Earnings Labs

Hologic, Inc. (HOLX)

Q1 2018 Earnings Call· Thu, Feb 8, 2018

$76.01

+0.48%

Key Takeaways · AI generated
AI summary not yet generated for this transcript. Generation in progress for older transcripts; check back soon, or browse the full transcript below.

Same-Day

-2.71%

1 Week

+0.98%

1 Month

-0.05%

vs S&P

-7.46%

Transcript

Operator

Operator

Good afternoon, and welcome to the Hologic First Quarter Fiscal 2018 Earnings Conference Call. My name is Isaac, and I am your operator for today’s call. Today’s conference is being recorded. All lines have been placed on mute. I would now like to introduce Mike Watts, Vice President, Investor Relations and Corporate Communications, to begin the call.

Mike Watts

Management

Thank you, Isaac. Good afternoon and thanks for joining us for Hologic’s first quarter fiscal 2018 earnings call. With me today are Steve MacMillan, the company’s Chairman, President and Chief Executive Officer and Bob McMahon, our Chief Financial Officer. Steve and Bob both have some prepared remarks, then we’ll have a question-and-answer session. Our first quarter press release is available now on the Investors section of our newly redesigned website. We also will post our prepared remarks to our website shortly after we deliver them. Finally, a replay of this call will be archived for 30 days. Before we begin, I would like to inform you that certain statements we make during this call will be forward-looking. These statements involve known as well as unknown risks and uncertainties that may cause actual results to differ materially from those expressed or implied. Such factors include those referenced in the Safe Harbor statement included in our earnings release, and in our filings with the SEC. Also during this call, we will be discussing certain non-GAAP financial measures. A reconciliation to GAAP can be found in our earnings release. Finally, any percentage changes that we discuss will be on a year-over-year basis, and revenue growth rates will be expressed in constant currency, unless otherwise noted. Now I’d like to turn the call over to Steve MacMillan, Hologic’s CEO.

Steve MacMillan

Management

Thank you Mike, and good afternoon everyone. We’re pleased to discuss Hologic’s financial results for the first quarter of fiscal 2018. We posted solid results overall, and are off to a good start for the year. As we pre-announced at the J.P. Morgan conference, revenue of $791.1 million finished just above our guidance range. And earnings per share of $0.55 also exceeded our expectations based on the benefit from U.S. tax reform. We enjoy unique leadership positions in a range of women’s health markets, and our two largest divisions, Breast Health and Diagnostics, are performing well based on these differentiated products. And we believe Cynosure, our medical aesthetics business, is turning the corner toward a future of consistent growth. Our solid performance in the first quarter demonstrates the two important elements of our strategic plan are paying off. First, our international business, which we described as a start-up and was an area of great concern for investors as recently as 2016, is now thriving. Specifically, core international revenue, excluding the acquired Cynosure and divested blood screening franchises, again delivered double-digit growth in the first quarter. Second, a research and development pipeline that was barren four years ago has now generated new products that are contributing more than 10% of quarterly sales. And as we look to the future, we are particularly encouraged because our international businesses and our R&D pipelines both have the potential to contribute to sustainable growth for a very long time. With that introduction, let’s review our divisional revenue results for the first quarter. As a reminder, growth rates compared to the prior year period were artificially depressed by the fact that we had four extra selling days in the first quarter of fiscal 2017. We estimate that these extra days added more than $20 million to…

