TIDMINHC

RNS Number : 5646S

Induction Healthcare Group PLC

07 November 2023

Induction Healthcare Group PLC

("Induction", the "Company", or the "Group")

Unaudited Interim Results

for the six months ended 30 September 2023

Induction (AIM: INHC), a leading digital health platform driving transformation of healthcare systems, announces its unaudited interim results for the six months ended 30 September 2023.

Financial Highlights

-- Revenues of GBP6.1m (H1 2022: GBP7.1m). New NHS patient portal contracts (revenue to be recognized in second half of this financial year) compensates for decline in NHS video conferencing usage.

-- Gross margin improvement to 75% (H1 2022: 66.1%). Improved management of direct cost base including cloud infrastructure.

   --    Adjusted EBITDA of GBP0.01m (H1 2022: Loss GBP1.0m) Breakeven after non-cash adjustments. 

-- Operating loss reduced to GBP2.4m (H1 2022: (GBP4.5m)). Ongoing cost containment programme continues to yield results.

-- Cash position GBP3.1m (FY23 YE: GBP4.3m). We remain on track towards our objective of self-sustaining growth and cash flow breakeven in FY24.

Operational Highlights

-- Awarded five new patient portal development contracts totaling GBP1.9m with several large Trusts/ICS and ICBs for the Zesty patient portal. In addition to the GBP1.4m announced in October, a further GBP538,000 is announced today:

o Whittington Health NHS Trust worth GBP267,000 covering several patient portal projects including the use of Induction's Form Builder module for wait list validation, enhancing appointment management functionality, and integrating with Whittington's pre-surgical assessment tool.

o Milton Keynes University Hospital worth GBP271,000 covering several patient portal projects related to reducing wait lists and launching an Induction video consultation from the patient portal.

-- Induction to be the first NHS-accredited portal to digitize maternity records for expectant mothers ensuring patient records are accessible within Zesty.

-- Completed roll out of NHS App integration with 6 new customers. 2.5 million patients can now access Zesty via the NHS App, up from 1 million patients at the beginning of April 2023.

-- One of only two patient portal providers to launch new functionality into the NHS App related to notifications, messages, and forms. This functionality is vital to supporting waitlist validation.

-- In final stages of engineering work which will enable patients to launch video consultation from within the patient portal, as well as enable clinicians to access a video consultation from their Electronic Medical Record (EMR) - integration of Zesty and Attend Anywhere platforms.

   --    Non-core asset (Switch) sold for material consideration. 

Paul Tambeau, CEO of Induction Healthcare, said: "With reports that over 8m patients will be on a waiting list by next year, Induction has a vital role to play in helping NHS Trusts manage their backlog and giving patients more choice in how they access care. We're well positioned to do this because of the work we've done on integrating our platforms and enhancing the features available through the NHS App. Improvement in both gross margin and operating losses also demonstrates the outcome of our cost containment work completed in the last 9 months which remains on track to achieve our goal of being breakeven this year."

Enquiries

 
 Induction 
  Christopher Samler, Chair                  +44 (0)7712 194092 
  Paul Tambeau, Chief Executive Officer      +44 (0)7983 104443 
 
 Singer Capital Markets (Nominated 
  Adviser and Broker)                      +44 (0)20 7496 3000 
 Philip Davies 
  Alaina Wong 
  Jalini Kalaravy 
 

About Induction - www.inductionhealthcare.com

Induction (AIM: INHC) Induction delivers a suite of software solutions that transforms care delivery and the patient journey through hospital. Our system-wide applications help healthcare providers and administrators to deliver care at any stage remotely as well as face-to-face - giving the communities they serve greater flexibility, control and ease of access. Purpose-built for integration with leading Electronic Medical Record (EMR) platforms, our products offer immediate stand-alone value that becomes even greater when integrated with pre-existing systems.

Used at scale by national and regional healthcare systems, as well non-health government services, our applications are relied upon by hundreds of thousands of clinicians and millions of patients across almost every hospital in the British Isles.

CEO Review

Overview

Over the last six months, we have been focused on implementing our FY24 plan that was based on four goals:

1. To be a profitable and sustainable growing business to deliver our commitments to shareholders.

   2.    To successfully develop our Integrated Product. 
   3.    To be customer centric and commercial in everything we do. 

