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Humana — Earnings Release 2021
Feb 10, 2022
3059_10-k_2022-02-10_c242d1e1-764d-4194-8727-a66bbb1005e9.pdf
Earnings Release
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Temporarily weaker result in fourth quarter rounded off a stable 2021
Fourth quarter, October–December 2021
- Operating revenue was SEK 2,110 million (1,948), an increase of 8 percent. Organic growth was 3.4 percent.
- Operating profit amounted to SEK 82m (101), a decline of 18 percent. Adjusted operating profit was SEK 85m (101), a decline of 16 percent.
- Net profit after tax for the period amounted to SEK 33m (49).
- Basic and diluted earnings per share for the period amounted to SEK 0.68 (0.94).
- Operating cash flow amounted to SEK 157m (296).
Full year, January–December 2021
- Operating revenue was SEK 8,188m (7,797), an increase of 5 percent. Organic growth was 3.1 percent.
- Operating profit amounted to SEK 493m (471), an increase of 5 percent. Adjusted operating profit was SEK 495m (453), an increase of 9 percent.
- Net profit after tax for the period amounted to SEK 276m (262).
- Basic and diluted earnings per share for the period amounted to SEK 5.67 (4.94).
- Operating cash flow amounted to SEK 785m (779).
Significant events in and after the end of the quarter
- The acquisition of Balans Behandling AB was completed in October after Humana entered into an agreement to acquire the company in the second quarter of 2021. The business comprises enhanced foster care, outpatient care with an assisted living home and a treatment home. The company's annual revenue is approximately SEK 60m and has around 20 employees.
- In November, Humana acquired the assistance company Enigheten Personlig assistans AB with an annual revenue of approximately SEK 50m and around 150 employees.
- On 17 December, Johanna Rastad took over as the new President and CEO of Humana AB, succeeding Rasmus Nerman who had been President and CEO since 2015.
- After the end of the quarter, Humana acquired the Finnish individual and family care company Kalliola Oy, which provides individual and family care to children and youths, accommodation and outpatient care in southern Finland. The company's annual revenue is approximately EUR 9m, corresponding to SEK 93m, and has around 190 employees.
- Humana's Board proposes to the 2022 AGM that no dividend be paid for the 2021 financial year and that any profits be carried forward.
Key ratios
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
% | Jan–Dec 2021 |
Jan–Dec 2020 |
% |
|---|---|---|---|---|---|---|
| Net revenue | 2,101 | 1,947 | 8% | 8,176 | 7,771 | 5% |
| Other operating revenue | 9 | 1 | 613% | 12 | 26 | -54% |
| Operating revenue | 2,110 | 1,948 | 8% | 8,188 | 7,797 | 5% |
| Operating profit | 82 | 101 | -18% | 493 | 471 | 5% |
| Adjusted operating profit | 85 | 101 | -16% | 495 | 453 | 9% |
| Net profit for the period | 33 | 49 | -32% | 276 | 262 | 5% |
| Operating cash flow | 157 | 296 | -46% | 785 | 779 | 1% |
Comments from the CEO
The Humana Group reported strong growth during the fourth quarter and the overall underlying operations were positive. Operating profit, on the other hand, was weak. A large part of the decline in profit was linked to the Individual & Family operations, in which we completed a major adaptation and quality assurance initiative that involves adapting ourselves to increasingly challenging needs across society. The effects of the pandemic also weighed down profit during the quarter. The full year 2021 can be summarised financially as solid, with stable growth (5 percent), profitability (6 percent) and debt (4.6x EBITDA). We are close to our financial targets, but we have more work to do to fully achieve them.
The Humana Group's revenue increased during the fourth quarter by 8 percent to SEK 2.1 billion. Organic growth was 3.4 percent. For the full year, revenue grew by 5 percent to SEK 8.2 billion while organic growth amounted to 3.1 percent. Adjusted operating profit amounted to SEK 85m during the quarter, a decrease of 16 percent, partly due to temporary reasons. Adjusted operating profit for the full year was SEK 495m, an increase of 9 percent compared to the previous year.
Three acquisitions
During the quarter and in January, we had the pleasure of welcoming three new operations into Humana with a total of 350 employees and annual revenues corresponding to SEK 200m. In October, we completed the acquisition of the individual and family company Balans Behandling AB, based in northern Sweden (and for which we had entered into an acquisition agreement back in the second quarter). In November, we acquired the assistance company Enigheten Personlig assistans AB, which has operations in Dalarna. Finally, after the end of the quarter in early January, we acquired the Finnish individual and family company Kalliola Oy, which strengthens our presence in the Uusimaa region, not least in the Helsinki region.
Pandemic took off again
The fourth quarter was unfortunately marked by the pandemic, with the new omicron variant of the virus

spreading at a rate we had not experienced before. Our procedures for managing infection are well established and continued to work well. However, the rapid spread of infection in society and the quarantine rules greatly increased levels of sick leave and absence. Infection spreading through our operations combined with the challenging staffing levels and absences ultimately had a negative effect on both costs and revenue in the quarter, at the same time as state subsidies decreased.
Adaptation and quality assurance initiative
A large part of the decrease in profit in the quarter refers to the Individual & Family business area. The underlying operation is to some extent negatively affected by the pandemic. However, a major part of the decrease in profit for the business area in the quarter is explained by non-recurring costs. Costs linked to decisions during the year to close a handful of units amounted to SEK 15m. Consequently, there was neither a positive contribution to the result from these units. In addition, we had costs of approximately SEK 10m for adapting existing units to change in demand, but also costs for starting up new units. Over time we expect these new units to compensate for the closed operations.
In recent years, demand within residential care homes has gradually changed and we now welcome clients with increasingly special needs. This can for example involve problems linked to major societal
challenges such as gang criminality, honour-related violence and drug abuse. We work continuously with adjustments and quality assurance to adapt our operations to society's development and needs, but during the fourth quarter a major adaptation and quality assurance work was completed. The work included increasing the competence level in certain existing operations through training and methodological work, increasing or changing staffing, and adapting premises to be able to meet the stated needs of our contractors. We chose to close a handful of units. In parallel, five new units were opened in the quarter; four units offering housing for adults with functional impairments (covered by LSS) and one residential care home aimed at children and youths.
All in all, our own adaptation and quality assurance work, the start-ups of new units and the acquisitions we have made within Individual & Family during the year will make us better prepared to face an increasingly difficult social climate and meet the care needs that follow from this development.
The pandemic has affected occupancy
With regard to other business areas, Elderly Care also had a weak quarter in terms of profit, ending in a deficit both in the quarter and for the full year. The pandemic has affected occupancy and staffing negatively and the ramp up of five new homes under own management have advanced slower than planned. We are now initiating a work to increase the pace of change and measures will be taken to achieve our objectives for the business area.
Personal Assistance continued to develop stably despite the reduced size of the market, the prevailing pandemic and its associated staffing challenges.
Operations in Finland are continuing to build a solid foundation for the future and after adjusting non-recurring items, the business developed according to plan. Adjusted operating profit in the quarter entails an improvement in profitability compared with the previous year, while the pandemic remains a challenge. In January, the first regional elections to the new welfare areas were held in line with the SOTE reform, and this is something we are monitoring closely.
Reform to strengthen competence in Norway
Operations in Norway remained strong, driven both by growth in assistance and a high opening rate for care homes, which is reflected in organic growth. As of 2022, requirements for a university degree for all new employees working with children and youths within individual and family care will apply in Norway. The background is a reform, which aims to strengthen