Bob McMahon

Management

Thank you Steve, and good afternoon everyone. In my remarks today, I’m going to walk through the rest of our first quarter income statement, touch on a few other key financial topics including U.S. tax reform, then finish with our updated financial guidance for 2018. Unless otherwise noted, my remarks will focus on non-GAAP results, and percent changes will be on a year-over-year basis. As Steve described, we are pleased with our first quarter results, as revenue slightly exceeded our guidance. In addition, a lower effective tax rate due to the enactment of U.S. tax reform helped us outperform significantly on the EPS line, and will boost our already healthy net margin going forward. We also continued to strengthen our balance sheet, in line with our long-term goals. We essentially retired all our 2013 convertible notes, leaving only one remaining tranche that we plan to call in March, and we are refinancing $1 billion of debt on very attractive terms. With that, let’s jump right into the P&L. In the first quarter, gross margins of 63.8% declined 140 basis points compared to the prior year, due primarily to sales mix associated with the divestiture of the blood screening business and sales of lower margin Cynosure products. Total operating expenses of $271.8 million, increased 17.6% in the first quarter, mainly due to the inclusion of Cynosure costs. Normalizing for the impact of Cynosure, operating expenses in our base business declined at a mid-single-digit rate, reflecting very deliberate efforts to control costs and drive operating leverage. Our operating margin of 29.4% declined 430 basis points due to product and geographic mix, as well as the divestiture of our blood screening business. However, on a sequential basis, our first quarter operating margin improved after normalizing for the benefit of non-recurring royalty payments in…

Operator

Operator

Thank you. And we’ll take our first question from Isaac Ro with Goldman Sachs. Please go ahead.

Isaac Ro

Analyst

Good afternoon, guys. Thank you. A question for you on market share in both Breast Health as well as Diagnostics. I’m curious, you have a major competitor on the Breast Health side that’s going through some changes. Curious if you thought you gained any share in that business this quarter, and you had said you think you might perpetuate that for the rest of the fiscal year, I’m curious. And then as an addendum to that, I’m curious in Diagnostics if there’s anything meaningful on the share side for cytology in FE. Thank you.

Steve MacMillan

Management

Sure. Thanks, Isaac. I think in Breast Health, yes, I think we just continue to feel that we’re doing very well on an overall share basis. I think we – one of our key competitors, I think it looked like they might have had a half decent quarter earlier in the year and gained a little momentum. I think we’ve pushed that back and just continued to gain a hugely disproportionate share in 3D relative to our overall market share. So I think we just continued to feel great. Nothing obvious from any of the disruption over there. I think on the cytology front, again as well, we just continued to strengthen our shares. We’re so strong there. I don’t think much additional movement up, but feeling really good about where we are in both of those areas. And as you know, obviously, in Breast Health, we like that strong position and feel like it’s going to continue to help us leap forward.

Bob McMahon

Management

Hey, Isaac, this is Bob. I think in addition to that, in addition to the U.S., obviously with the strength that we’re seeing in our international business, that’s being driven by our Breast Health business. So we also believe that we’re gaining share internationally there as well. And that we believe that, that will continue to be a strong growth driver for us, not only through the rest of this year, but beyond.

Isaac Ro

Analyst

That’s helpful. Thanks. Just a follow-up on the Aesthetics business. Obviously, that’s an area that people remain very focused on. And you called out the seasonality year-on-year despite the easy comp as a sequential decline there. But I’m just curious, kind of we put in the numbers aside for a minute, can you just give us an operational update? There’s been some leadership change. I’d be interested in sort of what’s going on behind the scenes to kind of, over the long term, drive better performance. Thank you.

Steve MacMillan

Management

Sure, Isaac. You know what, I feel so great about the leadership in place. And we just had our global leadership team together for the last couple of days for all of our businesses. And I think if you look at the presidents we have sitting around that table, everybody has so much confidence in the team, particularly, that we’ve put in place in Cynosure. And again, you look at the international Breast Health numbers that we’re posting right now, and you are with us on the journey, you know where we stood six, seven, five, eight ago in international Breast Health. That was Kevin Thornal. Kevin went in the first few quarters of Europe. We’re still weak when he went over there in Breast Health. And today, it’s thriving. And Kevin is doing the same magic with the Cynosure business. We’ve got a great VP of Sales. He’s rebuilding the team. We’ve got all the strength of the folks that have stayed with us. And I think it’s really going to be a more magical team as we go forth. We’re in that classic scenario, and you’ve heard me say it before, where sometimes, the numbers are better than an organization; sometimes, the organization is getting better than the numbers. And I think we feel really good that, that organization right now is getting better than the numbers and starting to see that, certainly some progress here in the last quarter. I think it’s just going to play out over the course of this year. But I think we just feel so much better. We’ve got TempSure coming out the door. The folks we’ve got in that organization today, really excited and building for the future.

