UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 6-K

 

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

For the month of August, 2023

 

 Commission File Number: 001-38992

 

Afya Limited

(Exact name of registrant as specified in its charter)

 

Alameda Oscar Niemeyer, No. 119, Salas 502, 504, 1,501 and 1,503

Vila da Serra, Nova Lima, Minas Gerais

Brazil

+55 (31) 3515 7550

(Address of principal executive office)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:

 

Form 20-F

X

  Form 40-F  

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):

 

Yes     No

X

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):

 

Yes     No

X

 

 

 

 

 

TABLE OF CONTENTS

 

EXHIBIT  
99.1 Afya Limited Announces Second-Quarter and First-Half 2023 Financial Results.

 

 

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

    Afya Limited
     
     
      By: /s/ Virgilio Deloy Capobianco Gibbon
        Name: Virgilio Deloy Capobianco Gibbon
        Title: Chief Executive Officer

Date: August 28, 2023

 

 

 

 

Afya Limited Announces Second-Quarter and First-Half 2023 Financial Results

High and Predictable Growth

Strong Cash Generation

 

Nova Lima, Brazil, August 28, 2023 – Afya Limited (Nasdaq: AFYA; B3: A2FY34) (“Afya” or the “Company”), the leading medical education group and digital health services provider in Brazil, reported today financial and operating results for the three and six-month period ended June 30, 2023. Financial results are expressed in Brazilian Reais and are presented in accordance with International Financial Reporting Standards (IFRS).

 

Second Quarter 2023 Highlights

§2Q23 Adjusted Net Revenue increased 23.6% YoY to R$712.2 million. Adjusted Net Revenue excluding acquisitions grew 13.5%, reaching R$654.0 million.
§2Q23 Adjusted EBITDA increased 21.8% YoY, reaching R$268.2 million, with an Adjusted EBITDA Margin of 37.7%. Adjusted EBITDA excluding acquisitions grew 9.9%, reaching R$241.9 million, with an Adjusted EBITDA Margin of 37.0%.

 

First Half 2023 Highlights

§1H23 Adjusted Net Revenue increased 24.3% YoY to R$1,421.6 million. Adjusted Net Revenue excluding acquisitions grew 13.5%, reaching R$1,298.2 million.
§1H23 Adjusted EBITDA increased 21.9% YoY reaching R$598.4 million, with an Adjusted EBITDA Margin of 42.1%. Adjusted EBITDA excluding acquisitions grew 11.2%, reaching R$546.1 million, with an Adjusted EBITDA Margin of 42.1%.
§Cash conversion of 98.9% generating R$566.5 million of cash flow from operating activities that resulted a solid cash position of R$741.2 million.
§Almost 282 thousand monthly active physicians and medical students using Afya’s Digital Services.

 

Table 1: Financial Highlights                      
  For the three months period ended June 30,   For the six months period ended June 30,
(in thousand of R$) 2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions   2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions
(a) Net Revenue 712,607 654,325 598,156 19.1% 9.4%   1,422,568 1,299,175 1,164,480 22.2% 11.6%
(b) Adjusted Net Revenue (1) 712,237 653,955 576,079 23.6% 13.5%   1,421,620 1,298,227 1,143,795 24.3% 13.5%
(c) Adjusted EBITDA (2) 268,174 241,876 220,186 21.8% 9.9%   598,373 546,095 490,987 21.9% 11.2%
(d) = (c)/(b)  Adjusted EBITDA Margin 37.7% 37.0% 38.2% -50 bps -120 bps   42.1% 42.1% 42.9% -80 bps -80 bps
*For the three months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Glic (April to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (April to June, 2023; Closing of UNIT and FITS was in January 2023).
*For the six months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Alem da Medicina (January & February 2023; Closing of Alem da Medicina was in March, 2022), Cardiopapers (January to March 2023; Closing of Cardiopapers was in April, 2022), Glic (January to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (January to June, 2023; Closing of UNIT and FITS was in January 2023).
(1) Includes mandatory discounts in tuition fees granted by state decrees and individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  
(2) See more information on "Non-GAAP Financial Measures" (Item 07).

 

Message from Management

In Afya, these results reinforce the success of our strategy, as evidenced by consistent growth in both operational and financial results. Notably, our Net Revenue and Adjusted EBITDA have increased significantly year-over-year, providing us with the confidence to reaffirm our 2023 guidance.

This quarter was marked by significant increases in Net Revenue within our three segments and we are delighted to see that the most significant growth came from our Continuing Education segment with a robust intake process, and course maturation reflecting a 50% quarter-over-quarter expansion.

  
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In Digital Health Services, we observed an increase of 28% in Net Revenue compared to the same quarter of 2022. This result reinforces the opportunity ahead in Digital Services, and it is explained by the ramp-up in B2B engagements, with new contracts with the pharmaceutical industry companies, and the continuous ramp-up in B2P subscribers, as we will discuss further on.

Afya's core business also delivered outstanding results again, as we saw higher tickets in Medicine courses, maturation of medical seats, and the consolidation of UNIT Alagoas and FITS Jaboatão dos Guararapes acquisition in January 2023.

Building on these achievements, our Afya Day event held this July marked another significant milestone as we unveiled the initiation of our rebranding efforts. This strategic move aims to ensure that our strong results are maximized and connected by an equally strong brand strategy. Propelling Afya to a high level of relevance, credibility and growth potential. Additionally, we took the opportunity to reiterate our strategic direction and articulate our vision for the forthcoming years.

Underlining these achievements, Afya's remarkable performance garnered three major awards within the 2nd quarter: "Executivo de Valor” recognizing Virgilio Gibbon as the top CEO in the Education Sector, “Valor Econômico's Best Education Company in Innovation", and another prestigious recognition for being the best Company in the Education Sector in the "Valor 1000" award.

We are very proud of our business and of what we have achieved so far, as well as of what we are planning for the future.

