TIDMIDHC

RNS Number : 8704K

Integrated Diagnostics Holdings PLC

31 August 2023

Integrated Diagnostics Holdings Plc

1H 2023 Results

Thursday, 31 August 2023

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

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

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

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

Financial Results (IFRS)(4)

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

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

Key Operational Indicators(6)

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

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

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

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

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

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

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

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

Introduction

   i.    Financial Highlights 

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

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

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

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

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

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

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

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

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

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

ii. Operational Highlights

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

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

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

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

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

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

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

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

iii. Management Commentary

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

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

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

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

- End -

Analyst and Investor Call Details

An analyst and investor call will be hosted at 1pm (UK) | 3pm (Egypt) on Monday, 4 September 2023. You can register for the call by clicking on this link .

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 pathology and radiology tests to patients in Egypt, Jordan, Nigeria and Sudan. The Group's core brands include Al Borg, Al Borg Scan and Al Mokhtabar in Egypt, as well as Biolab (Jordan), Ultralab and Al Mokhtabar Sudan (both in Sudan) and Echo-Lab (Nigeria). A long track record for quality and safety has earned the Company a trusted reputation, as well as internationally recognised accreditations for its portfolio of over 2,000 diagnostics tests. From its base of 552 branches as of 31 December 2022, IDH served over 8.7 million patients and performs more than 32.7 million tests in 2022. IDH will continue to add laboratories through a Hub, Spoke and Spike business model that provides a scalable platform for efficient expansion. Beyond organic growth, the Group's expansion plans include acquisitions in new Middle Eastern, African, and East Asian markets where its model is well-suited to capitalise on similar healthcare and consumer trends and capture a significant share of fragmented markets. IDH has been a Jersey-registered entity with a Standard Listing on the Main Market of the London Stock Exchange (ticker: IDHC) since May 2015 with a secondary listing on the EGX since May 2021 (ticker: IDHC.CA).

Shareholder Information

LSE: IDHC.L

EGX: IDHC.CA

Bloomberg: IDHC:LN

Listed on LSE: May 2015

Listed on EGX: May 2021

Shares Outstanding: 600 million

Contact

Nancy Fahmy

Investor Relations Director

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

Forward-Looking Statements

These results for the six-month period ended 30 June 2023 have been prepared solely to provide additional information to shareholders to assess the group's performance in relation to its operations and growth potential. These results should not be relied upon by any other party or for any other reason. This communication contains certain forward-looking statements. A forward-looking statement is any statement that does not relate to historical facts and events, and can be identified by the use of such words and phrases as "according to estimates", "aims", "anticipates", "assumes", "believes", "could", "estimates", "expects", "forecasts", "intends", "is of the opinion", "may", "plans", "potential", "predicts", "projects", "should", "to the knowledge of", "will", "would" or, in each case their negatives or other similar expressions, which are intended to identify a statement as forward-looking. This applies, in particular, to statements containing information on future financial results, plans, or expectations regarding business and management, future growth or profitability and general economic and regulatory conditions and other matters affecting the Group .

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

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

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

Group Operational & Financial Review

   i.    Revenue and Cost Analysis 
 
 Consolidated Revenue 
  IDH maintained its impressive performance during the first six months 
  of 2023, with revenues and volumes progressively picking up as the 
  year progressed to record their strongest monthly figures in May and 
  June (once adjusting for the Eid-related slowdown). During 1H 2023, 
  conventional revenues expanded 40% year-on-year to record EGP 1,872 
  million. Conventional revenue growth for the period was driven by a 
  13% rise in test volumes and a 24% increase in average revenue per 
  test (translation effect only contributed 8% to growth for the period). 
  On a quarterly basis, IDH's conventional revenues grew 37% year-on-year 
  to EGP 957 million in Q2 2023 driven by increases in test volumes and 
  average revenue per test. 
  Meanwhile, IDH's total revenues reached EGP 1,872 million in 1H 2023, 
  down 4% year-on-year as Covid-19-related testing had impacted total 
  results of 1H 2022. On a three-month basis, IDH recorded total revenues 
  of EGP 957 million, a 24% year-on-year increase from EGP 774 million 
  one year prior. 
 

Revenue Analysis

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

Test Volume Analysis

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

Revenue per Test Analysis

 
 Total revenue per test 
  (EGP)                      140   114   102   113   11%   122   114   -7% 
==========================  ====  ====  ====  ====  ====  ====  ====  ==== 
 Conventional revenue 
  per test (EGP)              90   114    94   113   20%    92   114   24% 
 Covid-19-related revenue 
  per test (EGP)             431     -   454     -         422     -    - 
--------------------------  ----  ----  ----  ----  ----  ----  ----  ---- 
 
 
 Revenue Analysis: Contribution by Patient Segment 
 
  Contract Segment (64% of Group revenue) 
  The Company's contract segment booked conventional revenues of EGP 1,193 
  million during 1H 2023, a 44% year-on-year increase from the EGP 827 
  million recorded one year prior. Conventional revenues at IDH's contract 
  segment were driven by increases in test volumes and average revenue 
  per conventional test, which increased 18% and 22% year-on-year (of 
  which 4% was related to the translation effect), respectively. During 
  the period, IDH recorded a notable increase in total tests per patient 
  at the segment, which reached a record 4.4 tests in 1H 2023 from 4.0 
  last year. Higher tests per patient were supported both by a post-Covid-19 
  patient mix normalisation coupled with the success of a new loyalty 
  programme introduced at the end of FY 2021. 
 
  Walk-in Segment (36% of Group revenue) 
  Meanwhile, IDH's walk-in segment reported conventional revenue growth 
  of 33% year-on-year during 1H 2023, booking revenues of EGP 679 million. 
  While test volumes remained relatively stable compared to the same period 
  of the previous year, declining 4% year-on-year, revenue growth was 
  entirely driven by increases in average revenue per conventional test, 
  which expanded 38% year-on-year to EGP 226 during 1H 2023 (of which 
  14% was related to the translation effect) from EGP 163 one year prior. 
  Similar to trends witnessed at the contract segment, total walk-in tests 
  per patient reached their highest value on record at 3.6 tests up impressively 
  from the 2.5 tests per patient recorded in 1H 2022. 
 
 

Detailed Segment Performance Breakdown

 
                               Walk-in Segment           Contract Segment                Total 
=========================  =======================  =========================  ========================= 
                             1H22    1H23   Change     1H22     1H23   Change     1H22     1H23   Change 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue (EGP mn)             857     679     -21%    1,097    1,193       8%    1,954    1,872      -4% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
  Conventional Results 
   (EGP mn)                   512     679      33%      827    1,193      44%    1,339    1,872      40% 
  Total Covid-19-related 
   revenue (EGP mn)           345       -        -      270        -        -      615        -        - 
 Patients ('000)            1,513     833     -45%    3,027    3,084       2%    4,541    3,917     -14% 
 % of Patients                33%     21%               67%      79% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue per Patient 
  (EGP)                       565     815      44%      363      387       7%      430      478      11% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Tests ('000)               3,849   3,008     -22%   12,155   13,457      11%   16,004   16,465       3% 
 % of Tests                   24%     18%               76%      82% 
  Conventional tests 
   ('000)                   3,135   3,008      -4%   11,412   13,457      18%   14,547   16,465      13% 
  Total Covid-19-related 
   tests ('000)               714       -        -      744        -        -    1,458        -        - 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Revenue per Test 
  (EGP)                       222     226       2%       90       89      -2%      122      114      -7% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Conventional Revenue 
  per Test (EGP)              163     226      39%       72       89      23%       92      114      24% 
=========================  ======  ======  =======  =======  =======  =======  =======  =======  ======= 
 Test per Patient             2.5     3.6      42%      4.0      4.4       9%      3.5      4.2      19% 
-------------------------  ------  ------  -------  -------  -------  -------  -------  -------  ------- 
 
 
 Revenue Analysis: Contribution by Geography 
 
  Egypt (80.9% of Group revenue) 
  IDH's conventional business in Egypt continued delivering notable growth, 
  progressively picking up throughout the first six months of the year 
  and recording the strongest monthly revenue figures for the year in 
  May and June (once adjusting for the Eid-related slowdown). Revenues 
  have remained strong during July and August and the Company expects 
  the trend to continue heading further into the second half of the year. 
 
  More specifically, the Company recorded conventional revenue growth 
  of 33% year-on-year in 1H 2023, supported by simultaneous expansions 
  in test volumes and average revenue per conventional test, which grew 
  14% and 16% year-on-year, respectively. Total revenues from IDH's Egyptian 
  operations remained relatively unchanged, declining just 1% year-on-year 
  to EGP 1,514 million in 1H 2023. 
 
  On a quarterly basis, IDH recorded conventional revenues of EGP 783 
  million in Q2 2023, up a solid 32% year-on-year and 7% quarter-on-quarter. 
  Total revenues also expanded by 21% year-on-year as the impact of Covid-19-related 
  testing on the comparable three-month period of 2022 significantly declined 
  starting April. 
 
