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EKF Diagnostics Holdings plc

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FY2021 Annual Report · EKF Diagnostics Holdings plc
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Annual   
Report
2021

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1 Strategic Review and  
Corporate Governance

Financial and Operational Highlights

At a Glance 

Chairman’s Statement 

Chief Executive Officer’s Review

Chief Financial Officer’s Review

Board of Directors

Strategic Report

Report of the Directors

Corporate Governance Statement

Report of the Remuneration Committee

2 Financial Statements

Independent Auditors’ Report

Consolidated Income Statement

Consolidated Statement of Comprehensive Income

Consolidated and Company’s Statement of Financial Position

Consolidated and Company’s Statement of Cash Flows

Consolidated Statement of Changes in Equity

Company Statement of Changes in Equity

Notes to the Financial Statements

3 Additional Information

Notice of Annual General Meeting

Notes

Company Information

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Annual Report 2021 | EKF Diagnostics Holdings plc22

Financial and Operational Highlights
2021 - Key points

Financial Highlights

• 
• 
• 
• 

• 
• 
• 
• 
• 
• 

Revenue up 25% to £81.8m (2020: £65.3m) 
Core1 business revenues up 14% to £42.1m (2020: £37.1m)
Gross profit up 5% to £39.4m (2020: £37.4m)
 Adjusted EBITDA2 up 4% to £26.5m (2020: £25.5m), reflecting the changes in the mix of Contract Manufacturing 
related products as well as increased costs in the supply chain
Profit before tax of £21.4m (2020: £15.4m), including effect of share-based payments
Basic earnings per share of 3.47p (2020: 2.45p)
Cash generated by operating activities of £10.2m (2020: £13.8m)
Cash at 31 December 2021 of £20.3m (2020: £21.9m), net cash after borrowings of £19.6m (2020: £21.4m)
Value of investments in marketable securities at year end of £7.6m (2020: £6.5m)
Cash dividend of £5.1m paid to shareholders, equivalent to 1.1p per ordinary share (2020: 1.0p per share)

Operational Highlights

• 

 Focus on returning core business to pre-pandemic 2019 levels and positioned for future sustainable growth 
outside of short-term contract manufacturing
New reporting of business division revenues:

• 
        −  Point-of-Care – up 18% to £27.0m
        −  Central Laboratory – up 7% to £13.1m
        −  Life Sciences – up 3% to £2.0m
        −  Contract Manufacturing – up 38% to £36.3m, driven by COVID sample collection kits manufacture
        −  Laboratory Testing Services – ADL Health contributed £1.0m following acquisition in September 2021
• 
• 

Significant investment in South Bend, Indiana, facility to expand EKF Life Sciences’ fermentation capabilities
$10m acquisition of ADL Health, an earnings enhancing and cash generative CLIA certified testing laboratory

1 Core business includes Point of Care, Central Laboratory and Life Sciences
2  Earnings before interest, tax, depreciation and amortisation, share-based payments and exceptional items, as laid out 

in the income statement

Annual Report 2021 | EKF Diagnostics Holdings plc1 
2021 Revenues

2021

2020

+/-

Revenue (£m)

£81.8

£65.3

25%

Net cash (£m)

£19.6

£21.4

(8%)

Adjusted  
EBITDA (£m)

£26.5

£25.5

4%

25%Increase in revenues 

year on year

2017

2018

£41.6

£42.5

£44.9

2019

2016

£38.6

3

£81.8

£65.3

2021

2020

Annual revenues

£m

POINT OF CARE 
REVENUES

CLINICAL  
CHEMISTRY 
REVENUES

CONTRACT  
MANUFACTURING  
REVENUES

FY 2021 
£27,003 (£k) 

+18%

FY 2020 
£22,946 (£k)

FY 2021 
£13,055 (£k)

+7%

FY 2020 
£12,152 (£k)

FY 2021 
£36,308 (£k)

+38%

FY 2020 
£26,323 (£k)

LAB SERVICES 
REVENUES

LIFE SCIENCES 
REVENUES

FY 2021 
£1,030 (£k) 

ACQUIRED 
IN 2021

FY 2021 
£2,019 (£k)

+3%

FY 2020 
£1,959 (£k)

Annual Report 2021 | EKF Diagnostics Holdings plc144

At a Glance

Commentary

EKF Diagnostics Holdings plc (“EKF Diagnostics” or just “EKF”) is a global medical diagnostics business with a long history 
in point-of-care testing and manufacturing reagents for use in central laboratories. In 2020-21, in response to the COVID-19 
pandemic, EKF grew its contract manufacturing business to provide sample collection kits and consumables for private 
and public sector customers in the USA and Europe.

Our point-of-care (POC) products, most of which are designed and manufactured in Germany, have a hard earned reputation 
for ease of use, reliability and accuracy from professionals working in diabetes, blood banking and sports medicine.

The POC business is built around a large installed base of analysers each of which generates a regular demand for tests, 
often for the entire life cycle of the analyser. During 2020, prior to the release of COVID-19 vaccines and during the height 
of  the  pandemic  restrictions,  demand  for  analysers  and  tests  dropped.  In  2021,  as  expected,  this  trend  was  reversed. 
Sales of analysers increased by 44% and tests by 29% as customers around the world began to return to normal levels of 
business. It is worth noting however that some business took longer to return than others. For example in some countries, 
particularly India, anaemia screening programmes did not return to their pre-pandemic levels in 2021 due to the speed of 
vaccine roll-out and the need to ensure outbreaks were contained. 

The EKF Central Laboratory range includes clinical reagents and centrifuges which are manufactured at premises near 
San  Antonio,  Texas.  Clinical  chemistry  reagents  are  sold  for  use  on  open  channel  systems  or  on  EKF’s  own  brand  of 
analysers. During 2020-21 laboratories around the world were consumed with the testing demands of COVID-19. Business 
has returned in this sector but at a lesser rate than that of Point of Care. The recovery in sales has also been impacted by 
delays in the supply chain for plastics and chemicals used in some reagents.

EKF Life Sciences, based in Elkhart and South Bend, Indiana, manufactures diagnostic enzymes and contracted custom 
products for use in medical diagnostics, pharmaceuticals and industry. Due to the demand for COVID-19 testing kits the 
South Bend site was repurposed as a kitting facility. Similarly capacity for kitting and bulk formulation of PrimeStore® MTM 
and PBS was added in Boerne, Texas whilst new contract manufacturing production facilities were put in place in Cardiff, 
UK and Magdeburg, Germany.

The following pages describe our product portfolio, split broadly into groups by disease class.

2021 Sales

ANALYSERS SOLD (Point-of-Care)

TESTS SOLD (Point-of-Care)

2021
16,111

2020
11,167

+44%

Geographical Performance

+9%

+29%

2021
83,875,325

2020
65,014,470

South Bend 
and Elkhart, IN

Cardiff, UK

Leipzig, DE

Magdeburg, DE

Moscow, RU

San Antonio, TX

Shanghai, CN

Revenue

FY 2021  FY 2020

+/- (£k)

APAC

EMEA

4,295

3,747

548

42,711

25,648

17,123

AMERICAS

34,770

35,865

(1,095)

Annual Report 2021 | EKF Diagnostics Holdings plc1 
5

Point-of-Care: Hematology

Product Portfolio

The hemoglobin analysers product range within EKF Diagnostics is the largest in terms of revenues and the size of the 
installed base.

A  number  of  OEM  arrangements  with  distribution  partners  has  provided  EKF  with  access  to  significant  geographic 
markets and industry sectors that complement a strong and loyal customer base.

Hemo ControlTM

DiaSpect Tm

DiaSpect Hemoglobin T Low

• 

• 

• 

Uses ‘gold standard’   
methodology (reagent filled  
microcuvettes)
Data management capability;   
provides a hematocrit  
calculation
Proven, robust analyser sold    
worldwide

• 

• 

• 

Handheld analyser utilising  
reagent-free cuvette technology
One second time to result  
and an extended shelf-life of    
microcuvettes
Connectivity to a mobile phone  
application available

• 

• 

• 
• 

Tests serum, plasma, aqueous   
solutions or stored erythrocytes
Estimates the degree of  
hemolysis
Results in less than two seconds
Reagent-free microcuvettes

UltraCritTM

HemataStat IITM

• 

• 

Hematocrit analyser which uses  
unique ultrasound technology
Used in blood banks in the US

• 

• 

Laboratory hematocrit  
centrifuge and analyser
Processes multiple samples

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
66

Point-of-Care: Diabetes

Product Portfolio

EKF’s Diabetes Care range aims to provide affordable, easy-to-use technology that reduces the costs of long-term 
healthcare of the diabetic and pre-diabetic population.

Diabetes has been at the core of EKF’s strategy for over a decade starting with the early models of the Biosen glucose 
analysers. 

Later, Quo-Test and Quo-Lab were launched to address the diabetes screening market.

BiosenTM

Quo-Lab® A1c

Quo-Test® A1c

• 

• 

• 

• 

Glucose and/or lactate  
measurement
Two models, each aimed at  
different settings
Strong presence in Eastern  
Europe and China in diabetes   
clinics and research
Used by professional and  
amateur sports clubs to test  
lactate thresholds

• 

• 

• 

HbA1c testing (Glycated  
Hemoglobin)
Results in four minutes using a  
unique methodology
Semi-automated analyser aimed  
at cost-sensitive markets

• 

• 

• 

HbA1c testing (Glycated  
Hemoglobin)
Same methodology as Quo-Lab  
but fully automated
Simple operation requires  
minimal training

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7

Point-of-Care: Other

Product Portfolio

The  Women’s  Health  product  range  focuses  on  specialist  diagnostics  used  to  address  conditions  and  complications 
associated with pregnancy and child birth.

Products include the Creamatocrit centrifuge but also the use of our hemoglobin meters that are used in Women and 
Infant Clinics, pregnancy test kits and HbA1c analysers used to diagnose gestational diabetes in pregnant women.

The EKF Sports Performance range is primarily comprised of Lactate Scout 4, a handheld blood analyser used ‘in the 
field’ by sports scientists. There is also a growing market for Biosen analysers used in sports research in both academia 
and professional sports organisations and clubs around the world.

Pregnancy Testing

Lactate Scout 4

Cassette rapid tests

• 
•  Marketed for use in hospital  

settings                                                            

• 
• 
• 

Handheld lactate analyser
Results in 10 seconds
Developed for use in sports  
medicine

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
 
 
88

Central Laboratory

Product Portfolio

EKF, through its wholly owned subsidiary Stanbio Laboratory, has had a presence within central laboratory dating back 
over 60 years. During this time it has built a global customer base for its clinical chemistry reagents that can be used on 
most open-channel analyser platforms. 

The Central Laboratory portfolio includes reagents, controls and calibrators for a wide range of popular pathology tests. 
Each one is manufactured at EKF’s facility in Boerne, Texas from where it is despatched to customers around the world.

AltairTM 240

• 
• 

• 

Automated bench-top analyser
Runs up to 400 tests per hour  
and can handle up  
to 43 different reagents
Calibrated to run the Stanbio    
Chemistry range of reagents

β-Hydroxybutyrate LiquiColor &
STAT-Site WB

• 

• 

• 

 Liquid reagent for the early 
detection of ketosis and 
ketone analyser launched  
Q1 2020
 Primarily sold in USA through 
national distribution networks
 Small but growing markets in 
China, Singapore and Australia 

Lucica Glycated Albumin-L

• 

• 

• 

 Specific test for Glycated 
Albumin
 Very sensitive to glycation by 
glucose and other sugars
Exclusive to EKF in the USA

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
 
 
 
 
9

Contract Manufacturing and Life Sciences

Product Portfolio

EKF  Diagnostics  worked  with  leading  epidemiology  organisations  during  2020  and  2021  to  develop  a  portfolio  of 
exceptionally high quality products that addressed the needs of the market and helped turn the tide in the battle against 
COVID-19.

EKF’s  existing  relationship  as  a  contract  manufacturing  partner  for  Longhorn  Vaccines  &  Diagnostics  developed 
significantly during the pandemic. The escalating demand for PrimeStore® MTM in the US spread to Europe following a 
successful evaluation of the product by Public Health England. As a result EKF opened production facilities in Germany 
and the UK, as well as a second site in the US.

EKF Life Sciences has received a significant investment in plant to allow it to grow the services and products it provides 
and agreed a lease to expand manufacturing capacity at South Bend in 2019. This facility will allow EKF Life Sciences to 
fulfil larger bulk orders than was previously possible as well as provide additional bottling and warehouse space. Work 
to get this facility operational was delayed by the demand for COVID-19 testing products but has recommenced in 2022.

Molecular transport media

Sample collection kits

Enzyme fermentation

• 
• 

For use at home or on-site
 Includes a vial of viral transport 
media and a flocked swab
Test for multiple virus’ from  

• 
        one sample

• 

• 

• 

 $10m investment throughout 
2021-22 in South Bend, Indiana 
plant
 Up to 14,500 litre capacity 
fermenters
 FDA registered. Certified ISO 
13485: 2016 facility

•  Molecular transport media that 
        preserves and stabilises DNA  
        and RNA
• 
Allows viral samples to be safely 
        collected, transported and tested
• 
• 

Sold in vials and in bulk
FDA Class 2 and CE marked 

Lab Services

ADL Health

EKF Diagnostics acquired San Antonio based lab services business ADL Health in 2021. ADL Health has been primarily 
focused on COVID-19 testing services for private business and individuals since its inception in 2020.

ADL has experienced continued demand for COVID-19 testing services in 2022, particularly as a service provider for 
large events. However, as the demand for COVID-19 testing declines ADL will focus on introducing new tests throughout 
2022  including  NIPT,  Calprotectin,  Drugs  of  Abuse,  cannabinoid  and  a  variety  of  oncology,  pathogen  and  infectious 
diseases utilising Next Generation Sequencing.

Annual Report 2021 | EKF Diagnostics Holdings plc1 
1010

Chairman’s Statement

2021  has  been  another  record-breaking 
year  for  EKF,  with  revenue  increasing 
by  25%  to  £81.8m  (2020:  £65.3m),  and 
core  business  revenues  returning  to  pre-
pandemic levels. We have delivered another 
strong  earnings  performance  with  £26.5m 
of  adjusted  EBITDA  generated  in  the  year 
(2020:  £25.5m)  and  basic  earnings  per 
share  having  improved  materially  at  3.47p 
per share (2020: 2.45p). Cash levels remain 
strong  with  net  cash  after  borrowings 
of  £19.6m 
(2020:  £21.4m),  despite 
considerable investment (£5.6m compared 
with  2020:  £2.1m)  to  drive  the  future 
growth  of  the  business  and  shareholder 
value generation outside of COVID-related 
contract manufacturing revenues.

laying 

foundations 

The story of 2021 has been one of expansion, 
for 
the 
including 
further growth: building on our successes 
in  2020;  building  on  the  capabilities  that 
we  developed  in  response  to  COVID  and 
readying them to be applied to new areas; 
building  new  facilities  and  structures  to 
support a return to growth across our core 
business;  and  building  a  new  leadership 
team to drive the business forward.

It  is  our  current  view  that  COVID-related 
revenues from contract manufacturing will 
materially reduce in 2022, given the rapid 
step-back  in  testing  requirements  across 
global  markets.  COVID-related  revenues 
were always going to be of indeterminate 
duration  and  quantity,  so  our  focus  and 
strategy have already turned to positioning 
the  business  to  deliver  growth  across  all 
core  business  areas,  whilst  redirecting 
the  capabilities  developed  for  COVID 
into  other  activities.  We  are  delighted  to 
report  that  in  2021  every  single  product 
group  delivered  year-on-year  growth  and 
the  expansion  of  contract  development 
and  manufacture  of  diagnostic  test  kits, 
along  with  the  laboratory  acquisition  in 
the  United  States,  positions  us  well  for 
capturing further work in other healthcare 
applications. 

investing 

The  short-term  benefits  derived  from  our 
COVID-related  contract  manufacturing 
success  has  allowed  the  Group  to  fuel 
growth  by 
in  facilities  and 
equipment  for  the  future,  as  well  as  the 
acquisition  of  a  new  business  in  an  area 
which  not  only  widens  our  offering  but 
also  brings  synergy  potential  by  adding 
to  the  relationships  and  abilities  we 
have  gained  over  the  last  two  years. 
We  remain  confident  in  our  strategy  for 
growth  to  2024  and  we  believe  that  the 
core  business  alone  has  the  potential  to 
deliver significant revenue growth without 
reliance on COVID in that timescale and we 
are  focussed  on  developing  a  sustainable 
business  that  can  deliver  EBITDA  growth 
over the next three years.

.

Strategy

In May last year, we announced our strategy 
for  delivering  growth  to  2024  and  beyond, 
and continuing to deliver shareholder value. 
The  strategy  for  growth  has  been  updated 
and can be summarised as:

•       continuing 

services 

innovation 

in  products 
Point-of-Care, 
in 
and 
Central  Laboratory  and  Life  Sciences 
leveraging  new  and  existing  routes  to 
market and relationships;

•       investment  in  expanded  production 
and kitting capabilities to offer a suite 
of  diagnostic  Contract  Manufacturing 
solutions to third party businesses;
•       expansion of CLIA Laboratories Testing 
offering  building  on  the  acquired 
capabilities in ADL Health; and

•       identify  complementary  earnings-
enhancing  acquisitions  with 
key 
strategic value.

We also believe we can continue to generate 
enhanced shareholder value through:

•       a progressive dividend policy; and 
•        our  agreement  with  Mount  Sinai 
(“MSIP”), 
Partners 
Innovation 
which  allows  us  advanced  access  to 
innovative  commercial  opportunities 
and where we can build on the ongoing 
successes  of  Renalytix  plc,  Verici  Dx 
plc and Trellus Health.

The  operational  performance  of  our 
business,  and  the  COVID-related  contract 
manufacturing business, are outlined in the 
Chief  Executive  Officer’s  Review.  This  also 
focusses  on  the  progress  we  have  made 
in  positioning  the  business  for  growth  and 
the  execution  of  that  strategy,  including  
our  recent  acquisition  in  the  laboratory 
testing space.  

MSIP Preferred Partnership 
Agreement and related activities

Our  Preferred  Partnership  Agreement, 
signed  with  MSIP  in  2019,  provides  us  with 
advanced  access  to  innovative  commercial 
opportunities arising from Mount Sinai Health 
System  owned  technologies  in  the  field  of 
healthcare  technologies.  This  partnership 
has already led to the development of three 
new  businesses,  all  of  which  are  listed  on 
AIM,  with  Renalytix  plc  shares  also  trading 
on Nasdaq as RNLX:

(AIM:  RENX), 

•        Renalytix  plc 

the 
developer  of  artificial 
intelligence-
enabled diagnostics for kidney disease; 
•        Verici Dx plc (AIM: VRCI), a developer 
of  advanced  clinical  diagnostics  for 
organ transplant; and 

•        Trellus  Health  plc  (AIM:  TRLS),  a 
resilience-drive  healthcare  company 
working to transform the way complex 

Annual Report 2021 | EKF Diagnostics Holdings plc1 
11

Chairman’s Statement (continuation)

chronic conditions are treated through whole-patient 
care,  with  an  initial  focus  on  Inflammatory  Bowel 
Disease (IBD). 

Trellus  Health  plc’s  IPO  was  completed  in  May  2021, 
with  EKF’s  retained  voting  rights  being  transferred  to 
shareholders.  Based  on  the  IPO  issue  price  of  40p  this 
transfer  represented  a  distribution  of  £11.2m  to  EKF 
shareholders.  The  value  of  our  remaining  holding  in 
Renalytix  plc  (1.39%)  was  worth  £6.2m  at  31  December 
2021 (2020: £4.9m). 

Our  initial  holding  in  Verici  Dx  plc  (“Verici”),  which  we 
received  by  way  of  a  dividend  from  Renalytix  plc  during 
2020,  was  worth  £1.4m  (2020:  £1.5m)  at  year  end.  On  7 
March 2022, we announced that we had agreed to invest 
a  further  £2.5m  by  participating  in  Verici’s  secondary 
fundraising. This additional funding round will accelerate 
the  progress  Verici  has  already  made  to  date  towards 
commercial  launch  of  its  two  lead  products,  as  well  as 
the  development  of  its  third  product  and  expansion  of 
other  capabilities.  Following  this  funding  exercise  we 
currently  own  5.77%  of  Verici’s  enlarged  share  capital.  It 
remains  our  stated  intention  to  distribute  this  enlarged 
holding to underlying shareholders as soon as reasonably 
practicable  and  subject  to  appropriate  arrangements  to 
maintain  an  orderly  market  in  Verici’s  shares  following 
such distribution.

We  will  continue  to  consider  additional  investment  in 
the  existing  stable  of  spin-outs  and  to  explore  other 
opportunities  with  MSIP  and  will  update  shareholders 
should  any  of  these  prospects  become  candidates  with 
the potential to deliver further value to our investors. 

Dividend

In  December  2021,  the  Company  paid  a  cash  dividend  of 
1.1p  (2020:  1.0p)  per  share  as  a  final  dividend  for  2020,  a 
total  pay-out  of  £5.1m  (2020:  £4.6m).  We  are  pleased  to 
confirm  that,  given  the  progress  in  EKF’s  business  and 
its  strong  cash  generation,  we  intend  to  make  a  further 
dividend  payment  to  shareholders  of  1.2p  per  ordinary 
share in respect of the performance of the business in 2021. 
If approved by shareholders at the Company’s next Annual 
General Meeting, payment will be on 1 December 2022.

Share capital

During  the  year  to  31  December  2021,  we  did  not  utilise  
the permission we obtained from shareholders to make on-
market  purchases  of  shares  for  cancellation  or  otherwise. 
The  Board  has  subsequently  today  announced  plans  to 
undertake  a  targeted  exercise  to  buy  back  up  to  up  to  a 
maximum  of  9,000,000  shares  (subject  to  a  maximum 
spend  of  approximately  £4.0  million)  and  we  believe  this 
is an appropriate use of our cash reserves and an effective 
means  of  further 
improving  shareholder  value  (the 
“Buyback”).

The purpose of the Buyback is to return cash to shareholders 
and  to  reduce  the  share  capital  of  the  Company.  The 
Buyback will be funded from the Company’s existing surplus 
cash  resources  and  all  ordinary  shares  of  1p  each  in  the 
capital of the Company (the “Ordinary Shares”), purchased 
will  be  held  in  treasury.  Any  repurchases  made  following 
the  Company’s  next  AGM  being  held  on  18  May  2022  will 
be conditional upon a further shareholder approval of the 

Company’s  general  buyback  authority  being  obtained 
at  that  meeting  and  subject  to  the  limit  of  69,589,585 
Ordinary Shares, or such other number as would represent 
approximately  15  per  cent  of  the  Company’s  issued  share 
capital at the time of issue of notice of the 2022 AGM. The 
Company  currently  intends  to  operate  the  Buyback  from 
the date of this announcement until the earlier of:- the date 
on which purchase of 9,000,000 Ordinary Shares has been 
completed; the date of the 2022 Annual General Meeting in 
the event further shareholder approval is not obtained; or 
31 December 2022.

Board changes

It has been a year of significant change at Board level in 
EKF, we believe we have a newly focussed Executive team 
with an excellent track record for delivering and managing 
substantial  growth  in  the  Lifesciences  and  Healthcare 
sector,  as  well  an  experienced  and  complementary  
non-executive  team  to  provide  appropriate  challenge  
and support to them as they execute our growth strategy 
into 2024.

Mike Salter, Chief Executive Officer

Mike Salter, who led our US operations since joining EKF in 
October 2017 and has been instrumental in delivering much 
of  the  growth  we  have  seen  in  this  region,  became  Chief 
Executive  Officer  on  1  October  2021.  Mike  is  an  organic 
Chemist by training, and based in San Antonio, Texas and 
previously  headed  up  our  Americas  business.  Mike  was 
responsible for overseeing the growth of our Diabetes and 
Haematology  business  in  the  US  and,  by  leveraging  his 
business  network,  he  secured  licensing  agreements,  built 
production  capacity  and  signed  orders  for  our  COVID-19 
sample collection kit business. Mike has been a passionate 
leader of our US team and has been instrumental in securing 
many of our largest US contracts and growth opportunities 
and  was  selected  as  the  ideal  candidate  to  deliver  our 
strategy of accelerated organic growth.

Mike  has  over  35  years  of  experience  in  the  Life  Science 
and  Diagnostics  Industry.  He  joined  Amersham  plc,  the 
UK’s  largest  Life  Science  company,  in  1984  and  spent 
20  years  in  various  Operational,  Product  Management 
and  Business  Development  roles.  When  Amersham  was 
acquired  by  GE  in  2004  to  become  GE  Healthcare,  Mike 
moved into senior commercial and business development 
roles  leading  new  strategic  Diagnostic  initiatives.  In 
2016,  Mike  became  General  Manager  of  the  Global 
Custom  Genomics  Business.  Throughout  his  time  at  GE 
Healthcare, Mike managed a successful multi-million dollar 
business  providing  Biotech  and  Lifesciences  companies 
with  products  and  services  to  support  the  development 
and  launch  of  their  new  products.  At  EKF  in  his  role  as 
President,  Americas,  Mike  was  responsible  for  delivering 
over $20m of new contract manufacturing revenues from 
the US operations.

Marc Davies, Chief Financial Officer

Marc Davies, joined as Chief Financial Officer on 1 January 
2022, having moved on from his role as Group Finance and 
Operations  Director  at  Flexicare  Medical  (“Flexicare”),  a 
medical  device  designer,  manufacturer  and  supplier.  At 
Flexicare  Marc  was  responsible  for  overseeing  a  period 
of  substantial  revenue  growth,  driven  by  both  organic 
performance  and  acquisition.  During  his  five  years  at 

Annual Report 2021 | EKF Diagnostics Holdings plc1 
1212

Chairman’s Statement (continuation)

Flexicare, Marc led several corporate finance transactions 
including post-transaction integration. 

Cash-settled share-based incentive

Previously,  Marc  was  a  Corporate  Finance  Director  at 
PwC,  providing  mid-market  private  business  and  private 
equity  focused  corporate  finance  advice  as  Head  of  the 
PwC  West  and  Wales  Corporate  Finance  Team.  Before 
joining  PwC  in  February  2013,  Marc  was  an  AIM  focussed 
Corporate Finance Adviser for over five years, during which 
he  spent  four  years  at  WH  Ireland,  including  work  within 
its  Nominated  Adviser  function.  Marc  began  his  career  in 
finance as part of the PwC Corporate Recovery team. Marc 
is  a  Fellow  Chartered  Accountant  (FCA)  and  an  Oxford 
graduate  with  an  MSc  in  Mathematical  Modelling  and 
Scientific Computation and an MA in Mathematical Science.

Mike and Marc replaced Julian Baines, MBE, co-founder of 
EKF  in  its  present  form,  and  Richard  Evans  respectively. 
We cannot thank Julian enough for his leadership and hard 
work on behalf of EKF’s shareholders over the previous 12 
years. He remains on the Board as Non-Executive Deputy 
Chair. Our thanks also go to Richard for the guidance he 
has  given  the  Board  and  the  Group  over  the  significant 
time he has spent with us. 

We  also  welcomed  two  new  Non-executive  Directors: 
Christian  (Chris)  Rigg,  a  chartered  accountant  with 
experience in listed businesses at Chief Executive Officer, 
Chief  Financial  Officer  and  Non-executive  Director  level, 
and Jenny Winter, currently Chief Executive of Animalcare 
Group plc, an AIM listed animal healthcare group. 

Our thanks also go to the Non-executive Directors who have 
retired  through  the  year.  Adam  Reynolds  was  a  Director 
of the business in its previous guise as a sports products 
company, and has provided sage advice over the long term 
since the EKF business reversed into International Brands 
plc  as  it  was  then  known.  Carl  Contadini  has  served  on 
the Board since 2016 and offered invaluable input to the 
operations of the business throughout that time. We thank 
them both for their valued contributions.

The  Board  now  comprises  six  members  –  two  Executive 
Directors and four Non-executive Directors:

•  Mike Salter, Chief Executive Officer
•  Marc Davies, Chief Financial Officer
•  Christopher Mills, Non-executive Chairman
•  Julian Baines, Deputy Non-executive Deputy Chairman
 Christian  Rigg,  Senior  Independent  Non-executive 
• 
Director

•  Jenny Winter, Independent Non-executive Director

We  believe  that  Executive  and  Non-executive  Directors 
have  the  right  mix  of  skills  and  expertise  to  lead  our 
excellent team around the World to attain our objectives 
for continuing success.

The  Board  believes  that  the  revised  make-up  of  the 
Board  is  appropriate.  We  have  adopted  the  Corporate 
Governance Code issued by the Quoted Company Alliance. 
Further details of compliance are found in the Corporate 
Governance Statement and on the Company’s website.

The Company has for some years operated a cash-settled, 
share  price  based  incentive  for  its  executive  directors 
(the  “Incentive”),  designed  to  pay  out  in  the  event  that 
the  Company  was  acquired  by  a  third  party  (an  “Exit”). 
During the present year EKF shareholders have benefited 
from very strong increases in value through the improved 
performance of the Group and the investment opportunities 
that  we  have  followed.  Reflecting  this  continued  delivery 
of value to shareholders by the Executive Directors, EKF’s 
Remuneration Committee determined that, in the absence 
of  any  other  performance  related  pay  mechanism,  it  was 
appropriate  to  distribute,  as  performance-related  pay,  a 
portion  of  the  amount  that  would  otherwise  be  payable 
under  the  Incentive  on  an  Exit.  The  Executive  Directors 
each  received  an  equal  payment  of  £0.5m  million  in 
January 2021, followed by a final equal payment of £2.0m 
each  in  July  2021.  After  these  payments,  the  original 
scheme was terminated, as was the similar scheme for Mr 
Salter, from which no payments were made. As a result of 
the terminations, the fair value amount accrued but unpaid 
relating  to  the  schemes  totalling  £1.9m  was  written  back 
through the income statement.

In  September  2021  Mr  Salter  was  granted  a  replacement 
cash settled share-based incentive award. The new award 
vests if a controlling interest in the Company is acquired by 
a third party at any time. In these circumstances an award 
is payable to Mr Salter, which increases by reference to the 
sale price achieved. It is anticipated that this scheme will 
be extended to include Mr Davies in due course.

Outlook

2021  was  a  year  that  delivered  record  revenue  and 
adjusted EBITDA performance. Our key focus remains on 
implementing  our  strategy  to  position  our  core  business 
for  sustainable  future  growth,  utilising  cash  generated 
from short-term contract manufacturing activities. At the 
end of 2019 and pre-pandemic we had a core business that 
generated revenues of £43.3m and an adjusted EBITDA of 
£12.0m.  The  results  for  2021  show  that  our  core  business 
revenues  were  broadly  in-line  with  these  levels  and  we 
have already implemented our investment plans to support 
growth in our core business in 2022.

We  are  particularly  excited  about  the  prospect  of  our 
recent acquisition in the laboratory testing space. Not only 
is  this  earning  enhancing  and  cash  generative,  but  also 
an  excellent  strategic  fit  within  our  existing  diagnostics 
offering that will strengthen our offering to our customer 
base.  The  investment  in  additional  fermentation  will 
also  drive  organic  growth  as  our  larger  volume  enzyme 
production capacity comes on-line this year.

Current  trading  is  strong  and  we  expect  to  deliver  a 
solid  first  quarter  performance  in  line  with  that  of  2021.  
However, we are adopting a pragmatic view that there will 
be  a  significant  reduction  in  pandemic-related  contract 
manufacturing activity for the remainder of the year. The 
new management team is keenly focused on delivering the 
growth  plan  through  to  2024  which  assumes  no  benefit 
from  further  COVID-related  manufacturing,  but  instead 
is  targeting  sustainable  revenue  growth  in  our  expanded 
core operations.

Christopher Mills
Non-executive Chairman

29 March 2022

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
Chief Executive Officer’s Review

I  am  delighted  that  we  have  delivered 
record  results  for  2021,  with  significant 
year-on-year  revenue  growth  (up  25% 
from £65.3m in 2020 to £81.8m).

I  am  also  proud  that  the  team  was  again 
able  to  rapidly  react  and  support  the 
growing  need 
for  sample  collection 
devices, kits and sample media to support 
the  testing  needs  triggered  by  the  global 
pandemic.

