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Getinge

Annual Report Jan 28, 2022

2917_10-k_2022-01-28_12fef44c-c122-47cf-adf4-87add3f46fa8.pdf

Annual Report

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Year-end Report

January – December 2021

Comments from Mattias Perjos, President & CEO

Healthy order growth, improved EBITA margin and strong cash flow

"The organic order intake increased 6.4% in the fourth quarter following growth in all business areas and regions. Excluding currency effects, our order bookings are more than 20% larger compared with one year ago. As expected, net sales declined compared with Q4 2020, which saw large deliveries of ICU ventilators. Demand for our products for life supporting ECMO therapy and Sterile Transfer remains strong, while other parts of the operations are demonstrating a stable recovery. In particular, this applies to Surgical Workflows, which also displayed robust margin expansion. Sales of products for planned cardiovascular procedures also increased despite continuing challenges related to COVID-19. Global logistics challenges continued to impact the fourth quarter, although we succeeded in managing this well without any major disruptions for our customers.

We are continuing to implement our strategy – focusing on our most attractive growth areas. An example of this is the acquisition of Talis Clinical, a US-based leading innovator of High Acuity cloud-based software solutions. Talis' offering is the perfect complement to our strong offering in surgery, critical care support and ECMO therapy. During the fourth quarter, we entered into the previously communicated settlement agreement regarding surgical mesh implants, which means that we can now look ahead with full force. Improvements to the operations are continuing to generate effects in the form of a high EBITA margin and strong cash flows, meaning that we are consolidating our solid financial position and have plenty of scope for attractive acquisitions. Finally, I would like to thank our customers, suppliers and employees for a tremendous partnership in 2021!"

October – December 2021 in brief

  • The order intake increased organically by 6.4% and net sales declined organically by 9.6%.
  • Adjusted gross profit amounted to SEK 4,150 M (4,556) and the gross margin was 52.0% (51.5).
  • Adjusted EBITA amounted to SEK 1,723 M (1,817) and the EBITA margin was 21.6% (20.6).
  • Adjusted earnings per share amounted to SEK 4.54 (4.58).
  • Cash flow after net investments amounted to SEK 1,313 M (2,283).
  • After the end of the quarter: Elin Frostehav was appointed President Acute Care Therapies and Eric Honroth President Life Science, starting April 1, 2022.

January – December 2021 in brief

  • The order intake declined organically by 3.0% and net sales declined organically by 4.8%.
  • Adjusted gross profit amounted to SEK 14,392 M (15,874) and the gross margin was 53.2% (53.2).
  • Adjusted EBITA amounted to SEK 5,212 M (5,724) and the EBITA margin amounted to 19.3% (19.2).
  • Adjusted earnings per share amounted to SEK 13.22 (14.43).
  • Cash flow after net investments amounted to SEK 5,946 M (6,207).
  • A dividend of SEK 4.00 (3.00) per share is proposed.

Outlook 2022

Organic sales growth is expected to be in the upper part of the range of 4-6% for the full-year 2022.

Summary of financial performance1)

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M 2021 2020 2021 2020
Order intake 7,629 7,137 28,258 30,568
Organic change, % 6.4 6.1 -3.0 15.6
Net sales 7,987 8,839 27,049 29,819
Organic change, % -9.6 11.1 -4.8 14.3
Adjusted gross profit 4,150 4,556 14,392 15,874
Margin, % 52.0 51.5 53.2 53.2
Adjusted EBITDA 2,118 2,287 6,754 7,487
Margin, % 26.5 25.9 25.0 25.1
Adjusted EBITA 1,723 1,817 5,212 5,724
Margin, % 21.6 20.6 19.3 19.2
Adjusted EBIT 1,652 1,724 4,939 5,261
Margin, % 20.7 19.5 18.3 17.6
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Margin, % 13.9 18.2 16.2 16.0
Profit before tax 1,075 1,541 4,188 4,485
Net profit for the period 775 1,104 3,000 3,273
Adjusted net profit for the period 1,241 1,258 3,632 3,965
Margin, % 15.5 14.2 13.4 13.3
Adjusted earnings per share, SEK 4.54 4.58 13.22 14.43
Earnings per share, SEK 2.83 4.02 10.90 11.89
Cash flow from operating activities 1,570 2,544 6,560 7,199

1) See page 3 for calculations of adjusted performance measures.

Group performance

Order intake

October – December 2021

Order intake business areas, SEK M Oct-Dec 2021 Oct-Dec 2020 Org Δ, % Jan-Dec 2021 Jan-Dec 2020 Org Δ, % Acute Care Therapies 3,919 3,704 4.4 15,335 19,208 -15.7 Life Science 1,307 1,235 7.0 4,120 3,413 26.0 Surgical Workflows 2,403 2,198 9.5 8,803 7,948 15.4 Total 7,629 7,137 6.4 28,258 30,568 -3.0

Order intake
regions, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Americas 2,768 2,627 3.3 10,527 11,601 -3.1
APAC 1,671 1,529 7.3 6,919 6,603 9.5
EMEA 3,190 2,981 8.8 10,812 12,364 -9.5
Total 7,629 7,137 6.4 28,258 30,568 -3.0

Net sales

October – December 2021

Net sales
business areas, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Acute Care Therapies 4,230 5,392 -22.1 15,527 18,719 -12.5
Life Science 1,043 806 29.1 3,558 2,854 29.8
Surgical Workflows 2,715 2,641 4.0 7,965 8,246 0.5
Total 7,987 8,839 -9.6 27,049 29,819 -4.8
Net sales
regions, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Americas 2,698 3,238 -18.4 10,249 11,394 -4.0
APAC 2,153 1,951 10.6 6,632 6,329 9.3
EMEA 3,136 3,651 -12.5 10,167 12,096 -13.0
Total 7,987 8,839 -9.6 27,049 29,819 -4.8
Net sales specified by
capital goods &
consumables, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Capital goods 3,973 5,138 -22.1 12,261 15,473 -17.0
Consumables 4,014 3,702 7.7 14,787 14,346 8.3
Total 7,987 8,839 -9.6 27,049 29,819 -4.8

Net sales – bridge between Q4 2020 and Q4 2021

  • All business areas and regions reported an organic increase in order intake.
  • Acute Care Therapies increased its organic order intake in products for ECMO therapy and planned cardiovascular procedures.
  • Life Science's organic order intake rose mainly due to very strong growth in sterilizers.
  • The organic order intake for Surgical Workflows increased in all categories and regions.
  • Life Science increased its net sales organically in all product categories and regions. Growth was particularly high in APAC.
  • The decline in net sales for Acute Care Therapies was attributable to challenging comparative figures, due to large deliveries of ICU ventilators in Q4 2020. Sales of ECMO therapy products continued to increase at a high pace. Sales in products for planned cardiovascular surgery also increased, despite continuing challenges related to COVID-19.
  • Net sales in Surgical Workflows increased organically due to the strong trend in mainly operating tables and other OR products. Growth was particularly high in APAC.
  • Net sales declined by SEK 852 M, corresponding to -9.6%.
  • Net sales from acquisitions had a positive impact of SEK 4 M, corresponding to 0.1% for the quarter.
  • Exchange rates had an impact of SEK -7 M on sales, corresponding to -0.1%.
  • Mix, price and mostly volume had an impact of SEK -848 M on sales, corresponding to -9.6%.

  • Currency effects impacted adjusted gross profit positively by SEK 35 M and adjusted EBITA positively by SEK 163 M.

  • Despite declining volumes, the gross margin increased by 0.5 of a percentage point as a result of higher productivity and positive currency effects. The business area mix reduced the gross margin.
  • Adjusted operating expenses fell by 10.4% compared with Q4 2020. Expenses fell organically by 5.0%.
  • Adjusted EBITA fell by SEK 94 M year-on-year but the margin increased by 1.0 percentage point to 21.6%.
  • Other items affecting comparability were negatively impacted by a provision of SEK 600 M to cover costs related to the settlement regarding surgical mesh products.
  • Net financial items improved by SEK 33 M as a result of lower net debt and interest expenses.

