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MONASH IVF GROUP LIMITED — AGM Information 2017
Nov 23, 2017
65385_rns_2017-11-23_9524beaf-5a82-4574-b1b5-1156067f7075.pdf
AGM Information
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Annual General Meeting 24 November 2017
Disclaimer
The presentation has been prepared by Monash IVF Group Limited (ACN 169 302 309) (“MVF”) (including its subsidiaries, affiliates and associated companies) and provides general background information about MVF’s activities as at the date of this presentation. The information does not purport to be complete, is given in summary and may change without notice.
This presentation is not intended to be relied upon as advice to investors or potential investors and does not take into account the investment objectives, financial situation or needs of any particular investor. These should be considered, with or without professional advice, when deciding if an investment is appropriate. The presentation does not constitute or form part of an offer to buy or sell MVF securities.
This presentation contains forward looking statements, including statements of current intention, statements of opinion and predictions as to possible future events. Such statements are not statements of fact and there can be no certainty of outcome in relation to the matters to which the statements relate. These forward looking statements involve known and unknown risks, uncertainties, assumptions and other important factors that could cause the actual outcomes to be materially different from the events or results expressed or implied by such statements. Those risks, uncertainties, assumptions and other important factors are not all within the control of MVF and cannot be predicted by MVF and include changes in circumstances or events that may cause objectives to change as well as risks, circumstances and events specific to the industry, countries and markets in which MVF operate. They also include general economic conditions, exchange rates, interest rates, the regulatory environment, competitive pressures, selling price, market demand and conditions in the financial markets which may cause objectives to change or may cause outcomes not to be realised.
None of MVF (and their respective officers, employees or agents) (the Relevant Persons ) makes any representation, assurance or guarantee as to the accuracy or likelihood of fulfilment of any forward looking statement or any outcomes expressed or implied in any forward looking statements. The forward looking statements in this presentation reflect views held only at the date of this presentation. Except as required by applicable law or the ASX Listing Rules, the Relevant Persons disclaim any obligation or undertaking to publicly update any forward looking statements, whether as a result of new information or future events. Statements about past performance are not necessarily indicative of future performance.
Certain jurisdictions may restrict the release, publication or distribution of this presentation. Persons in such jurisdictions should observe such restrictions. To the extent permitted by law the Relevant Persons do not accept liability for any use of this presentation, its contents or anything arising in connection thereto including any liability arising from the fault or negligence none of the Relevant Persons.
Monash IVF Group | Annual General Meeting 2017
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Key Achievements
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Focus on developing industry leading science & technology
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Strategic positioning as the leading premium service provider
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Earnings increase despite decline in Patient Treatments
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KL Fertility in Malaysia continues growth trajectory – Investment to support
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Market share only declined marginally in a competitive market
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Committed to our premium service offering strategy with rebranding of low intervention clinic to premium full service
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Diversification through women's imaging expansion
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Successful launch of Non Invasive Prenatal Test
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Exploring growth opportunities domestically & abroad
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FY2018 Trading Update
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Australian stimulated cycles market increased by 4.3% in the first quarter predominately from low-cost IVF sector that we strategically don’t participate in
Our Australian stimulated cycles market share declined by 2.5% in the first quarter representing a 6.6% decline in our Australian stimulated cycles
We continue to invest in long term sustainable growth through leading science & new technologies, international business development and our people
Incurred one-off expenditure relating to legal costs and CEO recruitment
Doctor departure in Victoria with comprehensive plan to provide a smooth transition and continuity of care for our patients. The speed of this transition will impact our 1H18 financial performance
H1FY2018 Outlook
As a result of the factors outlined above, including one-off expenditure, and subject to trading in the remaining months, we anticipate reported NPAT for H1FY18 will be approximately 20% down on the previous corresponding period. Further guidance on the full year earnings will be provided at our half year results announcement.
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Thank you
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Senior Management Team
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Our passionate doctors, nurses, scientists and support staff providing superior patient care
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Shareholders for continued support
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Welcome
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David Morris – Commenced 13/11/17
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Experience in healthcare, international business
development and strategy setting & execution
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CEO Introduction David Morris
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Introduction
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Honoured and excited to join such an innovative company that is at the forefront of fertility treatment.