A  significant  proportion  of  EKF’s  top  line 
growth  in  2021  has  come  from  COVID-
related contract manufacturing, which is an 
area of the business that we anticipate will 
reduce in prominence as the world begins 
to  ‘live  with  COVID’  and  governments 
significantly  reduce  their  ongoing  testing 
requirements.  However,  we  have  now 
positioned ourselves as a leading provider 
of  products  and  services  to  support  any 
future  testing  demand  whether  COVID 
related or other public health requirement.

More  significant  for  the  outlook  for  the 
business  is  the  fact  that,  during  2021, 
revenues from our core business increased 
14% to £42.1m (2020: £37.1m) with growth 
across  all  key  product  verticals.  These 
business revenue levels also see us broadly 
in-line  with  pre-pandemic  revenue  levels 
as  seen  in  2019  and  the  core  business 
represents a compelling platform in its own 
right.  Having  focussed  on  recovering  the 
existing  core  business  to  previous  levels, 
we  believe  this  progress,  coupled  with 
investments already made, and additional 
future  investments,  will  fuel  sustainable 
growth across our business.

13

Operational overview

As  a  new  management  team,  we  have 
taken  the  opportunity  to  recalibrate  how 
we report revenues going forward to more 
closely align with our product groups and 
the way in which business divisions report 
into senior management. These are shown 
below: 

Key products/services

Point-of-Care
Providing a portfolio 
of analyser and 
consumables, 
particularly for use 
in Hematology and 
Diabetes 

Clinical chemistry
Clinical chemistry, 
Small lab analysers, 
Centrifuges  

Life Sciences

Hematology:
Hemo Control, 
DiaSpect Tm, 
HemataStat II, 
Ultracrit
Diabetes: 
Biosen C-Line, Quo-
Lab A1c, Quo-Test 
A1c, STAT-Site WB)
Other:
Creamatocrit Plus, 
Pregnancy Tests, 
Lactate Scout,  
Uri-Trak

Beta-
Hydroxybutyrate 
LiquiColor, Glycated 
Albumin, Glycated 
Serum Protein, Nitro-
tab, Procalcitonin

Enzyme 
fermentation, custom 
products and bulk 
fermentation

Contract Manufacturing Bulk formulation, 
Sample collection 
kits, private labelling, 
molecular and 
forensic kits

Laboratory Services

Following the 
acquisition of 
Advanced Diagnostic 
Laboratory LLC 
(“ADL Health”) CLIA 
certified facility

Division
£ millions

Point-of-Care 

Central Laboratory

Life Sciences

Contract 
Manufacturing  

Laboratory 
Services*

2021
Revenue

2020
Revenue

27.0

13.1

2.0

36.3

1.0

22.9

12.2

2.0

26.3

-

*contribution from 27 September 2021

Annual Report 2021 | EKF Diagnostics Holdings plc11414

Chief Executive Officer’s Review  (continuation)

Point-of-Care

forward and are working hard to bring these to fruition.

Sales  of  our  hemoglobin  analyzers  Hemo  Control  and 
DiaSpect  Tm  showed  strong  growth  as  blood  banks 
and  anaemia  programmes  came  back  online.  Our 
HemataStat  product,  meanwhile,  showed  significant 
growth of 29% as we see a return to normality. We have 
also  seen  growth  across  all  our  diabetes  instrument 
ranges,  with 
13%, 
driven  by  high  growth  from  our  Quo-Test  product  line. 

revenues  overall 

increasing  by 

Professional  sports  medicine  has  been 
returning 
to  normal  as  shown  by  a  27%  increase  in  Lactate 
Scout 
revenues.  We  have  continued  development 
work  for  our  clinically  focussed  Response  product.

For  2022,  we  are  looking  forward  to  healthcare  and 
customer development programmes returning to normal.

Central Laboratory

β-HB LiquiColor sales remain strong and increased by 8% 
contributing the majority of growth in this area, with sales 
of other chemistry products broadly flat, due to customers 
concentrating  on  COVID-related  business  revenues.  We 
now  expect  these  to  come  back  on  stream  during  the 
course of 2022.

Life Sciences

Across contract fermentation and other non-COVID related 
contract  manufacturing,  sales  remained  flat  at  £2.0m. 
We continue to see a strong pipeline of opportunities to 
supply contract manufacturing services from our Elkhart 
and  South  Bend  sites,  in  Indiana,  and  have  committed 
resources to add capacity. 

To  take  advantage  of  a  demand-driven  opportunity 
in  the  research  and  molecular  enzyme  areas,  as  well  as 
food  grade  fermentation  digestive  proteins  area,  we  are 
investing around $10m in the construction and installation 
of  new  1,500L,  3,000L  and  14,500L  fermenters  by  third 
party,  specialist  turn-key  contractors.  We  expect  this  to 
support significant revenues growth in this area by 2024. 

Contract Manufacturing
Once  again,  the  majority  of  our  contract  manufacturing 
revenues  related  to  supporting  testing  requirements  in 
relation  to  the  Global  Pandemic.  The  market  dynamics 
for COVID test collection kits changed during 2021 and to 
meet demand our focus switched from sales of reagents 
for  molecular  transport  media,  which  had  characterised 
our  activities  in  2020,  to  the  manufacture  of  filled  tubes 
and sample collection kits. While the revenues from these 
product  lines  increased  significantly,  the  nature  of  these 
products meant that the gross margin percentages were 
lower.  As  governments  across  the  world  changed  their 
responses  to  COVID,  often  at  very  short  notice,  we  and 
our  customers  were  required  to  be  extremely  flexible  to 
vary  activity  levels  in  response  to  demand  which  often 
changed overnight.

Our  sample  collection  related  revenues  at  the  beginning 
of the current year have held up well, however we expect 
to  see  this  specific  revenue  line  significantly  decrease 
over  the  year  as  the  demand  for  testing  drops. We  have 
continued to use temporary workers and to add facilities 
on  short  term  bases  where  possible  to  limit  our  risk. We 
have  developed  excellent  transferable  and  scalable  skills 
as a result of our pandemic response, and we are looking 
forward  to  applying  these  skills  to  new  areas.  We  have 
identified  a  number  of  potential  opportunities  through 
partners  which  we  believe  have  great  potential  going 

Upon review of COVID related stock at year end we have 
increased  our  overall  inventory  provision  by  a  further 
£384k.  We  believe  this  is  prudent  given  the  anticipated 
decrease in COVID related activities.

Laboratory Services 

On  27  September  2021,  we  acquired  ADL  Health,  a  San 
Antonio based CLIA certified testing laboratory focussed 
on  high  complexity  testing  and  covering  the  fields  of 
clinical,  forensic  and  microbiological  tests.  Using  its 
expertise  in  Polymerase  Chain  Reaction  (PCR)  testing, 
ADL Health also provides COVID testing needs for dozens 
of  Fortune  500  companies  and  government  agencies. 
ADL  Health  is  expanding  its  range  of  testing  capabilities 
across a broader suite of healthcare applications. 

The cost of acquisition of ADL was an initial $10m largely 
funded  through  the  issue  of  ordinary  EKF  shares  after 
a  working  capital  true-up  payable  in  cash,  with  the 
consideration  shares  subject  to  a  phased  lock-in  and 
orderly market agreement, plus contingent consideration 
based  on  the  achievement  of  certain  earnings  targets 
over  the  following  three  years.  The  ADL  Health  business 
is  cash  generative  and  is  expected  to  have  a  strong  first 
quarter  significantly  exceeding  revenues  recorded  in  the 
final quarter of 2021.

The  EKF  Board  believes  that  ADL  Health’s  wider  testing 
offer, including current and planned capabilities, provides 
an  attractive  platform  to  both  complement  and  broaden 
the  Group’s  existing  diagnostics  offering.  Having  CLIA 
lab  capacity  in-house  also  provides  us  with  a  means  to 
strengthen our customer relationships by providing wider 
testing  services,  and  allows  us  to  build  synergistically 
on  the  relationships  with  industry  leaders  that  we  have 
developed over the last two years. 

Since the acquisition, we have already secured a strategic 
partnership with  our existing customer,  Yourgene Health 
plc,  whereby  ADL  Health  will  offer  a  non-invasive  pre-
natal  testing  (NIPT)  service  to  the  US  market,  utilising 
Yourgene’s  proprietary  technology  and  ADL  Health’s 
accredited US laboratory to process returned samples.

ADL Health contributed £1.0m to 2021 revenues, following 
its acquisition on 27 September 2021.

In  addition  to  the  above  business  divisions  there  was  a 
further £2.4m revenues related to shipping and handling 
recharges, repairs and other sundries (2020: £1.9m).

Regulatory update

Our  regulatory  team  is  fully  committed  to  meet  the  new 
requirements of the In Vitro Diagnostic Regulation (IVDR) 
which affects all our products in the EU.  We have adapted 
to the significant changes the IVDR bring such that we are 
ready to meet the immediate requirements in May 2022, 
and  have  a  defined  plan  for  the  amended  transitional 
provisions  as  published  in  January.  For  the  UK,  to  meet 
the requirements of the MHRA we have established the UK 
Responsible Person for our non-UK operating entities, and 
are set to meet UKCA marking requirements.

Russia and Ukraine

EKF owns 60% of O.O.O. EKF Diagnostika, a distribution 
subsidiary  located  in  Moscow  which  sells  EKF  Point-of-
Care products and other third-party products into Russia 
and neighbouring states. As a supplier of medical products 

Annual Report 2021 | EKF Diagnostics Holdings plc1Chief Executive Officer’s Review  (continuation)

15

with no dual use it would not be appropriate to end supplies 
to the region, but we are seeing some disruption caused 
by  the  Western  sanctions  relating  to  foreign  exchange 
controls. We are working with the staff and management 
of  this  business  to  keep  it  as  stable  as  possible,  but  we 
have  already  discounted  sales  from  this  region  from  our 
growth  forecasts  as  a  precaution.  Financial  details  of 
our  business  in  Russia,  which  represents  less  than  5%  of 
Group revenue and Adjusted EBITDA at the consolidated 
level,  are  shown  in  the  segmental  analysis  in  Note  3.

We also have a distributor in Ukraine with whom we have 
worked  for  some  years,  we  wish  that  all  our  friends  in 
Ukraine  stay  safe  and  well.  We  also  have  a  distributor  in 
Belarus. Neither represent a significant part of our business.

Summary

We are absolutely delighted with the performance of our 
core  business  over  the  last  twelve  months  and  the  cash 
generated from contract manufacturing has allowed us to 
invest  in  future  growth  opportunities  –  both  organically, 
particularly  in  the  area  of  enzyme  production,  but  also 
through acquisition with the addition of ADL to the Group 
and  the  exciting  prospects  that  adding  a  laboratory 
testing  capacity  to  our  overall  offering  opens  up  for  us.

When  I  became  CEO  in  October  2021,  we  had  set 
out  ambitious  growth  plans  for  EKF  that  would  see 
the  core  business  positioned  to  deliver  substantial 
growth  in  both  revenues  and  adjusted  EBITDA.  We 
can  already  see  the  signs  of  this  strategy  coming  to 
fruition  and  I  am  confident  that  the  investment  put  in 
place  will  see  further  progress  in  2022  and  beyond. 

As  a  Board  we  remain  confident  in  delivering  on  our 
strategy for growth into 2024 and I welcome the support 
from  my  colleagues  and  investors  alike,  as  we  continue 
to  focus  on  execution  of  our  plans  to  generate  value  for 
shareholders.

Mike Salter
Chief Executive Officer

29 March 2022

Annual Report 2021 | EKF Diagnostics Holdings plc11616

Chief Financial Officer’s Review

Revenue

Revenue  for  2021  was  £81.8m  (2020: 
£65.3m),  an  increase  of  25%  on  the  prior 
year.  At  constant  2020  exchange  rates, 
revenue for the year excluding ADL would 
have been £85.5m, an organic growth rate 
of 29%.

Revenue  by  geographical  segment  based 
on  the  legal  entity  locations  from  which 
sales are made, is as follows:

caused by changes in the mix of Contract 
Manufacturing  related  products  as  well 
as  increased  costs  in  the  supply  chain. 

Administration  costs  and  research 
and development

Administration  costs  have  decreased  to 
£17.7m (2020: £20.7m).

2021
£’000

2020
£’000

+/- %

To  aid  understanding,  administrative 
expenses  in  each  period  are  made  up  as 
follows:

Germany

34,171

20,286

+68%

36,056

37,692

(4%)

8,323

4,378

+90%

3,286

2,904

+13%

81,836

65,260

+25%

Non-exceptional 
administration 
expenditure before 
R & D capitalisation

Year ended 
31 December 
2021
£’000

Year ended
31 December 
2020
£’000

19,511

17,234

EBITDA* 
£’000

Effect of share-
based payments

(1,238)

5,292

USA

UK

Russia

Total

Germany

USA

UK

Russia

Total

Revenue
£’000

34,171

36,056

8,323

3,286

11,480

12,735

1,293

981

81,836

26,489

*  Adjusted  EBITDA  excludes  exceptional 
items and share-based payments.

Germany  –  Significant  revenue  increase 
primarily  due  to  sample  collection  tubes 
and kits contract manufacturing activity
USA  –  Contract  manufacture  of  bulk 
molecular  transport  media  and  PBS  for 
public health and private sector customers 
tailed off during H2
UK  –  Increased  demand  and  full  year 
effect of sample collection tubes and kits 
contract manufacturing activity
Russia  –  Increased  demand  in  Point-of-
Care portfolio. EKF’s Russian entity is 60% 
owned by the Group but 100% of its results 
are consolidated, with the non-controlling 
interest  shown  separately  in  the  income 
statement  and  statement  of  financial 
position.

As referred to in the Chief Executive Officer 
Review,  we  have  taken  the  opportunity 
to  recalibrate  how  we  report  revenues 
going  forward  to  more  closely  align  with 
our product groups and the way in which 
business  divisions 
into  senior 
management.

report 

Gross profit

represents 

Gross  profit  is  £39.4m  (2020:  £37.4m), 
which 
a  gross  margin 
percentage  of  48%  (2020:  58%).  The 
increased  gross  profit  was  largely  due 
to  the  higher  volumes.  The  reduction  in 
gross  margin  percentage  was  primarily 

Less capitalised
R & D

Effect of 
exceptional items

Total 
administrative 
expenses

(659)

(586)

95

(1,282)

17,709

20,658

The  reduction  is  largely  caused  by  the 
effect  of  the  closure  of  the  cash  settled 
share-based  payment  schemes,  which, 
after payments made out during the year, 
allowed  a  write-back  of  the  remaining 
accrued balance of £1.9m. 

Research and development costs included 
in  administration  expenses  were  £1.4m 
(2020:  £1.4m).  A  further  £0.7m  (2020: 
£0.6m)  was  capitalised  as  an  intangible 
asset,  resulting  from  our  development 
work to broaden and improve our product 
portfolio,  bringing  gross  R&D  expenditure 
for  the  year  to  £2.1m  (2020:  £2.0m).  The 
charge for depreciation of fixed assets and 
amortisation of intangible assets increased 
to £5.9m (2020: £4.6m). The increase was 
mainly associated with higher amortisation 
of  development  projects,  and  increased 
depreciation  on 
right  of  use  assets 
capitalised in accordance with IFRS 16.

Operating profit and adjusted earnings 
before  interest,  tax,  depreciation  and 
amortisation

The Group generated an operating profit of 
£21.7m (2020: £16.9m). This was a result of 
the  higher  revenue  levels  seen  during  the 
year  and  the  lower  administration  costs. 
We  continue  to  consider  that  adjusted 
earnings before interest, tax, depreciation 
and  amortisation,  share-based  payments 
and  exceptional  items  (Adjusted  EBITDA) 
is a better measure of the Group’s progress 

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
Chief Financial Officer’s Review (continuation)

17

to  the  investment,  the  Company  holds  5.8%  of  Verici  DX 
plc. EKF intends that its holding in Verici will be distributed 
to its own underlying shareholders as soon as reasonably 
practicable  and  subject  to  appropriate  arrangements  to 
maintain  an  orderly  market  in  Verici’s  shares  following 
such distribution.

Deferred consideration

The  deferred  consideration  of  £2.9m  at  the  start  of  last 
year  has  been  written  back,  along  with  its  associated 
warranty  claim  debtor,  following  settlement  of  the 
dispute.  A  small  payment  has  been  made  to  the  former 
owner  of  EKF’s  German  operations.  The  new  balance 
of  £0.6m  (2020:  £2.9m)  is  for  deferred  and  contingent 
consideration relating to ADL, which has been estimated 
at its fair value.

Cash and working capital

Net  cash  (which  excludes  marketable  securities  and 
lease creditors assessed in relation to IFRS 16 assets) has 
decreased  to  £19.6m  from  £21.4m.  Gross  cash  has  fallen 
to  £20.3m  (2020:  £21.9m).  Existing  Borrowings  reduced 
in  line  with  repayments  to  £0.3m  (2020:  £0.5m),  while 
borrowings overall rose as a result of borrowings held by 
ADL  on  acquisition  of  £0.4m,  which  have  been  settled 
post  year  end.  Cash  generated  by  operations  is  £14.2m 
(2020: £20.8m) mainly influenced by the effect of share-
based payments.

Investment  has  been  made  in  the  acquisition  of  fixed 
assets (£4.3m excluding IFRS 16 leases). Working capital 
grew by £6.7m during the period, particularly as a result 
of  additional  inventory  carried  in  the  USA.  Payments 
during the year under the now closed previous exit bonus 
scheme  totalled  £5.3m.  The  dividend  paid  in  December 
2021 totalled £5.1m.

Marc Davies
Chief Financial Officer

29 March 2022

as  the  Board  believes  it  gives  a  clearer  comparison  of 
the  underlying  operating  performance  between  periods. 
In  2021  we  achieved  adjusted  EBITDA  of  £26.5m  (2020: 
£25.5m),  an  increase  of  4%.  The  calculation  of  this  non-
GAAP  measure  is  shown  on  the  face  of  the  income 
statement.  It  excludes  the  effect  of  a  non-cash  share-
based payment credit of £1.2m (2020: charge of £5.3m), 
and  exceptional  losses  of  £0.1m  (2020:  profit  of  £1.3m), 
the  main  elements  of  which  are  costs  relating  to  the 
acquisition of ADL. 

Finance costs

Net  finance  costs  are  £0.3m  (2020:  £1.5m).  The  main 
cost results from a decrease in the fair value of deferred 
consideration which is valued using the Company’s share 
price.  Although  the  Group  holds  net  cash,  achievable 
financial  returns  on  this  are  very  low  because  of  low 
interest rates around the world.

Tax

There is an income tax charge of £5.3m, an increase from 
the  prior  year  charge  (2020:  £4.0m),  but  a  decrease 
in  the  tax  rate  to  25%  from  26%.  Deferred  tax  of  £1.5m, 
calculated  on  the  increase  in  the  market  value  of  listed 
investments over cost, has been charged direct to Other 
Comprehensive Income.

Dividend

A  cash  dividend  of  1.1p  per  ordinary  share  was  paid  in 
December 2021, in respect of the final dividend for 2020. 
Dividends  are  shown  in  the  Statement  of  Changes  in 
Equity, and not in the Income Statement.

Balance sheet

Property plant and equipment and right-of-use assets

Additions  to  fixed  assets  were  £5.7m  (2020:  £2.1m), 
and  fixed  assets  rose  by  a  further  £0.9m  recognised  on 
the  acquisition  of  ADL.  Major  programmes  include  the 
continuing work on the fit out of the new factory building 
in  nearby  South  Bend  and  upgrading  and  refurbishment 
of the Group’s manufacturing facility in Elkhart, USA and 
the; and the capitalisation of new and replacement leases 
under IFRS 16 including new properties in the UK and USA. 
These  leases  are  either  for  three  years  or  less,  or  have 
break  clauses  that  limit  our  commitment  to  a  maximum 
of three years.

Intangible assets

The carrying value of intangible assets has increased, from 
£37.1m  at  the  end  of  2020  to  £41.9m  as  at  31  December 
2021.  This  is  due  to  the  intangible  assets  of  £8.0m 
recognised on the acquisition of ADL.

Investments

At  year-end,  the  Company  continues  to  hold  1.39%  of 
the  issued  share  capital  of  Renalytix  plc,  a  developer  of 
artificial intelligence enabled acute kidney injury products, 
and  1.89%  of  Verici  Dx  plc,  a  developer  of  advanced 
clinical  diagnostics  for  organ  transplant.  The  market 
value  of  these  investments  increased  by  £1.1m  during 
the  year.  Post  year  end  the  Company  invested  a  further 
£2.5m in Verici alongside other existing and new investors 
participating in a placing of new ordinary shares. Further 

Annual Report 2021 | EKF Diagnostics Holdings plc11818

Board of Directors

Executive Directors

Michael Salter (appointed 1 October 2021)

Chief Executive Officer

Mike Salter joined EKF in 2017 as head of the Group’s American business where he was 
responsible for all USA facilities including sales, operations and Regulatory Affairs, and 
also  had  a  particular  focus  on  EKF  Life  Sciences  in  Elkhart,  Indiana.  Previously,  Mike 
worked  at  GE  Healthcare  where  he  was  General  Manager  for  the  Custom  Molecular 
Reagent Business within GE Life Sciences. Mike has over 35 years of experience in the 
Life Science and Diagnostics Industry, 33 of which were spent with GE and Amersham 
in  a  variety  of  positions  in  the  UK,  Canada  and  USA.  Since  joining  EKF,  Mike  has  been 
responsible for overseeing the growth of EKF’s Diabetes and Haematology business in 
the US and, by leveraging his business network he has secured licensing agreements, built 
production capacity and secured orders for the COVID-19 sample collection kit business.

Richard Evans

Chief Operating Officer and Finance Director

Richard qualified as a Chartered Management Accountant in 1983 and holds a Bachelor 
of Commerce in Business Studies and Law from Edinburgh University and an MBA from 
INSEAD. Before joining EKF, Richard was Finance Director, General Manager and finally 
Global  Account  Director  at  Hitachi  Data  Systems  GmbH.  He  has  also  held  positions  at 
Fisher  Scientific,  TRW  Seat  Belt  Systems,  Maxtor  Corporation,  United  Technologies 
Carrier and Abbott Diagnostics GmbH in Germany. Richard retired from the Board on 1 
January 2022.

Marc Davies (appointed 1 January 2022)

Chief Financial Officer

Marc  joined  EKF  on  1  January  2022  from  medical  device  designer,  manufacturer  and 
supplier  Flexicare  Medical,  where  he  was  Group  Finance  and  Operations  Director 
from  October  2017.  Marc  was  responsible  for  overseeing  substantial  revenue  growth 
throughout his time with Flexicare, driven by both organic performance and acquisition. 
Whilst  at  Flexicare  Medical.  Marc  led  several  corporate  finance  transactions  including 
post-transaction integration. 

Previously,  Marc  was  a  Corporate  Finance  Director  at  PricewaterhouseCoopers  (PwC), 
providing  mid-market  private  business  and  private  equity  focused  corporate  finance 
advice as Head of the PwC West and Wales Corporate Finance Team. Before joining PwC 
in 2013, Marc was an AIM focussed Corporate Finance Advisor for over five years, during 
which  he  spent  four  years  at  WH  Ireland,  including  work  within  its  Nominated  Adviser 
function. Marc began his career in finance as part of the PwC Corporate Recovery team.
Marc  is  a  Fellow  Chartered  Accountant  (FCA)  and  an  Oxford  graduate  with  an  MSc 
(Distinction)  in  Mathematical  Modelling  and  Scientific  Computation  and  an  MA  (First 
Class) in Mathematical Science.

Annual Report 2021 | EKF Diagnostics Holdings plc1Board of Directors

Non-Executive Directors

19

Christopher Mills

Non-executive Chairman

Christopher  founded  Harwood  Capital  Management  in  2011,  a  successor  to  its  former 
parent company J.O. Hambro Capital Management, which he co-founded in 1993. He is 
Chief Executive and Investment Manager of North Atlantic Smaller Companies Investment 
Trust  plc  and  Chief  Investment  Officer  of  Harwood  Capital  LLP.  He  is  a  Non-Executive 
Director of a number of companies including Renalytix AI plc. Christopher was a Director 
of Invesco MIM, where he was Head of North American Investments and Venture Capital, 
and of Samuel Montagu International. Christopher stood down from the audit committee 
in March 2022.

Julian Baines MBE

Non-executive Deputy Chairman

Julian  was  Group  CEO  of  BBI  where  he  undertook  a  management  buyout  in  2000,  a 
flotation on AIM in 2004 and was responsible for selling the business to Alere Inc. (now 
part of Abbott Laboratories) in 2008 for circa £85 million. Julian founded and was CEO 
of  the  Group  from  its  inception  in  2009  and  has  subsequently  successfully  completed 
a  number  of  fund  raisings  and  the  acquisition  and  subsequent  integration  of  eight 
businesses  in  seven  countries.  In  2016  he  was  awarded  an  MBE  for  services  to  the  life 
sciences  industry.  Julian  is  also  Chairman  of  Trellus  Health  plc  and  Verici  Dx  plc.  On  1 
October 2021 he stepped down as CEO of the Group but continued as a Non-executive 
Director.

Adam Reynolds (resigned 19 May 2021)

Non-executive Director

Adam is a former stockbroker specialising in corporate finance. He has built, rescued and 
re-financed a number of public companies. He is currently Chairman of Autoclenz Group 
Limited Belluscura plc, Myhealthchecked plc and Yourgene Health plc, and a director of 
several listed and private companies. Adam retired from the Board in May 2021.

Annual Report 2021 | EKF Diagnostics Holdings plc12020

Board of Directors

Non-Executive Directors

Christian Rigg (appointed 1 July 2021)

Non-executive Director

Chris  Rigg  is  a  chartered  accountant  who  has  significant  executive  experience  at  both 
public  and  private  companies.  He  is  currently  the  Chief  Executive  Officer  of  Project 
Galaxy  UK  Topco  Limited  (the  holding  company  of  Mandata  Holdings  Limited)  and  a 
Non-executive  Director  of  the  main  market  listed  Sportech  plc.  Chris  previously  held 
the positions of Chief Financial Officer and latterly Chief Executive Officer at Quantum 
Pharma  plc,  which,  under  his  stewardship,  was  refinanced  and  implemented  a  new 
strategy  facilitating  growth  and  leading  to  its  acquisition  by  Clinigen  Group  plc  for  an 
enterprise value of £160 million.

Chris is a member of the audit committee.

Carl Contadini (resigned 1 February 2022)

Non-executive Director

Carl has been a director of numerous companies throughout his career, predominately 
focusing  on  the  healthcare  and  electronics  sectors.  He  is  currently  an  Operational 
Adviser to Harwood Capital LLC, where he assists in sourcing, evaluating and monitoring 
investments.  Carl  also  holds  the  positions  of  Executive  Chairman  at  Utitec  Holdings 
Inc.  and  of  Chairman  of  the  Harold  Lever  Cancer  Cente.  He  is  also  a  board  member  of 
Waterbury Hospital which is part of the Prospect Medical Company. Carl has, in the past, 
also been a director of Bionostics Limited and Celsis Group Limited. He holds an Associate 
of  Science  degree  in  Business  Administration  and  Marketing  from  Tunix  Community 
College, Connecticut and a Batchelor of General Studies degree specialising in Human 
Resources from University of Connecticut. Carl retired from the Board in February 2022.

Jennifer Winter (appointed 1 February 2022)

Non-executive Director

Jenny has over 20 years’ experience across a broad variety of healthcare organisations 
ranging  from  small  not-for-profit  companies  to  large  corporates.  Jenny  is  currently 
Chief  Executive  Officer  of  AIM  listed  Animalcare  Group  plc  (AIM:  ANCR)  where  she  is 
successfully executing on the business’s  long-term  growth  strategy,  as reflected  in the 
recently  announced  strong  full  year  trading  performance  against  a  backdrop  of  very 
challenging  market  conditions.  Before  joining  Animalcare  Group  plc  in  October  2018, 
Jenny  was  Vice  President  of  Respiratory  products  -  Global  Supply  Chain  and  Strategy 
at  AstraZeneca,  a  position  she  held  from  2015.  Jenny  has  a  BSc  in  Physiology  and 
Pharmacology from the University of Southampton.

Annual Report 2021 | EKF Diagnostics Holdings plc121

Strategic Report
for the year ended 31 December 2021

The  Directors  present  their  Strategic  Report  for  
the year to 31 December 2021.

Review of the business

A  review  of  the  business  is  contained  in  the  Chairman’s 
Statement  on  pages  10  to  12  and  in  the  Chief  Executive 
Officer’s Review on pages 13 to 15, and the Chief Financial 
Officer’s Review on pages 16 and 17.

We recognise that effective risk management is essential 
to the successful delivery of the Group’s strategy. As we 
continue to grow our business we believe it is important 
to develop and enhance our risk management processes 
and control environment on an ongoing basis and ensure 
it  remains  fit  for  purpose.  We  continue  to  mature  our 
approach  to  identifying  and  managing  risks  across  the 
Group in a consistent and robust manner.

Below  we  describe  our  risk  management  approach,  the 
principal  risks  and  uncertainties  faced  by  the  Group  and 
the controls in place to manage them.

Overview of risk management approach

Each business area is responsible for identifying, assessing 
and  managing  the  risks  in  their  respective  area.  Risks  are 
identified and assessed by all business areas on a periodic 
basis,  and  are  measured  against  a  defined  set  of  criteria, 
considering likelihood of occurrence, and potential impact. 
The  Executive  Board  members  also  conduct  a  strategic 
risk  identification  and  assessment  exercise  to  identify 
risks,  including  those  that  could  impact  the  business 
model,  future  performance,  solvency  or  liquidity.  This  risk 
information  is  combined  with  a  consolidated  view  of  the 
business area risks. The most significant risks identified are 
included in our Group Risk Profile, which is reported to the 
Executive Board for review and challenge, ahead of it being 
submitted  to  the  Group  Board  for  final  review,  challenge 
and approval. The Board has the overall accountability for 
ensuring that risk is effectively managed across the Group 
and  therefore  ensuring  that  it  is  comfortable  with  the 
nature and extent of the principal risks faced in achieving 
its strategic objectives.

Principal risks and uncertainties

Set  out  below  are  the  principal  and  emerging  risks  which 
we  believe  could  materially  affect  the  Group’s  ability  to 
achieve  its  financial  and  operating  objectives  and  control 
or mitigating activities adopted to manage them. The risks 
are not listed in order of significance.

Key employees

Lack  of  retention  of  key  employees  affects  the  continuity 
and  effectiveness  of  on-going  relationships  with  key 
customers and suppliers.

This  risk  is  minimised  by  ensuring  that  a  minimum  of 
two 
individuals  manage  every  relationship  with  key 
customers  and  suppliers.  In  addition,  in  retaining  the 
incentivisation  packages  are  offered 
key  employees, 
through a mixture of sales commission, and profit related 
bonuses. Main Board Directors are incentivised as detailed 
in  the  Directors’  Remuneration  Report.  There  has  been 
no  change  in  the  level  of  this  risk  in  the  last  12  months. 

Political risk

A  significant  proportion  of  the  Group’s  revenues  are 
accounted for by agreements in developing countries. Any 
instability in these countries could meaningfully affect the 
operations and the revenue of the Group. In particular the 
Group has revenues from customers in Russia and an entity 
based there. As a result of the sanctions recently imposed 
on Russia by the EU, the USA and other countries, there are 
enhanced  risks  in  respect  of  our  Russian  entity,  including 
credit  risk  to  cash  balances,  its  ability  to  collect  debtors, 
and our ability to import products into Russia. The situation 
in Russia is changing rapidly and mitigation of these risks 
is difficult, however we maintain frequent communications 
with our senior management in the country who have a good 
knowledge of operating there in difficult circumstances. In 
addition we have discounted sales from this region in our 
growth forecasts.

The Group spreads the risk through seeking a portfolio of 
diversified revenue streams geographically with a mixture 
of  distribution  partners  in  developing  and  developed 
countries.

The  UK  has  withdrawn  from  the  EU.  Although  the  Group 
has not faced significant issues, the Group has employees, 
facilities,  customers,  and  suppliers  in  both  the  United 
Kingdom and the EU, and therefore withdrawal may affect 
the  Group’s  operational  abilities  and  costs.  The  Group 
seeks to manage this risk by monitoring events and taking 
mitigating actions if necessary, including the movement of 
certain activities between the UK and the EU.