Underlying earnings trend

2020
29,819
15,874
53.2
-8,387
7,487
25.1
-1,763
5,724
19.2
-463
5,261
17.6
-177
-300
4,784
-299
4,485
5,425
18.2
-1,213
-248
3,965
13.3
3,931
272,370
14.43

1) Excluding items affecting comparability (see Note 3 for depreciation, amortization and write-downs)

2) See Note 5

Adjusted EBITA per business area1)

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M 2021 2020 2021 2020
Acute Care Therapies 1,201 1,653 4,444 5,831
Margin, % 28.4 30.7 28.6 31.1
Life Science 221 112 729 393
Margin, % 21.2 13.9 20.5 13.8
Surgical Workflows 393 156 390 -127
Margin, % 14.5 5.9 4.9 -1.5
Group functions and other (incl. eliminations) -92 -105 -351 -374
Total 1,723 1,817 5,212 5,724
Margin, % 21.6 20.6 19.3 19.2

1) See Note 3 for depreciation and write-downs and Note 5 for other items affecting comparability

Adjusted EBITA – bridge between Q4 2020 and Q4 2021

• Acute Care Therapies reduced its adjusted EBITA by SEK 453 M, mainly due to lower volumes related to ventilators. This also contributed to a slightly lower margin compared with Q4 2020.

  • Life Science's adjusted EBITA rose by SEK 109 M and the margin increased by 7.3 percentage points, mainly due to higher sales volumes and lower operating expenses.
  • Surgical Workflows' adjusted EBITA improved by SEK 237 M and the margin improved by 8.6 percentage points, due to higher volumes and increased productivity.

  • Adjusted operating expenses fell by 10.4% compared with Q4 2020. The difference compared with last year was mainly due to productivity improvements and revaluation of operating receivables and liabilities in foreign currency. Organically the decline was 5.0%.

  • Adjusted gross profit was impacted by translation effects of SEK -6 M and transaction effects and hedging outcome of SEK 41 M.
  • Adjusted EBITA was impacted by translation effects of SEK -3 M and the net of transaction effects, hedging outcome and revaluation of operating receivables and liabilities in foreign currency of SEK 166 M, which mainly affected other operating income and expenses.
  • Cash flow after net investments remained strong, but did not quite reach last year's level that was affected by higher operating profit and a higher share of advance payments related to orders of advanced ICU ventilators.
  • Net debt was positively affected by the strong cash flow, and net debt in relation to adjusted EBITDA R12M continued to improve compared with last year.

Adjusted operating expenses

(excluding depreciation, amortization and write-downs and other items affecting comparability)1) SEK M Oct-Dec 2021 Oct-Dec 2020 Jan-Dec 2021 Jan-Dec 2020 Selling expenses -1,131 -1,222 -4,077 -4,497 Administrative expenses -723 -729 -2,895 -3,048 Research and development costs -222 -182 -804 -770 Other operating income and expenses 44 -136 137 -72 Total -2,032 -2,269 -7,639 -8,387

1) See Note 3 for depreciation and write-downs and Note 5 for other items affecting comparability.

Currency impact

Oct-Dec Jan-Dec
SEK M 2021 2021
Net sales -7 -1,365
Adjusted gross profit 35 -800
Adjusted EBITDA 162 -289
Adjusted EBITA 163 -231
Adjusted EBIT 162 -215

Cash flow and financial position1)

SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Cash flow before changes in working capital 1,778 1,999 5,618 6,352
Changes in working capital -208 545 942 847
Net investments in non-current assets -257 -261 -614 -993
Cash flow after net investments 1,313 2,283 5,946 6,207
Net interest-bearing debt 3,609 7,509
In relation to adjusted EBITDA1)
R12M,
multiple
0.5 1.0
Net interest-bearing debt, excl. pension
provisions
231 4,150
In relation to adjusted EBITDA1)
R12M,
multiple
0.0 0.6

1) See Note 5 for items affecting comparability and Note 7 for alternative performance measures.

Research and development

SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
R&D costs, gross -322 -385 -1,197 -1,462
In relation to net sales, % 4.0 4.4 4.4 4.9
Capitalized development costs 89 111 346 429
In relation to net sales, % 1.1 1.3 1.3 1.4
Research and development costs, net -233 -274 -851 -1,033
Amortization and write-downs of
capitalized R&D -96 -240 -383 -783
Of which write-downs -1 -83 -6 -206
  • Capitalized development costs declined SEK 22 M or 19.8%.
  • Amortization and write-downs related to R&D fell by SEK 144 M compared with the preceding year.

Acute Care Therapies

Acute Care Therapies offers world-leading solutions for life support in acute health conditions. The offering includes solutions for cardiovascular procedures and a broad selection of products and therapies for intensive care.

Order intake and net sales

Order intake Oct-Dec Oct-Dec Jan-Dec Jan-Dec
ECMO therapy products. regions, SEK M 2021 2020 Org Δ, % 2021 2020 Org Δ, %
Americas 1,721 1,666 -0.1 7,129 8,483 -10.1
ventilators was negative but APAC 885 731 17.8 3,732 3,912 -0.1
recovered toward the end of the EMEA 1,314 1,307 2.6 4,474 6,814 -31.5
Net sales Oct-Dec Oct-Dec Jan-Dec Jan-Dec
regions, SEK M 2021 2020 Org Δ, % 2021 2020 Org Δ, %
Americas 1,859 2,491 -27.1 7,105 8,431 -9.9
APAC 1,063 1,110 -5.5 3,760 3,722 5.6
EMEA 1,308 1,791 -25.4 4,661 6,566 -26.0
Total 4,230 5,392 -22.1 15,527 18,719 -12.5

Total 3,919 3,704 4.4 15,335 19,208 -15.7

Net sales specified by
capital goods &
consumables, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Capital goods 1,419 2,835 -50.2 5,090 8,593 -37.8
Consumables 2,811 2,557 9.2 10,437 10,126 9.0
Total 4,230 5,392 -22.1 15,527 18,719 -12.5

Underlying earnings trend1)

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M 2021 2020 2021 2020
Net sales 4,230 5,392 15,527 18,719
Adjusted gross profit 2,587 3,222 9,596 11,536
Margin, % 61.2 59.8 61.8 61.6
Adjusted EBITDA 1,413 1,927 5,272 6,833
Margin, % 33.4 35.7 34.0 36.5
Depreciation, amortization and write-downs of
intangible assets and tangible assets -212 -274 -828 -1,002
Adjusted EBITA 1,201 1,653 4,444 5,831
Margin, % 28.4 30.7 28.6 31.1

1) See Note 3 for depreciation and write-downs and Note 5 for other items affecting comparability.

Events in the business area

  • During the fourth quarter, Getinge announced the acquisition of Talis Clinical LLC, a US-based leading innovator of cloud-based software solutions for high acuity medical care. Talis Clinical's offering is designed to support and document care throughout the perioperative care process, but also in obstetric care, intensive care and ECMO therapy.
  • After the end of the quarter, Getinge completed a minor acquisition of Irasun GmbH, which is based in Munich. The company develops products for venous drainage and temperature control, which can be used in combination with heart lung machines and equipment for extracorporeal life support (ECLS). Through the acquisition, Getinge broadens its portfolio with innovative solutions in surgical perfusion.

  • The order intake remained strong for ECMO therapy products.

  • Growth in the order intake for ventilators was negative but recovered toward the end of the quarter as a result of a new wave of the pandemic.
  • The order intake for products for planned cardiovascular procedures increased during the quarter despite the ongoing pandemic.
  • The decline in sales was mainly due to highly challenging comparative figures for ventilators.
  • Continued strong growth in ECMO therapy products. Products for cardiovascular procedures continued to grow organically compared with 2020, but remained negatively impacted by the ongoing pandemic.
  • The adjusted gross margin increased by 1.4 percentage points despite lower volumes. The effective transition of production combined with a favorable mix contributed to the improvement.
  • Adjusted operating expenses fell by 9.3%. Organically expenses fell by 1.1% compared with Q4 2020, which was characterized by increased costs related to the higher sales of ventilators.
  • Lower sales volumes contributed to the adjusted EBITA margin falling 2.3 percentage points. Positive currency effects helped to reduce the negative effect slightly.
  • Currency effects impacted sales by SEK 27 M, adjusted gross profit by SEK 36 M and adjusted EBITA by SEK 142 M.

Life Science

Life Science offers a comprehensive range of equipment, technical expertise and consultation to prevent contamination in pharmaceutical and medical device production and with the aim to strengthen integrity of results in biomedical research.

