Annual Report • Mar 19, 2020
Annual Report
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OPERATIONS
| Attendo in short | 2 |
|---|---|
| CEO's statement | 4 |
| Market | 6 |
| Vision, strategy and goals | 10 |
| Service offering and contract models | 12 |
| Sustainability | 14 |
| Risks and risk management | 24 |
| CORPORATE GOVERNANCE | |
| Corporate governance report | 28 |
| Board of directors and auditors | 32 |
| Executive Management | 34 |
| Auditor's report | 38 |
| FINANCIAL REPORTS | |
| Board of directors' report | 40 |
| Consolidated financial statements | |
| Consolidated income statement | 45 |
| Consolidated statement of comprehensive income |
45 |
| Consolidated balance sheet | 46 |
| Consolidated statement of cash flow | 47 |
| Consolidated statement of changes in equity | 48 |
| Notes to the Consolidated financial statements |
49 |
| Parent company financial statements |
| Parent company income statement | 71 |
|---|---|
| Parent company balance sheet | 72 |
| Parent company statement of changes in equity | 73 |
| Parent company statement of cash flow | 74 |
| Notes to the parent company financial statements |
75 |
| Assurance | 77 |
|---|---|
| Auditor's report | 78 |
| The Attendo share | 84 |
| Sustainability indicators | 86 |
| Five-year summary | 88 |
| Quarterly summary | 89 |
| Definitions | 90 |
| Matrix for Attendo's Sustainability report | 91 |
| Auditor's report on the statutory | |
| sustainability report | 92 |
| Annual general meeting | 93 |
This is a translation of the original Swedish Annual Report. In the event of differences between the English translation and the Swedish original, the Swedish Annual Report shall prevail.

| Key figures1) SEK | 2019 | 2018 |
|---|---|---|
| Net sales | 11,935 | 10,987 |
| Operating profit (EBITA) | 812 | 1,008 |
| Operating margin, (EBITA), % | 6.8 | 9.2 |
| Profit for the year | 81 | 244 |
| Operating cash flow2) | 196 | 593 |
1) Refers to continuing operations (excluding the divested healthcare operations in Finland).
2) Refers to total operations.

According to the Annual Accounts Act, Chapter 6 – Section 10, Attendo shall submit a sustainability report. On page 91, there is a table of where in this annual report the various parts of the sustainability report can be found. The sustainability report refers to Attendo AB with all its subsidiaries. More information about Attendo's sustainability work can also be found in the Quality and Sustainability Report and on www.attendo.com.

Attendo's local operations in Sweden were visited by the Anonymous Relatives project in 2019. The aim is to measure and follow up how Attendo's operations, both nursing homes and home care services, treat outsiders when meeting them for the first time. Everything from how long it takes to make initial contact and the quality of the information provided to cleaning, customer care and follow-up is assessed and scored. The results were above expectations: more than 20 local operations were given a "Superb Service" rating by Better Business.
Attendo sets ambitious sustainability targets in the core areas of care. Attendo Scandinavia also set three overall sustainability targets in 2019: to serve at least one vegetarian meal per week, to reduce fuel usage per hour of home care by at least 3% and to use only renewable electricity.
See page 44 of the Quality and Sustainability Report.
of operational electricity in own operations must come from renewable energy.

Attendo was founded in 1985 with a clear vision of delivering care that goes beyond that offered by public providers. Over the 35 years since then, Attendo has been behind several innovations and breakthroughs in care that have set a new standard.
See pages 46–47 of the Quality and Sustainability Report.
See page 6 of the Quality and Sustainability Report.
In June 2019, Attendo opened its first new nursing home in Denmark, which is being offered as a "friplejehjem" - a free choice home. Up to 70 older people who need care can choose freely to get their care from Attendo here. The Danish home is only one of a total of 57 new care homes that opened their doors in 2019.
See pages 2–3 of the Quality and Sustainability Report.



Attendo has been working extensively according to a clear vision – empowering the individual – based on our values of competence, commitment and care. Attendo restarted its values organisation in 2019 aimed at strengthening the conditions for active values work in every part of Attendo.
"Active values work will help employees feel more secure with our vision and our values. This is going to strengthen the image of Attendo," says Anders Berg, regional values coach for Attendo Individual and Family Care North.
See pages 24–25 of the Quality and Sustainability Report.
Attendo is the leading private care provider in the Nordics. With operations in Sweden, Finland, Norway and Denmark. We are leaders of quality development and new methods in our sector. Attendo offers care for older people, care for people with disabilities, social psychiatry and individual and family care.
Our vision is "empowering the individual" and our work is always based on the individual's needs and preferences.
Attendo's values – competence, commitment, and care – are expressed in every aspect of our day-today work.
Attendo strives to create benefits for the society and contribute to a sustainable development of the care sector. In addition to the mandatory areas; social sustainability, anti-corruption and human rights as well as environment and climate, Attendo's sustainability work focus on the following sustainability objectives established in close dialogue with ours stakeholders.
Goal: Attendo aims to lead the establishment of new nursing homes to meet society's needs for care services.
Goal: Attendo will strive to maintain and further improve its leading position in quality and customer satisfaction.
Goal: Attendo shall offer a stimulating workplace for everyone who wants to make a difference.

READ MORE on the pages 14–23 and in our Quality and Sustainability Report

Attendo offers care for older people in nursing homes and in home care. In nursing homes, customers live in their own apartments with access to common areas.

Attendo offers care services for people with disabilities, homes for children with special needs, consultant supported family home care, crisis and acute accommodations, substance abuse care, and care homes for people with neuropsychiatric conditions.

| Sweden | Finland | Norway | Denmark | |
|---|---|---|---|---|
| Net sales (SEKm) | 5,682 | 5,630 | 406 | 217 |
| No. of employees (FTE) | 8,012 | 7,662 | 511 | 314 |
| No. of customers/beds* | 16,866 | 13,848 | 419 | 1,164 |
| No. of units | 298 | 395 | 5 | 3 |
* Refers to nursing home beds and home care customers
2019 was an expansionary year when Attendo opened many new beds, but also a challenging one with a significant fall in profits in our Finnish operations. Our focus is on restoring profitablity, strengthening customer satisfaction and further enhancing quality of care. Our operations is based on improving everyday life for tens of thousands of people while helping resolve major challenges to society.
Sales in 2019 amounted to SEK 11.9 billion, an increase of approximately 9 percent, primarily due to newly opened homes and acquisitions. Operating profit was down 19% to SEK 812 million.
The rapid rate of establishment in Finland in recent years combined with stricter staffing requirements imposed by local authorities in 2019 had substantial impact on the entire Finnish operations. We are in a turnaround with a major transition in the next few years in order to restore occupancy and profitability.
The Scandinavian business was stable, where own operations and home care persistently showed positive development, while the outsourcing business and individual and family care were more challenging.
We are facing a demographic development in which we are living longer and remaining active much later in life. The share of the population over 85 years of age is going to increase sharply in the next decade, which means that the need for care for older people is also going to rise. This must, however, be considered in the light of shrinking municipal budgets.
As a private care provider, we have a key role in supporting society by making new capacity available. We also aim to create better, more individualised care while offering local authorities more care for every tax money spent.
Achieving this requires a strong operational model in which we take advantage of competence and learning from various parts of the organisation. We embarked on a digitalisation journey in 2019 with the goal of improving planning, scheduling and quality improvement. We will continue the development of digital solutions in 2020, concentrating on further education of staff and improving communication, both internally and with the families of residents. Quality improvement is being bolstered with "competency lines" in selected areas such as dementia. We are also building further on our values-driven approach as an aspect of increasing employee commitment and strengthening our position as an employer.
Attendo has been working strategically for more than ten years to establish care operations in own operations, i.e., where we deliver care in our own premises. The advantage is that we can build modern, purpose-built care homes that provide the conditions for providing good and safe care while ensuring resource-efficient operations.
The rate of establishment was stable during the period of 2006–2016 and Attendo delivered popular care homes that were quickly occupied. The rate of establishment in Finland increased significantly in 2016, resulting in a trebling of new bed openings in 2017 and 2018.
The logic behind the higher rate of expansion was that Attendo anticipated a great need to replace obsolete homes and meet increased demand from an ageing population while the local authorities were severely curtailing establishment on their own. However, competition for new establishments among private providers increased, while the closure of old care homes took longer than expected. This situation is expected to gradually improve as a consequence of higher demand combined with a lower rate of new establishment.
We decided in early 2019 to sharply reduce the rate of new establishment in order to achieve a better balance between growth and profitability, which will become apparent from mid-2020.
In Scandinavia, primarily Sweden and Denmark, we see continued opportunities to establish new care homes. In 2020, we will increase the number of beds opened in these markets. Demand for new beds is expected to rise and the option to choose their preferred home is popular among people who need care and their families.
A heated debate broke out in early 2019 in the political arena and in the media on care conditions, focused on staffing density and quality. The debate was initially oriented towards scrutinising private providers, but focus gradually shifted to conditions in the sector overall. Finland spends considerably less on care than do other Nordic countries.
Attendo launched an ambitious programme in Finland during the year aimed at meeting the stricter require-

ments and further strengthening quality, employee commitment and customer satisfaction. Programme features include more assistants on staff in local operations, expanded recruitment teams, quality improvement and skills development. In addition, we have reinforced executive management with a new business area director, Virpi Holmqvist, and the business area was reorganised during the year, which included increasing the number of area managers to improve operational management.
Care in the Nordic countries is provided mainly under contracts with public payers. Consequently, Attendo is affected by policy decisions at the local and national level. We have seen various movements during the year. The Swedish government has declared an ambition to equalise conditions among various providers. At present, the same high standards imposed on privately provided care are not applied to publicly provided care. Equal conditions and healthy competition are prerequisites for citizens to enjoy genuine freedom of choice and high quality. The Finnish government has announced that it intends to raise staffing requirements in care for older people at the national level. Attendo welcomes higher staffing requirements, provided that providers are compensated for increased costs.
Our ambition is that Attendo should have the most satisfied customers in every location where we operate. That is a lofty goal, which means we constantly seek better ways to meet our customers' needs and preferences while meeting the local authorities' demands for efficiency. Attendo has been further developing care in the Nordic countries for 35 years. Developing new methods to
ensure good, high-quality care is an important aspect of that endeavour.
During 2019, we implemented a mobile service planning and documentation system at nursing homes in Scandinavia as an aspect of further improving both quality and follow-up of care services. We also developed a new culinary concept in Scandinavia that involves a larger share of locally prepared food and reduced usage of ready meals. The first evaluations show that our residents have enjoyed a better culinary experience and food waste has been reduced.
Attendo has been a values-governed business for a long time and a new values organisation was established in 2019. Regional values coaches have been given responsibility for supporting, training and engaging local values coaches at the local operations.
In summary, society is facing large challenges in the care area, and I believe Attendo has an important role to play here. Our absolute ambition is to be on the forefront of improving quality of care, establishing new operations and helping local authorities across the Nordic region get the job done in a better way.
I would like to take this opportunity to thank all employees for your outstanding contributions during the year. Your commitment, competence and care are critical for us to succeed in our ambition to provide good care to all of our customers. The difference that makes a difference is found in these values.
Martin Tivéus Chief Executive Officer
Attendo has operations in Sweden, Finland, Norway and Denmark. The same drivers are seen in the Nordic countries as in the rest of Europe – an ageing population and a growing share of private providers.
2020 2030
Danmark
2020 2030
191
124
Finland
216
154
391
Sverige
263
2020 2030
2020 2030
Finland
Norge
Due to the demographic trend towards a higher percentage of older people and rising life expectancy, demand and need for care services in society are going to increase – particularly demand for for nursing homes older people and home care. 154 216 117 161 154 216
2020 2030
Finland
Sverige

2020 2030
Sverige
391
124
15 630
12 291
15 630
2020 2030
Norge
2020 2030
Västeuropa
2020 2030
15 630
12 291
117 161
Sverige
391
263
There is already a significant shortage of beds in care for older people. The public sector is going to have difficulties coping with this investment need independently and investments by private care providers will become increasingly important. Surveys performed by the Swedish National Board of Housing, Building and Planning (Boverket) estimate that more than 40 percent of local authorities in Sweden already have a shortage of nursing home beds. 2020 2030 Västeuropa 2020 2030 2020 2030 2020 2030
Attendo has estimated the need of new nursing home beds in the markets where Attendo is establishing facilities in own operations. The need for new beds is calculated on the basis of the number of older people, the expected average care need and how many beds of the existing capacity needs to be replaced. The estimate takes into consideration that older people in the future will be more active and healthier later into life, which reduces and delays the need for care. In total, Attendo estimates that about 85,000 new beds in care for older people will be required during the period from 2020 to 2030 in Sweden, Finland and Denmark combined. Sverige Finland Danmark1) Totalt 35 35 2020 2030
15 630

Source: Swedish National Board of Housing, Building and Planning (Boverket)

1) Refers only to demographic demand.
Care accounts for a large share of public sector budgets in the Nordic countries, and a growing share of municipalities are already operating at a deficit. As care needs increase, municipal finances are further squeezed, which implies a need to organise care in the most efficient way possible. Studies show that private providers can run care operations more efficiently than public providers.

The Nordic system for delivering social care services is based on public financing, municipal responsibility and comprehensive regulations governing public procurement and quality supervision. The system has gradually been opened to alternative providers. More information about the systems that apply in each market is available on Attendo's website: www.attendo.com.

Source: Attendo
As the care system has changed, considerations regarding control and quality have become more important and comprehensive. Meeting the increasing quality and regulatory requirements is difficult for smaller public and private providers. In this context, larger providers like Attendo may benefit from having effective methods for increasing customer satisfaction, well-established quality processes and quality experts that smaller local authorities and companies often lack.
The share of care services delivered by private providers has successively increased. But the share of privately provided care varies widely from country to country. In several European countries, the share of nursing homes operated by private providers is larger than in the Nordic countries. However, the number of private providers in the Nordic countries has grown faster than public care operations in the past five years.

Private providers and freedom of choice have been a self-evident element of care for older people in several European countries for a long time. Older people in all Nordic countries have become more interested in being able to choose care services for themselves. As living standards improve, the behaviour of customers and their families is changing. Today, they are more active in their choices and are more often evaluating several care options before deciding. Many local authorities have chosen to introduce freedom of choice systems or customer vouchers to increase the individual's opportunities to choose a provider. In 2019, 162 of 290 local authorities in Sweden had some form of freedom of choice system (LOV). Sverige Finland 48% 42% 21%
Sweden Finland Norway Denmark
Source: Attendo
Attendo has been developing individualised and high-quality care for 35 years. The main strategy over the past decade has been to establish care homes in own operations. Attendo has begun the establishment of approximately 14,000 beds in more than 350 homes since 2008.

We work according to the Attendo model, which has been developed over many years.
The Attendo model has three cornerstones:
Attendo's organisation is decentralised, which means that decisions are taken faster and in closer proximity to customers, employees and payors. We work systematically to recruit the best employees and leaders. Local managers at Attendo enjoy significant personal responsibility for their units and thus an opportunity to shape how the operation is run. Responsibility is also delegated within the unit, which increases commitment.
Attendo's corporate culture is based on the vision: Empowering the individual. Our values, competence, commitment and care, guide us in our day-to-day work to consistently fulfil the vision. Attendo's experience from a long and systematic building of the corporate culture is that it strengthens the organization and creates better conditions for everyone to work towards common goals.
Through many years of experience, Attendo has developed comprehensive expertise in a number of areas. This knowledge is spread continuously between operations, contract models, service offerings, and countries. In this way, local operations gain access to Attendo's collective talent pool and knowledge base. Over the decades, Attendo has developed several processes and models, including those for management development, systematic working environment improvements, quality control and development of new homes in own operations.

l To be the most attractive choice and the most respected care provider in the Nordic countries.

Long-term 7% annual growth via organic growth and bolt-on acquisitions.

EBITDA margin
Long-term EBITA margin of approxiomately 9%.

Financial stability and the opportunity to execute long-term decisions.
Performance 2019: 3.6×
30%
Distribution based on investment opportunities and financial position
Performance 2019: The Board of Directors propose no dividend
1) These key ratios are defined on the basis of the previously applied accounting standard IAS 17, which in Attendo's reporting is called "adjusted earnings". Attendo intends to revise its targets in 2020.
Attendo offers care services for older people, people with disabilities, social psychiatry and care for individuals and families. In partnership with local authorities, we effectively address complex care challenges. Most of our activities are run in own operations, but we also run outsourced operations for local authorities.
Attendo offers nursing homes for short-term stays or permanent residence. Residents of our nursing homes live in their own apartments with access to common areas and social interaction. The days are planned according to the resident's needs and preferences in close collaboration with the resident, their contact person and also the charge nurse.
In the home care services segment, Attendo offers a complete undertaking that covers everything from care and meal services to cleaning, laundry and evening and night-time services. Many assignments also include home health care. Care provision is planned in partnership with the individual, based on the applicable municipal benefits assessment.
Attendo offers homes for people with various kinds of disabilities and permanent needs for care. Life in each home is planned to make it possible for the residents to live their lives as actively and independently as possible.
Daily activities, respite care and short-term accommodation
Attendo also runs a wide range of programmes to provide respite to families in daily life. We create meaningful everyday lives for young people and adults in daily activities programmes, offer support in the form of respite and companion services, as well as short-term accommodation when there is a temporary need.
Attendo operates care homes and training programmes related to neuropsychiatric disabilities and psychosocial problems. All treatment is individualised based on the needs and abilities of the customer, with focus on strengthening what works and practising strategies for that which needs to be improved.
Attendo provides individual and family care, such as consultant-supported family homes, crisis and emergency homes, addiction care and various forms of supportive housing. Programmes are intended for young people and adults in need of support, protection or treatment, often as part of a long-term plan leading towards independent living.
Own operations represents the largest share of Attendo's net sales. At year-end 2019, Attendo's own operations included a total of 604 units in Sweden, Finland, Norway and Denmark.
In the own operations contract model, Attendo designs, builds, equips and staffs its own homes and offers care beds to local authorities. Attendo leases the premises from the property owners, usually for a term of 10–15 years.
Attendo has many years of experience planning, building and operating various care services operations. Own operations also ensures long-term cooperation between Attendo and the local authority, which creates peace of mind for clients and employees. The model gives Attendo tremendous opportunity to influence the care experience through, for example, lifestyle homes with unique concepts. Attendo Annual Report Offerings and contract models / Operations 13
Under outsourcing contracts, Attendo provides services as ordered by the local authority. The staff are employed by Attendo for the duration of the contract, while the local authority is responsible for the premises where services are delivered. Contracts with local authorities normally have a term of four to seven years with an option to extend the contract.
Local authorities have a challenging task in meeting growing needs for care and health care while also saving taxpayers' money. Attendo is a partner that contributes systematic methods and tries out new ideas. In order to be competitive, Attendo must deliver high-quality services at an attractive price.
DISTRIBUTION BETWEEN CONTRACT MODELS

Attendo is working in a purposive manner to run sustainable operations that has positiv impact on the UN Sustainable Development Goals (SDGs). Our sustainability strategy and practical sustainability work are focused on three main areas: development of society, quality and employees.
Attendo's sustainability strategy is based on continuous dialogue with the company's stakeholders: customers and their relatives, local authorities, employees, suppliers, investors, politicians and government agencies. The stakeholder dialogue results in greater understanding of their expectations and provides input for areas of potential improvement. We track satisfaction among our customers and their relatives as well as decision-makers and contracting local authorities through regular surveys and ongoing discussions. We always seek to base our actions on the needs and wishes of the customer. Employee preferences and opinions are discovered by means including employee surveys, workplace meetings and performance and development dialogues.
Significance assessments are used to identify the topics that are most important to Attendo and the company's stakeholders. We have identified about 30 sustainability topics in various subject areas, three of which have been identified as most important to Attendo's future sustainability work: development of society, quality of care and our employees. Overall targets and relevant key figures were defined for each focus area to measure goal attainment.
In the area of development of society, Attendo's ambition is to lead the establishment of new homes to meet the needs of society for new beds in care homes. Attendo reports on this area through the number of new beds under construction as well as newly opened beds in own operations.
In the quality area, Attendo is striving to further improve its leading position in quality and customer satisfaction. The outcome is reported in the internal Quality Thermometer, which is an overall appraisal of the primary quality factors in all areas of Attendo.
The objective in employees focus area is that Attendo will offer a stimulating workplace for everyone who wants to make a difference. Employees' satisfaction with their jobs and their managers is reported here on the aggregated level.
Attendo's latest key figures for the company's sustainability targets are presented below. Selected indicators in other sustainability areas are presented on page 86–87: environment and climate, social sustainability and diversity and anti-corruption and human rights. There are no group-wide goals in these areas.
| FOCUS AREA | OBJECTIVE | KEY FIGURES | OUTCOMES 2019 (2018) |
|---|---|---|---|
| Development of society |
Lead the establishment of new homes to meet society's needs for new beds |
New beds under construction New beds in own operations |
1,980 (2,462) 1,950 (2,409) |
| Quality of care | Maintain and develop the strong posi tion in quality and customer satisfaction |
Outcome of the internal Quality Thermometer |
84% (84) |
| Employees | A stimulating workplace for everyone who wants to make a difference |
Employee job satisfaction and satisfaction with managers at the aggregated level |
3.9 (3.9) of 5.0 3.9 (3.9) of 5.0 |
Attendo's operations are contributing to several UN Sustainable Development Goals under Agenda 2030. In 2019, Attendo actively contributed to getting closer to achieving six of the seventeen goals.
In addition, Attendo has some impact on another eight goals, while only three goals are assessed as unaffected by Attendo's business.

Care is profoundly important to customers, families, employees and society as a whole. Society demands that every individual receives good care with peace of mind, independence and quality of life. Attendo is making a goal-oriented contribution to that effort.
There is a shortage of beds in care for older people in the Nordic countries. According to the National Board of Housing, Building and Planning (Boverket), 127 out of 290 local authorities in Sweden had a shortage of nursing homes in 2019 and more than 6 out of 10 local authorities had no available homes for people with disabilities.
All indications are that the need for care services is going to continue to grow over the long term. The demographic trend indicates a sharp increase in the population aged 85+ in the Nordic countries in the next 15 years.
In our assessment, there is a need to build about 85,000 new nursing home beds in Sweden, Finland and Denmark by 2030. The forecast is based both on added capacity and the need to replace existing homes that no longer meet the current high standards.
Private providers accounted for about half of all new production of nursing homes in Sweden and Finland in recent years. Attendo alone has provided more than one out of five new nursing home beds since 2008. Attendo also makes a substantial contribution when it comes to homes for people with disabilities.
Establishments of new care homes also lead to several positive impacts on society. Every new home with 54 beds creates about 50 jobs once up and running, as well as more than 30 annual jobs during the building phase.
When Attendo continuously builds new facilities, the company also supports local authorities with expertise in nursing home establishment, from the identification of suitable land to construction, staff recruitment and moving in of residents.
The pace of openings in the preceding year, however, led to growing difficulties to fully staff and occupy the new units, which has had negative impact on Attendo's profitability. In response, the number of new openings was reduced in 2019 and the new project rate was decelerated. The company intends to maintain a more sustainable rate of investment in new care homes in the next few years.
One of Attendo's primary strengths is its ability to address complex care and health care challenges. Our services include care and health care for individuals with multiple disabilities or especially complex diagnoses, such as Huntington's disease and Parkinson's disease. In the area of individual and family care, we are helping local authorities create qualified care and good lives for young people with a range of needs, by recruiting and certifying family care homes.
Attendo has strong expertise in several aspects of care for people with disabilities. We have, for example, established two of only three care homes in Sweden that specialise in Prader-Willi Syndrome, whose symptoms include uncontrollable appetite.
We offer meaningful activities for people with mental health variations and work actively to match individuals enrolled in daily activities programmes with work opportunities.
In Finland, we are helping to secure access to local care and health care in small and remote communities. Many local authorities choose to work with Attendo because this partnership helps improve quality of care while


making municipal costs clear and transparent, which leads to more efficient use of tax funds.
Attendo pays more tax than any other private care services provider in Sweden and Finland. In addition to tax on the company's profits, Attendo also pays payroll taxes and fees, as well as VAT on its purchases.
In 2019, Attendo paid SEK 88 million in corporate tax, including SEK 86 million in Sweden. Taxation is based on the profits that our operations generate in each country. Attendo always pays taxes on profits in the country where they were generated.
Attendo creates alternatives in care and health care and gives customers the opportunity to choose. With about 25,000 employees, Attendo is one of the largest employers in the Nordics. This facilitates greater opportunities for career development and more alternatives for employees in care and health care. Attendo also provides an important contribution to the labour market by offering people a gateway to their first jobs, especially for young people and recently arrived migrants.
Attendo aims to lead the establishment of new homes to meet society's needs for new nursing home beds.
1,980 number of new beds under construction
1,950 number of new beds opened

Attendo's quality improvement goes further than what lawmakers and contracting local authorities require. The ambition is to offer market-leading quality and drive the development of new methods and new technology in the industry. Attendo works systematically to constantly monitor and enhance quality improvement.
At Attendo, we are convinced that quality of care can be measured. We are constantly endeavouring to further elevate both technical and perceived quality. Much of that currently considered industry praxis in the Nordic care sector, such as social documentation, contact persons and personal time, are the results of Attendo's development work.

Initially, the work was oriented mainly towards measured "technical" quality. We are now increasingly focused on further improving perceived quality: how satisfied our customers and their relatives are with the service Attendo delivers. Digitalisation and mobile documentation are examples of how we are working to ensure that customers always receive the care they have been granted by their local authority.
Laws and regulations and the contract with the contracting authority, govern all care services, as well as matters including the work environment, information security, infectious disease prevention, food handling and fire prevention. National supervisory authorities share responsibility with the contracting local authority for ensuring that care is of good quality and for carrying out recurring quality audits of the operations of private providers.
Attendo documents and regularly evaluates individual care services as well as overall operations. Our industry-leading quality management system defines processes and activities that are subsequently measured and followed up on a monthly basis. The work is led by local quality coaches, who are supported by specialised quality functions.
Our constant endeavour is to develop and improve quality of care.
Attendo will strive to maintain and further improve its leading position in quality and customer satisfaction.
84 out of 100 quality index 2019
Attendo's internal quality index – the Quality Thermometer – consists of eight aspects within three pillars. The results at the unit, regional, business area and group levels provide a comprehensive overall view of how quality improvement is working and the areas that need improvement. Central quality functions regularly carry out internal inspections and audits and provide training and support to local quality coordinators.
The Quality Wheel, on the right hand side on this page, is our model for systematic quality improvement. The four parts of the wheel – planning, implementation, evaluation and development – contain approaches and methods for the day-to-day work as well as tools for measuring, monitoring and improving our initiatives.

1Satisfied customers: Our efforts are always based on the needs and wishes of the customer. Attendo has been tracking satisfaction among customers and their relatives for a long time and we have observed a positive long-term trend.
2Systematic improvements: We work in a systematic and carefully prepared manner with every aspect of planning, execution, monitoring and development. Systematic quality improvement must permeate everything we do. It ensures that we comply with laws and regulations and that we always identify and take advantage of opportunities for improvement in operations.
3Best available knowledge: Attendo attaches great importance to knowledge transfer and has strategies and procedures for spreading the best available knowledge and evidence-based practice throughout the organisation. We compare units according to several different parameters to identify and spread optimal work procedures, for example.

Our quality improvement system is based on careful planning that gives us the time to do the extra little things to brighten people's days. The employees' work is planned digitally based on customers' implementation, health, care and rehabilitation plans, which are descriptions of the services the customer needs and how these should be delivered to meet the individual's needs and wishes.
All quality improvement plans, procedures and systems are aimed at making the encounter with the individual as good as possible. Guidelines in the form of handbooks in the areas of quality, employees, activities and mealtimes provide help and support in the day-to-day work. Digital tools are used to ensure that no care services are inadvertently omitted.
We monitor quality on an ongoing basis using the Quality Thermometer, which is used to follow up operational quality. The Quality Thermometer measures and weighs eight quality parameters. Regular customer and employee surveys are an important component of quality monitoring.
An effective quality improvement system can always be made even better. Based on the results of surveys, external audits, our own internal audit, etc., we prepare action plans in order to further improve the quality of everything we do. We aim to instil a culture that encourages quality improvements and ensures that employee's good ideas are spread and put into action. Employee skills development is a key component of all quality improvement efforts. The Quality Department monitors news, innovations and the latest research and regularly shares the information with the rest of the organisation.
People in various phases of life, with varying backgrounds and needs, benefit from Attendo's care and health care every day. The competence, commitment and care of Attendo employees are critical to ensuring that our customers and their families are satisfied with our efforts.
Attendo is a large company with a workforce of many thousands. Our vision and our values are important working tools that bind us together. Our values – competence, commitment and care – function as signposts towards fulfilling the vision: Empowering the individual. Our constant ambition is to do our best for every customer, every day. Our clients should always feel safe, secure and independent. We put the individual's needs first and treat everyone with respect and warmth.
Attendo's values work is based on the individual unit and local situations. Aimed at addressing larger issues and challenging the local operation in its values discussions, there is a regional values organisation gathered under a national umbrella responsible for providing training, spreading information and developing practical tools to use in values work.
Attendo's Code of Conduct contains guidelines and support for the challenges that can arise in the day-today work. The Code covers business ethics as well as areas including human rights and discrimination, whistleblower protection for employees, employment conditions and health and safety.
All Attendo employees are informed of their obligation to understand and comply with the Code upon initial employment and regularly thereafter.
Attendo has about 25,000 employees in Sweden, Finland, Norway and Denmark. We believe it is essential to be an attractive employer and that our employees should be happy with their personal work situation as well as with their employer and their immediate managers.
We continuously track employee opinion. This is accomplished through annual appraisal interviews, monthly workplace meetings and ongoing dialogue. This is augmented with "temperature readings" to keep tabs on our employees' job situations and how satisfied they are with their jobs and workplace. The average employee satisfaction score in 2019 was 3.9 out of 5.0. Satisfaction with the immediate manager was also 3.9 out of 5.0. Job satisfaction was somewhat higher in Scandinavia, while satisfaction with the closest manager was higher in Finland.
Attendo provides ongoing training to ensure high quality and continuous improvement. New employees are provided a thorough introduction including supervised shifts and a mentor programme. All skills development is based on individual plans. In addition, employees can participate in local, central and web-based training.
The company's and the employee's objectives and how they fit together are discussed during annual appraisal interviews. We also promote continuous learning and encourage job rotation.
Attendo seeks leaders who want to make a difference and the company works systematically to recruit and develop the best managers. At Attendo, leadership is all about accountability, visibility and accessibility.
The organisation is flexible and decentralised. Local managers bear substantial personal responsibility for their operations and are expected to systematically delegate responsibility so that employees feel empowered.
Attendo works actively, systematically and preventively to reduce risks and promote employee health and safety. We train managers and employees to assess risks and act in a manner that ensures safe and secure workplaces and prevents the risk of threats and violence. We follow up on sickness leave to help our employees return to work as quickly as appropriate.
All employees in care for older people transitioned to using Mobile Care in 2019. Mobile Care is a digital app that enhances the quality of care through more secure handovers for our employees.
Attendo shall offer a stimulating workplace for everyone who wants to make a difference.
3.9of 5.0 Employee job satisfaction
3.9of 5.0 Satisfaction with the nearest manager
The care sector is a mirror of diversity in society. Attendo is committed to diversity among our employees that makes it easier to meet our customers' needs. We are also helping to increase the percentage of women managers in business.
Attendo is made up of a diverse family of employees of various nationalities and backgrounds. This diversity is a prerequisite for providing care to customers by employees who understand their needs. Dementia care imposes particular demands that employees understand and can relate to people's linguistic and cultural backgrounds, as for many people, losing languages and cultural expressions learnt later in life is part of their condition.
Attendo's home care operations in Sweden provide care in at least one other language in addition to Swedish. Finnish is the most common and is offered at 26 out of 52 units. Employees of Attendo care homes also speak a wide variety of languages. There are Finnish-speaking employees at six out of ten care homes, according to the unit survey conducted by the Swedish National Board of Health and Welfare. All care homes also have employees who speak one or more additional foreign languages.
Attendo welcomes employees of various cultural and ethnic backgrounds. Every Attendo employee must be treated respectfully and given equal opportunities for career development. It is a fundamental principle that everyone should have equitable terms of employment and equal working conditions.
Attendo wants proud employees who uphold the principle of the equal dignity of all human beings. We actively work against all forms of discrimination – among employees, among customers, and between customers and employees. Managers discuss and regularly inform employees about Attendo's efforts to prevent discrimination. Employees are encouraged to report suspected discrimination to their immediate managers. A new tool introduced in 2019 has made it easier to anonymously report unsatisfactory conditions.
Most Attendo employees are women, which is reflected at all levels of the company. More than eight out of ten managers at Attendo are women, which is much higher than the average in the business sector. Many of the women who have advanced to prominent positions have
worked for Attendo for a long time. Attendo is working actively and successfully to give talented employees the opportunity to advance to local manager and then further to regional or function manager at a higher level.
Attendo offers good opportunities for employees to advance within the company. Employees who retrain for occupations where there are shortages of employees can be offered study leave and a guaranteed pay rise after they finished their education.
Attendo's owners strive to have a Board of Directors representing a breadth of skills, professional backgrounds and perspectives. Directors are chosen based on their expertise and skill, but also for their ability to fully understand Attendo's operations. During 2019, the Board of Directors in Attendo AB consisted of five men and four women.

