Earnings Labs

ResMed Inc. (RMD)

Q3 2022 Earnings Call· Thu, Apr 28, 2022

$216.77

-2.37%

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Transcript

Operator

Operator

Hello and welcome to the Q3 Fiscal Year 2022 ResMed Earnings Conference Call. My name is Kevin and I’ll be your operator for today’s call. At this time, all participants are in listen-only mode. Later we’ll conduct a question-and-answer session. Please note that this conference is being recorded. I will now turn the call over to Amy Wakeham, Vice President of Investor Relations and Corporate Communications. Amy, you may begin.

Amy Wakeham

Management

Great. Thank you Kevin. Hi everyone and welcome to ResMed’s third quarter fiscal year 2022 earnings conference call. We appreciate you joining us. This call is being webcast live, and the replay will be available on the Investor Relations section of our corporate website later today, along with a copy of our earnings press release and presentation, which are both available now. With me on the call today are ResMed’s Chief Executive Officer, Mick Farrell; and Chief Financial Officer, Brett Sandercock. During the Q&A portion of our call, Mick and Brett will be joined by Rob Douglas, President and Chief Operating Officer; Jim Hollingshead, President-Sleep and Respiratory Care; and David Pendarvis, our Chief Administrative Officer and Global General Counsel. During today's call, we will discuss several non-GAAP measures. For a reconciliation of these non-GAAP measures, please review the supporting schedules in today's earnings release or the appendix of the earnings presentation. As a reminder, our discussion today will include forward-looking statements, including, but not limited to, expectations about our future operating and financial performance. We believe these statements are based on reasonable assumptions. However, our actual results may differ. You are encouraged to review our SEC filings for a discussion of the risk factors that could cause our actual results to differ materially from any forward-looking statements that are made today. I'd like to now turn the conference call over to Mick.

Mick Farrell

Management

Thanks, Amy and thank you to all of our shareholders for joining us today as we review results for the third quarter of our fiscal year 2022 ended March 31. Our third quarter results reflect strong performance across our business with double-digit revenue growth in our sleep and respiratory care business, and high single digit growth in our software as a service segment. Our growth is the direct result of our global team's ability to pivot and drive for results, even as we continue to manage through several external challenges that are impacting our business, including one, on-going supply chain disruptions; two, COVID restrictions in parts of the world, three, recovering post-COVID Peak patient flow, and four unprecedented demand from a competitor recall, which will keep them out of the market at least through the end of the calendar year. The global supply chain environment remains very challenging across multiple industries. I'm very proud of our team growing double-digits this quarter year-on-year with an astounding 30% growth this quarter for devices in U.S. Canada, and Latin America. Even with this incredible growth, the demand in the market was even greater. As with almost all customers in the global components industry, we remain on allocation from our suppliers, particularly for electronic components, with our number one bottleneck being semiconductor chips. This allocation impacts our ability to meet the incredible demand that we see in our marketplace. And we are forced intern to allocate ResMed products to our customers. We have established guiding principles for allocation, giving priority to the production and delivery of devices to meet the needs of the highest acuity patients first. Additionally, the on-going challenges of sea freights and air freight due to reduced availability and increased prices are impacting our ability to efficiently get components into and…

