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IDHC Integrated Diagnostics Holdings Plc

0.3155
-0.029 (-8.42%)
26 Apr 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Integrated Diagnostics Holdings Plc LSE:IDHC London Ordinary Share JE00BLKGSR75 ORD USD0.25
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -0.029 -8.42% 0.3155 0.31 0.321 0.34 0.32 0.34 67,704 16:35:05
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
0 0 N/A 0

Integrated Diagnostics Holdings PLC 3rd Quarter Results (6900G)

17/11/2022 7:00am

UK Regulatory


Integrated Diagnostics (LSE:IDHC)
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TIDMIDHC

RNS Number : 6900G

Integrated Diagnostics Holdings PLC

17 November 2022

Integrated Diagnostics Holdings Plc

3(rd) Quarter Results

Thursday, 17 November 2022

Integrated Diagnostics Holdings Plc reports sustained growth in non-Covid offering showcasing the fundamental strength and potential of the business

(Cairo and London) - Integrated Diagnostics Holdings ("IDH," "the Group," or "the Company"), a leading consumer healthcare company with operations in Egypt, Jordan, Sudan and Nigeria, released today its reviewed financial statements and operational performance for the nine-month period ended 30 September 2022, reporting revenue (compliant with IFRS) of EGP 2.8 billion. In line with the trend seen earlier in the year, IDH's conventional business (which includes IDH's full service roster excluding Covid-19-related tests) continued to showcase its underlying strength and potential, delivering a solid 14% year-on-year expansion, partially offsetting the expected decline in Covid-19-related(1) revenues for the nine-month period. Growth at IDH's conventional business (which made up 76% of total revenues) was supported by a solid 7% increase in test volumes, testament to the robust underlying demand for the Company's conventional test portfolio. Likewise, on a quarterly basis, conventional revenues expanded 17% year-on-year and 12% quarter-on-quarter in Q3 2022, making it the strongest three-month period performance ever recorded by the Group's conventional offering. Meanwhile, consolidated revenue for the third quarter stood at EGP 846 million, with the Group recording a net loss of EGP 36 million in Q3 2022. It is important to note that controlling for the losses resulting from transactions completed by the Company to secure the USD balance needed to fulfil its FY2021 dividend obligations to shareholders, the Group would have recorded a net profit of EGP 544 million in 9M 2022 and EGP 105 million in Q3 2022.

It is worth highlighting that while the table below presents IDH's nine-month performance compliant with IFRS, throughout the release the Company has opted to utilise Alternative Performance Measures as outlined in the following section.

Financial Results (IFRS)

 
  EGP mn                          9M 2021    9M 2022    Change 
==============================  =========  =========  ======== 
 Revenues                           3,767      2,800      -26% 
------------------------------  ---------  ---------  -------- 
    Conventional Revenues           1,855      2,123       14% 
------------------------------  ---------  ---------  -------- 
    Covid-19-related Revenues       1,911        678      -65% 
------------------------------  ---------  ---------  -------- 
 Cost of Sales                    (1,600)    (1,619)        1% 
------------------------------  ---------  ---------  -------- 
 Gross Profit                       2,167      1,182      -45% 
------------------------------  ---------  ---------  -------- 
 Gross Profit Margin                  58%        42%       15% 
------------------------------  ---------  ---------  -------- 
 Operating Profit                   1,823        749      -59% 
------------------------------  ---------  ---------  -------- 
 EBITDA 2                           1,992        974      -51% 
------------------------------  ---------  ---------  -------- 
 EBITDA Margin                        53%        35%       18% 
------------------------------  ---------  ---------  -------- 
 Net Profit                         1,148        403      -65% 
------------------------------  ---------  ---------  -------- 
 Net Profit Margin                    30%        14%       16% 
------------------------------  ---------  ---------  -------- 
 Cash Balance                       2,350        694      -70% 
------------------------------  ---------  ---------  -------- 
 

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 3

 
                                              9M 2021         9M 2022          Change 
====================================  ===============  ==============  ============== 
 Branches                                         507             546              39 
-----------------------------------------  ----------  --------------  -------------- 
 Patients ('000)                                7,480           6,633            -11% 
-----------------------------------------  ----------  --------------  -------------- 
 Net Sales per Patient (EGP)                      504             413            -18% 
-----------------------------------------  ----------  --------------  -------------- 
 Tests ('000)                                  24,960          24,359             -2% 
-----------------------------------------  ----------  --------------  -------------- 
  Conventional Tests ('000)                    21,194          22,728              7% 
-----------------------------------------  ----------  --------------  -------------- 
  Covid-19-related Tests ('000)                 3,766           1,631            -57% 
-----------------------------------------  ----------  --------------  -------------- 
 Net Sales per Test (EGP)                         151             112            -26% 
-----------------------------------------  ----------  --------------  -------------- 
  Net Sales per Conventional 
   Test (EGP)                                      88              93              7% 
-----------------------------------------  ----------  --------------  -------------- 
  Net Sales per Core Covid-19 
   Test (EGP)                                     949             497            -48% 
-----------------------------------------  ----------  --------------  -------------- 
  Net Sales per Other Covid-19-related 
   Test (EGP)                                     154             140             -9% 
-----------------------------------------  ----------  --------------  -------------- 
 Test per Patient                                 3.3             3.7             10% 
------------------------------------  ---------------  --------------  -------------- 
 
 

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

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

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

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

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

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

In an effort to present an accurate picture of IDH's performance for the nine-month period ended 30 September 2022, throughout the report management utilizes net sales of EGP 2,737 million for 9M 2022 (IFRS revenues stand at EGP 2,800 million for the nine-month period). Net sales for the nine-month period ended 30 September 2022 are calculated as total gross revenues excluding concession fees and sales taxes paid as part of Biolab's revenue sharing agreements with QAIA and Aqaba Port.

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

Adjustments Breakdown

 
  EGP mn                                          9M 2022 
===============================================  ======== 
 Net Sales                                          2,737 
-----------------------------------------------  -------- 
 QAIA and Aqaba Port Concession Fees                   63 
-----------------------------------------------  -------- 
 Revenues (IFRS)                                    2,800 
-----------------------------------------------  -------- 
 Cost of Net Sales                                (1,556) 
-----------------------------------------------  -------- 
 Adjustment for QAIA and Aqaba Port Agreements       (63) 
-----------------------------------------------  -------- 
 Cost of Sales (IFRS)                             (1,619) 
 

Adjustments by Country

 
   EGP mn    9M 2022    9M 2022 
              (IFRS)      (APM) 
==========  ========  ========= 
 Egypt         2,235      2,235 
----------  --------  --------- 
 Jordan          496        432 
----------  --------  --------- 
 Sudan            15         15 
----------  --------  --------- 
 Nigeria          55         55 
----------  --------  --------- 
 Total         2,800      2,737 
 

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

Financial Results (APM)

 
                                        IFRS                             APM 
=========================  ==============================  ============================== 
  EGP mn                     9M 2021    9M 2022    Change    9M 2021    9M 2022    Change 
=========================  =========  =========  ========  =========  =========  ======== 
 Net Sales                     3,767      2,800      -26%      3,767      2,737      -27% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
  Conventional Net Sales       1,855      2,123       14%      1,855      2,123       14% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
  Covid-19-related Net 
   Sales                       1,911        678      -65%      1,911        614      -68% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Cost of Net Sales           (1,600)    (1,619)        1%    (1,600)    (1,556)       -3% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Gross Profit                  2,167      1,182      -45%      2,167      1,182      -45% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Gross Profit Margin(4)          58%        42%       15%        58%        43%       14% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Operating Profit              1,823        749      -59%      1,823        749      -59% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 EBITDA 5                      1,992        974      -51%      1,992        974      -51% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 EBITDA Margin (4)               53%        35%       18%        53%        36%       17% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Net Profit                    1,148        403      -65%      1,148        403      -65% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Net Profit Margin (4)           30%        14%       16%        30%        15%       16% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 Cash Balance                  2,350        694      -70%      2,350        694      -70% 
-------------------------  ---------  ---------  --------  ---------  ---------  -------- 
 

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

4 Gross profit, EBITDA, and net profit margins are calculated on net sales for APM in both periods.

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

Introduction

   i.    Financial Highlights 

-- Conventional net sales (78% of consolidated net sales in 9M 2022), which encompass IDH's full service roster excluding Covid-19-related tests, continued their steady expansion as patients' behaviours continued to normalise following the Covid-19-related slowdown in 2020 and 2021. In 9M 2022, conventional net sales recorded EGP 2,123 million expanding 14% year-on-year and continuing to support consolidated net sales for the period. The solid year-on-year expansion came on the back of a 7% year-on-year increase in both conventional tests performed and average revenue per conventional test. Similarly, on a quarterly basis, conventional net sales increased 17% year-on-year and 12% quarter-on-quarter to record EGP 784 million. The impressive result, which was supported by a 9% year-on-year and an 11% quarter-on-quarter increase in test volumes.

-- Meanwhile, in line with the Company's expectation, IDH's Covid-19-related 6 net sales (22% of consolidated net sales in 9M 2022) recorded EGP 614 million for the nine-month period, down significantly from the EGP 1,911 million recorded in 9M 2021. On a quarterly basis, Covid-19-related net sales declined 92% year-on-year and 16% quarter-on-quarter recording EGP 63 million for Q3 2022. Lower Covid-19-related net sales on a year-to-date and quarterly basis came on the back of a widespread decline in infection rates, the lifting of mandatory testing for international passengers, and declining average test prices.

-- Consolidated Net Sales recorded EGP 2,737 million in 9M 2022, 27% below last year's figure in part reflecting the exceptionally high base resulting from the large contribution made by the Group's Covid-19-related offering during 9M 2021. On a quarterly basis, consolidated net sales contracted 43% year-on-year to EGP 846 million in Q3 2022.

-- Gross Profit recorded EGP 1,182 million in 9M 2022, a 45% year-on-year decline. Gross profit margin on net sales normalised to record 43% versus 58% in 9M 2021. Lower gross profitability comes primarily on the back of a significant fall in Covid-19-related revenues during the nine-month period as demand and average prices contracted significantly. It is worth noting that the fall in demand was most evident in the second and third quarters while the year-on-year decline in average prices was most evident throughout the first quarter. The contraction in gross profitability also partially reflects year-on-year increases in direct salaries and wages (related to additional staff employed IDH's new branches and to an annual staff salary increase), and in cleaning and maintenance expenses related to the new facility management model with upgraded standards along with the roll out of the 39 new branches. Similar trends were seen on a quarterly basis, with gross profit contracting on the back of the substantial decline in Covid-19-related revenues (Q3 2021 saw the Group record the largest Covid-19-related revenue figure since the launch of the service). More specifically, the Company recorded a gross profit of EGP 350 million in Q3 2021, down 59% year-on-year. Gross profit margin on net sales normalised to record 41%, down from the 58% margin recorded in Q3 2021, but up three percentage points versus Q2 2022. It should be noted that raw material as a percentage of revenue witnessed an increase of 1% following the sustained devaluation of the Egyptian pound which started in March 2022.

-- EBITDA7 recorded EGP 974 million in 9M 2022, down 51% versus 9M 2021. EBITDA margin on net sales stood at 36% compared to 53% last year. Lower EBITDA profitability reflects both lower gross profitability and a broad-based increase in SG&A outlays, mainly related to IDH's marketing activities. On a quarterly basis, EBITDA stood at EGP 265 million in Q3 2022, down 66% year-on-year and with an associated margin of 31%. It is worth highlighting that IDH's EBITDA in the third quarter was partially weighed down by higher accounting fees, higher operational expenses related to newly rolled out branches, higher marketing expenses, as well as increased expenses related to the recently launched loyalty program.

-- Net Profit recorded EGP 403 million in 9M 2022, down 65% year-on-year and with an associated margin on net sales of 15% for the period. On a three-month basis, IDH recorded a net loss of EGP 36 million. Meanwhile, excluding losses resulting from transactions completed by the Company to secure the USD needed to fulfil its FY 2021 dividend obligations, the Group would have recorded net profit of EGP 544 million in 9M 2022 and EGP 105 million in Q3 2022, with associated margins on net sales of 20% and 12%.

6 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.

7 EBITDA is calculated as operating profit plus depreciation and amortization.

ii. Operational Highlights

-- IDH's branch network reached 546 branches as at 30 September 2022, up from 507 branches as at 30 September 2021 and 502 branches at year-end 2021.

-- Conventional tests performed (which includes IDH's full service roster excluding Covid-19-related testing), which made up the lion share of total tests in 9M 2022, recorded 22.7 million, up a robust 7% versus last year. This largely compensated for a 57% year-on-year decline in Covid-19-related tests performed. As such total test volumes fell just 2% year-on-year to record 24.4 million in 9M 2022.

