Ygeia TopHolding AB Corp. Reg No. 556706-3580 presents its Annual Report for the financial year 1 January 2009 - 31 December 2009 Contents Page Board of Directors’ Report Consolidated statement of Comprehensive income Consolidated statement of Financial position Consolidated statement of Cash flow Consolidated statement of Changes in Equity Accounting principles Notes Parent Company income statement Parent Company balance sheet Parent Company cash flow statement Parent Company changes in shareholders' equity Accounting principles Notes Signatures 1 5 6 7 8 9 20 50 51 52 53 54 55 56 Board of Directors’ report for Ygeia TopHolding AB The Board hereby presents the Annual Report and consolidated financial statements for Ygeia TopHolding AB for the financial year 1 January to 31 December 2009. Ygeia TopHolding AB, 556706-3580 with its registered office in Stockholm, conducts operations in healthcare and diagnostics services through its subsidiaries in the Capio Group and the Unilabs Group respectively. The operations are conducted on commissions from and in cooperation with public healthcare authorities, insurance companies, other organisations and individuals. To streamline operations between Capio and Unilabs, the parent company Ygeia TopHolding AB in December 2009 distributed all shares in Unilabs Holding AB to the parent company in Luxembourg at an Extraordinary General Meeting. As a result of this, net loss from the diagnostics services is reported as loss for the period from discontinuing operations. The Ygeia TopHolding Group, referred to below as "the Group," has after distribution of the Unilabs Group units in Sweden, Norway, United Kingdom, Germany, France, Spain, Portugal and Switzerland. Ownership structure The ultimate parent company of Ygeia TopHolding AB is Capio Lux TopHolding S.Á.R.L, with its registered office in Luxembourg. This company is jointly owned by funds advised by Apax Partners Worldwide LLP, by funds advised by Nordic Capital and by funds advised or managed by Apax Partners SA. The Group's objective The Group's operations aim to provide high quality efficient healthcare for private and public customers in Europe. Organisation The Group conducts healthcare operations through its business areas Capio Healthcare Spain, Capio Healthcare France, Capio Healthcare Nordic (including Norway, Sweden – Hospitals, Sweden – Proximity care and Sweden – Specialist clinics) and Capio Healthcare Germany. Smaller operations are also conducted within Psychiatry in the UK. Significant events during the financial year Distribution of the Unilabs operations In December 2009 the distribution of the Unilabs Group to the parent company in Luxembourg was effected at an Extraordinary General Meeting. As a result of this, net loss from the Unilabs operations is reported as loss for the period from discontinuing operations in the consolidated income statement 2009. As at December 31, 2008 Unilabs was recognised in the balance sheet at the consolidated carrying amount and as net loss and cash flow from discontinued operations for the period January to December 2008. Consolidated equity was negatively affected by 134 MSEK from the divestment of Unilabs to the parent company in Luxembourg. Acquisition of group companies A number of small acquisitions were also completed by Group companies in Sweden, Spain and Norway during the financial year. Early termination of financial lease During the financial year a financial lease agreement regarding a building in London was early terminated. In the annual accounts as of December 2008 37 MSEK was provided for this termination. The final cost was 42 MSEK, why the income statement was charged with additional 5 MSEK in 2009. Change from a cost based to a functional income statement report During the year the Group has changed from reporting a cost based income statement to a functional income statement in the internal operational reporting. This has implied some changes e.g. regarding reporting of Other operating income and Other operating expenses. For a further description of implications of the change in income statement reporting for the Group, see Note 35. Ygeia TopHolding AB 1 / 56 Sales Sales amounted to 15,728 MSEK (12,849). The increase between the periods is primarily attributable to additional operations in the form of acquisitions and start-ups as well as changes in the EUR/SEK exchange rate. Financial position and equity/assets ratio At the end of the financial year, cash and cash equivalents amounted to 518 MSEK (444). Net financial items amounted to an expense of 1,007 MSEK (expense: 1,216) for the period. Shareholders’ equity at year-end amounted to 2,545 MSEK (3,478), giving an equity/assets ratio of 11.5 per cent (11.2). Consolidated cash flow from operating activities amounted to 1,049 MSEK (467). Investments for the period amounted to 724 MSEK (705). The Group’s pledged assets and contingent liabilities amounted to 13,645 MSEK (14,293). The combined operating profit from continuing operations amounted to 1,068 MSEK (546). This corresponds to an operating margin of 6.8 per cent (4.2) for the period from January to December 2009. Operating profit for the corresponding period 2008 was charged with an impairment loss of 33 MSEK regarding a building in the UK, and 37 MSEK pertaining to a provision for the termination of a long-term lease in the UK. Personnel The number of employees of the Group at year-end was 15,264 (13,750), while the average number of employees for the year was 16,288 (14,641), of whom 3,204 (2,605) were in Sweden at continuing operations. Research and development Investments in research and development are focused on patient-related clinical research and healthcare research as well as scientific training and clinical development of new research results. Within a number of specialties, cooperation involving medicinal trials and joint research projects with other healthcare providers takes place. Research and development costs account for a small portion of operating costs. Environment The Group has an environmental policy entailing that every unit shall work actively to improve the environment through conservation of resources and strive to recycle. Environmental measures should be adapted to the needs of operations and their environmental impact. The Group focuses especially on purchasing, transportation, energy consumption and chemical products. The Group pursues operations requiring permits pursuant to the Swedish Environmental Code through some of its Swedish subsidiaries. Impact upon the external environment primarily involves environmentally hazardous chemicals used in the production of services. Examples of these include film and chemicals used to develop film as part of radiological operations. Risks and key uncertainties The Group is exposed, through its international operations, to a variety of risks that may give rise to fluctuation in income, other comprehensive income and cash flow. Key areas of risk encompass political, operative and financial risks. Various policies and instruments govern the management of key risks. The following is an overall description of areas of risk, and refers to relevant notes of the financial statements. Political risks The single greatest risk for the Group involves political decisions that change market conditions. This risk for the Group as a whole is limited by the fact that each Group business area operates in a variety of countries. Ygeia TopHolding AB 2 / 56 Operational risks The Group is active in areas involving extensive regulation and the treatment of patients entailing the risk of complications. By standardising materials, equipment and processes, the Group improves efficiency, increases quality and enhances patient safety in order to manage the operational requirements imposed on healthcare companies. Financial risks The main task of each business area's finance function is to support operating activities and to identify and optimally limit the Group’s financial risks in accordance with the financial policy established by the Board. Financial activities are centralised to capitalise on economies of scale, improve internal control and facilitate risk reviews. Financial operations at the various business areas aim at improving cash flow through focusing on profitability and minimising operating capital employed. For countries with a number of subsidiaries, surpluses and deficits are matched via a Group account (Cashpool). Credit risks/counterparty risks Credit risks can arise through a counterparty’s failure to fulfil its commitments in accordance with signed agreements. The risk that a counterparty fails to fulfil its obligations in accordance with financial contracts is limited by choosing creditworthy counterparties and by limiting the level of involvement with each counterparty. Exchange rate risks Exchange-rate fluctuations impact the Group’s earnings and shareholders’ equity in different ways. Transaction risk involves commercial flows in foreign currencies that expose earnings to the risk of being impacted in the event of exchange-rate fluctuations. Transaction risks are deemed less significant. Translation of foreign subsidiaries’ income statements and net assets into SEK involves the risk that exchange-rate fluctuations may impact the Group’s profit and other comprehensive income. The Group aims to hedge net assets in foreign currencies through the corresponding weighting of borrowing and thus match the cash flows of each currency. Interest-rate risks Changes in market interest rates affect the Group’s net interest income. The speed of the impact of any change in interest rates on net interest income depends on the fixed-interest terms of the loan portfolio. Financial instruments, primarily swap agreements, are employed to reduce interest-rate risk and to attain the desired balance of fixed-interest periods in the loan portfolio. Liquidity risks The Group ensures a favourable level of financial preparedness by always keeping a certain portion of sales in cash and cash equivalents. An appropriate balance between short and long-term borrowing and contingency borrowing arrangements in the form of credit facilities are used to ensure long-term financing needs. Additional details regarding financial risk management may be found in Note 16. Current legal disputes The Group’s operations are involved in a number of minor disputes, which are considered a customary element of the operations. Future development The Group’s basic underlying strategies remain in place. Continued growth and profitability will be focused on in all business areas in forthcoming periods. Growth is expected to be driven organically and through acquisitions. Ygeia TopHolding AB 3 / 56 Events after the balance-sheet date Divestments Divestment of the business in Switzerland (part of Capio Healthcare Germany) was concluded in January 2010. New contracts Capio Spain is part of a consortium that have been nominated preferred bidder status for a new 30 year care concession agreement with the Madrid authorities. Capio Spain has the main responsibility for running the care operations of the hospital which is located in the Mostoles area and has a responsibility to provide healthcare to an approximate population of 170,000 inhabitants. The new hospital is expected to be fully operational in 2012. Parent Company The Parent Company comprises a holding company in the Group and did not conduct any operations in 2009. Appropriation of profits Proposed disposition of unappropriated profits The following profits are at the disposal of the Annual General Meeting: Profit brought forward Share premium reserve Net profit for the year Total 0 3,173 0 3,173 MSEK MSEK MSEK MSEK The Board proposes that the earnings at the disposal of the meeting be appropriated at follows: To be carried forward: 3,173 MSEK Ygeia TopHolding AB 4 / 56 Consolidated statement of Comprehensive income MSEK Notes Jan.-Dec. 2009 Jan.-Dec. 2008 Net sales 1, 35 15 728 12 849 35 -2 912 -2 550 22, 23, 34, 35 -2 087 -1 702 4, 5, 35 -8 764 -7 281 Direct materials and services cost Other external costs Personnel costs Depreciation of tangible and amortisation of intangible assets 9, 10, 11, 12, 23, 35 -861 -772 Other operating income 2, 35 25 2 Other operating expenses 3, 35 -61 0 Operating profit 1 068 546 Interest income and other financial items 6, 16, 28 70 178 Interest expense and other financial items 6, 16, 28 -1 077 -1 394 61 -670 7 -32 23 29 -647 -549 -966 -520 -1 613 23 -109 Profit/Loss after financial items Tax Profit/Loss for the period from continuing operations Loss for the period from discontinued operations 25 Loss for the period Other comprehensive income Hedge effect in foreign investment Exchange differences on translation of foreign operations -180 830 -57 -235 17 71 Other comprehensive income for the period, net of tax -197 557 Total comprehensive income for the period, net of tax -717 -1 056 -578 -1 626 58 13 -520 -1 613 -772 -1 075 55 19 -717 -1 056 Revaluation reserve, cash flow hedging Tax related to other comprehensive income 7 Profit attributable to: Parent Company shareholders Minority interests 8 Total comprehensive income attributable to: Parent Company shareholders Minority interests Ygeia TopHolding AB 8 5 / 56 Consolidated statement of Financial position Notes 2009-12-31 2008-12-31 9 10 6 249 3 709 9 958 6 474 3 975 10 449 Land and buildings Equipment, tools, fixtures and fittings Tangible fixed assets 12, 23 11, 23 6 143 1 561 7 704 6 443 1 602 8 045 Financial fixed assets, interest-bearing Financial fixed assets, non-interest-bearing Deferred income tax assets Financial fixed assets Total fixed assets 13, 16 13, 16 7 5 147 571 723 18 385 5 79 570 654 19 148 Inventories Accounts receivable - trade Other receivables Current income tax assets Prepaid expenses and accrued income Short-term investments and interest-bearing receivables Cash and cash equivalents Assets attributable to discontinued operations Total current assets 33 14 14 7 14, 17 16 16 25 249 2 244 468 0 203 34 518 3 716 227 1 825 214 30 186 11 444 8 850 11 787 22 101 30 935 26 8 2 262 283 2 545 3 210 268 3 478 Provisions for employee benefits, interest-bearing Provisions, non-interest-bearing Deferred income tax liabilities Long-term liabilities, interest-bearing Shareholder loans Long-term liabilities, non-interest-bearing Long-term liabilities, non-interest-bearing to group companies Total long-term liabilities and provisions 5, 15 17, 18 7, 17 15, 16 15, 16 17 265 277 1 994 9 026 3 790 283 75 15 710 298 356 2 052 9 366 3 615 182 0 15 869 Interest-bearing current liabilities Advance payments from customers Accounts payable - trade Other current liabilities Current income tax liabilities Accrued expenses and deferred income Liabilities attributable to discontinued operations Total current liabilities 15, 16 134 241 1 516 863 105 987 3 846 233 173 1 318 540 156 1 068 8 100 11 588 22 101 30 935 13 455 190 14 076 217 MSEK Goodwill Other intangible assets Intangible assets Total assets Equity attributable to parent company shareholders Equity attributable to minority Total equity 7 17 25 Total liabilities, provisions and shareholders’ equity Pledged assets Contingent liabilities Ygeia TopHolding AB 19 20 6 / 56 Consolidated statement of Cash flow MSEK Notes Operating profit Reversal of depreciations/amortisations and impairments Items not affecting cash flow Interest received Interest paid Taxes paid Cash flow from operating activities before changes in working capital Jan.-Dec. 2009 Jan.