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Attendo Interim / Quarterly Report 2020

Jul 23, 2020

3003_ir_2020-07-23_d0b413ce-a834-46f5-a479-2cc0ae116469.pdf

Interim / Quarterly Report

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Interim report January–June 2020

Outdoor concert for residents at Attendo Sabbatbergsbyn with singer Carola Häggkvist in June 2020

Attendo AB (publ) Interim Report, January-June 2020

Summary of the second quarter 2020

  • Net sales increased by 4 percent, before and after currency effects, to SEK 3,112m (2,990).
  • Operating profit (EBITA)* amounted to SEK 153m (121), corresponding to an operating margin of 4.9 percent (4.0). The financial impact of the corona situation during the quarter is estimated to SEK -60m. A capital gain of SEK 41m on the sale of real estate in Attendo Scandinavia had a positive impact on EBITA in the current quarter.
  • Adjusted EBITA*, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 42m (42), corresponding to an adjusted operating margin of 1.3 percent (1.4). See the income statement on pages 25-26 for more information about the effects of IFRS 16.
  • Attendo reported items affecting comparability of SEK -971m for the quarter. Consequent upon the corona situation, Attendo carried out an updated impairment test of recorded goodwill, resulting in a need to write down goodwill related to the Finnish operations with an amount of SEK 834m. In addition, Attendo has made a write-down of right-of-use assets of SEK 137m for the Finnish operations. Read more on page 13 in this report.
  • Attendo is reporting a loss of SEK -975m (-39) for the period. Diluted earnings per share amounted to SEK -6.06 (-0.24). Adjusted earnings per share* after dilution amounted to SEK 0.11 (0.13).
  • Free cash flow amounted to SEK 198m (36).
  • The total number of beds in operation in Attendo's own homes was 17,650 (16,216), an increase by 9 percent. Occupancy in own homes was 78 percent (79).
  • Attendo's current assessment of impact from the pandemics is that known government support measures are expected to fully offset corona related additional costs in the second half of 2020. The corona situation is though expected to have a negative impact on sales, with an estimated impact on operating profit of SEK -10m per month during the remaining part of year.

Summary of the period January–June 2020

  • Net sales increased by 6 percent, before and after currency effects, to SEK 6,240m (5,868).
  • Operating profit (EBITA)* amounted to SEK 335m (379), corresponding to an operating margin of 5.4 percent (6.5). The financial impact of the corona situation is estimated at SEK -80m. EBITA was improved by a capital gain of SEK 41m.
  • Adjusted EBITA*, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 126m (202), corresponding to an adjusted operating margin of 2.0 percent (3.4).
  • Attendo is reporting a loss of SEK -972m (27) for the period. Profit was affected by impairment of goodwill in the amount of SEK 834m and of right-of-use assets of SEK 137m. Diluted earnings per share were SEK -6.04 (0.17). Adjusted earnings per share* after dilution amounted to SEK 0.48 (0.77).
  • Free cash flow amounted to SEK 424m (4).
Change Jan-Jun Jan-Jun Change
Mkr Q2 2020 Q2 2019 (%) 2020 2019 (%)
Net sales 3,112 2,990 4 6,240 5,868 6
Operating profit (EBITA)* 153 121 26 335 379 -12
Operating margin (EBITA)*, % 4.9 4.0 - 5.4 6.5 -
Adjusted operating profit (EBITA)* 42 42 1 126 202 -38
Adjusted operating margin (EBITA)*, % 1.3 1.4 - 2.0 3.4 -
Profit for the period -975 -39 - -972 27 -
Earnings per share diluted, SEK -6.06 -0.24 - -6.04 0.17 -
Adjusted earnings per share diluted, SEK 0.11 0.13 - 0.48 0.77 -
Free cash flow 198 36 - 424 4 -

*Note that unless otherwise stated, EBITA as well as adjusted EBITA in this report refers to EBITA / adjusted EBITA excluding items affecting comparability. As of Q1 2020, Attendo also reports also reports Adjusted earnings per share after dilution to improve comparability. See also definitions of key figures and *Note that unless otherwise stated, EBITA as well as adjusted EBITA in this report refers to EBITA / adjusted EBITA excluding items affecting comparability. As of Q1 2020, Attendo also reports Adjusted earnings per share after dilution to improve comparability. See also definitions of key figures and alternative key figures on pages 32-33.

President and CEO Martin Tivéus comments on the report

Corona situation greatly improved but clear financial impact in the quarter

The second quarter of 2020 was marked by the ongoing corona pandemic. A large part of Attendo's customers belong to the risk groups for covid-19, and thus the entire organization has since the beginning of the pandemic been focused on preventing infection, for both customers and employees. Our employees do an outstanding job of performing compassionate care under extraordinary circumstances.

We took resolute measures early in the pandemic to prevent the virus from entering our units and stop the spread of transmission. Some of the measures we introduced in addition to national guidelines were visitor stop and daily health checks of all employees before every shift. In spite of this, we saw in late March that the virus was still spreading at some of our nursing homes for older people in Sweden, particularly in the Stockholm area, where community transmission was most widespread. Our conclusion was that the virus was probably being transmitted via infected but asymptomatic employees or new customers and that we needed to further elevate the level of protection to protect older people.

In May, after having secured adequate volumes of personal protective equipment (PPE), we made masks mandatory for all employees engaged in providing care services, regardless of whether or not infection was present. Since then, we have seen a significant reduction in the number of infected in our nursing homes for older people. At present, all 37 of our homes for older people in the Stockholm region are covid-free and we have only a few infected customers in the rest of Sweden. All of our care units in Finland, Norway and Denmark have been covidfree for several weeks. The sharp reduction in the infection rate is most likely due to multiple factors, but we have assessed our heightened protective measures as having had a clearly positive effect.

Financial performance in the second quarter

Sales and profit have clearly been affected by the pandemic, although the effects have been partially offset through government measures and support. Despite serious impact of lower number of new customers and thus occupancy, net sales increased in the second quarter of 2020 by about 4 percent to SEK 3,112 million. Organic growth was 3.9 percent, associated with an increase in the number of occupied beds in Finland and positive price effects.

The reported EBITA*, excluding the capital gain on the sale of real estate, amounted to SEK 112 million for the second quarter, down 7 percent compared to the preceding year. This is due to the corona situation, which has reduced profits by approximately SEK 60 million during the quarter, mainly due to the costs of purchasing PPE, employee-related costs and lower occupancy. Our current assessment is that known government support measures are expected to fully offset corona related additional costs in the second half of 2020. However, we expect to have a continuous negative impact on sales with a profit impact of SEK -10m on a monthly basis during the remaining part of the year. In our assessment, we expect sales to normalize, but that there will be no catch-up of lost occupancy during the second quarter.

In addition to the real estate gain and the negative profit effects from the corona situation, better profitability in outsourcing and home care as well as higher prices in Finland have affected profits positively, while new units and higher operating costs in Finland have had a negative impact.

"One lesson learnt from the pandemic is that it is imperative that society as a whole takes responsibility for restraining the virus and reducing its negative impact."

Due to the corona situation and in accordance with applicable accounting standards we have carried out an updated impairment test of recorded goodwill. Attendo has used the same long-term profitability assumption as before, but with a higher discount rate in the calculation. The test resulted in a goodwill impairment relating to Finland in the balance sheet. As the time to fill new beds increases during the pandemic, we have also made a write-down of IFRS16-related right-of-use assets in Finland.

Clear impact on occupancy in Scandinavia

Despite the clear impact of the corona pandemic, our Scandinavian business demonstrated relatively stable development in the second quarter. Net sales declined by about 3 percent, primarily as an effect of fewer occupied beds in nursing homes in the Stockholm region. It has been more difficult to fill beds during the pandemic and early in the quarter we observed higher mortality than in past years. Attendo has selectively withdrawn from home care in certain areas and there was consequently a moderate decrease in net sales in home care.

Operating profit in Attendo Scandinavia excluding the capital gain from real estate, was 3 percent higher than profit in the second quarter of 2019, which was mainly an effect of improved profits in outsourcing and home care. The improvement was offset by lower occupancy and costs related to corona, combined with more openings during the first half of the year. We opened 185 new beds in Sweden during the second quarter, mainly in care for older people.

