TIDMIDHC
RNS Number : 5156T
Integrated Diagnostics Holdings PLC
21 March 2019
Integrated Diagnostics Holdings Plc
Final Results
Thursday, 21 March 2019
Integrated Diagnostics Holdings Plc records strong organic
growth, record revenues and profitability in 2018 final results
(London) Integrated Diagnostics Holdings ("IDH," "the Group," or
"the Company"), a leading consumer healthcare company with
operations in Egypt, Jordan, Sudan and Nigeria, announces its
results for the year ended 31 December 2018, reporting a net profit
of EGP 497 million on total revenues of EGP 1,921 million.
Results
FY2018 FY2017 change
======================= ======= ========== ========
Revenues 1,921 1,514 27%
----------------------- ------- ---------- --------
Cost of Sales 973 785 24%
----------------------- ------- ---------- --------
Gross Profit 948 730 30%
----------------------- ------- ---------- --------
Gross Profit Margin 49% 48% 1 pts
----------------------- ------- ---------- --------
Operating Profit 685 540 27%
----------------------- ------- ---------- --------
EBITDA(*) 762 602 27%
----------------------- ------- ---------- --------
EBITDA Margin 40% 40% -
----------------------- ------- ---------- --------
Net Profit 497 384 29%
----------------------- ------- ---------- --------
Net Profit Margin 26% 25% 1 pts
----------------------- ------- ---------- --------
Recommended Dividend 26.4 24.0 10%
----------------------- ------- ---------- --------
*EBITDA is calculated as operating profit plus depreciation and
amortization.
Commenting on the year's performance and the Company's outlook,
IDH Chairman Lord St John of Bletso said:
"Against the backdrop of greater currency stability, a growing
economy and political stability in Egypt, our largest market, IDH's
performance this year has been most impressive, delivering strong,
consistent growth, whilst maintaining a conservative policy on
gearing. We believe that IDH is well-hedged and well-positioned to
maintain solid, consistent growth and profitability in a healthcare
sector in which prevention is better than cure."
IDH Chief Executive Officer Dr. Hend El-Sherbini added:
"IDH closed 2018 having delivered on several strategic goals. We
strengthened and grew our core pathology business; expanded
regionally with our acquisition of Echo-Scan in Nigeria;
diversified into the radiology market in Egypt with the launch of
Al Borg Scan; and, most importantly, executed these growth
strategies in a manner that yielded strong financial results and
created value for our shareholders. These achievements bolstered
our Group's ability to deliver sustained, double-digit growth with
strong margins. IDH's revenues were up 27% to EGP 1.9 billion in
2018, while management's emphasis on operational efficiency and
cost-reduction initiatives led to stronger profitability with a
gross profit margin of 49% and an EBITDA margin of 40%."
"Our ability to maintain our growth momentum is directly related
to our strong brands, our scalable asset-light business model and
our strong supplier relationships that have allowed us to deliver
exceptional value even under the challenging operating environment
that characterised the last three years. We are heading into 2019
with the same clearly-defined and prudently-executed growth
strategies that will continue to unlock significant growth
potential for years to come."
Financial Highlights
-- Revenues recorded EGP 1,921 million in 2018 or 27% higher
than 2017 driven by improved pricing and test mix as well as higher
patient and test volumes. Additionally, while inflationary
pressures in Egypt have relatively subsided, they continued to
support the passing of price increases to consumers during the
year.
-- Cost of sales reached EGP 973 million in FY2018, increasing
24% year-on-year or at a slower rate than revenues due to
management's cost reduction initiatives. This is particularly
evident in the raw materials costs as a percentage of sales ratio,
which declined to 19% from 21% in FY2017.
-- Gross profit increased 30% to EGP 948 million in FY2018 with
gross profit margin expanding one percentage point to 49% compared
to 48% in FY2017. Improved profitability is due to increased
contribution from the higher-margin walk-in segment alongside cost
reduction initiatives.
-- Operating profit recorded a 27% increase to EGP 685 million
in FY2018, with growth outpacing increased SG&A expenses
including higher salaries, increased marketing spend to support
revenue growth and pre-operating expenses related to Al-Borg
Scan.
-- EBITDA was EGP 762 million in FY2018, up 27% compared to
FY2017 figure of EGP 602 million. EBITDA margin recorded 40% in
FY2018, remaining stable compared to the previous year despite
downward pressure by currency devaluation in Sudan, a negative
contribution from the newly launched Nigerian operation that is
still in the value-building phase, as well as increased marketing
spend (excluding results from Nigeria, IDH's EBITDA would have
reached EGP 787 million in FY2018 while EBITDA margin would stand
at 42%).
-- Net interest income reached EGP 44 million in FY2018 compared
to EGP 38 recorded last year as the Group earned higher rates on
its accumulated deposits and treasury bills balances, particularly
during the first quarter of 2018.
-- Net foreign exchange loss of EGP 16 million in FY2018
compared to EGP 20 million last year. FX losses were primarily a
result of the devaluation of the Sudanese pound and FX transactions
related to dividend distributions.
-- Net profit recorded EGP 497 million in FY2018, up 31% versus
last year due to strong top-line growth, improved gross margin and
higher interest income.
-- Earnings per share of EGP 3.35 compared to EGP 2.49 in FY2017.
-- Net cash flow from operating activities of EGP 601 million in
FY2018, indicating a strong cash-generating ability.
-- Recommended Final Dividend of US$ 0.176 per share, equivalent
to US$ 26.4 million in total, compared with US$ 0.16 per share,
equivalent to US$ 24 million in total in 2017.
*EBITDA is calculated as operating profit plus depreciation and
amortization.
Operational Highlights
-- A growing network of 423 branches as of 31 December 2018 compared to 383 branches in FY2017.
-- Total tests performed during FY2018 recorded 28.8 million, up
12% year-on-year. Total patients served climbed 11% year-on-year to
reach 7.0 million during the year, reflecting the continued success
of IDH's marketing campaigns.
-- Contract test volumes were buoyed by the nation-wide 100
million Healthy Lives awareness campaign in Egypt during the fourth
quarter of the year.
-- IDH's key metrics of average revenue per test increased 13%
in FY2018 while average revenue per patient climbed 15% during the
year, demonstrating IDH's ability to pass on inflationary pressures
thanks to patients' loyalty, a growing portfolio of services and
its strong brand equity.
-- Nigeria expansion through a US$ 5.7 million acquisition of
Echo-Lab (previously Echo-Scan) through a strategic alliance with
Man Capital LLP.
-- Radiology expansion with the inauguration of IDH's first
full-fledged radiology branch in Egypt, Al-Borg Scan.
Outlook
Management remains confident in the attractive underlying trends
in the healthcare industries across the Group's footprint, and in
IDH's continued ability to expand its reach and increase the
numbers of test per patient. A key growth driver is the continued
optimisation of IDH's test mix to extract higher value from
operations, as well as growing the Group's service offering through
the introduction of new medical services that leverage the Group's
network and reputable brand position. Accordingly, management's
guidance is for annual revenue growth of more than 20% and an
EBITDA margin of c. 40% at our established businesses. IDH also
continues to explore opportunities to expand into new geographies
through selective, value-accretive acquisitions, and targets
fragmented and underpenetrated diagnostic services markets where
its business model is well-suited to capitalise on similar
healthcare and consumer trends.
About Integrated Diagnostics Holdings (IDH)
IDH is a leading consumer healthcare company in the Middle East
and Africa with operations in Egypt, Jordan, Sudan and Nigeria. The
Group's core brands include Al Borg and Al Mokhtabar in Egypt, as
well as Biolab (Jordan), Ultralab and Al Mokhtabar Sudan (both in
Sudan) and Echo-Scan (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
1,400 diagnostics tests. From its base of 423 branches as of 31
December 2018, 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 and
African 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.
IDH's forward-looking strategy rests on leveraging its
established business model to achieve four key strategic goals,
namely: (1) continue to expand customer reach; (2) increase the
number of tests per patient; (3) expand into new geographic markets
through selective, value-accretive acquisitions; and (4) introduce
new medical services by leveraging the Group's network and
reputable brand position. Learn more at idhcorp.com.
Shareholder Information
LSE: IDHC.L
Bloomberg: IDHC:LN
Listed: May 2015
Shares Outstanding: 150 million
Contact
Mr. Sherif El-Ghamrawi
Investor Relations Director
T: +20 (0)2 3345 5530 | M: +20 (0)10 0447 8699 |
sherif.elghamrawi@idhcorp.com
Hudson Sandler (International media relations)
Dan de Belder
Bertie Berger
T: +44 (0) 207 7964133 | idh@hudsonsandler.com
Analyst and Investor Presentation
IDH will present an analyst and investor presentation on the
full-year 2018 results on Thursday 21 March 2019 at 2pm GMT. A live
audio webcast can be accessed at this link, and you may dial in
using the conference call details below:
UK dial in: 020-3936-2999
All other locations: +44-20-3936-2999
Access code: 950478
Please email idh@hudsonsandler.com if you would like to attend
the presentation.
Forward-Looking Statements
These Year-End Results 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 Year-End 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.
Chairman's Statement
I am pleased to present an extremely encouraging full year
results statement for 2018. Against the backdrop of greater
currency stability, a growing economy and political stability in
Egypt, our largest market, our performance this year has been most
impressive.
IDH has again achieved 27% growth year-on-year in revenues and
delivered consistent results, whilst maintaining a conservative
policy on gearing.
We are delighted to be moving to our new headquarters in Smart
Village on the West side of Cairo, which will bring together all
divisions of the IDH family.
We have expanded our product offering with the opening of our
first state-of-the-art radiology unit and are considering other
value-added revenue streams.
We continue to actively consider expanding our footprint in
other geographical markets. With our recent acquisition in Nigeria,
we are looking to replicate our business model and offering to meet
the growing needs in the country.
We have seen continued strong growth in demand of our services,
both in Jordan and Sudan, however, our Sudanese business has
unfortunately been adversely impacted by the devaluation of the
currency.
In line with the advances in innovation and medical technology,
we continue to invest and expand our laboratories to incorporate
the most up to date infrastructure. This enhances our ability to
provide consistent, high-quality results matched by good value to
our patients.
We remain committed to enhancing our management capabilities,
ensuring the highest levels of corporate governance, transparency
and accountability.
We are also constantly considering expanding our service
offering to ensure sustainable growth and profitability. To this
end we are seeking to expand our marketing strategy and
visibility.
We remain committed to maintaining our existing dividend
policy.
At a time of global political and economic uncertainty, we
believe that the Company is well-hedged and well-positioned to
maintain solid, consistent growth and profitability in a healthcare
sector in which prevention is better than cure.
Lord St John of Bletso
Chairman
Chief Executive's Review
IDH's performance in 2018 demonstrates the Group's ability to
deliver sustained, double-digit growth with strong margins. This
was true at the height of economic reforms and uncertainty in 2017
- during which we delivered growth in excess of currency
devaluation in our primary market of Egypt - and is true today as
our strategic initiatives have ushered in a period of strong
organic growth with significant upside potential.
IDH closed 2018 having delivered on several strategic goals. We
strengthened and grew our core pathology business; expanded
regionally with our acquisition of Echo-Scan in Nigeria;
diversified into the radiology market in Egypt with the launch of
Al Borg Scan; and, most importantly, executed these growth
strategies in a manner that yielded strong financial results and
created value for our shareholders.
Our position as a leading consumer healthcare company with a
footprint now spanning Egypt, Jordan, Sudan and Nigeria, and a
comprehensive suite of pathology and radiology diagnostic services,
saw us deliver 27% growth in revenues in 2018. In US dollar terms,
our Group today is in just as a robust financial shape as it was
prior to the late 2016 float of the Egyptian pound. Since our IPO
in 2015 on the London Stock Exchange, Group revenue has recorded a
compounded annual growth rate (CAGR) of 24%, while our bottom-line
grew at an impressive 47% CAGR. This is a testament to our proven
business model and to the talented team of professionals that
continue to deliver growth across all of our markets.
STRONG ORGANIC GROWTH AND FINANCIAL PERFORMANCE
IDH's revenue growth was dual-driven in 2018 by a combination of
better pricing and test mix, as well as higher patient and test
volumes. We closed the year with revenues of EGP 1.9 billion, up
27% year-on-year. Fully 16 percentage points of this growth was
driven by pricing - in part supported by the prevailing
inflationary environment - and 12 percentage points was the result
of higher volumes. One percentage point was lost to the translation
of our Sudanese pound revenues in Sudan into Egyptian pounds, the
currency of our financial statements, on the back of significant
devaluation in Sudan. In local-currency terms, our Sudanese
operation grew 43%.
On a segmental basis, we maintained a strong focus on tactical
marketing campaigns that primarily targeted walk-in patients. This
helped increase patient volumes in this high-margin segment (+17%)
and in turn supported our Group's profitability. Nationwide
campaigns to increase healthcare awareness such as Egypt's
late-year 100 Million Health Lives campaign, helped deliver higher
contract patient volumes (+8%) and a balanced contribution to
growth between IDH's two primary segments. In 2018, our walk-in
segment contributed 46% to total consolidated growth (2017: 39%),
while the contract segment made a 54% contribution (2017: 61%).
Strong organic revenue growth in 2018 was underlined by a
continued expansion of our geographic footprint with 40 new
branches added during the year, bringing our network to 423
laboratories or 10% higher than the previous year. We added 10 new
branches in Nigeria through a strategic acquisition; 31 new
locations in Egypt; and one new branch in Jordan, where we're
seeing an encouraging growth momentum. Our expansion drive is made
possible in large part through IDH's state-of-the-art Mega Lab,
which in February 2018 was awarded accreditation from the College
of American Pathologists (CAP) to become the only CAP-accredited
facility in Egypt.
In parallel with our revenue growth, management focused on
operational efficiency and cost-reduction initiatives throughout
the year. By leveraging IDH's key supplier relationships and its
strong bargaining power, our cost of sales rose at a rate slower
than revenue growth in 2018; this is particularly evident in our
average raw material cost per test, which increased only 2% in 2018
despite the prevailing double-digit inflation. The result was
stronger gross and bottom-line profitability. Gross profit was up
30% year-on-year to EGP 948 million in 2018, while our gross profit
margin expanded one percentage point to 49%.
We also posted EBITDA growth of 27% in 2018 to EGP 762 million,
with EBITDA margin stable at 40%. This result includes the negative
EBITDA contribution from operations in Nigeria - still in the
value-building phase - and pre-operating expenses related to the
launch of Al Borg Scan in Egypt. Excluding the negative impact from
Nigeria, our EBITDA margin would have stood at 42% in 2018, ahead
of management's previously stated guidance of a 41% margin at
established operations in Egypt, Jordan and Sudan. Our bottom-line
for the year was up 29% to EGP 497 million in 2018, and with a net
profit margin of 26% versus 25% in the previous year.
Our performance in 2018 and ability to maintain our growth
momentum is a direct consequence of our strong brands, reputation
for quality and of patient loyalty. All of this has allowed us to
deliver growing patient volumes year after year while
simultaneously passing on price increases in step with inflationary
pressures. Our success in fast-growing consumer markets is also
supported by our asset-light business and ability to rapidly expand
our reach in a fragmented diagnostic industry. IDH's Hub, Spoke and
Spike platform awards us significant cost advantages in a business
that is fundamentally about COGS and economies of scale, with the
result being strong margins that we can protect whilst at the same
time upholding our high quality standards.
NIGERIA EXPANSION
Seeking value-accretive acquisitions in African and Middle
Eastern markets has always been a key pillar of our growth
strategy. The large, fragmented and underpenetrated diagnostic
services market in Nigeria made the country a compelling target
with similar characteristics of the Egyptian market a generation
ago where we have shown exceptional growth.
Since the acquisition of Echo-Scan in February 2018, we have
kept true to our commitment with our strategic alliance partners -
Man Capital LLC and the International Finance Corporation - to
invest significant capital over the next four years to expand
Echo-Scan's diagnostics network, service offerings, and quality
standards.
In the year just ended, we rolled out our value-building
program, including the refurbishment of existing branches;
expansion of the operation's national reach with new branches; and
the roll-out of Group quality standards and procedures. We have
built out IT infrastructure that fully connects and controls all
branches, including deployment of our Laboratory Information
Systems (LIS). We are also in the process of deploying our System
Application and Product (SAP) platform. This is in parallel with a
network-wide equipment upgrade and a rebranding of the company to
Echo-Lab to reflect the operation's new image and value
proposition.
Our people will be key to our success in Nigeria, as they have
been in all our markets. We are focused on training and development
and are recruiting new talent and leadership that can deliver on
our growth strategy. I am pleased to report that we are hiring a
strong local management team, including our newly engaged chief
operations officer.
All of the senior management team in Nigeria have spent time in
Egypt, where they have received training on IDH's policies and
procedures. Moreover, senior headquarters staff from across all
disciplines are in Nigeria every 4-6 weeks to ensure a smooth and
efficient integration process. The team is already delivering
on-the-ground results including the signing of new accretive
supplier relationships akin to those in our established
markets.
LAUNCH OF AL BORG SCAN
I am also pleased to report that the Group's first full-fledged
radiology branch in Egypt began operations in October 2018 under
the Al Borg Scan brand. Our decision to diversify into this
adjacent, high-value segment of our industry is a natural
consequence of our strategy and aims to capitalise on a growing and
under-served market.
Third-party research providers indicate that more than 75% of
customers surveyed prefer to receive a consolidated offering that
includes both pathology and radiology services under one roof.
IDH's expansion into the fragmented radiology market is powered by
our brand equity, geographic reach and the strong relationship with
our millions of customers as well as the physicians who trust us to
be part of diagnostic and treatment plans.
Total CAPEX earmarked for the expansion is approximately EGP 186
million, 70% of which is debt financed through an eight-year
facility from the Ahli United Bank of Egypt. The facility is
ring-fenced to Al Borg with no guarantees from, or recourse on, IDH
or any of its other subsidiaries. The balance of the investment is
to be financed from the operating cash flows of Al Borg. So far, we
have deployed approximately EGP 55 million in investments to our
first branch in the Cairo district of Mohandessin. Al Borg Scan
launched with a comprehensive offering that covers the full-suite
of radiology diagnostics services, including magnetic resonance
imaging (MRI) and computed tomography (CT).
Our high-quality offering is delivered by state-of-the-art
technology supplied by global brand names including Siemens,
Hitachi and GE Healthcare, and a highly trained staff of
radiologists, technicians and front office personnel.
And just as our Mega Lab on the pathology side of the house is
CAP-certified, Al Borg Scan is working to accredit its first
facility through the International Organisation for Standardisation
(ISO). Our end goal is to build on Al Borg's brand equity,
delivering the premium, safe and market-leading service that our
customers have come to expect.
PROPOSED DIVID AND DIVID POLICY
IDH is pleased to recommend a final dividend of US$ 0.176 per
share, or US$ 26.4 million in aggregate, to shareholders in respect
of the financial year ended 31 December 2018. This represents an
increase of 10% compared to a final dividend of US$ 0.16 per share,
or US$ 24 million in aggregate in the previous financial year.
In view of the strong cash-generative nature of our business and
its asset-light strategy, our dividend policy is to return to
shareholders the maximum amount of excess cash after taking careful
account of the cash needed to support operations, capital
expenditure plans, organic expansion opportunities, and potential
acquisitions.
2019 OUTLOOK AND GUIDANCE
I remain confident about the prospects and potential of the
healthcare industry in the countries we operate in which are
underpinned by key fundamentals and structural growth drivers.
Large and rapidly growing populations; a high prevalence of
lifestyle-related medical conditions; a growing health awareness
and a fragmented service offering are all characteristics in our
emerging markets and ones that IDH is ideally positioned to
capitalise on.
In our home market of Egypt, which represented 84% of our
revenues in 2018, difficult but necessary economic reforms are
bearing fruit on the macro level. Key indicators show a
strengthening economy with an improving fiscal position: Egypt's
economy grew 5.3% in FY2018, while the budget deficit as a
percentage of GDP is starting to narrow. Critically, inflation is
also on the downtrend, falling from a high of more than 30% in 2017
to 12% in December 2018. The Central Bank of Egypt is now
forecasting inflation falling below 10% this year.
We expect these developments to give the Government of Egypt
more leeway in the reallocation of resources to strengthen the
social safety net. As the country phases out energy subsidies, 2019
marks the first in the multi-year rollout of a new national health
insurance program funded by a levy of 0.25% on the revenues of all
companies doing business in Egypt. This will further support the
state's constitutionally mandated minimum spending on
healthcare.
We are already seeing on-the-ground initiatives such as the
state-sponsored 100 Million Healthy Lives campaign. Launched in
November 2018, the campaign aims to eradicate Hepatitis C in Egypt
through testing of asymptomatic people. I am very pleased that
IDH's subsidiaries in Egypt are active participants in this
program. In an under-served market with a relatively low test per
patient ratio, government initiatives like this will increase
awareness and directly benefit our business as people become more
proactive and adopt a preventative approach to healthcare with
regular testing.
