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The Agfa-Gevaert Group in Q1 2023 - regulated information
来源: Nasdaq GlobeNewswire / 09 5月 2023 00:45:00 America/Chicago
Regulated information – May 9, 2023 - 7:45 a.m. CET
The Agfa-Gevaert Group in Q1 2023:- HealthCare IT:
- Increase in order intake of 25%, 4.8% revenue increase
- Profitability impacted by cost inflation and unfavorable mix effects
- Digital Print & Chemicals:
- Growth driven by Digital Printing and Zirfon membranes
- Successful price increase actions and cost reductions allowed to restore profitability
- Radiology Solutions:
- Medical film: volume recovery in China but continuing margin pressure and geopolitical impact
- Direct Radiography: continuing the positive trend in sales and profitability
- Adjusted EBITDA amounted to 13 million Euro
- Net loss of 66 million Euro, impacted by the loss of discontinued operations as a result of the Offset Solutions sale
Mortsel (Belgium), May 9, 2023 – Agfa-Gevaert today commented on its results in the first quarter of 2023.
Reporting post Offset Solutions
The recent sale of the Offset Solutions division (now rebranded to ECO3) influences the way the Agfa-Gevaert Group reports its results. The Q1 numbers from sales to EBITDA present the Agfa-Gevaert Group with Offset Solutions excluded (Asset held for Sale), but with a new division called ‘Contractor Operations & Services former Offset’ or ‘CONOPS’. CONOPS represents the supply of film and chemicals as well as a set of support services delivered by Agfa to Offset Solutions. As of Q2, this will represent the agreements with the external party ECO3. The turnover represents the supply agreements, with corresponding COGS charges. The income related to the support services will be accounted for as Other Income, while the costs related to those support services are represented in the different SG&A lines.
Q1 ‘23 reflects the financials as if the agreements are already in place. The comparative period Q1 ‘22 has been re-presented accordingly. As per IFRS 5, stranded costs related to Offset Solutions have been treated differently in 2023 vs 2022. In Q1’22 stranded costs are reported under CONOPS. In Q1 ’23 these are absorbed by the 3 business divisions.in million Euro Q1 2023 Q1 2022
re-presented% change (excl. FX effects) REVENUE HealthCare IT 57 55 4.8% (3.6%) Radiology Solutions 102 101 1.6% (0.9%) Digital Print & Chemicals 97 79 22.0% (21.5%) Contractor Operations and Services – former Offset 14 18 -20.9% GROUP 270 252 7.2% (7.3%) ADJUSTED EBITDA (*) HealthCare IT 2.7 4.4 -38.2% Radiology Solutions 6.3 7.0 -9.8% Digital Print & Chemicals 6.6 4.1 61.8% Contractor Operations and Services – former Offset 1.3 (3.4) Unallocated (4.0) (4.7) GROUP 13 7 77.9% (*) before restructuring and non-recurring items
“Early April, we took an important step in our transformation journey with the divestment of our Offset Solutions division. This transaction will allow us to focus on our growing market segments, which is crucial for our future success. Businesswise, we are very satisfied with the Q1 performance of the growth engines in our Digital Print & Chemicals division. The huge potential of our Zirfon membranes for green hydrogen production is starting to materialize, as this business’ Q1 revenue already exceeded that of the full year 2022. However, as it is still in an industrial ramp-up and development phase, the Zirfon business is not yet contributing to the results. In the Radiology Solutions division, we saw further top line and profitability improvements for Direct Radiography. HealthCare IT saw a 25% increase in order intake. However, this division’s profit growth is influenced by a delay in order book implementation, as the increased portion of managed services implies revenue recognition over a longer period of time,” said Pascal Juéry, President and CEO of the Agfa-Gevaert Group.
Agfa-Gevaert Group
in million Euro Q1 2023 Q1 2022
re-presented% change
(excl. FX effects)Revenue 270 252 7.2% (7.3%) Gross profit (*) 87 78 11.6% % of revenue 32.1% 30.8% Adjusted EBITDA (*) 13 7 77.9% % of revenue 4.8% 2.9% Adjusted EBIT (*) 2 (5) % of revenue 0.8% -1.8% Net result (66) (7) Profit from continuing operations (20) (12) Profit from discontinued operations (47) 5 (*) before restructuring and non-recurring items
First quarter
- Excluding currency effects, the Agfa-Gevaert Group posted a revenue increase of 7.3%. The growth was mainly driven by the Digital Print & Chemicals division, which benefited not only from the Inca Digital Printers acquisition, but also from price increases, strong demand for inks and for ZIRFON membranes for green hydrogen production. HealthCare IT and Radiology Solutions also posted revenue growth.
