Enovis Corporation Wells Fargo 21st Annual Healthcare Conference
Review the key takeaways and the transcript of this earnings call.
- Enovis CEO Damien McDonald and CFO Ben Berry reported that the US orthopedics market is returning to normal seasonality post-COVID, with recent signs of growth including one of their best Fridays in months.
- The company has been growing above the market in Europe despite a slowing market and challenges such as strikes and financing policy decisions.
- Enovis recently announced an acquisition of Essential, a company with proven robotics technology and a strong team, aiming to enhance their position in shoulder and knee robotic-assisted surgeries.
- The integration will combine Enovis's AI-powered planning and navigation platform with Essential's robotic assistance technology to create a backward integrated system for hospitals and ASCs.
- The US knee robot launch is planned for 2028, with detailed integration milestones to be outlined in early 2025 after deal closure expected in Q4 2024.
- Financial guidance includes maintaining top-line growth targets, with a one-year EBITDA margin step back in 2025 due to investments in Essential's technology and commercialization readiness.
- Free cash flow conversion is expected to improve to 50% in 2025 and 70% by 2029, with capital efficiency gains offsetting the capital intensity of robotics investments.
- Enovis is confident in accelerating growth through robotics, particularly in shoulder, where they are close to the number two global position.
- Second half 2024 revenue growth is guided at 6.4%, supported by strong execution, international growth, and new product launches in P&R and recovery sciences.
- The Arvis robotic system has received positive clinical feedback, with a training ramp-up of 5 to 10 procedures per physician and plans to double placements in 2025.
- Lima integration is progressing well, with manufacturing moves and legal rationalization largely on plan and cross-selling opportunities still in early stages.
- Enovis continues to focus on expanding in underrepresented markets such as Asia and South America.
- The P&R segment grew 3% organically, driven by strong brand portfolios like Don Joy and Aircast, and new product launches including lasers and spine braces.
- Capital allocation plans include using cash flow and revolver capacity to fund the Essential acquisition, expected to close in Q4 2024.
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Transcript
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Ross. This afternoon, we are joined by Enovis. We have the company's CEO, Damien McDonald, and CFO, Ben Berry. Thanks for being here. You are welcome.
Thanks for having us. Of course.
Before we dive into your recent acquisition, maybe we will start with an overview of the market, how you guys are seeing the ortho space since you last reported earnings.
Six weeks ago. Yeah. Look, nothing's changed for us.
Again, we recently reported six weeks ago, the way we're seeing the U.S. normal seasonality, it's sort of back to a pre-COVID normal. We always see a bit of slowdown in the summer, which we've seen, but it's bouncing. Friday, I think, was one of our best Fridays that we've had in months, so that's great news. We've been saying international. By the way, we skew Europe when we talk international. We've been saying that the market, since Q1, that the European markets have been slowing. We've been demonstrably taking share in those markets and growing above the market. So nothing's changed for us. I know there's a bit of swirl today about that, but for us, nothing's changed in terms of the way we've seen the market and our normal seasonality.
Great. Any signs of an impact from ACA? We've heard mixed reviews there.
Not for us. Again, we hear that there's noise around clinic to surgical. We hear noise around prior auth delays. Maybe that's affecting other people's mix because of the way they have community hospitals in their numbers. But, for us, the way our markets are structured and the way our customers are structured, we're not seeing that.
Okay. Maybe it's impacting you guys less, but in terms of strikes, government budgets going towards defense versus healthcare, are you seeing anything in Europe to call out there?
Well, that's where we talk about Europe. When we've talked about what's been going on, again, since Q1, we've had visibility to that. We, for sure, have seen the impact of strikes, for sure, the impact of, let's call it financing policy decision making. But nothing's changed for us in our numbers, and we just talked about those recently as we did the acquisition.
Assuming those headlines continue into next year, what's a good normalized growth rate to think about for the ortho business?
Well, I would refer everyone to the presentation that we did the other day about where we think Recon and P&R are growing. Again, we laid it out pretty clearly in terms of the mid to high single digit for Recon and mid single digit for the P&R business.
Great. I'll just add, Ross.
I think the market dynamics in terms of procedural volume and thinking about the health of the macro with regards to the aging population and the need for surgery is going to continue. So for the long-term durability of ortho, we still see a large runway of a population that's going to need these products. And while there might be some iteration from quarter to quarter, we think the market will continue to grow at the rate that it's been growing, and continue from now into the future.
Okay, perfect. As I alluded to earlier, you guys recently announced an acquisition. Why was now the right time? What attracted you to Amplitude?
We have been looking for how to build on our platform, and we have been very conscious about this. We had a planning and navigation. We have been in the market now for five or six months with the ARVIS AR, and we were looking at how the markets were evolving and what was going to be important, and particularly the waist shoulder. I think knee is well-characterized, right? There is a way that knee surgery has been evolving and the application of assistance, particularly a robotic assistance in knee. What is new for us is how shoulder was evolving. What became imperative for us is how to think about how to continue to grow above the market, and by the way, shape the market. Now, we are knocking on the door of number two position globally in shoulder.
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