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CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page1of24
Medtronic(MDT)EarningsReport:Q42016ConferenceCallTranscriptThefollowingMedtronicconferencecalltookplaceonMay31,2016,08:00AMET.Thisisatranscriptofthatearningscall:
CompanyPart icipants
RyanWeispfenning;Medtronicplc;InvestorRelationsOmarIshrak;Medtronicplc;Chairman&CEOGaryEllis;Medtronicplc;CFOBryanHanson;Medtronicplc;PresidentofMinimallyInvasiveGroupHoomanHakami;Medtronicplc;PresidentofDiabetesGroupMikeCoyle;Medtronicplc;PresidentofCardiacandVascularGroupGeoffMartha;Medtronicplc;PresidentofRestorativeTherapiesGroup
OtherPart icipants
MikeWeinstein;JPMorgan;AnalystDavidLewis;MorganStanley;AnalystDavidRoman;GoldmanSachs;AnalystBobHopkins;BoAMerrillLynch;AnalystJoshJennings;CowenandCompany;AnalystMattTaylor;BarclaysCapital;AnalystKristenStewart;DeutscheBank;Analyst
MANAGEMENTDISCUSSIONSECTION
Operator :
Atthistime,IwouldliketowelcomeeveryonetotheMedtronicfourth-quarterandyear-endearningsconferencecall.
(OperatorInstructions)
IwouldnowliketoturntheconferenceovertoRyanWeispfenning.Pleasegoahead.
RyanWeispfenning (InvestorRelations):
Thankyou,Operator.Goodmorning.WelcometoMedtronic'sfourthquarterconferencecallandwebcast.
Duringthenexthour,OmarIshrak,MedtronicChairmanandChiefExecutiveOfficer;andGaryEllis,MedtronicChiefFinancialOfficer,willprovidecommentsontheresultsofourfourthquarterandFY16,whichendedonApril29,2016.Afterourpreparedremarks,wewillbehappytotakeyourquestions.
First,afewlogisticalcomments.Earlierthismorning,weissuedapressreleasecontainingourfinancialstatementsandarevenuebydivisionsummary.Wealsoissuedanearningspresentationthatprovidesadditionaldetailsonourperformanceandoutlook.
Next,youshouldnotethatmanyofthestatementsmadeduringthiscallmaybeconsideredforward-lookingstatementsandthatactualresultsmightdiffermateriallyfromthoseprojectedinanyforward-
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page2of24
lookingstatement.AdditionalinformationconcerningfactorsthatcouldcauseactualresultstodifferiscontainedinourperiodicreportsfiledwiththeSECandwedonotundertaketoupdateanyforward-lookingstatements.
Inaddition,thereconciliationsofanynon-GAAPfinancialmeasuresareavailableonourwebsite,InvestorRelations.Medtronic.com.Unlesswesayotherwise,referencestoquarterlyorannualresultincreasingordecreasingareincomparisontothefourthquarterandfullFY15,respectively,andallquarterlyyear-over-yeargrowthratesaregivenonaconstantcurrencybasis.
Allannualyear-over-yeargrowthratesaregivenonacomparableconstantcurrencybasiswhichinadditiontoadjustingforthenegativeeffectofforeigncurrencytranslation,includesCovidienPLCintheprior-yearcomparisonaligningCovidien'sprior-yearmonthlyresultstoMedtronic'sfiscalquarters.Theseadjustmentdetailscanbefoundinthereconciliationtablesincludedwithourearningspressrelease.
Withthat,I'mnowpleasedtoturnthecallovertoMedtronicChairmanandChiefExecutiveOfficer,OmarIshrak.
OmarIshrak(Chairman&CEO):
Goodmorning,andthankyou,Ryan.Tankyou,toeveryoneforjoiningus.Thismorning,wereportedfourthquarterrevenueof$7.6billion,representinggrowthof6%,whichwasattheupperendofourmidsingle-digitbaselinegoalandexceededourexpectationsforthequarter.Q4non-GAAPdilutedearningspersharewere$1.27,growing18%onaconstantcurrencybasis.
BeforeprovidingmoredetailonourQ4performance,I'dliketorecapFY16.FY16wasatransformativeyearforourorganization,ourfirstfullyearafterclosingthelargestevermedtechacquisition.Itwasayearwhereinadditiontoexecutingalargecomplexintegration,weclosed14additionalacquisitions,totaling$1.5billion.Itwasayearwherewelaunchedanumberofgroundbreakingnewproductsandextendedourthoughtleadershipwithinvalue-basedhealthcare.
Wedeliveredrecordrevenueof$28.8billion,grewattheupperendofourmidsingle-digitbaselinegoalandcappedoffourfourthconsecutiveyearofachievingmidsingle-digitrevenuegrowth.Ourperformancewasbroad-basedwithstrongprogressagainsteachofourthreestrategicpillars,newtherapies,emergingmarketsandServicesandSolutions.
OurFY16non-GAAPdilutedEPSof$4.37wasintheupperhalfoftheguidancerangeweestablishedatthebeginningoftheyear,representingconstantcurrencygrowthof15%andEPSleverageof780basispoints.WeexecutedontheCovidienintegrationsynergies,deliveringapproximately$355millioninthefiscalyear,whichcontributedapproximately440basispointstoourFY16EPSleverage.Weimprovedouroperatingmarginby100basispoints,including120basispointsofimprovementinSG&A.
WereinvestedinR&D,organicallyaswellasinorganically,absorbinganydilutiveimpacttoEPSandcapitalizingonourstrongfreecashflowgeneration.Theseinvestmentsareinlinewithourstatedstrategyandfurthersupportthesustainabilityofourlong-termgrowthandmarketleadership.
InFY16,weuntrappedapproximately$10billionofourcash,whichprovidedadditionalreturnstoshareholders,allowedustopaydowndebtandincreasedourfinancialflexibility.Wealsoincreasedourdividendsubstantially,by25%.Wereturned$4.5billiontoshareholdersintheformofdividendsandsharerepurchases,wellaboveourminimumcommitmentof50%.
DespiteourstrongoperationalperformanceinFY16,ournon-GAAPdilutedEPSonlygrew4%,afterincludingthe$0.47negativeimpactofcurrency.Whilewedohaveanearningshedgingprogramtoreducevolatility,andarelookingatnaturalwaystolimittheimpact,wedoseethisaslargelyoutsideour
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page3of24
controlandwefeelthatoverthelong-term,FXshouldbalanceitselfout.
Now,movingtoourQ4performance.6%revenuegrowthwasverystrong,especiallywhenconsideringthiswasbuiltupona7%growthquarterinQ4FY15.Wecontinuedtooutperformthemarketandthestrengthofourdiversifiedportfoliowasevidentacrossourgroupsandgeographies.SolidperformancesinDiabetes,CVGandMITGmorethanoffsetthechallengeswefacedincertainbusinessesinRTG.
Geographically,wehadstrong15%growthinEmergingMarketsandsolidmidsingle-digitgrowthindevelopedmarkets,including4%growthintheUS,8%growthinWesternEuropeand11%growthinAustraliaandNewZealand.Overall,wearepleasedwiththeconsistentperformanceineachofourthreegrowthvectors,newtherapies,emergingmarketsandservicesandsolutions.
InNewTherapies,wedeliveredabovegoalperformanceinQ4,contributing390basispointsforourtotalCompanygrowth.InourCardiacandVascularGroup,whichgrew8%,newtherapiesaredrivingstrongmarketoutperformance.We'rehelpingtocreaterapidlygrowingmarkets,suchastranscatheteraorticvalvereplacement,MRI-safeimplantabletechnology,AFcryo-ablationtherapy,predictivediagnosticsanddrug-coatedballoons.
InCRHF,wecontinuedtoseestrongsharegainsinhighpowerfromtheongoinglaunchoftheEveraMRIICD,aswellastherecentlaunchesoftheAmpliaMRIandCompiaMRIQuadCRT-Ds.Wealsosawexceptionalgrowthofover50%fromourTYRXinfectioncontrolproduct.
InQ4,wereceivedFDAapprovalforourMicraTranscatheterPacingSystem,theworld'ssmallestpacemaker,one-tenththesizeofatraditionaldevice.WealsoreceivedFDAapprovalforourVisiaAFICD,auniquesingle-chamberdevicethatcansenseinboththeatriumandtheventricleusingproprietarydetectionalgorithms,firstdevelopedforourhighlysuccessfulRevealLINQinsertablelooprecorder.
InCSH,ourResoluteOnyxDESdrovesequentialsharegainsinEuropeandourEvolutRtranscathetervalvegainedsequentialshareintherapidlygrowingTAVRmarket.InAPV,ourValiantCaptiviathoracicstentgraftandHeli-FxEndoAnchorSystemdroveabovemarketgrowth.OurIN.PACTAdmiralcontinuestooutpacethefastgrowingdrug-coatedballoonmarketonthestrengthofitshandlingcharacteristicsanddifferentiatedclinicaldata.
Overthepasttwoyears,ourCVGorganizationhasdemonstratedindustry-leadinglevelsofinternallydrivenR&Dproductivityacrossitsbusinessesandourforward-lookingproductpipelinelooksequallyrobust.MikeCoylewillsharemoredetailsonwhatisaheadforCVGatourInvestorDaynextweek.
OurMinimallyInvasiveTherapiesGroupgrew6%,ledbystrongabovemarketperformanceinsurgicalsolutionsandlowsingle-digitgrowthinPatientMonitoringandRecovery.GrowthinMITGiscomingfromfivekeygrowthdrivers;Open-to-MinimallyInvasiveSurgery,orMIS,GastrointestinalDiseases,LungCancer,EndStageRenalDiseaseandRespiratoryCompromise.
Open-to-MISgrewdouble-digitsinQ4,helpedbytherecentproductintroductionsinourAdvancedStaplingandAdvancedEnergyportfolio,includingtheLigaSureMaryland,EndoGIAReinforcedReloadwithTri-StapletechnologyandValleyLabFD10energyplatform.GIDiseasesandLungCanceralsogrewdouble-digits,withsolidgrowthinourGIDiagnosticsbusinessresultingfromstrongPillCamperformanceintheUSandEurope.
WereceivedFDAclearanceinQ4,forexpandedindicationsforourPillCamCOLON2capsuletopotentiallyreachmorepatientsatriskforcoloncancer.RevenueinRenalCareSolutionsdoubled,largelyasaresultoftheacquisitionofBellco,apioneerinhaemodialysistreatmentsolutions.RespiratoryCompromisegrewintheuppersingle-digits,benefitingfromourcapnographymarketdevelopment
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page4of24
efforts.