  Al-Borg Scan 
  IDH's fast-growing radiology venture maintained its growth trend throughout 
  the second quarter of 2023, recording revenues of EGP 63 million in 
  1H 2023, a 78% year-on-year increase. Revenue expansion was primarily 
  driven by increased average revenue per test, which grew 44% year-on-year 
  to EGP 807, and increased test volumes, which climbed 23% year-on-year 
  to 78 thousand tests during the six-month period. Al-Borg Scan has also 
  continued increasing its contribution to Egypt's top-line figure, constituting 
  4% of Egypt revenues during the first six months of 2023 versus only 
  2% in the same period of the previous year. To capitalize on the growing 
  demand for Al-Borg Scan's offering, IDH has, over the last two years, 
  launched four new branches taking the total to six as at 30 June 2023. 
  In the coming months, IDH plans to add an additional seventh branch 
  to its radiology venture in Egypt. 
 
  House Calls 
  Throughout the first six months of the year, IDH's house call service 
  in Egypt continued to make a remarkable contribution of 16% to total 
  revenues in the country. This continues to be well-above the service's 
  pre-pandemic contribution, further showcasing the segment's growth potential, 
  and the success of IDH's investment strategy which has seen it significantly 
  boost the service's capabilities since 2020. 
 
  Wayak 
  During the six-month period ending 30 June 2023, Wayak recorded 83 thousand 
  orders, a 29% year-on-year increase compared to 64 thousand in the same 
  six-month period of the previous year. Meanwhile, the venture's EBITDA 
  losses continued to narrow to record EGP 746 thousand compared to EBITDA 
  losses of EGP 1.7 million booked in the six-month period ending 30 June 
  2022. It is also worth noting that Wayak's EBITDA turned positive for 
  the months of May and June, a trend which IDH will look to maintain 
  heading into the second half of the year. 
 

Detailed Egypt Performance Breakdown

Revenue Analysis

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

Test Volume Analysis

 
 Total tests (mn)          7.3    7.3   6.9    7.8   13%   14.2   15.1    6% 
========================  ====  =====  ====  =====  ====  =====  =====  ==== 
 Conventional tests 
  performed (mn)           6.5    7.3   6.7    7.8   16%   13.2   15.1   14% 
========================  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  tests performed (mn)     0.8      -   0.1      -          0.9      - 
------------------------  ----  -----  ----  -----  ----  -----  -----  ---- 
                    Contribution to Consolidated Results 
============================================================================ 
 Conventional tests 
  performed                89%   100%   98%   100%          94%   100% 
========================  ====  =====  ====  =====  ====  =====  =====  ==== 
 Total Covid-19-related 
  tests performed          11%      -    2%      -           6%      - 
------------------------  ----  -----  ----  -----  ----  -----  -----  ---- 
 
 
 Jordan (15.5% of Group revenue) 
  Similar to trends seen in Egypt, IDH witnessed a steady rise in revenues 
  throughout the first half of 2023, with Biolab recording its highest 
  monthly revenue figures for the year in May and June (adjusting for 
  the Eid-vacation slowdown). Overall, in 1H 2023, Biolab recorded conventional 
  year-on-year revenue growth of 9% in JOD terms, supported by a solid 
  8% year-on-year rise in conventional tests performed. In EGP terms, 
  conventional revenues posted an 88% year-on-year rise, in part boosted 
  by the translation effect which saw average revenue per conventional 
  test in EGP terms rise by 74% versus 1H 2022. 
 
  On a quarterly basis, Biolab recorded year-on-year conventional revenue 
  growth of 6% in JOD terms supported by a 4% year-on-year rise in conventional 
  test volumes for the quarter. In EGP terms, year-on-year conventional 
  revenue growth in Q2 2023 stood at 73% on the back of a significant 
  rise in average revenue per test following the devaluations of the 
  EGP. 
 

Detailed Jordan Performance Breakdown

Revenue Analysis

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

Test Volume Analysis

 
 Total tests (k)           991    582   603    598   -1%   1,594   1,180   -26% 
========================  ====  =====  ====  =====  ====  ======  ======  ===== 
 Conventional tests 
  performed (k)            519    582   572    598    4%   1,091   1,180     8% 
========================  ====  =====  ====  =====  ====  ======  ======  ===== 
 Total Covid-19-related 
  tests performed (k)      472      -    30      -           502       - 
------------------------  ----  -----  ----  -----  ----  ------  ------  ----- 
                      Contribution to Consolidated Results 
=============================================================================== 
 Conventional tests 
  performed                52%   100%   95%   100%           68%    100% 
========================  ====  =====  ====  =====  ====  ======  ======  ===== 
 Total Covid-19-related 
  tests performed          48%      -    5%      -           32%       - 
------------------------  ----  -----  ----  -----  ----  ------  ------  ----- 
 
 
 Nigeria (3.1% of revenue) 
  IDH's Nigerian subsidiary, Echo-Lab, recorded robust revenue growth 
  of 19% year-on-year in NGN terms, booking revenues of NGN 937 million 
  during the six-month period. In EGP terms, the Company booked revenues 
  of EGP 58 million, increasing 73% year-on-year from the EGP 33 million 
  booked during the same period of the previous year. Revenue growth for 
  the year was driven by a 71% increase in average revenue per test in 
  EGP terms and 18% in NGN terms. Test volumes, on the other hand, increased 
  a marginal 1% year-on-year to 136 thousand tests in 1H 2023. 
 
  Sudan (0.5% of revenue) 
  IDH's Sudanese operations recorded revenues of SDG 197 million, down 
  32% year-on-year in 1H 2023. In EGP terms, revenue declined 3% year-on-year 
  to reach EGP 10 million from EGP 10.5 million one year prior. The decline 
  in revenues during 1H 2023 was primarily a result of the halting of 
  operations in 16 of 18 branches in April of this year as a result of 
  the ongoing conflict in the country. The Company continues to monitor 
  the situation closely and will update the market should the situation 
  evolve. 
 

Revenue Contribution by Country

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

Average Exchange Rate

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

Patients Served and Tests Performed by Country

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

Branches by Country

 
                   30 June 2022   30 June 2023         Change 
================  =============  =============  ============= 
 Egypt                      488            531             43 
================  =============  =============  ============= 
 Jordan                      21             27              6 
================  =============  =============  ============= 
 Nigeria                     12             12              - 
================  =============  =============  ============= 
 Sudan                       17             18              1 
================  =============  =============  ============= 
 Total Branches             538            588             50 
================  =============  =============  ============= 
 
 
      -Cost of Sales 
       Cost of sales increased 8% year-on-year in the first six months of 2023, 
       to record EGP 1,214 million. As a percentage of revenues, cost of sales 
       increased seven percentage points year-on-year in the six-month period 
       ended 30 June 2023, to reach 64.9%. The year-on-year increase reflected 
       primarily higher salaries and wages, as well as partially increased 
       raw material expenses and higher direct depreciation booked in 1H 2023. 
 
       Cost of Sales Breakdown as a Percentage of Revenue                                     1H 2022   1H 2023 
       ==================================  ========  ======== 
        Raw Materials                         20.3%     21.5% 
       ==================================  ========  ======== 
             Conventional raw material 
              costs as % of conventional 
              revenues                        16.4%     21.5% 
       ==================================  ========  ======== 
             Covid-19-related raw             29.6%         - 
              material costs as % of 
              Covid-19-related revenues 
       ==================================  ========  ======== 
        Wages & Salaries                      16.8%     20.4% 
       ==================================  ========  ======== 
        Depreciation & Amortisation            6.7%      9.4% 
       ==================================  ========  ======== 
        Other Expenses                        13.6%     13.5% 
       ==================================  ========  ======== 
        Total                                 57.4%     64.9% 
       ==================================  ========  ======== 
 
 
       Raw material costs (33% of consolidated cost of sales) was the largest 
       contributor to cost of sales during the period. Raw material costs recorded 
       EGP 402 million during 1H 2023, and amounted to 21% of total Group revenues. 
       During the period, the Company booked a rise in the average cost for 
       conventional test kits on the back of a weaker EGP and rising inflation 
       across its markets of operation. This saw conventional raw material 
       costs as a share of revenues reach 21.5% in 1H 2023, up five percentage 
       points year-on-year. It is important to note that the significant increase 
       in the cost of conventional test kits as a share of revenue is attributable 
       to a delay in the delivery of free test kits from IDH's main suppliers 
       during Q2 2023 as part of special arrangements to support the Company 
       during the ongoing turbulent times. The delivery of free test kits is 
       expected to normalise in the third quarter of the year. 
 
       Wages and salaries including employee share of profits (32% share of 
       consolidated cost of sales) was the second largest contributor to cost 
       of sales during 1H 2023, amounting to EGP 383 million in 1H 2023. During 
       the period, wages and salaries as a percentage of revenues stood at 
       20.4%, increasing from 16.8% in the same period of the previous year. 
       The year-on-year increase in direct wages and salaries is attributable 
       to new staff hires across IDH's newly launch branches, coupled with 
       higher than usual compensation increases for existing staff to compensate 
       for increased inflationary pressures in IDH's home market of Egypt. 
       Meanwhile, the year-on-year rise in NGN terms of Nigeria's salary and 
       wage expenses reflects an increase in USD-denominated compensation of 
       Echo-Lab's expat personnel on the back of a weaker Naira and rising 
       inflation. 
 
