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RNS Number : 0844Z  Integrated Diagnostics Holdings PLC  12 September 2022

Integrated Diagnostics Holdings Plc

1H 2022 Results

Monday, 12 September 2022

Integrated Diagnostics Holdings Plc delivers robust growth in traditional
offering demonstrating underlying strength

(Cairo and London) - Integrated Diagnostics Holdings ("IDH," "the Group," or
"the Company"), a leading consumer healthcare company with operations in
Egypt, Jordan, Sudan and Nigeria, released today its reviewed financial
statements and operational performance for the six-month period ended 30 June
2022, recording revenue (compliant with IFRS) of EGP 1,954 million and net
profit of EGP 439 million. During the period, IDH's conventional business
continued to demonstrate its underlying strength and growth potential,
recording robust year-on-year growth and helping to offset the decline in
Covid-19-related(1) revenues for the period. More specifically, IDH's
conventional business (comprising 69% of total revenues) recorded a solid 13%
year-on-year increase in revenue during 1H 2022, on the back of a 6% rise in
test volumes. Similarly, in Q2-2022, IDH's conventional offering recorded a
remarkable 18% year-on-year and 9% quarter-on-quarter rise in revenues, with
the robust growth versus Q1-2022 coming despite the seasonal slowdown related
to the holy month of Ramadan and the Eid holidays. Consolidated revenues for
the quarter recorded EGP 774 million, while net profit stood at EGP 125
million in Q2 2022. As noted above, consolidated results for the three- and
six-month periods ended 30 June 2022 were weighed down by a significant
slowdown in Covid-19-related business owing to a widespread decline in
infection rates, the lifting of mandatory testing for international
travellers, and a substantial decline in the average price per
Covid-19-related test.

Financial Results (IFRS)

  EGP mn                    1H 2021                       1H 2022                                      Change
 Revenues                             2,293                                1,954                      -15%
 Conventional Revenues      1,188                         1,339                                       13%
 Covid-19-related Revenues  1,105                         615                                         -44%
 Cost of Sales                         (988)                             (1,122)                      14%
 Gross Profit                         1,305                                   832                     -36%
 Gross Profit Margin        57%                           43%                                         -14 pts.
 Operating Profit                     1,094                                   562                     -49%
 EBITDA(2)                            1,203                                   709                     -41%
 EBITDA Margin              52%                           36%                                         -16 pts.
 Net Profit                              668                                  439                     -34%
 Net Profit Margin          29%                           22%                                         -7 pts.
 Cash Balance                         1,587                                2,182                      37%

Note (1): Throughout the 1H 2022 Earnings Release, percentage changes between
reporting periods are calculated using the exact value (as reported in the
Company's Consolidated Financials) and not the corresponding rounded figure.

 

Key Operational Indicators(3)

                          1H 2021                          1H 2022  Change
 Branches                                          495     538      43
 Patients ('000)                                   4,673   4,541    -3%
 Revenue per Patient (EGP)                         491     416      -15%
 Tests ('000)                                      16,318  16,004   -2%
 Conventional Tests ('000)                         13,717  14,547   6%
 Covid-19-related Tests ('000)                     2,601   1,458    -44%
 Revenue per Test (EGP)                            141     118      -16%
 Revenue per Conventional Test (EGP)               87      92       6%
 Revenue per Core Covid-19 Test (EGP)              425     389      -8%
 Revenue per Other Covid-19-related Test (EGP)     152     134      -12%
 Test per Patient         3.5                              3.5      N/A

(1)Covid-19-related tests include both core Covid-19 tests (Polymerase Chain
Reaction (PCR), Antigen, and Antibody) as well as other routine inflammatory
and clotting markers including, but not limited to, Complete Blood Picture,
Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin and C-reactive Protein
(CRP), which the Company opted to include in the classification as "other
Covid-19-related tests" due to the strong rise in demand for these tests
witnessed following the outbreak of Covid-19.

(2)EBITDA is calculated as operating profit plus depreciation and
amortization.

(3)Key operational indicators are calculated based on net sales for the six
month period of EGP 1,891 million. More details on the difference between net
sales and total revenues is available below.

Important Notice: Treatment of Revenue Sharing Agreements and Use of
Alternative Performance Measures

As part of IDH's efforts to support local authorities in Egypt and Jordan in
the fight against the pandemic, Biolab (IDH's Jordanian subsidiary) secured
several revenue-sharing agreements to operate testing stations, primarily
dedicated to PCR testing for Covid-19, in multiple locations across the
country including Queen Alia International Airport (QAIA) and Aqaba Port.
These agreements kicked off in May 2021 at Aqaba Port and in August 2021 at
QAIA. However,  following the decision by Jordanian authorities on 1 March
2022 to end mandatory testing, testing booths across both locations recorded
sharp declines in patient traffic.

Under these agreements, Biolab received the full revenue (gross sales) for
each test performed and paid a proportion to QAIA (38% of gross sales
excluding sales tax) and Aqaba Port (36% of gross sales) as concession fees to
operate in the facilities, thus effectively earning the net of these amounts
(net sales) for each test supplied. Starting in Q4 2021, the treatment of
these agreements was altered in accordance with IFRS 15 paragraph B34, which
considers Biolab as a Principal (and not an Agent). Subsequently, revenues
generated from these agreements are reported in the Consolidated Financial
Statements as gross (inclusive of concession fees) and the fees paid to QAIA
and Aqaba Port are reported as a separate line item in the direct cost. It is
important to note that sales generated from these agreements were reflected on
the Company's results in Q1 2022 only as the agreements were terminated
starting in the second quarter of the year.

In an effort to present an accurate picture of IDH's performance for the
six-month period ended 30 June 2022, throughout the report management utilizes
net sales of EGP 1,891 million for 1H 2022 (IFRS revenues stand at EGP 1,954
million for the six-month period). Net sales for the first half of the year
are calculated as total gross revenues excluding concession fees and sales
taxes paid as part of Biolab's revenue sharing agreements with QAIA and Aqaba
Port.

It is important to note that aside from revenue and cost of sales, all other
figures related to gross profit, operating profit, EBITDA, and net profit are
identical in the APM and IFRS calculations. However, the margins related to
the aforementioned items differ between the two sets of performance indicators
due to the use of Net Sales in the APM calculations and the use of Revenues
for the IFRS calculations.

Adjustments Breakdown

  EGP mn                                        1H 2022
 Net Sales                                      1,891
 QAIA and Aqaba Port Concession Fees            63
 Revenues (IFRS)                                1,954
 Cost of Net Sales                              (1,059)
 Adjustment for QAIA and Aqaba Port Agreements  (63)
 Cost of Sales (IFRS)                           (1,122)

 

 

 

 

 

 

 

 

 

 

Adjustments by Country

  EGP mn   1H 2022  1H 2022

           (IFRS)   (APM)
 Egypt     1,524    1,524
 Jordan    386      323
 Sudan     10       10
 Nigeria   33       33
 Total     1,954    1,891

Note: differences between IFRS and APM figures are highlighted in grey.

 

Financial Results (APM)

                                   IFRS                          APM
  EGP mn                           1H 2021  1H 2022     Change   1H 2021  1H 2022     Change
 Net Sales                         2,293    1,954      -15%      2,293    1,891      -18%
 Conventional Net Sales            1,188    1,339      13%       1,188    1,339      13%
 Covid-19-related Net Sales        1,105    615        -44%      1,105    552        -50%
 Cost of Net Sales                  (988)    (1,122)   14%        (988)    (1,059)   7%
 Gross Profit                      1,305    832        -36%      1,305    832        -36%
 Gross Profit Margin on Net Sales  57%      43%        -14 pts   57%      44%        -13 pts
 Operating Profit                  1,094    562        -49%      1,094    562        -49%
 EBITDA(4)                         1,203    709        -41%      1,203    709        -41%
 EBITDA Margin on Net Sales        52%      36%        -16 pts   52%      38%        -15 pts
 Net Profit                        668      439        -34%      668      439        -34%
 Net Profit Margin on Net Sales    29%      22%        -7 pts    29%      23%        -6 pts
 Cash Balance                      1,587    2,182      37%       1,587    2,182      37%

Note: differences between IFRS and APM figures are highlighted in grey.

 

(4)EBITDA is calculated as operating profit plus depreciation and
amortization.

 

 

 

Introduction

 

i.    Financial Highlights

·    Net Sales recorded EGP 1,891 million in 1H 2022, 18% below last
year's figure which had been boosted by strong contributions from
Covid-19-related offering. During the period, IDH continued to record robust
year-on-year growth in conventional net sales, once more displaying the
business' underlying strength and growth potential. This helped offset the
significant decline in Covid-19-related(5) net sales for the period, owing to
lower infection rates, the lifting of mandatory testing for international
passengers, and declining average test prices. On a quarterly basis,
consolidated net sales fell 34% year-on-year in Q2 2022 on the back of a large
contraction in Covid-19-related net sales. Meanwhile, conventional net sales
continued their steady expansion during the second quarter, a particularly
noteworthy result in light of the expected seasonal slowdown related to the
holy month of Ramadan and Eid impacting results for April and May.

·    More specifically, IDH's conventional offering recorded EGP 1,339
million in 1H 2022 up 13% year-on-year and continuing to support consolidated
net sales for the six-month period. The segment's continued growth now sees it
contribute to 71% of consolidated net sales up from 52% this time last year.
The solid year-on-year growth was supported by a robust 6% increase in both
test volumes and average revenue per test. On a quarterly basis, conventional
net sales expanded an impressive 18% year-on-year and 9% quarter-on-quarter
continuing to display the business' underlying strength. Growth was supported
by growing test volumes which expanded 7% year-on-year and 4%
quarter-on-quarter.

·    During the six-month period, IDH's Covid-19-related net sales
recorded EGP 552 million versus the EGP 1,105 million recorded in 1H 2021. As
such, the segment made up just 29% of total net sales in 1H 2022 versus 48% in
1H 2021. The segment's performance in the first six months of the year was
significantly impacted by results for the second quarter, with
Covid-19-related net sales declining 87% year-on-year and 84%
quarter-on-quarter to record EGP 75 million in Q2 2022.

·    Gross Profit recorded EGP 832 million in 1H 2022, down 36%
year-on-year. Gross profit margin on net sales stood at 44% compared to 57% in
1H 2021. Lower gross profitability comes on the back of a significant fall in
the average price of Covid-19-related tests (including a 52% fall in the
average price of PCR tests) which reflected in a rise in raw materials as
percentage of net sales for the period. The contraction in gross profitability
is also in part attributable to an increase in direct salaries and wages
versus last year related to additional staff employed at the testing booths at
Aqaba Port and QAIA and across IDH's newly rolled out branches, as well as an
annual salary increase for IDH's staff. In Q2 2022, IDH recorded a gross
profit of EGP 300 million, down 55% year-on-year and with an associated margin
of 39%. Lower gross profitability for the quarter in part reflects the
expected seasonal slowdown related to the holy month of Ramadan and Eid
vacation.

·    EBITDA(6) recorded EGP 709 million in the six-month period,
representing a 41% year-on-year decrease. EBITDA margin on net sales stood at
38% compared to 52% in 1H 2021. The year-on-year contraction comes on the back
of lower gross profitability coupled with higher SG&A outlays for the
period mainly related to marketing activities. On a quarterly basis, EBITDA
recorded EGP 241 million in Q2 2022, down 60% year-on-year and with an
associated margin of 31%.

·    Net Profit recorded EGP 439 million in 1H 2022, down 34%
year-on-year. Net profit margin on net sales stood at 23% for the period, in
line with the Group's pre-Covid-19 averages.

 

(5)Covid-19-related tests include both core Covid-19 tests (Polymerase Chain
Reaction (PCR), Antigen, and Antibody) as well as other routine inflammatory
and clotting markers including, but not limited to, Complete Blood Picture,
Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin and C-reactive Protein
(CRP), which the Company opted to include in the classification as "other
Covid-19-related tests" due to the strong rise in demand for these tests
witnessed following the outbreak of Covid-19.

(6)EBITDA is calculated as operating profit plus depreciation and
amortization.

 

ii.  Operational Highlights

·    IDH's branch network reached 538 branches as at 30 June 2022, up from
495 branches as at 30 June 2021 and 502 branches at year-end 2021.

·    Conventional tests performed, which made up the majority of total
tests in 1H 2022, recorded 14.5 million, up a solid 6% versus last year. This
largely compensated for a 44% year-on-year decline in Covid-19-related tests
performed. As such total test volumes contracted 2% year-on-year to record
16.0 million in 1H 2022.

·    Average revenue per test(7) recorded EGP 118 in 1H 2022, a
year-on-year decline of 16% driven by lower average revenue per
Covid-19-related(8) tests (down 11% year-on-year). On the other hand, average
revenue per conventional test increased 6% year-on-year in 1H 2022.

·    Total patients served decreased 3% in 1H 2022 to record 4.5 million.
Meanwhile, average test per patient stood unchanged at 3.5 in 1H 2022.

·    In Egypt (80.6% share of consolidated net sales), IDH recorded
revenue of EGP 1,524 million in 1H 2022, down 21% year-on-year. IDH's Egyptian
operations recorded a solid 12% year-on-year increase in conventional revenues
(75% of Egypt's total revenues) on the back of rising test volumes. Meanwhile,
Covid-19-related revenues declined 58% year-on-year due to lower test volumes
as infections rates decreased, mandatory testing for travellers was lifted,
the average price for all Covid-19-related tests decline substantially.
Finally, Egypt's revenues were supported by a 19% contribution from the
Group's house call services.

·    Al-Borg Scan recorded revenues of EGP 35 million, representing a 78%
year-on-year increase. Revenue growth was supported by an 85% and 77%
year-on-year increase in test and patient volumes, respectively. Growing
volumes at the venture have come on the back of new branch rollouts (+3 over
the last twelve months). In the coming months, the Group is planning to expand
its radiology branch network further through the roll out of two additional
branches.

·    Wayak recorded a 364% year-on-year increase in consolidated revenue,
which stood at EGP 8.7 million in 1H 2022 versus EGP 1.9 million in 1H 2021.
Higher revenues in part reflect a 47% year-on-year rise in delivery orders
which reached 64.3 thousand in 1H 2022. Combined with management's continued
cost optimisation efforts, this is driving a steady narrowing of the venture's
consolidated EBITDA losses. More specifically, EBITDA losses contracted to EGP
1.7 million from EGP 3.41 million.

·    In Jordan (17.1% share of consolidated net sales), net sales reached
EGP 323 million (IFRS revenues(9) recorded EGP 386 million in 1H 2022),
unchanged from last year's figure. During the period, Biolab recorded a 14%
year-on-year increase in conventional net sales, while Covid-19-related net
sales contracted 10% reflecting lower test prices.

·    IDH's Nigerian operations (1.8% share of consolidated net sales)
recorded revenues of EGP 33 million in 1H 2022, up 32% from the comparable
period of 2021, and reflecting the rising demand for the generally
higher-priced MRI and CT testing. Excluding the two branches which were closed
down earlier this year, test and patients volumes would be up 25% and 19%
year-on-year, respectively.

·    In Sudan (0.6% share of consolidated net sales), IDH recorded a
remarkable 13% year-on-year increase in revenues during the first six months
of 2022. This marked the first revenue increase in EGP terms in over a year
and came on the back of a 40% increase in average revenue per test. In local
currency terms growth was even more pronounced with IDH's Sudanese operations
reporting a 125% year-on-year increase in revenue.

