Earnings Labs

Hologic, Inc. (HOLX)

Q4 2009 Earnings Call· Mon, Nov 9, 2009

$76.01

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Transcript

Operator

Operator

Ladies and gentlemen, good day and welcome to the Hologic incorporated fourth quarter and fiscal year 2009 earnings conference call. My name is [Dalia] and I will be your operator for today's call. Today's call is being recorded. All lines have been placed on mute. I would now like to introduce Deborah Gordon, Vice President of Investor Relations. Ms. Gordon, your line is open, please go ahead.

Deborah Gordon

President

Thank you very much. Good afternoon and thank you for joining us for Hologic's fourth quarter and fiscal 2009 earnings conference call. I encourage everyone to visit Hologic's Investor Relations page of our website in order to view the PowerPoint presentation related to the comment that Glenn Muir Hologic's Chief Financial Officer will be making in his opening remarks. The replay of this conference call will be archived on our website. Please also note that a copy of the press release discussing our fourth quarter and full year results as well as our first quarter and fiscal year 2010 guidance is available in the Investor Relations section of our website under the heading financial results. Before we begin I would like to remind you of our Safe Harbor statement. Certain statements made by management of Hologic Inc. during the course of this conference call may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause actual results, performance or achievements of Hologic to be materially different from future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include among others those details from time-to-time in the company's filings with the Securities and Exchange Commission. We expressly disclaim any obligation or undertaking to publicly release any updates or revisions to any forward-looking statements to reflect any change in our expectations or any change in events, conditions or circumstances on which any such statements are based. Also during this call, we will be discussing certain financial measures not prepared in accordance with Generally Accepted Accounting Principles or GAAP. A reconciliation of these non-GAAP financial measures to the related GAAP financial measures can be found in Hologic's fourth quarter 2009 earnings release including the financial tables in the release. Please note that today's conference call will consist of approximately 30 to 40 minutes of opening remarks from management followed by a thirty-minute question-and-answer session. We therefore ask each participant to please limit his or her questions to just one with one follow-up as necessary. Before I turn the call over to Jack Cumming and Rob Cascella, I would like to remind you of a few investor conferences Hologic management will be participating in this month and next. Glenn Muir and Rob Cascella will be presenting at the Citigroup's Small-to-Mid Cap Conference in New York City on November 19, at 9:10, Eastern Standard Time. Hologic management will be presenting at our Annual Investor Meeting on December 1 at 8 A.M. central time at RSNA in Chicago, and Jack Cumming will be presenting at the NASDAQ OMX Conference in London on December 1 at 11:15 A.M. London time. All of these presentations will be webcast. The details of which may be found on the IR section of our website. I would now like to turn the call over to Mr. Jack Cumming, Chairman.

Jack Cumming

Chairman

Well, thank you very much Deb and good afternoon everybody. Thanks for attending our fourth quarter, fiscal 2009 conference call. And as Deb said joining on the call today is Rob Cascella our newly appointed CEO; Glenn Muir our Executive VP and CFO; Tony Kingsley, head of our Surgical Group and Howard Duran head of our Diagnostics Group and all of us of course will be available during the question-and-answer session. I'd like to begin this call by speaking to our announcement today about Rob's appointment to CEO. I will then turn the call over to Rob to review our business performance in the recently completed quarter and fiscal year. And finally Glenn will discuss our fiscal '09 results and our guidance for the first quarter and full year of fiscal 2010. We will then open up the call for Q&A. And as Deb stated, we are going to conclude this call in about an hour out of respect for everybody's time and it may run over a little bit depending, we are going to try to give 30 minutes for Q&A. So depending on when we finish our part we will then go right away into the rest. First let me start by saying it's a distinct pleasure to announce Rob Cascella's promotion to Chief Executive Officer. And as many of you know, Rob has done an exceptional job as our president and COO since 2003. All of us on the company's Board of Directors believe Rob's depth of experience and proven leadership are key elements that Hologic enjoy continued success for many years to come. Having served as CEO since 2001 I've had the great fortune to work alongside Rob since he joined the company. And I'm absolutely certain; Hologic will be very well searched under his leadership.…

