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    Afya Limited Announces First-Quarter 2024 Financial Results

    5/9/24 6:15:00 PM ET
    $AFYA
    Other Consumer Services
    Real Estate
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    Solid Organic Growth

    Impressive Adjusted EBITDA Margin Expansion

    Robust EPS Expansion

    Afya Limited (NASDAQ:AFYA, B3: A2FY34))) ("Afya" or the "Company"), the leading medical education group and medical practice solutions provider in Brazil, reported today financial and operating results for the three-month period ended March 31, 2024 (first quarter 2024). Financial results are expressed in Brazilian Reais and are presented in accordance with International Financial Reporting Standards (IFRS).

    First Quarter 2024 Highlights

    • 1Q24 Net Revenue increased 13.3% YoY to R$804.2 million.
    • 1Q24 Adjusted EBITDA increased 20.5% YoY reaching R$397.9 million, with an Adjusted EBITDA Margin of 49.5%. Adjusted EBITDA Margin increased 300 bps YoY.
    • 1Q24 Net Income increased 76.9% YoY, reaching R$208.3 million, and Adjusted Net Income increased 50.8% YoY, reaching R$251.0 million. With an adjusted EPS growth of 54.4% in the same period.
    • Operating Cash Conversion ratio of 110.1%, with a solid cash position of R$ 611.1 million.
    • ~334 thousand physicians and medical students in Afya's ecosystem.
    Table 1: Financial Highlights 1

    For the three months period ended March 31,

    (in thousand of R$)

    2024

    2023

    % Chg 

    (a) Net Revenue

    804,239

    709,961

    13.3%

    (b) Adjusted EBITDA 2

    397,853

    330,211

    20.5%

    (c) = (b)/(a) Adjusted EBITDA Margin

    49.5%

    46.5%

    300 bps
    Net income

    208,299

    117,772

    76.9%

    Adjusted Net income

    250,966

    166,377

    50.8%

    (1) No acquisitions were made during the period under review, therefore not affecting the comparable period.
    (2) See more information on "Non-GAAP Financial Measures" (Item 08).
     

    Message from Management

    It is with much satisfaction that I can proudly present another quarter of great operational and financial performance for Afya. Once again, we have proven the resilience of our business, the successful execution of our strategy, the commitment of our team members, and the consistency of our business model. This quarter was marked by Gross margin expansion within our three segments and Adjusted EBITDA margin in our consolidated figures, combined with solid cash generation, and robust EPS growth, showing our consistent business expansion.

    Great part of our margin expansion came from the complete integration of UNIMA and Afya Jaboatão, alongside the ramp up of the four Mais Médicos campuses that started operation in 3Q22 and the operational restructuring efforts in Continuing Education and Medical Practice Solutions segments. Our idea was to integrate all the services related to the physician continuing education into one structure, so we could extract more synergies and boost our growth.

    We are also excited to expand our offering in the Undergrad business with the signing of the acquisition of Unidompedro and Faculdade Dom Luiz, this acquisition will contribute with 300 operating medical seats to Afya, in Salvador capital of Bahia and the fifth-largest city in Brazil in population size. Unidompedro will be Afya´s 4th medical school in Bahia and will serve as an strategic hub for all other medical campuses in the State, besides all the synergies that we can extract from our Continuing Education campus in Salvador.

    With another round of high and sustainable growth, our mission remains solid as ever: to provide an ecosystem that integrates education and digital solutions for the entire medical journey, enhancing the development, updating, assertiveness, and productivity of health professionals. We are very proud of our business and of what we have achieved so far, as well as excited about what we are planning.

    1. Key Events in the Quarter:

    • On January 24, 2024 the Secretary of Regulation and Supervision of Higher Education of the Ministry of Education ("MEC") authorized the increase of 40 medical seats of Faculdades Integradas Padrão (FIP Guanambi), in the city of Guanambi, located in the state of Bahia, which will result in an additional payment of R$49.6 million. With the authorization, Afya reaches 100 medical seats on this campus, and 3,203 total approved seats.
    • To enhance synergies between Afya's Content and Technology for Medical Education and Specialization Courses for Physicians, Afya has restructured its structure so that all products and services related to medical education, excluding medical undergraduate courses, are now managed in the same segment. Effective from the first quarter of 2024, entities previously accounted for as Content and Technology for Medical Education (Medcel, Além da Medicina, CardioPapers, and Medical Harbour) within Digital Services are now accounted for in the Continuing Education Segment. Simultaneously, the segment formerly known as Digital Services has been renamed Medical Practice Solutions. Due to changes in operating segments, the segment information as of December 31, 2023 and for the three-month period ended March 31, 2023 have been retroactively adjusted for comparison purposes.