People in need of care often have difficulty asserting their rights. Attendo works systematically to defend all customers' rights to care based on their needs and preferences. Our Code of Conduct reduces the risk of discrimination and improper business relationships.
People who seek care from Attendo reflect the diversity of society. It is important that all human beings are respected, regardless of their cultural background, gender, sexual orientation or religious beliefs.
Attendo works actively to run an inclusive business that makes it possible for people in need of care to express their wishes and have their needs met. The image support tool Pict-O-Stat is used in care for people with disabilities to create empowerment. The Mobile Care tool is used in care for older people to individualise care while continuously documenting customers' needs and preferences.
Attendo is contributing to increasing respect for people's sexual orientation through actions including LGBTQ certification of operations and participation in Pride celebrations.
Attendo's anti-discrimination work is tracked through ongoing employee dialogues and through central follow-up of all reported cases of discrimination.
Attendo is a significant supplier to the public sector. Failure to meet contractual or legal requirements not only entails a risk that good care will be jeopardised, it is also a business risk for Attendo and presents a risk of damage to our reputation and external brand.
Attendo has a comprehensive Code of Conduct that is available to the public on the group's website. The Code governs how the company and our stakeholders are expected to act towards contracting authorities, customers and their relatives, and each other. All employees and subcontractors must be aware of and meet the standards in the Code of Conduct. Violations of the Code can lead to a warning and/or termination of contracts for both employees and suppliers. No such cases were actualised in 2019.
Attendo aims to be a leading employer in the care sector. We endeavour to maintain good and close relationships with our employees' union representatives, to rapidly resolve labour conflicts and to comply with valid collective agreements as regards pay and other working conditions. All Attendo employees are covered by some form of collective agreement.

The world is putting ever-higher demands on business to lead the transition to a sustainable society. Attendo is working actively to improve operational efficiency, conserve resources and make choices that reduce our climate impact.
As a service company, Attendo's business has a relatively small environmental load compared to manufacturing companies of the same size. Attendo's environmental impact comes primarily from our buildings and vehicles. In addition, reduced use of disposable products and reduced food waste for example, can be both good for the environment and lead to more efficient operations for our contracting local authorities.
Attendo bases its work on an environmental policy that guides us towards making green choices in the areas of purchasing, transport, energy and water consumption and waste management (including environmentally hazardous waste). The results include a travel policy in which rail is the preferred mode for trips of up to 500 km. Attendo has also switched to holding more virtual meetings by taking advantage of programs like Skype for Business and StarLeaf.
The company has an environmental management system according to the ISO 14001 standard to structure environmental efforts. The management system governs the initiatives we take, how they are carried out, the extent to which they are used and their results.
Improvements and new solutions are planned based on the conclusions. Of these, we select and implement measures and subsequently analyse the results. Thereafter, we go back to the drawing board and continue planning. In this way, Attendo's environmental work is developed and improved from one year to the next.
Attendo coordinates all purchasing to achieve the greatest possible coordination advantages while ensuring environmental benefit. Suppliers that qualify to be

included in Attendo's central purchasing system must be aware of and meet the requirements specified in Attendo's environmental policy.
Attendo's business areas also set their own environmental goals. Attendo Scandinavia worked towards three concrete goals in 2019: reduce fuel consumption in home care services by 3% per home care hour performed, offer at least one vegetarian meal per week and use only electricity from renewable sources in operations. Attendo Finland has been working actively for several years to reduce consumption of energy and water and reduce waste from operations. The effort has led to reductions of 4–6% in participating units.
All business requires companies to take risks in various forms and to various extent. Managing the risks associated with Attendo's operations is necessary in order for Attendo to pursue the strategy and achieve the company's goals.
Risk management, defined as the work involved in identifying, managing, and monitoring risks, is an important part of Attendo's operations. Attendo takes a structured approach to managing risks, based on a framework that covers external risks, operational risks, and financial risks.
Risk management is well-integrated in Attendo's operations and the day-to-day measures required to manage risk are decided and monitored by the Business Area Directors, who are responsible for risk management within their areas of operation. Attendo has also established a group-wide function responsible for risk management, compliance and internal control, which supports the Business Area Directors and the various specialist functions within Attendo in their work with risks, processes, and controls. The purpose of the internal control function is to, based on a group wide risk assessment, take a structured approach in implementing various tools that, based on Attendo's strategic goals, creates good controls over critical processes. This work is based on a risk assessment performed together with Attendo's Executive Management and other key employees. The risk assessment evaluates the significance of the risk based on the impact it would have if triggered and the probability of such triggering event occurring.
Based on the risk assessment, the internal control function and relevant stakeholders establish common policies, guidelines, instructions and control documentation aimed to manage the risks. The risk assessment also has an impact on the company's business decisions and strategic plan. Furthermore, the continuous risk management processes include an annually recurring self-assessment , which ensures that the business tests the implemented controls' effectiveness and assess whether they should be modified or improved. The self-assessment is supported by testing and ongoing follow-up by the internal control function. In addition to the continuous processes, specific projects and initiatives to improve and strengthen Attendo's risk management and internal control are also carried out, based on the most critical needs according to the latest risk assessment. The annual plan for the overall work is prepared together with the Board's Audit Committee and the company's external auditors.
2019 has been a very challenging year for Attendo, mainly related to the Finnish operations. Throughout the year, the company's work with risk assessment, management and follow-up has therefore been highly prioritized. Particular focus has been placed on risk areas that have been central during the year, i.e. the establishment rate (including market risk, political risk and occupancy risks) and higher staffing requirements (including regulatory risk and staffing and human capital risk). For further details on Attendo's work in relation to these and other risks, an overall summary of identified risk areas and how we work in managing these is presented below.

| Risk | Description of risk | Risk Management | |||
|---|---|---|---|---|---|
| EXTERNAL RISK | |||||
| Market risks and political risk |
The care and health care market is characterised by competi tion between public and private providers of varying size on a market affected by demographic development and access to public funds. The ability for private providers to conduct care business is dependent on political decisions on national and municipal level. In addition, political decisions that leads to regulatory changes or changes in political willingness to engage private providers may have a significant impact on Attendo's operations and financials. |
Attendo has many years of experience of conducting care and health care services in the Nordic markets. For more than 30 years, Attendo has developed the business in a manner that has enhanced the company's competitive offering, which upholds high quality services for customers at a price that is attractive to the payor. Part of this work is Attendo's continuous efforts to create a service offering based on quality and innovative solutions im proving customer experience and employee working conditions. Attendo carefully follows the political development in order to manage and prepare the operations for changed regulations or conditions. Attendo also collaborates in different industry bodies, for example Vårdföretagarna in Sweden and Hali in Finland, to influence the conditions in the industry for the better. |
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| Reputational risk | Reputational risk is the risk that Attendo's reputation among customers and their relatives or the general public is damaged due to negative media attention. Operations con ducted by private care and health care providers are often heavily monitored by the media, whose coverage from time to time is extensive. Negative publicity concerning Attendo, one of our competitors, or the industry as a whole may have negative impact on Attendo's reputation and thus reduce the ability to receive or renew customer contracts, attract employ ees or lead to increased surveillance costs. |
Attendo takes a structured approach to offer superior care with high quality, characterised by transparency, both internally and towards the media. The company also strives to offer employees an attractive and stimulating workplace. Attendo's efforts to spread and anchor the vision and values throughout the organisation are important to create a positive culture that encourages providing good care to customers and patients. These are important tools for reducing the risk of negative publicity. |
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| Regulatory risk | The formal starting point for high quality and safety in Attendo's operations is based on applicable external and internal regulations and requirements in permits and customer agreements. If Attendo does not comply with requirements or if new rules or requirements are introduced or if the applica tion/interpretation of these are changed, this could lead to changes in the conditions for the operations, e.g. increased costs. Furthermore, severe non-compliance can give payors the right to cancel contracts or demand that an operation is shut down. The principles for quality control and regulatory enforcement from authorities and payors vary and the conse quences for Attendo may therefore be hard to project. |
The legislative process in the countries where Attendo operates is transparent, meaning that regulatory changes are normally announced well in advance of implementation and that Attendo can adapt its operations thereafter. In addition, Attendo carefully monitors changing requirements in terms of quality and safety. Ensuring regulatory compliance is an area of high importance in which Attendo spends substantial effort and resources. Attendo has a well-defined system of policies, procedures, guidelines, and documentation implemented in the day-today operations. On Group level, Attendo takes a structured approach to partic ipation and collaboration in various discussion forums relevant for the regulations that apply to Attendo's business, including that Attendo participates as a consultation body or with its expertise to support the to regulatory development within the area. |
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| OPERATIONAL RISK | |||||
| Occupancy and lease agreement risk |
Attendo is exposed to financial risks associated with the occupancy levels in the units. This is primarily a result of At tendo's operations under own management being conducted in facilities owned by external facility owners, which Attendo enters into lease agreements with. If Attendo does not obtain a customer contract for a planned unit, but has a signed lease agreement for the facility, significant costs arise wich are not matched against any revenues. Since the lease agreements normally have longer maturities than the customer contracts, the company has to estimate future supply and demand al ready when lease agreements are entered into without having binding customer contracts for the entire lease period. If Atten do operates more units than needed with respect to demand, and cannot modify the operations to other use in non-occupied units, this may have a significant negative impact on Attendo's business, financial result or financial position. |
Conducting care in own care units is part of Attendo's core business. Managing these risks is hence a highly prioritized area, and managed throughout the process for new units – from project phase to construction and completion. A thorough analysis of the supply and demand on the applicable market is done during the initial project phase. Throughout the years, Attendo has developed models and processes to minimize the risk that long-term lease agreements are entered into in areas where the demand for Attendo's services is to be considered unfavourable. |
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| Staffing and human capital risk |
Access to competent employees is critical to the company's business. Attendo's operations are highly labour intensive and the company has around 25,000 employees in several occupational categories, including nurses, assistant nurses, and social workers. The decentralized organization within the company also means that local and regional managers have extensive responsibilities and mandates and are central in carrying out Attendo's strategy and goals. It is thus very important that Attendo can employ and retain qualified executives, managers, nurses, and other care and health care personnel. |
Attendo continually develops and strengthens its models for attracting, developing, and retaining skilled and dedicated employees. This includes for instance to have well balanced HR functions to support the operations, to continuously evaluate the regional and local organization and to work actively with Attendo's vision and values. Recruitment of key employees is critical for Attendo and the company is highly experienced in recruiting employees in areas where there currently is a short age. Examples of this are projects aimed at recruiting nurses in both Finland and Sweden. Attendo is taking various actions to retain key employees through incentive programmes as well as opportunities for competence development and job rotation. |
| Risk | Description of risk | Risk Management | ||
|---|---|---|---|---|
| Pricing risk | Attendo's pricing is based on a number of assumptions regarding future conditions. In addition, Attendo's contracts with payors span over several years and Attendo receives payment based on occupancy. Since the payor contracts usually do not include guaranteed service volumes it means that Attendo is dependent on making accurate forecasts of future supply and demand in its pricing models. As wages are Attendo's largest cost, significant wage increases or changed staffing require ment imply a financial risk for the company. |
Attendo's pricing is based on careful models and processes developed throughout the years. The risk of loss in profitability due to increased wages is minimised for most payor contracts by connecting prices to a labour market index. Attendo strive to proactively follow and renegotiate prices, e.g. as a result of increased staffing requirements. |
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| Permit risk | A significant proportion of Attendo's operations require permits Attendo has long experience running care and health care op and many of its operations require dedicated permits. Permits erations and is well-equipped to meet regulatory requirements. can only be obtained when operations satisfy stipulated quality When a new unit is planned, the risk that a permit cannot be and safety requirements and other demands. These require obtained within a reasonable time frame is always taken into ments, as well as conditions and processes relating to obtaining account and is thus included in the estimated start-up costs. permits may change, which may have an ffect on Attendo's operations. By example, long permit processing times may lead to delayed start of new operations, changes in the direction of operations or change of local manager. Since operations can not be conducted or changed without permit, such lead times may result in occupancy challenges and loss in revenues. |
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| Acquisition risk | Acquisition risk entails that Attendo may not identify suitable acquisition targets, that the company will not successfully negotiate acceptable terms, or be able to finance the acquisi tions, or that overly optimistic assumptions support acquisitions that otherwise would not have been made. Acquisitions also entails the risk that Attendo will be exposed to unknown obligations in the acquired company or that the costs of acquisition will be higher than expected. In addition, acquisi tions of less profitable businesses may have negative impact on Attendo's margins and there is a risk that it might not be possible to integrate the acquired operations as planned, thus incurring higher costs. |
Over the years, Attendo has established and implemented a structured and systematic acquisition process that requires analysis, documentation and sufficient approval prior to each specific acquisition. In addition, Attendo establishes a detailed integration plan in connection with the acquisition decision. |
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| FINANCIAL RISK | ||||
| Liquidity and financing risk |
Liquidity risk is defined as the risk that Attendo will be unable to meet its payment obligations. Attendo manages liquidity risk by maintaining a liquidity reserve (cash, bank balances, and the unutilised portion of existing credit lines). Financing risk is defined as the risk that financing of outstanding loans becomes impossible or more costly. |
Attendo's central treasury department seeks to maintain agreements on available lines of credit and conducts ongoing aggregate cash flow forecasts and rolling forecasts to ensure adequate liquidity for operations. As of year-end 2019, Attendo has two financial covenants (net debt/EBITDA and interest coverage ratio) linked to the group's loan facilities. The central treasury department analyses compliance with the financial covenants on an ongoing basis. |
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| Exchange rate risk |
Attendo's business is multinational and thus entails various currency exposures, primarily against the euro (EUR), but also the Norwegian krona (NOK) and Danish krona (DKK). Exchange rate risk is divided into transaction risk and transla tion risk. Transaction risk is insignificant since purchasing and billing are mainly transacted in local currency. The group's result is affected by the translation of the income statements of foreign subsidiaries at the average rate for the financial year. If the local currency of a foreign subsidiary fluctuates against SEK, recognised net sales and profit for the group will be affected when converted to SEK. Exchange rate risk also arises through translation of recognised assets and liabilities in foreign operations. |
Attendo's EUR/SEK exchange rate exposure is managed by financing being partially financed through borrowing in EUR. As exchange rate exposure in NOK and DKK is not significant, currency hedging is not applied for these translation risks. As transaction risk is insignificant, no specific measures is taken to manage this risk. |
| Risk | Description of risk | Risk Management | ||
|---|---|---|---|---|
| Interest rate risk | The group's interest rate risk primarily relates to Attendo's long-term borrowing and bank balances with Nordic mer chant banks. At the end of the reporting period, 100 percent of the group's borrowings were variable rate loans and Attendo is thus exposed to interest rate changes. |
Attendo's interest rate risk is managed by the central treasury department, which continuously analyses the group's exposure to interest rate changes by means of ongoing sensitivity anal yses. In order to reduce the risk associated with variable-rate borrowing, the group enters into swap agreements from time to time on a proportion of future interest payments. However, no interest rate hedging was implemented during 2019. Given Attendo's current financing structure, if interest rates had been higher by one percentage point in 2019, with all other variables constant, profit after tax would have decreased by approximately SEK 22m. |
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| Credit risk | Credit risk is the risk that outstanding trade receivables and non-invoiced services delivered to Attendo's payors will not be paid |
Attendo's payors are mainly local authorities, which are assessed to have very high credit ratings. The risk of bed debt losses within the group is therefore assessed as limited. |
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| Counterparty risk |
Counterparty risk is defined as risk exposure in the form of investments of surplus liquidity and derivative contracts with banks and financial institutions. |
Attendo has implemented a finance policy that specifies the securities in which the company is permitted to invest any surplus liquidity. For example, cash and cash equivalents are invested exclusively in government bonds or with banks with a high official credit rating. Derivative contracts are made only with banks with a minimum credit rating of A1/P1 and with which Attendo has a long-term relationship, which is deemed to mitigate the risk |
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| SUSTAINABILITY RISK | ||||
| Social conditions and human rights |
Risks include lost contracts, legal sanctions and/or that the Attendo brand is scrutinised or damaged if Attendo fails to provide social care without discrimination based on factors including religion, gender and sexual orientation and to provide social care that ensures human dignity and meets people's needs, regardless of the situation. |
Attendo complies with applicable collective agreements and pursues active values initiatives through local managers and/ or local values coaches in all workplaces, with regular discus sions of values among managers and employees. The Attendo Code of Conduct imposes clear demands on employees, partners and suppliers in relation to social conditions and respect for human rights. |
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| Employees | Access to competent employees is critical to Attendo's busi ness. The competence, commitment and care of Attendo em ployees are critical to ensuring that our customers and their families and public purchasers are satisfied with our efforts. If Attendo's employees are unhappy or are no longer commit ted, there is risk they will resign or go out on sick leave. If the employer brand is damaged, there is also risk that it will be more difficult for Attendo to attract new employees. Attendo also shares the general risk within the sector that there is lack of competences that are necessary to conduct the care related work Attendo has committed to. |
Attendo regularly measures employee job satisfaction, monitors local sickness absence rates and employee turnover and, as needed, assists local managers with action plans. Employees are offered opportunities to build their skills by means including web-based training. Further training to obtain managerial or specialist skills is encouraged. Central functions support local recruitment, with specialists teams oriented towards occupations where there are shortages of qualified prospective employees, such as nurses, where projects are conducted to recruit nurses from other countries. Work environment management is pursued systematically to ensure a safe and secure work environment. Analyses and actions are regularly discussed at workplace meetings. In addition to regional monitoring, random checks are carried out in which the work environment is audited and managers and employees are interviewed. Action plans are prepared as necessary. |
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| Anti-corruption | There are risks associated with tenders from procuring mu nicipality as well as procurement of suppliers, in connection with new construction and strategic purchases, for example. Potential effects include legal ramifications and negative impact on the brand. |
The Attendo Code of Conduct contains clear guidelines for how employees, partners and suppliers are permitted to act in procurement situations and in relation to ongoing contracts. Attendo does not accept gifts to/from customers, customers or suppliers. Departures from the Code may lead to warnings and/or contract termination. |
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| Environment | Environmental risks are primarily related to the buildings in which Attendo operates and the company's vehicle fleet. According to the Swedish Environmental Regulation, opera tors are responsible for any pollution or other environmental damage and for remediation. There are also risks related to climate change, such as higher risk of floods, collapses, landslides, erosion and heat waves, where the health of customers and employees may be affected. |
Attendo is working to establish higher concern for the envi ronment in all operations. Efforts are ongoing in accordance with the company's environmental policy, which dictates how operations must be run with care and concern for the environment and how employees, partners and suppliers are expected to act. All leaders are responsible for ensuring that operations comply with the environmental laws that apply and take environmental aspects into consideration with regard to products and services, transport, energy and water use and waste management. |
Attendo AB (publ) is a Swedish public limited company (corporate identity number 559026-7885). The company's shares are traded on the Nasdaq Stockholm Large Cap list. Attendo's registered office is in Danderyd. The address of the head office is Vendevägen 85, 182 91, Danderyd.

Good corporate governance is important for supporting Attendo's vision, to reach the strategic goals and to strengthen the corporate culture.
Corporate governance at Attendo is based on external regulations such as the Companies Act, the Annual Accounts Act, Nasdaq Stockholm's Rulebook for Issuers, and the Swedish Code of Corporate Governance (the Code), as well as other applicable Swedish and foreign laws and regulations. As a complement to the external regulations, the Board of Directors of Attendo has adopted rules of procedures that govern the work of the Board and its committees, as well as instructions for the CEO and the operations. This Corporate Governance reporthas been prepared in accordance with the Annual Accounts Act and the Code and aims to describe the corporate governance in Attendo during the year 2019.
During the years 2015–2019, Attendo had a long-term incentive program under which Executive management had the ability to exercise warrants to acquire shares during a period of two to four years. Attendo has accordingly reported a deviation from point 9.7 of the Code, with the explanation that it has been deemed that several exercise periods better align with Attendo's strategy and goals and that a two-four year exercise period provides better incentive for management to continuously during a total of four years endeavour to create value for Attendo's shareholders. The warrants were issued in three separate series whereof the last one expired in December 2019.
Attendo was listed on Nasdaq Stockholm on 30 November, 2015 and is traded on the Large Cap list. Attendo had 161,386,592 registered shares as of 31 December, 2019 and the shareholders include both institutional shareholders, Attendo's management and a large number of private investors. Each share represents one vote at the Annual General Meeting (AGM) and an equal right to a share in the company's assets and profits. The largest owners as per December 31 2019 are Nordstjernan AB (19 percent), Pertti Karjalainen (14 percent), Incentive AS (7 percent), Swedbank Robur Fonder (6 percent) and Carve Capital AB (4 percent). The ten largest shareholders hold about 65 percent of share capital and votes. In total, Attendo owns 496,136 own shares as per December 31 2019. During the year, the last exercise period in Attendo's warrants programme was completed without any exercise.
The 2019 AGM authorised the Board to issue new shares in Attendo corresponding to a maximum of 10 percent of the total number of shares. And to resolve on the repurchase of shares, either to assign to the participants in the Attendo+ share programme or to adapt the company's capital structure, or to finance company acquisitions. As of 31 December, 2019, this mandate has not been utilised. The 2020 AGM is proposed to authorize the Board with a corresponding mandate.
Instructions for Attendo's Nomination Committee were adopted by the 2017 AGM and describe the composition of the Nomination Committee and how its work must proceed. According to these instructions, the Nomination Committee must consist of four members who are elected directly by the AGM. At the 2019 AGM the following members were elected (nominating shareholders within brackets): Tomas Billing (Nordstjernan AB), Anssi Soila (Pertti Karjalainen), Marianne Nilsson (Swedbank Robur Fonder) and Adam Gerge (Didner&Gerge Fonder). Chair of the Board, Ulf Lundahl, shall be a co-opted member of the Nomination Committee.
The Nomination Committee has judged that there are no conflicts of interest that affect the members' involvement in Attendo's nomination committee and that the composition of the committee is consistent with the rules set out in the Code. The main duties of the Nomination Committee are to nominate candidates to the position of Chair of the Board and other Board members and to propose fees and other remuneration to individual Board members. The Nomination Committee applies Rule 4.1 of the Code regarding the Diversity Policy of the Company's Board of Directors. The Nomination Committee also takes into account the need to ensure that the independent requirements are met.
The Nomination Committee's complete proposal to the 2020 AGM, including updated instructions for the Nomination Committee, are included in the notice of the meeting and available been posted on Attendo's website.
The general meeting, which is the group's highest decision-making body, is the forum in which shareholders exercise their influence.
The general meeting may resolve on all matters related to the company that do not fall within the exclusive area of responsibility of another company body. All shareholders that are recorded in the share register and that have notified the company, prior to the deadline, of their intention to attend are entitled to participate at the general meeting and vote for their total holdings of shares. Shareholders unable to personally attend are entitled to appoint proxies if they notify the company in time prior to the general meeting. Individual shareholders who wish to have a matter considered at a general meeting must, well in advance of the meeting, notify the Board of Directors of Attendo through the address stated on Attendo's website.
Documentation from general meetings including minutes from the meetings are available on Attendo's website, www.attendo.com.
The AGM 2019 was held on 11 April, 2019, at Restaurant Bra Mat in Danderyd, Sweden.
The AGM 2020 will be held on 15 April, 2020, at Restaurant Bra Mat in Danderyd, Sweden. Please refer to page 92 for further information.
The Board of Directors, which is the highest governing body after the general meeting, bears ultimate responsibility for Attendo's organisation and management as well as control of the company's financial conditions. The duties of the Board include appointing, evaluating and, if necessary, dismissing the CEO and ensuring that systems exist for monitoring and controlling operations, taking into consideration the risks to which Attendo is exposed. The work of the Board is governed by the Companies Act, the Articles of Association, the Code and the rules of procedures for the Board, among else. According to Attendo's Articles of Association, the Board must have a minimum of three and a maximum of ten Board members. In addition to Board members elected by general meetings, trade unions my appoint employee representatives to the Board.
Since the AGM 2019, the Board has consisted of six Board members elected by the AGM. The trade union Kommunal has elected two employee representatives and one alternate member. At Attendo's Board meetings the CEO and CFO participates, as well as the general counsel who is Board secretary. Other member of group management and other employees are participating if necessary. For a presentation of the Board please refer to pages 32–33.
The Board follows written rules of procedure which are reviewed yearly and adopted by the Board meeting following election each year. The rules of procedure regulate matters including Board practice, functions and the segregation of duties between Board and the CEO, and between the Board and the Board committees. At the statutory Board meeting following the AGM, the Board also approves instructions for the CEO, which include instructions of financial reporting. The Board of Directors meet according to a plan set each year. In addition to regular Board meetings, further meetings may be convened to resolve on matters that cannot be referred to a scheduled meeting. In addition to the Board meetings, the Chair and CEO have a continuous dialogue regarding the operations of the company.
The Board held 13 meetings during 2019, including the constituent meeting. The attendance among Board members is presented below. Since June 2019, Attendo's General Counsel is Board secretary. Board members obtain the agenda and documentation related to each item on
the agenda in advance of the meeting. The agenda includes a recurring item for Board own time without management present.
The Board deals with matters related to the company's progress in the areas of quality and business development, finance and budget, risk management, compliance, internal control, payors and strategy, and managers and employees. The Board of Directors considers and decides on financial reports, and follows the financial development and value creation and action plans. During 2019, the Board has dealt with the challenging situation in Finland, with focus on actions to turn around the negative financial development, improve quality, strengthen internal control as well as external communication. The Board has also focused on business development, long term profitability and growth and to ensure the new long term financing agreement that was finalized during the end of the year.The Board has also met with the company's auditors without the presence of management (in addition to the auditor regularly attending the audit committee meetings).
The Chair of the Board is responsible for presiding over Board meetings, allocating duties, organising the work of the Board and ensuring that decisions are executed. The Chair continuously monitors operations through regular
contact with the CEO and is responsible for ensuring that all Board members receive the information and documentation they require.
The Board of Directors conducts an annual Board evaluation in which all Board members evaluate the work of the Board during the year. The Board evaluation includes areas such as Board composition, reporting, governance, and working methods as well as what items should be focused on. The Board evaluates the CEO's work continuously by following the businesses development. A formal evaluation is performed annually.
The Board had three committees during 2019: the Audit Committee, the Compensation Committee, and the Investment Committee. After each committee meeting, the Chair of each committee presents a report to the entire Board. All minutes recorded at committee meetings are distributed to the Board and the auditor. The
| Title | Independent of shareholders/ company |
Attendance | ||||
|---|---|---|---|---|---|---|
| Board member | Board | Audit committee |
Compensation Committee |
Investment Committee |
||
| Ulf Lundahl | Chair and committee member | Yes/Yes | 12/13 | – | 5/5 | 4/5 |
| Catarina Fagerholm | Board and committee member | Yes/Yes | 13/13 | 7/7 | – | – |
| Alf Göransson | Board and committee member | Yes/Yes | 12/13 | 5/5 | 3/3 | – |
| Tobias Lönnevall | Board and committee member | No/Yes | 13/13 | 7/7 | 5/5 | 5/5 |
| Anssi Soila | Board and committee member | No/Yes | 13/13 | – | – | 4/5 |
| Anitra Steen | Board member | Yes/Yes | 11/13 | – | – | – |
| Arja Pohjamäki | Employee representative | – | 9/13 | – | – | – |
| Robin Filipsson1) | Employee representative | – | 3/6 | – | – | – |
| Faya Lahdou1) | Employee representative, alternate | – | 4/6 | – | – | – |
| 1) Elected by the Swedish Municipal Workers' Union (Kommunal) in September 2019. |
following presentation of the members of the committee refers to the composition after the Annual General Meeting 2019.
The Audit Committee consists of three members who are independent of the company and its management: Catarina Fagerholm (Chair),Tobias Lönnevall and Alf Göransson.
The CEO, CFO, General Counsel, and the Communications and IR Director attend meetings of the Audit Committee. The company's auditors regularly attend. The Audit Committee prepares matters related to Attendo's risk management and internal control, as well as accounting, financial reporting and auditing. The Audit Committee held 7 meetings during 2019.
The Compensation Committee consists of three members who are independent of the company and its management: Tobias Lönnevall (Chair), Ulf Lundahl and Alf
Göransson. The CEO, CFO and General Counsel also attends meetings of the Compensation Committee, apart from when decisions are taken that directly affect own remuneration. The Compensation Committee prepares matters relating to terms of employment and remuneration to Attendo's Executive Management. The Compensation Committee held 5 meetings during 2019.
The Investment Committee has three members: Tobias Lönnevall (Chair), Ulf Lundahl and Anssi Soila. The CEO and CFO also attend meetings of the Investment Committee. The Investment Committee prepares and decides on matters relating to investments and acquisitions. The Investment Committee held 5 meetings during 2019. The committee was abolished during the later part of the year.
The 2019 AGM elected PricewaterhouseCoopers AB (PwC) as Attendo's auditor for a term of one year, with Patrik Adolfson as lead auditor.

Chair of the Board, Member of the Compensation Committee and Investment Committee
Born 1952. B.L. and MSc in Business and Administration from Lund University Elected: 2014
Position and Board Directorships: Chair of the Board of Fidelio Capital AB, Handelsbanken regionbank Stockholm, and Board Member of Eltel AB, Holmen AB, Indutrade AB and Nordstjernan Kredit AB.
Previous positions: Vice President and Deputy CEO LE Lundbergföretagen AB, CEO Danske Securities, CEO Östgöta Enskilda Bank/Danske Bank Sweden. Attendo holdings: 20,000 shares.

Born 1963. MSc from Hanken School of Economics Helsinki. Elected: 2016
Positions and Board Directorships: Board Member of Restel Oy and CapMan Oyj. Previous positions: CEO of Instru Optiikka Oy, CEO of BSH Kodinkoneet Oy and Management Team Member of BSH Hausgeräte Northern Europe, managerial positions in Electrolux/AEG including Country Director AEG Household Appliances, Finland and Russia, and several positions within Amer Group Ltd. Attendo holdings: 10,000 shares.