1.Key Events in the Quarter:
§Afya announced, on June 2023, that the resolutions set out in its Notice of Annual General Meeting2023 were duly passed at its Annual General Meeting held: (1) the approval and ratification of Afya’s financial statements as of and for the fiscal year ended December 31, 2022; (2) the approval of João Paulo Seibel de Faria as a director of the Company with immediate effect to hold office for a two year term; (3) the approval of Vanessa Claro Lopes as a director of the Company with immediate effect to hold office for a two year term; (4) the approval of Miguel Filisbino Pereira de Paula as a director of the Company with immediate effect to hold office for a two year term; and (5) the approval of Marcelo Ken Suhara as a director of the Company with immediate effect to hold office for a two year term;
2.Subsequent Events in the quarter
§Afya (Nasdaq: AFYA, B3: A2FY34) announced, on July 2023 the start of negotiation of its non-sponsored Brazilian Depositary Receipts (BDRs), with a 1-for-2 stock split, aimed to provide investment opportunities on Afya for Brazilian investors;
§Afya hosted, on July 2023 its Investor and ESG Day. Attendees heard from Afya’s business executives the Company's evolution, business strategy, ESG initiatives, present and future perspectives. More details on: https://ir.afya.com.br/afya-day/
§Changes in the share-based compensation plan: On July 31, 2023, the People and ESG Committee approved a change in the share-based compensation plan to retain talents and reinforce the compensation plan. All the holders of stock options granted before July 11, 2022 were offered the possibility to exchange the stock options for a number of Restricted Stock Units (RSUs). The conversion ratios were measured by the Company considering the fair value for the original plans remeasured at the modification date with no significant increase in fair value as a result of such modification since the beneficiaries will have the benefit of settling its award for no cash consideration. Further, the People and ESG Committee also approved a modification in the index rate to the strike prices of its granted stock options. The result is that strike prices are now adjusted by the Brazilian inflation rate (IPCA) instead of the CDI rate. These changes will be accounted as modifications in accordance with IFRS 2 and the Company do not expect to have significant impacts on the consolidated financial statements.
§Municipality taxes amnesty program: In August 2023, the Company and the selling shareholders of Unigranrio agreed to settle a tax proceeding with the municipality of Rio de Janeiro for ISS (municipality tax on services) and Unigranrio entered into a tax amnesty program on interest and penalties and paid R$14,819 on August 10, 2023. As of June 30, 2023, the Company had an indemnification asset of R$20,000 and a provision for legal proceedings of R$53,302 for this matter. The Company is still measuring the impacts on the consolidated financial statements.
  
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3.Full Year 2023 Guidance Reaffirmed

 

The Company is reaffirming its previously issued guidance for FY23, which already considered the impact of the increase of the FG-FIES, as Afya successfully concluded acceptances of new medical students for the second semester, ensuring 100% occupancy in all of its medical schools.

 

Under the new FIES Program (Higher Education Financing Fund) introduced in 2018, retention is applied to the amount paid by the Program to cover the delinquency of the financed students. This retention is allocated to the FG-FIES Fund and the fund cannot be redeemed or utilized for other purposes without the approval of the National Fund for the Development of Education (FNDE). There was a transition rule that capped the retention at certain levels until 2022. From 2023, the limit was lifted, and the retention was updated according to the delinquency per educational entity for those FIES students that entered on the amortization phase. For Afya, the expected impact on the increase of the FG-FIES in 2023 is R$24 million which was already considered in the 2023 Guidance.

 

The guidance for FY2023 is defined in the following table:

 

    Guidance for 2023
Adjusted Net Revenue*   R$ 2,750 mn ≤ ∆ ≤ R$ 2,850 mn
Adjusted EBITDA   R$ 1,100 mn ≤ ∆ ≤ R$ 1,200 mn
Adjusted EBITDA Margin   41.0% ≤ ∆ ≤ 43.0%
     
*Includes UNIT Alagoas and FITS Jaboatão dos Guararapes' acquisitions;
Includes the increase of 64 medical seats of Faculdade Santo Agostinho, in the city of Itabuna;
Excludes any acquisition that may be concluded after the issuance of the guidance.

 

 

4.1H23 Overview

 

Operational Review

Afya is the only company offering educational and technological solutions to support physicians across every stage of the medical career, from undergraduate students in their medical school years through medical residency preparatory courses, medical specialization programs and continuing medical education. The Company also offers solutions to empower the physicians in their daily routine including supporting clinic decisions through mobile app subscription, delivering practice management tools through a Software as a Service (SaaS) model, and assisting physicians in their relationship with their patients.

The Company reports results for three distinct business units. The first, Undergrad – medical schools, other healthcare programs and ex-health degrees. Revenue is generated from the monthly tuition fees the Company charges students enrolled in the undergraduate programs. The second, Continuing Education – specialization programs and graduate courses for physicians. Revenue is also generated from the monthly tuition fees the Company charges students enrolled in the specialization and graduate courses. The third is Digital Services – digital services offered by the Company at every stage of the medical career. This business unit is divided into Business to Physician (which encompasses Content & Technology for Medical Education, Clinical Decision Software, Practice Management Tools & Electronic Medical Records, Physician-Patient Relationship, Telemedicine, and Digital Prescription) and Business to Business (which provides access and demand for the healthcare players). Revenue is generated from printed books and e-books, which is recognized at the point in time when control is transferred to the customer, and subscription fees, which are recognized as the services are transferred over time.

