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Ergomed

ergo · LSE Healthcare
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FY2020 Annual Report · Ergomed
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GROW

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Annual Report & Accounts
2020

 
 
 
 
 
 
Our vision 
Global leadership in specialised 
pharmaceutical services addressing 
unmet medical needs and patient safety

Our purpose
Bringing expertise to deliver medicines 
our world can trust

Key reads

Investment case
Read about how Ergomed’s investment 

Our business model
See how Ergomed’s business model is 

Responsible business
From Environmental to Social to Governance 

case is positioned around highly 

delivering growth and creating value for 

– read how Ergomed keeps these matters at 

complementary offerings in already 

stakeholders

the heart of being a responsible business

established growth markets

   See more details on page 6

   See more details on page 16

   See more details on page 33

Strategic report

Governance

Financial statements

48  Board of Directors 

71  Consolidated income statement 

50  Corporate governance at a glance 

72  Consolidated statement of 

51  Executive Chairman’s governance 

statement

54   QCA Corporate Governance Code

56   Audit and Risk Committee report

60   Remuneration Committee report 

64   Directors’ report 

65   Statement of Directors’ responsibilities

66 

Independent auditor’s report

comprehensive income 

73   Consolidated balance sheet

74   Consolidated statement 
of changes in equity

75  Consolidated cash flow statement

76   Company balance sheet

77   Company statement of changes  

in equity 

78   Notes to the financial statements

119  Company information

2 

4 

6 

2020 highlights

At a glance 

Investment case

8   Our markets

10  Executive Chairman’s statement

13  Responding to COVID-19

16   Our business model

18   Our strategy

20   Strategy in action

20 Grow

22 Build

24 Invest

26  Operational review 

30  Financial review

33  Responsible business

44  Risk management

See more online at 
www.ergomedplc.com

45  Principal risks and uncertainties

 
 
 
StratEgic rEport

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Financial StatEmEntS

1

Our strategic focus 

GROW

BUILD

INVEST

  see page 20

  see page 22

  see page 24

The success of our business is grounded in our culture 

The way we think, interact and service our stakeholders.
Ergomed is shaped by culture which focuses on  
patients and a determination to deliver the benefits  
of new, and safe, medicines and therapies to them.

2

Annual Report and Accounts 2020

2020 highlights

Financial highlights

2020

2019

2018

£86.4m

2020

£39.7m

£68.3m

£54.1m

2019

2018

£29.5m

£19.3m

2020

2019

2018

£2.3m

£19.4m

£12.5m

Revenue

£86.4m

2019: £68.3m

Gross profit

£39.7m

2019: £29.5m

Adjusted EBITDA*

£19.4m

2019: £12.5m

* Adjusted EBITDA and adjusted earnings per share are ‘Alternative Profit Measures’ and are defined on pages 30 and 31.

Operational highlights

Significant US strategic 
acquisitions expand presence 
in both pharmacovigilance and 
clinical research services

Continued strong growth trend 
in challenging markets

Strong revenue growth in 
strategically significant  
North American market

Addition of:

175 professional staff
60 new clients

   See more details on  

pages 22 to 23

Revenue growth:

26.5%

Adjusted EBITDA growth:

55.2%

   See more details on  

pages 26 to 29

North American  
revenue growth:

82.4%

   See more details on  

pages 26 to 29

COVID-19 – Demonstrated 
resilience and ability to 
contribute in COVID-19 crisis

Successful focus on business 
development and cross-selling 
opportunities

Seamless migration of workforce 
to remote working – no 
redundancies or furloughed staff

Staff transitioned to  
remote working:

95%

   See more details on  

pages 13 to 15

Order book growth:

55.5%

   See more details on  

pages 20 to 21

StratEgic rEport

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Financial StatEmEntS

3

2020

2019

2018

£19.0m

2020

£193.0m

£14.3m

£5.2m

2019

2018

£124.1m

£109.2m

Net cash

£19.0m

2019: £14.3m

Contracted order book

£193.0m

2019: £124.1m

2020

2019

2018

1.9p

25.8p

19.9p

Basic adjusted earnings per share*

25.8p

2019: 19.9p

4

Annual Report and Accounts 2020

At a glance

We provide full service pharmacovigilance and specialist clinical 
trial solutions to the pharmaceutical and biotechnology industries

Employees 

Countries with active  
clinical trials

Countries supported by 
pharmacovigilance services

Pharmacovigilance patient 
cases processed p.a.

1,100+

42

140

275,000+

Global service coverage

North America
World’s largest pharmaceutical 
market.

UK & Europe  
Second largest pharmaceutical 
market globally.

High-growth market for 
pharmacovigilance (‘PV’) and 
Clinical Research Services 
(‘CRO’).

Ergomed has enhanced PV and 
CRO operational presence 
through the acquisition of 
Ashfield PV and MedSource in 
the year.

Founded in Europe, Ergomed has 
complete coverage of the PV and 
CRO markets through its 
strategically-placed offices in the 
UK, Croatia, the Czech Republic, 
Germany, the Netherlands, Poland 
and Serbia.

Ergomed provides a 
comprehensive network of PV and 
CRO specialists with in-depth 
knowledge of EU and country 
specific regulatory requirements.

Middle East & Africa
Ergomed offers service coverage 
supporting trials throughout the 
Middle East and Africa.

Ergomed provides access to 
patients across the Middle East 
and Africa.

Ergomed  
North America revenue

£46.7m

Ergomed  
UK and EMEA revenue

£35.5m

Asia 
Asian region has the fastest 
growing PV and CRO markets. 

India and China are driving 
growth in the region as a result of 
large populations and increased 
focus on PV regulations.

Ergomed has an established 
CRO presence in India and is 
looking to expand.

PV offices have recently been 
opened in Japan to support 
growing client requirements in 
the region.

Ergomed  
Asia revenue

£4.2m

regional revenue growth

Total revenue

£86.4m
2020

  UK 

  EU/EMEA 
  N America 

  Asia 

14%

27%
54%

5%

Total revenue up

26.6%

Service fee revenue up

32.2%

North America up

82.4%

from £25.6m to £46.7m

Total revenue

£68.3m
2019

  UK 

  EU/EMEA 
  N America 

  Asia 

19%

42%
37%

2%

StratEgic rEport

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Financial StatEmEntS

5

Areas of operation

Clinical Research Services (‘CRO’) 
managing clinical trials

Pharmacovigilance (‘PV’)  
monitoring drug safety

Clinical research is the process of developing  
new medical therapies, drugs and knowledge for 
safe and effective use in healthcare. CRO is the 
outsourced management of this research to 
specialist service providers who organise all 
aspects of a clinical trial, including the creation  
and management of the trial team, recruitment of 
medical experts, patient recruitment, regulatory 
affairs, medical writing, quality management and 
pharmacovigilance.

•  Ergomed offers high-quality clinical research  
and trial management services across all trial 
phases (I to IV) through the Ergomed brand

•  Ergomed specialises in managing oncology and 

rare disease trials 

•  Offices are located in the UK, US and 

throughout Europe

•  Ergomed has innovative site-support services 
which focus on enhancing patient recruitment 
and engagement

Pharmacovigilance is the science and activities 
relating to the detection, understanding and 
prevention of adverse effects or other drug-related 
problems throughout its lifecycle.

Pharmacovigilance has evolved to include other 
drug lifecycle services including medical 
information and Qualified Person Responsible for 
Pharmacovigilance (‘QPPV’) networks.

•  PV services are offered to Ergomed’s clients 

through the PrimeVigilance brand and include 
case processing, signal and risk management, 
pharmacoepidemiology, audits, training, 
advisory literature services, medical information 
and QPPV

•  Offices are located in the UK, US and 

throughout Europe

•  PrimeVigilance supports pharmaceutical, 
biotechnology and genetics companies in 
managing the global safety of their products,  
all the way from clinical trial to post-marketing

•  Ergomed focuses on investing in intelligent 
automation to provide faster analysis and 
reporting of adverse medical events

CRO 2020 revenue

£31.3m

PV 2020 revenue

£55.1m

6

Annual Report and Accounts 2020

Investment case

complementary cro and pv offerings  
in established growth markets 

Attractive growth 
markets

Well positioned

Complementary 
offerings

The CRO and PV operations are 
complementary, allowing 
Ergomed to assist clients in 
managing all their requirements 
from drug development through 
to post marketing drug safety 
monitoring. The complementary 
business streams, and combined 
CRO and PV marketing and 
business development functions, 
facilitate enhanced cross-selling 
opportunities and client retention.

Ergomed has experienced better 
resilience to the financial impact 
of COVID-19 compared to CRO 
peers as a result of its more 
diverse operations.

Pipeline cross-selling 
opportunities 2020  
year end

£50.0m

The CRO market continues to see 
increasing investment in clinical 
trials by pharma-biotech 
companies and a shift to 
outsourcing across the industry. 
This growth is supplemented by 
the increasing prevalence of 
chronic disease trials and the 
growing demand for clinical trials 
in developing countries. The CRO 
market is currently around $42.3 
billion and is expected to grow 
annually at a Compound Annual 
Growth Rate (CAGR) of 6.6% over  
the period to 2026. Ergomed 
specialises in the rare disease 
and oncology subsets of the CRO 
market which are expected to 
grow at a CAGR above 10% during 
the same period.

Driven by an increase in the global 
harmonisation of regulations, 
greater regulatory focus on drug 
safety and a strong outsourcing 
trend, particularly in Asia, the PV 
market is currently around $5.1 
billion and is expected to grow 
annually at 15.8% (CAGR) over the 
period to 2026.

Ergomed revenue CAGR 
last 6 years

20%+

Strong momentum over 2019 and 
2020 has resulted in a considerable 
order book which will underpin the 
anticipated market growth for the 
near-term. In addition, Ergomed’s 
recent acquisition of MedSource 
and Ashfield Pharmacovigilance 
has greatly increased operational 
coverage in the North American 
CRO and PV markets; the biggest 
pharmaceutical markets globally.

Ergomed’s CRO business 
specialises in rare disease and 
oncology. Oncology accounted for 
$15.6 billion of the CRO market in 
2020 with rare disease making up 
an additional $5.6 billion. The 
continued rare disease and 
oncology market growth is 
expected to outstrip the wider CRO 
market at 10.8% and 9.2% CAGR 
respectively, over the period to 
2026. Ergomed is highly exposed to 
these high-growth therapeutic 
areas with 88% of its new business 
wins in rare disease and oncology.

PrimeVigilance has strong brand 
recognition within the PV market 
and, aided by investment in 
intelligent automation, is expected 
to continue to surpass the wider PV 
market CAGR of 15.8%.

Ergomed order book 2020 
year end

£193.0m

StratEgic rEport

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7

Strong leadership

Ergomed has strong and 
established leadership across  
its board and management  
team led by Miroslav Reljanovic, 
founder and Executive Chairman 
of Erogmed plc and co-founder 
of PrimeVigilance.

The team has established a 
strong track record of delivering 
high, organic growth and 
successful acquisition integration.

Years of experience as a 
leading specialist CRO

20+ years

Consolidation 
opportunity

With a high level of consolidation 
at the top end of the CRO market, 
led by the recent acquisition of 
PRA Health Sciences by ICON, 
and in the mid-tier CRO market, 
notably the acquisition of 
Synteract by Syneos Health, 
there is a shrinking number of 
mid-tier CRO providers, and even 
fewer PV specialists. Ergomed is 
one of the few mid-tier listed 
CRO providers globally and is 
well-positioned to consolidate in 
a fragmented industry. 

Ergomed has successfully 
demonstrated its strong position 
through several strategic 
acquisitions in both CRO and PV 
since its IPO in 2014, most recently 
of Ashfield Pharmacovigilance 
and MedSource. 

Acquisitions successfully 
integrated since IPO  
in 2014

8

Market  
statistics

CRO market size 2020

$42.3bn1

Combined oncology and rare 
disease market size 2020 

$21.2bn1

North America accounted for 

51% 

of the CRO market in 20201

CRO oncology CAGR of 

9.2% 

over 6 years to 20261

Rare disease CAGR of

10.8%

over the 6 years to 20261

PV market size 2020

$5.1bn1 

PV CAGR of 

15.8%

over 6 years to 2026¹

1  Grand View Research,  

Clinicaltrials.gov, GM Insights,  
Global Genes.

8

Annual Report and Accounts 2020

Our markets

Significant future growth forecast across all 
stages of the drug development lifecycle

Global trends and market drivers

The profile of the work performed across all stages  
of the drug development lifecycle has come under 
greater public interest as a result of the COVID-19 
pandemic and the search for novel vaccines continues  
at full-steam. The Clinical Research Services (CRO) 
market is currently $42.3 billion and is expected to  
grow annually at a Compound Annual Growth Rate 
(CAGR) of 6.6% to 2026 while the rare disease and 
oncology subsets of the CRO market are expected to 
grow at a CAGR above 10% during the same period. The 
Pharmacovigilance (PV) market is currently $5.1 billion 
and is expected to grow annually at 15.8% (CAGR) to 2026.

CRO continues to see increasing global investment in 
clinical trials by pharma-biotech companies, partly as a 
result of COVID-19 and the drive to quickly and safely 
develop and trial innovative therapeutics and vaccines, 
but primarily as a result of the increasing number of 
drugs under development in key therapy areas such  
as oncology and rare disease.

Regional trends and market drivers

The industry is also seeing a continued shift to 
outsourcing clinical research to specialist CRO providers 
to allow pharma-biotech companies to focus on core 
competencies, access greater levels of specialist 
expertise and ultimately lower development costs 
through shorter trial lengths.

In established PV markets, increasing consumption of 
drugs, personalised medicine regimes and rising patient 
awareness in adverse drug reactions and drug toxicity is 
driving continued market growth. In addition, regions 
such as India and China are experiencing above-market 
growth as a result of the accepted adoption of 
outsourced PV services and a push for regulation 
harmonisation with more established PV markets in 
North America and Europe.

North America
North America is the largest pharmaceutical development market 

globally accounting for 51% of all CRO business in 2020.  

Europe
Europe remains the second largest 

CRO and PV market and is at the 

This dominance is expected to continue into the future with more 

forefront of driving safety through 

than half of all clinical trials requiring a presence in the US. Phase III 

regulation. Like North America, the 

studies make up the biggest segment in the CRO market, of which 

oncology segment dominates the 

Asia
The Asian CRO and PV 

markets remain smaller 

than North America and 

Europe but are emerging  

as the fastest growing of  

rare disease and oncology have the largest shares. 

clinical trials market and accounted for 

all three regions; driven  

North America has the largest PV market share with around a third 

2020. The segment is also anticipated 

increasing of outsourcing 

of all PV revenue generated in the region, primarily owing to the 

to experience a higher CAGR of 9.2% 

and regulatory 

presence of key pharmaceutical providers there.  Of the PV market, 

over the period to 2026. 

around 75% is made up of post-marketing surveillance.

harmonisation with North 

America and Europe.

the largest global revenue share in 

by higher populations, 

StratEgic rEport

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Financial StatEmEntS

9

GROW

BUILD

INVEST

Complementary CRO and 
PV capabilities with 
cross-selling 
opportunities

Addressing growing 
markets through organic 
growth and acquisition

Investing in people and 
technology 

   For more details see pages 20 to 21

  For more details see pages 22 to 23

  For more details see pages 24 to 25

Clinical Research  
Service Opportunities

Pharmacovigilance Opportunities

Ergomed is a leading specialist in managing 
oncology and rare disease clinical trials with 
over 20 years’ experience. Ergomed offers a 
differentiated service through a unique site 
support model which is focused on patient 
advocacy and the continued development of 
compassionate use trials in these high-
growth oncology and rare disease markets.

The addition of MS Clinical Services, LLC 
(‘MedSource’), a US-based specialist 
oncology and rare disease clinical research 
organisation, has substantially grown 
Ergomed’s operating base in North America, 
allowing it to better serve existing clients and 
access new clients in the biggest market. 
This expansion will supplement the organic 
growth facilitated by CRO and PV cross-
selling opportunities and the historic 
acquisition of PSR Orphan Experts.

The addition and integration of Ashfield PV 
(later rebranded PrimeVigilance USA Inc.) has 
added a substantial operating base in the  
US to serve existing and new clients in the 
biggest market. This presence, along with 
targeted organic growth in key development 
areas such as Japan and India, and continued 
investment in automation and technology will 
allow PrimeVigilance to maximise growth in  
these markets.

The complementary PV and CRO businesses 
will also look for additional growth 
opportunities through cross-selling to existing 
customers. PrimeVigilance will look to add 
strategically beneficial and earnings-accretive 
acquisitions to build on the success of 
PharmInvent and Ashfield PV in recent years.

 
10

Annual Report and Accounts 2020

Executive Chairman’s statement

Exceptional delivery in 
challenging times

During 2020 Ergomed made 
exceptional progress in delivering 
its strategy, despite the global 
challenge of the COVID-19 
pandemic. We achieved strong 
organic growth and completed 
acquisitions in the key US market  
in both our Clinical Research 
Services (CRO) and 
Pharmacovigilance (PV) businesses. 

2020

2019

2018

£2.0m

£19.0m

£14.3m

Net cash

£19.0m

2019: £14.3m

Across the Group we transitioned smoothly to remote 
working with the business remaining fully operational 
whilst continuing to trade strongly and delivering a 
strong uplift in revenues in the second half of the year, 
particularly in the CRO business. We improved gross and 
net margins and continued to strengthen our balance 
sheet, with increased cash balances and financial 
resources, as well as a capital reduction approved 
unanimously by our shareholders. During an 
extraordinary and challenging year, the core strengths of 
our business and the hard work and dedication of all our 
colleagues have shone through, delivering exceptional 
progress towards our strategic vision of global 
leadership in specialised pharmaceutical services 
addressing unmet medical needs and patient safety.

Excellent financial performance
Following the positive results for the first half of the year 
reported in September 2020, Ergomed continued to 
deliver strong year on year top-line growth and financial 
performance across the business in the second half. For 
the year as a whole, Ergomed continued its excellent 
financial performance delivering substantial revenue 
growth of 26.5% with improved gross margins. Adjusted 
EBITDA increased by 55.2% to £19.4 million, substantially 
exceeding the market expectations set at the beginning of 
the year. After investing £12.0 million on acquisitions, 
funded fully out of cash, the Group continued to be 
debt-free at the year end with cash and equivalent 
balances of £19.0 million (2019: £14.3 million) and 
unutilised banking facilities of £30.0 million. We ended 
2020 with our order book of future contracted revenue at 
£193.0 million, up 55.5% versus the prior year. This 
excellent performance in a year that was extremely 
challenging for companies across the world, 
demonstrates the robustness of Ergomed’s business 
model and firmly positions the Group to realise its 
ambitious long-term growth plans.

StratEgic rEport

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Financial StatEmEntS

11

Miroslav Reljanović
Executive Chairman

2020

2019

2018

£86.4m

£68.3m

£54.1m

“Ergomed made exceptional progress in 
delivering its strategy in 2020, despite the 
challenges of the COVID-19 pandemic.”

Revenue growth

26.6%

2019: 26.2%

Executing our strategy
The transition to a fully services-based business model 
announced in 2018 was completed on schedule in 2020, 
with the business now entirely focused on its core 
service businesses in the PV and CRO sectors. 2020 saw 
further validation of this strategic focus on services, 
evidenced by significantly improved financial and 
operational performance with revenue growth of 26.5% 
to £86.4 million and strong performances in both PV and 
CRO. This continued the trend of a compound annual 
revenue growth rate of over 20% since the initial public 
offering in 2014.

Building on these foundations, with the successful 
execution of our M&A strategy, rapid integration of 
acquisitions and alignment of commercial strategies in 
our CRO and PV businesses, as well as investment in 
business development, we are delivering substantial 
increases in cross-selling opportunities and a growing 
order book of contracted long-term future revenues. 

In 2020, we completed two highly strategic acquisitions 
in the key US market for pharmaceutical services. In 
January, we acquired Ashfield Pharmacovigilance, a 
long-established and highly respected provider of 
pharmacovigilance services in the US. This was rapidly 
and successfully integrated, providing cross-selling and 
growth opportunities within the significantly expanded 
PV client base, as evidenced by the Group’s US revenue 
growth of 82.4% in 2020. In December, we acquired MS 
Clinical Services, LLC. and its subsidiaries (‘MedSource’), 
a specialist provider of oncology and rare disease CRO 
services, which is expected to provide further growth 
and development potential within the key CRO sector in 
the USA and globally. 

The Board continues to actively consider further 
acquisitions that will complement and strengthen the 
existing CRO and PV service offerings and give access 
to new customers and geographies. 

We are also continuing to invest in infrastructure, 
technology and digital transformation, with the 
development of applications to achieve significant 
automation over the coming years. In our PV business 
this includes the development of applications for robotic 
process automation and the digitisation of simple 
adverse event reports, leading to the deployment of 
machine learning for full case processing. In the CRO 
business, we plan to play a significant role in the global 
trend, accelerated by COVID-19, towards digital 
transformation of clinical trials, including eConsent, 
ePRO and wearable technology for remote and  
home-based patient monitoring as well as virtual and 
telemedicine as standard of care, risk-based monitoring 
and remote data verification. These investments are 
expected to build on Ergomed’s leadership position  
with service offerings to our international client base,  
as well as providing further potential for profitability 
improvement. 

Strong leadership and employment growth 
During the year, Ergomed continued to strengthen its 
executive leadership with key appointments in Europe 
and in the US where we are expanding rapidly both 
organically and through M&A. Our acquisitions of 
Ashfield Pharmacovigilance (now PrimeVigilance USA) 
and MedSource have included the addition of key new 
senior team members. Despite the COVID-19 pandemic, 
employment throughout the Group grew from 850 
employees to around 1,150 over the course of 2020.

12

Annual Report and Accounts 2020

Executive Chairman’s statement continued

We are delighted to welcome our new colleagues to 
the Group. These additions to the Ergomed global  
team reflect the growing strength and ambition of  
our business, add to our high-quality professional 
experience and strength in depth and bolster 
Ergomed’s growth potential. 

COVID-19
The COVID-19 virus outbreak was a dominant factor for 
global businesses during 2020. Ergomed’s response to 
the pandemic continues to demonstrate the robustness 
and resilience of our services business model which, 
together with the hard work and dedication of all our 
colleagues, has been highlighted during this  
challenging year. 

Health and safety
Throughout the pandemic, our priority has remained  
the health and safety of our employees and the 
maintenance of our service to all the patients and 
medical staff involved in our clinical studies and 
pharmacovigilance services. 

We took stringent hygiene measures across all our sites 
and cancelled unnecessary travel. Our established 
business continuity plans enabled the Group to transition 
to home working and we continued to provide clinical 
study and pharmacovigilance monitoring services in 
support of all our patients and medical partners. We saw 
a temporary reduction in our ability to provide on-site 
monitoring services in our CRO business particularly in 
H1, but elsewhere there was no impact on our service 
levels or productivity metrics, and the quality and scale 
of the care provided to our patients and the healthcare 
profession continued at normal levels. 

Business continuity
Ergomed’s services in both clinical research and 
pharmacovigilance are provided under long-term 
contracts in order to meet monitoring needs essential 
for medical research as well as legally mandated 
pharmacovigilance requirements. We have not seen a 
material COVID-19 impact on our business or our 
performance metrics, nor major delays or cancellations 
to studies or contracts. The slowdown in monitoring 
experienced in the CRO business in the second quarter 
of 2020 was replaced by a return to growth in the 

second half of the year, with revenue higher than in the 
first half of the year and in the corresponding period in 
2019, as remote monitoring was implemented combined 
with a limited return to near normal levels of onsite 
monitoring in H2. In addition, our development activities 
continued in the second half of 2020 providing a strong 
sales performance and a significant uplift in our order 
book at the end of the year. 

Risk mitigation
Ergomed maintained a robust financial position 
throughout the year, with strong cash generation and 
substantial cash balances. We continue to monitor 
closely the rapidly evolving situation and see no 
significant immediate risks to the Group’s revenues or 
operations, however, plans for financial risk mitigation 
are in place if necessary. The Group has a strong 
balance sheet and an unutilised £30 million credit 
facility and is continuing to prove resilient in the face  
of the risks posed by COVID-19. 

Our contribution to the global fight against 
COVID-19 
Ergomed was proud to make an ongoing contribution to 
the global effort to overcome the challenges created 
by the spread of the COVID-19 virus. We continued to 
provide our clinical trial and monitoring services for our 
existing and new clients and patients to the highest 
professional standards. 

At the same time, we provided our clinical research as 
well as pharmacovigilance services for new projects 
designed to combat the virus. A number of COVID-19 
related studies and contracts are continuing, and our 
business development pipeline includes significant 
further opportunities. 

Conclusion
Ergomed’s success in 2020 reflects the resilient business 
model and robust position of the business as well as the 
hard work and dedication of all our colleagues in a time 
of exceptional challenge. I would like to thank everyone 
at Ergomed for their contribution during the year, and our 
investors for their continued support.

Miroslav Reljanović
Executive Chairman
22 March 2021

 
StratEgic rEport

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Financial StatEmEntS

13

Responding to COVID-19

Demonstrating resilience and the ability 
to contribute to a global health crisis

Our priorities and key mitigating actions

Keeping our people safe

Maintaining patient safety

In a short period, our workforce was working remotely 
with the best possible technology. Our essential workers 
continued to support clients and patients. Our 
employees showed resilience in adversity; we did not 
have any redundancies or furlough any staff. We 
provided equipment and training to enable our staff to 
move to a flexible work arrangement and help address 
their family needs in these challenging times.

Our priority is always patient safety. Where regulations 
allowed, clinical trial management and patient 
monitoring activities were moved on to Ergomed’s 
remote and centralised clinical trial management 
systems and we worked carefully with each study 
sponsor to monitor patient safety. All PV staff and 
operations were seamlessly moved to remote working 
with no impact on patient safety monitoring. 

Maintaining client service

Contributing to COVID-19 research

As well as working with study sponsors to enable 
remote monitoring and maintain patient safety, we also 
ensured that we had regular communication with 
sponsors and study-specific COVID-19 risk 
management plans established. In the majority of cases 
Ergomed was able to continue to progress trials and 
meet key milestones.

We were pleased to be selected by our clients to help 
contribute towards efforts to overcome the pandemic. 
After initially being involved in the successful design 
and implementation of the Siltuximab study (see 
COVID-19 case study – page 14) we were engaged by 
further partners to help with CRO and PV activities.  
We were keen to support and be involved with any 
efforts to overcome COVID-19.

Resilience of our business model

We have seen that Ergomed’s business model has been 
resilient to the impact of COVID-19, with PV revenues 
growing and CRO revenues remaining flat. 

•  Focus on rare disease and oncology – due to the 

critical nature of these trials, these were among those 
areas least affected.

Restrictions on movements meant that access to patients 
for CRO monitoring visits were heavily impacted with 
leading listed CROs reporting restricted site access in 50 
to 80% of trials at the pandemic peak. We estimate that up 
to 42% of Ergomed’s CRO operating activities have been 
impacted to some degree by COVID-19 during 2020.

Ergomed’s resilience is partly due to the mitigating actions 
detailed above, but is also a result of Ergomed’s business 
model: 

•  Complementary CRO and PV businesses – where 

patient access and recruitment in CRO was negatively 
impacted, the regulatory, compliance nature of the PV 
business meant that it remained consistent.

•  Technology – use of remote and centralised clinical 
trial management and monitoring activities enabled 
continued patient recruitment and monitoring. Patient 
profile software provided a holistic view of patients in 
an interactive, real-time environment allowing the 
progression of early phase studies. Existing IT 
systems were already configured for full-company 
remote working.

•  Long term client contracts – certainty around 

revenue and cash flow streams. 

•  Combined CRO and PV marketing and business 

development functions – able to quickly focus our 
sales efforts on supporting the industry’s efforts to 
find COVID-19 treatments and vaccines.

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Annual Report and Accounts 2020

Responding to COVID-19 continued

Solving the challenges faced by CRO 

COVID-19 impact on business 

Our approach

Regulatory restrictions & halts
• COVID-19 related studies are prioritised by regulatory bodies 
   causing delays in all other indications

Regulatory restrictions and bespoke regulatory intelligence tool 
ensures agile approach to comply with many regulatory changes 
throughout COVID-19 pandemic

Management of centres & logistics
• Hospitals were closed down
• Shipment of logistical equipment was hindered
• All hospitals prioritised COVID-19 patient management

Significant drop in monitoring services
• Travel and hospital restrictions did not allow for site visits
• Up to 40% of CRO revenue derives from monitoring

Unique site management model ensured continuous
communication with the sites and provided much needed support during 
the evolving situation in hospitals
Study physician support to Investigators aided in patient
identification and supported in study related procedures, resulting in 
constant recruitment on new studies and meeting milestone expectations

Hybrid model (combination of contractors and employees) ensures agile 
cost control.
Ergomed leveraged this model to reduce contractor utilisation and 
therefore maintain margins throughout

COVID-19 Case study

Ergomed continues to work with 
partners on COVID-19 related  
clinical studies

One such partner was EUSA Pharma (‘EUSA') 
and the study of Siltuximab, an interleukin 
(‘IL’)-6 targeted monoclonal antibody, in the 
treatment of patients with COVID-19 who have 
developed serious respiratory complications.

The study was sponsored by the Papa 
Giovanni XXIII Hospital in Bergamo and started 
in March 2020, at the peak of the initial 
outbreak in northern Italy. Ergomed provided 
clinical research services for the study and 
was integral to the rapid design and 
implementation of the study from a clinical 
and operational perspective.

Ergomed was proud to be able to use its 
expertise and agility to quickly develop 
protocols and patient consent forms, translate 
documents and expedite all required 
information to receive Compassionate Use 
Program (‘CUP') approval by 11 March 2020. 
Further work resulted in the study receiving 
full approval on 18 March 2020.

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Our colleagues
For us, it is a privilege to lead our employees around 
the world who work every day to earn our 
customers' trust and help them succeed. We've 
long recognised the importance of prioritising our 
employees' physical and emotional well-being, and 
that of their families. During the COVID-19 crisis, our 
focus throughout has been the Group's employees' 
safety and well-being. Ergomed was able to rapidly 
adapt to the new norms worldwide; in a short 
period, our workforce was working remotely with 
the best possible technology. 

Our essential workers kept supporting clients and 
patients. Our employees showed resilience in 
adversity; we did not have any redundancies or 
furloughs. We provided a flexible work arrangement 
for our employees to address their family needs in 
these challenging times and we are increasing our 
mental health offerings to help staff cope with this 
health crisis's ongoing changing conditions. 

Ergomed’s COVID-19 taskforce meets bi-weekly to 
manage business continuity and to keep the staff 
informed.

COVID-19 timeline

Mid March 2020 

•  Ergomed announces 
provision of clinical 
research services  
for the Siltuximab 
Clinical Study.

End of March 
2020 

Ergomed provides 
drug safety services 
to assess the effect of 
a rheumatoid arthritis 
treatment on patients 
with severe COVID-19 
infection.

June 2020 

Due to UK government 
COVID-19 measures, 
Ergomed’s AGM is held 
as a closed meeting.

September 2020 

Ergomed’s interim 
results demonstrate the 
business’s robustness.

December 2020 

Due to continued travel 
restrictions, Ergomed 
completes the due 
diligence and acquisition 
of MedSource in the  
US remotely.

2020

End of March 2020 

Ergomed implements 
a range of employee 
safety measures and 
successfully transitions 
to a fully remote  
working operation 
across all countries.

April 2020 

Ergomed announces 
provision of clinical 
research services  
for the Namilumab 
Clinical Study.

July 2020 

Ergomed releases trading 
update which is materially 
ahead of market 
expectations despite 
COVID-19 challenges.

November 2020 

Ergomed completes a 
Capital Reduction using 
remote conferencing for 
court hearings.

2021

16

Annual Report and Accounts 2020

Our business model

We have a differentiated, sustainable and flexible  
business model. It’s the platform for our growth strategy 
and generates value for our key stakeholder groups.

We leverage our resources, 
relationships and competitive 
advantage...

... to deliver our services and  
  supporting activities...

Global coverage

Ergomed has a comprehensive network of 
PV and CRO experts in locations throughout 
Europe and has significantly expanded its 
North American operations.

Specialist knowledge 
and expertise

Ergomed’s management and staff are highly 
qualified and knowledgeable in  
their specialist fields of expertise.

Long-term client 
relationships

Ergomed prides itself on building long-term 
and trusted client relationships through all 
phases of clinical development, and 
post-approval pharmacovigilance.

Technology

Ergomed continues to invest in automation 
and digital transformation to provide a more 
valuable service to clients across the CRO 
and PV businesses.

Recognised brands

The Ergomed group includes PSR Orphan 
Experts and MedSource, both of which have 
been amalgamated under the Ergomed 
Clinical Research brand, and PrimeVigilance. 
Ergomed and PrimeVigilance are highly 
visible within the mid-tier CRO and  
PV markets.

What we do
Ergomed’s complementary full services offering, with 
its 20-year track record in specialist clinical research 
and strength in pharmacovigilance, provides significant 
benefits to clients across the pharmaceutical and 
biotechnology industries.

CRO services

•  High-quality contract research and clinical trial 

management across all phases (I to IV)

•  Innovative site-support services

•  Plan, manage, monitor and report on the most 

complex clinical trials

•  Specialism in rare disease and oncology trials

PV services

•  Essential – case processing, reporting and statutory 

filing, internal audits

•  Intermediate – signal management, risk evaluation 

and management, qualified person oversight, 
external audits/inspections

•  Premium – pharmacoepidemiology, risk mitigation 

protocols, referral procedures, strategic consultancy

Underpinned by

Strategic acquisitions
We have completed eight acquisitions since IPO in mid-2014, 
including two in 2020 in the US, demonstrating our ability to 
successfully identify and integrate businesses.

... to deliver our services and  

  supporting activities...

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... and create value for  
  our stakeholders

Clients

Partnering with Ergomed gives clients global access 
to specialist CRO and PV services across all product 
lifecycle phases. Ergomed’s specialist knowledge and 
staff expertise, investment in technology and patient 
advocacy deliver a value-enhancing and efficient 
service to clients.

Colleagues

Through a positive work environment which promotes 
diversity and inclusion, we allow our colleagues to meet 
their potential and thrive in their chosen profession.

Suppliers

Ergomed believes in building long term supplier 
partnerships through shared values of knowledge, 
expertise and transparency. These partnerships, 
combined with financial stability, allow sustainable 
growth for both Ergomed and its suppliers.

Patients and communities

Having been founded by a physician, Ergomed has a 
long history of putting patients and their families at 
the centre of the work it does. Through a focus on 
patient advocacy, Ergomed is increasing patient and 
community engagement and improving the discovery, 
development, and evaluation of new effective 
medicines.

Investors

Organic growth, underpinned by highly qualified 
management and staff, strategic acquisitions in 
growth markets and investments in technology are 
delivering sustainable shareholder value.

   See more on our stakeholder engagement on pages 34 to 37

Complementary 
capabilities

Ergomed’s comprehensive range of services in 
both the PV and CRO sectors are complementary 
and allow it to support pharmaceutical and 
biotechnology companies through all phases of 
clinical development, post-approval 
pharmacovigilance and medical information 
services.

Experienced 
leadership

Governance 

   See pages 48 to 49

   See pages 50 to 53

Patient advocacy

   See page 43

18

Annual Report and Accounts 2020

Our strategy

Our strategy is to build a profitable high-growth  
business targeting global leadership in specialised  
pharmaceutical services

Strategic objectives

•  Outpace CRO and PV market growth by leveraging 

brand strengths

•  One-stop shop for all our customers’ clinical trial 
outsourcing and pharmacovigilance requirements

•  Continue to realise pharmacovigilance and clinical 
research synergies and cross-selling opportunities

•  Augment organic growth with strategic and 

selective acquisitions

•  Integrate recent acquisitions to consolidate US 

coverage and growth potential

•  Strengthen geographical footprint through 

expansion to developing regions

•  Increase investment in people, attracting the best 

talent worldwide, and foster personal growth within 
our business

•  Invest in technology and digital transformation to 

enhance client and patient service

GROW

BUILD

INVEST

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Miroslav Reljanović
Executive Chairman

“Ergomed’s success in 2020 reflects the resilient business 
model and robust position of the business as well as the 
hard work and dedication of all our colleagues.”

2020 performance

2021 focus

Revenue CAGR last 6 years

20%+

Adjusted EBITDA growth in 2020

55%

Ashfield acquired order book

$9.8m

MedSource acquired order book

$63.5m

Number of staff recruited or added 
during 2020 

295

Number of cases processed

275,000+

•  Realise pharmacovigilance and clinical 
research synergies and cross selling 
opportunities available as a result of recent 
acquisitions

•  Differentiate service through a focus on 

quality led by expert professionals

•  Build geographical presence in new and 

developing regions such as Japan and India

•  Integrate MedSource acquisition and 
establish a strong US CRO presence 
alongside the PrimeVigilance USA brand 
(formerly Ashfield Pharmacovigilance)

•  Carefully review and consider acquisition 
opportunities which are complementary 
and accretive

•  Continue to realise growth through the 
recruitment and training of our people

•  Provide a world class service through 

investment in automation technology to 
enhance client and patient service

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Annual Report and Accounts 2020

Strategy in action

GROW

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Geographical expansion and integration
With revenue CAGR of over 20% since the initial public offering in 2014, Ergomed has established 
a strong track record of growth across both its CRO and PV businesses. This growth has been 
driven organically through establishing trusted customer relationships, a differentiated service 
specialising in oncology and rare disease, our market-leading pharmacovigilance service and 
expertise, and our highly experienced and professional staff. 

