Earnings Labs

Globus Medical, Inc. (GMED)

Q4 2015 Earnings Call· Thu, Feb 25, 2016

$91.15

-2.72%

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Transcript

Operator

Operator

Good afternoon. My name is Kyle and I will be your conference operator today. At this time, I would like to welcome everyone to the Globus Medical Q4 and Fiscal Year 2015 Earnings Conference Call. All lines have been placed on mute to prevent any background noise. After the speaker's remarks, there will be a question-and-answer session. Thank you. Mr. Kearns, you may begin your conference.

Brian Kearns - Vice President of Business Development

Management

Thank you, Kyle. Thank you for being with us today. Joining today's call from Globus Medical will be David Paul, Chairman and CEO; Dan Scavilla, Senior Vice President and CFO; Anthony Williams, President; and Dave Demski, Group President of Emerging Technologies. This review is being made available via webcast accessible through the Investor Relations section of the Globus Medical website at www.globusmedical.com. Before we begin, let me remind you that some of the statements made during this review are or may be considered forward-looking statements. Our Form 10-K and our subsequent filings with the Securities and Exchange Commission identify certain factors that could cause our actual results to differ materially from those projected in any forward-looking statements made today. Our SEC filings, including the 10-K, are available on our website. We do not undertake to update any forward-looking statements as a result of new information or future events or developments. Our discussion today will also include certain financial measures that are not calculated in accordance with Generally Accepted Accounting Principles, or GAAP. We believe these non-GAAP financial measures provide additional information pertinent to our business performance. These non-GAAP financial measures should not be considered replacements for and should be read together with the most directly comparable GAAP financial measures. Reconciliations to the most directly comparable GAAP measures are available in the schedules accompanying the press release and on the Investor Relations section of the Globus Medical website. With that, I'll now turn the call over to David Paul, our Chairman and CEO. David C. Paul - Chairman & Chief Executive Officer: Thank you, Brian, and good evening, everyone. 2015 was a great year for Globus Medical. Sales grew by 14.8% as reported and by 16% on a constant currency basis, reaching $544.8 million and full year adjusted EBITDA remained at…

Operator

Operator

Your first question comes from the line of Jason Wittes from Brean Capital. Your line is open.

Jason H. Wittes - Brean Capital LLC

Analyst

I wanted to just ask, you mentioned a list of initiatives for this year. I'm just curious to think about your guidance in terms of what's included in those initiatives and what's going to actually impact the P&L this year. So if you don't mind of just – to go through that list and kind of give us a sense of when that should actually impact, that would be very helpful. David C. Paul - Chairman & Chief Executive Officer: Jason, thank you for the call. All six initiatives are included in our guidance, so we don't expect this to affect our guidance.

Jason H. Wittes - Brean Capital LLC

Analyst

I guess what I'm saying is when I think about the growth rates and the bottom line EPS numbers that you've provided, I should assume there is some contribution from all six of these initiatives that you mentioned initially. For instance, the robot and trauma, will they be major contributors or modest contributors to 2016 when I think about it? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: I think I get this one, Jason. So, basically, keep in mind that we're looking to do the filings for the robot maybe midpoint this year, seeking approval at the end of this year, but as I said before, we would not see or we do not anticipate having revenues for that. Same with trauma; we're working on that. We're ramping up our expenses and we're investing in that. And while we will seek approval this year, we're not counting on any kind of revenue. So in our guidance are the ongoing investments for the emerging technologies, but at this point we don't think and we don't anticipate having revenues or any income related to those items. The other objects – the other things are ongoing and as part of the base business, just looking for that continued growth is part, as we said earlier, of the guidance.

Jason H. Wittes - Brean Capital LLC

Analyst

Okay. And then just on the trauma business, have you – could you just give us a sense of sort of how you look to build out the sales force and when we should start to see that build out to become, I guess more aggressive?

