Operator
Welcome to Vimian Group Q1 Report 2026 Presentation. During the Q&A session, participants are able to ask questions by dialing pound key five on their telephone keypad.
Now I will hand the conference over to the speakers, CEO Alireza Tajbakhsh and CFO Carl-Johan Zetterberg Boudrie. Please go ahead.
Alireza Tajbakhsh
Good morning, everyone, and welcome to Vimian's first quarter earnings call 2026. I'm Alireza Tajbakhsh, Group CEO, and I will present the first quarter results together with our CFO, Carl-Johan Zetterberg Boudrie.
Q1 is always an active period for us at Vimian, with strong cadence of industry and client events. This provides an early read on customer sentiment, I get valuable feedback across our big businesses, opportunities to engage with industry peers, and so on.
It's encouraging to see that a strong traffic booth, high engagement, and the positive feedback I get from veterinarians from these events are also reflected in a strong start to the year, with positive momentum across the group. Three out of four of our segments—Specialty Pharma, Veterinary Services, and Diagnostics—all delivered double-digit growth in the quarter, well ahead of global animal health market.
We completed two acquisitions in the quarter: the diagnostic company Ivvet in Italy and the innovative Danish clinic group Fauna. These two acquisitions will add in total around €10 million in annual revenues.
This morning, we also signed acquisition of veterinary service business Vetsave, with revenues of €1.6 million. This marks the entrance into Ireland for our Veterinary Services segment.
Our M&A pipeline going into 2026 is fruitful, and we have a strong position as a natural home for ambitious entrepreneurs within animal health. Operational cash conversion remains strong in the quarter, being above 70%, and on April 13th, we welcome Lotta Lyrdal to our team as Head of MedTech, adding vast experiences running entrepreneurial businesses based out of US.
Turning into the quarterly numbers, we report 8% revenue growth and reached €116 million in revenues for the first quarter. We delivered strong organic growth of 9% ahead of the market, driven by Specialty Pharma, Veterinary Services, and Diagnostics, 4% contribution from acquisitions, and 5% negative impact from currency movements.
Adjusted EBITA grew 3% to €29.2 million, or 8% adjusted for negative currency impact; margin of 25.2% given our planned investments to drive growth in MedTech and Orthopedics, and new market entries within Veterinary Services. Going into Specialty Pharma, Specialty Pharma delivers a strong quarter across the board with double-digit growth, improved profitability, and strong cash generation.
The organic growth of 10% was driven by double-digit growth in three therapeutic areas, while the strongest contributions came from Allergy and Specialized Nutrition, where growth was supported by key customer wins in the past months. We continue to execute our strategy of innovation, education, and cross-sales and launched 17 new products and four new cross-sales initiatives in the quarter.
We established a direct sales force in Switzerland and Finland and started to cross-sell our compounded pharmaceutical products in Scandinavia. Adjusted EBITA grew 11% to €14.4 million, or 15% adjusted for negative currency impact.
Margin improved significantly from 28.8% to 30.3%, driven by operating leverage across the businesses. Moving on to MedTech, in MedTech we delivered 6% organic growth, driven by double-digit growth in our dental business and in our orthopedic businesses in Europe and APAC, where all markets delivered healthy growth.
Several of our European orthopedic markets delivered all-time high quarter, and we continue to strengthen our sales team and education teams in the region. In US Orthopedics, we onboarded our new field sales force with a lot of focus on getting them ready and training, and continue to drive sequential sales improvement in a challenging market.
We attended several key congresses in the quarter and continue to see our high-quality orthopedic brands enjoy a strong reputation in the global veterinary community. As previously communicated, we expect changes we have implemented in orthopedics to enable US Orthopedics to return to organic growth later in spring.
Adjusted EBITA declined 2% to €11.9 million, or grew 6% adjusted for negative currency impact. The adjusted EBITA margin was 27.1%, which is a strong sequential improvement driven by very strong performance in our dental businesses in the quarter.
Year-over-year margin was impacted by geographic mix and our investments in orthopedics to strengthen commercial performance particularly in US, where we are seeing effects of those investments. Two weeks ago, Lotta Lyrdal joined us as Head of MedTech as well, and we have already felt the energy and experience she brings into the organization from building and scaling entrepreneurial organization, strong financial track record.