-Dec. 2008 1 068 858 31 33 -629 -33 1 328 546 760 19 107 -854 -1 577 Change in accounts receivable - trade Change in other current receivables Change in accounts payable - trade Change in other current liabilities Change in net working capital -575 -286 157 425 -279 -202 -16 202 -94 -110 Cash flow from operating activities 1 049 467 Sale of fixed assets Sale of companies being discontinued Sale of companies Aquisition of companies Payment from minorities Investments in fixed assets Cash flow from investment activities 0 0 -77 14 -724 -787 1 -91 -162 -36 -705 -993 -27 123 -265 0 -169 25 427 -271 9 3 193 93 -333 Cash flow from operations being discontinued Cash flow from operating activities Cash flow from investment operations Cash flow from financing operations Cash flow from operations being discontinued 653 -354 -178 121 207 -830 831 208 Currency differences in cash and cash equivalents Change in cash and cash equivalents -38 176 122 -3 975 1 151 978 975 Of which closing balance, cash and cash equivalents in operations being discontinued 633 531 Closing balance, cash and cash equivalents in continuing operations 518 444 Increase in financial investments Increase in external loans Amortisation of external loans Payment from minorities New share issues and capital contributions Cash flow from financing operations Cash flow from continuing operations Opening balance, cash and cash equivalents Closing balance, cash and cash equivalents Ygeia TopHolding AB 24 24 24 7 / 56 Consolidated statement of Change in equity MSEK Opening balance at 1 January 2008 Adjustment of the opening balance *) Adjusted Opening balance at 1 January 2008 Profit for the period Other comprehensive income Total comprehensive income Sale to minority Acquired minority interest Total transactions with shareholders Closing balance at 31 Decemeber 2008 Other Fair value Share contributed capital capital reserve Retained earnings -1 173 -23 -1 196 179 179 4 492 -23 4 469 -1 626 13 6 19 -1 613 557 -1 056 56 9 65 3 478 54 5 326 73 33 54 5 326 73 33 0 -164 -164 715 715 0 ShareMinority holders' interest equity Translation reserve -1 626 -5 0 0 0 0 -5 61 9 70 54 5 326 -91 748 -2 827 268 *) This refers to an adjustment of incorrect book value (Building) of a finance lease in the local accounts of a subsidiary at the time of the Capio acquisition in 2006. Should this finance lease have been correctly accounted for at the time of the Capio acquisition in 2006 the surplus value related to this asset would have been adjusted with the same amount. However, as the 12 month period past acquisition elapsed this adjustment is accounted for as an error according to IAS 8. MSEK Opening balance at 1 January 2009 Profit for the year Other comprehensive income Total comprehensive income Dividend Distribution of operations being discontinued Sales to minority interests Transfer to minority interests Total transactions with shareholders Closing balance at 31 December 2009 Ygeia TopHolding AB Other Fair value Share contributed capital capital reserve 54 0 5 326 0 -91 -40 -40 ShareMinority holders' interest equity Translation reserve Retained earnings 748 -2 827 268 3 478 -578 -578 58 -3 55 -520 -197 -717 -98 77 -19 -40 -1 -232 17 0 -216 283 2 545 -154 -154 0 0 0 0 -1 -134 -60 19 -176 54 5 326 -131 594 -3 581 8 / 56 Accounting principles General information Ygeia TopHolding AB, the Parent Company of the Group, is a limited liability company with its registered office in Stockholm, Sweden. The company’s address is provided in Note 30. The company’s operations are described in the Board of Directors’ Report on page 1. The consolidated accounts for January to December 2009 were prepared in accordance with International Financial Reporting Standards (IFRS) and the statements issued by the International Financial Reporting Interpretations Committee (IFRIC) as adopted by the European Union. The Group also applies the Swedish Financial Reporting Board’s Recommendation (RFR 1.2) "Supplementary Accounting Rules for Groups", which specifies the disclosure requirements attributable to the Swedish Annual Accounts Act. The consolidated accounts have been prepared in accordance with the cost method, except with regard to the revaluation of financial instruments, which are continuously valued at fair value. Unless otherwise specified, all amounts in the consolidated accounts are stated in millions of Swedish kronor (MSEK) and pertain to the period from January to December 2009, in regard to income-statement items (the period from January to December 2008 for comparative periods), and to the amount on 31 December 2009 regarding balance-sheet items (on 31 December 2008 for comparative periods). The preparation of financial statements in accordance with IFRS as adopted by the EU necessitates the use of a number of accounting estimates. In addition, it requires management to make certain estimates when applying the company’s accounting policies. Those areas that contain a high degree of accounting estimates, that are complex or that are areas including assumptions and estimates are of key importance to the consolidated accounts are described in Notes 5, 7 and 9. Consolidated financial statements The consolidated accounts include, in addition to the Parent Company Ygeia TopHolding AB, all companies in which the Parent Company directly or indirectly held a controlling influence at year-end. A controlling influence means that the Group owns participations corresponding to more than 50 per cent of the voting rights, or is considered to control the company is some other way. The consolidated accounts are prepared in accordance with the purchase method. As a result, only that portion of the shareholders’ equity of subsidiaries that has been added after the acquisition is included in consolidated shareholders’ equity. Subsidiaries are included in the consolidated accounts as of the date when the controlling influence is transferred to the Group, which normally corresponds to the date of acquisition. Subsidiaries divested during the year are included in the consolidated accounts until the date when the controlling influence ceases. Historical cost is used for the reporting of the Group’s acquisition of subsidiaries. Acquisition cost for an acquisition consists of the fair value of the assets provided as payment, equity instruments issued and liabilities arising or assumed on the transfer date, plus any costs that are directly attributable to the acquisition. Identifiable acquired assets and assumed liabilities and any contingent liabilities in a company acquisition are initially valued at fair value on the date of acquisition, irrespective of the extent of any minority interests. The surplus that consists of the difference between the acquisition cost and the fair value of the Group’s portion of identifiable acquired net assets is reported as goodwill. If the cost is lower than the fair value of the acquired subsidiary’s net assets, the difference is reported directly in the income statement. All transactions with related parties are conducted at market value. Inter-company transactions, balance-sheet items and unrealised gains on transactions between Group companies are eliminated. Unrealised losses are also eliminated, unless the transaction constitutes proof that an impairment requirement exists for the transferred asset. Where appropriate, the accounting policies for subsidiaries have been changed in order to guarantee the consistent application of the Group’s accounting policies. Associated companies are companies in which the Group has a significant but not controlling interest, which as a rule corresponds to a holding of between 20 and 50 per cent of the voting rights. Holdings in associated companies are reported in accordance with the equity method and are initially valued at acquisition cost. The Group’s carrying amount of holdings in associated companies includes goodwill (net after any accumulated impairment losses) identified at the time of acquisition. The Group’s share in the results of an associated company after acquisition is reported in the income statement. Accumulated changes following the acquisition are reported as changes in the carrying amount of the holding. When the Group’s share in the losses of an associated company amount to, or exceed, the Group’s holding in the associated company, including any unsecured receivables, the Group does not report further losses unless it has undertaken commitments or made payments on behalf of the associated company. Ygeia TopHolding AB 9 / 56 Translation of foreign currency Items included in the financial reporting of the different Group companies are valued in the currency used in the financial environment in which the individual companies are primarily active (functional currency). In the consolidated accounts, Swedish kronor (SEK) is used, which is the Parent Company’s functional and reporting currency. Transactions in foreign currencies are translated into the functional currency in accordance with the exchange rates applying on the transaction date. Exchange rate gains and losses occurring from the payment of such transactions and in the translation of monetary assets and liabilities in foreign currencies at the closing rate are reported in the income statement. Exceptions are when transactions take the form of hedges that meet the conditions for hedge accounting of cash flows or of net investments, whereby the gains/losses are reported in other comprehensive income. Group companies The income and financial position of all Group companies (none of which have a high-inflation currency) with a functional currency that is different to the reporting currency, are translated to the Group’s reporting currency in accordance with the following: i) assets and liabilities for each of the balance sheets are translated at the closing day rate; ii) income and expenses for each of the income statements are translated at the average exchange rate, and; iii) all exchange-rate differences that arise are reported as a separate component of other comprehensive income. At the time of consolidation, exchange-rate differences arising as a result of the translation of net investments in foreign operations, borrowing and other currency instruments, identified as hedges for such investments, are carried to shareholders' equity through other comprehensive income. Upon divestment of a foreign operation, such exchange rate differences are reported in the income statement as a part of capital gains/losses. Goodwill and the adjustments of fair value arising in connection with the acquisition of foreign operations are treated as assets and liabilities in the acquired operation and are translated at the closing day rate. Tangible fixed assets Tangible fixed assets are reported at historic acquisition cost, less accumulated depreciation according to plan and accumulated impairments. Acquisition cost includes expenses directly attributable to the acquisition of the asset. Depreciation is based on the original acquisition cost and is allocated straight line over the useful life of the asset with consideration to estimated residual value. Additional expenses are added to the carrying amount of the asset, or are reported as a separate asset, depending on which is appropriate, but only when it is probable that the future financial advantages associated with the asset will accrue to the Group and the cost of the asset can be assessed in a reliable manner. All other forms of repairs and maintenance are reported as costs in the income statement during the period in which they arise. The Group applies component depreciation of tangible fixed assets. This means that tangible fixed assets consisting of different components, the cost of which is significant in relation to the total acquisition cost of the assets, are depreciated separately. Depreciation according to plan is applied straight line over the useful life of each asset, which is assessed on an annual basis. Generally, the following depreciation periods are applied in the Group: i) Buildings, 30-50 years ii) Machinery and equipment, 3-10 years iii) Computers and other hardware, 3-5 years iv) Land is not depreciated Machinery and equipment comprises predominantly hospital equipment such as beds, scanners, theatre equipment and similar items. If the asset’s reported value exceeds its estimated recoverable amount, the reported value of an asset is immediately written down to the recoverable amount. Gains and losses on divestments are established by comparing the proceeds from the sales with carrying amount and the result is then reported in the income statement. Intangible fixed assets Intangible fixed assets are reported at cost, less accumulated amortisation according to plan. Intangible fixed assets acquired as a result of acquisitions are reported at market value at the date of acquisition. Apart from certain development expenses, the costs of internally generated intangible fixed assets are not capitalised but are instead reported in the income statement as they arise. Following acquisition, intangible fixed assets are reported in accordance with a limited useful life at original acquisition cost, less accumulated amortisation according to plan and accumulated impairments. Amortisation is based on the original acquisition cost and is applied straightline over the useful life of the asset, which is assessed on an annual basis. Intangible fixed assets with an unlimited useful life are subject to at least an annual impairment test, and as a result these assets are reported at their original acquisition cost, less accumulated impairments. Ygeia TopHolding AB 10 / 56 Goodwill consists of the amount by which the acquisition cost exceeds the fair value of the Group’s share of identifiable net assets in the acquired subsidiary/associated company at the time of acquisition. Goodwill on the acquisition of subsidiaries is reported as an intangible asset. Goodwill on the acquisition of associated companies is included in the value of the holding in the associated company. Goodwill is assessed annually to identify potential impairment needs and is recorded at acquisition cost less accumulated impairments. Gains or losses arising on the disposal of a unit include the remaining carrying amount of the goodwill attributable to the divested unit. In the testing of potential impairment, goodwill is distributed between cash generating units. Each of these cash generating units comprises the Group’s investments in each of the business areas in which operations are conducted. Intangible fixed assets in the form of key major trademarks, healthcare contracts, concessions and rights to use premises below the prevailing market price have been valued at the market value established in conjunction with company acquisitions. During subsequent periods, these assets are reported at original acquisition cost, less accumulated amortisation according to plan and accumulated impairments. Such assets are amortised over an estimated useful life of between 5 and 28 years. The majority of trademarks are assessed annually to identify potential impairment and are reported at acquisition cost less accumulated impairments. Acquired software licenses are capitalised on the basis of the costs arising when the software in question was acquired and put into operation. These costs are amortised over the estimated useful life, which is normally three to five years. Costs for the development or maintenance of software are expensed as they occur. Costs closely related to the production of identifiable and unique software controlled by the Group, which will have probable economic benefits for more than one year and which exceed the original cost, are reported as intangible assets. Costs closely related to the production of software include personnel costs for the development of software and a reasonable portion of attributable indirect expenses. Software development costs reported as assets are amortised over their assessed useful life, which is normally three to ten years. Impairment Assets with an indefinite useful life, predominantly goodwill and trademark, are not amortised but tested annually for potential impairments. Depreciated assets are assessed with regard to depletion in value whenever events or altered conditions indicate that the carrying amount is perhaps not recoverable. An impairment is recognised in the amount by which the carrying amount of the asset exceeds its recoverable value. The recoverable value is the higher of an asset’s fair value, reduced by the sales costs, and value in use. When conducting an impairment test, the assets are grouped at the lowest levels where separate identifiable cash flows (cash generating units) exist. Future amortisation is adjusted to the written-down value. Previously reported impairment losses are assessed on a continuous basis to establish if the events that served as a basis for such impairment still exist, or if they have changed. In the event of significant changes, the recoverable amount is estimated. A reversal is made to an earlier reported impairment only if there is a change in the assumption upon which the original impairment was based. Possible reversals are reported in the income statement with an amount corresponding to the estimated recoverable amount adjusted for amortisation as if the original impairment had not been reported, except for goodwill, for which impairments are not reversed. Assets held for sale and operations being discontinued The Group classifies a fixed asset or disposal group as assets held for sale if their reported value will largely be recovered through a sale. To be classified as an asset held for sale, the asset or disposal group must be available for immediate sale in its current condition. It must also be highly probable that a sale will occur. The classification of operations as discontinuing operations is made at the time of sale or at an earlier juncture when the operations fulfil the criteria for classification as an asset held for sale, such as the sale of a business area or having the clear intention of distributing a business area. A disposal group planned to be discontinued also fulfils the criteria. Immediately prior to classification as an asset held for sale, the reported value of the assets, and all assets and liabilities in a disposal group, are determined in accordance with applicable IFRS standards. At the time of initial classification as an asset held for sale, fixed assets and disposal groups are reported at the lowest carrying amount less selling