Early effects of the turnaround programme in Finland

We are starting to see positive effects from our turnaround efforts in Finland. We have more occupied beds than in the previous year, positive price effects from negotiations in 2019 and the rate of openings will drop significantly as of mid-year, thus providing better conditions for a positive occupancy trend.

Net sales in Attendo Finland increased by about 12 percent in the second quarter compared to the comparison quarter in 2019, driven primarily by more sold beds and positive price effects. Net sales growth was offset by lower new sales of beds linked to concerns about the pandemic. Profit was lower than in the second quarter of 2019 due to corona related costs, higher staffing and higher overhead. Price effects had a positive effect on profits.

Lessons learnt ahead of the next phase in the pandemic

The lives and health of our customers and our employees are always our first concern, a stance that becomes even more critical during a pandemic. One lesson learnt from the pandemic is that it is imperative that society as a whole takes responsibility for restraining the virus and reducing its negative impact. We have positive experiences of cooperation and the effects of government measures in Denmark, Finland and Norway. This is apparent both in official statistics and in our units.

With regard to care for older people in Sweden, we believe that government measures have been inadequate. We are therefore sharing our Nordic experiences with the pandemic with public authorities and politicians in Sweden so that we, as a society, will be better able to protect human lives and health in the next phase.

I am incredibly proud of our care staff, managers and colleagues in support functions, especially of their outstanding efforts during the first months of the pandemic.

Martin Tivéus, President and CEO

Net sales per business area,

Group

April-June 2020

Net sales and operating profit

Net sales increased by 4.1 percent to SEK 3,112m (2,990) during the quarter. Adjusted for currency effects, net sales increased by 4.3 percent, of which organic growth accounted for 3.9 percent and acquired growth for 0.4 percent. Homes in own operations demonstrated sustained strong growth, driven primarily by homes opened in Finland in 2019 and 2020. Price increases, particularly in Attendo Finland, had positive effect on organic growth. Attendo is working actively to discontinue operations where the conditions for quality and profitability are lacking. Since the comparison quarter, Attendo has closed several homes in own operations and home care operations, which has constrained organic growth. The decline in sales due to the corona situation is estimated at SEK 70m.

The own operations contract model accounted for 84 percent of total consolidated net sales during the quarter and the outsourcing contract model accounted for 16 percent.

Operating profit (EBITA)* amounted to SEK 153m (121) and the operating margin was 4.9 percent (4.0). Profits increased in Attendo Scandinavia, but decreased in Attendo Finland. Currency effects had marginal impact on profits.

Operating profit was positively affected by price effects, better financial performance in outsourcing and home care operations in Attendo Scandinavia and higher occupancy in own homes that were opened in 2018 and 2017. A capital gain of SEK 41m on the sale of real estate within Attendo Scandinavia also had positive impact on EBITA. EBITA was negatively affected by new own homes opened in 2020 and 2019, where occupancy is initially low. Attendo is investing in strengthening the organisation and has expanded managerial and support functions centrally and regionally, which has entailed increased costs in relation to the comparison quarter. The corona pandemic is estimated to have reduced profit by about SEK 60m net, in a combination of increased costs and profit impact from decreased sales, while partly mitigated by state support,

Adjusted EBITA*, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 42m (42). The adjusted operating margin (EBITA) was 1.3 percent (1.4).

The total number of beds in operation in own homes was 17,650 (16,216), an increase by 9 percent. Occupancy in these homes was 78 percent (79). Mature units – those opened in 2017 or earlier, excluding Mikeva units – had an occupancy rate of about 88 percent (90) and showed an adjusted operating margin (EBITA)* of 5.7 percent on a rolling 12 months' basis (r12), including all of Attendo's administrative expenses but excluding capital gain. The number of beds under construction in own operations decreased to 1,110 across 17 homes.

Net sales per contract model, Q2 2020

Number of beds in Own operations

Care for older people, care for people with disabilities and social psychiatry

*Excluding items affecting comparability

Operating profit (EBIT) adjusted for items affecting comparability amounted to SEK 122m (86), corresponding to an operating margin (EBIT) before items affecting comparability of 3.9 percent (2.9). The increase is explained mainly by the change in operating profit (EBITA), as commented upon above.

Items affecting comparability refer to an impairment of goodwill of SEK 834m and of right-of-use assets of SEK 137m for the operations in Finland. See page 13 of this report for further information.

The operating loss (EBIT) amounted to SEK -849m (86), corresponding to an operating margin (EBIT) of -27.3 percent (2.9).

Financial net

Net financial items amounted to SEK -168m (-137) for the quarter, including net interest expense of SEK -15m (-14). Interest expense related to the lease liability for land and buildings in accordance with IFRS 16 amounted to SEK -144m (-118).

Income tax

Income tax for the period amounted to SEK 42m (12), corresponding to a tax rate of 22.9 percent (23.5), adjusted for the impairment of goodwill during the quarter.

Profit/loss and earnings per share for the period

The loss for the period amounted to SEK -975m (-39), corresponding to basic and diluted earnings per share for shareholders in the parent company of SEK -6.06 (-0.24). Adjusted earnings per share after dilution and excluding items affecting comparability amounted to SEK 0.11 (0.13).

January-June 2020

Net sales and operating profit

Net sales increased by 6.3 percent to SEK 6,240m (5,868) during the period. Adjusted for currency effects, net sales increased by 5.8 percent, of which organic growth accounted for 4.8 percent and acquired growth for 1.0 percent. Own homes demonstrated sustained strong growth, driven primarily by homes opened in Finland in 2018 and 2019. Price increases, particularly in Attendo Finland, and the leap day in 2020 had positive effects on organic growth. Attendo is working actively to discontinue operations where the conditions for quality and profitability are lacking. Since the comparison quarter, Attendo has closed several homes in own operations and home care operations, which has constrained organic growth. The decline in sales due to the corona situation is estimated at SEK 70m.

Operating profit (EBITA)* amounted to SEK 335m (379) and the operating margin was 5.4 percent (6.5). Profit increased in Attendo Scandinavia, but decreased sharply in Attendo Finland. Currency effects had marginal impact on profits.

In relation to the comparison period, EBITA was affected negatively by higher costs due to increased staffing requirements and related costs that partially affected the comparison quarter in the Attendo Finland business area. In addition, profit was adversely affected by new homes in own operations opened in 2020 and 2019, where occupancy is initially low.

Attendo is investing in strengthening the organisation and has expanded managerial and support functions centrally and regionally, which has entailed increased costs, primarily in Attendo Finland. The corona pandemic is estimated to have reduced profit by about SEK 80m, in a combination of increased costs and profit impact from decreased sales.

Price effects, better financial performance in outsourcing and home care operations in Attendo Scandinavia, higher occupancy in own homes opened in 2018 and 2017 and a capital gain of SEK 41m related to sale of real estate within Attendo Scandinavia had positive impact on operating profit.

Adjusted EBITA*, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 126m (202). The adjusted operating margin (EBITA)* was 2.0 percent (3.4).

Operating profit (EBIT) adjusted for items affecting comparability amounted to SEK 272m (308), corresponding to an operating margin (EBIT) before items affecting comparability of 4.4 percent (5.2). The increase is explained mainly by the change in operating profit (EBITA), as commented upon above.

Items affecting comparability refer to an impairment of goodwill of SEK 834m and of right-of-use assets of SEK 137m for the operations in Finland. See page 13 of this report for further information.

The operating loss (EBIT) amounted to SEK -699m (308), corresponding to an operating margin EBIT) of -11.2 percent (5.2).

Financial net

Net financial items amounted to SEK -314m (-272) for the period, including net interest expense of SEK -30m (-31). Interest expense related to the lease liability for land and buildings in accordance with IFRS 16 amounted to SEK -280m (-226).

Income tax

Tax expense for the period amounted to SEK 41m (-9), corresponding to a tax rate of 22.8 percent (25.0), adjusted for the impairment of goodwill during the period.

Profit/loss and earnings per share for the period

The loss for the period amounted to SEK -972m (27), corresponding to basic earnings per share of SEK -6.05 (0.17) for shareholders in the parent company and diluted earnings per share of SEK -6.04 (0.17) for shareholders in the parent company. Adjusted earnings per share after dilution amounted excluding items affecting comparability to SEK 0.48 (0.77).

