Attendo Q1 report presentation
Transcript of Attendo Q1 report presentation
Q1 2020 Highlights, Martin Tiveus, CEO
Financial Summary, Fredrik Lagercrantz, CFO
Q&A
Q1 2020 report presentationMay 6, 2020
Update on corona – operative perspective
• Preventive actions– Visitor stop
– Health control of employees
– Testing of employees
• Care for infected clients– Testing
– Isolation care
– Cooperation with health care systems
• Access to protective equipment– Attendo has been able to safeguard equipment to comply
with national recommendations since start of the pandemic
– Attendo's ambition is to use protective masks in all care
instances. This goes beyond national recommendations but
deemed needed to raise protection level
• Access to staff– Use of health care educated personnel from other
disciplines (dental care, physiotherapists)
– Access to support staff from service industries, hotels etc
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Highlights first quarter 2020: Stable situation during first part of
the quarter. Corona pandemic puts large pressure on organization
• Corona pandemic has large operational and financial impact
– Limited financial impact in Q1 ~ SEK -20m
– Additional cost of ~ SEK -100m in remaining part of 2020
– Negative revenue effects expected
• Overall stable development in Scandinavia
– Stable performance in own care homes
– Continued positive development in home care
– Stabilized / improved development in outsourcing
– Higher number of openings in 2020
• Starting to see effects on turn-around program in Finland
– Price impact from Q1 onwards
– Cost impact from sharper staffing requirements
– High opening pace until Q3
3
Group highlights in Q1
4
6.1%Adjusted
EBITA, r12%
Q.I.
Net Sales, growth1
8%
EBITA-margin (reported)
5.8%
Leverage (adj ND/adj EBITDA)
3.9x
Quality Index
83%
Total Occupancy
80%
Total # of beds in own
operation2
17,260
Opened beds in own
operation2
648
New beds under
construction2
1,423
2) Own nursing homes (care for older people, CoP) and own care homes (care for people with disabilities, social psychiatry)
1) Excluding currency effects
Beds in operation and under construction: Beds under construction in sharp decline in Finland
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No. of beds in operation1)
No. of beds under construction1)
1) Own nursing homes (care for older people, CoP) and own care homes (care for people with disabilities, social psychiatry)
2015 2016 2017 2018
2015 2016 2017 2018
2019
2019
504 394 394 335 265 380 439 560 566 535710 756 750 705 823 900 908 965
414433 467
420 472
948870
458
Q1 Q2
918
Q3
1,089
2,335
1,110
2,147
Q2
1,469
Q3 Q3
1,277
Q4
737
Q1
1,375
1,059
Q4 Q2Q1
1,562
1,843
1,935
2,047
2,828
Q2Q3 Q4
2,0781,696
Q1
1,758
2,401
Q4Q2
1,493 1,276
1,146
Q3 Q4
2,159
Q1
2,757
Q1
1,593
827
2,094
861755
1,716
2,378
2,903
2,463 2,519 2,462
1,980
1,423
-41%
Attendo Finland Attendo Scandinavia
4,438
Q2
3,689
Q1
3,6423,636
Q1
4,066
2,478
4,7844,190
2,478 3,326
4,349
Q3
2,696 2,780
Q4
3,603
4,599
Q3 Q4
2,781
Q2
2,833 3,602
4,994
3,189
6,137
2,839 3,6333,002
Q4
13,320
5,204
Q1
2,898
Q1
5,444
11,652
Q2 Q1Q3
9,304
15,288
Q3Q4
9,89010,933
Q2
11,286
3,603
12,290
Q4Q3
12,574 12,929
8,102
Q2
12,635
12,868
6,331
Q1
3,331
3,973
2,358
6,544 6,668 7,045 7,218 7,380 7,617
3,940
8,4469,326
13,21614,536 14,889
15,923 16,216 16,470 16,61817,260
7,833
+8%
2020
2020
Own operations growth pace: Continued high opening pace, will decrease in Finland after Q2
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No. of opened beds in own operation1) , by quarter and rolling 12 months
1) Own nursing homes (care for older people, CoP) and own care homes (care for people with disabilities, social psychiatry)
2016 2017 20182015
60108
122216
70 54
227
5497 112 114
201
54 60 84
174255
93
120
12282 201
237
307
606
359533
954
307
342 352
541
422
305
393
2,500
500
1,000
0
500
1,500
0
3,0002,000
1,500
2,000
1,000
319
Q4 Q1
625
404 412
212
Q4
434
Q2Q1Q1 Q2 Q3Q3 Q4 Q3
11
Q1
648
Q2
291
Q3
396
6
Q1 Q2
12
Q3 Q4 Q1
2,186
Q2
12
473
336
Q4
201 192136
718
539
1,155
479
Openings R12
Openings by quarter Attendo Finland
Openings by quarter Attendo Scandinavia
2019 2020
Mature units: margin and net sales developmentSharpened staffing regulations in Finland pressures margins
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R12 adjusted EBITA margin development %
Note: Figures according to IAS 17. Finnish healthcare operations excluded in historical financials, based on estimates for 2016
* Mature defined as group financials excluding Mikeva units, start-up units** and one-offs. All overhead costs part of mature financials.
** Start-up units defined as units started last 12 months up until 2019. From 2019, units started 2018, 2019 and 2020 defined as start-up units.
