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Attendo Interim / Quarterly Report 2023

Jul 20, 2023

3003_ir_2023-07-20_d3e3a9ae-8675-44a1-8be3-7dcaf95fa7e6.pdf

Interim / Quarterly Report

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INTERIM REPORT JANUARY-JUNE 2023

Summary of the second quarter

  • Net sales amounted to SEK 4,333m (3,546). Total growth amounted to 22.2 percent of which organic growth was 13.9 percent.
  • Lease adjusted EBITA1 was SEK 147m (-11), corresponding to a lease adjusted operating margin of 3.4 percent (-0.3).
  • Operating profit (EBITA) amounted to SEK 283m (106), corresponding to an operating margin of 6.5 percent (3.0).
  • The profit for the period amounted to SEK 60m (-63). Diluted earnings per share were SEK 0.37 (-0.39). Adjusted earnings per share after dilution were SEK 0.60 (-0.14).
  • Free cash flow amounted to SEK 115m (134).
  • There were 20,870 (21,062) beds in Attendo's homes at the end of the period. Occupancy in the homes was 86 percent (84).

Summary of the period January - June

  • Net sales amounted to SEK 8,377m (7,028). Total growth amounted to 19.2 percent, of which organic growth was 11.4 percent.
  • Lease adjusted EBITA1 was SEK 263m (20), corresponding to a lease adjusted operating margin of 3.1 percent (0.3).
  • Operating profit (EBITA) amounted to SEK 524m (248), corresponding to an operating margin of 6.3 percent (3.5).
  • The profit for the period amounted to SEK 88m (-95). Diluted earnings per share were SEK 0.55 (-0.59). Adjusted earnings per share after dilution were SEK 1.03 (-0.06).
  • Free cash flow amounted to SEK 123m (191).
Group key figures
------------------- --
Q2 Jan-Jun Jan-Dec
SEKm 2023 2022 Δ% 2023 2022 Δ% 2022
Net sales 4,333 3,546 22% 8,377 7,028 19% 14,496
Lease adjusted operating profit (EBITA) ¹ 147 -11 - 263 20 1215% 199
Lease adjusted operating margin (EBITA)¹, % 3.4 -0.3 - 3.1 0.3 - 1.4
Operating profit (EBITA)¹ 283 106 167% 524 248 111% 674
Operating margin (EBITA)¹, % 6.5 3.0 - 6.3 3.5 - 4.6
Profit for the period 60 -63 - 88 -95 - -44
Earning per share diluted, SEK 0.37 -0.39 - 0.55 -0.59 - -0.28
Adjusted earnings per share diluted¹' ², SEK 0.60 -0.14 - 1.03 -0.06 - 0.68
Free cash flow 115 134 -14% 123 191 -36% 24

1) See also definitions of key data and alternative performance measures on pages 32-33.

Clear progress in Finland leads improved result

We continued to demonstrate strong growth and recovery of the financial result in Q2. The improvement strengthens our financial position and makes Attendo better equipped to continue investing in the care of the future.

Empowered employees are the key to good care. That makes it particularly gratifying to see the results of our employeeship initiatives, which are apparent in Attendo's higher Employee Net Promoter Score. I am also pleased that our diversity, equity and inclusion work has gained attention from outside the company.

Group: High growth and stronger performance We are reporting growth of 16 percent in local currency in the second quarter, driven primarily by price adjustments in Finland and higher occupancy. Occupancy was 86 percent, up by 2 percentage points since last year and in line with the first quarter. Lease-adjusted EBITA for the second quarter of 2023 increased by SEK 158 million compared to the preceding year to SEK 147 million, corresponding to an operating margin of 3.4 percent.

The improvement is attributable entirely to Finland. Reported profit for Scandinavia is slightly lower than in the preceding year and has been adjusted for nonrecurring items in 2022. Higher results in nursing homes in own operations has not fully compensated for lower results in home care services in Sweden and losses in the Danish operations.

Free cash flow amounted to SEK 115 million (134). The slightly lower cash flow is mainly due to an increased capital tie-up. The increased capital tie-up is driven by growth in Finland, as well as the fact that accounts receivable is temporarily slightly elevated and that new payment routines do not yet work completely satisfactorily with the new welfare regions in Finland. We expect continued improvement and even some normalization going forward.

Finland

Sales in Attendo Finland increased by about 26 percent in local currency during the quarter, mainly due to improved terms and conditions and previous acquisitions. The effects of previously announced price adjustments based on the new staffing requirements combined with

Martin Tivéus, CEO

‒ The improvement strengthens our financial position and makes Attendo better equipped to continue investing in the care of the future.

operational improvements were fully realised in the second quarter, as clearly apparent in operating profit of SEK 131 million for the quarter, as compared to SEK -75 million in the comparison quarter in 2022.

Staffing requirements and other regulatory requirements have successively increased in Finland since 2019. As of 1 April 2023, the staffing requirement in care for older people increased from 0.60 to 0.65 care workers per resident. Our Finnish organisation completed a comprehensive programme of preparations ahead of the change in April and has been able to attract qualified care staff in a difficult labour market and successfully maintain occupancy despite the higher staffing requirement.

We see that politicians, payors and authorities in Finland are now understanding the challenges that the staffing reform has entailed. The final stage of the reform will be postponed and authorities are reviewing how various staff categories and welfare technology can be used in order to increase flexibility for providers while safeguarding the quality of care.

A new collective agreement was negotiated during the second quarter. The agreement involves salary increases of about 5.7 percent from September 2023, which gradually will be reflected in the price levels in agreements with welfare regions.

Scandinavia

Sales in Attendo Scandinavia increased by about 4 percent compared to the corresponding quarter last year, primarily as a consequence of higher occupancy in nursing homes in own operations and price adjustments that took effect on 1 January.

However, statistics show that many local authorities have thus far in 2023 responded to higher inflation by reducing access to welfare services. Fewer people have been granted access for placement in nursing homes and waiting times for an apartment have increased in 2023. As a result, occupancy growth in the first half was slower than planned, although the quarter ended on a strong note with good sales in June.

Nursing homes in own operations are growing in terms of sales and profits in pace with higher occupancy, but the improvement in nursing homes operations has not fully compensated for worse financial performance in the Danish operations and in the home care operations in Sweden.

Lease-adjusted operating profit (EBITA) amounted to SEK 36m (84). Adjusted for positive one-off effects of SEK 30 million last year, profit was slightly lower than in the comparison period.

The challenges in Swedish home care operations are linked primarily to adjustments in local operations with new terms and conditions as well as discontinued units and several new areas in the start-up phase, which resulted in fewer hours delivered and lower efficiency. We have initiated both local action programs and an overall program around best practice. The Danish operations is experiencing difficulties with too high operating expenses. We have changed the management structure and strengthened the organisation in Denmark during the quarter to come to grips with the losses.

A new collective agreement in Sweden was negotiated in the second quarter, which resulted in salary increases of about 4.1 percent from June 2023, which will be gradually reflected in the price levels in agreements with local authorities.

Committed employees and managers

We are convinced that employee commitment is the single-most important factor in successfully delivering high quality care. At the same time, we see a long-term trend in which the availability of qualified staff is not increasing in pace with growing needs for care in society and due to increasing staffing density requirements.

