TIDMIDHC

RNS Number : 6173T

Integrated Diagnostics Holdings PLC

16 November 2023

Integrated Diagnostics Holdings Plc

9M 2023 Results

Thursday, 16 November 2023

Integrated Diagnostics Holdings Plc reports impressive 44% year-on-year conventional revenue expansion in 9M 2023, with consolidated figures surpassing the high Covid base of 9M 2022

(Cairo and London) - Integrated Diagnostics Holdings ("IDH," "the Group," or "the Company"), a leading provider of diagnostic services with operations in Egypt, Jordan, Nigeria, Sudan, and soon launching in Saudi Arabia, announced today its reviewed financial statements for the nine-month period ended 30 September 2023, booking its strongest quarter since the start of the year. IDH recorded consolidated revenues of EGP 1,182 in Q3 2023 million, yielding 40% year-on-year and 24% quarter-on-quarter growth rates.

When excluding(1) Covid-19-related contributions from the previous period, conventional revenues recorded a 51% year-on-year growth in Q3 2023. Impressive top-line performance during the quarter translated to improved results down the income statement, with net profit coming in at EGP 176 million and yielding an NPM of 15% in Q3 2023. This represents a significant improvement from the net loss of EGP 36 million recorded in Q3 2022 when IDH's bottom-line profitability had been weighed down by a one-off expense.

On a year-to-date basis, IDH recorded consolidated revenues of EGP 3,054 million, a 9% year-on-year expansion versus the high base of 9M 2022, which had included EGP 678 million in Covid-19-related(2) revenues (constituting 24% of the Company's top-line). Meanwhile, the Company booked conventional revenue growth of 44% year-on-year in 9M 2023, supported by a 16% year-on-year increases in test volumes coupled with a 24% year-on-year increase in average revenue per conventional test.

Further down the income statement, the Company posted a net profit of EGP 387 million in 9M 2023, representing a marginal 4% year-on-year decline from the figure reported in the same period of last year and yielding a net profit margin (NPM) of 13%.

Financial Results (IFRS)(3)

 
EGP mn                         Q3 2022  Q3 2023  Change  9M 2022  9M 2023  Change 
=============================  =======  =======  ======  =======  =======  ====== 
Revenues                         846     1,182    40%     2,800    3,054     9% 
=============================  =======  =======  ======  =======  =======  ====== 
   Conventional Revenues         784     1,182    51%     2,123    3,054    44% 
=============================  =======  =======  ======  =======  =======  ====== 
   Covid-19-related Revenues     63        -       -       678       -       - 
=============================  =======  =======  ======  =======  =======  ====== 
Cost of Goods Sold              (497)    (702)    41%    (1,619)  (1,916)   18% 
=============================  =======  =======  ======  =======  =======  ====== 
Gross Profit                     350      480     37%     1,182    1,138    -4% 
=============================  =======  =======  ======  =======  =======  ====== 
Gross Profit Margin              41%      41%    -1 pts    42%      37%    -5 pts 
=============================  =======  =======  ======  =======  =======  ====== 
Operating Profit                 186      312     67%      749      577     -23% 
=============================  =======  =======  ======  =======  =======  ====== 
Normalised EBITDA(4)             265      411     55%      974      873     -10% 
=============================  =======  =======  ======  =======  =======  ====== 
EBITDA Margin                    31%      35%    3 pts     35%      29%    -6 pts 
=============================  =======  =======  ======  =======  =======  ====== 
Net Profit                      (36)      176      -       403      387     -4% 
=============================  =======  =======  ======  =======  =======  ====== 
Net Profit Margin                -4%      15%    19 pts    14%      13%    -2 pts 
=============================  =======  =======  ======  =======  =======  ====== 
Cash Balance                     816      794     -3%      816      794     -3% 
=============================  =======  =======  ======  =======  =======  ====== 
 

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

Key Operational Indicators(5)

 
EGP mn                             9M 2022  9M 2023  Change 
=================================  =======  =======  ====== 
Branches                               546      594      48 
=================================  =======  =======  ====== 
Patients ('000)                      6,633    6,248     -6% 
=================================  =======  =======  ====== 
Revenue per Patient (EGP)              422      489     16% 
=================================  =======  =======  ====== 
Tests ('000)                        24,359   26,468      9% 
=================================  =======  =======  ====== 
   Conventional Tests ('000)        22,728   26,468     16% 
=================================  =======  =======  ====== 
   Covid-19-related Tests ('000)     1,631        -       - 
=================================  =======  =======  ====== 
Revenue per Test                       115      115      0% 
=================================  =======  =======  ====== 
   Revenue per Conventional Test 
    (EGP)                               93      115     24% 
=================================  =======  =======  ====== 
   Revenue per Covid-19-related 
    Test (EGP)                         416        -       - 
=================================  =======  =======  ====== 
Test per Patient                       3.7      4.2     15% 
=================================  =======  =======  ====== 
 

[1] Starting Q1 2023, IDH has opted to stop reporting on its Covid-19-related revenues and test volumes due to their material insignificance to the consolidated figures and to Egypt's and Jordan's country-level results for the quarter. In the comparable period of last year (9M 2022) IDH had recorded EGP 678 million in Covid-19-related revenues and had performed 1.6 million Covid-19-related tests.

2 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.

(3) Important notice: In the Company's earnings releases covering the five quarters starting from Q4 2021 and ending Q4 2022, management had opted to present Alternative Performance Measures (APM) alongside IFRS-compliant figures as outlined on page 2 of the Company's FY 2022 Earnings Release. Starting in Q1 2023, due to the material insignificance of Covid-19-related revenues on consolidated results, the Company will only report IFRS-compliant figures. It is worth noting that revenues for the comparable period (9M 2022), include concession fees amounting to EGP 63 million paid by Biolab as part of its agreement with QAIA and Aqaba Port.

4 Normalised EBITDA is calculated as operating profit plus depreciation and amortization, excluding non-recurring expenses, specifically a EGP 12 million one-off expense owed to the Egyptian government for vocational training, EGP 6.5 million in pre-operating expenses in Saudi Arabia, and EGP 5.0 million impairment expense in Sudan due to the ongoing situation in the country.

5 Key operational indicators are calculated based on revenues for the periods of EGP 3,054 million and EGP 2,800 million for 9M 2023 and 9M 2022, respectively.

Important notice: In the Company's earnings releases covering the five quarters starting from Q4 2021 and ending Q4 2022, management had opted to present Alternative Performance Measures (APM) alongside IFRS-compliant figures as outlined on page 2 of the Company's FY 2022 Earnings Release. Starting in Q1 2023, due to the material insignificance of Covid-19-related revenues on consolidated results, the Company will only report IFRS-compliant figures. It is worth noting that revenues for the comparable period (9M 2022) include concession fees amounting to EGP 63 million paid by Biolab as part of its agreement with QAIA and Aqaba Port.

Introduction

   i.    Financial Highlights 

Quarterly Performance

-- IDH recorded its strongest quarterly performance since the start of the year in Q3 2023, capitalising on strong momentum seen during May and carrying on throughout the summer period. The quarter recorded a noticeable pickup in patient footfall and testing volumes, specifically in IDH's two largest markets, Egypt and Jordan.

-- IDH booked record test volumes in Q3 2023, surpassing the 10.0 million test mark for a single quarter for the first time. As a result, the Company booked total revenues of EGP 1,182 million, expanding 40% year-on-year and 24% quarter-on-quarter. Robust top-line performance compared to the previous quarter is a reflection of a normalisation in operations following a slow start to the year in 1H 2023 due to increased inflationary pressures, the holy month of Ramadan, and Eid vacations which affected operations.

-- In parallel, conventional revenues(6) (excluding Covid-19 revenues in the comparative period) in Q3 2023 increased 51% year-on-year, up from EGP 784 million in Q3 2022.

Year-to-Date Performance

-- Conventional revenue during 9M 2023 amounted to EGP 3,054 million, representing a 44% year-on-year increase. Conventional revenue growth was driven by year-on-year increases of 16% and 24% in conventional test volumes and average revenue per conventional test, respectively.

-- Driven by strong quarterly performance, IDH recorded total revenues of EGP 3,054 million in 9M 2023, a 9% year-on-year increase.

-- This is a particularly noteworthy result when considering that the comparable 9M 2022 had included significant contributions from Covid-19-related(78) testing, amounting to EGP 678 million and constituting 24% of consolidated revenues. Total revenue growth came on the back of a 9% year-on-year increase in test volumes with average revenue per test remaining stable due to the high Covid base of 9M 2022.

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

(7) 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.

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

-- Gross Profit in Q3 2023 booked EGP 480 million, 37% above the figure recorded in Q3 2022 and 44% above Q2 2023.Meanwhile, IDH reported a gross profit margin (GPM) of 41%, unchanged compared to Q3 2022 and 6 points above the GPM booked in Q2 2023. Significantly improving gross profitability compared to the first two quarters of the year reflect a normalisation of profitability as the initial effects of the devaluation in FY 2022 and early FY 2023 began to fade.

On a nine-month basis, gross profit stood at EGP 1,138 million, down 4% year-on-year, and with an associated margin (GPM) of 37% compared to 42% in 9M 2022. Lower gross profitability on a year-to-date basis partially reflected rises in raw material costs due to higher average costs per kit on the back of rising inflation and a weaker EGP, coupled with higher direct salaries and wages costs to provide greater-than-usual increases in compensation packages to existing staff to compensate for inflationary pressures, as well as higher depreciation expenses.

-- Normalised EBITDA(9) booked EGP 411 million, recording a remarkable year-on-year growth of 55% and with an EBITDA margin of 35%, 4% higher compared to Q3 2022. EBITDA profitability also showed solid improvements compared to previous quarters, up from 25% and 24% in Q1 2023 and Q2 2023, respectively. Ona year-to-date basis, normalised EBITDA stood at EGP 873 million in 9M 2023, down 10% year-on-year, and with an associated margin of 29% compared to 35% in 9M 2022. Lower EBITDA profitability on a year-to-date basis came on the back of the decreased gross profitability coupled with increased SG&A outlays in part reflecting the impact of a weaker EGP on USD-denominated expenses.

It is worth noting that normalised EBITDA has been adjusted for several one-offs including an EGP 12 million expense related to contributions owed to the Egyptian government vocational training fund for the previous five-year period, EGP 7 million in pre-operating expenses booked by IDH's new Saudi venture, and EGP 5 million impairment expense for Sudanese operations following the unfortunate political situation in the country.

9 Normalised EBITDA is calculated as operating profit plus depreciation and amortization, excluding non-recurring expenses, specifically a EGP 12 million one-off expense owed to the Egyptian government for vocational training, EGP 6.5 million in pre-operating expenses in Saudi Arabia, and EGP 5.0 million impairment expense in Sudan due to the ongoing situation in the country.

-- Net Profit booked EGP 176 million and yielded an NPM of 15% in Q3 2023 compared to a net loss of EGP 36 million one year prior. Net profit during the quarter also posted robust figures compared to the previous quarter, more than tripling the EGP 43 million booked in Q2 2023 and yielding an associated margin 9 points above Q2 2023.

Net profit in 9M 2023 recorded EGP 387 million, a 4% year-on-year decrease. IDH's NPM recorded 13% in 9M 2023, largely stable versus last year.

ii. Operational Highlights

-- As at 30 September 2023, IDH's total branch network across its four markets stood at 594 branches, an increase of 48 branches in the past twelve-month period. During Q3 2023, IDH rolled out 6 new branches in its home market of Egypt, including one new Al-Borg Scan branch which commenced operations in September.

-- Conventional tests (excluding Covid-19 contributions in the base year) booked a record-high in Q3 2023, reaching 10.0 million tests for the first time and expanding 22% year-on-year and 19% quarter-on-quarter, further highlighting its strong growth momentum coupled with the normalisation of patient behaviour following the Covid-19 pandemic. Meanwhile, conventional tests reached 26.5 million tests in 9M 2023, a 16% year-on-year increase. Consolidated test volumes, which in 9M 2022 included 1.6 million Covid-19-related tests, grew 9% year-on-year.

-- Average revenue per conventional test increased 24% year-on-year to book EGP 115 in 9M 2023. Average revenue per conventional test was driven by both direct and indirect price adjustments in Egypt and Nigeria in response to ongoing inflation. It is worth highlighting that this figure was partially boosted by a 10% contribution from the translation effect resulting from the devaluation of the EGP over the past twelve months.

-- The Company served a total of 6.2 million patients during 9M 2023, 6% below last year's figure. The decline reflects the comparable period's high base due to Covid-19 contributions. Meanwhile, average test per patient rose to a record high 4.2 tests in 9M 2023, up from 3.7 tests one year prior. Continually surging average tests per patient reflect a post-Covid-19 patient normalisation coupled with the continued success of IDH's loyalty programme which launched in FY 2021.

iii. Updates by Geography

-- In Egypt (81.9% of total revenues), IDH booked its strongest quarterly performance of FY 2023, with conventional revenues (excluding Covid-19 contributions from the base year) expanding 49% year-on-year and 26% quarter-on-quarter, as the Company continues to build off the strong momentum witnessed starting May. In parallel, consolidated revenues increased 39% year-on-year in Q3 2023.

On a year-to-date basis, Egyptian operations recorded 39% year-on-year growth, reaching EGP 2,500 million during 9M 2023, driven by 18% increases in both test volumes and average revenue per test. In parallel, consolidated revenues in 9M 2023 increased 12% year-on-year, an impressive result given Covid-19-related contributions of 19% during 9M 2022.

-- In Jordan (15.2% of total revenues), in line with trends observed in Egypt, Biolab's conventional revenues expanded 13% year-on-year and 18% quarter-on-quarter in Q3 2023 to reach JOD 4.1 million, maintaining the strong momentum seen starting May 2023. Consolidated revenues declined 1% year-on-year from the high Covid base of Q3 2022. In EGP terms, conventional revenue posted growth rates of 82% year-on-year and 19% quarter-on-quarter, partially reflecting the translation effect resulting from a weaker EGP. On a nine-month basis, conventional revenues rose 10% year-on-year in JOD terms in 9M 2023, supported by a 10% growth in conventional testing volumes.

