Skip to main content

AI assistant

Sign in to chat with this filing

The assistant answers questions, extracts KPIs, and summarises risk factors directly from the filing text.

Ambea Interim / Quarterly Report 2019

Nov 8, 2019

2999_iss_2019-11-08_bab864a6-6ea2-4ed7-b125-a6baf357d0d7.pdf

Interim / Quarterly Report

Open in viewer

Opens in your device viewer

Continued earnings growth and improvements in Norway

Third quarter July-September

  • Net sales rose 84 per cent to SEK 2,843 million (1,541). Acquired growth was 83 per cent and organic growth was 1.5 per cent
  • Operating profit (EBIT) rose 47 per cent to SEK 270 million (184)
  • EBITA increased 45 per cent to SEK 297 million (205), corresponding to a margin of 10.4 per cent (13.3)
  • Adjusted EBITA, excluding items affecting comparability, increased 52 per cent to SEK 312 million (205). The adjusted EBITA margin was 11.0 per cent (13.3)
  • During the quarter, items affecting comparability amounted to SEK -15 million (0), attributable to integration and synergyrealisation costs in connection with the acquisition of Aleris Omsorg
  • Profit for the period totalled SEK 157 million (128)
  • Earnings per share were SEK 1.66 (1.71) before and SEK 1.66 (1.71) after dilution
  • Operating cash flow was SEK 318 million (79)
  • Free cash flow totalled SEK 190 million (54)

First nine months January-September

• Net sales rose 82 per cent to SEK 8,237 million (4,526). Acquired growth was 81 per cent and organic growth was 1 per cent

  • Operating profit (EBIT) rose 14 per cent to SEK 415 million (365)
  • EBITA increased 19 per cent to SEK 505 million (423), corresponding to a margin of 6.1 per cent (9.3)
  • Adjusted EBITA, excluding items affecting comparability, increased 49 per cent to SEK 634 million (427). The adjusted EBITA margin was 7.7 per cent (9.4)
  • Items affecting comparability amounted to SEK -129 million (-4), attributable to integration and synergy-realisation costs in connection with the acquisition of Aleris Omsorg, and to the restructure of overlapping capacity in Nytida
  • Profit for the period totalled SEK 179 million (263)
  • Earnings per share were SEK 2.16 (3.51) before and SEK 2.16 (3.51) after dilution
  • Operating cash flow was SEK 869 million (447)
  • Free cash flow totalled SEK 401 million (357)

Significant events

During the quarter, the company announced that Daniel Warnholtz, CFO and Deputy CEO, had decided to leave Ambea. Ingvild Kristiansen was appointed Business Area Manager of Stendi during the quarter, and is therefore a member of Group management. After the end of the quarter, Ambea announced that Group management had been expanded. As of 25 October, Group management consists of 12 people, of whom seven are women and five men.

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep
∆2
%
2018/2019
Rolling
12 months3
2018
Jan-Dec

%
Net sales 2,843 2,843 1,541 84 8,237 4,526 82 9,787 6,076 61
EBITA 297 270 205 45 505 423 19 590 508 16
Operating margin, EBITA (%) 10.4 9.5 13.3 6.1 9.3 6.0 8.4
Adjusted EBITA 312 285 205 52 634 427 49 754 547 38
Operating margin, adjusted EBITA (%) 11.0 10.0 13.3 7.7 9.4 7.7 9.0
Operating profit, EBIT 270 243 184 47 415 365 14 479 429 12
Operating margin, EBIT (%) 9.5 8.5 11.9 5.0 8.1 4.9 7.1
Profit/loss after tax 157 172 128 23 179 263 -32 211 295 -28
Earnings/loss per share before dilution,
SEK
1.66 1.82 1.71 -3 2.16 3.51 -38 2.62 3.95 -34
Earnings/loss per share after dilution,
SEK
1.66 1.82 1.71 -3 2.16 3.51 -39 2.61 3.94 -34
Operating cash flow 318 118 79 303 869 447 94 1,070 648 65
Free cash flow 190 39 54 252 401 357 12 550 506 9

Consolidated key figures

For definitions of key figures, see Note 9

1 Alternative performance measures.

2 Related to the change between July-September 2018 and July-September 2019 with account for IFRS 16.

Comments from Fredrik Gren, President and CEO

Continued earnings growth and improvements in Norway

In the third quarter, Ambea continued to deliver sales growth and improved earnings year-on-year. The transition in Norway proceeded as planned and Stendi's earnings improved compared with the preceding quarters of this year. The integration of Aleris Omsorg is now complete and we can focus on efficiency improvements.

In the third quarter, net sales amounted to SEK 2,843 million (1,541). Own Management accounted for 73 per cent (69) of net sales. Adjusted EBITA rose 52 per cent year-on-year to SEK 312 million (205). Excluding the effect of IFRS 16, adjusted EBITA rose 39 per cent to SEK 285 million.

During the quarter, net sales rose SEK 1,302 million, corresponding to 84 per cent, mainly attributable to the acquisition of Aleris Omsorg. Organic net sales increased by 1.5 per cent. In Own Management, net sales rose from SEK 1,065 million to SEK 2,080 million, positively impacted by the acquisition of Aleris and new unit start-ups.

Adjusted EBITA rose 52 per cent to SEK 312 million, mainly attributable to high rates of occupancy in existing units, a changed contract mix and acquisitions with synergy realisations. IFRS 16 had a positive impact of SEK 27 million on earnings. We are excited about the high number of new start-ups in Vardaga and can see some negative effects on the earnings, but this was partly offset by a positive impact from existing units with continued high rates of occupancy and cost efficiency. In the coming quarters, we are expecting continued pressure on profitability due to several new start-ups of Vardaga units. Nytida reported higher profitability due to a stable LSS trend, improved occupancy in children and youth and continued effects from a previously implemented programme to optimise overlapping capacity. During the quarter, Altiden was negatively impacted by a provision for onerous contracts in home care. Klara's profitability increased due to a positive trend in subscription services for nursing staff.

We noted further results from the restructuring programme in Stendi during the quarter. Excluding the quarter's holiday effects of SEK 40-45 million, our Norwegian business area showed a positive underlying profit trend compared with the preceding quarters of this year. However, the transition process will need to continue in coming quarters to ensure quality and economic stability based on Ambea's management model. Margin growth will be the highest priority, with a focus on Own Management operations and the gradual closure of Contract Management operations in elderly care with low profitability.

The integration of Aleris Omsorg was completed during the quarter and we can now focus on closing the margin gap in comparable units with existing Ambea units due to the combined experience and knowledge in our operational management model. We achieved the SEK 90 million in annual synergies that were communicated when the acquisition was announced, but expect that additional costs of approximately

SEK 10 million will be charged to the fourth quarter before the integration programme is fully implemented, bringing the total cost to SEK 110 million.

During the quarter, Vardaga, opened two nursing homes with a total of 120 beds, and Nytida opened one group home with six beds. At the end of the quarter, the number of beds and placements in the pipeline was 2,252, corresponding to 27 per cent of the total number of beds and placements under own management.

During the quarter, we secured management contracts corresponding to annual sales of SEK 73 million, but lost contracts corresponding to SEK 127 million.

Our quality management was recognised in the third quarter when Vardaga received Hagdahlsakademiens Äldrematpris 2020 (the Hagdahl Academy's Senior Food Prize 2020) for the best food for senior citizens in Östergötland. Our diversity and equality management was also recognised when the Allbright Foundation ranked Ambea as one of Nasdaq Stockholm's top seven gender-equality companies, which is best in our industry. In the recently published Care Receiver Survey from the Swedish National Board of Health and Welfare, it was gratifying to see how the positive results for Vardaga's operations had also continued this year.

As we now close the third quarter, we can conclude that Ambea's units continued to show a positive trend and that our integration of Aleris Omsorg was completed ahead of schedule. Going forward, our focus will be on efficiency improvements.

Fredrik Gren

Group

Third quarter

Net sales

Net sales rose 84 per cent to SEK 2,843 million (1,541). Organic sales growth was 1.5 per cent year-on-year.

Net sales in Own Management amounted to SEK 2,080 million (1,065), up 95 per cent compared with the year-earlier period, due to the acquisition of Aleris Omsorg and to start-up units.

Net sales in Contract Management amounted to SEK 695 million (399). The year-onyear sales growth was due to the acquisition of Aleris Omsorg, but was offset by contracts terminated in 2018. Excluding the acquisition, sales in Contract Management declined SEK 4 million compared with the year-earlier period.

Net sales in Staffing declined 12 per cent to SEK 68 million (77).

Earnings

EBIT rose 47 per cent to SEK 270 million (184), representing a margin of 9.5 per cent (11.9).

EBITA rose 45 per cent to SEK 297 million (205). The EBITA margin was 10.4 per cent (13.3). EBITA for the quarter was impacted by items affecting comparability of SEK -15 million (0), attributable to integration and synergy-realisation costs for the acquisition of Aleris Omsorg.

Adjusted EBITA for the quarter rose 52 per cent to SEK 312 million (205). Completed acquisitions, synergy realisations from acquisitions and start-up units had a positive impact on earnings. New-starts had a negative impact on earnings. The adjusted EBITA margin was 11.0 per cent (13.3). Excluding the effect of IFRS 16, the adjusted EBITA margin was 10.0 per cent (13.3). IFRS 16 had a positive impact of SEK 27 million on EBITA for the quarter.

Net financial items

During the quarter, net financial items amounted to SEK -69 million (-16). The change was due to an amount of SEK 46 million from the effects of IFRS 16 and increased interest expense associated with financing the acquisition of Aleris Omsorg.

Income tax

Tax expense for the period was SEK 44 million (40), corresponding to an effective tax rate of 22 per cent (24).

Profit for the period

Profit for the period was SEK 157 million (128), corresponding to earnings per share of SEK 1.66 (1.71) before dilution and SEK 1.66 (1.71) after dilution.

Net sales by segment July-September 2019

Net sales by contract model July-September 2019

Distribution of net sales

Net sales by segment 2019
Jul-Sep
2018
Jul-Sep
Vardaga 32% 36%
Nytida 33% 50%
Stendi 29% 9%
Altiden 4%
Klara 2% 5%
Total 100% 100%
Net sales by contract model 2019
Jul-Sep
2018
Jul-Sep
Own Management 73% 68%
Contract Management 24% 27%
Staffing 3% 5%
Total 100% 100%

Distribution of net sales

Own Management Contract Management Staffing Total
SEK million 2019
Jul-Sep
2018
Jul-Sep
% 2019
Jul-Sep
2018
Jul-Sep
% 2019
Jul-Sep
2018
Jul-Sep
% 2019
Jul-Sep
2018
Jul-Sep
%
Vardaga 533 282 89 371 275 35 904 557 62
Nytida 809 641 25 123 124 -1 932 765 22
Stendi 725 142 409 87 812 142 473
Altiden 13 114 127
Klara 68 77 -12 68 77 -12
Group 2,080 1,065 95 695 399 74 68 77 -12 2,843 1,541 84

Own Management – total in operation, including acquisitions

OB Change CB
SEK million Units Beds/
Placements
Units Beds/
Placements
Units Beds/
Placements
Vardaga – beds 44 2,313 2 120 46 2,433
Vardaga – home-care customers 2,312 -42 2,270
Nytida – beds 222 2,444 -2 -531 220 2,391
Nytida – placements 91 2,726 91 2,726
Stendi – beds 434 923 -13 -18 421 905
Stendi – home-care customers 19 19
Altiden – beds 3 35 3 35
Altiden – home-care customers 1,969 77 2,046
Total beds and placements 794 8,441 -13 49 781 8,490
Total home-care customers 4,300 35 4,335

Own Management – pipeline

Quarterly change
SEK million OB Opened during
the quarter
New during the
quarter2
CB
Vardaga 1,910 120 144 1,934
Nytida – beds 180 6 27 201
Nytida – placements 40 40
Stendi
Altiden 77 77
Total 2,167 126 211 2,252

Contract Management – pipeline

Allocation decisions during the quarter3
SEK million Units Beds Annual revenue ed during the quarter
Annual revenue4
Won 15 95 73 61
Renewed confidence 6 57 29 16
Lost 7 233 127 63
Handed back to municipal management 2 139 66 29

1 The change in the number of units and beds includes the closure of two operations as part of the previously announced programme to optimise overlapping capacity.