During 2020, Ergomed’s North American business grew 48% organically and this was 
supplemented by the acquisition of Ashfield PV in January 2020, resulting in the overall  
North American revenue growing 82% to £46.7 million. Future revenue growth is expected to 
continue in this key market as a result of Ergomed’s expanded presence and the integration  
of MedSource, which was acquired in December 2020.

Ergomed is committed to sustaining future growth through the realisation of synergies, its 
investment in people and technology and cross-selling opportunities arising from its established 
CRO and PV activities. This will continue to be supported and supplemented through further 
strategically aligned acquisitions, complementing and strengthening the existing CRO and PV 
service offerings and giving access to new customers and geographies.

Cross-selling opportunities
By offering CRO and PV services Ergomed is able to assist clients in managing clinical 
development from ‘first patient’, through to regulatory approval and post-marketing studies.  
The complementary business streams and combined CRO and PV marketing and business 
development functions have facilitated enhanced cross-selling opportunities and client 
retention. In 2020, total cross-selling awards were £8.6 million, with over £50.0 million of  
further opportunities in the business development pipeline at the end of the year.

CRO and PrimeVigilance

PrimeVigilance 
Sales to  
CRO Clients

£20.6m

Current Pipeline

£51.0m

CRO Sales to  
PrimeVigilance 
Clients

£30.4m

£1.3m

£8.6m

£7.3m

Contracted in 2020

22

Annual Report and Accounts 2020

Strategy in action continued

BUILD

Successful acquisition of 
PrimeVigilance USA  
and MedSource

In addition to the strong organic 
growth across the CRO and PV 
sectors, Ergomed is looking to 
supplement growth through 
selective acquisitions to allow 
more rapid expansion in key  
high growth markets and 
developing regions.

During 2020 Ergomed was pleased 
to announce two further 
acquisitions, Ashfield 
Pharmacovigilance Inc. (‘Ashfield’) in 
January 2020 and MS Clinical 
Services, LLC (‘MedSource’) in 
December 2020. Both Ashfield and 
MedSource are based in the US and 
offer Ergomed increased PV and 
CRO access and operational 
coverage in the strategically 
important North America market.

Both acquisitions were fully funded 
out of operational cash-flows 
allowing the group to maintain 100% 
of its £30 million credit facility with 
its bankers.

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Acquisition of Ashfield
Ashfield is a US pharmacovigilance services provider which Ergomed 
acquired on 13 January 2020 for $10 million from UDG Healthcare. 
Upon acquisition Ashfield became part of Ergomed’s PrimeVigilance 
brand and changed its name to PrimeVigilance USA Inc. (‘PV USA Inc.’).

The acquisition and successful integration of PV USA Inc. during 2020 
have significantly bolstered PrimeVigilance’s operational presence in 
North America allowing it to more effectively service its customers 
and fully access the largest geographical PV market. The combination 
of PrimeVigilance and PV USA Inc. has resulted in significant 
economies of scale realised through complementary staff expertise 
and leveraging existing technology platforms.

At acquisition
•  Revenue $11.6m¹
•  Adj. EBITDA $0.9m¹
•  Order book $9.8m
•  40 new clients
•  67 US-based staff

1  Year ended 30 September 2019

At acquisition
•  Revenue $19.3m2
•  Adj. EBITDA $0.9m2
•  Order book $63.5m
•  Over 20 new clients
•  110 US based staff

2  Year ended to 31 December 

2020

Acquisition of MedSource
MedSource is a specialist US-based clinical research organisation 
which was acquired by Ergomed on 11 December 2020 for an initial 
consideration of $16.2 million in cash and $1.8 million in equity with 
the potential for further consideration of up to $7.0 million based on 
MedSource’s results for the 2021 year.

As part of the ongoing integration of this recent acquisition, in  
April 2021 MedSource was rebranded and now forms part of 
Ergomed Clinical Research.

The acquisition of MedSource aligns with Ergomed’s strategy to 
grow its existing profitable services business both organically and 
through acquisition and advances a number of important objectives 
for Ergomed, including:

Complementary specialisms  
MedSource is highly complementary to Ergomed’s existing 
capabilities having participated in over 200 oncology and rare 
disease clinical trials over the past 20 years. 

Geographical growth  
MedSource’s significant North America operations will further 
accelerate Ergomed’s growth in this market, with additional offices 
in Houston, Raleigh and Boston in the US.

Significantly increases Ergomed’s order book  
MedSource joins Ergomed with an existing order book of  
$63.5 million as at 31 December 2020 providing high forward-
visibility of contracted future revenue.

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Annual Report and Accounts 2020

Strategy in action continued

INVEST

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Investment in people, recruitment and training
Ergomed recognises that the investment it makes in people is at the forefront of delivering its 
vision. Over 40% of our workforce has a PhD, MD, or advanced degree qualification and we 
recognise that continued training and personal development is important to staff development, 
retention and delivering excellent client service. 

During the year Ergomed designed and delivered six key training programmes to operational 
staff focusing on leadership, management, technical knowledge and soft skills. These were 
attended by 319 attendees who completed almost 800 hours of training. All staff were also 
required to participate in data protection and information privacy training.

In addition to this, Ergomed’s team of experts ran eight webinars during 2020 covering a range of 
significant subjects across the CRO and PV sectors. These free webinars were open to external 
participants, as well as staff, and were attended by over 1,750 participants.

As Ergomed grows, it continues to recruit and retain the best talent. During 2020 Ergomed 
welcomed 177 new employees through the acquisition of Ashfield and MedSource but also 
recruited an additional 120 staff and promoted over 250 staff.

Investment in technology
Ergomed is continuing to invest in technology and digital transformation to enhance client and patient 
service. Investment in automation technology will provide a world class pharmacovigilance service 
through allowing faster analysis and reporting of adverse medical events. This will deliver organic 
growth more efficiently, with the automation of manual, repetitive processes freeing up valuable hours 
for highly trained pharmacovigilance professionals to focus on value-creation and problem solving that 
only humans can address.

PrimeVigilance announced a strategic collaboration with Automation Anywhere, a global leader in 
Robotic Process Automation (‘RPA'), and DataRobot, the leader in enterprise artificial intelligence (‘AI'), in 
May 2020. A proof of concept has been completed, and PrimeVigilance is now in the process of 
implementing a cloud-based software solution to automate specific pharmacovigilance processes.

In the CRO business, we plan to play a significant role in the global trend, accelerated by COVID-19, 
towards digital transformation of clinical trials. This includes electronic consenting and patient records, 
wearable and home-based technologies for remote monitoring, virtual and telemedicine as standard 
of care, and risk-based monitoring and remote data verification. These investments are expected to 
build on Ergomed’s leadership position with service offerings to our international client base, as well as 
providing further potential for profitability improvement.

PV digital transformation

•  Development of applications for automated Adverse Event processing

•  First phase focused on RPA to digitise simple Adverse Event reports

•  Machine learning to be deployed during next phase, for more complex reports,  

as precursor to full case processing

•  Plan to achieve significant automation within three years

•  Drawing on previous experience with digital transformation in banking and insurance

26

Annual Report and Accounts 2020

Operational review

Pharmacovigilance (‘PV’)
Pharmacovigilance (‘PV’)

Regulatory context
The increasing global requirement for pharmacovigilance 
services coupled with a perpetual drive to improve drug 
safety through regulation continue to facilitate the 
transition towards specialist outsourced PV providers and 
general market growth. 

In Europe, the implementation of Good 
Pharmacovigilance Practice (GPvP) in 2012 and 
subsequent mandatory compliance has led to an 
increased demand for outsourced PV services and been a 
consistent driver for Ergomed’s growth. In the US, the 
existing stringent PV regulatory regime continues to be 
regularly strengthened on an ongoing basis. Similarly, PV 
regulation continues to be rolled out in the Middle East, 
China and South East Asia, providing further growth 
opportunities for Ergomed’s PV business. Ergomed 
intends to continue to leverage existing partnerships in 
these regions to facilitate growth and meet  
client requirements.

The latest regulation to affect Europe is Brexit, as a result 
of which the UK will no longer fall under the EU GPvP 
jurisdiction. This is expected to add regulatory complexity 
and drive further demand for specialist outsourced  
PV services.

Financial performance
The addition of PV USA and the strong organic growth of 
the PV business saw revenues increase by £19.7 million 
from £35.4 million in 2019 to £55.1 million in 2020 (55.6% 
increase) of which £9.3 million was due to the addition of 
PV USA. Margins continued to be strong for the PV 
business increasing from 51.5% in 2019 to 52.0% in 2020.

Sales awards and order book
PV new business in 2020 was primarily driven by North 
America which accounted for 90% of repeat business 
and 72% of new business. The contracted order book 
grew from £54.6 million in 2019 to £79.8 million at the end 
of 2020, an increase of 46.2%. 

In 2020 there was a strong 
operational and financial 
performance from both of the 
Group’s businesses, 
Pharmacovigilance (PV) and Clinical 
Research Services (CRO). We 
continued to execute our strategy 
of delivering world-class PV and 
CRO services to our customers, 
whilst fostering business 
development and cross-selling 
opportunities between these two 
highly complementary businesses. 
Despite the challenges of the COVID-19 pandemic, 
Ergomed demonstrated resilience and maintained its 
momentum in 2020. The Group has begun 2021 from a 
position of strength, with a robust financial platform and 
a proven growth strategy, ensuring that we are well 
positioned to achieve the longer-term strategic priorities 
of the business.

Consistent growth
PV revenue (£m)

Dec 20

Dec 19

Dec 18

Dec 17

Dec 16

Dec 15

Dec 14

Dec 13

Dec 12

Dec 11

Dec 10

Dec 09

0

10

20

30

40

50

60

Exceptional client retention
PV revenue by customer cohort (£m)

2020

2019

2018

2017

2016

2015

2014

2013 
& before

2013 & before

2014

2015

2016

2017

2018

2019

2020

0

10

20

30

40

50

60

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Pharmacovigilance Case study

PV revenue 

£55.1m 

2019: £35.4m

Contracted PV order book

£79.8m

2019: £54.6m

Management and staff
In addition to the acquisition of Ashfield, the business 
continued to invest in its employees to support its 
geographical expansion, with over 250 employees being 
promoted during the year. PrimeVigilance employs 
around 50 physicians, over 300 pharmacists and other life 
sciences professionals and over 20 in-house EU Qualified 
Persons for Pharmacovigilance (‘QPPVs’) covering more 
than 60 countries. This constitutes one of the largest 
qualified teams of PV specialist professionals in any 
independent pharmaceutical services business globally 
and it continues to grow. The breadth and depth of staff 
and professionals supporting PrimeVigilance is reflected 
in the quality of services provided. Testament to this is 
PrimeVigilance’s high customer renewal and retention 
figures and the fact that PrimeVigilance participated in 
over 70 regulatory inspections with no critical findings 
relating to its activities. 

Technology investment 
Investment in technology is at the core of the 
PrimeVigilance quality first approach. During the year the 
business, in partnership with DataRobot and Automation 
Anywhere, commenced the development of a cloud-
based solution to automate certain PV processes, allowing 
faster analysis and reporting of adverse medical events.

The technology is expected to bring new levels of speed 
and intelligence to a key activity of the business, freeing  
up valuable hours for highly trained pharmacovigilance 
professionals to focus on value creation and problem 
solving that only humans can address, and helping to 
deliver a higher quality service more efficiently. The PV 
business is also consolidating its safety databases into a 
single cloud-based platform, which will drive  
further efficiencies. 

Constantly evolving regulations, geographic expansion, 
investment in technology and people, combined with the 
strength of the PrimeVigilance brand, mean that the PV 
business is well placed to continue delivering its growth 
strategy into 2021 and beyond.

Acquisition of Ashfield 
Pharmacovigilance

In January 2020 PrimeVigilance, 
Ergomed’s pharmacovigilance 
business, welcomed the addition of 
Ashfield Pharmacovigilance 
(Ashfield PV), an established PV 
provider in North America, into the 
Group. Ashfield PV was immediately 
rebranded as PrimeVigilance USA 
Inc. (PV USA) and, through its rapid 
integration into the Group, 
significantly expanded Ergomed’s 
PV offering in North America.

The acquisition immediately saw the addition of 
around 70 highly qualified and experienced staff, 
40 new clients and around $12 million of annual 
revenue from this strategically important market. 
Since then, the operational and administrative 
functions of PV USA have been fully integrated 
into the wider Group and we have already  
seen the benefits of the acquisition through 
increased economies of scale and cross-selling 
opportunities. 

The hard work and dedication of all the Ashfield 
and PrimeVigilance staff was key to making this 
business combination as successful as it has been 
to date.

 
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Annual Report and Accounts 2020

Operational review continued

Clinical Research Services (‘CRO’)

Ergomed delivers high-quality 
clinical research services through a 
comprehensive offering of clinical 
trial research support services 
covering all phases of medical 
development via a global network 
of research experts and patients. 

The CRO market has experienced significant expansion 
with high annual growth in oncology and rare disease 
research expected to continue over the coming years. 
This specific growth in Ergomed’s core focus areas is 
underpinned by broader market trends including 
increased investment in drug development by pharma-
biotech companies, a shift towards clinical trial 
outsourcing and strong growth in the number of trials in 
markets such as Asia. 

COVID-19
COVID-19 caused significant disruption to the global 
CRO market during 2020. Restrictions on movement 
meant that access to patients for physical monitoring 
visits was limited, with some leading listed CROs 
reporting restricted site access in 50% to 80% of trials at 
the pandemic peak. 

Despite these disruptions, Ergomed’s CRO business 
demonstrated robustness and resilience during the 
pandemic. While the pandemic peak did impact some of 
our clinical studies, clinical trials in rare disease and 
oncology, in which Ergomed specialises, are focused on 
critical unmet needs and were therefore among the 
therapeutic areas least disrupted by COVID-19. 
Restrictions on movement and patient access 
accelerated the trend towards remote monitoring, an 
area which Ergomed was already pioneering. During the 
pandemic, Ergomed successfully implemented remote 
and risk-based monitoring techniques, allowing clinical 
trial activities to continue even when physical access to 
sites was not possible. 

For early phase studies where frequent and timely 
monitoring of safety and tolerability is required, Ergomed 
implemented patient profile software that provides a 
holistic view of each patient in an interactive and real 
time environment. In addition, study physicians 
supported trial investigators in patient identification and 
procedures resulting in consistent patient recruitment 
and milestone achievement. 

Financial performance
Overall the CRO business saw total revenues flat at 
£31.3 million year on year (2019: £31.2 million after 
adjusting for exceptional revenues from change orders 
of £1.6 million in 2019). This included an increase in 
service fee revenue of £1.0 million to £23.7 million, 
offset by a decline of £0.9 million in zero-margin 
pass-through revenue to £7.6 million. There was also an 
increase in third party full-margin service fee revenue 
(excluding co-development) from £18.3 million to £21.5 
million, an increase of 17.5%, with almost all co-
development projects having now concluded. As a 
result of these positive trends, the service fee gross 
margin in the CRO business grew by 3.7ppts from 42.6% 
to 46.3%, highlighting the underlying strength of the 
CRO business and resilience to the pandemic. It is also 
notable that in H2 2020, the CRO business resumed 
growth with service fee revenues increasing by 13.5% 
compared to the first half of the year. 

Acquisition of MS Clinical Services LLC. and 
its subsidiaries ('MedSource')
In December 2020, Ergomed was pleased to announce 
the acquisition of MedSource, a US-based CRO 
business with over 20 years’ experience in delivering 
specialist oncology and rare disease clinical trial 
services. MedSource further strengthens Ergomed’s 
position as a high-quality oncology and rare disease 
CRO provider in the strategically important North 
American market. With the acquisition of MedSource, 
the Group welcomed the addition of 110 highly qualified 
staff, primarily based in the US, and 20 new clients. The 
work of integrating the business has already started as 
the Group looks to expand its offering in North America 
and build upon the success in 2020 which saw 65% of 
Ergomed’s CRO repeat business wins in this region. 

StratEgic rEport

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Financial StatEmEntS

29

CRO revenue 

£31.3m 

2019: £32.8m

Contracted CRO order book

£113.2m

2019: £69.5m

Sales awards and order book
The CRO contract order book grew from £69.5 million in 
2019 to £113.2 million in 2020. The combined total order 
book gives the Group excellent visibility on the rollout of 
revenue during 2021 and confidence in delivering its 
strategy of growth. 

In addition, greater patient engagement optimises  
clinical study design, outcome measures and endpoint 
development. Ergomed maintains a Patient Organisation 
Advisory Board, comprising of representatives of patient 
groups in the field of rare diseases and has a dedicated 
Patient Engagement Officer. 

Rare disease and oncology focus 
Ergomed’s CRO business works across all therapeutic 
areas, as a differentiated provider of clinical trial services 
with a particular strength in patient recruitment in 
oncology and rare disease trials. Oncology trials are 
generally very complex, although this varies with the 
type of cancer, and studies are often confronted by 
challenges including low patient enrolment, changing 
regulatory requirements, increased research costs, and 
trial protocols with increased study-related procedures. 
This explains in part why oncology trials are the biggest 
recipients of funding and makes the case for outsourcing 
to CROs who are better positioned to address these 
challenges. Ergomed’s expertise and focus on oncology 
supports its CRO growth strategy and is evidenced by 
the fact that 88% (by value) of new business wins in 2020 
related to oncology and rare disease, where similarly 
specialist expertise is also required.

Business development and  
commercial integration 
A strong business development performance in 2020 
resulted in sales increasing by 41.9% to £117.8 million (2019: 
£83.0 million). This included significant levels of new awards 
due to effective cross-selling between the CRO and PV 
businesses, bolstered by the addition of Ashfield PV in the 
USA (now PrimeVigilance USA). In 2020 total cross-selling 
awards were £8.6 million, with over £50 million of further 
opportunities in the business development pipeline at the 
end of the year. Key to new contract wins in both CRO and 
PV services was Ergomed’s broader geographic footprint 
arising from organic expansion into the USA and Asia, as 
well as its ability to offer increased services and broader 
geographic coverage to the newly acquired PrimeVigilance 
USA client base. As a result, the order book increased to 
£193.0 million at the year end, up 55.5% over the course  
of 2020.

Patient and clinician focus
Ergomed’s focus on rare and orphan drug development is 
one of its core strengths. Drug development for rare and 
orphan diseases is challenging for many reasons, including 
complex biology, limited knowledge of the history and 
progression of the disease and the inherently small patient 
population available for clinical trials, who are usually 
geographically dispersed. Ergomed’s focus on physician 
support teams helps ensure efficient patient recruitment, 
patient retention and clinical trial management of complex 
studies. Through the PSR Orphan Expert brand and the 
recent addition of MedSource, Ergomed distinguishes itself 
from peers in the market.

With the addition of MedSource and the continuing focus 
on patient needs, the CRO business is well placed to 
deliver on its growth strategy in 2021. There is an increasing 
need to draw on patient knowledge and experience to 
improve the discovery, development and evaluation of  
new effective medicines. 

Outlook 
Ergomed made exceptional progress in delivering its 
strategy in 2020, despite the challenges of the COVID-19 
pandemic. The resilience and robustness of our global 
services business was demonstrated by our continued 
strong organic growth whilst completing key strategic 
acquisitions in the US in both our pharmacovigilance and 
CRO businesses. We have started 2021 in a strong position 
focused on our vision to achieve global leadership in 
specialised pharmaceutical services addressing unmet 
medical needs and patient safety.

For and on behalf of the Board of Directors

Miroslav Reljanović
Executive Chairman
22 March 2021

30

Annual Report and Accounts 2020

Financial review

A strong financial foundation 
to support future growth

Ergomed’s financial performance 
was strong in 2020 with market 
expectations upgraded on a number 
of occasions. With the transition to a 
fully services-based business model 
now largely complete, the Group’s 
complementary CRO and PV 
divisions continued to trade strongly 
despite the impact of the pandemic. 

Gross and net margins continued to improve 
throughout the year. This was in part due to effective 
cost control both at the cost of sales and general and 
administration levels, coupled with the successful 
integration of recent acquisitions and continuing 
investment in technology. Effective management of 
working capital and the new £30.0 million credit facility 
established in March 2020, which remains undrawn, 
also contributed to the overall strong financial position 
of the Group. The balance sheet has been further 
strengthened by the elimination of exposure to 
previous co-development investments. The capital 
reduction, approved unanimously by the Group’s 
shareholders in October 2020, together with 
significantly increased profitability in the past two years, 
have increased the Group’s consolidated retained 
earnings by over £50 million.  

KPIs and APMs
Key Performance Indicators (KPIs)
The table below summarises the KPIs that management 
uses to measure the financial performance of the Group.

£ millions (unless otherwise stated)

Total revenue

 CRO (Note 1)
 PV

Gross profit
Gross margin
EBITDA
Adjusted EBITDA
Basic adjusted earnings per share 
Cash generated from operations
Cash and cash equivalents
Order book

2020

86.4

31.3
  55.1

39.7
45.9%
18.4
19.4
25.8p
19.0
19.0
193.0

2019

68.3

31.2
35.4

29.5
43.3%
9.2
12.5
19.9p 
11.7
14.3
124.1

Note 1: CRO Revenue in 2019 is stated after adjustment for exceptional 
revenues of £1.6m.

Alternative performance measures (‘APMs')
In measuring and reporting financial information, 
management reviews Alternative Performance 
Measures (APMs), such as EBITDA, adjusted EBITDA 
and basic adjusted earnings per share, which are not 
defined measures under financial reporting standards. 
Management believes that these measures, when 
considered in conjunction with defined financial 
reporting measures, provide management and 
stakeholders with a broader understanding of the 
performance of the business.

2020

2019

2018

£39.7m

£29.5m

£19.3m

Gross profit

£39.7m

2019: £29.5m

Strategic report

governance

Financial StatementS

31

Richard Barfield
Chief Financial Officer

2020

2019

2018  2.3M

£19.4m

£12.5m

“Ergomed is well placed to trade strongly 
into new opportunities for organic growth 
and expansion through M&A activity.”

Adjusted EBITDA*

£19.4m

2019: £12.5m

Operating profit is the financial reporting measure 
under IFRS most comparable to EBITDA and adjusted 
EBITDA. The Directors make certain adjustments to 
EBITDA to derive adjusted EBITDA, which they consider 
more reflective of the Group’s underlying trading 
performance, enabling comparisons to be made with 
prior periods. Certain items, such as share-based 
payments and change in fair value of contingent 
consideration for acquisitions are non-cash items  
and reflect adjustments to expected future 
consideration payments.

Acquisition-related contingent compensation relates to 
the cash component of deferred consideration which is 
payable contingent on the continued employment of 
the vendors. These costs, together with acquisition 
costs, pay in lieu and non-compete compensation and 
exceptional items, are cash costs but are not 
considered as normal recurring trading items and 
therefore are not included in adjusted EBITDA. RDEC 
income in relation to 2017 and grants received are not 
considered as normal recurring income items and 
therefore are not included in adjusted EBITDA.

Adjusted basic earnings per share is calculated on a 
similar basis to basic earnings per share but uses a 
profit measure which, like adjusted EBITDA, is adjusted 
for non-recurring trading items (see note 15 of the 
financial statements). 

Management has previously used order book, (referred 
to in prior years as contracted order backlog) as an 
APM. Order book is the contracted value of customer 
revenue relating to in-progress performance 
obligations which are expected to be recognised in the 
future. The use of order book by management is no 
longer considered to be an APM as, from 1 January 
2018, it is now a defined financial measure under IFRS 
15 and is therefore included in KPIs. 

Operating profit is reconciled to EBITDA and adjusted 
EBITDA as follows:

2020 
£000’s

2019 
£000’s

Operating profit

13,534

5,517

Adjusted for:
Depreciation and amortisation 
charges within ‘Other selling, 
general & administration expenses’
Amortisation of acquired fair valued 

intangible assets

EBITDA
Adjusted for:
Share-based payment charge
Acquisition-related contingent 

compensation

Change in the fair value of contingent 

consideration for acquisitions

RDEC income (2017)
Grants in recognition of employment 

creation in Serbia 

Acquisition costs
Pay in lieu and non-compete 

compensation
Exceptional items

Adjusted EBITDA 

3,511

3.041

1,332

671

18,377

9,229

742

870

–

87

–
(527)

(307)
853

(512)
–

–
393

232
–

–
2,427

19,370

12,494

32

Annual Report and Accounts 2020

Financial review continued

2020

2019

2018

1.9p

25.8p

19.9p

2020

2019

2018

£2.0m

£11.7m

£19.0m

2020

£193.0m

2019

2018

£124.1m

£109.2m

Basic adjusted earnings per share

Cash generated from operations

Contracted order book

25.8p

2019: 19.9p

£19.0m

2019: £11.7m

£193.0m

2019: £124.1m

Growth
Ergomed’s CRO and PV businesses both continued to 
show positive revenue performance through to year end, 
resulting in a strong order book to start 2021.

Revenues for 2020 totalled £86.4 million, an increase of 
26.5% over the prior year (2019: £68.3 million). CRO revenues 
were flat at £31.3 million (2019: £31.2 million after adjusting 
for exceptional revenues of £1.6 million), with the wider CRO 
sector experiencing challenges in the wake of the 
pandemic. PV revenues increased 55.6% from £35.4 million 
to £55.1 million including £9.3 million due to the addition of 
PV USA.

The 26.5% revenue growth overall was accompanied by a 
34.6% increase in gross profit from £29.5 million in 2019 to 
£39.7 million in 2020, with gross margin increasing from 
43.3% in 2019 to 45.9% in 2020 as a result of effective cost 
controls at the cost of sales level. 

The Group also concluded most of its co-development 
projects, in line with the strategy to focus on the services-
based model in both PV and CRO. As a result, the Group 
has reduced its overall R&D expenditure from £0.5 million in 
2019 to £0.2 million in 2020. Having recognised realised 
impairment charges and write-offs totalling £2.4 million as 
exceptional costs related to this strategic focus in 2019, 
there were no exceptional charges in 2020. Ongoing costs 
required to exercise prudent stewardship over the 
co-development assets are not expected to be material.

In 2020 the significant revenue growth, profitability focus 
and effective cost management resulted in an adjusted 
EBITDA of £19.4 million, an increase of 55.2% over the prior 
year (2019: £12.5 million). 

Financial strength
The growth in revenue and profitability achieved during 
2020 led to strong cash generation at an operating level. 
Cash generated from operations was £19.0 million, an 
increase of £7.3 million over the prior year (2019: £11.7 
million). The cash generated represented 99.0% of 
adjusted EBITDA and demonstrated the strong cash 
conversion capabilities of the business. 

The Group continues to strengthen its balance sheet, with 
cash and cash equivalents increasing by £4.7 million to 
£19.0 million at the year end (2019: £14.3 million). This was 
after net cash outflows on the acquisitions of Ashfield 
Pharmacovigilance in January 2020 of £7.6 million and 
MedSource in December 2020 of £4.4 million. In March 
2020 as a precautionary measure taken during the initial 
phase of the COVID-19 pandemic, £15.0 million cash was 
drawn down on the Group’s £30.0 million credit facility 
established in March 2020 with the Group’s banking 
partner, HSBC UK Bank plc. This cash was held in the 
bank and remained unutilised until it was repaid in full in  
August 2020.

In October 2020, a capital reduction was unanimously 
approved by shareholders, whereby the amounts of £27.6 
million standing to the credit of the share premium 
account and £11.1 million standing to the credit of the 
merger reserve were cancelled and the balances were 
transferred to the retained earnings account. As a result of 
this and the generation of distributable reserves, the 
consolidated retained earnings account of the Group 
stood at £45.4 million at the end of 2020. 

Ergomed plc has a strong balance sheet with net assets 
as of 31 December 2020 of £52.9 million up 43.8% on prior 
year (2019: £36.8 million) which includes cash and cash 
equivalents of £19.0 million (2019: £14.3 million) within total 
assets of £92.3 million (2019: £57.0 million). Consolidated 
retained earnings of the Group at the year end were £45.4 
million, an increase of £50.9 million over the retained 
earnings deficit of £5.5 million reported in 2019. 

Outlook
A strong financial foundation is now in place to continue to 
support the Group on a steady course beyond the 
COVID-19 pandemic. Ergomed is well placed to trade 
strongly into new opportunities for organic growth and 
expansion through M&A activity. 

Richard Barfield
Chief Financial Officer
22 March 2021

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33

Responsible business

Environmental, Social and Governance (‘ESG’) 
matters are at the centre of Ergomed’s strategy

Our approach to ESG
Ergomed has planned, managed, monitored and 
reported over 600 Phase I-IV clinical trials with a 
range of technologies that include small molecule 
drugs, monoclonal antibodies and other targeted 
agents as well as cancer vaccines, immunotherapy, 
radioactive agents, photodynamic therapies, and 
more recently, COVID-19 vaccines. As part of the 
accurate and timely monitoring of drug safety, 
Ergomed globally processed over 275,000 patient 
cases per annum.

We recognise that Ergomed has a key role in 
improving patient health and well-being through 
supporting the safe development and monitoring 
of medicines. To ensure the long-term fulfilment of 
this role, Ergomed must always strive to  
improve its governance rigour and keep social  
and environmental matters at the heart of any  
decisions made. 

Our strategy benefiting our stakeholders 

Outpace CRO and PV market growth by leveraging brand strengths

Investors

One-stop shop for all our customers’ clinical trial outsourcing and 
pharmacovigilance requirements

Clients, Patients & Communities, 
Regulatory bodies

Continue to realise pharmacovigilance and clinical research 
synergies and cross-selling opportunities

Investors

Augment organic growth with strategic and selective acquisitions

Investors

Integrate recent acquisitions to consolidate US coverage and 
growth potential

Colleagues, Clients, Patients & 
Communities, Investors

Strengthen geographical footprint through expansion to 
developing regions

Clients, Investors

Increase investment in people, attracting the best talent worldwide, 
and foster personal growth within our business

Colleagues, Suppliers, Clients

Invest in technology and digital transformation to enhance client 
and patient service

Suppliers, Clients, Patients & 
Communities, Regulatory bodies

34

Annual Report and Accounts 2020

Responsible business continued

Stakeholder engagement

We believe that, to maximise value and secure our long-term success, 
we must listen to and engage with our key stakeholders.

Our main 
stakeholders

Clients

Their material issues

How we engage

•  Regulatory compliance

•  Professional expertise and 

service offering

•  Open and fair business 

agreements

Ergomed has a regulatory group with experienced 
leadership who engage with regulatory bodies in all the 
relevant countries as well as aligned support from our quality 
assurance group to ensure compliance. 

Our team is built up of the experienced relevant industry 
experts to support our core services of clinical trials and 
pharmacovigilance services.

We have a specialised contracts and legal team focused on 
meeting regulatory and industry standards.

We use LinkedIn, Facebook and Twitter to encourage 
dialogue with all stakeholders, including clients. We post on 
topics such as company news, exhibitions we are attending, 
webinars we are involved in, company and employee 
achievements and corporate social responsibility activities.

Colleagues

•  Opportunities for 

development, progression 
and to make a difference

•  Diversity and inclusion

•  Positive work environment 

and flexible working 
patterns

We encourage effective, professional, respectful and open 
communication at all levels both written and oral, in our 
offices globally. This is done both formally, through 
performance reviews and 360 feedback cycles, and 
informally through discussion forums and town hall 
meetings.

Suppliers

•  Long-term partnerships

•  Open and fair business 

agreements

•  Financial stability

We have stable relationships with suppliers for core service 
provisions that are based on shared values and financial 
stability. We regularly engage with suppliers and ensure that 
we pay our suppliers to agreed terms.

Regulatory  
and government 
bodies

•  Compliance

•  Openness and transparency

•  Proactive engagement with 

new regulations

We work in a strictly controlled regulatory environment and 
our specialist teams, systems and processes are designed to 
meet these requirements.

We work directly with the relevant authorities to ensure all 
relevant information is shared in a timely manner.

Our team maintains an ongoing database as well as 
specialist information departments collating up to date 
regulatory information.

StratEgic rEport

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35

Our main 
stakeholders

Patients and 
Communities

Their material issues

How we engage

•  Safety

•  Security and privacy of data

•  Engagement and 

compassion

Our staff, systems and processes are focused on ensuring 
patient safety as our number one priority.

Our legal and operations team are regularly implementing 
processes and continually monitoring our compliance with 
data privacy.

We are particularly focused on patient engagement in our 
clinical trials and appoint a Patient Engagement Officer.

Our individual offices support a variety of local charities, with 
a focus on those related to healthcare.

Investors

•  Financial performance

•  Alignment of  

long-term goals

•  Regulatory compliance and 

good governance

We regularly communicate with our shareholders through a 
variety of channels: public announcements and press 
releases using the London Stock Exchange’s Regulatory 
Information News Service (‘RNS’), analyst briefings, 
face-to-face meetings with significant institutional 
shareholders, presentations at investor conferences and 
press interviews.

We also continually update our website (www.ergomedplc.
com). This is the primary source of information about the 
Group, giving an overview of activities and detailing all recent 
announcements, significant developments, presentations, 
webinars and press interviews and our Annual Reports.

We seek feedback from investors through direct interaction 
between the Executive Chairman and Chief Financial Officer 
at meetings following our interim and final results, and 
certain other ad hoc meetings that take place during the 
year. There is also regular dialogue with shareholders via  
the Company’s nominated adviser and corporate broker, 
Numis Securities.

Rolf Soderstrom, as Senior Independent Director, provides  
an alternative route of access for communication with the 
Company by its shareholders.

We encourage all our shareholders to attend our Annual 
General Meeting, which provides a forum and time for 
shareholders to meet the Board and ask questions. 
Unfortunately, due to the COVID-19 pandemic, we were 
unable to hold a face-to-face Annual General Meeting during 
2020. In addition, the Company seeks to stay abreast of 
shareholder expectations and reactions through its 
dedicated investor email address: ir@ergomedplc.com.

36

Annual Report and Accounts 2020

Responsible business continued

Section 172
Section 172 of the Companies Act 2006 requires a director of a company to act in the way he or 
she considers, in good faith, would most likely promote the success of the company for the 
benefit of its members as a whole. In doing so, directors are required to have regard to the matters 
set out in sections 172(1)(a) to (f) of the Companies Act 2006 (amongst other relevant matters). 

A.  The likely consequences of any decision 
in the long-term
Ergomed’s strategy is focused on achieving success for 
the Group and its stakeholders in the long-term. In 
taking individual decisions which progress Ergomed’s 
strategic aims, Ergomed’s Directors consider the likely 
long-term impact of the decision, in the context of the 
principal risks facing the business.

During 2020, Ergomed’s Board approved the 
acquisitions of PrimeVigilance USA Inc (‘PV USA Inc.’) 
and MS Clinical Services LLC and its subsidiaries 
(“MedSource”) respectively. Board discussion during the 
negotiation stages of these acquisitions focused not 
only on the immediate synergies and benefits to clients 
and employees which the acquisitions would provide, 
but also on planning for the long-term, successful 
integration of the acquired businesses. The Board 
believes that the acquisitions open up the  
strategically-important US market for Ergomed,  
in both our PV and CRO businesses, and advance 
Ergomed’s long-term vision to achieve global 
leadership in specialised pharmaceutical services 
addressing unmet medical needs and patient safety. 

Another key focus of Board attention during 2020 was 
to ensure that the Group maintains a robust platform 
from which to develop long-term growth, both 
organically and inorganically. As a result, and as 
explained under our ‘Invest’ strategic summary on  
page 24, investment will be directed towards people 
recruitment and training (which are central to 
Ergomed’s business as a professional services 
provider), and automation technology. The Board 
considers and discusses management updates on both 
human resources and technology at every scheduled 
Board meeting, and a detailed Board strategy session 
dedicated to the automation of PV processes took 
place during 2020. 

B.  The interests of the company’s employees
Ergomed’s Board and management teams have been 
dedicated to ensuring employee health and safety 
during the COVID-19 pandemic, and health and safety 
reports were presented at each scheduled Board 
meeting in 2020. While many actions and decisions on 
employee health and safety were taken at executive 
management level, the Board provided management 
with a sounding board for these decisions. As the 
pandemic has progressed, the Board has been pleased 
to support Ergomed’s focus on employee mental 
health, with planned initiatives including enhanced 
employee assistance programmes for all employees.

The Board’s decision to invest in automation technology 
has the interests of Ergomed’s PV employees at its core. 
With the automation of repetitive manual processes, our 
highly qualified PV professionals will be able to dedicate 
more of their expertise to providing value-added client 
services. We expect this to enhance their professional 
development, problem-solving skills, job satisfaction 
and, in turn, retention.

C.  The need to foster the company’s  
business relationships with suppliers,  
customers and others
The Board receives regular reports on the status of key 
client relationships and any issues are discussed with 
executive management.