We are also particularly excited about our newest market in
Nigeria and we are confident in our ability to capture the
opportunity offered by Africa's most populous country. We believe
we are in a unique position to replicate our success in Egypt by
applying our extensive knowledge and experience to unlock the same
potential in Nigeria. IDH will continue pushing forward its
value-building program in 2019, expanding our reach and growing
patient and test volumes while building a reputation for quality
and a market-leading brand name. Our target is for Nigeria to begin
delivering accretive value to the Group within 2019.
Meanwhile, our expansion into the high-value radiology segment
in Egypt is a milestone on par with our expansion into Nigeria. We
will add new branches this year and beyond and grow our service
portfolio to build a convenient one-stop-shop for our customers.
Our existing pathology business is a key volume driver and is
already delivering new patients to our radiology business, and we
expect that having both services under one roof will also drive
growth in our pathology test volumes.
The strength of our brands, our scalable asset-light business
model and our strong supplier relationships have allowed us to
deliver exceptional value even under the challenging operating
environment that characterised the last three years. We are heading
into 2019 with a consistent, clearly-defined strategy that will
continue to unlock significant growth potential for years to come.
Accordingly, we are again targeting annual revenue growth of more
than 20% and an EBITDA margin of c. 40% at our established
businesses.
I look forward to reporting to you on the next chapter of our
growth story as one of a leading consumer healthcare company in the
Middle East and Africa.
Dr. Hend El-Sherbini
Chief Executive Officer
Operational & Financial Review
IDH delivered a strong financial performance in FY2018 with
revenues increasing 27% year-on-year and net profit climbing 27%
despite operational challenges in its markets. Revenue growth came
as a result of improved pricing and test mix as well as higher
patient and test volumes during the year. IDH was particularly
successful in passing on price increases following a period of high
inflation and eroded consumer spending, with improved pricing and
mix accounting for c.60% of total growth in FY2018. Meanwhile, the
company's tactical marketing campaigns throughout the year were
successful in driving volume growth across both the contract and
walk-in segments. Volumes were also supported by the
state-sponsored 100 million Healthy Lives awareness campaign in
Egypt launched in November 2018 and contributed 7% of total
consolidated tests (2.0 million test). Overall, higher volumes
accounted for c.40% of revenue growth in FY2018.
Revenue growth in FY2018 was also largely organic compared to
growth in FY2017, at which time IDH had benefitted from foreign
currency translations of its results in Jordan and Sudan. In
contrast, currency translation contributed negatively to FY2018
growth as the Sudanese pound was devalued by c.85% during the year,
leading to local-currency revenue gains in Sudan being lost to
currency translation in IDH's consolidated financials.
Revenue Growth Drivers
FY2018 FY2017
============================== ======= =======
Volume 12% 8%
============================== ======= =======
Price & Mix 16% 14%
============================== ======= =======
Foreign Currency Translation (1%) 7%
============================== ======= =======
Total 27% 29%
============================== ======= =======
In parallel to driving top-line growth, management was also
successful in improving profitability by increasingly targeting the
higher-margin walk-in segment while at the same time pushing
through increased operational efficiency and cost-reduction
initiatives. This is clearly reflected in IDH's gross profit which
increased 30% year-on-year to EGP 948 million in FY2018, yielding a
one percentage-point expansion in gross profit margin to 49%. The
Group also recorded a strong 27% year-on-year increase in EBITDA to
EGP 762 million in FY2018, with EBITDA margin remaining stable at
40% despite a negative contribution of c.EGP 25 million from IDH's
newly acquired operation in Nigeria which is still in the
value-building phase. Excluding Nigeria, Group EBITDA margin would
record 41%, ahead of management's previously stated guidance of a
targeted 40% EBITDA margin from its established operations in
Egypt, Jordan and Sudan for FY2018. The Groups' strong revenue
growth, improved profitability and higher interest income allowed
it to deliver a 29% year-on-year increase in net profit to EGP 497
million in FY2018, with a one percentage-point expansion in net
profit margin to 26%.
On the operational front, 2018 was a milestone year for the
Group during which IDH delivered on several of its strategic and
operational targets. In February 2018, the Group's state-of-the-art
Mega Lab in Egypt was awarded accreditation from the College of
American Pathologists (CAP), widely considered the leader in
laboratory quality assurance globally. Early 2018 also witnessed
IDH's expansion into Nigeria through the acquisition of Echo-Lab
(previously Echo-Scan) via capital increase with a total value of
US$ 5.7 million through a strategic alliance with Man Capital LLP.
2018 also marked the Group's expansion into the adjacent radiology
market in Egypt with the fourth quarter inauguration of its first
full-fledged radiology branch under the Al-Borg Scan brand. The
branch offers a comprehensive suite of radiology services,
including MRI and CT Scan and kicks off the Group's expansion drive
in the segment which will see it open a further three branches
during 2019. Finally, the Group's Jordan-based subsidiary Biolab
has entered into an agreement with Georgia Healthcare Group to
establish a Mega Lab in the Georgian capital of Tbilisi, poised to
be the largest facility of its kind in the region. The agreement
serves as testament to IDH's know-how and technical experience as
the operators of the sole JCI-accredited Mega Labs in Egypt and
Jordan.
Meanwhile, IDH continued to expand its geographic footprint in
FY2018, adding 40 new branches during the year to reach a total 423
branches, up more than 10% compared to year-end 2017. Branch
additions included 10 through acquisition in Nigeria, IDH's newest
market, 31 in Egypt and one new branch in Jordan while Sudan saw
the closure of two non-performing branches. The Group's expansion
drive is supported by its state-of-the-art Mega Lab which allows
IDH to deploy its Hub, Spoke and Spike business model in Egypt to
roll out capital-efficient "C" labs more rapidly.
Branches by Country
31 December 2018 31 December 2017 Change
================ ================= ================= ==============
Egypt 371 340 9%
================ ================= ================= ==============
Jordan 19 18 6%
================ ================= ================= ==============
Sudan 23 25 (8%)
================ ================= ================= ==============
Nigeria 10 - NA
================ ================= ================= ==============
Total Branches 423 383 10.4%
================ ================= ================= ==============
Our Customers
IDH serves two principal types of clients: contract (corporate)
and walk-in (individuals). Within each of these categories, the
Group also offers a house call service, and within the contract
segment, a lab-to-lab service.
Contract Clients
IDH's contract clients include institutions such as unions,
private insurance companies and corporations who enter into
one-year renewable contracts at agreed rates per-test and on a
per-client basis. In FY2018, contract clients represented 59% of
IDH's total revenues, with 5.1 million patients served under these
contracts (+8%) and over 22.2 million tests performed (+12%), with
no single contract client accounting for more than 1% of
revenues.
Walk-in Clients
Walk-in clients contributed 41% to the Group's total revenues in
FY2018, up from 39% in the same period last year. Management's
efforts to drive volume growth from the segment saw it record a 17%
increase in total number of walk-in patients served to 2.0 million
in FY2018, while total tests performed were up 11% to 6.6
million.
The ratio of contract to walk-in patients during FY2018 was
72:28 compared with 74:26 in FY2017, reflecting IDH's sustained
marketing effort to target walk-in patients. That said, we expect
the ratio to remain skewed in favour of contract patients; this is
in step with the general market-wide shift in patient mix in recent
years and is a natural consequence of market dynamics in Egypt, as
companies are extending additional benefits to their staffs. The
trend has been encouraged by continued high inflation, which is
eroding consumer spending power and thus putting incremental
pressure on corporations to provide either health insurance or
corporate plans.
Key Performance Indicators
FY2018 FY2017 % change
===================== ================================ =============================== ===========================
Walk-In Contract Total Walk-In Contract Total Walk-In Contract Total
===================== ======== ========== ========== ======== ========= ========== ======== ========= ======
Revenue (EGP
'000) 779,969 1,141,483 1,921,452 591,463 922,794 1,514,257 32% 24% 27%
% of Revenue 41% 59% 100% 39% 61% 100%
Patients ('000) 1,970 5,078 7,048 1,682 4,685 6,367 17% 8% 11%
% of Patients 28% 72% 100% 26% 74% 100%
Revenue per Patient
(EGP) 396 225 273 352 197 238 13% 14% 15%
Tests ('000) 6,560 22,206 28,766 5,918 19,746 25,664 11% 12% 12%
% of Tests 23% 77% 100% 23% 77% 100%
Revenue per Test
(EGP) 119 51 67 100 47 59 19% 10% 13%
Test per Patient 3.3 4.4 4.1 3.5 4.2 4.0 -5% 4% 1%
*During the year, IDH reclassified 249 thousand tests from
contract to walk-ins with a total value of EGP 31.4 million.
Without the reclassification, walk-in tests would have recorded a
7% y-on-y growth in FY2018 while contracts test would be 14% higher
than last year.
Revenue Analysis: Contribution by Patient Segment
IDH's consolidated revenues recorded EGP 1,921 million in
FY2018, up 27% year-on-year with growth being driven by both the
contract and walk-in segments. In FY2018, the contract segment
contributed 59% of total revenues and 54% to total revenue growth,
while the walk-in segment contributed a 41% share of revenue and a
made a 46% contribution to revenue growth. The Group served a total
of 7.0 million patients across both segments in FY2018, up 11%
year-on-year, while total tests performed increased 12%
year-on-year to 28.8 million. Parallel to volume growth, selective
price increases and better sales mix also made important
contributions to revenue growth. This is clearly reflected in IDH's
two key revenue metrics of average revenue per patient (up 15% in
FY2018) and average revenue per test (up 13%).
The contract segment recorded a 24% year-on-year increase in
revenues in FY2018 to EGP 1,141 million, supported by an overall
market shift toward corporate health insurance coverage, especially
in IDH's home market of Egypt. Total number of contract patients
was up 8% year-on-year, while contract tests recorded a 12%
year-on-year increase in FY2018. Better pricing contributed
strongly to the contract segment's growth during the year, which
saw it record a 14% increase in average revenue per contract
patient and a 10% increase in average revenue per contract test. It
is also worth noting that the segment's volume growth accelerated
during the fourth quarter of 2018 on the back of the 100 million
Healthy Lives campaign. The state-sponsored campaign was launched
by the Egyptian President with the goal of eliminating Hepatitis C
in Egypt by the end of 2019. The campaign kicked off in November
2018 and is expected to run through to May 2019, and has
contributed c.2% of consolidated revenues and 7% of total tests in
FY2018.
IDH's walk-in segment delivered a faster year-on-year revenue
growth rate of 32% in FY2018 to EGP 780 million. Segment growth was
almost equally driven by improved pricing and a continued
turnaround in walk-in patient trends. The Group's efforts to target
the segment with tactical marketing campaigns - including
attractive features such as discounts on chronic disease tests and
partnerships with banks for affordable payment programs - saw total
number of walk-in patients increase 17% year-on-year in FY2018,
while total tests were up 11%. Meanwhile the Group was also
successful in passing-on price increases to consumers who have
increasingly adapted to new price levels following the late 2016
devaluation of the Egyptian pound. This is clearly reflected in
Egypt's average revenue per walk-in patient recording a 19%
increase and average revenue per walk-in test increasing 16% in
FY2018.
Revenue Analysis: Contribution by Geography
On a geographic basis, Egypt contributed 84% of total revenues
in FY2018 (FY2017: 83%), followed by Jordan at 13% (FY2017: 14%)
and Sudan and Nigeria each contributing 2% to total revenues (Sudan
FY2017: 3%).
Revenues by Country
(EGP million) FY2018 % contribution FY2017 % contribution % change
======= =============== ======= =============== =========
Egypt 1,613 84% 1,250 83% 29%
--------------- ------- --------------- ------- --------------- ---------
Walk-In 587 36% 435 35% 35%
--------------- ------- --------------- ------- --------------- ---------
Contract 1023 64% 816 65% 26%
--------------- ------- --------------- ------- --------------- ---------
Jordan 243 13% 218 14% 11%
--------------- ------- --------------- ------- --------------- ---------
Walk-In 140 58% 126 58% 11%
--------------- ------- --------------- ------- --------------- ---------
Contract 103 42% 92 42% 11%
--------------- ------- --------------- ------- --------------- ---------
Sudan 35 2% 46 3% (23%)
--------------- ------- --------------- ------- --------------- ---------
Walk-In 25 72% 31 68% (18%)
--------------- ------- --------------- ------- --------------- ---------
Contract 10 28% 14 32% (32%)
--------------- ------- --------------- ------- --------------- ---------
Nigeria 30 2% - - -
--------------- ------- --------------- ------- --------------- ---------
Walk-In 27 91% - - -
--------------- ------- --------------- ------- --------------- ---------
Contract 3 9% - - -
--------------- ------- --------------- ------- --------------- ---------
Total 1,921 100% 1,514 100% 27%
--------------- ------- --------------- ------- --------------- ---------
Walk-In 780 41% 591 39% 32%
--------------- ------- --------------- ------- --------------- ---------
Contract 1,141 59% 923 61% 24%
--------------- ------- --------------- ------- --------------- ---------
IDH's home market of Egypt recorded the fastest revenue growth
in FY2018 at 29% year-on-year to EGP 1,613 million. Strong growth
coupled with the geography's largest share of total revenue saw
operations in Egypt contribute 89% to the Group's total revenue
growth for the year. IDH served a total of 6.5 million patients in
Egypt, up 10% year-on-year, whilst total tests performed increased
13% to 26.4 million during the year. On a segment basis, walk-in
patient volumes recorded strong growth of 16% in FY2018 while
volumes in the contract business recorded a 12% increase.
To drive both the acquisition of new patients and expanded test
volumes, the Group offered discounted prices for selected tests
related to certain diseases; launched tactical advertising
campaigns to raise awareness of chronic diseases; and implemented a
new customer relationship management (CRM) program that reached out
to patients with marketing messages via SMS. Additionally, volumes
in Egypt were supported by the launch of the state-sponsored 100
million Healthy Lives campaign in the fourth quarter of the
year.
Revenues from the Group's operations in Jordan were up 11%
year-on-year to EGP 243 million in FY2018, contributing c.6% to
Group's consolidated revenue growth. Despite the economic
challenges in Jordan, the Group's subsidiary Biolab delivered a
strong operational performance with number of patients served up
14% to 277 thousand, and number of tests performed up 11% to 1.6
million.
In Sudan, the Group delivered on-the-ground revenue growth in
SDG terms of 44% in FY2018, however, the devaluation of Sudanese
pound by c.85% during the year saw top-line gains muted when
translated into EGP on the Group's consolidated financial
statements. The average SDG:EGP exchange rate was 0.57 in FY2018
versus 1.04 in FY2017, leading to a 23% year-on-year decline in
revenues in EGP terms to EGP 35 million and a negative 3%
contribution to total growth in absolute terms.
Nigeria, IDH's newest market, recorded revenues of EGP 30
million in FY2018 and made a c.7% contribution to total
consolidated growth. Nigeria's value-adding phase is progressing,
with existing branches being refurbished and renovated as well as
rolling out new branches and procuring new state-of-art pathology
and radiology equipment.
Contribution to Growth by Country
FY2018 FY2017
========= ======= =======
Egypt 24% 19%
========= ======= =======
Jordan 2% 9%
========= ======= =======
Sudan (1%) 1%
========= ======= =======
Nigeria 2% -
========= ======= =======
Total 27% 29%
========= ======= =======
EGP mn % contribution
================ ======= ===============
FY2017 Revenue 1,514
================ ======= ===============
Egypt 363 24%
================ ======= ===============
Jordan 25 2%
================ ======= ===============
Sudan (10) (1%)
================ ======= ===============
Nigeria 30 2%
================ ======= ===============
FY2018 Revenue 1,921 27%
================ ======= ===============
Cost of Sales
IDH's cost of sales recorded EGP 973 million in FY2018, up 24%
year-on-year or three percentage points slower than the 27% growth
in revenues thanks to increased operational efficiency and several
cost-reduction initiatives. Consequently, the Group delivered a 30%
year-on-year increase in gross profit to EGP 948 million in FY2018,
with a one percentage-point expansion in gross profit margin to
49%. Gross margin expansion is also more pronounced in IDH's home
market of Egypt where cost-reduction efforts have seen gross profit
margin expand significantly from 51.7% in FY2017 to 54.1% in
FY2018.
COGS Breakdown as a Percentage of Revenue
FY2018 FY2017
================== ======= =======
Raw Materials 19.3% 21.4%
================== ======= =======
Wages & Salaries 16.3% 15.7%
================== ======= =======
Depreciation 3.7% 3.7%
================== ======= =======
Other Expenses 11.3% 11.0%
================== ======= =======
Total 50.6% 51.8%
================== ======= =======
Management's cost-reduction efforts are clearly reflected on the
Group's raw material costs - the largest contributor to COGS at 38%
- which increased only 14% year-on-year to EGP 370 million in
FY2018, including the cost of tests sent abroad. This translates to
an average raw material cost per test of EGP 12.9 in FY2018, up
only 2% versus FY2017 despite the prevailing double-digit
inflation. It is also worth noting that management's efforts in
improving patient and test mix and negotiating more favourable raw
material prices have led to an overall decline in raw material
costs as a percentage of sales to 19% in FY2018 from 21% in
FY2017.
Constituting the second-largest share of COGS, direct salaries
and wages increased 32% year-on-year to EGP 313 million in FY2018,
however, as a percentage of sales remained stable at 16%. The
year-on-year increase was driven by the staffing of new branches,
higher incentive compensation tied to strong revenue growth and the
consolidation of IDH's new Nigerian operation.
Other expenses, including branch utilities and rent, recorded
EGP 218 million in FY2018 or 31% higher than the previous year.
Growth in the expense item was driven by the utilities price hikes
passed in July 2017, the increases in branches' rental contracts in
early 2018 along with the increase in the number of branches, as
well as fuel and energy price hikes in July 2018. It is worth
noting, however, that utilities and rent costs as a percentage of
revenue remained stable at 11% in FY2018.
EBITDA
The Group recorded a consolidated EBITDA of EGP 762 million in
FY2018, up 27% compared to the EGP 602 million recorded in the
previous year. EBITDA margin was stable at 40% despite the
inclusion of a negative EBITDA of c.EGP 25 million from IDH's new
Nigerian operations - currently in the value-building phase. Group
EBITDA was also weighed down by the devaluation of the Sudanese
pound which offset the country's top-line gains. Excluding the
Nigerian operation, EBITDA growth would have recorded 31%
year-on-year with a margin of 41%.
IDH's operations in Egypt contributed the lion's share of FY2018
EBITDA at 97%, up from 91% in FY2017 due to strong business in the
market, a stable contribution from Jordan, and negative
contributions from Sudan and Nigeria during the year. Egypt's
EBITDA margin also expanded by two percentage points to 46% in
FY2018 on the back of lower raw material costs and favourable
operating leverage on strong revenues. EBITDA from Jordan's Biolab
contributed 7% to consolidated EBITDA (EGP 52 million) with EBITDA
margin improving to 21% compared to 19% in FY2017. Meanwhile
currency devaluation in Sudan saw operations there record a
negative 7% EBITDA margin in FY2018 versus a positive 31% in
FY2017. The decrease was primarily driven by higher salaries paid
in US$ to expatriates, and lower patient volumes. IDH is working to
limit expatriate salaries by increasing dependence on local hires
and has already transferred several employees back to Egypt which
should help limit the negative effect on Sudan's EBITDA margin.
EBITDA Contribution by Country
(EGP million) FY2018 % contribution FY2017 % contribution % change
=============== ======= =============== ======= =============== =========
Egypt 738 96% 547 91% 35%
--------------- ------- --------------- ------- --------------- ---------
Jordan 52 7% 41 7% 25%
--------------- ------- --------------- ------- --------------- ---------
Sudan (3) - 14 2% NA
--------------- ------- --------------- ------- --------------- ---------
Nigeria (25) (3%) - - NA
--------------- ------- --------------- ------- --------------- ---------
Total 762 100% 602 100% 27%
--------------- ------- --------------- ------- --------------- ---------
Interest Income / Expense
Prudent cash management saw the Group maximise return on its
accumulated time deposits and treasury bills balances, with
interest income up 16% year-on-year to EGP 59 million in FY2018
compared to EGP 51 million in the previous year.
Interest expense, which is primarily related to the Company's
finance lease contracts, increased 17% or EGP 2.2 million to reach
EGP 15.3 million for FY2018.
Interest Expense Breakdown
(EGP million) FY2018
================== =======
Finance Lease 9.5
================== =======
Bank Charges 3.5
================== =======
Al Borg Scan MTL 2.4
================== =======
Total 15.4
================== =======
Foreign Exchange
IDH recorded a net foreign exchange loss of EGP 16 million in
FY2018 compared to EGP 20 million in FY2017. The figure is
primarily a result of the devaluation of the Sudanese pound and FX
transactions related to dividend distributions and salary
expenditures.