-- In Nigeria (2.6% of total revenues) Echolab booked 10% year-on-year and 11% quarter-on-quarter revenue growths in NGN terms in Q3 2023. Top-line expansion was primarily driven by 29% year-on-year and 4% quarter-on-quarter increases in average revenue per test in NGN terms, as IDH applies strategic price hikes to compensate for increasing inflation. On a year-to-date basis, revenues booked NGN 1,457 million in 9M 2023, expanding 16% year-on-year in NGN terms and supported by a 22% year-on-year rise in average revenue per test in local currency terms.

-- IDH's Sudanese operations (0.4% of total revenues) recorded revenue declines of 88% year-on-year and 62% quarter-on-quarter in Q3 2023 in EGP terms. Meanwhile, revenues declined 27% year-on-year in 9M 2023. IDH's operations in the country continue to be impacted by the ongoing conflict which has seen the closure of 16 of the country's 18 branches starting April 2023.

-- IDH remains on schedule to launch its first two Saudi Arabian branches in December 2023. The two branches will be located in Riyadh, enabling the Company to capitalise on the important growth opportunities offered by the city's growing and increasingly health-conscious population. The new venture was jointly funded by IDH (30%), Biolab (20%) and Fawaz Alhokair's healthcare subsidiary, Izhoor (50%). The venture aims to establish itself as a full-fledged clinical pathology diagnostic services provider boasting a branch network covering the entire Kingdom. The new venture will be fully consolidated on IDH's accounts.

iv. Management Commentary

Commenting on the Group's performance, IDH Chief Executive Officer Dr. Hend El-Sherbini said: "With the end of the year fast approaching, I am delighted to report an exceptional quarter, characterised by unprecedented financial and operational success and continuing to showcase the strength of IDH's underlying business and its future growth potential. While our results from the first half of the year were somewhat diluted by increasing inflationary environments, particularly in our home market, Egypt, as well as several seasonal slowdowns due to the holy month of Ramadan and other holidays, the Company's strong performance in the third quarter of the year has significantly outpaced the past two quarters. Strong growth in Q3 2023 has also reflected positively down the income statement, with our margins expanding significantly compared to the same quarter last year as well as compared to the first half of 2023. I am also proud to announce that this exceptional performance has enabled our year-to-date results to surpass the comparable period of last year, which had included sizeable contributions from Covid-19-related testing.

During Q3 2023, the Company continued building on its strong momentum witnessed starting in May of this year, conducting 10.0 million tests during the quarter, 21% higher than the figure recorded in Q3 2022, and the highest figure recorded in a single quarter in IDH's history. This quarter saw IDH increase its average number of tests per patient to 4.2 tests, another record high for the Company as its patient mix begins to normalise following the Covid-19-pandemic and it begins to harvest the fruit of its loyalty programme, which was introduced in FY 2021. This impressive performance has led to 40% year-on-year and 24% quarter-on-quarter increases in our consolidated top-line in Q3 2023.

Turning to our markets' individual performances, Egypt and Jordan both saw similar trends, with growing demand for our traditional test offering translating in steady rises in both conventional revenues and test volumes. In Egypt, we recorded a 49% year-on-year increase in conventional revenues in Q3 2023, driven by 24% and 20% rises in test volumes and average revenue per test, respectively, despite patients' purchasing power being impacted by rising inflation. Egyptian operations also witnessed an increase in the average number of tests per patient, rising to a record high 4.2 tests in 9M 2023, continuing to be driven by our successful loyalty programme which was introduced in FY 2021. Our results in Egypt were further buoyed by the impressive near doubling of revenues at our radiology venture, Al-Borg Scan, which constituted 5% of Egypt's revenue in Q3 2023. On this front, in line with our ramp up strategy for the venture, in September we inaugurated the venture's seventh branch moving us a step closer to realising our vision of providing patients with a one-stop-shop service offering featuring both pathology and radiology.

In Jordan, Biolab booked a 13% year-on-year increase in its conventional top-line in JOD terms, fuelled by a 13% increase in conventional test volumes for the period. In Nigeria, our operations recorded revenue expansion in NGN terms of 10% compared to Q3 2022, on the back of higher average revenue per test. Finally, Sudan's operations continued to be hindered by the ongoing conflict which has caused the closure of 16 out of our 18 branches starting in April of this year. As always, we will continue to closely monitor the situation and will provide the market with updates when available.

Further down the income statement, we were pleased to note the start of a gradual normalisation during the third quarter as the initial shock of the multiple devaluations of the EGP began to ease. More specifically, results in Q3 2023 showed significant improvements in profitability, with both our gross and EBITDA margins improving remarkably versus the first two quarters of 2023. Improved profitability was also apparent compared to Q3 2022, where the Company booked significant increases in both its EBITDA and net margins.

Finally, I am pleased to report that in the coming weeks, we will be officially launching our operations in Saudi Arabia, adding a fifth geography to our portfolio and entering one of the region's most attractive markets. Our first two branches in the country will both be located in the Kingdom's capital city, Riyadh, allowing us to take advantage of the important growth opportunities offered by the city's growing and increasingly health-conscious population. In light of the continued strengths of our results, the solid strategies in place, and the positive momentum enjoyed by our operations in Egypt and Jordan, we reaffirm our guidance of 30% conventional revenue growth, boosting our consolidated revenues to the EGP 4 billion mark, with a normalised EBITDA margin excluding one-off expenses and pre-operating expenses in Saudi Arabia of 28-30% for FY 2023."

- End -

Analyst and Investor Call Details

An analyst and investor call will be hosted at 1pm (UK) | 3pm (Egypt) on Tuesday, 21 November 2023. You can register for the call by clicking on this link .

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

About Integrated Diagnostics Holdings (IDH)

IDH is a leading diagnostics services provider in the Middle East and Africa offering a broad range of clinical pathology and radiology tests to patients in Egypt, Jordan, Nigeria and Sudan. The Group's core brands include Al Borg, Al Borg Scan and Al Mokhtabar in Egypt, as well as Biolab (Jordan), Ultralab and Al Mokhtabar Sudan (both in Sudan) and Echo-Lab (Nigeria). With over 40 years of experience, a long track record for quality and safety has earned the Company a trusted reputation, as well as internationally recognised accreditations for its portfolio of over 2,000 diagnostics tests. From its base of 552 branches as of 31 December 2022, IDH served over 8.7 million patients and performed more than 32.7 million tests in 2022. IDH will continue to add laboratories through a Hub, Spoke and Spike business model that provides a scalable platform for efficient expansion. Beyond organic growth, the Group targets expansion in appealing markets, including acquisitions in the 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 2023 have been prepared solely to provide additional information to shareholders to assess the group's performance in relation to its operations and growth potential. These results should not be relied upon by any other party or for any other reason. This communication contains certain forward-looking statements. A forward-looking statement is any statement that does not relate to historical facts and events, and can be identified by the use of such words and phrases as "according to estimates", "aims", "anticipates", "assumes", "believes", "could", "estimates", "expects", "forecasts", "intends", "is of the opinion", "may", "plans", "potential", "predicts", "projects", "should", "to the knowledge of", "will", "would" or, in each case their negatives or other similar expressions, which are intended to identify a statement as forward-looking. This applies, in particular, to statements containing information on future financial results, plans, or expectations regarding business and management, future growth or profitability and general economic and regulatory conditions and other matters affecting the Group .

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

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

Important notice: In the Company's earnings releases covering the five quarters starting from Q4 2021 and ending Q4 2022, management had opted to present Alternative Performance Measures (APM) alongside IFRS-compliant figures as outlined on page 2 of the Company's FY 2022 Earnings Release. Starting in Q1 2023, due to the material insignificance of Covid-19-related revenues on consolidated results, the Company will only report IFRS-compliant figures. It is worth noting that revenues for the comparable period (9M 2022) include concession fees amounting to EGP 63 million paid by Biolab as part of its agreement with QAIA and Aqaba Port.

Group Operational & Financial Review

   i.    Revenue and Cost Analysis 
 
 Consolidated Revenue 
  IDH's strong momentum observed starting in May 2023 carried into the summer, 
  resulting in an exceptional set of results during Q3 2023. During Q3 2023, 
  IDH booked conventional(10) revenue growth of 51% year-on-year, reaching 
  EGP 1,182 million. Conventional revenues were boosted by 22% and 23% year-on-year 
  increases in test volumes and average revenue per conventional test, respectively. 
  Strong growth during the third quarter of the year is also reflected in 
  the Company's quarter-on-quarter performance, with IDH capitalising on 
  strong growth momentum to record a 24% expansion compared to Q2 2023. 
  Meanwhile, consolidated revenues increased 40% year-on-year, up from EGP 
  784 million one year prior. 
  In parallel, the Company booked consolidated revenues of EGP 3,054 million 
  in 9M 2023, a remarkable 9% year-on-year increase especially when considering 
  the EGP 678 million(11) contribution made from Covid-19-related(12) testing 
  to consolidated revenues in 9M 2022. Positive consolidated revenue growth 
  for the period is mainly a reflection of exceptionally strong quarterly 
  performance in Q3 2023, which boosted results and enabled the Company 
  to record positive consolidated growth. Conventional revenue on a year-to-date 
  basis increased 44% year-on-year from EGP 2,123 million in 9M 2022. 
 
  [1 (0]) Conventional (non-Covid) tests include IDH's full service offering 
  excluding the Covid-19 related tests outlined below. 
  [1 (1]) Covid-19-related revenue in 9M 2022 includes EGP 63 million in 
  concession fees paid by Biolab to Queen Alia International Airport and 
  Aqaba Port as part of its revenue sharing agreement. 
  [1 (2]) 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. 
 

Revenue Analysis

 
                                          Q1      Q2      Q2      Q3      Q3            9M      9M 
                                  Q1    2023    2022    2023    2022    2023    %     2022    2023    % 
                                2022 
---------------------------  -------  ------  ------  ------  ------  ------  ----  ------  ------  ---- 
 Total revenue (EGP mn)        1,180     915     774     957     846   1,182   40%   2,800   3,054   9% 
===========================  =======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
  Conventional revenue 
   (EGP mn)                      640     915     699     957     784   1,182   51%   2,123   3,054   44% 
===========================  =======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
  Covid-19-related revenue 
   (EGP mn)                      540       -      75       -      63       -     -     678       -    - 
                                  Contribution to Consolidated Results 
======================================================================================================== 
  Conventional revenue           54%    100%     90%    100%     93%    100%           76%    100% 
===========================  =======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
  Covid-19-related revenue       46%       -     10%       -      7%       -           24%       - 
---------------------------  -------  ------  ------  ------  ------  ------  ----  ------  ------  ---- 
 

Test Volume Analysis

 
 Total tests (mn)                8.4    8.0   7.6    8.5   8.4   10.0   20%   24.4   26.5   9% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Conventional tests performed 
  (mn)                           7.1    8.0   7.4    8.5   8.2   10.0   22%   22.7   26.5   16% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  tests performed (mn)           1.3      -   0.2      -   0.2      -     -    1.6      -    - 
------------------------------  ----  -----  ----  -----  ----  -----  ----  -----  -----  ---- 
                              Contribution to Consolidated Results 
=============================================================================================== 
 Conventional tests performed    85%   100%   97%   100%   98%   100%          93%   100% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  tests performed                15%      -    3%      -    2%      -           7%      - 
------------------------------  ----  -----  ----  -----  ----  -----  ----  -----  -----  ---- 
 

Revenue per Test Analysis

 
 Total revenue per test 
  (EGP)                      140   114   102   113   101   118   17%   115   115    - 
==========================  ====  ====  ====  ====  ====  ====  ====  ====  ====  ==== 
 Conventional revenue 
  per test (EGP)              90   114    94   113    96   118   23%    93   115   24% 
 Covid-19-related revenue 
  per test (EGP)             431     -   454     -   361     -     -   416     -    - 
--------------------------  ----  ----  ----  ----  ----  ----  ----  ----  ----  ---- 
 
 
 Revenue Analysis: Contribution by Patient Segment 
 
  Contract Segment (63% of Group revenue) 
  IDH's contract segment recorded conventional revenues of EGP 1,938 million 
  during the nine-month period, expanding 49% year-on-year from the figure 
  reported last year. Growth at the segment was driven by 21% and 23% increases 
  in conventional test volumes and average revenue per conventional test, 
  respectively. 
 
  Consolidated revenues at the segment recorded a 22% year-on-year increase 
  in 9M 2023 on the back of increased volumes and prices. The contract segment's 
  average tests per patient reached a record-high 4.4 tests, up from 4.1 
  tests in 9M 2022, reflecting a normalisation in patient mix following 
  the Covid-19 pandemic and the success of IDH's loyalty programme which 
  was introduced in FY 2021. 
 
  Walk-in Segment (37% of Group revenue) 
  In parallel, IDH's walk-in segment posted conventional revenues of EGP 
  1,116 million, increasing 34% year-on-year in 9M 2023. Growth came on 
  the back of a 34% year-on-year increase in average revenue per conventional 
  test, while test volumes remained unchanged compared to the same time 
  last year. 
 
  Meanwhile, consolidated revenue at the walk-in segment declined 8% year-on-year 
  on the back of lower test volumes and reflecting a high base effect in 
  the comparable period of 2022. In line with the trend noted in the contract 
  segment, tests per patient at the walk-in segment increased to 3.6 tests 
  in 9M 2023, well above historical figures as the Company books another 
  record high. 
 