Overall, being close to the MedTech business up until Lotta joined us, I'm confident that we are on the right track to get our MedTech business and in particular the US orthopedic business back on track, and we have the right people to continue strengthening the commercial performance across the board. Before I move on to Veterinary Services, I would like to spend a few minutes using or highlighting the MedTech dental operation as a clear example of how we at Vimian create global opportunities, combining M&A experience or expertise with operational excellence to build global leading platforms and long-term shareholder value.
In October '24, as you all know, Vimian acquired iM3, making our entry into the veterinary dental niche. The companion animal dental market is both large and attractive, growing above industry average, and clinicians believe that this will be the fastest-growing category at the veterinary clinic the coming years.
80% of cats and dogs are affected by dental diseases, which makes the unmet need significant. At the same time, there's a clear structural gap.
Dentistry typically receives only scarce attention in vet schools, and many clinics still offer limited dental services, despite strong clinical need and revenue potential. Growth in the segment is further driven by humanization of pet and increased demand from veterinarians to continued education in dentistry.
For Vimian, bringing a successful, entrepreneurial, and fast-growing global platform like iM3, offering a wide range of services such as equipment, imaging, consumables, home care, and software, also creates new touch points for us and gives us attractive growth opportunities. Looking at those growth opportunities or those new touch points, these can for example include targeted bolt-on acquisitions such as we did with Dental Focus, deepening our US imaging capabilities, and Sanos to expand our geographic reach and broaden the portfolio, taking a proven and innovative dental sealant product from one market, expanding it to the rest of the world.
As well as doing strategic M&A or strategic investments or transformational investments like the acquisition of Denti.AI, which leverages technology to improve workflow and then embedding dental education into clinical routine. The more clinics continue to expand into dental services and deepen their knowledge of dental, our average revenue per clinic also increases given the broad range of services we offer within dental.
While we currently remain in the early stages of this growth journey, I'm pleased to see the development we've had in the business post-acquisitions and some of the initiatives we've done since. Since iM3 joined us, we've established a multi-channel sales team, we've strengthened our consumable offering and launched subscription models driving recurring revenues at good margins, we invested in a new warehouse facility to facilitate growth and launched our first US-based education center, we launched a new successful dental unit called the Evolution Range, and on the back of Denti.AI acquisition we launched proprietary AI-powered imaging software systems.
We are also clearly exploring cross-sales opportunities with the broader MedTech segment, and have set up joint education initiatives or activities and shared facilities for orthopedics and dentistry. Since the acquisition, our dental platform have delivered double-digit revenue growth with expanding margins, and we are optimistic about the organic and M&A opportunities we have ahead in this space.
Continuing to Veterinary Services, our global leading Veterinary Services platform continues to show strength and again delivers double-digit organic growth, being 11% in the quarter, with continued momentum in member growth and conversion into higher tiers under now Michael's leadership. At the end of the quarter, we reached 11,400 members across four continents, and adjusted EBITA grew 3% to €4.8 million, with an adjusted EBITA margin of 27.5%, given the strategic growth investments and temporary lower margins some of the co-owned clinics.
The demand of our services from both veterinarians and partners increases every day, and with today's development of AI, we see our ability to develop new and enhance existing services for our customers at a faster pace than before. Last year, we shared that on the back of the success we've had with the Veterinary Services, we're also planning to do additional investments, as you've seen in the numbers this quarter, by expanding into new markets and new services.
Therefore, I would like to give some more insights into some of those market expansion investments. Firstly, we have since second half of 2025 prepared our organic expansion into two new markets: one being Japan, unlocking a large market for veterinary services following successful MedTech launch in Japan.
In Japan, it's a top 10 market when it comes to animal health, depending on which numbers you look at, you could argue it's probably the fifth or sixth biggest market as well, and there's approximately 10,000 clinics in the Japanese market. We expect to launch our Japanese operations in Q3, but we already have people on the ground as of today preparing for that launch in the market.
We're also preparing to do a adjacent market expansion by going into Portugal. We've had a very successful growth and momentum in our Spanish operations, we see Portugal as a natural add-on to our Iberian footprint, leveraging the existing team we have in the territory and adding local skill sets and excellence.
The Portuguese market has approximately 1,500 clinics, and we expect to launch in Q3 as well. Beyond our organic expansions, the team always looks into finding relevant companies in other markets to acquire, and we're very happy that this morning we signed an agreement to acquire Vetsave, the leading veterinary service organization on the Irish market.
The Irish market has approximately 700 clinics, and Vetsave have approximately 150 clinics currently working together with them. This deal is expected to be completed in May.