expenses. Depreciation/amortisation is not applied in cases of assets held for sale. Ygeia TopHolding AB 11 / 56 Financial instruments Financial assets and liabilities are according to IAS 39 categorised as either: Financial assets i) Financial assets at fair value through the income statement ii) Loans and receivables iii) Held to maturity investments iv) Available for sale financial investments Financial liabilities i) Financial liabilities at fair value through the income statement ii) Financial liabilities valued at amortised cost. Within each category there are different classes of financial instruments. Used classification is evaluated at the end of each financial year, and is modified if necessary. All financial instruments are initially valued at their fair value and accounted for at their trade date. Potential transaction costs are included except when the assets and liabilities are categorised as fair value through income statement. Transaction costs that arise in conjunction with the assumption of financial liabilities are amortised throughout the duration of the loan as a financial expense. Fair values of assets are market values if those exist. If there is no market for an asset different valuation techniques are used. A financial asset is derecognised when essentially all risks and rewards connected to the asset has been transferred to an external party. Embedded derivatives are separated from their host contracts. These contracts are valued at fair value through income statement if their inherent risks are closely related to the embedded derivative. Financial assets at fair value through the income statement A financial asset at fair value through the income statement is either one (1) traded with or (2) it has initially been classified at fair value through the income statement according to the fair value option. For an asset to be classified as (1), it has to be bought with an intention of selling it within the near future. It also has to be a part of a portfolio that is managed as one and finally there has to be a pattern of short term realisations. Derivatives, including embedded derivatives separated from their host contracts, are classified as held for trading. Changes in their fair values are accounted for in the income statement. The Group is using interest rate swaps, floors and caps. When they are a part of a documented, efficient swap hedge accounting is used. Changes in the hedging instruments values are accounted for within other comprehensive income (other reserves) and the income statement, see below. Besides these assets there are no financial assets accounted for at fair value through the income statement. Financial assets held to maturity Financial assets held to maturity are non derivative financial assets with fixed or determinable payments and fixed maturities. The Group do not possess any financial assets held to maturity. Loans and receivables Loans and receivables are non derivatives financial assets with fixed or determinable payments. These assets are not quoted in an active market and the company do not trade them. Loans and receivables are initially accounted for at their fair value, which is the value the company can expect to receive. If the credit time exceeds one year the receivable will be accounted for at its present value. Allowances are made for uncertain receivables every year when there are evidence concluding the fact that the company will not receive any payments. After initial valuation, loans and receivables are carried at amortised using the effective interest method less any allowance for impairment. Gains and losses are recognised in the income statement when the loans and receivables are derecognised or impaired, as well as through the amortisation process. Information regarding loans and receivables is presented in the notes 15 and 16. Information regarding loans and receivables inherent credit risk is described according to IFRS 7. There is no concentration of credit risk. Ygeia TopHolding AB 12 / 56 Available for sale financial investments This category includes assets that are not categorised as any of the other three categories. These assets are initially valued at their fair value with changes accounted for in other comprehensive income. When the assets are sold, any cumulative valuation effects accounted for within equity are recycled through the income statement when the asset is sold or disposed of in another way. Earned and paid interests on these assets are accounted for through the income statement as a financial transaction according to the effective interest method. Dividends received on these assets are accounted for in the income statement. Short-term investments are classified as available for sale financial investments and changes in their fair values are accounted for in the statement of other comprehensive income. Short-term investments mainly consist of interest bearing instruments and are presented in note 16. Financial liabilities at fair value through the income statement The category includes financial liabilities held for trading, which is the case if they are acquired for the purpose of selling in the near future. Derivatives, including separated embedded derivatives, are also classified as held for trading unless they are part of an effective hedge. Gains or losses on liabilities held for trading are recognised in the income statement, if they do not form a part of an efficient hedge. Interest bearing loans and borrowings All loans and borrowings are initially recognised at fair value less directly attributable transaction costs, and have not been designated at fair value through income statement. After initial recognition, interest bearing loans and borrowings are subsequently measured at amortised cost using the effective interest method. The Group possess interest bearing loans and borrowings. These liabilities are accounted for in note 15 and 16. Impairment of financial assets Impairment testing is performed for individual assets. If this is not possible assets are grouped into cash generating units and the risk for impairment is then assessed collectively. Individually impaired assets or assets impaired during earlier periods are not included in the collective testing. Assets valued at amortised cost When there is evidence that assets valued at amortised cost, such as loans and receivables, have declined in value, an impairment loss is recognised in the income statement. The impairment loss comprises the difference between the carrying amount and the present value of the estimated future payment flow attributable to the individual asset. The discounting of future cash flows is conducted based on the effective interest rate initially used. If the prerequisites for an impairment loss performed no longer appear exist, and this can be related to an event that occurred after the impairment was conducted, the impairment loss is reversed in the income statement on the condition that the carrying amount does not exceed the amortised cost at the time of reversal. Available for sale financial investments If an asset available for sale is impaired the difference between its cost and its current fair value, less any impairment loss previously recognised in income statement, is transferred from equity to income statement. Reversals in respect of equity instruments classified as available for sale are not recognised in income statement. Reversals of impairment losses on debt instrument are reversed through income statement. Hedge accounting Hedges are either classified as a fair value hedge, a cash flow hedge or a hedge of a net investment of a foreign operation. i) Fair value hedges are used to hedge exposures to changes in assets' and liabilities' fair value or against a not recognised financial commitment. ii) Cash flow hedges are used to hedge an exposure to variability in future cash flows that is either attributable to a particular risk associated with a recognised asset or liability (for instance a loan with variable interest) or a highly probable forecast transaction or the foreign currency risk in an unrecognised firm commitment. In terms of cash flow hedging the effective part is accounted for directly in the statement of other comprehensive income and the ineffective part is accounted for in the income statement. iii) Hedges of a net investment in a foreign operation. Ygeia TopHolding AB 13 / 56 In order to use hedge accounting the company has to fulfill certain requirements described in IAS 39 regarding documentation of the hedge relationship. The hedged position has to be identified and described, the purpose of the hedge has to be described and the company has to confirm the effectiveness of the hedge. Financial instruments used for the purpose of securing future cash flows denominated in foreign currency are considered a hedge if the future cash flows are highly probable. When a hedging instrument expires, is sold or when the hedging requirements are no longer met accumulated gains and losses are recycled to the income statement. If the future transaction no longer is expected to be realised accumulated gains and losses are recycled in the same way. The Group uses financial derivatives such as forwards and swaps to hedge interest rate risks. Inventories Inventories are valued at the lower of acquisition cost and net realisable value. The necessary obsolescence provisions have been made. Cost is calculated according to the first in/ first out (FIFO) principle. The net realisable value is the estimated value in the operational activities. Accounts receivables - trade Accounts receivable are valued at fair value less possible provisions for reductions in value. A provision for reduction in the value of an account receivable is made when there is objective evidence that the Group will not be able to secure all amounts maturing in accordance with the original conditions of the receivable. The sise of the provision comprises the difference between the carrying amount of the asset and the current value of estimated future cash flows, discounted by the effective interest rate. The reserved amount is reported in the income statement. Cash and cash equivalents Cash and cash equivalents consist of cash, bank balances and other short-term investments with a maturity of less than three months, and bank overdraft facilities. The bank overdraft facility is reported in the balance sheet as borrowing among interest-bearing current liabilities. Share capital Common and preferential shares are classified as shareholders’ equity. Transaction costs directly attributable to the issue of new shares or options are reported net, after tax, in shareholders’ equity as a deduction from the issue proceeds. Borrowing Borrowing is initially reported at fair value, net after transaction costs and subsequently at accrued acquisition cost. Any difference between the amount received (net after transaction costs) and the amount to be repaid is reported in the income statement, distributed across the loan period by applying the effective interest method. Borrowings are classified as current liabilities, unless the Group has an unconditional right to defer payment of the debt for at least 12 months following the reporting date. Account payables - trade Accounts payable are initially reported at nominal values, which are assumed to correspond with fair values. Provisions Provisions for restructuring expenses and legal requirements are reported when the Group has a legal or informal obligation resulting from past events and it is highly probable that an outflow of resources will be required to meet the obligation and that the amount has been calculated in a reliable manner. The provision for restructuring mainly covers one-time costs relating to severance pay. No provisions are made for future operating losses. If a number of similar obligations exist, an assessment is made of the probability that these could result in an outflow of resources to meet the entire group of obligations. A provision is reported even if the probability of an outflow related to a specific item in this group of obligations is negligible. Employee benefits Pension obligations The Group companies have a number of different pension plans. The plans are normally financed through payments to insurance companies or externally managed funds in accordance with periodic actuarial computations. The Group has both defined benefit pension plans and defined contribution pension plans. A defined benefit plan is a pension plan that stipulates the amount of the pension benefit an employee will receive after retirement based on such factors as age, period of service and salary. A defined contribution pension plan is one according to which the Group pays fixed fees to a separate legal entity. The Group has no legal or informal obligation to pay additional fees if the fund does not have sufficient assets to pay all benefits due to employees in connection with their periods of service during the current period or earlier periods. Ygeia TopHolding AB 14 / 56 Provisions, with regard to any plan assets for obligations related to post employment benefits, arise when the obligations are defined benefit obligations. In regard to employment during the current period, these liabilities and costs are computed on an actuarial basis using the Projected Unit Credit Method. The computations are made on an annual basis for the Group’s largest plans and regularly, but less frequently, for other plans. The computations are based on external actuarial assumptions. The assumptions used to compute the pension obligation and costs vary in accordance with the economic factors reflecting the situation in those countries where the defined benefit plans are located. The Group’s defined benefit plans are either non-funded or funded. In the case of non-funded plans, the benefits are paid out of the assets from the companies included in the plan. The provision in the balance sheet is made up of the present value of the defined benefit obligation adjusted for unrecognised actuarial gains and losses plus unrecognised costs for service during earlier periods. In the case of funded pension plans, the assets belonging to the plan are held separately from the Group’s assets in externally managed funds. Liabilities or assets shown in the balance sheet with regard to funded pension plans represent the amount by which the market value of the plan assets exceeds or falls below the present value of the defined benefit obligation, adjusted for unrecognised actuarial gains/losses and cost of employment service during earlier periods. However, a net asset is reported only to the extent that it represents a possible future financial benefit for the Group, for example in the form of reduced future fees, or the repayment of funds accumulated in the plan. When such surpluses are impossible to utilise, they are not reported but are instead explained in a note to the financial statements. Actuarial gains/losses arise principally when changes occur in the actuarial assumptions and when differences occur between actuarial assumptions and actual outcome. That portion of the accumulated amount that exceeds 10 per cent of the larger of the pension obligations’ present value and the market value of the plan assets at the end of the preceding year is reported among earnings over the average remaining period of service of employees participating in the plan, that is, in accordance with the corridor principle. For all defined benefit plans, the actuarial costs, which is charged against earnings, consist of the cost of employment service during the current period, interest expense, the anticipated return on the plan assets (funded plans only), the costs related to earlier periods of employment service and any amortisation of actuarial gains or losses. The costs of employment service during earlier periods and which relate to changed pension conditions are realised when these improvements have become vested benefits or have been amortised during the period up until this occurs. The accounting principles described above for defined benefit pension plans are applied only in the consolidated accounts. The Parent Company and subsidiaries continue to apply local computations in regard to pension provisions and pension costs in their annual accounts. Certain Group companies have defined contribution pension plans, which refer to benefits paid to employees after the completion of service, and for which the Group has no obligation to pay benefits after premiums have been paid to the third party responsible for the plan. Such plans are reported as a cost as premiums are paid. Some of the ITP plans in Sweden are financed through insurance premiums paid to Alecta, which is a multiemployer plan. At the present time, Alecta is unable to provide the information required to report the plans as defined-benefit plans. As a result, the ITP plans insured via Alecta are reported as defined contribution pension plans. Compensation is paid if employment is terminated prior to normal pension age, or