*Excluding items affecting comparability

Business Area: Attendo Scandinavia

Jun 30, Jun 30, Jan-Dec
SEKm Q2 2020 Q2 2019 2020 2019 2019
Net sales 1,548 1,588 3,142 3,125 6,305
Operating profit (EBITA) 175 130 340 291 715
Operating margin (EBITA), % 11.3 8.2 10.8 9.3 11.3
Adjusted EBITA 126 99 251 220 555
Adjusted EBITA margin, % 8.1 6.2 8.0 7.0 8.8

April–June 2020

Net sales in Attendo Scandinavia were down by 2.5 percent to SEK 1,548m (1,588). Adjusted for currency effects, the decrease in sales was 1.8 percent. The negative growth is due to the loss in sales consequent upon the corona pandemic, estimated at SEK -50m, and discontinued operations within home care. Occupancy in mature units in own operations has decreased.

Operating profit (EBITA) amounted to SEK 175m (130), corresponding to an operating margin (EBITA) of 11.3 percent (8.2). Currency effects had marginal impact on profits.

Operating profit (EBITA) was also positively affected by a capital gain of SEK 41m on the sale of real estate, while estimated profit impact due to the corona pandemic is estimated to SEK -40m, in a combination of increased costs and profit impact from decreased sales. Underlying operating profit increased due to better financial performance in outsourcing and home care operations in Attendo Scandinavia achieved through improved planning and processes, discontinued operations in Denmark, as well as higher occupancy in own homes that were opened in 2018 and 2017. Attendo Scandinavia has opened several own homes since the beginning of the year, which significantly reduced profits because initial occupancy is low.

Adjusted EBITA, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 126m (99), corresponding to an adjusted operating margin of 8.1 percent (6.2).

Three own homes with a total of 185 beds were opened during the quarter. This brings the number of beds opened in the last twelve months to 626, a historically high level. A high percentage of new units affects the average occupancy rate negatively. Construction of two own homes with a total of 118 beds began during the quarter. At the end of the quarter, there were 898 beds under construction. Attendo Scandinavia was entrusted during the quarter to continue operating a home for people with disabilities with annual revenue of SEK 7 million, but lost two contracts, which have not yet ended, with estimated annual revenue of SEK 10 million.

The trend for contracted volumes in the outsourcing market for care for older people has improved somewhat, while contract volumes in care for people with disabilities remains relatively low. Volumes were low during the quarter, however, most likely due to the corona situation.

Net sales per service offering, Q2 2020

January–June 2020

Net sales in Attendo Scandinavia amounted to SEK 3,142m (3,125), corresponding to growth of 0.5 percent. Adjusted for currency effects, growth was 1.0 percent. New homes in own operations opened in 2019 and 2020 and contractually agreed price increases contributed to growth, as did the leap day in 2020. Growth was negatively affected by the loss in sales consequent upon the corona pandemic, estimated at SEK 55m, and discontinued operations within home care.

Operating profit (EBITA) amounted to SEK 340m (291), corresponding to an operating margin (EBITA) of 10.8 percent (9.3). Currency effects had marginal impact on profits.

Operating profit was positively affected by a capital gain of SEK 41m on the sale of real estate, while the estimated effect of corona pandemics on profit was SEK -55m. Underlying operating profit increased due to better financial performance in outsourcing and home care operations through improved planning and processes and discontinued operations in Denmark, as well as higher occupancy in own homes opened in 2018 and 2017. Attendo Scandinavia has opened several homes in own operations since the end of last year, which significantly reduced profits because initial occupancy is low.

Adjusted EBITA, i.e. EBITA according to the previous IAS 17 accounting standard, was SEK 251m (220), corresponding to an adjusted operating margin of 8.0 percent (7.0).

Attendo Scandinavia Q2
2019
Q3
2019
Q4
2019
Q1
2020
Q2
2020
Number of beds in operation in own homes 3,642 3,602 3,689 3,940 4,121
Number of opened beds in own homes (r12) 210 210 330 525 626
Occupancy in own homes, %
Number of beds in own homes under
85 87 86 83 75
construction 1,059 1,146 1,110 965 898
Number of beds in operation in outsourcing 2,586 2,546 2,557 2,579 2,508
Net outsourcing contracts won/lost, SEKm - 45 -44 29 -10
Home care customers 11,948 12,428 11,889 11,250 10,289

Key data per quarter

Beds refer to nursing homes for older people, homes for people with disabilities and social psychiatry.

Business Area: Attendo Finland

Jun 30, Jun 30, Jan-Dec
Mkr Q2 2020 Q2 2019 2020 2019 2019
Net sales 1,564 1,402 3,098 2,743 5,630
Operating profit (EBITA)* -5 7 31 123 163
Operating margin (EBITA)*, % -0.3 0.5 1.0 4.5 2.9
Adjusted EBITA* -67 -41 -89 17 -48
Adjusted EBITA margin*, % -4.3 -2.9 -2.9 0.6 -0.9

*Excluding items affecting comparability.

April–June 2020

Net sales in Attendo Finland amounted to SEK 1,564m (1,402) corresponding to growth of 11.6 percent. Adjusted for currency affects, net sales increased by 11.1 percent. The growth is primarily attributable to new homes in own operations that were opened in 2019 and 2020, price increases and acquisitions. The price increases correspond to about 3 percent of total net sales. Since the comparison quarter, Attendo Finland has discontinued several units in own operations, with most residents having been moved to newly built and modern Attendo homes, although a few units were discontinued entirely.

The operating loss (EBITA)* amounted to SEK -5m (7) and the operating margin (EBITA) was -0.3 percent (0.5). Currency effects had insignificant impact.

Estimated profit effect from the corona situation amounted to SEK -20m, both in the form of increased costs and profit impact from the loss of sales. In addition, operating profit was negatively affected by new homes in own operations where occupancy is initially low, Attendo's investment in strengthening management and support functions centrally and regionally, which entailed increased costs, and by higher operating costs in the units. This year's price increases have a positive effect on profits, especially as collectively agreed wages will be raised in August 2020 compared with mainly April in 2019. Higher occupancy in homes in own homes opened in 2018 and 2017 also had positive effect.

Adjusted EBITA* amounted to SEK -67m (-41) and the adjusted EBITA margin was -4.3 percent (-2.9).

Eight homes in own operations with a total of 296 beds were opened during the quarter, bringing the number of beds opened in the last twelve months to 1,416. About 100 beds were discontinued during the quarter and about half of the residents were moved to other Attendo homes. The number of beds under construction continued to decrease and was 212 at the end of the quarter. A home care business in Lahti was acquired during the quarter.

*Excluding items affecting comparability

  • Disabled care and social psychiatry
  • Other

The Finnish government presented a new bill to the parliament in February 2020 regarding staffing in care for older people, which was passed by the parliament in June after a number of amendments. The new law entails an increase in the current staffing ratio from 0.5 care workers per resident to 0.7, to be fully implemented as of April 2023. The increases will take effect in the following stages:

  • 0.50 from 1 October 2020 (unchanged from the current recommendation)
  • 0.55 as of 1 January 2021
  • 0.60 as of 1 January 2022
  • 0.70 as of 1 April 2023

The state is responsible for ensuring that municipalities and other providers receive the necessary financing to implement the staffing increase.

January–June 2020

Net sales in Attendo Finland amounted to SEK 3,098m (2,743) corresponding to growth of 12.9 percent. Adjusted for currency affects, net sales increased by 11.4 percent. The growth is primarily attributable to new own homes that were opened in 2019 and 2018, price increases and acquisitions. The price increases correspond to about 3 percent of total net sales. Since the comparison quarter, Attendo Finland has discontinued several units in own operations, with most residents having been moved to newly built and modern Attendo homes, although a few units were discontinued entirely. The leap day in 2020 had positive impact on growth.

Operating profit (EBITA)* amounted to SEK 31m (123) and the operating margin (EBITA)* was 1.0 percent (4.5). Currency effects had insignificant impact. The estimated effect of corona pandemics on profit was SEK -25m. Following the increased staffing requirements imposed by public authorities, Attendo Finland has since the middle of the first quarter of 2019 increased staffing which has entailed significantly higher costs in relation to the comparison period. Profit in relation to the comparison period was therefore negatively affected by increased staffing, but also by new own homes, where occupancy is initially low. Attendo's investments in strengthening managerial and support functions centrally and regionally have entailed increased costs. Operating profit was positively affected by price effects as well as higher occupancy in own homes that started in 2018 and 2017, .