    2. Subsequent Event

    • On, May 2nd 2024, Afya announced that it has entered in a share purchase agreement for the acquisition of 100% of the total share capital of Unidom Participações S.A. ("Unidom") which encompasses Unidompedro and Faculdade Dom Luiz, both located in the State of Bahia with operations in the cities of Salvador, Luis Eduardo Magalhães, Barreiras and Ribeira do Pombal. The acquisition will add 300 operational medical school seats to Afya in Salvador, one of Brazil's largest cities. The aggregate purchase price (enterprise value) is R$ 660.0 million, the Net Debt will be deducted at the closing date and it will be paid as follows: R$ 347.8 million will be paid in cash at the closing date and R$ 312.2 million will be paid in up to 10 annual installments of R$31.2 million, adjusted by the CDI (Interbank Certificate of Deposit) rate. Afya expects an EV/EBITDA 4.2x at maturity and post synergies (2027). With the acquisition, Afya will achieve 3,503 total approved seats.

    3. 2024 Guidance

    The Company is reaffirming its guidance for 2024, which considers the successfully concluded acceptances of new students for the first semester of 2024. The guidance for 2024 is defined in the following table:

    Guidance for 2024

    Net Revenue 1

    R$ 3,150 mn ≤ ∆ ≤ R$ 3,250 mn

    Adjusted EBITDA

    R$ 1,300 mn ≤ ∆ ≤ R$ 1,400 mn

    CAPEX 2

    R$ 220 mn ≤ ∆ ≤ R$ 260 mn

    (1) Excludes any acquisition that may be concluded after the issuance of the guidance, notably, the Unidompedro acquisition was not included in the guidance provided
    (2) The 2024 Capex guidance does not encompass the earn-out payment in the amount of R$49.6 million related to the 40-seat increase at Faculdades Integradas Padrão (FIPGuanambi).

    4. 1Q24 Overview

    Segment Information

    The Company has three reportable segments as follows:

    Undergrad, which provides educational services through undergraduate courses related to medical school, undergraduate health science and other ex-health undergraduate programs;

    Continuing education, which provides medical education (including residency preparation programs, specialization test preparation and other medical capabilities), specialization and graduate courses in medicine, delivered through digital and in-person content, and

    Medical Practice solutions which provides clinical decision, clinical management and doctor-patient relationships for physicians and provide access, demand and efficiency for the healthcare players.

    Key Revenue Drivers – Undergraduate Programs

    Table 2: Key Revenue Drivers

    Three months period ended March 31,

    2024

    2023

    % Chg

    Undergrad Programs      
    MEDICAL SCHOOL      
    Approved Seats

                             3,203

                             3,163

    1.3%

    Operating Seats 1

                             3,153

                             3,113

    1.3%

    Total Students (end of period)

                          22,609

                          20,822

    8.6%

    Average Total Students

                          22,609

                          20,822

    8.6%

    Net Revenue (Total - R$ '000)

                       610,721

                       528,830

    15.5%

    Medical School Net Avg. Ticket (R$/month)

                             9,004

                             8,466

    6.4%

    UNDERGRADUATE HEALTH SCIENCE      
    Total Students (end of period)

                          24,881

                          21,660

    14.9%

    Average Total Students

                          24,881

                          21,660

    14.9%

    Net Revenue (Total - R$ '000)

                          53,470

                          52,013

    2.8%

    OTHER EX- HEALTH UNDERGRADUATE       
    Total Students (end of period)

                          28,563

                          25,043

    14.1%

    Average Total Students

                          28,563

                          25,043

    14.1%

    Net Revenue (Total - R$ '000)

                          40,328

                          40,133

    0.5%

    Total Net Revenue      
    Net Revenue (Total - R$ '000)

                       704,519

                       620,976

    13.5%

    (1) The difference between approved and operating seats is 'Cametá'. A campus for which we already have the license but haven't started operations.  
     

    Key Revenue Drivers – Continuing Education

    Table 3: Key Revenue Drivers

    Three months period ended March 31,

    2024

    2023

    % Chg

    Continuing Education 1      
    Total Studends (end of period)      
    Residency  Journey - Business to Physicians B2P 2

                          14,693

                             9,061

    62.2%

    Graduate Journey - Business to Physicians B2P

                          13,275

                          11,857

    12.0%

    Other Courses - B2P and Business to Business Offerings

                          21,074

                          14,598

    44.4%

    Total Students (end of period)

                          49,042

                          35,516

    38.1%

    Net Revenue (R$ '000)      
    Business to Physicians - B2P 

                          60,538

                          53,192

    13.8%

    Business to Business - B2B

                             4,877

                             5,019

    -2.8%

    Total Net Revenue 

                          65,415

                          58,212

    12.4%

    (1) The figure above does not contemplate intercompany transactions
    (2) 'Content & Technology for Medical Education' which had been reported in 'Digital Services' table, has been reclassified to 'Continuing Education'
     

    Key Revenue – Medical Practice Solutions

    Table 4: Key Revenue Drivers

    Three months period ended March 31,

    2024

    2023

    % Chg

    Medical Practice Solutions 1      
    Active Payers (end of period)      
    Clinical Decision