Detailed Segment Performance Breakdown

 
                               Walk-in Segment           Contract Segment                Total 
=========================  =======================  =========================  ========================= 
                             9M22    9M23   Change     9M22     9M23   Change     9M22     9M23   Change 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue (EGP mn)           1,214   1,116      -8%    1,584    1,938      22%    2,800    3,054       9% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
  Conventional Results 
   (EGP mn)                   830   1,116      34%    1,293    1,938      49%    2,123    3,054      44% 
  Total Covid-19-related 
   revenue (EGP mn)           384       -        -      294        -        -      678        -        - 
 Patients ('000)            2,112   1,343     -36%    4,522    4,905       8%    6,633    6,248      -6% 
 % of Patients                32%     21%               68%      79% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue per Patient 
  (EGP)                       575     831      44%      351      395      13%      422      489      16% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Tests ('000)               5,712   4,894     -14%   18,648   21,574      16%   24,359   26,468       9% 
 % of Tests                   23%     18%               77%      82% 
  Conventional tests 
   ('000)                   4,891   4,894        -   17,837   21,574      21%   22,728   26,468      16% 
  Total Covid-19-related 
   tests ('000)               821       -        -      810        -        -    1,631        -        - 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue per Test (EGP)       213     228       7%       85       90       6%      115      115     0.4% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Conventional Revenue 
  per Test (EGP)              170     228      34%       72       90      23%       93      115      24% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Test per Patient             2.7     3.6      35%      4.1      4.4       7%      3.7      4.2      15% 
-------------------------  ------  ------  -------  -------  -------  -------  -------  -------  ------- 
 
 
 Revenue Analysis: Contribution by Geography 
 
  Egypt (81.9% of Group revenue) 
  IDH's home and largest market, Egypt, reported robust performance in Q3 
  2023, capitalising on the impressive growth trajectory witnessed starting 
  in May 2023, and expanding both conventional and consolidated revenues 
  on the back of increased test volumes and average revenue per conventional 
  test. More specifically, Q3 2023 represented the strongest quarter for 
  Egyptian operations in FY 2023, following anticipated seasonal slowdowns 
  in the first half of the year. 
 
  On a conventional basis, revenue expanded 49% year-on-year and 26% quarter-on-quarter, 
  reaching EGP 986 million on the back of increased test volumes and average 
  revenue per test. Meanwhile, consolidated revenues increased 39% year-on-year 
  compared to Q3 2022. 
 
  On a year-to-date basis, Egypt booked consolidated revenues of EGP 2,500 
  million, a 12% year-on-year expansion marking the full completion of the 
  geography's post-Covid-19 recovery. This is particularly noteworthy when 
  considering that the comparable period of last year included significant 
  contributions of EGP 432 million from the Company's Covid-19-related testing. 
  Consolidated revenue growth was supported by a 12% year-on-year increase 
  in tests performed. Meanwhile, conventional revenues increased 39% year-on-year 
  from EGP 1,803 in 9M 2022. 
 
  Al-Borg Scan 
  IDH's fast-growing radiology venture continued its steady ramp up throughout 
  Q3 2023, posting revenues of EGP 108 million in 9M 2023 and booking a 
  top-line year-on-year growth rate of 86%. Revenue growth for the period 
  was primarily driven by increased test volumes, which grew 50% year-on-year, 
  partially due to the ramp up of new branches across the Greater Cairo 
  area. In parallel, average revenue per test also rose by 24% year-on-year, 
  reaching EGP 705 in 9M 2023. 
 
  In line with the impressive performance recorded by Al-Borg Scan, and 
  its maintained operational ramp-up, IDH rolled out the venture's seventh 
  branch in September of this year. The branch, located in Cairo's underpenetrated 
  Nasr City neighbourhood, falls in line with the Company's strategic direction 
  to expand its radiology business and establish itself as a leading play 
  in the fragmented market. 
 
  House Calls 
  In the nine months ended 30 September 2023, IDH's house call service in 
  Egypt continued to make a robust contribution of 16% to total revenues 
  in the country. This continues to be significantly ahead of the service's 
  pre-pandemic contribution, highlighting the segment's growth potential, 
  and the success of IDH's investment and ramp up strategy specifically 
  throughout the Covid-19 pandemic. 
 
  Wayak 
  During 9M 2023, Wayak completed 122 thousand orders, representing a 30% 
  year-on-year increase. On the profitability front, the venture's EBITDA 
  losses continued to narrow steadily, recording EGP 659 thousand in 9M 
  2023 versus the EGP 2,780 million in EBITDA losses booked in the comparable 
  period of FY 2022. 
 

Detailed Egypt Performance Breakdown

Revenue Analysis

 
                              Q1      Q1      Q2      Q2      Q3      Q3            9M      9M 
 EGP mn                     2022    2023    2022    2023    2022    2023     %    2022    2023     % 
------------------------                  ------          ------  ------        ------  ------  ---- 
 Total Revenue               879     731     645     783     711     986   39%   2,235   2,500   12% 
========================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
 Conventional Revenue        549     731     591     783     662     986   49%   1,803   2,500   39% 
========================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
     Pathology Revenue       532     703     573     748     639     941   47%   1,745   2,392   37% 
     Radiology Revenue        17      28      19      35      23      45   99%      58     108   86% 
========================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
 Total Covid-19-related 
  Revenue                    330       -      53       -      49       -     -     432       -     - 
------------------------  ------  ------  ------  ------  ------  ------  ----  ------  ------  ---- 
                                Contribution to Consolidated Results 
---------------------------------------------------------------------------------------------------- 
 Conventional revenue        62%    100%     92%    100%     93%    100%           81%    100% 
========================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
     Pathology Revenue       61%     96%     89%     96%     90%     95%           78%     96% 
     Radiology Revenue      1.9%    3.8%    2.9%    4.5%      3%      5%            3%      4% 
========================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
 Total Covid-19-related 
  revenue                    38%       -      8%       -      7%                   19% 
 

Test Volume Analysis

 
 Total Tests                     7.3    7.3   6.9    7.8   7.6    9.3   21%   21.8   24.4   12% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Conventional Tests              6.5    7.3   6.7    7.8   7.5    9.3   24%   20.7   24.4   18% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  Tests                          0.8      -   0.2      -   0.2      -     -    1.1      - 
------------------------------  ----  -----  ----  -----  ----  -----  ----  -----  -----  ---- 
                              Contribution to Consolidated Results 
----------------------------------------------------------------------------------------------- 
 Conventional tests performed    89%   100%   97%   100%   98%   100%          95%   100% 
==============================  ====  =====  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  tests performed                11%      -    3%      -    2%      -           5%      - 
 

Revenue per Test Analysis

 
 Total Revenue per Test      120   99   94   101   93   107   14%   102   103   0.1% 
==========================  ====  ===  ===  ====  ===  ====  ====  ====  ====  ===== 
 Revenue per Conventional 
  Test                        84   99   88   101   89   107   20%    87   103    18% 
==========================  ====  ===  ===  ====  ===  ====  ====  ====  ====  ===== 
 
 
 Jordan (15.2% of Group revenue) 
  In Jordan, IDH's second-largest geography, the Company recorded conventional 
  revenues of JOD 4.0 million in Q3 2023, increasing 13% year-on-year. This 
  is primarily a reflection of increased conventional test volumes, which 
  grew 13% year-on-year to reach 678 thousand tests in Q3 2023. Meanwhile, 
  IDH recorded an 18% quarter-on-quarter revenue increase in local currency 
  terms, fuelled by a 19% expansion in test volumes In EGP terms, conventional 
  revenue growth for the quarter came in at 82% year-on-year, booking EGP 
  174 million for the quarter. Average revenue per conventional test was 
  the main driver of growth in EGP terms, booking a 61% year-on-year expansion 
  due to the weakening of the EGP since last year. It is worth noting that, 
  in line with trends seen in Egypt, IDH's Jordanian operations have also 
  started to see steady recovery starting May and throughout the summer 
  period. Consolidated revenues declined 1% year-on-year during Q3 2023. 
 
  On a year-to-date basis, the Company recorded a conventional revenue growth 
  of 10% year-on-year in local currency terms, reaching JOD 10.8 million 
  in 9M 2023. Conventional growth for the period came on the back of a 10% 
  year-on-year increase in conventional test volumes. In EGP terms, Jordanian 
  operations booked an 86% year-on-year increase, reaching EGP 464 million 
  compared to EGP 250 million one year prior. Growth in EGP terms includes 
  significant contributions from the translation effect as a result of the 
  devaluation of the EGP over the last twelve months. Consolidated revenue 
  for the nine-month period remained 48% below last year's figure in JOD 
  terms and 6% in EGP terms as the high base effect from Covid-19-related 
  testing performed in the first part of 2022 continued to impact results. 
 

Detailed Jordan Performance Breakdown

Revenue Analysis

 
                                    Q1      Q1      Q2      Q2      Q3      Q3            9M      9M 
 EGP mn                           2022    2023    2022    2023    2022    2023     %    2022    2023     % 
------------------------------                  ------          ------  ------  ----          ------  ---- 
 Total Revenue                     281     144     106     146     109     174   59%     496     464   -6% 
==============================  ======  ======  ======  ======  ======  ======  ====  ======  ======  ==== 
 Conventional Results               70     144      84     146      95     174   82%     250     464   86% 
 Total Covid-19-related 
  Revenues (PCR and Antibody)      210       -      21       -      14       -     -     246       - 
------------------------------  ------  ------  ------  ------  ------  ------  ----  ------  ------  ---- 
                                   Contribution to Consolidated Results 
 Conventional Results              25%    100%     80%    100%     87%    100%           50%    100% 
 Total Covid-19-related 
  Revenue (PCR and Antibody)       75%       -     20%       -     13%       -           50%       - 
------------------------------  ------  ------  ------  ------  ------  ------  ----  ------  ------  ---- 
 

Test Volume Analysis

 
 Total tests (k)                 991    582   603    598   627    678    8%   2,221   1,858   -16% 
==============================  ====  =====  ====  =====  ====  =====  ====  ======  ======  ===== 
 Conventional tests performed 
  (k)                            519    582   572    598   599    678   13%   1,691   1,858    10% 
 Total Covid-19-related 
  tests performed (k)            472      -    30      -    28      -     -     530       - 
------------------------------  ----  -----  ----  -----  ----  -----  ----  ------  ------  ----- 
                               Contribution to Consolidated Results 
================================================================================================== 
 Conventional tests performed    52%   100%   95%   100%   96%   100%           76%    100% 
 Total Covid-19-related 
  tests performed                48%      -    5%      -    4%      -           24%       - 
------------------------------  ----  -----  ----  -----  ----  -----  ----  ------  ------  ----- 
 

Revenue per Test Analysis

 
 Total Revenue per Test      283   248   175   244   174   257   47%   223   250   12% 
==========================  ====  ====  ====  ====  ====  ====  ====  ====  ====  ==== 
 Revenue per Conventional 
  Test                       136   248   147   244   159   257   61%   148   250   69% 
==========================  ====  ====  ====  ====  ====  ====  ====  ====  ====  ==== 
 
 
 Nigeria (2.6% of revenue) 
  Echo-Lab, IDH's Nigerian subsidiary, reported sustained top-line growth, 
  recording revenue expansion of 16% year-on-year in local currency terms 
  to reach NGN 1,457 million in 9M 2023. In EGP terms, Echo-Lab booked revenue 
  growth of 44% year-on-year, rising to EGP 79 million in the nine-month 
  period. Growth was spurred by 22% and 52% year-on-year increases in average 
  revenue per test in NGN and EGP terms, respectively, with the latter partially 
  reflecting a weakening of the EGP in the last year. Revenue growth for 
  the period came despite a 5% year-on-year decline in test volumes, which 
  reached 204 thousand tests during 9M 2023. 
 
  Sudan (0.4% of revenue) 
  The Company's Sudanese operations continued to be impacted by the ongoing 
  conflict which has led to the closure of 16 of the country's 18 branches 
  starting in April 2023. More specifically, during 9M 2023, IDH booked 
  revenues of SDG 207 million, 50% below the figure recorded the same time 
  last year. In EGP terms, revenue reached EGP 11 million during the first 
  nine months of the year, dropping 27% year-on-year from 9M 2023. IDH continues 
  to closely monitor the situation as it unfolds and will update the market 
  should any material aspects evolve. 
 

Revenue Contribution by Country

 
                                   Q1      Q1      Q2      Q2      Q3      Q3             9M      9M 
                                 2022    2023    2022    2023    2022    2023      %    2022    2023      % 
=============================  ======  ======  ======  ======  ======  ======  =====  ======  ======  ===== 
 Egypt Revenue (EGP mn)           879     731     645     783     711     986    39%   2,235   2,500    12% 
   Conventional (EGP mn)          549     731     591     783     662     986    49%   1,803   2,500    39% 
         Pathology Revenue        532     703     573     748     639     941    47%   1,745   2,392    37% 
         Radiology Revenue         17      28      19      35      23      45    99%      58     108    86% 
   Covid-19-related (EGP 
    mn)                           330       -      53       -      49       -      -     432       - 
 Egypt Contribution to 
  IDH Revenue                   74.5%   79.9%   83.2%   81.8%   84.0%   83.5%          78.0%   80.1% 
 Jordan Revenue (EGP mn)          281     144     106     146     109     174    59%     496     464    -6% 
   Conventional (EGP mn)           70     144      84     146      95     174    82%     250     464    86% 
   Covid-19-related (EGP 
    mn)                           210       -      21       -      14       -      -     246       - 
 Jordan Revenues (JOD 
  mn)                            12.5     3.4     4.0     3.4     4.1     4.0    -1%    20.6    10.8   -48% 
   Conventional (JOD mn)          3.0     3.4     3.2     3.4     3.5     4.0    13%     9.8    10.8    10% 
 Jordan Revenue Contribution 
  to IDH Revenue                23.7%   15.7%   13.7%   15.2%   12.9%   14.7%          17.7%   15.2% 
 Nigeria Revenue (EGP 
  mn)                              15      31      19      27      21      21    -1%      55      79    44% 
 Nigeria Revenue (NGN 
  mn)                             371     468     416     469     473     520    10%   1,260   1,457    16% 
 Nigeria Contribution 
  to IDH Revenue                 1.3%    3.4%    2.5%    2.8%    2.5%    1.8%           2.0%    2.6% 
 Sudan Revenue (EGP mn)           5.7     8.8     4.8     1.4     4.3     0.5   -88%    14.8    10.7   -27% 
 Sudan Revenue (SDG mn)           152     169     137      27     128      10   -92%     417     207   -50% 
 Sudan Contribution to 
  IDH Revenue                    0.5%    1.0%    0.6%    0.1%    0.5%   0.05%           0.5%    0.4% 
 

