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REG-MD Medical Group Investments Plc MD Medical Group Investments Plc: MDMG reports 8% growth in Revenue in Q1 2022

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   MD Medical Group Investments Plc (MDMG)
   MD Medical Group Investments Plc: MDMG reports 8% growth in Revenue in Q1
   2022

   28-Apr-2022 / 10:00 MSK
   Dissemination of a Regulatory Announcement that contains inside
   information according to REGULATION (EU) No 596/2014 (MAR), transmitted by
   EQS Group.
   The issuer is solely responsible for the content of this announcement.

   ══════════════════════════════════════════════════════════════════════════

                                        

                  MDMG reports 8% growth in revenue in Q1 2022

   28 April 2022 - 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 the first quarter of 2022. Key financial highlights for Q1 2022:

     • Total revenue  increased by  7.7% year-on-year  (y-o-y) to  RUB  6,208
       million.
     • Like-for-like (LFL) revenue grew by 6.2% y-o-y.
     • Revenue of the Group's Moscow hospitals increased by 7.3% y-o-y to RUB
       3,467 million due to a recovery in demand for IVF (up 20.2% to 578 IVF
       cycles)  and  growth  in  utilization   rate  for  such  services   as
       traumatology, urology and oncological surgery.
     • Revenue of the Group's regional hospitals grew by 9.5% y-o-y to RUB
       1,459 million thanks to the success of the medical cluster in Tyumen
       and reaching target utilisation rate at IDK hospital in Samara.
     • Revenue of  the  Group's  clinics  in Moscow  and  the  Moscow  Region
       increased by 21.1% to RUB 610 million thanks to the recovery in demand
       for IVF (up 41.3% to 904 IVF cycles).
     • Revenue of  the Group's  clinics in  other regions  decreased by  4.1%
       y-o-y to RUB  669 million  due to the  late allocation  of IVF  quotas
       covered by  the Mandatory  Health Insurance  (MHI) programme  in  some
       regions of the Russian Federation.

   Key operational highlights for Q1 2022:

     • Total out-patient  treatments decreased  slightly, by  1.3% y-o-y,  to
       433,246, with  a  12.9% increase  in  the  average check  to  RUB  5.3
       thousand in Moscow/Moscow region and a 10.5% increase y-o-y to RUB 2.3
       thousand in other regions.
     • Total in-patient treatments decreased by 14.2% y-o-y to 34,498 due  to
       the easing of  the COVID-19 pandemic;  at the same  time, the  average
       check increased by 41.5% y-o-y to  RUB 96.2 thousand in Moscow and  by
       8.2% y-o-y to RUB 36.5 thousand in other regions.
     • Total deliveries increased by 3.2%  y-o-y to 2,008, while the  average
       check rose by 8.5% y-o-y to RUB  488.7 thousand in Moscow and by  6.0%
       y-o-y to RUB 171.6 thousand in other regions.
     • Total IVF  cycles increased  by 0.5%  y-o-y to  3,603. The  number  of
       commercial cycles  increased  by 10.2%,  while  the number  of  cycles
       covered by MHI decreased by 9.1% due to the late allocation of  quotas
       in regions.

   Mark Kurtser, CEO of MD Medical Group, said:

   "Amid  a  challenging  external  environment,  MDMG  demonstrated   strong
   first-quarter results, and pushed ahead with diversifying its portfolio of
   services and progressing with its expansion into the Russian regions.

   "We continued to operate as usual and demonstrated stable revenue  growth,
   both in Moscow and other regions, with total revenue growing by 8% in  the
   reporting quarter. This is  tied, in part, to  a gradual return of  demand
   for elective treatments  to pre-pandemic  levels. In that  regard, we  are
   seeing a  recovery  in  demand for  IVF  treatments  in the  wake  of  the
   pandemic, with IVF cycles increasing by 20% in Moscow hospitals and by 41%
   in our clinics in Q1.

   "In the first  quarter, we saw  a decline in  hospital load at  Lapino-4's
   Covid treatment facility as  the pandemic subsided. At  the same time,  we
   saw growing  demand in  areas  not related  to  healthcare for  women  and
   children, such  as  trauma care,  urology  and oncological  surgery.  This
   confirms our effective portfolio  diversification strategy, which  enables
   us to  offer an  increasingly  varied array  of  medical services  to  our
   customers.

