FULLTEXT DEL 1 AV 1

Kvartalsrapport Q1 2023

Dokumentindex

===== SIDA 1 =====

Attendo Interim report Q1, January-March 2023  1 (31) 
 
 
 
 
 
 
INTERIM REPORT  
JANUARY-MARCH 2023 
Summary of the first quarter  
• Net sales amounted to SEK 4,044m (3,482). Organic growth was 8.9 percent.  
• Lease adjusted EBITA (EBITA according to the previous accounting standard) was SEK 116m (31), corresponding 
to a lease adjusted operating margin of 2.9 percent (0.9).  
• Operating profit (EBITA) amounted to SEK 241m (142), corresponding to an operating margin of 6.0 percent (4.1).  
• The profit for the period amounted to SEK 28m (-32). Diluted earnings per share were SEK 0.17 (-0.20). Adjusted 
earnings per share after dilution were SEK 0.43 (0.09). 
• Free cash flow amounted to SEK 8m (57).  
• There were 20,923 (21,155) beds in Attendo’s homes at the end of the period. Occupancy in the homes was 86 
percent (84). 
 
 
Group key figures 
 
1) See also definitions of key data and alternative performance measures on pages 29-30. 
2) Profit for the period attributable to the parent company shareholders excluding amortization of acquisition related intangible assets, IFRS 16 and items affecting comparability and related tax 
effects divided with the average number of shares outstanding, after dilution. 
 
  Jan-Dec
SEKm 2023 2022 Δ%  2022
Net sales 4,044 3,482 16% 14,496
Lease adjusted operating profit (EBITA) ¹ 116 31 274% 199
Lease adjusted operating margin (EBITA)¹, % 2.9 0.9 - 1.4
Operating profit (EBITA)¹ 241 142 70% 674
Operating margin (EBITA)¹, % 6.0 4.1 - 4.6
Profit for the period 28 -32 - -44
Earning per share diluted, SEK 0.17 -0.20 - -0.28
Adjusted earnings per share diluted¹ʼ ², SEK 0.43 0.09 383% 0.68
Free cash flow 8 57 -86% 24
Q1 
Q1

===== SIDA 2 =====

Attendo Interim report Q1, January-March 2023 2 (31) 
 
CEO’s statement  
Clear progress in Finland leads to improved result
The first quarter of the year was characterised by 
preparations for the new staffing standard in Finland, 
related to access to competence, quality improvement 
and renegotiations of contracts in care for older people. 
The new contracts provide the conditions going forward 
to provide good care at lower cost than publicly 
operated alternatives while once again turning to surplus 
after several years in the red. The outcome of the new 
contracts from April are in line with expectations and 
previous communications. We see a clear improvement 
in earnings already in the first quarter as an effect of 
positive price effects already from the turn of the year in 
combination with well-executed preparations ahead of 
the new staffing standard. 
Financial performance in the Scandinavian business was 
flat, where improvements generated by higher 
occupancy were offset by annual price adjustments that 
did not fully compensate for cost increases. 
With price and cost conditions clarified, we can assess 
our capacity to achieve the financial targets we set in 
early 2021 with greater certainty. Overall, we see good 
potential to achieve SEK 4 per share in 2024, thus a 
quarter or two later than originally planned. 
Group: High growth and improved performance 
We are reporting growth of 16 percent in the first quarter, 
driven primarily by price adjustments in Finland, 
acquisitions and higher occupancy in Scandinavia. Costs 
have increased in both business areas, however, and sick-
leave rates remain elevated. Lease-adjusted EBITA for the 
first quarter of 2023 increased by SEK 85 million 
compared to the preceding year to SEK 116 million, 
corresponding to an operating margin of 2.9 percent. 
Finland: Clear turn-around already in Q1 
Sales in Attendo Finland increased by around 17 per cent 
in the quarter in local currency, mainly due to higher 
prices and acquisitions, but also good growth in other 
segments. Price increases of about 12 percent of sales 
starting at the beginning of the year combined with 
operational improvements have clearly improved 
adjusted EBITA, which amounted to SEK 73m for Q1, an  
increase of SEK 91m compared to Q1 2022. Operating 
result is still being held back by high personnel costs 
related primarily to preparing for higher staffing 
requirements, overtime costs and high sick leave, 
although these costs were somewhat lower than 
expected. Rents increased by about 10 percent during the 
quarter. 
Staffing requirements and other regulatory requirements 
have successively increased in Finland since 2019. As of 1 
April 2023, the staffing requirement will increase from 
0.60 to 0.65 care workers per resident. The costs of 
providing Finnish care for older people have thus 
increased dramatically, exceeding 50 percent across a 
period of five years.  
The renegotiations of contracts for our nursing homes in 
Finland completed in Q1 were thus aimed at securing 
reasonable compensation for previous and upcoming cost 
increases due to higher regulatory requirements and the 
high rate of inflation in the past year.  
The contract negotiations resulted in an average price 
adjustment of about 12 percent of total sales in Attendo 
Finland in Q1. Additional price effects in Q2 are estimated 
at 6-7 percent of total sales. Cost increases are estimated 
to be 1-2 percentage points lower. 
 
 
Martin Tivéus, CEO 
‒ Attendo’s long-term goal is to have the most 
satisfied customers in every location where we 
operate. That ambition motivates every local 
operation to do their utmost to deliver good care.

===== SIDA 3 =====

Attendo Interim report Q1, January-March 2023 3 (31) 
 
On the whole, the new contractual situation provides a 
basis for recovery after several years of unsustainable 
conditions in the Finnish nursing home business.  
Scandinavia: Improvements in occupancy offset 
by costs inflation 
Sales in Attendo Scandinavia increased by about 5 percent 
compared to the corresponding quarter last year, 
primarily as a consequence of higher occupancy in nursing 
homes in own operations and price adjustments. Lease-
adjusted EBITA was slightly lower at SEK 61m (66). 
Operating result in nursing homes in own operations 
increased as a result of higher occupancy compared to the 
same period in 2022. Staffing costs remain high and no 
compensation has been paid for higher sick-leave, 
compared to the preceding year. Inflation has also had 
significant impact, primarily in terms of higher costs for 
rent, food and consumable supplies that had not been 
fully compensated for by Swedish local authorities ahead 
of 2023.  
Consequently, the company and the industry as a whole 
need to work actively with contracting local authorities to 
create better understanding for sustainable terms and 
conditions.  
Favourable conditions for reaching SEK 4 per 
share in 2024 
Ahead of 2021, Attendo set a target to achieve adjusted 
EPS of at least SEK 4 for the full year 2023. The turnaround 
programme was based mainly on renegotiation of 
contracts in Finland to secure compensation for increased 
requirements, combined with post-pandemic recovery of 
occupancy levels. As we have noted previously, the 
challenging situation in the labour market for care 
workers in Finland, as well as high inflation, have affected 
our estimate of when the profit target will be reached.  
Now that the renegotiations of contracts in care for older 
people in Finland are by and large complete, we see good 
potential to achieve SEK 4 per share in 2024, one or a few 
quarters later than originally planned. Financial 
performance improved in Q1 and we expect further 
improvements in Q2.  
Quarterly sustainability reporting from 2023 
According to the UN's Agenda 2030, a sustainable society 
is based on people with needs having good and equal 
access to high-quality health and care services. As a large 
care company, our focus areas for sustainability lie 
primarily within the social dimension, with a focus on our 
customers, quality and care solutions and employees. In 
the past, we have reported sustainability data annually, 
but starting in 2023, we will gradually increase reporting 
quarterly as well. 
This quarter we can see that customer satisfaction 
increased in both Sweden and Finland. We are also 
starting to report the measurements we make in the area 
of quality of life starting in Finland, where the RAI 
methodology gives us the opportunity to measure 
perceived quality of life. Continuously measuring quality 
of life is key to meeting the individual's needs in order to 
provide person-centred care. It also supports the ambition 
our company has had since the beginning in 1985 and 
which we have been expressing for over 20 years as 
"empowering the individual". 
Commitment is the key to good care 
We know that empowered and committed employees are 
the single-most important factor in realising our ambition 
to achieve high-quality care and the highest customer 
satisfaction in every location of operation. We also know 
that structural demand for care workers is increasing in 
pace with an ageing population and higher staffing 
requirements. There has been imbalance in the Finnish 
labour market for several years.  
We are working intensively to address this situation and 
to attract and retain the best employees. We have made 
major strides in the past year in Finland, where the 
situation has been the most critical. Among other actions, 
we have implemented and improved our induction 
programme for all employees, expanded our internal 
training academy and implemented an updated 
leadership programme for all managers. We have also 
expanded leadership training for all new managers in 
Sweden and launched several initiatives to create clearer 
career paths for our employees and position Attendo as a 
preferred employer. We strongly believe that satisfied 
employees are the key to delivering good care and 
ensuring that more people choose Attendo in the future. 
Martin Tivéus, President and CEO

