Annual Report • Nov 4, 2024
Annual Report
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(UNAUDITED)
Ambu A/S, Baltorpbakken 13, DK-2750 Ballerup Registration no. 63644919
In the fourth quarter of the 2023/24 financial year, Ambu delivered 10.6% organic revenue growth and a 10.6% EBIT margin before special items, driven by Endoscopy Solutions growing 14.5% and Anaesthesia & Patient Monitoring growing 5.3%. This brings the full-year 2023/24 Group organic growth to 13.8% and the EBIT margin b.s.i. to 12.0%. Endoscopy Solutions sustained strong momentum throughout the year, achieving 19.7% organic growth for the full year. Also, new regulatory clearances were secured in both urology and GI during the year.
Today, 4 November 2024, Ambu sets the financial guidance for 2024/25, with organic revenue growth of 10-13% and reported EBIT margin before special items of 12-14%. In addition, expectations for free cash flow before acquisitions are set to DKK +500m. This guidance assumes continued momentum across all endoscopy segments, reflected by +15% expected growth in Endoscopy Solutions.
"In the fourth quarter, Ambu delivered solid growth and profitability, proving we are well on track to achieve our long-term targets. The growth continues to be driven by our Endoscopy Solutions business, showcasing a revenue growth of 19.7% for the full year, and additionally, we expanded our endoscopy portfolio in nearly all segments throughout the year. Moreover, Q4 featured a strategic review of gastroenterology. Based on the longer time required to penetrate this segment, we have re-evaluated the potential in the short term, however, we remain highly committed to solving unmet customer needs in GI in the mid and long term. Finally, we made strong progress on our transformation journey, thanks to the dedication of my talented colleagues."
Chief Executive Officer
A conference call is broadcast live tomorrow, 5 November 2024, at 10:00 (CET), via ambu.com/webcastQ42024. To ask questions during the Q&A session, please register prior to the call via ambu.com/conferencecallQ42024register. Upon registration, you will receive an e-mail with information to access the call. The presentation can be downloaded at Ambu.com/presentations.
Last year's comparative figures are presented in brackets.
| DKKm | Q4 2023/24 | Split | Q4 2022/23 | Organic | Currency | Reported | FY 2023/24 | FY 2022/23 | Organic | Currency | Reported |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Endoscopy solutions | 822 | 59.3% | 723 | 14.5% | -0.8% | 13.7% | 3,190 | 2,687 | 19.7% | -1.0% | 18.7% |
| - Pulmonology | 410 | 29.6% | 390 | 5.7% | -0.6% | 5.1% | 1,645 | 1,487 | 11.7% | -1.1% | 10.6% |
| - URO, ENT & GI | 412 | 29.7% | 333 | 24.8% | -1.1% | 23.7% | 1,545 | 1,200 | 29.6% | -0.8% | 28.8% |
| Anaesthesia & Patient Monitoring |
565 | 40.7% | 536 | 5.3% | 0.1% | 5.4% | 2,201 | 2,088 | 6.1% | -0.7% | 5.4% |
| - Anaesthesia | 296 | 21.3% | 285 | 4.3% | -0.4% | 3.9% | 1,155 | 1,093 | 6.7% | -1.0% | 5.7% |
| - Patient Monitoring | 269 | 19.4% | 251 | 6.4% | 0.8% | 7.2% | 1,046 | 995 | 5.5% | -0.4% | 5.1% |
| Total | 1,387 | 100% | 1,259 | 10.6% | -0.4% | 10.2% | 5,391 | 4,775 | 13.8% | -0.9% | 12.9% |
| DKKm | Q4 2023/24 | Split | Q4 2022/23 | Organic | Currency | Reported | FY 2023/24 | FY 2022/23 | Organic | Currency | Reported |
|---|---|---|---|---|---|---|---|---|---|---|---|
| North America | 711 | 51.3% | 666 | 8.0% | -1.2% | 6.8% | 2,732 | 2,424 | 14.3% | -1.6% | 12.7% |
| Europe | 525 | 37.9% | 464 | 12.5% | 0.6% | 13.1% | 2,114 | 1,863 | 13.0% | 0.5% | 13.5% |
| Rest of World | 151 | 10.9% | 129 | 16.2% | 0.9% | 17.1% | 545 | 488 | 14.2% | -2.5% | 11.7% |
| Total | 1,387 | 100% | 1,259 | 10.6% | -0.4% | 10.2% | 5,391 | 4,775 | 13.8% | -0.9% | 12.9% |
3 Company announcement no. 2 2024/25 | 4 November 2024
URO, ENT & GI
50.1%

Q4 2023/24 - SPLIT IN ENDOSCOPY SOLUTIONS
Pulmonology 49.9%
Q4 2023/24 - SHARE OF REVENUE BY BUSINESS AREA

Urology, ear-nose-throat (ENT) and gastroenterology (GI), combined, posted 24.8% organic revenue growth, bringing growth to 29.6% for the full-year. The biggest growth contributors were ENT and urology, featuring high double-digit growth throughout the year, with an increased uptake of orders and new customers in all regions. GI posted high double-digit growth as well, but still GI remains a smaller part of our total endoscopy business. GI is mainly driven by our gastroscopy solutions, Ambu® aScope™ Gastro and Ambu® aScope™ Gastro Large, both integrated with the Ambu® aBox™ 2 endoscopy system. Among other procedures, the solutions target specific needs for bleed management.
