Earnings Labs

CONMED Corporation (CNMD)

Q4 2011 Earnings Call· Wed, Feb 15, 2012

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Transcript

Operator

Operator

Good day, ladies and gentlemen and welcome to the Fourth Quarter 2011 CONMED Corporation Earnings Conference Call. [Operator Instructions] I will now turn the call over to Mr. Joseph Corasanti, President and Chief Executive Officer. You may proceed.

Joseph Corasanti

Analyst · Matt Miksic from Piper Jaffray

Thank you, Francis. Good morning, everyone. Welcome to CONMED Corporation’s fourth quarter 2011 earnings conference call. With me today is Rob Shallish, our Chief Financial Officer. After formal remarks the call will be opened for questions. Before we begin, let me remind you that during this call we will be making comments and statements regarding our financial outlook, which represent forward-looking statements that involve risks and uncertainties as those terms are defined under the Federal Securities Laws. Our actual results may differ materially from current expectations. Please refer to the risk factors and other cautionary factors in today’s press release, as well as our SEC filings for more details on factors that may cause actual results to differ materially. You will also hear Rob and I refer to certain non-GAAP adjusted measurements during this discussion. While these figures are not a substitute for GAAP measurements, company management uses them to aid us in monitoring the company’s ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against other medical technology companies. Adjusted net income and adjusted earnings per share measure the income of the company, excluding credits and/or charges that are considered by management to be unusual or outside of the normal ongoing operations of the company. These unusual items are specified in the reconciliation in the press release issued this morning. With these required announcements complete, I can now turn to my comments. I am pleased to report that we completed the fourth quarter and our 2011-year end by meeting or exceeding all of our operational expectations. Beyond the non-cash goodwill write off in the Patient Care division, which Rob and I will comment on in a moment, CONMED’s results were extremely positive. Further, we are off to a very good start to the New…

Robert Shallish

Analyst · Mark Landy from Summer Street Research

Thanks very much, Joe, and good morning, everyone. On our last conference call I mentioned that CONMED had completed 10 quarters in a row, meeting or exceeding our operational goals and forecasts. This just completed fourth quarter of 2011 now adds another quarter to that string of positive results. The fourth quarter sales totaled $185.6 million at the higher end of the range we had forecast. Similarly, total 2011 sales of $725.1 million were at the higher end of the annual forecasted range. Of note was the fourth quarter’s favorable overall performance from our suite of single use surgical devices. Together the single use devices within our arthroscopy, electrosurgery and endosurgery, making up over 65% of the fourth quarters single use sales, grew in excess of 5% in the quarter when compared to the fourth quarter of 2010. We are especially pleased with the performance of our sports medicine, our arthroscopy line, where we believe that we are meaningfully growing our market share with the new products we have launched recently. Capital product sales in the fourth quarter, which made up 22% of the quarter sales had mixed results, with the surgical video products within arthroscopy and electrosurgical generators in electrosurgery showing declines from sales in the fourth quarter of 2010. With respect to the surgical video products, sales declined $1.9 million compared to the fourth quarter of 2010. As we have discussed in the past, the surgical video capital products, representing approximately 9% of our total sales have been affected by our decision to de-emphasize the integrated systems product offering, involving the onsite construction of overhead booms holding surgical lights and monitors. Additionally, these made to order installations involve the integration of software control on various items of equipment in the operating room. Approximately one half of the sales…

Operator

Operator

[Operator Instructions] Our first question is from the line of Matt Miksic from Piper Jaffray.

Young Li

Analyst · Matt Miksic from Piper Jaffray

This is Young in for Matt. The first one is, can you comment on any early feedback or progress related to the MTF integration?

Joseph Corasanti

Analyst · Matt Miksic from Piper Jaffray

Sure. It’s going very well. The early integration for us is the immediately hiring on the closing day of the transaction, the 35 MTF employees that we mentioned in my prepared remarks and then following that we had a national sales meeting at our Linvatec facility in Florida and had several of the managers of MTF attend that meeting and started the training process for cross selling and other integration matters. As far as customers are concerned, this integration and the partnership and the transaction seems to be going extremely well and it really is kind of a seamless transaction from a customer point of view, so it’s going very well. Thank you.

