Good morning, everyone, and welcome to the AddLife third quarter presentation. Today, we will go through some of the business highlights as well as the financials, and then we will open up for questions and discussions. We're very happy to report a strong growth in the quarter. All the companies are performing very, very well, and in the Labtech business area, we have a 9% organic currency-adjusted growth, and in the Medtech business area, 10% organic growth. We see the healthy demand in all the segments in which we're active.
The increased activity in elective surgery remains strong, and we expect that trend to continue in the coming quarters. Positive market trends are supporting our business in home care, in diagnostics, and in research.
The EBITDA improved, making adjustments for continuing considerations, and that is true in spite of the fact that we have some negative impact from the profitability in AddVision. The cash flow is significantly improving. We are releasing cash from inventory and accounts receivable in spite of the fact that the volumes are growing significantly.
We have been able to also reduce debt by SEK 200 million in the quarter. If we take a look at the sales, as I mentioned earlier, indeed, the COVID-19 related sales are now gone, and but we are able to more than compensate for that with organic growth, and we also get a bit of a support from currencies in the quarter.
On the EBITDA level, of course, we lose some profit as well from the reduced COVID volumes, but the underlying business is able to compensate for most of that. And in the Medtech business, we see a very healthy profit development in all parts of the business, and we are able to compensate for almost all of that continuing consideration adjustment. So, with that, we hand over to Christina to talk more about the financials.
Thank you, Fredrik. So, as Fredrik mentioned, we had a strong growth in the quarter, 10%. If we exclude the currency impact as well as COVID sales from last year, the organic growth was continuously strong in the quarter, also 10%, 9% for Labtech, and 10% for Medtech.
Defending the gross margins has been a focus area throughout the year, and due to good price management, as well as a favorable product mix, the gross margin increased from 36% last year to 37%. The commercial activities has been ongoing and increasing during the year. We are visiting customers, we are at exhibitions, on-site trainings, and site meetings, et cetera. We have also strengthening the sales organization in areas where we foresee future growth. The result of this is, of course, the sales and marketing expenses has increased.
But bear in mind that the process, and actually it's slightly above half of the increase in SEK million relates to currency. In the bucket income and expenses, the other income and expenses, you will find the reversal of the contingent considerations. If we exclude this, we had a profit expansion of 12% in the quarter.
Financial net has increased, explained by increased interest rates and increased interest costs. Based on the rules limiting the deduction of interest costs, we have updated our tax assumptions. This means that we have adopted a cautious, but most likely a realistic position, and we do not carry losses forward relating to the interest cost. If we adjust for non-current items throughout the year, the adjusted effective tax, January to September, is 34%. This will also serve as the guidance going forward for the year.
Even though the tax cost in the quarter was high over the profit and loss, it will not have a cash flow impact going forward. Moving on to the cash flow then. Operating cash flow in the quarter was SEK 138 million, compared to SEK 20 million last year. As you know, during the first half year, we invested cash flow into growth, current as well as future. Inventories and accounts receivables increased when revenue grow.
Also, we have added new suppliers and new products, and we are still carrying faster inventory due to component shortages. In this quarter, inventory and accounts receivables has gone down. Not much, but it is a decrease. And as you know also, we have, during this, last quarter and also going into fourth quarter, implemented working capital initiatives.
This means, for example, that the largest five companies, representing 75% of the inventory, have received specific inventory reduction targets, and we do foresee an improved operating cash flow in the fourth quarter. Net debt was reduced in the quarter with SEK 200 million, meaning that the net debt versus EBITDA was 3.9, still. The Rolling Twelve EBITDA has been impacted by the reversal of the continuing consideration last year, as well as COVID sales rolling out of the figures.
The net debt towards equity was just above our internal guidance. It was SEK 1.1 billion, and the ambition is to reduce debt by a self-generated cash flow. The revolving credit facility of SEK 1 billion has been prolonged one year until first quarter 2025, meaning that both short-term loans will have due date in first quarter 2025. The long-term loan, which represents approx half of the loan, is due in September 2027. The average interest rate in the quarter was 5.6%, and interest coverage ratio amounted to 6.3%, according to the definitions in the covenant calculations. With that, I will hand over to Fredrik again.