Average Exchange Rate

 
            9M 2022   9M 2023             Change 
=========  ========  ========  ================= 
 USD/EGP       18.1      30.7              69.9% 
=========  ========  ========  ================= 
 JOD/EGP       25.5      43.0              68.9% 
=========  ========  ========  ================= 
 NGN/EGP       0.04      0.06              27.1% 
=========  ========  ========  ================= 
 SDG/EGP       0.04      0.05              45.7% 
=========  ========  ========  ================= 
 

Patients Served and Tests Performed by Country

 
                                    9M 2022   9M 2023   Change 
=================================  ========  ========  ======= 
 Egypt Patients Served (mn)             5.7       5.8       3% 
 Egypt Tests Performed (mn)            21.8      24.4      12% 
     Conventional tests (mn)           20.7      24.4      18% 
     Covid-19-related tests (mn)        1.1         -        - 
=================================  ========  ========  ======= 
 Jordan Patients Served (k)             789       286     -64% 
 Jordan Tests Performed (k)           2,221     1,858     -16% 
     Conventional tests (k)           1,691     1,858      10% 
     Covid-19-related tests (k)         530         -        - 
 Nigeria Patients Served (k)            110       102      -8% 
 Nigeria Tests Performed (k)            215       204      -5% 
 Sudan Patients Served (k)               59        14     -76% 
 Sudan Tests Performed (k)              112        40     -64% 
=================================  ========  ========  ======= 
 Total Patients Served (mn)             6.6       6.2      -6% 
 Total Tests Performed (mn)            24.4      26.5       9% 
 

Branches by Country

 
                   30 September   30 September         Change 
                           2022           2023 
================  =============  =============  ============= 
 Egypt                      496            537             41 
================  =============  =============  ============= 
 Jordan                      21             27              6 
================  =============  =============  ============= 
 Nigeria                     12             12              - 
================  =============  =============  ============= 
 Sudan                       17             18              1 
================  =============  =============  ============= 
 Total Branches             546            594             48 
================  =============  =============  ============= 
 
 
      Cost of Goods Sold 
       Cost of goods sold during the nine-month period reached EGP 1,916 million, 
       increasing 18% compared to the EGP 1,619 million booked during 9M 2022. 
       As a percentage of revenue, cost of goods sold stood at 63% in 9M 2023, 
       up from 58% in the same period of the previous year. Higher cost of goods 
       sold as a percentage of revenues reflected higher raw material costs, 
       increased direct wages and salaries costs, as well as higher depreciation 
       expenses. 
       Cost of Goods sold Breakdown as a Percentage of Revenue                                     9M 2022   9M 2023 
       ==================================  ========  ======== 
        Raw Materials                         20.1%     21.9% 
       ==================================  ========  ======== 
             Conventional raw material 
              costs as % of conventional 
              revenues                        17.0%     21.9% 
       ==================================  ========  ======== 
             Covid-19-related raw             29.8%         - 
              material costs as % 
              of Covid-19-related 
              revenues 
       ==================================  ========  ======== 
        Wages & Salaries                      16.5%     19.2% 
       ==================================  ========  ======== 
        Depreciation & Amortisation            7.2%      8.7% 
       ==================================  ========  ======== 
        Other Expenses                        14.1%     12.9% 
       ==================================  ========  ======== 
        Total                                 57.8%     62.7% 
       ==================================  ========  ======== 
 
 
       Raw material costs (35% of consolidated cost of goods sold) remained 
       the single largest contributor to cost of goods sold during the period. 
       Raw materials recorded costs of EGP 668 million during 9M 2023, expanding 
       19% year-on-year, and constituting a total of 22% of revenues for the 
       period versus 20% in the same period of the previous year. During the 
       nine-month period, IDH reported a rise in the average cost of conventional 
       test kits (21.9% of revenues in 9M 2023 compared to 17% in 9M 2022) on 
       the back of rising inflation and a weaker EGP. The Company expects test 
       kit prices as a share of revenue to gradually normalize in the coming 
       months as the initial impact of the EGP devaluation begins to fade. It 
       is also important to highlight that raw material outlays in 9M 2023 include 
       a one-off EGP 15.5 million expense related to expired Covid-19-related 
       test kits. 
       Wages and salaries including employee share of profits (31% share of 
       consolidated cost of goods sold) continued to be the second largest contributor 
       to cost of goods sold during 9M 2023, coming at EGP 587 million, a year-on-year 
       increase of 27%. Increased direct wages and salaries reflect higher than 
       usual adjustments to compensation packages to compensate for unprecedented 
       inflation as part of the Group's staff retention strategy. Furthermore, 
       the translation effect due to a weaker EGP resulted in increased direct 
       wages and salaries expenses in both Jordan and Nigeria. 
       Direct Wages and Salaries by Region                     9M 2022   9M 2023   Change 
       ==================  ========  ========  ======= 
        Egypt (EGP mn)          362       445      23% 
       ==================  ========  ========  ======= 
        Jordan (EGP mn)          84       118      41% 
       ==================  ========  ========  ======= 
        Jordan (JOD mn)           3         3     -16% 
       ==================  ========  ========  ======= 
        Nigeria (EGP mn)         12        22      79% 
       ==================  ========  ========  ======= 
        Nigeria (NGN mn)        280       395     -41% 
       ==================  ========  ========  ======= 
        Sudan (EGP mn)            3         3      -6% 
       ==================  ========  ========  ======= 
        Sudan (SDG mn)           79        51     -35% 
       ==================  ========  ========  ======= 
 
 
       Direct depreciation and amortization costs (14% of consolidated cost 
       of goods sold) rose 31% year-on-year, reaching EGP 266 million in 9M 2023. 
       Higher depreciation and amortization costs for the period primarily reflect 
       the addition of new branches to IDH's network, including the addition 
       of the newly rolled out Al-Borg Scan branch. 
       Other expenses (21% of consolidated cost of goods sold) booked EGP 395 
       million during 9M 2023, increasing a marginal 0.5% year-on-year. It is 
       worth noting that other expenses for the comparable period, 9M 2022, had 
       included EGP 63 million paid in concession fees as part of Biolab's agreement 
       with Queen Alia International Airport and Aqaba Port to provide Covid-19-related 
       testing to passengers in January and February of 2022. Excluding these 
       fees, other expenses increased 20% year-on-year from EGP 330 million in 
       9M 2022. The increase in other expenses is attributable to increased cleaning, 
       transportation, and consulting expenses to support the expansion of IDH's 
       branch network in Egypt, and specifically Al-Borg Scan's growth. Additionally, 
       in Nigeria, higher gasoline prices and repair and maintenance costs pushed 
       other expenses up continuing to reflect a weaker Naira (versus the US 
       dollar) and an increasing inflationary environment. 
       Gross Profit 
       IDH's gross profit booked EGP 480 million in Q3 2023, increasing 37% year-on-year. 
       GPM for the quarter stood unchanged compared to Q3 2022 at 41% reflecting 
       a normalisation in margins as the initial impact of the multiple EGP devaluations 
       throughout FY 2022 and early FY 2023 begin to fade. It is important to 
       note that gross profitability witnessed tangible growth compared to the 
       first half of the year, increasing from a GPM of 35% in Q1 2023 and Q2 
       2023. 
       On a year-to-date basis, the Company recorded gross profit of EGP 1,138 
       million during 9M 2023, down 4% year-on-year. The gross profit margin 
       (GPM) stood at 37%, declining five percentage points from 42% in 9M 2022. 
       Lower gross profitability during the period reflected the above-mentioned 
       increase in cost of goods sold. 
       Selling, General and Administrative Expenses 
       SG&A outlays during 9M 2023 climbed to EGP 535 million, a 29% year-on-year 
       increase. As a percentage of revenues, SG&A outlays constituted 18% of 
       revenues, up from 15% in 9M 2022. Increased SG&A expenses came mainly 
       on the back of: 
        *    Higher indirect wages and salaries expenses, which 
             rose by 46% year-on-year to EGP 207 million. Indirect 
             wages and salaries amounted to 7% of revenues in 9M 
             2023, compared to 5% one year prior. The increase can 
             be attributed to USD-denominated directors' 
             compensations, as well as the addition of a board 
             member in the first quarter of last year (who 
             received compensation starting March 2022). Indirect 
             wages and salaries also reflect increased wage 
             expenses in Jordan due to the translation effect from 
             a weaker EGP. 
 
 
        *    Increased other expenses, which grew 36% year-on-year 
             to EGP 222 million in 9M 2023. The increase in other 
             expenses is mainly attributable to a weaker EGP which 
             saw USD-denominated expenses (including auditor fees) 
             at the holding level weigh on the consolidated 
             figure. 
 
 
        *    One-off legal consultancy expenses related to the 
             termination of the Pakistan deal in the first quarter 
             of 2023 which stood at EGP 8 million. 
 
 
       Selling, General and Administrative Expenses                                  9M 2022   9M 2023   Change 
       ===============================  ========  ========  ======= 
        Wages & Salaries                     141       207      46% 
       ===============================  ========  ========  ======= 
        Accounting Fees                       33        58      73% 
       ===============================  ========  ========  ======= 
        Professional Services 
         Fees                                 27        44      63% 
       ===============================  ========  ========  ======= 
        Market - Advertisement 
         expenses                             87        77     -12% 
       ===============================  ========  ========  ======= 
        Other Expenses                        92        99       8% 
       ===============================  ========  ========  ======= 
        Depreciation & Amortisation           23        30      28% 
       ===============================  ========  ========  ======= 
        Travelling and transportation 
         expenses                             12        20      74% 
       ===============================  ========  ========  ======= 
        Total                                415       535      29% 
       ===============================  ========  ========  ======= 
 
 
       EBITDA 
       IDH reported normalised EBITDA(13) of EGP 411 million, up an impressive 
       55% year-on-year and yielding an associated margin of 35% versus 31% in 
       Q3 2022. Additionally, EBITDA profitability recorded significant improvement 
       compared to the first two quarters of 2023, which booked EBITDA margins 
       of 25% and 24% in Q1 2023 and Q2 2023, respectively. Higher EBITDA profitability 
       is a direct reflection of IDH's gradual cost normalisation as the effects 
       of the devaluation over the past year begin to fade. 
       On a nine-month basis, the Company recorded a normalised EBITDA of EGP 
       873 million during the first nine months of 2023, down 10% year-on-year 
       from the high base of 9M 2022 when Covid-19-related testing had boosted 
       results. IDH reported an associated margin of 29%, declining six percentage 
       points from 35% in 9M 2022. Decreased EBITDA profitability mainly reflects 
       lower gross profitability coupled with higher SG&A expenses as discussed 
       above. 
       It is important to highlight that EBITDA is normalised for several one-off 
       expenses, including an EGP 12 million non-recurring expense owed to the 
       Egyptian government. expense is in accordance with article 134 of labour 
       law on Vocational Guidance and Training issued by the Egyptian Government 
       in 2003. In accordance with the law, IDH's Egyptian operations are required 
       to provide 1% of net profits each year into a training fund. Integrated 
       Diagnostics Holdings plc has taken legal advice and considered market 
       practices in Egypt relating to the law, and more specifically whether 
       vocational training courses undertaken by the Company's Egyptian subsidiaries 
       suggest that obligations have been satisfied by in-house training programmes 
       provided by those entities. Since the issue of the law, IDH's Egyptian 
       subsidiaries have not been requested by the government to pay, nor have 
       they voluntarily paid, any amounts into the external training fund. 
       [1 (3]) Normalised EBITDA is calculated as operating profit plus depreciation 
       and amortization, excluding non-recurring expenses, specifically a EGP 
       12 million one-off expense owed to the Egyptian government for vocational 
       training, EGP 6.5 million in pre-operating expenses in Saudi Arabia, and 
       EGP 5.0 million impairment expense in Sudan due to the ongoing situation 
       in the country. 
       EBITDA by Country 
       In Egypt, the Company booked normalised EBITDA of EGP 359 million with 
       a margin of 36% in Q3 2023, 53% above the figure booked in Q3 2022 when 
       the Company's EBITDA margin stood at 33%. Compared to the previous quarter, 
       Egyptian operations posted a 72% quarter-on-quarter growth with its EBITDA 
       margin expanding by 10 points. 
       Normalised EBITDA on a nine-month basis stood at EGP 766 million in 9M 
       2023, down 11% year-on-year. Meanwhile, IDH booked an EBITDA margin of 
       31%, down from 38% in 9M 2022. Lower EBITDA profitability is a reflection 
       lower gross profitability coupled with increased SG&A outlays at the Company's 
       Egyptian operations, which expanded 25% year-on-year in 9M 2023. 
       In Jordan, IDH's subsidiary, Biolab, recorded normalised EBITDA of JOD 
       1.3 million in Q3 2023, increasing 7% year-on-year and 18% quarter-on-quarter. 
       The normalised EBITDA margin stood at 31%, up from 29% in Q3 2022 and 
       22% in Q2 2023. In EGP terms, Jordan's normalised EBITDA came in at EGP 
       54 million and yielded a margin of 31%, increasing 73% year-on-year and 
       66% quarter-on-quarter from Q3 2022 and Q2 2023, respectively. It is important 
       to note that EBITDA results in EGP terms were partially affected by the 
       translation effect from a weakened EGP compared to Q3 2022. 
       On a year-to-date basis, the Company booked a normalised EBITDA of JOD 
       2.9 million in 9M 2023, declining 44% year-on-year and yielding an associated 
       margin of 26%. In EGP terms, normalised EBITDA remained marginally unchanged 
       at EGP 123 million and with a margin of 26%, mainly due to the translation 
       effect as a result of the weakening EGP. Lower EBITDA profitability is 
       a result of lower gross profitability, which declined 45% year-on-year 
       in JOD terms. 
       In Nigeria, despite growing revenues in EGP and NGN terms, the Company's 
       EBITDA losses widened, reaching NGN 61 million in Q3 2023 from NGN 43 
       million during the same period last year. Compared to the previous quarter, 
       the Company recorded a narrowing of EBITDA losses, compared to NGN 111 
       million in Q2 2023. In EGP terms, EBITDA losses reached EGP 2.5 million 
       in Q3 2023, expanding from a loss of EGP 1.9 million one year prior. Widening 
       EBITDA losses were fuelled by lower gross profitability in the country, 
       due to rising gasoline prices and increased inflation on the back of a 
       weakened Naira. 
       In Sudan, IDH booked normalised EBITDA loss of SDG 4 million, down from 
       a loss of SDG 0.4 million in Q3 2022. In EGP terms, Sudanese operations 
       yielded a normalised EBITDA loss of EGP 212 thousand during Q3 2023 compared 
       to EGP 14 thousand one year prior. Widening EBITDA losses for the quarter 
       were driven by the halting of operations in 16 of the country's 18 branches 
       due to ongoing conflict since the beginning of the year. 
       Regional EBITDA in Local Currency Mn                     9M 2022   9M 2023   Change 
       ---------------------  --------  --------  ------- 
        Egypt EBITDA    EGP        857       766     -11% 
         Margin                    38%       31% 
        Jordan          JOD        5.1       2.9     -44% 
         Margin                    25%       26% 
        Nigeria         NGN       -122      -294    -140% 
         Margin                   -10%      -20% 
        Sudan           SDG          4        20     445% 
         Margin                     1%       10% 
 
 
       Interest Income / Expense 
       IDH's interest income in 9M 2023 reached EGP 46 million, down 44% from 
       EGP 83 million during the comparable period of last year. Declined interest 
       income for the period was mainly a result of lower cash balances due to 
       the record cash dividends distributed during last year. 
       Interest expense(14) came in at EGP 115 million, rising 15% year-on-year 
       from EGP 100 million in 9M 2022. Higher interest expenses are mainly attributable 
       to: 
        *    Higher interest on lease liabilities related to IFRS 
             16 due to the addition of new branches to IDH's 
             network. 
 