Young Li

Analyst · Matt Miksic from Piper Jaffray

All right, great. Can you provide some color on the tone of the market in Q4? Do you see stabilization and utilization rates or any signs of bottoming here and also any or how current utilization trends differ across geographies?

Joseph Corasanti

Analyst · Matt Miksic from Piper Jaffray

Well, we’ve seen utilization rates remain fairly constant throughout 2011. I think the same is true so far in Q1. We had good growth in arthroscopy, so procedure rates we think are fairly strong there. There was some weakness in some of the European countries, but perhaps off set by strength in Brazil and most of Asia and I think that’s really, that’s pretty much the same for our general surgery segments as well.

Young Li

Analyst · Matt Miksic from Piper Jaffray

Okay, great. One last question, to put some of your new products in context, the knotless anchor and other new anchors introduced last week at AAOS. Can you give us an idea of what kind of size these products contribute to sales over time and maybe how they compare to Sequent for example?

Joseph Corasanti

Analyst · Matt Miksic from Piper Jaffray

Yes, with Sequent we are expecting probably anywhere from $10 million to $20 million in sales for 2012 and so that’s taking out very nicely and then if we compare that with the Shoulder Restoration System which was launched 18 months ago, that’s already a $25 million product line for us, competing in the 2 segments of the shoulder arthroscopy, rotator cuff and instability procedures, each representing about a $300 million market potential. The Y-KNOT product that was just launched at AAOS is a terrific product for instability procedures. We also think it has applications in hip arthroscopy, but of course for now the immediate penetration we are expecting is going to be instability procedures in the shoulder and yes, I would think that would have similar launch projection trajectory as SRS, as well as the Sequent. It should be a very good product for us.

Operator

Operator

Your next question is from the line of Mark Landy from Summer Street Research.

Mark Landy

Analyst · Mark Landy from Summer Street Research

I apologize if some of my questions were covered in your prepared remarks. I have been juggling a couple of calls this morning. As we kind of look into 2012, given the transition towards more of the single use products and away from the capital high products, shouldn’t we expect any other inventory implement charges or have you basically been declining the inventory line with as you’ve been exiting those businesses.

Robert Shallish

Analyst · Mark Landy from Summer Street Research

Well, Mark, we are not expecting any charges. We are not really exiting any of our businesses or any of our products. It’s perhaps more of our R&D these days as focused more on the single use products than the capital. So new products coming out generally would be of the single use category, but we are not anticipating any inventory charges at this point.

Mark Landy

Analyst · Mark Landy from Summer Street Research

Okay Rob. And then if I’m looking at the operating margin for next year and assuming that you get you at least this time a 100 basis point increase that you’ve been targeting, is that going to come mostly out of the manufacturing side, improvements in manufacturing or through gross margins with respects to the higher margin products or more out of streamlining expenses related to running the businesses from SG&A and R&D.

Robert Shallish

Analyst · Mark Landy from Summer Street Research

Well, we have an interesting situation with the MTF acquisition or association I guess I should say, since there is very little cost of sales associated with those revenues. So my currently expectation is that the operating margin improvement in 2012 will primarily come from the gross margin line and not from SG&A. As I mentioned we have very little cost of sales relative to the revenue associated with MTF, but we do have a cost in SG&A for selling and marketing activities. So the gross margin will improve, the SG&A as a percentage of your sales number will probably -- could get a little bit worse actually in 2012 with an overall benefit at the operating margin line.

Mark Landy

Analyst · Mark Landy from Summer Street Research

Okay, Rob. And then just 2 quick questions; can you provide us just an anecdotal update on Alterus on how the re-launch is going?