Rob Cascella

Management

Well, thanks very much, Jack. I'm truly honored to take over as CEO of this wonderful company. My sincere thanks to you and the rest of the board for the opportunity. I'd like to now turn to a review of our results. I'm pleased to report once again, our quarterly revenues and earnings exceeded our guidance. As stated in our press release, Q4 '09 revenues totaled $403 million, a 9% decrease from the fourth quarter of fiscal 2008 and sensibly flat to Q3 of '09. This compares to our guidance of $390 to $400 million. The high performance was due to the strength in our GYN Surgical and diagnostic businesses, as well as our growth in our recurring revenue stream from service. Again, offset by the continued yet, anticipated softness in our digital mammography capital equipment business. Consistent with our report to you last quarter, we felt the economy had little impact on our consumables businesses. When factoring in our recurring revenue stream from service, these combined sales represented approximately 75% of our Q4 revenues. For the fourth quarter of fiscal 2009, our non-GAAP earnings per diluted share were $0.28 beating our guidance of $0.25 to $0.27. This compares to our non-GAAP EPS of $0.30 for the same period last year, and flat to our EPS last quarter. For the full year of fiscal 2009, our revenues totaled $1.637 billion versus $1.674 billion from '08, a decrease of 2%, and exceeded our guidance of $16.25, and $16.35 billion. While non-GAAP earnings per diluted share were $1.17 as compared to $1.18 last year, and at the top end of our guidance range of $1.15 to $1.17. I would now like to take a minute to briefly provide the fourth quarter revenue overview by segment. Breast Health revenues were $174.8 million down…

Glenn Muir

Chief Financial Officer

Thank you, Rob. I would like to now expand on the financial results for the quarter. Rob highlighted our fourth quarter revenue performance by segment. Our mix of domestic and international product sales continued to be approximately 80% and 20%. Foreign currency translation had a modest impact on a reported revenue growth, 1% year-over-year, primarily within the diagnostics and surgical segments as most of these international sales are dominated in local currency. Turning to the rest of the P&L our gross margins on a non-GAAP basis was 61.5%, down slightly from the third quarter and up versus 60.9% last year. This he can excludes $39 million of amortization of intangibles and is within our guidance range of 61 to 62%. The year-over-year improvement in gross margins was due primarily to product mix, favoring higher margin disposable products. On a GAAP basis gross margins were 51.3% versus the 52% we guided to. We maintained the cost savings initiatives we put in place at the beginning of the year and this continued to result in a favorable outcome. Our operating expenses on a non-GAAP basis of a $117.4 million primarily excluding amortization of intangibles of approximately $12.9 million came in below our third quarter non-GAAP expenses and also below our guidance of $122 million to $126 million. Further, when compared to last year, our fourth quarter operating expenses excluding the amortization of intangibles decreased approximately $9.1 million. Absent the acquisition related in other charges pre-tax earnings this quarter were a $114.1 million. Using our annual effective tack rate of 35% non-GAAP net income was $72.4 million versus non-GAAP net income of $77.2 million last year, a decrease of 6.2%. We reported fully diluted non-GAAP EPS this quarter of $0.28 versus $0.30 a year ago, which was ahead of our guidance of $0.25…

Rob Cascella

Management

Thank you, Glenn. In summary, we're very pleased with the performance of Hologic's management team and our associates during a very difficult economic time. We effectively managed our business by continuing to market and sell the highest quality products and by always putting our customers first. Over this next year, our mission will be to maintain our number one position in women's health through innovative product development, aggressive marketing and exceptional customer service. This now concludes our opening remarks. Jack, Glenn, Tony, Howard and I will be happy to answer any of your questions. In order to allow for as many investors as possible to ask questions, I remind you please observe Deb Gordon's earlier request that you limit your questions to one, with one follow-up question if necessary. With that, operator, please open up the call lines.

Operator

Operator

(Operator Instructions). Our first question comes from JPMorgan's Tycho Peterson.