Consequently, our ability to attract, introduce, develop and engage our employees is becoming ever more important. We are also focusing intensely on further developing leadership at all levels of the company. It is gratifying to see that our long-term efforts to create a stronger culture and greater empowerment are apparent in our employee survey scores. The Employee Net Promoter Score increased in the second quarter to +11 from +6 in the first quarter on a scale of -100 to +100. Our ambition is higher than this level, but the score indicates that we are moving in the right direction.

Diversity, equity and inclusion (DEI) are central tenets of our culture. An overwhelming majority of our operational managers have been women ever since Attendo was founded. In a survey conducted by AllBright, a non-profit foundation, Attendo received an honourable seventh place out of 361 ranked listed companies based on DEI in executive management, boards of directors and operative managers. Being an equal opportunity employer is a key piece of the puzzle in attracting the right skills and thus creating optimal care to the benefit of customers and contracting authorities.

Focus going forward

The improved result creates opportunities to increase focus on new priorities going forward, such as growth and further development of our offering and operational model. We also have a number of immediate focus areas to further improve conditions for 2024.

In Finland, we continue to focus on attracting qualified personnel, which is a prerequisite for higher occupancy. We have also started negotiations on new terms for social psychiatry and disabled care, areas that have so far not been compensated for higher costs.

In Scandinavia, our highest priority is to attract customers to nursing homes and influence municipalities so that those in need will get access to care. We will also work to get compensation for wage inflation in 2024. Finally, we will implement measures required to stop the losses in Denmark and to improve our home care operations in Sweden.

Overall, we will continue the work to improve the quality of life for our residents and show that we are a reliable partner for local authorities and welfare regions.

Martin Tivéus, President and CEO

Group

April - June 2023

Net sales and operating profit

Net sales increased by 22.2 percent to SEK 4,333m (3,546) during the quarter. Adjusted for currency effects, net sales increased by 15.8 percent. Organic growth accounted for 13.9 percent and the net change due to acquisitions and divestments was 1.9 percent. Organic growth was substantial and is attributable mainly to increased net sales in Attendo Finland, primarily in care for older people.

Lease adjusted EBITA amounted to SEK 147m (-11) and the margin was 3.4 percent (-0.3). Profit increased sharply in Attendo Finland, but decreased in Attendo Scandinavia. Non-recurring items of about SEK 30m had positive effect on Attendo Scandinavia's financial performance in the comparison quarter.

Effects on operating profit (EBITA) related to IFRS 16 amounted to SEK 136m (117).

Operating profit (EBITA) amounted to SEK 283m (106) and the operating margin was 6.5 percent (3.0). Currency effects amounted to SEK 17m.

Operating profit (EBIT) amounted to SEK 268m (91), corresponding to an operating margin (EBIT) of 6.2 percent (2.6). The change is attributable to the same factors described above.

The total number of beds in operation in all homes was 20,870 (21,062) at the end of the quarter. The decrease in the number of beds is due to ended outsourced homes in Attendo Scandinavia. Occupancy in all homes was 86 percent (84) at the end of the quarter. The number of beds under construction in own operations was 252 across 5 homes.

Net sales per business area, Q2 2023 (SEKm)

Lease adjusted operating profit (EBITA) per business area, Q2 2023 (SEKm)

Adjusted earnings per share, r12 (SEK)

Net financial items

Net financial items amounted to SEK -190m (-159) for the quarter, including net interest expense of SEK -33m (-9). Interest expense related to the lease liability real estate in accordance with IFRS 16 amounted to SEK -166m (-152).

Tax

Income tax for the period amounted to SEK -18m (5), corresponding to a tax rate of 23.2 percent (8.0).

Profit and earnings per share for the period

Profit for the period was SEK 60m (-63), corresponding to basic and diluted earnings per share for shareholders in the parent company of SEK 0.37 (-0.39). Adjusted earnings per share after dilution were SEK 0.60 (-0.14).

January – June 2023

Net sales and operating profit

Net sales for the period increased by 19.2 percent to SEK 8,377m (7,028) during the period. Adjusted for currency effects, net sales increased by 13.8 percent. Organic growth accounted for 11.4 percent and the net change due to acquisitions and divestments was 2.4 percent. Organic growth is attributable mainly to higher net sales in Attendo Finland, primarily in care for older people.

Lease adjusted EBITA amounted to SEK 263m (20) and the margin was 3.1 percent (0.3). Profit increased in Attendo Finland mainly due to price adjustments that were higher than cost increases in nursing homes, while profit decreased in Attendo Scandinavia.

Effects on operating profit (EBITA)related to IFRS 16 amounted to SEK 261m (228).

Operating profit (EBITA) amounted to SEK 524m (248) and the operating margin was 6.3 percent (3.5). Currency effects amounted to SEK 25m.

Operating profit (EBIT) amounted to SEK 494m (218), corresponding to an operating margin (EBIT) of 5.9 percent (3.1). The change is attributable to the same factors described above.

Net financial items

Net financial items amounted to SEK -380m (-328) for the period, including net interest expense of SEK -63m (-18). Interest expense related to the lease liability real estate in accordance with IFRS 16 amounted to SEK -328m (-305).

Income tax

i

Income tax for the period amounted to SEK -26m (15), corresponding to a tax rate of 23.0 percent (13.8).

Profit and earnings per share for the period

Profit for the period was SEK 88m (-95), corresponding to basic and diluted earnings per share for shareholders in the parent company of SEK 0.55 (-0.59). Adjusted earnings per share after dilution were SEK 1.03 (-0.06).

ATTENDO SCANDINAVIA

More sold own nursing home beds

Q2 Jan-Jun Jan-Dec
SEKm 2023 2022 2023 2022 2022
Net sales 1,701 1,631 3,393 3,238 6,599
Lease adjusted EBITA 36 84 97 150 380
Lease adjusted EBITA margin, % 2.1 5.2 2.9 4.6 5.8
Operating profit (EBITA) 85 131 194 244 577
Operating margin (EBITA), % 5.0 8.0 5.7 7.5 8.7

April – June 2023

Net sales in Attendo Scandinavia amounted to SEK 1,701m (1,631), corresponding to growth of 4.3 percent including currency effects and 4.1 percent excluding currency effects. The increase is attributable primarily to higher net sales in nursing homes, mainly a result of more sold beds. Net sales in home care services and outsourced nursing homes decreased, primarily due to ended operations.

The number of sold beds and occupancy in homes increased in relation to the comparison quarter and occupancy also increased compared to Q1 2023.

Lease adjusted EBITA amounted to SEK 36m (84), corresponding to an operating margin of 2.1 percent (5.2). The decrease in profit is explained by that price increases in 2023 have not fully offset the historically high cost inflation, lower profit in home care and losses in the Danish operations.

We have continued challenges in home care in Sweden related to adjusting operations with new contract conditions and ended units. Non-recurring items of about SEK 30m had positive effect on financial performance in the comparison quarter. The profit in own nursing homes increased due to more sold beds.

Effects on operating profit related to IFRS 16 amounted to SEK 49m (47).

Operating profit (EBITA) amounted to SEK 85m (131), corresponding to an operating margin (EBITA) of 5.0 percent (8.0).

Beds and contracts

At the end of the quarter, there were 78 beds under construction in own operations. Attendo lost a number of outsourcing contracts that have not yet ended. Annual sales for outsourcing contracts won but not yet started and outsourcing contracts lost but not yet ended are estimated to SEK -355m net. Some outsourcing contracts ended during the quarter.

The number of customers in home care has decreased compared to the previous quarter due to that Attendo decided to exit an area and that a larger home care area was converted from a freedom of choice system to a framework contract model.