4. To implement and continuously develop an inclusive, performance driven and rewarding employee experience.

I am pleased to say that we are making strong progress on all four of these goals.

Through greater cost management, we are on track towards our objective of self-sustaining growth and cash flow breakeven in 2024. In addition to completing the cost containment measures started in Q4 FY23, an important driver has been better management of our cloud infrastructure. Our cloud costs are down c.50% compared to this time last year. In July 2023 we completed a major overhaul of our database infrastructure and are currently completing a significant change to our call screen which will generate further savings as well as improve user experience. There are additional projects we're evaluating to drive further savings in our cloud infrastructure.

In terms of sales growth, we have capitalised on the funding provided by the NHS to support Trusts to adopt or enhance their patient portal. We've been successful in securing GBP1.9m in new contracts which will fund key items on our integrated product roadmap, such as:

-- Digitizing maternity records for expectant mothers, as well as making diagnostic appointment details available from within the patient portal.

-- Enabling a patient to launch a video consultation from within the patient portal - integrating Attend Anywhere and Zesty.

-- Enhancing our appointment management functionality so that it can be used to support Patient Initiated Follow Up / and Clinician Initiated Follow Up initiatives.

   --    Using our Form Builder module to support waitlist validation. 

-- Deeping our integration with EMR partners such as Oracle Cerner, as well as other third-party systems.

Whilst the large majority of these new contracts are one time revenue, the enhanced platform will result in new features and case studies to support future sales.

We have made tangible progress in integrating our product, notably being able to launch a video consultation from within the patient portal. We expect this work to be completed in early Q4 FY24 and already have 3 customers contracted to adopt this functionality. We're also near completion of work to enable a clinician or staff member to launch a video consultation within their EMR.

We also continue to work closely with the NHS Wayfinder team in integrating new features into the NHS App. We are one of only two patient portal providers to launch new functionality into the NHS App related to notifications, messages, and forms. This functionality is vital to supporting waitlist validation. We've also completed roll out of NHS App integration with 6 new customers; 2.5 million patients can now access Zesty via the NHS App, up from 1 million patients at the beginning of April.

Consistent with our previously announced focus on our key strategic assets, we sold the Switch platform for a material consideration. We continue to look for a strategic buyer for the Guidance platform.

Financial Overview

We ended the first half of this year with GBP6.1m in recognised revenue, down from GBP7.1m over the same period last year. This decrease primarily reflects some Attend Anywhere contracts churning in England as well as lower than expected utilisation in Wales. This is offset by a 20% increase in Zesty revenue over the previous corresponding period. As we look to the full year, we note that most of the new NHS contracts will be recognised in the second half of the fiscal year, meaning a higher overall contribution from Zesty to revenue.

Gross margin in H1 improved to 75% compared to 66.1% in the same period last year. This demonstrates the improved management of direct cost base including cloud infrastructure.

Our operating loss was reduced in H1 to -GBP2.4m, an improvement from -GBP4.5m compared with the same period last year. This reflects that the ongoing cost containment programme continues to yield results. On an adjusted EBITDA position, we ended H1 at GBP0.01m compared to a loss of GBP1m over the same period last year.

From a cash perspective, we ended H1 with GBP3.1m, down from GBP4.3m at the end of FY23. The timing difference of the impact of post year end termination costs and delay in receipt of invoiced revenue accounts for this drop at the half year.

Outlook

With reports that over 8m patients will be on a waiting list by next year, we have a vital role to play in helping NHS Trusts manage their backlog and give patients more choice in how they access care. We're well positioned to do this because of the work we've completed on integrating our platforms and enhancing the features available through the NHS App. The NHS continues to prioritize further developments within the NHS App, enabling Induction to become more embedded in the health ecosystem. We're already seeing early evidence of the effectiveness of Induction's digital tools in supporting waitlist validation which positions us well for future growth.

We continue to see headwinds with Attend Anywhere renewals due to downward pressure on pricing, Trusts returning to more in-person appointments, and a post-Covid decline in the perceived advantages of video appointments.

We're also seeing increasing demand for integrating the capabilities of both our Zesty and Attend Anywhere platforms, creating a better experience for clinicians and patients.

Given the rightsizing changes we have already implemented, and the growth opportunities in front of us, we are increasingly confident about Induction's future as a leading player in the interface between the patient and their secondary care clinical teams.