Pulmonology posted 5.7% organic revenue growth, bringing full-year growth to 11.7%. While the underlying growth remained solid, the growth in the fourth quarter was impacted by extraordinary high year-end orders in Q4 last year. The aScope™ 5 Broncho solution maintained solid momentum, driven by multiple factors, including the transitional pass-through (TPT) payment, which also maintained sustained positive interest.
In September, Ambu expanded its marketed urology portfolio by commercially launching its new ureteroscopy solution, alongside the company's new HD cystoscopy solution that received FDA approval in October. Building on the market success of the aScope™ 4 Cysto solution, Ambu's expanded urology offering is now strongly positioned to address a wide range of patient needs. As with other product launches, it will take time to generate significant revenue.
Furthermore, Ambu's new duodenoscopy solution continues its extended controlled market release phase in North America and Europe. Focus is on thoroughly evaluating the performance with key hospitals, and thus far, the feedback has been positive, yielding good patient outcomes, also in complex procedures.
Anaesthesia & Patient Monitoring accounted for 41% of Ambu's total revenue in Q4 2023/24. Revenue grew organically by 5.3% (2.3%), primarily driven by price increases.
Overall, Anaesthesia & Patient Monitoring was positively impacted by normalised post-Covid-19 levels, with stable market growth, as well as strategic pricing initiatives in selected low-margin areas.
Last financial year, Ambu announced strategic initiatives to increase profitability by raising prices in selected low-margin areas. The outcomes of these contract negotiations proved better than expected and contributed positively to the overall growth of the business area, bringing it above the long-term projection of 2-4% market growth.
Additionally, Anaesthesia & Patient Monitoring was slightly offset by Ambu's strategic decision to exit ~40 markets, with a revenue impact of ~20m DKK, of which most are related to this business area.
revenue growth 5.3% Q4 organic revenue growth
Our ZOOM IN strategy was launched two years ago, initiating a transformation towards strong profitable growth. This transformation builds on delivering innovative solutions, focused execution and applying a flexible approach, with allocation of resources to the highest-potential opportunities. In 2023/24, we took a significant step forward, reaching double-digit organic revenue growth and improving profitability and free cash flow.
Throughout 2023/24, geopolitical uncertainty and a volatile macroenvironment continued to impact the global economy, leading to inflationary pressures on raw materials, energy prices and logistics costs. We expect this to persist throughout 2024/25. Nonetheless, we expect the single-use endoscopy market to continue to grow, driven by hospital systems' and clinics' growing need for workflow efficiencies and improved economics, as well as the increased awareness of infection control and the strong clinical performance that single-use solutions bring to healthcare professionals and patients.
Our Endoscopy Solutions business remains the key growth engine for Ambu. In 2024/25, this business area is expected to grow +15% organically, with all four endoscopy segments expected to contribute to the growth. In our more mature pulmonology segment, we will continue to strengthen our offering and expect solid organic growth in 2024/25. In the less mature yet fastgrowing segments of ear-nose-throat (ENT) and urology, the strong growth momentum is expected to continue, delivering double-digit organic growth in 2024/25. Gastroenterology (GI), which accounts for a small part of Ambu's endoscopy business, is also
expected to contribute to the organic growth in 2024/25, however, this endoscopy segment mainly represents a mid- to long-term growth potential, with a stepwise and focused expansion approach.
Last year, Ambu announced strategic initiatives to increase profitability by raising prices in selected lowmargin areas within Anaesthesia & Patient Monitoring. The contracts' duration is 1-3 years, however, the majority of contracts were renewed in the first half of 2023/24. The price increases will therefore partly impact the 2024/25 financial year, however, the volume growth prospects are not yet fully visible, leaving a small degree of uncertainty. For 2024/25, Ambu expects Anaesthesia & Patient Monitoring to grow mid-single digits.