ATTENDO SCANDINAVIA

Beds and customers

Attendo Scandinavia Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023
Number of beds in homes in operation¹ 7,129 7,070 6,986 6,961 6,864
Occupancy in homes¹, % 82 85 85 86 87
Number of opened beds² 84 - - 58 -
Number of beds, construction start in the quarter² 5 - - - -
Number of beds under construction² 141 141 141 83 78
Number of home care customers i.u. 8,235 8,230 8,180 7,869

1) All homes. 2) Own homes.

January – June 2023

Net sales in Attendo Scandinavia amounted to SEK 3,393m (3,238), corresponding to growth of 4.8 percent including currency effects and 4.6 percent excluding currency effects. The increase is attributable primarily to higher net sales in nursing homes, mainly a result of more sold beds. Net sales in home care and outsourced nursing homes decreased.

The number of sold beds and occupancy in homes increased in relation to the comparison period.

Lease adjusted EBITA amounted to SEK 97m (150), corresponding to an operating margin of 2.9 percent (4.6). Profit decreased because price increases in 2023 do not fully offset the historically high cost inflation, lower profit in home care and in Denmark.

Profits in own nursing homes increased due to more sold beds. Non-recurring items of about SEK 30m had positive effect on financial performance in Q2 2022.

Effects on operating profit related to IFRS 16 amounted to SEK 97m (94).

Operating profit (EBITA) amounted to SEK 194m (244), corresponding to an operating margin (EBITA) of 5.7 percent (7.5).

Continued progress during the quarter

Q2 Jan-Jun Jan-Dec
SEKm 2023 2022 2023 2022 2022
Net sales 2,632 1,915 4,984 3,790 7,897
Lease adjusted EBITA 131 -75 204 -93 -111
Lease adjusted EBITA margin, % 5.0 -3.9 4.1 -2.5 -1.4
Operating profit (EBITA) 218 -5 368 42 167
Operating margin (EBITA), % 8.3 -0.2 7.4 1.1 2.1

April – June 2023

Net sales in Attendo Finland amounted to SEK 2,632m (1,915) corresponding to growth of 37.4 percent. Adjusted for currency effects, net sales increased by 25.8 percent. The growth is attributable to higher net sales, primarily in nursing homes, resulting from price increases, and acquisitions. The total price increases amount to about 19 percent. Subsequent to the comparison quarter, Attendo has closed a number of homes due to staff shortages or problems related to occupancy.

The increased staffing requirement that came into effect in April 2023 had negative impact on occupancy in homes and occupancy decreased slightly compared to Q1 2023. The occupancy was, however, in line with the comparison quarter.

Lease adjusted EBITA amounted to SEK 131m (-75) and the margin was 5.0 percent (-3.9). The profit growth is explained primarily by higher price increases than cost increases in nursing homes, as well as positive contribution from acquisitions. Price increases in care for people with disabilities and social psychiatry did not fully compensate for the high cost increases.

Effects on operating profit (EBITA)related to IFRS 16 amounted to SEK 87m (70). The increase is attributable mainly to capital gains related to ended contracts and currency effects.

Operating profit (EBITA) amounted to SEK 218m (-5) and the operating margin (EBITA) was 8.3 percent (-0.2). Currency effects amounted to SEK 18m.

Beds and contracts

x x

One nursing home was opened during the quarter, one home was closed down and construction started of one home. At the end of the quarter, there were 174 beds under construction in own operations.

ATTENDO FINLAND

Beds and customers

Attendo Finland Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023
Number of beds in homes in operation¹ 13,933 14,012 13,946 13,962 14,006
Occupancy in homes¹, % 85 85 85 86 85
Number of opened beds² - 130 - - 86
Number of beds, construction start in the quarter² - - 101 58 15
Number of beds under construction² 213 83 184 242 174
Number of home care customers 607 590 586 493 479

1) All homes. 2) Own homes.

January – June 2023

Net sales in Attendo Finland amounted to SEK 4,984m (3,790) corresponding to growth of 31.5 percent. Adjusted for currency effects, net sales increased by 21.7 percent. The growth is attributable to higher net sales, primarily in nursing homes resulting from price increases, and previous acquisitions. The total price increases amount to about 15 percent. Subsequent to the comparison period, Attendo has closed a number of homes due to staff shortages or problems related to occupancy.

Occupancy in homes increased in relation to the comparison period.

Lease adjusted EBITA amounted to SEK 204m (-93) and the margin was 4.1 percent (-2.5). The profit growth is explained primarily by higher price increases than cost increases in nursing homes, as well as positive contributions from acquisitions. Price increases in care for people with disabilities and social psychiatry did not fully compensate for the high cost increases.

Effects on operating profit (EBITA) related to IFRS 16 amounted to SEK 164m (135). The increase is attributable primarily to currency effects and capital gains related to ended contracts.

Operating profit (EBITA) amounted to SEK 368m (42) and the operating margin (EBITA) was 7.4 percent (1.1). Currency effects amounted to SEK 27m.

Cash flow

April - June 2023

Free cash flow was SEK 115m (134) during the quarter, whereof changes in working capital amounted to SEK -1m (199).

Cash flow from operations was SEK 492m (471). Cash used for net investments in non-current assets was SEK -38m (-53). Business acquisitions reduced cash flow by SEK 0m (-198). Cash flow from investing activities thus amounted to SEK -38m (-251).

Cash flow from financing activities was SEK -451m (-332). Bank loans of SEK 114m (-332) were raised during the quarter and bank loans of SEK 114m (50) were repaid. Total cash flow amounted to SEK 3m (-112).

January – June 2023

Free cash flow was SEK 123m (191) for the period, including changes in working capital of SEK -104m (266). The negative effect in working capital is due partly to an increase in trade receivables following new administrative procedures in the new welfare regions in Finland.

Cash flow from operating activities was SEK 853m (855). Cash used for net investments in non-current assets was SEK -66m (-112). Business acquisitions reduced cash flow by SEK -4m (-204). Cash flow from investing activities thus amounted to SEK -70m (-316).

Cash flow from financing activities was SEK -714m (-650). During the period the net change in bank loans was SEK 52m (100). Total cash flow amounted to SEK 69m (-111).

Financial position

Equity attributable to shareholders in the parent company amounted to SEK 5,157m (4,911) as of 30 June 2023, representing diluted equity per share attributable to shareholders in the parent of SEK 32.05 (30.52). Net debt amounted to SEK 15,340m (14,116). Lease adjusted net debt, excluding lease liability real estate, amounted to SEK 1,804 (1,642).

Interest-bearing liabilities amounted to SEK 15,945m (14,528) on 30 June 2023. Cash and cash equivalents as of 30 June 2023 amounted to SEK 591m (412) and Attendo had SEK 1,600m (1,800) in unutilised credit facilities.

Net debt/EBITDA was 6.0 (6.5). Lease adjusted net debt/lease adjusted EBITDA was 2.7 (3.2).

30 Jun 31 Dec
SEKm 2023 2022 2022
Interest-bearing liabilities 15,945 14,528 14,805
Provision for post
employment benefits -14 - 0
Cash and cash equivalents -591 -412 -507
Net debt 15,340 14,116 14,298
Lease liability real estate -13,536 -12,474 -12,440
Lease adjusted net debt 1,804 1,642 1,858
30 Jun 31 Dec
SEKm 2023 2022 2022
Net debt / EBITDA 6.0 6.5 6.6
Lease adjusted net debt /
Lease adjusted EBITDA 2.7 3.2 4.4

SUSTAINABLE CARE

Sustainability at Attendo

Attendo works systematically and purposefully with sustainability. We report the latest key figures for our focus areas on a quarterly basis in order to show measurable outcomes of our work, along with important activities and progress in the operations.