Operator

Operator

And we’ll move to our next question from Jack Meehan with Barclays. Please go ahead.

Jack Meehan

Analyst · Barclays. Please go ahead.

Hi. Thanks. Good afternoon. I wanted to start in the molecular side. So I was hoping you can give an update on the Fusion system in terms of placement adoption and just thoughts on how customer utilization has changed, either with the LDT as a respiratory there.

Steve MacMillan

Management

Sure, Jack. We are in that very, very early stages of actually placing Fusion. We’re in the de minimis numbers at this point, just starting to get it out there. So I think – and even with the flu and respiratory stuff, obviously no impact yet this year. We got it out too late. So as we go into next year, I think that will start to be in effect. Now having said that, respiratory in molecular in the big labs is still a fairly small business. But we really like what Fusion is going to do, less over the coming quarters and more over the coming years.

Bob McMahon

Management

Yes, and I think, Jack, while the end is small, certainly, customer feedback has been incredibly positive. And so we’re actually very excited about that for the long term. And again, it’s probably less a growth driver for 2018, but it sets us up very nicely for 2019 and beyond.

Steve MacMillan

Management

Yes, very much.

Jack Meehan

Analyst · Barclays. Please go ahead.

Great. And just in terms of the full year guidance, last quarter, you gave segment-level thoughts. Do you think those ranges still hold today? Or are there any pluses and minuses in your mind?

Bob McMahon

Management

Yes, I think we’re not going to get into the habit of giving that every quarter. I think given our first quarter, maybe I feel a little less good about the Surgical business, maybe a little better about Breast Health. I think everything else is probably in line.

Operator

Operator

And we’ll move to our next question from Tycho Peterson with JPMorgan. Please go ahead.

Tycho Peterson

Analyst · JPMorgan. Please go ahead.

Thanks. Bob, having said that, I’m going to ask about segment guidance. Just on Cynosure, I mean, you previously talked about double-digit pro forma growth for the year. I just want to make sure that, that is still on track. And can you maybe talk, I guess, on pacing, given the seasonably soft second quarter, I mean, what we should expect in the back half of the year and contributions from the new product as well, from TempSure?

Bob McMahon

Management

Yes, we’re probably not going to give product-level detail there. I mean, we feel really good about TempSure. As we’ve said before, we expect strength growing throughout the course of the year with Cynosure, and the second half of the year, we would expect to be stronger than the first half of the year. We are fighting against a seasonality in the first quarter – in the second fiscal quarter, where, typically, that is lighter. And so the positives are our sales organization is getting stronger as well. And so the question – and as well as launching the new product. So the question is how much of that is going to be able to overcome that, but certainly feel good about the progress that we’re making.

Tycho Peterson

Analyst · JPMorgan. Please go ahead.

All right. And then, Steve, on NovaSure, you’ve talked about new leadership, new sales force comp, restructuring that a bit. And that was just some of the new products. I guess where are you in the turnaround of that business? How much of it is operational and organizational versus just a function of getting these new products out to try to turn the growth around there?

Steve MacMillan

Management

Yes, great, Tycho. I’d say we’re in the late early innings in the turnaround. I think we’ve got a couple of more quarters, candidly, probably of some Surgical softness as that team really rebuilds it. But I think we exit this fiscal year in a good trajectory for that business. We’ve been making key leadership changes within that organization and have actually moved pretty quickly. I think we got a little fat, dumb and happy when we had the competitive withdrawal. It’s the reverse of what I said earlier. Sometimes the numbers look better than the organization, and sometimes the organization looks better than the numbers. I think our Surgical business looked – the numbers were better than the organization a year ago. And now we’re reversing that, much as we’re doing with Cynosure, to build for the future. But I think a couple of more quarters before we’re really back where we want to be.

