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Ambea — Interim / Quarterly Report 2021
May 4, 2021
2999_10-q_2021-05-04_0407ffa7-b181-453c-8bac-b316b53425a1.pdf
Interim / Quarterly Report
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Secure elderly care with completed vaccinations
The first quarter January-March
- Net sales declined 3 per cent to SEK 2,727 million (2,811). Acquired growth was 0 per cent, exchange rates had a negative impact of 1 per cent on growth, and organic growth was -2 per cent.
- Operating profit (EBIT) totalled SEK 125 million (144).
- EBITA declined 12 per cent to SEK 152 million (173), corresponding to a margin of 5.6 per cent (6.2).
- Adjusted EBITA, which excludes items affecting comparability, decreased 19 per cent to SEK 152 million (187). The adjusted EBITA margin was 5.6 per cent (6.7).
- Profit for the period totalled SEK 46 million (62).
- Earnings per share were SEK 0.49 (0.65) before and SEK 0.49 (0.65) after dilution.
- Cash conversion was 77.5 per cent (79.2).
- Free cash flow totalled SEK 172 million (148).
Significant events
- During the quarter, Ambea estimates the negative impact of the COVID-19 situation to be about SEK 100 million on net sales and SEK 40 million on EBITA. The negative impact includes loss of income due to lower rates of occupancy primarily in elderly care, higher costs for personal protective equipment (PPE) and sick leave, and government support received.
- The negative effects of the coronavirus pandemic on the company are expected to continue in 2021. In the second quarter, the negative impact is estimated to be SEK 90–100 million on sales and SEK 40–50 million on EBITA.
- During the quarter, Mark Jensen took office as Chief Executive Officer.
- During the quarter, Ambea completed the acquisition of six units with LSS operations in Sweden from LSS Omsorgen. After the end of the quarter, the acquisition of EKKOfonden's care operations in Denmark was completed. Read more on pages 6 and 8.
Consolidated key figures
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
∆% | R12 | 2020 Jan-Dec |
|---|---|---|---|---|---|
| Net sales | 2,727 | 2,811 | -3 | 10,999 | 11,083 |
| EBITA* | 152 | 173 | -12 | 807 | 829 |
| Operating margin, EBITA (%)* | 5.6 | 6.2 | 7.3 | 7.5 | |
| Adjusted EBITA* | 152 | 187 | -19 | 844 | 879 |
| Operating margin, adjusted EBITA (%)* | 5.6 | 6.7 | 7.7 | 7.9 | |
| Operating profit/loss, EBIT | 125 | 144 | -13 | 698 | 717 |
| Operating margin, EBIT (%)* | 4.6 | 5.1 | 6.3 | 6.5 | |
| Profit/loss after tax | 46 | 62 | -25 | 343 | 359 |
| Earnings/loss per share before dilution, SEK | 0.49 | 0.65 | -25 | 3.64 | 3.80 |
| Earnings/loss per share after dilution, SEK | 0.49 | 0.65 | -25 | 3.64 | 3.80 |
| Cash conversion (%)* | 77.5 | 79.2 | 102.4 | 103.2 | |
| Free cash flow* | 172 | 148 | 16 | 1,295 | 1,270 |
* Alternative performance measures. For reconciliation of financial statements to IFRS, see Note 8,
for purpose and definition, see ambea.com/investor-relations/reports-and-presentations/
Comments from Mark Jensen, President and CEO
Secure elderly care with completed vaccinations
The impact of the COVID-19 pandemic continued in the first quarter, and restrictions were once again tightened due to a third wave of the coronavirus. At the same time, the vaccination rollout continued, and our elderly care units were given top priority, which stabilised the situation and was very positive from a human perspective – for our care receivers as well as our employees. As the new CEO of Ambea, I am proud to see how our employees continue to work tirelessly in the best interests of our care receivers, by adhering to strict procedures to prevent the spread of the virus and providing warm, professional care.
In the first quarter, the estimated impact of the COVID-19 situation was about SEK -100 million on sales and SEK -40 million on earnings. In Stendi, the impact was considerably greater than in preceding quarters, while the impact on other divisions was in line with, or slightly lower than, preceding quarters.
In the first quarter, net sales amounted to SEK 2,727 million (2,811). Sales were lower year-on-year due to lower occupancy resulting from the COVID-19 situation and the leap day in 2020. Organic growth was a negative 2 per cent.
First-quarter EBITA declined 12 per cent to SEK 152 million, a result of the COVID-19 situation. In addition, the leap day had a positive impact on earnings in the preceding year. The COVID-19 situation had a negative impact on Vardaga's earnings, which was partly offset by government grants and operational improvements. The number of new-starts has been reduced or delayed, following careful consideration of the changing market conditions due to the ongoing pandemic. We will carefully analyse how and when to best increase capacity, based on demand from the municipalities after the pandemic. The occupancy rate has stabilized during the first quarter and even though there is high uncertainty related to the amount of time needed to return to normal levels, it is clear on a long term perspective that the demand is as big as before the pandemic. Nytida's earnings were negatively impacted by lower demand in the Individual and Family segment. LSS operations are the core of Nytida's service offering and showed stable demand in the first quarter. Stendi's earnings improved year-on-year, despite the clearly negative impact of the pandemic in Norway.
During the quarter, Frederiksberg Municipality awarded Altiden a management contract for two nursing homes with a total of 220 beds. The first nursing home is taken over in June 2021 and the second during the first quarter 2022. Altiden also opened a group home with five care placements. After the end of the first quarter, Altiden completed the acquisition of EKKOfonden's care operations, further accelerating the redirection of Altiden towards residential care. Our first Danish nursing home under own management (Altiden FRIBO) in Holte, north of Copenhagen, will commence operation in June 2021.
During the quarter, Nytida completed the acquisition of six care units from LSS Omsorgen, which have continued to perform favourably since the transfer date with stable rates of occupancy and high quality. Nytida also opened a group home

with five care placements.
The effects of the COVID-19 situation on our operations are expected to continue, mainly in the form of lower occupancy in the second quarter of 2021. We expect the negative impact to be SEK 90-100 million in sales, and SEK 40-50 million in EBITA. The year-on-year increase was largely attributable to a reduction in government grants in both Norway and Sweden.
We are now finalising our analysis and working to ensure that we learn lessons from the pandemic. We see further potential for strengthening secure and personalised care for the elderly and will contribute to constructive discussion on future improvements. The supply of trained staff especially in the categories assistant nurse and certified nurse along with competence development are two of the biggest challenges ahead. It is vital that the different stakeholders in society cooperate to be able to cater for this.
We will accelerate our efforts to prevent a loss of social capital due to the pandemic. Many family members have had to take on a great deal of responsibility during the pandemic when loved ones in need of extensive care have remained in their homes. Here we need to work together with our clients to ensure that those in need also gain access to the right care now. Both care receivers and loved ones can feel complete confidence in the day-to-day life at our units, and the qualified care we provide. As a high-quality partner to municipalities, we stand ready to welcome more care receivers and relieve the daily challenges facing municipalities.