Taxation
IDH recorded a tax expense of EGP 196 million for FY2018
compared to EGP 118 million for FY2017, with an effective tax rate
of 27% versus 21% in the previous year. The increase in effective
tax rate is mainly due to the following:
-- Integrated Medical Analysis Company (IMA) had accumulated tax
losses generated from 2016 (related to FX losses following the
devaluation of the EGP) and that were fully settled during 2017
(EGP 18 million of tax difference between 2017 and 2018);
-- The Egyptian Government imposed a new tax of 0.25% on total
income (revenues and credit income) starting July 2018 in relation
to the new Healthcare Act, which increased the tax on the Group by
EGP 2.9 million.
There is no tax payable for IDH's two companies at the holding
level. Tax was paid on profits generated by operating companies in
Egypt and Jordan.
The Group's dividend policy is to distribute any excess cash
after taking into consideration all business cash requirements and
potential acquisition considerations. As a result, a deferred tax
liability is recognised for the 5% tax on dividends for the future
expected distribution payable by Egyptian entities under Egyptian
tax legislation. Deferred tax expense in FY2018 was EGP 24 million
versus an expense of EGP 57 million in FY2017. It should be noted
that in 2017, IDH conducted a revaluation of the goodwill related
to Sudan and Jordan, yielding a deferred tax amounting to EGP 19
million.
Net Profit
IDH recorded a net profit of EGP 497 million in FY2018, up 29%
compared to the EGP 384 million posted in FY2017, and with a one
percentage-point expansion in net profit margin to 26%. The
improvement in bottom-line profitability was driven by strong
revenue growth, an increase in EBITDA, and higher net interest
income.
EBITDA to Net Profit Calculation
(EGP million) FY2018
======================= =======
FY2018 EBITDA 762
======================= =======
Depreciation (77)
======================= =======
Interest Income 59
======================= =======
Net Monetary Position 4
======================= =======
FX Losses (16)
======================= =======
Interest Expense (15)
======================= =======
Tax (220)
======================= =======
FY2018 Net Income 497
======================= =======
Balance Sheet
On the assets side of the balance sheet, IDH held gross
property, plant and equipment (PPE) of EGP 983 million as at 31
December 2018, up from EGP 685 million at 31 December 2017. The
increase is due to the consolidation of Echo-Scan's fixed assets
amounting to EGP 43 million, CAPEX outlays of EGP 86 million
related to the Group's new corporate headquarters as well as EGP 50
million related to new branches and EGP 48 million related to the
renovations of existing branches. Additionally, CAPEX outlays of
EGP 55 million were related to the Al Borg Scan (radiology)
expansion during 2018.
Accounts receivable recorded EGP 220 million as at 31 December
2018 compared to EGP 140 million at year-end 2017. Accounts
receivable days-on-hand (DOH) increased to 138 days on account of
EGP 36.7 million in receivables related the 100 million Healthy
Lives campaign. Factoring out this amount, DOH would have remained
stable at 123 days.
The Group's "days inventory outstanding" remained stable at 82
days.
IDH's cash balances decreased to EGP 664 million as at 31
December 2018 from EGP 708 million as at 31 December 2017 due to a
dividends payment amounting to USD 24 million paid out in June
2018.
On the liabilities side, accounts payable stood at EGP 158
million at 31 December 2018 versus EGP 126 million at year end
2017. The Group's days payable outstanding (DPO) slightly decreased
to 145 days from 148 days at 31 December 2017.
Dividend
Proposed dividends for ordinary shares are subject to the
approval of the Annual General Meeting and are not recognised as a
liability as at 31 December 2018. The Board of Directors has
recommended that a final dividend of US$ 26.4 million, or US$ 0.176
per share, should be paid to shareholders who appear on the
register as at 17 May 2019, with an ex-dividend date of 16 May
2019. The payment date for the dividend will be 7 June 2019.
Going Concern
The Directors have a reasonable expectation that the Group has
adequate resources to meet its liabilities as they fall due for at
least 12 months from the date of approval of these consolidated
financial statements. Thus, they continue to adopt the going
concern basis in preparing the financial information.
Principal Risks, Uncertainties and Their Mitigation
As in any corporation, IDH has exposure to risks and
uncertainties that may adversely affect its performance. IDH
Chairman Lord St John of Bletso has emphasised that ownership of
the risk matrix is sufficiently important to the Group's long-term
success that it must be equally shared by the Board and senior
management.
While no system can mitigate every risk - and some risks, as at
the country level, are largely without potential mitigants - the
Group has in place processes, procedures and baseline assumptions
that provide mitigation. The Board and senior management agree that
the principal risks and uncertainties facing the Group include:
Specific Risk Mitigation
Country risk - Political & Security
Egypt and the wider MENA region, where See mitigants for "Country/regional
the Group operates, have experienced risk - Economic," below.
political volatility and there remains
a risk of occasional civil disorder.
Echo-Lab's laboratories are located
Nigeria is facing security challenges primarily in Lagos, Abuja and Benin,
on several fronts, including re-emerging far from the current unrest occurring
ethnic tensions and resurgent attacks in the northeast part of Nigeria.
by Islamist militants in the northeast.
Against the backdrop of a sluggish Regarding other operating risks, including
economy and the slow implementation but not limited to legal and compliance
of reforms, mounting discontent could risks, IDH will apply the same rigorous
translate into further social unrest. standards to evaluating all aspects
of its business processes in Nigeria
as it has implemented in all of the
emerging markets in which it operates.
-----------------------------------------------------
Country/regional risk - Economic
The Group is subject to the economic As with country risk, this is largely
conditions of Egypt specifically and, not subject to mitigation. In both
to a lesser extent, those of the wider political/security and economic risk,
MENA region. Egypt accounted for c. management notes that IDH operates
84% of our revenues in 2018 (2017: in a defensive industry and that the
83%). business continued to grow year-on-year
through two revolutions, as well as
under extremely difficult operating
conditions in 2016.
High inflation in Egypt: According High inflation is one consequence
to the Central Bank of Egypt, headline of Egypt's policy-restructuring cycle.
inflation recorded 11.97% in December The structural change underway in
2018, a considerable decline from government spending and general repricing
the January 2018 rate of 21.6%. This of goods and services represents a
marks a continued easing from the reversal of 50 years of comprehensive
record high of c.35% in July 2017 government support. Whilst it will
following the November 2016 devaluation take time, the reform program is designed
of the Egyptian pound and subsequent to put the country on a more sustainable
energy subsidy cuts. Meanwhile core path to growth and fiscal consolidation.
inflation that strips out volatile According to Egypt's Ministry of Planning
items dropped to 8.3% in December and Administrative Reform, as of the
2018 from 19.7% in December 2017. fiscal year ended June 2018 Egypt
recorded GDP growth of 5.3%, while
the budget deficit as a percentage
of GDP had declined to 9.8% compared
to 10.9% in the fiscal year ended
June 2017.
The Group's contemplated acquisitions
outside of Egypt would also mitigate
the Egypt-specific country risk over
High Inflation in Sudan: Three rounds time.
of currency devaluation in Sudan saw
the Sudanese pound lose 85% of its
value during 2018 to an official rate The Group is closely monitoring the
of 47.5 pounds to the US dollar in economic and political situation in
December 2018 as per the Central Bank Sudan and has implemented several
of Sudan. This has caused inflation price increases to keep instep with
to spiral reaching record highs of inflationary pressures. IDH is also
over 70% at the close of 2018 according working to limit expatriate salaries
to Trading Economics. IDH has been and foreign currency needs by increasing
adversely affected as one-the-ground dependence on local hires.
revenue growth is lost to currency
translation on the Group's financial
statements, in addition to increase
salaries of Sudan-based expatriates
who are compensated in US dollars.
Nigeria: Capital controls could make
profit repatriation difficult in the In Nigeria, until currency exchange
short term. policy is clarified and there is greater
visibility regarding profit repatriation,
IDH expects to reinvest early profits
into its Nigerian business. Dividend
payments are not expected to be repatriated
in the first four years of operation.
Nigeria: Depreciation of the naira
would make imported products and raw IDH will capitalise on its regional
materials more expensive and would agreements with suppliers to procure
reduce Nigeria's contribution to consolidated kits at competitive prices.
Company revenues. Whilst capital controls
have helped the official exchange
converge with the black-market rate,
the central bank has yet to allow
the naira to float freely.
-----------------------------------------------------
Foreign currency and banking regulation
risk Only 15% of IDH's cost of supplies
Foreign currency risk: The Group is (c.3% of revenues) are payable in
exposed to foreign currency risk on US dollars, minimising the Group's
the cost side of the business. The exposure to foreign exchange (FX)
majority of supplies it acquires are scarcity and in part, the volatility
paid in Egyptian pounds (EGP), but of the Egyptian pound.
given they are imported, their price
will vary with the rate of exchange In 2018, IDH recorded a net foreign
between the EGP and foreign currencies. exchange loss/gain of EGP 16 million
In addition, a portion of supplies compared with a net foreign exchange
are priced and paid in foreign currencies. loss of EGP 20 million in 2017.
Capital Economics notes that a move
The CBE moved to a fully floating to weaken the Egyptian pound wouldn't
foreign exchange regime on 3 November be a massive shock to the currency
2016, since which time the value of thanks to previous austerity measures
the Egyptian pound against the US and the fact that it is not currently
dollar has been set by the interbank overvalued. The consultancy estimates
market. After losing more than 50% that a limited devaluation could see
of its value in 2016, the Egyptian the currency trade at c.19.0 to the
pound closed 2018 at mid-market CBE US$ by the end of 2019 and c.20.0
rate of 17.91 per US$1 against an by 2020.
opening rate of EGP 17.72.
Foreign currency continued to be available
The Egyptian pound was valued at 17.91 in the market throughout 2018 whether
to US$ 1.00 as of 16 Jan 2019. from the banks or exchange companies;
and the with CBE foreign currency
While the Egyptian pound has performed reserves reaching record-highs in
relatively well compared to other 2018 to close the year at US$ 45 billion,
emerging market currencies, increased the return of capital controls previously
capital flight amid a wider emerging implemented following the pound's
market sell-off in 2018 saw Egyptian devaluation is unlikely.
treasury bonds drop by c.US$ 8 billion
according to a note issued by Capital
Economics. This has added pressure
on the country's banking system to
sell foreign assets to meet demand
for hard currency. The note presents
two possible scenarios in 2019, namely
allowing the Egyptian pound to weaken
against the dollar or direct intervention
by the CBE using its reserves to support
the currency.
Banking regulation risk: A priority
list and allocation mechanism imposed
by the CBE was in effect throughout
2016 to prioritise essential imports.
This mechanism was in place in response
to an active parallel market for foreign
exchange.
Whilst foreign exchange is increasingly
available following the November 2016
float of the Egyptian pound and prices
set by the interbank mechanism, IDH
faces the risk of variability in the
exchange rate as a result of economic
and other factors.
-----------------------------------------------------
Supplier risk
IDH faces the risk of suppliers re-opening IDH has strong, longstanding relationships
negotiations in the face of cost pressure with its suppliers, to whom it is
owing to the prevailing inflationary a significant regional client. Due
environment and/or a possible albeit to the volumes of kits the Company
limited devaluation risk in 2019. purchases, IDH is able to negotiate
favourable pricing and maintain raw
IDH's supplier risk is concentrated material costs increases at a rate
amongst three key suppliers - Siemens, slower than inflation. In 2018, average
Roche and BM (Sysmex)- who provide raw material cost per test increased
it with kits representing 42% of the only 2% versus the prevailing double-digit
total value of total raw materials inflation.
in 2018 (2017: 47%).
Total raw materials costs as a percentage
of sales were 19% in 2018 compared
with 21% in 2017.
-----------------------------------------------------
Remittance of dividend regulations
and repatriation of profit risk
The Group's ability to remit dividends As a foreign investor in Egypt, IDH
abroad may be adversely affected by does not have issues with the repatriation
the imposition of remittance restrictions of dividends, but is exposed to risk
where, under Egyptian law, companies in the form of cost of foreign exchange
must obtain government clearance to in the markets in which the Group
transfer dividends overseas and are operates, particularly Egypt and Sudan.
subject to higher taxation on payment
of dividends. As a provider of medical diagnostic
services, IDH's operations in Sudan
are not subject to sanctions. Notably,
in October 2017 the US lifted a host
of sanctions imposed 20 years ago
that included a comprehensive trade
embargo, a freeze on government assets
and tight restrictions on financial
institutions dealing with the country.
-----------------------------------------------------
Legal and regulatory risk to the business
The Group's business is subject to, The Group's general counsel and the
and affected by, extensive, stringent quality assurance team work together
and frequently changing laws and regulations, to keep IDH abreast of, and in compliance
as well as frequently changing enforcement with, both legislative and regulatory
regimes, in each of the countries changes.
in which it operates. Moreover, as
a significant player in the Egyptian On the antitrust front, the private
private clinical laboratory market, laboratory segment (of which IDH is
the Group is subject to antitrust a part) accounts for a small proportion
and competition-related restrictions, of the total market, which consists
as well as the possibility of investigation of small private labs, private chain
by the Egyptian Competition Authority. labs and large governmental and quasi-governmental
institutions.
-----------------------------------------------------
Quality control risks
Failure to establish and comply with The Group's quality assurance (QA)
appropriate quality standards when function ensures compliance with best
performing testing and diagnostics practices across all medical diagnostic
services could result in litigation functions. All laboratory staff participate
and liability for the Group and could in ongoing professional education
materially and adversely affect its with quality assurance emphasised
reputation and results of operations. at each juncture.
This is particularly key as the Group
depends heavily on maintaining good The head of quality assurance for
relationships with healthcare professionals the Group is a member of the senior
who prescribe and recommend the Group's management team at the IDH level,
services. which meets weekly to review recent
developments, plan strategy and discuss
issues of concern to the Group as
a whole.
-----------------------------------------------------
Risk from contract clients
Contract clients including private IDH diligently works to maintain sound
insurers, unions and corporations, relationships with contract clients.
account for c. 59% of the Group's All changes to pricing and contracts
revenue. Should IDH's relationship are arrived at through discussion
with these clients deteriorate, for rather than blanket imposition by
example if the Group was unable to IDH. Relations are further enhanced
negotiate and retain similar fee arrangements by regular visits to contract clients
or should these clients be unable by the Group's sales staff.
to make payments to the Group, IDH's
business could be materially and adversely IDH's attractiveness to contract clients
affected. is enhanced by the extent of its national
network.
No single client contract currently
accounts for more than 1% of total
revenues or 1.4% of Corporate revenues.
Adoption of IFRS 9 during the year
led management to take provisions
of EGP 9.6 million in 2018 for doubtful
accounts (2017: EGP 5.6 million).
(See note (22) to the accompanying
Financial Statements for more information.
-----------------------------------------------------
Pricing pressure in a competitive,
regulated environment
The Group faces pricing pressure from This is an external risk for which
various third-party payers that could there exist few mitigants.
materially and adversely affect its
revenue. Pricing may be restrained In the event there is escalation of
in cases by recommended or mandatory price competition between market players,
fees set by government ministries the Group sees its wide national footprint
and other authorities. as a mitigant; c. 59% of our revenue
is generated by servicing contract
This risk may be more pronounced in clients (private insurer, unions and
the context of headline monthly inflation corporations) who prefer IDH's national
in Egypt, which as of December 2018 network to patchworks of local players.
stood at 11.97% as per the Central
Bank of Egypt. IDH has a limited ability to influence
changes to mandatory pricing policies
imposed by government agencies, as
is the case in Jordan, where basic
tests that account for the majority
of IDH's business in that nation are
subject to price controls.
-----------------------------------------------------
Carrying value of goodwill and other
intangible assets
A decline in financial performance IDH carries out an annual impairment
could lead to an impairment risk over test on goodwill and other intangible
the carrying value of IDH's goodwill assets in line with IAS 36.
and other intangible assets. Goodwill
and intangible assets have arisen The results of the annual impairment
from historic acquisitions made by test show headroom between the recoverable
the Group and include the brand names amount (based on value in use) and
used in the business. the carrying value of each of the
identified Cash Generating Units and
no impairment is deemed to be required.
For more detail see note (13) of the
Financial Statements.
-----------------------------------------------------
Business continuity risks
Management concentration risk: IDH IDH understands the need to support
is dependent on the unique skills its future growth plans by strengthening
and experience of a talented management its human capital and engaging in
team. The loss of the services of appropriate succession planning. The
key members of that team could materially Company is committed to expanding
and adversely affect the Company's the senior management team, led by
operations and business. its CEO Dr. Hend El Sherbini, to include
the talent needed for a larger footprint.
Business interruption: IT systems The Group has constituted an Executive
are used extensively in virtually Committee led by Dr. El Sherbini and
all aspects of the Group's business composed of heads of departments.
and across each of its lines of business, The Executive Committee meets every
including test and exam results reporting, second week.
billing, customer service, logistics
and management of medical data. Similarly, The Group has in place a full disaster
business interruption at one of the recovery plan, with procedures and
Group's larger laboratory facilities provisions for spares, redundant power
could result in significant losses systems and the use of mobile data
and reputational damage to the Group's systems as alternatives to landlines,
business as a result of external factors among multiple other factors. IDH
such as natural disasters, fire, riots tests its disaster recovery plans
or extended power failures. The Group's on a regular basis.
operations therefore depend on the
continued and uninterrupted performance
of its systems.
-----------------------------------------------------
Loss of talent
IDH depends on the skills, knowledge, In addition to competitive compensation
experience and expertise of its senior packages, the Group also ensures it
managers to run its business and implement has access to a broad pool of trained
its strategies. The Group's senior laboratory professionals through its
management has an average of 15 years own in-house recruitment and training
of industry experience and the majority program. We furthermore have in place
are medical doctors. Furthermore, a program to monitor the performance
IDH is reliant on its ability to recruit of graduates of the training program.
and retain laboratory professionals.
Loss of senior managers could materially Egypt is a net exporter of trained
and adversely affect the Group's results healthcare professionals as there
of operations and business. is surplus staff in the market. IDH's
efforts are accordingly focused on
retention of qualified staff as opposed
to recruitment of new personnel.
In Nigeria, IDH will face a more limited In Nigeria, IDH intends to offer a
talent pool of healthcare workers strong value proposition for staff
due to a weak education system and that includes opportunity for both
the tendency for trained professionals compensation and training. The Group
to move abroad. will seek to bring in expatriates
to fill key leadership roles whilst
local teams are being trained and
developed.
-----------------------------------------------------
Loss of certifications and accreditations
Many of IDH's facilities have received In February 2018, IDH's central Mega
internationally accreditations for Lab in Cairo received CAP certification.
high-quality standards. The failure The CAP certification will thereafter
to renew these certifications, including be subject to renewal every two years.
the College of American Pathologists The Company also renewed its ISO certifications
(CAP) accreditation for the Mega Lab in 2018, with the next renewal due
or the International Organization in 2019. In Jordan, Biolab has received
for Standards (IOS) for other facilities, Joint Commission International (JCI)
would call into question the Group's accreditation, as well as ISO 150189,
quality standards and competitive HCAC and CAP certifications in 2018.
differentiators. Branches in Sudan and Nigeria are
not accredited.
IDH's ability to keep current its
certifications and accreditation are
supported by ongoing QA, training
and internal audit procedures.
-----------------------------------------------------
Statement of Directors' Responsibilities
The Directors are responsible for preparing the annual report
and the financial statements in accordance with International
Financial Reporting Standards as adopted by the EU ("IFRS as
adopted by the EU"), interpretations from the International
Financial Reporting Interpretations Committee ("IFRIC") and
Companies (Jersey) Law 1991 (as amended). Jersey Law requires the
Directors to prepare financial statements for each financial year,
which give a true and fair view of the state of affairs of the
Group and of the assets, liabilities, financial position and profit
or loss of the Group for that year.
In preparing the financial statements, the Directors are
required to:
-- select suitable accounting policies and then apply them consistently;
-- make judgements and estimates that are reasonable, relevant and reliable;
-- ensure that the financial statements comply with IFRS as adopted by the EU;
-- assess the Group's ability to continue as a going concern,
disclosing, as applicable, matters related to going concern;
and
-- prepare the financial statements on the going concern basis,
unless it is inappropriate to presume that the Group will continue
in business.
The Directors are responsible for keeping proper accounting
records that disclose with reasonable accuracy at any time the
financial position of the Group and to enable them to ensure that
the financial statements comply with Companies (Jersey) Law 1991.
The Directors are also responsible for such internal control as
they determine is necessary to enable the preparation of financial
statements that are free from material misstatement, whether due to
fraud or error, and have general responsibility for taking such
steps as are reasonably open to them to safeguard the assets of the
Group and to prevent and detect fraud and other irregularities.