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Passionate about Life Sciences and Healthcare.
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Energised when I am working for a cause; especially one that changes people’s lives.
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Build on our success based on good science and technology, a strong clinic network and talented people with abundant capabilities and deep experience.
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Work together with all our stakeholders to deliver positive patient, clinician and commercial outcomes.
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I look forward to leading Monash IVF Group through its next phase of growth, and to help bring life to the world.
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CFO Presentation Michael Knaap
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Monash IVF Group | Annual General Meeting 2017
Overview of Monash IVF Group
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Core Assisted Diagnostic and Ancillary
Ultrasound
Reproductive Services Services
22 clinics
2 specialised 17 clinics
laboratories in Victoria
5 service centres and South Australia 17 Sonologists
89 Fertility Specialists
3 Australian states
3 day hospitals in
6 Australian states &
South Australia, NSW
Malaysia
& Malaysia
Monash IVF Group is a market leader in women’s health
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Track record of strong financial performance
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Number of Patient Treatments¹
17901 17410
15861
14287
12582
FY13 FY14 FY15 FY16 FY17
4 Year CAGR [3] of 8.5%
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Revenue ($m)
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156.6 155.2
125.0
114.0
96.3
FY13 FY14 FY15 FY16 FY17
4 Year CAGR [3] of 12.7%
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EBITDA[5 ] ($m)
NPAT ($m)
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49.6 49.0
39.7 38.8
34.9
FY13 FY14 2 FY15 4 FY16 FY17
4 Year CAGR [3] of 8.9%
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28.8 29.6
22.6 21.4
18.3
2 4
FY13 FY14 FY15 FY16 FY17
4 Year CAGR [3] of 12.8%
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Strong long term growth across all key metrics
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Patient Treatments are the sum of stimulated and cancelled cycles and frozen embryo transfers
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FY14 adjusted to exclude IPO costs and restructuring costs
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CAGR is Compound Annual Growth Rate
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FY15 earnings were impacted unfavourably by below industry trend growth rates and one off start up & acquisition costs of $975k (Pre-tax)
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Earnings before interest, tax, depreciation and amortisation (EBITDA) is a non-IFRS measure which is used by the Group as a key indicator of underlying performance and is not subject to audit or review
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Financial and
Operational Highlights
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FY17 Financial Highlights
Revenue EBITDA[1] Total FY17 Dividend $155.2m $49.0m 8.8c FY16 $156.6m FY16 $49.6m FY16 8.5 cents Down 0.9% on pcp Down 1.2% on pcp Up 3.5% on pcp NPAT Cash Conversion[2] Basic EPS $29.6m 93.9% 12.6c FY16 $28.8m FY16 $99.1% FY16 12.2 cents Up 2.9% on pcp Down 5.2% on pcp Up 3.3% on pcp
Notes:
- Earnings before interest, tax, depreciation and amortisation (EBITDA) is a non-IFRS measure which is used by the Group as a key indicator of underlying performance and is not subject to audit or review. 2. Pre-tax conversion of operating cash flow to EBITDA calculated as cash generated from operations divided by EBITDA.