when an employee accepts voluntary termination in exchange for compensation. The Group reports severance pay when it is demonstrably obligated to either terminate employees in accordance with a detailed formal plan, without any possibility of recall, or to pay compensation upon termination as a result of an offer made to encourage voluntary termination. Benefits that mature after more than 12 months from the reporting date are discounted to present value. Revenue recognition Although the Group applies various compensation models in the markets in which it is active, they all have a common denominator, namely that revenues are recognised at the time the services are performed in all markets. The Group applies the percentage-of-completion method, which means that revenues from assignments are reported in accordance with the degree of completion on the reporting date. Revenues from the sale of services are recognised in the reporting period when the work is performed. Only revenues that provide the Group with economic benefits are recognised. In the consolidated accounts, inter-company sales are eliminated. Borrowing costs Financial items are recognised in the income statement in the period in which they arise. Exceptions include the interest arising during the installation period, or similar items, which are capitalised, plus costs arising in connection with the raising of loans, which are distributed over the duration of the loan. Capitalised loan expenses are reported in the balance sheet as a reduction of the underlying loan obligation. Ygeia TopHolding AB 15 / 56 Leasing A lease contract in which the financial risks and rewards associated with the ownership of an asset are essentially transferred to the Group is defined as a financial lease contract. Financial lease contracts are reported as fixed assets initially entered at the discounted present value of future leasing fees during the lease period or the market value, whichever is the lower. Assets that are utilised through financial lease contracts are reported in the balance sheet as tangible fixed assets and are depreciated in accordance with the principles for owned tangible fixed assets. Related commitments are reported as interest-bearing liabilities. Lease fees are distributed between interest and amortisation of debt. Interest is distributed over the lease period so that each accounting period is charged with an amount corresponding to a fixed interest rate on the reported liability in each period. Financial lease contracts are depreciated in accordance with the principles applied for owned tangible fixed assets. For other lease contracts, the annual leasing cost is reported as an operating expense in the income statement. Taxes Taxes consist of current income tax based on taxable earnings, deferred income tax and other taxes, such as tax on returns, and adjustments to current income tax in regard to earlier years for the Group’s subsidiaries and associated companies. All Group companies calculate their income taxes in accordance with the applicable tax laws in the countries in which they are active. Unless attributed to an underlying transaction that has been reported in the statement of other comprehensive income, income tax is reported directly in the income statement. The Group applies the balance sheet method to recognise deferred income tax liabilities and assets. The balance sheet method means that calculations are based on the tax rate applying on the reporting date, which is applied to differences between the booked and income tax values of assets and liabilities and to loss-carry-forwards. Losscarry-forwards can be utilised to reduce future taxable income. Deferred income tax assets are reported to the extent that it is probable that future taxable revenue will be available to enable the utilisation of such benefits. Other taxes relate to taxes that do not have the nature of income taxes and these are reported elsewhere in the income statement. Government grants Government grants related to investments reduces the acquisition cost of the asset in question. Government grants related to current expenses, such as training and similar items, is reported as a reduction in the cost of implementing the activity in question. Divestment of minority The effect from divesting a minority can either be accounted for in the income statement or directly as a change in equity. The Group applies the principle to account for such divestments as a change in equity. Key estimates and assessments In preparing the report, certain accounting methods and accounting principles must be used, the application of which may be based on difficult, complex and subjective judgements on the part of company management, or on previous experience or assumptions judged in the light of circumstances to be reasonable and realistic. The use of such estimates and assumptions influences the reported amounts for assets and liabilities as well as disclosures regarding contingent assets and liabilities at the reporting date and reported net sales and expenses for the period. Actual outcomes based on other assumptions and under other circumstances may differ from these assessments. The following is a summary of the accounting principles whose application requires extensive subjective judgements on the part of company management with regard to estimates and assumptions that by their nature are difficult to assess. Impairment of assets The values of goodwill and brands are subject to impairment tests annually, or whenever events or changes occur that indicate that the carrying amount of an asset may not be recoverable. For other fixed assets, the value is tested when events or changes occur that indicate that the carrying amount of an asset may not be reclaimable. Impairment losses are taken with respect to assets that have declined in value, down to their market value based on the best available information. Various bases for assessment have been used depending on access to information. Where market values can be established, they have been used and the impairment amount has been reported where there is an indication that the carrying amount for an asset cannot be recovered. In certain cases, it has been impossible to establish the market value and an estimate of fair value has been made by computing the present value of cash flow based on expected future outcomes. Differences in estimates of expected future outcomes and discount interest rates used may result in discrepancies in the valuation of assets. Fixed assets, with the exception of goodwill and intangible assets with indefinite useful lives, are amortised straight-line over their estimated useful lives. Company management performs regular revaluations of the useful lives of all assets of key significance. It is the understanding of company management that reasonable changes in the factors that constitute the basis for estimation of the recoverable value of assets should not lead to the reported value exceeding the recoverable value. Ygeia TopHolding AB 16 / 56 Deferred income taxes In preparing the financial reports, the Group calculates the relevant income tax for each tax jurisdiction in which the Group operates, as well as the deferred income taxes attributable to temporary differences. Deferred income tax assets that are primarily attributable to tax loss-carry-forwards and temporary differences are reported if the deferred tax assets can be expected to be recoverable through future taxable income. Changes in assumptions about forecasted future taxable income, as well as changes in tax rates, may result in significant differences in the valuation of deferred income taxes. Accounts receivables - trade Receivables are reported net, after allowing for doubtful receivables. The net value reflects amounts expected to be recoverable based on circumstances known on the reporting date. Changed circumstances, for example, an increase in defaulted payments or change in the financial position of a major customer, may entail significant discrepancies in valuation. Compensation following completion of employment The Group has defined benefit pension plans for a portion of its employees in certain countries. Computation of pension costs is based on assumptions regarding the expected yield of managed assets, the discount interest rate and future salary increases. Changed assumptions directly impact costs for work performed during the current period, interest expenses and expected yield from managed assets. Profit or loss, which arises when the actual yield from managed assets deviates from the expected and actuarially computed obligations are adjusted on the basis of empirically induced changes to assumptions, is distributed over the expected average remaining employment terms in accordance with the so called corridor model. Legal disputes The Group is involved in legal disputes in the normal course of business operations. Such disputes can prove to be costly and time-consuming and can disrupt normal operations. In addition, the outcome of complicated disputes is difficult to predict. The possibility cannot be excluded that a disadvantageous outcome of a dispute may prove to have a significant negative impact on the Group’s profits and financial position. New accounting principles for the Group as of 1 January 2009 IASB has issued some new standards and interpretations, as well as amendments to standards and interpretations valid from 1 January 2009. New standards, amendments or interpretations affecting the financial statements or performance of the Group IAS 1 The revised standard requires a separation between changes in equity due to transactions with owners and nonowners respectively. Only details of transactions with owners are included in the consolidated statement of changes in equity. The standard introduces a statement of comprehensive income where all items of recognised income and expense are presented. In the standard there is an option to either present one single statement, or two linked statements. The Group has elected to present one statement. During the year the Group has changed from reporting a cost based income statement to a functional income statement in the internal operational reporting. This has e.g. implied that parts of income and cost previously reported as Other operating income and Other operating expenses are now reported as Net sales and Other external cost respectively. Part of costs previously included in Direct materials and services costs are now reported as Other external cost. Please refer to Note 35 for additional effects of the change to a functional income statement. New standards, amendments or interpretations not deemed to have an impact on the financial statements or performance of the Group in the present situation IAS 23 Amendment handling capitalisation of borrowing costs that are directly attributable to purchase, construction or production of an asset that takes considerable time to complete for the intended use or sale. With the introduction of the revised IAS 23, it is no longer possible to choose whether borrowing costs are capitalised or not. Instead, capitalisation is mandatory. The recommendation have not had any effect on the Group’s earnings or financial position as the Group's policy has been to capitalise such borrowing costs. IAS 27 The amendments to IAS 27 requires all dividends from a subsidiary, jointly controlled entity or associate to be recognised in the income statement in the separate financial statement. IAS 32 Amendment that specifies the requirements of disclosures for puttable instruments and obligations arising on their liquidiation. The amendments have not had any impact on the Group's financial position or performance as the Group in the present situation does not hold such instruments or obligations. Ygeia TopHolding AB 17 / 56 IFRS 2 Amendment that clarifies the vesting conditions and cancellations for share based payments. The amendment has not had an impact on the financial position of the Group as the Group has no share-based payment transactions. IFRS 7 Additional disclosure requirements regarding financal instruments accounted for at fair value in the balance sheet. IFRS 8 IFRS 8 contains additional disclosure requirements with respect to financial and descriptive information pertaining to operating segments. With the introduction of IFRS 8, IAS 14 Segment Report was replaced. The recommendation has as of today had limited effects on the Group’s reporting as the Group is not required to present segment reporting. IFRIC 13 This interpretation applies to companies that use, for example, loyalty points and similar arrangements and has no impact on the Group. IFRIC 16 This standard clarifies the nature of the hedged risk (net investment in a foreign operation), the amount for which a hedging relation can be designated, which entity in the group that can hold the hedging instrument and what to do when the foreign operation is divested. IFRIC 18 This standard clarifies the accounting when assets (cash or otherwise) are received from customers. New accounting principles for the Group as of 1 January 2010 and onward IASB has issued a number of new standards and interpretations, as well as amendments to standards and interpretations that must be applied by the Group as of 1 January 2010 and subsequently. New standards, amendments or interpretations affecting the financial statements or performance of the Group IFRS 3 Amendment to the standard with the main changes being handling of acquisition costs, contingent considerations, measurement of goodwill and measurement of income tax losses. These changes applies from 1 January 2010 and will affect the Group's earnings and financial position to the extent acquistions are completed. IAS 27 The amended IAS 27 requires that a change in the ownership interest of a subsidiary (without loss of control) is accounted for as a transaction with owners in the consolidated statement of changes in equity. Such transactions will no longer give rise to change in goodwill, nor an effect in the income statement. The changes will affect the Group's accounting for future transactions with non-controlling interest. IFRIC 12 Service Concession Arrangements. This statement applies to arrangements in which a private company will create infrastructure for providing public service for a specific period of time. The company may charge for this service during the contract period. The interpretative statement applies as of 1 January 2008 but was not approved by EU until March 2009 and will be effective for the Group from 1 January 2010. The Group has one contract with a public authority that will be evaluated based on IFRIC 12 during 2010. Main effect from this analysis is expected to be a reclassification from tangible fixed assets to intangible/financial fixed assets. New standards, amendments or interpretations not deemed to have an impact on the financial statements or performance of the Group in the present situation IFRS 2 The amended standard addesses how to account for a situation where a business receives goods and services for which another business within the group has a commitment. IFRS 9 A first step in the amendment of IAS 39. The standard implies a reduction in the number of valuation categories for financial assets. The main valuation categories will be historical cost and fair value through the income statement respectively. The standard is not yet approved by the European Union and applies from 1 January 2013. As the standard is not final the Group has not evaluated possible effects of the new standard. Ygeia TopHolding AB 18 / 56 IAS 24 Definition of related parties has changed. The amendment is not yet approved by the European Union. IAS 32 Changed definition of debt, which e.g. implies that subscription rights in another currency than the functional currency will be an equity instrument when issued prop rata to existing owners. The standard is not yet approved by the European Union. IAS 39 Amendment that clarifies which part of an option that can be designated as effective as a hedging instrument for hedge accounting and it also clarifies when inflation can be identified as a hedged risk. Amendment applies from 1 January 2010. IFRIC 14 IFRIC 14 (IAS 19 The limit on a defined benefit asset, minimum funding requirements and their interaction) addresses whether refunds or reductions in future contributions should be regarded as available, how a minimum funding requirement might affect the change in future contributions and when a minimum funding requirement might give rise to a liability in the accounts. The standard is not yet approved by the European Union. IFRIC 15 This standard specify principles for revenue recognition for real estate developers. IFRIC 17 This standard clarifies the accounting when non cash assets are distributed to owners. This standard applies from 1 January 2010. IFRIC 19 The standard clarifies accounting of when financial liabilities are estinguished with equity instruments through an agreement with a lender. The standard is not yet approved by the European Union. Ygeia TopHolding AB 19 / 56 Note 1: Distribution of net sales Sweden Spain France Germany Norway UK Other Total Jan.