 

(7)Calculated on net sales for the period.

(8)Covid-19-related tests include both Core Covid-19 tests (PCR, Antigen, and
Antibody) as well as Other Covid-19-related tests.

(9)Biolab's revenues for the quarter are calculated as net sales and including
concession fees paid to QAIA and Aqaba Port as part of their revenue sharing
agreements.

iii. Management Commentary

Commenting on the Group's performance, IDH Chief Executive Officer Dr. Hend
El-Sherbini said: "I am pleased to present another set of solid financial and
operational results, which saw us build on a strong start to the year to
deliver further growth in our conventional business despite a difficult
operating environment. I was particularly happy to note the robust
year-on-year and quarter-on-quarter growth delivered by our conventional
service offering during the second quarter of the year, a noteworthy
achievement in light of the seasonal slowdown associated with the holy month
of Ramadan and Eid holiday. The segment's steady expansion comes as a direct
result of our multi-pronged growth and investment strategy which has enabled
us to continue delivering exceptional value to our patients despite the
unprecedented challenges faced over the last several years. Looking at the
numbers in more detail, conventional net sales recorded a robust 13%
year-on-year expansion in 1H 2022. Meanwhile in Q2 2022, conventional net
sales expanded 18% year-on-year and an impressive 9% quarter-on-quarter. In
both periods, growth was supported by higher test and patient volumes, once
more showcasing the attractiveness of our value proposition and the business'
strong future growth potential. Moreover, our ability to consistently grow our
business irrespective of ongoing challenges, has enabled our conventional
revenues to currently stand an impressive 32% above pre-pandemic revenues
recorded in the first half of 2019 once controlling for contributions from the
100 Million Healthy Lives campaign. Robust growth at the conventional segment
is helping to offset the significant decline in our Covid-19-related(10) net
sales both on a quarterly and year-to-date basis. More specifically, starting
in March we recorded sharp declines across both Egypt and Jordan on the back
of lower infection rates, a lifting of mandatory testing for international
travellers, and a widespread decline in Covid-19 test prices.

On a geographic basis, across both Egypt and Jordan, we are continuing to
leverage our market leading position, expanded product offering and patient
base, increased service delivery capabilities, and growing visibility to
deliver robust growth in our conventional business. We were very pleased to
note the 12% year-on-year growth in conventional revenues delivered by our
home of Egypt, which continued to expand in line with recent trends despite
rising inflation and an above-average number of public holidays during the
months of April and May. Egypt's performance continued to be bolstered by
rising contributions from our fast-growing radiology venture, Al-Borg Scan,
which in early August obtained the prestigious ACR accreditation for its
nuclear medicine unit. Across both Egypt and Jordan, we are continuing to
focus on retaining the thousands of new patients acquired through our
Covid-19-related services over the past two years. Initiatives on this front
have included the launch of a dedicated loyalty programme, the roll out of
multiple marketing campaigns, and the enhancement of our cross-selling
capabilities through a more effective use of patient data. In parallel, we are
continuing to invest in growing our direct-to-patient reach, further
developing our branch network, house call service, and digital offering. Here
it is worth highlighting that thanks to our efforts to ramp up our house call
capabilities over the last two years, the service is continuing to make
contributions to consolidated net sales well above its pre-pandemic averages.
Looking at our other geographies, in Nigeria we recorded a solid year-on-year
revenue growth supported by a record-breaking second quarter performance, and
reflecting the growing popularity of the venture's radiology offering. It is
also worth stressing that when controlling for branch closures in the first
quarter of the year, both test and patient volumes posted strong year-on-year
growth proving that the venture's revamp strategy is continuing to deliver the
desired results despite the fast-rising inflation experienced in recent
months. On an equally positive note, we witnessed the return to year-on-year
growth in EGP terms of our operations in Sudan demonstrating the underlying
potential of the Sudanese market.

While we expect the current operational challenges to persist throughout the
rest of 2022, I firmly believe that the robust mitigation measures we have put
in place provide ample protection against possible future disruptions to the
business. Coupled with our flexible business model and the inherently
counter-cyclical nature of the healthcare industry, this sees us well placed
to take full advantage of the vast growth opportunities offered by our
markets. Looking at our mitigation strategy in more detail, as with similar
situations in the past, we expect protracted high inflation, in particular in
Egypt, to have the most significant impact on patients who pay for their own
healthcare. With this in mind, we have been developing our marketing programs
to target them with a strong health awareness message in combination with a
compelling value component. This includes offering bundled diagnostic test
packages for lifestyle-related diseases and chronic health conditions as well
as an in-house point redemption system. We are also exploring various
solutions to offer more affordable payment plans to help our patients during
the ongoing difficulties. At the same time, I am confident that the brand
equity we have built over many years has translated into strong loyalty, and I
am certain that patients will continue to choose us as their trusted
diagnostic services provider irrespective of the ongoing inflationary
pressures. Meanwhile, thanks to our proactive inventory build-up and sourcing
strategy we continue to face no problems acquiring raw materials and we hold
sufficient inventories to cover four months of operations. Going forward, we
are confident that our long-lasting relationships with test kit suppliers we
enable us to continue procuring stock at competitive prices.

In light of the aforementioned and our robust performance in the first half of
the year, we are maintaining our full-year guidance, with the Company on track
to record conventional revenue year-on-year growth of around 20%. It is worth
noting that these estimates assume no additional contributions from our
Covid-19-related offering.

On a similar note, I am happy to report that despite the challenging
conditions faced on the foreign exchange markets over the past several months,
we have successfully completed the payment of the entire full-year 2021
dividend to all shareholders. The distribution of a record-breaking USD 69.6
million dividend reaffirms our trust in the business' fundamental strength and
sustainability, and its potential going forward."

(10)Covid-19-related tests include both core Covid-19 tests (Polymerase Chain
Reaction (PCR), Antigen, and Antibody) as well as other routine inflammatory
and clotting markers including, but not limited to, Complete Blood Picture,
Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin and C-reactive Protein
(CRP), which the Company opted to include in the classification as "other
Covid-19-related tests" due to the strong rise in demand for these tests
witnessed following the outbreak of Covid-19.

- End -

 

Analyst and Investor Call Details

An analyst and investor call will be hosted at 2pm (UK) | 3pm (Egypt) on
Tuesday, 13 September 2022. You can register for the call by clicking on this
link (https://zoom.us/webinar/register/WN_0sjk3qbQQgK9LuzssDrx5A) , and you
may dial in using the conference call details below:

·      Webinar ID: 928 3447 8622

·      Webinar Passcode: 651028

For more information about the event, please contact: amr.amin@cicapital.com
(mailto:amr.amin@cicapital.com)

About Integrated Diagnostics Holdings (IDH)

IDH is a leading consumer healthcare company in the Middle East and Africa
with operations in Egypt, Jordan, Sudan and Nigeria. The Group's core brands
include Al Borg, Al Borg Scan and Al Mokhtabar in Egypt, as well as Biolab
(Jordan), Ultralab and Al Mokhtabar Sudan (both in Sudan) and Echo-Lab
(Nigeria). A long track record for quality and safety has earned the Company a
trusted reputation, as well as internationally recognised accreditations for
its portfolio of over 2,000 diagnostics tests. From its base of 538 branches
as of 30 June 2022, IDH will continue to add laboratories through a Hub, Spoke
and Spike business model that provides a scalable platform for efficient
expansion. Beyond organic growth, the Group's expansion plans include
acquisitions in new Middle Eastern, African, and East Asian markets where its
model is well-suited to capitalise on similar healthcare and consumer trends
and capture a significant share of fragmented markets. IDH has been a
Jersey-registered entity with a Standard Listing on the Main Market of the
London Stock Exchange (ticker: IDHC) since May 2015 with a secondary listing
on the EGX since May 2021 (ticker: IDHC.CA).

 

Shareholder Information

LSE: IDHC.L

EGX: IDHC.CA

Bloomberg: IDHC:LN

Listed on LSE: May 2015

Listed on EGX: May 2021

Shares Outstanding: 600 million

 

Contact

Nancy Fahmy

Investor Relations Director

T: +20 (0)2 3345 5530 | M: +20 (0)12 2255 7445 | nancy.fahmy@idhcorp.com
(mailto:nancy.fahmy@idhcorp.com)

 

Forward-Looking Statements

These results for the six-month period ended 30 June 2022 have been prepared
solely to provide additional information to shareholders to assess the group's
performance in relation to its operations and growth potential. These results
should not be relied upon by any other party or for any other reason. This
communication contains certain forward-looking statements. A forward-looking
statement is any statement that does not relate to historical facts and
events, and can be identified by the use of such words and phrases as
"according to estimates", "aims", "anticipates", "assumes", "believes",
"could", "estimates", "expects", "forecasts", "intends", "is of the opinion",
"may", "plans", "potential", "predicts", "projects", "should", "to the
knowledge of", "will", "would" or, in each case their negatives or other
similar expressions, which are intended to identify a statement as
forward-looking. This applies, in particular, to statements containing
information on future financial results, plans, or expectations regarding
business and management, future growth or profitability and general economic
and regulatory conditions and other matters affecting the Group.

 

Forward-looking statements reflect the current views of the Group's management
("Management") on future events, which are based on the assumptions of the
Management and involve known and unknown risks, uncertainties and other
factors that may cause the Group's actual results, performance or achievements
to be materially different from any future results, performance or
achievements expressed or implied by these forward-looking statements. The
occurrence or non-occurrence of an assumption could cause the Group's actual
financial condition and results of operations to differ materially from, or
fail to meet expectations expressed or implied by, such forward-looking
statements.

 

The Group's business is subject to a number of risks and uncertainties that
could also cause a forward-looking statement, estimate or prediction to differ
materially from those expressed or implied by the forward-looking statements
contained in this communication. The information, opinions and forward-looking
statements contained in this communication speak only as at its date and are
subject to change without notice. The Group does not undertake any obligation
to review, update, confirm or to release publicly any revisions to any
forward-looking statements to reflect events that occur or circumstances that
arise in relation to the content of this communication.

 

Group Operational & Financial Review

 

i.    Revenue/Net Sales and Cost Analysis

 

 Revenue/Net Sales

 Consolidated Analysis

 During both Q2 2022 and 1H 2022, IDH continued to record robust growth in
 conventional revenues supported by both higher volumes and average revenue per
 test. It is especially important to note that conventional revenues in Q2 2022
 expanded an impressive 18% year-on-year and 9% quarter-on-quarter despite
 results for the months of April and May being weighed down by the expected
 slowdown related to the holy month of Ramadan and Eid holidays. The steady
 growth in IDH's conventional revenues further demonstrates the business'
 underlying strength and future growth potential.

 Meanwhile, IDH recorded a significant contract in Covid-19-related(11)
 offering on the back of lower infection rates across both Egypt and Jordan,
 the lifting of mandatory testing for international travellers, and a
 substantial decline in the average price per Covid-19-related test. In fact,
 during the first half of the year, the average price of PCR tests fell 45% in
 Egypt and 44% in Jordan compared to 1H 2021. It is worth noting that the
 segment's decline largely came in the second quarter of the year, outweighing
 a strong start to the year which had seen the Group's Covid-19-related
 offering record strong demand in the months of January and February.

 As such, IDH recorded total consolidated revenue of EGP 1,954 million in the
 first half of the year, representing a 15% year-on-year decline. Consolidated
 net sales(12) recorded EGP 1,891 million, down 18% from the comparable period
 of last year which had included strong contributions from the Group's
 Covid-19-related offering. On a quarterly basis, consolidated net sales
 recorded EGP 774 million, down 34% versus Q2 2021 and 31% versus the first
 quarter of 2022.

 House Call Service

 The Group's consolidated net sales were also supported by its house call
 services in Egypt and Jordan, which recorded revenues of EGP 307 million in
 the first half of the year and contributed to 16% of consolidated net sales
 for the six-month period. The service continued to make a robust contribution,
 well above the service's pre-pandemic averages. The robust set of results
 continue to reflect the significant investments undertaken by the Group over
 the last two years to boost its house call capacity and cater to the growing
 demand for the service.

 (11)Covid-19-related tests include both core Covid-19 tests (Polymerase Chain
 Reaction (PCR), Antigen, and Antibody) as well as other routine inflammatory
 and clotting markers including, but not limited to, Complete Blood Picture,
 Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin and C-reactive Protein
 (CRP), which the Company opted to include in the classification as "other
 Covid-19-related tests" due to the strong rise in demand for these tests
 witnessed following the outbreak of Covid-19.

 (12)A reconciliation between revenue and net sales is available earlier in
 this announcement.

Detailed Consolidated Performance Breakdown

The table presents Alternative Performance Measures (APM) for each period
(further information available above)

                                                        Q1 2021  Q1 2022  Change  Q2 2021  Q2 2022  Change  1H 2021  1H 2022  Change
 Total net sales (EGP mn)                               1,130    1,117    -1%     1,164    774      -34%    2,293    1,891    -18%
 Total tests (mn)                                       8.1      8.4      4%      8.3      7.6      -8%     16.3     16.0     -2%
 Conventional test net sales (EGP mn)                   594      640      8%      594      699      18%     1,188    1,339    13%
 Conventional tests performed (mn)                      6.8      7.1      5%      6.9      7.4      7%      13.7     14.5     6%
 Total Covid-19-related test net sales (EGP mn)         536      477      -11%    569      75       -87%    1,105    552      -50%
 Core Covid-19 tests (PCR, Antigen, Antibody) (EGP mn)  399      421      6%      431      62       -86%    830      483      -42%
 Core Covid-19 tests performed (k)                      407      837      106%    387      109      -72%    793      946      19%
 Other Covid-19-related tests (EGP mn)                  137      56       -59%    138      13       -91%    275      68       -75%
 Other Covid-19-related tests performed (k)             874      417      -52%    933      95       -90%    1,807    512      -72%
 Contribution to Consolidated Results
 Conventional test net sales                            53%      57%              51%      90%              52%      71%
 Conventional tests performed                           84%      85%              84%      97%              84%      91%
 Total Covid-19-related tests                           47%      43%              49%      10%              48%      29%
 Core Covid-19 tests (PCR, Antigen, Antibody)           35%      38%              37%      8%               36%      26%
 Core Covid-19 tests performed                          5%       10%              5%       1%               5%       6%
 Other Covid-19-related tests                           12%      5%               12%      2%               12%      4%
 Other Covid-19-related tests performed                 11%      5%               11%      1%               11%      3%

 Net Sales Analysis: Contribution by Patient Segment

 Contract Segment (58% of total net sales)

 Conventional revenues at IDH's contract segment expanded an impressive 24%
 year-on-year in 1H 2022 supported by an 11% increase in tests performed and a
 12% expansion in average net sales per test. However, a significant decline in
 revenues from the segment's Covid-19-related(13) offering saw total revenue at
 the contract segment (identical in value to net sales for the period) contract
 13% from 1H 2022.

 Walk-in Segment (42% of total net sales)

 The Group's walk-in segment recorded conventional revenues largely in line
 with the figure recorded in the same six months of 2021 as lower test volumes
 were offset by an increase in average revenue per test. Meanwhile,
 Covid-19-related walk-in net sales declined 44% year-on-year (revenue(14)
 declined 32% year-on-year) on the back of both lower test volumes and average
 revenue per test. This saw total revenue at the walk-in segment decline 17%
 year-on-year, and total walk-in net sales for the period fall 23%
 year-on-year.