Overall, for the 2024/25 financial year, Ambu's total organic revenue growth is expected to be 10-13%, compared to 13.8% in 2023/24, while EBIT margin before special items is expected to be 12-14%, compared to 12.0% in 2023/24. This will be driven by both an improved gross margin and operating leverage, partly off-set by growth investments.
Ambu's free cash flow before acquisitions is expected to be DKK +500m, compared to DKK 524m in 2023/24. The continued increased cash flow will be driven by a higher EBIT margin before special items and continued improvements from our transformation efforts.
Organic revenue growth 10-13%
Reported EBIT margin before special items 12-14%
| Average in 2023/24 |
Expected for 2024/25 |
|
|---|---|---|
| USD/DKK | 6.88 | 6.85 |
| MYR/DKK | 1.48 | 1.60 |
| CNY/DKK | 0.95 | 0.95 |
| GBP/DKK | 8.72 | 8.85 |
The Board of Directors and the Executive Management have today considered and approved the interim report for Q4 and the full-year 2023/24 results of Ambu A/S for the period from 1 October 2023 to 30 September 2024. The interim report and the fullyear 2023/24 results have not been audited or reviewed by the company's independent auditors.
The interim report is presented in accordance with IAS 34 – Interim Financial Reporting, as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.
In our opinion, the interim financial report for Q4 and the full-year 2023/24 results give a true and fair view of the Group's assets, liabilities and financial position at 30 September 2024 and of the results of the Group's operations and cash flows for the financial year 2023/24. Furthermore, in our opinion, Management's review includes a fair account of the development in the activities and financial position of the Group, as well as a description of the most significant risks and elements of uncertainty to which the Group is subject.
Besides what has been disclosed in the quarterly financial report, no changes in the Group's most significant risks and uncertainties have occurred, relative to what was disclosed in the consolidated annual report 2022/23.
Copenhagen, 4 November 2024
Britt Meelby Jensen Henrik Skak Bender
Chief Executive Officer Chief Financial Officer
Chair Vice Chair
Member Member
Member Member
Employee-elected member Employee-elected member
Thomas Bachgaard Jensen Employee-elected member
Jørgen Jensen Shacey Petrovic
Christian Sagild Susanne Larsson
Michael del Prado Simon Hesse Hoffmann
Charlotte Elgaard Bjørnhof Jesper Bartroff Frederiksen
INTERIM REPORT Q4 2023/24
| Page 8 | Revenue and earnings |
|---|---|
| Page 9 | Income statement and statement of comprehensive income |
| Page 10 | Cash flow |
| Page 11 | Cash flow statement |
| Page 12 | Balance sheet and financial position |
| Page 13 | Balance sheet |
| Page 14 | Statement of changes in equity |
Page 15 Notes to the interim report

Total revenue in Q4 2023/24 was DKK 1,387m, corresponding to an organic growth of 10.6% and a reported growth of 10.2%, compared to 2022/23.
Organic growth was primarily driven by 'URO, ENT & GI' in Endoscopy Solutions, while Anaesthesia & Patient Monitoring (A & PM) continued solid momentum, driven by the strategic decision to increase prices in selected low-margin areas. Across regions, North America continued its high growth momentum, while Europe and Rest of World began to pick up solid growth as well.
Gross margin in Q4 2023/24 was 58.9%, corresponding to an increase of 2.1% pts, compared to Q4 2022/23. The increase in gross margin was driven by price increases in Anaesthesia & Patient Monitoring, increased revenue share in the more profitable Endoscopy Solutions business, as well as production efficiencies related to increased scale in overhead cost and better utilisation of factory plants.
OPEX to revenue in Q4 2023/24 was 48.3%, corresponding to a decrease of 0.8%-pts, compared to 2022/23. The decrease was driven by a more efficient distribution set-up and scale in management and administrative costs. In line with Ambu's ZOOM IN strategy to invest more in the commercial infrastructure, Ambu continued to invest in sales and marketing costs.
DA in Q4 2023/24 was DKK -97m (DKK -92m), consisting of amortisation and depreciation. Impairment losses recognised in 'Special items' totalled DKK -332m.
EBIT margin b.s.i. in Q4 2023/24 was 10.6%, corresponding to an increase of 2.9%-pts, compared to Q4 2022/23. The increase was driven by revenue expansion, in line with Ambu's ZOOM IN strategy to increase profitable growth.