       Direct Wages and Salaries by Region                     1H 2022   1H 2023 
       ==================  ========  ======== 
        Egypt (EGP mn)          260       287 
       ==================  ========  ======== 
        Jordan (EGP mn)          60        78 
       ==================  ========  ======== 
        Jordan (JOD mn)           2         2 
       ==================  ========  ======== 
        Nigeria (EGP mn)          8        16 
       ==================  ========  ======== 
        Nigeria (NGN mn)        186       272 
       ==================  ========  ======== 
        Sudan (EGP mn)            2         2 
       ==================  ========  ======== 
        Sudan (SDG mn)           51        48 
       ==================  ========  ======== 
 
 
       Direct depreciation and amortization costs (15% of consolidated cost 
       of sales) increased 34% year-on-year in 1H 2023 to EGP 176 million compared 
       to EGP 132 million one year prior. Increases in depreciation and amortization 
       expenses were primarily due to the expansion of Al-Borg Scan's branches 
       as well as the rollout of additional branches throughout the Company's 
       wider network. More specifically, depreciation booked by Al-Borg Scan's 
       branches contributed 28% of total direct depreciation in 1H 2023. 
 
       Other expenses (21% of consolidated cost of sales) during the first 
       half of 2023 recorded EGP 253 million, down 5% year-on-year from the 
       EGP 266 million recorded in 1H 2022. It is important to note that other 
       expenses booked in 1H 2022 had included EGP 63 million paid in concession 
       fees as part of Biolab's agreement with Queen Alia International Airport 
       and Aqaba Port to provide Covid-19-related testing during January and 
       February of last year. Excluding these concession fees, other expenses 
       increased by 25% year-on-year during 1H 2023, mainly on the back of 
       increases recorded in Egypt and Nigeria. The increase in Egypt primarily 
       reflects a change in the treatment of revenue-sharing hospital contracts 
       starting in Q2 2023, which saw revenue-sharing expenses in 1H 2023 rise 
       by 330% year-on-year, contributing to nearly half of other expenses 
       growth for the period. In Nigeria, higher gasoline prices and general 
       inflation were the main contributors to the increase in other expenses 
       for the period. 
 
       Gross Profit 
       The Company booked gross profit of EGP 658 million in 1H 2023, down 
       21% year-on-year from the high base of EGP 832 million posted during 
       1H 2022. Meanwhile, IDH's gross profit margin came in at 35% compared 
       to 43% in 1H 2022. Lower gross profitability during the period reflected 
       both the above-mentioned increase in direct salaries and wages and depreciation, 
       as well as an expected normalization of margins following the decline 
       in Covid-19-related testing. 
 
       On a quarterly basis, IDH booked gross profit of EGP 333 million, up 
       11% year-on-year from EGP 300 million in Q2 2022 when contributions 
       from the Company's Covid-19-related offering had already begun to decline. 
       IDH recorded a GPM of 35% in Q2 2023, down four percentage points year-on-year, 
       as gross profitability was impacted by rising inflation and a weaker 
       EGP. Meanwhile, IDH's GPM remained relatively stable compared to Q1 
       2023. 
 
       Selling, General and Administrative Expenses 
       IDH's SG&A outlays during 1H 2023 amounted to EGP 367 million, up 43% 
       year-on-year. As a percentage of revenues, SG&A outlays stood at 20% 
       in 1H 2023 versus 13% in 1H 2022. Increased SG&A expenses were mainly 
       driven by: 
        *    Increases in wages and salaries, which expanded by 
             53% year-on-year to EGP 141 million during 1H 2023 
             primarily due to higher-than-usual annual adjustments 
             to employee compensation packages to support them 
             during the ongoing challenging period. Increased 
             wages and salaries also partially reflected an 
             increase in USD-denominated directors' compensation 
             and the addition of a board member in March 2022 (who 
             received compensation starting March 2022). Wages and 
             salaries as a share of revenue increased to 8% in 1H 
             2023 from 5% in 1H 2022. 
 
 
        *    Increases in other expenses, which grew 59% 
             year-on-year to EGP 153 million in 1H 2023 due to the 
             increase of USD-denominated expenses (including 
             USD-denominated auditor fees) for the holding 
             company. 
 
 
        *    One-off legal consultancy expenses related to the 
             termination of the Pakistan deal in the first quarter 
             of 2023. 
 
 
 
 
 
       Selling, General and Administrative Expenses                                  1H 2022   1H 2023   Change 
       ===============================  ========  ========  ======= 
        Wages & Salaries                      92       141      53% 
       ===============================  ========  ========  ======= 
        Accounting Fees                       18        38     111% 
       ===============================  ========  ========  ======= 
        Professional Services 
         Fees                                 18        32      78% 
       ===============================  ========  ========  ======= 
        Market - Advertisement 
         expenses                             54        52      -4% 
       ===============================  ========  ========  ======= 
        Other Expenses                        53        70      32% 
       ===============================  ========  ========  ======= 
        Depreciation & Amortisation           15        20      32% 
       ===============================  ========  ========  ======= 
        Travelling and transportation 
         expenses                              7        14     100% 
       ===============================  ========  ========  ======= 
        Total                                257       367      43% 
       ===============================  ========  ========  ======= 
 
 
       EBITDA 
       IDH posted EBITDA(11) of EGP 462 million in 1H 2023, down 35% year-on-year 
       from the figure reported in 1H 2022 when Covid-19-related testing has 
       significantly boosted results. The Company's EBITDA margin was 25% during 
       the six-month period, declining 12 points year-on-year on the back of 
       lower gross profitability as well as the 46% year-on-year increase in 
       SG&A outlays discussed above. It is worth highlighting that when controlling 
       for non-recurring items, such as a loss on expired Covid-19 kit inventory 
       (EGP 12 million), one-off legal reports (EGP 3 million), legal fees 
       related to the termination of the Pakistan agreement (EGP 8 million), 
       IDH would have recorded an EBITDA of EGP 483 million and yielded an 
       associated margin of 26%. 
 
       On a quarterly basis, the Company booked EBITDA of EGP 234 million in 
       Q2 2023, a 3% year-on-year decrease and with an associated margin of 
       24%. 
 
       (11) EBITDA is calculated as operating profit plus depreciation and 
       amortization. It is important to note that while in absolute terms the 
       EBITDA figure is identical when using IFRS or APM, its margin differs 
       between the two sets of performance indicators only for the comparable 
       period of 2022. Margins for Q1 2023 are identical across both IFRS and 
       APM. 
 
       EBITDA by Country 
       In Egypt, IDH's operations recorded an EBITDA of EGP 407 million in 
       1H 2023, down 35% from the figure recorded in 1H 2022 which had included 
       a notable contribution from Covid-19-related testing. EBITDA margin 
       recorded 27% in 1H 2023 versus 41% in the same period of the previous 
       year. Lower EBITDA profitability reflects a post-pandemic normalisation 
       in gross profits which declined 20% year-on-year coupled with a 40% 
       year-on-year increase in SG&A expenses. 
 
       Biolab, IDH's Jordanian subsidiary, recorded EBITDA in local currency 
       terms of JOD 1.6 million, declining 60% year-on-year from 1H 2022 when 
       Covid-19-related testing had significantly contributed to results. Biolab 
       recorded an EBITDA margin of 24% compared to 29% in the same period 
       of last year in local currency terms. In EGP terms, EBITDA declined 
       25% year-on-year to EGP 69 million. EBITDA profitability declined during 
       1H 2023 due to a 26% year-on-year decrease in gross profit and 48% year-on-year 
       increase in SG&A outlays during the period. It is worth highlighting 
       that SG&A expense increases partially reflect the translation effect 
       from the devaluation of the Egyptian Pound over the past year. In JOD 
       terms, SG&A expenses increased just 44% versus last year. 
 
       In Nigeria, IDH recorded an EBITDA loss of NGN 233 million in 1H 2023, 
       widening from NGN 80 million during the same period of last year. In 
       EGP terms, EBITDA losses widened to EGP 15 million in 1H 2023 from EGP 
       3.3 million in the same six-month period of 2022. The widening in EBITDA 
       losses for the period was primarily driven by lower gross profitability 
       in Nigeria. The rise in Echo-Lab's cost of sales has been driven by 
       higher gasoline and electricity prices and have continued to weigh down 
       on gross profitability since the start of the year. 
 
       In Sudan, IDH recorded EBITDA of SDG 24 million, well above the EBITDA 
       figure of SDG 4 million recorded in the same six months of 2022. In 
       EGP terms, Sudan's operations generated an EBITDA of EGP 1.2 million, 
       up from EGP 0.1 million in 1H 2022. Improved EBITDA profitability comes 
       despite the notable operational difficulties faced by IDH's Sudanese 
       operations. More specifically, 16 of IDH's 18 branches in the country 
       have been temporarily shut down since April due to the ongoing conflict. 
 
       Regional EBITDA in Local Currency Mn                          1H 2022   1H 2023   Change 
       --------------------  ----  --------  --------  ------- 
        Egypt EBITDA         EGP        622       407     -35% 
         Margin                         41%       27% 
        Jordan               JOD        4.0       1.6     -60% 
         Margin               29%          24% 
        Nigeria              NGN        -80      -233     192% 
         Margin                        -10%      -25% 
        Sudan                SDG          4      24.1     494% 
         Margin                          1%       12% 
 
 
 
       Interest Income / Expense 
       IDH's interest income during 1H 2023 stood at EGP 30 million, decreasing 
       60% year-on-year from the EGP 75 million booked during the same six-month 
       period of last year. Lower interest income during the period was mainly 
       due to the Company's lower cash balances as a result of record cash 
       dividends distributed during last year. 
 