Based on the back of these three initiatives, combination of organic and M&A, which is how we operate, we are now taking our Veterinary Services platform from 11 to 14 markets globally, unlocking long-term growth and additional scale benefits. Moving on to Diagnostics, Diagnostics delivered double-digit growth of 12% in the quarter, positively impacted by disease outbreaks towards the end of the quarter, mainly from the avian influenza outbreak in the US and bluetongue in Europe.
On March 2nd, we consolidated the diagnostic business Ivvet, an important milestone to strengthen our companion animal offering and onboarding a strong entrepreneur and a strong team to our diagnostics team. Adjusted EBITA grew 16% to €1 million, and the adjusted EBITA margin declined slightly to 13.8%, driven by product mix with higher level of extraction sales in the US.
Looking ahead, we're excited about the opportunities to further strengthen our position in the attractive companion animal diagnostic market. From an M&A perspective, we covered that during the segment sections, but we've made three acquisitions year-to-date and are advancing our M&A pipeline across the segments.
We're very optimistic about looking at the pipeline we've generated and created and entered with it during 2026, and we truly feel that we are the natural home for entrepreneurial business leaders in the animal health sector. From a sustainability perspective, we continue to deliver our sustainability agenda in the quarter.
On March 19th, we released our first CSRD-compliant report. In February, we completed our bi-annual employee experience survey, with high participation rate and further strengthening the employee experience scores.
In March, we also completed our fourth cohort of Vimian Leadership Development Program. In total, over 80 of our leaders have gone through one of these programs to develop and get to know colleagues across the world.
In one of our largest production facilities in Italy, we installed solar panels during the quarter covering the majority of the site's electricity needs and strengthening our resilience against grid volatility and rising energy costs. With that, that concludes my run-through of the quarter, and I will hand over to Carl-Johan for deeper insights into the financials.
Carl-Johan Zetterberg Boudrie
Thank you, Ollie, and good morning, everyone. I'll dive straight into the results for the quarter.
Adjusted EBITA in the first quarter was €29.2 million, an increase of 3%. In constant currency, the increase corresponds to 8%.
The adjusted EBITA margin for the quarter equaled 25.2%, where the margin decrease compared to the same period last year is primarily a result of focused investments in MedTech Orthopedics to strengthen our commercial platform, as well as investments in new markets and services in our segment Veterinary Services. Central costs amounted to -€2.9 million, an increase from -€2.3 million last year.
The increase is mainly a result of expenses related to our long-term incentive programs, in total, €0.6 million in the quarter. These are non-cash IFRS expenses that will recur for the duration of the three-year programs.
We report an operating profit of €21.2 million, a significant 36% increase from last year's results of €15.6 million. Items affecting comparability decreased in the quarter compared to the same period last year, and totaled -€1.8 million.
The majority of items affecting comparability relate to MedTech. This consists of -€0.7 million in litigation costs in the US indemnification dispute and €0.5 million in acquisition costs.
Acquisition-related costs amounted to €1.1 million in total for the group. Net financial items amounted to -€3.3 million, and consisted of four main parts: financing expenses of -€3.1 million, with an average interest rate of 4.1% during the quarter; a quarterly discounting impact of -€1.3 million; and positive impact of €0.2 million from probability adjustments related to contingent considerations.
A positive impact of €0.9 million from exchange rate effects on revaluation of debt. Lastly, the quarter was also burdened by a write-down of shares in associates, amounting to -€2.5 million.
Income tax expense for the quarter was -€5.3 million at an effective tax rate of 35%. In the quarter, the tax expense as percentage of pre-tax profit was negatively affected by the non-deductible write-down of the shares in associates, together with other non-deductible expenses.
In total, this results in a profit for the period of €10.1 million, with an earnings per share of 2 eurocents for the quarter. Looking at the cash flow, the cash flow from operating activities amounted to €23.0 million, corresponding to a cash conversion of 73% for the first quarter, cash conversion being measured as operating cash flow in relation to EBITDA.
Net working capital amounted to €92.8 million at the end of the quarter, equal to 21% of revenue, a decrease from €96.6 million at the end of the fourth quarter, which equaled 23% of revenue. The majority of the €3.8 million decrease in working capital is relating to an increase in payables.
Cash flow from investing activities amounted to -€33.6 million, primarily consisting of acquisitions and earn-out payments. Cash flow from financing activities of €5.1 million from proceeds from borrowings.