Brett Sandercock

Management

Great, thanks Mick. I'll provide an overview of our results of the third quarter of fiscal year 2022. Unless noted, all comparisons out of the prior year quarter. We had solid financial performance in Q3 despite the headwinds we faced as a result and significant on-going supply chain constraints and a challenging freight environment. Group revenue for the March quarter was $865 million, an increase of 12%. In constant currency terms revenue increased by 14%. Revenue growth reflects increased demand for our sleep and respiratory care products across our portfolio driven by recovering market conditions and by increased device demand in response to the on-going product recall by one of our competitors. In the March quarter, we recorded immaterial incremental revenue from COVID-19 related demand consistent with the prior year quarter. Looking forward, we expect negligible revenue from COVID-19 related demand. In relation to the impact of our competitors recall, we estimate that we generated incremental device revenue in the range of $35 million to $45 million in the March quarter. For the first three quarters of FY 22, this reflects incremental revenue in the range of $170 million to $190 million. We continue to experience challenges in securing sufficient components and this has hampered our ability to materially increase our supply of devices. We expect our fiscal fourth quarter to remain supply constraints and similar to our recent fiscal quarters, therefore limiting incremental revenue during the fourth quarter. We now expect a total incremental device revenue opportunity for fiscal year 2022 will fall somewhere between $200 million and $250 million. Looking at our geographic revenue distribution and excluding revenue from our software as a service business, sales in U.S., Canada and Latin America increased by 18%. Sales in Europe, Asia and other markets increased by 11% in constant currency…

Amy Wakeham

Management

Great. Thanks, Brett. Kevin, I'd like to ask you to come back on the line. I'll turn the call over to you to provide instructions and to manage the Q&A portion of the call.

Operator

Operator

Thank you. We will now begin the question-and-answer session. [Operator Instructions] Our first question today is coming from David Low from JPMorgan. Your line is now live.

David Low

Analyst

Thanks very much. If I could just start with a question on the guidance from the benefit from the field free call. So it's fallen $100 million short of where you are projecting a year or so ago. Just wondering how you are now thinking about that opportunity set as we move into the new financial year?

Mick Farrell

Management

Hey, David, yes, it's Mick here. That's a good question. And, clearly as we in the second half of the year now we're readjusting that expectation for FY 22 now in total to be 200 to 250. You look I'll just be very open, very specifically a contract from 12 months ago with a particular I will not name them. But a particular semiconductor supplier had a very significant double-digit de-commit in these last months, weeks, and there's a commitment from 12 months ago, that had some very strong supply and it went down double-digits. And so with that as a headwind into us all the tail winds of our work, the five projects, five lines of projects going on in our supply chain allowed us to sort of, take two steps forward and two steps back versus two steps forward and one step back. And that didn't allow us to achieve that that extra 100 million of incremental revenue that we thought that we would achieve here through fiscal 22 for the first half. And so that's going to be tougher and as things a little bit further back. Having said that some of these projects coming to market such as the Card-to-cloud AirSense 10 device, where we eliminate that bottleneck or the number one bottleneck, which is the 3G, 4G comms chip. And we allow, the next bottleneck, which is another electronic components to become the one, we can then speed up some production to make up some of that difference. And that's allowed us to achieve the 30% year-on-year growth that we saw in devices in U.S., Canada, and Latin America and the 10% year-on-year growth that we achieved this quarter for Europe, Asia and rest of the world. Look, it's not perfect sailing ahead. When you…

Operator

Operator

Thank you. Your next question is coming from Gretel Janu from Credit Suisse. Your line is now live.

Gretel Janu

Analyst

Thanks. Good morning, Mick. Just one question on the backlog of patients. So you did mention in your prepared remarks, just trying to see if you can quantify how large the backlog is currently? And how long are patients waiting to get on to treatment? Is there something that ResMed can do to keep these patients engaged? Or is there a risk that they potentially fall out of the system? If they don't get onto product, in a in a short period of time?