The Directors of the Group confirm that to the best of their
knowledge that:
-- The Group is in compliance with the Jersey code in relation
to all applicable corporate law and tax filing requirements;
-- The consolidated financial statements have been prepared in
accordance with International Financial Reporting Standards,
including International Accounting Standards; and Interpretations
adopted by the International Accounting Standards Board give a true
and fair view of the assets, liabilities, financial position and
profit or loss of the Company and the undertakings included in the
consolidation taken as a whole; and
-- The sections of this Report, including the Chairman's
Statement, Strategic Report, Performance Review and Principal Risks
and Uncertainties, which constitute the management report, include
a fair review of the development and performance of the business
and the position of the issuer and the undertakings included in the
consolidation taken as a whole, together with a description of the
principal risks and uncertainties that they face.
Dr. Hend El Sherbini
Executive Director
21 March 2019
INTEGRATED DIAGNOSTICS HOLDINGS plc - "IDH"
AND ITS SUBSIDIARIES
Consolidated Financial Statements
for the year ended 31 December 2018
Consolidated Statement of Financial Position as at
31 December 31 December
Notes 2018 2017
EGP'000 EGP'000
================================= ====== ==================== ===========================
ASSETS
Non-current assets
Property, plant and equipment 11 705,779 473,786
Intangible assets and goodwill 12 1,672,463 1,658,252
Total non-current assets 2,378,242 2,132,038
-------------------- ---------------------------
Current assets
Inventories 15 91,079 69,935
Trade and other receivables 16 299,991 202,255
Restricted cash 18 11,965 13,226
Other investments 19 239,905 9,149
Cash and cash equivalents 17 412,607 685,211
Total current assets 1,055,547 979,776
------------------------ ---------------------------
Total assets 3,433,789 3,111,814
======================== ===========================
Equity
Share capital 20 1,072,500 1,072,500
Share premium reserve 20 1,027,706 1,027,706
Capital reserves 20 (314,310) (314,310)
Legal reserve 20 37,959 33,383
Put option reserve 20 (145,275) (93,256)
Translation reserve 20 194,764 203,709
Retained earnings 396,706 315,856
------------------------ ---------------------------
Equity attributable to the
owners of the Company 2,270,050 2,245,588
Non-controlling interests 7 130,588 68,502
Total equity 2,400,638 2,314,090
------------------------ ---------------------------
Non-current liabilities
Deferred tax liabilities 9 168,361 158,712
Other provisions 22 14,842 14,699
Loans and borrowings 25 101,439 38,425
Long-term Put option liability 24 13,604 -
Long-term financial obligations 27 65,587 100,478
Total non-current liabilities 363,833 312,314
------------------------ ---------------------------
Current liabilities
Trade and other payables 23 444,032 333,432
Loans and borrowings 25 25,416 14,575
Current tax liabilities 199,870 137,403
Total current liabilities 669,318 485,410
------------------------ ---------------------------
Total liabilities 1,033,151 797,724
------------------------ ---------------------------
Total equity and liabilities 3,433,789 3,111,814
======================== ===========================
These consolidated financial statements were approved and authorised
for issue by the Board of Directors and signed on their behalf on 21
March 2019 by:
____________________
---------------------------
Dr. Hend El Sherbini Hussein Choucri
Chief Executive Officer Independent Non-Executive Director
The accompanying notes form an integral part of these consolidated financial
statements.
Consolidated Income Statement for the Year Ended
Notes 31 December 2018 31 December 2017
EGP'000 EGP'000
=============================== ====== ================================ =================================
Revenue 3 1,921,452 1,514,257
Cost of sales (973,073) (784,701)
Gross profit 948,379 729,556
Marketing and advertising
expenses (94,887) (59,843)
Administrative expenses (160,055) (126,517)
Impairment loss on trade
and other receivable 17 (9,635) (5,561)
Other Income 1,141 2,736
Operating profit 8 684,943 540,371
Finance costs (31,015) (33,005)
Finance income 63,430 51,064
Net finance cost 8.2 32,415 18,059
-------------------------------- ---------------------------------
Profit before tax 717,358 558,430
Income tax expense 9 (220,444) (174,701)
Profit for the year 496,914 383,729
================================ =================================
Profit attributed to:
Owners of the Company 502,092 374,023
Non-controlling interests 7 (5,178) 9,706
496,914 383,729
================================ =================================
Earnings per share (expressed
in EGP) 10
Basic and Diluted 3.35 2.49
================================ =================================
The accompanying form an integral part of these consolidated financial
statements.
Consolidated Statement of Profit or Loss and Other Comprehensive
Income for the Year Ended
31 December 2018 31 December 2017
EGP'000 EGP'000
===================================== ================== =================
Net profit 496,914 383,729
Other comprehensive income:
Items that may be subsequently
reclassified to profit or loss:
Currency translation differences
on foreign currency subsidiaries (2,566) (5,577)
Other comprehensive income for
the year, net of tax (2,566) (5,577)
------------------ -----------------
Total comprehensive income for
the year 494,348 378,152
================== =================
Attributable to:
Owners of the Company 493,146 370,012
Non-controlling interests 1,202 8,140
494,348 378,152
================== =================
The accompanying form an integral part of these consolidated financial
statements.
Consolidated Statement of Cash Flows for the Year Ended
Notes 31 December 2018 31 December 2017
EGP'000 EGP'000
======================================= ====== ==================== ====================
Cash flows from operating activities
Profit for the year before tax 717,358 558,430
Adjustments for:
Depreciation 11 70,989 57,148
Amortization 12 6,398 4,774
(Gain)/Loss on disposal of property,
plant and equipment (138) 77
Impairment in trade and other
receivables 8 9,635 5,561
Reversal of impairment in trade
and other receivables 16 (1,056) (1,461)
Interest expense 8.2 11,855 10,391
Interest income 8.2 (59,305) (51,064)
Loss of foreign exchange 8.2 15,706 19,940
-------------------- --------------------
771,442 603,796
-------------------- --------------------
Change in:
Change to Provisions 22 143 2,497
Change to Inventories (21,144) (18,220)
Change to Trade and other receivables (118,042) (43,575)
Change to Trade and other payables 64,446 (29,652)
Cash generated from operating
activities 696,845 514,846
Income tax paid (140,537) (111,771)
Net cash from operating activities 556,308 403,075
-------------------- --------------------
Cash flows from investing activities
Interest received 71,412 36,660
Acquisition of Property, plant
and equipment (331,550) (157,349)
Proceeds from sale of property
and equipment 3,500 343
Change in restricted cash 18 1,261 27
Change in other investment 19 (230,756) 86,426
Acquisition of subsidiary 6 20,519 -
Net cash flows used in investing
activities (465,614) (33,893)
-------------------- --------------------
Cash flows from financing activities
Proceeds from borrowings 94,369 53,000
Repayments of borrowings (20,514) -
Interest paid (8,647) (10,096)
Inflow from a non-controlling 38,684 -
interest
Dividends paid (434,953) (376,744)
Payments for finance lease (27,668) (36,984)
Net cash flows used in financing
activities (358,729) (370,824)
-------------------- --------------------
Net decrease in cash and cash
equivalents (268,035) (1,642)
Cash and cash equivalent at the
beginning of the year 685,211 683,721
Effect of exchange rate fluctuations
on cash held (4,569) 3,132
Cash and cash equivalent at the
end of the year 18 412,607 685,211
==================== ====================
The accompanying form an integral part of these consolidated financial
statements.
Consolidated Statement of Changes in Equity for the Year Ended
31 December 2018
(All amounts in Share Share Capital Legal Put option Translation Retained Total attributed Non-Controlling Total Equity
Egyptian Capital premium reserve reserve* reserve reserve earnings to interests
Pounds "EGP'000") the owners
of the
Company
------------------ ---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
As at 1 January
2018 1,072,500 1,027,706 (314,310) 33,383 (93,256) 203,709 315,856 2,245,588 68,502 2,314,090
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Profit for the
period - - - - - - 502,092 502,092 (5,178) 496,914
Other
comprehensive
income
for the period - - - - - (8,946) - (8,946) 6,380 (2,566)
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Total
comprehensive
income - - - - - (8,946) 502,092 493,146 1,202 494,348
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Transactions with
owners
of the Company
Contributions and
distributions
Dividends - - - - - - (423,560) (423,560) (11,393) (434,953)
Legal reserve
formed during
the year* - - - 4,576 - - (4,576) - - -
Non-controlling
interests
resulting from
consoliatidating
subsidiaries
during the year - - - - - - - - 69,804 69,804
Restatement for
impact
of
hyperinflation - - - - - - 6,894 6,894 2,473 9,367
Movement in put
option
liability in the
year - - - - (52,019) - - (52,019) - (52,019)
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Total
contributions
and
distributions - - - 4,576 (52,019) - (421,242) (468,685) 60,884 (407,801)
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Change in
ownership
interests
At 31 December
2018 1,072,500 1,027,706 (314,310) 37,959 (145,275) 194,764 396,706 2,270,050 130,588 2,400,638
========== ========== ========== ========= ==================== ==================== ====================== =================================== ===================== ==========================
As at 1 January
2017 1,072,500 1,027,706 (314,310) 30,251 (102,082) 207,720 315,518 2,237,303 62,161 2,299,464
Profit for the
period - - - - - - 374,023 374,023 9,706 383,729
Other
comprehensive
income
for the period - - - - - (4,011) - (4,011) (1,566) (5,577)
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Total
comprehensive
income - - - - - (4,011) 374,023 370,012 8,140 378,152
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Transactions with
owners
of the Company
Contributions and
distributions
Dividends - - - - - - (371,875) (371,875) (4,869) (376,744)
Equity settled - - - - - - - - - -
share-based
payment
Legal reserve
formed during
the period* - - - 3,132 - - (3,132) - - -
Movement in put
option
liability in the
year - - - - 8,826 - - 8,826 - 8,826
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Total
contributions
and
distributions - - - 3,132 8,826 - (375,007) (363,049) (4,869) (367,918)
Change in
ownership
interests
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
Non-controlling
interests
resulting from
acquisition
of subsidiary - - - - - - 1,322 1,322 3,070 4,392
---------- ---------- ---------- --------- -------------------- -------------------- ---------------------- ----------------------------------- --------------------- --------------------------
At 31 December
2017 1,072,500 1,027,706 (314,310) 33,383 (93,256) 203,709 315,856 2,245,588 68,502 2,314,090
========== ========== ========== ========= ==================== ==================== ====================== =================================== ===================== ==========================
* Under Egyptian Law each subsidiary 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.
Notes to the Condensed Consolidated Interim Financial Statements
- For the Year Ended 31 December 2018
(In the notes all amounts are shown in Egyptian Pounds "EGP'000"
unless otherwise stated)
1. Corporate information
The consolidated financial statements of Integrated Diagnostics
Holdings plc and its subsidiaries (collectively, the Group) for the
year ended 31 December 2018 were authorised for issue in accordance
with a resolution of the directors on 21 March 2019. Integrated
Diagnostics Holdings plc "IDH" or "the company" has been
established according to the provisions of the Companies (Jersey)
law 1991 under No. 117257.
IDH's purpose is not restricted and the Group has full authority
to do any activity as long as it is not banned by the Companies law
unless amended from time to time or depending on the Companies
(Jersey) law.
The Group's financial year starts on 1 January and ends on 31
December each year. The Group's main activity is concentrated in
the field of medical diagnostics.
2. Basis of preparation
Statement of compliance
The consolidated financial statements of the Group have been
prepared in accordance with International Financial Reporting
Standards (IFRS) as adopted by the European Union (adopted IFRS)
issued by the International Accounting Standards Board (IASB) and
the Jersey Law 1991 an amendment to which means separate company
financial statements are not required.
Basis of measurement
The consolidated financial statements have been prepared on a
historical cost basis, except where adopted IFRS mandates that fair
value accounting is required.
Functional and presentation currency
Each of the Group's entities is using the currency of the
primary economic environment in which the entity operates ('the
functional currency'). The Group's consolidated financial
statements are presented in Egyptian Pounds, being the reporting
currency of the main Egyptian trading subsidiaries within the Group
and the primary economic environment in which the Group operates.
For each entity, the Group determines the functional currency and
items included in the financial statements of each entity are
measured using that functional currency. The Group uses the direct
method of consolidation and on disposal of a foreign operation; the
gain or loss that is reclassified to profit or loss reflects the
amount that arises from using this method.
Going concern
These consolidated financial statements have been prepared on
the going concern basis. At 31 December 2018, the Group had net
assets amounting to EGP 2,400,638. The Group is profitable and cash
generative and the Directors have considered the Group's cash
forecasts for a period of 12 months from the signing of the balance
sheet. The Directors have a reasonable expectation that the Group
has adequate resources to meet its liabilities as they fall due for
at least 12 months from the date of approval of these condensed
consolidated annual financial statements. Thus, they continue to
adopt the going concern basis in preparing the financial
information.
2.1. Basis of consolidation
The consolidated financial statements comprise the financial
statements of the Group and its subsidiaries as at 31 December
2018. Control is achieved when the Group is exposed, or has rights,
to variable returns from its involvement with the investee and has
the ability to affect those returns through its power over the
investee.
i. Subsidiaries
Subsidiaries are entities controlled by the Group. The Group
controls an entity when it is exposed to, or has rights to,
variable returns from its involvement with the entity and has the
ability to affect those returns through its power over the entity.
In assessing control, the Group takes into consideration potential
voting rights that are currently exercisable. The acquisition date
is the date on which control is transferred to the acquirer. The
financial statements of subsidiaries are included in the
consolidated financial statements from the date that control
commences until the date that control ceases. Losses applicable to
the non-controlling interests in a subsidiary are allocated to the
non-controlling interests even if doing so causes the
non-controlling interests to have a deficit balance.
ii. Change in subsidiary ownership and loss of control
Changes in the Group's interest in a subsidiary that do not
result in a loss of control are accounted for as equity
transactions. Where the group loses control of a subsidiary, the
assets and liabilities are derecognised along with any related NCI
and other components of equity. Any resulting gain or loss is
recognised in profit or loss. Any interest retained in the former
subsidiary is measured at fair value when control is lost.
iii. Transactions eliminated on consolidation
Intra-group balances and transactions, and any unrealised income
and expenses arising from intra-group transactions, are eliminated.
Unrealised gains arising from transactions with equity-accounted
investees are eliminated against the investment to the extent of
the Group's interest in the investee. Unrealised losses are
eliminated in the same way as unrealised gains, but only to the
extent that there is no evidence of impairment.
2.2. Significant accounting policies
Except for the changes below, the accounting policies set out
below have been consistently applied to all the years presented in
these consolidated financial statements.
The Group has adopted the following new standards, including any
inconsequential amendments to other standards, with a date of
initial application of 1 January 2018.
-- Annual Improvements to IFRS Standards 2014-2016 Cycle. [Describe effect of adoption
-- IFRIC 22 Foreign Currency Transactions and Advance Consideration.
-- IFRS 15 Revenue from Contract with Customers.
-- IFRS 9 Financial Instruments.
-- Classification and Measurement of Share-based Payment Transactions (Amendments to IFRS 2).
-- Applying IFRS 9 Financial Instruments with IFRS 4 Insurance
Contracts (Amendments to IFRS 4).
This new standard had a non-material impact on these
consolidated financial statements.
Changes in significant accounting policies
A. IFRS 15 Revenue from Contracts with Customers
IFRS 15 establishes a comprehensive framework for determining
whether, how much and when revenue is recognised, replacing IAS 18
Revenue. The Group has adopted IFRS 15 with the effect of initially
applying this standard recognised at the date of initial
application (i.e. 1 January 2018). Accordingly, the information
presented for 2017 has not been restated - i.e. it is presented, as
previously reported, under IAS 18.
The Group considers the current basis of revenue recognition to
remain appropriate as the only performance obligation, being
completion of a test, reflects the current policy. Therefore, the
Group considers that the initial application IFRS 15 has no
significant change or impact on the Group's accounting policies
applied on its consolidated financial statements.
B. IFRS 9 Financial Instruments
The Group do not consider the adoption of IFRS 9 to have a
significant effect on the classification and measurement of
financial assets and financial liabilities or hedge accounting. The
Group have, however, assessed the impact that the initial
application of IFRS 9 will have in relation to the impairment of
financial assets.
The financial impact of this assessment is the recognition of an
additional impairment charge (net of tax) of EGP 1.2m in the period
for the expected credit loss of trade receivables in excess of the
Group's existing provisioning policy. The Group do not deem the
impact of transition as at 1 January 2018 to be significant
therefore have not retrospectively adjusted opening equity
balances.
The following table shows the original measurement categories
under IAS 39 and the new measurement categories under IFRS 9 for
each class of the Company's financial assets and financial
liabilities as at 1 January 2018.
The following table shows the original measurement categories
under IAS 39 and the new measurement categories under IFRS 9
2018 2017
EGP'000 EGP'000
--------------- ---------------
Net trade and other receivable balance at 31 December per IAS 39 221,577 139,885
Adjustment in initial application of IFRS 9 (1,181) -
Net trade and other receivable balance at 31 December per IFRS 9 (note 17) 220,396 139,885
=============== ===============
a) Business combinations and goodwill
Business combinations are accounted for using the acquisition
method. The cost of an acquisition is measured as the aggregate of
the consideration transferred, which is measured at acquisition
date fair value, and the amount of any non-controlling interests in
the acquiree. For each business combination, the Group elects
whether to measure the non-controlling interests in the acquiree at
fair value or at the proportionate share of the acquiree's
identifiable net assets. Acquisition-related costs are expensed as
incurred and included in administrative expenses.
When the Group acquires a business, it assesses the financial
assets and liabilities assumed for appropriate classification and
designation in accordance with the contractual terms, economic
circumstances and pertinent conditions as at the acquisition
date.
Any contingent consideration to be transferred by the acquirer
will be recognised at fair value at the acquisition date.
Goodwill is initially measured at cost (being the excess of the
aggregate of the consideration transferred and the amount
recognised for non-controlling interests) and any previous interest
held over the net identifiable assets acquired and liabilities
assumed.
If the fair value of the net assets acquired is in excess of the
aggregate consideration transferred, the Group re-assesses whether
it has correctly identified all of the assets acquired and all of
the liabilities assumed and reviews the procedures used to measure
the amounts to be recognised at the acquisition date. If the
reassessment still results in an excess of the fair value of net
assets acquired over the aggregate consideration transferred, then
the gain is recognised in profit or loss.
After initial recognition, goodwill is measured at cost less any
accumulated impairment losses.
For the purpose of impairment testing which it is done one an
annual basis, goodwill acquired in a business combination is, from
the acquisition date, allocated to each of the Group's
cash-generating units that are expected to benefit from the
combination, irrespective of whether other assets or liabilities of
the acquiree are assigned to those units.
Where goodwill has been allocated to a cash-generating unit
(CGU) and part of the operation within that unit is disposed of,
the goodwill associated with the disposed operation is included in
the carrying amount of the operation when determining the gain or
loss on disposal. Goodwill disposed in these circumstances is
measured based on the relative values of the disposed operation and
the portion of the cash-generating unit retained.
b) Fair value measurement
The Group measures financial instruments such as non-derivative
financial instruments and contingent consideration assumed in a
business combination, at fair value at each balance sheet date.
When measuring the fair value of an asset or a liability, the
Group uses observable market data as far as possible. Fair value is
categorised into different levels in a fair value hierarchy based
on the inputs
used in the valuation techniques as follows:
Ø Level 1 - Quoted (unadjusted) market prices in active markets
for identical assets or liabilities
Ø Level 2 - Valuation techniques for which the lowest level
input that is significant to the fair value measurement is directly
or indirectly observable
Ø Level 3 - Valuation techniques for which the lowest level
input that is significant to the fair value measurement is
unobservable
For assets and liabilities that are recognised in the financial
statements at fair value on a recurring basis, the Group determines
whether transfers have occurred between levels in the hierarchy by
re-assessing categorisation (based on the lowest level input that
is significant to the fair value measurement as a whole) at the end
of each reporting period.
For the purpose of fair value disclosures, the Group has
determined classes of assets and liabilities on the basis of the
nature, characteristics and risks of the asset or liability and the
level of the fair value hierarchy, as explained above.
The fair value less any estimated credit adjustments for
financial assets and liabilities with maturity dates less than one
year is assumed to approximate their carrying value. The fair value
of financial liabilities for disclosure purposes is estimated by
discounting the future contracted cash flows at the current market
interest rate that is available to the Group for similar
transactions.
c) Revenue recognition
Revenue represents the value of medical diagnostic services
rendered in the year, and is stated net of discounts. The Group has
two types of customers: Walk-in patients and patients served under
contract. For patients under contract, rates are agreed in advance
on a per-test, client-by-client basis.
The following steps are considered for patients served under
contracts:
1. Identification of the Contracts: written contracts are signed
between IDH and customers. The contracts stipulate the duration,
price per test, credit period.