Tycho Peterson - JPMorgan

Analyst

Yeah, good afternoon. Wondering, and congrats, Rob, on the promotion. I was wondering if you can comment a little bit on just some of the early marketing message around Cervista and talk a little bit about with the two sales teams, lab sales and physician office. What message is being delivered to the sales force? And then to the extent you're starting to see interest in 16/18 genotyping and competitively how you're positioned against some of the accounts that are coming up.

Rob Cascella

Management

Sure. Howard why don't you take that

Howard Doran

Analyst

Hey Tycho, thanks for the question. We're very pleased on how we finish the year certainly as it pertains to Cervista high-risk, and as you know, the sales teams have been integrated now for the better part of nine months since FDA approval and they're working very hard to go out and sign as many customers up as possible. As we've discussed before, the revenue has a slightly trailing effect. It takes a couple of months to get the contracts signed, get the validations completed before you start actually reporting out live patient's results. So, I think a real good way to think about our business is, what is the value of the accounts that we've gotten to that point at the close of this year? And if you think about the contracts we've closed, the people that we validated and those that are actually giving out live results today, we would anticipate that we have somewhere in the mid single-digit market share at this point. And if you think back to where we were prior to FDA approval, it was well under 1%. So, we're very pleased with that initial progress that we've made. In regards to your question about 16 and 18, that's really a differentiator. As the labs industry itself continues to become more competitive, it really comes down to labs being able to go out and offer things that others don't and what we have really found is, one of the reasons that customers are very interested in bringing Cervista HR in, is so they can package 16/18 out to the customers and more further differentiate themselves from their competition as well. So, we are very pleased that that is important to them. It's not real material when it comes to revenue, but it is a differentiator for them in the marketplace and it just makes the Cervista story that much more compelling.

Tycho Peterson - JPMorgan

Analyst

And just one last one on that front. Type 45 seems to be, there's some noise in the market about that. Can you comment if you are hearing from customers about that being an issue. That you don't have that in the product, or?

Howard Doran

Analyst

Actually we've not heard it at all. What Third Wave did is sat down with key opinion leaders, NCI, etcetera, and strategize on what was the best approach for genotyping the future. I don't think you have to look any further than ASCCP guidelines, they recommended 16 and 18. That's the path they followed because the KOL said it was the right one, NCI said it was the right one and ASCCP has already adopted it. So, we think we picked the right too.

Operator

Operator

Next up, we have David Lewis with Morgan Stanley.

David Lewis - Morgan Stanley

Analyst

Two quick questions here, mostly on guidance. The first one is, Glenn, just looking at next year, you made some commentary as did Rob about box placements and revenue-per-box sort of continuing that trend downward. If you look by our model, revenue for box is relatively firm. So, do you still expect kind of revenue per box to be down next year and maybe you could talk to us about gross margins for the Selenia business as you move down market. Do you still believe you can hold the gross margins relatively flattish by lowering cost on lower revenue per box or has that dynamic changed?

Glenn Muir

Chief Financial Officer

David, let me start with that one and if we think about Q4 for a moment, the quarter just ended and the Breast Health results. What I tried to articulate was, we expect to be stable for the rest of the year at that level; which includes at the end of the day, a reduction in overall Selenia digital mammography sales. If we think back to last year, the first quarter of '09 that was a big Selenia number for us. So, just stable at today's rates will bring us under the '09 when we think about 2010 guidance. So, the answer is, yes. We are expecting a decline in Selenia digital mammo unit and the revenue from them to a certain extent as we changed the configuration and the product mix to more of our value and Encore items. So, as we move more to the value and the Encore placement, I think the gross margins will compress a little bit as well.

David Lewis - Morgan Stanley

Analyst

And then just looking at SG&A for a second here, Glenn, very good job constraining SG&A spending here this year, but heading into next year, given the continuing push on HPV as well as increasing push on Adiana, where are you taking from the SG&A line to fund those new programs?

Rob Cascella

Management

I'll try to answer that David. We've had a range of discretionary programs that will become much more highly selective about in terms of being able to fund or invest in and where much of the growth in marketing will come from or the funding for that will be cutting out programs that we thought were either of a very high risk and low probabilities of pay back and so on and so forth. So there are still levels within our operating expense structure that are discretionary in nature, that cover some of the other business lines that won't be using such dollars. So, we can funds the growth drivers within the company.