Empowered employees: High scores in the quarter's employee survey One of Attendo's most important measurements of how well we are creating engagement and sustainable conditions for our almost 30,000 employees is how keen employees are to recommend Attendo as an employer. The latest measurement shows a higher Employee Net Promoter Score (eNPS) in both Scandinavia and Finland. The weighted eNPS for the Group as a whole has increased from +6 to +11 (scale from -100 to +100). According to this measurement, the positive trend is due in particular to our sustained focus to enable flexible working conditions and that the working environment is perceived as good and supportive. This builds on Attendo's structured efforts to increase empowerment and responsibility in every local unit. Many employees also praise local leadership and the potential for personal growth within Attendo, which reinforces our strong focus on competence development and encouraging employees to contribute to improving care delivery.

Value-adding care solutions: Studies show that private providers operate nursing homes more cost effectively A recent study conducted by the Swedish Association of Private Care Providers in partnership with PwC showed that the cost of places in nursing homes built and operated by private operators in Sweden was 8 percent lower on average than for homes operated by local authorities, during the period 2010-1021. For a nursing home with 60 beds, that adds up to savings of more than SEK 3.5 million in a single year. The older nursing home residents included in the study were also more satisfied with their care received from private providers. A similar study carried out by HALI in Finland (December 2022) showed a cost difference of about 30 percent. Attendo's view is that cost-effectiveness is primarily based on our capacity to quickly adapt operations and develop solutions, as well as our investments in modern properties that are well-designed for care for older people. We also invest substantial resources in further developing our operational model and employees to ensure efficient ways of working.

Empowered employees: Attendo topranked for equality

Every year, the AllBright Foundation maps and ranks diversity, equity and inclusion (DEI), in the boards of directors, management teams and line management of Swedish listed companies. In the 2023 report, Attendo achieved 7th place on the list of a total of 361 companies reviewed.

Focus area Ambition
Quality of life Attendo should create wellbeing and meaning in day-to-day life and be a leader in
customer satisfaction.
Value-adding care solutions Attendo should make reliable, innovative and cost-effective care available as a
preferred partner to local authorities.
Empowered employees Attendo should be a preferred employer that exhibits outstanding leadership and
encourages personal growth and equal opportunities.
Environment in mind Attendo should be a resource-efficient care provider on a path towards net zero
greenhouse gas emissions.
Responsible operations Attendo should be a reliable care provider that delivers values-driven care that is
robust and transparent.

Attendo's focus areas and ambitions

SUSTAINABLE CARE

Key sustainability figures for Q2 2023

Attendo's ambition is to continuously develop and report outcome measurements within sustainability that put the customer at the center and contribute to standardisation within the sector. This is a long-term work and the measurements we work with will be continuously developed.

Focus area Key figures Outcome Comments
Quality of life Customer satisfaction, cNPS
(-100 to +100)
40 (38) Percentage of customers that answered 9 or 10 (0-10) when
asked to recommend Attendo minus the percentage that
answered 6 or below. Based on the most recently completed
measurements in each business area
Relatives satisfaction, rNPS
(-100 to +100)
35 (29) Percentage of relatives of customers that answered 9 or 10
(0-10) when asked to recommend Attendo minus the
percentage that answered 6 or below. Based on the most
recently completed measurements in each business area.
AQ quality index
(0-100, Scandinavia only)
89 (90) The Attendo Quality Thermometer (AQ23). Based on the
most recently completed measurements. This measure is
intended to be replaced with ASCOT (quality of life)
outcomes as soon as possible.
RAI index
(0-10, Finland only)
5.5 (5.5) Measured quality of life based on weighted average of
reported RAI indicators in Attendo Finland. Based on the
most recently completed measurements.
Value-adding care
solutions
Number of customers who
receive care from Attendo
27,200
(27,600)
Refers to beds sold in homes, daily activities, rehabilitation,
family care home placements and home care services
customers in by the end of Q2 2023.
Beds opened in own
operations (capacity made
available), r12
274 Refers to beds in residential homes in own operations
opened in the past twelve months.
Beds under construction in
own operations
(investment in new
capacity), r12
174 Refers to beds in residential homes in own operations for
which construction began in the past twelve months.
Empowered
employees
Employee satisfaction,
eNPS (-100 to +100)
11 (6) Percentage of employees that answered 9 or 10 (0-10) when
asked to recommend Attendo minus the percentage that
answered 6 or below. Based on the most recently completed
measurements in each business area.
Short-term sick leave, % 5.8% (6.5%) Percentage short-term sick in the quarter.
Environment in
mind
Greenhouse gas emissions,
g/SEK
1.5 Emissions of greenhouse gases (GHG), grams CO2e per SEK in
turnover. Refers to the full year 2022.
Responsible
operations
N/A - Key figures for this focus area are being developed.

SUSTAINABLE CARE

Quality audits and deviations

Attendo has strict procedures for managing care deviations. This includes procedures for reporting, managing and following up deviations from internal guidelines or methods, as well as serious incidents that led to or risked leading to health and care injuries to individuals (under the Swedish Lex Sarah and Lex Maria statutes in Sweden).

Attendo's operations are supervised and comprehensively audited by national regulatory authorities, such as the Regional State Administrative Agency (AVI) in Finland and the Health and Social Care Inspectorate (IVO) in Sweden, as well as by contracting local authorities. As a leading care provider, Attendo attaches great importance to both learning from and transparency regarding reported deviations, various types of inspections and their outcomes.

Procedures for self-reporting to and supervision by regulators and the classification of deviations and supervisory cases differ between Attendo's segments and markets. Attendo reports both cases of a serious nature (Sweden) and the number of official cases in progress (Finland).

Scandinavia

A total of 12 cases were reported in Q2 to IVO in Sweden according to Lex Sarah or Lex Maria.

Finland

Two cases were opened by AVI in Finland during Q2 and 16 cases were closed. The total number of cases open was about 33 at the end of Q2.

Other information

Acquisitions

There were no acquisitions during the quarter.

New management in Attendo Skandinavien

The Business Area Director in Attendo Scandinavia, Ulrika Eriksson, has left her position and seat in Attendo's Executive Management Group. Attendo's CEO Martin Tivéus has taken on the position as acting Business Aea Director during a transition period until a successor has been appointed. A recruitment process has been initiated in order to find a new Business Area Director.

Number of shares

The total number of shares is 161,386,592. Attendo holds 453,697 treasury shares and the total number of shares outstanding as of 30 June 2023 was thus 160,932,895.

Number of employees

The average number of employees in Q2 was 21,994 (20,780).

Related party transactions

Transactions with related parties are described in the annual report. Related-party transactions take place on market terms. There were no significant transactions with related parties during the period.

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 of January–June amounted to SEK 9m (8), and were entirely related to services provided to subsidiaries. The loss for the period after net financial items was SEK -17m (-17). At the end of the period, cash and cash equivalents amounted to SEK 0 (0), shares in

subsidiaries to SEK 6,494m (6,494), and non-restricted equity to SEK 6,682m (6,615).

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.

Roundings

Note that roundings occur in text, charts and tables.