-Dec. 2009 3 214 5 600 5 095 1 180 521 117 1 15 728 Jan.-Dec. 2008 2 455 4 347 4 463 976 473 131 4 12 849 Jan.-Dec. 2009 15 7 3 0 25 Jan.-Dec. 2008 0 2 0 2 Jan.-Dec. 2009 -43 -13 -5 -61 Jan.-Dec. 2008 0 0 Note 2: Other operating income Other operating income Insurance compensation Sale of companies Sale of fixed assets Other Total Note 3: Other operating expenses Other operating expenses Sale of companies Insurance related costs Other Total Ygeia TopHolding AB 20 / 56 Note 4: Salaries, other compensation and social costs Jan.-Dec. 2009 Group Parent company Salaries and other compensation 5 660 - Salaries and other compensation Jan.-Dec. 2009 Board and President Sweden 15 Spain 73 France 28 Norway 4 Germany 9 UK 9 Group total 138 Parent company, Sweden Parent company total Social security expenses 1 875 (of which bonus) 5 0 4 0 2 3 14 - Pension costs 156 - Jan.-Dec. 2008 Other employees 1 259 1 953 1 525 177 532 76 5 522 - Salaries and other compensation 4 383 - Social security expenses 1 560 - Total 1 274 2 026 1 553 181 541 85 5 660 Jan.-Dec. 2008 and President 22 63 22 14 5 0 127 (of which bonus) 1 2 2 1 0 0 6 Other employees 895 1 502 1 365 139 292 63 4 256 Total 917 1 565 1 387 153 297 63 4 383 - - - - - - Pension costs 109 - Ygeia TopHolding's board consists of eight people, all of them are men. No board fees are paid. Average number of employees Per country Sweden Spain France Norway Germany UK Group total Parent company, Sweden Parent company total Ygeia TopHolding AB Jan.-Dec. 2009 Jan.-Dec. 2008 Number of employees 3 204 6 307 5 140 370 1 107 160 16 288 Of whom women 2 572 4 642 4 520 264 863 106 12 967 Of whom men 632 1 665 620 106 244 54 3 321 Number of employees 2 605 5 183 5 093 300 1 307 153 14 641 Of whom women 2 077 4 073 4 473 224 960 98 11 905 Of whom men 528 1 110 620 76 347 55 2 736 - - - - - - 21 / 56 Note 5: Pensions Most of the employees within Capio are covered by pension plans. Such plans can be either defined-benefit plans or defined-contribution plans. The pensions are normally secured through insurance premiums and primarily involve retirement pensions. Pension commitments are calculated on an annual basis, as per the closing date and in accordance with actuarial principles. Plan assets for the securing of pension commitments are valued at market value. In cases where the accumulated actuarial gain or loss on pension commitments and plan assets exceeds a corridor corresponding to 10 per cent of the higher of either of the pension commitments or the plan assets, the excess amount is recognised as income during the employee’s remaining period of employment. In Sweden, most pension commitments are secured through plans that comprise a number of employers. The largest of these is the ITP plan administered by Alecta. In December 2009 a defined benefit plan in Norway was changed to a defined contribution plan. The change was accounted for as a settlement in the accounts with a net positive effect in the income statement with 23 MSEK which was reported in personnel cost. Information about reporting in connection with Alecta This is a defined-benefit multi-employer plan. The company has not had access to such information as would enable reporting of this plan as a defined-benefit plan. Pension plans according to ITP that are secured through insurance via Alecta are accordingly reported as defined-contribution plans. Alecta’s surplus can be distributed to the policy holders and/or to the insured. At the end of 2009, Alecta’s surplus in terms of the collective consolidation rate was 141 % (112). The collective consolidation rate consists of the market value of Alecta's assets expressed as a percentage of insurance commitments calculated in accordance with Alecta's actuarial assumptions. 31 Dec. 2009 Current value of commitments Fair value of plan assets Unrecognised actuarial profits (+) and losses (-) Net balance sheet liability Pension commitments Opening balance Reclassification to operations being discontinued Service costs - benefits accrued during the year Interest expenses Contributed funds from employer Paid benefits Actuarial gains (+)/losses (-) Liabilities extinguished on settlement Other Exchange-rate differences Closing balance Plan assets Opening balance Reclassification to operations being discontinued Assets aquired through company aquisitions Expected return on plan assets Contributed funds from employer Paid funds Assets distributed on settlements Difference between actual and expected return on plan assets Exchange-rate differences Closing balance Net liability Funded pension plans 322 -248 -32 42 31 Dec. 2008 Unfunded pension plans 174 -2 51 223 Total 496 -250 19 265 350 32 15 -4 20 -107 0 16 322 198 13 10 -2 -24 -11 0 -10 174 31 Dec. 2009 548 45 25 -6 -4 -118 0 6 496 258 13 42 -4 -76 2 13 248 3 -1 2 31 Dec. 2009 261 13 42 -5 -76 2 13 250 74 172 246 Funded pension plans 350 -258 -22 70 Unfunded pension plans 198 -3 33 228 Total 548 -261 11 298 768 -448 24 14 0 -3 5 0 0 -10 350 192 -11 4 8 -8 -3 -9 0 -2 26 198 31 Dec. 2008 960 -459 28 22 -8 -6 -4 0 -2 16 548 676 -443 0 12 29 -3 0 -3 -10 258 0 0 4 0 0 -1 0 0 0 3 31 Dec. 2008 676 -443 4 12 29 -4 0 -3 -10 261 92 195 Jan.-Dec. 2009 Total pension expenses for pension plans Benefits accrued during the year Expected return on plan assets Other costs Pensions costs, defined-benefit plans Pension premiums for defined-compensation and direct pensions Pension costs, excluding interest Interest on pension provisions Total pension costs Actuarial assumptions, % Discount interest rate Inflation Expected salary increases Yield on managed assets Funded pension plans 32 -13 0 19 19 14 33 Unfunded pension plans 13 -1 0 12 121 133 9 142 288 Jan.-Dec. 2008 Total 45 -14 0 31 121 152 23 175 Funded pension plans 24 -12 1 13 13 14 27 Unfunded pension plans 4 0 0 4 74 78 16 94 Total 28 -12 1 17 74 91 30 121 2008 5,1% 2,4% 4,0% 5,1% 2009 4,3% 1,9% 3,1% 4,6% The discount interest rate reflects the interest level at which pension commitments can be redeemed in full. The yield from managed assets reflects expected average yield. This level varies with the type of placement and market. Expected salary increases are dependent on inflation, seniority and advancement. Assessments are based on historical information. Specification of plan assets per investment category Equities Bonds Other Total Ygeia TopHolding AB 31 Dec. 2009 56 162 30 248 22,4% 65,4% 12,2% 100,0% 31 Dec. 2008 42 190 26 258 16,3% 73,6% 10,1% 100,0% 22 / 56 Note 6: Financial items Dividends Exchange-rate differences Interest income Other financial income Total financial income Interest expenses Interest expenses, shareholder loans Exchange-rate differences Other financial expenses Total financial expenses Jan.-Dec. Jan.-Dec. 2009 2008 1 2 38 54 29 122 2 0 70 178 -555 -456 0 -66 -1 077 -755 -387 -130 -122 -1 394 Note 7: Income tax Tax expense for the year divided among current and deferred tax: Current tax Deferred tax Tax expenses Jan.-Dec. Jan.-Dec. 2009 2008 -3 -75 -29 97 -32 23 Estimated tax on profit for the year in Sweden has been calculated at 26.3 %. Tax for other countries has been calculated in accordance with the tax rates in use locally. Jan.-Dec. 2009 Jan.-Dec. 2008 Earnings from continuing operations 29 -647 -966 Earnings from discontinued operations -549 Total -520 -1 613 The primary differences between the statutory corporate tax in Sweden and the effective tax for the Group were: Origin of reported tax costs Profit/Loss before tax Tax calculated at Swedish tax rate of 26.3% Difference between new tax 26.3 % rate in Sweden as from 1 Jan 2009 Difference between tax rate in Sweden and abroad Adjustment of current tax from earlier periods Tax related to non-deductible items Changed valuation of temporary differences* Tax related to internal transactions with companies held for sale Other Reported tax expense Jan.-Dec. 2009 % Jan.-Dec. 2008 % 61 -16 0 -15 48 -25 -62 0 38 -32 26% 0% 25% -79% 41% 102% 0% -62% 52% -670 187 10 -3 -2 -9 -189 0 29 23 28% 1% 0% 0% -1% -28% 0% 4% 3% In addition to the tax expense for the year reported in the income statement, deferred income tax of 17 MSEK (60) were recognised in other comprehensive income for the year. A significant part of the deferred tax recognised in other comprehensive income is attributable to aquisition related deferred tax. There were no significant changes in income tax rates during the period. * Of which 62 MSEK relate to income tax losses not recognised in 2009. Ygeia TopHolding AB 23 / 56 Note 7 (cont): Income tax Deferred tax assets attributable to the following temporary differences and losses carried forward: Deferred tax assets attributable to: Temporary differences, fixed assets Temporary differences, long-term financial assets Temporary differences, current assets Deductible temporary differences, provisions Losses carried forward Other deductible temporary differences Deferred tax assets, gross Valuation allowance Deferred tax assets, net 31 Dec. 2009 31 Dec. 2008 296 103 13 53 429 75 969 -398 571 290 84 2 48 587 49 1 060 -490 570 Deferred tax liabilities attributable to the following temporary differences and losses carried forward: Deferred tax liabilities attributable to: Temporary differences, fixed assets Deductible temporary differences, provisions Deferred tax on untaxed reserves Other deductible temporary differences Other taxable temporary differences Deferred tax liabilities 31 Dec. 2009 31 Dec. 2008 1 854 13 32 50 45 1 994 1 920 13 28 39 52 2 052 Maturity structure for deferred tax assets related to losses carried forward Matures within one - five years Matures in more than five years No maturity date Closing balance 31 Dec. 2009 1 424 425 31 Dec. 2008 1 392 393 Unreported tax assets Losses carried forward Other temporary differences Total 31 Dec. 2009 384 14 398 31 Dec. 2008 487 4 491 Jan.-Dec. Jan.-Dec. 2009 2008 6 19 11 5 -158 26 -91 92 1 56 28 -1 -7 164 -11 229 -152 77 Jan.-Dec. Jan.-Dec. 2009 2008 -66 0 4 11 -7 -58 0 3 -6 -15 52 34 It has been deemed that unreported tax assets will not be utilised within the foreseeable future. As a result of a merger carried out within the Spanish operations during 2006, potential deferred tax assets may arise. These tax assets have not been finally established and are deemed to be uncertain by nature, for which reason they will be reported in line with their realisation in future periods. Taxable temporary differences exist with regard to shares of subsidiaries. Because there is no plan in the foreseeable future to sell the companies, deferred tax has not been reported for these differences. Deferred tax directly attributable to assets held for sale amounts to: Deferred tax assets Deferred tax liabilities Total Ygeia TopHolding AB 31 Dec. 2009 - 31 Dec. 2008 30 186 216 24 / 56 Note 8: Minority share of net loss for the year Minority share of net profit after tax amounted to 58 MSEK (13) and of total comprehensive income 55 MSEK (19). At year-end, the minority share of shareholders’ equity amounted to 283 MSEK (268). Note 9: Goodwill The Group tests goodwill for impairment on at least an annual basis, and otherwise when changes in events or situations indicate that the carrying amount cannot be recovered. If such a test indicates that the carrying amount is too high, a recoverable amount is established for the asset, which is the higher of net realisable value and value in use, or the cash flow attributable to the relevant cash-generating units within Capio. An impairment loss is calculated based on the difference between the carrying amount and the estimated recoverable amount. When calculating the value in use, a number of key assumptions and assessments must be made to estimate future cash flows. Key assumptions and assessments consist primarily of future revenues, expenses, market growth, investments and discount rate. The time period for which future cash flows are forecast is the current 3 year plan from 2010 to 2012, after which a growth rate of 2.5 % is applied. Management establishes the discount rate in accordance with a principle, whereby consideration is given to time values and specific risks related to each cashgenerating unit but overall rate pre tax was 8.6 %. Future revenues, expenses and investments are based on approved budget and business plans in the future periods. The Group’s goodwill is mainly attributable to the Capio AB acquisition made in 2006. There was no need to recognise an impairment loss on the closing date. Reasonable changes to assumptions applied in the impairment test, does not impact the impairment assessment. Goodwill attributable to the acquisition of Unilabs in 2007 were reclassified as assets held for sale at 31 December 2008. Opening acquisition value Reclassification to operations being discontinued Acquisitions during the year Divestments/reclassification Translation differences Closing accumulated acquisition value 2009-12-31 6 474 100 -50 -275 6 249 2008-12-31 10 810 -5 095 62 0 697 6 474 6 249 6 474 2009-12-31 1 705 2 735 1 285 524 6 249 2008-12-31 1 801 2 889 1 231 553 6 474 Opening impairment losses Divestments/reclassification Translation differences Closing accumulated impairment Closing residual value, according to plan Goodwill has been distributed among the various business areas, which constitute the lowest cash-generating units. Consolidated goodwill items Capio Healthcare Spain Capio Healthcare France Capio Healthcare Nordic Capio Healthcare Germany Total Ygeia TopHolding AB 25 / 56 Note 10: Other intangible assets Rental 1) contracts 887 -47 840 Other intangible assets 1) 274 6 112 5 -15 382 Total 4 525 6 112 5 -196 4 452 2009-12-31 Opening acquisition value Reclassification to operations being discontinued Assets in acquired units Purchases during the year Divestments/reclassifications Translation differences Closing accumulated acquisition values Brand 2 016 -85 1 931 Healthcare contracts 1 348 -49 1 299 Opening amortisation Reclassification to operations being discontinued Assets in acquired units Amortisation for the year Divestments/reclassifications Translation differences Closing accumulated amortisation 0 0 0 -330 -146 10 -466 -74 -32 5 -101 -146 0 -39 1 8 -176 -550 0 -217 1 23 -743 1 931 833 739 206 3 709 Closing carrying amount 1) Rights to the use of premises on non-commercial terms. Other intangible rights primarily consist of capitalised software costs. Of the net book value a total amount of 3,502 MSEK relate to intangible assets recognised as part of business combinations. Rental 1) contracts 768 119 887 Other intangible assets 1) 361 -158 3 33 0 33 274 Total 4 690 -690 3 33 0 488 4 525 2008-12-31 Opening acquisition value Reclassification to operations being discontinued Assets in acquired units Purchases during the year Divestments/reclassifications Translation differences Closing accumulated acquisition values Brand 2 091 -289 213 2 016 Healthcare contracts 1 469 -244 123 1 348 Opening amortisation Reclassification to operations being discontinued Assets in acquired units Amortisation for the year Divestments/reclassifications Translation differences Closing accumulated amortisation -10 10 0 0 -211 45 -144 -20 -330 -34 -30 -10 -74 -236 136 0 -29 1 -18 -146 -491 191 0 -203 1 -48 -550 2 016 1 018 813 128 3 975 Closing carrying amount 1) Rights to the use of premises on non-commercial terms. Other intangible rights primarily consist of capitalised software costs. Of the net book value a total amount of 3,846 MSEK relate to intangible assets recognised as part of business combinations. Note 11: Equipment, tools, fixtures and fittings Opening acquisition value Reclassification to operations being discontinued Assets in acquired/divested units Purchases during the year Sales/disposals for the year Reclassifications Translation differences Closing accumulated acquisition value 2009-12-31 4 320 -5 423 -111 -37 -190 4 400 2008-12-31 4 500 -1 037 98 438 -34 -102 457 4 320 Opening depreciation Reclassification to operations being discontinued Assets in acquired/divested units Depreciation for the year Sales/disposals for the year Reclassifications Translation differences Closing accumulated depreciation -2 718 11 -367 98 21 116 -2 839 -2 779 702 -66 -299 29 -32 -273 -2 718 1 561 1 602 Closing carrying amount Ygeia TopHolding AB 26 / 56 Note 12: Buildings and land Buildings Opening acquisition value Reclassification to operations being discontinued Assets in acquired/divested units Purchases during the year Sales for the year Reclassifications Translation differences Closing accumulated acquisition value 2009-12-31 6 393 0 130 336 -199 -7 -284 6 369 2008-12-31 5 527 -366 111 294 -29 147 709 6 393 Opening depreciation Reclassification to operations being discontinued Assets in acquired/divested units Depreciation for the year Sales for the year Reclassifications Translation differences Closing accumulated depreciation -1 363 0 0 -261 18 -15 65 -1 556 -1 168 189 -3 -227 3 -14 -143 -1 363 Opening impairment Adjustment of opening balance* Reclassification to operations being discontinued Impairment in acquired/divested units Impairment for the year Sales for the year Reclassifications Translation differences Closing accumulated impairment -62 0 0 0 -5 3 0 1 -63 0 -23 0 0 -33 0 -6 0 -62 4 750 4 968 2009-12-31 - 2008-12-31 - Closing carrying amount There were no tax assessment values on any properties. Taxation values - Buildings - Land Of the closing residual value according to plan, 611 MSEK (607) is attributable to financial leasing contracts. *) This refers to an adjustment of incorrect book value (Building) of a finance lease in the local accounts of a subsidiary at the time of the Capio acquisition in 2006. Should this finance lease have been correctly accounted for at the time of the Capio acquisition in 2006 the surplus value related to this asset would have been adjusted with the same amount. However, as the 12 month period past acquisition elapsed this adjustment is accounted for as an error according to IAS 8. 