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FY2017 Operational Highlights
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Monash IVF’s Australian IVF market share only declined marginally in FY17, demonstrating the strength and resilience of its premium offering
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Monash IVF’s ultrasound scan volumes declined in FY17
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Strong cost control and efficient work practices limited EBITDA margin erosion (to 10bp)
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Continued investment in science and research demonstrates Monash IVF’s commitment to leading edge technology and innovation in the provision of fertility services
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KL Fertility moved to a new, state of the art facility in May 2017 – feedback from patients and clinicians is excellent, which is flowing through to strong demand growth
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Conversion and rebranding of “Bump” (Mosman) to a Monash IVF full service site demonstrates our commitment to a premium service offering;
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All Sydney clinics now operate under the Monash IVF brand (compared to three different brands at beginning of FY17)
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Monash IVF brand awareness and consideration has further increased over the last two years
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Australian IVF market movement
Stimulated Cycle Growth Rates in Key Markets[1]
- The Australian IVF Market softened in FY17 against very strong comparative volumes in the pcp
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15.0%
12.3%
9.3%
10.0%
7.5% 7.4%
5.0%
2.7%
0.5%
0.0%
Q1 FY16 Q2 FY16 Q3 FY16 Q4 FY16 Q3 FY17 Q4 FY17
-2.9%
-5.0%
-6.7%
-10.0%
Note: Growth rate metric changed to Stimulated Cycles (excluding Cancelled Cycles) from Patient
Treatments as it is the key metric driving overall market growth and ARS revenue
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Total Key Markets[1] Stimulated Cycles increased by 0.2% in FY17 vs pcp (compared to FY16 growth of 6.8% on pcp)
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Total Australian Stimulated Cycles declined by 0.8% in FY17 vs pcp (compared to FY16 growth of 6.8% vs pcp)
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The volatility by quarter in FY17, and the significantly lower growth in FY17 following the period of very high growth in FY16, demonstrates the variable and oscillating nature of IVF market growth rates in the short term
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Number of Stimulated Cycles [1] by Quarter
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12000
10000
8000
6000
4000
2000
0
2000Q1 2001Q1 2002Q1 2003Q1 2004Q1 2005Q1 2006Q1 2007Q1 2008Q1 2009Q1 2010Q1 2011Q1 2012Q1 2013Q1 2014Q1 2015Q1 2016Q1 2017Q1 1.
Source: Medicare Benefit Schedule Item Statistics Reports [13200, 13201], Commonwealth Department of Health and Ageing)
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Market growth rate will fluctuate from time to time. We maintain our view that the long term Stimulated Cycles growth rate is expected to be approximately 3% per annum
Notes:
- Based on the combined number of Stimulated Cycles (excluding Cancelled Cycles) in New South Wales, Victoria, South Australia, Queensland and Northern Territory.
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Australian market share – IVF
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Stimulated Cycle [3] Market Share
Australia Key Markets [2]
22.4% 25.2%
77.6% 74.8%
Monash IVF Other
Patient Treatment [1] Market Share
Australia Key Markets [2]
23.2%
26.4%
73.6%
76.8%
Monash IVF Other
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Stimulated Cycle[3] market share in Australia decreased by 0.5% to 22.4% vs pcp; Stimulated Cycle market share in Key Markets[2] decreased by 0.9% to 25.2% vs pcp;
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Patient Treatment[1] market share in Australia decreased by 0.6% to 23.2% vs pcp; Patient Treatments[1 ] market share in Key Markets[2] decreased by 0.9% to 26.4% vs pcp
Notes:
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IVF Patient Treatments are the sum of fresh and cancelled cycles and frozen embryo transfers consistent with historical reporting metrics
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Victoria, South Australia, Queensland, Northern Territory and New South Wales 3. Stimulated cycles (excluding Cancelled Cycles)
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Expanding domestic & brand consolidation
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Acquisitions, New New Monash Ultrasound for Women clinic opened in Berwick, Melbourne in August 2016
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Locations & Medical New women’s ultrasound services commenced in Adelaide, South Australia from November 2016 and Gold Coast from July 2017
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Specialists Commenced IVF services in Hobart, Tasmania as a minority shareholder (35%) in Fertility Tasmania in December 2016
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In-housing of NIPT capability in November 2016 available across all women’s ultrasound practices
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Medical specialists grew to 106 (89 Fertility Specialists & 17 Sonologists)
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Monash IVF’s business model is based on the very best science and technology, the very best nursing and patient care, the very best safety protocols, and utilises highly experienced clinicians and scientific staff
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The resilience of Monash IVF’s market share in light of competition from low cost / bulk billing
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Premium Service providers, shows patients are willing to pay for this premium service
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Model Consolidation to Monash IVF brand in the NSW market focusing on full service IVF offering Rebranding low-cost “Bump” brand in Mosman, NSW to “Monash IVF” highlighting our focus on the premium market position
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Rebrand of “Next Generation Fertility” in Parramatta, NSW to “Monash IVF” Now have five full service IVF clinics across NSW One-Monash IVF brand in NSW will deliver in a stronger brand presence and a more compelling story to potential patients and general practitioners
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“MyIVF” medium-cost brand remains part of our strategy to understand the low cost / low intervention non-premium market
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International FY17 overview
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KL Fertility
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Continued strong growth in volumes achieved as new fertility specialists continue to gain traction – Patient Treatments up 10.1%
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Relocated to state of art new IVF facility in May 2017 – signs are very positive, reflected through patient feedback and strong demand growth since opening
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EBITDA[(1)(2)] margin increased by 90bp through leverage from incremental volumes
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- New dedicated International Business Development Manager is actively reviewing further international growth opportunities
| Profit and loss | FY17 | FY16 | % change |
|---|---|---|---|
| Revenue | $6.3m | $6.2m | 1.3% |
| EBITDA(1)(2) | $2.5m | $2.4m | 3.3% |
| EBITDA margin | 40.3% | 39.4% | 90bp |
| IVF treatment numbers | |||
| Stimulated cycles | 689 | 617 | +11.7% |
| Cancelled cycles | 54 | 67 | (19.4%) |
| Frozen embryo transfers | 603 | 539 | +11.9% |
| Patient Treatments | 1,346 | 1,223 | +10.1% |
Notes:
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EBITDA is a non IFRS measure which is used by the Group as a key indicator of underlying performance. This and any other non IFRS measure is not subject to audit and review.
