Medicover AB Class B

Medicover AB Class B

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Q1 FY2026 · Earnings Call TranscriptApril 29, 2026

Operator

Welcome to the Medicover Q1 2026 report presentation. For the first part of the conference call, the participants will be in listen-only mode.

During the questions-and-answers session, participants are able to ask questions by dialing # key 5 on their telephone keypad. Now I will hand the conference over to the speakers: CEO, John Stubbington and CFO, Anand Patel.

Please go ahead.

John Stubbington

Morning, everybody. Welcome to our Q1 presentation.

I think we've had a good first quarter. It's been a consistent and solid sort of position.

We've got good momentum going on in the business with strong organic growth of 10.3%. This is our fifth consecutive quarter of improved margins year on year, which we're delighted with.

There's been a few negative headwinds that have hit us. I don't think we need to talk about that too much.

I think as a team we've sort of navigated that well, and it shows the strength of our model, it's pleasing to see the position that we've come out with despite all of that. India's shown some strong momentum.

We expected that. We talked about that a lot in previous quarters in terms of what we've done to be able to get a bigger level of growth and more momentum as we go towards IPO, we're very positive with that particular result in the quarter.

We fully expect it to progress as we go through coming quarters. Very robust performance in Diagnostic Services.

Very pleased for the team, done an excellent job, and our fee-for-service development is increasing in all markets, which is exactly what we want to achieve. Leverage has come down to 2.9.

We expected that. We've talked again about that in previous quarters, it's good to see that going in the right direction.

As we move on to the right-hand side, you can see revenue, €624.2 million, organic growth of 10.3%, adjusted EBITDA €104.6 [million], a nice increase there of 15. 15.4%.

Adjusted EBITDA [margin] 16.8%, and again, an increase from 15.7% previously. We're seeing strong momentum in terms of our operating model as we see the operational leverage drop through as we develop the business.

Pretty good cash flow. I'll let Anand talk through the mix of that because that's got a little bit of change, and as discussed before, leverage coming down.

As we move on to look at the growth metrics, you can see on the left-hand side here, very consistent sort of growth trajectory from us, consistent quarter-on-quarter growth in line with the expectations that we have as a business. If we look at the mix, the mix is pretty consistent for us.

We see that in the smaller part of our revenues we're affected by the Hungary impact as we've exited there, but most of our businesses showing solid growth, and in Germany, it's the last quarter of the reform impact that is washing through. If you go to the revenue by payer, again, pretty consistent.

We've got a bit of work still to do on the funded business. We've said that in history that had been driven by the higher price increases that we've put through, and we fully expect there to be momentum coming through in coming quarters.

What's really pleasing is that you see a very strong growth in our fee-for-service element, which is a reflection of how the business has changed over the years. We have a much higher exposure to this particular area of the market, and we're growing well and growing strongly, which puts us in a good place.

If you look at it from a Healthcare Services perspective, again, pretty strong growth from an organic perspective, 11.8 8%. India, 14.3%, but in local currency 34.

34.4%, which again shows the work that we've done in terms of recruiting doctors and working on our average revenue per occupied bed. Sport and wellness, going very well, going very strong for us, which is driving some of our operational metrics.

Members, as I say, at the moment pretty subdued, but we expect that to change. More importantly, overall, due to the fact we've got a higher fee-for-service mix, we're still making good momentum in terms of the relationships that we keep to be able to have a long-term repeating business in this area of our business.

Revenue good, EBITDA margins strong, you can see good increases there, driven by operational leverage, and the rest of our indicators are pretty stable from a Healthcare Services perspective. As we move to Diagnostic Services, very pleasing to see the level of growth, 9.

9.9%, driving the revenues over €200 million, which is really, really good. The fee-for-service revenue increased across all markets again.

That's been a trend that's been developing for some time, again, well done. Very impressive performance from Ukraine because they had a particularly difficult quarter in terms of some aspects of the war and the impact that had on the operating model just with things that we take for granted.

