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Medicover

Quarterly Report Jul 26, 2023

2943_ir_2023-07-26_4e6d1019-1365-401e-bf7d-c3b077696d8e.pdf

Quarterly Report

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INTERIM REPORT APRIL–JUNE 2023

Second quarter

  • Revenue amounted to €424.7m (€362.2m), an increase of 17.2% with an organic growth of 12.9%.
  • Operating profit (EBIT) was €13.2m (€15.0m), representing an operating margin of 3.1% (4.2%).
  • Net profit amounted to €7.2m (€2.8m), which represents a margin of 1.7% (0.8%).
  • EBITDA was €58.3m (€52.8m), an increase by 10.2%. EBITDA margin was 13.7% (14.6%).
  • EBITDAaL amounted to €33.9m (€31.3m), corresponding to an EBITDAaL margin of 8.0% (8.7%).
  • Net cash flow from operating activities was €43.6m (€27.8m).
  • Basic/diluted earnings per share were €0.037 (€0.010).

First half

  • Revenue amounted to €844.0m (€743.9m), an increase of 13.5% with an organic growth of 8.7%.
  • Operating profit (EBIT) was €23.9m (€37.2m), representing an operating margin of 2.8% (5.0%).
  • Net profit amounted to €9.3m (€14.8m), which represents a margin of 1.1% (2.0%).
  • EBITDA was €112.6m (€115.1m), a decrease by 2.3%. EBITDA margin was 13.3% (15.5%).
  • EBITDAaL amounted to €64.5m (€73.9m), corresponding to an EBITDAaL margin of 7.6% (9.9%).
  • Net cash flow from operating activities was €105.0m (€73.6m).
  • Basic/diluted earnings per share were €0.047 (€0.090).
€ millions (€m) Q2
2023
Q2
20221)
Variance 6M
2023
6M
20221)
Variance LTM2) FY
20221)
Revenue 424.7 362.2 17% 844.0 743.9 13% 1,610.3 1,510.2
Operating profit (EBIT) 13.2 15.0 -13% 23.9 37.2 -36% 41.9 55.2
Operating profit margin 3.1% 4.2% 2.8% 5.0% 2.6% 3.7%
Net profit 7.2 2.8 154% 9.3 14.8 -37% 8.2 13.7
Net profit margin 1.7% 0.8% 1.1% 2.0% 0.5% 0.9%
Basic/diluted earnings per
share, € 0.037 0.010 270% 0.047 0.090 -48% 0.036 0.079
EBITDA 58.3 52.8 10% 112.6 115.1 -2% 214.6 217.1
EBITDA margin 13.7% 14.6% 13.3% 15.5% 13.3% 14.4%
Adjusted EBITDA 61.1 56.0 9% 118.5 123.2 -4% 229.2 233.9
Adjusted EBITDA margin 14.4% 15.5% 14.0% 16.6% 14.2% 15.5%
EBITDAaL 33.9 31.3 8% 64.5 73.9 -13% 121.5 130.9
EBITDAaL margin 8.0% 8.7% 7.6% 9.9% 7.5% 8.7%
Adjusted EBITDAaL 36.7 34.5 6% 70.4 82.0 -14% 136.1 147.7
Adjusted EBITDAaL margin 8.6% 9.6% 8.3% 11.0% 8.4% 9.8%
EBITA 18.6 19.6 -6% 34.6 51.3 -33% 64.2 80.9
EBITA margin 4.4% 5.4% 4.1% 6.9% 4.0% 5.4%

REVENUE AND EARNINGS

Definition and reconciliation of alternative performance measures are available at www.medicover.com/financial-information.

1) 2022 is restated for IFRS 17 Insurance contracts. For further information, refer to note 1.

2) LTM: last twelve months (1 July 2022-30 June 2023)

Medicover is a leading international healthcare and diagnostic services company and was founded in 1995. Medicover operates a large number of ambulatory clinics, hospitals, specialty-care facilities, laboratories and blood-drawing points and the largest markets are Poland, Germany, Romania and India. In 2022, Medicover had revenue of €1,510 million and more than 44,000 employees. For more information, go to www.medicover.com

CEO STATEMENT

We have delivered strong organic growth in the quarter despite high market uncertainty globally. Healthcare Services delivered robust organic growth and improved margins although still with many immature units in the portfolio and Diagnostic Services replaces most of the Covid-19 revenue, with healthy underlying growth rates.

In June we inaugurated a new 200 bed state-of-the-art hospital in Bucharest, the first new multispecialty hospital to open in decades in Bucharest.

As previously communicated, we have slowed down the investment pace moving in line with historic levels, although we have made a few minor acquisitions and opened a few greenfield locations in the dental field in Poland and Germany and plan to open three additional greenfield hospitals in India in the second half of the year, including a new 100-bed women and child hospital in Hyderabad.

Our colleagues in Ukraine continue to deliver impressive performance under extraordinary circumstances, with now the war in its 17th month.

Revenue for the quarter grew by 17.2% to €424.7m (€362.2m), with an organic growth of 12.9%. The comparative quarter last year had Covid-19 related revenue of €28m with less than €1m this quarter, so adjusting for Covid-19 related revenue, revenue growth was an impressive 26.8%. Organic growth excluding Covid-19 related revenue was 22.0%, with price representing approximately 9.8pp of this growth. Annualised, we have added €358m of new revenue over the past 12 months, mostly organic, illustrating our strong growth momentum even in difficult trading conditions.

EBITDA was €58.3m (€52.8m), an increase by 10.2%, representing an EBITDA margin of 13.7% (14.6%). Adjusted EBITDA was €61.1m (€56.0m), a margin of 14.4% (15.5%). Adjusting for the Covid-19 related revenue and earnings, EBITDA margin strengthened 120 basis points to 13.7%.

Fee-For-Service and other services (FFS) increased by 14.8% in the quarter, now representing 58% of total revenue.

Healthcare Services revenue grew by 33.3% to €292.5m (€219.5m), with a strong organic growth of 22.1%. Members grew to 1.7 million with 20 thousand new members over the quarter. FFS increased by 28.4% in the quarter, now representing 53% of divisional revenue. We have seen good performance and demand levels across the division.

EBITDA grew by 51.7% to €44.8m (€29.5m), an EBITDA margin of 15.3% (13.5%), illustrating impact from price growth, gradually maturing younger units and volume leverage.

Diagnostic Services revenue amounted to €138.1m (€147.4m), a decrease by 6.3%, with a negative organic growth of 0.4%. 29.1 million tests were performed in the quarter (29.0 million). FFS decreased by 1.3% in the quarter, now representing 70% of divisional revenue.

EBITDA amounted to €20.3m (€28.9m), a decrease of 29.8%, an EBITDA margin of 14.7% (19.6%). The margin is dampened by increased labour costs and inflationary costs. FFS prices outside Germany have been adjusted, however there is still no price adjustments on the horizon in Germany.

All in all, I'm very satisfied with the quarter and optimistic about the future despite a difficult macroeconomic environment. We expect to see continued improved performance through the second half of the year and into 2024.

Fredrik Rågmark CEO

REVENUE SECOND QUARTER 2023

Consolidated revenue amounted to €424.7m (€362.2m), up 17.2% with an organic growth of 12.9%. Revenue from Covid-19 services was €0.8m (€28.0m).

Strong organic revenue growth has more than compensated for the reduced Covid-19 revenue, organic growth excluding Covid-19 revenue amounted to an impressive 22.0%. In addition, acquired revenue contributed to the growth.

Inflation has moderated, however still high, with headline inflation running at 11.5% annualised for Poland in June 2023 down from 13.0% in May. Core inflation (net of food and energy prices) also reduced to 11.1% for June 2023 showing disinflation which will likely reduce over the second half of 2023. The Polish interest rates have remained unchanged at 6.75% and the central bank has communicated that this is high enough to reduce inflation. Price indexations applied at the end of 2022 and throughout the first half contributed to revenue growth and compensated for cost increases. Salaries in the healthcare sector (including minimum salaries) will increase in general during the second half of the year, hence continuing indexation is expected.

The acquired revenue moderated to €25.3m as the larger acquisitions (CDT and NIPD) were made more than 12 months ago, hence not included. The Group continues to invest in greenfield infrastructure with a major hospital being

commissioned in Bucharest (Romania) in the quarter.

Foreign exchange fluctuations had a negative impact of 1.4% with weakness for the Ukrainian hryvna and the Indian rupee partially offsetting the strength of the Polish zloty.

Healthcare Services revenue reached €292.5m (€219.5m), up 33.3% with an impressive organic growth of 22.1%. Revenue from Covid-19 services was negligible, amounting to €0.0m (€1.0m). Organic growth excluding Covid-19 revenue was 22.7%, with price representing approximately 12.3pp of this growth.

Employment and economic activity has been robust in European markets despite rising interest rates, with a significant lack of labour and wage pressure.