                       159,183

                       143,832

    10.7%

    Clinical Management  

                          31,806

                          26,621

    19.5%

    Total Active Payers (end of period)

                       190,989

                       170,453

    12.0%

    Monthly Active Users (MaU)      
    Total Monthly Active Users (MaU) - Digital Services 2

                       262,717

                       263,344

    -0.2%

    Net Revenue (R$ '000)      
    Business to Physicians - B2P 

                          31,726

                          28,371

    11.8%

    Business to Business - B2B

                             4,847

                             5,168

    -6.2%

    Total Net Revenue 

                          36,573

                          33,540

    9.0%

    (1) The figure above does not contemplate intercompany transactions  
    (2) 'Content & Technology for Medical Education' is now being reported in Continuing Education table
     

    Key Operational Drivers – Physicians and Medical Students Ecosystem

    Physicians and Medical Students Ecosystem represents the total number of medical students and physicians in that are positively impacted by Afya. For the first quarter of 2024, Afya's ecosystem reached 334,368 users, in line with the same period of the prior year, accounting for around 41% of all medical students and physicians in Brazil.

    Table 5: Key Revenue Drivers

    Three months period ended March 31,

    2024

    2023

    % Chg

    Physicians and Medical Students positively impacted by Afya 1      
    Undergrad (Total Medical School Students - End of Period)

                          22,609

                          20,822

    8.6%

    Continuing Education (Total Students - End of Period)

                          49,042

                          35,516

    38.1%

    Medical Practice Solutions (Monthly Active Users)

                       262,717

                       263,344

    -0.2%

    Ecosystem Outreach

                       334,368

                       319,682

    4.6%

    (1) Ecosystem outreach does not contemplate intercompany figures. Note that there may be overlap in student numbers within the data.
     

    Seasonality

    Undergrad's tuition revenues are related to the intake process and monthly tuition fees charged to students over the period; thus, does not have significant fluctuations during the period.

    Continuing education revenues are mostly related to: (i) monthly intakes and tuition fees on medical education, which do not have a considerable concentration in any period; (ii) Medcel's revenue, derived from e-books transferred at a point of time, which are concentrated at in the first and last quarter of the year due to the enrollments; and (iii) Além da Medicina and Cardiopapers revenues, which are sold in the last and first quarter of the year due to the timeline of exams and recognized mainly over time.

    Medical Practice Solutions are comprised mainly of Pebmed and iClinic revenues, which do not have significant fluctuation regarding seasonality.

    Revenue

    Net Revenue for the first quarter of 2024 was R$804.2 million, an increase of 13.3% over the same period of the prior year, mainly due to higher tickets in Medicine courses by 6.4%, maturation of medical seats, the 40 seats expansion in Guanambi campus, the Continuing Education intake performance and Medical Practice Solutions execution.

    Table 6: Revenue & Revenue Mix1
    (in thousands of R$)  

    For the three months period ended March 31,

       

    2024

    2023

    % Chg

    Net Revenue Mix        
    Undergrad  

    704,519

    620,976

    13.5%

    Continuing Education  

    65,415

    58,212

    12.4%

    Medical Practice Solutions  

    36,573

    33,540

    9.0%

    Inter-segment transactions  

    -2,268

    -2,767

    -18.0%

    Total Reported Net Revenue  

    804,239

    709,961

    13.3%

    (1) No acquisitions were made during the period under review, therefore not affecting the comparable period.
     

    Adjusted EBITDA

    Adjusted EBITDA for the three-month period ended March 31, 2024, increased 20.5% to R$397.9 million, up from R$330.2 million in the same period of the prior year, and the Adjusted EBITDA Margin increased 300 basis points to 49.5%. The Adjusted EBITDA Margin expansion is mainly due to the following: (a) gross margin expansion within the three segments; (b) completion of UNIMA and Afya Jaboatão integration process in November 2023; (c) the ramp up of the four Mais Médicos campuses that started operation in 3Q22; (d) operational restructuring efforts in Continuing Education and Medical Practice Solutions segments; and (e) More efficiency in Selling, General and Administrative expenses.

    Table 7: Reconciliation between Adjusted EBITDA and Net Income    
     
    (in thousands of R$)

    For the three months period ended March 31,

    2024

    2023

    % Chg

    Net income 

    208,299

    117,772

    76.9%

    Net financial result 

    74,366

    96,552

    -23.0%

    Income taxes expense 

    10,865

    19,060

    -43.0%

    Depreciation and amortization 

    79,269

    65,971

    20.2%

    Interest received 1

    12,415

    10,299

    20.5%

    Income share associate

    (4,172)

    (3,845)

    8.5%

    Share-based compensation 

    8,630

    6,495

    32.9%

    Non-recurring expenses:

    8,181

    17,907

    -54.3%

     - Integration of new companies 2

    5,870

    5,900

    -0.5%

     - M&A advisory and due diligence 3

    248

    11,039

    -97.8%

     - Expansion projects 4

    605

    151

    300.7%

     - Restructuring expenses 5

    1,458

    1,395

    4.5%

     - Mandatory Discounts in Tuition Fees  6

    0

    (578)

    n.a.

