James K. Saccaro
Management
Sure. First, as it relates to Q2, to your point, David, it is the most difficult comp of the year. Q2 last year, we had 12% growth in the U.S., so a really strong performance. And we had a very strong pump placement quarter along with strong sales in our Surgical Care area. So, from a comp standpoint, it's a challenging one. I would say there's two other factors in play that are factors that are well understood from our perspective. First is Fluid Systems in the U.S., 20% growth. We do expect that to come down over time as we anniversary certain agreements and as we start to get to a more steady-state approach from a pump placement and sets growth standpoint. So, that 20% growth is not a number that we expect to see for the continued future. That will moderate down. And then the other factor is, as Joe referenced in his comments regarding sales, we did have a bolus of sales related to a product called Transderm Scop, about $20 million or so of sales in the first quarter. We expect the alternate supplier to be back on the market. In fact, they are on the market, so those sales will moderate down. That benefit will be more muted as we look to the second quarter. So, what I will tell you is, it is, however, consistent with our original expectations from a sales growth standpoint. As it relates to the Fluid Systems business, 20% growth in the U.S., zero percent, international. If we were to exclude strategic exits, we would see 3% international growth, 12% growth overall, or 13% on an operational basis, excluding the strategic exits. Really, the way to think about that, our infusion systems was high single-digit growth, and really, with the pumps – it wasn't really a pump story. It was more about the sets associated with the pumps because we had good pump placements in Q1 of last year. And so, we saw double-digit, near-teens growth from a set standpoint. Our whole theory in terms of our pumps business is as we grow the installed base, these sets ride along at a higher margin and helps transform the margin profile of the company. That clearly played out with the Q1 result with the double-digit growth in sets. And then the IV business in the first quarter in the U.S., we saw very significant growth, north of 20%. And that was very much a mix of volume along with some pricing. So, again, it was ahead of our expectations overall. We're pleased with the progress there and continue to focus on driving sales of the SPECTRUM pump because that's such an important aspect of our overall business.