Board Member, Member of Audit Committee and Compensation Committee
Born 1957. International BSc in Economics and Business Administration from University of Gothenburg.
Elected: 2018
Positions and Board Directorships: Chair of the Board of Loomis AB and Axfast AB and Board Member of Hexpol AB, Sweco AB, Melker Schörling AB, NCC AB and Sandberg Development Group.
Previous positions: CEO and president of Securitas AB, CEO and president of NCC AB, CEO and president of Svedala Industri AB.
Attendo holdings: -

Tobias Lönnevall
Board Member, Chair of the Compensation Committee and the Investment Committee, Member of the Audit Committee
Born 1980. MSc from Stockholm School of Economics
Elected: 2016
Positions and Board Directorships: Senior Investment Manager at Nordstjernan. Previous positions: Chair of the Board of Ramirent Group and KMT Precision Grinding. Acting CEO of NH Logistics 2010, Finance Manager at Landic Property and Management Consultant at Accenture.
Attendo holdings: 6,000 shares.

Born 1949. MSc from Helsinki University of Technology and MSc from Hanken School of Economics
Positions and Board Directorships: Advisor IK Investment Partners, Chair of the Board of Orox Oy and Sopix Oy and Board Member of Ankkalampi Oy, Finlands Trafikkmedicinska Förening and Stödstiftelsen för Finlands Flygförbund.
Previous positions: Chair of the Board of Kemira Abp and Sponda Abp. CEO Kone Corporation Oy, and other leading positions within Kone Corporation Oy. Attendo holdings: 1,255,455 shares.

Board Member
Born 1949. BSc in Behavioral and Social Sciences from Uppsala University Elected: 2016
Positions and Board Directorships: Chair of the Board of AFA Försäkring, Akademiska hus AB and Teracom Group, and Board Member of Oral Care Holding SWE and Baven AB.
Previous positions: Chair of the Board in Svenska Spel AB, Telje Inköp AB and Iris Sverige AB. Board Member of PostNord AB, Stockholms Sjukhem and Lantmännen Ekonomisk Förening among others. CEO of Systembolaget AB, Director General of Skatteverket (the Swedish Tax Authority) , Undersecretary at Finansdepartementet (the Ministry of Finance) , Director General of Verket för högskoleservice (the Authority for Higher Education Services) and various additional positions within the Swedish public sector.
Attendo holdings: 10,900 shares.
Union Representative from the Swedish Municipal Workers' Union (Kommunal) Born 1958. Elected: 2007 Attendo holdings: 67 shares.
Union Representative from the Swedish Municipal Workers' Union (Kommunal) Born 1989. Elected: 2019 Attendo holdings: -
Deputy Union Representative from the Swedish Municipal Workers' Union (Kommunal) Born 1983. Elected: 2019 Attendo holdings: -
PricewaterhouseCoopers AB
Auditor in Charge Born 1973. Authorised Public Accountant and member of Far, The Institute for the Accountancy Profession in Sweden.
Auditor in charge for Attendo AB since 2015.
Other audit assignments: AcadeMedia AB (publ), Bonava AB (publ), Nordstjernan AB, Pandox AB (publ), Securitas AB (publ) och SHH Bostad AB (publ). Attendo holdings: –

CEO and President Born, 1970. BSc, Stockholm University Employed: 2018 Positions and Board Directorships: Board Member of Telia Company. Member of Executive Management: 2018 Previous positions: CEO and president at Avanza, Chief Commercial Officer Nordics at Klarna and CEO at Evidensia and Glocalnet. Attendo holdings: 45,695 shares, 1,083,892 call options.

Managing Director, Attendo Finland Born 1970. MSc in Economics and Business Administration, Hanken School of Economics
Employed: 2019
Member of Executive Management: 2019
Previous positions: CEO Touhola Group, SVP Primary and Social Care and CFO at Pihlajalinna. Virpi worked at Attendo between the years 2008-2015. Attendo holdings: 123,287 call options.

Managing Director, Attendo Scandinavia Born 1962. BSc in Social Work and Welfare from Malmö University Employed: 2000 Member of Executive Management: 2003
Previous positions: Regional Director Attendo 2000–2003, Assessor Director Malmö Municipality, 1998–2000. Attendo holdings: 1,535,440 shares.

Andreas Koch
.
Born 1977. MSc from Stockholm School of Economics Employed: 2016
Member of Executive Management: 2016
Previous positions: Head of Investor Relations at SSAB 2013–2016. Head of Communications at Carnegie 2007–2013. Head of Investor Relations at SCA 2005–2007, Business Analyst at SCA 2002–2005.
Attendo holdings: 24,402 shares, 68,493 call options.

Fredrik Lagercrantz Chief Financial Officer Born 1977. MSc from Stockholm School of Economics Employed: 2018
Member of Executive Management: 2018
Previous positions: Senior Vice President Business Control Swedish Match 2013-2017, Vice President Group Business Control Swedish Match 2009– 2013, Management consultant McKinsey & Co 2004–2009.
Attendo holdings: 10,000 shares, 240,934 call options.

Eric Wåhlgren Business Development Director Born 1979. Civil Engineer from Linköping University Employed: 2020 Member of Executive Management: 2020 Previous positions: Vice President & Head of Group Strategy at Elekta 2017– 2020, Management Consultant The Boston Consulting Group 2005–2017. Attendo holdings: -
Pertti Karjalainen
Member of Executive Management: 2007–2020
Previous Business Area Director Pertti transitioned to a role as Director of Sales and Public Affairs in November 2019. Pertti left the Executive Management in February 2020.
Member of Executive Management: 2016–2020
Previous Business Development Director Johan left Attendo and the Executive Management in March 2020 to take on new challenges.