2 New refers to the total sum of signed contracts and units under construction. For more information about expected opening dates, refer to Own Management – pipeline under ambea.com/investor-relations/

3 Allocation decisions during the quarter mean that Ambea received decisions during the quarter about contracts that are to be handed back or started up. The period of time between allocation and handback/start-up ranges from a couple of months to one year. About 9-12 months for Vardaga, and 6-9 months for Nytida.

4 Shows the contracts started up or handed back during the quarter and their annual revenue.

Group

January-September

Net sales

Net sales rose 82 per cent to SEK 8,237 million (4,526). Organic sales growth was 1 per cent year-on-year.

Net sales in Own Management amounted to SEK 5,979 million (3,085), up 94 per cent compared with the year-earlier period, mainly due to the acquisition of Aleris Omsorg and to start-up units.

Net sales in Contract Management amounted to SEK 2,035 million (1,203), an increase of 69 per cent. The year-on-year sales growth was due to the acquisition of Aleris Omsorg, but was offset by contracts terminated in 2018.

Net sales in Staffing declined 6 per cent to SEK 223 million (238).

Earnings

Operating profit (EBIT) rose 14 per cent to SEK 415 million (365), representing a margin of 5.0 per cent (8.1).

EBITA rose 19 per cent to SEK 505 million (423). The EBITA margin was 6.1 per cent (9.3). EBITA for the period was impacted by items affecting comparability of SEK -129 million (-4), attributable to integration and synergy-realisation costs for the acquisition of Aleris Omsorg and to the restructure of overlapping capacity in Nytida.

Adjusted EBITA for the period rose 48 per cent to SEK 634 million (427). Completed acquisitions and start-up units had a positive impact on earnings. Units acquired from Aleris Omsorg and new-starts had a negative impact on earnings. The adjusted EBITA margin was 7.7 per cent (9.4). Excluding the effect of IFRS 16, the adjusted EBITA margin was 6.9 per cent. IFRS 16 had a positive impact of SEK 69 million on EBITA for the period.

Net financial items

Net financial items amounted to SEK -186 million (-28) for the period. The change was due to an amount of SEK 119 million from the effects of IFRS 16 and increased interest expense associated with financing the acquisition of Aleris Omsorg.

Income tax

Tax expense for the period was SEK 50 million (74), corresponding to a tax rate of 22 per cent (22).

Profit for the period

Profit for the period was SEK 179 million (263), corresponding to earnings per share of SEK 2.16 (3.51) before dilution and SEK 2.16 (3.51) after dilution.

Net sales by segment January-September 2019

Net sales by contract model January-September 2019

Distribution of net sales

Net sales by segment 2019
Jan-Sep
2018
Jan-Sep
Vardaga 31% 3%
Nytida 33% 49%
Stendi 29% 9%
Altiden 4%
Klara 3% 5%
Total 100% 100%
Net sales by contract model 2019
Jan-Sep
2018
Jan-Sep
Own Management 72% 68%
Contract Management 25% 27%
Staffing 3% 5%
Total 100% 100%

Distribution of net sales

Own Management Contract Management Staffing Total
SEK million 2019
Jan-Sep
2018
Jan-Sep
% 2019
Jan-Sep
2018
Jan-Sep
% 2019
Jan-Sep
2018
Jan-Sep
% 2019
Jan-Sep
2018
Jan-Sep
%
Vardaga 1,506 832 81 1,073 832 29 2,578 1,664 55
Nytida 2,388 1,858 29 358 371 -4 2,747 2,229 23
Stendi 2,046 395 418 290 2,336 395 491
Altiden 39 314 353
Klara 223 238 -6 223 238 -6
Group 5,979 3,085 94 2,035 1,203 69 223 238 -6 8,237 4,526 82

Cash flow

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
Cash flow from operating activities before changes in working
capital
416 191 746 388 780 465
Cash flow from changes in working capital -200 -137 -258 -15 -127 74
From operating activities 216 54 488 373 653 538
Cash flow from investing activities (excluding acquisitions/divest
ments and investments in financial assets)
-25 0 -86 -16 -103 -32
Free cash flow 190 54 401 357 550 506

Free cash flow for the quarter amounted to SEK 190 million (54). The increased free cash flow compared with the year-earlier period was largely due to the effects of IFRS 16. During the period, the higher proportion of Own Management operations had a negative impact on tied-up working capital, entailing an increase in prepaid rents. In addition, acquired operations from Aleris Care in home care services affected working capital negatively during the period.

The adoption of IFRS 16 had a positive impact of SEK 154 million on cash flow from operating activities year-on-year. For the January-September period, the effect of IFRS 16 amounted to SEK 410 million year-on-year.

Financial position

SEK million 30 Sep
2019
30 Sep
20192
excl. IFRS 16
30 Sep
2018
31 Dec
2018
Net interest-bearing debt 8,387 3,543 2,153 1,993
Equity/assets ratio (%) 28.0 42.7 45.8 46.7
Net debt/Rolling 12 months adjusted EBITDA 6.4 4.6 3.7 3.3

For definitions of key figures, see Note 9

At 30 September 2019, net debt amounted to SEK 8,387 million (2,153), or 6.4 times 12-months adjusted EBITDA. The increase in net debt was attributable to higher borrowing within existing credit frameworks due to the acquisition of Aleris's care operations and to a lease liability recognised in accordance with IFRS 16.

At the balance-sheet date, equity amounted to SEK 4,000 million, compared with SEK 2,707 million at 31 December 2018. The adoption of IFRS 16 had a positive impact of SEK 39 million on equity.

1 Includes nine months according to IFRS 16, and three months according to previous accounting policies. 2 Alternative performance measures.

Vardaga

At Vardaga's just over 100 residential care facilities across Sweden, we provide elderly care where every day is as meaningful as the next. Every one of our nursing homes, short-term accommodation units, home care and day services offers a high level of expertise and a safe environment. Our employees ensure quality of life and safety for every care receiver.

Quarter

Vardaga's net sales rose 62 per cent year-on-year to SEK 904 million (557).

Net sales in Own Management amounted to SEK 533 million (282), up 89 per cent due to the acquisition of Aleris Omsorg and to newly opened units.

Net sales in Contract Management amounted to SEK 371 million (275). The 35 per cent increase was due to a positive impact from the acquisition of Aleris Omsorg, reduced by lost contracts in existing operations. During the quarter, Vardaga lost contract allotments with annual revenue of SEK 123 million and municipalities announced that contracts corresponding to annual revenue of SEK 66 million would be retaken, with effect in 2020. During the quarter, new contracts corresponding to annual revenue of SEK 50 million were started, while contracts corresponding to annual revenue of SEK 70 million were handed back to the municipality.

EBITA rose 44 per cent to SEK 82 million (57). The acquisition of Aleris Omsorg and high rates of occupancy in units already started-up under Own Management had a positive impact on EBITA, while costs for new start-ups were charged to earnings.

The EBITA margin was 9.1 per cent (10.2). Excluding the effect of IFRS 16, the margin declined 3.1 percentage points to 7.1 per cent. The margin decline was attributable to a higher number of start-ups under Own Management and to the acquisition of Aleris Omsorg. The EBITA margin for comparable units rose 2.7 percentage points excluding the effect of IFRS 16, mainly attributable to a growing proportion of Own Management operations and high rates of occupancy.

After the end of the quarter, one home care contract in Norrköping was divested as part of the strategic review of the home care operations.

January-September period

Vardaga's net sales rose 55 per cent year-on-year to SEK 2,578 million (1,664).

Net sales in Own Management amounted to SEK 1506 million (832), up 81 per cent due to the acquisition of Aleris Omsorg and to newly opened units.

Net sales in Contract Management amounted to SEK 1,073 million (832). The 29 per cent increase was due to a positive impact from the acquisition of Aleris Omsorg, reduced by lost contracts in existing operations.

EBITA rose 34 per cent to SEK 168 million (125). The acquisition of Aleris Omsorg and higher rates of occupancy in newly opened units under start-up made a positive contribution, while ongoing start-ups of new operations had a negative impact.

The EBITA margin was 6.5 per cent (7.5). The reduced margin was mainly attributable to the acquisition of Aleris Omsorg combined with new unit start-ups. Excluding the effect of IFRS 16, the EBITA margin was 4.9 per cent.

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep

%
2018/2019
Rolling
12 months3
2018
Full-year

%
Net sales 904 904 557 62 2,578 1,664 55 3,138 2,224 41
EBITA 82 64 57 44 168 125 34 202 159 27
Operating margin, EBITA (%) 9.1 7.1 10.2 6.5 7.5 6.4 7.1
Operating margin EBITA
comparable units (%)
15.5 13.5 10.8 12.0 8.1 10.6 7.6

1 Alternative performance measures.

2 Related to the change between July-September 2018 and July-September2019 with account for IFRS 16.

3 Includes nine months according to IFRS 16, and three months according to previous accounting policies.

Vardaga's operating margin (EBITA) RTM3 %

Own Management – total in operation

OB Quarterly change CB
Units Beds Units Beds Units Beds
Beds 44 2,313 2 120 46 2,433
Home-care customers 2,312 -42 2,270

Own Management – pipeline

Quarterly change
OB Opened
during the
quarter
New during the
quarter1
CB
Beds 1,910 120 144 1,934

Contract Management – pipeline

Allocation decisions during the quarter2 Started-up/terminated
during the quarter
3
Units Beds Annual revenue Annual revenue
Won
50
Renewed confidence 1 23 11 16
Lost 6 228 123 54
Handed back to municipal management 2 139 66 16

1 New refers to the total sum of signed contracts and units under construction. For more information about expected opening dates, refer to Own Management – pipeline under ambea.com/investor-relations/

2 Allocation decisions during the quarter mean that Ambea has received decisions during the quarter about contracts that are to be handed back or started up. The period of time between allocation and handback/start-up varies, but generally amounts to about 9-12 months for Vardaga.

3 Shows the contracts started up or handed back during the quarter and their annual revenue.

Nytida

Nytida provides support and care for children, young people and adults with lifelong disabilities and psychosocial problems. We provide residential care, day services, support for individuals and families, and schools in approximately 400 units across Sweden. Using proven models and in-depth knowledge, our 8,500 employees help to strengthen the ability of individuals to live an independent life.

Quarter

Net sales rose 22 per cent to SEK 932 million (765).

Net sales in Own Management amounted to SEK 809 million (641), up 25 per cent. This growth was attributable to the acquisition of Aleris Omsorg and to start-up units.

Net sales in Contract Management amounted to SEK 123 million (124). The decline in sales was due to contracts terminated in 2018. During the quarter, Nytida secured new contracts corresponding to an annual volume of SEK 73 million, while contracts corresponding to annual revenue of SEK 4 million were lost. During the quarter, contracts corresponding to annual sales of SEK 9 million were terminated, while the effect of newly secured start-up contracts amounted to annual revenue of SEK 11 million. Nytida continued to win quality-based tenders during the quarter.

EBITA rose 36 per cent to SEK 174 million (128). The acquisition of Aleris Omsorg and high rates of occupancy in established units under own management made a positive contribution to earnings. The trend in social care for children & youth had a positive impact on the quarter year-on-year.

In the third quarter, the implementation of activities linked to the previously announced programme to optimise overlapping capacity continued. The positive earnings effect of the action programme was strengthened, compared with the second quarter.

The EBITA margin was 18.6 per cent (16.7). Excluding the effect of IFRS 16, the EBITA margin rose 1.2 percentage points to 17.9 per cent.

Pusselbiten school, a special educational needs school in Skåne, was acquired at the beginning of the quarter. For more information, see Note 5. After the end of the quarter, a residential treatment centre for alcohol and drug addiction was divested.