===== SIDA 4 =====

Attendo Interim report Q1, January-March 2023  4 (31) 
 
Group 
January - March 2023  
Net sales and operating profit  
Net sales increased by 16.1 percent to SEK 4,044m (3,482) during the quarter. 
Adjusted for currency effects, net sales increased by 11.7 percent. Organic growth 
accounted for 8.9 percent and the net change due to acquisitions and divestments 
was 2.9 percent. Organic growth increased significantly and it was attributable 
mainly to increased net sales in Attendo Finland arising primarily from price 
increases.  
Lease adjusted operating profit (EBITA) amounted to SEK 116m (31). The lease 
adjusted operating margin (EBITA) was 2.9 percent (0.9). Profits increased sharply in 
Attendo Finland, but decreased slightly in Attendo Scandinavia. Profit growth in 
Attendo Finland is explained mainly by price increases that exceeded cost increases 
in care for older people nursing homes, as well as generally lower sick leave. The 
profit decline in Scandinavia was explained mainly by weaker financial performance 
in home care, as well as received public compensation in the comparison quarter 
related to increased sick leave costs. Sick leave in the business areas was significantly 
lower than in the comparison quarter and also decreased compared to Q4 2022, but 
remains at a high level.  
Effects on operating profit (EBITA) related to IFRS 16 amounted to SEK 125m (111).  
Operating profit (EBITA) amounted to SEK 241m (142) and the operating margin was 
6.0 percent (4.1). Currency effects amounted to SEK 9m.  
Operating profit (EBIT) amounted to SEK 226m (127), corresponding to an operating 
margin (EBIT) of 5.6 percent (3.6). The change is attributable to the same factors 
described above. 
The total number of beds in operation in all homes was 20,923 (21,155) at the end of 
the quarter. The reason for the lower number of beds is related to ended outsourcing 
units in Sweden and to closed down nursing homes in Finland. Occupancy in all 
homes was 86 percent (84) at the end of the quarter. The number of beds under 
construction in own operations was 325 across 6 homes. 
 
 
 
 
 
Net sales per business area,  
Q1 2023 (SEKm)  
 
Lease adjusted operating profit (EBITA) 
per business area, Q1 2023 (SEKm)  
 
Lease adjusted operating profit (EBITA) 
per quarter (SEKm) 
 
Adjusted earnings per share, r12 (SEK) 
 
1,607
1,8751,692
2,352
Scandinavia Finland
Q1 2022 Q1 2023
66
-18
61
73
Scandinavia Finland
Q1 2022 Q1 2023
53
208
65
-11
171
8 31
116
Q2 Q3 Q4 Q1
2021 2022 2023
1.31
0.98 0.96
0.68
1.03
Q1
22
Q2
22
Q3
22
Q4
22
Q1
23

===== SIDA 5 =====

Attendo Interim report Q1, January-March 2023  5 (31) 
 
Net financial items  
Net financial items amounted to SEK -190m (-169) for 
the quarter, including net interest expense of SEK -30m 
(-9). Interest expense related to the lease liability real 
estate in accordance with IFRS 16 amounted to SEK          
-163m (-153).  
Tax  
Income tax for the period amounted to SEK -8m (10), 
corresponding to a tax rate of 22.3 percent (23.1).  
Profit and earnings per share for the period 
Profit for the period was SEK 28m (-32), corresponding 
to basic and diluted earnings per share for shareholders 
in the parent company of SEK 0.17 (-0.20). Adjusted 
earnings per share after dilution were SEK 0.43 (0.09).

===== SIDA 6 =====

Attendo Interim report Q1, January-March 2023 6 (31) 
 
Business area:  
ATTENDO SCANDINAVIA 
More sold own nursing home beds  
 Net sales by service offering, 
Q1 2023 
 
 
 
 
January–March 2023  
 
Net sales in Attendo Scandinavia amounted to SEK 1,692m 
(1,607), corresponding to growth of 5.3 percent including 
currency effects and 5.1 percent excluding currency 
effects. The increase is attributable primarily to higher net 
sales in nursing homes, mainly a result of more sold beds. 
Net sales in home care and outsourced nursing homes 
decreased. 
The number of sold beds and occupancy in homes 
increased sharply in relation to the comparison quarter 
and occupancy also increased compared to Q4 2022.  
Lease adjusted EBITA amounted to SEK 61m (66), 
corresponding to a lease-adjusted operating margin of 3.6 
percent (4.1). Profits in home care decreased due to fewer 
performed hours and lower efficiency. Price increases in 
2023 do not fully compensate for the historically high cost 
increases. Attendo Scandinavia received public 
compensation for costs related to sick leave in the 
comparison quarter. Sick leave was lower than in the 
comparison quarter and Q4 2022, but remains at a high 
level. Profits were positively affected by the significant 
increase of sold beds in own nursing homes (CoP). 
Calendar effects had minor positive effect on profits. 
 
Effects on operating profit related to IFRS 16 amounted to 
SEK 48m (47). 
Operating profit (EBITA) amounted to SEK 109m (113), 
corresponding to an operating margin (EBITA) of 6.4 
percent (7.0).  
Beds and contracts 
Attendo Scandinavia opened one nursing home with 58 
beds in Denmark and closed one nursing home in Sweden. 
At the end of the quarter, there were 83 beds under 
construction in own operations. Attendo Scandinavia lost 
a large outsourcing contract during the quarter and 
annual sales for outsourcing contracts won but not yet 
started and outsourcing contracts lost but not yet ended 
are thus estimated to SEK -250m.  
 
 
 
 
 
 
  Jan-Dec
 SEKm 2023 2022  2022
Net sales 1,692 1,607 6,599
Lease adjusted EBITA 61 66 380
Lease adjusted EBITA margin, % 3.6 4.1 5.8
Operating profit (EBITA) 109 113 577
Operating margin (EBITA), % 6.4 7.0 8.7
Q1 
60%
18%
14%
5%
2%
Nursing homes (CoP)
Home care
Disabled care
Individual and family care
Social psychiatry

===== SIDA 7 =====

Attendo Interim report Q1, January-March 2023 7 (31) 
 
Business area:  
ATTENDO SCANDINAVIA 
Beds and customers  
 
 
 
 
 
  
Attendo Scandinavia Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023
Number of beds in homes in operation¹ 7,078 7,129 7,070 6,986 6,961
Occupancy in homes¹, % 81 82 85 85 86
 
Number of opened beds² 60 84 - - 58
Number of beds, construction start in the quarter² 60 5 - - -
Number of beds under construction² 220 141 141 141 83
 
Number of home care customers n.i. n.i. 8,235 8,230 8,180
 
1) All homes. 
2) Own homes. 
Attendo’s definition of home care customers was changed 2023. Historical periods with available data have 
been adjusted.