Key Revenue Drivers – Undergraduate Courses

  
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Table 2: Key Revenue Drivers For the six months period ended June 30,
  2023 2022 % Chg
Undergrad Programs      
MEDICAL SCHOOL      
Approved Seats 3,163 2,759 14.6%
Operating Seats  3,113 2,481 25.5%
Total Students (end of period) 20,790 17,555 18.4%
Average Total Students 20,806 17,539 18.6%
Average Total Students (ex-Acquisitions)* 18,811 17,539 7.3%
Tuition Fees (Total - R$ '000)  1,262,673  1,001,808 26.0%
Tuition Fees (ex- Acquisitions* - R$ '000)  1,148,822  1,001,808 14.7%
Medical School Gross Avg. Ticket (ex- Acquisitions* - R$/month) 10,179 9,520 6.9%
Medical School Net Avg. Ticket (ex- Acquisitions* - R$/month) 8,549 7,853 8.9%
UNDERGRADUATE HEALTH SCIENCE      
Total Students (end of period) 21,117 20,779 1.6%
Average Total Students 21,389 20,841 2.6%
Average Total Students (ex-Acquisitions)* 19,633 20,841 -5.8%
Tuition Fees (Total - R$ '000) 197,177 170,666 15.5%
Tuition Fees (ex- Acquisitions* - R$ '000) 182,211 170,666 6.8%
OTHER UNDERGRADUATE       
Total Students (end of period) 24,545 23,945 2.5%
Average Total Students 24,794 24,077 3.0%
Average Total Students (ex-Acquisitions)* 21,569 24,077 -10.4%
Tuition Fees (Total - R$ '000) 155,709 137,464 13.3%
Tuition Fees (ex- Acquisitions* - R$ '000) 134,772 137,464 -2.0%
TOTAL TUITION FEES      
Tuition Fees (Total - R$ '000)  1,615,560  1,309,937 23.3%
Tuition Fees (ex- Acquisitions* - R$ '000)  1,465,805  1,309,937 11.9%
*For the six months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: UNIT Alagoas and FITS Jaboatão dos Guararapes (January to June, 2023; Closing of UNIT and FITS was in January 2023).

 

  
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Key Revenue Drivers – Continuing Education and Digital Services

 

Table 3: Key Revenue Drivers For the six months period ended June 30,
  2023 2022 % Chg
Continuing Education      
Medical Specialization & Others      
Total Students (end of period) 4,646 3,543 31.1%
Average Total Students 4,710 3,511 34.1%
Average Total Students (ex-Acquisitions) 4,710 3,511 34.1%
Net Revenue from courses (Total - R$ '000) 70,584 47,662 48.1%
Net Revenue from courses (ex- Acquisitions¹) 70,584 47,662 48.1%
Digital Services      
Content & Technology for Medical Education      
Medcel Active Payers      
Prep Courses & CME - B2P 6,440 12,741 -49.5%
Prep Courses & CME - B2B 6,029 4,909 22.8%
Além da Medicina Active Payers 6,657 7,792 -14.6%
Cardiopapers Active Payers 6,880 4,765 44.4%
Medical Harbour Active Payers 7,002 4,425 58.2%
Clinical Decision Software      
Whitebook Active Payers 145,744 133,238 9.4%
Clinical Management Tools²      
iClinic Active Payers 24,957 21,088 18.3%
Shosp Active Payers 3,001 2,264 32.6%
       
Digital Services Total Active Payers (end of period) 206,710 191,222 8.1%
Net Revenue from Services (Total - R$ '000) 110,930 89,695 23.7%
Net Revenue - B2P 91,284 79,013 15.5%
Net Revenue - B2B 19,646 10,682 83.9%
Net Revenue From Services (ex-Acquisitions¹) 103,841 89,695 15.8%
*For the six months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Alem da Medicina (January & February 2023; Closing of Alem da Medicina was in March, 2022), Cardiopapers (January to March 2023; Closing of Cardiopapers was in April, 2022), Glic (January to May, 2023; Closing of Glic was in May, 2022).
(2) Clinical management tools includes Telemedicine and Digital Prescription features. 

 

Key Operational Drivers – Digital Services

Monthly Active Users (MaU) represents the number of unique individuals that consumed Digital Services content in each one of our products in the last 30 days of a specific period.

Total monthly active users reached almost 282 thousand, 6.5% higher over the same period in the last year.

Monthly Active Unique Users (MUAU) represents the number of unique individuals, without overlap of users among products, in the last 30 days of a specific period.

 

  
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Table 4: Key Operational Drivers for Digital Services - Monthly Active Users (MaU)      
  2Q23 2Q22 % Chg YoY 1Q23 4Q22
Content & Technology for Medical Education  24,973  20,739 20.4%  31,549 16,539
Clinical Decision Software  230,338  221,862 3.8%  237,003 221,762
Clinical Management Tools¹  24,880  21,151 17.6%  24,568 20,936
Physician-Patient Relationship  1,782  1,101 61.9%  1,773 1,473
Total Monthly Active Users (MaU) - Digital Services  281,973  264,853 6.5%  294,893 260,710
1) Clinical management tools includes Telemedicine and Digital Prescription features      
Includes Shosp, Medicinae and Além da Medicina starting in 1Q22 and Cardiopapers and Glic starting in 2Q22

 

Table 5: Key Operational Drivers for Digital Services - Monthly Unique Active Users (MuaU)    
  2Q23 2Q22 % Chg QoQ 1Q23 4Q22
           
Total Monthly Unique Active Users (MuaU) - Digital Services  251,487  245,396 2.5%  262,137 241,949
           
1) Total Monthly Unique Active Users excludes non-integrated companies: Medical Harbour, Medicinae, Shosp, Além da Medicina, Cardiopapers and Glic

 

Seasonality

Undergrad’s tuition revenues are related to the intake process and monthly tuition fees charged to students over the period; thus does not have significant fluctuations during the semester. Continuing Education revenues are related to monthly intakes and tuition fees and do not have a considerable concentration in any period. Digital Services is comprised mainly of Medcel, Pebmed, and iClinic revenues. While Pebmed and iClinic do not have significant fluctuation regarding seasonality, Medcel’s revenue is concentrated in the first and last quarter of the year due to the enrollments of Medcel’s clients period. In addition, the majority of Medcel’s revenues are derived from printed books and e-books, which are recognized at the point in time when control is transferred to the customer. Consequently, the Digital Services segment generally has higher revenues and results of operations in the first and last quarters of the year than in the second and third quarters.