 
        *    Higher interest expenses following the CBE decision 
             to increase rates by 1,000 bps since March 2022. It 
             is important to note that IDH's interest bearing debt 
             balance decreased to EGP 94 million as at 30 
             September 2023, from EGP 117 million at year-end 
             2022. Earlier in the year, as part of IDH's strategy 
             to reduce foreign currency risk, the Company agreed 
             with General Electric (GE) for the early repayment of 
             its contractual obligation of USD 5.7 million. To 
             finance the settlement, IDH utilized a bridge loan 
             facility, with half the amount being funded 
             internally, while the other half (amounting to EGP 55 
             million) was provided through a bridge loan by Ahly 
             United Bank- Egypt (AUBE). Interest expenses related 
             to the AUBE facility recorded EGP 18 million in 9M 
             2023. The bridge loan was fully settled in Q2 2023. 
 
 
       Interest Expense Breakdown EGP mn                           9M 2022   9M 2023   Change 
       ===============================  ========  ========  ======= 
        Interest on Lease Liabilities 
         (IFRS 16)                          53.8      69.0      28% 
       ===============================  ========  ========  ======= 
        Interest Expenses on 
         Leases                             14.9      19.4      30% 
       ===============================  ========  ========  ======= 
        Interest Expenses on 
         Borrowings(15)                     11.1      17.7      59% 
       ===============================  ========  ========  ======= 
        Bank Charges                        11.1       8.8     -20% 
       ===============================  ========  ========  ======= 
        Loan-related Expenses                8.9         -        - 
         on IFC facility(16) 
       ===============================  ========  ========  ======= 
        Total Interest Expense              99.7     115.0      15% 
       ===============================  ========  ========  ======= 
 
 
       1 (4) Interest expenses on medium-term loans include EGP 18.0 related 
       to the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, 
       the Group's facility with the Commercial International Bank (CIB) was 
       fully repaid as of 5 April 2022. 
       1 (5) Interest expenses on medium-term loans include EGP 18.0 related 
       to the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, 
       the Group's facility with the Commercial International Bank (CIB) was 
       fully repaid as of 5 April 2022. 
       1 (6) Loan-related expenses on IFC facility represents commitment fees 
       on the facility granted by IFC and Mashreq with a total value of USD 60 
       million. The facility was cancelled in May 2023. 
       Foreign Exchange 
       IDH recorded a foreign exchange gain of EGP 99 million during 9M 2023, 
       up 80% year-on-year and partially reflecting intercompany balances revaluation. 
 
       Taxation 
       Tax expenses, including both income and deferred tax, stood at EGP 197 
       million during 9M 2023, a decrease of 22% year-on-year from the EGP 251 
       million reported in 9M 2022. IDH's effective tax rate came in at 34%, 
       down from 38% in the same period of the previous year. It is worth mentioning 
       that there is no tax payable for IDH's two holding-level companies. Meanwhile, 
       tax was paid from the Group's operating subsidiaries (Egypt 31%, Jordan 
       28%, Nigeria 0.1%). 
       Taxation Breakdown by Region EGP Mn                9M 2022   9M 2023   Change 
       ====================  ========  ========  ======= 
        Egypt                   201.7     183.7      -9% 
       ====================  ========  ========  ======= 
        Jordan                   18.5      12.4     -33% 
       ====================  ========  ========  ======= 
        Nigeria                  30.5     -0.05        - 
       ====================  ========  ========  ======= 
        Sudan                     0.4       0.5      24% 
       ====================  ========  ========  ======= 
        Total Tax Expenses      250.9     196.7     -22% 
       ====================  ========  ========  ======= 
 
 
       Net Profit 
       IDH's net profit in Q3 2023 stood at EGP 176 million in Q3 2023, up from 
       a net loss of EGP 36 million in Q3 2022, and with a margin of 15%. Improved 
       bottom-line profitability is also apparent on a quarter-on-quarter basis, 
       with the Company's NPM increasing from 4% in Q2 2023. On a nine-month 
       basis, net profit recorded EGP 387 million, down 4% year-on-year. The 
       Company posted a net profit margin (NPM) of 13% compared to 14% in 9M 
       2022. 
       Non-Recurring Expenses 
       IDH recorded several one-off expenses during the period, namely: 
        *    EGP 12.2 million owed to the Egyptian government for 
             vocational training. 
 
 
        *    EGP 6.5 million due to pre-operating expenses in 
             Saudi Arabia. 
 
 
        *    EGP 5.0 million in impairment expenses due to the 
             ongoing conflict in Sudan. 
 
 
        *    EGP 16 million due to the expiration of Covid-19 
             testing kits. 
 
 
        *    EGP 2 million due to an information strategy 
             agreement which was executed in 2023 for USD 54 
             thousand. 
 
 
        *    EGP 1 million due to one-off legal reports. 
 
 
        *    EGP 8 million due to one-off expenses related to the 
             termination of the Pakistan termination. It is 
             important to note that these expenses have been 
             impacted by the devaluation of the EGP. 
 
 
       Adjusting for these expenses, net profit would have booked EGP 191 million 
       and yielded an NPM of 16% in Q3 2023 and EGP 437 million with an NPM of 
       14% in 9M 2023. 
 

ii. Balance Sheet Analysis

 
      Assets 
       Property, Plant and Equipment 
       IDH booked gross property, plant and equipment (PPE) of EGP 2,453 million 
       as at 30 September 2023, up from EGP 2,208 at 31 December 2022. The increase 
       in CAPEX as a share of revenues during 9M 2023 is primarily attributable 
       to the addition of branches to IDH's network (constituting 7% of revenues), 
       while the remainder is due to the translation effect related to Jordan, 
       Sudan, and Nigeria (constituting 1% of revenues). 
 
       Total CAPEX Addition Breakdown - 9M 2023                                    EGP mn   % of Revenue 
       =================================  =======  ============= 
        Leasehold Improvements/new 
         branches                           138.9           4.6% 
       =================================  =======  ============= 
        Al-Borg Scan Expansion               69.7           2.3% 
       =================================  =======  ============= 
        Total CAPEX Additions Excluding 
         Translation                        208.9           6.8% 
       =================================  =======  ============= 
        Translation Effect                   36.2           1.2% 
       =================================  =======  ============= 
        Total CAPEX Additions               245.1           8.0% 
       =================================  =======  ============= 
 
 
       Accounts Receivable and Provisions 
       Accounts receivable as at 30 September 2023 amounted to EGP 602 million, 
       up 52% year-to-date from the figure recorded as at year-end 2022. Meanwhile, 
       IDH's receivables' Days on Hand (DoH) stood at 145 days, increasing from 
       124 days as at 31 December 2022. 
       Provision for doubtful account booked EGP 37 million during the first 
       nine months of 2023, increasing from EGP 25 million in 9M 2022. Increases 
       in provisions and receivable balance are a reflection of slower collection 
       rates due to the economic downturns and inflationary environment which 
       have characterized several of IDH's geographies throughout the past year, 
       particularly in its largest market of Egypt. 
       Inventory 
       IDH's inventory balance as at the end of 9M 2023 amounted to EGP 365 million, 
       up from EGP 265 million at year-end 2022. Meanwhile, Days Inventory Outstanding 
       (DIO) stood at 135 days compared to 127 days at 31 December 2022. Increased 
       DIO is a reflection of management strategy to accumulate inventory as 
       a hedge against inflation over the past year. 
       Cash and Net Debt/Cash 
       Cash balances booked EGP 794 million at 30 September 2023, down from 816 
       million as at 31 December 2023. Declining cash balances are related to 
       the previously discussed decision for the early repayment of IDH's contractual 
       obligation of USD 5.7 million (equivalent to EGP 110 million) in line 
       with its strategy to reduce foreign currency risk by utilizing internal 
       resources coupled with a bridge loan facility provided by AUBE. The bridge 
       loan facility was fully settled in the second quarter of the year. 
        EGP million         31 Dec   30 Sep 
                              2022     2023 
       ==================  =======  ======= 
        T-Bills                296      272 
       ==================  =======  ======= 
        Time Deposits          123      110 
       ==================  =======  ======= 
        Current Accounts       378      376 
       ==================  =======  ======= 
        Cash on Hand            18       37 
       ==================  =======  ======= 
        Total                  816      794 
       ==================  =======  ======= 
 
 
       IDH's net debt (17) balance came in at EGP 356 million as of the end of 
       9M 2023, down 5% year-to-date from EGP 374 million as at year-end 2022. 
 
       (17) The net cash/(debt) balance is calculated as cash and cash equivalent 
       balances including financial assets at amortised cost, less interest-bearing 
       debt (medium term loans), finance lease and Right-of-use liabilities. 
        EGP million                                31 Dec   30 Sep   31 Dec 
                                                     2022     2023     2021 
       =========================================  =======  =======  ======= 
        Cash and Financial Assets at Amortised 
         Cost (18)                                    816      794    2,350 
       =========================================  =======  =======  ======= 
        Lease Liabilities Property                  (727)    (814)      106 
       =========================================  =======  =======  ======= 
        Total Financial Liabilities (Short-term 
         and Long-term)                             (335)    (233) 
       =========================================  =======  =======  ======= 
        Interest Bearing Debt ("Medium 
         Term Loans")                               (127)     (98) 
       =========================================  =======  =======  ======= 
        Net Cash/(debt) Balance                     (374)    (356)    1,483 
       =========================================  =======  =======  ======= 
 
       Note: Interest Bearing Debt includes accrued interest for each period. 
 
       (18) As outlined in Note 18 of IDH's Consolidated Financial Statements, 
       some term deposits and treasury bills cannot be accessed for over 3 months 
       and are therefore not treated as cash. Term deposits which cannot be accessed 
       for over 3 months stood at EGP 113 million in Q1 2023, versus EGP 123 
       million as at year-end 2022. Meanwhile, treasury bills not accessible 
       for over 3 months stood at EGP 342 million in Q1 2023, up from EGP 296 
       million in FY 2022. 
 
       Lease liabilities and financial obligations on property stood at EGP 
       814 million as at the end of 9M 2023, with the increase driven by the 
       rollout of 48 new branches across IDH's network over the past 12-month 
       period. 
       Meanwhile, financial obligations related to equipment came in at EGP 233 
       million as at 30 September 2023, down from EGP 335 million as at year-end 
       2023. The decline in financial obligations related to equipment is due 
       to the early repayment of IDH's obligations with General Electric (GE) 
       in line with the Company's efforts to hedge against foreign currency risk. 
       Half of the settlement was financed by IDH internally, while the remainder 
       was financed through a bridge loan facility from AUBE. 
       Finally, interest bearing debt (19) recorded EGP 94 million at the end 
       of 9M 2023, down from EGP 116 million as at 31 December 2022. The decrease 
       primarily reflects the repayment of EGP 17 million in accordance with 
       Al-Borg Scan's medium term loan repayment schedule. 
       (19) IDH's interest bearing debt as at 31 March 2023 included EGP 172 
       million to its facility with Ahli United Bank Egypt (AUBE) (outstanding 
       loan balances are excluding accrued interest for the period). It is worth 
       noting that in order to finance the early repayment settlement with General 
       Electric, the Company utilized a bridge loan facility of EGP 55 million. 
       The facility was withdrawn in Q1 2023 and settled in Q2 2023. 
 
 
       Liabilities 
       Accounts Payable (20) 
       Accounts payable as at 30 September 2023 stood at EGP 370 million, up 
       from EGP 270 as at year-end 2022. Meanwhile, Days Payable Outstanding 
       (DPO) amounted to 137 days, down from 151 days nine months earlier. 
       2 (0) Accounts payable is calculated based on average payables at the 
       end of each period. 
 
 
       Put Option 
       The put option current liability is related to both: 
        *    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 option granted in 2022 to Izhoor, IDH, and Biolab 
             as part of their JV agreement in Saudi Arabia. The 
             option allows the non-defaulting party, at its sole 
             and absolute discretion, to serve one or more written 
             notices to the defaulting party. The notices enable 
             the non-defaulting party to buy the defaulting 
             party's shares at the fair price, sell its shares to 
             the defaulting party at the fair price, or request 
             the dissolution and liquidation of the JV company. It 
             is important to note that the put option, which 
             grants these rights to the non-defaulting party, does 
             not have a specified expiration date. 
 
 
       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). 
 