Attendo's organisation is founded on a common vision and strong values, but with decentralised responsibility for retaining an entrepreneurial spirit and local anchoring. The CEO has general responsibility for day-to-day management of the company's affairs in accordance with Board directives. Since 2018 operations are divided into two Business Areas, each of which is managed by a Business Area Director. The division of responsibility is based on geographical regions. Both Business Area Directors report to the CEO. In addition, there are three group functions: Finance, Business Development, and Communication and Investor Relations, which all report directly to the CEO. Executive Management meets regularly and deals with matters including the company's financial performance and position, strategy and business plans, group quality improvement work, human resources, and organisational matters.
The Business Area Directors are responsible for monitoring operations and financial performance in their Business Areas. These are reported monthly to the CEO and the group functions (see also "Internal control over financial Reporting" on page 37). The nature of services, payors, processes, and procedures for delivering services is
similar across the group. Operations are divided into Business area primarily to create local ownership of Attendo businesses. During 2019, Virpi Holmqvist was appointed as Business Area Director in Attendo Finland. Prior Business Area Director Pertti Karjalainen transitioned to a new role as Director of Sales and Public Affairs in Attendo Finland. At present, Attendo operates more than 700 units in the Nordics. The units are backed up by a number of support functions including Marketing, Real-Estate Development and HR.
The group functions are responsible for all group-wide matters within Attendo, such as issuing policies, procedures, and processes. The group functions are also responsible for supporting the CEO and Executive Management with expertise in their respective fields. These include business development, accounting, controlling and reporting, risk management, internal control, finance, insurance, legal matters, external communications and investor relations.
Internal control over financial reporting is intended to provide reasonable assurance of the accuracy of financial reporting, and to ensure that external financial reporting complies with applicable laws and accounting standards. The Board of Directors is ultimately responsible for internal control and continuously evaluates risk management and internal control at Attendo via the Audit Committee. Please refer to pages 24–27 for further information about risks and risk management. Internal control at Attendo is based on principles drafted by the Committee of Sponsoring Organisations of the Treadway Commission (COSO).
Attendo has a function responsible for risk management and internal control, which supports the Business Areas in their internal control work. The function works continuously to develop and improve internal control over financial reporting by means of preventative measures and annual reviews, which are reported continuously to the Audit Committee. The function works according to an annual plan approved by the Audit Committee. Based on the work of the internal control function together with the external audit, Attendo assesses that its financial reporting has achieved sufficient accuracy without the need for an independent internal audit function. The Board of Directors regularly evaluates the need for an internal audit function.
Attendo's vision and values are the foundation of the company culture and control environment. The Board of Directors has overall responsibility for group internal control. This is executed through written instructions and working plans, which define the Board's responsibilities and the allocation of duties among Board members, Board committees and the CEO. Internal control is based on group policies, procedures, and instructions, which are communicated within the group, along with the implemented structure of responsibility and authority.
The Audit Committee has a particular duty to represent the Board of Directors in matters concerning the consolidated accounts, taxation, risk management, internal control, external reporting, and auditing. The Audit Committee is also to regularly review and monitor the independence and impartiality of the auditor and support the AGM in connection with appointment of auditors. Responsibility for maintaining good internal control has been delegated to the CEO.
Attendo's risk management process is monitored by the Audit Committee and implemented by the internal control function. Risk assessment proceeds from the degree of risk; that is, the impact on financial reporting and the likelihood that misstatements will occur. The control measures Attendo has implemented to manage the risk are also considered. The risk assessment is updated annually and the results are reported to the Audit Committee. For further information about Attendo's risks and risk management process, please refer to pages 24–27.
The Business Area Directors and their organisations are responsible for internal control in their Business Areas. Attendo has based its control environment on the risks identified during the risk assessment process. The internal control function has devised a number of common controls for critical processes to ensure a consistent control environment. The Business Areas are responsible for ensuring that these controls are implemented. Attendo has several activities for following up financial reporting and ensuring that any misstatements are discovered and corrected, as described below.
Attendo's framework and policies are made available to all employees via the intranet and other appropriate communication channels. Other information, such as guidelines and instructions concerning financial reporting, is contained in the Attendo Finance Manual and Accounting Manual, which are communicated to the employees concerned.
Attendo's Group Accounting Department is responsible for legal accounting and for implementing and communicating group-wide accounting policies. Communication with the Audit Committee occurs through the internal control function and the CFO. At the beginning of the year, a plan for internal control is presented. The internal control function reports status to the Audit Committee throughout the year through written reports and presentations.
The group's internal control function reviews compliance with group control activities based on the internal control plan approved by the Audit Committee each year. Attendo works in several ways to ensure that internal control meets group standards, such as self-assessment, internal reviews, and with the assistance of the company's external auditors.
2019 was a challenging year for Attendo, mainly related to the Finnish operations. During the year, the work around risk assessment and monitoring, including internal control, has been highly prioritized. The work has focused on risks which were central during the year (see also page 24), including the control environment and activities related to occupancy (such as tendering and price adjustments) and external reporting, mainly with regard to IFRS 16.
Danderyd, 11 March 2020 Attendo AB (publ)
Board of Directors
To the annual meeting of the shareholders of Attendo AB (publ), corporate identity number 559026-7885
It is the Board of Directors who is responsible for the Corporate Governance Report for the year 2019 on pages 28–37 and that it has been prepared in accordance with the Annual Accounts Act.
We have read the Corporate Governance Report and based on that reading and our knowledge of the company and the group we believe that we have a sufficient basis for our opinions. This means that our statutory examination of the Corporate Governance Report is different and substantially less in scope than an audit conducted in accordance with international standards on Auditing and generally accepted auditing standards in Sweden.
In our opinion, the Corporate Governance Report has been prepared and its statutory content is consistent with the annual accounts and the consolidated accounts.
Stockholm 16 March 2020 PricewaterhouseCoopers AB
Patrik Adolfson Authorised Public Accountant Auditor in Charge
| Board of directors' report | |
|---|---|
| CONSOLIDATED FINANCIAL STATEMENTS | ||
|---|---|---|
| Consolidated income statement | 45 | |
| Consolidated statement of comprehensive income | 45 | |
| Consolidated balance sheet | 46 | |
| Consolidated statement of cash flow | 47 | |
| Consolidated statement of changes in equity | 48 |
| C1 | Significant accounting policies | 49 |
|---|---|---|
| C2 | Key accounting estimates and judgements för redovisningsändamål |
53 |
| C3 | Segment reporting and revenues | 54 |
| C4 | Other operating income | 56 |
| C5 | Information on Board members, senior executives and employees |
56 |
| C6 | Other external costs | 58 |
| C7 | Audit fees | 58 |
| C8 | Financial income and expenses | 59 |
| C9 | Taxes | 59 |
| C10 | Earnings per share | 60 |
| C11 | Intangible assets | 60 |
| C12 | Property, plant and equipment | 61 |
| C13 | Leases | 61 |
| C14 | Other non-current receivables | 62 |
| C15 | Trade receivables | 62 |
| C16 | Other current receivables | 63 |
| C17 | Assets and liabilities classified as held for sale |
63 |
| C18 | Equity | 63 |
| C19 | Liabilities to credit institutions | 64 |
| C20 | Lease liabilities | 64 |
| C21 | Pension provisions | 64 |
| C22 | Provisions | 65 |
| C23 | Other non-current liabilities | 66 |
| C24 | Financial risk management and financial instruments |
66 |
| C25 | Other current liabilities | 67 |
|---|---|---|
| C26 | Cash flow statement | 67 |
| C27 | Acquisitions | 67 |
| C28 | Pledged assets | 68 |
| C29 | Contingent liabilities | 68 |
| C30 | Divested operations | 68 |
| C31 | Transactions with related parties | 69 |
| C32 | Events after the reporting date | 69 |
| C33 | Reconciliations of alternative | 69 |
| performance measures |
| Parent company income statement | 71 |
|---|---|
| Parent company balance sheet | 72 |
| Parent company statement of changes in equity | 73 |
| Parent company statement of cash flow | 74 |
| P1 | Significant accounting policies | 75 |
|---|---|---|
| P2 | Net sales | 75 |
| P3 | Salaries and other remuneration | 75 |
| P4 | Other external costs | 75 |
| P5 | Audit fees | 75 |
| P6 | Tax | 75 |
| P7 | Shares and participations | 76 |
| P8 | Equity | 76 |
| P9 | Events after the reporting date | 76 |
| Assurance | 77 |
|---|---|
| Auditor's report | 78 |
| The Attendo share | 84 |
| Sustainability indicators | 86 |
| Five-year summary | 88 |
| Quarterly summary | 89 |
| Definitions | 90 |
| Matrix for Attendo's Sustainability report | 91 |
| Auditor's report on the statutory sustainability report | 92 |
| Annual general meeting | 93 |
The Board of Directors and the Chief Executive Officer of Attendo AB (publ), corporate ID no. 559026-7885, with its registered office in Danderyd, Sweden, hereby present the annual accounts and consolidated accounts for the financial year 2019.
All figures are reported according to the new IFRS 16 reporting standard unless otherwise specified and previously reported figures have been restated according to the new standard. Attendo streamlined the business in 2018 by divesting the Finnish health care operations and merging two business areas in Scandinavia into one. As a result,Attendo applies segment reporting as of 2019 based on two business areas: Attendo Scandinavia and Attendo Finland.
Attendo is the leading private provider of care services in the Nordics. The company has operations in Sweden, Finland, Norway and Denmark. Attendo is the largest private provider of care for older people in Sweden and Finland. Attendo is a locally based company and has more than 700 units in operation and about 25,000 employees. With the vision of empowering the individual, Attendo provides services within care for older people, care for people with disabilities and care for individuals and families.
Attendo conducts business through two business areas, Attendo Scandinavia and Attendo Finland.
Attendo provides care and health care under two contract models:
Own operations,where Attendo provides services in units/premises controlled by the company or provides home care in customer choice models. Attendo has own units within care for older people, people with disabilities, social psychiatry and care for individuals and families.
Outsourcing operations, where Attendo provides services in publicly controlled units/premises or provides home care services based on outsourcing contracts. Attendo has outsourced units for care for older people, people with disabilities, individuals and families.
Municipalities are usually Attendo's contracting authorities, but contract types and duration of contracts vary depending on the contract model and service offering. Own operations are normally based on framework agreements and outsourcing operations are based on outsourcing contracts, following a tender process. The contract term is typically two to five years.
Net sales increased by 8.6 percent to SEK 11,935m (10,987) during the year. Adjusted for currency effects, net sales increased by 6.9 percent. Acquired growth accounted for 4.8 percent and organic growth for 2.1 percent. Homes
in own operations demonstrated sustained strong growth, driven primarily by homes opened in Finland in 2019 and 2018. Growth was negatively affected by discontinued units, primarily in outsourcing, but also in home care and individual and family care. Attendo has also discontinued a number of units in own operations, with most residents having been moved to modern Attendo homes.
Operating profit (EBITA) amounted to SEK 812m (1,008). Operating profit adjusted for currency effects was SEK 809m. The financial year was affected by a capital gain of SEK 31m, while non-recurring costs of SEK 133m in the Attendo Scandinavia business area had negative effect on the profit in the comparison year. Adjusted for these effects of a non-recurring nature, operating profit (EBITA) amounted to SEK 781m (1,141), corresponding to an operating margin of 6.5 percent (10.4). Excluding these items, profit decreased in both business areas.
Adjusted EBITA (EBITA according to the earlier accounting standard) was SEK 441m (711). As mentioned above, profit during the financial year was affected by a capital gain of SEK 31m, while non-recurring items of SEK 133m in the Attendo Scandinavia business area had a negative impact on the profit in the comparison year.
A debate broke out in Finland in the spring of 2019 concerning quality and staffing in care for older people. This led to stricter staffing requirements, which, combined with a high rate of establishment and a weakening occupancy rate, squeezed profitability in the Finnish operations. Attendo launched a programme during the year aimed at meeting the stricter requirements and strengthening quality, employee commitment and customer satisfaction in Finland.
Operating profit was negatively affected by sharply increased costs in the Attendo Finland business area arising from stricter staffing requirements, new homes in own operations started in 2019 and 2018 where initial occupancy is low, and the loss of profits from discontinued units, primarily in outsourcing in Attendo Scandinavia. Operating profit was positively affected by higher occupancy in homes in own operations that opened in 2017 as well as improved profits in home care in Attendo Scandinavia, mainly attributable to acquisitions.
Attendo opened 57 homes in 2019 with 1,950 beds and began construction of 34 homes with 1,392 beds. Attendo won new contracts during the year with estimated annual revenues of approximately SEK 56m and lost contracts with annual revenues of approximately SEK 56m.
Net financial items amounted to SEK –565m (–540), including net interest expense of SEK –57m (–117). Interest expense related to the lease liability for land and buildings in accordance with IFRS 16 amounted to SEK –473m (–394).
Income tax for the year amounted to SEK –26 (–82), corresponding to a tax rate of 24.3 percent (25.2).
Profit for the year amounted to SEK 81m (244), corresponding to basic and diluted earnings per share of SEK 0.51 (1.52) for continuing operations. Basic earnings per share for divested operations were SEK 0.0 (4.43) and diluted earnings per share were SEK 0.0 (4.42). Basic earnings per share for total operations were SEK 0.51 (5.95) and diluted earnings per share for total operations were SEK 0.51 (5.94).
| SEKm | 2019 | 2018 20172,3) 20162,3) 20152,3) | |||
|---|---|---|---|---|---|
| Net sales | 11,935 10,987 | 8,977 10,212 | 9,831 | ||
| Operating profit (EBITA)1) | 812 | 1,008 | 890 | 1,002 | 933 |
| Operating margin (EBITA), % | 6.8 | 9.2 | 9.9 | 9.8 | 9.5 |
| Profit for the year | 81 | 955 | 542 | 649 | 286 |
| Profit margin, % | 0.7 | 8.7 | 6.0 | 6.4 | 2.9 |
| Capital employed 4) | 18,186 19,063 10,657 | 8,217 | 7,828 | ||
| Free cash flow 1,4) | 196 | 593 | 691 | 473 | 408 |
1) See page 90 for definitions of alternative performance measures.
2) Including divested operations
3) Figures for the comparison years 2017–2015 have not been restated according to IFRS 16. 4) Including divested operations 2018–2015.
Free cash flow was SEK 196m (593), whereof changes in working capital amounted to SEK –60m (–30). The lower cash flow compared with the preceding year is mainly attributable to lower operating profits.
Cash flow from operating activities was SEK 1,227m (1,515). Cash used for net investments in non-current assets was SEK –241m (–226) and cash flow from assets and liabilities held for sale was SEK 260m (322). Business acquisitions reduced cash flow by SEK –239m (–499). Sale of a subsidiary made a positive contribution to cash flow of SEK 87m (2,235). Cash used in investing activities thus amounted to SEK –133m (1,832). Cash used in financing activities was SEK –3,485m (–936). Financing activities include loan repayments of SEK –5,388m (–213) and new borrowings of SEK 2,789m (200), Total cash used was SEK –2,391m (2,411).
Consolidated equity at 31 December 2019 amounted to SEK 5,831m (5,801), corresponding to diluted equity per share of SEK 36.24 (36.10). Net debt amounted to SEK 11,831m (10,366). Adjusted net debt, excluding lease liability for land and buildings, amounted to SEK 2,360m (2,496).
| SEKm | 31 Dec 2019 | 31 Dec 2018 |
|---|---|---|
| Interest-bearing liabilities | 12,339 | 13,219 |
| Provisions for post-employment benefits | 15 | 43 |
| Cash and cash equivalents | –523 | –2,896 |
| Net debt1) | 11,831 | 10,366 |
| Lease liability real estate2) | –9,471 | –7,870 |
| Adjusted net debt | 2,360 | 2,496 |
1) Alternative performance measure. Refer to page 90 for definitions. 2) In the comparison year, adjustments for the residual value of cars in the amount of SEK
–43m are included in addition to land and buildings. Interest-bearing liabilities at 31 December 2019
amounted to SEK 12,339m (13,219). Cash and cash equivalents at 31 December 2019 amounted to SEK 523m (2,896) and Attendo had SEK 1,575m (969) in unutilised credit facilities.
Attendo tested whether there was a need to impair recognised goodwill during the year. Impairment testing was done separately for Attendo Scandinavia and Attendo Finland. Testing showed that there is no impairment need, but that the margin to a possible impairment of goodwill in Finland is significantly smaller than in previous years.
| SEKm | Jan–Dec 2019 |
Jan–Dec 2018 |
|---|---|---|
| Net sales | 6,305 | 6,367 |
| Operating profit (EBITA) | 715 | 569 |
| Operating margin (EBITA), % | 11.3 | 8.9 |
| Adjusted EBITA | 555 | 426 |
| Adjusted EBITA margin, % | 8.8 | 6.7 |
Net sales in Attendo Scandinavia amounted to SEK 6,305m (6,367), corresponding to negative growth of –1.0 percent. Adjusted for currency effects, growth was –1.1 percent. Acquisitions and higher occupancy in own operations contributed to growth, but could not compensate for the loss from discontinued units in outsourcing. Attendo has discontinued a number of home care and individual and family care operations that lacked the conditions for long-term profitability, which has had negative impact on organic growth.
Operating profit (EBITA) amounted to SEK 715m (569). Adjusted for currency effects, operating profit (EBITA) was SEK 717m. Profit during the financial year was affected positively by a capital gain of SEK 31m on the sale of real estate, while profit in the comparison year was reduced by non-recurring items of SEK 133m, comprised of provisions of SEK 60m, costs of SEK 53m related to the discontinuation of a number of units in individual and family care and SEK 20m in write-down of real estate. Adjusted for these non-recurring items, operating profit (EBITA) amounted to SEK 684m (702), corresponding to an operating margin of 10.8 percent (11.0).
Adjusted EBITA amounted to SEK 555m (426). Excluding non-recurring items as above, adjusted EBITA amounted to SEK 524m (559), corresponding to an operating margin of 8.3 percent (8.8).
Adjusted for non-recurring items, profit decreased compared to the preceding year. Ended units and weak development in outsourcing operations had a generally negative effect in relation to the comparison year. Higher profits in home care due to acquisitions and improved planning and processes made a positive contribution to profit. Start-up costs for units opened in 2018 and 2019 were offset by increased profits from homes in own operations that opened in 2017 and 2018.
| SEKm | Jan-Dec 2019 |
Jan-Dec 2018 |
|---|---|---|
| Net sales | 5,630 | 4,620 |
| Operating profit (EBITA) | 163 | 501 |
| Operating margin (EBITA), % | 2.9 | 10.8 |
| Adjusted EBITA | –48 | 347 |
| Adjusted EBITA margin, % | –0.9 | 7.5 |
Net sales in Attendo Finland amounted to SEK 5,630m (4,620) corresponding to growth of 21.9 percent. Adjusted for currency effects, net sales increased by 18.1 percent. The increase in net sales is primarily attributable to new homes in own operations that were opened in 2019 and 2018 and to acquisitions. Subsequent to the preceding year, Attendo Finland has closed down a number of units with non-adequate standards and the majority of residents were moved to new Attendo homes, but a couple of units were discontinued entirely.
Operating profit (EBITA) amounted to SEK 163m (501) and the operating margin (EBITA) was 2.9 percent (10.8). Adjusted for currency effects, operating profit (EBITA) was SEK 158m. Adjusted EBITA amounted to SEK –48m (347).
Profits were negatively affected by cost increases due to higher staffing requirements in 2019 and new homes in own operations, where occupancy is initially low. In order to meet higher staffing requirements and assure high customer satisfaction, Attendo has increased staffing in many local operations. Price increases during the year were low and did not offset customary cost increases. Administrative expenses rose due to the action programme that is aimed at reinforcing the organisation and improving sales.
Demand was good in Attendo's own operations, with continued high interest from Swedish local authorities needing to increase the number of beds, mainly in care for older people. Attendo estimates that construction started on about 2,400 beds in care for older people in Sweden during 2019 and that private providers accounted for about 60 percent of these.
Contracted volumes in the outsourcing market for care for older people decreased by about 30 percent compared
to 2018, a year in which large existing volumes were renegotiated. Contracted volumes in the outsourcing market for care homes for people with disabilities were slightly lower compared to 2018.
Good demand for Attendo's offering in own operations persisted in Finland, but the market was characterised by significant uncertainty during the year in the aftermath of stricter staffing requirements imposed by the regulatory authorities and a shortage of staff required to receive new residents. The number of new projects declined during the year. Attendo estimates that construction began in 2019 of about 2,150 beds in care for older people, homes for people with disabilities and homes in social psychiatry. Private providers accounted for about 95 percent of these. Attendo was by far the largest private provider in 2019. The number of new projects is expected to continue to decrease in the next few years.
Attendo is exposed to external risks, business risks and financial risks. The primary risks are the conditions for private provides to run care operations, exposure to political decisions and regulatory conditions, as well as access to competent personnel and occupancy at Attendo's homes. Identified risk areas and how Attendo manages these risks is described in detail on pages 24–27.
Attendo's profitability is affected by factors including seasonal variations, weekends and national public holidays. For Attendo, public holidays and weekends have a negative effect on profitability mainly due to wage compensation for unsocial working hours. For example, profitability is affected by Easter in either the first or second quarter, depending on the quarter in which Easter falls, while the first and fourth quarters are affected by the Christmas and New Year's holidays.
Acquisitions
The group completed a number of minor acquisitions during the year.
The group also acquired nursing homes and, in some cases local medical centres from local authorities in Finland during the year. These transactions were aimed at acquiring nursing homes in attractive locations with existing customers and employees.
Refer to Note C30 Divested operations and Note C27 Acquisitions, for more information about all acquisitions and divested operations during the year.
Attendo has had a legal dispute with the former owners of Nøstret Bo og Omsorgssenter and Nøstret Kroksund AB. The parties agreed in early 2019 that the former owners will buy back the businesses for the same consideration paid by Attendo, plus interest. The transaction was executed on 1 June 2019. Annual sales for the operations amount to about SEK 65m and generate a very limited contribution to profit.
The average number of full-time equivalent employees was 16,499 (16,745), of whom 13,795 (14,695) women. Attendo seeks to offer good working conditions and the potential for personal development. This means that we respect and comply with labour market legislation, agreements, safety requirements and other regulations governing operations. For more information about Attendo's employees, see the section on Employees on page 20 and in Note C5, Information on directors, senior executives and employees.
On 1 November, Attendo appointed Virpi Holmqvist as the new business area director of the Finnish operations a member of executive management. When Holmqvist took over, the current business area director for Attendo Finland, Pertti Karjalainen, transitioned to a role responsible for sales, business development, property development and public affairs. As of February 13, Pertti Karjalainen is no longer a member of the executive managment.
Attendo's business development director Johan Spångö is leaving Attendo and his position in executive management effective March 2020. He will be succeeded by Eric Wåhlgren of Attendo, who was appointed the new business development director on 13 January 2020.
The following policy for remuneration to executive executives was adopted by the 2019 annual general meeting.
Remuneration to members of executive management shall be market-based to ensure that Attendo can attract and retain competent executives. Remuneration shall be based on the individual's position, responsibilities and performance. Total remuneration to executive management comprises fixed salary, variable pay based on annual performance targets, long-term incentives and other benefits such as non-monetary benefits, pensions and insurance policies. Remuneration within Attendo shall be competitive but not market-leading. To ensure that it is competitive, benchmarking is performed on a regular basis.
Fixed salary shall be competitive and based on the executive's responsibilities.
Members of executive management are also eligible for variable pay in addition to fixed salary. The employee may receive variable pay if certain annual performance targets are met. Long-term incentive plans excepted, variable pay is limited to a maximum of 75 percent of fixed annual salary for the CEO and 45–50 percent of fixed annual salary for other members of executive management. Variable pay shall be based on the executive's performance as regards financial targets combined with qualitative targets set by the Board. Members of executive management with operational responsibility have targets related to factors including quality, customer satisfaction and employee job satisfaction. Variable pay is based on the financial performance of the group, financial performance of the respective business area and individual qualitative targets.
Attendo has a culture that promotes a long-term perspective and a spirit of personal responsibility and share ownership. The Board will propose a long-term sharebased incentive programme to the AGM. As previously decided, Attendo will also be able to distribute cash compensation to executives connected to the long-term acquisition of shares or equity related instruments. During a three-year period ending 31 December 2021, Attendo will thus be able to distribute cash compensation related to such acquisitions in addition to the maximum variable pay. This compensation is limited to 25 percent of the employee's fixed salary for the period.
Non-monetary benefits, such as a car or health insurance, can be provided in accordance with customary practice in the respective country. These benefits shall not be a significant part of total remuneration.
Pension benefits shall be competitive and reflect customary practice and accepted levels in the country where the executive is employed.
The period of notice of termination or resignation is six months for the CEO. If employment is terminated by the company, the CEO is entitled to severance pay for an additional six months. The period of notice of termination or resignation is six months for other members of executive management. If employment is terminated by the company, the employee is entitled to severance pay for an additional six months.
Non-compete and non-solicitation clauses apply to all members of Attendo's executive management for twelve months after employment ends. In that connection, Attendo may be required to compensate for the months the executive is prohibited from accepting a competing assignment.
Under special circumstances, the Board of Directors may deviate from the remuneration policy.
By reason of the new rules taking effect in 2019–2021, the Board of Directors has proposed that the 2020 annual general meeting adopt an updated policy for remuneration to senior executives. The complete proposal is presented in the notice to attend the general meeting and is available on Attendo's website. The updated policy clarifies the link between remuneration paid by Attendo to senior executives and the company's business strategy, long-term interests and sustainability. The forms in which remuneration can be paid (fixed cash salary, variable cash compensation, pension benefits and other benefits) as well as the criteria for variable cash compensation are unchanged in all material respects compared to the preceding year. The general meeting may in addition –
and independently of the policy – decide on matters such as share-based payments and share-price based remuneration. The updated policy will be applied to future contractually agreed remuneration and changes made to previously contractually agreed remuneration after the policy has been adopted by the 2020 general meeting.
Attendo's environmental policy is the basis for how all employees should relate to environmental matters, something that our customers and contracting local authorities value highly and are keen to be actively involved in.
Attendo strives to protect the environment as far as technologically possible and economically feasible. The objective is to minimise Attendo's environmental footprint and continuously develop the environmental initiatives, with focus on the areas assessed as most significant to the business: purchasing, distribution and transportation, energy/water use and waste management.
Attendo does not conduct any operations that require permits or registration under the Swedish Environmental Code.
Sustainability is an integral part of Attendo's business strategy and our constant endeavour is the generate benefit for society and our stakeholders. In accordance with chapter 6, section 11 of the Swedish Annual Accounts Act, Attendo has chosen to submit a sustainability report as part of the Board of the Directors' report. Information about sustainability reporting see Matrix for Attendo's sustainability report on page 91. The sustainability report refers to Attendo AB with all the subsidiaries. Additional information about Attendo´s sustainability work can be found in Quality and Sustainability report 2019 as well at www.attendo.com
Investment requirements in new nursing and care homes in the Nordics remain substantial. For Attendo, one of the leading care providers in the Nordic region, this implies favourable conditions for continued growth.
A growing number of local authorities in Finland, Sweden and Denmark have chosen to introduce customer choice systems or other forms of public procurement of care delivery by private providers. As the leading private provider in the Nordics, Attendo is well-positioned to take advantage of growth opportunities when local authorities opt to open the market to private alternatives.
The Finnish market was characterised by profound uncertainty in 2019 in the aftermath of a stricter application of existing legislation by the regulatory authorities, which resulted in more rigorous staffing requirements. The combination of the overly high rate of establishment in the market and strict staffing requirements will have negative impact on the establishment of new units in the next few years. Attendo considers Finland an attractive market for care services in the long term.
The parent company's operations consist of providing consultancy services and managing shares in subsidiaries. The company's costs include parent company costs including costs for executive management and the Board, as well as external consultancy costs.
Net sales for the year amounted to SEK 13m (11), and were entirely related to services provided to subsidiaries. The loss after net financial items was SEK –31m (–31). At the end of the year, cash and cash equivalents amounted to SEK 0m (0), shares in subsidiaries to SEK 6,494m (6,494), and non-restricted equity to SEK 5,992m (6,074).
The total number of shares outstanding is 161,386,592. Attendo's holding of treasury shares amounts to 496,136, which means the number of shares outstanding at 31 December 2019 was 160,890,456.
The two largest shareholders at year-end were Nordstjernan AB, with 19 percent of registered shares, and Pertti Karjalainen, with 11 percent.
Attendo's dividend policy was established in connection with the IPO in 2015. The policy states that decisions on dividends must be based on Attendo's investment opportunities and financial position. It furthermore establishes that the company will distribute 30 percent of net profit.
2019 was a very challenging year for Attendo and characterised by the situation in Finland. As a consequence of the weak result, the company's financial ratio measured as net debt in relation to profit (EBITDA) is higher than it has been historically. Furthermore, a renegotiation of the company's loans was carried out at the end of 2019.
In the light of these circumstances, the Board of Directors is, therefore, proposing, ahead of the 2020 annual general meeting, that no dividend should be distributed for the 2019 financial year and that profits for the year be retained.
A dividend of SEK 0.60 per share was distributed for the 2018 financial year.
PROPOSED DISTRIBUTION OF PROFITS
| Proposed distribution of profits in the company | Amounts in SEK | |
|---|---|---|
| To be retained | 5,992,151,689 | |
| Total non-restricted equity in the parent company | 5,992,151,689 |
Refer to the following income statements, balance sheets, statements of cash flow, remarks and notes to the accounts concerning the financial performance and position of the company and the group in other respects.
| January–December, SEKm | Note | 2019 | 2018 |
|---|---|---|---|
| CONTINUING OPERATIONS | |||
| Operating income | |||
| Net sales | C3 | 11,935 | 10,987 |
| Other operating income | C4 | 110 | 24 |
| Total revenue | 12,045 | 11,011 | |
| Operating costs | |||
| Personnel costs | C5 | –8,133 | –7,275 |
| Other external costs | C6, C7 | –1,972 | –1,737 |
| Operating profit before depreciations and amortisation (EBITDA) | 1,940 | 1,999 | |
| Amortisation and depreciation of tangible and intangible assets | C11, C12, C13 | –1,128 | –991 |
| Operating profit after depreciation (EBITA) | 812 | 1,008 | |
| Amortisation of acquisition related intangible assets | C11 | –140 | –142 |
| Operating profit (EBIT) | 672 | 866 | |
| Profit after Financial items | |||
| Financial income | C8 | 5 | 1 |
| Financial expenses | C8 | –570 | –541 |
| Net financial items | –565 | –540 | |
| Profit before tax | 107 | 326 | |
| Income tax | C9 | –26 | –82 |
| Profit for the year from continuing operations | 81 | 244 | |
| DIVESTED OPERATIONS | |||
| Profit for the year from divested operations | C30 | – | 711 |
| Profit for the year¹ | 81 | 955 | |
| Profit for the year attributable to parent company shareholders¹ | 81 | 955 | |
| Basic earnings per share, SEK | C10 | 0.51 | 5.95 |
| Diluted earnings per share, SEK | C10 | 0.51 | 5.94 |
| Basic earnings per share, continuing operations, SEK | C10 | 0.51 | 1.52 |
| Diluted earnings per share, continuing operations, SEK | C10 | 0.51 | 1.52 |
| Basic earnings per share, divested operations, SEK | C10 | – | 4.43 |
| Diluted earnings per share, divested operations, SEK | C10 | – | 4.42 |
| Average basic shares outstanding, thousands | C10 | 160,877 | 160,455 |
| Average diluted shares outstanding, thousands | C10 | 160,899 | 160,702 |
1) Including divested operations
| January–December, SEKm | Note | 2019 | 2018 |
|---|---|---|---|
| Items that will not be reclassified to profit or loss | |||
| Remeasurements of defined benefit pension plans, net of tax | C9, C21 | –3 | 6 |
| Items that may be reclassified to profit or loss | |||
| Exchange rate differences on translation of foreign operations | 47 | –11 | |
| Other comprehensive income for the year, net of tax | 44 | –5 | |
| Profit for the year | 81 | 955 | |
| Total comprehensive income for the year | 125 | 950 | |
| Total comprehensive income attributable to the Parent company shareholders | 125 | 950 |
Attendo Annual Report 2019
| Opening balance 1 January 2018 |
||||
|---|---|---|---|---|
| 31 December, SEKm | Note | 31 Dec 2019 | 31 Dec 2018 | adjusted for IFRS 16 |
| ASSETS Non-current assets |
||||
| Goodwill | C11 | 7,446 | 7,339 | 8,541 |
| Other intangible assets | C11 | 564 | 673 | 717 |
| Property, plant and equipment | C12 | 874 | 606 | 477 |
| Right-of-use assets | C13 | 8,856 | 7,533 | 5,664 |
| Deferred tax assets | C9 | 293 | 199 | 146 |
| Other non-current receivables | C14 | 38 | 43 | 47 |
| Total non-current assets | 18,071 | 16,393 | 15,592 | |
| Current assets | ||||
| Trade receivables | C15 | 1,090 | 1,050 | 1,204 |
| Current tax assets | 80 | 108 | 31 | |
| Other current receivables | C16 | 320 | 329 | 282 |
| Cash and cash equivalents | 523 | 2,896 | 475 | |
| 2,013 | 4,383 | 1,992 | ||
| Assets held for sale | C17 | 186 | 446 | 786 |
| Total current assets | 2,199 | 4,829 | 2,778 | |
| TOTAL ASSETS | 20,270 | 21,222 | 18,370 | |
| EQUITY AND LIABILITIES | C18 | |||
| Equity | ||||
| Share capital | 1 | 1 | 1 | |
| Other contributed capital | 4,405 | 4,405 | 4,377 | |
| Retained earnings | 1,344 | 440 | –17 | |
| Profit for the year | 81 | 955 | 680 | |
| Total equity | 5,831 | 5,801 | 5,041 | |
| Non-current liabilities | ||||
| Liabilities to credit institutions | C19 | 2,836 | 3,158 | 5,108 |
| Long-term lease liabilities | C13, C20 | 8,640 | 7,196 | 5,338 |
| Deferred tax liabilities | C9 | 88 | 128 | 124 |
| Provisions for post-employment benefits | C21 | 15 | 43 | 52 |
| Other provisions | C22 | 142 | 54 | 11 |
| Other non-current liabilities | C23 | 63 | 34 | 7 |
| Total non-current liabilities | 11,784 | 10,613 | 10,640 | |
| Current liabilities | ||||
| Liabilities to credit institutions | C19 | 2 | 2,120 | 46 |
| Short-term lease liabilities | C13, C20 | 862 | 745 | 640 |
| Short-term provisions | C22 | 85 | 193 | 36 |
| Trade payables | 256 | 259 | 281 | |
| Current tax liabilities | 19 | 21 | 21 | |
| Other current liabilities | C25 | 1,412 | 1,443 | 1,591 |
| 2,636 | 4,781 | 2,615 | ||
| Liabilities held for sale | C17 | 19 | 27 | 74 |
| Total current liabilities | 2,655 | 4,808 | 2,689 | |
| TOTAL EQUITY AND LIABILITIES | 20,270 | 21,222 | 18,370 |
| January–December, SEKm | Note | 2019 | 20181) |
|---|---|---|---|
| Operating activities | |||
| Profit before tax | 107 | 1,071 | |
| Adjustments for items not included in cash flow | C26 | 1,268 | 700 |
| Paid income tax | C9 | –88 | –226 |
| Cash flow from operating activities before changes in working capital | 1,287 | 1,545 | |
| Cash flow from changes in working capital | |||
| Changes in current receivables | –5 | –59 | |
| Changes in current liabilities | –55 | 29 | |
| Cash flow from operating activities | 1,227 | 1,515 | |
| Investing activities | |||
| Net change in assets and liabilities held for sale | C17 | 260 | 322 |
| Investments in subsidiaries (net of acquired cash) | C27 | –239 | –499 |
| Divestment of subsidiaries | C30 | 87 | 2,235 |
| Investments in intangible assets | C11 | –18 | –44 |
| Investments of tangible assets | C12 | –327 | –240 |
| Divestment of tangible and intangible assets | C11, C12 | 104 | 58 |
| Cash flow from investing activities | –133 | 1,832 | |
| Financing activities | |||
| Repayment of lease liabilities | –790 | –696 | |
| Share issue | – | 28 | |
| Dividends paid | –96 | –204 | |
| Warrants | – | –29 | |
| New borrowings | C19, C24 | 2,789 | 200 |
| Repayment of loans | C19, C24 | –5,388 | –235 |
| Cash flow from financing activities | –3,485 | –936 | |
| CASH FLOW FOR THE YEAR | |||
| Cash and cash equivalents at the beginning of the period | 2,896 | 475 | |
| Effect of exchange rate changes on cash | 18 | 10 | |
| Cash and cash equivalents at the end of the period | 523 | 2,896 |
1) Cash flow refers to total operations. See Note C30, Divested operations.
See Note C26 Cash flow adjustments for information about interest received/paid.
| Retained earnings | |||||
|---|---|---|---|---|---|
| SEKm | Share capital |
Capital contributions |
Accumulated translation differences |
Other retained earnings |
Total equity |
| Opening balance, 1 January 2018 | 1 | 4,377 | 96 | 895 | 5,369 |
| Adjustments upon transition to IFRS 16 | – | – | – | –328 | –328 |
| Adjusted opening balance, 1 January 2018 | 1 | 4,377 | 96 | 567 | 5,041 |
| Profit | |||||
| Profit for the year | – | – | – | 1,032 | 1,032 |
| Adjustments upon transition to IFRS 16 | – | – | – | –77 | –77 |
| Adjusted profit, 1 January 2018 | – | – | – | 955 | 955 |
| Other comprehensive income | |||||
| Re-measurements of defined benefit pension plans, net of tax | – | – | – | 6 | 6 |
| Exchange rate differences on translation of foreign operations1) | – | – | –11 | – | –11 |
| Total other comprehensive income | – | – | –11 | 6 | –5 |
| Total comprehensive income | – | – | –11 | 961 | 950 |
| Transactions with shareholders | |||||
| Share issue | – | 28 | – | – | 28 |
| Warrants | – | – | – | –15 | –15 |
| Share savings programme | – | – | – | 1 | 1 |
| Dividends paid | – | – | – | –204 | –204 |
| Total transactions with shareholders | – | 28 | – | –218 | –190 |
| Closing balance, 31 December 2018 | 1 | 4,405 | 85 | 1,310 | 5,801 |
| Opening balance, 1 January 2019 Profit |
1 | 4,405 | 85 | 1,310 | 5,801 |
| Profit for the year | – | – | – | 81 | 81 |
| Other comprehensive income | |||||
| Re-measurements of defined benefit pension plans, net of tax | – | – | – | –3 | –3 |
| Exchange rate differences on translation of foreign operations | – | – | 47 | – | 47 |
| Total other comprehensive income | – | – | 47 | –3 | 44 |
| Total comprehensive income | – | – | 47 | 78 | 125 |
| Transactions with shareholders | |||||
| Vested shares | – | – | – | 2 | 2 |
| Share savings programme | – | – | – | –1 | –1 |
| Dividends paid | – | – | – | –96 | –96 |
| Total transactions with shareholders | – | – | – | –95 | –95 |
| Closing balance, 31 December 2019 | 1 | 4,405 | 132 | 1,293 | 5,831 |
1) SEK –117m refers to divested operations and SEK111m refers to continuing operations.
Attendo AB (publ), corporate ID no. 559026-7885, with its registered office in Danderyd, Sweden is the parent company of a group that includes the subsidiary Attendo International AB. In turn, Attendo International AB owns companies whose business is to own companies and manage shares in companies whose primary business is providing care and health care services in the Nordic countries.
Attendo's head office is located at Vendevägen 85, 182 91 Danderyd, Sweden.
The financial statements are on pages 39–77 of the printed annual report. The consolidated financial statements will be subject to adoption by the Annual General Meeting (AGM) on 15 April 2020.
The consolidated financial statements have been prepared in accordance with International Financial Reporting Standards (IFRS) and IFRIC Interpretations, as endorsed by the European Union, and the Swedish Financial Reporting Board's Recommendation RFR 1 "Supplementary Accounting Rules for Groups," with associated interpretations issued by the Swedish Financial Reporting Board and the Swedish Annual Accounts Act.
The consolidated financial statements are presented in millions of Swedish kronor (SEKm). These financial statements have been prepared in accordance with the cost method, except specific financial assets and liabilities, such as derivatives, financial assets held for sale and pension assets attributable to defined benefit pension plans, which are measured at fair value.
The financial statements cover the companies that comprise the group and have been prepared for the same reporting periods and with consistently applied accounting policies. All intragroup dealings, transactions, revenues, costs and profit and losses have been eliminated.
The most significant accounting policies applied to the preparation of the financial statements are stated below.
IFRS 16 Leases is a new accounting standard that took effect on 1 January 2019. The new standard has had a material impact on the consolidated financial statements for the financial year. Attendo has opted to apply IFRS 16 retrospectively and thus to restate the financial reporting presented for earlier periods.
The transition to IFRS 16 led to an increase in total assets at 31 December 2018 of SEK 7,460 million, an increase in EBITA of SEK 297 million and a decrease in profit for the year of SEK –77m. See the 2019 Annual Report, Note C30, for further information about the effects of the transition to IFRS 16 in other respects.
IFRIC 23 Uncertainty over Income Tax Treatments is to be applied to all annual reporting periods beginning on or after 1 January 2019.
The interpretation provides guidance on how transactions should be reported when there are uncertainties regarding how tax law should be interpreted.
IFRIC has also issued a number of additional interpretations and amendments. Implementation of these has not led to any restatement of earlier accounts but has led to certain changes in disclosure requirements.
Preparing financial statements in accordance with IFRS requires the use of certain key accounting estimates. Furthermore, management is required to make certain judgements when applying the accounting policies. Areas that involve extensive judgements, that are complex or where assumptions and estimates are of material
significance to reporting are stated in Note C2, Key accounting estimates and judgements.
The financial statements include Attendo AB and all entities that the parent company controls. The group controls an investee when it has exposure, or rights, to variable returns from its involvement with the investee and is able to use its power over the investee to affect the amount of the group's returns. Subsidiaries are included in the financial statements from the date the group gains control over the subsidiary. They are excluded from the financial statements from the date it ceases to control the subsidiary.
Attendo applies the acquisition method to accounting for business combinations. This means that an acquisition of a subsidiary is viewed as a transaction in which the group indirectly acquires the subsidiary's assets and assumes its liabilities. The value of the acquisition is determined by measuring the fair value of the subsidiary's assets and liabilities on the acquisition date. The measurement includes any additional consideration or share option liability on the acquisition date. Subsequent remeasurements of the additional consideration or share option liability are recognised at fair value through profit or loss and under equity, respectively.
According to IFRS, transactions involving non-controlling interests (NCI) are accounted for as equity transactions. However, there are no specific rules governing the remeasurement of share option liabilities to these NCI. Remeasurements of share option liabilities in NCI are accounted for as equity transactions in the consolidated financial statements. Accordingly, accounting conforms to other transactions with NCI. For each acquisition, a decision is made as to whether all NCI in the acquiree should be measured at fair value or the NCI's proportionate share of the net assets of the acquiree.
Acquisition costs are expensed as they arise. If the aggregate value of the consideration transferred exceeds the fair value of the acquired net assets or other identifiable assets, the surplus is recognised as goodwill. If the fair value of the acquired net assets exceeds the aggregate value of the consideration transferred, the difference is recognised directly in profit or loss.
All intra-group transactions and balance sheet items and intra-group gains and losses from the sale of non-current assets are eliminated in the consolidated financial statements.
The financial statements of all subsidiaries are denominated in local currency. The consolidated financial statements are presented in Swedish kronor (SEK), which is the parent company's functional and presentation currency.
Foreign currency transactions have been translated at the spot conversion rate on the date of the transaction. Exchange rate gains and losses arising upon payment for such transactions and upon the conversion of monetary assets and liabilities denominated in foreign currency at the closing rate are recognised in profit or loss. The exception is cases where transactions satisfy the conditions for hedge accounting of cash flows or net investments, when gains/losses are recognised in Other Comprehensive Income (OCI).
The results of operations and financial positions of all group companies whose functional currency differs from the presentation currency are translated to the group's presentation currency as follows:
Assets and liabilities for each balance sheet presented are translated at the closing rate at the date of that balance sheet.
Income and expenses for each income statement are translated at the average rate of exchange.
Exchange rate differences are recognised in OCI.
Goodwill and fair value adjustments arising from acquisitions of foreign operations are treated as part of the assets and liabilities of the foreign operation and translated at the closing day rate. Exchange rate differences are recognised in OCI.
The cash flow statement has been prepared in accordance with the indirect method. The changes for the year in operating assets and operating liabilities have been adjusted for currency effects. Acquisitions and/or disposals of subsidiaries are reported net of cash and cash equivalents acquired or disposed of liquid assets in cash flow from investing activities. Assets and liabilities held by acquired and disposed businesses at the transaction date are not included in the statement of changes in working capital or in changes in balance sheet items presented in investing or financing activities.
Attendo's care and health care services are based mainly on multi-year contracts. Compensation is linked to the number of care days, hours performed or services granted by the local authority. Attendo is normally paid rental income by the residents of Attendo's own homes.
In Own operations, Attendo operates in premises controlled by the company. Attendo also provides home care services in customer choice models. Own operations includes care for older people, people with disabilities, social psychiatry and care for individuals and families. Attendo has a lease with the property owner. Attendo owns a very limited number of properties. In the care home business, Attendo is normally compensated for care provision, meal provision and rent. In a typical care home in Own operations, Attendo is compensated by the local authority for care provision, and in many contracts also for meal provision. The customer normally pays rent to Attendo and, in several operations, for meals. Compensation models vary among the local authorities. In Finland, some customers pay for a portion of care services. Compensation for care service and meals is based on care days, while the rent is a monthly charge.
In home care services under the Own operations contract model, Attendo is compensated for hours performed or services granted by the local authority.
In Outsourcing operations, Attendo provides services in publicly controlled units/premises or provides home care services based on outsourcing contracts. Outsourcing operations include care for older people, people with disabilities, social psychiatry and care for individuals and families. The premises are the responsibility of the local authority.
In the care home business, Attendo is normally compensated by the local authority for care provision and meals. Compensation models vary among the local authorities.
In home care services under the Outsourcing contract model, Attendo is compensated for hours performed or services granted by the local authority.
Revenue is recognised when the services have been rendered and in accordance with agreed prices, by reference to the stage of completion. The revenue is billed monthly. Terms of payment are normally Net 30 Days in Sweden and Net 14 Days in Finland.
Price increases are regulated in the absolute majority of contracts and are usually linked to some form of an index. The indices are linked to labour cost increases and/or general price increases.
Price increases in Attendo's rental agreements with customers are linked to local negotiation between market partners or general cost increases.
No performance obligations have been identified that must be reported as the company does not have contracts of that nature.
Attendo streamlined the business in 2018 by divesting the Finnish health care operations and merging two business areas in Scandinavia into one. Attendo has previously defined two operating segments that are continuously monitored by the chief operating decision maker, who makes decisions about the allocation of resources and assesses the operating segment's performance. However, as permitted under IFRS 8.12, Attendo has opted to report these segments on an aggregated level as one reportable segment because the segments have similar economic characteristics and are similar in terms of the customers (the contracting authorities) using the services, the nature of the services and the methods used to provide the services, the nature of the production processes and the extent to which operations are affected by various regulatory environments and risks. Consequent upon the change in operations, Attendo will be reporting two operating segments from 2019, based on the two business areas, Attendo Scandinavia and Attendo Finland.
"Other and eliminations" in the segment tables covers costs for the head office and group eliminations.
Like other employers, Attendo is entitled to various state and municipal employee-related aid and grants. This aid may, for example, be related to training, employment or reduced working hours. All aid and grants are recognised in profit or loss as cost reductions in the period as the underlying cost.
Financial assets are recognised when the group becomes party to the contractual provisions of an instrument. Financial assets are derecognised from the balance sheet when the right to receive cash flows from the instrument expires or is transferred and the group transfers all significant risks and rewards of ownership.
The group's financial assets largely consist of cash and cash equivalents and trade receivables, and are classified in accordance with IFRS 9 Financial Instruments:
The classification is based on the group's purpose in holding the financial instruments. The classification of financial assets is determined at initial recognition.
Financial assets measured at fair value are financial assets with fixed or determinable payments that are not quoted in an active market. Financial assets measured at fair value are initially recognised at fair value and subsequently at amortised cost using the effective interest rate method
Trade receivables, which are a component of financial assets in this category, are recognised in the amounts at which they are expected to be paid. Attendo has devised a collective model for accounting for credit losses attributable to trade receivables because the company's trade receivables are regarded as having the same credit characteristics. The model is tested every year to determine whether any changes are necessary. Expected and incurred credit losses are recognised as operating costs. For further information, see Note C15.
Cash and bank balances are measured at amortised cost.
Cash and cash equivalents include cash and bank balances through the group's cash pool. Unutilised overdraft facilities are not included in cash and cash equivalents. For further information, see Note C24.
The group has no financial assets measured at fair value through other comprehensive income.
Financial liabilities primarily consist of trade payables and loan liabilities The financial liabilities that are not included in hedge accounting are measured and recognised at amortised cost, applying the effective interest rate method. The direct cost of borrowing is included in the cost. When the overdraft facility is used, the item is included in financial liabilities. Financial liabilities denominated in foreign currency are translated at the closing day rate.
Borrowings are initially recognised at fair value, net of transaction costs. Borrowings are subsequently measured at amortised cost and any difference between the proceeds (net of transaction costs) and the amount due on settlement is recognised in profit or loss allocated across the term of the loan, using the effective interest rate method See also Note C19, Liabilities to credit institutions.
Trade payables are initially measured at fair value and subsequently at amortised cost, using the effective interest rate method.
At the date the lease was entered into, the company measured lease liability at the present value of the lease payments that had not been paid as of that date. Lease payments are discounted using property yields. Changes in the discount rate affect the size of the liability and interest expenses attributable to the liability. A new discount rate is set when a new lease is added when an extension option is used and when there is a change in the scope of the lease.
Contingent consideration is measured at fair value based on the estimated outcome of contractual clauses in share transfer agreements at the acquisition date. At each reporting date, the financial liability is measured at fair value and any changes are recognised in profit or loss under "Other external expenses".
The effective portion of the change in fair value of net investments in subsidiaries identified as cash flow hedges and that meet the criteria for hedge accounting, is recognised in OCI. The profit or loss attributable to the ineffective portion is immediately recognised in profit or loss as financial income or expense.
When a hedging instrument expires or is sold or when the hedge no longer meets the criteria for hedge accounting and the cumulative gain or loss on the hedging instrument is reserved, the gain or loss remains in equity and is recognised when the highly probable forecast transaction is finally recognised in profit or loss. When a highly probable forecast transaction is no longer expected to occur,
the cumulative gain or loss reserved in equity is immediately reclassified to profit or loss.
IFRS16 Leases became effective from 1 January 2019 and superseded IAS17 Leases and associated interpretations IFRIC4, SIC-15 and SIC-27. A lease under IFRS 16 Leases is a contract that conveys the right to control the use of an identified asset for a period of time in exchange for consideration. Attendo's analysis shows that the majority of the contracts classified as leases under IFRS16 refer to premises where Attendo runs own operations, cars used in home care operations and a few other assets. Attendo has taken advantage of the exemption permitting the exclusion of leases of assets of low value, below SEK 50,000, and leases with terms of less than twelve months. The leases related to land and buildings usually have terms of 10–15 years and those for cars have terms of 3 years. Leases for land and buildings also normally include one or more extension options. Because exercise of an extension option requires a new investment decision, IFRS 16 does not cover the calculation of the extension option until a decision to continue the operation is made. Variable costs, such as property tax, VAT and other variable property costs, such as the costs of maintenance, electricity, heat and water, etc., are excluded from the lease liability calculation to the extent the costs can be separated from the cost of rent. Attendo provides care services through two contract models: own operations and outsourcing. In the own operations contract model, Attendo provides care services on Attendo's own premises, i.e., premises that Attendo in most cases rents from external property owners. In outsourcing, Attendo provides care services on local authority premises and thus has no rental agreements for these premises.
The yield for public properties is used as the discount rate to calculate the lease liability (the present value of future lease payments) in order to reflect the implicit interest rate. The yield requirement differs among geographical areas and Attendo's leases have consequently been categorised based on their geographical location. Yield is provided annually by an external party, NewSec, as the basis for the discount rate.
The majority of Attendo's leases contain some form of annual indexation, usually based on the consumer price index. There are leases in Finland where indexation is based on occupancy. According to IFRS 16, recognised right-of-use (ROU) assets include only the value of the discounted leases for assets in use. The obligations must also extend for more than 12 months and have a fixed rent, as opposed to variable rent.
Goodwill arises from business combinations and is measured as the surplus by which the consideration transferred exceeds Attendo's share in the fair value of identifiable assets, liabilities and contingent liabilities in the acquiree and the fair value of non-controlling interests in the acquiree.
Goodwill from business combinations is allocated to the cash-generating unit in the group expected to benefit from the synergies of the combination.
Goodwill is tested for impairment annually or more frequently if there are indications that the unit may be impaired. An impairment loss is recognised if the carrying amount exceeds the recoverable amount, which is the higher of the value in use and fair value, less costs of disposal. An impairment loss is immediately recognised as an expense in profit or loss and may not be reversed. More information on goodwill impairment is provided in Note C2, Key accounting estimates and judgements and Note C11, Intangible assets.
Customer relationships are recognised in conjunction with business combinations when the customer base is a significant part of the combination.
Customer relationships are estimated to have a finite useful life. These assets are carried at fair value on the acquisition date and subsequently carried at cost less accumulated amortisation and any impairment losses. Assets are amortised on a straight-line basis over the estimated useful lives of customer relationships.
The value of deferred tax liabilities is estimated on the basis of the local tax rate as the difference between the carrying amount and the tax value of the intangible asset. The deferred tax liability is to be dissolved over the same period as the intangible asset is amortised, which means that the effect of the amortisation of the intangible assets is neutralised regarding the full tax rate concerning profit after tax.
The estimated useful lives of the assets are as follows:
| Asset | Years |
|---|---|
| Customer relationships | 5–10 |
Impairment testing and the recognition of impairments on customer relationships are conducted in the same manner as for goodwill.
These assets primarily consist of acquired customer contracts, but also other acquired intangible assets such as licenses and trademarks. Other acquired intangible assets are initially carried at fair value at the acquisition date and subsequently carried at cost less accumulated amortisation and any impairment losses.
Amortisation is recognised in profit or loss on a straight-line basis over the estimated useful life of the asset, provided that such useful lives are not indefinite. The useful life of an asset is subject to annual review and when required. Amortisable intangible assets are amortised from the date they become available for use. During 2019 Attendo has acqiured nursing homes and, in some cases, local medical centres from local authorities in Finland. These transactions were aimed at acquiring nursing homes in attractive locations with existing customers and employees. The transactions are reported as required under IFRS 3 Business Combinations. Land, buildings and customer relationships acquired in these transactions are carried at fair value and depreciated/amortised over the useful life of the asset. Liabilities are also measured at fair value. Any surplus value is reported as goodwill. The estimated useful lives of the assets are as follows:
| Asset | Years |
|---|---|
| Customer contracts | 6–10 |
| Other intangible assets | 3–5 |
In some cases, the acquired leases have terms of up to 20 years. Amortisation is recognised in profit or loss on a straight-line basis over the term of the contract. Impairment testing and the recognition of impairments on other intangible assets are conducted in the same manner as for goodwill.
Items of property, plant and equipment are recognised at cost less accumulated depreciation and any impairment losses.
Depreciation is recognised on a straight-line basis over the estimated useful life of the asset. In cases where part of property, plant and equipment consist of several components, where each component its own cost and estimated useful life that differs significantly from the item as a whole, each component is depreciated individually on the basis of the component's estimated useful life. The estimated useful lives of the assets are as follows:
| Asset | Years |
|---|---|
| Buildings | 5–50 |
| Machinery and equipment | 3–10 |
| Vehicles | 5 |
Impairment testing, as well as the recognition of impairment, is conducted in the same manner as for intangible assets.
The profit or loss arising on the disposal of an asset is determined as the difference between the sales proceeds and the carrying amount of the asset and is recognised in profit or loss as other operating income or expense.
Right-of-use assets are recognised at cost at the date of the lease. After acquisition date, the right-of-use is recognised at the discounted value. Depreciation is recognised on a straight-line basis over the life of the lease.
The estimated useful lives of the assets are as follows:
| Asset | Years |
|---|---|
| Land and buildings | 1–20 |
| Vehicles | 3 |
Impairment testing, as well as the recognition of impairments, is conducted in the same manner as for tangible assets. The profit or loss arising on the disposal of an asset is determined as the difference between the sales proceeds and the carrying amount of the asset and is recognised in profit or loss as other operating income or expense.
Assets held for sale and discontinued operations are reported as required under IFRS 5. The implications of classification of a non-current asset (or disposal group) as held for sale is that the carrying amount of the asset will be recovered mainly through sale and not through continued use in operations.
These assets or disposal groups must be presented separately in the statement of financial position.
Liabilities associated with these assets or disposal groups must be presented separately from other liabilities in the statement of financial position.
Upon reclassification, assets and liabilities are measured at the lower of carrying amount and fair value less costs to sell. As of that point, the assets are no longer depreciated. Gains and losses recognised in connection with remeasurement and disposal are reported in profit or loss for the period. The Finnish health care operations, that was sold 2018, are presented as divested operations previous year. All items on the income statement are reported on the line "Profit (–loss) for the period from divested operations. Specifications are provided in Note C30.
Tax expense for the year comprises current and deferred tax. Taxes are recognised in profit or loss except when the tax refers to items recognised in OCI or directly in equity. In such cases, the tax is also reported in OCI or equity.
Deferred tax is recognised as temporary differences between the tax base and the carrying amounts of assets or liabilities, and for loss carryforwards. Deferred tax assets are recognised only to the extent that it is probable that future taxable profit will be available against which they can be utilised.
Deferred tax liabilities are, however, not recognised if they arise as a result of the initial recognition of goodwill. Nor are deferred taxes recognised if they arise as a result of a transaction that constitutes the initial recognition of an asset or liability other than in a business combination which, at the time of the transaction, does not affect either the accounting or the taxable profit.
A provision is a liability of uncertain timing or amount. A provision is recognised when the group has an existing legal or constructive obligation as a result of a past event and it is probable that an outflow of resources will be necessary to settle the obligation, and the amount can be estimated reliably. Provisions are measured as the present value of the estimated expenditure required to settle the obligation. When the effect of the timing of the settlement is material, provisions are calculated on the basis of discounting estimated future cash flows.
Right-of-use assets are impaired when the economic rewards are lower than the recognised value of the right-of-use asset. The value in use is defined as the estimated future cash flows derived from continued use of the asset until its final disposal. Value in use is calculated through discounting future cash flows.
A provision for an onerous contract is recognised when unavoidable costs of meeting the obligations under the contract with the customer exceed the economic benefits that the group expects to receive under it.
A provision for restructuring is recognised when the group has adopted a detailed formal restructuring plan whose implementation has started or which has been announced to those affected. In these cases, provisions are made for outstanding rents, closing costs and any staff costs.
An impairment of a right-of-use asset is recognised when the group has determined that the economic rewards expected to be derived from the contract are lower than the carrying amount of the right-ofuse asset. When profit generation in a unit does not suffice to cover the rights, the right-of-use asset must be impaired.
Group companies have different pension plans that are classified as either defined contribution or defined benefit pension plans.
For the defined contribution pension plans, the Group's commitment is limited to fixed fees paid to a separate legal entity. These are recognised as personnel costs in profit or loss as they fall due for payment. The group has no obligation to pay additional fees if the assets of the pension fund prove to be insufficient. A defined benefit pension plan specifies a pension amount that the employee receives upon retirement, usually depending upon one or more factors such as age, number of years of service and salary. The liability recognised in the balance sheet regarding defined benefit pension plans is the present value of the defined benefit obligation at the end of the reporting period less the fair value of plan assets and unrecognised expenses for service in previous periods. The defined benefit pension obligation is calculated by independent actuaries using the projected unit credit method. The present value of the defined benefit obligation is determined by discounting estimated future cash flows using the yield on investment-grade bonds issued in the same currency as the benefits will be paid, with maturities comparable to the current pension obligation. The discount rate is reviewed quarterly, which affects net debt. Other assumptions, such as retirement age, mortality and employee turnover are reviewed annually.