At the end of the quarter, net debt amounted to €258.4 million, up from €245.4 million at the end of the fourth quarter. Cash and cash equivalents amounted to €50.4 million, a decrease compared to €55.0 million at the end of December.
External lending was €230.2 million at the end of the first quarter. This resulted in a leverage at the end of the quarter equal to 2.1x, which is an increase from 2.0x at the end of the fourth quarter, where we still remain well-capitalized with an ability to execute on our strengthening acquisition pipeline.
With this financial review, I hand the word back to Ollie for concluding remarks.
Alireza Tajbakhsh
Thank you, Carl-Johan. Vimian is off to a good start to the year, with double-digit growth in three out of four segments and strong cash generation.
We welcomed three new businesses year-to-date and remain positive about the M&A opportunities throughout 2026 and beyond. All in all, we are well-positioned with a robust strategy and continue to execute our organic and inorganic growth initiatives to build a global leader in attractive animal health niches.
Thank you for your attention, and we now open up for Q&A.
Operator
If you wish to ask a question, please dial pound key five on your telephone keypad to enter the queue. If you wish to withdraw your question, please dial pound key six on your telephone keypad.
The next question comes from Adela Dashian from Jefferies. Please go ahead.
Adela Dashian
Good morning, gentlemen. A couple of questions for me.
If we can maybe first start on the MedTech development. Do you have any more color to offer on what the growth was in US Orthopedics during the quarter?
Alireza Tajbakhsh
Hi, good morning. Yes, the growth in US Orthopedics was a slight decline given the current market situations, but we see a sequential improvement from previous quarter.
Adela Dashian
Glad to hear that. If that is the case, with the heavy investment pace, do you feel like this is necessary to keep up?
Or at what point do you feel that it's time to maybe phase it down a bit, I guess, once you're able to capture the market opportunities, and so on?
Alireza Tajbakhsh
I think the investments we're talking about in particular and what we've done is of course put together an outside sales team. That was in place in the beginning of the year, and as well when you have a new sales team in place it requires some training and education to get up to speed.
I don't believe we have so far gotten the full effect of the capabilities of the sales team in the US. It's a strong team in place, and I believe that with the measures we've taken into account as of end of Q4 and going into the quarter and what we've done in Q1, we are well-prepared to bring back US Orthopedics to organic growth later this spring.
Adela Dashian
Thank you. With that being said, we should expect a normalization of the investment pace then in coming quarters?
Alireza Tajbakhsh
Yes. Just to clarify, the investments is in people.
The investments we've done will remain from a opex perspective, but of course we expect that the revenues to increase as we move ahead.
Adela Dashian
Sure. Great.
Then on Diagnostics, there were some comments around mix affecting your profitability here. Could you maybe speak a bit more of that and how you expect that to proceed for the remainder of the year?
Carl-Johan Zetterberg Boudrie
Sure. Morning, Adela.
In Diagnostics and as there's some volatility from quarter to quarter in the revenues as part of the business is driven by outbreaks. Depending on sort of the regional mix and the outbreak mix, that can have an impact on margins in the quarter as certain products we sell for certain outbreaks in certain regions carry a different margin profile.
That's what happened in the quarter from a mix perspective, where we enjoyed good revenue from outbreaks, but the mix was a little bit different, which impacted margins in the quarter specifically.
Adela Dashian
Is there anything you could say about the mix effect going into the second quarter?
Carl-Johan Zetterberg Boudrie
I would say sort of what happens with outbreaks is difficult to predict. I would think about it as thinking sort of from a normal margin perspective for Diagnostics, excluding the outbreak effect.
Adela Dashian
Okay. Thank you so much.
I'll step back into the queue.
Operator
The next question comes from Adrian Elmlund from Nordea. Please go ahead.
Adrian Elmlund
Hi, guys. Good morning.
I think I have three questions. You're mentioning here that you're going into Japan, right, through organic growth.
It looks like it's a market of total 10,000 clinics, quite a lot. What costs are we talking about here when going into this market?
I presume that it will take a time before you reach sort of segment average margins. How long do you think that can take?
What kind of expectations do you have on the growth rates? Also in the competition, because I assume that Japan is a bit of a tricky country, at least for a lot of companies I have spoken to previously.
If I'm not mistaken, do you have any comments regarding Japan? Yes.
Alireza Tajbakhsh
Good morning. I think Japan is an interesting market.