Joseph Corasanti

Analyst · Mark Landy from Summer Street Research

Yes, Alterus is proceeding very, very well. Just to review, Alterus was launched in January of last year. It had some starts and stops during the launch process. Issues were related to product supply and some reliability testing that we were doing, which of course limited supply. We went several months with limited supplies of our 10-millimeter instrument. There are 2 versions, there’s a 10-millimeter and a 5-millimeter. Many of the initial evaluations that surgeons like to do are with 10 millimeters, so that could slow down the evaluation process for us really in fourth quarter. But the long and short of it is that Alterus is growing every month and at this point we do have full supply now, both 10 millimeter and 5-millimeter instrumentation for our Alterus vessel sealing device and the product is performing extremely well.

Mark Landy

Analyst · Mark Landy from Summer Street Research

So the kind of $10 million guided number, you’re still comfortable with that?

Robert Shallish

Analyst · Mark Landy from Summer Street Research

Yes, absolutely. Yes, our guidance is $5 million to $10 million for 2012 and we are very comfortably with it, yes.

Mark Landy

Analyst · Mark Landy from Summer Street Research

And then just lastly as we look towards 2013 and the med device excise tax, what type of initiatives should we expect you to put in place as you go through the year or is that something you’re going to worry about exiting the year.

Joseph Corasanti

Analyst · Mark Landy from Summer Street Research

That, there are a couple of ways to approach the excise tax. We would probably try one or both approaches, maybe there’s even a third that we haven’t thought about it yet, but the approaches we are thinking about are that we would add the excise tax on to our invoices beginning in 2013 and if necessary, we would raise prices for some of our products, probably not all of them, but the products that have advanced technology and superior performance etcetera. We will probably target those to have price increase for it if necessary. If everything works well with adding the tax on to our invoices, then we will probable leave it at that.

Operator

Operator

And your next question is from the line of Dalton Chandler from Needham & Company.

Dalton Chandler

Analyst · Dalton Chandler from Needham & Company

I was wondering if you could give us a little bit more color on Europe. I know you said it was a little bit weak. We have been hearing from some other companies that it’s pretty country specific that some are in pretty bad shape and others it’s pretty much business as usual, so if you could comment on that and your exposure to the countries that may be the weak ones.

Joseph Corasanti

Analyst · Dalton Chandler from Needham & Company

Well Dalton, last year we had a mixed performance and you're right, it is somewhat county specific. The single use products in general performed pretty well, better than I think most people would expect given the economic news that we keep hearing out of Europe. Where I think we may have fallen down a little bit is in the capital products, particularly in the video systems, but that was somewhat universal along with here in the United States. So in general, combining the single use growth with capital products declines, we saw in general flat sales overall from Europe. The U.K. was rather flat, Southern Europe, Spain and Italy generally flat as well. We saw a little bit of growth in Germany. So overall I would say we performed in 2011 probably better than most people would have expected, given the negative news we hear all the time from Europe.

Dalton Chandler

Analyst · Dalton Chandler from Needham & Company

Okay. Any thoughts about what we might see this year?

Joseph Corasanti

Analyst · Dalton Chandler from Needham & Company

Well, we are expecting generally the same kind of trend frankly. We are not expecting much in the way of growth, but on the other hand we are not expecting declines. We do think that a single use product should continue to outperform the capital products. I guess one thing to point out is that national health care is prevalent in almost all countries, probably all countries in Europe. We have a significant amount of business in private hospitals, as much as 50% of our business in some countries comes from private hospitals which are somewhat cushioned I guess you might say from the day-to-day economic turmoil of the national governments.

Dalton Chandler

Analyst · Dalton Chandler from Needham & Company

Okay and then just a final question on the M&A environment. Historically you’ve been pretty active, but it’s been a while. What are you seeing in traditional M&A?

Joseph Corasanti

Analyst · Dalton Chandler from Needham & Company

Yes, in traditional M&A we keep looking at things very frankly. We would like to be able to add either technology or market share to the product groups that we already have. We are not looking to add another leg to the business that’s diverse from what we currently offer. Of course the MTF association, while not an acquisition in the traditional sense, certainly it perhaps achieves the same kind of purpose, where we are growing our product offering and growing our profitability through association with that fine non-profit organization. So we continue to look at things, but we want things to fit in to what we currently offer and we would like them to be accretive fairly quickly if not immediately.