January-September period

Net sales rose 23 per cent to SEK 2,747 million (2,229).

Net sales in Own Management amounted to SEK 2,388 million (1,858), up 29 per cent. This growth was attributable to the acquisition of Aleris Omsorg and to start-up units.

Net sales in Contract Management amounted to SEK 358 million (371), a decline of 4 per cent due to previously terminated contracts.

EBITA rose 38 per cent to SEK 392 million (284). The acquisition of Aleris Omsorg made a positive contribution. An action programme to reduce overlapping operations due to the acquisition of Aleris commenced in the first quarter. The annual effect of the action programme is an estimated SEK 24 million. The earnings effect is expected to be gradual, starting in the second quarter and reaching full effect in 2020.

The EBITA margin was 14.3 per cent (12.7).

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep

%
2018/2019
Rolling
12 months3
2018
Full-year

%
Net sales 932 932 765 22 2,747 2,229 23 3,499 2,982 17
EBITA 174 167 128 36 392 284 38 477 369 29
Operating margin, EBITA (%) 18.6 17.9 16.7 14.3 12.7 13.6 12.3

1 Alternative performance measures.2 Related to the change between July-September 2018 and July-September 2019

with account for IFRS 16. 3 Includes nine months according to IFRS 16, and three months according to previous accounting policies.

Nytida's operating margin (EBITA) RTM3 %

Own Management – total in operation

Units OB
Beds/
Placements
Units Quarterly change1
Beds/
Placements
Units CB
Beds/
Placements
Beds 222 2,444 -2 -53 220 2,391
Placements 91 2,726 91 2,726

Own Management – pipeline

Quarterly change
OB Opened
during the
quarter
New during the
quarter2
CB
Beds 180 6 27 201
Placements 40 40

Contract Management – pipeline

Allocation decisions during the quarter3 Started-up/terminated
during the quarter
Units Beds Annual revenue Annual revenue
4
Won 15 95 73 11
Renewed confidence 5 34 18
Lost 1 5 4 9
Handed back to municipal management

1 The change in the number of units and beds in Nytida includes the closure of two operations as part of the previously announced programme to optimise overlapping capacity.

2 New refers to the total sum of signed contracts and units under construction. For more information about expected opening dates, refer to Own Management – pipeline under ambea.com/investor-relations/

3 Allocation decisions during the quarter mean that Ambea received decisions during the quarter about contracts that are to be handed back or started up. The period of time between allocation and handback/start-up varies, but generally amounts to about 6-9 months for Nytida.

4 Shows the contracts started up or handed back during the quarter and their annual revenue.

Stendi

Stendi is the largest care provider in Norway and runs nationwide operations in support and residential care for adults, children and young people. Stendi also provides personal assistance, elderly care and home care. Stendi has about 5,000 employees and more than 400 units across Norway.

Quarter

Net sales rose 473 per cent to SEK 812 million (142). The increase was largely due to the acquisition of Aleris Omsorg. During the quarter, acquired units with low rates of occupancy were closed down in line with previously communicated decisions, which had a negative impact on sales. The Norwegian Directorate for Children, Youth and Family Affairs has announced cost savings and a dialogue has been initiated to understand the consequences. The currency effect on sales in comparable, existing units had a positive impact of SEK 2 million year-on-year.

Net sales in Own Management amounted to SEK 725 million (142), up 411 per cent. This growth was attributable to the acquisition of Aleris Omsorg.

Net sales in Contract Management amounted to SEK 87 million (0), and the entire increase was attributable to the acquisition of Aleris's care operations.

EBITA rose 181 per cent to SEK 59 million (21). The increase was largely due to the acquisition of Aleris Omsorg. Adjusted for holiday effects of SEK 40-45 million, Stendi showed an underlying profit growth trend compared with the preceding quarters of 2019. In the first quarter, a major restructuring programme was launched in Stendi to implement Ambea's operational model. The positive effects of the programme continued in the third quarter and earnings improved sequentially compared with the preceding quarters of this year.

The EBITA margin was 7.3 per cent (14.8).

January-September period

Net sales amounted to SEK 2,336 million (395). The increase was largely due to the acquisition of Aleris Omsorg. The currency effect on sales in comparable, existing units had a positive impact of SEK 5 million year-on-year.

Net sales in Own Management amounted to SEK 2,046 million (395), up 418 per cent. This growth was attributable to the acquisition of Aleris Omsorg.

Net sales in Contract Management amounted to SEK 290 million (0), and the entire increase was attributable to the acquisition of Aleris's care operations. During the period, one contract was terminated.

EBITA was SEK 50 million (29). In the first quarter, a major restructuring programme was launched to address the negative earnings trend that started in the acquired Aleris Omsorg's operations in November 2018. Ambea's management model, with a high proportion of own employees, was introduced to ensure quality and economic stability. During the period, available capacity related to acquired units was closed down, and the costs were charged to the opening balance for Aleris's care operations. For more information, refer to Note 5. The annual effect of the programme is an estimated SEK 8 million with a gradual start in the second quarter.

The EBITA margin was 2.1 per cent (7.3).

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep

%
2018/2019
Rolling
12 months3
2018
Full-year

%
Net sales 812 812 142 473 2,336 395 491 2,490 548 354
EBITA 59 57 21 181 50 29 72 54 33 64
Operating margin, EBITA (%) 7.3 6.6 14.8 2.1 7.3 2.2 6.0

1 Alternative performance measures.

2 Related to the change between July-September 2018 and July-September 2019 with account for IFRS 16.

3 Includes 9 months according to IFRS 16 and three months according to previous accounting policies.

Stendi's operating margin (EBITA) RTM3 %

Own Management – total in operation

Units OB
Beds/
Placements
Units Quarterly change
Beds/
Placements
CB
Units
Beds/
Placements
Beds 434 923 -13 -18 421 905
Home-care customers 19 19

Own Management – pipeline

Quarterly change
OB Opened
during the
quarter
New during the
quarter1
CB
Beds

Contract Management – pipeline

Allocation decisions during the quarter2 Started-up/terminated
during the quarter
Units Beds Annual revenue Annual revenue
3
Won
Renewed confidence
Lost
Handed back to municipal management
13

1 New refers to the total sum of signed contracts and units under construction. For more information about expected opening dates, refer to Own Management – pipeline under ambea.com/investor-relations/

2 Allocation decisions during the quarter mean that Ambea has received decisions during the quarter about contracts

that are to be handed back or started up. The period of time between allocation and handback/start-up varies.

3 Shows the contracts started up or handed back during the quarter and their annual revenue.

Altiden

Altiden is the largest private care provider in Denmark, with operations comprising elderly care, home care, rehabilitation and disability care. All over Denmark, we provide skilled care services based on respect. Approximately 1,000 employees ensure quality of life and a safe environment with a focus on development.

Quarter

Net sales amounted to SEK 127 million (0). All of Altiden's operations comprise units from the acquisition of Aleris Omsorg.

Net sales in Own Management amounted to SEK 13 million (0). During the quarter, the occupancy trend for previously opened residential care services in disability care was positive, compared with the plan.

Net sales in Contract Management amounted to SEK 114 million (0). No new allocation decisions were announced during the quarter. No management contracts were started up or terminated during the quarter.

EBITA was SEK -8 million (0). EBITA was negatively impacted by a onerous contract reserve of SEK 5 million as the counterparty used the extension option in a contract. The contract also contains another one-year extension option.

The EBITA margin was -6.3 per cent (0).

January-September period

Net sales amounted to SEK 353 million (0). All of Altiden's operations comprise units from the acquisition of Aleris Omsorg.

Net sales in Own Management amounted to SEK 39 million (0). During the period, the start-up of opened operations developed better than planned due to an improved occupancy trend.

Net sales in Contract Management amounted to SEK 314 million (0). No new allocation decisions were announced during the period. No management contracts were started up or terminated during the quarter.

EBITA was SEK -12 million (0). EBITA was negatively impacted by higher costs for building up a separate organisation in Altiden and strengthening the organisation for future growth. A onerous contract reserve for a management contract also had a negative impact on earnings.

The EBITA margin was -3.4 per cent (0).

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep

%
2018/2019
Rolling
12 months3
2018
Full-year

%
Net sales 127 127 353 353
EBITA -8 -8 -12 -12
Operating margin, EBITA (%) -6.3 -6.3 -3.4 -3.4

1 Alternative performance measures.

2 Related to the change between July-September 2018 and July-September 2019 with account for IFRS 16.

Own Management – total in operation

Units OB
Beds/
Placements
Units Quarterly change
Beds/
Placements
Units CB
Beds/
Placements
Beds 3
35

3
35
Home-care customers
1,969

77

2,046

Own Management – pipeline

Quarterly change
OB Opened
during the
quarter
New during
thequarter1
CB
Beds 77

77

Contract Management – pipeline

Allocation decisions during the quarter2 Started-up/terminated
during the quarter
Units Beds Annual revenue Annual revenue3
Won
Renewed confidence
Lost
Handed back to municipal management

1 New refers to the total sum of signed contracts and units under construction. For more information about expected opening dates, refer to Own Management – pipeline under ambea.com/investor-relations/

2 Allocation decisions during the quarter mean that Ambea has received decisions during the quarter about contracts

that are to be handed back or started up. The period of time between allocation and handback/start-up varies.

3 Shows the contracts started up or handed back during the quarter and their annual revenue.

Klara

Klara is one of Sweden's leading providers of staffing services for social care. We are an authorised staffing company and are ISO certified. With personal service and long experience in the industry, Klara provides the best staffing solutions for both public and private clients. We mediate thousands of assignments every year and conduct operations throughout Sweden.

Quarter

Net sales declined 12 per cent to SEK 68 million (77). Two thirds of sales comprise revenue from customers in the public sector. The decrease was attributable to a negative trend in temporary staffing services and to the private customer segment. The decline was partly offset by increased sales in Klara Team, which offers qualified on-call services on a subscription basis.

EBITA was SEK 7 million (5), representing a margin of 10.3 per cent (6.5). The performance of Klara Team and effects of the completed adaptation of administrative costs continued to make a positive contribution.

The third quarter was the first quarter in which the provision of temporary care staff is subject to VAT. The change led to lower demand from private customers and thus lower sales. The impact on earnings is considered marginal.

January-September period

Net sales declined 6 per cent to SEK 223 million (238). Two thirds of sales comprise revenue from customers in the public sector. The decline was the result of a negative trend, primarily in the supply of temporary doctors and nurses. The lower sales were partly offset by increased sales in Klara Team, which offers qualified on-call services on a subscription basis.

EBITA was SEK 18 million (12), representing a margin of 8.1 per cent (5.1). The performance of Klara Team and effects of the completed adaptation of administrative costs made a positive contribution.

In June 2018, the Supreme Administrative Court issued a decision regarding VAT liability for staffing agencies supplying temporary care staff. For Klara, these new guidelines from the Swedish Tax Agency entail that, as of 1 July 2019, the supply of temporary care staff to municipalities, counties and private social care companies are now classified as sales liable to VAT. Some of the administrative cost-savings programme implemented in 2018 specifically addressed the need to adapt the cost mass in the staffing operations.

SEK million 2019
Jul-Sep
2019
Jul-Sep1
excl. IFRS 16
2018
Jul-Sep
∆2
%
2019
Jan-Sep
2018
Jan-Sep

%
2018/2019
Rolling
12 months3
2018
Full-year

%
Net sales 68 68 77 -12 223 238 -6 306 321 -5
EBITA 7 7 5 40 18 12 50 22 16 -13
Operating margin, EBITA (%) 10.3 10.3 6.5 8.1 5.0 7.2 5.0

1 Alternative performance measures.

2 Related to the change between July-September 2018 and July-September 2019 with account for IFRS 16.

Other events

New share issue

Following authorisation at the Annual General Meeting (AGM) on 16 May, Ambea conducted a rights issue of 27,001,440 shares with the aim of repaying part of the financing of the acquisition of Aleris's care operations in Sweden, Norway and Denmark. The rights issue increased the number of shares in Ambea, which amounted to 94,617,996 on the last trading day of the quarter (30 September). Ambea generated proceeds of approximately SEK 1,200 million from the rights issue, and recognised issue expenses of SEK 17 million.

