patient visits 11.0% (6.2%) 18.3% 11.7% (3.8%) 16.1%
In-patient days (1.7%) (7.1%) 5.8% (8.5%) (22.0%) 17.3%
IVF cycles 4.4% 7.4% (2.8%) 17.9% 14.2% 3.3%
Deliveries (9.3%) (9.7%) 0.5% (3.1%) (6.1%) 3.1%
Other revenue (21.4%) - - (16.0%) - -
Hospitals in regions
Out-patient visits 6.2% 0.4% 5.7% 6.9% (2.5%) 9.6%
In-patient days 12.5% 13.7% (1.1%) 12.0% 9.2% 2.6%
IVF cycles 8.7% (1.9%) 10.9% 5.2% (1.2%) 6.5%
Deliveries 23.0% 7.3% 14.2% 14.6% 5.2% 8.5%
Other revenue (9.5%) - - (8.2%) - -
Out-patient clinics in Moscow and Moscow region
Out patient visits 3.4% (0.9%) 4.3% 3.3% (1.3%) 4.7%
IVF cycles 8.1% (7.6%) 17.0% 19.6% 10.9% 7.8%
Other revenue 4.7% - - 12.2% - -
Out-patient clinics in regions
Out patient visits 8.1% 3.4% 4.6% 9.0% 0.2% 8.8%
In-patient days 72.7% 61.3% 7.1% 30.6% 31.9% (1.0%)
IVF cycles 6.6% 2.6% 3.9% (3.8%) (8.1%) 4.7%
Other revenue (12.9%) - - (13.8%) - -
Managing company and (25.0%) - - (18.2%) - -
other
Total Revenue 1.6% 0.6%
Hospitals in Moscow
In Q3 2022, revenue from Moscow hospitals declined slightly by 2.8% y-o-y
to RUB 3,375 million. This was mainly caused by a 9.7% y-o-y drop in the
number of deliveries in Moscow due to the overall downward trend in
Russia’s birth rate. In addition, the revenue was adversely affected by
dwindling patient flows at the Lapino-4 COVID treatment facility amid the
pandemic slowdown – a 7.1% decline in the number of in-patient days.
A decrease in revenues from in-patient hospitals and delivery services was
partly offset by a 4.4% y-o-y spike in revenue from IVF thanks to the
post-pandemic demand recovery (+7.4% IVF cycles y-o-y), as well as higher
demand for treatment unrelated to women’s and children’s healthcare. The
number of in-patient days in traumatology and oncology was up by 73.2%
and 27.4% y-o-y, respectively.
The average ticket for out-patient treatment increased by 18.3% y-o-y
mainly thanks to the development of dentistry and commercial oncology
services at the Lapino medical cluster.
Hospitals in regions
In Q3 2022, regional hospitals’ revenue was up by 16.1% y-o-y to RUB
1,660 million driven mainly by a 32.2% y-o-y surge in deliveries: revenue
from this business line added 50.0% y-o-y.
A significant increase in the number of deliveries came on the back of
Tyumen-1 gradually progressing towards its design capacity (current
utilisation rate is 29.6% vs 25.9% in Q2 2022), as well as the strong
results of the new MD Group Lakhta hospital. The number of deliveries at
MD Group Lakhta in the reporting period was 229 (+172.6% vs Q2 2022), with
the average ticket standing at RUB 177.4 thousand.
The 13.4% y-o-y increase in the average ticket for deliveries in regional
hospitals was mainly driven by indexed prices.
Revenue growth was also significantly fuelled by an increase in the number
of in-patient days (up 31.9% y-o-y), with revenue rising by 21.4% y-o-y in
this segment. Clinical hospitals in Tyumen (Tyumen-1 and Tyumen-2) and
Samara were the top contributors to utilisation rates, gaining 76.9% and
40.6% y-o-y, respectively. A 7.9% y-o-y drop in the average ticket for
in-patient treatments resulted from the scaling down of COVID-19
diagnostic and treatment services.
In the reporting period, a slight drop of 1.9% y-o-y in the number of IVF
cycles came about as a result of exceeded quota target under the MHI
programme in H1 2022. The decline in the number of IVF cycles was offset
by a 10.9% y-o-y hike in the average ticket mainly due to indexed prices.
Thus, revenue growth in this segment amounted to 8.7% y-o-y.
Out-patient clinics in Moscow and Moscow region
In Q3 2022, revenues from clinics in Moscow and the Moscow Region rose
by 6.0% y-o-y to RUB 642 million.
The number of IVF cycles went down by 7.6% y-o-y due to the exceeded quota
target under the MHI programme in H1 2022. A higher number of IVF cycles
is expected in Q4 following the allocation of additional quotas under the
MHI programme.
Significant growth of the average IVF ticket by 17.0% y-o-y came from the
product mix structure (correlation of transvaginal oocyte retrieval and
frozen embryo transfers) in Q3 2022, an increase in the number of IVF
services provided using new treatment standards (EmbryoScope), and indexed
prices for services.
Out-patient clinics in regions
In Q3 2022, revenues from regional out-patient clinics went up by 5.7%
y-o-y to RUB 764 million. Revenue growth in the reporting period was
mainly attributable to a 2.6% y-o-y increase in the number of IVF cycles
driven by the gradual utilisation of quotas under the MHI programme in
some Russian regions.
The average IVF ticket grew by 3.9% y-o-y, primarily on the back of
indexed prices.
On top of that, revenue (up 72.7% y-o-y) was positively influenced by a
61.3% y-o-y hike in the number of in-patient days due to the allocation of
quotas under the MHI programme.
Net Cash position
As of 30 September 2022, the Group’s debt declined from the 30 June 2022
level by RUB 2,557 million to RUB 2,061 million. The bulk of the repaid
amount is represented by partial repayments of bank loans: the Group
repaid RUB 2,166 million of liabilities ahead of schedule in the reporting
period. As a result, as at 30 September 2022, the Company’s Net Cash
position amounted to RUB 2,362 million.
Capex
Total Capex declined by 56.1% y-o-y to RUB 999 million in Q3 2022. The
hospital segment accounts for the bulk of Capex (54.7%), while the
construction of new clinics and ongoing maintenance make up 45.3% of total
Capex.
The launch of an out-patient clinic in Yekaterinburg with a focus on IVF
and the launch of an MD LAB test collection point in Moscow are slated for
Q4 2022.
The launch of an out-patient clinic in the Moscow Region is expected in
Q1 2023.
Notes:
1. Data is based on management accounts
2. Minor variations in calculation of totals, subtotals and/or percentage
change are due to rounding of decimals
***
For further information please contact:
Investors
Battalova Renata
Investor Relations Director
Tel.: +7 917 294 28 82
r.battalova@mcclinics.ru
About MD Medical Group
MD Medical Group is a leading provider in the highly attractive Russian
private healthcare service market. Today, the Company manages 50
state-of-the-art healthcare facilities, including 10 multidisciplinary
hospitals and 40 out-patient clinics in 25 regions of the Russian
Federation. In 2021, MD Medical Group’s revenue amounted to RUB 25.2 bln,
with EBITDA of RUB 8.3 bln. The Company’s global depositary receipts are
traded on the London Stock Exchange (LSE: MDMG) and Moscow Exchange (MOEX:
MDMG).
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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2 1 The Tyumen medical cluster includes the Tyumen-1 multifunctional
hospital and the Tyumen-2 COVID treatment facility.
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ISIN: US55279C2008
Category Code: QRT
TIDM: MDMG
LEI Code: 213800XKI6VHY4JBS612
Sequence No.: 197644
EQS News ID: 1474967
End of Announcement EQS News Service
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