I am looking forward to meeting more employees out in the units and to developing our role as a partner in the growing demographic challenge to meet the increasing need for care with fewer resources. Always in the care receiver's best interests, and always guided by our vision to make the world a better place, one person at a time.
Mark Jensen
Group
First quarter
Net sales
Net sales declined 3 per cent to SEK 2,727 million (2,811). Acquired growth was 0 per cent, exchange rates had a negative impact of 1 per cent on growth and organic growth was -2 per cent year-on-year. In the year-earlier quarter, sales were positively impacted by the leap day.
Net sales in Own Management amounted to SEK 2,052 million (2,085), down 2 per cent year-on-year, the result of lower occupancy rates and a lower level of occupancy due to the COVID-19 situation.
Net sales in Contract Management amounted to SEK 608 million (666). The year-onyear decline in sales was impacted by contracts previously handed back in Vardaga, Stendi and Altiden. Nytida reported a positive deviation year-on-year due to previously won contracts.
Net sales in Staffing rose 12 per cent to SEK 67 million (60).
Earnings
EBIT declined 13 per cent to SEK 125 million (144), corresponding to a margin of 4.6 per cent (5.1).
EBITA declined 12 per cent to SEK 152 million (173). The EBITA margin was 5.6 per cent (6.2). EBITA for the quarter was negatively impacted by lower occupancy due to the COVID-19 situation and ongoing new-starts. In the preceding year, EBITA was positively impacted by the leap day.
Net financial items
Net financial expense was SEK -67 million (-64) for the quarter.
Income tax
Tax expense for the period was SEK 12 million (18), corresponding to an effective tax rate of 20 per cent (22).
Profit for the period
Profit for the period totalled SEK 46 million (62), corresponding to earnings per share of SEK 0.49 (0.65) before dilution and SEK 0.49 (0.65) after dilution.
Net sales by segment January-March 2021

Net sales by contract model January-March 2021

Cash flow
| 2021 | 2020 | 2020 | ||
|---|---|---|---|---|
| SEK million | Jan-Mar | Jan-Mar | R12 | Jan-Dec |
| Adjusted EBITDA | 357 | 376 | 1,644 | 1,663 |
| Adjustment for non-cash items | -3 | -8 | 19 | 13 |
| Change in working capital | -71 | -56 | 88 | 103 |
| Cash flow from investments in fixed assets | -11 | -28 | -104 | -120 |
| Operating cash flow, including investments to increase capacity | 272 | 283 | 1,647 | 1,658 |
| Net interest paid | -65 | -60 | -258 | -253 |
| Tax paid | -37 | -62 | -58 | -83 |
| Reversal of items affecting comparability | 0 | -14 | -36 | -51 |
| Free cash flow | 171 | 147 | 1,295 | 1,271 |
| Acquisition/disposal of shares and participations | -64 | -103 | -65 | -105 |
| Cash flow from financing activities | -85 | -5 | -1,258 | -1,178 |
| Other | 0 | 0 | 0 | 0 |
| Cash flow for the period | 22 | 38 | -28 | -12 |
| Operating cash flow, excluding effect of IFRS 16 | 56 | 92 | 821 | 857 |
| Free cash flow, excluding effect of IFRS 16 | 6 | -4 | 658 | 648 |
Free cash flow for the period amounted to SEK 171 million (147). The year-on-year increase in free cash flow was mainly the result of lower tax expense, and cash flow from investments in fixed assets.
Financial position
| 2021 31 Mar |
2021 31 Mar |
2020 31 Mar |
2020 31 Mar |
2020 31 Dec |
2020 31 Dec |
|
|---|---|---|---|---|---|---|
| SEK million | excl. IFRS 16 excl. IFRS 16 |
excl. IFRS 16 | ||||
| Net interest-bearing debt* | 8,845 | 2,807 | 8,217 | 3,284 | 8,375 | 2,672 |
| Rolling 12 months adjusted EBITDA* | 1,644 | 810 | 1,571 | 831 | 1,663 | 862 |
| Net debt/Rolling 12 months adjusted EBITDA | 5.4 | 3.5 | 5.2 | 4.0 | 5.0 | 3.1 |
At 31 March 2021, net interest-bearing debt amounted to SEK 8,845 million (8,217) or 5.4 times 12 months adjusted EBITDA. Indebtedness, excluding the effect of IFRS 16, declined SEK 477 million to SEK 2,807 million, or 3.5 times (4.0) 12-months adjusted EBITDA.
* Alternative performance measures. For reconciliation of financial statements to IFRS, purpose and definition, seeambea.com/investor-relations/reports-and-presentations/
Vardaga
At Vardaga's just over 100 residential care facilities across Sweden, we offer 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.
The quarter
Net sales declined 5 per cent year-on-year to SEK 859 million (909).
Net sales in Own Management amounted to SEK 554 million (561), down 1 per cent, due to lower occupancy rates and thereby a weaker level of occupancy in Vardaga's units.
Net sales in Contract Management amounted to SEK 305 million (348). The 12 per cent decline was due to previously terminated contracts.
Adjusted EBITA declined 48 per cent to SEK 25 million (48). During the quarter, earnings were adversely impacted by lower occupancy rates due to the coronavirus pandemic and costs related to the previous opening of new units. During the quarter, Vardaga received retroactive reimbursement of approx. SEK 20 million for additional costs incurred due to the COVID-19 situation.
The adjusted EBITA margin was 2.9 per cent (5.3). The lower margin was the result of lower occupancy due to the COVID-19 situation.
Vardaga adjusted EBITA margin RTM %

| 2021 | 2020 | ∆ | 2020 | ||
|---|---|---|---|---|---|
| SEK million | Jan-Mar | Jan-Mar | % | R12 | Full-year |
| Net sales | 859 | 909 | -5 | 3,447 | 3,497 |
| Adjusted EBITA* | 25 | 48 | -48 | 131 | 154 |
| Operating margin, adjusted EBITA (%)* | 2.9 | 5.3 | 3.8 | 4.4 | |
| Operating margin, adjusted EBITA mature units (%)* | 7.2 | 9.8 | 8.4 | 9.1 |
* Alternative performance measures.
Nytida
Nytida provides support and care for children, young people and adults with lifelong disabilities and psychosocial problems. We offer 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.
The quarter
Net sales rose 1 per cent to SEK 919 million (912).
Net sales in Own Management amounted to SEK 764 million (781), down 2 per cent, and the result of lower occupancy in units in the Individual and Family segment.
Net sales in Contract Management amounted to SEK 155 million (131). The 19 per cent increase was due to start-ups of previously won contracts. During the quarter, Nytida was awarded new contracts corresponding to an annual volume of SEK 2 million.
Adjusted EBITA declined 12 per cent to SEK 114 million (129). Earnings were negatively impacted by the lower occupancy and correspondingly lower staff efficiency. The reimbursement of costs arising from the COVID-19 situation had a positive impact on earnings.
The adjusted EBITA margin was 12.4 per cent (14.1).
During the quarter, six units in residential and day services for adults with disabilities were acquired from LSS Omsorgen. The acquisition was completed on 1 February 2021. Read more on page 23.