Incentive programmes

The AGM on 16 May 2019 resolved to adopt two new long-term incentive programmes: (i) a warrants programme for Group management and (ii) a matching share plan for certain employees in the Ambea Group. Both programmes correspond essentially to the programmes adopted in 2017 and 2018. For further information about the programmes, see information from the AGM at ambea.com/investor-relations/corporate-governance/shareholders-meeting/annual-general-meeting-2019/

Legal proceeding regarding social security costs for temporary staff in Norway Since the first quarter, through the acquisition of Aleris's care operations, Ambea has been involved in an ongoing legal proceeding in Norway regarding social security costs for temporary staff. Ambea's exposure as a result of this proceeding is limited to NOK 30 million, which has been reserved as a provision on the combined companies' balance sheet. Ambea is working actively to increase the proportion of permanent employees in the Norwegian operations.

In the third quarter, the District Court pronounced its decision. Of the 24 parties involved in the legal proceeding, two were considered entitled to social security costs for previously delivered services. Both the defendant and Ambea have appealed the judgement to the Court of Appeal.

Tax audit in Norway

The Norwegian Tax Administration had previously initiated an audit of Aleris's care operations' reporting of tax for temporary staff. The audit continued during the quarter and Ambea is waiting for feedback on the Tax Administration's assessment.

Tax audit in Sweden

In 2018, Ambea received a reassessment notice from the Swedish Tax Agency regarding VAT of SEK 12 million, including tax surcharges, for prior years in Ambea AB (publ). The reassessment was mainly related to input VAT on costs arising from the IPO in 2017. The company has appealed the Swedish Tax Agency's preliminary decision and is awaiting further assessment in the Administrative Court, which is why no provision has been made for the cost.

Acquisition of Pusselbiten school

On 1 July, Ambea's business area Nytida acquired Pusselbiten School, which provides special-needs education, after-school activities and short-term supervision in Skåne in southern Sweden.

Changes in Group management

During the quarter, Ambea announced that Daniel Warnholtz, CFO and Deputy CEO, had decided to leave Ambea after eight years of service. The process of appointing his successor has begun and Daniel Warnholtz will continue in his role as CFO until a new person has been appointed. During the quarter, Ingvild Kristiansen was appointed Business Area Manager of Stendi and is therefore a member of Group management. Ingvild has served as Stendi's interim business area manager since April.

Related-party transactions

During the quarter, no transactions took place between Ambea and its related parties that had any material impact on the company's position and earnings. The nature and volume of transactions remained unchanged during the period compared with the preceding year.

Events after the end of the quarter

On 25 October, Ambea announced that Group management would be expanded. As of 25 October, Group management has consisted of 12 people, of whom seven are women and five men. The following people have now joined Group management: Anders Westerholm (HR), Erik Sörensson, (Business Development), Malin Appelgren (Growth), Maria Green-Gadelius (Quality & Sustainability) and Nanna Wedar (Communication & Market). The Head of Operational Excellence & IT will also be a member of Group management, but this position is currently vacant.

After the end of the quarter, the company divested one home care contract in Norrköping as part of its strategic review of the home care operations, and one residential treatment centre for alcohol and drug addiction. The divestments are not deemed to have any major impact on the Group's income and earnings.

Seasonal variations

Ambea's operating profit is affected by seasonal variations, weekends and public holidays.

Weekends and public holidays reduce Ambea's profitability due to higher personnel costs for inconvenient working hours. The first or second quarter is affected by Easter, depending on which quarter the Easter holiday falls, while the first and fourth quarter are affected by Christmas and New Year holidays. In the fourth quarter of 2019, the company expects a somewhat greater seasonal effect year-on-year.

The company's personnel costs are similarly affected when employees take out their holidays. For example, the company is most profitable in the third quarter, as employees usually take their holidays during July and August and therefore receive holiday pay that is continuously accrued throughout the year. Costs during the summer months are also generally lower due to a reduced schedule for central activities, such as mandatory training programmes and central initiatives, during this period.

Employees

During the quarter, the average number of full-time employees (FTEs) was 12,830 (7,456), and the increase was mainly due to acquisitions.

Parent Company

The Parent Company's earnings pertain to Group-wide costs. During the quarter, Parent Company net sales amounted to SEK 4 million (8). The quarterly loss totalled SEK -12 million (-6).

The weaker earnings were mainly attributable to increased interest expense due to the acquisition of Aleris's care operations.

Risks and uncertainties

Ambea is exposed to a variety of risks and attaches great importance to continuously analysing, minimising and managing these risks. The risk assessment is also central to the annual strategy process, where specific risks in relation to the company's ability to achieve its financial targets and strategic ambitions are evaluated. Ambea has identified the following risks: brand risks, industry and market risks, compliance and legal risks, operational risks and financial risks. For a description of these risks and how they are managed, refer to pages 45-47 of the 2018 Annual Report.

The Board of Directors' assurance

The Board of Directors and Chief Executive Officer hereby provide their assurance that this interim report provides a true and fair overview of the operations, position and earnings of the Parent Company and the Group, and describes the material risks and uncertainties facing the Parent Company and the companies in the Group.

Stockholm, 7 November 2019

Lena Hofsberger Chair of the Board

Daniel Björklund Anders Borg Lars Gatenbeck
Liselott Kilaas Gunilla Rudebjer Mikael Stöhr
Patricia Briceño
Employee representative
Charalampos Kalpakas
Employee representative
Magnus Sällström
Employee representative

Fredrik Gren President and CEO

Presentation of the third quarter of 2019

Ambea will hold a presentation for the financial market, with the possibility to participate by teleconference, at 10:00 a.m. CET, on Friday, 8 November 2019. The presentation will be held in English, and be available as a webcast at www.ambea.se.

Call-up information

To make sure that the hook-up to the conference call works, please call at least five minutes before the conference call starts to register, or use the code: 9857527.

Phone numbers

Sweden: +46 (0)8 506 921 80
UK: +44 (0)20 71 92 80 00
US: +1 63 15 10 74 95

Contact

Jacob Persson, Head of Group Business Control & IR, telephone +46 (0)708 64 07 52

Forthcoming report occasions

Q4 interim report and
year-end report for 2019
14 February 2020
Annual Report 9 April 2020
Q1 interim report for 2020 13 May 2020
Annual General Meeting 15 May 2020
Q2 interim report for 2020 19 August 2020
Q3 interim report for 2020 5 November 2020

Ambea is the leading private care company in Sweden, Norway and Denmark, with more than 900 units and approximately 26,000 employees. Within our group of companies, we provide residential facilities, support, education and social care staffing. We aim to be the quality leader in all that we do and our vision is to make the world a better place, one person at a time. The company was founded in 1996, is headquartered in Solna and listed on Nasdaq Stockholm. ambea.se

Auditor's review

Ambea AB (publ), Corp. Reg. No. 556468-4354

Introduction

We have conducted a limited review of the interim financial information (interim report) for Ambea AB (publ) at 30 September 2019 and for the nine-month period that ended on this date. The Board of Directors and Chief Executive Officer are responsible for preparing and presenting this interim report in accordance with IAS 34 and the Swedish Annual Accounts Act. Our responsibility is to express an opinion on this interim report based on our review.

Focus and scope of the review

We have conducted our review in accordance with International Standard on Review Engagements (ISRE) 2410, "Review of Interim Financial Information Performed by the Independent Auditor of the Entity." A review consists of making inquiries, primarily of persons responsible for financial and accounting matters, and applying analytical and other review procedures. A review has another focus and considerably less scope than the focus and scope of an audit in accordance with International Standards on Auditing and generally accepted auditing standards.

The procedures performed in a review do not enable us to obtain assurance that we would become aware of all significant matters that might be identified in an audit. The opinion expressed based on a review does not therefore have the same level of assurance as an opinion expressed on the basis of an audit.

Opinion

Based on our review, no circumstances have arisen that give us any reason to believe that this interim report has not, in all material respects, been prepared for the Group in accordance with IAS 34 and the Swedish Annual Accounts Act, and for the Parent Company in accordance with the Swedish Annual Accounts Act.

Stockholm, 7 November 2019

Ernst & Young AB

Staffan Landén Authorised Public Accountant

Consolidated income statement in summary

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
OPERATING INCOME
Net sales 2,843 1,541 8,237 4,526 9,787 6,076
Other operating income 21 18 62 45 87 70
Total operating income 2,864 1,559 8,299 4,571 9,874 6,146
OPERATING EXPENSES
Consumables -99 -46 -312 -135 -360 -184
Other external costs -351 -292 -1,135 -897 -1,490 -1,252
Personnel costs -1,913 -1,002 -5,809 -3,067 -6,883 -4,142
Depreciation, amortisation and impairment of tangible and intan
gible assets
-232 -36 -626 -102 -660 -135
Profit/loss from participations in Group companies -4 0 -4
Other operating expenses 0 -2 0 -3 -1
Operating expenses -2,594 -1,375 -7,884 -4,206 -9,395 -5,717
OPERATING PROFIT 270 184 415 365 479 429
Financial income 2 3 11 5 10 2
Financial expenses -71 -19 -197 -33 -207 -40
Net financial items -69 -16 -186 -28 -196 -38
PROFIT AFTER NET FINANCIAL ITEMS 201 168 229 337 283 391
PROFIT BEFORE TAX 201 168 229 337 283 391
Tax on profit for the period -44 -40 -50 -74 -72 -96
PROFIT FOR THE PERIOD 157 128 179 263 211 295
Profit for the period attributable to shareholders of the Parent
Company
157 128 179 263 211 295
Earnings per share before dilution, SEK 1.66 1.71 2.16 3.51 2.62 3.95
Earnings per share after dilution, SEK 1.66 1.71 2.16 3.51 2.61 3.94

Consolidated statement of comprehensive income in summary

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
PROFIT FOR THE PERIOD AFTER TAX 157 128 179 263 211 295
OTHER COMPREHENSIVE INCOME, ITEMS NOT TRANSFERABLE
TO PROFIT OR LOSS
Remeasurement of defined-benefit pension plans -12 -12 -12
Tax related to remeasurement of defined-benefit pension plans
Total items not transferable to profit or loss -12 -12 -12
OTHER COMPREHENSIVE INCOME, ITEMS TRANSFERABLE TO
PROFIT OR LOSS
Translation differences 6 -3 12 20 10 5
Hedging of net investments in foreign operations 2 3 -12 -18 1 -5
Cash flow hedges 0 1
Hedging cost reserve 0 -4 -3
Tax -1 -1 3 4 1
Total items transferable to profit or loss 7 -1 -1 6 8 1
Total other comprehensive income -5 -1 -13 6 -4 1
TOTAL COMPREHENSIVE INCOME FOR THE PERIOD 152 127 166 269 207 296
Comprehensive income for the period attributable to sharehold
ers of the Parent Company
152 127 166 269 207 296

Earnings per share

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12 months1
2018
Jan-Dec
Profit for the period attributable to shareholders of the Parent
Company, SEK million
157 128 179 263 211 295
Earnings per share before dilution
Average number of shares, thousands 94,505 74,873 82,781 74,873 80,756 74,798
Earnings per share before dilution, SEK 1.66 1.71 2.16 3.51 2.62 3.95
Earnings per share after dilution
Average number of shares, thousands 94,599 74,920 82,874 74,909 80,852 74,835
Earnings per share after dilution, SEK 1.66 1.71 2.16 3.51 2.61 3.94

Consolidated balance sheet in summary

SEK million 30 Sep
2019
30 Sep
2018
31 Dec
2018
ASSETS
Fixed assets
Goodwill 6,586 4,086 4,058
Customer contracts and customer relationships 642 468 446
Other intangible assets 11 19 22
Right-of-use assets1 4,859
Tangible assets 254 205 211
Derivative instruments 1 0 0
Deferred tax assets 71 42 35
Non-current receivables 35 27 27
Total fixed assets 12,459 4,847 4,799
Current assets
Inventories 0 0 0
Accounts receivable 1,156 647 622
Other receivables 80 58 68
Prepaid expenses and accrued income 265 164 167
Cash and cash equivalents 215 80 62
Total current assets excluding assets held for sale 1,716 949 919
Assets held for sale 88 69 74
Total current assets 1,804 1,018 993
TOTAL ASSETS 14,263 5,865 5,792