       Interest expense(12) amounted to EGP 76 million during 1H 2023, up 
       18% year-on-year from EGP 64 million during 1H 3033. Increased interest 
       expenses were mainly driven by: 
        *    Increased interest on lease liabilities related to 
             IFRS 16 due to the rollout of new branches. 
 
 
        *    Higher interest expenses following the CBE decision 
             to increase rates by 1,000 bps since March 2022. It 
             is important to note that IDH's interest bearing debt 
             balance decreased to EGP 108 million as at 30 June 
             2023, from EGP 117 million at year-end 2022. During 
             the six-month period, as part of IDH's strategy to 
             reduce foreign currency risk the Company agreed with 
             General Electric (GE) for the early repayment of its 
             contractual obligation of USD 5.7 million. To finance 
             the settlement, IDH utilized a bridge loan facility, 
             with half the amount being funded internally, while 
             the other half (amounting to EGP 55 million) was 
             provided through a bridge loan by Ahly United Bank- 
             Egypt (AUBE). Interest expenses related to the AUBE 
             facility recorded EGP 12 million in 1H 2023. The 
             bridge loan was fully settled in Q2 2023. 
 
 
 
       Interest Expense Breakdown EGP mn                                 1H 2022   1H 2023   Change 
       =====================================  ========  ========  ======= 
        Interest on Lease Liabilities 
         (IFRS 16)                                34.9      45.2      29% 
       =====================================  ========  ========  ======= 
        Interest Expenses on Leases                9.3      13.7      47% 
       =====================================  ========  ========  ======= 
        Interest Expenses on Borrowings(13)        5.2      11.6     123% 
       =====================================  ========  ========  ======= 
        Bank Charges                               8.8       5.3     -39% 
       =====================================  ========  ========  ======= 
        Loan-related Expenses                      5.9         -        - 
         on IFC facility(14) 
       =====================================  ========  ========  ======= 
        Total Interest Expense                    64.1      75.9      18% 
       =====================================  ========  ========  ======= 
 
 
       (12) Interest expenses on medium-term loans include EGP 12.0 related 
       to the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, 
       the Group's facility with the Commercial International Bank (CIB) was 
       fully repaid as of 5 April 2022. 
       (13) Interest expenses on medium-term loans include EGP 12.0 related 
       to the Group's facility with Ahli United Bank Egypt (AUBE). Meanwhile, 
       the Group's facility with the Commercial International Bank (CIB) was 
       fully repaid as of 5 April 2022. 
       (14) Loan-related expenses on IFC facility represents commitment fees 
       on the facility granted by IFC and Mashreq with a total value of USD 
       60 million. The facility was cancelled in May 2023. 
 
       Foreign Exchange 
       The Company recorded a foreign exchange gain of EGP 102 million during 
       the six-month period, a 47% year-on-year increase partially reflecting 
       intercompany balances revaluation. 
 
       Taxation 
       Tax expenses, which include income and deferred tax, amounted to EGP 
       98 million during 1H 2023, a 53% year-on-year decrease. The Company's 
       effective tax rate came in at 32%, unchanged versus the same six-month 
       period of the previous year. It is important to highlight that there 
       is no tax payable for IDH's two holding-level companies. Meanwhile, 
       tax was paid on profits resulting from the Group's operating subsidiaries 
       (Egypt 27.5%, Jordan 36.6%, Nigeria 0.2%, Sudan 11.4%). 
 
       Taxation Breakdown by Region EGP Mn                1H 2022   1H 2023   Change 
       ====================  ========  ========  ======= 
        Egypt                   196.0      91.1     -53% 
       ====================  ========  ========  ======= 
        Jordan                   14.6       6.6     -55% 
       ====================  ========  ========  ======= 
        Nigeria                  -0.2      -0.1     -63% 
       ====================  ========  ========  ======= 
        Sudan                     0.1       0.5     350% 
       ====================  ========  ========  ======= 
        Total Tax Expenses      210.5      98.1     -53% 
       ====================  ========  ========  ======= 
 
 
       Net Profit 
       IDH's net profit in 1H 2023 came in at EGP 211 million, down 52% year-on-year. 
       Meanwhile, the Company's net profit margin recorded 11%, down 11 percentage 
       points from 22% in the same six-month period last year. On a three-month 
       basis, the Company posted net profit of EGP 43 million, down 66% year-on-year. 
       IDH's bottom-line on both a year-to-date and quarterly basis was impacted 
       by a non-recurring expense of EGP 12 million related to contributions 
       owed to the Egyptian government vocational training fund for the previous 
       five-year period. Controlling for this, IDH would have booked a net 
       profit of EGP 223 million in 1H 2023 and EGP 55 million in Q2 2023. 
 
       The EGP 12 million non-recurring expense is in accordance with article 
       134 of labour law on Vocational Guidance and Training issued by the 
       Egyptian Government in 2003. In accordance with the law, IDH's Egyptian 
       operations are required to provide 1% of net profits each year into 
       a training fund. Integrated Diagnostics Holdings plc has taken legal 
       advice and considered market practices in Egypt relating to the law, 
       and more specifically whether vocational training courses undertaken 
       by the Company's Egyptian subsidiaries suggest that obligations have 
       been satisfied by in-house training programmes provided by those entities. 
       Since the issue of the law, IDH's Egyptian subsidiaries have not been 
       requested by the government to pay, nor have they voluntarily paid, 
       any amounts into the external training fund. 
 

ii. Balance Sheet Analysis

 
 Assets 
  Property, Plant and Equipment 
  The Company recorded gross property, plant and equipment (PPE) of EGP 
  2,411 million as at 30 June 2023, increasing from EGP 2,208 million 
  at year-end 2022. The rise in CAPEX as a share of revenues during 1H 
  2023 was driven mainly by the addition of new branches to IDH's network 
  (contributing 9% of revenues), while the rest is attributable to the 
  translation effect related to Jordan, Sudan, and Nigeria (contributing 
  2% of revenues). 
 
  Total CAPEX Addition Breakdown - 1H 2023                                    EGP mn   % of Revenue 
  =================================  =======  ============= 
   Leasehold Improvements/new 
    branches                           154.9           8.3% 
  =================================  =======  ============= 
   Al-Borg Scan Expansion               14.1           0.8% 
  =================================  =======  ============= 
   Total CAPEX Additions Excluding 
    Translation                        169.5           9.1% 
  =================================  =======  ============= 
   Translation Effect                   34.3           1.8% 
  =================================  =======  ============= 
   Total CAPEX Additions               203.4          10.9% 
  =================================  =======  ============= 
 
 
  Accounts Receivable and Provisions 
  Accounts receivable as at 30 June 2023 stood at EGP 532 million, increasing 
  35% year-to-date from EGP 395 million. IDH's receivables' Days on Hand 
  (DoH) came in at 136 days, increasing from 124 days as at 31 December 
  2022. 
 
  Provisions for doubtful accounts recorded EGP 23 million in 1H 2023, 
  up from EGP 16 million in the same period of the previous year. Increased 
  provisions and receivable balance during the six-month period are mainly 
  attributable to slower collection rates as a result of sustained economic 
  downturns in IDH's geographies and, mainly, in the Company's home market 
  of Egypt. 
 
  Inventory 
  IDH's inventory balance as of the end of the first six months of 2023 
  recorded EGP 361 million, increasing from EGP 265 million as of the 
  end of 2022. Meanwhile, Days Inventory Outstanding (DIO) came in at 
  148 days, up from 127 days on a year-to-date basis. Increases in DIO 
  were mainly driven by management strategy to accumulate inventory as 
  a hedge against inflation over the past year. 
 
  Cash and Net Debt/Cash 
  Cash balances stood at EGP 666 million as of 30 June 2023, declining 
  from EGP 816 million as of year-end 2022. The decline in cash balances 
  is primarily related to the aforementioned decision for the early repayment 
  of IDH's contractual obligation of USD 5.7 million (equivalent to EGP 
  110 million) to reduce exposure to foreign currency risk using internal 
  resources as well as a bridge loan facility provided by AUBE, where 
  the latter was also fully settled in Q2 2023. 
   EGP million         31 Dec   30 Jun 
                         2022     2023 
  ==================  =======  ======= 
   T-Bills                296      238 
  ==================  =======  ======= 
   Time Deposits          123       95 
  ==================  =======  ======= 
   Current Accounts       378      313 
  ==================  =======  ======= 
   Cash on Hand            18       21 
  ==================  =======  ======= 
   Total                  816      666 
  ==================  =======  ======= 
 
 
  IDH's net debt(15) balance came in at EGP 482 million as of the end 
  of 1H 2023, increasing 29% year-to-date from EGP 374 million as of 
  year-end 2022. 
 