Nytida adjusted EBITA margin RTM %

| 2021 | 2020 | ∆ | 2020 | ||
|---|---|---|---|---|---|
| SEK million | Jan-Mar | Jan-Mar | % | R12 | Full-year |
| Net sales | 919 | 912 | 1 | 3,709 | 3,701 |
| Adjusted EBITA* | 114 | 129 | -12 | 589 | 604 |
| Operating margin, adjusted EBITA (%)* | 12.4 | 14.1 | 15.9 | 16.3 |
Stendi
Stendi is the largest care provider in Norway and runs nationwide operations in support and residential care for adults, children and young people. We also offer personal assistance, elderly care and home care. We have about 5,000 employees and more than 400 units across Norway.
The quarter
Net sales declined 4 per cent to SEK 731 million (761). In local currency, sales declined 1 per cent year-on-year.
Net sales in Own Management amounted to SEK 674 million (686), down 1 per cent.
Net sales in Contract Management amounted to SEK 57 million (75), where the lower sales were due to elderly care contracts that were previously handed back.
Adjusted EBITA amounted to SEK 15 million (13). The improved earnings were mainly the result of lower employee costs and higher staffing efficiency, due to the ongoing introduction of Ambea's operations management model. The COVID-19 situation had a negative impact on earnings. Stendi's earnings are expected to be pressured by continued high employee costs due to the third wave of virus spread in the second quarter.
The adjusted EBITA margin was 2.1 per cent (1.7).

| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
∆ % |
R12 | 2020 Full-year |
|---|---|---|---|---|---|
| Net sales | 731 | 761 | -4 | 2,945 | 2,975 |
| Adjusted EBITA* | 15 | 13 | 15 | 139 | 137 |
| Operating margin, adjusted EBITA (%)* | 2.1 | 1.7 | 4.7 | 4.6 |
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 secure environment with a focus on development.
The quarter
Net sales declined 11 per cent to SEK 151 million (169). Sales declined 7 per cent in local currency.
Net sales in Own Management amounted to SEK 60 million (57). The higher sales were attributable to increased occupancy.
Net sales in Contract Management amounted to SEK 91 million (112), where the lower net sales were attributable to previously handed back contracts. During the quarter, Altiden was awarded a new management contract for two nursing homes in Frederiksberg Municipality with a total annual volume of SEK 163 million. The units are scheduled to start up in the second quarter of 2021 and the first quarter of 2022.
Adjusted EBITA amounted to SEK 1 million (-3). Adjusted EBITA was positively impacted by increased occupancy.
The adjusted EBITA margin was 0.7 per cent (-1.6).
After the end of the quarter, Altiden completed the acquisition of Ekkofondens omsorgsverksamhet, which provides residential services for young people and adults with disabilities. EKKOfonden is one of the largest social care providers in Denmark, with operations across the entire country.


| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
∆ % |
R12 | 2020 Full-year |
|---|---|---|---|---|---|
| Net sales | 151 | 169 | -11 | 645 | 663 |
| Adjusted EBITA* | 1 | -3 | – | -10 | -14 |
| Operating margin, adjusted EBITA (%)* | 0.7 | -1.6 | -1.5 | -2.1 |
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 offer ambulatory care teams and temporary doctors, nurses and other care workers, in Sweden.
The quarter
Net sales rose 17 per cent to SEK 89 million (76). The increase was due to a positive trend for Klara Team, which offers ambulatory care teams, and for temporary nursing staff.
Adjusted EBITA was SEK 6 million (6), representing a margin of 6.7 per cent (7.9). The trend was positively impacted by increased sales of temporary nursing staff, but negatively impacted by lower profitability for Klara Team.

| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
∆ % |
R12 | 2020 Full-year |
|---|---|---|---|---|---|
| Net sales | 89 | 76 | 17 | 341 | 328 |
| Adjusted EBITA* | 6 | 6 | – | 27 | 26 |
| Operating margin, adjusted EBITA (%)* | 6.7 | 7.9 | 7.9 | 7.9 |
* Alternative performance measures.
Operational key figures
| SEK million | 2020 Q1 |
2020 Q2 |
2020 Q3 |
2020 Q4 |
2021 Q1 |
|---|---|---|---|---|---|
| Ambea | |||||
| Number of beds and placements in operation under own management on the closing date |
8,832 | 9,089 | 9,036 | 9,160 | 9,170 |
| Number of beds and placements opened under own management (RTM) | 600 | 668 | 610 | 643 | 531 |
| Number of beds and placements under own management under construction | 2,181 | 2,057 | 1,950 | 1,931 | 1,916 |
| Net won/lost management contracts, SEK million* | 157 | -90 | - | 33 | 165 |
| Vardaga | |||||
| Number of beds in operation under own management | 2,661 | 2,848 | 2,792 | 2,885 | 2,884 |
| Number of beds opened under own management (RTM) | 521 | 564 | 504 | 511 | 395 |
| Number of beds under own management under construction | 1,867 | 1,790 | 1,686 | 1,628 | 1,629 |
| Net won/lost management contracts, SEK million* | 157 | -24 | - | - | - |
| Nytida | |||||
| Number of beds and placements in operation under own management | 5,150 | 5,220 | 5,220 | 5,275 | 5,280 |
| Number of beds and placements opened under own management (RTM) | 71 | 104 | 98 | 124 | 123 |
| Number of beds and placements under own management under construction | 237 | 190 | 187 | 151 | 140 |
| Net won/lost management contracts, SEK million* | - | -9 | - | 33 | 2 |
| Stendi | |||||
| Number of beds in operation under own management | 871 | 871 | 866 | 842 | 843 |
| Number of beds opened under own management (RTM) | 3 | - | - | - | - |
| Number of placements under own management under construction | - | - | - | - | - |
| Net won/lost management contracts, SEK million* | - | - | - | - | - |
| Altiden | |||||
| Number of beds and placements in operation under own management | 150 | 150 | 158 | 158 | 163 |
| Number of beds opened under own management (RTM) | 5 | - | 8 | 8 | 13 |
| Number of beds and placements under own management under construction | 77 | 77 | 77 | 152 | 147 |
| Net won/lost management contracts, SEK million** | - | -57 | - | - | 163 |
| Announced home care contracts to be retaken | - | - | - | - | -88 |
* Includes announced management contracts to be retaken.
** Excluding announced home care contracts to be retaken.
Other events
Legal proceeding regarding social security costs for temporary staff in Norway
Since the first quarter of 2019, through the acquisition of the Aleris Omsorg operations, Ambea has been involved in an ongoing legal proceeding in Norway regarding costs for temporary staff. Ambea's exposure due to this procedure is limited to NOK 30 million, which has been reserved as a provision in the combined companies' balance sheet.
In the third quarter of 2019, the District Court handed down its decision. Of the 24 parties involved in the legal proceeding, two were considered entitled to social security benefits for previously delivered services. Due to the acquisition of Aleris Omsorg, Ambea continued its efforts to reduce the use of consultants and use the company's permanent employees as a general rule. In the first half of 2021, the case will proceed in a higher court, since both the counterparty and Ambea have appealed the decision.
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 against 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.