During 2020, the Board has continued to support the 
development of a combined CRO and PV marketing 
and business development function within the Group. 
One of the key client benefits of this combined function 
has been the ability to cross-sell the Group’s 
professional services between our CRO and PV clients 
and support them with a ‘one-stop shop’ provision.  
The Group’s expansion in the US has enhanced this 
cross-selling ability even further. During 2020, the 
Board requested regular updates on cross-selling 
opportunities from management, and a summary  
of the current pipeline for cross-selling, which is based 
on the format of our regular Board report, is set out  
on page 21.

StratEgic rEport

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37

In this section 172 statement we have set out how Ergomed’s Directors considered these matters 
in their decision making during 2020. Please also refer to ‘Our strategy benefiting our 
stakeholders’ on page 33 for a summary of how Ergomed’s strategy benefits its employees, 
suppliers, customers and community.

The Group’s corporate governance and risk 
management processes, which are overseen by the 
Board, and reviewed on a regular basis, are set out in 
more detail in the Strategic report on pages 44 to 47 
and the Governance report on pages 50 to 63. During 
2020, the Board, acting via the Audit & Risk Committee, 
instigated a review of Ergomed’s existing Anti-Bribery 
and Whistleblowing Policies to ensure they remain fit 
for purpose as the Group’s geographic footprint 
expands, particularly in the US.

F.  The need to act fairly as between members  
of the company
The Board receives regular updates on investor 
relations, including details of investor meetings, press 
interviews and investor events. The ways in which 
Ergomed communicates with its members, to ensure 
that their views can be taken into account in Board 
decision-making, are set out on pages 34 to 35 
(Stakeholder Engagement).

During 2020, the Board has made additional efforts  
to communicate with Ergomed’s retail investor 
community, and our Executive Chairman and CFO have 
each provided interviews to publications with a retail 
investor focus. A selection of these interviews can be 
found on the Group’s website at www.ergomedplc.com. 

We were pleased to report that Ergomed’s capital 
reduction, which became effective in November 2020, 
received 100% approval from shareholders.

D.  The impact of the company’s operations 
on the community and the environment
In this ‘Responsible business’ section of our Strategic 
Report, we are pleased to share the ways in which 
Environmental, Social and Governance matters are at 
the centre of Ergomed’s strategy in a more focused 
way than in our previous Annual Reports. We have also, 
for the first time, incorporated Streamlined Energy and 
Carbon Reporting (“SECR”) in the Strategic Report 
(pages 38 to 40). Ergomed’s culture is centred around 
our patient community, and during 2020 Ergomed’s 
Directors have overseen the adaptation of our 
operational processes so that we can continue to 
support our patients despite the challenges of 
COVID-19. This is particularly relevant to Ergomed’s 
CRO business, which has traditionally relied upon 
face-to-face patient monitoring visits. Further 
information about how Ergomed’s CRO business has 
solved the challenges presented by COVID-19 can be 
found on page 14.

The Board is proud to support Ergomed’s purpose of 
bringing expertise to deliver medicines our world can 
trust, and, as part of the global healthcare community, 
Ergomed has been part of the frontline efforts to find 
medical solutions to the COVID-19 crisis. Please refer  
to our COVID-19 case study on page 14 for further 
information.

E.  The desirability of the company  
maintaining a reputation for high  
standards of business conduct
It is the Board’s belief that Ergomed can only fulfil its 
strategic goals by maintaining the very highest 
standards of business conduct. These high standards 
are already embedded within Ergomed’s professional 
culture as a provider of specialist services to the 
pharmaceutical industry. Ergomed’s operations are 
carried out in accordance with standard operating 
procedures regulated by the Group’s quality 
management professionals, with client audits taking 
place on an ongoing basis. 

38

Annual Report and Accounts 2020

Responsible business continued

Environment

We take our environmental responsibility seriously and consistently try to ensure 
optimal use of our resources. By setting goals to reduce environmental impacts 
and accelerate our contributions to a resource-efficient, low-carbon, and circular 
economy, we build long-term resilience for our business, partners, and customers. 

Methodology

Scope and subject matter

The report includes sources of 
environmental impacts under 
the operational control of 
Ergomed plc and includes  
the two active UK subsidiary 
companies in 2020:
- Haemostatix Ltd. 
- PrimeVigilance Ltd. 

Ergomed is responsible for the 
internal management controls 
governing the data-collection 
process and any estimations or 
extrapolations. It is responsible 
for the data aggregation, 
greenhouse gas (‘GHG’) 
calculations and the emissions 
statements. Emissions are 
calculated according to the 
Greenhouse Gas Protocol 
Corporate Greenhouse Gas 
Accounting and Reporting 
Standard.

GHG sources included in the process: 

Scope 1:
•  Natural gas, and diesel for 
electricity-generation. 

Scope 2:
•  Purchased electricity 

(location-based method  
and market-based method 
for 2020).

Scope 3:
•  Business travel in 

employee-owned  
or hired vehicles. 

Types of GHG included, as 
applicable:
•  Carbon dioxide (‘CO2’),  
Nitrous oxide (‘N2O’),  
Methane (‘CH4’),  
Hydrofluorocarbons (‘HFCs’),  
Perfluorocarbons (‘PFCs’),  
Sulfur hexafluoride (‘SF6’), 
and  
Nitrogen trifluoride (‘NF3’).

The figures are calculated 
using DEFRA conversion 
factors, expressed as tonnes  
of carbon dioxide equivalent 
(‘tCO2e’).

Energy efficiency action
taken (in 2020)
Due to the impact of COVID-19, 
Ergomed made no direct 
energy-efficient actions in 2020. 
However, the impact of COVID-19 
did drive the following energy 
efficiencies: 
•  A reduction in travel (both 

business and commuting), and 
•  Reduced energy requirements 
in Ergomed’s office spaces as 
a result of a move to remote 
working. 

planned (for 2021)
In 2021, Ergomed is planning the 
following to enhance energy-
efficiency within  
the company: 
•  As a result of remote working 
– reduce office floorspace 
where possible, 

•  Promote remote working for 
all staff where practical, 
•  Begin considerations into 

promoting the use of electric 
or hybrid vehicles (for 
overseas leased vehicles), 
•  Focus on encouraging low 

carbon alternative modes of 
transport (eg rail travel) to 
reduce business travel in 
employee vehicles, which 
would lead to a reduction in 
fuel consumption.

Intensity ratio (by revenue)

1.13

Intensity ratio (by employees)

0.60

 
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Streamlined Energy and Carbon Reporting (‘SECR’) 

Ergomed has reported Scope 1 and 2 (and associated Scope 3) GHG emissions in accordance with 
the requirements of Streamlined Energy and Carbon Reporting (SECR). This includes emissions  
for the first mandatory reporting year – the 12 months started 1 January 2020 and ending 
31 December 2020.

Company SECR 2020 mandatory reporting (in tCO2e), as follows:
SECR

Energy consumption used: (kWh)
Electricity
Gas
Transport fuel
Other energy sources
TOTAL
Emissions (tCO2e)
Scope 1
Emissions from combustion of gas 
Emissions from combustion of fuel for transport purposes 
Scope 2
Emissions from purchased electricity - location-based* 
Emissions from purchased electricity - market-based** 
Scope 1 & 2
Total Scope 1 & 2 emissions (location-based method)
Total Scope 1 & 2 emissions (market-based method)
Scope 3
Emissions from business travel in rental cars or employee vehicles 

where company is responsible for purchasing the fuel

Emissions from upstream transport and distribution losses and 

excavation and transport of fuels - location-based

Emissions from upstream transport and distribution losses and 

excavation and transport of fuels - market-based

Total location-based tCO2e
Total market-based tCO2e
Intensity ratios:
Revenue £m (UK companies only)
Intensity ratio: tCO2e from Scope 1, 2 & 3 (fuel for business travel 

only) / £m (location-based)

Number of full time employees within financial year (UK FTE)
Intensity ratio: tCO2e from Scope 1, 2 & 3 (fuel for business travel 

only) / FTE (location-based)

Methodology

Certification and External Verification

0.60
GHG Protocol Corporate Accounting and 
Reporting Standard
Calculated and verified as accurate by 
Green Element Limited and Compare 
Your Footprint Limited, UK.

* 

Location-based electricity (Scope 2) emissions use the average grid fuel mix in the region or country where the electricity was 
purchased and consumed. For SECR, location-based is mandatory. 

**  Market-based electricity (Scope 2) emissions use the actual fuel mix consumed by Ergomed plc. 

UK 2020

164,521
222
–
67,442
232,185

0.04
–

38.36
47.60

38.40
47.65

16.72

13.36

15.76
68.48
80.13

60.39

1.13
115

40

Annual Report and Accounts 2020

Responsible business continued

Environment continued

Optional additional Streamlined Energy and Carbon Reporting (‘SECR’)
Although optional, emissions for the 2019 reporting year – from 1 January 2019 to 31 December 
2019 – have been included to produce year on year comparisons. This has been presented as an 
additional table below.

Energy consumption used: (kWh)

Energy usage – electricity and gas

Transport fuel

Other energy sources

TOTAL

Emissions (tCO2e)
Scope 1 & 2

Total Scope 1 & 2 emissions  
(location-based method*)

Scope 3

Emissions from business travel in rental cars or 
employee vehicles where company is responsible 
for purchasing the fuel

Emissions from upstream transport and distribution 
losses and excavation and transport of fuels - 
location-based

Total location-based tCO2e
Intensity Ratios:

UK 2019  
(optional)

UK 2020

Year-on-Year 
Change (%)

213,558

164,743

-22.86%

–

83,377

296,935

–

67,442

232,185

–

-19.11%

-21.81%

54.58

38.40

-29.65%

21.36

16.72

-21.72%

18.35

94.28

13.36

68.48

-27.15%

-27.36%

Revenue £m (UK companies only)

52.32

60.39

15.43%

Intensity ratio: tCO2e from Scope 1, 2 & 3  
(fuel for business travel only) / £m (location-based)

Number of full time employees within financial 
year (UK FTE)

Intensity ratio: tCO2e from Scope 1, 2 & 3  
(fuel for business travel only) / FTE (location-based)

1.80

90

1.05

1.13

115

-37.08%

27.78%

0.60

-43.15%

Methodology

Certification and external verification

GHG Protocol Corporate Accounting and Reporting 
Standard

Calculated and verified as accurate by Green Element 
Limited and Compare Your Footprint Limited, UK.

* 

Location-based electricity (Scope 2) emissions use the average grid fuel mix in the region or country where the electricity 
was purchased and consumed. 

 
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Social

Gender diversity in 
management roles

  Women 

  Men 

58%

42%

Workforce with Ph.D., MD,  
or advanced degrees

40%

Employees attending internal 
training sessions

319 

Colleagues

At its core, Ergomed’s strength 
lies in its talented people. 
Ergomed currently employs 
over 1,100 employees and 
contractors across 21 offices 
worldwide. We have 
significantly grown the number 
of people employed by the 
business over the past few 
years and this growth is a 
product of organic and 
inorganic activities. In 2020 we 
successfully acquired Ashfield 
and MedSource, strengthening 
our offerings in the region and 
adding over 175 new people. 
Our internal team of human 
resources (‘HR’) and talent 
acquisition partners are 
continually working to ensure 
everyone is successfully 

onboarded into the business 
and we maintain a healthy 
pipeline of recruitment to allow 
us to continue to quickly 
engage high-quality talent and 
maintain our growth potential. 

We strive to make our 
workplace more diverse and 
inclusive to enable us to better 
serve our customers 
worldwide. We pride ourselves 
on having a balanced 
workforce, with 58% women 
and 42% men in management 
roles. Our professional staff 
portfolio is exceptional, with 
over 40% of our workforce  
with PhD, MD, or advanced 
degrees. 

COVID-19 and our colleagues
For us, it is a privilege to lead our employees around 
the world who work every day to earn our customers’ 
trust and help them succeed. We’ve long recognised 
the importance of prioritising our employees’ 
physical and emotional well-being and that of their 
families. During the COVID-19 crisis, our focus 
throughout has been the Group’s employees’ safety 
and well-being. Ergomed rapidly adapted to the new 
norms worldwide; in a short period, our workforce 
was working remotely with the best possible 
technology. Our essential workers kept supporting 
our clients and projects. 

Our employees showed resilience in adversity;  
and we did not have any redundancies or furloughs  
or receive any government grants or loans in respect 
of redundancies or furloughs. We provided a flexible 
work arrangement for our employees to address 
their family needs in these challenging times. We are 
increasing our mental health offerings to help staff 
cope with this health crisis’s ongoing changing 
conditions. Ergomed’s COVID-19 taskforce meets 
bi-weekly to manage business continuity and to keep 
the staff informed. 

 
 
 
42

Annual Report and Accounts 2020

Responsible business continued

Social continued

Diversity, inclusion and collaboration are 
fundamental to who we are, how we build the best 
teams, and how we drive success. A diverse 
workplace creates a vibrant culture where everyone 
is welcomed, respected, valued, and heard. 
Diversity and inclusion are paramount to success, 
but our key ingredient is a great sense of belonging. 
Our staff know they are part of a fantastic group, 
working with extraordinary partners, to improve the 
health and well-being of patients. We provide our 
employees with a culture that embraces and values 
innovation, accountability, respect, adaptability, 
resilience, and perseverance. We strive to ensure 
that our open, collaborative culture empowers 
staff to be their best selves and do their best work. 

Employees’ expectations of their experiences at 
work are evolving and they want an overall 
employee experience that fits more seamlessly 
into their lives. At Ergomed, we are continually 
looking at ways to listen to the staff, adapt, and 
offer an employee experience where employees 

are reminded of moments that matter. We 
understand that a positive employee experience 
improves attraction, retention, engagement, and 
productivity. We engage with our staff; we listen, 
identify priority areas, and collaborate with the 
teams to implement solutions and are proud to 
have high participation rates in our surveys. A great 
employee experience is when employee needs 
and organisational strategy meet.

We firmly believe in investing in continuous 
education and development of our talent to achieve 
our strategic goals and have recently created a 
dedicated Learning and Development function. This 
group is leading Ergomed’s digital transformation 
by creating a social learning environment where 
employees can share their expertise and 
experience, and learn peer-to-peer. We delivered 
six leadership, management, technical knowledge 
and soft skills training programmes during 2020 
which were attended by 319 employees, racking 
up almost 800 hours of training. 

Colleagues case study
We were delighted to have Bojana Mirosavljevic, 
Ergomed’s Patient Engagement Officer feature in  
the Autumn 2020 edition of Rare Revolution 
magazine, a key publication in the rare disease world. 
The article focused on Bojana’s inspiring story about 
her heart-breaking personal experience with a  
rare disease.

Bojana founded Zivoy-Life, an association for 
children with rare diseases in Serbia, was founder 
and chief editor of the first and only journal published 
about rare diseases in the Balkan region, and in 2017, 
established the first rare disease database in the 
Balkans. She is also known for spearheading the 
creation of new legislation in Serbia, named ‘Zoya’s 
Law’ after her late daughter, concerning the 
prevention and diagnosis of genetic and  
rare diseases.

Bojana ensures that the patient’s perspective is 
always considered during a clinical trial and we are 
delighted that her role at Ergomed helps enable her 
to continue the fight by supporting a truly patient-
centric approach to clinical trials and research. 

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Patients and Communities

There is an increasing need to draw on patient 
knowledge and experience to improve discovery, 
development, and evaluation of new effective 
medicines. Greater patient engagement offers 
many benefits for all parties, including the 
identification and understanding of unmet needs, 
research priorities, optimisation of clinical study 
design and outcome measures and end-point 
development. 

Having been founded by a physician, Ergomed has 
a long history of putting patients and their families 
at the centre of the clinical research and improving 
medicine research and development by 
incorporating patient needs and priorities. Patient 
advocacy through engagement is a key priority 
and a pillar of the strategy of the business and is 
led by a dedicated Patient Engagement Officer.

Ergomed believes that the progress and well-
being of patients and the local community should 
go hand-in-hand with the growth of the Group. It 
supports this through activities such as the Patient 
Organisation Advisory Board, graduate placements 
through local universities, helping relevant local 
charities and social initiatives, voluntarily 
presenting and teaching at clinical research and 
PV conferences and symposia, engaging with 
relevant professional societies, and other forums. 
In addition to this, the Group is proud to support 
employee-led initiatives wherever possible.

Ergomed launched a Patient Organisation Advisory 
Board to advise on the merits of differentiated trial 
processes and technologies on patients, 
engagement strategies, emerging treatment and 
patient population issues and trends.

Ergomed also provides webinars and educational 
lectures covering a range of significant subjects 
across the clinical research and PV sectors. 

Our team of experts ran eight free webinars during 
2020 which were attended by over 1,750 
participants. Of note were the following:

•  The Rare Disease team presented a patient-

focused webinar: ‘Patient Experience – What is 
it Like to Participate in a Clinical Trial?’ After 
exploring the landscape of drug development 
in the first webinar, further webinars will focus 
on what it means to participate in a clinical trial, 
emphasising the patient’s perspective. We 
believe it is paramount that patients and their 
families understand what is involved and are 
aware of their rights and obligations if they 
choose to participate in a clinical trial.

•  The Medical Writing group was pleased to be 

involved with organising and running the 
first-ever online European Medical Writers 
Association (‘EMWA') conference in November 
2020, which was attended by over 350 medical 
writers from across the globe.

•  As the UK moved towards Brexit transition we 

prepared and delivered a well-received webinar 
entitled: ‘Brexit, Impact on clinical trials being 
run in the UK', demonstrating our preparation 
and competence in providing uninterrupted 
services. Our XEVMPD and EudraVigilance 
registration teams helped to successfully 
prepare our clients for a smooth transition 
post-Brexit and have issued a FAQ to support 
sponsors and colleagues to assess the impact 
and facilitate fully-compliant safety reporting in 
the future.

Over the next year Ergomed will be introducing  
a series of forums whereby clients and patients 
talk about their experience with Ergomed.  
These forums will focus on how clinical trials have 
changed their life, and how it has given the patient 
hope. These sessions are expected to be 
extremely powerful and help all employees 
engage more fully in their work by understanding 
the impact it has on people’s lives. 

44

Annual Report and Accounts 2020

Risk management

Internal control and risk management 
The Group identifies principal risks within the business 
and documents the existing mitigations to those risks. 
Where the level of risk after existing mitigating actions 
is still deemed inappropriate, further actions will be 

designed and implemented to reduce the risks to an 
acceptable level. Internal controls are key procedures 
designed and implemented to mitigate and manage the 
overall level of risk.

Risk management framework

The Group’s risk management 
framework provides the 
structure by which the 
principal risks are managed 
and reported to the Board. 
The Board believe this risk 
management framework 
currently provides adequate 
structure to ensure that the 
business can assess the 
impact of key risks, has 
appropriate procedures in 
place to identify emerging 
and new risks, and can 
effectively report these risks 
to the Board.

Given the nature and size of 
the Group’s operations and 
the rapid expansion through 
acquisition and organic 
growth, the Board will keep 
the risk management 
framework under review.

Internal control systems 

The Board

The Board has overall responsibility for the determination of the  
Group’s risk appetite, the settting of objectives and policies,  
and has ultimate responsibility for managing risk.

Audit and 
Risk  
Committee

The Audit and Risk 
Committee formally 
reviews the 
effectiveness of our 
risk management 
processes and 
internal control 
systems 
bi-annually.

Senior 
management

Senior management 
are responsible for 
reviewing and 
monitoring the 
Group’s key risks, 
and overseeing the 
implementation and 
operation of the risk 
management and 
internal control 
systems.

Ergomed 
teams

Everyone at 
Ergomed has a role 
to play in 
identifying key risks 
facing the Group, 
and in the 
day-to-day 
management of risk 
through applying 
the appropriate 
controls, policies 
and processes.

Control procedures and 
environment
The control procedures and environment are 

ID and evaluation  
of risks 
A detailed register of financial risks is 

Financial  
information 
Financial information and reporting is 

designed to reduce risk to a level where the 

reviewed and updated regularly. Significant 

overseen by the Chief Financial Officer (‘CFO’). 

time spent on compliance procedures is not 

risks for other administration and operational 

The CFO reports the financial results to the 

disproportionate to the impact, financial or 

departments are maintained and reviewed 

senior management team and Board at least 

otherwise, of the risk materialising.

every 6 months. A more detailed and 

monthly. The financial information is subject 

structured process for regular risk 

to a high level of scrutiny both internally  

documentation and review is being rolled  

and externally.

out for the other administration and 

operational departments.

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Principal risks and uncertainties

The Board has identified the following principal risks and uncertainties that have the potential to impact the 
execution of Ergomed’s strategy and short-term results, along with mitigating actions.

A comprehensive review of the impact of COVID-19 and Ergomed’s response are set out on pages 13 to 15 –  
Responding to COVID-19.

Trend direction:

Increased risk

No change

Decreased risk

New risk

risks

movement

responses to mitigate the risks

competition
Ergomed’s competitors and potential competitors 
include companies which may have greater 
resources. The ability of Ergomed to win new or 
repeat business from existing customers is a key 
driver of the Group’s business plan and strategy and 
directly impacts its future financial stability. This 
relies upon the business development function 
continuing to deliver new, profitable contracts, 
through the contracted order book.

cancellation or delay of clinical trials or 
projects by customers including as a result  
of coviD-19
Customers may cancel or delay proposed clinical trials 
or PV projects without notice or at short notice. This may 
be exacerbated by the COVID-19 pandemic and the 
direct impact it has had on access to patients and the 
operational and financial stability of many businesses 
within the sector. The cancellation or delay of a clinical 
trial from COVID-19 or otherwise may result in Ergomed 
having underutilised staff resource and reduced 
profitability.

coviD-19 pandemic, natural disaster  
or terrorism
The occurrence of a local, national or worldwide 
event such as a pandemic, natural disaster or act of 
terrorism resulting in significant and prolonged 
disruption to operations including staff welfare, 
operational site access, IT systems and 
infrastructure, commercial contract performance 
and senior leadership and Board ability to effectively 
communicate and direct the business. During 2020 
and into 2021 the Group’s staff and operations have 
been impacted by the COVID-19 pandemic – further 
details are set out on pages 13 to 15 – Responding to 
COVID-19. In addition, our offices in Croatia were 
directly impacted by two earthquakes and the 
resulting aftershocks. No staff were injured, and the 
offices only suffered minor damage.

Simplified strategy to focus on CRO and PV service sectors 
and foster cross-development opportunities.

Chief Commercial Officer (‘CCO’) leading the combined 
CRO and PV marketing and business development teams.

Drive to provide high-quality services at competitive rates, 
drawing upon our differentiators in the marketplace.

The COVID-19 pandemic has affected all parts of 
society. Ergomed has managed the primary risks to its 
workforce and patient access through remote working 
and patient monitoring. Rare disease and oncology 
trials have been less impacted by the pandemic as 
continued treatment is critical to patient care. 
Ergomed’s concentration in these sectors has resulted 
in a lower impact on operations.

The terms of Ergomed’s contracts seek to mitigate the 
impact of cancellation or delay by structuring standard 
study close-down procedures with the customer. PV 
contracts contain provisions for transition of services.

Details on Ergomed’s response to COVID-19 are set out 
on pages 13 to 15.

Key mitigating actions taken were:

•  Formation of a COVID-19 task force, made up of a 

cross-section of management, to review and advise 
the Board and senior management,

•  Protect staff health through temporary office 

closures and moving to remote working. 

•  No staff were furloughed or made redundant,  

no grants or loans received in relation to 
redundancies or furloughs,

•  Monitored existing IT systems to ensure limited 

downtime,

•  Remote clinical trial monitoring and PV case processing,

•  Temporary draw down of £15 million debt facility  

as a precaution,

•  Scenario planning in case of worsening business 

consequences,

•  Partially reopened offices where permitted and 

increase site hygiene vigilance,

•  Stopped all but essential business travel.

The Group’s business continuity plans apply if access to 
office sites is restricted due to pandemic, natural disaster, 
or terrorism. In addition, after our offices in Croatia were 
affected by earthquakes, all local colleagues were contacted 
to check their, and immediate families’, well-being.


46

Annual Report and Accounts 2020

Principal risks and uncertainties continued

Trend direction:

Increased risk

No change

Decreased risk

New risk

risks

movement

responses to mitigate the risks

Dependency on pharmaceutical industry 
Ergomed’s current revenue results from expenditure 
by pharmaceutical and biotech businesses on 
research and development and regulatory 
compliance. Ergomed’s business could be 
negatively impacted if customers or potential 
customers in this sector were to:
• 

 reduce such expenditure, in particular by reducing 
the numbers of drugs put into clinical trials;
 seek to retain work in-house rather than 
outsourcing; and/or
 consolidate through the vertical integration of 
their businesses and choose not to engage 
Ergomed.

• 

• 

legislation and regulation of the 
pharmaceutical  
and biotechnology industries 
An element of Ergomed’s competitive advantage 
stems from its ability to navigate the regulated 
medicinal products’ approval processes and PV 
regulations which are expensive and complex. If 
there were to be substantial relaxation of such 
processes, cross-jurisdictional harmonisation or 
simplification of the legislative or regulatory 
framework, this could reduce the barriers to entry 
which prospective competitors face, thereby eroding 
the Group’s competitive advantage.

Quality and third party oversight (‘tpo’) 
Failure to maintain adequate quality, governance 
and oversight of internal and third party operations, 
and failure of third parties to meet their contractual, 
regulatory, confidentiality or other obligations, could 
lead to contractual breaches and/or regulatory 
non-compliance resulting in the loss of clients. This 
could adversely affect the Group’s growth and 
profitability strategy. More generally, Ergomed 
operates in an environment which is subject to 
detailed and complex regulation.

access to capital 
The Group’s ability to pursue its growth strategy and 
meet shareholder expectations may be dependent 
on its ability to raise capital through debt or equity.

Increases in the global number and complexity of trials, 
along with higher levels of regulation and compliance, have 
resulted in more services being outsourced to specialist 
providers as the pharmaceutical industry focuses on core 
expertise and cost savings.

In addition to this, Ergomed actively engages with its 
customers to protect its existing relationships, including 
through competitive pricing of its services, seeks to 
increase the diversification of its customer base through:

•  Customer sectors – pharmaceutical, biotech and 

generics customers;

•  Customer geography – USA and European; and

•  Product development stage – pre-product approval 
clinical trials, post-approval trials and PV services.

The regulatory environment continues to develop and 
become more complex. Although there are signs of the 
global harmonisation of regulations, particularly in high- 
growth regions such as Asia, regulatory bodies remain 
separate and compliance must be upheld in each region  
of operation.

Ergomed is a strong advocate of rigorous Good Clinical 
Practice (‘GCP’) guidelines and PV regulation.

Our management team includes professionals who are 
experts in their respective fields and, through industry 
associations, remain active promoters of regulatory 
education.

Ergomed maintains a highly professional Quality 
Assurance team and self-audit programme which checks 
on all aspects of compliance on a structured basis.

In addition, Ergomed’s processes are regularly subject to 
both client and external compliance audits. 

In line with Ergomed’s growth strategy, during the year the 
Group was cash-generative and has built up a cash and 
equivalents balance of £19.0 million at the year end.

In addition, the Group secured a debt facility of £30 million 
in March 2020 which, if required, and subject to its terms, 
could be used to fund future growth through acquisitions 
or organic means. The facility is available until March 2024.

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risks

movement

responses to mitigate the risks

United Kingdom’s withdrawal from the 
European Union (‘Brexit’) 
The process of the United Kingdom’s (‘UK’) 
departure from the European Union (‘EU’) and the 
terms of the UK’s future relationship with the EU 
have been clarified. The Group’s parent company 
and its place of listing are in the UK and its business 
in the EU is subject to EU regulation. Existing 
regulations or regulatory bodies may change or new 
regulations or bodies introduced. Other new barriers 
to trade may be implemented that may lead to 
disruption to the Group’s business processes and 
make it less convenient for the Group’s customers to 
contract with its UK entities. Depending on the future 
regulatory arrangements between the EU and the 
UK, it may become more difficult for the Group’s 
clients to transfer clinical trial and other personal 
data to the Group for processing in the UK under the 
General Data Protection Regulation (‘GDPR’) than it is 
at present. It may become more difficult for the 
Group to recruit EU employees into UK entities after 
Brexit. Many of the Group’s contracts with EU 
customers are governed by English law and subject 
to the agreed jurisdiction of the English courts, and it 
may become more complex to enforce such 
contracts, should court enforcement be required.

retention of senior and key employees 
The Group’s ability to effectively operate and deliver 
its strategy is dependent upon the retention of 
senior and key employees. Loss of these employees 
can significantly disrupt customer relationships and 
regulatory compliance. The Group has experienced 
high turnover of Executive and Non-Executive Board 
members, however this is now stabilising with a 
significantly strengthened Board and senior 
management team.

Dependence on a limited number of key 
clients
A significant proportion of the Group’s revenue is 
derived from a relatively small number of clients. 
The percentage of the Group’s total revenue 
generated by the top five clients in the year ended 
31 December 2020 was 21% (2019: 21%). The loss of 
any client which represents a significant proportion 
of Ergomed’s revenue could have a negative impact 
on operating results and cash flows.

information security (‘iS’) and data privacy
The failure to collect, secure, use and destroy 
personal information in accordance with applicable 
data privacy laws, including as a result of 
unauthorised information disclosure, could result in 
consequences which damage the Group’s ability to 
effectively provide its contracted services, namely: 
regulatory bans, breach of customer contract, 
reputational damage, financial penalties and liability 
for damages.

The Group’s business is international and it has a strong 
presence and established trading subsidiaries both in and 
outside the UK. 86% of Group revenue for the 2020 
financial year was derived from markets outside the UK 
and approximately 90% of the Group’s employees are 
employed outside the UK at the date of this report, 
including employees engaged in client work, and those 
providing internal support services. Through detailed 
preparation work and the thorough review of UK, EU and 
international regulatory processes relating to its business 
operations, appropriate steps were taken to ensure 
business continuity and a smooth transition upon 
withdrawal. Well-established procedures were and remain 
available under the General Data Protection Regulation 
(‘GDPR’) to permit the transfer of personal data outside the 
EU which, although requiring certain additional 
administrative steps, allow continued transfers of data to 
be made to the Group in the UK in compliance with GDPR 
requirements. Ergomed appointed an EU GDPR 
representative and all entities and affiliates have signed the 
Intercompany Personal Data Processing Agreement which 
safeguards the transfer of data between different 
Ergomed Group entities (worldwide). If the UK  
is granted an adequacy decision by the European 
Commission, international transfers of personal data to/
from the UK will not be affected by Brexit.

With the support of senior management and HR, the 
Remuneration Committee continues to develop its 
strategy for identifying, retaining and motivating key and 
senior employees. This is done through a mix of short and 
longer-term financial and non-financial incentives to 
ensure that employees are motivated in line with 
shareholder interests, including the use of long-term 
incentive plan (‘LTIP’) awards for senior management with 
three-year vesting periods designed to improve retention.

A significant part of the business development team’s focus 
is the generation of leads and requests for proposals from 
new clients to diversify the Company’s customer base.

The Company’s organic growth combined with acquisitions 
is diversifying the client base.

Ergomed has robust internal policies and procedures to 
ensure the protection of personal data and to ensure 
compliance with data privacy laws and protection from 
unauthorised access. All employees undergo regular 
training and procedures are tested to ensure that the 
safeguards in place are appropriate and robust.

The physical and virtual security of information includes 
controls over: access, availability, transfer and input as well 
as the separation of data processing for different purposes.

The Group aims to apply industry best practices as part of 
our data privacy and IS policies, processes and 
technologies and invest in strategies that are 
commensurate with the changing nature of the security 
threat landscape. This includes appropriate levels of 
insurance including cyber-risk.

 
48

Annual Report and Accounts 2020

Board of Directors 

Experience

Miroslav Reljanović
Executive Chairman

Richard Barfield
Chief Financial Officer

Richard joined Ergomed in  
June 2019 and has more than  
25 years’ experience at Chief 
Financial Officer level in the 
healthcare, technology and business 
services sectors in US multinational 
companies as well as in UK-listed 
and private equity-backed 
businesses. His expertise includes 
turnarounds, fundraisings, 
acquisitions and disposals, and he 
has extensive international 
experience. 

Miroslav has held several senior 
physician appointments in clinical 
trials as a consultant neurologist and 
served as a consultant to major 
international pharmaceutical 
companies. He introduced the novel 
Study Site Coordination model as  
an intrinsic part of the conduct of 
clinical studies.

In 1997 he founded Ergomed and in 
2008 he cofounded PrimeVigilance. 
Miro led Ergomed through a 
successful IPO on the London Stock 
Exchange AIM in July 2014 and since 
then has led the Group through the 
subsequent completion of eight 
acquisitions and a secondary 
offering.

Qualifications

Miroslav is a medical doctor and  
a board-certified neurologist.

Richard is a Chartered Accountant 
Fellow and holds a bachelor’s degree 
in modern languages.

Previous 
appointments

Miro was previously a physician in  
a large WHO Collaborating Centre  
in Zagreb. He has also previously 
served as a Director of Asarina 
Pharma AB (listed on the Nasdaq 
First North Exchange) and Modus 
Therapeutics Holding AB.

Richard has proven experience within 
the clinical research services sector, 
having most recently been Chief 
Financial Officer at Chiltern 
International Ltd from July 2013 to 
March 2018, which was a leading 
global mid-tier private CRO. Richard 
has also held roles as Chief Executive 
Officer, Chairman, and Audit 
Committee Chairman at various 
UK-listed companies as well as 
serving as a Board member of an 
NHS Foundation Trust.

Committee 
membership

N

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Committee key
A

Audit & Risk 

N

Nomination

R

Remuneration

Chair

Rolf Soderstrom 
Senior Independent Director

Ian Johnson 
Non-Executive Director

Michael Spiteri
Independent Non-Executive Director

Ian has spent his business career in 
life science businesses and was the 
founder and CEO of Biotrace 
International PLC, which was a listed 
company until its sale to 3M in 
December 2006. In addition to his 
Non-Executive role with Ergomed 
plc, Ian is also currently Executive 
Chairman of Circassia 
Pharmaceuticals PLC and  
Non-Executive Chairman  
of Redcentric PLC. 

Michael has held a number of senior 
leadership positions in the consulting 
and financial services industries over 
a 25-year period. He specialises in 
helping organisations implement 
technology that transforms their 
business and operating models and 
is currently Global COO for Digital, 
Data and Development in HSBC’s 
Retail Banking and Wealth 
Management business. Michael 
brings his extensive experience in 
technological innovation to help the 
Board develop Ergomed’s business 
across digital, automation and 
machine learning.

Ian studied at Cardiff University 
obtaining a BSc and MSc in 
Microbiology. He is a chartered 
biologist, and a member of the 
Institute of Biology and the Institute 
of Directors.

Most recently Ian was Executive 
Chairman of Bioquell PLC, which was 
acquired by Ecolab Inc. in January 
2019. Prior to this Ian was Non-
Executive Chairman of Quantum 
Pharma PLC, Cyprotex PLC and Celsis 
Group Ltd. He has also served on the 
Boards of various other public and 
private companies including AIM 
listed companies, Evans Analytical 
Group, MyCelx Technologies 
Corporation and AOI Medical Inc.

Michael has a degree in Mechanical 
Engineering.

Michael was previously a partner at 
PwC and held senior leadership 
positions at Accenture and IBM. He 
was involved in the early stages of 
telematics and the development of 
automation technology and business 
models in insurance and telecoms.

Rolf has over 30 years’ experience in 
finance and a track record of 
accelerating the profitable growth of 
companies and delivering 
shareholder returns. Rolf has 
extensive strategic, operational and 
international experience including 
M&A, fundraisings and disposals. 
Rolf is currently External 
Independent Director at Sosei Group 
Corporation, an international 
biopharmaceutical group which is 
listed on the Tokyo stock exchange, 
and a Non-Executive Director at 
BioPharma Credit plc, a closed 
ended investment company listed  
on the main market of the London 
Stock Exchange.

Rolf is a Chartered Accountant and 
holds a bachelor’s degree in history 
from University College London.

From 2008 to 2018 Rolf was CFO of 
BTG plc and helped drive the 
successful transformation of the 
company into a fully-integrated 
global manufacturing and sales 
organisation focused on specialist 
healthcare. Before BTG Rolf was 
Divisional Finance Director at 
Cobham Plc from 2004 to 2007 
where he was responsible for a 
portfolio of companies in Europe and 
the United States and prior to that he 
was Director of Corporate Finance at 
Cable & Wireless Plc. He qualified as 
a chartered accountant at 
PricewaterhouseCoopers where he 
worked initially in audit and then in 
the corporate finance function.

A

R

N

A

R

A

N

50

Annual Report and Accounts 2020

Corporate governance at a glance

Board and committee meetings

Name

Notes

Number of scheduled meetings

Executive Directors
Miroslav Reljanović
Richard Barfield
Lewis Cameron

Non-Executive Directors
Rolf Soderstrom
Ian Johnson
Michael Spiteri
James Esinhart

Appointed 20 January 2020, 
resigned 21 September 2020

Resigned 14 May 2020

primary responsibilities

Executive 
Chairman 

Lead and manage the Board and wider business, 
ensuring the Board’s effectiveness and delivery of 
the Group’s strategy through the senior 
management team.