Member growth increased by 7.5% to 1,728K (1,608K), with 20K new members added in the quarter. The growth rate has slowed with disenrollments, primarily resulting from price increases. These terminated contracts tend to be of lower margin and enable redirection of capacity to higher value employers.

FFS activities have performed well with good demand levels. In Poland, the number of dental chairs amounted to 477 (+5 since Q1 2023) and to 233 in Germany (+15 since Q1 2023). Further

dental greenfield openings are scheduled in 2023 and in 2024.

The division had a total of 5,985 hospital beds, an increase of 524 compared to Q2 2022, mainly in India (+351). In June, a new multispecialty 200-bed hospital was opened in Bucharest (Romania). Scheduled openings in India during the second half of 2023 include a greenfield 100-bed women and child specialty hospital (Hyderabad), a 100-bed dedicated cancer specialty hospital (Vizag) and a greenfield hospital (Bangalore).

30 Jun
2023
30 Jun
2022
FY
2022
Clinics 175 138 175
Hospitals 42 37 41
Beds (commissioned) 5,985 5,461 5,805
Fertility clinics 30 26 28
Dental clinics 112 70 107
Dental chairs 710 400 669
Gyms 132 103 126
Other facilities 117 104 112
Members (thousands) 1,728 1,608 1,672

Acquired revenue moderated to €25.0m as the larger acquisitions (CDT and NIPD) were made more than 12 months ago, hence not included.

Foreign exchange fluctuations had a negative impact of 0.2% with weakness for the Indian rupee offsetting the strength of the Polish zloty.

Diagnostic Services revenue amounted to €138.1m (€147.4m), a decrease of 6.3%, with an organic reduction of 0.4% due to a sharp reduction in Covid-19 services. Revenue from Covid-19 services amounted to €0.8m (€27.0m). Revenue in Ukraine amounted to €15.3m (€7.0m). The disposal of the business in Belarus was closed in Q1 2023, however in the comparative quarter revenue amounted to €4.7m.

Organic growth excluding Covid-19 revenue was strong amounting to 21.0% (of which approximately 5.0pp price), with good performance across all business units. This growth has replaced Covid-19 revenue in all markets except for Germany, where Covid-19 revenue was most pronounced, and some smaller business units.

In FFS, revenue increased through strong growth in volume/mix of tests and price increases, partially offset by foreign exchange. Indexation has been applied to FFS prices and some commercial contracts over the last twelve months. Except for some minor changes, public pricing has not been indexed yet despite increasing inflation. German reimbursement rates have not changed, besides some minor increases in clinical services. This is consistent across the entire German healthcare reimbursement system. Expectations of reimbursement rate increases are building up. The proposed reforms for German hospital activities are an important factor for the German system to achieve more efficiency and to help offset cost pressure.

The laboratory test volume increased by 0.1% to 29.1 million (29.0 million). Covid-19 tests were 0.1 million (1.6 million). Excluding Covid-19 testing, volume increased by 5.7% despite the disposal of the business in Belarus. In Ukraine, the laboratory test volume represented approximately 80% of normalised levels (excluding Covid-19).

30 Jun
2023
30 Jun
2022
FY
2022
Labs 102 108 104
BDPs 843 895 876
Clinics 27 24 27
Lab tests (million), Q2 29.1 29.0 119.3

The table above includes operational facilities. The reduction in BDPs mainly relates to the sale of the business in Belarus (58 BDPs).

In Ukraine 2 labs and 23 BDPs were nonoperational as at 30 June 2023 (2 labs and 52 BDPs at June 2022).

Acquired revenue amounted to €0.3m.

Foreign exchange fluctuations had a negative impact of 2.9% with weakness for the Ukrainian hryvna.

REVENUE FIRST HALF 2023

Consolidated revenue amounted to €844.0m (€743.9m), up 13.5% with an organic growth of 8.7%. Revenue from Covid-19 services amounted to €5.4m (€93.5m). Organic growth excluding Covid-19 revenue grew very strongly to 23.3%.

Acquired revenue amounted to €58.5m.

Foreign exchange fluctuations had a negative impact of 2.0% with weakness mainly for the Ukrainian hryvna and Indian rupee.

Healthcare Services revenue reached €568.6m (€427.6m), up 33.0% with a strong organic growth of 21.5%. Revenue from Covid-19 services amounted to €0.0m (€12.5m). Organic growth excluding Covid-19 revenue was 25.1%.

30 Jun
2023
30 Jun
2022
FY
2022
Clinics 175 138 175
Hospitals 42 37 41
Beds (commissioned) 5,985 5,461 5,805
Fertility clinics 30 26 28
Dental clinics 112 70 107
Dental chairs 710 400 669
Gyms 132 103 126
Other facilities 117 104 112
Members (thousands) 1,728 1,608 1,672

Acquired revenue amounted to €56.3m.

Foreign exchange fluctuations had a negative impact of 1.7% with weakness mainly for the Indian rupee.

Diagnostic Services revenue amounted to €287.2m (€325.9m), down 11.9% with an organic reduction of 7.6%. Revenue from Covid-19 services amounted to €5.4m (€81.0m). Organic growth excluding Covid-19 revenue amounted to 20.3%.

The disposal of the business in Belarus was closed in February 2023 with one month of revenue reflected in the first half for €1.6m (€10.2m).

The laboratory test volume was 60.5 million (61.0 million). Covid-19 tests were 0.3 million (4.0 million). Excluding Covid-19 testing, volume increased by 5.5%.

30 Jun
2023
30 Jun
2022
FY
2022
Labs 102 108 104
BDPs 843 895 876
Clinics 27 24 27
Lab tests (million), FY 60.5 61.0 119.3

The table above includes operational facilities. The reduction in BDPs mainly relates to the sale of the business in Belarus (58 BDPs).

In Ukraine 2 labs and 23 BDPs were nonoperational as at 30 June 2023 (2 labs and 52 BDPs at June 2022).

Acquired revenue amounted to €2.2m.

Foreign exchange fluctuations had a negative impact of 2.5% with weakness mainly for the Ukrainian hryvna.

Revenue from external customers, recognised over time as services are rendered, by division, by payer and by country is disclosed in the following table. Funded revenue includes revenue from insurance contracts as per IFRS 17.

€m Q2
2023
Q2
2022
Vari
ance
6M
2023
6M
2022
Vari
ance
LTM FY
2022
Healthcare Services
Revenue 292.5 219.5 568.6 427.6 1,058.1 917.1
Inter-segment revenue -0.3 -0.2 -0.6 -0.4 -1.3 -1.1
Revenue from external
customers 292.2 219.3 33.2% 568.0 427.2 32.9% 1,056.8 916.0
By payer:
Public 44.2 24.2 82.4% 81.6 47.5 71.7% 149.2 115.1
Private 248.0 195.1 27.1% 486.4 379.7 28.1% 907.6 800.9
Funded 92.3 73.8 25.2% 177.5 145.7 21.9% 333.1 301.3
Fee-For-Service (FFS) 116.4 97.3 19.6% 234.3 193.6 21.0% 446.0 405.3
Other services 39.3 24.0 63.6% 74.6 40.4 84.7% 128.5 94.3
By country:
Poland 190.6 144.9 31.5% 369.0 279.3 32.1% 682.4 592.7
India 44.5 39.7 11.9% 87.1 76.0 14.6% 177.1 166.0
Romania 28.6 22.3 28.3% 57.3 46.5 23.2% 106.0 95.2
Other countries 28.5 12.4 130.2% 54.6 25.4 115.0% 91.3 62.1
Diagnostic Services
Revenue 138.1 147.4 287.2 325.9 573.8 612.5
Inter-segment revenue -5.6 -4.5 -11.3 -9.3 -20.5 -18.5
Revenue from external
customers 132.5 142.9 -7.3% 275.9 316.6 -12.8% 553.3 594.0
By payer:
Public 40.9 48.9 -16.2% 86.3 113.9 -24.2% 180.4 208.0
Private 91.6 94.0 -2.6% 189.6 202.7 -6.4% 372.9 386.0
Fee-For-Service (FFS) 85.8 76.3 12.5% 173.4 172.8 0.4% 336.5 335.9
Other services 5.8 17.7 -67.7% 16.2 29.9 -45.9% 36.4 50.1
By country:
Germany 66.1 75.7 -12.6% 137.0 169.5 -19.2% 280.9 313.4
Romania 23.4 19.4 20.2% 47.9 41.5 15.4% 88.7 82.3
Ukraine 15.3 7.0 117.7% 29.7 25.0 18.9% 53.1 48.4
Poland 14.8 12.8 15.0% 28.7 26.1 9.6% 54.3 51.7
Other countries 12.9 28.0 -53.7% 32.6 54.5 -40.1% 76.3 98.2

PROFIT DEVELOPMENT SECOND QUARTER 2023

Operating profit (EBIT) was €13.2m (€15.0m), an operating margin of 3.1% (4.2%).