David Lewis - Morgan Stanley

Analyst

And Rob just lastly and I'll jump back in queue. The earliest you think we'll get an update in terms of your progressing time limit, the FDA on tomosynthesis. Can you just update us on timing there? Thank you.

Rob Cascella

Management

Sure, we really don't have a specific time. Right now we're in the process of multiple clinical trials working with the FDA to certainly sort out protocols and the like and it would be a bit of an injustice if what we tried to do is literally throw a dart at the wall in order to pick a time that we can give you meaningful information.

Operator

Operator

We'll move on now to Josh Jennings with Jeffries & Company. Josh Jennings - Jeffries & Company : Guess my first question here is just on your outlook for hospital spending, capital equipment spending specifically and Jack mentioned on your last earnings call that he expected a very, very slow recovery in his hospital budget in the US. It looks like you've seen a little bit of an improvement in this last quarter. Just wondering if you can comment on how you're looking at calendar Q4 here in here into 2010 and the US side and also what you guys are seeing internationally, specifically in Europe in terms of capital equipment spending and then your expectations there? Is it really just a downtick to lower cost units or are you actually expecting numbers of systems to be down as well?

Rob Cascella

Management

We've really covered the range. As Glenn indicated, we had a good fiscal fourth quarter. But not thinking that one quarter is a trend, it's a little too early in fiscal Q1 for us to make a strong determination, primarily because much of the buying pattern starts after RSNA. So we have a little bit of a blind spot to really get good market intelligence at this point. I would say that if we look both domestic and international, we see more activity occurring. Whether or not that activity ends up in order closure, is yet to be determined and, yes, depending on the market we are bracketing it with different product configurations so that the late adopters, those laggards that are just buying digital today, are really after our low end systems. So we will see some configuration there in as a result of that. Having said that, we're also at a point where we have an aging install base of customers that are now looking to replace. So, we think that we may have somewhat of a mixed blending where our very high-end Dimension's 2D product. So, the reason for the guidance was really one of giving us a little bit more time to have visibility into the future, to get an understanding of really where we think these markets are headed. Josh Jennings - Jeffries & Company : And if I can just follow it up with just a question on your international growth opportunity, looking back at when you guys at acquired Cytyc and some of the synergies that you were expecting internationally and looking at US international sales mix, it's still around 80-20. When do you expect that to pick up for one, and where do you expect that mix to be at the end of 2010, 2011, and then also just how that'll impact gross margins going forward?

Glenn Muir

Chief Financial Officer

If we look at what we've done internationally we are now putting the infrastructure in place in different parts of the world so that we can really define a growth strategy that allows to us support growth through better sales training, better service training. Up to this point we've been really dealer-based and we will remain dealer-based for a good part of our sales but we are building an infrastructure around those dealers to support them. With respect to what happens with ASPs, certainly depending on where we are selling around the world ASPs will be impacted and that's across all of our product lines, not certainly limited to imaging. But that mix effectively is compensated for to a certain extent by the fact that if we are selling through dealers then there we don't certainly have the same operating expense infrastructure requirements that we would under a direct sales model. So when we look at international, we look at international from a growth perspective. How that changes with respect to mix between domestic and international has a lot to do with what happens with our domestic business of course. So if our domestic business continues to be weak, then we would expect a percentage point swing in the percentage of our business that is done offshore. That is not the intent today. I think looking at it from a true dollar perspective is where we are focused on versus even the percentage mix between domestic and international.

Operator

Operator

Now we'll move on to Amit Bhalla with Citi.

Amit Bhalla - Citi

Analyst

Hi, I wanted to start on the Breast Health business, two questions there. Glenn or Rob, can you talk to us about what your assumptions are for fiscal 2010 and how much of that, how much of your numbers are predicated on the replacement market picking up. And then secondly on Tomo and the international market can you comment on the adoption there and how long sites are taking to get up and running.