They navigated that reasonably well, and exceptionally well when you consider those circumstances. A big thank you to them.

The German team continue to sort of develop solid momentum, navigating the reform, building the platform for the future. All of the reform now is washed through, it'll be interesting to see our development as we go through for further quarters.

Number of tests have increased quite nicely. Again, whether it has actually impacted some of those volumes from an organic perspective, but it certainly won't impact us in coming quarters.

Again, I think we as a team navigated that particularly well. On the right-hand side, if you look towards the revenue by country, you can see all markets have done well.

All markets are seeing growth, some of them seeing extreme growth. If you move down to the EBITDA margin, we're progressing it.

We're going from good to very good, and we intend to keep pushing on with our developments as we move forward. Lab tests up quite nicely and a very stable mix from us.

I'll hand over to Anand, who will talk you through more of the details related to the lower down in the P&L.

Anand Patel

Thank you, John. Morning, everyone.

As John said, despite some headwinds we had, we delivered a strong set of results in Q1. Consistently, we now for a number of quarters now delivered double-digit organic growth and margin accretion.

As John said, five quarters of margin accretion, and we expect that to continue in the future, which is good for us. In terms of revenues, revenues of €624 million, 8% up in total, but over 10% at organic level.

We said we'd be laser-focused on EBIT growth as well as EBITDA growth, and you can see a good expansion in our EBIT numbers. So €46.7 million in the quarter at a margin rate of 7.5%, which is up 130 basis points.

If you look at the kind of cash EBITDA, or EBITDA as we call it, strong performance there as well, €67.4 million, up 20% at a margin rate of 10.8%, which is up 110 basis points year on year. Even in challenging circumstances, our model continues to work.

We also delivered a good performance in the EPS numbers as well. Before we move on to the next slide, I think just one thing to note: so the margin accretion year on year is particularly strong in Q1.

That won't be the same for the rest of the year, although there will be margin rate accretion. In Q1, what we have is we're anniversaring the acquisitions we made in Q2 last year, which are not in the base in Q1.

Previously we said they would be sales accretive and margin rate accretive, so that kind of laps onto a base without it in Q1. As we bought it in Q2 last year, it will kind of mitigate that fact going forward.

We still expect growth, as we said. Before we go into that, strong performance across both business units is what I would say.

Healthcare, up 11.8%, price up 6.8% with healthy growth in volumes, too, and margin accretion across all profit metrics. At EBITDA level, €48.9 million.

John mentioned the margin rate at 11.3%, which is up 140 basis points year on year. In terms of the loss on the hospital, so that's in line with expectations.

It grew from €2.2 million to €3.8 million in the quarter. That's largely because we opened the new hospital, Financial District in Hyderabad, so that's kind of expected.

We expect that to improve as the year goes on. I guess just to stress the point on India there, I think, as John said, 34% growth year on year in local currency, 10 14% in euros.

Again, against soft comps, but needless to say, we're pleased with that result in terms of the performance of the business. In Diagnostics, organic revenue growth of 7.2%, roughly 50-50 between price and volume growth.

Even in a challenging quarter for the business, as John said, I think they did a super job. In terms of the EBITDA numbers, €33.4 million, margin rate at 16.7%, which is up 100 basis points, and EBIT grew as well.

In terms of the BDPs, they're a lot higher year on year, 121 higher year on year. That's predominantly due to the fact that we did the Synlab acquisition, the lion's share of the increase on that is as a consequence of that.

In other metrics, leverage pleasingly trends down from 3.1 to 2.9. Our tax rate is in line with expectations and guidance at 28%.

From a cash flow perspective, a bit of a timing challenge here. We had a little bit of a benefit in Q4, and we expect to see a benefit in Q2, it's not structural change.

It's just timing related. We'll get back to normalized levels from Q2 onwards.