Net profit amounted to €7.2m (€2.8m), which represented a margin of 1.7% (0.8%). Total financial result amounted to €-3.6m (€-6.7m) of which €-11.5m (€-7.9m) was related to interest expense and commitment fees on the Group's debt and other discounted liabilities. Within the interest expense €-6.0m (€-5.4m) was related to lease liabilities. As the Group has expanded its capacity and facilities significantly over the past years, including its leased premises, the interest expense allocated to lease liabilities has increased. Foreign exchange gains were €6.8m (€0.7m) of which €6.2m (€-0.3m) was related to euro-denominated lease liabilities mainly in Poland as the zloty strengthened considerably over the quarter.

Basic/diluted earnings per share amounted to €0.037 (€0.010).

Consolidated EBITDA was €58.3m (€52.8m), an EBITDA margin of 13.7% (14.6%). Adjusted EBITDA amounted to €61.1m (€56.0m), a margin of 14.4% (15.5%).

EBITDAaL was €33.9m (€31.3m), a margin of 8.0% (8.7%). Adjusted EBITDAaL was €36.7m (€34.5m), a margin of 8.6% (9.6%).

Covid-19 services are part of the normal testing portfolio. EBITDA excluding Covid-19 services was €58.2m (€41.8m), an increase of 39.2% and a margin of 13.7% (12.5%), highlighting the strong development of the Group.

Items affecting comparability

Acquisition related expenses were €-0.1m (€-1.1m).

Equity settled share-based payments charges relating to long-term performance-based share programmes were €-2.7m (€-2.1m).

In prior year quarter, other income/(costs) of €-4.6m mainly included a loss on bond funds of €-3.7m.

EBITDA for Healthcare Services grew by an impressive 51.7% to €44.8m (€29.5m). The EBITDA margin expanded to 15.3% (13.5%) despite new units.

Healthcare Services EBITDA Q2, €m

Acquisitions made in the last 12 months and increases in volume/price have offset the negative impact on profit from the new expansion activities (new unit losses and pre-opening costs) and inflation impacts on the cost base.

The medical cost ratio (MCR) to revenue was stable at 81.0% (81.1%).

EBITDAaL was €26.8m (€14.4m), a margin of 9.2% (6.6%). Adjusted EBITDAaL was €27.7m (€15.0m), a margin of 9.4% (6.9%). The segment has expanded significantly with start-ups and earlystage projects over the twelve months. Medicover Hospitals India has opened three new major units in the last 12 months incurring an EBITDAaL loss of €-2.6m in Q1 23. In Q2 the EBITDAaL loss was reduced to €-1.9m.

Medicover Sports is observing a good increase in demand for sports benefits packages which are sold alongside Medicover healthcare benefits to the same employer base. The integration of the

different gyms acquired in 2022 and 2023 is ongoing and supportive of margin expansion.

Utilisation levels in the employer paid business have been slightly lower compared to the prior year quarter.

The dental business continues to expand. During the quarter one new greenfield location was launched in Poland and one in Germany.

The established inpatient facilities in Poland and Romania have performed well. The Cluj hospital (Romania) is still making losses however is showing a good development trend. After the end of the quarter a contract expansion was granted by the Romanian State Health Fund that will support volume expansion in the inpatient activities in Romania in the coming twelve months.

Operating profit was €13.5m (€5.5m), a margin of 4.6% (2.5%).

EBITDA for Diagnostic Services was €20.3m (€28.9m), an EBITDA margin of 14.7% (19.6%). EBITDA excluding Covid-19 services was €20.2m (€18.2m), an increase of 11.3% and a margin of 14.7% (15.1%).

Diagnostic Services EBITDA Q2, €m

EBITDAaL was €14.0m (€22.6m), a margin of 10.1% (15.3%). EBITDAaL excluding Covid-19 services was €13.9m (€11.9m), a margin of 10.1% (9.8%). Adjusted EBITDAaL was €14.7m (€23.1m), a margin of 10.6% (15.7%).

The margin excluding Covid-19 services has been supported by volume growth and price offsetting increased costs overall, particularly for labour. Volume growth has been good evidenced by underlying growth despite the disposal of the business in Belarus. Germany only had minor price indexation. Outside Germany, FFS prices have been indexed passing through inflation pressure to clients.

Operating profit was €7.1m (€15.6m), a margin of 5.1% (10.6%).

PROFIT DEVELOPMENT FIRST HALF 2023

Operating profit (EBIT) was €23.9m (€37.2m) with an operating margin of 2.8% (5.0%).

Net profit amounted to €9.3m (€14.8m), a margin of 1.1% (2.0%). Other income/(costs) of €7.9m (€-3.3m) mainly included a gain of €7.8m relating to the sale of the business in Belarus. Total financial result amounted to €-19.2m (€-13.4m) of which €-23.4m (€-15.4m) was related to interest expense. Within the interest expense €-12.1m (€-10.2m) was related to lease liabilities. Foreign exchange gains were €2.2m (€0.9m) of which €-4.8m was relating to accumulated translation differences on net assets relating to the disposal of the business in Belarus and €6.7m (€-1.7m) was related to eurodenominated lease liabilities mainly in Poland as the zloty strengthened.

The Group has recognised an income tax charge of €-3.4m (€-5.8m) which corresponds to an effective tax rate for the first half of 26.5% (28.2%).

Basic/diluted earnings per share amounted to €0.047 (€0.090).

Consolidated EBITDA was €112.6m (€115.1m), an EBITDA margin of 13.3% (15.5%). Adjusted EBITDA was €118.5m (€123.2m), a margin of 14.0% (16.6%).

EBITDAaL was €64.5m (€73.9m), a margin of 7.6% (9.9%). Adjusted EBITDAaL amounted to €70.4m (€82.0m), a margin of 8.3% (11.0%).

Items affecting comparability

The disposal of the business in Belarus was closed in February 2023. A gain of €7.8m was recognised in other income/(costs) and €-4.8m of foreign exchange losses have been recycled from equity to other financial income/(expense) with a corresponding positive movement in other comprehensive income. EBITDA for the business in Belarus amounted to €0.1m (€2.6m).

In Q1 2022 the Group recognised an impairment of €-5.1m relating to damaged and destroyed assets as well as assets not under its control in occupied regions of Ukraine, of which €-4.0m was included in medical provision costs and €-1.1m in administrative costs.

In first half 2022, other income/(cost) mainly included a gain of €4.4m relating to the acquisition of NIPD and a loss on bond funds of €-6.6m.

Acquisition related expenses were €-0.5m (€-4.0m).

Equity settled share-based payments charges relating to long-term performance-based share programmes were €-5.4m (€-4.1m).

EBITDA for Healthcare Services was €79.0m (€54.9m), an EBITDA margin of 13.9% (12.9%).

EBITDAaL was €43.7m (€26.9m), a margin of 7.7% (6.3%). Adjusted EBITDAaL was €45.4m (€28.1m), a margin of 8.0% (6.6%).

Operating profit amounted to €18.2m (€9.3m), a margin of 3.2% (2.2%).

EBITDA for Diagnostic Services was €46.8m (€73.1m), an EBITDA margin of 16.3% (22.4%). EBITDA excluding Covid-19 services was €45.4m (€38.5m), an EBITDA margin of 10.7% (10.6%).

EBITDAaL was €34.1m (€60.1m), a margin of 11.9% (18.4%). EBITDAaL excluding Covid-19 services was €32.7m (€25.5m), a margin of 11.6% (10.4%).

Adjusted EBITDAaL was €35.5m (€61.1m), a margin of 12.4% (18.8%).