2009-12-31 1 477 0 0 0 3 -77 2008-12-31 1 289 -8 4 0 -6 3 195 1 403 1 477 -2 0 0 -1 -7 0 0 0 -10 -1 0 0 -1 0 0 0 0 -2 Closing carrying amount 1 393 1 475 Sum Building and land 6 143 6 443 Land and land improvements Opening acquisition value Reclassification to operations being discontinued Assets in acquired/divested units Purchases during the year Sales for the year Reclassifications Translation differences Closing accumulated acquisition value Opening depreciation Reclassification to operations being discontinued Depreciation in acquired/divested units Depreciation for the year Impairment for the year Sales for the year Reclassifications Translation differences Closing accumulated depreciation Ygeia TopHolding AB 27 / 56 Note 13: Financial fixed assets 2009-12-31 2008-12-31 Proportion of equity in associated companies Opening acquisition value Reclassifications to operations being discontinued Assets in acquired units Purchases during the year Sales for the year Reclassifications Cancelled impairment Closing proportion of equity 5 0 0 0 0 5 0 10 6 -3 0 2 0 0 0 5 Other long-term holdings in securities Opening acquisition value Reclassifications to operations being discontinued Assets in acquired units Purchases during the year Sales for the year Impairment losses Reclassifications Translation differences Closing acquisition value 25 0 0 0 -1 -2 0 -1 21 73 -56 0 6 -1 0 0 3 25 Derivative instruments Opening acquisition value Assets in acquired units Purchases during the year Sales for the year Revaluations during the year Reclassifications Translation differences Closing acquisition value 2 0 0 0 0 -2 0 0 103 0 2 0 -103 0 0 2 Other long-term receivables Opening acquisition value Reclassifications to operations being discontinued Assets in acquired units Lending during the year Amortisation during the year Reclassifications Translation differences Closing acquisition value 52 0 0 21 -4 54 -2 121 57 -2 0 6 -17 0 7 52 Total financial fixed assets Whereof interest-bearing Whereof non-interest-bearing 152 5 147 84 5 79 Ygeia TopHolding AB 28 / 56 Note 14: Accounts receivable and other receivables Accounts receivable Prepaid expenses and accrued income Other receivables Total 2009-12-31 2 244 203 468 2 915 2008-12-31 1 825 186 214 2 225 Provisions for doubtful receivables relating to accounts receivable amounted to 178 MSEK (187). Reported impairment losses are based on historical experience and individual assessments and were charged against earnings in the respective period. Management deems that the carrying amount of accounts receivable, prepaid expenses and accrued income, as well as other receivables, corresponds to the fair value. Management deems that there is no specific credit risk related to outstanding accounts receivable. Management bases this assessment on the fact that no individual customer accounts for a dominant share of outstanding accounts receivable. The average credit period normally amounts to 30-90 days. Provisions on the opening date Reclassifications to operations being discontinued Provisions in acquired units Provisions for anticipated losses Actual losses Recovered claims Other Translation difference Provisions on the closing date 2009-12-31 187 5 26 -14 -17 -9 178 2008-12-31 213 -44 3 9 -6 -9 21 187 The year's costs for doubtful receivables amounted to 31 MSEK (24). Reserves for doubtful accounts receivable amounted to 8 per cent (10) of total accounts receivable on the closing date. Maturity periods for receivables Receivables overdue but not impaired Less than 30 days overdue 30 - 90 days overdue 91 - 120 days overdue More than 120 days overdue Total 2009-12-31 328 80 36 88 532 2008-12-31 397 261 61 104 823 There were no other overdue receivables on the closing date. Ygeia TopHolding AB 29 / 56 Note 15: Interest-bearing liabilities and provisions Long-term external borrowing Maturity periods 1-2 years 2-3 years 3-4 years 4-5 years Longer than 5 years Shareholder loans Maturity periods 1-2 years 2-3 years 3-4 years 4-5 years Longer than 5 years Total long-term liabilities Other interest-bearing items, external Interest-bearing pension provisions Current external liabilities Total interest-bearing liabilities and provisions Less pension provisions Total interest-bearing liabilities Ygeia TopHolding AB 2009-12-31 2008-12-31 142 121 1 189 3 030 4 544 9 026 83 81 83 658 8 461 9 366 3 790 3 790 3 615 3 615 12 816 12 981 265 134 399 298 233 531 13 215 -265 12 950 13 512 -298 13 214 30 / 56 Note 15 (cont): Interest-bearing liabilities and provisions The Group's external borrowing is in the following currencies: 31 December 2009 Commitments in financial leasing Overdraft facilities 1) Bank loans Other loans Shareholder loans SEK 1 299 1 1 300 EUR 513 56 6 941 230 3 789 11 529 GBP 0 NOK 121 121 In the local currency: 1 300 1 114 0 97 31 December 2008 Commitments in financial leasing Overdraft facilities 1) Bank loans Other loans Shareholder loans SEK 1 205 1 205 EUR 426 66 7 284 361 3 615 11 752 GBP 128 128 NOK 129 129 In the local currency: 1 205 1 075 11 117 Total 634 56 8 240 231 3 789 12 950 Total 684 66 8 489 361 3 615 13 214 1) Overdraft facilities are reported net insofar as they are included in the Group account structure for the various currencies. Unutilised overdraft facilities amounted to 299 MSEK (298). Average interest (%) was paid as shown below: 31 December 2009 Commitments in financial leasing Overdraft facilities Bank loans Other loans Shareholder loans SEK 0,87 4,30 15,00 - EUR 5,55 1,92 5,35 4,54 13,00 GBP - NOK 5,24 - 31 December 2008 Commitments in financial leasing Overdraft facilities Bank loans Other loans Shareholder loans SEK 4,80 6,82 - EUR 5,68 5,07 6,33 3,50 13,00 GBP 7,36 - NOK 5,09 - Ygeia TopHolding AB 31 / 56 Note 16: Financial instruments Financing and financial risk management Financing of the Group primarily takes place via bank loans, but also through financial and operational leasing. The Capio Group's main financing source is a syndicated Facilities Agreement (SFA) with a group of international lenders. That was entered in conjunction with the aquisition of the Capio Group in November 2006. The original total commitment was 8,945 MSEK and an additional 875 MSEK was committed in 2008. 8,487 (8,758) were utilized in total and 1,275 (1,439) unutilised as of 31 December. During the year, the utilised amount has been affected by changes in the EUR/SEK rate and scheduled amortisations. Capio has as part of the credit agreement undertaken to maintain certain financial covenants. The most important covenants are consolidated operating earnings before depreciation in relation to consolidated net debt and cash flow excluding financial payments in relation to financial payments. Exchange-rate risks Exchange-rate movements affect the Capio Group’s earnings and equity in various ways. Transaction risks consist of commercial flows in foreign currency. Business operations normally only involve revenues and costs in local currency, since Capio provides services in local markets. This means that commercial currency flows are very limited in the Group. Currency effects on operating income of subsidiaries therefore amount to small sums. During the financial year currency effects amounted to net income of 38 MSEK (net cost 76) (revenues of 38 MSEK and costs of 0 MSEK) for the Group. In translating the earnings and net assets of foreign subsidiaries into SEK, a currency exposure arises that may affect consolidated earnings and equity. To limit currency exposure, the currency mix in the Group’s cash flow is matched with the interest-bearing gross debt, meaning that financing is raised in the same currency in which the asset is valued. On the other hand, this type of risk is not normally hedged actively. Consolidated results are also affected by exchange-rate fluctuations in the translation of the results of subsidiaries to SEK. This effect is not hedged. Interest-rate risks The Group’s income derives primarily from contracts with prices that are normally adjusted annually and usually track each country’s inflation and economic trends. Ongoing operations are normally financed using variable or short interest periods (up to 3 months). Use of longer interest periods are determined case by case based on prevailing conditions in order to minimise interest risks. Financing of special assets must take place with interest rate periods that reflect the underlying asset. In order to reduce interest risk and achieve the desired interest rate periods in the debt portfolio, financial instruments are used, primarily in the form of swap agreements. Interest derivatives, primarily interest-rate swaps, are used in conjunction with the SFA, as well as for a financial lease in Norway with interest-rate-linked rent. Derivates contracts with a nominal value of 11,909 (7,287) had an average fixed interest rate of 3.52 % (3.82) and an average variable interest rate of 1.56 % (4.74). The estimated fair value of current interest-rate derivatives amounted to -190 (-132) on the closing date. This amount was based on current market listings. Some of these interest-rate derivates satisfy the requirements for hedge accounting, meaning that changes in fair value are recognised in other comprehensive income. For interest-rate derivates that are not deemed to satisfy the requirements for hedge accounting, changes in fair value are recognised in the income statement. Financing and liquidity risk Financing risk is the risk that costs become higher and that financing options may be limited when loans are renewed and that payment obligations cannot be fulfilled due to insufficient liquidity or difficulty in raising financing. The Group’s cash and cash equivalents are placed in bank accounts or deposited with reputable banks or in marketable securities issued or secured by governments or reputable banks. Apart from the credit facilities described above, the Group has no short-term credit undertakings. Credit and counterparty risk Credit risks may arise if a counterparty does not fulfil its obligations according to signed agreements. The risk that a counterparty will not fulfill its obligations according to financial contracts is limited through the selection of credit-worthy counterparties and by limiting the commitment per counterparty. Ygeia TopHolding AB 32 / 56 Note 16 (cont.): Financial instruments Fair value The fair values of Capio's interest-bearing financial assets and liabilities are summarised in the table below: 31 December 2009 Financial assets Cash and cash equivalents Other financial fixed assets Interest-rate derivatives Financial liabilities Interest-bearing provisions Commitments in financial leasing Overdraft facilities Bank loans Other loans Subordinated internal loans, Parent Company (CPEC) Interest-rate derivatives 31 December 2008 Book value Fair value Book value Fair value 518 5 0 518 5 0 444 5 0 444 5 0 265 634 56 8 240 231 3 789 -190 265 634 56 8 240 231 3 789 -190 298 684 66 8 489 361 3 615 -132 298 684 66 8 489 361 3 615 -132 Bank loans has variable interest rates and thus expose the Group to cash-flow risks in interest payments. The Group's portfolio of interest-rate derivatives had a nominal value of 11,909 MSEK (7,287) at 31 December 2009. In connection with the downstream merger between Capio AB and Opica AB during 2007, Capio AB assumed Convertible Preferred Equity Certificates, CPEC, that were used by Opica AB to finance the acquisition of Capio AB. According to the agreement these instruments are subordinated to all other present and future obligations apart from the shares in Capio AB and conversion can be requested by both the issuer and holder of the CPEC. If Capio AB requests conversion all holders must give their consent to the transaction. As a consequence there is a restriction on how and when the issuer can request conversion. CPEC cannot be converted to a predetermined number of shares giving that the CPEC in its entirety is classified as interest-bearing debt in the accounts. The fair values of Group's portfolio interest-rate derivatives, which consist of interest-rate swaps and interest caps as of 31 December 2009, are summarised below. 31 December 2009 Interest swap Derivative Interest cap Total Currency MEUR MSEK MNOK MSEK Whereof recognised under hedge accounting in other comprehensive income Whereof recognised at fair value in the income statement 31 December 2008 Interest swap Interest cap Total Derivative Currency MEUR MSEK MNOK MSEK Whereof recognised under hedge accounting in other comprehensive income Whereof recognised at fair value in the income statement Ygeia TopHolding AB Hedged value Hedged value in MSEK Fair value 903 9 349 -173 1 900 1 900 -14 49 60 -3 600 600 0 -190 -190 0 Hedged value Hedged value in MSEK Fair value 560 6 127 -120 500 500 -9 51 60 -3 600 600 0 -132 -132 0 33 / 56 Note 16 (cont.): Financial instruments 31 December 2009 Derivative maturity periods Interest-rate swaps Interest caps Interest floors Maturity period Within 1 year 1-2 years 2-3 years 5 609 5 609 600 - 3-4 years 60 - 4-5 years - >5 years 31 - Total 5 700 5 609 600 31 December 2008 Derivative maturity periods Interest-rate swaps Interest caps Interest floors Maturity period Within 1 year 1-2 years 2-3 years 2 2 419 4 213 600 - 3-4 years 3 - 4-5 years 50 - >5 years - Total 6 687 600 0 Sensitivity analysis of interest-rate risks Changes in market interest rates affect the Group’s interest income and expenses. The summary below shows the effect of a change in market interest rates on Capio's income statement. Jan. - Dec. 2009 29 Per cent (+/-) 1% Market interest rate Jan. - Dec. 2008 26 Sensitivity analysis for exchange-rate risk Changes in exchange rates impact the Group’s finances and financial position. The summary below shows the effect that exchange-rate fluctuations have on the Group's income statement. The most important currency is EUR for which a change of +10% has the following effect: Jan. - Dec. 2009 Income statement – net profit 38 Shareholders' equity 400 Jan. - Dec. 2008 0 325 Interest income and interest expense from financial instruments The table below shows interest income and interest expense related to all financial assets and financial liabilities. Jan. - Dec. 2009 17 Jan. - Dec. 2008 110 Interest expense for financial liabilities -987 -733 Total -970 -623 Interest income from financial assets The reason why expenses differ from the reported net interest in net financial items is mainly because interest income and expenses attributable to pensions are excluded. Ygeia TopHolding AB 34 / 56 Note 16 (cont.): Financial instruments Net gains/losses for financial instruments reported in the income statement. The table below shows the following items reported in the income statement: Gains and losses attributable to exchange-rate differences, including gains and losses attributable to hedge accounting Gains and losses attributable to financial instruments for which hedge accounting is applied Gains and losses attributable to derivatives for which hedge accounting is not applied Net gains/losses Loans and accounts receivable Total Jan. - Dec. 2009 38 38 Jan. - Dec. 2008 -76 -76 Inefficiency in hedge accounting The table below shows the net gains and losses for the loans and interest swaps reported at fair value. Hedge accounting at fair value Financial liabilities (hedged item) Interest-related derivatives (hedging instruments) Total (ineffectiveness) Net gain/ loss Jan. - Dec. 2009 Net gain/ loss Jan. - Dec. 2008 58 235 -58 0 -235 0 31 Dec. 2009 31 Dec. 2008 0 19 115 134 0 0 233 233 142 121 1 189 3 030 8 334 12 816 83 81 83 658 12 077 12 981 Maturity structure of financial liabilities Maturity structure of financial liabilities <1 month 1 - 3 months 3 - 12 months Total 0 - 12 months 1-2 years 2-3 years 3-4 years 4-5 years Longer than 5 years Total > 1 year The summary above only includes interest-bearing liabilities. Other financial liabilities, such as accounts payable and advances to suppliers, have