It's a market we've looked into for a long period of time. There are obvious differences in the Japanese market versus Europe and so forth, we have invested in a local Japanese team that will operate and run the business in the market.
It's a market we know well given the work we've done. Actually the reason we chose Japan besides size is that we had received a lot of inbound from both clinics and our partners that the model we offer and the value we bring is very relevant, and would we consider entering that market?
I think it's a good opportunity for us and there is a demand, but the model we offer is new to the market, it's something we will, if we call it, educate the market together with our partners. In terms of upcoming growth perspective, I think what we can say is we're going to launch in Q3.
As always, we put a local team on the ground supported by our strong team based out of Stockholm. It will take some time both to get the contracts and the services in place and as well build up the member base going forward.
Normally, I would say it takes approximately a year to year and a half for us to break even a market.
Adrian Elmlund
Did you say break even, or did I miss that?
Alireza Tajbakhsh
Yes.
Adrian Elmlund
Okay. Perfect.
Thank you. Similarly, are there any comments you can give on the acquisition here entering Ireland regards growth rates or margin contribution, etc.?
Alireza Tajbakhsh
The Irish business have a higher margin profile than the Veterinary Services average. It's a strong platform where the entrepreneur will stay on and continue the journey together with us.
We believe that the strong local positioning Michael and the team has in Ireland, together with the experience and all the value-added services we can bring to the market, is a very good match going forward.
Adrian Elmlund
Right. If the margins in Ireland is higher than the kind of segment margins, does that mean that the growth rates are slower than the average as well?
Carl-Johan Zetterberg Boudrie
No, I wouldn't think about it in that way. Of course, the business in Ireland, we think it's a great platform for Ireland.
It's a good combination to what we do, and we see that we can bring, as Ollie said, our knowledge, our experience, our service portfolio to the Irish market to drive continued revenue growth. The business in Ireland is currently, from a size perspective, it's a good market for us, but it's not a huge market in comparison to the family in total, or Veterinary Services in total.
Yes, we do see good growth momentum opportunities to continue in Ireland, and as Ollie said, there is a margin profile that is higher than the rest of Veterinary Services. Given its size, it's not going to have, you could say, a significant impact on Veterinary Services margins going forward.
Adrian Elmlund
Right. Okay.
Very good. Thanks.
Last question here, sorry for being kind of long. Regarding the US Orthopedics recovery here in the spring, could you give us any guidance with regards the growth rates here as well?
Are we speaking low single-digit growth rates, or are you expecting kind of a big push here in the spring?
Alireza Tajbakhsh
I think there's two components. One, I think the team will be in place, and the new leadership will continue to build momentum, but then there is a dependency on market dynamics as well.
The combination of the two of them would end up in a number. Given the current market, it's still fairly flat from Q1 if we look at April in particular.
We're expecting low single digit.
Adrian Elmlund
Yeah.
Alireza Tajbakhsh
Sorry, Adrian, as we communicated also in the first quarter, we do see that we will get back to organic growth during later of spring this year. We see that we'll start to get back to single-digit organic growth.
For us to get back to double-digit organic growth, that is our ambition, we need to start to see a market that is go back to growth trajectory again.
Adrian Elmlund
Very clear. Okay.
Thank you very much. I'll get back into the queue.
Operator
The next question comes from Kavya Deshpande from UBS. Please go ahead.
Kavya Deshpande
Good morning. Thank you for taking my questions.
I have one on Spec Pharma and then one on MedTech, please. On Spec Pharma, would you be able to explain what drove the strength in the allergy and compounding businesses, please?
I think I heard you say it was key customer wins for PAX and Allergy, but would be great to get some color on the compounding business. Then related to that, would you be able to say what the one therapeutic area that didn't grow double digits, what that was and if there's anything to flag there?
Then, just on MedTech. I was wondering if you could give us a bit more detail on the investment in the field sales force.
You have more people on the ground. Is the next step now more about training new GPs to perform the CCL implants?
Is it about converting customers from your competitors, or is the key approach about increasing utilization with your current customer base? Then related to that, are you looking to deploy price as a key tool?
Is the increase in inventories this quarter, was that related to the strategic transformation, or something else? Thank you.
Alireza Tajbakhsh
Good morning. Let's start with the Specialty Pharma question.
I think positive from a Specialty Pharma overall perspective, we saw double-digit growth in three out of four therapeutic areas. Both Allergy, US Specialized Nutrition, and Specialty Pharmaceuticals showed double-digit growth in the first quarter.