Adjusted EBITA* amounted to SEK -89m (17) and the adjusted EBITA margin was -2.9 percent (0.6).

Key data per quarter

Q2 Q3 Q4 Q1 Q2
Attendo Finland 2019 2019 2019 2020 2020
Number of beds in operation in own homes 12,574 12,868 12,929 13,320 13,529
Number of opened beds in own homes (r12) 1,542 1,657 1,620 1,661 1,416
Occupancy in own homes, % 78 78 79 80 79
Number of beds in own homes under construction 1,276 948 870 458 212
Number of beds in operation in outsourcing 274 262 244 244 244
Home care customers 620 620 596 584 835

Beds refer to nursing homes for older people, homes for people with disabilities and social psychiatry.

Cash flow

April–June 2020

Free cash flow was SEK 198m (36) during the quarter, whereof changes in working capital amounted to SEK 249m (105). The positive change in working capital is mainly attributable to higher annual leave liabilities during the quarter, as well as an increase in trade payables.

Cash flow from operating activities was SEK 550m (295). Cash used for net investments in non-current assets was SEK -118m (-82) and cash flow from assets and liabilities held for sale amounted to SEK 149m (11). Business acquisitions reduced cash flow by SEK -55m (-34). Cash used for investing activities thus amounted to SEK -24m (-18).

Cash used in financing activities was SEK -382m (-299). Financing activities include loan repayments of SEK -150m (-26). Total cash flow amounted to SEK 144m (-22).

January–June 2020

Free cash flow during the period was SEK 424m (4), whereof changes in working capital amounted to SEK 448m (28).

Cash flow from operating activities was SEK 1,105m (530). Cash used for net investments in non-current assets was SEK -232m (-145) and cash flow from assets and liabilities held for sale amounted to SEK 196m (70). Business acquisitions reduced cash flow by SEK -114m (-187). Cash used for investing activities thus amounted to SEK -150m (-175). Cash used in financing activities was SEK -604m (-2,527). Financing activities include loan repayments of SEK -225m (-2,050) and new borrowings of SEK 68m (-). Total cash flow amounted to SEK 351m (-2,172).

Financial position

Attendo's liquidity and the net debt/EBITDA ratio have improved since the first quarter of 2020 and items affecting comparability for the quarter do not affect the financial key data for the loan agreement.

Equity as of 30 June 2020 amounted to SEK 4,874m (5,804), which represents diluted equity per share attributable to shareholders in the parent of SEK 30.15 (36.07). Net debt amounted to SEK 12,817m (11,238). Adjusted net debt, excluding lease liability for land and buildings, amounted to SEK 1,937m (2,640).

Jun 30, Jun 30, Dec 31,
SEKm 2020* 2019 2019
Interest-bearing liabilities 13,638 11,947 12,339
Provisions for post-employment benefits 13 37 15
Cash and cash equivalents -834 -746 -523
Net debt 12,817 11,238 11,831
Lease liability real estate -10,880 -8,598 -9,471
Adjusted net debt 1,937 2,640 2,360

*Excluding assets in operations held for sale.

Interest-bearing liabilities amounted to SEK 13,638m (11,947) on 30 June 2020. Cash and cash equivalents as of 30 June 2020 amounted to SEK 834m (746) and Attendo had SEK 1,800m (1,685) in unutilised committed credit facilities.

Net debt/EBITDA* was 6.5 (5.7). Net debt/Adjusted EBITDA* was 3.3 (3.3).

SEKm Jun 30,
2020
Jun 30,
2019
Dec 31,
2019
Net debt / EBITDA* 6.5 5.7 6.1
Adjusted net debt / adjusted EBITDA 3.3 3.3 3.6

*Excluding items affecting comparability.

Impairment of goodwill and right-of-use assets

Consequent upon the corona situation, Attendo has carried out an updated test of recorded goodwill for impairment. Considering the impact of and uncertainty caused by the pandemic, the test was performed with assumptions of weaker short-term profitability and a higher cost of capital due to a higher risk premium. The test resulted in recognition of an impairment loss of SEK 834m for the Finnish operations. As in previous years, the impairment test was done separately for Attendo Scandinavia (AS) and Attendo Finland (AF) and with a 10-year forecast period.

Goodwill for Finland amounted to SEK 2,941m before the write-down and is largely related to the acquisition of Mikeva. After the write-down, the value of goodwill amounts to SEK 2,121m.

In the impairment test, the assessment was, as earlier, based on a long-term profitability level equal to at least 7 percent of the adjusted EBITA margin (i.e. EBITA according to the previous IAS 17 accounting standard) at the end of the forecast period. The required return on equity has been significantly adjusted upwards compared to previous testing, based on a higher risk premium. The new assumptions include a WACC of 8.7 percent (after tax) including IFRS 16, compared to the previous 7.3 percent. The change in the assumptions on the cost of capital have the most material impact on the value of recognised goodwill. There is a wide margin in Attendo Scandinavia before any impairment need would arise.

In addition to the impairment of goodwill, Attendo has reviewed the need for any impairment of IFRS16-related right-of-use assets. As a result, right-of-use assets in Finland have been impaired by SEK 137m. Most of this write-down is due to the fact that losses during the start-up period for new units are expected to be extended, as the inflow of new customers has decreased as a consequence of concerns related to corona pandemic, and the value in use has thus decreased. Current value in use for assets in Attendo Scandinavia is deemed to exceed the carrying amounts.

Quality and employees

The corona crisis remained the primary focus during the second quarter of the year. We are pleased to report good results of our efforts to protect customers and employees. We have seen a sharp decline in the numbers of residents infected with covid-19 and the number of people who have been recovered from the disease is increasing. We banned visits to all of our nursing homes at an early stage and carry out daily health checks of employees, including taking their temperatures and asking critical questions about their general health.

Attendo participated during the quarter in a research study by Karolinska University Hospital that studied whether care workers in Stockholm County are currently or were previously infected with covid-19. All employees who participated in the study were asymptomatic and working. The aim of the study was to understand how the virus is transmitted in care and health care settings in order to plan good, safe care. The result of the study showed that 40 of the 569 asymptomatic Attendo employees included in the study tested positive for the virus, corresponding to 7 percent of the participants.

Since the onset of the pandemic, we have suspected that there are asymptomatic carriers and that a higher level of protection in care for older people is therefore necessary to prevent the virus from entering nursing homes. The suspicion was confirmed by the Karolinska University Hospital study.

Attendo has maintained an enhanced level of protection in all nursing homes and home care operations since mid-May. Our employees wear masks when providing care services and at all times when providing home care services indoors. The aim is to prevent transmission by asymptomatic carriers. The measures have been effective and resulted in a steep fall in the number of customers infected with covid-19.

Attendo's efforts to make it safe for families to visit their relatives in nursing homes are ongoing. Most homes carried out safe outdoor visits by using plexiglas shields between residents and relatives during the quarter. In this way, we can make closer interaction between our residents and their families possible while carefully following the visiting ban rules. The visiting ban was relaxed during the quarter in some municipalities in Finland. Indoor visits are permitted under certain conditions, including that visitors must wear masks.

Early in the pandemic, sick leave due to illness was high within Attendo in all countries, which was an effect of the strict health checks implemented to prevent people with symptoms of the virus from working. Sick leave has decreased however, and is currently lower than normally in Finland. The most likely explanation is that employees are also avoiding other illnesses by practicing stricter hygiene procedures, social distancing and wearing masks for their entire shift.

There has been strong focus during the quarter on highlighting talented employees of Attendo who make a difference, are willing to try new methods, have a particular ability to boost the quality of care and be a role model for others. "Care Heroes" awards have been given to one employee per region and we hope to continue giving special recognition to our employees, who are the heart of Attendo's business.

Attendo's quality work

Attendo's quality model rests on three pillars: satisfied customers, systematic improvements and best available knowledge. On-going development and monitoring of the necessary procedures, processes and documentation are of great importance for the quality of all health and social care. The work is conducted by local quality coordinators with the support of specialized quality functions. Recurring quality audits are conducted by Attendo, payors and authorities.