David M. Demski - Group President-Emerging Technologies

Analyst

Hi, Jason. This is Dave Demski. Yes. So our sales force – our plan to build the sales force, it's going to be an exclusive sales force. We haven't made a determination beyond that. We'll probably hire sales leadership towards middle of this year and be hiring reps potentially towards the end of the year, depending upon how we do with the FDA and how the product approval process is going.

Jason H. Wittes - Brean Capital LLC

Analyst

Okay. Thank you. And then...

Operator

Operator

Your next question comes from the line of Jonathan Demchick from Morgan Stanley. Your line is open. Jonathan Demchick - Morgan Stanley & Co. LLC: Hello. Can you hear me okay? David C. Paul - Chairman & Chief Executive Officer: We can, Jonathan. There was some static, but it's cleared up now. Jonathan Demchick - Morgan Stanley & Co. LLC: Perfect. So thanks for taking the questions. Wanted to just start off with your cash balance and the potential use of it. I believe at the end of this year, your cash balance is now around $350 million, or following some of the market pressure, about 15% of our market cap. So, clearly, the financial markets have had a pretty substantial impact across valuations across medical devices. Has this disruption altered, I guess, any conversations you may be having with potential targets? And again, the targets you're looking at, largely the same that we've talked about in the past, trauma or international players. Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Yeah. So, Jonathan, we're sitting at just under $330 with cash and marketable securities and those type items. And you're right, we said we're patient in what we are going to invest in, and we're going to make sure it has the right return. We still feel the market's hot, a little bit overpriced. Certainly, the recent disruptions occurring throughout the market may be cooling down some expectations. So we're not looking to make any moves in the near term or suddenly seeing anything because of the shift in the last two few months that would change our pattern. We realize we have an asset here. We're going to apply it in the right, sustained growth. And we just continue through Brian and the team to…

Operator

Operator

Your next question comes from the line of Craig Bijou from Wells Fargo. Your line is open.

Craig William Bijou - Wells Fargo Securities LLC

Analyst

Hi, guys. Thanks for taking the question. I wanted to start with EPS guidance for 2016, recognizing that you guys beat your guidance by $0.03, and if – using the adjusted number. And if you take out $0.01 for the one-time item that you mentioned and then back out $0.04 for the device tax, it looks like EPS growth might be slower than the top line. So I just wanted to – I wanted to see if I'm I doing that math correctly, and if it is, I guess, what's the reason for that? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: So, Craig, lot of moving parts. So the $0.01 adjustment is really from 2014. That was a favorable multi-year tax settlement that occurred in 2014 that wasn't there in 2015. So the $0.01 adjustment isn't something that I would back in or out of 2015 to adjust that way. So really, I guess the way we look at it now and the way we're structured is even as we've said early on through the Investor Day and ongoing is our intent is to grow the bottom line in line with sales, while investing in several things including emerging technologies, I think as we do the adjustments by stripping out the med device tax right now, I think we still look like the bottom and top are growing at approximately the same rate. That's really where we're lining up right now.

Craig William Bijou - Wells Fargo Securities LLC

Analyst

Okay. That's helpful. And if I could ask on the seasonality or the quarterly cadence, I know you guys don't give quarterly revenue. If you look at – over the last couple of years, it looks like Q1, for instance, is roughly 24% of overall sales. I guess I want to ask, is there any reason to think seasonality or quarterly cadence would be different in 2016? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: We don't give really guidance on the quarters, as you know. I think looking at historical trends from a modeling point of view would be certainly the personal decision. I think, as you look at the market, I'll leave that in your hands and go along those lines.

Craig William Bijou - Wells Fargo Securities LLC

Analyst

Okay. And if I can just squeeze one more in, gross margin in 2016, a lot of moving pieces with the device tax coming out, some negative mix, and then the branch benefit. I know you also don't provide gross margin or specific guidance, but anyway, how should we think about that relative to 2015? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Yeah, I think that's a fair question. And so, first off, to your point, you're going to have some ongoing mid-single-digit price degradation as we've talked about all the time. I think that's fair to model forward. Certainly looking at what we've openly declared, that $5.5 million branch benefit would come through. And then if you do the math, from our earlier announcement you would have about $9 million pre-tax related to – probably about $8 million, really – pre-tax related to the med device. And so I think you're going to see a lift in GP really driven by med device suspension, as well as the benefit coming off of the balance sheet and into the cost of goods sold. I would use that modeling assumption.