1 In the previous period, right-of-use assets relating to leased cars were recognised as tangible assets.

Consolidated balance sheet in summary – continuation

SEK million 30 Sep
2019
30 Sep
2018
31 Dec
2018
EQUITY AND LIABILITIES
Equity
Share capital 2 2 2
Other capital contributions 6,165 4,965 4,965
Reserves 16 6 1
Retained earnings including profit or loss for the period -2,183 -2,289 -2,261
Total equity attributable to shareholders of the Parent Company 4,000 2,684 2,707
Non-controlling interests
Total equity 4,000 2,684 2,707
Non-current liabilities
Non-current interest-bearing liabilities 1,616 465 614
Lease liabilities1 4,316
Other non-interest-bearing liabilities 0 0 0
Pension provisions 41 7 4
Other provisions 69 0 0
Deferred tax liabilities 155 118 114
Total non-current liabilities 6,197 590 732
Current liabilities
Current interest-bearing liabilities 0 35 37
Commercial papers 2,061 1,733 1,404
Lease liabilities2 609
Accounts payable 202 137 198
Current tax liabilities 71 84 93
Other non-interest-bearing liabilities 185 78 74
Accrued expenses and deferred income 937 524 547
Total current liabilities 4,066 2,591 2,353
TOTAL EQUITY AND LIABILITIES 14,263 5,865 5,792

Consolidated statement of changes in equity in summary

SEK million 2019
Jan-Sep
2018
Jan-Sep
2018
Jan-Dec
Opening balance 2,707 2,480 2,480
Total comprehensive income 166 269 296
Transactions with shareholders
Warrants issued 2 3
Share buybacks -4
New share issue 1,215
Issue expenses -15
Dividends -74 -68 -68
Closing balance 4,000 2,684 2,707

1 In the previous period, lease liabilities relating to leased cars were recognised as non-current interest-bearing liabilities.

2 In the previous period, lease liabilities relating to leased cars were recognised as current interest-bearing liabilities.

Consolidated cash flow statement in summary

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12 months1
2018
Jan-Dec
OPERATING ACTIVITIES
Profit before tax 201 168 229 337 283 391
Adjustment for non-cash items 230 32 630 102 660 134
Cash flow from operating activities before working capital
and tax
430 200 858 439 943 525
Tax paid -15 -8 -112 -51 -120 -60
Cash flow from operating activities before changes in work
ing capital
416 191 746 388 824 465
CASH FLOW FROM CHANGES IN WORKING CAPITAL
Change in operating receivables 112 -14 -21 31 -16 36
Change in operating liabilities -312 -123 -238 -46 -154 37
Cash flow from operating activities 216 54 488 373 653 538
INVESTING ACTIVITIES
Investment in intangible assets -1 0 -6 -2 -5 -1
Investment in tangible assets -25 -2 -92 -20 -110 -38
Divestment of tangible assets 1 3 11 7 12 7
Free cash flow 190 54 401 357 550 506
Acquisition and disposal of shares and participations -33 -18 -2,619 -368 -2,620 -368
Other financial assets -1 0 -4 0 -3 0
Cash flow from investing activities -60 -18 -2,710 -383 -2,726 -400
Cash flow after investing activities 156 36 -2,222 -10 -2,073 139
FINANCING ACTIVITIES
New loans/Loans raised 1,722 118 8,079 380 8,050 1,399
Repayment of loan liabilities -1,159 -9 -4,801 -37 -5,119 -1,405
Repayment of lease liability -165 -433 -433
Change in revolving credit facility -577 -147 -1,594 -265 -1,418 -89
New share issue -2 1,200 1,201 1
Premiums for warrants 2 2
Share buybacks -4 -4
Dividends paid -74 -68 -74 -68
Cash flow from financing activities -180 -38 2,378 12 2,202 -164
CASH FLOW DURING THE PERIOD -24 -2 156 2 129 -25
Cash and cash equivalents on the opening date 238 80 62 87 80 87
Exchange rate differences in cash and cash equivalents 0 3 -4 -9 5 0
Cash and cash equivalents on the closing date 215 80 215 80 215 62

Parent Company income statement in summary

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12 months1
2018
Jan-Dec
INCOME
Net sales 4 8 14 19 23 29
Total income 4 8 14 19 23 29
OPERATING EXPENSES
Other external costs -4 -2 -12 -13 -20 -22
Personnel costs -4 -8 -14 -19 -20 -25
Amortisation of intangible assets 0 0 0 0 0 0
Operating expenses -8 -10 -26 -32 -40 -47
OPERATING PROFIT/LOSS -4 -2 -12 -13 -18 -18
Financial items -9 -4 -58 2 -58 2
LOSS AFTER FINANCIAL ITEMS -12 -6 -70 -11 -75 -16
Appropriations 15 15
LOSS BEFORE TAX -12 -6 -70 -11 -60 -1
Tax on profit for the period
LOSS FOR THE PERIOD -12 -6 -70 -11 -60 -1

Parent Company balance sheet in summary

SEK million 30 Sep
2019
30 Sep
2018
31 Dec
2018
ASSETS
Intangible assets
Software 1 2 1
Financial assets
Participations in Group companies 7,208 4,128 4,129
Other financial assets 32
Derivative assets 4
Total fixed assets 7,213 4,130 4,162
Current assets
Receivables from Group companies 2 23 23
Other receivables 16 0 16
Tax assets 6 2 2
Prepaid expenses and accrued income 9 4 4
Cash and bank balances 0 10 0
Total current assets 33 39 45
TOTAL ASSETS 7,246 4,169 4,207
EQUITY AND LIABILITIES
Share capital 2 2 2
Statutory reserve 0 0 0
Total restricted equity 2 2 2
Share premium reserve 1,402 200 200
Retained earnings 1,776 1,856 1,852
Loss for the period -70 -11 -1
Total non-restricted equity 3,108 2,045 2,051
TOTAL EQUITY 3,111 2,047 2,053
Non-current liabilities
Liabilities to credit institutions 2,056 369 713
Current liabilities
Commercial papers 2,061 1,733 1,404
Accounts payable 1 2 7
Other liabilities 1 1 2
Accrued expenses and deferred income 16 17 28
Total current liabilities 2,080 1,753 1,441
TOTAL EQUITY AND LIABILITIES 7,246 4,169 4,207

Key financial figures

SEK million 2019
Jul-Sep
2019
Jul-Sep
excl. IFRS 16
2018
Jul-Sep
% 2019
Jan-Sep
2018
Jan-Sep
% 2018/2019
Rolling
12 months1
2018
Jan-Dec
%
Net sales 2,843 2,843 1,541 84 8,237 4,526 82 9,787 6,076 61
Growth in net sales (%) 84 84 4 82 4 61 4
EBITDA 502 302 220 128 1,041 467 123 1,138 564 102
Operating margin, EBITDA (%) 17.7 10.6 14.3 12.6 10.3 11.6 9.3
Items affecting comparability 15 15 0 129 -4 164 39
Adjusted EBITDA 517 317 220 135 1,170 471 148 1,303 603 116
Operating margin, adjusted EBITDA (%) 18.2 11.1 14.3 14.2 10.4 13.3 9.9
EBITA 297 270 205 45 505 423 19 590 508 16
Operating margin, EBITA (%) 10.4 9.5 13.3 6.1 9.3 6.0 8.4
Adjusted EBITA 312 285 205 52 634 427 49 754 547 38
Operating margin, adjusted EBITA (%) 11.0 10.0 13.3 7.7 9.4 7.7 9.0
Operating profit, EBIT 270 243 184 47 415 365 14 479 429 12
Operating margin, EBIT (%) 9.5 8.5 11.9 5.0 8.1 4.9 7.1
Profit/loss before tax 201 220 168 20 229 337 -32 283 391 -29
Profit/loss after tax 157 172 128 23 179 263 -32 211 295 -28
Earnings/loss per share before dilution,
SEK
1.66 1.82 1.71 -3 2.16 3.51 -38 2.62 3.95 -34
Earnings/loss per share after dilution,
SEK
1.66 1.82 1.71 -3 2.16 3.51 -39 2.61 3.94 -34
Return on equity (%) 4.0 4.3 4.9 5.3 10.2 6.3 11.4
Operating cash flow 318 118 79 303 869 447 94 1,070 648 65
Free cash flow 190 39 54 252 401 357 12 550 506 9
Cash conversion (%) 61.5 37.2 35.9 74.3 94.9 82.1 101

Notes

Note 1 Accounting policies

This interim report has been prepared in accordance with IAS 34 Interim Financial Reporting and the Swedish Annual Accounts Act, as well as the Swedish Financial Reporting Board's RFR 1, Supplementary Accounting Rules for Groups, and RFR 2 Accounting for Legal Entities. The accounting policies applied are consistent with those applied in the preparation of the most recent annual report, except for hedge accounting. Hedge accounting in accordance with IFRS 9 was applied to the hedge agreements signed in March 2019. Hedge accounting in accordance with IFRS 9 is applied as of 1 January 2019. Existing hedge relationships in line with IAS 39 meet the criteria for continued hedge accounting in accordance with IFRS 9, and no effects arose as a result of the transition.

New or revised IFRS standards

IFRS 16 Leases took effect on 1 January 2019 and supersedes the previous IFRS related to lease accounting. For a more detailed description of accounting policies, refer to Note G1 in the 2018 Annual Report.

Choice of method and exceptions

Ambea has chosen to apply the simplified transitional approach, which requires a restatement on the transition date by adjusting the opening balance at 1 January 2019. Ambea has

also elected to apply the transition relief that allows entities to exclude short-term assets and low-value assets.

Discounting

For contracts with terms of less than three years, an incremental borrowing rate of 1.75 per cent is used. For contracts with terms of three years or more, Ambea has assumed a risk-free interest rate corresponding to STIBOR and the equivalent for Norway, and added a margin of 1.75 per cent.

Transition effects, IFRS 16

Given that the transition to IFRS 16 will have a material impact on the financial statements, Ambea has elected to recognise a reconciliation between its commitments for operating leases at the end of 2018 and its lease liability at the start of 2019.

In Note G1 in the 2018 Annual Report and in this interim report, selected key figures are presented without the effect of IFRS 16. For definitions, refer to Note 9, and for reconciliation with IFRS financial statements, refer to Note 8.

Earnings per share

Due to the completed new share issue, the comparative figures for earnings per share were restated to reflect the bonus issue element.

Reconciliation of operating lease capitalisation

SEK million Group
Obligations for operating leases excl. extension options at 1 January 2019 3,730
Extension options 142
Liabilities for finance leases at 1 January 2019 39
Discounting with the Group's weighted average incremental borrowing rate -671
Short-term leases -36
Right-of-use assets recognised at 1 January 2019 3,204

Note 2 Key judgements and estimates

For information about key judgements and estimates in this interim report, refer to Note G32 in the company's 2018 Annual Report.

Note 3 Segment information

Due to the acquisition of Aleris's care operations, a segment comprising the Danish operations has been added. The name of the Norwegian operations has now been changed from Heimta to Stendi, and also includes the operations acquired from Aleris.

Vardaga Comprises elderly care in Sweden.

  • Nytida Comprises care for people with functional disabilities in Sweden.
  • Stendi Comprises support for children and youth, personal assistance, residential care, elderly care and home care in Norway.
  • Altiden Comprises operations in elderly care, home care, social care and disability care in Denmark.
  • Klara Comprises staffing solutions, such as the supply of temporary doctors, nurses and other care workers, in Sweden.