- Not taking into account the divested activities, the Group’s gross profit margin improved from 30.8% of revenue in Q1 2022 to 32.1%, mainly due to price increases and cost reduction actions.
- Adjusted EBITDA improved to 13 million Euro (4.8% of revenue).
- Restructuring and non-recurring items resulted in a charge of 10 million Euro, versus 8 million Euro in Q1 2022.
- The net finance costs amounted to 6 million Euro.
- Income tax expenses increased to 5 million Euro versus 2 million Euro in Q1 2022.
- The Agfa-Gevaert Group posted a net loss of 66 million Euro, impacted by the loss of discontinued operations as a result of the Offset Solutions sale (amounting to 47 million Euro).
Financial position and cash flow
- Net financial debt (including IFRS 16) evolved from a net cash position of 72 million Euro at the end of 2022 to a net cash position of 24 million Euro.
- Trade working capital (CONOPS excluded) evolved from 32% of turnover at the end of 2022 to 33% in Q1. In absolute numbers, trade working capital evolved from 342 million Euro at the end of 2022 to 367 million Euro.
- The Group generated a free cash flow of minus 39 million Euro.
Outlook
Overall, the Agfa-Gevaert Group expects a recovery in profitability in the full year 2023 versus 2022.2023 outlook per division:
- HealthCare IT: Whilst order intake growth continues to be very strong, the uncertainty around the timing of the order book execution and continued cost inflation could result in a weaker first half of the year, followed by a stronger second half. Therefore full year EBITDA growth versus last year could be delayed.
- Radiology Solutions: Stability is expected, with continuous margin pressure for medical film. The progress in Direct Radiography that was recorded in the second half of 2022 is expected to continue.
- Digital Print & Chemicals: The division expects to restore profitability, based on pricing, cost improvement actions and positive contributions from the Inca acquisition and the Zirfon membranes. The revenue generated by Zirfon will continue to grow very strongly.
HealthCare IT
in million Euro Q1 2023 Q1 2022
re-presented% change
(excl. FX effects)Revenue 57 55 4.8% (3.6%) Adjusted EBITDA (*) 2.7 4.4 -38.2% % of revenue 4.7% 8.0% Adjusted EBIT (*) 0.9 2.5 -62.4% % of revenue 1.7% 4.6% (*) before restructuring and non-recurring items
First quarter
- HealthCare IT’s order book remains at a healthy level. The division recorded a 25% growth in the 12 months rolling order intake versus the year before, with high value business (own software) increasing with 35%. Although the market is currently characterized by decision-making delays for large IT projects, the division signed a 7-year agreement with a U.S. integrated health network in Minnesota, Wisconsin and North Dakota with over 2.000 physicians and 1.1 million imaging studies, replacing a legacy PACS with Agfa’s Enterprise Imaging platform.
- In new contracts, the portion of managed services is often substantial, which typically implies that revenue recognition is spread over a longer period of time.
- Continuing the momentum that started to build in the second half of 2022, the HealthCare IT division’s top line increased by 3.6% (excluding currency effects) versus Q1 2022.
- Impacted by continuous cost inflation (e.g. for hardware and personnel costs) and unfavorable product/mix effects, the division’s gross profit margin decreased from 44.9% of revenue in Q1 2022 to 41.7%. The adjusted EBITDA margin decreased from 8.0% to 4.7%.
- In recent months, Agfa HealthCare’s innovation efforts and customer services were recognized by various research companies and industry experts:
- Agfa HealthCare has been recognized as Best in KLAS for its Enterprise Imaging for Radiology solution in the PACS Middle East/Africa category. This achievement is a sign of Agfa HealthCare’s focus on delivering high value and support to its customers in the region.
- Frost & Sullivan awarded Agfa HealthCare with the “Best Practices Customer Value Leadership Award” for 2023. This award recognizes companies for their customer-first approach, innovative leadership, providing clinical confidence with patient-centric contextual intelligence, and enabling smooth collaboration between departments and geographical locations.