Order intake and net sales

Order intake regions, SEK M Oct-Dec 2021 Oct-Dec 2020 Org Δ, % Jan-Dec 2021 Jan-Dec 2020 Org Δ, % Americas 479 418 16.4 1,406 1,336 11.6 APAC 181 239 -26.5 877 558 63.1 EMEA 647 578 14.1 1,837 1,518 24.9 Total 1,307 1,235 7.0 4,120 3,413 26.0 Net sales regions, SEK M Oct-Dec 2021 Oct-Dec 2020 Org Δ, % Jan-Dec 2021 Jan-Dec

regions, SEK M 2021 2020 Org Δ, % 2021 2020 Org Δ, %
Americas 345 272 24.7 1,319 1,103 26.5
APAC 251 132 89.6 692 473 51.0
EMEA 447 402 12.2 1,547 1,278 24.7
Total 1,043 806 29.1 3,558 2,854 29.8
Net sales specified by
capital goods &
consumables, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Capital goods 815 595 37.0 2,696 2,029 38.1
Consumables 228 211 6.7 861 825 9.2
Total 1,043 806 29.1 3,558 2,854 29.8

Underlying earnings trend1)

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M 2021 2020 2021 2020
Net sales 1,043 806 3,558 2,854
Adjusted gross profit 412 320 1,492 1,176
Margin, % 39.5 39.7 41.9 41.2
Adjusted EBITDA 260 142 870 522
Margin, % 24.9 17.6 24.5 18.3
Depreciation, amortization and write-downs of
intangible assets and tangible assets -39 -30 -141 -128
Adjusted EBITA 221 112 729 393
Margin, % 21.2 13.9 20.5 13.8

1) See Note 3 for depreciation and write-downs and Note 5 for other items affecting comparability.

Events in the business area

• In 2021, a project was carried out to expand the production capacity of DPTE BetaBag® in Merrimack, US, to meet the increasing demand in Sterile Transfer. In December, the new production line in Merrimack was in operation. Deliveries will begin in the first quarter of 2022 and volumes are expected to increase gradually during the year.

  • Very strong organic growth in sterilizer orders for the quarter.
  • Sterile Transfer and bioreactors did not fully reach last year's recordbreaking order intake in Q4 but the order books are strong ahead of 2022.
  • Significant growth in the US and large parts of Europe, but challenging comparative figures in China negatively affected order growth in APAC.
  • Continued very healthy organic growth in net sales in the product portfolio as a whole. Bioreactors posted the strongest performance with growth of more than 70%.
  • Net sales also increased in service and spare parts, albeit at a lower rate than in other categories.
  • Growth in all regions, with a particularly favorable performance in APAC.
  • The adjusted gross margin fell by 0.2 of a percentage point as a result of mix effects.
  • Adjusted operating expenses fell by 14.1%. These expenses fell organically by 11.3%
  • Higher sales volumes contributed to adjusted EBITA increasing by SEK 109 M year-on-year and the margin improved by 7.3 percentage points to 21.2%.
  • Currency effects impacted sales by SEK 2 M, adjusted gross profit by SEK 2 M and adjusted EBITA by SEK 7 M.

Surgical Workflows

Surgical Workflows offers products and solutions to serve as an end-to-end partner for optimizing the quality, safety and capacity usage of the sterile supply departments and operating rooms.

Order intake and net sales

Order intake
regions, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Americas 569 543 3.6 1,992 1,782 19.3
APAC 604 559 8.0 2,311 2,134 13.2
EMEA 1,229 1,096 13.2 4,500 4,032 14.8
Total 2,403 2,198 9.5 8,803 7,948 15.4
Net sales
regions, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Americas 493 474 2.2 1,825 1,860 4.6
APAC 840 709 20.9 2,180 2,133 6.6
EMEA 1,382 1,458 -3.6 3,959 4,253 -4.3
Total 0.5
2,715 2,641 4.0 7,965 8,246
Net sales specified by
capital goods &
consumables, SEK M
Oct-Dec
2021
Oct-Dec
2020
Org Δ, % Jan-Dec
2021
Jan-Dec
2020
Org Δ, %
Capital goods 1,739 1,707 4.1 4,475 4,851 -3.4
Consumables 975 934 3.9 3,489 3,394 6.1
Total 2,715 2,641 4.0 7,965 8,246 0.5

Underlying earnings trend1)

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M 2021 2020 2021 2020
Net sales 2,715 2,641 7,965 8,246
Adjusted gross profit 1,151 1,014 3,304 3,163
Margin, % 42.4 38.4 41.5 38.4
Adjusted EBITDA 534 320 949 495
Margin, % 19.7 12.1 11.9 6.0
Depreciation, amortization and write-downs of
intangible assets and tangible assets -140 -163 -559 -622
Adjusted EBITA 393 156 390 -127
Margin, % 14.5 5.9 4.9 -1.5

1) See Note 3 for depreciation and write-downs and Note 5 for other items affecting comparability.

Events in the business area

  • During the quarter, Getinge signed an agreement with HealthTrust (HCA), a leading group purchasing organization (GPO) in the US, for the business area's product portfolio. The agreement is the result of focused efforts by the GPO team in the US and is expected to provide a solid platform for long-term growth in the region.
  • Solar panels were installed at the plant in Suzhou, China, during the quarter. The installation is expected to cover 25% of the plant's energy requirements.
  • During the quarter, Getinge expanded its virtual hospital to include a hybrid operating room (OR) where visitors can interact with products and solutions online. In addition, the virtual hospital is now available in more languages and gives visitors quick access to training information.

  • Organic order growth in all categories and regions and order bookings at the end of the quarter were more than 30% higher than at the end of Q4 2020.

  • The order intake was particularly strong in digital solutions and products for ORs.
  • Net sales increased despite challenges related to the pandemic and hospitals' ability to receive deliveries.
  • Products for ORs reported the strongest performance with organic growth of more than 6%.
  • The organization's focus on the customer offering for service and consumables is continuing to make a positive contribution.
  • The adjusted gross margin increased by 4.0 percentage points, primarily as a result of higher volumes, increased productivity and a favorable mix.
  • Adjusted operating expenses fell by 11.2%. These expenses fell organically by 9.8% compared with Q4 2020, mainly due to lower selling expenses.
  • Adjusted EBITA increased by SEK 237 M and the margin strengthened by 8.6 percentage points as a result of operational leverage effects.
  • Currency effects impacted sales by SEK -37 M, adjusted gross profit by SEK -2 M and adjusted EBITA by SEK 13 M.

Other information

Settlement related to liability claims for surgical mesh products.

At the start of December, Getinge's subsidiary Atrium Medical Corporation entered into a settlement agreement with the plaintiff's lead counsel related to the multidistrict litigation (MDL) linked to surgical mesh product liability in the US. An additional provision of SEK 600 M has been made to account for the settlement in addition to litigation expenses incurred to date.

The settlement agreement was executed to resolve matters pending in the District Court of New Hampshire, US. The settlement is subject to certain contingencies, including participation by a certain high level of plaintiffs in the MDL. Getinge expects the settlement to become final and payment to be made during the first half of 2022.

The settlement is not an admission of liability or wrongdoing by the company. Getinge will continue to defend against any litigation that the final agreement does not resolve. Costs for such litigations are not expected to be material. The litigation against the insurers will also continue to obtain rightful compensation.

The surgical mesh implants are manufactured by Getinge's subsidiary Atrium Medical, which was acquired by Getinge in 2011. Getinge made a provision of SEK 1.8 billion in 2018 for expected costs associated with surgical mesh claims, based on information available at the time. The settlement amount will be funded through available funds. The provision will be reported as an item affecting comparability and it will impact the operating result for Q4 2021.

Financial impact of COVID-19

The outbreak of COVID-19 was characterized by the WHO as a pandemic on March 11, 2020 and is continuing to impact people and society on a global scale. In this situation, Getinge is prioritizing the health and safety of its employees and is taking measures to limit the spread of the virus by following the instructions of the relevant authorities. Getinge is also closely following developments regarding the pandemic and is continuously evaluating the operational and financial effects. Some minor measures to adjust costs were carried out and action plans have been made to further adjust costs and the business if necessary.

The order intake for ventilators declined in the fourth quarter despite demand rising at the end of the period due to a higher rate of infection. However, demand for ECMO therapy products remained higher, which contributed to the order intake for the Acute Care Therapies business area increasing organically by 4.4%. The business area's other product segments, which were negatively impacted by the pandemic since non-essential surgeries were postponed, continued to recover and the order intake rose. The new wave of the pandemic caused by the omicron variant meant that demand did not slow in these product segments.

The order intake for the Life Science business area rose organically by 7.0%. This was largely due to higher demand for sterilizers, which was negatively affected by the COVID-19 pandemic. The order intake for Sterile Transfer products used to manufacture vaccines continued to display high growth. Surgical Workflows – the sole business area that was negatively affected by the pandemic – continued its recovery from the third quarter and all product categories reported positive growth. In total, the order intake for the business area increased organically by 9.5%.