Mick Farrell

Management

Thanks, Gretel. It's a great question. And yes, as you know that I talked about at least 12 to 18 months of a backlog, which is, in many industries you say fantastic to have a backlog, but these are patients waiting therapy and to the specific party a question Gretel, how long will any individual patient wait? It's not like a patient gets a diagnosis, and they have to wait 12 to 18 months. It depends on the geography and the environment. It might be eight days or eight weeks, depending on the geography and our flow of products. But an individual patient is not sitting out there told, Oh, you've got this life threatening disease, we'll take care of you next April. They're being told look, it's going to take for four weeks. And they're not happy with that. I mean, they've been told they suffocate maybe 100 times per night, maybe 50 times per hour, if they've got very severe sleep apnea. And they're suffocating. They want therapy, and so that that pressure is there, and the desire is there. We're watching very carefully. I mean, obviously we're involved in the substitute therapies. We sell a dental divides all across western and northern Europe with a number one provider, with novel our technology. We're not seeing this huge movement over to dental and the 100 muscle nerve stem that we're investing through in Astella [Ph]. We're not seeing a huge movement over to those substitutes. So they're being told by the doctor, it's eight days or it's eight weeks, and they're accepting that and they're sitting there in that pipeline. What I mean by the 12 to 18 month backlog is if you look at the net of the industry, this is building up because the number two player here is out. As they said earlier this week, they said at least through the end of this calendar year. I think they said that only be 90% done with their [Indiscernible] by the end of this calendar year. So that means the rest of us have to step up and ResMed is the number one player and we're stepping up the most and we're stepping up incredibly well. And I think we'll do that through it. But even when they come back online, it's not like the backlog goes away the day they come on. That's there and it's for all of us to drive. I think the share that we've gained is going to be entrenched because of the digital solutions we have and we'll go and gain from there. But the patients are there and I think it's awful that somebody might have to wait four weeks, or eight weeks. I don't want them to wait more than 4 hours to 8 hours. But right in the moment we're in this situation will be that way for a period of time given these unprecedented circumstances.

Operator

Operator

Thank you. The next question is coming from Lyanne Harrison from Bank of America. Your line is now live.

Lyanne Harrison

Analyst

And good morning all. Thank you for taking my question. Can we just talk a little bit about the device and mass dynamics in both Americas and rest of the world? Obviously, Americans had softer devices, but sorry, had Americans had stronger device growth, but much softer mass growth there. Can you I guess, share what your thoughts are around to the extent that's driven by fewer devices in the market as opposed to resupply, and then vice versa for the rest of the world.

Mick Farrell

Management

Thanks Lyanne for the question. Yes, as you mentioned, very strong device growth in the U.S., Canada, Latin America, 30%. And very solid growth in devices in Europe, Asia, elsewhere at 10% netting out at 21% cc across that sector. In the math side actually, if you go back to 2019, Lyanne when we were talking about market growth, right, we were talking then about devices, mid-single digits and masks being high single digits, I look at our global mask growth rate at 9% constant currency with the headwind of new diagnoses downward or competitive being out for new patient stops. And the U.S. Canada, Latin America at 7% constant currency as pretty reasonable growth, new patients are down but what we're actually doing there is working with resupply with Brightree resupply, with SNAP technology ReSupply in the U.S. and around the world with some of our models are working with patients directly in markets like Australia, New Zealand, Singapore and our western and northern European teams working with hospitals and care delivery systems to achieve that 13% constant currency growth in Europe, Asia and America. And I think, I'll hand to Jim Hollingshead the President of our global sleep business, but Jim, I think we're actually taking share in some of those categories again in the quarter.

Jim Hollingshead

Analyst

So thanks, Mick. And thanks, Lyanne it’s a great question. I think this is one of those weird circumstances for us where the numbers don't actually very clearly convey the underlying dynamics. And the reason for that is the volumes and the revenue growth we're producing in different markets is almost completely contingent on which SKUs we can produce, right. So it's a little bit, it's a little bit complicated. But we can, when we can produce devices that have sell chips that can go into certain European markets, and we have those components, then we get more growth for that period of time as we ship those products. And then sometimes those specific SKUs get constrained. And so the dynamic is actually pretty constant across all geographies, which is very, very high demand for our devices. Very, very high demand for our masks. There is a headwind on masks, because new patient starts are down because the market is under supplied. But really across all geographies there are tailwinds for masks because in the U.S., we have very resilient resupply and in other European markets, we have very really resilient resupply in markets like France and Northern Europe. And so the number the differences you've seen in the groceries is actually driven by component supply and not by demand dynamics, if that makes sense. So it continues to be really almost unlimited demand for our products across the board. With devices obviously, in the U.S., we introduced AirSense 11. That freed up a lot of capacity for us. That's why we got such outsized growth relative to the other markets in the U.S. market this quarter. And the mask growth is pretty steady across all the markets.