- Black Book Market Research awarded Agfa HealthCare the Highest Client Satisfaction Award. Black Book Market Research provides healthcare IT users and other stakeholders in the healthcare sector with client experiences, competitive analysis and purchasing trends.
- The positive development of the order intake shows that the division’s strategy to target customer segments and geographies for which its Enterprise Imaging solution is best fit and to prioritize higher value revenue streams is working and delivering. This strategy will ultimately allow the division to reach the targeted growth of EBITDA: starting from a mid-single-digit percentage in 2019 to percentages in the high-teens over the next years.
Radiology Solutions
in million Euro Q1 2023 Q1 2022
re-presented% change
(excl. FX effects)Revenue 102 101 1.6% (0.9%) Adjusted EBITDA (*) 6.5 7.0 -7.4% % of revenue 6.3% 6.9% Adjusted EBIT (*) 2.2 1.0 121.7% % of revenue 2.1% 1.0% (*) before restructuring and non-recurring items
First quarter
- The medical film business continues to be influenced by the current geopolitical situation. In China, medical film volumes recovered from COVID-related issues to normal levels, but the gradual implementation of new centralized procurement practices continues to cause margin pressure. In other regions, Agfa continues to implement its pricing policy.
- Agfa continues to manage the market driven top line decline of the Computed Radiography business, maintaining healthy profit margins.
- The Direct Radiography business posted modest revenue growth, thus continuing the positive trend of the previous quarters. Order intake was softer in Q1, due to the geopolitical situation and the financial challenges that many customers and governments are facing.
- At the ECR 2023 event in Vienna, Agfa and Lunit demonstrated the integration of the Lunit INSIGHT CXR software in Agfa’s MUSICA workstation. Thanks to this collaboration, radiographers can automatically be notified in case of life-threatening pathologies detected in chest X-rays.
- The first effects of Agfa’s actions to increase the business’ agility and to better adapt it to the current market conditions (right-sizing of the organization, relocations, cost control actions, price increases, net working capital actions) became visible in Q1. Mainly driven by a strong improvement for DR, the division’s gross profit margin increased from 30.3% of revenue in Q1 2022 to 32.2%. Increased silver prices and inflationary pressure had a negative impact on the division’s profitability.
Digital Print & Chemicals
in million Euro Q1 2023 Q1 2022
re-presented% change
(excl. FX effects)Revenue 97 79 22.0% (21.5%) Adjusted EBITDA (*) 6.6 4.1 61.8% % of revenue 6.8% 5.1% Adjusted EBIT (*) 3.1 1.5 112.0% % of revenue 3.2% 1.8% (*) before restructuring and non-recurring items
First quarter
- In the field of digital print, the top line of the sign & display business continued its strong profitable growth, based on the good performance of the ink product ranges for sign & display applications, as well as the Inca Digital Printers acquisition, as the first quarter saw the revenue recognition of the first three Agfa-branded Onset wide-format systems using Agfa inks. In the field of industrial inkjet, the décor printing business continued to feel the effects of the weak investment climate. On the other hand, volumes for OEM inks started to pick up following a slowdown towards the end of 2022.
- Q1 sales figures for the Zirfon membranes for advanced alkaline electrolysis grew strongly, already exceeding the revenue that was recorded in the full year 2022. As it is still in an industrial ramp-up and development phase, this business is not yet contributing to the results of the division. Over 100 active customers are now using Zirfon membranes, thus confirming Zirfon’s status as the most efficient technology for hydrogen production via alkaline electrolysis. Several large customers are now starting to build commercial electrolyzers, which allows Agfa to generate recurring Zirfon sales. March 7, 2023, the Board of Directors validated an investment for a new industrial unit for Zirfon membranes at Agfa’s Mortsel site in Belgium. This will allow the Group to be ready for the expected further increase in customer demand. As this investment is fully in line with the EU’s ambitions to build a strong European hydrogen economy, Agfa submitted a funding proposal to the EU Innovation Fund.
- The weakness in the electronics industry continued to impact volumes of the Orgacon conductive materials and the products for the production of printed circuit boards.
- Successful price increase actions, cost reductions and a positive contribution of the acquired Inca business allowed the division to restore its gross profit margin from 18.7% of revenue in Q4 2022 to 31.1%. In Q1 2022, the gross profit margin was at 30.4% of revenue.