Well, thank you, Christina, for that review of the financials. Now we move on to the market trends and their implications for AddLife and the companies within the group. So clearly, we are in a post-pandemic environment, and we do see a strong development in terms of elective surgical procedures. So this means we will see this increase and the heightened activity for this quarter and many quarters ahead.
At the same time, there is a staffing shortage in the healthcare systems. There are capacity constraints, so this means that the patient backlog cannot be handled quickly, again, meaning that this trend will be something we will see in the coming quarters as well.
At the same time, there is an increased demand for time and resource-saving products and services, something that the AddLife companies are really, really good at, and both in terms of the service that they provide, but also very efficient products. So that is a positive for us, and we will be able to help the healthcare system with coping with these volumes. The healthcare systems are also back to normal budgets after a period of time where there was a lot of extra funding available to handle the COVID pandemic.
S o now there is an increased focus on the value and productivity selling aspects that we can provide, something that we are good at in our companies, but also something we're driving as a strategic initiative between all the companies in the group.
Very interestingly, we see many of the large global manufacturers are reassessing their go-to-market strategies. They're focusing on some components of their portfolio that they deem as core and are reviewing their approaches to other products in the portfolio. So this means, in some cases, staff reduction in country organizations. It means a reassessment of the go-to-market strategy, maybe moving away from a direct sales and back to a distribution model. So we are having many interesting discussions.
We have opportunities to grow the portfolio, take over strong and experienced team members, and so on. So, a positive development for the AddLife companies. Moving into the Labtech third quarter, as we previously talked about, a very strong organic growth, adjusting for the COVID sales, at 9%.
We continue to develop the portfolio with a lot of new products being brought to the market, and the interests are high for high-tech products. There is a high activity and a stable funding situation in the customer groups that we are focusing on, and that is, as many of you know, mainly hospital labs, academic research, and pharma, pharma companies.
We have seen some in the Eastern European market, a little bit of delay in some projects, but we're confident that those projects will be invoiced in the fourth quarter of this year. Looking at the diagnostics side of the business, again, strong growth driven by high activity in the hospitals and labs. The testing volumes are increasing and quite buoyant.
Our market position is really strong based on the product portfolio that we have that is continuously evolving, and the service offering is becoming an even stronger asset in this market situation, where there's also a shortage of staff within the labs that can handle all these advanced technologies that we do provide. On the biomedical and research side, also there a very solid growth. We see in some isolated cases, a little bit of a reluctance in terms of investing in high-cost products, but that affects only a very small part of our business.
The vast majority of our business is smaller capital investments, accompanied by recurring revenue streams. In general, the funding is quite stable in the areas that we focus on, academic research and pharmaceutical companies.
And if you take a quick look at the long-term EBITDA margin development, you can see there is a level of stability now once we have passed the COVID bump in profits. So moving on to the Medtech business, very, very strong growth at 10%, currency adjusted. Again, the elective surgery activity continues. This is expected to continue for a long time.
All the hospital companies are performing really well, I'm really happy to say, and that goes for the smaller companies, the larger companies, the companies that's been a part of the group for a long time, and the relatively recent additions. So very happy to see a very positive development, really across the board.
As some of you know, we have a little bit of a margin problem within AddVision, but that's being addressed in a good way, and we have a high confidence for that in the future. So, and on top of that, the home care business is developing very well, not only showing a strong growth, but also solid profit improvements. Moving on to some of the details in the hospital area. We see a good performance in this quarter, in spite of the fact that there is a seasonality effect. All the companies are performing well, and we are working on the improvements in AddVision.
Looking at home care, the demand is strong, profitability improvement, and then we, of course, continue to invest in digital investments, even though we have started to take a look at some of those to make sure we are focusing on the right areas. And in general, a healthy development in the EBITDA margin as well.