Operator

Operator

Thank you. The next question today is from Saul Hadassin from Barrenjoey. Your line is now live.

Saul Hadassin

Analyst

Good morning, Mick. Thanks for taking my question. Just a quick one on the guidance you've provided for the full year for the Philips share gains and that revenue contribution. The other companies obviously, what do you think is the underlying growth rate of the base business excluding that share gains? I guess, in other words, what were you expecting to grow the business by? How do you come up with that 200 to 250 million? And I guess, the question really is what do you expect of the base business to be able to grow up considering the supply constraints that are in the market at the moment? Thanks.

Mick Farrell

Management

Yes, Saul thanks, thanks for the question. And in looking at these estimates started about six months ago. I'll probably get Brett to give a little bit of detail around how we actually came up with the details of the calculations of the 300 to 350 and the 200 and 250. I'll give you the CEOs perspective first, and the CFO will come in and give more quantitative detail in a moment. But the way I looked at it, about six, eight months ago, it was I guess it was June, mid June when the competitor announced this. There were estimates on the sell side from 50 million of incremental revenue for ResMed during the fiscal year, up to 950 million from some of the sell side analysts and we thought that that range is just too broad. We generally don't get guidance we leave that to the job of the very smart people on the sell side and the buy side to do so. But that that variance was too big. And so we said, let's calculate it, let's take our forecast that we had at that time, eight, nine months ago for the fiscal year 22. And then look at what we think we can achieve based upon parts and components we can get into our factories and product we can make to take care of what is a seemingly infinite demand. So we'll just be rate limited on the parts and pieces. And we looked at mostly comms chips and some other electronic components would be rate limiting. And so we said, Okay, let's see how high we can ramp those with our great work from our ops team looking at ResMed 2030, 2035 and a brand new plant in Singapore, we actually weren't limited and aren't limited on manufacturing capacity, it was just about supply. And we estimated 300 million to 350 million in incremental revenue above our forecast growth. We didn't actually give a public number of what our forecast growth was. We just talked about that incremental revenue being there, letting sell side models for their forecast, add on to that in the 300 to 350. We've adjusted that to 200 to 250. So on top of whatever that growth was, we think it'll be 200 to 250. And that's really getting down to these. This last quarter Q4 gives a bit more detail on that. Brett, any further quantitative info, you want to give on that to Saul’s question there?

Brett Sandercock

Management

Yes, thanks, Mick. I think we got that right. We saw really what we did is we looked at our pre-recorded forecasts, and it's very much an estimate on what we think that incremental demand was. And to your question kind of what would the underlying growth be? I mean, if you backed out that incremental revenue you'd get, you'd probably get Circa 10% growth on devices. So pretty, pretty strong.

Operator

Operator

Thank you. Our next question is coming from Dan Hurren from MST. Your line is now live.

Dan Hurren

Analyst

I just wanted to ask in regards to you mentioned the Astral, the Astral was not an allocation is unlimited or sorry, is not constrained. And you just talked about how that part is traveling and competitive and the competitive market with Philips being in our market and their products.

Mick Farrell

Management

Yes Dan, thanks for the question. And yes, you're right. As I said in the prep remarks, we -- was our guiding principle that we take care of the sickest patients first and the highest security devices first. And the Astral is that and so we've done a great job. Our ops team supply chain team manufacturing team has done a great job. We are not supply constrained on that. And we are going head-to-head with the trilogy and Eva. And what I see, as regular leases of recalls and issues with our competitor in that space. And so not just our brand reputation and the amazing technology that's in the Astral, it's incredibly reliable and very high quality. And I believe we've been taking share there for a number of quarters. But Jim, you want to give detail on the Astral and how well that's doing U.S. and rest of the world?