That's the same with net cash flow from operating activities and free recurring cash flow. The other thing I'd say on this slide is obviously that ROIC continues to grow, 13.9% versus 13% at year-end and 8.3% a year ago.

In terms of CapEx spend, we spent €26 million in the quarter, roughly 4% of spend. We have said before that we'd spend between 6% and 7% this year, we stand by that as we see expansion that happens later in the year with regards to investment in gyms, etc., but that will flow through.

In terms of the split of CapEx, broadly speaking, it's roughly two-thirds on Healthcare and a third on Diagnostics, with 58% on growth and the balance on maintenance. Again, as we expand into new sites, it will get back to a more normalized split of about two-thirds on growth and a third on maintenance.

The final thing I'd say on this slide is actually from a medical space perspective, we grew to over a million square meters now. At the end of year-end, we were just under a million, we added on 110,000 square meters, and now we're over a million.

Then finally from me, a reminder of the mid-term targets that we gave in February. We said that our organic revenue would exceed €3.25 billion.

We said our adjusted organic EBITDA would exceed €600 million, our leverage would be below 3, and our adjusted EBITDA in excess of €430 million and EBIT in excess of €290 million in 20 2028. You can see, one quarter in, we're pleased with our progress, and we're in line to achieve those targets.

Back to you, John.

John Stubbington

Thank you, Anand. In summary, we've had a solid performance with the good double-digit growth, margin expansion following it.

There's been a few challenges in the quarter, but we've kind of navigated those particularly well. They're not the kind of things that tend to repeat, so that'd be good for us.

Really good progress from a fee-for-service perspective. We're developing the business well in both divisions in terms of the relationships we have with our customers.

Very important for us to be able to form those relationships, and even more important for us to be able to get those relationships to come back and keep repeating their business with us. That's contributing to our growth and our improved results, it's good to see.

India is always a good subject for us to talk about. People have been expecting us to accelerate the growth.

We've been saying that we need to do that in terms to keep on track from an IPO perspective. It's pleasing to see some of those numbers coming through in local currency, which is great.

We will continue to focus on building the business, looking for growth, but at the same time ensuring that we're efficient, improving our capacity, and making sure that we balance our positions when it comes to price, cost, and particularly value for customers. Q1 has been good for us.

It has had its challenges, but I think we're excited and energized by the model because it's weathered the storm, to have a pun, and we've got other opportunities ahead, which I think is really, really good. We're looking forward to taking your questions.

Operator

If you wish to ask a question, please dial # key 5 on your telephone keypad to enter the queue. If you wish to withdraw your question, please dial # key 6 on your telephone keypad.

The next question comes from Philip Ekengren from ABGSC. Please go ahead.

Philip Ekengren

Yes, good morning. First, and I'm sorry if I missed this during the call, the line has been lagging a bit, but the two first months were affected by severe weather across key regions, that is in Central Eastern Europe, before normalizing in March, at least on my sort of numbers.

Can you give us a sense of the magnitude of the weather drag here? Thanks.

John Stubbington

It was a few percent on our revenue growth, the lag impact. As you point out, January was affected, February was particularly affected.

As we got to the back end of February, the sun came out again and things kind of stabilized, and consumer behavior stabilized. As you can see from the figures that we're presenting today, that's flowed through into our March position, and therefore overall quarter looks good.

I think that's an indication of the strength of our model. At the same time, when you look at these numbers, just bear in mind, as Anand said, that the acquisitions that we made last year, this is the final quarter for them flowing through, and they were particularly strong for us.

That they have improved our margins as well. I'll make one more comment just to help people with modeling, etc., that, as we go forward in future quarters, we've got a little bit more expansion in terms of number of facilities that will pop through.

It doesn't mean to say that we won't make progress from an operating model perspective, we still think we will, but there'll be more of that kind of new space going on so that we not only grow in 2026, but we continue to grow in 2027 and beyond.

Philip Ekengren

Got it. Thanks, that's helpful.

Then on India, I think we're all happy to see that it performs well. You talk about 34% growth in local currency.