 The walk-in segment's results were supported by Biolab's partnership with
 Queen Alia International Airport (QAIA) which generated net sales of EGP 140
 million in the six months to 30 June 2022. However, following the decision by
 Jordanian authorities on 1 March 2022 to end mandatory testing, Biolab's
 booths recorded sharp declines in patient traffic.

 

(13)Covid-19-related tests include both core Covid-19 tests (Polymerase Chain
Reaction (PCR), Antigen, and Antibody) as well as other routine inflammatory
and clotting markers including, but not limited to, Complete Blood Picture,
Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin and C-reactive Protein
(CRP), which the Company opted to include in the classification as "other
Covid-19-related tests" due to the strong rise in demand for these tests
witnessed following the outbreak of Covid-19.

(14)A reconciliation between revenue and net sales is available earlier in
this announcement.

 

Key Performance Indicators

The table presents Alternative Performance Measures (APM) for each period
(further information available on above)

                                            Walk-in Segment         Contract Segment        Total
                                            1H21    1H22    Change  1H21    1H22    Change  1H21    1H22    Change
 Net sales^ (EGP mn)                        1,029   794     -23%    1,264   1,097   -13%    2,293   1,891   -18%
 Conventional net sales (EGP mn)            522     512     -2%     666     827     24%     1,188   1,339   13%
 Total Covid-19-related net sales (EGP mn)  507     282     -44%    598     270     -55%    1105    552     -50%
 Patients ('000)                            1,523   1,513   -1%     3,150   3,027   -4%     4,673   4,541   -3%
 % of Patients                              33%     33%             67%     67%
 Net sales per Patient (EGP)                676     524     -22%    401     362     -10%    491     416     -15%
 Tests ('000)                               4,164   3,849   -8%     12,153  12,155  0%      16,318  16,004  -2%
 % of Tests                                 26%     24%             74%     76%
 Conventional tests ('000)                  3,406   3,135   -8%     10,311  11,412  11%     13,717  14,547  6%
 Total Covid-19-related tests ('000)        758     714     -6%     1,843   744     -60%    2,601   1,458   -44%
 Net Sales per Test (EGP)                   247     206     -17%    104     90      -13%    141     118     -16%
 Test per Patient                           2.7     3.0     -7%     3.9     4.0     4%      3.5     3.5     1%

 Revenue Analysis: Contribution by Geography

 Egypt (80.6% of net sales)

 During the first six months of the year, IDH's Egyptian operations recorded a
 robust 12% year-on-year expansion in conventional revenues, supported by an
 increase in conventional tests performed and in the average revenue per
 conventional test. This partially offset a significant decline in
 Covid-19-related revenues for the period following both a fall in both the
 demand for, and average price of, Covid-19-related test during the period. For
 example, during 1H 2022 IDH performed 16% less PCR tests than a year prior,
 and recorded a 45% decline in the average price per PCR test versus 1H 2021.
 As such, consolidated revenue(15) in IDH's largest market declined 21%
 year-on-year in the first six months of the year.

 Similar trends held on a quarterly basis, with revenues down 36% year-on-year
 on the back of an 89% year-on-year decline in Covid-19-related net sales.
 Meanwhile, IDH's conventional offering in Egypt continued its steady expansion
 in Q2 2022 increasing 16% year-on-year and 8% quarter-on-quarter. The latter
 is an especially noteworthy result in light of the expected seasonal slowdown
 related to the holy month of Ramadan and Eid holidays which impacted results
 in the months of April and May this year.

 House Call Service

 IDH's house call service in Egypt recorded revenue of EGP 292 million in 1H
 2022, contributing to 19% of Egypt's revenues for the period, well above the
 service's pre-pandemic contributions. The remarkable contribution was recorded
 despite the fall in Covid-19-related revenue generated through the house call
 service as infection rates in the country declined significantly starting
 March.

 Al-Borg Scan

 IDH's fast-growing radiology venture continued to record remarkable results
 with revenues expanding 78% year-on-year to record EGP 35 million in 1H 2022.
 Top-line growth came on the back of an 85% year-on-year rise in radiology
 tests performed (patients served was up 77% for the six-month period). Steady
 growth at the venture in directly attributable to the significant investments
 undertaken by IDH since the venture's launch back in 2018, with total
 investment costs as at 30 June 2022 having reached EGP 382 million. More
 specifically, over the last twelve months IDH has added three new branches,
 taking the total number of radiology branches in Egypt to five. While all
 three new branches remain in their ramp up phases, the Group is recording
 growing contributions from each one, with all three helping to drive steady
 growth in test and patient volumes as well as revenues. To build on this
 momentum, in the coming months IDH is planning to inaugurate two additional
 branches to expand its reach across Greater Cairo and capitalise on the
 service's increasing popularity. Moreover, it is worth highlighting that in
 early August 2022, Al-Borg Scan obtained ACR (American College of Radiology)
 accreditation for its nuclear medicine unit. Al-Borg Scan is the first
 radiology company to receive this certification in Africa and is testament to
 the high service quality consistently delivered by the venture and the Group
 as a whole.

 (15)It is important to note that revenues and net sales in Egypt, Nigeria and
 Sudan are identical in absolute terms. A reconciliation between revenue and
 net sales is available earlier in this announcement.

 

Detailed Egypt Revenue Breakdown

The table presents Alternative Performance Measures (APM) for each period
(further information available on page 2)

 EGP mn                                        Q1 2021  Q1 2022  Change  Q2 2022  Q2 2022  Change  1H 2021  1H 2022  Change
 Total Revenue                                 920      879      -4%     1,015    645      -36%    1,935    1,524    -21%
 Conventional Revenue                          507      549      8%      510      591      16%     1,017    1,140    12%
 Total Covid-19-related Revenue                414      330      -20%    504      53       -89%    918      384      -58%
 Core Covid-19 tests (PCR, Antigen, Antibody)  277      274      -1%     366      41       -89%    643      315      -51%
 Other Covid-19-related tests                  137      56       -59%    138      13       -91%    275      68       -75%
 Contribution to Consolidated Results
 Conventional tests                            55%      62%              50%      92%              53%      75%
 Total Covid-19-related tests                  45%      38%              50%      8%               47%      25%
 Core Covid-19 tests (PCR, Antigen, Antibody)  30%      31%              36%      6%               33%      21%
 Other Covid-19-related tests                  15%      6%               14%      2%               14%      4%

 

 Jordan (17.1% of net sales)

 In Jordan, IDH recorded revenue of EGP 386 million in 1H 2022, up 19% versus
 the same period of 2021. Meanwhile, net sales(16) recorded EGP 323 million,
 unchanged from 1H 2021. During the period, solid growth in conventional net
 sales fully offset a decline in Covid-19-related net sales. The latter's
 decline came following a decrease in infection rates, the removal of mandatory
 testing, and a fall in the average price for the offering. It is worth noting
 that despite the decline in Covid-19-related net sales for the period, the
 segment continued to make up the largest proportion of Biolab's net sales (52%
 in 1H 2022 versus 58% last year). It is also worth highlighting that strong
 demand for Covid-19-related tests in the first part of the year supported a
 47% year-on-year increase in the number of Covid-19-related tests performed
 for the six-month period. Finally, the country's net sales continued to be
 supported by Biolab's house call service which generated EGP 15 million in net
 sales in 1H 2022, making up 5% of total net sales in Jordan.

 Covid-19-related net sales in Jordan were supported by contributions of EGP
 140 million from Biolab's partnership with QAIA. As part of the agreement,
 Biolab carried out 293 thousand PCR tests, representing 59% of total PCR tests
 performed in Jordan for the first half of the year. At the same time, Biolab's
 agreements with KHIA and Aqaba Port contributed an additional EGP 18 million
 to the segment. The stations recorded strong demand in January and February
 before witnessing a sharp decline in traffic following the end of mandatory
 testing in the country.

 During the second quarter, Biolab recorded revenue (net sales were identical
 for the quarter) of EGP 106 million, down 21% year-on-year. The decline was
 fully driven by a contraction in Covid-19-related revenue for the quarter, as
 Biolab shut down its testing booths in Aqaba Port and QAIA and recorded a
 widespread decline in infections. Meanwhile, Biolab's conventional net sales
 expanded an 23% year-on-year. It is worth highlighting that strong
 year-on-year growth in second quarter largely reflects a devaluation of the
 Egyptian pound during the period.

 (16)Biolab's net sales for the period are calculated as revenues excluding
 concession fees paid to QAIA and Aqaba Port as part of their revenue sharing
 agreement.

Detailed Jordan Net Sales Breakdown

The table presents Alternative Performance Measures (APM) for each period
(further information available on page 2)

 EGP mn                                               Q1 2021  Q1 2022  Change  Q2 2021  Q2 2022  Change  1H 2021  1H 2022  Change
 Total Net Sales                                      190      217      14%     134      106      -21%    324      323      -
 Conventional Net Sales                               68       70       4%      68       84       23%     136      155      14%
 Total Covid-19-related Net Sales (PCR and Antibody)  122      147      20%     65       21       -67%    187      168      -10%
 Contribution to Consolidated Results
 Conventional Net Sales                               36%      32%              51%      80%              42%      48%
 Total Covid-19-related Net Sales (PCR and Antibody)  64%      68%              49%      20%              58%      52%

 

 Nigeria (1.8% of net sales)

 Echo-Lab, the Group's Nigerian subsidiary, recorded revenues of EGP 33 million
 in 1H 2022, up 32% versus the same six months of last year. In local currency
 terms, revenue was up 25% year-on-year on the back of a 33% increase in
 average revenue per test during the period. The increase reflects the
 increased number of CT and MRI exams performed during the six-month period,
 both of which are relatively higher-priced services. It is important to note
 that during Q4 2021 management decided to shut down its operational activities
 in the PPP branches due to their under-performance on the profitability level.
 This subsequently weighed on tests volumes for the first half of 2022, with
 tests performed and patients served down 1% and 6, respectively. Controlling
 for the branch closures, Echo-Lab would record a 25% year-on-year increase in
 tests performed and a 19% year-on-year rise in patients served in 1H 2021. In
 line with the venture's growth strategy, Echo-Lab rolled out two new branches
 during the second quarter of the year, bringing the total number of
 operational branches to 12.

 During Q2 2022, IDH's Nigeria operations recorded revenue growth of 45% on the
 back of a 2% year-on-year rise in tests performed and a 41% increase in
 average revenue per test during the period.

 Sudan (0.6% of net sales)

 In Sudan, IDH recorded revenues of EGP 10 million, up 13% from the first half
 of last year supported by a 40% year-on-year rise in average revenue per test.
 This marks the first year-on-year increase in EGP terms recorded by the
 Group's Sudanese operations in over a year, demonstrating the underlying
 potential of the Sudanese market which has been impacted by multiple political
 and economic crises over the last couple of years. On a similar note, in local
 currency terms, revenue expanded a solid 125% in the first six months of the
 year.

 In the second quarter of the year, IDH recorded revenue growth in EGP terms of
 91% in Sudan supported by a more than twofold year-on-year increase in the
 average revenue per test for the quarter.

Net Sales Contribution by Country

The table presents Alternative Performance Measures (APM) for each period
(further information available on page 2)

                                  1Q21   1Q22   Change  2Q21   2Q22   Change  1H21   1H22   Change
 Egypt Net Sales (EGP mn)         920    879    -4%     1,015  645    -36%    1,935  1,524  -21%
 Conventional (EGP mn)            507    549    8%      510    591    16%     1,017  1,140  12%
 Covid-19-related (EGP mn)        414    330    -20%    504    53     -89%    918    384    -58%
 Egypt Contribution               81.5%  78.7%          87.2%  83.3%          84.4%  80.6%
 Jordan Net Sales (EGP mn)        190    217    14%     134    106    -21%    324    323    N/A
 Conventional (EGP mn)            68     70     4%      68     84     23%     136    155    14%
 Covid-19-related (EGP mn)        122    147    20%     65     21     -67%    187    168    -10%
 Jordan Revenues (EGP mn) (IFRS)  190    281    48%     134    106    -21%    324    386    19%
 Jordan Net Sales (JOD mn)        8.6    9.6    12%     6.0    4.0    -33%    14.6   13.7   -7%
 Jordan Revenues (JOD mn) (IFRS)  8.6    12.5   45%     6.1    4.0    -34%    14.7   16.5   12%
 Jordan Contribution              16.8%  19.4%          11.5%  13.7%          14.1%  17.1%
 Nigeria Net Sales (EGP mn)       12.5   14.8   19%     12.9   18.6   45%     25     33     32%
 Nigeria Net Sales (NGN mn)       302    371    23%     330    416    27%     631    787    25%
 Nigeria Contribution             1.1%   1.3%           1.1%   2.4%           1.1%   1.8%
 Sudan Net Sales (EGP mn)         6.8    5.7    -16%    2.5    4.8    91%     9      10     13%
 Sudan Net Sales (SDG mn)         61     152    149%    67     137    103%    129    289    125%
 Sudan Contribution               0.6%   0.5%           0.2%   0.6%           0.4%   0.6%

 

Patients Served and Tests Performed by Country

                              1H 2021  1H 2022  Change
 Egypt Patients Served (mn)   4.1      3.8      -8%
 Egypt Tests Performed (mn)   14.6     14.2     -3%
 Conventional tests (mn)      12.4     13.2     7%
 Covid-19-related tests (mn)  2.3      1.0      -58%
 Jordan Patients Served (k)   502      670      33%
 Jordan Tests Performed (k)   1,447    1,594    10%
 Conventional tests (k)       1,105    1,092    -1%
 Covid-19-related tests (k)   342      502      47%
 Nigeria Patients Served (k)  75       70       -6%
 Nigeria Tests Performed (k)  136      135      -1%
 Sudan Patients Served (k)    33       46       39%
 Sudan Tests Performed (k)    104      84       -19%
 Total Patients Served (mn)   4.7      4.5      -3%
 Total Tests Performed (mn)   16.3     16.0     -2%

 

Branches by Country

                 30 June 2021  30 June 2022  Change
 Egypt           443           488           45
 Jordan          21            21            N/A
 Nigeria         12            12            N/A
 Sudan           19            17            -2
 Total Branches  495           538           43

 

 Cost of Net Sales(17)

 IDH's cost of net sales rose 7% year-on-year to record EGP 1,059 million in 1H
 2022. Combined with the year-on-year decrease in consolidated net sales for
 the period, this weighed down on the Group's gross profit which recorded EGP
 832 million in 1H 2022, down 36% from last year. It is important to note that
 gross profit for the first six months of the year is identical in absolute
 terms between IFRS and APM measures. IDH's gross profit margin(18) on revenue
 recorded 43% in 1H 2022 versus 57% last year. Meanwhile, IDH's gross profit
 margin on net sales(19) recorded 44% in 1H 2022 versus 57% in the same six
 months of 2021.

 In the second quarter of the year, IDH recorded cost of sales (identical in
 value to cost of net sales) of EGP 473 million, down 5% year-on-year. Gross
 profit for the quarter recorded EGP 300 million, with a margin of 39% for the
 quarter versus 57% in Q2 2021 when a large contribution from Covid-19-related
 tests had significantly boosted gross profitability. Lower gross profitability
 for the quarter also partially reflects the expected slowdown related to the
 holy month of Ramadan and Eid vacation.