Jim Hollingshead

Analyst

Yes, thanks, Mick. Thanks, Dan. The Astral’s performing really, really well from a competitive point of view. We've taken share with the Astral it’s very very strong device offering. We've made a number of improvements to that platform over the last couple of years. And also remember that the Astral can be connected to an attachable modem, which can then allow patients using an Astral to be monitored in the cloud. And we have we have that capability now in our AirView platform worldwide. And so we've had a lot of a lot of adoption of monitoring ventilated patients in our AirView platform, especially a very strong growth in Europe with that offering. So Astral continues to perform extremely well.

Operator

Operator

Thank you. Our next question is coming from Matthew Mishan from KeyBanc. Your line is now live.

Matthew Mishan

Analyst

Good afternoon. Thank you for taking the question. Just going back to the de-commit. Did you get a sense of why your orders were from over a year ago? We're de-committed and just how do you how did the semiconductor supply chain you know get unlocked over like the next three to six months? Like what are they telling you needs to happen incrementally so that you can get a steady or supply moving forward?

Mick Farrell

Management

That's a great, great, great question. I'll talk a little bit about what our supply chain is doing. I'll hand over to Rob Douglas, our CFO to go through the incredible work that Andrew Price and Linda Laidlaw our President of Global ops and the head of our supply chain are doing there. I can tell you what they're getting me to do. They're getting me to work with the CEOs of these of these companies and their heads of production. And you know, we're working and providing information to show the importance and how these technologies that they're providing and going into lifesaving medical devices. I actually created a video for the investors and the internal employees at one of our major electronic components suppliers to talk to them about how every chip they give us gives the gift of breath to a person who's suffocating and to really get that message through, I mean, I think you know in the huge demand for electric cars and, and cloud connected to consumer devices and an across the board demand is up across industries. And so it can be hard if you're a component maker to differentiate, industry A from B from C and and know where it's going. When they know firstly that we pay high margins that we have long term contracts that we’re recession resistant industries we showed through the global financial crisis. And the benefit for employees looking for purpose that, hey, this chip doesn't just go into a car that goes from A to B, or, or give cloud connectivity to a refrigerator. This thing literally keeps someone breathing and allows them and their doctor to see that breath and then improvement of incomes, reduction of costs and reduction in mortality. So getting that message through is really strong. We've been working very strongly since the starting gun sort of went off on this June last year, and we're getting better and better. But across the industry, Rob it's a tough environment for supply.

Rob Douglas

Analyst

Yes, it is tough, Matt. And the way the electronics and semiconductor industry works is like any other industries, a number of players have gotten long term forecasts, which they need to have because the capital investments in order to build capacity takes a long time to develop. But I've really only got short term clarity on what the demand levels are going to be. And the actually the electronic industry has always been feast or famine for particular components. Like that this is just a worse than usual version of the usual situation. There was so much excess demand around the COVID environment. So many new dynamics, like as Mick mentioned, electric vehicles, taking up demand and consumer electronics and all that. And then the, the key suppliers have all their own inputs that have those sort of same investment issues coming. So they're also an allocation for their raw materials, as well. And then they have a number of contracts. And as Mick gets to it as if we can manage the priorities that these people have. And by the way, whenever we talked to almost anyone in any industry, we end up talking to somebody who either has sleep apnea, or their loved ones have sleep apnea, or their good friends have sleep apnea, so we can get a really strong message through as to why it should be a priority. But sometimes they've got contracts, and they need to be able to call force majeure on those contracts before they can supply us. So it's a very complex, complex project, we keep working on it. As Mick mentioned, we've got these other longer term projects that are really designing around the constraints and putting in options so that we can have what would traditionally single source components, we'd have options to multiple source components. We have many different communication modules that can operate in the, into the units now and different protocols. And we'll keep working on that. But it's not going to clear short term. And now we're going to need this great sort of agile performance from our supply team to really try and predict the areas of de-commit so that we can inform our engineering teams of what they should be designing around and get started on those key areas before they become problems. But these are tough problems to solve but we're working on it.