Paul Tambeau

CEO

7 November 2023

Condensed Consolidated Statement of Comprehensive Income (Unaudited)

For the six months ended 30 September 2023

 
                                                                               30 September 2023   30 September 2022 
                                                                                       Unaudited           Unaudited 
                                                             Note                        GBP'000             GBP'000 
----------------------------------------------------------         -----------------------------  ------------------ 
 Revenue from contracts with customers                          2                          6,057               7,118 
 Cost of sales                                                                           (1,514)             (2,414) 
----------------------------------------------------------         -----------------------------  ------------------ 
 Gross Profit                                                                              4,543               4,704 
 Sales and marketing expenses                                   3                          (578)               (821) 
 Development expenses                                           3                        (4,652)             (4,159) 
 Administrative expenses                                        3                        (1,731)             (4,237) 
 Operating loss                                                                          (2,418)             (4,513) 
----------------------------------------------------------         -----------------------------  ------------------ 
 Finance Costs                                                                               (2)                 (4) 
 Finance Income                                                                                2                   - 
----------------------------------------------------------         -----------------------------  ------------------ 
 Loss before tax                                                                         (2,418)             (4,517) 
----------------------------------------------------------         -----------------------------  ------------------ 
 Taxation                                                                                      -               (311) 
----------------------------------------------------------         -----------------------------  ------------------ 
 Loss for the period from continuing operations                                          (2,418)             (4,828) 
----------------------------------------------------------         -----------------------------  ------------------ 
 Profit / (Loss) from discontinued operations, net of tax       5                            755                   - 
----------------------------------------------------------         -----------------------------  ------------------ 
 Loss for the period                                                                     (1,663)             (4,828) 
----------------------------------------------------------         -----------------------------  ------------------ 
 
 Attributable to: 
 Equity holders of the parent                                                            (1,663)             (4,828) 
----------------------------------------------------------                                        ------------------ 
                                                                                         (1,663)             (4,828) 
----------------------------------------------------------         -----------------------------  ------------------ 
 
 Loss per share from operations 
----------------------------------------------------------         -----------------------------  ------------------ 
 - Basic                                                        4                         (0.03)              (0.06) 
 - Diluted                                                      4                         (0.03)              (0.06) 
----------------------------------------------------------         -----------------------------  ------------------ 
 

Condensed Consolidated Statement of Comprehensive Income (Unaudited)

For the six months ended 30 September 2023

 
                                                 30 September          30 September 
                                                         2023                  2022 
                                                    Unaudited             Unaudited 
                                   Note               GBP'000               GBP'000 
                                         --------------------  -------------------- 
 Loss for the period                                  (1,663)               (4,828) 
--------------------------------         --------------------  -------------------- 
 
 Other comprehensive income 
 Items that may be reclassified 
  to profit or loss 
 Foreign currency translation 
  differences                                           (394)                   457 
 Reclassified to profit and 
  loss during the period                                  162                 (801) 
 Other comprehensive income 
  for the financial period                              (233)                 (344) 
--------------------------------         --------------------  -------------------- 
 
 Total comprehensive loss 
  for the financial period                            (1,896)               (5,172) 
--------------------------------         --------------------  -------------------- 
 
 Attributable to: 
 Equity holders of the parent                         (1,896)               (5,172) 
                                                      (1,896)               (5,172) 
--------------------------------         --------------------  -------------------- 
 
 
 Loss per share: 
 Basic loss per share (GBP)           4                (0.03)                (0.06) 
 Diluted loss per share (GBP)         4                (0.03)                (0.06) 
 