Operator

Operator

And we’ll move to our next question from Vijay Kumar with Evercore. Please go ahead.

Steve MacMillan

Management

Vijay.

Vijay Kumar

Analyst · Evercore. Please go ahead.

Hey, guys. Thanks for taking my question. So maybe I’ll start off one high level, Steve, on the geographic, U.S. versus OUS. So in the quarter, U.S. GYN, Breast, they were down. Diagnostics was little singles, right? So as you think about U.S. versus OUS, what could turn around some of these, I guess, growth rates in the U.S., right? Because GYN, I think on the converter front, maybe there’s a little bit of headwind, and Breast, just given where we are in the penetration level and the converter dynamics, I’m just trying to understand what changes that view of dynamics.

Steve MacMillan

Management

Sure. Remember, Vijay, that most of the impact on the U.S. numbers this quarter was the four fewer selling days versus last year. That was clearly accentuated in the U.S. and especially in those disposable businesses. I think, on the core, we feel good about what our molecular business is doing. If you days-adjusted that in the United States, I think you’d have – it would have been very much high singles, possibly borderline double digit. So some very good underlying performances there. I think Surgical was clearly weaker, and that was going against both the big comp and fewer selling days. But as we said, we got some work to do there to strengthen that. So I think the good news, as we look at it, is Breast Health, Diagnostics, our two largest businesses, both in the U.S. and globally, performing well. And we really do think we’ve got international on a sustainable growth rate that really is pushing that double-digit number that we’ve been aspiring to, as you know, for a while, and we’ve now delivered it a number of quarters in a row and expect to continue that.

Bob McMahon

Management

Yes. Hey, Vijay, this is Bob. Just to put some numbers to it. As we said in our prepared remarks, the extra days were slightly more than $20 million in Q1 of last year, and the significant majority of that was in the U.S.

Vijay Kumar

Analyst · Evercore. Please go ahead.

That’s helpful Bob. And maybe, Bob, one on the guidance for second quarter. It looks like it was $6 million to $15 million below where the Street was. Is that all coming from a delta versus how the Street had modeled Cynosure? Or was this maybe a little bit of softness on GYN? Any comments, I think, would be helpful.

Bob McMahon

Management

Yes, I think, as we said in our prepared remarks, the kind of sequential decreases is really probably a couple of things. The first and foremost is the blood screening business and how that was – how we’re looking at that. And there is some seasonality in Surgical and in Medical Aesthetics. We have seen early in January, some combination of kind of the bad weather and the flu, somewhat impacted, and you’ve heard that from some of our customers. But primarily, if you look at quarter-over-quarter over the last several years, our second quarters been in line roughly with the first quarter.

Operator

Operator

We’ll take our next question from Dan Leonard with Deutsche Bank. Please go ahead.

Dan Leonard

Analyst · Deutsche Bank. Please go ahead.

Thank you. I’ll start with a question on Cynosure. Can you give us some color and context around your positioning and competitive environment with SculpSure? And I ask because it looks like you were sequentially up in Cynosure in every business but body, which I assume is mostly SculpSure.

Steve MacMillan

Management

Dan, I think that’s our bigger challenge that we’re in the midst of, I think, taking some very good actions to fix. But I think, last year at this time, they certainly sold a whole bunch in, frankly sold some to some customers that probably didn’t really know how to use the product as effectively, and we’ve been unwinding that and really focusing now on how we build it for the right path. I think the positive is, I think we’ve really gotten our hands around that. At this point, our understanding of our organization is totally on top of it. And in the meantime, I think the real nuggets that show we’ve got some good things going are the growth in both women’s health as well as skin. And I think that’s where we’re starting to see some real traction that the new organization knows what’s it’s doing and frankly, quietly, very bullish about what we may be able to do with MonaLisa Touch, which is – could be a key leverage point for us as we also rebuild and restore SculpSure to its rightful place.

