Picture of Integrated Diagnostics Holdings logo

IDHC Integrated Diagnostics Holdings News Story

0.000.00%
gb flag iconLast trade - 00:00
HealthcareSpeculativeSmall CapFalling Star

REG - Integrated Diag Hdgs - Half-year Report

For best results when printing this announcement, please click on link below:
http://newsfile.refinitiv.com/getnewsfile/v1/story?guid=urn:newsml:reuters.com:20230831:nRSe8704Ka&default-theme=true

RNS Number : 8704K  Integrated Diagnostics Holdings PLC  31 August 2023

Integrated Diagnostics Holdings Plc

1H 2023 Results

Thursday, 31 August 2023

Integrated Diagnostics Holdings Plc delivers robust 40% year-on-year
conventional revenue growth in 1H 2023

(Cairo and London) - Integrated Diagnostics Holdings ("IDH," "the Group," or
"the Company"), a leading provider of diagnostic services with operations in
Egypt, Jordan, Nigeria, Sudan, and soon launching in Saudi Arabia, announced
today its reviewed financial statements for the six-month period ended 30 June
2023, booking revenues of EGP 1,872 million, down 4% from the figure recorded
during the same period of 2022 when Covid-19-related testing(1) had
significantly boosted results. Excluding(2) the contributions made by IDH's
Covid-19-related offering in 1H 2022, the Company's conventional(3) business
recorded robust year-on-year growth of 40%, continuing to showcase the
underlying health of IDH's business.

The strong performance delivered by the Company's conventional segment was
driven by 24% and 13% year-on-year increases in average revenue per
conventional test and conventional test volumes, respectively. IDH posted a
net profit of EGP 211 million in 1H 2023, down 52% year-on-year due to
significant contributions from Covid-19-related testing (31% of 1H 2022
revenues) in the same period of the previous year.

On a quarterly basis, IDH recorded total revenues of EGP 957 million in Q2
2023, expanding 24% year-on-year and 5% quarter-on-quarter. Similarly, the
Company reported a solid 37% year-on-year conventional revenue expansion in Q2
2023. Net profit for the quarter stood at EGP 43 million, 66% below last
year's figure.

Financial Results (IFRS)(4)

  EGP mn                    1H 2022  1H 2023  Change
 Revenues                   1,954    1,872    -4%
 Conventional Revenues      1,339    1,872    40%
 Covid-19-related Revenues  615      -        -
 Cost of Sales              (1,122)  (1,214)  8%
 Gross Profit               832      658      -21%
 Gross Profit Margin        43%      35%      -7 pts
 Operating Profit           562      265      -53%
 EBITDA(5)                  709      462      -35%
 EBITDA Margin              36%      25%      -12 pts
 Net Profit                 439      211      -52%
 Net Profit Margin          22%      11%      -11 pts
 Cash Balance               816      666      -18%

Note (1): Throughout the document, percentage changes between reporting
periods are calculated using the exact value (as per the Consolidated
Financials) and not the corresponding rounded figure.

Key Operational Indicators(6)

                                          1H 2022  1H 2023  Change
 Branches                                 538      588      50
 Patients ('000)                          4,541    3,917    -14%
 Revenue per Patient (EGP)                430      478      11%
 Tests ('000)                             16,004   16,465   3%
 Conventional Tests ('000)                14,547   16,465   13%
 Covid-19-related Tests ('000)            1,458    -        -
 Revenue per Test                         122      114      -7%
 Revenue per Conventional Test (EGP)      92       114      24%
 Revenue per Covid-19-related Test (EGP)  422      -        -
 Test per Patient                         3.5      4.2      19%

( )

(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)Starting Q1 2023, IDH has opted to stop reporting on its Covid-19-related
revenues and test volumes due to their material insignificance to the
consolidated figures and to Egypt's and Jordan's country-level results for the
quarter. In the comparable period of last year (1H 2022) IDH had recorded EGP
615 million in Covid-19-related revenues and had performed 1.4 million
Covid-19-related tests.

(3)Conventional (non-Covid) tests include all of the Group's test offering
with the exception of its Covid-19-related test offering outlined above.

(4)Important notice: In the Company's earnings releases covering the five
quarters starting from Q4 2021 and ending Q4 2022, management had opted to
present Alternative Performance Measures (APM) alongside IFRS-compliant
figures as outlined on page 2 of the Company's FY 2022 Earnings Release.
Starting in Q1 2023, due to the material insignificance of Covid-19-related
revenues on consolidated results, the Company will only report IFRS-compliant
figures. It is worth noting that revenues for the comparable period (Q1 2022),
include concession fees amounting to EGP 63 million paid by Biolab as part of
its agreement with QAIA and Aqaba Port.

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

(6)Key operational indicators are calculated based on revenues for the periods
of EGP 1,872 million and EGP 1,954 million for 1H 2023 and 1H 2022,
respectively.

Important notice: In the Company's earnings releases covering the five
quarters starting from Q4 2021 and ending Q4 2022, management had opted to
present Alternative Performance Measures (APM) alongside IFRS-compliant
figures as outlined on page 2 of the Company's FY 2022 Earnings Release.
Starting in Q1 2023, due to the material insignificance of Covid-19-related
revenues on consolidated results, the Company will only report IFRS-compliant
figures. It is worth noting that revenues for the comparable period (1H 2022)
include concession fees amounting to EGP 63 million paid by Biolab as part of
its agreement with QAIA and Aqaba Port.

Introduction

 

i.    Financial Highlights

·    Conventional(7) revenue booked EGP 1,872 million in the first half of
2023, a year-on-year increase of 40%. Conventional revenue growth was dual
driven as conventional test volumes and average revenue per conventional test
increased 13% and 24%, respectively, with the translation effect from a weaker
EGP contributing just 8% to growth for the period. On a quarterly basis, IDH
posted conventional revenues of EGP 957 million during Q2 2023, a 37%
year-on-year expansion driven by a 14% rise in test volumes and a 20% increase
in average revenue per test.

·    Total revenues stood at EGP 1,872 million during 1H 2023, a 4%
year-on-year decline from 1H 2022's high base when Covid-19-related(8) testing
had made a significant EGP 615 million contribution(9) to the total revenue
figure. On a three-month basis, the Company recorded total revenues of EGP 957
million, representing a 24% year-on-year increase. It is important to note
that the Company recorded its strongest monthly revenue figures in the months
of May and June (when controlling for the Eid-related slowdown) signalling an
acceleration which it expects to carry into the second half of the year.

·    Gross Profit during 1H 2023 recorded EGP 658 million, a 21%
year-on-year decrease versus the comparable period when gross profitability
had been boosted by IDH's Covid-19-related test offering. Gross profit margin
(GPM) recorded 35% in 1H 2023 versus 43% in 1H 2022. Lower gross profitability
in the first half of the year primarily reflected an increase in direct
salaries and wages resulting from new staff hires and higher than usual salary
increases for existing staff to compensate for increased inflation rates as
well as higher depreciation related to the roll out of new branches. On a
quarterly basis, gross profit booked EGP 333 million, increasing 11%
year-on-year. GPM recorded 35% in Q2 2023, down from the 39% recorded in Q2
2022 and unchanged compared to the figure reported in Q1 2023.

·    EBITDA(10) came in at EGP 462 million during 1H 2023, declining 35%
year-on-year yielding an associated margin of 25%. Declining EBITDA
profitability for the period was mainly driven by the aforementioned decreased
gross profitability coupled with increased SG&A outlays including higher
salary, auditing, and consulting expenses, with the latter two reflecting the
impact of a weaker EGP, being USD-based. On a three-month basis, EBITDA
remained relatively stable at EGP 234 million in Q2 2023, with an associated
margin of 24%.

·    Net Profit for the six-month period ended 30 June 2023 stood at EGP
211 million, down 52% year-on-year and with a net profit margin (NPM) of 11%.
On a quarterly basis, net profit booked EGP 43 million in Q2 2023, 66% below
the figure reported in Q2 2022. It is important to note that IDH's net profit
for 1H 2023 and Q2 2023 included a non-recurring expense of EGP 12 million
related to contributions owed to the Egyptian government vocational training
fund for the previous five-year period.

·    In light of the ongoing uncertainty and lack of foreign currency
availability in Egypt, the Company will not be distributing a dividend to
shareholders in respect of the financial year ended 31 December 2022. The
Company remains committed to its long-term dividend policy that sees it return
to shareholders the maximum amount of excess cash after taking careful account
of the cash needed to support operations and expansions.

 

(7)Conventional (non-Covid) tests include IDH's full service offering
excluding the Covid-19 related tests outlined below.

(8)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.

(9)Covid-19-related revenue in 1H 2022 includes EGP 63 million in concession
fees paid by Biolab to Queen Alia International Airport and Aqaba Port as part
of its revenue sharing agreement.

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

 

 

ii.  Operational Highlights

·    IDH's branch network stood at 588 branches as of 30 June 2023,
increasing by 50 branches compared to the same time last year. During Q2 2023,
IDH inaugurated 12 additional branches, 11 in its home market of Egypt and one
in Jordan.

·    Conventional test volumes recorded 16.5 million tests in 1H 2023,
increasing 13% year-on-year. Total test volumes increased 3% year-on-year
versus last year's 16.0 million tests which had included 1.4 million
Covid-19-related tests.

·    Average revenue per conventional test reached EGP 114 during 1H 2023,
a 24% year-on-year increase (out of which translation effect accounted for
8%). Consolidated average revenue per test decreased 7% year-on-year to EGP
114 from EGP 122 in 1H 2022 when the figure was boosted by contributions from
the Group's Covid-19-related offering.

·    Total patients served by the Company during 1H 2023 came in at 3.9
million, down 14% from 1H 2022's high base. Meanwhile, following a
post-pandemic normalisation, average test per patient increased to 4.2 tests
in 1H 2023 from 3.5 tests in 1H 2022. This stands well above IDH's historical
average of 3.9 tests per patient.

·    In Egypt (80.9% of total revenues) conventional business climbed 33%
year-on-year to record revenues of EGP 1,514 million during 1H 2023.
Conventional revenues were driven by a 14% year-on-year increase in test
volumes, which stood at 15.1 million tests, as well as a 16% year-on-year rise
in average revenue per test to EGP 100. Meanwhile, consolidated revenues in
Egypt remained largely unchanged, recording EGP 1,514 million for the
six-month period.

·    In Jordan (15.5% of total revenues), Biolab continued its impressive
growth trend at its conventional business, posting year-on-year revenue growth
in JOD terms of 9% primarily supported by an 8% rise in conventional tests
performed versus last year. In EGP terms, conventional revenue grew 88%
year-on-year to reach EGP 290 million in 1H 2023, mainly reflecting the
translation effect resulting from a weakening EGP. Total revenues in EGP terms
declined 25% year-on-year versus 1H 2022 when Biolab's top-line had been
boosted by a large contribution from Covid-19-related testing.

·    In Nigeria (3.1% of total revenues), Echo-Lab continued to witness
sustained growth in line with recent trends, as revenue in NGN terms expanded
19% year-on-year (EGP revenue growth was 73%).

·    In Sudan (0.5% of total revenues), IDH's subsidiaries recorded a 3%
year-on-year revenue decline in EGP terms and 32% drop in SDG terms reflecting
the temporary closure of 16 out of 18 branches starting in April following the
start of the ongoing conflict in the country. As of 30 June 2023, IDH only had
two operational branches in Sudan, in Madani and Port Sudan.

 

iii. Management Commentary

Commenting on the Group's performance, IDH Chief Executive Officer Dr. Hend
El-Sherbini said: "I am delighted to report that IDH continued to build on a
strong start to the year to deliver yet another set of impressive operational
and financial results at our conventional business supported by solid
performances across our Egyptian, Jordanian and Nigerian subsidiaries. The
robust 40% year-on-year growth in conventional revenues for the six-month
period came despite a difficult macroeconomic environment faced across our
markets of operation as accelerating inflation, rising interest rates and
weakening local currencies continued to impact our patients' purchasing power
and our cost base. In parallel, during the second quarter of the year, patient
volumes were affected by the expected slowdown associated with the holy month
of Ramadan and Eid vacations which weighed on traffic in April and the last
week of June. Despite this, in the first six months of 2023 we performed 13%
more conventional tests than in the comparable period of 2022, supported by an
expanded branch network and an enhanced service offering. In parallel, we also
recorded a 24% year-on-year rise in average revenue per conventional test
reflecting the annual price hikes introduced at the start of 2023. On this
front, it is important to highlight that our price increases since the start
of the year have lagged behind inflation, a strategic decision taken to help
patients during the ongoing difficult times and build long-term loyalty in the
process. It is also worth mentioning that total revenues for the first half of
2023 declined just 4% year-on-year, a remarkable result when considering the
large contribution made by our Covid-19-related test offering during the first
part of last year.