WealsocontinuetomakeprogressinbringingournewCapnostream35tomarketinFY17.MITGcontinuestosupplementtheirbusinesseswithtuck-inacquisitions.InadditiontoBellco,thebusinessrecentlyagreedtoacquireSmith&Nephew'shighlyprofitableandfast-growingGynecologybusinessthatwillcomplementourexistingglobalGYNproductline.Weexpectthisacquisitiontoclosethissummer.
WealsorecentlysignedanagreementtotakeamajorityownershipintheNetherlandsObesityClinic,orNOK,whichIwilltouchonlater.AcrossMITG,wearedevelopingsolutionsthatspantheentirecarecontinuum,aspiringtoenableearlierdiagnosis,bettertreatment,fastercomplication-freerecoveryandenhancedpatientoutcomesthroughlessinvasivesolutions.BryanHanson,willdiscussthesestrategiesinmoredetailatnextweek'sInvestorDay.
InourRestorativeTherapiesGroup,whichgrew3%,wealsohaveanumberofnewproducts.InNeurovascular,ourSolitaireFRmechanicalthrombectomydeviceisdeliveringstrongresults,solidifyingourleadershippositionintherapidlyexpandingischemicstrokemarket,evenaftertheanniversaryoftheNewEnglandJournalofMedicinearticleslastyear.OurFlowDiversionproductsforthetreatmentofintracranialaneurysms,PipelineFlexintheUSandJapanandPipelineShieldinEurope,continuetoleadthemarket.
InSurgicalTechnologies,wehadmid-20sgrowthinImaging,drivenbystrongcustomerdemandforournewO-armO2SurgicalImagingSystem.InAdvancedEnergy,abusinessannualizingitover$250million,ourAquamantysSystemandPEAKPlasmaBladearedrivingconsistentupperteensgrowth.
InCoreSpine,newproductintroductionsacrossseveralproceduresresultedinasequentialimprovementtoourgrowthrate.Specifically,weareseeingincrementalrevenuefromourdifferentiatedOLIFprocedures,aswellasfromtherecentSoleraVoyager,ElevateandPTCInterbodylaunchesforTLIFandMIDLFprocedures.
We'realsorealizingsomeearlybenefitsfromourSpeedtoScaleinitiative,whichacceleratesinnovationandenablesrapiddeploymentoftheseproductsandprocedurestotheentiremarket.Lookingahead,we'reexpectingFDAapprovalforourdifferentiated2-levelPrestigeLPartificialcervicaldiscinFY17.Strongseven-yearclinicaloutcomedataonthe2-levelPrestigeLPwerepresentedearlierthismonthatAANS.
Asexpected,wefacechallengesinourNeuromodulationdivision.WhilewecontinuetomakeprogressagainstourFDAconsentdecreecommitments,wearestillexperiencingdouble-digitrevenuedeclinesinourdrugpumps.Ourrevenuehasbeenrelativelystablesequentiallyforfourquarters,soweexpectdrugpumpgrowthtoberoughlyflatgoingforward.
InDBSandPainStim,we'refacingincreasedcompetition.Butaswelookahead,we'reoptimisticthatdriverssuchasexpandedearlyonsetDBSindicationintheUSthatwereceivedearlierthisyearandnewstrategiesthatfocusourpainstrategiesonthegrowingopioidepidemiccanimproveourNeuromodulationresults.Onbalance,however,PainStimandDBScouldbeundersomepressureforthenextseveralquarters.
AsweenterFY17,wearerealigningourbusinesseswithintheRestorativeTherapiesGrouptoprovideastrongerfocusonthediseasesandconditionsthatweserve.Externally,wewillreportrevenueresultsforfourdivisionscomprisingRTG;Spine,whichincludesourCoreSpine,BMPandKanghuibusinesses;braintherapies,whichincludesourDBS,whichwe'renowcallingBrainModulation,Neurovascularandneurosurgerybusinesses;andpaintherapies,whichincludesourDrugDelivery,SpinalCordStimulationandInterventionalSpinebusinesses.Theremainingbusinesses,includingGastro/Uro,whichwearenow
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page5of24
callingPelvicHealth,AdvancedEnergyandENTwillbereportedexternallyastheSpecialtyTherapiesdivision.
AspartofthesechangesRTGisadoptingthegeneralmanagerstructurethatisprovingverysuccessfulindrivingasteadycadenceofmeaningfulinnovationinourCardiacandVascularGroup.Additionally,RTGhasaligneditscommercialorganizationtothisnewstructure,enablingthegrouptouseitsbreadthtodeliversolutionstohospitaladministratorsandpayers,whilemaintainingfocusonspecialistphysicians.GeoffMarthawilldiscussthesechanges,aswellasadditionaldetailsonhisturnaroundeffortsinSpineandPainattheInvestorDaynextweek.
InourDiabetesgroup,whichgrew10%,wecontinuetoseestrongadoptionofourMiniMed640GSysteminmarketswhereit'savailable.Insulinpumpsgrewover30%indevelopedgeographiesoutsidetheUnitedStates,despitehavinganniversariedthelaunchoftheMiniMed640Gthisquarter.WealsohadastrongquarterforMiniMedConnect,whichistheonlysystemprovidingremoteaccesstopumpandsensordataontheuser'ssmartphone.
Regardingourpipeline,weareontracktosubmitthePMAfortheMiniMed670GwiththeEnlite3CGMsensortotheFDAbeforetheendoftheyear.Oncelaunched,thiswillbetheworld'sfirsthybridclosedloopsystem.
Alsothisquarter,wewerepleasedtoreachanagreementwithUnitedHealthcaretobetheirpreferredinsulinpumpprovider.UnitedHealthcaresawwhatothers,includingUK'sNICE,haveseen;thatwearetheonlycompanywithevidencethatclearlydemonstratestheclinicalandeconomicvalueofourintegratedpumpandsensorplatform,forbothpatientsandforthehealthcaresystem.OuragreementwithUHCisarealaffirmationofourstrategytoinvestininnovationthatdrivesevidence-basedoutcomes.
InourNon-IntensiveDiabetesTherapiesbusiness,wecontinuetomakegoodprogressdrivingouriPro2professionalCGMsystemtotype2patientsbeingcaredforbyprimarycarephysicians.ThroughourpartnershipwithHenryScheinandourrecentlyannouncedcollaborationwithQualcommLife,weexpectcontinuedsuccessinourtype2business.
InourDiabetesServicesandSolutionsbusiness,weareontracktolaunchGuardianConnectinEuropewiththecurrentEnhancedEnlitesensorinearlyFY17,andintheUS,withthenext-generationsensorinthesecondhalfofFY17.GuardianConnectallowsustoprovidebothtype1andtype2patientsamultipledailyinjectionswithastandalonereal-timeglucosemonitoringsolution.WhenyoucombineourstandaloneprofessionalCGMproductswiththeapplicationsandcognitivecomputingcapabilitiesthatwewillbringthroughourpartnershipwithIBM,wewillprovidebothtype1andtype2patientswithnotjustasensor,butwithacomprehensivediabetesmanagementsolution.
Whilethemarketremainscompetitive,wefeelstronglythatourDiabetesbusinessiswellpositionedtodrivesustainedgrowthandHoomanHakamiwillprovidemoredetailsonourstrategyandprogressatnextweek'sInvestorDay.OurnewproductpipelineisrobustacrossallfourofourbusinessgroupsandweareconfidentthatwecandrivesustainablegrowthofourNewTherapiesgrowthvectorintheupperhalfofour150basispointsto350basispointsgoal.
Next,let'sturntoEmergingMarkets.InQ4,wegrew15%andcontributedapproximately185basispointstoourtotalCompanygrowth,wellwithinourbaselinegoalof150basispointsto200basispoints.Wecontinuetoconsistentlydeliverdouble-digitgrowthinEmergingMarkets,overcomingmacroeconomicpressuresincertaincountries.Thisisaresultofcontinuedexecutionofourdifferentiatedstrategiesofchanneloptimization,governmentagreementsandprivatepartnerships.
Alloftheseinitiativeshavetheabilitytoaccelerategrowthandleadtosustainedmarket
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page6of24
outperformance.OurEmergingMarketperformancealsobenefitsfromincreasedgeographicdiversification,reducingdependenceonanysinglemarket.WecontinuetobelievestronglythatthepenetrationofexistingtherapiesintoEmergingMarketsrepresentsthesinglelargestopportunityinMedTechoverthelong-term.
InQ4,ourbusinessesinMiddleEastandAfrica,LatinAmerica,SoutheastAsiaandEasternEuropeallgrewintheupperteens,andIndiaandChinagrewinthelowdoubledigits.NextweekatourInvestorDay,youwillhavethechancetosharemoredetailsfromtheleadersofourglobalregions.
TurningnowtoourEconomicValuegrowthstrategy.OurServicesandSolutionsgrowthsectorcontributedapproximately25basispointstoMedtronicgrowth.Whilethisoverallresultwasbelowourgoalof40basispointsto60basispoints,ServicesandSolutionscontinuestoachieverevenuegrowtharound50%.Weexpecttofurtherimproveourgrowthcontributionasthismodelisexpandedacrossallourbusinessgroups.
InCareManagementServices,formerlyknownasCardiocom,wegrewinthehigh20%sinQ4,drivenbystronggrowthwithintheUSVeteransAdministrationhealthcaresystem.CareManagementServicesrepresentsanimportantplatformforus,especiallyaspost-acutecareservicesbecomeevenmorecriticalinbundledpaymentmodelsfordifferentinterventions.
InourHospitalSolutionsbusiness,towhichweprovideexpertiseinoperationalefficiencyaswellasdailyadministrativemanagementofhospitalcathlabsandoperatingrooms,wehadservicerevenuegrowthinthehigh50s.Sincestartingthisbusinessalittleovertwoyearsago,wehavecompletedatotalof88long-termmanagedserviceagreementswithhospitalsystems,representingmorethan$2billionincontractedserviceandproductrevenueoveranaveragespanofsixyears.WhilethemajorityofthesehospitalsareinEurope,wealsohavemanagementcontractsinhospitalsinLatinAmericaandintheMiddleEastandAfrica.
WeareattractingstrongcustomerinterestinHospitalSolutionsinregionsaroundtheworldandhaveafullpipelineofpotentialcontracts.WecontinuetomakeprogressinexpandingtheHospitalSolutionsmodelfromcathlabsintooperatingrooms,utilizingthebreadthofourMITGproductsandassociatedexpertise.We'vealreadysigned10operatingroommanagedservicesdeals,representingapproximately$250millionincumulativerevenuewithanaveragelifespanofsevenyears.
We'realsoexpandingoursolutionsofferingsintochronicdiseasemanagement.OneexampleisDiabeter,aNetherlands-baseddiabetesclinicandresearchorganizationweacquiredayearago,whichiscurrentlyoperatingfourcentersprovidingholisticdiabetescaremanagement.AnotherexampleisNOK,achainofclinicsintheNetherlandsformorbidlyobesepatientsundergoingbariatricsurgery.WesignedanagreementtoacquireamajoritystakeinNOKthismonth.
