IDH Results Presentation
June 2024
Table of
Contents
IDH At a Glance
Q1 2024 Results Overview
Key Investment Highlights
Our Market
Our Business Model
Financial Position and Performance
Growth Strategies
Governance
Who We Are (I/II)
Integrated Diagnostics Holding is a leading, fully-integrated provider of high-quality medical diagnostic services with a
footprint spanning Egypt, Jordan, Nigeria, Sudan, and Saudi Arabia
An integrated diagnostics provider… | |||||||||||||||||||||
Pathology | Radiology | ||||||||||||||||||||
Immunology | Microbiology | Haematology | Endocrinology | ||||||||||||||||||
PET-CT | Mammography | Electromyography | |||||||||||||||||||
MRI | Ultrasound | Electroencephalography | |||||||||||||||||||
Clinical | Molecular | Parasitology | Histopathology | Genetics | CT | X-Ray | Electrocardiogram | ||||||||||||||
Chemistry | Biology | ||||||||||||||||||||
…with a suite of internationally-accredited,market-leading brands | |||||||||||||||
Our Brands | Our Accreditations | ||||||||||||||
21% | |||||||||||||||
Shareholding | 52% | ||||||||||||||
Structure | |||||||||||||||
27% | |||||||||||||||
Hena Holdings Ltd | Actis IDH B.V. | Free Float | |||||||||||||
3 INTEGRATED DIAGNOSTICS HOLDINGS
Who We Are (II/II)
The Company's reach, scale, and service quality are unmatched across its markets of operation
Track Record
+40 years
First lab established in 1979
Patients
c.10 MN
Per year
Tests
c.30 MN
Per year
Market Reach
587 Branches
As at 31 March 2024
Accreditations
CAP & ACR
Accredited lab and scan
Test Portfolio
+3,000
Tests
Dual-listing
LSE in 2015 | EGX in 2021
Nigeria
Sustainable Growth
19%
Revenue CAGR 2015-23
Jordan
Egypt
Saudi
Arabia
Sudan
4 INTEGRATED DIAGNOSTICS HOLDINGS
Our Service Segments
IDH's pathology offering currently contributes the lion share of revenue and patients with 94%.
The Company's radiology services in Q1 2024 recorded a 12% increase over Q1 2023.
Pathology - 94% of Revenues1 | Radiology - 6% of Revenues1,2 | ||||||||||||||||
Through IDH's brands, the Group offers over 3,000 internationally | IDH offers a vast array of radiology services through Al Borg Scan in Egypt | ||||||||||||||||
accredited pathology tests ranging from basic blood glucose tests for | and Echo-Lab in Nigeria. Al Borg Scan is also the sole radiology provider | ||||||||||||||||
diabetes to advanced molecular testing for genetic disorders. | in Africa boasting the prestigious American College of Radiology (ACR) | ||||||||||||||||
accreditation, a testament to the high-quality services delivered by the | |||||||||||||||||
venture. | |||||||||||||||||
568 | 1979 | c. 10mn | c. 30mn | 19 | 2018 | c. 1.3mn | c. 2.0mn | ||||||||||
Pathology | Year | Patients served | Tests performed | Radiology | Year | Patients served | Scans conduced | ||||||||||
branches | launched | each year | each year | branches | launched | since inception | since inception | ||||||||||
Competitive Strengths | Competitive Strengths and Strategic Advantages |
Visibility and | Scalable | Diversify and | Deliver on one- | ||||||||||||||||||
Track | Reach and | Established | High-fragment | ||||||||||||||||||
Record | scale across | Reputation | Business | platform to | and fast- | Grow Revenue | stop-shop | ||||||||||||||
attractive | Model | build on | growing market | Streams | vision | ||||||||||||||||
markets | |||||||||||||||||||||
An integrated offering catering to patients' evolving needs
- Share of IDH Q1 2024 consolidated revenue.
- Radiology revenues are calculated as Echo-Lab (IDH's Nigerian subsidiary) revenues plus Al-Borg Scan revenues (Egypt's radiology business).
5 INTEGRATED DIAGNOSTICS HOLDINGS
Our Geographies
IDH currently operates the largest branch network amongst private providers in Egypt and boasts an established
presence in four key markets in the Middle East and Africa
Egypt | Jordan | Nigeria | Saudi Arabia | |||
1979 | 546 | 2011 | 27 | 2018 | 12 | 2024 | 2 | ||||||||||||
First began | Branches (51% in | Acquisition | Branches | Acquisition of Echo- | Branches | Commenced Biolab | Branches | ||||||||||||
operations | Cairo Region) | of Biolab | Lab | KSA operations | |||||||||||||||
#1 | 84.5% | #1 | 14.1% | Top 5 | 1.3% | 4 | 0.1% | ||||||||||||
Market Ranking1 (#1 | Share of consolidated | Market Ranking1 | Share of consolidated | Market Ranking | Share of consolidated | New Branches | Share of consolidated | ||||||||||||
in Corporate | revenues in Q1 2024 | revenues in Q1 2024 | revenues in Q1 20242 | Planned by End of | revenues in Q1 2024 | ||||||||||||||
Insurance Sector) | 2024 | ||||||||||||||||||
1,923 k | 8,059 k | 85 k | 566 k | 30 k | 56 k | 0.2 k | 2.4 k | ||||||||||||
Patients served | Tests performed | Patients served | Tests performed | Patients served | Tests performed | Patients served | Tests performed | ||||||||||||
in Q1 2024 | in Q1 2024 | in Q1 2024 | in Q1 2024 | in Q1 2024 | in Q1 2024 | in Q1 2024 | in Q1 2024 | ||||||||||||
- Market ranking amongst private players in each respective country.
- Includes Dynasty expenses.
