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Alexandra.Mitchell


Medtronic's Growth in CST and TAVR Businesses

2023-08-01

Medtronic, a leading medical technology company, recently held its earning call meeting to discuss its financial performance and future prospects. The meeting was attended by executives, analysts, and representatives from financial institutions, highlighting its significance.

One of the key topics discussed during the meeting was the company's aggressive transformation agenda aimed at addressing years of underperformance. This agenda reflects the company's commitment to driving growth and improving its overall performance.

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Of particular interest was the company's progress and growth in its cranial and spinal technologies (CST) business. Despite a negative impact from China VBP, the CST business experienced a 5% growth. The U.S. core spine business, in particular, saw significant growth of 15%, indicating the success of the company's efforts in this segment, especially in the U.S. market.

The launch of the spine technology ecosystem called Aible was also highlighted as a significant development. This integrated platform brings together various aspects of spine surgery into one seamless system, from planning to patient follow-up. The introduction of Aible is expected to drive momentum for the company in the coming quarters, attracting more customers and increasing market share in the spine technology industry.

Another area of notable growth discussed in the meeting was the company's structural heart business, specifically the transcatheter aortic valve replacement (TAVR) segment. The TAVR business witnessed a 15% global growth, with a remarkable 17% growth in the United States. The recent launch of the Evolut FX valve contributed to an 18% sequential revenue growth in the U.S. TAVR business. This demonstrates the company's investment in developing new products and expanding its offerings in the TAVR market.

Overall, the company's progress and growth in the CST and TAVR businesses were the most interesting topics discussed during the meeting. These positive developments highlight Medtronic's ability to innovate, expand its product portfolio, and capture market share in these key segments.

During the meeting, the company also provided insights into the market outlook. While some of their businesses have returned to pre-COVID levels, there are still markets that have not fully recovered. This slower recovery has impacted the company's second-half guidance, with the assumption that volumes will remain at Q2 levels. Additionally, the company expects additional provincial tenders in China, particularly in stapling and cardiac ablation, which were anticipated for the next fiscal year but are occurring sooner. On the supply side, there has been improvement, but it happened late in the quarter, pushing out their assumptions for share recapture. However, the company remains optimistic about regaining its share once the shelf inventory comes down.

The key drivers of Medtronic's business include the cranial and spinal technologies, the structural heart business, and the cardiac rhythm management (CRM) business. The company witnessed growth in the CST segment, particularly in the U.S. core spine business. The structural heart business experienced global growth, driven by the successful launch of the Evolut FX valve. The CRM business also achieved growth, with contributions from the pacing business and the Micra family of leadless pacemakers.

In terms of future plans, Medtronic aims to implement a new operating model, eliminate bureaucracy, and form more nimble operating units. The company also plans to improve quality, manufacturing, and supply chain operations while leveraging its scale. Establishing a performance-driven culture, updating incentive plans, and utilizing their size and scale as an advantage are also part of their aggressive transformation agenda.

Although specific key performance indicators (KPIs) were not explicitly mentioned, the company's growth rate, successful execution of the transformation agenda, improvements in quality and operational efficiency, and the effectiveness of manufacturing and supply chain processes can be inferred as crucial KPIs.

Looking ahead, Medtronic's outlook for the quarter and year remains positive. The company expects organic growth of slightly north of 2% in the second quarter and a back half guidance of 3.5% to 4%. They anticipate easier wind comps and the introduction of new products to drive continued growth. With supply issues resolved, the company expects business to recover and remains confident in achieving mid-single-digit growth, aiming to exit the year at that level.

Medtronic has made significant progress on its strategic initiatives, including implementing a new operating model, eliminating bureaucracy, and leveraging its scale. The company has also established a performance-driven culture, updated incentive plans, and brought in new leaders to drive durable growth. Despite acknowledging setbacks, the CEO expressed confidence in the progress made so far and the plan to deliver sustained growth.

In conclusion, Medtronic's earning call meeting provided valuable insights into the company's financial performance and future prospects. The presence of executives, analysts, and representatives from financial institutions underscored the significance of the meeting, which focused on discussing the company's growth strategies, progress in key business segments, and market outlook.