NOKofferspatientsanintegrated,comprehensivecaremodel,includingextensivescreening,pre-careprogram,bariatricsurgery,post-surgeryprogramandlong-termfollow-up.TheirapproachishighlysuccessfulandweplantogaincriticalinsightswiththegoalofexpandingNOK'sclinicstomorecountries,providingbroaderpatientsaccesstotheirmultidisciplinaryteamsofspecialistsandimprovingpatientoutcomes.
ThroughinitiativeslikeDiabeterandNOK,aswellastheonesImentionedearlier,we'reuniquelypositioningourbusinesstofocusonnotjustdevices,butprovidingservicesandsolutionsacrossthecarecontinuum.WhilealloftheseServicesandSolutionsarestillrelativelyearlystagebusinesses,theyrepresentimportantbuildingblocksthatwewillusetocreatecomprehensivevalue-basedhealthcareofferingswherebusinessmodelswillbebasedonmeasurablepatientoutcomesoverspecifictimehorizons.Ourorganizationisexploringnewandnovelwaystonotonlydeliverbetterclinicaland
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page7of24
economicvalue,buttotieoursuccesstotheseoutcomesthroughinnovativenewbusinessmodelswithprovidersandpayers.
TurningnowtotheQ4P&L.Wegrewnon-GAAPdilutedEPSby18%andEPSleveragewas1,210basispoints,bothonaconstantcurrencybasis.Covidiencostsynergiesofover$100millioninthequarter,wereinlinewithourexpectation,helpeddrivea180basispointimprovementinSG&AandwereamajorcontributortoourstrongEPSleverage.
Inaddition,ourbusinessalsodeliveredstrongunderlyingoperatingleverageinQ4.ThecombinationofCovidien'ssynergiesandunderlyingleverageresultedina260basispointimprovementtoouroperatingmarginafteradjustingforunplanneditems.
Ournon-GAAPoperatingmarginincludingthenegativeimpactofcurrency,was30.3%,whichwas70basispointsbelowtheexpectationswehadatthebeginningofthequarter.Thiswasaresultofthreeunplanneditemsthatnegativelyaffectedthegrossmargin.First,anadditional30basispointsfromtheFXimpactininventorythatisbasedsolelyonintra-quartercurrencyfluctuations.
Second,a20basispointimpactfromtheone-timepurchaseaccountingstep-upontheBellcoacquisitioninventory.Andthird,a20basispointimpactfromhigherthananticipatedscrapandobsolescenceacrosseachofourgroups.Withoutthesespecificunplanneditems,ournon-GAAPoperatingmarginwouldhavebeen31%andwithinourexpectedrange.Despitethesepressures,wewereabletooffsetunexpecteditemsatthebottomline.
Turningtocapitalallocation.WearedeployingourcapitalwithabalancedfocusonM&Ainvestments,meetingourdebtreductioncommitmentsandreturnstoshareholders.Weremainfirmlycommittedtoreturningaminimumof50%ofourfreecashflowtoourshareholdersthroughdividendsandsharerepurchases.
AsanS&PDividendAristocrat,weexpecttodeliverdependable,long-termdividendgrowth.LastJune,weincreasedourdividendby25%andweexpecttogrowourdividendsfasterthanearningswiththeintentofreachinga40%dividendpersharepayoutofprioryearnon-GAAPEPSinthenear-term.
Regardingsharerepurchases,inFY16,webeganexecutingtheincremental$5billionsharerepurchaseweannouncedearlierinthefiscalyear,inadditiontoourongoingsharerepurchaseprogramcompletingatotalof$2.3billioninnetsharerepurchasesinFY16.WealsocontinuetouseourcapitaltomakestrategicanddisciplinedM&Ainvestments,whichmustmeetourportfoliocriteria,namelythetargetsmustprovidealineofsighttoimprovingoutcomes,allowforMedtronictoaddvalueandwehaveacommittedteaminplacethatispositionedtowin.Inaddition,ourinvestmentsmustmeetourhighfinancialreturnhurdlesandminimizeanynear-termshareholderdilution.
BeforegoingtoGary,I'dliketonotethatinatransformativeyearwithasignificantnumberofcomplexmovingparts,ourteamdelivered.Ourstrongresultswouldnothavebeenpossiblewithoutthededication,teamworkandfashionthatour85,000employeesaroundtheworlddemonstratedeveryday.Wehaveundertakenastrategytotransformhealthcare.Wedon'ttakelightlythechallengesthisloftygoalplacesonourorganization.
Ithasbeenamazingtoseewhatourcombinedorganizationcanaccomplish.Wehaveformedacommoncultureandarecollaboratingwithourpartnersinhealthcaretoservemillionsofpatientsaroundtheglobe,fulfillingtheMedtronicmissionofalleviatingpain,restoringhealthandextendinglife.We'rebuildingonatrackrecordofdeliveringconsistentmidsingle-digitrevenuegrowthandwitheveryquarter,we'reincreasinglyconfidentaboutthesustainabilityofthisperformance.
Whilewerecognizethatwestillhavealotofworkaheadofus,wearewellonourwaytomeetour
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page8of24
integrationsynergy,freecashflowgenerationandEPSleveragecommitments.We'relookingforwardtosharingdetailsoftheseplanswithyouattheInvestorDaynextweek.
Garywillnowtakeyouthroughamoredetailedlookatourfourthquarterresults.Gary?
GaryEllis (CFO):
Thanks,Omar.Fourthquarterrevenueof$7.567billion,increased4%asrecorded,or6%onaconstantcurrencybasis,whichexcludesthe$179millionunfavorableimpactofforeigncurrency.Acquisitionsanddivestiturescontributedanet60basispointstoQ4revenuegrowth.OurCardiacandVascularGroup,whichaccountedfor36%ofourtotalCompanysales,grewrevenueby8%,withallthreedivisionsgrowingabovethehigh-endofourtargetedmidsingle-digitrange.
InCRHF,weexpecttocontinuetogrowabovemarketduetoourdifferentiatedMRIimplantablesportfolioandothernewproductintroductionsthatOmarmentioned.WehaveyounowstartedUSphysiciantrainingandshipmentsofourMicraTPSpacemaker.
InAFSolutions,ourbusinessgrewovertwicethemarketinthemid-30sandisnowannualizingatover$0.5billion.AFSolutionshadanotherverystrongquarterwithArcticFrontAdvancefollowingthecompellingFIRE&ICEtrial,whichwasfeaturedasalate-breakeratACCandsimultaneouslypublishedintheNewEnglandJournalofMedicine.Laterthismonth,secondaryendpointsfromtheFIRE&ICEtrialonratesofrehospitalizationandrepeatablationprocedureswillbehighlightedinthelatebreakingclinicaltrialsattheCardioStimcongress.
InCoronary,weareholdingglobaldrug-elutingstentshareinthefaceofmajorcompetitivelaunches.Duetoourcustomers'increasingpreferenceforResoluteOnyxinEuropeandmanyemergingmarkets,continuedenthusiasmforthedeliverycharacteristicsofResoluteIntegrityintheUS,andourexpandinguseofCBGmulti-linecontractsinmanygeographiesaroundtheworld.
InTranscatheterValves,weareseeingstronggrowthandexpectthismarkettogrowto$4billionto$4.5billionby2020.OurUSsharesstabilizedafterthedropwesawinQ3fromnothavingalargesizeEvolutR.WehavestartedourEvolutRXLclinical,whichisa60patient,30-dayfollow-uptrial.
InIntermediateRisk,wecompletedenrollmentinourSURTAVItrial,whichisexpectedtoleadtoFDAapprovalandwearemovingintocontinuedaccessforintermediateriskpatientsat60USSURTAVIcenters.InQ4,wealsosawastrongacceptanceofCoreValveinJapan,followingthefirstfullquarteroflaunch.
InPeripheral,wehadanumberofstrongdatapresentationsonourIN.PACTAdmiraldrug-coatedballoonlastmonthatCharingCross,includingmechanismsofactiondata,whichareresultingincompetitiveaccountconversions.WealsoreceivedFDAapprovalforachangetoIN.PACTlabeling,removingtherequirementforpre-dilatationandreplacingitwithsimplyappropriatevesselpreparation.TheselabelingchangesnowpositionMedtronicastheonlycompanyintheUSthatdevelops,manufacturesandsellsbothatherectomyanddrug-coatedballoonsascombinationtherapyforSFAdisease.
OurMinimallyInvasiveTherapiesGroup,whichaccountedfor32%ofourtotalCompanysales,grewrevenue6%.WecontinuetomonitorsurgicalvolumesintheUS,andweestimatetheremayhavebeenaslightaccelerationinthemostrecentquarter,withvolumesnowgrowingapproximately3%versusthe1%to2%rangewesawearlierinthefiscalyear.Weareseeingstrongermidsingle-digitgrowthintheUSoutpatientsurgerymarket,whileinpatientsurgeriesaregrowinginthelowsingle-digits.
InPMR,qualityissuesrelatedtothePuritanBennett980ventilatorandtheCapnostream20capnographymonitorhadacombinedimpactofapproximately$25millioninQ4revenue.Weexpectto
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
EventDescription:Q42016EarningsCallMarketCapasofEventDate:147.13BPriceasofEventDate:80.48
©2014TheStreet,Inc.Al l R ightsReserved Page9of24
havebothoftheseissuesresolvedthissummer.OurRestorativeTherapiesGroup,whichaccountedfor25%oftotalCompanysales,grewrevenueby3%,withstronggrowthinNeurovascularandSurgicalTechnologiesandimprovedresultsinSpine,whichoffsetlowsingle-digitdeclinesinNeuromodulation.
OurUSCoreSpinebusinessdeclined1%,alargeimprovementoverthepasttwoquarters.WeestimatetheUSCoreSpinemarketisgrowing2%to3%,sowhilewelostshareyearoveryear,wedidgainovera100basispointsofshare,sequentially.WeexpectSpinetoreturntomarketgrowthoverthecomingquarters.
InEurope,wecontinuetobeaffectedbytheshipholdinInductorsBMP,whichisresultinginanimpactofapproximately$8millionperquarter.Ourlatestprojectionisthatourthird-partysupplierwillbeabletoresolvetheissuesometimeduringQ3FY17.
InNeuromodulation,itisworthnotingthatourQ4growthwasaffectedbythedivestitureoftheIntrathecalBaclofendrug,whichoccurredinlateQ3.Thisbusinesswasgenerating$7millionto$8millionperquarter.