Condensed Consolidated Statement of Financial Position

As at 30 September 2023

 
                                                               30 September 2023   31 March 2023 
                                                                       Unaudited         Audited 
                                                        Note             GBP'000         GBP'000 
                                                              ------------------  -------------- 
 Non-current assets 
 Goodwill                                                                 10,685          10,685 
 Intangible Assets                                                        13,005          15,251 
 Property, Plant and Equipment                                                 7               9 
 Deferred tax assets                                                         552             556 
----------------------------------------------------- 
  Total non-current assets                                                24,249          26,501 
-----------------------------------------------------         ------------------  -------------- 
 Current assets 
 Trade and other receivables                               6               2,165           2,672 
 Contract Assets                                                           1,589           1,228 
 Current tax receivable                                                      810           1,175 
 Cash and cash equivalents                                                 3,055           4,287 
 Assets held for sale                                                      2,474           2,474 
----------------------------------------------------- 
  Total current assets                                                    10,093          11,836 
-----------------------------------------------------         ------------------  -------------- 
 Total assets                                                             34,342          38,337 
-----------------------------------------------------         ------------------  -------------- 
 Non-current liabilities 
 Contract liabilities                                                          -         (3,588) 
 Deferred tax liabilities                                                (3,789)         (3,870) 
 Other financial liabilities                                                   -            (56) 
----------------------------------------------------- 
  Total non-current liabilities                                          (3,789)         (1,235) 
-----------------------------------------------------         ------------------  -------------- 
 Current liabilities 
 Trade and other payables                                  7             (1,922)         (2,713) 
 Provisions                                                                 (25)           (528) 
 Contract liabilities                                                    (4,846)         (2,198) 
 Liabilities associated with assets held for sale                        (1,016)         (1,016) 
 Other financial liabilities                                                (91)            (72) 
  Total current liabilities                                              (7,900)         (6,527) 
-----------------------------------------------------         ------------------  -------------- 
 Total liabilities                                                      (11,689)        (14,041) 
----------------------------------------------------- 
 Net assets/(liabilities)                                                 22,653          24,296 
-----------------------------------------------------         ------------------  -------------- 
 
 Equity attributable to equity holders of the parent 
 Share capital                                                               462             462 
 Share premium                                                            41,665          41,665 
 Merger reserve                                                           20,205          20,205 
 Translation reserve                                                       (405)           (162) 
 Other reserves                                                            1,776           1,578 
 Accumulated deficit                                                    (41,050)        (39,452) 
----------------------------------------------------- 
  Total equity                                                            22,653          24,296 
-----------------------------------------------------         ------------------  -------------- 
 

Condensed Consolidated Statement of Changes in Equity

For the six months ended 30 September 2023

 
                               Share           Share           Translation                 Other           Merger          Accumulated        Total 
                             Capital         Premium               reserve               reserve          reserve              deficit       equity 
                             GBP'000         GBP'000               GBP'000               GBP'000          GBP'000              GBP'000      GBP'000 
----------------   -----------------  --------------  --------------------  --------------------  ---------------  -------------------  ----------- 
 Balance at 1 
  April 2023                     462          41,665                 (162)                 1,578           20,205             (39,452)       24,296 
 
 Total 
 comprehensive 
 loss for the 
 period 
 Loss for the 
  period                           -               -                     -                     -                -              (1,663)      (1,663) 
 Other 
  comprehensive 
  loss for the 
  period                           -               -                 (243)                     -                -                    -        (243) 
 Total 
  comprehensive 
  loss for the 
  period                           -               -                 (243)                     -                -              (1,663)      (1,906) 
-----------------  -----------------  --------------  --------------------  --------------------  ---------------  -------------------  ----------- 
 Transactions 
 with owners, in 
 their 
 capacity as 
 owners 
 Equity-settled 
  share-based 
  payments                         -               -                     -                   199                -                    -          199 
 
 Total 
  contributions 
  by and 
  distributions 
  to owners                        -               -                     -                   199                -                    -          199 
-----------------  -----------------  --------------  --------------------  --------------------  ---------------  -------------------  ----------- 
 Balance at 30 
  September 2023                 462          41,665                 (405)                 1,776           20,205             (41,050)       22,653 
-----------------  -----------------  --------------  --------------------  --------------------  ---------------  -------------------  ----------- 
 
 