    Adjusted EBITDA

    397,853

    330,211

    20.5%

    Adjusted EBITDA Margin

    49.5%

    46.5%

    300 bps

    (1) Represents the interest received on late payments of monthly tuition fees.
    (2) Consists of expenses related to the integration of newly acquired companies.
    (3) Consists of expenses related to professional and consultant fees in connection with due diligence services for our M&A transactions.
    (4) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
    (5) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of our acquired companies.
    (6) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  



    Adjusted Net Income

    Net Income for the first quarter of 2024 was R$208.3 million, an increase of 76.9% over the same period of the prior year. Adjusted Net Income for the first quarter of 2024 was R$251.0 million, an increase of 50.8% over the same period from the previous year, mainly due to: (a) enhancement of operational results (details above); (b) reduction in finance expenses due to a decrease in Net Debt (excluding IFRS 16) in R$ 237.2 million and lower interest rates; and (c) lower effective tax rates than last year.

    Adjusted EPS reached R$2.26 per share for the first quarter of 2024, an increase of 54.4% YoY, reflecting the increase in Net Income and capital allocation discipline.

    Table 8: Adjusted Net Income
    (in thousands of R$)

    For the three months period ended March 31,

    2024

    2023

    % Chg

    Net income

       208,299

       117,772

    76.9%

    Amortization of customer relationships and trademark 1

          25,856

          24,203

    6.8%

    Share-based compensation 

             8,630

             6,495

    32.9%

    Non-recurring expenses:

    8,181

    17,907

    -54.3%

     - Integration of new companies 2

             5,870

             5,900

    -0.5%

     - M&A advisory and due diligence 3

                 248

          11,039

    -97.8%

     - Expansion projects 4

                 605

                 151

    300.7%

     - Restructuring expenses 5

             1,458

             1,395

    4.5%

     - Mandatory Discounts in Tuition Fees  6

                       -  

    -578

    n.a.
    Adjusted Net Income

    250,966

    166,377

    50.8%

    Basic earnings per share - in R$ 7

    2.26

    1.24

    83.0%

    Adjusted earnings per share - in R$ 8

    2.74

    1.77

    54.4%

    (1) Consists of amortization of customer relationships and trademark recorded under business combinations.
    (2) Consists of expenses related to the integration of newly acquired companies.      
    (3) Consists of expenses related to professional and consultant fees in connection with due diligence services for our M&A transactions.
    (4) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
    (5) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of our acquired companies.
    (6) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  
    (7) Basic earnings per share: Net Income/Weighted average number of outstanding shares.      
    (8) Adjusted earnings per share: Adjusted Net Income attributable to equity holders of the Parent/Weighted average number of outstanding shares.



    Cash and Debt Position

    On March 31, 2024, Cash and Cash Equivalents were R$611.1 million, an increase of 10.5% over December 31, 2023. The Net Debt, excluding the effect of IFRS 16, totaled R$1,577.4 million compared to December 31, 2023, Afya reduced its Net Debt by R$237.2 million due to solid Operating Cashflow generation.

    For the three-month period ended March 31, 2024, Afya reported Cash Flow from Operating Activities of R$429.1 million, up from R$349.4 million in the same period of the previous year, an increase of 22.8% YoY, boosted by the solid operational results. Operating Cash Conversion Ratio achieved 110.1%, slightly down from 111.9% in the three-month period that ended on March 31, 2023.

    Table 9: Operating Cash Conversion Ratio Reconciliation

    For the three months period ended March 31,

    (in thousands of R$)

    Considering the adoption of IFRS 16 

    2024

    2023

    % Chg

    (a) Net cash flows from operating activities

    417,860

    331,554

    26.0%

    (b) Income taxes paid

    11,194

    17,819

    -37.2%

    (c) = (a) + (b) Cash flow from operating activities

    429,054

    349,373

    22.8%

     
    (d) Adjusted EBITDA

    397,853

    330,211

    20.5%

    (e) Non-recurring expenses:

    8,181

    17,907

    -54.3%

     - Integration of new companies 1

    5,870

    5,900

    -0.5%

     - M&A advisory and due diligence  2

    248

    11,039

    -97.8%

     - Expansion projects 3

    605

    151

    300.7%

     - Restructuring Expenses 4

    1,458

    1,395

    4.5%

     - Mandatory Discounts in Tuition Fees  5

    0

    -578

    -100.0%

    (f) = (d) - (e) Adjusted EBITDA ex- non-recurring expenses 

    389,672

    312,304

    24.8%

    (g) = (c) / (f) Operating cash conversion ratio

    110.1%

    111.9%

    -180 bps
    (1) Consists of expenses related to the integration of newly acquired companies. 
    (2) Consists of expenses related to professional and consultant fees in connection with due diligence services for M&A transactions.
    (3) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
    (4) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of acquired companies.
    (5) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  

    The following table shows more information regarding the cost of debt for 1Q24, considering loans and financing, capital market and accounts payable to selling shareholders. Afya's capital structure remains solid with a conservative leveraging position and a low cost of debt, Afya's Net Debt (excluding the effect of IFRS16) divided by Adjusted EBITDA mid guidance for 2024 would be 1.2x.

