NASDAQ:LMAT LeMaitre Vascular Q4 2023 Earnings Report $92.52 +0.98 (+1.07%) As of 12:15 PM Eastern This is a fair market value price provided by Polygon.io. Learn more. Earnings HistoryForecast LeMaitre Vascular EPS ResultsActual EPS$0.38Consensus EPS $0.36Beat/MissBeat by +$0.02One Year Ago EPS$0.25LeMaitre Vascular Revenue ResultsActual Revenue$48.90 millionExpected Revenue$49.01 millionBeat/MissMissed by -$110.00 thousandYoY Revenue Growth+19.30%LeMaitre Vascular Announcement DetailsQuarterQ4 2023Date2/27/2024TimeAfter Market ClosesConference Call DateTuesday, February 27, 2024Conference Call Time5:00PM ETUpcoming EarningsLeMaitre Vascular's Q1 2025 earnings is scheduled for Thursday, May 1, 2025, with a conference call scheduled at 5:00 PM 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)Annual Report (10-K)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by LeMaitre Vascular Q4 2023 Earnings Call TranscriptProvided by QuartrFebruary 27, 2024 ShareLink copied to clipboard.There are 11 speakers on the call. Operator00:00:00Welcome to the Lumate Vascular Q4 2023 Financial Results Conference Call. As a reminder, today's call is being recorded. At this time, I would like to turn the call over to Mr. JJ Pellegrino, Chief Financial Officer of Lume Baskler. Please go ahead. Speaker 100:00:21Thank you, operator. Good afternoon, and thank you for joining us on our Q4 2023 conference call. With me on today's call is our CEO, George LeMaitre and our President, Dave Roberts. Before we begin, I'll read our Safe Harbor statement. Today, we will make some forward looking statements within the meaning of the U. Speaker 100:00:38S. Private Securities Litigation Reform Act of 1995, the accuracy of which is subject to risks and uncertainties. Wherever possible, we will try to identify those forward looking statements by using words such as believe, expect, anticipate, pursue, forecast and similar expressions. Our forward looking statements are based on our estimates and assumptions as of today, February 27, 2024, and should not be relied upon as representing our estimates or views on any subsequent date. Please refer to the cautionary statement regarding forward looking information and the risk factors in our most recent 10 ks and subsequent SEC filings, including disclosure of the factors that could cause results to differ materially from those expressed or implied. Speaker 100:01:26During this call, we will discuss non GAAP financial measures, which include organic sales growth as well as operating income, operating expense and EPS excluding special charges. A reconciliation of GAAP to non GAAP measures discussed in this call is contained in the associated press release and is available in the Investor Relations section of our website, www.lemait.com. I'll now turn the call over to George LeMaitre. Speaker 200:01:56Thanks, J. J. Q4 was an excellent quarter with 19% sales growth, a 68.1% gross margin and 46% op income growth. I'll focus my remarks on the top line, sales force activities and some regulatory updates. Geographically, EMEA was up 21% in Q4, the Americas 20% and APAC 11%. Speaker 200:02:21By product, bovine patches were up 18%, allograft 52%, valvatome's 12% and carotid shunt 16%. Distribution of porcine patch also added $1,500,000 of sales in the quarter. The return to hospital by staff and patients, ASP increases, ample product supply and the growth of our sales force drove Q4 sales growth. We ended 2023 with 136 reps worldwide. By December 2024, we expect to employ approximately 150 reps. Speaker 200:02:57To accommodate rep growth in North America, we recently promoted 3 regional sales managers to become area sales managers. This additional management bandwidth should enable us to hire, train and manage more RSMs and reps. The revenues from the 2020 Artiglass acquisition, coupled with recent sales growth have made our North American territories too large. In 2023, our average North American territory had $2,000,000 in sales. Over the years, we found smaller territories enable tighter relationships with surgeons. Speaker 200:03:31So we've begun dividing some of the larger territories. This should reduce windshield time too. In Europe, we also remain in growth mode. We plan to open a Paris office in Q2, which should improve our connections with French surgeons and hospitals as well as our 8 French sales reps. France is our 6th largest country by sales. Speaker 200:03:53Turning to Asia. I visited 4 of the 6 APAC offices in early February. Things look great over there. Our Tokyo branch is celebrating 20 years and we've just opened offices in Seoul and Bangkok. In our 1st direct year in Korea, 2023 sales reached $1,700,000 and op profits were $250,000 Both figures exceeded expectations. Speaker 200:04:18In Thailand, our 1st full year of direct sales should be about $1,600,000 in 2024. Our Chinese team is also performing well and grew 40% last year. The autograph CE file was submitted in December 2023 and we also plan to file for autograph approval in Canada, Australia and several other APAC countries this year. We also plan to make XenoSure filings for our peripheral and cardiac products by 2025 in China. And we're also making the MDR transition in Europe. Speaker 200:04:51As you know, Brussels has extended the MDR deadline to 2027. 22 of our product categories need this new MDR CE Mark, so this is a considerable undertaking. We currently own 3 of these new MDR CE marks. Also in Europe, our allograft filings have been made in Ireland and Germany. An approval in either of those countries will be our first approval of allograft in the European Union. Speaker 200:05:17To conclude, 19% sales growth and a gross margin recovery produced 46% op income growth in Q4. Our growing profitability and cash on hand provides safety and strategic optionality. With that, I'll turn it over to JJ. Speaker 100:05:34Thanks, George. 2023 was an excellent year. We posted $193,000,000 in sales, an increase of 20% on a reported basis and 17% organically, while our operating income increased 37% on a reported basis. If 2022 was our post COVID rehiring year with 141 ads, then 2023 was the hiring constraint year with only 23 ads. This headcount control, along with our strong sales results and an improved gross margin, led to a 19% operating margin in 2023 versus 17% in 2022. Speaker 100:06:17Separately, our cash balances improved by $22,000,000 in 2023 to $105,000,000 Turning to the quarter, in Q4 2023, we posted a gross margin of 68.1%, up 4.50 basis points year over year. This increase was driven by higher ASPs, productivity improvements and a weaker dollar. The benefits of a larger and more efficient manufacturing team have come on to the P and L. Our allograft manufacturing team had a strong Q4 and quality costs remain in check. In retrospect, our manufacturing hiring surge was well timed with the global return to hospital. Speaker 100:07:01Operating expenses in Q4 2023 were $23,100,000 an increase of 21% versus Q4 2022. The increase was driven largely by higher sales commissions, more sales professionals and $700,000 of one time reversals in Q4 2022. Q4 2020 Q4 2023 operating income increased 46% year over year to $10,200,000 driven by higher sales and an improved gross margin. The operating margin in Q4 was 21%, up from 17% in the prior year period. Separately, we recently went live with a new ERP system in the United States. Speaker 100:07:47This system should improve real time reporting, streamline financial processes and provide more sophisticated analytics. Implementation at our overseas entities will take place in 20252026. We estimate that we will spend approximately $7,000,000 to $8,000,000 on this project and the annual P and L impact will be approximately $1,000,000 per year. With respect to guidance, we are forecasting improved operating leverage in 2024, driven by restrained operating expense growth and an improved gross margin. Our guidance includes an operating margin in 2024 of 21% versus 19% in 2023 17% reported in 2022. Speaker 100:08:39For more details, please see our business outlook issued in today's press release, but a few Q1 highlights include reported sales growth of 10%, gross margin of 68.5%, operating income growth of 33% and EPS growth of 42%. And for the full year 2024 guidance includes reported sales growth of 10%, gross margin of 68%, operating income growth of 22% and EPS growth of 23%. With that, I'll turn it back over to the operator for questions. Operator00:09:46Your first question comes from the line of Suraj Kaila with Oppenheimer. Your line is now open. Speaker 300:09:53Hi, George, JJ, can you hear me all right? Speaker 200:09:56Yes. Speaker 300:09:58Gentlemen, apologies for the background noise. So George, let me start out, in your prepared remarks, you talked about territories or maybe it was JJ's comments. But when you split the territory, let's say, from $2,000,000 to, let's say, dollars 1,000,000 can you walk us through the thought process in terms of sales rep, commission, retention? How does the process go about? Speaker 200:10:26Okay, sure. And of course, Suraj, this is completely normal medical device activity, right? So this is how exactly how sales forces grow. It's like