Significant events after the reporting date

There were no significant events after the reporting date.

Risks and uncertainties

As a large company with a mission that is essential to society – empowering every individual in our care – and many stakeholders, Attendo is exposed to various types of risks and uncertainties. The work to identify, analyse, assess and manage these risks and uncertainties is a key component of Attendo's strategy and operations.

Attendo takes a systematic approach to risk assessment and management as a central component of the strategic process, where risks in relation to the company's capacity to meet its strategic and financial targets are assessed in a regular and structured manner.

The risks that Attendo is exposed to can be divided into external risks – risks and uncertainty factors regarding the conditions for private companies to conduct care activities and which Attendo can only partially influence, such as political decisions, regulation and access to public funds, operational risks – factors and events that are directly linked to Attendo's operational activities, such as occupancy, pricing and access to competent employees as well as financial risks – risks relating to access to capital, currency, interest rates and liquidity.

The risks and how Attendo manages them are described in greater detail in Attendo's annual report (see the "Risks and risk management" section in the 2022 annual report, pages 57-60).

Current risks

Based on Attendo's strategic focus areas and financial targets, the reform of Finnish care for older people and its effects, availability of qualified staff and the historically high inflation rate are the most significant risks at present. These risks, however, also entail opportunities for Attendo, in its capacity as a large and leading provider in Nordic care, to impact the long-term conditions in the sector.

The Finnish reform in care for older people

In Finland, a comprehensive care reform has been carried out, which has included legal regulation of staffing levels and detailed requirements of how of care work should be carried out. Higher staffing requirements entail higher costs for all providers. Private providers must negotiate with each welfare area on price compensation for staffing changes, which means uncertainty and that compensation can be obtained with a time delay. Staff provision in Finnish care for older people is generally strained and has been exacerbated by the reform.

A challenging business environment

The Russian invasion of Ukraine has no direct impact on Attendo, as Attendo does not operate in either country. The company is, however, suffering indirect impact in the form of higher prices for fuel, energy, food and consumable supplies. There is high risk that it will not be possible to cover increased purchasing costs by raising prices during the year that the costs affect Attendo because compensation for inflation and comparable compensation is normally received after a delay according to contracts with Attendo's payors and is to a certain extent dependent upon political decisions.

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 2022. The most significant accounting policies under IFRS, the reporting norm applied in preparing this interim report, are set forth in Note C1 on pages 72-76 of the annual report for 2022, which were applied to the preparation of this interim report.

The interim information on pages 1-15 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 interim report has not been reviewed by the company's auditors.

Outlook

Attendo does not publish forecasts.

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 20, 2023

Ulf Mattsson

Chairman of the Board

Catarina Fagerholm Alf Göransson Per Josefsson Nora F. Larssen
Board member Board member Board member Board member
Tobias Lönnevall Suvi-Anne Siimes Antti Ylikorkala Katarina Nirhammar

Board member Board member Styrelseledamot Board member Union representative

Martin Tivéus

President and CEO

Financial reports

Consolidated Income Statement

Q2 Jan-Jun Jan-Dec
SEKm 2023 2022 2023 2022 2022
Net sales 4,333 3,546 8,377 7,028 14,496
Other operating income 13 8 24 12 61
Total revenue 4,346 3,554 8,401 7,040 14,557
Personnel costs -2,922 -2,490 -5,587 -4,871 -9,929
Other external costs -704 -583 -1,429 -1,181 -2,454
Operating profit before amortization and depreciations (EBITDA) 720 481 1,385 988 2,174
Amortization and depreciation of tangible and intangible assets -437 -375 -861 -740 -1,500
Operating profit after depreciation (EBITA) 283 106 524 248 674
Operating margin (EBITA), % 6.5 3.0 6.3 3.5 4.6
Amortization and write-down of acquisition related intangible assets -15 -15 -30 -30 -58
Operating profit (EBIT) 268 91 494 218 616
Operating margin (EBIT), % 6.2 2.6 5.9 3.1 4.2
Net financial items -190 -159 -380 -328 -658
Profit before tax 78 -68 114 -110 -42
Income tax -18 5 -26 15 -2
Profit for the period 60 -63 88 -95 -44
Profit margin, % 1.4 -1.8 1.1 -1.4 -0.3
Profit for the period attributable to:
Parent company shareholders 60 -63 88 -96 -45
Non-controlling interest - - - 1 1
Basic earnings per share, SEK 0.37 -0.39 0.55 -0.59 -0.28
Diluted earnings per share, SEK 0.37 -0.39 0.55 -0.59 -0.28
Average number of shares outstanding, basic, thousands 160,933 160,923 160,933 160,918 160,925
Average number of shares outstanding, diluted, thousands 160,949 160,933 160,954 160,933 160,938
Consolidated Statement of Comprehensive Income
Q2 Jan-Jun Jan-Dec

Consolidated Statement of Comprehensive Income

Q2 Jan-Jun
SEKm 2023 2022 2023 2022 2022
Profit for the period 60 -63 88 -95 -44
Other comprehensive income for the period
Items that will not be reclassified to profit or loss
Remeasurements of defines benefit pension plans, net of tax 10 -9 11 1 1
Items that may be reclassified to profit or loss
Exchange rate differences on translating foreign operations
attributable to the parent company shareholders 46 29 53 45 85
Other comprehensive income for the period 56 20 64 46 86
Total comprehensive income for the period 116 -43 152 -49 42
Total comprehensive income attributable to:
Parent company shareholders 116 -43 152 -50 41
Non-controlling interest - - - 1 1

Consolidated Balance Sheet

SEKm 30 Jun 2023 30 Jun 2022 31 Dec 2022
ASSETS
Non-current assets
Goodwill 7,356 7,101 7,204
Other intangible assets 493 518 504
Equipment 645 646 642
Right-of-use assets 12,111 11,216 11,118
Financial assets 568 456 512
Total non-current assets 21,173 19,937 19,980
Current assets
Trade receivables 1,699 1,270 1,400
Other current assets 513 473 437
Cash and cash equivalents 591 412 507
2,803 2,155 2,344
Assets held for sale 1 6 1
Total current assets
2,804 2,161 2,345
Total assets 23,977 22,098 22,325
EQUITY and LIABILITIES
Equity
Equity attributable to the parent company shareholders 5,157 4,911 5,001
Non-controlling interest - 0 -
Total equity 5,157 4,911 5,001
Non-current liabilities
Liabilities to credit institutions 2,367 2,026 2,330
Long-term lease liabilities¹ 12,153 11,318 11,246
Provisions for post-employment benefits 0 0 0
Long term provisions 112 97 88
Other non-current liabilities 172 162 165
Total non-current liabilities 14,804 13,603 13,829
Current liabilities
Liabilities to credit institutions - 0 -
Short-term lease liabilities² 1,425 1,184 1,229
Trade payables 398 443 462
Short-term provisions 32 95 49
Other current liabilities 2,161 1,858 1,755
4,016 3,580 3,495
Liabilities held for sale 0 4 0
Total current liabilities 4,016 3,584 3,495
Total equity and liabilities 23,977 22,098 22,325

1) Long-term lease liabilities include car leases amounting to SEK 13 (5m) and full year 2022 15.

2) Short-term lease liabilities include car leases amounting to SEK 29m (24m) and full year 2022 20.