Dan Leonard

Analyst · Deutsche Bank. Please go ahead.

Thank you. And then for my follow-up. Possible if you could elaborate a bit on the reinvestment in R&D of U.S. tax reform dollars. Are we talking about acceleration of menu expansion on Panther? Or are there projects within Cynosure you’re going to accelerate? Any further color will be helpful.

Steve MacMillan

Management

Sure, we’re really looking at it both R&D and marketing and really across division. So what we’ve done is each division has put forth a list of some things. And I would say, it really is fairly, I wouldn’t say balanced, but fairly spread across the various businesses. And it’s a project tier there that we might be accelerating by 6 months or something else we might get started on a little bit earlier as well as some additional marketing activities to help drive the overall category demand for a number of these categories where we’re the market leaders. So nothing that’s going to dramatically affect revenue in 2018 but I think the kind of stuff that will probably start to show up in 2019 and beyond.

Operator

Operator

We’ll move to our next question from Bill Quirk with Piper Jaffray. Please go ahead.

Bill Quirk

Analyst · Piper Jaffray. Please go ahead.

Great. Thanks. Good afternoon everybody.

Steve MacMillan

Management

Hey, Bill.

Bill Quirk

Analyst · Piper Jaffray. Please go ahead.

All right. So first off, I was hoping if you could just help us think a little bit about the sales cycle for Brevera and Affirm. And then I certainly appreciate that we’re still pretty early here, particularly around Brevera, but how high or maybe help us think about kind of where we could get in terms of penetration within some of your existing accounts? Thanks.

Steve MacMillan

Management

Sure. First off, I’d be remiss if I didn’t say that I’m very pleased how my Eagles performed in your hometown during the Super Bowl. And I think Brevera is off to a good start. And Mike Watts is shaking his head. But I think it’s really interesting. If we’re brutally honest with you, Affirm, that we launched, call it, a year, 1.5 years ago, got off to a slightly slower start than we would have hoped. And yet Affirm is doing very well now. And I will tell you, people NT who runs that business for us, and we really dug in. What we realized is we hadn’t really launched any non-mammography products in a long time in Breast Health. And this is back to a cultural piece as you start to see where we are in our organizational maturity. While Affirm didn’t get off to a great start, but is thriving today, we learned a lot about that and applied it to the Brevera launch, which is just getting more familiar with, getting it in front of the Capital Committee sooner, and Brevera really has come out of the gates humming. And the great part about Brevera, unlike Affirm, is Brevera brings a very strong disposable stream. So the more we get these Breveras placed today, it’s going to create that ongoing revenue stream that we feel really good about. In terms of full penetration levels, I mean, some of that, probably I’m not ready to fully figure that out, but it’s a game-changing technology that, frankly, I think every hospital should end up certainly with a Brevera in their suite.

Bob McMahon

Management

Yes, what I would say to add to that, Bill, just to give maybe a little bit more flavor, the life cycle of an Affirm Prone Biopsy table is longer than a life cycle of a Brevera.

Steve MacMillan

Management

Yes, and the bigger strategic piece is, this gets back to as we’ve been saying, we’ve got this great installed base in mammography. How can we build around that and create, a, more revenue and more recurring revenue, and Brevera is sort of one of the perfect examples of the kinds of things we want to be doing here. I think it’s going to really help us. It goes back to breaking that huge cliff that everybody was so worried about a couple of years ago.

Bill Quirk

Analyst · Piper Jaffray. Please go ahead.