===== SIDA 8 =====

Attendo Interim report Q1, January-March 2023 8 (31) 
 
Business area:  
ATTENDO FINLAND 
Significant progress during the quarter 
 Net sales by service offering, 
Q1 2023 
 
 
January - March 2023 
 
Net sales in Attendo Finland amounted to SEK 2,352m 
(1,875) corresponding to growth of 25.5 percent. Adjusted 
for currency effects, net sales increased by 17.5 percent. 
The growth is attributable to higher net sales, primarily in 
nursing homes due to price increases, and acquisitions. 
Total price increases amounted to about 12 percent. 
Subsequent to the comparison quarter, Attendo has 
closed a number of homes due to staff shortages or 
problems related to occupancy. 
Occupancy in homes increased in relation to the 
comparison quarter and to Q4 2022, in spite of the 
challenging staffing situation.  
Lease adjusted EBITA amounted to SEK 73m (-18) and 
lease adjusted EBITA margin was 3.1 percent (-1.0). The 
profit increase is explained primarily by higher price 
increases than cost increases, but also by lower sick leave 
costs, as well as positive profit contribution from 
acquisitions. Sick leave was significantly lower than in the  
 
 
 
 
comparison quarter and also lower than in Q4 2022. Price 
increases in care for people with disabilities and  
social psychiatry did not fully compensate for the high 
cost increases. Calendar effects had minor positive effect 
on profits. 
Effects on operating profit (EBITA) related to IFRS 16 
amounted to SEK 77m (64).  
Operating profit (EBITA) amounted to SEK 150m (46) and 
the operating margin (EBITA) was 6.4 percent (2.5). 
Currency effects amounted to SEK 10m. 
Beds and contracts 
Construction of one nursing home started during the 
quarter and the total number of beds under construction 
in own operations at the end of the quarter was 242. 
 
 
x 
x 
 
  Jan-Dec
 SEKm 2023 2022  2022
Net sales 2,352 1,875 7,897
Lease adjusted EBITA 73 -18 -111
Lease adjusted EBITA margin, % 3.1 -1.0 -1.4
Operating profit (EBITA) 150 46 167
Operating margin (EBITA), % 6.4 2.5 2.1
Q1 
70%
11%
9%
10%
Nursing homes (CoP)
Social psychiatry
Disabled care
Other (Rehab, food svcs., etc.)

===== SIDA 9 =====

Attendo Interim report Q1, January-March 2023 9 (31) 
 
Business area:  
ATTENDO FINLAND 
Beds and customers 
 
 
 
Attendo Finland Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023
Number of beds in homes in operation¹ 14,077 13,933 14,012 13,946 13,962
Occupancy in homes¹, % 85 85 85 85 86 
Number of opened beds² - - 130 - -
Number of beds, construction start in the quarter² - - - 101 58
Number of beds under construction² 213 213 83 184 242
 
Number of home care customers 550 607 590 586 493
 
1) All homes. 
2) Own homes.

===== SIDA 10 =====

Attendo Interim report Q1, January-March 2023 10 (31) 
 
Cash flow 
January - March 2023 
Free cash flow was SEK 8m (57) during the quarter, 
whereof changes in working capital amounted to           
SEK -103m (67). The negative effect in working capital is 
due partly to an increase in trade receivables following 
new administrative procedures in the new welfare regions 
in Finland. 
Cash flow from operations was SEK 361m (384). Cash used 
for net investments in non-current assets was SEK -28m   
(-59). Cash flow from investing activities thus amounted to 
SEK -32m (-65).  
Cash flow from financing activities was SEK -263m (-318). 
Bank loans of SEK 112m (-) were raised during the quarter 
and bank loans of SEK 50m (50) were repaid. Total cash 
flow amounted to SEK 66m (1). 
 
 
Financial position
Equity attributable to shareholders in the parent company 
amounted to SEK 5,037m (4,925) as of 31 March 2023, 
representing diluted equity per share attributable to 
shareholders in the parent of SEK 31.30 (30.77). Net debt 
amounted to SEK 15,249m (13,752). Lease adjusted net 
debt, excluding lease liability real estate, amounted to SEK 
1,878m (1,536).  
Interest-bearing liabilities amounted to SEK 15,827m 
(14,278) on 31 March 2023. Cash and cash equivalents as 
of 31 March 2023 amounted to SEK 575m (517) and 
Attendo had SEK 1,488m (1,750) in unutilised credit 
facilities.  
Net debt/EBITDA was 6.5 (6.3). Lease adjusted net 
debt/lease adjusted EBITDA was 3.6 (2.7).  
 
 
 
 
 
 
 
 31 Dec
 SEKm 2023 2022 2022
Interest-bearing liabilities 15,827 14,278 14,805
Provision for post-
employment benefits -3 -9 0
Cash and cash equivalents -575 -517 -507
Net debt 15,249 13,752 14,298
Lease liability real estate -13,371 -12,216 -12,440
Lease adjusted net debt 1,878 1,536 1,858
31 Mar 
 31 Dec
 SEKm 2023 2022 2022
Net debt / EBITDA 6.5 6.3 6.6
Lease adjusted net debt / 
Lease adjusted EBITDA 3.6 2.7 4.4
31 Mar

===== SIDA 11 =====

Attendo Interim report Q1, January-March 2023  11 (31) 
 
Sustainablity: 
SUSTAINABLE CARE 
Sustainability in quarterly reporting 
Attendo works systematically and purposefully 
with sustainability within five focus areas. These 
focus areas - Quality of life, Value-adding care 
solutions, Empowered employees, Environment 
in mind and Responsible operations are based on 
Attendo's business strategy and guiding 
objectives. As a large care company, our focus 
areas for sustainability lie primarily within the 
social dimension, with customers and employees 
in particular focus of our work to create better 
care for more people. 
 
During 2022, Attendo established a number of 
new  KPIs for the focus areas, with the aim to 
ensure measurable outcomes of our work. These 
key figures were presented in the annual report 
for 2022. From the first quarter onwards, the KPIs 
will also be reported on a quarterly basis, 
together with important activities and progress in 
each focus area. 
 
There are still few generally accepted standards 
for measuring quality and outcomes in social 
care. Our ambition is to develop and report 
outcome measures that both put the customer at 
the center and contribute to standardization 
within the sector. This is a long-term 
commitment and the measures we work with 
today will be continuously developed. 
 
 
Value-adding care solutions: New tool for 
systematic quality development 
In the beginning of March, Attendo Scandinavia 
introduced a new support tool for systematic 
quality assurance. The new tool will simplify and 
even better support planning and follow-up of 
the quality work at local, regional and segment 
level. It will also provide enhanced analytics 
capabilities, supporting the development of best 
practices. 
Quality of life: the RAI method and ASCOT 
Attendo Finland started applying the RAI method, 
which has been statutory since April 2023, on a 
smaller scale already in 2015. RAI is used to 
assess customers' health status and has been 
developed to increase each individual's self-
determination and to adapt the care to the 
individual's needs and wishes, very well in line 
with Attendo's vision. The work to implement RAI 
in all relevant units in Attendo Finland is ongoing 
and will gradually provide both comparability and 
increased insights into how the care can be 
developed. 
In the spring, another 24 operations in Attendo 
Scandinavia begin to use the ASCOT method for 
quality of life interviews, after which the method 
is introduced in approximately one third of 
Attendo's nursing homes. In parallel, Attendo's 
quality index, which measures e.g. process quality 
in Attendo's operations, is being developed. 
Attendo’s focus areas and ambitions 
Focus area Ambition 
Quality of life Attendo should create wellbeing and meaning in day-to-day life and be a leader in 
customer satisfaction. 
Value-adding care solutions Attendo should make reliable, innovative and cost-effective care available as a 
preferred partner to local authorities. 
Empowered employees Attendo should be a preferred employer that exhibits outstanding leadership and 
encourages personal growth and equal opportunities. 
Environment in mind Attendo should be a resource-efficient care provider on a path towards net zero 
greenhouse gas emissions. 
Responsible operations Attendo should be a reliable care provider that delivers values-driven care that is 
robust and transparent.