Mick Farrell

Management

Yes. And in short, our goal will be with all that work that Rob just talked about to make sure we take three steps forward, so that when you do get the two steps back of this and that component, we're still moving forward sequentially every quarter throughout the year, and then really freeing up as Rob said, the long term stuff starts to come into fruition over the next 3, 6, 9 months and beyond. Thanks for the question, Matt.

Operator

Operator

Thank you. Your next question is coming from David Bailey from Macquarie. Your line is now live.

David Bailey

Analyst

Thanks very much. Good morning, Mick I might just follow up on those numbers, five areas of work. You mentioned sourcing validation and reengineering. Just wondering where progress sits relative to your plans? If there have been any benefit to date? And when do you think, these projects are expected to complete such that you do start to see the most benefits coming through?

Mick Farrell

Management

David, it's a great, great question. And it's and it's really complex. And I'll probably hand to Rob to maybe give some of the detail on it. But those five lines of work have multiple projects within each of them. I tried to term like, new parts from new suppliers. That means our R&D team is reengineering, a new part validating, verifying, putting through all the quality tests, we're seeing in our market, how incredibly important that is, and we will not compromise on quality. And then you've got to validate and verify a new supplier and get them through. And so just one of those five lines of work is an incredible amount of work for our quality, regulatory, R&D, engineering, production and manufacturing teams. And so these aren't overnight. It's not like we're just having a cell phone here or a comms chip in a consumer device. This thing a life support then has to be working all day every day. A CPAP has to work every night and we are I think able to with all that work I mean as you saw, we got 200 million, 250 million this just this fiscal year ahead of incredible growth and our supply chain pivoted to all of that. If there hadn't been this competitive recall, we as an industry ResMed would have been absolutely able to do with every single supply chain constraint that had happened throughout this. And that's just speaks to the flex and the ability to go. We have these projects that have been going nine months, I actually think they're doing well. It's hard to say, even if I gave you on each of those five lines of work, the key milestones on it, there are probably five projects within each of those. So its sort of a 5 by 5, 25 point matrix. Rob's looking at this, Jim's looking at this on a daily basis. I get the updates every second or third day. As a CEO, I used to focus all my time just on customers talking to customers talking to health insurers and showing the benefit of our therapy, spending a lot more time with supply chain than I want to but right now, that's where the urgent need is. And for the next, 3, 6, 9, 12 months is where we're going to be focused. But at the same time, we're investing in demand gen. So that as the price starts to come back, and it will, and as a competitor comes back along, we can turn that demand gen back on securing all the share gains we've got through the digital entrenchment, and then drive for future growth. But Rob, how do you summarize all the other work we're doing for David succinctly here?

Rob Douglas

Analyst

Yes, we David, we wouldn't break down all the individual projects. But no, I mentioned having multiple columns, protocols, multiple chips, multiple sources of chips. And to mix point, our issue around quality and patient safety is just so important. So we can't really take any undue risk or give any give on the quality of the validation processes. And making sure we're doing the right thing through all of that. So you can't just throw in a new component and say, let's see if it works. We've got to really do all the proper life testing and check through. So that's why it doesn't happen overnight. But the teams are working on it. And they said they're thinking about how to forecast the right areas, so that we can get on the front foot on these. Another important area is our ability to burst demand and burst supply, when we do get solutions come in, and you actually will see our inventory levels have increased. And that's interesting in a time, when really every product we make immediately delivered to customers and sold. And that's because we're working hard on making sure we've got all the raw material inventories, including longer term commitment with the suppliers, which actually we've had to do in order to guarantee short term supply. And so we've got very strong inventories of nearly everything, but a few that are short, but when those few ones shorts that were short come in, rather put them quickly into production and quickly get them on to patients.

Operator

Operator

Thank you. Our next question is coming from Mike Matson from Needham & Company. Your line is now live.