Could you elaborate a bit on the operational progress you're making down in India and a bit more color on how recruitment is going and how everything around it, please?

John Stubbington

We know India is a really fierce market. We know it's fierce from a recruitment perspective.

We've focused very much on getting our recruitment right and getting our replacement recruitment right if we have to adapt to anything that's happened to us. We're expanding at a fast rate.

We've opened the final hospital in this round, but that still means we've not only open hospitals, but we've still got space in the existing facilities as well that we can expand into. Our focus is very much on making sure that we've got the right doctors, that drives up the utilization, and also at the same time, we need to impact the revenue per occupied bed.

Obviously that's done by the types of doctors that you recruit and the mix of their specialisms and the types of things that they perform. At a micro level by each hospital, we're dealing with all of those issues, and that's why we believe we've got good momentum at the moment.

We all know that for us to continue with the ambitions that we have, that momentum has to continue for IPO to be on track. People are going to ask me today, where are we with the IPO?

The answer is going to be we're still on Plan A. There's nobody in our business talking about Plan B.

We're fully aware the external world around us has changed a bit, but from our perspective, in terms of the preparations, it makes sense for us to continue with A, and that's currently the position.

Philip Ekengren

Perfect. Thank you very much, John.

I think you answered my follow-up there with the IPO process. Then perhaps a final one for me before I get back into the queue.

It's been just over a year since the German pricing reform. Can you draw any conclusions from it now?

Have you started to see any consolidation in the market, or any change in sort of the behavior of competitors, please?

John Stubbington

The reform impact on us was quite tough, I think the team have done an incredible job to be able to manage that and for us to come through in the way that we've come through. The market is seeing early signs of changes in behavior, both smaller suppliers not been able to adjust, and consumers adjusting.

You'll note in some of the commentary that we're seeing a trend of more fee-for-service starting to appear in Germany. As I said before, I don't expect that to be a waterfall and to change the market dynamics overnight, but because of the reforms that are coming, it looks like that kind of paying trend is going to continue.

We're still got a watching brief. We've got strong pipelines when it comes to M&A in many different areas, and Germany will be no different.

We've got a watching brief.

Philip Ekengren

Thank you very much. That was all for me.

I'll go back to the queue.

John Stubbington

Thanks.

Operator

The next question comes from Mattias Vadsten from SEB. Please go ahead.

Mattias Vadsten

Good morning. I have a couple of questions.

First one, just to be clear, when you say consumer behavior was affected, can you elaborate a little bit on what services that are referred to in such a comment? What services are affected?

John Stubbington

I think it was a a general trend that occurred. It's been 10 years since we've had the weather conditions that we had in Poland, which lasted, a number of weeks, and, I don't think the the public were quite as used to it as they had been in history.

It wouldn't have affected them 10 years ago, it'd just have been just have been normal. People kind of worked from home, stayed away.

You could see if we looked at our our telemed mix in our funded business, that started to kick up, which was an indication of people, not wanting to really go out and and travel around. It just subdued subdued overall kind of volumes for a period of time.

You had a few days in in Romania with severe snow, and when you get that, doctors can't get into work on time, therefore they can't they can't perform perform their procedures. You had big black ice and some blackouts in Berlin that didn't particularly help, and all the problems in in Ukraine.

All of those things were just very unusual. We're not sitting here and saying that that's an excuse for us.

What you've seen really through the quarter and what we take, as very positive news, is these things hit us, but we recovered as we went through the quarter. I think that's just a sign of our model being strong, our relationships being strong, and our ability to bounce back when these things hit us.

January, February were tougher month months than normal for this time of year. Very

Mattias Vadsten

good, and I agree. Next question relates to Poland.

Of course, it's been a major driver beating expectations for long in this company. I think it's a little lower growth rate, and you allude to many of the drivers, but aside from that, would you say that your sort of business momentum in Poland is intact, to speak, and that you can climb back to higher growth rates already from Q2 there,

John Stubbington

or

Mattias Vadsten

yeah?