We are developing the important area of quality monitoring, meaning that from the first quarter of 2022 we will report on quality through a new index consisting of twelve important parameters that we consider crucial for quality and its development and which better highlight the quality status within the Group.
quality and competence in these care services. In March, the new government in Norway is expected to appoint a public inquiry to study how commercial operations can be phased out in various tax-financed welfare services.
Expanded quality measurement via the new index
Systematic quality efforts are absolutely central to the care we provide. For several years, we have continuously measured and openly reported on our quality through the Humana Quality Index, HQI. In 2022, we will take the next step. We are developing the important area of quality monitoring, meaning that from the first quarter of 2022 we will report on quality through a new index consisting of twelve important parameters that we consider crucial for quality and its development in our operations and which better highlight the quality status within the Group.
To conclude, I took over as President and CEO of Humana on December 17 and this year-end report is, thus, my first report in the new role. It is with humility and great pleasure that I take on the task of leading Humana. This is a company with a unique commitment among its employees and a drive to help people, our customers and clients, lead a good life. I now look forward to working with all my colleagues in continuing to develop our operations, while at the same time striving to ensure positive progress within Nordic care as a whole.
Stockholm, 10 February 2022
Johanna Rastad
President and CEO, Humana AB

This is Humana
We drive the future of welfare
Humana is there for people with functional impairment, psychosocial disorders and mental illness, as well as for the elderly. Our vision is Everyone is entitled to a good life.
With assignments in hundreds of municipalities, 9,000 customers and clients, 18,000 employees and several hundred units in Sweden, Finland, Norway and Denmark, we are a major provider in Nordic welfare today. Humana shows what quality care is all about. Our work is based on the individual's circumstances and needs. Our care is grounded in scientific evidence and the best available know-how, and is provided by knowledgeable, dedicated employees. Both our own and external surveys confirm that we succeed in what we do time and time again. But we won't stop there. Continuous development to maintain the highest quality is an essential aspect for us. We intend to set a new, higher standard of care. This is how we drive the future of Nordic care and welfare.
Everyone is entitled to a good life. Humana works to make this a reality.
Five business areas Operations in four countries

Strong market position in the Nordics
Humana is a Nordic care group with marketleading positions in individual and family care and personal assistance. We are growing in elderly care and are building new care homes under our own management.
18 329 employees
9,384 customers
8,188 revenue, SEK millions
The financial data on this page refers to the full year 2021.
Strategy for sustainable care
Humana's vision and overall objective deal with social sustainability at an individual and societal level. For that reason, sustainability is an integral part of our strategy.
We have defined four strategic target areas: quality, attractiveness as an employer, profitable growth and social responsibility. These target areas, together with our core values, steer our business towards the vision that everyone is entitled to a good life.
Sweden, 73%
Finland, 16% Norway, 11% Denmark, 0%
STRATEGIC TARGET AREAS QUALITY OPERATIONS ATTRACTIVE EMPLOYER

OBJECTIVE The obvious choice of provider of care services for customers, clients and contractors who require high quality.
PROFITABLE GROWTH
SOCIALLY RESPONSIBLE PROVIDER

Financial overview
Operating revenue by business area
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
% | Jan–Dec 2021 |
Jan–Dec 2020 |
% |
|---|---|---|---|---|---|---|
| Individual & Family | 578 | 528 | 9.5% | 2,257 | 2,101 | 7.4% |
| Personal Assistance | 768 | 743 | 3.3% | 3,042 | 2,931 | 3.8% |
| Elderly Care | 190 | 157 | 20.7% | 669 | 608 | 10.1% |
| Finland | 328 | 321 | 2.2% | 1,284 | 1,327 | -3.2% |
| Norway | 241 | 193 | 25.0% | 916 | 788 | 16.4% |
| Other3) | 5 | 5 | -4.3% | 20 | 43 | -54.5% |
| Total operating revenue | 2,110 | 1,948 | 8.3% | 8,188 | 7,797 | 5.0% |
Organic growth by business area
| Percent | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Individual & Family | -2.8% | 2.2% | 0.9% | 0.4% |
| Personal Assistance | 1.5% | 3.8% | 1.9% | 4.1% |
| Elderly Care | 20.6% | 10.3% | 10.1% | 7.7% |
| Finland | 1.5% | -4.1% | -0.5% | 7.4% |
| Norway | 17.5% | 9.8% | 13.8% | 8.9% |
| Total organic growth | 3.4% | 3.1% | 3.1% | 4.1% |
Operating profit by business area
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
% | Jan–Dec 2021 |
Jan–Dec 2020 |
% |
|---|---|---|---|---|---|---|
| Individual & Family | 7 | 38 | -80.9% | 168 | 190 | -11.5% |
| Personal Assistance1) | 57 | 34 | 68.4% | 208 | 160 | 30.2% |
| Elderly Care | -8 | 4 | -290.9% | -3 | 10 | -127.5% |
| Finland2) | 2 | 10 | -75.7% | 56 | 62 | -10.2% |
| Norway | 33 | 19 | 75.0% | 103 | 69 | 49.6% |
| Other3) | -10 | -4 | n/a | -40 | -20 | n/a |
| Total operating profit | 82 | 101 | -18.5% | 493 | 471 | 4.7% |
Operating margins by business area
| Percent | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|
|---|---|---|---|---|---|
| Individual & Family | 1.3% | 7.1% | 7.5% | 9.0% | |
| Personal Assistance | 7.5% | 4.5% | 6.8% | 5.5% | |
| Elderly Care | -4.0% | 2.8% | -0.4% | 1.6% | |
| Finland | 0.7% | 3.1% | 4.3% | 4.6% | |
| Norway | 13.8% | 9.9% | 11.3% | 8.7% | |
| Total operating margin | 3.9% | 5.2% | 6.0% | 6.0% |
1) Operating profit in the fourth quarter 2021 includes retroactive repayment of previously paid-in pension premiums totalling SEK 11m.
2) Operating profit in the fourth quarter 2021 includes a final settlement of a dispute of SEK -13m.
3) Operating revenue and operating profit in the second quarter 2020 include capital gain on the sale of properties of SEK 17m.
Group development
Revenue
Operating revenue in the fourth quarter amounted to SEK 2,110m (1,948), an increase of 8.3 percent. Organic revenue increased by 3.4 percent (3.1) for the quarter. All operations contribute, except for Individual & Family. Acquired operations contributed SEK 87m to revenue in the fourth quarter. Operations under own management accounted for 95 percent of total revenue in the quarter, and contracted operations accounted for 5 percent.
Operating revenue for the full year amounted to SEK 8,188m (7,797), an increase of 5.0%. Organic revenue growth was 3.1 percent (4.1). Acquired operations contributed SEK 203m. Operations under own management accounted for 95 percent of total revenue and contracted operations accounted for 5 percent.
The pandemic continued to impact operations throughout 2021, above all the end of the fourth quarter was burdened by the pandemic. Revenue was negatively affected both in the quarter and throughout the full year, primarily through lower occupancy in elderly care in Sweden and Finland but also in other operations.
Profit
Operating profit for the fourth quarter totalled SEK 82m (101), a decrease of 18.5 percent. The decrease is attributable to Individual & Family, Elderly Care and Finland. The operating margin was 3.9 percent (5.2). Adjusted operating profit amounted to SEK 85m (101), a decrease of 15.8 percent, and was attributable to Individual & Family and Elderly Care. The adjusted operating margin was 4.0 percent (5.2). Adjusted operating profit includes retroactive repayment of previously paid-in pension premiums (SEK 11m) in Personal Assistance and a final settlement of a dispute (SEK -13m) in Finland.
Operating profit for the full year totalled SEK 493m (471), an increase of 4.7 percent, and the operating margin amounted to 6.0 percent (6.0). Adjusted operating profit amounted to SEK 495m (453), an increase of 9.3 percent. The adjusted operating margin was 6.0 percent (5.8). Adjusted operating profit includes retroactive repayment of previously paid-in pension premiums (SEK 11m) in Personal Assistance and the final settlement of a dispute (SEK -13m) in Finland, while the comparative period was impacted by a capital gain from the sale of property totalling SEK 17m.
The Covid-19 pandemic has affected the Group in several ways. Lower occupancy had a negative effect on revenue while a high number of sickness absences and PPE increased costs, at the same time as state subsidies were limited. Overall, the financial impact on the Group in the fourth quarter was negative and, thus, somewhat negative for the full year.
Effects on profit from lease contracts regarding rent, depreciation, amortisation and financial costs as a consequence from the accounting standard IFRS 16, which has been applied since 1 January 2019, amounted to SEK 18m in the quarter (see table).
| IFRS 16 effects, SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Rental charges | 103 | 87 | 382 | 342 |
| Depreciation and amortisation | -85 | -73 | -316 | -288 |
| Operating profit | 18 | 15 | 66 | 55 |
Revenue