For all those three therapeutic areas, you could say that the contributor driving double-digit growth was solid customer wins in late of last year, beginning of this year, that contributed to good growth in the first quarter. As said, that goes across all three therapeutic areas that I mentioned.
The one therapeutic area where we didn't see double-digit growth was Dermatology, but we did see high single-digit growth in Dermatology, I would say it's still solid growth in our Dermatology business. The main reason I would say for slight difference also is, you could say, the geographic mix a little bit in the different therapeutic areas.
Again, all in all, good performance in all therapeutic areas and double digit in three out of four therapeutic areas.
Kavya Deshpande
Thank you.
Alireza Tajbakhsh
Moving on the MedTech in terms of the sales team, I think as we spoke about it in the last quarter, we are moving from an inside sales team to an outside sales team, meaning we put people in territory and we're strengthening the sales team by adding more people to have a strong presence across the US. The reason we're doing that, of course, is to be much closer to our customers, being able to support them on a daily basis, and also be able to pick up feedback from them what they need and how we can support and drive their business going forward.
Clearly, with this transition being implemented in the quarter, there is a ramp-up, but I do believe we have a strong sales team in place. As they learn our products, some of them being new to the industry as well, getting to know our customers and build their relationships with them over time, I believe sales will pick up on the back of that.
The ambition, of course, is to do kind of all of the things you mentioned in terms of gaining market share, protecting and developing the businesses we have, but also get more GPs and more veterinarians understanding our products and moving into that space and recommending our procedures.
Carl-Johan Zetterberg Boudrie
Apologies just to make sure I get the question and as a result, the answer, could you repeat your question regarding inventory?
Kavya Deshpande
Of course, sir. Just the increase in inventories, is that related in any way to the transformation, or was that something else?
Carl-Johan Zetterberg Boudrie
No, I wouldn't say that the increase in inventories is relating to the transformation. If we look at the transformation, and I think to look at MedTech and we have two different areas within MedTech, being Dental and being Orthopedics, Dental is performing very well, and to cater for continued good growth, we're making sure that we have some necessary inventory to drive that continued growth.
For the Orthopedics business, I think our work will continue to make sure that we optimize inventory levels within MedTech. As we discussed last quarter, we did discontinue part of the product portfolio as well, so that optimization of MedTech portfolio and the MedTech business within Orthopedics continues.
Kavya Deshpande
Understood. Thank you very much.
Operator
The next question comes from Sten Gustafsson from ABG Sundal Collier. Please go ahead.
Sten Gustafsson
Yes, good morning. Going back to Vet Services, would it be possible, looking at these new markets, Japan in particular, with the 10,000 potential new customers, given that you have, what was it, 11,400 today, would it be possible to give us some sort of revenue potential for the new markets you're entering, midterm, not short-term, but what kind of penetration rate should we think about there?
Then secondly, going back to the MedTech division, if you could remind me of how much of the total revenue for let's say 2025 is related to US Orthopedic today?
Alireza Tajbakhsh
I can start with Vet Services. I think it's a bit early to kind of give a revenue projection.
I think that the demand is there. We get positive response from the clinics.
Key is, of course, not just to have as many members as possible. You want to have engaging and member compliance rates being high to support what we do.
It is still early stage. As we said, we're going to launch in Q3, but we're happy with the team we have in place.
Normally, we don't need to capture the full market to drive revenue growth and have profitability. Key for us initially is, of course, on the back of some key contracts together with our partners and the experience we have in building a independent vet community to explain the model, to onboard members, and start working together with them to enhance the daily operations into the clinic.
I think it would be a bit premature to indicate the revenue at this stage, although of course we do our math before we go into a market. Then
Carl-Johan Zetterberg Boudrie
Sten, your question regarding MedTech and Orthopedics, what's the size of US Orthopedics in the MedTech segment. As Orthopedics is the larger part of MedTech compared to Dental.
US Orthopedics is the largest region within the Orthopedic space for us. In the quarter, roughly 60% of the Orthopedics business related to North America, and that in total is roughly 40% of the business for MedTech.
Sten Gustafsson
Okay. Thank you very much.
Operator
The next question comes from Jonathon Unwin from Barclays. Please go ahead.
Jonathon Unwin
Good morning. Thanks for taking my questions.
