Annual Report with Quality & Sustainability Report 2019 We make the world a better place, one person at a time. CONTENTS Contents The year in brief ........................................... 4 CEO comments ............................................ 6 Our competitive environment .....................8 Targets and strategy ............................... 12 How we create value.................................... 15 Financial targets ......................................... 16 Sustainable care .....................................18 Doing it right should be easy .........................20 Our employees make the world a better place .24 Ambea, a socially responsible company ..........28 Our operations .......................................32 Vardaga .....................................................34 Nytida .......................................................36 Stendi ........................................................38 Altiden ...................................................... 40 Klara ......................................................... 41 Statutory Annual Report ......................... 42 Corporate Governance Report .......................43 Risks ........................................................ 48 The share ...................................................50 The population is growing in Scandinavia and the oldest age groups are growing fastest. That is leading to a sharply Financial statements ...............................57 growing need for care services. Read more on page 9. Directors’ report .........................................58 Consolidated financial statements ............... 64 Notes for the Group .................................... 68 Parent Company financial statements .......... 111 Notes for the Parent Company ..................... 115 The Board of Directors’ assurance.................119 Auditor’s report ......................................... 120 Sustainability notes ....................................128 GRI Content Index ......................................132 Highlighted in blue The audited Annual Report and consolidated financial state ments are on pages 42–110. The Corporate Governance Report has been reviewed by the auditors and can be found A commitment to quality is the foundation of Ambea’s work. on pages 43–55. Everyone has the right to high-quality care while society’s resources should be managed effectively. Read more on page 20. Highlighted in grey The mandatory sustainability report can be found on pages 18–31 and 128–133. COVER: A rehearsal in Kung Saga special needs upper secon- dary school. The school has an aesthetic focus and puts on a production every year. In spring 2019, the school performed its own musical, King Story High School. 2 • AMBEA 2019 ANNUAL REPORT ABOUT AMBEA This is Ambea Ambea is one of the leading care providers in Scandina- port, training and social care staffing. Our clients are mu- via. We work with the elderly, and people with disabilities nicipalities across Scandinavia who purchase our services or a need for psychosocial support. on behalf of their municipal residents. Due to the sharply Our mission is to ensure that every individual in our growing need for care, we are building new residential approximately 900 units across Sweden, Norway and facilities and thereby reducing the pressure on municipali- Denmark can live a good life based on their own personal ties. We are also driving developments to improve quality preferences and priorities. We achieve that by combining while, at the same time, reducing costs, for example, with committed and competent employees with central systems our care concept and technical solutions. and procedures. We are ultimately guided by our vision: Ambea has 26,000 employees and has been listed on We make the world a better place, one person at a time. Nasdaq Stockholm since 2017. Our corporate group provides residential facilities, sup- Our operations Share of group net sales in parentheses Norway (28%) Stendi division Net sales SEK 3,106 million EBITA SEK 44 million Sweden (68%) Division Net sales EBITA Vardaga SEK 3,494 million SEK 207 million Nytida SEK 3,664 million SEK 512 million Denmark (4%) Klara SEK 292 million SEK 25 million Altiden division Net sales SEK 484 million EBITA SEK -12 million 73% 26,000 900 of net sales in Own Management employees in the Ambea Group operations in Scandinavia AMBEA 2019 ANNUAL REPORT • 3 2019 IN BRIEF The year in brief Care across Scandinavia On 21 January, when our acquisition of the former Aleris Omsorg operations was completed, Ambea grew to about 900 units and 26,000 employees. Since that date, Ambea has been the leading private provider of elderly care and disability care in the Scandinavian market. We are also a leading player in our local markets: Sweden, Norway and Denmark. 2019 was characterised by an intensive integration pro- cess, when the introduction of Ambea’s care model began, with a focus on quality, innovation and leadership in the operations that were previously Aleris Omsorg. The aim is to ensure even more satisfied care receivers and clients, as well as long-term growth and financial stability. Due to the acquisition, Denmark became a new market for us. In Sweden and Norway, our operations were exten- ded into many more locations. The wider geographic spread will enable Ambea to continue growing and providing new and modern care placements – for which there is a major need across Scandinavia. Brand new facilities for our care receivers! We are happy and proud of the number of new Ambea faci- lities and units that opened in 2019. The Vardaga division opened its doors to elderly patients in eight new nursing homes in Skåne, Gothenburg and Greater Stockholm. At the same time, Nytida opened seven new homes across Sweden for people with disabilities or needs for social care. In Oslo, Stendi opened a new child care home. ... and more facilities are under way! Villa Havsglimt is a new and modern nursing home in Allarp, Sweden, that will open its doors in 2020. To meet the sharply growing need for care services, Ambea will continue to establish new units for the elderly, and for people with disabilities or a need for psychosocial support. Care receiver satisfaction In 2019, we upped our pace and a record number of units are now either under construction or contracted: a total of Ambea’s units deliver high-quality care. Warm con- 57 across Scandinavia. firmation is the high ratings we once again received The design and décor of Ambea’s new residential facili- from our care receivers in the 2019 Care Receiver ties sets them apart. We are focused on our residents from Surveys (conducted in Sweden by the National Board the early stages of planning and create the best conditions of Health and Welfare and the Swedish Association for a good life with high-quality, person-centred care. One of Local Authorities and Regions). This view was example is Ambea’s residential concept in elderly care. also confirmed by the complementary Unit Surveys, It combines Nordic design with interior details that are where the National Board of Health and Welfare adapted to age-related visual and sensory impairment – measures quality in more objective ways. Overall, all based on research and evidence. That is how we create our units performed better on average than both a cosy and homely environment, specifically adapted to other private units and municipal units. the target group. 4 • AMBEA 2019 ANNUAL REPORT 2019 IN BRIEF Gender equal workplace Attractive employer In 2019, Ambea was included on the Allbright Foundation’s There is a major shortage of care workers and the list of most gender-equal companies on the Stockholm shortfall is growing sharply across the Scandina- Stock Exchange for the second consecutive year. Since vian countries. For example, more than half of all April 2019, our Group management team has consisted jobs created in Sweden between 2017 and 2025 will of seven women and five men – while eight of ten listed need to be in municipalities and regions to meet the companies have male-dominated management teams. 77 growing need, according to the Swedish Association per cent of our managers are women. Lena Hofsberger has of Local Authorities and Regions (SKR). been the Chair of Ambea’s Board since 2012. Ambea is working in a variety of ways to secure our recruitment needs. Initiatives include a digital recruitment process, clear employee development and career paths and competitive compensation. In 2019, we introduced a frequent employee satisfac- tion survey to collect fast feedback. We can happily confirm that the number of applicants has been very high for our start-up facilities, where the employees work together to design a totally new operation. Welfare challenge debate The January Agreement in Sweden, a policy agreement bet- ween the Swedish government (the Social Democratic Party and the Green Party), the Centre Party and the Liberals, strengthened the individual’s right to freedom of choice, and shifted the focus for care from operational form to quality. In 2019, there was an increase in the general awareness of challenges facing the Scandinavian welfare states in terms of the sharply growing need for care due to growing and ageing “During the year, we took populations. The situation in elderly care was particularly highlighted. By 2026, for example, the number of people aged steps to become the leading 80 years or over in Sweden is expected to rise by 200,000. The Swedish government estimates that 560 new nursing ho- Scandinavian