Chief 
Financial 
Officer 

Senior 
Independent 
Director 

Manage the Group’s finance activities, support  
the Executive Chairman in delivering the Group’s 
strategy and manage investor relations.

In addition to usual Non-Executive Director duties,  
to support the Executive Chairman, act as an 
intermediary for other Directors and lead the 
Non-Executive Directors in the oversight of the 
Executive Chairman’s performance.

Non-
Executive 
Director 

Oversee the development and delivery of the 
Group’s strategy, performance of senior leadership 
and the adequacy of governance policies and 
processes. 

Number of meetings

Audit and Risk 
Committee

Remuneration 
Committee

Nomination 
Committee

4

–
–
–

 4/4
 4/4
 4/4
–

3 

–
–
–

 3/3
–
 3/3
1/1

1

1/1
–
–

1/1
–
1/1
–

Board

 4

 4/4
 4/4
 3/3

 4/4
 4/4
 4/4
1/1

Governance focus areas
Key areas of governance focus in the 
year, and since the year end:
•  Review and focus the Group’s 

strategy on the CRO and PV service 
business sectors;

•  Oversee and monitor the adoption 

of key financial standards;

•  Committed to the acquisition and 
integration of PrimeVigilance USA 
and MedSource;

•  Approved the sourcing and 
securing of £30 million debt 
financing facility;

•  Ongoing review of Risk,  

• 

Compliance and Corporate 
Governance processes;
Initiated project to implement share 
options administration system;
•  Review of key corporate policies; 
including local HR policies, anti-
bribery and whistleblowing policies; 
•  Review and oversight of the Capital 

• 

Reduction process; and
Implementing formal, regular Board 
effectiveness evaluations.

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Executive Chairman’s governance statement

Miroslav Reljanović
Executive Chairman

“Maintaining the highest standards of 
corporate governance, striving at all times 
for effective and open communication, 
transparency and integrity.”

Introduction
The Board is committed to maintaining the highest 
standards of corporate governance, striving at all times 
for effective and open communication, transparency 
and integrity. The Board continuously and diligently 
works to manage Ergomed in an efficient and 
entrepreneurial manner for the benefit of shareholders 
over the longer term.

The Board of Directors
The Board is responsible for taking all major strategic 
decisions and addressing any significant operational 
matters. In addition, the Board reviews the risk profile of 
the Group and ensures that an adequate system of 
internal control is in place. A schedule of matters 
reserved for the Board has been adopted and is 
regularly reviewed.

As a public company with shares listed on the 
Alternative Investment Market (‘AIM’) of the London 
Stock Exchange, Ergomed has adopted the 2018 
Quoted Companies Alliance’s Corporate Governance 
Code (‘QCA Code’). In my capacity as Executive 
Chairman, I have assumed responsibility for, and I am 
committed to, ensuring that the Company has 
appropriate corporate governance standards in place 
and that these requirements are followed and applied.

The corporate governance arrangements that the 
Board has adopted are designed to ensure not only that 
the Company delivers long-term value to its 
shareholders, but also that shareholders have the 
opportunity to express their views and expectations for 
the Company in a manner that encourages open 
dialogue with the Board.

The Board recognises that its decisions regarding 
strategy and risk, and the way they are communicated, 
will affect the corporate culture of the Group as a 
whole, the engagement of employees and, inevitably, 
the performance of the Group. Each Director therefore 
places great importance on demonstrating ethical 
behaviours, both during the decision-making process, 
and in the implementation and communication of 
strategic decisions.

In this Corporate Governance Report we aim to explain 
how the Board discharges its governance 
responsibilities.

Meetings
The Board meets regularly throughout the year to 
consider strategy, performance and the framework of 
internal controls. Directors are expected to attend all 
meetings of the Board and the Committees on which 
they sit, and to devote sufficient time to the Group’s 
affairs to enable them to fulfil their duties as Directors. 
In the event that Directors are unable to attend a 
meeting, their comments on the matters to be 
considered at the meeting are discussed in advance 
with the Chairman so that their contribution can be 
included in the wider Board discussion.

The Presidents of the Group’s CRO and PV businesses, 
the Chief Commercial Officer and other key 
management personnel are invited to attend Board  
and Committee meetings as appropriate.

Ergomed’s General Counsel and Company Secretary 
attend all Board meetings and assist Directors with any 
legal or administrative issues arising.

Scheduled Board meetings take place four times a 
year, and it is usual for all Directors to attend. 
Scheduled Board meetings are ordinarily face-to-face 
but have largely taken place by video conference in 
2020, due to the COVID-19 pandemic. In addition, the 
Board has telephone/video conferences or 
communicates via email on material matters that may 
arise throughout the year. The Board also meets for a 
strategy meeting at least once a year.

52

Annual Report and Accounts 2020

Executive Chairman’s governance statement continued

Board meetings typically take half a day with one day of 
preparation time per meeting. Non-Executive Directors are 
required to spend a minimum of 12 days per year, and such 
additional time as is necessary, on Company business 
(including attendance at Board meetings), and Executive 
Directors are full-time employees. The table on page 50 
shows the number of scheduled Board and Board 
Committee meetings held during the year to 31 December 
2020 and the attendance of individual Directors at those 
meetings. There were further ad hoc meetings held  
when required.

To enable the Board to discharge its duties, the Directors 
receive appropriate and timely information, including 
monthly management reports. A formal agenda and 
briefing papers are distributed to the Directors in advance 
of each Board meeting. The Directors have access to the 
advice and services of the General Counsel and Company 
Secretary (who are responsible for ensuring that the Board 
procedures are followed, and that applicable rules and 
regulations are complied with) and to the Chief Financial 
Officer. In addition, procedures are in place to enable the 
Directors to obtain independent professional advice in the 
furtherance of their duties, if necessary, at the Company’s 
expense. The Board sets direction for the Company 
through a formal schedule of matters reserved for its 
decision, which is regularly reviewed.

Composition and independence
The Board is drawn from an international background, 
representing the international nature of the Group, and 
many clients’ businesses. The Board recognises that 
diversity is an important factor in ensuring stakeholder 
representation and promoting long-term shareholder 
value and supports an improved gender and cultural 
balance as an important goal, whilst acknowledging that 
the current composition of the Board does not reflect this.

The Board currently consists of two Executive Directors 
and three Non-Executive Directors. Biographical 
information for each Director and their contribution to the 
business is set out on pages 48 to 49. The Board considers 
Rolf Soderstrom and Michael Spiteri to be independent.

Appointment, removal and re-election
Directors are subject to election by shareholders at the first 
Annual General Meeting (‘AGM’) following their initial 
appointment, and at each AGM one-third of the Directors 
shall retire by rotation and put themselves forward for 
re-election. All Directors must retire by rotation and put 
themselves forward for re-election at least once every 
three years.

Lewis Cameron was appointed to the Board as Chief 
Operating Officer (“COO”) on 20 January 2020. Mr Cameron 
resigned from his position as COO on 21 September 2020 
for personal reasons related to the COVID-19 pandemic. 

On 14 May 2020 James Esinhart confirmed that he would 
not be standing for re-election at the forthcoming AGM 
and would step down from the Board as a Non-Executive 
Director with immediate effect.

The Board would like to thank Lewis and James for their 
service and wish them well in their future endeavours.

Induction and development
Individual Directors attend ad hoc training, seminars and 
conferences relevant to their specific skills and roles within 
the Board. Executive Directors regularly attend industry 
seminars and conferences in furtherance of their 
experience, skills and industry awareness, and in order to 
consolidate relations with our stakeholders. New Directors 
attend induction training to familiarise themselves with 
their duties and responsibilities as Directors of an AIM 
listed company.

Communication with investors
The Board attaches great importance to communication 
with both institutional and private shareholders.

Regular communication is maintained with our 
shareholders primarily through:
•  our Annual General Meeting;
•  our investors’ dedicated email address:  

ir@ergomedplc.com;

•  our website – www.ergomedplc.com;
•  meetings and conversations between the Executive 
Chairman, Chief Financial Officer and shareholders, 
both on an ad hoc basis, and following publication  
of the interim and final results; 

•  Company announcements via RNS; and
investor conferences and webinars.
• 

The Directors seek to build on a mutual understanding of 
objectives between the Company and its shareholders, 
especially considering the long-term nature of the 
business. Institutional shareholders are in contact with the 
Directors through presentations and meetings to discuss 
issues and give feedback regularly throughout the year. 
With private shareholders this is not always practical and 
the Board uses the Company’s Annual General Meeting as 
its main opportunity to meet with them. A presentation on 
the activities of the Group is given at each AGM, and 
following the presentation there is an opportunity for 
shareholders to ask questions of Directors on a formal and 
informal basis, and to discuss the development of  
the business.

The COVID-19 pandemic resulted in some disruption to 
the usual methods of investor communication, namely the 
Group’s ability to hold an ‘in-person’ meetings. The AGM 
held on 10 June 2020 and General Meeting in relation to 
the capital reduction held on 19 October 2020 were both 
held as closed meetings. The Group successfully utilised 
virtual presentations for the 2019 year end preliminary 
results and 2020 interim results, which were received well.

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Our Group website (www.ergomedplc.com) sets out 
details of the Group and its activities, regulatory 
announcements and company press releases, Annual 
Reports, half-year reports, notices of general meetings 
and information required by the AIM Rules for companies 
and the QCA Code. The ‘Investors’ section of the Group 
website includes a dedicated ‘Corporate Governance’ 
section, where our annual Corporate Governance 
Statements can be found.

Remuneration Committee
The Remuneration Committee reviews the performance 
of the Executive Directors and determines their terms 
and conditions of service, including their remuneration 
and the grant of options, to ensure they are aligned to 
the execution of Group strategy, and effective risk 
management, for the medium to long term.  
The Committee does so within its formal terms  
of reference and having due regard to the interests  
of shareholders.

The Group also utilises social and corporate media 
platforms such as LinkedIn, Facebook and Twitter to 
communicate with our stakeholders, including clients 
and employees, on topics such as Company news, 
exhibitions we are attending, webinars we are presenting 
at, company and employee achievements and corporate 
social responsibility activities.

Board Committees
The Board delegates certain items of business to its 
Committees. At the year-end, these were the Audit and 
Risk, Nomination and Remuneration Committees. Each 
Committee operates under clear terms of reference.

Audit and Risk Committee
The Audit and Risk Committee has primary responsibility 
for monitoring the quality of internal controls, ensuring 
that the financial performance of the Company is 
properly measured and reported on, reviewing reports 
from the Company’s auditors relating to the Company’s 
accounting and internal controls and monitoring the 
primary risks and uncertainties and the potential impact 
they have on the Group executing its strategy.

The Audit and Risk Committee is also responsible for 
ensuring that the Company is complying with the AIM 
rules and for reviewing and monitoring the Company’s 
risk, compliance and corporate governance practices.

The Audit Committee is composed of three  
Non-Executive Directors, the majority of whom are 
independent, and is chaired by Rolf Soderstrom.  
Michael Spiteri and Ian Johnson are the other members 
of the Committee.

The Audit and Risk Committee’s report for the 2020 
financial year is set out on pages 56 to 59.

Nomination Committee
The Nomination Committee identifies and nominates  
for the approval of the Board, candidates to fill Board 
vacancies as and when they arise.

Miroslav Reljanović is the Chair of the Nomination 
Committee. Michael Spiteri and Rolf Soderstrom are  
the other members of the Committee. 

Michael Spiteri was Chair of the Remuneration 
Committee during the year and the other member of the 
committee was Rolf Soderstrom. James Esinhart was a 
member until his resignation as a Director in May 2020.

The Remuneration Committee’s report for the 2020 
financial year is set out on pages 60 to 63.

Capital reduction
In light of the Group’s operational and financial progress, 
in October 2020 the Board sought shareholder approval 
for a capital reduction, whereby the balance on the 
Company’s share premium account and other reserves 
would be used to eliminate the deficit on the retained 
earnings reserve (‘Capital Reduction’).

On 19 October 2020 the Company received 100% 
support from shareholders at the General Meeting to 
approve the Capital Reduction. The Capital Reduction 
became effective on 17 November 2020 following Court 
approval and the filing of documentation with the 
Registrar of Companies.

The Capital Reduction has provided the Board with the 
flexibility to distribute future profits to its shareholders, 
should it be considered appropriate to do so. No decision 
has been made by the Board on how the distributable 
reserves created by the Capital Reduction will be utilised 
and any such utilisation will always be subject to the 
financial position and prospects of the Company at the 
relevant time.

The Board would like to thank shareholders for their 
support in completing this process. 

AGM
The Board values each AGM as an opportunity to 
communicate with private and institutional investors and 
welcomes their participation. At the time of writing, it is 
not expected that in-person voting and attendance will 
be possible at Ergomed’s 2021 AGM, due to ongoing 
COVID-19 restrictions. The Board is keen to ensure  
that it can engage with shareholders at the 2021 AGM, 
despite the challenges of COVID-19, and arrangements 
for shareholder participation at the AGM will be 
announced via RNS and on the Company’s website  
at www.ergomedplc.com.

54

Annual Report and Accounts 2020

QCA Corporate Governance Code

The Company has adopted the Quoted Companies Alliance Corporate Governance Code  
(2018 edition) (the “QCA Code”). The QCA Code sets out ten main corporate governance 
Compliance with the QCA Corporate
principles and requires the Company to apply these principles and publish certain related 
Governance Code
disclosures, which are summarised in the table below.

1

2

3

QCA Governance Principles

Explanation

Establish a strategy and 
business model which 
promote long-term 
value for shareholders

The Board is committed to delivering long-term value for Ergomed’s shareholders.
During 2020, Ergomed continued to implement its strategy to become a global 
leader in PV and specialist clinical trials. Please see ‘Strategic Report’ on pages 2 to 
47 for further details.

Seek to understand and 
meet shareholder needs 
and expectations

Ergomed is committed to effective communication with all Ergomed’s shareholders, 
both institutional and private. Details of how we communicate with our investors are 
set out on pages 52 to 53 (‘Communication with investors’).
Please see ‘Stakeholder engagement’ (pages 34 to 35) for details of how the Group 
identifies shareholder needs and engages with them.

Take into account wider 
stakeholder and social 
responsibilities and their 
implications for long-
term success

Please see ‘Stakeholder engagement’ (pages 34 to 35) for details of how the Group 
takes wider stakeholder needs into consideration and engages with them. 
The Group has adopted policies to encourage an open and transparent corporate 
culture, including policies addressing anti-slavery, anti-bribery and whistleblowing, 
and a Supplier Code of Conduct. Please see ‘Audit Committee report’ (pages 56 to 
59) for details of how these policies have been updated during 2020.
Please see ‘Responsible business’ (pages 33 to 43) for details of how the Group 
addresses key social responsibilities such as its impact on the environment and 
commitment to the wellbeing of patients and colleagues.

4 Embed effective risk 

management, 
considering both 
opportunities and 
threats, throughout  
the organisation

Please see ‘Risk Management’ (page 44) for details of the Group’s risk management 
framework and processes and how these have been enhanced during 2020.
Please see ‘Principal risks and uncertainties’ (pages 45 to 47) for details  
of the main risks and uncertainties which the Board considers to be associated with 
the Group’s activities.

5

Maintain the Board as  
a well-functioning, 
balanced team led by 
the Chair

The Board is chaired by Miroslav Reljanović as Executive Chairman. Dr Reljanović 
founded Ergomed in 1997 and cofounded PrimeVigilance in 2008. He was CEO of the 
Company until June 2018, when he became Executive Vice-Chairman, becoming 
Executive Chairman in January 2019 and has thorough knowledge and experience of 
the Group and the market in which it operates. The Board is also composed of the 
CFO, Richard Barfield, a Senior Independent Director, Rolf Soderstrom, and two 
Non-Executive Directors, Ian Johnson and Michael Spiteri, who bring significant 
Boardroom experience in both executive and non-executive roles. The Board will 
continue to appoint additional independent Non-Executive Directors where possible. 
The Board recognises that best practice in corporate governance is to ensure a clear 
division of responsibilities between the roles of Chair and CEO and continues to 
monitor investor feedback with regard to this on an ongoing basis. 
The Board considers Rolf Soderstrom and Michael Spiteri to be independent.
The biographies of all current serving Directors can be found on pages  
48 to 49.

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QCA Governance Principles

Explanation

6 Ensure that between 

them the Directors have 
the necessary up-to-date 
experience, skills and 
capabilities

The Directors collectively bring a broad range of business experience and skills  
to the Board, resulting in a wide variety of perspectives being represented in  
Board discussions.
Please see ‘Board of Directors’ (pages 48 to 49) for a summary of the experience, 
skills and capabilities of Ergomed’s Directors.

7

Evaluate Board 
performance based on 
clear and relevant 
objectives, seeking 
continuous improvement

During 2020 the Board carried out a formal internal evaluation of its performance, 
and will implement the recommendations arising from this evaluation during 2021. It 
is the intention that this evaluation process will be repeated annually, and the need 
for external evaluation will be kept under review. The Board also considers the tenure 
of Board members and considers succession planning on an annual basis.

8 Promote a corporate 

culture that is based on 
ethical values and 
behaviours

Each Director places great importance on demonstrating ethical behaviours, both 
during the decision-making process, and in the implementation and communication 
of strategic decisions. Senior managers are also encouraged to lead by example in 
the promotion of ethical values and behaviours.
Please see ‘Responsible Business’ (pages 33 to 43) for details of our corporate culture.
Ergomed has been international from its very beginning and has always appreciated 
and accommodated different cultural experiences and values. Directors and 
employees of the Group are accustomed to collaborating in the interests of our 
business, whilst providing space for cultural differences. The Board promotes the 
involvement of local managers throughout the Group to integrate our core values 
with local cultural sensitivities.
Our corporate culture is also based around our need to adhere to quality standards 
on our clients’ behalf, and this focus on quality standards underlies our business 
processes. As a Group, we are subject to numerous external client and regulatory 
audits as well as internal audits of our operations and vendors.
During 2020 we initiated the implementation of revised human resource and 
corporate policies which promote best practice behaviours and align policies 
throughout the Group. 

9 Maintain governance 

structures and processes 
that are fit for purpose 
and support good 
decision-making by the 
Board

Further details on our governance structure and the role of our Board Committees 
are set out on pages 48 to 49 (‘Board of Directors’) and 53 (‘Board Committees’) and  
in the ‘Investors’ section of our website at  
www.ergomedplc.com.
The Board meets regularly throughout the year to consider strategy, performance 
and the framework of internal controls. A scheduled meeting calendar is arranged  
as far in advance as possible, and ad hoc meetings are held in person or by 
telephone when it is necessary for the Board to discuss specific matters outside  
of scheduled meetings.

10 Communicate how the 

Company is governed  
and is performing by 
maintaining a dialogue 
with shareholders and 
other relevant 
stakeholders

Ergomed engages with its shareholders and other relevant stakeholders in a  
variety of ways, to ensure they understood how the business is governed and  
how it is performing

Please see ‘Stakeholder engagement’ (pages 34 to 35) and ‘Communication with 
Investors’ (pages 52 to 53) for details of  
how we engage with our shareholders.

56

Annual Report and Accounts 2020

Audit and Risk Committee report

Rolf Soderstrom
Chair of the Audit and Risk Committee

 “The Audit and Risk Committee 
provides robust oversight of 
financial and risk matters.”

The Audit Committee’s role is to assist the Board in its 
oversight of the financial stewardship of the Group.

Membership of the Audit and Risk Committee 
comprises all of the Non-Executive Directors of the 
Company, with myself as Chair, and Ian Johnson and 
Michael Spiteri as the other members.

Michael Spiteri and I are considered by the Board to be 
independent. During 2020, Ian Johnson was not 
considered to be independent, but, given the size of  
the Ergomed Board, with its limited number of  
Non-Executive Directors, and the relevant experience 
and insight which Ian Johnson brings to Committee 
proceedings, it was considered that Ian Johnson’s 
inclusion as a Committee member would enhance the 
robust oversight of financial and risk matters provided 
by the Committee.

Details of the qualifications of the Committee members 
are set out on page 49.

At the invitation of the Committee, the external auditor, 
Executive Chairman and Chief Financial Officer may 
attend meetings along with other senior management 
as appropriate.

Details of the attendance of Committee members at 
Committee meetings are set out on page 50.

The Audit and Risk Committee has four scheduled 
meetings each year and may meet at other times 
during the year, as required. During the 2020 financial 
year there were four meetings of the Committee. 
Meetings are conducted in accordance with an annual 
agenda, which sets out the agenda items to be covered 
at each scheduled meeting, and which takes into 
account the recommendations of the QCA Audit 
Committee Guide.

Activities during the year
•  Reviewed the annual and half-year 

financial reports and related 
statements

•  Discussed the key findings of the 
external auditors on the interim  
and annual financial statements
•  Considered significant accounting 

judgments, in particular:
•  IFRS 15 – Revenue from contracts 

with customers

•  Carrying value of goodwill, 

intangible assets and  
codevelopment contracts

•  Review of support of the going 

concern assumption

•  Continued review and monitoring  

of risk, internal controls,  
compliance and corporate 
governance processes

•  Approved the development and 

implementation of a formal Treasury 
policy and foreign exchange risk 
management and control process
•  Approved the scope of the external 

audit plan and audit fees

•  Reviewed the objectivity and 
independence of the external 
auditor, KPMG, if and when  
providing non-audit services

•  Recommended the implementation 

of a Disclosure Committee to 
monitor processes around price-
sensitive and inside information
•  Adopted a formal policy on supply 

of non-audit services by the  
external auditor

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Internal control and risk management
The Board acknowledges its responsibility for 
safeguarding shareholders’ investments and the Group’s 
assets. In applying this principle, the Board recognises that 
it has overall responsibility for ensuring that the Group 
maintains a system of internal control that provides it with 
reasonable assurance regarding effective and efficient 
operations, internal financial control and compliance with 
laws and regulations. The system of internal control is 
designed to manage rather than eliminate the risk of 
failure to achieve business objectives and can only 
provide reasonable and not absolute assurance against 
material misstatement or loss.

The Board, through the Audit and Risk Committee, 
reviews the effectiveness of the systems of internal 
control and management continues to invest significant 
time in further developing the Group’s internal control 
environment. The key features of the internal control 
system are described below:

• 

•  Control procedures and environment – the Group 
has an organisational structure with clearly-drawn 
lines of accountability and authority. Employees are 
required to follow well-defined internal procedures 
and policies appropriate to the business and their 
position within the business and management 
promotes the highest levels of professionalism and 
ethical standards;
Identification and evaluation of risks – the Group 
employs Executive Directors and senior 
management with the appropriate knowledge and 
experience required to provide professional services 
to the pharmaceutical industry. Identification and 
evaluation of risk is a continuous process, running in 
parallel with the significant organic and inorganic 
growth of the Group. As a Group, we assess risk on 
an ongoing basis, and specifically, when assessing 
contracts, projects or directions;

The Audit and Risk Committee’s 
main responsibilities include:
•  To satisfy itself as to the integrity of the 
financial statements and other formal 
announcements relating to the Group’s 
financial performance, ensuring 
compliance with applicable accounting 
standards, regulations and rules;
•  To review and approve any changes  
to accounting policies and significant 
reporting matters, estimates and 
judgements they contain;
•  To monitor and review the 

effectiveness of the Group’s internal 
financial controls and risk 
management policies and systems  
and to monitor and review the going 
concern status of the Group.  
A summary of the principle risks  
and mitigations are set out on pages  
45 to 47;

•  To regularly consider the need for the 

requirement of an internal audit 
function;

•  To consider the Group’s anti-bribery 
and whistleblowing procedures to 
ensure that employees can raise 
concerns, in confidence, about 
possible wrongdoing or malpractice;
•  To satisfy itself of the independence 
and effectiveness of the external 
auditor, and to make recommendations 
to the Board in relation to the 
appointment and remuneration of the 
external auditor, and policy relating to 
their non-audit services; and
•  To ensure that the audit services 

contract is put out to tender at least 
once every 10 years. The Company’s 
current auditor, KPMG, were first 
appointed at the Company’s AGM held 
on 12 June 2018.

58

Annual Report and Accounts 2020

Audit and Risk Committee report continued

• 

• 

Financial information – the Group prepares detailed 
budgets and working capital forecasts annually. These 
are based upon the strategy of the Group and are 
approved by the Board. Detailed management accounts 
and working capital reforecasts are reviewed at least 
quarterly for each Board meeting, with any variances 
from budget investigated thoroughly and a summary 
provided to the Board. Annual Reports and any financial 
information transmitted to shareholders are reviewed by 
the Audit and Risk Committee prior to approval by the 
Board; and
Monitoring – the Board monitors the activities of the 
Group through the provision of reports from various 
areas of the business and contained in the Board 
papers, and those prepared for its committees. The 
Board has the right to seek independent legal and 
other professional advice at the Company’s expense 
concerning any aspect of the Group’s operations or 
undertakings. In addition, the Directors have direct 
access to the advice and services of the General 
Counsel and Company Secretary.

The Audit and Risk Committee instigated a review of 
the Group’s risk, internal controls and corporate 
governance processes during 2019 and, as a result, 
implemented a new treasury policy during 2020. The 
policy has been designed to address key financial risks 
through clearly defined roles, responsibilities and 
controls around the core treasury activities, namely; 
group banking arrangements, cash/liquidity 
management, foreign exchange and hedging, interest 
rate risk and debt facility compliance. 

The Committee continues to review the Group’s risk, 
internal controls and corporate governance processes 
on an ongoing basis.

Attendees

Rolf Soderstrom – Chair

Ian Johnson

Michael Spiteri

4/4

4/4

4/4

The Executive Chairman and Chief Financial  
Officer attend meetings at the invitation of  
the Chair. 

Audit and Risk Committee 
meetings in the year

Meeting  
attendance

4

100% 

Financial reporting 
During the year the Committee reviewed and 
recommended the Board approve the financial 
statements for the year ended 31 December 2019 and 
interim results for the six months ended June 2020, in 
addition to reviewing other formal announcements 
relating to the Group’s financial performance.

The Committee has reviewed the appropriateness of 
accounting policies as well as significant reporting 
matters, estimates and judgements contained within 
the financial results. During 2020, the Committee 
believe the significant reporting matters, estimates and 
judgements to be in respect of revenue recognition and 
the impact of COVID-19 on the going concern 
assumption, financial assets and bad debts. Further 
details of these are provided in note 1 of the financial 
statements.

The significant growth of the Group, both organically 
and through acquisitions, mean that the accounting 
policies, significant reporting matters, estimates and 
judgements are constantly evolving and are regularly 
reviewed for appropriateness by the Committee.

Internal audit requirement
The Group has not had an internal audit function to date 
and the committee regularly considers the need for 
one. Given the Group’s size and level of complexity, the 
Committee does not consider it either necessary or 
practical at present for the Group to have its own 
internal audit function. However, given the historic 
growth of the Group both organically and through 
acquisitions, and future plans for further growth, this 
requirement will be kept under regular review.

External Auditors
The Group’s current external independent auditor, 
KPMG, were first appointed at the Ergomed plc AGM 
held on 12 June 2018. KPMG have safeguards in place 
to protect the independence and objectivity of the 
services they provide and, in accordance with 
International Standards on Auditing (UK), formally 
confirmed its independence as auditor of the Group.  
To ensure the continued independence of KPMG, the 
Group has adopted a policy which does not permit the 
external auditor to provide non-audit services unless 
approved by the Committee. No such non-audit 
services were approved or performed during 2020.  
The Committee undertakes an annual assessment of 
the effectiveness of the external auditors and 
concluded that KPMG has met the requirements of the 
Board, and that the Board continued to be satisfied with 
KPMG’s performance and effectiveness.

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Regulation and governance compliance
After considering advice from legal counsel, and in light 
of the growth of the Group in the key US market, the 
Committee recommended a review of the Group’s 
anti-bribery and whistleblowing policies, and the 
revised policies will be rolled out during 2021.

For the first time this year, the Group is within the scope 
of the SECR sustainability regulation and has included 
the report within the ‘Responsible business’ section of 
this report on pages 38 to 40.

The committee continues to monitor new regulatory 
and governance standards and, if implementation is not 
mandatory, consider the appropriateness of voluntary 
adoption.

2021 outlook
As the Group grows in line with its strategy, the 
committee will continue to oversee the further 
development of the control and risk environments to 
ensure that financial risks are managed to an 
acceptable level for this increasingly complex business.

Rolf Soderstrom
Chair of the Audit and Risk Committee
22 March 2021

60

Annual Report and Accounts 2020

Remuneration Committee report

Activities during the year
During the year the Committee’s key 
activities included:
•  Considering and agreeing  
the annual salary increase  
and bonus award

•  Reviewing the composition and 

targets for the LTIP

•  Agreeing the award of LTIP options 
•  Considering and approving 
remuneration packages for 
Directors and senior managers
Initiating a project to implement  
a share options administration 
system.

• 

Attendees

Michael Spiteri – Chair

Rolf Soderstrom 

James Esinhart

3/3

3/3

1/1

The Executive Chairman and Chief Financial  
Officer attend meetings at the invitation of  
the Chair.

Remuneration Committee 
meetings in the year

Meeting  
attendance

3

100% 

Michael Spiteri
Chair of the Remuneration Committee

 “The Group’s remuneration policy is designed 
to incentivise the achievement of the Group’s 
strategy and the delivery of sustainable  
long-term performance by the Group.”

The Remuneration Committee’s role is to ensure 
remuneration arrangements for the Group’s Executive 
Directors and employees are aligned to the execution 
of Group strategy, and effective risk management, for 
the medium to long term.

The members of the Remuneration Committee are 
myself (Chair) and Rolf Soderstrom. James Esinhart was 
a member of the Committee until his resignation as a 
director in May 2020. The CFO, Executive Chairman and 
General Counsel may be invited to attend Committee 
meetings as appropriate.

Details of the qualifications of the Committee members 
are set out on page 49.

Details of the attendance of Committee members at 
Committee meetings are set out on page 50.

The Remuneration Committee meets at least twice a year, 
and may meet at other times during the year, as required. 
During the 2020 financial year there were three meetings 
of the Remuneration Committee. No Director is involved in 
any decisions relating to his own remuneration.

The Remuneration Committee report has been split into 
the following three sections:
•  a summary of the work completed in the year;
• 

the remuneration policy overview which sets out the 
Group’s approach to Directors’ remuneration; and
the annual report on remuneration.

• 

COVID-19
The COVID-19 pandemic has presented challenges on 
many fronts, not least the impact it has had on the 
Group’s staff. That said, I am pleased to report that no 
staff were made redundant or furloughed as a result of 
COVID-19 during the year.

In addition, the Group received no government grant or 
loans to compensate for redundancies or furloughs of 
any sort.

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Remuneration policy overview
The Remuneration Committee has established a policy 
which enables the Group to retain and motivate 
Executive Directors and senior management 
appropriately while still maintaining a strong ‘pay-for-
performance’ culture within the Group. The 
remuneration policy is reviewed by the Remuneration 
Committee on an annual basis to ensure that it is in line 
with the Group’s objectives and shareholders’ interests.
The aim of the remuneration policy is to encourage, 
retain and reward superior performance by the 
Executive Directors and senior management, with 
performance being measured by reference to the 
achievement of corporate goals, strong financial 
performance and the delivery of value to shareholders.

The policy is designed to offer rewards that:
•  enable the Group to attract and retain the 

• 

management talent it needs to ensure its success;
incentivise the achievement of the Group’s strategy 
and the delivery of sustainable long-term 
performance of the Group by the executives; and
•  have flexibility to accommodate the changing needs 
of the Group as it grows, and as its strategy evolves.

Remuneration levels are benchmarked against a subset 
of companies in the UK life sciences and biotechnology 
sectors with the aim of achieving the following:
•  base salary between average and upper quartile;
•  performance-based bonus between average and 

upper quartile; 

•  share incentives’ industry average; and
• 

total compensation between average and  
upper quartile.

During 2021, the Committee plans to evaluate and 
benchmark the overall remuneration packages of 
Executive Directors against industry and market peers.

The Remuneration Committee’s 
primary responsibilities are:
•  Reviewing the ongoing 

appropriateness and effectiveness  
of the remuneration policy

•  Determining and recommending to  

the Board the remuneration package 
of Executive Directors including the 
Executive Chairman

•  Recommending to the Board and 

monitoring the level and structure of 
remuneration for senior management

•  Approving the design of, and 
determining targets for, any 
performance-related pay schemes 
and approving the total annual 
payments made under such schemes

•  Reviewing the design of all share 

incentive plans and determining each 
year whether awards will be made

•  Reviewing payments made on 

termination

Base salary
Base salaries are generally reviewed annually 
and are effective from the beginning of March  
or April, depending on the Group company. The 
Remuneration Committee seeks to assess the 
market competitiveness of pay primarily in terms 
of total remuneration, with less emphasis on 
base salary, based on a number of factors, 
including market rates and benchmarking to 
peers, as well as the individual Director’s 
experience, responsibilities and performance.

During the year the Committee approved a 
Group-wide inflationary pay increase of up to 4% 
based on individual performance. This increase 
was initially scheduled for April but was 
postponed due to uncertainties around 
COVID-19. Once the impact of COVID-19 on the 
Group had become clearer, the full pay increase 
was implemented in July and August and 
backdated to April. 

62

Annual Report and Accounts 2020

Remuneration Committee report continued

The Group has one active share option arrangement, the 
Ergomed plc LTIP. There are historic share option 
arrangements with outstanding share options which are 
no longer used. These are the Unapproved Executive 
Share Option Scheme 2007 and the Stahel Option 
Agreement. In addition, certain Executive Directors and 
employees hold options over shares held by  
Miroslav Reljanović.

Options issued under the LTIP vest based on 
performance (TSR) or time-based conditions. During the 
year the Committee approved the awards of LTIP share 
options to eligible employees and Directors which are 
further detailed in note 30 of the financial statements, 
and for Directors, in the ‘Directors’ interest in share 
options’ table of this report.

Executive Director service agreements
All Executive Directors have service agreements that 
terminate on six months’ notice.

Non-Executive Directors
The Non-Executive Directors are each paid fees of 
£50,000 annually and fees are designed to attract and 
retain individuals who have the expertise, responsibility 
and the time commitment to be able to contribute to an 
effective Board and deliver long-term sustainable 
shareholder value. The Chair of the Remuneration 
Committee, Audit and Risk Committee and the Senior 
Independent Director receive additional fees of £10,000 
each annually in recognition of their additional 
responsibility and time commitment. The Group 
reimburses Non-Executive Directors for reasonable 
expenses incurred such as travel and hotel 
accommodation.

The Non-Executive Directors do not participate in the 
Group’s pension, bonus or option schemes.

All Non-Executive Directors have letters of engagement 
that terminate on three months’ notice.

Michael Spiteri
Chair of the Remuneration Committee
22 March 2021

Performance-related annual bonus
Annual bonuses are awarded against achieving both 
corporate and individual performance targets. Typically, 
the majority of the bonus will be based on a balanced 
scorecard reflecting delivery against key commercial, 
technical, operational and financial deliverables. The 
Committee will therefore vary the specific measures and 
targets each year where required to ensure that they 
reflect the key financial and strategic priorities for the 
Group in a given year.

The Committee reviewed individual and Company 
achievements against targets for the year and determined 
that the bonuses to be awarded are 75% of base salary for 
the Executive Chairman and 50% of base salary for the 
Chief Financial Officer.

Due to the initial uncertainties around the impact of 
COVID-19 on the Group in March and April 2020, the 
payment of the 2019 annual performance-related 
bonuses was postponed until the impact on cash flow had 
become clear. 2019 staff-related performance bonuses 
were paid in July and August 2020 once the uncertainties 
around COVID-19 had become clear, except those of the 
Executive Chairman and Chief Financial Officer which 
were permanently relinquished by those Directors in light 
of the pandemic.

Pension and other benefits
The Group pays an employer pension contribution of 10% 
of base salary to personal pension schemes established 
by the Executive Directors. Its pension provision for 
employees varies in accordance with local law and 
practice. It does not operate any defined benefit pension 
schemes.

Each jurisdiction gives access to benefits which are 
appropriate to secure and retain the best talent available 
in the market. Typically, these could include life assurance 
and private medical insurance.

Payment for loss of office
Award payments for loss of office of an Executive Director 
are made if the terms of the applicable service contract 
were upheld and, the payment takes into account specific 
circumstances surrounding the termination, including but 
not limited to performance, service and health. 

Share options
The Company issues share options to Executive 
Directors and senior employees to reward performance, 
to encourage retention and to align medium and 
long-term objectives with those of shareholders, being 
Total Shareholder Return (‘TSR’) after three years.

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Annual report on remuneration – AUDITED
The Directors received the following remuneration during the year:

£

Salary/fee

Benefits

Annual
bonus

Pension

Other 
compensation1

Total
2020

Total 
2019

Executive
Miroslav Reljanović
Richard Barfield
Lewis Cameron 
 Appointed 20 January 2020, 
 resigned 21 September 2020

Non-Executive
James Esinhart  
 resigned 14 May 2020
Michael Spiteri
Rolf Soderstrom
Ian Johnson

314,112
265,865

12,701
2,810

–
–

27,082
21,550

–
–

353,895
290,225

214,156
148,584

129,419

7,811

26,780

19,399
60,000
68,077
50,000

–
–
–
–

–
–
–
–

–

–
–
–
–

232,478

396,488

–

–
–
–
–

19,399
60,000
68,077
50,000

37,712
52,884
25,448
18,397

1.  Other compensation consists of a payment of £119,643 in lieu of notice and £112,835 for non-compete provisions (a requirement under Spanish law).