contracted payment dates within 1-60 days. Ygeia TopHolding AB 35 / 56 Note 16 (cont.): Financial instruments Categorisation 2009 ASSETS (MSEK) Valued at fair value in the income statement Derivative identified as hedging instrument Investments held until maturity Loans and receivables Financial assets available for sale Other financial assets Nonfinancial assets TOTAL Goodwill Other intangible assets Intangible assets 6 249 3 709 6 249 3 709 9 958 Land and buildings Equipment, tools, fixtures and fittings Tangible assets 6 143 1 561 6 143 1 561 7 704 Financial fixed assets, interest-bearing Financial fixed assets, non-interest bearing Deferred tax assets Financial fixed assets Total fixed assets Inventory Accounts receivable Other receivables Current tax assets Prepaid expenses and accrued income Short-term investments and interest-bearing receivables Cash and cash equivalents Total current assets Total assets LIABILITIES (MSEK) 5 Ygeia TopHolding AB 468 0 203 34 518 - - - 2 801 - Valued at Derivative Financial fair value in identified as liabilities the income hedging available for statement instrument sale 147 Other financial liabilities 9 026 3 790 93 75 190 134 241 1 516 - 190 571 249 2 244 Provisions for compensation to employees, interest-bearing Provisions, non-interest bearing Deferred tax liabilities Long-term liabilities, interest-bearing Shareholder loans, interest bearing Long-term liabilities, non-interest bearing Long-term liabilities, non-interest bearing to group companies Total long-term liabilities and provisions Interest-bearing current liabilities Advances from customers Accounts payable, trade Other current liabilities Current tax liabilities Accrued expenses and prepaid income Total current liabilities Total liabilities and provisions 147 - 14 875 19 153 Nonfinancial liabilities 265 277 1 994 863 105 987 4 491 5 147 571 723 18 385 249 2 244 468 0 203 34 499 3 769 22 101 TOTAL 265 277 1 994 9 026 3 790 283 75 15 710 134 241 1 516 863 105 987 3 846 19 556 36 / 56 Note 16 (cont.): Financial instruments Categorisation 2008 ASSETS (MSEK) Valued at fair value in the income statement Derivative identified as hedging instrument Investments held until maturity Loans and receivables Financial assets available for sale Other financial assets Nonfinancial assets TOTAL Goodwill Other intangible assets Intangible assets 6 474 3 975 6 474 3 975 10 449 Land and buildings Equipment, tools, fixtures and fittings Tangible assets 6 443 1 602 6 443 1 602 8 045 Financial fixed assets, interest-bearing Financial fixed assets, non-interest bearing Deferred tax assets Financial fixed assets Total fixed assets Inventory Accounts receivable Other receivables Current tax assets Prepaid expenses and accrued income Short-term investments and interest-bearing receivables Cash and cash equivalents Assets attributable to discontinuing operations Total current assets Total assets LIABILITIES (MSEK) 5 2 Ygeia TopHolding AB 570 227 1 825 214 30 186 11 444 8 850 - 2 - 2 285 - Valued at Derivative Financial fair value in identified as liabilities the income hedging available for statement instrument sale Provisions for compensation to employees, interest-bearing Provisions, non-interest bearing Deferred tax liabilities Long-term liabilities, interest-bearing Shareholder loans, interest bearing Long-term liabilities, non-interest bearing Total long-term liabilities and provisions Interest-bearing current liabilities Advances from customers Accounts payable, trade Other current liabilities Current tax liabilities Accrued expenses and prepaid income Liabilities attributable to discontinuing operations Total current liabilities Total liabilities and provisions 77 77 Other financial liabilities 9 366 3 615 49 132 233 173 1 318 - 132 - 14 755 28 571 Nonfinancial liabilities 298 356 2 052 540 156 1 068 8 100 12 570 5 79 570 654 19 148 227 1 825 214 30 186 11 444 8 850 11 787 30 935 TOTAL 298 356 2 052 9 366 3 615 182 15 869 233 173 1 318 540 156 1 068 8 100 11 588 27 457 37 / 56 Note 17: Other non-interest bearing items Prepaid expenses and accrued income Prepaid rent Accrued income Other prepaid expenses Total Non-interest bearing provisions: Deferred tax liability Provision for supplementary purchase payments Other Total Long-term interest-free liabilities, external: Maturity periods: 1-2 years 2-3 years 3-4 years 4-5 years More than 5 years Total 31 Dec. 2009 31 Dec. 2008 41 117 45 203 38 89 59 186 1 994 25 252 2 271 2 052 24 332 2 408 32 7 7 7 40 22 2 4 3 19 93 50 Fair value of financial instruments 190 132 Total 283 182 Accrued expenses and prepaid income Holiday pay liabilities Other personnel-related costs Interest and financial expenses Prepaid revenues Other accrued expenses Total 216 307 45 140 279 987 205 306 120 179 257 1 068 Note 18: Provisions December 31 2009 Opening acquisition value Reclassified to assets held for sale Purchase of acquired units Utilised funds Provisions for the year Translation differences Provisions at year-end Non-interest bearing provisions 356 -121 57 -15 277 December 31 2008 Opening acquisition value Reclassified to assets held for sale Purchase of acquired units Utilised funds Provisions for the year Translation differences Provisions at year-end Non-interest bearing provisions 339 -103 -34 117 37 356 Ygeia TopHolding AB 38 / 56 Note 19: Pledged assets For own debts and provisions 31 Dec. 2009 31 Dec. 2008 11 415 5 646 1 386 3 13 455 12 174 4 663 1 229 6 14 076 For long-term liabilities to credit institutions 1) Shares in subsidiaries Cash and cash equivalents Chattel mortgages Property mortgages Machinery and equipment 1) Refers to consolidated residual values, including brand totalling 1,931 MSEK (2,016). Note 20: Contingent liabilities Guarantee commitments Total contingent liabilities 31 Dec. 2009 190 190 31 Dec. 2008 217 217 Note 21: Shares in subsidiaries For information regarding subsidiaries, see Note 6 in the Parent Company notes. Ygeia TopHolding AB 39 / 56 Note 22: Audit fees The following fees were paid to auditing firms for conducting audits and other review measures in accordance with prevailing legislation and for advisory services and other assistance related to observations from the auditing measures conducted. Fees were also paid for independent advisory services conducted by elected auditors and other auditing firms within the areas of taxation, financial services and other consulting services. Auditors are elected by the Annual General Meeting for a period of four years. Jan.-Dec. 2009 Jan.-Dec. 2008 Fees for audit conducted by elected auditors Ernst & Young Fees for tax-related services performed by elected auditors Ernst & Young Fees for audit conducted by elected auditors, other auditing firms Fees for consulting services performed by Ernst & Young Total fees to elected auditors 15 14 2 0 1 2 4 1 22 17 Audit Auditing services primarily relate to auditing of the Group companies' accounts, review of interim reports, IT systems and other review measures in accordance with prevailing regulations performed by elected auditors to provide an auditor’s report for the Group’s annual report. The annual audit is subject to approval by the Audit Committee. The Audit Committee monitors the auditor’s work continuously during the financial year and has the authority to approve any changes in the terms of the annual audit. Audit-related services Audit-related services refer to services that are performed in close connection to the review of the consolidated accounts and include due diligence assignments, assistance in interpretation and application of new accounting policies and assistance in reporting requirements relating to internal controls. Tax-related services Tax services refer to services related to compliance with rules for tax reporting and other advisory services related to taxation. Other services Other services that can be performed by the elected auditors require approval by the Audit Committee. Ygeia TopHolding AB 40 / 56 Note 23: Rents and leasing fees Operational leasing The Group’s operational leasing contracts primarily comprise rented premises in which business is conducted, technical medical equipment, computers and other equipment. Leasing contracts are reported until such time as they can be terminated. Sub-leasing primarily occurs for premises for Group companies. Jan.-Dec. 2009 339 73 Jan.-Dec. 2008 274 29 Total leasing fees 412 304 Of which variable fees 110 44 Leasing fees attributable to Properties Other fixed assets Future minimum operational leasing fees at 31 December 2009 that cannot be prematurely terminated and which have terms longer than one year due for payment in: 2010 2011 2012 2013 Year 2014 and later Total 268 271 223 102 827 1 691 Financial leasing The Group’s financial leasing contracts relate to premises in which business is conducted, as well as technical medical equipment. None of these contracts are sub-leased. Jan.-Dec. 2009 Jan.-Dec. 2008 Property 67 63 Equipment, tools, fixtures and fittings 20 16 Total leasing fees 87 79 Of which variable fees 77 57 2009 909 -227 682 2008 774 -237 537 Leasing fees attributable to: Carrying amounts for financial leasing at the closing date amounted to: Accumulated acquisition value Accumulated depreciation/impairment Closing book value Depreciation and impairment for the year amounted to 40 MSEK(36). Future minimum financial leasing fees at 31 December 2009 that cannot be prematurely terminated and which have terms longer than one year due for payment in: 2010 2011 2012 2013 Year 2014 and later Totalt Actual payment 99 101 99 95 420 814 Estimated present value of payments 94 91 86 78 261 610 The actual interest rate is determined on the contract date for all leasing periods. The average interest terms in the contracts varies between 2.7 and 6.0 %. Total minimum future leasing fees Interest expense Present value of minimum future leasing fees 2009 2008 814 1 742 -204 -1 085 610 657 All leasing contracts are based on commercial terms. Certain contracts contain extension options with varying time periods. Ygeia TopHolding AB 41 / 56 Note 24: Company acquisitions and divestments 2009 During the period from January to December 2009, a number of acquisitions took place of which none was significant. Acquisitions during 2009 Acquisitions Purchase price 155 Share of voting rights, % 100 Share of equity, % 100 All acquired companies are reported in the consolidated accounts in accordance with the purchase method, meaning that the purchase price is allocated to acquired assets and liabilities based on each item’s fair value. Fair values are established based on valuation by an independent external party with consideration taken to management’s assessment of the special character of each asset and liability. Acquisitions during 2009 Kvalita Group (Sweden) Coreysa (Spain) Läkarmottagningen i Gårda AB (Sweden) Klinikk Bunaes AS (Norway) Besides the above mentioned acquisitions Capio Group acquired the net assets of two businesses in Vegeholm and Båstad (Sweden), from which goodwill has arisen. Financial effect The contribution made by the acquired operations to the Group’s revenues and profit before tax was as follows: Acquisitions Net sales 253 Result after tax -13 253 -13 No proforma figures prior to acquisition have been readily available. Purchase price, goodwill and effect on cash flow Purchase price Cash amount Transaction costs Additional acquisition price Total purchase price Less market value of acquired net assets Goodwill Acquisitions 126 4 25 155 -55 100 Cash flow effect related to implemented acquisitions amounted to: Purchase price Outstanding purchase price - paid Less outstanding purchase price Adjustment for purchase price paid in 2008 Less acquired cash and cash equivalents Cash-flow effect of acquisitions Translation differences Total Ygeia TopHolding AB Acquisitions 155 8 -69 -1 -16 77 0 77 42 / 56 Note 24 (cont.): Company acquisitions and divestments Acquired assets and assumed liabilities Acquired net assets and goodwill related to implemented acquisitions amounted to: Trademarks, healthcare contracts, leases and other intangible fixed assets Buildings, land and land installations Machinery and equipment Deferred tax assets Other financial fixed assets Inventories Accounts receivable and other current assets Cash and cash equivalents Total acquired assets Minority interest Provisions Long-term liabilities Current liabilities Total assumed liabilities Acquired net assets Goodwill Total purchase price Less acquired cash and cash equivalents Outstanding purchase price - paid Less outstanding purchase price Adjustment for purchase price paid in 2008 Translation differences Cash-flow effect Carrying amount in 7 4 5 1 0 4 47 16 84 0 0 10 56 66 18 Fair value adjustments Fair value 37 128 0 0 0 0 0 0 165 0 0 128 0 128 37 155 44 132 5 1 0 4 47 16 249 0 0 138 56 194 55 100 155 -16 8 -69 -1 0 77 Acquired goodwill is attributable to the underlying profitability of the acquired operations. All significant fair values were based on independent external valuations with consideration taken to the special character of each asset. Pledged assets and contingent liabilities in acquired operations: Acquisitions Pledged assets Contingent liabilities and guarantees - Divestments Jan. - Dec. 2009 Behandlingssenteret Små Enheter AS Capio Deutsche Klinik Lübeck GmbH Shares in Capio Holding AB to minority Divested assets and liabilities Net assets related to divested operations within remaining operations amounted to the following: Divestments Intangible fixed assets Other fixed assets Current assets Long-term liabilities and provisions Current liabilities Divested net assets Capital gain/loss from divested units Less cash and cash equivalents in divested companies Outstanding purchase payments at closing date Received purchase payments from previous periods Cash flow effect BSE Lübeck MSEK MSEK Minority Total 50 1 19 0 -7 63 0 1 3 -1 -1 2 77 * 50 2 23 -1 -8 142 -43 -10 -15 0 -5 3 0 0 0 5 -60 -3 14 -100 -10 -18 0 14 *) Minority share of net assets in Capio Holding AB Ygeia TopHolding AB 43 / 56 Note 24 (cont.): Company acquisitions and divestments 2008 A number of acquisitions took place between January and December 2008, one of which was significant. Acquisitions during 2008 Büdingen Other acquistions Purchase price 122 68 Share of voting rights, % 100 100 Share of equity, % 100 100 All acquired companies are reported in the consolidated accounts in accordance with the purchase method, meaning that the purchase price is allocated to acquired assets and liabilities based on each item’s fair value. Fair values are established based on valuation by an independent external party with consideration taken to management’s assessment of the special character of each asset and liability. Büdingen was consolidated as of March 2008. Büdingen Group In March 2008, 100 % of the shares in Mathilden-Hospital zu Büdingen GmbH, Mathilden-Hospital zu Büdingen Service GmbH, Mathilden-Hospital zu Büdingen Wohnen GmbH and MVZ am Mathilden-Hospital zu Büdingen GmbH were acquired for 124 MSEK. Acquisition costs in conjunction with the purchase amounted to 5 MSEK. The Capio Group obtained a controlling interest over the Büdingen Group as of March 2008, and the companies were consolidated as of that month. Financial effect The contribution made by the acquired operations to the Group’s revenues and profit before tax was as follows: Büdingen Other acquistions Net sales 134 50 Result after tax -5 1 184 -4 No proforma figures prior to acquisition have been readily available. Purchase price, goodwill and effect on cash flow Purchase price Cash amount Transaction costs Additional acquisition price Total purchase price Less market value of acquired net assets Goodwill Büdingen Other acquisitions 120 65 2 3 122 68 -122 -6 0 62 Total 185 5 0 190 -128 62 Cash flow effect related to implemented acquisitions amounted to: Purchase price Outstanding purchase price - paid Less outstanding purchase price Less acquired cash and cash equivalents Cash-flow effect of acquisitions Translation differences Total Ygeia TopHolding AB Büdingen Other acquisitions 122 68 36 -20 -7 102 96 2 -3 104 93 Total 190 36 0 -27 199 -1 198 44 / 56 Note 24 (cont.): Company acquisitions and divestments Acquired assets and assumed liabilities Acquired net assets and goodwill related to implemented acquisitions amounted to: Trademarks, healthcare contracts, leases and other intangible fixed assets Buildings, land and land installations Machinery and equipment Deferred tax assets Other financial fixed assets Inventories Accounts receivable and other current assets Cash and cash equivalents Total acquired assets Minority interest Provisions Long-term liabilities Current liabilities Total assumed liabilities Acquired net assets Goodwill Total purchase price Less acquired cash and cash equivalents Outstanding purchase price Translation differences Cash-flow effect Carrying amount in acquired companies Other Büdingen acquisitions 3 96 28 1 0 2 40 20 190 0 18 10 47 75 115 0 0 1 0 4 0 5 7 17 2 1 0 9 11 6 Fair value adjustments Other Büdingen acquisitions 0 7 0 0 0 0 0 0 7 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fair value Büdingen Other acquisitions 3 103 28 1 0 2 40 20 197 0 18 10 47 75 122 0 122 -20 2 104 Total fair value 0 0 1 0 4 0 5 7 17 2 1 0 9 11 6 62 68 -7 36 -3 93 3 103 29 1 4 2 45 27 214 2 18 10 56 86 128 62 190 -27 36 -1 198 Acquired goodwill is attributable to the underlying profitability of the acquired operations. All significant fair values were based on independent external valuations with consideration taken to the special character of each asset. Pledged assets and contingent liabilities in acquired operations: Pledged assets Contingent liabilities and guarantees Büdingen 165 - Other acquisitions - Total 165 - Divestments Jan. - Dec. 2008 During 2008 Capio divested 20 % of the Spanish Operation. Cash consideration received amounted to 16 MSEK. In addition, transaction costs related to the divestment of the UK business in 2007 was paid with 107 MSEK. In total the group reports then 91 MSEK as negative cash flow from divested units. Ygeia TopHolding AB 45 / 56 Note 25: Fixed assets held for sale/ divested operations 2009 During december 2009 the Unilabs Group was distributed to the Parent Company in Luxembourg at an Extraordinary General Meeting. As a result of this, Unilabs' operations losses for the period, will be reported as discontinuing operations in the consolidated accounts for 2009. 