Rob Cascella

Management

When we put our plan together for 2010 we anticipated there would be a reduction in digital mammography sales and that reduction was probably somewhere in the area of 10% to 15% at the higher end of our range. If we look at the lower end of our range we are contemplating a more significant reduction than that upper limit. Let's say it's as high as 20% or more. The reason for that is just the unknowing of whether or not we will see an uptick in the US market which is really going to drive further sales or will the US market remain flat to down and also be exacerbated by lower ASPs based on these configuration changes that we talked about. Going forward, the, I think that we see tomosynthesis is being a product for international markets that will take a long time for adoption to occur. International has been typically slower than the US market. Each country needs to verify and validate. There's a separate regulatory process that needs to be affected. So although we are selling successfully tomosynthesis, we are not looking for that to be a revenue driver in 2010.

Amit Bhalla - Citi

Analyst

Rob, just to clarify the first set of comments were you were talking about the Breast Health reduction of to 10% to 15% the high-end or 20 the low end. You're just talking about Selenia revenue there? What exactly are you talking about there?

Rob Cascella

Management

That's really a combination of units and dollars. So units will be down by a certain percentage and that unit reduction will be increased by an overall lower ASPs as we move to the lower end of the market with our on core and value systems.

Amit Bhalla - Citi

Analyst

Sure. The question on Tomo international was just about how long sites are taking to get up and running. My follow up on Adiana was you mentioned a number of doctors have signed up for training. Can you tell us what percentage of those doctors are already using NovaSure? Thanks.

Tony Kingsley

Analyst

Yeah, it's Tony. I would say a very high percentage of them. We have not targeted them because they use NovaSure, but those are procedurally-oriented physicians and tend to be good (inaudible). So I'd say there is a very high overlap.

Amit Bhalla - Citi

Analyst

Are you talking about like 80% or so or can you give us a range?

Tony Kingsley

Analyst

I don't know for a fact but I suspect it's that high.

Amit Bhalla - Citi

Analyst

Okay.

Operator

Operator

Next in our queue we have Jayson Bedford with Raymond James.

Jayson Bedford - Raymond James

Analyst

Just a couple questions. Just on the gross margin line, in the fourth quarter it was a little weaker than we thought. It looked like both the diagnostic and surgical segment margins were lower both sequentially and then quite a bit lower from last year and I'm wondering,there could be some non-cash noise in there but is pricing impacting the margin line at all?

Glenn Muir

Chief Financial Officer

No. Jayson, on the gross margin line it is not price, especially as it relates to the disposable products. It has more to do with the cost of the some of the manufacturing, especially the new products. The operation down in Costa Rica we're trying to get it up and running especially for the Adiana product. So, it's on the cost side of initial, I would say start and ramp up cost. It's not on, not on the pricing side.

Jayson Bedford - Raymond James

Analyst

Okay. And then, Glenn, it looks like that the implied guidance for gross margin kind of ramps up throughout the year. Is that indicative of Costa Rica coming online?

Glenn Muir

Chief Financial Officer

A couple of things, it is, yes, Costa Rica coming online. Also a greater percent of our revenues moving to the disposable products. I mean as we think about 2010, we are guiding to lower capital equipment sales and those are the products with the lower gross margin. Now if our sales dropped too low we have some unabsorbed overhead of course that we now have to cover on the digital mammography side but for a moment the whole shift in mix so the disposals will throughout the year, give us a slightly higher gross margin and approach a 53% level by the ends of the fiscal year.

Jayson Bedford - Raymond James

Analyst

Okay, great. Just a quickie. There's been reports out there that GE has taken some market share. Have you seen any of that and does your data I guess indicate that you've held digital mammography share? Thanks.

Glenn Muir

Chief Financial Officer

Yes, we are pretty confident that although there is a lot of selling activity in the market. Based on certain market data it appears that we have either held steady or have gained market share so I have no other comment other than what we are seeing in the market is probably different than what you are hearing at this point.

Rob Cascella

Management

Jayson, that MQSA data can be a little bit confusing at times especially on a monthly basis. So we tend to look at the NEMA analysis that's provided by all the manufacturers. And if you look at that quarterly we are continuing to hold our 60% plus market share here in the US.

Operator

Operator

Moving on now to Isaac Ro with Leerink Swann.

Isaac Ro - Leerink Swann

Analyst

I was wondering if you could comment a bit on the changes in the reimbursement landscape both medical imaging as well as across your consumables portfolio. Any changes there as we head into calendar 2010 that we think might impact your business?