===== SIDA 12 =====

Attendo Interim report Q1, January-March 2023  12 (31) 
 
Sustainablity: 
SUSTAINABLE CARE 
Key sustainability figures for Q1 2023 
Focus area Key figures Outcome Comments 
Quality of life 
Customer satisfaction, cNPS 
(-100 to +100) 38 
Percentage of customers that answered 9 or 10 (0-10) when 
asked how likely it is that they would recommend Attendo 
minus the percentage that answered 6 or below. The 
measurement refers to Q1 2023. The outcome in Q4 2022 
was 36. 
Relatives satisfaction, rNPS 
(-100 till +100) 29 
Percentage of relatives of customers that answered 9 or 10 
(0-10) when asked how likely it is that they would 
recommend Attendo minus the percentage that answered 6 
or below. The measurement was carried out in Q4 2022. 
AQ quality index 
(0-100, Scandinavia only) 90 
The Attendo Quality Thermometer (AQ23). The outcome 
refers to reported AQ23 indicators in Q1 2023. The outcome 
in Q4 2022 was 89. This measure is intended to be replaced 
with ASCOT (quality of life) outcomes as soon as possible. 
RAI index 
(0-10, Finland only) 5.5 Measured quality of life based on weighted average of 
reported RAI indicators in Attendo Finland in Q1 2023. 
Value-adding care 
solutions 
Number of customers who 
receive care from Attendo 27,600 
Refers to beds sold in homes, daily activities, rehabilitation, 
family care home placements and home care services 
customers in Q1 2023. Note that Attendo updated the 
definition of home care services customers in 2023. The 
number of customers in Q4 2022 was 27,500 (according to 
the new definition).  
Beds opened in own 
operations (capacity made 
available), r12 
272 Refers to beds in residential homes in own operations 
opened in the past twelve months.  
Beds under construction in 
own operations 
(investment in new 
capacity), r12 
164 Refers to beds in residential homes in own operations for 
which construction began in the past twelve months.  
Empowered 
employees 
Employee satisfaction, 
eNPS 
(-100 till +100) 
6 
Percentage of employees that answered 9 or 10 (0-10) when 
asked how likely it is that they would recommend Attendo 
minus the percentage that answered 6 or below. 
Measurement in Q4 2022 (AF) and Q1 2023 (AS) 
Short-term sick leave, %  6.5 Percentage short-term sick leave. Average in Q1 2023. The 
outcome in Q4 2022 was 7.6%. 
Environment in 
mind 
Emissions of climate gases, 
g/SEK 1.5 Emissions of climate gases, grams CO2e per SEK in turnover. 
Refers to the full year 2022.  
Responsible 
operations N/A - Key figures for this focus area are being developed.

===== SIDA 13 =====

Attendo Interim report Q1, January-March 2023  13 (31) 
 
Sustainablity: 
SUSTAINABLE CARE 
Quality audits and deviations 
Attendo has strict procedures for managing  care 
deviations. This includes procedures for reporting, 
managing and following up deviations from internal 
guidelines or methods, as well as serious incidents 
that led to or risked leading to health and  care 
injuries to individuals (under the Swedish Lex Sarah 
and Lex Maria statutes in Sweden).  
Attendo’s operations are supervised and 
comprehensively audited by national regulatory 
authorities, such as the Regional State 
Administrative Agency (AVI) in Finland and the 
Health and Social Care Inspectorate (IVO) in 
Sweden, as well as by contracting local authorities. 
As a leading care provider, Attendo attaches great 
importance to both learning from and transparency 
regarding  
reported deviations, various types of inspections 
and their outcomes.  
Procedures for self-reporting to and supervision by 
regulators and the classification of deviations and 
supervisory cases differ between Attendo's 
markets. Attendo reports both cases of a serious 
nature (Sweden) and the number of official cases in 
progress (Finland). 
Scandinavia 
A total of seven cases were reported in Q1 to IVO 
in Sweden according to Lex Sarah or Lex Maria. 
Finland  
Two cases were opened by AVI in Finland during Q1 
and 24 cases were closed. The total number of 
cases opened was about 50 at the end of Q1.

===== SIDA 14 =====

Attendo Interim report Q1, January-March 2023  14 (31) 
 
Other information
 
Acquisitions 
There were no acquisitions during the quarter. 
Changes in executive management 
Attendo has appointed Mikael Malmgren Chief Financial 
Officer (CFO) and member of executive management. His 
most recent role prior to joining Attendo was Senior Vice 
President at McKinsey. Mikael will assume the role of CFO 
of Attendo in June. Attendo’s current CFO Fredrik 
Lagercrantz will continue in his role until Mikael takes 
over.  
Number of shares  
The total number of shares is 161,386,592. Attendo holds 
453,697 treasury shares and the total number of shares 
outstanding as of 31 March 2023 was thus 160,932,895.  
Number of employees  
The average number of employees in Q1 was 20,699 
(19,749). 
Related party transactions  
Transactions with related parties are described in the 
annual report. Related-party transactions take place on 
market terms. There were no significant transactions with 
related parties during the period. 
Parent company, Attendo AB (publ)  
The business of the parent company is to provide services 
to the subsidiaries and manage shares in subsidiaries. The 
company’s expenses relate mainly to executive salaries, 
directors’ fees and costs for external consultants.  
Net sales for the period of January–March amounted to 
SEK 5m (4), and were entirely related to services provided 
to subsidiaries. The loss for the period after net financial 
items was SEK -8m (-8). At the end of the quarter, cash 
and cash equivalents amounted to SEK 0 (0), shares in 
subsidiaries to SEK 6,494m (6,494), and non-restricted 
equity to SEK 6,658m (6,564).  
 
Seasonal and calendar effects  
Attendo’s profitability is affected by factors including 
seasonal variations, weekends and national public 
holidays. For Attendo, public holidays and weekends have 
a negative effect on profitability mainly due to wage 
compensation for unsocial working hours. For example, 
profitability is affected by Easter in either the first or 
second quarter, depending on the quarter in which Easter 
falls, while the first and fourth quarters are affected by 
the Christmas and New Year’s holidays.  
Roundings 
Note that roundings occur in text, charts and tables. 
Significant events after the 
reporting date 
 
Annual General Meeting 
The annual general meeting of shareholders in Attendo 
AB will be held 26 April 2023 at 16:30 CEST in Danderyd, 
Sweden.

===== SIDA 15 =====

Attendo Interim report Q1, January-March 2023  15 (31) 
 
Risks and uncertainties
As a large company with a mission that is essential to 
society – empowering every individual in our care – and 
many stakeholders, Attendo is exposed to various types of 
risks and uncertainties. The work to identify, analyse, 
assess and manage these risks and uncertainties is a key 
component of Attendo’s strategy and operations.  
All business requires companies to take risks in various 
forms and to various extents. Risk management, defined 
as the work involved in identifying, managing and 
monitoring risks, is a key component of Attendo’s strategy 
and operations.  
Attendo takes a structured approach to managing risks 
based on a framework that covers industry and market 
risks, operational risks and financial risks. External risks 
related to the conditions for private companies to operate 
care businesses, political risks, regulatory risks and 
reputational risks. Operational risks refer to risks directly 
linked to Attendo’s operations, such as occupancy, pricing 
and access to skilled employees. Financial risks are related 
to factors including access to capital, exchange rates, 
interest rates and liquidity. The risks and how Attendo 
manages them are described in greater detail in Attendo’s 
annual report (see the “Risks and risk management” 
section in the 2022 annual report, pages 57-60).  
Current risks  
Based on Attendo’s strategic focus areas and financial 
targets, the reform of Finnish care for older people and its 
effects, availability of qualified staff and the historically 
high inflation rate are the most significant risks at present. 
These risks, however, also entail opportunities for 
Attendo, in its capacity as a large and leading provider in 
Nordic care, to have favourable impact on long-term 
conditions in the sector.  
The Finnish reform in care for older people 
A comprehensive care reform is ongoing in Finland. One 
of the aspects of the reform is that staffing requirements 
have been increased in several steps and are planned to 
increase further in 2023. Higher staffing requirements 
entail higher costs for all providers. Private providers must 
negotiate with each local region on price compensation 
for staffing changes, which entails uncertainty. Costs also 
arise before each step (staffing requirements) takes effect 
and there is consequently a lag before compensation is 
received. Staff provision in Finnish care for older people is 
generally strained and has been exacerbated by the 
reform.  
A challenging business environment 
The Russian invasion of Ukraine has no direct impact on 
Attendo, as Attendo does not operate in either country. 
The company is, however, suffering indirect impact in the 
form of higher prices for fuel, energy, food and 
consumable supplies. There is high risk that it will not be 
possible to cover increased purchasing costs by raising 
prices during the year that the costs affect Attendo 
because compensation for inflation and comparable 
compensation is normally received after a delay according 
to contracts with Attendo’s payors and is to a certain 
extent dependent upon political decisions. 
Continued impact of the Covid pandemic  
The Corona pandemic remains a risk for Attendo, with 
serious impact on Attendo’s business and financial 
performance. At present, the primary effects of the 
pandemic are increased personnel costs due to high 
absenteeism due to illness among employees and lower 
occupancy.