-- Average revenue per test8 recorded EGP 112 in 9M 2022, a 26% year-on-year decline driven by lower average revenue per Covid-19-related(9) tests (down 26% year-on-year in 9M 2022). On the other hand, average revenue per conventional test increased 7% year-on-year in 9M 2022 to record EGP 93.

-- Total patients served decreased 11% year-on-year standing at 6.6 million for 9M 2022. Meanwhile, average test per patient improved significantly to record 3.7 in 9M 2022 from 3.3 in 9M 2021 with the increase reflecting the simultaneous decline in Covid-19-realted patients (which typically visited branches from single Covid-19 testing) and the sustained rise in conventional patients (who typically request more tests per visit).

-- The Company's Egyptian operations recorded a robust 13% year-on-year increase in conventional revenues (81% of Egypt's total revenues) supported by an 8% rise in test volumes and a 5% rise in average revenue per conventional tests. This offset in part the expected decline in Covid-19-related revenues, with the segment reporting revenue of EGP 432 million for the nine-month period, down 72% year-on-year as demand for Covid-19-related testing subsided starting March 2022. Egypt's revenues were also supported by an 18% contribution from the Group's house call services. Overall, IDH recorded revenue in its home and largest market of EGP 2,235 million in 9M 2022 (81.7% share of consolidated net sales), a 28% year-on-year contraction.

-- Al-Borg Scan recorded revenues of EGP 58 million, representing an impressive 87% year-on-year increase. Revenue growth came on the back of an 83% and 86% year-on-year increase in test and patient volumes, respectively. Growing volumes in the first nine months of the year have been supported by new branch rollouts (+3 in the twelve months to 30 September 2022). Building on this, IDH launched the venture's sixth branch in October 2022. In parallel, the Company obtained ACR (American College of Radiology) accreditation for both the venture's nuclear medicine (NucMed) and ultrasound units.

-- Wayak recorded consolidated revenues of EGP 13.7 million in 9M 2022, up significantly from the EGP 3.2 million recorded in the same period of last year. Strong top-line growth was supported by a 36% year-on-year rise in delivery orders which reached 94 thousand in 9M 2022. Combined with management's continued cost optimisation efforts, this is driving a steady narrowing of the venture's consolidated EBITDA losses, which reached an all-time low in the month of September 2022. More specifically, EBITDA losses contracted to EGP 2.78 million in 9M 2022 from EGP 4.56 million in 9M 2021.

-- In Jordan, Biolab recorded an 18% year-on-year rise in conventional net sales, partially offsetting a 52% contraction in Covid-19-related net sales during 9M 2022. This saw total net sales in Jordan (15.8% share of consolidated net sales), record EGP 432 million (IFRS revenues1(0) recorded EGP 496 million in 9M 2022), representing a 27% year-on-year decline from last year's figure.

-- IDH's Nigerian operations (2.0% share of consolidated net sales) recorded revenues of EGP 55 million in 9M 2022, up 36% from the same nine months of 2021. Top-line growth was supported by a 36% year-on-year rise in average revenue per test reflecting the rising demand for the generally higher-priced MRI and CT testing. It is worth highlighting that excluding the two branches which were closed down earlier this year, revenue and test volumes would be up 40% and 24% year-on-year, respectively.

-- In Sudan (0.5% share of consolidated net sales) , IDH recorded a remarkable 21% year-on-year increase in revenues during 9M 2022 supported by a 52% increase in average revenue per test. Meanwhile, in local currency terms, IDH's Sudanese operations recorded a 98% year-on-year increase in revenue.

8 Calculated on net sales for the period.

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

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

iii. Management Commentary

Commenting on the Group's performance, IDH Chief Executive Officer Dr. Hend El-Sherbini said: "As we near the end of 2022, I am happy to report yet another strong set of operational and financial figures which continue to highlight the strength of our business and its potential going forward. In fact, mid-way through the final quarter of the year, we remain well on track to record double-digit full-year growth, a remarkable achievement in light of the difficult macroeconomic environment faced across our markets and more generally across the world. More specifically, in recent months we have had to confront significant currency devaluations in three of our four markets with the subsequent spike in inflation rates eating at patients' purchasing power. Despite this, we have continued to record robust double-digit growth in our conventional business (which includes our full service roster excluding Covid-19-related testing) across all four markets, backed by healthy volume growth. During the nine-month period ended 30 September 2022, we witnessed 14% year-on-year growth in conventional revenues, on the back of a 7% rise in the number of conventional tests performed. This sees our conventional revenues and test volumes currently stand an impressive 33% and 18% above levels recorded in the same nine-months of 2019 (prior to Covid-19), further evidence that our growth strategy over the last three years has delivered the desired results. Strong growth in conventional revenues continues to help offset the expected drop in Covid-19-related revenues as infection rates subsided starting March 2022. We also witnessed a robust improvement in our testing per patient metric, displaying both the rising contribution of our conventional business (which is generally associated with higher testing per patient), and the effectiveness of our newly rolled out loyalty programmes.

We were particularly pleased with the performance reported by our home and largest market of Egypt, which recorded a 13% year-on-year increase in conventional revenues. Growth was even more remarkable on a quarterly basis with conventional revenues recording 16% year-on-year and 12% quarter-on-quarter growth during Q3 2022. In both periods, top-line growth was supported by robust increases in test volumes, a noteworthy achievement considering the inflationary pressures faced by patients in the market. Here it is worth mentioning that thanks to our solid financial position, which sees us consistently record EBITDA margins well ahead of industry averages, we continue to provide patients with protection and support during the ongoing challenging period. In fact, despite the more than 50% depreciation in the EGP since March 2022, we have refrained from passing on the burden to our patients through price increases during the past months. While this decision has put some additional pressure on our margins in the short-term, we are confident that our experience in successfully navigating similar situations will enable us to drive margins back up to our historical averages once the current challenges subside and create long term value. Elsewhere across our footprint, we recorded similar trends in Jordan, with Biolab reporting solid growth in its conventional business on both a year-to-date and quarterly basis. In Nigeria, despite the unprecedented surge in Diesel prices, Echo-Lab, maintained its strong trajectory when controlling for the branch closures that weighed on the venture's results in the first part of the year. Finally, in Sudan we were very pleased to record positive top-line growth for the second quarter in a row.

Despite the short-term challenges currently faced by the business, we remain optimistic on its long-term growth prospects, and have continued to invest to deliver on our long-term growth strategy. Since the start of the year, we have rolled out 44 new branches further expanding our on-the-ground presence across multiple new strategic locations. We have also continued to invest in the ramp up of our Egyptian radiology venture, Al-Borg Scan, and over the last twelve months we have more than doubled the number of Al-Borg Scan branches to cover all of Greater Cairo. In parallel, we recently obtained ACR accreditation for both the venture's nuclear medicine and ultrasound units, making Al-Borg Scan the sole radiology center in Africa to boast this prestigious certification. Across both our pathology and radiology branches, we have also continued to invest in enhancing the quality of the services offered as well as the look and feel of the branches. In parallel, we have also launched several loyalty programs tailored to our different patient segments. Meanwhile, investments to enhance our house call capabilities are continuing to pay off, with the service's contribution standing well above pre-Covid-19 averages, and the convenience it offers to patients enabling us to tap into previously underpenetrated segments of the market. At the same time, we have also been actively working to expand out footprint and penetrate new geographies. On this front, I am delighted to report that a few weeks ago we announced the signing of a joint venture agreement with Biolab and Izhoor Holding, a company owned by Fawaz Alhokair, to launch a new full-fledged pathology diagnostic services provider in Saudi Arabia. This deal is directly in line with our long-term regional expansion strategy which sees us target high-growth markets where our operational model and proven expertise are well-suited to deliver high-quality care to as many patients as possible. The new venture will be operated by the Biolab team and will benefit from the complementary strengths and experiences brought by IDH and our partners.

The recent devaluation of the EGP, following the Central Bank's decision to move towards a durably flexible exchange rate, has seen the overall value lost against the dollar since March of this year reach 55%. With this move, which we expect to benefit the country in the long-term, come a new set of short-term challenges for both businesses and consumers. Nonetheless, we are confident that strong fundamentals across our markets of operation will continue to support the growth outlook for both the diagnostic industry and our business. Going forward, our trusted brands, strong supplier relationships, growing patient reach and flexible business model will continue to be our greatest strengths as we work to deliver on our growth targets and preserve our margins in the midst of an evolving macroeconomic backdrop. With all this in mind, despite the current macroeconomic challenges, we continue to target double-digit full-year conventional revenue growth, largely in line with our full-year guidance prior to recent macro developments. It is worth noting that these estimates assume no additional contributions from our Covid-19-related offering which, as expected, has witnessed a sharp decline in demand starting March of this year."

- End -

Analyst and Investor Call Details

An analyst and investor call will be hosted at 1pm (UK) | 3pm (Egypt) on Monday, 21 November 2022. You can register for the call by clicking on this link , and you may dial in using the conference call details below:

   --      Webinar ID: 917 8531 3568 
   --      Webinar Passcode: 146259 

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

About Integrated Diagnostics Holdings (IDH)

IDH is a leading consumer healthcare company in the Middle East and Africa with operations in Egypt, Jordan, Sudan and Nigeria. The Group's core brands include Al Borg, Al Borg Scan and Al Mokhtabar in Egypt, as well as Biolab (Jordan), Ultralab and Al Mokhtabar Sudan (both in Sudan) and Echo-Lab (Nigeria). A long track record for quality and safety has earned the Company a trusted reputation, as well as internationally recognised accreditations for its portfolio of over 2,000 diagnostics tests. From its base of 546 branches as of 30 September 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

Forward-Looking Statements

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

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

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

Group Operational & Financial Review

   i.     Revenue/Net Sales and Cost Analysis 
 
 Revenue/Net Sales 
  Consolidated Analysis 
  In line with trends seen earlier in the year, IDH's conventional business 
  continued to record robust growth on both a quarterly and year-to-date 
  basis, supported by higher test volumes and average revenue per test. 
  It is worth highlighting that IDH's conventional business posted strong 
  16% year-on-year and 12% quarter-on-quarter growth in Q3 2022. 
 
  At the same time, in line with expectations, the Company continued to 
  record a rapid decline in its Covid-19-related1 (1) revenue across both 
  its home market of Egypt and Jordan as demand for Covid-19-related testing 
  declined further on the back of lower infection rates and the lifting 
  of mandatory testing. 
 
  On a consolidated basis, IDH recorded total revenue of EGP 2,800 million 
  in the nine months ended 30 September 2022, down 26% year-on-year. Consolidated 
  net sales1 (2) recorded EGP 2,737 million, 27% below the value recorded 
  in the comparable period of last year which had been boosted by strong 
  contributions from the Group's Covid-19-related offering. On a three-month 
  basis, consolidated net sales recorded EGP 846 million, down 43% versus 
  Q3 2021, but a solid 9% above net sales in Q2 2022 when traffic had 
  been partially impacted by the holy month of Ramadan and Eid vacation. 
  The decline in revenue and net sales on both a year-to-date and quarterly 
  basis also partially reflects the exceptionally high base resulting 
  from the large contribution made by the Group's Covid-19-related offering 
  during 9M 2021. 
 

Detailed Consolidated Performance Breakdown

The table presents Alternative Performance Measures (APM) for each period (further information available earlier in the release)

 
                              Q1      Q1             Q2      Q2             Q3      Q3             9M      9M 
                            2021    2022      %    2021    2022      %    2021    2022      %    2021    2022      % 
------------------------  ------  ------  -----  ------  ------  -----  ------  ------  -----  ------  ------  ----- 
 Total net sales 
  (EGP mn)                 1,130   1,117    -1%   1,164     774   -34%   1,473     846   -43%   3,767   2,737   -27% 
 Total tests (mn)            8.1     8.4     4%     8.3     7.6    -8%     8.6     8.3    -3%    25.0    24.4    -2% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
 Conventional test 
  net sales (EGP 
  mn)                        594     640     8%     594     699    18%     667     784    17%   1,855   2,123    14% 
 Conventional tests 
  performed (mn)             6.8     7.1     5%     6.9     7.4     7%     7.5     8.2     9%    21.2    22.7     7% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
 Total Covid-19-related 
  test net sales 
  (EGP mn)                   536     477   -11%     569      75   -87%     806      63   -92%   1,911     614   -68% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
  Core Covid-19 
   tests (PCR, Antigen, 
   Antibody) (EGP 
   mn)                       399     421     6%     431      62   -86%     760      54   -93%   1,590     537   -66% 
  Core Covid-19 
   tests performed 
   (k)                       407     837   106%     387     109   -72%     882     135   -85%   1,676   1,081   -36% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
  Other Covid-19-related 
   tests (EGP mn)            137      56   -59%     138      13   -91%      47       9   -81%     321      77   -76% 
  Other Covid-19-related 
   tests performed 
   (k)                       874     417   -52%     933      95   -90%     284      39   -86%   2,091     550   -74% 
------------------------  ------  ------  -----  ------  ------  -----  ------  ------  -----  ------  ------  ----- 
                                        Contribution to Consolidated Results 
 Conventional test 
  net sales                  53%     57%            51%     90%            45%     93%            49%     78% 
 Conventional tests 
  performed                  84%     85%            84%     97%            87%     98%            85%     93% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
 Total Covid-19-related 
  tests                      47%     43%            49%     10%            55%      7%            51%     22% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
  Core Covid-19 
   tests (PCR, Antigen, 
   Antibody)                 35%     38%            37%      8%            52%      6%            42%     20% 
  Core Covid-19 
   tests performed            5%     10%             5%      1%            10%      2%             7%      4% 
========================  ======  ======  =====  ======  ======  =====  ======  ======  =====  ======  ======  ===== 
  Other Covid-19-related 
   tests                     12%      5%            12%      2%             3%      1%             9%      3% 
  Other Covid-19-related 
   tests performed           11%      5%            11%      1%             3%    0.5%             8%      2% 
 
   11 Covid-19-related tests include both core Covid-19 tests (Polymerase 
   Chain Reaction (PCR), Antigen, and Antibody) as well as other routine 
   inflammatory and clotting markers including, but not limited to, Complete 
   Blood Picture, Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin 
   and C-reactive Protein (CRP), which the Company opted to include in 
   the classification as "other Covid-19-related tests" due to the strong 
   rise in demand for these tests witnessed following the outbreak of Covid-19. 
   12 A reconciliation between revenue and net sales is available earlier 
   in this announcement. 
 