Legal dispute in Norway
In the fourth quarter of 2019, lawsuits were filed against Ambea citing the previously communicated irregularities in Norway, which are described in the Q1 report for 2019. The dispute concerns circumstances that existed prior to the acquisition of Aleris Omsorg's operations in Norway, and estimated costs associated with the case have already been reserved in the combined companies' balance sheet.
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
After the end of the quarter, Ambea acquired EKKOfondens omsorgsverksamhet, which offers residential facilities for adults with disabilities across Denmark. Read more on page 8.
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. Most of the public holidays in countries where the company operates normally fall in the second quarter. In some years, Easter may fall in the first quarter and then affect its profitability. Christmas and New Year affect the first and fourth quarters.
The company's personnel costs are affected in a similar manner 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 period, the average number of full-time employees (FTEs) was 13,117 (13,322). This report uses an improved methodology to calculate the average number of employees during the period and for the comparative period, see Note 1.
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 49–50 of the 2020 Annual Report.
Key judgements and estimates
For information about key judgements and estimates in this interim report, refer to Note G32 in the company's 2020 Annual Report.
Other information
The company's auditors have not reviewed this report.
The Board of Director's assurance
The Board of Directors and President hereby provide their assurance that this interim report provides a true and fair view of the operations, financial 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, 3 May 2021
Lena Hofsberger Chair of the Board
Daniel Björklund Lars Gatenbeck
Liselott Kilaas Gunilla Rudebjer Mikael Stöhr
Patricia Briceño Charalampos Kalpakas Magnus Sällström Employee representative Employee representative Employee representative
Mark Jensen President and CEO
Presentation of the first quarter of 2021
Ambea will hold a presentation for the financial market, with the possibility to participate by teleconference, at 10:00 a.m. CEST on Tuesday, 4 May 2021. The presentation will be held in English, and be available as a webcast at ambea.se
Call-up information
To make sure the hook-up to the conference call works, please call at least ten minutes before the conference call's start time to register, and give the passcode 5995059.
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 & Investor Relations E-mail: [email protected]
Forthcoming report occasions
| Annual General Meeting | 12 May 2021 |
|---|---|
| Q2 interim report 2021 | 23 July 2021 |
| Q3 interim report for 2021 | 4 November 2021 |
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 offer 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. www.ambea.se
Consolidated earnings in summary
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Operating income | ||||
| Net sales | 2,727 | 2,811 | 10,999 | 11,083 |
| Other operating income | 48 | 21 | 149 | 122 |
| Total operating income | 2,775 | 2,832 | 11,147 | 11,205 |
| Operating expenses Consumables |
-83 | -92 | -350 | -358 |
| Other external costs | -303 | -316 | -1,246 | -1,260 |
| Personnel costs | -2,030 | -2,062 | -7,942 | -7,973 |
| Depreciation, amortisation and impairment of fixed assets | -232 | -218 | -910 | -896 |
| Other operating expenses | -1 | -0 | -2 | -1 |
| Operating expenses | -2,650 | -2,688 | -10,449 | -10,488 |
| Operating profit | 125 | 144 | 698 | 717 |
| Financial income | 1 | 0 | -2 | 1 |
| Financial expenses | -67 | -64 | -263 | -261 |
| Net financial items | -67 | -64 | -263 | -260 |
| Profit after net financial items | 59 | 80 | 435 | 457 |
| Profit before tax | 59 | 80 | 435 | 457 |
| Tax on profit for the period | -12 | -18 | -92 | -97 |
| Profit for the period | 46 | 62 | 343 | 359 |
| Profit for the period attributable to shareholders of the Parent Company | 46 | 62 | 343 | 359 |
| Earnings per share before dilution, SEK | 0.49 | 0.65 | 3.21 | 3.80 |
| Earnings per share after dilution, SEK | 0.49 | 0.65 | 3.21 | 3.80 |
Consolidated statement of comprehensive income in summary
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Profit for the period after tax | 46 | 62 | 343 | 359 |
| Other comprehensive income, items not transferable to profit or loss Remeasurement of defined-benefit pension plans |
– | – | -6 | -6 |
| Tax related to remeasurement of defined-benefit pension plans | – | – | 1 | 1 |
| Total items not transferable to profit or loss | – | – | -5 | -5 |
| Other comprehensive income, items transferable to profit or loss | ||||
| Translation differences | 68 | -78 | 51 | -95 |
| Hedging of net investments in foreign operations | -31 | 44 | -29 | 46 |
| Cash flow hedges | -4 | -9 | -4 | -9 |
| Cash flow hedge reserve | -2 | 0 | -1 | 1 |
| Incentive programmes | 1 | – | 1 | – |
| Tax | 7 | -9 | 8 | -8 |
| Total items transferable to profit or loss | 39 | -52 | 25 | -65 |
| Total other comprehensive income | 39 | -52 | 20 | -69 |
| Total comprehensive income for the period | 86 | 10 | 363 | 290 |
| Comprehensive income for the period attributable to shareholders of the Parent Company | 86 | 10 | 363 | 290 |
Earnings per share
| 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|
|---|---|---|---|---|
| Profit for the period attributable to shareholders of the Parent Company, SEK million | 46 | 62 | 343 | 359 |
| Earnings per share before dilution Average number of shares, thousands Earnings per share before dilution, SEK |
94,484 0.49 |
94,437 0.65 |
94,478 3.64 |
94,466 3.80 |
| Earnings per share after dilution Average number of shares, thousands Earnings per share after dilution, SEK |
94,557 0.49 |
94,599 0.65 |
94,551 3.64 |
94,531 3.80 |
Consolidated balance sheet in summary
| SEK million | 2021 31 Mar |
2020 31 Mar |
2020 31 Dec |
|---|---|---|---|
| Assets | |||
| Fixed assets | |||
| Goodwill | 6,624 | 6,540 | 6,508 |
| Customer contracts and customer relationships | 483 | 572 | 496 |
| Other intangible assets | 26 | 24 | 27 |
| Right-of-use assets | 6,026 | 4,905 | 5,675 |
| Tangible assets | 303 | 263 | 270 |
| Derivative instruments | 0 | 0 | 2 |
| Deferred tax assets | 90 | 52 | 72 |
| Non-current receivables | 101 | 101 | 99 |