OurDiabetesgroup,whichaccountedfor7%ofourtotalCompanysales,grewrevenue10%withstrongbroad-basedperformanceacrossallthreedivisions.ItisworthnotingthattheDiabetesGroupdouble-digitgrowthcameinthefaceofacompetitiveUSenvironment.Weattributethisperformancetoourfocusonbuildingdiverserevenuestreamsthroughageographicexpansionandgrowthinournewbusinesses.
ProductslikeMiniMed640GSystemwithEnhancedEnlitesensorandSmartGuardtechnologyhelpeddrivegrowthoutsideUS,whileourNon-IntensiveDiabetesTherapiesandDiabetesServiceandSolutionsdivisionsalsocontributedtooverallperformance.WhileweexpectthetoughUScompetitiveenvironmenttocontinueuntilwegetFDAapprovalforourMiniMed670Ghybridclosedloopsystem,webelievetherearesufficientdriverstocontinuetodeliverhighsingle-digittolowdouble-digitglobalgrowthinourdiabetesgroup.
NowturningtotheP&L.Q4non-GAAPdilutedearningspersharewas$1.27,anincreaseof18%onaconstantcurrencybasisafteradjustingforthe$0.10impacttoearningspersharefromforeigncurrencytranslation.Q4GAAPdilutedearningspersharewas$0.78.
Inadditiontothe$348millionaftertaxadjustmentforamortizationexpense,thisquarter'snon-GAAPadjustmentstoearningsonanaftertaxbasiswerea$118millionchargerelatedtotheretirementof$2.7billionofdebt,a$97millionnetrestructuringcharge,an$85millionchargeforacquisition-relateditemsanda$44millionimpairmentchargerelatedtoaninvestmentinBioControl.TheQ4operatingmarginwas31.8%onaconstantcurrencybasis.Thisrepresenteda210basispointconstantcurrencyimprovementovertheprioryear.
Afteradjustingforthenegative30basispointsfortheone-timeBellcoacquisitioninventorystep-upandnegative20basispointsfortheunplannedscrapandobsolescence,theoperatingmarginwouldhaveshowna260basispointconstantcurrencyimprovement,whichfellintherangeofourexpectations.ItisworthnotingthatASPdeclineswereinlinewithpreviousquartersanddidnotaffectthegrossmargin.
Ouroperatingmarginincludedagrossmarginof69.8%,SG&Aof31.1%andR&Dof7.4%,allonaconstantcurrencybasis.AlsoincludedinourQ4operatingmarginwasNetOtherincomeof$21million,whichincludednetcurrencygainsof$102million,primarilyfromourearningshedgingprograms.Thesecurrencygainswere$37millionlowerthantheprioryear.
Regardingourearningshedgingprogram.Whilewehedgedthemajorityofouroperatingresultsindevelopedmarketcurrenciestoreducevolatilityinourearningsfromforeignexchange,agrowing
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portionofourprofitsareunhedged,especiallyemergingmarketcurrencies,whichcancreatemodestvolatilityinourearnings.
Belowtheoperatingprofitline,Q4non-GAAPnetinterestexpensewas$188million,slightlybetterthanourforecast.AttheendofQ4,wehadapproximately$31.2billionindebtandapproximately$12.6billionincashandinvestmentsofwhichapproximately$5billionwastrapped.InQ4,weprepaidapproximately$2.7billionofourdebt,utilizingaportionofthe$10billionofcashthatwasuntrappedinatransactionlastSeptember.
Ournon-GAAPnominaltaxrateonacashbasisinQ4was14.6%.Thiswasanimprovementtoourforecastandincludedanapproximate$40millionbenefitfromthereversalofavaluationallowanceassociatedwithforeignnetoperatinglossesfromourInterventionalSpinebusiness.
InQ4,adjustedfreecashflowwas$1.4billion,whichwasbelowourexpectationsduetotimingoncertainitems,butweexpectittorecovergoingforward.Weremaincommittedtoreturningaminimumof50%ofourfreecashflowtoshareholdersandalsocontinuetotargetintheeightcreditprofile.
InQ4,wepaid$531millionindividendsandrepurchased$660millionofourordinaryshares.AsoftheendofQ4,wehadremainingauthorizationstorepurchaseapproximately72millionshares.Fourthquarteraveragedailysharesoutstandingonadilutivebasiswere1.416billionshares.
BeforeturningtocallbackovertoOmar,letmeconcludebycommentingonourinitialFY17revenueoutlookandearningspershareguidance.Ourbaselinegoalistoconsistentlygrowourrevenueinthemidsingle-digitrangeonaconstantcurrencybasis.ForFY17,givencurrenttrends,weexpectrevenuegrowthtobeintheupperhalfofthemidsingle-digitrangeat5%to6%onaconstantcurrencybasis,constantweekbasis,whichexcludestheestimatednegative150basispointannualimpactfromtheextrasellingweekwehadinQ1ofFY16.
Assumingcurrentexchangeratesremainsimilarfortheremainderofthefiscalyear,whichincludeaEUR1.11andJPY110,ourFY17revenuewouldbenegativelyaffectedbyapproximately$25millionto$75million,withmodestFXheadwindsinthefirsthalfoftheyearturningtomodestFXtailwindsinthebackhalfoftheyear.InQ1,wewouldexpectrevenuegrowthtobeinthelowerhalfofour5%to6%annualrevenueoutlookrangeonaconstantcurrency,constantweekbasis.OurQ1revenuegrowthoutlookexcludestheestimatednegative6percentagepointimpact,orapproximately$450million,fromtheextrasellingweekwehadinQ1FY16,aswellasanegative$25millionto$75millionFXimpactonrevenuebasedoncurrentrates.
Turningtoguidanceonthebottomline.Webelieveitisreasonabletomodelnon-GAAPdilutedearningspershareintherangeof$4.60to$4.70,whichincludesapproximately$225millionto$250millionoftargetedvaluecapturesynergiesfromtheCovidienacquisition.WhiletheexpectedFXimpactonearningspersharefromourunhedgedcurrencieshasimprovedbyapproximately$0.05sinceMarch,thishasbeenoffsetbyanincreasedexpectedFXimpactoninventory.
Giventhis,assumingcurrentexchangeratesremainsimilarfortheremainderofthefiscalyear,foreigncurrencywouldhavea$0.20to$0.25negativeimpactonourFY17earningspershare.Ourguidanceimpliesearningspersharegrowthintherangeof12%to16%onaconstantcurrencybasisaftertakingintoaccounttheestimated$0.08to$0.10negativeimpactfromtheextrasellingweekinQ1ofFY16.
ForthefirstquarterofFY17,wewouldexpectearningspersharegrowthonaconstantcurrency,constantweekbasistobearoundtheupperendofourannualearningspersharegrowthguidancerange.However,itisworthnotingthatonareportedbasis,weexpectQ1earningspersharegrowthtobeslightlydowngiventheestimated$0.08to$0.10negativeimpactfromtheextraweekandtheexpectednegative$0.06to$0.08impactofFXbasedoncurrentrates.Asusual,ourearningspershareguidance
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doesnotincludeanychargesorgainsthatwouldberecordedasnon-GAAPadjustmentstoearningsduringthefiscalyear.Omar?
OmarIshrak(Chairman&CEO):
Thanks,Gary.WhileIhavemoretosaynextweekattheInvestorDay,IdidwanttotaketheopportunitytorecognizeGary'sservicetoMedtronictodayandwhatishislastearningscallasMedtronic'sCFO.Garyhasservedinthisroleforthepast11years,andsinceMayof2005,hasbeenwith--sinceMayof2005andhasbeenwithMedtronicsince1989.
GaryhasbeenaconstantcounseltomeduringthetimethatI'vebeenhereandhisexperienceandknowledgeandoverallguidancehasbeencriticalandinvaluabletobothmeandouroverallteam,aswenavigatedthroughaverycomplexenvironment.Gary'sexpertisewillbemissed,buthewillstillstayonasITandOperationsLeader,atleastforalittlewhile.Andwe'llstillhavethebenefitofhisstrongcounsel.MoreonthatatInvestor'sDay.
WewillnowopenthephonelinesforQ&A.AndinadditiontoGary,I'veaskedMikeCoyle,PresidentofourCardiacandVascularGroup;BryanHanson,PresidentofMinimallyInvasiveTherapiesgroup;GeoffMartha,PresidentofourRestorativeTherapiesGroup;andHoomanHakami,PresidentofourDiabetesGroup,tojoinus.
Wewanttotrytogettoasmanypeopleaspossible.Sopleasehelpusbylimitingyourselftoonlyonequestionandifnecessary,arelatedfollow-up.Ifyouhaveanyadditionalquestions,pleaseconstantRyanandourInvestorRelationsteamafterthecall.
Operator,firstquestion,please.
QUESTIONS&ANSWERS
Operator :
(OperatorInstructions)
OurfirstquestioncomesfromthelineofMikeWeinsteinwithJPMorgan.
MikeWeinstein (Analyst-JPMorgan):
Goodmorning,guys.Thanksfortakingthequestion.Letmejusttryandclarifyafewitems.One,couldyoujustmaybemakealittlebitclearerforustheFY17guidance,whatdoesthatassumeintermsofyourmargins?Second,IthinkIunderstoodthecommentaryonthefirstquarter.Basicallyyou'resayingdownslightlyonareportedbasis,solet'scallit$102million,$103million.Justwanttoclarifythat?Thanks.
OmarIshrak(Chairman&CEO):
Okay.I'llletGarytakethisone.
GaryEllis (CFO):
AsfarasFY17margins,wewouldexpectgoingforwardbasedontheassumptionobviouslyoftheearningspershareonaconstantcurrencybasis,growing12%to16%asweindicated.Theoperatingmarginswouldobviouslycontinuetoimprovesimilartowhatyousawinthecurrentyear.Obviously,thesynergiesfromtheCovidienintegration,asweindicatedinthecall,wouldbealittlebitlessfornextyear,buttheoperatingleveragefromtherestofthebusinesswouldbeobviouslyalittlebitmoreaswemoveintotheFY17periodoftime.
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Sooperatingmarginimprovement,we'renotgettingspecificonthat,butbasicallytheassumptionwouldbe,Mike,thatassuminga12%to16%constantcurrencyearningspersharegrowth.You'regoingtoseeasimilarkindofgrowthinoperatingmargins,similartoprobablywhatyousawinthecurrentyearasyoumodelthings.AsfarastheQ1guidance,whatwe'retryingtoindicateinthecallisthat,yes,beinginthethatupperendoftherangewouldtakeintoeffecttheextraweek,etcetera,Ithinkyou'reprobably--the$102million,$103millionyoumentioned,isprobablyrightinthatrangeasfaraswhatpeopleshouldprobablybeassuming.
MikeWeinstein (Analyst-JPMorgan):
AndGary,IwasaskingontheFY17margin,justbecausetheincrementalinventoryhiton--fromFX,I'mjusttryingtothinkabouttheactualimpactonreportedmarginsfortheyear.IwouldassumethatFXisgoingtonegatethat,right?
