George S. Barrett - Vice Chairman of the Board and Chief Executive Officer
Analyst · Lisa Gill with J.P. Morgan, please proceed
Thanks Jeff, and good morning everyone for those of you following the slide presentation slide 19, and 20 will provide you with some additional background on my comments here. It has been a year of some challenges for HSCS, but we finished the year as we forecasted. As we anticipated growth in our combined medical businesses was positive for the second half, although our surgical kitting business continued to battle some price pressures and yet had to efforts reduce inventories include in the leaner operation. Our medical distribution businesses which includes lab, ambulatory and hospital supply have very strong years. Hospital supply had a strongest performance in years. Traditionally, our lab business managed to grow year-over-year in spite of the previously announced loss of its largest segment. Our ambulatory business, although small grew nicely and shows its great promise. Cost of medical businesses, we have worked some key contracts late in the year. And expect these to benefit us in the latter half of '09. The addition of Mike Duffy, our fully EVP of Operations to oversee the medical leadership team. We are hoping to bring new alignment between our operational units and our customer phasing activities. Mike and his team will be very focused on matching the right SKU mix to the right customer need and then driving operational efficiencies, improved service levels with it's cyclotron [ph], any more profitable customer and product mix. On the pharmaceutical side, our nuclear pharmacy business maintained its very strong market position and customer loyalty. But accrual experience challenges heavily influenced by increasing cost of raw material. We had expanded our product line to include both Cardiolite and Myoview and remain committed to offering the enter range nuclear pharmacy products used in cardiac imaging, including a low cost alternative. As Jeff, mentioned we have to forecast 2009 with the conservative assumption that we will not be offering our own manufactured system during this year. We have, however, made provisions with existing suppliers to allow us to complete more effectively, should a generic product hit the market. And as you already know we had assume that a generic will in fact be introduced. Also, in nuclear, we announced mid June that opened three additional Positron Emission Tomography or PET radiopharmaceutical manufacturing facilities near our existing nuclear pharmacy locations this year, brining the total number of cyclotrons we are able to our PET products to nearly half of the more than 150 U.S. nuclear pharmacy locations which is needed due to a short half life of the PET imaging agents used to diagnose disease. This is not a large business today, but one that we believe could demonstrate rapid growth. Finally, our largest business, our pharmaceutical distribution business had one of it's toughest years. I want to reinforce driving improvement in this business is our highest priority. In my first opportunity to address you on a third quarter call, I highlighted some of the areas which I believe would be important in improving the performance of our pharmaceutical distribution business. I highlighted the importance of focus and in particular our focus on execution. I discussed our need to more effectively segment our business, so that we can target the right opportunities. I stress the necessity of improving and simplifying our generic programs and to better integrate them into our overall offerings and I told you that we would revisit and reinvigorate our value preposition. Although it's not immediately apparent from our financial results, I'm confident that we're progress on offerings. And I would like to give a brief update on these efforts. Our organization is indeed more focused on execution. Our anti-diversion issues need to be at a starting point. We've fully committed our organization to the necessary improvements, and management of controlled drugs. We have put in place new procedures, both automated and manual to improve our controls. We have conducted over a 100 training programs, which have included over 2,500 Cardinal associates. And I can say that we are in constructive settlement of discussion with the DEA. From an overall, operational execution standpoint, we all are seeing improvement in our service levels, as evidenced by our key customer service metrics. First-line [ph] bill rate, and delinquency days outstanding, both of which are ahead of last year, and ahead of our internal goals. In our segmentation work, we've recommitted to growing our direct store door for DSD business. Our anti-diversion programs... our DSD business and made growth more challenging. Despite this, we e seeing some good signs. We are creating programs specifically targeting these non-bulk customers. We are focused on increasing our share of volatility to our existing accounts. That is capturing a greater share of their purchases. And we are focused on recapturing business lost during this past year. We are doing this by improving the quality and the valuable offerings which help our customers to compete in the marketplace For example we have focused our need [ph] of service offerings around