4 MedTech Business Takes from the Top

Stephen Levy

April 21, 2014

5 Min Read
4 MedTech Business Takes from the Top

From the debate over the effects of an unusually nasty winter to the reining in of U.S. healthcare spending, there were plenty of insights to be gleaned from the recent discussions major medical device company CEOs had with analysts.Here four highlights from last week's earnings calls, culled from transcripts on Seeking Alpha:

St. Jude Medical: $1.36 Billion in Q1 Sales

In true Minnesota fashion, St. Jude Medical's CEO Daniel J. Starks would have nothing of speculation that the especially cold winter may have hindered St. Jude and other device company's business:

"We have a philosophical bias against blaming the weather for sales in a quarter, ... so that's why we didn't mention it in our prepared remarks. ... But the weather probably had an impact on sales in some markets. There was quite a bit of weather and snow days and lack of selling days compared to the same quarter a year ago, but we don't really know how to model that, and we don't focus on it, and we, as an organization, we really don't accommodate excuses internally and we don't want to make excuses externally. It probably was a factor, but we aren't able to quantify it and won't rely on it as a reason."

Johnson & Johnson: $18.1 Billion in Q1 Sales

Dominic Caruso, JNJ's CFO and VP, Finance, was "very pleased with our strong start to 2014" and believes his company is "well positioned for continued growth in this dynamic healthcare environment."Caruso says the company has noticed fewer surgical and lab procedures in the United States:

"What we saw in the US markets ... was a ... year-over-year decline in the rate of utilization, particularly hospital admissions, as well as lab procedures. So, these have been trending now for the past year or so at minor downticks in the quarter -- year-over-year growth in the quarter, or depression in utilization from the prior year. So we saw that continue in the first quarter."

The orthopedics space was a bit more nuanced:

"With respect to orthopedics in particular, we did expect ... that the higher utilization in the fourth quarter was a result of seasonality, primarily related to the health plans and also probably some influence from the Affordable Care Act rush to get coverage and some ...confusion over what was happening in the marketplace. So in particular, the orthopedic trends did slow down in the first quarter compared to the fourth quarter. And we saw this very same phenomenon a year ago. So, it's now become quite a seasonal business from that perspective that we see a real uptick at the back end of the year and then a slowdown in the early part of the year."

And unlike Starks, Carsuso appears to have been fine blaming the weather a little:

"The only other thing I would say that in the medical device business more broadly we did see some softer trends in elective procedures. We think in the US that's probably due to the severe winter conditions, so we don't have any exact data on that fact but anecdotally that's what it appears, [the bad weather] has impacted utilization rates in the first quarter."

"Johnson & Johnson is best positioned in medical devices ... given what's happening in the market with respect to hospitals and ... the Affordable Care Act and the accountable care organizations," Caruso said. "We're working to not only remain the largest player in medical devices, but to take advantage of that position in the hospital setting with respect to providing total solutions to the marketplace."

Baxter International: $3.95 Billion in Q1 Sales

Baxter's chairman and CEO Bob Parkinson was upbeat about his company's $4 billion acquisition last year of Swedish dialysis products manufacturer Gambro AB:

"It allows us to participate in a leadership role in a large global markets that we believe will grow in the 5% to 6% range long-term. And so, the acquisition of Gambro, the expansion of our presence augmenting our PD business to address treatment of end-stage renal disease a significant long-term growth platform for the newly defined medical products business, but I think you all understand that. Within the traditional medication delivery business ... our plans are to intensify focus in those product categories that are higher growth than higher margins. So, anesthesia would be one; parenteral nutrition would be another. Also, there continue to be opportunities to improve margins in our core global IV business in terms of manufacturing efficiencies, productivity, supply chain productivity, and the like."

Abbott Laboratories: $5.24 Billion in Q1 Sales

With better-than-expected results, it's not surprising that Abbott Labs execs were decidedly upbeat throughout their conference call. About the only dark cloud mentioned on Abbott's horizon is the decline of their diabetes care. "In our global diabetes business, we continue to forecast a low double-digit decline on an operational basis," said Miles White, chairman and CEO, laying the blame on the "carryover effect from implementation of the CMS competitive bidding program for Medicare patients" last year. That the company is focusing on improving operating margins was a recurrent theme.White also said: "The underlying fundamentals of everything I'm looking at look solid to me. I don't see any trends or anything that are concerning me yet."

Stephen Levy is a contributor to Qmed and MPMN.

Senior editor Chris Newmarker contributed to this story. Follow him on Twitter at @newmarker.

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