   "During this challenging time, we  are heartened to observe that  medicine
   remains beyond geopolitical  restrictions -  the supply  of medicines  and
   medical equipment continues  as before,  and we are  not experiencing  any
   difficulties with deliveries.

   "Looking ahead, we are  moving forward with our  planned expansion in  the
   regions and expect  to commission  a new  clinic in  Yekaterinburg in  the
   second quarter.  We  are also  continuing  to expand  our  Lapino  medical
   cluster 1  1  and  are currently  in  the process  of designing  the  core
   facility at  Lapino-3, which  will enable  us  to offer  a full  cycle  of
   oncological services.

   "I am pleased to say that the Company has a strong financial position  and
   a low debt load, as a result of which we are not ruling out the payment of
   dividends before the end of the year."

    

   Key Highlights for Q1 2022

                            Q1 2022 Q1 2021 change,%
   Operating indicators                             
                   Moscow hospitals
   Out-patient visits       134,649 131,177     2.6%
   In-patient days           16,777  24,617  (31.8%)
   IVF cycles                   578     481    20.2%
   Deliveries                 1,064   1,050     1.3%
                 Hospitals in Regions
   Out-patient visits       159,617 165,121   (3.3%)
   In-patient days           17,206  15,137    13.7%
   IVF cycles                   569     680  (16.3%)
   Deliveries                   944     896     5.4%
    Out-patient clinics in Moscow and Moscow region
   Out patient visits        41,484  42,071   (1.4%)
   IVF cycles                   904     640    41.3%
            Out-patient clinics in Regions
   Out patient visits        97,496 100,435   (2.9%)
   In-patient days              515     449    14.7%
   IVF cycles                 1,552   1,785  (13.1%)
   Total out-patient visits 433,246 438,804   (1.3%)
   Total in-patient days     34,498  40,203  (14.2%)
   Total IVF cycles           3,603   3,586     0.5%
   Total deliveries           2,008   1,946     3.2%

    

                                        Q1 2022 Q1 2021 change,%
   Revenue, RUB mln                                             
                        Hospitals in Moscow
   Out-patient visits                       636     545    16.7%
   In-patient days                        1,614   1,674   (3.6%)
   IVF cycles                               151     128    18.0%
   Deliveries                               520     473     9.9%
   Other revenue                            546     410    33.3%
                       Hospitals in regions
   Out-patient visits                       358     335     6.9%
   In-patient days                          635     516    23.1%
   IVF cycles                               140     164  (14.7%)
   Deliveries                               162     145    11.7%
   Other revenue                            164     172   (4.5%)
       Out-patient clinics in Moscow and Moscow region (MR)
   Out-patient visits                       298     269    10.8%
   IVF cycles                               237     176    34.7%
   Other revenue                             75      59    27.3%
                  Out-patient clinics in regions
   Out-patient visits                       227     212     7.1%
   In-patient days                           12      10    20.0%
   IVF cycles                               355     389   (8.7%)
   Other revenue                             75      87  (13.9%)
   Managing company and other                 3       3        -
   Hospitals in Moscow                    3,467   3,230     7.3%
   Hospitals in regions                   1,459   1,332     9.5%
   Out-patient clinics in Moscow and MR     610     504    21.1%
   Out-patient clinics in regions           669     698   (4.1%)
   Total Revenue                          6,208   5,766     7.7%

    

   Average check                                  
                  Moscow hospitals
   Out-patient visits         4.7     4.2    13.7%
   In-patient days           96.2    68.0    41.5%
   IVF cycles               261.2   266.1   (1.8%)
   Deliveries               488.7   450.5     8.5%
                Hospitals in Regions
   Out-patient visits         2.2     2.0    10.6%
   In-patient days           36.9    34.1     8.3%
   IVF cycles               246.0   241.5     1.9%
   Deliveries               171.6   161.8     6.0%
   Out-patient clinics in Moscow and Moscow region
   Out patient visits         7.2     6.4    12.3%
   IVF cycles               262.2   275.0   (4.7%)
           Out-patient clinics in Regions
   Out patient visits         2.3     2.1    10.3%
   In-patient days           23.3    22.3     4.6%
   IVF cycles               228.7   217.8     5.0%