GaryEllis (CFO):
Iagree.Itwillbe.You'reright,onaconstantcurrencybasis,we'llcontinuetoseethekindofimprovement.TheFXimpactinthefirstquarterof$0.68reflectsthatwearegoingtostillseemoreFXontheinventoryinthatnumber.WesawalittlebithighernumberhereinQ4thanwhatwehadoriginallyexpectedandthat'swhatwebasedonourguidanceatthispoint.
Obviously,ifthatnumbercontinuestogetevenworse,thatcouldbeadifferentissue.Butrightnow,Ithinkitwillbeaslightnegativebut--mitigate,Ishouldsay,someoftheoperatingleveragewe'regettingonaconstantcurrencybasisaswesawduringthecurrentyear.Wewouldexpecttoseeonaconstantcurrencybasisthatwouldcontinue.Butasreported,you'rerighttheremightbelessofanimpactinQ1.Thanks,Mike.
MikeWeinstein (Analyst-JPMorgan):
Omar,foryou,maybejusttwoquestions.Soone,thecommentaryaroundsurgicalvolumesisobviouslyconsistentwithwhatwe'veseenfromcompaniesreportingfromacrossthesectoroverthelastmonthaswellasnotjustdevicecompaniesbuthospitalcompanies.Canyoujust--wasthecommentaryabouttheuptickinsurgicalvolumesconsistentoverthecourseofthequarter,beingthisissomethingthatyou'veseeneveninAprilandmaybeintoMay,ifyouhaveinsightintothat?
Andsecond,IwashopingyoucouldjustcommentontheDiabetesbusiness?Becauseyourinternationalperformancewasexceptionallystrongthisquarterandjusttryingtolookforwardtowhat'sgoingtoplayoutintheUSonceyouget670Gapprovedhere.
OmarIshrak(Chairman&CEO):
JustafewwordsandthenI'llletbothBryanandHoomangiveyousomemoredetails.First,Ithinkweyousawasteadyimprovementinsurgicalvolumesthroughthecourseofthequarter,andI'llletBryancommentinaminuteonthecontinuedoutlook.Whydon'tyousaythat,Bryan,andthenI'llcheckonDiabetes.Goahead.
BryanHanson (PresidentofMinimallyInvasiveGroup):
Idon'tknowthatIwouldgivespecificityinthequarter,butIwouldsaythesamething,acrossthequarterwesawmorevolumegrowththanwhatwehadseeninthelastfewquarters.Weuseabunchofdatapointstobeabletogettothat.OneofthebigdatapointsthatIpersonallyuseiscallingoursalesrepsbecausethey'reoutintheoperatingroomandtheyseethenumberofcases.Andthere'sadefinitefeel,therewasanincreaseinvolumesduringthequarter.Now,untilIseeitforanothercoupleofquarters,I'mnotcallingitatrend,it'sonequarter,butitcertainlyfeltniceinthequarter.
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OmarIshrak(Chairman&CEO):
WithDiabetes,I'llletHoomancomment.Obviously,we'reveryexcitedaboutthepotentialofthehybridclosedloopsystem.ButIalsowanttodrawyourattentiontomuchofthecommentaryaroundourbroaderbasedefforts,thatthatisoneaspectofourgrowthinDiabetes.Ithinkwe'reveryexcitedaboutwhatwecandoaboutoverallpatientmanagementandinouragreementsthatwecanmakewithmajorstakeholderssuchaspayers,likewedidthislastquarter.Hooman,doyouwanttosayafewwords?
HoomanHakami(PresidentofDiabetesGroup):
Sure.Thanks,Omar.Hey,Mike.IwouldconcurwithwhatOmarsaid.Ithinkifyoutakealookatourperformancethisquarter,10%growthisstrong.ItwaslargelydrivenbyO-USrevenuesandthe640GproductandIthinkitjustshowsyouwhatkindofuptakewecangetwithanewproductlaunch.TheUScontinuestobecompetitiveandherewehaveaproductthatwaslaunchedinSeptemberof2013.Andsowedon'thavethebenefitintheUSofanewproductlikewedoinEurope.
ButIthinkthisunderscoresacouplethings.One,iswhatOmarsaid,isthatourrevenuebaseisbecomingmoreandmorediverseandweareseeingmoretractionfromO-USrevenues,fromemergingmarketrevenuesandfromcallit,non-type1revenueswithtype2andServicesandSolutions.TheotherthingthatIthinkitshowsisthatwhenwedogetanext-generationplatformhereintheUnitedStates,wecanexpectsomegreatresults.Thetractionwe'reseeinginEuropeandthefeedbackthatwe'reseeingonournewpumpplatformisgreat.WeexpecttoseethathereintheUnitedStatesonceit'slaunched.Soaswegetthe670,wethinkthere'sgoingtobereallystronguptickthereandasyouheardfromthecommentary,thingsareontrackwithrespecttothat.
Andthenfinally,thelastpointIwouldmakeisthatbetweennowandwhenthenext-generationpumpcomesout,Mike,we'vegotalotofassetsthatwecanleveragewithintheDiabetesbusinessintheUS.Thesizeofoursalesforceisthelargest.ThesizeofourclinicalteamisthelargestintheUS.We'vegotthelargestscaleandserviceinfrastructureforpatients.We'vegotdeepandbroadpayerrelationshipsandontopofthat,we'vegotagrowingtype2andsolutionsbusinesshereintheUnitedStates.Sowefeelgood.EventhoughthecompetitioncontinuestointensifyintheUS,wefeelgoodaboutouroverallglobalperformanceandthenoncethingscomewiththenewproduct,itwill--wefeelvery,verygood.
OmarIshrak(Chairman&CEO):
Thanks,Hooman.Thanks,Mike.We'llgotothenextquestion.
Operator :
OurnextquestioncomesfromthelineofDavidLewiswithMorganStanley.
DavidLewis (Analyst-MorganStanley):
Goodmorning.Afewquickquestionshere.Firstquestion,Gary,justtorectifyFY17guidance,somenon-opitems.Yourfreecashguidancefornextyearisverystrong.Iwonderifyoucouldupdateusontwopoints?OneisjustthesizeandtimingofanticipatedbuybacksintheguidanceaswellaspotentialtaxrateforFY17?AndIhadacouplequickfollow-ups.
OmarIshrak(Chairman&CEO):
Goahead,Gary.
GaryEllis (CFO):
Asfarasthefreecashflow,theguidancethatwe'regivingof$6.5billionto$7billionfornextyear,isin
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linewithwhatwe'reexpectingfromouroperatingearningsgrowthandcontinuedfocusonworkingcapital.Sothatexpectation,wedoexpectaswe'veindicatedpreviouslyandwe'lltalkmoreaboutitattheinvestormeeting,thatourfreecashflowwillcontinuetogrowverynicely,probablyclosetothedouble-digitrangesimilartotheearningsaswegoforward.Sowe'refeelingconfidentaboutthat.
We'renotgettingspecificobviouslyaboutwhatwe'redoingwithsharebuyback,butasweindicatedpreviouslywhenweannouncedtheincrementalbuyback,andifyouwatchedhistorically,wetendtodothat,wesaidwe'regoingtobemorefrontendloadedonthat.IthinkyoucouldassumethesamethingaswegointoFY17,thatit'smorefrontendloadedthantowardsthebackhalfoftheyear.Andso,butwe'renotgettingspecificabouthowmuchwe'regoingtobeincludinginthatpieceofit.
Soasfarastaxrategoes,there'sobviouslythebenefitoftheR&Dtaxcreditcatch-upduringthecurrentyear.Ifyoutakethatoutoftheequationgoingforward,wehaven'tprovidedanyspecificguidanceontaxrate,butwe'rebasicallysayingthatourtaxrate'sgoingtoberelativelyflatwithwherewe'recurrentlyat.SoIwouldn'texpectanysignificantuptickorreduction.
DavidLewis (Analyst-MorganStanley):
Okay.Andthenjust--that'sveryhelpful,Gary.Thankyou.Maybeafollow-uportwohere.OmarorGary,there'sbeenalotoffocusasyouknowonquarterlymarginperformancebutthenetthatwe'vegotfromseniormanagementisthatthere'salong-termmarginopportunityhere.Couldyoutalkaboutyourconfidenceandlong-termmarginassumptions?Whyyoubelievethatdouble-digitearningsprobablycansustainitselfforafewyears?
AndIthinkabouttheCovidiensynergynumberyougavetoday,$225millionto$250million,certainlygetsyoutoan$850millionnumberinafewyears,butitmaynotgetyouabovethat$850millionnumber.What'sgivingyoutheconfidencethatyoucandeliverthisdouble-digitearningsforlonger?
OmarIshrak(Chairman&CEO):
Anumberofthings.TheInvestor'sDay,thiswillbeacoresubjectbecausewewanttoexplainthistoyouindetail.Itstartswithourrevenuegrowth.You'vegottogettoourmidsingle-digitrevenueonaconsistentbasis.Otherwise,you'vegotabighilltoclimbhere.Revenuegrowthhastobesustainableandithastobeconsistent.Thatissomethingthatwe'refeeling,asIsaid,betterandbetterabout.
Havingsaidthat,thenweneedoperatingleveragelikeyousaid.Andthatintheshort-term,comesfromtheCovidiensynergies.ButwhattheCovidiensynergiesdo,isitbuildsaplatformforusfromwhichwecancontinuethesamework.Aswekeepgrowing,takingadvantageofourscale,inourfunctionalcostsprimarily,wethinkwe'vegotproductivitythathasalongtail,alongtailthatwecancontinuetodo.Andinadditiontothat,ourproductcostreductionwillalsohavegoodsustainabilityasweconsolidateourmanufacturingoperations,whichreallyhaven'tevenbuiltintoanyofthesynergiesatallinour$850millionnumberbecausewefeelthatthatwouldtakelongerthantheinitialthree-yearperiod.
Intheinterestofpreservingrevenueandnottakinganyrisks,that'swhywedidn'tjumpintothat.Whatitdoes,isitgivesuscontinuedsustainabilitybeyondthethree-yearperiod.Thosearethetwomainthings.It'sanareaofextremefocusforusandwethinkit'sveryimportantforustobuildaplanthat'ssustainableandthat'sdiversifiedinawaythatisreliable.Andwe'llwalkyouthroughalotofthoseatInvestorDay,butthat'sessentiallyourthinking.
DavidLewis (Analyst-MorganStanley):
Okay.Thankssomuch,Omar.I'lljumpbackinqueue.
OmarIshrak(Chairman&CEO):
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Thanks,David.
RyanWeispfenning (InvestorRelations):
We'llgotothenextquestion,please.