Craig William Bijou - Wells Fargo Securities LLC

Analyst

Great. Thanks for taking the questions. David C. Paul - Chairman & Chief Executive Officer: Thank you.

Operator

Operator

Your next question comes from the line of Kaila Krum from William Blair. Your line is open. Kaila P. Krum - William Blair & Co. LLC: Hi, guys. Thanks for taking my questions. So when I look at 2015 performance, I mean you all delivered $70 million in incremental revenues for the full year. And then you mentioned TTOT was about $20 million for the full year in 2015, so perhaps $18 million of that was incremental from 2014 levels. So, that's still a $52 million increase in incremental dollars that you delivered in 2015. So, that's a pretty big uptick from the $40 million increase we saw in 2014. So, I understand that in 2014 there was the impact of the distributor loss. But it would just be helpful to parse out the drivers of that acceleration in performance we saw. Was it new products? Was it pull through associated with TTOT, sales force expansion? And then why or why wouldn't these drivers be sustainable into 2016? David C. Paul - Chairman & Chief Executive Officer: Thank you for the question, Kaila. Some of – as I mentioned earlier on in my prepared remarks, we did have a better-than-expected year in 2015 because of the success we enjoyed with CREO, with ALTERA, and some of our expandable cages and with the biologics, aside from the TTOT sales. So I don't think that that's how we are looking at 2016. I think our annual guidance at this point appears what we are comfortable with. As far as your math on the TTOT, I think the incremental is about $15 million in 2015, not $18 million. So we still did just about as good or better than 2014 to 2015. Kaila P. Krum - William Blair & Co. LLC: Okay. Great.…

Operator

Operator

Your next question comes from the line of Kyle Rose from Canaccord Genuity. Your line is open.

Kyle Rose - Canaccord Genuity, Inc.

Analyst

Hey. Thank you very much for taking my questions. Can you hear me all right? David C. Paul - Chairman & Chief Executive Officer: Yeah. We can hear you, Kyle.

Kyle Rose - Canaccord Genuity, Inc.

Analyst

So I first wanted to start on just some of the investments in Branch. You talked about the $7 million in manufacturing spend in 2015, and then expectations for more investments in 2016 and 2017. Just wondering if you could give any insight into the cadence of some of those investments, and then also should we expect those to be of the same amount or within the same range that we saw in 2015 or will be they be a more significant investment as we think about it looking forward? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Thanks, Kyle. Yeah, so you're right. So obviously the full acquisition and integration occurring in 2015 as well as us utilizing space by either redesigning the existing footprint or moving some of it into the existing Globus business allowed us to buy some more manufacturing equipment, which obviously allows us to over time increase the amount of in-house manufacturing that's there. And that's really the gist of what we've been investing in and are in the midstride of investing in, to take Branch from approximately 25% of our implant supply up to 50% over the next several years. The investment will be multiyear, as the team announced early on, and so certainly, as you look at what we spend in 2015, you probably would see something equivalent in 2016. You would need to reevaluate beyond that as to what's needed based on demand.

Kyle Rose - Canaccord Genuity, Inc.

Analyst

Great. Thank you. And then just any expectations as far as new sales rep hires in the 2016? And I didn't know if you could give us the number where you ended 2015 as well, just understanding the productivity and expectations for 2016 on a hiring standpoint. David C. Paul - Chairman & Chief Executive Officer: Kyle, we generally don't provide those numbers, Kyle, but we continue to strive to be the destination of choice for competitive talent. And as I mentioned in my prepared remarks, we're trying this year to do better than we've done in the past, and we've sort of tweaked our organizational structure to get us to that point, but we don't give out those numbers.

Kyle Rose - Canaccord Genuity, Inc.