   Net Sales Analysis: Contribution by Patient Segment 
 
   Contract Segment (58% of total net sales) 
   Conventional revenues at IDH's contract segment (82% of total contract 
   net sales) posted strong year-on-year growth of 26% in 9M 2022 supported 
   by a 12% increase in volumes. During the period, volumes were boosted 
   by several initiatives conducted by management including the introduction 
   of a new loyalty program that was not previously activated for contract 
   segment patients. It is worth highlighting that supported by the new 
   loyalty programme, test per patient at the segment reached its highest-ever 
   level in 9M 2022. However, the sharp 74% year-on-year contraction in 
   Covid-19-related1 (3) revenues (18% of consolidated contract revenues) 
   generated by the Group's contract segment saw total revenue at the segment 
   (identical in value to net sales for the period) decline 26% versus 
   the same nine months of last year. 
 
   Walk-in Segment (42% of total net sales) 
   Meanwhile, at the Group's walk-in segment, conventional revenue (72% 
   of total walk-in net sales) came in largely unchanged from the same 
   period a year before as a contraction in tests performed was offset 
   by a rise in the average revenue per test. Similar to the contract segment, 
   during the nine-month period Covid-19-related net sales (28% of total 
   walk-in net sales) contracted sharply, falling 59% versus 9M 2021 (revenue1 
   (4) declined 51% year-on-year). As such, total revenue at the walk-in 
   segment declined 25% year-on-year, while total net sales were down 29% 
   versus 9M 2021. 
 
   It is worth noting that results posted by the walk-in in the nine months 
   to 30 September 2022 were bolstered by contributions of EGP 140 million 
   coming from by Biolab's partnership with Queen Alia International Airport 
   (QAIA). However, f ollowing the decision by Jordanian authorities on 
   1 March 2022 to end mandatory testing, Biolab's booths recorded sharp 
   declines in patient traffic and operations at the booths were terminated 
   starting in the second quarter of 2022. 
 

Key Performance Indicators

The table presents Alternative Performance Measures (APM) for each period (further information available earlier in the release)

 
                               Walk-in Segment           Contract Segment                   Total 
=========================  =======================  =========================  ============================== 
                             9M21    9M22   Change     9M21     9M22   Change     9M21     9M22        Change 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ============ 
 Net sales (EGP mn)         1,619   1,153     -29%    2,148    1,584     -26%    3,767    2,737          -27% 
  Conventional net 
   sales (EGP mn)             828     830     0.2%    1,027    1,293      26%    1,855    2,123           14% 
  Total Covid-19-related 
   net sales (EGP mn)         791     323     -59%    1,120      291     -74%    1,911      614          -68% 
 Patients ('000)            2,488   2,112     -15%    4,992    4,522      -9%    7,480    6,633          -11% 
 % of Patients                33%     32%               67%      68% 
 Net sales per Patient 
  (EGP)                       651     546     -16%      430      350     -19%      504      413          -18% 
-------------------------  ------  ------  -------  -------  -------  -------  -------  -------  ------------ 
 Tests ('("000)            6,491   5,712     -12%   18,469   18,648       1%   24,960   24,359           -2% 
 % of Tests                   26%     23%               74%      77% 
  Conventional tests 
   ('000)                   5,282   4,891      -7%   15,911   17,837      12%   21,194   22,728            7% 
  Total Covid-19-related 
   tests ('000)             1,209     821     -32%    2,558      810     -68%    3,766    1,631          -57% 
 Net Sales per Test 
  (EGP)                       249     202     -19%      116       85     -27%      151      112          -26% 
 Test per Patient             2.6     2.7       4%      3.7      4.1      11%      3.3      3.7           10% 
-------------------------  ------  ------  -------  -------  -------  -------  -------  -------  ------------ 
 
   1 (3) Covid-19-related tests include both core Covid-19 tests (Polymerase 
   Chain Reaction (PCR), Antigen, and Antibody) as well as other routine 
   inflammatory and clotting markers including, but not limited to, Complete 
   Blood Picture, Erythrocyte Sedimentation Rate (ESR), D-Dimer, Ferritin 
   and C-reactive Protein (CRP), which the Company opted to include in 
   the classification as "other Covid-19-related tests" due to the strong 
   rise in demand for these tests witnessed following the outbreak of Covid-19. 
   14 A reconciliation between revenue and net sales is available earlier 
   in this announcement. 
 
   Revenue Analysis: Contribution by Geography 
 
   Egypt (81.7% of net sales) 1 (5) 
   IDH's Egyptian operations recorded solid year-on-year growth at its 
   conventional segment, on the back of both higher test volumes and average 
   revenue per test. Meanwhile, in line with recent trends and management's 
   expectations, revenue generated by the Group's Covid-19-related offering 
   in the country continued its rapid decline. This in part reflected lower 
   demand for the offering as infection rates in the country decreased 
   and mandatory testing was lifted. In parallel, lower revenues also came 
   on the back of a further decline in the average price of Covid-19-related 
   testing. For example, during 9M 2022 IDH performed 52% less PCR tests 
   than a year prior, and recorded a 46% decline in the average revenue 
   per PCR test versus 9M 2021. 
 
   On a quarterly basis, IDH recorded a very similar trend, with revenues 
   generated from its conventional offering growing 16% year-on-year and 
   12% quarter-on-quarter during Q3 2022. Meanwhile, revenues from IDH's 
   Covid-19-related offering contracted by 92% versus the same three months 
   of 2021 on the back of both lower volumes and prices. 
 
   Al-Borg Scan 
   IDH's fast-growing radiology venture, which remains in its ramp up phase, 
   continued to deliver impressive results with revenues expanding 87% 
   year-on-year to reach EGP 58 million in 9M 2022. Revenue growth was 
   supported by an 83% year-on-year rise in radiology exams performed (with 
   patients served up 86% versus 9M 2021). Strong volume growth has been 
   supported by the roll out of three new branches over the last twelve 
   months. Building on this, IDH completed the roll out of a sixth branch 
   in early October 2022. In parallel, the Group successfully obtained 
   ACR (American College of Radiology) accreditation for both the venture's 
   nuclear medicine (NucMed) and ultrasound units, making Al-Borg Scan 
   the first radiology centre in Africa, and one of the only radiology 
   facilities in the Middle East, to boast this prestigious certification. 
   It is worth highlighting that management launched an aggressive marketing 
   campaign to support the opening of Al Borg-scan new branches opened 
   during the last six months. 
 
 

Detailed Egypt Revenue Breakdown

The table presents Alternative Performance Measures (APM) for each period (further information available earlier in the release)

 
                               Q1      Q1             Q2      Q2             Q3      Q3             9M      9M 
 EGP mn                      2021    2022    %      2022    2022    %      2021    2022    %      2021    2022    % 
-------------------------  ------  ------  -----  ------  ------  -----  ------  ------  -----  ------  ------  ----- 
 Total Revenue                920     879    -4%   1,015     645   -36%   1,187     711   -40%   3,122   2,235   -28% 
 Conventional Revenue         507     549     8%     510     591    16%     573     662    16%   1,590   1,803    13% 
 Total Covid-19-related 
  Revenue                     414     330   -20%     504      53   -89%     614      49   -92%   1,531     432   -72% 
  Core Covid-19 
   tests (PCR, Antigen, 
   Antibody)                  277     274    -1%     366      41   -89%     567      40   -93%   1,210     355   -71% 
  Other Covid-19-related 
   tests                      137      56   -59%     138      13   -91%      47       9   -81%     321      77   -76% 
-------------------------  ------  ------  -----  ------  ------  -----  ------  ------  -----  ------  ------  ----- 
                                         Contribution to Consolidated Results 
 Conventional tests           55%     62%            50%     92%            48%     93%            51%     81% 
 Total Covid-19-related 
  tests                       45%     38%            50%      8%            52%      7%            49%     19% 
  Core Covid-19 
   tests (PCR, Antigen, 
   Antibody)                  30%     31%            36%      6%            48%      6%            39%     16% 
  Other Covid-19-related 
   tests                      15%      6%            14%      2%             4%      1%            10%      3% 
 

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

 
 Jordan (15.8% of net sales) 
  During the nine-month period, net sales generated by Biolab's conventional 
  testing offering expanded a solid 18% versus the previous year, with 
  the segment making up the larger share of total net sales for the period. 
  Meanwhile, Covid-19-related net sales continued their decline as infection 
  rates decreased, mandatory testing was lifted, and average pricing declined. 
  As such, IDH recorded revenue of EGP 496 million in 9M 2022 in Jordan, 
  down 16% from the same period of last year. Net sales1 (6) stood at 
  EGP 432 million, down 27% from 9M 2021. 
 
  During the nine-month period, Covid-19-related net sales in Jordan were 
  supported by contributions of EGP 140 million from Biolab's partnership 
  with QAIA. The stations recorded strong demand in January and February 
  before witnessing a sharp decline in traffic following the end of mandatory 
  testing in the country. All three agreements were terminated starting 
  in the second quarter of this year. 
 
  During the third quarter, Biolab recorded revenue (net sales were identical 
  for the quarter) of EGP 109 million, down 59% year-on-year. The decline 
  versus last year came wholly on the back of lower Covid-19-related revenues 
  for the quarter, with Biolab's conventional offering recording an impressive 
  25% year-on-year rise in revenues for Q3 2022. 
 

Detailed Jordan Net Sales Breakdown

The table presents Alternative Performance Measures (APM) for each period (further information available earlier in the release)

 
                        Q1      Q1            Q2      Q2             Q3      Q3             9M      9M 
 EGP mn               2021    2022     %    2021    2022      %    2021    2022      %    2021    2022               % 
------------------  ------  ------  ----  ------  ------  -----  ------  ------  -----  ------  ------  -------------- 
 Total Net Sales       190     217   14%     134     106   -21%     269     109   -59%     592     432            -27% 
 Conventional Net 
  Sales                 68      70    4%      68      84    23%      76      95    25%     213     250             18% 
 Total 
  Covid-19-related 
  Net Sales (PCR 
  and Antibody)        122     147   20%      65      21   -67%     192      14   -93%     380     182            -52% 
 Conventional Net 
  Sales                36%     32%           51%     80%            28%     87%            36%     58% 
 Total 
  Covid-19-related 
  Net Sales (PCR 
  and Antibody)        64%     68%           49%     20%            71%     13%            64%     42% 
 
   (16) Biolab's net sales for the period are calculated as revenues excluding 
   concession fees paid to QAIA and Aqaba Port as part of their revenue 
   sharing agreement. 
 
   Nigeria (2.0% of net sales) 
   Echo-Lab, the Group's Nigerian subsidiary, recorded revenue of EGP 55 
   million in 9M 2022, representing a 36% year-on-year expansion. In local 
   currency terms, revenue was up 23% year-on-year supported by a 36% increase 
   in the average revenue per test for the nine-month period. The increase 
   in part reflects rising demand for the generally higher-priced CT and 
   MRI exams during the period. It is important to note that during Q4 
   2021 management decided to shut down its operational activities in the 
   PPP branches due to their under-performance on the profitability level. 
   This subsequently weighed on tests volumes for the first part of 2022, 
   with tests performed coming in flat year-on-year and patient volumes 
   declining 6% versus last year. Controlling for the branch closures, 
   Echo-Lab would record a 24% year-on-year increase in tests performed 
   and a 40% year-on-year rise in revenues in 9M 2022 in part boosted by 
   two new branch roll outs completed during the second quarter of the 
   year. Following the two additions, Echo-Lab's network now stands at 
   12 operational branches. 
 