Rob Cascella

Management

We felt pretty good about our review of 2010 rates across the board. In fact had some improvement or have held steady. So we are not looking for anything negative in terms of reimbursement impacting any of the businesses at this point in comparison to 2009.

Isaac Ro - Leerink Swann

Analyst

Great. Just secondly, putting aside for a minute the unique capabilities on 16 and 18 that Cervista has, was wondering if you can comment a little bit on what you think will be required to offer? Either from a bundling and or automation perspective to start gaining some share on some of the bigger labs and I think in the automation side you guys had pointed in the past to sort of amid 2010 availability for full automation. I was just wondering if that's still on track and what else you thin you might need to do it and gain some share.

Ron Cascella

Analyst

We are not changing where we believe our automation will hit the marketplace. We are still confident in that. I think the other thing that's really important to mention is that we've had many customers come up to Massachusetts under non-disclosure agreements to take a look at what we are working on and I think besides the fact that we are on track what's even more exciting is their reaction to what they see when we share with them the platform. I don't think bundling is the right term. I think what customers like is they like buying the stuff from fewer organizations and when you can go into a lab that you've got to be strong, long lasting relationship on- cytology and you can add another line of business with them and work together through the same service and application specialist channel. It's just a lot easier to do business. And so I would not look at it from a bundling perspective from a cost of acquisition or purchase, I would look at it that it's much easier to do business with someone who provides the complete solution from cytology all the way through HPV screening. So I think if you use bundling under that context I think it makes a lot of sense. We are very excited again about the instrumentation and we think it will allow us certainly to get into larger volume labs as we start to unfold through 2010. HPV screening.

Operator

Operator

Now we will hear from Oppenheimer & Company's, Amit Hazan Amit Hazan - Oppenheimer & Company: My first question is on Pap and HPV, I'm wondering if you can comment on US Pap market and whether volume has been steady there and just generally as you've been rolling out HPV, what you've been doing in terms of marketing and how you've been going about marketing, being that the guidance says that you should do Pap plus HPV only once every three years.

Glenn Muir

Chief Financial Officer

Sure. Let me start with the last question first in regards to, our physician sales force, what we've been doing is we've been slowly deploying that group in markets where we actually have Cervista high risk available. So in those markets we are absolutely outtalking about the advantages of code testing with Pap plus HPV in women over 30. We are out every day talking about the merits of the ASCCP guidelines and giving recommendations for proper screening of women through the various products that we offer to the OB/GYN. And that's only in about 20% of our sales team is doing that today. Most of the activity obviously since launch has been on the laboratory side. We have talked on the last couple of quarters actually the last three quarters year-over-year a little softness in volumes. We actually saw it tick back up this quarter. So although we had reported that for the last few quarters, we actually were very pleased with this past quarter's performance and we are starting to see an uptick. So, I don't think any more deterioration in the economy has affected any volumes, and nor do I see anything major happening on expansion of interval or through competition at this point. Amit Hazan - Oppenheimer & Company: And so just a follow-up to that and I'll ask my second question as well, would be, are you thinking about that for the next year? Is the Pap volume going to change at all based on HPV testing? And then the second question unrelated is about backlog. It's been declining now for a couple of quarters including this quarter sequentially, I mean. And I'm wondering, since you talked about an uptick in orders in the Breast Health side, if you can just give us a little bit of color on what's been going on with the backlog you're reporting and why it's declining? Thanks.

Howard Doran

Analyst

Yes, on the Pap market for next year again, if you go back to the last year, what we've really been saying is that we really thought the economy was having the biggest change involved in volumes, not competition and not expansion of integral. If we really foresee that continuing for the near future, there's no real evidence that real strong changes in behavioral patterns are occurring at the OB/GYN based on code testing, and I would say for 2010 we have an unchanged viewpoint on the material impact of that strategy.