Revenue

Adjusted Net Revenue for the second quarter of 2023 was R$712.2 million, an increase of 23.6% over the same period of the prior year. Excluding acquisitions, Adjusted Net Revenue in the second quarter increased 13.5% YoY to R$654.0 million, mainly due to higher tickets in Medicine courses in 8.9% in the semester and the maturation of medical seats, the Continuing Education performance and the digital services expansion.

 

Net Revenue of Continuing Education for the second quarter of 2023 was R$35.6 million, an increase of 49.6%, boosted by student growth.

 

Digital services increased 28.2% quarter over quarter, totaling R$54.1 million. The organic growth is a combination of (a) an increase in the B2B engagements, increasing B2B Net Revenue by 83.9%, and (b) the expansion of the active payers in the B2P, mainly in Whitebook, IClinic, Medical Harbour and Cardiopapers.

 

For the six-month period ended June 30, 2023, Adjusted Net Revenue was R$1,421.6 million, an increase of 24.3% over the same period of last year. Excluding acquisitions, Adjusted Net Revenue in the six-month period increased 13.5% YoY to R$1,298.2 million.

  
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Table 6: Revenue & Revenue Mix                       
(in thousands of R$)   For the three months period ended June 30,   For the six months period ended June 30,
    2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions   2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions
Net Revenue Mix                        
Undergrad   625,264 567,113 533,545 17.2% 6.3%   1,246,240 1,129,935 1,028,940 21.1% 9.8%
Adjusted Undergrad¹   624,894 566,743 511,468 22.2% 10.8%   1,245,292 1,128,987 1,008,255 23.5% 12.0%
Continuing Education   35,624 35,624 23,811 49.6% 49.6%   70,584 70,584 47,662 48.1% 48.1%
Digital Services   54,138 54,007 42,218 28.2% 27.9%   110,930 103,841 89,695 23.7% 15.8%
 Inter-segment transactions   -2,419 -2,419 -1,418 n.a 70.6%   -5,186 -5,186 -1,817 185.4% 185.4%
Total Reported Net Revenue   712,607 654,325 598,156 19.1% 9.4%   1,422,568 1,299,175 1,164,480 22.2% 11.6%
Total Adjusted Net Revenue ¹   712,237 653,955 576,079 23.6% 13.5%   1,421,620 1,298,227 1,143,795 24.3% 13.5%
*For the three months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Glic (April to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (April to June, 2023; Closing of UNIT and FITS was in January 2023).
*For the six months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Alem da Medicina (January & February 2023; Closing of Alem da Medicina was in March, 2022), Cardiopapers (January to March 2023; Closing of Cardiopapers was in April, 2022), Glic (January to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (January to June, 2023; Closing of UNIT and FITS was in January 2023).
(1) Includes mandatory discounts in tuition fees granted by state decrees and individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  
(2) See more information on "Non-GAAP Financial Measures" (Item 07).

 


Adjusted EBITDA

 

Adjusted EBITDA for the three-month period ended June 30, 2023 increased 21.8% to R$268.2 million, up from R$220.2 million in the same period of the prior year, while the Adjusted EBITDA Margin decreased 50 basis points to 37.7%. For the six-month period ended June 30, 2023, Adjusted EBITDA was R$598.4 million, an increase of 21.9% over the same period of the prior year, with an Adjusted EBITDA Margin decrease of 80 basis points in the same period.

 

The Adjusted EBITDA Margin reduction is due to: (a) Mix of Net Revenue, with higher participation of the Digital and Continuing Education segments, and (b) the consolidation of 4 new Mais Médicos campuses (operation started on 3Q22) and UNIT Alagoas and FITS Jaboatão dos Guararapes which are performing better than expected but still present lower margins when compared to the integrated companies.

 

Table 7: Adjusted EBITDA                      
(in thousands of R$) For the three months period ended June 30,   For the six months period ended June 30,
  2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions   2023 2023 Ex Acquisitions* 2022 % Chg % Chg Ex Acquisitions
Adjusted EBITDA 268,174 241,876 220,186 21.8% 9.9%   598,373 546,095 490,987 21.9% 11.2%
% Margin 37.7% 37.0% 38.2% -50 bps -120 bps   42.1% 42.1% 42.9% -80 bps -80 bps
*For the three months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Glic (April to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (April to June, 2023; Closing of UNIT and FITS was in January 2023).
*For the six months period ended June 30, 2023, "2023 Ex Acquisitions" excludes: Alem da Medicina (January & February 2023; Closing of Alem da Medicina was in March, 2022), Cardiopapers (January to March 2023; Closing of Cardiopapers was in April, 2022), Glic (January to May, 2023; Closing of Glic was in May, 2022), and UNIT Alagoas and FITS Jaboatão dos Guararapes (January to June, 2023; Closing of UNIT and FITS was in January 2023).

  

Adjusted Net Income

Net Income for the second quarter of 2023 was R$87.5 million, a decrease of -17.5% over the same period of the prior year. Net Income results for the second quarter of 2022 was positively affected by the increase in operational results, which includes the recovery of a portion of the prior granted discounts in tuition fees related to COVID-19

 

Adjusted Net Income for the second quarter of 2023 was R$ 131.9 million, an increase of 10.7% over the same period of the prior year mainly due to better operational performance, which was offset by higher financial expenses, mainly related to the increase in leverage due to UNIT Alagoas and FITS Jaboatao business combination and higher interest rates, when compared to the same period of the prior year. Adjusted Net Income for the six-month period of 2023 was R$ 298.3 million, an increase of 4.2% year over year.

 

Adjusted EPS reached R$3.20 per share for the six-month period ended June 30, 2023, an increase of 5.2% year over year, for the reasons as presented above.