an amoeba because the thing gets big, you got to cut it in half and it becomes too big for them to handle. If a rep is running around Ohio trying to cover $2,000,000 worth of medical device sales, of course, some of the smaller hospitals start to feel ignored. Speaker 200:10:52And so very high level you would clearly split it and put 1 guy and pick a city in Cleveland and 1 guy in Columbus and they would now split Ohio if you will. So I think that's sort of the amoeba aspect of it is perfectly normal. And then what else would you like to know about what happens there? Speaker 300:11:11I was just curious in terms of I understand it's a normal process in the industry. I was more specifically curious in terms of usually do you encounter any sales force retention issues, hence by definition any churn concerns about churn? Speaker 200:11:30Sure. No, I don't have particular concern. I do agree with you anytime you touch anything near the sales force you sort of get near higher turnover. But this is perfectly normal and you have to do it or else you won't get good service to those surgeons in the hospital. So and on that score Suraj maybe just I know you didn't exactly ask this question, but we're into this thing. Speaker 200:11:55I read some article recently. It's called the big stay. I don't know if anyone heard that. And so as opposed to the great resignation, we're now into the big stay. And LeMaitre experienced dramatically reduced turnover in last year. Speaker 200:12:08I think our number was like 7.5 percent down from somewhere I'm going to get it wrong somewhere around 14% or 15% the year before. We're always 3 or 4 points better than our Massachusetts manufacturing colleague companies or peer companies, but major decrease in turnover. And notably with the sales force one thing to further mention Suraj specifically, remember last year we had this massive surge in procedures and we grew organically 17%. Usually, LeMaitre before that had grown about 9% organically. Result, And as a result, they stuck around to get those paychecks and you would have seen them start leaving January 15, January 25 when they were getting their final commissions and bonuses. Speaker 200:13:00We haven't seen that at all. I mean, there's been 1 or 2 here and there, but we have not seen that at all. And so we're very, very happy time in my opinion in the sales force. Great results, commission checks are huge, etcetera, etcetera. Speaker 100:13:13And Suraj, part of your question was how do the commissions change when you split the territories. And as you recall, we compensate the reps based on their performance a gross profit dollars quota. And so when the territory is split, we obviously commensurately split the gross profit dollar quarters or change them based on whatever the new answer is. And then their compensation, their tier that the end of the day gets paid doesn't change, but what it's linked to does change. So it's kind of fair when you make the split. Speaker 100:13:52There isn't a big topic necessarily around that, that they're obviously going to make half of what they were making before. Speaker 300:14:00Fair enough. Gentlemen, I'll quickly ask my 2 follow ups to avoid the background noise. So George, love to get your updated thoughts on your M and A strategy looking forward. And the second question I have is, love to get your perspective. Valvolutomes grew 12% year over year. Speaker 300:14:20Obviously, there was the best CLI study and that has really seen pull through for you guys in terms of growth. Are you all seeing any counterbalancing going on with the Basel II study, which gave somewhat opposite results. Just curious if any onto your thoughts on that front. Thank you for taking my questions again. Speaker 200:14:39Suraj, I'm going to pass your M and A call over to Dave question rather over to Dave and then I'll come back to the Valitone question. Speaker 400:14:46Hi, Suraj. Great to hear from you. And yes, with respect to the acquisition strategy, I'd say the criteria are consistent from previous calls. Of course, we're focused on open vascular targets with more than $5,000,000 of revenue. There are about $25,000,000 of them altogether. Speaker 400:15:08Beyond that, we are and have been hunting in adjacent markets, maybe 1st cardiac surgery and endovascular. If anything, I think we learned from the Artograph acquisition a few years ago that hunting larger is probably a good thing. It will move the needle more. So we've been looking at a little bit larger targets. And also we have more cash, of course, to do an acquisition. Speaker 400:15:31With the $105,000,000 of cash, and leaving $20,000,000 on the balance sheet, plus maybe 3 times our $46,000,000 LTM EBITDA, we could fund $225,000,000 of purchase price excluding an equity raise or the target EBITDA levered up. So I think it's we're just consistently looking out in the same hunting grounds where we have been and hopefully someday we'll be able to report back that we've done a transaction. Speaker 200:16:01And Suraj, as your best CLI question, yes, in the first half of the year, I feel like we got excited about the best CLI study as it relates to valvulotomes. And then of course, Basel comes out, the European study Basel II comes out. And it's sort of the antidote to best CLI. Best CLI basically says do leg bypasses first open surgery and then Basel II comes and says no, no, you can do stents and angioplasty, you're going to get great results that way too. So in some ways, you do have surgeons that want to do open surgery saying, I listen to best CLI. Speaker 200:16:36And then you have surgeons and angiologists who want to use angioplasty and stents who come out and say, I heard about Basel II. So there was a little bit of a retrenchment I would say. For the exact fact here, we grew valvatone's 12% in dollars, that's 11% organic and units were up 5% last year. In fact, in general across our portfolio, units were up 5%. So our 1st year with Basel II, I would say, valvulotomes didn't go crazy good, although that 5% was better than the slightly decreased units of 2021 2022. Speaker 200:17:14So 2021 2022 decrease was around 3% or 4% in units and then it bounced up again post Basel. I guess I'd say make of it what you will. It seems like it was a good thing, but then got counteracted by Basel too. Speaker 300:17:29Thank you. Speaker 200:17:32Thanks a lot, Suraj. Those are great questions. Operator00:17:50Your next question comes from the line of Daniel Stauter with GMP Securities. Your line is now open. Speaker 500:17:58Yes, great. Can you guys hear me? Speaker 100:18:01Yes, Danny. Speaker 500:18:03Great. So first off, just wanted to ask on gross margins, very healthy guide and great to see and you talked about some of the primary drivers there. But as you look out to 2024, you give us an idea of how much of the contribution is coming from the manufacturing efficiencies versus some of the ASP gains? And then how should we think about cadence for gross margin 2024? Thanks. Speaker 100:18:29Yes. So, I mean, those are the 2 largest drivers. I would say that those manufacturing efficiencies, I have been talking about them for 2 or 3 quarters and now they're finally coming to the P and L. So that's good to see. And the ASPs, you've heard us talk about those. Speaker 100:18:49And it was a really healthy ASP year this year. And so I would say those 2 are battling for sort of number one position. Maybe they're a third each of the story or something like that in terms of the improvement. And it depends what your comparison period is and if you're year over year or sequential or whatever. But at high level, I would say, general deal efficiencies and ASP is battling it out. Speaker 100:19:13There's some other lesser lights in there that maybe I didn't put in the script that matter as well, like our quality costs are a big part of the story. And they had been sort of growing at a pace that was accelerated from really, really wanted to be. And so we started monitoring that and putting a little Speaker 400:19:34bit of a lid on that. Speaker 100:19:35And I think that's helped a lot as well. And so the extent that we can keep those quality costs in check that will help the margin going forward as well. And then RestoreFlow had some really nice operational results on the sort of processing side as of late. And so hopefully, we can keep that going throughout the year. So we'll see. Speaker 500:19:57Great. Thanks. And then just one follow-up, related to M and A. Cash generation has been very healthy this year in 2022 and 2023. Just with the announcement of the share repurchase, $50,000,000 how should we think about the pecking order for use of cash? Speaker 500:20:18Does that change how you look at M and A this year? Or do you feel that you would be able to achieve both and just kind of weighing your options? Any thoughts there would be great. Thank you. Speaker 400:20:29Yes. Hey, Danny, it's Dave Roberts. I would say, I think the doubling of the authorization on the share repurchase is just good corporate oatmeal. I mean, obviously, our cash balance is growing, as you mentioned, pretty helpfully. So we thought increasing it from 25 to 50 is probably a good idea. Speaker 