Operator

Operator

Your next question is from the line of James Sidoti from Sidoti & Company.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Can you just repeat how the payments to MTF are structured. It was $62 million when you closed the deal, $34 million in 2013, but what were the payments after that?

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

Yes, we have 3 payments of $16.7 million.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Okay, at the beginning of each year.

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

Yes.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

And then I assume those are based on hitting some kind of growth hurdles or…

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

Not related to growth, its related to supply of tissue and it’s not a very onerous measurement, but we do have some downside protection in the event that there is kind of inability of the MTF tissue bank to supply tissue.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Okay. And Rob, can you tell me, what was long-term debt then when you closed your deal on January 3?

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

Well, the December 2011 debt was roughly $140 million.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Okay, so about $200 million.

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

When we closed the deal.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Right.

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

When we closed the deal we would have added another -- wasn’t quite $60 million because we used some cash on the balance sheet. So that’s probably 180, 190 or something like that.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

And for your guidance for ‘12, what are you factoring in as far as interest expense?

Robert Shallish

Analyst · James Sidoti from Sidoti & Company

We are assuming that interest expense will be calculated on the basis of overall interest rate of about 2.5%.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Okay. So about $5 million or so.

Joseph Corasanti

Analyst · James Sidoti from Sidoti & Company

Well actually, total interest expense was probably not going to be much different than the interest expense we had in 2011.

James Sidoti

Analyst · James Sidoti from Sidoti & Company

Okay and then, in terms of use of cash, would that be your primary use or would you prefer to do stock buybacks or look at M&A or…

Joseph Corasanti

Analyst · James Sidoti from Sidoti & Company

No, primarily it will be debt repayment. Of course as I mentioned in the last question with Dalton, we continue to look at acquisitions, but we haven’t done that in any in the last 5 years. MTF is certainly positive for us. Whether we’ll find other ones this year or not, I just don’t know.

Operator

Operator

Your next question is from the line of Robert Goldman from CL King.

Robert Goldman

Analyst · Robert Goldman from CL King

A couple of questions on some of the newer product. First on Alterus, the tissue sealing, in order to sort of give us an enhanced degree of confidence in the $5 million to $10 million projection, could you share what the monthly sales were in January and December and I got the same question with Sequent to give us confidence in the $10 million to $20 million projection.

Joseph Corasanti

Analyst · Robert Goldman from CL King

Well Bob, I hate to give monthly numbers, because there’s always some variation on a monthly basis. I guess, let me leave it at this, that we see progression on a monthly basis with both of those products.

Robert Goldman

Analyst · Robert Goldman from CL King

The progression you are seeing off late, does that suggest to you the annual sales projections you’ve given on both products or would you need further acceleration from wherever you are now to reach those annual numbers.

Joseph Corasanti

Analyst · Robert Goldman from CL King

We need further acceleration. Our anticipation is that sales of both of those products would continue to accelerate as we go through 2012.

Robert Goldman

Analyst · Robert Goldman from CL King

So then what metrics are you focused on to give yourselves a sense of confidence of reaching those annual numbers?

Joseph Corasanti

Analyst · Robert Goldman from CL King

Well Bob, we take a look at reports from our sales force who have been extremely positive about both of those of products. We see the growth that has occurred already throughout 2011 and are projecting that same kind of growth out into 2012. And frankly, given the markets for both of those products. Our expected sales in 2012 are extremely modest in relation to the overall market. So while we are doing some estimation I admit. We are confident at this point that we’ll hit those goals.

Robert Goldman

Analyst · Robert Goldman from CL King

And on the SRS, it looks like those sales have capped out at this $25 million run rate. Can you speak to what’s going on there?

Joseph Corasanti

Analyst · Robert Goldman from CL King

I think that those particular sales are a little more stable. But we’ve introduced some new products that might replace some of the anchors that are in the SRS product portfolio like the Y-KNOT and the PressFT anchor. So what we include in the SRS bundle is perhaps a little confusing to me, but certainly with introducing the products such as we did last week at AOS. We believe that the overall growth of the arthroscopy business will support the sales forecast that we have given.