It has been possible to continue work on the installation and servicing of products without any major disruptions, and this was not negatively affected by restrictions in key markets. The production operations experienced logistics challenges and problems with deliveries of components, which could be resolved without any significantly negative consequences arising. Challenging comparative figures as a result of large deliveries of ventilators in Q4 2020 contributed to a decline in sales and earnings for Acute Care Therapies. The areas of Acute Care Therapies that are not directly linked to

treating patients with COVID-19, and that were negatively impacted by the pandemic, continued to recover, despite the negative impact of rising rates of infection.

Life Science's sales and earnings were positively impacted by higher sales growth in all product categories and sales of Sterile Transfer products for manufacturing vaccines continued to report a high rate of growth. Sales for Surgical Workflows increased in the fourth quarter despite challenges related to purchasing and logistics, which were managed successfully. Earnings improved due to higher volumes, productivity improvements and cost savings.

As time passes, the situation regarding the pandemic could result in negative financial effects due to lower demand and disruptions to purchasing, logistics and production. It also cannot be ruled out that installation and service of products at hospitals and care facilities could be limited by restrictions to reduce the spread of the virus.

Events after the end of the reporting period

New Executive Vice Presidents appointed

Getinge appointed two new Executive Vice Presidents and members of the Getinge Executive Team: Elin Frostehav and Eric Honroth.

Elin Frostehav has been appointed President Acute Care Therapies and member of the Getinge Executive Team. Elin currently serves as Vice President Critical Care, a product area within Acute Care Therapies. Elin joined Getinge in 2019 and previously held leading global positions within Semcon, an international technology company, in the areas of product development and digitalization. Prior to Semcon, Elin held various positions at FlexLink, a global factory automation company. Elin succeeds Jens Viebke who will take on a new role in Getinge as Executive Vice President Research & Business Development, focusing on Getinge's Research Programs and M&A activities. In this role, Jens Viebke will continue to report to Mattias Perjos, President & CEO.

Eric Honroth has been appointed President Life Science and member of the Getinge Executive Team. Eric is currently President North America Region in Getinge and has been with the company since 2018. He has more than 20 years of extensive experience in global leadership roles in the medical devices industry, including roles at Becton Dickinson, CareFusion and Abbott Vascular. Eric succeeds Harald Castler who after a long and successful career at Getinge has decided to retire. All changes are effective as of April 1, 2022.

Acquisition of Irasun GmbH

After the end of the quarter, Getinge completed a minor acquisition of Irasun GmbH, which is based in Munich. The company develops products for venous drainage and temperature control, which can be used in combination with heart lung machines and equipment for extracorporeal life support (ECLS). Through the acquisition, Getinge broadens its portfolio with innovative solutions in surgical perfusion.

Getinge's primary risks, consequences and management 1)

Description Potential consequences Management
New competitors
and new
technology
Certain markets and product
segments have niche players who
offer solutions outside customary
market behavior.
These competitors could capture
market shares from more
established companies such as
Getinge, resulting in a negative
effect on Getinge's sales and
earnings.
Getinge's long-term strategy includes active business
intelligence of the competitive landscape to react to this type
of competitor. The industry is also considered to have high
barriers to entry since medical devices are subject to extensive
regulatory requirements.
External shocks,
such as
geopolitical risks,
natural disasters,
terrorism,
pandemics, etc.
These are often quickly escalating
situations that affect large parts
of the world, a country, a region or
a specific site.
The primary consequence of this
type of risk is that employees could
be injured. There is also the risk of
business interruptions that could
have a negative impact on sales and
earnings.
Active business intelligence can detect some of these risks at
an early stage and the Group will then have the chance to
adapt to the new situation. A process to further enhance the
Group's work on continuity risks was started in 2021. As part of
this process, scenarios based on external shocks will also be
included in the risks that Getinge proactively works on.
Quality risks from a
regulatory
perspective
Significant parts of Getinge's
product range are covered by
legislation stipulating extensive
assessments, quality control and
documentation.
It cannot be ruled out that Getinge's
operations, financial position and
earnings may be negatively
impacted in the future by difficulties
in complying with current
regulations and requirements of
authorities and control bodies or
changes to such regulations and
requirements.
To limit these risks to the greatest possible extent, Getinge
conducts extensive work focused on quality and regulatory
issues. The Group-wide Quality & Regulatory Compliance
function has a representative in the Getinge Executive Team
and also a representative on the management teams of each
business area, and the function is represented in all R&D and
production units. In addition, Getinge's sales force and service
technicians receive relevant quality and regulatory training
every other year to renew their certification. This is a
requirement for representing Getinge.
The majority of the Group's production facilities are certified
according to the medical device quality standard ISO 13485
and/or the general quality standard ISO 9001. In total, the
Group allocates significant resources to quality and regulatory
matters in order to best manage this risk exposure, and quality
is the overall priority in the Group's strategy.
Product quality
from a customer
perspective
In certain cases, Getinge's
products do not meet customer
expectations.
Customers experiencing
shortcomings in Getinge's product
quality could chose other suppliers.
This could entail a risk of lower sales
and lower profitability over time.
Getinge applies a far-reaching quality process that aims to
ensure a high and even level of quality to meet customers'
legitimately high requirements. This is an ongoing process that
results in continuous improvements. When quality fails, it is
important to rapidly bring the right equipment on site to rectify
the fault during the first service visit. Getinge closely monitors
the "first time fix" factor of its services operations and works
extensively to make improvements related to such faults or
shortcomings.
Laws and
regulations mainly
on business ethics
Contraventions of competition
law, anti-corruption, data privacy
(GDPR) or trade restrictions.
Could lead to fines or penalties in
one or more markets and have a
negative impact on the Getinge
brand.
Getinge has previously provided information about ongoing
investigations and agreements with the authorities regarding
anti-competitive procedures in the sale of medical devices in
Brazil. It cannot be ruled out that any further agreements with
authorities may have a material impact on the company's
financial earnings and position.
Getinge has a zero tolerance policy when it comes to
contraventions of these regulations. The Group's Code of
Conduct is very clear in this respect. The Ethics & Compliance
Group staff function was expanded during the year and the
head of the department has been a member of the Getinge
Executive Team since 2020 to further demonstrate how highly
the organization prioritizes these issues.
Getinge has a comprehensive ongoing training program within
business ethics and the objective is that all employees should
receive such training at least once a year. Getinge's business
ethics regulations also apply to external distributors who sell
Getinge's products in a large number of countries in which the
Group does not have its own presence.
Digitization and
innovation
Getinge's future growth depends
on the company's ability to
develop new and successful
products, particularly in the area
of digitization. Getinge's ability to
innovate is a very important factor
in retaining and establishing
leading positions for the Group's
product segments.
Innovation efforts are costly and it is
not possible to guarantee that
developed products will be
commercially successful, which
could result in impairment. In the
long term, the Group's position in
the market could be negatively
affected if Getinge is unsuccessful in
this area.
As a means of maximizing the return on investments in
research and development, the Group applies a structured
selection and planning process that includes careful analyses
of the market, technological progress, choice of production
method and selection of subcontractors. The actual
development work is also conducted in a structured manner
and each project undergoes a number of fixed control points.
The Group is particularly concerned with ensuring access to
the right skills, retaining key individuals, being an attractive
employer to recruit talent externally, and identifying and
developing talent within the organization.

1) For information regarding risks related to COVID-19 and the ongoing pandemic, refer to the section on "Financial impact of COVID-19" on page 8.