Operating profit

| Net financial effect | -25 | -20 | -90 | -71 |
|---|---|---|---|---|
| Profit before tax | -7 | -5 | -24 | -24 |
Operating cash flow and interest-bearing net debt
Operating cash flow in the fourth quarter amounted to SEK 157m (296). The decrease is mainly attributable to changes in working capital.
Humana's interest-bearing net debt increased by SEK 715m to SEK 4,226m. (3,511). Net debt increased mainly due to increased lease liabilities and reduced cash. The leverage ratio, measured as interest-bearing net debt in relation to adjusted EBITDA, is 4.6x (4.3).
In order to improve the capital structure, Humana repurchased shares of SEK 159m in the first quarter of 2021. In September, Humana used 769,200 shares as consideration in an acquisition. As of 31 December 2021, the holding of treasury shares amounts to 8 percent of the total number of outstanding shares corresponding to SEK 258m at cost. The repurchased shares have reduced cash and equity, which increases the company's interest-bearing net debt. In the future, the company's holding of treasury shares may ultimately be used as payment for or to finance acquisitions of companies and/or other assets. They may also be cancelled.

Performance by business area
Individual & Family

Revenue for the fourth quarter amounted to SEK 578m (528), an increase of 9.5 percent compared to the corresponding period last year. The increase in revenue for the quarter was driven by acquisitions. Organic growth was -2.8 percent (2.2). The negative organic growth is mainly due to closed operations within children and youths. Revenue for the full-year period increased by 7.4 percent to SEK 2,257m (2,101). Acquisitions and new units drove the increase in revenue. Organic growth for the full year was 0.9 percent (0.4).
Operating profit for the fourth quarter totalled SEK 7m (38), a year-on-year decrease of 80.9 percent. Closed operations had a negative effect on the quarter, the related costs amounted to SEK 15m. This was partly offset by acquired operations. Furthermore, quality-enhancing measures in the operations and within properties had a negative effect on profit by approximately SEK 10m. Operating profit for the full year totalled SEK 168m (190), a decrease of 11.5 percent. The operating margin for the quarter was 1.3 percent (7.1) and 7.5 percent (9.0) for the full-year period. The full year is also negatively affected by closed operations, partly offset by acquired operations.
Personal Assistance

Revenue increased by 3.3 percent to SEK 768m (743) in the fourth quarter. Organic growth was 1.5 percent (3.8). Revenue for the full-year period was SEK 3,042m (2,931), an increase of 3.8 percent, of which 1.9 percent (4.1) was organic. The increase in revenue was mainly due to a higher attendance allowance and acquired operations, partly offset by fewer assistance hours.
Operating profit for the quarter totalled SEK 57m (34), an increase of 68.4 percent. Operating profit for the full year totalled SEK 208m (160), an increase of 30.2 percent. Adjusted for retroactive repayment of previously paidin pension premiums (SEK 11m), operating profit for the quarter amounted to
Percentage of Group revenue Q4 2021

Operating revenue and operating margin

Percentage of Group revenue Q4 2021

Operating revenue and operating margin

SEK 46m (34) and SEK 197m (160) for the full year. The operating margin was 7.5 percent (4.5) for the fourth quarter and 6.8 percent (5.5) for the full year. The adjusted operating margin was 6.0 percent (4.5) for the fourth quarter and 6.5 percent (5.5) for the full year. Operating profit and operating margin in the quarter and full-year period increased due to more efficient cost management, positive contributions from acquisitions and lower social security contributions for young employees.
Elderly Care

Revenue amounted to SEK 190m (157) in the fourth quarter. Organic growth was 20.6 percent (10.3). Revenue for the full-year period amounted to SEK 669m (608), an increase of 10.1 percent. Organic growth for the full year was 10.1 percent (7.7). The revenue increase and organic growth in the quarter and full year are entirely due to five new elderly care homes under own management.
Operating profit in the quarter amounted to SEK -8m (4). Operating profit for the full year amounted to SEK -3m (10). The operating margin was -4.0 percent (2.8) for the fourth quarter and -0.4 percent (1.6) for the full year. Start-up costs for five new elderly care homes under own management had a negative impact on profit in the fourth quarter. The improved results for established units under own management had a positive impact on fourth-quarter profit despite continued negative effects from the pandemic.
Percentage of Group revenue Q4 2021

Operating revenue and operating margin

Finland

Revenue amounted to SEK 328m (321) in the fourth quarter, an increase of 2.2%. Organic growth was 1.5 percent (-4.1), mainly driven by higher occupancy in outpatient care for families and children. Revenue for the full year amounted to SEK 1,284m (1,327), a decrease of 3.2 percent, and organic growth was -0.5 percent (7.4). A weaker Euro had a negative effect on revenue during the year. The negative organic growth during the full year was mainly due to decreased occupancy in institutional care for children and youths.
Operating profit for the fourth quarter amounted to SEK 2m (10), a year-onyear decrease of 75.7 percent. Operating profit for the full year totalled SEK Percentage of Group revenue Q4 2021

Operating revenue and operating margin

56m (62). Adjusted for a settled dispute (SEK 13m), operating profit for the quarter amounted to SEK 15m (10) and SEK 69m (62) for the full year. The operating margin was 0.7 percent (3.1) for the quarter and 4.3 percent (4.6) for the full year. The adjusted operating margin was 4.7 percent (3.1) for the fourth quarter and 5.3 percent (4.6) for the full year. The improved results for the fourth quarter and full-year period are mainly due to improved contractual terms in elderly care and better operational efficiency.
Norway

Revenue increased by 25.0 percent to SEK 241m (193) in the fourth quarter. Revenue for the full-year period amounted to SEK 916m (788), an increase of 16.4 percent. Organically, revenue increased by 17.5 percent (9.8) in the quarter and by 13.8 percent (8.9) in the full year. The increase in revenue and organic growth are mainly due to an increased number of units in the segment for housing with special services and an increase in customers in personal assistance.
Operating profit for the quarter amounted to SEK 33m (19), a year-on-year increase of 75.0 percent. The operating margin for the quarter was 13.8 percent (9.9). Operating profit for the full year totalled SEK 103m (69), an increase of 49.6 percent. The operating margin for the full-year period amounted to 11.3 percent (8.7). Operating profit and operating margin for the quarter and full year rose due to an increased number of customers in personal assistance and operational improvements, particularly within children and youths.
Percentage of Group revenue Q4 2021
11%
Operating revenue and operating margin