===== SIDA 16 =====

Attendo Interim report Q1, January-March 2023  16 (31) 
 
Accounting policies 
The group applies International Financial Reporting Standards (IFRS) and interpretations from IFRIC, as adopted by the 
European Union, the Swedish Financial Reporting Board’s standard RFR 1 Supplementary Accounting Rules for Groups and 
related interpretations and the Swedish Annual Accounts Act.  
This interim report has been prepared according to IAS 34 Interim Financial Reporting and the Swedish Annual Accounts 
Act and should be read together with the annual report for 2022. The most significant accounting policies under IFRS, the 
reporting norm applied in preparing this interim report, are set forth in Note C1 on pages 72-76 of the annual report for 
2022, which were applied to the preparation of this interim report.  
The interim information on pages 1-15 is an integrated part of this financial report. The parent company’s financial 
statements are prepared in accordance with the Swedish Annual Accounts Act and the Swedish Financial Reporting 
Board’s recommendation, RFR 2 Accounting for Legal Entities.  
 
Outlook 
Attendo does not publish forecasts. 
 
Danderyd, April 26, 2023 
 
Martin Tivéus  
President and CEO

===== SIDA 17 =====

Attendo Interim report Q1, January-March 2023  17 (31) 
 
Financial reports 
Consolidated Income Statement 
   
 
Consolidated Statement of Comprehensive Income 
 
  Jan-Dec
SEKm 2023 2022  2022
Net sales 4,044 3,482 14,496
Other operating income 11 4 61
Total revenue 4,055 3,486 14,557
Personnel costs -2,665 -2,381 -9,929
Other external costs -725 -598 -2,454
Operating profit before amortization and depreciations (EBITDA) 665 507 2,174
Amortization and depreciation of tangible and intangible assets -424 -365 -1,500
Operating profit after depreciation (EBITA) 241 142 674
Operating margin (EBITA), % 6.0 4.1 4.6
Amortization and write-down of acquisition related intangible assets -15 -15 -58
Operating profit (EBIT) 226 127 616
Operating margin (EBIT), % 5.6 3.6 4.2
Net financial items -190 -169 -658
Profit before tax 36 -42 -42
Income tax -8 10 -2
Profit for the period 28 -32 -44
Profit margin, % 0.7 -0.9 -0.3
Profit for the period attributable to: 
Parent company shareholders 28 -33 -45
Non-controlling interest - 1 1
Basic earnings per share, SEK 0.17 -0.20 -0.28
Diluted earnings per share, SEK 0.17 -0.20 -0.28
Average number of shares outstanding, basic, thousands 160,933 160,913 160,925
Average number of shares outstanding, diluted, thousands 160,940 160,932 160,938
Q1 
  Jan-Dec
SEKm 2023 2022  2022
Profit for the period 28 -32 -44
 
Other comprehensive income for the period 
 
Items that will not be reclassified to profit or loss 
Remeasurements of defines benefit pension plans, net of tax 1 10 1
 
Items that may be reclassified to profit or loss 
Exchange rate differences on translating foreign operations attributable to 
the parent company shareholders 7 16 85
Other comprehensive income for the period 8 26 86
 
Total comprehensive income for the period 36 -6 42
 
Total comprehensive income attributable to: 
Parent company shareholders 36 -7 41
Non-controlling interest - 1 1
Q1

===== SIDA 18 =====

Attendo Interim report Q1, January-March 2023  18 (31) 
 
Consolidated Balance Sheet 
 
  
SEKm 31 Mar 2023 31 Mar 2022 31 Dec 2022
ASSETS 
Non-current assets 
Goodwill 7,238 6,906 7,204
Other intangible assets 496 487 504
Equipment 632 547 642
Right-of-use assets 12,017 10,910 11,118
Financial assets 533 457 512
Total non-current assets 20,916 19,307 19,980
 
Current assets 
Trade receivables 1,558 1,303 1,400
Other current assets 464 472 437
Cash and cash equivalents 575 517 507
 2,597 2,292 2,344
 
Assets held for sale 1 6 1
Total current assets 2,598 2,298 2,345
 
Total assets 23,514 21,605 22,325
 
 
EQUITY and LIABILITIES 
Equity 
Equity attributable to the parent company shareholders 5,037 4,925 5,001
Non-controlling interest - 26 -
Total equity 5,037 4,951 5,001
 
Non-current liabilities 
Liabilities to credit institutions 2,414 2,034 2,330
Long-term lease liabilities¹ 12,039 11,102 11,246
Provisions for post-employment benefits 0 0 0
Long term provisions 101 76 88
Other non-current liabilities 166 107 165
Total non-current liabilities 14,720 13,319 13,829
 
Current liabilities 
Liabilities to credit institutions - - -
Short-term lease liabilities² 1,374 1,141 1,229
Trade payables 347 411 462
Short-term provisions 36 39 49
Other current liabilities 2,000 1,740 1,755
 3,757 3,331 3,495
 
Liabilities held for sale 0 4 0
Total current liabilities 3,757 3,335 3,495
 
Total equity and liabilities 23,514 21,605 22,325
1) Long-term lease liabilities include car leases amounting to SEK 10m (2m) and full year 2022 15. 
2) Short-term lease liabilities include car leases amounting to SEK 32m (25m) and full year 2022 20.

===== SIDA 19 =====

Attendo Interim report Q1, January-March 2023  19 (31) 
 
Consolidated Cash Flow Statement 
 
Consolidated Statement of Changes in Equity 
 
 
  Jan-Dec
Operational cash flow (alternative performance measure), SEKm 2023 2022  2022
Operating profit (EBITA)¹ 241 142 674
Depreciation and amortization of tangible and intangible assets 424 365 1,500
Changes in working capital -103 67 -70
Paid income tax -19 -27 -60
Other non-cash items -5 0 -51
Cash flow after changes in working capital 538 547 1,993
Investments on tangible and intangible assets -34 -61 -204
Divestments of tangible and intangible assets 6 2 17
Operating cash flow 510 488 1,806
Interest received/paid -14 -10 -55
Interest expense for lease liabilities of real estate -163 -153 -605
Repayment of lease liabilities -325 -268 -1,122
Free cash flow 8 57 24
Net change in assets and liabilities held for sale - - 1
Acquisition of operations -4 -6 -204
Divestment of subsidiaries - - -
Warrants - - 2
Repayment of loans -50 -50 -100
New borrowings 112 - 250
Total cash flow 66 1 -27 
Cash and cash equivalents at the beginning of the period 507 513 513
Effect of exchange rate changes on cash 2 3 21
Cash and cash equivalents at the end of the period 575 517 507
 
  Jan-Dec
Cash flow according to IFRS, SEKm 2023 2022  2022
Cash flow from operations 361 384 1,333
Cash flow from investing activities -32 -65 -390
Cash flow from financing activities -263 -318 -970
Total cash flow 66 1 -27
Q1 
Q1 
SEKm 31 Mar 2023 31 Mar 2022 31 Dec 2022
Opening balance 5,001 4,957 4,957
 
Total comprehensive income attributable to: 
The parent company shareholders 36 -7 41
Non-controlling interest - 1 1
 
Transactions with owners 
Warrants - - 2
Share-savings plan - - 0
Total transactions with owners - - 2
 
Transactions with non-controlling interest - - 0
Closing balance 5,037 4,951 5,001
Equity attributable to: 
Parent company shareholders 5,037 4,925 5,001
Non-controlling interests - 26 -

===== SIDA 20 =====

Attendo Interim report Q1, January-March 2023  20 (31) 
 
Segment in Summary 
 
 
Net Financial Items  
 
 
  
   
SEKm 
Q1 
2023 
Q1 
2022 
Helår 
2022 
Q1 
2023 
Q1 
2022 
Helår 
2022  
Q1 
2023 
Q1 
2022 
Helår 
2022  
Q1 
2023 
Q1 
2022 
Helår 
2022 
Net sales 1,692 1,607 6,598 2,352 1,875 7,897 - - - 4,044 3,482 14,495
- Net sales, own operations 1,280 1,231 5,114 2,290 1,862 7,852 - - - 3,570 3,093 12,966
- Net sales, outsourcing 412 376 1,484 62 13 45 - - - 474 389 1,529
 