Other risks of major importance to Getinge

Description Potential consequences Management
Risks related to
health care
reimbursement
systems
Political decisions can change the
conditions for health care through
changed reimbursement models
for health care providers.
Changes to the health care
reimbursement system can have a
major impact on individual markets
by reducing or deferring grants.
It is difficult to influence this risk since these decisions are
outside the Group's control but the risk is limited by Getinge
being active in a large number of geographical markets.
Product liability
risks
Health care suppliers run a risk,
like other players in the health
care industry, of being subject to
product liability and other legal
claims.
Such claims can involve large
amounts and significant legal
expenses. Getinge carries the
customary indemnity and product
liability insurance, but there is a risk
that this insurance coverage may
not fully cover product liability and
other claims.
The best way of managing these risks is the extensive quality
related and regulatory activities performed by the Group.
Sources of potential future claims for damages are monitored
through active incident reporting. Corrective and protective
action (CAPA) is initiated when necessary to investigate the
underlying cause, after which the product design may be
corrected to remedy the fault.
Risks related to
intellectual
property rights
Getinge's leading positions in
many of the Group's product
segments are based on patent
and trademark rights. These rights
could lead to disputes with
competitors.
Getinge invests significant
resources in product development
that results in patent rights. There is
a risk that the Group will be involved
in costly disputes concerning such
rights and thus a risk that invested
resources will not generate the
expected return if such a dispute is
lost.
To secure returns on these investments, Getinge actively
upholds its rights and monitors competitors' activities closely.
If required, Getinge will protect its intellectual property rights
through legal processes.
Financial risks Getinge is exposed to a number of
financial risks in its operations.
Financial risks principally pertain
to currency risks, interest-rate
risks, and credit and counterparty
risks.
Fluctuations in exchange rates and
interest rates and changes in
counterparties' credit profiles could
adversely affect the Group's income
statement and balance sheet.
Risk management is regulated by the finance policy adopted by
the Board and a Treasury directive decided by the Getinge
Executive Team based on the finance policy. The ultimate
responsibility for managing the Group's financial risks and
developing methods and principles of financial risk
management lies with the Getinge Executive Team and the
treasury function. For more detailed information concerning
these risks, refer to Note 28 of the Annual Report.
Information and
data security
Leaks of confidential information
or hacking into the Group's IT
system resulting in restricted
availability or interruptions of
business-critical systems.
Leaks of personal data could lead to
high fines. Hacking into IT systems
could lead to business interruptions.
A loss of sensitive information may
adversely affect confidence in the
company.
The Group's IT structure can be considered to be decentralized,
which reduces the consequence of any unauthorized access.
The Group improved user authentication during the year to
prevent hacking. This work will continue in the year ahead. The
Group also closely monitors critical systems to prevent
hacking.
Deficiencies in
cyber security
Security deficiencies in the
Group's digital offering, such as
connected machines at customer
sites and stricter legal
requirements for processing
personal data.
Restricted availability of equipment
delivered by Getinge to its
customers, which could result in
interruptions to the hospital
operations and it not being possible
to offer patients sufficient care in
critical situations.
Getinge works diligently to ensure the integrity of its
equipment that is connected to the Internet. In-depth access
testing and other measures are carried out before these
solutions are offered to the Group's customers.
Business
interruptions
Unforeseen and sudden events,
such as natural disasters, fires,
etc. that result in disruptions to
production or the supply chain.
Potential interruptions and higher
costs in the supply chain and
production could lead to more costly
or delayed deliveries or, in a worst
case scenario, non-delivery to
Getinge's customers. Such a
situation risks negative
consequences for the Group's
earnings.
In the first half of 2022, there is a continuing risk of temporary
business interruptions linked to a further deterioration in the
global availability of electronic components as a result of the
ongoing pandemic. The Group continuously works on claims
prevention to ensure a high level of availability and delivery
reliability. External experts inspect the Group's production
units on a regular basis to identify and take action on potential
interruption risks, following a Group-wide standard. The
process of further improving the Group's business continuity
will continue in 2022.
Profitability
dependent
on certain
products and
markets
In certain cases, a relatively large
share of the total profitability of a
product is linked to sales in a
certain market.
The consequence of such a situation
is that profitability can be adversely
affected if sales volumes were to
decline due to a changed
competitive situation in the market.
Getinge works actively to monitor profitability per product and
market in order to ensure profitability over time. To reduce the
sensitivity of profitability, the Group actively works on ensuring
that it has the right cost level in relation to the current price
levels in the market. Getinge also works actively to establish
itself in new markets.
Dependence on
external suppliers
External suppliers that deliver
critical components to the Group
are a highly important part of
Getinge's manufacturing process.
Production disruptions may arise
if these components are not
supplied on schedule.
One of the potential consequences
of this is that life saving equipment
may not be delivered to hospitals as
required for maintaining critical
health care.
Getinge works actively to monitor critical deliveries. This
process is initiated when the partnership is established and is
then continuously monitored. The purchasing organization has
tools for evaluating risk and for training in this area. The Group
also works on ensuring that it has adequate levels of critical
components in stock, either in its own operations or with the
relevant supplier. Interruptions of critical deliveries are also
included in the general activities related to business continuity
risks. Refer to "Business interruptions" above.

Seasonal variations

Getinge's sales and earnings are affected by seasonal variations. The highest net sales are usually generated in the fourth quarter, followed by the second, third and first quarters. The shares of sales derived from capital goods and consumables also normally changes during the year, with a higher share of sales of capital goods toward the end of the year.

Transactions with related parties

Getinge carried out normal commercial transactions with Arjo (which was distributed to shareholders in December 2017) for the sale and purchase of goods and services. In addition, no other significant transactions with related parties occurred during the period other than transactions with subsidiaries.

Forward-looking information

This report contains forward-looking information based on the current expectations of company management. Although management deems that the expectations presented by such forwardlooking information are reasonable, no guarantee can be given that these expectations will prove correct. Accordingly, the actual future outcome could vary considerably compared with what is stated in the forward-looking information, due to such factors as changed conditions regarding finances, market and competition, changes in legal and regulatory requirements and other political measures, and fluctuations in exchange rates.

Getinge's financial targets 2022-2025 and dividend policy

  • Average annual organic growth in net sales: 4-6%
  • Average adjusted earnings per share growth: >10%
  • Getinge's dividend policy is to pay dividends of 30-50% of net profit to shareholders.

Dividend

The Board of Directors and CEO propose a dividend for 2021 of SEK 4.00 (3.00) per share, which amounts to SEK 1,089 M (817). The final date for trading including the right to receive dividends is April 26, 2022 and the proposed record date is April 28, 2022. Euroclear expects to distribute the dividend to shareholders on May 3, 2022.

2022 Annual General Meeting

Getinge AB's Annual General Meeting will be held on April 26, 2022 and is planned to take place in Kongresshallen at Hotel Tylösand in Halmstad, Sweden. However, Getinge is monitoring the development of the ongoing pandemic and has made preparations for alternative arrangements, if necessary. Shareholders wishing to have a matter addressed at the Annual General Meeting can submit their proposal to Getinge's Board Chairman by e-mail: [email protected], or by mail: Getinge AB, Att: Bolagsstämmoärenden, Box 8861, SE-402 72 Gothenburg, Sweden. To ensure inclusion in the notice and the agenda, proposals must be received by the company not later than March 8, 2022.

Assurance

The Board of Directors and CEO assure that the interim report provides a true and fair review of the Parent Company and the Group's operations, position and earnings and describes the material risks and uncertainties faced by the Parent Company and the Group.

Gothenburg, January 28, 2022

Johan Malmquist Chairman, AGM-elected Board member

Carl Bennet Vice Chairman, AGM-elected Board member

Johan Bygge AGM-elected Board member

Cecilia Daun Wennborg AGM-elected Board member

Sofia Hasselberg AGM-elected Board member

Mattias Perjos President & CEO, AGM-elected Board member

Barbro Fridén AGM-elected Board member

Rickard Karlsson Board member

Representative of the Swedish Metalworkers' Union

Malin Persson AGM-elected Board member

Dan Frohm AGM-elected Board member

Åke Larsson Board member Representative of the Swedish Association of Graduate Engineers

Kristian Samuelsson AGM-elected Board member

This interim report is unaudited.

Consolidated financial statements

Consolidated income statement

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
SEK M Note 2021 2020 2021 2020
Net sales 2 7,987 8,839 27,049 29,819
Cost of goods sold -4,048 -4,681 -13,469 -15,097
Gross profit 2, 3 3,939 4,158 13,580 14,722
Selling expenses -1,264 -1,402 -4,590 -5,285
Administrative expenses -834 -859 -3,337 -3,498
Research and development costs -233 -274 -851 -1,033
Acquisition expenses -19 -4 -35 -8
Restructuring costs 24 -1 -61 -169
Other operating income and expenses -501 -8 -336 55
Operating profit (EBIT) 2, 3 1,112 1,610 4,371 4,784
Net financial items 2 -36 -69 -183 -299
Profit after financial items 2 1,075 1,541 4,188 4,485
Taxes -300 -437 -1,187 -1,213
Net profit for the period 775 1,104 3,000 3,273
Attributable to:
Parent Company shareholders 771 1,094 2,970 3,239
Non-controlling interests 4 10 31 34
Net profit for the period 775 1,104 3,000 3,273
Earnings per share, SEK1) 2.83 4.02 10.90 11.89
Weighted average number of shares for calculation of
earnings per share (000s)
272,370 272,370 272,370 272,370