 
 
 
 
 
 
 
 
 
 
   INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH" 
   AND ITS SUBSIDIARIES 
 
 
 
 
 
 
   Consolidated Financial Statements 
   for the nine-month period ended 30 September 2023 
 

Consolidated statement of financial position as at 30 September 2023

 
                                                                    Notes                 30 Sep           31 Dec 
                                                                                            2023             2022 
                                                                                         EGP'000          EGP'000 
-------------------------------------------------------  --------------------------  -----------  --------------- 
  Assets 
 Non-current assets 
 Property, plant and equipment                                        4                1,372,233        1,326,262 
 Intangible assets and goodwill                                       5                1,724,471        1,703,636 
 Right of use assets                                                  6                  689,718          622,975 
 Financial assets at fair value through 
  profit and loss                                                     7                        -           18,064 
 Total non-current assets                                                              3,786,422        3,670,937 
 
 Current assets 
 Inventories                                                                             365,433          265,459 
 Trade and other receivables                                          8                  758,718          543,887 
 Financial assets at amortized cost                                   9                  180,088          167,404 
 Current financial assets at fair value 
  through profit and loss                                             7                   24,534                - 
 Cash and cash equivalents                                           10                  614,180          648,512 
                                                                                     -----------  --------------- 
 Total current assets                                                                  1,942,953        1,625,262 
                                                                                     -----------  --------------- 
 Total assets                                                                          5,729,375        5,296,199 
                                                                                     ===========  =============== 
 Equity 
 Share capital                                                                         1,072,500        1,072,500 
 Share premium reserve                                                                 1,027,706        1,027,706 
 Capital reserves                                                                      (314,310)        (314,310) 
 Legal reserve                                                                            51,641           51,641 
 Put option reserve                                                                    (336,303)        (490,695) 
 Translation reserve                                                                    (78,996)           24,173 
 Retained earnings                                                                     1,171,361          783,081 
 Equity attributable to the owners 
  of the Company                                                                       2,593,599        2,154,096 
 Non-controlling interests                                                               425,104          292,885 
                                                                                     -----------  --------------- 
 Total equity                                                                          3,018,703        2,446,981 
                                                                                     -----------  --------------- 
 
 
 
 Non-current liabilities 
 Provisions                                                                               17,455            3,519 
 Non-current put option liability                                    12                   26,616           51,000 
 Borrowings                                                          13                   67,465           93,751 
 Other financial obligations                                         14                  873,174          914,191 
 Deferred tax liabilities                                           18-C                 356,739          321,732 
 Total non-current liabilities                                                         1,341,449        1,384,193 
 Current liabilities 
 Trade and other payables                                            11                  764,864          701,095 
 Other financial obligations                                         14                  173,483          148,705 
 Current put option liability                                        12                  309,687          439,695 
 Borrowings                                                          13                   40,104           22,675 
  Current tax liabilities                                                                 81,085          152,855 
 Total current liabilities                                                             1,369,223        1,465,025 
 Total liabilities                                                                     2,710,672        2,849,218 
                                                                                     -----------  --------------- 
 Total equity and liabilities                                                          5,729,375        5,296,199 
                                                                                     ===========  =============== 
 
 
   The accompanying notes form an integral part of these 
   consolidated financial statements. 
 
   These condensed consolidated interim financial information 
   were approved and authorized for issue by the Board of 
   Directors and signed on their behalf on 15 November 2023 
   by: 
 
                  Dr. Hend El Sherbini                               Hussein Choucri 
                Chief Executive Officer                         Independent Non-Executive 
                                                                         Director 
 
 
 

Consolidated income statement for the quarter and nine-month periods ended 30 September 2023

 
                                            For the three months           For the nine months 
                                                   period                         period 
                                             ended 30 September             ended 30 September 
                                Notes           2023            2022           2023           2022 
                                             EGP'000         EGP'000        EGP'000        EGP'000 
-----------------------------  ------  -------------  --------------  -------------  ------------- 
 
 Revenue                         21        1,181,736         846,251      3,053,678      2,800,316 
 Cost of sales                             (702,037)       (496,581)    (1,916,045)    (1,618,776) 
 Gross profit                                479,699         349,670      1,137,633      1,181,540 
 
 Marketing and advertising 
  expenses                                  (50,972)        (58,641)      (163,445)      (151,209) 
 Administrative expenses         16        (123,383)        (99,626)      (377,723)      (263,818) 
 Impairment loss on 
  trade and other receivable                (13,854)         (8,877)       (37,123)       (25,035) 
 Other income                                (3,402)           3,834        (5,965)          7,305 
 Operating profit                            288,088         186,360        553,377        748,783 
                                       -------------  --------------  -------------  ------------- 
 
 Non-operating expense                        12,200               -              -              - 
 Net fair value losses 
  on financial assets 
  at fair value                                    -       (141,092)              -      (141,092) 
 
 Finance costs                   17         (41,831)        (49,593)      (114,957)       (99,718) 
 Finance income                  17           16,264           9,016        145,745        146,286 
 Net finance cost                           (25,567)        (40,577)         30,788         46,568 
                                       -------------  --------------  -------------  ------------- 
 Profit before tax                           274,721           4,691        584,165        654,259 
                                       =============  ==============  =============  ============= 
 
 Income tax expense             18-B        (98,310)        (40,337)      (196,704)      (250,853) 
 Profit for the period                       176,411        (35,646)        387,461        403,406 
                                       =============  ==============  =============  ============= 
 
 Profit attributed 
  to: 
 Equity holders of the 
  parent                                     177,789        (18,186)        401,379        404,034 
 Non-controlling interests                   (1,378)        (17,460)       (13,918)          (628) 
                                             176,411        (35,646)        387,461        403,406 
                                       =============  ==============  =============  ============= 
 Earnings per share 
  (expressed in EGP): 
 Basic and diluted earnings 
  per share                      20             0.30          (0.03)           0.67           0.67 
                                       -------------  --------------  -------------  ------------- 
 

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

Consolidated statement of comprehensive income/(expenses) for the quarter and six-month periods ended 30 September 2023

 
                                             For the three         For the six months 
                                           months period ended       period ended 30 
                                              30 September              September 
                                              2023         2022        2023       2022 
                                           EGP'000      EGP'000     EGP'000    EGP'000 
-------------------------------------   ----------  -----------  ----------  --------- 
 
 
 Net profit                                176,411     (35,646)     387,461    403,406 
 Items that may be reclassified 
  to profit or loss: 
 Exchange difference on translation 
  of foreign operations                    (8,117)       34,378     (2,034)    111,686 
 Other comprehensive income / (Loss) 
  for the period net of tax                (8,117)       34,378     (2,034)    111,686 
                                        ----------  -----------  ----------  --------- 
 Total comprehensive income for 
  the period                               168,294      (1,268)     385,427    515,092 
                                        ==========  ===========  ==========  ========= 
 
 Attributed to: 
 Equity holders of the parent              168,294     (13,640)     298,210    421,829 
 Non-controlling interests                       -       12,372      87,217     93,263 
                                           168,294      (1,268)     385,427    515,092 
                                        ==========  ===========  ==========  ========= 
 

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 2023

 
                                                                 30 September         30 September 
                                                  Notes                  2023                 2022 
                                                                      EGP'000              EGP'000 
-----------------------------------------------  ------  --------------------  ------------------- 
 
 Cash flows from operating activities 
 Profit for the period before tax                                     584,165              654,259 
 Adjustments 
 Depreciation of property, plant and equipment      4                 191,692              146,433 
 Depreciation of right of use assets                6                  98,027               73,959 
 Amortisation of intangible assets                  5                   5,810                5,211 
 Unrealised foreign currency exchange (gains) 
  losses                                           17                (99,406)               85,736 
 Interest income                                   17                (46,339)             (83,194) 
 Interest expense                                  17                 106,155               88,658 
 Bank Charges                                                           8,803               11,060 
 Loss/(Gain) on disposal of Property, plant 
  and equipment                                                         (697)                  312 
 Impairment in trade and other receivables                             37,123               25,035 
 Impairment in goodwill                                                     -                1,755 
 Equity settled financial assets at fair 
  value                                                               (6,470)              (3,427) 
 ROU Asset/Lease Termination                                            (590)                1,152 
 Hyperinflation (gains) losses                     17                       -              (7,736) 
 FV through P&L                                                             -              141,092 
 Change in Provisions                                                  13,936                  406 
 Change in Inventories                                               (95,202)             (34,123) 
 Change in trade and other receivables                              (219,352)            (158,214) 
 Change in trade and other payables                                    30,672            (223,795) 
 Cash generated from operating activities 
  before income tax payment                                           608,327              724,579 
                                                         --------------------  ------------------- 
 
 Tax paid during period                                             (231,863)            (653,580) 
 Net cash generated from operating activities                         376,464               70,999 
                                                         --------------------  ------------------- 
 
 Cash flows from investing activities 
 Interest received on financial asset at 
  amortised cost                                                       46,795               84,044 
 Payments for the purchase of financial 
  assets at amortized cost                                          (192,955)            (348,139) 
 Proceeds for the sale of financial assets 
  at amortized cost                                                   190,134            1,656,815 
 Payments for acquisition of property, 
  plant and equipment                               4               (218,271)            (202,506) 
 Payments for acquisition of intangible 
  assets                                            5                 (2,150)              (2,382) 
 Proceeds from sale of Property, plant 
  and equipment                                                         2,163                9,552 
 Payments for shares bought                                                 -            (999,376) 
 Proceeds for shares sold                                                   -              858,284 
 Net cash flows generated (used in) from 
  investing activities                                              (174,284)            1,056,292 
                                                         --------------------  ------------------- 
 
 Cash flows from financing activities 
 Proceeds from borrowings                                              68,055                7,411 
 Repayments of borrowings                                            (76,911)             (21,721) 
 Payment of finance lease liabilities                               (210,496)             (41,912) 
 Dividends paid                                                             -          (1,411,752) 
 Interest paid                                                      (107,994)             (84,096) 
 Bank charge paid                                                     (8,803)             (11,060) 
 Paid cash to non-controlling interest                                (3,112)                    - 
 Injection of cash to non-controlling interest                         48,114                8,763 
 Net cash flows used in financing activities                        (291,147)          (1,554,367) 
                                                         --------------------  ------------------- 
 
 Net increase in cash and cash equivalent                            (88,967)            (427,076) 
 Cash and cash equivalents at the beginning 
  of the year                                                         648,512              891,451 
 Effect of exchange rate                                               54,635               65,215 
 Cash and cash equivalent at the end of 
  the period                                       10                 614,180              529,590 
                                                         ====================  =================== 
 

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

   --      Acquisition of right-of-use assets - note 6 
   --      Property plant and equipment - note 4 
   --      Put option liability - note 12 

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

Consolidated statement of changes in equity for the nine-month period ended 30 September 2023

 
                                                                       Attributable to owners of the Parent 
                    ------------------------------------------------------------------------------------------------------------------------------------------ 
 EGP '000              Share        Share       Capital      Legal     Put option   Translation     Retained        Total       Non-controlling   Total equity 
                       capital     premium       reserve    reserve*    reserve       reserve       earnings     attributable      interests 
                                   reserve                                                                          to the 
                                                                                                                  owners of 
                                                                                                                  the Parent 
-----------------   -----------  -----------  -----------                                                                      ----------------  ------------- 
 
 At 1 January 2023    1,072,500    1,027,706    (314,310)     51,641    (490,695)        24,173        783,081      2,154,096           292,885      2,446,981 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Profit for the 
  period                      -            -            -          -            -             -        401,379        401,379          (13,918)        387,461 
 Other 
  comprehensive 
  income for the 
  period                      -            -            -          -            -     (103,169)              -      (103,169)           101,135        (2,034) 
 Total 
  comprehensive 
  income at 30 
  September 2023              -            -            -          -            -     (103,169)        401,379        298,210            87,217        385,427 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Transactions 
 with owners of 
 the Company 
 Contributions 
 and 
 distributions 
 Dividends                    -            -            -          -            -             -              -              -                 -              - 
 Legal reserve                -            -            -          -            -             -              -              -                 -              - 
 formed during 
 the period 
 Movement in put 
  option 
  liabilities                 -            -            -          -      154,392             -              -        154,392                 -        154,392 
 Impact of 
  hyperinflation              -            -            -          -            -             -       (13,099)       (13,099)                 -       (13,099) 
 Paid share from 
  non-controlling 
  interest                                                                                                                              (3,112)        (3,112) 
 Non-controlling 
  interests cash 
  injection in 
  subsidiaries 
  during the 
  period                      -            -            -          -            -             -              -              -            48,114         48,114 
 Total 
  contributions 
  and 
  distributions               -            -            -          -      154,392             -       (13,099)        141,293            45,002        186,295 
                    -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Balance at 30 
  September 2023      1,072,500    1,027,706    (314,310)     51,641    (336,303)      (78,996)      1,171,361      2,593,599           425,104      3,018,703 
                    ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 
 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) 
 Legal reserve                -            -            -          -            -             -              -              -                 -              - 
 formed during 
 the period 
 Movement in put 
  option 
  liabilities                 -            -            -          -      266,958             -              -        266,958                 -        266,958 
 Impact of 
  hyperinflation              -            -            -          -            -             -        (6,910)        (6,910)             1,446        (5,464) 
 Non-controlling 
  interest 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 
                    ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 

*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 2023 comprise the Company and its subsidiaries (together referred as the 'Group'). The Company is a dually listed entity, in both London Stock Exchange (since 2015) and in the Egyptian Exchange (during May 2021).

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

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

This condensed consolidated interim financial information were approved for issue by the Directors of the Company on 15 November 2023.

   2.    Basis of preparation 
   A)   Statement of compliance 

These condensed consolidated interim financial information have been prepared as per IAS 34 'Interim Financial Reporting' (As adopted by the IASB). as the accounting policies adopted are consistent with those of the previous financial year ended 31 December 2022 and corresponding interim reporting period.

These condensed consolidated interim financial information do not include all the information and disclosures in the annual consolidated financial Statement, and should be read in conjunction with the financial Statement published as at and for the year ended 31 December 2022 which is available at www.idhcorp.com ,. In addition, results of the nine month period ended 30 September 2023 are not necessary indicative for the results that may be expected for the financial year ending 31 December 2023.