Segments

July-September 2019
SEK million
Vardaga Nytida Stendi Altiden Klara Unallocated
items1
Group
adjust
ments
Group
OPERATING INCOME
Net sales 904 932 812 127 68 2,843
Other operating income 4 3 10 1 14 3 -14 21
Internal transactions -14 14
Total income from external customers 908 936 823 127 68 3 2,864
EBITA 82 174 59 -8 7 -18 297
EBITA margin, % 9.1 18.7 7.3 -6.3 10.3 10.4
Items affecting comparability 15 15
Adjusted EBITA 82 174 59 -8 7 -3 312
Adjusted EBITA margin, % 9.1 18.7 7.3 -6.3 10.3 11.0
Amortisation of intangible assets -27
Operating profit (EBIT) 270
Net financial items -69
Profit after net financial items 201
Profit before tax 201
Tax on profit for the period -44
PROFIT FOR THE PERIOD 157
ASSETS 5,352 5,949 2,220 230 182 330 14,263
July-September 2018
SEK million
Vardaga Nytida Stendi Altiden Klara Unallocated
items1
Group
adjust
ments
Group
OPERATING INCOME
Net sales 557 765 142 77 1,541
Other operating income 5 3 6 9 4 -9 18
Internal transactions -9 9
Total income from external customers 562 768 148 77 4 1,559
EBITA 57 128 21 5 -6 205
EBITA margin, % 10.2 16.7 14.8 6.5 13.3
Items affecting comparability
Adjusted EBITA 57 128 21 5 -6 205
Adjusted EBITA margin, % 10.2 16.7 14.8 6.5 13.3
Amortisation of intangible assets -21
Operating profit (EBIT) 184
Net financial items -16
Profit after net financial items 168
Profit before tax 168
Tax on profit for the period -40
PROFIT FOR THE PERIOD 128
ASSETS 1,376 3,646 538 180 125 5,865

1 The "Unallocated items" column consists of centrally approved costs for general cen-

tral administration, restructures, acquisitions and IPO costs.

Segments

January-September 2019
SEK million
Vardaga Nytida Stendi Altiden Klara Unallocated
items1
Group
adjust
ments
Group
OPERATING INCOME
Net sales 2,578 2,747 2,336 353 223 8,237
Other operating income 13 11 27 1 34 10 -34 62
Internal transactions -34 34
Total income from external customers 2,591 2,757 2,364 353 223 11 8,299
EBITA 168 392 50 -12 18 -111 505
EBITA margin, % 6.5 14.3 2.1 -3.4 8.1 6.1
Items affecting comparability 129 129
Adjusted EBITA 168 392 50 -12 18 18 634
Adjusted EBITA margin, % 6.5 14.3 2.1 -3.4 8.1 7.7
Amortisation of intangible assets -91
Operating profit (EBIT) 415
Net financial items -186
Profit after net financial items 229
Profit before tax 229
Tax on profit for the period -50
PROFIT FOR THE PERIOD 179
ASSETS 5,352 5,949 2,220 230 182 330 14,263
January-September 2018 Group
SEK million Vardaga Nytida Stendi Altiden Klara Unallocated
items1
adjust
ments
Group
OPERATING INCOME
Net sales 1,664 2,229 395 238 1 4,526
Other operating income 16 10 9 26 9 -26 45
Internal transactions -26 26
Total income from external customers 1,680 2,239 403 238 10 4,571
EBITA 125 284 29 12 -28 423
EBITA margin, % 7.5 12.7 7.3 5.0 9.3
Items affecting comparability 4 4
Adjusted EBITA 125 284 29 12 -24 427
Adjusted EBITA margin, % 7.5 12.7 7.3 5.0 9.4
Amortisation of intangible assets -58
Operating profit (EBIT) 365
Net financial items -28
Profit after net financial items 337
Profit before tax 337
Tax on profit for the period -74
PROFIT FOR THE PERIOD 263
ASSETS 1,376 3,646 538 180 125 5,865

1 The "Unallocated items" column consists of centrally approved costs for general cen-

tral administration, restructures, acquisitions and IPO costs.

Note 4 Income

Jan-Sep Vardaga Nytida Stendi Altiden Klara Group
SEK million 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018
Own Management 1,506 832 2,388 1,858 2,046 395 39 5,979 3,085
Contract Management 1,073 832 358 371 290 314 2,035 1,203
Staffing 223 238 223 238
Total 2,578 1,664 2,747 2,229 2,336 395 353 223 238 8,237 4,526

Note 5 Business combinations

Aleris's care operations

On 16 October 2018, it was announced that Ambea had agreed to acquire Aleris Omsorg. Aleris Omsorg conducts care operations in Sweden, Norway and Denmark. Ambea acquired 100 per cent of the shares in the Parent Company, Aleris Care AB, on 21 January 2019, following approval from the relevant competition authorities, for a purchase price of approximately SEK 2,600 million on a debt-free, cash-free basis at the transfer date. The acquisition makes Ambea the largest care services provider in Scandinavia. The acquisition of Aleris Omsorg creates a stable platform for future organic growth and significant potential for both direct cost synergies and operational improvements. In addition to direct cost synergies of SEK 90 million and identified operational improvements of SEK 30 million, Ambea expects that additional efficiencies can be realised over the next two to three years.

The acquisition was recognised using the acquisition method, and Aleris's Care Operations have been included in the financial statements for the Ambea Group since 21 January 2019.

Acquired receivables mainly comprise accounts receivable. As these are expected to be paid, in all material respects, the fair value is consistent with the carrying amount. Aleris's customers are predominantly municipalities, whereby credit risk is deemed low.

In the acquisition cost calculation, the provisions line item was adjusted, since additional reserve requirements were identified for acquired units, most of which pertain to disputes related to the legal proceeding regarding social security costs for temporary staff in Norway.

Acquired lease liabilities have been measured at the present value of the remaining lease payments (as defined in IFRS 16) as if the acquired lease was new at the acquisition date. Calculations have been made using the same methodology and assumptions as when the effects of IFRS 16 were estimated for Ambea, and are presented in Note G6 in the 2018 Annual Report. At the acquisition date, right-of-use assets have been measured at the same amount as lease liabilities.

Goodwill arising is primarily attributable to human capital, the Own Management pipeline, a stronger market position and expected synergies. The expected direct cost synergies amount to a total of SEK 90 million per year, of which half will be realised in 2019 and the remaining amount in 2020. Identified operational improvements are expected to amount to SEK 30 million annually, and realised in 2020. Integration costs related to the acquisition are an estimated SEK 110 million, most of which are expected to be recognised in 2019.

Since the acquisition date, Aleris Omsorg has contributed SEK 3,570 million to net sales, and SEK 82 million to profit before tax. If the acquisition had taken place on 1 January 2019, Aleris Omsorg would have contributed SEK 3,852 million to net sales, and SEK 85 million to profit before tax.

Impact of the acquisition of Aleris Omsorg

SEK million Q1 Q2 Q3 2019
Jan-Sep
Net sales 981 1,320 1,269 3,570
Profit/loss before tax -1 26 57 82

In June 2019, negotiations on the transfer balance were settled with Aleris, whereby Aleris paid compensation of SEK 5.6 million plus interest to Ambea. The acquisition analysis was completed in the third quarter. Compared with previously published information, the identification of additional reserve requirements led to a higher amount for the provisions line item, and a minor adjustment to the value of customer contracts. The amortisation period of customer contracts is based on the average remaining term of acquired units, and has been determined as six years. Goodwill arising is allocated between the Vardaga, Nytida, Stendi and Altiden segments.

Pusselbiten

On 1 July, Ambea's Nytida business area acquired En bit Extra AB and its subsidiaries (Pusselbiten schools). Pusselbiten provides compulsory comprehensive school education for students with and without special needs, specialising in individuals with an autism spectrum disorder or an intellectual disability. The operations comprise two schools, after-school activities, shortterm supervision and short-term accommodation in accordance with the Swedish Act concerning Support and Service for Persons with Certain Functional Impairments (LSS).

Since the acquisition date, Pusselbiten has contributed SEK 8 million to net sales, and SEK 2 million to profit before tax. About the acquisition had taken place on 1 January 2019, Pusselbiten would have contributed SEK 26 million to net sales, and SEK 4 million to profit before tax.

Net assets of acquired units on the acquisition date

Fair value recognised
SEK million Aleris
Aleris
Pusselbiten in the Group
Tangible assets 100 1 101
Intangible assets 277 277
Financial assets 40 40
Right-of-use assets 1,412 11 1,423
Accounts receivable and other receivables 605 10 615
Cash and cash equivalents 455 6 461
Non-current interest-bearing liabilities 2 2
Deferred tax liability 59 59
Pension provisions 26 26
Other provisions 94 1 95
Lease liabilities 1,412 11 1,423
Accounts payable and other liabilities 735 5 740
Net identifiable assets and liabilities 561 11 572
Group goodwill 2,479 27 2,506
Price of shares 3,041 39 3,080
Cash (acquired) 455 6 461
Purchase consideration (net cash outflow) 2,586 33 2,619
Change in the Group's goodwill
Opening balance, 1 January 2019 4,058
Acquisitions for the year 2,506
Translation difference 22
Closing cumulative cost 6,586

Note 6 Fair value of financial instruments in the fair value hierarchy

Ambea applies the following hierarchy for the fair value measurement of financial instruments:

Level 1 – Quoted prices (unadjusted) in active markets for identical assets or liabilities. This level includes Eligible treasury bills, Bonds and Other interest-bearing securities. Remeasurement is recognised under Financial items.

Level 2 – Observable data for assets or liabilities other than quoted prices included in Level 1, either directly (i.e. as price quotations) or indirectly (i.e. derived from price quotations). This level includes derivative instruments that are recognised under Other current assets or Other current liabilities.

Level 3 – Data for assets or liabilities not based on observable market data.

Ambea has loans denominated in both SEK and NOK and is thereby exposed to interest-rate risk. According to the company's financial policy, at least 50 per cent of the interest-rate risk should be hedged. To reduce the company's interest-rate risk, the company purchased an interest-rate swap and an interest rate cap in March 2019, both with maturities of three years. In total, 55 per cent of the company's interest-rate risk is hedged through interest-rate derivatives.

Derivatives are classified as Level 2 assets in the fair value hierarchy. The change in fair value of the interest rate cap is recognised in other comprehensive income and SEK 0 million was charged against other comprehensive income for the quarter. At 30 September 2019, the value of the derivative was SEK 1 million. Ambea uses the standard report of issuing banks for the market valuation of purchased interest-rate caps. The measurement is based on the bank's standard pricing model and method. The measurement is based on the bank's average price.

Consolidated assets and liabilities measured at fair value

SEK million 30 Sep
2019
30 Sep
2018
31 Dec
2018
Interest rate derivatives 1 0 0
Contingent consideration 1

Note 7 Pledged assets and contingent liabilities

SEK million 30 Sep
2019
30 Sep
2018
31 Dec
2018
Leased assets 78 79 80
Chattel mortgages 7 14 10
Real estate mortgages 9 25 9
Factoring 2 2 2
Total pledged assets 96 120 101

Contingent liabilities

The Group is sometimes involved in lawsuits and legal proceedings that are related to day-to-day business activities. The claims relate to, but are not limited to, the Group's business practices, personnel matters and tax issues. With respect to matters that do not require any provisions, the Group, based on information that is currently available, is of the opinion that these will not result in any significantly negative effects on the Group's financial results.

