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美敦力公司 (MDT.US) 2026年第三季度业绩电话会
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会议摘要
Medtronic's earnings call highlights strategic growth through innovation, focusing on new product launches like RDN, AltaViva, Hugo, and Stealth AES, alongside investments in R&D, sales, marketing, and strategic acquisitions. The company emphasizes market expansion in CRM, peripheral vascular, and neurovascular businesses, and hiring for the EP market. Financial performance shows revenue growth, improved margins, and guidance for future earnings, with confidence in sustaining growth despite challenges, concluding with an invitation for Q4 updates.
会议速览
Innovative Medical Devices: Advancing Hypertension and Incontinence Treatments
The dialogue highlights advancements in medical devices for hypertension and urge urinary incontinence, emphasizing patient outcomes, growing clinical data, and market-building efforts. It discusses the Simplicity spiral, Alta Viva, and the Hugo robotic surgical system, showcasing their potential impact and early successes in expanding healthcare solutions.
Medtronic's Robotic Surgical Advancements and Expansion in Neuroscience and M&A
Medtronic highlights Hugo's success in Cleveland Clinic, with strong feedback on its differentiation. The company emphasizes growth in touch surgery installations, planning to expand Hugo's indications. A major milestone is FDA clearance for the Stealth Access surgical system, integrating AI, robotics, and navigation for spinal procedures, aiming to extend leadership in neuroscience. Medtronic continues its M&A strategy, including investments in structural heart, underscoring long-term digitization and ecosystem building.
Portfolio Innovation Drives Steady Growth Across Metropolis's Diverse Business Segments
Metropolis's portfolio, featuring diverse businesses at various growth stages, showcases a robust innovation pipeline. Key contributors include CA's steady growth engine with innovations in defibrillation and leadless pacing, and emerging opportunities in areas like pelvic calcitic VTA, neurovascular health, and surgical robotics. Strategic actions are being taken in structural heart to enhance long-term competitiveness, underpinning confidence in delivering durable growth.
Strong Q3 Revenue Growth Driven by Cardiovascular, Neuroscience, and Diabetes Business Expansion
The company reported robust 8.7% year-over-year revenue growth, with significant contributions from cardiovascular products, neuroscience innovations, and diabetes solutions. Notable advancements include CRM growth, stealth access navigation platform, and minimed's diabetes offerings. Despite challenges, the company remains on track for a successful plant separation and anticipates further growth with new product launches and market expansions.
Strong Q3 Performance, Reiterating Full Year Guidance Amid Tariffs and Mix Challenges
The company reports a robust Q3 adjusted gross margin of 64.9%, exceeding expectations, driven by pricing benefits and disciplined SG&A management, despite negative mix impacts from diabetes and cat products. Tariffs and non-recurring items have offset some gains. For FY26, organic revenue growth guidance is reaffirmed at 5.5%, with gross margin expected to slightly decrease excluding tariffs, aiming for margin leverage in H2.
Q4 EPS Guidance, Growth Commitment, and Efficiency Measures
The company reports a slight EPS beat driven by CRM and ACM revenue, with guidance maintained for FY26 at $5.62-$5.66. Anticipating robust Q4, they commit to high single-digit EPS growth in FY27, emphasizing investments in RD, sales, and MNA, alongside efficiency gains.
Leadership Expresses Commitment to Growth and Pipeline Reinforcement
The leadership highlights the company's progress and commitment to revenue growth, PFA trajectory, and billion-dollar opportunities. They emphasize organic and inorganic investments, thanking employees for their dedication to the mission and patients. Instructions are provided for the Q&A session, inviting analysts to participate.
Strategies for Accelerating Revenue and Earnings Growth in FY27
Discussed accelerating revenue growth and commitments to earnings growth for FY27, focusing on portfolio adjustments and overcoming tougher comparables in cows and surgical segments to meet future financial goals.
Commitment to Growth, Investment, and Strategic Acquisitions in FY27
The company anticipates sustained growth driven by hypertension and overactive bladder treatments, innovative CST stealth access platform, and neurovascular advancements. Despite tariff and diabetes deal-related challenges, guidance for high single-digit EPS growth in FY27 is maintained, supported by investments in R&D and M&A activities.
Q4 Growth Acceleration: CST, Neurovascular, and FY27 Initiatives
The dialogue highlights the acceleration in growth for various business segments, including CRM, peripheral vascular health, CST, neurovascular, RN, Alta Viva, and Hugo. The speaker expresses confidence in these initiatives contributing to the growth, particularly in Q4 and FY27.
Tracking Product Launches and Extra Week Growth Impact
Discussed monitoring progress of product launches with leading indicators and covered lives, clarified extra week's contribution to growth excluding base organic rate, emphasizing acceleration in fiscal year 27.