 

  
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Table 8: Adjusted Net Income          
(in thousands of R$) For the three months period ended June 30,   For the six months period ended June 30,
  2023 2022 % Chg   2023 2022 % Chg
Net income 87,537 106,073 -17.5%   205,310 241,015 -14.8%
Amortization of customer relationships and trademark (1) 29,983 18,724 60.1%   54,186 37,007 46.4%
Share-based compensation  6,902 8,652 -20.2%   13,398 11,581 15.7%
Non-recurring expenses: 7,481 (14,302) n.a.   25,388 -3,275 n.a.
 - Integration of new companies (2) 6,282 5,781 8.7%   12,182 9,952 22.4%
 - M&A advisory and due diligence (3)  635  594 6.9%   11,674 1,806 546.4%
 - Expansion projects (4)  378  677 -44.2%     529 1,279 -58.6%
 - Restructuring expenses (5)  556  723 -23.1%   1,951 4,373 -55.4%
 - Mandatory Discounts in Tuition Fees  (6) -370 -22,077 -98.3%   -948 -20,685 -95.4%
Adjusted Net Income 131,903 119,147 10.7%   298,282 286,328 4.2%
Basic earnings per share - in R$ (7) 0.92 1.12 -17.8%   2.17 2.55 -14.8%
Adjusted earnings per share - in R$ (8) 1.42 1.27 11.8%   3.20 3.05 5.2%
(1) Consists of amortization of customer relationships and trademark recorded under business combinations.
(2) Consists of expenses related to the integration of newly acquired companies.
(3) Consists of expenses related to professional and consultant fees in connection with due diligence services for our M&A transactions.
(4) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
(5) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of our acquired companies.
(6) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  
(7) Basic earnings per share: Net Income/Weighted average number of outstanding shares.
(8) Adjusted earnings per share: Adjusted Net Income attributable to equity holders of the Parent/Weighted average number of outstanding shares.

 

Cash and Debt Position

 

On June 30, 2023, Cash and Cash Equivalents were R$741.2 million, a decrease of 32.2% over December 31, 2022, due to UNIT Alagoas and FITS Jaboatão dos Guararapes business combination.

 

For the six-month period ended June 30, 2023, Afya reported cash flow from operating activities of R$566.5 million, up from R$450.0 million in the same period of the previous year, an increase of 25.9% YoY, boosted by the solid operational results. Operating Cash Conversion Ratio was strong once again, achieving 98.9% for the six-month period ended June 30, 2023, compared to 91.0% in the same period of the previous year.

 

On June 30, 2023, Net Debt, excluding the effect of IFRS 16, totaled R$2,003.6 million. When compared to December 31, 2022 Net Debt added to R$825 million related to UNIT Alagoas and FITS Jaboatão dos Guararapes business combination closed on January 2, 2023, the Net Debt reduced R$ 202 million due to the strong Cash flow from operating activities in the semester.

 

  
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Table 9: Operating Cash Conversion Ratio Reconciliation For the six months period ended June 30,
(in thousands of R$) Considering the adoption of IFRS 16 
  2023 2022 % Chg
(a) Net cash flows from operating activities 537,492 427,916 25.6%
(b) Income taxes paid 28,988 22,101 31.2%
(c) = (a) + (b) Cash flow from operating activities 566,480 450,017 25.9%
       
(d) Adjusted EBITDA 598,373 490,987 21.9%
(e) Non-recurring expenses: 25,388 -3,275 n.a.
 - Integration of new companies (1) 12,182 9,952 22.4%
 - M&A advisory and due diligence  (2) 11,674 1,806 546.4%
 - Expansion projects (3) 529 1,279 -58.6%
 - Restructuring Expenses (4) 1,951 4,373 -55.4%
 - Mandatory Discounts in Tuition Fees  (5) -948 -20,685 -95.4%
(f) = (d) - (e) Adjusted EBITDA ex- non-recurring expenses  572,985 494,262 15.9%
(g) = (c) / (f) Operating cash conversion ratio 98.9% 91.0% 790 bps
(1) Consists of expenses related to the integration of newly acquired companies. 
(2) Consists of expenses related to professional and consultant fees in connection with due diligence services for M&A transactions.
(3) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
(4) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of acquired companies.
(5) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  

 

 

 

The following table shows more information regarding the cost of debt for 1H23, considering loans and financing, capital market and accounts payable to selling shareholders. Afya’s capital structure remains solid with a conservative leveraging position and a low cost of debt. Considering the mid guidance for 2023, Afya’s Net Debt/ Adjusted Ebitda would be 1.7x.

 

 

Table 10: Gross Debt and Average Cost of Debt  
(in millions of R$) For the closing of the six months period ended in June 30,
      Cost of Debt
  Gross Debt Duration (Years) per year %CDI*
Loans and financing: Softbank 825 2.9 6.5% 48%
Capital Market 537 4.1 15.5% 114%
Loans and financing: Others 563 1.6 15.5% 114%
Accounts payable to selling shareholders 820 1.0 13.0% 97%
Average  2,745 2.3 11.9% 89%
*Based on the annualized Interbank Certificates of Deposit ("CDI") rate for the period as a reference: 1H23: ~13.65% p.y.

 

 

  
 9
 
 

 

Table 11: Cash and Debt Position          
(in thousands of R$)          
  2Q23 FY2022 % Chg 2Q22 % Chg
(+) Cash and Cash Equivalents 741,196 1,093,082 -32.2% 616,250 20.3%
Cash and Bank Deposits   17,057   57,509 -70.3%   47,583 -64.2%
Cash Equivalents   724,139 1,035,573 -30.1%   568,667 27.3%
(-) Loans and Financing 1,925,154 1,882,901 2.2% 1,380,540 39.4%
Current   193,660   145,202 33.4%   230,494 -16.0%
Non-Current 1,731,494 1,737,699 -0.4% 1,150,046 50.6%
(-) Accounts Payable to Selling Shareholders   764,595   528,678 44.6%   649,626 17.7%
Current   401,766   261,711 53.5%   203,979 97.0%
Non-Current   362,829   266,967 35.9%   445,647 -18.6%
(-) Other Short and Long Term Obligations 55,045 62,176 -11.5% 69,456 -20.7%
(=) Net Debt (Cash) excluding IFRS 16 2,003,598 1,380,673 45.1% 1,483,372 35.1%
(-) Lease Liabilities 851,845 769,525 10.7% 741,825 14.8%
Current   35,292   32,459 8.7%   28,619 23.3%
Non-Current   816,553   737,066 10.8%   713,206 14.5%
Net Debt (Cash) with IFRS 16 2,855,443 2,150,198 32.8% 2,225,197 28.3%

 

CAPEX

Capital expenditures consists of the purchase of property and equipment and intangible assets, including expenditures mainly related to the expansion and maintenance of our campuses and headquarters including leasehold improvements, and the development of new solutions in the digital segment, among others.