Note 8 Reconciliation with IFRS financial statements

SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
Growth/Acquired growth
Growth in net sales (%) 84 4 82 4 61 4
Of which acquired growth (%) 83 6 81 7 42 5
Of which currency effect (%) 0 0 0 0 0 0
Of which organic growth (%) 1 -2 1 -3 1 -1
Operating margin (EBIT)
Net sales 2,843 1,541 8,237 4,526 9,787 6,076
Operating profit (EBIT) 270 184 415 365 479 429
Operating margin, EBIT (%) 9.5 11.9 5.0 8.1 4.9 7.1
EBITA and adjusted EBITA
Operating profit (EBIT) 270 184 415 365 479 429
Amortisation and impairment of intangible assets 27 21 90 58 111 79
EBITA 297 205 505 423 590 508
Items affecting comparability 15 0 129 4 164 39
Adjusted EBITA 312 205 634 427 754 547
Net sales 2,843 1,541 8,237 4,526 9,787 6,076
EBITA margin (%) 10.4 13.3 6.1 9.3 6.0 8.4
Adjusted EBITA margin (%) 11.0 13.3 7.7 9.4 7.7 9.0
EBITDA and adjusted EBITDA
Operating profit (EBIT) 270 184 415 365 479 429
Depreciation, amortisation and impairment of tangible
and intangible assets
232 36 626 102 660 135
EBITDA 502 220 1,041 467 1,139 564
Items affecting comparability 15 0 129 4 164 39
Adjusted EBITDA 517 220 1,170 471 1,303 603
Net sales 2,843 1,541 8,237 4,526 9,787 6,076
EBITDA margin 17.7
18.2
14.3
14.3
12.6
14.2
10.3
10.4
11.6
13.3
9.3
9.9
Adjusted EBITDA margin
EBITDA and adjusted EBITDA excluding IFRS 16
Operating profit (EBIT) 270 n/a 415 n/a 479 n/a
Depreciation, amortisation and impairment of tangible
and intangible assets
232 n/a 626 n/a 660 n/a
Additional: Rental expenses -200 n/a -529 n/a -529 n/a
Net effect of IFRS 16 on EBITDA -200 n/a -529 n/a -529 n/a
EBITDA excluding effect of IFRS 16 302 n/a 512 n/a 610 n/a
Items affecting comparability 15 n/a 129 n/a 164 n/a
Adjusted EBITDA excluding IFRS 16 317 n/a 641 n/a 774 n/a
SEK million 2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
Operating cash flow
Adjusted EBITDA 517 220 1,170 471 1,303 603
Adjustment for non-cash items 4 -5 2 -2 -1 -5
Cash flow from investing activities excl. acquisitions and
divestments of subsidiaries
-26 0 -86 -16 -103 -32
Adjustment for cash flow from investing activities related to in
creased capacity/growth
23 1 42 9 42 9
Changes in working capital -200 -137 -258 -15 -170 73
Operating cash flow 318 79 869 447 1,070 648
Cash conversion (%)
Operating cash flow 318 79 869 477 1,070 648
Adjusted EBITDA 517 220 1,170 471 1,303 603
Cash conversion (%) 61.5 35.9 74.3 94.9 82.1 108
Items affecting comparability
Reversal of restructuring and acquisition-related costs 15 129 164 35
– of which costs included in the line item of consumables -2 0 0
– of which costs included in the line item of other external costs 9 71 105 34
– of which costs included in the line item of personnel costs 3 53 54 1
– of which costs included in the line item of depreciation, amorti
sation and impairment
4 4 4
Reversal of income and costs for discontinuation of entire
segments
4 4
Personal assistance
– of which, income
– of which costs included in the line item of other external
costs
– of which costs included in the line item of personnel costs
– of which, profit or loss from participations in Group companies 4 4
Total items affecting comparability 15 129 4 164 39
Debt/equity ratio
SEK million
30 Sep
2019
30 Sep
2018
31 Dec
2018
Non-current interest-bearing liabilities 5,932 465 614
Current interest-bearing liabilities 2,670 1,768 1,441
Total interest-bearing liabilities 8,602 2,233 2,055
Total equity 4,000 2,684 2,707
Debt/equity ratio 2.2 0.8 0.8
Net debt, net debt/Adjusted EBITDA, RTM
SEK million
30 Sep
2019
30 Sep
2018
31 Dec
2018
Non-current interest-bearing liabilities 5,932 465 614
Current interest-bearing liabilities 2,670 1,768 1,441
Less: cash and cash equivalents -215 -80 -62
Net debt 8,387 2,153 1,993
Adjusted EBITDA, RTM 1,303 579 603
Net debt/Adjusted EBITDA, RTM 6.4 3.7 3.3
Equity/assets ratio
SEK million
30 Sep
2019
30 Sep
2018
31 Dec
2018
Total equity 4,000 2,684 2,707
Total assets 14,263 5,865 5,762
Equity/assets ratio (%) 28.0 45.8 46.7
Return on equity
SEK million
2019
Jul-Sep
2018
Jul-Sep
2019
Jan-Sep
2018
Jan-Sep
2018/2019
Rolling 12
months1
2018
Jan-Dec
Opening equity attributable to shareholders of the Parent
Company
3,864 2,556 2,707 2,480 2,684 2,480
Closing equity attributable to shareholders of the Parent Com
pany
4,000 2,684 4,000 2,684 4,000 2,707
Average equity attributable to shareholders of the Parent
Company
3,932 2,620 3,354 2,582 3,342 2,594
Profit after tax 157 128 179 263 211 295
Return on equity (%) 4.0 4.9 5.3 10.2 6.3 11.4
Profit before and after tax excluding effect of IFRS 16 2019 2019
SEK million Jul-Sep Jan-Sep
Profit before tax 201 229
Net effect of IFRS 16 on EBIT -27 -69
Less: IFRS 16 effect included in the line item of Financial expenses 46 119
Net effect of IFRS 16 on profit before tax 19 50
Profit before tax excluding effect of IFRS 16 220 278
Tax on profit for the period -44 -50
Less: Effect of IFRS 16 on Deferred tax -4 -11
Profit after tax excluding effect of IFRS 16 218
Earnings per share before dilution, excluding effect of IFRS 16
Number of shares (000s) 94,505 82,781
Earnings per share before dilution, excluding effect of IFRS 16 1.82 2.63
Earnings per share after dilution, excluding effect of IFRS 16
Number of shares (000s) 94,599 82,874
Earnings per share before dilution, excluding effect of IFRS 16 1.82 2.63
Operating cash flow excluding IFRS 16
SEK million
2019
Jul-Sep
2019
Jan-Sep
Operating cash flow 318 869
Less: Effect of IFRS 16 on EBITDA -200 -529
Operating cash flow excluding IFRS 16 118 340
Net sales 2,843 8,237
EBITDA margin excluding effect of IFRS 16 10.6 6.2
Adjusted EBITDA margin excluding effect of IFRS 16 (%) 11.1 7.8
Operating profit (EBIT) excluding effect of IFRS 16
SEK million
2019
Jul-Sep
2019
Jan-Sep
Operating profit (EBIT) 270 415
Less: Effect of IFRS 16 included in the line item of depreciation, amortisation and impairment of tangible and
intangible assets
173 460
Additional: Rental expenses -200 -529
Net effect of IFRS 16 on EBIT -27 -69
EBIT excluding effect of IFRS 16 243 346
EBITA and adjusted EBITA excluding effect of IFRS 16
Operating profit (EBIT) 270 415
Amortisation and impairment of intangible assets 27 90
Less: Effect of IFRS 16 included in the line item of depreciation, amortisation and impairment of tangible and
intangible assets
173 460
Additional: Rental expenses -200 -529
Net effect of IFRS 16 on EBITA -27 -69
EBITA excluding effect of IFRS 16 270 436
Items affecting comparability 15 129
Adjusted EBITA excluding effect of IFRS 16 285 565
Net sales 2,843 8,237
EBITA margin excluding effect of IFRS 16 (%) 9.5 5.3
Adjusted EBITA margin excluding effect of IFRS 16 (%) 10.0 6.9
Cash conversion excluding IFRS 16
SEK million
2019
Jul-Sep
2019
Jan-Sep
Operating cash flow excluding effect of IFRS 16 340
Adjusted EBITDA excluding effect of IFRS 16 317 641
Cash conversion (%) excluding IFRS 16 37.2 53.0
Free cash flow excluding effect of IFRS 16
SEK million
2019
Jul-Sep
2019
Jan-Sep
Free cash flow 190 401
Less: Effect of IFRS 16 on EBITDA -200 -529
Change in prepaid rents recognised on the line item of change in operating receivables 2 1
Additional: Interest payments 46 119
Free cash flow excluding effect of IFRS 16 39 -8
Return on equity, excluding effect of IFRS 16 2019 2019
SEK million Jul-Sep Jan-Sep
Opening equity attributable to shareholders of the Parent Company 3,864 2,707
Net effect of IFRS 16 on opening equity 24
Opening equity attributable to shareholders of the Parent Company, excluding effect of IFRS 16 3,888 2,707
Closing equity attributable to shareholders of the Parent Company 4,000
Net effect of IFRS 16 on profit after tax 39
Of which cumulative effect in previous quarters
Closing equity attributable to shareholders of the Parent Company, excluding effect of IFRS 16 4,039
Average equity attributable to shareholders of the Parent Company, excluding effect of IFRS 16 3,373
Profit after tax, excluding effect of IFRS 16 218
Return on equity, excluding effect of IFRS 16 (%) 6.5
Net debt, Net debt/Adjusted EBITDA, RTM excluding effect of IFRS 16
SEK million
2019
30 Sep
Non-current interest-bearing liabilities 5,932
Less: non-current lease liabilities pertaining to properties recognised on the Lease liability line -4,273
Current interest-bearing liabilities 2,670
Less: current lease liabilities pertaining to properties recognised on the Lease liability line -571
Less: cash and cash equivalents -215
Net debt excluding effect of IFRS 16 3,543
Adjusted EBITDA, RTM, adjusted for IFRS 16 774
Net debt/Adjusted EBITDA, RTM, excluding effects of IFRS 16 4.6
Equity/assets ratio excluding effects of IFRS 16
SEK million
2019
30 Sep
Total equity, excluding effect of IFRS 16 4,039
Total assets 14,263
Less: right-of-use assets attributable to property -4,795
Less: Effect of IFRS 16 on deferred tax is recognised on the Deferred tax assets line -11
Less: Effect of IFRS 16 on prepaid rents is recognised on the Prepaid expenses and accrued income line 1
Total assets excluding effects of IFRS 16 9,458
Equity/assets ratio (%) 42.7

Note 9 Definitions and purpose

The definition of operating cash flow has been changed. As of the interim report for the first quarter of 2019, calculations have been based on Adjusted EBITDA, and cash flows related to increased capacity/growth have been excluded to create better visibility of the underlying cash flows for the growing proportion of Own Management, and for better comparability of the cash conversion rate. The comparative figures have been restated.

The definition of organic growth has changed to also include adjustment for currency. The comparative figures have been restated.

In 2019, alternative performance measures are presented where the effect of IFRS 16 is eliminated to facilitate analysis with the comparative year.