400:20:47But really at the end of the day, we're feeding we're taking cash and we're feeding the dividend. Obviously, you heard we just increased the dividend for Q1 from $0.14 to $0.16 So that's I think our 13th annual increase in a row. So that's sort of a mainstay at LeMaitre. And then excess cash beyond that is set aside for acquisitions. We've been hunting for a while. Speaker 400:21:12At some point, we'll identify 1. And if it's larger, we'll use more of the cash beyond that. Is there other consumers of cash in terms of running the business like capital expenditures or when we buy out distributors as we did a couple of years ago in Korea and last year in Thailand, those are uses as well. Speaker 500:21:35Great. Thank you very much. Speaker 200:21:38Thanks, Danny. Operator00:21:42Your next question comes from the line of Rick Wise with Stifel. Your line is now open. Speaker 600:21:50Hey, this is John on for Rick. Speaker 100:21:53Just to start off, I wanted Speaker 600:21:55to get a little bit better understanding of guidance this year and maybe how price is contributing to the growth outlook in 2024 versus how it contributed in 2023? Speaker 100:22:08Yes. So in 2023, I mean, you've heard us talk about it quarterly. And I think George mentioned that for the full year 2023, it's about 11%, 12% pricing answer. And I would say going forward in 2024, maybe our default answer is sort of around 5% or 6%. Notably, that was kind of the default answer this past year in 2023. Speaker 100:22:36We instituted something a little bit new called pricing floors. I think we got more traction out of those than we thought we might get. And so maybe we'll do a little bit more of that this year. We'll see where that goes. But I would say if you want a sort of base case answer, it's probably in that mid high single digits range. Speaker 600:22:58Thanks. That's helpful. And just looking ahead, just focusing on the gross margin line, you're guiding to 68% for 2024. That's pretty strong growth. You're talking a lot about manufacturing increases manufacturing efficiencies and price increases. Speaker 600:23:14Just as I look further ahead, I mean, how should we be thinking about the gross margin structure for the business going forward with higher ASPs, more efficient manufacturing? We be thinking about potentially returning to sort of the pre COVID 70% gross margins you had? Thanks. Speaker 100:23:31Yes. I mean, obviously, we're not looking out that far with you guys right now on that score. I would say for right now, we're happy with that 68% sort of next step in the evolution here. We'll see where it goes from there. If you keep getting those, I don't know, call it 10% price hikes instead of 5% price hikes, that does bleed through and that is an incremental benefit that you will get. Speaker 100:23:57And if you can keep your direct labor folks efficient, as they are now or maybe a little bit more going forward, that obviously is going to help. But there's so much other stuff that goes on in gross margin land that those aren't the only two answers even if they're the biggest answers. Inventory is a topic for us whenever we do consolidations or transfers of manufacturing or other issues when excess and obsolete comes and gets you for a quarter or 2, those issues come and go. That quality topic, the quality expenses that I talked about, that's a topic. Transitions of manufacturing product lines like OmniFlo and CardioCell, which we've done recently, and get us there and push the margin down a little bit. Speaker 100:24:51So I just I don't want to make it a clear line story for you. There's a lot going on in gross margin. We'll see what happens after this year. Speaker 200:25:01But Jay, I'd like to leave John with a little bit of hope going forward. I think there are several shots on goal in that line item. We're just getting used to what it's like to be 68 again. So we need a lot of studying etcetera. But I think there's some shots on goal John. Speaker 600:25:18Appreciate the color guys. Thanks. Operator00:25:24And your next question comes from the line of Michael Petusky with Barrington Research. Your line is now open. Speaker 700:25:33Thank you. Good evening. CJJ, you get the 300 basis point improvement and people are asking for more. They're never Speaker 100:25:40satisfied. I know that didn't last long, did it Mike? Speaker 700:25:43It really didn't. Speaker 100:25:44What have you done for me? Speaker 700:25:45You had about an hour after the press release came out, I guess. All right. So I didn't catch this if you guys mentioned it. Did you guys mention what percentage of the Q4 sales growth was related to price and volume? How that split out for Q4 specifically? Speaker 200:26:01We did not. It was 13 price 1 units. And for the year, again, to repeat, it was 12% price 5 units. Speaker 700:26:13And is it possible and I know you guys don't always do this, but you've occasionally done this. Is it possible to get the Artograph revenue for the quarter and for the year? Speaker 200:26:22Yes, of course. Let's try to find it quickly for you here. Speaker 400:26:27Every quarter I have. I have Mike, it's Dave. It's a little under $8,000,000 $7,900,000 up 10% for the quarter Q4. Speaker 100:26:37And the year? Speaker 700:26:39For the year? Speaker 400:26:41I don't know. It's going Speaker 200:26:42to be around $34,000,000 something like that. Speaker 400:26:44Yes, something like that. Speaker 200:26:47We can get to that while we're on the call. Speaker 700:26:49Okay. I have another question. So obviously, it's been a while and the Autograph deal has been successful and I know David has been looking diligently. JJ, in terms of your comfort level with leverage, obviously, you guys said you could do a $225,000,000 deal potentially. I mean, where do you think you sort of top out in terms of your comfort level with a leverage ratio on an external growth opportunity? Speaker 100:27:26Yes. So if you're maybe 3x, 3.5x EBITDA, maybe somewhere in that range before you talk about the EBITDA of the acquired company. And if EBITDA is sort of in the 45, 46 ish range these days, maybe it's in that sort of $130,000,000 $140,000,000 1 $50,000,000 somewhere in there, Mike, I would say. Speaker 700:27:51Okay. Very good. And then just one more quick question. I mean, this pricing floor initiative, it does seem like it's really helped on an incremental basis. I'm just curious, I suspect maybe you went after some of the easiest low hanging fruit on that and maybe it's tougher going forward is that not the case in terms of pricing for them and what you can do there? Speaker 200:28:16Okay. Yes, that's a good question. And at a high level, what the management team has been trying to do over the last 3 years is sort Speaker 100:28:23of take the Speaker 200:28:24pricing lever away from individual reps and bring it back in house. Because as the previous question asked, the reps don't last forever here and sometimes they cut a deal at a low price and then we're left with it for X years. So we're kind of pulling it back. And this all started Mike about 2 years ago in the U. S. Speaker 200:28:43With 1 or 2 products. And now it's become a full blown effort. And for the first time ever this year, there's a full set of pricing floors in Europe. We've had some pricing floors in Europe before, but for the first time ever, it's drilled into what we call the plank card, which is this little goal set that we pass out to every single employee. So we've got a European plank set that has pricing for us. Speaker 200:29:07And then also again for the first time ever it's being drilled into the Japanese planks. And so in Japan, specifically, not all of Asia, just Japan, which is half of our Asia right now. So we have it on the so I think you still got some room to go here. I think you'll start learning in 9 weeks when we come back to you guys with Q1 as to hey what happened in Q1 relating to pricing. But it's become a full blown effort and it started with dribs and drabs 2.5 years ago. Speaker 200:29:37And now it's real and it's worldwide. Speaker 100:29:40Hey, Mike, on your sorry, did you have a follow-up on that? Speaker 700:29:45No, no, go ahead. Speaker 100:29:46Yes, on your autograft question, we have a category bovine grafts. I think it's nearly all the artigraft answer. It was 30 call it $33,000,000 in the year and it was up 15% on a reported basis. Speaker 700:30:05Actually, could I just confirm, George, you were talking fast when you were talking about some of the OUS development. Autograph, Canada and Australia filings in 2024, is that correct? Speaker 200:30:19That is correct. And then also we've thrown in roughly 5 more Asia Pac countries will file over there as well. Speaker 700:30:27And then XenoSure is still 2025 in China? Speaker 200:30:33Yes. I mean, it just keeps pushing away. But yes, XenoSure Cardiac and Peripheral in China 2025. Speaker 700:30:40Okay. Great. Well, listen, congratulations and particularly congratulations to the team and particularly JJ on that gross margin. I know you've been after that for a while and congrats. Thanks. Speaker 100:30:51It's a thankless job, Mike. Speaker 200:30:53That's right. Operator00:31:00And your next question comes from