John Stubbington

I think it's a good observation that you make that we did point out a couple of quarters ago that even before the things we just talked about, that there was an underlying trend that we needed to sort out. Kind of Q1 doesn't help us understand whether we've sorted it or not because of the other factors that came into play.

You can see from the funded business in terms of memberships that we need to drive that higher. We're not particularly worried about it.

The growth rate in Poland's been a strong base for us, and we fully expect for us to see momentum sort of build in Poland as we go throughout the year, and we're looking forward to sharing that with you. Let's see how it develops.

It's not something that is causing us undue worry at this stage.

Mattias Vadsten

Good. Last one is firstly sort of on Germany, what is the likely price impact on growth from here onwards?

Is it neutral, or?

Anand Patel

Look, I think we're expecting muted growth from a price perspective, obviously. There have been price cuts on the KBV, but as John says, what we have done is focus on our fee-for-service business in Germany.

In there, in terms of absolute percentages and absolute numbers, we've been focusing on that. Overall, it would be muted growth from a pricing perspective.

Mattias Vadsten

Good, and last one: you said you are on Plan A with the IPO in India, what does that mean in terms of timing?

John Stubbington

We've always set out the timetable that we announced in December 2024 that was 24 months, so that's getting tight, of course. People are going to ask questions around that.

I think in terms of our preparations, we're on track, yeah, and we'll push ahead exactly as we are. We've always said that we're not 100% time-bound.

We're in a lucky position that if circumstances from a trading perspective meant that we delayed a quarter or so, or from a external world perspective we delayed a quarter or so, that is still possibilities, but we are fully focused currently, Plan A, Plan A, Plan A. We've been open always, and it stays the same.

Thank you.

Mattias Vadsten

Good. Thank you so much.

John Stubbington

No problem. Thank you.

Operator

The next question comes from Kristofer Liljeberg from DNB Carnegie. Please go ahead.

Kristofer Liljeberg

Thank you, and good morning. I have a few questions, maybe take them one by one.

The first one, if you could explain a little bit more the margin improvements we saw here in Q1 versus Q4. I know Q4 was a bit weaker than previous quarter, but how much of this is just seasonality versus underlying improvements, would you say?

Anand Patel

I'll take that one. I think I'll talk less about Q4, I'll talk more about Q1 and where we're going forward.

I think you've seen in Q1 that actually, I've mentioned a bit about the acquisitions versus last year that when we didn't have them in our base, so that accounts for, you could argue, let's say just over 50% of the growth that we've seen year on year in terms of margin rate. That's part one.

Part two is what we have seen is fundamental improvements in volume through all of our infrastructure. You look at if India volumes are up 34% at local currency level and 10% at euros, you can imagine that there's margin expansion in India.

In Romanian hospitals, the numbers are up year on year, we're filling those capacities and the margin rate is up there as well. In terms of seasonality, yes, but it's hard to say again, as John says, because we were impacted in the first two months of the year by weather.

Needless to say, the theme going forward is we're still filling our infrastructure, not just in anniversaring a period where we didn't have acquisitions, but countries like India and Romania are flowing through to the numbers as well. We still expect to see healthy margin accretion for the balance of the year.

Kristofer Liljeberg

Based on previous comments, it sounds a little bit that we shouldn't expect any huge sequential margin improvements here in the next few quarters versus what you delivered in Q1. Is that correct?

Anand Patel

Correct, yes. Yeah.

We won't get 140 basis points going forward in Q2. Yes, correct.

Kristofer Liljeberg

Okay. Could you maybe comment what the margin is in India right now and how much it has improved?

John Stubbington

No, we don't divulge that information. We've got to be really careful at the moment.

As we build towards the IPO, the Indian authorities don't like us to say too much, which doesn't help you and doesn't help our relationship with you, but we've just got to be careful. That's not something that we divulge, and we wouldn't divulge at this stage due to the process.