2. Transaction price: Services provided by the Group are
distinct in the contract, as the contract stipulates the series of
tests' names/types to be conducted along with its distinct
prices.
3. Allocation of price to performance obligations: Stand-alone
selling price per test is stipulated in the contract. In case of
discounts, it is allocated proportionally to all of tests prices in
the contract.
4. The revenue is recognised based on performance obligations that occur at a point in time.
5. That there are no other revenue streams other than those
whose performance obligation occurs at a point in time.
d) Leases
i. Determining whether an arrangement contains a lease
At inception of an arrangement, the Group determines whether the
arrangement is or contains a lease.
At inception or on reassessment of an arrangement that contains
a lease, the Group separates out payments and other consideration
required by the arrangement into those for the lease and those for
other elements on the basis of their relative fair values. If the
Group concludes for a finance lease that it is impractical to
separate the payments reliably, then an asset and a liability are
recognised at an amount equal to the fair value of the underlying
asset; subsequently, the liability is reduced as payments are made
and an imputed finance cost on the liability is recognised using
the Group's incremental borrowing rate.
ii. Leased assets
Assets held by the Group under leases that transfer to the Group
substantially all of the risks and rewards of ownership are
classified as finance leases. The leased assets are measured
initially at an amount equal to the lower of their fair value and
the present value of the minimum lease payments. Subsequent to
initial recognition, the assets are accounted for in accordance
with the accounting policy applicable to that asset. Assets held
under other leases are classified as operating leases and are not
recognised in the Group's statement of financial position.
iii. Lease payments
Payments made under operating leases are recognised in profit or
loss on a straight-line basis over the term of the lease. Lease
incentives received are recognised as an integral part of the total
lease expense, over the term of the lease. Minimum lease payments
made under finance leases are apportioned between the finance
expense and the reduction of the outstanding liability. The finance
expense is allocated to each period during the lease term so as to
produce a constant periodic rate of interest on the remaining
balance of the liability.
e) Income Taxes
Tax on the profit or loss for the year comprises current and
deferred tax. Tax is recognised in the income statement except to
the extent that it relates to items recognised directly in equity,
in which case it is recognised in equity.
i. Current tax
Current tax is the expected tax payable or receivable on the
taxable income or loss for the year, using tax rates enacted or
substantively enacted at the balance sheet date, and any adjustment
to tax payable in respect of previous years.
ii. Deferred tax
Deferred tax is provided using the liability method on temporary
differences between the tax bases of assets and liabilities and
their carrying amounts for financial reporting purposes at the
reporting date.
Deferred tax is recognised on temporary differences arising
between the tax bases of assets and liabilities and their carrying
amounts in the consolidated financial statements.
However, deferred tax liabilities are not recognised if they
arise from the initial recognition of goodwill; deferred income tax
is not accounted for if it arises from initial recognition of an
asset or liability in a transaction other than a business
combination and differences relating to investments in subsidiaries
to the extent that they will probably not reverse in the
foreseeable future.
Deferred tax assets are recognised for all deductible temporary
differences, the carry forward of unused tax credits and any unused
tax losses. Deferred tax assets are recognised to the extent that
it is probable that taxable profit will be available against which
the deductible temporary differences, and the carry forward of
unused tax credits and unused tax losses can be utilised. Deferred
tax is determined using tax rates (and laws) that have been enacted
or substantively enacted by the reporting date and are expected to
apply when the related deferred income tax asset is realized or the
deferred income tax liability is settled.
f) Foreign currency
Transactions in foreign currencies are initially recorded by the
Group's entities at their respective functional currency spot rates
at the date the transaction first qualifies for recognition.
Monetary assets and liabilities denominated in foreign currencies
are translated at the functional currency spot rates of exchange at
the reporting date.
Differences arising on settlement or translation of monetary
items are recognised in the income statement.
Non-monetary items that are measured in terms of historical cost
in a foreign currency are translated using the exchange rates at
the dates of the initial transactions. Non-monetary items measured
at fair value in a foreign currency are translated using the
exchange rates at the date when the fair value is determined.
On consolidation, the assets and liabilities of foreign
operations are translated into Egyptian Pounds at the rate of
exchange prevailing at the reporting date and their statements of
profit or loss are translated at average rate (unless this average
is not a reasonable approximation of the cumulative effect of the
rates prevailing on the transaction dates, in which case income and
expenses are translated at the rate on the dates of the
transactions). The exchange differences arising on translation for
consolidation are recognised in other comprehensive income and
accumulated in the translation reserve or NCI as the case may be.
On disposal of a foreign operation, the component of other
comprehensive income relating to that particular foreign operation
is recognised in profit or loss.
Any goodwill arising on the acquisition of a foreign operation
and any fair value adjustments to the carrying amounts of assets
and liabilities arising on the acquisition are treated as assets
and liabilities of the foreign operation and translated at the spot
rate of exchange at the reporting date.
g) Hyperinflationary Economies
The financial statements of "SAMA Medical Laboratories Co. and
AL-Mokhtabar Sudanese Egyptian Co." report their financial
statements in the currency of a hyperinflationary economy. In
accordance with IAS 29 financial reporting in Hyperinflationary
Economies, the financial statements of those subsidiaries were
restated by applying a general price index at closing rates before
they were included in the consolidation financial statements.
The comparative information has not been restated, the gain or
loss on the net monetary position related to price changes in prior
periods has been recognised directly in equity.
When the functional currency of a foreign operation is the
currency of a hyperinflationary economy, all assets, liabilities,
equity items, income and expenses are translated using an official
exchange rate prevailing at the end of each reporting period.
Exchange difference e arising, if any, are recognized on other
comprehensive income and accumulated in equity (attributed to
non-c0ontrolling interests as appropriate)
h) Property, plant and equipment
All property and equipment are stated at historical cost less
accumulated depreciation. Historical cost includes expenditure that
is directly attributable to the acquisition of the items.
Subsequent costs are included in the asset's carrying amount or
recognised as a separate asset, as appropriate, only when it is
probable that future economic benefits associated with the item
will flow to the group and the cost of the item can be measured
reliably. The carrying amount of the replaced part is derecognised.
All other repairs and maintenance are charged to the consolidated
statement of income during the financial period in which they are
incurred.
Land is not depreciated.
Laboratory Equipment held to perform the 'Hub spoke' at the Mega
Lab and provided under finance lease arrangements are depreciated
under a unit of production method as this most closely reflects the
consumption of benefits from the equipment.
Depreciation on other assets is calculated using the
straight-line method to allocate their cost or revalued amounts to
their residual value over their estimated useful lives, as
follows:
Buildings 50 years
Medical, electric and information systems equipment 4-10 years
Leasehold improvements 4-5 years
Fixtures, fittings & vehicles 4-16 years
The assets' residual values and useful lives are reviewed, and
adjusted if appropriate, at the end of each reporting period.
An asset's carrying amount is written down immediately to its
recoverable amount if the asset's carrying amount is greater than
its estimated recoverable amount. Gains and losses on disposals are
determined by comparing the proceeds with the carrying amount and
are recognised within 'Other (losses)/gains - net' in the
consolidated statement of income.
i) Intangible assets
Intangible assets acquired separately are measured on initial
recognition at cost. The cost of intangible assets acquired in a
business combination is their fair value at the date of
acquisition. Following initial recognition, intangible assets are
carried at cost less any accumulated amortisation and accumulated
impairment losses.
Internally generated intangibles, excluding capitalised
development costs, are not capitalised and the related expenditure
is reflected in profit or loss in the period in which the
expenditure is incurred.
The useful lives of intangible assets are assessed as either
finite or indefinite.
Intangible assets with finite lives are amortised over the
useful economic life and assessed for impairment whenever there is
an indication that the intangible asset may be impaired. The
amortisation period and the amortisation method for an intangible
asset with a finite useful life are reviewed at least at the end of
each reporting period. Changes in the expected useful life or the
expected pattern of consumption of future economic benefits
embodied in the asset are considered to modify the amortisation
period or method, as appropriate, and are treated as changes in
accounting estimates. The amortisation expense on intangible assets
with finite lives is recognised in the statement of profit or loss
in the expense category that is consistent with the function of the
intangible assets. The Group amortises intangible assets with
finite lives using the straight-line method over the following
periods:
- IT development and software 4-5 years
Intangible assets with indefinite useful lives are not
amortised, but are tested for impairment annually, either
individually or at the cash-generating unit level. The assessment
of indefinite life is reviewed annually to determine whether the
indefinite life continues to be supportable. If not, the change in
useful life from indefinite to finite is made on a prospective
basis.
Goodwill
Goodwill arises on the acquisition of subsidiaries and
represents the excess of the consideration transferred over
interest in net fair value of the net identifiable assets,
liabilities and contingent liabilities of the acquiree and the fair
value of the non-controlling interest in the acquire.
Goodwill is stated at cost less any accumulated impairment
losses. For the purpose of impairment testing, goodwill acquired in
a business combination is allocated to each of the cash-generating
units (CGUs), or groups of CGUs, that is expected to benefit from
the synergies of the combination. Each unit or group of units to
which the goodwill is allocated represents the lowest level within
the entity at which the goodwill is monitored for internal
management purposes. The impairment assessment is done one an
annual basis.
Brand
Brand names acquired in a business combination are recognised at
fair value at the acquisition date and have an indefinite useful
life.
The Group brand names are considered to have indefinite useful
life as the Egyptian brands have been established in the market for
more than 30 years and the health care industry is very stable and
continues to grow.
The Brands are not expected to become obsolete and can expand
into different countries and adjacent businesses, in addition,
there is a sufficient ongoing marketing efforts to support the
brands and this level of marketing effort is economically
reasonable and maintainable for the foreseeable future.
j) Financial instruments - initial recognition and subsequent measurement
A financial instrument is any contract that gives rise to a
financial asset of one entity and a financial liability or equity
instrument of another entity.
i. Financial assets
Initial recognition and measurement
Financial assets are classified, at initial recognition, as
financial assets at fair value through profit or loss, as
appropriate. All financial assets are recognised initially at fair
value plus, in the case of financial assets not recorded at fair
value through profit or loss, transaction costs that are
attributable to the acquisition of the financial asset. Purchases
or sales of financial assets that require delivery of assets within
a time frame established by regulation or convention in the market
place (regular way trades) are recognised on the trade date, i.e.,
the date that the Group commits to purchase or sell the asset.
Subsequent measurement
For purposes of subsequent measurement, financial assets are
classified in three categories:
Ø Financial assets at fair value through profit or loss
Ø Fair value through other comprehensive income
Ø Amortised cost
The Group did not hold financial assets classified as financial
assets at fair value through the profit or loss at 31 December 2018
and 31 December 2017.
Derecognition
A financial asset (or, where applicable, a part of a financial
asset or part of a group of similar financial assets) is primarily
derecognised (i.e. removed from the Group's consolidated statement
of financial position) when:
Ø The rights to receive cash flows from the asset have
expired
Or
Ø The Group has transferred its rights to receive cash flows
from the asset or has assumed an obligation to pay the received
cash flows in full without material delay to a third party under a
'pass-through' arrangement; and either (a) the Group has
transferred substantially all the risks
and rewards of the asset, or (b) the Group has neither
transferred nor retained substantially all the risks and rewards of
the asset, but has transferred control of the asset.
When the Group has transferred its rights to receive cash flows
from an asset or has entered into a pass- through arrangement, it
evaluates if, and to what extent, it has retained the risks and
rewards of ownership. When it has neither transferred nor retained
substantially all of the risks and rewards of the asset, nor
transferred control of the asset, the Group continues to recognise
the transferred asset to the extent of its continuing involvement.
In that case, the Group also recognises an associated liability.
The transferred asset and the associated liability are measured on
a basis that reflects the rights and obligations that the Group has
retained.
Continuing involvement that takes the form of a guarantee over
the transferred asset is measured at the lower of the original
carrying amount of the asset and the maximum amount of
consideration that the Group could be required to repay.
Impairment of financial assets
Further disclosures relating to impairment of financial assets
are also provided in the following notes:
Ø Disclosures for significant estimates and assumptions Note 2.3
Ø Financial assets Note 14
Ø Trade receivables Note 16
The Group uses an allowance matrix to measure the ECLs of trade
receivables from individual customers, which comprise a very large
number of small balances.
Loss rates are calculated using a 'roll rate' method based on
the probability of a receivable progressing through successive
stages of delinquency to write-off. Roll rates are calculated
separately for exposures in different segments based on credit risk
characteristics, age of customer relationship.
Loss rates are based on actual credit loss experience over the
past three years. These rates are multiplied by scalar factors to
reflect differences between economic conditions during the period
over which the historical data has been collected, current
conditions and the Group's view of economic conditions over the
expected lives of the receivables.
ii. Financial liabilities
Initial recognition and measurement
All financial liabilities are recognised initially at fair value
and, in the case of loans and borrowings and payables, net of
directly attributable transaction costs.
All of the Group's financial liabilities are classified as
financial liabilities carried at amortised cost using the effective
interest method. The Group does not use derivative financial
instruments or hedge account for any transactions. Unless otherwise
indicated, the carrying amounts of the Group's financial
liabilities are a reasonable approximation of their fair
values.
The Group's financial liabilities include trade and other
payables, finance lease liabilities and loans and borrowings
including bank overdrafts.
Derecognition
A financial liability is derecognised when the obligation under
the liability is discharged or cancelled or expires. When an
existing financial liability is replaced by another from the same
lender on substantially different terms, or the terms of an
existing liability are substantially modified, such an exchange or
modification is treated as the derecognition of the original
liability and the recognition of a new liability. The difference in
the respective carrying amounts is recognised in the statement of
profit or loss.
iii. Offsetting of financial instruments
Financial assets and financial liabilities are offset and the
net amount is reported in the consolidated statement of financial
position if there is a currently enforceable legal right to offset
the recognised amounts and there is an intention to settle on a net
basis, to realise the assets and settle the liabilities
simultaneously.
k) Impairment of non-financial assets
Further disclosures relating to impairment of non-financial
assets are also provided in the following notes:
Ø Disclosures for significant assumptions and estimates Note 2.3
Ø Goodwill and intangible assets with indefinite lives Note 13
The Group assesses, at each reporting date, whether there is an
indication that an asset may be impaired. If any indication exists,
or when annual impairment testing for an asset is required, the
Group estimates the asset's recoverable amount. An asset's
recoverable amount is the higher of an asset's or CGU's fair value
less costs of disposal and its value in use. The recoverable amount
is determined for an individual asset, unless the asset does not
generate cash inflows that are largely independent of those from
other assets or groups of assets. When the carrying amount of an
asset or CGU exceeds its recoverable amount, the asset is
considered impaired and is written down to its recoverable
amount.
In assessing value in use, the estimated future cash flows are
discounted to their present value using a pre-tax discount rate
that reflects current market assessments of the time value of money
and the risks specific to the asset. In determining fair value less
costs of disposal, recent market transactions are taken into
account. If no such transactions can be identified, an appropriate
valuation model is used. These calculations are corroborated by
valuation multiples, quoted share prices for publicly traded
companies or other available fair value indicators.
The Group bases its impairment calculation on detailed budgets
and forecast calculations, which are prepared separately for each
of the Group's CGUs to which the individual assets are allocated.
These budgets and forecast calculations generally cover a period of
five years. A long-term growth rate is calculated and applied to
project future cash flows after the fifth year.
Impairment losses of continuing operations are recognised in the
statement of profit or loss in expense categories consistent with
the function of the impaired asset, except for properties
previously revalued with the revaluation taken to other
comprehensive income ("OCI"). For such properties, the impairment
is recognised in OCI up to the amount of any previous
revaluation.
For assets excluding goodwill, an assessment is made at each
reporting date to determine whether there is an indication that
previously recognised impairment losses no longer exist or have
decreased.
If such indication exists, the Group estimates the asset's or
CGU's recoverable amount. A previously recognised impairment loss
is reversed only if there has been a change in the assumptions used
to determine the asset's recoverable amount since the last
impairment loss was recognised. The reversal is limited so that the
carrying amount of the asset does not exceed its recoverable
amount, nor exceed the carrying amount that would have been
determined, net of depreciation, had no impairment loss been
recognised for the asset in prior years. Such reversal is
recognised in the statement of profit or loss unless the asset is
carried at a revalued amount, in which case, the reversal is
treated as a revaluation increase.
Goodwill is tested for impairment annually as at 31 October and
when circumstances indicate that the carrying value may be
impaired.
Impairment is determined for goodwill by assessing the
recoverable amount of each CGU (or group of CGUs) to which the
goodwill relates. When the recoverable amount of the CGU is less
than its carrying amount, an impairment loss is recognised.
Impairment losses relating to goodwill cannot be reversed in future
periods.
Intangible assets with indefinite useful lives are tested for
impairment annually as at 31 October at the CGU level, as
appropriate, and when circumstances indicate that the carrying
value may be impaired.
Assets that are subject to amortisation are reviewed for
impairment whenever events or changes in circumstances indicate
that the carrying amount may not be recoverable. An impairment loss
is recognized for the amount by which the asset's carrying amount
exceeds its recoverable amount. The recoverable amount is the
higher of an asset's fair value less costs of disposal and value in
use. For the purposes of assessing impairment, assets are grouped
at the lowest levels for which there are largely independent cash
inflows (CGU). Prior impairments of non-financial assets (other
than goodwill) are reviewed for possible reversal at each reporting
date.
Impairment of trade and notes receivables
The requirement for impairment of trade receivables is made
through monitoring the debts aging and reviewing customer's credit
position and their ability to make payment as they fall due. An
impairment is recorded against receivables for the irrecoverable
amount estimated by management. At the year end, the provision for
impairment of trade receivables was EGP 29,295K (31 December 2017:
EGP 21,784K)
l) Inventories
Inventories are stated at the lower of cost and net realisable
value. Cost is determined using the weighted average method. Net
realisable value is the estimated selling price in the ordinary
course of business, less estimated selling and distribution
expenses.
m) Cash and short-term deposits
Cash and short-term deposits in the statement of financial
position comprise cash at banks and on hand and short-term deposits
with a maturity of three months or less, which are subject to an
insignificant risk of changes in value.
For the purpose of the consolidated statement of cash flows,
cash and cash equivalents consist of cash and short-term deposits,
as defined above, net of outstanding bank overdrafts as they are
considered an integral part of the Group's cash management.
n) Provisions
Provisions are recognised when the Group has a present
obligation (legal or constructive) as a result of a past event, it
is probable that an outflow of resources embodying economic
benefits will be required to settle the obligation and a reliable
estimate can be made of the amount of the obligation. When the
Group expects some or all of a provision to be reimbursed, for
example, under an insurance contract, the reimbursement is
recognised as a separate asset, but only when the reimbursement is
virtually certain. The expense relating to a provision is presented
in the statement of profit or loss net of any reimbursement.
If the effect of the time value of money is material, provisions
are discounted using a current pre-tax rate that reflects, when
appropriate, the risks specific to the liability. When discounting
is used, the increase in the provision due to the passage of time
is recognised as a finance cost.
Provisions are measured at the present value of the expenditures
expected to be required to settle the obligation using a pre-tax
rate that reflects current market assessments of the time value of
money and the risks specific to the obligation. The increase in the
provision due to passage of time is recognised as a finance
cost.
o) Pensions and other post-employment benefits
A defined contribution plan is a pension plan under which the
Group pays fixed contributions into a separate entity. The Group
has no legal or constructive obligations to pay further
contributions if the fund does not hold sufficient assets to pay
all employees the benefits relating to employee service in the
current and prior periods. Obligations for contributions to defined
contribution pension plans are recognized as an expense in the
income statement in the periods during which services are rendered
by employees.
p) 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.
q) New and amended standards and interpretations not yet adopted
The Group has not early adopted any other standard,
interpretation or amendments that have been issued but not yet
effective for the year ended 31 December 2018.
None of these are expected to have a material effect on these
consolidated financial statements of the Group, except for the
following which could change the classification and measurements of
financial assets.
-- IFRS 16 Leases
IFRS 16 - Leases: the standard is effective for accounting
periods beginning on or after 1 January 2019 and will be adopted by
the Group on 1 January 2019. The Directors are assessing the likely
impact on the reported results and financial position of the Group.
The existing obligations under operating lease agreements at 31
December 2018 are EGP 441m (see note 27), which primarily relate to
buildings. We are using the modified retrospective approach for
transition on 1 January 2019 and we are taking advantage of the
exemption on transition relating to low value assets.
We have not yet concluded on the value of the expected
adjustment to the balance sheet for leases capitalised and the
corresponding lease liability. Similarly, the expected impact on
the income statement for the year ending 31 December 2019 has not
been concluded.
The preparation of the Group's consolidated financial statements
in conformity with adopted IFRSs requires management to make
judgments, estimates and assumptions that affect the reported
amounts of revenues, expenses, assets and liabilities.
Uncertainty about these assumptions and estimates could result
in outcomes that require a material adjustment to the carrying
amount of assets or liabilities affected in future periods.