Mike Matson

Analyst

Yes, thanks for taking my question. I wanted to ask about this character cloud device, sorry, Card-to-cloud device. Can you maybe comment on how that works? I assume that the collected data on the card and then has to be uploaded somehow. But and then, is there any kind of long term repercussions from having these out there in your installed base in terms of lost data over time or anything like that?

Mick Farrell

Management

Thanks for the question, Mike. And I'll hand to Jim to walk through some further detail on it. I can tell you look from ResMed, when we really first got into digital health in 2002, we had paging devices on experimental parts of our devices and 2005, we started to with the AirSense launch in 2006, 2007 I had some SD cards that were in those devices. And so we've sort of had this, this world of card-to-cloud at ResMed for well over a decade, 10 years, 15 years that we've had had the ability to do that type of technology. Obviously, with the AirSense 10, we changed the whole market. We did the sort of reverse Amazon play where we said 100% connectivity in the AirSense 10 through the comms chip. And then you take it seamlessly. And it's and it's taken to go there. Look, this is humanitarian emergency right now. We have a competitor out of the market, and there's not enough comms chips to go around the world. And we looked at this and said, well, look, why don't we go to where we were before, which is a great technology of Card-to-cloud. The differentiator for us is AirView that the doctors use, myAir that the patients use and the whole ecosystem of data. And so I think it's far more efficient and appropriate, then it goes straight in a secure end to end encrypted from the device there. But in this time of emergency for a period of time, who longs knows how long it will last, these AirSense 10 Card-to- clouds, a whole lot better patient getting that technology than one of the competitors out there that has some -- solution that may or may not be encrypted, who knows how it works, and the device not might not be as reliable. So the AirSense 10 is the second best device on the market, second only to the AirSense 11. So Card-to-cloud is out there. But Jim, you know, it's early days. How's it going?

Jim Hollingshead

Analyst

It's very early days and we'll be bringing and we'll be bringing it to more and more geographies but you know to midpoint, we really just want to make sure patients get on therapy. I mean, that's, that's the driving rationale for launching. And this device is Card-to-cloud version residents. And it's basically in AirSense 10 without the cell chip. And so to, the process question Mike you asked is about, the devices all have SD cards in them. The SD card has to get to the provider. The provider uploads the data into the cloud. We've actually just re-launched or launched a renewed and better version of the process for doing that for the software that allows the upload into the cloud. And the great advantage of the whole system is that the patients still can be managed in AirView. And AirView is the best, patient management system on the market, we know that it has the strongest preference, the strongest performance, it's secure. It's encrypted and protects privacy, and, importantly, all have our customers using AirView right now in their workflows. And so that what the, the Card-to-cloud device is missing one step, which is the daily cloud uploaded data and via the system, the data will come into the system into the cloud, when the SD card gets uploaded by the provider. So and that I don't think anybody will do that on a daily basis, they'll do it relatively infrequently. The data is all there in the SD card. The device stores the data for months, so no data is lost. It's just the frequency of upload. And again, the main rationale behind it is we want to make sure patients get on therapy, there's a growing patient backlog, we can produce these devices at volume. And it gets around our biggest constraint, which is the communication.

Operator

Operator

Thank you. Our next question today is coming from Margaret Kaczor from William Blair. Your line is now live.

Unidentified Analyst

Analyst

Hey, guys, this is Maggie on for Margaret. Thanks for taking our questions. I wanted to ask the incremental benefit guidance question a little bit of a different way. So obviously, supply constraints here are not allowing you to service all the patients out there. So you're reducing it by 100 million. So as the pie improves, and when it does, do you think that you will be able to recover that full 100 million in the next fiscal year, and even more than that? Thanks so much.