Consolidated Cash Flow Statement

Q2 Jan-Jun Jan-Dec
Operational cash flow (alternative performance measure), SEKm 2023 2022 2023 2022 2022
Operating profit (EBITA)¹ 283 106 524 248 674
Depreciation and amortization of tangible and intangible assets 437 375 861 740 1,500
Changes in working capital -1 199 -104 266 -70
Paid income tax -18 -17 -37 -44 -60
Other non-cash items 5 -29 0 -29 -51
Cash flow after changes in working capital 706 634 1,244 1,181 1,993
Investments on tangible and intangible assets -46 -56 -80 -117 -204
Divestments of tangible and intangible assets 8 3 14 5 17
Operating cash flow 668 581 1,178 1,069 1,806
Interest received/paid -49 -11 -63 -21 -55
Interest expense for lease liabilities of real estate -165 -152 -328 -305 -605
Repayment of lease liabilities -339 -284 -664 -552 -1,122
Free cash flow 115 134 123 191 24
Net change in assets and liabilities held for sale 0 0 0 0 1
Acquisition of operations - -198 -4 -204 -204
Divestment of subsidiaries - - - - -
Warrants 2 2 2 2 2
Repayment of loans -114 -50 -164 -100 -100
New borrowings 0 - 112 - 250
Total cash flow 3 -112 69 -111 -27
Cash and cash equivalents at the beginning of the period 575 517 507 513 513
Effect of exchange rate changes on cash 13 7 15 10 21
Cash and cash equivalents at the end of the period 591 412 591 412 507
Q2
Jan-Jun
Jan-Dec
Cash flow according to IFRS, SEKm 2023 2022 2023 2022 2022
Cash flow from operations 492 471 853 855 1,333
Cash flow from investing activities -38 -251 -70 -316 -390
Cash flow from financing activities -451 -332 -714 -650 -970
Total cash flow 3 -112 69 -111 -27

Consolidated Statement of Changes in Equity

SEKm 30 Jun 2023 30 Jun 2022 31 Dec 2022
Opening balance 5,001 4,957 4,957
Total comprehensive income attributable to:
The parent company shareholders 152 -50 41
Non-controlling interest - 1 1
Transactions with owners
Warrants 2 2 2
Share-savings plan 2 1 0
Total transactions with owners 4 3 2
Transactions with non-controlling interest - 0
Closing balance 5,157 4,911 5,001
Equity attributable to:
Parent company shareholders 5,157 4,911 5,001
Non-controlling interests - - -

Segment in Summary

Other and
Scandinavia Finland eliminations Group
Q2 Q2 Helår Q2 Q2 Helår Q2 Q2 Helår Q2 Q2 Helår
SEKm 2023 2022 2022 2023 2022 2022 2023 2022 2022 2023 2022 2022
Net sales 1,701 1,631 6,599 2,632 1,915 7,897 - - - 4,333 3,546 14,496
- Net sales, own operations 1,299 1,259 5,114 2,566 1,904 7,852 - - - 3,865 3,163 12,966
- Net sales, outsourcing 402 372 1,484 66 11 45 - - - 468 383 1,529
Lease adjusted EBITA 36 84 380 131 -75 -111 -20 -20 -70 147 -11 199
Lease adjusted operating margin (EBITA), % 2.1 5.2 5.8 5.0 -3.9 -1.4 - - - 3.4 -0.3 1.4
Operating profit (EBITA) 85 131 577 218 -5 167 -20 -20 -70 283 106 674
Operating margin (EBITA), % 5.0 8.0 8.7 8.3 -0.2 2.1 - - - 6.5 3.0 4.6
Other and
Scandinavia
Full
Finland
Full
eliminations
Full
Group
Full
Jan-Jun Jan-Jun year Jan-Jun Jan-Jun year Jan-Jun Jan-Jun year Jan-Jun Jan-Jun year
SEKm 2023 2022 2022 2023 2022 2022 2023 2022 2022 2023 2022 2022
Net sales 3,393 3,238 6,599 4,984 3,790 7,897 - - - 8,377 7,028 14,496
- Net sales, own operations 2,579 2,490 5,114 4,857 3,766 7,852 - - - 7,436 6,256 12,966
- Net sales, outsourcing 814 748 1,484 127 24 45 - - - 941 772 1,529
Lease adjusted EBITA 97 150 380 204 -93 -111 -38 -37 -70 263 20 199
Lease adjusted operating margin (EBITA), % 2.9 4.6 5.8 4.1 -2.5 -1.4 - - - 3.1 0.3 1.4
Operating profit (EBITA) 194 244 577 368 42 167 -38 -37 -70 524 248 674
Operating margin (EBITA), % 5.7 7.5 8.7 7.4 1.1 2.1 - - - 6.3 3.5 4.6

Net Financial Items

Q2 Jan-Jun Jan-Dec
SEKm 2023 2022 2023 2022 2022
Net interest expense (excluding lease liabilities for real estate) -33 -9 -63 -18 -49
Interest expense, lease liabilities for real estate -166 -152 -328 -305 -605
Other 9 2 11 -5 -4
Net financial items -190 -159 -380 -328 -658

Investments

Q2 Jan-Jun
SEKm 2023 2022 2023 2022 2022
Investments
Investments in intangible assets 4 4 7 26 36
Investments in tangible assets 39 52 73 91 168
Divestments of tangible and intangible assets -5 -3 -14 -5 -17
Total net investments 38 53 66 112 187
Intangible assets acquired through business combination
Goodwill 0 118 1 124 124
Customer relations 0 34 4 34 34
Other - - - - -
Total intangible assets acquired through business combination 0 152 5 158 158
Financial Assets and Liabilities
SEKm 30 Jun 2023 30 Jun 2022 31 Dec 2022

Financial Assets and Liabilities

ASSETS
Financial assets measured at fair value
Trade receivables 1,699 1,270 1,400
Cash and cash equivalents 591 412 507
Total financial assets 2,290 1,682 1,907
LIABILITIES
Financial liabilities at fair value through profit or loss
Contingent considerations 59 53 56
Purchase option from non-controlling interests - - -
Financial liabilities measured at amortised cost
Borrowings 2,367 2,026 2,330
Lease liabilities 13,578 12,502 12,475
Trade payables 398 443 462
Total financial liabilities 16,402 15,024 15,323

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 2021, note C26.

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 30 Jun 2023 30 Jun 2022 31 Dec 2022
Assets pledged as collateral 73 55 64
Contingent liabilities¹ 2,402 3,032 2,510

1) 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.