The level of this risk has increased in the last 12 months.

Supply chain continuity

The  Group  relies  on  third  party  manufacturers  for  the 
supply  of  the  majority  of  raw  materials.  Problems  with 
obsolescence and manufacturer facilities may lead to delay 
and  disruptions  in  the  supply  chain  which  could  have  a 
significant negative impact on the Group.

The  Group  maintains  a  close  dialogue  with  key  suppliers 
and  closely  monitors  its  inventory  status  and  customer 
demand  to  ensure  that  any  problems  with  the  supply 
chain can be managed, and back up sources of supply are 
maintained  where  possible.  There  has  been  no  change  in 
the level of this risk in the last 12 months.

Regulatory risk

There  can  be  no  guarantee  that  any  of  the  Group’s 
products  will  be  able  to  obtain  or  maintain  the  necessary 
regulatory  approvals  in  any  or  all  of  the  territories  in 
respect of which applications for such approvals are made. 
Where regulatory approvals are obtained, there can be no 
guarantee that the conditions attached to such approvals 
will  not  be  considered  too  onerous  by  the  Group  or  its 
distribution  partners  in  order  to  be  able  to  market  its 
products  effectively.  The  Group  seeks  to  reduce  this  risk 
by  manufacturing  the  products  to  recognised  standards, 
by  keeping  appraised  with  changes  in  the  standards 
geographically, by seeking advice from regulatory advisers, 
consultations  with  regulatory  approval  bodies  and  by 
working with experienced distribution partners.

Annual Report 2021 | EKF Diagnostics Holdings plc12222

Strategic Report
for the year ended 31 December 2021 (continuation)

The Group’s operations are covered by In Vitro Diagnostic 
Regulation  (IVDR)  which  affects  all  our  products  in  the 
EU.  We have adapted to the significant changes the IVDR 
brings  such  that  we  are  ready  to  meet  the  immediate 
requirements in May 2022, and have a defined plan for the 
amended transitional provisions. There has been no change 
in the level of this risk in the last 12 months.

Competition risk

to 

the  Group’s  current  and 

Due 
future  potential 
competitors,  such  as  major  multinational  pharmaceutical 
and  healthcare  companies,  having  substantially  greater 
resources  than  those  of  the  Group,  the  competitors  may 
develop  systems  and  products  that  are  more  effective 
or  economic  than  any  of  those  developed  by  the  Group, 
rendering  the  Group’s  products  obsolete  or  otherwise 
non-competitive. The Group seeks to mitigate this risk by 
securing  patent  registration  protection  for  its  products 
where appropriate, maintaining confidentiality agreements 
regarding 
technology, 
monitoring  technological  developments  and  by  selecting 
leading businesses in their respective fields as distribution 
partners  capable  of  addressing  significant    competition, 
should it arise. There has been no change in the level of this 
risk in the last 12 months.

the  Group’s  know-how  and 

Intellectual property risk

The  commercial  success  of  the  Group  and  its  ability  to 
compete  effectively  with  other  companies  depends, 
amongst other things, on its ability to obtain and maintain 
patents  sufficiently  broad  in  scope  to  provide  protection 
for  the  Group’s  intellectual  property  rights  against  third 
parties and to exploit its products. The absence of any such 
patents may have a material adverse effect on the Group’s 
ability to develop its business.

The Group mitigates this risk by developing products where 
legal advice indicates patent protection would be available, 
seeking  patent  protection  for  the  Group’s  products, 
maintaining  confidentiality  agreements  regarding  Group 
know-how  and  technology  and  monitoring  technological 
developments  and  the  registration  of  patents  by  other 
parties. The commercial success of the Group also depends 
upon not infringing patents granted, now or in the future, 
to  third  parties  who  may  have  filed  applications  or  who 
have obtained, or may obtain, patents relating to business 
processes which might inhibit the Group’s ability to develop 
and exploit its own products. There has been no change in 
the level of this risk in the last 12 months.

Foreign exchange risk

in 

The  Group  has  transactional  currency  exposures  as 
the  majority  of  revenues  and  expenditure  and  certain 
borrowings  are  denominated 
foreign  currencies. 
Fluctuations  in  exchange  rates  between  the  Company’s 
functional  currency  of  Sterling  and  the  currency  of  the 
overseas  operations  could  adversely  impact  the  financial 
results.  In  most  cases  the  Group  matches  the  currency 
receipts  and  expenditure  of  the  overseas  operations. 
The  Group  also  endeavours  where  appropriate  to  match 
the  foreign  currency  assets  of  the  foreign  operations  by 
funding  through  borrowings  and  loans  denominated  in 
the currency of the overseas operations, and to negotiate 
currency protection in major contracts. There has been no 
change in the level of this risk in the last 12 months.

Reimbursement levels

There is no guarantee that the Group may be able to sell its 
products  or  services  profitably  if  the  reimbursement  level 
from third party payers, including government and private 
health insurers, is unavailable or limited. Third party payers 
are  increasingly  attempting  to  contain  health  care  costs 
through  measures  that  could  impact  the  Group  including 
challenging  the  prices  charged  for  health  care  products 
and  services,  limiting  both  coverage  and  the  amount  of 
reimbursement for new diagnostics products and services, 
and  denying  or  limiting  coverage  for  products  that  are 
approved  by  the  regulatory  agencies  but  are  considered 
experimental by third party payers.

The Group understands that due to third party dependency 
it  is  extremely  difficult  to  eradicate  this  risk.  However, 
the  Group  manages  this  risk  with  constant  dialogue  and 
educating the  third party payers  on  the  Group’s products 
and  also  developing  new  technologies  in  order  to  seek 
additional  reimbursements.  There  has  been  no  change  in 
the level of this risk in the last 12 months.

Financial reporting and disclosure

Due  to  the  nature  of  the  Group  there  is  a  requirement  to 
report  accurate  financial  information  in  compliance  with 
accounting standards and applicable legislation.

This risk is mitigated through the Group’s internal controls 
over  the  financial  information  and  reporting,  overseen  by 
the local financial heads and then reviewed by the central 
finance  team,  including  the  Chief  Financial  Officer.  The 
annual financial statements are also subject to audit by the 
Group’s external auditors. There has been no change in the 
level of this risk in the last 12 months.

Cyber security risk

The  Group  uses  computers  extensively  in  its  operations 
and  has  an  online  presence  but  does  not  trade  online.  It 
is at risk of attack through hacking or other methods. This 
risk  is  mitigated  by  the  use  of  robust  security  measures, 
staff  training,  and  back-up  systems.  Formal  procedures 
are in place where necessary. The Group also has specific 
insurance cover. There has been no change in the level of 
this risk in the last 12 months.

Pandemic risk

The  recent  COVID-19  pandemic  has  created  uncertainty 
in  the  market  in  the  short  term.  Many  countries  continue 
to  manage  their  COVID  risk  through  restrictions  on  travel 
and  activities,  and  government  action  continues  to  have 
a  significant  effect  on  economies  across  the  world.  We 
believe  we  have  a  robust  plan  in  place  to  mitigate  the 
effect of the disruption on the business including taking the 
following actions (amongst others):

• 

• 

Ensuring  the  safety  of  our  employees  by  organising 
for  as  many  staff  as  possible  to  work  from  home, 
making appropriate adjustments in the workplace, and 
changing working practices
Improving  our  computer  networking  to  facilitate 
remote working

•  Gaining  designation  as  a  company  essential  to  basic 
medical  care  which  allows  our  premises  to  remain 
open even in a lockdown
Increasing supplier and customer contact so as to be 
able to anticipate issues and react quickly
Increasing raw material stock holding

• 

• 

Annual Report 2021 | EKF Diagnostics Holdings plc1 
 
 
 
23

Strategic Report 
for the year ended 31 December 2021 (continuation)

While  we  have  continued  to  see  some  disruption  to  
our  core  business  as  a  result  of  the  COVID-19  pandemic, 
we  have  protected  our  core  business  as  far  as  possible 
and  core  revenue  has  grown  by  14%  this  year.  It  is  clear 
that healthcare activities are returning to normal and that 
our  base  case  forecasts  for  our  core  business  are  still 
applicable. While the pandemic has sadly been very costly 
for  many  in  lives  and  income,  EKF  has  been  able  to  learn 
new skills and develop a business model which offers great 
possibilities in the post-pandemic world. However, we are 
adopting a pragmatic view that there will be a reduction in 
pandemic-related  contract  manufacturing  activity  for  the 
remainder of the year.

While  any  further  economic  disruption  stemming  from 
the  pandemic  is  impossible  to  forecast,  the  continuing 
performance of the business gives the Directors confidence 
that the business can survive our worst case scenarios for 
business performance for at least the next 12 months. The 
level of this risk has decreased in the last 12 months.

Climate change risk

Climate  change  means  we  may  face  physical  risks  such 
as  more  frequent  or  severe  weather  events;  transitional 
risks  such  as  increased  regulatory  requirements  from  our 
customers  or  that  a  move  towards  a  greener  economy 
could mean the Group might face reductions in asset values 
or  higher  costs  of  doing  business.  While  the  potential 
economic  effect  on  the  Group  is  uncertain,  the  Group 
does  not  believe  its  operations  are  materially  at  risk.  The 
Group seeks to manage this risk by monitoring events and 
taking  mitigating  actions  if  necessary.  More  information 
on  our  response  to  climate  change  risks  is  shown  in  the 
Environment section of this Report on page 23. The level of 
this risk has increased in the last 12 months.

Plastic packaging tax

A new environmental tax on plastic packaging manufactured 
in, or imported into the UK, that does not contain at least 
30% recycled plastic is being introduced from 1 April 2022. 
We  have  taken  steps  to  increase  our  knowledge  of  this 
new tax and introduced systems to measure its effect, so 
as  to  mitigate  any  possible  financial  effect.  This  has  been 
introduced as a new risk this year.

Review of strategy and business model

The  Board  of  Directors  judge  the  Company’s  financial 
performance  by  reference  to  the  internal  budget  which  it 
establishes at the beginning of each financial year.

EKF’s strategy is to create a global, world class, IVD business 
through  organic  growth  and  strategic  partnerships, 
concentrating  on  point-of-care,  central  laboratory,  and 
building on our recent successes in contract manufacturing, 
while investing heavily in our enzyme business and newly 
acquired  testing  facility.  We  have  identified  and  acquired 
businesses  in  these  areas  with  strong  product  lines  and 
distribution networks which can benefit from better, more 
professional management, greater resources, and from the 
synergistic benefits of being part of a larger group.

We sell worldwide to over 100 countries. In many territories 
we  sell  through 
local  distributors,  however  where 
appropriate  we  sell  direct  to  end  users  which  includes 
hospitals,  laboratories,  and  government  agencies.  Our 
distributors  are  supported  by  a  network  of  regional  sales 
managers  and  by  product  managers  who  are  specialists 
in our product range. We manufacture the majority of the 
products  we  sell  ourselves,  but  also  distribute  a  number 
of carefully chosen products on behalf of others. We have 
product support centres in the USA and Germany.

Within  its  point-of-care  business  the  Group  works  mainly 
on the principle of providing value priced instrumentation 
which  generates  long-term  revenue  streams  from  the 
subsequent  delivery  of  consumables.  The  Group  has 
an  existing  portfolio  of  technologies  which  produce 
revenues and will add technologies which are strategically 
appropriate to this portfolio should they become available 
and providing the additions make economic sense.

Future outlook 

The  Chairman’s  Statement  on  pages  10  to  12,  and  the 
Chief  Executive  Officer’s  Review  on  pages  13  to  15  give 
information  on  the  future  outlook  of  the  Group,  including 
the  main  trends  and  factors  likely  to  affect  its  future 
development.

Key Performance Indicators (KPIs)

The key performance indicators currently used across the 
Group are revenue, gross profit, adjusted EBITDA and cash 
resources  and  working  capital.  Local  entities  also  use  a 
variety of non-financial  measures for measuring their own 
performance. The Group is working to establish other key 
performance  indicators  including  non-financial  measures 
across the Group. KPIs are discussed in more detail in the 
Chief Financial Officer’s review on pages 16 and 17.

Environment

The  Directors  consider  that  the  nature  of  the  Group’s 
activities is not inherently detrimental to the environment. 
The  Group  is  committed  to  minimising  any  effect  on  the 
environment caused by its operations.

Primary  responsibility  for  governance  of  the  Group’s 
response to climate change lies with the Board, which sets 
the  strategy  for  managing  associated  risks  in  association 
with the Group’s senior management. Senior management 
are  responsible  for  identifying,  assessing,  and  managing 
climate change risks and opportunities, and for determining 
processes and actions that need to be taken to manage and 
report on that risk. The Group is in the early stages of this 
process, having recently assigned a senior manager to lead 
the  Group’s  response.  Part  of  this  process  will  include  an 
analysis of the metrics, targets, and reporting requirements 
that we are likely to face.

Physical risks

The Group operates in a number of geographical locations 
throughout  the  world.  None  of  these  locations  are  in 
environmentally  sensitive  areas,  and  the  Group  does  not 
believe that any locations are at material risk from severe 
weather events or similar consequences of climate change. 
We  will  monitor  potential  changes  to  our  physical  risk 
profiles by monitoring events and assessing our response 
to them.

Transitional risks

Many of our ultimate customers are government bodies or 
national health systems which are funded by governments, 
large  charities,  or  similar  bodies.  It  is  likely  that  part  of 
their  climate  change  management  will  involve  trickling 
down  net  zero  or  similar  initiatives  to  their  supply  chain. 
It  is  likely  these  requirements  will  increase  over  time.  We 
have  commenced  a  process  of  seeking  to  understand 
what effects if any that this process will have on our own 
response and risk profile. Areas we have initially identified 
include  use  of  plastics  and  packaging.  Our  strategy  is  to 
work  together  with  our  customers  and  our  own  supply 
chain  to  ensure  that  we  can  operate  successfully  within 
customer requirements while mitigating as far as possible 
any additional costs.

Annual Report 2021 | EKF Diagnostics Holdings plc1 
2424

Strategic Report
for the year ended 31 December 2021 (continuation)

UK energy use

The Group is required to report on energy use in the UK only, 
as our overseas subsidiaries do not come within the scope 
of  the  UK  Government’s  Streamlined  Energy  and  Carbon 
Reporting  (SECR)  requirements.  We  are  considering  the 
best strategy for reporting energy use more widely in the 
Group.

The table below represents the energy use and associated 
greenhouse gas (GHG) emissions from electricity and fuel 
use in the UK for the year ended 31 December 2021. This is 
the  first  year  we  have  exceeded  the  threshold  of  being  a 
“low energy user” and therefore the exemption no longer 
applies.

Energy consumption used to 
calculate emissions:

Electricity usage

Transport

Conversion factors used to calculate 
emissions:

Electricity usage (scope 2)

Transport (scope 1)

2021

68,468 KwH

2,017 KwH

2021

0.21016

0.27698

The emission conversion factors are based on the UK 
Government GHG Conversion Factors for Company 
Reporting 2021.

in  which  it  operates  and  takes  a  responsible  and  positive 
approach  to  employment  practices.  The  Group’s  Modern 
Slavery Act statement is published on our website.

Section 172 Statement

The Directors are required by the Companies Act 2006 to 
act in the way they consider, in good faith, would be most 
likely  to  promote  success  of  the  Group  for  the  benefit  of 
its shareholders as a whole and in doing so are required to 
have regard for the following:

•  the likely long term consequences of any decision; 
•  the interests of the Group’s employees; 
•  the need to foster the Group’s business relationships 

with suppliers, customers and others;

•  the impact of the Company’s operations on the 

community and the environment;

•  the desirability of the Company maintaining a 

reputation for high standards of business conduct; 
and the need to act fairly as between shareholders of 
the Company.

The  Group  has  adopted  the  Corporate  Governance  Code 
for  Small  and  Mid-Size  Quoted  Companies  from  The 
Quoted  Companies  Alliance  (the  “QCA  Code”).  The  QCA 
Code  is  an  appropriate  code  of  conduct  for  the  Group’s 
size  and  stage  of  development.  There  is  a  discussion  of 
how the Group applies the ten principles of the QCA Code 
in support of its growth on the Group’s website.

Calculated emissions 

Electricity usage

Transport

Total

2021
Tonnes of CO2
14

1

15

The  Chairman’s  and  Chief  Executive  Officer’s  statements 
describe  the  Group’s  activities,  strategy  and  future 
prospects,  including  the  considerations  for  long  term 
decision  making,  on  pages  10  to  15.  The  Board  considers 
that  its  response  to  the  COVID  pandemic  has  been 
measured and has allowed it to grasp opportunities as they 
have arrived.

The rate of emissions per £m of turnover is 0.18 tonnes of 
CO2.

Employees
The  Group  places  great  value  on  the  involvement  of  its 
employees  and  they  are  regularly  briefed  on  the  Group’s 
activities.  The  Group  closely  monitors  staff  attrition  rates 
which it seeks to keep at low levels and aims to structure 
staff compensation levels at competitive rates in order to 
attract and retain high calibre personnel.

Disabled employees
Applications  for  employment  by  disabled  persons  are 
always  fully  considered,  bearing  in  mind  the  specific 
aptitudes  of  the  applicant  involved.  It  is  the  policy 
of  the  Group  that  the  training,  career  development 
and  promotion  of  disabled  persons,  as 
far  as 
possible,  be  identical  with  that  of  other  employees. 

Social, community, and human rights

The  Board  recognises  that  the  Group  has  a  duty  to  be  a 
good corporate citizen and to respect the laws, and where 
appropriate  the  customs  and  culture  of  the  territories 
in  which  it  operates.  The  Group  has  donated  product  to 
selected appropriate charities which operate within its area, 
and  encourages  staff  to  take  part  in  charitable  activities 
which  are  related  to  our  business  areas  or  customers.  It 
contributes as far as is practicable to the local communities 

The  Board  considers  its  major  stakeholders  to  be  its 
employees,  its  suppliers,  customers,  and  shareholders. 
When making decisions, the interests of these stakeholders 
is  considered  informally  as  part  of  the  Board’s  group 
discussions.

The  Board  has  a  good  relationship  with  the  Group’s 
employees. The Board maintains constructive dialogue with 
employees  through  the  Executive  Directors.  Appropriate 
remuneration and incentive schemes including bonuses and 
commissions are maintained to align employees’ objectives 
with  those  of  the  Group.  The  Group  regularly  discusses 
progress  both  locally  and  at  group  level  with  employees 
in  “town  hall”  style  meetings,  allowing  opportunities  to 
exchange  views  and  for  employees  to  have  a  say.  The 
Group  has  an  open,  flexible,  and  entrepreneurial  culture 
which has allowed the Group to be flexible and responsive 
to  customer  needs.  The  Board  monitors,  assesses, 
and  promotes  the  Group’s  corporate  culture  through 
discussions with management and employees and through 
the use of appropriate measures.

The Board ensures that the Group endeavours to maintain 
good  relationships  with  its  suppliers  by  contracting  on 
reasonable  business  terms  and  paying  them  promptly, 
within agreed terms. We meet with our significant suppliers 
regularly and where required audit their activities to ensure 
that materials are delivered effectively in a timely and cost-
efficient manner. We frequently offer longer term contracts 
to  provide  stability  to  their  business  in  return  for  cost 
savings. These principles ensure that the Group’s and our 
significant suppliers’ interests are aligned.

Annual Report 2021 | EKF Diagnostics Holdings plc1 
25

Strategic Report
for the year ended 31 December 2021 (continuation)

The  Executive  Directors  meet  major  customers  regularly 
and encourage a dialogue with them and with the Regional 
Sales Management team as appropriate. The Board receives 
regular reports on progress with customer relationships to 
ensure  that  their  decision  making  takes  into  account  the 
needs  of  our  customer  base.  Key  Performance  Indicators 
are used internally to ensure we are responding to customer 
needs.

The Board does not believe that the Group has a significant 
impact on the communities and environments within which 
it  operates.  The  Board  recognises  that  the  Group  has  a  
duty to be a good corporate citizen and is conscious that 
its business processes minimise harm to the environment, 
and that it contributes as far as is practicable to the local 
communities in which it operates.

The  Board  recognizes  the  importance  of  maintaining 
high  standards  of  business  conduct.  The  Group  operates 
appropriate  policies  on  business  ethics  and  provides 
mechanisms  for  whistle  blowing  and  complaints.  The 
Board  endeavours  to  maintain  good  relationships  with 
its  shareholders  and  treat  them  equally.  This  is  described 
in  more  details  in  “Relations  with  shareholders”  in  the 
Corporate Governance Report on pages 29 and 30.

The  Strategic  Report  was  approved  by  the  Board  on  29 
March 2022 and signed on its behalf by:

Marc Davies
Chief Financial Officer

Annual Report 2021 | EKF Diagnostics Holdings plc12626

Report of the Directors
for the year ended 31 December 2021

The  Directors  have  pleasure  in  presenting  this  report 
together with the audited consolidated financial statements 
of  EKF  Diagnostics  Holdings  plc  for  the  year  ended  31 
December 2021.

Corporate details

EKF  Diagnostics  Holdings  public  limited  company  is 
domiciled,  incorporated,  and  registered  in  England  and 
Wales  with  registration  number  4347937.  The  registered 
office  is  Avon  House,  19  Stanwell  Road,  Penarth,  Cardiff 
CF64 2EZ.

Directors

The Directors who held office during the year and as at the 
date of signing the financial statements were as follows:

• Christopher Mills
• Julian Baines 
• Michael Salter (appointed 1 July 2021)
• Christian Rigg (appointed 1 July 2021)
• Marc Davies (appointed 1 January 2022)
• Jennifer Winter (appointed 1 February 2022)
• Richard Evans (resigned 1 January2022)
• Adam Reynolds (resigned 19 May 2021)
• Carl Contadini (resigned 1 February 2022)

The Company Secretary is Salim Hamir. In October 2021 Mr 
Baines stepped down as Chief Executive of the group, but 
remained a director.

Principal activities

During  the  year  the  principal  activities  of  the  Group  and 
Company  were  the  development,  manufacture  and  supply 
of  products  into  the  in-vitro  diagnostics  (IVD)  market 
place. Future developments and research and development 
activities  are  discussed  in  the  Chairman’s  Statement  on 
pages 10 to 12, the Chief Executive Officer’s Review on pages 
13 to 15, the Chief Financial Officer’s Review on pages 16 and 
17, and the Strategic Report on pages 21 to 25.

Dividends and share buy back

In  December  2021  the  Company  paid  a  final  dividend  for 
2020  of  1.1p  (2019:  1.0p)  per  share.  The  Board  has  noted 
that  it  intends  to  follow  a  progressive  dividend  policy.  If 
approved  by  shareholders  at  the  Company’s  next  annual 
general  meeting,  payment  of  a  dividend  of  1.2p  per  share 
will be on 1 December 2022 to shareholders on the register 
on 3November 2022.

The  Company  holds  authorisation  to  acquire  up  to 
approximately  15%  of  its  Ordinary  Shares  in  order  to 
reduce  the  number  of  shares  in  issue.  No  shares  (2020: 
no shares) were acquired under this  authorisation during 
the  year.  The  Company  has  announced  that  it  intends  to 
buy up to a maximum of 9,000,000 shares for cancellation 
during 2022.The Company intends to seek renewal of the 
authorisation at the next AGM.

Going concern

The  Directors  have  considered  the  applicability  of 
the  going  concern  basis  in  the  preparation  of  these 
financial  statements.  This  included  the  review  of  internal 
budgets  and  financial  results  which  show,  taking  into 
account 
financial 
performance,  that  the  Group  will  be  able  to  operate 
within  the  level  of  its  current  funding  arrangements.

reasonably  plausible  changes 

in 

While  we  have  continued  to  see  some  disruption  to  our 
core  business  as  a  result  of  the  COVID-19  pandemic, 
we  have  protected  our  core  business  as  far  as  possible 
and  core  revenue  has  grown  by  14%  this  year.  It  is  clear 
that  healthcare  activities  are  returning  to  normal  and 
that  our  base  case  forecasts  for  our  core  business  are 
still  applicable.  While  the  pandemic  has  sadly  been  very 
costly  for  many  in  lives  and  income,  EKF  has  been  able 
to  learn  new  skills  and  develop  a  business  model  which 
offers  great  possibilities  in  the  post-pandemic  world. 
However, we are adopting a pragmatic view that there will 
be  a  significant  reduction  in  pandemic-related  contract 
manufacturing  activity  for  the  remainder  of  the  year.

The Group has revenues from customers in Russia and an 
entity  based  there.  As  a  result  of  the  sanctions  recently 
imposed on Russia by the EU, the USA and other countries, 
there  are  enhanced  risks  in  respect  of  our  Russian 
entity,  including  credit  risk  to  cash  balances,  it’s  ability 
to  collect  debtors,  and  our  ability  to  import  products 
into  Russia.  In  preparing  a  downside  going  concern 
forecast  we  have  discounted  sales  from  this  region.

While  any  further  economic  disruption  stemming  from 
the  pandemic  is  impossible  to  forecast,  the  strength 
of  the  Group’s  balance  sheet  aligned  to  the  continuing 
performance of the business gives the Directors confidence 
that the business can continue to meet its obligations as they 
fall due, even under our worst case scenarios, for at least 
the next 12 months. Accordingly, the directors are satisfied 
they  can  prepare  the  accounts  on  a  going  concern  basis.

Financial risk management

Financial  risk  management  is  discussed  in  Note  3  of  the 
financial statements.

Employee policies and engagement

Employee policies are discussed in the Strategic Report on 
pages 21 to 25.

Stakeholder engagement 

A statement summarising how the directors have had regard 
to  the  need  to  foster  the  Group’s  business  relationships 
with other stakeholders is included in the Strategic Report 
on pages 21 to 25.

Streamlined Energy and Carbon 
Reporting (SECR)

SECR  reporting  is  included  in  the  Strategic  Report  on 
pages 21 to 25.

Annual Report 2021 | EKF Diagnostics Holdings plc1Report of the Directors
for the year ended 31 December 2021 (continuation)

27

Directors’ interests

The interests in the share capital of the Company of those 
Directors serving at 31 December 2021 and as at the date 
of  signing  of  these  financial  statements,  all  of  which  are 
beneficial, were as follows:

On 31 December 20211 
Ordinary Shares of
1p each

On 31 December 20202  
Ordinary Shares of
1p each

Christopher Mills

130,875,000

136,113,591

1,605,288

125,000

1,855,288

125,000

Julian Baines

Michael Salter

Christian Rigg

Marc Davies

Jennifer Winter

Richard Evans

Adam Reynolds

Carl Contadini

-

-

-

178,842

1,168,613

-

1 or date of resignation if earlier
2  or date of appointment if later

Statement of Directors’ responsibilities in 
respect of the financial statements

The  directors  are  responsible  for  preparing  the  Annual 
Report  and  the  financial  statements  in  accordance  with 
applicable law and regulation.

Company  law  requires  the  directors  to  prepare  financial 
statements  for  each  financial  year.  Under  that  law  the 
directors  have  prepared  the  group  and  the  company 
financial  statements 
in  accordance  with  UK-adopted 
international accounting standards.

Under  company  law,  directors  must  not  approve  the 
financial statements unless they are satisfied that they give 
a true and fair view of the state of affairs of the group and 
company  and  of  the  profit  or  loss  of  the  group  for  that 
period. In preparing the financial statements, the directors 
are required to:

-

-

-

178,842

1,668,613

-

• 

• 

select  suitable  accounting  policies  and  then  apply 
them consistently;
state  whether  applicable  UK-adopted  international 
accounting  standards  have  been  followed,  subject  to 
any material departures disclosed and explained in the 
financial statements;

•  make  judgements  and  accounting  estimates  that  are 

• 

reasonable and prudent; and
prepare the financial statements on the going concern 
basis  unless  it  is  inappropriate  to  presume  that  the 
group and company will continue in business.

The  directors  are  responsible  for  safeguarding  the  assets 
of the group and company and hence for taking reasonable 
steps  for  the  prevention  and  detection  of  fraud  and  
other irregularities.

The  directors  are  also  responsible  for  keeping  adequate 
accounting records that are sufficient to show and explain 
the group’s and company’s transactions and disclose with 
reasonable  accuracy  at  any  time  the  financial  position  of 
the group and company and enable them to ensure that the 
financial statements comply with the Companies Act 2006. 
The  directors  are  responsible  for  the  maintenance  and 
integrity of the company’s website. Legislation in the United 
Kingdom  governing  the  preparation  and  dissemination  
of  financial  statements  may  differ  from  legislation  in  
other jurisdictions.

Directors’ confirmations
In  the  case  of  each  director  in  office  at  the  date  the 
directors’ report is approved:
• 

so  far  as  the  director  is  aware,  there  is  no  relevant 
audit information of which the group’s and company’s 
auditors are unaware; and
they have taken all the steps that they ought to have 
taken as a director in order to make themselves aware 
of  any  relevant  audit  information  and  to  establish  
that the group’s and company’s auditors are aware of 
that information.

Mr  Mills  holds  150,000  Ordinary  shares  in  his  own  name. 
Mr  Mills’  other  interest  in  the  Company’s  shares  is  held 
through  North  Atlantic  Smaller  Companies  Investment 
Trust  PLC  (“NAIT”)  and  Oryx  International  Growth  Fund 
Limited  (“Oryx”).  Harwood  Capital  LLP  (“Harwood”)  is 
investment  manager  and  investment  adviser  to  NAIT 
and  Oryx  respectively.  Christopher  Mills  is  a  partner  and 
Chief  Investment  Officer  of  Harwood.  Christopher  Mills  is 
also  a  director  of  Oryx  and  NAIT.  He  holds  2.16  per  cent. 
of the shares in Oryx in his own name as well as a further 
46.44 per cent. of the shares in Oryx via his 25.06 per cent. 
shareholding in NAIT. 

Carl  Contadini  holds  no  shares  personally,  but  acts  as  an 
Operational Advisor to Harwood which acts as investment 
manager  and  investment  adviser  to  NAIT  and  Oryx 
respectively.

Substantial shareholdings

As at 24 March 2022, the following interests in 3% or more 
of  the  issued  Ordinary  Share  capital  had  been  notified  to 
the Company:

Number of
shares

Percentage of 
issued share 
capital

• 

Mr Christopher Mills

130,875,000

28.21%

LionTrust Asset 
Management

Canaccord Genuity 
Wealth Management

Schroder Investment 
Management

38,719,763 

8.35%

31,460,476

6.78%

20,049,475

Octopus Investments

18,916,000

Stockinvest Limited

18,555,500

4.32%

4.08%

4.00%

The interests disclosed above are those as at 31 December 
2021, updated for any substantial shareholding notifications 
received up to 24 March 2022.

Annual Report 2021 | EKF Diagnostics Holdings plc1 
2828

Report of the Directors
for the year ended 31 December 2021 (continuation)

Directors’ liability insurance

The  Company  has  entered  into  deeds  of  indemnity  for 
the  benefit  of  each  Director  of  the  Company  in  respect 
of  liabilities  to  which  they  may  become  liable  in  their 
capacity as Director of the Company and of any Company 
in  the Group. Those indemnities are qualifying third party 
indemnity provisions for the purposes of Section 234 of the 
Companies  Act  2006  and  have  been  in  force  during  the 
whole of the financial year and up to the date of approval 
of the financial statements.

Independent auditors

PricewaterhouseCoopers  LLP  has  expressed 
their 
willingness to continue in office as auditors and a resolution 
to  reappoint  them  will  be  proposed  at  the  forthcoming 
Annual General Meeting.

Disclosure of information to the Auditors

The  Directors  who  hold  office  at  the  date  of  approval  of 
this report confirm that so far as they are each aware, there 
is  no  relevant  audit  information  of  which  the  Company’s 
auditors  are  unaware,  and  each  Director  has  taken  all  the 
steps that they ought to have taken as a Director in order to 
make  themselves  aware  of  any  relevant  audit  information 
and to establish that the Company’s auditors are aware of 
that information.

Corporate governance

The Company’s statement of corporate governance can be 
found  in  the  Corporate  Governance  Statement  on  pages 
29  and  30  of  these  financial  statements.  The  Corporate 
Governance  Statement  forms  part  of  this  Report  of  the 
Directors and is incorporated into it by cross-reference.

Annual General Meeting

The resolutions to be proposed at the forthcoming Annual 
General  Meeting  are  set  out  in  the  formal  notice  of  the 
meeting, as set out on pages 79 and 80.