During the quarter, Ambu continued to achieve scale in its production and back-office operations, while investing in its commercial infrastructure to support long-term growth.
Special items in Q4 was DKK -334m, mainly related to an impairment within gastroenterology (GI). A strategic review has been performed across the GI endoscopy business. This resulted in revised assumptions, based on the longer time required to penetrate this market, reflecting a re-evaluation of the short-term potential for the market.
Despite this revision, the continued effort and ambition to solve unmet customer needs within GI is unaffected.
Net financials in Q4 2023/24 were DKK 6m, compared to DKK 9m in Q4 2022/23. This reflects a solid financial position with minimal debt leverage.
Profit before tax in Q4 2023/24 was DKK -181m. This was positively impacted by improved operating profitability, however, more than offset by the GIrelated write-down, recognised in 'Special items'.
Tax in Q4 2023/24 amounted to an income of DKK 46m, corresponding to an effective tax rate of 25.4% for the quarter and 21.7% for the full year.

Revenue and revenue growth

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0%
Income statement Note Q4 2023/24 Q4 2022/23 FY 2023/24 FY 2022/23 Revenue 3 1,387 1,259 5,391 4,775 Production costs -570 -544 -2,190 -2,062 Gross profit 817 715 3,201 2,713 Selling and distribution costs -424 -383 -1,571 -1,522 Development costs -86 -82 -325 -295 Management and administrative costs -160 -153 -660 -594 Operating profit (EBIT) b. s. i. 147 97 645 302 Special items 4 -334 -6 -334 -8 Operating profit (EBIT) -187 91 311 294 Financial income 6 2 16 2 Financial expenses 0 7 -27 -86 Profit before tax -181 100 300 210 Tax on profit for the period 46 -20 -65 -42 Net profit for the period -135 80 235 168 Earnings per share in DKK Earnings per share (EPS) -0.51 0.30 0.88 0.64 Diluted earnings per share (EPS-D) -0.51 0.30 0.88 0.64
| Q4 | Q4 | FY | FY | |
|---|---|---|---|---|
| Statement of comprehensive income | 2023/24 | 2022/23 | 2023/24 | 2022/23 |
| Net profit for the period | -135 | 80 | 235 | 168 |
| Other comprehensive income: | ||||
| Items which are moved to the income statement under certain conditions: |
||||
| Translation adj. in foreign subsidiaries | -39 | 49 | -66 | -168 |
| Other comprehensive income after tax | -39 | 49 | -66 | -168 |
| Comprehensive income for the period | -174 | 129 | 169 | 0 |
DKKm DKKm
CFFO in Q4 2023/24 was DKK 193m. The solid cash flow was driven by improved operating profitability (EBITDA), with balanced net working capital.
CFFI before acquisitions for the full year was DKK 289m, corresponding to 5% of revenue. This fell slightly below our long-term projection of 7-9% of revenue to investment activities. CFFI was primarily driven by R&D activities that
amounted to DKK 205m, corresponding to 4% of revenue, however, when factoring in development costs, less depreciation and amortisation, total R&D expenditure amounted to DKK 320m, corresponding to 6% of the total revenue.
FCF before acquisitions came to DKK 98m (DKK 188m) for Q4 and DKK 524m (DKK 192m) for the full year. The yearover-year improvement was driven by the profitable growth.
No acquisitions were made in Q4 2023/24.
CFFF in Q4 2023/24 was DKK -18m. This was primarily related to repayment of lease liabilities.
200
On 30 September 2024, cash and cash equivalents were DKK 615m, corresponding to an improvement of DKK 458m, compared to 30 September 2023. This improvement was driven by solid cash flow and limited debt obligations.
Cash at bank amounted to DKK 265m, and short-term deposits amounted to DKK 350m.
Committed undrawn credit facilities amounted to DKK 1,800m.