| Total fixed assets | 13,653 | 12,457 | 13,148 |
| Current assets | |||
| Accounts receivable | 1,044 | 1,035 | 1,078 |
| Other receivables | 114 | 113 | 93 |
| Prepaid expenses and accrued income | 334 | 274 | 291 |
| Cash and cash equivalents | 39 | 88 | 25 |
| Total current assets excluding assets held for sale | 1,531 | 1,511 | 1,487 |
| Assets held for sale | 75 | 81 | 83 |
| Total current assets | 1,606 | 1,592 | 1,570 |
| Total assets | 15,259 | 14,048 | 14,718 |
Consolidated balance sheet in summary – continuation
| SEK million | 2021 31 Mar |
2020 31 Mar |
2020 31 Dec |
|---|---|---|---|
| Equity and liabilities | |||
| Equity | |||
| Share capital | 2 | 2 | 2 |
| Other capital contributions | 6,167 | 6,165 | 6,167 |
| Reserves | -42 | -69 | -82 |
| Retained earnings, including profit for the year | -1,715 | -2,052 | -1,762 |
| Total equity attributable to shareholders of the Parent Company | 4,411 | 4,046 | 4,326 |
| Non-controlling interests | – | – | – |
| Total equity | 4,411 | 4,046 | 4,326 |
| Non-current liabilities | |||
| Non-current interest-bearing liabilities | 915 | 1,442 | 766 |
| Lease liabilities | 5,500 | 4,374 | 5,167 |
| Derivative instruments | 10 | – | 7 |
| Pension provisions | 46 | 33 | 38 |
| Other provisions | 36 | 33 | 38 |
| Deferred tax liabilities | 199 | 167 | 186 |
| Total non-current liabilities | 6,705 | 6,050 | 6,203 |
| Current liabilities | |||
| Commercial papers | 1,783 | 1,867 | 1,813 |
| Lease liabilities | 685 | 622 | 655 |
| Accounts payable | 236 | 237 | 311 |
| Tax liabilities | 55 | 23 | 80 |
| Other non-interest-bearing liabilities | 137 | 170 | 182 |
| Accrued expenses and deferred income | 1,247 | 1,034 | 1,149 |
| Total current liabilities | 4,143 | 3,953 | 4,190 |
| Total equity and liabilities | 15,259 | 14,048 | 14,718 |
Consolidated statement of changes in equity in summary
| 2021 | 2020 | 2020 | |
|---|---|---|---|
| SEK million | Jan-Mar | Jan-Mar | Jan-Dec |
| Opening balance | 4,326 | 4,036 | 4,036 |
| Comprehensive income | 86 | 10 | 290 |
| Closing balance | 4,411 | 4,046 | 4,326 |
Consolidated cash flow statement in summary
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Operating activities | ||||
| Profit before financial items | 125 | 144 | 698 | 717 |
| Depreciation, amortisation and impairment losses | 232 | 218 | 910 | 896 |
| Capital gains/losses | 0 | 0 | 0 | 0 |
| Changes in provisions | -3 | -8 | 19 | 14 |
| Total non-cash items | 229 | 210 | 928 | 909 |
| Net interest paid | -65 | -60 | -258 | -253 |
| Tax paid | -365 | -625 | -576 | -835 |
| Cash flow from operating activities before changes in working capital | 253 | 231 | 1,311 | 1,289 |
| Cash flow from changes in working capital | ||||
| Decrease/increase in receivables | 1 | -31 | -39 | -70 |
| Decrease/increase in current liabilities | -72 | -26 | 126 | 173 |
| Cash flow from operating activities | 182 | 175 | 1,399 | 1,392 |
| Investing activities | ||||
| Acquisition of tangible assets | -17 | -25 | -105 | -112 |
| Acquisition of intangible assets | -1 | -2 | -12 | -12 |
| Sale of fixed assets | 8 | – | 13 | 4 |
| Free cash flow | 172 | 148 | 1,295 | 1,271 |
| Acquisition of subsidiaries | -64 | -103 | -65 | -105 |
| Acquisition of financial assets | -1 | -1 | 0 | -0 |
| Cash flow from investing activities | -75 | -131 | -169 | -225 |
| Cash flow after investments | 107 | 44 | 1,230 | 1,167 |
| Financing activities | ||||
| Loans raised | 1,534 | 720 | 6,851 | 6,037 |
| Repayment of debt | -1,564 | -809 | -6,945 | -6,189 |
| Repayment of lease liability | -172 | -150 | -645 | -623 |
| Net change in checking account | 122 | 234 | -515 | -403 |
| Cost of derivative raised | -5 | – | -5 | – |
| Cash flow from financing activities | -85 | -5 | -1,258 | -1,178 |
| Cash flow for the period | 22 | 38 | -28 | -12 |
| Cash and cash equivalents on the opening date | 25 | 52 | 88 | 52 |
| Exchange rate differences | -8 | -2 | -21 | -14 |
| Cash and cash equivalents on the closing date | 39 | 88 | 39 | 25 |
Parent Company income statement in summary
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Income Net sales |
1 | 1 | 8 | 8 |
| Total income | 1 | 1 | 8 | 8 |
| Operating expenses Other external costs |
-3 | -2 | -9 | -9 |
| Personnel costs | -2 | -3 | -13 | -14 |
| Amortisation of intangible assets | -0 | -0 | -0 | -0 |
| Operating expenses | -5 | -6 | -22 | -23 |
| Operating loss | -4 | -5 | -14 | -15 |
| Financial items | -3 | -6 | -27 | -29 |
| Loss after financial items | -7 | -11 | -41 | -44 |
| Appropriations | – | – | 96 | 96 |
| Profit/loss before tax | -7 | -11 | 55 | 51 |
| Tax on profit for the period | – | – | -11 | -11 |
| Profit/loss for the period | -7 | -11 | 44 | 40 |
Parent Company balance sheet in summary
| SEK million | 2021 31 Mar |
2020 31 Mar |
2020 31 Dec |
|---|---|---|---|
| Assets | |||
| Intangible assets | |||
| Software | 1 | 1 | 1 |
| Financial assets | |||
| Participations in Group companies | 7,211 | 7,209 | 7,210 |
| Derivative assets | 3 | 3 | 4 |
| Total fixed assets | 7,215 | 7,213 | 7,215 |
| Current assets | |||
| Receivables from Group companies | 3,346 | 3,588 | 3,156 |
| Other receivables | 13 | 17 | 16 |
| Prepaid expenses and accrued income | 8 | 15 | 8 |
| Cash and bank balances | 0 | 0 | 0 |
| Total current assets | 3,368 | 3,620 | 3,180 |
| Total assets | 10,583 | 10,833 | 10,394 |
| Equity and liabilities | |||
| Share capital | 2 | 2 | 2 |
| Statutory reserve | 0 | 0 | 0 |
| Total restricted equity | 3 | 3 | 3 |
| Share premium reserve | 1,406 | 1,404 | 1,404 |
| Retained earnings | 1,909 | 1,869 | 1,869 |
| Profit/loss for the period | -7 | -11 | 40 |
| Total non-restricted equity | 3,307 | 3,262 | 3,313 |
| Total equity | 3,310 | 3,264 | 3,316 |
| Untaxed reserves | 50 | 33 | 50 |
| Non-current liabilities | |||
| Liabilities to credit institutions | 933 | 1,480 | 814 |
| Total non-current liabilities | 933 | 1,480 | 814 |
| Current liabilities | |||
| Commercial papers | 1,783 | 1,867 | 1,813 |
| Accounts payable | 0 | 1 | 4 |
| Tax liabilities | 11 | 21 | 32 |
| Liabilities to Group companies | 4,482 | 4,156 | 4,352 |
| Other liabilities | 1 | 0 | 0 |
| Accrued expenses and deferred income | 12 | 11 | 12 |
| Total current liabilities | 6,290 | 6,057 | 6,214 |
| Total equity and liabilities | 10,583 | 10,833 | 10,394 |
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, with exception for the reclassification of Klara's income, which is described below.