Looking at our markets in more detail, in both Egypt and Jordan we continued
to observe growing demand for our conventional service offering with test
volumes expanding 14% and 8% versus 1H 2022, respectively. Combined with
rising average revenue per test, this translated in a robust 33% year-on-year
conventional revenue expansion in Egypt and a 9% year-on-year conventional
revenue growth in JOD terms in Jordan. Results like these continue to showcase
both countries' underlying growth potential and further validate the
effectiveness of our post-pandemic growth strategies. We were particularly
happy to note that across both markets during the months of May and June (once
adjusted for the Eid-related slowdown) we recorded the highest monthly revenue
figures since the start of 2023. The accelerating growth, which we observed
continue into July and August, displays the resilience of demand for our
service offering despite the continued inflationary pressures impacting our
patients and leaves us in a strong position heading into the second half of
the year. During the six-month period, we continued to expand our branch
network rolling out 31 new branches in Egypt and 4 new branches in Jordan,
further cementing our leadership position in each market. In line with recent
trends, we recorded robust contributions to revenue in Egypt made by our house
call service, which remains well-above its average pre-pandemic contribution.
In Egypt, we also remained committed to ramping up our radiology business,
which in the first half of the year reported a 78% year-on-year increase in
revenues and nearly doubled its contribution to the country's top-line.
Meanwhile, in Nigeria, Echo-Lab recorded strong revenue growth in both local
currency and EGP terms, supported by both its radiology and pathology
offerings. Finally, as expected, results in Sudan were significantly impacted
by the ongoing conflict which has seen 16 of our 18 branches temporarily shut
down starting in April. Our team has put in place robust mitigation strategies
to protect our people and operations, and regularly updates our response
protocols to reflect the evolving conditions on the ground.

Further down the income statement, we reported lower margins at all levels of
profitability primarily reflecting a post-Covid-19 normalisation and rising
salary and wage expenses as we rolled out higher than usual annual increases
to protect our staff against rising inflation as part of our talent retention
strategy. Meanwhile, we continued to record only moderate increases in raw
material outlays during the period, as we successfully leveraged our robust
supplier relationships to secure favourable test-kit prices. Despite our cost
base continuing to reflect the impacts of rising inflation and a weakening
EGP, in the coming months we see them progressively normalising heading into
2024.

With two thirds of 2023 now behind us, I am confident that we remain well
placed to deliver on our operational and financial targets for the year. In
the coming months, we are particularly looking forward to launching operations
in Saudi Arabia in December, while also making progress on our strategic
priorities and value-creation strategies across existing markets. Considering
our strong first half results, the solid strategies in place, and the positive
momentum enjoyed by our Egyptian and Jordian subsidiaries, we reaffirm our
guidance of full-year conventional revenue (excluding Covid-19-related
contributions) year-on-year growth of around 30% for FY 2023."

- End -

Analyst and Investor Call Details

An analyst and investor call will be hosted at 1pm (UK) | 3pm (Egypt) on
Monday, 4 September 2023. You can register for the call by clicking on this
link
(https://efghermesevents.webex.com/webappng/sites/efghermesevents/meeting/register/bef52f90ea164d3aa8f30b8f46b13ea8?ticket=4832534b00000006be4e82e92aa9dbaf4aa91a3820eb7ec6d2d21d16c293003d932fe78597d836d2×tamp=1693415633117&RGID=rcbd126d3793dccd452c9fb551c0196a6)
.

For more information about the event, please contact: amoataz@EFG-HERMES.com
(mailto:amoataz@EFG-HERMES.com)

About Integrated Diagnostics Holdings (IDH)

IDH is a leading diagnostics services provider in the Middle East and Africa
offering a broad range of pathology and radiology tests to patients in Egypt,
Jordan, Nigeria and Sudan. 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 552 branches as of 31 December 2022, IDH
served over 8.7 million patients and performs more than 32.7 million tests in
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 2023 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.

Important notice: In the Company's earnings releases covering the five
quarters starting from Q4 2021 and ending Q4 2022, management had opted to
present Alternative Performance Measures (APM) alongside IFRS-compliant
figures as outlined on page 2 of the Company's FY 2022 Earnings Release.
Starting in Q1 2023, due to the material insignificance of Covid-19-related
revenues on consolidated results, the Company will only report IFRS-compliant
figures. It is worth noting that revenues for the comparable period (1H 2022)
include concession fees amounting to EGP 63 million paid by Biolab as part of
its agreement with QAIA and Aqaba Port.

Group Operational & Financial Review

 

i.    Revenue and Cost Analysis

 

 Consolidated Revenue

 IDH maintained its impressive performance during the first six months of 2023,
 with revenues and volumes progressively picking up as the year progressed to
 record their strongest monthly figures in May and June (once adjusting for the
 Eid-related slowdown). During 1H 2023, conventional revenues expanded 40%
 year-on-year to record EGP 1,872 million. Conventional revenue growth for the
 period was driven by a 13% rise in test volumes and a 24% increase in average
 revenue per test (translation effect only contributed 8% to growth for the
 period). On a quarterly basis, IDH's conventional revenues grew 37%
 year-on-year to EGP 957 million in Q2 2023 driven by increases in test volumes
 and average revenue per test.

 Meanwhile, IDH's total revenues reached EGP 1,872 million in 1H 2023, down 4%
 year-on-year as Covid-19-related testing had impacted total results of 1H
 2022. On a three-month basis, IDH recorded total revenues of EGP 957 million,
 a 24% year-on-year increase from EGP 774 million one year prior.

Revenue Analysis

                                    Q1 2022  Q1 2023  Q2 2022  Q2 2023  %    1H 2022  1H 2023  %
 Total revenue (EGP mn)             1,180    915      774      957      24%  1,954    1,872    -4%
 Conventional revenue (EGP mn)      640      915      699      957      37%  1,339    1,872    40%
 Covid-19-related revenue (EGP mn)  540      -        75       -        -    615      -        -
 Contribution to Consolidated Results
 Conventional revenue               54%      100%     90%      100%          69%      100%
 Covid-19-related revenue           46%      -        10%      -             31%      -

Test Volume Analysis

 Total tests (mn)                             8.4  8.0   7.6  8.5   12%  16.0  16.5  3%
 Conventional tests performed (mn)            7.1  8.0   7.4  8.5   13%  14.5  16.5  13%
 Total Covid-19-related tests performed (mn)  1.3  -     0.2  -     -    1.5   -     -
 Contribution to Consolidated Results
 Conventional tests performed                 85%  100%  97%  100%       91%   100%
 Total Covid-19-related tests performed       15%  -     3%   -          9%    -

Revenue per Test Analysis

 Total revenue per test (EGP)             140  114  102  113  11%  122  114  -7%
 Conventional revenue per test (EGP)      90   114  94   113  20%  92   114  24%
 Covid-19-related revenue per test (EGP)  431  -    454  -         422  -    -

 

 Revenue Analysis: Contribution by Patient Segment

 Contract Segment (64% of Group revenue)

 The Company's contract segment booked conventional revenues of EGP 1,193
 million during 1H 2023, a 44% year-on-year increase from the EGP 827 million
 recorded one year prior. Conventional revenues at IDH's contract segment were
 driven by increases in test volumes and average revenue per conventional test,
 which increased 18% and 22% year-on-year (of which 4% was related to the
 translation effect), respectively. During the period, IDH recorded a notable
 increase in total tests per patient at the segment, which reached a record 4.4
 tests in 1H 2023 from 4.0 last year. Higher tests per patient were supported
 both by a post-Covid-19 patient mix normalisation coupled with the success of
 a new loyalty programme introduced at the end of FY 2021.

 Walk-in Segment (36% of Group revenue)

 Meanwhile, IDH's walk-in segment reported conventional revenue growth of 33%
 year-on-year during 1H 2023, booking revenues of EGP 679 million. While test
 volumes remained relatively stable compared to the same period of the previous
 year, declining 4% year-on-year, revenue growth was entirely driven by
 increases in average revenue per conventional test, which expanded 38%
 year-on-year to EGP 226 during 1H 2023 (of which 14% was related to the
 translation effect) from EGP 163 one year prior. Similar to trends witnessed
 at the contract segment, total walk-in tests per patient reached their highest
 value on record at 3.6 tests up impressively from the 2.5 tests per patient
 recorded in 1H 2022.

Detailed Segment Performance Breakdown

                                          Walk-in Segment         Contract Segment        Total
                                          1H22    1H23    Change  1H22    1H23    Change  1H22    1H23    Change
 Revenue (EGP mn)                         857     679     -21%    1,097   1,193   8%      1,954   1,872   -4%
 Conventional Results (EGP mn)            512     679     33%     827     1,193   44%     1,339   1,872   40%
 Total Covid-19-related revenue (EGP mn)  345     -       -       270     -       -       615     -       -
 Patients ('000)                          1,513   833     -45%    3,027   3,084   2%      4,541   3,917   -14%
 % of Patients                            33%     21%             67%     79%
 Revenue per Patient (EGP)                565     815     44%     363     387     7%      430     478     11%
 Tests ('000)                             3,849   3,008   -22%    12,155  13,457  11%     16,004  16,465  3%
 % of Tests                               24%     18%             76%     82%
 Conventional tests ('000)                3,135   3,008   -4%     11,412  13,457  18%     14,547  16,465  13%
 Total Covid-19-related tests ('000)      714     -       -       744     -       -       1,458   -       -
 Revenue per Test (EGP)                   222     226     2%      90      89      -2%     122     114     -7%
 Conventional Revenue per Test (EGP)      163     226     39%     72      89      23%     92      114     24%
 Test per Patient                         2.5     3.6     42%     4.0     4.4     9%      3.5     4.2     19%

 

 Revenue Analysis: Contribution by Geography

 Egypt (80.9% of Group revenue)

 IDH's conventional business in Egypt continued delivering notable growth,
 progressively picking up throughout the first six months of the year and
 recording the strongest monthly revenue figures for the year in May and June
 (once adjusting for the Eid-related slowdown). Revenues have remained strong
 during July and August and the Company expects the trend to continue heading
 further into the second half of the year.

 More specifically, the Company recorded conventional revenue growth of 33%
 year-on-year in 1H 2023, supported by simultaneous expansions in test volumes
 and average revenue per conventional test, which grew 14% and 16%
 year-on-year, respectively. Total revenues from IDH's Egyptian operations
 remained relatively unchanged, declining just 1% year-on-year to EGP 1,514
 million in 1H 2023.

 On a quarterly basis, IDH recorded conventional revenues of EGP 783 million in
 Q2 2023, up a solid 32% year-on-year and 7% quarter-on-quarter. Total revenues
 also expanded by 21% year-on-year as the impact of Covid-19-related testing on
 the comparable three-month period of 2022 significantly declined starting
 April.

 Al-Borg Scan

 IDH's fast-growing radiology venture maintained its growth trend throughout
 the second quarter of 2023, recording revenues of EGP 63 million in 1H 2023, a
 78% year-on-year increase. Revenue expansion was primarily driven by increased
 average revenue per test, which grew 44% year-on-year to EGP 807, and
 increased test volumes, which climbed 23% year-on-year to 78 thousand tests
 during the six-month period. Al-Borg Scan has also continued increasing its
 contribution to Egypt's top-line figure, constituting 4% of Egypt revenues
 during the first six months of 2023 versus only 2% in the same period of the
 previous year. To capitalize on the growing demand for Al-Borg Scan's
 offering, IDH has, over the last two years, launched four new branches taking
 the total to six as at 30 June 2023. In the coming months, IDH plans to add an
 additional seventh branch to its radiology venture in Egypt.

 House Calls

 Throughout the first six months of the year, IDH's house call service in Egypt
 continued to make a remarkable contribution of 16% to total revenues in the
 country. This continues to be well-above the service's pre-pandemic
 contribution, further showcasing the segment's growth potential, and the
 success of IDH's investment strategy which has seen it significantly boost the
 service's capabilities since 2020.

 Wayak

 During the six-month period ending 30 June 2023, Wayak recorded 83 thousand
 orders, a 29% year-on-year increase compared to 64 thousand in the same
 six-month period of the previous year. Meanwhile, the venture's EBITDA losses
 continued to narrow to record EGP 746 thousand compared to EBITDA losses of
 EGP 1.7 million booked in the six-month period ending 30 June 2022. It is also
 worth noting that Wayak's EBITDA turned positive for the months of May and
 June, a trend which IDH will look to maintain heading into the second half of
 the year.