- In recent months the organization of the division was also adapted and 2 new business leaders were added to the division’s management team. The organizational structure is now ready to facilitate future growth.
Contractor Operations and Services – former Offset
in million Euro Q1 2023 Q1 2022
re-presented% change
(excl.
FX effects)Revenue 14 18 -20.9% Adjusted EBITDA (*) 1.3 (3.4) % of revenue 9.4% -19.5% Adjusted EBIT (*) 0.0 (4.7) % of revenue 0.3% -26.9% (*) before restructuring and non-recurring items
- Early April, the Agfa-Gevaert Group completed the sale of its Offset Solutions division to Aurelius Group. The new division contains results related to supply and manufacturing agreements that the Agfa-Gevaert Group signed with its former division, now rebranded as ECO3.
- Q1 ‘23 reflects the financials as if the agreements are already in place. The comparative period Q1 ‘22 has been re-presented accordingly. As per IFRS 5 rules, stranded costs related to Offset Solutions have been treated differently in 2023 vs 2022. In Q1’22 stranded costs are reported under CONOPS. In Q1 ’23 these are absorbed by the 3 business
divisions.
End of message
Management Certification of Financial Statements and Quarterly Report
This statement is made in order to comply with new European transparency regulation enforced by the Belgian Royal Decree of November 14, 2007 and in effect as of 2008.
"The Board of Directors and the Executive Committee of Agfa-Gevaert NV, represented by Mr. Frank Aranzana, Chairman of the Board of Directors, Mr. Pascal Juéry, President and CEO, and Mr. Dirk De Man, CFO, jointly certify that, to the best of their knowledge, the consolidated financial statements included in the report and based on the relevant accounting standards, fairly present in all material respects the financial condition and results of Agfa-Gevaert NV, including its consolidated subsidiaries. Based on our knowledge, the report includes all information that is required to be included in such document and does not omit to state all necessary material facts.”
Statement of risk
This statement is made in order to comply with new European transparency regulation enforced by the Belgian Royal Decree of November 14, 2007 and in effect as of 2008.
"As with any company, Agfa is continually confronted with – but not exclusively – a number of market and competition risks or more specific risks related to the cost of raw materials, product liability, environmental matters, proprietary technology or litigation."
Key risk management data is provided in the annual report available on www.agfa.com.Contact:
Viviane Dictus
Director Corporate Communication
Septestraat 27
2640 Mortsel - Belgium
T +32 (0) 3 444 71 24
E viviane.dictus@agfa.comThe full press release and financial information is also available on the company's website: www.agfa.com.
Consolidated Statement of Profit or Loss (in million Euro)Unaudited, consolidated figures following IFRS accounting policies.
Q1 2023 Q1 2022
re-presentedRevenue 270 252 Cost of sales (184) (175) Gross profit 87 77 Selling expenses (44) (43) Administrative expenses (36) (38) R&D expenses (21) (19) Net impairment loss on trade and other receivables, including contract assets 1 1 Other & sundry operating income 13 18 Other & sundry operating expenses (9) (8) Results from operating activities (8) (12) Interest income (expense) - net - - Interest income 2 - Interest expense (2) (1) Other finance income (expense) - net (7) 3 Other finance income 1 7 Other finance expense (8) (5) Net finance costs (6) 2 Share of profit of associates, net of tax - - Profit (loss) before income taxes (14) (10) Income tax expenses (5) (2) Profit (loss) from continued operations (20) (12) Profit (loss) from discontinued operations, net of tax (47) 5 Profit (loss) for the period (66) (7) Profit (loss) attributable to: Owners of the Company (68) (4) Non-controlling interests 1 (3) Results from operating activities (8) (12) Restructuring and non-recurring items (10) (8) Adjusted EBIT 2 (5) Earnings per Share Group – continued operations (Euro) (0.13) (0.08) Earnings per Share Group – discontinued operations (Euro) (0.31) 0.05 Earnings per Share Group – total (Euro) (0.44) (0.02) (1) Compliant with IFRS 5.33, the Company has disclosed in its Consolidated Statements of Profit or Loss and Comprehensive Income, a single amount comprising the total of the post-tax profit of discontinued operations and the post-tax loss on the disposal of the net assets constituting the discontinued operation. The Group has sold on April 3, 2023 its Offset Solutions business.