Where relevant, amounts are prorated based on the respective Director appointment and termination dates. 

See note 35 for all related party transactions with Directors of the Company.

Aggregate emoluments disclosed above do not include any amounts for the value of options to acquire Ordinary 
Shares in the Company granted to or held by the Directors. These are disclosed in note 30 of the financial 
statements.

Amounts payable to the highest paid Director: 

Aggregate emoluments
Company contributions to defined contribution pension schemes
Benefits
Compensation for loss of office

Directors’ interest in share options – AUDITED
No Directors exercised share options during the year.

At 1 January 
2020
Number

Granted
Number

Exercised
Number

Lapsed/
Surrendered
Number

At 
31 December 
2020
Number

Exercise 
price
£

2020 
£000s

388
–
8
–

396

2019
£000s

177
1
2
212

392

Exercise 
period

Richard Barfield 

Ergomed plc LTIP
Non-dilutive share options

600,000 
400,000

1,000,000

– 
– 

– 

–
–

–

–
–

 600,000 
 400,000

£0.01 
£0.01 

Jun-22 – Jun-29
Jun-22 – Jun-29

– 1,000,000

Directors’ interest in shares
At 31 December 2020, the Directors had the following beneficial interests in the Company’s shares:

Directors’ interests

Miroslav Reljanović
Richard Barfield
Rolf Soderstrom2
Ian Johnson

2. 

Includes beneficial interests in the Company’s shares held by Rolf Soderstrom’s spouse.

Number of shares

10,879,297
100,000
10,000
10,000

Percentage of 
total issued share 
capital

22.3%
0.21%
0.02%
0.02%

64

Annual Report and Accounts 2020

Directors’ report

The Directors present their report and financial 
statements for the Company and Group for the year 
ended 31 December 2020.

Principal activities
Ergomed provides specialist services to the 
pharmaceutical and biotechnology industries spanning all 
phases of clinical development, post-approval 
pharmacovigilance and medical information.

Business review, key performance indicators 
and future developments
The Group’s results are set out in the consolidated income 
statement on page 71 and are explained in the Financial 
Review on pages 30 to 32. A detailed review of the 
business, its results and future direction is included in the 
Operational Review on pages 26 to 29.

Streamlined Energy and Carbon Reporting 
(‘SECR’)
The Directors have reported their energy and greenhouse 
gas emissions in line with the UK Government mandate 
SECR within the Strategic Report, since this is of strategic 
importance to the Group, and is fully explored within that 
report on pages 38 to 40. 

Research and development
The expenditure on Research and Development included 
in the income statement in the year has reduced from 
£545,000 in 2019 to £152,000 in 2020. This is primarily 
driven by the reduction in co-development activities 
undertaken by the Group, in particular, the wind down of 
co-development costs in relation to Haemostatix. The 
Group continues to invest in software development which 
has given rise to the addition of £542,000 (2019: £604,000) 
which has been capitalised as an intangible asset. 

Financial instruments
At the year end the Group did not have any complex 
financial instruments. The financial instruments it does 
have primarily comprise cash and liquid resources and 
other various short-term assets and liabilities, such as 
trade receivables and trade payables which are used to 
manage the Group’s operations. Details of the Group’s 
financial instruments can be found in note 31.

Results and dividends
The consolidated results of the Group for the year are set 
out in the consolidated income statement on page 71.
The Directors do not recommend the payment of a 
dividend (2019: £nil).

Directors
The Directors of the Company who served during the year 
and to the date of this report, unless stated, are as follows:
•  Miroslav Reljanović (Executive Chairman)
•  Richard Barfield (Chief Financial Officer)
•  Lewis Cameron (Chief Operating Officer) – appointed 
20 January 2020 and resigned 22 September 2020

•  James Esinhart (Non-Executive Director) – resigned 

10 June 2020
Ian Johnson (Non-Executive Director)
• 
•  Rolf Soderstrom (Non-Executive Director)
•  Michael Spiteri (Non-Executive Director)

The Company maintains liability insurance for its Directors 
and Officers as permitted by the Companies Act 2006.
Biographical details of the Directors are set out on pages 
48 to 49. The interests of Directors in the shares and share 
options of the Company are set out in the Remuneration 
Committee Report on page 63.

Substantial shareholders
The Company has been notified of the following holdings 
of 3% or more of the 48,746,109 issued ordinary shares of 
£0.01 each of the Company as at 28 February 2021:

Investor

Miroslav Reljanović
Aberdeen Standard 

Investments

BlackRock
J.P. Morgan Asset Management
Jupiter Asset Management
Slater Investments
Octopus Investments

Number of  
£0.01 shares

Percentage

10,879,297

22.32%

5,001,405
4,788,984
4,101,451
2,648,105
2,390,141
1,697,444

10.26%
9.82%
8.41%
5.43%
4.90%
3.48%

Corporate governance
The Directors recognise the importance of good 
corporate governance. The principles of how we have 
applied the updated 2018 Quoted Companies Alliance 
Corporate Governance Code (the ‘2018 QCA Code’) and 
other corporate governance guidelines are set out in the 
Corporate Governance section of this report, and on the 
Company’s website (www.ergomedplc.com).

Auditor
The Directors who held office at the date of approval of 
this Directors’ report confirm that, so far as they are each 
aware, there is no relevant audit information of which the 
Company’s auditor is unaware; and each Director has 
taken all the steps that they ought to have taken as a 
Director to make themselves aware of any relevant audit 
information and to establish that the Company’s auditor is 
aware of that information. In accordance with Section 489 
of the Companies Act 2006, a resolution for the 
reappointment of KPMG as auditor of the Company is to 
be proposed at the forthcoming Annual General Meeting. 

Charitable and political contributions
The Group made charitable donations in the year of £11,000 
(2019: £14,000). The Group made no political donations and 
incurred no political expenditure during the year (2018: £nil).

By order of the Board

Richard Barfield
Chief Financial Officer
22 March 2021

 
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Statement of Directors’ responsibilities

The Directors are responsible for keeping adequate 
accounting records that are sufficient to show and 
explain the Parent Company’s transactions and disclose 
with reasonable accuracy at any time the financial 
position of the Parent Company and enable them to 
ensure that its Financial Statements comply with the 
Companies Act 2006. They are responsible for such 
internal control as they determine is necessary to 
enable the preparation of Financial Statements that are 
free from material misstatement, whether due to fraud 
or error, and have general responsibility for taking such 
steps as are reasonably open to them to safeguard the 
assets of the Group and to prevent and detect fraud 
and other irregularities.

The Directors are responsible for the maintenance and 
integrity of the corporate and financial information 
included on the Company’s website. Legislation in the 
UK that governs the preparation and dissemination of 
Financial Statements may differ from legislation in 
other jurisdictions.

The Directors’ Responsibility Statement was approved 
by the Board on 22 March 2021.

Richard Barfield
Chief Financial Officer

The Directors are responsible for preparing the Annual 
Report, Strategic Report, Directors’ Report and the 
Group and Parent Company Financial Statements in 
accordance with applicable law and regulations.

Company law requires the Directors to prepare Group 
and Parent Company Financial Statements for each 
financial year. As required by the AIM Rules of the 
London Stock Exchange, they are required to prepare 
the Group Financial Statements in accordance with 
international accounting standards in conformity with 
the requirements of the Companies Act 2006. They 
have elected to prepare the Parent Company Financial 
Statements in accordance with UK Accounting 
Standards and applicable law (UK Generally Accepted 
Accounting Practice), including FRS 101 Reduced
Disclosure Framework.

Under company law the 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 Parent Company and of their profit or loss 
for that period.

In preparing each of the Group and Parent Company 
Financial Statements, the Directors are required to:
•  select suitable accounting policies and then apply 

them consistently;

•  make judgements and estimates that are reasonable 

• 

• 

and prudent;
for the Group Financial Statements, state whether 
they have been prepared in accordance with 
international accounting standards in conformity 
with the requirements of the Companies Act 2006;
for the Parent Company Financial Statements, state 
whether UK Accounting Standards have been 
followed, subject to any material departures 
disclosed and explained in the Financial Statements;

•  assess the Group and Parent Company’s ability to 

continue as a going concern, disclosing, as 
applicable, matters related to going concern; and
•  use the going concern basis of accounting unless 
they intend either to liquidate the Group or the 
Parent Company or to cease operations, or have no 
realistic alternative but to do so.

66

Annual Report and Accounts 2020

Independent auditor’s report 
to the members of Ergomed plc

Opinion
We have audited the financial statements of Ergomed plc (“the Company”) and its consolidated undertakings (‘the Group’) 
for the year ended 31 December 2020 which comprise the Consolidated Income Statement, the Consolidated Statement of 
Comprehensive Income, the Consolidated and Company Balance Sheets, the Consolidated and Company Statements of 
Changes in Equity, the Consolidated Cash Flow Statement and related notes, including the summary of significant 
accounting policies set out in note 1. The financial reporting framework that has been applied in the preparation of the Group 
financial statements is UK Law and international accounting standards in conformity with the requirements of the 
Companies Act 2006, and, as regards the Company financial statements, UK Law and FRS 101 Reduced Disclosure 
Framework.

In our opinion:
 — 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 2020 and of Group’s profit for the year then ended; 

 — the Group financial statements have been properly prepared in accordance with international accounting standards in 

conformity with the requirements of the Companies Act 2006; 

 — the Company financial statements have been properly prepared in accordance with FRS 101 Reduced Disclosure 

Framework issued by the UK’s Financial Reporting Council; and

 — the Group and Company financial statements have been prepared in accordance with the requirements of the 

Companies Act 2006.

Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. Our 
responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial 
statements section of our report. We are independent of the Group and Parent Company in accordance with ethical 
requirements that are relevant to our audit of financial statements in the UK, including the Financial Reporting Council 
(FRC)’s Ethical Standard as applied to a listed entity, and we have fulfilled our other ethical responsibilities in accordance 
with these requirements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

conclusions relating to going concern
The directors have prepared the financial statements on the going concern basis as they do not intend to liquidate the Group 
or Company or to cease their operations, and as they have concluded that the Group and the Company’s financial position 
means that this is realistic. They have also concluded that there are no material uncertainties that could have cast significant 
doubt over their ability to continue as a going concern for at least a year from the date of approval of the financial 
statements (“the going concern period”).

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. In our evaluation of the directors' assessment of the entity’s ability 
to continue to adopt the going concern basis of accounting, we considered the inherent risks to the Group and the 
Company’s business model, including the impact of Covid-19, and analysed how those risks might affect the Group and the 
Company’s financial resources or ability to continue operations over the going concern period. 

We assessed the assumptions used against our knowledge of the entity and the sector in which it operates as well as 
historic trends. We also compared past budgets to actual results to assess the directors' track record of budgeting 
accurately.

We considered whether the going concern disclosure in note 1 to the financial statements gives a full and accurate 
description of the directors' assessment of going concern, including the identified risks and related sensitivities. We also 
assessed the completeness of the going concern disclosure.

Key observations arising with respect to our evaluation included that assumptions used by management were within the 
reasonable range and revenue growth rates used in management’s evaluation were reasonable and supportable.

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 or Company’s ability to continue as a going concern 
for a period of at least twelve months from the date when the financial statements are authorised for issue.

However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are 
inconsistent with judgements that were reasonable at the time they were made, the absence of reference to a material 
uncertainty in this auditor’s report is not a guarantee that the Group or the Parent Company will continue in operation.

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Detecting irregularities including fraud
We identified the areas of laws and regulations that could reasonably be expected to have a material effect on the financial 
statements and risks of material misstatement due to fraud, using our understanding of the entity's industry, regulatory 
environment and other external factors and inquiry with the directors. In addition, our risk assessment procedures included:
 — Inquiring with the directors and other management as to the Group’s policies and procedures regarding compliance with 

laws and regulations, identifying, evaluating and accounting for litigation and claims, as well as whether they have 
knowledge of non-compliance or instances of litigation or claims.

 — Inquiring of directors, the audit and risk committee, other management and inspection of policy documentation as to the 

Group’s high-level policies and procedures to prevent and detect fraud, including the Group’s channel for 
“whistleblowing”, as well as whether they have knowledge of any actual, suspected or alleged fraud.

 — Inquiring of directors, the audit and risk committee, regarding their assessment of the risk that the financial statements 

may be materially misstated due to irregularities, including fraud.

 — Inspecting the Group’s regulatory and legal correspondence.
 — Reading Board, audit and risk committee and remuneration committee meeting minutes.
 — Considering remuneration incentive schemes and performance targets for management and directors.
 — Performing planning analytical procedures to identify any usual or unexpected relationships. 

We discussed identified laws and regulations, fraud risk factors and the need to remain alert among the audit team. This 
included communication from the group to Czech component audit team of relevant laws and regulations and any fraud 
risks identified at the Group level and request to Czech component audit team to report to the Group audit team any 
instances of fraud that could give rise to a material misstatement at group.

Firstly, the Group is subject to laws and regulations that directly affect the financial statements including companies and 
financial reporting legislation. We assessed the extent of compliance with these laws and regulations as part of our 
procedures on the related financial statement items, including assessing the financial statement disclosures and agreeing 
them to supporting documentation when necessary. 

Secondly, the Group is subject to many other laws and regulations where the consequences of non-compliance could have 
a material effect on amounts or disclosures in the financial statements, for instance through the imposition of fines or 
litigation. We identified the following areas as those most likely to have such an effect: health and safety, anti-bribery, 
employment law, environmental law, regulatory capital and liquidity and certain aspects of company legislation recognising 
the financial and regulated nature of the Group’s activities and its legal form. 

Auditing standards limit the required audit procedures to identify non-compliance with these non-direct laws and 
regulations to inquiry of the directors and other management and inspection of regulatory and legal correspondence, if any. 
These limited procedures did not identify actual or suspected non-compliance.

We assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to 
commit fraud. As required by auditing standards, we performed procedures to address the risk of management override of 
controls and the risk of fraudulent revenue recognition. We identified a fraud risk in relation to the Group’s Clinical research 
organisation contracts and if it has not been appropriately recognised in line with the percentage completed, as required by 
IFRS 15 Revenue from contracts with customers. 

Further detail in respect of Clinical research organisation contracts is set out in the key audit matter disclosures in this report.
In response to the fraud risks, we also performed procedures including: 
 — Identifying journal entries and other adjustments to test for all full scope components based on risk criteria and 

comparing the identified entries to supporting documentation. 
 — Evaluating the business purpose of significant unusual transactions.
 — Assessing significant accounting estimates for bias.
 — Assessing the disclosures in the financial statements.

As the Group is regulated, our assessment of risks involved obtaining an understanding of the legal and regulatory 
framework that the Group operates and gaining an understanding of the control environment including the entity’s 
procedures for complying with regulatory requirements. 

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material 
misstatements in the financial statements, even though we have properly planned and performed our audit in accordance 
with auditing standards. For example, the further removed non-compliance with laws and regulations (irregularities) is from 
the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required 
by auditing standards would identify it. 

In addition, as with any audit, there remains a higher risk of non-detection of irregularities, as these may involve collusion, 
forgery, intentional omissions, misrepresentations, or the override of internal controls. We are not responsible for preventing 
non-compliance and cannot be expected to detect non-compliance with all laws and regulations.

C_GEN_PageC_GEN_PageL2C_GEN Section68

Annual Report and Accounts 2020

Independent auditor’s report continued 
to the members of Ergomed plc

Key audit matters: our assessment of risks of material misstatement
Key audit matters are those matters that, in our professional judgment, were of most significance in the audit of the financial 
statements and include the most significant assessed risks of material misstatement (whether or not due to fraud) identified 
by us, 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 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.

In arriving at our audit opinion above, the key audit matter, was as follows (unchanged from 2019): 

revenue recognition: clinical research organisation (“cro”): £31.3 million (2019 – £32.8 million)
Refer to Note 1 on page 80 (accounting policy) and Note 2 Revenue on pages 82 to 84 (financial disclosures)

the key audit matter

How the matter was addressed in our audit 

There is a risk that revenue from Clinical research 
organisation contracts has not been appropriately 
recognised in line with the percentage completed, as 
required by IFRS 15 Revenue from contracts with customers.

Our audit procedures included, amongst others, testing the 
design and implementation of management’s key controls 
over revenue recognition including those controls over the 
estimation of the remaining costs to complete the study.

Clinical research contracts represent one performance 
obligation and revenue is recognised over time based on the 
percentage of actual costs incurred divided by the total 
costs to complete the contract.

Revenue recognition requires considerable management 
estimation and judgement in determining the estimated total 
costs to complete.

The method used in measuring the progress of the contract 
over time is the input approach in a cost by cost basis in 
calculating the percentage of completion.

The significant assumptions used in the calculation of 
estimated costs to complete include; (i) estimated labour 
cost to complete and (ii) pass through costs to complete.

For a sample of contracts, we performed tests of detail over 
the revenue amount recognised. We recalculated the 
revenue amounts, agreed the transaction price to the signed 
contracts, validated the reasonableness of significant 
assumptions used by reference to the terms of the 
applicable contracts and change orders, reconciled the 
actual costs incurred to the general ledger and agreed the 
estimated costs to completion to the underlying data such as 
the contracts and the Company’s standard rates.

We inquired of project managers, independent of the 
revenue team, on the status of the project, any ongoing 
concerns, and the expected remaining duration of the 
project.

We found that the revenue recognition policies are in 
accordance with IFRS 15 and were appropriately applied.  
We did not identify any material misstatements or disclosure 
omissions as a result of our procedures performed.

company key audit matter
The Revenue recognition: Clinical research organisation group key audit matter described above also applies to the audit of 
the Company financial statements.

our application of materiality and an overview of the scope of our audit 

Materiality – Group financial statements
The materiality for the Group financial statements as a whole was set at £0.6 million (2019: £0.66 million). This was calculated 
using a benchmark of Group profit before tax (of which it represents 5 per cent) (2019: 1% of Group total revenue). The 
benchmark used has changed to profit before tax from total revenue (2019) due to the upward trend in profitability of the 
Group. We consider profit before tax to be the most appropriate benchmark as it continues to grow year on year, the 
acquisitive nature of the entity and it is a key consideration for the users of the financial statements. 

In applying our judgement in determining the most appropriate benchmark, the factors, which had the most significant  
impact were:
 — the elements of the financial statements (for example, assets, liabilities, equity, revenue, expenses)
 — the items on which the attention of the users of the particular entity's financial statements tends to be focused (for 

example, for the purpose of evaluating financial performance users may tend to focus on profit, revenue and net assets/
equity)

 — the nature of the entity, where the entity is in its life cycle, and the industry and economic environment in which the entity 

operates, and

 — the entity's ownership structure and the way it is financed.

In applying our judgement in determining the percentage to be applied to the benchmark, the following qualitative factors, 
which had the most significant impact, increasing our assessment of materiality were:

 — the Group is listed, 
 — there is an undrawn down Debt facility available, with no drawn down debt arrangements at year end, and
 — the entity operates in a stable business environment and has a viable sustainable business.

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

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Financial StatEmEntS

69

We applied Group materiality to assist us determine the overall audit strategy.

We set Group performance materiality at a level lower than materiality to reduce the probability that, in aggregate, 
uncorrected and undetected misstatements exceed the materiality for the financial statements as a whole. Group 
performance materiality was set at 75% of group materiality (2019: 75%).

In applying our judgement in determining performance materiality, the following factors were considered to have the most 
significant impact, increasing our assessment of performance materiality:

 — the low number and value of misstatements detected in the prior year financial statement audit; and
 — the stability in the senior management and key financial reporting personnel over the last two years.

We applied Group performance materiality to assist us determine what risks were significant risks for the Group and 
determine the audit procedures to be performed.

Materiality – Company financial statements
For the Company financial statements, materiality was set at £0.36 million (2019: £0.4 million). This was calculated using a 
benchmark of Company profit before tax (of which it represents 5 per cent) (2019: 1% of Company total revenue) however, the 
Company materiality was limited to component materiality being 60% of Group materiality. The benchmark used has 
changed to profit before tax from total revenue (2019) due to the upward trend in profitability of the Company. We consider 
profit before tax to be the most appropriate benchmark as it continues to grow year on year, the acquisitive nature of the 
entity and it is a key consideration for the users of the financial statements. 

In applying our judgement in determining the most appropriate benchmark, the factors, which had the most significant  
impact were:
 — the elements of the financial statements (for example, assets, liabilities, equity, revenue, expenses)
 — the items on which the attention of the users of the particular entity's financial statements tends to be focused  

(for example, for the purpose of evaluating financial performance users may tend to focus on profit, revenue and  
net assets/equity)

 — the nature of the entity, where the entity is in its life cycle, and the industry and economic environment in which  

the entity operates, and

 — the entity's ownership structure and the way it is financed.

In applying our judgement in determining the percentage to be applied to the benchmark, the same qualitative factors were 
considered as outlined above for the Group.

We applied Company materiality to assist us determine the overall audit strategy.

We set the Company performance materiality at a level lower than materiality to reduce the probability that, in aggregate, 
uncorrected and undetected misstatements exceed the materiality for the financial statements as a whole. The Company 
performance materiality was set at 75% of Company materiality (2019: 75%).
In applying our judgement when determining performance materiality, the same factors were considered as outlines above 
for the Group.

We used Company performance materiality to assist us determine what risks were significant risks for the Company and 
determine the audit procedures to be performed.

We report to the Audit and Risk Committee all corrected and uncorrected misstatements we identified through our audit 
with a value in excess of £0.031 million (2019: £0.033 million), in addition to other audit misstatements below that threshold 
that we believe warrant reporting on qualitative grounds.

Our Group audit was scoped by obtaining an understanding of the Group and its environment, including Group-wide 
controls, and assessing the risks of material misstatement at the Group level. Based on that assessment, we focused our 
audit scope on the UK, USA, Croatian, and Czech trading entities. As such Ergomed plc, PrimeVigilance Limited, 
PrimeVigilance USA Inc, PSR Group BV, and PrimeVigilance s.r.o. were subject to a full audit. The eight additional 
components for which specified procedures were performed were chosen in order to provide sufficient coverage over the 
Group’s key financial statement lines. These components were selected for being the next most significant to the Group, in 
terms of financial performance, risk and geographical location.

We have engaged KPMG Czech Republic as component auditors for the year ended 31 December 2020 to report on 
PrimeVigilance s.r.o. We, as Group auditor, instructed component auditors as to the significant areas to be covered, including 
the relevant risks detailed above and the information to be reported back. The Group audit team approved the materiality for 
components which ranged from £0.031 million to £0.36 million, having regard to the mix of size and risk profile of the Group 
across the components.

The locations subject to total audit procedures represent the principal business units and account for 99% of the Group’s 
revenue for the year ended 31 December 2020 (2019: 99%). They were also selected to provide an appropriate basis for 
undertaking audit work to address the risks of material misstatement identified above.

C_GEN_PageC_GEN_PageL2C_GEN Section70

Annual Report and Accounts 2020

Independent auditor’s report continued 
to the members of Ergomed plc 

At the Group level, we also tested the consolidation process and carried out analytical procedures to confirm our conclusion 
that there were no significant risks of material misstatement of the aggregated financial information of the remaining 
components not subject to audit.

other information
The directors are responsible for the other information presented in the Annual Report together with the financial 
statements. The other information comprises the information included in the executive chairman’s statement, strategic 
report, directors’ report, risk and compliance committee report, audit committee report and remuneration committee report. 
The financial statements and our auditor’s report thereon do not comprise part of 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 as 
explicitly stated below, any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit 
work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. 
Based solely on that work we have not identified material misstatements in the other information.

opinions on other matters prescribed by the companies act 2006
Based solely on our work on the other information undertaken during the course of the audit:
 — we have not identified material misstatements in the directors' report or the strategic report;
 — in our opinion, the information given in the directors’ report and the strategic report is consistent with the  

financial statements; 

 — in our opinion, the directors’ report and the strategic report have been prepared in accordance with the  

Companies Act 2006.

matters on which we are required to report by exception
Under the Companies Act 2006 we are required to report to you if, in our opinion:
 — adequate accounting records have not been kept, or returns adequate for our audit have not been received from 

branches not visited by us; or

 — the financial statements are not in agreement with the accounting records and returns; or
 — certain disclosures of directors’ remuneration specified by law are not made; or
 — we have not received all the information and explanations we require for our audit. 

We have nothing to report in these respects. 

Respective responsibilities and restrictions on use

responsibilities of directors for the financial statements
As explained more fully in the directors’ responsibilities statement set out on page 65, the directors are responsible for: the 
preparation of the financial statements including being satisfied that they give a true and fair view; 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; assessing the Group and 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 they either intend to 
liquidate the Group or Company or to cease operations, or have no realistic alternative but to do so.

auditor’s 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, other irregularities or error, and to issue an opinion in an auditor’s report. 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, other irregularities 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.

A fuller description of our responsibilities is provided on the FRC’s website at www.frc.org.uk/auditorsresponsibilities.

the purpose of our audit work and to whom we owe our responsibilities
Our report is made solely to the Company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies 
Act 2006. Our audit work has been undertaken so that we might state to the Company’s members those matters we are 
required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not 
accept or assume responsibility to anyone other than the Company and the Company’s members, as a body, for our audit 
work, for this report, or for the opinions we have formed.

John Corrigan (Senior Statutory Auditor)
for and on behalf of
KPMG
Chartered Accountants, Statutory Audit Firm
1 Stokes Place,
St. Stephen’s Green,
Dublin 2,
Ireland.
22 March 2021

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

govErnancE

Financial StatEmEntS

71

Consolidated income statement
For the year ended 31 December 2020

Revenue
Cost of sales
Reimbursable expenses

Gross profit
Selling, general and administration expenses

  Selling, general and administration expenses comprises:
  Other selling, general and administration expenses
  Amortisation of acquired fair valued intangible assets
  Share-based payment charge
  Acquisition-related contingent compensation
  Change in the fair value of contingent consideration for acquisitions
  Acquisition costs
  Exceptional items

Research and development expenses
Net impairment losses on trade receivables and contract assets
Other operating income

Operating profit
Finance income
Change in fair value of equity investments
Finance costs

Profit before taxation
Taxation

Profit for the year

All activities in the current and prior period relate to continuing operations.

The notes on pages 78 to 118 form an integral part of these financial statements.

Notes

2, 3

3

4
30
6
31
7
8

9

10
22
11

4
14

2020
£000s

86,391
(38,686)
(8,055)

39,650
(27,518)

(24,591)
(1,332)
(742)
–
–
(853)
–

(152)
(285)
1,839

13,534
8
(511)
(403)

12,628
(2,946)

9,682

2019
£000s

68,255
(29,790)
(8,940)

29,525
(23,514)

(19,578)
(671)
(870)
(87)
512
(393)
(2,427)

(545)
–
51

5,517
28
(286)
(273)

4,986
583

5,569

C_GEN_PageC_GEN_PageL2C_GEN Section72

Annual Report and Accounts 2020

Consolidated statement of comprehensive income
For the year ended 31 December 2020

Profit for the year

Items that may be classified subsequently to profit or loss:
Exchange differences on translation of foreign operations

Other comprehensive loss for the year net of tax

Total comprehensive profit for the year

Earnings Per Share (EPS)
Basic
Diluted

  Unaudited

Notes

15

2020
£000s

9,682

(59)

(59)

9,623

2020
pence

20.0
19.2

2019
£000s

5,569

(208)

(208)

5,361

2019
pence

12.0
11.5

2020
£000’s

2019
£000’s

  Adjusted Earnings Before Interest, Tax, Depreciation and Amortisation 

  (Adjusted EBITDA)

16

19,370

12,494

  Adjusted Earnings Per Share (Adjusted EPS)
  Basic
  Diluted

15

2020
pence

25.8
24.7

2019
pence

19.9
19.1

Profit or loss and each component of other comprehensive income are attributable to the owners of the Company.

The notes on pages 78 to 118 form an integral part of these financial statements.

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

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Financial StatEmEntS

73

Consolidated balance sheet
As at 31 December 2020

Notes

17
18
19
20
22
14

23
2
24

20
26
27
2

20
25
14

28
29
29

29

2020
£000s

24,605
9,618
1,742
4,715
–
4,898

45,578

22,224
5,553
18,994

46,771

92,349

(1,978)
(15,702)
(328)
(13,829)
(1,775)

(33,612)

13,159

(3,128)
(317)
(2,426)

(5,871)

(39,483)

52,866

489
3
1,349
5,042
615
45,368

52,866

2019
£000s

13,380
2,755
1,110
5,171
–
2,616

25,032

14,359
3,382
14,259

32,000

57,032

(1,718)
(10,373)
–
(2,957)
(813)

(15,861)

16,139

(3,716)
(341)
(294)

(4,351)

(20,212)

36,820

473
25,790
11,088
4,300
674
(5,505)

36,820

Non-current assets
Goodwill
Other intangible assets
Property, plant and equipment
Right-of-use assets
Equity investments
Deferred tax asset

Current assets
Trade and other receivables
Accrued revenue
Cash and cash equivalents

Total assets

Current liabilities
Lease liabilities
Trade and other payables
Deferred consideration
Deferred revenue
Current tax liability

Net current assets

Non-current liabilities
Lease liabilities
Provisions
Deferred tax liability

Total liabilities

Net assets

Equity
Share capital
Share premium account
Merger reserve
Share-based payment reserve
Translation reserve
Retained earnings

Total equity

The notes on pages 78 to 118 form an integral part of these financial statements.

Approved by the Board of Directors and authorised for issue on 22 March 2021.

richard Barfield
Chief Financial Officer

Company Registration No. 04081094

C_GEN_PageC_GEN_PageL2C_GEN Section74

Annual Report and Accounts 2020

Consolidated statement of changes in equity
For the year ended 31 December 2020

Balance at 1 January 2019
Profit for the year
Other comprehensive income for the 

year

Total comprehensive income

Transactions with shareholders
Shares issued during the year for cash
Share-based payment charge for  

the year

Deferred tax credit taken directly  

to equity

Total transactions with 

shareholders

Balance at 31 December 2019

Profit for the year
Other comprehensive income for  

the year

Total comprehensive income

Transactions with shareholders
Shares issued during the year for cash
Share-based payment charge for the 

year

Deferred tax credit taken directly to 

equity

Shares issued for non-cash 

consideration

Transactions with shareholders – 

capital reduction

Capitalisation of Merger reserve to  

B Ordinary Shares

Cancellation of B Ordinary Shares
Cancellation of Share Premium

Total transactions with 

shareholders

Notes

28

30

14

28

30

14

28

28
28
28

25,790

11,088

4,300

674

(5,505)

36,820

Share
capital
£000s

452
–

–

–

Share
premium
account
£000s

24,384
–

–

–

21

1,406

–

–

21

473

–

–

–

–

–

1,406

–

–

–

14

1,855

–

–

2

–

–

–

Share–
based
payment
reserve
£000s

3,430
–

Merger
reserve
£000s

11,088
–

–

–

–

–

–

–

–

–

–

870

–

870

Translation
reserve
£000s

882
–

(208)

(208)

Retained
earnings
£000s

(11,873)
5,569

Total equity
£000s

28,363
5,569

–

(208)

5,569

5,361

–

–

–

–

–

–

799

1,427

870

799

799

3,096

–

–

–

–

–

–

1,349

–

–

–

–

742

–

–

–
–
–

–

9,682

9,682

(59)

(59)

–

(59)

9,682

9,623

–

–

–

–

–
–
–

–

–

–

1,869

742

2,461

2,461

–

1,351

–
11,088
27,642

–
–
–

41,191

6,423

11,088
(11,088)
–

–
–
(27,642)

(11,088)
–
–

16

(25,787)

(9,739)

742

Balance at 31 December 2020

489

3

1,349

5,042

615

45,368

52,866

The notes on pages 78 to 118 form an integral part of these financial statements.

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

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Financial StatEmEntS

75

Consolidated cash flow statement
For the year ended 31 December 2020

Cash flows from operating activities
Profit before taxation
Adjustment for:
Amortisation and depreciation
Impairment of goodwill, intangibles, equity investments and other assets
Loss on disposal of fixed assets
Share-based payment charge
Change in the fair value of equity investments
Change in the fair value of contingent consideration for acquisition
RDEC income
Finance income
Finance costs

Operating cash inflow before changes in working capital and provisions
(Increase)/decrease in trade, other receivables and accrued revenue
Increase/(decrease) in trade, other payables and deferred revenue
(Decrease)/increase in provisions

Cash generated from operations
Taxation (paid)/received

Net cash inflow from operating activities

Investing activities
Interest received
Acquisition of intangible assets
Acquisition of property, plant and equipment
Receipts from sale of property, plant and equipment
Equity investments received in exchange for services provided
Receipts from the sale of equity investments
Acquisition of subsidiaries, net of cash acquired
Acquisition related earn-out paid

Net cash outflow from investing activities

Financing activities
Issue of new shares
Finance costs paid
Proceeds from borrowings
Repayment of borrowings
Payment of lease liabilities

Net cash outflow from financing activities

Net change in cash and cash equivalents
Effect of foreign currency on cash balances
Cash and cash equivalents at start of year

Cash and cash equivalents at end of year

The notes on pages 78 to 118 form an integral part of these financial statements.

Notes

2020
£000s

2019
£000s

12,628

4,986

4
8
4
30
22
31
9
10
11

25

18
19

22
22
32, 33

28

24
24

24

4,843
–
16
742
511
–
(1,188)
(8)
403

17,947
(6,137)
7,182
(18)

18,974
(926)

18,048

8
(542)
(432)
46
–
175
(12,031)
–

(12,776)

1,869
(157)
15,000
(15,000)
(2,189)

(477)

4,795
(60)
14,259

18,994

3,712
2,427
25
870
286
(512)
–
(28)
273

12,039
1,878
(2,380)
126

11,663
124

11,787

7
(604)
(392)
8
(1,904)
1,099
(115)
(930)

(2,831)

1,427
–
–
–
(1,677)

(250)

8,706
364
5,189

14,259

C_GEN_PageC_GEN_PageL2C_GEN Section76

Annual Report and Accounts 2020

Company balance sheet
As at 31 December 2020

Non-current assets
Intangible assets
Property, plant and equipment
Right-of-use assets
Investments in subsidiaries
Equity investments
Deferred tax asset

Current assets
Trade and other receivables
Accrued revenue
Cash and cash equivalents

Total assets

Current liabilities
Lease liabilities
Trade and other payables
Deferred revenue

Net current assets/(liabilities)

Non-current liabilities
Lease liabilities
Deferred tax liability

Total liabilities

Net assets

Equity
Share capital
Share premium account
Merger reserve
Share-based payment reserve
Translation reserve
Retained earnings

Total equity

The notes on pages 78 to 118 form an integral part of these financial statements.

Approved by the Board of Directors and authorised for issue on 22 March 2021.

richard Barfield
Chief Financial Officer

Company Registration No. 04081094

Note

18
19
20
22
22
14

23

24

20
26

20
14

28
29
29
30
29

2020
£000s

639
113
26
23,728
–
4,846

29,352

24,453
3,853
6,151

34,457

63,809

(27)
(14,462)
(5,215)

(19,704)

14,753

–
(100)

(19,804)

44,005

489
3
1,349
5,042
4,270
32,852

44,005

2019
£000s

882
43
113
22,592
–
2,613

26,243

4,204
3,061
4,374

11,639

37,882

(93)
(20,529)
(2,484)

(23,106)

(11,467)

(24)
–

(23,130)

14,752

473
25,790
11,088
4,300
3,447
(30,346)

14,752

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77

Company statement of changes in equity
For the year ended 31 December 2020

Notes

Balance at 1 January 2019
Loss for the year
Other comprehensive income for  

the year

Total comprehensive loss

Transactions with shareholders
Shares issued during the year for cash
Share-based payment charge for the year
Deferred tax credit taken directly to equity

28
30
14

Total transactions with shareholders

Share
capital
£000s

452
–

–

–

21
–
–

21

Share
premium
account
£000s

24,384
–

–

–

1,406
–
–

1,406

Share–
based
payment
reserve
£000s

3,430
–

Merger
reserve
£000s

11,088
–

–

–

–
–
–

–

–

–

–
870
–

870

Translation
reserve
£000s

4,166
–

Retained
earnings
£000s

(27,884)
(3,261)

Total equity
£000s

15,636
(3,261)

(719)

–

(719)

 (719)

(3,261)

(3,980)

–
–
–

–

–
–
799

799

1,427
870
799

3,096

Balance at 31 December 2019

473

25,790

11,088

4,300

3,447

(30,346)

14,752

Profit for the year
Other comprehensive income for  

the year

Total comprehensive loss

Transactions with shareholders
Shares issued during the year for cash
Share-based payment charge for the year
Deferred tax credit taken directly to equity
Shares issued for non-cash consideration
Transactions with shareholders – 

capital reduction

Capitalisation of Merger reserve to  

B Ordinary Shares

Cancellation of B Ordinary Shares
Cancellation of Share Premium

28
30
14
28

28
28
28

–

–

–

14
–
–
2

–

–

–

–

–

–

1,855
–
–
–

–
–
–
1,349

11,088
(11,088)
–

–
–
(27,642)

(11,088)
–
–

–

–

–

–
742
–
–

–
–
–

Total transactions with shareholders

16

(25,787)

(9,739)

742

–

22,007

22,007

823

823

–

823

22,007

22,830

–
–
–
–

–
–
–

–

–
–
2,461
–

–
11,088
27,642

41,191

1,869
742
2,461
1,351

–
–
–

6,423

Balance at 31 December 2020

489

3

1,349

5,042

4,270

32,852

44,005

The notes on pages 78 to 118 form an integral part of these financial statements.