Operating profit amounted to €20.0m (€41.7m), a

KEY FINANCIAL DATA

Medicover, €m Apr-Jun
2023
Apr-Jun
20221)
Vari
ance
Jan-Jun
2023
Jan-Jun
20221)
Vari
ance
LTM FY
20221)
Revenue 424.7 362.2 17% 844.0 743.9 13% 1,610.3 1,510.2
Operating profit (EBIT) 13.2 15.0 -13% 23.9 37.2 -36% 41.9 55.2
Operating profit margin 3.1% 4.2% 2.8% 5.0% 2.6% 3.7%
Net profit 7.2 2.8 154% 9.3 14.8 -37% 8.2 13.7
Net profit margin 1.7% 0.8% 1.1% 2.0% 0.5% 0.9%
Basic/diluted earnings per
share, € 0.037 0.010 270% 0.047 0.090 -48% 0.036 0.079
EBITDA 58.3 52.8 10% 112.6 115.1 -2% 214.6 217.1
EBITDA margin 13.7% 14.6% 13.3% 15.5% 13.3% 14.4%
Adjusted EBITDA 61.1 56.0 9% 118.5 123.2 -4% 229.2 233.9
Adjusted EBITDA margin 14.4% 15.5% 14.0% 16.6% 14.2% 15.5%
EBITDAaL 33.9 31.3 8% 64.5 73.9 -13% 121.5 130.9
EBITDAaL margin 8.0% 8.7% 7.6% 9.9% 7.5% 8.7%
Adjusted EBITDAaL 36.7 34.5 6% 70.4 82.0 -14% 136.1 147.7
Adjusted EBITDAaL margin 8.6% 9.6% 8.3% 11.0% 8.4% 9.8%
EBITA 18.6 19.6 -6% 34.6 51.3 -33% 64.2 80.9
EBITA margin 4.4% 5.4% 4.1% 6.9% 4.0% 5.4%
Adjusted EBITA 21.4 22.8 -6% 40.5 59.4 -32% 78.8 97.7
Adjusted EBITA margin 5.0% 6.3% 4.8% 8.0% 4.9% 6.5%
EBITAaL 12.6 14.2 -12% 22.5 41.1 -46% 40.2 58.8
EBITAaL margin 2.9% 3.9% 2.7% 5.5% 2.5% 3.9%
Adjusted EBITAaL 15.4 17.4 -12% 28.4 49.2 -42% 54.8 75.6
Adjusted EBITAaL margin 3.6% 4.8% 3.4% 6.6% 3.4% 5.0%
Healthcare Services, €m
Revenue 292.5 219.5 33% 568.6 427.6 33% 1,058.1 917.1
Operating profit (EBIT) 13.5 5.5 145% 18.2 9.3 96% 34.3 25.4
Operating profit margin 4.6% 2.5% 3.2% 2.2% 3.2% 2.8%
EBITDA 44.8 29.5 52% 79.0 54.9 44% 149.7 125.6
EBITDA margin 15.3% 13.5% 13.9% 12.9% 14.1% 13.7%
EBITDAaL 26.8 14.4 85% 43.7 26.9 62% 82.3 65.5
EBITDAaL margin 9.2% 6.6% 7.7% 6.3% 7.8% 7.1%
Adjusted EBITDAaL 27.7 15.0 83% 45.4 28.1 61% 85.7 68.4
Adjusted EBITDAaL margin 9.4% 6.9% 8.0% 6.6% 8.1% 7.5%
EBITA 18.1 9.1 97% 27.2 16.6 64% 52.4 41.8
EBITA margin 6.2% 4.2% 4.8% 3.9% 4.9% 4.6%
Members (period end) (000's) 1,728 1,608 7% 1,728 1,608 7% 1,728 1,672
Diagnostic Services, €m
Revenue 138.1 147.4 -6% 287.2 325.9 -12% 573.8 612.5
Operating profit (EBIT) 7.1 15.6 -55% 20.0 41.7 -52% 37.2 58.9
Operating profit margin 5.1% 10.6% 6.9% 12.8% 6.5% 9.6%
EBITDA 20.3 28.9 -30% 46.8 73.1 -36% 92.4 118.7
EBITDA margin 14.7% 19.6% 16.3% 22.4% 16.1% 19.4%
EBITDAaL 14.0 22.6 -38% 34.1 60.1 -43% 66.9 92.9
EBITDAaL margin 10.1% 15.3% 11.9% 18.4% 11.7% 15.2%
Adjusted EBITDAaL 14.7 23.1 -36% 35.5 61.1 -42% 69.7 95.3
Adjusted EBITDAaL margin 10.6% 15.7% 12.4% 18.8% 12.1% 15.6%
EBITA 7.9 16.5 -52% 21.7 48.5 -55% 41.4 68.2
EBITA margin 5.7% 11.2% 7.6% 14.9% 7.2% 11.1%
Lab tests (period volume) (m) 29.1 29.0 0% 60.5 61.0 -1% 118.8 119.3

CASH FLOW

Second quarter

Cash generated from operations before working capital changes amounted to €59.2m (€44.6m), being 101.7% of EBITDA (84.8%). Tax paid was €3.3m (€7.8m). Net working capital increased by €15.6m (increased by €16.8m). Net cash from operating activities was €43.6m (€27.8m).

Investments in property, plant and equipment and intangible assets continued at a steady pace and amounted to €24.3m (€40.6m) with approximately 68% being growth capital investment and 32% being maintenance investment. €17.7m (€25.9m) was invested in Healthcare Services and €6.6m (€14.7m) in Diagnostic Services. Cash flow for acquisitions of subsidiaries amounted to €3.2m (€38.6m) relating to acquisitions closed in the quarter and payments for earlier closed transactions.

A dividend of €17.9m (€17.8m) was distributed to shareholders. Net loans drawn amounted to €25.0m (net loans repaid €16.3m). Lease liabilities repaid were €16.5m (€11.4m). Interest paid amounted to €12.5m (€8.7m), of which €6.0m (€5.4m) related to lease liabilities.

Cash and cash equivalents decreased by €3.1m to €41.9m.

First half

Cash generated from operations before working capital changes amounted to €105.8m (€107.3m), being 94.0% of EBITDA (93.3%). Tax paid was €14.8m (€11.8m). Net working capital increased by €0.8m (increased by €33.7m). Net cash from operating activities was €105.0m (€73.6m).

Investments in property, plant and equipment and intangible assets amounted to €53.9m (€67.9m) with approximately 70% being growth capital investment and 30% being maintenance investment. €39.7m (€46.0m) was invested in Healthcare Services and €14.2m (€21.9m) in Diagnostic Services. Cash flow from acquisitions of subsidiaries amounted to €8.3m (€144.7m) relating to acquisitions closed in the first half and payments for earlier closed transactions. €13.6m net of cash was received in the first quarter for the disposal of the business in Belarus.

A dividend of €17.9m (€17.8m) was distributed to shareholders. Net loans drawn amounted to €13.0m (net loans drawn €53.7m). Lease liabilities repaid were €31.7m (€22.9m). Interest paid amounted to €21.4m (€14.8m), of which €12.1m (€10.2m) related to lease liabilities.

Cash and cash equivalents increased by €1.5m to €41.9m.

FINANCIAL POSITION

Consolidated equity as at 30 June 2023 amounted to €518.3m (€508.5m). The increase in equity includes a positive movement of €22.5m mainly relating to the strengthening of the Polish zloty. In addition, total equity attributable to owners of the parent includes a negative movement of €3.8m relating to fair value changes of put option liquidity obligations with non-controlling interests. A dividend of €17.9m (€17.8m) was distributed to shareholders, equivalent to €0.12 (€0.12) per share.

Inventories amounted to €54.6m (€58.2m).

Short-term investments were €7.4m (€8.7m), representing euro-denominated government bonds.

Loans payable amounted to €527.5m (€515.7m). €235.5m (€235.5m) is at fixed interest rates and €36.0m (€36.0m) is non-interest bearing (deferred/contingent consideration payable).

Loans payable net of cash and liquid short-term investments amounted to €478.2m (€466.6m). The ratio of loans payable net of cash and liquid shortterm investments to adjusted EBITDAaL for the prior twelve months was 3.5x (3.2x level at yearend 2022).

The Group has utilised €49.6m (€13.4m) under its 2bn SEK social commercial paper programme. At the end of the quarter, the Group has undrawn committed credit facilities of €238.4m, liquid shortterm investments and cash and cash equivalents of €49.3m, totalling to €287.7m (€263.3m).

Lease liabilities amounted to €437.7m (€424.3m). The increase is mainly due to additional units and inflation indexation of existing contracts.

The total financial debt was €965.2m (€940.0m).

PARENT COMPANY

There was no significant revenue. The loss for the first half amounted to €-8.3m (€-6.2m). At 30 June 2023 €49.6m (€13.4m) has been utilised under the social commercial paper programme. The proceeds

RISKS

The Group's business is exposed to risks that could impact its operations, performance or financial position. Management of these risks enables Medicover to execute its strategy, maintain its ethical reputation, reach financial targets and secure continuous development and profitability in the long term. Group entities monitor and manage risks in its operations. In addition, the Group has a centralised risk management process, which is a systematic and structured framework used to identify, assess, measure, mitigate, monitor and report risks. Identified risks are categorised as follows:

Operational risks – such as ability to recruit and retain staff, armed conflict, energy risk, health data loss, insurance risk, IT systems failure, market risk, medical license/certification and accreditation risk,

of the programme have been lent to the Company's subsidiary on the same maturity as the programme drawings. Equity as at 30 June 2023 was €575.7m (€596.9m).

medical quality, natural disaster/force majeure, pandemic and disease contagion and supply chain.

Strategy and M&A risks – such as M&A due diligence and post-acquisition integration.

Financial risks – such as credit risk, currency risk, interest rate risk and liquidity and financing risk.

Legal, compliance and political risks – such as anti-bribery/corruption and political risk.

Environmental risks – such as climate change and environmental risk.

Further information on risks and risk management is available in the annual report 2022, section 'Risks and risk management' (pages 78-86).

The board of directors and the CEO declare that the interim report for January-June 2023 gives a fair overview of the parent company´s and Group´s operations, financial position and results of operations and describes significant risks and uncertainties facing the parent company and companies included in the Group.

Stockholm on 26 July 2023

Fredrik Stenmo Chairman of the board

Peder af Jochnick Robert af Jochnick Anne Berner Board member Board member Board member

Board member Board member Board member

Arno Bohn Sonali Chandmal Michael Flemming

Margareta Nordenvall Fredrik Rågmark Azita Shariati Board member CEO and board member Board member

This report has not been subject to review by the Company's auditor.