Reclassification of Klara's income
In 2021, the Klara segment's income was reclassified Income previously classified as other income is now classified as net sales, since it is considered income earned from the segment's core business activities. To facilitate comparability with earlier periods, these figures have been adjusted, where appropriate, using the same methodology.
New or revised IFRSs as of 2021
None of the new or revised standards or interpretations that were applicable from 1 January 2021 had any material impact on the financial statements of the Group or the Parent Company. No new or revised standards have been adopted in advance.
Alternative performance measures
In 2019, alternative performance measures were presented that were adjusted for the effects of the implementation of IFRS 16 to enable a comparison with 2018. As comparability exists between 2021 and 2020, no such adjusted measures are now presented, except for Net debt/Rolling 12 months adjusted EBITDA, which pertains to covenants for the revolving credit facility and the Group's EBITA and EBITDA results.
Change in calculation method for the average number of employees (FTE)
This interim report uses an improved methodology in the calculation of the average number of employees. To facilitate comparability with previous periods, this figure has been restated using the same methodology.
NOTE 2 Segment information
Ambea's operations consist of the following segments:
Vardaga
Comprises nursing homes, short-term residential facilities, home care and day services for the elderly in Sweden.
Nytida
Comprises residential facilities, day services, support for individuals and families, and schools for children, young people and adults with disabilities or psychosocial problems in Sweden.
Stendi
Comprises support for children, young people and adults by offering 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 subscription services for ambulatory care teams and supply of temporary doctors and nurses in Sweden.
Quarterly overview
| SEK million | 2019 Q1 |
2019 Q2 |
2019 Q3 |
2019 Q4 |
2020 Q1 |
2020 Q2 |
2020 Q3 |
2020 Q4 |
2021 Q1 |
|---|---|---|---|---|---|---|---|---|---|
| Net sales | |||||||||
| Vardaga | 796 | 879 | 904 | 915 | 909 | 862 | 860 | 867 | 859 |
| Nytida | 873 | 940 | 932 | 919 | 912 | 928 | 915 | 946 | 919 |
| Stendi | 671 | 853 | 813 | 770 | 761 | 756 | 733 | 726 | 731 |
| Altiden | 97 | 129 | 127 | 131 | 169 | 170 | 166 | 158 | 151 |
| Klara | 89 | 87 | 82 | 85 | 76 | 80 | 82 | 89 | 89 |
| Group adjustments | -10 | -11 | -14 | -16 | -16 | -20 | -23 | -22 | -23 |
| Ambea | 2,516 | 2,877 | 2,843 | 2,804 | 2,811 | 2,776 | 2,732 | 2,764 | 2,727 |
| Adjusted EBITA | |||||||||
| Vardaga | 52 | 34 | 82 | 39 | 48 | 15 | 50 | 42 | 25 |
| Nytida | 103 | 115 | 174 | 120 | 129 | 138 | 177 | 159 | 114 |
| Stendi | -12 | 33 | 61 | -2 | 13 | 31 | 79 | 15 | 15 |
| Altiden | 3 | -3 | -8 | 0 | -3 | -7 | 11 | -16 | 1 |
| Klara | 5 | 6 | 7 | 7 | 6 | 5 | 8 | 7 | 6 |
| Unallocated items | -4 | -10 | -4 | -10 | -6 | -8 | -7 | -7 | -10 |
| Ambea | 147 | 175 | 312 | 154 | 187 | 174 | 319 | 200 | 152 |
NOTE 2 Segment information – continuation
January-March 2021
| Unallocat | Group | |||||||
|---|---|---|---|---|---|---|---|---|
| SEK million | Vardaga | Nytida | Stendi | Altiden | Klara | ed items* | adjustments | Group |
| Operating income | ||||||||
| Net sales | 859 | 919 | 731 | 151 | 89 | – | -23 | 2,727 |
| Other operating income | 28 | 7 | 3 | 4 | – | 7 | – | 48 |
| Internal transactions | – | – | – | – | -23 | – | 23 | – |
| Total income from external customers | 886 | 927 | 734 | 155 | 66 | 7 | – | 2,775 |
| EBITA | 25 | 114 | 15 | 1 | 6 | -10 | – | 151 |
| EBITA margin, % | 2.9 | 12.4 | 2.1 | 0.7 | 6.7 | – | – | 5.6 |
| Items affecting comparability | – | – | – | – | – | – | – | – |
| Adjusted EBITA | 25 | 114 | 15 | 1 | 6 | -10 | – | 151 |
| Adjusted EBITA margin, % | 2.9 | 12.4 | 2.1 | 0.7 | 6.7 | – | – | 5.6 |
| Amortisation of intangible assets | -27 | |||||||
| Operating profit (EBIT) | 125 | |||||||
| Net financial items | -67 | |||||||
| Profit after net financial items | 59 | |||||||
| Profit before tax | 59 | |||||||
| Tax on profit for the period | -12 | |||||||
| Profit for the period | 46 | |||||||
| Assets | 6,639 | 5,836 | 1,975 | 444 | 179 | 186 | – | 15,259 |
January-March 2020
| Unallocat | Group | |||||||
|---|---|---|---|---|---|---|---|---|
| SEK million | Vardaga | Nytida | Stendi | Altiden | Klara | ed items* | adjustments | Group |
| Operating income Net sales |
909 | 912 | 761 | 169 | 76 | – | -16 | 2,811 |
| Other operating income | 8 | 6 | 3 | 0 | – | 4 | – | 21 |
| Internal transactions | – | – | – | – | -16 | – | 16 | – |
| Total income from external customers | 917 | 917 | 764 | 169 | 60 | 4 | – | 2,832 |
| EBITA | 48 | 129 | -1 | -3 | 6 | -6 | – | 173 |
| EBITA margin, % | 5.3 | 14.1 | -0.1 | -1.8 | 7.9 | – | – | 6.2 |
| Items affecting comparability | – | – | 14 | – | – | – | – | 14 |
| Adjusted EBITA | 48 | 129 | 13 | -3 | 6 | -6 | – | 187 |
| Adjusted EBITA margin, % | 5.3 | 14.1 | 1.8 | -1.8 | 7.9 | – | – | 6.7 |
| Amortisation of intangible assets | -29 | |||||||
| Operating profit (EBIT) | 144 | |||||||
| Net financial items | -64 | |||||||
| Profit after net financial items | 80 | |||||||
| Profit before tax | 80 | |||||||
| Tax on profit for the period | -18 | |||||||
| Profit for the period | 62 | |||||||
| Assets | 5,471 | 5,829 | 1,895 | 479 | 180 | 194 | – | 14,048 |
* The 'Unallocated items' column consists of centrally approved costs for general central administration, restructures and acquisitions.
| NOTE 3 Revenue from Contracts with Customers (January-March) | |||||
|---|---|---|---|---|---|
| -- | -- | -- | -------------------------------------------------------------- | -- | -- |
| Vardaga | Nytida | Stendi | Altiden | Klara | Group eliminations |
Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SEK million | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 |
| Own Management |
554 | 561 | 764 | 781 | 674 | 686 | 60 | 57 | – | – | – | – | 2,052 | 2,085 |
| Contract Management |
305 | 348 | 155 | 131 | 57 | 75 | 91 | 112 | – | – | – | – | 608 | 666 |
| Staffing | – | – | – | – | – | – | – | – | 89 | 76 | -23 | -16 | 67 | 60 |
| Total | 859 | 909 | 919 | 912 | 731 | 761 | 151 | 169 | 89 | 76 | -23 | -16 | 2,727 | 2,811 |
Note 4 Items affecting comparability
| 2021 | 2020 | 2020 | ||
|---|---|---|---|---|
| SEK million | Jan-Mar | Jan-Mar | R12 | Jan-Dec |
| Restructuring and acquisition-related items | – | -14 | -36 | -50 |
| Total items affecting comparability | – | -14 | -36 | -50 |
Items affecting comparability in 2020 relate to the restructuring programme in Norway, which was announced in the year-end report for 2019.