Analyst

Great. And then just last question on OUS growth. What are your expectations for OUS growth, when we look at 2016 and beyond? And can you just kind of talk about how some of the changing dynamics of the emerging market may have impacted that expectation moving forward? And just seeing what are some of the highest-priority geographies when we think about it? David C. Paul - Chairman & Chief Executive Officer: Well, as I mentioned we've had a challenging year in international sales, but so did all our competitors because of the market conditions and currency fluctuations. We had some significant price issues in Belgium and some other markets, but beyond all this we still feel like we have about 1% or 1.5% market share. So, while these factors are there, I still see tremendous opportunities for us to better focus and align our efforts there. And our goal long-term is to grow that at much faster rates than our U.S. business, because there's a lot of opportunity there.

Kyle Rose - Canaccord Genuity, Inc.

Analyst

Great. Thank you very much. David C. Paul - Chairman & Chief Executive Officer: Thank you.

Operator

Operator

Your next question comes from the line of David Roman from Goldman Sachs. Your line is open. Kyle Conlee - Goldman Sachs & Co.: Hi. This is actually Kyle, filling in for David. Good afternoon, and thanks for taking the questions. David C. Paul - Chairman & Chief Executive Officer: Hi, Kyle. Kyle Conlee - Goldman Sachs & Co.: With TTOT having annualized and disruptive technologies returning to a more normal rate of growth in 2016, could you just provide an update on where your biologics portfolio sits in the context of the total business as a percentage of sales and how that franchise is growing going forward? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Sure, Kyle. I'll tell you, we're actually really pleased with where our regenerative biologics are. And David mentioned, just kind of that core business excluding TTOT was up 38% for the year. And so I think we're seeing good headway with some of our key products, more uptake as we get out with the docs and utilize that more. We've always stated that we feel that we should be at least at the market share and we kind of define that as roughly 10%. So, we're thinking our sales overall, 10% should come over the next several years through the biologics business as we grow it. I would tell you right now, if you picked in that mid-range, that's where we are, closer to 4% or 5%, and this is part of the journey. But I think we're right where we wanted to be as far as closing the gap. Kyle Conlee - Goldman Sachs & Co.: And then some of the other medical device companies that we follow have expressed a view that there has been a strong carryover of procedure volume growth from Q4 in 2015 into Q1 is that a dynamic that you've noticed playing out in your end markets thus far in 2016? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Thanks. We actually don't comment right now on the current quarter. So I'm going to kind of refrain from that one. Kyle Conlee - Goldman Sachs & Co.: Understood. Thanks very much.

Operator

Operator

Your next question comes from line of Richard Newitter from Leerink Partners. Your line is open.

Rich S. Newitter - Leerink Partners LLC

Analyst

Hi. Thanks for taking the questions. I just wanted to start or go back to follow up on the OUS question. I think in the past, you guys have obviously talked about you're going through some changes, some internal changes, management changes to kind of restructure the way, I think, you approach certain territories. I guess my question is, and you've said in the past that you had expected a return to double-digit growth within a reasonable timeframe. And that was like the beginning of last year, and that would have probably suggested double-digit growth potential in 2016. Does the environment you're seeing in the international regions change your ability to kind of achieve or ramp up to double digits exiting the year or at some point in 2016? Would love to hear your thoughts there. David C. Paul - Chairman & Chief Executive Officer: I'd love to think that at least while exiting 2016, we'll be at those rates. But some of the things that happened in international market last year were pretty unexpected, with the pricing situation in Belgium and then in other markets as well as the currency fluctuations. But as far as internal issues are concerned, we've worked on restructuring there. We continue to make some changes that we think are needed. As I mentioned before, we only have 1.5% market share according to our estimation. So I think, these extraneous factors aside, we should do a better job internally of growing our international business. And I know our team here at the table is extremely focused in on getting this turned around. Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Yeah. And Rich, what I would think is this. While certainly we're pleased that we do have double-digit growth at 10.2%, we're thinking it needs to be obviously higher than that. And as we've told you, as we look at structures both here in Audubon as well as throughout the markets, I think we're looking at quarter-on-quarter improvements. So, I don't think it's a switch where we're there over one quarter. But 2016, I think, given the strong dollar, economic uncertainties, that may be a challenge for us. We're not necessarily declaring that yet, but I think as we look to bring this back to the growth rate we want, we're still putting in place everything internally we need to achieve that.