Cass Growth Accelerates Amid Robust EP Market Outlook
A discussion on the robust growth of Cass in the EP market, predicting high teens growth in fiscal 27, with confidence in the company's catheter portfolio and mapping technology positioning it well against competitors.
Capital Allocation Strategy: Focus on Tuck-In Acquisitions and Venture Investments
Discussed capital allocation strategies emphasizing tuck-in acquisitions and venture investments aligned with business growth, prioritizing high-growth areas and maintaining focus on strategic segments.
High Single-Digit EPS Growth Drivers and Street Expectations
Discusses achieving high single-digit EPS growth through accelerated growth, margin improvements, and strategic investments in R&D and sales. Addresses concerns over diabetes division's impact and provides insights into market expectations for EPS growth.
Investment Strategy & Long-term Mortality Trends in TAVR Trials
Discussion covers strategic investment decisions in TAVR companies, comparing full acquisition to partial investments, and analyzes late mortality trends observed in long-term TAVR study outcomes, referencing trials similar to Edwards and CoreValve data.
Investment and Expansion in Structural Heart Space: Emphasizing TAVR and Mitral Valve Programs
Discusses the expansion of the structural heart space through investments in TAVR and mitral valve replacement programs, emphasizing the potential of balloon expandable TAVR and the guidance provided on an old procedural technique. Highlights collaboration with physicians and the commercial focus on new market opportunities.
Investment in Capital Equipment & Hiring Mappers for CA Expansion
The dialogue highlights the strategic investment in capital equipment and the focus on hiring mappers to support the expansion of CA. It discusses the dilutive effect of capital equipment on gross margins, anticipating a mix turnaround in the second half of the following year, and the importance of mapper hiring to penetrate academic and general centers, emphasizing the business's profitability and growth potential.
Updates on Hugo's Surgical Business Impact and Renal Denervation Market Development
Discussed Hugo's progress in the surgical business, emphasizing its growing global installations and positive clinical feedback. Also, highlighted the development of the renal denervation market, focusing on consumer demand, physician engagement, and strategic market development initiatives.
Revolutionizing Spine Surgery: Introducing Stealth AES Robot for Enhanced Workflow and Market Expansion
A new robotic system, designed for spine surgery, integrates seamlessly into existing workflows, enhancing functionality and planning processes. This innovation is expected to significantly lower barriers to robotic adoption, driving market growth and extending the company's competitive lead.
Medtronic's Strategic Shift: Emphasizing Innovation and Investment for Future Growth
The dialogue highlighted Medtronic's strategic shift towards innovation and investment in growth drivers, emphasizing the importance of R&D and consumer engagement. The speaker discussed the company's offensive stance, driven by momentum and the introduction of new products, while encouraging participation in future earnings broadcasts to track progress against short and long-term strategies.
要点回答
Q:What are the updates regarding the Simplicity catheter and Alta Viva device?
A:The Simplicity catheter is a durable, minimally invasive treatment for hypertension with strong patient outcomes and reimbursement support. Alta Viva is a small device for treating urgent urinary incontinence with no imaging or sedation required, activating on the same day, and offering up to 15 years of battery life, the longest in its category. Both devices are contributing to Medtronic's growth.
Q:What is the status of the Go Beyond campaign and new market building?
A:The Go Beyond campaign has resulted in a 50 times increase in website visits compared to the prior quarter, indicating strong interest from patients in building a new market for Medtronic's products.
Q:What is the purpose and function of the Hugo robotic surgical system?
A:The Hugo robotic surgical system is designed for flexibility, portability, and compatibility with the touch surgery digital ecosystem, offering AI-powered data connectivity and analytics. The system has received FDA clearance forlogic surgical procedures and is being expanded to include additional indications like hernia in the US general surgery market.
Q:What new FDA clearance has been obtained for the Stealth Access surgical system, and what is its significance?
A:Medtronic has secured FDA clearance for the Stealth Access surgical system for spinal procedures. This system integrates AI, planning, robotics, and navigation into one seamless platform, designed around navigation to support surgeons' workflows and is expected to take share in the market with improved functionality.
Q:What is the overall growth outlook for Medtronic, and which segments are expected to contribute to growth?
A:Medtronic has businesses at different growth stages, but the innovation across the portfolio suggests a steadily improving growth outlook. Contributions to growth are expected from various segments including access, cardiac rhythm management (CRM), peripheral vascular health with neurogrid and Libertan, neurovascular with innovations like Artiz and Onyx, and the recently launched Hugo in the US. Additionally, the company is taking deliberate actions to strengthen long-term competitiveness in segments like structural heart and is confident in its ability to deliver durable growth.
Q:What are the growth rates of Cranial and spinal technologies and neurosurgery and CST?
A:Cranial and spinal technologies delivered mid single-digit growth, with 8% growth from strong pull-through in coar spine. The new navigation and robotics platform, Stealth Access, is expected to contribute to neurosurgery and CST as early as the fourth quarter.