1) Before and after dilution

Consolidated statement of comprehensive income

SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Net profit for the period 775 1,104 3,000 3,273
Other comprehensive income
Items that cannot be restated in profit for the period
Actuarial gains/losses pertaining to defined-benefit pension
plans
-145 95 -5 -13
Tax attributable to items that cannot be restated in profit 43 -25 10 -1
Items that can later be restated in profit for the period
Translation differences and hedging of net investments 490 -1,704 1,614 -2,319
Cash flow hedges 4 19 -22 -16
Tax attributable to items that can be restated in profit -6 -2 -17 21
Other comprehensive income for the period, net after tax 384 -1,616 1,580 -2,327
Total comprehensive income for the period 1,159 -513 4,580 946
Comprehensive income attributable to:
Parent Company shareholders 1,151 -500 4,543 936
Non-controlling interests 8 -12 37 9
Total comprehensive income for the period 1,159 -513 4,580 946

Consolidated balance sheet

SEK M
Note
December 31
2021
December 31
2020
Assets
Intangible assets 24,148 22,085
Tangible assets 3,060 2,956
Right-of-use assets 1,060 1,017
Financial assets 1,217 1,526
Inventories 4,767 4,513
Accounts receivable 4,695 5,338
Other current receivables 1,532 1,524
Cash and cash equivalents
6
4,076 6,056
Total assets 44,555 45,014
Equity and liabilities
Equity 25,176 21,486
Provisions for pensions, interest-bearing
6
3,378 3,359
Lease liabilities
6
1,036 990
Other interest-bearing liabilities
6
3,270 9,216
Other provisions 4,186 3,115
Accounts payable 1,921 1,446
Other non-interest-bearing liabilities 5,587 5,402
Total equity and liabilities 44,555 45,014

Changes in equity for the Group

Other
capital
Retained Non
controlling
Total
SEK M Share capital provided Reserves1) earnings Total interests equity
Opening balance at January 1, 2020 136 6,789 1,965 11,606 20,496 477 20,973
Total comprehensive income for the period - - -2,288 3,225 936 9 946
Dividend - - - -409 -409 -24 -433
Closing balance at December 31, 2020 136 6,789 -323 14,422 21,024 462 21,486
Opening balance at January 1, 2021 136 6,789 -323 14,422 21,024 462 21,486
Total comprehensive income for the period - - 1,568 2,974 4,543 37 4,580
Dividend - - - -817 -817 -41 -858
Transactions with non-controlling interests - - - - - -32 -32
controlling interests
Closing balance at December 31, 2021 136 6,789 1,245 16,579 24,750 427 25,176

1) Reserves pertain to cash flow hedges, hedges of net investments and translation differences.

Consolidated cash flow statement

SEK M Note Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Operating activities
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Add-back of depreciation, amortization and write-downs 3 466 637 1,814 2,467
Other non-cash items 553 44 460 60
Add-back of restructuring costs1) -24 1 61 169
Paid restructuring costs -40 -63 -203 -262
Financial items -41 -80 -192 -313
Taxes paid -249 -150 -693 -553
Cash flow before changes in working capital 1,778 1,999 5,618 6,352
Changes in working capital
Inventories 329 631 -71 -544
Operating receivables -716 86 805 1,121
Operating liabilities 179 -172 208 270
Cash flow from operating activities 1,570 2,544 6,560 7,199
Investing activities
Acquisition of operations 8 -596 -169 -715 -999
Investments in intangible assets and tangible assets -265 -284 -930 -1,045
Divestment of non-current assets 8 24 316 53
Cash flow from investing activities -853 -430 -1,329 -1,991
Financing activities
Change in interest-bearing liabilities -1,177 -1,627 -5,989 543
Depreciation of lease liabilities -99 -115 -389 -390
Change in long-term receivables -3 -9 -1 -17
Dividend paid -17 -3 -858 -433
Cash flow from financing activities -1,296 -1,753 -7,237 -297
Cash flow for the period -579 360 -2,006 4,911
Cash and cash equivalents at the beginning of the period 4,654 5,716 6,056 1,254
Translation differences 1 -20 26 -110
Cash and cash equivalents at the end of the period 4,076 6,056 4,076 6,056

1) Excluding write-downs on non-current assets

Note 1 Accounting policies

The Group's interim report has been prepared in accordance with IAS 34 Interim Financial Reporting and the Swedish Annual Accounts Act. For the Parent Company, the report has been prepared in accordance with the Swedish Annual Accounts Act and RFR 2. The accounting policies adopted are consistent with those applied for the 2020 Annual Report and should be read in conjunction with that Annual Report.

For practical reasons, the figures in this interim report have not been rounded off, which is why notes and tables may not total correct amounts. Unless otherwise specified, all figures pertain to SEK M and figures in parentheses pertain to the year-earlier period. The interim report provides alternative performance measures for monitoring the Group's operations.

Note 2 Segment overview

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Net sales, SEK M 2021 2020 2021 2020
Acute Care Therapies 4,230 5,392 15,527 18,719
Life Science 1,043 806 3,558 2,854
Surgical Workflows 2,715 2,641 7,965 8,246
Total 7,987 8,839 27,049 29,819
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Gross profit, SEK M 2021 2020 2021 2020
Acute Care Therapies 2,467 3,012 9,132 10,861
Life Science 391 303 1,419 1,102
Surgical Workflows 1,082 843 3,028 2,759
Total 3,939 4,158 13,580 14,722
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Operating profit (EBIT), SEK M 2021 2020 2021 2020
Acute Care Therapies 559 1,640 3,685 5,312
Life Science 215 76 702 337
Surgical Workflows 449 -3 369 -489
Group functions and other (incl. eliminations)1) -111 -103 -386 -375
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Net financial items -36 -69 -183 -299
Profit after financial items 1,075 1,541 4,188 4,485

1) Group functions and other refer mainly to central functions such as finance, communication, HR and other items, such as eliminations

Note 3 Depreciation, amortization and write-downs

SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Acquired intangible assets -71 -93 -273 -494
Intangible assets -166 -309 -661 -1,069
Right-of-use assets -99 -118 -398 -405
Tangible assets -130 -117 -483 -500
Total -466 -637 -1,814 -2,467
of which write-downs -1 -83 -7 -257
SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Cost of goods sold -210 -268 -813 -1,017
Selling expenses -133 -164 -513 -754
Administrative expenses -111 -113 -442 -433
Research and development costs -11 -93 -47 -263
Restructuring costs - - - -
Total -466 -637 -1,814 -2,467
of which write-downs -1 -83 -7 -257

Note 4 Quarterly results

SEK M Oct-Dec
2021
Jul-Sep
2021
Apr-Jun
2021
Jan-Mar
2021
Oct-Dec
2020
Jul-Sep
2020
Apr-Jun
2020
Jan-Mar
2020
Net sales 7,987 6,306 6,587 6,169 8,839 7,976 6,971 6,033
Cost of goods sold -4,048 -3,173 -3,160 -3,089 -4,681 -3,846 -3,513 -3,057
Gross profit 3,939 3,133 3,427 3,080 4,158 4,130 3,458 2,976
Operating expenses -2,828 -2,038 -2,222 -2,120 -2,548 -2,217 -2,701 -2,470
Operating profit (EBIT) 1,112 1,094 1,205 960 1,610 1,913 757 505
Net financial items -36 -43 -48 -56 -69 -72 -80 -78
Profit after financial items 1,075 1,052 1,157 903 1,541 1,841 677 427
Taxes -300 -285 -351 -251 -437 -446 -179 -150
Net profit for the period 775 767 806 652 1,104 1,395 497 277

Note 5 Adjustment items

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted EBITA, SEK M
Acute Care Therapies
2021
1,201
2020
1,653
2021
4,444
2020
5,831
Life Science 221 112 729 393
Surgical Workflows 393 156 390 -127
Group functions and other (incl. eliminations) -92 -105 -351 -374
Total 1,723 1,817 5,212 5,724
Adjustments of EBITA, SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Specification of items affecting comparability that impact EBITA
Acquisition and restructuring costs, Acute Care Therapies 18 -8 -1 -62
Acquisition and restructuring costs, Life Science 0 0 -2 0
Acquisition and restructuring costs, Surgical Workflows 6 2 -58 -113
Write-down of R&D, Acute Care Therapies2) - - - -73
Write-down of R&D, Life Science2) - -29 - -29
Write-down of R&D, Surgical Workflows 2) - -45 - -108
Impairment of receivables, Acute Care Therapies3) - -47 - -47
Impairment of receivables, Acute Care Therapies2) - -8 - -8
Impairment of receivables, Surgical Workflows2) - -7 - -7
Write-down of inventories, Acute Care Therapies1) - -38 - -38
Write-down of inventories, Life Science1) - -1 - -1
Write-down of inventories, Surgical Workflows1) - -92 - -92
Restored unutilized provision, Acute Care Therapies3) - 183 - 183
Capital gain on divestment of properties, Acute Care Therapies3) - - 72 -
Provision related to Mesh, Acute Care Therapies3) -601 - -601 -
Other, Acute Care Therapies1) - - - -2
Other, Surgical Workflows1) - - - -3
Other, Acute Care Therapies2) - -11 - -17
Other, Surgical Workflows2) - -7 - -18
Other, Surgical Workflows3) 56 -8 56 -8
Group functions and other (incl. eliminations) -19 2 -35 -2
Total -540 -115 -568 -446
Items affecting comparability per segment
Acute Care Therapies -583 70 -530 -65
Life Science 0 -30 -2 -30
Surgical Workflows 62 -157 -2 -349
Group functions and other (incl. eliminations) -19 2 -35 -2
Total -540 -115 -568 -446