Robert Goldman

Analyst · Robert Goldman from CL King

And then finally, Rob, on the cash flow, you rightly said that the free cash flow per share was almost doubled that of earnings per share. Should we look for that same ratio in 2012?

Robert Shallish

Analyst · Robert Goldman from CL King

I think that it’s fair in its magnitude. We certainly had a very good performance relative to working capital items in 2011 with working capital reduction of $7 million to $8 million benefiting the overall cash flow over the business. I’m not sure we can replicate that kind of improvement in working capital in 2012, but in order of magnitude our cash flow should be much superior to our earnings.

Robert Goldman

Analyst · Robert Goldman from CL King

Okay, and beyond that are you prepared to give us some guidance on free cash per share?

Robert Shallish

Analyst · Robert Goldman from CL King

Well, this year free cash flow was $84 million, $85 million. I think it’s fair to say that with working capital use or source being negligible compared to being a benefit in 2011, I think that free cash flow should approximate what the free cash flow was in 2000 -- 2012 free cash flow should approximate to the same amount as 2011.

Operator

Operator

Your next question is from the line of Brad Evans from Heartland.

Bradford Evans

Analyst · Brad Evans from Heartland

I have a couple of questions regarding cash tax. What’s the tax rate you are using for the year Rob?

Robert Shallish

Analyst · Brad Evans from Heartland

For 2012 we are looking at about a 37% book tax rate.

Bradford Evans

Analyst · Brad Evans from Heartland

And can you amplify, how much that will be cash do you anticipate. How much will you be able to defer?

Robert Shallish

Analyst · Brad Evans from Heartland

I think we are still going to be in a very positive situation relative to the cash tax that we pay. So in the neighborhood of 5% to 10% would be the cash tax rate.

Bradford Evans

Analyst · Brad Evans from Heartland

Okay. Depreciation and amortization, should be around about $45 million for the full year, is that right?

Robert Shallish

Analyst · Brad Evans from Heartland

It maybe just slightly higher due to the amortization of the payments on MTF, but somewhere in that $45 million to $50 million range would be the amount.

Bradford Evans

Analyst · Brad Evans from Heartland

Okay, and your CapEx budget for the year should be roughly what for 2012?

Robert Shallish

Analyst · Brad Evans from Heartland

Well, we had $17 million of CapEx in 2011. We are looking at around $20 million for 2012.

Bradford Evans

Analyst · Brad Evans from Heartland

Okay, and stock based compensation should be about $6 million?

Robert Shallish

Analyst · Brad Evans from Heartland

Between $5 million and $6 million.

Bradford Evans

Analyst · Brad Evans from Heartland

So it looks like you could do maybe even a little more, maybe a $100 million in free cash flow if that working capital dynamic is not a big use of cash.

Robert Shallish

Analyst · Brad Evans from Heartland

Yes, I think the unknown factor is working capital. We actually made very good progress on working capital this past year and I’m not sure as I mentioned we can replicate that. So it could be somewhat of a negative, but not a large I don’t believe.

Bradford Evans

Analyst · Brad Evans from Heartland

So if you don’t find an acquisition to make, you could really pay down a large portion of the revolver if you so choose, again under the caveat of meeting your expectations of course.

Robert Shallish

Analyst · Brad Evans from Heartland

Yes, I agree with that Brad. I think cash flow is going to be very strong, continuing to be very strong.

Bradford Evans

Analyst · Brad Evans from Heartland

Okay, that’s great. Keep up the good work on that front. Did you buy back any stock in the quarter?

Robert Shallish

Analyst · Brad Evans from Heartland

No, we did not buy any more in the fourth quarter. Most of the buyback occurred in the third quarter.