Taking a look at our priorities and actions that we have communicated previously in reports and also at the recent Capital Markets Day, it is indeed to protect and improve the profits as the highest priority, followed by organic growth, cash flow, and acquisitions. And I think it's fair to say that we are seeing results in all of these areas, and we're taking some really strong actions. I want to focus a little bit now on number one, the protecting and improving profits.
Looking at AddVision, we see a lot of healthy developments in this company. New suppliers are being added and are now in place. We are launching new products. We have updated and strengthened the commercial teams, and also happy to share with you that we now have new manufacturing capacity in place as of October.
This will be useful for us in our ability to meet the increasing demand. We are also restructuring the organization, and the goal of this is to improve the efficiency and establish a more decentralized business model, very much in line with the AddLife approach. With this, we think we'll have a more focus on the commercial aspects and the ability to quicker adapt to market needs.
So what is really happening is we are dismantling the headquarters function, and this will also give us positive profitability effects. So we will remove costs of around SEK 15 million, and this will start to come into effect after year-end. There will also be a restructuring cost of about SEK 5 million in fourth quarter 2023. Moving forward to our investments in digital technology in the home care business. So we have reviewed those investments, and we have made some decisions to focus the activities.
So, this means our remote patient monitoring business will be discontinued, and the customer relationships will be handed over to another company in the sector. So this is expected to generate a saving of at least SEK 10 million on an annual basis, starting first quarter of next year.
I'm also very happy to announce that we have made an acquisition in the quarter. This is a U.K.-based medical device company in the area of surgical products and of course, a strong technical service component as well, in one of the areas that we have defined as attractive for us going forward. It will be an add-on acquisition to the very competent team of Healthcare 21. It's a relatively small business with a turnover of SEK 28 million on a rolling twelve basis, and it's a high-margin business with great future prospects. So, we're really happy to be able to add this company to the family of AddLife.
All right, so to wrap up, we can conclude that we had a strong quarter with very solid growth in all parts of the business, and the companies are really well positioned to take advantage of the current market situation. The elective surgery is growing, and we expect that to continue.
We see a strong and stable demand from academic and pharma companies, and the macro trends are really supporting the growth in our home care business, and internal measures are supporting the profitability improvement. So, profitability, a high priority for us, and we are pleased to see that the EBITDA is indeed growing, in spite of the fact that we don't have the COVID volumes that we had last year.
There is a strong focus on profitability improvement in multiple parts of the organization, and we expect to see effects of that going forward. The cash flow improvement has been something that has been a great focus for all the companies within the group, and I'm pleased to note that the companies have done a fantastic job. In the first half of the year, we saw a build-up of inventory and accounts receivable, driven by the strong growth in volumes, of course.
This quarter, we actually saw that stabilizing and even a somewhat reduced level in inventory and accounts receivable, despite the fact that the strong growth continues. We were able to reduce the debt by SEK 200 million in the quarter, so certainly a strong step in the right direction in our effort to reduce overall debt.
We are continuing to drive these cash flow activities in multiple parts of the organization, and we do expect that the positive trend that we saw in third quarter when it comes to cash flow will improve in the fourth quarter and become even stronger. And finally, again, we are very happy that we have been able to add another company to the group, and this is a company that is exactly in line with the previously communicated strategy and the prioritized segments.
So, with that, thank you for listening, and now we move into the part when we have a discussion on questions and answers. Thank you very much. All right, I hope that provided you with a good overview of where we stand in the quarter, and now we are opening up for questions, and I think we have a list already. Maybe we start with Mattias.
Yeah, good morning. Thanks so much for taking my question. I had two. So, maybe you can help us frame expectations for organic growth for 2024. I'm not expecting an absolute trans, but maybe elaborate whether we should expect organic growth rate to return maybe towards the historical trend for the group, which has been around 5%, I believe.
Or is it likely that we should anticipate an extended phase of stronger than historical trend due to the waiting lines that you elaborated on during your prepared remarks? And then secondly, curious to hear if we can get some help to quantify what to expect in terms of working capital release for the fourth quarter. You built a lot of working capital during the year.