Key financial figures Definition and calculation Purpose
Growth (%) Growth consists of the increase in sales in
relation to the comparative period.
This key figure is used to follow up the com
pany's sales increase
The period's increase in net sales/Net sales in
the period of comparison
Acquired growth (%) The period's net sales growth from
acquisitions/the comparative period's net
sales
The key figure used to monitor the proportion
of the company's sales growth generated
through acquisitions
Currency effect on growth (%) The increase in net sales for the period at
tributable to change in exchange rates/Net
sales in the comparative period
The key figure used to monitor the proportion
of the company's sales growth generated
through exchange-rate fluctuations
Organic growth (%) The increase in net sales for the period
adjusted for acquisitions, divestments and
currency/Net sales in the comparative period
This key figure is used when analysing un
derlying sales growth driven by comparable
units between different periods
Operating profit (EBIT) Profit for the period before financial items
and tax
The key figure used to monitor the company's
profit generated by operating activities.
Total operating income – Operating expenses This key figure
enables comparisons of profitability between
companies/industries
EBITA Operating profit before amortisation and
impairment of intangible assets
This key figure is used to follow up the com
pany's profit generated by operating activi
Operating profit (EBIT) + Amortisation and
impairment of intangible assets
ties. This key figure enables comparisons of
profitability between companies/industries
Items affecting comparability Items related to events in the company's
operations that impact comparability with
profit during other periods. Include:
The key figure of Items affecting compara
bility is used to achieve a fair comparison
of the underlying development of business
- Transaction costs attributable to major
acquisitions
operations
- Major re-organisations
Adjusted EBITA Operating profit before amortisation and
impairment of intangible assets adjusted for
items from events in the company's oper
ations that affect comparisons with profit
during other periods
The key figure is used to follow up the
company's profit generated by operating
activities in order to obtain a fair comparison
of the underlying development of business
operations. This key figure enables compar
EBITA + Items affecting comparability isons of profitability between companies/
industries
Key financial figures Definition and calculation Purpose
EBITDA Operating profit before depreciation, amor
tisation and impairment of intangible and
tangible assets
The key figure used to follow up the compa
ny's profit generated by operating activities.
This key figure enables comparisons of profit
Operating profit (EBIT) + Depreciation, am
ortisation and impairment of tangible and
intangible assets
ability between companies/industries
Adjusted EBITDA Operating profit before depreciation/amor
tisation and impairment of intangible and
tangible assets adjusted for items from such
events in the company's operations that
affect comparisons with profit from other
periods
This key figure is used to follow up the com
pany's profit generated by operating activi
ties with a fair comparison of the underlying
development of the business operations. The
key figure enables comparisons of profitabili
ty between companies/industries
EBITDA + Items affecting comparability
Operating cash flow Total cash flow from operating activities
excluding tax, net financial items and items
affecting comparability, as well as cash flow
from investing activities excluding acquisi
tions and divestments of operations
This key figure shows the cash flow from
the company's operations, excluding busi
ness combinations, company divestments,
financing, tax and items affecting compa
rability and is used to follow up whether the
Adjusted EBITDA + Changes in working capi
tal + Cash flow from investing activities excl.
acquisitions and divestments of subsidiaries
+ adjustments for cash flow from investing
activities related to increased capacity/
growth
company is able to generate a sufficiently
positive cash flow to maintain and expand its
operations
Free cash flow Total cash flow from operating activities and
cash flow from investing activities excluding
acquisitions and divestments of operations
This key figure shows cash flow from op
erating activities including cash flow from
investing activities excluding acquisitions
Cash flow from operating activities + Cash
flow from investing activities excluding ac
quisitions and sales of subsidiaries
and divestments of operations and is used
because it is a relevant measure for investors
to be able to understand the Group's cash
flow from operating activities
Cash conversion (%) Cash conversion as a percentage is defined
as operating cash flow divided by adjusted
EBITDA
The key figure used as an efficiency measure
of the proportion of a company's profit that
is converted to cash
Operating cash flow/Adjusted EBITDA
Net debt The Group's interest-bearing liabilities ex
cluding pension provisions adjusted for cash
and cash equivalents
This key figure is a measure of the company's
debt/equity ratio and is used by the company
to assess its capacity to meet its financial
Interest-bearing liabilities – cash and cash
equivalents
commitments
Net debt /Adjusted EBITDA, RTM Net debt/Adjusted EBITDA is a measure of
the debt/equity ratio defined as the closing
balance for net debt in relation to rolling
adjusted EBITDA.
The key figure used to monitor the level of
the company's indebtedness to ensure that
financial covenants are met
Net debt/Adjusted EBITDA, RTM
Return on equity (%) Return on equity shows the company's return
on the capital provided by its owners
This key figure is used to show the returns
generated on the capital that shareholders
Profit for the period/Equity (average equity
at the beginning and end of the period)
have invested in the company
Operating profit (EBIT) excluding
effect of IFRS 16
Profit for the period before financial items
and tax, adjusted for the effect of IFRS 16
EBIT + net effect of IFRS 16 on EBIT
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Key financial figures Definition and calculation Purpose
Operating margin (%) Operating profit as a percentage of net sales. This key figure is used to follow up the per
Operating profit (EBIT)/Net sales centage of net sales from operations that
remains to cover interest payments and tax
and to generate a profit after the company's
costs have been paid
Adjusted EBITA excluding effect of IFRS
16
Operating profit before amortisation and
impairment of intangible assets adjusted for
items from such events in the company's op
erations that affect comparisons with profit
from other periods, adjusted for the effect of
IFRS 16
Adjusted EBITA + net effect of IFRS 16 on
EBITA
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
EBITDA excluding effect of IFRS 16 Operating profit before depreciation, amor
tisation and impairment of intangible and
tangible assets, adjusted for the effect of
IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Adjusted EBITDA excluding effect of
IFRS 16
Operating profit before amortisation and
impairment of intangible assets adjusted for
items from such events in the company's op
erations that affect comparisons with profit
from other periods, adjusted for the effect of
IFRS 16
Adjusted EBITDA + net effect of IFRS 16 on
EBITA
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Operating cash flow excluding effect
of IFRS 16
Total cash flow, adjusted for the effects of
IFRS 16, from operating activities excluding
tax, net financial items and items affecting
comparability as well as cash flow from in
vesting activities excluding acquisitions and
disposal of units
Adjusted EBITDA + Changes in working capi
tal + Cash flow from investing activities excl.
acquisitions and divestments of subsidiaries
+ adjustments for cash flow from investing
activities related to increased capacity/
growth
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Cash Conversion (%) excluding effect
of IFRS 16
Cash conversion as a percentage is defined
as operating cash flow divided by Adjusted
EBITDA, adjusted for the effect of IFRS 16
Operating cash flow excluding the effect of
IFRS 16/EBITDA excluding the effect of IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Free cash flow excluding effects of
IFRS 16
Total cash flow from operating activities as
well as cash flow from investing activities
excluding acquisitions and divestments of
operations, adjusted for the effects of IFRS 16
Free cash flow – net effect of IFRS 16 on
EBITDA – Change in operating receivables/
liabilities attributable to IFRS 16 + interest
payments attributable to IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Net debt excluding effect of IFRS 16 The Group's interest-bearing liabilities ex
cluding pension provisions adjusted for cash
and cash equivalents
Net debt – lease liabilities related to proper
ties
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Key financial figures Definition and calculation Purpose
Net debt / Adjusted EBITDA, RTM ex
cluding effects of IFRS 16
Net debt/Adjusted EBITDA excluding the ef
fects of IFRS 16 is a measure of the debt/eq
uity ratio defined as the closing balance for
net debt, adjusted for the effects of IFRS, in
relation to rolling adjusted EBITDA, adjusted
for the effects of IFRS 16
Net debt excluding the effect of IFRS 16/
Adjusted EBITA excluding the effect of IFRS
16 RTM
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Profit before tax excluding effect of
IFRS 16
Profit before tax, adjusted for the effects of
IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
Profit before tax + net effect of IFRS 16 on
profit before tax
16 is only applied to the period's financial
statements
Profit after tax excluding effect of
IFRS 16
Profit after tax, adjusted for the effects of
IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
Profit before tax excluding the effect of IFRS
16 + effect of IFRS 16 on deferred tax
16 is only applied to the period's financial
statements
Earnings per share before dilution,
excluding effect of IFRS 16
Earnings per share before dilution, excluding
the effect of IFRS 16 on profit for the year
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
Profit after tax excluding the effect of IFRS 16
/Average number of shares before dilution
16 is only applied to the period's financial
statements
Earnings per share after dilution, ex
cluding effect of IFRS 16
Earnings per share before dilution, excluding
the effect of IFRS 16 on profit for the year and
equity
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
Profit after tax excluding the effect of IFRS 16
/Average number of shares after dilution
statements
Return on equity, excluding effect of
IFRS 16
Profit after tax excluding the effect of IFRS 16
/Average equity attributable to shareholders
of the Parent Company, excluding the effect
of IFRS 16
This key figure is used to facilitate a com
parison with the preceding period, since IFRS
16 is only applied to the period's financial
statements
Equity/assets ratio (%) The equity/assets ratio is used to show the
proportion of assets that is financed by
equity
This key figure shows the percentage of total
assets financed with equity and enables an
analysis of the company's long-term finan
Equity/Total assets cial strength and ability to withstand losses
Comparable units Comparable units include units that have
been in Ambea's operation for at least 13
months.
This key figure is used to show the EBITA
margin in units with a stable status to com
pare with the total EBITA margin, which also
includes start-up units.

Quality management in the third quarter of 2019

  • The quarter was characterised by the implementation of Vardaga's and Nytida's procedures and concepts in former Aleris operations. The aim is to achieve the same high quality with a similar cost structure in all operations. The process is on track and expected to continue until the end of the year.
  • In the third quarter, Ambea's Quality and HR Flash score1 rose from 5.9 to 7.2 in Vardaga and from 6.2 to 6.7 in Nytida (max. 10). The increase was partly due to adjustment of the index to exclude new operations in their first six months of operations.
  • In Vardaga's residential facilities, which are considered highrisk in terms of quality, related-party surveys were carried out. More than half of the respondents stated that they appreciated the approach of the employees, while just over one quarter thought that the level of activity in the facilities could be developed. The questions were open-ended and the respondents were asked to comment on what they thought was positive, as well as what could be improved.
  • At Nytida's HVB homes for children and youth, the new treatment model Step by step has now been introduced. The intervention is a cognitive behavioural therapy (CBT) technique based on presence, transparency and measurement. Step by step follows a clear process with specific methodological steps.
  • In Stendi, the new central quality department has continued it work with the integration of Ambea's quality standards and management system.
  • Of Altiden's latest Care Receiver Survey in nursing homes, 98.2 per cent say that they would recommend Altiden to other people, compared with 97.3 per cent in the survey in the second quarter. A self-assessment in Altiden achieved an overall score of 1.67 of a possible 2.0. Vardaga, Nytida and Stendi will conduct self-assessments in the fourth quarter.

1 The Quality and HR Flash is Ambea's tool for monitoring the Group's quality and human resources management. It is sent out to all operations in Nytida and Vardaga every month.

Awards and distinctions

  • • High-quality meals in Vardaga: For the third consecutive year, Vardaga's nursing home in Täby, Silverpark, was awarded Senior Mealtime of the Year by the White Guide. In addition, Hagdahlsakademien (the Hagdahl Academy) in Östergötland awarded its Äldrematpris (Senior Food Prize) 2020 to Vardaga's Gröna gården facility in Linköping for the best food for senior citizens in the county.
  • • Gender-equality step forward: Ambea is one of the stock exchange's top seven gender-equality companies according to the Allbright Foundation's latest ranking for 2019. Listed companies are ranked according to the proportion of women in their Group management team, in line positions and on the Board. In 2018, Ambea was ranked 29th, and has therefore taken a giant step forward to become the best care company on the list.

Vardaga has once again been recognised for its highquality meals.

The quarter in figures

  • The share of serious deviations in the third quarter (grade 4) was 0.09 per cent, compared with 0.17 per cent in the second quarter. In both Stendi and Altiden, one (1) grade-4 deviation was reported.
  • No Lex Sarah reports were lodged. Three Lex Maria reports were lodged by Vardaga. The IVO has not yet issued a decision. One Lex Maria report was lodged by Nytida, but has now been closed without any remarks. Two Lex Sarah reports were lodged in the preceding quarter by Vardaga, and one Lex Maria report was lodged by Nytida. All decisions have been received and the cases have been closed without any remarks.
  • Individual complaints investigated by the IVO: Six different complaints were submitted in relation to Vardaga's operations. The IVO has issued a decision for one of these complaints and closed the case with some remarks. The IVO has not yet issued a decision for the other five complaints. No complaints were submitted to the IVO in regard to Nytida's operations. Five different complaints were lodged in the preceding quarter.

  • Supervisions/inspections:

  • The IVO conducted 20 inspections/inspections of Nytida's operations during the quarter. To date this year, a total of 48 supervisions have taken place and 34 decisions have been received. 28 cases were closed without any remarks and six were closed with some comments.
  • In Vardaga, three supervisions/inspections were carried out, but no decisions have yet been received. To date this year, the IVO has carried our six inspections and decisions have been received for three of these cases, two with remarks and one without any remarks.
  • In Stendi various operational areas, a total of 26 inspections were carried out by authorities during the period. Decisions have been received for 16 cases, of which 15 are without any remarks and one with remarks.
  • In Altiden, authorities conducted nine inspections, all with satisfactory results and only minor deviations.