Read more about Attendo's quality work at www.attendo.com

Significant events in the second quarter

Acquisitions and divestments

  • A small home care business in Stockholm was acquired in April.
  • In May, Attendo acquired 51 percent of the shares in Aurio Hoiva Oy, a provider of home care services in Lahti, Finland, and surrounding areas. Aurio Hoiva Oy has about 250 customers.

Other information

Number of shares

The total number of shares is 161,386,592. Attendo holds 480,300 treasury shares and the total number of shares outstanding as of 30 June 2020 was thus 160,906,292.

Number of employees

The average number of employees was 18,659 (16,566) in the second quarter and 18,305 (16,468) in the first half.

Transactions with related parties

Transactions with related parties had a value of SEK 0m (0) during the period. All related-party transactions take place on market terms.

For further details, please refer to page 69 of Attendo's 2019 annual report.

Parent company, Attendo AB (publ)

The business of the parent company is to provide services to the subsidiaries and manage shares in subsidiaries. The company's expenses relate mainly to executive salaries, directors' fees and costs for external consultants.

Net sales for the period were SEK 6m (7), and were entirely related to services provided to subsidiaries. The loss for the year after net financial items was SEK -18m (-16). At the end of the quarter, cash and cash equivalents amounted to SEK 1m (0), shares in subsidiaries to SEK 6,494m (6,494), and nonrestricted equity to SEK 5,977m (5,961).

Seasonal and calendar effects

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.

Events after the reporting date

Attendo has divested its operations in Norway

Effective 1 July 2020, Attendo has divested its Norwegian operations to the non-profit organisation Lovisenberg Omsorg. Attendo's Norwegian operations consisted of five nursing homes, one in own operations and four operated under outsourcing contracts. Attendo has come to the conclusion that the conditions for private providers to develop operations in care for older people in Norway that are viable over the long-term do not exist. In connection with the divestment to Lovisenberg, Attendo has transferred one outsourced home in Stavanger to the municipality. In total, the Norwegian operations generated about SEK 370m in annual revenue and made a marginal contribution to Attendo's profits. The Norwegian operations are reported in the balance sheet per June 30 as assets and liabilities held for sale. These operations will be deconsolidated from Attendo as of the end of the second quarter of 2020.

Risks and uncertainties

Attendo conducts care and health care operations in the Nordics and is exposed to a number of different risks. Risk management, i.e. the work with identifying, managing and monitoring risks, is an important part of Attendo's operations and well-integrated in Attendo's day-to-day work.

Attendo divides identified risks into external risks, operational risks and financial risks. External risks related to the conditions for private companies to operate care businesses, political risks, regulatory risks and reputational risks. Operational risks refer to risks directly linked to Attendo's operations, such as occupancy, pricing and access to skilled employees. Financial risks are related to factors including access to capital, exchange rates, interest rates and liquidity.

The risks and a description of Attendo's risk management are presented in Attendo's annual report for 2019 on pages 24-27.

The corona situation presents serious challenges to Attendo's operations. The primary risks that are actualised, such as occupancy in our units and ensuring that we have enough employees capable of providing care in line with our high quality standards, are the same, however. We are working actively to manage these risks, and especially now in the highly unusual prevailing circumstances. At present, lower occupancy is the risk that is having the most short-term financial impact on the business. Due to the rapid development that has characterised both the spread of the Covid-19 virus and the measures that can and must be taken by Attendo and other social actors, there is significant uncertainty associated with all types of estimates of the operational or financial impact of the pandemic.

Accounting policies

The group applies International Financial Reporting Standards (IFRS) and interpretations from IFRIC, as adopted by the European Union, the Swedish Financial Reporting Board's standard RFR 1 Supplementary Accounting Rules for Groups and related interpretations and the Swedish Annual Accounts Act.

This interim report has been prepared according to IAS 34 Interim Financial Reporting and the Swedish Annual Accounts Act and should be read together with the annual report for 2019. The most significant accounting policies under IFRS, the reporting norm applied in preparing this interim report, are set forth in Note C1 on pages 49-53 of the annual report for 2019, which were applied to the preparation of this interim report.

As of the second quarter of 2020, Attendo has added "Items affecting comparability" as a line item on the income statement. Items classified as items affecting comparability are those where it is important to observe the effects on profit when profit for the period is compared with earlier periods, such as significant impairment losses and other significant, non-recurrent costs or income. Tax on items affecting comparability and tax items that are specifically classified as items affecting comparability are reported under "Tax" on the consolidated income statement. Items accounted for as items affecting comparability in a period are accounted for consistently in future periods by also reporting any reversals of these items as items affecting comparability. Segment reporting is presented before items affecting comparability, but items affecting comparability are allocated to the segments to which they refer in the notes to the financial statements.

Other and eliminations in the segment tables refers to costs for the head office and group eliminations.

The interim information on pages 1-14 is an integrated part of this financial report. The parent company's financial statements are prepared in accordance with the Swedish Annual Accounts Act and the Swedish Financial Reporting Board's recommendation, RFR 2 Accounting for Legal Entities.

The company's auditor has not reviewed the interim report.

Outlook

Attendo does not publish forecasts.

Attendo's Annual reports are available on www.attendo.com

The Board of Directors and the CEO certify that this half year report gives a fair view of the operation, profit and financial position of the parent company and the group, and that it describes all significant risks and uncertainties related to the parent company and group.

Danderyd, on July 23, 2020

Ulf Lundahl Chairman of the Board

Catarina Fagerholm Alf Göransson Tobias Lönnevall Board member Board member Board member

Suvi-Anne Siimes Anssi Soila Faya Lahdou

Board member Board member Board member Union representative

Martin Tivéus President and CEO

Financial reports

Consolidated Income Statement

Jan-Jun Jan-Jun Jan-Dec
SEKm Q2 2020 Q2 2019 2020 2019 2019
Net sales 3,112 2,990 6,240 5,868 11,935
Other operating income 52 25 59 43 110
Total revenue 3,164 3,015 6,299 5,911 12,045
Personnel costs -2,162 -2,114 -4,292 -4,038 -8,133
Other external costs -531 -506 -1,044 -952 -1,972
Operating profit before amortization and depreciations
(EBITDA)* 471 395 963 921 1,940
Amortization and depreciation of tangible and intangible
assets -318 -274 -628 -542 -1 128
Operating profit after depreciation (EBITA)* 153 121 335 379 812
Operating margin (EBITA)*, % 4.9 4.0 5.4 6.5 6.8
Amortization of acquisition related intangible assets -31 -35 -63 -71 -140
Operating profit (EBIT), excluding items affecting
comparability 122 86 272 308 672
Operating margin (EBIT), excluding items affecting
comparability % 3.9 2.9 4.4 5.2 5.6
Items affecting comparability -971 - -971 - -
Operating profit (EBIT) -849 86 -699 308 672
Operating margin (EBIT), % -27.3 2.9 -11.2 5.2 5.6
Net financial items -168 -137 -314 -272 -565
Profit before tax -1,017 -51 -1,013 36 107
Income tax 42 12 41 -9 -26
Profit for the period -975 -39 -972 27 81
Profit margin, % -31.3 -1.3 -15.6 0.5 0.7
Profit for the period attributable to:
The parent company shareholders -976 -39 -973 27 81
Non-controlling interests 1 - 1 - -
Basic earnings per share, SEK -6.06 -0.24 -6.05 0.17 0.51
Diluted earnings per share, SEK -6.06 -0.24 -6.04 0.17 0.51
Average number of shares outstanding, basic, thousands 160,901 160,877 160,897 160,872 160,877
Average number of shares outstanding, diluted, thousands 160,911 160,909 160,909 160,909 160,899

*Excluding items affecting comparability.