   B)    Basis of measurement 

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

   C)    Functional and presentation currency 

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

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

   3.    Significant accounting policies 

In preparing these condensed consolidated interim financial information, the significant judgments made by the management in applying the Group's accounting policies and the key sources of estimation uncertainty were the same as those that were applied to the consolidated financial information for the year ended 31 December 2022."The preparation of these condensed consolidated interim financial information requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, income and expense. Actual results may differ from these estimates. Information about significant areas of estimation uncertainty and critical judgement in applying accounting policies that have the most significant effect on the amount recognised in the condensed consolidated interim financial statement is described in note 3.2 of the annual consolidated financial information published for the year ended 31 December 2022. In preparing these condensed consolidated interim financial information, the significant judgments made by the management in applying the Group's accounting policies and the key sources of estimation uncertainty were the same as those that were applied to the consolidated financial information for the year ended 31 December 2022".

   4.        Property, plant and equipment 
 
                                Medical, 
                                electric 
                                    &                       Fixtures, 
                               information                  fittings      Project      Payment 
                    Land &       system       Leasehold         &          under         on 
                   buildings    equipment    improvements   vehicles    construction   account     Total 
                  ----------  ------------  -------------  ----------  -------------  --------  ---------- 
 Cost 
 At 1 January 
  2023               426,961     1,111,867        507,442     133,195         28,589    10,614   2,218,668 
 Additions             8,554        88,320         45,285      16,104         69,148       270     227,681 
 Hyperinflation 
  effect                   -      (13,098)              -           -              -         -    (13,098) 
 Disposals                 -       (3,316)          (503)     (1,852)                        -     (5,671) 
 Exchange 
  differences          2,727         2,966         23,095       7,373             33         -      36,194 
 Transfers                 -        36,300         29,918                   (66,218)         -           - 
                  ----------  ------------  -------------  ----------  -------------  --------  ---------- 
 At 30 September 
  2023               438,242     1,223,039        605,237     154,820         31,552    10,884   2,463,774 
                  ----------  ------------  -------------  ----------  -------------  --------  ---------- 
 Depreciation 
 At 1 January 
  2023                61,578       513,869        261,705      55,254              -               892,406 
 Depreciation 
  for the period       5,339       113,197         61,121      12,035              -         -     191,692 
 Disposals                 -       (2,275)          (440)     (1,490)              -         -     (4,205) 
 Exchange 
  differences            632         1,031          8,243       1,742              -         -      11,648 
                  ----------  ------------  -------------  ----------  -------------  --------  ---------- 
 At 30 September 
  2023                67,549       625,822        330,629      67,541              -         -   1,091,541 
                  ----------  ------------  -------------  ----------  -------------  --------  ---------- 
 
 Net book value 
  at 30 
  September          370,693       597,217        274,608      87,279         31,552    10,884   1,372,233 
                  ==========  ============  =============  ==========  =============  ========  ========== 
 At 31 December 
  2022               365,383       597,998        245,737      77,941         28,589    10,614   1,326,262 
                  ==========  ============  =============  ==========  =============  ========  ========== 
 
 

5. Intangible assets and goodwill

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

 
                                          Goodwill    Brand name   Software     Total 
                                         ----------  -----------  ---------  ---------- 
 Cost 
 Balance at 1 January 2023                1,291,823      395,551     92,836   1,780,210 
 Additions                                        -            -       2150       2,150 
 Effect of movements in exchange rates       14,552        7,911      4,102      26,565 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 September 2023             1,306,375      403,462     99,088   1,808,925 
                                         ----------  -----------  ---------  ---------- 
 
 Amortisation and impairment 
 Balance at 1 January 2023                    6,373          381     69,820      76,574 
 Amortisation                                     -            -      5,810       5,810 
 Effect of movements in exchange rates           80           11      1,979       2,070 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 September 2023                 6,453          392     77,609      84,454 
                                         ----------  -----------  ---------  ---------- 
 
 Carrying amount 
 Balance at 30 September 2023             1,299,922      403,070     21,479   1,724,471 
                                         ==========  ===========  =========  ========== 
 Balance at 31 December 2022              1,285,450      395,170     23,016   1,703,636 
                                         ==========  ===========  =========  ========== 
 

Goodwill impairment reviews are undertaken annually or more frequently if events or changes in circumstances indicate a potential impairment. No indicators of impairment have been identified during the nine months ended 30 September 2023.

   6.    Right-of-use assets 
 
                                              30 September 2023   31 December 2022 
                                             ------------------  ----------------- 
 Balance at 1 January                                   622,975            462,432 
 Addition for the period / year                         127,261            214,846 
 Depreciation charge for the period / year             (98,027)          (103,099) 
 Terminated contracts                                   (5,092)           (13,564) 
 Exchange differences                                    42,601             62,360 
                                             ------------------  ----------------- 
 Balance                                                689,718            622,975 
                                             ==================  ================= 
 
   7.    Financial asset at fair value through profit and loss 
 
                                   30 September 2023   31 December 2022 
                                  ------------------  ----------------- 
 Non-current equity investments                    -             18,064 
 Current equity investments                   24,534                  - 
                                  ------------------ 
                                              24,534             18,064 
                                  ==================  ================= 
 

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

- Ownership percentage in JSC Mega Lab at the transaction date on April 8, 2019, and as of September 30, 2023, was 8.25%.

- On April 8, 2019, Al Mokhabariyoun Al Arab (Biolab) has signed a Shareholder Agreement with JSC Mega Lab and JSC Georgia Healthcare Group (CHG), whereas, BioLab Shall have a put option, exercisable within 12 months immediately after the expiration of five(5) year period from the signing date, These assets have therefore been reclassified as current assets in the financial information as of June 30, 2023, which allows BioLab stake to be bought out by CHG at a price of the equity value being USD 400,000 plus 15% annual Interred Rate of Return (IRR).

- In case the Management Agreement or the Purchase Agreement and/or the Service level Agreement is terminated/cancelled within 6 months period from the date of such termination/cancellation, CHG shall have a call option, which allows the CHG to purchase Biolab's Strake in JSC Megalab having value of USD 400,000.00 plus 20% annual Interred Rate of Return (IRR).

- If JCI accreditation is not obtained, immediately after the expiration of the 12 months period, CHG shall have a call option (the Accreditation Call option), exercisable within 6 months period, allowing CHG to purchase BioLab's Shares in JSC Mega Lab at a price of the equity value of USD 400,00.00 plus the 20% annual IRR.

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

   8.    Trade and other receivables 
 
                                       30 September 2023   31 December 2022 
                                      ------------------  ----------------- 
 Trade receivables - net                         601,525            395,220 
 Prepayments                                      60,119             34,081 
 Due from related parties note (15)                1,562              5,930 
 Other receivables                                93,677            106,363 
 Accrued revenue                                   1,835              2,293 
                                      ------------------ 
                                                 758,718            543,887 
                                      ==================  ================= 
 
   9.    Financial assets at amortised cost 
 
                                        30 September 2023   31 December 2022 
                                       ------------------  ----------------- 
 Term deposits (more than 3 months)                49,245             60,200 
 Treasury bills (more than 3 months)              130,843            107,204 
                                                  180,088            167,404 
                                       ==================  ================= 
 

The maturity date of the treasury bills and Fixed-term deposits are between 3-12 months and have average interest rates treasury bills of EGP 22.03% and Fixed-term deposits of EGP and JOD 5.20 and 5.38% respectively.

10. Cash and cash equivalents

 
                                        30 September 2023   31 December 2022 
                                       ------------------  ----------------- 
 Cash at banks and on hand                        412,815            399,957 
 Treasury bills (less than 3 months)              140,971            185,513 
 Term deposits (less than 3 months)                60,394             63,042 
                                                  614,180            648,512 
                                       ==================  ================= 
 

11. Trade and other payables

 
                                     30 September 2023   31 December 2022 
                                    ------------------  ----------------- 
 
 Trade payable                                 370,089            269,782 
 Accrued expenses                              215,193            241,060 
 Due to related parties note (15)               28,661             25,058 
 Other payables                                 95,118             98,204 
 Deferred revenue                               52,097             60,948 
 Accrued finance cost                            3,706              6,043 
                                               764,864            701,095 
                                    ==================  ================= 
 

12. Put option liability

 
                                             30 September 2023   31 December 2022 
                                            ------------------  ----------------- 
 
 Current put option - Biolab Jordan                    271,136            439,695 
 Current put option - Eagle Eye-Echo scan               38,551                  - 
                                            ------------------  ----------------- 
                                                       309,687            439,695 
                                            ==================  ================= 
 
 
                                                        30 September 2023   31 December 2022 
                                                       ------------------  ----------------- 
 
 Non-current put option - Eagle Eye-Echo scan                           -             51,000 
                                                       ------------------  ----------------- 
 Non-current put option - Medical Health Development               26,616                  - 
                                                       ------------------  ----------------- 
                                                                   26,616             51,000 
                                                       ==================  ================= 
 

Put option - Biolab Jordan

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

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

The option is calculated at seven times EBITDA of the last 12 months minus Net Debt and its exercisable in whole starting the fifth anniversary of completion of the original purchase agreement, which fell due in June 2016. The vendor has not exercised this right at 30 September 2023. It is important to note that the put option liability is treated as current as it could be exercised at any time by the NCI. However, based on discussions and ongoing business relationships, there is no expectation that this will happen in next 18 months. The option has no expiry date.

Put option - Eagle Eye-Echo scan

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

Put option - Medical Health Development

According to this joint venture agreement made on October 27th, 2022, between Business Flower Holding LLC, Integrated Diagnostics Holdings plc and al Makhbaryoun al Arab LLC, in cases of bankruptcy and stumbling, a non-struggling party is entitled to implement any of the following options for a struggling party's share without reference to it:

(A) sell to the Non-Defaulting Party its Shares at the Fair Price of such Shares.

(B) buy the Non-Defaulting Party's Shares at the Fair Price of such Shares.

(C) requesting the dissolution and liquidation of the Company.

Due to the execution of the put option in the case specified above, the option has been classified as a non-current liability in exchange for equity rights for the Group.

13. Loans and borrowings

 
                         Currency    Nominal interest rate       Maturity       30 September 2023   31 December 2022 
                        ----------  ----------------------  -----------------  ------------------  ----------------- 
 
 AUB - Bank                 EGP      CBE corridor rate+1%    26 January 2027               94,451            116,426 
 AUB - Bank                 EGP           Secured 7%         3 December 2023               13,118                  - 
                                                                               ------------------  ----------------- 
                                                                                          107,569            116,426 
                                                                               ==================  ================= 
 Amount held as: 
 Current liability                                                                         40,104             22,675 
 Non- current liability                                                                    67,465             93,751 
                                                                               ------------------  ----------------- 
                                                                                          107,569            116,426 
                                                                               ==================  ================= 
 

A) In July 2018, AL-Borg lab, one of IDH subsidiaries, was granted a medium term loan amounting to EGP 130.5m from Ahli United Bank "AUB Egypt" to finance the investment cost related to the expansion into the radiology segment. As at 30 September 2023 only EGP 108 M had been drawn down from the total facility available with 72M had been repaid. Loan withdrawal availability period was extended till July 2023 and the loan will be fully repaid by January 2027.

The loan contains the following financial covenants which if breached will mean the loan is repayable on demand:

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

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

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

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

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

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

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

" Current ratios ": Current assets divided current liabilities.

The terms and conditions of outstanding loans are as follows:

   *             As at 30 September 2023 corridor rate 20.25% (2022: 17.25%) 

13. Loans and borrowings (continued)

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

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

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

14. Other Financial obligations

 
                                              30 September 2023   31 December 2022 
                                             ------------------  ----------------- 
 Lease liabilities building                             813,717            727,426 
 Financial liability- laboratory equipment              232,940            335,470 
                                                      1,046,657          1,062,896 
                                             ==================  ================= 
 

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

 
                                          30 September 2023 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ----------- 
 
 Less than one year                     282,085    108,602      173,483 
 Between one and five years           1,016,173    288,382      727,791 
 More than five years                   184,256     38,873      145,383 
                              -----------------  ---------  ----------- 
                                      1,482,514    435,857    1,046,657 
                              =================  =========  =========== 
 
 
                                          31 December 2022 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ---------- 
 
 Less than one year                     285,962    137,257     148,705 
 Between one and five years           1,030,750    314,656     716,094 
 More than Five years                   227,715     29,618     198,097 
                              -----------------  ---------  ---------- 
                                      1,544,427    481,531   1,062,896 
                              =================  =========  ========== 
 

Amounts recognised in profit or loss:

 
                                          For the three months ended     For the nine months ended 
                                                 30 September                   30 September 
                                              2023           2022           2023           2022 
 Interest on lease liabilities                   23,823         9,111         69,044         44,037 
                                        ---------------  ------------  -------------  ------------- 
 Expenses related to short-term lease             3,116         4,644          8,307         19,788 
                                        ---------------  ------------  -------------  ------------- 
 

14. Related party transactions

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

 
                                                                                 30 September 2023 
                                                                     ----------------------------------------- 
 
                             Nature of              Nature of         Transaction amount    Amount due from / 
    Related Party           transaction           relationship           of the year              (to) 
--------------------   --------------------   --------------------   -------------------  -------------------- 
                                                                           EGP'000               EGP'000 
 ALborg Scan             Expenses paid on           Affiliate              ( 351 )                  - 
 (S.A.E)*                     behalf 
 
 International           Expenses paid on           Affiliate              (1,771)                  - 
 Fertility (IVF)**            behalf 
 
                                                  Entity owned by 
                                                   Company's board 
 H.C Security              Provide service             member                 (7)                  (106) 
 
                                                  Entity owned by 
 Life Health Care          Provided service         Company's CEO           (5,505)               (2,987) 
 
                                                 Bio. Lab C.E.O and 
 Dr. Amid Abd Elnour     Put option liability        shareholder            168,560              (271,135) 
                            Bio. Lab C.E.O and 
     Current account            shareholder                                 6,345               (13,663) 
 