Adjusted Earnings and Adjusted Earnings per Share Q2 2023

Reported Acq.¹ IFRS 16² Total adj. Adjusted
SEKm earnings
Net sales 4,333 - - - 4,333
Other operating income 13 - -7 -7 6
Operating profit before amortization and
depreciation (EBITDA) 720 - -511 -511 209
Amortization and depreciation of tangible and
intangible assets -437 - 375 375 -62
Operating profit (EBITA) 283 - -136 -136 147
Amortization and write-down of acquisition related
intangible assets -15 15 - 15 0
Operating profit (EBIT) 268 15 -136 -121 147
Net financial items -190 - 166 166 -24
Profit before tax (EBT) 78 15 30 45 123
Income tax -18 -3 -5 -8 -26
Profit for the period 60 12 25 37 97
Profit for the period attributable to:
The parent company shareholders 60 12 25 37 97
Non-controlling interests - - -
Average number of shares outstanding, diluted,
thousands 160,949 160,949 160,949 160,949 160,949
Earnings per share diluted, SEK 0.37 0.07 0.16 0.23 0.60

Adjusted Earnings and Adjusted Earnings per Share Q2 2022

Reported Acq.¹ IFRS 16² Total adj. Adjusted
SEKm earnings
Net sales 3,546 - - - 3,546
Other operating income 8 - - - 8
Operating profit before amortization and
depreciation (EBITDA) 481 - -435 -435 46
Amortization and depreciation of tangible and
intangible assets -375 - 318 318 -57
Operating profit (EBITA) 106 - -117 -117 -11
Amortization and write-down of acquisition related
intangible assets -15 15 - 15 -
Operating profit (EBIT) 91 15 -117 -102 -11
Net financial items -159 - 152 152 -7
Profit before tax (EBT) -68 15 35 50 -18
Income tax 5 -3 -7 -10 -5
Profit for the period -63 12 28 40 -23
Profit for the period attributable to:
The parent company shareholders -63 12 28 40 -23
Non-controlling interests - - - - -
Average number of shares outstanding, diluted,
thousands 160,933 160,933 160,933 160,933 160,933
Earnings per share diluted, SEK -0.39 0.08 0.18 0.25 -0.14

Adjusted Earnings and Adjusted Earnings per Share Jan-Jun 2023

Reported Acq.¹ IFRS 16² Total adj. Adjusted
SEKm earnings
Net sales 8,377 - - - 8,377
Other operating income 24 - -7 -7 17
Operating profit before amortization and
depreciation (EBITDA) 1,385 - -999 -999 386
Amortization and depreciation of tangible and
intangible assets -861 - 738 738 -123
Operating profit (EBITA) 524 - -261 -261 263
Amortization and write-down of acquisition related
intangible assets -30 30 - 30 -
Operating profit (EBIT) 494 30 -261 -231 263
Net financial items -380 - 328 328 -52
Profit before tax (EBT) 114 30 67 97 211
Income tax -26 -6 -13 -19 -45
Profit for the period 88 24 54 78 166
Profit for the period attributable to:
The parent company shareholders 88 24 54 78 166
Non-controlling interests - - - - -
Average number of shares outstanding, diluted,
thousands 160,954 160,954 160,954 160,954 160,954
Earnings per share diluted, SEK 0.55 0.15 0.34 0.48 1.03
Reported Acq.¹ IFRS 16² Total adj. Adjusted
SEKm earnings
Net sales 7,028 - - - 7,028
Other operating income 12 - - 12
Operating profit before amortization and
depreciation (EBITDA) 988 - -856 -856 132
Amortization and depreciation of tangible and
intangible assets -740 - 628 628 -112
Operating profit (EBITA) 248 - -228 -228 20
Amortization and write-down of acquisition related
intangible assets -30 30 - 30 -
Operating profit (EBIT) 218 30 -228 -198 20
Net financial items -328 - 305 305 -23
Profit before tax (EBT) -110 30 77 107 -3
Income tax 15 -6 -15 -21 -6
Profit for the period -95 24 62 86 -9
Profit for the period attributable to:
The parent company shareholders -96 24 62 86 -10
Non-controlling interests 1 - - - 1
Average number of shares outstanding, diluted,
thousands 160,933 160,933 160,933 160,933 160,933
Earnings per share diluted, SEK -0.59 0.15 0.39 0.54 -0.06

Adjusted Earnings and Adjusted Earnings per Share Jan-Dec 2022

Reported Acq.¹ IFRS 16² Total adj. Adjusted
SEKm earnings
Net sales 14,496 - - - 14,496
Other operating income 61 - -19 -19 42
Operating profit before amortization and
depreciation (EBITDA) 2,174 - -1,748 -1,748 426
Amortization and depreciation of tangible and
intangible assets -1,500 - 1,273 1,273 -227
Operating profit (EBITA) 674 -475 -475 199
Amortization and write-down of acquisition related
intangible assets -58 58 - 58 -
Operating profit (EBIT) 616 58 -475 -417 199
Net financial items -658 - 605 605 -53
Profit before tax (EBT) -42 58 130 188 146
Income tax -2 -12 -23 -35 -37
Profit for the period -44 46 108 154 110
Profit for the period attributable to:
The parent company shareholders -45 46 108 154 109
Non-controlling interests 1 - - - 1
Average number of shares outstanding, diluted,
thousands 160,938 160,938 160,938 160,938 160,938
Earnings per share diluted, SEK -0.28 0.29 0.67 0.95 0.68

Key Data

Q2 Jan-Jun Jan-Dec
2023 2022 2023 2022 2022
Organic growth % 13.9 6.7 11.4 7.4 6.8
Acquired growth % 1.9 1.9 2.4 2.6 3.0
Change in currencies % 6.4 2.0 5.4 2.1 2.9
Operating margin (EBITA margin) r12 % - - 6.0 5.4 4.7
Lease adjusted operating margin (lease adjusted
EBITA margin) r12 % - - 2.8 2.2 1.4
Working capital SEKm - - -378 -653 -429
Return on capital employed % - - 4.4 3.6 3.2
Net debt to equity ratio times - - 3.0 2.9 2.9
Equity to asset ratio % - - 22 22 22
Net debt/EBITDA r12 times - - 6.0 6.5 6.6
Lease adjusted net debt / Lease adjusted EBITDA times - - 2.7 3.2 4.4
Free cash flow SEKm 115 134 123 191 24
Net investments SEKm -38 -53 -66 -112 -187
Average number of employees 21,994 20,780 21,347 20,264 20,821
Key data per share
Earnings per share, basic SEK 0.37 -0.39 0.55 -0.59 -0.28
Earnigns per share, diluted SEK 0.37 -0.39 0.55 -0.59 -0.28
Adjusted earnings per share, diluted SEK 0.60 -0.14 1.03 -0.06 0.68
Equity per share, basic SEK - - 32.05 30.52 31.07
Equity per share, diluted SEK - - 32.05 30.52 31.07
Average number of shares outstanding, basic thousands 160,933 160,923 160,933 160,918 160,925
Average number of shares outstanding, diluted thousands 160,949 160,933 160,954 160,933 160,938
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 454 454 454 454 454
Number of shares outstanding, end of period thousands 160,933 160,933 160,933 160,933 160,933