Financial position
Financing
Consolidated equity amounted to SEK 2,553m (2,354) on 31 December 2021. The equity/assets ratio was 28.4 percent (29.3). Interest-bearing net debt amounted to SEK 4,226m (3,511), a year-on-year increase of SEK 715m. The leverage ratio, measured as interest-bearing net debt in relation to adjusted EBITDA, increased to 4.6x (4.3). Debt increased due to investments in new units, acquisitions and share buybacks.
| 31 Dec | 31 Dec | |
|---|---|---|
| SEK millions | 2021 | 2020 |
| Non-current interest-bearing liabilities | 4,702 | 3,457 |
| Current interest-bearing liabilities | 218 | 813 |
| Cash and cash equivalents | -695 | -759 |
| Interest-bearing net debt | 4,226 | 3,511 |
| of which interest-bearing lease liabilities | 2,773 | 2,190 |
| Interest-bearing net debt excl lease liabilities | 1,453 | 1,321 |
| Equity/assets ratio | 28.4% | 29.3% |
| Interest-bearing net debt/adjusted EBITDA 12 months, times |
4.6x | 4.3x |
Cash flow
Cash flow for the fourth quarter amounted to SEK 15m (-199), where net cash flow from operating activities was SEK 145m (266). The lower cash flow from operating activities is mainly due to changes in working capital. Cash flow for the year amounted to SEK -92m (-42), where net cash flow from operating activities was SEK 689m (661).
Cash flow from investing activities amounted to SEK -48m (-38) for the fourth quarter. Cash flow from investing activities for the fourth quarter is explained by acquisitions and investments in new units. Cash flow for the year from investing activities amounted to SEK -260m (-37). The change is explained by acquisitions during the year, while the comparative period was affected by the disposal of properties.
Cash flow from financing activities amounted to SEK -82m (-428) for the fourth quarter, consisting entirely of repayment of lease liabilities. The fourth quarter of 2020 was affected by amortisations of loans and share buybacks. Cash flow for the year from financing activities amounted to SEK -521m (-667). This change is mainly explained by lower amortisations of loans in 2021.
Financial targets
Profitability
An operating margin of 7 percent over the medium term.
Revenue growth
Annual organic revenue growth of 5 percent over the medium term. Bolt-on acquisitions may generate additional annual growth of 2–3 percent.
Capital structure
Interest-bearing net debt not exceeding 4.5 times EBITDA, i.e. operating profit before depreciation, amortisation and impairment (see Financial definitions and intent). Debt may temporarily exceed the target level, which may happen during acquisitions.
Dividend policy
Payment of a dividend equivalent to 30 percent of net profit for the year. The proposed dividend shall consider Humana's long-term development potential and financial position.
Sustainability
Quality report for the fourth quarter, October-December 2021
Humana Quality Model and quality at Humana
Quality must be measured and monitored. Measuring and following up helps to develop our operations and to always keep high quality in focus. To measure quality within the Group and be able to compare various operations and see changes over time, Humana has developed the Humana Quality Model (HQM). The model is built on two parallel approaches: seven quantitative indicators that are weighed together to form the Humana Quality Index (HQI) along with qualitative and quantitative following up of customers'/clients' individual plans (implementation plan) and the personal goals that guide them. Both perspectives are equally important in creating an overall assessment of quality. Follow-ups are done quarterly. The quality reports are published on Humana's website.
In order to further strengthen our quality monitoring and get greater clarity on the results of the initiative for individuals, Humana's quality organisation continued to develop the tool in 2021 and produced a new HQI which, among other things, includes more indicators. This will be introduced in the first quarter of 2022. In order to be able to make a comparison with 2021, a benchmark measurement will be carried out for the full year 2021. You can find more information about the new HQI here: https://www.humanagroup.com/quality/humana-quality-model/
Humana Quality Index
The Humana Quality Index was at the same level throughout 2021: 94/100. Humana's customer satisfaction index (CSI) for the Group has reached our longterm target of 85 percent. Personal assistance customers are even more satisfied, with a CSI of 89 percent.
Most of our customers, clients and employees have received a Covid-19 vaccine. Since the virus continues to circulate, we continue to follow the procedures in place that are intended to minimise the spread of the virus in health and care operations.
Serious deviations
During the fourth quarter, nine Lex Sarah incidents were reported to the Health and Social Care Inspectorate (IVO) that pertained to Humana's Swedish operations. Two critical deviations were reported in our Norwegian business area.
Follow-up of individual plans
The proportion of individual plans that were followed up as planned was 90/100 in the fourth quarter of 2021 – better than in recent years, but lower than in 2018 when we reached 92%.
In Personal Assistance, the number of implementation plans has increased and is now at 90 percent. This is a stable and clear increase. Other business areas are relatively stable and there is a continued need for improvement to reach the target of 100 percent. Over time, we see a stable, gradual increase in individual plans that are followed up as planned.
Read more about sustainability at Humana
Quality is one of the four target areas that form the basis for Humana's sustainable care strategy. Other target areas are attractive employer, profitable growth and socially responsible provider. Read more about Humana's sustainable strategy on our website at https://www.humanagroup.com/sustainability/.
Humana Quality Index