 Cost of Net Sales Breakdown as a Percentage of Net Sales

                 1H 2021  1H 2022
 Raw Materials                    18.1%    20.9%
 Wages & Salaries                 12.9%    17.4%
 Depreciation & Amortisation      4.2%     7.0%
 Other Expenses                   7.8%     10.7%
 Total                            43.1%    56.0%

 

 Raw material costs, which include cost of specialized analysis at other
 laboratories, recorded EGP 396 million for the first half of the year,
 continuing to make up the largest share of total COGS at 37%. As a share of
 net sales, raw material costs increased to 20.9% in 1H 2022 compared to 18.1%
 in the same six months of the previous year. This increase is primarily
 reflective of the substantial reduction in the average selling price of
 Covid-19-related tests during the period in both Egypt and Jordan (PCR tests
 were priced 52% lower in 1H 2022 than in 1H 2021).

 Direct salaries and wages rose 11% year-on-year to EGP 329 million in 1H 2022,
 making the second largest share of total COGS at 31%. The increase versus last
 year is primarily attributable to the additional staff employed at Aqaba Port
 and QAIA airport, an annual salary increase of around 15%, and the additional
 staff employed across the newly added branches (+43 new branches vs 1H21).
 Additional salary expenses related to Biolab's testing booths amounted to JOD
 549 thousand (EGP 13.6 million) during 1H 2022, noting that starting April
 Biolab ceased its operational activities across all booths.

 Direct depreciation and amortisation increased 35% year-on-year in the first
 half of the year to record EGP 132 million, largely due to the incremental
 amortisation of new branches (IFRS 16 right-of-use assets).

 Other expenses for the first six months of 2022 increased 13% to record EGP
 202 million. The increase principally reflected higher maintenance costs in
 Egypt, as well as higher utility expenses related to the 43 additional
 branches rolled out in the twelve months to 30 June 2022.

 (17)Cost of net sales is calculated as cost of sales (IFRS) for the period
 excluding commission fees paid to QAIA and Aqaba Port by Biolab as part of its
 revenue sharing agreements with the two terminals. According to IFRS 15, cost
 of sales recorded EGP 1,122 million in 1H 2022, up 14% year-on-year.

 (18)It is important to note that while in absolute terms the Gross Profit
 figure is identical when using IFRS or APM, its margin differs between the two
 sets of performance indicators.

 (19)A reconciliation between revenue and net sales is available earlier in
 this announcement.

 Selling, General and Administrative Expenses

 Total SG&A outlays stood at EGP 269 million in 1H 2022, representing a 27%
 year-on-year increase for the six-month period. The increase in SG&A costs
 was mainly a result of rising salaries and marketing expenses, as well as
 higher fees for external auditing services.

 Marketing and advertising expenses came in at EGP 54 million in 1H 2022,
 representing a 48% year-on-year increase. The increase reflects an overall
 expansion in IDH's marketing and advertisement efforts which for the last year
 has seen the Company roll out targeted campaigns across multiple channels
 predominantly to support Al-Borg Scan's ramp up.

 EBITDA

 IDH's EBITDA(20) came in at EGP 709 million in the first half of 2022, down
 41% from the figure recorded this time last year. It is important to note that
 EBITDA for the period is identical in absolute terms between IFRS and APM
 measures. EBITDA margin on consolidated revenue recorded 36% in 1H 2022 versus
 52% in the same six-month period of a year ago. Meanwhile, EBITDA margin on
 net sales declined to 38% in 1H 2022 from 52% in 1H 2021.(21) The decline in
 EBITDA level profitability comes on the back of lower gross profitability for
 the period coupled with higher sales and marketing outlays versus the first
 six months of 2021.

 In IDH's home market of Egypt, EBITDA recorded EGP 622 million in 1H 2022.
 EBITDA margin on net sales stood at 41% for the period versus 56% this time
 last year.

 In Jordan, IDH recorded an EBITDA of EGP 91 million, down 31% from the same
 six months of last year. In JOD terms, Biolab's EBITDA recorded JOD 4.0
 million, a 33% year-on-year decrease. EBITDA margin on revenue recorded 24% in
 1H 2022 down from 40% this time last year. Meanwhile, EBITDA margin on net
 sales for the six-month period recorded 29% versus 41% in 1H 2021. The
 decrease in Biolab's EBITDA margin is mainly attributable to lower gross
 profitability for the period as well as higher expenses related to Biolab's
 testing booths in QAIA and Aqaba Port.

 Operations in Nigeria posted an EBITDA loss of EGP 3.3 million in 1H 2022
 compared to a loss of EGP 4.3 million this time last year. It is important to
 highlight that EBITDA profitability during the period was impacted by a 462%
 year-on-year increase in the country's diesel prices (responsible for 11% of
 Echo-Lab's cost base). Controlling for this, the venture would have been on
 track to turn positive in early 2022.

 Finally, in Sudan the Company recorded an EBITDA of EGP 0.1 million in 1H
 2022, down from the EGP 0.7 million in EBITDA recorded this time last year. In
 SDG terms EBITDA stood at SDG 4.1 million in 1H 2022 compared to an EBITDA
 loss of SDG 14 million in the same six months of 2021.

 Regional EBITDA in Local Currency

Mn                                             1H 2021  1H 2022     Change
 Egypt                                  EGP     1,075    622         -42%
 Margin on net sales                            56%      41%
 Jordan                                 JOD     5.9      4.0         -33%
 Margin on net sales                        41%                29%
 Margin on revenues (IFRS)                  40%                24%
 Nigeria                                NGN     -111     -80         -28%
 Margin on net sales                            -18%     -10%
 Sudan                                  SDG     -14      4.1         N/A
 Margin on net sales                            -11%     1%

( )

 (20)EBITDA is calculated as operating profit plus depreciation and
 amortization and minus one-off fees incurred in 1H 2021 related to the
 Company's EGX listing completed in May 2021.

 (21)It is important to note that while in absolute terms the Normalised EBITDA
 figure is identical when using IFRS or APM, its margin differs between the two
 sets of performance indicators.

 Interest Income / Expense

 The Group reported interest income of EGP 75 million in 1H 2022, up 67%
 year-on-year reflecting higher cash balances during the period, an optimised
 cash allocation between T-bills and time deposits, and a 300 basis point
 cumulative interest rate hike enacted by the CBE during the six-month period.

 Interest expense recorded EGP 64 million in the first six months of the year,
 up 18% versus 1H 2021. The increase in attributable to:

 ·    Higher interest on lease liabilities related to IFRS 16 following the
 addition of new branches in Egypt and Jordan and the renewal of medical
 equipment agreements with the Group's main equipment suppliers.

 ·    Higher bank charges reflecting an increased penetration of, and
 reliance on, POS machines and electronic payments in both Egypt and Jordan
 during the six-month period.

 ·    Higher interest expenses following the CBE decision to increase rates
 by 300 bps year-to-date.

 ·    Fees amounting to EGP 5.9 million related to the US$ 45 million
 facility with the International Finance Corporation (IFC) granted in May 2021
 and the US$ 15 million IFC syndicated facility from Mashreq Bank in December
 2021. Fees include commitment and supervisory fees.

 Interest Expense Breakdown

EGP mn                                   1H 2021  1H 2022  Change
 Interest on Lease Liabilities (IFRS 16)  28.9     34.9     21%
 Interest Expenses on Borrowings(22)      4.8      5.2      8%
 Loan-related Expenses on IFC facility    12.5     5.9      -53%
 Interest Expenses on Leases              2.8      9.3      231%
 Bank Charges                             5.4      8.8      64%
 Total Interest Expense                   54.4      64.1    18%

 

 (22)Interest expenses on medium-term loans include EGP 4.2 million related to
 the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, the
 Group's facility with the Commercial International Bank (CIB) was fully repaid
 as of 5 April 2022.

 Foreign Exchange

 IDH recorded a net foreign exchange gain of EGP 69 million in the first half
 of 2022 compared to an EGP 19 million FX loss in the comparable period of last
 year partially reflecting intercompany balances revaluation.

 Taxation

 Tax expenses recorded EGP 211 million in the first half of the year versus EGP
 367 million in 1H 2021. The effective tax rate stood at 32% for the six months
 to 30 June 2022 versus 35% in the same period of last year. The lower
 effective tax rate principally reflects the large balance of Treasury bills
 held by IDH's Egyptian subsidiaries.

 Taxation Breakdown by Region

EGP Mn              1H 2021                        1H 2022                        Change
 Egypt                           342.5                          196.0              -43%
 Jordan                           24.4                           14.6              -40%
 Nigeria             (0.1)                          (0.2)                          N/A
 Sudan               0.0                            0.1                            N/A
 Total Tax Expenses              366.8                          210.5              -43%

 

 Net Profit

 IDH's consolidated net profit for the first half of the year stood at EGP 439
 million, down 34% from the same six months of last year. It is important to
 note that net profit for the period was identical in absolute terms between
 IFRS and APM measures. Net profit margin on consolidated revenue recorded 22%
 in 1H 2022, versus 29% in 1H 2021. Meanwhile, net profit margin on net
 sales(23) stood at 23% in 1H 2022, in line with the Group's pre-pandemic
 averages, but down six percentage points compared to 29% this time last year.
 The decline in net profitability for the six-month period comes on the back of
 lower EBITDA profitability. In Q2 2022, net profit recorded EGP 125 million,
 down 62% from Q2 2021 and with a net profit margin of 16%. Lower net
 profitability for the quarter also in part reflected the seasonal slowdown
 related to the holy month of Ramadan and Eid vacation which impacted the
 months of April and May.

 (23)It is important to note that while in absolute terms the net profit figure
 is identical when using IFRS or APM, its margin differs between the two sets
 of performance indicators.

 

Raw material costs, which include cost of specialized analysis at other
laboratories, recorded EGP 396 million for the first half of the year,
continuing to make up the largest share of total COGS at 37%. As a share of
net sales, raw material costs increased to 20.9% in 1H 2022 compared to 18.1%
in the same six months of the previous year. This increase is primarily
reflective of the substantial reduction in the average selling price of
Covid-19-related tests during the period in both Egypt and Jordan (PCR tests
were priced 52% lower in 1H 2022 than in 1H 2021).

 

Direct salaries and wages rose 11% year-on-year to EGP 329 million in 1H 2022,
making the second largest share of total COGS at 31%. The increase versus last
year is primarily attributable to the additional staff employed at Aqaba Port
and QAIA airport, an annual salary increase of around 15%, and the additional
staff employed across the newly added branches (+43 new branches vs 1H21).
Additional salary expenses related to Biolab's testing booths amounted to JOD
549 thousand (EGP 13.6 million) during 1H 2022, noting that starting April
Biolab ceased its operational activities across all booths.

 

Direct depreciation and amortisation increased 35% year-on-year in the first
half of the year to record EGP 132 million, largely due to the incremental
amortisation of new branches (IFRS 16 right-of-use assets).

 

Other expenses for the first six months of 2022 increased 13% to record EGP
202 million. The increase principally reflected higher maintenance costs in
Egypt, as well as higher utility expenses related to the 43 additional
branches rolled out in the twelve months to 30 June 2022.

 

(17)Cost of net sales is calculated as cost of sales (IFRS) for the period
excluding commission fees paid to QAIA and Aqaba Port by Biolab as part of its
revenue sharing agreements with the two terminals. According to IFRS 15, cost
of sales recorded EGP 1,122 million in 1H 2022, up 14% year-on-year.

(18)It is important to note that while in absolute terms the Gross Profit
figure is identical when using IFRS or APM, its margin differs between the two
sets of performance indicators.

(19)A reconciliation between revenue and net sales is available earlier in
this announcement.

 

Selling, General and Administrative Expenses

Total SG&A outlays stood at EGP 269 million in 1H 2022, representing a 27%
year-on-year increase for the six-month period. The increase in SG&A costs
was mainly a result of rising salaries and marketing expenses, as well as
higher fees for external auditing services.

 

Marketing and advertising expenses came in at EGP 54 million in 1H 2022,
representing a 48% year-on-year increase. The increase reflects an overall
expansion in IDH's marketing and advertisement efforts which for the last year
has seen the Company roll out targeted campaigns across multiple channels
predominantly to support Al-Borg Scan's ramp up.

 

EBITDA

IDH's EBITDA(20) came in at EGP 709 million in the first half of 2022, down
41% from the figure recorded this time last year. It is important to note that
EBITDA for the period is identical in absolute terms between IFRS and APM
measures. EBITDA margin on consolidated revenue recorded 36% in 1H 2022 versus
52% in the same six-month period of a year ago. Meanwhile, EBITDA margin on
net sales declined to 38% in 1H 2022 from 52% in 1H 2021.(21) The decline in
EBITDA level profitability comes on the back of lower gross profitability for
the period coupled with higher sales and marketing outlays versus the first
six months of 2021.

 

In IDH's home market of Egypt, EBITDA recorded EGP 622 million in 1H 2022.
EBITDA margin on net sales stood at 41% for the period versus 56% this time
last year.

 

In Jordan, IDH recorded an EBITDA of EGP 91 million, down 31% from the same
six months of last year. In JOD terms, Biolab's EBITDA recorded JOD 4.0
million, a 33% year-on-year decrease. EBITDA margin on revenue recorded 24% in
1H 2022 down from 40% this time last year. Meanwhile, EBITDA margin on net
sales for the six-month period recorded 29% versus 41% in 1H 2021. The
decrease in Biolab's EBITDA margin is mainly attributable to lower gross
profitability for the period as well as higher expenses related to Biolab's
testing booths in QAIA and Aqaba Port.

 

Operations in Nigeria posted an EBITDA loss of EGP 3.3 million in 1H 2022
compared to a loss of EGP 4.3 million this time last year. It is important to
highlight that EBITDA profitability during the period was impacted by a 462%
year-on-year increase in the country's diesel prices (responsible for 11% of
Echo-Lab's cost base). Controlling for this, the venture would have been on
track to turn positive in early 2022.

 

Finally, in Sudan the Company recorded an EBITDA of EGP 0.1 million in 1H
2022, down from the EGP 0.7 million in EBITDA recorded this time last year. In
SDG terms EBITDA stood at SDG 4.1 million in 1H 2022 compared to an EBITDA
loss of SDG 14 million in the same six months of 2021.

 

Regional EBITDA in Local Currency

 Mn                                             1H 2021  1H 2022     Change
 Egypt                                  EGP     1,075    622         -42%
 Margin on net sales                            56%      41%
 Jordan                                 JOD     5.9      4.0         -33%
 Margin on net sales                        41%                29%
 Margin on revenues (IFRS)                  40%                24%
 Nigeria                                NGN     -111     -80         -28%
 Margin on net sales                            -18%     -10%
 Sudan                                  SDG     -14      4.1         N/A
 Margin on net sales                            -11%     1%

( )

(20)EBITDA is calculated as operating profit plus depreciation and
amortization and minus one-off fees incurred in 1H 2021 related to the
Company's EGX listing completed in May 2021.

(21)It is important to note that while in absolute terms the Normalised EBITDA
figure is identical when using IFRS or APM, its margin differs between the two
sets of performance indicators.