1) Reported in Cost of goods sold

2) Reported in Operating expenses

3) Reported in Other operating income and operating expenses

EBITA, SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Acute Care Therapies 618 1,724 3,914 5,766
Life Science 221 82 727 363
Surgical Workflows 455 -1 388 -476
Group functions and other (incl. eliminations) -111 -103 -386 -375
Total 1,183 1,702 4,643 5,278
Adjustments of EBIT (in addition to the above adjustments of EBITA),
SEK M
Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Specification of items affecting comparability that impact
EBIT but not EBITA
Write-down of acquired intangible assets,
Acute Care Therapies1)
- - - -31
Total, Group - - - -31
1) Reported in Operating expenses
Adjustments of EBIT, SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Items affecting comparability that impact EBITA (according to above) -540 -115 -568 -446
Items affecting comparability that impact EBIT but not EBITA
(according to above)
- - - -31
Total -540 -115 -568 -477
Adjustment of tax, SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Amortization and write-down of acquired intangible assets1) 71 93 273 463
Items affecting comparability 540 115 568 477
Adjustment items, total 611 207 841 940
Tax effect on adjustment items2) -145 -53 -209 -248
Adjustment for tax items affecting comparability
- - - -

1) Excluding write-downs classified as items affecting comparability

2) Tax effect on tax deductible adjustment items

Note 6 Consolidated net interest-bearing debt

SEK M December 31
2021
December 31
2020
Other interest-bearing liabilities, current 475 2,196
Other interest-bearing liabilities, long-term 2,795 7,020
Provisions for pensions, interest-bearing 3,378 3,359
Lease liabilities 1,036 990
Interest-bearing liabilities 7,685 13,565
Less cash and cash equivalents -4,076 -6,056
Net interest-bearing debt 3,609 7,509

Note 7 Key figures for the Group

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Financial and operative key figures 2021 2020 2021 2020
Key figures based on Getinge's financial targets
Organic growth in net sales, % -9.6 11.1 -4.8 14.3
Earnings per share1), SEK 2.83 4.02 10.90 11.89
Other operative and financial key figures
Organic growth in order intake, % 6.4 6.1 -3.0 15.6
Gross margin, % 49.3 47.0 50.2 49.4
Selling expenses, % of net sales 15.8 15.9 17.0 17.7
Administrative expenses, % of net sales 10.4 9.7 12.3 11.7
Research and development costs, % of net sales 4.0 4.4 4.4 4.9
Operating margin, % 13.9 18.2 16.2 16.0
EBITDA, SEK M 1,577 2,247 6,185 7,251
Average number of shares, thousands 272,370 272,370 272,370 272,370
Number of shares at the end of the period, thousands 272,370 272,370 272,370 272,370
Interest-coverage ratio, multiple 47.5 30.5
Net debt/equity ratio, multiple 0.14 0.35
Net debt/Rolling 12m adjusted EBITDA, multiple 0.5 1.0
Operating capital, SEK M 28,561 32,374
Return on operating capital, % 17.3 16.3
Return on equity, % 12.9 15.1
Equity/assets ratio, % 56.5 47.7
Equity per share, SEK 92.43 78.88
Number of employees 10,729 10,818

1) Before and after dilution

Alternative performance measures

Alternative performance measures refer to financial measures used by the company's management and investors to evaluate the Group's earnings and financial position and that cannot be directly read or derived from the financial statements. These financial measures are intended to facilitate analysis of the Group's performance. Accordingly, the alternative performance measures should be considered a supplement to the financial statements prepared in accordance with IFRS. The financial measures recognized in this report may differ from similar measures used by other companies.

Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted gross profit, SEK M 2021 2020 2021 2020
Gross profit 3,939 4,158 13,580 14,722
Add-back of:
Depreciation, amortization and write-downs of intangible assets
and tangible assets 210 268 813 1,017
Other items affecting comparability - 130 - 135
Adjustment for write-downs included in other
items affecting comparability
- - - -
Adjusted gross profit 4,150 4,556 14,392 15,874
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted EBITDA, SEK M 2021 2020 2021 2020
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Add-back of:
Depreciation, amortization and write-downs of intangible assets and
tangible assets 395 544 1,542 1,973
Amortization and write-down of acquired intangible assets 71 93 273 494
Other items affecting comparability 545 36 473 59
Acquisition and restructuring costs -5 5 95 177
Adjustment for write-downs included in other items affecting
comparability and restructuring costs - - - -
Adjusted EBITDA 2,118 2,287 6,754 7,487
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted EBITA, SEK M 2021 2020 2021 2020
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Add-back of:
Amortization and write-down of acquired intangible assets 71 93 273 494
Other items affecting comparability 545 110 473 269
Acquisition and restructuring costs -5 5 95 177
Adjustment for write-downs of acquired intangible assets included in
other items affecting comparability and restructuring costs - - - -
Adjusted EBITA 1,723 1,817 5,212 5,724
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted EBIT, SEK M 2021 2020 2021 2020
Operating profit (EBIT) 1,112 1,610 4,371 4,784
Add-back of:
Other items affecting comparability 545 110 473 300
Acquisition and restructuring costs -5 5 95 177
Adjusted EBIT 1,652 1,724 4,939 5,261
Oct-Dec Oct-Dec Jan-Dec Jan-Dec
Adjusted net profit for the period, SEK M 2021 2020 2021 2020
Net profit for the period 775 1,104 3,000 3,273
Add-back of:
Amortization and write-down of acquired intangible assets 71 93 273 494
Other items affecting comparability 545 110 473 300
Acquisition and restructuring costs -5 5 95 177
Adjustment for write-downs of acquired intangible assets included in
other items affecting comparability and restructuring costs - - - -31
Tax items affecting comparability - - - -
Tax on add-back items -145 -53 -209 -248
Adjusted net profit for the period 1,241 1,258 3,632 3,965

Note 8 Acquisitions

Net assets acquired, SEK M 2021 2020
Intangible assets 125 418
Tangible assets 2 13
Inventories 34 84
Accounts receivable 7 99
Other current receivables 3 49
Cash and cash equivalents 1 30
Other provisions -12 -5
Other interest-bearing liabilities - -11
Accounts payable -5 -39
Other non-interest-bearing liabilities -18 -187
Identifiable net assets 137 451
Goodwill 909 610
Total purchase prices 1,046 1,061
Add/Less
Additional purchase prices and other adjustments 2 6
Acquisition of shares from non-controlling interests 32 -
Unpaid purchase prices -364 -38
Cash and cash equivalents in the acquired businesses -1 -30
Impact on the Group's cash and cash equivalents 715 999

Acquisitions in 2021

Talis Clinical and development activities from Verrix were acquired in 2021. In addition, shares in the subsidiary Pulsion Medical Systems SE were acquired for SEK 32 M and an amount of SEK 2 M was paid due to adjustments of working capital related to the acquisition of Quadralene. The table above presents the fair value of acquired identifiable net assets, recognized goodwill and the impact on the Group's cash and cash equivalents.

Talis Clinical

In December 2021, 100% of Talis Clinical LLC, a US-based leading innovator of High Acuity cloud-based software solutions, was acquired. The company's offering complements Getinge's existing products for the perioperative care process, critical care support and ECMO therapy. Talis Clinical has 56 employees and generated sales of SEK 57 M in 2021. The purchase price amounted to SEK 844 M, of which SEK 248 M comprised contingent purchase prices that may be paid in 2024 if specific regulatory approval and certificates are obtained. In addition, a maximum of USD 26.5 M may be paid in earn-outs if certain financial targets are met. The costs of the acquisition amounted to SEK 12 M and were charged to earnings for 2021. The goodwill that arose in connection with the acquisition amounted to SEK 782 M, and is primarily attributable to strategic advantages and sales-related synergies. The acquisition has not had any material impact on Getinge's sales and earnings in 2021. At the time of publication of this report, the acquisition analysis was preliminary.

