Fra transcriptet: https://finance.yahoo.com/news/edited-transcript-pho-ol-earnings-130000265.html
we’re going to start with this slide, financial slide, financial highlights for – from the third quarter.
And we have 2 major streams that are defining the financials in the third quarter. First of all, we have a strong business performance, which was driven by significant revenue growth as well as positive adjusted earnings in the quarter. U.S. volume is up 17% in the quarter, and European volume was up 7%. Adjusted revenue increased year-over-year 14% in the quarter, and adjusted revenue and earnings are after eliminating one-off costs related to the transition of the Ipsen activities.
The European transition is a second stream in the quarter. We have gone through a major transformation of the global business as we are building and integrating the European business. The European transition alone is adding 50% additional revenue for the company going into next year.
The transition, however, does not come without one-off costs. We have said previously that the transition will cost us around NOK 30 million.
In the third quarter, we incurred NOK 15 million, and year-to-date, the transition cost was NOK 18.6 million.
I do see us incur cost in the fourth quarter as well, but the total cost of the transition will be well below the NOK 30 million we have indicated previously.
The one-off items incurred are of various types. We have identified the items well below – on this slide, Slide #11, in the column that is marked red. And starting with the revenue, obviously, the transition impact includes reduced revenue.
We did not want Ipsen to remain with an inventory after the transition as we do not want a competitor out there. Therefore, we agreed with Ipsen to reduce the shipping of goods to Ipsen in the quarter, and we also agreed to take back inventory remaining at the end of the third quarter.
The impact of revenue was NOK 8.9 million and on cost of goods sold NOK 2.5 million. The transition costs also include operating costs relating to the European organization established during the third quarter. The cost in Q3 of that organization was about $1.5 million. Then finally, we had one-off restructuring costs, including recruitment costs, various setup costs and legal fees. Adding the revenue impact and cost impact, we get to a total transition impact of NOK 15.1 million in Q3.
Adjusting for the transition impact, we have an adjusted revenue of NOK 58.5 million in Q3, which represents a growth of 14% from the third quarter 2019. Furthermore, we have an adjusted EBITDA of NOK 2.5 million positive compared to last year, NOK 8.3 million. Keep, however, in mind that last year, EBITDA was driven by a milestone payment from Asieris of NOK 8.7 million.
So looking at Hexvix/Cysview only, we have an improvement from Q3 2019 of approximately NOK 3 million. So to conclude, and in spite of COVID-19, we have improved our Hexvix/Cysview revenues and EBITDA performance compared to last year. Looking at the details, and we will start with the segment performance, and I will look at the commercial franchise first. The headlines for the commercial franchise in the third quarter is, first of all, the rebound from the pandemic. We have experienced that in Q2 as well as in Q3.
And then also the commercial franchise has, obviously, been heavily impacted by transition activities in Europe. However, if we adjust for these activities, Q3 EBITDA was positive NOK 4.2 million.
Total Hexvix/Cysview adjusted revenue in Q3 increased 14% compared to Q3 last year. This includes adjustments for the inventory changes in Q3 at Ipsen. And without these adjustments, the revenue decreased 3% in the quarter. Year-to-date, adjusted revenue growth was 8%. Foreign exchange impact was 9% to 10%. In U.S., Q3 revenues increased 20% to NOK 30 million, and unit sales increased 17% in the quarter, a clear rebound from the pandemic.
Year-to-date U.S. revenues increased 13% to NOK 80 million, and foreign exchange impact was approximately 10%. We are growing the installed base of blue light cystoscopes, although due to the COVID-19 pandemic, not at the same rate as last year. During the first 9 months, 30 cystoscopes have been installed, driving the total installed base to 253 cystoscopes, which is a growth of 20% compared to third quarter last year.
Nordic revenues decreased 3% to NOK 9.7 million in Q3. The decrease was driven by sales from the extraordinary COVID-19-related safety stock purchased by the Danish authorities in the second quarter. Nordic revenues increased 6% year-to-date. In constant currencies, we had a decline of 2% year-to-date. Partner revenue is obviously heavily impacted by transition activities with Ipsen.
Unadjusted, we had a revenue decline of 40% in the quarter. However, adjusted for the transition, the partner revenue grew 16% in the third quarter. Quarter FX impact was approximately 8%, and in-market unit sales was up 7%. In real terms, and looking at the development of our in-market sales, this was a good quarter, reflecting a rebound from the COVID-19 pandemic. Year-to-date adjusted partner revenue was at $52.9 million, an increase of 6%. Currency impact was positive 10%. The in-market unit sales decreased year-to-date 7%.
The German unit sales was at level with last year. Total revenue, including milestones and other sales, declined 4% in Q3, however, increased 13%, adjusted for transition. Other revenues in 2019 include IFRS 15 adjustments.
We have no such adjustment this year, which explains the difference in other revenues. Operating expenses, excluding depreciation and amortization, increased year-over-year 12% in Q3 and 17% year-to-date. Q3 adjusted for transition costs of NOK 1.5 million was 8%, driven by sales and marketing costs as well as FX. Year-to-date, the main contributor to the increase is currency impact.
The remaining is mainly driven by costs related to noncash-related share-based compensation as well as scaling of the group activities within regulatory and marketing. EBITDA for the commercial segment was negative NOK 3.7 million in third quarter and negative NOK 13.7 million year-to-date.
Adjusted for transition activities, the Q3 EBITDA was positive NOK 4.2 million, reflecting an adjusted EBITDA margin of 7%. Year-to-date EBITDA adjusted for transition was negative NOK 5.8 million, obviously, negatively impacted by the COVID-19 pandemic