 

Detailed Egypt Performance Breakdown

Revenue Analysis

 EGP mn                          Q1 2022  Q1 2023  Q2 2022  Q2 2023  %    1H 2022  1H 2023  %
 Total Revenue                   879      731      645      783      21%  1,524    1,514    -1%
 Conventional Revenue            549      731      591      783      32%  1,140    1,514    33%
 Pathology Revenue               532      703      573      748      31%  1,105    1,451    31%
 Radiology Revenue               17       28       19       35       89%  35       63       78%
 Total Covid-19-related Revenue  330      -        53       -             384      -
 Contribution to Consolidated Results
 Conventional revenue            62%      100%     92%      100%          75%      100%
 Pathology Revenue               61%      96%      89%      96%           73%      96%
 Radiology Revenue               1.9%     3.8%     2.9%     4.5%          2.3%     4.2%
 Total Covid-19-related revenue  38%      -        8%       -             25%      -

Test Volume Analysis

 Total tests (mn)                             7.3  7.3   6.9  7.8   13%  14.2  15.1  6%
 Conventional tests performed (mn)            6.5  7.3   6.7  7.8   16%  13.2  15.1  14%
 Total Covid-19-related tests performed (mn)  0.8  -     0.1  -          0.9   -
 Contribution to Consolidated Results
 Conventional tests performed                 89%  100%  98%  100%       94%   100%
 Total Covid-19-related tests performed       11%  -     2%   -          6%    -

 

 Jordan (15.5% of Group revenue)

 Similar to trends seen in Egypt, IDH witnessed a steady rise in revenues
 throughout the first half of 2023, with Biolab recording its highest monthly
 revenue figures for the year in May and June (adjusting for the Eid-vacation
 slowdown). Overall, in 1H 2023, Biolab recorded conventional year-on-year
 revenue growth of 9% in JOD terms, supported by a solid 8% year-on-year rise
 in conventional tests performed. In EGP terms, conventional revenues posted an
 88% year-on-year rise, in part boosted by the translation effect which saw
 average revenue per conventional test in EGP terms rise by 74% versus 1H 2022.

 On a quarterly basis, Biolab recorded year-on-year conventional revenue growth
 of 6% in JOD terms supported by a 4% year-on-year rise in conventional test
 volumes for the quarter. In EGP terms, year-on-year conventional revenue
 growth in Q2 2023 stood at 73% on the back of a significant rise in average
 revenue per test following the devaluations of the EGP.

Detailed Jordan Performance Breakdown

Revenue Analysis

 EGP mn                                              Q1 2022  Q1 2023  Q2 2022  Q2 2023  %    1H 2022  1H 2023  %
 Total Revenue                                       280      144      106      146      38%  386      290      -25%
 Conventional Results                                70       144      84       146      73%  155      290      88%
 Total Covid-19-related Revenues (PCR and Antibody)  210      -        21       -             232      -
 Contribution to Consolidated Results
 Conventional Results                                25%      100%     79%      100%          40%      100%
 Total Covid-19-related Revenue (PCR and Antibody)   75%      -        20%      -             60%      -

Test Volume Analysis

 Total tests (k)                             991  582   603  598   -1%  1,594  1,180  -26%
 Conventional tests performed (k)            519  582   572  598   4%   1,091  1,180  8%
 Total Covid-19-related tests performed (k)  472  -     30   -          502    -
 Contribution to Consolidated Results
 Conventional tests performed                52%  100%  95%  100%       68%    100%
 Total Covid-19-related tests performed      48%  -     5%   -          32%    -

 

 Nigeria (3.1% of revenue)

 IDH's Nigerian subsidiary, Echo-Lab, recorded robust revenue growth of 19%
 year-on-year in NGN terms, booking revenues of NGN 937 million during the
 six-month period. In EGP terms, the Company booked revenues of EGP 58 million,
 increasing 73% year-on-year from the EGP 33 million booked during the same
 period of the previous year. Revenue growth for the year was driven by a 71%
 increase in average revenue per test in EGP terms and 18% in NGN terms. Test
 volumes, on the other hand, increased a marginal 1% year-on-year to 136
 thousand tests in 1H 2023.

 Sudan (0.5% of revenue)

 IDH's Sudanese operations recorded revenues of SDG 197 million, down 32%
 year-on-year in 1H 2023. In EGP terms, revenue declined 3% year-on-year to
 reach EGP 10 million from EGP 10.5 million one year prior. The decline in
 revenues during 1H 2023 was primarily a result of the halting of operations in
 16 of 18 branches in April of this year as a result of the ongoing conflict in
 the country. The Company continues to monitor the situation closely and will
 update the market should the situation evolve.

 

Revenue Contribution by Country

                                             Q1 2022  Q1 2023  Q2 2022  Q2 2023  %     1H 2022  1H 2023  Change
 Egypt Revenue (EGP mn)                      879      731      645      783      21%   1,524    1,514    -1%
 Conventional (EGP mn)                       549      731      591      783      32%   1,140    1,514    33%
 Pathology Revenue                           532      703      573      748      31%   1,105    1,451    31%
 Radiology Revenue                           17       28       19       35       89%   35       63       78%
 Covid-19-related (EGP mn)                   330      -        53       -              384      -
 Egypt Contribution to IDH Revenue           74.5%    79.9%    83.2%    81.8%          78.0%    80.1%
 Jordan Revenue (EGP mn)                     280      144      106      146      38%   386      290      -25%
 Conventional (EGP mn)                       70       144      84       146      73%   155      290      88%
 Covid-19-related (EGP mn)                   210      -        21       -              232      -
 Jordan Revenues (JOD mn)                    12.5     3.4      4.0      3.4      -16%  16.5     6.8      -59%
 Conventional (JOD mn)                       3.0      3.4      3.2      3.4      6%    6.2      6.8      9%
 Jordan Revenue Contribution to IDH Revenue  23.7%    15.7%    13.7%    15.2%          19.8%    15.5%
 Nigeria Revenue (EGP mn)                    15       31       19       27       44%   33       58       73%
 Nigeria Revenue (NGN mn)                    371      468      416      469      13%   787      937      19%
 Nigeria Contribution to IDH Revenue         1.3%     3.4%     2.5%     2.8%           1.7%     3.1%
 Sudan Revenue (EGP mn)                      5.7      8.8      4.8      1.4      -71%  10.5     10.2     -3%
 Sudan Revenue (SDG mn)                      152      169      137      27       -80%  289      197      -32%
 Sudan Contribution to IDH Revenue           0.5%     1.0%     0.6%     0.1%           0.5%     0.5%

 

Average Exchange Rate

          1H 2022  1H 2023  Change
 USD/EGP  17.6     30.7     74.4%
 JOD/EGP  24.7     42.8     73.4%
 NGN/EGP  0.04     0.06     26.2%
 SDG/EGP  0.04     0.05     42.0%

 

Patients Served and Tests Performed by Country

                              1H 2022  1H 2023  Change
 Egypt Patients Served (mn)   3.8      3.7      -3%
 Egypt Tests Performed (mn)   14.2     15.1     6.5%
 Conventional tests (mn)      13.2     15.1     14%
 Covid-19-related tests (mn)  1.0      -        -
 Jordan Patients Served (k)   670      183      -73%
 Jordan Tests Performed (k)   1,594    1,180    -26%
 Conventional tests (k)       1,091    1,180    8%
 Covid-19-related tests (k)   502      -        -
 Nigeria Patients Served (k)  70       69       -2%
 Nigeria Tests Performed (k)  135      136      1%
 Sudan Patients Served (k)    46       14       -69%
 Sudan Tests Performed (k)    84       40       -52%
 Total Patients Served (mn)   4.5      3.9      -14%
 Total Tests Performed (mn)   16.0     16.5     3%

 

Branches by Country

                 30 June 2022  30 June 2023  Change
 Egypt           488           531           43
 Jordan          21            27            6
 Nigeria         12            12            -
 Sudan           17            18            1
 Total Branches  538           588           50

 

 -Cost of Sales

 Cost of sales increased 8% year-on-year in the first six months of 2023, to
 record EGP 1,214 million. As a percentage of revenues, cost of sales increased
 seven percentage points year-on-year in the six-month period ended 30 June
 2023, to reach 64.9%. The year-on-year increase reflected primarily higher
 salaries and wages, as well as partially increased raw material expenses and
 higher direct depreciation booked in 1H 2023.

 Cost of Sales Breakdown as a Percentage of Revenue

                                    1H 2022  1H 2023
 Raw Materials                                                          20.3%    21.5%
 Conventional raw material costs as % of conventional revenues          16.4%    21.5%
 Covid-19-related raw material costs as % of Covid-19-related revenues  29.6%    -
 Wages & Salaries                                                       16.8%    20.4%
 Depreciation & Amortisation                                            6.7%     9.4%
 Other Expenses                                                         13.6%    13.5%
 Total                                                                  57.4%    64.9%

 

 Raw material costs (33% of consolidated cost of sales) was the largest
 contributor to cost of sales during the period. Raw material costs recorded
 EGP 402 million during 1H 2023, and amounted to 21% of total Group revenues.
 During the period, the Company booked a rise in the average cost for
 conventional test kits on the back of a weaker EGP and rising inflation across
 its markets of operation. This saw conventional raw material costs as a share
 of revenues reach 21.5% in 1H 2023, up five percentage points year-on-year. It
 is important to note that the significant increase in the cost of conventional
 test kits as a share of revenue is attributable to a delay in the delivery of
 free test kits from IDH's main suppliers during Q2 2023 as part of special
 arrangements to support the Company during the ongoing turbulent times. The
 delivery of free test kits is expected to normalise in the third quarter of
 the year.

 Wages and salaries including employee share of profits (32% share of
 consolidated cost of sales) was the second largest contributor to cost of
 sales during 1H 2023, amounting to EGP 383 million in 1H 2023. During the
 period, wages and salaries as a percentage of revenues stood at 20.4%,
 increasing from 16.8% in the same period of the previous year. The
 year-on-year increase in direct wages and salaries is attributable to new
 staff hires across IDH's newly launch branches, coupled with higher than usual
 compensation increases for existing staff to compensate for increased
 inflationary pressures in IDH's home market of Egypt. Meanwhile, the
 year-on-year rise in NGN terms of Nigeria's salary and wage expenses reflects
 an increase in USD-denominated compensation of Echo-Lab's expat personnel on
 the back of a weaker Naira and rising inflation.

 Direct Wages and Salaries by Region

         1H 2022  1H 2023
 Egypt (EGP mn)    260      287
 Jordan (EGP mn)   60       78
 Jordan (JOD mn)   2        2
 Nigeria (EGP mn)  8        16
 Nigeria (NGN mn)  186      272
 Sudan (EGP mn)    2        2
 Sudan (SDG mn)    51       48

 

 Direct depreciation and amortization costs (15% of consolidated cost of sales)
 increased 34% year-on-year in 1H 2023 to EGP 176 million compared to EGP 132
 million one year prior. Increases in depreciation and amortization expenses
 were primarily due to the expansion of Al-Borg Scan's branches as well as the
 rollout of additional branches throughout the Company's wider network. More
 specifically, depreciation booked by Al-Borg Scan's branches contributed 28%
 of total direct depreciation in 1H 2023.

 Other expenses (21% of consolidated cost of sales) during the first half of
 2023 recorded EGP 253 million, down 5% year-on-year from the EGP 266 million
 recorded in 1H 2022. It is important to note that other expenses booked in 1H
 2022 had included EGP 63 million paid in concession fees as part of Biolab's
 agreement with Queen Alia International Airport and Aqaba Port to provide
 Covid-19-related testing during January and February of last year. Excluding
 these concession fees, other expenses increased by 25% year-on-year during 1H
 2023, mainly on the back of increases recorded in Egypt and Nigeria. The
 increase in Egypt primarily reflects a change in the treatment of
 revenue-sharing hospital contracts starting in Q2 2023, which saw
 revenue-sharing expenses in 1H 2023 rise by 330% year-on-year, contributing to
 nearly half of other expenses growth for the period. In Nigeria, higher
 gasoline prices and general inflation were the main contributors to the
 increase in other expenses for the period.

 Gross Profit

 The Company booked gross profit of EGP 658 million in 1H 2023, down 21%
 year-on-year from the high base of EGP 832 million posted during 1H 2022.
 Meanwhile, IDH's gross profit margin came in at 35% compared to 43% in 1H
 2022. Lower gross profitability during the period reflected both the
 above-mentioned increase in direct salaries and wages and depreciation, as
 well as an expected normalization of margins following the decline in
 Covid-19-related testing.