   During Q3 2022, IDH's Nigeria operations recorded revenue growth of 
   43% on the back of a 2% year-on-year increase in tests performed and 
   a 40% rise in average revenue per test during the quarter. 
 
   Sudan (0.5% of net sales) 
   IDH's Sudanese operations reported revenues of EGP 15 million, 21% above 
   the revenue figure recorded in the same nine months of last year. Top-line 
   growth reflected a 52% year-on-year expansion in the average revenue 
   per test during the period. In local currency terms, revenue expanded 
   a solid 98% year-on-year during the nine-month period. 
 
   In the third quarter of the year, IDH recorded revenue growth in EGP 
   terms of 48% in Sudan supported by an 89% year-on-year increase in the 
   average revenue per test for the quarter. 
 
 

Net Sales Contribution by Country

The table presents Alternative Performance Measures (APM) for each period (further information available earlier in the release)

 
                        1Q21    1Q22      %    2Q21    2Q22      %     3Q21    3Q22         %       9M21    9M22          % 
====================  ======  ======  =====  ======  ======  =====  =======  ======  ========  =========  ======  ========= 
 Egypt Net Sales 
  (EGP mn)               920     879    -4%   1,015     645   -36%     1187     711      -40%      3,122   2,235       -28% 
   Conventional 
    (EGP mn)             507     549     8%     510     591    16%      573     662       16%      1,590   1,803        13% 
   Covid-19-related 
    (EGP mn)             414     330   -20%     504      53   -89%      614      49      -92%      1,531     432       -72% 
 Egypt Contribution    81.5%   78.7%          87.2%   83.3%           80.5%   84.0%                82.9%   81.7% 
====================  ======  ======  =====  ======  ======  =====  =======  ======  ========  =========  ======  ========= 
 Jordan Net Sales 
  (EGP mn)               190     217    14%     134     106   -21%      269     109      -59%        592     432       -27% 
   Conventional 
    (EGP mn)              68      70     4%      68      84    23%       76      95       25%        213     250        18% 
   Covid-19-related 
    (EGP mn)             122     147    20%      65      21   -67%      192      14      -93%        380     182       -52% 
 Jordan Revenues 
  (EGP mn) (IFRS)        190     281    48%     134     106   -21%      269     109      -59%        592     496       -16% 
                                                                                            - 
 Jordan Net Sales                                                    121212            676767 
  (JOD mn)               8.6     9.6    12%     6.0     4.0   -33%       .2     4.0         %   262626.9    17.7   -343434% 
                                                                                                                          - 
 Jordan Revenues                                                                                                     242424 
  (JOD mn) (IFRS)        8.6    12.5    45%     6.1     4.0   -34%     12.2     4.0      -67%       26.9    20.6          % 
 Jordan Contribution   16.8%   19.4%          11.5%   13.7%           18.2%   12.9%                15.7%   15.8% 
====================  ======  ======  =====  ======  ======  =====  =======  ======  ========  =========  ======  ========= 
 Nigeria Net Sales 
  (EGP mn)              12.5    14.8    19%    12.9    18.6    45%       15      21       43%         40      55        36% 
 Nigeria Net Sales 
  (NGN mn)               302     371    23%     330     416    27%      390     473       21%      1,021   1,260        23% 
 Nigeria 
  Contribution          1.1%    1.3%           1.1%    2.4%            1.0%    2.5%                 1.1%    2.0% 
 Sudan Net Sales 
  (EGP mn)               6.8     5.7   -16%     2.5     4.8    91%      2.9     4.3       48%         12      15        21% 
 Sudan Net Sales 
  (SDG mn)                61     152   149%      67     137   103%       82     128       56%        211     417        98% 
 Sudan Contribution     0.6%    0.5%           0.2%    0.6%            0.2%    0.5%                 0.3%    0.5% 
====================  ======  ======  =====  ======  ======  =====  =======  ======  ========  =========  ======  ========= 
 

Patients Served and Tests Performed by Country

 
                                    9M 2021   9M 2022   Change 
=================================  ========  ========  ======= 
 Egypt Patients Served (mn)             6.3       5.7     -10% 
 Egypt Tests Performed (mn)            22.1      21.8      -1% 
     Conventional tests (mn)           19.1      20.7       8% 
     Covid-19-related tests (mn)        3.0       1.1     -63% 
=================================  ========  ========  ======= 
 Jordan Patients Served (k)           1,031       789     -23% 
 Jordan Tests Performed (k)           2,482     2,221     -11% 
     Conventional tests (k)           1,698     1,691    -0.4% 
     Covid-19-related tests (k)         784       530     -32% 
 Nigeria Patients Served (k)            117       110      -6% 
 Nigeria Tests Performed (k)            215       215        - 
 Sudan Patients Served (k)               47        59      25% 
 Sudan Tests Performed (k)              140       112     -20% 
=================================  ========  ========  ======= 
 Total Patients Served (mn)             7.5       6.6     -11% 
 Total Tests Performed (mn)            25.0      24.4      -2% 
 

Branches by Country

 
                   30 September   30 September         Change 
                           2021           2022 
================  =============  =============  ============= 
 Egypt                      455            496             41 
================  =============  =============  ============= 
 Jordan                      21             21              - 
================  =============  =============  ============= 
 Nigeria                     12             12              - 
================  =============  =============  ============= 
 Sudan                       19             17             -2 
================  =============  =============  ============= 
 Total Branches             507            546             39 
================  =============  =============  ============= 
 
 
            -Cost of Net Sales1 (7) 
             IDH's cost of net sales declined 3% year-on-year to record EGP 1,556 
             million in 9M 2022. Despite the decline, the significant contraction 
             in net sales on the back of lower Covid-19-realted revenues for the 
             period weighed down on gross profit which contracted 45% year-on-year 
             to record EGP 1,182 million in 9M 2022. It is important to note that 
             gross profit for the nine-month period is identical in absolute terms 
             between IFRS and APM measures. IDH's gross profit margin1 (8) on revenue 
             recorded 42% in 9M 2022 versus 58% last year. Meanwhile, IDH's gross 
             profit margin on net sales19 recorded 43% in 9M 2022 versus 58% in 
             the same nine months of last year. 
 
             On a quarterly basis, IDH recorded cost of sales (identical in value 
             between IFRS and APM measures) of EGP 497 million, 19% below last year's 
             figure. Raw material as a percentage of revenues witnessed an increase 
             of 1% following the continuous devaluation of the Egyptian pound starting 
             21 March 2022. It is also worth noting that the new model applied by 
             management for the maintenance/cleaning of new/existing branches led 
             to an increase in other direct expenses for the quarter. Gross profit 
             for the quarter recorded EGP 350 million, down 59% year-on-year, and 
             with a margin of 41% for the quarter versus 58% in Q3 2021. It is worth 
             highlighting that on a quarter-on-quarter basis, gross profit for Q3 
             2022 came in 16% above the figure recorded in the previous three months, 
             with the associated margin expanding two percentage points versus Q2 
             2022. 
 
             Cost of Net Sales Breakdown as a Percentage of Net Sales                                9M 2021   9M 2022 
             =============================  ========  ======== 
              Raw Materials                    18.3%     20.5% 
             =============================  ========  ======== 
              Wages & Salaries                 12.5%     16.8% 
             =============================  ========  ======== 
              Depreciation & Amortisation       4.0%      7.4% 
             =============================  ========  ======== 
              Other Expenses                    7.6%     12.1% 
             =============================  ========  ======== 
              Total                            42.5%     56.8% 
             =============================  ========  ======== 
 
 
             Raw material costs, which include cost of specialized analysis at other 
             laboratories, reached EGP 562 million in 9M 2022, continuing to make 
             up the largest portion of total COGS at 36%. As a share of net sales, 
             raw material costs increased to 20.5% in 9M 2022 compared to 18.3% 
             in the same nine months of 2021. This increase is primarily reflective 
             of the substantial reduction in the average selling price of Covid-19-related 
             tests during the period in both Egypt and Jordan (the average price 
             per PCR test was down 26% year-on-year in 9M 2022). It is worth noting 
             that the year-on-year decline in average Covid-19-related test prices 
             was most notable in the first quarter of the year. Meanwhile, in Q3 
             2022, raw material as a percentage of net sales reached 19.6% from 
             18.7% in the same three months of last year following the devaluation 
             of the Egyptian pound. 
 
             Direct salaries and wages, which includes employee share of the profits, 
             declined 2% year-on-year to EGP 461 million in 9M 2022, making the 
             second largest share of total COGS at 30%. The year-on-year decline 
             is wholly attributable to lower employee share of the profits. On the 
             other hand, direct salary and wages posted a 20% year-on-year increase 
             mainly reflecting the additional staff employed at Aqaba Port and QAIA 
             airport, an annual salary increase of around 15%, and the additional 
             staff employed across the newly added branches (+39 new branches versus 
             9M 2021). Additional salary expenses related to Biolab's testing booths 
             amounted to JOD 549 thousand (EGP 13.6 million) during 9M 2022, noting 
             that starting April, Biolab ceased its operational activities across 
             all booths. In the third quarter of the year, direct salaries and wages 
             as a share of net sales decreased to reach 15.6% from 21.0% last quarter, 
             reflecting a decrease in the employee profit shares driven by the decrease 
             in net profits recorded by the Group's Egyptian operations. 
 
             Direct depreciation and amortisation increased 33% year-on-year to 
             record EGP 202 million in 9M 2022, largely due to the incremental amortisation 
             of new branches (IFRS 16 right-of-use assets). 
 
             Other expenses for the nine-month period increased 16% to record EGP 
             330 million. The increase principally reflects higher maintenance costs 
             in Egypt, as well as higher operational expenses related to the 39 
             additional branches rolled out in the twelve months to 30 September 
             2022. It should be noted that cleaning and maintenance expenses increased 
             44% year-on-year. 
 
             17 Cost of net sales is calculated as cost of sales (IFRS) for the 
             period excluding commission fees paid to QAIA and Aqaba Port by Biolab 
             as part of its revenue sharing agreements with the two terminals. According 
             to IFRS 15, cost of sales recorded EGP 1,619 million in 9M 2022 , up 
             1% year-on-year. 
             1 (8) It is important to note that while in absolute terms the Gross 
             Profit figure is identical when using IFRS or APM, its margin differs 
             between the two sets of performance indicators. 
             1 (9) A reconciliation between revenue and net sales is available earlier 
             in this announcement. 
 
             Selling, General and Administrative Expenses 
             Total SG&A outlays recorded EGP 433 million in 9M 2022, representing 
             a 26% year-on-year increase. The increase in SG&A costs was mainly 
             a result of rising salaries and marketing expenses, as well as higher 
             fees for external auditing services. 
 
             Marketing and advertising expenses came in at EGP 87 million in the 
             nine months to 30 September 2022, up 44% from last year. The increase 
             reflects an overall expansion in IDH's marketing and advertisement 
             efforts which for the last year has seen the Company roll out targeted 
             campaigns across several channels predominantly to support Al-Borg 
             Scan's ramp up. 
 
             EBITDA 
             IDH's EBITDA2 (0) declined in the nine months of 30 September 2022, 
             reflecting lower gross profitability for the period coupled with higher 
             SG&A expenses, and in particular higher marketing expenses and accounting 
             fees versus the same nine months of last year. Higher marketing fees 
             comes as IDH expanded its marketing efforts in particular to support 
             Al-Borg Scan's ramp up. It is important to note that EBITDA for the 
             period is identical in absolute terms between IFRS and APM measures. 
             EBITDA margin on consolidated revenue recorded 35% in 9M 2022 versus 
             53% in the same period of last year. Meanwhile, EBITDA margin on net 
             sales normalised to reach 36% in 9M 2022 from 53% in 9M 2021.2 (1) 
 
             Similar to the trend witnessed on a year-to-date basis, EBITDA in the 
             third quarter contracted by 66% on the back of lower gross profitability 
             and higher SG&A outlays during the three-month period. 
 
             In IDH's home market of Egypt, EBITDA recorded EGP 857 million in 9M 
             2022. EBITDA margin on net sales stood at 38% for the nine-month period 
             versus 56% last year. Egypt EBITDA contributed around 88% of the Group's 
             EBITDA in the nine-month period. 
 
             In Jordan, Biolab reported a contraction in EBITDA profitability in 
             both EGP and JOD terms. The decrease in Biolab's EBITDA profitability 
             mainly reflects lower gross profitability for the nine-month period 
             as well as higher expenses related to Biolab's testing booths in QAIA 
             and Aqaba Port. 
 
             EBITDA losses in Nigeria during the first nine months of the year were 
             impacted by a 220% year-on-year increase in Echo-Lab's diesel costs 
             (responsible for 12% of Echo-Lab's cost base). Controlling for this, 
             the venture would have remained on course to turn EBITDA positive in 
             2022. 
 