Verrix

In September 2021, Getinge acquired development activities related to biological indicators from Verrix, an American start-up company. The products are in a development phase and not yet commercially available but in the long term are intended to strengthen the Group's offering in sterile reprocessing. The purchase price amounted to SEK 202 M, of which SEK 127 M pertained to goodwill that is primarily attributable to strategic advantages in the form of growth opportunities and a broader product range. The costs of the acquisition amounted to SEK 3 M and were charged to earnings. At the time of publication of this report, the acquisition analysis was still preliminary.

Parent Company financial statements

Parent Company's income statement

SEK M Oct-Dec
2021
Oct-Dec
2020
Jan-Dec
2021
Jan-Dec
2020
Administrative expenses -21 24 -31 -58
Other operating income and expenses - - - 38
Operating profit -21 24 -31 -20
Result from participations in Group companies -3 255 1,820 308
Interest income and other similar income1) 0 1 1 1
Interest expenses and other similar expenses1) -60 -43 -263 -394
Profit after financial items -84 237 1,527 -105
Appropriations 102 243 102 243
Taxes -24 -78 -29 -22
Net profit/loss for the period2) -6 402 1,600 116

1) Interest income and other similar income and interest expenses and other similar expenses include exchange-rate gains and losses attributable to the translation of financial receivables and liabilities measured in foreign currencies

2) Comprehensive income for the period corresponds to net profit for the period

Parent Company's balance sheet

SEK M December 31
2021
December 31
2020
Assets
Intangible assets 8 24
Tangible assets 4 6
Participations in Group companies 28,795 28,090
Deferred tax assets 94 106
Receivables from Group companies 233 295
Current receivables 36 28
Cash and cash equivalents 1,330 950
Total assets 30,500 29,499
Equity and liabilities
Equity 21,802 21,019
Long-term liabilities 1,170 -
Other provisions 15 32
Current liabilities to Group companies 7,238 6,932
Current liabilities 275 1,516
Total equity and liabilities 30,500 29,499

Definitions

Financial terms

Operating capital: Average total assets with add-back of cash and cash equivalents, other provisions, accounts payable and other non-interest-bearing liabilities.

Return on operating capital: Rolling 12 months' adjusted EBIT in relation to operating capital.

Return on equity: Rolling 12 months' profit after tax in relation to average equity.

Gross margin: Gross profit in relation to net sales.

Adjusted gross profit: Gross profit with add-back of depreciation, amortization and write-downs and other items affecting comparability.

EBIT: Operating profit.

Adjusted EBIT: Operating profit (EBIT) with add-back of acquisition and restructuring costs and other items affecting comparability.

EBITA: Operating profit (EBIT) before addback of amortization and write-down of acquired intangible assets.

Adjusted EBITA: EBITA with add-back of acquisition and restructuring costs and other items affecting comparability.

EBITA margin: EBITA in relation to net sales.

EBITDA: Operating profit (EBIT) with addback of amortization, depreciation and write-downs.

Adjusted EBITDA: EBITDA with add-back of acquisition and restructuring costs and other items affecting comparability.

EBITDA margin: EBITDA in relation to net sales.

Equity per share: Equity in relation to the number of shares at the end of the period.

Cash flow after net investments: Cash flow from operating activities and investing activities, excluding acquisitions and divestment of operations.

Consumables: Products that are continuously consumed as well as service, spare parts and similar items.

Adjusted earnings per share: Adjusted net profit for the period attributable to Parent Company shareholders in relation to average number of shares.

Items affecting comparability: Comprises acquisition and restructuring costs and other items affecting comparability. Other items affecting comparability are significant revenue/expenses that impact comparability between accounting periods. These items include, but are not limited to, write-downs, disputes and major gains and losses attributable to divestments of assets or businesses.

Capital goods: Durable products that are not consumed when used.

Net debt/equity ratio: Net interestbearing debt in relation to equity.

Organic change: A financial change adjusted for currency, acquisitions and divestments of businesses.

Adjusted net profit for the period: Net profit for the period with add-back of amortization and write-down of acquired intangible assets, acquisition and restructuring costs, other items affecting comparability and tax effect of add-back of income-statement items.

Adjusted profit before tax: Profit before tax for the period with add-back of amortization and write-down of acquired intangible assets, acquisition and restructuring costs and other items affecting comparability.

Earnings per share: Net profit attributable to Parent Company shareholders in relation to average number of shares.

Interest-coverage ratio: Rolling 12 months' adjusted EBITDA in relation to rolling 12 months' net interest.

Operating margin: Operating profit (EBIT) in relation to net sales.

Equity/assets ratio: Equity in relation to total assets.

Currency transaction effect: Exchange of current year's volumes of foreign currency at this year's exchange rates, compared with the exchange rates in the preceding year.

Medical terms

Sterilizer: A device to eliminate microorganisms on surgical instruments, usually by high temperature with steam.

DPTE BetaBag®: Bag that ensures contamination-free transfer of components.

ECMO: Extracorporeal membrane oxygenation, meaning oxygenation outside the body through a membrane. Put simply, a modified cardiac and respiratory machine that exchanges oxygen and carbon dioxide, like an artificial lung.

Endoscope: Equipment for visual examination of the body's cavities, such as the stomach.

Endovascular: Vascular treatment using catheter technologies.

Extracorporeal life support: Oxygenation of the patient's blood outside the body (extracorporeal) using advanced medical technology.

Hemodynamic monitoring: Monitoring the balance between blood pressure and blood flow.

Cardiopulmonary: Pertaining or belonging to both heart and lung.

Cardiovascular: Pertaining or belonging to both heart and blood vessels.

Artificial grafts: Artificial vascular implants.

Low temperature sterilization: A device used to sterilize surgical instruments which cannot be sterilized with high temperature steam. It is mainly used for instruments used in the minimal invasive and robotic surgery.

NAVA: Neurally Adjusted Ventilatory Assist (NAVA) identifies the electric activity that activates the diaphragm and using these signals adapts the ventilation to the patient's respiratory rhythm.

Stent: A tube for endovascular widening of blood vessels.

Vascular intervention: A medical procedure conducted through vascular puncturing instead of using an open surgery method.

Ventilator: Medical device to help patients breath.

Geographic areas

Americas: North, South and Central America.

APAC: Asia and Pacific. EMEA: Europe, Middle East and Africa.

Teleconference

Teleconference with President & CEO Mattias Perjos and CFO Lars Sandström on January 28, 2022 at 10:00-11:00 a.m. CET. Please see dial in details below to join the conference:

SE: +46 850 558 357 UK: +44 333 300 92 60 US: +1 646 722 49 03

A presentation will be held during the telephone conference. To access the presentation, please use this link: https://tv.streamfabriken.com/getinge-q4-2021

Alternatively, use the following link to download the presentation: https://www.getinge.com/int/about-us/investors/reports-presentations/

A recording will be available for three years via the following link: https://tv.streamfabriken.com/getinge-q4-2021

Financial information

Updated information on, for example, the Getinge share and corporate governance is available on Getinge's website www.getinge.com. The Annual Report, year-end report and interim reports are published in Swedish and English and are available for download at www.getinge.com. The preliminary dates for financial communication are provided below:

March 30, 2022 2021 Annual Report
April 26, 2022 Annual General Meeting
April 26, 2022 Q1 Report 2022
July 19, 2022 Q2 Report 2022
October 19, 2022 Q3 Report 2022
February 1, 2023 Q4 Report 2022

Contact

Lars Mattsson, Head of Investor Relations +46 (0)10 335 0043 [email protected]

Jeanette Hedén Carlsson, Executive Vice President, Communications & Brand Management +46 (0)10 335 1003 [email protected]

This information is such that Getinge AB must disclose in accordance with the EU Market Abuse Regulation. The information was submitted for publication, through the agency of the contact person set out above, on January 28, 2022 at 8:00 a.m. CET.

With a firm belief that every person and community should have access to the best possible care, Getinge provides hospitals and life science institutions with products and solutions that aim to improve clinical results and optimize workflows. The offering includes products and solutions for intensive care, cardiovascular procedures, operating rooms, sterile reprocessing and life science. Getinge employs over 10,000 people worldwide and the products are sold in 130 countries. Getinge has been listed on Nasdaq OMX Stockholm, Nordic Large Cap since 1993 and is included in the OMXS30 index of the 30 most actively traded shares.

Getinge AB (publ) │ Lindholmspiren 7a, 417 56 Gothenburg, Sweden │Tel: +46 (0)10 335 0000 │E-mail: [email protected] │ Corp. Reg. No.: 556408-5032 │ www.getinge.com

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