Actuarial gains and losses resulting from experience-based adjustments and changes in actuarial assumptions are recognised in other comprehensive income during the period in which they arise.
The group's net liability for defined benefit pension plans in Norway is calculated separately for each plan by estimating the future benefits that employees have earned through their employment in both current and previous periods.
Attendo has launched two share savings programmes which allow employees to acquire shares in Attendo.
In accordance with IFRS 2, costs related to the share savings
programme are expensed as a personnel expense during the vesting period and recognised directly in equity. The social insurance fees that are expected to arise due to Attendo+ are accounted for in accordance with the recommendation from the Swedish Financial Reporting Board's Recommendation, UFR 7. The calculation is based on the change in value of matching shares and performance-based shares and is recognised as a provision.
Termination benefits are payable when employment is terminated by the group before the normal retirement date or when an employee accepts voluntary redundancy in exchange for such termination benefits. The group recognises severance pay when it is demonstrably committed to a termination when it has a detailed formal plan for the termination and is without realistic possibility of withdrawal. If the company has presented an offer to encourage voluntary redundancy, severance pay is calculated based on the number of employees that are estimated to accept the offer. Benefits that fall due more than 12 months after the end of the reporting period are discounted to present value.
A number of new standards and amendments to interpretations and current standards have not yet become effective for the financial year ending 31 December 2019 and have not been applied in the preparation of the consolidated financial statements. A description of these standards and interpretations follows, including a description of their potential impact on the consolidated financial statements.
IFRS 17 Insurance Contracts The IASB published a new accounting standard regarding insurance contracts in May 2017. The standard affects all companies with insurance contracts that apply IFRS. The standard is applicable to annual reporting periods beginning on or after 1 January 2022. IFRS 17 is not estimated to have any impact on the company's financial statements.
The Attendo Group's consolidated financial statements are prepared according to IFRS. Only a few financial measures are defined according to IFRS. As from 2016, Attendo has applied ESMA's (European Securities and Markets Authority) new guidelines for Alternative Performance Measures. An Alternative Performance Measure is, in short, a financial measure of historical or future financial performance, financial position or cash flows, other than a financial measure defined or specified in IFRS. Attendo presents certain financial measures not defined in IFRS in order to support executive management and other stakeholders in their analysis of the group's performance. Executive management believes this information facilitates analysis of the group's financial performance. This information is complementary information to IFRS and does not replace financial measures defined in IFRS. Attendo's definitions of financial measures not defined in IFRS can differ from those applied by other companies. All of the definitions applied by Attendo are presented on page 90.
The consolidated financial statements are prepared in accordance with IFRS. The preparation of financial reports and the application of accounting policies are often based on the management's judgements and estimates, and on assumptions that are considered reasonable and balanced at the time of such judgements. However, the outcome could be different given other judgements, assumptions and estimates, and events may occur that could require a significant restatement of the carrying amount of an asset or liability.
Significant areas where judgements and assumptions have been
made and which are considered to have the greatest impact on the consolidated financial statements are listed below.
The group tests whether goodwill is impaired each year in accordance with the accounting policies stated in Note C1, Significant accounting policies. The impairment test includes measurements based on judgements and estimates. The estimates are based on critical assumptions such as growth rate, profit margins, investment requirements and the discount rate. Political decisions that lead to legislative change could have significant impact on Attendo's operations and financial performance.
Attendo tested whether there was a need to impair recognised goodwill during the year. As in previous years, impairment testing was done separately for Attendo Scandinavia (AS) and Attendo Finland (AF). As a consequence of the implementation of IFRS15, Attendo has large recognised asset values related to long-term leases, usually with terms of more than 10 years. In addition, future demographic changes are expected to lead to further increases in the need for the group's services after year 5 in the forecast period. Attendo has therefore used a 10-year forecast period for impairment testing in 2019.
Testing showed that there is no impairment need, but that the margin to a possible impairment of goodwill is significantly narrower than in previous years.
There is a wide margin in Attendo Scandinavia before any impairment need would arise. Further information is provided in Note C11 Intangible assets.
An impairment of a right-of-use asset is recognised when the group has determined that the economic rewards expected to be derived from the contract are lower than the carrying amount of the right-ofuse asset. When profit generation in a unit does not suffice to cover the rights, the right-of-use asset must be impaired.
Attendo builds properties in own operations. All assets and liabilities related to these projects are recognised as assets and liabilities held for sale in accordance with IFRS 5. These assets are recognised at the lower of the carrying amount and fair value less costs to sell. Attendo has entered into contracts with external property owners to sell the properties after completion. If the contract is not fulfilled and the sale of the properties does not occur, assets and liabilities are reclassified in accordance with other assets and liabilities on the balance sheet.
The group's sales are mainly derived from customer contracts. Management evaluates factors such as the existence of contract losses in order to determine the income and expense items to be recognised in each period. The existence of onerous contracts is reviewed individually on the basis of estimated profit and loss, including index adjustments, during the estimated life of the contract. If an onerous contract is judged to exist, a provision is immediately recognised based on the estimated loss. At 31 December 2019, total provisions for onerous contracts were SEK 113m (195). For more information about provisions, see Note C22, Provisions.
The recognition of income tax, value added tax and other taxes is based on current regulations, including practice, directions and legislation in the countries where the group has its operations. Due to the overall complexity of these issues, the application of these regulations and tax accounting are in some cases based on interpretations, estimates and assessments of possible outcomes In complex
issues, the group solicits advice from external experts to assess possible outcomes on the basis of current practice and interpretations of existing regulations. In 2019, the group recognised income tax expenses of SEK –26m (–82).
Deferred tax assets and liabilities are recognised as temporary differences and unutilised tax loss carryforwards. The valuation of tax loss carryforwards is based on management's estimates of future taxable income in the respective tax areas. At 31 December 2019, the value of deferred tax assets amounted to SEK 293m (199). More detailed information on taxes is found in Note C10, Taxes.
The group has pension obligations for defined benefit pension plans where present value is based on actuarial computations. These calculations are based on significant estimates of factors such as the discount rate, expected inflation, future salary increases and expected returns on plan assets. Under current accounting standards, assumptions for discount rates are based on market interest rates for first-rate corporate bonds with maturities as similar as possible to the group's maturities. At 31 December 2019, the net defined benefit pension obligations amounted to SEK 15m (43). Development of pension expenses depends largely on current agreements such as collective agreements, as well as laws and regulations, and may thereby increase or decrease depending on future events that are presently unknown and that accordingly cannot be included in actuarial calculations. For more information on pensions, see Note C21 Pension provisions.
Leases for land and buildings also normally include one or more extension options. Because exercise of an extension option requires a new investment decision, IFRS 16 does not cover the calculation of the extension option until a decision to continue the operation is made.
Attendo's leases were categorised based on their geographical location for the calculation of the lease liability (the present value of future lease payments). Changes in the discount rate affect the size of the liability and interest expenses attributable to the liability. A new discount rate is set when a new lease is added when an extension option is used and when there is a change in the scope of the lease. The basis for the discount rate is obtained from an external party on an annual basis.
Over the years, the Group has made a number of acquisitions. As a consequence of such acquisitions, certain contingent liabilities related to the acquired operations have been taken over as well as certain issues regarding purchase consideration and contingent consideration. Companies within the Group are also involved in a few other legal processes and tax audits that have arisen in the business. Reporting of disputes, legal processes and tax audits is subject to critical estimates and assessments.
Attendo streamlined the business in 2018 by divesting the Finnish health care operations and merging two business areas in Scandinavia into one. Attendo has previously defined two operating segments that are continuously monitored by the chief operating decision maker, who makes decisions about the allocation of resources and assesses the operating segment's performance. Consequent upon the change in operations, Attendo will be reporting two operating segments from 2019, based on the two business areas, Attendo Scandinavia and Attendo Finland.
| 2019 | Scandinavia | Finland | Group | |
|---|---|---|---|---|
| Net sales by contract model | 6,305 | 5,630 | 11,935 | |
| Own operations | 4,497 | 5,460 | 9,957 | |
| Outsourcing | 1,808 | 170 | 1,978 | |
| 2018 | Scandinavia | Finland | Group | |
| Net sales by contract model | 6,367 | 4,620 | 10,987 | |
| Own operations | 4,315 | 4,444 | 8,759 | |
| Outsourcing | 2,052 | 176 | 2,228 |
In all material respects, the company's revenues refer to services rendered over time. This has not changed since the preceding year. At the end of the year, Attendo had 95 outsourcing contracts. Average annual sales in Sweden for outsourced units are SEK 31m for nursing homes and SEK 11m for homes for people with disabilities. The main customers are local authorities. In all material respects, all contracts are dependent upon customer demand for Attendo's services, and revenues therefore fluctuate. Provided that occupancy remains good, Attendo estimates that total revenues for the outsourcing contracts up to the termination date amount to approximately SEK 8.9bn. Of these, an estimated 22 percent will be generated next year and a further 20 percent in the year after next.
"Other and eliminations" in the segment tables below covers costs for the head office and group eliminations.
| 2019 | 2018 | |||||||
|---|---|---|---|---|---|---|---|---|
| Other and | Other and | |||||||
| Operating income | Scandinavia3 | Finland | eliminations | Group | Scandinavia3 | Finland | eliminations | Group |
| Net sales | 6,305 | 5,630 | – | 11,935 | 6,367 | 4,620 | – | 10,987 |
| Other operating income | 62 | 48 | – | 110 | 17 | 7 | – | 24 |
| Total revenue | 6,367 | 5,678 | – | 12,045 | 6,384 | 4,627 | – | 11,011 |
| Operating costs | ||||||||
| Personnel costs | –4,381 | –3,706 | –461 | –8,133 | –4,437 | –2,798 | –401 | –7,275 |
| Other external costs | –787 | –1,165 | –202 | –1,972 | –900 | –815 | –222 | –1,737 |
| Operating profit before depreciations and amortisation (EBITDA) * |
1,199 | 807 | –66 | 1,940 | 1,047 | 1,014 | –62 | 1,999 |
| Amortisation and depreciation of tangible and intangible assets |
–484 | –644 | – | –1,128 | –478 | –513 | – | –991 |
| Operating profit after depreciation (EBITA) | 715 | 163 | –66 | 812 | 569 | 501 | –62 | 1,008 |
| Amortisation of acquisition related intangible assets |
–25 | –115 | – | –140 | –29 | –113 | – | –142 |
| Operating profit (EBIT) | 690 | 48 | –66 | 672 | 540 | 388 | –62 | 866 |
| Financial items | ||||||||
| Financial income | 5 | 1 | ||||||
| Financial expenses | –570 | –541 | ||||||
| Net financial items | –565 | –540 | ||||||
| Profit (– loss) before tax | 107 | 326 | ||||||
| Income tax | –26 | –82 | ||||||
| Profit for the year from continuing operations | 81 | 244 | ||||||
| Operations held for sale | ||||||||
| Profit or loss for the period for operations held for sale |
– | 711 | ||||||
| NET PROFIT FOR THE YEAR* | 81 | 955 |
1) Other, i.e., the cost of the head office, amounts to SEK 45m (38). Eliminations amount to SEK 1m (2).
2) Other, i.e., the cost of the head office, amounts to SEK 20m (22). 3) Net sales for Scandinavia are distributed as follows: Sweden, SEK 5,682.m (5,736), Norway SEK 406m (424) and Denmark SEK 217m (207).
| 2019 | 2018 | |||||||
|---|---|---|---|---|---|---|---|---|
| Other segment information | Scandinavia | Finland | Head office balance sheet |
Group | Scandinavia | Finland | Head office balance sheet |
Group |
| Assets | 9,070 | 10,984 | 216 | 20,270 | 9,027 | 10,014 | 2,181 | 21,222 |
| Liabilities | 4,402 | 7,226 | 2,811 | 14,439 | 4,275 | 5,797 | 5,349 | 15,421 |
| Investments in tangible and intangible assets |
60 | 280 | 4 | 345 | 75 | 187 | 2 | 264 |
| Transaction prices allocated to remaining performance obligations, SEKm |
2020 | 2021 | Total |
|---|---|---|---|
| Aggregated expected revenues related to | |||
| outsourcing contracts: | 2,000 | 1,800 | 8,900 |
| 2019 | Sweden | Denmark | Norway | Finland | Head office | Total |
|---|---|---|---|---|---|---|
| Intangible non-current assets | 4,670 | 0 | 28 | 3,309 | 3 | 8,010 |
| Property, plant and equipment | 144 | 13 | 4 | 713 | 0 | 874 |
| Right-of-use assets | 2,928 | 116 | 39 | 5,773 | 0 | 8,856 |
| Non-current receivables | 7 | 6 | 0 | 25 | 0 | 38 |
| Total | 7,749 | 135 | 71 | 9,820 | 3 | 17,778 |
| 2018 | Sweden | Denmark | Norway | Finland | Head office | Total |
|---|---|---|---|---|---|---|
| Intangible assets | 4,655 | 0 | 115 | 3,238 | 4 | 8,012 |
| Property, plant and equipment | 182 | 8 | 15 | 401 | 0 | 606 |
| Right-of-use assets | 2,884 | 5 | 60 | 4,584 | 0 | 7,533 |
| Non-current receivables | 10 | 6 | 0 | 27 | 0 | 43 |
| Total | 7,731 | 19 | 190 | 8,250 | 4 | 16,194 |
Attendo had no contracting local authorities for which revenue exceeds 10 percent of the group's total revenue.
Net sales from external customers refers to care and health care services.
The information relating to non-current assets is based on geographical areas grouped on the basis of where the assets are located. Non-current assets do not include financial instruments, deferred tax assets or assets relating to post-employment benefits in accordance with IFRS 8, paragraph 33.
| SEKm | 2019 | 2018 |
|---|---|---|
| Gains on sales of non-current assets | 61 | 9 |
| Gains on sales of assets held for sale | 4 | 2 |
| Other | 45 | 12 |
| Total | 110 | 24 |
The Board of Directors of the parent company was composed of six regular directors at the end of the year, of whom two women. The 2019 AGM adopted a resolution that entitled the Chair of the Board to a fee of SEK 1,000,000. Regular Board members elected by the annual general meeting were entitled to fees of SEK 350,000 each. As resolved by the 2019 AGM, an additional fee of SEK 370,000 (of which SEK 200,000 to the chair) is payable to members of the Audit Committee, SEK 300,000 (of which SEK 150,000 to the chair) to members of the Investment Committee and SEK 200,000 (of which SEK 100,000 to the chair) to members of the Compensation Committees.
Compensation resolved by the 2019 AGM is presented in the following table and the previous year's resolved fees within brackets.
| Board | Remuneration for | ||
|---|---|---|---|
| Board members | remuneration | committee work | Total fee |
| Chair of the Board | |||
| Ulf Lundahl | 1,000 (900) | 125 (125) | 1,125 (1,025) |
| Board members | |||
| Catharina Fagerholm | 350 (335) | 200 (150) | 550 (485) |
| Tobias Lönnevall | 350 (335) | 335 (325) | 685 (660) |
| Alf Göransson | 350 (335) | 135 (–) | 485 (335) |
| Anssi Soila | 350 (335) | 75 (75) | 425 (410) |
| Anitra Steen | 350 (335) | – (–) | 350 (335) |
| Employee representatives | |||
| Robin Filipsson | – (–) | – (–) | – (–) |
| Arja Pohjamäki | – (–) | – (–) | – (–) |
| Faya Lahdou, alternate | – (–) | – (–) | – (–) |
| Total | 2,750 (2,515) | 870 (675) | 3,620 (3,250) |
For further information about the work of the Board of Directors and board committees, please refer to Attendo's Corporate Governance Report on page 28.
The company's cost for compensation to Executive Management are recognised in profit and loss. Costs recognised during a financial year are not always paid in full by the company at the end of the financial year, because costs could include variable pay that is disbursed the year after the vesting period. The table below refers to the group's employee benefits expenses for Executive Management in the financial year.
| Costs of compensation tor the CEO and other members of Executive Management | |
|---|---|
| ----------------------------------------------------------------------------- | -- |
| Sharebased | Other remuneration | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fixed salary3 | Variable salary4 | compensation5 | and benefits6 | Pension cost | Total | |||||||
| SEKk | 2019 | 2018 | 2019 | 2018 | 2019 | 2018 | 2019 | 2018 | 2019 | 2018 | 2019 | 2018 |
| CEO | ||||||||||||
| Martin Tivéus | 7,548 | 2,936 | 1,203 | 735 | 99 | – | 117 | 0 | 2,100 | 750 11,067 | 4,421 | |
| Pertti Karjalainen | – | 1,653 | – | 418 | – | – | – | – | 310 | – | 2,381 | |
| Henrik Borelius | – | 756 | – | 0 | – | – | – | 42 | – | 823 | – | 1,621 |
| Other members of | ||||||||||||
| Executive Management1, 2 | 10,408 12,044 | 1,246 | 2,255 | 117 | 447 | 542 | 547 | 3,288 | 3,906 15,601 19,199 | |||
| Total | 17,956 | 17,389 | 2,449 | 3,408 | 216 | 447 | 659 | 589 | 5,388 | 5,789 | 26,668 | 27,622 |
| Of which divested operations | ||||||||||||
| Executive Management | – | 1,967 | – | 236 | – | 82 | – | 70 | – | 436 | – | 2,791 |
1) Other members of Executive Management (excluding the CEO) comprised six individuals at year-end 2019.
2) Virpi Holmqvist replaced Pertti Karjalainen as the Business Area Director for Finland on 7 October, whereupon she became a member of Executive Management. Karjalainen continued to serve on the Executive Management team until February 12, 2020.
3) Fixed salary includes the cost of annual leave pay.
4) Variable pay includes both the accrued cost of short-term variable pay and vested subsidies for call options.
5) Share-based payments refers to the forecasted outcome of long-term incentive programmes, calculated in accordance with IFRS 2 and expensed during 2019. 6) Other remuneration and benefits refer mainly to company cars.
At the end of 2019, there were seven regular members of the Executive Management, of whom two are women. The Executive Management team is composed of the CEO and six other executives: the CFO, the Communications and IR Director, Business and Development Director and the two Business Area Directors.
The CEO is paid fixed salary, variable pay based on annual targets and pension benefits. The CEO also participates in Attendo's long-term incentive programme for senior executives. Remuneration is determined annually by the Board of Directors in accordance with the established policy for remuneration to Executive Management. Variable salary is based on targets related to growth and profits as well as personal targets and is subject to a cap of 67 percent of annual salary in the 2019 financial year. As previously decided, Attendo will also be able to distribute cash compensation connected to the long-term acquisition of shares or equity-related instruments during a three-year period (ending 2021). The CEO is entitled to a premium-based pension plan of his choice corresponding to 30 percent of the fixed salary. Attendo has no other pension obligations to the CEO. Upon termination, a mutual notice period of six months shall apply. Upon termination by the company, the CEO is entitled to severance pay corresponding to twelve months' salary.
Terms of employment for other members of executive management
Other members of executive management receive a fixed salary, variable pay and pension benefits as customary in each country. Swedish members of Executive Management are included in the ITP plan and the plan's alternative rule. All other members of Executive Management are included in Attendo's long-term incentive programme. Variable salary is subject to a cap of 45–50 percent of annual fixed salary and is based on policies similar to those that apply to the CEO. As previously decided, Attendo will also be able to distribute cash compensation connected to the long-term acquisition of shares or equity-related instruments during a three-year period (ending 2021). Upon termination, a mutual notice period of six months shall apply. Upon termination by the company, other senior executives are entitled to severance pay corresponding to an additional six months' salary.
| Number of | 2019 | 2018 | ||||
|---|---|---|---|---|---|---|
| employees | Women | Men | Total Women | Men | Total | |
| Scandinavia | 6,956 | 1,881 | 8,837 | 7,815 | 2,004 | 9,819 |
| Finland | 6,839 | 823 | 7,662 | 7,241 | 1,209 | 8,450 |
| Total | 13,795 | 2,704 | 16,499 | 15,056 | 3,213 | 18,269 |
| operations | ||||||
|---|---|---|---|---|---|---|
| Finland | – | – | – | 1,163 | 361 | 1,524 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Salaries and wages | 6,304 | 6,437 |
| Social costs | 1,052 | 1,106 |
| Pension costs | 741 | 788 |
| Total | 8,097 | 8,331 |
| Of which divested operations | ||
| Salaries and wages | – | 875 |
| Social costs | – | 7 |
| Pension costs | – | 141 |
| Total | – | 1,023 |
Part of the remuneration paid to some employees is variable. Variable pay is conditional upon meeting certain targets. The targets may be linked to parameters such as quality, customer satisfaction, employee satisfaction and financial performance.
The general meeting resolved in 2015 to implement long-term incentive programmes aimed at encouraging and maintaining strong commitment to Attendo and to contributing to long-term shareholder value as the goals of Attendo's Executive Management and employees are aligned with those of shareholders.
Warrants were issued coincident with the general meeting of Attendo AB's subsidiary Attendo Intressenter AB, from which members of Executive Management acquired warrants at market value. A total of
5,280,030 warrants were issued and warrants not acquired by current participants may be offered to additional senior executives or key staff in the future. The warrants were issued in three separate series, of which the last expired in December 2019. As the exercise price was SEK 65, no warrants in series 2015/2019 were subscribed.
Attendo's principal shareholder Nordstjernan issued call options during 2018 to a few senior executives and other key individuals at Attendo. Participants in the programme subscribed for a total of 875,815 call options. The call options can be exercised between three and five years after subscription. Attendo has chosen to subsidise 120 percent of the investment before tax through additional variable pay of a maximum of SEK 4.7m that will be paid 24 and 36 months after the subscription date, respectively.
The first share savings programme directed at all employees of Attendo, Attendo+, was introduced in August 2016. The participants invest in Attendo savings shares during a period of twelve months if the employee remains employed by Attendo, a right to matching shares will be granted at the end of the qualification period. Investments are made at market value. In addition, performance shares can be granted to some participants, provided that certain predetermined goals are met during the qualification period. The predetermined goals were improvement in the quality index compared to 2015 and in the Attendo Group's accumulated EBITA with a threshold of SEK 3,146m, corresponding to an average annual growth of approximately 7 percent. The Board of Directors has determined that the outcome of the performance criteria is 0 percent. Matching shares were allotted for the first time in December 2019 and quarterly grants will continue until the end of September 2020.
The 2017 AGM resolved to adopt a new share savings programme, Attendo+ 2017. The programme is aimed at certain key employees. When they invest in savings shares during a period of twelve months and remain employed by the company, a maximum of 3–5 matching performance shares will be allotted at the end of the 12-month period. Allottment of performance shares is dependent on the outcome of a range of predetermined goals of the Attendo Group's accumulated EBITA during the period of 2017–2019 with a threshold of SEK 3,097m, corresponding to average annual growth of approximately 6 percent. The Board of Directors has determined that the outcome of the performance target is 0 percent.
The 2018 AGM resolved to adopt a new share savings programme, Attendo+ 2018. The programme is aimed at certain key employees that invest in savings shares and through remained employment by the company, can receive a maximum of 3–5 performance shares at the end of the qualification period if certain predetermined goals are achieved. The Board determines a range of development of the groups accumulated EBITA during the time period 2018–2020.
The 2019 AGM resolved to adopt a new share savings programme Attendo+ 2019. The programme is aimed at certain key employees that invest in savings shares and through remained employment by the company, can receive 0.5 matching share and a maximum of 5 performance shares at the end of the qualification period. The allottment of performance shares are dependent on the acheivement of certain predetermined goals related to the groups accumulated EBITA during the time period 2019–2021.
To ensure Attendo's commitment to deliver shares and pay social security contributions Attendo has repurchased own shares. At 31 December 2019, Attendo held 496,136 shares.
The following table shows granted share rights forfeited and exercised within Attendo+. The performance shares in Attendo+ 2016 and Attendo+ 2017 are considered forfeited. Participants who left the company in conjunction with divestment of the Finnish health care operations received matching shares in 2019 in accordance with Attendo+ 2016.
Assuming that the performance targets in Attendo+ 2018 and Attendo+ 2019 completely met, the total cost for Attendo+ is estimated at SEK 33m. Maximum dilution for Attendo+ is estimated at 0.3 percent of total outstanding shares.
| 2019 | 2018 | ||||||
|---|---|---|---|---|---|---|---|
| Matching and Performance Shares Attendo+ 2019 Attendo+ 2018 Attendo+ 2017 Attendo+ 2016 | Attendo+ 2018 Attendo+ 2017 Attendo+ 2016 | ||||||
| At 1 January | – | 146,198 | 261,270 | 59,809 | – | 65,404 | 97,853 |
| Granted (Recognised) | 270,023 | – | – | – | 146,198 | 213,028 | – |
| Forfeited | – | 9,124 | 261,270 | 7,349 | – | 17,162 | 35,979 |
| Exercised (Allotted) | – | – | – | 26,516 | – | – | 2,065 |
| At 31 December | 270,023 | 137,074 | – | 25,944 | 146,198 | 261,270 | 59,809 |
| Other external costs | |||||
|---|---|---|---|---|---|
| SEKm | 2019 | 2018 | |||
| Care and health care services | 181 | 157 | |||
| Consumables | 512 | 472 | |||
| Rent costs | 213 | 193 | |||
| Other property costs | 471 | 366 | |||
| External services | 20 | 99 | |||
| Other | 575 | 450 | |||
| Total | 1,972 | 1,737 |
| Audit fees | ||
|---|---|---|
| SEKm | 2019 | 2018 |
| PwC | ||
| Audit fees | 8 | 8 |
| Of which to parent company auditors | 5 | 4 |
| Fees, audit-related | 0 | 0 |
| Of which to parent company auditors | 0 | 0 |
| Fees, tax matters | 1 | 1 |
| Of which to parent company auditors | 0 | 0 |
| Other fees | 1 | 0 |
| Of which to parent company auditors | 0 | 0 |
| Total | 10 | 9 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Other companies | ||
| Audit fees | – | 0 |
| Fees, audit-related | – | – |
| Fees, tax matters | – | 0 |
| Other fees | 0 | 1 |
| Total | 0 | 1 |
Audit fees refer to fees for the statutory audit, i.e., the work required to issue the auditor's report as well as audit advice provided in connection with the audit assignment.
Other services in 2019 consisted of various advisory services, as in the preceding year.
| SEKm | 2019 | 2018 |
|---|---|---|
| Interest income | 1 | 1 |
| Exchange rate gains | 4 | – |
| Total financial income | 5 | 1 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Interest expenses on borrowings | –59 | –119 |
| Depreciation of capitalised financing costs | –7 | –6 |
| Impairment of capitalised financing costs | –8 | – |
| Interest expenses related to IFRS 16 | –473 | –1 |
| Correction based on the new lease accounting standard, interest expenses related to finance |
||
| leases | – | –394 |
| Interest expenses on post-employment benefits | –5 | –6 |
| Exchange rate losses | –3 | –6 |
| Other financial expenses | –15 | –9 |
| Total financial expenses | –570 | –541 |
| Net financial items | –565 | –540 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Current tax | –123 | –115 |
| Deferred tax | 97 | 33 |
| Total | –26 | –82 |
The effective tax rate is 24.3 percent.
A reconciliation between this year's recognised tax expense and the tax expense that would arise if the Swedish tax rate of 21.4 percent was applied to profit before tax is shown below.
| SEKm | 2019 | 2018 |
|---|---|---|
| Tax according to Swedish tax rate | –23 | –93 |
| Tax effect of the new standard, IFRS 16 Leases | – | 20 |
| Effect of foreign tax rates | –4 | 4 |
| Tax effect of non-deductible items | –3 | –11 |
| Tax effect of non-taxable income | 6 | 6 |
| Tax effect of changed tax rate | –1 | 0 |
| Tax attributable to previous years | –2 | –1 |
| Change in temporary differences | –4 | 2 |
| Revaluation of tax loss carry forwards | 9 | –12 |
| Other | –4 | 3 |
| Tax expense | –26 | –82 |
The tax effect of timing differences including unutilised tax loss carryforwards has resulted in deferred tax assets and deferred tax liabilities as shown below:
| SEKm | 2019 | 2018 |
|---|---|---|
| Tax loss carryforwards | 81 | 27 |
| Provisions for post-employment benefits | 4 | 10 |
| Other provisions | 63 | 28 |
| Deferred tax, IFRS 16 | 125 | 105 |
| Other | 20 | 29 |
| Total | 293 | 199 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance, 1 January | 199 | 62 |
| Tax loss carryforwards | 54 | –8 |
| Provisions for post-employment benefits | –6 | –3 |
| Provisions | 35 | 24 |
| Deferred tax, IFRS 16 | 0 | 2 |
| Exchange rate differences | 20 | 105 |
| Other | –9 | 17 |
| Closing balance, 31 December | 293 | 199 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Intangible assets | 85 | 120 |
| Other timing differences | 3 | 8 |
| Total | 88 | 128 |
Deferred tax liabilities consist of tax on customer relationships of SEK 79m, tax on brands of SEK 6m and a number of minor deferred tax liabilities totalling SEK 3m.
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance, 1 January | 128 | 124 |
| Customer contracts | – | – |
| Customer relationships | –35 | 2 |
| Exchange rate differences | 2 | 2 |
| Other | –7 | 0 |
| Closing balance, 31 December | 88 | 128 |
Tax items attributable to OCI
| SEKm | 2019 | 2018 |
|---|---|---|
| Deferred tax on revaluation of provisions for | ||
| pensions | –1 | 2 |
| Deferred tax on OCI | –1 | 2 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Sweden | 194 | – |
| Finland | 362 | 131 |
| Norway | 6 | 3 |
| Denmark | 234 | 167 |
Total tax loss carryforwards at 31 December 2019 amounted to SEK 166m (64). The loss carryforwards are measured at SEK 115m and are found in Sweden, Finland and Norway. Retaxation of SEK 254m on measured loss carryforwards in Sweden was carried out in 2019.
| SEK | 2019 | 2018 |
|---|---|---|
| Basic, total operations | 0.51 | 5.95 |
| Diluted, total operations | 0.51 | 5.94 |
| Basic, continuing operations | 0.51 | 1.52 |
| Diluted, continuing operations | 0.51 | 1.52 |
| Basic, divested operations | – | 4.43 |
| Diluted, divested operations | – | 4.42 |
Basic earnings per share are calculated by dividing profit attributable to shareholders in the parent company by the weighted average shares outstanding during the period excluding repurchased shares.
| Basic earnings per share | 2019 | 2018 |
|---|---|---|
| Profit attributable to holders of ordinary shares in the parent company (SEKm) |
81 | 955 |
| Weighted average of outstanding shares in the year, basic |
160,876,525 160,454,518 |
Diluted earnings per share are calculated by adjusting the weighted average shares outstanding for the dilutive effect of all warrant agreements.
| Diluted earnings per share | 2019 | 2018 |
|---|---|---|
| Profit attributable to holders of ordinary shares in the parent company (SEKm) |
81 | 955 |
| Weighted average of outstanding shares in the year, basic |
160,876,525 160,454,518 | |
| Adjusted for: | ||
| Warrants | – | 210,656 |
| Attendo+ | 22,775 | 36,512 |
| Weighted average number of outstanding ordinary shares in the year, diluted |
160,899,299 160,701,686 |
| Customer relation |
Customer | Other | |||
|---|---|---|---|---|---|
| SEKm | Goodwill | ships | contracts | assets | Total |
| Opening balance | 7,339 | 563 | 2 | 108 | 8,012 |
| Acquisitions | 148 | 87 | 0 | 0 | 235 |
| Investments | – | – | – | 18 | 18 |
| Sales and obsolescence | –83 | –21 | 0 | –4 | –108 |
| Reclassifications | –5 | –5 | – | –31 | –41 |
| Amortisation | – | –139 | –1 | –24 | –164 |
| Exchange rate differences | 47 | 9 | 0 | 2 | 58 |
| Closing balance | 7,446 | 494 | 1 | 69 | 8,010 |
| SEKm | Goodwill | Customer relation ships |
Customer contracts |
Other assets |
Total |
|---|---|---|---|---|---|
| Opening balance | 8,541 | 595 | 4 | 118 | 9,258 |
| Acquisitions | 379 | 152 | – | 2 | 533 |
| Investments | – | – | – | 44 | 44 |
| Sales and obsolescence | –1,758 | –42 | – | –24 –1,824 | |
| Reclassifications | – | – | – | 4 | 4 |
| Amortisation | – | –164 | –1 | –39 | –204 |
| Exchange rate differences | 177 | 22 | –1 | 3 | 201 |
| Closing balance | 7,339 | 563 | 2 | 108 | 8,012 |
Each year, Attendo tests whether there is any indication that goodwill may be impaired by calculating the value in use for cash-generating units to which the goodwill item is allocated. There are two operating segments within Attendo. Attendo has chosen, in accordance with IAS 36.82, to perform impairment testing based on two cash-generating units, as these reflect the way Attendo manages its operations. In addition, these two cash generating units correspond to the lowest level at which financial position is monitored. The two cash-generating units are designated Attendo Scandinavia (AS) and Attendo Finland (AF). The key assumptions used in impairment testing during the current year are related to growth rate, profit margins, investment requirements and the discount rate. The discount rate is set with consideration given to the prevailing interest rate situation and the specific risk in the cash-generating unit and is calculated before tax.
| AS | AF | |
|---|---|---|
| WACC before tax 2019, % | 8.6 | 9.3 |
| WACC before tax 2018, %1 | 9.1 | 8.6 |
| 1) The discount rate in 2018 was calculated in accordance with IAS 17 |
Up to 2019, Attendo calculated future cash flows based on the most recent budget approved by the Board of Directors and management for the next financial year and subsequent detailed forecasts covering a five-year period. See the 2018 Annual Report Note C12 for a detailed description of the need for impairment of goodwill up to 2019.
As a consequence of the implementation of IFRS 15, Attendo has large recognised asset values related to long-term leases, usually with terms of more than 10 years. In addition, future demographic changes are expected to lead to further increases in the need for the group's services after year five in the forecast period. Attendo has therefore used a ten-year forecast period for impairment testing in 2019. The growth rate in the budget and ten-year forecast is based on industry data, expected changes in the market and management's experience from similar markets and Attendo's strategy. The budget and ten-year forecast are used for operational management and are intended to ensure that financial targets are met over time. Attendo takes a conservative approach to its estimates to determine value in use, which means that financial targets are the basis for estimates when they are lower than budgeted and forecast outcomes. A long-term growth rate of 2 percent (2) was assumed for the period thereafter. This does not exceed the average long-term growth rate for the sector as a whole and is based on industry data, expected changes in the market and management and the Board of Directors' experience from similar markets. The Board of Directors and management have determined the assumptions based on historical outcomes and their expectations for market development. The weighted average growth rate used is consistent with forecasts issued in industry reports. The discount rates used are stated before tax and reflect the specific risk for the identified cash-generating unit.
Testing showed that there is no impairment need, but that the margin to a possible impairment of goodwill is significantly narrower than in previous years. In connection with impairment testing of goodwill in Attendo Finland, carried at SEK 2,841m, the assessment was based in part on the business and action plan for future years and a long-term profitability level equal to at least 7 percent of the adjusted EBITA margin (the EBITA margin in accordance with the earlier accounting standard, not including IFRS 16) at the end of the forecast period. For the cost of capital, 11.7 percent was used for required return on equity and interest expense of 3.3 percent before tax on interest-bearing liabilities. The required return on equity has been significantly adjusted upwards compared to testing in previous years based on a higher risk premium. These assumptions would return 8 percent WACC (net of tax) according to the previous accounting standard and 7.3 percent (net of tax) under IFRS 16. The reason for the difference is that IFRS 16 results in a significantly higher liability component in the capital structure.
The test is sensitive to certain assumptions. A sensitivity analysis shows that a long-term adjusted EBITA margin of 6 percent or lower for Attendo Finland would indicate a need for impairment, as would a weighted average cost of capital (WACC) that is higher by 0.5 percentage points or more according to this sensitivity analysis. Furthermore, a decrease in the margin of 0.75 percentage points in the respective period in the impairment test would indicate a need for impairment.
There is a wide margin in Attendo Scandinavia before any impairment need would arise.
| SEKm | AS | AF¹ | Total |
|---|---|---|---|
| Goodwill at 31 Dec 2019 | 4,605 | 2,841 | 7,446 |
| Goodwill at 31 Dec 2018 | 4,635 | 2,704 | 7,339 |
1) The difference between the periods is due to the divestment of the Finnish operations. Divested goodwill amounts to SEK 1,761m.
| SEKm | Buildings and land |
Equipment and vehicles |
Total |
|---|---|---|---|
| Opening balance | 163 | 443 | 606 |
| Acquisitions | 125 | 3 | 128 |
| Investments | 2 | 325 | 327 |
| Disposals and divestments | –47 | –18 | –65 |
| Reclassifications | 10 | 31 | 41 |
| Depreciation and impairments | –18 | –147 | –165 |
| Exchange rate differences | 0 | 2 | 2 |
| Closing balance | 235 | 639 | 874 |
| SEKm | Buildings and land |
Equipment and vehicles |
Total |
|---|---|---|---|
| Opening balance | 120 | 439 | 559 |
| Acquisitions | 96 | 40 | 136 |
| Investments | 2 | 238 | 240 |
| Disposals and divestments | –16 | –62 | –78 |
| Reclassifications | 0 | –4 | –4 |
| Depreciation | –40 | –145 | –185 |
| Exchange rate differences | 1 | 8 | 9 |
| Correction based on the new lease accounting standard, IFRS 16 |
– | –71 | –71 |
| Closing balance | 163 | 443 | 606 |
| SEKm | Premises | Vehicles | Total |
|---|---|---|---|
| Opening balance | 7,504 | 29 | 7,533 |
| New leases and index adjustments | 2,612 | 31 | 2,643 |
| Sales | –348 | –4 | –352 |
| Depreciation | –913 | –27 | –940 |
| Impairments | –85 | – | –85 |
| Exchange rate differences | 57 | 0 | 57 |
| Closing balance | 8,827 | 29 | 8,856 |
| SEKm | Premises | Vehicles | Total |
|---|---|---|---|
| Opening balance | 5,624 | 36 | 5,660 |
| New leases and index adjustments | 2,541 | 10 | 2,551 |
| Sales | –11 | –9 | –20 |
| Depreciation | –776 | –8 | –784 |
| Impairments | – | – | – |
| Exchange rate differences | 126 | – | 126 |
| Closing balance | 7,504 | 29 | 7,533 |
| 2019 | 2018 | |
|---|---|---|
| Costs attributable to short-term leases | 48 | 48 |
| Costs attributable to low-value leases | 39 | 47 |
| Costs attributable to variable lease payments not included in the lease liability |
126 | 98 |
| Total | 213 | 193 |
| Interest expense attributable to right-of-use assets | 473 | 394 |
| 2019 | 2018 | |
|---|---|---|
| <12 months | 856 | 743 |
| 2–5 years | 2,973 | 2,592 |
| 6–10 years | 3,080 | 2,584 |
| >10 years | 2,593 | 2,022 |
| Total | 9,502 | 7,941 |
Attendo's leases were categorised based on their geographical location to calculate the lease liability (the present value of future lease payments). For leases in Sweden, an interest rate between 3.75—5.50 percent is used for 2019 (4.0–5.75), for Finland 4.1–5.7 percent (4.1–5.6), for Denmark 4,75–7 percent (4.75–7) and for Norway 4.15–5.3 percent (4.0–5.25). The discount rate for Attendo's leased cars are based on the interest rate for each lease in Sweden and in Denmark on the interest rate implicit borrowing rate in the lease, which was 2.16 percent in 2019.
Variable lease payments tied to an index or price are included in the value of the right-of-use and the lease liability. These variable lease payments include, for example, payments linked to the consumer price index, benchmark interest rate or changes in market rents. The majority of Attendo's leases include an indexation clause, where the CPI is the most common index applied, which is adjusted in October. The index used must be updated as of the starting date of the change in rent or when it changes.
Leases for land and buildings also normally include one or more extension options. Because exercise of an extension option requires a new investment decision, IFRS16 does not cover the calculation of the extension option until a decision to continue the operation is made.
Variable costs, such as property tax, VAT and other variable property costs, such as the costs of maintenance, electricity, heat and water, etc., are excluded from the lease liability calculation to the extent the costs can be separated from the cost of rent. VAT is not included because it is a levy recognised in accordance with IFRIC 21 Levies.
Total cash flow related to leases was SEK 1,263m (1,090).
Disclosures regarding leases that have been entered into but have not yet begun to apply and are thus not included in the asset or liability for its rights-of-use before the lease begins are found under contingent liabilities, see Note C29.
The group initially estimates amounts related to guaranteed residual values that the company expects to be obligated to pay and recognises them as part of the lease liability. The amounts are assessed and adjusted if appropriate to do so at the end of each reporting period. At the end of this financial year, guaranteed residual values included in lease liabilities amounted to SEK 44m (43). These are not expected to be paid. Attendo operates under two contract models: own operations and outsourcing. How leases are used and how they are applicable is described below.
Attendo provides care services in its own or leased premises where Attendo controls the lease and the unit. Attendo designs, builds, equips and staffs homes in own operations and offers care beds to local authorities. The homes are designed and built in partnership with construction and real estate companies, which also own the properties. Attendo enters into leases with the property owners, usually for a term of 10–15 years with an option to extend the lease. In the own operations contract model, Attendo subleases rooms/ apartments to individual customers. Each room has an individual lease with each customer, who pays rent on a separate invoice. Attendo must provide notice of termination of the lease of three to six months. Customers must provide notice of termination of the lease of seven days to one month, depending on the country and contract. Since the cancellable lease term on the day the lease commences is
a maximum of six months, the lease will be classified as a short-term lease and recognised as an operating lease that is thus not included as a right-of-use asset under IFRS 16.
Attendo sold properties in the Scandinavia business area in 2019, which were subsequently leased back. The sale generated a capital gain of SEK 31m.
Under outsourcing contracts, Attendo provides services as ordered by the customer. The staff are employed by Attendo, while the local authority is responsible for the premises where services are delivered. Contracts with local authorities normally have a term of four to seven years with an option to extend the contract. The premises are owned or leased by the local authority, which also controls use of the premises.
| SEKm | 2019 | 2018 |
|---|---|---|
| Deposits, rent for premises | 27 | 34 |
| Financing of own operations projects | 1 | 1 |
| Deposit guarantees | 6 | 6 |
| Other | 4 | 2 |
| Total | 38 | 43 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Trade receivables | 1,096 | 1,054 |
| Allowance for doubtful debts | –6 | –4 |
| Trade receivables, net | 1,090 | 1,050 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Not past due | 992 | 868 |
| Past due 1–30 days | 58 | 170 |
| Past due 31–60 days | 13 | 0 |
| Past due 61–90 days | 6 | 6 |
| Past due more than 90 days | 27 | 10 |
| Trade receivables, gross | 1,096 | 1,054 |
Trade receivables refer in all material respects to local authorities in the Nordic region, which are assessed as having high credit ratings.
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | –4 | –4 |
| Provisions for doubtful debts for the year | –3 | 0 |
| Confirmed trade losses | 0 | 0 |
| Recovered doubtful debt | 1 | 0 |
| Closing balance | –6 | –4 |
Recognised amounts, per currency, for the group's trade receivables
| SEK | 2019 | 2018 |
|---|---|---|
| SEK | 566 | 590 |
| EUR | 45 | 39 |
| NOK | 35 | 34 |
| DKK | 12 | 15 |
The company has chosen to create a collective model for accounting for credit losses attributable to trade receivables. The company's trade receivables are comprised mainly of receivables due from local authorities and the receivables are regarded as having the same credit characteristics, regardless of local authority.
The new model for accounting for expected credit losses was developed using a matrix and a fixed percentage of the loss allowance depending on how many days a receivable is outstanding. This is based on a three-step analysis. In the first step, sales and related credit losses were defined during a specific period. In step two, a payment pattern was calculated for the customers. In the third step, a historical credit percentage for the loss level was calculated through ageing based on the results from steps one and two.
The model is tested every year to determine whether any changes are necessary.
| 2019 | Current (<30 days) |
Past due 31–60 days |
Past due 61–90 days |
Past due 90+ days |
Total |
|---|---|---|---|---|---|
| Expected loss level, % | 0.02 | 0.16 | 1.07 | 22.22 | |
| Recognised amounts of trade receivables – gross (SEKm) Credit loss reserve |
58 0 |
13 0 |
6 0 |
27 6 |
104 6 |
| 1 January 2019 Expected loss level, % |
0.02 | 0.13 | 1.62 | 27.31 | |
| Recognised amounts of trade receivables – gross (SEKm) |
170 | 0 | 6 | 10 | 186 |
| Credit loss reserve | 0 | 0 | 1 | 3 | 4 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Other receivables | 22 | 33 |
| Prepaid rent | 152 | 134 |
| Accrued income | 193 | 191 |
| Other prepaid expenses and accrued income | 55 | 78 |
| Prepaid rent IFRS 16 | –102 | –107 |
| Total | 320 | 329 |
Attendo builds properties in own operations. Attendo's intention is to sell the properties after completion to an external property owner. All assets and liabilities related to these projects are therefore recognised as assets and liabilities held for sale in accordance with IFRS 5. These assets are recognised at the lower of the carrying amount and fair value less costs to sell. These activities generate no material effects on profit and loss.
The effect of the sale on profit and loss in 2019 amounts to SEK 4m (2).
The effect on cash flow of assets and liabilities held for sale is attributable entirely to cash flow from investing activities. See the consolidated statement of cash flow on page 47.
| SEKm | 31 Dec 2019 31 Dec 2018 | |
|---|---|---|
| ASSETS | ||
| Non-current assets | ||
| Goodwill | 0 | 9 |
| Other intangible assets | 12 | 60 |
| Property, plant and equipment | 174 | 377 |
| Total non-current assets | 186 | 446 |
| Total assets held for sale | 186 | 446 |
| LIABILITIES | ||
| Deferred tax liabilities | 0 | 9 |
| Total non-current liabilities | 0 | 9 |
| Current liabilities | ||
| Trade payables | 13 | 17 |
| Other current liabilities | 6 | 0 |
| Total current liabilities | 19 | 17 |
| Total liabilities attributable to assets held for sale | 19 | 27 |
| Net assets held for sale | 167 | 419 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 419 | 712 |
| Investments | 468 | 996 |
| Sales | –731 | –1,320 |
| Other | 11 | 31 |
| Closing balance | 167 | 419 |
Share capital amounted to SEK 884,551 on 31 December 2019. 161,386,592 shares were outstanding. The quotient value is SEK 0.005 and each share carries equal voting rights.
Refers to equity contributed by shareholders. This includes profits earned in the parent company and its subsidiaries.
Retained earnings, including profit for the year, are included in profits earned in the parent company and its subsidiaries.
Retained earnings also includes the following
Actuarial gains and losses on defined benefit pension plans
Exchange rate differences that arise upon restatement of the financial statements of foreign subsidiaries, changes related to restatement of surplus values in local currency and restatement of liabilities incurred as hedging instruments of a net investment in a foreign subsidiary.
| Liabilities to credit institutions | ||
|---|---|---|
| SEKm | 2019 | 2018 |
| Liabilities to credit institutions | 2,852 | 5,293 |
| Less capitalised financing costs | –14 | –15 |
| Total | 2,838 | 5,278 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 5,278 | 5,144 |
| Cash flow items | ||
| Borrowings and acquired loans | 2,789 | 200 |
| Borrowings paid | –5,388 | –213 |
| Non-Cash flow items | ||
| Exchange rate fluctuations | 160 | 154 |
| Change in capitalised financing costs | –1 | –7 |
| Closing balance | 2,838 | 5,278 |
The carrying amount has been assessed as corresponding to fair value in all material respects.
| Local currency | SEK | |
|---|---|---|
| EUR | 125 | 1,324 |
| SEK | 1,475 | 1,475 |
| 2019 | 2018 | |
|---|---|---|
| Bank loans, % | 1.83 | 2.25 |
| Bank overdraft facility, % | 1.83 | 2.25 |
Attendo refinanced its outstanding external credit facilities during the year. In the fourth quarter, Attendo entered into a new financing agreement with a consortium of three Scandinavian banks. The previous outstanding loans were repaid when the new loans were raised. The new financing agreement has a term of three years with an option to extend the term by up to two years. The agreement is based mainly on the same documentation as previous agreements, by which the group remains committed to two financial covenants linked to the group's loan facilities: net debt/EBITDA and interest coverage ratio.
| SEKm | 2019 | 2018 |
|---|---|---|
| Lease liability | 9,502 | 71 |
| Opening balance, adj. lease liability | – | 7,870 |
| Total | 9,502 | 7,941 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 7,941 | 93 |
| Opening balance, adj. lease liability | – | 5,896 |
| Adjusted opening balance | 7,941 | 5,989 |
| Cash flow items | ||
| Change in lease liabilities | –1,263 | –1,090 |
| Non-Cash flow items | ||
| Exchange rate differences | 66 | 137 |
| Change in lease liabilities | 2,758 | 2,905 |
| Closing balance | 9,502 | 7,941 |
Manual workers are covered by the SAF/LO plan, which is a defined contribution pension plan based on collective agreements and covers employers in several different industries. Non-manual workers are covered by the ITP plan, which is also based on collective agreements and covers employers in several different industries. According to an opinion issued by the Swedish Financial Reporting Board (UFR 10), the ITP plan is a defined benefit plan that covers multiple employers. Alecta, which insures the ITP plan, has been unable to provide Attendo or other Swedish companies with sufficient information to determine Attendo's share of the total assets and liabilities of the ITP plan. For this reason, the ITP plan is recognised as a defined contribution plan. The cost for the ITP2 plan in 2019 amounts to SEK 119m (132). The expected cost for the ITP2 plan in 2020 is SEK 111m. The surplus in Alecta can be allocated to the insured employer and/or the insured employees. Alecta's preliminary consolidation level at 31 December 2019 was 148 percent (142). The consolidation ratio is calculated as the fair value of plan assets as a percentage of the obligations calculated according to the actuarial assumptions applied by Alecta.
Employees of the group in Norway are covered mainly by defined contribution pension plans, other than certain occupational categories that are covered by defined benefit pension plans. The defined benefit pension plans are secured in part through the Norwegian companies' membership in a mutual pension scheme. Employees in Norway are also covered by a contractual early retirement (AFP) plan. The AFP plan is a funded plan that covers multiple employers. As Attendo cannot determine its share of the plan's total assets and liabilities, the AFP plan is recognised as a defined contribution plan.
Pension plans in Finland and Denmark are classified as defined contribution plans.
| SEKm | 2019 | 2018 |
|---|---|---|
| Sweden | 182 | 198 |
| Finland | 534 | 553 |
| Norway | 7 | 8 |
| Denmark | 13 | 12 |
| Total | 736 | 580 |
As the group reports only defined benefit pension plans in Norway, all information refers to the group's operations in Norway. The table below shows the total cost of Attendo's defined benefit plans
| SEKm | 2019 | 2018 |
|---|---|---|
| Service costs for the current year | –16 | –19 |
| Interest expenses | –5 | –5 |
| Expected return on assets under management | 4 | 4 |
| Management costs | –1 | –1 |
| Effects of reductions and regulations/changes | ||
| in plans | 8 | 4 |
| Cost of defined benefit pension plans | –10 | –17 |
| Total | –3 | 6 |
|---|---|---|
| Deferred tax | 1 | –1 |
| Actuarial gain (+)/loss (–) plan assets |
1 | –1 |
| (–) pension obligations | –5 | 8 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Average discount rate, % | 2.0 | 2.4 |
| Long-term inflation assumption, % | 1.5 | 1.5 |
| Long-term salary increase assumption, % | 2.25 | 2.5 |
| Increase in income base, % | 2.0 | 2.3 |
| Upward adjustment of pensions, % | 1.2 | 1.5 |
| Average remaining years of employment | 11.0 | 11.0 |
| Change | Increase obligation |
Decrease obligation |
|
|---|---|---|---|
| Discount rate, % | 0.5 | 9.9 | 9.1 |
| Salary increases, income base and indexation of pensions, % |
0.5 | 9.9 | 9.1 |
According to the pension scheme, the wage increase assumption, income base amount and indexation of pensions are interdependent. Changes in these assumptions are therefore recognised collectively. Any change in these assumptions has the same effect as a change in the discount rate.
| Increase by 1 year |
Decrease by 1 year |
|
|---|---|---|
| Obligation increases (+) / decreases (–) by, % | 3.1 | –3.2 |
The sensitivity analysis above is based one a change in one assumption while the other assumptions remain constant. In practice, it is unlikely that this will occur and changes in certain assumptions may be correlated. When estimating the sensitivity of pension obligations to changes in significant assumptions, the same method was used to calculate the pension obligation and the recognised pension obligation. The method is described in greater detail in Note C1 Significant accounting policies.
| 2019 | 2018 | |||||
|---|---|---|---|---|---|---|
| Present value, defined benefit |
Present value, defined benefit |
|||||
| SEKm | pension obligations |
Present value of plan assets |
Total | pension obligations |
Present value of plan assets |
Total |
| Present value of the obligation at 1 January | 231 | –189 | 42 | 221 | –169 | 52 |
| Service costs for the current year | 16 | – | 16 | 19 | – | 19 |
| Interest expenses | 5 | –4 | 1 | 6 | –4 | 2 |
| Management costs | – | 1 | 1 | – | 1 | 1 |
| Payments to the pension scheme | – | –19 | –19 | – | –18 | –18 |
| Indemnification | – | 6 | 6 | – | 5 | 5 |
| Paid benefits | –9 | – | –9 | –7 | – | –7 |
| Curtailments and settlements/plan amendments | –7 | – | –7 | –4 | – | –4 |
| Divestments | –87 | 67 | –20 | – | – | – |
| Actuarial gains (–)/losses (+) | 5 | –2 | 3 | –8 | 1 | –7 |
| Exchange rate differences | 7 | –6 | 1 | 4 | –5 | –1 |
| Present value of pension obligations at 31 December | 161 | –146 | 15 | 231 | –189 | 43 |
The plan assets allocated to meet estimated obligations are distributed as follows:
| Of which unlisted |
Of which unlisted |
|||
|---|---|---|---|---|
| SEKm | 2019 | (%) | 2018 | (%) |
| Shares | 28 | 18 | 37 | 17 |
| Real estate | 17 | 100 | 23 | 100 |
| Bonds | 65 | 68 | 85 | 67 |
| Money market | 7 | 94 | 11 | 93 |
| Other | 29 | 100 | 33 | 100 |
| Total | 146 | 189 |
Provisions
| SEKm | 2019 | 2018 |
|---|---|---|
| Provisions for onerous contracts | 113 | 195 |
| Provisions for construction | 0 | 7 |
| Other provisions | 114 | 45 |
| Closing balance | 227 | 247 |
| Of which long-term provisions | 142 | 54 |
| Of which short-term provisions | 85 | 193 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 247 | 47 |
| New/extended provisions | 114 | 253 |
| Exchange rate differences | 1 | 1 |
| Reclassifications to impairments of right-of-use asset |
–85 | – |
| Utilised provisions | –50 | –54 |
| Closing balance | 227 | 247 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Additional purchase consideration | 0 | 0 |
| Other liabilities1) | 63 | 34 |
| Total | 63 | 34 |
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 34 | 7 |
| Additional purchase consideration | 0 | –2 |
| Exchange rate differences | 0 | 0 |
| Change in other non-current liabilities | 29 | 29 |
| Closing balance | 63 | 34 |
1) Other liabilities include SEK 58m (34) related to the commitment to assume financial liabilities in an acquired business. The financial liability had not been transferred to Attendo as of acquisition date.
Through its business, the group is exposed to several financial risks, such as currency risk, interest rate risk, liquidity and financing risk and credit/counterparty risk. The group's corporate risk management policy focuses and the unpredictability of the financial markets and seeks to minimise potential adverse effects on the group's financial performance and position. Risk management is handled by a central treasury department according to established policies.
The group operates internationally and is thereby exposed to currency risks arising from currency exposures, primarily with regard to EUR, but also NOK and DKK. As billing and purchasing are mainly conducted in the local currency of each country, transaction risk exposure in Attendo is insignificant. Consolidated profit/loss is affected by the translation of the income statements of foreign subsidiaries at the average rate for the financial year. Exchange rate risk also arises through translation of recognised assets and liabilities in foreign operations. The translation risk in EUR/SEK is in this respect significant and investments in Finland have therefore been part-financed through borrowing in EUR. As currency exposure in NOK and DKK is not significant, currency hedging has not been applied for these translation risks.
The group's interest rate risk primarily relates to Attendo's long-term borrowing and bank balances with Nordic merchant banks. At the end of the accounting period, 100 percent of borrowings were variable rate loans. The group's central treasury department continuously analyses the group's exposure to interest rate risk by simulating interest rate changes. Given Attendo's current financing structure, had interest rates been one basis point higher in 2019, with all other variables constant, profit after tax would have decreased by approximately SEK 17m.
Liquidity risk is defined as the risk that Attendo will be unable to meet its payment obligations. Attendo manages liquidity risk by maintaining a liquidity reserve (cash, bank balances and the unutilised portion of existing credit lines).
Financing risk is defined as the risk that financing of outstanding loans cannot be carried out or becomes more costly. The treasury department seeks to maintain agreements on lines of credit.
The group's central treasury department conducts aggregated cash flow forecasts and rolling forecasts to secure adequate continuity of sufficient liquidity in the business. The group has two financial covenants (net debt/EBITDA and interest coverage ratio) linked to the group's loan facilities. The group's central treasury department monitors and analyses these key performance indicators on an ongoing basis.
Cash and cash equivalents include cash and bank balances through the group's cash pool. Unutilised overdraft facilities are not included in cash and cash equivalents and amount to SEK 1,575m (969).
| 2019, SEKm | 1–12 months | 2–5 years | 6–10 years | >10 years | Total | Carrying amount receivables/ liabilities |
|---|---|---|---|---|---|---|
| Liabilities to credit institutions | – | 2,838 | – | – | 2,838 | 2,838 |
| Liabilities related to IFRS 16 | 1,340 | 4,524 | 4,206 | 3,100 | 13,170 | 9,502 |
| Trade payables | 256 | – | – | – | 256 | 256 |
| Additional purchase consideration | – | – | – | – | 0 | 0 |
| Total | 1,596 | 7,362 | 4,206 | 3,100 | 16,264 | 12,596 |
Credit risk refers to the exposure to receivables in the form of trade receivables and investments of surplus liquidity. The majority of the group's trade receivables are due from municipalities, which are assessed as having high credit ratings. The risk of credit losses within the group is therefore assessed as limited. Cash and cash equivalents are invested exclusively in government bonds or with banks with a high official credit rating. Derivative contracts are made only with banks with a minimum credit rating of A1/P1 and with which Attendo has a long-term relationship.
| SEKm | 2019 | 2018 |
|---|---|---|
| Trade receivables | 1,090 | 1,050 |
| Cash and cash equivalents | 523 | 2,896 |
| Other non-current receivables | 38 | 43 |
| Other current receivables | 22 | 33 |
| Total | 1,673 | 4,022 |
See Note C15 Trade receivables regarding risk in trade receivables.
| SEKm | Level | 2019 | 2018 |
|---|---|---|---|
| Assets | |||
| Financial assets at fair value | |||
| Trade receivables | 1,090 | 1,050 | |
| Cash and cash equivalents | 523 | 2,896 | |
| Total financial assets | 1,613 | 3,946 | |
| Liabilities | |||
| Financial liabilities at fair value through profit or loss |
|||
| Contingent considerations | 3 | 0 | 95 |
| Financial liabilities at amortised cost | |||
| Borrowings | 2,838 | 5,278 | |
| Lease liabilities | 9,502 | 7,941 | |
| Trade payables | 256 | 259 | |
| Total financial liabilities | 12,596 | 13,573 |
The new classifications in accordance with IFRS 9 have had no material impact on the measurement of financial assets and liabilities. Assets and liabilities previously recognised effectively through profit or loss in accordance with IAS 39 are treated the same way under IFRS 9.
Attendo did not enter into any derivative contracts during the year No financial assets or financial liabilities were reclassified be-
tween the measurement categories during the financial year.
The following tables provide information about how fair value was determined for the financial instruments measured at fair value in the balance sheet. The determination of fair value is categorised at the following three levels:
Level 1: Based on prices listed in an active market for the same instrument.
Level 2: Based on directly or indirectly observable market inputs not included in Level 1.
Level 3: Based on non-observable market inputs.
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening balance | 95 | 132 |
| Acquisitions | 0 | 13 |
| Payments | –74 | –49 |
| Exchange rate differences | 3 | 5 |
| Revaluation | –24 | –6 |
| Closing balance | 0 | 95 |
The fair value of additional purchase consideration is based on the estimated outcome of contractual clauses in share transfer agreements, which is consequently determined according to Level 3. The expected value is calculated based on forecasts of the acquired company's future earnings.
Unless otherwise specified, the carrying amounts of all financial assets and liabilities is deemed to correspond to fair value in all material respects.
| 2019 | Change | Effect on profit/loss |
Effect on equity |
|---|---|---|---|
| Market interest rates1) | ±1%point | 22 | 22 |
| Exchange rates1) | |||
| – EUR/SEK | 10 % | 2 | 117 |
1) The sensitivity analysis is based on Attendo's financing at 31 December 2019.
Equity is defined by Attendo as shareholders' equity including non-controlling interests in accordance with that shown on the balance sheet. On that basis, equity amounted to SEK 5,831m (5,801) on 31 December 2019. Attendo's target is an equity structure that results in an efficient, weighted cost of equity and a credit rating that takes into account the needs of operations and future acquisitions.
In monitoring the equity structure, Attendo uses key data, such as present and forecast equity/assets ratio and liquidity. Attendo reviews the equity structure and institutes changes when financial circumstances change. In order to maintain or change the equity structure, the Board of Directors of Attendo may propose adjusting the level of dividends to shareholders, distributing an extraordinary dividend, repurchasing own shares, issuing shares or selling assets to reduce the debt.
| SEKm | 2019 | 2018 |
|---|---|---|
| Personnel-related liabilities | 1,218 | 1,053 |
| Other liabilities | 33 | 78 |
| Contingent considerations | 0 | 95 |
| Accrued interest rate costs | 5 | 28 |
| Other accrued costs and prepaid expenses | 156 | 189 |
| Total | 1,412 | 1,443 |
Interest paid in 2019 amounted to SEK 59m (117) and interest received amounted to SEK 1m (1).
| SEKm | 2019 | 2018 |
|---|---|---|
| Depreciation and amortisation | 329 | 390 |
| Depreciation of right-of-use assets | 940 | 784 |
| Depreciation of capitalised financing costs | 7 | 8 |
| Impairments of financing costs | 8 | – |
| Deferred non-paid interest | –20 | 22 |
| Gains from divestment of subsidiaries | –3 | –579 |
| Gains from divestments of non-current assets | –41 | –10 |
| Provisions | 47 | 75 |
| Other items | 1 | 10 |
| Total | 1,268 | 700 |
See Notes C19 and C20 for a reconciliation of liabilities relating to financing activities. Attendo has chosen to split the cash items in Notes C19 Liabilities to credit institutions and C20 Lease liabilities because the lease liabilities have a significant impact on the company's financial position.
Attendo regularly acquires small and medium-sized enterprises within or closely related to existing core operations in order to expand and strengthen its geographical presence and contribute to creating economic value in prioritised segments.
Unless otherwise specified, all acquisitions refer to a 100 percent equity share.
The goodwill of SEK 148m (379) that arose through acquisitions is attributable to personnel, market and synergy effects expected to arise through amalgamation of the operations of the group and the acquired companies. Goodwill arises when the purchase consideration exceeds the fair value of acquired net assets. The purchase consideration is calculated based on enterprise value minus net debt or plus net cash. Final amounts are determined no later than one year after the transaction date.
| SEKm | 2019 | 2018 |
|---|---|---|
| Purchase consideration at acquisition date | ||
| Purchase consideration paid | 254 | 467 |
| Conditional purchase consideration | 0 | 13 |
| Total estimated purchase consideration | 254 | 480 |
| Identifiable acquired assets and liabilities | ||
| Cash and cash equivalents | 13 | 20 |
| Property, plant and equipment | 274 | 136 |
| Customer relationships | 86 | 152 |
| Intangible assets | 1 | 0 |
| Deferred tax assets | 16 | 31 |
| Trade receivables 1) and other receivables | 18 | 30 |
| Trade payables and other liabilities | –319 | –238 |
| Deferred tax liabilities | 17 | –30 |
| Total identifiable net assets | 106 | 101 |
| Goodwill 2) | 148 | 379 |
1) No doubtful trade receivables were acquired.
2) No part of recognised goodwill is expected to be deductible against income tax.
The acquisition analysis is preliminary and will be finalised no later than one year after transaction date. Acquisition-related costs amounted to SEK 5.8m (7.1) during the year and are included in other costs in the consolidated income statement. Additional purchase consideration paid during the year amounted to SEK 74m (49). Other acquired companies would have contributed SEK 90m (249) in net sales and reduced profit for the year by SEK –5m (13) if they had been acquired on 1 January 2019.
Income from the acquired companies included in the consolidated income statement since acquisition date amounts to SEK 88m (184). The acquired companies reduced profit by SEK –5m (10) for the same period.
Attendo acquired nursing homes and, in some cases, local medical centres from local authorities during the year. These transactions were aimed at acquiring nursing homes in attractive locations with existing customers and employees. The transactions are reported as required under IFRS 3 Business Combinations. Land, buildings and customer relationships acquired in these transactions are carried at fair value and depreciated/amortised over the useful life of the asset. Any surplus value is reported as goodwill. Recognised goodwill attributable to these acquisitions amounts to SEK 31m (112) and customer relationships to SEK 62m (93). The total consideration transferred for these transactions amounted to SEK 123m (240) in 2019.
| SEKm | 2019 | 2018 |
|---|---|---|
| Cash and cash equivalents and blocked funds | 42 | 43 |
| Vehicles | 30 | 71 |
| Other pledged assets | 0 | 1 |
| Total | 72 | 115 |
Entities in the group are involved in tax reviews and other legal proceedings which arose in operating activities. Any potential obligation to pay damages in connection with these legal proceedings is not assessed as having a material effect on the group's operations or financial position.
Contingent liabilities during the year amounted to SEK 5,040m (5,675).
Leases of assets not yet in use are reported as contingent liabilities. Contingent liabilities also include a potential outflow of resources among other things to complete acquisitions of real estate and operations from a few local authorities in Finland.
| SEKm | 2019 | 2018 |
|---|---|---|
| Leases | 4,838 | 5,490 |
| Other | 202 | 185 |
| Total | 5,040 | 5,675 |
Attendo has had a legal dispute with the former owners of two acquired companies. Attendo and the former owners agreed in early 2019 that the former owners will buy back the businesses for the same consideration paid by Attendo, plus interest. The transaction was executed on 1 June 2019. Annual sales for the operations amount to about SEK 65m and consist mainly of currency effects and thus generate a very limited contribution to profit.
Financial information pertaining to the sold operation for years prior to the date of divestment is provided below.
Cash flows from operations held for sale are included in reported consolidated cash flows in the amounts specified above.
The divestment in 2018 generated a capital gain of SEK 579m.
Directors of the parent company, group executives and their family members are considered related parties. Companies in which a significant share of voting rights are held directly or indirectly by the aforementioned persons or companies in which such persons can exert controlling influence are also considered related parties.
Transactions with related parties had a value of SEK 0.6m (1.0) during the year. All related-party transactions take place on market terms.