This is information that Medicover AB is obliged to make public pursuant to the EU Market Abuse Regulation and the Securities Markets Act. The information was submitted for publication through the agency of the contact person set out below at 7.45 (CEST) on 26 July 2023. This interim report and other information about Medicover is available at medicover.com.

Financial calendar

Interim report July-September 3 November 2023, 7.45 CET Interim report Year-end 9 February 2024, 7.45 CET Interim report January-March 26 April 2024, 7.45 CEST Interim report April-June 25 July 2024, 7.45 CEST Interim report July-September 30 October 2024, 7.45 CET

For further information, please contact: Hanna Bjellquist, Head of Investor Relations Phone: +46 70 303 32 72 E-mail: [email protected]

Conference call: A conference call for analysts and investors will be held today at 09.30 CEST. To listen in please register here. To ask questions please register here.

Address

Org nr: 559073-9487 Medicover AB (publ) P.O. Box 5283, SE-102 46 Stockholm Visiting address: Riddargatan 12A, SE-114 35 Stockholm, Sweden Phone: +46 8 400 17 600

This report may contain certain forward-looking statements and opinions. Forward-looking statements are statements that do not relate to historical facts and events and such statements and opinions pertaining to the future. Forward-looking statements are based on current estimates and assumptions made according to the best of Medicover's knowledge. Such forward-looking statements are subject to risks, uncertainties, and other factors that could cause the actual results, including Medicover's cash flow, financial position and results of operations, to differ materially from the results, or fail to meet expectations expressly or implicitly assumed or described in those statements or to turn out to be less favourable than the results expressly or implicitly assumed or described in those statements.

In light of the risks, uncertainties and assumptions associated with forward-looking statements, it is possible that the future events mentioned in this presentation may not occur. Actual results, performance or events may differ materially from those in such statements due to, without limitation, changes in general economic conditions, in particular economic conditions in the markets on which Medicover operates, changes affecting interest rate levels, changes affecting currency exchange rates, changes in competition levels, changes in laws and regulations, and occurrence of accidents or environmental damages.

The information, opinions and forward-looking statements contained in this announcement speak only as at its date and are subject to change without notice.

CONDENSED FINANCIAL STATEMENTS

CONSOLIDATED INCOME STATEMENT

€m Apr-Jun
2023
Apr-Jun
20221)
Jan-Jun
2023
Jan-Jun
20221)
LTM Jan-Dec
20221)
Revenue 424.7 362.2 844.0 743.9 1,610.3 1,510.2
Operating expenses
Medical provision costs -335.3 -284.5 -664.8 -572.7 -1,267.0 -1,174.9
Gross profit 89.4 77.7 179.2 171.2 343.3 335.3
Distribution, selling and marketing costs -18.6 -15.6 -37.0 -31.5 -72.0 -66.5
Administrative costs -57.6 -47.1 -118.3 -102.5 -229.4 -213.6
Operating profit (EBIT) 13.2 15.0 23.9 37.2 41.9 55.2
Other income/(costs) 0.0 -4.6 7.9 -3.3 8.0 -3.2
Interest income 1.1 0.5 2.0 1.1 3.6 2.7
Interest expense -11.5 -7.9 -23.4 -15.4 -42.5 -34.5
Other financial income/(expense) 6.8 0.7 2.2 0.9 0.4 -0.9
Total financial result -3.6 -6.7 -19.2 -13.4 -38.5 -32.7
Share of profit of associates 0.1 0.1 0.1 0.1 0.2 0.2
Profit before income tax 9.7 3.8 12.7 20.6 11.6 19.5
Income tax -2.5 -1.0 -3.4 -5.8 -3.4 -5.8
Profit for the period 7.2 2.8 9.3 14.8 8.2 13.7
Profit attributable to:
Owners of the parent 5.5 1.5 7.0 13.4 5.4 11.8
Non-controlling interests 1.7 1.3 2.3 1.4 2.8 1.9
Profit for the period 7.2 2.8 9.3 14.8 8.2 13.7
Earnings per share:
Basic/diluted, € 0.037 0.010 0.047 0.090 0.036 0.079

CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

€m Apr-Jun
2023
Apr-Jun
20221)
Jan-Jun
2023
Jan-Jun
20221)
LTM Jan-Dec
20221)
Profit for the period 7.2 2.8 9.3 14.8 8.2 13.7
Other comprehensive income/(loss):
Items that may be reclassified
subsequently to income statement:
Exchange differences on translating
foreign operations
20.0 4.8 22.5 -1.8 4.4 -19.9
Cash flow hedge 0.9 - 0.8 - 2.1 1.3
Income tax relating to these items -0.2 0.0 -0.2 0.1 0.0 0.3
Other comprehensive income/(loss)
for the period, net of tax
20.7 4.8 23.1 -1.7 6.5 -18.3
Total comprehensive income/(loss)
for the period
27.9 7.6 32.4 13.1 14.7 -4.6
Total comprehensive income/(loss)
attributable to:
Owners of the parent 25.8 5.7 30.2 11.0 14.8 -4.4
Non-controlling interests 2.1 1.9 2.2 2.1 -0.1 -0.2
Total comprehensive income/(loss)
for the period
27.9 7.6 32.4 13.1 14.7 -4.6

CONSOLIDATED STATEMENT OF FINANCIAL POSITION

ASSETS
Non-current assets
Goodwill
509.1
465.3
495.9
Other intangible assets
122.0
121.5
126.0
Property, plant and equipment
451.2
378.1
445.0
Right-of-use assets
411.0
372.3
395.6
Deferred tax assets
14.6
15.2
16.2
Investments in associates
0.8
0.6
0.8
Other financial assets
20.7
15.4
18.5
Total non-current assets
1,529.4
1,368.4
1,498.0
Current assets
Inventories
54.6
63.9
58.2
Other financial assets
0.0
2.2
0.0
Trade and other receivables
229.9
226.9
226.9
Short-term investments
7.4
63.0
8.7
Cash and cash equivalents
41.9
65.6
40.4
Total current assets
333.8
421.6
334.2
Total assets
1,863.2
1,790.0
1,832.2
EQUITY
Equity attributable to owners of the parent
485.3
490.2
472.4
Non-controlling interests
33.0
43.6
36.1
Total equity
518.3
533.8
508.5
LIABILITIES
Non–current liabilities
Loans payable
441.3
378.4
473.4
Lease liabilities
369.9
342.3
364.7
Deferred tax liabilities
36.6
41.2
42.0
Provisions
1.9
2.8
1.9
Other financial liabilities
69.4
72.6
82.4
Other liabilities
0.2
6.1
2.9
Total non-current liabilities
919.3
843.4
967.3
Current liabilities
Loans payable
86.2
111.9
42.3
Lease liabilities
67.8
54.5
59.6
Deferred revenue
8.4
5.4
7.3
Insurance contract liability
19.5
15.4
18.9
Corporate tax payable
15.0
28.0
25.5
Other financial liabilities
40.4
24.5
20.5
Trade and other payables
185.5
173.1
182.3
Other liabilities
2.8
-
-
Total current liabilities
425.6
412.8
356.4
Total liabilities
1,344.9
1,256.2
1,323.7
Total equity and liabilities
1,863.2
1,790.0
1,832.2

CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

Non Total equity
controlling attributable Non
Share Treasury Share Retained interests put Translation Hedging Other to owners of controlling Total
€m capital shares premium earnings option reserve reserve reserve reserves the parent interests equity
Opening balance as at 1 January 2022 30.4 -0.7 458.7 141.3 -78.2 -49.2 - 15.3 517.6 44.5 562.1
IFRS
17
adjustment
- - - -2.0 - - - - -2.0 - -2.0
Opening balance as at 1 January 2022, restated 30.4 -0.7 458.7 139.3 -78.2 -49.2 - 15.3 515.6 44.5 560.1
Profit
for
the
period,
restated
- - - 13.4 - - - - 13.4 1.4 14.8
Other
comprehensive
income/(loss)
- - - - - -2.4 - - -2.4 0.7 -1.7
Total comprehensive income/(loss) for the period - - - 13.4 - -2.4 - - 11.0 2.1 13.1
Transactions with owners in their capacity as
owners:
Business
combinations
- - - - - - - - - 4.5 4.5
Changes
in
interests
in
subsidiaries
- - - -11.4 - - - - -11.4 -5.1 -16.5
Share
capital
increase/distribution
of
dividend
in
non
controlling
interests
- - - - - - - - - 0.6 0.6
Changes
in
put
option
and
liquidity
obligation
with
non
controlling
interests
- - - - -10.9 - - - -10.9 -3.0 -13.9
Dividend - - - -17.8 - - - - -17.8 - -17.8
Distribution
of
performance
shares
to
employees
- 0.1 -0.1 - - - - - - - -
Share-based
payments
- - - - - - - 3.7 3.7 - 3.7
Total transactions with owners in their capacity as
owners - 0.1 -0.1 -29.2 -10.9 - - 3.7 -36.4 -3.0 -39.4
Closing balance as at 30 June 2022, restated 30.4 -0.6 458.6 123.5 -89.1 -51.6 - 19.0 490.2 43.6 533.8
Opening balance as at 1 January 2023 30.4 -0.6 458.6 124.9 -96.3 -66.7 1.3 20.8 472.4 36.1 508.5
Profit
for
the
period
- - - 7.0 - - - - 7.0 2.3 9.3
Other
comprehensive
income/(loss)
- - - - - 22.4 0.8 - 23.2 -0.1 23.1
Total comprehensive income/(loss) for the period - - - 7.0 - 22.4 0.8 - 30.2 2.2 32.4
Transactions with owners in their capacity as
owners:
Changes
in
interests
in
subsidiaries
- - - -0.6 - - - - -0.6 -2.5 -3.1
Changes
in
put
option
and
liquidity
obligation
with
non
controlling
interests
- - - - -3.8 - - - -3.8 -2.8 -6.6
Dividend - - - -17.9 - - - - -17.9 - -17.9
Distribution
of
performance
shares
to
employees
- 0.1 -0.1 5.1 - - - -5.1 - - -
Share-based
payments
- - - - - - - 5.0 5.0 - 5.0
Total transactions with owners in their capacity as
owners - 0.1 -0.1 -13.4 -3.8 - - -0.1 -17.3 -5.3 -22.6
Closing balance as at 30 June 2023 30.4 -0.5 458.5 118.5 -100.1 -44.3 2.1 20.7 485.3 33.0 518.3

CONSOLIDATED CASH FLOW STATEMENT

Apr-Jun Apr-Jun Jan-Jun Jan-Jun Jan-Dec
€m 2023 20221) 2023 20221) LTM 20221)
Profit before income tax 9.7 3.8 12.7 20.6 11.6 19.5
Adjustments for:
Depreciation, amortisation and impairment 45.1 37.8 88.7 77.9 172.7 161.9
Share-based payments 2.7 2.1 5.4 4.1 10.9 9.6
Net interest expense 10.5 7.4 21.5 14.3 39.0 31.8
Unrealised foreign exchange (gain)/loss -6.6 -1.0 -7.3 2.4 -5.8 3.9
Other non-cash transactions 1.1 2.3 -0.4 -0.2 2.0 2.2
Income tax paid -3.3 -7.8 -14.8 -11.8 -22.1 -19.1
Cash generated from operations before
working capital changes 59.2 44.6 105.8 107.3 208.3 209.8
Changes in operating assets and liabilities:
(Increase)/decrease in inventories -1.9 4.5 0.4 10.2 2.9 12.7
(Increase)/decrease in trade and other
receivables -7.3 0.2 -9.3 -9.2 -26.8 -26.7
Increase/(decrease) in trade and other payables -6.4 -21.5 8.1 -34.7 17.2 -25.6
Net cash from operating activities 43.6 27.8 105.0 73.6 201.6 170.2
Investing activities:
Payment for acquisition of intangible assets and
property, plant and equipment -24.3 -40.6 -53.9 -67.9 -126.6 -140.6
Proceeds from disposal of intangible assets and
property, plant and equipment 0.2 1.8 1.1 1.9 2.2 3.0
Dividends received from associates 0.0 0.0 0.1 0.0 0.2 0.1
Payment for other financial assets - 0.0 - 0.0 -0.5 -0.5
Proceeds from other financial assets - - - - 0.5 0.5
Payment for acquisition of subsidiaries, net of
cash acquired -3.2 -38.6 -8.3 -144.7 -92.7 -229.1
Repayment of loans granted 0.1 0.0 0.1 0.0 0.1 0.0
Disposal of subsidiaries, net of cash - - 13.6 - 13.6 -
Payment for short-term investments -3.3 -0.7 -8.8 -1.1 -14.0 -6.3
Proceeds from short-term investments 4.8 90.5 9.0 126.6 68.8 186.4
Interest received 1.5 0.5 2.2 0.8 3.1 1.7
Net cash from/(used in) investing activities -24.2 12.9 -44.9 -84.4 -145.3 -184.8
Financing activities:
Acquisition of non-controlling interests -0.6 -2.5 -0.6 -4.1 -4.2 -7.7
Repayment of loans -95.8 -214.7 -159.9 -275.4 -319.2 -434.7
Proceeds from loans received 120.8 198.4 172.9 329.1 367.9 524.1
Repayment of leases -16.5 -11.4 -31.7 -22.9 -59.4 -50.6
Interest paid -12.5 -8.7 -21.4 -14.8 -39.0 -32.4
Dividend paid -17.9 -17.8 -17.9 -17.8 -17.9 -17.8
Distribution to non-controlling interests - - - - -6.0 -6.0
Proceeds from non-controlling interests - 0.1 - 0.8 0.0 0.8
Net cash used in financing activities -22.5 -56.6 -58.6 -5.1 -77.8 -24.3
Total cash flow -3.1 -15.9 1.5 -15.9 -21.5 -38.9
Cash and cash equivalents
Cash balance as at beginning of the period 45.1 79.6 40.4 81.9 65.6 81.9
Net effects of exchange gain/(loss) on cash
balances -0.1 1.9 0.0 -0.4 -2.2 -2.6
Cash balance as at end of the period 41.9 65.6 41.9 65.6 41.9 40.4
Increase/(decrease) in cash and cash
equivalents
-3.1 -15.9 1.5 -15.9 -21.5 -38.9

PARENT COMPANY INCOME STATEMENT

€m Apr-Jun
2023
Apr-Jun
2022
Jan-Jun
2023
Jan-Jun
2022
LTM Jan-Dec
2022
Revenue 0.2 0.1 0.3 0.2 0.8 0.7
Operating expenses -4.4 -3.2 -8.4 -6.4 -17.5 -15.5
Operating loss
Income from participation in group
companies
-4.2
-
-3.1
-
-8.1
-
-6.2
-
-16.7
10.8
-14.8
10.8
Interest income from group companies 0.1 - 0.2 0.1 0.2 0.1
Interest expense -0.5 0.0 -0.7 -0.1 -0.9 -0.3
Other financial income/(expense) 0.3 0.0 0.3 0.0 0.3 0.0
Loss after financial items -4.3 -3.1 -8.3 -6.2 -6.3 -4.2
Income tax - - - - - -
Loss for the period -4.3 -3.1 -8.3 -6.2 -6.3 -4.2

As the loss for the period corresponds with the amount in total comprehensive income, no separate statement of comprehensive income is presented.

PARENT COMPANY BALANCE SHEET

€m 30 Jun
2023
30 Jun
2022
31 Dec
2022
Property, plant and equipment 0.0 0.0 0.0
Investments in subsidiaries 584.8 584.8 584.8
Total non-current assets 584.8 584.8 584.8
Current receivables 51.6 45.8 28.5
Cash and bank 0.0 - 0.0
Total current assets 51.6 45.8 28.5
Total assets 636.4 630.6 613.3
Restricted equity 30.4 30.4 30.4
Non-restricted equity 545.3 559.3 566.5
Total equity 575.7 589.7 596.9
Current liabilities 60.7 40.9 16.4
Total liabilities 60.7 40.9 16.4
Total equity and liabilities 636.4 630.6 613.3

NOTES

1. Basis of preparation and accounting policies

Basis of preparation

Medicover AB (publ) ("the Company") together with its subsidiaries are referred to as "the Group". Medicover AB (publ) is a company domiciled in Sweden, with its head office in Stockholm. The reporting and functional currency of the Company is the euro.

This interim report has been prepared in accordance with IAS 34 Interim Financial Reporting and should be read together with the Group's consolidated financial statements 2022.

The report does not include all disclosures that would otherwise be required in a complete set of financial statements.

Information on pages 1-17 is an integral part of this report.

Accounting policies, use of estimates and judgements

The Group applies the International Financial Reporting Standards (IFRS) as adopted by the European Union.

From 1 January 2023, the Group applies IFRS 17 Insurance contracts. The standard is applied retrospectively and comparative figures for 2022 have been restated in this interim report. As the Group's insurance contracts are short-term contracts and the criteria for applying the premium allocation approach is met, there are no material changes to the amounts recognised. In the

consolidated statement of financial position, the insurance contract liability is presented separately, it consists of the liability for unearned premiums and incurred claims. For additional information, refer to note 38 Transition to IFRS 17 Insurance contracts in the annual report 2022. In addition, some amendments to existing standards became applicable as from 1 January 2023, however none of these have a material impact on the consolidated financial statements. Apart from above, the accounting policies and methods of computation applied in this report are the same as those applied by the Group in its consolidated financial statements 2022.

The preparation of interim reports requires the use of certain critical accounting estimates. It also requires management to exercise judgement in applying the Group's accounting policies. Refer to the Group's consolidated financial statements 2022 for further information on the use of estimates and judgements.