Operator :
OurnextquestioncomesfromthelineofDavidRomanwithGoldmanSachs.
DavidRoman (Analyst-GoldmanSachs):
Thankyou,andgoodmorning,everybody.IwanttogoovertotheCVGbusinessforasecondandmaybeyoucouldtalkinalittlebitmoredetailabouttheperformanceoftheTranscatheterValvebusinessandhelpusunderstandthepathtoreturningtomarkettypegrowthintheUSandmaybewhatyou'reseeingspecificallyfromanendmarketgrowthperspective,howthat'sevolvedsincetheACCandhighlightyourrelativecompetitivepositioning?
OmarIshrak(Chairman&CEO):
Goahead,Mike.
MikeCoyle (PresidentofCardiacandVascularGroup):
First,theoverallgrowthofthemarketisatthehighendoftherangesthatwehadbeenspeakingaboutinpriorquarters.Theglobalmarketappearstobegrowinginthemid-30s.Ourreportedgrowththisquarterisinthehigh20s.IthinktheprimarydifferencebetweenourgrowthandthemarketgrowthistheperformanceofthelargevalvesegmentoftheEvolutR.Wedon'thaveavailableyetthe34-millimeterversion.Whenwedogetthatproduct,wewouldexpecttobeabletohaveitsshareperformanceperformliketheotherthreesizesdoandprovideussharegrowthopportunities.Sothatwouldbetheprimarycurrentdynamic.
Intermsofoverallmarketgrowth,obviously,bothinternationalandUSgrowthiswellaboveasIsaidhighendofwherewehavebeenthinkingthemarketwouldgo.Wethinkthepositivedataintheintermediatesegmentthathasbeenavailable,A,fromacompetitiveandB,fromourownsubanalysisofourhighriskdatabodeswell(technicaldifficulties).Essentiallyanexpectationthatbythetimewegetto2021,weshouldbelookingatamarketthatisaround$4billionwithsomemodestpenetrationofthelowrisksegmentandofcourse,we'venowstartedclinicaltrialactivitiesinthatlowrisksegment.SoIthinkthatwouldbeourpictureofthemarketcurrently.
DavidRoman (Analyst-GoldmanSachs):
Okay.Andmaybejustafollow-upontheP&L.Clearly,you'veelectednottogivesegmentmargin,P&Lmarginguidanceormodelinghelp,whateveryouwanttocallitfor2017versuswhatyou'vegivenintheprioryear.Andgiventheinvestorfocusonthosemetrics,IwanttobeveryclearabouthowtothinkaboutthisforFY17,thatthecontextshouldbeessentiallystable-ishtomaybeslightlydowngrossmargins,leverageontheSG&Aline,youhavethisdynamicwithotherexpensegivingyoumodestreportedoperatingmarginexpansion,aflattaxrateanddownsharecountiswhatgetsyoutothe$460millionto$470million.ArethosetherightmovingpartstothinkaboutinthemodelforFY17?
OmarIshrak(Chairman&CEO):
That'sprettygood.
GaryEllis (CFO):
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Yes,withoutgivinganymodelingviews--
OmarIshrak(Chairman&CEO):
Youfigureditout.
GaryEllis (CFO):
Ithinkyou'vesummarizeditwell.Again,we'retryingtofocusonwhatthetwoleversthatwearedriving,revenueandthebottomline,andtheleveragewetalkedaboutthere.Butyou'reright,toachievetheconstantcurrencyearningsgrowththatwehighlightedinhere,we'regoingtohavetocontinuegettingoperatingmarginimprovement,whichweexpectwithnotonlytheCovidienintegrationsynergiesbutclearlywithwhattheotheroperatingleveragecomponentswe'redriving.
Thegrossmargin,theonlycommentIwouldmaketoyourcommentsisI'mnotsosurethatthegrossmarginwillbedown.It'spossibleitwillbeonanasreportedbasisbecauseofFX.Buttherealityisweareexpectingsomeoftheoperating--excuseme,someofoursynergiestostarttobecominginthemanufacturingline.It'spossibleyoucouldseethegrossmarginbeingflattomaybeevenslightlyimproving.That'sprobablythebiggestfluctuationwesawhereinQ4,soIthinkyourassumptionsfornextyear,thewayyoulaiditout,isprobablynotabadassumptionrightnowuntilwecanactuallyshowthatwecanimprovethegrossmarginalittlebit.
DavidRoman (Analyst-GoldmanSachs):
Justtobeclear,Iwaslayingthatoutonasreportedbasisjusttoreflectthenumbersthataregoingtoendupinaconsensusbecausethat'swherewe'realsomyopicallyfocusedrightnow.That'swhyIwassayingdownonareportedbasis.
GaryEllis (CFO):
Iagree.
DavidRoman (Analyst-GoldmanSachs):
Butoperatingmarginsslightlybetteronareportedbasisyear-over-year.
GaryEllis (CFO):
That'sright.
DavidRoman (Analyst-GoldmanSachs):
Gotit.Thankyouverymuch.
RyanWeispfenning (InvestorRelations):
Thanks,David.We'llgotothenextquestion,please.
Operator :
OurnextquestioncomesfromthelineofBobHopkinswithBankofAmerica.
BobHopkins (Analyst-BoAMerrillLynch):
Hello,thanksandgoodmorning.Canyouhearmeokay?
OmarIshrak(Chairman&CEO):
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Yes.
BobHopkins (Analyst-BoAMerrillLynch):
Goodmorning.Sotwoquestions.Onelookingbackwardsandonelookingforwards.Firstlookingbackwards,Omar,I'dlovetogetyourtakeonsomething.Youguyshavereallybeenperformingverywellonthetopline,butoverthelasttwoquarters,youkindofstruggledtogettoyourgoalsonoperatingmargins.AndIjustwantedtogetyourtakeonthat.Isthisacasewhereyou'rejustnotquitegivingyourselfenoughroomwithguidancetoaccountforthenormalfluctuationsthatyouseeoraresynergiesmaybeyouexpectedalittlebitmore?Justwantedtogetyourtakeonthelasttwoquartersfromanoperatingmarginperspective?
OmarIshrak(Chairman&CEO):
Ithinkitreallyistheguidancebeingtootight.OurmainareaoffocusisoverallEPSandwefeltthatwithallthesemovingparts,thatwe'retobalanceandthengettoanEPSnumber.Thattightofaguidancethatwe'vetalkedaboutbeforewasreallydirectionalinbuildingtotheoverallEPSandifweknewthattherewasgoingtobethatmuchscrutinyontheoperatingmarginline,wewouldneverhavegivensuchatightrange.
Thesortsofthingsthathappened,therewasnowayinwhichwecouldhavepredictedthem.AndwiththingsliketheBellcoacquisition,anditsmath,wehadn'treallydonethataccuratelybecausewejustclosedtheacquisitionaweekbeforewedidourearningscall.Whenwelaiditout,someoftheseelementsbecameobviousandtherewerepressures.It'sabsolutelytherightthingtodoforthelong-termandit'sanextremelyaccretivepositivedealforus,butonanimmediatethree-monthbasis,youcangetsurprises.
Soreally,ourguidanceshouldhavebeenmorethoughtthroughandwereallyfeelthatmovingtowardsanEPSgoalistherightwaytolookatourCompany.Becauseit'sacompanywithalotofassetsandcapabilitiesandwethinkthatifitgrowsmidsingle-digits,deliverEPSleveragetoanextentthatgivesusdouble-digitEPSgrowth,return50%offreecashflowtoourshareholdersonaconsistentbasis,that'saprettygooddealifyoucandothatataconstantcurrencylevel.Gary,doyouwanttosayafewwords?
GaryEllis (CFO):
Bob,Ithinkyousaiditwell.Inhindsight,ifwewouldrealizehowmuchfocuswasgoingtobeontheoperatingmarginline,wewouldhaveprobablyclearlyhavegivenabroaderrangewhenweweretalkingaboutthatattheendofourQ3earningscall.30basispointrangethatwegaveonanasreportednumberwheretheFXandeverythingelsemoving,30basispointsis$20millionsomething.Soona$7billionCompanywithFXandalltheseothermovingparts,thatwasmymistake.Weshouldhavenothavedonethat.Butwedidn'trealizethefocuseveryonewasgoingtohaveonit.
ThereasonIthinkweweretryingtoaddressitandgetitoutthereforthemodelingwasexactlythat.It'snotthatwe'renotgettingthesynergies.Infact,ifanything,theCovidiensynergiesandtheotheroperatingleveragewe'regettingacrosstheorganization,wefeelverygoodaboutandwe'retrackingthatonaverytightbasis.It'stheothermovingpartsthatyougetfromalargeorganizationlikethisthatwegetspecificoncertainlineitemsiscreatinganissue.
Whatwe'retryingtodoasOmarsaid,isfocusonwe'redrivingthetopline.Wehaveplentyofleversincludingallthecostsynergiesthatwe'reachievingtodrivethebottomline.Butingeneral,there'sgoingtobesomemovingpartsinthemiddleandwewerewaytoospecificinQ3onthetightrangeontheoperatingmarginandthatwasmymistake.
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OmarIshrak(Chairman&CEO):
Thesemovingparts,wehopetooffsetattheEPSlevelbecausethenthatgivesyouthefullflexibilitytobeabletodothat.Sothat'sthewayinwhichwearemodelingourbusiness.
BobHopkins (Analyst-BoAMerrillLynch):
Thankyouforthat.That'shelpful.Andthenoneotherquestionlookingforwardonthe2017guidance.First,areyougoingtoprovideanylongertermdirectionalguidanceattheAnalystDayonthesixth?Andthensecondly,itjustseemslikesincethelasttimeontheQ3call,yougavesomepreliminarythoughtson2017,anditseemslikewhatyou'redoingtodayisjustsortofnarrowingthatrangewithafewmovingpieces.
ButasIlookacrossthebusiness,thereareacouplethingsthatitwouldsuggesthavegottenbetter.You'vedoneadealthatlooksalittlebitaccretive.Youdidarefinancingthatlooksalittlebitaccretive.ImighthavethoughtthattheEPSguidancewouldbealittlebithigher.Ijustwonderifyoucouldcommentonthosetwothings?Anylong-termthoughtsandjustmaybesomethoughtsonthe2017guidance?
OmarIshrak(Chairman&CEO):
We'llcertainlydiscussthelong-termstrategyattheInvestor'sDay.Sojustholdonforaweekforthatone.Andintermsoftheguidance,look,likewejustmentionedearlier,therearealotofmovingparthereandwe'vebeenburnedbyFXbefore.Andsowejustwantedtobereasonableinourapproachandthat'sthemostaccurate.It'snotovertlyconservativenorisitovertlyaggressive,anestimatethatwegave.It'safairlybroadrangeandobviously,wedoourbesttomaximizeperformance.That'sreallythebestIcandotherewiththatrange.