That’s great. And of course, I’d be remiss if I didn’t congratulate you on the Super Bowl. So congrats on that, Steve. Glad hear that you guys enjoyed the tropical weather that we brought in for the game. This is just a quick follow-up. Just thinking about PAMA and potential bleed-through in terms of hospital pricing pressure on the manufacturers. My understanding of the economics in chlamydia and gonorrhea suggest you probably are not going to see much pressure, but I’d be curious about your thoughts there. Thank you.

Steve MacMillan

Management

Sure. We always worry about the pressures, and PAMA is another one of those many things we deal with. I think the biggest piece of it that we feel good about is we’ve been partnering increasingly, especially with our largest customers, in helping to drive the categories and expanding the categories and getting more testing. And through a combination of both, our OB/GYN sales force is detailing as well as increasing outreach to – through some direct-to-patient, really, education around things like, “yes means test,” and a lot of the things we have going on and co-testing and things like that. So I think our major lab partners are seeing that we’re not just a vendor. We’re more than that. And we’re really helping to grow the overall categories and drive their business as well as our business and frankly, improving public health. So I think we’re in a pretty good spot there, not to say there’s always going to be pressures, but I think we can – our efforts will help us fight through those.

Operator

Operator

We’ll take our next question from Doug Schenkel with Cowen & Company. Please go ahead.

Chris Lin

Analyst · Cowen & Company. Please go ahead.

Good afternoon. This is actually Chris Lin on for Doug today. I just want to start with a question on Surgical. So days clearly had a pronounced impact on Surgical sales, adjusted for days and recognizing that there was a difficult comparison. How did MyoSure perform relative to your expectations in the quarter? And just building off that, for the full year, do you still expect MyoSure to grow at a double-digit rate?

Steve MacMillan

Management

Yes, I think MyoSure was in line, and we would certainly hope and expect it to still be a double-digit grower for the course of the year. Generally, we want to be careful not to give too much product line detail, but we feel pretty good about that product continuing to thrive.

Bob McMahon

Management

Yes, Chris, as we said, Surgical was one of the ones that was probably most impacted by the days as well given it’s the consumable side of the business. But I agree with you, Steve.

Chris Lin

Analyst · Cowen & Company. Please go ahead.

Okay. And then maybe could you just also give us a sense of how interest has trended for the viral load assays from your existing customers in the U.S. And then just how much of a focus is there from the sales force to go after that opportunity now, and could you accelerate the efforts with the tax savings?

Steve MacMillan

Management

Yes, I’d say the first piece is we’re in such the early days. The hep B was just approved. So we’re literally just training up the sales force and getting that rolling. And I think this is one that we think, just given the way contracts expire and allow lockups and everything else, it’s going to be a slow build. But we’ve always thought about the virals as really being – increasing drivers in 2019 and even more in 2020 as they build up. So I think, in a lot of ways, just we feel great about what those will bring for the future. So sales force, early on, wouldn’t expect any tax reform piece to be affecting those at all right now.

Bob McMahon

Management

Yes, I agree. And in addition to that, Chris, just as a another side, the utilization of our Panther systems continues to grow on a global basis. And I think the benefits of the Panther system will really help drive the adoption of the viral loads over time.

Operator

Operator

And we’ll take our next question from David Lewis with Morgan Stanley. Please go ahead.

David Lewis

Analyst · Morgan Stanley. Please go ahead.

Good afternoon. Thanks for taking the question. Steve, one for you, and then a quick follow-up for Bob. Steve, it feels like – I appreciate the targeted initiatives to improve the relative growth rate in Surgical, but it sort of feels like the sales force needs maybe another product to sell. So to what extent can that product be MonaLisa, and how much of it is the priority to potentially add that third product through M&A? And then a quick follow-up for Bob.