Quarterly Data

SEKm Q3 2021 Q4 2021 Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023
Total net sales 3,260 3,338 3,482 3,546 3,679 3,789 4,044 4,333
- Net sales, own operations 2,897 2,957 3,093 3,163 3,298 3,412 3,570 3,865
- Net sales, outsourcing 362 381 389 383 381 377 474 468
Total net sales 3,260 3,338 3,482 3,546 3,679 3,789 4,044 4,333
- Net sales, Scandinavia 1,516 1,584 1,607 1,631 1,670 1,691 1,692 1,701
- Net sales, Finland 1,744 1,754 1,875 1,915 2,009 2,098 2,352 2,632
Lease adjusted operating profit (EBITDA)
Lease adjusted operating margin (EBITDA
261 118 86 46 228 66 177 209
margin), % 8.0 3.5 2.5 1.3 6.2 1.7 4.4 4.8
Lease adjusted operating profit (EBITA)
Lease adjusted operating margin (EBITA
208 65 31 -11 171 8 116 147
margin), % 6.4 2.0 0.9 -0.3 4.7 0.2 2.9 3.4
Operating profit (EBITDA) 657 511 507 481 673 513 665 720
Operating margin (EBITDA margin), % 20.2 15.3 14.6 13.6 18.3 13.5 16.4 16.6
Operating profit (EBITA) 319 172 142 106 295 131 241 283
Operating margin (EBITA margin), % 9.8 5.2 4.1 3.0 8.0 3.5 6.0 6.5
Profit for the period 95 -8 -32 -63 95 -44 28 60
Profit margin, % 2.9 -0.2 -0.9 -1.8 2.6 -1.2 0.7 1.4
Earnings per share basic, SEK 0.58 -0.06 -0.20 -0.39 0.59 -0.27 0.17 0.37
Earnings per share diluted, SEK 0.58 -0.06 -0.20 -0.39 0.59 -0.27 0.17 0.37
Adjusted earnings per share diluted, SEK 0.83 0.21 0.09 -0.14 0.80 -0.07 0.43 0.60
Average number of employees 20,104 19,303 19,749 20,780 21,640 20,403 20,699 21,994
Operational data
Number of units in operation¹ 716 710 711 705 707 705 712 710
Number of beds in homes² 20,935 21,093 21,155 21,062 21,082 20,932 20,923 20,870
Occupancy in homes, %² 83 84 84 84 85 85 86 86
³
Number of opened beds
beds, construction start in the
243 99 60 84 130 - 58 86
quarter³ 96 83 60 5 - 101 58 15
Number of beds under construction³ 449 433 433 354 224 325 325 252

1) All units in all contract models and segments.

2) All homes.

3) Own homes.

Parent Company Income Statement

Q2 Jan-Jun
SEKm 2023 2022 2023 2022 2022
Net sales 4 4 9 8 17
Personnel costs -11 -10 -20 -18 -35
Other external costs -2 -3 -6 -7 -13
Operating profit -9 -9 -17 -17 -31
Net financial items - 0 0 -
Profit after financial items -9 -9 -17 -17 -31
Group contributions - - - -98
Profit before tax -9 -9 -17 -17 -129
Results of commission 36 70 91 116 243
Income tax -4 -12 -16 -21 -29
Profit for the period 23 49 58 78 85
Profit for the period corresponds to total comprehensive income.
Parent Company Balance Sheet
SEKm 30 Jun 2023 30 Jun 2022 31 Dec 2022

Parent Company Balance Sheet

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 182 141 206
Other receivables 26 3 18
Cash and cash equivalents 0 0 0
Total current assets 208 144 224
Total assets 6,702 6,638 6,718
EQUITY AND LIABILITIES
Equity 6,683 6,616 6,623
Current liabilities
Liabilities to group companies 9 11 82
Other liabilities 10 11 13
Total current liabilities 19 22 95
Total equity and liabilities 6,702 6,638 6,718

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 30,000 employees. With the purpose of empowering the individual, Attendo provides services within care for older people, care for people with disabilities, social psychiatry and care for individuals and relatives.

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

Attendo provides care services through 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 relatives.

• 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 relatives.

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.

Definitions of key data and alternative performance measures (APM)

Explanations of financial performance 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 in relation to the comparable period's net sales.

Adjusted earnings per share

(APM)

Profit or loss for the period attributable to the parent company shareholders excluding effects from amortization and impairment of acquisition related intangible assets, IFRS 16 as well as items affecting comparability and related tax items divided by the number of outstanding shares after dilution. See the tables Adjusted earnings and adjusted earnings per share for more information.

Capital employed

Equity plus interest-bearing liabilities and provisions for post-employment benefits. See Note C34 Reconciliations of alternative performance measures in the 2022 annual report for a reconciliation of the performance measure on a full year basis.

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. Calculated both before (basic) and after dilution.

Equity/assets ratio

Equity divided by total assets.

Equity per share

Equity attributable to the parent company shareholders divided by average shares outstanding. Calculated both before (basic) and after dilution.

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 operating cash flow after changes in working capital, cash flow from investments in and divestments of tangible and intangible assets, received/paid interest as well as

interest expense for lease liabilities of real estate and repayment of lease liabilities according to IFRS 16. See the Consolidated cash flow statement for reconciliation and Note C34 Reconciliations of alternative performance measures in the 2022 annual report for a reconciliation of the performance measure on a full year basis.

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.

Lease adjusted EBITA

(APM)

See the definition of operating profit (EBITA) below. Lease 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 lease adjusted operating profit. See the tables Adjusted earnings and adjusted earnings per share for more information.

Lease adjusted EBITDA

(APM)

See the definition of operating profit (EBITDA) below. Lease 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 lease adjusted operating profit. See the tables Adjusted earnings and adjusted earnings per share for more information.

Lease adjusted net debt

(APM)

See the definition of net debt below. Lease 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.

Lease adjusted net debt / lease adjusted EBITDA

(APM)

Lease adjusted net debt in relation to lease adjusted EBITDA r12.

Lease adjusted operating margin (EBITA) (APM)

Lease adjusted operating profit (EBITA) divided by net sales.

Lease adjusted operating margin (EBITDA) (APM)

Lease adjusted operating profit (EBITDA) divided by net sales.

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 / EBITDA

(APM) Net debt divided by operating profit (EBITDA) r12.

Net debt to equity ratio

(APM) Net debt divided by equity.

Net investments

(APM)

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.

Operating margin (EBIT margin)

Operating profit or loss (EBIT) divided by net sales.

Operating margin (EBITA margin)

Operating profit (EBITA) divided by net sales.

Operating margin (EBITDA margin)

Operating profit (EBITDA) 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. 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 amortization and impairments of intangible assets from acquired companies and independently of financing. Operating profit (EBITA) refers to profit before amortization of acquisition related intangible assets, financial items and tax. 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, amortization and impairments. See the Consolidated income statement for a reconciliation of EBITDA.

Organic growth

(APM) Attendo reports organic growth as a performance measure to show underlying net sales development excluding acquisitions/divestments and currency effects. The performance measure is calculated as net sales growth excluding acquisitions / divestments and changes in exchange rates.

Profit (Loss) for the period

Profit or loss for the period attributable to parent company shareholders and noncontrolling 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. See Note C34 Reconciliations of alternative performance measures in the 2022 annual report for a

reconciliation of the performance measure on a full year basis.

Working capital

(APM)

Working capital is a key performance measure 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 C34 Reconciliations of alternative performance measures in the 2022 annual report for a reconciliation of the performance measure on a full year basis.

Explanations of operational measures

CoP

Care for older people.

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.

INFORMATION TO SHAREHOLDERS AND ANALYSTS

Financial Calendar

Interim report January-December 2023 24 October 2023 Year-end report January-December 2023 8 February 2024

Presentation

i

A webcasted presentation will be held on July 20 at 10:00 (CET). You can follow the presentation at the following web link: https://ir.financialhearings.com/attendo-q2-2023/register

Analysts and investors have the opportunity to dial into the presentation to ask questions. Contact information is obtained by emailing to: [email protected]

The report and other information material will be made available at: https://www.attendo.com/

For further information please contact:

Mikael Malmgren Andreas Koch
CFO Communications and IR Director
Phone +46 8 586 252 00 Phone +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 on 20 July 2023 at 08.00 CET.

Forward-looking information

This report contains forward-looking information that reflects Attendo management's current assessments and expectations on certain future circumstances and possible outcome. This type of forward-looking information involves risks and uncertainties that may significantly impact future outcome. The information is based on certain assumptions, including such attributable to general economic conditions in the company's markets and demand for the company's services.

Company number : 559026-7885