迪安诊断：业绩点评：前三季度业绩承压，经营现金流明显好转

Investment Rating - The report maintains a "Buy" rating for the company, indicating a positive outlook for future performance [5]. Core Views - The company has faced significant pressure on its performance in the first three quarters of 2024, with a revenue decline of 10.05% year-on-year and a net profit drop of 75.35% [2][5]. - Despite the challenges, the company is expanding its precision centers and accelerating international exploration, which may provide a second growth curve [5][4]. - The improvement in operating cash flow is notable, with a shift from negative to positive cash flow in the reporting period [3]. Summary by Sections Financial Performance - In the first three quarters of 2024, the company reported revenue of 9.258 billion yuan, a decrease of 10.05% year-on-year, and a net profit of 131 million yuan, down 75.35% [2]. - The gross margin for the first three quarters was 28.05%, a decline of 4.76 percentage points compared to the previous year, while the net margin was 3.27%, down 4.42 percentage points [3]. Cost Management - The sales expense ratio increased to 9.47%, up 0.85 percentage points year-on-year, while the management expense ratio decreased to 5.91%, down 0.41 percentage points [3]. - The company has focused on improving cash flow management, resulting in operating cash flow of 54 million yuan at the end of the reporting period [3]. Strategic Initiatives - The company has added 4 new precision centers in Q3 2024, bringing the total to 84, with 52 centers already profitable [4]. - The international expansion includes the opening of a laboratory in Vietnam, which is expected to contribute to overseas growth [4]. Future Projections - Revenue projections for 2024-2026 are estimated at 12.683 billion yuan, 13.717 billion yuan, and 14.735 billion yuan, respectively [5]. - The adjusted net profit forecasts for the same period are 261 million yuan, 501 million yuan, and 682 million yuan, reflecting a downward revision due to declining gross margins [5].