Mick Farrell

Management

Thanks for your question, Maggie. I mean, the short answer is yes, absolutely. Through not just the technology, Jim was talking about the essence, Card-to-cloud but all the other projects, Rob's been talking about the 5 by 5 25 plus matrix of incredible projects that are going through are going to free up supply. And sequentially as we go through this year, we're going to get growth and growth and growth. And so, just to be clear, it was on top of, as Brett said, strong sort of 10% forecast growth, we then had, in addition to that 300 million to 350 million of incremental, that incremental was reduced to 200 to 250, as we as we said today, for this fiscal year that we're in. But that incremental growth, those patients will be there. And we will be in the back when we will get to them in fiscal 23 and more as we continue to grow throughout the fiscal year 2023. It's not like this is an overnight success. And one of the 25 projects works tomorrow. We're all perfect. It's incremental, continuous improvement, step by step improvement of an amazing ops and supply chain team, and an amazing sales and delivery team working with customers on this allocation and understanding how to bring that product to market and understanding on the marketing side to just get ready for the demand gen that's going to need to happen to get all the backlog in and new patients in as we go in, throughout fiscal year 23 and beyond. But the short answer is Maggie. Yes, we will get to that increment and more throughout the coming 12, 18 months.

Operator

Operator

Thank you. Our final question today is coming from Suraj Kalia from Oppenheimer. Your line is now live.

Suraj Kalia

Analyst

Good afternoon everyone. Hey Mick a lot of questions have been answered. Mick, if we layer a recessionary environment on top of an inflationary environment, can you just give us some guidance in terms of new order flow-through, patient behaviour, resupply orders, especially, it almost seems inevitable that there's another complicating factor on the horizon. Thank you.

Mick Farrell

Management

Thanks, Suraj. Yes, look, I mean, clearly inflation is high. And as you've seen, that's been hitting, some of our areas of cost. We have some price mitigation on the AirSense 11. And on global surcharge, and some sort of skews across the range to deal with inflation and to share some of the pain of that that we are seeing from our suppliers with the channel. But so that's, that's how we're sort of mitigating the impacts of inflation. Your question about a future recession who knows we haven't a long bull market. One thing I know that ResMed and I was here through I was actually running the global sleep business through ’08, ’09 and ‘10. And I just taken over it the year before and ResMed is remarkably resistant to that global, that global financial crisis. And in recessionary environment, people may forego that extra Tesla, that extra phone for $2,000, but they will not forego that extra CPAP for $1,000 as much. And so we were very recession resistant through that last global financial crisis had a bull bull run here, globally for 10, 12 years, it is possible. Suraj, you're probably better at predicting the timing, or when a recession may come in the next 12, 24, 36 months, I don't know. But I know that as opposed to other consumer industries and automotive industries and fast moving consumer goods, medtech, and particularly consumer driven medtech, like ResMed and sleep apnea. We've been very recession resistant are a very strong player throughout that and give us a competitive advantage, I think of some of the other players fighting for the dollars available. But look, who knows what the timing of any of that would be. But we've got mitigation plans in for inflation. I think very good experience and capabilities to deal with downturns and or, and or recessions. But thanks for the question Suraj.

Operator

Operator

Thank you. We've reached the end of our question-and-answer session. I'd like to turn the floor back over to Mick for any further closing comments.

Mick Farrell

Management

Well thanks Kevin, for hanging the phone back. And thanks again to all of our shareholders for joining us on this call. I'd like to once again thank the 8000 ResMedians, many of you are also shareholders through our ESPP. So thank you for that for your dedication and your hard work helping people breathe better, sleep better, and live better lives outside the hospital in 140 countries worldwide. Thanks for what you do today and every day. I look forward to talking to you and all of our stakeholders here again in 90 days. Thank you, and we can now close the call.

Amy Wakeham

Management

Great. Thanks, Mick. To echo and thank you, everyone. We appreciate your interest and your time. As a reminder, if you have any additional questions, please don't hesitate to reach out to our Investor Relations team directly. This does conclude our third quarter 2022 conference call. Kevin I'll turn it back to you to close things out.

Operator

Operator

Thank you. That does conclude today's teleconference and webcast. Simply disconnect your line at this time and have a wonderful day. We thank you for your participation today.