On 13 January 2020, Attendo appointed Eric Wåhlgren as the new Business Development Director and member of executive management. Wåhlgren succeeds the previous Business Development Director Johan Spångö. Effective 13 February 2020, Karjalainen will no longer serve in that capacity.
Early in March 2020, the spread of the so called Corona virus (Covid-19) increased in Northern Europe. Until March 10, a total of 570 cases were reported in the countries where Attendo operate. In order to prevent the spread of the infection, Attendo introduced stricter hygiene routines as well as quarantine and visitation rules according to existing routines, and a special organisation to handle a possible outbreak was created. However, it is not possible to make an assessment of the wider effects on the business at this time.
| SEKm | 2019 | 2018 |
|---|---|---|
| Operating profit (EBIT) Rolling 12 months | 672 | 866 |
| Average capital employed | ||
| Opening balance | ||
| Equity | 5,801 | 5,041 |
| Long-term interest-bearing liabilities | 10,397 | 10,498 |
| Short-term interest-bearing liabilities | 2,865 | 686 |
| Capital employed at the beginning of the period | 19,063 | 16,225 |
| Closing balance | ||
| Equity | 5,831 | 5,801 |
| Long-term interest-bearing liabilities | 11,491 | 10,397 |
| Short-term interest-bearing liabilities | 864 | 2,865 |
| Capital employed at the end of the period | 18,186 | 19,063 |
| Average capital employed | 18,625 | 17,644 |
| Return on capital employed (%) | 3.6 | 4.9 |
| Free cash flow | ||
| SEKm | 2019 | 2018 |
| Cash flow from operating activities Investments in tangible assets |
1,227 –345 |
1,515 –284 |
| Divestments of intangible and tangible assets | 104 | 58 |
| Amortisation of lease liability | –790 | –696 |
| Free cash flow | 196 | 593 |
| Organic growth | ||
| % | 2019 | 2018 |
| Net sales growth | 8.6 | 22.4 |
| Acquired growth Change in currencies |
4.8 1.7 |
15.4 3.4 |
| Organic growth | 2.1 | 3.6 |
| Working capital SEKm |
2019 | 2018 |
| Current assets Cash and cash equivalents |
2,013 –523 |
4,383 –2,896 |
| Current liabilities | 2,636 | 4,781 |
| Liabilities to credit institutions | –863 | –2,865 |
| Working capital | –283 | –429 |
See page 90 for definitions of key data and performance measures.
| 2019 | 2018 | |||||
|---|---|---|---|---|---|---|
| SEKm | Reported | IFRS 16 effect | Excl. IFRS 16 effect1 |
Reported | IFRS 16 effect | Excl. IFRS 16 effect1 |
| Net sales | 11,935 | – | 11,935 | 10,987 | – | 10,987 |
| Other operating income | 110 | –21 | 89 | 24 | – | 24 |
| Total revenue | 12,045 | –21 | 12,024 | 11,011 | – | 11,011 |
| Personnel costs | –8,133 | – | –8,133 | –7,275 | – | –7,275 |
| Other external costs | –1,972 | –1,263 | –3,236 | –1,737 | –1,081 | –2,818 |
| Operating profit before depreciations and amortisation (EBITDA) |
1,940 | –1,284 | 655 | 1,999 | –1,081 | 918 |
| Amortisation and depreciation of tangible and intangible assets |
–1,128 | 913 | –215 | –991 | 784 | –207 |
| Operating profit after depreciation (EBITA) | 812 | –371 | 441 | 1,008 | –297 | 711 |
1) This column shows adjusted EBITDA and adjusted EBITA.
| SEKm | 31 Dec 2019 | 31 Dec 2018 |
|---|---|---|
| Interest-bearing liabilities | 12,339 | 13,219 |
| Provisions for post-employment benefits | 15 | 43 |
| Cash and cash equivalents | –523 | –2,896 |
| Net debt | 11,831 | 10,366 |
| Lease liability real estate1 | –9,471 | –7,870 |
| Adjusted net debt | 2,360 | 2,496 |
1) In the comparison period, adjustments for the residual value of cars in the amount of SEK –43m are included in addition to land and buildings.
| January–December, SEKm | Note | 2019 | 2018 |
|---|---|---|---|
| Net sales | P2 | 13 | 11 |
| Personnel costs | P3 | –26 | –22 |
| Other external costs | P4, P5 | –9 | –11 |
| Operating profit | –22 | –22 | |
| Net financial items | –9 | –9 | |
| Profit after financial items | –31 | –31 | |
| Group contributions | 48 | 31 | |
| Profit before tax | 17 | 0 | |
| Income tax | P6 | –4 | 0 |
| PROFIT FOR THE YEAR | 13 | 0 |
Profit for the year corresponds to comprehensive income for the year.
| 31 December, SEKm | Note | 2019 | 2018 |
|---|---|---|---|
| ASSETS | |||
| Non-current assets | |||
| Shares in subsidiaries | P7 | 6,494 | 6,494 |
| Total non-current assets | 6,494 | 6,494 | |
| Current assets | |||
| Receivables from group companies | 49 | 35 | |
| Other receivables | 1 | 1 | |
| Prepaid expenses and accrued income | 0 | 8 | |
| Cash and cash equivalents | 0 | 0 | |
| Total current assets | 50 | 44 | |
| TOTAL ASSETS | 6,544 | 6,538 | |
| EQUITY AND LIABILITIES | |||
| EQUITY | P8 | ||
| Restricted equity | |||
| Share capital | 1 | 1 | |
| Total restricted equity | 1 | 1 | |
| Non-restricted equity | |||
| Share premium reserve | 6,602 | 6,602 | |
| Retained earnings | –623 | –528 | |
| Profit for the year | 13 | 0 | |
| Total non-restricted equity | 5,992 | 6,074 | |
| TOTAL EQUITY | 5,993 | 6,075 | |
| LIABILITIES | |||
| Current liabilities | |||
| Liabilities to group companies | 538 | 450 | |
| Current tax liabilities | 1 | 0 | |
| Other current liabilities | 3 | 3 | |
| Accrued expenses and prepaid income | 9 | 10 | |
| Total current liabilities | 551 | 463 | |
| Total liabilities | 551 | 463 | |
| Total equity and liabilities | 6,544 | 6,538 |
| Restricted equity | Non-restricted equity | |||
|---|---|---|---|---|
| SEKm | Share capital | Share premium reserve |
Retained earnings |
Total equity |
| Opening balance, 1 January 2018 | 1 | 6,574 | –324 | 6,251 |
| Dividends paid | – | – | –204 | –204 |
| Share issues | 0 | 28 | – | 28 |
| Other comprehensive income | – | – | – | – |
| Closing balance, 31 December 2018 | 1 | 6,602 | –528 | 6,075 |
| Opening balance, 1 January 2019 | 1 | 6,602 | –528 | 6,075 |
| Dividends paid | – | – | –96 | –96 |
| Vested shares | – | – | 2 | 2 |
| Other comprehensive income | – | – | 13 | 13 |
| Closing balance, 31 December 2019 | 1 | 6,602 | –610 | 5,993 |
| January–December, SEKm | 2019 | 2018 |
|---|---|---|
| Operating activities | ||
| Profit before tax | 17 | 0 |
| Adjustments for items not included in cash flow | –47 | –31 |
| Cash flow from operating activities before changes in working capital | –30 | –31 |
| Cash flow from changes in working capital | ||
| Change in current receivables | 8 | –9 |
| Change in current operating liabilities | 118 | 216 |
| Cash flow from operating activities | 126 | 176 |
| Financing activities | ||
| Share issue | – | 28 |
| Dividends paid | –96 | –204 |
| Cash flow from financing activities | –96 | –176 |
| CASH FLOW FOR THE YEAR | ||
| Opening balance, cash and cash equivalent 1 January | 0 | 0 |
| Closing balance, cash and cash equivalent 31 December | 0 | 0 |
The parent company, Attendo AB (publ), applies the Swedish Annual Accounts Act and RFR 2 Accounting for Legal Entities. RFR 2 requires the parent company to adopt the same accounting policies as the group (IFRS) where applicable and with the exception of the instances indicated below. The parent company applies IAS 9 as of 2018. IFRS 16 is not applied in the parent company. Reference is made to the accounting policies applied by the group for recognition and measurement of financial instruments in Note C24.
The parent company financial statements are presented in millions of Swedish kronor (SEKm). The financial statements have been prepared according to the cost method, which means that investments are recognised at cost and dividends are recognised in profit and loss. Impairment tests are conducted annually and impairment losses are recognised if the reduction in value is assumed to be of a permanent nature.
Shares in subsidiaries are recognised at cost less any impairment. Cost includes acquisition-related expenses and any additional purchase consideration. The need for impairment of investments is tested annually or when there is a risk that the carrying amount of investments exceeds recoverable amount.
Parent company revenue relates to intragroup services in the amount of SEK 13m (11).
| Salaries and other remuneration | |||
|---|---|---|---|
| 2019 | 2018 | ||
| 10 | 6 | ||
| 2 | 2 | ||
| 4 | 2 | ||
| 16 | 10 | ||
| 6 | 5 | ||
| 2 | 1 | ||
| 2 | 2 | ||
| 10 | 8 | ||
| 26 | 18 | ||
| 2019 | 2018 | |
|---|---|---|
| Women | – | – |
| Men | 4 | 4 |
| Total | 4 | 4 |
See Note C5 for further information on remuneration of senior executives.
| SEKm | 2019 | 2018 |
|---|---|---|
| External services | 2 | 5 |
| Board remuneration | 4 | 4 |
| Other | 3 | 2 |
| Total | 9 | 11 |
Audit fees
| SEKm | 2019 | 2018 |
|---|---|---|
| PwC | ||
| Audit fees | 2 | 1 |
| Other audit assignments | 0 | – |
| Tax advice | 0 | 1 |
| Other services | 0 | 0 |
| Total | 2 | 2 |
| Other companies | 2019 | 2018 |
| Other services | 0 | 0 |
| Total | 0 | 0 |
Audit fees relate to statutory reporting, that is, the work associated with preparing the Audit Report, as well as audit advisory services provided in connection with the audit assignment.
| SEKm | 2019 | 2018 |
|---|---|---|
| Profit before tax | 17 | 0 |
| Tax according to the Swedish tax rate | –4 | 0 |
| Tax expense | –4 | 0 |
Attendo AB's tax loss carryforwards amounted to SEK 0m (0) at 31 December 2019.