the line of James Sidoti with Sidoti and Co. Your line is now open. Speaker 800:31:11Hi, good afternoon and thanks for taking the questions. Can you talk a little bit more about the sales force expansion? You said, I think you're going to add about 14 folks in 2024. Can you break that out internationally and domestically? Speaker 200:31:29Sure. It feels Jim, this is George. It feels largely like it's a domestic thing. We've got a bunch lined up to go in the U. S. Speaker 200:31:37Less so in Canada, but call it a North American thing. And then a couple over in Asia Pac, we have some of these newer subsidiaries where why would you start in Korea if you didn't give the guy 3 or 4 sales reps, right? It was not worth going over there unless you do that. So mostly North America, a little bit Asia and not much in Europe oddly this year. Speaker 800:31:59Okay. And you mentioned you opened offices in Korea and Thailand. What were you doing this year? Were those folks just working out of their home or what changed? Speaker 200:32:12Okay. So and 2023 was our 1st year, a full year of operations in Korea. No, we were going through a distributor and we sold items to that distributor then she passed them along to Korean hospitals for actually from before I started, Jim. 40 years later, she was still doing that. And we finally bought out her distributorship. Speaker 200:32:33We set up an office, hired a general manager and then hired 3 sales reps for Korea. And now they're in our Seoul office and they've been operating for 1 year, same drill in Thailand. Speaker 800:32:45Okay. All right. And for 2024, you've guided for about 9 Speaker 200:32:58we try not to guide on pricing because it's so variable what's happening. But if you look back to the 12.5 this past year in 2023, 12% price, 5% units, maybe that relationship holds until we all know differently. Speaker 800:33:14Okay. And then the last one, can you JJ, can you tell me what you're assuming the tax rate will be for 2024? Speaker 100:33:24For Q1 or a 24, let's see what I put in there, Jim, 24.3 and then for the full year 24.1. Speaker 800:33:38Percent. Well, can you be a little more specific? Speaker 400:33:42You asked. Speaker 800:33:45Okay. 24 would have been good. All right. Thanks. Speaker 200:33:51Thanks, Jim. Operator00:33:55Your next question comes from the line of Brooks O'Neil with Lake Street Capital Markets. Your line is now open. Speaker 900:34:04Hey, good afternoon guys. This is Aaron on the line for Brooks. So most of my questions have been addressed. But so I guess for 2024, we're sensing solid pricing and mainly solid volume and tight expense control are main key priorities for you guys. Can you just give us a little more color in an updated sense for the general environment in these areas? Speaker 200:34:28Sure. And one of the folks on this call from KeyBank, they just Brett, we see him up on the screen. KeyBank just published a really nice report about credit card swipes in USA Hospitals and also we're studying staffing in USA Hospitals. And I would say, it feels good from all the stuff we read. We're not revealing what's going on in the business for the 1st 8 weeks of the year, but it feels good from all the stuff we read that this return to hospital of staff and patients seems to be stretching out into 2024 and we were happy to see it take place in 2023. Speaker 200:35:06And we I feel like it really helped the business in 2023. So maybe more of the same procedure wise. Speaker 900:35:16Great. Yes, that's helpful. And then last one for me. So you hired aggressively in sales and manufacturing last year and this has been brought up, but you plan to add 14 ish reps. So if you could just outline some of the priorities for 2024 and how you're thinking about those? Speaker 900:35:31Thank you. Speaker 200:35:33So priorities in terms of hiring, is that where you're going Aaron? Speaker 100:35:37Correct. Yes. Speaker 200:35:38Okay. Great. So and just to sort of get in there on the beginning of that question. The big hiring spur took place at this business in 2022. We put on 141 new headcount. Speaker 200:35:50And then in 2023, we really slowed down a lot. We only put in 23 new headcounts. So we really put on the brakes last year. We want to catch up to all that post COVID hiring. We think we did that. Speaker 200:36:00And now we're back at it a little bit. And of the people we plan to hire this year, it feels like maybe we talked about 15 reps, you add 5 sales managers, there's 20 in the sales department maybe and maybe there's 20, 25 elsewhere and maybe the biggest bucket of that is operations and manufacturing. So something like 40 ish, 50 ish, we're still working that out. But we're pretty tight fisted. We're on a pay as you go plan here. Speaker 200:36:27Our number one goal here is op income and then stuff comes fills in after that. Speaker 900:36:34Great. Very helpful. Thanks for that clarification and congrats on the quarter and year guys. Speaker 400:36:38Thanks a lot, Aaron. Operator00:36:44Your last question comes from the line of Brett Fishman with KeyBanc Capital Markets. Your line is now open. Speaker 1000:36:52Hi. This is actually Liz on for Brett. Thanks for taking the questions. Just to start off with the 9% growth for the year, how should we think about that amongst the different regions? And where do you expect to drive the most growth? Speaker 200:37:07Well, that's a good question. I would say generically, we always think Asia Pac is going to grow faster. Europe is going to grow 2nd fastest and North America is going to be a little bit slower. So that's generically. We don't really make guidance based on which region is going to happen. Speaker 200:37:23We'll be thrilled when we show up with that 9% organic growth regardless of how it happens. 10% reported for the year is also what we guided. Does that get at some of your question, Liz? Speaker 1000:37:36Yes. That was really helpful. And then if I could ask on the op leverage side, how are you thinking of balancing your R and D investments versus SG and A? And how should we think about this going forward? Speaker 200:37:49Right. So sort of as all balancing down is some kind of op margin numbers or something like that. I mean R and D, we've been kind of building a little bit on a percent spent. I think we're up at 9% of sales on that. Maybe historically, we were sort of in the 8% s and now we're in the 9s. Speaker 200:38:06So maybe we've been cranking up a little bit on the R and D side. And specifically for us R and D really means expanded regulatory and clinical efforts not so much old fashioned R and D with new products. We tend to try to bring the products in through acquisitions. So that may cover your R and D thing as a small part of your question. But the bigger part of the question is, I think our guidance is implying 21% op margin for the year. Speaker 200:38:32Am I getting that right? Yes. 21% op margin for the year. And I think in 2023 that same figure was 19% and the year before that it was 17%. So I think we're seeing a little bit of operational leverage here. Speaker 200:38:47Of course, we're helped out in a big way by that gross margin number. If that sticks around, should make things pretty easy not easy, but more doable around here. So a little bit of leverage coming from gross margin and still growing the sales force. Speaker 1000:39:02Okay, great. Thanks for taking the questions. Speaker 400:39:04Thanks a lot, Liz. Operator00:39:09Ladies and gentlemen, that concludes today's conference. I would like to thank you for your participation and you may now disconnect. Have a great day.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallLeMaitre Vascular Q4 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsSlide DeckPress Release(8-K)Annual report(10-K) LeMaitre Vascular Earnings Headlines1 Profitable Stock with Impressive Fundamentals and 2 to Steer Clear OfApril 28 at 12:56 PM | msn.comLMAT Crosses Above Key Moving Average LevelApril 26 at 10:25 AM | nasdaq.comCrypto’s crashing…but we’re still profitingMost traders are panicking right now. Bitcoin’s dropping. Altcoins are bleeding. The stock market’s a mess. The news is screaming fear. But while most traders watch their portfolios tank…April 29, 2025 | Crypto Swap Profits (Ad)Cramer on LeMaitre Vascular (LMAT): “A Great Under-the-Radar Medical Device Stock”April 23, 2025 | msn.comAnalysts Offer Insights on Healthcare Companies: Lemaitre Vascular (LMAT) and UnitedHealth (UNH)April 21, 2025 | markets.businessinsider.comQ4 Earnings Highlights: LeMaitre (NASDAQ:LMAT) Vs The Rest Of The Surgical Equipment & Consumables - Specialty StocksApril 17, 2025 | finance.yahoo.comSee More LeMaitre Vascular Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like LeMaitre Vascular? Sign up for Earnings360's daily newsletter to receive timely earnings updates on LeMaitre Vascular and other key companies, straight to your email. Email Address About LeMaitre VascularLeMaitre Vascular (NASDAQ:LMAT) develops, manufactures, and markets medical devices and implants used in the field of vascular surgery worldwide. It offers human cadaver tissue cryopreservation services; angioscope, a fiberoptic catheter used for viewing the lumen of a