Q:What has impacted neurovascular growth and what future growth opportunities are there?
A:Neurovascular has faced challenges due to China VBP and a recall advantage, both of which are now mostly behind us. There is an outlook for higher levels of growth from the contribution of Onyx's expanded indication and the launch of the negde carotid stent, which will be commercialized by both neurovascular and peripheral vascular businesses.
Q:What is the performance of the diabetes business and what recent regulatory milestones have been secured?
A:The diabetes business delivered 15% reported and over 8% organic growth, with double-digit strength in international markets and acceleration in the US. Recent regulatory milestones include several FDA clearances and the secured rights for the MiniMed 670G system, with a pivotal study underway for the third-generation fully closed-loop system.
Q:What is the status of the separation of the minimed business and the expected timeline?
A:The separation of the minimed business is perfectly on track with the preferred path being a two-step IPO and split, expected to be completed by the end of calendar year 26.
Q:What were the revenue growth rates and adjusted gross margin in the latest quarter?
A:Revenue grew 8.7% reported and 6% organic, with a 50 basis point acceleration from the prior quarter and a 50 basis point outperformance over guidance. Geographically, performance was balanced with high single-digit growth in Western Europe, mid single-digit growth in the US and Japan, and US growth being the strongest since fiscal year 2019.
Q:What are the components affecting adjusted gross margin?
A:Adjusted gross margin was 64.9%, with benefits from pricing offset by negative impacts from cost inflation, inflation net of pricing, and prior year non-recurring items. Additionally, mix was impacted by the diabetes business, with negative 100 basis points mostly driven by the catheter and diabetes segments.
Q:How does tariffs impact the business and what is the adjusted operating profit and margin?
A:Tariffs impacted the business with a $93 million or 110 basis point impact. Adjusted operating profit was $2.200 billion, resulting in an adjusted operating margin of 23.8%, ahead of expectations. The adjusted tax rate was 17.3%, and adjusted EPS was $1.36, 3 cents above the midpoint of the guidance range.
Q:What is the reiterated guidance for fiscal 26 organic revenue growth?
A:The guidance for fiscal 26 organic revenue growth is reiterated at approximately 5.5% for the fourth quarter, with a similar revenue growth expected in Q4 due to a stronger Q4 25 comp. The company expects a gross margin increase slightly ex-tariffs, and an adjusted operating profit to grow approximately 5% or 7%.
Q:How did the quarter's results compare to guidance and what is the maintained EPS guidance for fiscal 26?
A:The quarter's results beat expectations by 3 cents, mainly due to better-than-expected revenue and offset by tax pressure. The fiscal 26 EPS guidance is maintained in the range of $5.62 to $5.66 per share, with a continued focus on investing in growth areas and driving efficiency. The company is committed to its guidance and maintains its expectation for high single-digit EPS growth in fiscal year 27.
Q:What are the expectations for revenue and earnings growth next year?
A:The company expects to achieve accelerating revenue growth and a commitment to grow earnings in the high single digits for next year.
Q:What factors are contributing to the acceleration of growth for next year?
A:Contributing factors to the acceleration of growth for next year include continued strength from the company's big growth drivers, particularly the businesses related to hypertension and overactive bladder, as well as growth from businesses like CST with stealth access, neurovascular products, and others.
Q:How does the company anticipate the impact of tariffs and the diabetes deal on earnings per share (EPS)?
A:The company anticipates a headwind of approximately $300 million from tariffs and a dilution of 1 to 2 cents per share due to the diabetes deal in the next year. However, the company is committed to growth acceleration and plans to invest in R&D and M&A.
Q:What is the company's view on the progress and goals for RDN and ART, especially regarding their impact on growth at Nasdaq in 2026?
A:The company is closely monitoring strong leading indicators such as account openings and physician engagements for both RDN and ART. They have been tracking the number of covered lives and reimbursements, with 100 million covered lives already, which is about one-third of the population in the US. The company plans to set more concrete goalposts as these launches mature.
Q:How should one think about the base organic growth rate excluding the extra week?
A:The base organic growth rate excluding the extra week is expected to be around 5% or higher. The extra week contributed nearly an additional 1% to organic growth, so one should consider base organic growth in the 5% range or higher.
Q:What is the projected growth for the EP market in calendar year 26 and the company's CA growth going forward?
A:The company believes the market will continue to grow in the near term, with a forecast of at least high teens growth for fiscal year 27 and a strong digit market thereafter. They see sustained growth in Q4 and although they haven't provided guidance beyond that, they believe they are well positioned.
Q:What is the company's strategy in terms of M&A and capital allocation?