C_GEN_PageC_GEN_PageL2C_GEN Section78

Annual Report and Accounts 2020

Notes to the financial statements
For the year ended 31 December 2020

1. Accounting policies used in the preparation of the financial statements
Ergomed plc (the ‘Company’) is incorporated and domiciled in the United Kingdom and is listed on the London Stock 
Exchange Alternative Investment Market (‘AIM’) (LSE:ERGO). The Company’s shares are also traded through the Xetra 
exchange in Germany (WKN: A117XM). Its registered address is 1 Occam Court, Surrey Research Park, Guildford, Surrey, GU2 
7HJ, UK.

Ergomed plc and its wholly owned subsidiaries (together the ‘Group’) provide a full range of clinical trial planning, 
management and monitoring, as well as drug safety and medical information services. The Group has a worldwide presence 
with operations in the UK, Poland, Germany, Bosnia, Croatia, India, Serbia, the Netherlands, the Czech Republic, Russia, 
Switzerland, Ukraine, Spain and the USA.

The accounting policies applied in the preparation of these financial statements are set out below and at the start of the 
respective notes to these financial statements. These policies have been consistently applied to all the years presented, 
unless otherwise stated.

Basis of preparation

group financial statements
The consolidated financial statements of the Group have been prepared on the going concern basis in accordance with 
international accounting standards in conformity with the requirements of the Companies Act 2006, the IFRS Interpretations 
Committee (‘IFRS-IC’) interpretations and those parts of the Companies Act 2006 applicable to companies reporting  
under IFRS.

The consolidated financial statements have been prepared on a historical cost basis except that the following assets and 
liabilities are stated at their fair value: certain financial assets and financial liabilities measured at fair value, and liabilities for 
cash-settled share-based payments.

company financial statements
The separate financial statements of the Company have been prepared on the going concern basis in accordance with the 
Financial Reporting Standard 101 Reduced Disclosure Framework.

In preparing these financial statements, the Company applies the recognition, measurement and disclosure requirements of 
international accounting standards in conformity with the requirements of the Companies Act 2006, but makes amendments 
where necessary in order to comply with Companies Act 2006 and has set out below where advantage of the FRS 101 
disclosure exemptions has been taken. 

Under section s408 of the Companies Act 2006 the company is exempt from the requirement to present its own income 
statement. 

In these financial statements, the Company has applied the exemptions available under FRS 101 in respect of the following 
disclosures: 
 — Cash flow statement and related notes; 
 — Certain disclosures regarding revenue
 — Comparative period reconciliations for share capital, tangible fixed assets and intangible assets; 
 — Disclosures in respect of transactions with wholly owned subsidiaries;
 — Disclosures in respect of capital management;
 — The effects of new but not yet effective IFRSs; and
 — Disclosures in respect of the compensation of Key Management Personnel.

As the consolidated financial statements include the equivalent disclosures, the Company has also taken the exemptions 
under FRS 101 available in respect of the following disclosures:
 — IFRS 2 Share Based Payments in respect of Group settled share-based payments
 — IFRS 3 Business Combinations in respect of business combinations undertaken by the Company in the current and prior 

periods including the comparative period reconciliation for goodwill; and 

 — IFRS 7 Financial Instrument Disclosures.

The Company's financial statements have been prepared on a historical cost basis except that the following assets and 
liabilities are stated at their fair value: equity investments (not in subsidiaries).

Basis of consolidation
The consolidated financial statements incorporate the results of the Company and subsidiary entities controlled by the 
Group.

The Group controls an entity when it is exposed to, or has rights to, variable returns from its involvement with the entity and 
has the ability to affect those returns through its power over the entity. In assessing control, the Group takes into 
consideration potential voting rights. The acquisition date is the date on which control is transferred to the acquirer. The 
financial statements of subsidiaries are included in the consolidated financial statements from the date that control 
commences until the date that control ceases. 

Changes in the Group’s interest in a subsidiary that do not result in a loss of control are accounted for as equity transactions.

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Where the Group loses control of a subsidiary, the assets and liabilities are derecognised. Any resulting gain or loss is 
recognised in profit or loss. Any interest retained in the former subsidiary is measured at fair value when control is lost.

Intra-group balances and transactions, and any unrealised income and expenses arising from intra-group transactions, are 
eliminated.

Associates and joint ventures are accounted for using the equity method (equity accounted investees) and are initially 
recognised at cost. The Group’s investment includes goodwill identified on acquisition, net of any accumulated impairment 
losses. The consolidated financial statements include the Group’s share of the total comprehensive income and equity 
movements of equity accounted investees, from the date that significant influence or joint control commences until the date 
that significant influence or joint control ceases. When the Group’s share of losses exceeds its interest in an equity 
accounted investee, the Group’s carrying amount is reduced to nil and recognition of further losses is discontinued except to 
the extent that the Group has incurred legal or constructive obligations or made payments on behalf of an investee.

Foreign currency translation
The Company and Group consolidated financial statements are presented in pounds Sterling. The functional currency of the 
Company is the Euro. 

Transactions denominated in foreign currencies are translated into Sterling at the exchange rate ruling at the date of the 
transaction. Monetary assets and liabilities denominated in foreign currencies at the balance sheet date are translated into 
Sterling at the foreign exchange rate ruling at that date. Foreign exchange differences arising on translation are recognised 
in the income statement. Non-monetary assets and liabilities denominated in foreign currencies that are stated at fair value 
are retranslated to the functional currency at foreign exchange rates ruling at the dates the fair value was determined.

The assets and liabilities of foreign operations are translated to the Group’s presentational currency at foreign exchange 
rates ruling at the balance sheet date. The revenues and expenses of foreign operations are translated on a monthly basis at 
average exchange rates where these rates approximate to the foreign exchange rates ruling at the dates of the transactions.

Exchange differences arising from this translation of foreign operations are reported as an item of other comprehensive 
income and accumulated in the translation reserve.

Going concern
The financial statements have been prepared on the going concern basis, which assumes that the Group and Company will 
have sufficient funds to continue in operational existence for the foreseeable future, being a period of no less than 12 
months from the date of signing of the financial statements. The Directors have reviewed a cash flow forecast for the period 
31 December 2023, which is derived from the 2021 Board approved budget and a medium-term cash flow forecast through  
to 31 December 2023, which is an extrapolation of the approved budget under multiple scenarios and growth rates. The 2021 
budget and medium-term forecast represents the Directors’ best estimate of the Group’s future performance and 
necessarily includes a number of assumptions, including the level of revenues. The 2021 budget and medium-term forecast 
demonstrate that the Directors have a reasonable expectation that the Group will be able to meet its liabilities as they fall 
due for a period of at least 12 months from the date of approval of the financial statements

On the basis of the above factors and, having made appropriate enquiries, the Directors have a reasonable expectation that 
the Company and Group have adequate resources to continue in operational existence for the foreseeable future. 
Accordingly, they continue to adopt the going concern basis in preparing these financial statements.

Accounting standards adopted in the prior period

iFrS 16 – leases 
On 1 January 2019 the Group adopted International Financial Reporting Standard 16 (‘IFRS 16’) – Leases – using the modified 
retrospective approach.

Disclosures supporting the accounting policies and movement in assets and liabilities in the year can be found in note 20  
to the financial statements.

Amendments to IFRS that are not yet effective
The following IFRSs have been issued, have an effective date for annual periods beginning after 31 December 2020 and  
have not been applied in these financial statements. Their adoption is not expected to have a material effect on the financial 
statements unless otherwise indicated:
 — IFRS 17 – Insurance Contracts
 — IAS 1 – Classification of Liabilities as Current or Non-Current
 — IFRS 3 – Reference to the Conceptual Framework
 — IAS 16 – Property, Plant and Equipment – Procedures before intended use
 — IAS 37 – Onerous Contracts – costs of fulfilling a contract
 — Annual Improvement to IFRS Standards 2018-2020
 — IAS 1 and IFRS Practice Statement 2 – Disclosure of Accounting Policies
 — IAS 8 – Definition of Accounting Estimates

C_GEN_PageC_GEN_PageL2C_GEN Section 
80

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

1. Accounting policies used in the preparation of the financial statements continued

Critical accounting judgements and key sources of estimation uncertainty
In the application of the accounting policies in these financial statements, the Directors are required to make judgements, 
estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements 
and the reported amounts of revenues and expenses during the reporting period. Although these estimates are based on 
management’s best knowledge of the amount, event or actions, actual results may ultimately differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are 
recognised in the period in which the estimate is revised.

Critical judgements in applying the accounting policies
The following are the critical judgements, apart from those involving estimations which are dealt with separately below, that 
the Directors have made in the process of applying the accounting policies and that have the most significant effect on the 
amounts recognised in the Group and Company financial statements.

Accounting policy

Description of critical judgements

Revenue from customer 
contracts 
(Group and Company)

There are significant management judgements and estimates involved in the recognition of 
revenue for CRO contracts.

Notes

2

Revenue for CRO services is recognised based on the costs incurred on a project as a 
proportion of total expected costs to determine a percentage of completion which is applied 
to the estimate of the transaction price.

The percentage of completion for the CRO contracts is measured based on an input 
measure being total project costs at each reporting period. Assessment of the percentage of 
completion requires an evaluation of labour and third-party costs incurred on the project at 
the reporting date, which requires an estimate of third-party costs incurred but not billed, 
and an up-to-date evaluation of the forecast costs to complete these projects. Given the 
long-term nature of the clinical trials, and the complex nature of those trials, the forecast 
costs to complete is judgemental. The costs to complete are prepared by project managers 
on a recurring basis during the year and are subject to internal reviews, including comparison 
to previous forecasts and past experience.

Material differences in the amount of revenue in any given period may result if these 
judgements or estimates prove to be incorrect or if management’s estimates change on the 
basis of development of the business or market conditions. To date there have been no 
material differences arising from these judgements and estimates.

Key sources of estimation uncertainty
The key assumptions concerning the future, and other key sources of estimation uncertainty at the reporting date, that may 
have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next 
financial year, are discussed below.

Source of estimation uncertainty

Description

Bad debt provision 
(Group and Company)

In determining the level of provisioning for bad debts, the Directors have considered the 
expected credit loss over the lifetime of the trade receivables. This analysis includes grouping 
the trade receivables based on shared credit risk characteristics and the days past due.  
The expected loss rates are based on historical losses adjusted to reflect current and 
forward-looking information affecting the customers’ ability to settle the receivable.  
The accrued revenue for unbilled work in progress has substantially the same risk 
characteristics as the trade receivables and similar expected loss rates have been applied.

The Group had provisions against trade receivables and accrued revenue at the year-end of 
£298,000 (2019: £67,000) which resulted in a charge to the Income Statement in the year of 
£257,000 (2019: £58,000).

The Company had provisions against trade receivables and accrued revenue at the year-end 
of £271,000 (2019: £5,000) which resulted in a charge to the Income Statement in the year of 
£257,000 (2019: charge £4,000).

Notes

31

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81

Notes

17

Source of estimation uncertainty

Description

Impairment of goodwill 
(Group)

Goodwill is reviewed for impairment at least annually at each reporting date. Goodwill is 
impaired if the carrying value of the cash-generating unit (‘CGU’) including the goodwill is in 
excess of the recoverable amount, which is the higher of the value in use and the fair value 
less costs to sell for that cash-generating unit. The calculation of the recoverable amount 
requires the entity to estimate the future cash flows expected to arise from the cash-
generating unit and a suitable discount rate in order to determine whether the recoverable 
amount is greater than the carrying value.

The recoverable amounts of the CGUs for the CRO, PV and R&D operating segments are 
determined from value-in-use calculations. The key assumptions for the value in use 
calculations are those regarding cash flows, discount rates and growth rates. The key inputs 
for estimating the future cash flows of operating businesses are revenue growth over the 
next five years, terminal revenue growth, working capital changes and  
discount rate.

The Group prepares cash flow forecasts for the next five years for the cash-generating units, 
derived from the most recent financial budgets approved by the Board, and forecasts 
revenue for the following three years based on estimated growth rate. A standard margin 
based on historical experience is then applied to the revenue. The revenue growth rate used 
in the calculation was zero, which is significantly lower than the average long-term growth 
rate for the relevant market and management’s estimate of growth for the PV and CRO 
business. This did not result in an impairment to goodwill.

A discount rate of 8% (2019: 19%) has been used in the assessment, which reflects market 
assessments of the time-value of money and the risks specific to the CGUs. The discount 
rate used in the assessment has reduced in the year as a result of a reassessment of the 
Group’s Weighted Average Cost of Capital ('WACC'). The reduction in the WACC and 
discount rate was primarily a result of the Group’s profitability, forecast future profitability and 
the formalisation of the borrowing facility with the Group’s banking partners during  
the year.

Fair value assessments 
(Group and Company)

The impairment provision against goodwill at the year end was £2,143,000 (2019: 
£2,143,000) and related fully against the investment in Haemostatix Limited.  
£nil (2019: £nil) was charged to the Income Statement in the period.

Some of the Group and Company financial instruments are measured at fair value for financial 
reporting purposes. In estimating the fair value of an asset or a liability, the Group uses 
market-observable data to the extent it is available, and management estimates of commercial 
and development risk where appropriate. Where Level 1 inputs are not available, the Group may 
engage third-party qualified valuation experts. Management work closely with valuation experts 
to establish the appropriate techniques and inputs to the valuation models. This includes 
contingent consideration relating to acquisitions valued at £nil (2019: £nil) at the year end.

22, 27, 31, 
32, 33

During the year ended 2019, the fair value of equity investments in Modus Therapeutics 
Holdings AB was impaired to £nil resulting in a charge to the Income Statement of 
£2,427,000. This was the result of Modus announcing the initial results from its Phase II trial 
which revealed that the study failed to show a meaningful benefit in the total study 
population. Given the results of the trial and the Company’s lack of funding, management 
have fully provided against the value of the investment.

During the year the Group acquired Ashfield Pharmacovigilance Inc. ('Ashfield') and MS 
Clinical Services, LLC. and its subsidiaries ('MedSource'). At the acquisition date the Group 
is required to estimate the fair value of identifiable assets acquired and the liabilities 
assumed. Due to the substantial nature of the acquisitions, the Group engaged third-party 
qualified valuation experts to establish the appropriate techniques and inputs to complete 
this work.

During the year the Company made a capital contribution to Haemostatix Limited, a 100% 
subsidiary of the Company, equal to their outstanding loan balance of £8,476,000. The 
Company immediately assessed the investment in Haemostatix to be impaired and reduced 
the carrying value of the investment to £nil.

C_GEN_PageC_GEN_PageL2C_GEN Section82

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

2. Revenue

Revenue and direct costs
Revenue comprises the fair value of the consideration received or receivable for the provision of goods and services in 
the ordinary course of the Group’s activities. Revenue is shown net of value added tax, other sales taxes and after 
eliminating sales within the Group.

The Group primarily earns revenue from Clinical Research Services (‘CRO’) and Pharmacovigilance (‘PV’) services. 
Revenue in relation to these services is recognised over time or at a point in time as performance obligations are satisfied 
and these are detailed further below.

Clinical Research Services (‘CRO’)
CRO comprise clinical trial management from Phase I to IV on behalf of customers. The contract with the customer 
defines the nature, quantity and price of the various services to be provided, which includes patient recruitment, data 
management, regulatory affairs and adverse event case processing. Services provided (included those provided by a 
third party and reimbursed by the customer) under each contract are a single performance obligation satisfied over time. 
The Group is the contract principal in respect of both direct services and in the use of third parties (principally investigator 
services) that support the clinical research project. The transaction price is determined by reference to the contract and 
change orders, including any pass-through or reimbursable expenses, adjusted to reflect the amount the Group expects 
to be entitled to in exchange for transferring promised goods or services to a customer. Revenue is recognised as the 
single performance obligation is satisfied. The progress towards completion for CRO service contracts is measured based 
on an input measure being project costs incurred to date as a proportion of total project costs (including third party costs) 
at each reporting period.

The service fees for CRO services are invoiced based on predetermined activities or milestones. Third party costs are 
invoiced to customers as they are incurred. Where there is a timing difference between the recognition of revenue and 
invoicing under a contract, a contract asset (accrued revenue) or liability (deferred revenue) is recognised. Significant 
accrued and deferred revenue can arise for the CRO services as a result of these timing differences.

The Group recognises accrued revenue when the value of satisfied or part satisfied performance obligations is in excess 
of the payment due to the Group, and deferred revenue when the amount of unconditional consideration is in excess of 
the value of satisfied or part satisfied performance obligations. Once a right to receive consideration is unconditional, that 
amount is presented as a trade receivable.

Changes in contract balances typically arise due to:
 — adjustments arising from a change in the estimate of the cost to complete the project, which results in a cumulative 

catch-up adjustment to revenue that affects the corresponding contract asset or liability;

 — a change in the estimate of the transaction price due to changes in the assessment of whether variable consideration is 

constrained because it is not considered probable of being received;

 — the recognition of revenue arising from deferred revenue; and
 — the reclassification of amounts to receivables when a right to consideration becomes unconditional.

Contract fulfilment costs in respect of CRO service contracts are expensed as incurred.

Pharmacovigilance (‘PV’) services
Pharmacovigilance services comprise contract support services to pharmaceutical, biotechnology and generic 
companies in managing the global safety of their products from early clinical trial development to full post-marketing 
activities. The typical length of a contract is 36 months, and the services include the collection, aggregation and reporting 
of safety issues related to drugs on the market. PV services are typically invoiced when an activity occurs in an amount 
that corresponds directly with the value to the customer of the entity’s performance completed to date. Invoicing is based 
on prices specified in the service agreement with the client. The Group has applied the practical expedient which results 
in the recognition of revenue on a right to invoice basis as the right to consideration from a customer corresponds directly 
with the value of the Group’s performance completed to date in relation to that customer. The performance completed is 
primarily driven by the hours performed by contract staff and the value of services provided to date.

Contract assets or liabilities (accrued or deferred revenue) may arise if a contract contains upfront or milestone payments.

Contract fulfilment costs in respect of PV service contracts are expensed as incurred.

Costs to obtain a contract
The Group expenses pre-contract bidding costs which are incurred regardless of whether a contract is awarded.

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83

The Group’s revenue is disaggregated by geographical market and major service lines:

Geographical market and major service lines

2020

Geographical market by client location
UK
Rest of Europe, Middle East and Africa
North America
Asia
Australia

2019

Geographical market by client location
UK
Rest of Europe, Middle East and Africa
North America
Asia
Australia

CRO
£000s

3,589
10,146
15,828
1,753
–

31,316

CRO
£000s

5,096
17,427
9,245
1,064
10

32,842

The receivables, contract assets and liabilities in relation to contracts with customers are as follows:

Contract assets
Trade receivables
Accrued revenue

Contract liabilities
Deferred revenue
Customer advances

Note

23

Major service lines

PV
£000s

8,590
13,183
30,836
2,269
197

55,075

Major service lines

PV
£000s

7,590
10,910
16,337
445
131

35,413

2020
£000s

19,079
5,553

24,632

(13,829)
(408)

(14,237)

Total
£000s

12,179
23,329
46,664
4,022
197

86,391

Total
£000s

12,686
28,337
25,582
1,509
141

68,255

2019
£000s

11,235
3,382

14,617

(2,957)
(537)

(3,494)

Accrued revenue primarily relates to consideration for work completed but not billed at the reporting date. The contract 
assets are transferred to trade receivables when the rights become unconditional.

Deferred revenue primarily relates to the advance consideration received from customers. There are no significant financing 
components associated with deferred revenue.

Customer advances relate to deposits made by customers as security over future services and third-party costs incurred in 
relation to those services.

Revenue recognised that was included in the deferred revenue balance at the beginning of the period was £2,504,000  
(2019: £5,651,000). 

There were no significant amounts of revenue recognised in the current or prior year arising from performance obligations 
satisfied in previous periods.

The carrying value of trade receivables and accrued revenue approximates to their fair value at the reporting date. 
Information about the Group’s exposure to credit risks and expected credit losses for trade receivables and accrued revenue 
is included in note 31.

C_GEN_PageC_GEN_PageL2C_GEN Section84

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

Significant changes in the contract assets and the contract liabilities balances during the period are as follows:

2. Revenue continued

2020

Opening asset/(liability):
Revenue recognised that was included in the contract liability balance at the beginning of the period
Increases due to cash received, excluding amounts recognised as revenue during the period
Business combinations
Transfers from contract assets recognised at the beginning of the period to receivables
Increases as a result of changes in the measure of progress

Closing asset/(liability):

2019

Opening asset/(liability):
Revenue recognised that was included in the contract liability balance at the beginning of the period
Increases due to cash received, excluding amounts recognised as revenue during the period
Transfers from contract assets recognised at the beginning of the period to receivables
Increases as a result of changes in the measure of progress

Closing asset/(liability):

Accrued 
revenue
£000s

Deferred 
revenue
£000s

3,382
–
–
812
(3,382)
4,741

5,553

(2,957)
2,504
(6,848)
(6,528)
–
–

(13,829)

Accrued 
revenue
£000s

Deferred 
revenue
£000s

3,857
–
–
(3,857)
3,382

3,382

(5,651)
5,651
 (2,957)
–
–

(2,957)

Order book
The aggregate amount of the transaction price allocated to CRO and PV service contracts that are partially or fully 
unsatisfied as at the year end ('order book') are as follows:

CRO services
PV services

2021
£000s

60,220
43,684

103,904

2022
£000s

37,896
24,523

62,419

2023
£000s

15,093
11,624

26,717

Total
£000s

113,209
79,831

193,040

The order book at the year end includes contracted revenue which is expected to be realised over the period to 
31 December 2023 upon the satisfaction of performance obligations. At the year end there is unrecognised order book with 
a value of £12,411,000 which is forecast to be realised after 31 December 2023 and before 31 December 2034. Contracted 
order book of this longer-term nature can be subject to change, and given the inherent uncertainties of determining 
revenues over this period of time, management have decided not to include revenues beyond 31 December 2023 within the 
valuation of order book at the year end.

3. Operating segments

Products and services from which reportable segments derive their revenues
Information reported to the Company’s Board, which is the chief operating decision maker (‘CODM’), for the purpose of 
resource allocation and assessment of segment performance, is focused on the Group operating as two business segments, 
being Clinical Research Services (‘CRO’) and Pharmacovigilance (‘PV’). All revenues arise from direct sales to customers. The 
segment information reported below all relates to continuing operations. The PV segment includes the revenues of Ashfield 
Pharmacovigilance Inc. ('Ashfield') following its acquisition by the Group in the year. The CRO segment includes the revenues 
of MS Clinical Services, LLC. and its subsidiaries ('MedSource') following its acquisition by the Group in the year.

The accounting policies of the reportable segments are the same as the Group’s accounting policies. Segment profit 
represents the gross profit earned by each segment. Other amounts, including selling, general and administration expenses 
were not allocated to a segment. This was the measure reported to the CODM for the purpose of resource allocation and 
assessment of segment performance.

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2020

Segment revenues
Cost of sales
Reimbursable expenses

Segment gross profit
Selling, general and administration expenses

  Selling, general and administration expenses comprises:
  Other selling, general and administration expenses
  Amortisation of acquired fair valued intangible assets
  Share-based payment charge
  Acquisition costs
  Exceptional items

Research and development expenses
Net impairment of trade receivables and contract assets
Other operating income

Operating profit
Finance income
Change in fair value of equity investments
Finance costs

Profit before tax

2019

Segment revenues
Cost of sales
Reimbursable expenses

Segment gross profit
Selling, general and administration expenses

 Selling, general and administration expenses comprises:
  Other selling, general and administration expenses
  Amortisation of acquired fair valued intangible assets
  Share-based payment charge
  Acquisition-related contingent compensation
  Change in the fair value of contingent consideration for acquisitions
  Acquisition costs
  Exceptional items

Research and development expenses
Other operating income

Operating profit
Finance income
Change in fair value of equity investments
Finance costs

Profit before tax

CRO
£000s

31,316
(12,737)
(7,584)

10,995

PV
£000s

55,075
(25,949)
(471)

28,655

CRO
£000s

32,842
(13,045)
(8,498)

11,299

PV
£000s

35,413
(16,745)
(442)

18,226

Consolidated
total
£000s

86,391
(38,686)
(8,055)

39,650
(27,518)

(24,591)
(1,332)
(742)
(853)
–

(152)
(285)
1,839

13,534
8
(511)
(403)

12,628

Consolidated
total
£000s

68,255
(29,790)
(8,940)

29,525
(23,514)

(19,578)
(671)
(870)
(87)
512
(393)
(2,427)

(545)
51

5,517
28
(286)
(273)

4,986

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

3. Operating segments continued

Segment net assets

CRO
PV

Consolidated total net assets

2020
£000s

24,156
28,710

52,866

2019
£000s

2,649
34,171

36,820

For the purposes of monitoring segment performance and allocating resources between segments, the CODM monitors the 
net assets attributable to each segment. All assets are allocated to reportable segments. Goodwill has been allocated to 
reportable segments as described in note 17.

Other segment information

CRO
PV

Impairment of goodwill  
and intangibles

Depreciation  
and amortisation

Additions to  
non-current assets

2020
£000s

–
–

–

2019
£000s

–
–

–

2020
£000s

1,174
3,669

4,843

2019
£000s

1,252
2,460

3,712

2020
£000s

13,903
9,307

23,210

2019
£000s

724
685

1,409

Information about major customers 
In 2020, the Group had no customers (2019: none) that contributed 10% or more to the Group’s revenue.

4. Profit before taxation

Operating Leases
The Group has elected not to recognise right-of-use assets and lease liabilities for leases of low-value assets and 
short-term leases. The Group recognises the lease payments associated with these leases as an expense on a straight-
line basis over the lease term.

Group

Profit for the year is stated after charging:
Depreciation of property, plant and equipment (note 19)
Depreciation of right-of-use assets (note 20)
Amortisation of intangible assets (note 18)
Amortisation of acquired intangible assets (note 18)

Depreciation and amortisation charges within selling, general and administration expenses

Expenses relating to the lease of short-term assets
Expenses relating to the lease of low-value assets (excluding short-term leases included above)
Net foreign exchange loss
Loss on disposals of property, plant and equipment
Increase in bad debt provision (note 31)

2020
£000s

623
1,954
934
1,332

4,843

120
18
1,176
16
257

2019
£000s

545
1,664
832
671

3,712

84
36
929
25
58

Company
As permitted by Section 408 of the Companies Act 2006, the income statement and statement of comprehensive income  
of the Parent Company is not presented as part of these financial statements. The Parent Company’s profit after tax for the 
financial year was £22,007,000 (2019: loss of £3,261,000).

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5. Auditor remuneration
Services provided by the Group’s auditor:

Fees payable to the Company’s auditor for the audit of Group, Company and subsidiary financial 

statements

Fees payable to the Company’s auditor for other services:
– audit related assurance services – interim financial information

6. Acquisition-related contingent compensation

Harefield Pharmacovigilance

7. Acquisition costs 

Acquisition of Ashfield Pharmacovigilance (note 32)
Acquisition of MedSource (note 33)
Other acquisition costs

8. Exceptional items

2020
£000s

241

35

276

2020
£000s

–

2020
£000s

14
825
14

853

2019
£000s

326

34

360

2019
£000s

87

2019
£000s

393
–
–

393

Exceptional items
In line with the way the Board and CODM review the business, large one-off exceptional costs are shown as exceptional 
items.

Impairment of equity investment

2020
£000s

–

2019
£000s

2,427

During the year ended 31 December 2019, the fair value equity investment in Modus Therapeutics Holding AB was impaired 
to £nil resulting in a charge to exceptional items of £2,427,000 (see note 22).

9. Other operating income

Research and Development Expenditure Credit ('RDEC')
The Group is eligible, within the UK, to claim tax credits against certain R&D expenditure under the Research and 
Development Expenditure Credit ('RDEC') scheme. During the year the Group submitted claims in respect of the 2017  
and 2018 financial years and recognised the related profit and loss charge within other operating income in the current 
financial year.

Foreign grant income
RDEC income
Other income

2020
£000s

574
1,188
77

1,839

2019
£000s

–
–
51

51

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

10. Finance income

Interest income
Interest income is recognised in the income statement in the period in which it is earned.

Interest income

11. Finance costs

Loan and other interest payable
Interest on lease liabilities

12. Employees

2020
£000s

8

2020
£000s

158
245

403

Number of employees
The average monthly number of persons employed by the Group (including Executive Directors and excluding Non-
Executive Directors) during the year was:

Administration
Project staff
Management
Directors

2020
Number

101
875
30
3

1,009

2019
£000s

28

2019
£000s

13
260

273

2019
Number

89
658
25
3

775

Employment costs
The cost of persons employed by the Group (including Executive Directors and excluding Non-Executive Directors) charged 
to the income statement during the year were:

Wages and salaries
Social security costs
Other pension costs (note 13)
Acquisition-related contingent compensation
Share-based payments (note 30)

2020
£000s

32,243
6,622
703
–
742

40,310

2019
£000s

23,709
3,861
624
87
870

29,151

Additional information on the emoluments of the Directors, together with information regarding the share interests and share 
options of the Directors, is included in the Remuneration Report on page 63, which forms part of these audited financial 
statements.

Employment costs have been charged to the income statement as follows:

Wages and salaries
Social security costs
Other pension costs

Cost of Sales

Selling, general and  
administration expenses

2020
£000s

23,611
4,146
483

28,240

2019
£000s

17,136
2,914
411

20,461

2020
£000s

8,632
2,476
220

11,328

2019
£000s

6,573
947
213

7,733

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13. Pension costs

Pensions
The Group operates defined contribution pension plans for employees. The plans are post-employment benefit plans 
under which the Group pays fixed contributions into separate entities and will have no legal or constructive obligation to 
pay further amounts. Obligations for contributions to defined contribution pension plans are recognised as an expense 
in the income statement in the periods during which services are rendered by employees.

The pension cost represents contributions payable by the Group to the plans and amounted to £703,000 (2019: £624,000). 
Contributions payable to the plans at 31 December 2020 were £97,000 (2019: £100,000).

One Director (2019: one Director) has retirement benefits accruing under defined contribution pension schemes.

14. Taxation and deferred taxation

Taxation
The tax expense or credit for the year comprises the sum of current and deferred tax. Tax is recognised in the income 
statement except to the extent that it relates to items recognised directly in equity, in which case it is recognised in 
equity.

Current tax is the expected tax payable or receivable on the taxable income or loss for the year, using tax rates enacted 
or substantively enacted at the balance sheet date, and any adjustment to tax payable in respect of previous years.

Deferred taxation
Deferred taxation is provided on temporary differences between the carrying amounts of assets and liabilities in the 
financial statements and the corresponding tax bases. Deferred tax liabilities are recognised for all temporary 
differences and deferred tax assets are recognised to the extent that it is probable that future taxable profits will be 
available against which the temporary differences can be utilised. Such assets and liabilities are not recognised for: the 
initial recognition of goodwill; the initial recognition of assets or liabilities that affect neither accounting nor taxable profit 
other than in a business combination; and differences relating to investments in subsidiaries to the extent that they will 
probably not reverse in the foreseeable future.

Deferred tax is provided based on the expected manner of realisation or settlement of the carrying amount of assets and 
liabilities, using tax rates that are enacted or substantively enacted at the reporting date.

Research and Development Expenditure Credit (RDEC)
The Group is eligible, within the UK, to claim tax credits against certain R&D expenditure under the RDEC scheme. During 
the year the Group submitted claims in respect of the 2017 and 2018 financial years and recognised the asset and related 
profit and loss charge in the 2020 year. Further claims for past years will be completed and submitted in due course and 
the respective asset and profit and loss charge recognised when submitted, until such time as the Group has established 
sufficient precedent to recognise claims on an accruals basis.

To the extent that the RDEC is payable in cash, the group recognise the value in current assets. The value claimed in 
excess of the amount payable in cash can be used to offset future tax liabilities and is recognised as a deferred tax asset. 
The credit to the profit and loss is recognised in other income.

Current tax
UK corporation tax charge for the year
Overseas corporation tax
Adjustment in respect of prior years

Current tax charge for the year
Deferred tax
Origination and reversal of temporary differences
Adjustment in respect of prior years
Effect of changes in tax rates

Total deferred tax charge/(credit)

Total tax charge/(credit) for the year

2020
£000s

876
1,376
(160)

2,092

377
693
(216)

854

2,946

2019
£000s

174
832
(58)

948

(1,531)
–
–

(1,531)

(583)

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

14. Taxation and deferred taxation continued
Under IAS 12 Income Taxes, the amount of tax benefit that can be recognised in the income statement is limited by 
reference to the IFRS 2 share-based payment charge. The excess amount of tax benefit in respect of share options gives rise 
to a credit which has been recognised directly in equity, in addition to the amounts charged to the income statement and 
other comprehensive income, as follows:

Deferred tax
Change in estimated excess tax deductions related to share-based payments

Total income tax credit recognised directly in equity

2020
£000s

(2,461)

(2,461)

2019
£000s

(799)

(799)

The standard rate of tax for the year, based on the UK standard rate of corporation tax, is 19% (2019: 19%). The actual tax 
charges for the years differ from the standard rate for the reasons set out in the following reconciliation:

Profit before taxation

Tax on profit before tax at standard UK rate of 19% (2019: 19%)
Non-deductible expenses
Additional allowable expenses
Movement in deferred tax 
R&D tax credit receivable
Adjustments to previous periods
Effect of different tax rates of subsidiaries operating in other jurisdictions
Utilisation of tax losses
Increase in unrecognised tax losses
Translation effect

Total tax charge/(credit) for the year

2020
£000s

12,628

2,399
900
(853)
854
218
(159)
138
(513)
–
(38)

2,946

2019
£000s

4,986

947
1,054
(954)
(1,531)
–
(58)
43
–
(12)
(72)

(583)

Deferred taxation
The following are the major deferred tax liabilities and assets recognised by the Group and movements thereon during the 
current and prior reporting period.

In line with Finance Act 2016, from April 2020, the UK corporate tax rate was to reduce to 17.0%. The Government announced 
in the Budget on 11 March 2020, that the rate applicable from 1 April 2020 would remain at 19.0% rather than reduce to 17.0% 
and this was enacted on 17 March 2020. This 19% rate has been applied in the deferred tax valuations based on the expected 
timing of when such assets and liabilities will be recovered.

Deferred tax assets and liabilities are offset where the Group has a legally enforceable right to do so. The following is the 
analysis of the deferred tax balances for financial reporting purposes.

Deferred tax assets

1 January 2019
Credit to profit or loss
Credit direct to equity

At 31 December 2019
Effect of changes in tax rate
Charge to profit or loss
Credit direct to equity

At 31 December 2020

Group

Other
temporary
differences
£000s

581
12
799

1,392
172
(83)
2,461

3,942

Tax
losses
£000s

–
1,224
–

1,224
61
(329)
–

956

Total
£000s

581
1,236
799

2,616
233
(412)
2,461

4,898

Company

Other
temporary
differences
£000s

581
9
799

1,389
171
(131)
2,461

3,890

Tax
losses
£000s

–
1,224
–

1,224
61
(329)
–

956

Total
£000s

581
1,233
799

2,613
232
(460)
2,461

4,846

Included in the deferred tax arising on temporary differences, £3,844,000 (2019: £1,380,000) relates to a deferred tax asset 
arising on unexercised share options.

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Deferred tax liabilities

1 January 2019
Credit to profit or loss

At 31 December 2019
Effect of changes in tax rate
Recognised on acquisition
(Charge)/credit to profit or loss

At 31 December 2020

Annual
capital
allowances
£000s

(180)
79

(101)
(17)
–
(197)

(315)

Group

Other
temporary
differences
£000s

(374)
181

(193)
–
(2,239)
321

(2,111)

Company

Annual
capital
allowances
£000s

(12)
12

–
(5)
–
(95)

(100)

Total
£000s

(554)
260

(294)
(17)
(2,239)
124

(2,426)

Deferred tax assets and liabilities are offset where the Company has a legally enforceable right to do so. The following is the 
analysis of the deferred tax balances (after offset) for financial reporting purposes:

Deferred tax assets
Deferred tax liabilities

Net deferred tax assets/(liabilities)

Group

Company

2020
£000s

4,898
(2,426)

2,472

2019
£000s

2,616
(294)

2,322

2020
£000s

4,846
(100)

4,746

2019
£000s

2,613
–

2,613

At 31 December 2020, the Group had unused tax losses of £6,584,000 (2019: £7,196,000) available for offset against future 
profits. A deferred tax asset has been recognised in respect of £926,000 (2019: £1,224,000) in respect of these losses. 