Shares in group companies
| SEKm | 2019 | 2018 |
|---|---|---|
| Opening book value | 6,494 | 6,494 |
| Closing book value | 6,494 | 6,494 |
| Shares owned directly by the parent company |
Corp. ID no. | Registered office Number of shares | Proportion of capital and votes, % |
Book value, SEK m |
|
|---|---|---|---|---|---|
| Attendo International AB (publ) | 556932-5342 | Danderyd | 66,669,379 | 100 | 6,494 |
There are also a number of indirectly owned subsidiaries. A detailed list of group companies can be ordered from Attendo AB, Investor Relations.

Share capital amounted to SEK 884,551 on 31 December 2019 (884,551). There were 161,386,592 shares outstanding (161,386,592). The quotient value per share is SEK 0.005 (0.005).
The following profits in the parent company are at the disposal of the AGM:
| Distribution of earnings | Amounts in SEK |
|---|---|
| At the disposal of the AGM: | |
| Retained earnings | 5,979,126,801 |
| Profit for the year | 13,024,888 |
| Total | 5,992,151,689 |
| Allocated as follows: | |
| Amount to be retained by the parent company | 5,992,151,689 |
| Total non-restricted equity in the parent company | 5,992,151,689 |
There were no significant events outside regular operations after the end of the financial year.
The Board of Directors and the CEO hereby certify that the consolidated accounts have been prepared in accordance with International Financial Accounting Standards, IFRS, as adopted by the EU, and provide a true and fair view of the group's financial position and results of operations. The annual accounts have been prepared in accordance with generally accepted accounting principles and provide a true and fair view of the parent company's financial
position and results of operations. The Board of Directors' report for the group and the parent company provides a true and fair view of the progress of group and parent company operations, financial position and results of operations and describe significant risks and uncertainties facing the parent company and companies included in the group. We hereby also submit the Attendo Sustainability Report for 2019.
Danderyd, March 11 2020
Ulf Lundahl Chairman
Catarina Fagerholm Alf Göransson Tobias Lönnevall Director Director Director
Employee representative Employee representative
Arja Pohjamäki Robin Filipsson Anssi Soila Anitra Steen Director Director Director Director
Martin Tivéus President and Chief Executive Officer
Our audit report was submitted on March16 2020.
PricewaterhouseCoopers AB
Patrik Adolfson Authorised Public Accountant Auditor in charge
(This is a translation of the Swedish original. For any interpretation the Swedish version prevail)
We have audited the annual accounts and consolidated accounts of Attendo AB (publ) for the 2019 financial year. The company's annual accounts and consolidated accounts are presented on pages 39–77 of this document.
In our opinion, the annual accounts have been prepared in accordance with the Annual Accounts Act and present fairly, in all material respects, the financial position of the parent company as of 31 December 2019 and of its financial performance and its cash flows for the year in accordance with the Annual Accounts Act. The consolidated accounts have been prepared in accordance with the Annual Accounts Act and present fairly, in all material respects, the financial position of the group as of 31 December 2019 and of its financial performance and cash flows for the year then ended in accordance with International Financial Reporting Standards (IFRS), as adopted by the EU, and the Annual Accounts Act. The statutory administration report is consistent with other parts of the annual accounts and consolidated accounts.
We therefore recommend that the general meeting of shareholders adopts the income statement and balance sheet for the parent company and the group.
Our opinions in this report on the annual accounts and consolidated accounts are consistent with the contents of the additional report provided to the Board of Directors of the parent company and the group, in accordance with Audit Regulation (EU) No 537/2014, Article 11.
We conducted our audit in accordance with International Standards on Auditing and generally accepted auditing standards in Sweden. Our responsibilities under these standards are further described in the Auditor's Responsibilities section of our report. We are independent of the parent and the group, in accordance with the code of professional ethics for accountants in Sweden, and have fulfilled our ethical responsibilities in other respects per these requirements. This means that, to the best of our knowledge and conviction, no prohibited services as referred to in Audit Regulation (EU) No 537/2014, Article 5 (1) have been provided to the audited entity or, as applicable, its parent undertaking or its controlled undertakings within the European Union.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Scope and direction of the audit We designed our audit by establishing the level of materiality and assessing the risk of material misstatements in the financial statements. We particularly considered the areas in which the CEO and the Board of Directors have made subjective judgements, such as key accounting estimates made on the basis of assumptions and forecasts concerning future events, which are by nature uncertain. As in all audits, we have also considered the risk that the Board of Directors and the CEO have disregarded internal control procedures and have, inter alia, considered whether there is evidence of systematic departures that have given rise to a risk of material misstatement due to irregularities.
We adapted our audit to perform an appropriate examination to enable us to express an opinion on the financial statements as a whole, with consideration given to the group's structure, accounting processes and internal reviews and the industry within which the group operates. Our audit included, inter alia, the following:
In addition to that described above, the auditor in charge and co-auditor visited the Finnish operations during the year aimed at gaining an understanding of operations in the country and financial reporting and the status of the ongoing turnaround programme, as well as an understanding of procedures and internal controls. In connection with this visit, the management of acquisitions and the impact of acquisition analyses and the implementation of IFRS 16 Leases were also discussed and examined. In addition, financial reporting was reviewed based on the accounting policies applied by the group.
The scope and direction of the audit is influenced by our materiality assessment. An audit is designed to achieve reasonable assurance as to whether the financial statements contain any material misstatements. Misstatements may arise due to irregularities or error. Misstatements are considered to be material if they, individually or in the aggregate, could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.
Based upon professional judgement, we established certain quantitative materiality levels, including for
overall financial reporting. Using these and qualitative deliberations, we established the direction and scope of the audit and the nature, timing and scope of our audit checks, and assessed the impact of misstatements, individually and in the aggregate, on the financial statements as a whole.
Key Audit Matters are those matters which, in our professional judgement, were of most significance in our audit of the annual accounts and consolidated accounts for the relevant reporting period. These matters were addressed in the context of our audit of the annual accounts and consolidated accounts as a whole, and in forming our opinion thereon, and we do not provide a separate opinion on these matters.
We refer to notes C2 Critical accounting estimates and judgements and C11 Intangible assets.
Goodwill constitutes a significant portion of the total assets of the Attendo group and amounted to SEK 7,446 million at 31 December 2019 (37% of total assets). The item is subject to management's judgements and assumptions and, due to its materiality, has been assessed as a Key Audit Matter.
Management and the Board of Directors prepare an annual impairment test of the value of goodwill. The test is aimed at assessing whether there is any indication of impairment, i.e. whether the carrying amount exceeds the assessed fair value in accordance with the impairment test.
The estimated value is based on future budgets and forecasts for the next ten years approved by the Board of Directors. A forecast period of ten years was applied because, subsequent to the implementation of IFRS 16 Leases in 2019, Attendo is carrying large asset values related to long-term leases. The terms of these leases are typically longer than ten years. Cash flows from the years beyond the next ten years are extrapolated based on the last year of the forecast. The process thus includes assumptions that have material impact on the impairment test. This includes the assumptions on sales growth, margin development and the discount rate (WACC).
The value that arises in accordance with the test corresponds to the value of discounted cash flows for identified cash-generating units. Even if a cash-generating unit passes the impairment test, a future development that diverges adversely from the assumptions and estimates upon which the test was based may lead to an Indication of impairment.
The impairment testing performed by Attendo showed that there is no Indication of impairment, but that the margin to a possible impairment of goodwill in Finland is significantly narrower than in previous years, as described in Note C11 Intangible assets.
When examining whether there is a need to impair goodwill and other acquisition-related intangible assets and, primarily, to verify the measurement and accuracy, we performed the following audit procedures:
In the light of our observations during the audit, we reported to the Board audit committee the importance of providing clear disclosures about the sensitivity in the measurement of goodwill. We therefore wish to draw attention to the disclosures concerning the impairment testing of goodwill provided in Note 11 to these annual accounts. Note 11 describes that Attendo has tested goodwill to determine whether there is any indication of impairment and that the testing is sensitive to certain specific assumptions. A change in these assumptions in the manner described by the company would mean that a need for impairment attributable to Attendo Finland would exist.
We refer to notes C1 Significant accounting policies, C2 Critical accounting estimates and judgements and C13 Leases.
IFRS 16 Leases took effect on 1 January 2019 and superseded earlier accounting standards. Implementation of the standard means that essentially all leases will be recognised on the balance sheet, as there is no longer any distinction made between operating leases and finance leases. IFRS 16 requires all assets and liabilities attributable to leases, unless the lease term is twelve months or less or the underlying asset is of low value, to be recognised as assets and liabilities on the balance sheet. Attendo has elected to apply the new accounting standard retroactively and has accordingly restated earlier reporting periods.
As a result of the implementation of IFRS 16 Leases, rightof-use assets of SEK 5,664 million and lease liabilities of SEK 5,978 million were recognised in the opening balance on 1 January 2018. This, and the effects of this recognition in 2019, are further described in the notes specified above.
Accounting in accordance with IFRS 16 has nearly doubled total assets, has material impact on the income statement and is based on a number of material estimates concerning matters including discount rates, lease terms (and related management of extension clauses) and vacant space. In consideration of the material impact on Attendo's accounts and the critical judgements upon which the accounts are based, the implementation of IFRS 16 and accounting in accordance with the standard constitute a Key Audit Matter.
In our audit during 2019, we maintained special focus on the implementation of IFRS 16 Leases and the subsequent accounting to verify the application of the new accounting standard. Among else, we performed the following audit procedures (regarding opening balance, the 2018 comparison year and the 2019 financial year):
We formed an understanding of Attendo's process for implementing IFRS 16 as of the opening balance date and subsequent accounting.
On a random basis, we examined and checked calculations used to support the recognition of right-of-use assets and lease liabilities.
We reconciled input data in calculations against leases or other supporting data.
We ascertained Attendo's judgements, including the discount rates used and application of option clauses in leases, and examined the same.
In addition to the above, our procedures included:
An assessment of Attendo's policies for posting impairment losses for any indication of impairment of recognised right-of-use assets is described below under the Key Audit Matter "Management's judgements concerning provisions for onerous contracts and impairment of right-of-use assets".
In our audit, we have, inter alia, reported to the Board audit committee that Attendo is one of the few Swedish companies to have implemented IFRS 16 Leases retroactively. This has required tremendous effort on the part of the group and was carried out in a structured manner. The applied assumptions upon which the accounting was based were found to be within acceptable ranges overall.
We refer to notes C2 Critical accounting estimates and judgements and C13 Leases and C22 Provisions, as well as to the Board of Directors' report.
Several balance sheet items in Attendo's accounts are based on assumptions and judgements, including onerous contracts and the potential need to impair right-of-use assets. In addition to goodwill and right-of-use assets described above, we find that the most material judgement-based items are provisions for onerous contracts and indication of impairment of right-of-use assets. The reason for this is that Attendo opened homes with a total of 1, 950 beds during the year. Starting a care home or unit can be costly, as it can take time to fill the beds. This affected consolidated profit during 2019 as described in the Board of Directors' report. If a contract is going to lead to future losses, IAS 37 Provisions, Contingent Liabilities and Contingent Assets requires a provision for the losses expected to arise after the reporting date and, if this is related to right-of-use assets, impairment of those assets. Attendo monitors all care homes and units on a monthly basis and makes judgements and forecasts for the future. Based on these, Attendo determines whether a provision or impairment is required. According to the notes above, there were provisions for onerous contracts in the amount of SEK 113 million and for impairments of right-of-use assets of SEK 85 million at 31 December 2019. Although these items are not significant in relation to Attendo's profits, we find that the reporting of underlying judgements is a Key Audit Matter.
In our audit, we focused in particular on examining management's assessments of onerous contracts in order to verify completeness, accuracy and measurement and the audit procedures performed included the following :
In our audit, we reported observations to the Board audit committee regarding the accounting of onerous contracts and impairments of right-of-use assets. Apart from that the measurement of these items is afflicted with intrinsic uncertainty when accounting is based partly on assumptions that may change, we find that Attendo's assumptions upon which the provisions for onerous contracts and need for impairment of right-of-use assets are based are within acceptable ranges.
We refer to notes C2 Critical accounting estimates and judgements, C5 Information on directors, senior executives and employees, C21 Pension provisions and C25 Other current liabilities.
Attendo has about 25,000 employees in its subsidiaries. Personnel costs account for approximately 70% of Attendo's operating costs and are thus the most significant cost item in Attendo's consolidated income statement. Personnel-related costs consist of salaries and other remuneration including variable pay, as well as directly attributable taxes and social insurance contributions. The risk in these items is related to whether they are complete, accurately calculated, correctly allocated over time and accurately measured. There is also an intrinsic complexity in payroll management, as different employee categories are covered by different employment contracts and collective agreements, which, in and of itself, creates differences in how salaries, other remuneration and benefits should be calculated.
To assure correct accounting for personnel costs, Attendo has implemented a framework for internal control and has a robust reporting structure to ensure that reporting is correct and complete in accordance with Attendo's policies. This is described on page 37 of the annual report.
To be able to pay salaries to 25,000 employees ever month, or in some cases more often, effective procedures and processes
must exist to calculate and check the salaries and other remuneration that are to be paid.
Our audit was based both on evaluating internal controls and substantive auditing tests and other analytical procedures, including data-based transaction analyses of certain balance sheet and profit and loss items for significant subsidiaries, on a random basis.
The evaluation of procedures and processes was based on Attendo's framework for internal control of financial reporting. We examined controls and auditing of profit and loss and balance sheet items on a random basis. The other audit procedures we performed included the following:
Nothing material emerged in these audit procedures that required reporting to the Board audit committee. Our general conclusion is that , in all material respects, effective processes for payroll management and accounting for personnel costs are found within Attendo.
This document also contains information other than the annual accounts and consolidated accounts and is found on pages 1–27 and 84–93. The Board of Directors and the CEO are responsible for the other information.
Our opinion on the annual accounts and consolidated accounts does not cover the other information and we do not and will not express any form of assurance or conclusion thereon.
In connection with our audit of the annual accounts and consolidated accounts, our responsibility is to read the other information identified above and, in doing so, consider whether the other information is materially inconsistent with the annual accounts and consolidated accounts. In this procedure, we also take into account our knowledge otherwise obtained in the audit and consider whether the information otherwise appears to be materially misstated.
If, based on the work performed concerning this information, we conclude that there is a material misstatement of this other information, we are required to report that conclusion. We have nothing to report in this regard.
The Board of Directors and the CEO are responsible for the preparation of the annual accounts and consolidated accounts and for their fair presentation in accordance with the Annual Accounts Act and, in respect of the consolidated accounts, in accordance with IFRSs, as adopted by the EU. The Board of Directors and the CEO are also responsible for such internal control as management determines is necessary to enable the preparation of annual accounts and consolidated accounts that are free from material misstatement, whether due to fraud or error.
In preparing the annual accounts and consolidated accounts, the Board of Directors and the CEO are responsible for assessing the company's ability to continue as a going concern. They disclose, as applicable, matters related to going concern and using the going concern basis of accounting. The going concern assumption is, however, not applied if the Board of Directors and the CEO intend to liquidate the company or to cease operations, or have no realistic alternative but to do so.
The duties of the Board audit committee include monitoring the company's financial reporting, which must not affect the duties and tasks of the Board of Directors otherwise.
Our objectives are to obtain reasonable assurance about whether the annual accounts and consolidated financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs and generally accepted auditing standards in Sweden will always detect a material misstatement when it exists. Misstatements can arise from irregularities or error and are considered material if, individually or in the aggregate, they could be reasonably expected to influence the financial decisions of users taken on the basis of these annual accounts and consolidated accounts.
A more detailed description (in Swedish) of our responsibility for the audit of the annual accounts and consolidated accounts is provided on the website of the Swedish Inspectorate of Auditors: www.revisorsinspektionen.se/ revisornsansvar. This description constitutes a part of the auditor's report.
In addition to our audit of the annual accounts and consolidated accounts, we have conducted an audit of the management of Attendo AB (publ) by the Board of Directors and the CEO in 2019 and the proposal on disposition of the company's profit or loss.
We recommend to the annual meeting of shareholders that the profit be disposed in accordance with the proposal in the Board of Directors' report and that directors and the CEO be discharged from liability for the financial year.
We conducted the audit in accordance with generally accepted auditing standards in Sweden. Our responsibilities under these standards are further described in the Auditor's Responsibilities section of our report. We are independent of the parent and the group, in accordance with the code of professional ethics for accountants in Sweden, and have fulfilled our ethical responsibilities in other respects per these requirements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
The Board of Directors is responsible for the proposed disposition of the company's profit or loss. In connection with a proposed dividend, this involves, among else, assessment of whether the dividend is justifiable with consideration given to the demands with respect to the size of equity in the parent company and the group imposed by the nature, scope and risks associated with operations and the group's consolidation requirements, liquidity and financial position in general.
The Board of Directors is responsible for the company's organisation and for management of the company's affairs. Among else, this includes regular assessment of the company's and the group's financial position and ensuring that the company's organisation is structured
in such a manner that accounting, management of funds and the company's financial affairs in general are monitored in a satisfactory manner.
The CEO shall attend to the day-to-day management of the company pursuant to guidelines and instructions issued by the Board of Directors and, among else, take the measures necessary to ensure that the company's accounting records are prepared and maintained pursuant to law and that management of funds is conducted in a sound manner.
Our objective regarding the audit of management, and thus our opinion concerning discharge of liability, is to obtain audit evidence sufficient to assess, with reasonable assurance, whether any director or the CEO in any material respect has:
Our objective regarding audit of the proposed disposition of the company's profit or loss, and thus our opinion on the proposal, is to assess with reasonable assurance whether the proposal is consistent with the Companies Act.
Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with generally accepted auditing standards in Sweden will always detect measures or negligence that might result in liability to the company or that a proposed disposition of the company's profit or loss is inconsistent with the Companies Act.
A more detailed description (in Swedish) of our responsibility for the audit of the management of the company is provided on the website of the Swedish Inspectorate of Auditors: www.revisorsinspektionen.se/revisornsansvar. This description constitutes a part of the auditor's report.
PricewaterhouseCoopers AB, with Patrik Adolfson as auditor in charge, was appointed auditor for Attendo ABs (publ) by the annual general meeting held 11 April 2019 and has been the company's auditor since 27 October 2015
Stockholm March 16 2020 PricewaterhouseCoopers AB
Patrik Adolfson Authorised Public Accountant
Attendo stock has been quoted on Nasdaq Stockholm since November 2016, when the listing price was SEK 50 per share. The stock is categorised in the Healthcare segment of the Large Cap list. Shares in Attendo are traded under the stock ticker ATT.
| SEK | 2019 | 2018 |
|---|---|---|
| Closing price 31 December | 53.95 | 78.70 |
| Market capitalisation 31 December, SEKbn | 8.7 | 12.7 |
| Share price performance during the year,% | –31 | –11 |
| Highest price paid 9 Jan (9 Jan) | 82.30 | 91.70 |
| Lowest price paid 15 Aug (26 Jul) | 38.70 | 72.45 |
Shares in Attendo were traded on Nasdaq Stockholm in 2019 to a value of SEK 6.4bn, corresponding to average daily turnover of approximately SEK 26m. The volume traded in 2019 corresponds to about 80 percent of the average number of shares outstanding. Approximately 80 percent of the total volume was traded on Nasdaq Stockholm. Shares in Attendo are also traded on multilateral trading facilities (MTF) such as Cboe and Aquis.
There was a total of 161,386,592 shares outstanding at year-end (161,386,592). Attendo holds 496,136 treasury shares and the total number of shares outstanding at 31 December 2019 was 160,890,456. All shares carry equal voting rights and equal rights to a share in the company's assets.
Decisions concerning dividends must be based on Attendo's investment opportunities and financial position. The dividend policy is to distribute 30 percent of net profit.
The Board of Directors is proposing to the 2020 AGM that no dividend for the 2019 financial year be distributed due to weak financial performance in 2019 and the company's recent renegotiation of loans.
Attendo stock is covered by six investment banks. For current information about analysts that cover the stock, see Attendo's website, www.attendo.com/en/investor-relations/the-attendo-share/analysts/. The company presents webcasts of its interim reports. Presentations and investor meetings are held in Sweden and selected countries in Europe, mainly Finland and the United Kingdom, in conjunction with publication of interim reports.
| % of equity and voting |
||
|---|---|---|
| Name | Number of shares | rights |
| Nordstjernan AB | 29,821,930 | 18.5 |
| Pertti Karjalainen via companies1) | 18,039,265 | 11.2 |
| Incentive AM1) | 11,582,983 | 7.2 |
| Swedbank Robur Fonder | 9,628,240 | 6.0 |
| Carve Capital AB1) | 6,274,970 | 3.9 |
| Öresund | 6,136,824 | 3.8 |
| Henrik Borelius via companies | 6,040,293 | 3.8 |
| Gladiator | 5,430,000 | 3.4 |
| Elo Mutual Pension Insurance Company | 4,800,000 | 3.0 |
| Third Swedish National Pension Fund | 3,750,108 | 2.3 |
| SEB Stiftelsen | 3,500,000 | 2.2 |
| Norges Bank | 2,068,187 | 1.3 |
| Confederation of Swedish Enterprise | 2,000,000 | 1.2 |
| Pareto Global | 1,555,903 | 1.0 |
| Ammy Wehlin1) | 1,535,440 | 0.9 |
| Anssi Soila | 1,255,455 | 0.8 |
| Per Josefsson Invest AB | 1,200,550 | 0.7 |
| SEB Investment Management | 1,180,449 | 0.7 |
| Nordea Investment Funds | 708,155 | 0.4 |
| Andra AP-fonden | 586,746 | 0.4 |
| Total, 20 largest shareholders | 117,095,498 | 72.8 |
| Total, other | 43,794,958 | 27.2 |
| Total shares outstanding | 160,890,456 | 100.0 |
| Source: Euroclear Sweden AB as of 31 Dec 2019. |
1) Information from owner.
| Holding | No. of shareholders No. of shares outstanding | |
|---|---|---|
| 1– 500 | 7,701 | 984,149 |
| 501– 1,000 | 910 | 705,614 |
| 1,001– 5,000 | 771 | 1,783,862 |
| 5,001– 10,000 | 139 | 1,046,909 |
| 10,001– 15,000 | 52 | 663,952 |
| 15,001– 20,000 | 48 | 886,869 |
| 20,001 – | 177 | 155,315,237 |
| Total | 9,798 | 161,386,592 |
PER SHARE DATA
| SEK | 31 Dec 2019 | 31 Dec 2018 |
|---|---|---|
| Equity per share1) | 36.24 | 36.15 |
| Earnings per share1) | 0.51 | 1.52 |
| Dividend per share | – | 0.60 |
| Dividend as a percentage of EPS | – | 39 |
| Dividend yield, %2) | – | 0.8 |
| P/E ratio3) | 106 | 52 |
| 1) Basic EPS |
2) Dividend divided by the share price at year-end. 3) Share price at year-end divided by EPS.
Source: Euroclear Sweden AB as of 31 Dec 2019.