             In Sudan, IDH reported a positive EBITDA of SDG 3.7 million in 9M 2022, 
             a marked improvement from the EBITDA loss reported this time last year. 
             In EGP terms, EBITDA recorded EGP 49 thousand in 9M 2022, down from 
             the EGP 181 thousand in EBITDA recorded this time last year. 
 
             Regional EBITDA in Local Currency Mn                                            9M 2021   9M 2022    Change 
             --------------------------------------------  --------  --------  -------- 
              Egypt                                EGP        1,761       857      -51% 
               Margin on net sales                              56%       38% 
              Jordan                               JOD         10.7       5.1      -52% 
               Margin on net sales                              46%       28% 
               Margin on revenues (IFRS)                        40%       25% 
              Nigeria                              NGN         -133      -122       -8% 
               Margin on net sales                             -13%      -10% 
              Sudan                                SDG          -29       3.7       N/A 
               Margin on net sales                             -14%        1% 
 
 
 
             2 (0) EBITDA is calculated as operating profit plus depreciation and 
             amortization and minus one-off fees incurred in 9M 2021 related to 
             the Company's EGX listing completed in May 2021. 
             2 (1) 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. 
 
             Interest Income / Expense 
             The Group reported interest income of EGP 83 million in the first nine 
             months of 2022, up 20% year-on-year reflecting higher cash balances 
             during the period, an optimised cash allocation between T-bills and 
             time deposits, and a 300-basis point cumulative interest rate hike 
             enacted by the CBE since the start of the year. 
 
             Interest expense recorded EGP 100 million in 9M 2022, up 20% versus 
             9M 2021. The increase in attributable to: 
              *    Higher interest on lease liabilities related to IFRS 
                   16 following the addition of new branches and the 
                   renewal of medical equipment agreements with the 
                   Group's main equipment suppliers. 
 
 
              *    Higher bank charges reflecting an increased 
                   penetration of, and reliance on, POS machines and 
                   electronic payments in both Egypt and Jordan during 
                   the period. 
 
 
              *    Higher interest expenses following the CBE decision 
                   to increase rates by 300 bps since the start of 2022. 
 
 
              *    Fees amounting to EGP 8.8 million related to the US$ 
                   45 million facility with the International Finance 
                   Corporation (IFC) granted in May 2021 and the US$ 15 
                   million IFC syndicated facility from Mashreq Bank in 
                   December 2021. Fees include commitment and 
                   supervisory fees. 
 
 
 
             Interest Expense Breakdown EGP mn                           9M 2021   9M 2022   Change 
             ===============================  ========  ========  ======= 
              Interest on Lease Liabilities 
               (IFRS 16)                          44.0      53.8      22% 
             ===============================  ========  ========  ======= 
              Interest Expenses on 
               Borrowings 2 (2)                    7.0      11.1      59% 
             ===============================  ========  ========  ======= 
              Loan-related Expenses 
               on IFC facility                    14.6       8.9     -39% 
             ===============================  ========  ========  ======= 
              Interest Expenses on 
               Leases                              4.8      14.9     209% 
             ===============================  ========  ========  ======= 
              Bank Charges                        12.5      11.1     -12% 
             ===============================  ========  ========  ======= 
              Total Interest Expense              82.9      99.7      20% 
             ===============================  ========  ========  ======= 
 
 
             2 (2) Interest expenses on medium-term loans include EGP 7.4 million 
             related to the Group's facility with Ahli United Bank Egypt (AUBE) 
             & interest expense amounting to EGP 3.4 million was booked related 
             to shareholders dividends deferral agreement. EGP 0.3 million related 
             to CIB facility. Meanwhile, the Group's facility with the Commercial 
             International Bank (CIB) was fully repaid as of 5 April 2022. 
 
             Foreign Exchange 
             IDH recorded a net foreign exchange gain of EGP 55 million in the nine 
             months to 30 September 2022, versus a net foreign exchange loss of 
             EGP 18 million in the same period of last year. 
 
             Fair Value through Profit and Loss (FVTPL) 
             During 9M 2022, the Company booked a FVTPL loss related to GDR of EGP 
             141 million. The loss is related to the transactions completed by IDH 
             to secure the USD balance needed to fulfil its FY2021 dividend obligations 
             to shareholders. 
 
             Taxation 
             Tax expenses recorded EGP 251 million in 9M 2022 versus EGP 610 million 
             in 9M 2021. The effective tax rate stood at 38% in 9M 2022 versus 35% 
             in the same nine-month period of 2021. The increase in the effective 
             tax rate reflects the FX loss booked by the Company and its tax implication 
             that is currently under investigation with the Egypt's Tax Authority. 
             It is worth noting that the effective tax rate will decrease significantly 
             in case the Tax Authority approves the FX loss related to GDR (EGP 
             141 million). 
 
             Taxation Breakdown by Region EGP Mn                9M 2021   9M 2022   Change 
             ====================  ========  ========  ======= 
              Egypt                   567.8     201.7     -64% 
             ====================  ========  ========  ======= 
              Jordan                   42.4      18.5     -56% 
             ====================  ========  ========  ======= 
              Nigeria                 (0.5)      30.5      N/A 
             ====================  ========  ========  ======= 
              Sudan                     0.1       0.2     252% 
             ====================  ========  ========  ======= 
              Total Tax Expenses      609.8     250.9     -59% 
             ====================  ========  ========  ======= 
 
 
             Net Profit 
             Net Profit recorded EGP 403 million in 9M 2022, down 65% year-on-year. 
             Net profit margin on consolidated revenue stood at 14% in 9M 2022 versus 
             30% in 9M 2021. Meanwhile, net profit margin on net sales recorded 
             15% for the period. On a three-month basis, IDH recorded a net loss 
             of EGP 36 million. Meanwhile, excluding FX losses resulting from transactions 
             completed by the Company to secure the USD needed to fulfil its FY 
             2021 dividend obligations, IDH would have recorded net profit of EGP 
             544 million in 9M 2022 and EGP 105 million in Q3 2022, with associated 
             margins on net sales of 20% and 12%. It is important to note that net 
             profit and adjusted net profit for both periods were identical in absolute 
             terms between IFRS and APM measures. 
 

ii. Balance Sheet Analysis

 
 Assets 
  Property, Plant and Equipment 
  IDH held gross property, plant and equipment (PPE) of EGP 1,998 million 
  as at 30 September 2022, up from the EGP 1,653 million as at year-end 
  2021. The increase in CAPEX outlays as a share of total net sales for 
  the nine-month period is in part attributable to EGP 154 million spent 
  on new radiology branches (Capital Business Park Branch in West Cairo, 
  Maadi, and Nasser City) during the period and EGP 79 million translation 
  effect (related to Jordan and Nigeria) resulting from the depreciation 
  of the Egyptian Pound since the start of the year. 
 
  Total CAPEX Breakdown EGP Mn                                 9M 2022   % of Net 
                                                       Sales 
  =====================================  ========  ========= 
   Al-Borg Scan Expansion                   153.6       5.6% 
  =====================================  ========  ========= 
   Translation Effect                        79.3       2.9% 
  =====================================  ========  ========= 
   Leasehold Improvements/new branches      112.2       4.1% 
  =====================================  ========  ========= 
   Total CAPEX Additions                    345.2      12.6% 
  =====================================  ========  ========= 
 
 
  Accounts Receivable and Provisions 
  As at 30 September 2022, accounts receivables' Days on Hand (DOH) recorded 
  at 121 days compared to 107 days at year-end 2021. The rise reflects 
  the increase in collection periods with the Company's private insurance 
  clients in 2022 compared to 2021. 
 
  Provision for doubtful accounts established during 9M 2022 amounted 
  to EGP 25 million, up from EGP 18 million in the same nine months of 
  last year. The increase in provisions reflects the Company's conservative 
  approach when calculating the expected default rate for each segment. 
 
  Inventory 
  As at 30 September 2022, the Group's inventory balance reached EGP 
  262 million, up from EGP 223 million as at year-end 2021. Meanwhile, 
  days Inventory Outstanding (DIO) increased to 121 days as at 30 September 
  2022 from 61 days as at year-end 2021. The increase largely reflects 
  management's decision to accumulate inventory as part of its proactive 
  strategy to shield the business from any disruption that might result 
  from the global supply chain challenges and protect the Company's margins 
  from a further devaluation of the Egyptian pound. It should be noted 
  that as at 31 October 2022, IDH held sufficient inventory to cover 
  the Group's needs for a four-month period. 
 
  Cash and Net Debt/Cash 
  IDH's cash balances decreased to EGP 694 million as at 30 September 
  2022 from EGP 2,350 million as at 31 December 2021. Reflecting the 
  distribution of the FY 2021 dividend to shareholders completed in August 
  2022. 
   EGP million         31 Dec   30 Sep 
                         2021     2022 
  ==================  =======  ======= 
   Time Deposits          628       80 
  ==================  =======  ======= 
   T-Bills              1,461      170 
  ==================  =======  ======= 
   Current Accounts       239      425 
  ==================  =======  ======= 
   Cash on Hand            22       19 
  ==================  =======  ======= 
   Total                2,350      694 
  ==================  =======  ======= 
 
 
  IDH's net debt2 (3) balance as at 30 September 2022 amounted to EGP 
  339 million as at 30 September 2022 compared to a net cash balance 
  of EGP 1,488 million as of 31 December 2021. 
   EGP million                               31 Dec   30 Jun   31 Dec 
                                               2021     2022     2021 
  ========================================  =======  =======  ======= 
   Cash and Financial Assets at Amortised 
    Cost2 (4)                                 2,350      694    2,350 
  ========================================  =======  =======  ======= 
   Interest Bearing Debt ("Medium 
    Term Loans") (2) (5)                        102       89      106 
  ========================================  =======  =======  ======= 
   Lease Liabilities Property                   532      645      532 
  ========================================  =======  =======  ======= 
   Long-term Equipment Liabilities              229      299      229 
  ========================================  =======  =======  ======= 
   Net Cash Balance                           1,488    (339)    1,483 
  ========================================  =======  =======  ======= 
 
  Note: Interest Bearing Debt includes accrued interest for each period. 
 
  Lease liabilities on property recorded EGP 645 million as at 30 September 
  2022, up from the EGP 532 million booked as at year-end 2021. The rise 
  primarily reflected the addition of new branches throughout the nine 
  months to 30 September 2022. Meanwhile, financial obligations related 
  to equipment recorded EGP 299 million as at 30 September 2022, up from 
  EGP 229 million as of year-end 2021. This increase largely reflects 
  the renewal of the Company's contracts and the addition of new equipment. 
  Total financial obligations related to equipment for the period includes 
  EGP 166 million for equipment at Al-Borg Scan. Meanwhile, interest-bearing 
  debt declined to EGP 89 million as at the end of the current reporting 
  period from EGP 102 million as at 31 December 2021. More specifically, 
  IDH's interest-bearing debt as at 30 September 2022 comprised EGP 85.6 
  million related to its facility with AUBE. It is worth highlighting 
  that interest-bearing debt in both periods excludes accrued interest. 
  It is also important to note that the Company's facility with the Commercial 
  International Bank (CIB) was fully repaid as of April 2022. 
 
  Liabilities 
  Accounts Payable2 (6) 
  As at 30 September 2022, accounts payable balance recorded EGP 224 
  million down from EGP 311 million as of 31 December 2021. Despite this, 
  the Group's days payable outstanding (DPO) increased to 134 days from 
  93 days as at year-end 2021. The increase largely reflects both lower 
  Covid-19-related kits consumption. 
 
  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). 
 
  2 (3) The net cash/(debt) balance is calculated as cash and cash equivalent 
  balances including includes financial assets at amortised cost, less 
  interest-bearing debt (medium term loans), finance lease and Right-of-use 
  liabilities. 
  2 (4) As outlined in Note 9 of IDH's Consolidated Financial Statements, 
  some term deposits and treasury bills cannot be accessed for over 90 
  days and are therefore not treated as cash. Term deposits which cannot 
  be accessed for over 90 days stood at EGP 3.7 million in 9M 2022, versus 
  EGP 148 million as at year-end 2021. Meanwhile, treasury bills not 
  accessible for over 90 days stood at EGP 161 million in 9M 2022, down 
  from EGP 1,311 million in FY 2021. 
  2 (5) IDH's interest bearing debt as at 30 September 2022 included 
  EGP 83.8 million to its facility with Ahli United Bank Egypt (AUBE) 
  (outstanding loan balances are excluding accrued interest for the period). 
  2 (6) Accounts payable is calculated based on average payables at the 
  end of each year. 
 