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EBITDA is earnings before interest, tax, depreciation and amortisation.
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Our Brands and Marketing
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FY2018 Trading Update
Australian Stimulated Cycle market grows above long-term growth rate in Q1FY18, driven by low cost IVF sector
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Total Key Market[1] Stimulated Cycles increased by 4.6% in Q1FY18 vs pcp (decline of 2.9% in Q1FY17 vs pcp). Victoria, New South Wales and Queensland grew whilst SA and NT declined
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Monash IVF Group - Australia Stimulated Cycles declined by 6.6% vs total Key Market[1] increase of 4.6% in Q1FY18. The decline is a result of market weakness in South Australia, transition of the Mosman, NSW clinic from low cost to premium full service and low cost IVF providers capturing growth, particularly in QLD
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Monash IVF Group frozen embryo transfer (FET) cycles increased by 1.5% vs the total Key Market[1] increase of 9.7% in Q1FY18
Stimulated Cycle Growth Rates in Key Markets[1]
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15.0%
12.3%
10.0%
7.5% 7.4%
5.0% Long Term Market 4.6%
2.7% Growth Rate 3%
0.5%
Q1 FY17 Q2 FY17
0.0%
Q2 FY16 Q3 FY16 Q4 FY16 Q2 FY17 Q3 FY17 Q4 FY17 Q1 FY18
-2.9%
-5.0%
-6.7%
-10.0%
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Australian Market Share position (Q1FY18)
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Total Australian Stimulated Cycle market share reduced to 21.1% from 23.6% in the pcp
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Monash IVF Group market share in its Key Markets[1] reduced to 23.8% from 26.7% in the pcp
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We experienced market share declines due to competitive pressures in Victoria, Queensland and South Australia whilst New South Wales declined due to transitioning the Mosman clinic from low cost to a premium full service
As previously stated IVF industry growth rates fluctuate from time to time. We maintain our view the long term Stimulated Cycle growth rate is expected to be approximately 3% per annum in the premium full service IVF market.
Note[1] : Based on the combined number of Stimulated Cycles in Victoria, South Australia, Queensland, Northern Territory and New South Wales.
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FY18 Trading Update - Continued
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KL Fertility in Malaysia is settled in the new, state of the art facility which is flowing through to strong demand growth in Q1FY18
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Complementing MVF’s women’s imaging services, our investment to inhouse Non Invasive Prenatal Testing (NIPT) is delivering to plan with expected earnings contribution in Q1FY18 ensuring we maintain leading edge science
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To ensure long term sustainability and growth prospects are maximised, we are continuing to invest in:
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Leading science and new technologies
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International business development
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The right human resource and remuneration structures
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Non-recurring expenditure will be absorbed in H1FY18 financials including legal costs regarding a departing clinician in Victoria and recruitment costs of a new CEO.
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As a result of the departing clinician in Victoria a comprehensive plan is being managed to provide a smooth transition and continuity of care for our patients, however the speed of that transition will impact our H1FY18 results.
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Annual General Meeting 24 November 2017
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Monash IVF Group | Annual General
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Meeting 2017
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