A:The company is committed to accelerating M&A and has started to see benefits from recent acquisitions like CA Works and in terror, which align with their strategy. They focus on tuck-in deals that are closely related to their existing business and may involve several billion dollars. They also prioritize high growth areas and may have multiple strategies for these markets. Additionally, they invest in venture opportunities across their portfolio.
Q:How does the company plan to achieve high single-digit EPS growth in fiscal year 27?
A:To achieve high single-digit EPS growth, the company plans to lean into R&D and sales and marketing to develop franchises like RDN and Cas, hire necessary personnel, and engage in direct-to-consumer marketing, particularly for renal denervation and Alvia. They expect operational improvements, pricing, and cost control to offset by mix effects in their gross margin line. The reduction in the diabetes业务 will also provide a natural lift to gross margins. The company will continue to invest in these areas while the sales and marketing expenses will be offset by the improvements in GA line. Additionally, they expect some improvements in operating margins and below-the-line pressures, including headwinds on the interest line due to debt refinancing and continued pressure on tax.
Q:What is the expected timing for the benefit from the shell count reduction to be fully realized?
A:The benefit from the shell count reduction will be gradually improving as it is calculated on a 12-month rolling average, but the full benefit will not be realized immediately.
Q:What does the 8.5 percent refer to, and how is it expected to be fully embedded in the company's value?
A:The 8.5 percent likely refers to some temporary dilution from diabetes and MLA dilution. As the company gains more visibility, it will help clarify this potential for full embedding in the company's value.
Q:Why did the company decide to invest in TAVR instead of buying the whole company?
A:The company decided to invest in TAVR rather than buying the whole company to expand its presence in the structural heart space, which it pioneered, and to enter the balloon expandable portion of the market. It views TAVR as an opportunity to expand organically through its existing platforms and programs.
Q:What is the significance of the late catch-up in mortality observed in the Core Valve results?
A:The late catch-up in mortality observed in the Core Valve results is not expected to significantly impact the company's guidance, as the results are based on an old valve and procedural technique that is no longer commercially available. The company has provided guidance based on this information and is collaborating with physicians to ensure they understand the data moving forward.
Q:How is the company addressing the challenges in hiring mappers and its impact on generator sales?
A:The company acknowledges that hiring mappers has been critical and that while it has been able to stay ahead of this challenge, it remains a focus area. The ability to hire dedicated mappers in the space is seen as beneficial as they recognize the direction of travel in the industry. As for generator sales, the company is still relatively early in its launch, has a long runway to go, and is actively focusing on hiring mappers to alleviate the challenges.
Q:What is the expected timeline for the dilution from capital equipment to turn around, and how will it impact profitability?
A:The dilution from capital equipment is expected to start improving in the second half of next year. While it is currently slightly dilutive at the GM level, it drives significant profitability at the total business level and operating margin level. The turnaround is anticipated to be beneficial as it indicates growth in the business.
Q:What is the anticipated timeline for Hugo to impact the surgical business and how is the system performing?
A:The company is excited about the progress with Hugo, having received FDA approval and completed first cases in the US. The leading indicators are positive, with a smooth case rate and utilization levels that are closely being watched. There is an expectation for a stepped-up in installations around the world as Hugo begins to move the needle within the surgical business. Although it may not significantly impact the surgical business immediately, there is excitement about the orders received and the potential growth.
Q:What factors are driving the rapid growth in consumer demand for renal denervation?
A:The rapid growth in consumer demand for renal denervation is driven by a spike in website visits, the opening up of over 200 accounts, strong position finders, and reimbursements, and most importantly, by terrific patient outcomes and blood pressure reduction.
Q:What roles are being filled in market development to support the growth of renal denervation?
A:To support the growth of renal denervation, market development roles include building referral pathways from general practitioners to hospitals, along with hiring staff around health economics, coding, and billing to assist hospitals with various aspects of the procedure.
Q:What elements have contributed to the positive market development of renal denervation?
A:Positive market development of renal denervation has been contributed to by FDA breakthrough approval, broad CMS reimbursement, alignment with commercial payers, better competitive dynamics than initially anticipated, and most importantly, the positive patient outcomes.
Q:How is the company planning to build the brand around renal denervation?
A:The company plans to build the brand around renal denervation by investing in lead development and generation to increase awareness and make 'simplification' synonymous with hypertension management, particularly for patient outcomes.
Q:What is the anticipated impact of the Stealth AES product on the market and growth?
A:The anticipated impact of the Stealth AES product is to improve the workflow in spine surgery, fit into the existing workflow seamlessly, lower the barrier to entry for robotic-assisted surgery, and grow the market share for Medtronic.
Q:What generational growth drivers and new products are contributing to the company's momentum?
A:Generational growth drivers and new products contributing to the company's momentum include Ultra Viva, Hugo, advancements in neurovascular health, new products like carotid, and a breadth of innovations across different business segments within Medtronic.
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