| DKKm | ||
|---|---|---|
| 2022/23 | |
|---|---|
| 325 | 295 |
| -210 | -188 |
| 205 | 236 |
| 320 | 343 |
| 2023/24 |

1 CAPEX is defined as cash flow from investing activities 2 'Other' includes: change in provisions, income tax and interest paid

DKKm
| FY | FY | |
|---|---|---|
| 2023/24 | 2022/23 | |
| Net profit | 235 | 168 |
| Adjustment for non-cash items: | ||
| Income taxes in the Income statement | 65 | 42 |
| Financial items | 11 | 84 |
| Depreciation, amortisation and impairment losses | 696 | 348 |
| Share-based payment | 26 | 17 |
| Change in working capital | -111 | -21 |
| Change in provisions | -3 | 0 |
| Interest received | 14 | 1 |
| Interest paid | -30 | -64 |
| Income tax paid | -90 | -57 |
| Cash flow from operating activities | 813 | 518 |
| Investments in intangible assets | -201 | -255 |
| Investments in tangible assets | -88 | -71 |
| Cash flow from investing activities | -289 | -326 |
| Free cash flow | 524 | 192 |
| Proceeds from borrowings | 0 | 325 |
| Repayment of borrowings | 0 | -1,575 |
| Repayment of lease liability | -65 | -63 |
| Exercise of options | 0 | 14 |
| Sale of treasury shares | 0 | 23 |
| Capital increase | 0 | 1,054 |
| Cash flow from financing activities | -65 | -222 |
| Changes in cash and cash equivalents | 459 | -30 |
| Cash and cash equivalents, beginning of period | 157 | 187 |
| Translation adjustment of cash and cash equivalents | -1 | 0 |
| Cash and cash equivalents, end of period | 615 | 157 |
| FY | FY | |
|---|---|---|
| 2023/24 | 2022/23 | |
| Cash and cash equivalents, end of period, are composed as follows: |
||
| Cash and cash equivalents | 265 | 157 |
| Short-term deposits | 350 | 0 |
| Cash and cash equivalents, end of period | 615 | 157 |
At 30 September 2024, total assets were DKK 7,154m, corresponding to an increase of DKK 295m, compared to 30 September 2023.
The increase was driven by cash and cash equivalents of DKK 458m, partially offset by an impairment within gastroenterology (GI). Despite the impairment, the carrying amount of GI technologies is DKK 596m, accounting for one-third of intangible assets, excluding goodwill, representing a solid mid- and long-term potential in GI.
At 30 September 2024, invested capital in 2023/24 was DKK 5,537m, corresponding to a decrease of DKK 283m, compared to 30 September 2023. The decrease was due to the GI-related impairment in intangible assets, partially offset by an increased net working capital of DKK 110m.
ROIC in Q4 2023/24 was 9%, corresponding to an improvement of 5%-pts, compared to Q4 2022/23. The increase reflected our ZOOM IN strategy's aim to drive profitable growth through a focused investment approach.
At 30 September 2024, net working capital was DKK 1,050m, corresponding to 19.5% of revenue. This was aligned with the objective of 20.0%, guided by a stabilised inventory level relative to revenue.
At 30 September 2024, NIBD was DKK -57m, corresponding to a decrease of DKK 484m, compared to 30 September 2023. The decrease was driven by increased cash and cash equivalents, due to solid cash flow, slightly offset by a small increase in lease liabilities.
At 30 September 2024, NIBD to EBITDA b.s.i. was -0.1, corresponding to a decrease of 0.8, compared to 30 September 2023. The decrease was driven by a solid free cash flow.


0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% Net interest-bearing debt (NIBD) and gearing

-0.2x -0.1x 0.0x 0.1x 0.2x 0.3x 0.4x 0.5x 0.6x 0.7x 0.8x
| Assets | 30.09.24 30.09.23 | |
|---|---|---|
| Goodwill | 1,527 | 1,565 |
| Acquired technologies, trademarks and customer relations | 376 | 643 |
| Completed development projects | 905 | 888 |
| Other incl. IT software | 72 | 71 |
| Development projects and other assets in progress | 350 | 444 |
| Intangible assets | 3,230 | 3,611 |
| Property, plant and equipment | 582 | 584 |
| Right-of-use assets | 545 | 571 |
| Deferred tax asset | 160 | 85 |
| Total non-current assets | 4,517 | 4,851 |
| Inventories | 1,078 | 907 |
| Trade receivables | 745 | 766 |
| Other receivables | 44 | 44 |
| Income tax receivable | 40 | 50 |
| Prepayments | 112 | 73 |
| Derivative financial instruments | 3 | 11 |
| Cash and cash equivalents | 615 | 157 |
| Total current assets | 2,637 | 2,008 |
| Total assets | 7,154 | 6,859 |
| Equity and liabilities | 30.09.24 30.09.23 | |
|---|---|---|
| Share capital | 135 | 135 |
| Other reserves | 5,459 | 5,258 |
| Equity | 5,594 | 5,393 |
| Deferred tax | 4 | 3 |
| Provisions | 14 | 9 |
| Lease liabilities | 483 | 512 |
| Non-current liabilities | 501 | 524 |
| Provisions | 6 | 9 |
| Lease liabilities | 75 | 72 |
| Trade payables | 490 | 359 |
| Income tax | 49 | 10 |
| Other payables | 439 | 492 |
| Current liabilities | 1,059 | 942 |
| Total liabilities | 1,560 | 1,466 |
| Total equity and liabilities | 7,154 | 6,859 |
| DKKm | |||||
|---|---|---|---|---|---|
| Reserve | |||||
| foreign | |||||
| currency | |||||
| trans | |||||
| Share | lation | Retained | Proposed | ||
| capital | adj. | earnings | dividend | Total | |
| Equity 1 October 2023 | 135 | 211 | 5,047 | 0 | 5,393 |
| Net profit for the period | 133 | 102 | 235 | ||
| Other comprehensive income for the period | -66 | -66 | |||
| Total comprehensive income | 0 | -66 | 133 | 102 | 169 |
| Transactions with the owners: | |||||
| Share-based payment | 26 | 26 | |||
| Tax deduction relating to share-based pay | 6 | 6 | |||
| Equity 30 September 2024 | 135 | 145 | 5,212 | 102 | 5,594 |
Other reserves are made up of reserve for foreign currency translation adjustment, retained earnings and proposed dividend, totalling DKK 5,459m (DKK 5,258m).