 On a quarterly basis, IDH booked gross profit of EGP 333 million, up 11%
 year-on-year from EGP 300 million in Q2 2022 when contributions from the
 Company's Covid-19-related offering had already begun to decline. IDH recorded
 a GPM of 35% in Q2 2023, down four percentage points year-on-year, as gross
 profitability was impacted by rising inflation and a weaker EGP. Meanwhile,
 IDH's GPM remained relatively stable compared to Q1 2023.

 Selling, General and Administrative Expenses

 IDH's SG&A outlays during 1H 2023 amounted to EGP 367 million, up 43%
 year-on-year. As a percentage of revenues, SG&A outlays stood at 20% in 1H
 2023 versus 13% in 1H 2022. Increased SG&A expenses were mainly driven by:

 ·    Increases in wages and salaries, which expanded by 53% year-on-year
 to EGP 141 million during 1H 2023 primarily due to higher-than-usual annual
 adjustments to employee compensation packages to support them during the
 ongoing challenging period. Increased wages and salaries also partially
 reflected an increase in USD-denominated directors' compensation and the
 addition of a board member in March 2022 (who received compensation starting
 March 2022). Wages and salaries as a share of revenue increased to 8% in 1H
 2023 from 5% in 1H 2022.

 ·    Increases in other expenses, which grew 59% year-on-year to EGP 153
 million in 1H 2023 due to the increase of USD-denominated expenses (including
 USD-denominated auditor fees) for the holding company.

 ·    One-off legal consultancy expenses related to the termination of the
 Pakistan deal in the first quarter of 2023.

 Selling, General and Administrative Expenses

                    1H 2022                1H 2023  Change
 Wages & Salaries                                92             141      53%
 Accounting Fees                         18                     38       111%
 Professional Services Fees              18                     32       78%
 Market - Advertisement expenses         54                     52       -4%
 Other Expenses                                    53           70       32%
 Depreciation & Amortisation             15                     20       32%
 Travelling and transportation expenses  7                      14       100%
 Total                                           257            367      43%

 

 EBITDA

 IDH posted EBITDA(11) of EGP 462 million in 1H 2023, down 35% year-on-year
 from the figure reported in 1H 2022 when Covid-19-related testing has
 significantly boosted results. The Company's EBITDA margin was 25% during the
 six-month period, declining 12 points year-on-year on the back of lower gross
 profitability as well as the 46% year-on-year increase in SG&A outlays
 discussed above. It is worth highlighting that when controlling for
 non-recurring items, such as a loss on expired Covid-19 kit inventory (EGP 12
 million), one-off legal reports (EGP 3 million), legal fees related to the
 termination of the Pakistan agreement (EGP 8 million), IDH would have recorded
 an EBITDA of EGP 483 million and yielded an associated margin of 26%.

 On a quarterly basis, the Company booked EBITDA of EGP 234 million in Q2 2023,
 a 3% year-on-year decrease and with an associated margin of 24%.

 (11)EBITDA is calculated as operating profit plus depreciation and
 amortization. It is important to note that while in absolute terms the EBITDA
 figure is identical when using IFRS or APM, its margin differs between the two
 sets of performance indicators only for the comparable period of 2022. Margins
 for Q1 2023 are identical across both IFRS and APM.

 EBITDA by Country

 In Egypt, IDH's operations recorded an EBITDA of EGP 407 million in 1H 2023,
 down 35% from the figure recorded in 1H 2022 which had included a notable
 contribution from Covid-19-related testing. EBITDA margin recorded 27% in 1H
 2023 versus 41% in the same period of the previous year. Lower EBITDA
 profitability reflects a post-pandemic normalisation in gross profits which
 declined 20% year-on-year coupled with a 40% year-on-year increase in SG&A
 expenses.

 Biolab, IDH's Jordanian subsidiary, recorded EBITDA in local currency terms of
 JOD 1.6 million, declining 60% year-on-year from 1H 2022 when Covid-19-related
 testing had significantly contributed to results. Biolab recorded an EBITDA
 margin of 24% compared to 29% in the same period of last year in local
 currency terms. In EGP terms, EBITDA declined 25% year-on-year to EGP 69
 million. EBITDA profitability declined during 1H 2023 due to a 26%
 year-on-year decrease in gross profit and 48% year-on-year increase in
 SG&A outlays during the period. It is worth highlighting that SG&A
 expense increases partially reflect the translation effect from the
 devaluation of the Egyptian Pound over the past year. In JOD terms, SG&A
 expenses increased just 44% versus last year.

 In Nigeria, IDH recorded an EBITDA loss of NGN 233 million in 1H 2023,
 widening from NGN 80 million during the same period of last year. In EGP
 terms, EBITDA losses widened to EGP 15 million in 1H 2023 from EGP 3.3 million
 in the same six-month period of 2022. The widening in EBITDA losses for the
 period was primarily driven by lower gross profitability in Nigeria. The rise
 in Echo-Lab's cost of sales has been driven by higher gasoline and electricity
 prices and have continued to weigh down on gross profitability since the start
 of the year.

 In Sudan, IDH recorded EBITDA of SDG 24 million, well above the EBITDA figure
 of SDG 4 million recorded in the same six months of 2022. In EGP terms,
 Sudan's operations generated an EBITDA of EGP 1.2 million, up from EGP 0.1
 million in 1H 2022. Improved EBITDA profitability comes despite the notable
 operational difficulties faced by IDH's Sudanese operations. More
 specifically, 16 of IDH's 18 branches in the country have been temporarily
 shut down since April due to the ongoing conflict.

 Regional EBITDA in Local Currency

Mn                               1H 2022     1H 2023  Change
 Egypt EBITDA           EGP       622         407      -35%
 Margin                           41%         27%
 Jordan                 JOD       4.0         1.6      -60%
 Margin                       29%       24%
 Nigeria                NGN       -80         -233     192%
 Margin                           -10%        -25%
 Sudan                  SDG       4           24.1     494%
 Margin                           1%          12%

 

 Interest Income / Expense

 IDH's interest income during 1H 2023 stood at EGP 30 million, decreasing 60%
 year-on-year from the EGP 75 million booked during the same six-month period
 of last year. Lower interest income during the period was mainly due to the
 Company's lower cash balances as a result of record cash dividends distributed
 during last year.

 Interest expense(12) amounted to EGP 76 million during 1H 2023, up 18%
 year-on-year from EGP 64 million during 1H 3033. Increased interest expenses
 were mainly driven by:

 ·    Increased interest on lease liabilities related to IFRS 16 due to the
 rollout of new branches.

 ·    Higher interest expenses following the CBE decision to increase rates
 by 1,000 bps since March 2022. It is important to note that IDH's interest
 bearing debt balance decreased to EGP 108 million as at 30 June 2023, from EGP
 117 million at year-end 2022. During the six-month period, as part of IDH's
 strategy to reduce foreign currency risk the Company agreed with General
 Electric (GE) for the early repayment of its contractual obligation of USD 5.7
 million. To finance the settlement, IDH utilized a bridge loan facility, with
 half the amount being funded internally, while the other half (amounting to
 EGP 55 million) was provided through a bridge loan by Ahly United Bank- Egypt
 (AUBE). Interest expenses related to the AUBE facility recorded EGP 12 million
 in 1H 2023. The bridge loan was fully settled in Q2 2023.

 Interest Expense Breakdown

EGP mn                                     1H 2022  1H 2023  Change
 Interest on Lease Liabilities (IFRS 16)    34.9     45.2     29%
 Interest Expenses on Leases                9.3      13.7     47%
 Interest Expenses on Borrowings(13)        5.2      11.6     123%
 Bank Charges                               8.8      5.3      -39%
 Loan-related Expenses on IFC facility(14)  5.9      -        -
 Total Interest Expense                     64.1     75.9     18%

 

 (12)Interest expenses on medium-term loans include EGP 12.0 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.

 (13)Interest expenses on medium-term loans include EGP 12.0 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.

 (14)Loan-related expenses on IFC facility represents commitment fees on the
 facility granted by IFC and Mashreq with a total value of USD 60 million. The
 facility was cancelled in May 2023.

 Foreign Exchange

 The Company recorded a foreign exchange gain of EGP 102 million during the
 six-month period, a 47% year-on-year increase partially reflecting
 intercompany balances revaluation.

 Taxation

 Tax expenses, which include income and deferred tax, amounted to EGP 98
 million during 1H 2023, a 53% year-on-year decrease. The Company's effective
 tax rate came in at 32%, unchanged versus the same six-month period of the
 previous year. It is important to highlight that there is no tax payable for
 IDH's two holding-level companies. Meanwhile, tax was paid on profits
 resulting from the Group's operating subsidiaries (Egypt 27.5%, Jordan 36.6%,
 Nigeria 0.2%, Sudan 11.4%).

 Taxation Breakdown by Region

EGP Mn              1H 2022  1H 2023  Change
 Egypt               196.0    91.1     -53%
 Jordan              14.6     6.6      -55%
 Nigeria             -0.2     -0.1     -63%
 Sudan               0.1      0.5      350%
 Total Tax Expenses  210.5    98.1     -53%

 

 Net Profit

 IDH's net profit in 1H 2023 came in at EGP 211 million, down 52% year-on-year.
 Meanwhile, the Company's net profit margin recorded 11%, down 11 percentage
 points from 22% in the same six-month period last year. On a three-month
 basis, the Company posted net profit of EGP 43 million, down 66% year-on-year.
 IDH's bottom-line on both a year-to-date and quarterly basis was impacted by a
 non-recurring expense of EGP 12 million related to contributions owed to the
 Egyptian government vocational training fund for the previous five-year
 period. Controlling for this, IDH would have booked a net profit of EGP 223
 million in 1H 2023 and EGP 55 million in Q2 2023.

 The EGP 12 million non-recurring expense is in accordance with article 134 of
 labour law on Vocational Guidance and Training issued by the Egyptian
 Government in 2003. In accordance with the law, IDH's Egyptian operations are
 required to provide 1% of net profits each year into a training fund.
 Integrated Diagnostics Holdings plc has taken legal advice and considered
 market practices in Egypt relating to the law, and more specifically whether
 vocational training courses undertaken by the Company's Egyptian subsidiaries
 suggest that obligations have been satisfied by in-house training programmes
 provided by those entities. Since the issue of the law, IDH's Egyptian
 subsidiaries have not been requested by the government to pay, nor have they
 voluntarily paid, any amounts into the external training fund.

 

Raw material costs (33% of consolidated cost of sales) was the largest
contributor to cost of sales during the period. Raw material costs recorded
EGP 402 million during 1H 2023, and amounted to 21% of total Group revenues.
During the period, the Company booked a rise in the average cost for
conventional test kits on the back of a weaker EGP and rising inflation across
its markets of operation. This saw conventional raw material costs as a share
of revenues reach 21.5% in 1H 2023, up five percentage points year-on-year. It
is important to note that the significant increase in the cost of conventional
test kits as a share of revenue is attributable to a delay in the delivery of
free test kits from IDH's main suppliers during Q2 2023 as part of special
arrangements to support the Company during the ongoing turbulent times. The
delivery of free test kits is expected to normalise in the third quarter of
the year.

 

Wages and salaries including employee share of profits (32% share of
consolidated cost of sales) was the second largest contributor to cost of
sales during 1H 2023, amounting to EGP 383 million in 1H 2023. During the
period, wages and salaries as a percentage of revenues stood at 20.4%,
increasing from 16.8% in the same period of the previous year. The
year-on-year increase in direct wages and salaries is attributable to new
staff hires across IDH's newly launch branches, coupled with higher than usual
compensation increases for existing staff to compensate for increased
inflationary pressures in IDH's home market of Egypt. Meanwhile, the
year-on-year rise in NGN terms of Nigeria's salary and wage expenses reflects
an increase in USD-denominated compensation of Echo-Lab's expat personnel on
the back of a weaker Naira and rising inflation.

 

Direct Wages and Salaries by Region

                   1H 2022  1H 2023
 Egypt (EGP mn)    260      287
 Jordan (EGP mn)   60       78
 Jordan (JOD mn)   2        2
 Nigeria (EGP mn)  8        16
 Nigeria (NGN mn)  186      272
 Sudan (EGP mn)    2        2
 Sudan (SDG mn)    51       48

 

Direct depreciation and amortization costs (15% of consolidated cost of sales)
increased 34% year-on-year in 1H 2023 to EGP 176 million compared to EGP 132
million one year prior. Increases in depreciation and amortization expenses
were primarily due to the expansion of Al-Borg Scan's branches as well as the
rollout of additional branches throughout the Company's wider network. More
specifically, depreciation booked by Al-Borg Scan's branches contributed 28%
of total direct depreciation in 1H 2023.