More information is available on www.attendo.com

Attendo seeks to follow Nasdaq's guidelines for reporting Environmental, Social and Governance (ESG) sustainability indicators. The reported indicators consist of actual performance or estimations, which must as far as possible reflect actual conditions within Attendo as a whole.
| Focus area | Environmental metrics | 2019 | 2018 |
|---|---|---|---|
| Use of land and buildings1,2) | Gross floor space controlled by local Attendo units1), m2 | 989,000 | 948,000 |
| Energy usage (2, 3) | Direct energy consumption, kWh per m2 | 115 | 116 |
| Direct energy consumption, KWh/FTE | 6,900 | 6,500 | |
| Total direct energy consumption, MWh | 113,700 | 109,600 | |
| Indirect energy consumption (purchased mains electricity), MWh | 48,400 | 46,200 | |
| Greenhouse gas emissions | Direct GHG emissions from buildings and travel (Scope 1), t | 3,650 | 3,600 |
| Indirect GHG emissions from purchased electricity (Scope 2), t | 6,600 | 6,400 | |
| Indirect GHG emissions from other purchases (Scope 3), t | – | – | |
| Emissions per EUR revenue, g | 9.1 | 9.4 | |
| Energy mix, purchased mains electricity3) | Renewable | 53% | 50% |
| 3 005 Nuclear |
26% | 27% | |
| Fossil fuel/peat | 21% | 23% | |
| Water usage4) | Thousands m3 | 866 | 819 |
| Waste management and recycling4,5) | Total waste produced, t | 10,100 | 9,700 |
| Of which hazardous waste, t | 0.81 | 0.97 | |
| 640 | Of which recycled waste, t | 3,400 | 3,200 |
1) Gross floor area is calculated based on the average area per bed per available data (Finland), adjusted for the size of a standard apartment and secondary space in each country.
3) Indirect energy consumption and energy mix refer to purchased mains electricity as per agreement (Sweden) or the grid energy mix (Finland).
4) Water usage and waste are calculated based on average water usage and waste produced per bed based on available data (Finland).
2) Direct energy consumption refers to building-related energy usage (excluding mains electricity), calculated based on available data (Finland). Note that base rent (rent excluding heating and water) applies to the majority of leases in Finland. Fastigheter Fordon
5) Recycled waste refers to waste sorted into categories and weighed (Finland).


mellannivå
16,4% 16,5% 13,4%
83,6% 83,5% 86,6%
Ledning och chefer
Totalt Ingångs- och
EMPLOYEE GENDER DIVERSITY
Under 20 20–29 30–39 40–49 50–59 Över 60 EMPLOYEE AGE DISTRIBUTION
0% 5% 10% 15% 20% 25% 30%

| Focus area | Metrics | 2019 | 2018 |
|---|---|---|---|
| Employee gender diversity | Number of total full-time employees (FTE) | 16,499 | 16,785 |
| Of whom women | 13,795 | 14,695 | |
| Percentage women | 84% | 88% | |
| Diversity in entry and mid-level positions |
Number of employees | 15,780 | 16,158 |
| Of whom women | 13,172 | 14,157 | |
| Percentage of women in entry and mid-level positions | 84% | 88% | |
| Gender diversity, managerial and executive levels 1) |
No. of managers | 719 | 627 |
| Of whom women | 623 | 538 | |
| Percentage of women in senior and executive positions | 87% | 86% | |
| Age distribution | Average age | 39 | 39 |
| Language | Number of languages spoken in care for older people | 57 | 57 |
| CEO compensation | Total pay and benefits including pension and social insurance fees | 11,533,000/1,089,150 | 8,423,000/821,195 |
| Employee compensation2) | Median pay and benefits including social insurance fees | 445,845 / 42,105 | 434,912 / 42,401 |
| CEO/employee pay ratio | 0.04:1 | 0.051 | |
| Gender pay gap men/women | Median salary, men | 452,644 / 42,747 | 434,501 / 42,361 |
| Median salary, women | 444,513 / 41,979 | 434,971 / 42,407 | |
| Pay gap, women/men | –1.82% | +0.11% | |
| Serious incidents | Number of serious incidents reported and critical observations by regulatory authorities3) |
31 / 20 | 33 / 7 |
| Number of incidents per 1,000 employees | 2 | 2 |
(1) Senior and executive-level employees include all local managers, regional managers and function managers.
(2) Median pay and benefits to employees refers to the total cost of compensation per FTE.
3) Refers to the number of investigated and reported incidents under Lex Sarah/Lex Maria and official matters handled (Finland).
| Focus area | Governance metrics | 2019 | 2018 |
|---|---|---|---|
| Board diversity | Number of directors | 9 | 7 |
| Of whom women | 4 | 3 | |
| Percentage women directors | 44% | 43% | |
| Board independence | Number of independent directors1) | 7 | 5 |
| Number of union representative directors | 3 | 1 | |
| Percentage independent directors | 78% | 71% | |
| Board committees | Number of committees | 3 | 3 |
| Number of committees chaired by women | 1 | 1 | |
| Percentage of committees chaired by women | 33% | 33% | |
| Collective bargaining | Percentage of FTE covered by collective bargaining agreements | 100% | 100% |
| UN Sustainable Development Goals | Direct material impact | 6 | 6 |
| Some material impact | 8 | 8 | |
| No impact | 3 | 3 |
1) Independent in relation to the company and/or owners.
| 2019 | 2018 | 20174) | 20164) | 20154) | |
|---|---|---|---|---|---|
| Total net sales | 11,935 | 10,987 | 8,977 | 10,212 | 9,831 |
| Growth, % | 8.6 | 22.4 | 8.9 | 3.9 | 8.7 |
| – Net sales, Attendo Scandinavia | 6,305 | 6,367 | 5,664 | 5,481 | 5,126 |
| – Net sales, Attendo Finland | 5,630 | 4,620 | 2,747 | 4,185 | 4,225 |
| Operating profit (EBITDA)1) | 1,940 | 1,999 | 1,024 | 1,135 | 1,077 |
| Operating margin (EBITDA)1) , % |
16.3 | 18.2 | 11.4 | 11.1 | 11.0 |
| Operating profit (EBITA)1) | 812 | 1,008 | 890 | 1,002 | 933 |
| Operating margin (EBITA)1) , % |
6.8 | 9.2 | 9.9 | 9.8 | 9.5 |
| Operating profit (EBIT)1) | 672 | 866 | 780 | 911 | 887 |
| Operating margin (EBIT)1) , % |
5.6 | 7.9 | 8.7 | 8.9 | 9.0 |
| Profit for the year | 81 | 955 | 542 | 649 | 286 |
| Profit margin, % | 0.7 | 8.7 | 6.0 | 6.4 | 2.9 |
| Return on capital employed *,2) | 3.6 | 4.9 | 10.1 | 11.4 | 11.4 |
| Capital employed* | 18,186 | 19,063 | 10,657 | 8,217 | 7,828 |
| Free cash flow*,1) | 196 | 593 | 691 | 745 | 473 |
| Working capital *,1) | –283 | –429 | –314 | –309 | –130 |
| Equity/assets ratio * | 29 | 27 | 42 | 49 | 45 |
| Net investments | 241 | 205 | 193 | 169 | 165 |
| Basic earnings per share, SEK3) | 0.51 | 1.52 | 3.39 | 4.06 | 1.79 |
| Diluted earnings per share, SEK3) | 0.51 | 1.52 | 3.38 | 4.05 | 1.79 |
| Basic equity per share, SEK*, 3) | 36.24 | 36.15 | 33.60 | 30.19 | 26.37 |
| Diluted equity per share, SEK*, 2) | 36.24 | 36.10 | 33.44 | 30.10 | 26.36 |
| Average basic shares outstanding, thousands 3) | 160,877 | 160,455 | 159,784 | 159,956 | 160,000 |
| Average diluted shares outstanding, thousands 3) | 160,899 | 160,702 | 160,544 | 160,405 | 160,083 |
| Shares outstanding at the end of the period, thousands3) | 160,890 | 160,867 | 160,412 | 159,800 | 160,000 |
| Average number of employees (annualised) | 16,499 | 16,745 | 14,341 | 14,824 | 14,512 |
| Total net sales | 11,935 | 10,987 | 8,977 | 10,212 | 9,831 |
| – Own operations | 9,957 | 8,759 | 6,764 | 6,327 | 5,589 |
| – Outsourcing | 1,978 | 2,228 | 2,213 | 3,108 | 3,236 |
| – Staffing | – | – | – | 777 | 1,006 |
* Including operations for sale
1) Alternative Performance Measure. Refer to page 90 for definitions.
2) Effective 2016 return on capital employed is calculated based on EBIT. Comparison periods previously calculated based on EBITA have been restated for improved comparability.
3) See the calculation of average number of shares in the calculation of basic and diluted EPS on page 60.
4) The periods are not restated according to IFRS 16.
| Amounts in SEKm | Q4 2019 | Q3 2019 | Q2 2019 | Q1 2019 | Q4 2018 | Q3 2018 | Q2 2018 | Q1 2018 |
|---|---|---|---|---|---|---|---|---|
| Net sales | 3,054 | 3,013 | 2,990 | 2,878 | 2,818 | 2,802 | 2,743 | 2,624 |
| Other operating income | 20 | 47 | 25 | 18 | 12 | 4 | 3 | 5 |
| Total revenue | 3,074 | 3,060 | 3,015 | 2,896 | 2,830 | 2,806 | 2,746 | 2,629 |
| OPERATING COSTS | ||||||||
| Personnel costs | –2,127 | –1,968 | –2,114 | –1,924 | –1,862 | –1,781 | –1,871 | –1,761 |
| Other external costs | –512 | –508 | –506 | –446 | –535 | –396 | –434 | –372 |
| Operating profit before depreciations and amortisation (EBITDA)1) |
435 | 584 | 395 | 526 | 433 | 629 | 441 | 496 |
| Operating profit (EBITDA margin)1), % | 14.2 | 19.4 | 13.2 | 18.3 | 15.4 | 22.4 | 16.1 | 18.9 |
| Amortisation and depreciation of tangible and intangible assets |
–296 | –290 | –274 | –268 | –257 | –254 | –242 | –238 |
| Operating profit after depreciation (EBITA)1) | 139 | 294 | 121 | 258 | 176 | 375 | 199 | 258 |
| Operating profit (EBITA margin)1), % | 4.6 | 9.8 | 4.0 | 9.0 | 6.2 | 13.4 | 7.3 | 9.8 |
| Amortisation of acquisition related intangible assets |
–35 | –34 | –35 | –36 | –36 | –37 | –36 | –33 |
| Operating profit (EBIT)1) | 104 | 260 | 86 | 222 | 140 | 338 | 163 | 225 |
| Operating margin (EBIT margin)1), % | 3.4 | 8.6 | 2.9 | 7.7 | 5.0 | 12.1 | 5.9 | 8.6 |
| Net financial items | –156 | –137 | –137 | –135 | –144 | –141 | –134 | –121 |
| Profit (– loss) before tax | –52 | 123 | –51 | 87 | –4 | 197 | 29 | 104 |
| Income tax | 12 | –29 | 12 | –21 | 0 | –48 | –8 | –26 |
| Profit (– loss) for the year from continuing | ||||||||
| operations | –40 | 94 | –39 | –66 | –4 | 149 | 21 | 78 |
| Divested operations | ||||||||
| Profit for the year from divested operations | – | – | – | – | 605 | 38 | 31 | 37 |
| PROFIT (– LOSS) FOR THE YEAR | –40 | 94 | –39 | 66 | 601 | 187 | 52 | 115 |
| Profit margin, % | –1.3 | 3.1 | –1.3 | 2.3 | –0.1 | 5.3 | 0.8 | 3.0 |
| Tax rate, % | –23.1 | –23.6 | –23.5 | –24.1 | 0.0 | –24.4 | –27.6 | –25.0 |
| Basic earnings per share, SEK2) | –0.25 | 0.58 | –0.24 | 0.41 | –0.02 | 0.93 | 0.13 | 0.49 |
| Diluted earnings per share, SEK2) | –0.25 | 0.58 | –0.24 | 0.41 | –0.02 | 0.93 | 0.13 | 0.49 |
| Average basic shares outstanding2), thousands | 160,882 | 160,879 | 160,877 | 160,868 | 160,577 | 160,414 | 160,414 | 160,413 |
| Average diluted shares outstanding2), thousands | 160,904 | 160,910 | 160,909 | 160,897 | 160,736 | 160,592 | 160,722 | 160,748 |
| Net sales by contract model | ||||||||
| Net sales, Own operations | 2,555 | 2,521 | 2,499 | 2,382 | 2,302 | 2,233 | 2,168 | 2,056 |
| Net sales, Outsourcing | 499 | 492 | 491 | 496 | 516 | 569 | 575 | 568 |
| Net sales by business area, | ||||||||
| Net sales, Scandinavia | 1,596 | 1,584 | 1,588 | 1,537 | 1,563 | 1,601 | 1,610 | 1,594 |
| Net sales, Finland | 1,458 | 1,429 | 1,402 | 1,341 | 1,255 | 1,201 | 1,133 | 1,030 |
| Own operations | ||||||||
| Units in operation3) | 604 | 604 | 599 | 598 | 585 | 584 | 583 | 557 |
| Beds in operation4) | 16,618 | 16,470 | 16,216 | 15,923 | 15,288 | 14,889 | 14,536 | 13,216 |
| Beds under construction 4) | 1,980 | 2,094 | 2,335 | 2,401 | 2,462 | 2,519 | 2,463 | 2,828 |
| Beds opened (r12)4) | 1,950 | 1,867 | 1,752 | 2,282 | 2,409 | 2,486 | 2,885 | 2,134 |
| Occupancy in own homes4) | 80 | 80 | 79 | 81 | 82 | 81 | 79 | 82 |
| Growth | 8.4 | 7.5 | 9.0 | 9.7 | 14.7 | 26.2 | 25.3 | 24.3 |
| Organic growth1) Acquired growth |
3.6 3.2 |
1.6 4.6 |
1.4 6.2 |
1.8 5.4 |
4.5 7.2 |
4.1 17.3 |
2.9 18.8 |
2.9 19.3 |
1) Alternative Performance Measure. Refer to page 90 for definitions.
2) See the calculation of average number of shares in the calculation of basic and diluted EPS on page 60.
3) Refers to all units in Own operations.
4) Nursing homes and homes for people with disabilities and social psychiatry.
Attendo reports return on capital employed because it shows profits in relation to the capital used in operations. The definition of return on capital employed is operating profit (EBIT) for the past 12 months divided by average capital employed. See Note C33 for a reconciliation of the performance measure.
Free cash flow is a measure of the cash and cash equivalents the group generates in operating activities and investing activities. The performance measure is defined as operational cash flow after changes in working capital, cash flow from investments in and divestments of tangible and intangible assets, as well as received/paid interest, interest expense for lease liabilities of real estate and repayment of lease liabilities according to IFRS 16. See the Consolidated cash flow table for reconciliation.
See Note C33 for a reconciliation of free cash flow.
Equity divided by average shares outstanding.
The increase in the company's net sales from businesses and operations acquired during the past 12 months.
See the definition of operating profit (EBITA) below. Adjusted operating profit (EBITA) is operating profit according to the previous reporting standard IAS 17, i.e. excluding the effects of the implementation of IFRS 16. Car leases were reported as finance leases under the previous standard. Consequently, it is the effects of leases of real estate under IFRS 16 that differentiate operating profit from adjusted operating profit. See the income statement including effects of IFRS 16 for more information.
See the definition of operating profit (EBITDA) below. Adjusted operating profit (EBITDA) is operating profit according to the previous accounting standard IAS 17, i.e., excluding the effects of the implementation of IFRS 16. Car leases were reported as finance leases under the previous standard. Consequently, it is the effects of leases of real estate under IFRS 16 that differentiate
operating profit from adjusted operating profit. See the income statement including effects of IFRS 16 for more information.
See the definition of net debt below. Adjusted net debt is net debt according to the previous reporting standard IAS 17, i.e., excluding the IFRS 16 effect on lease liabilities attributable to right-of-use assets for real estate. See the table showing net debt calculation for more information.
Adjusted operating margin (EBITDA) (APM)
Adjusted operating profit (EBITDA) divided by net sales.
Operating profit (EBITA) adjusted for items affecting comparability such as impairments and restructuring costs.
Cash and bank balances, short-term investments and derivatives with a positive fair value.
net sales.
The net of investments in and divestments of tangible and intangible assets, excluding acquisitions and divestment of operations as well as investments in and divestments of assets held for sale.
Net debt is a way of describing the group's indebtedness and its ability to repay its debt with cash and cash equivalents if all debts were to be due for payment today. Net debt is defined as interest-bearing liabilities plus provisions for post-employment benefits minus cash and cash equivalents. Net debt is presented both including and excluding lease liabilities attributable to right-of-use assets for real estate. See the section Financial position in this report for a reconciliation of net debt.
Attendo reports organic growth as a performance measure to show underlying sales development excluding acquisitions and currency effects. The performance measure is calculated as sales growth excluding acquisitions and changes in exchange rates. See Note C33 in the 2018 annual report for a reconciliation of the performance
measure on a full year basis. See Note C33 for a reconciliation of the performance measure.
Profit or loss for the year attributable to parent company shareholders.
Profit or loss for the year divided by average shares outstanding.
Working capital is a key performance measurement for optimising cash generation. The performance measure is defined as current assets excluding cash and cash equivalents and current interest-bearing assets minus current non-interest-bearing liabilities and provisions. Assets and liabilities held for sale are not included in working capital. See Note C33 for a reconciliation of the performance measure.
Operating profit or loss (EBIT) divided by net sales.
Operating profit (EBITA) divided by net sales.
Operating profit (EBITDA) divided by net sales.
Attendo has opted to report operating profit (EBIT) as a performance measure because it shows the development of operating activities independent of financing. Operating profit (EBIT) refers to profit before financial items and tax. See the consolidated income statement for a reconciliation of EBIT.
Operating profit (EBITA) is used as a performance measure because it shows the development of operating activities without the effect of amortisation and impairments of intangible assets from acquired companies and independently of financing. Operating profit (EBITA) refers to profit before amortisation of acquisition-related intangible assets, financial items and tax See the consolidated income statement for a reconciliation of EBIT.
Attendo reports operating profit (EBITDA) as a performance measure because it shows the development of operating activities
independent of financing and investments. Operating profit (EBITDA) refers to profit or loss before depreciation, amortisation and impairments. See the Consolidated income statement for a reconciliation of EBITDA.
Net debt divided by equity.
Equity divided by total assets.
Equity plus interest-bearing liabilities
Profit or loss for the year divided by net sales.
The number of occupied beds divided by the number of available beds. Occupancy is a weighted average in the last month of each reporting period.
Units opened in the 2017 calendar year or earlier, excluding units from the acquisition of Mikeva.
Groups of people who are involved in and/or have a financial interest in a business.
Engagement with stakeholders within and outside the company aimed at identifying the expectations of various groups concerning the business.
Waste that must, according to national law, be managed by an authorised waste management firm.
A structured approach to improving and streamlining the company's environmental work.
Human rights are enshrined in public international law and originate in international agreements. These agreements govern the relationship between the state and individuals and establish that all people, regardless of country, culture and context, are born free and equal in dignity and rights.
Formal guidelines for how a company's values must be implemented in practise.
Identification of the company's most significant issues from the social, financial and environmental perspectives. The most significant issues are those concerning which stakeholders have the highest expectations and those where the business has the greatest impact on others.
| Disclosure according to Annual Accounts Act |
General information |
Contribution to society |
Quality | Employees and social issues |
Anti-corruption and human rights |
Environment and climate |
|
|---|---|---|---|---|---|---|---|
| Business Model |
Description of business model |
Attendo in short (p.2) Vision, strategy and goals (p.10) Service offering (p.12) |
|||||
| Policy | Description of sustaina bility policy and review procedure |
Sustainability (p. 14) | Society (p.16) | Quality (p.18) | Employees (p.20) Social issues (p. 21) |
Anti-corruption and human rights (p.22) |
Environment and climate (p.23) |
| Policy documents |
Description of relevant policy documents |
Guideline for quality work Quality index |
Code of Conduct | Code of Conduct | Environmental policy Purchasing policy Guideline for travel and lodging |
||
| Results of policy |
Description of results | Sustainability (p. 14) Sustainability indica tors (p. 86) |
Society (p.16) | Quality (p.18) | Employees (p.20) Social issues (p. 21) |
Anti-corruption and human rights (p.22) |
Environment and climate (p.23) |
| Significant risks |
Description of operatio nal risks and possible negative consequences |
Risks and risk management (p. 24) |
Risks and risk management (p.27) |
Risks and risk management (p.27) |
Risks and risk management (p.27) |
||
| Risk management |
Description of risk management |
Risks and risk management (p. 24) |
Risks and risk management (p.27) |
Risks and risk management (p.27) |
Risks and risk management (p.27) |
||
| KPI's | Relevant performance indicators |
Sustainability (p. 14) | Society (p.16) | Quality (p.18) | Sustainability indicators (p.86) |
Sustainability indicators (p.86) |
Sustainability indicators (p.86) |
To the general meeting of the shareholders in Attendo AB (publ) corporate identity number 559026-7885
It is the Board of Directors who is responsible for the statutory sustainability report for the year 2019 according to matrix on page 91 and that it has been prepared in accordance with the Annual Accounts Act.
Our examination has been conducted in accordance with FAR's auditing standard RevR 12 The auditor's opinion regarding the statutory sustainability report. This means that our examination of the statutory sustainability report is substantially different and less in scope than an audit conducted in accordance with International Standards on Auditing and generally accepted auditing standards in Sweden. We believe that the examination has provided us with sufficient basis for our opinion.
A statutory sustainability report has been prepared.
Stockholm 16 March 2020 PricewaterhouseCoopers AB
Patrik Adolfson Authorised Public Accountant
The annual general meeting of shareholders in Attendo will be held at 17:00 CET on Thursday, 15 April 2020 at Restaurang Bra Mat, Danderyd, Sweden.
Shareholders that wish to participate in the AGM must be entered in the share register maintained by Euroclear Sweden AB by 7 April 2020 and must notify the company of their intention to attend the meeting no later than 7 April 2020.
Shareholders may notify the company that they intend to attend the AGM via:
Box 5267, 102 46 Stockholm, Sweden
The notice must state the shareholder's name, civic or corporate identity number, address, telephone number and any assistants. If participation is by proxy, the proxy form should be submitted to the company in good time before the meeting. Proxy forms are available in Sweden and English on the group's website, www.attendo.com.
To be eligible to participate in the meeting, shareholders whose shares are nominee-registered through a bank or securities institution must re-register the shares in their own name ("voting rights registration"). Such registration, which may be temporary, must have been effected by Euroclear Sweden AB by Tuesday, 7 April 2020. Consequently, shareholders must instruct their nominees in good time prior to that that date.
Attendo's dividend policy was established in connection with the IPO in 2015. The policy states that decisions on dividends must be based on Attendo's investment opportunities and financial position. It furthermore establishes that the company will distribute 30 percent of net profit. 2019 was a financially challenging year for Attendo characterised by the situation in Finland. Consequent upon weak profits, the company's financial performance measure of net debt in relation to profits (EBITDA) is at a high level. In addition, loans were renegotiated in late 2019. In the light of these circumstances, the Board of Directors is therefore proposing to the 2020 annual general meeting that no dividend should be distributed for the 2019 financial year.
| 15 April 2020 | Annual General Meeting |
|---|---|
| 6 May 2020 | Interim report January – March |
| 23 July 2020 | Interim report January – June |
| 23 October 2020 | Interim report January – September |
CFO Fredrik Lagercrantz +46 (0) 8 586 252 00
Communication and IR Director Andreas Koch, +46 (0) 70 509 77 61

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