| Share capital |
Reserve foreign currency trans lation adj. |
Retained earnings |
Proposed dividend |
Total | |
|---|---|---|---|---|---|
| Equity 1 October 2022 | 129 | 379 | 3,753 | 0 | 4,261 |
| Net profit for the period Other comprehensive income for the period |
-168 | 168 | 168 -168 |
||
| Total comprehensive income | 0 | -168 | 168 | 0 | 0 |
| Transactions with the owners: | |||||
| Share-based payment | 15 | 15 | |||
| Tax deduction relating to share-based pay | 26 | 26 | |||
| Exercise of options | 14 | 14 | |||
| Sale of treasury shares | 23 | 23 | |||
| Share capital increase1) | 6 | 1,048 | 1,054 | ||
| Equity 30 September 2023 | 135 | 211 | 5,047 | 0 | 5,393 |
1) On 24 March 2023, Ambu concluded its accelerated bookbuild offering to increase the share capital by a nominal amount of DKK 6m. The total net proceeds raised in Q2 2022/23 was DKK 1,054m.
INTERIM REPORT Q4 2023/24
The interim report for the period 1 October 2023 to 30 September 2024 is presented in accordance with IAS 34 – Interim Financial Reporting as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.
The accounting principles applied are consistent with the principles applied in the annual report for 2022/23, except for the extended practise explained below.
Ambu has entered into short-term deposits with a maturity less than three months. These are classified as Cash and cash equivalents.
Ambu is a supplier of medtech products for the global market. Except for the sales of the various products, no structural or organisational aspects allow for a division of earnings from individual products, as sales channels, customer types and sales organisations are identical for all important markets. Furthermore, production processes and internal controls and reporting are identical, which means that, with the exception of revenue, everything else is unsegmented. Ambu has thus identified one segment.
| Note 3 – Revenue | DKKm | |||
|---|---|---|---|---|
| Q4 | Q4 | FY | FY | |
| 2023/24 | 2022/23 | 2023/24 | 2022/23 | |
| Endoscopy solutions | 822 | 723 | 3,190 | 2,687 |
| Anaesthesia | 296 | 285 | 1,155 | 1,093 |
| Patient Monitoring | 269 | 251 | 1,046 | 995 |
| Total revenue by activities | 1,387 | 1,259 | 5,391 | 4,775 |
| North America | 711 | 666 | 2,732 | 2,424 |
| Europe | 525 | 464 | 2,114 | 1,863 |
| Rest of World | 151 | 129 | 545 | 488 |
| Total revenue by markets | 1,387 | 1,259 | 5,391 | 4,775 |
Special items in Q4 was DKK -334m, mainly relating to impairment within gastroenterology (GI). A strategic review has been performed across the GI endoscopy business, resulting in revised assumptions based on the longer time required to penetrate this market.
Impairment tests have been carried out for each GI technology, whereas 'Colonoscopy' and 'Duodenoscopy' was written down to their recoverable amounts and 'Cholangio' was fully written down due to project plans have been put on hold as a consequence of the strategic review, resulting in total impairment losses of DKK 327m.
Furthermore, related assets have been re-evaluated resulting in excess production equipment and excess inventories written down by respectively DKK 5m and DKK 3m.
Ambu is involved in pending litigations, claims and investigations arising out of the normal conduct of its business. Ambu's ongoing operations and the use of Ambu's products in hospitals and clinics, etc., involve the general risk of claims for damages and sanctions against Ambu. The risk is deemed to be customary for the industry.