    
   LFL performance for Q1 2022, % y-o-y

                                             Q1 2022
                              Revenue Actual capacity Average check
                           Moscow hospitals
   Out-patient visits          16.7%       2.6%           13.7%
   In-patient days            (3.6%)      (31.8%)         41.5%
   IVF cycles                  18.0%       20.2%         (1.8%)
   Deliveries                  9.9%        1.3%           8.5%
   Other revenue               33.3%         -              -
                         Hospitals in Regions
   Out-patient visits          6.1%       (4.6%)          11.3%
   In-patient days             8.6%        4.4%           4.1%
   IVF cycles                 (14.7%)     (16.3%)         1.9%
   Deliveries                  10.3%       4.9%           5.2%
   Other revenue              (8.0%)         -              -
           Out-patient clinics in Moscow and Moscow region
   Out patient visits          10.8%      (1.4%)          12.3%
   IVF cycles                  34.7%       41.3%         (4.7%)
   Other revenue               27.3%         -              -
                    Out-patient clinics in Regions
   Out patient visits          7.1%       (2.9%)          10.3%
   In-patient days             20.0%       14.7%          4.6%
   IVF cycles                 (8.7%)      (13.1%)         5.0%
   Other revenue              (13.9%)        -              -
   Managing company and other    -           -              -
   Total Revenue               6.2%                          

    

   Moscow hospitals

   In Q1 2022,  revenue in Moscow  hospitals increased by  7.3% y-o-y to  RUB
   3,467 million. The increase in  revenue was primarily due to  considerable
   growth in demand  for IVF  (+20.2% IVF  cycles y-o-y).  Despite the  31.8%
   decrease in the number of in-patient treatments and the corresponding 3.6%
   decrease in hospital revenues due to  the easing of the COVID-19  pandemic
   and the gradual decrease in the  number of patients at the Lapino-4  COVID
   treatment facility, there  was higher  demand for  treatment unrelated  to
   healthcare for  women and  children: an  increase in  utilization rate  at
   in-patient facilities  for such  service as  traumatology (+24.6%  y-o-y),
   oncological  surgery  (+55.2%  y-o-y)  and  urological  treatment  (+28.3%
   y-o-y). The  number  of  in-patient  oncology  treatments  also  increased
   considerably, by 77.4%, through direct payments from patients.

   The decrease in  the utilization  rate of in-patient  facilities was  also
   offset by a 41.5% increase in the average check for in-patient treatments,
   which was driven mainly  by the preponderance  of more expensive  surgical
   treatments during the reporting period.

   The 1.8% decrease in the  average check for IVF  was due to the  treatment
   profile (the ratio of follicular punctures to cryo-embryo transfers) in Q1
   2022.

   Regional hospitals

   In Q1 2022, revenue  in the Group's regional  hospitals increased by  9.5%
   y-o-y to RUB 1,459 million due to an increase in the number of  deliveries
   (+5.4% y-o-y)  as  well  as  an  increase  in  the  number  of  in-patient
   treatments (+13.7% y-o-y). The strongest growth in in-patient  utilisation
   rates was see at  clinical hospitals in Tyumen  (+13.9% y-o-y) and  Samara
   (+21.7% y-o-y).

   The 16.3% decrease in  IVF cycles during the  reporting period was due  to
   the late allocation of quotas for treatments covered by the MHI  programme
   in some regions of  the Russian Federation. The  allocated quotas will  be
   distributed in subsequent quarters of 2022.

   On 16 March  2022, due  to the  easing of  the COVID-19  pandemic, the  MD
   Lakhta clinical hospital, which had been converted into a temporary  COVID
   treatment facility, began  operating in its  main area of  specialisation:
   healthcare for  women  and  children,  with  a  focus  on  childbirth  and
   gynaecological  surgery.  The  hospital  plans  to  perform  up  to  3,000
   deliveries per year.