Lease adjusted EBITA 61 66 380 73 -18 -111 -18 -17 -70 116 31 199Lease adjusted operating 
margin (EBITA), % 3.6 4.1 5.8 3.1 -1.0 -1.4 - - - 2.9 0.9 1.4
 
Operating profit (EBITA) 109 113 57 150 46 167 -18 -17 -70 241 142 154
Operating margin (EBITA), % 6.4 7.0 0.9 6.4 2.5 2.1 - - - 5.9 4.1 1.1
 
 
Other and 
eliminations Group Scandinavia Finland 
  Jan-Dec
SEKm 2023 2022  2022
Net interest expense (excluding lease liabilities for real estate) -30 -9 -49
Interest expense, lease liabilities for real estate -163 -153 -605
Other 3 -7 -4
Net financial items -190 -169 -658
Q1

===== SIDA 21 =====

Attendo Interim report Q1, January-March 2023  21 (31) 
 
Investments 
 
Financial Assets and Liabilities 
 
 
The table shows the Group’s significant financial assets and liabilities. Assets and liabilities recognized as loans and 
receivables, and other financial liabilities are valued at amortized cost. Fair value for all financial assets and liabilities are 
equal to the carrying value. For complete table and further information see Attendo’s Annual report 2021, note C26. 
Valuation technique  
Level 3: The fair value of contingent considerations is based on estimated outcome from the contractual clauses in the 
share purchase agreements. 
Pledged Assets and Contingent Liabilities 
 
  Jan-Dec
SEKm 2023 2022  2022
Investments 
Investments in intangible assets 3 22 36
Investments in tangible assets 34 39 168
Divestments of tangible and intangible assets -9 -2 -17
Total net investments 28 59 187
 
Intangible assets acquired through business combination 
Goodwill 1 6 124
Customer relations 4 0 34
Other - - -
Total intangible assets acquired through business combination 5 6 158
Q1 
SEKm 31 Mar 2023 31 Mar 2022 31 Dec 2022
ASSETS 
Financial assets measured at fair value 
Trade receivables 1,558 1,303 1,400
Cash and cash equivalents 575 517 507
Total financial assets 2,133 1,820 1,907
 
LIABILITIES 
Contingent considerations 56 - 56
 
Purchase option from non-controlling interests - 21 -
 
Financial liabilities measured at amortised cost 
Borrowings 2,414 2,034 2,330
Lease liabilities 13,413 12,243 12,475
Trade payables 347 411 462
Total financial liabilities 16,230 14,709 15,323
Financial liabilities at fair value through profit or loss 
SEKm 31 Mar 2023 31 Mar 2022 31 Dec 2022
Assets pledged as collateral 72 53 64
Contingent liabilities¹ 2,494 3,013 2,510
1) Leases of assets not yet in use are reported in contingent liabilities. Contingent liabilities also include a potential outflow of 
resources to complete acquisitions of real estate and operations from a few local authorities in Finland.

===== SIDA 22 =====

Attendo Interim report Q1, January-March 2023  22 (31) 
 
Adjusted Earnings and Adjusted Earnings per Share Q1 2023 
 
SEKm 
Reported Acq.¹ IFRS 16² Total adj. Adjusted 
earnings 
Net sales 4,044 - - - 4,044
Other operating income 11 - - - 11
Operating profit before amortization and 
depreciation (EBITDA) 665 - -488 -488 177
 
Amortization and depreciation of tangible and 
intangible assets -424 - 363 363 -61
Operating profit (EBITA) 241 - -125 -125 116
 
Amortization and write-down of acquisition related 
intangible assets -15 15 - 15 -
Operating profit (EBIT) 226 15 -125 -110 116
 
Net financial items -190 - 163 163 -27
Profit before tax (EBT) 36 15 38 53 89
 
Income tax -8 -3 -8 -11 -19
Profit for the period 28 12 30 42 70
 
Profit for the period attributable to: 
The parent company shareholders 28 12 30 42 70
Non-controlling interests - - - - -
Average number of shares outstanding, diluted, 
thousands 160,940 160,940 160,940 160,940 160,940
Earnings per share diluted, SEK 0.17 0.07 0.19 0.26 0.43
Profit for the period attributable to the parent company shareholders excluding amortization of acquisition related intangible 
assets (1)and IFRS 16 (2) and related tax effects divided with the average number of shares outstanding, after dilution.

===== SIDA 23 =====

Attendo Interim report Q1, January-March 2023  23 (31) 
 
Adjusted Earnings and Adjusted Earnings per Share Q1 2022 
 
  
SEKm 
Reported Acq.¹ IFRS 16² Total adj. Adjusted 
earnings 
Net sales 3,482 - - - 3,482
Other operating income 4 - - - 4
Operating profit before amortization and 
depreciation (EBITDA) 507 - -421 -421 86
 
Amortization and depreciation of tangible and 
intangible assets -365 - 310 310 -55
Operating profit (EBITA)  142 - -111 -111 31
 
Amortization and write-down of acquisition related 
intangible assets -15 15 - 15 -
Operating profit (EBIT) 127 15 -111 -96 31
 
Net financial items -169 - 153 153 -16
Profit before tax (EBT) -42 15 42 57 15
 
Income tax 10 -3 -8 -11 -1
Profit for the period -32 12 34 46 14
 
Profit for the period attributable to: 
The parent company shareholders -33 12 34 46 13
Non-controlling interests 1 - - - 1
Average number of shares outstanding, diluted, 
thousands 160,932 160,932 160,932 160,932 160,932
Earnings per share diluted, SEK -0.20 0.08 0.21 0.29 0.09
 
Profit for the period attributable to the parent company shareholders excluding amortization of acquisition related intangible 
assets (1)and IFRS 16 (2) and related tax effects divided with the average number of shares outstanding, after dilution.

===== SIDA 24 =====

Attendo Interim report Q1, January-March 2023  24 (31) 
 
Adjusted Earnings and Adjusted Earnings per Share Jan-Dec 2022 
  
SEKm 
Reported Acq.¹ IFRS 16² Total adj. Adjusted 
earnings 
Net sales 14,496 - - - 14,496
Other operating income 61 - -19 -19 42
Operating profit before amortization and 
depreciation (EBITDA) 2,174 - -1,748 -1,748 426
 
Amortization and depreciation of tangible and 
intangible assets -1,500 - 1,273 1,273 -227
Operating profit (EBITA) 674 -475 -475 199
 
Amortization and write-down of acquisition related 
intangible assets -58 58 - 58 -
Operating profit (EBIT) 616 58 -475 -417 199
 
Net financial items -658 - 605 605 -53
Profit before tax (EBT) -42 58 130 188 146
 
Income tax -2 -12 -23 -35 -37
Profit for the period -44 46 108 154 110
 
Profit for the period attributable to: 
The parent company shareholders -45 46 108 154 109
Non-controlling interests 1 - - - 1
Average number of shares outstanding, diluted, 
thousands 160,938 160,938 160,938 160,938 160,938
Earnings per share diluted, SEK -0.28 0.29 0.67 0.95 0.68
 
Profit for the period attributable to the parent company shareholders excluding amortization of acquisition related intangible 
assets (1)and IFRS 16 (2) and related tax effects divided with the average number of shares outstanding, after dilution.