 

Other expenses (21% of consolidated cost of sales) during the first half of
2023 recorded EGP 253 million, down 5% year-on-year from the EGP 266 million
recorded in 1H 2022. It is important to note that other expenses booked in 1H
2022 had included EGP 63 million paid in concession fees as part of Biolab's
agreement with Queen Alia International Airport and Aqaba Port to provide
Covid-19-related testing during January and February of last year. Excluding
these concession fees, other expenses increased by 25% year-on-year during 1H
2023, mainly on the back of increases recorded in Egypt and Nigeria. The
increase in Egypt primarily reflects a change in the treatment of
revenue-sharing hospital contracts starting in Q2 2023, which saw
revenue-sharing expenses in 1H 2023 rise by 330% year-on-year, contributing to
nearly half of other expenses growth for the period. In Nigeria, higher
gasoline prices and general inflation were the main contributors to the
increase in other expenses for the period.

 

Gross Profit

The Company booked gross profit of EGP 658 million in 1H 2023, down 21%
year-on-year from the high base of EGP 832 million posted during 1H 2022.
Meanwhile, IDH's gross profit margin came in at 35% compared to 43% in 1H
2022. Lower gross profitability during the period reflected both the
above-mentioned increase in direct salaries and wages and depreciation, as
well as an expected normalization of margins following the decline in
Covid-19-related testing.

 

On a quarterly basis, IDH booked gross profit of EGP 333 million, up 11%
year-on-year from EGP 300 million in Q2 2022 when contributions from the
Company's Covid-19-related offering had already begun to decline. IDH recorded
a GPM of 35% in Q2 2023, down four percentage points year-on-year, as gross
profitability was impacted by rising inflation and a weaker EGP. Meanwhile,
IDH's GPM remained relatively stable compared to Q1 2023.

 

Selling, General and Administrative Expenses

IDH's SG&A outlays during 1H 2023 amounted to EGP 367 million, up 43%
year-on-year. As a percentage of revenues, SG&A outlays stood at 20% in 1H
2023 versus 13% in 1H 2022. Increased SG&A expenses were mainly driven by:

·    Increases in wages and salaries, which expanded by 53% year-on-year
to EGP 141 million during 1H 2023 primarily due to higher-than-usual annual
adjustments to employee compensation packages to support them during the
ongoing challenging period. Increased wages and salaries also partially
reflected an increase in USD-denominated directors' compensation and the
addition of a board member in March 2022 (who received compensation starting
March 2022). Wages and salaries as a share of revenue increased to 8% in 1H
2023 from 5% in 1H 2022.

·    Increases in other expenses, which grew 59% year-on-year to EGP 153
million in 1H 2023 due to the increase of USD-denominated expenses (including
USD-denominated auditor fees) for the holding company.

·    One-off legal consultancy expenses related to the termination of the
Pakistan deal in the first quarter of 2023.

 

 

 

Selling, General and Administrative Expenses

                                         1H 2022                1H 2023  Change
 Wages & Salaries                                92             141      53%
 Accounting Fees                         18                     38       111%
 Professional Services Fees              18                     32       78%
 Market - Advertisement expenses         54                     52       -4%
 Other Expenses                                    53           70       32%
 Depreciation & Amortisation             15                     20       32%
 Travelling and transportation expenses  7                      14       100%
 Total                                           257            367      43%

 

EBITDA

IDH posted EBITDA(11) of EGP 462 million in 1H 2023, down 35% year-on-year
from the figure reported in 1H 2022 when Covid-19-related testing has
significantly boosted results. The Company's EBITDA margin was 25% during the
six-month period, declining 12 points year-on-year on the back of lower gross
profitability as well as the 46% year-on-year increase in SG&A outlays
discussed above. It is worth highlighting that when controlling for
non-recurring items, such as a loss on expired Covid-19 kit inventory (EGP 12
million), one-off legal reports (EGP 3 million), legal fees related to the
termination of the Pakistan agreement (EGP 8 million), IDH would have recorded
an EBITDA of EGP 483 million and yielded an associated margin of 26%.

 

On a quarterly basis, the Company booked EBITDA of EGP 234 million in Q2 2023,
a 3% year-on-year decrease and with an associated margin of 24%.

 

(11)EBITDA is calculated as operating profit plus depreciation and
amortization. It is important to note that while in absolute terms the EBITDA
figure is identical when using IFRS or APM, its margin differs between the two
sets of performance indicators only for the comparable period of 2022. Margins
for Q1 2023 are identical across both IFRS and APM.

 

EBITDA by Country

In Egypt, IDH's operations recorded an EBITDA of EGP 407 million in 1H 2023,
down 35% from the figure recorded in 1H 2022 which had included a notable
contribution from Covid-19-related testing. EBITDA margin recorded 27% in 1H
2023 versus 41% in the same period of the previous year. Lower EBITDA
profitability reflects a post-pandemic normalisation in gross profits which
declined 20% year-on-year coupled with a 40% year-on-year increase in SG&A
expenses.

 

Biolab, IDH's Jordanian subsidiary, recorded EBITDA in local currency terms of
JOD 1.6 million, declining 60% year-on-year from 1H 2022 when Covid-19-related
testing had significantly contributed to results. Biolab recorded an EBITDA
margin of 24% compared to 29% in the same period of last year in local
currency terms. In EGP terms, EBITDA declined 25% year-on-year to EGP 69
million. EBITDA profitability declined during 1H 2023 due to a 26%
year-on-year decrease in gross profit and 48% year-on-year increase in
SG&A outlays during the period. It is worth highlighting that SG&A
expense increases partially reflect the translation effect from the
devaluation of the Egyptian Pound over the past year. In JOD terms, SG&A
expenses increased just 44% versus last year.

 

In Nigeria, IDH recorded an EBITDA loss of NGN 233 million in 1H 2023,
widening from NGN 80 million during the same period of last year. In EGP
terms, EBITDA losses widened to EGP 15 million in 1H 2023 from EGP 3.3 million
in the same six-month period of 2022. The widening in EBITDA losses for the
period was primarily driven by lower gross profitability in Nigeria. The rise
in Echo-Lab's cost of sales has been driven by higher gasoline and electricity
prices and have continued to weigh down on gross profitability since the start
of the year.

 

In Sudan, IDH recorded EBITDA of SDG 24 million, well above the EBITDA figure
of SDG 4 million recorded in the same six months of 2022. In EGP terms,
Sudan's operations generated an EBITDA of EGP 1.2 million, up from EGP 0.1
million in 1H 2022. Improved EBITDA profitability comes despite the notable
operational difficulties faced by IDH's Sudanese operations. More
specifically, 16 of IDH's 18 branches in the country have been temporarily
shut down since April due to the ongoing conflict.

 

Regional EBITDA in Local Currency

 Mn                               1H 2022     1H 2023  Change
 Egypt EBITDA           EGP       622         407      -35%
 Margin                           41%         27%
 Jordan                 JOD       4.0         1.6      -60%
 Margin                       29%       24%
 Nigeria                NGN       -80         -233     192%
 Margin                           -10%        -25%
 Sudan                  SDG       4           24.1     494%
 Margin                           1%          12%

 

Interest Income / Expense

IDH's interest income during 1H 2023 stood at EGP 30 million, decreasing 60%
year-on-year from the EGP 75 million booked during the same six-month period
of last year. Lower interest income during the period was mainly due to the
Company's lower cash balances as a result of record cash dividends distributed
during last year.

 

Interest expense(12) amounted to EGP 76 million during 1H 2023, up 18%
year-on-year from EGP 64 million during 1H 3033. Increased interest expenses
were mainly driven by:

·    Increased interest on lease liabilities related to IFRS 16 due to the
rollout of new branches.

·    Higher interest expenses following the CBE decision to increase rates
by 1,000 bps since March 2022. It is important to note that IDH's interest
bearing debt balance decreased to EGP 108 million as at 30 June 2023, from EGP
117 million at year-end 2022. During the six-month period, as part of IDH's
strategy to reduce foreign currency risk the Company agreed with General
Electric (GE) for the early repayment of its contractual obligation of USD 5.7
million. To finance the settlement, IDH utilized a bridge loan facility, with
half the amount being funded internally, while the other half (amounting to
EGP 55 million) was provided through a bridge loan by Ahly United Bank- Egypt
(AUBE). Interest expenses related to the AUBE facility recorded EGP 12 million
in 1H 2023. The bridge loan was fully settled in Q2 2023.

 

Interest Expense Breakdown

 EGP mn                                     1H 2022  1H 2023  Change
 Interest on Lease Liabilities (IFRS 16)    34.9     45.2     29%
 Interest Expenses on Leases                9.3      13.7     47%
 Interest Expenses on Borrowings(13)        5.2      11.6     123%
 Bank Charges                               8.8      5.3      -39%
 Loan-related Expenses on IFC facility(14)  5.9      -        -
 Total Interest Expense                     64.1     75.9     18%

 

(12)Interest expenses on medium-term loans include EGP 12.0 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.

(13)Interest expenses on medium-term loans include EGP 12.0 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.

(14)Loan-related expenses on IFC facility represents commitment fees on the
facility granted by IFC and Mashreq with a total value of USD 60 million. The
facility was cancelled in May 2023.

 

Foreign Exchange

The Company recorded a foreign exchange gain of EGP 102 million during the
six-month period, a 47% year-on-year increase partially reflecting
intercompany balances revaluation.

 

Taxation

Tax expenses, which include income and deferred tax, amounted to EGP 98
million during 1H 2023, a 53% year-on-year decrease. The Company's effective
tax rate came in at 32%, unchanged versus the same six-month period of the
previous year. It is important to highlight that there is no tax payable for
IDH's two holding-level companies. Meanwhile, tax was paid on profits
resulting from the Group's operating subsidiaries (Egypt 27.5%, Jordan 36.6%,
Nigeria 0.2%, Sudan 11.4%).

 

Taxation Breakdown by Region

 EGP Mn              1H 2022  1H 2023  Change
 Egypt               196.0    91.1     -53%
 Jordan              14.6     6.6      -55%
 Nigeria             -0.2     -0.1     -63%
 Sudan               0.1      0.5      350%
 Total Tax Expenses  210.5    98.1     -53%

 

Net Profit

IDH's net profit in 1H 2023 came in at EGP 211 million, down 52% year-on-year.
Meanwhile, the Company's net profit margin recorded 11%, down 11 percentage
points from 22% in the same six-month period last year. On a three-month
basis, the Company posted net profit of EGP 43 million, down 66% year-on-year.
IDH's bottom-line on both a year-to-date and quarterly basis was impacted by a
non-recurring expense of EGP 12 million related to contributions owed to the
Egyptian government vocational training fund for the previous five-year
period. Controlling for this, IDH would have booked a net profit of EGP 223
million in 1H 2023 and EGP 55 million in Q2 2023.

 

The EGP 12 million non-recurring expense is in accordance with article 134 of
labour law on Vocational Guidance and Training issued by the Egyptian
Government in 2003. In accordance with the law, IDH's Egyptian operations are
required to provide 1% of net profits each year into a training fund.
Integrated Diagnostics Holdings plc has taken legal advice and considered
market practices in Egypt relating to the law, and more specifically whether
vocational training courses undertaken by the Company's Egyptian subsidiaries
suggest that obligations have been satisfied by in-house training programmes
provided by those entities. Since the issue of the law, IDH's Egyptian
subsidiaries have not been requested by the government to pay, nor have they
voluntarily paid, any amounts into the external training fund.

 

 

 

ii.  Balance Sheet Analysis

 Assets

 Property, Plant and Equipment

 The Company recorded gross property, plant and equipment (PPE) of EGP 2,411
 million as at 30 June 2023, increasing from EGP 2,208 million at year-end
 2022. The rise in CAPEX as a share of revenues during 1H 2023 was driven
 mainly by the addition of new branches to IDH's network (contributing 9% of
 revenues), while the rest is attributable to the translation effect related to
 Jordan, Sudan, and Nigeria (contributing 2% of revenues).

 Total CAPEX Addition Breakdown - 1H 2023

                       EGP mn  % of Revenue
 Leasehold Improvements/new branches          154.9   8.3%
 Al-Borg Scan Expansion                       14.1    0.8%
 Total CAPEX Additions Excluding Translation  169.5   9.1%
 Translation Effect                           34.3    1.8%
 Total CAPEX Additions                        203.4   10.9%

 

 Accounts Receivable and Provisions

 Accounts receivable as at 30 June 2023 stood at EGP 532 million, increasing
 35% year-to-date from EGP 395 million. IDH's receivables' Days on Hand (DoH)
 came in at 136 days, increasing from 124 days as at 31 December 2022.