 

Interest Income / Expense

The Group reported interest income of EGP 75 million in 1H 2022, up 67%
year-on-year reflecting higher cash balances during the period, an optimised
cash allocation between T-bills and time deposits, and a 300 basis point
cumulative interest rate hike enacted by the CBE during the six-month period.

 

Interest expense recorded EGP 64 million in the first six months of the year,
up 18% versus 1H 2021. The increase in attributable to:

·    Higher interest on lease liabilities related to IFRS 16 following the
addition of new branches in Egypt and Jordan and the renewal of medical
equipment agreements with the Group's main equipment suppliers.

·    Higher bank charges reflecting an increased penetration of, and
reliance on, POS machines and electronic payments in both Egypt and Jordan
during the six-month period.

·    Higher interest expenses following the CBE decision to increase rates
by 300 bps year-to-date.

·    Fees amounting to EGP 5.9 million related to the US$ 45 million
facility with the International Finance Corporation (IFC) granted in May 2021
and the US$ 15 million IFC syndicated facility from Mashreq Bank in December
2021. Fees include commitment and supervisory fees.

 

Interest Expense Breakdown

 EGP mn                                   1H 2021  1H 2022  Change
 Interest on Lease Liabilities (IFRS 16)  28.9     34.9     21%
 Interest Expenses on Borrowings(22)      4.8      5.2      8%
 Loan-related Expenses on IFC facility    12.5     5.9      -53%
 Interest Expenses on Leases              2.8      9.3      231%
 Bank Charges                             5.4      8.8      64%
 Total Interest Expense                   54.4      64.1    18%

 

(22)Interest expenses on medium-term loans include EGP 4.2 million related to
the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, the
Group's facility with the Commercial International Bank (CIB) was fully repaid
as of 5 April 2022.

 

Foreign Exchange

IDH recorded a net foreign exchange gain of EGP 69 million in the first half
of 2022 compared to an EGP 19 million FX loss in the comparable period of last
year partially reflecting intercompany balances revaluation.

 

Taxation

Tax expenses recorded EGP 211 million in the first half of the year versus EGP
367 million in 1H 2021. The effective tax rate stood at 32% for the six months
to 30 June 2022 versus 35% in the same period of last year. The lower
effective tax rate principally reflects the large balance of Treasury bills
held by IDH's Egyptian subsidiaries.

 

Taxation Breakdown by Region

 EGP Mn              1H 2021                        1H 2022                        Change
 Egypt                           342.5                          196.0              -43%
 Jordan                           24.4                           14.6              -40%
 Nigeria             (0.1)                          (0.2)                          N/A
 Sudan               0.0                            0.1                            N/A
 Total Tax Expenses              366.8                          210.5              -43%

 

Net Profit

IDH's consolidated net profit for the first half of the year stood at EGP 439
million, down 34% from the same six months of last year. It is important to
note that net profit for the period was identical in absolute terms between
IFRS and APM measures. Net profit margin on consolidated revenue recorded 22%
in 1H 2022, versus 29% in 1H 2021. Meanwhile, net profit margin on net
sales(23) stood at 23% in 1H 2022, in line with the Group's pre-pandemic
averages, but down six percentage points compared to 29% this time last year.
The decline in net profitability for the six-month period comes on the back of
lower EBITDA profitability. In Q2 2022, net profit recorded EGP 125 million,
down 62% from Q2 2021 and with a net profit margin of 16%. Lower net
profitability for the quarter also in part reflected the seasonal slowdown
related to the holy month of Ramadan and Eid vacation which impacted the
months of April and May.

 

(23)It is important to note that while in absolute terms the net profit figure
is identical when using IFRS or APM, its margin differs between the two sets
of performance indicators.

 

ii.  Balance Sheet Analysis

 Assets

 Property, Plant and Equipment

 IDH held gross property, plant and equipment (PPE) of EGP 1,888 million as at
 30 June 2022, up from the EGP 1,653 million as at year-end 2021. The increase
 in CAPEX outlays as a share of total net sales for the six-month period is in
 part attributable to EGP 67 million spent on new radiology branches (Capital
 Business Park Branch in West Cairo) during the period and EGP 69 million
 translation effect (mainly related to Jordan) resulting from the depreciation
 of the Egyptian Pound since the start of the year.

 Total CAPEX Breakdown

EGP Mn                               1H 2022  % of Net Sales
 Al-Borg Scan Expansion               66.7     3.5%
 Translation Effect                   68.6     3.6%
 Leasehold Improvements/new branches  100.3    5.3%
 Total CAPEX Additions                235.6    12.5%

 

 Accounts Receivable and Provisions

 As at 30 June 2022, accounts receivables' Days on Hand (DOH) recorded at 118
 days compared to 107 days at year-end 2021. The increase reflects the large
 balance related to the airlines deals in QAIA airport, characterized by a
 relatively higher credit period.  Accounts receivables' DOH is calculated
 based on credit revenues(24) amounting to EGP 592 million during 1H 2022.

 The receivables balance in Egypt and Jordan stood at EGP 374 million as at 30
 June 2022. More specifically, in Egypt account receivables' DOH increased to
 104 days as at the end of the current reporting period compared to 96 days as
 at year-end 2021. Accounts receivables' DOH for Egypt is calculated based on
 credit revenues amounting to EGP 500 million during the six-month period.
 Meanwhile, in Jordan accounts receivables' DOH increased to 203 days as at 30
 June 2022 from 154 days as at year-end 2021 largely due to agreements with
 various airline companies as part of QAIA and KHIA agreements. Accounts
 receivables' DOH for Jordan is calculated based on credit revenues amounting
 to EGP 79 million during the first half of 2022.

 Provision for doubtful accounts established during the first half of 2022
 amounted to EGP 16 million, up from EGP 10 million in the same six months of
 last year. The increase in provisions reflects the slowdown in collections
 during the holy month of Ramadan and Eid vacation.

 (24)Credit revenues relates to patients who paid for IDH's services on credit.

 Inventory

 As at 30 June 2022, the Group's inventory balance reached EGP 243 million, up
 from EGP 223 million as at year-end 2021. Meanwhile, days Inventory
 Outstanding (DIO) increased to 109 days as at 30 June 2022 from 61 days as at
 year-end 2021. The increase largely reflects management's decision to
 accumulate inventory as part of its proactive strategy to shield the business
 from any disruption that might result from the global supply chain challenges
 and protect the Company's margins from a potential devaluation of the Egyptian
 pound. It should be noted that as at 31 July 2022, IDH held sufficient
 inventory to cover the Group's needs for a four-month period.

 Cash and Net Debt/Cash

 IDH's cash balances increased to EGP 2,182 million as at 30 June 2022 up from
 EGP 2,350 million as at 31 December 2021.

EGP million       31 Dec 2021  30 Jun 2022
 Time Deposits      628          68
 T-Bills            1,461        525
 Current Accounts   239          1,572
 Cash on Hand       22           18
 Total              2,350        2,182

 

 Net cash balance(25) amounted to EGP 1,321 million as at 30 June 2022 compared
 to EGP 1,488 million as of 31 December 2021.

EGP million                                      31 Dec 2021                 30 Jun 2022
 Cash and Financial Assets at Amortised Cost(26)  2,350                        2,182
 Interest Bearing Debt ("Medium Term Loans")(27)  102                          89
 Lease Liabilities Property                       532                          602
 Long-term Equipment Liabilities                  229                          260
 Net Cash Balance                                            1,488             1,321

Note: Interest Bearing Debt includes accrued interest for each period.

 Lease liabilities on property recorded EGP 602 million as at 30 June 2022, up
 from the EGP 532 million booked as at year-end 2021. The increase is driven by
 the addition of new branches throughout the first half of the year. Meanwhile,
 financial obligations related to equipment recorded EGP 260 million as at the
 end of the current reporting period, up from EGP 229 million as of year-end
 2021, for the most part reflecting the renewal of the Company's contracts and
 the addition of new equipment. Total financial obligations related to
 equipment for the period includes EGP 121 million for equipment at Al-Borg
 Scan. Meanwhile, interest-bearing debt declined to EGP 89 million as at 30
 June 2022 from EGP 102 million as at 31 December 2021. More specifically,
 IDH's interest-bearing debt as at 30 June 2022 comprised EGP 84.4 million
 related to its facility with AUBE. It is worth highlighting that
 interest-bearing debt in both periods excludes accrued interest. It is also
 important to note that the Company's facility with the Commercial
 International Bank (CIB) was fully repaid as of April 2022.

 (25)The net cash balance is calculated as cash and cash equivalent balances
 including includes financial assets at amortised cost, less interest-bearing
 debt (medium term loans), finance lease and Right-of-use liabilities.

 (26)As outlined in Note 9 of IDH's Consolidated Financial Statements, some
 term deposits and treasury bills cannot be accessed for over 90 days and are
 therefore not treated as cash. Term deposits which cannot be accessed for over
 90 days stood at EGP 4 million in 1H 2022, versus EGP 148 million as at
 year-end 2021. Meanwhile, treasury bills not accessible for over 90 days stood
 at EGP 511 million in 1H 2022, down from EGP 1,310 million in FY 2021.

 (27)IDH's interest bearing debt as at 30 June 2022 included EGP 84.4 million
 to its facility with Ahli United Bank Egypt (AUBE) (outstanding loan balances
 are excluding accrued interest for the period).

 Liabilities

 Accounts Payable(28)

 As at the end of 30 June 2022, accounts payable balance recorded EGP 230
 million down from EGP 311 million as of 31 December 2021. Despite this, the
 Group's days payable outstanding (DPO) increased to 126 days from 93 days as
 at 31 December 2021. The increase largely reflects both lower Covid-19-related
 kits consumption and the renegotiation of extended payment terms with the
 Company's test kit suppliers.

 (28)Accounts payable is calculated based on average payables at the end of
 each year.

 Put Option

 The put option current liability is related to the option granted in 2011 to
 Dr. Amid, Biolab's CEO, to sell his stake (40%) to IDH. The put option is in
 the money and exercisable since 2016 and is calculated as 7 times LTM EBITDA
 minus net debt. Biolab's put option liability increased following the
 depreciation of the Egyptian pound by around 20% as at 30 June 2022 compared
 to year-end 2021.

 The put option non-current liability is related to the option granted in 2018
 to the International Finance Corporation from Dynasty - shareholders in Echo
 Lab - and it is exercisable in 2024. The put option is calculated based on
 fair market value (FMV).

 Dividend Payment

 During the Company's annual general meeting (AGM) held in London on 7 June
 2022, IDH's shareholders approved a record-breaking dividend distribution for
 the financial year ended 31 December 2022 of EGP 2.17 per share, or EGP 1.3
 billion (US$ 69.5 million(29)) in aggregate. The dividend's payment date was
 scheduled for 27 July 2022. In light of the ongoing difficulties in obtaining
 US dollars in the foreign exchange markets,  IDH's management agreed to
 distribute the Dividend over two tranches. The first tranche was paid out to
 all minority shareholders on 27 July, as originally schedule. Meanwhile, the
 Company signed a deferral agreement with its two largest shareholders, HENA
 Holdings Ltd and Actis IDH Limited, to postpone their payment date. IDH
 distributed the second tranche to the dividend to its two largest shareholders
 over two instalments on the 11 August and 18 August 2022.

 (29)Calculated on a USD/EGP exchange rate of 18.70/1 as of 7 June 2022.

 

Accounts Receivable and Provisions

As at 30 June 2022, accounts receivables' Days on Hand (DOH) recorded at 118
days compared to 107 days at year-end 2021. The increase reflects the large
balance related to the airlines deals in QAIA airport, characterized by a
relatively higher credit period.  Accounts receivables' DOH is calculated
based on credit revenues(24) amounting to EGP 592 million during 1H 2022.

 

The receivables balance in Egypt and Jordan stood at EGP 374 million as at 30
June 2022. More specifically, in Egypt account receivables' DOH increased to
104 days as at the end of the current reporting period compared to 96 days as
at year-end 2021. Accounts receivables' DOH for Egypt is calculated based on
credit revenues amounting to EGP 500 million during the six-month period.
Meanwhile, in Jordan accounts receivables' DOH increased to 203 days as at 30
June 2022 from 154 days as at year-end 2021 largely due to agreements with
various airline companies as part of QAIA and KHIA agreements. Accounts
receivables' DOH for Jordan is calculated based on credit revenues amounting
to EGP 79 million during the first half of 2022.

 

Provision for doubtful accounts established during the first half of 2022
amounted to EGP 16 million, up from EGP 10 million in the same six months of
last year. The increase in provisions reflects the slowdown in collections
during the holy month of Ramadan and Eid vacation.

 

(24)Credit revenues relates to patients who paid for IDH's services on credit.

 

Inventory

As at 30 June 2022, the Group's inventory balance reached EGP 243 million, up
from EGP 223 million as at year-end 2021. Meanwhile, days Inventory
Outstanding (DIO) increased to 109 days as at 30 June 2022 from 61 days as at
year-end 2021. The increase largely reflects management's decision to
accumulate inventory as part of its proactive strategy to shield the business
from any disruption that might result from the global supply chain challenges
and protect the Company's margins from a potential devaluation of the Egyptian
pound. It should be noted that as at 31 July 2022, IDH held sufficient
inventory to cover the Group's needs for a four-month period.

 

Cash and Net Debt/Cash

IDH's cash balances increased to EGP 2,182 million as at 30 June 2022 up from
EGP 2,350 million as at 31 December 2021.

 EGP million       31 Dec 2021  30 Jun 2022
 Time Deposits      628          68
 T-Bills            1,461        525
 Current Accounts   239          1,572
 Cash on Hand       22           18
 Total              2,350        2,182

 

Net cash balance(25) amounted to EGP 1,321 million as at 30 June 2022 compared
to EGP 1,488 million as of 31 December 2021.

 

 EGP million                                      31 Dec 2021                 30 Jun 2022
 Cash and Financial Assets at Amortised Cost(26)  2,350                        2,182
 Interest Bearing Debt ("Medium Term Loans")(27)  102                          89
 Lease Liabilities Property                       532                          602
 Long-term Equipment Liabilities                  229                          260
 Net Cash Balance                                            1,488             1,321

Note: Interest Bearing Debt includes accrued interest for each period.

 

Lease liabilities on property recorded EGP 602 million as at 30 June 2022, up
from the EGP 532 million booked as at year-end 2021. The increase is driven by
the addition of new branches throughout the first half of the year. Meanwhile,
financial obligations related to equipment recorded EGP 260 million as at the
end of the current reporting period, up from EGP 229 million as of year-end
2021, for the most part reflecting the renewal of the Company's contracts and
the addition of new equipment. Total financial obligations related to
equipment for the period includes EGP 121 million for equipment at Al-Borg
Scan. Meanwhile, interest-bearing debt declined to EGP 89 million as at 30
June 2022 from EGP 102 million as at 31 December 2021. More specifically,
IDH's interest-bearing debt as at 30 June 2022 comprised EGP 84.4 million
related to its facility with AUBE. It is worth highlighting that
interest-bearing debt in both periods excludes accrued interest. It is also
important to note that the Company's facility with the Commercial
International Bank (CIB) was fully repaid as of April 2022.

 

(25)The net cash balance is calculated as cash and cash equivalent balances
including includes financial assets at amortised cost, less interest-bearing
debt (medium term loans), finance lease and Right-of-use liabilities.