2009-01-01-2009-12-31 Net sales* Direct costs Other external costs Personnel costs Depreciation of tangible and amortisation of intangible assets Other operating income Other operating expenses Operating loss Financial net Loss after financial items Tax Losses for the period from discontinued operations 4 257 -594 -1 972 -760 36 -979 -12 -434 -446 -104 -549 * Include 198 MSEK in net sales to the continuing business 2008 To streamline operations between Capio and Unilabs, the Parent Company intends to distribute the Unilabs Group to the Parent Company in Luxembourg at an Extraordinary General Meeting during the second half of 2009. As a result of this, Unilabs' operations will be reported as discontinuing operations in the consolidated accounts. The comparative figures for the income statement and cash flow have been adjusted to reflect this change. Presented below is the 2008 income statement for the Unilabs business area. A goodwill impairment of SEK 568 M and a trademark impairment of SEK 70 M were charged to the 2008 income statement. Each impairment is recognised in the depreciation and impairments line in the income statement below, while deferred tax attributable to trademark was recognised in the tax line. Net sales* Direct costs Other external costs Personnel costs Depreciation of tangible and amortisation of intangible assets Other operating income** Other operating expenses Operating loss Financial net Loss after financial items Tax Losses for the period from discontinued operations 2008-01-01-2008-12-31 3 578 -699 -827 -1 618 -858 9 -10 -425 -479 -904 -62 -966 * Include 169 MSEK in net sales to the continuing business In the second quarter of 2008, Capio AB sold 20 per cent of Global Asuan, the holding company that owns Capio Healthcare Spain, to the company management. A loss of SEK 5 M from the divestment was recognised directly in shareholders' equity as a transfer from the Parent Company's shareholders' equity to minority interests. Ygeia TopHolding AB 46 / 56 Note 26: Share capital 31 Dec 2009 31 Dec 2008 539,028 (539,028) common shares/preferential shares 54 54 Issued and paid: At 1 January New issue New issue in progress At 31 December 54 54 54 Share capital There are 140,731 (140,731) common shares and 398,297 (398,297) preferential shares, making a total of 539,028 (539,028) shares. Each preference share entails annual preference rights to dividends. In the event of the company's dissolution or liquidation, holders of preference shares have preferential rights to an amount corresponding the average amount paid for all preference share and accrued nonpaid dividends. Neither the Parent Company nor any Group company has holdings of own shares. Dividends are proposed by the Board of Directors in accordance with the rules in the Swedish Companies Act and approved by the Annual General Meeting. The Board of Directors proposal to the Annual General Meeting is that no dividend be paid for the financial year from 1 January 2009 to 31 December 2009. Note 27: Earnings per share Earnings Earnings attributable to Parent Company shareholders Earnings attributable to Parent Company shareholders Jan.-Dec. 2009 -29 -29 Jan.-Dec. 2008 -1 626 -1 626 Number of shares Average number of shares during the reporting period for calculation of earnings per share Average number of shares during the reporting period for calculation of earnings per share after dilution Jan.-Dec. 2009 539 028 Jan.-Dec. 2008 539 028 539 028 539 028 Earnings per share (SEK) Earnings per share Dilution effect Earnings per share after dilution Jan.-Dec. 2009 -55 -55 Jan.-Dec. 2008 -1 224 -1 224 Earnings per share are calculated by dividing the earnings attributable to equity in the Parent Company by the average number of outstanding shares during the period. There was no dilution effect with respect to earnings per share. Note 28: Currency effects The Group’s sales and purchases are almost exclusively denominated in local currency. This means that currency effects on operating income of subsidiaries amount to small sums. During the financial year, currency effects amounted to net expense of 38 MSEK (expense: 76) (income of 38 MSEK and costs of 0 MSEK) for the Group. Accumulated translation differences on the opening date that were recognised in consolidated equity amounted to 748 MSEK (33). At year-end, these differences amounted to 594 MSEK (748). The Group strives to hedge net assets in foreign currency through the corresponding weighting of borrowing and thus match the cash flows in each currency. Changes in exchange rates between EUR and SEK are the primary reason for translation differences in consolidated equity. The consolidated income statement is also affected by translation of earnings in subsidiaries. This effect is not hedged. Note 29: Investment commitments Commitments for future investments in fixed assets Total 31 Dec 2009 31 Dec 2008 95 95 97 97 The Group’s investment commitments are primarily related to a number of major projects in progress. These significant projects include investments related to Fonvert in France. Ygeia TopHolding AB 47 / 56 Note 30: Parent Company Ygeia TopHolding AB is a limited liability company according to Swedish law. The company provides healthcare services through its subsidiaries. The company has its registered offices in Stockholm Sweden, the address to the headquarter is: Ygeia TopHolding AB C/O Capio AB Box 1064 SE-405 22 Gothenburg, Sweden (Visiting address: Lilla Bommen 5) Note 31: Information on related parties Group companies Transactions between Group companies and business areas are based on market terms. All internal transactions are eliminated in the consolidated accounts. Related parties includes Group subsidiaries, associated companies, Board members and senior executives. Subsidiaries and associated companies are reported in Note 6 for the Parent Company. Deliveries of products and services between Group companies take place on commercial terms at market prices. In December 2009 Capio Spain entered into a finance lease agreement with an external company for certain real estate used in the daily operations. The external company is controlled by certain members of management in Capio Spain. The real estate lease is for 20 years with a capital value of 128 MSEK. During the year a minority share in Capio Holding AB (owner of Capio AB group), indirectly owned by Ygeia TopHolding AB, was divested to parts of senior executives of which some are also representatives as board members in the parent company. In total 4.5% of the shares in Capio Holding AB is owned by senior executives within the Group. All transactions are based on market terms. Apart from salaries and other compensation and the transactions described above, no other transactions took place between members of the Board of Directors and Group companies during the period from January to December 2009. No Board member or senior executive had any direct or indirect participation in any business transactions with the company that was unusual in its nature or with respect to its terms. The management team of the Spanish operations have a direct ownership of 20% in the Spanish business. Board members have received board fees of 0.2 MSEK in Group companies during 2009. Remuneration to senior executives amounted to 55 MSEK (11) in salaries and 4 MSEK (2) in pensions. Number of senior executives was 12 (6) for 2009. Note 32: Events after the closing date Acquisitions/Divestments Divestment of the business in Switzerland (part of BA Germany) was completed in early January 2010. The divestment did not signtificantly impact the Group's profit or equity. New contracts Capio Spain is part of a consortium that have been nominated preferred bidder status for a new 30 year care concession agreement with the Madrid authorities. Capio Spain has the main responsibility for running the care operations of the hospital which is located in the Mostoles area and has a responsibility to provide healthcare to an approximate population of approximately 170,000 inhabitants. The new hospital is expected to be fully operational in 2012. Note 33: Inventories Raw materials Finished goods Other Total 31 Dec 2009 214 16 19 249 31 Dec 2008 203 15 9 227 Obsolescence is assessed based on age and the turnover rate for each item. Changes in reserves for obsolescence during the period as a whole had an effect of 2 MSEK (0) on earnings. Deductions for obsolescence amounted to 2 MSEK (0). Previous impairment losses were reversed in an amount of 0 MSEK (0). Inventories corresponding to 0 MSEK (0) are expected to be sold after 12 months. Note 34: Government grants During the period, government grants primarily relating to completed training courses were received in an amount of 2 MSEK (2). Received grants were recognised in earnings in the periods in which they were received. Government grants for investments in assets amounted to 24 MSEK (21). Ygeia TopHolding AB 48 / 56 Note 35: Restatement of Income statement reported in 2008 Income statement Ygeia TopHolding Restated Jan Dec 2008 MSEK Ygeia TopHolding as of Jan.- Dec 2008 Reclass.* Net sales 12 721 128 Direct materials and services cost -2 858 0 308 Other external costs -1 451 57 -308 Personnel costs -7 282 1 -7 281 -772 Depreciation of tangible and amortisation of intangible assets Reclass.** 12 849 -2 550 -1 702 -760 -12 Other operating income 218 -216 2 Other operating expenses -42 42 0 Operating profit 546 - - 546 *During the year the Group has changed from reporting a cost based income statement to a functional income statement in the internal operational reporting. This has e.g. implied that part of income previously reported as Other operating income is now reported as Net sales and part of costs previously reported as Other operating expenses is now included in Other external cost. ** The change from a cost based income statement to a functional income statement also implied that costs for support services and technical maintenance, previously reported as costs of consumables, materials, services and equipment (included in Direct materials and services cost in the consolidated financial statements 2008) are now reported as Other external costs. Ygeia TopHolding AB 49 / 56 Parent Company income statement MSEK Notes Net sales Other external cost 1,5 Operating profit Profit from financial fixed assets 2 Jan. - Dec. Jan. - Dec. 2009 2008 - - - - - - Interest income and other financial items - Interest expenses and other financial items - Profit after financial items - Tax - - Profit for the period - - Ygeia TopHolding AB 50 / 56 Parent Company balance sheet MSEK Notes 2009-12-31 2008-12-31 3 227 3 227 5 375 5 375 3 227 5 375 Assets Fixed assets Financial fixed assets Shares in Group companies Total fixed assets 3,6 Total assets Shareholders' equity and liabilities Shareholders' equity Restricted equity Share capital Unrestricted equity Share premium fund Profit for the year Total shareholders' equity 54 54 3 173 3 227 5 321 5 375 Total shareholders' equity and liabilities 3 227 5 375 - - Memorandum items Pledges assets Contingent liabilities Ygeia TopHolding AB 4 51 / 56 Parent Company cash flow statement MSEK Notes Jan.-Dec. 2009 Jan.-Dec. 2008 Current operations Operating profit Interest income Interest expenses Cash flow from current operations before changes in working capital - - Changes in working capital Changes in working capital Cash flow from current operations - - - - Financing activities New share issue Cash flow from financing activities - - Changes in cash and cash equivalents - - Cash and cash equivalents on the opening date Cash and cash equivalents on the balance sheet date - - Investment activities Acquisitions of subsidiaries Cash flow from investment activities Ygeia TopHolding AB 3 52 / 56 Parent Company change in shareholders' equity Share Share premium capital reserve MSEK Retained Profit/loss earnings for the year Shareholders' equity Opening balance 2007-12-31 Profit for the year 54 - 5 321 - - - 5 375 - Closing balance 2008-12-31 54 5 321 0 0 5 375 The Parent Company's shareholders' equity comprises: Share capital (539,028 shares) Statutory reserve Share premium reserve Profit for the year 54 5 321 - Total shareholders' equity 5 375 Share Share premium capital reserve MSEK Opening balance 2008-12-31 Dividend Profit for the year Closing balance 2009-12-31 Retained Profit/loss earnings for the year Shareholders' equity 54 5 321 - - 5 375 - -2 148 - - - -2 148 - 54 3 173 0 0 3 227 The Parent Company's shareholders' equity comprises: Share capital (539,028 shares) Statutory reserve Share premium reserve Profit for the year 54 3 173 0 Total shareholders' equity 3 227 Shareholders' equity Share capital Common shares Preferential shares Ygeia TopHolding AB 539,028 shares, of which 140,731 398,297 Par value: SEK 100 Par value: SEK 100 53 / 56 Accounting principles The Parent Company prepared its annual report in accordance with the Swedish Annual Accounts Act and the Swedish Financial Reporting Board’s recommendation RFR 2 Accounting for Legal Entities and the statements of the Swedish Financial Accounting Standards Council's Emerging Issues Task Force. The rules in RFR 2 mean that the Parent Company in the annual report for the legal entity must apply all IFRS/IAS rules and statements adopted by the EU as far as possible within the framework of the Annual Accounts Act and with consideration taken to the relationship between accounting and taxation. There are recommendations regarding the exceptions to IFRS/IAS that may be made. These regulations are described in the accounting policies for the consolidated accounts. The Parent Company applies the accounting principles specified for the Group with the exceptions noted below. Shares in Group companies are valued at acquisition value including external costs directly attributable to the acquisition. The shares are valued at the lower of cost and fair value. Amounts are in MSEK unless otherwise specified. Ygeia TopHolding AB 54 / 56 Note 1: Salaries, other compensation and social costs For information regarding salaries, other compensation and social costs, please refer to Note 4 for the Group. Note 2: Financial items Dividend from subsidiries Impairment of shares i Group companies Total profit from financial fixed assets 2009-12-31 2008-12-31 2 148 -2 148 0 - 2009-12-31 5 375 -2 148 2008-12-31 5 375 - 3 227 5 375 2009-12-31 - 2008-12-31 - - - Note 3: Financial fixed assets Shares in Group companies Opening balance Purchases during the year Sales for the year Impairment losses during the year Closing balance For further information, please refer to Note 13 for the Group. Note 4: Contingent liabilities Guarantee commitments Other contingent liabilities Total Ygeia TopHolding AB 55 / 56 Note 5 Audit fees Audit fees to Ernst & Young AB were paid by another Group company. Note 6 Shares in subsidiaries Shares in Subsidiaries Ygeia Equity AB Share of equity 100% Share of voting rights 100% Number of shares 539 028 Carrying amount 5 375 Impairment -2 148 Closing balance 3 227 Corp. Reg. No. 556722-5130 Reg. Office Stockholm Impairment of the carrying amount of shares in the subsidiary Ygeia Equity AB was a result of that the company distributed all shares in Unilbas Holding AB to the parent company. Gothenburg, 23 March 2010 Thomas Berglund Chairman Robert Andreen Hervé Descazeaux Khawar Mann Victor Madera Fredrik Näslund Nicolas Bonilla Håkan Winberg Our auditor's reprt was submitted on 23 March 2010 Ernst & Young AB Staffan Landén Authorised Public Accountant Ygeia TopHolding AB 56 / 56
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