 Provisions for doubtful accounts recorded EGP 23 million in 1H 2023, up from
 EGP 16 million in the same period of the previous year. Increased provisions
 and receivable balance during the six-month period are mainly attributable to
 slower collection rates as a result of sustained economic downturns in IDH's
 geographies and, mainly, in the Company's home market of Egypt.

 Inventory

 IDH's inventory balance as of the end of the first six months of 2023 recorded
 EGP 361 million, increasing from EGP 265 million as of the end of 2022.
 Meanwhile, Days Inventory Outstanding (DIO) came in at 148 days, up from 127
 days on a year-to-date basis. Increases in DIO were mainly driven by
 management strategy to accumulate inventory as a hedge against inflation over
 the past year.

 Cash and Net Debt/Cash

 Cash balances stood at EGP 666 million as of 30 June 2023, declining from EGP
 816 million as of year-end 2022. The decline in cash balances is primarily
 related to the aforementioned decision for the early repayment of IDH's
 contractual obligation of USD 5.7 million (equivalent to EGP 110 million) to
 reduce exposure to foreign currency risk using internal resources as well as a
 bridge loan facility provided by AUBE, where the latter was also fully settled
 in Q2 2023.

EGP million       31 Dec 2022                         30 Jun 2023
 T-Bills                         296                   238
 Time Deposits                     123                 95
 Current Accounts                378                   313
 Cash on Hand                      18                  21
 Total                       816                       666

 

 IDH's net debt(15) balance came in at EGP 482 million as of the end of 1H
 2023, increasing 29% year-to-date from EGP 374 million as of year-end 2022.

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

EGP million                                             31 Dec 2022  30 Jun 2023  31 Dec 2021
 Cash and Financial Assets at Amortised Cost(16)         816          666          2,350
 Lease Liabilities Property                              (727)        (777)        106
 Total Financial Liabilities (Short-term and Long-term)  (335)        (249)
 Interest Bearing Debt ("Medium Term Loans")             (127)        (122)
 Net Cash/(debt) Balance                                  (374)        (482)                  1,483

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

 Lease liabilities and financial obligations on property came in at EGP 777
 million as at 31 June 2023, up from EGP 727 million as at year-end 2022.
 Higher lease liabilities were driven by the launch of 50 new branches across
 IDH's branch network in the twelve months to 30 June 2023.

 Meanwhile, financial obligations related to equipment recorded EGP 249 million
 as at the end of 1H 2023, down from EGP 335 million as at the end of 2022.
 Declining financial obligations related to equipment is a result of the early
 repayment of IDH's obligations with General Electric (GE) as part of the
 Company's efforts to hedge against foreign currency risk. Half of the
 settlement was financed internally by the Company, while the other half was
 financed through a bridge loan facility from AUBE.

 Finally, interest bearing debt(17) recorded EGP 108 million, down from EGP 117
 million as at year-end 2022. The decrease is mainly attributable to the
 repayment of EGP 8.5 million in accordance with Al-Borg Scan's medium term
 loan repayment schedule.

 Liabilities

 Accounts Payable(18)

 Accounts payable stood at EGP 377 million as at the end of 1H 2023, increasing
 from EGP 270 million six months earlier. In parallel, IDH's Days Payable
 Outstanding (DPO) came in at 153 days, up from 151 days as at year-end 2022.

 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 Biolab's LTM
 EBITDA minus net debt. Biolab's put option liability decreased following the
 significant decline in the venture's EBITDA for the period.

 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).

 (16)As outlined in Note 18 of IDH's Consolidated Financial Statements, some
 term deposits and treasury bills cannot be accessed for over 3 months and are
 therefore not treated as cash. Term deposits which cannot be accessed for over
 3 months stood at EGP 113 million in Q1 2023, versus EGP 123 million as at
 year-end 2022. Meanwhile, treasury bills not accessible for over 3 months
 stood at EGP 342 million in Q1 2023, up from EGP 296 million in FY 2022.

 (17)IDH's interest bearing debt as at 31 March 2023 included EGP 172 million
 to its facility with Ahli United Bank Egypt (AUBE) (outstanding loan balances
 are excluding accrued interest for the period). It is worth noting that in
 order to finance the early repayment settlement with General Electric, the
 Company utilized a bridge loan facility of EGP 55 million. The facility was
 withdrawn in Q1 2023 and settled in Q2 2023.

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

 

Accounts Receivable and Provisions

Accounts receivable as at 30 June 2023 stood at EGP 532 million, increasing
35% year-to-date from EGP 395 million. IDH's receivables' Days on Hand (DoH)
came in at 136 days, increasing from 124 days as at 31 December 2022.

 

Provisions for doubtful accounts recorded EGP 23 million in 1H 2023, up from
EGP 16 million in the same period of the previous year. Increased provisions
and receivable balance during the six-month period are mainly attributable to
slower collection rates as a result of sustained economic downturns in IDH's
geographies and, mainly, in the Company's home market of Egypt.

 

Inventory

IDH's inventory balance as of the end of the first six months of 2023 recorded
EGP 361 million, increasing from EGP 265 million as of the end of 2022.
Meanwhile, Days Inventory Outstanding (DIO) came in at 148 days, up from 127
days on a year-to-date basis. Increases in DIO were mainly driven by
management strategy to accumulate inventory as a hedge against inflation over
the past year.

 

Cash and Net Debt/Cash

Cash balances stood at EGP 666 million as of 30 June 2023, declining from EGP
816 million as of year-end 2022. The decline in cash balances is primarily
related to the aforementioned decision for the early repayment of IDH's
contractual obligation of USD 5.7 million (equivalent to EGP 110 million) to
reduce exposure to foreign currency risk using internal resources as well as a
bridge loan facility provided by AUBE, where the latter was also fully settled
in Q2 2023.

 

 EGP million       31 Dec 2022                         30 Jun 2023
 T-Bills                         296                   238
 Time Deposits                     123                 95
 Current Accounts                378                   313
 Cash on Hand                      18                  21
 Total                       816                       666

 

IDH's net debt(15) balance came in at EGP 482 million as of the end of 1H
2023, increasing 29% year-to-date from EGP 374 million as of year-end 2022.

 

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

 

 EGP million                                             31 Dec 2022  30 Jun 2023  31 Dec 2021
 Cash and Financial Assets at Amortised Cost(16)         816          666          2,350
 Lease Liabilities Property                              (727)        (777)        106
 Total Financial Liabilities (Short-term and Long-term)  (335)        (249)
 Interest Bearing Debt ("Medium Term Loans")             (127)        (122)
 Net Cash/(debt) Balance                                  (374)        (482)                  1,483

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

 

Lease liabilities and financial obligations on property came in at EGP 777
million as at 31 June 2023, up from EGP 727 million as at year-end 2022.
Higher lease liabilities were driven by the launch of 50 new branches across
IDH's branch network in the twelve months to 30 June 2023.

 

Meanwhile, financial obligations related to equipment recorded EGP 249 million
as at the end of 1H 2023, down from EGP 335 million as at the end of 2022.
Declining financial obligations related to equipment is a result of the early
repayment of IDH's obligations with General Electric (GE) as part of the
Company's efforts to hedge against foreign currency risk. Half of the
settlement was financed internally by the Company, while the other half was
financed through a bridge loan facility from AUBE.

 

Finally, interest bearing debt(17) recorded EGP 108 million, down from EGP 117
million as at year-end 2022. The decrease is mainly attributable to the
repayment of EGP 8.5 million in accordance with Al-Borg Scan's medium term
loan repayment schedule.

 

Liabilities

Accounts Payable(18)

Accounts payable stood at EGP 377 million as at the end of 1H 2023, increasing
from EGP 270 million six months earlier. In parallel, IDH's Days Payable
Outstanding (DPO) came in at 153 days, up from 151 days as at year-end 2022.

 

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 Biolab's LTM
EBITDA minus net debt. Biolab's put option liability decreased following the
significant decline in the venture's EBITDA for the period.

 

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).

 

(16)As outlined in Note 18 of IDH's Consolidated Financial Statements, some
term deposits and treasury bills cannot be accessed for over 3 months and are
therefore not treated as cash. Term deposits which cannot be accessed for over
3 months stood at EGP 113 million in Q1 2023, versus EGP 123 million as at
year-end 2022. Meanwhile, treasury bills not accessible for over 3 months
stood at EGP 342 million in Q1 2023, up from EGP 296 million in FY 2022.

(17)IDH's interest bearing debt as at 31 March 2023 included EGP 172 million
to its facility with Ahli United Bank Egypt (AUBE) (outstanding loan balances
are excluding accrued interest for the period). It is worth noting that in
order to finance the early repayment settlement with General Electric, the
Company utilized a bridge loan facility of EGP 55 million. The facility was
withdrawn in Q1 2023 and settled in Q2 2023.

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

 

-End-

 

 INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH"

 AND ITS SUBSIDIARIES

 Consolidated Financial Statements

 for the six-month period ended 30 June 2023

 

 

 

 

Consolidated statement of financial position as at 30 June 2023

 

                                                                     Notes      31 Mar 2023                                 31 Dec 2022
                                                                                EGP'000                                     EGP'000
  Assets
 Non-current assets
 Property, plant and equipment                                       4           1,392,293                                   1,326,262
 Intangible assets and goodwill                                      5           1,723,582                                   1,703,636
 Right of use assets                                                 6           653,008                                     622,975
 Financial assets at fair value through profit and loss              7           -                                           18,064
 Total non-current assets                                                        3,768,883                                   3,670,937

 Current assets
 Inventories                                                                     360,847                                     265,459
 Trade and other receivables                                         8           651,528                                     543,887
 Financial assets at amortized cost                                  9           189,931                                     167,404
 Current financial assets at fair value through profit and loss      7           23,590                                      -
 Cash and cash equivalents                                           10          475,580                                     648,512
 Total current assets                                                            1,701,476                                   1,625,262
 Total assets                                                                    5,470,359                                   5,296,199
 Equity
 Share capital                                                                   1,072,500                                   1,072,500
 Share premium reserve                                                           1,027,706                                   1,027,706
 Capital reserves                                                                (314,310)                                   (314,310)
 Legal reserve                                                                   51,641                                      51,641
 Put option reserve                                                              (286,152)                                   (490,695)
 Translation reserve                                                             (84,765)                                    24,173
 Retained earnings                                                               1,006,671                                   783,081
 Equity attributable to the owners of the Company                                2,473,291                                   2,154,096
 Non-controlling interests                                                       379,132                                     292,885
 Total equity                                                                    2,852,423                                   2,446,981

 Non-current liabilities
 Provisions                                                                      16,163                                      3,519
 Non-current put option liability                                    12          -                                           51,000
 Borrowings                                                          13          79,560                                      93,751
 Other financial obligations                                         14          873,998                                     914,191
 Deferred tax liabilities                                            18-C        332,953                                     321,732
 Total non-current liabilities                                                   1,302,674                                   1,384,193
 Current liabilities
 Trade and other payables                                            11          766,773                                     701,095
 Other financial obligations                                         14          152,159                                     148,705
 Current put option liability                                        12          286,152                                     439,695
 Borrowings                                                          13          28,384                                      22,675
  Current tax liabilities                                                        81,794                                      152,855
 Total current liabilities                                                       1,315,262                                   1,465,025
 Total liabilities                                                               2,617,936                                   2,849,218
 Total equity and liabilities                                                    5,470,359                                   5,296,199

 The accompanying notes form an integral part of these consolidated financial
 statements.