  (15) The net cash/(debt) balance is calculated as cash and cash equivalent 
  balances including financial assets at amortised cost, less interest-bearing 
  debt (medium term loans), finance lease and Right-of-use liabilities. 
   EGP million                                31 Dec   30 Jun   31 Dec 
                                                2022     2023     2021 
  =========================================  =======  =======  ======= 
   Cash and Financial Assets at Amortised 
    Cost(16)                                     816      666    2,350 
  =========================================  =======  =======  ======= 
   Lease Liabilities Property                  (727)    (777)      106 
  =========================================  =======  =======  ======= 
   Total Financial Liabilities (Short-term 
    and Long-term)                             (335)    (249) 
  =========================================  =======  =======  ======= 
   Interest Bearing Debt ("Medium 
    Term Loans")                               (127)    (122) 
  =========================================  =======  =======  ======= 
   Net Cash/(debt) Balance                     (374)    (482)    1,483 
  =========================================  =======  =======  ======= 
 
  Note: Interest Bearing Debt includes accrued interest for each period. 
 
  Lease liabilities and financial obligations on property came in at 
  EGP 777 million as at 31 June 2023, up from EGP 727 million as at year-end 
  2022. Higher lease liabilities were driven by the launch of 50 new 
  branches across IDH's branch network in the twelve months to 30 June 
  2023. 
 
  Meanwhile, financial obligations related to equipment recorded EGP 
  249 million as at the end of 1H 2023, down from EGP 335 million as 
  at the end of 2022. Declining financial obligations related to equipment 
  is a result of the early repayment of IDH's obligations with General 
  Electric (GE) as part of the Company's efforts to hedge against foreign 
  currency risk. Half of the settlement was financed internally by the 
  Company, while the other half was financed through a bridge loan facility 
  from AUBE. 
 
  Finally, interest bearing debt(17) recorded EGP 108 million, down from 
  EGP 117 million as at year-end 2022. The decrease is mainly attributable 
  to the repayment of EGP 8.5 million in accordance with Al-Borg Scan's 
  medium term loan repayment schedule. 
 
  Liabilities 
  Accounts Payable(18) 
  Accounts payable stood at EGP 377 million as at the end of 1H 2023, 
  increasing from EGP 270 million six months earlier. In parallel, IDH's 
  Days Payable Outstanding (DPO) came in at 153 days, up from 151 days 
  as at year-end 2022. 
 
  Put Option 
  The put option current liability is related to the option granted in 
  2011 to Dr. Amid, Biolab's CEO, to sell his stake (40%) to IDH. The 
  put option is in the money and exercisable since 2016 and is calculated 
  as 7 times Biolab's LTM EBITDA minus net debt. Biolab's put option 
  liability decreased following the significant decline in the venture's 
  EBITDA for the period. 
 
  The put option non-current liability is related to the option granted 
  in 2018 to the International Finance Corporation from Dynasty - shareholders 
  in Echo Lab - and it is exercisable in 2024. The put option is calculated 
  based on fair market value (FMV). 
 
  (16) As outlined in Note 18 of IDH's Consolidated Financial Statements, 
  some term deposits and treasury bills cannot be accessed for over 3 
  months and are therefore not treated as cash. Term deposits which cannot 
  be accessed for over 3 months stood at EGP 113 million in Q1 2023, 
  versus EGP 123 million as at year-end 2022. Meanwhile, treasury bills 
  not accessible for over 3 months stood at EGP 342 million in Q1 2023, 
  up from EGP 296 million in FY 2022. 
  (17) IDH's interest bearing debt as at 31 March 2023 included EGP 
  172 million to its facility with Ahli United Bank Egypt (AUBE) (outstanding 
  loan balances are excluding accrued interest for the period). It is 
  worth noting that in order to finance the early repayment settlement 
  with General Electric, the Company utilized a bridge loan facility 
  of EGP 55 million. The facility was withdrawn in Q1 2023 and settled 
  in Q2 2023. 
  (18) Accounts payable is calculated based on average payables at the 
  end of each period. 
 

-End-

 
 INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH" 
  AND ITS SUBSIDIARIES 
 
 
 
 
 
 
  Consolidated Financial Statements 
  for the six-month period ended 30 June 2023 
 

Consolidated statement of financial position as at 30 June 2023

 
                                                               Notes                 31 Mar       31 Dec 
                                                                                       2023         2022 
                                                                                    EGP'000      EGP'000 
--------------------------------------------------  --------------------------  -----------  ----------- 
  Assets 
 Non-current assets 
 Property, plant and equipment                                   4                1,392,293    1,326,262 
 Intangible assets and goodwill                                  5                1,723,582    1,703,636 
 Right of use assets                                             6                  653,008      622,975 
 Financial assets at fair value through 
  profit and loss                                                7                        -       18,064 
 Total non-current assets                                                         3,768,883    3,670,937 
 
 Current assets 
 Inventories                                                                        360,847      265,459 
 Trade and other receivables                                     8                  651,528      543,887 
 Financial assets at amortized cost                              9                  189,931      167,404 
 Current financial assets at fair value 
  through profit and loss                                        7                   23,590            - 
 Cash and cash equivalents                                      10                  475,580      648,512 
                                                                                -----------  ----------- 
 Total current assets                                                             1,701,476    1,625,262 
                                                                                -----------  ----------- 
 Total assets                                                                     5,470,359    5,296,199 
                                                                                ===========  =========== 
 Equity 
 Share capital                                                                    1,072,500    1,072,500 
 Share premium reserve                                                            1,027,706    1,027,706 
 Capital reserves                                                                 (314,310)    (314,310) 
 Legal reserve                                                                       51,641       51,641 
 Put option reserve                                                               (286,152)    (490,695) 
 Translation reserve                                                               (84,765)       24,173 
 Retained earnings                                                                1,006,671      783,081 
 Equity attributable to the owners 
  of the Company                                                                  2,473,291    2,154,096 
 Non-controlling interests                                                          379,132      292,885 
                                                                                -----------  ----------- 
 Total equity                                                                     2,852,423    2,446,981 
                                                                                -----------  ----------- 
 
 
 
 Non-current liabilities 
 Provisions                                                                          16,163        3,519 
 Non-current put option liability                               12                        -       51,000 
 Borrowings                                                     13                   79,560       93,751 
 Other financial obligations                                    14                  873,998      914,191 
 Deferred tax liabilities                                      18-C                 332,953      321,732 
 Total non-current liabilities                                                    1,302,674    1,384,193 
 Current liabilities 
 Trade and other payables                                       11                  766,773      701,095 
 Other financial obligations                                    14                  152,159      148,705 
 Current put option liability                                   12                  286,152      439,695 
 Borrowings                                                     13                   28,384       22,675 
  Current tax liabilities                                                            81,794      152,855 
 Total current liabilities                                                        1,315,262    1,465,025 
 Total liabilities                                                                2,617,936    2,849,218 
                                                                                -----------  ----------- 
 Total equity and liabilities                                                     5,470,359    5,296,199 
                                                                                ===========  =========== 
 
 
   The accompanying notes form an integral part of these consolidated 
   financial statements. 
 
   These condensed consolidated interim financial information 
   were approved and authorized for issue by the Board of 
   Directors and signed on their behalf on 30 August 2023 
   by: 
 
               Dr. Hend El Sherbini                             Hussein Choucri 
              Chief Executive Officer                      Independent Non-Executive 
                                                                    Director 
 
 
 

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

 
                                           For the three months          For the six months 
                                                  period                        period 
                                               ended 30 June                ended 30 June 
                                Notes          2023           2022           2023           2022 
                                            EGP'000        EGP'000        EGP'000        EGP'000 
-----------------------------  ------  ------------  -------------  -------------  ------------- 
 
 Revenue                         21         956,651        773,586      1,871,942      1,954,065 
 Cost of sales                            (623,291)      (473,402)    (1,214,008)    (1,122,195) 
 Gross profit                               333,360        300,184        657,934        831,870 
 
 Marketing and advertising 
  expenses                                 (49,178)       (51,804)      (112,473)       (92,568) 
 Administrative expenses         16       (127,857)       (77,892)      (254,340)      (164,192) 
 Impairment loss on 
  trade and other receivable               (12,586)        (8,980)       (23,269)       (16,158) 
 Other income                               (7,260)          4,553        (2,563)          3,471 
 Operating profit                           136,479        166,061        265,289        562,423 
                                       ------------  -------------  -------------  ------------- 
 
 Non-operating expense                     (12,200)              -       (12,200)              - 
 
 Finance costs                   17        (33,084)       (31,087)       (75,879)       (64,147) 
 Finance income                  17           7,746         43,247        132,234        151,292 
 Net finance cost                          (25,338)         12,160         56,355         87,145 
                                       ------------  -------------  -------------  ------------- 
 Profit before tax                           98,941        178,221        309,444        649,568 
                                       ============  =============  =============  ============= 
 
 Income tax expense             18-B       (56,277)       (53,302)       (98,394)      (210,516) 
 Profit for the period                       42,664        124,919        211,050        439,052 
                                       ============  =============  =============  ============= 
 
 Profit attributed 
  to: 
 Equity holders of the 
  parent                                     50,681        125,611        223,590        422,220 
 Non-controlling interests                  (8,017)          (692)       (12,540)         16,832 
                                             42,664        124,919        211,050        439,052 
                                       ============  =============  =============  ============= 
 Earnings per share 
  (expressed in EGP): 
 Basic and diluted earnings 
  per share                      20            0.08           0.21           0.37           0.70 
                                       ------------  -------------  -------------  ------------- 
 

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

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

 
                                             For the three         For the six months 
                                           months period ended       period ended 30 
                                                 30 June                  June 
                                                2023       2022        2023       2022 
                                             EGP'000    EGP'000     EGP'000    EGP'000 
-------------------------------------   ------------  ---------  ----------  --------- 
 