(26)As outlined in Note 9 of IDH's Consolidated Financial Statements, some
term deposits and treasury bills cannot be accessed for over 90 days and are
therefore not treated as cash. Term deposits which cannot be accessed for over
90 days stood at EGP 4 million in 1H 2022, versus EGP 148 million as at
year-end 2021. Meanwhile, treasury bills not accessible for over 90 days stood
at EGP 511 million in 1H 2022, down from EGP 1,310 million in FY 2021.

(27)IDH's interest bearing debt as at 30 June 2022 included EGP 84.4 million
to its facility with Ahli United Bank Egypt (AUBE) (outstanding loan balances
are excluding accrued interest for the period).

 

Liabilities

Accounts Payable(28)

As at the end of 30 June 2022, accounts payable balance recorded EGP 230
million down from EGP 311 million as of 31 December 2021. Despite this, the
Group's days payable outstanding (DPO) increased to 126 days from 93 days as
at 31 December 2021. The increase largely reflects both lower Covid-19-related
kits consumption and the renegotiation of extended payment terms with the
Company's test kit suppliers.

 

(28)Accounts payable is calculated based on average payables at the end of
each year.

 

Put Option

The put option current liability is related to the option granted in 2011 to
Dr. Amid, Biolab's CEO, to sell his stake (40%) to IDH. The put option is in
the money and exercisable since 2016 and is calculated as 7 times LTM EBITDA
minus net debt. Biolab's put option liability increased following the
depreciation of the Egyptian pound by around 20% as at 30 June 2022 compared
to year-end 2021.

 

The put option non-current liability is related to the option granted in 2018
to the International Finance Corporation from Dynasty - shareholders in Echo
Lab - and it is exercisable in 2024. The put option is calculated based on
fair market value (FMV).

 

Dividend Payment

During the Company's annual general meeting (AGM) held in London on 7 June
2022, IDH's shareholders approved a record-breaking dividend distribution for
the financial year ended 31 December 2022 of EGP 2.17 per share, or EGP 1.3
billion (US$ 69.5 million(29)) in aggregate. The dividend's payment date was
scheduled for 27 July 2022. In light of the ongoing difficulties in obtaining
US dollars in the foreign exchange markets,  IDH's management agreed to
distribute the Dividend over two tranches. The first tranche was paid out to
all minority shareholders on 27 July, as originally schedule. Meanwhile, the
Company signed a deferral agreement with its two largest shareholders, HENA
Holdings Ltd and Actis IDH Limited, to postpone their payment date. IDH
distributed the second tranche to the dividend to its two largest shareholders
over two instalments on the 11 August and 18 August 2022.

 

(29)Calculated on a USD/EGP exchange rate of 18.70/1 as of 7 June 2022.

 

iii. Cash Flow Analysis

 Net cash flow from operating activities recorded EGP 34 million in 1H 2022
 continuing to demonstrate IDH's strong cash generation ability. Net cash flow
 from operating activities declined from EGP 866 million the same six months of
 last year.

Principal Risks and Uncertainties

As in any corporation, IDH has exposure to risks and uncertainties that may
adversely affect its performance. The Board and senior management agree that
the principal risks and uncertainties facing the Group include political and
economic risks in Egypt, the Middle East and Nigeria, foreign currency
exchange rate variability and associated risks, changes in regulation and
regulatory actions, damage to the Group's reputation, failure to maintain the
Group's high quality standards and accreditations, failure to maintain good
relationships with healthcare professionals and end users, pricing pressures
and business interruption of the Group's testing facilities, among others.

Other short-term risks include operational disruptions related the Covid-19
pandemic; delays in branch openings and renovations in Nigeria and
difficulties in growing Echo-Lab's customer base; prolonged political unrest
in Sudan that can adversely affect patient and test volumes, while further
currency devaluation risks will limit the compensatory effect of price
increases; rising inflation and continued supply chain disruptions may weigh
on the Group's cost base in the short-term.

Statement of Directors' Responsibilities

Responsibility statement of the directors in respect of the half-yearly
financial report

We confirm that to the best of our knowledge, the interim management report
includes a fair review of the information required by:

(a) DTR 4.2.7R of the Disclosure Guidance and Transparency Rules, being an
indication of important events that have occurred during the first six months
of the financial year and their impact on the condensed set of financial
statements; and a description of the principal risks and uncertainties for the
remaining six months of the year; and

(b) DTR 4.2.8R of the Disclosure Guidance and Transparency Rules, being
related party transactions that have taken place in the first six months of
the current financial year and that have materially affected the financial
position or performance of the entity during that period; and any changes in
the related party transactions described in the last annual report that could
do so.

For and on behalf of the Board of Directors

 

Dr. Hend El Sherbini

Executive Director

11 September 2022

-End-

 

 

 

 

 INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH"

 AND ITS SUBSIDIARIES

 Consolidated Financial Statements

 for the six month period ended 30 June 2022

 

 

 

 

Consolidated statement of financial position as at 30 June 2022

 

                                                          Notes      30 June 2022                            31 December 2021
                                                                     EGP'000                                 EGP'000

 ASSETS
 Non-current assets
 Property, plant and equipment                            4                  1,173,807                              1,061,808
 Intangible assets and goodwill                           5                  1,672,444                              1,658,867
 Right of use assets                                      6                     519,711                               462,432
 Financial assets at fair value through profit and loss   7                       13,018                                10,470
 Total non-current assets                                                    3,378,980                              3,193,577

 Current assets
 Inventories                                                                    242,840                               222,612
 Trade and other receivables                              8                     491,577                               469,727
 Financial assets at amortized cost                       9                     514,497                             1,458,724
 Cash and cash equivalents                                10                 1,667,624                                891,451
 Total current assets                                                        2,916,538                              3,042,514
 Total assets                                                                6,295,518                              6,236,091

 EQUITY AND LIABILITIES
 Equity
 Share Capital                                                               1,072,500                              1,072,500
 Share premium reserve                                                       1,027,706                              1,027,706
 Capital reserve                                                               (314,310)                             (314,310)
 Legal reserve                                                                    51,641                                51,641
 Put option reserve                                                            (936,896)                             (956,397)
 Translation reserve                                                            177,195                               150,730
 Retained earnings                                                              663,686                             1,550,976
 Equity attributable to the equity holders of the parent                     1,741,522                              2,582,846
 Non-controlling interests                                                      199,244                               211,513
 Total equity                                                                1,940,766                              2,794,359

 Non-current liabilities
 Provisions                                                                         3,708                                 4,088
 Borrowings                                               13                      76,345                                76,345
 Other financial obligations                              15                    724,200                               645,196
 Non-current put option liability                         14                      39,733                                35,037
 Deferred tax liabilities                                 19-C                  264,114                               332,149
 Total non-current liabilities                                               1,108,100                              1,092,815

 Current liabilities
 Trade and other payables                                 11                    610,907                               777,354
 Shareholders dividend                                    24                 1,304,805                                         -
 Other financial obligations                              15                    137,022                               115,478
 Current put option liability                             12                    897,163                               921,360
 Borrowings                                               13                        8,483                               21,721
 Current tax liabilities                                                        288,272                               513,004
 Total current liabilities                                                   3,246,652                              2,348,917
 Total liabilities                                                           4,354,752                              3,441,732
 Total equity and liabilities                                                6,295,518                              6,236,091

 

 These condensed consolidated interim financial information were approved and
 authorized for issue by the Board of Directors and signed on their behalf on
 11 September 2022 by:

__________________
___________________

 Dr. Hend El Sherbini     Hussein Choucri
 Chief Executive Officer  Independent Non-Executive Director

The accompanying notes form an integral part of these condensed consolidated
interim financial information.

 

 

Consolidated income statement for the quarter and six-month periods ended 30
June 2022

 

                                                           For the three months period                                                 For the six months period

                                                           ended 30 June                                                               ended 30 June
                                                Notes      2022                                        2021                            2022                                   2021
                                                           EGP'000                                     EGP'000                         EGP'000                                EGP'000

 Revenue                                        23                 773,586                                  1,163,632                       1,954,065                              2,293,170
 Cost of sales                                                   (473,402)                                   (496,742)                     (1,122,195)                              (987,873)
 Gross profit                                                      300,184                                     666,890                         831,870                             1,305,297

 Marketing and advertising expenses                                (51,804)                                    (37,848)                        (92,568)                               (66,655)
 Administrative expenses                        17                 (77,892)                                  (105,212)                       (164,192)                              (176,132)
 Impairment loss on trade and other receivable                       (8,980)                                     (5,181)                       (16,158)                               (10,265)
 Other income                                                         4,553                                       8,346                           3,471                                 12,431
 Operating profit                                                  166,061                                     526,995                         562,423                             1,064,676

 Finance costs                                  18                 (31,087)                                    (39,212)                        (64,147)                               (74,900)
 Finance income                                 18                   43,247                                      24,975                        151,292                                  45,248
 Net finance cost                                                    12,160                                    (14,237)                          87,145                               (29,652)
 Profit before tax                                                 178,221                                     512,758                         649,568                             1,035,024

 Income tax expense                             19-B               (53,302)                                  (186,142)                       (210,516)                              (366,814)
 Profit for the period                                             124,919                                     326,616                         439,052                                668,210

 Profit attributed to:
 Equity holders of the parent                                      125,611                                     320,410                         422,220                                646,440
 Non-controlling interests                                              (692)                                     6,206                          16,832                                 21,770
                                                              124,919                                     326,616                         439,052                                668,210
 Earnings per share (expressed in EGP):
 Basic and diluted earnings per share           22                 0.21                                        0.53                            0.70                                   1.08

 

 

The accompanying notes form an integral part of these condensed consolidated
interim financial information.

 

Consolidated statement of comprehensive income/(expenses) for the quarter and
six-month periods ended 30 June 2022

 

                                                                      For the three months period ended 30 June                For the six months period ended 30 June
                                                                      2022                             2021                    2022                             2021
                                                                      EGP'000                          EGP'000                 EGP'000                          EGP'000

 Net profit                                                              124,919                          326,616                 439,052                          668,210
 Items that may be reclassified to profit or loss:
 Exchange difference on translation of foreign operations                  25,983                           (2,062)               103,291                            12,375
 Other comprehensive  income / (Loss) for the period net of tax            25,983                           (2,062)               103,291                            12,375
 Total comprehensive income for the period                               150,902                          324,554                 542,343                          680,585

 Attributed to:
 Equity holders of the parent                                            138,135                          320,692                 448,685                          656,583
 Non-controlling interests                                                 12,767                             3,862                 93,658                           24,002
                                                                         150,902                          324,554                 542,343                          680,585

 

The accompanying notes form an integral part of these condensed consolidated
interim financial information.

 

 

 

 

 

 

Consolidated statement of cash flows for the six month period ended 30 June
2022

                                                                     Notes      30 June 2022                                      30 June 2021
                                                                                EGP'000                                           EGP'000

 Cash flows from operating activities
 Profit for the period before tax                                                           649,568                                       1,035,024
 Adjustments
 Depreciation of property, plant and equipment                                               95,184                                           59,068
 Depreciation of right of use assets                                                         48,215                                           46,677
 Amortisation of intangible assets                                                             3,439                                            3,049
 loss/(Gain )on disposal of Property, plant and equipment                                         523                                              (45)
 Impairment in trade and other receivables                                                   16,158                                           10,265
 Interest income                                                     18                     (75,443)                                         (45,248)
 Interest expense                                                    18                      55,342                                           49,011
 Bank Charges                                                                                  8,805                                                   -
 Equity settled financial assets at fair value                                                (2,548)                                             (678)
 ROU Asset/Lease Termination                                                                     (408)                                            (464)
 Hyperinflation                                                      18                       (6,471)                                           1,204
 Unrealised foreign currency exchange loss                           18                     (69,378)                                          19,321
 Change in Provisions                                                                            (380)                                               72
 Change in Inventories                                                                      (15,888)                                         (41,444)
 Change in trade and other receivables                                                      (81,073)                                       (103,537)
 Change in trade and other payables                                                         (85,084)                                          74,710
 Cash generated from operating activities before income tax payment                         540,562                                       1,106,985

 Tax paid during period                                                                   (506,375)                                        (240,624)
 Net cash generated from operating activities                                                34,187                                          866,361

 Cash flows from investing activities
 Proceeds from sale of Property, plant and equipment                                           5,999                                            3,036
 Interest received on financial asset at amortised cost                                      25,224                                           44,866
 Payments for acquisition of property, plant and equipment           4                    (143,424)                                          (86,530)
 Payments for acquisition of intangible assets                       5                        (1,505)                                          (1,104)
 Payments for the purchase of financial assets at amortized cost                          (309,952)                                        (309,835)
 Proceeds for the sale of financial assets at amortized cost                             1,266,048                                           257,404
 Net cash flows generated from/ (used in)investing activities                               842,390                                          (92,163)

 Cash flows from financing activities
 Proceeds from borrowings                                                                             -                                         2,617
 Repayments of borrowings                                                                   (13,238)                                         (12,708)
 Payment of finance lease liabilities                                                       (17,239)                                         (32,401)
 Dividends paid                                                                             (88,766)                                         (21,998)
 Interest paid                                                                              (58,276)                                         (48,640)
 Bank charge paid                                                                             (8,805)                                                  -
 Net cash flows used in financing activities                                              (186,324)                                        (113,130)

 Net increase in cash and cash equivalent                                                   690,253                                          661,068
 Cash and cash equivalents at the beginning of the year                                     891,451                                          600,130
 Effect of exchange rate                                                                     85,920                                            (3,215)
 Cash and cash equivalent at the end of the period                   10                  1,667,624                                        1,257,983

 

The accompanying notes form an integral part of these condensed consolidated
interim financial information.