Glenn Muir

Chief Financial Officer

Let me talk about the backlog real quickly because the backlog becomes important more so in the Breast Health and the capital equipment side of the business and it does on the disposables especially when it relates to contracts that could go out 12 months, and involves standing orders. So, that really has nothing to do with current business but just a timing of when we sign those contracts. And I think that's what happened this quarter because the fact is on the Breast Health side, our backlog and the number of Selenia orders in fact went up. So that was a positive, even though the total backlog went down which was driven more on the disposable side, but had nothing to do with losing contracts at all, but merely the timing of re-signing new contracts. So, I think we're caught in the relevance of that backlog number for a moment. It does have more relevance on the Breast Health and capital equipment side which was in fact strong in Q4. But that is a consolidated company-wide backlog number.

Operator

Operator

Let's go to Sameer Harish with Needham & Company. Sameer Harish - Needham & Company: Really a question on Adiana, we've been talking to physicians and found a high degree of interest in offering more options in permanent sterilization, largely to give patients what they are asking for and with such a large consumer component, when do you think you'd be in a position to engage some sort of direct-to-consumer program? And do you think this would be, tied to physician training? Do you think you would engage it regionally or around sort of more on a national scale as you get more penetration?

Tony Kingsley

Analyst

I think we have a lot of work ahead of us and frankly a lot of opportunity addressing the physician targets. So, I think that will clearly be our focus as we go through the rest of this fiscal year. We haven't thought it makes sense for us to do something significant on the DTC front until we're comfortable. We have the right cohort of physicians. Sameer Harish - Needham & Company: In terms of guidance, do you expect the physician training to be the catalyst for near-term growth or do you expect more growth once you can move into that direct-to-consumer phase?

Tony Kingsley

Analyst

I think the answer is, yes. We expect physician training to be a catalyst for significant short-term growth.

Operator

Operator

Our final question for today comes from SunTrust Robinson Humphrey's, Jonathan Block.

Jonathan Block - SunTrust Robinson Humphrey

Analyst

Just a couple of quick ones. Glenn, I think the first one for you, Third Wave I believe you mentioned was about $0.02 dilutive in the quarter. So, when we think about FY '10 when do you think that turns the corner and should be accretive to EPS?

Glenn Muir

Chief Financial Officer

Our original expectation was for Third Wave to be accretive in fiscal 2010. It's unlikely at this point it'll hit for the full year accretive on a quarterly basis. We would hope by the end of the year it would. And then part of the issue has to do with a couple of the products that were previously sold under ASRs that had been discontinued because of the change in the regulations that we will not be continuing. So there was a fairly significant revenue drop with those products that will have to be made up on the Cervista HPV side. So, it's going to be towards the end of the fiscal year, Jonathan, and it's doubtful it will be accretive for the full fiscal year, unless HPV really takes off beyond our current guidance for the year.

Jonathan Block - SunTrust Robinson Humphrey

Analyst

And then, Tony I believe this one's for you. Just on the NovaSure front, can you tell us you mentioned about continued progress in office. What percent of the procedures for NovaSure are done in the office and then, what does that tell us about how you're going to attack the market for Adiana. In other words, where are your sales guys going to hunt first if you would?

Tony Kingsley

Analyst

Yeah, but we are north of 15% in our procedures in office. We continue to make steady progress. We obviously like that business to continue to grow quickly, but we continue to be very focused on moving physicians in office and think we are continuing to have success there. As relates to Adiana, we do believe that Adiana is very well suited to the office and we actually think that in some sense, Adiana may help us move physicians to the office on NovaSure as well.

Operator

Operator

Ms. Gordon, I will turn the call back over to you.

Rob Cascella

Management

Sure, why don't I just close out that? Well look folks; while the broader environment is full of concern so it's obviously, we believe that we're positioned to respond to whatever the challenge. Our operational performance has improved considerably as we have successfully integrated two major acquisitions over the past two years. Our financial position is unparalleled due to our high level of cash flow which we think is very positive and our portfolio of market leading products is very diverse. We think we are technologically superior to our competitors and we have highly relevant products from a clinical perspective. In addition to that, we think we have a group of people, our associates that are all very dedicated to the mission that we're on. So, we are poised for success over the long-term. With that, I'll thank you and wish you all a good evening.

Operator

Operator

Again, that concludes today's conference call. Thanks for your participation.