Kristofer Liljeberg

I don't know if you could comment on this one, but the minority loss that you still have, I guess more or less all of that relates to India and the fact that they have financial costs in that operation as it runs right now.

Anand Patel

Yeah.

Kristofer Liljeberg

Okay. Then on the German diagnostic margin, is it possible to comment how that has developed since the reform started versus what you had now in Q1?

John Stubbington

Again, we don't divulge that in terms of information, but as a sound bite, from our perspective, the team have handled it really, really well, and we're pleased with how they've navigated that. I think it's a positive for us.

Kristofer Liljeberg

Have you been able to keep it at least flat, or is it down? Is that possible to quantify?

John Stubbington

I think we don't divulge it, Kristofer, but from my comments that I'm saying that it is positive for us, I think you can read between the lines.

Kristofer Liljeberg

Thanks.

John Stubbington

Then finally,

Kristofer Liljeberg

sorry, a lot of questions here,

John Stubbington

but

Kristofer Liljeberg

when it comes to the number of healthcare members in Poland, what will you do more precisely to increase the growth rate again? Is it just about being out selling, or something else?

John Stubbington

I think that there's a few things in there if you want a bit of flavor. One is that we made that decision about price, and when you make those decisions about price, at times you've got a bit of a lag in terms of some of the people that don't like the price.

Our new business volumes are very, very good. Organic growth in the market isn't particularly strong at this moment in time, therefore we have to go to different level of sophistication in terms of the different types of products that we offer to the different types of customers to stimulate more growth.

We're in a good position because in our proposition it's quite wide, we can blend in terms of the way we do our pricing and the way that we make it more attractive for customers to cover more of their employee base. We'll be offering different solutions in coming quarters related to that.

We've already started. It's getting the beginnings of some traction.

That's why we're quite confident as we go forward that we should see that line start to improve again. The organic growth in the market is causing a bit of issue.

That usually adjusts itself over time.

Kristofer Liljeberg

Great. Thank you very much.

John Stubbington

No problem. Thank you.

Operator

The next question comes from Kane Slutzkin from Deutsche. Please go ahead.

Kane Slutzkin

Morning, guys. Just quick one: just on the Middle East situation, you obviously referred to it as sort of external headwinds, I guess.

I'm just wondering is there any hedging in place to mitigate some of the sort of potential cost inflation you might see, and how exposed are you? I would imagine there's some energy exposure, but maybe not too material, but yeah, just any comments on sort of any hedging in place to mitigate potential cost increases?

Then just secondly, are you guys sort of comfortable with where consensus is sitting? I'm just trying to kind of gauge sort of given sort of some of the commentary this morning around sort of Q1 being a bit higher, and maybe there's a bit of phasing in the year.

Just wondering if you're sort of comfortable with where the consensus numbers sit for the full year. Thanks.

John Stubbington

Sure, I'll answer the first one and I'll pass the second one over to Anand. Obviously from a war perspective, the Middle East perspective, we have conducted exercises inside the business to understand what would the impact of that be based on what we know.

We're putting in more monitoring positions in terms of some of the relationship with customers that could be more exposed. We're looking at our supply chain in terms of is there any delays?

We're looking at our building program to understand if there's impacts on that, and obviously the one that you highlighted, energy, is an important factor for us. It's particularly important in sport because there's quite a lot of property exposure there.

Quite a few of our contracts from a Polish perspective on an energy basis are on a slightly longer-term basis or fixed basis, and currently of course you'll see that the governments in many countries from an energy perspective are putting some kind of shield or mitigating circumstances in place. Currently there's no major impact on us, but we are taking countermeasures and we've got plans from a group perspective that should things turn, what are the levers that we would need to look at?

At the moment, as it stands today, on the 29th of April, we haven't pressed a button on those things. It's very much that we've got the watching brief with our indicators.