 
 Net profit                                   42,664    124,919     211,050    439,052 
 Items that may be reclassified 
  to profit or loss: 
 Exchange difference on translation 
  of foreign operations                     (42,604)     25,983    (10,151)    103,291 
 Other comprehensive income / (Loss) 
  for the period net of tax                 (42,604)     25,983    (10,151)    103,291 
                                        ------------  ---------  ----------  --------- 
 Total comprehensive income for 
  the period                                      60    150,902     200,899    542,343 
                                        ============  =========  ==========  ========= 
 
 Attributed to: 
 Equity holders of the parent                 27,642    138,135     114,652    448,685 
 Non-controlling interests                  (27,582)     12,767      86,247     93,658 
                                                  60    150,902     200,899    542,343 
                                        ============  =========  ==========  ========= 
 

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

Consolidated statement of cash flows for the six-month period ended 30 June 2023

 
                                                             30 June      30 June 
                                                  Notes         2023         2022 
                                                             EGP'000      EGP'000 
-----------------------------------------------  ------  -----------  ----------- 
 
 Cash flows from operating activities 
 Profit for the period before tax                            309,444      649,568 
 Adjustments 
 Depreciation of property, plant and equipment               126,755       95,184 
 Depreciation of right of use assets                          65,632       48,215 
 Amortisation of intangible assets                             3,872        3,439 
 Unrealised foreign currency exchange (gains) 
  losses                                           17      (102,159)     (69,378) 
 Interest income                                   17       (30,075)     (75,443) 
 Interest expense                                  17         70,496       55,342 
 Bank Charges                                                  5,383        8,805 
 Loss/(Gain) on disposal of Property, plant 
  and equipment                                                (603)          523 
 Impairment in trade and other receivables                    23,269       16,158 
 Equity settled financial assets at fair 
  value                                                      (5,526)      (2,548) 
 ROU Asset/Lease Termination                                   (348)        (408) 
 Hyperinflation (gains) losses                     17              -      (6,471) 
 Change in Provisions                                         12,644        (380) 
 Change in Inventories                                      (90,933)     (15,888) 
 Change in trade and other receivables                     (103,219)     (81,073) 
 Change in trade and other payables                           33,226     (85,084) 
 Cash generated from operating activities 
  before income tax payment                                  317,858      540,562 
                                                         -----------  ----------- 
 
 Tax paid during period                                    (157,734)    (506,375) 
 Net cash generated from operating activities                160,124       34,187 
                                                         -----------  ----------- 
 
 Cash flows from investing activities 
 Interest received on financial asset at 
  amortised cost                                              30,494       25,224 
 Payments for the purchase of financial 
  assets at amortized cost                                 (150,423)    (309,952) 
 Proceeds for the sale of financial assets 
  at amortized cost                                          138,815    1,266,048 
 Payments for acquisition of property, 
  plant and equipment                               4      (164,174)    (143,424) 
 Payments for acquisition of intangible 
  assets                                            5        (1,401)      (1,505) 
 Proceeds from sale of Property, plant 
  and equipment                                                1,874        5,999 
 Net cash flows generated (used in) from 
  investing activities                                     (144,815)      842,390 
                                                         -----------  ----------- 
 
 Cash flows from financing activities 
 Proceeds from borrowings                                     54,936            - 
 Repayments of borrowings                                   (63,418)     (13,238) 
 Payment of finance lease liabilities                       (67,735)     (58,276) 
 Dividends paid                                                    -     (88,766) 
 Interest paid                                               (5,383)      (8,805) 
 Bank charge paid                                          (161,410)     (17,239) 
 Net cash flows used in financing activities               (243,010)    (186,324) 
                                                         -----------  ----------- 
 
 Net increase in cash and cash equivalent                  (227,701)      690,253 
 Cash and cash equivalents at the beginning 
  of the year                                                648,512      891,451 
 Effect of exchange rate                                      54,769       85,920 
 Cash and cash equivalent at the end of 
  the period                                       10        475,580    1,667,624 
                                                         ===========  =========== 
 

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

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

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

Consolidated statement of changes in equity for the six-month period ended 30 June 2023

 
                                                                     Attributable to owners of the Parent 
                  ------------------------------------------------------------------------------------------------------------------------------------------ 
 EGP '000            Share        Share       Capital      Legal        Put       Translation     Retained        Total       Non-controlling      Total 
                     capital      premium      reserve    reserve*     option       reserve       earnings     attributable      interests         equity 
                                  reserve                              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                -            -            -          -            -             -        223,590        223,590          (12,540)        211,050 
 Other 
  comprehensive 
  income for 
  the period                -            -            -          -            -     (108,938)              -      (108,938)            98,787       (10,151) 
 Total 
  comprehensive 
  income at 
  30 June 2023              -            -            -          -            -     (108,938)        223,590        114,652            86,247        200,899 
                  -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Transactions 
  with owners 
  of the Company 
 Contributions 
 and 
 distributions 
 Movement 
  in put option 
  liabilities               -            -            -          -      204,543             -              -        204,543                 -        204,543 
 Total 
  contributions 
  and 
  distributions             -            -            -          -      204,543             -              -        204,543                 -        204,543 
                  -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Balance 
  at 30 June 
  2023              1,072,500    1,027,706    (314,310)     51,641    (286,152)      (84,765)      1,006,671      2,473,291           379,132      2,852,423 
                  ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 
 At 1 January 
  2022              1,072,500    1,027,706    (314,310)     51,641    (956,397)       150,730      1,550,976      2,582,846           211,513      2,794,359 
                  -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Profit for 
  the period                -            -            -          -            -             -        422,220        422,220            16,832        439,052 
 Other 
  comprehensive 
  income for 
  the period                -            -            -          -            -        26,465              -         26,465            76,826        103,291 
 Total 
  comprehensive 
  income at 
  30 June 2022              -            -            -          -            -        26,465        422,220        448,685            93,658        542,343 
                  -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Transactions 
  with owners 
  of the Company 
 Contributions 
 and 
 distributions 
 Dividends                  -            -            -          -            -             -    (1,304,805)    (1,304,805)         (106,947)    (1,411,752) 
 Movement 
  in put option 
  liabilities               -            -            -          -       19,501             -              -         19,501                 -         19,501 
 Impact of 
  hyperinflation            -            -            -          -            -             -        (4,705)        (4,705)             1,020        (3,685) 
 Total 
  contributions 
  and 
  distributions             -            -            -          -       19,501             -    (1,309,510)    (1,290,009)         (105,927)    (1,395,936) 
                  -----------  -----------  -----------  ---------  -----------  ------------  -------------  -------------  ----------------  ------------- 
 Balance 
  at 30 June 
  2022              1,072,500    1,027,706    (314,310)     51,641    (936,896)       177,195        663,686      1,741,522           199,244      1,940,766 
                  ===========  ===========  ===========  =========  ===========  ============  =============  =============  ================  ============= 
 

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

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

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

1. Reporting entity

Integrated Diagnostics Holdings plc "IDH" or "the Company" is a Company which was incorporated in Jersey on 4 December 2014 and established according to the provisions of the Companies (Jersey) Law 1991 under Registered No. 117257. These condensed consolidated interim financial information as at and for the six months ended 30 June 2023 comprise the Company and its subsidiaries (together referred as the 'Group'). The Company is a dually listed entity, in both London Stock Exchange (since 2015) and in the Egyptian Exchange (during May 2021).

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

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

These condensed consolidated interim financial information were approved for issue by the Directors of the Company on 30 August 2023.

2. Basis of preparation

   A)           Statement of compliance 

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

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

   B)            Basis of measurement 

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

   C)            Functional and presentation currency 

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

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

3. Significant accounting policies

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

4. Property, plant and equipment

 
                                   Medical, 
                                   electric 
                                      & 
                                 information                     Fixtures,       Project 
                    Land &          system        Leasehold      fittings &       under        Payment 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         64,416          35,237         14,783         50,162            432     173,584 
 Disposals                   -        (2,578)           (317)        (1,192)              -              -     (4,087) 
 Exchange 
  differences            2,278          5,398          20,320          6,266             23              -      34,285 
 Transfers                   -              -          15,276              -       (15,276)              -           - 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 At 30 June 
  2023                 437,793      1,179,103         577,958        153,052         63,498         11,046   2,422,450 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 
 Depreciation 
 At 1 January 
  2023                  61,578        513,869         261,705         55,254              -                    892,406 
 Depreciation 
  for the 
  period                 3,548         75,350          39,950          7,907              -              -     126,755 
 Disposals                   -        (1,643)           (262)          (911)              -              -     (2,816) 
 Exchange 
  differences              568          5,053           7,006          1,185              -              -      13,812 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 At 30 June 
  2023                  65,694        592,629         308,399         63,435              -              -   1,030,157 
                --------------  -------------  --------------  -------------  -------------  -------------  ---------- 
 
 Net book 
  value at 30 
  June                 372,099        586,474         269,559         89,617         63,498         11,046   1,392,293 
                ==============  =============  ==============  =============  =============  =============  ========== 
 
 At 31 
  December 
  2022                 365,383        597,998         245,737         77,941         28,589         10,614   1,326,262 
                ==============  =============  ==============  =============  =============  =============  ========== 
 