15. Earnings per share
The calculation of the basic and diluted earnings per share is based on the following data:

Earnings

Profit for the purposes of earnings per share – net profit attributable to owners of the Company

Adjust for:

Amortisation of acquired fair valued intangible assets
Share-based payment charge
Acquisition-related contingent consideration
Change in fair value of contingent consideration for acquisitions
Acquisition costs
Exceptional items
Pay in lieu and non-compete compensation
Change in fair value of equity investments
RDEC income (2017)
Grants in recognition of employment creation in Serbia
Tax effect of adjusting items

2020
£000s

9,682

1,332
742
–
–
853
–
232
511
(527)
(307)
(41)

Adjusted earnings for the purposes of adjusted earnings per share (unaudited)

12,477

2019
£000s

5,569

671
870
87
(512)
393
2,427
–
286
–
–
(509)

9,282

Number of shares

Weighted average number of Ordinary Shares for the purposes of basic earnings per share
Incremental shares in respect of employee share schemes

48,323,814
2,176,170

46,599,917
2,027,154

Weighted average number of Ordinary Shares for the purposes of diluted earnings per share

50,499,984

48,627,071

2020 
Number

2019 
Number

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

15. Earnings per share continued
Earnings per share (EPS)

Basic
Diluted

Adjusted earnings per share (Adjusted EPS) – Unaudited

Basic
Diluted

16. EBITDA and Adjusted EBITDA

Unaudited

Operating profit
Adjusted for:
  Depreciation and amortisation charges within selling, general & administration expenses (note 4)
  Amortisation of acquired fair valued intangible assets (note 4)

EBITDA

Adjusted for:
  Share-based payment charge (note 30)

Acquisition related contingent compensation (note 6)

  Change in fair value of contingent consideration for acquisitions (note 31)
  RDEC income (2017)
  Grants in recognition of employment creation in Serbia
  Acquisition costs (note 7)
  Pay in lieu and non-compete compensation
  Exceptional items (note 8)

Adjusted EBITDA

17. Goodwill

Business combinations

2020 
pence

20.0
19.2

2020 
pence

25.8
24.7

2020
£000’s

13,534

3,511
1,332

18,377

742
–
–
(527)
(307)
853
232
–

2019 
pence

12.0
11.5

2019 
pence

19.9
19.1

2019
£000’s

5,517

3,041
671

9,229

870
87
(512)
–
–
393
–
2,427

19,370

12,494

Acquisitions of subsidiaries and businesses are accounted for using the acquisition method. The consideration transferred 
in a business combination is measured at fair value, which is calculated as the sum of the acquisition-date fair values of 
assets transferred by the Group, liabilities incurred by the Group and the equity interest issued by the Group in exchange 
for control of the acquiree. Contingent consideration in a business combination is measured at fair value, which is 
calculated as the sum of the acquisition-date fair values of assets expected to be transferred by the Group to the former 
owners of the acquiree and the equity interest to be issued by the Group in exchange for control of the acquiree. 
Acquisition-related costs are recognised in profit or loss as incurred.

At the acquisition date, the identifiable assets acquired and the liabilities assumed are recognised at their fair value at the 
acquisition date, except that:
 — deferred tax assets or liabilities and assets or liabilities related to employee benefit arrangements are recognised and 

measured in accordance with IAS 12 Income Taxes and IAS 19 Employee Benefits respectively; and

 — assets (or disposal groups) that are classified as held for sale in accordance with IFRS 5 Non-current Assets Held for 

Sale and Discontinued Operations are measured in accordance with that Standard.

If the initial accounting for a business combination is incomplete by the end of the reporting period in which the 
combination occurs, the Group reports provisional amounts for the items for which the accounting is incomplete. Those 
provisional amounts are adjusted during the measurement period, or additional assets or liabilities are recognised, to 
reflect new information obtained about facts and circumstances that existed as of the acquisition date that, if known, 
would have affected the amounts recognised as of that date.

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Goodwill
Goodwill arising in a business combination is recognised as an asset at the date that control is acquired (the acquisition 
date). Goodwill is measured as the excess of the fair value of the sum of the consideration transferred, the amount of any 
non-controlling interest in the acquiree and the fair value of the acquirer’s previously held equity interest (if any) in the 
entity over the net of the acquisition-date fair value of the identifiable assets acquired and the liabilities assumed. If, after 
reassessment, the net of the acquisition-date amounts of the identifiable assets acquired and liabilities assumed exceeds 
the sum of the consideration transferred, the amount of any non-controlling interests in the acquiree and the fair value of 
the acquirer’s previously held interest in the acquiree (if any), the excess is recognised immediately in profit or loss as a 
bargain purchase gain.

Goodwill is not amortised but is reviewed for impairment at least annually. For the purpose of impairment testing, goodwill 
is allocated to each of the Group’s cash-generating units (‘CGUs’) expected to benefit from the synergies of the 
combination. Cash-generating units to which goodwill has been allocated are tested for impairment annually, or more 
frequently when there is an indication that the unit may be impaired. If the recoverable amount of the cash-generating 
unit is less than the carrying amount of the unit, the impairment loss is allocated first to reduce the carrying amount of any 
goodwill allocated to the unit and then to the other assets of the unit pro rata on the basis of the carrying amount of each 
asset in the unit. An impairment loss recognised for goodwill is not reversed in a subsequent period.

The recoverable amount is the higher of the fair value less costs to sell, and the value in use, and is estimated at least 
annually at the same time as the impairment review. 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.

If the recoverable amount of an asset (or cash-generating unit) is estimated to be less than its carrying amount, the 
carrying amount of the asset (or cash-generating unit) is reduced to its recoverable amount. An impairment loss is 
recognised immediately in profit or loss.

Group

Goodwill recognised

At 1 January 2019
Translation movement

At 31 December 2019
Arising on business combinations 
Translation movement

At 31 December 2020

Impairment losses recognised
At 1 January 2019 and 2020

At 31 December 2019 and 2020

Net book value
At 31 December 2020

At 31 December 2019

£000s

15,802
(279)

15,523
11,261
(36)

26,748

2,143

2,143

24,605

13,380

The goodwill arising during the year ended 31 December 2020 relates to the acquisitions of Ashfield Pharmacovigilance Inc. 
('Ashfield') (note 32) and MS Clinical Services, LLC. ('MedSource') (note 33).

Goodwill acquired in a business combination is allocated, at acquisition, to the cash-generating units (‘CGUs’) that are 
expected to benefit from that business combination. The carrying amount of goodwill has been allocated as follows:

Cash-generating unit

CRO
PV

2020
£000s

10,859
13,746

24,605

2019
£000s

3,535
9,845

13,380

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

17. Goodwill continued
The goodwill associated with the PV segment has arisen from the acquisitions of Ashfield, PrimeVigilance, Sound Opinion, 
PharmInvent, Harefield Pharmacovigilance and Pharmacovigilance Services. The goodwill associated with the CRO segment 
has arisen from the acquisitions of MedSource, Ergomed Virtuoso, Haemostatix, Ergomed CDS and PSR.

The goodwill arising on these acquisitions has been allocated to the PV and CRO operating segment because the synergies 
and other benefits associated with the acquisitions will benefit the operating segment as a whole and the businesses trade 
as a single cash-generating unit.

Impairment testing for CGUs

pv and cro
The recoverable amounts of the CGUs for the PV and CRO operating segments are determined from value in use 
calculations. The key assumptions for the value in use calculations are those regarding cash flows, discount rates and 
growth rates. The key inputs for estimating the future cash flows of operating businesses are revenue growth over the next 
five years, terminal revenue growth, working capital changes and discount rate.

The Group prepares cash flow forecasts for the next five years for the cash-generating units, derived from the most recent 
financial budgets approved by the Board, and forecasts revenue for the following four years based on estimated growth 
rate. A standard margin based on historical experience is then applied to the revenue. The revenue growth rate used in the 
calculation was zero, which is significantly lower than the average long-term growth rate for the relevant market and 
management’s estimate of growth for the PV and CRO business. This did not result in an impairment to goodwill.

The discount rate, which reflects market assessments of the time-value of money and the risks specific to the CGUs, has 
reduced from 19% in 2019 to 8% in the current financial year. The discount rate used in the impairment assessment has 
reduced in the year as a result of a reassessment of the Group’s Weighted Average Cost of Capital ('WACC'). The reduction  
in the WACC and discount rate was primarily a result of the Group’s past profitability, forecast future profitability and the 
agreement of the borrowing facility with the Group’s bankers during the year.

The key assumptions underlying the impairment testing of CGUs are:

Period on which management approved forecasts are based
Growth rate applied beyond forecast period – PV and CRO
Discount rate

2020

5 years
0%
8%

2019 

5 years
0%
19%

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18. Other intangible assets

Intangible assets acquired separately
Intangible assets with finite useful lives that are acquired separately are carried at cost less accumulated amortisation and 
accumulated impairment losses. Amortisation is recognised on a straight-line basis over their estimated useful lives as 
follows:

Software 

10–33.3% straight line 

The estimated useful life and amortisation method are reviewed at the end of each reporting period, with the effect of any 
changes in estimate being accounted for on a prospective basis. Intangible assets with indefinite useful lives that are 
acquired separately are carried at cost less accumulated impairment losses.

Costs associated with the development of computer software are initially capitalised at cost which includes the purchase 
price (net of any discounts and rebates) and other directly attributable costs of preparing the asset for its intended use. 
Direct expenditure, including employee costs, which enhances or extends the performance of computer software beyond 
its specifications and which can be reliably measured, is added to the original cost of the software. Costs associated with 
maintaining the computer software are recognised as an expense when incurred.

The asset will subsequently be carried at cost less accumulated amortisation and accumulated impairment losses. These 
costs will be amortised to profit or loss using the straight-line method over their estimated useful lives of five years, once 
the asset is in use.

Intangible assets acquired in a business combination
Intangible assets acquired in a business combination and recognised separately from goodwill are initially recognised at 
their fair value at the acquisition date (which is regarded as their cost).

Subsequent to initial recognition, intangible assets acquired in a business combination are reported at cost less 
accumulated amortisation and accumulated impairment losses, on the same basis as intangible assets that are acquired 
separately, as follows:

Customer contracts 
Customer relationships 
Brand 
In-process R&D 
Technology 

20–100% straight line
6.25–50% straight line
12–20% straight line
Not amortised
40% straight line

Impairment
At each reporting date, the Group reviews the carrying amount of its intangible assets to determine whether there is any 
indication that those assets are impaired. If any such indication exists, the recoverable amount of the asset is estimated to 
determine the extent of the impairment loss (if any). Where the asset does not generate cash flows that are independent 
from other assets, the Group estimates the recoverable amount of the cash-generating unit (‘CGU’) to which the asset 
belongs. When a reasonable and consistent basis of allocation can be identified, corporate assets are also allocated to 
individual cash-generating units, or otherwise they are allocated to the smallest group of cash-generating units for which 
a reasonable and consistent allocation basis can be identified.

The recoverable amount is the higher of the fair value less costs to sell, and the 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.

If the recoverable amount of an asset (or cash-generating unit) is estimated to be less than its carrying amount, the 
carrying amount of the asset (or cash-generating unit) is reduced to its recoverable amount. An impairment loss is 
recognised immediately in profit or loss, unless the relevant asset is carried at a revalued amount, in which case the 
impairment loss is treated as a revaluation decrease.

C_GEN_PageC_GEN_PageL2C_GEN Section96

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

18. Other intangible assets continued

Group

Software
£000s

Customer
contracts
£000s

Customer
relationships
£000s

Brands
£000s

In-process
R&D
£000s

Technology
£000s

Total
£000s

Cost
At 1 January 2019
Additions
Translation movement

At 31 December 2019
Acquisitions through business 

combinations

Additions
Translation movement

At 31 December 2020

Amortisation
At 1 January 2019
Charge for the year
Impairment charge
Translation movement

At 31 December 2019
Charge for the year
Translation movement

At 31 December 2020

Net book value
At 31 December 2020

At 31 December 2019

2,948
604
(74)

3,478
–

542
120

4,140

869
832
–
(26)

1,675
934
42

2,651

1,489

1,803

1,259
–
(1)

1,258
1,739

–
(23)

3,431
–
(36)

3,395
6,075

–
(149)

818
–
(1)

817
916

–
(11)

15,200
–
–

15,200
–

–
–

419
–
–

419
–

–
–

24,075
604
(112)

24,567
8,730

542
(63)

2,974

9,321

1,722

15,200

419

33,776

1,227
31
–
–

1,258
553
–

1,811

1,163

–

2,290
536
–
–

2,826
675
33

3,534

5,787

569

330
104
–
–

434
104
5

543

1,179

383

15,200
–
–
–

15,200
–
–

15,200

–

–

419
–
–
–

419
–
–

419

–

–

20,335
1,503
–
(26)

21,812
2,266
80

24,158

9,618

2,755

Included within Software is software under development with an asset value of £512,000 (2019: £285,000). The software  
is currently still under construction and so no amortisation has been recognised in the current year.

Customer contracts, Customer relationships and Brands are intangible assets which are acquired through business 
combinations. The amortisation of acquired fair valued intangible assets is £1,332,000 (2019: £671,000).

Company

Cost
At 1 January 2019
Translation movement
Additions

At 31 December 2019
Translation movement
Additions

At 31 December 2020

Amortisation
At 1 January 2019
Charge for the year
Translation movement

At 31 December 2019
Charge for the year
Translation movement

At 31 December 2020

Net book value
At 31 December 2020

At 31 December 2019

Software
£000s

1,087
(67)
401

1,421
84
61

1,566

266
294
(21)

539
351
37

927

639

882

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

govErnancE

Financial StatEmEntS

97

19. Property, plant and equipment

Property, plant and equipment, and depreciation
Property, plant and equipment are stated at cost less accumulated depreciation and accumulated impairment losses.

Depreciation is provided on assets at rates calculated to write off the cost, less their estimated residual value, over their 
expected useful lives on the following bases:

Leasehold improvements 
Motor vehicles 
Computer equipment 
Fixtures and fittings 
Laboratory equipment 

2.5% straight line or over the remaining lease term, whichever is shorter
10 – 33.3% straight line
11 – 50% straight line
10–33.3% straight line
10 – 33.3% straight line

Depreciation methods, useful lives and residual values are reviewed at each balance sheet date. 

Group

Cost
At 1 January 2019
Additions
Disposals
Translation movement

At 31 December 2019
Acquisitions through business combinations
Additions
Disposals
Re-allocation between categories
Translation movement

At 31 December 2020

Depreciation
At 1 January 2019
Charge for the year
Disposals
Translation movement

At 31 December 2019
Charge for the year
Disposals
Translation movement

At 31 December 2020

Net book value
At 31 December 2020

At 31 December 2019

Leasehold
improvements
£000s

Fixtures
and fittings
£000s

Motor
vehicles
£000s

Computer
equipment
£000s

Laboratory
equipment
£000s

246
13
–
(4)

255
42
2
–
–
3

302

39
27
–
(1)

65
24
–
1

90

212

190

472
35
(34)
(22)

451
24
27
(15)
(3)
22

506

159
81
(16)
(8)

216
77
(13)
9

289

217

235

359
48
(59)
(16)

332
–
8
(199)
–
6

147

178
78
(47)
(9)

200
44
(166)
(2)

76

71

132

1,736
296
(61)
(81)

1,890
797
395
(77)
3
51

3,059

1,119
334
(59)
(57)

1,337
478
(48)
50

1,817

1,242

553

57
–
(2)
–

55
–
–
(43)
–
–

12

31
25
(1)
–

55
–
(43)
–

12

–

–

Total
£000s

2,870
392
(156)
(123)

2,983
863
432
(334)
–
82

4,026

1,526
545
(123)
(75)

1,873
623
(270)
58

2,284

1,742

1,110

C_GEN_PageC_GEN_PageL2C_GEN Section 
 
 
 
 
 
98

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

19. Property, plant and equipment continued

Company

Cost
1 January 2019
Additions
Disposals
Translation movement

At 31 December 2019
Additions
Disposals
Translation movement

At 31 December 2020

Depreciation
1 January 2019
Charge for the year
Disposals
Translation movement

At 31 December 2019
Charge for the year
Disposals
Translation movement

At 31 December 2020

Net book value
At 31 December 2020

At 31 December 2019

Fixtures
and fittings
£000s

Computer
equipment
£000s

Total
£000s

64
–
(32)
(2)

30
–
–
2

32

34
6
(14)
(1)

25
2
–
2

29

3

5

135
25
–
(8)

152
87
–
12

251

91
29
–
(6)

114
19
–
8

141

110

38

199
25
(32)
(10)

182
87
–
14

283

125
35
(14)
(7)

139
21
–
10

170

113

43

20. Right-of-use assets and lease liabilities

On 1 January 2019, the Group adopted IFRS 16 using the modified retrospective approach.

At inception of a contract, the Group assess whether the arrangement is, or contains, a lease. A contract is, or contains, a 
lease if the contract conveys the right to control the use of an identified asset for a period of time in exchange for 
consideration. For lease contracts, the Group recognises a right-of-use asset and a lease liability at the lease 
commencement date. The right-of-use asset is initially measured at cost, which comprises the initial amount of a lease 
liability adjusted for any lease payments made at or before the commencement date, plus any initial direct costs incurred 
and any costs to restore the underlying asset, less any incentives received.

The right-of-use asset is subsequently depreciated using the straight-line method from the commencement date to the 
earlier of the end of the useful life of the right-of-use asset or the end of the lease term. In addition, the right-of-use asset 
is periodically reduced by impairment losses, if any, and adjusted for certain remeasurements of the lease liability.

The lease liability is initially measured at the present value of future lease payments, discounted using the interest rate 
implicit in the lease or, if that rate cannot readily be determined, the Group’s incremental borrowing rate. Generally, the 
Group uses its incremental borrowing rate. 

The lease liability is measured at amortised cost using the effective interest method. It is remeasured when there is a 
change in the future lease payments. When the lease liability is remeasured, a corresponding adjustment is made to the 
carrying amount of the right-of-use asset or is recorded in the profit or loss if the carrying amount of the right-of-use 
asset has been reduced to zero.

The Group presents the right-of-use assets and the lease liability separately on the balance sheet..

The policy has been applied to contracts entered into or changed on or after 1 January 2019.

The Group has elected not to recognise right-of-use assets and lease liabilities for short-term leases that have a term of 
12 months or less and leases of low-value assets. The Group recognises the lease payments associated with these leases 
as an expense on a straight-line basis over the lease term.

Information about the Group’s lease liability exposure to foreign exchange and liquidity risks are included in note 31.

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

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99

Right-of-use assets 

Cost
1 January 2019
Additions
Translation movement

At 31 December 2019
Acquisitions through business combinations
Additions
Disposals
Modification
Translation movement

At 31 December 2020

Depreciation
1 January 2019
Charge for the year
Translation movement

At 31 December 2019
Charge for the year
Translation movement

At 31 December 2020

Net book value
At 31 December 2020

At 31 December 2019

Lease liabilities

2020

Maturity analysis – contractual undiscounted cash flows
Less than one year
One to five years

Total undiscounted lease liabilities at 31 December

Lease liabilities included in the balance sheet at 31 December

Current
Non-current

2019

Maturity analysis – contractual undiscounted cash flows
Less than one year
One to five years

Total undiscounted lease liabilities at 31 December

Lease liabilities included in the balance sheet at 31 December

Current
Non-current

Group
£000s

Company
£000s

6,625
413
(236)

6,802
1,112
270
–
(33)
199

8,350

–
1,664
(33)

1,631
1,954
50

3,635

4,715

5,171

Group
£000s

2,099
3,280

5,379

5,106

1,978
3,128

Group
£000s

1,856
3,846

5,702

5,434

1,718
3,716

140
–
(5)

135
–
–
–
–
12

147

–
22
–

22
93
6

121

26

113

Company
£000s

24
–

24

27

27
–

Company
£000s

95
24

119

117

93
24

C_GEN_PageC_GEN_PageL2C_GEN Section100

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

21. Subsidiaries

The Ergomed Group consists of a Parent Company, Ergomed plc, incorporated in the UK, and a number of subsidiaries held 
directly and indirectly by Ergomed plc which operate and are incorporated around the world.

Information about the composition of the Group at the end of the reporting period is as follows:

Number of wholly  
owned subsidiaries

Principal activity

CRO services
CRO services
CRO services
CRO services5
CRO services5
CRO services5
CRO services
CRO services
CRO services4
CRO services
CRO services1
CRO and PV services
CRO services1
CRO services
PV services
PV services
PV services
PV services
PV services
PV services2
PV services
Research and development
Dormant

Place of incorporation
and operation

2020

2019

Germany
Poland
Serbia
USA
United Kingdom
Canada
Croatia
Russia
Spain
Bosnia
UAE
Switzerland
Taiwan
Netherlands
India
United Kingdom
Germany
Croatia
Serbia
USA
Czech Republic
United Kingdom
United Kingdom

2
1
1
2
1
1
1
1
1
1
–
1
–
1
1
3
1
1
1
2
2
1
2

2
1
1
1
–
–
1
1
–
1
1
1
1
1
1
3
1
1
1
1
2
1
2

The registered offices of the Group's subsidiaries are as follows:

Company

Ergomed GmbH
Ergomed Sp. z o.o.

Ergomed d.o.o. Beograd
Ergomed Clinical Research Inc.
MS Clinical Services, LLC
MedSource UK Ltd 
MS Clinical Services (Canada) Inc.
Ergomed Istraživanja Zagreb d.o.o.

Ergomed Clinical Research LLC
Ergomed Clinical Research Spain, S.L.4
Ergomed d.o.o. Sarajevo
Ergomed Virtuoso Sarl
Ergomed CDS GmbH
PSR Group BV
Ergomed Clinical Research Private Limited

PrimeVigilance Limited
Harefield Pharmacovigilance Limited4
Pharmacovigilance Services Limited4
PrimeVigilance GmbH
PrimeVigilance Zagreb d.o.o.
PrimeVigilance d.o.o. Beograd
PrimeVigilance Inc.
PrimeVigilance USA Inc.2
PrimeVigilance s.r.o.
PharmInvent regulatory s.r.o.
Haemostatix Limited
Sound Opinion Limited
Ergomed Clinical Research Limited

Registered address

Herriotstraße 1, 60528 Frankfurt am Main, Germany
Kolowa 8, 30-134 Krakow, Poland
Belgrade Office Park, Djordja Stanojevica 12, 5th Floor, Belgrade –  

New Belgrade, 11070 Serbia

8207 Callaghan Rd. Suite 150, San Antonio, TX 78230, USA
16902 El Camino Real, Suite 1A Houston, Texas 77058-2621, USA
1 Exchange Crescent, Conference Square, Edinburgh, EH3 8UL, UK
40 University Avenue, Suite 904, Toronto, Ontario, M5J 1T1, Canada
Oreškovićeva 20a, 10 020 Zagreb, Croatia
125040, Moscow, 17 Skakovaya Street, Building 2, Office 2714,  

The Russian Federation

C/ Príncipe de Vergara 112, 4a, 28002, Madrid, Spain
Zmaja od Bosne 7-7a, Sarajevo, Bosnia and Herzegovina
18, Avenue Lois-Casai, 1209 Geneva, Switzerland
Im Mediapark 2, D-50670 Cologne, Germany
Antareslaan 41, 2132 JE Hoofddorp, The Netherlands
Wing A, Level 4, Dynasty Business Park, Andheri-Kurla Road, Andheri (East) 
Mumbai – 400059, Maharashtra, India
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK
Herriotstraße 1, 60528 Frankfurt am Main, Germany
Oreškovićeva 20a, 10 020 Zagreb, Croatia
Đorđa Stanojevića 14, Beograd – Novi Beograd, Serbia
Reservoir Place, 1601 Trapelo Road, Waltham, MA 02451, USA
100 Regency Forest Drive, Cary, Wake County, NC 27518, USA
Prague 3 – Vinohrady, Slezska 856/74, 13000, Czech Republic
Prague 3 – Vinohrady, Slezska 856/74, 13000, Czech Republic
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK
1 Occam Court, Surrey Research Park, Guildford, GU2 7HJ, UK

C_GEN_PageC_GEN_PageL2C_GEN SectionStratEgic rEport

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Financial StatEmEntS

101

The Company has direct interests in the following subsidiaries which are included in the consolidated financial statements:

Principal activity – CRO services

Ergomed GmbH
Ergomed Spolka z o.o3
Ergomed d.o.o. Novi Sad
Ergomed Clinical Research Inc.
Ergomed Istrazivanja Zagreb d.o.o.
Ergomed Clinical Research LLC
Ergomed Clinical Research Spain, S.L.4
Ergomed d.o.o. Sarajevo
Ergomed Virtuoso Sarl
Ergomed CDS GmbH
PSR Group BV

Principal activity – PV services

PrimeVigilance Limited
PrimeVigilance s.r.o.
Ergomed Clinical Research Private Limited

Principal activity – research and development

Haemostatix Limited

Principal activity – dormant

Sound Opinion Limited
Ergomed Clinical Research Limited

Place of  

incorporation
and operation

Class

Holding

Germany
Poland
Serbia

Ordinary
Ordinary
Ordinary
USA Not specified
Ordinary
Ordinary
Ordinary
Ordinary
Ordinary
Ordinary
Ordinary

Croatia
Russia
Spain
Bosnia
Switzerland
Germany
Netherlands

Place of  

incorporation
and operation

United Kingdom
Czech Republic
India

Place of  

incorporation
and operation

Class

Ordinary
Ordinary
Ordinary

Class

United Kingdom

Ordinary

Place of 
incorporation
and operation

United Kingdom
United Kingdom

Class

Ordinary
Ordinary

100%
99%
100%
100%
100%
100%
100%
100%
100%
100%
100%

Holding

100%
100%
99%

Holding

100%

Holding

100%
100%

1   Ergomed Clinical Research Co. Limited (incorporated in Taiwan) and Ergomed Clinical Research FZ LLC (incorporated in the UAE) were closed 

during 2020.

2   PrimeVigilance USA Inc., formerly known as Ashfield Pharmacovigilance Inc., was acquired on 13 January 2020.
3  The non-controlling interest is not disclosed as it is not material and does not take a benefit from the holding. 
4  Ergomed Clinical Research Spain, S.L. was incorporated on 26 February 2020.
5  MS Clinical Services, LLC incorporated in the USA and its subsidiaries, MS Clinical Services (Canada) Inc. and MedSource UK Ltd (incorporated in 

Canada and the UK respectively), was acquired on 11 December 2020.

There are no significant restrictions on the ability of the Group to access or use assets and settle liabilities.

The accounting year end for all Group subsidiaries is coterminous.

C_GEN_PageC_GEN_PageL2C_GEN Section102

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

22. Equity investments

The carrying amount of the following equity investments have been designated as fair value through the profit and loss 
(‘FVPL’). Further information regarding the measurement and classification of equity investments held by the Group are 
included in note 31.

Group and Company

2020

Asarina Pharma AB
Modus Therapeutics Holdings AB

2019

Asarina Pharma AB
Modus Therapeutics Holdings AB

Equity 
received in
exchange 
for
services 
provided
£000s

Change in 
fair value 
recognised
in the 
income
statement
£000s

Carrying  

amount at
1 January
2020
£000s

Impairment 
of
investments
£000s

Disposals
£000s

Translation
movement
£000s

–
–

–

699
–

699

(511)
–

(511)

–
–

–

(175)
–

(175)

(13)
–

(13)

Carrying  

amount at
31 
December
2020
£000s

–
–

–

Carrying  

amount at
1 January
2019
£000s

Equity 
received in
exchange for
services 
provided
£000s

Change in 
fair value 
recognised
in the income
statement
£000s

863
1,202

2,065

567
1,337

1,904

(286)
–

(286)

Impairment 
of
investments
£000s

–
(2,427)

(2,427)

Carrying  

amount at
31 December
2019
£000s

Translation
movement
£000s

(45)
(112)

(157)

–
–

–

Disposals
£000s

(1,099)
–

(1,099)

Asarina Pharma AB (‘Asarina’)
In 2018, Asarina completed a public offering and listing on the Nasdaq First North Exchange and the investment in equity 
was publicly traded. Under the co-development agreement with Asarina, the Group receives shares in Asarina in return for 
services provided to them under the co-development programme. During the year ended 31 December 2020, shares valued 
at £699,000 (2019: £567,000) were issued to the Group in exchange for services provided. All the shares received were sold 
in the year for proceeds of £175,000 (2019: £1,099,000).

Modus Therapeutics Holding AB (‘Modus’)
Under the co-development agreement with Modus, the Group receives shares in Modus in return for its contribution to the 
co-development programme. During the year ended 31 December 2019, shares valued at £1,337,000 were issued to the 
Group in exchange for services provided by the Group.

Modus announced the initial results from its Phase II trial on 13 May 2019. Data from the study failed to show a meaningful 
benefit in the total study population. Given the results of the trial and the company’s lack of funding, management have 
impaired the value of the investment to £nil as at the year end. 

Investments in subsidiaries

Investments in subsidiaries are stated at cost less provision for impairment.

Company

Cost
At 1 January 2019
Capital contribution to subsidiary undertakings
Impairments
Translation movement

At 31 December 2019
Investment in Haemostatix Limited
Capital contribution to subsidiary undertakings
Impairment of investment in Haemostatix Limited
Disposal of investment in subsidiaries
Translation movement

At 31 December 2020

Shares in
subsidiary
undertakings
£000s

23,585
245
–
(1,238)

22,592
8,476
128
(8,476)
(50)
1,058

23,728

C_GEN_PageC_GEN_PageL2C_GEN Section 
StratEgic rEport

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103

During the year the Company capitalised historic loans made to Haemostatix Limited, a 100% subsidiary of the Company, 
equal to the outstanding loan balance of £8,476,000. As a result of the Company’s decision in prior years to discontinue its 
co-development activities, the Company immediately assessed the investment in Haemostatix Limited to be fully impaired 
and reduced the carrying value of the investment to £nil.

During the year Ergomed plc disposed of Ergomed Clinical Research FZ-LLC (UAE) and Ergomed Clinical Research co. 
Limited (Taiwan).

23. Trade and other receivables

Trade receivables
Amounts receivable from Group companies
Other receivables
Prepayments
Corporation tax receivable

Group

Company

2020
£000s

19,079

–
1,241
1,482
422

22,224

2019
£000s

11,235
–
1,609
1,144
371

14,359

2020
£000s

4,632
18,920
203
698
–

24,453

2019
£000s

2,896
446
346
516
–

4,204

The carrying value of trade receivables approximates to their fair value at the reporting date. Information about the Group’s 
exposure to credit risks and expected credit losses for trade and receivables is included in note 31.

The carrying values of the Group’s and the Company’s trade and other receivables are unsecured. The Group and the 
Company have not pledged as security any of the amounts included in receivables.

Amounts receivable from Group companies includes an intercompany receivable balance equal to the Company’s cash and 
equity funding for the acquisition of MedSource. 

24. Cash and cash equivalents
Cash and cash equivalents comprise cash balances and short-term deposits.

Cash at bank

Group

Company

2020
£000s

18,994

2019
£000s

14,259

2020
£000s

6,151

2019
£000s

4,374

The carrying amount of cash and cash equivalents approximates to their fair value at the reporting date and are 
denominated in the following currencies:

GBP
Euro
USD
Other

Group

Company

2020
 £000s

1,598
5,732
10,213
1,451

18,994

2019
£000s

1,747
2,666
8,848
998

14,259

2020
£000s

385
2,956
2,802
8

6,151

2019
£000s

314
522
3,538
 –

4,374

Information about the Group’s exposure to foreign exchange and interest rate risks are included in note 31.

The Group has a £15 million multi-currency rolling credit facility ('RCF') with an option to increase by a further £15 million. The 
RCF was drawn down on 23 March 2020 and was subsequently repaid on 19 August 2020. The RCF expires on 13 March 2024.

25. Provisions

A provision is recognised in the balance sheet when the Group has a present legal or constructive obligation as a result of 
a past event that can be reliably measured and it is probable that an outflow of economic benefits will be required to 
settle the obligation. Provisions are determined by discounting the expected future cash flows at a pre-tax rate that 
reflects risks specific to the liability.

Onerous contracts
A provision for onerous contracts is measured at the present value of the lower of the expected cost of terminating the 
contract and the expected net cost of continuing with the contract. Before a provision is established, the Group recognises 
any impairment loss on the assets associated with that contract. 

C_GEN_PageC_GEN_PageL2C_GEN Section104

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

25. Provisions continued

Group

At 1 January
Increase in provision
Utilised
Translation

At 31 December

2020

2019

Onerous 
contract
£000s

67
–
(48)
–

19

Other
£000s

274
298
(268)
(6)

298

Total
£000s

341
298
(316)
(6)

317

Onerous 
contract
£000s

216
–
(149)
–

67

Other
£000s

–
274
–
–

274

Total
£000s

216
274
(149)
–

341

Onerous contract
During 2018, the Group shifted strategy away from co-development arrangements and development of Haemostatix to 
focus on provision of services. The Group has continued to incur incremental expenditure in Haemostatix during 2020 so as 
to protect the intellectual property and to maintain readiness for Phase III trials. As a consequence of the change in strategy, 
contractual costs committed at the year ended 2018 amounting to £216,000 were provided for as onerous and the charge 
included in exceptional items. During 2020, £48,000 (2019: £149,000) of this provision was utilised.

Other
During the year ended 2019, a provision was recognised in respect of Serbian grant income received. In the year ended 
2020, this provision was released and an additional provision was recognised in respect of the Serbian grant income 
received in 2020 which, depending on future trading conditions, management believe may be repayable in the future. 

26. Trade and other payables

Trade payables
Amounts payable to related parties
Amounts payable to Group companies
Social security and other taxes
Other payables
Customer advances
Accruals

Group

Company

2020
£000s

4,197
55
–
1,112
1,295
408
8,635

2019
£000s

2,579
58
–
629
1,086
537
5,484

2020
£000s

612
52
8,076
144
70
–
5,508

15,702

10,373

14,462

2019
£000s

1,126
56
15,379
110
7
–
3,851

20,529

Customer advances relate to deposits made by customers as security over future services and third-party costs incurred in 
relation to those services.

Information about the Group’s exposure to foreign exchange and liquidity risks are included in note 31.

27. Contingent and deferred consideration

Contingent and deferred consideration are measured at fair value through the profit and loss. Further details regarding 
the measurement and classification of financial instruments measured at fair value are set out in note 31.

Fair value and net gains and losses, including any interest expense, are recognised in profit or loss. Financial liabilities are 
subsequently measured at amortised cost using the effective interest method. Interest expense and foreign exchange 
gains and losses are recognised in profit or loss. Any gain or loss on derecognition is also recognised in profit or loss.

Deferred consideration

Due within one year
MedSource

Group

2020
£000s

328

328

2019
£000s

–

–

Company

2020
£000s

–

–

2019
£000s

–

–

The deferred consideration payable for MS Clinical Services, LLC. and its subsidiaries ('MedSource') of £328,000 is due upon 

the verification of the net assets acquired by the Group at the acquisition date and is payable 60 days after that date. 

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105

28. Ordinary share capital

Group and Company

Ordinary shares of £0.01 each
At 1 January
Exercise of share options
Shares to be issued for non-cash consideration

At 31 December

B ordinary shares of £0.23 each
At 1 January
Capitalisation of merger reserve to B ordinary shares
Cancellation of B ordinary shares

At 31 December

2020

2019

Number

£000s

Number

£000s

47,286,289
1,433,237
155,558

48,875,084

473
14
2

489

45,175,248
2,111,041
–

47,286,289

452
21
–

473

2020

2019

Number

£000s

Number

£000s

–
48,717,776
(48,717,776)

–

–
11,088
(11,088)

–

–
–
–

–

–
–
–

–

Options over 1,433,237 (2019: 2,111,041) ordinary shares were exercised for proceeds of £1,869,000 (2019: £1,427,000).

Shares to be issued for non-cash consideration
Ordinary shares to be issued as consideration for acquisitions (non-cash consideration) are included within share capital once the 
conditions for issuance have been met. Included within the ordinary share capital at 31 December 2020 are 155,558 ordinary 
shares that will be issued as part consideration for the acquisition of MS Clinical Services, LLC. and its subsidiaries and is subject 
to the satisfaction of certain representations and warranties. The shares will be issued during the 2021 financial year. 

Capital reduction
During the year the Directors determined that they would request shareholder and court approval for a capital reduction for 
Ergomed plc, whereby the balance on the Company's share premium account and merger reserves would be used to 
eliminate the deficit on the retained earnings reserve.

The Capital Reduction was approved by shareholders at a General Meeting of the Company held on 19 October 2019.  
The Capital Reduction was sanctioned by the High Court of England and Wales on 10 November 2020 and was registered 
with the Registrar of Companies on 17 November 2020 whereupon it became effective.

The Capital Reduction comprised: (i) the cancellation of the entire amount standing to the credit of the Company’s share 
premium account and (ii) the capitalisation of the entire amount standing to the credit of the Company’s merger reserve  
by issuing B ordinary shares in the capital of the Company and the subsequent cancellation of such B ordinary shares  
(the 'Merger Reserve Reduction').

29. Reserves

Share premium
As a result of the Capital Reduction (see note 28), the entire amount standing to the credit of the Company’s Share premium 
(£27,642,000) was cancelled on 17 November 2020.