 

Consolidated statement of changes in equity for the six month period ended 30
June 2022

                                                 Attributable to owners of the Parent
 EGP '000                                        Share                             Share                             Capital                       Legal                               Put option reserve                    Translation                         Retained earnings                   Total attributable to the owners of the Parent  Non-controlling interests         Total equity

capital
premium reserve
reserve
reserve*
reserve

 At 1 January 2022                                  1,072,500                         1,027,706                        (314,310)                   51,641                                    (956,397)                             150,730                          1,550,976                             2,582,846                                        211,513                          2,794,359
 Profit for the period                                           -                                 -                               -                                -                                    -                                    -                        422,220                               422,220                                         16,832                            439,052
 Other comprehensive income for the period                       -                                 -                               -                                -                                    -                           26,465                                       -                            26,465                                        76,826                            103,291
 Total comprehensive income at 30 June 2022                      -                                 -                               -                                -                                    -                           26,465                            422,220                               448,685                                         93,658                            542,343
 Transactions with owners of the Company
 Contributions and distributions
 Dividends                                                       -                                 -                               -                                -                                    -                                    -                    (1,304,805)                           (1,304,805)                                     (106,947)                        (1,411,752)
 Movement in put option liabilities                              -                                 -                               -                                -                           19,501                                        -                                   -                            19,501                                                -                          19,501
 Impact of hyperinflation                                        -                                 -                               -                                -                                    -                                    -                          (4,705)                               (4,705)                                        1,020                              (3,685)
 Total contributions and distributions                           -                                 -                               -                                -                           19,501                                        -                    (1,309,510)                           (1,290,009)                                     (105,927)                        (1,395,936)
 Balance at 30 June 2022                            1,072,500                         1,027,706                        (314,310)                           51,641                            (936,896)                             177,195                             663,686                            1,741,522                                        199,244                          1,940,766

 At 1 January 2021                                  1,072,500                         1,027,706                        (314,310)                           49,218                            (314,057)                             145,617                             603,317                            2,269,991                                        156,383                          2,426,374
 Profit for the period                                           -                                 -                               -                                -                                    -                                    -                        646,440                               646,440                                         21,770                            668,210
 Other comprehensive income for the period                       -                                 -                               -                                -                                    -                           10,143                                       -                            10,143                                         2,232                             12,375
 Total comprehensive income at 30 June 2021                      -                                 -                               -                                -                                    -                           10,143                            646,440                               656,583                                         24,002                            680,585
 Transactions with owners of the Company
 Contributions and distributions
 Dividends                                                       -                                 -                               -                                -                                    -                                    -                       (454,472)                             (454,472)                                      (21,998)                          (476,470)
 Legal reserve formed during the period                          -                                 -                               -                         2,423                                       -                                    -                          (2,423)                                        -                                            -                                   -
 Movement in put option liabilities                              -                                 -                               -                                -                        (303,990)                                        -                                   -                         (303,990)                                                -                       (303,990)
 Impact of hyperinflation                                        -                                 -                               -                                -                                    -                                    -                         (15,794)                              (15,794)                                       (6,277)                           (22,071)
 Total contributions and distributions                           -                                 -                               -                         2,423                           (303,990)                                        -                       (472,689)                             (774,256)                                      (28,275)                          (802,531)
 Balance at 30 June 2021                            1,072,500                         1,027,706                        (314,310)                           51,641                            (618,047)                             155,760                             777,068                            2,152,318                                        152,110                          2,304,428

 

*Under Egyptian Law, each subsidiary in Egypt must set aside at least 5% of
its annual net profit into a legal reserve until such time that this
represents 50% of each subsidiary's issued capital. This reserve is not
distributable to the owners of the Company.

The accompanying notes form an integral part of these condensed consolidated
interim financial information.

1.    Reporting entity

 

Integrated Diagnostics Holdings plc "IDH" or "the Company" is a Company which
was incorporated in Jersey on 4 December 2014 and established according to the
provisions of the Companies (Jersey) Law 1991 under Registered No. 117257.
These condensed consolidated interim financial information as at and for the
six months ended 30 June 2022 comprise the Company and its subsidiaries
(together referred as the 'Group'). The Company is a dually listed entity, in
both London Stock Exchange (since 2015) and in the Egyptian Exchange (during
May 2021).

The principal activities of the Company and its subsidiaries (together "The
Group") include investments in all types of the healthcare field of medical
diagnostics (the key activities are pathology and Radiology related tests),
either through acquisitions of related business in different jurisdictions or
through expanding the acquired investments they have. The key jurisdictions
that the Group operates are in Egypt, Jordan, Nigeria and Sudan.

The Group's financial year starts on 1 January and ends on 31 December of each
year.

These condensed consolidated interim financial information were approved for
issue by the Directors of the Company on 11 September 2022.

2.    Basis of preparation

 

A)   Statement of compliance

 

These condensed consolidated interim financial information have been prepared
as per IAS 34 'Interim Financial Reporting' (As adopted by the IASB). as the
accounting policies adopted are consistent with those of the previous
financial year ended 31 December 2021 and corresponding interim reporting
period.

These condensed consolidated interim financial information do not include all
the information and disclosures in the annual consolidated financial
Statement, and should be read in conjunction with the financial Statement
published as at and for the year ended 31 December 2021 which is available at
www.idhcorp.com (http://www.idhcorp.com) . In addition, results of the six
month period ended 30 June 2022 are not necessary indicative for the results
that may be expected for the financial year ending 31 December 2022.

B)    Basis of measurement

 

The condensed consolidated interim financial information has been prepared on
the historical cost basis except where adopted IFRS mandates that fair value
accounting is required which is related to the financial assets and
liabilities measured at fair value.

 

C)    Functional and presentation currency

 

These condensed consolidated interim financial information is presented in
Egyptian Pounds (EGP'000). The functional currency of the majority of the
Group's entities is the Egyptian Pound (EGP) and is the currency of the
primary economic environment in which the Group operates.

 

The Group also operates in Jordan, Sudan and Nigeria and the functional
currencies of those foreign operations are the local currencies of those
respective territories, however due to the size of these operations, there is
no significant impact on the functional currency of the Group, which is the
Egyptian Pound (EGP).

 

3.    Significant accounting policies

 

In preparing these condensed consolidated interim financial information, the
significant judgments made by the management in applying the Group's
accounting policies and the key sources of estimation uncertainty were the
same as those that were applied to the consolidated financial information for
the year ended 31 December 2021."The preparation of these condensed
consolidated interim financial information requires management to make
judgements, estimates and assumptions that affect the application of
accounting policies and the reported amounts of assets, liabilities, income
and expense. Actual results may differ from these estimates. Information about
significant areas of estimation uncertainty and critical judgement in applying
accounting policies that have the most significant effect on the amount
recognised in the condensed consolidated interim financial statement is
described in note 3.2 of the annual consolidated financial information
published for the year ended 31 December 2021. In preparing these condensed
consolidated interim financial information, the significant judgments made by
the management in applying the Group's accounting policies and the key sources
of estimation uncertainty were the same as those that were applied to the
consolidated financial information for the year ended 31 December 2021".

 

4.    Property, plant, and equipment

                                 Land & buildings      Medical, electric     Leasehold      Fixtures, fittings & vehicles      Building & Leasehold assets in the course of construction      Payment on account  Total

 & information
improvements

 system equipment
 Cost
 At 1 January 2022               380,883               824,628               335,203        95,966                             15,937                                                         6,761               1,659,378
 Additions                       38,275                71,111                44,936         6,177                              13,504                                                         1,063               175,066
 Hyper inflation                 -                     1,784                 -              -                                  -                                                              -                   1,784
 Disposals                       -                     (674)                 (453)          (7,675)                            -                                                              -                   (8,802)
 Transfers                       -                     -                     2,669          -                                  (2,669)                                                        -                   -
 Exchange differences            2,810                 37,155                18,894         8,078                              1,677                                                          -                   68,614
 At 30 June 2022                 421,968               934,004               401,249        102,546                            28,449                                                         7,824               1,896,040
 Depreciation
 At 1 January 2022               53,490                333,806               177,230        33,044                             -                                                                                  597,570
 Depreciation for the period     3,224                 62,253                24,861         4,846                              -                                                              -                   95,184
 Disposals                       -                     (613)                 (414)          (1,253)                            -                                                              -                   (2,280)
 Exchange differences            454                   17,496                8,860          4,949                              -                                                              -                   31,759
 At 30 June 2022                 57,168                412,942               210,537        41,586                             -                                                                                  722,233
 Net book value at 30 June 2022  364,800               521,062               190,712        60,960                             28,449                                                         7,824               1,173,807
 At 31 December 2021             327,393               490,822               157,973        62,922                             15,937                                                         6,761               1,061,808

 

5.    Intangible assets and goodwill

 

Intangible assets represent goodwill acquired through business combinations
and brand names.

 

                                        Goodwill  Brand name      Software                 Total
 Cost
 Balance at 1 January 2022              1,260,965         383,909        77,394                 1,722,268
 Additions                               -                 -              1,505                 1,505
 Effect of movements in exchange rates   11,031            3,652          1,444                 16,127
 Balance at 30 June 2022                1,271,996         387,561        80,343                 1,739,900

 Amortisation and impairment
 Balance at 1 January 2022              4,552             372            58,477                 63,401
 Amortisation                           -                 -              3,439                  3,439
 Effect of movements in exchange rates  -                 -              616                    616
 Balance at 30 June 2022                 4,552             372            62,532                67,456

 Carrying amount
 Balance at 30 June 2022                1,267,444         387,189        17,811                 1,672,444
 Balance at 31 December 2021            1,256,413         383,537        18,917                 1,658,867

 

Goodwill impairment reviews are undertaken annually or more frequently if
events or changes in circumstances indicate a potential impairment. No
indicators of impairment have been identified during the six months ended 30
June 2022.

 

6.    Right-of-use assets

 

                                            30 June 2022      31 December 2021
 Balance at 1 January                        462,432          354,688
 Addition for the period / year              94,959           198,402
 Depreciation charge for the period / year   (48,215)         (79,617)
 Terminated contracts                        (8,406)          (7,643)
 Exchange differences                        18,941           (3,398)
                                            519,711           462,432

 

7.    Financial asset at fair value through profit and loss

 

                      30 June 2022      31 December 2021
 Equity investments*   13,018           10,470
                      13,018            10,470

 

*     On August 17, 2017, Almakhbariyoun AL Arab (seller) has signed IT
purchase Agreement with JSC Mega Lab (Buyer) to transfer and install the
Laboratory Information Management System (LIMS) for a purchase price amounted
to USD 400 000 in the form of 10% equity stake in JSC Mega Lab. In case the
valuation of the project is less or more than USD 4,000,000, the seller stake
will be adjusted accordingly, in a way that the seller equity stake shall not
fall below 5% of JSC Mega Lab.

-     ownership percentage in JSC Mega Lab at the transaction date on
April 8, 2019, and as of June 30, 2022, was 8.25%.

 

-      On April 8, 2019, Al Mokhabariyoun Al Arab (Biolab) has signed a
Shareholder Agreement with JSC Mega Lab and JSC Georgia Healthcare Group
(CHG), whereas, BioLab Shall have a put option, exercisable within 12 months
immediately after the expiration of five(5) year period from the signing date,
which allows BioLab stake to be bought out by CHG at a price of the equity
value being USD 400,000 plus 15% annual Interred Rate of Return (IRR). In case
the Management Agreement or the Purchase Agreement and/or the Service level
Agreement is terminated/cancelled within 6 months period from the date of such
termination/cancellation, CHG shall have a call option, which allows the CHG
to purchase Biolab's Stake in JSC Megalab having value of USD 400,000.00 plus
20% annual Interred Rate of Return (IRR). If JCI accreditation is not
obtained, immediately after the expiration of the 12 months period, CHG shall
have a call option (the Accreditation Call option), exercisable within 6
months period, allowing CHG has the right to purchase BioLab's Shares in JSC
Mega Lab at a price of the equity value of USD 400,00.00 plus the 20% annual
IRR.

 

After 12 months from the date of the put option period expiration, CHG to has
the right purchase Biolab's Stake in JSC Megalab having value of USD 400,000
plus higher of 20% annual IRR or 6x EV/EBITDA (of the financial year
immediately preceding the call option exercise date).

8.    Trade and other receivables

 

                                     30 June 2022      31 December 2021
 Trade receivables - net             384,617           371,051
 Prepayments                         28,716            22,647
 Due from related parties note (16)  7,323             5,237
 Accrued revenue                     1,648             2,818
 Other receivables                   69,273            67,974
                                     491,577           469,727

 

9.    Financial assets at amortised cost

 

                                     30 June 2022      31 December 2021
 Term deposits (more than 90 days)   3,726             148,136
 Treasury bills (more than 90 days)  510,771           1,310,588
                                     514,497           1,458,724

 

The maturity date of the treasury bills and Fixed-term deposits is between
3-12 months and have average interest rates of 13.18% and 8.50% respectively.

 

 

10.  Cash and cash equivalents

 

                                     30 June 2022      31 December 2021
 Cash at banks and on hand            1,589,519        261,430
 Treasury bills (less than 90 days)   13,744           150,431
 Term deposits (less than 90 days)    64,361           479,590
                                      1,667,624        891,451

 

 

11.  Trade and other payables

 

                                   30 June 2022      31 December 2021
 Trade payable                     230,299           311,321
 Accrued expenses                   225,387          325,677
 Due to related parties note (16)   11,230           13,234
 Other payables                     86,800           99,040
 Deferred revenue                   52,984           24,603
 Accrued finance cost               4,207            3,479
                                   610,907           777,354

 

12.  Current put option liability

 

                             30 June      31 December 2021

                             2022
 Put option - Biolab Jordan  897,163      921,360
                             897,163      921,360

 

The accounting policy for put options after initial recognition is to
recognise all changes in the carrying value of the put option liability within
equity.

Through the historic acquisitions of Makhbariyoun Al Arab, the Group entered
into separate put option arrangements to purchase the remaining equity
interests from the vendors at of a subsequent date. At acquisition, a put
option liability has been recognised at the net present value of the exercise
price of the option.

The option is calculated at seven times (7x) EBITDA of the last 12 months
minus Net Debt, and its exercisable in whole starting the fifth anniversary of
completion of the original purchase agreement, which fell due in June 2016.
The vendor has not exercised this right at 30 June 2022. It is important to
note that the put option liability is treated as current as it could be
exercised at any time by the NCI. However based on discussions and ongoing
business relationship, there is no expectation that this will happen in the
next 18 months. The put option has no expiry date.

 

13.  Loans and borrowings

 

                         Currency  Nominal interest rate  Maturity       30 June 2022      31 December 2021
 CIB - Bank              EGP       Secured rate 9.5%      5 April 2022    -                13,238
 AUB - Bank              EGP       CBE corridor rate+1%   26 April 2026   84,828           84,828
                                                                          84,828           98,066
 Amount held as:
 Current liability                                                        8,483            21,721
 Non- current liability                                                   76,345           76,345
                                                                          84,828           98,066

 

A)

In July 2018, AL-Borg lab, one of IDH subsidiaries, was granted a medium-term
loan amounting to EGP 130.5m from the Ahli United Bank "AUB Egypt" to finance
the investment cost related to the expansion into the radiology segment. As at
30 June 2022 only EGP 84.8m had been drawn down from the total facility
available. The loan contains the following financial covenants which if
breached will mean the loan is repayable on demand:

 

1.    The financial leverage shall not exceed 0.7 throughout the period of
the loan

"Financial leverage": total bank debt divided by net equity

 

2.    The debt service ratios (DSR) shall not be less than 1.35 starting
2020

 

Loans and borrowings (continued)

"Debt service ratio": cash operating profit after tax plus depreciation for
the financial year less annual maintenance on machinery and equipment adding
cash balance (cash and cash equivalent ) divided by total financial payments.

 

"Cash operating profit": Operating profit after tax, interest expense,
depreciation and amortisation, is calculated as follows: Net income after tax
and unusual items adding Interest expense, Depreciation, Amortisation and
provisions excluding tax related provisions less interest income and
Investment income and gains from extraordinary items.

 

"Financial payments": current portion of long-term debt including finance
lease payments, interest expense and fees and dividends distributions.

 

3.    The current ratios shall not be less than 1.

"Current ratios": Current assets divided current liabilities.

The terms and conditions of outstanding loans are as follows:

 

*     As at 30 June 2022 corridor rate is 12.25% (2021: 9.25%)

AL- Borg company didn't breach any covenants related to the MTL agreement.

B)    Last year the Group signed two debt facilities agreements. The debt
package includes US$ 45.0 million secured facility with the tenor of 8-year
starting May 2021 from the International Finance Corporation (IFC), and an
additional US$ 15.0 million IFC syndicated facility from Mashreq Bank. As at
30 June 2022, the debt facility has not been drawn by IDH.