5. Intangible assets and goodwill

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

 
                                           Goodwill   Brand name   Software       Total 
                                         ----------  -----------  ---------  ---------- 
 Cost 
 Balance at 1 January 2023                1,291,823      395,551     92,836   1,780,210 
 Additions                                        -            -       1401       1,401 
 Effect of movements in exchange rates       13,176        7,315      3,908      24,399 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 June 2023                  1,304,999      402,866     98,145   1,806,010 
                                         ----------  -----------  ---------  ---------- 
 
 Amortisation and impairment 
 Balance at 1 January 2023                    6,373          381     69,820      76,574 
 Amortisation                                     -            -      3,872      3,87 2 
 Effect of movements in exchange rates           86           12      1,884      1,98 2 
                                         ----------  -----------  ---------  ---------- 
 Balance at 30 June 2023                      6,459          393     75,576      82,428 
                                         ----------  -----------  ---------  ---------- 
 
 Carrying amount 
 Balance at 30 June 2023                  1,298,540      402,473     22,569   1,723,582 
                                         ==========  ===========  =========  ========== 
 Balance at 31 December 2022              1,285,450      395,170     23,016   1,703,636 
                                         ==========  ===========  =========  ========== 
 

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

6. Right-of-use assets

 
                                              30 June 2023   31 December 2022 
                                             -------------  ----------------- 
 
 Balance at 1 January                              622,975            462,432 
 Addition for the period / year                     60,074            214,846 
 Depreciation charge for the period / year        (65,632)          (103,099) 
 Terminated contracts                              (4,246)           (13,564) 
 Exchange differences                               39,837             62,360 
                                             -------------  ----------------- 
 Balance                                           653,008            622,975 
                                             =============  ================= 
 

7. Financial asset at fair value through profit and loss

 
                                    30 June 2023   31 December 2022 
                                   -------------  ----------------- 
 
 Non-current equity i nvestments               -             18,064 
 Current equity i nvestments              23,590                  - 
                                   ------------- 
                                          23,590             18,064 
                                   =============  ================= 
 

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

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

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

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

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

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

8. Trade and other receivables

 
                                       30 June 2023   31 December 2022 
                                      -------------  ----------------- 
 
 Trade receivables - net                    532,482            395,220 
 Prepayments                                 41,247             34,081 
 Due from related parties note (15)           4,366              5,930 
 Other receivables                           71,559            106,363 
 Accrued revenue                              1,874              2,293 
                                      ------------- 
                                            651,528            543,887 
                                      =============  ================= 
 

9. Financial assets at amortised cost

 
                                        30 June 2023   31 December 2022 
                                       -------------  ----------------- 
 
 Term deposits (more than 3 months)           47,977             60,200 
 Treasury bills (more than 3 months)         141,954            107,204 
                                             189,931            167,404 
                                       =============  ================= 
 

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

10. Cash and cash equivalents

 
                                        30 June 2023   31 December 022 
                                       -------------  ---------------- 
 
 Cash at banks and on hand                   333,201           399,957 
 Treasury bills (less than 3 months)          95,611           185,513 
 Term deposits (less than 3 months)           46,768            63,042 
                                             475,580           648,512 
                                       =============  ================ 
 

11. Trade and other payables

 
                                     30 June 2023   31 December 2022 
                                    -------------  ----------------- 
 
 Trade payable                            377,453            269,782 
 Accrued expenses                         185,930            241,060 
 Due to related parties note (15)          25,242             25,058 
 Other payables                           122,602             98,204 
 Deferred revenue                          47,192             60,948 
 Accrued finance cost                       8,354              6,043 
                                          766,773            701,095 
                                    =============  ================= 
 

12. Put option liability

 
                                             30 June 2023   31 December 2022 
                                            -------------  ----------------- 
 
 Current put option - Biolab Jordan               249,947            439,695 
 Current put option - Eagle Eye-Echo scan          36,205                  - 
                                            -------------  ----------------- 
                                                  286,152            490,695 
                                            =============  ================= 
 
 
                                                  30 June 2023    31 December 2022 
                                                --------------   ----------------- 
 
 Non-current put option - Eagle Eye-Echo scan                 -             51,000 
                                                ---------------  ----------------- 
               -                                                            51,000 
 ===============                                                 ================= 
 

Put option - Biolab Jordan

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

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

The option is calculated at seven times EBITDA of the last 12 months minus Net Debt and its exercisable in whole starting the fifth anniversary of completion of the original purchase agreement, which fell due in June 2016. The vendor has not exercised this right at 30 June 2023. It is important to note that the put option liability is treated as current as it could be exercised at any time by the NCI.

However, based on discussions and ongoing business relationship, there is no expectation that this will happen in next 18 months. The option has no expiry date.

Put option - Eagle Eye-Echo scan

According to the definitive agreements signed on 15 January 2018 between Dynasty Group Holdings Limited and the International Finance Corporation (IFC) related to the Eagle Eye-Echo scan transaction, IFC has the option to put it is shares to Dynasty in year 2024. The put option price will be calculated on the basis of the fair market value determined by an independent valuator. This commitment has been reclassified as a working obligation as the put option ends within one year of the Group's financial position on June 30, 2023.

13. Loans and borrowings

 
                           Currency    Nominal interest rate        Maturity       30 June 2023   31 December 2022 
                          ----------  -----------------------  -----------------  -------------  ----------------- 
 
 AUB - Bank                   EGP       CBE corridor rate+1%    26 January 2027         107,944            116,426 
                                                                                  -------------  ----------------- 
                                                                                        107,944            116,426 
                                                                                  =============  ================= 
 Amount held as: 
 Current liability                                                                       28,384             22,675 
 Non- current liability                                                                  79,560             93,751 
                                                                                  -------------  ----------------- 
                                                                                        107,944            116,426 
                                                                                  =============  ================= 
 

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

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

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

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

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

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

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

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

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

"Current ratios": Current assets divided current liabilities.

The terms and conditions of outstanding loans are as follows:

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

13. Loans and borrowings (continued)

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

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

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

14. Other Financial obligations

 
                                              30 June 2023   31 December 2022 
                                             -------------  ----------------- 
 
 Lease liabilities building                        777,198            727,426 
 Financial liability- laboratory equipment         248,959            335,470 
                                                 1,026,157          1,062,896 
                                             =============  ================= 
 

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

 
                                            30 June 2023 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ---------- 
 
 Less than one year                     254,680    102,521     152,159 
 Between one and five years           1,010,080    287,655     722,425 
 More than five years                   185,611     34,038     151,573 
                              -----------------  ---------  ---------- 
                                      1,450,371    424,214   1,026,157 
                              =================  =========  ========== 
 
 
                                          31 December 2022 
                               Minimum payments   Interest   Principal 
                              -----------------  ---------  ---------- 
 
 Less than one year                     285,962    137,257     148,705 
 Between one and five years           1,030,750    314,656     716,094 
 More than Five years                   227,715     29,618     198,097 
                              -----------------  ---------  ---------- 
                                      1,544,427    481,531   1,062,896 
                              =================  =========  ========== 
 

14. Other Financial obligations (continued)

Amounts recognised in profit or loss:

 
                                                                                 For the six months ended 
                                          For the three months ended 30 June              30 June 
                                               2023                2022             2023          2022 
 
 Interest on lease liabilities                      22,898             18,065         45,221        34,926 
                                        ------------------  -----------------  -------------  ------------ 
 Expenses related to short-term lease                2,515              9,387          5,191        15,144 
                                        ==================  =================  =============  ============ 
 

15. Related party transactions

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

 
                                                                                    30 June 2023 
                                                                     ----------------------------------------- 
 
                             Nature of              Nature of         Transaction amount    Amount due from / 
 Related Party              transaction           relationship           of the year              (to) 
--------------------   --------------------   --------------------   -------------------  -------------------- 
                                                                           EGP'000               EGP'000 
                           Expenses paid on 
 ALborg Scan (S.A.E)*           behalf               Affiliate                          -                   351 
 
 International             Expenses paid on 
  Fertility (IVF)**             behalf               Affiliate                          -                 1,771 
 
                                                  Entity owned by 
                                                   Company's board 
 H.C Security              Provide service             member                          70                  (29) 
 
                                                  Entity owned by 
 Life Health Care          Provided service         Company's CEO                 (1,740)                   778 
 
                                                 Bio. Lab C.E.O and 
 Dr. Amid Abd Elnour     Put option liability        shareholder                  189,748             (249,947) 
                            Bio. Lab C.E.O and 
     Current account            shareholder                                          191              (19,817) 
 
 International 
  Finance corporation                                Echo-Scan 
  (IFC)                  Put option liability        shareholder                   14,794              (36,205) 
 
 International            Current account           Echo-Scan 
 Finance corporation                               shareholder 
 (IFC)                                                                               623                     - 
 
 Integrated Treatment 
  for Kidney Diseases                             Entity owned by 
  (S.A.E)                     Collection            Company's CEO                   (103) 
              Medical Test analysis                                                   72                 1,466 
 
                            shareholders' 
                          dividends deferral 
 Hena Holdings Ltd             agreement            shareholder                      (63)               (2,436) 
 
                            shareholders' 
                          dividends deferral 
 Actis IDH Limited             agreement            shareholder                   (1,005)               (2,960) 
                                                                                           -------------------- 
                                                                                                     (307,028) 
                                                                                          ==================== 
 

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) 
                            Bio. Lab C.E.O and 
     Current account            shareholder                                     (20,008)              (20,008) 
 
 International 
  Finance corporation                                Echo-Scan 
  (IFC)                  Put option liability        shareholder                 (15,963)              (51,000) 
 
 International 
  Finance corporation                                Echo-Scan 
  (IFC)                    Current account           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             Loan arrangement              CEO 
 Sherbini                                                                         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).