Rich S. Newitter - Leerink Partners LLC

Analyst

Okay. Thank you. Dan, also I feel that we ask you this every quarter, but now you've been at the company for a longer period of time and you've mentioned tax planning initiatives in the past, we'd love to get an update there and any kind of timelines for lowering tax rate that you'd be willing to share. Thanks. Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Sure, Rich. So, a couple of things. We're looking at a couple of simple U.S. structures, and we feel like we may have the ability later on in 2016 to realize those. We're in the implementation phase of that now. I think they'll be modest still. I don't think it's anything we may go out and go have a look at yet. But it's one of the first starts. At the same time, we've already engaged a third-party firm to work with us on some of the international. I would tell you that I have a better defined plan of what we want to do, and it's right now being formulated. So I probably won't go into the exact details, but the thought would be to utilize some of the strength right now early on in 2016 to actually begin building that out in the first half, or let's say Q2, Q3 of this year, and then looking for some benefits in 2017. So I will have a better answer probably into Q2 as we get done this investigated work. But I feel fairly positive that we have a viable route to have a tax impact as we grow international and as we start seeing some of the benefits in the later years of our long-range plan.

Rich S. Newitter - Leerink Partners LLC

Analyst

Maybe just remind us what's assumed for your dollar 2017 guidance for tax rate. Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Yeah, it's about 35%. It's probably just a little under that, 34.5%, because we would have factored in the R&D tax credit with that.

Rich S. Newitter - Leerink Partners LLC

Analyst

Okay, great. And then just one last one. You've mentioned in the past that your TTOT, ambitions with that asset are to expand into interesting new areas we have in been present, like stem cell potentially. Would love any updates on those initiatives. Is the stem cell product in the works? And what could be a timeline to potentially see that come to market? Thank you. David C. Paul - Chairman & Chief Executive Officer: Thank you, Rich. We have an active product in development right now. I'm not ready yet to commit to a date, but we have a product in development and hope to get it out soon.

Rich S. Newitter - Leerink Partners LLC

Analyst

Thanks.

Operator

Operator

Your next question comes from the line of Matt Miksic from UBS. Your line is open.

Matt Miksic - UBS Securities LLC

Analyst

Hey, guys. Thanks for taking the questions. Just a couple of follow-ups on the P&L margins, and then I have one kind of market-related question for Dave or David, if I may. So, Dan, you've mentioned in an answer to an earlier question that the spend – and you gave the $0.02, which was helpful – spend on emerging technologies is around $2 million. So just quick, obvious, simple math on that puts Q4 EBITDA margins of the core business, if you want to call it that, like 39%, if I'm seeing that right. Is that right? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: I think on that math, Matt you're right. You can get into that. That's in the range.

Matt Miksic - UBS Securities LLC

Analyst

And then just to take that a step further, not to push you guys too much, but that does include what I would characterize as kind of a drag from the international business, is that not correct? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Not really. I mean there is some that goes on there. We've always said some pricing is different with that, but listen, at the end of the day, you know that we're going to run this as a mid-30%s EBITDA company. We know if there's strength in some areas, we want to redirect it now strategically to grow and invest in other areas. And...

Matt Miksic - UBS Securities LLC

Analyst

That would be a 100%? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Yeah. And as you know, we're going to make sure we don't let one area of the business overheat nor are we going to let one business of the area underperform without us coming in and making sure we can get the right outcomes. David C. Paul - Chairman & Chief Executive Officer: Matt, and I'm sure you know this, but there are a lot of timing issues with this, so I wouldn't take one quarter's EBITDA and extrapolate. When you think about this, you should look at it always with the annual number in mind. And that's where we want to be in the mid-30%s. So, whether it's a national sales meeting or other things, there are always timing issues with this also involved.