    Table 10: Gross Debt and Average Cost of Debt    
    (in millions of R$)

    For the three months period ended March 31,

     

     

     

     

    Cost of Debt

    Gross Debt

    Duration (Years)

    Per year

    %CDI²

     

    2024

    2023

    2024

    2023

    2024

    2023

    2024

    2023

    Loans and financing: Softbank

    826

    825

    2.1

    3.1

    6.5%

    6.5%

    57%

    48%

    Loans and financing: Debentures 

    510

    519

    3.3

    4.4

    12.7%

    15.7%

    117%

    114%

    Loans and financing: Others

    446

    580

    1.3

    1.9

    12.7%

    15.7%

    116%

    114%

    Accounts payable to selling shareholders

    405

    828

    0.9

    1.2

    10.8%

    13.3%

    100%

    97%

    Total¹| Average

    2,189

    2,751

    2.1

    2.6

    9.8%

    12.1%

    91%

    89%

    (1) Total ammount refers only to the "Gross Debt" columns 
    (2) Based on the annualized Interbank Certificates of Deposit ("CDI") rate for the period as a reference: 1Q24: ~10,65% p.y. and for 1Q23: ~13.65% p.y.
     
    Table 11: Cash and Debt Position        
    (in thousands of R$)          
     

    1Q24

    FY2023

    % Chg

    1Q23

    % Chg

    (+) Cash and Cash Equivalents

    611,077

    553,030

    10.5%

    722,691

    -15.4%

    Cash and Bank Deposits

                      5,573

                        11,746

    -52.6%

                28,375

    -80.4%

    Cash Equivalents

                605,504

                     541,284

    11.9%

             694,316

    -12.8%

    (-) Loans and Financing

    1,783,094

    1,800,775

    -1.0%

    1,923,737

    -7.3%

    Current

                161,675

                     179,252

    -9.8%

             193,214

    -16.3%

    Non-Current

            1,621,419

                1,621,523

    0.0%

         1,730,523

    -6.3%

    (-) Accounts Payable to Selling Shareholders

                405,410

                566,867

    -28.5%

             769,274

    -47.3%

    Current

                244,865

                     353,998

    -30.8%

             417,398

    -41.3%

    Non-Current

                160,545

                     212,869

    -24.6%

             351,876

    -54.4%

    (-) Other Short and Long Term Obligations

                                     -  

                                     -  

    n.a.

    58,702

    -100.0%

    (=) Net Debt (Cash) excluding IFRS 16

    1,577,427

    1,814,612

    -13.1%

    2,029,022

    -22.3%

    (-) Lease Liabilities

    902,542

    874,569

    3.2%

    864,983

    4.3%

    Current

                   40,030

                        36,898

    8.5%

                38,026

    5.3%

    Non-Current

                862,512

                     837,671

    3.0%

             826,957

    4.3%

    Net Debt (Cash) with IFRS 16

    2,479,969

    2,689,181

    -7.8%

    2,894,005

    -14.3%

     

    CAPEX

    Capital expenditures consist of the purchase of property and equipment and intangible assets, including expenditures mainly related to the expansion and maintenance of Afya's campuses and headquarters, leasehold improvements, and the development of new solutions in the Medical Practice Solutions segment, among others.

    For the three-months period ending March 31, 2024, CAPEX was R$92.9 million, representing 11.6% of Afya's Net Revenue. However, there is a one-off effect of R$ 49.6 million regarding the Earnout of FIP Guanambi, due to the expansion of 40 seats as disclosed to the market in January 2024. By disregarding this impact, the CAPEX/Net Revenue ratio would be 5.4%.

    Table 12: CAPEX
    (in thousands of R$)

    For the three months period ended March 31,

     

    2024

    2023

    % Chg

    CAPEX

    92,901

    46,429

    100.1%

    Property and equipment

    22,955

    27,299

    -15.9%

    Intanglibe assets

    69,946

    19,130

    265.6%

     - Licenses

    49,600

    0

    n.a.
     - Others

    20,346

    19,130

    6.4%

           
    Trademarks

                       -  

                        -  

    n.a.
    Customer relationships

                       -  

                        -  

    n.a.
    Software

                    612

                        -  

    n.a.
    Education content

                 2,471

                        -  

    n.a.
    Developed technology 

                 5,557

                        -  

    n.a.
    Educational platform

                 5,663

                        -  

    n.a.
    Software in progress

                 6,043

                        -  

    n.a.
     

    ESG Metrics

    ESG commitment is an important part of Afya's strategy and permeates the Company's core values. Afya has been advancing year after year on its core pillars and, since 2021, ESG metrics have been disclosed in the Company's quarterly financial results.