Other information
Employees
The number of full-time employees at 31 December 2021 was 10,945 (10,639).
Shares, share capital and shareholders
The number of shares in Humana AB at 31 December 2021 amounted to 53,140,064 with a quotient value of SEK 0.022 corresponding to share capital of SEK 1,180,879. The number of shareholders was 4,669. The five largest shareholders were Impilo Care AB, Incentive AS (via funds and mandate), Alcur Fonder, Nordea Investment Funds and SEB Investment Management.
Share buybacks
At the 2020 AGM, the Board was mandated to repurchase shares as long as the company's total holdings of treasury shares does not exceed one-tenth of all shares in the company and to transfer treasury shares in the company. In February and March 2021, Humana repurchased 2,357,348 shares at a cost of SEK 159m, corresponding to an average price of SEK 67.51 per share. In September 2021, Humana used 769,200 shares as consideration in an acquisition. Subsequently, the company's total treasury shares amount to 4,247,859 shares, which is 8.0 percent of the total number of outstanding shares and votes. After the transactions, the total number of shares excluding treasury shares is 48,892,205.
Marketplace
Humana's shares trade on the Nasdaq Stockholm Main Market. The company's ticker symbol is HUM and the ISIN code is SE0008040653.
Share-based incentive programmes
Humana has no ongoing long-term share-related incentive programme for senior executives or other employees.
In June 2020, Impilo Care AB, Humana's principal owner, made an offer to Board members and senior executives of Humana to acquire synthetic options in Humana issued by Impilo Care AB. Humana did not participate in the offer and it will not give rise to any costs for Humana. A total of 461,000 synthetic options were acquired. The total market value of the options on the transaction date is estimated at approximately SEK 1.4m. The synthetic options are related to Humana's share and expire after three years. The options can be exercised from 1 April 2023 to 30 June 2023. The exercise price is SEK 77.90 per option.
Related party transactions
The Group's related parties consist of the Board of Directors, Group management and the CEO, through ownership of the company and through their roles as senior executives. Related party transactions are made at arm's length and based on market conditions.
Risks and uncertainties
In the course of its operations, Humana is exposed to different types of financial risks, which can be divided into liquidity and funding risk, interest rate risk, credit risk and currency risk. Risks are described in more detail in the section in Humana's 2020 annual and sustainability report entitled Risks and risk management on pages 64–71 as well as in Note G20.
The main risks related to operations and uncertainties that can affect the company's performance are related to political decisions that may affect private care companies, as well as risks when implementing completed acquisitions.
Humana conducts operations that are financed by state, municipal and regional entities and, as such, operations can be affected by political decisions. As a result, Humana's opportunities for growth are affected by public opinion and political views on the company's areas of operation. Humana is constantly monitoring the external situation. The purpose is to quickly perceive external changes in order to assess risks and opportunities, as well as adapt operations to external changes. The political situation is evaluated continuously.
Communicable diseases exist in society. These infections can affect anyone in society but the situation is most difficult for vulnerable persons. Humana's operations include customers and clients in vulnerable groups and there are guidelines and procedures in the company's management system on how to prevent and manage various communicable diseases. Communicable diseases may also lead to several employees getting sick at the same time, which entails a risk of not having enough qualified staff to meet needs. A pandemic also entails a risk of a negative impact on Humana's revenues and costs, for example, due to lower occupancy or costs for sickness absences and PPE. Humana's operations are affected by the prevailing Covid-19 pandemic. A crisis management structure has been supporting the work of minimising transmission and impact since the pandemic began.
This year-end report was not subject to a review by the company's auditors as per ISRE 2410.
The Board of Directors and the CEO certify that this year-end report for 2021 gives a true and fair presentation of the Parent Company's and the Group's operations, financial position and earnings, and describes the material risks and uncertainties facing the Parent Company and the Group.
Stockholm, 10 February 2022
Johanna Rastad,
President and CEO
Consolidated income statement
| SEK millions Note |
Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Net revenue | 2,101 | 1,947 | 8,176 | 7,771 |
| Other operating revenue | 9 | 1 | 12 | 26 |
| Operating revenue 3.4 |
2,110 | 1,948 | 8,188 | 7,797 |
| Other external expenses | -254 | -220 | -926 | -913 |
| Personnel costs | -1,633 | -1,531 | -6,333 | -6,039 |
| Depreciation, amortisation and impairment | -126 | -95 | -420 | -371 |
| Other operating expenses | -14 | -1 | -16 | -2 |
| Operating expenses | -2,028 | -1,847 | -7,695 | -7,326 |
| Operating profit | 82 | 101 | 493 | 471 |
| Financial income | 0 | 0 | 4 | 6 |
| Financial expenses | -37 | -35 | -143 | -145 |
| Profit before tax | 46 | 66 | 354 | 332 |
| Income tax | -12 | -17 | -78 | -70 |
| Net profit for the period | 33 | 49 | 276 | 262 |
| Attributable to: | ||||
| Parent Company shareholders | 33 | 49 | 276 | 262 |
| Non-controlling interests | - | - | - | - |
| Net profit for the period | 33 | 49 | 276 | 262 |
| Earnings per share, SEK, before dilution | 0.68 | 0.94 | 5.67 | 4.94 |
| Earnings per share, SEK, after dilution | 0.68 | 0.94 | 5.67 | 4.94 |
| Average number of shares, thousands | 48,892 | 52,562 | 48,699 | 52,995 |
Consolidated statement of other comprehensive income
| Oct-Dec | Oct-Dec | Jan–Dec | Jan–Dec | |
|---|---|---|---|---|
| SEK millions Note |
2021 | 2020 | 2021 | 2020 |
| Net profit for the period | 33 | 49 | 276 | 262 |
| Other comprehensive income | ||||
| Items that have been/may be reclassified to profit or loss |
||||
| Hedges of net investments in foreign operations 6 |
-7 | 15 | -24 | 39 |
| Exchange difference on translation of foreign operations |
14 | -35 | 51 | -74 |
| Net profit and other comprehensive income for the period |
40 | 29 | 303 | 227 |
| Attributable to: | ||||
| Parent Company shareholders | 40 | 29 | 303 | 227 |
| Non-controlling interests | - | - | - | - |
Condensed consolidated balance sheet
| SEK millions Note |
31 Dec 2021 |
31 Dec 2020 |
|---|---|---|
| Assets | ||
| Non-current assets | ||
| Goodwill 5 |
4,148 | 3,815 |
| Other intangible assets | 11 | 5 |
| Property, plant and equipment | 360 | 314 |
| Right-of-use assets | 2,669 | 2,119 |
| Financial assets | 55 | 42 |
| Total non-current assets | 7,243 | 6,295 |
| Current assets | ||
| Trade receivables and other receivables | 923 | 852 |
| Other current receivables | 140 | 138 |
| Cash and cash equivalents | 695 | 759 |
| Total current assets | 1,759 | 1,749 |
| TOTAL ASSETS | 9,002 | 8,044 |
| Equity and liabilities | ||
| Equity | ||
| Share capital | 1 | 1 |
| Other paid-in captial | 1,096 | 1,096 |
| Reserves | 21 | -6 |
| Retained earnings | 1,436 | 1,264 |
| Equity attributable to Parent Company shareholders | 2,553 | 2,354 |
| Equity attributable to non-controlling interests | - | 0 |
| Total equity | 2,553 | 2,354 |
| Non-current liabilities | ||
| Non-current lease liability | 2,557 | 1,958 |
| Other interest-bearing liabilities 6 |
2,146 | 1,499 |
| Deferred tax liabilities | 74 | 70 |
| Provisions | 4 | - |