 

 

14.  Non-current put option liability

 

                        30 June      31 December 2021

                        2022
 Put option liability*  39,733       35,037
                        39,733       35,037

 

*     According to the definitive agreements signed on 15 January 2018
between Dynasty Group Holdings Limited and the International Finance
Corporation (IFC) related to the Eagle Eye-Echo scan transaction, IFC has the
option to put its shares to Dynasty in the year 2024. The put option price
will be calculated on the basis of fair market value determined by an
independent valuator.

 

 

 

 

 

15.  Other Financial obligations

 

                                              30 June 2022      31 December 2021
 Lease liabilities - buildings                 601,703          531,804
 Financial obligations- laboratory equipment  259,519           228,870
                                              861,222           760,674

 

The financial obligations for the laboratory equipment and building are
payable as follows:

                             30 June 2022
                             Minimum payments       Interest        Principal
 Less than one year           249,937                112,915         137,022
 Between one and five years  809,055                239,675         569,380
 More than five years        174,300                19,480          154,820
                             1,233,292              372,070         861,222

 

                             31 December 2021
                             Minimum payments        Interest        Principal
 Less than one year          211,242                 95,764          115,478
 Between one and five years  701,084                 227,314         473,770
 More than Five years        191,229                 19,803          171,426
                             1,103,555               342,881         760,674

 

Amounts recognised in profit or loss:

                                           For the three months ended 30 June          For the six months ended 30 June
                                           2022                2021                    2022               2021
 Interest on lease liabilities             18,065              14,597                  34,926             28,872
 Expenses related to short-term lease      9,387               3,420                   15,144             8,639

 

 

16.  Related party transactions

The significant transactions with related parties, their nature volumes and
balance during the period 30 June 2022 are as follows:

                                                                                                                                30 June 2022
 Related Party                                      Nature of transaction        Nature of relationship                         Transaction amount of the period         Balance

 ALborg Scan (S.A.E)*                               Expenses paid on behalf      Affiliate                                      -                                        351

 International Fertility (IVF)**                    Expenses paid on behalf      Affiliate                                      -                                        1,767

 H.C Security                                       Provided service             Entity owned by Company's board member         56                                       (263)

 Life Health Care                                   Provide service              Entity owned by Company's CEO                  1,956                                    4,050

 Dr. Amid Abd Elnour                                Put option liability         Bio. Lab C.E.O and shareholder                 24,197                                   (897,163)
 International Finance corporation (IFC)            Put option liability         Eagle Eye - Echo Scan limited shareholder      (4,696)                                  (39,733)
 International Finance corporation (IFC)            Current account              Eagle Eye - Echo Scan limited shareholder      1,948                                    (10,967)

 Integrated Treatment for Kidney Diseases (S.A.E.)  Medical services             Entity owned by Company's CEO                  -                                        1,155

                                                                                                                                130
 Total                                                                                                                                                                   (940,803)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Related party transactions (continued)

 

                                                                                                                                       31 December 2021
 Related Party                                      Nature of transaction               Nature of relationship                         Transaction amount of the year          Balance

 ALborg Scan (S.A.E)*                               Expenses paid on behalf             Affiliate                                      1                                       351

 International Fertility (IVF)**                    Expenses paid on behalf             Affiliate                                      -                                       1,767

 H.C Security                                       Provide service                     Entity owned by Company's board member         (243)                                   (319)

 Life Health Care                                   Provide service                     Entity owned by Company's CEO                  (11,232)                                2,094

 Dr. Amid  Abd Elnour                               Put option liability                Bio. Lab C.E.O and shareholder                 (639,093)                               (921,360)

 International Finance corporation (IFC)            Put option liability                Eagle Eye - Echo Scan limited shareholder      (3,247)                                 (35,037)
 International Finance corporation (IFC)            Current account                     Eagle Eye - Echo Scan limited shareholder      (12,915)                                (12,915)
                                                    Rental income Medical services      Entity owned by Company's CEO                                                          1,025

 Integrated Treatment for Kidney Diseases (S.A.E)                                                                                      (298)

                                                                                                                                       530

 Total                                                                                                                                                                         (964,394)

 

 

*     ALborg Scan is a company whose shareholders include Dr. Moamena Kamel
(founder of IDH subsidiary Al-Mokhtabar Labs).

**   International Fertility (IVF) is a company whose shareholders include
Dr. Moamena Kamel (founder of IDH subsidiary Al-Mokhtabar Labs).

 

 

 

 

 

Related party transactions (continued)

 

Compensation of key management personnel of the Group

 

The amounts disclosed in the table are the amounts recognised as an expense
during the reporting period related to key management personnel.

                               30 June 2022      30 June 2021
 Short-term employee benefits  33,746            35,617
                               33,746            35,617

 

17.  General and administrative expenses

                         For the three months ended 30 June          For the six months ended 30 June
                         2022                2021                    2022               2021
 Wages and salaries      32,979              34,623                  66,910             61,636
 Depreciation            7,440               5,659                   14,843             11,187
 Other expenses          37,473              64,930                  82,439             103,309
 Total                   77,892              105,212                 164,192            176,132

 

18.  Net finance cost

                                                                        For the three months ended 30 June          For the six months

                                                                                                                    ended 30 June
                                                                        2022                2021                    2022        2021
 Interest income                                                        30,196              24,975                  75,443      45,248
 Net foreign exchange gain                                              8,244               -                       69,378      -
 Gain on hyperinflationary net monetary position (Sudan companies)      4,807               -                       6,471       -
 Total finance income                                                   43,247              24,975                  151,292     45,248

 Loss on hyperinflationary net monetary position                        -                   (1,204)                 -           (1,204)
 Bank Charges                                                           (1,661)             (2,848)                 (8,805)     (5,364)
 Interest expense                                                       (29,426)            (30,574)                (55,342)    (49,011)
 Net foreign exchange loss                                              -                   (4,586)                 -           (19,321)
 Total finance costs                                                    (31,087)            (39,212)                (64,147)    (74,900)

 Net finance income /(cost)                                             12,160              (14,237)                87,145      (29,652)

 

On March 21, 2022, the Central Bank of Egypt raised the corridor rate by 100
basis points and on May 19, 2022, an additional increase of 200 basis point
took place.

 

 

19.  Tax

 

A)   Tax expense

Tax expense is recognised based on management's best estimate of the
weighted-average annual income tax rate expected for the full financial year
multiplied by the pre-tax income of the interim reporting period.

 

B)    Income tax

Amounts recognised in profit or loss as follow:

 

                                           For the three months ended 30 June          For the six months

                                                                                       ended 30 June
                                           2022                2021                    2022        2021
 Current tax:
 Current year tax                          (58,479)            (143,535)               (159,839)   (282,345)
 Deferred tax:
 DT on undistributed reserves              6,672               (43,068)                (48,553)    (83,780)
 DT on reversal of temporary differences   (1,495)             461                     (2,124)     (689)
 Total Deferred tax                        5,177               (42,607)                (50,677)    (84,469)

 Tax expense recognized in profit or loss  (53,302)            (186,142)               (210,516)   (366,814)

 

C)    Deferred tax liabilities

Deferred tax relates to the following:

                                                 30 June        31 December

                                                 2022           2021

 Property, plant and equipment                   (30,052)       (28,925)
 Intangible assets                               (106,518)      (105,358)
 Undistributed reserves from Group subsidiaries  (157,961)      (223,425)
 Provisions and financial obligations            30,417         25,559
 Net deferred tax liabilities                    (264,114)      (332,149)

 

20.  Financial instruments

 

The Group has reviewed the financial assets and liabilities held at 30 June
2022. It has been deemed that the carrying amounts for all financial
instruments are a reasonable approximation of fair value. All financial
instruments are deemed Level 3.

 

 

21.  Contingent liabilities

 

As required by article 134 of the labour law on Vocational Guidance and
Training issued by the Egyptian Government in 2003, Al Borg Laboratory Company
and Al Mokhtabar Company for Medical Labs are required to conform to the
requirements set out by that law to provide 1% of net profits each year into a
training fund. During the year, Integrated Diagnostics Holdings plc have taken
legal advice and considered market practice in Egypt relating to this and more
specifically whether the vocational training courses undertaken by Al Borg
Laboratory Company and Al Mokhtabar Company for Medical Labs suggest that
obligations have been satisfied through training programmes undertaken
in-house by those entities. Since the issue of the law on Vocational Guidance
and Training, Al Borg Laboratory Company and Al Mokhtabar Company for Medical
Labs have not been requested by the government to pay or have voluntarily paid
any amounts into the external training fund. The board of Integrated
Diagnostics Holdings plc have concluded that an outflow of funds is not
probable.

 

Should a claim be brought against Al Borg Laboratory Company and Al Mokhtabar
Company for Medical Labs, an amount of between EGP 26.8m to EGP 60m could
become payable, however this is not considered probable due to the specialized
and differential training programs that the group provides to its medical and
administrative professionals on an annual basis, which is one of the
requirements imposed by the international accreditation bodies.

 

22.  Earnings per share

 

                                                          For the three months ended 30 June          For the six months ended 30 June
                                                          2022                2021                    2022               2021
 Profit attributed to owners of the parent                125,611             320,410                 422,220            646,440
 Weighted average number of ordinary shares in issue      600,000             600,000                 600,000            600,000
 Basic and diluted earnings per share                     0.21                0.53                    0.70               1.08

 

The Company has no potential diluted shares as at 30 June 2022 and 30 June
2021, therefore; the earnings per diluted share are equivalent to basic
earnings per share.

 

 

23.  Segment reporting

 

Operating segments are reported in a manner consistent with the internal
reporting provided to the chief operating decision-maker. The chief operating
decision-maker who is responsible for allocating resources and assessing
performance of the operating segments, has been identified as the steering
committee that makes strategic decisions.

 

The Group has four operating segments based on geographical location rather
than two operating segments based on service provided, as the Group's Chief
Operating Decision Maker (CODM) reviews the internal management reports and
KPIs of each geography.

 

The Group operates in four geographic areas, Egypt, Sudan, Jordan, and
Nigeria. As a provider of medical diagnostic services, IDH's operations in
Sudan are not subject to sanctions. The revenue split, EBITDA split (being the
key profit measure reviewed by CODM) net profit and loss between the four
regions is set out below.

 

                             Revenue by geographic location
 For the three months ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                  644,550       4,797         105,621        18,618          773,586
 30-June-21                  1,014,597     2,514         133,648        12,873          1,163,632

 

                                  Revenue by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                       1,524,040     10,469        386,135        33,421          1,954,065
 30-June-21                       1,935,059     9,267         323,518        25,326          2,293,170

 

                             EBITDA by geographic location
 For the three months ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                  226,684       (23)          16,478         (2,163)         240,976
 30-June-21                  534,796       (377)         53,296         (3,873)         583,842

 

                                  EBITDA by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                       621,740       63            90,790         (3,332)         709,261
 30-June-21                       1,046,064     711           131,023        (4,328)         1,173,470

 

 

 

 

 

 

Segment reporting (continued)

 

                             Net profit / (loss) by geographic location
 For the three months ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                  124,044       1,522         2,441          (3,088)         124,919
 30-June-21                  310,160       (4,486)       31,731         (10,789)        326,616

 

 

                                  Net profit / (loss) by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22                       393,560       4,278         47,471         (6,257)         439,052
 30-June-21                       616,213       (14,801)      83,247         (16,449)        668,210

 

 

                          Revenue by type                                                     Net profit by type
            For the three months ended 30 June                                  For the three months ended 30 June
            2022                                        2021                    2022                                           2021

 Pathology  736,467                                     1,140,057               147,694                                        331,357
 Radiology  37,119                                      23,575                  (22,775)                                       (4,741)
            773,586                                     1,163,632               124,919                                        326,616

 

            Revenue by type                                 Net profit by type
            For the six months period ended 30 June         For the six months period ended 30 June
            2022                  2021                      2022                  2021

 Pathology  1,885,271             2,247,984                 477,718               675,057
 Radiology  68,794                45,186                    (38,666)              (6,847)
            1,954,065             2,293,170                 439,052               668,210

 

            Revenue by categories                       Revenue by categories
            For the three months ended 30 June          For the six months period ended 30 June
            2022                2021                    2022                  2021
 Walk-in    319,548             499,678                 854,653               1,029,039
 Corporate  454,038             663,954                 1,099,412             1,264,131
            773,586             1,163,632               1,954,065             2,293,170

 

*     30 June 2022 figure includes Covid-19 related Pathology tests
amounted to EGP 615 m (30 June 2021: EGP 1,104 m).

Segment reporting (continued)

 

                     Non-current assets by geographic location
 For the year ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total
 30-June-22          2,937,484     9,104         329,326        103,066         3,378,980
 31-Dec-21           2,803,954     7,234         291,880        90,509          3,193,577

 

 

The operating segment profit measure reported to the CODM is EBITDA, as
follows:

 

                                              For the three months ended 30 June              For six months period ended 30 June
                                              2022                        2021                2022                          2021

 Profit from operations                       166,061                     526,995             562,423                       1,064,676

                                              49,136                      26,608              95,184                        59,068

 Property, plant and equipment depreciation
 Right of use depreciation                    24,289                      28,711              48,215                        46,677
 Amortization of Intangible assets            1,490                       1,528               3,439                         3,049
 EBITDA                                       240,976                     583,842             709,261                       1,173,470
 Non-recurring expenses                       -                           18,797                        -                             29,034
 Normalised EBITDA                            240,976                     602,639                       709,261                       1,202,504

 

 

 

 

24.  Distributions made and proposed

 

                                                             30 June        31 December 2021

                                                             2022
                                                             EGP'000        EGP'000

 Cash dividends on ordinary shares declared and not paid:
 US$ 0.116 per share (2021 nil)                              1,304,805      -
                                                             1,304,805      -
 Cash dividends on ordinary shares declared and paid:        -              455,182
 Nil per qualifying ordinary share (2021: 0.0485) per share  -              455,182

 

25.  Subsequent events

 

A)   Due to the current economic situation in Egypt, IDH board of Directors
has decided to pay dividends over two rounds as follows:

 

-      Round 1 -> Minority Shareholders the deadline on the 27th of
July 2022

-      Round 2 -> Hena Holdings & Actis

IDH signed a deferral agreement with principal shareholders (Hena Holdings and
Actis) who have agreed to receive their dividends in two tranches (on the 11th
of August 2022 and the 18th of August 2022) with an interest rate of 10% per
annum.

In relation to this agreement, IDH has incurred an Interest Expense of USD
174.5 K.

B)   In relation to the share purchase agreement (the "SPA") signed on 20
December 2021 by IDH (or "the Company") for the acquisition of a 50% stake in
Islamabad Diagnostic Center ("IDC"), IDH has notified Evercare IGA Holdings
Limited (the "Seller") of its decision to terminate the SPA on 29 August 2022.
Termination has become inevitable as the Long-stop Date (which had already
been extended for a period of three months) has occurred without the
satisfaction of all condition's precedent ("CPs"). However, negotiations with
the Seller are ongoing, with Pakistan's evolving economic challenges and
geopolitical situation to be important considerations in the completion of the
negotiations. In case the Company reaches an agreement with the Seller, an
amended SPA will be signed and a new Long-stop Date set.

 

C)   IDH (or "the Company") will implement an Employee Stock Ownership Plan
("ESOP") for the senior management starting Q3 2022.

 

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