GaryEllis (CFO):
Again,remember,Bob,attheQ3call,wereallydidn'tgiveanyguidanceforFY17.Wejustsaidrememberthesefactorsasfaraswhenyou'reputtingtogetheryourthoughtsforFY17andIthinkwebasicallyhavecomein.Asyousaid,wetightenedupalittlebitfromthatasfaraswherewe'reat.
FXhasbeenmovingaround.Youlookatitevenjustafewweeksago,itwasprobablynot$0.05benefitfromwhereweweretalkingabout,itwasgoingtobeasmuchasanother$0.03or$0.04higherthanthat.Butthenthedollarstrengthensagainalittlebit.We'rebeingsomewhatcautiousbecauseasOmarsaid,FXhascontinuedtobeaheadwindforusandweexpectthatinthenextyear.
You'reright,fromanoperatingperspective,thingsaregoingverywell.Therevenueisstrong.We'regettingtheoperatingleveragewewouldexpect.Butthere'salsoalotofstillmovingparts.Westillhavealotofintegrationeffortswehavetogetdone.We'regoinglivewithSAPinEuropefortheCovidienentitiesthisweek.Sothere'sjuststillalotofmovingpartsandwethinktherangewe'vegivenisconsistentwithwhatwecommunicatedbeforeandconsistentwithourlong-termstrategy.
BobHopkins (Analyst-BoAMerrillLynch):
Thankyou.
RyanWeispfenning (InvestorRelations):
Thanks,Bob.Nextquestion,please.
Operator :
OurnextquestioncomesfromthelineofJoshJenningswithCowenandCompany.
CompanyName:MedtronicPLCCompanyTicker:MDTSector:HealthCareIndustry:HealthServices
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JoshJennings (Analyst-CowenandCompany):
Hello.Goodmorning,gentlemen.Thanksfortakingthequestions.IwashopingtojustaskfirstquestiononorganictoplinegrowthguidancethatyouprovidedforFY17,it'salittlebitofatighterrangethanwe'reusedto.Clearly,you'reconfidentinthelowerendoftherange,northof5%.Canyouhelpusthinkabouthowyousetthetopendoftherangeat6%andwhetheryou'releavingsomeconservatismintheguidanceandwhatneedstohappeninordertogettotheabovethattopendoftherange?
OmarIshrak(Chairman&CEO):
Well,weneedtodeliverwhatwetalkedaboutfirstbeforewethinkaboutgoingabovethat.Firstofall,therangeistighter,that'strue.Andwedidemphasizethewordsgivencurrenttrends.Weareoverallcommittedinthemidsingle-digitrangeandwefeelthatgivenourperformanceandgiventhediversityofourportfolio,wecangettotheupperhalfofthatrangelikewe'vediscussed.Andweneedtofirstdeliverthatconsistentlybeforewetalkaboutmeaningfulupsidebeyondthat.
LikeImentionedinpreviouscalls,whatwilltriggeranythoughtofconsistentlydeliveringoverthatwouldbeifweoverachievedoneachofourgrowthdrivers,newtherapies,servicesandsolutionsandemergingmarketsforafewquartersinarow.Onlythenwe'llhaveconfidencethatmorethan6%issustainable.You'llgettheoddquarterwherewedobetter,butyouwillgetsomepressuresinotherquarters.SoIdon'twanttobankonthatyet.
Likeyousaid,itisatightrangeandit'ssomethingthatweinternallydiddebateabout.Butgiventrendsandthefactthatwe'vebeenholdingthatlevelofperformanceoverasignificantperiodoftime,makesusfeelreasonablyconfidentthatit'ssomethingthatwecanachieve.That'sIthinkthebestresponseIcangiveonthatone.
JoshJennings (Analyst-CowenandCompany):
Okay.Thanks.Andjustaquestiononlonger-termmargins.AstheServicesandSolutionsbusinesscontinuedtocontributetotherevenuebaseandtoplinegrowthatmoremeaningfullevels,canyoujusttalkabouthowweshouldthinkaboutthatcontribution'simpacttomarginsaswemoveforwardintoFY17,FY18andbeyond?Thanksalot.
OmarIshrak(Chairman&CEO):
We'lllaysomeofthatoutattheInvestor'sDay.Butessentially,asyoupointout,ServicesandSolutionsnetoperatingmarginonitsownisusuallylowerthanwhatwegetfromadeviceperspective.However,inalmostallofthesetransactionsandagreementsthatwemake,thereisadevicecomponentthatgetsattachedtoitandwegetincrementaloverallrevenueandwefindthatoverall,ouroperatingmargindollarsgoupsignificantlyasaresultofthesetransactions.Andthenaswegoforward,weexpecttoseeproductivityfromthoseServicesandSolutionsarrangements,bothfromtheservicesthemselves,butalsofromhopefully,lowercostofsalesinsomeofthoseaccountsofsupportsales.
That'sthewaywe'relookingatit.It'ssomethingthatwefeelthatwehavetocoverinouroverallmodelandyetdelivertheEPSthatwe'retalkingabout.Andthat'swhatwe'refocusedonanduseeveryothervariablethatwehavetocoverforthat.Becausewedothinkthattheservicesandsolutionsgivesusasustainablelong-termgrowth,whichisverysticky.Andbesidesthat,it'ssomethingthatourstakeholdersandcustomerswant.Soit'ssomethingthatwe'regoingtomanagefromouroverallbusinessperspectiveandnotgettoolineitemfocusedonthatone.Doyouguyswanttoaddanythingtothat?
GaryEllis (CFO):
Ithinkyousaidit,Omar.Inandofthemselves,theServicesandSolutionsbusinesshasalowermargin
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justbyitsverynature.Buttherealityisthere'sbenefitsthatalsobenefittherestoftheCompanyfromthoseServicesandSolutionsthatactuallycanpotentiallyhelpleveragesomeofthemarginsonthosetypeofequations.It'salittlebitofaheadwind,especiallyhereinthenear-term,asOmarsaid.
Aswegetmoreefficientatit,wegetmoreproductivityoutofit,ingeneral,wedon'tthinkitwillhaveahugeimpactonouroveralloperatingmargins.Andobviously,itwillhelpsolidifyandgiveusmoresustainabilityinouroverallrevenuegrowthandeveninouroverallshares.So,wefeelgoodabouttheprospectoverallandhowitincreasesthebottomlinegrowth.Butyou'reright,inandofthemselves,thosecontracts,theServicesandSolutionscomponenthasaslightlyobviouslylowermarginthantherestofthebusiness.
OmarIshrak(Chairman&CEO):
Ithinkthatisanimportantpoint,ifIcanjustfollowup,justtogiveyouspecificity.WejustdidthisacquisitionofNOKintheNetherlands.That'sabusinesswhichdoesbariatricsurgeryaswellasothersupportareas.Andthenetoperatingmarginofthatbusinessislowerthanouraveragebutreasonable.
Whenyoulayerinoursurgicaldevicesintothosecontractsonaconsistentbasis,thatdrivesupourvolumeonveryhighmargindevices,whichgetscoupledtothistransactionandthereforeincreasestheoverallmarginratesignificantlyinthosekindsofaccountsfromwhatNOKoriginallyhad.Andsothat'sthekindofthingthatwethinkwecanscalearoundtheworldandgetsignificantbenefit.
JoshJennings (Analyst-CowenandCompany):
Great.Thanksforallthedetail.Thankyou.
RyanWeispfenning (InvestorRelations):
We'lltaketwomorecallers,please.Nextquestion.
Operator :
OurnextquestioncomesfromthelineofMattTaylorwithBarclays.
MattT aylor (Analyst-BarclaysCapital):
Thanksfortakingthequestion.Justwanttogobacktoyourearliercommentsaboutsurgicalvolumes.Iwascuriousifyouhadanythoughtsaroundwhat'sdrivingtheincrementalimprovement?Isiteconomyorcoverageorproducts?Whatdoyouattributesomeofthatimprovementto?
OmarIshrak(Chairman&CEO):
Well,giventhatitisconsistentwithwhatallthehospitalsarereporting,I'vegottosaythattheoverallhealthcaredemandifyoulikeintheUS,issomethingthatisonanupwardtrajectory.That'sgottobethefundamentalreasonandit'sprobably--someofitisjustnaturaldemographicswhichprovidesthis.
Theotherisprobablywe'reseeingsomeoftheimpactoftheAffordableCareActandalloftheinitialpiecesofincreasedcoveragemighthavebeenmoreupstreaminnatureindiagnosticsandsoon.Someofthesewillleadtomoreprocedures.ThosearetheonlythingsthatIcansortofintelligentlytalkabout.Otherthanthat,justwhatweexperienced.
Itisnotsomethingthatiseasytopredicttobefairandwelookatallkindsofdifferentfactorsandthendothebestwecan.Wehaveleadingindicators.Wetalktopeopleandwegetasenseforit,buteverythingelsethatIjustsaidwasclosetoconjectureonmypart.
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BryanHanson (PresidentofMinimallyInvasiveGroup):
Iwouldsaythesame.It'sverydifficulteventoget--you'vegottogotodifferentdatapointsandtriangulatejusttogetasenseforwhat'shappeningtothevolumestogodeeperlevelthanthatandunderstandwhyit'sdifficulttomakeassumptions.It'sverydifficulttopinpointthespecificreason.
TheotherthingIwouldreferencebeyondjusttheincreaseinoverallvolume,theotherthingthatwe'reseeingisamixshift,amuchgreatergrowthintheMISproceduresversusopen.AndthisisprettyconsistentwhenIlookatotherplayersinthemarketplaceandIlookattheirrevenuegrowthinthequarter.
SoI'mreallyhappyaboutthatandtruthfully,that'sprobablythebiggeropportunity,asmalluptickinsurgicalvolumesintheUSversusarealchangeinmixshifttoMIS.I'llgowiththemixshifttoMISalldaylong.Andthat'sprettyconsistent,again,withwhatwe'veseen,whatourrepsaretellingus,andwhatwe'reseeingfromothercompaniesthatareplayinginthesamespace.Thattomeisreallythestory.
MattT aylor (Analyst-BarclaysCapital):
Thanks.AndjustoneonSpine.Youdidalittlebitbettertherethisquarter.Youwereflat.Canyoutalkaboutyouroverallstrategythere?YourecentlyannouncedthisdealwithMazor.CanyoutalkaboutsomeproductsflowandotherimprovementsthatcouldhelpSpinethisyear?
OmarIshrak(Chairman&CEO):
Sure.Wedetailedsomeofthatinthecommentary.I'llletGeoffcommentonthatdirectly.Sogoahead,Geoff.