15. Related party transactions (continued)

Compensation of key management personnel of the Group

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

 
                                 30 June 2023   30 June 2022 
                                -------------  ------------- 
 
 Short-term employee benefits          22,203         25,424 
                                -------------  ------------- 
                                       22,203         25,424 
                                =============  ============= 
 

16. General and administrative expenses

 
                         For the three months ended 30 June     For the six months ended 30 June 
                               2023               2022               2023              2022 
                       -------------------  ----------------  -----------------  ---------------- 
 
 Wages and salaries                 55,449            32,979            107,211            66,910 
 Depreciation                        8,181             6,432             16,640            12,915 
 Amortisation                        1,535             1,008              3,089             1,928 
 Consulting fees                    31,503            17,184             68,354            34,064 
 Other expenses                     31,189            20,289             59,046            48,375 
                       -------------------  ----------------  -----------------  ---------------- 
 Total                             127,857            77,892            254,340           164,192 
                       ===================  ================  =================  ================ 
 

17. Net finance cost

 
                                        For the three months ended 30 June     For the six months ended 30 June 
                                             2023                2022               2023              2022 
                                      ------------------  -----------------  -----------------  ---------------- 
 Finance income 
 Interest income                                  14,907             30,196             30,075            75,443 
 Net foreign exchange gain                       (7,161)              8,244            102,159            69,378 
 Gain on hyperinflationary net 
  monetary position                                    -              4,807                  -             6,471 
                                      ------------------  -----------------  -----------------  ---------------- 
 Total finance income                              7,746             43,247            132,234           151,292 
                                      ==================  =================  =================  ================ 
 
 Finance cost 
 Bank charges                                    (2,975)            (1,661)            (5,383)           (8,805) 
 Interest expense                               (30,109)           (29,426)           (70,496)          (55,342) 
                                      ------------------  -----------------  -----------------  ---------------- 
 Total finance cost                             (33,084)           (31,087)           (75,879)          (64,147) 
                                      ------------------  -----------------  -----------------  ---------------- 
 Net finance (cost)/income                      (25,338)             12,160             56,355            87,145 
                                      ==================  =================  =================  ================ 
 

18. Tax

   A)           Tax expense 

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

   B)            Income tax 

Amounts recognised in profit or loss as follow:

 
                                        For the three months ended 30 June     For the six months ended 30 June 
                                             2023                2022              2023               2022 
                                      ------------------  -----------------  ----------------  ----------------- 
 Current tax: 
 Current period                                 (46,432)           (58,479)          (87,568)          (159,839) 
 Deferred tax: 
 Deferred tax arising on 
  undistributed reserves in 
  subsidiaries                                  (11,097)              6,672          (10,907)           (48,553) 
 Relating to origination and 
  reversal of temporary differences                1,252            (1,495)                81            (2,124) 
                                      ------------------  -----------------  ----------------  ----------------- 
 Total Deferred tax expense                      (9,845)              5,177          (10,826)           (50,677) 
                                      ------------------  -----------------  ----------------  ----------------- 
 Tax expense recognised in profit or 
  loss                                          (56,277)           (53,302)          (98,394)          (210,516) 
                                      ==================  =================  ================  ================= 
 
   C)        Deferred tax liabilities 

Deferred tax relates to the following:

 
                                                   30 June 2023   31 December 2022 
                                                  -------------  ----------------- 
 
 Property, plant and equipment                         (33,890)           (35,804) 
 Intangible assets                                    (111,345)          (109,118) 
 Undistributed reserves from Group subsidiaries       (187,779)          (176,871) 
 Provisions and financial obligation                         61                 61 
                                                  -------------  ----------------- 
 Net deferred tax liabilities                         (332,953)          (321,732) 
                                                  =============  ================= 
 

19. Financial instruments

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

20. Earnings per share

 
                                        For the three months ended 30 June     For the six months ended 30 June 
                                             2023                2022               2023              2022 
                                      ------------------  -----------------  -----------------  ---------------- 
 
 Profit attributed to owners of the 
  parent                                          50,681            125,611            223,590           422,220 
 Weighted average number of ordinary 
  shares in issue                                600,000            600,000            600,000           600,000 
                                      ------------------  -----------------  -----------------  ---------------- 
 Basic and diluted earnings per 
  share                                             0.08               0.21               0.37              0.70 
                                      ==================  =================  =================  ================ 
 

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

21. Segment reporting

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

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

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

 
                                                   Revenue by geographic location 
 For the three months ended    Egypt region   Sudan region   Jordan region   Nigeria region    Total 
                              -------------  -------------  --------------  ---------------  -------- 
 
 30-Jun-23                          782,633          1,414         145,782           26,822   956,651 
 
 30-Jun-22                          644,550          4,797         105,621           18,618   773,586 
 
 
                                                         Revenue by geographic location 
 For the six months period ended    Egypt region   Sudan region   Jordan region   Nigeria region     Total 
                                   -------------  -------------  --------------  ---------------  ---------- 
 
 30-Jun-23                             1,513,673         10,194         290,255           57,820   1,871,942 
 
 30-Jun-22                             1,524,040         10,469         386,135           33,421   1,954,065 
 
 
                                                   EBITDA by geographic location 
 For the three months ended    Egypt region   Sudan region   Jordan region   Nigeria region    Total 
                              -------------  -------------  --------------  ---------------  -------- 
 
 30-Jun-23                          208,915          (373)          32,670          (7,042)   234,170 
 
 30-Jun-22                          226,684           (23)          16,478          (2,163)   240,976 
 
 
                                                        EBITDA by geographic location 
 For the six months period ended    Egypt region   Sudan region   Jordan region   Nigeria region    Total 
                                   -------------  -------------  --------------  ---------------  -------- 
 
 30-Jun-23                               406,862          12,49          68,502         (15,065)   461,548 
 
 30-Jun-22                               621,740             63          90,790          (3,332)   709,261 
 

21. Segment reporting (continued)

 
                                             Net profit / (loss) by geographic location 
 For the three months ended    Egypt region   Sudan region   Jordan region   Nigeria region    Total 
                              -------------  -------------  --------------  ---------------  -------- 
 
 30-Jun-23                           54,684          (435)           4,920         (16,505)    42,664 
 
 30-Jun-22                          124,044          1,522           2,441          (3,088)   124,919 
 
 
                                                  Net profit / (loss) by geographic location 
 For the six months period ended    Egypt region   Sudan region   Jordan region   Nigeria region    Total 
                                   -------------  -------------  --------------  ---------------  -------- 
 
 30-Jun-23                               225,921          3,637          11,312         (29,820)   211,050 
 
 30-Jun-22                               393,560          4,278          47,471          (6,257)   439,052 
 
 
 
                  Revenue by type         Net profit by type 
                For the three months      For the three months 
                   ended 30 June             ended 30 June 
                 2023         2022         2023         2022 
             -----------  -----------  -----------  ----------- 
 
 Pathology       894,756      736,467       79,465      147,694 
 Radiology        61,895       37,119     (36,801)     (22,775) 
             -----------  -----------  -----------  ----------- 
                 956,651      773,586       42,664      124,919 
             ===========  ===========  ===========  =========== 
 
 
                 Revenue by type       Net profit by type 
               For the six months      For the six months 
                  ended 30 June          ended 30 June 
                2023        2022        2023        2022 
             ----------  ----------  ----------  --------- 
 
 Pathology    1,751,192   1,885,271     287,805    477,718 
 Radiology      120,750      68,794    (76,755)   (38,666) 
             ----------  ----------  ----------  --------- 
              1,871,942   1,954,065     211,050    439,052 
             ==========  ==========  ==========  ========= 
 
 
                                    Non-current assets by geographic location 
                     Egypt region   Sudan region   Jordan region   Nigeria region     Total 
                    -------------  -------------  --------------  ---------------  ---------- 
 
 30 June 2023           3,064,395         16,988         602,761           84,739   3,768,883 
 
 31 December 2022       3,039,930         14,993         494,244          121,770   3,670,937 
 

21. Segment reporting (continued)

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

 
                                         For the three months ended 30 June     For six months period ended 30 June 
                                              2023                2022               2023                2022 
                                       ------------------  -----------------  ------------------  ------------------ 
 
 Profit from operations                           136,479            166,061             265,289             562,423 
 
 Property, plant and equipment 
  depreciation                                     63,038             49,136             126,755              95,184 
 Right of use depreciation                         32,694             24,289              65,632              48,215 
 Amortization of Intangible assets                  1,959              1,490               3,872               3,439 
                                       ------------------  -----------------  ------------------  ------------------ 
 EBITDA                                           234,170            240,976             461,548             709,261 
                                       ==================  =================  ==================  ================== 
 

22. Important events

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

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

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

23. Subsequent event

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

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IR BCGDIXGXDGXG

(END) Dow Jones Newswires

August 31, 2023 02:00 ET (06:00 GMT)

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