| Total non-current liabilities | 4,780 | 3,527 |
| Current liabilities | ||
| Current lease liability | 216 | 232 |
| Other interest-bearing liabilities | 3 | 581 |
| Trade payables | 165 | 128 |
| Other current liabilities 6 |
1,285 | 1,222 |
| Total current liabilities | 1,669 | 2,163 |
| TOTAL EQUITY AND LIABILITIES | 9,002 | 8,044 |
Condensed consolidated statement of changes in equity
| Equity attributable to |
|||||||
|---|---|---|---|---|---|---|---|
| Other | Parent | Non | |||||
| SEK millions | Share capital |
paid-in capital |
Translatio n reserve |
Retained earnings |
Company shareholders |
controlling interests |
Total equity |
| Opening balance, 1 Jan 2020 | 1 | 1,096 | 29 | 1,158 | 2,284 | 22 | 2,305 |
| Comprehensive income for the period |
|||||||
| Net profit for the period | - | - | - | 262 | 262 | - | 262 |
| Other comprehensive income for the period |
- | - | -35 | - | -35 | - | -35 |
| Total comprehensive income for the period |
- | - | -35 | 262 | 227 | - | 227 |
| Owner transactions | |||||||
| Sale of operation | - | - | - | - | - | -22 | -22 |
| Share buybacks | - | - | - | -156 | -156 | - | -156 |
| Total owner transactions | - | - | - | -156 | -156 | -22 | -178 |
| Closing balance, 31 Dec 2020 | 1 | 1,096 | -6 | 1,264 | 2,354 | - | 2,354 |
| Opening balance, 1 Jan 2021 | 1 | 1,096 | -6 | 1,264 | 2,354 | - | 2,354 |
| Comprehensive income for the period |
|||||||
| Net profit for the period | - | - | - | 276 | 276 | - | 276 |
| Other comprehensive income for the period |
- | - | 27 | - | 27 | - | 27 |
| Total comprehensive income for the period |
- | - | 27 | 276 | 303 | - | 303 |
| Owner transactions | |||||||
| Share buybacks | - | - | - | -159 | -159 | - | -159 |
| Agreement to settle acquired operations with shares |
- | - | - | 55 | 55 | - | 55 |
| Total owner transactions | - | - | - | -104 | -104 | - | -104 |
| Closing balance, 31 Dec 2021 | 1 | 1,096 | 21 | 1,436 | 2,553 | - | 2,553 |
| Condensed consolidated statement of cash flows | ||||
|---|---|---|---|---|
| -- | ------------------------------------------------ | -- | -- | -- |
| Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|
|---|---|---|---|---|
| SEK millions Note |
||||
| Profit before tax | 46 | 66 | 354 | 332 |
| Adjustments for: | ||||
| Depreciation, amortisation and impairment | 126 | 95 | 420 | 371 |
| Financial items, net | 37 | 34 | 139 | 139 |
| Capital gain on sale of property, plant and equipment | - | - | - | -17 |
| Other non-cash items | -8 | - | -2 | - |
| Cash flow from operating activities before change in working capital |
201 | 196 | 912 | 824 |
| Change in working capital | -21 | 129 | -12 | 71 |
| Cash flow from operating activities | 180 | 325 | 900 | 895 |
| Financial items paid, net | -36 | -41 | -139 | -143 |
| Income tax paid | 1 | -18 | -72 | -90 |
| Net cash flow from operating activities | 145 | 266 | 689 | 661 |
| Acquisition of subsidiaries, net cash impact | 5 -18 |
-10 | -153 | -18 |
| Disposal of properties | - | 2 | - | 114 |
| Investments in other non-current assets, net | -30 | -29 | -107 | -133 |
| Cash flow from investing activities | -48 | -38 | -260 | -37 |
| Net change in borrowings | - | -200 | -50 | -227 |
| Repayment of lease liability | -83 | -73 | -312 | -284 |
| Share buybacks | - | -154 | -159 | -156 |
| Cash flow from financing activities | -82 | -428 | -521 | -667 |
| Cash flow for the period | 15 | -199 | -92 | -42 |
| Cash and cash equivalents, opening balance | 672 | 980 | 759 | 836 |
| Exchange differences in cash and cash equivalents | 9 | -22 | 28 | -35 |
| Cash and cash equivalents, closing balance | 695 | 759 | 695 | 759 |
Key ratios
| Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|
|---|---|---|---|---|
| Operating revenue | 2,110 | 1,948 | 8,188 | 7,797 |
| Operating margin, % | 3.9% | 5.2% | 6.0% | 6.0% |
| Interest-bearing net debt, SEKm | 4,226 | 3,511 | 4,226 | 3,511 |
| Return on capital employed, % | 1.1% | 1.5% | 6.6% | 7.1% |
| Equity/assets ratio, % | 28.4% | 29.3% | 28.4% | 29.3% |
| Operating cash flow, SEKm | 157 | 296 | 785 | 779 |
| Interest-bearing net debt/adjusted EBITDA, 12 months, times | 4.6x | 4.3x | 4.6x | 4.3x |
| Average full-time employees, Individual & Family | 2,099 | 2,003 | 2,169 | 2,065 |
| Average full-time employees, Personal Assistance | 5,159 | 5,085 | 5,209 | 5,099 |
| Average full-time employees, Elderly Care | 991 | 858 | 955 | 862 |
| Average full-time employees, Finland | 1,554 | 1,583 | 1,605 | 1,669 |
| Average full-time employees, Norway | 939 | 1,000 | 994 | 838 |
| Average full-time employees, Central Functions, including Denmark | 61 | 63 | 65 | 59 |
| Total average full-time employees | 10,804 | 10,591 | 10,996 | 10,592 |
| Full-time employees at end of period | 10,945 | 10,639 | 10,945 | 10,639 |
| Average number of customers, Individual & Family | 1,823 | 1,738 | 1,789 | 1,746 |
| Average number of customers, Personal Assistance | 1,876 | 1,914 | 1,874 | 1,893 |
| Average number of customers, Elderly Care | 998 | 871 | 894 | 825 |
| Average number of customers, Finland | 4,213 | 3,841 | 4,079 | 3,947 |
| Average number of customers, Norway | 430 | 322 | 406 | 317 |
| Average number of customers, Denmark | 44 | 65 | 61 | 68 |
| Total average number of customers | 9,384 | 8,750 | 9,102 | 8,795 |
| Average number of shares, thousands | 48,892 | 52,562 | 48,699 | 52,995 |
| Equity per share, SEK | 52 | 45 | 52 | 44 |
| Earnings per share, SEK, after dilution | 0.68 | 0.94 | 5.67 | 4.94 |
Parent Company
Condensed income statement
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Operating revenue | - | - | - | 2 |
| Operating expenses | -3 | -3 | -16 | -17 |
| Operating profit | -3 | -3 | -16 | -15 |
| Interest income | 17 | 19 | 40 | 108 |
| Interest expenses | -34 | -30 | -103 | -108 |
| Profit after financial items | -19 | -14 | 79 | -15 |
| Group contributions | 132 | - | 132 | 105 |
| Change in untaxed reserves | -1 | - | -1 | 4 |
| Profit before tax | 112 | -14 | 52 | 94 |
| Income tax | -25 | 3 | -13 | -25 |
| Net profit for the period | 87 | 11 | 39 | 69 |
Condensed balance sheet
| SEK millions | 31 Dec 2021 |
31 Dec 2020 |
|---|---|---|
| Non-current assets | 1,684 | 1,629 |
| Current assets | 1,897 | 1,616 |
| TOTAL ASSETS | 3,582 | 3,244 |
| Equity | 1,508 | 1,572 |
| Untaxed reserves | 149 | 148 |
| Non-current interest-bearing liabilities | 1,508 | 946 |
| Other current liabilities | 417 | 578 |
| TOTAL EQUITY AND LIABILITIES | 3,582 | 3,244 |
Notes
Note 1 Accounting policies
This interim report has been prepared in accordance with IAS 34 Interim Financial Reporting along with applicable stipulations in the Swedish Annual Accounts Act. The report for the Parent Company has been prepared in accordance with Chapter 9 of the Swedish Annual Accounts Act – Interim Reports. In general, the same accounting policies and bases of calculation have been used as in the annual report for 2020, which was prepared in accordance with the International Financial Reporting Standards as ratified by the EU, and interpretations of these.
Disclosures in accordance with IAS 34.16A appear in the financial statements and their associated notes as well as in the interim information on pages 2–8, which form an integral part of this financial report.
New accounting standards applied from 1 January 2021
Humana has determined that new or amended standards and interpretations will not have any significant effect on the consolidated financial statements.
Note 2 Estimations and assessments
Preparation of interim financial statements in compliance with IFRS requires management to make accounting estimates and assumptions which affect the application of the accounting policies and the carrying amounts of assets, liabilities, income and expenses. The actual outcome may differ from these accounting estimates and assessments. The critical assessments and sources of uncertainty in estimates are the same as in the most recent annual report.
