Fred Lampropoulos
Analyst · Jason Mills with Canaccord Genuity. Your line is now open
Well, I’m going to start with your last comment, because I think there is, in fact, a lack of sophistication in the United States. This is again personal opinion. I mean, when you saw the situation with Cook, there – they really weren’t set up. There were single source opportunities there, that’s changed. So and when you have buying groups that are looking to try to make value propositions, they drive a lot of this type of stuff. I think, again, if you’re a hospital administrator, in fact, we have a couple of members of our Board that have been a Chair people of two hospital systems here near in Mt. West. And as we talk to them and talk about these issues, I think, more and more people are thinking wait a second, who are the two top players here and who can provide the product. So I just can’t give the credit to the systems, because there are a lot of other factors like buying groups, BPOs and so on so forth that play into that. But I want to go back to maybe some comments that are on the radio revolution that we’ve talked about for a long time. And if you look back in Europe as you’re well aware, we have radio procedures in many cases can be up to 80%, in some countries up to 90%. That situation started growing. I was told that was not five or six years ago what it was 5%. And I said, this will grow to 80%, that has come out and it’s important that these procedures are less expensive into the thousands of dollars and you have better mobility and maybe more important the customer preference is to have something where you’re not messing around with somebody is going. Those are the facts of the marketplace and we’ve continued to see that. Many of the products that are part of this are in fact products that are radio. But what we’ve seen is, it’s starting to spill over to all of our standard sheaths. It’s spilling over not to just to guide wires that are hydrophilic, but all of our guide wires. Now again, it’s early, but we’re starting to see those kinds of trends, but here’s the bottom line. If you look at the PreludeEASE and the Prelude Ideal, those are products that in my view are better. We’ve been told by physicians, they’re better than the Terumo products. And Terumo is a great company. So in my view, it’s having a better product, but the opportunity to show the product. If that’s how it’s selling is you’ve got to have a center you put in the door, once you’re there, you can show how you can solve problems and how you can broaden the product offering. So I think it has to do with on Slide 13 on our website. If you look at this, I think, it’s compelling and supports the argument. You take a look at the sheaths, you take a look at the guide wires, you take a look at the microcatheters, this includes the SwiftNINJA. I mentioned that we have the new Pursue and we have the Maestro. So all of these we are doing everything we can to meet this demand. And then we throw some of these things outside of that like the Sync and the Impress hydrophilic. So it’s not just the Impress catheters, but Terumo has a big market share for hydrophilic diagnostic catheters, which get about a 3X pricing over your standard catheter. Those are also in this product. So again, it’s broad as an opportunity as I’ve ever seen. Now let’s talk about geography. I don’t want to get into tactics and strategies, but let me just say that people in their movement and trying to solve problems employee various types of tactics and strategies and so does Merit. We’re seeing, for instance, in Europe, a much higher demand for sheaths and guide wires than we are seeing in the U.S. Now in the U.S., we’re starting to see some of those trend, so people were moving around this is not an indictment of any sort, but people were trying to fill holes. And so initially, we saw this in Europe then we’ve seen it in the U.S., now we see it pretty well – pretty much everywhere. So we’re seeing it across the Board geographically and it started out with something being really strong and maybe even products moved, let’s say, we move products from time to time between, let’s say, the U.S. if we have shortages we’ll move products to fill those need to say in Europe or in China. So we’re seeing some very interesting issues fortunately for Merit. We have manufacturing these locations and we have this broad product line. So it’s changing daily and we see shortages and we see new things pop up that weren’t as hot before. But what it tells me, as you look across, they’re doing the best they can to manage their business with what inventories they have. I don’t know when they get back, but I’ll stand by what I said. This is something that’s going to be beneficial to Merit for years to come, because we now – it’s like the kid that’s sitting on the bench. Remember that guy by the name of Lou Gehrig, he was sitting on the bench Monday a guy couldn’t play and then Lou Gehrig played that for the rest of his career. And I think this is something like that where now the new kids on the block are formidable. We have the product, we have the breadth add something out. I’m sorry to keep going on with this stuff. But I had someone to say that we have the day, Jason. I understand your business for the first time. Well, this is a guy that’s owned the Merit stock and been involved for 15 years. And so I thought, we got a bad job if you’re just trying to figure it out. He said when I look at this and compare it against that, I can now see why all these little things that you did really add up to something big. And so if anything, I think, there’s better knowledge of the breadth and the strategy that Merit has employed for its corporate history of building out product lines and that is the benefit of time. Merit has taken the time to build the business and build it correctly. And so when something like this pops up, we’re ready to respond to it and not very many can, not like we can, but just don’t have the breadth of products that we do. So that’s the best way I can answer your question.