Matt Miksic - UBS Securities LLC

Analyst

Totally understand. David C. Paul - Chairman & Chief Executive Officer: We're getting leverage though.

Matt Miksic - UBS Securities LLC

Analyst

Totally understand. And I guess I'm asking the question more to sort of put into context the sort of dry powder that you have to continue to invest this year. So – and then the follow-on to that is as we think about this full-year, you've been making investments in trauma and robotics, which is great, and we're getting closer to like commercialization with robotics, then trauma to follow. Should we think about that investment, your $2 million a quarter in the fourth quarter and in the third quarter-ish, as you get to commercialization and you do start hiring sales management in the back half of the year, whenever it is, should we think about those are the things that get you from what is a pretty strong core number down to your target in the mid-30%s? Is that the right – you're teeing up these things, finally, to enter the market, is that the right way to think about it? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: I think that's a reasonable way to think about it, Matt, because you're going to have a couple of things. Not only are you going to continue and increase in R&D as you're getting there and starting to finish up some of the items that go into some of the next-gen, but as we've said before, we're going to enter into the pre-commercialization ramp-up of our sales force and that kind of organization. So you're absolutely right. You're going to see some higher spend in there pre-revenue as planned.

Matt Miksic - UBS Securities LLC

Analyst

That's helpful. And then, the market question, if I could, David or Dave. One of the questions I get a lot is, are the bigger players, the legacy players, the Medtronic and DePuys of the world, going to kind of wake up and get tougher and make it tougher for you to compete in this market and to take the kind of share that you've taken? And I'd just love to – I'd love to hear what you're seeing in the market, if there's any change. I know that you are always adjusting and evolving your face to the market, but what's your expectation in terms of what it's going to take to compete, maybe next year, the year after, that's a little different than last year and the year before? David C. Paul - Chairman & Chief Executive Officer: Thank you, Matt. As I've I said before, we compete with some of the best medical device companies in the world – the top medical device companies in the world. So I never take them lightly. That being said, when I look out at the competitive landscape in Spine, I continue to see tremendous opportunities for us to keep growing, because I don't see anything different that is being done by our larger competitors. So I continue to see a lot of opportunities, not only in continued product innovation but also in attracting sales talent.

Matt Miksic - UBS Securities LLC

Analyst

Super. Thanks. David C. Paul - Chairman & Chief Executive Officer: Thanks.

Operator

Operator

Your next question comes from Dave Turkaly from JMP Securities. Your line is open.

David L. Turkaly - JMP Securities LLC

Analyst

Thanks. Maybe just a follow-up and a sort of a quasi-market question. But I've been hearing more about posterior fixation options outside of pedicle screws, and you guys highlighted CREO both on the innovative and the disruptive side. I guess I'd just love to get any color on the – either price or growth or what you're seeing in kind of that core market, and then sort of an opinion, what would you kind of think of some of these newer options? Thank you. David C. Paul - Chairman & Chief Executive Officer: Thank you, Dave. As we've – our Innovative Fusion is growing at about 4% to 5% a year, and that's where we look at CREO. But when we look at CREO, we sort of have the regular pedicle screws, but then we break out CREO MIS as disruptive, and that's growing much faster. I didn't understand the second part of your question. If you could repeat it, it will be great.

David L. Turkaly - JMP Securities LLC

Analyst

Just asking sort of as we're seeing some of these newer technologies that are posterior fixation but not pedicle screws, sort of your thoughts on that, given CREO is a very successful product and you guys have been so strong in pedicle screws in the past. I guess just your thoughts on... David C. Paul - Chairman & Chief Executive Officer: So, I'm guessing you're referring to interspinous devices and segmental fixation devices without using pedicle screws?

David L. Turkaly - JMP Securities LLC

Analyst

That's right. David C. Paul - Chairman & Chief Executive Officer: Okay. Those we don't see as a big threat, frankly, because the indications for those type of devices are pretty narrow and it's stenosis. And that's not what the majority of degenerative conditions are in the lumbar spine. And additionally, if you look at all the interspinous devices, the longer term clinical data that's been coming out is showing that those are not as good as we all originally thought they were. So we don't see that being an issue for our pedicle screw business per se.