The parent company applies the Swedish Annual Accounts Act and the Financial Reporting Board's Recommendation RFR 2 Accounting for Legal Entities.

Alternative performance measures (APMs) are presented in this interim report since these are considered as important supplemental measures of the Company's performance. For definition and reconciliation of APMs, refer to www.medicover.com.

2. Segment information

Apr-Jun
2023
20221)
Apr-Jun
€m Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Revenue 292.5 138.1 0.1 219.5 147.4 0.1
Inter-segment
revenue
-0.3 -5.6 -0.1 -0.2 -4.5 -0.1
Revenue
from
external
customers
292.2 132.5 0.0 424.7 219.3 142.9 0.0 362.2
By
payer:
Private 248.0 91.6 0.0 339.6 195.1 94.0 0.0 289.1
Public 44.2 40.9 - 85.1 24.2 48.9 - 73.1
By
country:
Poland 190.6 14.8 0.0 205.4 144.9 12.8 0.0 157.7
Germany 12.6 66.1 - 78.7 - 75.7 - 75.7
Romania 28.6 23.4 - 52.0 22.3 19.4 - 41.7
India 44.5 - - 44.5 39.7 - - 39.7
Ukraine 2.0 15.3 - 17.3 1.5 7.0 - 8.5
Other
countries
13.9 12.9 0.0 26.8 10.9 28.0 0.0 38.9
Operating
profit
13.5 7.1 -7.4 13.2 5.5 15.6 -6.1 15.0
Margin 4.6% 5.1% 3.1% 2.5% 10.6% 4.2%
Depreciation,
amortisation
and
impairment
31.3 13.2 0.6 45.1 24.0 13.3 0.5 37.8
EBITDA 44.8 20.3 -6.8 58.3 29.5 28.9 -5.6 52.8
Margin 15.3% 14.7% 13.7% 13.5% 19.6% 14.6%
Right-of-use
depreciation/impairment
-12.8 -5.5 -0.1 -18.4 -10.7 -5.3 -0.1 -16.1
Interest
on
lease
liabilities
-5.2 -0.8 0.0 -6.0 -4.4 -1.0 0.0 -5.4
Segment
result:
EBITDAaL
26.8 14.0 -6.9 33.9 14.4 22.6 -5.7 31.3
Margin 9.2% 10.1% 8.0% 6.6% 15.3% 8.7%
Other
income/(costs)
0.0 -4.6
Net
interest
expense
-10.4 -7.4
Other
financial
income/(expense)
6.8 0.7
Share
of
profit
of
associates
0.1 0.1
Income
tax
-2.5 -1.0
Profit
for
the
period
7.2 2.8

Jan-Jun 2023
€m Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Revenue 568.6 287.2 0.2 427.6 325.9 0.2
Inter-segment
revenue
-0.6 -11.3 -0.1 -0.4 -9.3 -0.1
Revenue
from
external
customers
568.0 275.9 0.1 844.0 427.2 316.6 0.1 743.9
By
payer:
Private 486.4 189.6 0.1 676.1 379.7 202.7 0.1 582.5
Public 81.6 86.3 - 167.9 47.5 113.9 - 161.4
By
country:
Poland 369.0 28.7 0.0 397.7 279.3 26.1 0.0 305.4
Germany 23.8 137.0 - 160.8 - 169.5 - 169.5
Romania 57.3 47.9 - 105.2 46.5 41.5 - 88.0
India 87.1 - - 87.1 76.0 - - 76.0
Ukraine 4.0 29.7 - 33.7 3.0 25.0 - 28.0
Other
countries
26.8 32.6 0.1 59.5 22.4 54.5 0.1 77.0
Operating
profit
18.2 20.0 -14.3 23.9 9.3 41.7 -13.8 37.2
Margin 3.2% 6.9% 2.8% 2.2% 12.8% 5.0%
Depreciation,
amortisation
and
impairment
60.8 26.8 1.1 88.7 45.6 31.4 0.9 77.9
EBITDA 79.0 46.8 -13.2 112.6 54.9 73.1 -12.9 115.1
Margin 13.9% 16.3% 13.3% 12.9% 22.4% 15.5%
Right-of-use
depreciation/impairment
-25.0 -10.9 -0.1 -36.0 -19.7 -11.1 -0.2 -31.0
Interest
on
lease
liabilities
-10.3 -1.8 0.0 -12.1 -8.3 -1.9 0.0 -10.2
Segment
result:
EBITDAaL
43.7 34.1 -13.3 64.5 26.9 60.1 -13.1 73.9
Margin 7.7% 11.9% 7.6% 6.3% 18.4% 9.9%
Other
income/(costs)
7.9 -3.3
Net
interest
expense
-21.4 -14.3
Other
financial
income/(expense)
2.2 0.9
Share
of
profit
of
associates
0.1 0.1
Income
tax
-3.4 -5.8
Profit
for
the
period
9.3 14.8

LTM 20221)
Jan-Dec
€m Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Healthcare
Services
Diagnostic
Services
Central/
other
Group
total
Revenue 1,058.1 573.8 0.8 917.1 612.5 0.8
Inter-segment
revenue
-1.3 -20.5 -0.6 -1.1 -18.5 -0.6
Revenue
from
external
customers
1,056.8 553.3 0.2 1,610.3 916.0 594.0 0.2 1,510.2
By
payer:
Private 907.6 372.9 0.2 1,280.7 800.9 386.0 0.2 1,187.1
Public 149.2 180.4 - 329.6 115.1 208.0 - 323.1
By
country:
Poland 682.4 54.3 0.0 736.7 592.7 51.7 0.0 644.4
Germany 34.6 280.9 - 315.5 10.8 313.4 - 324.2
Romania 106.0 88.7 - 194.7 95.2 82.3 - 177.5
India 177.1 - - 177.1 166.0 - - 166.0
Ukraine 7.7 53.1 - 60.8 6.7 48.4 - 55.1
Other
countries
49.0 76.3 0.2 125.5 44.6 98.2 0.2 143.0
Operating
profit
34.3 37.2 -29.6 41.9 25.4 58.9 -29.1 55.2
Margin 3.2% 6.5% 2.6% 2.8% 9.6% 3.7%
Depreciation,
amortisation
and
impairment
115.4 55.2 2.1 172.7 100.2 59.8 1.9 161.9
EBITDA 149.7 92.4 -27.5 214.6 125.6 118.7 -27.2 217.1
Margin 14.1% 16.1% 13.3% 13.7% 19.4% 14.4%
Right-of-use
depreciation/impairment
-47.1 -21.8 -0.2 -69.1 -41.8 -22.0 -0.3 -64.1
Interest
on
lease
liabilities
-20.3 -3.7 0.0 -24.0 -18.3 -3.8 0.0 -22.1
Segment
result:
EBITDAaL
82.3 66.9 -27.7 121.5 65.5 92.9 -27.5 130.9
Margin 7.8% 11.7% 7.5% 7.1% 15.2% 8.7%
Other
income/(costs)
8.0 -3.2
Net
interest
expense
-38.9 -31.8
Other
financial
income/(expense)
0.4 -0.9
Share
of
profit
of
associates
0.2 0.2
Income
tax
-3.4 -5.8
Profit
for
the
period
8.2 13.7

3. Share capital

Share capital as at 30 June 2023 was €30.4m (€30.4m) and corresponded to the following shares:

Class A
shares
Class B
shares
Class C*
shares
Total
1 January 2022 77,569,276 70,781,275 3,584,644 151,935,195
Conversion of class A to class B shares -170,000 170,000
Conversion of class C to class B shares 603,016 -603,016
30 June 2022 77,399,276 71,554,291 2,981,628 151,935,195
1 January 2023 77,374,876 71,578,691 2,981,628 151,935,195
Conversion of class A to class B shares -567,500 567,500
Conversion of class C to class B shares 698,806 -698,806
30 June 2023 76,807,376 72,844,997 2,282,822 151,935,195

* held by the Company as treasury shares.

Celox Holding AB owned 47,157,365 shares and 55.9% of the voting rights (47,157,365 shares and 55.6% of the voting rights at year-end 2022).

The number of shares used to calculate the basic earnings per share was 149,176,263 (148,582,480) for the quarter and 149,065,530 (148,467,156) for the first half. The number of shares used to calculate the diluted earnings per share was 149,652,373 (148,953,567) for the quarter and the first half.

The quota value was €0.2 (€0.2) per share.

Equity settled share-based programme

The five-year vesting period for Plan 2018 was completed on 27 April 2023. The performance

4. Related party transactions

The Group has transactions with non-controlling interests in MHI. The purchase of material and services amounted to €-8.0m (€-7.2m) for the

conditions were achieved in full, corresponding to eight performance shares for each share right. The annual EBITDA (pre IFRS 16) growth rate (CAGR) calculated on the basis of the Group's financial statements for 2017 and 2022 (restated consolidated financial accounts prepared on a pre IFRS 16 basis) was 20.4%. Refer to note 33 in the annual report 2022 for more information.