Note 3 Operating segments
| Individual & Family | Personal Assistance | Elderly Care | ||||
|---|---|---|---|---|---|---|
| SEK millions | Jan–Dec 2021 |
Jan–Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
| Net revenue – External income | 2,255 | 2,101 | 3,042 | 2,931 | 669 | 608 |
| Other operating revenue | 2 | - | - | - | - | - |
| Operating revenue | 2,257 | 2,101 | 3,042 | 2,931 | 669 | 608 |
| Profit before depreciation, amortisation and other operating expenses |
206 | 225 | 209 | 162 | 14 | 22 |
| Depreciation, amortisation and impairment | -37 | -34 | -1 | -2 | -16 | -12 |
| Other operating expenses | -1 | -2 | - | - | - | - |
| Operating profit | 168 | 190 | 208 | 160 | -3 | 10 |
| Finland | Norway | Other | Total | |||||
|---|---|---|---|---|---|---|---|---|
| SEK millions | Jan–Dec 2021 |
Jan–Dec 2020 |
Jan-Dec 2021 |
Jan–Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
| Net revenue – External income | 1,276 | 1,326 | 915 | 788 | 19 | 17 | 8,176 | 7,771 |
| Other operating revenue | 8 | 1 | 1 | - | 1 | 26 | 12 | 26 |
| Operating revenue | 1,284 | 1,327 | 916 | 788 | 20 | 43 | 8,188 | 7,797 |
| Profit before depreciation, amortisation and other operating expenses |
74 | 83 | 116 | 81 | 295 | 270 | 914 | 844 |
| Depreciation, amortisation and impairment |
-19 | -22 | -12 | -12 | -335 | -289 | -420 | -371 |
| Other operating expenses | - | - | - | - | - | 1 | -1 | -2 |
| Operating profit | 56 | 62 | 103 | 69 | -40 | -20 | 493 | 471 |
Note 4 Revenue by country
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Sweden | 1,537 | 1,429 | 5,970 | 5,664 |
| Finland | 328 | 321 | 1,284 | 1,327 |
| Norway | 241 | 193 | 916 | 788 |
| Denmark | 4 | 5 | 18 | 18 |
| Total operating revenue | 2,110 | 1,948 | 8,188 | 7,797 |
Note 5 Acquisitions
Net assets in acquired companies at date of acquisition
| SEK millions | Team J son1) |
Fideli Omsorg1) |
Balans Behandling1) |
Enigheten1) | Total |
|---|---|---|---|---|---|
| Non-current assets | 0 | 4 | 0 | - | 4 |
| Current assets | 27 | 27 | 13 | 12 | 79 |
| Non-current liabilities | -2 | - | 0 | - | -2 |
| Current liabilities | -8 | -15 | -5 | -7 | -35 |
| Net identifiable assets and liabilities | 17 | 16 | 8 | 5 | 46 |
| Goodwill | 65 | 195 | 11 | 12 | 283 |
| Total consideration | 82 | 211 | 21 | 17 | 329 |
| Cash and cash equivalents in acquired entities | -20 | -10 | -7 | -5 | -42 |
| Payment with own shares | - | -55 | - | - | -55 |
| Contingent consideration | -1 | -73 | -7 | - | -81 |
| Effect on cash and cash equivalents | 61 | 73 | 5 | 12 | 151 |
| Other | |
|---|---|
| Settlement of considerations attributable to prior acquisitions | 1 |
| Minor acquisitions | 1 |
| Total effect on cash and cash equivalents | 153 |
1) The acquisition analysis is preliminary as the final settlement has not been determined.
Team J-son
In February 2021, Humana acquired the Swedish individual and family company Team J-son, a provider of high-quality care services for children and youths with special needs. Operating revenue from Team J-son included in the consolidated income statement since acquisition date amounts to SEK 87m for the full year and SEK 24m for the quarter. The acquired companies also contributed SEK 11m to profit for the full year and SEK 2m for the quarter.
Fideli Omsorg
On 1 September 2021, Humana acquired 100 percent of the shares of care company Fideli Omsorg AB. The acquisition strengthens Humana's operations in social psychiatry and care of people with disabilities, and complements Humana's offering geographically. The consideration for Fideli Omsorg (cash and debt free basis) comprised SEK 83m in cash and 769,200 shares in Humana corresponding to SEK 50m based on a volume-weighted average price on Nasdaq Stockholm over 10 trading days before the contract date (SEK 65.00). The fair value of the shares amounted to SEK 55m. In addition to this, Humana may pay an earn-out of no more than SEK 75m based on Fideli Omsorg's profit in 2021, 2022 and 2023. The goodwill of SEK 195m included in the acquisition of Fideli Omsorg partly corresponds to the geographical precense that is achieved in the area of social psychiatry and care of people with disabilities and partly to the synergy gains arising from the merger.
Transaction costs of SEK 1.4m have been reported as administrative costs in the consolidated income statement.
Operating revenue from Fideli Omsorg that has been included in the consolidated income statement since 1 September amounts to SEK 38m for the full year and SEK 29m for the quarter. The acquired companies also contributed SEK 4m for the full year and SEK 2m to profit for the quarter.
Balans Behandling
In October 2021, Humana acquired the Swedish individual and family company Balans Behandling AB, a provider of highquality care services for children and youths with special needs. Operating revenue from the acquired companies included in the consolidated income statement since 1 October amounts to SEK 12m for the full year and the quarter. The acquired company also contributed SEK 1.4m to profit for the quarter and full year. Transaction costs of SEK 0.2m have been reported as administrative costs in the Group.
Enigheten
In November 2021, Humana acquired the Swedish assistance company Enigheten Personlig assistans AB, which strengthens Humana's position and opportunities within Personal Assistance in Dalarna. Operating revenue from the acquired company included in the consolidated income statement since 1 November amounts to SEK 9m for the full year and the quarter. The acquired company also contributed SEK -0.5m to profit for the quarter and full year. Transaction costs of SEK 0.2m have been reported as administrative costs in the Group.
If the acquisitions above had been made as at 1 January 2021, consolidated operating revenue for the full year would total SEK 8,308m (SEK 120m higher) and profit for the period would total SEK 496m (SEK 3m higher).
Note 6 Fair value of financial instruments and level in valuation hierarchy
| 31 Dec 2021 | Financial liabilities at fair value through profit or loss |
Total carrying amounts |
Fair values | Level 1 | Level 2 | Level 3 |
|---|---|---|---|---|---|---|
| Financial liabilities | ||||||
| Earn-out payment | 80 | 80 | 80 | - | - | 80 |
| 31 Dec 2020 SEK millions |
Financial liabilities at fair value through profit or loss |
Total carrying amounts |
Fair values | Level 1 | Level 2 | Level 3 |
| Financial liabilities | ||||||
| Earn-out payment | 6 | 6 | 6 | - | - | 6 |
Fair value measurement
When determining the fair value of an asset or liability, the Group uses observable data as far as possible. Fair value is categorised in various levels in a fair value hierarchy based on input data that is used in the valuation method as follows:
Level 1: according to prices quoted in an active market for the same instruments
Level 2: based on directly or indirectly observable market data that is not included in level 1
Level 3: inputs that are not observable in the market
Presentation of the opening/closing balances for financial instruments measured at level 3, earn-out payment
| SEK millions | 31 Dec 2021 |
31 Dec 2020 |
|---|---|---|
| Opening balance, 1 January | 6 | 13 |
| Total recognised gains and losses: | ||
| Cost of acquisition | 81 | 1 |
| Settled during the period | -19 | -8 |
| Reversed to income statement | 12 | - |
| Closing balance, end of period | 80 | 6 |
Hedge accounting
The Group is hedging parts of the foreign exchange risk related to net investments in foreign operations. As at 31 December 2021, the Group had exposure to EUR, NOK and DKK. DKK makes up a small amount and is not hedged. NOK and EUR are hedged using loans in foreign currency. Hedge accounting entails recognising the effective part of the translation differences in the consolidated statement of other comprehensive income. As at 31 December 2021, the Group had loans of EUR 40m and loans of NOK 328m for which hedge accounting is applied. The related translation difference of SEK -31m (50) before tax is consequently recognised in the consolidated statement of other comprehensive income.