===== SIDA 25 =====

Attendo Interim report Q1, January-March 2023  25 (31) 
 
Key Data 
 
  
  Jan-Dec
  2023 2022  2022
Organic growth % 8.9 8.2 6.8
Acquired growth % 2.9 3.3 3.0
Change in currencies % 4.4 2.2 2.9
 
Operating margin (EBITA margin) r12 % 5.1 6.0 4.7
Lease adjusted operating margin (lease adjusted 
EBITA margin) r12 % 1.9 2.7 1.4
Working capital SEKm -360 -414 -429
Return on capital employed % 3.6 3.9 3.2
 
Net debt to equity ratio times 3.0 2.8 2.9
Equity to asset ratio % 21 23 22
Net debt/EBITDA r12 times 6.5 6.3 6.6
Lease adjusted net debt / Lease adjusted EBITDA times 3.6 2.7 4.4
Free cash flow SEKm 8 57 24
Net investments SEKm -28 -59 -187
 
Average number of employees 20,699 19,749 20,821
  
Key data per share  
Earnings per share, basic SEK 0.17 -0.20 -0.28
Earnigns per share, diluted SEK 0.17 -0.20 -0.28
Adjusted earnings per share, diluted SEK 0.43 0.09 0.68
Equity per share, basic SEK 31.30 30.77 31.07
Equity per share, diluted SEK 31.30 30.77 31.07
 
Average number of shares outstanding, basic thousands 160,933 160,913 160,925
Average number of shares outstanding, diluted thousands 160,940 160,932 160,938
Number of shares, end of period thousands 161,387 161,387 161,387
Number of treasury shares, end of period thousands 454 474 454
Number of shares outstanding, end of period thousands 160,933 160,913 160,933
 
 
Q1

===== SIDA 26 =====

Attendo Interim report Q1, January-March 2023  26 (31) 
 
Quarterly Data 
 
 
  
SEKm Q2 2021 Q3 2021 Q4 2021 Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023
Total net sales 3,207 3,260 3,338 3,482 3,546 3,679 3,789 4,044
- Net sales, own operations 2,849 2,897 2,957 3,093 3,163 3,298 3,412 3,570
- Net sales, outsourcing 358 362 381 389 383 381 377 474
 
Total net sales 3,207 3,260 3,338 3,482 3,546 3,679 3,789 4,044
- Net sales, Scandinavia 1,489 1,516 1,584 1,607 1,631 1,670 1,691 1,692
- Net sales, Finland 1,718 1,744 1,754 1,875 1,915 2,009 2,098 2,352
 
Lease adjusted operating profit (EBITDA) 104 261 118 86 46 228 66 177
Lease adjusted operating margin (EBITDA 
margin), % 3.2 8.0 3.5 2.5 1.3 6.2 1.7 4.4
Lease adjusted operating profit (EBITA) 53 208 65 31 -11 171 8 116
Lease adjusted operating margin (EBITA 
margin), % 1.7 6.4 2.0 0.9 -0.3 4.7 0.2 2.9
 
Operating profit (EBITDA) 496 657 511 507 481 673 513 665
Operating margin (EBITDA margin), % 15.5 20.2 15.3 14.6 13.6 18.3 13.5 16.4
Operating profit (EBITA) 162 319 172 142 106 295 131 241
Operating margin (EBITA margin), % 5.1 9.8 5.2 4.1 3.0 8.0 3.5 6.0
Profit for the period -19 95 -8 -32 -63 95 -44 28
Profit margin, % -0.6 2.9 -0.2 -0.9 -1.8 2.6 -1.2 0.7
 
Earnings per share basic, SEK -0.12 0.58 -0.06 -0.20 -0.39 0.59 -0.27 0.17
Earnings per share diluted, SEK -0.12 0.58 -0.06 -0.20 -0.39 0.59 -0.27 0.17
 
Adjusted earnings per share diluted, SEK 0.19 0.83 0.21 0.09 -0.14 0.80 -0.07 0.43
 
Average number of employees 18,518 20,104 19,303 19,749 20,780 21,640 20,403 20,699
 
Operational data 
Number of units in operation¹ 716 716 710 711 705 707 705 712
Number of beds in homes² 20,858 20,935 21,093 21,155 21,062 21,082 20,932 20,923
Occupancy in homes, %² 83 83 84 84 84 85 85 86
Number of opened beds³ 236 243 99 60 84 130 - 58
Number of beds, construction start in the quarter³ 52 96 83 60 5 - 101 58
Number of beds under construction³ 608 449 433 433 354 224 325 325
1) All units in all contract models and segments.
2) All homes.
3) Own homes.

===== SIDA 27 =====

Attendo Interim report Q1, January-March 2023  27 (31) 
 
Parent Company Income Statement 
 
Profit for the period corresponds to total comprehensive income. 
 
Parent Company Balance Sheet 
 
  
  Jan-Dec
SEKm 2023 2022  2022
Net sales 5 4 17
 
Personnel costs -9 -8 -35
Other external costs -4 -4 -13
Operating profit -8 -8 -31
 
Net financial items - 0 -
Profit after financial items -8 -8 -31
 
Group contributions - - -98
Profit before tax -8 -8 -129
 
Results of commission 55 46 243
Income tax -12 -9 -29
Profit for the period 35 29 85
Q1 
SEKm 31 Mar 2023 31 Mar 2022 31 Dec 2022
ASSETS 
Non-current assets 
Shares in subsidiaries 6,494 6,494 6,494
Total non-current assets 6,494 6,494 6,494
 
Current assets 
Receivables to group companies 174 92 206
Other receivables 18 2 18
Cash and cash equivalents 0 0 0
Total current assets 192 94 224
Total assets 6,686 6,588 6,718
 
EQUITY AND LIABILITIES 
Equity 6,659 6,565 6,623
 
Current liabilities 
Liabilities to group companies 14 10 82
Other liabilities 13 13 13
Total current liabilities 27 23 95
Total equity and liabilities 6,686 6,588 6,718

===== SIDA 28 =====

Attendo Interim report Q1, January-March 2023  28 (31) 
 
Attendo’s operations  
Attendo is the leading private provider of care services 
in the Nordics. The company has operations in Sweden, 
Finland and Denmark. Attendo is the largest private care 
provider in Sweden and Finland. Attendo is a locally 
based company and has more than 700 units in 
operation in about 300 municipalities. The company has 
about 30,000 employees. With the purpose of 
empowering the individual, Attendo provides services 
within care for older people, care for people with 
disabilities, social psychiatry and care for individuals and 
relatives.  
Attendo provides services through two business areas, 
Attendo Scandinavia and Attendo Finland.  
Attendo provides care services through two contract 
models: 
• Own operations, where Attendo provides services 
in own controlled units/premises or provides home 
care in customer choice models. Attendo has own 
units within care for older people, people with 
disabilities, social psychiatry and care for individuals 
and relatives.  
• Outsourcing operations, where Attendo provides 
services in publicly controlled units/premises or 
provides home care services based on outsourcing 
contracts. Attendo has outsourced units for care for 
older people, care for people with disabilities and 
care for individuals and relatives.  
Local authorities (mainly municipalities) are usually the 
contracting authorities for a large majority of Attendo’s 
service offerings, but contract types and duration of 
contracts vary depending on the contract model and 
service offering. Own operations are normally based on 
framework agreements and outsourcing operations are 
based on outsourcing contracts, following a tender 
process. The contract period is typically 2-5 years.

===== SIDA 29 =====

Attendo Interim report Q1, January-March 2023  29 (31) 
 