 These condensed consolidated interim financial information were approved and
 authorized for issue by the Board of Directors and signed on their behalf on
 30 August 2023 by:

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

 

 

 

 

Consolidated income statement for the quarter and six-month periods ended 30
June 2023

                                                           For the three months period               For the six months period

                                                           ended 30 June                             ended 30 June
                                                Notes      2023                     2022             2023                      2022
                                                           EGP'000                  EGP'000          EGP'000                   EGP'000

 Revenue                                        21          956,651                  773,586          1,871,942                 1,954,065
 Cost of sales                                              (623,291)                (473,402)        (1,214,008)               (1,122,195)
 Gross profit                                               333,360                  300,184          657,934                   831,870

 Marketing and advertising expenses                         (49,178)                 (51,804)         (112,473)                 (92,568)
 Administrative expenses                        16          (127,857)                (77,892)         (254,340)                 (164,192)
 Impairment loss on trade and other receivable              (12,586)                 (8,980)          (23,269)                  (16,158)
 Other income                                               (7,260)                  4,553            (2,563)                   3,471
 Operating profit                                           136,479                  166,061          265,289                   562,423

 Non-operating expense                                      (12,200)                 -                (12,200)                  -

 Finance costs                                  17          (33,084)                 (31,087)         (75,879)                  (64,147)
 Finance income                                 17          7,746                    43,247           132,234                   151,292
 Net finance cost                                           (25,338)                 12,160           56,355                    87,145
 Profit before tax                                          98,941                   178,221          309,444                   649,568

 Income tax expense                             18-B        (56,277)                 (53,302)         (98,394)                  (210,516)
 Profit for the period                                      42,664                   124,919          211,050                   439,052

 Profit attributed to:
 Equity holders of the parent                               50,681                   125,611          223,590                   422,220
 Non-controlling interests                                  (8,017)                  (692)            (12,540)                  16,832
                                                            42,664                   124,919          211,050                   439,052
 Earnings per share (expressed in EGP):
 Basic and diluted earnings per share           20          0.08                     0.21             0.37                      0.70

 

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 2023

 

                                                                    For the three months period ended 30 June           For the six months period ended 30 June
                                                                    2023                            2022                2023                            2022
                                                                    EGP'000                         EGP'000             EGP'000                         EGP'000

 Net profit                                                          42,664                          124,919             211,050                         439,052
 Items that may be reclassified to profit or loss:
 Exchange difference on translation of foreign operations            (42,604)                        25,983              (10,151)                        103,291
 Other comprehensive income / (Loss) for the period net of tax       (42,604)                        25,983              (10,151)                        103,291
 Total comprehensive income for the period                           60                              150,902             200,899                         542,343

 Attributed to:
 Equity holders of the parent                                        27,642                          138,135             114,652                         448,685
 Non-controlling interests                                           (27,582)                        12,767              86,247                          93,658
                                                                     60                              150,902             200,899                         542,343

 

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
2023

                                                                     Notes      30 June 2023      30 June 2022
                                                                                EGP'000           EGP'000

 Cash flows from operating activities
 Profit for the period before tax                                                309,444           649,568
 Adjustments
 Depreciation of property, plant and equipment                                   126,755           95,184
 Depreciation of right of use assets                                             65,632            48,215
 Amortisation of intangible assets                                               3,872             3,439
 Unrealised foreign currency exchange (gains) losses                 17          (102,159)         (69,378)
 Interest income                                                     17          (30,075)          (75,443)
 Interest expense                                                    17          70,496            55,342
 Bank Charges                                                                    5,383             8,805
 Loss/(Gain) on disposal of Property, plant and equipment                        (603)             523
 Impairment in trade and other receivables                                       23,269            16,158
 Equity settled financial assets at fair value                                   (5,526)           (2,548)
 ROU Asset/Lease Termination                                                     (348)             (408)
 Hyperinflation (gains) losses                                       17          -                 (6,471)
 Change in Provisions                                                            12,644            (380)
 Change in Inventories                                                           (90,933)          (15,888)
 Change in trade and other receivables                                           (103,219)         (81,073)
 Change in trade and other payables                                              33,226            (85,084)
 Cash generated from operating activities before income tax payment              317,858           540,562

 Tax paid during period                                                          (157,734)         (506,375)
 Net cash generated from operating activities                                    160,124           34,187

 Cash flows from investing activities
 Interest received on financial asset at amortised cost                          30,494            25,224
 Payments for the purchase of financial assets at amortized cost                 (150,423)         (309,952)
 Proceeds for the sale of financial assets at amortized cost                     138,815           1,266,048
 Payments for acquisition of property, plant and equipment           4           (164,174)         (143,424)
 Payments for acquisition of intangible assets                       5           (1,401)           (1,505)
 Proceeds from sale of Property, plant and equipment                             1,874             5,999
 Net cash flows generated (used in) from investing activities                    (144,815)         842,390

 Cash flows from financing activities
 Proceeds from borrowings                                                        54,936            -
 Repayments of borrowings                                                        (63,418)          (13,238)
 Payment of finance lease liabilities                                            (67,735)          (58,276)
 Dividends paid                                                                  -                 (88,766)
 Interest paid                                                                   (5,383)           (8,805)
 Bank charge paid                                                                (161,410)         (17,239)
 Net cash flows used in financing activities                                     (243,010)         (186,324)

 Net increase in cash and cash equivalent                                        (227,701)         690,253
 Cash and cash equivalents at the beginning of the year                          648,512           891,451
 Effect of exchange rate                                                         54,769            85,920
 Cash and cash equivalent at the end of the period                   10          475,580           1,667,624

 

Non-cash investing and financing activities disclosed in other notes are:

·      Acquisition of right-of-use assets - note 6

·      Property plant and equipment - note 4

·      Put option liability - note 12

 

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 2023

                                             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 2023                            1,072,500    1,027,706         (314,310)   51,641      (490,695)           24,173       783,081            2,154,096                                       292,885                    2,446,981
 Profit for the period                        -            -                 -            -          -                   -            223,590            223,590                                         (12,540)                   211,050
 Other comprehensive income for the period    -            -                 -            -          -                   (108,938)    -                  (108,938)                                       98,787                     (10,151)
 Total comprehensive income at 30 June 2023   -            -                 -            -          -                   (108,938)    223,590            114,652                                         86,247                     200,899
 Transactions with owners of the Company
 Contributions and distributions
 Movement in put option liabilities           -            -                 -            -          204,543             -            -                  204,543                                         -                          204,543
 Total contributions and distributions        -            -                 -            -          204,543             -            -                  204,543                                         -                          204,543
 Balance at 30 June 2023                     1,072,500    1,027,706         (314,310)     51,641     (286,152)           (84,765)     1,006,671          2,473,291                                       379,132                    2,852,423

 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

 

*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.

 

 

 

(In the notes all amounts are shown in Egyptian Pounds "EGP'000" unless
otherwise stated)

           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 2023 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 30 August 2023.

          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 2022 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 2022 which is available at
www.idhcorp.com (http://www.idhcorp.com) ,. In addition, results of the
six-month period ended 30 June 2023 are not necessary indicative for the
results that may be expected for the financial year ending 31 December 2023.

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 2022."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 2022. 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 2022".

 

 

 

 

 

4. Property, plant and equipment

 

                              Land & buildings      Medical, electric     Leasehold      Fixtures, fittings & vehicles      Project under construction  Payment on account  Total

 & information
improvements

 system equipment
 Cost
 At 1 January 2023            426,961               1,111,867             507,442        133,195                            28,589                      10,614              2,218,668
 Additions                    8,554                 64,416                35,237         14,783                             50,162                      432                 173,584
 Disposals                    -                     (2,578)               (317)          (1,192)                            -                           -                   (4,087)
 Exchange differences         2,278                 5,398                 20,320         6,266                              23                          -                   34,285
 Transfers                    -                     -                     15,276         -                                  (15,276)                    -                   -
 At 30 June 2023              437,793               1,179,103             577,958        153,052                            63,498                      11,046              2,422,450

 Depreciation
 At 1 January 2023            61,578                513,869               261,705        55,254                             -                                               892,406
 Depreciation for the period  3,548                 75,350                39,950         7,907                              -                           -                   126,755
 Disposals                    -                     (1,643)               (262)          (911)                              -                           -                   (2,816)
 Exchange differences         568                   5,053                 7,006          1,185                              -                           -                   13,812
 At 30 June 2023              65,694                592,629               308,399        63,435                             -                           -                   1,030,157

 Net book value at 30 June    372,099               586,474               269,559        89,617                             63,498                      11,046              1,392,293

 At 31 December 2022          365,383               597,998               245,737        77,941                             28,589                      10,614              1,326,262

 

 

 

         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 2023              1,291,823  395,551     92,836        1,780,210
 Additions                              -          -           1401          1,401
 Effect of movements in exchange rates  13,176     7,315       3,908         24,399
 Balance at 30 June 2023                1,304,999  402,866     98,145        1,806,010

 Amortisation and impairment
 Balance at 1 January 2023              6,373      381         69,820        76,574
 Amortisation                           -          -           3,872         3,872
 Effect of movements in exchange rates  86         12          1,884         1,982
 Balance at 30 June 2023                6,459      393         75,576        82,428

 Carrying amount
 Balance at 30 June 2023                1,298,540  402,473     22,569        1,723,582
 Balance at 31 December 2022            1,285,450  395,170     23,016        1,703,636

 

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 three months ended 30
June 2023.

 

        6. Right-of-use assets

 

                                            30 June 2023      31 December 2022

 Balance at 1 January                       622,975           462,432
 Addition for the period / year             60,074            214,846
 Depreciation charge for the period / year  (65,632)          (103,099)
 Terminated contracts                       (4,246)           (13,564)
 Exchange differences                       39,837            62,360
 Balance                                    653,008           622,975

 

 

 

         7. Financial asset at fair value through profit and loss

 

                                 30 June 2023      31 December 2022

 Non-current equity investments  -                 18,064
 Current equity investments      23,590            -
                                 23,590            18,064

 

*     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, which will be 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, 2023, 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,
These assets have therefore been reclassified as current assets in the
financial information as of June 30, 2023, 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 Strake 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
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 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 2023      31 December 2022

 Trade receivables - net             532,482           395,220
 Prepayments                         41,247            34,081
 Due from related parties note (15)  4,366             5,930
 Other receivables                   71,559            106,363
 Accrued revenue                     1,874             2,293
                                     651,528           543,887

 

 

 

 

9. Financial assets at amortised cost

 

                                      30 June 2023      31 December 2022

 Term deposits (more than 3 months)   47,977            60,200
 Treasury bills (more than 3 months)  141,954           107,204
                                      189,931           167,404

 

The maturity date of the treasury bills and Fixed-term deposits are between
3-12 months and have average interest rates of EGP, and JOD 21.75% and 5.50%
respectively.

 

10. Cash and cash equivalents

 

                                      30 June 2023      31 December 022

 Cash at banks and on hand            333,201           399,957
 Treasury bills (less than 3 months)  95,611            185,513
 Term deposits (less than 3 months)   46,768            63,042
                                      475,580           648,512

 

 

11. Trade and other payables

 

                                   30 June 2023      31 December 2022

 Trade payable                     377,453           269,782
 Accrued expenses                  185,930           241,060
 Due to related parties note (15)  25,242            25,058
 Other payables                    122,602           98,204
 Deferred revenue                  47,192            60,948
 Accrued finance cost              8,354             6,043
                                   766,773           701,095

 

 

 

 

12. Put option liability

 

                                           30 June 2023      31 December 2022

 Current put option - Biolab Jordan        249,947           439,695
 Current put option - Eagle Eye-Echo scan  36,205            -
                                           286,152           490,695

 

                                               30 June 2023    31 December 2022

 Non-current put option - Eagle Eye-Echo scan  -               51,000
                                               -               51,000

 

Put option - Biolab Jordan

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 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 2023. 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 next 18 months. The option has no expiry
date.

 

Put option - Eagle Eye-Echo scan

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 it
is shares to Dynasty in year 2024. The put option price will be calculated on
the basis of the fair market value determined by an independent valuator. This
commitment has been reclassified as a working obligation as the put option
ends within one year of the Group's financial position on June 30, 2023.

 

 

 

 

13. Loans and borrowings

 

                         Currency  Nominal interest rate  Maturity         30 June 2023      31 December 2022

 AUB - Bank              EGP       CBE corridor rate+1%   26 January 2027  107,944           116,426
                                                                           107,944           116,426
 Amount held as:
 Current liability                                                         28,384            22,675
 Non- current liability                                                    79,560            93,751
                                                                           107,944           116,426

 

A)           In July 2018, AL-Borg lab, one of IDH subsidiaries, was
granted a medium term loan amounting to EGP 130.5m from Ahli United Bank "AUB
Egypt" to finance the investment cost related to the expansion into the
radiology segment. As at 30 June 2023 only EGP 108 M had been drawn down from
the total facility available with 8.5 M had been repaid. Loan withdrawal
availability period was extended till July 2023 and the loan will be fully
repaid by January 2027.

 

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

"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 2023 corridor rate 20.25% (2022:
17.25%)

 

 

 

 

 

 

13. Loans and borrowings (continued)

 

AL- Borg company didn't breach any covenants for MTL agreements.

 

IDH opted to reduce its exposure to foreign currency risk by agreeing with
General Electric (GE) for the early repayment of its dollar obligation. The
Group and GE have agreed to settle this balance early for USD 3.55 million,
payable in EGP, equivalent to EGP 110 million.