Geof f Martha(PresidentofRestorativeTherapiesGroup):
Sure.SohittingtheMazordeal,weareveryexcitedaboutthat.ThatisI'llcallitonelegofamulti-prongedstrategyaroundwhatwecallsurgicalsynergies.Andwefeelaswemoveoutintothefuture,thesesurgicalsynergieswillbeinSpine,ourcallingcard.We'vegotverystrongenablingtechnologyplatformsinnavigationandimaging.We'reexcitedaboutthepartnershipinroboticswithMazor.
Andthenintegratingtheseplatformsaswemoveforward,toprovideadiffer--todifferentiatespineprocedures,botheconomicallyandclinicallyandthesurgeonexperience,lowradiation,justaneasiersurgicalprocedures,etcetera.WethinkisgoingtodifferentiateourSpinebusiness.Andsoasyoumoveforward,andthisisnot--thisisn'tfiveyearsfromnow.Thisisgoingtotakeplacequarter-over-quarteraswecontinuetoemphasizethis.Sothisissomethingwe'reveryexcitedabout.
Andaswemoveforward,outsideofsurgicalsynergies,wedohaveanumberofproducts.StartinginourFY14,FY15,ourSpinebusinessputalotofeffortintorevampingtheproductportfolio.Andtheproductsthatarehittingthemarketnow,ourElevatecageforexample,Voyager'sanotherone,andthisquarterlaunchingournewOLIFprocedures,I'mcallingthemoursecond-generationOLIFprocedures,we'regettingaterrificuptickinthesethings.Myonlyregretisthattwoquartersagowhenwewereplanning,wedidn'tplanaggressivelyenough.BecauseIthinkwe'rehittingourmaximumwithsetsandifwehadmoresetswe'devenseemoregrowth.
That'ssomethingthatwe'retakefactoringintoourplanninggoingforwardistobealittlebitmoreaggressive.Butbothfromaproductstandpointandfromwhatwecallsurgicalsynergiesstandpoint,thingsarelookingverygoodforourSpinebusinessrightnow.Asyoupointedout,everyquarterwe'veimprovedoverthelastfivequarters.Andit'sabigshift,takesalittlebitoftimetochangethedirectionandyoushouldcontinuetoseecontinuedimprovementquarter-over-quarter.
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MattT aylor (Analyst-BarclaysCapital):
Thanks.
RyanWeispfenning (InvestorRelations):
Thanks,Matt.We'llgotoonemorecaller,please.
Operator :
OurfinalquestioncomesfromthelineofKristenStewartwithDeutscheBank.
KristenStewart (Analyst-DeutscheBank):
Hello.Thankseverybody.HopeyouallhadahappyMemorialDayweekend.Ihadacoupleofquestions.JustwantedtogobacktotheRTGandthenewreportingdivisions.Isthereanythingtobesaidforjustthefourdifferentbusinesses?Isitmorejustalignmentwiththeunderlyingsurgeonsorisitjusttofacilitatemaybebetterstructuretoimprovetheperformance?Howshouldwethinkaboutthis?I'mjustkindofcuriousifithasanythingtodowithjustperhapsisolatingSpineandperhapsthinkingaboutitasmaybelesscore?
Geof f Martha(PresidentofRestorativeTherapiesGroup):
No,actuallyit'snotisolatingSpine.Theotherwayaround,actually.There'sacouple--Kristen,there'sacouplechangesgoingonandwe'llgetintothisnextweek.Justsummary,one,movingintothesedifferentreportingdivisionsisreallyputtingthebusinesses,organizingthembydiseasestateorconditionversustechnology.
AndtheexampleI'llgiveisNeuromodulation.Thatwasabusinesslargelyheldtogetherbasedontechnologyandplanablestimulator.Andfromwhetheritbegastroeuro,whichwe'renowcallingpelvichealth,orwhetheritbeDBS,orpainstim,they'reallcallingondifferentphysicians,specialitiesandwereallyfeltwewouldgetmoretractionifweorganizedbydiseasestateversusbytechnology.So,that'sgoingtohelpusone,focusonthephysiciansappropriatelyandtwo,innovate.Becausewhenwe'reinnovating,we'relookingacrossthediseasestateandacrossthecarecontinuum,rather.That'sonechange.
AndtheotherchangethatOmarmentionedinthecommentarywasmovingtothisgeneralmanagerstructure.Sothatgetstomoreexecution.AndthisissomethingthatCBGhasdoneoverthelastfouryears,fiveyears,whereyou'rehavingGM's--generalmanagers,thatare100%focusedontheindividualtherapysegmentthattheyserveandthoseproductswithinthattherapysegment.Andsomakingyourbusinessesmoresmaller,morefocusedandgranular.Sothat'sanothercomponentofthat.
Andthenalongwiththis,wehavefairlysweepingleadershipchangesacrossRTG.AndmanyoftheleadersthatareyounowrunningthegrouparetopperformersfromotherpartsofMedtronic.Andsocombinedwiththedifferentstructureanditsdiseasestate,organizationwiththisGMstructuretodriveinnovationandnewplayers,provenplayers,fromotherareasinMedtronic,wefeelverygoodaswehitFY17.
OmarIshrak(Chairman&CEO):
Andagain,toclarifytheSpinecomment,look,there'saspecificSpinecustomer.Theonlythingthatwedidwasremoveinterventionalfromitandthatisnotthesamecustomer.ItmadealotmoresensetogroupthattogetherwithPainwherewehavealotofassociatedtherapiesandweweremissingthebigpicturelookatPainbysplittingupallthedifferentverysignificantnon-opioidtherapiesthatwehad.This
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wasreallyadisease-basedlookandalookatourcustomersandthatwilldriveinnovationanditwilldriveaclearerpictureofhowwegotomarketwithoursalesforce.Andthen,itfinallyleadstovalue-basedhealthcare,drivingforoutcomes,that'stheonlywayinwhichyou'regoingtodoit.
Geof f Martha(PresidentofRestorativeTherapiesGroup):
AnotherthingonSpine,regardingsurgicalsynergies,asyouknowtheenablingtechnologyplatformssitinwhatwehistoricallycallthesurgicaltechnologies,whichthatcomponentofitisnowinourBrainbusiness,soNAVandimaging.Weactuallybuiltasmallsurgicalsynergyteam,whichisabridgebetweenthatbusinessandourSpinebusinessandlookingatanintegratedtechnologyroadmapbyprocedureaswemoveout.AndthatalsoworksforDBSaswell.
Sobefore,wehadtwoseparatebusinessesthatweren'tlinkedquitecloseenoughinmyhumbleopiniontodrivethesurgicalsynergybenefit.Soweputasmallteamthatincludesmarketingaswellasengineeringtalenttodrivethatintegratedtechnologyroadmapandthatvalueproposition.
SojustinQ4alone,wehad15newcombinedcapitalequipmentSpinecoremetaldeals,whichissignificantlymorethanwe'vehadinthepriorthreequarterscombined.Andthisissomethingthatisaresultofthat.Andaswemoveforward,you'llseethetechnologyroadmapmoreintegrated.Sowe'veactuallybuiltalittlebitofabridgebetweenSpineandourcapitalequipmentbusiness.
KristenStewart (Analyst-DeutscheBank):
SotakingthestructurethatwassuccessfulwithCBGandoverlayingthatto--
Geof f Martha(PresidentofRestorativeTherapiesGroup):
Absolutely.
KristenStewart (Analyst-DeutscheBank):
Andthenjustafollow-uponDiabetes.Isawtodaytheannouncement,orIguessitwaslastweek,withQualcommwiththetype2diabetes.MaybeifyoucouldjusthaveHoomanexpandalittlebitmoreonthat?It'sbeeninterestingtoseemoreoftheemphasisontype2.Thisseemstobeveryearlystage,butwhenmightaproductlikethiscomeoutorjusthowshouldwethinkaboutwhattoIguesslookforwardtonextweek?
HoomanHakami(PresidentofDiabetesGroup):
Sure.Hello,Kristen.Look,wecontinuetobeexcitedaboutandfocusedonourtype2business.Thisisanewbusinessunitthatweputinplacealittleoverayearagoandwe'lltalktoyouabouttheproductroadmapnextweekattheInvestorDaysession,soyou'llgetmoreinsightthere.Butsufficeittosaythatourfocuswithintype2,first,thetype2populationis90%ofallpatientswithdiabetes.Soit'sahugemarketopportunity.
Whenyoutakealookatthose90%ofthepatients,whatwehavedecidedtofocusonisreallymonitoringthose90%.Wecouldhavegonetherouteofinsulindeliverybecausethat'salsoacorecompetency,butinsulindeliverywithinthattype2populationonlyaddressesabout10%ofthat90%.Thebroaderopportunityiswithinmonitoring.AndwhatyouseewithQualcommLife,whatyou'reseeingwithiPro2andournewpatternsnapshotcapabilitiesarereallyoureffortstobringmoreandmoreadvancedmonitoringsolutionstothosetype2patients.
Andattheend,ourgoalisn'tjusttodeliverasensortothosepatientsorjusttheproduct,it'sreallytodeliveranintegratedsolutiontothosepatientswherewebringnotjustatechnology,butcapability
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throughanalyticsandinsightsthatcangivethosepatientsactionableinformationsothattheycanbettermanagetheirdiseaseandalsotodothesamethingforphysicianswhoaremanagingthosepatients.Sowe'rereallyexcitedabouttheopportunity.Asyousaid,we'rejustgettingstarted,butwethinkthere'satremendousamountofrunwayinthisbusiness.
KristenStewart (Analyst-DeutscheBank):
Thanksverymuch.
HoomanHakami(PresidentofDiabetesGroup):
Thankyou.
OmarIshrak(Chairman&CEO):
Okay.It'stimetoclosethecallouthereandI'dliketoremindyouthatweplantohostourInvestorDaynextMonday,June6,inNewYorkCity.Welookforwardtohavingmoredetaileddiscussionswithyouonourplanstodeliveronthesestrategiesthatweoutlinedtoday.AndI'dalsoliketonotethatweanticipateholdingourQ1earningscallonThursday,August25.
Andfinally,inconclusion,aswe'venoted,wecontinuetofocusondeliveringconsistentmidsingle-digitconstantcurrencygrowth,strongEPSleverageandreturningaminimumof50%offreecashflowtoourshareholders.FY16wasindeedasuccessfulandtransformativeyearforourCompanyandlookingahead,wefeelwe'rewellpositionedtoparticipateandleadinthetransformationtovalue-basedhealthcare,whichcanultimatelycreatelong-termdependablevalueforourshareholders.
Andwiththat,andonbehalfofourentiremanagementteam,I'dliketothankyouagainforyourcontinuedsupportandinterestinMedtronic.Thankyouandallofyoupleasehaveagreatday.Thanks.
Operator :
Thankyou.
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