Recommendation

The  Board  considers  that  the  resolutions  to  be  proposed 
at the Annual General Meeting are in the best interests of 
the  Company  and  it  is  unanimously  recommended  that 
shareholders support these proposals as the Board intends 
to do in respect of their own holdings.

The Report of the Directors was approved by the Board  on 
29 March 2022 and signed on its behalf by:

Marc Davies
Chief Financial Officer

Annual Report 2021 | EKF Diagnostics Holdings plc1Corporate Governance Statement
for the year ended 31 December 2021

Compliance

Board meetings

29

7 (7)

7 (7)

7 (7)

5 (5)

1 (1)

4 (7)

6 (6)

The  Company  recognises  the  value  of  good  corporate 
governance in every part of its business. In 2018 the Board 
adopted  the  corporate  governance  principles  of  the 
Quoted  Companies  Alliance  Governance  Code.  Details  of 
the  Code  can  be  obtained  from  the  Quoted  Companies 
Alliance’s website (www.theqca.com).

The following statement describes how the Group as at 31 
December 2021 sought to address the principles underlying 
the Code.

7 Board meetings were held during the year. The Directors’ 
attendance record during the year, along with the number of 
meetings for which they were eligible to attend, is as follows:

Christopher Mills (Non-Executive Chairman)

Julian Baines (Chief Executive Officer)

Richard Evans (COO and Finance Director)

Michael Salter (CEO designate)

Adam Reynolds (Non-Executive Director)

Board composition and responsibility

Carl Contadini (Non-Executive Director)

The  Board  currently  comprises  two  Executive  Directors 
and  four  Non-Executive  Directors.  Christopher  Mills  was 
appointed  as  Non-Executive  Chairman  on  20  April  2016. 
Julian  Baines  was  appointed  Non-executive  Deputy 
Chairman  on  stepping  down  as  Chief  Executive  Officer 
on  1  October  2021.  Michael  Salter  was  appointed  as  Chief 
Executive  on  1  October  2021.  Richard  Evans  resigned  as 
Finance  Director  and  was  replaced  by  Marc  Davies  on  1 
January 2022.

It is the Board’s opinion that the two directors, Christian Rigg 
(replacing Adam Reynolds) and Jennifer Winters (replacing 
Carl Contadini), are independent in character and judgment 
and that there are no relationships or circumstances which 
could materially affect or interfere with the exercise of their 
independent judgement. Both Mr. Rigg and Ms. Winter have 
been appointed to the Boards of numerous companies, with 
Mr.  Rigg  specialising  in  finance  and  operational  matters 
and Ms. Winter specialising in commercial operations in the 
healthcare sector. The Directors keep their skills up to date 
through  appropriate  training  and  experience  both  within 
and outside the organisation.

All  Directors  are  subject  to  election  by  Shareholders  at 
the  first  Annual  General  Meeting  after  their  appointment, 
and  are  subject  to  re-election  at  least  every  three  years. 
Non-Executive  Directors  are  appointed  for  a  specific 
term  of  office  which  provides  for  their  removal  in  certain 
circumstances, including under section 168 of the Companies 
Act  2006.  The  Board  does  not  automatically  re-nominate 
Non-Executive Directors for election by Shareholders. The 
terms of appointment of the Non-Executive Directors can 
be obtained by request to the Company Secretary.

The Board’s primary objective is to focus on adding value 
to  the  assets  of  the  Group  by  identifying  and  assessing 
business opportunities and ensuring that potential risks are 
identified,  monitored  and  controlled.  Matters  reserved  for 
Board decisions include strategic long-term objectives and 
capital structure of major transactions. The implementation 
of Board decisions and day to day operations of the Group 
are delegated to Management. 

There  is  a  division  of  responsibilities  between  the  Non-
Executive  Chairman,  who  is  responsible  for  the  overall 
strategy  of  the  Group  and  running  the  Board  including 
corporate governance, and the CEO, who is responsible for 
implementing  the  strategy  and  day  to  day  running  of  the 
Group. He is assisted by the Chief Financial Officer.

Chris Rigg (Non-Executive Director)

The Executive Directors work full time for the Group. The 
Non-executive  Directors  are  expected  to  devote  at  least 
two  days  per  month  to  the  business  of  the  Group,  plus 
additional days for committee meetings.

On  March  11  2022  the  Board  performed  an  evaluation  of 
their performance and that of the Chairman, as well as the 
effectiveness  of  the  Board  committees.  The  evaluation 
found  that  the  Board  and  the  Chairman’s  performance 
were  satisfactory.  The  Board  intends  to  develop  further 
its  evaluation  of  the  performance  of  the  Board  and 
Committees on an annual basis. The evaluation will include 
board composition, experience, dynamics and the board´s 
role  and  responsibilities  for  strategy,  risk  review  and 
succession planning. The evaluations will involve a detailed 
questionnaire and individual discussions between the Non-
executive  Chairman  and  the  Directors.  Given  the  Group’s 
size, the Board considers it unnecessary to have evaluations 
facilitated by an external consultant. Independent Director 
Chris Rigg will conduct an evaluation of the Non-executive 
Chairman´s  performance  in  conjunction  with  the  other 
independent Director, Jenny Winter and input from the two 
Executive  Directors.  The  outcome  from  these  evaluations 
will be discussed by the Board at one of its Board meetings.

The  board  evaluation  covers  areas  including  the  makeup 
of  the  board,  the  way  that  it  conducts  discussions  and 
takes  decisions,  the  quality  of  board  papers,  the  inputs 
from  Executive  and  Non-executive  Directors,  and  the 
effectiveness  of  board  committees.  In  each  case  the 
evaluation  found  that  performance  was  satisfactory, 
although some improvement was required in certain areas.

More  details  on  corporate  governance 
including  a 
compliance  statement  can  be  found  on  the  Company’s 
website at: ekfdiagnostics.com/investors.html.

Audit Committee

This  now  comprises  two  Non-Executive  Directors,  Chris 
Rigg  (Chairman)  and  Jennifer  Winters.  Chris  Rigg  is  the 
Senior  Independent  Director  and  has  recent  and  relevant 
finance  experience.  Christopher  Mills  stood  down  from  the 
Audit Committee on 11 March 2022, and was replaced by Ms 
Winters. The committee has responsibility over the following:

•  Recommend  the  appointment,  re-appointment  and 
removal  of  the  external  auditors.  The  external  audit 

Annual Report 2021 | EKF Diagnostics Holdings plc13030

Corporate Governance Statement
for the year ended 31 December 2021 (continuation)

process  is  assessed  through  discussion  within  the 
committee  and  with  management.  If  the  committee 
believes  based  on  this  assessment  that  the  external 
auditors  should  be  replaced  or  the  audit  put  out  to 
tender,  this  is  determined  by  the  full  Board.  The 
Company  rotates  its  auditor  or  performs  a  retender 
in line with the needs of the business and legislation. 
The  current  auditors  have  been  in  place  since  2010, 
and the audit was last retendered in 2015.There are no 
current plans to seek a retender.

Group’s  organisational  structure  and  business  objectives. 
The  control  system  includes  clear  lines  of  accountability 
and  covers  all  areas  of  the  organisation.  The  Board 
operates  procedures  which  include  an  appropriate  control 
environment through the definition of the above organisation 
structure  and  authority  levels  and  the  identification  of  the 
major business risks. The Group has commenced a project 
to enhance and formalise its internal controls including the 
establishment of a Risk Steering Committee.

•  Ensure  the  objectivity  and  independence  of  the 
auditors including occasions when non-audit services 
are provided. From 2020 the external auditors do not 
provide non-audit services.

•  Ensure  appropriate  ‘whistle-blowing’  arrangements 

are in place

•  The  Non-Executive  Directors  may  seek  information 
from any employee of the Group and obtain external 
professional  advice  at  the  expense  of  the  Company 
if  considered  necessary.  Due  to  the  relatively  low 
number of personnel employed within the Group, the 
nature  of  the  business  and  the  current  control  and 
review systems in place, the Board has decided not to 
establish a separate internal audit department.

•  The  committee  met  once  formally  during  2021.  Mr 
Reynolds attended, prior to the appointment of Mr Rigg. 
There were no significant matters communicated to the 
Committee by the Auditors. Key matters of judgement 
discussed with the Auditors are noted within the Audit 
report on pages 32 to 36.

Remuneration Committee

The  Company  has  established  a  formal  and  transparent 
procedure for developing policy on executive remuneration 
and  for  fixing  the  remuneration  packages  of  individual 
Directors.  No  Director  is  involved  in  deciding  his  own 
remuneration.

The remuneration committee is now made up of Julian Baines 
(Chairman), Chris Rigg, and Christopher Mills. The committee 
considers  the  employment  and  performance  of  individual 
Executive  Directors  and  determines  their  terms  of  service 
and remuneration. It also has authority to grant options under 
the Company’s Executive Share Option Scheme.

The Committee met twice during 2021. All eligible members 
attended all meetings.

Board appointments

Internal financial reporting

responsible 

for  establishing  and 
The  Directors  are 
maintaining the Group’s system of internal reporting and as 
such  have  put  in  place  a  framework  of  controls  to  ensure 
that on-going financial performance is measured in a timely 
and correct manner and that risks are identified as early as 
is practicably possible. There is a comprehensive budgeting 
system  and  monthly  management  accounts  are  prepared 
which compare actual results against both the budget and 
the previous year. They are reviewed and approved by the 
Board and revised forecasts are prepared on a regular basis.

Relations with shareholders

The  Company  reports  to  Shareholders  twice  a  year.  The 
Company  dispatches  the  notice  of  its  Annual  General 
Meeting, together with a description of the items of special 
business,  at  least  21  clear  days  before  the  meeting.  Each 
substantially  separate  issue  is  the  subject  of  a  separate 
resolution and all Shareholders have the opportunity to put 
questions to the Board at the Annual General Meeting.

The  Chair(s)  of  the  Audit  and  Remuneration  Committees 
normally  attend  the  Annual  General  Meeting  and  will 
answer  questions  which  may  be  relevant  to  their  work. 
The Chairman advises the meeting of the details of proxy 
votes cast on each of the individual resolutions after they 
have been voted on in the meeting. The Chairman and the 
Non-Executive  Directors  intend  to  maintain  a  good  and 
continuing  understanding  of  the  objectives  and  views  of 
the Shareholders.

Shareholders may contact the Company as follows:

Tel:  029 2071 0570
Email: investors@ekfdiagnostics.com

There is no formal Nominations Committee, the appointment 
of new Directors being considered by the full Board.

Corporate social responsibility

Internal control

The Directors are responsible for ensuring that the Group 
maintains  a  system  of  internal  control  to  provide  them 
with  reasonable  assurance  regarding  the  reliability  of 
financial  information  used  within  the  business  and  for 
publication  and  that  the  assets  are  safeguarded.  There 
are  inherent  limitations  in  any  system  of  internal  control 
and  accordingly  even  the  most  effective  system  can 
provide only reasonable, but not absolute, assurance with 
respect  to  the  preparation  of  financial  reporting  and  the 
safeguarding of assets.

The  Group,  in  administering  its  business,  has  put  in  place 
strict authorisation, approval and control levels within which 
senior  management  operates.  These  controls  reflect  the 

The  Board  recognises  that  the  Group  has  a  duty  to  be  a 
good  corporate  citizen  and  is  conscious  that  its  business 
processes  minimise  harm  to  the  environment,  that  it 
contributes as far as is practicable to the local communities 
in  which  it  operates  and  takes  a  responsible  and  positive 
approach to employment practices.

With effect from the financial year to 31 December 2016, the 
Group became subject to the requirements of the Modern 
Slavery  Act  2015.  The  Group  has  published  the  required 
statement on its website

The  Corporate  Governance  Statement  was  approved  by 
the Board on 29 March 2022 and signed on its behalf by:

Marc Davies
Chief Financial Officer

Annual Report 2021 | EKF Diagnostics Holdings plc131

Report of the Remuneration Committee
for the year ended 31 December 2021

Statement of compliance

This  report  does  not  constitute  a  Directors’  Remuneration  Report  in  accordance  with  The  Companies  (Directors’ 
Remuneration Policy and Directors’ Remuneration Report) Regulations 2019 which do not apply to the Company as it is 
not fully listed. This report sets out the Group policy on Directors’ remuneration, including emoluments, benefits and other 
share-based awards made to each Director.

Policy on Executive Directors’ remuneration

Remuneration packages are designed to motivate and retain Executive Directors to ensure the continued development of 
the Group and to reward them for enhancing value to shareholders. The main elements of the remuneration package for 
Executive Directors are basic salary or fees, performance-related bonuses, benefits and share based incentives.

Directors’ remuneration - Audited

The remuneration of the Directors for the years ended 31 December 2021 and 31 December 2020 are shown in the table below:

Executive Directors

Julian Baines

Michael Salter

Richard Evans

Non-Executive Directors

Christopher Mills

Carl Contadini

Christian Rigg

Adam Reynolds

Total fees and emoluments

248

65

249

562

25

25

25

25

100

662

Salary and 
fees
£’000

Benefits in 
kind
£’000

Bonus
£’000

Pension
£’000

12

2

18

32

-

-

-

2

2

2,525

-

2,523

5,048

25

25

-

25

75

12

-

7

19

-

-

-

-

-

2021
£’000

2,797

67

2,797

5,661

50

50

25

52

177

2020
£’000

556

-

508

1,064

50

50

-

50

150

34

5,048

19

5,838

1,214

Where  relevant,  remuneration  is  disclosed  to  or  from  the  date  of  appointment  as  a  director.  Mr  Baines’  remuneration 
covers his service as both an executive and a Non-executive director during 2021.

Directors’ share options and Long-Term Incentive Plan

No director holds options under any share option plan.

In  June  2016  Mr  Baines  and  Mr  Evans  were  granted  a  cash  settled  share-based  incentive  award.  During  2017  both  the 
maximum and minimum amounts payable to each Director were reduced by £0.2m. In November 2019, a payment was 
made to each Director of approximately £1.345m, and at the same time the terms of the scheme were updated. The terms 
of the scheme were again updated in 2020 following payments to each director of approximately £0.23m in July 2020. In 
2021 payments were made to each director of £0.5m in January and £2.0m. At this time the scheme was closed so that no 
other payments under it are due. The remaining accrual of  £1.9m was released.

In September 2021 Mr Salter was granted a cash settled share based incentive award, replacing his previous scheme. The 
award vests if a controlling interest in the Company is acquired by a third party at any time. In these circumstances an 
award is payable to Mr Salter, which increases by reference to the sale price achieved. The fair value of this award has been 
calculated at £3,296,000 using a modified form of a Black Scholes model. The fair value has been spread over the assumed 
vesting period, with a charge of £298,000 (2020: £nil) recognised in 2021. The key assumptions used in the model, and 
details of the updated terms are disclosed in Note 31.

Directors’ interests in the share capital of the Company are disclosed in the Directors’ Report on pages 26 to 28.

Approved by the Board on 29 March 2022 and signed on its behalf by:

Marc Davies
Chief Financial Officer

Annual Report 2021 | EKF Diagnostics Holdings plc13232

Independent auditors’ report to the members of EKF Diagnostics Holdings plc
Report on the audit of the financial statements 

Opinion

In our opinion, EKF Diagnostics Holdings plc’s group financial statements and company financial statements (the “financial 
statements”):

•  give a true and fair view of the state of the group’s and of the company’s affairs as at 31 December 2021 and of the 

group’s profit and the group’s and company’s cash flows for the year then ended;

•  have been properly prepared in accordance with UK-adopted international accounting standards; and

•  have been prepared in accordance with the requirements of the Companies Act 2006.

We  have  audited  the  financial  statements,  included  within  the  Annual  Report,  which  comprise:  the  Consolidated  and 
Company’s Statement of Financial Position as at 31 December 2021; the Consolidated Income Statement, Consolidated 
Statement of Comprehensive Income, Consolidate and Company’s Statement of Cash Flows, Consolidated Statement of 
Changes in Equity and Company Statement of Changes in Equity for the year then ended; and the notes to the financial 
statements, which include a description of the significant accounting policies.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. 
Our  responsibilities  under  ISAs  (UK)  are  further  described  in  the  Auditors’  responsibilities  for  the  audit  of  the  financial 
statements section of our report. We believe that the audit evidence we have obtained is sufficient and appropriate to 
provide a basis for our opinion.

Independence

We remained independent of the group in accordance with the ethical requirements that are relevant to our audit of the 
financial statements in the UK, which includes the FRC’s Ethical Standard, as applicable to other listed entities of public 
interest, and we have fulfilled our other ethical responsibilities in accordance with these requirements.

To the best of our knowledge and belief, we declare that non-audit services prohibited by the FRC’s Ethical Standard were 
not provided.

We have provided no non-audit services to the company or its controlled undertakings in the period under audit.

Our audit approach

Overview

Audit scope

•  We performed full-scope audit procedures in respect of the group’s largest trading subsidiaries in the USA and in 

Germany, as well as EKF Diagnostics Holdings plc in the UK.

•  Our audit procedures covered entities contributing 91% of the group’s revenues and adjusted EBITDA for the year 

ended 31 December 2021.

•  We engaged with component auditors for the audit of the Germany in-scope subsidiaries. All other audit work was 

performed by the group engagement team.

Key audit matters

•  Recoverability of Group goodwill and the Company’s investment in subsidiaries (group and parent)

•  Acquisition accounting, including the identification and valuation of intangible assets and goodwill (group)

Materiality

•  Overall group materiality: £1,014,000 (2020: £968,000) based on 5% of Adjusted profit before tax (adjusted to 

exclude share-based payments and exceptional items).

•  Overall company materiality: £574,000 (2020: £580,000) based on 1% of total assets.

•  Performance materiality: £760,000 (2020: £726,000) (group) and £430,000 (2020: £435,000) (company).

Annual Report 2021 | EKF Diagnostics Holdings plc2 
33

Independent auditors’ report to the members of EKF Diagnostics Holdings plc 
Report on the audit of the financial statements (continued)

The scope of our audit

As part of designing our audit, we determined materiality and assessed the risks of material misstatement in the financial 
statements.

Key audit matters

Key audit matters are those matters that, in the auditors’ professional judgement, were of most significance in the audit 
of the financial statements of the current period and include the most significant assessed risks of material misstatement 
(whether or not due to fraud) identified by the auditors, including those which had the greatest effect on: the overall audit 
strategy; the allocation of resources in the audit; and directing the efforts of the engagement team. These matters, and any 
comments we make on the results of our procedures thereon, were addressed in the context of our audit of the financial 
statements as a whole, and in forming our opinion thereon, and we do not provide a separate opinion on these matters.

This is not a complete list of all risks identified by our audit.

Acquisition  accounting,  including  the  identification  and  valuation  of  intangible  assets  and  goodwill  is  a  new  key  audit 
matter this year. Accounting for investment and divestments of Trellus Health Limited, Share-based payment transactions, 
and COVID-19, which were key audit matters last year, are no longer included because of the transactions either being 
specific to last year, or material judgements and estimates being no longer relevant to this year. The Group and Company 
has continued to operate throughout the pandemic and Covid-19 is no longer considered a pervasive risk. Otherwise, the 
key audit matters below are consistent with last year.

Key audit matter

How our audit addressed the key audit matter

Recoverability of Group goodwill and the Company’s 
investment in subsidiaries 
(Group and parent)

As at 31 December 2021, the Consolidated Statement of Financial 
Position  includes  £42.2m  of  intangible  assets,  of  which  £27.6m 
is  goodwill  (2020:  £24.4m),  and  £14.6m  amortised  intangible 
assets (2020: £12.6m).

The  investments  in  subsidiaries  included  in  the  Company 
Statement of Financial Position as at 31 December 2021 is £38.4m 
(2020: £30.5m).

Goodwill  in  the  Group  and  the  Company’s  investment  in 
subsidiaries  are  significant,  and  the  estimated  recoverable 
amount  of  these  balances  is  subjective  due  to  the  inherent 
uncertainty involved in forecasting and discounting future cash 
flows.

The  impairment  reviews  therefore  include  significant  estimates 
and  judgements  in  respect  of  future  growth  rates,  cash  flows 
and discount rates. The sensitivity of these key assumptions are 
detailed in note 18, Intangible assets and note 19, Investments in 
subsidiaries.

Acquisition accounting, including the identification and 
valuation of intangible assets and goodwill  
(Group) 

On 27 September 2021, EKF acquired 100% of the membership 
interest of Advanced Diagnostic Laboratory LLC (“ADL”), a PCR-
focused testing laboratory based in San Antonio, Texas.

The cost of acquisition of ADL was initially $10m largely funded 
through the issue of ordinary EKF shares, a working capital true-
up payable in cash, plus contingent consideration based on the 
achievement of certain earnings targets over the next three years.

The net assets acquired are to be measured at fair value, including 
identifiable  intangible  assets.  There  is  inherent  judgement 
applied  in  identifying  the  intangible  assets  on  acquisition,  and 
the  valuation  includes  key  assumptions  in  the  forecast  cash 
flows,  such  as  discount  rates  and  profit  margins.  The  amount 
of  goodwill  recognised  is  dependent  on  the  valuation  of  the 
intangible assets. Refer to note 20, Business Combination.

The  intangible  assets  recognised  on  acquisition  have  been 
disclosed in note 18, Intangible assets.

We  obtained  the  group’s  cash  flow  forecasts  supporting  its 
assessments and performed the following procedures;

•  Assessed the methodology used by management in 

accordance with IAS 36 ‘Impairment of assets’ and tested 
the mathematical accuracy of the model;

•  Agreed forecast cash flows to board approved budgets 

and evaluated and challenged key assumptions within the 
cashflows and validated to supporting documentation, 
where appropriate. We worked with our internal valuation 
experts to consider key inputs such as the discount rate; 
and

•  Performed sensitivity analysis including the effect of 

reasonably possible reductions in forecast cash flows to 
evaluate the impact on the carrying value of the goodwill 
and investment in subsidiaries.     

We  have  assessed  the  adequacy  of  the  Group  and  Company’s 
disclosures regarding the goodwill and investment in subsidiaries, 
and the sensitivity of the outcome of the impairment assessment 
to  changes  in  key  assumptions  used  in  the  model.  .  We  also 
considered the potential impact of climate change for the group. 
We  concur  with  management’s  assessment  that  no  impairment 
charge is required in respect of goodwill and intangible assets.

We  have  worked  alongside  our  internal  valuation  experts  to 
assess the appropriateness of the valuation analysis prepared by 
the  directors  to  calculate  the  fair  value  of  the  intangible  assets 
used in the business combination accounting. This included;

• 

the  appropriateness  of 

 Assessed 
the  methodology 
applied,  and  integrity  of  the  discounted  cash-flow  used 
to  determine  the  fair  value  of  the  intangibles  assets  in 
the  business  combination.  We  corroborated  cash  flows  to 
Board approved forecasts;

•  Challenged  the  key  assumptions  made  by  management 
in  determining  the  fair  values,  in  particular,  the  forecast 
EBITDA  and  discount  rates,  including  benchmarking  of 
discount rates, and the attrition rates; and

•  Assessed the Group’s disclosures regarding the acquisition 
and  estimation  assumptions  and  whether  they  had  been 
disclosed appropriately. 

We concur that the approach adopted is in accordance with the 
accounting standards.

Annual Report 2021 | EKF Diagnostics Holdings plc23434

Independent auditors’ report to the members of EKF Diagnostics Holdings plc 
Report on the audit of the financial statements (continued)

How we tailored the audit scope

We tailored the scope of our audit to ensure that we performed enough work to be able to give an opinion on the financial 
statements as a whole, taking into account the structure of the group and the company, the accounting processes and 
controls, and the industry in which they operate.

The group has two main manufacturing centres in Germany and the USA, in addition to the Head Office function based 
in the United Kingdom (UK). Manufacturing activities also occurred in the UK during 2021, with external revenues earned 
from  the  COVID-19  products.  The  central  finance  and  accounting  team  is  located  in  the  UK  and  is  responsible  for  the 
financial reporting of EKF Diagnostics Holdings plc (the “Company”). Stanbio Laboratory (“Stanbio”) and EKF-diagnostic 
GmbH  (“EKF  Germany”)  are  assessed  as  financially  significant  components  of  the  group,  given  the  significant  revenue 
earned  by  the  group  in  these  entities.  A  full-scope  audit  of  these  entities’  financial  information  has  been  carried  out. 
The audit of Stanbio and the Company was conducted by the group engagement team and component auditors were 
engaged to audit EKF Germany. The Company audit was scoped in accordance with our company materiality.  Our audit 
addressed components making up 91% of the group’s 2021 revenues and adjusted EBITDA. Where component auditors 
were engaged, we adopted procedures to ensure we were sufficiently involved in their audits. These included discussions 
with component audit teams during the planning, fieldwork and reporting phases, the issuance of comprehensive audit 
instructions and a review of key working papers in key risk areas.

Materiality

The  scope  of  our  audit  was  influenced  by  our  application  of  materiality.  We  set  certain  quantitative  thresholds  for 
materiality. These, together with qualitative considerations, helped us to determine the scope of our audit and the nature, 
timing and extent of our audit procedures on the individual financial statement line items and disclosures and in evaluating 
the effect of misstatements, both individually and in aggregate on the financial statements as a whole.

Based on our professional judgement, we determined materiality for the financial statements as a whole as follows:

Overall materiality

£1,014,000 (2020: £968,000).

£574,000 (2020: £580,000).

Financial statements - group

Financial statements - company

How we determined it

Rationale for benchmark applied

5% of Adjusted profit before tax (adjusted 
to exclude share-based payments and 
exceptional items)

Based on the benchmarks used in the 
Annual Report, a profit-based measure 
has been used which is a primary measure 
used by the shareholders in assessing the 
performance of the group. We have used 
profit before tax, adjusted for share-based 
payments and exceptional items, which 
are disclosed separately to aid the users of 
the financial statements. The rationale is 
consistent with the previous year.

1% of total assets

Historically, an asset-based measure was 
used for the company as no external rev-
enues were generated, and the Compa-
ny’s Statement of Financial Position was 
included in the Annual Report. While ex-
ternal revenues have been earned by the 
company in 2020 and 2021, the revenue 
stream is considered temporary, based on 
the longevity of the COVID-19 opportuni-
ties, and therefore an asset-based meas-
ure remains appropriate. The rationale is 
consistent with the previous year.

For each component in the scope of our group audit, we allocated a materiality that is less than our overall group materiality. 
The range of materiality allocated across components was £170,000 to £992,000. Certain components were audited to a 
local statutory audit materiality that was also less than our overall group materiality.

We use performance materiality to reduce to an appropriately low level the probability that the aggregate of uncorrected 
and undetected misstatements exceeds overall materiality. Specifically, we use performance materiality in determining the 
scope of our audit and the nature and extent of our testing of account balances, classes of transactions and disclosures, for 
example in determining sample sizes. Our performance materiality was 75% (2020: 75%) of overall materiality, amounting 
to  £760,000  (2020:  £726,000)  for  the  group  financial  statements  and  £430,000  (2020:  £435,000)  for  the  company 
financial statements.

In  determining  the  performance  materiality,  we  considered  a  number  of  factors  -  the  history  of  misstatements,  risk 
assessment and aggregation risk and the effectiveness of controls - and concluded that an amount at the upper end of our 
normal range was appropriate.

We agreed with those charged with governance that we would report to them misstatements identified during our audit 
above £50,000 (group audit) (2020: £48,000) and £28,000 (company audit) (2020: £29,000) as well as misstatements 
below those amounts that, in our view, warranted reporting for qualitative reasons.

Annual Report 2021 | EKF Diagnostics Holdings plc235

Independent auditors’ report to the members of EKF Diagnostics Holdings plc 
Report on the audit of the financial statements (continued)

Conclusions relating to going concern

Our  evaluation  of  the  directors’  assessment  of  the  group’s  and  the  company’s  ability  to  continue  to  adopt  the  going 
concern basis of accounting included:

• 

• 

• 

• 

 Verifying the integrity and mathematical accuracy of management’s model as well as agreeing underlying cash 
flow projections to management approved forecasts.
 Assessing management’s historic forecasting accuracy by obtaining management information for the financial 
performance year to date.
 Evaluating and challenging the reasonableness of the key assumptions in management’s model, and agreeing the 
data to supporting information, where available.
 Evaluating and assessing the severe but plausible downside scenarios modelled, including the consideration of 
the impact  of the current events in Ukraine.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions 
that, individually or collectively, may cast significant doubt on the group’s and the company’s ability to continue as a going 
concern for a period of at least twelve months from when the financial statements are authorised for issue.

In auditing the financial statements, we have concluded that the directors’ use of the going concern basis of accounting in 
the preparation of the financial statements is appropriate.

However, because not all future events or conditions can be predicted, this conclusion is not a guarantee as to the group’s 
and the company’s ability to continue as a going concern.

Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant 
sections of this report.

Reporting on other information

The other information comprises all of the information in the Annual Report other than the financial statements and our 
auditors’ report thereon. The directors are responsible for the other information. Our opinion on the financial statements 
does  not  cover  the  other  information  and,  accordingly,  we  do  not  express  an  audit  opinion  or,  except  to  the  extent 
otherwise explicitly stated in this report, any form of assurance thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, 
consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained 
in the audit, or otherwise appears to be materially misstated. If we identify an apparent material inconsistency or material 
misstatement, we are required to perform procedures to conclude whether there is a material misstatement of the financial 
statements or a material misstatement of the other information. If, based on the work we have performed, we conclude 
that there is a material misstatement of this other information, we are required to report that fact. We have nothing to 
report based on these responsibilities.

With respect to the Strategic report and Report of the Directors, we also considered whether the disclosures required by 
the UK Companies Act 2006 have been included.

Based  on  our  work  undertaken  in  the  course  of  the  audit,  the  Companies  Act  2006  requires  us  also  to  report  certain 
opinions and matters as described below.

Strategic Report and Report of the Directors

In our opinion, based on the work undertaken in the course of the audit, the information given in the Strategic report and 
Report of the Directors for the year ended  31  December 2021  is consistent with the financial statements and has  been 
prepared in accordance with applicable legal requirements.

In light of the knowledge and understanding of the group and company and their environment obtained in the course of 
the audit, we did not identify any material misstatements in the Strategic report and Report of the Directors.

Responsibilities for the financial statements and the audit

Responsibilities of the directors for the financial statements

As explained more fully in the Statement of Directors’ responsibilities in respect of the financial statements, the directors are 
responsible for the preparation of the financial statements in accordance with the applicable framework and for being satisfied 
that they give a true and fair view. 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.

In preparing the financial statements, the directors are responsible for assessing the group’s and the company’s ability to 
continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis 
of accounting unless the directors either intend to liquidate the group or the company or to cease operations, or have no 
realistic alternative but to do so.

Annual Report 2021 | EKF Diagnostics Holdings plc23636

Independent auditors’ report to the members of EKF Diagnostics Holdings plc 
Report on the audit of the financial statements (continued)

Auditors’ responsibilities for the audit of the financial statements

Our  objectives  are  to  obtain  reasonable  assurance  about  whether  the  financial  statements  as  a  whole  are  free  from 
material misstatement, whether due to fraud or error, and to issue an auditors’ report that includes our opinion. Reasonable 
assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will 
always  detect  a  material  misstatement  when  it  exists.  Misstatements  can  arise  from  fraud  or  error  and  are  considered 
material  if,  individually  or  in  the  aggregate,  they  could  reasonably  be  expected  to  influence  the  economic  decisions  of 
users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line 
with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The 
extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below

Based  on  our  understanding  of  the  group  and  industry,  we  identified  that  the  principal  risks  of  non-compliance  with 
laws  and  regulations  related  to  patent  protection,  product  safety  (including  but  not  limited  to  the  US  Food  and  Drug 
Administration regulation) and employment legislation (including health & safety regulation), and we considered the extent 
to which non-compliance might have a material effect on the financial statements. We also considered those laws and 
regulations that have a direct impact on the financial statements such as tax legislation and the Companies Act 2006. We 
evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including 
the  risk  of  override  of  controls),  and  determined  that  the  principal  risks  were  related  to  posting  inappropriate  journal 
entries to manipulate financial results and potential management bias in accounting estimates. The group engagement 
team shared this risk assessment with the component auditors so that they could include appropriate audit procedures 
in response to such risks in their work. Audit procedures performed by the group engagement team and/or component 
auditors included:

• 

Enquiry  of  group  management  and  global  head  of  quality  and  regulatory  assurance  around  known  or  suspected 
instances of non-compliance with laws and regulations and fraud;

• 

Review of minutes of meetings of those charged with governance;

•  Challenging assumptions made by management in its significant accounting estimates, in particular in relation to the 

business combination accounting and impairment assessment; and

• 

Identifying  and  testing  the  validity  of  journal  entries,  in  particular  any  journal  entries  posted  with  unusual  account 
combinations and consolidation journals.