You hint towards the working capital release, for the fourth quarter, but, you know, anything you can say, maybe the magnitude compared to the last few years of fourth quarter release, which has been in the magnitude of SEK 200 to 300 million. The build-up this year has been larger. So, is it fair to assume a larger working capital release, or in light of the continued strong demand organically, for the top line and, and your products, is that something that's gonna hold back the working capital release for the fourth quarter? Thanks so much.
Thank you very much, Mattias. Great questions. Well, I'll start with the last one on the cash flow. I think, we have many reasons to believe that the cash flow will indeed improve in fourth quarter. And why do I say that? Well, one is, there is certainly a seasonality in that. We normally see a cash flow release in the fourth quarter. Now, we have put some pretty serious extra effort into that.
We have all the traditional metrics and approaches we use, but on top of that, we have put together a number of specific measures for the larger companies as well as the small. So, we are seeing some effects of that already in third quarter, and we expect more of it in fourth quarter.
We won't be giving you a number, but I think it's fair to assume that, driven by seasonality as well as the strong efforts, there will be a significant improvement in cash flow. But I will say we are, we are also pretty happy with the trend we're seeing right now. Remember that we were building a lot of inventory, a lot of accounts receivable. Now that trend has, you know, slowed down but actually shifted over. We, we do see a small release of inventory and accounts receivable. You know, accounts payable is countering that effect to some extent, but, you know, certainly the trend has started in a positive way.
So I will not give you a number, but it's for many reasons, we're confident in the fact that there will be an even better cash flow in fourth quarter. And your second question, the first question was really around what to expect in terms of organic growth.
So right now, we're at 9% to 10%, which is very strong compared to the underlying market and to the historic numbers, as you accurately state. I think the surgical tailwinds that we are seeing, we see no reason to believe that that will slow down. So that will, you know, remain as, you know, a positive for us going forward in the coming quarters. And, of course, the hospital segment is nowadays a large part of our business.
We see a positive trend in the other parts of the business as well, but it is, of course, a little bit difficult to give, you know, an outlook for 2024, and we won't. But I think we see positive trends, and we have selected segments that are growing faster than the general market, and we see no changes or at this point in those positive trends.
Perfect. Thanks so much.
All right, so then we move on. I see, Karl, you raised your hand as well.
Yes, good morning. Some questions from my side as well. Maybe if we start on the cash flow again. Just curious, I mean, the last day in the quarter was on holiday, and some companies reported that cash flow was a bit weaker, driven by that. And I guess you have some public companies as well. Has that... Or some public customers as well. So, has that impacted cash flow in the quarter to some extent, or...?
Well, yeah, the holidays they do impact the cash flow for sure. I think when people are not at the office, you know, in our businesses, but even more so at the government institutions that manage these things, you know, things do slow down. So, the holidays are absolutely a factor in this.
Okay. And then, I mean, you're not giving a guidance around working capital, but I mean, you built SEK 300 million year to date in working capital in the cash flow statement. Do you expect that figure to be positive for the full year, or can you say anything regarding how much it could release?
I don't wanna give a number to that. But I do think it, you know, that for the reasons previously explained, you know, the seasonality and the efforts we're driving, it will improve. Some of these things are a bit longer term, you know, the inventory, you know, can improve, and we can reduce the addition to the inventory, and we can push the sales.
But the inventory is rather big in some companies, and it's not a super quick fix. We can, of course, work on many fronts, but part of it is short term, part of it is a bit of a longer-term effort that is, you know, being pushed, you know, with some strength from really starting in the first half of this year. So, solid, solid...
The change, the change in working capital line, that should be closer to zero than the minus SEK 300 million that it is right now for the full year?
Yes.
Is that a fair assumption?
Yeah, it should improve, for sure. Yeah.
Yeah. Okay, that's good.
Is there anything you would like to add to that, Christina? Yeah.
It will improve.
Yeah.
That's pretty good.
Yeah.
Yeah, yeah. Sounds good. And then a question on margins. I mean, Medtech margins up quite significantly year-over-year. So, the underlying development must be quite good. And I'm just wondering on AddVision, how has their margin developed year-over-year in third quarter? It must be up, right?