 

For the six-month period ending June 30, 2023, CAPEX went from R$161.2 million to R$102.2 million, a decrease of 36.6% over the same period of the prior year.

 

 

Table 12: CAPEX
(in thousands of R$) For the six months period ended June 30,
  2023 2022 % Chg
CAPEX 102,157 161,218 -36.6%
Property and equipment 56,907 62,266 -8.6%
Intanglibe assets 45,250 98,952 -54.3%
 - Licenses 0 24,408 n.a.
 - Goodwill 0 36,481 n.a.
 - Others 45,250 38,063 18.9%

 

 

ESG Metrics

ESG commitment is an important part of Afya’s strategy and permeates the Company’s core values. Afya has been advancing year after year on its core pillars and, since 2021, ESG metrics have been disclosed in the Company’s quarterly financial results.

On January 2023, Afya announced it is one of 484 companies across 45 countries and regions to join the 2023 Bloomberg Gender-Equality Index (GEI), a modified market capitalization-weighted index that aims to track the performance of public companies committed to transparency in gender-data reporting. This reference index measures gender equality across five pillars: leadership & talent pipeline, equal pay & gender pay parity, inclusive culture, anti-sexual harassment policies, and external brand. In addition, for the second time in a row, Afya was included on the index for scoring above a global threshold established by Bloomberg to reflect disclosure and the achievement or adoption of best-in-class statistics and policies, being 1 of 16 Brazilian companies included in the index this year.

  
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The 2022 Sustainability Report can be found at: https://ir.afya.com.br/corporate-governance/sustainability/

Table 13: ESG Metrics 2Q23 2Q22 2022 2021 2020 2019
# GRI Governance and Employee Management            
1 405-1 Number of employees 9,795 8,731  8,708  8,079  6,100  3,369
2 405-1 Percentage of female employees 57% 56% 57% 55% 55% 57%
3 405-1 Percentage of female employees in the board of directors 36% 27% 40% 18% 18% 22%
4 102-24 Percentage of independent member in the board of directors 36% 36% 30% 36% 36% 22%
    Environmental            
4 302-1 Total energy consumption (kWh) 5,643,324  3,598,250   17,011,842   12,176,966   8,035,845   5,928,450
4.1 302-1 Consumption per campus  122,681 94,691   412,747   385,573   321,434   395,230
5 302-1 % supplied by distribution companies 58.0% 69.4% 72.4% 91.3% 83.4% 96.2%
6 302-1 % supplied by other sources 42.0% 30.6% 27.6% 8.7% 16.6% 3.8%
    Social            
8 413-1 Number of free clinical consultations offered by Afya 168,362  143,236   494,635   341,286   427,184   270,000
9   Number of physicians graduated in Afya's campuses 18,865 16,998  18,104  16,772  12,691  8,306
10 201-4 Number of students with financing and scholarship programs (FIES and PROUNI) 10,045 8,783  10,965  7,881  4,999  2,808
11   % students with scholarships over total undergraduate students 15.1% 14.1% 18.8% 12.9% 13.7% 11.7%
12 413-1 Hospital, clinics and city halls partnerships 714 449  662  447  432 60
(1) Some factors can influence in the adequate proportionality analysis of data over the years, such as: climate changes, COVID-19 pandemic effects, seasonalities, number of employees, number of students, number of active units, among others.
(2) "Other sources" refers to: (a) Derived from renewable sources, such as solar panels installed in the units; and (b) Derived from the search for alternative energy options in the market.
(3) Starting in 2Q22, previously disclosed environmental data were updated to consider: (a) GHG Protocol guidelines improvements, and (b) additional data-collection criteria refinements.
(4) Starting in 2Q22, previously disclosed social data were updated to consider: (a) the number of graduated physicians considering all units after its closing, and (b) partnerships related only to medical schools.


5.   Conference Call and Webcast Information

When: August 28, 2023 at 5:00 p.m. ET.

Who:  

Mr. Virgilio Gibbon, Chief Executive Officer

Mr. Luis André Blanco, Chief Financial Officer

Ms. Renata Costa Couto, IR Director

 

Dial-in:   Brazil: +55 21 3958 7888 or +55 11 4632 2236 or +55 11 4632 2237 or +55 11 4680 6788 or +55 11 4700 9668

 

United States: +1 305 224 1968 or +1 309 205 3325 or +1 312 626 6799 or +1 346 248 7799 or +1 360 209 5623 or +1 386 347 5053 or +1 507 473 4847 or +1 564 217 2000 or +1 646 931 3860 or +1 669 444 9171 or +1 669 900 6833 or +1 689 278 1000 or +1 719 359 4580 or +1 929 205 6099 or +1 253 205 0468 or +1 253 215 8782 or +1 301 715 8592

 

Webinar ID: 987 2513 9496

 

Other Numbers: https://afya.zoom.us/u/abiXHObhrF

 

OR

 

Webcast: https://afya.zoom.us/j/98725139496

 

 

  
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6.   About Afya Limited (Nasdaq: AFYA)

Afya is the leading medical education group in Brazil based on number of medical school seats. It delivers an end-to-end physician-centric ecosystem that serves and empowers students to be lifelong medical learners, from the moment they enroll as medical students, through their medical residency preparation, graduate program, and continuing medical education activities. Afya also offers content and clinical decision applications for healthcare professionals through its products WhiteBook, Nursebook and Portal PEBMED. For more information, please visit www.afya.com.br.