Consolidated Statement of Comprehensive Income

Jan-Jun Jan-Jun
SEKm Q2 2020 Q2 2019 2020 2019 Jan-Dec 2019
Profit for the period -975 -39 -972 27 81
Other comprehensive income for the period
Items that will not be reclassified to profit or loss
Remeasurements of defined benefit pension plans, net of tax ,
-1
3 -12 -9 -3
Items that may be reclassified to profit or loss
Exchange rate differences on translating foreign operations
attributable to the parent company shareholders -119 31 17 81 47
Other comprehensive income for the period -120 34 5 72 44
Total comprehensive income for the period -1,095 -5 -967 99 125
Total comprehensive income attributable to:
The Parent company shareholders -1,096 -5 -968 99 125
Non-controlling interests 1 - 1 - -

Consolidated Balance Sheet

SEKm Jun 30, 2020 Jun 30, 2019 Dec 31, 2019
ASSETS
Non-current assets
Goodwill 6,702 7,429 7,446
Other intangible assets 550 582 564
Equipment 1,052 801 874
Right of use assets 10,044 8,172 8,856
Financial assets 388 255 331
Total non-current assets 18,736 17,239 18,071
Current assets
Trade receivables 1,052 1,078 1,090
Other current assets 312 621 400
Cash and cash equivalents 834 746 523
2,198 2,445 2,013
Assets held for sale 19 381 186
Assets in operations held for sale*** 174 - -
Total current assets 2,391 2,826 2,199
Total assets 21,127 20,065 20,270
EQUITY AND LIABILITIES
Equity
Equity attributable to the Parent company shareholders
4,852 5,804 5,831
Non-controlling interests 22 - -
Total equity 4,874 5,804 5,831
Non-current liabilities
Liabilities to credit institutions 2,722 3,276 2,836
Long-term lease liabilities* 9,995 7,824 8,640
Provisions for post-employment benefits 13 37 15
Other provisions 180 55 142
Other non-current liabilities 153 158 151
Total non-current liabilities 13,063 11,350 11,784
Current liabilities
Liabilities to credit institutions 3 38 2
Short-term lease liabilities** 918 808 862
Trade payables 464 250 256
Short-term provisions 88 192 85
Other current liabilities 1,605 1,600 1,431
3,078 2,888 2,636
Liabilities held for sale 4 23 19
Liabilities in operations held for sale*** 108 - -
Total current liabilities 3,190 2,911 2,655
Total equity and liabilities 21,127 20,065 20,270

* Long-term lease liabilities include car leases amounting to SEK 8m (7m) and SEK 12m for the full year 2019.

** Short-term lease liabilities include car leases amounting to SEK 25m (27m) and SEK 19m for the full year 2019.

*** Refers to the Norwegian operations to be divested.

Consolidated Cash Flow Statement

Operational cash flow (alternative performance measure),
SEKm
Q2 2020** Q2 2019 Jan-Jun
2020**
Jan-Jun
2019
Jan-Dec
2019
Operating profit (EBITA)* 153 121 335 379 812
Depreciation and amortization of tangible and intangible assets 318 274 628 542 1,128
Changes in working capital 249 105 448 28 -60
Paid income tax -35 -64 -27 -144 -88
Other non-cash items 16 -5 23 2 8
Cash flow after changes in working capital 701 431 1,407 807 1,800
Investments in tangible and intangible assets -122 -87 -240 -155 -345
Divestment of tangible and intangible assets 4 5 8 10 104
Operating cash flow 583 349 1,175 662 1,559
Interest received/paid -7 -18 -22 -51 -100
Interest expense for lease liabilities of real estate -144 -118 -280 -226 -473
Repayment of lease liabilities -234 -177 -449 -381 -790
Free cash flow 198 36 424 4 196
Net change in assets and liabilities held for sale 149 11 196 70 260
Acquisition of operations -55 -34 -114 -187 -239
Divestment of subsidiaries - 87 - 87 87
Warrants 2 - 2 - -
Dividends paid - -96 - -96 -96
Repayment of loans -150 -26 -225 -2,050 -5,388
New borrowings - - 68 - 2,789
Total cash flow 144 -22 351 -2 172 -2,391
Cash and cash equivalents at the beginning of the period 747 759 523 2,896 2,896
Effect of exchange rate changes on cash -24 9 -7 22 18
Cash and cash equivalents at the end of the period 867 746 867 746 523
Jan-Jun Jan-Jun Jan-Dec
Cash flow according to IFRS, SEKm Q2 2020** Q2 2019 2020** 2019 2019
Cash flow from operations 550 295 1,105 530 1,227
Cash flow from investing activities -24 -18 -150 -175 -133
Cash flow from financing activities -382 -299 -604 -2,527 -3,485
Total cash flow 144 -22 351 -2,172 -2,391

*Excluding items affecting comparability.

**Including the Norwegian operations to be divested.

Consolidated Statement of Changes in Equity

SEKm Jan-Jun 2020 Jan-Jun 2019 Jan-Dec 2019
Opening balance 5,831 5,801 5,801
where of non-controlling interests - - -
Total comprehensive income attributable to:
The Parent company shareholders -968 99 125
Non-controlling interests 1 - -
Transactions with owners
Vested shares 1 - 2
Transactions with non-controlling interest -15 - -
Warrants 2 - -
Share-savings plan - - -1
Dividend - -96 -96
Total transactions with owners -12 -96 -95
Non-controlling interests 22
Closing balance 4,874 5,804 5,831

Segment in summary

SEKm Attendo Scandinavia Attendo Finland Other and eliminations Consolidated
Q2 2020 Q2 2019 Q2 2020 Q2 2019 Q2 2020 Q2 2019 Q2 2020 Q2 2019
Net sales 1,548 1,588 1,564 1,402 - - 3,112 2,990
Own operations 1,113 1,141 1,514 1,358 - - 2,627 2,499
Outsourcing 435 447 50 44 - - 485 491
Operating profit
(EBITA)* 175 130 -5 7 -17 -16 153 121
operating margin
(EBITA)*, % 11.3 8.2 -0.3 0.5 - - 4.9 4.0
Adjusted EBITA* 126 99 -67 -41 -17 -16 42 42
Adjusted operating
margin (EBITA)*, % 8.1 6.2 -4.3 -2.9 - - 1.3 1.4

*Excluding items affecting comparability of SEK -971m in second quarter 2020.

SEKm Attendo Scandinavia Attendo Finland Other and eliminations Consolidated
Jan-Jun Jan-Jun Jan-Jun Jan-Jun Jan-Jun Jan-Jun Jan-Jun Jan-Jun
2020 2019 FY 2019 2020 2019 FY 2019 2020 2019 FY 2019 2020 2019 FY 2019
Net sales 3,142 3,125 6,305 3,098 2,743 5,630 - - - 6,240 5,868 11,935
Own operations 2,250 2,229 4,497 3,005 2,652 5,460 - - - 5,255 4,881 9,957
Outsourcing 892 896 1,808 93 91 170 - - - 985 987 1,978
Operating profit
(EBITA)* 340 291 715 31 123 163 -36 -35 -66 335 379 812
operating margin
(EBITA)*, % 10.8 9.3 11.3 1.0 4.5 2.9 - - - 5.4 6.5 6.8
Adjusted EBITA* 251 220 555 -89 17 -48 -36 -35 -66 126 202 441
Adjusted operating
margin (EBITA)*, % 8.0 7.0 8.8 -2.9 0.6 -0.9 - - - 2.0 3.4 3.7

*Excluding items affecting comparability of SEK -971m in second quarter 2020.

Net financial items

Jan-Jun Jan-Jun, Jan-Dec
SEKm Q2 2020 Q2 2019 2020 2019 2019
Net interest expense (excluding lease liabilities for real estate) -15 -14 -30 -31 -57
Interest expense, lease liabilities for real estate -144 -118 -280 -226 -473
Other -9 -5 -4 -15 -35
Net financial items -168 -137 -314 -272 -565

Investments

Jan-Jun, Jan-Jun Jan-Dec
SEKm Q2 2020 Q2 2019 2020 2019 2019
Investments
Investments in intangible assets 2 2 6 6 18
Investments in tangible assets 120 85 234 149 327
Divestments of tangible and intangible assets -4 -5 -8 -10 -104
Total net investments 118 82 232 145 241
Intangible assets acquired through business combination
Goodwill 67 11 92 98 148
Customer relations 26 0 52 29 87
Other 0 0 0 0 0
Total intangible assets acquired through business
combination 93 11 144 127 235

Financial assets and liabilities

SEKm Level Jun 30, 2020 Jun 30, 2019 Dec 31, 2019
ASSETS
Financial assets measured at fair value
Trade receivables 1,052 1,078 1,090
Cash and cash equivalents 834 746 523
Total financial assets 1,886 1,824 1,613
LIABILITIES
Financial liabilities at fair value through profit or loss
Contingent considerations 3 0 29 0
Financial liabilities measured at amortised cost
Borrowings 2,725 3,314 2,838
Lease liabilities 10,913 8,632 9,502
Trade payables 464 250 256
Total financial liabilities 14,102 12,225 12,596

The table shows the Group's significant financial assets and liabilities. Assets and liabilities recognized as loans and receivables, and other financial liabilities are valued at amortized cost. Fair value for all financial assets and liabilities are equal to the carrying value. For complete table and further information see Attendo's Annual report 2019, note C24.