Actually, not. No, AddVision is not improving, unfortunately. So that means that all the other companies are doing extremely well. So, we're very happy with that. The large companies, the small companies, the ones that have been in the portfolio for a long time, and the recent additions to the family, all of them are doing really well. AddVision is a, you know, it remains a significant drag on the average margin. That's what it is. But on the other hand, we, there's some pretty firm measures being taken that we have already announced and given a little bit more flavor of today, and we continue to work very diligently on that.
Okay. Yes, I was just wondering, because the margin was 10% in third quarter for Medtech, which usually is the weakest quarter. So, it looks like a quite big improvement compared to last year's second half.
Yes.
Where you had 8.7% in fourth quarter, which usually is a strong quarter.
Yes, it is a good improvement. We see in pretty much all companies, and of course, the most impact, the larger companies like MBA and Healthcare 21 have done a fantastic quarter. So, you know, very good, very good, very good, very positive development there.
Okay, that's clear. And then just a question on the, what is it? Kind of not restructuring, but the Camanio, the Camanio segment. I mean, just wondering a bit there, because you're saying SEK 10 million in savings, but when...
Yeah
When you do, like, some research on it, I mean, Camanio, at least the company, and the company register has losses of around SEK 60 million per year. So, I'm just wondering, can you do more than SEK 10 million, or what is the plan? Because I guess, yeah.
Mm-hmm.
Yeah, well, that's a great question. We've done a pretty thorough review, and we've arrived to this decision, which I think is the right one and will give us some savings and also the ability to focus more on the areas that have a better outlook. You know, but we look at all areas in terms of costs and efficiency improvements and so on. So that's as much as we can say right now. Yeah.
Okay, that's all for me. Thank you.
All right. Then, Gustav, you have a question as well?
Yes, exactly. And sorry, my internet has been quite poor, so, so if I missed anything, yeah, yeah. Just, just to build on Karl's question around the margin in AddVision. So, he asked if the margin delta from last year is positive, and you said no, but is it negative or in third quarter, would you say, or?
Yeah. Unfortunately, yeah. It's. We were hoping for an improvement, but that has not happened yet. So that's also the background for the little bit more firmer actions we've taken in the past few months.
Okay. So the overall margin in AddVision is negative?
It has moved in the wrong direction, if you put it like that.
Okay. I was just wondering regarding the strong Medtech. Is there any geographies driving this? You talked about MBA, sort of. MBA has quite solid margins. I mean, is it sort of Spain driving the margins, or what can you say?
It's pretty much across the board, right?
Yeah.
You know, happy to say that it's pretty much across the board. You know, MBA has done a fantastic job, Healthcare 21, Mediplast, the smaller companies in the group as well. So, it's all geographies and businesses in the hospital area. So, with, you know, they have different conditions and different segment focus, but they're all doing really well.
Okay. And then, we have talked sort of about the interest expenses, you know, the Euribor lagging for you a bit.
Mm-hmm.
I mean, given sort of stable macro environment today, would this be a good proxy going forward?
As we have said previously, we are one quarter off. We always have a delay of one quarter. So with that said, probably there will be one more increase, since there has been an increase already. So, but hopefully, it will stabilize going forward, as it sounds right now.
Is it possible to give any guidance on the increase or no?
If you look at the Euribor increase quarter by quarter, you will probably see.
Yeah, that's fine.
Yeah.
And then maybe on sort of the M&A here, I mean, the question has been, or the overhang has been sort of, you know, the balance sheet and the cash flow and so on. I mean, it's you must be very confident in the balance sheet, or how should we interpret this?
Yes, you interpret it correctly. We are confident in the balance sheet. We are confident in the cash flow generation of the business. We're very confident in the positive trend that we're also seeing. So yes, we are. And after all, acquisition is a key part of our strategy.