Definitions of key data and alternative 
performance measures (APM) 
Explanations of financial performance measures 
Acquired growth 
(APM) 
The net between the increase in the 
company’s net sales from businesses and 
operations acquired during the past 12 
months and loss of net sales from businesses 
and operations divested during the past 12 
months in relation to the comparable 
period’s net sales. 
Adjusted earnings per share 
(APM) 
Profit or loss for the period attributable to 
the parent company shareholders excluding 
effects from amortization and impairment of 
acquisition related intangible assets, IFRS 16 
as well as items affecting comparability and 
related tax items divided by the number of 
outstanding shares after dilution. See the 
tables Adjusted earnings and adjusted 
earnings per share for more information. 
Capital employed 
Equity plus interest-bearing liabilities and 
provisions for post-employment benefits. See 
Note C34 Reconciliations of alternative 
performance measures in the 2022 annual 
report for a reconciliation of the 
performance measure on a full year basis. 
Cash and cash equivalents 
Cash and bank balances, short term 
investments and derivatives with a positive 
fair value.  
Earnings per share 
Profit or loss for the period attributable to 
the parent company shareholders divided by 
average shares outstanding. Calculated both 
before (basic) and after dilution. 
Equity/assets ratio 
Equity divided by total assets. 
Equity per share  
Equity attributable to the parent company 
shareholders divided by average shares 
outstanding. Calculated both before (basic) 
and after dilution. 
Free cash flow 
(APM) 
Free cash flow is a measure of the cash and 
cash equivalents the group generates in 
operating activities and investing activities. 
The performance measure is defined as 
operating cash flow after changes in working 
capital, cash flow from investments in and 
divestments of tangible and intangible 
assets, received/paid interest as well as 
interest expense for lease liabilities of real 
estate and repayment of lease liabilities 
according to IFRS 16. See the Consolidated 
cash flow statement for reconciliation and 
Note C34 Reconciliations of alternative 
performance measures in the 2022 annual 
report for a reconciliation of the 
performance measure on a full year basis. 
Items affecting comparability 
Items whose effects on profit are important 
to pay attention to when profit for the period 
is compared with earlier periods, such as 
significant impairment losses and other 
significant, non-recurring costs or income. 
Lease adjusted EBITA 
(APM) 
See the definition of operating profit (EBITA) 
below. Lease adjusted operating profit 
(EBITA) is operating profit according to the 
previous reporting standard IAS 17, i.e. 
excluding the effects of the implementation 
of IFRS 16. Car leases were reported as 
finance leases under the previous standard. 
Consequently, it is the effects of leases of 
real estate under IFRS 16 that differentiate 
operating profit from lease adjusted 
operating profit. See the tables Adjusted 
earnings and adjusted earnings per share for 
more information. 
Lease adjusted EBITDA 
(APM) 
See the definition of operating profit 
(EBITDA) below. Lease adjusted operating 
profit (EBITDA) is operating profit according 
to the previous accounting standard IAS 17, 
i.e. excluding the effects of the 
implementation of IFRS 16. Car leases were 
reported as finance leases under the 
previous standard. Consequently, it is the 
effects of leases of real estate under IFRS 16 
that differentiate operating profit from lease 
adjusted operating profit. See the tables 
Adjusted earnings and adjusted earnings per 
share for more information. 
Lease adjusted net debt 
(APM) 
See the definition of net debt below. Lease 
adjusted net debt is net debt according to 
the previous reporting standard IAS 17, i.e. 
excluding the IFRS 16 effect on lease 
liabilities attributable to right-of-use assets 
for real estate. See the table showing net 
debt calculation for more information. 
Lease adjusted net debt / lease adjusted 
EBITDA 
(APM) 
Lease adjusted net debt in relation to lease 
adjusted EBITDA r12. 
Lease adjusted operating margin (EBITA) 
(APM) 
Lease adjusted operating profit (EBITA) 
divided by net sales. 
Lease adjusted operating margin (EBITDA) 
(APM) 
Lease adjusted operating profit (EBITDA) 
divided by net sales. 
Net debt 
(APM) 
Net debt is a way of describing the group's 
indebtedness and its ability to repay its debt 
with cash and cash equivalents if all debts 
were to be due for payment today. Net debt 
is defined as interest-bearing liabilities plus 
provisions for post-employment benefits 
minus cash and cash equivalents. Net debt is 
presented both including and excluding lease 
liabilities attributable to right-of-use assets 
for real estate. See the section Financial 
position in this report for a reconciliation of 
net debt. 
Net debt / EBITDA 
(APM) 
Net debt divided by operating profit (EBITDA) 
r12. 
Net debt to equity ratio 
(APM) 
Net debt divided by equity. 
Net investments 
(APM) 
The net of investments in and divestments of 
tangible and intangible assets, excluding 
acquisitions and divestment of operations as 
well as investments in and divestments of 
assets held for sale.  
Operating margin (EBIT margin) 
Operating profit or loss (EBIT) divided by net 
sales.  
Operating margin (EBITA margin) 
Operating profit (EBITA) divided by net sales. 
Operating margin (EBITDA margin) 
Operating profit (EBITDA) divided by net 
sales.

===== SIDA 30 =====

Attendo Interim report Q1, January-March 2023  30 (31) 
 
Operating profit (EBIT) 
(APM) 
Attendo reports operating profit (EBIT) as a 
performance measure because it shows the 
development of operating activities 
independent of financing. Operating profit 
(EBIT) refers to profit before financial items 
and tax. See the Consolidated income 
statement for a reconciliation of EBIT. 
Operating profit (EBITA) 
(APM) 
Operating profit (EBITA) is used as a 
performance measure because it shows the 
development of operating activities without 
the effect of amortization and impairments 
of intangible assets from acquired companies 
and independently of financing. Operating 
profit (EBITA) refers to profit before 
amortization of acquisition related intangible 
assets, financial items and tax. See the 
Consolidated income statement for a 
reconciliation of EBITA. 
Operating profit (EBITDA) 
(APM) 
Attendo reports operating profit (EBITDA) as 
a performance measure because it shows the 
development of operating activities 
independent of financing and investments. 
Operating profit (EBITDA) refers to profit or 
loss before depreciation, amortization and 
impairments. See the Consolidated income 
statement for a reconciliation of EBITDA. 
Organic growth 
(APM) 
Attendo reports organic growth as a 
performance measure to show underlying 
net sales development excluding 
acquisitions/divestments and currency 
effects. The performance measure is 
calculated as net sales growth excluding 
acquisitions / divestments and changes in 
exchange rates. 
Profit (Loss) for the period 
Profit or loss for the period attributable to 
parent company shareholders and non-
controlling interest. 
Profit margin 
Profit or loss for the period divided by net 
sales. 
r12 “rolling 12 months” 
The sum of the period’s past 12 months. 
Return on capital employed 
(APM) 
Attendo reports return on capital employed 
because it shows profits in relation to the 
capital used in operations. The definition of 
return on capital employed is operating 
profit (EBIT) excluding items affecting 
comparability for the past 12 months divided 
by average capital employed. See Note C34 
Reconciliations of alternative performance 
measures in the 2022 annual report for a 
reconciliation of the performance measure 
on a full year basis. 
Working capital 
(APM) 
Working capital is a key performance 
measure for optimising cash generation. The 
performance measure is defined as current 
assets excluding cash and cash equivalents 
and current interest-bearing assets minus 
current non-interest-bearing liabilities and 
provisions. Assets and liabilities held for sale 
are not included in working capital. See Note 
C34 Reconciliations of alternative 
performance measures in the 2022 annual 
report for a reconciliation of the 
performance measure on a full year basis. 
Explanations of 
operational measures 
CoP 
Care for older people. 
Occupancy 
The number of occupied beds divided by the 
number of available beds. Occupancy is a 
weighted average in the last month of each 
reporting period.

===== SIDA 31 =====

Attendo AB (publ)   I   Vendevägen 85B, 182 91 Danderyd   I   Tel +46 8 586 251 00   I   Fax +46 8 586 250 01   I   www.attendo.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INFORMATION TO SHAREHOLDERS AND ANALYSTS 
Financial Calendar 
Annual General Meeting                                              26 April 2023 
Interim report January-June 2023                              20 July 2023 
Interim report January-December 2023                   24 October 2023 
Year-end report January-December 2023                8 February 2024 
 
 
Presentation 
A webcasted presentation will be held on April 26 at 11:00 (CET). You can follow the presentation at the following web link: 
https://ir.financialhearings.com/attendo-q1-2023 
 
Analysts and investors have the opportunity to dial into the presentation to ask questions. Contact information is obtained b y 
emailing to: kommunikation@attendo.se 
 
The report and other information material will be made available at: 
https://www.attendo.com/  
For further information please contact: 
 
Fredrik Lagercrantz 
CFO 
Phone +46 8 586 252 00  
 
Andreas Koch  
Communications and IR Director  
Phone +46 70 509 77 61  
 
 
This is information that Attendo AB (publ) is obliged to make public pursuant to 
the EU Market Abuse Regulation. The information was submitted for publication, 
through the agency of the contact persons set out above on 16 April 2023 at 
08.00 CET. 
 
 
Forward-looking information 
This report contains forward-looking information that reflects Attendo 
management’s current assessments and expectations on certain future 
circumstances and possible outcome. This type of forward-looking information 
involves risks and uncertainties that may significantly impact future outcome. 
The information is based on certain assumptions, including such attributable to 
general economic conditions in the company’s markets and demand for the 
company’s services.  
 
Company number : 559026-7885