Note 5 Business combinations
During the quarter, six units in residential and day services for adults with disabilities in Sweden were acquired from LSS Omsorgen.
Ambea also concluded an agreement to acquire EKKOfondens omsorgsverksamhet, which offers residential facilities for adults with disabilities across Denmark.
The takeover took the form of an asset acquisition in the second quarter.
Effect on financial position
| SEK million | 2021 | |
|---|---|---|
| Identifiable intangible assets | – | |
| Identifiable net assets excl. intangible assets | 34 | |
| Group goodwill | 31 | |
| Total consideration (price of shares) | 65 | |
| Cash (acquired) | 2 | |
| Net cash outflow | 63 |
The acquisition was completed on 1 February 2021 for a consideration of approximately SEK 65 million. The acquisition generated goodwill of SEK 31 million, corresponding to the difference between the consideration paid and the net identifiable assets acquired. The acquisition analysis is preliminary since intangible assets are undergoing valuation. Since the acquisition date, LSS Omsorgen has contributed SEK 9 million to net sales, and SEK 2 million to profit before tax. If the acquisition had taken place on 1 January 2021, the company would have contributed SEK 14 million to net sales and SEK 3 million to profit before tax.
Distribution of net assets at the acquisition date
| SEK million | 2021 |
|---|---|
| Tangible assets | 32 |
| Right-of-use assets | 58 |
| Accounts receivable and other receivables | 8 |
| Cash and cash equivalents | 2 |
| Lease liabilities | -58 |
| Accounts payable and other liabilities | -7 |
| Net identifiable assets and liabilities | 34 |
NOTE 5 Business combinations – continuation
| Acquisitions and divestments during the year | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Date | Acquisitions | Divestments | Operations | Segments | Annual sales | |||||
| 1 Feb 2021 | LSS Omsorgen | Residential services for people with disabilities | Nytida | SEK 57 million |
NOTE 6 Fair value of financial instruments in the fair value hierarchy
| Classification in the fair value hierarchy | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | |||||||
| 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | 2021 | 2020 | ||
| SEK million | 31 Mar | 31 Mar | 31 Mar | 31 Mar | 31 Mar | 31 Mar | 31 Mar | 31 Mar | |
| Assets Interest-rate derivatives |
0 | 0 | – | – | 0 | 0 | – | – | |
| Liabilities Interest-rate derivatives |
10 | 9 | – | – | 10 | 9 | – | – |
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 three-year maturities. In the second quarter of 2020, these were extended to four years and will mature in 2024. In total, 60 per cent of the interest-rate risk was hedged with interest-rate derivatives on the balance-sheet date.
Derivatives are classified as Level 2 assets in the fair value hierarchy. The change in fair value of the interest rate cap and interest-rate swap is recognised in other comprehensive income and charged against other comprehensive income. Ambea uses standard bank pricing models for the valuation of purchased interest-rate caps and interest-rate swaps. The valuation is based on the bank's standard pricing model and methodology. The valuation is based on the bank's average price.
Note 7 Pledged assets and contingent liabilities
| 2021 | 2020 | 2020 | |
|---|---|---|---|
| SEK million | 31 Mar | 31 Mar | 31 Dec |
| Leased assets | 115 | 60 | 115 |
| Chattel mortgages | - | 7 | 1 |
| Real estate mortgages | - | 9 | - |
| Total pledged assets | 115 | 76 | 116 |
NOTE 8 Reconciliation of financial statements
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Growth/Acquired growth | ||||
| Net sales growth (%) | -3 | 12 | -1 | 0 |
| Of which acquired growth (%) | 0 | 13 | 1 | 4 |
| Of which currency effect (%) | -1 | -1 | -3 | -3 |
| Of which organic growth (%) | -2 | 0 | 1 | -1 |
| Operating margin (EBIT) | ||||
| Net sales | 2,727 | 2,811 | 10,999 | 11,083 |
| Operating profit (EBIT) | 125 | 144 | 698 | 717 |
| Operating margin, EBIT (%) | 4.6 | 5.1 | 6.3 | 6.5 |
| EBITA and adjusted EBITA | ||||
| Operating profit (EBIT) | 125 | 144 | 698 | 717 |
| Amortisation and impairment of intangible assets | 27 | 29 | 109 | 112 |
| EBITA | 152 | 173 | 807 | 829 |
| Items affecting comparability | – | 14 | 36 | 50 |
| Adjusted EBITA | 152 | 187 | 844 | 879 |
| Net sales | 2,727 | 2,811 | 10,999 | 11,083 |
| EBITA margin (%) | 5.6 | 6.2 | 7.3 | 7.5 |
| Adjusted EBITA margin (%) | 5.6 | 6.7 | 7.7 | 7.9 |
| EBITDA and adjusted EBITDA | ||||
| Operating profit (EBIT) | 125 | 144 | 698 | 717 |
| Depreciation, amortisation and impairment of assets | 232 | 218 | 910 | 896 |
| EBITDA | 357 | 362 | 1,608 | 1,613 |
| Items affecting comparability | – | 14 | 36 | 50 |
| Adjusted EBITDA | 357 | 376 | 1,644 | 1,663 |
| EBITDA and adjusted EBITDA excluding IFRS 16 | ||||
| Operating profit (EBIT) | 125 | 144 | 698 | 717 |
| Depreciation, amortisation and impairment of assets | 232 | 218 | 910 | 896 |
| Additional: Rental payments | -221 | -188 | -831 | -798 |
| Additional: Capital gain/loss from terminated agreements | – | – | -3 | -3 |
| Net effect of IFRS 16 on EBITDA | -221 | -188 | -834 | -802 |
| EBITDA excluding effect of IFRS 16 | 136 | 174 | 773 | 811 |
| Items affecting comparability | – | 14 | 36 | 50 |
| Adjusted EBITDA excl. IFRS 16 | 136 | 188 | 810 | 861 |
| EBITA and adjusted EBITA excl. IFRS 16 | ||||
| Operating profit (EBIT) | 125 | 144 | 698 | 717 |
| Amortisation and impairment of intangible assets | 27 | 29 | 109 | 112 |
| EBITA | 152 | 173 | 807 | 829 |
| Less, amortisation IFRS 16 | 177 | 163 | 696 | 682 |
| Additional: Rental payments | -221 | -188 | -831 | -798 |
| Additional: Capital gain/loss from terminated agreements | – | – | -3 | -3 |
| Net effect of IFRS 16 on EBITA | -44 | -25 | -138 | -120 |
| EBITA excluding effect of IFRS 16 | 108 | 148 | 669 | 709 |
| Items affecting comparability | – | 14 | 36 | 50 |
| Adjusted EBITA excluding IFRS 16 | 108 | 162 | 706 | 759 |
| EBITA margin, excluding IFRS 16 | 4.0 | 5.3 | 6.1 | 6.4 |
| Adjusted EBITA margin, excluding IFRS 16 | 4.0 | 5.8 | 6.4 | 6.9 |
NOTE 8 Reconciliation of financial statements – continued
| SEK million | 2021 Jan-Mar |
2020 Jan-Mar |
R12 | 2020 Jan-Dec |
|---|---|---|---|---|
| Operating cash flow | ||||
| Adjusted EBITDA | 376 | 1,644 | 1,663 | |