We are active in that field, and when we find a good fit, we wanna move forward. I will say, though, this is a fairly small acquisition, so it's quite manageable from that standpoint, but it's very, very attractive, you know, good fit, good profitability. It will be easy to find a home for it in the group that we have. So yes, we're confident, and this is part of our strategy.
Yeah, okay, perfect. And then just one last one here. You, you mentioned in the slides about the delayed invoicing in Eastern markets. Are these material, or how should we interpret this going forward?
I think, you know, you could argue that there was a slight weakness in the Labtech profitability, and this is really the reason that we have a number of projects that we have. You know, we have one, and the only remaining part is the invoicing. We had thought that that would come in third quarter, but it's now happening in fourth quarter. So that had an impact, not an enormous one, but a little bit. And so we think that that will improve the business in Eastern Europe, in a not insignificant way in fourth quarter on the margin level. So that we have high confidence around. Those are deals that are done in a way. It's just a matter of the invoicing. Yeah.
Perfect. Thank you very much.
All right, so I think we have a second question from Karl, right?
Yes. Coming back to the balance sheet once again, it's a lot of focus on it, but, I mean, I just want to get it clear that you stated on the CMD that you wanted to have a net debt- or that net debt EBITDA should be at below 3x, before 2024 end. Is that still the base case for you?
Well, I, we certainly want to get to that level, and, and, the timelines we won't, you know, commit to, you know, as, you know, in a very detailed manner, but, but I think you're, you're on the right path here in terms of how we look at it as well. And that, that, that remains the plan. Nothing has changed there. We are confident about the cash flow generation as, as I mentioned earlier, so yes, no, no change.
Okay, and then just, nitty-gritty question on the reversals of the, purchase considerations, SEK 18 million in the quarter, if I get it right?
Mm-hmm.
Are you right that SEK 15 million is in Labtech?
Yeah.
Is the rest in Medtech, or?
I think it's actually 17, and then you're right, two in Medtech...
That's correct
A nd 15 in Labtech. Yes, correct.
Okay. Yeah, that's good. Thank you.
All right. Well, thank you. Good questions. Yeah, Aline, yes, we have a question from you as well.
Yes, sir. I don't know if I missed this, but the new refinancing of the loan, is it unchanged bank terms?
Yes, that's correct.
Also, in the working capital, we had a working capital buildup looking at cash flow, but if you look at balance sheet, inventory receivables has decreased. Could you elaborate and discuss that a bit?
I can...
How that works?
Yeah, I can start, and then you continue, maybe, Christina.
Yeah.
So, that is correct. Inventory, you know, has come down a little bit, not dramatically, but a little bit. And that's also true for accounts receivable, and that's reflecting the efforts we are driving now with some good force in terms of improving those. Accounts payable, we had a little bit of a reverse effect, but that's also naturally in a way, since we have been adding a lot of new products to the inventory, and those are being paid for.
A very logical and, you know, development if you look at the working capital, and even though the effect is not massive, you know, we're quite happy that inventory actually decreasing, accounts receivable decreasing when we see a 10% growth.
So, I think that's a pretty, that's a pretty good number, and it's also an indication of, of where we're heading. So, so that's good. And I think... Thanks for bringing up the, the, the fact that we did prolong that revolving credit facility as well, so same terms, but that means that, there, there will be no refinancing activities during in 2024. All of that is in 2025 now, right?
Yes.
Yeah, yeah?
That's correct.
Yeah. Anything you'd like to add to that, Christina?
No, I think you summarized it in a very good way.
Thank you. Good, good.
Super. Thank you so much.
All right. Thank you, Aline. So are there any other questions? All right. Well, then, thanks for taking the time, and thanks for good questions here. And as always, do feel free to contact us over email or phone if you have any follow-up questions. But indeed, I think we are quite happy with this quarter. Very strong organic growth for another quarter.
EBITDA is improving if you make the adjustments for the continuing considerations and cash flow certainly moving in the right trend, in spite of the fact that the growth continues. So pretty good quarter from our standpoint, and I'm very happy to welcome the Emmat company to the family as well. All right. Well, thank you very much, and have a good day.
Thank you.
Bye.