Anand Patel

From me on the consensus question. Look, we give three-year targets, I'm not going to comment on in-year numbers for you today.

I guess the common themes of what we've said, though, are double-digit organic growth, and you can imply that from our three-year targets, and margin accretion,

John Stubbington

yeah,

Anand Patel

to implied rates that you can calculate for yourself in 2028. We expect to see progress towards that, and we've said there'll be a little bit slower potentially in '26 versus an uptick in '27, '28 towards those targets.

For us, we've said on our call that we will achieve our targets in 2028, and after that, the in-years will be different.

Kane Slutzkin

All right. Thank you.

I guess just the reason I ask is clearly you report quarterly, which is pretty regularly, might help just to have a little bit more on the sort of near term. Take your point.

Thanks.

John Stubbington

Thank you.

Operator

As a reminder, if you wish to ask a question, please dial # key 5 on your telephone keypad. The next question comes from Darius Saftoiu from Jefferies.

Please go ahead.

Darius Saftoiu

Hi, thank you for taking my questions. Two if I may.

First in the diagnostic volumes, test volumes were up 9.5% in Q1, with 8.7% from the acquisitions, I was wondering if you could update us on the underlying organic test demand and volume growth in diagnostics in Q1 and as we exit Q1.

John Stubbington

Can you repeat that? I heard that you were talking about diagnostic volumes and underlying trends.

Darius Saftoiu

Sorry. Test volumes in diagnostics were up 9.5% and 8.7% from the prior acquisitions.

I was wondering if you could update us on the underlying organic demand and volume growth in diagnostics in Q1 and as we exit Q1.

John Stubbington

Apologies, but we're struggling to get the clarity of the question. Can I make a suggestion?

Can you type it into the feed, because we do want to answer your question, but we just can't pick it up exactly, and we don't want to mislead you.

Darius Saftoiu

Yeah.

John Stubbington

Sorry about that. Just couldn't hear through.

Operator

First in diagnostic volumes, test volumes were up 9.5%

Darius Saftoiu

year on year

Operator

with around 8.7 percentage points coming from prior year acquisitions. Could you update us on how underlying

John Stubbington

organic... We've now got the question.

The test volumes are up 9.5% year on year and around 8.7 percentage points coming from the prior-year acquisitions, etc. I think this is just one of the areas where we were affected by some of those headwinds.

It's not something that we fundamentally believe that we're suppressed on this particular line. You can see from the development of the diagnostics team that all our fee-for-service markets are growing quite strongly.

There is a different focus in terms of the businesses there looking at the higher-margin test volumes, etc., but that shouldn't affect our overall volumes as we go through. I wouldn't pay too much attention to that at this moment in time.

Q1 just an unusual quarter for us. We'll move past it, get to Q2, and I think that our dialogue will be slightly different than it is today.

Darius Saftoiu

Thank you. I'm sorry if you don't hear me properly.

I've sent the second question in the chat as well. My second question is on the regulation in Germany.

I understand that the impact from last year public reform is fully in the base now, but I was wondering if you could update us on how do you assess the proposals for the five other diagnostic reform in Germany, and do you see any risk or potential opportunities for Medicover? If the outcomes were to have less favorable impact in certain pockets, what are the mitigation levers within your control?

Thank you.

John Stubbington

I think it's a really good question. Put it into a broader context.

It's not just Germany. I think it's a lot of markets that the national funds are looking at ways that they can drive efficiency.

This is nothing new. This is something that every healthcare organization, whether it's public or private, has to do to be able to serve their customers well.

In Germany, currently there's lots of talk about the next reform that's going to come, which is the GOÄ reform that you refer to. It isn't clarified 100% yet that the date of the reform will come in from X.

We've been planning and scenario planning and scaling the impact of this reform for some time. When it comes in and when it happens, it's not going to affect our operations in terms of what we do simply because we're preparing for it in advance.

We know that from the first reform that we needed to implement change in our business. I think I've said on previous calls that that change will last longer than any reform.