  Dividend Payment 
  The Company completed the full payment of its FY 2021 dividend on 18 
  August 2022. The distribution of the full-year dividend was completed 
  over two phases, with all of IDH's shareholders except for its two 
  principal shareholders (Hena Holdings Ltd and Actis IDH Limited, both 
  of which had agreed to defer the payment of their pro rata share of 
  the dividend) receiving the payment as scheduled on 27 July 2022. IDH 
  distributed the second tranche to the dividend to its two largest shareholders 
  over two instalments on the 11 August and 18 August 2022. The distribution 
  of a record-breaking USD 69.6 million (EGP 1.4 billion) dividend reaffirms 
  IDH's trust in the business' fundamental strength and sustainability, 
  and its potential going forward. 
 

-End-

 
 INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH" 
  AND ITS SUBSIDIARIES 
 
 
 
 
 
 
  Consolidated Financial Statements 
  for the nine-month period ended 30 September 2022 
 

Consolidated statement of financial position as at 30 September 2022

 
                                                      30 September         31 December 
                                              Notes           2022                2021 
                                                           EGP'000             EGP'000 
-------------------------------------------  ------  -------------  ------------------ 
 
 ASSETS 
 Non-current assets 
 Property, plant and equipment                  4        1,231,817           1,061,808 
 Intangible assets and goodwill                 5        1,673,279           1,658,867 
 Right of use assets                            6          557,002             462,432 
 Financial assets at fair value through 
  profit and loss                               7           13,897              10,470 
 Total non-current assets                                3,475,995           3,193,577 
                                                     -------------  ------------------ 
 
 Current assets 
 Inventories                                               262,091             222,612 
 Trade and other receivables                    8          550,663             469,727 
 Financial assets at amortized cost             9          164,793           1,458,724 
 Cash and cash equivalents                     10          529,590             891,451 
 Total current assets                                    1,507,137           3,042,514 
                                                     -------------  ------------------ 
 Total assets                                            4,983,132           6,236,091 
                                                     =============  ================== 
 
 EQUITY AND LIABILITIES 
 Equity 
 Share Capital                                           1,072,500           1,072,500 
 Share premium reserve                                   1,027,706           1,027,706 
 Capital reserve                                         (314,310)           (314,310) 
 Legal reserve                                              51,641              51,641 
 Put option reserve                                      (689,439)           (956,397) 
 Translation reserve                                       168,525             150,730 
 Retained earnings                                         643,295           1,550,976 
 Equity attributable to the equity holders 
  of the parent                                          1,959,918           2,582,846 
 Non-controlling interests                                 208,038             211,513 
 Total equity                                            2,167,956           2,794,359 
                                                     -------------  ------------------ 
 
 Non-current liabilities 
 Provisions                                                  4,221               4,088 
 Borrowings                                    13           65,864              76,345 
 Other financial obligations                   15          808,051             645,196 
 Non-current put option liability              14           41,536              35,037 
 Deferred tax liabilities                     20-C         297,353             332,149 
 Total non-current liabilities                           1,217,025           1,092,815 
                                                     -------------  ------------------ 
 
 Current liabilities 
 Trade and other payables                      11          646,389             777,354 
 Other financial obligations                   15          136,358             115,478 
 Current put option liability                  12          647,904             921,360 
 Borrowings                                    13           17,892              21,721 
 Current tax liabilities                                   149,608             513,004 
 Total current liabilities                               1,598,151           2,348,917 
                                                     -------------  ------------------ 
 Total liabilities                                       2,815,176           3,441,732 
                                                     -------------  ------------------ 
 Total equity and liabilities                            4,983,132           6,236,091 
                                                     =============  ================== 
 
 
 
 These condensed consolidated interim financial information were approved 
  and authorized for issue by the Board of Directors and signed on their 
  behalf on 16 November 2022 by: 
 
   __________________                                ___________________ 
 
 Dr. Hend El Sherbini      Hussein Choucri 
 Chief Executive Officer   Independent Non-Executive Director 
 

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

Consolidated income statement for the quarter and nine-month periods ended 30 September 2022

 
                                              For the three months            For the nine months 
                                                     period                          period 
                                               ended 30 September              ended 30 September 
                                  Notes            2022           2021           2022             2021 
                                                EGP'000        EGP'000        EGP'000          EGP'000 
-------------------------------  ------  --------------  -------------  -------------  --------------- 
 
 Revenue                           24           846,251      1,473,411      2,800,316        3,766,581 
 Cost of sales                                (496,581)      (612,146)    (1,618,776)      (1,600,019) 
 Gross profit                                   349,670        861,265      1,181,540        2,166,562 
 
 Marketing and advertising 
  expenses                                     (58,641)       (41,273)      (151,209)        (107,928) 
 Administrative expenses           17          (99,626)       (82,969)      (263,818)        (259,101) 
 Impairment loss on 
  trade and other receivable                    (8,877)        (7,816)       (25,035)         (18,081) 
 Other income                                     3,834          (135)          7,305           12,296 
 Operating profit                               186,360        729,072        748,783        1,793,748 
                                         --------------  -------------  -------------  --------------- 
 
 Net fair value gains/(losses) 
  on financial assets 
  at fair value through 
  profit or loss                   18         (141,092)              -      (141,092)                - 
 
 Finance costs                     19          (49,593)       (31,994)       (99,718)        (105,161) 
 Finance income                    19             9,016         25,571        146,286           69,086 
 Net finance cost                              (40,577)        (6,423)         46,568         (36,075) 
                                         --------------  -------------  -------------  --------------- 
 Profit before tax                                4,691        722,649        654,259        1,757,673 
                                         ==============  =============  =============  =============== 
 
 Income tax expense               20-B         (40,337)      (242,961)      (250,853)        (609,775) 
 Profit for the period                         (35,646)        479,688        403,406        1,147,898 
                                         ==============  =============  =============  =============== 
 
 Profit attributed 
  to: 
 Equity holders of the 
  parent                                       (18,186)        454,236        404,034        1,100,676 
 Non-controlling interests                     (17,460)         25,452          (628)           47,222 
                                               (35,646)        479,688        403,406        1,147,898 
                                         ==============  =============  =============  =============== 
 Earnings per share 
  (expressed in EGP): 
 Basic and diluted earnings 
  per share                        23            (0.03)           0.76           0.67             1.83 
                                         --------------  -------------  -------------  --------------- 
 

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

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

 
                                               For the three             For the nine months 
                                            months period ended            period ended 30 
                                                30 September                  September 
                                                2022          2021         2022             2021 
                                             EGP'000       EGP'000      EGP'000          EGP'000 
-------------------------------------   ------------  ------------  -----------  --------------- 
 
 
 Net profit                                 (35,646)       479,688      403,406        1,147,898 
 Items that may be reclassified 
  to profit or loss: 
 Exchange difference on translation 
  of foreign operations                       34,378       (4,285)      111,686            8,090 
 Other comprehensive income / (Loss) 
  for the period net of tax                   34,378       (4,285)      111,686            8,090 
                                        ------------  ------------  -----------  --------------- 
 Total comprehensive income for 
  the period                                 (1,268)       475,403      515,092        1,155,988 
                                        ============  ============  ===========  =============== 
 
 Attributed to: 
 Equity holders of the parent               (13,640)       449,464      421,829        1,106,047 
 Non-controlling interests                    12,372        25,939       93,263           49,941 
                                             (1,268)       475,403      515,092        1,155,988 
                                        ============  ============  ===========  =============== 
 

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

Consolidated statement of cash flows for the nine month period ended 30 September 2022

 
                                                                  30 September           30 September 
                                                  Notes                   2022                   2021 
                                                                       EGP'000                EGP'000 
-----------------------------------------------  ------  ---------------------  --------------------- 
 
 Cash flows from operating activities 
 Profit for the period before tax                                      654,259              1,757,673 
 Adjustments 
 Depreciation of property, plant and equipment                         146,433                105,616 
 Depreciation of right of use assets                                    73,959                 58,918 
 Amortisation of intangible assets                                       5,211                  5,002 
 loss/(Gain )on disposal of Property, 
  plant and equipment                                                      312                  (208) 
 Impairment in trade and other receivables                              25,035                 18,081 
 Impairment on goodwill                                                  1,755                      - 
 Interest income                                   19                 (83,194)               (69,086) 
 Interest expense                                  19                   88,658                 55,822 
 Bank Charges                                                           11,060                      - 
 Equity settled financial assets at fair 
  value                                                                (3,427)                  (768) 
 ROU Asset/Lease Termination                                             1,152                  1,038 
 Hyperinflation                                    19                  (7,736)                  4,628 
 Unrealised foreign currency exchange 
  loss                                             19                   85,736                 17,588 
 FV Through P&L                                    18                  141,092                      - 
 Change in Provisions                                                      406                    392 
 Change in Inventories                                                (34,123)               (95,002) 
 Change in trade and other receivables                               (158,214)              (127,907) 
 Change in trade and other payables                                  (223,795)                183,011 
 Cash generated from operating activities 
  before income tax payment                                            724,579              1,914,798 
                                                         ---------------------  --------------------- 
 
 Tax paid during period                                              (653,580)              (273,881) 
 Net cash generated from operating activities                           70,999              1,640,917 
                                                         ---------------------  --------------------- 
 
 Cash flows from investing activities 
 Proceeds from sale of Property, plant 
  and equipment                                                          9,552                  6,255 
 Interest received on financial asset 
  at amortised cost                                                     84,044                 68,048 
 Payments for acquisition of property, 
  plant and equipment                               4                (202,506)              (177,580) 
 Payments for acquisition of intangible 
  assets                                            5                  (2,382)                (8,285) 
 Payments for the purchase of financial 
  assets at amortized cost                                           (348,139)              (904,779) 
 Proceeds for the sale of financial assets 
  at amortized cost                                                  1,656,815                325,388 
 Payments for shares bought                                          (999,376)                      - 
 Proceeds for shares sale                                              858,284                      - 
 Net cash flows generated from/ (used 
  in)investing activities                                            1,056,292              (690,953) 
                                                         ---------------------  --------------------- 
 
 Cash flows from financing activities 
 Proceeds from borrowings                                                7,411                 20,724 
 Repayments of borrowings                                             (21,721)               (12,708) 
 Payment of finance lease liabilities                                 (41,912)               (68,372) 
 Dividends paid                                                    (1,411,752)              (478,748) 
 Interest paid                                                        (84,096)               (56,696) 
 Bank charge paid                                                     (11,060)                      - 
 Injection of cash by non-controlling                                    8,763                      - 
  interest 
 Net cash flows used in financing activities                       (1,554,367)              (595,800) 
                                                         ---------------------  --------------------- 
 
 Net increase in cash and cash equivalent                            (427,076)                354,164 
 Cash and cash equivalents at the beginning 
  of the year                                                          891,451                600,130 
 Effect of exchange rate                                                65,215                (3,591) 
 Cash and cash equivalent at the end 
  of the period                                    10                  529,590                950,703 
                                                         =====================  ===================== 
 

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

Consolidated statement of changes in equity for the nine month period ended 30 September 2022

 
                                                                       Attributable to owners of the Parent 
                    ------------------------------------------------------------------------------------------------------------------------------------------ 
 EGP '000              Share        Share       Capital      Legal     Put option   Translation     Retained        Total       Non-controlling      Total 
                       capital      premium      reserve    reserve*     reserve      reserve       earnings     attributable      interests         equity 
                                    reserve                                                                         to the 
                                                                                                                    owners 
                                                                                                                    of the 
                                                                                                                    Parent 
-----------------   -----------  -----------  -----------                                                                      ----------------  ------------- 
 
 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                      -            -            -          -            -             -        404,034        404,034             (628)        403,406 
 Other 
  comprehensive 
  income for the 
  period                      -            -            -          -            -        17,795              -         17,795            93,891        111,686 
 Total 
  comprehensive 
  income at 30 
  September 
  2022                        -            -            -          -            -        17,795        404,034        421,829            93,263        515,092 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 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                 -            -            -          -      266,958             -              -        266,958                 -        266,958 
 Impact of 
  hyperinflation              -            -            -          -            -             -        (6,910)        (6,910)             1,446        (5,464) 
 Non-controlling 
  interests 
  cash injection 
  in subsidiaries 
  during the 
  period                      -            -            -          -            -             -              -              -             8,763          8,763 
 Total 
  contributions 
  and 
  distributions               -            -            -          -      266,958             -    (1,311,715)    (1,044,757)          (96,738)    (1,141,495) 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Balance at 30 
  September 
  2022                1,072,500    1,027,706    (314,310)     51,641    (689,439)       168,525        643,295      1,959,918           208,038      2,167,956 
                    ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 
 At 1 January 2021    1,072,500    1,027,706    (314,310)     49,218    (314,057)       145,617        603,317      2,269,991           156,383      2,426,374 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Profit for the 
  period                      -            -            -          -            -             -      1,100,676      1,100,676            47,222      1,147,898 
 Other 
  comprehensive 
  income for the 
  period                      -            -            -          -            -         5,371              -          5,371             2,719          8,090 
 Total 
  comprehensive 
  income at 30 
  September 
  2021                        -            -            -          -            -         5,371      1,100,676      1,106,047            49,941      1,155,988 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Transactions 
 with owners 
 of the Company 
 Contributions 
 and 
 distributions 
 Dividends                    -            -            -          -            -             -      (455,182)      (455,182)          (23,566)      (478,748) 
 Legal reserve 
  formed 
  during the 
  period                      -            -            -      2,423            -             -        (2,423)              -                 -              - 
 Movement in put 
  option 
  liabilities                 -            -            -          -    (495,620)             -              -      (495,620)                 -      (495,620) 
 Impact of 
  hyperinflation              -            -            -          -            -             -       (11,556)       (11,556)           (5,766)       (17,322) 
 Total 
  contributions 
  and 
  distributions               -            -            -      2,423    (495,620)             -      (469,161)      (962,358)          (29,332)      (991,690) 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Balance at 30 
  September 
  2021                1,072,500    1,027,706    (314,310)     51,641    (809,677)       150,988      1,234,832      2,413,680           176,992      2,590,672 
                    ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 

*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 nine months ended 30 September 2022 comprise the Company and its subsidiaries (together referred as the 'Group'). The Company is a dually listed entity, in both London Stock Exchange (since 2015) and in the Egyptian Exchange (during May 2021).