Valuation technique

Level 3: The fair value of contingent considerations is based on estimated outcome from the contractual clauses in

the share purchase agreements.

Pledged assets and contingent liabilities

SEKm Jun 30, 2020 Jun 30, 2019 Dec 31, 2019
Assets pledged as collateral 74 76 73
Contingent liabilities* 4,496 4,899 5,040

* Leases of assets not yet in use are reported in contingent liabilities. Contingent liabilities also include a potential outflow of resources to complete

acquisitions of real estate and operations from a few local authorities in Finland.

Income Statement with IFRS16 impacts

The effects of the implementation of IFRS 16 leases on the income statement are shown below.

Q2, 2020 Q2, 2019 Jan-Dec, 2019
IFRS 16 Excl. IFRS IFRS 16 Excl. IFRS IFRS 16 Excl. IFRS
SEKm Reported effect 16-effect** Reported effect 16-effect** Reported effect 16-effect**
Net sales 3,112 3,112 2,990 2,990 11,935 - 11,935
Other operating income 52 52 25 -2 23 110 -21 89
Total revenue 3,164 3,164 3,015 -2 3,013 12,045 -21 12,024
Personnel costs -2,162 -2,162 -2,114 -2,114 -8,133 -8,133
Other external costs -531 -373 -904 -506 -296 -802 -1,972 -1,263 -3,236
Operating profit before
amortization and
depreciation (EBITDA)* 471 -373 98 395 -298 97 1,940 -1,284 655
Amortization and
depreciation of tangible and
intangible assets -318 262 -56 -274 219 -55 -1,128 913 -215
Operating profit (EBITA)
Operating margin (EBITA)
153 -111 42 121 -79 42 812 -371 441
% 4.9 1.3 4.0 1.4 6.8 3.7
Amortization of acquisition
related intangible assets
-31 -31 -35 -35 -140 -140
Operating profit,
excluding items affecting
comparability (EBIT) 122 -111 11 86 -79 7 672 -371 301
Operating margin (EBIT),
excluding items affecting
comparability % 3.9 0.3 2.9 0.2 5.6 2.5
Items affecting comparability -971 137 -834 - - - -
Operating profit (EBIT) -849 26 -823 86 -79 7 672 -371 301
Operating margin (EBIT) % -27.3 -26.4 2.9 0.2 5.6 2.5
Net financial items -168 144 -24 -137 118 -19 -565 473 -92
Profit before tax -1,017 170 -847 -51 40 -12 107 102 209
Income tax 42 -33 9 12 -8 4 -26 -20 -46
Profit for the period from
continuing operations -975 137 -838 -39 32 -8 81 82 163
Profit margin % -31.3 -26.9 -1.3 -0.3 0.7 1.4

* Excluding items affecting comparability.

** This column shows adjusted EBITDA and adjusted EBITA.

Jan-Jun, 2020 Jan-Jun, 2019
SEKm Reported IFRS 16
effect
Excl. IFRS 16-
effect**
Reported IFRS 16
effect
Excl. IFRS 16-
effect**
Net sales 6,240 6,240 5,868 5,868
Other operating income 59 59 43 -6 37
Total revenue 6,299 6,299 5,911 -6 5,905
Personnel costs -4,292 -4,292 -4,038 -4,038
Other external costs -1,044 -724 -1,768 -952 -608 -1,560
Operating profit before amortization and
depreciation (EBITDA)*
963 -724 239 921 -614 307
Amortization and depreciation of tangible and
intangible assets
-628 515 -113 -542 437 -105
Operating profit (EBITA)* 335 -209 126 379 -177 202
Operating margin (EBITA)* % 5.4 2.0 6.5 3.4
Amortization of acquisition related intangible
assets
-63 -63 -71 -71
Operating profit, excluding items affecting
comparability (EBIT)
Operating margin (EBIT), excluding items
272 -209 63 308 -177 131
affecting comparability % 4.4 1.0 5.2 2.2
Items affecting comparability -971 137 -834 - -
Operating profit (EBIT) -699 -72 -771 308 -177 131
Operating margin (EBIT) % -11.2 -12.4 5.2 2.2
Net financial items -314 280 -34 -272 226 -46
Profit before tax -1,013 208 -805 36 49 85
Income tax 41 -41 0 -9 -10 -19
Profit for the period -972 167 -805 27 39 66
Profit margin % -15.6 -12.9 0.5 1.1

* Excluding items affecting comparability.

** This column shows adjusted EBITDA and adjusted EBITA.

Key Data

Q2 2020 Q2 2019 Jan-Jun
2020
Jan-Jun
2019
Jan-Dec
2019
Organic growth % 3.9 1.4 4.8 1.6 2.1
Acquired growth % 0.4 6.2 1.0 5.8 4.8
Changes in currencies % -0.2 1.4 0.5 1.9 1.7
Operating margin (EBITA margin) r12 * % - - 6.2 8.1 6.8
Adjusted operating margin (EBITA margin) r12 * % - - 3.0 5.2 3.7
Working capital** SEKm - - -778 -343 -283
Return on capital employed ,
*
% - - 3.5 4.4 3.6
Net debt to equity ratio** times - - 2.6 1.9 2.0
Equity to asset ratio ** % - - 23 29 29
,
Net debt / EBITDA r12
*
times - - 6.5 5.7 6.1
,
Adjusted net debt / adjusted EBITDA r12
*
times - - 3.3 3.3 3.6
Free cash flow SEKm 198 36 424 4 196
Net investments SEKm -118 -82 -232 -145 -241
Average number of employees 18,659 16,566 18,305 16,468 16,499
Key data per share
Earnings per share, basic SEK -6.06 -0.24 -6.05 0.17 0.51
Earnings per share, diluted SEK -6.06 -0.24 -6.04 0.17 0.51
Adjusted earnings per share, diluted SEK 0.11 0.13 0.48 0.77 1.71
Equity per share, basic * SEK - - 30.15 36.08 36.24
Equity per share, diluted * SEK - - 30.15 36.07 36.24
Average number of shares outstanding, basic thousands 160,901 160,877 160,897 160,872 160,877
Average number of shares outstanding, diluted thousands 160,911 160,909 160,909 160,909 160,899
Number of shares, end of period thousands 161,387 161,387 161,387 161,387 161,387
Number of treasury shares, end of period thousands 480 509 480 509 496
Number of shares outstanding, end of period thousands 160,906 160,878 160,906 160,878 160,890