Provisions for probable losses have been made for those matters that Management has assessed as needed, but there are uncertainties associated with these estimates.
Ambu does not expect any pending litigations, claims and investigations to have a material effect on the Group's financial position.
In addition to the matters described in this interim report, the management is not aware of any events subsequent to 30 September 2024 which could be expected to have a significant impact on the group's financial position.
| DKKm | Q4 2023/24 |
Q3 2023/24 |
Q2 2023/24 |
Q1 2023/24 |
Q4 2022/23 |
Q3 2022/23 |
Q2 2022/23 |
Q1 2022/23 |
|---|---|---|---|---|---|---|---|---|
| Revenue by products: | ||||||||
| Pulmonology | 410 | 410 | 427 | 398 | 390 | 373 | 378 | 346 |
| URO, ENT & GI | 412 | 403 | 380 | 350 | 333 | 311 | 285 | 271 |
| Endoscopy Solutions | 822 | 813 | 807 | 748 | 723 | 684 | 663 | 617 |
| Anaesthesia | 296 | 304 | 287 | 268 | 285 | 271 | 264 | 273 |
| Patient Monitoring | 269 | 266 | 273 | 238 | 251 | 240 | 262 | 242 |
| A & PM | 565 | 570 | 560 | 506 | 536 | 511 | 526 | 515 |
| Revenue | 1,387 | 1,383 | 1,367 | 1,254 | 1,259 | 1,195 | 1,189 | 1,132 |
| Production costs | -570 | -551 | -554 | -515 | -544 | -523 | -525 | -470 |
| Gross profit | 817 | 832 | 813 | 739 | 715 | 672 | 664 | 662 |
| Selling and distribution costs | -424 | -388 | -381 | -378 | -383 | -359 | -394 | -386 |
| Development costs | -86 | -84 | -81 | -74 | -82 | -75 | -69 | -69 |
| Management and administrative costs | -160 | -182 | -157 | -161 | -153 | -147 | -155 | -139 |
| Operating profit (EBIT) before | ||||||||
| special items | 147 | 178 | 194 | 126 | 97 | 91 | 46 | 68 |
| Special items | -334 | 0 | 0 | 0 | -6 | -2 | 0 | 0 |
| Operating profit (EBIT) | -187 | 178 | 194 | 126 | 91 | 89 | 46 | 68 |
| Financial income | 6 | 3 | 4 | 3 | 2 | 0 | -1 | 1 |
| Financial expenses | 0 | -7 | -11 | -9 | 7 | -26 | -26 | -41 |
| Profit before tax (PBT) | -181 | 174 | 187 | 120 | 100 | 63 | 19 | 28 |
| Tax on profit for the period | 46 | -40 | -43 | -28 | -20 | -12 | -4 | -6 |
| Net profit for the period | -135 | 134 | 144 | 92 | 80 | 51 | 15 | 22 |
| Key figures and ratios: | ||||||||
| Gross margin, % | 58.9 | 60.2 | 59.5 | 58.9 | 56.8 | 56.2 | 55.8 | 58.5 |
| Operating Expenditures (OPEX) | 670 | 654 | 619 | 613 | 618 | 581 | 618 | 594 |
| OPEX ratio, % | 48.3 | 47.3 | 45.3 | 48.9 | 49.1 | 48.6 | 52.0 | 52.5 |
| EBITDA before special items | 244 | 267 | 285 | 213 | 189 | 173 | 125 | 145 |
| EBITDA margin before special items, % | 17.6 | 19.3 | 20.8 | 17.0 | 15.0 | 14.5 | 10.5 | 12.8 |
| EBIT margin before special items, % | 10.6 | 12.9 | 14.2 | 10.0 | 7.7 | 7.6 | 3.9 | 6.0 |
| NIBD/EBITDA before special items | -0.1 | 0.1 | 0.3 | 0.5 | 0.7 | 1.2 | 1.6 | 3.9 |
| Net working capital, % of revenue | 19 | 19 | 20 | 19 | 20 | 21 | 24 | 25 |
| DKKm | Q4 2023/24 |
Q3 2023/24 |
Q2 2023/24 |
Q1 2023/24 |
Q4 2022/23 |
Q3 2022/23 |
Q2 2022/23 |
Q1 2022/23 |
|---|---|---|---|---|---|---|---|---|
| Organic growth, products, %: | ||||||||