blood vessel; embolectomy catheters to remove blood clots from arteries; thrombectomy catheters for removing thrombi in the venous system; occlusion catheters that temporarily occlude the blood flow; and perfusion catheters to perfuse the blood and other fluids into the vasculature. The company also provides artegraft biologic graft, a bovine carotid artery used for dialysis access; XenoSure biologic patches, used for closure of vessels after surgical intervention; VascuCel and CardioCel biologic patches, used in vessel repair, heart repair and reconstruction, and neonatal repairs; cardiovascular patches; carotid shunts that temporarily shunt the blood to the brain during the removal of plaque in a carotid endarterectomy surgery; biosynthetic vascular graft indicated for lower extremity bypass and dialysis access; and vascular grafts used to bypass or replace diseased arteries. In addition, it offers radiopaque tape, a medical-grade tape applied to the skin that enables surgeons and interventionalists to cross-refer between the inside and the outside of a patient's body and allows them to locate tributaries or lesions beneath the skin. Further, the company provides valvulotomes, which cut or disrupt valves in the saphenous vein to function as an artery to carry blood past diseased arteries to the lower leg or the foot; and closure systems to attach vessels to one another with titanium clips instead of sutures. It markets its products through a direct sales force and distributors. The company was formerly known as Vascutech, Inc. and changed its name to LeMaitre Vascular, Inc. in April 2001. LeMaitre Vascular, Inc. was incorporated in 1983 and is headquartered in Burlington, Massachusetts.View LeMaitre Vascular 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 Alphabet Rebounds After Strong Earnings and Buyback AnnouncementMarkets Think Robinhood Earnings Could Send the Stock UpIs the Floor in for Lam Research After Bullish Earnings?Texas Instruments: Earnings Beat, Upbeat Guidance Fuel RecoveryMarket Anticipation Builds: Joby Stock Climbs Ahead of EarningsIs Intuitive Surgical a Buy After Volatile Reaction to Earnings?Seismic Shift at Intel: Massive Layoffs Precede Crucial Earnings Upcoming Earnings Automatic Data Processing (4/30/2025)Equinix (4/30/2025)KLA (4/30/2025)Meta Platforms (4/30/2025)Microsoft (4/30/2025)QUALCOMM (4/30/2025)Aflac (4/30/2025)Allstate (4/30/2025)Caterpillar (4/30/2025)Canadian Pacific Kansas City (4/30/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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There are 11 speakers on the call. Operator00:00:00Welcome to the Lumate Vascular Q4 2023 Financial Results Conference Call. As a reminder, today's call is being recorded. At this time, I would like to turn the call over to Mr. JJ Pellegrino, Chief Financial Officer of Lume Baskler. Please go ahead. Speaker 100:00:21Thank you, operator. Good afternoon, and thank you for joining us on our Q4 2023 conference call. With me on today's call is our CEO, George LeMaitre and our President, Dave Roberts. Before we begin, I'll read our Safe Harbor statement. Today, we will make some forward looking statements within the meaning of the U. Speaker 100:00:38S. Private Securities Litigation Reform Act of 1995, the accuracy of which is subject to risks and uncertainties. Wherever possible, we will try to identify those forward looking statements by using words such as believe, expect, anticipate, pursue, forecast and similar expressions. Our forward looking statements are based on our estimates and assumptions as of today, February 27, 2024, and should not be relied upon as representing our estimates or views on any subsequent date. Please refer to the cautionary statement regarding forward looking information and the risk factors in our most recent 10 ks and subsequent SEC filings, including disclosure of the factors that could cause results to differ materially from those expressed or implied. Speaker 100:01:26During this call, we will discuss non GAAP financial measures, which include organic sales growth as well as operating income, operating expense and EPS excluding special charges. A reconciliation of GAAP to non GAAP measures discussed in this call is contained in the associated press release and is available in the Investor Relations section of our website, www.lemait.com. I'll now turn the call over to George LeMaitre. Speaker 200:01:56Thanks, J. J. Q4 was an excellent quarter with 19% sales growth, a 68.1% gross margin and 46% op income growth. I'll focus my remarks on the top line, sales force activities and some regulatory updates. Geographically, EMEA was up 21% in Q4, the Americas 20% and APAC 11%. Speaker 200:02:21By product, bovine patches were up 18%, allograft 52%, valvatome's 12% and carotid shunt 16%. Distribution of porcine patch also added $1,500,000 of sales in the quarter. The return to hospital by staff and patients, ASP increases, ample product supply and the growth of our sales force drove Q4 sales growth. We ended 2023 with 136 reps worldwide. By December 2024, we expect to employ approximately 150 reps. Speaker 200:02:57To accommodate rep growth in North America, we recently promoted 3 regional sales managers to become area sales managers. This additional management bandwidth should enable us to hire, train and manage more RSMs and reps. The revenues from the 2020 Artiglass acquisition, coupled with recent sales growth have made our North American territories too large. In 2023, our average North American territory had $2,000,000 in sales. Over the years, we found smaller territories enable tighter relationships with surgeons. Speaker 200:03:31So we've begun dividing some of the larger territories. This should reduce windshield time too. In Europe, we also remain in growth mode. We plan to open a Paris office in Q2, which should improve our connections with French surgeons and hospitals as well as our 8 French sales reps. France is our 6th largest country by sales. Speaker 200:03:53Turning to Asia. I visited 4 of the 6 APAC offices in early February. Things look great over there. Our Tokyo branch is celebrating 20 years and we've just opened offices in Seoul and Bangkok. In our 1st direct year in Korea, 2023 sales reached $1,700,000 and op profits were $250,000 Both figures exceeded expectations. Speaker 200:04:18In Thailand, our 1st full year of direct sales should be about $1,600,000 in 2024. Our Chinese team is also performing well and grew 40% last year. The autograph CE file was submitted in December 2023 and we also plan to file for autograph approval in Canada, Australia and several other APAC countries this year. We also plan to make XenoSure filings for our peripheral and cardiac products by 2025 in China. And we're also making the MDR transition in Europe. Speaker 200:04:51As you know, Brussels has extended the MDR deadline to 2027. 22 of our product categories need this new MDR CE Mark, so this is a considerable undertaking. We currently own 3 of these new MDR CE marks. Also in Europe, our allograft filings have been made in Ireland and Germany. An approval in either of those countries will be our first approval of allograft in the European Union. Speaker 200:05:17To conclude, 19% sales growth and a gross margin recovery produced 46% op income growth in Q4. Our growing profitability and cash on hand provides safety and strategic optionality. With that, I'll turn it over to JJ. Speaker 100:05:34Thanks, George. 2023 was an excellent year. We posted $193,000,000 in sales, an increase of 20% on a reported basis and 17% organically, while our operating income increased 37% on a reported basis. If 2022 was our post COVID rehiring year with 141 ads, then 2023 was the hiring constraint year with only 23 ads. This headcount control, along with our strong sales results and an improved gross margin, led to a 19% operating margin in 2023 versus 17% in 2022. Speaker 100:06:17Separately, our cash balances improved by $22,000,000 in 2023 to $105,000,000 Turning to the quarter, in Q4 2023, we posted a gross margin of 68.1%, up 4.50 basis points year over year. This increase was driven by higher ASPs, productivity improvements and a weaker dollar. The benefits of a larger and more efficient manufacturing team have come on to the P and L. Our allograft manufacturing team had a strong Q4 and quality costs remain in check. In retrospect, our manufacturing hiring surge was well timed with the global return to hospital. Speaker 100:07:01Operating expenses in Q4 2023 were $23,100,000 an increase of 21% versus Q4 2022. The increase was driven largely by higher sales commissions, more sales professionals and $700,000 of one time reversals in Q4 2022. Q4 2020 Q4 2023 operating income increased 46% year over year to $10,200,000 driven by higher sales and an improved gross margin. The operating margin in Q4 was 21%, up from 17% in the prior year period. Separately, we recently went live with a new ERP system in the United States. Speaker 100:07:47This system should improve real time reporting, streamline financial processes and provide more sophisticated analytics. Implementation at our overseas entities will take place in 20252026. We estimate that we will spend approximately $7,000,000 to $8,000,000 on this project and the annual P and L impact will be approximately $1,000,000 per year. With respect to guidance, we are forecasting improved operating leverage in 2024, driven by restrained operating expense growth and an improved gross margin. Our guidance includes an operating margin in 2024 of 21% versus 19% in 2023 17% reported in 2022. Speaker 100:08:39For more details, please see our business outlook issued in today's press release, but a few Q1 highlights include reported sales growth of 10%, gross margin of 68.5%, operating income growth of 33% and EPS growth of 42%. And for the full year 2024 guidance includes reported sales growth of 10%, gross margin of 68%, operating income growth of 22% and EPS growth of 23%. With that, I'll turn it back over to the operator for questions. Operator00:09:46Your first question comes from the line of Suraj Kaila with Oppenheimer. Your line is now open. Speaker 300:09:53Hi, George, JJ, can you hear me all right? Speaker 200:09:56Yes. Speaker 300:09:58Gentlemen, apologies for the background noise. So George, let me start out, in your prepared remarks, you talked about territories or maybe it was JJ's comments. But when you split the territory, let's say, from $2,000,000 to, let's say, dollars 1,000,000 can you walk us through the thought process in terms of sales rep, commission, retention? How does the process go about? Speaker 200:10:26Okay, sure. And of course, Suraj, this is completely normal medical device activity, right? So this is how exactly how sales forces grow. It's like an amoeba because the thing gets big, you got to cut it in half and it becomes too big for them to handle. If a rep is running around Ohio trying to cover $2,000,000 worth of medical device sales, of course, some of the smaller hospitals start to feel ignored. Speaker 200:10:52And so very high level you would clearly split it and put 1 guy and pick a city in Cleveland and 1 guy in Columbus and they would now split Ohio if you will. So I think that's sort of the amoeba aspect of it is perfectly normal. And then what else would you like to know about what happens there? Speaker 300:11:11I was just curious in terms of I understand it's a normal process in the industry. I was more specifically curious in terms of usually do you encounter any sales force retention issues, hence by definition any churn concerns about churn? Speaker 200:11:30Sure. No, I don't have particular concern. I do agree with you anytime you touch anything near the sales force you sort of get near higher turnover. But this is perfectly normal and you have to do it or else you won't get good service to those surgeons in the hospital. So and on that score Suraj maybe just I know you didn't exactly ask this question, but we're into this thing. Speaker 200:11:55I read some article recently. It's called the big stay. I don't know if anyone heard that. And so as opposed to the great resignation, we're now into the big stay. And LeMaitre experienced dramatically reduced turnover in last year. Speaker 200:12:08I think our number was like 7.5 percent down from somewhere I'm going to get it wrong somewhere around 14% or 15% the year before. We're always 3 or 4 points better than our Massachusetts manufacturing colleague companies or peer companies, but major decrease in turnover. And notably with the sales force one thing to further mention Suraj specifically, remember last year we had this massive surge in procedures and we grew organically 17%. Usually, LeMaitre before that had grown about 9% organically. Result, And as a result, they stuck around to get those paychecks and you would have seen them start leaving January 15, January 25 when they were getting their final commissions and bonuses. Speaker 200:13:00We haven't seen that at all. I mean, there's been 1 or 2 here and there, but we have not seen that at all. And so we're very, very happy time in my opinion in the sales force. Great results, commission checks are huge, etcetera, etcetera. Speaker 100:13:13And Suraj, part of your question was how do the commissions change when you split the territories. And as you recall, we compensate the reps based on their performance a gross profit dollars quota. And so when the territory is split, we obviously commensurately split the gross profit dollar quarters or change them based on whatever the new answer is. And then their compensation, their tier that the end of the day gets paid doesn't change, but what it's linked to does change. So it's kind of fair when you make the split. Speaker 100:13:52There isn't a big topic necessarily around that, that they're obviously going to make half of what they were making before. Speaker 300:14:00Fair enough. Gentlemen, I'll quickly ask my 2 follow ups to avoid the background noise. So George, love to get your updated thoughts on your M and A strategy looking forward. And the second question I have is, love to get your perspective. Valvolutomes grew 12% year over year. Speaker 300:14:20Obviously, there was the best CLI study and that has really seen pull through for you guys in terms of growth. Are you all seeing any counterbalancing going on with the Basel II study, which gave somewhat opposite results. Just curious if any onto your thoughts on that front. Thank you for taking my questions again. Speaker 200:14:39Suraj, I'm going to pass your M and A call over to Dave question rather over to Dave and then I'll come back to the Valitone question. Speaker 400:14:46Hi, Suraj. Great to hear from you. And yes, with respect to the acquisition strategy, I'd say the criteria are consistent from previous calls. Of course, we're focused on open vascular targets with more than $5,000,000 of revenue. There are about $25,000,000 of them altogether. Speaker 400:15:08Beyond that, we are and have been hunting in adjacent markets, maybe 1st cardiac surgery and endovascular. If anything, I think we learned from the Artograph acquisition a few years ago that hunting larger is probably a good thing. It will move the needle more. So we've been looking at a little bit larger targets. And also we have more cash, of course, to do an acquisition. Speaker 400:15:31With the $105,000,000 of cash, and leaving $20,000,000 on the balance sheet, plus maybe 3 times our $46,000,000 LTM EBITDA, we could fund $225,000,000 of purchase price excluding an equity raise or the target EBITDA levered up. So I think it's we're just consistently looking out in the same hunting grounds where we have been and hopefully someday we'll be able to report back that we've done a transaction. Speaker 200:16:01And Suraj, as your best CLI question, yes, in the first half of the year, I feel like we got excited about the best CLI study as it relates to valvulotomes. And then of course, Basel comes out, the European study Basel II comes out. And it's sort of the antidote to best CLI. Best CLI basically says do leg bypasses first open surgery and then Basel II comes and says no, no, you can do stents and angioplasty, you're going to get great results that way too. So in some ways, you do have surgeons that want to do open surgery saying, I listen to best CLI. Speaker 200:16:36And then you have surgeons and angiologists who want to use angioplasty and stents who come out and say, I heard about Basel II. So there was a little bit of a retrenchment I would say. For the exact fact here, we grew valvatone's 12% in dollars, that's 11% organic and units were up 5% last year. In fact, in general across our portfolio, units were up 5%. So our 1st year with Basel II, I would say, valvulotomes didn't go crazy good, although that 5% was better than the slightly decreased units of 2021 2022. Speaker 200:17:14So 2021 2022 decrease was around 3% or 4% in units and then it bounced up again post Basel. I guess I'd say make of it what you will. It seems like it was a good thing, but then got counteracted by Basel too. Speaker 300:17:29Thank you. Speaker 200:17:32Thanks a lot, Suraj. Those are great questions. Operator00:17:50Your next question comes from the line of Daniel Stauter with GMP Securities. Your line is now open. Speaker 500:17:58Yes, great. Can you guys hear me? Speaker 100:18:01Yes, Danny. Speaker 500:18:03Great. So first off, just wanted to ask on gross margins, very healthy guide and great to see and you talked about some of the primary drivers there. But as you look out to 2024, you give us an idea of how much of the contribution is coming from the manufacturing efficiencies versus some of the ASP gains? And then how should we think about cadence for gross margin 2024? Thanks. Speaker 100:18:29Yes. So, I mean, those are the 2 largest drivers. I would say that those manufacturing efficiencies, I have been talking about them for 2 or 3 quarters and now they're finally coming to the P and L. So that's good to see. And the ASPs, you've heard us talk about those. Speaker 100:18:49And it was a really healthy ASP year this year. And so I would say those 2 are battling for sort of number one position. Maybe they're a third each of the story or something like that in terms of the improvement. And it depends what your comparison period is and if you're year over year or sequential or whatever. But at high level, I would say, general deal efficiencies and ASP is battling it out. Speaker 100:19:13There's some other lesser lights in there that maybe I didn't put in the script that matter as well, like our quality costs are a big part of the story. And they had been sort of growing at a pace that was accelerated from really, really wanted to be. And so we started monitoring that and putting a little Speaker 400:19:34bit of a lid on that. Speaker 100:19:35And I think that's helped a lot as well. And so the extent that we can keep those quality costs in check that will help the margin going forward as well. And then RestoreFlow had some really nice operational results on the sort of processing side as of late. And so hopefully, we can keep that going throughout the year. So we'll see. Speaker 500:19:57Great. Thanks. And then just one follow-up, related to M and A. Cash generation has been very healthy this year in 2022 and 2023. Just with the announcement of the share repurchase, $50,000,000 how should we think about the pecking order for use of cash? Speaker 500:20:18Does that change how you look at M and A this year? Or do you feel that you would be able to achieve both and just kind of weighing your options? Any thoughts there would be great. Thank you. Speaker 400:20:29Yes. Hey, Danny, it's Dave Roberts. I would say, I think the doubling of the authorization on the share repurchase is just good corporate oatmeal. I mean, obviously, our cash balance is growing, as you mentioned, pretty helpfully. So we thought increasing it from 25 to 50 is probably a good idea. Speaker 400:20:47But really at the end of the day, we're feeding we're taking cash and we're feeding the dividend. Obviously, you heard we just increased the dividend for Q1 from $0.14 to $0.16 So that's I think our 13th annual increase in a row. So that's sort of a mainstay at LeMaitre. And then excess cash beyond that is set aside for acquisitions. We've been hunting for a while. Speaker 400:21:12At some point, we'll identify 1. And if it's larger, we'll use more of the cash beyond that. Is there other consumers of cash in terms of running the business like capital expenditures or when we buy out distributors as we did a couple of years ago in Korea and last year in Thailand, those are uses as well. Speaker 500:21:35Great. Thank you very much. Speaker 200:21:38Thanks, Danny. Operator00:21:42Your next question comes from the line of Rick Wise with Stifel. Your line is now open. Speaker 600:21:50Hey, this is John on for Rick. Speaker 100:21:53Just to start off, I wanted Speaker 600:21:55to get a little bit better understanding of guidance this year and maybe how price is contributing to the growth outlook in 2024 versus how it contributed in 2023? Speaker 100:22:08Yes. So in 2023, I mean, you've heard us talk about it quarterly. And I think George mentioned that for the full year 2023, it's about 11%, 12% pricing answer. And I would say going forward in 2024, maybe our default answer is sort of around 5% or 6%. Notably, that was kind of the default answer this past year in 2023. Speaker 100:22:36We instituted something a little bit new called pricing floors. I think we got more traction out of those than we thought we might get. And so maybe we'll do a little bit more of that this year. We'll see where that goes. But I would say if you want a sort of base case answer, it's probably in that mid high single digits range. Speaker 600:22:58Thanks. That's helpful. And just looking ahead, just focusing on the gross margin line, you're guiding to 68% for 2024. That's pretty strong growth. You're talking a lot about manufacturing increases manufacturing efficiencies and price increases. Speaker 600:23:14Just as I look further ahead, I mean, how should we be thinking about the gross margin structure for the business going forward with higher ASPs, more efficient manufacturing? We be thinking about potentially returning to sort of the pre COVID 70% gross margins you had? Thanks. Speaker 100:23:31Yes. I mean, obviously, we're not looking out that far with you guys right now on that score. I would say for right now, we're happy with that 68% sort of next step in the evolution here. We'll see where it goes from there. If you keep getting those, I don't know, call it 10% price hikes instead of 5% price hikes, that does bleed through and that is an incremental benefit that you will get. Speaker 100:23:57And if you can keep your direct labor folks efficient, as they are now or maybe a little bit more going forward, that obviously is going to help. But there's so much other stuff that goes on in gross margin land that those aren't the only two answers even if they're the biggest answers. Inventory is a topic for us whenever we do consolidations or transfers of manufacturing or other issues when excess and obsolete comes and gets you for a quarter or 2, those issues come and go. That quality topic, the quality expenses that I talked about, that's a topic. Transitions of manufacturing product lines like OmniFlo and CardioCell, which we've done recently, and get us there and push the margin down a little bit. Speaker 100:24:51So I just I don't want to make it a clear line story for you. There's a lot going on in gross margin. We'll see what happens after this year. Speaker 200:25:01But Jay, I'd like to leave John with a little bit of hope going forward. I think there are several shots on goal in that line item. We're just getting used to what it's like to be 68 again. So we need a lot of studying etcetera. But I think there's some shots on goal John. Speaker 600:25:18Appreciate the color guys. Thanks. Operator00:25:24And your next question comes from the line of Michael Petusky with Barrington Research. Your line is now open. Speaker 700:25:33Thank you. Good evening. CJJ, you get the 300 basis point improvement and people are asking for more. They're never Speaker 100:25:40satisfied. I know that didn't last long, did it Mike? Speaker 700:25:43It really didn't. Speaker 100:25:44What have you done for me? Speaker 700:25:45You had about an hour after the press release came out, I guess. All right. So I didn't catch this if you guys mentioned it. Did you guys mention what percentage of the Q4 sales growth was related to price and volume? How that split out for Q4 specifically? Speaker 200:26:01We did not. It was 13 price 1 units. And for the year, again, to repeat, it was 12% price 5 units. Speaker 700:26:13And is it possible and I know you guys don't always do this, but you've occasionally done this. Is it possible to get the Artograph revenue for the quarter and for the year? Speaker 200:26:22Yes, of course. Let's try to find it quickly for you here. Speaker 400:26:27Every quarter I have. I have Mike, it's Dave. It's a little under $8,000,000 $7,900,000 up 10% for the quarter Q4. Speaker 100:26:37And the year? Speaker 700:26:39For the year? Speaker 400:26:41I don't know. It's going Speaker 200:26:42to be around $34,000,000 something like that. Speaker 400:26:44Yes, something like that. Speaker 200:26:47We can get to that while we're on the call. Speaker 700:26:49Okay. I have another question. So obviously, it's been a while and the Autograph deal has been successful and I know David has been looking diligently. JJ, in terms of your comfort level with leverage, obviously, you guys said you could do a $225,000,000 deal potentially. I mean, where do you think you sort of top out in terms of your comfort level with a leverage ratio on an external growth opportunity? Speaker 100:27:26Yes. So if you're maybe 3x, 3.5x EBITDA, maybe somewhere in that range before you talk about the EBITDA of the acquired company. And if EBITDA is sort of in the 45, 46 ish range these days, maybe it's in that sort of $130,000,000 $140,000,000 1 $50,000,000 somewhere in there, Mike, I would say. Speaker 700:27:51Okay. Very good. And then just one more quick question. I mean, this pricing floor initiative, it does seem like it's really helped on an incremental basis. I'm just curious, I suspect maybe you went after some of the easiest low hanging fruit on that and maybe it's tougher going forward is that not the case in terms of pricing for them and what you can do there? Speaker 200:28:16Okay. Yes, that's a good question. And at a high level, what the management team has been trying to do over the last 3 years is sort Speaker 100:28:23of take the Speaker 200:28:24pricing lever away from individual reps and bring it back in house. Because as the previous question asked, the reps don't last forever here and sometimes they cut a deal at a low price and then we're left with it for X years. So we're kind of pulling it back. And this all started Mike about 2 years ago in the U. S. Speaker 200:28:43With 1 or 2 products. And now it's become a full blown effort. And for the first time ever this year, there's a full set of pricing floors in Europe. We've had some pricing floors in Europe before, but for the first time ever, it's drilled into what we call the plank card, which is this little goal set that we pass out to every single employee. So we've got a European plank set that has pricing for us. Speaker 200:29:07And then also again for the first time ever it's being drilled into the Japanese planks. And so in Japan, specifically, not all of Asia, just Japan, which is half of our Asia right now. So we have it on the so I think you still got some room to go here. I think you'll start learning in 9 weeks when we come back to you guys with Q1 as to hey what happened in Q1 relating to pricing. But it's become a full blown effort and it started with dribs and drabs 2.5 years ago. Speaker 200:29:37And now it's real and it's worldwide. Speaker 100:29:40Hey, Mike, on your sorry, did you have a follow-up on that? Speaker 700:29:45No, no, go ahead. Speaker 100:29:46Yes, on your autograft question, we have a category bovine grafts. I think it's nearly all the artigraft answer. It was 30 call it $33,000,000 in the year and it was up 15% on a reported basis. Speaker 700:30:05Actually, could I just confirm, George, you were talking fast when you were talking about some of the OUS development. Autograph, Canada and Australia filings in 2024, is that correct? Speaker 200:30:19That is correct. And then also we've thrown in roughly 5 more Asia Pac countries will file over there as well. Speaker 700:30:27And then XenoSure is still 2025 in China? Speaker 200:30:33Yes. I mean, it just keeps pushing away. But yes, XenoSure Cardiac and Peripheral in China 2025. Speaker 700:30:40Okay. Great. Well, listen, congratulations and particularly congratulations to the team and particularly JJ on that gross margin. I know you've been after that for a while and congrats. Thanks. Speaker 100:30:51It's a thankless job, Mike. Speaker 200:30:53That's right. Operator00:31:00And your next question comes from the line of James Sidoti with Sidoti and Co. Your line is now open. Speaker 800:31:11Hi, good afternoon and thanks for taking the questions. Can you talk a little bit more about the sales force expansion? You said, I think you're going to add about 14 folks in 2024. Can you break that out internationally and domestically? Speaker 200:31:29Sure. It feels Jim, this is George. It feels largely like it's a domestic thing. We've got a bunch lined up to go in the U. S. Speaker 200:31:37Less so in Canada, but call it a North American thing. And then a couple over in Asia Pac, we have some of these newer subsidiaries where why would you start in Korea if you didn't give the guy 3 or 4 sales reps, right? It was not worth going over there unless you do that. So mostly North America, a little bit Asia and not much in Europe oddly this year. Speaker 800:31:59Okay. And you mentioned you opened offices in Korea and Thailand. What were you doing this year? Were those folks just working out of their home or what changed? Speaker 200:32:12Okay. So and 2023 was our 1st year, a full year of operations in Korea. No, we were going through a distributor and we sold items to that distributor then she passed them along to Korean hospitals for actually from before I started, Jim. 40 years later, she was still doing that. And we finally bought out her distributorship. Speaker 200:32:33We set up an office, hired a general manager and then hired 3 sales reps for Korea. And now they're in our Seoul office and they've been operating for 1 year, same drill in Thailand. Speaker 800:32:45Okay. All right. And for 2024, you've guided for about 9 Speaker 200:32:58we try not to guide on pricing because it's so variable what's happening. But if you look back to the 12.5 this past year in 2023, 12% price, 5% units, maybe that relationship holds until we all know differently. Speaker 800:33:14Okay. And then the last one, can you JJ, can you tell me what you're assuming the tax rate will be for 2024? Speaker 100:33:24For Q1 or a 24, let's see what I put in there, Jim, 24.3 and then for the full year 24.1. Speaker 800:33:38Percent. Well, can you be a little more specific? Speaker 400:33:42You asked. Speaker 800:33:45Okay. 24 would have been good. All right. Thanks. Speaker 200:33:51Thanks, Jim. Operator00:33:55Your next question comes from the line of Brooks O'Neil with Lake Street Capital Markets. Your line is now open. Speaker 900:34:04Hey, good afternoon guys. This is Aaron on the line for Brooks. So most of my questions have been addressed. But so I guess for 2024, we're sensing solid pricing and mainly solid volume and tight expense control are main key priorities for you guys. Can you just give us a little more color in an updated sense for the general environment in these areas? Speaker 200:34:28Sure. And one of the folks on this call from KeyBank, they just Brett, we see him up on the screen. KeyBank just published a really nice report about credit card swipes in USA Hospitals and also we're studying staffing in USA Hospitals. And I would say, it feels good from all the stuff we read. We're not revealing what's going on in the business for the 1st 8 weeks of the year, but it feels good from all the stuff we read that this return to hospital of staff and patients seems to be stretching out into 2024 and we were happy to see it take place in 2023. Speaker 200:35:06And we I feel like it really helped the business in 2023. So maybe more of the same procedure wise. Speaker 900:35:16Great. Yes, that's helpful. And then last one for me. So you hired aggressively in sales and manufacturing last year and this has been brought up, but you plan to add 14 ish reps. So if you could just outline some of the priorities for 2024 and how you're thinking about those? Speaker 900:35:31Thank you. Speaker 200:35:33So priorities in terms of hiring, is that where you're going Aaron? Speaker 100:35:37Correct. Yes. Speaker 200:35:38Okay. Great. So and just to sort of get in there on the beginning of that question. The big hiring spur took place at this business in 2022. We put on 141 new headcount. Speaker 200:35:50And then in 2023, we really slowed down a lot. We only put in 23 new headcounts. So we really put on the brakes last year. We want to catch up to all that post COVID hiring. We think we did that. Speaker 200:36:00And now we're back at it a little bit. And of the people we plan to hire this year, it feels like maybe we talked about 15 reps, you add 5 sales managers, there's 20 in the sales department maybe and maybe there's 20, 25 elsewhere and maybe the biggest bucket of that is operations and manufacturing. So something like 40 ish, 50 ish, we're still working that out. But we're pretty tight fisted. We're on a pay as you go plan here. Speaker 200:36:27Our number one goal here is op income and then stuff comes fills in after that. Speaker 900:36:34Great. Very helpful. Thanks for that clarification and congrats on the quarter and year guys. Speaker 400:36:38Thanks a lot, Aaron. Operator00:36:44Your last question comes from the line of Brett Fishman with KeyBanc Capital Markets. Your line is now open. Speaker 1000:36:52Hi. This is actually Liz on for Brett. Thanks for taking the questions. Just to start off with the 9% growth for the year, how should we think about that amongst the different regions? And where do you expect to drive the most growth? Speaker 200:37:07Well, that's a good question. I would say generically, we always think Asia Pac is going to grow faster. Europe is going to grow 2nd fastest and North America is going to be a little bit slower. So that's generically. We don't really make guidance based on which region is going to happen. Speaker 200:37:23We'll be thrilled when we show up with that 9% organic growth regardless of how it happens. 10% reported for the year is also what we guided. Does that get at some of your question, Liz? Speaker 1000:37:36Yes. That was really helpful. And then if I could ask on the op leverage side, how are you thinking of balancing your R and D investments versus SG and A? And how should we think about this going forward? Speaker 200:37:49Right. So sort of as all balancing down is some kind of op margin numbers or something like that. I mean R and D, we've been kind of building a little bit on a percent spent. I think we're up at 9% of sales on that. Maybe historically, we were sort of in the 8% s and now we're in the 9s. Speaker 200:38:06So maybe we've been cranking up a little bit on the R and D side. And specifically for us R and D really means expanded regulatory and clinical efforts not so much old fashioned R and D with new products. We tend to try to bring the products in through acquisitions. So that may cover your R and D thing as a small part of your question. But the bigger part of the question is, I think our guidance is implying 21% op margin for the year. Speaker 200:38:32Am I getting that right? Yes. 21% op margin for the year. And I think in 2023 that same figure was 19% and the year before that it was 17%. So I think we're seeing a little bit of operational leverage here. Speaker 200:38:47Of course, we're helped out in a big way by that gross margin number. If that sticks around, should make things pretty easy not easy, but more doable around here. So a little bit of leverage coming from gross margin and still growing the sales force. Speaker 1000:39:02Okay, great. Thanks for taking the questions. Speaker 400:39:04Thanks a lot, Liz. Operator00:39:09Ladies and gentlemen, that concludes today's conference. I would like to thank you for your participation and you may now disconnect. 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