We'll continue looking to strengthen our operations to counterbalance any of the headwinds that come. That GOÄ reform, as it stands today, is quite substantial, but the last reform was and we weathered that well.

We're talking theory. That theory is there.

We're doing what any good business would do: we're planning for it. As you also say, it drives opportunity.

It does drive opportunity, which is you can see in the German market already from what we've talked about today, there's a slight movement from people from a community that's been very used to things being paid for to paying for themselves. I think that trend will start to continue, and there's a general trend in wherever you go that people are much more interested in wellness nowadays and longevity and things along those lines.

Those kind of things don't tend to be covered by the funds, wherever there's a challenge, there's an opportunity, and that's what Medicover has always been good at.

Darius Saftoiu

Just a follow-up on that. The proposals from the [unclear] associations show an impact on certain diagnostic tests up to be a substantial impact on pricing, I was wondering how you see the mitigation factors on those that will have a higher pricing impact.

John Stubbington

Literally again, we can't pick up the question, and I don't want to mislead. If you can type it again, we'll come back to it.

I'm sorry about that. The phone line is affecting the communication, I'm sorry.

Doesn't appear to be more questions coming through. There's one more question online that we will answer.

When I talked about alternative products, people said, "Are you considering health insurance?" We have health insurance solutions, so that will always be part of the mix.

We're prepared for that from a Polish perspective. There's also a question about the slowdown in diagnostic revenues in Poland and Ukraine.

Yep, from a Poland perspective, there was a B2B contract change that happened, which would have affected our underlying numbers. We are confident that we will be able to outgrow that as we go through the year.

Ukraine was impacted by obviously the weather because at that time of year down there it's quite tough, but the war impacted at a higher rate in Q1, and as a consequence of that, it affected the numbers. That seems to have recovered as we've gone through the quarter, again, we expect that to be stronger.

There's a question also about the revenues we generate on CT, MRI scanners with the funds in Poland above the contract limit. That's not something that we would disclose, it's too much operational detail and sensitive, but what I would say is that we have exposure to the NFZ.

They are making changes in their contract limits in this particular area, but it's not a big part of our business volumes. It will impact us, but at the same time, it's going to impact the speed of delivery for the consumer.

There'll probably be a change of mix that happens here from some people that historically have gone to NFZ, and over time they'll switch back to being out of pocket.

Operator

We go back to the queue.

John Stubbington

Happy to do so.

Operator

The next question comes from Mattias Vadsten from SEB. Please go ahead.

Mattias Vadsten

Yes, thank you. It's just a clarification.

I just wanted to make sure I catched your comments, Anand, correctly. The EBITDA margin improved by 90 bps year over year in Q1.

Did I catch it correctly that you say basically the year-on-year margin improvement coming quarters will be much more modest? We obviously don't know exactly how it should be per quarter here.

I just wanted to understand the profile sort of Q2 through Q4 based on the comments.

Anand Patel

Obviously it's difficult for me to say without telling you the number, which I don't want to do. Look, I think if you look at more than 50% of the growth in Q1 on the margin rate of roughly 120 basis points is due to the acquisition.

That disappears in Q2 because it's in our base. Hopefully from that, you can figure out what I'm saying with regards to the number for the rest of the year.

Mattias Vadsten

No, absolutely. Thank you so much.

Operator

There are no more phone questions at this time, I hand the conference back to the speakers for any closing comments.

John Stubbington

Just thank you to everybody for attending. There was quite a lot of very questions today and quite a lot of detail that we went into.

Fully expected that with the difficult first quarter sort of headwinds, but they're gone now, we're looking forward to progressing for the rest of the year. As I said before, we're pleased with the progress we've made on Q1.

We're very pleased with the strength of our model considering those unusual circumstances. That's energized us for the future, we're very much looking forward to how we develop this year.

Finally, big thank you to everybody in Medicover for making these results happen. They've done a fantastic job.

Thank you.