Medicover compensated the participants for the dividends paid during the duration of the programme by increasing the number of shares. The issuance date of Plan 2018 was 31 May 2023. 698,806 class C shares were converted to class B shares and distributed to the participants.

quarter and to €-18.4m (€-16.0m) for the first half. As at 30 June 2023 trade payables were €5.8m (€6.2m).

5. Financial assets and liabilities

30
Jun
2023
30
Jun
2022
31
Dec
2022
Non Non Non
Note €m current Current Total current Current Total current Current Total
Financial
assets
at
fair
value
through
profit
or
loss
Short-term
investments
- 7.4 7.4 - 63.0 63.0 - 8.7 8.7
a) Other
financial
assets
2.2 - 2.2 4.6 - 4.6 2.2 - 2.2
Total 2.2 7.4 9.6 4.6 63.0 67.6 2.2 8.7 10.9
Interest
rate
swaps
used
for
hedging
2.1 - 2.1 - - - 1.0 - 1.0
Total
financial
assets
at
fair
value
4.3 7.4 11.7 4.6 63.0 67.6 3.2 8.7 11.9
Financial
assets
at
amortised
cost
Other
financial
assets
16.4 0.0 16.4 10.8 2.2 13.0 15.3 0.0 15.3
receivables1)
Trade
and
other
- 191.5 191.5 - 174.1 174.1 - 186.4 186.4
Total 16.4 191.5 207.9 10.8 176.3 187.1 15.3 186.4 201.7
Cash
and
cash
equivalents
- 41.9 41.9 - 65.6 65.6 - 40.4 40.4
Total
financial
assets
20.7 240.8 261.5 15.4 304.9 320.3 18.5 235.5 254.0
Financial
liabilities
at
fair
value
through
profit
or
loss
Foreign
currency
swaps
- 1.4 1.4 - 0.8 0.8 - 0.2 0.2
b) payable2)
Contingent
consideration
13.9 11.4 25.3 22.0 5.3 27.3 18.5 6.7 25.2
Total 13.9 12.8 26.7 22.0 6.1 28.1 18.5 6.9 25.4
Put
option
liquidity
obligations
with
non-controlling
c) equity)3)
interests
(with
movement
through
68.6 30.8 99.4 72.1 17.6 89.7 81.7 15.0 96.7
Total
financial
liabilities
at
fair
value
82.5 43.6 126.1 94.1 23.7 117.8 100.2 21.9 122.1
Financial
liabilities
at
amortised
cost
Borrowings2) 422.7 68.8 491.5 347.0 97.9 444.9 447.7 32.0 479.7
Lease
liabilities
369.9 67.8 437.7 342.3 54.5 396.8 364.7 59.6 424.3
Other
financial
liabilities
0.8 8.2 9.0 0.5 6.9 7.4 0.7 5.5 6.2
payables1)
Trade
and
other
- 67.0 67.0 - 50.0 50.0 - 64.4 64.4
payable2)
Deferred
consideration
4.7 6.0 10.7 9.4 8.7 18.1 7.2 3.6 10.8
Total 798.1 217.8 1,015.9 699.2 218.0 917.2 820.3 165.1 985.4
Total
financial
liabilities
880.6 261.4 1,142.0 793.3 241.7 1,035.0 920.5 187.0 1,107.5

1) Amount does not reconcile with amount in the statement of financial position due to non-financial items.

2) Presented as loans payable in the statement of financial position.

3) Presented as other financial liabilities in the statement of financial position.

Financial assets and liabilities carried at amortised cost are considered to have carrying values that materially correspond to fair value, with the exception for the long-term schuldschein debt at

fixed interest rates where the carrying value amounted to €235.0m (€235.0m) and fair value to €204.4m (€214.2m).

Recognised fair value measurements - valuation technique and principal inputs

A breakdown of how fair value is determined is indicated in the following three levels:

Level 1: Short-term investments of €7.4m (€8.7m) include government bonds. Fair value hierarchy level 1 is used when the valuation is based on quoted prices in active markets.

Level 2: The Group has foreign currency- and interest rate swaps where the valuation is based on level 2. Fair value hierarchy level 2 is used when inputs, other than the quoted prices included in level 1, are observable.

Level 3: The Group has the following financial assets and liabilities measured using level 3, where fair value is not based on observable market data:

a) Other financial assets include €2.2m (€2.2m) relating to 14% (14%) of the voting rights in a dialysis clinic in Germany.

b) The contingent consideration payable resulting from current year and past business combinations is mainly based on the estimated outcome of future performance targets.

c) The put option liquidity obligations with noncontrolling interests consist of:

  • The Group is contractually obliged, at a future date, to acquire a non-controlling interest in one of the Group's German subsidiaries at market price determined at that future date. Fair value amounted to €26.0m (€25.8m). 60% of the put options can be exercised from 1 November 2023 and the remaining 40% (which corresponds to €10.8m) from 1 November 2024.
  • A put option liquidity obligation with noncontrolling interests in Medicover Hospitals India ("MHI") of €57.5m (€54.4m). Half of the put options can be exercised in June 2024 at the earliest and the remaining half (which corresponds to €41.9m) from June 2027.
  • Put option liquidity obligations with noncontrolling interests in subsidiaries in Norway, Cyprus and Bosnia-Herzegovina of €15.9m (€16.5m), estimated to be excercised in 2026 and 2027.

In determining the fair value of the obligations, estimations of key variables were made, of which the most significant are the growth rate of the business to determine its profitability at the future date of exercise and the discount rate applied to the nominal value.

The following table summarises the quantitative information about the significant unobservable inputs used in level 3 fair value measurements:

Fair Value (€m) Inputs Sensitivity
Description 30 Jun
2023
31 Dec
2022
30 Jun
2023
31 Dec
2022
Relationship of
unobservable inputs
to fair value (FV)
Put option liquidity
obligation with non
controlling interests
26.0 25.8 Earnings growth
factor
2.0% 2.0% Increase of 1% point in
profit growth = increase in
FV liability of €0.2m
in a subsidiary in
Germany
Risk adjusted
discount rate
1.5% 1.5% Decrease of 1% point in
discount rate = increase
in FV liability of €0.1m
Put option liquidity
obligation with non
controlling interests
57.5 54.4 6-year projected
CAGR EBITDA
47.6% 47.6% Increase of 10% in CAGR
EBITDA = increase in FV
liability of €9.3m
in MHI, India Risk adjusted
discount rate
13.7% 13.8% Decrease of 1% point in
discount rate = increase
in FV liability of €1.6m
Put option liquidity
obligation with non
controlling interests
9.4 10.2 4-year projected
CAGR EBITDA
29.7% 29.7% Increase of 10% in CAGR
EBITDA = increase in FV
liability of €0.9m
in a subsidiary in
Norway
Risk adjusted
discount rate
7.9% 7.6% Decrease of 1% point in
discount rate = increase
in FV liability of €0.3m
Put option liquidity
obligation with non
controlling interests
6.1 5.9 5-year projected
revenue
12.9% 12.9% Increase of 10% in
revenue = no change in
FV liability
in a subsidiary in
Cyprus
Risk adjusted
discount rate
14.3% 13.7% Decrease of 1% point in
discount rate = increase
in FV liability of €0.2m
Put option liquidity
obligation with non
controlling interests
in a subsidiary in
Bosnia
Herzegovina
0.4 0.4 Risk adjusted
discount rate
23.0% 22.3% Decrease of 1% point in
discount rate = increase
in FV liability of €0.0m
Contingent
consideration
payable
25.3 25.2 Risk adjusted
discount rate
5.5%-11.8% 5.5%-11.8% Decrease of 1% point in
discount rate = increase
in FV liability of €0.4m

No additional significant changes have been made to valuation techniques, inputs or assumptions in 2023. No financial assets or liabilities have been

reclassified between the different levels in the fair value hierarchy.

6. Net financial debt and other financial liabilities

€m 30 Jun
2023
30 Jun
2022
31 Dec
2022
Non-current loans payable 441.3 378.4 473.4
Current loans payable 86.2 111.9 42.3
Total loans payable 527.5 490.3 515.7
Less: short-term investments -7.4 -63.0 -8.7
Less: cash and cash equivalents -41.9 -65.6 -40.4
Loans payable net of cash and liquid short-term investments 478.2 361.7 466.6
Non-current lease liabilities 369.9 342.3 364.7
Current lease liabilities 67.8 54.5 59.6
Total lease liabilities 437.7 396.8 424.3
Financial debt 965.2 887.1 940.0
Less: short-term investments -7.4 -63.0 -8.7
Less: cash and cash equivalents -41.9 -65.6 -40.4
Net financial debt 915.9 758.5 890.9
30 Jun 30 Jun 31 Dec
€m 2023 2022 2022
Other financial liabilities
Non-current 69.4 72.6 82.4
Current 40.4 24.5 20.5
Total 109.8 97.1 102.9

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