I just want to come back to MedTech and think about whether you need to see a market recovery later in the spring to get to that low single-digit percentage growth, or whether you think you can get to that number just from the investments that you've made in the field service organization, i.e., by starting to take a bit of share. If you do need to see an improvement in the market to get any growth in US Orthopedics, what gives you the confidence that the market is going to improve given it's been flat for the last two quarters?
That's my first question. Then my second question is on EBITA growth.
You grew 3% in the quarter, 8% constant currency. Do you expect that growth rate to improve throughout the year?
If so, what are the key building blocks to see higher EBITDA growth through Q2 to Q4? Maybe you can give some context around the contribution you expect from M&A versus organic on your expectations there.
Thank you.
Alireza Tajbakhsh
I'll start with MedTech. We believe that on the back of our operational initiatives initiated that we can bring the business back to low single organic growth later this spring, assuming the market remains where it is today, which is soft and fairly flat.
If the market improves, I think that would accelerate our effort. If the market would substantially decline, well of course that could have an impact on the business as well.
When we say we believe that US Orthopedics will return into organic growth later this spring, it's on the back of organic initiatives we have implemented and are currently doing.
Carl-Johan Zetterberg Boudrie
On the profitability growth, sort of looking ahead and looking a little bit at the full year. We are doing, as said, conscious investments.
We've done in MedTech, in Orthopedics, and also in Veterinary Services, as we've discussed. They've had some impact on the margins both looking at Q4 last year and Q1 this year.
As we start to see some of the effects of these investments that we've made in terms of higher revenue, to Ollie's point, we'll see sort of a gradual improvement or a gradual ramp-up of revenues both in MedTech Orthopedics and Veterinary Services, we believe that we will start to see, call it, margin normalize in those two segments, meaning that overall, we'll start to see margins or the relation between revenue growth and adjusted EBITA growth being more correlating for the rest of the year. Having that said, and as we communicated earlier, given the investments that we've done now in the first quarter, we do not see that we will show any sort of significant margin improvement for the full year.
Jonathon Unwin
Great. Thank you very much.
Operator
As a reminder, if you wish to ask a question, please dial pound key five on your telephone keypad. The next question comes from Arvid Necander from DNB Carnegie.
Please go ahead.
Arvid Necander
Good morning, and thanks for taking my questions. The first one on Spec Pharma, I was just wondering if you're able to clarify, based on the current momentum and market environment that you're seeing, you still believe you're on track to deliver double-digit organic growth for the full year?
Then sort of on the overall market sentiment, the consensus seems to be that the animal health market will grow with about mid single digits for the full year. During the pandemic, dog ownership, of course, saw a significant uplift, and some of your industry peers have now started to talk about a tailwind from this.
I was just wondering, do you expect that to be the case for your core franchises as well, and where do you expect to see the most meaningful impact over the next one to three years? I'll stop there.
Thanks.
Carl-Johan Zetterberg Boudrie
Morning, and I can start with the Specialty Pharma. We see a good momentum in the business, as we discussed.
We've seen in the first quarter that we've delivered double-digit growth in three out of four therapeutic areas, high single-digit growth in the fourth therapeutic area. We've seen in Specialty Pharma also that we've delivered high single-digit or double-digit growth for a long period of time.
We don't have any indications that the good momentum that we've seen in Specialty Pharma will change for sort of looking ahead and for the rest of the year.
Alireza Tajbakhsh
On the second question, I think the services we offer and the products we have are well-positioned to capture that potential growth. The trend is generally positive for us across all our segments, since many of the things we offer are typically or they become relevant later in a dog's life.
For example, orthopedic issues or allergies are often detected some time into the pet's life. Same goes with dental problems, which tend to increase as the dog gets older, and so forth.
From a general sentiment, the COVID dog effect, when it happens and if it happens, would have a positive effect on our business as well, given the products and services we offer.
Arvid Necander
Great. Thank you so much.
I'll jump back in the queue.
Operator
There are no more questions at this time, I hand the conference back to the speakers for any closing comments.
Alireza Tajbakhsh
Thank you all for listening in. I want to reiterate how I started.
Vimian is off to a good start of the year, with double-digit growth in three out of four segments. We have strong cash generation, and as you see, our M&A pipeline is becoming more fruitful.
We're super happy onboarding the three acquisitions year-to-date, and we look forward to continue growing and developing the Vimian business into a leading player within animal health. Thank you very much.
This concludes today's conference call. Thank you for participating.
You may now disconnect. Everyone, have a great day.
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