four key areas of retail independent pharmacy. Reimbursement support, streamlining operations, creating open revenue streams, and increasing market share. Our leader pharmacy partners now have access to more front-end offerings as well as medical equipment and high demand from our agent population. I just returned from our 19th annual retail business conference which bring together thousands of retail pharmacists. This was the best attended conference in our history and the feedback on our services and products and in particular our leader offerings was very positive. And just as an example of the impact that program like this can have, we recently completed an overhaul of the retail independent in South Florida. That implemented other than front-end programs in south front-end... excuse me front of store sales increase to 3% for more than 10% of it's total sales. That equated to approximately $200,000 more in annual sales for this particular pharmacy. As we look across all of our classes of trade, we are getting very good feedback on our generic programs, our managed care and reimbursement support services at a automated outline calling [ph] to it's health pharmacies remind patients that their medication need re-going. With that several recent new customer wins, including Prime Therapeutics which was announced last week, each of these is a small step forward, but it helps to validate our efforts, the benefit of which we should begin to feel in the latter half of the year. Although, our genetic program like our other programs has been handicapped by our anti-diversion issues, our new genetic programs are simpler, more transparent and more tightly aligned with our interest in growing our overall retail business. Again, the date of some of recent retail business conference indicated that this was the most successful program, we had ever had for our generic business. Our recent launch of three generics the generic equivalents of risk [indiscernible] helped to highlight that we're getting very good at executing, very fast high volume generic launches, a critical success factor in this business. Finally, we're making reaffirmation of our value proposition for HSCS and actionable [ph] item. We are approaching all of our contract discussions with a conviction that our value is meaningful. And we're working hard to demonstrate this in economic terms to customers in all segments to vendors in our DSA discussions. What I would love to say that our pharma distribution business will turnaround overnight, I realize this will take some time and some investment to help us reposition. But we're putting building the building blocks in place. We expect 2009 to be a transition year one in which we will begin to feel the benefits of the work done in recent months and year in which we expect margin erosion to moderate. Let me take just a moment to elaborate on margins. We divide our pharma distribution business between bulk and non-bulk or DSD business, each having different operating and margin characteristics. As I am sure you know our bulk business which we define our shipments to customize warehouses and mailer [ph] facilities, in lower margin both price limited sales and marketing support and lower operating costs. This is profitable business, business in which we have very efficiently manage our working capital and which is expensing significant revenue growth lead by our largest business partners. We have come to a difficult pf in this business in terms of margin, particularly as we have reprised some major contracts. As we look toward FY09 with most of these major reprisings behind us, we do see moderating of this erosion. Our non-bulk or DSD business has different characteristics. Our margins are margins are better in this group, but our costs to serve are higher. We did see some DSD margin pressure in FY08, but we expect to relatively stable the DSD margin in FY09, an important point here, because of the size of our bulk business and it's expected growth in FY09, revenue growth in FY09, it is likely from a shear math perspective that our overall margin could slowly decline in spite of the fact that we will improve the health of both of these parts of our business. Before turning the call over to Dave, I want to make one final comment. We recently announce the acquisition of Borschow Hospital & Medical Supplies. Borschow, a drug and medical distributor has the unique a powerful position in the Porto Rican market. John Borschow and his team has built up many years of kind of deep customers relationships, both in the retail and the hospital channel that all of us handy [ph] and which will head among Board. In summary, we feel very good about the progress we are making. I will be providing with the updates during the year in some of the areas that I believe represent leading indicators of progress in our business. First, drug elution of our anti-diversion issues with the DEA. Second, growth in our DSD business, third, a return to a meaningful growth in our generic source program and finally, continuing momentum in our medical distribution businesses with a particular focus on our leading transformation activities and the development of our private label offering to hospitals. Now I would like to turn the call over to Dave for his comments about CMP.