Condensed Consolidated Statement of Cash Flows

For the six months ended 30 September 2021

 
                                                                         For the period ended   For the period ended 
                                                                  Note      30 September 2023      30 September 2022 
                                                                                      GBP'000                GBP'000 
--------------------------------------------------------------          ---------------------  --------------------- 
 Cash flows from operating activities 
 Loss for the financial period                                                        (1,663)                (4,828) 
 Adjustments for: 
 Depreciation of property, plant and equipment                                              1                     39 
 Amortisation and impairment of intangible assets                                       2,150                  2,363 
 Finance costs                                                                              2                      4 
 Finance income                                                                           (2)                      - 
 Share-based payment expense                                                              199                    246 
 Taxation                                                                                                        311 
 Gain on sale of discontinued operations, net of tax                                    (750)                      - 
                                                                                        1,600                (2,963) 
                                                                        ---------------------  --------------------- 
 Decrease / (Increase) in trade and other receivables and contract 
  assets                                                                                  146                (1,500) 
 (Decrease) / Increase in trade and other payables and contract 
  liabilities                                                                         (1,731)                  7,303 
 (Decrease) / Increase in provisions                                                    (503)                      - 
 Interest received                                                                          2                      - 
 Interest paid                                                                            (2)                    (4) 
 Income taxes paid                                                                          -                  (288) 
 Income taxes received                                                                    365                     44 
 Net cash generated from / (used in) operating activities                             (1,786)                (3,690) 
----------------------------------------------------------------------  ---------------------  --------------------- 
 Cash flows from investing activities 
 Payment of software development costs                                                      -                (1,615) 
 Acquisitions of property, plant and equipment                                              -                    (5) 
 Disposal of discontinued operations, net of cash                                         750                      - 
 Net cash from investing activities                                                       750                (1,620) 
----------------------------------------------------------------------  ---------------------  --------------------- 
 Cash flow from financial activities 
 Share issue proceeds                                                                       -                  (194) 
 Payment of lease liabilities                                                            (33)                      - 
 Net cash from financing activities                                                      (33)                  (194) 
----------------------------------------------------------------------  ---------------------  --------------------- 
 Net increase in cash equivalents                                                     (1,069)                  1,876 
 Cash and cash equivalents at the beginning of the financial period                     4,287                  7,495 
 Effects of exchange rate changes on cash and cash equivalents                          (163)                  (393) 
 Cash and cash equivalents at the end of the financial period                           3,055                  8,978 
======================================================================  =====================  ===================== 
 

Notes to the Condensed Consolidated Interim Financial Statements

   1.   Accounting Policies 
   1.1.                Reporting entity 

Induction Healthcare Group PLC ("Induction", the "Group" or the "Company") is publicly listed on the AIM market of the London Stock Exchange ("LSE"), and incorporated, domiciled and registered in the United Kingdom. The registered number is 11852026 and the registered address is 30 Crown Place, London, EC2A 4ES.

   1.2.                Basis of preparation 

These interim financial statements have been prepared and approved by the directors in accordance with International Financial Reporting Standards ("Adopted IFRSs"). They do not include all the information required for a complete set of IFRS financial statements. However, selected explanatory notes are included to explain events and transactions that are significant to an understanding of the changes in the Group's financial position and performance since the most recent annual consolidated financial information included in the annual report and accounts as of and for the year ended 31 March 2023.

The accounting policies applied are consistent with those applied in the most recent consolidated annual report and accounts for the year ended 31 March 2023, which are available on the Company's website at www.inductionhealthcare.com under "Investors - Financial reports & publications"

Subsidiaries are fully consolidated from the date of acquisition, being the date on which the Group obtained control and continue to be consolidated until the date when such control ceases. The financial information of the subsidiaries is prepared for the same reporting period as the Group, using consistent accounting policies. All intra-group balances, transactions, unrealised gains and losses resulting from intra-group transactions are eliminated in full.

Changes in the Group's interest in a subsidiary that do not result in a loss of control are accounted for as equity transactions.

When the Group loses control over a subsidiary, the assets and liabilities are derecognised along with any related non-controlling interest and other components of equity. Any resulting gain or loss is recognised in profit or loss. Any interest retained in the former subsidiary is measured at fair value when control is lost.

These interim condensed consolidated financial statements are unaudited and were approved by the Board of Directors and authorised for issue on 6 November 2023 and are available on the Company's website at www.inductionhealthcare.com under "Investors - Financial reports & publications".