Steve MacMillan

Management

Sure, David. They certainly would benefit and can benefit from a third product. The flip side is we think they can be doing a better job with the two that they have right now, and it always becomes the easy answer from an underperforming salesperson to say they need more. And yet, our top people, frankly, still are finding more opportunity. So there are opportunities. I do think, to your point with MonaLisa Touch, I think there will be some opportunities more for, frankly, cross-referrals than necessarily having them sell it directly, but I think working in a little closer partnership with the Cynosure sales to open some more doors, and we’re just starting to see some of the early successes there. Having said all that, to your big point, Surgical is absolutely an area that we could use another product and is on the lookout for tuck-in acquisitions. So I would hope, over the coming years, we will be able to broaden that product line to your exact point.

David Lewis

Analyst · Morgan Stanley. Please go ahead.

Okay. Thanks Steven. And Bob, just a quick kind of clarification or question on tax. So number one, the 23%, 24%, I mean, is that a fleck where you see the new kind of statutory rate for the business? Or do you think that’s conservative in light of some of the complexities that you sort of called out around the reform at this early stage? And then also, if I think about your implied reinvestments, I think it’s $30 million to $35 million. Is it really realistic that you could put that money to work in the back half of the year?

Bob McMahon

Management

Yes. Hey, David, yes, on the first question regarding the 23%. We feel pretty good about that, and that’s our best guess right now. So I don’t envision it changing too much throughout the course of the year. And regarding the investment, yes, you’re roughly in the ballpark, and I think given some of the opportunities that we have, obviously, we’re going to be disciplined. But we do think that we can use that money to invest, particularly in things like marketing efforts and so forth, to strengthen the business for the long haul.

Operator

Operator

And we’ll take our next question from Anthony Petrone with Jefferies. Please go ahead.

Anthony Petrone

Analyst · Jefferies. Please go ahead.

Thanks. One on Cynosure and one on Panther. On Cynosure, maybe just a recap of where the sales force build is at this point, where you expect it to sort of peek out at. And how many of those reps right now are in training, and when will that be complete? And then I’ll have a follow-up on Panther. Thanks.

Steve MacMillan

Management

Sure. As it relates to Cynosure, I’d say in the hiring process, we’re easily into the sixth, seventh inning and feeling really good about numerically. And a number of them have been going through training. Most of the hires actually have recently been trained. And I think it’s where we feel really good about where we’ll be in the coming quarters. But they don’t go out and hit the street day one and immediately be productive. So that’s what we’ve been saying here, we figure we’d exit this year, our fiscal year, which is the July to September quarter. I think we ought to be in great shape by that point and again, building nicely between now and then. The team getting much, much stronger.

Anthony Petrone

Analyst · Jefferies. Please go ahead.

A follow-up on Panther. Just curious to – you have the full viral load out there, and it looks like the portfolio is really extending. You’re looking more toward 2019 for a benefit. Just curious on the competitive front, I mean, does that bake in some conservatism for, let’s say, Abbott, Alinity in particular? Anything of note from that competitive launch?

Steve MacMillan

Management

We’re always going to be probably a little conservative as we think about the ramp ups to some of these things. And most of the Diagnostics products really do take time. Having said that, I think we feel great about Panther and the opportunities to put more on Panther’s, including the virals, should be very beneficial for us here over time.

Operator

Operator

And we’ll take our next question from Brian Weinstein with William Blair. Please go ahead.

Brian Weinstein

Analyst · William Blair. Please go ahead.

Hey, guys. Can you hear me?

Steve MacMillan

Management

Hey, Brian.

Brian Weinstein

Analyst · William Blair. Please go ahead.

Hi, Steve, I thought you might have cancel to attend the parade today, but I’m glad that you’re still doing the call. So thanks for that.

Steve MacMillan

Management

It was actually on the TV and Mike Watch’s office, because it was better for him to watch that because it was worse to watch CNBC at this point.

Brian Weinstein

Analyst · William Blair. Please go ahead.

I get that. Hey, so a couple of questions first. Recent MQSA looks like it’s down over the last couple of months. So can you just talk about the difficulty potentially in sort of pushing through this middle point of the adoption cycle here? And anything else that you guys think you need to do? Obviously, you have new products going in there. But is it just more difficult to push through this, and is that where we’re starting to see a little bit through some of these MQSA data?