Other disclosures relating to the Group's exposure to risks and
uncertainties includes:
Ø Capital management Note 4
Ø Financial instruments risk management and policies Notes 14
Ø Sensitivity analyses disclosures Notes 14
Judgments
In preparing these consolidated financial statements, management
have made a material judgment, that affect the application of the
Group's lease accounting policy and the reported amounts of assets,
liabilities, and expenses. Information about judgment, estimate and
assumptions relating to finance leases are set out in note 27.
Estimates and assumptions
The key assumptions concerning the future and other key sources
of estimation uncertainty at the reporting date, that have a
significant risk of causing a material adjustment to the carrying
amounts of assets and liabilities within the next financial year,
are described below.
The Group based its assumptions and estimates on parameters
available when the consolidated financial statements were prepared.
Existing circumstances and assumptions about future developments,
however, may change due to market changes or circumstances arising
that are beyond the control of the Group. Such changes are
reflected in the assumptions when they occur.
Impairment of intangible assets
The Group tests annually whether goodwill and other intangibles
with indefinite lives have suffered any impairment. Impairment
exists when the carrying value of an asset or cash generating unit
exceeds its recoverable amount, which is the higher of its fair
value less costs of disposal and its value in use.
The recoverable amounts of cash generating units have been
determined based on value in use. The value
in use calculation is based on a discounted cash flow ("DCF")
model.
The cash flows are derived from the budget for the next five
years and do not include restructuring activities that the Group is
not yet committed to or significant future investments that will
enhance the asset's performance of the CGU being tested. The
recoverable amount is sensitive to the discount rate used for the
DCF model as well as the expected future cash-inflows and the
growth rate used for extrapolation purposes.
3. Segment information
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. The revenue split between the four regions is
set out below.
Revenue by geographic location
-----------------------------------------------------------------------------------------------------------------
For the Egypt region Sudan region Jordan region Nigeria region Total
year ended
--------------------- ---------------------- --------------------- ------------------------ -----------------
31-Dec-18 1,613,484 35,347 242,489 30,132 1,921,452
31-Dec-17 1,250,584 45,687 217,986 - 1,514,257
Net profit by geographic location
-----------------------------------------------------------------------------------------------------------------------
For the Egypt region Sudan region Jordan region Nigeria region Total
year ended
---------------------- ------------------------ ---------------------- ------------------------ -------------------
31-Dec-18 505,769 (6,241) 26,193 (28,807) 496,914
31-Dec-17 361,428 (228) 22,530 - 383,729
Revenue by type Net profit by type
2018 2017 2018 2017
EGP'000 EGP'000 EGP'000 EGP'000
------------------- -------------------- ------------------- ------------------
Pathology 1,889,418 1,514,257 524,248 383,729
Radiology 32,034 - (27,334) -
-------------------- ------------------
1,921,452 1,514,257 496,914 383,729
=================== ==================== =================== ==================
The operating segment profit measure reported to the CODM is
EBITDA, as follows:
2018 2017
EGP'000 EGP'000
-------------------- -------------------
Profit from operations 684,943 540,371
Property, plant and equipment depreciation 70,989 57,148
Amortization of Intangible assets 6,398 4,774
EBITDA 762,330 602,293
==================== ===================
The operating segment assets and liabilities measure reported to
the CODM is in accordance with IFRS as shown in the Group's
Consolidated Statement of Financial Position.
4. Capital management
The Group's objectives when managing capital are to safeguard
the Group's ability to continue as a going concern in order to
provide returns for shareholders and benefits for other
stakeholders and to maintain an optimal capital structure to reduce
the cost of capital.
In order to maintain or adjust the capital structure, the group
may adjust the amount of dividends paid to shareholders, return
capital to shareholders, issue new shares or sell assets to reduce
debt.
The repatriation of a declared dividend from Egyptian group
entities are subject to regulation by Egyptian authorities. The
outcome of an Ordinary General Meeting of Shareholders declaring a
dividend is first certified by the General Authority for Investment
and Free Zones (GAFI).
Approval is subsequently transmitted to Misr for Central
Clearing, Depository and Registry (MCDR) to distribute dividends to
all shareholders, regardless of their domicile, following
notification of shareholders via publication in one national
newspapers.
The Group monitors capital on the basis of the net debt to
equity ratio. This ratio is calculated as net debt divided by total
equity. Net debt is calculated as total liabilities (being total
current liabilities plus long-term financial obligations) less cash
and cash equivalents.
As a provider of medical diagnostic services, IDH's operations
in Sudan are not subject to sanctions.
2018 2017
EGP'000 EGP'000
--------------------------- ---------------------------
Total liabilities 849,948 624,313
Less: cash and short-term deposits (Note 17) (412,607) (685,211)
--------------------------- ---------------------------
Net (cash)/debt 437,341 (60,898)
=========================== ===========================
Total Equity 2,400,638 2,314,090
--------------------------- ---------------------------
Net debt to equity ratio 18.2% -2.6%
No changes were made in the objectives, policies or processes
for managing capital during the years ended 31 December 2018 and
2017.
5. Group information
Information about subsidiaries
The consolidated financial statements of the Group include:
Principal Country of % equity interest
activities Incorporation
--------------------- ----------------
2018 2017
--------------------------------------------------------------------------- ------------ -------
Al Borg Laboratory Company Medical diagnostics
("Al-Borg") service Egypt 99.3% 99.3%
Al Mokhtabar Company for Medical diagnostics
Medical Labs ("Al Mokhtabar") service Egypt 99.9% 99.9%
Medical diagnostics
Molecular Diagnostic Center* service Egypt 99.9% 99.9%
Medical diagnostics
Medical Genetic Center service Egypt 55.0% 55.0%
Al Makhbariyoun Al Arab
Group (Hashemite Kingdom Medical diagnostics
of Jordan) service Jordan 60.0% 60.0%
Golden Care for Medical Holding company
Services of SAMA Egypt 100.0% 100.0%
Integrated Medical Analysis Medical diagnostics
Company (S.A.E) service Egypt 99.6% 99.6%
SAMA Medical Laboratories
Co. ("Ultralab medical laboratory Medical diagnostics
") service Sudan 80.0% 80.0%
AL-Mokhtabar Sudanese Egyptian Medical diagnostics
Co. service Sudan 65.0% 65.0%
Integrated Diagnostics Holdings Intermediary
Limited holding company Caymans Island 100.0% 100.0%
Intermediary England and
Dynasty Group Holdings Limited holding company Wales 51%.0 51%.0
Eagle Eye** Intermediary Mauritius 73.59% -
holding company
Echo-Scan (note 6) Medical diagnostics Nigeria 99.99% -
service
* "Molecular Diagnostic Center" is no longer treated as a
subsidiary with effect from 5 May 2016 following the start of
liquidation proceedings as control has been passed to the
liquidator [ Abd EL Wahab Kamal] under Egyptian Law.
Full details of the Group historical acquisitions can be found
in the prospectus for the initial public offering by the Company
dated 6 May 2015 and available at www.idhcorp.com.
6. Acquisition of subsidiaries
On 15 January 2018, Dynasty Group Holdings Limited ("Dynasty")
acquired 73.59% of Eagle Eye Company ("Eagle Eye"), a holding
company which holds 99.99% of Echo-Scan Services Limited
("Echo-Scan"), through a capital increase amounting to 80m EGP. An
additional 67,216 shares were issued, bringing to the total number
of shares to 73,071. Dynasty acquired 53,773 shares, entitling them
to a beneficial ownership of 73.59% and obtaining control of
Eagle-Eye. IDH Cayman owns 51% of Dynasty. The remaining 49% is
owned by Man Health (Cayman) LLP.
Dynasty has partnered with the International Finance Corporation
("IFC"), a member of the World Bank Group, to invest in Echo-Scan,
a medical diagnostics business based in Nigeria. Dynasty and the
IFC will invest USD 20 million and USD 5 million respectively to
expand Echo-Scan's nationwide service offering, footprint, and
quality standards. Over the coming year, Echo-Scan will refurbish
and upgrade existing locations as well as significantly augment its
number of branches.
In the period from acquisition to 31 December 2018, Eagle-Eye
and its subsidiary contributed revenue of EGP 30m and loss of EGP
28.8m to the Group's results. Due to the scale of Nigerian
operations, management do not estimate there to be a significant
impact on consolidated revenue and consolidated profit for the
period if the acquisition had occurred on 1 January 2018.
The Company assigned Diya Fatimilehin & Co. as an
independent appraisal firm to conduct the evaluation of the
existing tangible assets at the date of the acquisition. Diya
Fatimilehin & Co. used the Depreciated Replacement cost with
recourse to Market. Comparison. Depreciated Replacement cost
reflects adjustments for physical deterioration as well as
functional and economic obsolescence.
Fincorp has been assigned to conduct the PPA exercise. Based on
the report issued by Fincorp along with Diya Fatimilehin & Co
assets revaluation report, EGP 79.5m was transferred
- Net assets of EGP 9m; and
- Goodwill of EGP 15m.
No amounts were allocated to intangibles due to:
- Echo-Scan branches was relatively and not strategically located.
- Echo-Scan had Low number of corporate patients (less than 5%).
- Echo-Scan did not possess an adequate database capturing the
customers' names, addresses, medical history
Acquisition-related costs
The Group incurred acquisition-related cost of EGP 4m relating
to external legal fees and due diligence costs. These costs have
been included in 'administrative expenses' in the condensed
consolidated statement of profit and loss.
The following is a statement of assets and liabilities of the
acquired company (Eagle Eye - Echo Scan) and the fair value as at
the date of acquisition.
Book value Movement Value
-----------------------------
EGP'000 EGP'000 EGP'000
----------------------------- ----------- --------- ---------
Tangible fixed assets 18,368 24,335 42,703
Trade and other receivables 2,240 - 2,240
Cash and cash equivalents 20,519 - 20,519
Trade and other payables (49,049) - (49,049)
Deferred tax - (7,301) (7,301)
Net assets acquired (7,922) 17,034 9,112
=========== ========= =========
Goodwill
31-Dec-18
Goodwill arising from the acquisition has been recognised as follows: EGP'000
----------------
Consideration transferred* -
Non-controlling interest 24,189
Provisional fair value of identifiable net assets (9,112)
Goodwill 15,077
================
* proceeds of share issue have remained within the group.
7. Non-Controlling interest
Non-Controlling Interest is measured at the proportionate share
basis.
Financial information of subsidiaries that have material
non-controlling interests is provided below:
Proportion of equity interest held by non-controlling
interests:
Country of incorporation 2018 2017
----------------------------------------------------------------- ------ ------
Medical Genetic Center Egypt 45.0% 45.0%
Al Makhbariyoun Al Arab Group (Hashemite Kingdom
of Jordan) Jordan 40.0% 40.0%
SAMA Medical Laboratories Co. " Ultra lab medical
laboratory " Sudan 20.0% 20.0%
Al Borg Laboratory Company Egypt 0.7% 0.7%
England
Dynasty Group Holdings Limited and Wales 49% 49%
Eagle Eye Mauritius 26.4% -
The summarised financial information of these subsidiaries is
provided below. This information is based on amounts before
inter-company eliminations.
Al Makhbariyoun Al Other
Arab Group individually
Medical Genetic (Hashemite Kingdom Alborg Laboratory immaterial
Center of Jordan) Company subsidiaries Total
EGP'000 EGP'000 EGP'000 EGP'000 Dynasty Group EGP'000
--------------------- -------------------- --------------------- ---------------- --------------- ---------------
Summarised statement
of profit or loss
for 2018:
Revenue 11,506 242,489 754,038 1,302,116 30,132 2,340,281
Profit 1,603 27,263 258,554 364,108 (24,407) 627,121
Other comprehensive
income - 534 1,046 10,403 11,983
Total comprehensive
income 1,603 27,797 258,554 365,154 (14,004) 639,104
--------------------- --------------------- -------------------- --------------------- ---------------- --------------- ---------------
Profit allocated to
non-controlling
interest 722 10,905 1,830 (6,989) (11,646) (5,178)
Other comprehensive
income allocated to
non-controlling
interest - 214 - (39) 6,205 6,380
===================== ===================== ==================== ===================== ================ =============== ===============
Summarised statement
of financial
position as at 31
December 2018:
Non-current assets 876 99,687 214,161 361,292 101,393 777,409
Current assets 6,866 62,167 382,160 757,482 26,589 1,235,264
Non-current
liabilities (42) (2,511) (40,136) (136,218) (6,062) (184,969)
Current liabilities (3,796) (56,088) (216,606) (349,679) (18,267) (644,436)
Net assets 3,904 103,255 339,579 632,877 103,653 1,183,268
--------------------- --------------------- -------------------- --------------------- ---------------- --------------- ---------------
Net assets
attributable to
non-controlling
interest 1,758 41,302 2,403 34,335 50,790 130,588
===================== ===================== ==================== ===================== ================ =============== ===============
Summarised cash flow
information for year
ended 31 December
2018:
Operating (444) 18,798 259,199 360,138 (53,649) 584,042
Investing 15 (8,674) (213,920) (162,152) (247,252) (631,983)
Financing (590) 6,495 (291,166) (105,002) 310,855 (79,408)
Dividend to NCI (483) (6,988) (2,325) - - (9,796)
Net
increase/(decrease)
in cash and cash
equivalents (1,502) 9,631 (248,212) 92,984 9,954 (137,145)
===================== ===================== ==================== ===================== ================ =============== ===============
Al Makhbariyoun Al Other
Arab Group individually
Medical Genetic (Hashemite Kingdom Alborg Laboratory immaterial
Center of Jordan) Company subsidiaries Total
EGP'000 EGP'000 EGP'000 EGP'000 Dynasty Group EGP'000
--------------------- -------------------- --------------------- ---------------- --------------- ---------------
Summarised statement
of profit or loss
for 2017:
Revenue 11,454 218,077 589,275 1,043,968 - 1,862,774
Profit 1,311 22,253 195,048 281,984 - 500,596
Other comprehensive
income - (4,082) - (813) - (4,895)
Total comprehensive
income 1,311 18,171 195,048 281,171 - 495,701
--------------------- --------------------- -------------------- --------------------- ---------------- --------------- ---------------
Profit allocated to
non-controlling
interest 590 8,901 1,381 (1,166) - 9,706
Other comprehensive
income allocated to
non-controlling
interest - (1,633) - 67 - (1,566)
===================== ===================== ==================== ===================== ================ =============== ===============
Summarised statement
of financial
position as at 31
December 2017:
Non-current assets 962 106,439 145,751 274,945 - 528,097
Current assets 6,844 50,562 430,089 573,355 - 1,060,850
Non-current
liabilities (42) - (6,118) (125,640) - (131,800)
Current liabilities (4,154) (60,639) (132,693) (323,537) - (521,023)
Net assets 3,610 96,362 437,029 399,123 936,124
--------------------- --------------------- -------------------- --------------------- ---------------- --------------- ---------------
Net assets
attributable to
non-controlling
interest 1,625 38,545 3,093 25,239 - 68,502
===================== ===================== ==================== ===================== ================ =============== ===============
Summarised cash flow
information for year
ended 31 December
2017:
Operating 625 40,715 155,451 244,877 - 441,668
Investing 84 (28,326) 45,017 (45,811) - (29,036)
Financing (860) (6,011) (68,919) (179,516) (255,306)
Dividend to NCI (705) (4,922) (491) - - (6,118)
Net
increase/(decrease)
in cash and cash
equivalents (856) 1,456 131,058 19,550 - 151,208
===================== ===================== ==================== ===================== ================ =============== ===============
8. Expenses and other income
Included in profit and loss are the following:
2018 2017
EGP'000 EGP'000
--------- ---------
Impairment on trade and other receivables 9,635 5,561
Charge for increase in provisions 793 3,536
Operating lease payments (buildings) 67,197 51,478
Professional and advisory fees 31,938 22,945
Amortisation 6,398 4,774
Depreciation 70,989 57,148
Total 186,950 145,442
========= =========
8.1. Auditor's remuneration
The group paid or accrued the following amounts to its auditor
and its associates in respect of the audit of the financial
statements and for other services provided to the group
2018 2017
EGP'000 EGP'000
-------- --------
Fees payable to the Company's auditor for the audit of the Group's annual financial statements 6,344 5,459
The audit of the Company's subsidiaries pursuant to legislation 2,528 1,593
Tax compliance and advisory services 55 608
8,927 7,660
======== ========
8.2. Net finance costs
2018 2017
EGP'000 EGP'000
--------------------------- -------------------------
Interest expense (11,855) (10,391)
Net foreign exchange loss (15,706) (19,940)
Bank Charges (3,454) (2,674)
--------------------------- -------------------------
Total finance costs (31,015) (33,005)
=========================== =========================
2018 2017
EGP'000 EGP'000
--------------------------- -------------------------
Interest income 59,305 51,064
Gain on hyperinflationary net monetary position 4,125 -
--------------------------- -------------------------
Total finance income 63,430 51,064
--------------------------- -------------------------
Net finance income /(cost) 32,415 18,059
=========================== =========================
8.3. Employee numbers and costs
The average number of persons employed by the Group (including
directors) during the year and the aggregate payroll costs of these
persons, analysed by category, were as follows:
2018 2017
-------------------------------------------- ------------------------------------------ ------
Medical Administration Total Medical Administration Total
---------------------- -------------------- --------------- -------- --------------- ------
Average number
of employees 3,672 1,270 4,942 4,226 443 4,669
2018 2017
EGP'000 EGP'000
------------------------------------------------------------- --------------------------------------------------------------------------
Medical Administration Total Medical Administration Total
---------------------- -------------------- --------------- --------------------------- ------------------------- ------------------
Wages and
salaries 290,508 98,162 388,670 219,493 73,604 293,097
Social
security
costs 17,958 4,157 22,115 15,537 4,091 19,628
Contributions
to defined
contribution
plan 4,974 1,334 6,308 3,168 479 3,647
Total 313,440 103,653 417,093 238,198 78,174 316,372
====================== ==================== =============== =========================== ========================= ==================
Details of Directors' and Key Management remuneration and share
incentives are disclosed in the Remuneration Report and note
28.
9. Income tax
a) Amounts recognised in profit or loss
2018 2017
EGP'000 EGP'000
-------------------------- --------------------------
Current tax:
Current year (196,477) (117,844)
Deferred tax:
Deferred tax arising on change in tax legislation relating to
undistributed reserves in subsidiaries (28,348) (19,808)
Relating to origination and reversal of temporary differences 4,381 (37,049)
Total Deferred tax income / expenses (23,967) (56,857)
Tax expense recognised in profit or loss (220,444) (174,701)
========================== ==========================
b) Reconciliation of effective tax rate
The Company is treated as a tax resident of Jersey for the
purpose of Jersey tax laws and is subject to a tax rate of 0%. The
Company tax domicile in the UK. As a holding company for the IDH
group, the Board concluded that the UK represents the most
effective and efficient jurisdiction from which to manage the
Company. The current income tax charge for the Group represents tax
charges on profits arising in Egypt, Jordan and Sudan. The
significant profits arising within the Group subject to corporate
income tax are generated from the Egyptian operations and subject
to 22.5% (2017: 22.5%) tax rate. The reconciliation of effective
income tax rate has been performed using this rate.
In July 2018, the Egyptian Government imposed a new tax related
to health care of 0.25% on total income. As result the Group has
recorded an additional EGP 3m in income tax expense.
2018 2017
EGP'000 EGP'000
---------------------------- -----------------------------
Profit before tax 717,358 558,430
Profit before tax multiplied by rate of corporation tax
in Egypt of 22.5% (2017: 22.5%) 161,405 125,647
Effect of tax rate in Jersey of 0% (2017: 0%) 9,466 9,558
Effect of tax rates in Jordan, Sudan and Nigeria of 20%,
15% and 30% respectively (2017: 20%
and 15%) (1,154) (609)
Tax effect of:
Change in unrecognized deferred tax assets 1,823 703
Deferred tax arising on undistributed reserves 28,348 19,808
Non-deductible expenses for tax purposes - employee
profit share 14,314 10,240
Non-deductible expenses for tax purposes - other 6,242 9,354
Tax expense recognised in profit or loss 220,444 174,701
============================ =============================
Deferred tax
Deferred tax relates to the following:
2018 2017
---------------------- ----------------------
Assets Liabilities Assets Liabilities
EGP'000 EGP'000 EGP'000 EGP'000
-------- ------------ -------- ------------
Property, plant and equipment (20,562) - (17,159)
Intangible assets (106,125) - (106,651)
Undistributed reserves from group subsidiaries* (44,293) - (37,532)
Provisions and finance lease liabilities 2,619 2,630 -
Total deferred tax assets - liability 2,619 (170,980) 2,630 (161,342)
- (168,361) (158,712)
======== ============ ======== ============
All movements in the deferred tax asset/liability in the year
have been recognised in the profit or loss account.