    The 2022 Sustainability Report can be found at: https://ir.afya.com.br/corporate-governance/sustainability/

    Table 13: ESG Metrics

    1Q24

    1Q23

    2023

    # GRI Governance and Employee Management    

    1

    405-1

    Number of employees

    9,914

    9,567

                    9,680

    2

    405-1

    Percentage of female employees

    58%

    57%

    58%

    3

    405-1

    Percentage of female employees in the board of directors

    36%

    40%

    36%

    4

    102-24

    Percentage of independent member in the board of directors

    36%

    30%

    36%

     

     

    Environmental    

    5

     

    Total renewable energy generated by own photovoltaic plants (MWh)

                 1,794,215

                     732,767

            4,510,637

    6

    302-1

    Total energy consumed (MWh) 

                 5,831,206

                 5,468,733

          24,036,608

    7

    302-1

    % of renewable energy consumed from own generation 

    26.8%

    13.0%

    16.0%

    8

    302-1

    % of energy consumed from the power grid 

    30.8%

    79.0%

    60.3%

    9

    302-1

    % of energy consumed from the free market

    42.3%

    8.0%

    23.7%

     

     

    Social    

    10

    413-1

    Number of free clinical consultations offered by Afya

            147,757

            116,979

      586,611

    11

     

    Number of physicians graduated in Afya's campuses

              20,220

              18,126

               20,197

    12

    201-4

    Number of students with financing and scholarship programs (FIES and PROUNI)

              10,815

                9,619

               10,584

    13

     

    % students with scholarships over total undergraduate students

    14.2%

    14.2%

    16.0%

    14

    413-1

    Hospital, clinics and city halls partnerships

                    518

                    718

                       649

    (1) Some factors can influence in the adequate proportionality analysis of data over the years, such as: climate changes, COVID-19 pandemic effects, seasonalities, number of employees, number of students, number of active units, among others.
    (2) Starting in 2Q22, previously disclosed social data were updated to consider: (a) the number of graduated physicians considering all units after its closing, and (b) partnerships related only to medical schools.
    (3) The number of students with financing and scholarship programs (FIES and PROUNI) in 2023 does not include any student from Unima and FCM Jaboatão Acquisition
     

    5. Conference Call and Webcast Information

    When:

    May 09, 2024 at 5:00 p.m. EST. 

     

    Who:

    Mr. Virgilio Gibbon, Chief Executive Officer

    Mr. Luis André Blanco, Chief Financial Officer

    Ms. Renata Costa Couto, IR Director

     

    Webcast:

    https://afya.zoom.us/j/96479347633 

    OR

    Dial-in:

    Brazil: +55 11 4680 6788 or +55 11 4700 9668 or +55 21 3958 7888 or +55 11 4632 2236 or +55 11 4632 2237

    United States: +1 719 359 4580 or +1 929 205 6099 or +1 253 205 0468 or +1 253 215 8782 or +1 301 715 8592 or +1 305 224 1968 or +1 309 205 3325 or +1 312 626 6799 or +1 346 248 7799 or +1 360 209 5623 or +1 386 347 5053 or +1 507 473 4847 or +1 564 217 2000 or +1 646 931 3860 or +1 669 444 9171 or +1 669 900 6833 or +1 689 278 1000

    Webinar ID: 964 7934 7633

    Other Numbers: https://afya.zoom.us/u/aON6T6YtJ

    6. About Afya Limited (NASDAQ:AFYA, B3: A2FY34)))

    Afya is a leading medical education group in Brazil based on the number of medical school seats, delivering an end-to-end physician-centric ecosystem that serves and empowers students and physicians to transform their ambitions into rewarding lifelong experiences from the moment they join us as medical students through their medical residency preparation, graduation program, continuing medical education activities and offering digital products to help doctors enhance their healthcare services through their whole career. For more information, please visit www.afya.com.br.

    7. Forward – Looking Statements

    This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, which statements involve substantial risks and uncertainties. All statements other than statements of historical fact could be deemed forward looking, and include risks and uncertainties related to statements about our competition; our ability to attract, upsell and retain students; our ability to increase tuition prices and prep course fees; our ability to anticipate and meet the evolving needs of students and professors; our ability to source and successfully integrate acquisitions; general market, political, economic, and business conditions; and our financial targets such as revenue, share count and IFRS and non-IFRS financial measures including gross margin, operating margin, net income (loss) per diluted share, and free cash flow. Forward-looking statements by their nature address matters that are, to different degrees, uncertain, such as statements about the potential impacts of the COVID-19 pandemic on our business operations, financial results and financial position and the Brazilian economy.