Consolidated Statements of Comprehensive Income for the quarter ending March 2022 / March 2023 (in million Euro)
Unaudited, consolidated figures following IFRS accounting policies.Q1 2023 Q1 2022
re-presentedProfit / (loss) for the period (66) (7) Profit / (loss) for the period from continuing operations (20) (12) Profit / (loss) for the period from discontinuing operations (47) 5 Other Comprehensive Income, net of tax Items that are or may be reclassified subsequently to profit or loss: Exchange differences: (8) 9 Exchange differences on translation of foreign operations (8) 9 Cash flow hedges: 2 - Effective portion of changes in fair value of cash flow hedges 1 (1) Changes in the fair value of cash flow hedges reclassified to profit or loss 2 1 Adjustments for amounts transferred to initial carrying amount of hedged items - - Income taxes - - Items that will not be reclassified subsequently to profit or loss: - 1 Equity investments at fair value through OCI – change in fair value - 1 Remeasurements of the net defined benefit liability - - Income tax on remeasurements of the net defined benefit liability - - Total Other Comprehensive Income for the period, net of tax (6) 10 Total other comprehensive income for the period from continuing operations (6) 4 Total other comprehensive income for the period from discontinuing operations - 6 Total Comprehensive Income for the period, net of tax attributable to (73) 3 Owners of the Company (74) 5 Non-controlling interests 1 (2) Total comprehensive income for the period from continuing operations attributable to: (26) (8) Owners of the Company (continuing operations) (26) (8) Non-controlling interests (continuing operations) - - Total comprehensive income for the period from discontinuing operations attributable to: (47) 11 Owners of the Company (discontinuing operations) (48) 13 Non-controlling interests (discontinuing operations) 1 (2) (1) Compliant with IFRS 5.33, the Company has disclosed in its Consolidated Statements of Profit or Loss and Comprehensive Income, a single amount comprising the total of the post-tax profit of discontinued operations and the post-tax loss on the disposal of the net assets constituting the discontinued operation. The Group has sold on April 3, 2023 its Offset Solutions business.
Consolidated Statement of Financial Position (in million Euro)
Unaudited, Consolidated figures following IFRS accounting policies.
31/03/2023 31/12/2022
re-presentedNon-current assets 565 602 Goodwill 215 218 Intangible assets 28 29 Property, plant and equipment 109 107 Right-of-use assets 42 45 Investments in associates 1 1 Other financial assets 4 5 Assets related to post-employment benefits 18 18 Trade receivables 4 9 Receivables under finance leases 68 72 Other assets - 8 Deferred tax assets 76 91 Current assets 1,119 1,153 Inventories 355 487 Trade receivables 155 291 Contract assets 93 94 Current income tax assets 44 56 Other tax receivables 22 28 Other financial assets - 1 Receivables under finance lease 24 31 Other receivables 4 6 Other current assets 12 17 Derivative financial instruments 3 3 Cash and cash equivalents 111 138 Non-current assets held for sale 296 2 TOTAL ASSETS 1,684 1,756 31/03/2023 31/12/2022
re-presentedTotal equity 480 561 Equity attributable to owners of the company 446 520 Share capital 187 187 Share premium 210 210 Retained earnings 974 1,042 Other reserves (1) (3) Translation reserve (16) (9) Post-employment benefits: remeasurements of the net defined benefit liability (908) (908) Non-controlling interests 34 41 Non-current liabilities 538 610 Liabilities for post-employment and long-term termination benefit plans 483 536 Other employee benefits 6 9 Loans and borrowings 29 41 Provisions 11 14 Deferred tax liabilities 6 9 Contract liabilities - - Other non-current liabilities 1 - Current liabilities 667 585 Loans and borrowings 57 25 Provisions 28 36 Trade payables 126 249 Contract liabilities 106 109 Current income tax liabilities 16 29 Other tax liabilities 14 32 Other payables 7 6 Employee benefits 85 95 Other current liabilities 3 - Derivative financial instruments 1 2 Liabilities directly associated with the assets held for sale 224 - TOTAL EQUITY AND LIABILITIES 1,684 1,756
Consolidated Statement of Cash Flows (in million Euro)