| Adjustment for non-cash items | -3 | -8 | 19 | 13 |
| Cash flow from investing activities excl. acquisition and divestment of subsidiaries | -10 | -27 | -104 | -122 |
| Adjustment for cash flow from investing activities related to increased capacity/growth | 14 | 49 | 60 | |
| Change in working capital | -71 | -56 | 88 | 103 |
| Operating cash flow excl. investments in increased capacity | 276 | 298 | 1,696 | 1,717 |
| Cash conversion (%) | ||||
| Operating cash flow excl. Growth Capex | 276 | 298 | 1,696 | 1,717 |
| Adjusted EBITDA | 357 | 376 | 1,644 | 1,663 |
| Cash conversion (%) | 77.5 | 79.2 | 103.2 | 103.2 |
| Items affecting comparability | ||||
| Reversal of restructuring and acquisition-related costs | ||||
| – of which costs included in the line item of other external costs | 1 | 31 | 32 | |
| – of which costs included in the line item of personnel costs | 13 | 5 | 18 | |
| – of which costs included in the line item of depreciation, amortisation and impairment | 0 | 0 | 0 | |
| Total restructuring and acquisition-related costs | 14 | 0 | 50 | |
| Total items affecting comparability | – | 14 | 36 | 50 |
| SEK million | 2021 31 Mar |
2020 31 Mar |
2020 31 Dec |
|---|---|---|---|
| Net debt, Net debt/Adjusted EBITDA, RTM | |||
| Non-current interest-bearing liabilities | 6,415 | 5,817 | 5,933 |
| Current interest-bearing liabilities | 2,469 | 2,489 | 2,468 |
| Less: cash and cash equivalents | -39 | -88 | -25 |
| Net debt | 8,845 | 8,217 | 8,375 |
| Adjusted EBITDA RTM | 1,644 | 1,571 | 1,663 |
| Net debt/Adjusted EBITDA, RTM (times) | 5.4 | 5.2 | 5.0 |
| Net debt, Net debt/Adjusted EBITDA, RTM excl. effect of IFRS 16 Non-current interest-bearing liabilities |
6,415 | 5,817 | 5,933 |
| Less: non-current lease liabilities pertaining to properties recognised on the lease liability line | -5,393 | -4,346 | -5,080 |
| Current interest-bearing liabilities | 2,469 | 2,489 | 2,468 |
| Less: current lease liabilities pertaining to properties recognised on the lease liability line | -645 | -588 | -623 |
| Less: cash and cash equivalents | -39 | -88 | -25 |
| Net debt excluding effect of IFRS 16 | 2,807 | 3,284 | 2,672 |
| Adjusted EBITDA RTM | 810 | 831 | 861 |
| Net debt/Adjusted EBITDA, RTM (times) | 3.5 | 4.0 | 3.1 |
Quality management in the first quarter of 2021
Current initiatives
COVID-19 vaccination. In the first quarter, care receivers at all of Ambea's nursing homes were offered COVID-19 vaccination. This led to a sharp decline in the number of severe cases and deaths and reduced transmission of the virus. No positive cases were reported in April.
Ambea is also working to make the vaccines available to care receivers in other units. We are also informing Ambea's employees about the importance of being vaccinated.
Data protection audit. An external auditor has evaluated Ambea's overall procedures for data protection. While our processes are deemed adequate, we are also taking further steps by initiating a more unified strategy and raising knowledge about GDPR compliance.

Melody Festival at Nytida. Many of the care receivers at Nytida's day services love the Swedish Melody Festival. This led to 'Regionvision' – a unique version of the Melody Festival at Nytida's approximately 45 day service units in Greater Stockholm. The care receivers participate on their own terms and can perform both their own music and golden oldies. Votes were cast in several stages. The Grand Final will be held virtually in April.
Reports and quality inspections during Q1
SWEDEN
IVO inspections: Seven inspections were carried out. A decision has been issued for one of these cases, with no remarks. Lex Sara: Five cases were reported. The IVO has issued decisions for three of these reports, all with no remarks. Lex Maria: One Lex Maria case was reported. The IVO has closed the case with no remarks.
Individual complaints: Five individual complaints under investigation by the IVO were received. The IVO has closed one of these cases with criticism.
NORWAY
Regulatory inspections: 56 inspections were carried out, all in children's units. Remarks were issued for seven cases.
DENMARK
Regulatory inspections: Four inspections were carried out, all with no remarks.
Ambea's key figures for social sustainability
| TARGET | OUTCOME Q1 2021 |
COMMENTS | |
|---|---|---|---|
| Care Receiver Survey Positive response rate to the question about overall satisfaction with our care and service. |
>85.0% | 84.2% | Relates to full-year 2020. The measurement is compiled annually when the outcome of external care-receiver surveys has been received for Ambea's Swedish units. |
| Team Barometer Index (TBI) The Group's employee satisfaction survey in the form of regular pulse surveys during the year. Scale of 0–100. |
>75 | 73 | The Team Barometer Index score increased quarter-on-quarter and is in line with full-year 2020. All divisions have identified overall objectives and focus areas, alongside of a proactive ap proach to continuous improvement in each individual unit. |
| QHR Index Function of eight selected quality and HR metrics that indicate the status of the unit in a relevant way. Scale of 0–10. |
>7.50 | 7.28 | Higher outcome compared with the average for 2020. Contin ued focus on units with a low QHR Index score, with frequent monitoring and support from the relevant support functions. |
| Leadership Index (LI) The Group's employee satisfaction survey related to leadership. Scale of 0–100. |
>80 | 76 | The LI score increased 1 point compared with full-year 2020. Several initiatives are ongoing to strengthen support for local leadership, such as uniform further training initiatives in all countries. |
| Improvement Index A unit's management of reported non-conformances and documented systematic quality management. Scale of 0–10. |
>7.50 | – | There were no measurements in the first quarter. |
| eNPS The Group's survey of whether employees would recommend their workplace to friends and acquain tances. Scale of -100 – +100. |
>+20 | – | There were no measurements in the first quarter. |
| Self-assessment A unit's control of conformance with about 200 requirements in the quality management system. Scale of 0–2. |
>1.85 | 1.83 | Relates to the average for full-year 2020. The units perform self-assessments every year in May and November. |