6 INTEGRATED DIAGNOSTICS HOLDINGS
Our Patients
IDH serves two principal types of patients: contract and walk-in
Around 70% of total revenue generated across the two segments is paid in cash
Contract Patients1 | Walk-In Patients | |
IDH's contract clients include institutions who enter into one-year renewable contracts at agreed rates per-testand on a per-clientbasis. Around 40% of the revenue generated by the segment is paid in cash. IDH's corporate clients roster currently features institutions such as:
- Unions
- Syndicates
- Private and public insurance companies
- Banks and corporations
- Public institutions
- Government insurance
IDH's walk-in clients, also referred to as "self-payers",pay out of pocket for diagnostic tests and other services.
Contribution to IDH Revenues (Q1 2024)
34% EGP
1,171
mn 66%
Contract Revenues | Walk-in Revenues | ||
1 Testing prices at the contract segment are generally lower than those of the walk-in segment and are not pre-set as with walk-in testing
7 INTEGRATED DIAGNOSTICS HOLDINGS
Patient Split by Segment (Q1 2024)
19%
2.0 mn
patients
81%
Contract Patients | Walk-in Patients | |
Q1 2024
Results
Overview
A Turbulent Operating Environment
IDH continues to post impressive financial and operational results despite difficult economic
circumstances across its markets
Devaluation of the EGP in March 2024 leading to a rate of 47.3
EGP/USD
47.3
24.2 | 24.6 | 24.8 | 30.2 | 30.7 | 30.8 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | 30.9 | |||
Stabilizing inflation rates in Egypt after a year of rising prices
33.3% | |||||||||||||||||||||||||||||||||||||||||||||||
37.4% | 38.0% | ||||||||||||||||||||||||||||||||||||||||||||||
36.5% | 35.8% | ||||||||||||||||||||||||||||||||||||||||||||||
35.7% | 34.6% | 35.7% | |||||||||||||||||||||||||||||||||||||||||||||
32.7% | 32.8% | 33.7% | |||||||||||||||||||||||||||||||||||||||||||||
31.9% | |||||||||||||||||||||||||||||||||||||||||||||||
18.7% | 21.3% | 25.8% | 30.6% | 29.8% | |||||||||||||||||||||||||||||||||||||||||||
Depreciating Nigerian Naira held back by rising interest rates | Nigeria inflation continues, expected to stabilize due to new |
Central Bank measures |
33.2% | ||||||||||||||||||||||||||||||
1,617 | 1,357 | 31.7% | ||||||||||||||||||||||||||||
438 | 443 | 448 | 461 | 460 | 460 | 460 | 462 | 754 | 760 | 766 | 768 | 785 | 790 | 881 | 1,192 | 1,303 | 21.9% | 22.0% | 22.2% | 22.4% | 22.8% | 24.1% | 25.8% | 26.7% | 27.3% | 28.2% | 28.9% | 29.9% | ||
Feb-23Mar-23Apr-23May-23Jun-23 | Jul-23 | Aug-23Sep-23Oct-23Nov-23Dec-23Jan-24Feb-24Mar-24 |
9 INTEGRATED DIAGNOSTICS HOLDINGS
Q1 2024 Results Snapshot (I/II)
IDH recorded positive consolidated revenue growth, even when including significant contributions from Covid-19
testing in the comparable period
EGP 1,171 mn | EGP 428 mn | EGP 330 mn | EGP 402 mn | |||
Revenue in Q1 2024 | Gross Profit in Q1 2024 | EBITDA1 in Q1 2024 | Net Profit2 in Q1 2024 | |||
▲ 28% y-o-y revenue growth | ▲ 32% y-o-y | ▲ 45% y-o-y | ▲ 139% y-o-y | |||
37% margin vs. 35% in Q1 2023 | 28% margin vs. 25% in Q1 2023 | 34% margin vs. 18% in Q1 2023 |
8.7 mn | 2.0 mn | EGP 135 | 5873 | |||
Tests completed in Q1 2024 | Patients served in Q1 2024 | Average revenue per test in Q1 2024 | Operational branch labs as at 31 Mar. 2024 | |||
▲ 8% y-o-y test volume growth | ▲ 5% y-o-y | ▲ 18% y-o-y | ▲ 11 branches vs. 31 Mar. 2023 |
Revenue Drivers Q1 2024 | Revenue Breakup Q1 2024 | ||||||||||||||||||||
94.4% | |||||||||||||||||||||
+28% | 0.1% | ||||||||||||||||||||
1.3% | |||||||||||||||||||||
Revenue | 84.5% | Revenue | Revenue | ||||||||||||||||||
14.1% | by Geography | 33.8% by Patient Type 66.2% | by Segment4 | ||||||||||||||||||
5.6% | |||||||||||||||||||||
Egypt | Jordan | Nigeria | Saudi Arabia | Walk-In | Contract | Pathology | Radiology | ||||||||||||||
- EBITDA is calculated as operating profit plus depreciation and amortization
- Excluding foreign exchange gains, IDH recorded an adjusted net profit of EGP 100.3 million compared to EGP 59 million in Q1 2023 and yielding a net profit margin of 9% (vs. 6% one year prior).
- IDH rolled out 27 new branches in Egypt, 1 in Jordan, and 2 in KSA during the past 12-month period.
It is important to note that due to the ongoing conflict in Sudan, IDH's 18 branches in the country have been shut down, leading to a net growth in its branch network of only 12 branches.
4 Radiology revenues are calculated as revenues from Al-Borg Scan plus Nigeria revenues
10 INTEGRATED DIAGNOSTICS HOLDINGS
16%
House Call
Services
Contribution3
84%
House Call Services
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Disclaimer
IDH - Integrated Diagnostics Holdings plc published this content on 24 June 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 24 June 2024 11:22:28 UTC.