    The Company undertakes no obligation to update any forward-looking statements made in this press release to reflect events or circumstances after the date of this press release or to reflect new information or the occurrence of unanticipated events, except as required by law. The achievement or success of the matters covered by such forward-looking statements involves known and unknown risks, uncertainties and assumptions. If any such risks or uncertainties materialize or if any of the assumptions prove incorrect, our results could differ materially from the results expressed or implied by the forward-looking statements we make. Readers should not rely upon forward-looking statements as predictions of future events. Forward-looking statements represent management's beliefs and assumptions only as of the date such statements are made. Further information on these and other factors that could affect the Company's financial results are included in the filings made with the United States Securities and Exchange Commission (SEC) from time to time, including the section titled "Risk Factors" in the most recent Rule 434(b) prospectus. These documents are available on the SEC Filings section of the investor relations section of our website at: https://ir.afya.com.br/.

    8. Non-GAAP Financial Measures

    To supplement the Company's consolidated financial statements, which are prepared and presented in accordance with International Financial Reporting Standards as issued by the International Accounting Standards Board—IASB, Afya presents Adjusted EBITDA, Operating Cash Conversion Ratio, Adjusted Net Income and Adjusted EPS, which are non-GAAP financial measures, for the convenience of investors. A non-GAAP financial measure is generally defined as one that intends to measure financial performance but excludes or includes amounts that would not be equally adjusted in the most comparable GAAP measure.

    Afya calculates Adjusted EBITDA as net income plus/minus net financial result, plus income taxes expense, plus depreciation and amortization, plus interest received on late payments of monthly tuition fees, plus share-based compensation, plus/minus income share associate, plus/minus non-recurring expenses/income. Operating Cash Conversion Ratio is calculated as the Cash flow from Operating Activities plus income taxes paid, minus/plus non-recurring expenses/income divided by Adjusted EBITDA. The calculation of Adjusted Net Income is the Net Income plus amortization of customer relationships and trademark, plus share-based compensation, plus/minus non-recurring expenses/income. The calculation of Adjusted EPS is the Adjusted Net Income minus the non-controlling interests divided by the Weighted average number of outstanding shares.

    The non-GAAP supplemental financial measures are provided with the intend to help investors in assessing the overall performance of Afya's business regarding its core operations, cash generation and profitability. The non-GAAP financial measures described in this prospectus are not substitutes for the IFRS measures. In addition, the calculations of Adjusted EBITDA, Operating Cash Conversion Ratio, Adjusted Net Income and Adjusted EPS are not standardized financial measures and may differ from the calculations used by other companies, including competitors in the education services industry, and therefore, Afya's measures may not be comparable to those of other companies.

    9. Investor Relations Contact

    E-mail: [email protected]

    10. Financial Tables

    Consolidated statements of financial position

    (In thousands of Brazilian reais)
     

     

    March 31, 2024

    December 31, 2023

    (unaudited)

    Assets

     

     

     

    Current assets

     

    Cash and cash equivalents

    611,077

    553,030

    Trade receivables

    536,175

    546,438

    Inventories

    653

    1,382

    Recoverable taxes

    50,665

    43,751

    Other assets

    61,715

     

    58,905

    Total current assets

    1,260,285

     

    1,203,506

     

    Non-current assets

     

    Trade receivables

    40,918

     

    39,485

    Other assets

    113,807

    117,346

    Investment in associate

    52,106

    51,834

    Property and equipment

    610,628

    608,685

    Right-of-use assets

    788,657

    767,609

    Intangible assets

    4,824,422

    4,796,016

    Total non-current assets

    6,430,538

    6,380,975

     

    Total assets

    7,690,823

    7,584,481

     

    Liabilities

     

    Current liabilities

     

    Trade payables

    122,694

    108,222

    Loans and financing

    161,675

    179,252

    Lease liabilities

    40,030

    36,898

    Accounts payable to selling shareholders

    244,865

    353,998

    Advances from customers

    156,580

    153,485

    Labor and social obligations

    215,822

    192,294

    Taxes payable

    28,746

    27,765

    Income taxes payable

    9,248

    3,880

    Other liabilities

    2,258

    2,773

    Total current liabilities

    981,918

    1,058,567

     

    Non-current liabilities

     

    Loans and financing

    1,621,419

    1,621,523

    Lease liabilities

    862,512

    837,671

    Accounts payable to selling shareholders

    160,545

    212,869

    Taxes payable

    86,959

    88,198

    Provision for legal proceedings

    102,510

    104,361

    Other liabilities

    17,905

    18,280

    Total non-current liabilities

    2,851,850

    2,882,902

    Total liabilities

    3,833,768

    3,941,469

     

    Equity

     

    Share capital

    17

    17

    Additional paid-in capital

    2,364,361

    2,365,200

    Treasury shares

    (297,485)

     

    (299,150)

    Share-based compensation reserve

    163,703

    155,073

    Retained earnings

    1,583,758

    1,380,365

    Equity attributable to equity holders of the parent

    3,814,354

    3,601,505

    Non-controlling interests

    42,701

    41,507

    Total equity

    3,857,055

    3,643,012

     

    Total liabilities and equity

    7,690,823

    7,584,481

     
     
     

    Consolidated statements of income and comprehensive income

    (In thousands of Brazilian reais, except for earnings per share information)
     