   2.   Revenue 

2.1 Revenue by performance obligations

 
                                                 Period to 30 September 2023   Period to 30 September 2022 
                                                                     GBP'000                       GBP'000 
---------------------------------------------   ----------------------------  ---------------------------- 
 Provision of software                                                 5,221                         6,294 
 Post-contract support and maintenance                                   165                           103 
 Set-up services                                                         169                            30 
 Professional services                                                   225                           492 
 Text message revenue                                                    277                           199 
---------------------------------------------- 
 Total revenue from contracts with customers                           6,057                         7,118 
----------------------------------------------  ----------------------------  ---------------------------- 
 
   3.   Expenses by nature 
 
                                                 Period to 31 September 2023  Period to 30 September 2022 
                                                                     GBP'000                      GBP'000 
                                                 ---------------------------  --------------------------- 
Employee benefit expense                                               3,686                        4,809 
Contractors                                                              814                        1,858 
Amortisation of intangible assets                                      2,150                        2,363 
Depreciation of property, plant and equipment                              1                           39 
Professional and legal fees                                               48                          251 
Research and development expense capitalised                               -                      (1,615) 
 
   4.   Earnings per share 

Basic EPS is calculated by dividing the profit for the year attributable to ordinary equity holders of the parent by the weighted average number of ordinary shares outstanding during the year.

Diluted EPS is calculated by dividing the profit attributable to ordinary equity holders of the parent (after adjusting for interest on the convertible preference shares) by the weighted average number of ordinary shares outstanding during the year plus the weighted average number of ordinary shares that would be issued on conversion of all the dilutive potential ordinary shares into ordinary shares.

The following table reflects the income and share data used in the basic and diluted EPS calculations:

Loss attributable to ordinary shares (basic and diluted)

 
                                                                                        30 September  30 September 
                                                                                                2023          2022 
                                                                                             GBP'000       GBP'000 
-------------------------------------------------------------------------------------   ------------  ------------ 
    Loss attributable to ordinary shares used in calculating basic loss per share and 
                                                                              diluted 
                                                                       loss per share 
                                                            From continuing operations       (2,418)       (4,828) 
                                                          From discontinued operations           755             - 
--------------------------------------------------------------------------------------  ------------  ------------ 
                                                                                             (1,663)       (4,828) 
                                                                                        ------------  ------------ 
 

Weighted average number of ordinary shares (basic and diluted)

 
                                                         Period to 30 September 2023   Period to 30 September 2022 
-----------------------------------------------------   ----------------------------  ---------------------------- 
 Shares in issue on 1 April                                               92,380,300                    92,050,727 
 Issue of ordinary shares on exercise of equity 
  settled share-based payments                                                     -                       329,573 
 Issued ordinary shares as at the end of the period                       92,380,300                    92,380,300 
------------------------------------------------------  ----------------------------  ---------------------------- 
 Weighted-average number of ordinary shares (basic and 
  diluted)                                                                92,380,300                    92,206,033 
------------------------------------------------------  ----------------------------  ---------------------------- 
 
 
Basic loss per share from continuing operations   (0.03)  (0.06) 
Total basic loss per share                        (0.03)  (0.06) 
 
 
Diluted loss per share from continuing operations   (0.03)  (0.06) 
Total diluted loss per share                        (0.03)  (0.06) 
 
   5.   Discontinued operations 

During June 2023, the Group completed the sale of the Induction Switch disposal Group for an undisclosed sum. This disposal Group was classified as held for sale in accordance with IFRS 5 "Non-current assets held for sale and discontinued operations" at 31 March 2023. The sale was completed in line with the Group's strategy to focus on sustainable growth.

   6.   Trade and other receivables 
 
                                                30 September 2023   31 March 2023 
                                                          GBP'000         GBP'000 
 Receivables from third-party customers                     1,568           2,069 
 Other receivables                                            320             351 
 Prepayments                                                  230             125 
 Social security and other taxes receivable                    47             127 
                                               ------------------  -------------- 
 Total trade and other receivables                          2,165           2,672 
                                               ------------------  -------------- 
 

Trade receivables are non-interest bearing and are generally on terms of 30 days. Included within trade and other receivables is GBPnil expected to be recovered in more than 12 months.

   7.   Trade and other payables 
 
                                     30 September 2023   31 March 2023 
                                               GBP'000         GBP'000 
                                    ------------------  -------------- 
 Trade payables                                    509             849 
 Accruals                                          886           1,096 
 Social security and other taxes                   469             703 
 Other payables                                     58              65 
                                                 1,922           2,713 
                                    ------------------  -------------- 
 

Included within trade and other payables is GBPnil expected to be settled in more than 12 months

All trade and other payables are non-interest bearing and are normally settled on 30-day terms.

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