Deferred tax liabilities and assets have been calculated based
on the enacted tax rate at 31 December 2018 for the country the
liabilities and assets has arisen. The enacted tax rate in Egypt is
22.5% (2017: 22.5%), Jordan 20% (2017: 20%), Sudan 15% (2017: 15%)
and Nigeria 30%.
* Undistributed reserves from group subsidiaries
The Group's dividend policy is to distribute any excess cash
after taking into consideration all business cash requirements and
potential acquisition considerations. The expectation is to
distribute profits held within subsidiaries of the Group in the
near foreseeable future. During 2015 the Egyptian Government
imposed a tax on dividends at a rate of 5% of dividends distributed
from Egyptian entities. As a result a deferred tax liability has
been recorded for the future tax expected to be incurred from
undistributed reserves held within the Group which will be taxed
under the new legislation imposed and were as follows:
2018 2017
EGP'000 EGP'000
--------- ---------
Al Mokhtabar Company for Medical Labs 19,694 13,517
Alborg Laboratory Company 12,216 17,507
Integrated Medical Analysis Company 7,997 2,582
Molecular Diagnostic Center 383 317
Medical Genetics Center 58 47
Al Makhbariyoun Al Arab Group 3,945 3,562
44,293 37,532
========= =========
Unrecognized deferred tax assets
The following deferred tax assets were not recognized due to the
uncertainty that those items will have a future tax benefit:
2018 2017
EGP'000 EGP'000
----------------------- --------
Impairment of trade receivables (Note 16) 29,295 21,784
Impairment of other receivables (Note 16) 8,516 8,069
Provision for legal claims (Note 22) 2,828 2,685
----------------------- --------
40,639 32,538
----------------------- --------
Unrecognized deferred tax asset 9,144 7,321
======================= ========
10. Earnings per share (EPS)
Basic EPS is calculated by dividing the profit for the year
attributable to ordinary equity holders of the parent by the
weighted average number of ordinary shares outstanding during the
year. There are no dilutive effects from ordinary share and no
adjustment required to weighted-average numbers of ordinary
shares.
The following table reflects the income and share data used in
the basic and diluted EPS computation:
2018 2017
EGP'000 EGP'000
----------- ---------
Profit attributable to ordinary equity holders of the parent for basic earnings 502,092 374,023
Weighted average number of ordinary shares for basic and dilutive EPS 150,000 150,000
----------- ---------
Basic and dilutive earnings per share (expressed in EGP) 3.35 2.49
----------- ---------
There is no dilutive effect from equity.
11. Property, plant and equipment
Land & Medical, Leasehold Fixtures, Building & Total
Buildings electric & improvements fittings & Leasehold
information vehicles improvements in
system construction
equipment
---------------- ---------------- ---------------- ---------------- ---------------- ---------
Cost or
valuation
At 1 January
2017 173,249 200,577 118,851 40,442 5,082 538,201
Additions 27,700 41,275 17,788 5,588 50,765 143,116
Disposals - (2,697) (888) (477) - (4,062)
Exchange
differences 10,825 (1,547) (1,037) (503) (80) 7,658
Transfers - - 12,637 - (12,637) -
At 31 December
2017 211,774 237,608 147,351 45,050 43,130 684,913
Additions - 106,299 38,732 11,714 104,149 260,894
Acquired in
business
combination 6,411 31,615 - 907 3,771 42,704
Disposals - (7,860) (5,381) (992) - (14,233)
Exchange
differences 478 (49) (648) (1,173) 121 (1,271)
Transfers - - 5,424 - (5,424) -
At 31 December
2018 218,663 367,613 185,478 55,506 145,747 973,007
================ ================ ================ ================ ================ =========
Depreciation and
impairment
At 1 January
2017 22,165 75,298 45,009 15,355 - 157,827
Depreciation
charge for the
year 2,857 33,446 17,278 3,567 - 57,148
Disposals - (2,594) (663) (385) - (3,642)
Exchange
differences - (154) (18) (34) - (206)
---------------- ---------------- ---------------- ---------------- ---------------- ---------
At 31 December
2017 25,022 105,996 61,606 18,503 - 211,127
Depreciation
charge for the
year 7,310 34,592 24,784 4,303 - 70,989
Disposals - (5,742) (4,827) (303) - (10,872)
Exchange
differences 10 (2,497) (760) (769) - (4,016)
At 31 December
2018 32,342 132,349 80,803 21,734 - 267,228
================ ================ ================ ================ ================ =========
Net book value
================ ================ ================ ================ ================ =========
At 31-12-2018 186,321 235,264 104,675 33,772 145,747 705,779
================ ================ ================ ================ ================ =========
At 31 December
2017 186,752 131,612 85,745 26,547 43,130 473,786
================ ================ ================ ================ ================ =========
*Additions include EGP 72.3m improvement related to the Group's
new Headquarter purchased in April 2017. Addition also include
capitalised borrowing costs related to the improvement of the
building of EGP 13.5m (2017: EGP 7.8m). Calculated using
capitalisation rate of 18.75% (note 25).
Leased equipment
The Group leases medical and electric equipment under finance
lease arrangements. This equipment is supplied to service the
Group's new state-of-the-art Mega Lab. The equipment secures lease
obligations, see note 27 for further details. At 31 December 2018,
the net carrying amount of leased equipment was EGP 40m (Dec 2017:
EGP 47m).
12. Intangible assets
Goodwill Brand Name Software Total
EGP'000 EGP'000 EGP'000 EGP'000
----------- ----------- --------- ----------
Cost
At 1 January 2017 1,257,352 388,092 38,201 1,683,645
Additions 4,391 - 6,386 10,777
Effect of movements in exchange rates (1,290) (805) (18) (2,113)
----------- ----------- --------- ------------
At 31 December 2017 1,260,453 387,287 44,569 1,692,309
----------- ----------- --------- ----------
Additions (note 6) 15,077 - 10,582 25,659
Effect of movements in exchange rates (4,534) (530) 19 (5,045)
----------- ----------- ---------
At 31 December 2018 1,270,996 386,757 55,170 1,712,923
=========== =========== ========= ==========
Amortisation and impairment
At 1 January 2017 1,849 - 27,434 29,283
Amortisation - - 4,774 4,774
Effect of movements in exchange rates - - - -
----------- ----------- --------- ----------
At 31 December 2017 1,849 - 32,208 34,057
Amortisation - - 6,398 6,398
Effect of movements in exchange rates - - 5 5
At 31 December 2018 1,849 - 38,611 40,460
=========== =========== ========= ==========
Net book value
At 31 December 2018 1,269,147 386,757 16,559 1,672,463
----------- ----------- --------- ----------
At 31 December 2017 1,258,604 387,287 12,361 1,658,252
=========== =========== ========= ==========
13. Goodwill and intangible assets with indefinite lives (note
2.2-i)
Goodwill acquired through business combinations and intangible
assets with indefinite lives are allocated to the Group's CGUs as
follows:
2018 2017
EGP'000 EGP'000
-------------------- ----------
Medical Genetics Center
Goodwill 1,755 1,755
-------------------- ----------
1,755 1,755
-------------------- ----------
Al Makhbariyoun Al Arab Group ("Biolab")
Goodwill 52,403 52,086
Brand name 22,885 22,746
-------------------- ----------
75,288 74,832
-------------------- ----------
Golden Care for Medical Services ("Ultralab")
Goodwill 3,535 8,386
Brand name 487 1,156
4,022 9,542
-------------------- ----------
Alborg Laboratory Company ("Al-Borg")
Goodwill 497,275 497,275
Brand name 142,066 142,066
639,341 639,341
-------------------- ----------
Al Mokhtabar Company for Medical Labs
("Al-Mokhtabar")
Goodwill 699,102 699,102
Brand name 221,319 221,319
920,421 920,421
-------------------- ----------
Echo-Scan (note 6)
Goodwill 15,077 -
15,077 -
-------------------- ----------
Balance at 31 December 1,655,904 1,645,891
-------------------- ----------
The Group performed its annual impairment test in October 2018.
The Group considers the relationship between its market
capitalisation and its book value, among other factors, when
reviewing for indicators of impairment.
Key assumptions used in value in use calculations and
sensitivity to changes in assumptions
IDH instructed FinCorp Investment Holding (referred to hereafter
as "Fincorp") an independent financial advisor, to prepare an
independent impairment assessment of the Group's CGUs. The
assessment was carried out based on business plans provided by
IDH.
These plans have been prepared based on criteria set out
below:
Year 2018
----------------------------------------- -----------
Ultra Lab Bio Lab Al-Mokhtabar Al-Borg Echo-Scan
--------- ------- ------------ ------- ---------
Average annual patient growth rate from 2019 -2023 8% 5% 4% 3% 20%
Average annual price per test growth rate from 2019 -2023 11% 5% 11% 11% 9%
Annual revenue growth rate from 2019 -2023 18% 5% 15% 19% 45.5%
Average gross margin from 2019 -2023 16% 5% 16% 19% 54%
Terminal value growth rate from 1 January 2024 2% 2% 3% 3% 2%
Discount rate 29% 15% 19% 19% 22.97%
Year 2017
----------------------------------------- -----------
Ultra Lab Bio Lab Al-Mokhtabar Al-Borg Echo-Scan
--------- ------- ------------ ------- ---------
Average annual patient growth rate from 2018 -2022 7% 5% 5% 3% -
Average annual price per test growth rate from 2018 -2022 7% 0% 11% 12% -
Annual revenue growth rate from 2018 -2022 15% 5% 17% 15% -
Average gross margin from 2018 -2022 41% 36% 52% 48% -
Terminal value growth rate from 1 January 2023 2% 2% 3.9% 3.9% -
Discount rate 25.8% 15.4% 19.58% 19.58% -
During year 2018, Fincorp has prepared discounted cash flow
projections using the key assumptions above so as to be able to
calculate the net present value of the asset in use and determine
the recoverable amount. The projected cash flows from 2019- 2023
have been based on detailed forecasts prepared by management for
each CGU and a terminal value thereafter. Management have used past
experience and historic trends achieved in order to determine the
key growth rate and margin assumptions set out above. The terminal
value growth rate applied is not considered to exceed the average
growth rate for the industry and geographic locations of the
CGUs.
Management also considered a change in the discount rates of
1-3%, increasing those rates to reflect additional risk that could
reasonably be foreseen in the market places in which the Group
operates. This did not result in an impairment under any of these
scenario.
This recoverable amount is then compared to the carrying value
of the asset as recorded in the books and records of IDH plc. The
discount rate is the pre-tax rate taking into account the risks of
each CGU.
These risks include country risk, currency risk as well as the
beta factor relating to the CGU and how it performs relative to the
market.
The conclusions from the impairment review were that there was
headroom within the forecasts and therefore no impairment is
required.
14. Financial assets and financial liabilities
The fair values of all financial assets and financial
liabilities by class shown in the balance sheet are as follows:
2018 2017
EGP'000 EGP'00
---------------------------- --------------------
Cash and cash equivalent 412,607 685,211
Short term deposits - treasury bills 239,905 9,149
Trade and other receivables (Note 16) 264,037 174,902
Total financial assets 916,549 869,262
============================ ====================
2018 2017
EGP'000 EGP'00
---------------------------- --------------------
Trade and other payables 281,183 215,176
Put option liability 145,275 93,256
Finance lease liabilities 90,581 117,714
Loans and borrowings 133,039 60,763
Total other financial liabilities 650,578 486,909
============================ ====================
Total financial instruments 266,471 382,353
The fair values measurements for all the Group companies has
been categorized as Level 2, except Echo-Scan which has been
categorized as level 3.
Makhbariyoun Al Arab put option (note 23) has been categorized
as Level 2.
Echo-Scan put option (note 24) has been categorized as Level
3.
Financial instruments risk management objectives and
policies
The Group's principal financial liabilities are trade and other
payables, put option liability and finance lease liabilities. The
Group's principal financial assets include trade and other
receivables, and cash and short-term deposits that derive directly
from its operations.
The Group is exposed to market risk, credit risk and liquidity
risk. The Group's overall risk management program focuses on the
unpredictability of markets and seeks to minimize potential adverse
effects on the Group's financial performance. The Group's senior
management oversees the management of these risks. The Board of
Directors reviews and agrees policies for managing each of these
risks, which are summarised below.
The board provides written principles for overall risk
management, as well as written policies covering specific areas,
such as foreign exchange risk, interest rate risk, and credit risk,
use of derivative financial instruments and non-derivative
financial instruments, and investment of excess liquidity.
- Market risk
Market risk is the risk that the fair value of future cash flows
of a financial instrument will fluctuate because of changes in
market prices. Market risk comprises three types of risk: interest
rate risk, currency risk and other price risk, such as equity price
risk and commodity risk. Financial instruments affected by market
risk include loans and borrowings and deposits. The sensitivity
analyses in the following sections relate to the position as at 31
December in 2018 and 2017. The sensitivity analyses have been
prepared on the basis that the amount of net debt, the ratio of
fixed to floating interest rates of the debt and the proportion of
financial instruments in foreign currencies are all constant.
The analyses exclude the impact of movements in market variables
on: the carrying values of pension and other post-retirement
obligations; provisions; and the non-financial assets and
liabilities of foreign operations. The following assumptions have
been made in calculating the sensitivity analyses:
Ø The sensitivity of the relevant statement of profit or loss
item is the effect of the assumed changes in respective market
risks. This is based on the financial assets and financial
liabilities held at 31 December 2018 and 2017.
Ø The sensitivity of equity is calculated by considering the
effect of any associated cash flow hedges and hedges of a net
investment in a foreign subsidiary at 31 December 2018 for the
effects of the assumed changes of the underlying risk.
- Interest rate risk
The Group adopts of ensuring that between 40 and 60% of this
interest rate risk exposure is at a fixed rate. This is achieved
partially by entering into fixed-rate instrument and partly by
borrowing at the floating rate.
Exposure to interest rate risk
The interest rate profile of the Group's interest-bearing
financial instruments as reported to the management of the group is
as follow:
2018 2017
EGP'000 EGP'000
------------------------------------- --------- ---------
Fixed-rate instruments
Finance lease liabilities (note 27) 90,581 117,714
------------------------------------- --------- ---------
Variable-rate instruments
Loans and borrowings (note 25) 126,855 53,000
The Group does not account for any fixed-rate financial
liabilities at FVTPL. Therefore, a change in interest rates at the
reporting date would not affect profit or loss.
Cash flow sensitivity analysis for variable-rate instruments
A reasonable possible change of 100 basis points in interest
rates at the reporting date would have increased (decreased) profit
or loss by the amounts EGP 1,269K. This analysis assumes that all
other variables, remain constant.
- Foreign currency risk
Foreign currency risk is the risk that the fair value or future
cash flows of an exposure will fluctuate because of changes in
foreign exchange rates.
The Group operates internationally and is exposed to foreign
exchange risk arising from various currency exposures, primarily
with respect to the US Dollar, Sudanese Pound, the Jordanian Dinar
and Nigerian Naira. Foreign exchange risk arises from to the
Group's operating activities (when revenue or expense is
denominated in a foreign currency), recognized assets and
liabilities and net investments in foreign operations. However, the
management aims to minimize open positions in foreign currencies to
the extent that is necessary to conduct its activities.
Management has set up a policy to require group companies to
manage their foreign exchange risk against their functional
currency. Foreign exchange risk arises when future commercial
transactions or recognised assets or liabilities are denominated in
a currency that is not the entity's functional currency.
At year end, major financial assets / (liabilities) denominated
in foreign currencies were as follows (the amounts presented are
shown in the foreign currencies):
31-Dec-18
----------------------------------------------------------------------------------------------------
Assets Liabilities Net exposure
-------------
Cash and cash Other Total Put option Finance Trade Total
equivalents assets assets lease payables liability
----------------- -------- -------- ----------- -------- ---------- ----------- -------------
US Dollars 7,012 336 7,348 - (4,559) (2,405) (6,964) 384
Euros 32 - 32 - - (31) (31) 1
GBP 4 - 4 - - - - 4
JOD 601 1,882 2,483 (5,259) (141) (1,259) (6,659) (4,176)
SDG 7,299 18,741 26,040 - - (14,754) (14,754) 11,286
NGN 117,302 217,864 335,166 (234,898) - (230,900) (465,798) (130,632)
31-Dec-17
----------------------------------------------------------------------------------------------------
Assets Liabilities Net exposure
-------------
Cash Other Total Put option Finance Trade Total
assets assets lease payables liability
----------------- -------- -------- ----------- -------- ---------- ----------- -------------
US Dollars 11,705 149 11,854 - (7,062) (1,660) (8,722) 3,132
Euros 66 - 66 - - (13) (13) 53
GBP 4 - 4 - - (197) (197) (193)
JOD 216 1,816 2,032 (3,747) (334) (1,228) (5,309) (3,277)
SDG 12,826 11,722 24,548 - - (5,316) (5,316) 19,232
The following is the exchange rates applied:
Average rate for the year ended
31-Dec-18 31-Dec-17
US Dollars 17.71 17.68
Euros 20.83 20.05
GBP 23.51 22.84
JOD 24.96 24.92
SAR 4.68 4.71
SDG 0.57 1.04
NGN 0.06 0.06
Spot rate for the year ended
31-Dec-18 31-Dec-17
US Dollars 17.78 17.67
Euros 20.31 21.09
GBP 22.55 23.73
JOD 25.04 24.89
SAR 4.76 4.71
SDG 0.37 0.88
NGN 0.06 0.06
At 31 December 2018, if the Egyptian Pounds had weakened /
strengthened by 10% against the US Dollar with all other variables
held constant, pre-tax profit for the year would have been
increased / decreased by EGP 0.7m (2017: EGP 5.5m), mainly as a
result of foreign exchange gains/losses on translation of US
dollar-denominated financial assets and liabilities. The effect on
equity would have been an increase/decrease by EGP (1m) due to the
impact from translation of foreign subsidiaries.
At 31 December 2018, if the Egyptian Pounds had weakened /
strengthened by 10% against the Jordanian Dinar with all other
variables held constant, pre-tax profit for the year would have
been increased / decreased by EGP (10.5m) (2017: EGP (8.2m)),
mainly as a result of foreign exchange gains/losses on translation
of JOD - denominated financial assets and liabilities. The effect
on equity would have been an increase/decrease by EGP 5.45m due to
the impact from translation of foreign subsidiaries.
At 31 December 2018, if the Egyptian Pounds had weakened /
strengthened by 10% against the Sudanese Pound with all other
variables held constant, pre-tax profit for the year would have
been increased / decreased by EGP 0.4m (2017: EGP 1.7m, mainly as a
result of foreign exchange gains/losses on translation of SDG
-denominated financial assets and liabilities. The effect on equity
would have been an increase/decrease by EGP (5.30m) due to the
impact from translation of foreign subsidiaries.
At 31 December 2018, if the Egyptian Pounds had weakened /
strengthened by 10% against the Nigeria Naira with all other
variables held constant, pre-tax profit for the year would have
been increased / decreased by EGP (0.8m), mainly as a result of
foreign exchange gains/losses on translation of SDG -denominated
financial assets and liabilities. The effect on equity would have
been an increase/decrease by EGP 7.63m due to the impact from
translation of foreign subsidiaries.
- Price risk
The group does not have investments in equity securities or
bonds and accordingly is not exposed to price risk related to the
change in the fair value of the investments.
- Credit risk
Credit risk is the risk that a counterparty will not meet its
obligations under a financial instrument or customer contract,
leading to a financial loss. The Group is exposed to credit risk
from its operating activities (primarily trade receivables) and
from its financing activities, including deposits with banks and
financial institutions, foreign exchange transactions and other
financial instruments.
Credit risk is managed on a group basis, except for credit risk
relating to accounts receivable balances. Each local entity is
responsible for managing and analysing the credit risk for each of
their new clients before standard payment and delivery terms and
conditions are offered. Credit risk arises from cash and cash
equivalents, derivative financial instruments and deposits with
banks and financial institutions, as well as credit exposures to
customers, including outstanding receivables and committed
transactions.
For banks and financial institutions, the Group is only dealing
with the banks which have a high independent rating and a good
reputation.
Trade receivables
Each business unit subject to the Group's established policy,
procedures and control relating to customer credit risk management
manages customer credit risk. Credit quality of a customer is
assessed based on an individual credit limits are defined in
accordance with this assessment. Outstanding customer receivables
are regularly monitored and the average general credit terms given
to contract customers are 45 days.
An impairment analysis is performed at each reporting date on an
individual basis for major clients. In addition, a large number of
minor receivables are grouped into homogenous groups and assessed
for impairment collectively. The calculation is based on actual
incurred historical data and expected future credit losses. The
Group does not hold collateral as security.
The maximum exposure to credit risk at the reporting date is the
carrying value of each class of financial assets disclosed in Note
16.