 International 
  Finance corporation                                Echo-Scan 
  (IFC)                  Put option liability        shareholder             12,448              (38,551) 
 
 International            Current account           Echo-Scan                623                    - 
 Finance corporation                               shareholder 
 (IFC) 
 
 Integrated Treatment 
  for Kidney Diseases                             Entity owned by 
  (S.A.E)                     Collection            Company's CEO            (200) 
              Medical Test analysis                                           72                  1,562 
 
                            shareholders' 
                          dividends deferral 
 Hena Holdings Ltd             agreement            shareholder               (63)                (2,435) 
 
                            shareholders' 
                          dividends deferral 
 Actis IDH Limited             agreement            shareholder             (1,005)               (2,960) 
 Medical Health 
  Development            Put option liability        Affiliate              (26,616)             (26,616) 
                                                  Wayak C.E.O and 
 Dr. Kalid Ismail          Current account           shareholder            (6,510)               (6,510) 
                                                                                           ==================== 
                                                                                                (363,401) 
                                                                                          ==================== 
 

15. Related party transactions (continued)

 
                                                                                    31 December 2022 
                                                                      -------------------------------------------- 
 
                             Nature of               Nature of          Transaction amount     Amount due from / 
 Related Party              transaction            relationship            of the year                (to) 
---------------------  ---------------------  ----------------------  ---------------------  --------------------- 
                                                                             EGP'000                EGP'000 
 AL borg Scan             Expenses paid on 
  (S.A.E)*                     behalf                Affiliate                            -                    351 
 
 International            Expenses paid on 
  Fertility (IVF)**            behalf                Affiliate                            4                  1,771 
 
                                                  Entity owned by 
                                                  Company's board 
 H.C Security             Provide service              member                           220                   (99) 
 
                                                  Entity owned by 
 Life Health Care         Provided service         Company's CEO                        424                  2,518 
 
                                                Bio. Lab C.E.O and 
 Dr. Amid Abd Elnour    Put option liability        shareholder                     481,665              (439,695) 
    Current account            Bio. Lab C.E.O and shareholder                      (20,008)               (20,008) 
 
 International 
  Finance corporation 
  (IFC)                 Put option liability   Echo-Scan shareholder               (15,963)               (51,000) 
 
 International 
  Finance corporation 
  (IFC)                   Current account      Echo-Scan shareholder                 12,292                  (623) 
 
 Integrated Treatment 
  for Kidney Diseases                             Entity owned by 
  (S.A.E)                  Rental income           Company's CEO                        116                  1,290 
                            Medical Test 
                              analysis                                                  381                      - 
 
 Dr. Hend El Sherbini     Loan arrangement              CEO                          17,025                      - 
 
                           shareholders' 
                         dividends deferral 
 HENA HOLDINGS LTD            agreement             shareholder                     (2,373)                (2,373) 
 
                           shareholders' 
                         dividends deferral 
 ACTIS IDH LIMITED            agreement             shareholder                     (1,955)                (1,955) 
                                                                                             --------------------- 
                                                                                                         (509,823) 
                                                                                             ===================== 
 

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

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

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 2023   30 September 2022 
                                ------------------  ------------------ 
 Short-term employee benefits               52,872              39,027 
                                ------------------  ------------------ 
                                            52,872              39,027 
                                ==================  ================== 
 

16. General and administrative expenses

 
                         For the three months ended 30 September     For the nine months ended 30 September 
                                2023                  2022                 2023                  2022 
                       ----------------------  ------------------  --------------------  ------------------- 
 
 Wages and salaries                    52,720              34,352               159,931              101,262 
 Depreciation                           7,936               6,867                24,576               19,782 
 Amortisation                           1,560               1,031                 4,649                2,959 
 Consulting fees                       32,066              23,800               100,420               57,864 
 Other expenses                        29,101              33,576                88,147               81,951 
                       ----------------------  ------------------  --------------------  ------------------- 
 Total                                123,383              99,626               377,723              263,818 
                       ======================  ==================  ====================  =================== 
 

17. Net finance cost

 
  For the three months ended 30 
            September                             For the nine months ended 30 September 
                         2023       2022               2023                       2022 
                      ---------  ---------      ------------------          ---------------- 
 Finance income 
 Interest income         16,264      7,751                  46,339                    83,194 
 Net foreign 
  exchange gain               -          -                  99,406                    55,356 
 Gain on 
  hyperinflationary 
  net monetary 
  position                    -      1,265                       -                     7,736 
                      ---------  ---------      ------------------          ---------------- 
 Total finance 
  income                 16,264      9,016                 145,745                   146,286 
                      =========  =========      ==================          ================ 
 
 Finance cost 
 Net foreign 
  exchange loss         (2,753)   (14,022)                       -           - 
 Bank charges           (3,420)    (2,255)                 (8,803)               (11,060) 
 Interest expense      (35,658)   (33,316)               (106,154)               (88,658) 
                      ---------  ---------  ----------------------      ----------------- 
 Total finance cost    (41,831)   (49,593)               (114,957)               (99,718) 
                      ---------  ---------  ----------------------      ----------------- 
 Net finance 
  (cost)/income        (25,567)   (40,577)                  30,788                 46,568 
                      =========  =========  ======================      ================= 
 
 

18. Tax

   A.    Tax expense 

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

   B.    Income tax 

Amounts recognised in profit or loss as follow:

 
                             For the three months                     For the nine months ended 30 September 
                              ended 30 September 
                                     2023               2022                 2023                  2022 
                           ------------------------  ----------      --------------------  ------------------- 
 Current tax: 
 Current period                    (74,558)           (20,292)             (162,126)            (180,131) 
 WHT suffered                          -              (100,906)                -                (100,906) 
                           ------------------------  ----------      --------------------  ------------------- 
 Current tax                       (74,558)           (121,198)            (162,126)            (281,037) 
 Deferred tax: 
 Deferred tax arising on 
  undistributed reserves 
  in subsidiaries                   (23,157)           113,285              (34,064)              64,732 
 Relating to origination 
  and reversal of 
  temporary differences              (595)             (32,424)              (514)               (34,548) 
                           ------------------------  ----------      --------------------  ------------------- 
 Total Deferred tax 
  expense                           (23,752)            80,861              (34,578)              30,184 
                           ------------------------  ----------      --------------------  ------------------- 
 Tax expense recognised 
  in profit or loss                 (98,310)          (40,337)             (196,704)            (250,853) 
                           ========================  ==========      ====================  =================== 
 
 
   C.    Deferred tax liabilities 

Deferred tax relates to the following:

 
                                                   30 September 2023   31 December 2022 
                                                  ------------------  ----------------- 
 
 Property, plant and equipment                              (34,500)           (35,804) 
 Intangible assets                                         (111,365)          (109,118) 
 Undistributed reserves from Group subsidiaries            (210,874)          (176,810) 
 Net deferred tax liabilities                              (356,739)          (321,732) 
                                                  ==================  ================= 
 

19. Financial instruments

The Group has reviewed the financial assets and liabilities held at 30 September 2023. It has been deemed that the carrying amounts for all financial instruments are a reasonable approximation of fair value. All financial instruments are deemed Level 3.

20. Earnings per share

 
                             For the three months ended 30 September     For the nine months ended 30 September 
                                   2023                  2022                  2023                  2022 
                           -------------------  ---------------------  --------------------  ------------------- 
 
 Profit attributed to 
  owners of the parent                 177,789               (18,186)               401,379              404,034 
 Weighted average number 
  of ordinary shares in 
  issue                                600,000                600,000               600,000              600,000 
                           -------------------  ---------------------  --------------------  ------------------- 
 Basic and diluted 
  earnings per share                      0.30                 (0.03)                  0.67                 0.67 
                           ===================  =====================  ====================  =================== 
 

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

21. Segment reporting

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

The Group has five 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 five geographic areas, Egypt, Sudan, Jordan, Nigeria and Saudi Arabia. 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 five regions is set out below.

 
                                                           Revenue by geographic location 
                             ----------------------------------------------------------------------------------------- 
 For the three months ended   Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia    Total 
                             -------------  -------------  --------------  ---------------  --------------  ---------- 
 30-September-23              986,160        532            173,992         21,052                       -   1,181,736 
 30-September-22              711,195        4,317          109,372         21,367                       -   846,251 
 
 
                                                           Revenue by geographic location 
                              ---------------------------------------------------------------------------------------- 
 For the nine months period    Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia     Total 
 ended 
                              -------------  -------------  --------------  ---------------  -------------  ---------- 
 30-September-23               2,499,833      10,726         464,247         78,872           -              3,053,678 
 30-September-22               2,235,235      14,786         495,507         54,788           -              2,800,316 
 
 
                                                           EBITDA by geographic location 
                              -------------------------------------------------------------------------------------- 
 For the three months ended    Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia    Total 
                              -------------  -------------  --------------  ---------------  -------------  -------- 
 30-September-23                 347,223        (5,227)         54,344          (2,471)         (6,511)      387,358 
 30-September-22                 235,623          (14)          31,447          (1,931)            -         265,125 
 

21. Segment reporting (continued)

 
                                                             EBITDA by geographic location 
                                -------------------------------------------------------------------------------------- 
 For the nine months period      Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia    Total 
 ended 
                                -------------  -------------  --------------  ---------------  -------------  -------- 
 30-September-23                   754,085        (3,978)         122,846         (17,536)        (6,511)      848,906 
 30-September-22                   857,363           49           122,237         (5,263)            -         974,386 
 
 
                                                     Net profit / (loss) by geographic location 
                              --------------------------------------------------------------------------------------- 
 For the three months ended    Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia    Total 
                              -------------  -------------  --------------  ---------------  -------------  --------- 
 30-September-23                 175,813        (5,449)         21,243          (8,652)         (6,544)      176,411 
 30-September-22                 (13,555)         547           14,718          (37,356)           -         (35,646) 
 
 
                                                      Net profit / (loss) by geographic location 
                                -------------------------------------------------------------------------------------- 
 For the nine months period      Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia    Total 
 ended 
                                -------------  -------------  --------------  ---------------  -------------  -------- 
 30-September-23                   401,734        (1,812)         32,555          (38,472)        (6,544)      387,461 
 30-September-22                   380,005         4,825          62,189          (43,613)           -         403,406 
 
 
 
                  Revenue by type         Net profit by type 
                For the three months      For the three months 
                 ended 30 September        ended 30 September 
                  2023         2022        2023         2022 
             -------------  ---------  -----------  ----------- 
 
 Pathology     1,115,644     802,245     198,065      (2,876) 
 Radiology       66,092       44,006     (21,652)     (32,770) 
             -------------  ---------  -----------  ----------- 
               1,181,736     846,251     176,413      (35,646) 
             =============  =========  ===========  =========== 
 
 
                 Revenue by type       Net profit by type 
               For the nine months     For the nine months 
               ended 30 September      ended 30 September 
                2023        2022         2023        2022 
             ----------  ----------  -----------  --------- 
 
 Pathology    2,866,836   2,687,516      485,870    474,842 
 Radiology      186,842     112,800     (98,407)   (71,436) 
             ----------  ----------  -----------  --------- 
              3,053,678   2,800,316      387,463    403,406 
             ==========  ==========  ===========  ========= 
 

21. Segment reporting (continued)

 
                                           Non-current assets by geographic location 
                   ---------------------------------------------------------------------------------------- 
                    Egypt region   Sudan region   Jordan region   Nigeria region   Saudi Arabia     Total 
                   -------------  -------------  --------------  ---------------  -------------  ---------- 
 30-September-23       3,070,167          3,847         606,928           80,423         25,057   3,786,422 
 31-December-22        3,039,930         14,993         494,244          121,770              -   3,670,937 
 

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 
                                    2023                  2022                   2023                   2022 
                            --------------------  --------------------  ---------------------  --------------------- 
 
 Profit from operations                  288,088               186,360                553,377                748,783 
 
 Property, plant and 
  equipment depreciation                  64,937                51,249                191,692                146,433 
 Right of use depreciation                32,395                25,744                 98,027                 73,959 
 Amortization of 
  Intangible assets                        1,938                 1,772                  5,810                  5,211 
                            --------------------  --------------------  ---------------------  --------------------- 
 EBITDA                                  387,358               265,125                848,906                974,386 
                            --------------------  --------------------  ---------------------  --------------------- 
 Non-recurring expenses                   23,730                     -                 23,730                      - 
                            ====================  ====================  =====================  ===================== 
 Normalised EBITDA                       411,088               265,125                872,636                974,386 
                            ====================  ====================  =====================  ===================== 
 
   22.          Distributions made 
 
                                                          30 September     31 December 2022 
                                                               2023 
                                                         --------------   ----------------- 
                                                             EGP'000           EGP'000 
 Cash dividends on ordinary shares declared and paid: 
 Nil per qualifying ordinary share US$ 0.116 per share                 -          1,304,805 
                                                         ---------------  ----------------- 
               -                                                                  1,304,805 
 ===============                                                          ================= 
 

During the year ended December 31, 2022 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.

   23.          Important events 

On March 8, 2023, the Group completed the establishment of Medical Health Development Company, a limited liability company based in Saudi Arabia with a total stake of 51% directly and indirectly through one of the Group's subsidiaries, where Integrated Diagnostics Holdings (IDH) owns 30% and Al Makhbaryoun Al Arab LLC ("Biolab")-Jordan a subsidiary owns 21%.

The Central Bank of Egypt increased the interest rate by 200 points, to reach 19.25% instead of 17.25%. This was by a decision of the Monetary Policy Committee, according to the meeting held on March 30, 2023. And increased the interest rate by 100 points, to reach 20.25% instead of 19.25%. This was by a decision of the Monetary Policy Committee, according to the meeting held on 6 August 2023.

During April 2023, an armed conflict began in Sudan that led to security unrest across the country. Business has been temporarily frozen in the branches of the Sudan Laboratory Company and Ultra Lab until further notice, which will greatly affect the profits of the geographical sector in the subsequent period. The Group's management is closely monitoring the situation and is currently evaluating the impact of these events on the Group's business results and activities. Therefore, the company's management has evaluated the business results, and a provision has been formed for 5 M.

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November 16, 2023 02:00 ET (07:00 GMT)

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