   The 8.3% increase in the average  check for in-patient treatments and  the
   10.6% increase for out-patient treatments were due to the growing range of
   medical  treatments   available,  such   as  surgery,   traumatology   and
   cardiology, as well as the current level of inflation.

   Moscow and Moscow region out-patient clinics

   In Q1 2022, revenue at Moscow and Moscow region clinics increased by 21.1%
   y-o-y to RUB  610 million.  Revenue growth was  driven mainly  by a  41.3%
   increase in the number of IVF  cycles performed thanks to the recovery  in
   demand following the pandemic.

   The 4.7% decrease in the  average check for IVF  was due to the  treatment
   profile (the ratio of follicular punctures to cryo-embryo transfers) in Q1
   2022. The 12.3% increase in  the average check for out-patient  treatments
   was due to the indexing of prices for services.

   Regional out-patient clinics

   In Q1 2022, revenue at regional clinics decreased by 4.1% y-o-y to RUB 669
   million. The drop in revenue was due to a 13.1% decrease in the number  of
   IVF cycles  performed in  the reporting  period as  a result  of the  late
   allocation of  quotas under  the  MHI programme  in  some regions  of  the
   Russian Federation. The allocated quotas will be distributed in subsequent
   quarters of 2022.

   The 10.3% increase in the average check for out-patient treatments was due
   to the indexing of prices for services.

   Net debt

   As of 31 March 2022, net debt  declined by RUB 616 million compared to  31
   December 2021 to RUB 1,308 million.

   CAPEX

   Total CAPEX in Q1 2022  increased by 41.7% y-o-y  to RUB 551 million.  The
   hospital segment accounted for the bulk of CAPEX (86.3%), while 13.7%  was
   allocated for the construction of new clinics and maintenance costs.

   An out-patient  clinic in  Yekaterinburg with  a focus  on IVF  cycles  is
   expected to  be  ready  for operations  in  Q2  2022. The  CAPEX  for  the
   construction of the clinic is expected to amount to RUB 50 million.

   In H1 2022, the Group is also expecting to launch two out-patient  clinics
   in the Moscow Region as well as one lab specimen collection site under the
   MD LAB brand.

   The nuclear medicine centre Lapino-3 - a future part of the Lapino medical
   cluster - is currently at the design stage and is expected to be ready for
   operations in  2024.  Total CAPEX  for  construction of  the  facility  is
   expected to amount to RUB 1.5 billion.

   As part of  the Group's  efforts to  ensure that  it maintains  sufficient
   liquidity, investments in  part of  the Company's new  projects have  been
   suspended until further notice:  the psychoneurology centre Lapino-5,  the
   Domodedovo multifunctional hospital as well as the out-patient clinics  in
   Lipetsk and Belgorod have been put on hold.

   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                   Media
   Renata Battalova            EM
   Investor Relations Director Tom Blackwell
   Tel.: +7 917 294 2882       Tel.: +7 919 102 9064
   r.battalova@mcclinics.ru    MDMG@em-comms.com

    

   About MD Medical Group

   MD Medical Group is  a leading provider in  the highly attractive  Russian
   private  healthcare  service  market.   Today,  the  Company  manages   49
   state-of-the-art healthcare  facilities,  including  10  multidisciplinary
   hospitals 2  2  and 39 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).

   Due to  recent sanctions  related to  events  in Ukraine  as well  as  the
   current market environment,  the London Stock  Exchange has suspended  the
   listing of the Company's GDRs in order to maintain market stability.

   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.

    

    

   ══════════════════════════════════════════════════════════════════════════

    3  1  The Lapino medical cluster includes Lapino-1, Lapino-2, Lapino-4
   and outpatient Oncological Care Centre in Mozhaisk.

    4  2  The number of hospitals is shown on a stand-alone basis. The Lapino
   medical cluster includes three hospitals: the Lapino-1 multifunctional
   hospital, the Lapino-2 cancer centre and the Lapino-4 COVID treatment
   facility.

   ══════════════════════════════════════════════════════════════════════════

   ISIN:          US55279C2008
   Category Code: MSCM
   TIDM:          MDMG
   LEI Code:      213800XKI6VHY4JBS612
   Sequence No.:  158112
   EQS News ID:   1337583


    
   End of Announcement EQS News Service

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