| Pulmonology | 5.7 | 9.9 | 13.9 | 18.1 | 15.9 | 16.0 | -3.4 | -16.8 |
| URO, ENT & GI | 24.8 | 27.6 | 33.3 | 34.2 | 37.2 | 33.2 | 36.3 | 46.6 |
| Endoscopy Solutions | 14.5 | 18.0 | 22.3 | 25.1 | 24.9 | 23.3 | 10.6 | 2.6 |
| Anaesthesia | 4.3 | 11.2 | 9.1 | 2.2 | 7.4 | -7.1 | -11.3 | 4.3 |
| Patient Monitoring | 6.4 | 10.6 | 4.8 | 0.0 | -3.0 | -7.4 | 7.8 | 6.0 |
| A & PM | 5.3 | 10.9 | 7.0 | 1.2 | 2.3 | -7.2 | -2.8 | 5.1 |
| Organic growth | 10.6 | 15.0 | 15.5 | 14.2 | 14.1 | 8.1 | 4.2 | 3.7 |
| Exchange rate effects | -0.4 | 0.7 | -0.5 | -3.3 | -5.8 | -2.2 | 1.8 | 6.1 |
| Reported revenue growth | 10.2 | 15.7 | 15.0 | 10.9 | 8.3 | 5.9 | 6.0 | 9.8 |
| Organic growth, markets, %: | ||||||||
| North America | 8.0 | 17.8 | 18.9 | 13.2 | 22.6 | 9.2 | 8.2 | 8.7 |
| Europe | 12.5 | 11.3 | 13.7 | 14.6 | 6.6 | 9.8 | -1.2 | -4.2 |
| Rest of World | 16.2 | 15.7 | 7.5 | 18.2 | 2.7 | -1.9 | 7.3 | 14.3 |
| Organic growth | 10.6 | 15.0 | 15.5 | 14.2 | 14.1 | 8.1 | 4.2 | 3.7 |
| Cash flow, DKKm: | ||||||||
| Cash flow from operating activities | 193 | 235 | 196 | 189 | 273 | 244 | 99 | -98 |
| Cash flow from investing activities | -95 | -72 | -68 | -54 | -85 | -87 | -78 | -76 |
| Free cash flow | 98 | 163 | 128 | 135 | 188 | 157 | 21 | -174 |
| Cash flow, % of revenue: | ||||||||
| Cash flow from operating activities | 14 | 17 | 14 | 15 | 22 | 20 | 8 | -9 |
| Cash flow from investing activities | -7 | -5 | -5 | -4 | -7 | -7 | -6 | -6 |
| Free cash flow | 7 | 12 | 9 | 11 | 15 | 13 | 2 | -15 |
| Balance sheet: | ||||||||
| Assets | 7,154 | 7,288 | 7,061 | 6,838 | 6,859 | 6,824 | 6,937 | 7,006 |
| Net working capital | 1,050 | 1,025 | 1,011 | 932 | 939 | 987 | 1,108 | 1,144 |
| Equity | 5,594 | 5,754 | 5,605 | 5,421 | 5,393 | 5,240 | 5,212 | 4,122 |
| Net interest-bearing debt | -57 | 78 | 243 | 351 | 427 | 600 | 733 | 1,817 |
| Invested capital | 5,537 | 5,832 | 5,848 | 5,772 | 5,820 | 5,840 | 5,945 | 5,939 |
| Share-related ratios (in DKK): | ||||||||
| Market price per share | 131 | 134 | 114 | 105 | 74 | 112 | 103 | 89 |
| Earnings per share (EPS) | -0.51 | 0.50 | 0.54 | 0.35 | 0.30 | 0.19 | 0.06 | 0.09 |
| Diluted earnings per share (EPS-D) | -0.51 | 0.50 | 0.54 | 0.35 | 0.30 | 0.19 | 0.06 | 0.09 |

Since 1937, Ambu has been rethinking solutions, together with healthcare professionals, to save lives and improve patient care. Today, millions of patients and healthcare professionals worldwide depend on the efficiency, safety and performance of our single-use endoscopy, anaesthesia and patient monitoring solutions.
Headquartered near Copenhagen in Denmark, Ambu employs around 5,000 people in Europe, North America, Latin America and Asia Pacific.
For more information, please visit Ambu.com.
Investors Anders Hjort Head of Investor Relations [email protected] | +45 2892 8881
Media
Tine Bjørn Schmidt Head of Corporate Communications [email protected] | +45 2264 0697
Ambu A/S Baltorpbakken 13 DK-2750 Ballerup, Denmark Tel.: +45 7225 2000 CVR no.: 63 64 49 19 Ambu.com
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