* Excluding items affecting comparability

** Including the Norwegian operations to be divested.

Quarterly Data

SEKm Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020
Total net sales 2,802 2,818 2,878 2,990 3,013 3,054 3,128 3,112
– Net sales, own operations 2,233 2,302 2,382 2,499 2,521 2,555 2,628 2,627
– Net sales, outsourcing 569 516 496 491 492 499 500 485
SEKm Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020
Total net sales 2,802 2,818 2,878 2,990 3,013 3,054 3,128 3,112
– Net sales Scandinavia 1,601 1,563 1,537 1,588 1,584 1,596 1,594 1,548
– Net sales Finland 1,201 1,255 1,341 1,402 1,429 1,458 1,534 1,564
Operating profit (EBITDA) *
Operating margin (EBITDA margin),%
629 433 526 395 584 435 492 471
* 22.4 15.4 18.3 13.2 19.4 14.2 15.7 15.1
Operating profit (EBITA) * 375 176 258 121 294 139 182 153
Operating margin (EBITA margin),% * 13.4 6.3 9.0 4.0 9.8 4.6 5.8 4.9
Profit for the period 149 -4 66 -39 94 -40 3 -975
Profit margin, % 5.3 -0.1 2.3 -1.3 3.1 -1.3 0.1 -31.3
Earnings per share basic, SEK 0.93 -0.02 0.41 -0.24 0.58 -0.25 0.02 -6.06
Earnings per share diluted, SEK 0.93 -0.02 0.41 -0.24 0.58 -0.25 0.02 -6.06
Adjusted operating profit (EBITDA) *
Adjusted operating margin (EBITDA
343 147 210 97 259 90 141 98
margin),% * 12.2 5.2 7.3 3.2 8.6 2.9 4.5 3.1
Adjusted operating profit (EBITA) *
Adjusted operating margin (EBITA
297 98 160 42 204 35 84 42
margin),% * 10.6 3.5 5.5 1.4 6.8 1.1 2.7 1.3
Average number of employees 17,087 15,789 16,370 16,566 16,984 16,163 17,950 18,659
Own operations
Number of units in operation** 584 585 598 599 604 604 610 619
Number of beds in operation*** 14,889 15,288 15,923 16,216 16,470 16,618 17,260 17,650
Number of beds under construction*** 2,519 2,462 2,401 2,335 2,094 1,980 1,423 1,110
Number of opened beds (r12)*** 2,486 2,409 2,282 1,752 1,867 1,950 2,186 2,042
Occupancy in own homes,%*** 81 82 81 79 80 80 80 78

* Excluding items affecting comparability

** Refers to all units in Own operations.

*** Nursing homes for older people, homes for people with disabilities and social psychiatry.

Parent Company Income Statement

SEKm Q2 2020 Q2 2019 Jan-Jun 2020 Jan-Jun 2019 Jan-Dec 2019
Net sales 3 4 6 7 13
Personnel costs -7 -7 -14 -14 -26
Other external costs -3 -3 -5 -5 -9
Operating profit -7 -6 -13 -12 -22
Net financial items -3 -2 -5 -4 -9
Profit after financial items -10 -8 -18 -16 -31
Group contributions - - - - 48
Profit before tax -10 -8 -18 -16 17
Income tax - - - - -4
Profit for the period -10 -8 -18 -16 13

Profit for the period corresponds to total comprehensive income.

Parent Company Balance Sheet

SEKm Jun 30, 2020 Jun 30, 2019 Dec 31, 2019
ASSETS
Non-current assets
Shares in subsidiaries 6,494 6,494 6,494
Total non-current assets 6,494 6,494 6,494
Current assets
Receivables to group companies 5 0 49
Other receivables 8 11 1
Cash and cash equivalents 1 0 0
Total current assets 14 11 50
Total assets 6,508 6,505 6,544
EQUITY AND LIABILITIES
Equity 5,978 5,962 5,993
Current liabilities
Liabilities to group companies 513 530 538
Other liabilities 17 13 13
Total current liabilities 530 543 551
Total equity and liabilities 6,508 6,505 6,544

Information to shareholders and analysts

Financial Calendar

Interim report January-September 2020 23 October 2020 Year-end report January-December 2020 11 February 2021

Telephone conference

A telephone conference will be held on 23 July 2020 at 10.00 (CET) with Attendo's CEO Martin Tivéus and CFO Fredrik Lagercrantz. For participation please dial in on the following number:

SE: +46 8 56 64 26 92
FI: +358 981 710 520
UK: +44 333 300 9274

Link to webcast

For further information please contact:

Fredrik Lagercrantz CFO Tel. +46 8 586 252 00

Andreas Koch Communications and IR Director Tel. +46 70 509 77 61

This is information that Attendo AB (publ) is obliged to make public pursuant to the EU Market Abuse Regulation and the Securities Market Act. The information was submitted for publication, through the agency of the contact persons set out above at 08.00 CET on 23 July 2020.

Forward-looking information

This report contains forward-looking information based on current expectations of the Attendo's management. Although management deems that the expectations presented by such forward-looking information are reasonable, no guarantee can be given that these expectations will prove correct. Accordingly, the actual future outcome could vary considerably compared to what is stated in the forward-looking information, due to such factors as changed market conditions for Attendo's services and more general conditions regarding business cycles, market and competition, changes in legal requirements and other political measures, and fluctuation in exchange rates.

Attendo AB (publ) Vendevägen 85B 182 91 Danderyd

Tel +46 8 586 251 00 Fax +46 8 586 250 01 www.attendo.com

Company number: 559026-7885

Attendo's operations

Attendo is the leading private provider of care services in the Nordics. The company has operations in Sweden, Finland and Denmark. Attendo is the largest private care provider in Sweden and Finland. Attendo is a locally based company and has more than 700 units in operation in about 300 municipalities. The company has about 25,000 employees. With the vision of empowering the individual, Attendo provides services within care for older people, care for people with disabilities, social psychiatry and care for individuals and families.

Attendo provides services through two business areas, Attendo Scandinavia and Attendo Finland.

Attendo provides care services under two contract models:

  • Own operations, where Attendo provides services in own controlled units/premises 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, care for people with disabilities and care for individuals and families.

Local authorities (mainly municipalities) are usually the contracting authorities for a large majority of Attendo's service offerings, 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 period is typically 2-5 years.

84% Share of net sales

Outsoursing 16% Share of net sales

Definitions of key data and alternative performance measures (APM)

Explanations of financial measures

Acquired growth (APM) The net between the increase in the company's net sales from businesses and operations acquired
during the past 12 months and loss of net sales from businesses and operations divested during
the past 12 months.
Adjusted earnings per share (APM) Profit or loss for the period attributable to the parent company shareholders excluding effects
from amortization of acquisition-related intangible assets as well effects from the implementation
of IFRS 16 and items affecting comparability and related tax items divided by the number of
outstanding shares after dilution.
Adjusted EBITA (APM) 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.
Adjusted EBITDA (APM) 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.
Adjusted net debt (APM) 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
(EBITA) (APM)
Adjusted operating profit (EBITA) divided by net sales.
Adjusted operating margin
(EBITDA) (APM)
Adjusted operating profit (EBITDA) divided by net sales.
Capital employed Equity plus interest-bearing liabilities and provisions for post-employment benefits.
Cash and cash equivalents Cash and bank balances, short term investments and derivatives with a positive fair value.
Earnings per share Profit or loss for the period attributable to the parent company shareholders divided by average
shares outstanding.
Equity/assets ratio Equity divided by total assets.
Equity per share Equity attributable to the parent company shareholders divided by average shares outstanding.
Free cash flow (APM) 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.
Items affecting comparability Items whose effects on profit are important to pay attention to when profit for the period is
compared with earlier periods, such as significant impairment losses and other significant, non
recurring costs or income.
Net debt (APM) 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.
Net debt to equity ratio Net debt divided by equity.
Net investments 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.
Organic growth (APM) 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 2019 annual
report for a reconciliation of the performance measure on a full year basis.
Operating margin (EBIT margin) Operating profit or loss (EBIT) divided by net sales. Operating margin (EBIT margin) is
presented including and excluding items affecting comparability.
Operating margin (EBITA margin) Operating profit (EBITA) divided by net sales.
Operating profit (EBIT) (APM) Attendo reports 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. Operating profit (EBIT) is presented including and
excluding items affecting comparability. See the Consolidated income statement for a
reconciliation of EBIT.
Operating profit (EBITA) (APM) 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. Operating
profit (EBITA) is excluding items affecting comparability. See the Consolidated income
statement for a reconciliation of EBITA.
Operating profit (EBITDA) (APM) 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. Operating
profit (EBITDA) is excluding items affecting comparability. See the Consolidated income
statement for a reconciliation of EBITDA.
Profit (-loss) for the period Profit or loss for the period attributable to parent company shareholders and non-controlling
interest.
Profit margin Profit or loss for the period divided by net sales.
r12 "rolling 12 months" The sum of the period's past 12 months.
Return on capital employed (APM) 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) excluding
items affecting comparability for the past 12 months divided by average capital employed.
Working capital (APM) 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 in the 2019 annual
report for a reconciliation of the performance measure on a full year basis.

Explanations of operating measures

Mature unit Unit opened during the calendar year of 2017 or earlier, excluding units from the acquisition of
Mikeva.
Occupancy 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.

Attendo AB (publ)

Vendevägen 85B 182 91 Danderyd

Tel +46 8 586 251 00 Fax +46 8 586 250 01 www.attendo.com

Company number: 559026-7885