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

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

These condensed consolidated interim financial information were approved for issue by the Directors of the Company on 16 November 2022.

   2.    Basis of preparation 
   A)   Statement of compliance 

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

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

   B)    Basis of measurement 

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

   C)    Functional and presentation currency 

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

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

   3.    Significant accounting policies 

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

   4.   Property, plant, and equipment 
 
                    Land &         Medical,       Leasehold      Fixtures,      Building &     Payment on      Total 
                   buildings       electric      improvements    fittings &     Leasehold       account 
                                      &                           vehicles      assets in 
                                 information                                    the course 
                                    system                                          of 
                                  equipment                                    construction 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 Cost 
 At 1 January 
  2022                 380,883        824,628         335,203         95,966         15,937          6,761   1,659,378 
 Additions              38,275        152,702          53,254          9,996         23,526          3,853     281,606 
 Hyper 
  inflation                  -          2,863               -              -              -              -       2,863 
 Disposals                   -        (6,029)           (499)        (8,217)              -              -    (14,745) 
 Transfers                   -              -           2,669              -        (2,669)              -           - 
 Exchange 
  differences            3,307         44,335          22,504          9,135             43              -      79,324 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 At 30 
  September 
  2022                 422,465      1,018,499         413,131        106,880         36,837         10,614   2,008,426 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 Depreciation 
 At 1 January 
  2022                  53,490        333,806         177,230         33,044              -                    597,570 
 Depreciation 
  for the 
  period                 4,987         94,224          39,916          7,306              -              -     146,433 
 Disposals                   -        (2,852)           (427)        (1,602)              -              -     (4,881) 
 Exchange 
  differences              549         20,651          10,645          5,642              -              -      37,487 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 At 30 
  September 
  2022                  59,026        445,829         227,364         44,390              -              -     776,609 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 
 Net book 
  value at 30 
  September 
  2022                 363,439        572,670         185,767         62,490         36,837         10,614   1,231,817 
                ==============  =============  ==============  =============  =============  =============  ========== 
 Net book 
  value at 31 
  December 
  2021                 327,393        490,822         157,973         62,922         15,937          6,761   1,061,808 
                ==============  =============  ==============  =============  =============  =============  ========== 
 
   5.    Intangible assets and goodwill 

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

 
                                           Goodwill   Brand name   Software       Total 
                                         ----------  -----------  ---------  ---------- 
 Cost 
 Balance at 1 January 2022                1,260,965      383,909     77,394   1,722,268 
 Additions                                        -            -      2,382       2,382 
 Effect of movements in exchange rates       13,046        4,944      3,335      21,325 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 September 2022             1,274,011      388,853     83,111   1,745,975 
                                         ----------  -----------  ---------  ---------- 
 
 Amortisation and impairment 
 Balance at 1 January 2022                    4,552          372     58,477      63,401 
 Amortisation                                     -            -      5,211       5,211 
 Impairment*                                  1,755            -          -       1,755 
 Effect of movements in exchange rates            -            -      2,329       2,329 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 September 2022                 6,307          372     66,017      67,456 
                                         ----------  -----------  ---------  ---------- 
 
 Carrying amount 
 Balance at 30 September 2022             1,267,704      388,481     17,094   1,673,279 
                                         ==========  ===========  =========  ========== 
 Balance at 31 December 2021              1,256,413      383,537     18,917   1,658,867 
                                         ==========  ===========  =========  ========== 
 

*The Group sees there is an impairment indicator on the goodwill related to Medical Genetics Center company due to the negative free cash flow and EBITDA of the company.

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 nine months ended 30 September 2022, except the mentioned above.

   6.    Right-of-use assets 
 
                                              30 September 2022   31 December 2021 
                                             ------------------  ----------------- 
 
 Balance at 1 January                                   462,432            354,688 
 Addition for the period / year                         155,777            198,402 
 Depreciation charge for the period / year             (73,960)           (79,617) 
 Terminated contracts                                  (10,381)            (7,643) 
 Exchange differences                                    23,134            (3,398) 
                                                        557,002            462,432 
                                             ==================  ================= 
 
   7.    Financial asset at fair value through profit and loss 
 
                         30 September 2022   31 December 2021 
                        ------------------  ----------------- 
 
 Equity i nvestments*               13,897             10,470 
                        ------------------ 
                                    13,897             10,470 
                        ==================  ================= 
 

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

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

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

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

   8.    Trade and other receivables 
 
                                       30 September 2022   31 December 2021 
                                      ------------------  ----------------- 
 
 Trade receivables - net                         396,154            371,051 
 Prepayments                                      38,337             22,647 
 Due from related parties note (16)                7,495              5,237 
 Accrued revenue                                   1,968              2,818 
 Other receivables *                             106,709             67,974 
                                      ------------------ 
                                                 550,663            469,727 
                                      ==================  ================= 
 
   9.    Financial assets at amortised cost 
 
                                       30 September 2022   31 December 2021 
                                      ------------------  ----------------- 
 
 Term deposits (more than 90 days)                 3,726            148,136 
 Treasury bills (more than 90 days)              161,067          1,310,588 
                                                 164,793          1,458,724 
                                      ==================  ================= 
 

The maturity date of the treasury bills and Fixed-term deposits is between 3-12 months and have average interest rates of 13.76 % and 8.50% respectively.

10. Cash and cash equivalents

 
                                       30 September 2022   31 December 2021 
                                      ------------------  ----------------- 
 
 Cash at banks and on hand                       444,133            261,430 
 Treasury bills (less than 90 days)                8,937            150,431 
 Term deposits (less than 90 days)                76,520            479,590 
                                                 529,590            891,451 
                                      ==================  ================= 
 

11. Trade and other payables

 
                                     30 September 2022   31 December 2021 
                                    ------------------  ----------------- 
 
 Trade payable                                 223,511            311,321 
 Accrued expenses                              245,113            325,677 
 Due to related parties note (16)               19,296             13,234 
 Other payables                                 83,249             99,040 
 Deferred revenue                               69,939             24,603 
 Accrued finance cost                            5,281              3,479 
                                               646,389            777,354 
                                    ==================  ================= 
 

12. Current put option liability

 
                               30 September 2022   31 December 2021 
                              ------------------  ----------------- 
 
 Put option - Biolab Jordan              647,904            921,360 
                                         647,904            921,360 
                              ==================  ================= 
 

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

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

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

13. Loans and borrowings

 
                          Currency    Nominal interest rate       Maturity      30 September 2022   31 December 2021 
                         ----------  -----------------------  ---------------  ------------------  ----------------- 
 
 CIB - Bank                  EGP        Secured rate 9.5%       5 April 2022                    -             13,238 
 AUB - Bank                  EGP       CBE corridor rate+1%    26 April 2026               83,756             84,828 
                                                                                           83,756             98,066 
 Amount held as: 
 Current liability                                                                         17,892             21,721 
 Non- current liability                                                                    65,864             76,345 
                                                                                           83,756             98,066 
                                                                               ==================  ================= 
 

A) In July 2018, AL-Borg lab, one of IDH subsidiaries, was granted a medium-term loan amounting to EGP 130.5m from the Ahli United Bank "AUB Egypt" to finance the investment cost related to the expansion into the radiology segment. As at 30 September 2022 only EGP 92.2m had been drawn down from the total facility available, It is also important to note that the Company's facility with the Commercial International Bank (CIB) was fully repaid as of April 2022. 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

Loans and borrowings (continued)

   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 September 2022 corridor rate is 12.25% (2021: 9.25%) 

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

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

14. Non-current put option liability

 
                          30 September   31 December 2021 
                              2022 
                         -------------  ----------------- 
 
 Put option liability*          41,536             35,037 
                                41,536             35,037 
                         =============  ================= 
 

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

15. Other Financial obligations

 
                                                30 September 2022   31 December 2021 
                                               ------------------  ----------------- 
 
 Lease liabilities - buildings                            645,231            531,804 
 Financial obligations- laboratory equipment              299,178            228,870 
                                                          944,409            760,674 
                                               ==================  ================= 
 

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

 
                                          30 September 2022 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ---------- 
 
 Less than one year                     253,868    117,510     136,358 
 Between one and five years             908,428    268,370     640,058 
 More than five years                   197,810     29,817     167,993 
                                      1,360,106    415,697     944,409 
                              =================  =========  ========== 
 
 
                                          31 December 2021 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ---------- 
 
 Less than one year                     211,242     95,764     115,478 
 Between one and five years             701,084    227,314     473,770 
 More than Five years                   191,229     19,803     171,426 
                                      1,103,555    342,881     760,674 
                              =================  =========  ========== 
 

Amounts recognised in profit or loss:

 
                                     For the three months     For the nine months 
                                      ended 30 September       ended 30 September 
                                      2022         2021        2022        2021 
                                   ----------  -----------  ----------  ---------- 
 
 Interest on lease liabilities          9,111       14,597      44,037      53,761 
 Expenses related to short-term 
 lease                                  4,644        3,420      19,788      14,143 
 

16. Related party transactions

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

 
                                                                                       30 September 2022 
                                                                               Transaction amount of 
 Related Party            Nature of transaction      Nature of relationship         the period           Balance 
-----------------------  ------------------------   -----------------------   ----------------------  ---------- 
 
 Alborg Scan (S.A.E)*     Expenses paid on behalf     Affiliate                                     -         351 
 
 International 
  Fertility (IVF)**       Expenses paid on behalf     Affiliate                                     -       1,767 
 
                                                      Entity owned by 
 H.C Security             Provided service             Company's board member                     238        (81) 
 
                                                      Entity owned by 
 Life Health Care         Provide service              Company's CEO                            2,122       4,216 
 
 
 
                                                      Bio. Lab C.E.O and 
 Dr. Amid Abd Elnour      Put option liability         shareholder                            273,456   (647,904) 
  Current account                                                                                  -    (15,738) 
 International Finance                                Eagle Eye - Echo Scan 
  corporation (IFC)       Put option liability         limited shareholder                    (6,499)    (41,536) 
 International Finance                                Eagle Eye - Echo Scan 
  corporation (IFC)       Current account              limited shareholder                      9,438     (3,477) 
 
 
 Integrated Treatment 
  for Kidney Diseases                                 Entity owned by 
  (S.A.E.)                Rental income                Company's CEO                              376       1,161 
  Medical services                                                                             (240) 
 Total                                                                                                 (701,241) 
                                                                                                      ========== 
 

Related party transactions (continued)

 
                                                                                                                                                                        31 December 2021 
                                                                                                                                                                  Transaction 
                                                                                                                                                                   amount of 
 Related Party                                         Nature of transaction                                  Nature of relationship                               the year          Balance 
-----------------------------------------------  --------------------------------       ------------------------------------------------------------------       ------------      ----------- 
 
 Alborg Scan (S.A.E)*                                   Expenses paid on behalf                                         Affiliate                                            1              351 
 
 International Fertility (IVF)**                        Expenses paid on behalf                                         Affiliate                                            -            1,767 
 
 H.C Security                                               Provide service                               Entity owned by Company's board member                         (243)            (319) 
 
 Life Health Care                                           Provide service                                   Entity owned by Company's CEO                           (11,232)            2,094 
 
 Dr. Amid Abd Elnour                                      Put option liability                                Bio. Lab C.E.O and shareholder                         (639,093)        (921,360) 
 
 International Finance corporation (IFC)                  Put option liability                          Eagle Eye - Echo Scan limited shareholder                      (3,247)         (35,037) 
 International Finance corporation (IFC)                    Current account                             Eagle Eye - Echo Scan limited shareholder                     (12,915)         (12,915) 
  Rental income Medical services                                             Entity owned by Company's CEO                                                                               1,025 
  Integrated Treatment for Kidney Diseases (S.A.E)                                                                                                                      (298) 
                                                                                                                                                                          530 
 
 Total                                                                                                                                                                               (964,394) 
                                                                                                                                                                                   =========== 
 

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

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

Related party transactions (continued)

Compensation of key management personnel of the Group

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

 
                                 30 September 2022   30 September 2021 
 
 Short-term employee benefits               39,027              47,617 
                                ------------------  ------------------ 
                                            39,027              47,617 
                                ==================  ================== 
 

17. General and administrative expenses

 
                         For the three months ended 30 September     For the nine months ended 30 September 
                               2022                  2021                  2022                  2021 
                       --------------------  --------------------  --------------------  ------------------- 
 Wages and salaries                  34,352                36,239               101,262               97,875 
 Depreciation                         7,898                 6,050                22,741               17,237 
 Other expenses                      57,376                40,680               139,815              143,989 
 Total                               99,626                82,969               263,818              259,101 
                       ====================  ====================  ====================  =================== 
 

18. Financial assets at fair value through profit or loss

During the third quarter of 2022, ALmokhtabar and Alborg companies invested in Global Depositary Receipt (GDR) tradable in stock exchanges, where the companies purchased 26.83 million shares, EGP 999.3 M from the Egyptian Stock Exchange and sold them during the same period on the London Stock exchange at USD 45.3 M excluding the transaction cost. The group had classified this transaction at fair value through profit or loss (FVPL).