R12 Net sales, SEK Billion
0
2
4
6
8
10
12
Q1 2017
9.6%
Q1 2016 Q3 2019
10.6%
Q2 2018
8.8%
10.0%
Q1 2019
10.1%
10.4% 10.3%11.2%11.3%
Q2 2016
7.3%
10.1%
Q3 2016
5.2%
Q3 2018Q4 2016
10.3%
10.6%
11.1%
11.4%
10.8%
10.1%
Q2 2017
10.5%
Q3 2017
9.9%
11.1%
Q4 2017
4.3%
7.8%
10.7%
Q1 2018
7.5%
10.6%
6.5%
Q4 2018
6.1%
8.4%
9.7%
6.4%
3.7%
Q2 2019 Q4 2019
3.0%
5.9%
Q1 2020
Group reported
Mature*
10
2
4
14
6
0
8
1211.911.7
Q2 2019
9.59.0
7.4
9.4
Q3 2017 Q4 2017
7.78.8
10.0
7.2
Q1 2016
7.9
Q2 2016
8.1
8.17.5
Q3 2016 Q1 2018
8.2
7.7
Q4 2019Q4 2016
8.4
9.3
7.8
Q1 2017
8.5
8.0
Q2 2017
9.4
8.7
8.2 8.3 8.5
Q2 2018
10.6
Q3 2018
11.0
9.0
Q4 2018
11.2
Q1 2020
9.1
Q1 2019
11.5
Q3 2019
12.2
9.6
Occupancy development: vintage breakdownStable in mature, steadily improving in 2017-19 vintages
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Occupancy in own homes1
90
85 8582
7982 81
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
apr-18jan-17 jul-18 okt-18 okt-19jan-19 apr-19jan-18 apr-20jan-20okt-17apr-17 jul-19jul-17
8079 80
88
81 80
2020
2016 and earlier
2019
2018
2017
Mikeva
Total occ.
1) Own nursing homes (CoP) and own care homes (care for people with disabilities, social psychiatry)
SEKm Q1 2020 Q1 2019 Change (%)
Net sales 3,128 2,878 9
Organic, % 5.9 1.8 -
Acquired, % 1.7 5.4 -
Currency, % 1.1 2.5 -
Operating profit (EBITA) 182 258 -29
Operating margin (EBITA), % 5.8 9.0 -
EBIT 150 222 -32
Financial net -146 -135 -
Income tax -1 -21 -
Net profit 3 66 -95
Diluted earnings per share, SEK 0.02 0.41 -
P&L: Growth primarily from more beds occupied Lower profit due to higher costs and high number of openings in Finland
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Q1 2020 Chg
SEKm 2020 2019 (%)
Net sales 1,594 1,537 4
Operating profit (EBITA) 165 161 2
Operating margin (EBITA), % 10.4 10.5 -
Adjusted EBITA 125 121 3
Adjusted EBITA margin, % 7.8 7.9 -
Attendo Scandinavia Q1 2020
10
46%
28%
21%
Individual and family care
5%
Outsourcing homes
Own care homes*Home care
OVERALL STABLE PERFORMANCE
Net sales
• More sold beds in new own care homes, price adjustments and
acquisitions increased net sales
Profits
• Underlying profit slightly higher vs Q1 2019
• Increased contribution from own care homes started 2017,
2018
• Improved profits in Home care and outsourcing
• Corona impact SEK -15m
Other
• Net won outsourcing contracts of SEK 29m in Q1
Net sales per service offering, Q1 2020
*) Own nursing homes (care for older people, CoP) and own care homes (care for people with disabilities, social psychiatry)
Attendo Finland Q1 2020
11
71%
22%
Own nursing homes (care for older people)
7%
Other
FIRST IMPACT OF TURN-AROUND PROGRAM
Net sales
• Growth due to sales in new own homes started 2019 and
2020, as well as price increases
Profits
• Positive price effect from renegotiations of frame work
agreements
• Higher cost from sharper staffing requirements and action
program
• More empty beds due to many openings
• Corona impact SEK -5m
Other
• High number of openings until H2 2020 due to past
commitments. Significantly reduced number of beds under
construction
Q1 2020 Chg
SEKm 2020 2019 (%)
Net sales 1,534 1,341 14
Operating profit (EBITA) 36 116 -69
Operating margin (EBITA), % 2.3 8.6 -
Adjusted EBITA -22 58 -
Adjusted EBITA margin, % -1.4 4.3 -
Net sales per service offering, Q1 2020
Own care homes -
(Disabled care and
social psychiatry)
Cash flow: Higher free cash flow due to positive change in working capital
SEKm Q1 2020 Q1 2019
Operating profit (EBITA) 182 258
Change in working capital, paid tax, non cash items and depreciation 524 118
Cash flow after changes in working capital 706 376Net investments in tangible and intangible assets -114 -63
Operating cash flow 592 313Interest received/paid -15 -33
Interest costs and amortization IFRS 16 -351 -312
Free cash flow 226 -32
Net change in assets and liabilities held for sale 47 59
Net of acquisitions/divestments -59 -153
Change in financing -7 -2024
Total cash flow 207 -2,150
Net debt 13,162 10,737
Net debt/EBITDA 6.9x 5.3x
Adjusted net debt 2,270 2,630
Adjusted net debt / adjusted EBITDA 3.9x 3.0x
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Financial impact of corona pandemic going forward
• Estimated additional cost impact, net ~SEK -100m in 2020– Cost for protective equipment
– Personnel costs due to sick leave
– Main part in Q2
– Significantly lower cost impact in Q3 and Q4 expected
– State support in Finland from May 2020
• Impact on occupancy / sales– General concerns about the corona situation impacts willingness to take on care services
– Increased mortality in certain regions
– Based on numbers in April, negative sales impact per month of ~SEK -20m
• In the long term, we do not believe that the corona pandemic should have any
significant impact on either Attendo or the underlying demand for our services
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