Unaudited, consolidated figures following IFRS accounting policies.Q1 2023 Q1 2022 Profit (loss) for the period (66) (7) Income taxes 8 3 Share of (profit)/loss of associates, net of tax - - Net finance costs 7 (2) Operating result (52) (6) Depreciation & amortization (excluding D&A on right-of-use assets) 6 8 Depreciation & amortization on right-of-use assets 5 7 Impairment losses on goodwill, intangibles and PP&E - - Impairment losses on right-of-use assets 2 - Exchange results and changes in fair value of derivates - 4 Recycling of hedge reserve 2 1 Government grants and subsidies (2) (1) Result on the planned disposal of discontinued operations 47 - Expenses for defined benefit plans & long-term termination benefits 5 7 Accrued expenses for personnel commitments 20 20 Write-downs/reversal of write-downs on inventories 5 4 Impairments/reversal of impairments on receivables (1) (1) Additions/reversals of provisions 2 1 Operating cash flow before changes in working capital 41 44 Change in inventories (32) (59) Change in trade receivables - (9) Change in contract assets - (3) Change in trade working capital assets (32) (71) Change in trade payables (28) 3 Change in contract liabilities 14 10 Changes in trade working capital liabilities (15) 13 Changes in trade working capital (46) (58) Q1 2023 Q1 2022 Cash out for employee benefits (30) (24) Cash out for provisions (5) (4) Changes in lease portfolio 10 4 Changes in other working capital (13) (8) Cash settled operating derivatives - (1) Cash used in operating activities (44) (46) Income taxes paid (1) (2) Net cash from / (used in) operating activities (46) (48) of which related to discontinued operations (13) (3) Capital expenditure (7) (7) Proceeds from sale of intangible assets - 1 Acquisition of subsidiaries, net of cash acquired 3 - Interests received 3 1 Dividends received - - Net cash from / (used in) investing activities (1) (5) of which related to discontinued operations (1) (1) Interests paid (2) (1) Dividends paid to non-controlling interests (9) - Purchase of treasury shares - (8) Proceeds from borrowings 41 - Repayment of borrowings - (1) Payment of finance leases (7) (7) Proceeds / (payment) of derivatives (3) (2) Other financing income / (costs) received/paid - 7 Net cash from / (used in) financing activities 19 (13) of which related to discontinued operations (2) (2) Net increase / (decrease) in cash & cash equivalents (27) (66) Cash & cash equivalents at the start of the period 138 398 Net increase / (decrease) in cash & cash equivalents (27) (66) Effect of exchange rate fluctuations on cash held (3) (2) Cash & cash equivalents at the end of the period 108 330 Consolidated Statement of changes in Equity (in million Euro)
Unaudited, consolidated figures following IFRS accounting policies.
in million EuroShare capital Share premium Retained earnings Reserve for own shares Revaluation reserve Hedging reserve Remeasurement of the net defined benefit liability Translation reserve Total NON-CONTROLLING INTERESTS TOTAL EQUITY Balance at January 1, 2022 187 210 1,284 - 2 (2) (1,033) (15) 632 54 685 Comprehensive income for the period Profit (loss) for the period - - (4) - - - - - (4) (3) (7) Other comprehensive income, net of tax - - - - 1 - - 8 9 1 10 Total comprehensive income for the period - - (4) - 1 - - 8 5 (2) 3 Transactions with owners, recorded directly in equity Dividends - - - - - - - - - - - Purchase of own shares - - - (8) - - - - (8) - (8) Cancellation of own shares - - (8) 8 - - - - - - - Total transactions with owners, recorded directly in equity - - (8) - - - - - (8) - (8) Balance at March 31, 2022 187 210 1,272 - 2 (2) (1,034) (7) 629 51 680 Balance at January 1, 2023 187 210 1,042 - (1) (2) (908) (9) 520 41 561 Comprehensive income for the period Profit (loss) for the period - - (68) - - - - - (68) 1 (66) Other comprehensive income, net of tax - - - - - 2 - (8) (6) - (6) Total comprehensive income for the period - - (68) - - 2 - (8) (74) 1 (72) Transactions with owners, recorded directly in equity Dividends - - - - - - - - - (9) (9) Purchase of own shares - - - - - - - - - - - Cancellation of own shares - - - - - - - - - - - Total transactions with owners, recorded directly in equity - - - - - - - - - (9) (9) Balance at March 31, 2023 187 210 974 - (1) - (908) (16) 446 34 480 Attachments
- HealthCare IT: