NYSE:ENOV Enovis Q1 2023 Earnings Report $6.56 -0.11 (-1.65%) As of 03:58 PM Eastern Earnings HistoryForecast Leggett & Platt EPS ResultsActual EPS$0.44Consensus EPS $0.37Beat/MissBeat by +$0.07One Year Ago EPS$0.37Leggett & Platt Revenue ResultsActual Revenue$406.20 millionExpected Revenue$389.95 millionBeat/MissBeat by +$16.25 millionYoY Revenue Growth+8.20%Leggett & Platt Announcement DetailsQuarterQ1 2023Date5/4/2023TimeBefore Market OpensConference Call DateThursday, May 4, 2023Conference Call Time8:30AM ETUpcoming EarningsLeggett & Platt's Q1 2025 earnings is scheduled for Tuesday, April 29, 2025, with a conference call scheduled at 8:30 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2025 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)SEC FilingEarnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Leggett & Platt Q1 2023 Earnings Call TranscriptProvided by QuartrMay 4, 2023 ShareLink copied to clipboard.There are 10 speakers on the call. Operator00:00:00Good day, and welcome to the Innovus First Quarter 2023 Earnings Conference Call. All participants will be in listen only mode. After today's presentation, there will be an opportunity to ask questions. Please note today's event is being recorded. I would now like to turn the conference over to Derek Letko, Vice President of Investor Relations. Operator00:00:33Please go ahead, sir. Speaker 100:00:36Thanks, Waco. Good morning, everyone. Thank you for joining us today for our Q1 2023 results conference call. I'm Derek Lekko, Vice President of Investor Relations. Joining me on the call today are Matt Trivertola, Chairman and Chief Executive Officer and Ben Barry, Chief Financial Officer. Speaker 100:00:51Our earnings release was issued earlier this morning and is available on Investors section of our website, enovus.com. We'll be using a slide presentation on today's call, which can also be found on our website. Both the audio and the slide presentation of this call will be archived on the website later today. During this call, we'll make some forward looking statements about our beliefs and estimates regarding for future events and results. Those forward looking statements are subject to risks and uncertainties, including those set forth in the Safe Harbor language in today's earnings release and are filed with the SEC. Speaker 100:01:21Actual results may differ materially from any forward looking statements that we may make today. The forward looking statements speak only as of today, we do not assume any obligation or intend to update them except as required by law. With respect to any non GAAP financial measures referenced in the call today, The accompanying reconciliation information related to those measures can be found in our earnings press release and the appendix of today's slide presentation. With that, let me turn the call over to Matt, who will begin on Slide 3. Matt? Speaker 200:01:50Thanks, Derek. Hello, everyone, and thanks We had a strong Q1. But before I discuss the results, I want to recognize the efforts of our fantastic global team of dedicated associates who work hard every day to execute our strategies and help our patients live more active and fulfilling lives. It was a great quarter. Let's go to Slide 3 and talk about some of the highlights. Speaker 200:02:15We grew organically by over 9% with 19% growth in recon and 4% growth in P and R. Clearly, there were some tailwinds out there on the recon But the step back view is continued strong outperformance in a strong recon market and the expected market recovery in P and R. We expanded our EBITDA adjusted EBITDA margins by 120 basis points, reflecting the mix impact of strong recon growth, Productivity from EGX, price progress and moderation in some areas of inflation. We signed a key strategic acquisition in Foot and Ankle in the quarter and another one in April. And we're seeing strong growth momentum and healthy scaling the full set of acquisitions we completed in the last few years. Speaker 200:03:05Overall, a really great start toward our 2023 objectives. In recap on Slide 4, we have high double digit growth in the U. S. Led by over 20% organic growth in knees and hips. Extremities grew 14% led by shoulder. Speaker 200:03:25Outside the U. S, we grew over 20% organically also led by knee and hip and we're pleased to see our brand and presence flourishing in a strong European market and recovery building momentum in Australia. I'm excited about the initial traction we're seeing as we begin to cross sell our market leading and power and ALTAVATE products internationally. And we have a strong pipeline of innovation in the U. S. Speaker 200:03:52As we continue the rollout of the EMPOWUR Vision Knee and the ALTAVATE augmented Glenwood. The markets were strong in Q1 and we took the full advantage, once again growing well above the other recon leaders. Turning to Slide 5, I want to take a moment to discuss What we are doing to further strengthen our position in the fast growing foot and ankle market. We've built a strong foundation with differentiated product offerings in the hindfoot midfoot segments and we're adding some key new technologies for the rapidly growing bunion and forefoot space. We announced the acquisition of NovaStep, which gives us a comprehensive set of products for bunion surgery, the largest and fastest growing part of the foot and ankle market at almost $1,000,000,000 per year of market. Speaker 200:04:43Whenever possible, surgeons want to address these issues with a minimally invasive solution and now we have the leading percutaneous MIS solution for these procedures. And in Q2, we will launch EVOLVE-thirty 4, a product focused on the large Fast growing Lapidus segment of the bunion market. This will be a terrific complement to the NovaStep MIS offering and coupled with our great plating and staple lines gives us a robust offering for the entire bunion segment regardless of severity or indication. NovaStep also brings channel and approved products outside the U. S, accelerating our global progress in foot and ankle. Speaker 200:05:28We also announced the acquisition of Seals' leading external fixation product line, which complements our existing offerings and strengthens our channel position. Overall, I'm very pleased with the progress we're making to build a leading foot and ankle In P and R on Page 6, our 4% organic growth reflects a rebound in volume as markets recovered. You can see on the right that over the past 5 quarters, we've had average growth in the 3% to 4% range, in line with our expectations. We've applied EGX principles and tools to improve and strengthen our supply chain and we're seeing the results with more resiliency and better service levels even as we begin to bring back down inventory levels in some areas. And stay tuned, we have a nice pipeline of bracing launches coming later in 2023 that will help us to support P and R growth. Speaker 200:06:26Now I'll let Ben take you through the P and L details and Our positive guidance update. Ben? Speaker 300:06:32Thanks, Matt, and thanks, everyone, for joining our call today. I'll start my prepared remarks on Slide 7. We had a very solid start to 2023, delivering strong growth and margin improvement. For the growth for the quarter, we grew 8% or 9% organically. Foreign currency had 150 basis point negative impact on Sales. Speaker 300:06:57We delivered another quarter of double digit recon growth and achieved mid single digit growth in our P and R business. Gross margins increased 170 basis points versus prior year, reflecting our faster growing and higher margin recon segment, as well as taking some ground on price versus cost. We saw strong performance in our operations, realizing the benefits from our business mix, our proven business system and strong leverage from growth. In the quarter, our operating expenses were up 40 basis points as a percentage of sales. This is largely driven by investments in research and development, primarily in our Recon segment as we continue to integrate and scale recent acquisitions and fuel a healthy innovation pipeline. Speaker 300:07:48Our Q1 EBITDA grew 18% versus prior year, resulting in a margin expansion of 120 basis And reflecting our strong profitable growth in the quarter. Our effective tax rate for the quarter was 21% And interest expense came in at $5,700,000 Overall, we posted strong adjusted earnings per share of $0.44 or 19% growth versus prior year. We are pleased with our results in the quarter and our clear progress executing against our strategic goals. Moving to Slide 8, considering our Q1 momentum, we are raising our organic sales growth outlook for the year to 6% to 7%. Recon markets got off to a strong start and our P and R business grew in line with our expected levels. Speaker 300:08:42We expect a slightly more difficult prior year comparison in the coming quarters, but we are confident that our Q1 results will lift the overall growth performance for the year. Q2 has roughly one point of growth headwind due to less selling days and we expect the Q2 growth to be within the updated guidance range. We are raising the full year adjusted EBITDA and EPS ranges to reflect our Q1 performance. Our new outlook for adjusted EBITDA is $259,000,000 to $267,000,000 with adjusted EPS of $2.18 to 2 point We expect our Q4 our Q1 performance to read through for the full year. We are excited about our recently announced acquisitions complementing our existing foot and ankle platform. Speaker 300:09:42Those Acquisitions will initially bring approximately $25,000,000 to $30,000,000 of annualized sales, strong gross margins and a double digit growth We expect these deals to have a slightly negative impact on earnings for the full year, but they should turn accretive to earnings beginning in 2024 as they scale. On Slide 9, we had a strong Q1 leading us to raise our full year guide. We demonstrated strong above market growth and are confident in our Strategy of building a sustainable high single digit growth company. We took another step forward in expanding our margins and have a clear path to continue this momentum. We continue to execute our M and A strategy as evidenced by the 2 deals that we highlighted on this call. Speaker 300:10:36They are an example of our rich funnel across our business of prospective deals and a strong balance sheet with ample capacity to execute. And now we will move to Q and A. Braco, please open the call for questions. Operator00:10:52Thank you. Today's first question comes from Vik Chopra with Wells Fargo. Please go ahead. Speaker 400:11:10Hey, good morning and thanks for taking the questions. Speaker 200:11:15Two questions for me. I'm going to Speaker 400:11:17ask them both upfront. I guess first on P and R, I would love to hear kind of what you're seeing in the market with regards to volumes and how you now think about that Business going forward the rest of 2023. And my second question is just on guidance. You raised guidance after a nice beat. But just kind of help us frame out how you of the guidance kind of what gets you there at the top end versus the low end? Speaker 400:11:42Thanks for taking the questions. Speaker 200:11:45Okay. Yes, thanks. Thanks a lot, Vik. So yes, as we've been saying through the quarter, we expected P and R volumes to recover in the first quarter after a little bit of pressure there in the back half of last year that showed up in Q4. And And we saw that recovery back into kind of a normal range for P and R, especially if you actually look at our P and R business Back to 2019, it's in kind of a normal place in terms of the growth from 2019 in Q1. Speaker 200:12:19And we do we expect P and R to stay in a similar growth range as we go through the balance of the year. The comps get actually a little bit tougher in the next quarter or 2 and then easier in Q4. And we expect to be in that Similar kind of growth range is what we've shown is where the business has been performing. Speaker 300:12:40Yes, Vic, and I'll take the guidance question. I think We have a good start to the year. We're excited about the start. We're still being a little bit cautious as we think about the to the year in terms of what may or may not happen with regards to just the market in general. So we're trying to keep the approach of being a little bit more cautious just to anticipate that there could be some bumps in the road as we think about the balance of the year. Speaker 300:13:09But hopefully, we'll continue to see this momentum in Q1 continue to play through and then have a little bit of upside. Operator00:13:22Thank you. And ladies and gentlemen, our next question comes from Vijay Kumar with Evercore ISI. Please go ahead. Speaker 500:13:30Hi. This is Sofia on for VJ. I have a 2 part question. First is, A lot of your peers have cited greater than expected procedure recovery and staffing and supply improvements. Can you give any update on what you're seeing? Speaker 500:13:43And can you provide any color on How much backlog contributed to organic growth this quarter? Speaker 200:13:51Yes. So we saw a good strong Q1 as well. And it really what you saw in Q1 in the U. S. Is kind of normal healthy levels. Speaker 200:14:01So no staffing pressure, plenty of demand, no COVID pressure. So I think you saw normal healthy levels in U. S. Maybe even a little better than normal, and then a soft comp because of the pressure on last year. And so we and everybody in the industry had Very strong growth in Q1 and we continue to have much stronger growth than the rest of the leaders in Q1. Speaker 200:14:25Outside the In addition to the little bit easier comp, there are some countries where they're on overdrive and they're actually working off Significant backlogs of surgery countries like Germany, working on significant backlogs of surgeries and running higher than normal levels. And obviously, we saw that as well with well over 20% growth outside the U. S. And so as we move Through the year, we expect to see normal seasonality play out in the U. S, which It will lead to lower but still very healthy growth as the comps become more normal in the coming quarters. Speaker 200:15:10Outside the U. S, things could remain hot for another quarter or so. But then I think we need to be a little bit Cautious about what happens in the back half of the year once you get through that period of some of the countries going on overdrive. But overall, it's a good strong start in the elective surgery area and in recon. And We expect the balance of the year to play out in a strong way, again, not with some of the extra tailwinds of Q1, but still in a very healthy in place in terms of this year's performance. Speaker 500:15:50Great. Thank you. And then just one quick follow-up. So gross margin performance in the quarter was 100 bps quarter over quarter. Can you kind of talk about what the inflation impact was and what pricing was in the quarter? Speaker 500:16:02And just kind of overall, what drove that performance? And should we think about 2Q being in line with 1Q or kind of above that level? Speaker 300:16:11Yes, I'll take the questions. Thanks for the question here. Yes, happy with our gross margin expansion in the quarter. A lot of that driven by our business mix like I mentioned in my remarks, strong recon performance, which brings above average margins compared to our overall company. We have taken some ground on the price cost equation. Speaker 300:16:36I would say that we're getting about 1% to 2% price on the P and R side of the business. We've seen some inflation moderate in certain areas with regards To inbound freight, some plastics, we still see some inflation around outbound freight surcharges, wage inflation and some metal challenges in certain parts of our supply chain. But overall, I feel confident that we continue To take good ground, make productivity in our operations to overcome some of the challenges that we're seeing and claw back some of that inflation That came after us over the last couple of years. So, I would expect gross margins to be kind of in line a little bit, maybe Lower than what we saw in Q1 as we think about the coming quarters, but overall, good strong start here in the year. Speaker 500:17:30Great. Thank you very much. Operator00:17:32Thank you. And our next question today comes from Kyle Rose at Canaccord Genuity. Please go ahead. Speaker 600:17:39Great. Good morning, everybody. So just 2 questions for me. Two questions for me really is, How should we think about the impact of the revision platform on the U. S. Speaker 600:17:52As we move through the year? Is that more You're bringing on new customers that were maybe waiting for you to have a revision set before they adopted primary or are you captured incremental Share in existing new customers? Speaker 200:18:06Yes, Kyle, thanks for the question. Yes, it should be a combination of both. Just like some of the other Key product we brought out that complement our lines in the past years, it gives us an opportunity to sell into Existing customers, surgeons that we've converted already and now serve that part of their offering, which revision is kind of 15% to 20% of the overall market. So we get a chance to sell some more into existing customers. And then we also have some surgeons that Wouldn't convert until we had an Empower Revision and now we do. Speaker 200:18:39So it will be a combination of both. That product is really just ramping as we make our way through this year and we already have extremely strong heat growth right now and that will just continue to put fuel on that as we work our way through this year and into next year. Speaker 600:18:59And then just from a high level, how should we think about U. S. OUS recon growth moving forward. I mean, OUS obviously smaller base, but you've got some cross selling opportunities With the integrating the MAPFIS portfolio and the historic DJO portfolio. But then on the U. Speaker 600:19:17S. Side, you still have products like Empower coming or Our revision coming. So I mean, is it fair to say that they should be growing about equal moving forward for the foreseeable future Until maybe Empower annualizes or should the OUS market grow sustainably higher than the U. S. Market? Speaker 200:19:39Yes. I think on a longer term basis, we expect to probably grow A little bit higher in the U. S. Than OUS based on a combination of the kind of Strong double digit growth that we've done for a decade now in the U. S. Speaker 200:19:58And continuing to fuel that With innovation and fuel that commercial engine we've got there with innovation. And then the foot and ankle growing well into the digits as well as it continues to grow in scale. We think that combination over the kind of medium term should have that the U. S. Business further into the double digits. Speaker 200:20:16And we've always talked about the outside the U. S. Business being at least high single digits and pushing double digits And that combination getting us our double digit growth over time. Now in the short term, I think the outside the U. S. Speaker 200:20:31Business has The potential for more tailwind certainly in the coming quarters in line with some of my earlier And even as we move from this year into next year and we ramp up some of that synergy sales, I think there is the possibility for the outside U. Business to grow as faster, faster than the U. S. Speaker 600:20:53Okay. And then last question and I'll hop back in is, Just your M and A expectations moving forward. I mean, Ben talked about the strength of the balance sheet there. Obviously, it's been a little bit more of a tuck in strategy Historically, just wanted to see how we should think about tuck ins versus transformational adjacent type of deals longer term? Thank you. Speaker 200:21:16Yes. So, well, first, Kyle, we're super excited about the 2 deals we're talking about here on the call. They really solidify. Think we've said all along that we've got a strong foot and ankle platform and we could continue to build out the rest of it organically or can bring some other strategic Technology is in and I think the deals we talked about here particularly NovaStep really round out a full very powerful offering to go after all Aspects of foot and ankle, which is powerful with the surgeons and also powerful with the channel. And so we feel very good about that. Speaker 200:21:51And, certainly there are Other possibilities to think about within that space, but we've done a lot there and I think we'll be kind of more focused on organic execution in that space. We do see other strategic adjacencies to look at within Rehan and a little bit on the P and R side. And so we've got a healthy funnel of things that we could do, all with a focus on accelerating our growth, bringing strong gross margins. So either technologies that accelerate our growth, things that open up attractive Adjacent indications or geographies, and we've got a healthy funnel, expect to continue to execute using the great balance sheet that we've got, And certainly focused on small and medium sized kind of deals versus big transformational things. Operator00:22:48Thank you. And our next question today comes from Jeff Johnson at Baird. Please go ahead. Speaker 700:22:54Thank you. Good morning, guys. Matt, I wanted to follow-up on one comment you made about the European market just kind of being maybe even a little Faster to recover here and really burning through some of that backlog. In the U. S, I think none of us probably know, but we've been kind of operating under the assumption that maybe it would take a Couple of years to get through the U. Speaker 700:23:12S. Backlog just as ORs operate at pretty high capacity utilization already and you can't get all those patients back right away. Are there different dynamics outside the U. S? I think you cited the German market specifically, but are there different dynamics, different capacity utilizations Where maybe that backlog catch up could be even faster in Europe and how are you thinking about the backlog catch up in the U. Speaker 700:23:33S? Thanks. Speaker 200:23:35Yes. Thanks for the question. And, yes, I think I'd largely agree with what you said, but I'll kind of walk through Certainly in the U. S, if you look at the growth versus 2019 in the Q1, Our best view would be that the kind of average is 10% or so growth versus 2019, right? And that's a 4 year period. Speaker 200:24:01That's almost 2 years of growth or a little more than 2 years of growth maybe for the industry in a 4 year period. And now our growth was 30% to 40 Through that period, but the industry grew probably about 10%. And so I think that would say that in the U. S, there's a couple of years of growth that were lost in the industry and the demand is still out there in terms of patients needing the surgeries. But we're not seeing that come through as Extra surgery in any given point in time, I think there was people were doing surgery at very healthy levels Good staffing and all that through the Q1, but I think nobody is saying that they're running way over normal levels to work down For backlog versus just that they're running kind of flat out. Speaker 200:24:47And then of course, there was an easy comp there in the U. S. Outside the U. S, it is a little different situation. There are some Countries where they have such a significant waiting list that they have found ways to run on overdrive for some period of time here And that's created, I think, some pretty oversized growth outside the U. Speaker 200:25:08S. In certain markets. And Now at the same time, the outside the U. S. Picture versus 2019 is less than the U. Speaker 200:25:17S. Picture. And so there's more ground to make up outside And there are some countries that seem to be running on overdrive to make some up. I think that means that we need to be a little careful about what we think about How the year plays out outside the U. S. Speaker 200:25:32And whether they'll stay at those very elevated levels or start to step down to more normal levels. But I think even with some overdrive outside the U. S. For a portion of this year, I think there'll still be a pretty healthy More kind of demand remaining to work off of demand that was missed over the last few years It has the potential to be a tailwind in the coming years. Speaker 700:25:59All right. That's helpful. Thank you. And then maybe my one follow-up question. Just on your U. Speaker 700:26:03S. Extremities business that 14% growth, how much above that was shoulder and kind of what And even if that's just in qualitative terms. And what's your outlook for shoulder here? I mean, obviously, you guys are clicking on all cylinders there. You're a market leader in shoulder. Speaker 700:26:19It's going very well. Stryker, I think, also doing very well with their shoulder. We've seen the new modular system come out of Zimmer. They're getting maybe a little more competitive. Just how do you think about both market dynamics and kind of your competitive positioning within that market here as others are kind of doing their thing and trying to get stronger as well? Speaker 200:26:39Yes, sure. Well, I'll say that it was above as we said, it was enough above that we're comfortable that we continue to take nice share in shoulder. And so we feel comfortable that we continue to have good market leadership there in terms of our phenomenal ALTAVATE and a Lot of the different things we brought out, our short SIEM anatomic has been doing tremendously well. Our new augmented glenoid is And so we're still leading in shoulder. We've talked about Growing more 1.5, 2 times market in shoulder versus 3 to 5 in knee and hip, and That's consistent with the fact that we're a leader in shoulder and as a leader with significant share, if you innovate and drive aggressively Commercially, you can grow more than the market, but not 3 to 5 times the market, whereas as a 2% share player in knee and hip, with amount of innovation we do and the phenomenal EMPOWUR product we've got and now some of the enabling tech we're bringing there, we're comfortable we continue to grow at multiple times market. Speaker 200:27:50Certainly outside the U. S. As we can ramp up the Altivate, we've got the potential to grow more at multiples of market levels, That's going to take a little bit of little time here. Speaker 700:28:02Thank you. Operator00:28:04Thank you. And our next question today comes from Young Lee with Jefferies. Please go ahead. Speaker 800:28:10Great. Thanks for taking our questions. Congrats to a good start to the year. May be it on the foot and ankle business. Did foot and ankle grow double digits as well? Speaker 800:28:23I was wondering if you can Get some latest updates on progress with the ScarA Ankle and can you talk about the growth outlook for the year for Foot and Ankle? Speaker 200:28:35Yes, sure. So the foot and ankle business was just under double digits In the quarter and that's with our star continuing to decline a little bit as we're kind of working through some of the final stages on that product, very strong growth in the other products and we exited the quarter comfortably into the Double digits in foot and ankle. And so we're very comfortable that our foot and ankle business will grow double digits in the year and we'll be well into the double digits here in Q2. And we're thrilled with the additions that we've made that will kind of build on top of that. And from a star standpoint, we're just ramping up the cutting guide, which is a kind of a critical piece of how we get that Business back on a positive growth footing. Speaker 200:29:30We're continuing to work through the polymer swap out with the FDA and expect Later this year, we should have that resolved as well. Even with the new cutting guide, we're getting plenty of interest. And so we'd expect to be able to turn Back to growth here in the coming quarters in Foot and Ankle and with the very strong growth of everything else, we're comfortable that we'll grow Foot and Ankle Well into the double digits here in Q2. Speaker 800:29:58Okay, excellent. And then on NovaStep, can you maybe talk a little bit about the growth rate for the business as well as the growth outlook and plans to expand it globally as well as into the U. S? Speaker 200:30:14Yes. So the NovaState business is pretty balanced between the phenomenal position in MIS Bunion in the U. S. Position in MIS Bunion in the U. S. Speaker 200:30:25And A outside the U. S. Position that is multiple product lines that have the approvals outside the U. S. And it has been growing well into the double digits. Speaker 200:30:36And so we expect to be able to bring that product in and have it continue to grow well into double digits, but also to have it really Strength in our position here in the U. S. In terms of our ability to continue to make our Channel and our presence with the doctors more and more powerful. And we also have An opportunity to accelerate the path that we move into some key areas outside the U. S. Speaker 200:31:05Based on the presence channel presence and the approvals that NovaStep has. So It's the larger portion of that $25,000,000 to $30,000,000 of annualized revenue that Ben talked about and it's been Kind of comfortably into the double digits range and it has very high gross margins. Speaker 100:31:24All right. Thank you very much. Operator00:31:27Thank you. And our next question today comes from Matt McCahon with KeyBanc. Please go ahead. Speaker 900:31:33Hey guys, this is Brett Bishman. Thanks for squeezing us in today. Just wanted to follow-up a little bit on the M and A strategy. It looks like a lot of the focus over the last few years has actually been in that foot and ankle market. Just wondering given it seems like you now have a pretty comprehensive portfolio in that area, if maybe like some other areas come to the forefront When you're looking at possible deal activity going forward, I'm just curious how you're thinking about priorities in that respect? Speaker 900:32:01Thank you. Speaker 200:32:04Yes, for sure. I mean, yes, you're right that the largest amount of capital deployment by far the largest amount of capital We've done has been into recon with Foot and Ankle and the Mathis global expansion being the Key things there and then some key technology acquisitions as well. We also invested in a terrific laser technology on the P and R side that is growing very, very Looking forward, we certainly have Other possibilities in terms of investments we could make in technologies or getting the key indications within the recon space or key opening up key geographies further in the recon space. Also some adjacent segments that we can look at within orthopedics that could be attractive as well and also sort of other opportunities in terms of high growth modalities in that kind of Rehab area that is an attractive area as well. Speaker 900:33:15All right. Thanks very much. And then just one follow-up for me. You talked about a few drivers of that really strong international performance this quarter, understanding some of it was backlog Related, but it also seems like you're calling out some traction from cross selling opportunities and expanding the DGO brand presence in Europe following the Mathis deal. So just curious how those initiatives are contributing to the performance and then how you think that can benefit the growth outlook going forward? Speaker 900:33:43Thanks again. Speaker 200:33:46Yes. So, we grew double digits in that business last year without an extra market tailwind. I think certainly 20% plus is not a sustainable growth rate, but we do feel that even without the extra market tailwind, we'd probably be in the double digit range for the Matthis business outside the I think that right now there's a small contribution from the synergies themselves, but I think there's also just a lot Positive momentum in the market. There are some investments that Mastis had made over the past few years even going into COVID that are bearing fruit In terms of feet on the street and there's also I think just a lot of confidence in Our business in the marketplace and a lot of confidence in our channel as they have the strength of Mathis historically and then they have these new offerings coming in And then they have these new offerings coming in from the U. S. Speaker 200:34:48Business. So great to see that. I will say that most of the synergy benefit is yet to come. That at this point, docs initially using the products And a lot of docs getting ready to use the products and we're being careful about how fast we flow products into the market given all the growth going on everywhere in the world. And so a little bit of benefit from Synergy right now in the actual revenues, an additional benefit I think in terms of just what it's doing For our brand and the confidence of our channel and the extent that surgeons are excited to switch over to us. Speaker 200:35:24And so as the market Tailwinds subside, I think we have the opportunity to have the contribution from the synergy continue to ramp and that's how we'll grow that business really nicely, not just this year, but in the years to come. Speaker 900:35:38All right. Thank you very much. Operator00:35:40And ladies and gentlemen, this concludes our question and answer session. Like to turn the conference back over to the management team for any closing remarks. Speaker 100:35:48Thank you, everyone, for joining us today. If you have any further follow ups, Please contact Investor Relations. Have a great day. Operator00:35:54Thank you, sir. This concludes today's conference call. We thank you all for attending today's presentation. May now disconnect your lines and have a wonderfulRead moreRemove AdsPowered by Conference Call Audio Live Call not available Earnings Conference CallLeggett & Platt Q1 202300:00 / 00:00Speed:1x1.25x1.5x2xRemove Ads Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Leggett & Platt Earnings HeadlinesEnovis' (ENOV) "Buy" Rating Reaffirmed at Needham & Company LLCApril 11, 2025 | americanbankingnews.comEnovis appoints Damien McDonald as CEOApril 7, 2025 | finance.yahoo.com[Action Required] Claim Your FREE IRS Loophole GuideThis shouldn't surprise anyone who's been paying attention, but... Pres. Trump may be about to unleash the biggest "dollar reset" since 1971.April 16, 2025 | Colonial Metals (Ad)Analysts Have Conflicting Sentiments on These Industrial Goods Companies: Enovis (ENOV) and Auckland International Airport Limited (OtherACKDF)April 3, 2025 | markets.businessinsider.comEnovis backs Q1 revenue view $555M-$563M, consensus $558.79MApril 2, 2025 | markets.businessinsider.comEnovis Names Damien McDonald as New CEO to Drive Next Growth ChapterApril 2, 2025 | msn.comSee More Enovis Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Leggett & Platt? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Leggett & Platt and other key companies, straight to your email. Email Address About Leggett & PlattLeggett & Platt (NYSE:LEG), Inc. engages in the manufacture and distribution of furniture and engineered components and products among homes, offices, automobiles, and commercial aircraft. It operates through the following segments: Bedding Products, Specialized Products, and Furniture, Flooring & Textile Products. The Bedding Products segment supplies products and components for the home, including mattress springs and specialty foam, as well as adjustable beds, bedding machinery, steel rod, and drawn wire. The Specialized Products segment supplies titanium, nickel, and stainless-steel tubing for the aerospace industry, and serves the construction market with its hydraulic cylinders group. The Flooring, Furniture & Textile Products segment produces an extensive line of components and engineered systems for office, residential, and contract furniture manufacturers. The company was founded by J. P. Products and C. B. Platt in 1883 and is headquartered in Carthage, MO.View Leggett & Platt ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Tesla Stock Eyes Breakout With Earnings on DeckJohnson & Johnson Earnings Were More Good Than Bad—Time to Buy? 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There are 10 speakers on the call. Operator00:00:00Good day, and welcome to the Innovus First Quarter 2023 Earnings Conference Call. All participants will be in listen only mode. After today's presentation, there will be an opportunity to ask questions. Please note today's event is being recorded. I would now like to turn the conference over to Derek Letko, Vice President of Investor Relations. Operator00:00:33Please go ahead, sir. Speaker 100:00:36Thanks, Waco. Good morning, everyone. Thank you for joining us today for our Q1 2023 results conference call. I'm Derek Lekko, Vice President of Investor Relations. Joining me on the call today are Matt Trivertola, Chairman and Chief Executive Officer and Ben Barry, Chief Financial Officer. Speaker 100:00:51Our earnings release was issued earlier this morning and is available on Investors section of our website, enovus.com. We'll be using a slide presentation on today's call, which can also be found on our website. Both the audio and the slide presentation of this call will be archived on the website later today. During this call, we'll make some forward looking statements about our beliefs and estimates regarding for future events and results. Those forward looking statements are subject to risks and uncertainties, including those set forth in the Safe Harbor language in today's earnings release and are filed with the SEC. Speaker 100:01:21Actual results may differ materially from any forward looking statements that we may make today. The forward looking statements speak only as of today, we do not assume any obligation or intend to update them except as required by law. With respect to any non GAAP financial measures referenced in the call today, The accompanying reconciliation information related to those measures can be found in our earnings press release and the appendix of today's slide presentation. With that, let me turn the call over to Matt, who will begin on Slide 3. Matt? Speaker 200:01:50Thanks, Derek. Hello, everyone, and thanks We had a strong Q1. But before I discuss the results, I want to recognize the efforts of our fantastic global team of dedicated associates who work hard every day to execute our strategies and help our patients live more active and fulfilling lives. It was a great quarter. Let's go to Slide 3 and talk about some of the highlights. Speaker 200:02:15We grew organically by over 9% with 19% growth in recon and 4% growth in P and R. Clearly, there were some tailwinds out there on the recon But the step back view is continued strong outperformance in a strong recon market and the expected market recovery in P and R. We expanded our EBITDA adjusted EBITDA margins by 120 basis points, reflecting the mix impact of strong recon growth, Productivity from EGX, price progress and moderation in some areas of inflation. We signed a key strategic acquisition in Foot and Ankle in the quarter and another one in April. And we're seeing strong growth momentum and healthy scaling the full set of acquisitions we completed in the last few years. Speaker 200:03:05Overall, a really great start toward our 2023 objectives. In recap on Slide 4, we have high double digit growth in the U. S. Led by over 20% organic growth in knees and hips. Extremities grew 14% led by shoulder. Speaker 200:03:25Outside the U. S, we grew over 20% organically also led by knee and hip and we're pleased to see our brand and presence flourishing in a strong European market and recovery building momentum in Australia. I'm excited about the initial traction we're seeing as we begin to cross sell our market leading and power and ALTAVATE products internationally. And we have a strong pipeline of innovation in the U. S. Speaker 200:03:52As we continue the rollout of the EMPOWUR Vision Knee and the ALTAVATE augmented Glenwood. The markets were strong in Q1 and we took the full advantage, once again growing well above the other recon leaders. Turning to Slide 5, I want to take a moment to discuss What we are doing to further strengthen our position in the fast growing foot and ankle market. We've built a strong foundation with differentiated product offerings in the hindfoot midfoot segments and we're adding some key new technologies for the rapidly growing bunion and forefoot space. We announced the acquisition of NovaStep, which gives us a comprehensive set of products for bunion surgery, the largest and fastest growing part of the foot and ankle market at almost $1,000,000,000 per year of market. Speaker 200:04:43Whenever possible, surgeons want to address these issues with a minimally invasive solution and now we have the leading percutaneous MIS solution for these procedures. And in Q2, we will launch EVOLVE-thirty 4, a product focused on the large Fast growing Lapidus segment of the bunion market. This will be a terrific complement to the NovaStep MIS offering and coupled with our great plating and staple lines gives us a robust offering for the entire bunion segment regardless of severity or indication. NovaStep also brings channel and approved products outside the U. S, accelerating our global progress in foot and ankle. Speaker 200:05:28We also announced the acquisition of Seals' leading external fixation product line, which complements our existing offerings and strengthens our channel position. Overall, I'm very pleased with the progress we're making to build a leading foot and ankle In P and R on Page 6, our 4% organic growth reflects a rebound in volume as markets recovered. You can see on the right that over the past 5 quarters, we've had average growth in the 3% to 4% range, in line with our expectations. We've applied EGX principles and tools to improve and strengthen our supply chain and we're seeing the results with more resiliency and better service levels even as we begin to bring back down inventory levels in some areas. And stay tuned, we have a nice pipeline of bracing launches coming later in 2023 that will help us to support P and R growth. Speaker 200:06:26Now I'll let Ben take you through the P and L details and Our positive guidance update. Ben? Speaker 300:06:32Thanks, Matt, and thanks, everyone, for joining our call today. I'll start my prepared remarks on Slide 7. We had a very solid start to 2023, delivering strong growth and margin improvement. For the growth for the quarter, we grew 8% or 9% organically. Foreign currency had 150 basis point negative impact on Sales. Speaker 300:06:57We delivered another quarter of double digit recon growth and achieved mid single digit growth in our P and R business. Gross margins increased 170 basis points versus prior year, reflecting our faster growing and higher margin recon segment, as well as taking some ground on price versus cost. We saw strong performance in our operations, realizing the benefits from our business mix, our proven business system and strong leverage from growth. In the quarter, our operating expenses were up 40 basis points as a percentage of sales. This is largely driven by investments in research and development, primarily in our Recon segment as we continue to integrate and scale recent acquisitions and fuel a healthy innovation pipeline. Speaker 300:07:48Our Q1 EBITDA grew 18% versus prior year, resulting in a margin expansion of 120 basis And reflecting our strong profitable growth in the quarter. Our effective tax rate for the quarter was 21% And interest expense came in at $5,700,000 Overall, we posted strong adjusted earnings per share of $0.44 or 19% growth versus prior year. We are pleased with our results in the quarter and our clear progress executing against our strategic goals. Moving to Slide 8, considering our Q1 momentum, we are raising our organic sales growth outlook for the year to 6% to 7%. Recon markets got off to a strong start and our P and R business grew in line with our expected levels. Speaker 300:08:42We expect a slightly more difficult prior year comparison in the coming quarters, but we are confident that our Q1 results will lift the overall growth performance for the year. Q2 has roughly one point of growth headwind due to less selling days and we expect the Q2 growth to be within the updated guidance range. We are raising the full year adjusted EBITDA and EPS ranges to reflect our Q1 performance. Our new outlook for adjusted EBITDA is $259,000,000 to $267,000,000 with adjusted EPS of $2.18 to 2 point We expect our Q4 our Q1 performance to read through for the full year. We are excited about our recently announced acquisitions complementing our existing foot and ankle platform. Speaker 300:09:42Those Acquisitions will initially bring approximately $25,000,000 to $30,000,000 of annualized sales, strong gross margins and a double digit growth We expect these deals to have a slightly negative impact on earnings for the full year, but they should turn accretive to earnings beginning in 2024 as they scale. On Slide 9, we had a strong Q1 leading us to raise our full year guide. We demonstrated strong above market growth and are confident in our Strategy of building a sustainable high single digit growth company. We took another step forward in expanding our margins and have a clear path to continue this momentum. We continue to execute our M and A strategy as evidenced by the 2 deals that we highlighted on this call. Speaker 300:10:36They are an example of our rich funnel across our business of prospective deals and a strong balance sheet with ample capacity to execute. And now we will move to Q and A. Braco, please open the call for questions. Operator00:10:52Thank you. Today's first question comes from Vik Chopra with Wells Fargo. Please go ahead. Speaker 400:11:10Hey, good morning and thanks for taking the questions. Speaker 200:11:15Two questions for me. I'm going to Speaker 400:11:17ask them both upfront. I guess first on P and R, I would love to hear kind of what you're seeing in the market with regards to volumes and how you now think about that Business going forward the rest of 2023. And my second question is just on guidance. You raised guidance after a nice beat. But just kind of help us frame out how you of the guidance kind of what gets you there at the top end versus the low end? Speaker 400:11:42Thanks for taking the questions. Speaker 200:11:45Okay. Yes, thanks. Thanks a lot, Vik. So yes, as we've been saying through the quarter, we expected P and R volumes to recover in the first quarter after a little bit of pressure there in the back half of last year that showed up in Q4. And And we saw that recovery back into kind of a normal range for P and R, especially if you actually look at our P and R business Back to 2019, it's in kind of a normal place in terms of the growth from 2019 in Q1. Speaker 200:12:19And we do we expect P and R to stay in a similar growth range as we go through the balance of the year. The comps get actually a little bit tougher in the next quarter or 2 and then easier in Q4. And we expect to be in that Similar kind of growth range is what we've shown is where the business has been performing. Speaker 300:12:40Yes, Vic, and I'll take the guidance question. I think We have a good start to the year. We're excited about the start. We're still being a little bit cautious as we think about the to the year in terms of what may or may not happen with regards to just the market in general. So we're trying to keep the approach of being a little bit more cautious just to anticipate that there could be some bumps in the road as we think about the balance of the year. Speaker 300:13:09But hopefully, we'll continue to see this momentum in Q1 continue to play through and then have a little bit of upside. Operator00:13:22Thank you. And ladies and gentlemen, our next question comes from Vijay Kumar with Evercore ISI. Please go ahead. Speaker 500:13:30Hi. This is Sofia on for VJ. I have a 2 part question. First is, A lot of your peers have cited greater than expected procedure recovery and staffing and supply improvements. Can you give any update on what you're seeing? Speaker 500:13:43And can you provide any color on How much backlog contributed to organic growth this quarter? Speaker 200:13:51Yes. So we saw a good strong Q1 as well. And it really what you saw in Q1 in the U. S. Is kind of normal healthy levels. Speaker 200:14:01So no staffing pressure, plenty of demand, no COVID pressure. So I think you saw normal healthy levels in U. S. Maybe even a little better than normal, and then a soft comp because of the pressure on last year. And so we and everybody in the industry had Very strong growth in Q1 and we continue to have much stronger growth than the rest of the leaders in Q1. Speaker 200:14:25Outside the In addition to the little bit easier comp, there are some countries where they're on overdrive and they're actually working off Significant backlogs of surgery countries like Germany, working on significant backlogs of surgeries and running higher than normal levels. And obviously, we saw that as well with well over 20% growth outside the U. S. And so as we move Through the year, we expect to see normal seasonality play out in the U. S, which It will lead to lower but still very healthy growth as the comps become more normal in the coming quarters. Speaker 200:15:10Outside the U. S, things could remain hot for another quarter or so. But then I think we need to be a little bit Cautious about what happens in the back half of the year once you get through that period of some of the countries going on overdrive. But overall, it's a good strong start in the elective surgery area and in recon. And We expect the balance of the year to play out in a strong way, again, not with some of the extra tailwinds of Q1, but still in a very healthy in place in terms of this year's performance. Speaker 500:15:50Great. Thank you. And then just one quick follow-up. So gross margin performance in the quarter was 100 bps quarter over quarter. Can you kind of talk about what the inflation impact was and what pricing was in the quarter? Speaker 500:16:02And just kind of overall, what drove that performance? And should we think about 2Q being in line with 1Q or kind of above that level? Speaker 300:16:11Yes, I'll take the questions. Thanks for the question here. Yes, happy with our gross margin expansion in the quarter. A lot of that driven by our business mix like I mentioned in my remarks, strong recon performance, which brings above average margins compared to our overall company. We have taken some ground on the price cost equation. Speaker 300:16:36I would say that we're getting about 1% to 2% price on the P and R side of the business. We've seen some inflation moderate in certain areas with regards To inbound freight, some plastics, we still see some inflation around outbound freight surcharges, wage inflation and some metal challenges in certain parts of our supply chain. But overall, I feel confident that we continue To take good ground, make productivity in our operations to overcome some of the challenges that we're seeing and claw back some of that inflation That came after us over the last couple of years. So, I would expect gross margins to be kind of in line a little bit, maybe Lower than what we saw in Q1 as we think about the coming quarters, but overall, good strong start here in the year. Speaker 500:17:30Great. Thank you very much. Operator00:17:32Thank you. And our next question today comes from Kyle Rose at Canaccord Genuity. Please go ahead. Speaker 600:17:39Great. Good morning, everybody. So just 2 questions for me. Two questions for me really is, How should we think about the impact of the revision platform on the U. S. Speaker 600:17:52As we move through the year? Is that more You're bringing on new customers that were maybe waiting for you to have a revision set before they adopted primary or are you captured incremental Share in existing new customers? Speaker 200:18:06Yes, Kyle, thanks for the question. Yes, it should be a combination of both. Just like some of the other Key product we brought out that complement our lines in the past years, it gives us an opportunity to sell into Existing customers, surgeons that we've converted already and now serve that part of their offering, which revision is kind of 15% to 20% of the overall market. So we get a chance to sell some more into existing customers. And then we also have some surgeons that Wouldn't convert until we had an Empower Revision and now we do. Speaker 200:18:39So it will be a combination of both. That product is really just ramping as we make our way through this year and we already have extremely strong heat growth right now and that will just continue to put fuel on that as we work our way through this year and into next year. Speaker 600:18:59And then just from a high level, how should we think about U. S. OUS recon growth moving forward. I mean, OUS obviously smaller base, but you've got some cross selling opportunities With the integrating the MAPFIS portfolio and the historic DJO portfolio. But then on the U. Speaker 600:19:17S. Side, you still have products like Empower coming or Our revision coming. So I mean, is it fair to say that they should be growing about equal moving forward for the foreseeable future Until maybe Empower annualizes or should the OUS market grow sustainably higher than the U. S. Market? Speaker 200:19:39Yes. I think on a longer term basis, we expect to probably grow A little bit higher in the U. S. Than OUS based on a combination of the kind of Strong double digit growth that we've done for a decade now in the U. S. Speaker 200:19:58And continuing to fuel that With innovation and fuel that commercial engine we've got there with innovation. And then the foot and ankle growing well into the digits as well as it continues to grow in scale. We think that combination over the kind of medium term should have that the U. S. Business further into the double digits. Speaker 200:20:16And we've always talked about the outside the U. S. Business being at least high single digits and pushing double digits And that combination getting us our double digit growth over time. Now in the short term, I think the outside the U. S. Speaker 200:20:31Business has The potential for more tailwind certainly in the coming quarters in line with some of my earlier And even as we move from this year into next year and we ramp up some of that synergy sales, I think there is the possibility for the outside U. Business to grow as faster, faster than the U. S. Speaker 600:20:53Okay. And then last question and I'll hop back in is, Just your M and A expectations moving forward. I mean, Ben talked about the strength of the balance sheet there. Obviously, it's been a little bit more of a tuck in strategy Historically, just wanted to see how we should think about tuck ins versus transformational adjacent type of deals longer term? Thank you. Speaker 200:21:16Yes. So, well, first, Kyle, we're super excited about the 2 deals we're talking about here on the call. They really solidify. Think we've said all along that we've got a strong foot and ankle platform and we could continue to build out the rest of it organically or can bring some other strategic Technology is in and I think the deals we talked about here particularly NovaStep really round out a full very powerful offering to go after all Aspects of foot and ankle, which is powerful with the surgeons and also powerful with the channel. And so we feel very good about that. Speaker 200:21:51And, certainly there are Other possibilities to think about within that space, but we've done a lot there and I think we'll be kind of more focused on organic execution in that space. We do see other strategic adjacencies to look at within Rehan and a little bit on the P and R side. And so we've got a healthy funnel of things that we could do, all with a focus on accelerating our growth, bringing strong gross margins. So either technologies that accelerate our growth, things that open up attractive Adjacent indications or geographies, and we've got a healthy funnel, expect to continue to execute using the great balance sheet that we've got, And certainly focused on small and medium sized kind of deals versus big transformational things. Operator00:22:48Thank you. And our next question today comes from Jeff Johnson at Baird. Please go ahead. Speaker 700:22:54Thank you. Good morning, guys. Matt, I wanted to follow-up on one comment you made about the European market just kind of being maybe even a little Faster to recover here and really burning through some of that backlog. In the U. S, I think none of us probably know, but we've been kind of operating under the assumption that maybe it would take a Couple of years to get through the U. Speaker 700:23:12S. Backlog just as ORs operate at pretty high capacity utilization already and you can't get all those patients back right away. Are there different dynamics outside the U. S? I think you cited the German market specifically, but are there different dynamics, different capacity utilizations Where maybe that backlog catch up could be even faster in Europe and how are you thinking about the backlog catch up in the U. Speaker 700:23:33S? Thanks. Speaker 200:23:35Yes. Thanks for the question. And, yes, I think I'd largely agree with what you said, but I'll kind of walk through Certainly in the U. S, if you look at the growth versus 2019 in the Q1, Our best view would be that the kind of average is 10% or so growth versus 2019, right? And that's a 4 year period. Speaker 200:24:01That's almost 2 years of growth or a little more than 2 years of growth maybe for the industry in a 4 year period. And now our growth was 30% to 40 Through that period, but the industry grew probably about 10%. And so I think that would say that in the U. S, there's a couple of years of growth that were lost in the industry and the demand is still out there in terms of patients needing the surgeries. But we're not seeing that come through as Extra surgery in any given point in time, I think there was people were doing surgery at very healthy levels Good staffing and all that through the Q1, but I think nobody is saying that they're running way over normal levels to work down For backlog versus just that they're running kind of flat out. Speaker 200:24:47And then of course, there was an easy comp there in the U. S. Outside the U. S, it is a little different situation. There are some Countries where they have such a significant waiting list that they have found ways to run on overdrive for some period of time here And that's created, I think, some pretty oversized growth outside the U. Speaker 200:25:08S. In certain markets. And Now at the same time, the outside the U. S. Picture versus 2019 is less than the U. Speaker 200:25:17S. Picture. And so there's more ground to make up outside And there are some countries that seem to be running on overdrive to make some up. I think that means that we need to be a little careful about what we think about How the year plays out outside the U. S. Speaker 200:25:32And whether they'll stay at those very elevated levels or start to step down to more normal levels. But I think even with some overdrive outside the U. S. For a portion of this year, I think there'll still be a pretty healthy More kind of demand remaining to work off of demand that was missed over the last few years It has the potential to be a tailwind in the coming years. Speaker 700:25:59All right. That's helpful. Thank you. And then maybe my one follow-up question. Just on your U. Speaker 700:26:03S. Extremities business that 14% growth, how much above that was shoulder and kind of what And even if that's just in qualitative terms. And what's your outlook for shoulder here? I mean, obviously, you guys are clicking on all cylinders there. You're a market leader in shoulder. Speaker 700:26:19It's going very well. Stryker, I think, also doing very well with their shoulder. We've seen the new modular system come out of Zimmer. They're getting maybe a little more competitive. Just how do you think about both market dynamics and kind of your competitive positioning within that market here as others are kind of doing their thing and trying to get stronger as well? Speaker 200:26:39Yes, sure. Well, I'll say that it was above as we said, it was enough above that we're comfortable that we continue to take nice share in shoulder. And so we feel comfortable that we continue to have good market leadership there in terms of our phenomenal ALTAVATE and a Lot of the different things we brought out, our short SIEM anatomic has been doing tremendously well. Our new augmented glenoid is And so we're still leading in shoulder. We've talked about Growing more 1.5, 2 times market in shoulder versus 3 to 5 in knee and hip, and That's consistent with the fact that we're a leader in shoulder and as a leader with significant share, if you innovate and drive aggressively Commercially, you can grow more than the market, but not 3 to 5 times the market, whereas as a 2% share player in knee and hip, with amount of innovation we do and the phenomenal EMPOWUR product we've got and now some of the enabling tech we're bringing there, we're comfortable we continue to grow at multiple times market. Speaker 200:27:50Certainly outside the U. S. As we can ramp up the Altivate, we've got the potential to grow more at multiples of market levels, That's going to take a little bit of little time here. Speaker 700:28:02Thank you. Operator00:28:04Thank you. And our next question today comes from Young Lee with Jefferies. Please go ahead. Speaker 800:28:10Great. Thanks for taking our questions. Congrats to a good start to the year. May be it on the foot and ankle business. Did foot and ankle grow double digits as well? Speaker 800:28:23I was wondering if you can Get some latest updates on progress with the ScarA Ankle and can you talk about the growth outlook for the year for Foot and Ankle? Speaker 200:28:35Yes, sure. So the foot and ankle business was just under double digits In the quarter and that's with our star continuing to decline a little bit as we're kind of working through some of the final stages on that product, very strong growth in the other products and we exited the quarter comfortably into the Double digits in foot and ankle. And so we're very comfortable that our foot and ankle business will grow double digits in the year and we'll be well into the double digits here in Q2. And we're thrilled with the additions that we've made that will kind of build on top of that. And from a star standpoint, we're just ramping up the cutting guide, which is a kind of a critical piece of how we get that Business back on a positive growth footing. Speaker 200:29:30We're continuing to work through the polymer swap out with the FDA and expect Later this year, we should have that resolved as well. Even with the new cutting guide, we're getting plenty of interest. And so we'd expect to be able to turn Back to growth here in the coming quarters in Foot and Ankle and with the very strong growth of everything else, we're comfortable that we'll grow Foot and Ankle Well into the double digits here in Q2. Speaker 800:29:58Okay, excellent. And then on NovaStep, can you maybe talk a little bit about the growth rate for the business as well as the growth outlook and plans to expand it globally as well as into the U. S? Speaker 200:30:14Yes. So the NovaState business is pretty balanced between the phenomenal position in MIS Bunion in the U. S. Position in MIS Bunion in the U. S. Speaker 200:30:25And A outside the U. S. Position that is multiple product lines that have the approvals outside the U. S. And it has been growing well into the double digits. Speaker 200:30:36And so we expect to be able to bring that product in and have it continue to grow well into double digits, but also to have it really Strength in our position here in the U. S. In terms of our ability to continue to make our Channel and our presence with the doctors more and more powerful. And we also have An opportunity to accelerate the path that we move into some key areas outside the U. S. Speaker 200:31:05Based on the presence channel presence and the approvals that NovaStep has. So It's the larger portion of that $25,000,000 to $30,000,000 of annualized revenue that Ben talked about and it's been Kind of comfortably into the double digits range and it has very high gross margins. Speaker 100:31:24All right. Thank you very much. Operator00:31:27Thank you. And our next question today comes from Matt McCahon with KeyBanc. Please go ahead. Speaker 900:31:33Hey guys, this is Brett Bishman. Thanks for squeezing us in today. Just wanted to follow-up a little bit on the M and A strategy. It looks like a lot of the focus over the last few years has actually been in that foot and ankle market. Just wondering given it seems like you now have a pretty comprehensive portfolio in that area, if maybe like some other areas come to the forefront When you're looking at possible deal activity going forward, I'm just curious how you're thinking about priorities in that respect? Speaker 900:32:01Thank you. Speaker 200:32:04Yes, for sure. I mean, yes, you're right that the largest amount of capital deployment by far the largest amount of capital We've done has been into recon with Foot and Ankle and the Mathis global expansion being the Key things there and then some key technology acquisitions as well. We also invested in a terrific laser technology on the P and R side that is growing very, very Looking forward, we certainly have Other possibilities in terms of investments we could make in technologies or getting the key indications within the recon space or key opening up key geographies further in the recon space. Also some adjacent segments that we can look at within orthopedics that could be attractive as well and also sort of other opportunities in terms of high growth modalities in that kind of Rehab area that is an attractive area as well. Speaker 900:33:15All right. Thanks very much. And then just one follow-up for me. You talked about a few drivers of that really strong international performance this quarter, understanding some of it was backlog Related, but it also seems like you're calling out some traction from cross selling opportunities and expanding the DGO brand presence in Europe following the Mathis deal. So just curious how those initiatives are contributing to the performance and then how you think that can benefit the growth outlook going forward? Speaker 900:33:43Thanks again. Speaker 200:33:46Yes. So, we grew double digits in that business last year without an extra market tailwind. I think certainly 20% plus is not a sustainable growth rate, but we do feel that even without the extra market tailwind, we'd probably be in the double digit range for the Matthis business outside the I think that right now there's a small contribution from the synergies themselves, but I think there's also just a lot Positive momentum in the market. There are some investments that Mastis had made over the past few years even going into COVID that are bearing fruit In terms of feet on the street and there's also I think just a lot of confidence in Our business in the marketplace and a lot of confidence in our channel as they have the strength of Mathis historically and then they have these new offerings coming in And then they have these new offerings coming in from the U. S. Speaker 200:34:48Business. So great to see that. I will say that most of the synergy benefit is yet to come. That at this point, docs initially using the products And a lot of docs getting ready to use the products and we're being careful about how fast we flow products into the market given all the growth going on everywhere in the world. And so a little bit of benefit from Synergy right now in the actual revenues, an additional benefit I think in terms of just what it's doing For our brand and the confidence of our channel and the extent that surgeons are excited to switch over to us. Speaker 200:35:24And so as the market Tailwinds subside, I think we have the opportunity to have the contribution from the synergy continue to ramp and that's how we'll grow that business really nicely, not just this year, but in the years to come. Speaker 900:35:38All right. Thank you very much. Operator00:35:40And ladies and gentlemen, this concludes our question and answer session. Like to turn the conference back over to the management team for any closing remarks. Speaker 100:35:48Thank you, everyone, for joining us today. If you have any further follow ups, Please contact Investor Relations. Have a great day. Operator00:35:54Thank you, sir. This concludes today's conference call. We thank you all for attending today's presentation. 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