Reconciliation of financial statements with IFRS
In the financial reports that Humana issues, there are alternative performance measures specified that complement the measurements defined or specified in the applicable financial reporting rules. Alternative performance measures are indicated when, in their context, they provide clearer or more detailed information than the measurements defined in the applicable financial reporting rules. Alternative performance measures derive from the company's consolidated accounts and are not measured in accordance with IFRS.
| SEK millions | Oct-Dec 2021 |
Oct-Dec 2020 |
Jan–Dec 2021 |
Jan–Dec 2020 |
|---|---|---|---|---|
| Adjusted operating profit | ||||
| Operating profit | 82 | 101 | 493 | 471 |
| Capital gain on sale of property | - | - | - | -17 |
| Retroactive repayment of previously paid-in pension premiums | -11 | - | -11 | - |
| Final settlement dispute | 13 | - | 13 | - |
| Adjusted operating profit | 85 | 101 | 495 | 453 |
| Adjusted EBITDA | ||||
| Operating profit | 82 | 101 | 493 | 471 |
| Depreciation, amortisation and impairment | 126 | 95 | 420 | 371 |
| EBITDA | 209 | 196 | 913 | 842 |
| Capital gain on sale of property | - | - | - | -17 |
| Retroactive repayment of previously paid-in pension premiums | -11 | - | -11 | - |
| Final settlement dispute | 13 | - | 13 | - |
| Adjusted EBITDA | 211 | 196 | 916 | 824 |
| Organic revenue growth | ||||
| Revenue, base | 1,937 | 1,902 | 7,761 | 6,968 |
| Revenue, organic growth | 67 | 59 | 238 | 289 |
| Total organic growth | 3.4% | 3.1% | 3.1% | 4.1% |
| Operating cash flow | ||||
| Operating profit | 82 | 101 | 493 | 471 |
| Depreciation, amortisation and impairment | 126 | 95 | 420 | 371 |
| Change in working capital | -21 | 129 | -12 | 71 |
| Investments in other non-current assets, net | -31 | -29 | -117 | -133 |
| Operating cash flow | 157 | 296 | 785 | 779 |
| 31 Dec 2021 |
31 Dec 2020 |
|
|---|---|---|
| Interest-bearing net debt | ||
| Non-current interest-bearing liabilities | 4,702 | 3,457 |
| Current interest-bearing liabilities | 218 | 813 |
| Cash and cash equivalents | -695 | -759 |
| Interest-bearing net debt | 4,226 | 3,511 |
| Adjusted EBITDA, 12 months | 916 | 824 |
| Interest-bearing net debt/Adjusted EBITDA, 12 months, times | 4.6x | 4.3x |
| Return on capital employed, % | ||
| Total assets | 9,002 | 8,044 |
| Deferred tax liabilities | -74 | -70 |
| Trade payables | -165 | -128 |
| Other current liabilities | -1,285 | -1,222 |
| Capital employed | 7,478 | 6,624 |
| Operating profit | 493 | 471 |
| Financal income | 1 | 1 |
| Total | 494 | 471 |
| Return on capital employed, % | 6.6% | 7.1% |
| Equity/assets ratio, % | ||
| Total equity | 2,553 | 2,354 |
| Total assets | 9,002 | 8,044 |
| Equity/assets ratio, % | 28.4% | 29.3% |
Financial definitions and intent
Financial performance measures
| Definition | Intent | |
|---|---|---|
| Return on capital employed (%) |
Operating profit and finance income divided by total capital employed multiplied by 100. |
Indicates the operating return on the capital that owners and lenders have made available. The intent is to show consolidated returns, regardless of the financing. |
| EBITDA | Operating profit before depreciation, amortisation and impairment. |
The measure is used to monitor the company's profit/loss generated by operating activities and facilitate comparisons of profitability between different companies and industries. |
| Adjusted operating profit and adjusted EBITDA |
Operating profit and EBITDA adjusted for items affecting comparability. |
Adjustment for non-recurring items is made to facilitate a fair comparison between two comparable periods and to show the underlying trend in operating activities excluding non-recurring items. |
| Operating cash flow |
Operating profit including changes in depreciation/amortisation/impairment, working capital and investments in other assets (net). |
The exclusion of cash flow from acquisitions and financing facilitates an analysis of cash conversion in operating activities. |
| Organic growth | Growth in local currency for comparable companies in each segment that Humana owned during the previous comparative period. |
The measure shows the underlying sales growth in comparable companies between the different periods. |
| Interest-bearing net debt |
Borrowing excluding interest rate derivatives less cash and cash equivalents and interest-bearing assets. |
Net debt is used as a simple way to illustrate and assess the Group's ability to meet financial commitments. |
| Interest-bearing net debt excl. lease liabilities |
Borrowing excluding interest rate derivatives and lease liabilities less cash and cash equivalents and interest-bearing assets. |
Net debt is used as a simple way to illustrate and assess the Group's ability to meet financial commitments. |
| Interest-bearing net debt/ adjusted EBITDA |
Interest-bearing net debt divided by adjusted EBITDA. |
The measure indicates consolidated debt in relation to adjusted EBITDA. This is used to illustrate the Group's ability to meet financial commitments. |
| Equity/assets ratio (%) |
Equity including non-controlling interests divided by total assets multiplied by 100. |
Indicates the proportion of assets that are financed with equity. The aim is to assess the Group's solvency in the long term. |
| Capital employed | Total assets less non-interest-bearing liabilities. |
The measure indicates the portion of the company's assets financed by interest-bearing capital. |
Other performance measures
| Definition | ||
|---|---|---|
| Equity per share | Equity attributable to Parent Company shareholders divided by number of shares at end of period after redemption, buyback and new share issue. |
|
| Average number of shares | Calculated as the average daily number of shares outstanding after redemption and buyback. |
|
| Items affecting comparability | Non-recurring items that complicate the comparability between two given periods. |
|
| Average number of full-time employees |
Average number of full-time employees during the reporting period. | |
| Average customers | Average number of customers during the period. | |
| Earnings per share for the period | Profit for the period attributable to Parent Company shareholders less the period's share of the adopted dividend divided by average number of shares. |
|
| Operating profit | Profit before financial items and tax. | |
| EBIT margin (%) | Operating profit divided by operating revenue multiplied by 100. | |
This information is information that Humana AB is obliged to make public pursuant to the EU Market Abuse Regulation. The information was submitted for publication, through the agency of the contact persons set out below, on 10 February 2022 at 08:00 CET.
A web-based teleconference will be held on 10 February 2022 at 09:00 CET at which President and CEO Johanna Rastad and CFO Noora Jayasekara will present the report and answer questions. To participate, call:
SE: +46 8 5055 8357 UK: +44 33 3300 9265 US: +1 63 1913 1422 (For US also use code: 67832648#)
Conference call Financial calendar Contact
| Annual and Sustainability report | 4 April 2022 |
|---|---|
| 2021 | |
| Interim report Jan–Mar, Q1 2022 | 5 May 2022 |
| 2022 Annual General Meeting | 10 May 2022 |
| Interim report Jan–Jun, Q2 2022 | 18 Aug 2022 |
| Interim report Jan–Sep, Q3 2022 | 10 Nov 2022 |
Noora Jayasekara CFO +46 70 318 92 97 [email protected]
Ewelina Pettersson IR Manager 0730 747 912 [email protected]


Humana AB Warfvinges väg 39, 7th fl. 112 51 Stockholm Telephone: +46 8-599 299 00 www.humanagroup.com