     

     

    March 31, 2024

    March 31, 2023

     

    (unaudited)

    (unaudited)

     

     

     

    Revenue

    804,239

    709,961

    Cost of services

    (269,504)

    (247,607)

    Gross profit

    534,735

    462,354

     

     

     

    Selling, general and administrative expenses

    (241,164)

    (233,220)

    Other income (expenses), net

    (4,213)

    405

     

     

     

    Operating income

    289,358

    229,539

     

     

     

    Finance income

    25,530

    27,688

    Finance expenses

    (99,896)

    (124,240)

    Net finance result

    (74,366)

    (96,552)

     

     

     

    Share of income of associate

    4,172

    3,845

     

     

     

    Income before income taxes

    219,164

    136,832

     

     

     

    Income taxes expenses

    (10,865)

    (19,060)

     

     

     

    Net income

    208,299

    117,772

     

     

     

    Other comprehensive income

    -

    -

    Total comprehensive income

    208,299

    117,772

     

     

     

    Income attributable to:

     

     

    Equity holders of the parent

    203,393

    112,124

    Non-controlling interests

    4,906

    5,648

     

    208,299

    117,772

    Basic earnings per share

     

     

    Per common share

    2.26

    1.25

    Diluted earnings per share

    Per common share

    2.22

    1.24

     
     
     

    Consolidated statements of cash flows

    (In thousands of Brazilian reais)
     

     

     

    March 31, 2024

    March 31, 2023

     

    (unaudited)

    (unaudited)

    Operating activities

     

     

    Income before income taxes

    219,164

    136,832

    Adjustments to reconcile income before income taxes

     

     

    Depreciation and amortization

    79,269

    65,971

    Write-off of property and equipment

    19

    88

    Write-off of intangible assets

    -

    246

    Allowance for expected credit losses

    15,264

    17,694

    Share-based compensation

    8,630

    6,495

    Net foreign exchange differences

    (190)

    161

    Accrued interest

    51,745

    77,530

    Accrued interest on lease liabilities

    26,744

    25,524

    Share of income of associate

    (4,172)

    (3,845)

    Provision (reversal) for legal proceedings

    (1,851)

    3,154

     

     

     

    Changes in assets and liabilities

     

     

    Trade receivables

    (6,434)

    (10,232)

    Inventories

    729

    2,404

    Recoverable taxes

    (6,914)

    (8,460)

    Other assets

    729

    6,005

    Trade payables

    14,472

    (11,507)

    Taxes payable

    5,439

    8,480

    Advances from customers

    3,095

    147

    Labor and social obligations

    23,528

    28,158

    Other liabilities

    (212)

    4,528

     

    429,054

    349,373

    Income taxes paid

    (11,194)

    (17,819)

    Net cash flows from operating activities

    417,860

    331,554

     

     

     

    Investing activities

     

     

    Acquisition of property and equipment

    (22,955)

    (27,299)

    Acquisition of intangibles assets

    (69,946)

    (19,130)

    Dividends received

    3,900

    3,600

    Acquisition of subsidiaries, net of cash acquired

    (147,262)

    (600,270)

    Payments of interest from acquisition of subsidiaries and intangibles

    (24,735)

    (7,876)

    Net cash flows used in investing activities

    (260,998)

    (650,975)

     

     

     

    Financing activities

     

     

    Payments of principal of loans and financing

    (10,762)

    (459)

    Payments of interest of loans and financing

    (48,806)

    (15,286)

    Proceeds from loans and financing

    -

    3,663

    Payments of principal of lease liabilities

    (9,648)

    (7,976)

    Payments of interest of lease liabilities

    (26,903)

    (24,621)

    Proceeds from exercise of stock options

    826

    -

    Dividends paid to non-controlling shareholders

    (3,712)

    (6,130)

    Net cash flows generated (used) in financing activities

    (99,005)

    (50,809)

    Net foreign exchange differences

    190

    (161)

    Net increase (decrease) in cash and cash equivalents

    58,047

    (370,391)

    Cash and cash equivalents at the beginning of the period

    553,030

    1,093,082

    Cash and cash equivalents at the end of the period

    611,077

    722,691

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20240509167398/en/

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    • Afya Limited Announces First Dividend Distribution of R$129.8 Million

      Afya Limited (NASDAQ:AFYA, B3: A2FY34)) ("Afya" or the "Company"), Brazil's leading medical education group and provider of medical practice solutions, announced that its board of directors (the "Board") approved its first distribution of a cash dividend. On March 12, 2025, Afya's Board declared a cash dividend of R$129.8 million, representing 20% of the Company's consolidated net income of R$648.9 million for the year ended December 31, 2024. This amounts to a dividend per share (DPS) of R$1.348923, payable in U.S. dollars on April 4, 2025, to shareholders of record as of the close of business on March 26, 2025. The payment will be made at the exchange rate (PTAX) published on March 13, 2

      3/13/25 4:57:00 PM ET
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