 

To finance the settlement, IDH utilized a bridge loan facility, with half of
the amount (EGP 55 million) being funded internally and the other half (EGP 55
million) provided by a loan from Ahly United Bank - Egypt, this credit
facility was fully repaid during the six-month period ending 30 June 2023.

 

14. Other Financial obligations

 

                                            30 June 2023      31 December 2022

 Lease liabilities building                 777,198           727,426
 Financial liability- laboratory equipment  248,959           335,470
                                            1,026,157         1,062,896

 

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

                             30 June 2023
                             Minimum payments       Interest       Principal

 Less than one year          254,680                102,521        152,159
 Between one and five years  1,010,080              287,655        722,425
 More than five years        185,611                34,038         151,573
                             1,450,371              424,214        1,026,157

 

                             31 December 2022
                             Minimum payments        Interest        Principal

 Less than one year          285,962                 137,257         148,705
 Between one and five years  1,030,750               314,656         716,094
 More than Five years        227,715                 29,618          198,097
                             1,544,427               481,531         1,062,896

 

 

 

 

14. Other Financial obligations (continued)

 

Amounts recognised in profit or loss:

                                       For the three months ended 30 June            For the six months ended

30 June
                                       2023                        2022              2023                  2022

 Interest on lease liabilities         22,898                      18,065            45,221                34,926
 Expenses related to short-term lease  2,515                       9,387             5,191                 15,144

 

15. Related party transactions

 

The significant transactions with related parties, their nature volumes and
balance during the period 30 June 2023 are as follows:

                                                                                                                                                   30 June 2023
 Related Party                                         Nature of transaction                           Nature of relationship                      Transaction amount of the year         Amount due from / (to)

                                                                                                                                                   EGP'000                                EGP'000
 ALborg Scan (S.A.E)*                                  Expenses paid on behalf                         Affiliate                                   -                                      351

 International Fertility (IVF)**                       Expenses paid on behalf                         Affiliate                                   -                                      1,771

 H.C Security                                          Provide service                                 Entity owned by Company's board member      70                                     (29)

 Life Health Care                                      Provided service                                Entity owned by Company's CEO               (1,740)                                778

 Dr. Amid Abd Elnour                                   Put option liability                            Bio. Lab C.E.O and shareholder              189,748                                (249,947)
                                                       Current account                                 Bio. Lab C.E.O and shareholder              191                                    (19,817)

 International Finance corporation (IFC)               Put option liability                            Echo-Scan shareholder                       14,794                                 (36,205)

 International Finance corporation (IFC)               Current account                                 Echo-Scan shareholder                       623                                    -

 Integrated Treatment for Kidney Diseases (S.A.E)      Collection                                      Entity owned by Company's CEO               (103)
                                                       Medical Test analysis                                                                       72                                     1,466

 Hena Holdings Ltd                                     shareholders' dividends deferral agreement      shareholder                                 (63)                                   (2,436)

 Actis IDH Limited                                     shareholders' dividends deferral agreement      shareholder                                 (1,005)                                (2,960)
                                                                                                                                                                                          (307,028)

 

 

 

 

15. Related party transactions (continued)

 

                                                                                                                                                   31 December 2022
 Related Party                                         Nature of transaction                           Nature of relationship                      Transaction amount of the year          Amount due from / (to)

                                                                                                                                                   EGP'000                                 EGP'000
 AL borg Scan (S.A.E)*                                 Expenses paid on behalf                         Affiliate                                   -                                       351

 International Fertility (IVF)**                       Expenses paid on behalf                         Affiliate                                   4                                       1,771

 H.C Security                                          Provide service                                 Entity owned by Company's board member      220                                     (99)

 Life Health Care                                      Provided service                                Entity owned by Company's CEO               424                                     2,518

 Dr. Amid Abd Elnour                                   Put option liability                            Bio. Lab C.E.O and shareholder              481,665                                 (439,695)
                                                       Current account                                 Bio. Lab C.E.O and shareholder              (20,008)                                (20,008)

 International Finance corporation (IFC)               Put option liability                            Echo-Scan shareholder                       (15,963)                                (51,000)

 International Finance corporation (IFC)               Current account                                 Echo-Scan shareholder                       12,292                                  (623)

 Integrated Treatment for Kidney Diseases (S.A.E)      Rental income                                   Entity owned by Company's CEO               116                                     1,290
                                                       Medical Test analysis                                                                       381                                     -

 Dr. Hend El Sherbini                                  Loan arrangement                                CEO                                         17,025                                  -

 HENA HOLDINGS LTD                                     shareholders' dividends deferral agreement      shareholder                                 (2,373)                                 (2,373)

 ACTIS IDH LIMITED                                     shareholders' dividends deferral agreement      shareholder                                 (1,955)                                 (1,955)
                                                                                                                                                                                           (509,823)

 

*     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).

 

 

 

 

15. 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 2023      30 June 2022

 Short-term employee benefits  22,203            25,424
                               22,203            25,424

 

16. General and administrative expenses

 

                         For the three months ended 30 June            For the six months ended 30 June
                         2023                        2022              2023                      2022

 Wages and salaries      55,449                      32,979            107,211                   66,910
 Depreciation            8,181                       6,432             16,640                    12,915
 Amortisation            1,535                       1,008             3,089                     1,928
 Consulting fees         31,503                      17,184            68,354                    34,064
 Other expenses          31,189                      20,289            59,046                    48,375
 Total                   127,857                     77,892            254,340                   164,192

 

17. Net finance cost

 

                                                  For the three months ended 30 June            For the six months ended 30 June
                                                  2023                        2022              2023                      2022
 Finance income
 Interest income                                  14,907                      30,196            30,075                    75,443
 Net foreign exchange gain                        (7,161)                     8,244             102,159                   69,378
 Gain on hyperinflationary net monetary position  -                           4,807             -                         6,471
 Total finance income                             7,746                       43,247            132,234                   151,292

 Finance cost
 Bank charges                                     (2,975)                     (1,661)           (5,383)                   (8,805)
 Interest expense                                 (30,109)                    (29,426)          (70,496)                  (55,342)
 Total finance cost                               (33,084)                    (31,087)          (75,879)                  (64,147)
 Net finance (cost)/income                        (25,338)                    12,160            56,355                    87,145

 

 

 

 

18. 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
                                                                 2023                        2022              2023                      2022
 Current tax:
 Current period                                                  (46,432)                    (58,479)          (87,568)                  (159,839)
 Deferred tax:
 Deferred tax arising on undistributed reserves in subsidiaries  (11,097)                    6,672             (10,907)                  (48,553)
 Relating to origination and reversal of temporary differences   1,252                       (1,495)           81                        (2,124)
 Total Deferred tax expense                                      (9,845)                     5,177             (10,826)                  (50,677)
 Tax expense recognised in profit or loss                        (56,277)                    (53,302)          (98,394)                  (210,516)

 

C)        Deferred tax liabilities

Deferred tax relates to the following:

 

                                                 30 June 2023      31 December 2022

 Property, plant and equipment                   (33,890)          (35,804)
 Intangible assets                               (111,345)         (109,118)
 Undistributed reserves from Group subsidiaries  (187,779)         (176,871)
 Provisions and financial obligation             61                61
 Net deferred tax liabilities                    (332,953)         (321,732)

 

 

 

 

19. Financial instruments

 

The Group has reviewed the financial assets and liabilities held at 30 June
2023. 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.

 

20. Earnings per share

 

                                                      For the three months ended 30 June            For the six months ended 30 June
                                                      2023                        2022              2023                      2022

 Profit attributed to owners of the parent            50,681                      125,611           223,590                   422,220
 Weighted average number of ordinary shares in issue  600,000                     600,000           600,000                   600,000
 Basic and diluted earnings per share                 0.08                        0.21              0.37                      0.70

 

The Company has no potential diluted shares as at 30 June 2023 and 30 June
2022, therefore; the earnings per diluted share are equivalent to basic
earnings per share.

 

 

 

 

21. 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-Jun-23                   782,633       1,414         145,782        26,822          956,651

 30-Jun-22                   644,550       4,797         105,621        18,618          773,586

 

                                  Revenue by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30-Jun-23                        1,513,673     10,194        290,255        57,820          1,871,942

 30-Jun-22                        1,524,040     10,469        386,135        33,421          1,954,065

 

                             EBITDA by geographic location
 For the three months ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30-Jun-23                   208,915       (373)         32,670         (7,042)         234,170

 30-Jun-22                   226,684       (23)          16,478         (2,163)         240,976

 

                                  EBITDA by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30-Jun-23                        406,862       12,49         68,502         (15,065)        461,548

 30-Jun-22                        621,740       63            90,790         (3,332)         709,261

 

 

 

 

21. Segment reporting (continued)

 

                             Net profit / (loss) by geographic location
 For the three months ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30-Jun-23                   54,684        (435)         4,920          (16,505)        42,664

 30-Jun-22                   124,044       1,522         2,441          (3,088)         124,919

 

                                  Net profit / (loss) by geographic location
 For the six months period ended  Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30-Jun-23                        225,921       3,637         11,312         (29,820)        211,050

 30-Jun-22                        393,560       4,278         47,471         (6,257)         439,052

 

            Revenue by type               Net profit by type

            For the three months          For the three months

            ended 30 June                 ended 30 June

            2023         2022             2023         2022

 Pathology  894,756      736,467          79,465       147,694
 Radiology  61,895       37,119           (36,801)     (22,775)
            956,651      773,586          42,664       124,919

 

            Revenue by type                  Net profit by type
            For the six months               For the six months
                        ended 30 June        ended 30 June
            2023        2022                 2023        2022

 Pathology  1,751,192   1,885,271            287,805     477,718
 Radiology  120,750     68,794               (76,755)    (38,666)
            1,871,942   1,954,065            211,050     439,052

 

                   Non-current assets by geographic location
                   Egypt region  Sudan region  Jordan region  Nigeria region  Total

 30 June 2023      3,064,395     16,988        602,761        84,739          3,768,883

 31 December 2022  3,039,930     14,993        494,244        121,770         3,670,937

 

 

 

 

 

21. Segment reporting (continued)

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
                                             2023                2022                    2023                2022

 Profit from operations                      136,479             166,061                 265,289             562,423

 Property, plant and equipment depreciation  63,038              49,136                  126,755             95,184
 Right of use depreciation                   32,694              24,289                  65,632              48,215
 Amortization of Intangible assets           1,959               1,490                   3,872               3,439
 EBITDA                                      234,170             240,976                 461,548             709,261

 

22. Important events

 

On March 8, 2023, the Group completed the establishment of Medical Health
Development Company, a limited liability company based in Saudi Arabia with a
total stake of 51% directly and indirectly through one of the Group's
subsidiaries, where Integrated Diagnostics Holdings (IDH) owns 31% and Al
Makhbaryoun Al Arab LLC ("Biolab")-Jordan a subsidiary owns 20%. The company's
activity did not begin until the period ending June 30, 2023.

The Central Bank of Egypt increased the interest rate by 200 points, to reach
19.25% instead of 17.25%. This was by a decision of the Monetary Policy
Committee, according to the meeting held on March 30, 2023.

During April 2023, an armed conflict began in Sudan that led to security
unrest across the country. Business has been temporarily frozen in the
branches of the Sudan Laboratory Company and Ultra Lab until further notice,
which will greatly affect the profits of the geographical sector in the
subsequent period. There is no damage to the material assets to date. The
Group's management is closely monitoring the situation and is currently
evaluating the impact of these events on the Group's business results and
activities.

23. Subsequent event

The Central Bank of Egypt increased the interest rate by 100 points, to reach
20.25% instead of 19.25%. This was by a decision of the Monetary Policy
Committee, according to the meeting held on 6 August 2023.

This information is provided by RNS, the news service of the London Stock Exchange. RNS is approved by the Financial Conduct Authority to act as a Primary Information Provider in the United Kingdom. Terms and conditions relating to the use and distribution of this information may apply. For further information, please contact
rns@lseg.com (mailto:rns@lseg.com)
 or visit
www.rns.com (http://www.rns.com/)
.

RNS may use your IP address to confirm compliance with the terms and conditions, to analyse how you engage with the information contained in this communication, and to share such analysis on an anonymised basis with others as part of our commercial services. For further information about how RNS and the London Stock Exchange use the personal data you provide us, please see our
Privacy Policy (https://www.lseg.com/privacy-and-cookie-policy)
.   END  IR BCGDIXGXDGXG

Recent news on Integrated Diagnostics Holdings

See all news