David L. Turkaly - JMP Securities LLC

Analyst

Thanks a lot.

Operator

Operator

Your next question comes from the line of Bob Hopkins from Bank of America Merrill Lynch. Your line is open.

Travis Steed - Bank of America Merrill Lynch

Analyst

This is Travis Steed on for Bob. So I just wanted to talk about the landscape in 2016 versus the landscape in 2015. A year ago, you guided to roughly 6% organic growth. But ex the acquisition you delivered closer to 13% to 14%. And in 2016, you're guiding to 7%. And as you think about 2016 relative 2015, the competitive landscape, product cycles, ability to hire reps, are there any different headwinds or tailwinds that we should be aware of in 2015 versus 2016? Daniel T. Scavilla - Chief Financial Officer & Senior Vice President: Not really, Travis, I would tell you that what I look at is, we've had incredibly strong quarters in 2015, and we're just making sure we understand that they're at the beginning point. So it's certainly a different level to start growth from. And as you said, we only have the benefit of the acquisition coming through and that anniversaried. So that, again, as to those numbers. And then as again as you look at the market in any day, and you see the ups and downs including today, just that level of uncertainty, we want to make sure the economic uncertainty in the dollar versus some of the other currencies, we really do feel like calling out the 7% right now with those items is the right thing to do.

Travis Steed - Bank of America Merrill Lynch

Analyst

Okay. Thanks. All of my other questions have been answered. David C. Paul - Chairman & Chief Executive Officer: Thank you.

Operator

Operator

Your next question comes from the line of Matt O'Brien from Piper Jaffray. Your line is open. Matt O'Brien - Piper Jaffray & Co (Broker): Good afternoon. Thanks for taking the questions. Just follow-up a little bit on David's earlier question on new technology that are coming up to address the spine market without the need for pedicle screws. I'm not talking – I think you're talking, David, about LSS products and this is specifically around MIVO from LDR. I'd love to get your thoughts on that as well as the IGA platform from NuVasive and how that may impact you guys going forward. David C. Paul - Chairman & Chief Executive Officer: I'm not too familiar with the LDR project that you're talking about, Matt, but I can tell you about the IDA, and that's the surgical navigation system that NuVasive has. And to me, I look at global alignment in the lumbar spine is something that we've been working on for the last 10 years, our interbody devices. And I don't see that affecting our business per Southeast. I look at how we've been able to achieve lordosis in the lumbar spine by expandable technology. And we've been preaching about global alignment for a long time. So I don't think that's going to affect us, but I would love to hear more about what you mentioned, the LDR alternative to pedicle screws. Matt O'Brien - Piper Jaffray & Co (Broker): Sure. It's just a device that goes in the back that helps to fixate the device plus the spacer that's included as well, but it's something we get follow up on offline. David C. Paul - Chairman & Chief Executive Officer: Okay. Matt O'Brien - Piper Jaffray & Co (Broker): Just – and then just speaking of spacers, there are expandable spacers. There are some competitive ones that are coming to market now. And can you just help frame the potential competitive threats to your business? Because as I would recall, a bigger chunk of your revenues come from expandable spacers. Thank you. David C. Paul - Chairman & Chief Executive Officer: Thank you. We've launched the first expandable cage in 2011 and we have some companies now coming on to the expandable devices. But we are biased, but we don't think anything is close to being a real competitor yet to us. We also have tens of patents and intellectual property surrounding our expandable technology and we've been adding prolifically to that IP portfolio. So we feel very strong in our IP position. That being said, we still expect some serious competition in the near future with expandable. But as of right now, we haven't yet seen that affecting us. Matt O'Brien - Piper Jaffray & Co (Broker): Great. Thank you. David C. Paul - Chairman & Chief Executive Officer: Thank you, Matt.

Operator

Operator

There are no further questions at this time. This brings us to the end of Globus Medical Q4 and fiscal year 2015 earnings conference. You may now disconnect.