19. Net finance cost

 
                               For the three months ended 30 September     For the nine months ended 30 September 
                                     2022                  2021                  2022                 2021 
                             --------------------  --------------------  -------------------  -------------------- 
 Interest income                            7,751                23,838               83,194                69,086 
 Net foreign exchange 
  (losses) /gain                                -                 1,733               55,356                     - 
 Gain on hyperinflationary 
  net monetary position- 
  Sudan subsidiaries                        1,265                     -                7,736                     - 
 Total finance income                       9,016                25,571              146,286                69,086 
                             --------------------  --------------------  -------------------  -------------------- 
 
 Loss on hyperinflationary 
  net monetary position- 
  Sudan subsidiaries                            -               (3,424)                    -               (4,628) 
 Bank Charges                             (2,255)               (7,137)             (11,060)              (12,501) 
 Interest expense                        (33,316)              (21,433)             (88,658)              (70,444) 
 Net foreign exchange gain 
  /(loss)                                (14,022)                     -                    -              (17,588) 
 Total finance costs                     (49,593)              (31,994)             (99,718)             (105,161) 
                             --------------------  --------------------  -------------------  -------------------- 
 
 Net finance income /(cost)              (40,577)               (6,423)               46,568              (36,075) 
                             ====================  ====================  ===================  ==================== 
 

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

20. 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 September     For the nine months ended 30 September 
                                       2022                  2021                  2022                  2021 
                               --------------------  --------------------  --------------------  ------------------- 
 Current tax: 
 Current period tax                  (20,292)              (182,332)             (180,131)            (464,677) 
 WHT suffered                        (100,906)                 -                 (100,906)                - 
                               --------------------  --------------------  --------------------  ------------------- 
 Current tax                    (121,198)                  (182,332)             (281,037)            (464,677) 
 Deferred tax: 
 DT on undistributed 
  dividends                           113,285              (55,518)               64,732              (139,298) 
 DT on reversal of temporary 
  differences                        (32,424)               (5,111)              (34,548)              (5,800) 
 Total Deferred tax expense           80,861               (60,629)               30,184              (145,098) 
 
 Tax expense recognized in 
  profit or loss                     (40,337)              (242,961)             (250,853)            (609,775) 
                               ====================  ====================  ====================  =================== 
 
   C)    Deferred tax liabilities 

Deferred tax relates to the following:

 
                                                    30 September   31 December 
                                                        2022           2021 
                                                   -------------  ------------ 
 
 Property, plant and equipment                        (32,093)      (28,925) 
 Intangible assets                                   (106,630)      (105,358) 
 Undistributed dividends from Group subsidiaries     (158,691)      (223,425) 
 Provisions and financial obligations                    61          25,559 
                                                   ------------- 
 Net deferred tax liabilities                        (297,353)      (332,149) 
                                                   =============  ============ 
 

21. Financial instruments

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

22. Contingent liabilities

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

Should a claim be brought against Al Borg Laboratory Company , Al Mokhtabar Company for Medical Labs and Integrated medical analysis, an amount of between EGP 26.6m to EGP 68m could become payable, due to the specialized and differential training programs that the group provides to its medical and administrative professionals on an annual basis, which is one of the requirements imposed by the international accreditation bodies.

23. Earnings per share

 
                               For the three months ended 30 September     For the nine months ended 30 September 
                                      2022                  2021                2022                  2021 
                             ----------------------  ------------------  ------------------  --------------------- 
 Profit attributed to 
  owners of the parent                     (18,186)             454,236             404,034              1,100,676 
 Weighted average number of 
  ordinary shares in issue                  600,000             600,000             600,000                600,000 
                             ----------------------  ------------------  ------------------  --------------------- 
 Basic and diluted earnings 
  per share                                  (0.03)                0.76                0.67                   1.83 
                             ======================  ==================  ==================  ===================== 
 

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

24. 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- September -22                  711,195          4,317         109,372           21,367     846,251 
 30- September -21                1,186,803          2,912         268,770           14,926   1,473,411 
 
 
                                                          Revenue by geographic location 
                                    ------------------------------------------------------------------------- 
 For the nine months period ended    Egypt region   Sudan region   Jordan region   Nigeria region     Total 
                                    -------------  -------------  --------------  ---------------  ---------- 
 30- September -22                    2,235,235        14,786         495,507          54,788       2,800,316 
 30- September -21                    3,121,862        12,179         592,288          40,252       3,766,581 
 
 
                                             EBITDA by geographic location 
                              ----------------------------------------------------------- 
                                Egypt    Sudan region   Jordan region   Nigeria    Total 
 For the three months ended     region                                   region 
                              --------  -------------  --------------  --------  -------- 
 30- September -22             235,623       (14)          31,447       (1,931)   265,125 
 30- September -21             686,341      (530)          104,853       (850)    789,814 
 
 
                                                         EBITDA by geographic location 
                                    ---------------------------------------------------------------------- 
                                       Egypt     Sudan region   Jordan region   Nigeria region     Total 
 For the nine months period ended      region 
                                    ----------  -------------  --------------  ---------------  ---------- 
 30- September -22                    857,363         49           122,237         (5,263)        974,386 
 30- September -21                   1,732,405       181           235,876         (5,178)       1,963,284 
 
 
                                        Net (loss) / profit by geographic location 
                              -------------------------------------------------------------- 
                                Egypt     Sudan region   Jordan region   Nigeria     Total 
 For the three months ended     region                                    region 
                              ---------  -------------  --------------  ---------  --------- 
 30- September -22             (13,555)       547           14,718       (37,356)   (35,646) 
 30- September -21             419,407      (3,923)         68,430       (4,226)    479,688 
 

Segment reporting (continued)

 
                                                    Net profit / (loss) by geographic location 
                                    ------------------------------------------------------------------------- 
 For the nine months period ended    Egypt region   Sudan region   Jordan region   Nigeria region     Total 
                                    -------------  -------------  --------------  ---------------  ---------- 
 30- September -22                     380,005         4,825          62,189          (43,613)       403,406 
 30- September -21                    1,035,621       (18,724)        151,677         (20,676)      1,147,898 
 
 
                 Revenue by type         Net profit by type 
               For the three months     For the three months 
                ended 30 September       ended 30 September 
                2022         2021         2022         2021 
             ----------  -----------  ------------  --------- 
 
 Pathology      802,245    1,447,618       (2,876)    485,116 
 Radiology       44,006       25,793      (32,770)    (5,428) 
                846,251    1,473,411      (35,646)    479,688 
             ==========  ===========  ============  ========= 
 
 
                 Revenue by type       Net profit by type 
               For the nine months     For the nine months 
                ended 30 September      ended 30 September 
                2022        2021        2022        2021 
             ----------  ----------  ----------  ---------- 
 
 Pathology    2,687,516   3,695,602     474,842   1,160,173 
 Radiology      112,800      70,979    (71,436)    (12,275) 
              2,800,316   3,766,581     403,406   1,147,898 
             ==========  ==========  ==========  ========== 
 
 
               Revenue by categories     Revenue by categories 
               For the three months       For the nine months 
                 ended 30 September        ended 30 September 
                2022         2021          2022         2021 
             ----------  ------------  -----------  ----------- 
 
 Walk-in        353,839       589,813    1,208,492    1,618,852 
 Corporate      492,412       883,598    1,591,824    2,147,729 
                846,251     1,473,411    2,800,316    3,766,581 
             ==========  ============  ===========  =========== 
 

* 30 September 2022 figure includes Covid-19 related Pathology tests amounted to EGP 678 m (30 September 2021: EGP 1,531 m).

Segment reporting (continued)

 
                                 Non-current assets by geographic location 
                      --------------------------------------------------------------- 
 For the year ended      Egypt     Sudan region   Jordan region   Nigeria     Total 
                         region                                    region 
                      ----------  -------------  --------------  --------  ---------- 
 30- September -22     2,988,831      10,335         371,172      105,657   3,475,995 
 31-Dec-21             2,803,954      7,234          291,880      90,509    3,193,577 
 

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

 
                              For the three months ended 30 September     For nine months period ended 30 September 
                                    2022                  2021                  2022                   2021 
                            --------------------  --------------------  -------------------  ----------------------- 
 
 Profit from operations                  186,360               729,072              748,783                1,793,748 
 
 
   Property, plant and 
   equipment depreciation                 51,249                46,548              146,433                  105,616 
 Right of use depreciation                25,744                12,241               73,959                   58,918 
 Amortization of 
  Intangible assets                        1,772                 1,953                5,211                    5,002 
 EBITDA                                  265,125               789,814              974,386                1,963,284 
                            --------------------  --------------------  -------------------  ----------------------- 
 Non-recurring expenses                        -                     -                    -                   29,034 
                            --------------------  --------------------  -------------------  ----------------------- 
 Normalised EBITDA                       265,125               789,814              974,386                1,992,318 
                            --------------------  --------------------  -------------------  ----------------------- 
 

25. Distributions made

 
                                                                                30 September 2022   31 December 2021 
                                                                               ------------------  ----------------- 
                                                                                     EGP'000            EGP'000 
 
 Cash dividends on ordinary shares declared and paid: 
 Nil per qualifying ordinary share US$ 0.116 per share (2021: 0.0485) per 
  share                                                                                 1,304,805            455,182 
                                                                               ------------------  ----------------- 
                                                                                        1,304,805            455,182 
                                                                               ==================  ================= 
 

During the Company's annual general meeting (AGM) held in London on 7 June 2022, IDH's shareholders approved a record-breaking dividend distribution of 0.116 US$ per share or US$ 69.6 million in aggregate, then in Q3, it paid off.

26. Significant event:

Dr. Hend El Sherbini, Integrated Diagnostics Holdings' chief executive officer, has purchased 7.3 million additional shares in the Company. This is in line with her commitment to deliver on the Company's growth and value creation strategy. The purchases was completed between 1 August and 12 August by Hena Holdings Limited ("Hena Holdings"), the vehicle through which Dr. Hend El Sherbini owns her shares and were announced on the London Stock Exchange (LSE) and the Egyptian Stock Exchange. Following the transaction, Hena Holdings' stake in IDH has increased to 26.71% from 25.5%, continuing to represent the single largest interest in the Company.

27. Subsequent events:

A) On October the Monetary Policy Committee decided at its meeting to raise the rates of the overnight deposit and lending rates and the price of the main operation of the Central Bank by 200 basis points to reach 13.25%, 14.25%, and 13.75%, respectively. The price has also been raised Credit and Discount increased by 200 basis points to reach 13.75%.

It is expected that the increase in global and domestic prices will lead to a higher general inflation rate than its counterpart The target by the Central Bank of 2% (+/-7 percentage points) on average during the fourth quarter of 2022.

B) Integrated Diagnostics Holdings signed a new joint venture contract between Al Makhbaryoun Al Arab LLC ("Biolab") and Business Flower Holding LLC to establish a new diagnostic company in Saudi Arabia. IDH consisting of IDH and its Jordanian subsidiary "Biolab" will own 50% plus 1 share, and Business Flower HOLDING LLC will own 50% minus 1 share.

This contract has an investment cost of USD 19.7 million (SAR 73.7 million). IDH's equity investment into the Saudi-established company is estimated to stand at USD 4.7 million, of which IHD will contribute USD 2.8 million and Biolab with USD 1.9 million. The plan is to start the operations within four to six months from the signing of the agreement on 27 October 2022, subject to the receipt of all the necessary regulatory approvals and licenses.

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