There are inherent limitations in the audit procedures described above. We are less likely to become aware of instances 
of  non-compliance  with  laws  and  regulations  that  are  not  closely  related  to  events  and  transactions  reflected  in  the 
financial  statements.  Also,  the  risk  of  not  detecting  a  material  misstatement  due  to  fraud  is  higher  than  the  risk  of  not 
detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional 
misrepresentations, or through collusion.

Our audit testing might include testing complete populations of certain transactions and balances, possibly using data 
auditing  techniques.  However,  it  typically  involves  selecting  a  limited  number  of  items  for  testing,  rather  than  testing 
complete populations. We will often seek to target particular items for testing based on their size or risk characteristics. 
In other cases, we will use audit sampling to enable us to draw a conclusion about the population from which the sample 
is selected.

A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: 
www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditors’ report.

Use of this report

This report, including the opinions, has been prepared for and only for the company’s members as a body in accordance 
with Chapter 3 of Part 16 of the Companies Act 2006 and for no other purpose. We do not, in giving these opinions, accept 
or assume responsibility for any other purpose or to any other person to whom this report is shown or into whose hands 
it may come save where expressly agreed by our prior consent in writing.

Other required reporting

Companies Act 2006 exception reporting

Under the Companies Act 2006 we are required to report to you if, in our opinion:

•  we have not obtained all the information and explanations we require for our audit; or
• 

 adequate accounting records have not been kept by the company, or returns adequate for our audit have not 
been received from branches not visited by us; or

•  certain disclosures of directors’ remuneration specified by law are not made; or
•  the company financial statements are not in agreement with the accounting records and returns.

We have no exceptions to report arising from this responsibility. 

Stuart Couch  (Senior Statutory Auditor)
for and on behalf of PricewaterhouseCoopers LLP 
Chartered Accountants and Statutory Auditors

Cardiff
29 March 2022

Annual Report 2021 | EKF Diagnostics Holdings plc2Consolidated Income Statement
for the year ended 31 December 2021

Notes

Revenue

Cost of sales

Gross profit

Administrative expenses

Other income

Operating profit

Depreciation and amortisation

Share-based payments

Exceptional items

EBITDA before exceptional items and share-based payments

Finance income

Finance costs

Profit before income tax

Income tax charge

Profit for the year

Profit attributable to:

Owners of the parent

Non-controlling interest

Earnings per Ordinary Share attributable to the owners of the parent during the year

From continuing operations

Basic

Diluted

5

6

6

6

7

5

12

12

13

14

14

The notes on pages 43 to 78 are an integral part of these consolidated financial statements.

37

2020
£’000

65,260

(27,840)

37,420

(20,658)

133

16,895

(4,611)

(5,292)

1,282

25,516

53

(1,592)

15,356

(3,971)

11,385

11,114

271

11,385

2021
£’000

81,836

(42,470)

39,366

(17,709)

90

21,747

(5,885)

1,238

(95)

26,489

45

(357)

21,435

(5,277)

16,158

15,851

307

16,158

Pence

Pence

3.47

3.44

2.45

2.42

Annual Report 2021 | EKF Diagnostics Holdings plc23838

Consolidated Statement of Comprehensive Income
for the year ended 31 December 2021

Profit for the year

Other comprehensive (loss)/income:

Items that will not be reclassified to profit or loss
Changes in fair value of equity instruments at fair value through other 
comprehensive (loss)/income (net of tax)

32

Note

Items that may be subsequently reclassified to profit or loss
Currency translation differences

Other comprehensive (loss)/income (net of tax)

Total comprehensive income for the year 

Attributable to:

Owners of the parent

Non-controlling interests

Total comprehensive income for the year

2021
£’000

16,158

(321)

(1,226)

(1,547)

14,611

14,315

296

14,611

2020
£’000

11,385

3,276

734

4,010

15,395

15,235

160

15,395

Items stated above are disclosed net of tax. The income tax relating to each component of other comprehensive 
(loss)/income is disclosed in note 13.

The notes on pages 43 to 78 are an integral part of these consolidated financial statements.

Annual Report 2021 | EKF Diagnostics Holdings plc2Consolidated and Company’s Statement of Financial Position
As at 31 December 2021

Assets

Non-current assets 

Property, plant and equipment 

Right-of-use asset

Intangible assets

Investments in subsidiaries

Investments

Trade and other receivables

Deferred tax assets

Total non-current assets

Current assets

Inventories

Trade and other receivables

Current income tax receivable

Cash and cash equivalents

Total current assets

Total assets

Equity attributable to owners of the parent

Share capital

Share premium

Other reserves

Foreign currency reserves

Retained earnings

Non-controlling interest

Total equity

Liabilities

Non-current liabilities

Lease liabilities

Borrowings

Deferred consideration

Deferred tax liabilities

Total non-current liabilities

Current liabilities

Trade and other payables

Lease liabilities

Deferred consideration

Current income tax liabilities

Borrowings

Total current liabilities

Total liabilities

Total equity and liabilities

Notes 

16

17

18

19

23

24

29

24

23

25

30

30

32

17

27

28

29

26

17

28

27

39

Company
2020
£’000

1,559

328

128

30,521

6,608

6,670

-

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

15,991

1,875

41,894

-

12,620

1,019

37,051

1,609

367

598

-

38,446

7,789

6,608

-

15

-

14

7,789

1,860

-

67,564

57,312

50,669

45,814

13,238

13,428

548

20,341

47,555

115,119

4,639

7,375

5,033

2,813

74264

94,124

618

8,487

13,182

371

21,913

43,953

101,265

4,550

200

5,354

4,028

63,516

77,648

552

475

1,417

-

4,879

6,771

57,440

4,639

7,375

4,992

-

32,646

49,652

-

631

1,476

-

10,045

12,152

57,966

4,550

200

5,313

-

31,981

42,044

-

94,742

78,200

49,652

42,044

1,095

431

170

5,031

6,727

690

323

-

2,636

3,649

207

-

170

1,502

1,879

9,078

14,435

4,780

838

465

3,004

265

13,650

20,377

115,119

380

2,901

1,515

185

19,416

23,065

101,265

184

465

480

-

5,909

7,788

57,440

221

-

-

-

221

12,162

158

2,901

480

-

15,701

15,922

57,966

The notes on pages 43 to 78 are an integral part of these financial statements.
The Company has elected to take the exemption under section 408 of the Companies Act 2006 not to present the Parent Company income 
statement.
The profit for the Parent Company for the year was £5,768,000 (2020: loss of £4,139,000).
The financial statements were approved and authorised for issue by the Board on 29 March 2022 and signed on its behalf by:

Mike Salter
Chief Executive Officer
EKF Diagnostics Holdings plc
Registered no: 04347937

Marc Davies
Chief Financial Officer

Annual Report 2021 | EKF Diagnostics Holdings plc24040

Consolidated and Company’s Statement of Cash Flows
for the year ended 31 December 2021

Notes 

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

Cash flow from operating activities

Cash generated by operations

Interest (paid)/received

Income tax paid

Net cash generated by operating activities

Cash flow from investing activities

Purchase of investments

Purchase of property, plant and equipment (PPE)

Purchase of intangibles

Acquisition of subsidiaries, net of cash acquired

Proceeds from sale of PPE

Proceeds from sale of investments

Interest received

Cash flow from financing activities

Share option buy back

Proceeds from issuance of Ordinary shares

Dividend

Repayments on borrowings

Principal lease payments

Dividend payment to non-controlling interest

Net cash used in financing activities

Net(decrease)/ increase in cash and cash equivalents

Cash and cash equivalents at beginning of year

Exchange (losses)/gains on cash and cash equivalents

35

14,208

20,798

(36)

(47)

(3,934)

(6,942)

10,238

13,809

-

(4,335)

(1,314)

84

43

-

45

20

35

(3,810)

(1,631)

(1,014)

-

68

7,670

53

1,336

(7)

209

1,048

34

(22)

1,060

9,754

(21)

(911)

8,822

-

(3,810)

(259)

(521)

(208)

-

-

-

(222)

-

-

-

7,670

-

(988)

3,638

-

-

(7)

209

-

-

(178)

(643)

(231)

(6,155)

(1,394)

21,913

(178)

(5,103)

(4,550)

(5,103)

(4,550)

(183)

(469)

(209)

-

(107)

-

-

(109)

-

(5,209)

(5,210)

(4,457)

9,936

12,074

(97)

21,913

(5,138)

10,045

(28)

4,879

8,003

1,999

43

10,045

Cash and cash equivalents at end of year

25

20,341

Net cash  (used in)/generated by investing activities

(5,477)

Annual Report 2021 | EKF Diagnostics Holdings plc2Consolidated Statement of Changes in Equity
For the year ended 31 December 2021

41

Consolidated

At 1 January 2020

Comprehensive income/ 
(expense)

Profit for the year

Other comprehensive income 
/(expense)

Changes in fair value of  
equity instruments at fair value 
through other comprehensive 
income/(expense)

Transfer of gain on disposal of equi-
ty investments at fair value through 
other comprehensive income/(ex-
pense) to retained earnings

Taxation on profit on disposal of 
equity instruments at fair value

Currency translation differences

Total comprehensive 
income/(expense)  

Transactions with owners

Proceeds from share issue

Share option cancellation

Dividends to non-controlling 
interest

Dividends to owners

Total distributions to owners

At 31 December 2020 and 
1 January 2021

Comprehensive income

Profit for the year

Other comprehensive expense

Changes in fair value of equity 
instruments at fair value through 
other comprehensive expense

Currency translation differences

Total comprehensive income

Transactions with owners

Issue of ordinary shares as consid-
eration for a business combination, 
net of transaction costs

Dividends to non-controlling interest

Notes

Share 
capital
£’000 

4,541

-

-

-

-

-

-

9

-

-

-

9

Share 
premium 
account
£’000

Other 
reserves
£’000

Foreign 
currency 
reserve
£’000

Retained 
earnings
£’000

Total
£’000

Non-  
controlling 
interest
£’000

Total 
equity
£’000

-

-

-

-

-

-

-

200

-

-

-

200

6,648

3,183

56,199

70,571

601

71,172

-

4,348

(5,642)

-

-

-

-

-

-

11,114

11,114

271

   11,385

-

4,348

5,642

-

(1,072)

(1,072)

-

-

-

4,348

-

(1,072)

845

-

845

(111)

734

(1,294)

845

15,684

15,235

160

15,395

-

-

-

-

-

-

-

-

-

-

-

(7)

-

209

(7)

-

-

209

(7)

-

(209)

(209)

(8,360)

(8,360)

-

(8,360)

(8,367)

(8,158)

(209)

(8,367)

4,550

200

5,354

4,028

63,516

77,648

552

78,200

-

-

-

-

-

-

-

-

20

89

7,175

-

-

-

-

-

(321)

-

-

-

(1,215)

-

-

15,851

15,851

307

16,158

(321)

-

(321)

(321)

(1,215)

15,851

14,315

(1,215)

(11)

296

(1,226)

14,611

-

-

-

-

-

-

-

-

-

-

7,264

-

7,264

-

(230)

(230)

(5,103)

(5,103)

-

(5,103)

(5,103)

2,161

(230)

1,931

Dividends to owners

15

Total distributions to owners

89

7,175

At 31 December 2021

4,639

7,375

5,033

2,813

74,264

94,124

618

94,742

Annual Report 2021 | EKF Diagnostics Holdings plc24242

Company Statement of Changes in Equity
For the year ended 31 December 2021 

Company

At 1 January 2020

Comprehensive income/(expense)

Loss for the year

Other comprehensive income/(expense)
Changes in fair value of equity instruments at fair 
value through other comprehensive income/(expense)

Recycling of reserves in respect of disposal of equity instruments 
at fair value

Taxation on profit on disposal of equity instruments at fair value

Total comprehensive (expense)/income

Transactions with owners

Proceeds from shares issued

Share option cancellation

Dividends to owners

Total contributions by and distributions to owners

Share
capital 
£’000

4,541

-

-

-

9

-

-

9

At 31 December 2020 and 1 January 2021

4,550

Comprehensive income/(expense)

Profit for the year

Other comprehensive income/(expense) 

Changes in fair value of equity instruments at fair value through
other comprehensive income/(expense)

Total comprehensive income/(expense)

Transactions with owners

Issue of ordinary shares as consideration for a business 
combination, net of transaction costs

Dividends to owners

Total contributions by and distributions to owners

At 31 December 2021

-

-

-

89

-

89

4,639

Share 
premium
£’000

Other 
reserves
£’000

Retained 
earnings
£’000

Total
£’000

-

-

-

6,607

39,917

51,065

-

(4,139)

(4,139)

4,348

-

4,348

(5,642)

5,642

-

-

(1,072)

(1,072)

-

     (1,294)

431

(863)

200

        -

        -

200

200

-

-

-

7,175

 -

7,175

7,375

-

  (7)

209

(7)

-

-

(8,360)

 (8,360)

(8,367)

(8,158)

5,313 

31,981

42,044

-

5,768

5,768

(321)

-

(321)

(321)

5,768

5,447

-

-

-

-

7,264

(5,103)

(5,103)

(5,103)

2,161

4,992

32,646

49,652

Annual Report 2021 | EKF Diagnostics Holdings plc243

Notes to the Financial Statements
for the year ended 31 December 2021

1. General information

EKF Diagnostics Holdings Plc is a company incorporated and domiciled in the United Kingdom. The Company is a public 
limited company, which is listed on the AIM market of the London Stock Exchange. The address of the registered office is 
Avon House, 19 Stanwell Road, Penarth, Cardiff CF64 2EZ.

The principal activity of the Group is the development, manufacture and supply of products and services into the in-vitro 
diagnostic (IVD) market place. The Group has presence in the UK, USA, Germany, Russia, and China, and sells throughout 
the world including Europe, the Middle East, the Americas, Asia, and Africa.

The financial statements are presented in British Pounds Sterling, the currency of the primary economic environment in 
which  the  Company’s  headquarters  is  operated.  The  Group  comprises  EKF  Diagnostics  Holdings  plc  and  its  subsidiary 
Companies as set out in note 19.

The registered number of the Company is 04347937.

2. Summary of significant accounting policies

The principal accounting policies applied in the preparation of these consolidated financial statements are set out below. 
The policies have been consistently applied throughout all years presented, unless otherwise stated.

Basis of preparation

On 31 December 2020, IFRS as adopted by the European Union at that date was brought into UK law and became UK-
adopted International Accounting Standards, with future changes being subject to endorsement by the UK Endorsement 
Board. EKF Diagnostics Holdings transitioned to UK-adopted International Accounting Standards in its company financial 
statements on 1 January 2021. This change constitutes a change in accounting framework. However, there is no impact on 
recognition, measurement or disclosure in the period reported as a result of the change in framework. 

The financial statements of EKF Diagnostics Holdings have been prepared in accordance with UK-adopted International 
Accounting Standards and with the requirements of the Companies Act 2006 as applicable to companies reporting under 
those standards.

The  consolidated  financial  statements  have  been  prepared  under  the  historical  cost  convention,  as  modified  by  the 
revaluation of certain financial liabilities at fair value through profit and loss and certain financial assets measured at fair 
value through other comprehensive income..

The  preparation  of  financial  statements  requires  the  use  of  certain  critical  accounting  estimates.  It  also  requires 
management to exercise its judgement in the process of applying the Group’s accounting policies. The areas involving a 
higher degree of judgement or complexity, or areas where assumptions and estimates are significant to the consolidated 
financial statements are disclosed in note 4.

(a) New standards, amendments and interpretations adopted by the Group.

The  group  has  applied  the  following  standards  and  amendments  for  the  first  time  for  their  annual  reporting  period 
commencing 1 January 2021:

•  Definition of Material – Amendments to IAS 1 and IAS 8; and 

•  Revised Conceptual Framework for Financial Reporting.

The amendments listed above did not have any impact on the amounts recognised in prior periods and are not expected 
to significantly affect the current or future periods.

(b)  New standards, amendments and interpretations issued but not effective for the financial year beginning 1 

January 2021 and not early adopted.

A number of new standards and amendments to standards and interpretations are effective for annual periods beginning 
on  or  after  1  January  2022,  and  have  not  been  applied  in  preparing  these  financial  statements.  The  Group  does  not 
anticipate a material impact within its financial statements as a result of the applicable standards and interpretations.

Going concern

The Directors have considered the applicability of the going concern basis in the preparation of these financial statements. 
This included the review of internal budgets and financial results which show, taking into account reasonably plausible 
changes in financial performance, that the Group will be able to operate within the level of its current funding arrangements.

While  we  have  continued  to  see  some  disruption  to  our  core  business  as  a  result  of  the  COVID-19  pandemic,  we  have 
protected our core business as far as possible and core revenue has grown by 14% this year. It is clear that healthcare 
activities  are  returning  to  normal  and  that  our  base  case  forecasts  for  our  core  business  are  still  applicable.  While  the 
pandemic has sadly been very costly for many in lives and income, EKF has been able to learn new skills and develop a 
business model which offers great possibilities in the post-pandemic world. However, we are adopting a pragmatic view 
that there will be a significant reduction in pandemic-related contract manufacturing activity for the remainder of the year.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
4444

Notes to the Financial Statements
for the year ended 31 December 2021

The Group has revenues from customers in Russia and an entity based there. As a result of the sanctions recently imposed 
on Russia by the EU, the USA and other countries, there are enhanced risks in respect of our Russian entity, including credit 
risk to cash balances, its ability to collect debtors, and our ability to import products into Russia. In preparing a downside 
going concern forecast we have discounted sales from this region.

While any further economic disruption stemming from the pandemic is impossible to forecast, the strength of the Group’s 
balance  sheet  aligned  to  the  continuing  performance  of  the  business  gives  the  Directors  confidence  that  the  business 
can continue to meet its obligations as they fall due, even under our worst case scenarios, for at least the next 12 months. 
Accordingly, the directors are satisfied they can prepare the accounts on a going concern basis.

Basis of consolidation

The consolidated financial statements incorporate the financial statements of the Company and its subsidiary undertakings. 
Subsidiaries are all entities over which the Group has the power to govern their financial and operating policies generally 
accompanying a shareholding of more than fifty per cent of the voting rights. The existence and effect of potential voting 
rights that are currently exercisable or convertible are considered when assessing whether the Group controls another entity.

Subsidiaries are fully consolidated from the date on which control is transferred to the Group. They are de-consolidated 
from the date that control ceases.

The Group uses the acquisition method of accounting to account for business combinations. The consideration transferred 
for the acquisition of a subsidiary is the fair values of the assets transferred, the liabilities incurred and the equity interests 
issued by the Group. The consideration transferred includes the fair value of any asset or liability resulting from a contingent 
consideration agreement. Acquisition related costs are expensed as incurred. Identifiable assets acquired and liabilities 
and contingent liabilities assumed in a business combination are measured initially at their fair values at the acquisition 
date. On an acquisition by acquisition basis, the Group recognises any non-controlling interest in the acquiree either at fair 
value or at the non-controlling interest’s proportionate share of the acquiree’s net assets.

The excess of the consideration transferred, the amount of any non-controlling interest in the acquiree and the acquisition 
date fair value of any previous equity interest in the acquiree over the fair value of the Group’s share of the identifiable net 
assets acquired is recorded as goodwill. If this is less than the fair value of the net assets of the subsidiary acquired in the 
case of a bargain purchase, the difference is recognised directly in the income statement.

Investments in subsidiaries are accounted for at cost less impairment.

Associates are all entities over which the group has significant influence but not control or joint control. At the beginning of the 
period, the Group had retained the voting rights covering the 31.1% shareholding in Trellus Health plc which was transferred to 
EKF shareholders by way of a dividend in specie. These voting rights vested in the shareholders of Trellus when an initial public 
offer was completed by Trellus. In 2020 this remaining investment was treated as an Investment in an associate, at a nominal 
value, and equity accounting was not applied as the impact of the equity accounting transactions were immaterial. 

Inter-Company  transactions,  balances  and  unrealised  gains  on  transactions  between  Group  companies  are  eliminated. 
Unrealised losses are also eliminated. Accounting policies of subsidiaries have been changed where necessary to ensure 
consistency with the policies adopted by the Group.

Foreign currency translation

(a) Functional and presentational currency

Items included in the financial statements of each of the Group’s entities are measured using the currency of the primary 
economic environment in which the entity operates (the functional currency). The consolidated financial statements are 
presented in British Pounds Sterling, which is the Company’s functional and presentational currency.

(b) Transactions and balances

Foreign currency transactions are translated into the functional currency using the exchange rates prevailing at the dates 
of the transactions where items are re-measured. Foreign exchange gains and losses resulting from the settlement of such 
transactions and from the translation at year-end exchange rates of monetary assets and liabilities denominated in foreign 
currencies are recognised in the income statement within ‘administrative expenses’.

(c) Group companies

The results and financial position of all the Group entities (none of which has the currency of a hyper- inflationary economy) that 
have a functional currency different from the presentational currency are translated into the presentational currency as follows:

• 

 assets and liabilities for each balance sheet presented are translated at the closing rate at the date of that balance 
sheet;
income and expenses for each income statement are translated at average exchange rates; and

• 
•  all resulting exchange differences are recognised in other comprehensive income. 

On consolidation, exchange differences arising from the translation of the net investment in foreign operations are taken 
to other comprehensive income. When a foreign operation is partially disposed of or sold, exchange differences that were 
recorded in equity are recognised in the income statement as part of the gain or loss on sale.

Goodwill and fair value adjustments arising on the acquisition of a foreign entity are treated as assets and liabilities of the 
foreign entity and translated at the closing rate.

Annual Report 2021 | EKF Diagnostics Holdings plc245

Notes to the Financial Statements
for the year ended 31 December 2021

Segmental 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 Executive Directors who make strategic decisions. The information 
used to assess performance is by geography as income statements by product are not available.

Government grants

Government  grants  receivable  in  connection  with  expenditure  on  property,  plant  and  equipment  are  accounted  for  as 
deferred income, which is credited to the income statement over the expected useful economic life of the related assets, 
on a basis consistent with the depreciation policy. Revenue grants for the reimbursement of costs charged to the income 
statement are credited to the Income Statement in the year in which the costs are incurred.

Property, plant and equipment

Property, plant and equipment are stated at historical cost less accumulated depreciation and any provision for impairment. 
Historical cost includes expenditure that is directly attributable to the acquisition of the asset and bringing the asset to its 
working condition for its intended use.

Subsequent costs are included in the asset’s carrying amount or recognised as a separate asset, as appropriate, only where 
it is probable that future economic benefits associated with the asset will flow to the Group and the cost of the asset can 
be measured reliably. The carrying amount of the replaced part is derecognised. All other repairs and maintenance are 
charged to the income statement during the financial period in which they are incurred. Any borrowing costs associated 
with qualifying property plant and equipment are capitalised and depreciated at the rate applicable to that asset category.

Land is not depreciated. Depreciation on other assets is calculated using the straight-line method or reducing balances 
method to allocate their cost to its residual values over their estimated useful lives, as follows

        2%–2.5%

Buildings 
Leasehold improvements       20% or over the life of the lease if under 5 years
Fixtures and fittings 
Plant and machinery 
Motor vehicles 

        16.7%–25%
        20%–33.3%
        25%

The assets’ residual values and useful economic lives are reviewed regularly, and adjusted if appropriate, at the end of each 
reporting period.

An asset’s carrying value 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 the disposal of assets are determined by comparing the proceeds with the carrying amount and are 
recognised in administration expenses in the income statement.

Intangible assets

(a) Goodwill

Goodwill represents the excess of the cost of an acquisition over the fair value of the Group’s share of the net identifiable 
assets  of  the  acquired  subsidiary  at  the  date  of  the  acquisition.  Goodwill  on  acquisitions  of  subsidiaries  is  included 
in  ‘intangible  assets’.  Goodwill  has  an  infinite  useful  life  and  is  tested  annually  for  impairment  and  carried  at  cost  less 
accumulated impairment losses. Impairment losses on goodwill are not reversed. Gains and losses on the disposal of an 
entity include the carrying amount of goodwill relating to the entity sold.

Goodwill is allocated to cash-generating units for the purpose of impairment testing. The allocation is made to those cash- 
generating units or groups of cash-generating units that are expected to benefit from the business combination in which 
the goodwill arose, identified according to operating segment.

(b) Trademarks, trade names and licences

Separately acquired trademarks and licences are shown at historical cost. Trademarks and licences acquired in a business 
combination are recognised at fair value at the acquisition date. Trademarks and licences have a finite useful life and are 
carried at cost less accumulated amortisation. Amortisation is calculated using the straight-line method to allocate the 
cost of trademarks and licences over their estimated useful lives of between 8 and 12 years and is charged to administrative 
expenses in the income statement.

(c) Customer relationships

Contractual  customer  relationships  acquired  in  a  business  combination  are  recognised  at  fair  value  at  the  acquisition 
date. The asset represents the value at acquisition of long term relationships with customers. The contractual customer 
relationships have a finite useful life and are carried at cost less accumulated amortisation. Amortisation is calculated using 
the straight-line method over the expected life of the customer relationship of between 5 and 15 years and is charged to 
administrative expenses in the income statement.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
4646

Notes to the Financial Statements 
for the year ended 31 December 2021

(d) Trade secrets

Trade  secrets,  including  technical  know-how,  operating  procedures,  methods  and  processes,  acquired  in  a  business 
combination are recognised at fair value at the acquisition date. Trade secrets have a finite useful life and are carried at 
cost less accumulated amortisation. Amortisation is calculated using the straight-line method to allocate the cost of trade 
secrets over their estimated useful lives of between 6 and 15 years and is charged to administrative expenses in the income 
statement.

(e) Development costs

Development costs acquired in a business combination are recognised at fair value at the acquisition date. They represent 
the  value  at  acquisition  of  expenditure  Incurred  on  the  development  of  new  or  substantially  improved  products  or 
processes.  Development costs have a finite useful life and are carried at cost less accumulated amortisation. Amortisation 
is calculated using the straight-line method over their estimated useful lives of 15 years and is charged to administrative 
expenses in the income statement.

Expenditure incurred on the development of new or substantially improved products or processes is capitalised, provided 
that  the  related  project  satisfies  the  criteria  for  capitalisation,  including  the  project’s  technical  feasibility  and  likely 
commercial benefit. All other research and development costs are expensed as incurred.
Development costs are amortised over the estimated useful life of the products with which they are associated, currently 
4 to 10 years. Amortisation commences when a new product is in commercial production. The amortisation is charged to 
administrative expenses in the income statement. The estimated remaining useful lives of development costs are reviewed 
at least on an annual basis.

The carrying value of capitalised development costs is reviewed for potential impairment at least annually and if a product 
becomes unviable and an impairment is identified the deferred development costs are immediately charged to the income 
statement.

(f) Software and website costs

Expenditure  incurred  on  the  development  of  new  or  substantially  improved  software  is  capitalised,  provided  that  the 
project satisfies the criteria for capitalisation, including technical feasibility and likely commercial benefit. All other software 
costs are expensed as incurred.

Software  costs  are  amortised  over  their  estimated  useful  life,  currently  6  –  10  years.  Amortisation  commences  when 
software  is  in  commercial  use.  The  amortisation  is  charged  to  administrative  expenses  in  the  income  statement.  The 
estimated remaining useful life of software is reviewed at least on an annual basis.

The carrying value of capitalised software costs is reviewed for potential impairment at least annually and if an impairment 
is identified the costs are immediately charged to the income statement.

Impairment of non-financial assets

Assets that have an indefinite life such as goodwill are not subject to amortisation and are tested annually for impairment. 
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 recognised for the amount by which the carrying 
amount exceeds its recoverable amount.

The recoverable amount is the higher of an asset’s fair value less costs to sell, and value in use. 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 for which the estimates of future cash 
flows have not been adjusted.

For the purposes of assessing impairment, assets are grouped at the lowest levels for which there are separately identifiable 
cash flows. Impairment losses recognised for cash-generating units, to which goodwill has been allocated, are credited 
initially to the carrying amount of goodwill. Any remaining impairment loss is charged pro rata to the other assets in the 
cash-generating unit.

Where an impairment loss subsequently reverses, the carrying amount of the asset (cash-generating unit) is increased to 
the revised estimate of its recoverable amount, but so that the increased carrying amount does not exceed the carrying 
amount that would have been determined had no impairment loss been recognised for the asset (cash-generating unit) 
in  the  prior  period.  A  reversal  of  an  impairment  loss  is  recognised  in  the  income  statement  immediately.  If  goodwill  is 
impaired however, no reversal of the impairment is recognised in the financial statements.

Financial assets 

Classification

The group classifies its financial assets in the following measurement categories:

•  those to be measured at amortised cost; and
•  those to be measured subsequently at fair value (either through OCI or through profit or loss);

Annual Report 2021 | EKF Diagnostics Holdings plc2 
 
47

Notes to the Financial Statements 
for the year ended 31 December 2021

(a) Financial assets at amortised cost

Assets that are held for collection of contractual cash flows, where those cash flows represent solely payments of principal 
and interest, are measured at amortised cost. Interest income from these financial assets is included in finance income 
using the effective interest rate method. Any gain or loss arising on derecognition is recognised directly in profit or loss 
and presented in other gains/(losses) together with foreign exchange gains and losses. Impairment losses are presented 
as a separate line item in the statement of profit or loss.

(b) Financial assets at fair value through profit or loss

The Group classifies the following financial assets at fair value through profit or loss (FVPL):

•  debt investments that do not qualify for measurement at either amortised cost or fair value through Other  
  Comprehensive Income

•  equity investments that are held for trading, and

•  equity investments for which the entity has not elected to recognise fair value gains and losses through Other   
  Comprehensive Income.

(c) Financial assets at fair value through Other Comprehensive Income

Financial assets at fair value through Other Comprehensive Income comprise equity securities that are not held for trading 
and which the Group has irrevocably elected at initial recognition to recognise in this category. The Group considers this 
category to be more relevant for assets of this type. Purchases and sales of these assets are valued at the date of trade.

Inventories

Inventories and work in progress are stated at the lower of cost and net realisable value. Cost is calculated on an average 
cost  basis  and  includes  raw  materials,  direct  labour,  other  direct  costs  and  attributable  production  overheads,  where 
appropriate. Net realisable value represents the estimated selling price less all estimated costs of completion and applicable 
selling costs. Where necessary, provision is made for slow-moving and obsolete inventory. Inventory on consignment and 
their related obligations are recognised in current assets and payables respectively.

Trade and other receivables

Trade receivables are amounts due from customers for goods sold or services performed in the ordinary course of business. 
Other  than  in  the  case  of  certain  intercompany  receivables,  and  large  corporate  customers,  they  are  generally  due  for 
settlement within 30 days and therefore are all classified as current. Trade receivables are initially recognised at fair value, 
being the original invoice amount, and subsequently measured at amortised cost less provision for impairment. The group 
applies the IFRS 9 simplified approach to measuring expected credit losses. To measure the expected credit losses, trade 
receivables have been grouped based on shared credit risk characteristics and the days past due. 

The expected loss rates are based on the historical credit losses from past experience and are adjusted to reflect current 
and forward-looking information on factors affecting the ability of the customers to settle the receivables, where applicable 
the amount of the loss is recognised in the income statement within administrative expenses. When a trade receivable is 
uncollectible it is written off against the allowance account. Subsequent recoveries of amounts previously written off are 
credited against administrative expenses in the income statement.

Cash and cash equivalents

Cash and short-term deposits in the balance sheet comprise cash at bank and in hand and short-term deposits with an 
original maturity of less than three months, reduced by overdrafts to the extent that there is a right of offset against other 
cash balances.

For  the  purposes  of  the  consolidated  cash  flow  statement,  cash  and  cash  equivalents  consist  of  cash  and  short-term 
deposits as defined above net of outstanding bank overdrafts where there is a right of offset.

Share capital

Ordinary Shares are classified as equity. Proceeds in excess of the nominal value of shares issued are allocated to the share 
premium account and are also classified as equity. Incremental costs directly attributable to the issue of new Ordinary 
Shares or options are deducted from the share premium account.