Bradford Evans

Analyst · Brad Evans from Heartland

I mean if you are able -- if the free cash flows materialize as you are expecting, do you think you have a latitude to perhaps both buy back stock and pay down debt simultaneously or do you -- I don’t want to -- I know you indicated you like to pay down debt, but I wonder whether you have the wherewithal to perhaps do both.

Robert Shallish

Analyst · Brad Evans from Heartland

Well certainly the cash would be there I believe. I think that primarily we would be focusing on debt repayment.

Operator

Operator

[Operator Instructions] Our next question is from the line of Dale Dutile from The Boston Company.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Along the same lines of cash flow, I think I understand what that’s related to, but when do the cash taxes start to approximate your gap tax rate, is that several years away or…

Joseph Corasanti

Analyst · Dale Dutile from The Boston Company

Well, the final year of amortization relative to the Linvatec goodwill is this year, 2012. So we will be losing some deductions in our tax return as a result of that. We now have some deductions relative to MTF and that amortization, so that tends to offset it a little bit. So we will start seeing a progression towards merging the cash tax rate and the book tax rate starting in 2013. But it won’t be immediate, because of other acquisitions and other deductions that we have, there will be a gradual merging of those 2 rates over probably a 5 year period.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Is the Linvatec goodwill amortization kind of half of or 3 quarters, can you give some sense.

Robert Shallish

Analyst · Dale Dutile from The Boston Company

Yes, it’s probably closer to 60%.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Okay, and then you had some comments in the press release about your currency hedging. I don't know exactly how the cost structure shakes out from a currency standpoint, but it would seem like that Euro hedge is pretty beneficial to margins this year. I’m wondering kind of what 2013 will look like if or does that hedge on a euro roll off.

Robert Shallish

Analyst · Dale Dutile from The Boston Company

Yes, those hedges that we identified in the press release are for 2012. We’ve only done a very moderate amount of hedging for 2013 at this point and none of which was in the euro at this point. So we could end up in a situation in 2013 where rates are a little less favorable to us than they are today. But we’ll be watching that as we go through the course of the year and locking in rates as we go, so that we can provide a reasonable forecast of our business in 2013 and beyond.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Are those costs dollar based cost of goods sold for the stuff you sell in Europe.

Joseph Corasanti

Analyst · Dale Dutile from The Boston Company

Yes, all of -- well, we have one small manufacturing site in Finland, but otherwise -- and of course we have the Mexican Maquiladora in Chihuahua, but substantially all of our manufacturing costs are U.S. dollar based.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Okay. Well, I mean that looks like maybe a 100 basis point headwind. I’m just thinking kind of a third of revenues at your hedges is probably worth 7 or 8 points and a 50% gross margin, roughly. I don’t know, is that math about right?

Robert Shallish

Analyst · Dale Dutile from The Boston Company

Well, this year is actually a tail wind for us, with the hedges.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

No, I’m thinking 2013.

Robert Shallish

Analyst · Dale Dutile from The Boston Company

Yes. If the rates stay as they are now, it could be somewhat of a headwind for us in comparison to 2012. Offsetting the sales amount our cost in our foreign locations, our selling costs. So roughly we figure that for every percentage change in top line affecting currency, about 60% of that change falls through to pretax profitability. So of course if rates are substantially going the wrong way for us in 2013, we’ll be looking at ways to offset that effect in our overall profitability.

Dale Dutile

Analyst · Dale Dutile from The Boston Company

Okay, how would you do that? I mean, what are the steps you would take.

Robert Shallish

Analyst · Dale Dutile from The Boston Company

Well, it’s looking across more effectively, so cost control I guess would be the major thing that we would look at and -- but maybe there’s upside with new products that we might come out with.

Operator

Operator

At this time, there are no other questions in the queue. I’d like to turn the call back over to Mr. Joseph Corasanti for closing remarks.

Joseph Corasanti

Analyst · Matt Miksic from Piper Jaffray

Thank you very much for joining us today for our fourth quarter earnings conference call and we look forward to talking to you again on our first quarter 2012 call. Thank you very much. Bye.

Operator

Operator

And ladies and gentlemen, this concludes your presentation. You may now disconnect and have a great day.