Merger reserve
When the Company issues shares in consideration for the shares in an acquired entity, and on completion of the transaction 
the Company has secured at least a 90% equity holding in the other entity, the excess of the fair value of the shares over the 
nominal value is credited to the merger reserve (‘Merger Relief’).

As a result of the Capital Reduction (see note 28), the entire amount standing to the credit of the Company's Merger reserve 
(£11,088,000) was capitalised on 9 November 2020 by issuing 48,717,776 B ordinary shares of £0.23 each in the capital of the 
Company. The B ordinary shares were subsequently cancelled on 17 November 2020.

On 11 December 2020, 155,558 Ordinary Shares were offered as part consideration for MS Clinical Services LLC, MedSource 
UK Ltd and MS Clinical Services (Canada) Inc. ('MedSource') at an agreed market price of £8.76 per share. The excess of the 
fair value over the nominal value of £1,349,000 was credited to the merger reserve. The shares are subject to the satisfaction 
of certain representations and warranties and will be issued during the 2021 financial year. 

Translation reserve
The translation reserve comprises all foreign currency differences arising from the translation of the financial statements  
of foreign operations.

C_GEN_PageC_GEN_PageL2C_GEN Section106

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

30. Share-based payments

Share-based payments
The Group operates an equity-settled share-based option scheme under which the Group receives services from 
employees in consideration for equity instruments (‘options’) over shares in the Company. The grant-date fair value of the 
options is recognised as an expense, with the corresponding increase in equity, over the vesting period of the awards. The 
amount recognised as an expense is adjusted to reflect the number of awards for which the related service and non-
market performance conditions are expected to be met, such that the amount ultimately recognised is based on the 
number of awards that meet the related service and non-market performance conditions at the vesting date. For share-
based payment awards with non-vesting conditions, the grant-date fair value of the share-based payment is measured to 
reflect such conditions and there is no true-up for differences between expected and actual outcomes.

Where the Company grants options over its own shares to the employees of the Group, a charge arises. Where such 
charge is not reimbursed by the entity, they are treated as equity-settled in the consolidated accounts of the Group.

The Group has acquired entities under terms which include equity-settled deferred contingent consideration payable to 
vendors. Where settlement of such deferred contingent consideration is dependent on the continued employment by the 
Group of that vendor, a share-based payment charge arises. The total amount to be expensed is determined by reference 
to the fair value of the consideration at the date of the acquisition. The total amount expensed is recognised over the 
period from the date of the acquisition to the date the conditions are met for settlement of the contingent consideration.

The Company operates two share option schemes:
 — the Ergomed plc Long Term Incentive Plan; and
 — an Unapproved Executive Share Option Agreement made with Rolf Stahel.

In addition, certain employees and former employees hold options over shares held by Miroslav Reljanović, a Director and 
shareholder, under agreements between those parties (the non-dilutive options). The grant and vesting of such options was 
dependent on their continued employment by the Company. Although these options are non-dilutive and the Company is 
not party to the arrangements, a share-based payment charge arises.

Share-based payment charges for the year arose as follows:

Ergomed plc Long Term Incentive Plan
Non-dilutive share options
Deferred consideration for acquisitions

2020
£000s

580
162
–

742

2019
£000s

748
94
28

870

Included in the above share-based payment charge is £457,000 (2019: £560,000) which relates to share option awards made 
to Directors who served during the year.

Ergomed plc Long Term Incentive Plan ('LTIP')
The Ergomed plc LTIP is an HMRC unapproved plan which allows for the grant of options to executives and Group 
employees, which may or may not be subject to performance criteria. Selected Directors and employees of the Group may 
be granted options under the LTIP at the discretion of the Company’s Board of Directors or a duly authorised committee 
thereof.

Generally, the options granted under this plan vest after three years or monthly over a period of up to three years. Certain 
options vest based on market and non-market based performance conditions assessed over a three-year period.

Movements in the total number of share options outstanding and their relative weighted average exercise price are as 
follows:

Outstanding at 1 January
Granted
Exercised
Lapsed

Outstanding at 31 December

Exercisable at 31 December

2020

2019

Number of
share
options

2,623,442
537,250
(568,237)
(411,445)

2,181,010

654,117

Weighted
average
exercise
price

£0.67
£0.01
£0.85
£0.20

£0.55

£1.69

Number of
share
options

3,445,207
980,000
(1,111,041)
(690,724)

2,623,442

815,079

Weighted
average
exercise
price

£0.96
£0.05
£1.29
£0.25

£0.67

£1.68

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Financial StatEmEntS

107

Weighted average fair value of options granted during the year
Weighted average share price at the date of exercise of options exercised during the year
Weighted average remaining contractual life of options

The range of exercise prices for options outstanding at the end of the year is as follows:

2020

2019

£3.54
£5.57
7.5 years

£1.27
£2.63
8.0 years

Year of grant

Year of expiry

2015
2016
2017
2018
2019
2020

2025
2026
2027
2028
2029
2030

2020

2019

Weighted 
average exercise
price per share

£1.63
£1.39
–
£0.81
£0.05
£0.01

Number

235,000
150,000
–
678,762
829,998
287,250

Weighted average 
exercise
price per share

£1.63
£1.39
£1.02
£0.76
£0.05
–

Number

365,000
177,142
96,671
1,004,629
980,000
–

Unapproved Executive Share Option Agreement made with Rolf Stahel
On 18 April 2014, an award of unapproved share options was made to Rolf Stahel, the Chairman at the time, under a separate 
option agreement. The award comprised options over 1,260,000 Ordinary Shares. The exercise of the options is linked to the 
timing of the Admission of the Group to trading on AIM at an exercise price of £1.60 per share. The option becomes 
exercisable in respect of 1/36th of the options one month from the date of the share option agreement and on the same 
date in each subsequent calendar month over 1/36th of the options.

Movements in the total number of share options outstanding and their relative weighted average exercise price are as 
follows:

2020

2019

Outstanding at 1 January
Exercised

Outstanding at 31 December

Exercisable at 31 December

Number of
share
options

Weighted
average
exercise price

1,260,000
(865,000)

395,000

395,000

£1.60
£1.60

£1.60

£1.60

Weighted average share price at the date of exercise of options exercised during the year
Weighted average remaining contractual life of options

.
The range of exercise prices for options outstanding at the end of the year is as follows:

Number of
share
options

1,260,000
–

1,260,000

1,260,000

Weighted
average
exercise price

£1.60
£1.60

£1.60

£1.60

2020

2019

£4.31
3.3 years

–
4.3 years

Year of grant

2014

Year of expiry

2024

2020

2019

Weighted 
average 
exercise
price per share

Weighted 
average 
exercise
price per share

Number

£1.60

1,260,000

£1.60

Number

395,000

Non-dilutive share options
Agreements are in place whereby certain employees and former employees hold options over shares held by Miroslav 
Reljanović, Director and shareholder. The grant of such options was related to their employment by the Company.

Movements in the total number of share options outstanding and their relative weighted average exercise price are as 
follows:

Outstanding at 1 January
Awarded
Exercised

Outstanding at 31 December

Exercisable at 31 December

2020

2019

Number of
share
options

550,000
–
–

550,000

550,000

Weighted
average
exercise
price

£0.01
–
–

£0.01

£0.01

Number of
share
options

426,470
400,000
(276,470)

550,000

550,000

Weighted
average
exercise
price

£0.01
£0.01
£0.01

£0.01

£0.01

C_GEN_PageC_GEN_PageL2C_GEN Section108

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

30. Share-based payments continued

Weighted average fair value of options granted during the year
Weighted average share price at the date of exercise of options exercised during the year
Weighted average remaining contractual life of options

2020

2019

n/a
n/a
7.7 years

£1.21
£3.21
8.7 years

The range of exercise prices for options outstanding at the end of the year is as follows:

Year of grant

Year of expiry

2016
2019

2026
2029

2020

2019

Weighted 
average 
exercise
price
per share

£0.01
£0.01

Number

150,000
400,000

Weighted 
average
 exercise
price
per share

£0.01
£0.01

Number

150,000
400,000

Acquisition-related share-based payment expense
The terms of the acquisitions of PSR Group BV and PrimeVigilance s.r.o. included provisions for contingent consideration 
payable in cash and in equity. Where that contingent consideration is conditional upon the continued employment of the 
vendors, a charge through the income statement arises. The element that is repayable in equity and that is conditional upon 
the continued employment of the vendors is included as part of share-based payments. A charge of £nil arose for the year 
(2019: £28,000).

The element that is repayable in cash and that is conditional upon the continued employment of the vendors is charged 
separately to the income statement and is shown as acquisition-related contingent compensation (note 6).

Assumptions
Options with non-market-based performance conditions were valued using a Black-Scholes option pricing model, using the 
following range of inputs:

Award date

Share price
Exercise price
Volatility
Expected life
Expected dividends
Risk free rate

21 December 2020

£10.00
£0.01
33.5%
5 years
0%
0.10%

1 November 2018 to  

18 June 2019

£1.45 – £2.84
£0.01 – £1.82
25.1% – 25.7%
5 years
0%
0.59% – 0.83%

Options with market-based performance conditions were valued using a Monte Carlo pricing model, using the following range 
of inputs:

Award date

Share price
Exercise price
Volatility
Expected life
Expected dividends
Risk free rate

1 January 2020 to 
21 December 2020

1 November 2018 to  

18 June 2019

£1.80 – £10.00
£0.01
24.6% – 33.5%
3 years
0%
0.10% – 0.87%

£1.45 – £2.84
£0.01
23.9% – 24.8%
3 years
0%
0.53% – 0.72%

Volatility was based upon the historical volatility for a basket of comparable listed companies measured over a period 
commensurate with the expected life of the grant.

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109

31. Financial instruments

Recognition and initial measurement
Trade receivables and debt securities issued are initially recognised when they are originated. All other financial assets 
and financial liabilities are initially recognised when the Company becomes a party to the contractual provisions of the 
instrument.

At initial recognition, the Group measures a financial asset or liability at its fair value plus, in the case of an item not at fair 
value through profit or loss (‘FVPL’), transaction costs that are directly attributable to its acquisition or issue. Transaction 
costs of financial assets and liabilities carried at FVPL are expensed in profit or loss. Trade receivables are initially 
measured at the transaction price.

Classification

Financial assets
The Group classifies its financial assets in the following measurement categories:
 — those to be measured subsequently at fair value (either through other comprehensive income (‘FVOCI’) or through 

profit or loss (‘FVPL’)); and

 — those to be measured at amortised cost.

The classification depends on the entity’s business model for managing the financial assets and the contractual terms of 
the cash flows. For assets measured at fair value, gains and losses will either be recorded in profit or loss or OCI.

Trade and other receivables, accrued income (contract assets) and cash and cash equivalents are measured at  
amortised cost.

The Group measures all equity investments at fair value and the Group has elected to present fair value gains and losses 
on equity investments in the profit and loss. Changes in the fair value of financial assets are recognised as FVPL.

Financial assets are not reclassified subsequent to their initial recognition unless the Company changes its business 
model for managing financial assets, in which case all affected financial assets are reclassified on the first day of the first 
reporting period following the change in the business model.

Financial liabilities
Financial liabilities are classified as measured at amortised cost or FVPL. A financial liability is classified as at FVPL if it is 
classified as held-for-trading, it is a derivative or it is designated as such on initial recognition.

Trade and other payables and lease liabilities are measured at amortised cost.

Contingent and deferred consideration is measured at fair value through profit or loss.

Subsequent measurement

Financial assets
Fair value through profit or loss: These assets are subsequently measured at fair value. Net gains and losses, including any 
interest or dividend income, are recognised in profit or loss. 

Amortised cost: These assets are subsequently measured at amortised cost using the effective interest method. The 
amortised cost is reduced by impairment losses. Interest income, foreign exchange gains and losses and impairment are 
recognised in profit or loss. Any gain or loss on derecognition is recognised in profit or loss. 

Financial liabilities
Amortised cost: These liabilities are initially measured at fair value, net of transaction costs. Subsequently they are 
measured at amortised cost using the effective interest method, with interest expense recognised on an effective yield 
basis. The effective interest method is a method of calculating the amortised cost of a financial liability and of allocating 
interest expense over the relevant period. The effective interest rate is the rate that exactly discounts estimated future 
cash payments through the expected life of the financial liability, or, where appropriate, a shorter period, to the net 
carrying amount on initial recognition.

Fair value through profit or loss: The deferred and contingent consideration liability is measured at fair value at each 
reporting date using a discounted cash flow approach, utilising management’s forecasts to estimate the likely payout and 
discounting these using a risk-adjusted weighted average cost of capital. Net gains and losses, including any interest 
expense, are recognised in profit or loss.

Impairment
The Company recognises loss allowances for expected credit losses (‘ECLs’) on financial assets measured at amortised 
cost and accrued revenue (contract assets). 

C_GEN_PageC_GEN_PageL2C_GEN Section110

Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

31. Financial instruments continued

The Group applies the simplified approach to measuring expected credit losses which uses a lifetime expected loss 
allowance for all trade receivables and contract assets (accrued revenue). To measure the expected credit losses, trade 
receivables and contract assets have been grouped based on shared credit risk characteristics and the days past due. The 
contract assets relate to unbilled work in progress and have substantially the same risk characteristics as the trade 
receivables for the same types of contracts. The Group has therefore concluded that the expected loss rates for trade 
receivables are a reasonable approximation of the loss rates for the contract assets. The expected loss rates are based on 
historical credit losses as a percentage of revenues adjusted to reflect current and forward-looking information on 
macroeconomic factors affecting the ability of the customers to settle the receivables.

The maximum period considered when estimating expected credit losses is the maximum contractual period over which 
the Company is exposed to credit risk.

Measurement of ECLs
Expected credit losses are a probability-weighted estimate of credit losses. Credit losses are measured as the present 
value of all cash shortfalls (i.e. the difference between the cash flows due to the entity in accordance with the contract 
and the cash flows that the Company expects to receive) at the effective interest rate of the financial asset.

Credit-impaired financial assets
At each reporting date, the Company assesses whether financial assets carried at amortised cost are ‘credit-impaired’.  
A financial asset is credit-impaired when one or more events that have a detrimental impact on the estimated future cash 
flows of the financial asset have occurred.

Write-offs
The gross carrying amount of a financial asset is written off (either partially or in full) to the extent that there is no realistic 
prospect of recovery.

Fair value measurements
Fair value measurements are categorised as level 1, 2 or 3 within the fair value hierarchy. The fair value hierarchy 
categorises inputs to valuation techniques into the following levels, based on their observability:

Level 1: The fair value of financial instruments traded in active markets (such as publicly traded derivatives, and equity 
securities) is based on quoted market prices at the end of the reporting period. The quoted market price used for financial 
assets held by the Group is the current bid price. These instruments are included in level 1.

Level 2: The fair value of financial instruments that are not traded in an active market (for example, over-the-counter 
derivatives) is determined using valuation techniques which maximise the use of observable market data and rely as little  
as possible on entity-specific estimates. If all significant inputs required to fair value an instrument are observable, the 
instrument is included in level 2.

Level 3: If one or more of the significant inputs is not based on observable market data, the instrument is included in  
level 3.

The Group’s policy is to recognise transfers into and out of fair value hierarchy levels as at the end of the reporting period.

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111

Categories of financial instruments
The following table shows the carrying amounts and fair values of financial assets and financial liabilities at the reporting 
date.

Carrying amount

Fair value

31 December 2020

Financial assets
Equity investments
Trade receivables
Accrued revenue (contract asset)
Other receivables
Cash and cash equivalents

Financial liabilities
Lease liabilities
Trade payables
Amounts payable to related parties
Other payables
Customer advances
Deferred consideration
Accruals

31 December 2019

Financial assets
Equity investments
Trade receivables
Accrued revenue (contract asset)
Other receivables
Cash and cash equivalents

Financial liabilities
Lease liabilities
Trade payables
Amounts payable to related parties
Other payables
Customer advances
Accruals

Financial
assets
at fair value
through
profit and
loss
£000s

Financial
assets at
amortised
cost
£000s

Current
financial
liabilities at
amortised
cost
£000s

Current
financial
liabilities at
fair value
through
profit and
loss
£000s

Non-current
financial
liabilities at
fair value
through
profit and
loss
£000s

–
–
–
–
–

–

–
–
–
–
–
–
–

–

–
19,079
5,553
1,241
18,994

44,867

–
–
–
–
–

–

–
–
–
–
–
–
–

–

5,106
4,197
55
1,295
408
–
8,635

19,696

–
–
–
–
–

–

–
–
–
–
–
328
–

328

–
–
–
–
–

–

–
–
–
–
–
–
–

–

Total
£000s

Total
£000s

–
19,079
5,553
1,241
18,994

–
19,079
5,553
1,241
18,994

44,867

44,867

5,106
4,197
55
1,295
408
328
8,635

5,106
4,197
55
1,295
408
328
8,635

20,024

20,024

Carrying amount

Fair value

Current
financial
liabilities at
fair value
through
profit and
loss
£000s

Non-current
financial
liabilities at
fair value
through
profit and
loss
£000s

Current
financial
liabilities at
amortised
cost
£000s

Financial
assets
at fair value
through
profit and
loss
£000s

–
–
–
–
–

–

–
–
–
–
–
–

–

Financial
assets at
amortised
cost
£000s

–
11,235
3,382
1,309
14,259

30,185

–
–
–
–
–

–

–
–
–
–
–
–

–

5,434
2,579
58
1,086
537
5,484

15,178

Total
£000s

Total
£000s

–
11,235
3,382
1,309
14,259

–
11,235
3,382
1,309
14,259

30,185

30,185

5,434
2,579
58
1,086
537
5,484

5,434
2,579
58
1,086
537
5,484

15,178

15,178

–
–
–
–
–

–

–
–
–
–
–
–

–

–
–
–
–
–

–

–
–
–
–
–
–

–

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

31. Financial instruments continued

Financial instruments measured at fair value
The financial instruments measured at fair value have been categorised within the fair value hierarchy based on the 
valuation technique used to determine fair value at the reporting date.

Deferred and contingent consideration is measured using a discounted cash flow approach, utilising management’s 
forecasts to estimate the likely payout and discounting these using a risk-adjusted weighted average cost of capital, both of 
which are significant unobservable inputs. The contingent consideration payable in respect of MS Clinical Services, LLC. and 
its subsidiaries (‘MedSource’) is categorised as level 3 within the fair value hierarchy and has been assessed at £nil. The 
deferred consideration for MedSource of £328,000 is categorised as level 3 within the fair value hierarchy and is due upon 
the verification of the net assets acquired by the Group at the acquisition date and is payable 60 days after that date.

Given the nature and term of the deferred consideration balance due at the year end, the sensitivity of the fair value of the level 3 
items to possible increases in the significant unobservable inputs for the current year were immaterial. During the prior year, the 
fair value of the contingent consideration payable in respect of PSR Group BV, which was categorised as level 3 within the fair 
value hierarchy, was reassessed at £nil and a credit of £512,000 recognised through profit and loss. There was no deferred or 
contingent consideration outstanding at the 2019 year end.

Financial risk management objectives
The Group’s finance function provides services to the business, and monitors and manages the financial risks relating to the 
operations of the Group. These risks include market risk (including currency and interest rate risk), credit risk and liquidity 
risk.

i) market risk
Market risk is the risk that changes in market prices will affect the Group’s income or the value of its holdings of financial 
instruments. 

The objective of market risk management is to manage and control market risk exposures within acceptable parameters, 
while optimising the return.

The Group’s activities expose it primarily to the financial risks of changes in foreign currency exchange rates and interest 
rates.

Foreign currency risk
The Group is exposed to transactional foreign currency risk to the extent that there is a mismatch between the value of 
income and expenses denominated in foreign currencies. The functional currencies of the Group Companies are primarily 
pounds sterling, euros and US dollars. Where the amounts to be paid and received in a specific currency are expected to 
largely offset one another, no further activity is undertaken. Where the amounts to be paid and received in a specific 
currency result in a net surplus or exposure, the net surplus or exposure is hedged by selling or buying the foreign currency 
and holding in currency accounts.

The carrying amounts of the Group’s financial assets and financial liabilities by currency at the reporting date are as follows:

Financial assets
Equity investments
Trade receivables
Accrued revenue  
(contract asset)
Other receivables
Cash and cash equivalents

Financial liabilities
Lease liabilities
Trade payables
Amounts payable to 

related parties
Other payables
Customer advances
Accruals
Deferred consideration

Net financial asset/

(liability)

GBP
£000s

EUR
£000s

2020

USD
£000s

Other
£000s

Total
£000s

GBP
£000s

EUR
£000s

–
2,858

106
497
1,598

1,421
596

–
198
–
5,861
–

–
3,741

–
12,231

–
249

–
19,079

770
131
5,732

4,677
86
10,213

–
527
1,451

5,553
1,241
18,994

2,492
981

–
5
408
1,540
–

1,138
2,030

–
28
–
573
328

55
590

55
1,064
–
661
–

5,106
4,197

55
1,295
408
8,635
328

–
2,754

129
431
1,747

1,926
967

56
–
–
4,567
–

–
3,074

3,118
235
2,666

3,228
1,211

–
7
537
345
–

2019

USD
£000s

–
4,654

119
27
8,848

229
185

–
7
–
133
–

Other
£000s

Total
£000s

–
753

16
616
998

51
216

2
1,072
–
439
–

–
11,235

3,382
1,309
14,259

5,434
2,579

58
1,086
537
5,484
–

(3,017)

4,948

23,110

(198) 24,843

(2,455)

3,765

13,094

603

15,007

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The following table demonstrates the Group’s sensitivity to a 10% strengthening or weakening in Sterling, being the reporting 
currency of the Group. 10% is the sensitivity rate used when reporting foreign currency risk internally to key management 
personnel and represents management’s assessment of the reasonably possible change in foreign exchange rates. This 
analysis assumes that all other variables, in particular other exchange rates and interest rates, remain constant. The analysis 
is performed on the same basis for the comparative period.

Euro
USD
Other

Profit or (loss) 
2020

Profit or (loss) 
2019

Strengthen
+10%
£000s

(450)
(2,101)
(38)

Weaken
-10%
£000s

550
2,568
47

Strengthen
+10%
£000s

(342)
(1,190)
(98)

Weaken
-10%
£000s

418
1,455
120

Interest rate risk
The Group is primarily exposed to the interest rate risks associated with its holdings of cash and cash equivalents. Interest rate 
risk associated with financial liabilities is minimal and the Group does not have any borrowing facilities at the year end (2019: 
£nil).

The Group’s sensitivity to a change of 100 basis points (1%) on the profit or loss at the reporting date would result in an 
increase or decrease in investment income of £211,000 (2019: £94,000). This analysis assumes that all other variables, in 
particular foreign currency rates, remain constant. The analysis is performed on the same basis for comparative period.

The effective interest rate at the balance sheet date on cash at bank was 0.04% (2019: 0.07%).

Other market risk
The primary goal of the Group’s equity investments is to hold the investments for the long term for strategic purposes. 
Equity investments have been designated as FVPL because their performance is actively monitored and they are managed 
on a fair value basis.

Equity investments which are publicly quoted are measured based on the quoted market price. Unlisted equity investments 
are measured based on the market price of recent share issuances. 

ii) credit risk
Credit risk is the risk of financial loss to the Group if a customer or counterparty to a financial instrument fails to meet its 
contractual obligations, and arises principally from the Group’s trade receivables and contracts with customers.

The carrying amount of financial assets recorded in the financial statements, which is net of impairment losses, represents 
the Group’s maximum exposure to credit risk as no collateral or other credit enhancements are held.

The credit risk on cash and cash equivalents is limited because the counterparties are banks or sovereign governments with 
high credit ratings assigned by international credit rating agencies.

The credit risk on other receivables is limited as it primarily consists of rental deposits and recoverable sale tax.

Trade receivables and accrued revenue (contract assets) consist of a large number of customers, spread across diverse 
geographical areas. Ongoing credit evaluation is performed on the financial condition of accounts receivable.

The Group and the Company assess the creditworthiness of customers in advance of entering into any contract. During the 
life of a contract, the customer’s financial status is monitored as well as payment history. The Group does have some larger 
customer balances representing more than 15% of the trade receivables at a particular time, but these will be large 
profitable pharmaceutical companies with good credit ratings or smaller biotech companies with supportive shareholders 
and a history of successful fundraising, and this is not considered indicative of an increased credit risk. Credit information is 
supplied by independent rating agencies where appropriate and if available. Alternatively, the Group uses other publicly 
available financial information and its own trading records to assess its major customers.

There has been no history of bad debts as the majority of sales are to multinational pharmaceutical companies and as a 
consequence the Directors do not consider that the Group has a significant credit risk.

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

31. Financial instruments continued
The concentration of credit risk for trade receivables and accrued revenue (contract assets) at the balance sheet date by 
geographic region and service line was:

UK
Rest of Europe, Middle East and Africa
North America
Asia
Australia

Carrying amount 
2020

Carrying amount 
2019

CRO
£000s

639
2,611
8,253
158
–

PV
£000s

1,890
2,559
8,010
465
47

Total
£000s

2,529
5,170
16,263
623
47

11,661

12,971

24,632

CRO
£000s

859
4,059
1,923
149
–

6,990

PV
£000s

1,843
2,110
3,409
265
–

7,627

Total
£000s

2,702
6,169
5,332
414
–

14,617

Amounts due from Group companies primarily relate to trading balances with no significant financing element. The 
simplified approach for assessing credit losses was used for these balances and is immaterial as the probability of default is 
insignificant.

Included in trade receivables and accrued revenue (contract assets) are the following amounts after deducting allowance 
for losses that are past due at the reporting date by the following periods:

Less than 30 days overdue
31 to 60 days overdue
61 to 90 days overdue
More than 90 days overdue

2020
£000s

2,696
808
231
–

3,735

2019
£000s

2,606
709
555
17

3,887

The allowance for losses as a result of the exposure to credit risk at the reporting date was determined as follows for trade 
receivables and accrued revenue (contract assets):

Current
Less than 30 days overdue
31 to 60 days overdue
61 to 90 days overdue
More than 90 days overdue

Expected
credit
losses

0.0%
0.2%
0.5%
18.6%
100.0%

2020

Balance
before
allowance
for losses
£000s

20,599
2,701
812
283
237

24,632

Allowance
for losses
£000s

–
(4)
(4)
(53)
(237)

(298)

Expected
credit
losses

0.0%
0.0%
5.3%
0.5%
58.5%

2019

Balance
before
allowance
for losses
£000s

10,730
2,606
749
558
41

14,684

Allowance
for losses
£000s

–
–
(40)
(3)
(24)

(67)

The allowance for losses includes losses as a result of expected and identified credit losses.

Movements in the allowance for losses in trade receivables and accrued revenue (contract assets) during the year were as 
follows:

At 1 January
Impairment losses recognised
Provision for specific credit losses identified
Translation
Change in expected credit loss provision during the year

At 31 December

2020
£000s

67
(37)
26
11
231

298

2019
£000s

9
–
58
–
–

67

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iii) liquidity risk
Liquidity risk is the risk that the Group will encounter difficulty in meeting the obligations associated with its financial 
liabilities that are settled by delivering cash or another financial asset. The Group’s approach to managing liquidity is to 
ensure, as far as possible, that it will have sufficient liquidity to meet its liabilities when they are due, under both normal and 
stressed conditions, without incurring unacceptable losses or risking damage to the Group’s reputation.

The Group manages liquidity risk by maintaining adequate cash and cash equivalents and by continuously monitoring 
forecast and actual cash flows and matching the maturity profiles of financial assets and liabilities.

The following are the contractual maturities of financial liabilities, including estimated interest payments and excluding the 
effect of netting agreements at the reporting date:

2020 
Contractual cash outflow

2019 
Contractual cash outflow

Carrying 
amount
£000s

Less than 
one year
£000s

Between
 one and 
five years
£000s

More than 
five years
£000s

Total
£000s

Carrying 
amount
£000s

Less than  
one year
£000s

Between 
one and 
five years
£000s

More than  
five years
£000s

4,197

4,197

–

55
1,295
408
8,635
328
5,106

55
1,295
408
8,635
328
1,978

20,024

16,896

–
–
–
–
–
3,077

3,077

–

–
–
–
–
–
51

51

4,197

2,579

2,579

–

55
1,295
408
8,635
328
5,106

58
1,086
537
5,484
–
5,434

58
1,086
537
5,484
–
1,856

20,024

15,178

11,600

–
–
–
–
–
3,846

3,846

–

–
–
–
–
–
–

–

Total
£000s

2,579

58
1,086
537
5,484
–
5,702

15,446

Trade payables
Amounts payable to  

related parties
Other payables
Customer advances
Accruals
Deferred consideration
Lease liability 

Capital risk management
The objectives when managing capital are to safeguard the Group’s ability to continue as a going concern in order to provide 
returns for shareholders and benefits for other stakeholders whilst maintaining an optimal capital structure to reduce the 
overall cost of capital.

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

32. Acquisition of subsidiary – PrimeVigilance USA Inc. 
On 13 January 2020, the Group acquired all the issued share capital in Ashfield Pharmacovigilance Inc. for $10,000,000, 
satisfied in cash. Immediately after acquisition the subsidiary changed its name to PrimeVigilance USA Inc. The company  
is a specialist pharmacovigilance provider based in the US. The acquisition expands the geographical coverage of PV, the 
pharmacovigilance brand of the Ergomed group, and further develop the Group’s broader combined CRO and PV business 
globally. 

Intangible assets
Property, plant and equipment
Right-of-use assets

Total non-current assets

Trade and other receivables
Cash and cash equivalents

Current assets

Trade and other payables
Lease liability
Tax payable
Deferred tax liability

Financial liabilities

Total identifiable net assets
Goodwill

Total consideration

Satisfied by:
Cash
Cash – working capital advance

Total consideration

Net cash outflow arising on acquisition
Cash consideration
Less: cash and cash equivalent balances acquired
Less: working capital adjustment
Transaction expenses

Book
value
£000s

159
779
987

1,925

1,462
727

2,189

(321)
(1,075)
–
(1,945)

(3,341)

773
7,703

8,476

Fair 
value
adjustments
£000s

Final
valuation
£000s

2,392
–
–

2,392

(75)
–

(75)

–
–
–
1,282

1,282

3,599
(3,692)

(93)

2,551
779
987

4,317

1,387
727

2,114

(321)
(1,075)
–
(663)

(2,059)

4,372
4,011

8,383

7,613
770

8,383

8,433
(727)
(93)
407

8,020

The fair value of intangible assets relates to customer relationships of £1,998,000 and contracted order book of £553,000.  
The Group incurred acquisition related cost of £393,000 related to due diligence and legal activities in the year ended 
31 December 2019 and an additional £14,000 in the year to 31 December 2020. These costs have been included in acquisition  
costs within selling and administrative expenses in the Group’s consolidated income statement.

The fair value of acquired receivables was £1,250,000. The gross contractual amount receivable is £1,325,000 and,  
at the acquisition date, £75,000 of contractual cash flows were not expected to be received.

Ergomed plc has a 12-month measurement period from the date of acquisition, and therefore the measurement period 
ended on 13 January 2021.

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33. Acquisition of subsidiary – MedSource 
On 11 December 2020, the Group acquired all of the issued share capital in MS Clinical Services, LLC, MedSource UK Ltd and 
MS Clinical Services (Canada) Inc. (‘MedSource’) for $16,200,000 in cash, adjusted for net debt, and paid at the closing of the 
transaction, with further consideration of $1,800,000 payable in Ergomed plc equity issued at a price based on the average 
daily closing price for 30 days preceding the acquisition (155,558 shares at a price of £8.76) upon the satisfaction of certain 
representations and warranties. Up to a further $7,000,000 is payable, 90% in cash and 10% in equity, depending on 
MedSource’s financial results in the year to 31 December 2021.

MedSource is a full-service CRO with a focus on complex disease and study designs. The acquisition greatly expands the 
geographical presence of Ergomed’s CRO service offering in the US whilst complementing the current business specialism 
in oncology and rare disease. Eric Lund, founder of MedSource and the primary shareholder, will continue in his current role 
as President of MedSource after the acquisition.

Intangible assets
Property, plant and equipment
Right-of-use assets

Total non-current assets

Trade and other receivables
Cash and cash equivalents

Current assets

Trade and other payables
Lease liability
Deferred Revenue 
Deferred tax liability

Financial liabilities

Total identifiable net assets
Goodwill

Total consideration

Satisfied by:
Cash
Equity

Total consideration

Net cash outflow arising on acquisition
Cash consideration
Less: cash and cash equivalent balances acquired
Add: deferred consideration
Transaction expenses

Book
value
£000s

475
89
–

564

3,062
4,346

7,408

(2,348)
–
(6,528)
–

(8,876)

(904)
11,347

10,443

Fair 
value
adjustments
£000s

Provisional
valuation
£000s

5,704
–
131

5,835

–
–

–

–
(131)
–
(1,607)

(1,738)

4,097
(4,097)

–

6,179
89
131

6,399

3,062
4,346

7,408

(2,348)
(131)
(6,528)
(1,607)

(10,614)

3,193
7,250

10,443

9,092
1,351

10,443

8,764
(4,346)
328
825

5,571

The fair value of intangible assets relates to customer relationships of £4,077,000, contracted order book of £1,186,000 and 
brand of £916,000. The Group incurred acquisition related cost of £825,000 related to due diligence and legal activities in the 
year ended 31 December 2020. These costs have been included in acquisition costs within selling and administrative 
expenses in the Group’s consolidated income statement. Ergomed plc has a 12-month measurement period from the date of 
acquisition, and therefore the measurement period will end on 11 December 2021.

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Annual Report and Accounts 2020

Notes to the financial statements continued
For the year ended 31 December 2020

34. Operating leases
As a result of the adoption of IFRS 16, from 1 January 2019, all leases, except those classified as either low-value assets or 
short-term, have been recognised on the balance sheet as a right-of-use asset and lease liability and are no longer included 
in the non-cancellable operating lease disclosure below.

At the year end, the Group and Company had the following future aggregate minimum lease payments under non-
cancellable operating leases:

Group

No later than one year
Later than one year and no later than five years

Company

No later than one year

Land and buildings

Other

2020
£000s

9
–

9

2019
£000s

31
–

31

2020
£000s

60
40

100

Land and buildings

Other

2020
£000s

3

2019
£000s

–

2020
£000s

–

2019
£000s

52
25

77

2019
£000s

3

35. Related party transactions
Ergomed d.o.o., a company registered in Croatia, is under the control of Miroslav Reljanović, who is a Director and 
shareholder of the Company. During the year, the Group was charged £152,000 (2019: £220,000) by Ergomed d.o.o. in respect 
of clinical research consultancy and other administration costs. At the year end, a balance of £55,000 was owed by the 
Group to Ergomed d.o.o. in respect of these costs (2019: £58,000).

Esinhart LLC, a company registered in the USA and under the control of James Esinhart, a Non-Executive Director of the 
Company in the year, provided consultancy services to the Company and its subsidiaries during the year for which they were 
charged £10,000 (2019: £47,000). At the year end, there were no outstanding amounts (2019: £nil) owed by the Company and 
its subsidiaries to Esinhart LLC in respect of these services.

Asarina Pharma AB., a company registered in Sweden of which Miroslav Reljanović was a Director until his resignation on 5 May 
2020, was invoiced £1,484,000 during the year to 31 December 2020 (2019: £1,922,000) in respect of the provision of clinical 
research services. At the year end a balance of £402,000 was due from Asarina Pharma AB (2019: amounts owed of £73,000).

Modus Therapeutics Holding AB., a company registered in Sweden of which Miroslav Reljanović was a Director until his 
resignation on 5 June 2020, was in-voiced £9,000 during the year to 31 December 2020 (2019: £1,423,000) in respect of provision 
of clinical research services. At the year end, there were no out-standing amounts (2019: £130,000) due from Modus 
Therapeutics Holding AB.

Balances and transactions between the Company and its subsidiaries, which are related parties, have been eliminated  
on consolidation and are not disclosed in this note.

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Nominated Advisory and Broker (‘NOMAD’)
Numis Securities Ltd
10 Paternoster Sq. 
London 
EC4M 7LT

Registrar
Share Registrars Ltd
The Courtyard
17 West Street
Farnham
Surrey
GU9 7DR

Public Relations
Consilium Strategic Communications Ltd
41 Lothbury
London
EC2R 7HG

Ergomed plc
www.ergomedplc.com
info@ergomedplc.com

Company information

Directors
Miroslav Reljanović
Richard Barfield
Rolf Soderstrom
Michael Spiteri
Ian Johnson

Company Secretary
Joanne Bletcher

Registered office
1 Occam Court
Surrey Research Park
Guildford
Surrey
GU2 7HJ

Auditor
KPMG
1 Stokes Place
St Stephen's Green
Dublin 2
Ireland

Lawyer
Covington & Burling LLP
265 Strand
London
WC2R 1BH

Bankers
HSBC UK Bank plc
1 Centenary Square
Birmingham
B1 1HQ

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Annual Report and Accounts 2020

Notes

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Ergomed plc

1 Occam Court
Surrey Research Park
Guildford
Surrey GU2 7HJ

www.ergomedplc.com