Where Ordinary Shares are acquired for cash and then cancelled, the nominal value of shares is deducted from the value 
of equity and credited to the Capital Redemption reserve. The amount paid is debited to reserves.

Financial liabilities

Debt is measured at fair value, being net proceeds after deduction of directly attributable issue costs, with subsequent 
measurement at amortised cost with the exception of deferred equity consideration which is categorised as a financial 
liability at fair value through profit and loss. Debt issue costs are recognised in the income statement over the expected 
term of such instruments at a constant rate on the carrying amount.

Trade and other payables

Trade  payables  are  obligations  to  pay  for  goods  or  services  that  have  been  acquired  in  the  ordinary  course  of 
business from suppliers. Accounts payable are classified as current liabilities if payment is due within one year or 
less (or in the normal operating cycle of the business if longer). If not, they are presented as non-current liabilities. 
Trade payables are recognised initially at fair value and subsequently measured at amortised cost using the effective 
interest method.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
 
 
4848

Notes to the Financial Statements 
for the year ended 31 December 2021

Borrowings

Borrowings are recognised initially at the fair value of proceeds received, net of transaction costs incurred. Borrowings are 
subsequently carried at amortised cost. Borrowings are classified as current liabilities unless the Group has an unconditional 
right to defer settlement of the liability for at least 12 months after the balance sheet date.

Borrowing costs are expensed in the consolidated Group income statement under the heading ‘finance costs’. Arrangement 
and  facility  fees  together  with  bank  charges  are  charged  to  the  income  statement  under  the  heading  ‘administrative 
expenses’.

Current and deferred income tax

The  tax  expense  comprises  current  and  deferred  tax.  Tax  is  recognised  in  the  income  statement,  except  to  the  extent 
that it relates to items recognised in other comprehensive income where the associated tax is also recognised in other 
comprehensive income.

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at the balance 
sheet date in the countries where the Company and its subsidiaries operate and generate taxable income.

Management evaluates positions taken in tax returns with respect to situations in which applicable tax regulation is subject 
to interpretation and establishes provisions where appropriate on the basis of amounts expected to be paid to the tax 
authorities.

Deferred tax is recognised, using the liability method, on all temporary differences at the balance sheet date between the 
tax bases of assets and liabilities and their carrying amounts for financial reporting purposes. Deferred tax liabilities are 
recognised in respect of all temporary differences except where the deferred tax liability arises from the initial recognition 
of goodwill in business combinations.

Deferred tax assets are recognised for all deductible temporary differences, carry-forward of unused tax assets and tax 
losses,  to  the  extent  that  they  are  regarded  as  recoverable.  They  are  regarded  as  recoverable  where,  on  the  basis  of 
available evidence, there will be sufficient taxable profits against which the future reversal of the underlying temporary 
differences can be deducted.

The carrying value of the amount of deferred tax assets is reviewed at each balance sheet date and reduced to the extent 
that it is no longer probable that sufficient taxable profit will be available to allow all, or part, of the tax asset to be utilised.

Deferred tax assets and liabilities are measured at the tax rates that are expected to apply to the year when the asset is 
realised or the liability is settled, based on the tax rates (and tax laws) that have been substantively enacted at the balance 
sheet date.

Deferred income tax assets and liabilities are offset when there is a legally enforceable right to offset current tax assets 
against current tax liabilities and when the deferred income tax assets and liabilities relate to income taxes levied by the 
same taxation authority on either the taxable entity or different taxable entities where there is an intention to settle the 
balances on a net basis.

Provisions

Provisions for legal claims are recognised when the Group has a present legal or constructive obligation as a result of a 
past event and it is probable that an outflow of resources will be required to settle the obligation and the amount can be 
reliably measured.

Leases

The Group and Company’s leasing policy is described in Note 17.

Deferred consideration

Deferred consideration is recognised at fair value. Where the value of deferred consideration is based on a future event, 
the amounts of future payments are discounted to their present values at the date of completion. The discount rate used is 
the entity’s incremental borrowing rate being the rate at which similar borrowing could be obtained from an independent 
financier under comparable terms and conditions. Deferred consideration is discounted to take account of the time value 
of money at rates based on those used for the valuation of related intangible assets.

Annual Report 2021 | EKF Diagnostics Holdings plc249

Notes to the Financial Statements 
for the year ended 31 December 2021

Employee benefits

(a) Pension obligations

Group companies operate various pension schemes all of which are defined contribution plans. A defined contribution plan 
is a pension plan under which the Group pays fixed contributions into a separate entity with the pension cost charged to 
the income statement as incurred. The Group has no further obligations once the contributions have been paid.

(b) Share-based compensation

The  Group  operates  an  equity-settled,  share-based  compensation  plan,  under  which  the  Group  receives  services  from 
employees  and  others  as  consideration  for  equity  instruments  of  the  Group.  Equity-settled  share-based  payments  are 
measured at fair value at the date of grant and are expensed over the vesting period based on the number of instruments 
that are expected to vest. For plans where vesting conditions are based on share price targets, the fair value at the date of 
grant reflects these conditions. Where applicable the Group recognises the impact of revisions to original estimates in the 
income statement, with a corresponding adjustment to equity for equity-settled schemes. Fair values are measured using 
appropriate valuation models, taking into account the terms and conditions of the awards.

When the share-based payment awards are exercised, the Company issues new shares. The proceeds received net of any 
directly attributable transaction costs are credited to share capital (nominal value) and share premium.

The Group operates a cash-settled compensation plan for certain senior employees. During the period the previous scheme 
was closed and a new scheme put  in place on broadly similar terms. Cash-settled share-based payments are measured at 
fair value at each reporting date and are expensed over the expected vesting period. The fair value amount is recognised 
in liabilities. Sensitivities relating to the valuation of the scheme are discussed in Note 31.

National insurance on share options

To  the  extent  that  the  share  price  at  the  balance  sheet  date  is  greater  than  the  exercise  price  on  options  granted  under 
unapproved share-based payment compensation schemes, provision for any National Insurance Contributions has been based 
on the prevailing rate of National Insurance. The provision is accrued over the performance period attaching to the award.

Revenue recognition

Revenue is accounted for in accordance with the principles of IFRS 15, which has been applied as follows:

(a) Sale of goods

Revenue  for  the  sale  of  medical  diagnostic  instruments  and  reagents  is  measured  at  the  fair  value  of  the  consideration 
received or receivable and represents the invoiced value for the sale of the goods net of sales taxes, rebates and discounts. 
Revenue from the sale of goods is recognised when control of the products has transferred which is when a Group Company 
has delivered products to the customer, the customer has accepted delivery of the products and collectability of the related 
receivables is reasonably assured. A receivable is recognised when the goods are delivered as this is the point in time that 
the consideration is unconditional because only the passage of time is required before the payment is due. Where contracts 
contain  multiple  deliverables,  and  the  volume  of  each  deliverable  can  be  determined  with  reasonable  certainty,  then  the 
transaction price will be allocated to each performance obligation based on the expected cost of each item.

(b) Sale of services

Revenue for the sale of services is measured at the fair value of the consideration received or receivable and represents 
the invoiced value for the sale of the services net of sales taxes, rebates and discounts. Revenue from the sale of services is 
recognised when a Group Company has completed the services and collectability of the related receivables is reasonably 
assured.

(c) Royalty and licence income

Royalty and licence income is recognised on an accruals basis in accordance with the substance of the relevant agreements.

Interest income

Interest  income  is  accrued  on  a  time  basis,  by  reference  to  the  principal  outstanding  and  at  the  effective  interest  rate 
applicable, which is the rate that exactly discounts estimated future cash receipts through the expected life of the financial 
asset to that asset’s net carrying amount.

Dividend distribution

Dividend distributions to the Company’s shareholders are recognised as a liability in the Group’s financial statements in the 
period in which the dividends are approved by the Company’s shareholders. Interim dividends are recognised when paid.

Distributions in specie are recognised at the fair value of the assets distributed.

Other income

Other income includes grant income and R & D tax credits passed through income where this is permitted by the relevant 
jurisdiction.

Exceptional items

These are items of an unusual or non-recurring nature incurred by the Group and include transactional costs and one off 
items relating to business combinations, such as acquisition expenses.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
 
5050

Notes to the Financial Statements
for the year ended 31 December 2021

3. Financial risk management

Financial risk factors

The Group and Company’s activities expose it to a variety of financial risks: market risk (foreign exchange risk and cash 
flow  interest  rate  risk),  credit  risk,  liquidity  risk,  capital  risk  and  fair  value  risk.  The  Group  and  Company’s  overall  risk 
management  programme  focuses  on  the  unpredictability  of  the  financial  markets  and  seeks  to  minimise  the  potential 
adverse  effects  on  the  Group  and  Company’s  financial  performance.  The  Group  and  Company  do  not  use  derivative 
financial instruments to hedge risk exposures.

Risk  management  is  carried  out  by  the  head  office  finance  team.  It  evaluates  and  mitigates  financial  risks  in  close  co-
operation  with  the  Group’s  operating  units.  The  Board  provides  principles  for  overall  risk  management  whilst  the  head 
office finance team provides specific policy guidance for the operating units in terms of managing foreign exchange risk, 
credit risk and cash and liquidity management.

(a) Market risk

(i) Foreign exchange – cash flow risk
The Group and Company’s presentational currency is sterling although the Group operates internationally and is exposed 
to foreign exchange risk arising from various currency exposures, primarily between GBP, USD, the Euro, and Rouble, such 
that the Group’s cash flows are affected by fluctuations in the rate of exchange between GBP and the aforementioned 
foreign currencies.

This exposure is managed by a natural currency hedge as the Group’s operating subsidiaries cost base is also denominated 
mainly in USDs, Euros, and Roubles, as the Group has subsidiary businesses located in the USA, Germany, and Russia.

Management do not use derivative financial instruments to mitigate the impact of any residual foreign currency exposure 
not  mitigated  by  the  natural  hedge  within  the  business  model.  The  Group  and  Company  do  not  speculate  in  foreign 
currencies and no operating Company is permitted to take unmatched positions in any foreign currency.

(ii) Foreign exchange – Fair value risk
Translation  exposures  that  arise  on  converting  the  results  of  overseas  subsidiaries  are  not  hedged.  Net  assets  held  in 
foreign currencies are hedged wherever practical by matching borrowings in the same currency. The principal exchange 
rates used by the Group and Company in translating overseas profits and net assets into GBP are set out in the table below.

Rate compared to GBP

Euro

Russian Rouble

US Dollar

Average
rate  
2021

1.162

101.558

1.374

Average
rate  
2020

1.127

94.889

1.293

Year end
rate  
2021

1.190

101.549

1.354

Year end
rate  
2020

1.117

101.139

1.366

As  a  guide  to  the  sensitivity  of  the  Group’s  results  to  movements  in  foreign  currency  exchange  rates,  a  one  per  cent 
movement in the Euro, US Dollars and Russian Rouble to Sterling rate would impact annual earnings by approximately 
£125,000 (2020: £60,000), £117,000 (2020: £202,000), and £9,000 (2020: £8,000) respectively. The Company’s results 
are not sensitive to changes in exchange rates.

(iii) Cash flow and fair value interest rate risk
The Group has interest-bearing assets in the form of cash and cash equivalents and interest- bearing liabilities which relate 
to borrowings and finance lease obligations mainly in the Group’s German subsidiary and its recent acquisition in the USA. 
Interest rates on cash and cash equivalents are floating whilst interest rates on certain borrowings have been fixed and 
therefore expose the Group to fair value interest rate risk. The Group and Company do not speculate on future changes 
in interest rates.

Where overseas acquisitions are made, it is the Group’s policy to arrange any borrowings required in local currency.

It is the Group and Company’s policy not to trade in financial instruments. The Group and Company do not use interest 
rate swaps.

(b) Credit risk

Credit risk is managed on a Group basis, except for credit risk relating to accounts receivable balances. Each local subsidiary 
and operating business unit 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. It is the Group and Company policy to obtain deposits 
or  require  payment  in  advance  from  customers  where  possible,  particularly  overseas  customers.  In  addition  if  possible 
the  Group  will  seek  confirmed  letters  of  credit  for  the  balances  due.  Credit  risk  is  managed  at  the  operating  business 
unit level and monitored at the Group level to ensure adherence to Group policies. If there is no independent rating, local 

Annual Report 2021 | EKF Diagnostics Holdings plc2 
51

Notes to the Financial Statements
for the year ended 31 December 2021

management assesses the credit quality of the customer, taking into account its financial position, past experience and 
other factors. Individual risk limits are set based on internal or external ratings in accordance with limits set by the Board. 
The utilisation of credit limits is regularly monitored. Where extended credit is granted, this is agreed by the Chief Financial 
Officer. Credit insurance is taken out where appropriate and cost effective.

Credit risk also arises from cash and cash equivalents, derivative financial instruments and deposits with banks and financial 
institutions, as well as credit exposures to customers.

(c) Liquidity risk

Cash flow forecasting is performed in the individual operating entities of the Group and is aggregated by Group finance. 
Group finance monitors cash and cash flow forecasts and it is the Group and Company’s liquidity risk management policy 
to maintain sufficient cash and available funding through an adequate amount of cash and cash equivalents and committed 
credit facilities from its bankers. Due to the dynamic nature of the underlying businesses, the head office finance team aims 
to maintain flexibility in funding by keeping sufficient cash and cash equivalents available to fund the requirements of the 
Group and Company.

The Group’s policy in relation to the finance of its overseas operations requires that sufficient liquid funds be maintained 
in  each  of  its  territory  subsidiaries  to  support  short  and  medium-term  operational  plans.  Where  necessary,  short-term 
funding is provided by the holding company. In the UK, the management of liquid funds in excess of operational needs 
are controlled centrally. Typically excess funds are placed as short-term deposits, to provide a balance between interest 
earnings and flexibility, where the benefit outweighs the administrative cost.

The  table  below  analyses  the  Group’s  non-derivative  financial  liabilities  into  relevant  maturity  groupings  based  on  the 
remaining period at the balance sheet date to the contractual maturity date. The amounts disclosed in the table are the 
contractual undiscounted cash flows.

Rate compared to GBP

At 31 December 2021:

Borrowings

Lease liabilities

Deferred consideration

Trade and other payables

At 31 December 2020:

Borrowings

Lease liabilities

Deferred consideration

Trade and other payables

Less than
one year
£’000

Between 1 and
2 years
£’000

Between 2 and
5 years
£’000

More than
5 years
£’000

265

891

465

8,910

185

402

2,901

13,051

208

679

101

-

185

301

-

-

223

427

69

-

138

411

-

-

-

-

-

-

-

-

-

-

Total
£’000

696

1,997

635

8,910

508

1,114

2,901

13,051

The maturity of the Company’s non-derivative financial liabilities is all less than one year.

(d) Capital risk management

Capital risk

The Group and Company’s objectives when managing capital are to safeguard the 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 its capital structure, the Group might adjust the amount of 
dividends paid to shareholders, return capital to shareholders, issue new shares or sell assets to reduce debt.

The Group and Company monitors capital on the basis of the gearing ratio. This ratio is calculated as net debt divided by 
total capital. Net debt is calculated as total borrowings (including “current and non-current borrowings” as shown in the 
consolidated balance sheet) less cash and cash equivalents. Total capital is the sum of net debt or net cash plus equity.

Dividends on ordinary shares

Group and Company

Final dividend for the year ended 31 December 2020 of 1.1p per ordinary share

Dividend in specie of shares in Trellus Health plc at fair value

2021
£’000

5,103

-

2020
£’000

4,550

3,810

Annual Report 2021 | EKF Diagnostics Holdings plc25252

Notes to the Financial Statements
for the year ended 31 December 2021

In addition, since the year end the directors have recommended the payment of a final dividend of 1.2p per ordinary 
share (2020: 1.1p). The aggregate amount of the proposed dividend expected to be paid on 1 December 2022 out of 
retained earnings at 31 December 2021 but not recognised as a liability at year end is £5,567,000 (2020: £5,005,000) 
based on the shares in issue at 31 December 2021. In addition the directors intend to transfer substantially all the shares 
of the Group’s increased holding in Verici Dx plc to shareholders by way of a dividend in specie, and have announced 
that the Company intends to acquire up to £4m of its Ordinary shares for cancellation.

(e) Fair value estimation
Fair value for the investments in Renalytix plc and Verici Dx plc were determined by reference to their published price 
quotation  in  an  active  market  (classified  as  level  1  in  the  fair  value  hierarchy).  The  Investments  have  been  classified  as 
financial assets at fair value through Other comprehensive income.

Group and Company

AIM listed ordinary shares – Renalytix plc

AIM listed ordinary shares – Verici Dx plc

2021
£’000

6,218

1,419

2020
£’000

4,889

1,567

The Group and Company did not have any Level 2 or 3 classified financial assets as at 31 December 2021 (2020: none).

4. Critical accounting estimates and judgements
In  the  process  of  applying  the  Group’s  accounting  policies,  management  has  made  accounting  judgements  in  the 
determination of the carrying value of certain assets and liabilities. Due to the inherent uncertainty involved in making 
assumptions and estimates, actual outcomes will differ from those assumptions and estimates. The following estimates 
have the most significant effect on the amounts recognised in the financial statements.

(a) Impairment of goodwill and other intangible assets and recoverability of investment in subsidiaries

The recognition of goodwill and other intangible assets arising on acquisitions and the impairment assessments contain 
significant accounting estimates. The Group tests annually whether goodwill and other intangible assets have suffered any 
impairment, in accordance with the accounting policy stated in note 2. The recoverable amounts of cash-generating units 
have been determined based on value-in-use calculations. These calculations require the use of estimates as set out in note 
18 where we also detail the sensitivity of changes in the key assumptions.

(b) Share-based payments

A  number  of  accounting  estimates  are  incorporated  within  the  calculation  of  the  charge  to  the  income  statement  in 
respect of share-based payments. These are described in more detail in note 31 including the impact of possible changes 
in the key assumptions.

(c) Acquisition accounting and valuation of identified intangible assets

Accounting for the acquisition of Advanced Diagnostic Laboratory LLC. (ADL) requires a number of accounting estimates. 
In particular the amount of deferred contingent calculation requires the use of estimates of future earnings. In addition a 
purchase price analysis has been carried out in order to identify and value Intangible Assets making up part of the assets 
acquired. These calculations require assumptions regarding future revenues and earnings. The acquisition is described in 
more detail in Note 20. 

5. Segmental reporting

Management has determined the Group’s operating segments based on the monthly management reports presented to 
the Chief Operating Decision Maker (‘CODM’). The CODM is the Executive Directors and the monthly management reports 
are used by the Group to make strategic decisions and allocate resources.

The principal activity of the Group is the design, development, manufacture and sale of diagnostic instruments, reagents 
and certain ancillary products, as well as central laboratory reagents. This activity takes place across various countries, 
such as the USA, Germany, Russia, and the United Kingdom, and as such the Board considers the business primarily from a 
geographic perspective. Although not all the segments meet the quantitative thresholds required by IFRS 8, management 
has concluded that all segments should be maintained and reported.

The reportable segments derive their revenue primarily from the manufacture and sale of medical diagnostic equipment 
and  reagents.  Other  services  include  the  servicing  and  distribution  of  third  party  company  products  under  separate 
distribution agreements. Transactions between segments consist of the sale of products for resale. The basis of accounting 
for these transactions is the same as for external revenue. Currently the key operating performance measures used by the 
CODM are Revenue and adjusted EBITDA.

Annual Report 2021 | EKF Diagnostics Holdings plc253

Notes to the Financial Statements 
for the year ended 31 December 2021

5. Segmental reporting continued

The segment information provided to the Board for the reportable segments for the year ended 31 December 2021 is as 
follows:

Germany
£’000

USA
£’000

Russia
£’000

UK
£’000

Total
£’000

2021

Income statement

Revenue

Inter-segment

External revenue

Adjusted EBITDA*

Exceptional items (Note 7)

Share-based payments (Note 30)

EBITDA

Depreciation

Amortisation

Operating profit

Finance income

Finance cost 

Income tax

Profit for the year

Segment assets

Operating assets

Inter-segment assets

External operating assets

Cash

Total assets

Segment liabilities

Operating liabilities

Inter-segment liabilities

External operating liabilities

Borrowings

Total liabilities

Other segmental information

Non-current assets – PPE

Non-current assets – Intangibles

PPE – additions

Intangible assets – additions

39,665

(5,494)

34,171

11,480

 (452)

 -

11,028

 (752)

 (1,525)

38,974

(2,918)

36,056

 12,735

- 

 -

 12,735

 (938)

 (1,383)

 8,751

 10,414

- 

 (31)

 7

 (37)

 (2,806)

 (2,402)

5,914

 7,982

 29,672 

 59,803 

 (1,441)

 28,231

 8,384

 36,615

 6,387

 (608)

 5,779

 303

6,082

 5,628

 15,429

693

694

 (16,712)

 43,091

 5,734

48,825

 24,796

 (17,703)

 7,093

 393

 7,486

8,291

16,911

3,366

8,171

3,286

- 

 8,514

(191)

 3,286

 8,323 

 90,439

(8,603)

 81,836

 26,489

 (95)

 1,238

 27,632

 (2,041)

(3,844)

 1,293

357

 1,238 

 2,888

 (294)

(936)

 1,658

 21,747

 - 

(289)

124

 1,493

45

 (357)

 (5,277)

16,158

 29,860 

 119,766 

 (6,835)

 (24,988)

 23,025

 4,879

 27,904

 94,778

 20,341

 115,119

 13,319

 44,669

 (6,677)

 (24,988)

 6,642

 -

 19,681

 696

 6,642

 20,377

 1,992

 9,478

1,610

    521

 15,991

41,894

5,686

9,386

981

 - 

- 

 981

 (57)

- 

 924

 38

 - 

 (193)

 769

 431 

 - 

 431

 1,344

 1,775

 167

 -

 167

 -

 167

 80

 76

17

   -

* Adjusted EBITDA excludes exceptional items and share-based payments. The UK includes head office costs.

Annual Report 2021 | EKF Diagnostics Holdings plc25454

Notes to the Financial Statements
for the year ended 31 December 2021

5. Segmental reporting (continued)

2020

Income statement

Revenue

Inter-segment

External revenue

Germany
£’000

USA
£’000

Russia
£’000

UK^
£’000

Total
£’000

25,637 

 (5,351)

20,286 

39,459 

 (1,767)

37,692 

2,904 

 - 

2,904 

4,432 

 (54)

4,378 

72,432 

 (7,172)

65,260 

Adjusted EBITDA*

7,343 

20,094 

833 

 (2,754)

25,516 

Exceptional items (Note 7)

                  877 

                      - 

Share-based payments (Note 31)

                      - 

                      - 

EBITDA

Depreciation

Amortisation

Operating profit/(loss)

Finance income

Finance cost

Income tax

Profit for the year

Segment assets

Operating assets

Inter-segment assets

External operating assets

Cash

Total assets

Segment liabilities

Operating liabilities

Inter-segment liabilities

External operating liabilities

Borrowings

Total liabilities

Other segmental information

Non-current assets – PPE

Non-current assets – Intangibles

PPE – additions

Intangible assets – additions

 8,220 

20,094 

   (787)

(1,646)

 (511)

 (1,120)

5,787 

  2 

  (26)

(820)

18,463 

13 

  - 

 (3,497)

4,943 

14,979 

39,961 

  (112)

   39,849 

3,130 

  42,979 

36,899 

 (11,427)

25,472 

7,459 

32,931 

7,135 

17,836 

(1,332) 

(14,915) 

5,803 

508 

  6,311 

5,912 

24,039 

779

  679 

2,921 

- 

2,921 

4,632 

10,979 

575

335 

- 

- 

833 

 (24)

 (1)

808 

39 

- 

 (171)

676 

355 

- 

355 

1,257 

1,612 

158 

- 

158 

- 

158 

93 

77 

54

- 

                  405 

                1,282 

 (5,292)

(5,292)

 (7,641)

  21,506 

 (522)

 (1,844)

-                (2,767)

 (8,163)

16,895 

(1)

 (1,566)

 517

53 

 (1,592)

 (3,971)

 (9,213)

  11,385 

30,529 

107,744 

 (16,853)

 (28,392)

13,676 

            79,352 

10,067 

              21,913 

23,743 

101,265 

25,820 

50,949 

(12,145) 

(28,392) 

13,675 

22,557 

 - 

508 

13,675 

23,065 

3,002 

1,956 

741

- 

13,639 

37,051 

2,149

1,014

* Adjusted EBITDA excludes exceptional items and share-based payments.

^  The UK segment was presented as “Other” in the 2020 financial information. There have been no changes to the numbers 

presented.

The UK includes head office costs.

Annual Report 2021 | EKF Diagnostics Holdings plc2Notes to the Financial Statements 
for the year ended 31 December 2021

5. Segmental reporting (continued)

Disclosure of Group revenues by geographic location of customer is as follows:

Americas

United States of America

Rest of Americas

Europe, Middle East and Africa (EMEA)

Germany

United Kingdom

Ireland

Rest of Europe

Russia

Middle East

Africa

Asia and Rest of World

China

Rest of Asia and Oceania

Total revenue

55

2020
£’000

33,474

2,391

5,873

4,522

5,408

3,127

2,904

1,261

2,553

767

2,980

65,260

2021
£’000

31,522

3,248

7,942

8,848

14,292

4,616

3,286

1,464

2,323

985

3,310

81,836

Revenues of £14,225,000 (17.4%) were derived from one external customer.  Sales to this customer all relate to Europe. In 
2020 revenues of £16,960,000 (26.0%) were derived from a different customer, all of whose revenues relate to the USA.

6. Expenses – analysis by nature

Inventories consumed in cost of sales

Employee benefit expense (note 10)

Employee costs capitalised as intangible assets

Depreciation and amortisation

Exceptional items (note 7)

Research and development expenses

Foreign exchange

Other expenses

Total cost of sales and administrative expenses

Included within the above expenses are exceptional items as set out in note 7.

2021
£’000

18,364

17,941

(419)

5,885

95

1,378

61

16,874

60,179

2020
£’000

12,502

23,744

(441)

4,611

(1,282)

1,440

(26)

7,950

48,498

Annual Report 2021 | EKF Diagnostics Holdings plc25656

Notes to the Financial Statements
for the year ended 31 December 2021

7. Exceptional items

Included within administrative expenses are exceptional items as shown below:

– Warranty claim

‘ – Settlement of warranty claim and deferred consideration

– Business reorganisation costs

‘- Acquisition costs

– Cost of Trellus set-up

Exceptional items

Note

a

a

b

c

d

2021
£’000

285

(179)

(37)

(164)

-

(95)

2020
£’000

1,414

-

(58)

-

(74)

1,282

a.   Change in the value of an estimated warranty claim which offsets the deferred consideration of £3.2m (2020: 

£2.9m) relating to a share-based payment to the former owner of EKF-Diagnostic GmbH. The dispute has now 
been settled resulting in a payment in cash to the former owner of £179,000. The remaining warranty claim and 
deferred consideration have both been written down and there is no further liability.

b.   Restructuring costs, mainly closure costs, associated in 2020 with the closure of EKF’s Polish facility and other 

restructuring activities, and in 2021 with EKF Ireland.

c.  Professional fees relating to the acquisition of Advanced Diagnostic Laboratory LLC
d.  Start-up costs in 2020 associated with the set-up of Trellus Health plc.

8. Auditor remuneration

During  the  year  the  Group  (including  its  overseas  subsidiaries)  obtained  the  following  services  from  the  Company’s 
auditors and their associates:

Fees payable to Company’s auditor and its associates for the audit of the parent Company and 
consolidated financial statements

Fees payable to the Company’s auditor and its associates for other services:

– The audit of Company’s subsidiaries

9. Directors’ emoluments

Aggregate emoluments

Share-based payments

Contribution to defined contribution pension scheme

2021
£’000

46

123

169

2021
£’000

5,819

(1,022)

19

4,816

2020
£’000

44

90

134

2020
£’000

1,193

4,998

21

6,212

Retirement  benefits  are  accruing  to  2  (2020:  2)  current  directors  under  a  defined  contribution  scheme.  See  further 
disclosures  within  the  Remuneration  Report  on  page  31.  The  highest  paid  director  received  aggregate  emoluments, 
including the effect of the share-based payments charge, of £2,137,000 (2020: £3,055,000).

Annual Report 2021 | EKF Diagnostics Holdings plc257

Notes to the Financial Statements 
for the year ended 31 December 2021

10. Employee benefit expense

Wages and salaries

Social security costs

Share-based payments granted to Directors and senior 
management (Note 31)

Other pension costs (Note 33)

Group
2021
£’000

15,944

2,535

(1,238)

281

17,522

Group
2020
£’000

15,971

2,219

5,292

262

23,744

Company
2021
£’000

Company
2020
£’000

3,275

365

(1,238)

101

2,503

2,705

277

568

71

3,621

Employee costs of £0.4m (2020: £0.4m) have been capitalised as part of development costs in the Group.

11. Monthly average number of people employed

Monthly average number of people (including Executive Directors) 
employed was:

Administration

Research and development and regulatory

Sales and marketing

Manufacturing, production and after sales

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

54

32

59

230

375

53

22

56

173

304

9

13

8

9

39

9

10

9

1

29

The total number of employees (FTEs) in the Group at 31 December 2021 was 386 (2020: 310), and in the Company was 41 
(2020: 20). In addition the average number of agency workers who were mainly utilised in manufacturing was 88 (2020: 
34) in the Group and 32 (2020:17)  in the Company. The cost of these workers was £3,303,000 (2020: £880,000) in the 
Group and £919,000 (2020: £644,000) in the Company.

12. Finance income and costs

Finance costs:

– Bank borrowings

– Other interest

– IFRS 16 interest

– Financial liabilities at fair value through profit or loss 

Finance costs

Finance income

– Other interest

Finance income

Net finance costs

2021
£’000

2020
£’000

(35)

(1)

(32)

(289)

(357)

45

45

312

(17)

(30)

(29)

(1,516)

(1,592)

53

53

(1,539)

Annual Report 2021 | EKF Diagnostics Holdings plc25858

Notes to the Financial Statements 
for the year ended 31 December 2021

13. Income tax charge

Group

Current tax:

Current tax on profit for the year

Adjustments for prior periods

Total current tax

Deferred tax (note 29):

Origination and reversal of temporary differences

Total deferred tax

Income tax charge

2021
£’000

5,096

96

5,192

85

85

5,277

2020
£’000

3,913

89

4,002

(31)

(31)

3,971

A change to the main UK corporation tax rate was included in the Finance Bill 2021, which had its third reading on 24 May 
2021, and is now considered substantively enacted. The rate applicable from 1 April 2020 to 31 March 2023 remains at 
19% but the rate from 1 April 2023 will increase to 25%. Deferred taxes at the reporting date have been measured using 
these enacted tax rates and reflected in these financial statements.

The tax on the Group’s profit before tax differs from the theoretical amount that would arise using the standard tax rate 
applicable to the profits of the consolidated entities as follows:

Profit before tax

Tax calculated at domestic tax rates applicable to UK standard rate of tax of 19% (2020: 19%)

Tax effects of:

– Expenses not deductible for tax purposes

– Remeasurement of deferred tax – change in future tax rate

– Income not subject to tax

- Effect of share based payments

– Utilisation of losses

– Adjustment in respect of prior years

– Impact of different tax rates in other jurisdictions

– Other movements

Tax charge

2021
£’000

21,435

4,072

552

630

(91)

(1,186)

(21)

96

1,024

201

5,277

2020
£’000

15,356

2,918

572

277

(35)

-

(725)

(89)

1,073

(20)

3,971

In the Group and the Company, Changes in fair value of equity at fair value through comprehensive income  are shown 
net of corporation tax of £1,502,000 (2020: £1,072,000).

Annual Report 2021 | EKF Diagnostics Holdings plc259

Notes to the Financial Statements 
for the year ended 31 December 2021

14. Earnings per share

(a) Basic

Basic earnings per share is calculated by dividing the profit attributable to owners of the parent by the weighted average 
number of Ordinary Shares in issue during the year.

Profit attributable to owners of the parent

Weighted average number of Ordinary Shares in issue

Basic profit per share

(b) Diluted

2021
£’000

15,851

2020
£’000

11,114

457,001,067

454,524,101

3.47 pence

2.45 pence

Diluted  earnings  per  share  is  calculated  by  adjusting  the  weighted  average  number  of  Ordinary  Shares  outstanding 
assuming conversion of all dilutive potential Ordinary Shares. The Company has one category of dilutive potential ordinary 
shares being share options.

