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Outpatient (ex Primary Care)

 

Regina Maria and Medlife in M&A race to build national chains

Regina Maria, the second largest Romanian hospital operator, which was bought by Mid Europa in 2015, has lined up several deals. It, and Medlife, the number one player, will be racing to build comprehensive national coverage over the next few years. Medlife has just announced a syndicated loan of €56m of which €20m plus €5m from medlife will be allocated for acquisitions.
February 25, 2016

Consolidating Ukraine

Into-sana, the largest hospital group in Odessa and possibly the largest in Ukraine, has recently bought two outpatient clinics in Kiev. Konstantin Lebediev, a medtech healthcare services consultant based in Denmark, suggests this is the start of a national chain.
February 22, 2016

Rx Health Management builds US$200m fund

The former Egyptian health minister, Dr Hatem Elgabaly, hopes to raise US$200m to invest in African healthcare by the middle of 2017. Three deals in Egypt and Nigeria are under negotiation and three others in Morocco and Nigeria are early-stage. All are already funded, he claims. The strategy is to build a platform in hospitals, diagnostics and pharma in North Africa and replicate their success in Sub-Saharan Africa by consolidating and modernising mum'n'pops or expanding existing platforms.
February 22, 2016

GHG boosts profits, opens outpatient centres

Georgia Healthcare Group (GHG), which dominates the Georgian healthcare market, saw net profits for 2015 soar 78% year-on-year to GEL 23.6m (€8.5m). Sales also grew by 22.5%, to GEL 242.7m (€87m), reflecting a buoyant and increasingly state driven market. GHG’s CEO, Nikoloz Gamkrelidze, revelled in reaching 30% EBITDA margins ahead of time and now wants a third of the market by sales.
February 16, 2016

Interview: Ekaterina Timofeeva, Principal, The Boston Consulting Group, Russia

In last month’s Russian feature, we investigated what looked to be a stunted and troubled market. Just as private healthcare was getting its act together the faltering economy has depleted disposable incomes and driven supply costs sky-high. Of course, the reality is more complex and conceals a number of opportunities. Ekaterina Timofeeva, for one, is optimistic. Margins of 40% or more are gone for now, but don’t give up on Russia just yet. She points to a new international medical cluster outside Moscow that is expected to attract 80bn roubles (€900m) of investment.
February 11, 2016

Report: East Africa – rising slowly, steadily, surely

The private sector plays a key role in healthcare delivery across Africa. While the East African economies of Kenya, Uganda and Tanzania are experiencing relatively high growth, public sector healthcare facilities are sub-standard. The private sector already accounts for nearly half of total expenditure and is coming up with innovative and affordable ways to provide services. Here we look at the main groups and track trends.
February 11, 2016

Spanish operators target medical tourists

Health tourism in Spain grew sales of €500m, up 20% in 2015. Patients traveling to get treatment are still low - 100,000 per year - but the business cluster Spaincares has set to double the size of the market by 2020.
February 10, 2016

Secretive On Clinic hits Belgrade

On Clinic, a chain of nearly sixty outpatient clinics now covers Russia, Ukraine, Romania, Moldovia, Armenia, Bulgaria and the Czech Republic. Its latest opening is its first foray into Serbia. We profile the group.
February 9, 2016

Report: Colombia – Tax free zones, HMOs and a friendly government

Few countries offer such exciting opportunities for private healthcare as Colombia. The government has set up a series of tax-free medical tourism hubs for Central America, the Caribbean, Venezuela and Peru. Meanwhile the mandatory insurance system which covers 97% of the 48m population is creaking and big payor/providers could be sold to private investors. Colombia's amalgamation of public, private and not-for-profit insurers and operators faces a severe crisis. Small wonder private equity houses such as Tribeca, SEAF Colombia and Advent International are eyeing the sector.
February 1, 2016

Rival Filipino conglomerates Ayala Corp. and MPIC pour millions into healthcare

Ayala Corp., one of the largest conglomerates in the Philippines, is to launch a network of 100 outpatient clinics in the next three years. Called FamilyDoc, these facilities will contain a pharmacy as well as diagnostics and lab units – even a shop, aiming to cater for the primary care needs of a growing middle class. And it is not the only one looking into healthcare.
February 1, 2016
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