Cash and cash equivalents
Credit risk from balances with banks and financial institutions
is managed by the Group's treasury department in accordance with
the Group's policy. Investments of surplus funds are made only with
approved counterparties and within credit limits assigned to each
counterparty. Counterparty credit limits are reviewed by the
Group's Board of Directors on an annual basis, and may be updated
throughout the year subject to approval of the Group's management.
The limits are set to minimise the concentration of risks and
therefore mitigate financial loss through a counterparty's
potential failure to make payments.
The maximum exposure to credit risk at the reporting date is the
carrying value of cash and cash equivalents disclosed in Note
17.
- Liquidity risk
The Group's objective is to maintain a balance between
continuity of funding and flexibility through the use of finance
leases and loans. The table below summarises the maturity profile
of the Group's financial liabilities based on contractual
undiscounted payments:
Year ended 31 1 year or less 1 to 5 years more than 5 years Total
December 2018
----------------------------- -------------------------- ------------------------- ------------
Obligations under
finance leases 35,805 95,242 - 131,047
Put option
liability 131,671 - 13,604 145,275
Loans and
borrowings 45,612 113,756 38,495 197,863
Trade and other
payables 281,183 - - 281,183
494,271 208,998 52,099 755,368
============================= ========================== ========================= ============
Year ended 31 1 year or less 1 to 5 years more than 5 years Total
December 2017
----------------------------- -------------------------- ------------------------- ------------
Obligations under
finance leases 38,275 128,726 167,001
Put option
liability 93,256 - - 93,256
Loans and
borrowings 24,699 55,818 - 80,517
Trade and other
payables 215,176 - - 215,176
371,406 184,544 - 555,950
============================= ========================== ========================= ============
Cash flow forecasting is performed in the operating entities of
the group and aggregated by group finance. Group finance monitors
rolling forecasts of the group's liquidity requirements to ensure
it has sufficient cash to meet operational needs. Such forecasting
takes into consideration the group's compliance with internal
financial position ratio targets and, if applicable external
regulatory or legal requirements - for example, currency
restrictions.
The group's management retain cash balances in order to allow
repayment of obligations in due dates, without taking into account
any unusual effects which it cannot be predicted such as natural
disasters. All suppliers and creditors will be repaid over a period
not less 30 days from the date of the invoice or the date of the
commitment.
15. Inventories
2018 2017
EGP'000 EGP'000
--------- ---------
Chemicals and operating supplies 91,079 69,935
91,079 69,935
========= =========
During 2018, EGP 353,789k (2017: EGP 306,641k) was recognised as
an expense for inventories, this was recognised in cost of
sales.
16. Trade and other receivables
2018 2017
EGP'000 EGP'000
------------------ ---------
Trade receivables 220,396 139,885
Prepaid expenses 35,954 27,353
Receivables due from related parties 6,588 6,441
Other receivables 31,584 11,000
Accrued revenue 5,469 17,576
299,991 202,255
================== =========
For terms and conditions relating to related party receivables,
refer to Note 28.
As at 31 December 2018, trade and other receivables with an
initial carrying value of EGP 37,811k (2017: EGP 29,852k) were
impaired and fully provided for. Below show the movements in the
provision for impairment of trade and other receivables:
2018 2017
EGP'000 EGP'000
------------------ --------
At 1 January 29,852 27,222
Charge for the year 9,635 5,561
Utilised (240) (1,331)
Unused amounts reversed (1,056) (1,461)
Exchange differences (380) (139)
At 31 December 37,811 29,852
================== ========
The Group allocates each exposure to a credit risk grade based
on data that is determined to be predictive of the risk of loss
(historical customer's collection, Customers' contracts conditions)
and applying experienced credit judgement. Credit risk grades are
defined using qualitative and quantitative factors that are
indicative of the risk of default.
Expected credit loss assessment is based on the following:
1. The customer list was divided into 9 sectors
2. Each sector was divided according to customers aging
3. Each sector was studied according to the historical events of
each sector. According to the study conducted, the expected default
rate was derived from each of the aforementioned period.
4. General economic conditions
Based on the expected credit loss assessment, additional
provision was calculated for each period, yielding an additional
Expected Credit Losses (ECL) for IDH Group amounting to EGP 1.2
million. On quarterly basis, IDH revises its forward looking
estimates and the general economic conditions to assess the
expected credit loss, which will be mainly based on current and
expected inflation rates. The results of the quarterly assessment
will increase/decrease the percentage allocated to each period.
The following changes in the gross carrying amounts of trade
receivables contributed to the changes in the impairment loss
allowance during 2018:
- The growth of the business with Governmental Bodies in Egypt
resulted in increases in trade receivables of EGP 4 million and
increases in impairment allowances in 2018 of EGP 742k.
A reasonable possible change of 100 basis points in the expected
credit loss at the reporting date would have increased (decreased)
profit or loss by the amount of EGP 1,957K. This analysis assumes
that all other variables remain constant.
The following table provides information about the exposure to
credit risk and ECLs for trade receivables and contract assets from
individual customers as at 31 December 2018.
Weighted average Gross carrying Loss
loss rate amount allowance
31-Dec-18 EGP'000 EGP'000 EGP'000
---------------------------- ----------------- ------------------- ------------------
Current (not past due) 0.16% 108,150 (172)
1-30 days past due 0.20% 41,723 (85)
31-60 days past due 1.10% 27,866 (307)
61-90 days past due 3.53% 12,094 (428)
More than 90 days past due 94.17% 39,100 (36,819)
As at 31 December, the ageing analysis of trade receivables is
as follows:
Total < 30 days 30-60 days 61-90 days > 90 days
============= ================== ================= ================ ======================
2018 220,396 149,873 27,866 12,094 30,563
2017 139,885 99,143 12,111 6,522 22,109
17. Cash and cash equivalent
2018 2017
------------------ -------------------
Cash at banks and on hand 81,721 139,974
Treasury bills 20,475 -
Short-term deposits 310,411 545,237
------------------ -------------------
412,607 685,211
================== ===================
Cash at banks earns interest at floating rates based on daily
bank deposit rates. Short-term deposits and treasury bills are made
for varying periods of between one day and three months, depending
on the immediate cash requirements of the Group, and earn interest
at the respective short-term deposit average rate 13.75% per
annum.
18. Restricted cash
2018 2017
EGP'000 EGP'000
--------- --------
Restricted cash 11,965 13,226
11,965 13,226
========= ========
The cash balance related to "Molecular Diagnostic Center" and is
not available for use by the Group because the entity commenced
deconsolidation in May 2016 and control has been transferred to the
liquidator. The process of liquidation will end next year, 2019 and
once complete the total cash amount is expected to be returned to
IDH.
19. Other investments
2018 2017
EGP'000 EGP'000
--------------------------- --------
Fixed term deposits 145,000 9,149
Treasury bills 94,905 -
--------------------------- --------
239,905 9,149
=========================== ========
The maturity date of the fixed term deposit and treasury bills
between 9-12 months and the effective interest rate on the deposit
is 14.76% and 18.34% (2017: 14.65%).
20. Share capital and reserves
The Company's ordinary share capital is $150,000,000 equivalent
to EGP 1,072,500,000.
All shares are authorised and fully paid and have a par value of
$1.
Ordinary shares Ordinary shares
31-Dec-18 31-Dec-17
---------------- ----------------
In issue at beginning of the year 150,000,000 150,000,000
In issue at the end of the year 150,000,000 150,000,000
================ ================
Capital reserve
The capital reserve was created when the Group's previous parent
company, Integrated Diagnostics Holdings LLC - IDH (Caymans)
arranged its own acquisition by Integrated Diagnostics Holdings
PLC, a new legal parent. The balances arising represent the
difference between the value of the equity structure of the
previous and new parent companies. When the capital position of the
parent company is rearranged, the capital reserve is adjusted
appropriately such that the equity balances presented in the Group
accounts best reflect the underlying structure of the Group's
capital base.
Legal reserves
Legal reserve was formed based on the legal requirements of the
Egyptian law governing the Egyptian subsidiaries. According to the
Egyptian subsidiaries' article of association 5% (at least) of the
annual net profit is set aside to from a legal reserve. The
transfer to legal reserve ceases once this reserve reaches 50% of
the entity's issued capital. If the reserve falls below the defined
level, then the entity is required to resume forming it by setting
aside 5% of the annual net profits until it reaches 50% of the
issued share capital.
Put option reserve
Through acquisitions made within the Group, put option
arrangements have been entered into to purchase the remaining
equity interests in subsidiaries from the vendors at a subsequent
date. At acquisition date an initial put option liability is
recognised and a corresponding entry recognised within the put
option reserve. After initial recognition the accounting policy for
put options is to recognise all changes in the carrying value of
the liability within put option reserve. When the put option is
exercised by the vendors the amount recognised within the reserve
will be reversed.
Translation reserve
The foreign currency translation reserve is used to record
exchange differences arising from the translation of the financial
statements of foreign subsidiaries, including gains or losses
arising on net investment hedges.
21. Distributions made and proposed
2018 2017
EGP'000 EGP'000
--------- ---------
Cash dividends on ordinary shares declared and
paid:
US$ 0.16 per qualifying ordinary share (2017:
US$ 0.14) 423,560 371,875
423,560 371,875
========= =========
After the balance sheet date, the following
dividends were proposed by the directors (the
dividends have not been provided for):
US$ 0.176 per share (2017: $0.160) per share 469,392 424,080
========= =========
The proposed 2019 dividend on ordinary shares are subject to
approval at the annual general meeting and is not recognised as a
liability as at 31 December 2018.
22. Provision
Egyptian Government Provision for Total
Training Fund for legal claims EGP'000
employees EGP'000
EGP'000
----------------------------- ---------------------- ----------------
At 1 January 2018 12,014 2,685 14,699
Provision made during the
year - 793 793
Provision used during the
year - (234) (234)
Provision reversed during
the year - (416) (416)
At 31 December 2018 12,014 2,828 14,842
============================= ====================== ================
Current - - -
Non- Current 12,014 2,828 14,842
Egyptian Government Provision
Training Fund for for legal
employees claims Total
EGP'000 EGP'000 EGP'000
--------------------- --------------- -------------
At 1 January 2017 10,011 2,191 12,202
Provision made during the year 2,003 1,533 3,536
Provision used during the year - (39) (39)
Provision reversed during the
year - (1,000) (1,000)
At 31 December 2017 12,014 2,685 14,699
===================== =============== =============
Current - - -
Non- Current 12,014 2,685 14,699
Employees training provision
The provision for employees training fund was provided for in
2017 in accordance with the Egyptian law and regulations. During
the year, the company obtained a legal opinion regarding the
training fund. The Company was advised if it adopted a training
system for its employees, there was no requirement to make
additional provisions to the current amount provided for. During
the year the Group spent EGP 784K on training courses for
employees.
Legal claims provision
The amount comprises the gross provision in respect of legal
claims brought against the Group. Management's opinion, after
taking appropriate legal advice, is that the outcome of these legal
claims will not give rise to any significant loss beyond the
amounts provided as at 31 December 2018.
23. Trade and other payables
2018 2017
EGP'000 EGP'000
---------------- ---------
Trade payables 157,891 126,140
Accrued expenses 95,497 73,821
Other payables 27,795 15,215
Put option liability 131,671 93,256
Accrued interest 6,184 7,763
Finance lease liabilities 24,994 17,237
---------------- ---------
444,032 333,432
================ =========
The accounting policy for put options after initial recognition
is to recognise all changes in the carrying value of the put
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 a subsequent date.
At acquisition a put option liability has been recognised for the
net present value for the exercise price of the option.
The options are exercisable in whole from the fifth anniversary
of completion of the original purchase agreement, which fell due in
June 2016. The vendor has not exercised this right at 31 December
2018.
24. Long-term Put option liability
2018 2017
EGP'000 EGP'000
Put option liability 13,604 -
13,604 -
According to definitive agreements signed on 15 January 2018
between Dynasty Group Holdings Limited and 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 valuer (one of the big four
accounting firms) (see note 6).
According to the International Private Equity and Venture
Capital Valuation Guidelines, there are multiple ways to calculate
the put option including Discounted Cash Flow, Multiples, Net
assets. Multiple valuation was applied and EGP 13.6 million was
booked.
25. Loan and borrowings
A) In April 2017 AL-Mokhtabar for medical lab, one of IDH
subsidiaries, was granted a medium term loan amounting to EGP 110m
from Commercial international bank "CIB Egypt" to finance the
purchase of the new administrative building for the group. As at 31
December 2018 only EGP 89m had been drawn down from the total
facility available. 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 the following percentages
Year 2017 2018 2019 2020 2021 2022
% 2.33 1.71 1.32 1.04 0.85 0.73
"Financial leverage": total liabilities divided by net
equity
2. The debt service ratios (DSR) shall not be less than 1.
"Debt service ratios": cash operating profit after tax plus
Depreciation for the financial year less annual maintenance on
machinery and equipment divided by total distributions plus accrued
interest and loan instalments.
3. The current ratios shall not be less than 1.
"Current ratios": Current assets divided current
liabilities.
4. The capital expansions in AL Mokhtabar company shall not
exceed EGP 35m per year, other than year 2017 which includes in
addition the value of the building financed by EGP 110m loan
facility. This condition is valid throughout the term of the
loan.
The agreement includes other non-financial covenants which
relate to the impact of material events on the Company and the
consequential ability to repay the loan.
B) 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 31 December 2018 only
EGP 37m had been drawn down from the total facility available. 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 liabilities divided by net
equity
2. The debt service ratios (DSR) shall not be less than 1.35 starting 2019
"Debt service ratio": cash operating profit after tax plus
depreciation for the financial year less annual maintenance on
machinery and equipment adding cash balance divided by total
financial payments.
"Cash operating profit": Operating profit after tax, interest
expense, depreciation and amortization, 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:
Currency Nominal Maturity 31 Dec 18 31 Dec 17
interest rate
CIB BANK EGP CBE corridor rate*+1% Apr-22 89,486 53,000
AUB BANK EGP CBE corridor rate*+1% Apr-26 37,369 -
- 126,855 53,000
Amount held as:
Current liability 25,416 14,575
Non- current liability 101,439 38,425
126,855 53,000
*As at 31 December 2018 corridor rate 17.75% (2017: 19.75%)
26. Long-term financial obligations
2018 2017
EGP'000 EGP'000
Finance lease liabilities (see note 27) 65,587 100,478
65,587 100,478
27. Commitments and contingencies
Operating lease commitments
Non-cancellable operating lease rentals are payable as
follows:
2018 2017
EGP'000 EGP'000
Less than one year 65,781 50,072
Between one and five years 234,270 178,938
More than five years 140,927 101,343
440,978 330,353
The Group lease certain branches for the operation of the
business. During the year EGP 67,197K was recognised as an expense
in the income statement in respect of operating leases (2017: EGP
51,478K).
Finance lease
The Group has finance leases for various items of plant and
machinery. Future minimum lease payments under finance leases and
hire purchase contracts, together with the present value of the net
minimum lease payments are, as follows:
2018 2017
EGP'000 EGP'000
Finance lease liability - laboratory equipment 88,279 114,727
Finance lease liability - other 2,302 2,987
90,581 117,714
Finance lease liabilities for the laboratory equipment are
payable as follows:
Minimum lease payments Interest Principal
At 31 December 2018 2018 2018 2018
EGP'000 EGP'000 EGP'000
Less than one year 34,128 10,810 23,318
Between one and five years 94,617 29,656 64,961
128,745 40,466 88,279
Minimum lease payments Interest Principal
At 31 December 2017 2017 2017 2017
EGP'000 EGP'000 EGP'000
Less than one year 35,549 19,512 16,037
Between one and five years 126,938 28,248 98,690
162,487 47,760 114,727
The Group entered into 2 significant agreements during the year
ended 31 December 2015 to service the Group's state-of-the-art Mega
Lab. Both agreements have minimum annual commitment payments to
cover the supply of medical diagnostic equipment, kits and
chemicals to be used for testing and ongoing maintenance and
support services over the term of the agreement. The agreement
periods are 5 and 8 years which is deemed to reflect the useful
life of the equipment. If the minimum annual commitment payments
are met over the agreement period ownership of the equipment
supplied will legally transfer to the IDH. Management fully expect
to be able to fulfil the minimum payments and the basis of treating
the proportion of payments relating to the supply of equipment as a
finance lease.
Management have performed a fair value exercise in order to
allocate payments between the different elements of the
arrangements and identify the implicit interest rate of the finance
lease. Due to the difficulty in reliably splitting the payments for
the supply of medical equipment from the total payments made, the
finance asset and liability has been recognised at an amount equal
to the fair value of the underlying equipment. This is based on the
current cost price of the equipment supplied provided by the
suppliers of the agreement. The implicit interest rate of both
finance leases has been estimated to be 11.5%. The equipment is
being depreciated based on units of production method as this most
closely reflects the consumption of the benefits from the
equipment.
Both agreements have been judged to be US$ denominated due to
the future minimum lease payments for the use of the equipment and
corresponding finance lease liability being directly connected to
the US$.
Contingent liabilities
There are no contingent liabilities relating to the group's
transactions and commitment with banks.
28. Related party disclosures
The significant transactions with related parties, their nature
volumes and balance during the period 31 December 2018 and 2017 are
as follows:
31-Dec-18
Related Party Nature of transaction Nature of relationship Transaction amount of Amount due from
the year
EGP'000 EGP'000
Life Scan (S.A.E)* Expenses paid on behalf Affiliate** 52 330
International
Fertility (IVF)** Expenses paid on behalf Affiliate*** (200) 5,800
Dr. Hend Elshrbini*** Loan arrangement CEO** 8,024 -
320
Integrated Treatment for Kidney Diseases Entity owned by
(S.A.E) Company's CEO 145 458
Rental income
Medical Test analysis
Total 6,588
31-Dec-17
Related Party Nature of transaction Nature of relationship Transaction amount of Amount due from
the year
EGP'000 EGP'000
Life Scan (S.A.E)* Expenses paid on behalf Affiliate** 1 278
International
Fertility (IVF)** Expenses paid on behalf Affiliate*** 2,240 6,000
Dr. Hend Elshrbini*** Loan arrangement CEO** 164,483 -
Integrated Treatment
for Kidney Diseases Entity owned by
(S.A.E) Rental income Company's CEO 296 163
Medical Test analysis 33
Total 6,441
* Life 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).
Terms and conditions of transactions with related parties
The transactions with the related parties are made on terms
equivalent to those that prevail in arm's length transactions.
Outstanding balances at the year-end are unsecured and interest
free and settlement occurs in cash. There have been no guarantees
provided or received for any related party receivables or payables.
For the year ended 31 December 2018, the Group has not recorded any
impairment of receivables relating to amounts owed by related
parties (2017: nil). This assessment is undertaken each financial
year through examining the financial position of the related party
and the market in which the related party operates.
IDH commits up to 1% of the net after-tax profit of the
subsidiaries Al Borg and Al Mokhtabar to the Moamena Kamel
Foundation for Training and Skill Development. Established in 2006
by Dr. Moamena Kamel, a Professor of Pathology at Cairo University
and founder of IDH subsidiary Al-Mokhtabar Labs and mother to the
CEO Dr. Hend El Sherbini. The Foundation allocates this sum to
organisations and groups in need of assistance. The foundation
deploys an integrated program and vision for the communities it
helps that include economic, social, and healthcare development
initiatives. In 2018 EGP 3,733K (2017: EGP 3,674K) was paid to the
foundation by the IDH Group.
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.
2018 2017
EGP'000 EGP'000
Short-term employee benefits 36,662 32,426
Total compensation paid to key management personnel 36,662 32,426
29. Reconciliation of movements of liabilities to cash flows
arising from financing activities
Other loans Finance lease
EGP'000 and borrowings liabilities
Restated balance at 1 January 2018 60,763 117,714
Proceeds from loans and borrowings 94,369 -
Repayment of borrowings (20,514) -
Payment of finance lease liabilities - (27,668)
Total changes from financing cash flows 73,855 (27,668)
Capitalised borrowing costs 13,544 -
Interest expense 2,359 9,182
Interest paid (17,482) (8,647)
Total liability-related other changes (1,579) 535
Balance at 31 December 2018 133,039 90,581
Other loans Finance lease
EGP'000 and borrowings liabilities
Restated balance at 1 January 2017 - 155,523
Proceeds from loans and borrowings 53,000 -
Repayment of borrowings - -
Payment of finance lease liabilities - (36,984)
Total changes from financing cash flows 53,000 (36,984)
Capitalised borrowing costs 7,763 -
Interest expense - 9,271
Interest paid - (10,096)
Total liability-related other changes 7,763 (825)
Balance at 31 December 2017 60,763 117,714
This information is provided by RNS, the news service of the
London Stock Exchange. RNS is approved by the Financial Conduct
Authority to act as a Primary Information Provider in the United
Kingdom. Terms and conditions relating to the use and distribution
of this information may apply. For further information, please
contact rns@lseg.com or visit www.rns.com.
END
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