Profit attributable to owners of the parent

2021
£’000

15,851

2020
£’000

11,114

Weighted average number of Ordinary Shares including potentially dilutive shares

460,957,067

458,803,076

Diluted profit per share

3.44 pence

2.42 pence

Weighted average number of Ordinary Shares in issue

Adjustment for:

– Assumed conversion of share awards

– Assumed payment of equity deferred consideration

2021

2020

457,001,067

454,524,101

12,640

235,035

3,944,226

4,043,940

Weighted average number of Ordinary Shares including potentially dilutive shares

460,957,933

458,803,076

15. Dividends

In  December  2021,  the  Company  paid  a  final  dividend  for  2020  of  1.1p  (2020:  1.0p)  per  ordinary  share,  at  a  total  value 
of £5,103,000 (2020: £4,550,000). Subject to continuing strong performance and the needs of the business, the Board 
intends to follow a progressive dividend policy. The Directors propose, subject to approval at the Company’s next Annual 
General  Meeting,  the  payment  of  a  final  dividend  for  2021  of  1.2p  per  EKF  Ordinary  share  held  on  3  November  2022. 
Payment will be made on 1 December 2022. The expected total value is £5,567,000. In addition the Board has noted that 
it intends to distribute the enlarged holding of Verici Dx to underlying shareholders as soon as reasonably practicable and 
subject to appropriate arrangements to maintain an orderly market in Verici’s shares following such distribution.

Annual Report 2021 | EKF Diagnostics Holdings plc26060

Notes to the Financial Statements 
for the year ended 31 December 2021

16. Property, plant and equipment

At 31 December 2020

10,210

Group

Cost

At 1 January 2020

Additions

Exchange differences

Transfers

Disposals

Accumulated depreciation

At 1 January 2020

Charge for the year

Exchange differences

Transfers

Disposals

At 31 December 2020

Net book value at 31 December 2020

Cost

At 1 January 2021

Acquired with subsidiary (Note 20)

Additions

Exchange differences

Transfers

Disposals

At 31 December 2021

Accumulated depreciation

At 1 January 2021

Charge for the year

Exchange differences

Transfers

Disposals

At 31 December 2021

Net book value at 31 December 2021

Land and 
buildings
£’000

Fixtures & 
fittings
£’000

Plant and 
machinery
£’000

Motor
vehicles
£’000

Assets under 
construction 
£’000

Right-of-use 
asset 
£’000

Total
£’000

9,760

1,552

10,275

63

85

302

-

122

26

(285)

(26)

1,389

1,814

1,166

302

(4)

188

-

2,300

7,910

128

22

(188)

(26)

1,102

287

340

412

928

(146)

11,809

7,117

902

300

-

(105)

8,214

3,595

10,210

1,389

11,809

4

480

(195)

219

(7)

10,711

2,300

328

(26)

-

(7)

2,595

8,116

-

643

(48)

130

(102)

2,012

1,102

290

(42)

-

(101)

1,249

763

818

740

(271)

339

(247)

13,188

8,214

786

(137)

-

(238)

8,625

4,563

178

54

(30)

-

(1)

201

103

23

(18)

-

-

108

93

201

-

17

(2)

-

(56)

160

108

24

(2)

-

(49)

81

79

614

1,052

18

(945)

(4)

735

-

-

-

-

-

-

1,341

23,720

518

(14)

-

2,149

497

-

(245)

(422)

1,600

25,944

339

489

(2)

-

10,539

1,844

298

-

(245)

(376)

581

12,305

735

1,019

13,639

735

-

2,455

(19)

(688)

(13)

1,600

25,944

111

1,351

12

-

933

5,686

(523)

-

(64)

(489)

2,470

3,010

31,551

-

-

-

-

-

-

581

613

5

-

12,305

2,041

(202)

-

(64)

(459)

1,135

13,685

2,470

1,875

17,866

Depreciation expense of £855,000 (2020: £918,000) has been charged to cost of sales and £1,186,000 (2020: £926,000) 
has been charged to administrative expenses.

Annual Report 2021 | EKF Diagnostics Holdings plc261

Notes to the Financial Statements 
for the year ended 31 December 2021

16. Property, plant and equipment (continued)

Company

Cost

At 1 January 2020

Additions

Disposals

At 31 December 2020

Accumulated depreciation

At 1 January 2020

Charge for the year

Disposals

At 31 December 2020

Land and 
buildings
£’000

Fixtures & 
fittings
£’000

Assets under 
construction
£’000

Right-of-
use asset 
£’000

Total
£’000

1,673

-

-

216

92

-

1,673

308

323

40

-

363

149

40

-

189

-

130

-

130

-

-

-

346

213

(152)

407

76

155

(152)

79

2,235

435

(152)

2,518

548

235

(152)

631

Net book value at 31 December 2020

1,310

119

130

328

1,887

Cost

At 1 January 2021

Additions

Transfers

At 31 December 2021

Accumulated depreciation

At 1 January 2021

Charge for the year

At 31 December 2021

1,673

-

-

1,673

363

39

402

308

258

130

696

189

169

358

Net book value at 31 December 2021

1,271

338

130

-

(130)

-

-

-

-

-

407

156

-

563

79

117

196

2,518

414

-

2,932

631

325

956

367

1,976

The Company’s freehold property is in Germany and occupied by its subsidiary undertaking, EKF- diagnostic GmbH. EKF- 
diagnostic GmbH is paying rental income of €13,900 (£12,400) per month to the parent Company. €167,000 (£140,336) 
(2020:  €167,000  (£149,330))  was  paid  to  the  parent  Company  for  the  year.  The  Company  adopts  the  cost  model  and 
shows  the  investment  property  at  cost  less  accumulated  depreciation  and  any  accumulated  impairment  losses.  As  the 
property is occupied by a subsidiary, it does not meet the definition of an investment property for the Group.

Annual Report 2021 | EKF Diagnostics Holdings plc26262

Notes to the Financial Statements 
for the year ended 31 December 2021

17. Leases

(i) Amounts recognised in the statement of financial position

The balance sheet shows the following amounts relating to leases:

Right-of-use assets

Properties

Equipment

Motor vehicles

Total right-of-use

Lease liabilities

Current

Non-current

Total lease liabilities

Group
2021
£’000

1,531

248

96

1,875

838

1,095

1,933

Group
 2020
£’000

859

65

95

1,019

380

690

1,070

Company
2021
£’000

Company
 2020
£’000

362

5

-

367

184

207

391

321

7

-

328

158

221

379

Additions to the right-of-use assets during the 2021 financial year were £1,351,000 (2020: £518,000) for the Group and 
£156,000 (2020: £213,000) for the Company.

(ii) Amounts recognised in the statement of Comprehensive income

The statement of profit or loss shows the following amounts relating to leases:

:

Depreciation charge right-of-use 
assets

Properties

Equipment

Motor vehicles

Total right-of-use

Interest expense (included in 
finance cost)

Group
2021
£’000

481

65

67

613

32

Group
 2020
£’000

371

60

58

489

29

Company
2021
£’000

Company
 2020
£’000

114

3

-

117

7

154

1

-

155

7

The total cash outflow for leases in 2021 was £643,000 (2020: £469,000) for the Group and £107,000 (2020: £109,000) 
for the Company

(iii) The group’s leasing activities and how these are accounted for

The group leases various offices, factories, equipment and vehicles. Rental contracts for offices and factories are typically 
made for fixed periods of between 1 and 5 years, and those for machinery and vehicles for 3 years, but may have extension 
options as described below.

Lease  payments  to  be  made  under  reasonably  certain  extension  options  are  also  included  in  the  measurement  of  the 
liability.

The lease payments are discounted using the interest rate implicit in the lease. If that rate cannot be readily determined, 
which is generally the case for leases in the group, the lessee’s incremental borrowing rate is used, being the rate that the 
individual lessee would have to pay to borrow the funds necessary to obtain an asset of similar value to the right-of-use 
asset in a similar economic environment with similar terms, security and conditions.

To  determine  the  incremental  borrowing  rate,  the  Group  uses  recent  third-party  financing  received,  adjusted  where 
appropriate to reflect changes in financing conditions since third party financing was received.

Leases are recognised as a right-of-use asset and a corresponding lease liability at the date on which the leased asset is 
available for use by the Group.

Annual Report 2021 | EKF Diagnostics Holdings plc263

Notes to the Financial Statements 
for the year ended 31 December 2021

Assets and liabilities arising from a lease are initially measured on a present value basis. Lease liabilities include the net 
present value of the following lease payments:

•  fixed payments (including in-substance fixed payments), less any lease incentives receivable

• 

 variable lease payment that are based on an index or a rate, initially measured using the index or rate as at the 
commencement date

•  amounts expected to be payable by the group under residual value guarantees

•  the exercise price of a purchase option if the group is reasonably certain to exercise that option, and

•  payments of penalties for terminating the lease, if the lease term reflects the group exercising that option.

Lease  payments  to  be  made  under  reasonably  certain  extension  options  are  also  included  in  the  measurement  of  the 
liability.

Where the Group is exposed to potential future increases in variable lease payments based on an index or rate, amounts 
are not included in the lease liability until they take effect. When adjustments to lease payments based on an index or rate 
take effect, the lease liability is reassessed and adjusted against the right-of-use asset.

Lease payments are allocated between principal and finance cost. The finance cost is charged to the income statement 
over the lease period so as to produce a constant periodic rate of interest on the remaining balance of the liability for each 
period.

Right-of-use assets are measured at cost comprising the following:

•  the amount of the initial measurement of lease liability

•  any lease payments made at or before the commencement date less any lease incentives received

•  any initial direct costs

•  restoration costs

Right-of-use assets are generally depreciated over the shorter of the asset’s useful life and the lease term on a straight 
line basis. If the Group is reasonably certain to exercise a purchase option, the right-of-use asset is depreciated over the 
underlying asset’s useful life.

Annual Report 2021 | EKF Diagnostics Holdings plc26464

Notes to the Financial Statements
for the year ended 31 December 2021

18. Intangible assets

Trademarks, 
trade name 
and
licences
£’000

Goodwill
£’000

Customer 
relationships
£’000

Trade 
secrets
£’000

Development
costs
£’000

Software & 
website
£’000

Total
£’000

Group

Cost

At 1 January 2020

26,371

2,799

15,580

18,436

9,060

Additions

Disposals

Exchange differences

At 31 December 2020

Accumulated amortisation and impairment

At 1 January 2020

Disposals

Exchange differences

Charge for the year

At 31 December 2020

-

-

632

146

-

372

-

-

-

-

586

(5,482)

(39)

620

289

299

282

-

12

72,545

1,014

(5,482)

1,886

27,003

3,317

15,541

19,056

4,453

593

69,963

2,550

2,389

10,358

13,141

6,340

-

55

-

-

201

357

-

(47)

1,245

-

401

919

(5,474)

231

246

2,605

2,947

11,556

14,461

1,343

-

-

-

-

-

34,778

(5,474)

841

2,767

32,912

Net book value at 31 December 2020

24,398

370

3,985

4,595

3,110

593

37,051

Cost

At 1 January 2021

Acquisition of subsidiary

Additions

Transfer

Disposals

Exchange differences

At 31 December 2021

27,003

3,755

-

-

(1,407)

(793)

3,317

467

104

152

(19)

263

15,541

1,166

-

-

(749)

(252)

28,558

4,284

15,706

Accumulated amortisation and impairment

At 1 January 2021

Disposals

Exchange differences

Charge for the year

At 31 December 2021

2,605

(1,407)

(21)

-

1,177

2,947

(19)

(144)

237

3,021

11,556

(749)

(203)

1,221

19,056

4,453

593

69,963

-

2,684

-

-

-

(1,073)

(655)

17,328

14,461

(1,073)

(454)

1,730

1,137

(152)

(288)

(127)

1,343

(288)

(24)

548

8,072

1,314

-

(3,536)

73

-

-

20

(1,544)

-

-

1

108

109

32,912

(3,536)

(845)

3,844

32,375

5,023

3,370

74,269

11,825

14,664

1,579

Net book value at 31 December 2021

27,381

1,263

3,881

2,664

3,444

3,261

41,894

Amortisation charge of £55,000 (2020: £20,000) has been charged to cost of sales and £3,789,000 (2020: £2,747,000) 
has been charged to administrative expenses in the income statement (net of the profit on the sale of intangible assets).

Annual Report 2021 | EKF Diagnostics Holdings plc2Notes to the Financial Statements 
for the year ended 31 December 2021

Company

Cost

At 1 January 2020

Disposals

At 31 December 2020

Accumulated amortisation

At 1 January 2020

Disposals

At 31 December 2020

Net book value at 31 December 2020

Cost

At 1 January 2021

Additions

At 31 December 2021

Accumulated amortisation

At 1 January 2021

Charge for the year

At 31 December 2021

Net book value at 31 December 2021

65

Development
costs
£’000

1,470

(1,342)

128

1,341

(1,341)

-

128

128

521

649

-

51

51

598

Goodwill is allocated to the Group’s cash–generating units (CGU’s) identified according to geographic operating segment. 
An operating segment-level summary of the goodwill allocation is presented below.

Germany

DiaSpect

Russia

Stanbio

STI

ADL

Total

2021
£’000

7,394

9,434

77

5,648

1,026

3,802

27,381

2020
£’000

7,655

10,050

77

5,599

1,017

-

24,398

Germany includes EKF-Diagnostic, and Senslab.

Goodwill is tested for impairment at the balance sheet date. The recoverable amount of goodwill at 31 December 2021 
was assessed on the basis of value in use. The assessed value exceeded the carrying value and no impairment loss was 
recognised.

The key assumptions in the calculation to assess value in use are future revenues and the ability to generate future cash flows. 
The most recent financial results and forecasts for the next year were used and forecasts for a further four years, followed 
by an extrapolation of expected cash flows at a constant growth rate for each unit and the calculation of a terminal value 
based upon the longer term growth rates set out below. The projected results were discounted at a rate which is a prudent 
evaluation of the pre-tax rate that reflects current market assessments of the time value of money and the risks specific to 
the cash-generating units. The discount rates applied reflect a risk-adjusted weighted average cost of capital.

Annual Report 2021 | EKF Diagnostics Holdings plc26666

Notes to the Financial Statements 
for the year ended 31 December 2021

The key assumptions used in 2021 for the value in use calculations of cash generating units with significant goodwill 
are as follows:

Longer-term growth rate

Discount rate

ADL
%

3

10

EKF
Germany
%

3

10

DiaSpect
%

Stanbio
%

3

10

3

10

STI
%

3

10

The discount rate used is based on a common risk profile across the Group.

The  impairment  assessments  for  all  units  showed  assessed  values  that  exceeded  the  carrying  values  with  significant 
headroom. Sensitivity analysis has been carried out on the assessments for each unit. In the cases of EKF Germany, Russia, 
Stanbio and STI, the assessment was recalculated using both a longer term growth rate of 0% and a discount rate of 15%. 
No impairment was required using those assumptions.

For DiaSpect, the impairment assessment has been carried out over a 5 year period with a terminal value based on the 
long-term growth rate. The Directors estimate that growth rates in the 5 year period for the DiaSpect products will be high 
because they are relatively new products that will bring market benefits, which have recently received approval for sale to 
blood banks in the USA. In Year 1 a growth rate of 0% has been used, reflecting the impact of the COVID pandemic on its 
product sales, followed by 5% in year 2 - 4, marking a return to pre-COVID levels of sales plus the anticipated growth from 
partners and from entering the US blood bank market. The forecast growth rates then fall to 3% thereafter. The Directors 
believe the product will be sold at a margin equivalent to other products sold by the Group. A 7.2% increase in the discount 
rate or a reduction in forecast revenue growth rates in year 2-5 to (3.5)% would result in an impairment.

The remaining average useful lives of the intangibles are as follows:

Trade name

Customer relations

Trade secrets

Website and software

Development costs

1–10 years

2–10 years

1–10 years

6–10 years

3-10 years

During the year, EKF Diagnostics Limited, the Group’s entity in Ireland, was put into shareholder’s voluntary liquidation, 
completing the closure of the Group’s former Irish operations. As a result Intangible assets with a gross value of £2,284,000 
and a net value of £nil have been written off. Following the liquidation of the Group’s business in Poland, Intangible assets 
with a gross value of £964,000 and a net value of £nil have been written off.

On September 27 2021 the Group acquired Advanced Diagnostic Laboratory LLC (ADL), a Texas based testing laboratory, 
for an initial consideration of $10m, payable largely through the issuance of the Company’s Ordinary shares. In addition the 
Group agreed to pay an amount in cash representing the balance of net working capital in ADL at completion, as well as 
further performance-based consideration payable over the following three years from completion. Further details of this 
acquisition are given in Note 20.

On acquisition the Group identified the following Intangible Assets:

Trade name

Customer relationships

Website and software

Goodwill

Total

£’000

467

1,166

2,684

3,755

8,072

The useful life of these assets has been estimated at 10 years in each case. An Impairment review has been carried 
out a 5 year period with a terminal value based on the long term growth rate. The Directors estimate a growth rate of 
3%. The Directors believe that the business will continue to achieve a margin similar to that it made before acquisition. 
Using a growth rate of 1% or an increased discount rate of 13% would result in an impairment.

Annual Report 2021 | EKF Diagnostics Holdings plc2Notes to the Financial Statements 
for the year ended 31 December 2021

19. Investments in subsidiaries

Company Shares in Group undertakings

At 1 January

Acquisition of Advanced Diagnostic Laboratory LLC

At 31 December

67

2021
£’000

30,521

7,925

2020
£’000

30,521

-

38,446

30,521

Investments  in  Group  undertakings  are  recorded  at    cost,  which  is  the    fair  value  of    the  consideration    paid,    less  any 
impairment.

The subsidiaries of EKF Diagnostics Holdings plc as at 31 December 2021, which are held directly unless noted otherwise, 
are as follows:

Name of Company

Note

Proportion Held

Class of 
Shareholding

Nature of Business

EKF Diagnostics Limited (UK)*

Quotient Diagnostics Limited*

360 Genomics Limited*

EKF Molecular Diagnostics Limited*

DiaSpect Medical AB

DiaSpect Medical GmbH

EKF-diagnostic GmbH

Senslab GmbH

000 EKF Diagnostika

EKF Diagnostics Inc

Stanbio Laboratory LP

Separation Technology, Inc

1261 N Main LP

Stanlab Management LLC

1261 N Main Management LLC

EKF POC, LLC

Advanced Diagnostic Laboratory LLC

Argutus Intellectual Property Limited

EKF Diagnostics (Shanghai) Co. Ltd

Notes

1

1

1

1

2

3

3

3

4

5

5

5

5

5

5

5

6

7

8

100%

100%

100% (indirect)

100%

100%

Ordinary

Ordinary

Ordinary

Ordinary

Ordinary

100% (Indirect)

Ordinary

100%

Ordinary

100% (indirect)

Ordinary

Head Office

Sale of diagnostic equipment

Sale of diagnostic equipment

Manufacture and sale of
diagnostic equipment

Head office and IP licencing

Manufacture and sale of diagnostic 
equipment and consumables

Manufacture and sale of diagnostic 
equipment and consumables

Manufacture and sale of diagnostic 
equipment and consumables

60% (indirect)

100%

Ordinary

Ordinary

Sale of diagnostic equipment

Intermediate holding company

100% (indirect)

Partnership

100% (indirect)

Ordinary

100% (indirect)

Partnership

100% (indirect)

100% (indirect)

100% (indirect)

100%

100%

100%

Ordinary

Ordinary

Ordinary

Ordinary

Ordinary

Ordinary

Manufacture and sale of diagnostic 
equipment and consumables

Manufacture and sale of diagnostic 
equipment and consumables

Dormant

Dormant

Dormant

Dormant

Consumer and corporate testing

Dormant

Dormant

1.   Incorporated, registered and having its principal place of business in the United Kingdom, with its registered office being Avon 

House, 19 Stanwell Road, Penarth Vale of Glamorgan, CF64 2EZ.

2.   Incorporated in Sweden. The principal place of business is in Germany. The registered address is Lytta Gard, 75593 Uppsala, 

Sweden.

3.  Incorporated, registered, and having its principal place of business in Germany at Ebendorfer Chaussee 3, 39179 Barleben, Germany.
4.   Incorporated, registered, and having its principal place of business in Russia at 117648, Moscow, PO Box: 30, District Severnoe 

Chertanovo, House 2, building 207.

5.   Incorporated and registered, or formed, and having its principal place of business in the United States of America at 1261 North Main 

Street, Boerne, Texas, USA 78006.

6.   Incorporated and registered, or formed, and having its principal place of business in the United States of America at 1077 Central 

Parkway S,. Suite 200, San Antonio, Texas, USA 78232

7.   Incorporated and registered in Ireland c/o Mazars, Harcourt Centre, Block 3, Harcourt Road, Dublin 2. Its principal place of business 

is in the United Kingdom.

8.   Incorporated and registered in China, Suite 1202, Jin Hong Qiao International Center Building I, No. 523 Loushan-guan Road, 

Changning District, Shanghai, P.R.C.200051

Annual Report 2021 | EKF Diagnostics Holdings plc26868

Notes to the Financial Statements 
for the year ended 31 December 2021

In October 2021 the Group’s former company EKF Diagnostics Limited based in Ireland was liquidated.

All  subsidiaries  are  included  in  the  consolidation.  The  proportions  of  voting  shares  held  by  the  parent  Company  do  not  differ  from  the 
proportion of Ordinary Shares held.

*  All UK subsidiaries are exempt from the requirement to file audited financial statements by virtue of section 479A of the Companies Act 

2006. As part of this process, the Company has provided statutory guarantees to these subsidiaries.

20. Business combination

Acquisition of Advanced Diagnostic Laboratory LLC
On 27 September 2021 the Group acquired 100% of the membership interest in Advanced Diagnostic Laboratory LLC,. 
(ADL), a US company which provides PCR and other testing services.

The goodwill of £3,755,000 arising from the acquisition is attributable to the expected future benefits arising from the 
acquired business.

The following table summarises the provisional fair values of the consideration paid for ADL and the amounts of the 
assets acquired and liabilities assumed recognised at the acquisition date. Acquisition costs of £164,000  have been 
written off against income, and disclosed as an exceptional item.

Provisional fair values
£’000

Consideration

Equity instruments

Cash

Deferred contingent consideration

Recognised amounts of identifiable assets acquired and liabilities assumed

Trade name – included within intangibles

Customer relationships – included in intangibles

Website and software – included in intangibles

Plant, property and equipment

Cash

Inventories

Trade and other debtors

Borrowings

Trade and other payables

Deferred tax

Total identifiable net assets

Goodwill

7,264

29

632

7,925

467

1,166

2,684

933

113

269

154

(388)

(322)

(906)

4,170

3,755

The amount of deferred contingent consideration has been discounted to take account of the time value of money.

The revenue included in the consolidated statement of comprehensive income since 27 September contributed by 
ADL was £1.03m. ADL also contributed a profit of £0.05m after tax over the same period.

Had ADL been consolidated from 1 January 2021 the consolidated statement of income would show proforma revenue 
of £87.5m and a profit of £18.0m.

Annual Report 2021 | EKF Diagnostics Holdings plc269

Notes to the Financial Statements 
for the year ended 31 December 2021

21. Financial instruments by category

(a) Assets

31 December

Assets as per balance sheet

Financial assets at fair value through other comprehensive income

Trade and other receivables excluding prepayments
and corporation tax

Cash and cash equivalents

Total

(b) Liabilities

31 December

Liabilities as per balance sheet

Borrowings

Lease liabilities

Trade and other payables (excluding deferred grants and deferred 
income)

Deferred consideration

Total

Group
2021
£’000

7,789

11,005

20,341

39,135

Group
2021
£’000

696

1,933

7,379

635

10,643

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

6,608

12,312

21,913

40,833

7,789

2,983

4,879

15,651

6,608

7,987

10,045

24,640

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

508

1,070

-

391

-

328

13,051

4,690

12,097

2,901

17,530

635

5,716

2,901

15,326

Liabilities  in  the  analysis  above  are  all  categorised  as  ‘other  financial  liabilities  at  amortised  cost’  for  the  Group  and 
Company, with the exception of deferred contingent equity consideration totalling £237,000 (2020: £2,901,000) that is 
categorised as a financial liability at fair value through profit and loss (see note 28). Borrowings have been included at fair 
value which is not materially different to amortised cost.

(c) Credit quality of financial assets

The Group is exposed to credit risk from its operating activities (primarily for trade receivables and other receivables) and 
from  its  financing  activities,  including  deposits  with  banks  and  financial  institutions,  foreign  exchange  transactions  and 
other financial instruments.

The Group’s maximum exposure to credit risk, due to the failure of counterparties to perform their obligations as at 31 
December 2021 and 31 December 2020, in relation to each class of recognised financial assets, is the carrying amount of 
those assets as indicated in the accompanying balance sheets.

Trade receivables

The  credit  quality  of  trade  receivables  that  are  neither  past  due  nor  impaired  have  been  assessed  based  on  historical 
information about the counterparty default rate. The Group does not hold any other receivable balances with customers, 
whose past default has resulted in the recovery of the receivables balances.

Cash at bank

The credit quality of cash has been assessed by reference to external credit ratings, based on reputable credit agencies’ 
long-term issuer ratings:

A+

AA-

A

A-

Ratings lower than AA- or unrated

Total

2021
£’000

4,879

572

73

5,544

9,273

20,341

2020
£’000

10,045

596

-

-

11,272

21,913

Annual Report 2021 | EKF Diagnostics Holdings plc27070

Notes to the Financial Statements 
for the year ended 31 December 2021

22. Investments

Group and Company

1 January

Change in fair value through other comprehensive income

Disposal

31 December

2021
£’000

6,608

1,181

-

7,789

2020
£’000

9,900

4,348

(7,640)

6,608

The investments consist of a 0.66% holding in Epinex Diagnostics Inc., a US based privately held company operating in the 
medical diagnostics industry; a 19.90% holding in DX Economix, Inc., a Canadian based privately held company operating in 
the healthcare consultancy industry, the value of which has been 100% impaired. The Group held a 1.39% holding (2020 1.39%) 
in Renalytix plc, an AIM listed developer of artificial intelligence enabled diagnostics for kidney disease, with a fair value at 31 
December 2021 of £6.22m and a 1.89% (2020 : 1.89%) holding in Verici Dx plc, an AIM listed developer of advanced clinical 
diagnostics for organ transplant, with a fair value at 31 December of £1.42m. In each case the fair value is calculated using the 
quoted mid price. 

These equity securities are not held for trading. They are held as financial assets at fair value through other comprehensive income.

23. Trade and other receivables

Non-current

Amounts owed by subsidiary undertakings

-

-

1,860

6,670

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

Current

Trade receivables

Less: provision for impairment of trade receivables

Trade receivables – net

Prepayments

Other receivables

11,010

(148)

10,862

2,302

812

13,976

9,181

(87)

9,094

870

3,589

13,553

1,085

-

1,085

292

40

1,417

1,231

-

1,231

158

87

1,476

Trade receivables are amounts due from customers for goods sold or services performed in the ordinary course of business. 
Other than to certain corporate customers who are granted 60 day terms, they are generally due for settlement within 30 
days and are therefore all classified as current. Trade receivables are recognised initially at the amount of consideration that 
is unconditional. The group holds the trade receivables with the objective of collecting the contractual cash flows.

Due to the short-term nature of the current receivables, their carrying amount is considered to be the same as their fair value.

As of 31 December 2021,in the Group  trade receivables of £2,208,000 (2020: £2,062,000) were past due but not covered 
by a loss allowance. In the Company, £678,000 (2020: £395,000) were past due but not covered by a loss allowance. These 
relate to a number of independent customers for whom there is no recent history of default. The ageing analysis of these 
trade receivables is as follows:

Up to 3 months

3 to 6 months

Over 6 months

Group
2021
£’000

1,835

179

194

Group
2020
£’000

2,000

8

54

2,208

2,062

Company
2021
£’000

Company
2020
£’000

595

-

83

678

394

1

-

395

As of 31 December 2021, trade receivables of £148,000 (2020: £87,000) were subject to a loss allowance. The Company does 
not hold a loss allowance. The ageing of these receivables is as follows:

Up to 3 months

3 to 6 months

Over 6 months

Total

Group
2021
£’000

71

57

20

148

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

34

39

14

87

-

-

-

-

-

-

-

-

Annual Report 2021 | EKF Diagnostics Holdings plc271

Notes to the Financial Statements 
for the year ended 31 December 2021

Movements on the provision for impairment of trade receivables are as follows:

At 1 January

Provision for receivables impairment

Acquired with subsidiaries

Unused amounts reversed

Exchange differences

At 31 December

Group
2021
£’000

87

81

8

(26)

(2)

148

Group
2020
£’000

181

24

-

(118)

-

87

Company
2021
£’000

Company
2020
£’000

-

-

-

-

-

-

-

-

-

-

-

-

The other classes within trade and other receivables do not contain impaired assets.

The carrying amounts of the Group’s trade and other receivables denominated in foreign currencies were as follows:

UK Sterling

Euros

US dollar

Russian rouble

24. Inventories

Raw materials

Work in progress

Finished goods

Group
2021
£’000

1,417

3,890

8,615

54

13,976

Group
2021
£’000

9,117

1,431

2,690

13,238

Group
2020
£’000

1,476

6,340

5,702

35

13,553

Group
2020
£’000

5,854

931

1,702

8,487

Company
2021
£’000

Company
2020
£’000

1,417

52

1,808

-

3,277

1,477

2,083

4,586

-

8,146

Company
2021
£’000

Company
2020
£’000

442

25

8

475

513

–

118

631

The  Directors  are  of  the  opinion  that  the  replacement  values  of  inventories  are  not  materially  different  to  the  carrying 
values stated above. The carrying values above are stated net of impairment provisions of £3,455,000 (2020: £2,810,000). 
The Company does not hold any impairment provisions.

The cost of inventories recognised as expense and included in ‘cost of sales’ amounted to £18,364,000 (2020: £12,502,000), 
and in the Company £2,331,000 (2020: £1,359,000).

25. Cash and cash equivalents

Cash at bank and in hand

Cash and cash equivalents (excluding bank overdrafts)

Group
2021
£’000

20,341

20,341

Group
2020
£’000

21,913

21,913

Company
2021
£’000

4,879

4,879

Company
2020
£’000

10,045

10,045

The Directors consider that the carrying amount of cash and cash equivalents approximates to their fair value. Net cash 
of £19,645,000 (2020: £21,405,000) is presented as gross cash of £20,341,000 (2020: £21,913,000) net of borrowings of 
£696,000 (2020: £508,000) detailed in Note 27. This excludes lease liabilities as shown in Note 17.

Annual Report 2021 | EKF Diagnostics Holdings plc27272

Notes to the Financial Statements 
for the year ended 31 December 2021

26 Trade and other payables

Trade payables

Amounts due to subsidiary undertakings

Social security

Other payables

Accrued expenses and deferred income

Group
2021
£’000

4,435

-

168

840

3,635

9,078

Group
2020
£’000

2,408

-

148

6,733

5,146

14,435

Company
2021
£’000

Company
2020
£’000

206

3,532

89

505

448

4,780

189

3,766

64

6,535

1,608

12,162

Other payables consists mainly of VAT liabilities and an accrual relating to the cash settled share-based incentive scheme. 
The carrying amounts of trade and other payables are considered to be the same as their fair values due to their short-term 
nature. Trade payables are unsecured and are usually paid within 30 days of recognition. Amounts due by the Company 
to its subsidiaries are interest free and repayable on demand.

27. Borrowings

Non-current

Bank borrowings

Current

Bank borrowings

The maturity profile of borrowings was as follows:

Amounts falling due

Within 1 year

Between 1 and 2 years

Between 2 and 5 years

More than 5 years

Total borrowings

Bank borrowings

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

431

431

265

265

323

323

185

185

-

-

-

-

-

–

-

-

Group
2021
£’000

Group
2020
£’000

Company
2021
£’000

Company
2020
£’000

265

208

223

-

696

185

185

138

-

508

-

-

-

-

-

-

-

-

-

-

Bank borrowings mature between 2022 and 2026 and bear an average fixed coupon of 3.76% annually (2020: 2.5%).