 

7.   Forward – Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, which statements involve substantial risks and uncertainties. All statements other than statements of historical fact could be deemed forward looking, and include risks and uncertainties related to statements about our competition; our ability to attract, upsell and retain students; our ability to increase tuition prices and prep course fees; our ability to anticipate and meet the evolving needs of students and professors; our ability to source and successfully integrate acquisitions; general market, political, economic, and business conditions; and our financial targets such as revenue, share count and IFRS and non-IFRS financial measures including gross margin, operating margin, net income (loss) per diluted share, and free cash flow. Forward-looking statements by their nature address matters that are, to different degrees, uncertain, such as statements about the potential impacts of the COVID-19 pandemic on our business operations, financial results and financial position and the Brazilian economy.

 

The Company undertakes no obligation to update any forward-looking statements made in this press release to reflect events or circumstances after the date of this press release or to reflect new information or the occurrence of unanticipated events, except as required by law. The achievement or success of the matters covered by such forward-looking statements involves known and unknown risks, uncertainties and assumptions. If any such risks or uncertainties materialize or if any of the assumptions prove incorrect, our results could differ materially from the results expressed or implied by the forward-looking statements we make. Readers should not rely upon forward-looking statements as predictions of future events. Forward-looking statements represent management’s beliefs and assumptions only as of the date such statements are made. Further information on these and other factors that could affect the Company’s financial results are included in the filings made with the United States Securities and Exchange Commission (SEC) from time to time, including the section titled “Risk Factors” in the most recent Rule 434(b) prospectus. These documents are available on the SEC Filings section of the investor relations section of our website at: https://ir.afya.com.br/.

 

8.   Non-GAAP Financial Measures

To supplement the Company's consolidated financial statements, which are prepared and presented in accordance with International Financial Reporting Standards as issued by the International Accounting Standards Board—IASB, Afya uses Adjusted EBITDA and Operating Cash Conversion Ratio information, which are non-GAAP financial measures, for the convenience of investors. A non-GAAP financial measure is generally defined as one that intends to measure financial performance but excludes or includes amounts that would not be equally adjusted in the most comparable GAAP measure.

 

Afya calculates Adjusted EBITDA as net income plus/minus net financial result plus income taxes expense plus depreciation and amortization plus interest received on late payments of monthly tuition fees, plus share-based compensation plus/minus share of income of associate plus/minus non-recurring expenses. The calculation of Adjusted Net Income is net income plus amortization of customer relationships and trademark, plus share-based compensation. We calculate Operating Cash Conversion Ratio as the Cash flow from operating activities, adjusted with income taxes paid divided by Adjusted EBITDA plus/minus non-recurring expenses.

 

Management presents Adjusted EBITDA, because it believes these measures provide investors with a supplemental measure of financial performance of the core operations that facilitates period-to-period comparisons on a consistent basis. Afya also presents Operating Cash Conversion Ratio because it believes this measure provides investors with a measure of how efficiently the Company converts EBITDA into cash. The non-GAAP financial measures described in this prospectus are not a substitute for the IFRS measures of earnings. Additionally, calculations of Adjusted EBITDA and Operating Cash Conversion Ratio may be different from the calculations used by other companies, including competitors in the education services industry, and therefore, Afya’s measures may not be comparable to those of other companies.

  
 12
 
 

9.   Investor Relations Contact

E-mail: ir@afya.com.br

 

 

 

  
 13
 
 

 

10.  Financial Tables

Unaudited interim condensed consolidated statements of income and comprehensive income
For the three and six-month periods ended June 30, 2023 and 2022
(In thousands of Brazilian reais, except earnings per share)

 

  Three-month period ended Six-month period ended
  June 30, 2023 June 30, 2022 June 30, 2023 June 30, 2022
  (unaudited) (unaudited) (unaudited) (unaudited)
Net revenue 712,607 598,156 1,422,568 1,164,480
Cost of services (284,295) (219,242) (531,902) (405,972)
Gross profit 428,312 378,914 890,666 758,508
         
General and administrative expenses (249,586) (207,415) (482,806) (385,929)
Other expenses, net (2,083) (1,257) (1,678) (1,566)
         
Operating income 176,643 170,242 406,182 371,013
         
  Finance income 23,892 22,874 51,579 47,443
  Finance expenses (114,118) (83,676) (238,357) (164,967)
Finance result (90,226) (60,802) (186,778) (117,524)
         
Share of income of associate 3,210 2,201 7,056 6,441
         
Income before income taxes 89,627 111,641 226,460 259,930
         
Income taxes expenses (2,090) (5,568) (21,150) (18,915)
         
Net income 87,537 106,073 205,310 241,015
         
Other comprehensive income - - - -
Total comprehensive income 87,537 106,073 205,310 241,015
         
Income attributable to        
  Equity holders of the parent 82,789 101,505 194,916 231,115
  Non-controlling interests 4,748 4,568 10,394 9,900
  87,537 106,073 205,310 241,015
Basic earnings per share        
Per common share 0.92 1.12 2.17 2.55

Diluted earnings per share

Per common share

0.92 1.12 2.16 2.55

 

 

  
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Unaudited interim condensed consolidated statements of financial position
As of June 30, 2023, and December 31, 2022
(In thousands of Brazilian reais)

 

  June 30, 2023   December 31, 2022
Assets (unaudited)    
Current assets      
Cash and cash equivalents 741,196   1,093,082
Trade receivables 509,520   452,831
Inventories 8,088   12,190
Recoverable taxes 51,505   27,809
Other assets 63,930   51,745
Total current assets 1,374,239   1,637,657
       
Non-current assets      
Trade receivables 42,893   42,568
Other assets 200,448   191,756
Investment in associate 52,669   53,907
Property and equipment 588,178   542,087
Right-of-use assets 759,512   690,073
Intangible assets 4,831,529   4,041,491
Total non-current assets 6,475,229   5,561,882
       
Total assets 7,849,468   7,199,539
       
Liabilities      
Current liabilities      
Trade payables 82,632   71,482
Loans and financing 193,660   145,202
Lease liabilities 35,292   32,459
Accounts payable to selling shareholders 401,766   261,711
Notes payable 55,045   62,176
Advances from customers 121,838   133,050
Labor and social obligations 220,019   154,518
Taxes payable 26,455   26,221
Income taxes payable 30,465   16,151
Other liabilities 3,509   2,719
Total current liabilities 1,170,681   905,689
       
Non-current liabilities      
Loans and financing 1,731,494   1,737,699
Lease liabilities  816,553   737,066
Accounts payable to selling shareholders 362,829   266,967
Taxes payable 91,286   92,888
Provision for legal proceedings 202,940   195,854
Other liabilities 27,488   13,218
Total non-current liabilities 3,232,590   3,043,692
Total liabilities 4,403,271   3,949,381
       
Equity      
Share capital 17   17
Additional paid-in capital 2,372,773   2,375,344
Share-based compensation reserve 136,936   123,538
Treasury stock (314,745)   (304,947)
Retained earnings 1,199,802   1,004,886
Equity attributable to equity holders of the parent 3,394,783   3,198,838
Non-controlling interests 51,414   51,320
Total equity 3,446,197   3,250,158
       
Total liabilities and equity 7,849,468   7,199,539

  

  
 15
 
 

Unaudited interim condensed consolidated statements of cash flow
For the six-month periods ended June 30, 2023 and 2022
(In thousands of Brazilian reais)

 

    June 30, 2023 June 30, 2022
Operating activities   (unaudited) (unaudited) 
  Income before income taxes   226,460 259,930
    Adjustments to reconcile income before income taxes      
      Depreciation and amortization   138,264 99,089
      Write-off of property and equipment   246 2,483
      Write-off of intangible assets   259 2,549
      Allowance for doubtful accounts   39,086 30,420
      Share-based compensation expense   13,398 11,581
      Net foreign exchange differences   539 320
      Accrued interest   152,404 95,165
      Accrued lease interest   49,033 41,392
      Share of income of associate   (7,056) (6,441)
      Provision for legal proceedings   6,934 12,047
Changes in assets and liabilities      
  Trade receivables   (62,359) (88,472)
  Inventories   4,241 (3,314)
  Recoverable taxes   (23,107) (13,644)
  Other assets   (9,121) (7,886)
  Trade payables   (1,103) 2,952
  Taxes payables   18,502 5,247
  Advances from customers   (43,709) (31,668)
  Labor and social obligations   59,249 44,565
  Other liabilities   4,320 (6,298)
      566,480 450,017
  Income taxes paid   (28,988) (22,101)
         
  Net cash flows from operating activities   537,492 427,916
         
Investing activities      
  Acquisition of property and equipment   (56,907) (62,266)
  Acquisition of intangibles assets   (45,250) (50,267)
  Dividends received   5,101 2,838
  Acquisition of subsidiaries, net of cash acquired   (640,858) (177,815)
  Net cash flows used in investing activities   (737,914) (287,510)
       
Financing activities      
  Payments of loans and financing   (67,305) (53,795)
  Proceeds from loans and financing   5,288 -
  Payments of lease liabilities   (66,239) (55,074)
  Treasury shares buy-back   (12,369) (152,317)
  Dividends paid to non-controlling shareholders   (10,300) (11,212)
  Net cash flows used in financing activities   (150,925) (272,398)
  Net foreign exchange differences   (539) (320)
  Net decrease in cash and cash equivalents   (351,886) (132,312)
  Cash and cash equivalents at the beginning of the period   1,093,082 748,562
  Cash and cash equivalents at the end of the period   741,196 616,250
  
 16
 
 

 

Reconciliation between Net Income and Adjusted EBITDA

 

Reconciliation between Adjusted EBITDA and Net Income              
               
(in thousands of R$) For the three months period ended June 30,   For the six months period ended June 30,
  2023 2022 % Chg   2023 2022 % Chg
Net income  87,537 106,073 -17.5%   205,310 241,015 -14.8%
Net financial result  90,226 60,802 48.4%   186,778 117,524 58.9%
Income taxes expense  2,090 5,568 -62.5%   21,150 18,915 11.8%
Depreciation and amortization  72,306 50,702 42.6%   138,264 99,089 39.5%
Interest received (1) 4,842 4,892 -1.0%   15,141 12,579 20.4%
Income share associate (3,210) (2,201) 45.8%   (7,056) (6,441) 9.5%
Share-based compensation  6,902 8,652 -20.2%   13,398 11,581 15.7%
Non-recurring expenses: 7,481 (14,302) n.a.   25,388 (3,275) n.a.
 - Integration of new companies (2) 6,282 5,781 8.7%   12,182 9,952 22.4%
 - M&A advisory and due diligence (3) 635 594 6.9%   11,674 1,806 546.4%
 - Expansion projects (4) 378 677 -44.2%   529 1,279 -58.6%
 - Restructuring expenses (5) 556 723 -23.1%   1,951 4,373 -55.4%
 - Mandatory Discounts in Tuition Fees  (6) (370) (22,077) -98.3%   (948) (20,685) n.a.
Adjusted EBITDA 268,174 220,186 21.8%   598,373 490,987 21.87%
Adjusted EBITDA Margin 37.7% 38.2% -50 bps   42.1% 42.9% -80 bps
(1) Represents the interest received on late payments of monthly tuition fees.
(2) Consists of expenses related to the integration of newly acquired companies.
(3) Consists of expenses related to professional and consultant fees in connection with due diligence services for our M&A transactions.
(4) Consists of expenses related to professional and consultant fees in connection with the opening of new campuses.
(5) Consists of expenses related to the employee redundancies in connection with the organizational restructuring of our acquired companies.
(6) Consists of mandatory discounts in tuition fees granted by state decrees, individual/collective legal proceedings and public civil proceedings due to COVID 19 on site classes restriction and excludes any recovery of these discounts that were invoiced based on the Supreme Court decision.  

 

  
 17

 


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