Steve MacMillan

Management

I think it is much as some seasonality here more than anything, Brian, over the last quarter-ish on the MQSA stuff. The MQSA stuff also, there’s some swirly stuff in some of those numbers. So as we try to reconcile them, I’d put it as directional at best. But I think fundamentally, between our 3Dimensions, our 3D Performance, we’re feeling pretty good, and I think especially the 3D Performance, as an ability to kind of continue to help push through this cycle. So we’re not detecting any material downturn in the market as we hit the state. Is it getting harder to – and requiring more work as you get further out in this – in the curve? Absolutely. But I think, frankly, it may even benefit us given our strength and our commitment and our resolve in this category as well as the benefits we’re bringing. So I probably feel, as Bob said, incrementally even better today about our Breast Health business than we did six months ago, both – and really both domestically and internationally.

Bob McMahon

Management

Yes, I think to build on what you’re saying, Steve, I think one of the things that the team has done is really just portfolio sell. So it’s not just about converting a gantry or a mammography machine. It’s the Affirm Prone Biopsy System, it’s the Brevera system there. And we believe that all of those are best-in-class. And so that really helps that portfolio sell throughout the course of the sales replacement cycle.

Brian Weinstein

Analyst · William Blair. Please go ahead.

Okay. Great. And then I don’t know if you guys hit this or not, so I apologize if you did. But did you kind of give any idea on rough breakout for Cyno between U.S., OUS and what those different geographies are growing at, at this point? Thank you.

Steve MacMillan

Management

Great. We’re not going down at that level of detail. But I think we continue to feel – international has been relatively strong, and it’s been the U.S., it’s been the larger rebuild.

Operator

Operator

And we’ll take our next question from Richard Newitter with Leerink Partners. Please go ahead.

Richard Newitter

Analyst · Leerink Partners. Please go ahead.

Thanks for taking the questions. I had a couple on TempSure, Steve. With this product, could you just give us a sense of who you’re targeting? Is this more of a core focus product, especially with the initial indication seemingly more on kind of the face and the reduction in the appearance of cellulite? When can we expect the new indications for Surgical and women’s health? And then, historically, with Cynosure, in the first year of a launch of a new product, non-invasive set notwithstanding, they had generated anywhere from $20 million to $30 million in their first year of sales for a new product. Once you’re kind of a up-and-running with your sales force kind of exiting the next quarter, is that something that we should kind of expect for this product? Thanks.

Steve MacMillan

Management

Sure, I think the – clearly, the initial customer base for TempSure as its launching now is definitely much more the core cosmetic and derm audience, where we’ve always had a lot of strength as well. In terms of specific product-level guidance, I’m probably not going to go there. But I don’t think those numbers are wildly out of range, but we don’t want to get down to quite that level. As you can see, we’re trying to provide more detail than certainly what Cynosure used to provide as an independent company. Well, we’re not going to go down to individual product stuff.

Bob McMahon

Management

Yes, Rich. And in regards to the additional indication, those will come over time throughout the course of this year and the first half of next year.

Richard Newitter

Analyst · Leerink Partners. Please go ahead.

Okay. And maybe just one follow-up. Any statistics or metrics you can give us on the utilization of the SculpSure systems, how that’s been trending?

Steve MacMillan

Management

It – truthfully, it’s varied by customer. We have some that are doing really well and others, candidly, that I think where we sold it in and didn’t have the follow-up, and those are the ones we’re going back and working to improve now.

Bob McMahon

Management

Yes, and what I would say, Rich, is that the PAC key revenue continues to grow year-over-year, but still a lot of long way to go.

Operator

Operator

And thank you. That is all the time we have for questions today. This now concludes Hologic’s first quarter fiscal 2018 earnings call. Have a good evening.