Bank  borrowings  are  secured  against  certain  assets  of  the  Group.  The  Parent  Company  has  also  provided  guarantees 
against those bank borrowings, which are denominated in Euros.

The Euro denominated borrowings have covenants attached to them. The Group has been compliant with these covenants 
throughout the year.

The Euro bank borrowings are repayable by quarterly instalments. The Dollar bank borrowings are repayable by monthly 
instalments.

The Group is not exposed to interest rate changes or contractual re-pricing dates at the end of the reporting period, as 
the borrowings are fixed in nature.

Annual Report 2021 | EKF Diagnostics Holdings plc273

Notes to the Financial Statements
for the year ended 31 December 2021

The fair value of both current and non-current borrowings equals their carrying amount, as the impact of discounting is 
not significant.

The carrying amounts of the group’s bank borrowings are denominated as follows:

Euro

US Dollar

28. Deferred consideration

At 1 January

Fair value adjustment

Payment

Additions

Written down

Interest

At 31 December

Group
2021
£’000

304

392

696

Group
2021
£’000

2,901

285

(179)

632

(3,007)

3

635

Group
2020
£’000

508

-

508

Group
2020
£’000

1,385

1,516

-

-

-

-

2,901

Company
2021
£’000

Company
2020
£’000

-

-

-

-

-

-

Company
2021
£’000

2,901

285

(179)

632

3,007)

3

635

Company
2020
£’000

1,385

1,516

-

-

-

-

2,901

The deferred consideration at 1 January consisted of 4,043,940 Ordinary Shares originally valued at £605,000 to be issued 
as part of the consideration paid for the acquisition of EKF-diagnostic GmbH Germany. The value of the shares had been 
adjusted to its fair value. In December 2021 a settlement was reached with the previous owner of EKF-diagnostic which 
resulted in a cash payment to him of £179,000.

The additions consist of consideration payable or potentially payable to the former owners of ADL, and are made up of 
two elements. The first is a cash payment, the amount of which is based on a calculation of net working capital in ADL at 
completion. The second is deferred contingent consideration which is payable either in a mixture of ordinary shares and 
cash, or in just cash, based on the achievement of certain earnings target in each of the three years following completion. 
The fair value amount has been estimated using a balance of probabilities method based on current and expected trading, 
and then discounted to account for the time value of money. £465,000 of the balance is current and the remainder is 
non-current.

29. Deferred income tax

Deferred income tax assets and liabilities are offset when there is a legally enforceable right to offset current tax assets 
against current tax liabilities and when deferred income tax assets and liabilities relate to income taxes levied by the same 
taxation authority on either the taxable entity or different taxable entities where there is an intention to settle the balances 
on a net basis. The amounts concerned are as follows:

Group

Deferred tax assets

Deferred tax asset to be recovered within 12 months

Deferred tax asset to be recovered after more than 12 months

Deferred tax liabilities

Deferred tax liability to be recovered after more than 12 months

Deferred tax liability to be recovered within 12 months

Deferred tax liabilities – net

2021
£’000

2020
£’000

(15)

-

(15)

4,286

745

5,031

5,016

(14)

-

(14)

2,412

224

2,636

2,622

Annual Report 2021 | EKF Diagnostics Holdings plc27474

Notes to the Financial Statements 
for the year ended 31 December 2021

The gross movement on the deferred income tax account is as follows:

At 1 January

Exchange differences

Rate change through income statement

Addition following acquisition (See note 20)

Movement through OCI

Income statement movement (note 13)

At 31 December

2021
£’000

2,622

(96)

679

906

1,502

(597)

5,016

2020
£’000

2,585

68

277

-

-

(308)

2,622

The movement in deferred income tax assets and liabilities during the year, without taking into consideration the offsetting 
of balances within the same tax jurisdiction, is as follows:

Deferred tax liabilities

At 1 January 2020

Charged to the income statement

Rate change

Exchange differences

At 31 December 2020

At 1 January 2021

Credited to the income statement

Rate change

Addition through subsidiary (Note 20)

Movement through OCI

Exchange differences

At 31 December 2021

Deferred tax assets

At 1 January 2020

Charged to the income statement

Exchange differences

At 31 December 2020

At 1 January 2021

Charged to the income statement

At 31 December 2021

Accelerated tax 
depreciation
£’000

151

63

-

11

225

225

60

-

-

-

(14)

271

Tax losses
£’000

(15)

1

(14)

(14)

(1)

(15)

Other 
£’000

2,468

(389)

277

55

2,411

2,411

(656)

679

906

1,502

(82)

4,760

Other
£’000

(19)

17

2

-

-

-

-

Total
£’000

2,619

(326)

277

66

2,636

2,636

(596)

679

906

1,502

(96)

5,031

Total
£’000

(34)

18

2

(14)

(14)

(1)

(15)

Deferred income tax assets are recognised to the extent that the realisation of the related tax benefit through future taxable 
profits  is  probable.  The  Group  did  not  recognise  deferred  income  tax  assets  of  £1,190,000  (2020:  £964,000)  mainly  in 
respect of tax losses amounting to £5,063,000 (2020: £4,880,000), primarily arising in the UK entities, that may be carried 
forward against future taxable income, as the likely timing of recovery is considered too remote; and of £70,000 (2020: 
£1,008,000) in respect of cash settled share based payment liabilities of £298,000 (2020: £6,458,000) for the same reason.

Company

Deferred tax liabilities

Deferred tax liabilities to be recovered after more than 12 months

Deferred tax

2021
£’000

1,502

1,502

2020
£’000

-

-

Annual Report 2021 | EKF Diagnostics Holdings plc275

Notes to the Financial Statements 
for the year ended 31 December 2021

30. Share capital

Group and Company

At 1 January 2021

Acquisition of Advanced Diagnostics Laboratory

At 31 December 2021

Number of 
Shares

Share capital
£’000

Share premium
£’000

454,993,227

8,937,337

463,930,564

4,550

89

4,639

200

7,175

7,375

Ordinary shares have a par value of 1p and are all fully paid. They entitle the holder to participate in dividends and to share 
in the proceeds of winding up the Company in proportion to the number and amounts paid on the shares held. On a show 
of hands, every holder of ordinary shares present at a meeting, in person or by proxy, is entitled to one vote; and on a poll 
each share is entitled to one vote. The Company does not have a limited amount of authorised capital.

On  11  October  2021,  8,937,337  Ordinary  shares  were  issued  as  an  element  of  the  consideration  for  the  acquisition  of 
Advanced Diagnostic Laboratory LLC. at a price of 81.28 pence per share.

The Company has not acquired any ordinary shares during this year (2020: nil).

31. Share options and share-based payments

The share options and share incentive schemes in existence in the Group and Company were as follows:

Unapproved share option scheme

At 1 January

Cancelled

Exercised

At 31 December

2021

2020

Av. Exercise price 
per share
(£)

0.37625

-

-

Options
(Number)

25,000

-

-

Av. Exercise price 
per share
(£)

0.240

0.273

0.232

Options
(Number)

950,000

(25,000)

(900,000)

0.37625

25,000

0.37625

25,000

The remaining unapproved share options consist of the following:

•  25,000 options were issued on 21 January 2014 to a senior employee at an exercise price of 37.625p per share. 

These options are exercisable from the third anniversary of grant with a maximum term of 10 years. These options 
have vested.

All share option awards are equity settled. Out of the 25,000 (2020: 25,000) outstanding options 25,000 (2020: 25,000) 
were exercisable at 31 December 2021.

Expiry Date

21.01.2024

2021

2020

Av. Exercise price 
per share
(£)

0.37625

Av. Exercise price 
per share
(£)

0.37625

Options
(Number)

25,000

25,000

Options
(Number)

25,000

25,000

On 2 June 2016 two Directors were granted a cash settled share-based incentive award. The terms of the award were 
varied on a number of occasions and various payments made in 2019, and again in 2020. Further payments were made 
against the scheme of £1,000,000, in January 2021.and of £5,003,000 in July 2021. In addition, on 9 October 2017, a senior 
employee was granted a cash settled share-based incentive award. No payments have been made against this scheme.

At 31 December 2020 £6,458,000 was shown as a liability in the balance sheet within trade and other payables in relation to 
these two schemes. In September 2021 both schemes were closed and the remaining liability extinguished. The remaining 
liability, totalling £1,903,000 (including National Insurance movements), was credited to administrative expenses during 
the year.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
 
7676

Notes to the Financial Statements 
for the year ended 31 December 2021

In September 2021 a new cash settled share-based incentive award scheme was granted to a director. 

The award vests if a controlling interest in the Company is acquired by a third party at any time while the holder remains an 
employee. There is a minimum price level below which no amount is payable, of per share with the amount payable being 
2.5% of the excess sale price above 70p per share. The fair value of this award has been calculated at £3,296,000 (2020: 
£nil), using a modified form of a Black Scholes model. The key assumptions in the model include expected volatility of 
45%, a risk free rate of 0.69%, and an expected dividend yield of 1.1p per share. There is an assumed acquisition premium 
and option life.

£298,000  has  been  recognised  as  an  expense  in  administrative  expenses  in  the  current  year,  and  the  same  amount  is 
shown  as  a  liability  on  the  balance  sheet  at  31  December  2021  within  trade  and  other  payables.  If  the  assumption  on 
volatility had been 55%, then the liability would have increased by £50,000; if the exit date had been assumed to be 6 
months earlier, then the liability would have increased by £35,000; and if the acquisition premium was reduced to 0% then 
the liability would have decreased by £55,000.

32. Other reserves

Group

At 1 January 2020

Changes in the fair value of equity instruments at fair value through  
Other Comprehensive Income

Recycling of reserves in respect of disposal of equity instruments at fair value

At 31 December 2020

At 1 January 2021

Changes in the fair value of equity instruments at fair value through  
Other Comprehensive Income (net of tax)

At 31 December 2021

Capital 
redemption 
reserve
£’000

102

-

-

102

102

-

102

Other
reserve
£’000

6,546

4,348

Total
£’000

6,648

4,348

(5,642)

(5,642)

5,252

5,252

5,354

5,354

(321)

(321)

4,931

5,033

The  Group  has  elected  to  recognise  changes  in  the  fair  value  of  certain  investments  in  equity  securities  in  Other 
Comprehensive Income, as explained in note 2. These changes are accumulated within the FVOCI reserve within equity 
and disclosed as Other reserve. The Group transfers amounts from this reserve to retained earnings when the relevant 
equity securities are derecognised.

33. Retirement benefit obligations

Pension benefits

The  Company  operates  defined  contribution  pension  schemes  the  assets  of  which  are  held  separately  from  those  of 
the Company in independently administered funds. The pension cost for the year represents contributions made by the 
Company to the funds and amounted to £281,000 (2020: £262,000). The value of pension contributions owed to pension 
providers at 31 December 2021 was £nil (2020: £11,000).

34. Commitments

Capital commitments

The Group has contracted £1,736,000 (2020: £41,000) capital expenditure at the end of the reporting period that had not 
yet been incurred.

Annual Report 2021 | EKF Diagnostics Holdings plc2Notes to the Financial Statements
for the year ended 31 December 2021

35. Cash generated by/(used in) operations

Group

Company

Profit/(loss) before tax

Adjustments for:

– Depreciation

– Amortisation

– Warranty claim

– (Profit)/loss on disposal of fixed assets

- Loss on disposal of intangible assets

– Share-based payments

– Dividend received

– Fair value adjustment

– Foreign exchange

– Bad debt written down

– Net finance cost/(income)

Changes in working capital

– Inventories

– Trade and other receivables

– Trade and other payables

Net cash generated by operations

2021
   £’000

21,435

2,041

3,844

(285)

(13)

-

(6,586)

285

61

58

26

(4,601)

(3,274)

1,217

14,208

2020
£’000

15,356

1,844

2,767

(1,414)

(22)

8

4,775

(31)

1,516

26

45

23

(2,557)

(3,426)

1,888

20,798

2021
   £’000

5,790

326

51

-

-

-

(6,586)

-

(2,722)

75

36

(23)

156

4,914

(969)

1,048

In the statement of cash flows, proceeds from the sale of property, plant and equipment comprise:

Group

Net book value

Profit on disposal of property, plant and equipment

Proceeds from disposal of property, plant and equipment

Non-cash transactions

2021
   £’000

30

13

43

77

2020
£’000

(4,693)

235

-

-

-

-

4,775

(31)

1,516

(12)

(106)

(815)

(631)

8,080

1,436

9,754

2020
£’000

46

22

68

The principal non-cash transactions are: the revaluation of shares held in Renalytix AI plc and Verici Dx plc; movements on 
deferred consideration provisions; the fair value adjustment relating to the deferred equity consideration in respect of EKF 
Germany, the warranty claim, and release of accruals no longer required.

36. Related Party Disclosures

Directors

Christopher Mills is interested in 28.21 per cent. of the Company’s issued share capital which is held through North Atlantic 
Smaller Companies Investment Trust PLC, Oryx International Growth Fund Limited, and in his own name. Harwood Capital 
LLP  is  investment  manager  to  North  Atlantic  Smaller  Companies  Investment  Trust  plc  and  investment  adviser  to  Oryx 
International Growth Fund Limited. Harwood Capital LLP, which is part of the Harwood Capital Management Group (of 
which Christopher is sole shareholder) is a limited liability partnership of which Christopher Mills is Chief Investment Officer. 
He is non-executive chair of Renalytix plc (“Renalytix”) and a non-executive director of Trellus Health plc (“Trellus”). The 
Group owns 1.39% of Renalytix. The Group invested $5m in Trellus in August 2020, and in December 2020 transferred that 
investment to relevant EKF shareholders through a dividend in specie. In May 2021 the Company disposed of one golden 
share which held the voting rights in the transferred shares. for nil value There were no other transactions with Trellus. 
Christopher Mills is interested in 26.3% of the share capital in, and is a director of Sourcebio International plc (“Source”). 
The Group did not trade with Source during the year.
The Group was invoiced £15,000 (2020: £18,000) by J & K (Cardiff) Limited for property rent. Julian Baines is a Director 
of J & K (Cardiff) Limited. Julian is also non-executive chair of Trellus and of Verici Dx plc. The Company owns 1.89% of 
Verici Dx plc.

Carl Contadini acts as an Operational Advisor to Harwood which acts as investment manager and investment adviser to 
NAIT and Oryx respectively.

Annual Report 2021 | EKF Diagnostics Holdings plc27878

Notes to the Financial Statements 
for the year ended 31 December 2021

Michael Salter is a director of Trellus Health plc
Adam Reynolds is a non-executive director of Yourgene Health plc (“Yourgene”) and of Myhealthchecked plc (“Concepta”). 
During the period the Group invoiced £785,219 to Yourgene for goods, and purchased goods and services from them of 
£10,485 none of which was outstanding from or to Yourgene at year end. During the year the Group invoiced £2,125,092 
for goods to a subsidiary of Concepta, of which £209,455 was outstanding at year end.

Directors’ emoluments are set out in the Remuneration Committee report and in note 9.

The performance related payment made to the Executive directors under the cash settled share based payment scheme 
is set out in note 31.

Other related party transactions

Sergey Kots who is Chief Executive of OOO EKF Diagnostika (“EKF Russia”), owns 20% of the subsidiary’s share capital. 
During the year EKF Russia invoiced £589000 (2020: £538,000) to OOO Laboratory Diagnostic Systems, a company of 
which Mr Kots’ brother is a director.

Key management compensation

Key management compensation for the year was as follows:

Salaries and other short-term employee benefits

Share-based payments

Employer contribution to pension scheme

2021
   £’000

5,869

(1,022)

19

4,866

2020
£’000

1,193

4,998

21

6,212

Key management includes the Directors of the Company only.

The Company

The  transactions  outlined  above  with  Renalytix,  Trellus,  Yourgene  and  Concepta  were  all  undertaken  by  the  Company. 
During the year the Company invoiced management charges of £3,279,000 (2020: £3,773,000) and interest of £312,000 
(2020:  £836,000)  to  its  subsidiary  companies,  it  also  invoiced  rental  costs  to  EKF  Germany  of  €167,000  (£143,700) 
(2020: €167,000 (£149,330)). It purchased goods and services from subsidiaries totalling £1,272,000 (2020: £2,644,000). 
At 31 December 2021 the Company was owed £1,860,000 (2020: £6,670,000) by its subsidiaries and owed £3,532,000 
(2020:£3,766,000) to other subsidiaries.

37. Investment in Associate

In August 2020 the Company invested $5,000,000 (£3,810,000) for a 31.1% shareholding in Trellus Health plc, a pioneer 
in resilience-driven care for people with complex chronic conditions. In December 2020 the Company made a distribution 
in specie whereby, with the exception of a single “golden” share, the Company’s shareholding in Trellus Health plc was 
distributed to ordinary shareholders of the Company.

At 31 December 2020 the “golden” share retained all of the voting rights of the shares in Trellus previously held by the 
Group. On the admission to AIM of Trellus in May 2021 the Golden Share the value of which at 31 December 2020 was 
negligible, converted to an ordinary share, and the voting rights transferred to the distributed shares. 

38. Post Balance Sheet Events

In  February  2022  Russia  invaded  the  neighbouring  state  of  Ukraine.  As  a  response  to  this,  the  UK,  EU  and  the  USA, 
amongst other countries and organisations, imposed sanctions including financial sanctions, on Russia and Belarus.

The Group has a 60% owned subsidiary company in Russia, which sells the Group’s products in Russia itself as well as a 
number of former CIS states, and in addition has distributors in Ukraine and Belarus. Our Russian subsidiary contributed 
£3.3m of revenue and adjusted EBITDA of £1.0m in 2021, and had net assets of £1.5m.

It is too early to estimate the effect if any that this conflict will have on our business in Russia,

This is a non-adjusting event. No adjustments have been made to the 2021 financial statements.

On 7 March the Company invested £2.5m in Verici Dx plc, with the intention of transferring our holding to shareholders by 
way of a distribution in specie in due course.

Annual Report 2021 | EKF Diagnostics Holdings plc2 
79

NOTICE OF ANNUAL GENERAL MEETING
EKF Diagnostics Holdings PLC (Company)

NOTICE IS HEREBY GIVEN that the Annual General Meeting (Meeting) of EKF Diagnostics Holdings plc (Company) will 
be held at Harwood Capital LLP, 6 Stratton Street Mayfair, London W1J 8LD on 18 May 2022 at 11 a.m. for the following 
purposes:

Ordinary Resolutions

1.   To receive and adopt the statement of accounts for the year ended 31 December 2021 together with the reports of 

the Directors and the auditors thereon.

2.   To re-elect Marc Peter Davies, who retires by rotation having been appointed since the last annual general meeting, 

as a Director.

3.   To re-elect Jennifer Ann Julia Winter, who retires by rotation having been appointed since the last annual general 

meeting, as a Director.

4.   To re-elect Christian Alexander Rigg, who retires by rotation having been appointed since the last annual general 

meeting, as a Director.

5.   To re-elect David Michael Salter, who retires by rotation having been appointed since the last annual general 

meeting, as a Director.

6.  To re-elect Christopher Harwood Bernard Mills, who retires by rotation, as a Director.

7.   To re-appoint Messrs PricewaterhouseCoopers LLP as auditors to act as such until the conclusion of the next 
General Meeting of the Company at which the requirements of section 437 of the Companies Act 2006 are 
complied with and to authorise the Directors of the Company to fix their remuneration.

8.   That in substitution for any existing such authority, the Directors be and are hereby generally and unconditionally 
authorised pursuant to section 551 of the Companies Act 2006 (the “2006 Act”) to allot Relevant Securities of the 
Company:
i. 

up to a maximum nominal amount of £920,000* (in pursuance of the exercise of outstanding share options and 
other potential shares granted by the Company but for no other purpose);

ii.  up to an aggregate nominal amount of £454,930.56 (in addition to the authorities conferred in sub-paragraphs 
(i)  above)  representing  approximately  10%  of  the  Company’s  Issued  Share  Capital,  such  authorities  (unless 
previously renewed, revoked or varied) to expire at the conclusion of the next Annual General Meeting of the 
Company to be held in 2023, save that the Company may, before such expiry, make an offer or agreement which 
would or might require Relevant Securities to be allotted after such expiry and the directors may allot Relevant 
Securities  in  pursuance  of  such  an  offer  or  agreement  as  if  the  authority  conferred  hereby  had  not  expired. 
*this  figure  includes  the  potential  earn  out  payment  which  may  be  made  by  way  of  consideration  shares  in 
accordance with the SPA of the Advanced Diagnostic Laboratory LLC acquisition completed on 21 September 
2021.  See investor announcements for further information.

9.    To declare a final dividend of 1.2 pence per ordinary share to be paid on 1 December 2022 to the holders of ordinary 

shares on the register of members at the close of business on 3 November 2022.

10.  That, upon the recommendation and conditional on the approval of the directors of the Company, a dividend in 

specie be approved, being the transfer by the Company of 9,098,611 ordinary shares of $0.0001 each in VericiDx 
plc to the holders of the ordinary shares of nominal value of £0.01 each on the register of members of the 
Company at the close of business on a date to be determined by the directors of the Company.

Special Resolutions

11.  That, subject to the passing of the above Resolution the Directors be given the general power to allot equity 

securities (as defined in section 560 of the 2006 Act) pursuant to the authority conferred by the Resolution above 
as if section 561(1) of the 2006 Act did not apply to any such allotments provided that this power shall be limited to:

i. 

ii. 

the allotment of equity securities on the exercise of the share options granted by the Company;

the allotment of equity securities (otherwise than pursuant to sub-paragraphs (i) above) for cash in connection 
with any rights issue or pre-emptive offer in favour of holders of equity securities generally; and

iii.  the  allotment  (otherwise  than  pursuant  to  sub-paragraphs  (i)  and  (ii)  above)  of  equity  securities  for  cash  up 
to  an  aggregate  nominal  amount  of  £454,930.56  representing  approximately  10%  of  the  Company’s  Issued 
Share  Capital;  provided  that  such  power  (unless  previously  renewed,  revoked  or  varied)  shall  expire  at  the 
conclusion  of  the  Annual  General  Meeting  of  the  Company  to  be  held  in  2023,  save  that  the  Company  may, 
before  such  power  expires,  make  an  offer  or  enter  into  an  agreement  which  would  or  might  require  equity 
securities  to  be  allotted  after  such  power  expires  and  the  Directors  may  allot  equity  securities  in  pursuance 
of  any  such  offer  or  agreement  notwithstanding  that  the  power  conferred  by  this  resolution  has  expired. 

Annual Report 2021 | EKF Diagnostics Holdings plc3 
8080

NOTICE OF ANNUAL GENERAL MEETING 
EKF Diagnostics Holdings PLC (Company)

12.  That the Company be and is generally and unconditionally authorised for the purposes of section 701(1) of the 

2006 Act  to make one or more market purchases (within the meaning of section 693(4) of the Act) on the London 
Stock Exchange of ordinary shares of £0.01 each in the capital of the Company (“Ordinary Shares”) provided that: 

i. 

the maximum aggregate number of Ordinary Shares authorised to be purchased is 68,239,584 (representing 15 
per cent. of the Company’s issued ordinary share capital);

ii. 

the minimum price (excluding expenses) which may be paid for such Ordinary Shares is £0.01 per share;

iii.  the  maximum  price  (excluding  expenses)  which  may  be  paid  for  an  Ordinary  Share  shall  not  be  more  than 
5  per  cent.  above  the  average  of  the  middle  market  quotations  for  an  Ordinary  Share  as  derived  from  The 
London Stock Exchange Daily Official List for the five business days immediately preceding the date on which 
the Ordinary Share is purchased;

iv.  unless  previously  renewed,  varied  or  revoked,  the  authority  conferred  shall  expire  at  the  conclusion  of  the 

Company’s next annual general meeting or 30 June 2023, if earlier; and

v. 

the Company may make a contract or contracts to purchase Ordinary Shares under the authority conferred prior 
to the expiry of such authority which will or may be executed wholly or partly after the expiry of such authority 
and may make a purchase of Ordinary Shares in pursuance of any such contract or contracts.

Registered Office
Avon House
19 Stanwell Road
Penarth                                                                      
CF64 2EZ

25 April 2022

BY ORDER OF THE BOARD

Salim Hamir
Company Secretary

Annual Report 2021 | EKF Diagnostics Holdings plc381

Notes

1. 

2. 

3. 

4. 

5. 

6. 

7. 

8. 

9. 

 The Company specifies that only those members registered on the Company’s register of members at close of business on 16 May 
2022 or if this general meeting is adjourned, at close of business on the day two days prior to the adjourned meeting shall be entitled 
to attend and vote at the General Meeting.

 If you are a Shareholder of the Company at the time set out in note 1 above, you are entitled to appoint a proxy to exercise all or any 
of your rights to attend, speak and vote at the meeting. You can only appoint a proxy using the procedures set out in these notes 
and the notes to the proxy form. 

 You will not receive a hard copy form of proxy with this document. Instead, you will be able to vote electronically using the link www.
signalshares.com. You will need to log into your Signal Shares account, or register if you have not previously done so. To register you 
will need your Investor Code, this is detailed on your share certificate or available from our Registrar, Link Group. Alternatively you 
can vote by downloading the new shareholder app, LinkVote+, on Apple App Store or Google Play and following the instructions. 
Votes submitted electronically must be submitted by no later than 11 a.m. on 16 May 2022.

 You may request a hard copy form of proxy directly from the Registrars, Link Group at shareholderenquiries@linkgroup.co.uk or on 
Tel: 0371 664 0300. Calls are charged at the standard geographic rate and will vary by provider. Calls outside the United Kingdom 
will be charged at the applicable international rate. Line are open between 09:00 - 17:30, Monday to Friday excluding public holidays 
in England and Wales.

 In the case of CREST members, by utilising the CREST electronic proxy appointment service in accordance with the procedures set 
out below.

 In the case of joint holders, where more than one of the joint holders purports to appoint a proxy, only the appointment submitted 
by the most senior holder will be accepted. Seniority is determined by the order in which the names of the joint holders appear in the 
Company’s register of members in respect of the joint holding (the first-named being the most senior).

 CREST members who wish to appoint a proxy or proxies through the CREST electronic proxy appointment service may do so for 
the Meeting (and any adjournment of the Meeting) by using the procedures described in the CREST Manual (available from www.
euroclear.com/site/public/EUI). CREST Personal Members or other CREST sponsored members, and those CREST members who 
have appointed a service provider(s), should refer to their CREST sponsor or voting service provider(s), who will be able to take the 
appropriate action on their behalf.

 In order for a proxy appointment or instruction made by means of CREST to be valid, the appropriate CREST message (a ‘CREST 
Proxy Instruction’) must be properly authenticated in accordance with Euroclear UK & Ireland Limited’s specifications and must 
contain the information required for such instructions, as described in the CREST Manual. The message must be transmitted so as 
to be received by the issuer’s agent (ID RA10) by 11 a.m. on 16 May 2022. For this purpose, the time of receipt will be taken to mean 
the time (as determined by the timestamp applied to the message by the CREST application host) from which the issuer’s agent is 
able to retrieve the message by enquiry to CREST in the manner prescribed by CREST. After this time, any change of instructions to 
proxies appointed through CREST should be communicated to the appointee through other means.

 CREST members and, where applicable, their CREST sponsors or voting service providers should note that Euroclear UK & Ireland 
Limited does not make available special procedures in CREST for any particular message. Normal system timings and limitations 
will, therefore, apply in relation to the input of CREST Proxy Instructions. It is the responsibility of the CREST member concerned to 
take (or, if the CREST member is a CREST personal member, or sponsored member, or has appointed a voting service provider(s), to 
procure that his CREST sponsor or voting service provider(s) take(s)) such action as shall be necessary to ensure that a message is 
transmitted by means of the CREST system by any particular time. In this connection, CREST members and, where applicable, their 
CREST sponsors or voting system providers are referred, in particular, to those sections of the CREST Manual concerning practical 
limitations of the CREST system and timings. The Company may treat as invalid a CREST Proxy Instruction in the circumstances set 
out in Regulation 35(5)(a) of the Uncertificated Securities Regulations 2001.

10.   To change your proxy instructions simply submit a new proxy appointment using the methods set out above. Note that the cut-off 

time for receipt of proxy appointments (see above) also apply in relation to amended instructions; any amended proxy appointment 
received after the relevant cut-off time will be disregarded. Where you have appointed a proxy using the hard-copy proxy form and 
would like to change the instructions using another hard-copy proxy form, please contact Link Group at the address noted in note 5 
above. If you submit more than one valid proxy appointment, the appointment received last before the latest time for the receipt of 
proxies will take precedence.

11. 

 In order to revoke a proxy instruction you will need to inform the Company by contacting Link Group on 0371 664 0300. Calls 
are charged at the standard geographic rate and will vary by provider. Calls outside the United Kingdom will be charged at the 
applicable international rate. Line are open between 09:00 - 17:30, Monday to Friday excluding public holidays in England and 
Wales. In the case of a member which is a company, the revocation notice must be executed under its common seal or signed on 
its behalf by an officer of the company or an attorney for the company. Any power of attorney or any other authority under which 
the revocation notice is signed (or a duly certified copy of such power or authority) must be included with the revocation notice. 
The revocation notice must be received by Link Group no later than 11 a.m. on 16 May 2022. If you attempt to revoke your proxy 
appointment but the revocation is received after the time specified then, subject to the paragraph directly below, your proxy 
appointment will remain valid.

12.   Appointment of a proxy does not preclude you from attending the general meeting and voting in person. If you have appointed a 

proxy and attend the general meeting in person, your proxy appointment will automatically be terminated.

13.   A corporation which is a member can appoint one or more corporate representatives who may exercise, on its behalf, all its powers 

as a member provided that no more than one corporate representative exercises power over the same share.

14.  Voting on the resolution will be conducted by way of a poll vote.

15.   As at the close of business on the day immediately before the date of this notice of general meeting, the Company’s issued share 
capital comprised 463,930,564 ordinary shares of nominal value 1 pence each of which 9,000,000 ordinary shares are held in the 
Treasury. Each ordinary share carries the right to one vote at a general meeting of the Company and, therefore, the total number 
of voting rights in the Company as at close of business, on the day immediately before the date of this notice of general meeting 
excluding the Treasury shares are 454,930,564. 

Annual Report 2021 | EKF Diagnostics Holdings plc3Solicitors to the Company:

Berry Smith LLP
Haywood House Dumfries Place Cardiff
CF10 3GA 

BDB Pitmans LLP
One Bartholemew Close
London
EC1A 7BL

Registrars:

Link Group
Central Square
29 Wellington Street
Leeds LS1 4DL

If you have a query regarding your shareholding please call 
the Link shareholder helpline on  +44 (0)371 664 0300 (UK 
calls are charged at the standard geographic rate and will 
vary by provider)

or  visit  their  website  at  https://www.linkgroup.eu/get-in-
touch/shareholders-in-uk-companies/

Financial public relations:

Walbrook PR Limited 
4 Lombard Street 
London
EC3V 9HD

Investor relations email:

investors@ekfdiagnostics.com

Company information

Directors:

Christopher Mills
(Non-Executive Chairman)

Julian Baines MBE
(To 30 September 2021 Chief Executive Officer,  
From 1 October 2021 Non-executive Deputy Chairman) 

Michael Salter  
(Appointed 1 July 2021)
(Chief Executive Officer from 1 October 2021)

Richard Evans
(resigned 1 January 2022)
(Chief Operating Officer and Finance Director)

Marc Davies  
(Appointed 1 January 2022)
(Chief Financial Officer from 1 January 2022)

Carl Contadini
(resigned 1 February 2022)
(Non-Executive Director)

Adam Reynolds
(resigned 19 May 2021)
(Non-Executive Director)

Christian Rigg 
(Appointed 1 July 2021)
(Non-Executive Director)

Jennifer Winter 
(appointed 1 February 2022)
(Non-Executive Director)

Company Secretary:

Salim Hamir
Registered office and Head office:
Avon House
19 Stanwell Road, Penarth
Cardiff CF64 2EZ

Place of incorporation:

England and Wales (Company number – 4347937)

Independent Auditors:

PricewaterhouseCoopers LLP
Chartered Accountants and Statutory Auditors 
One Kingsway
Cardiff CF10 3PW

Nominated Advisor and Broker:

Singer Capital Markets
1 Bartholomew Lane London EC2N 2AX

Joint Broker:

Investec Bank plc
30 Gresham Street London EC2V 7QN

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