ResMed Q2 2025 Earnings Report

ResMed EPS Results

• Actual EPS: $2.43
• Consensus EPS: $2.29
• Beat/Miss: Beat by +$0.14
• One Year Ago EPS: N/A

ResMed Revenue Results

• Actual Revenue: N/A
• Expected Revenue: $1.27 billion
• Beat/Miss: N/A
• YoY Revenue Growth: N/A

ResMed Announcement Details

• Quarter: Q2 2025
• Date: 1/30/2025
• Time: After Market Closes
• Conference Call Date: Thursday, January 30, 2025
• Conference Call Time: 4:30PM ET

ResMed (NYSE:RMD) develops, manufactures, distributes, and markets medical devices and cloud-based software applications for the healthcare markets. The company operates in two segments, Sleep and Respiratory Care, and Software as a Service. It offers various products and solutions for a range of respiratory disorders, including ApneaLink Air, a portable diagnostic device that measures oximetry, respiratory effort, pulse, nasal flow, and snoring; and NightOwl, a portable, cloud-connected, and disposable diagnostic device that measures AHI based on derived peripheral arterial tone, actigraphy, and oximetry over several nights. The company also provides AirView, a cloud-based system that enables remote monitoring and changing of patients' device settings; myAir, a personalized therapy management application for patients with sleep apnea that provides support, education, and troubleshooting tools for increased patient engagement and improved compliance; U-Sleep, a compliance monitoring solution that enables home medical equipment (HME) to streamline their sleep programs; connectivity module and propeller solutions; and Propeller portal. It offers out-of-hospital software solution, such as Brightree business management software and service solutions to providers of HME, pharmacy, home infusion, orthotics, and prosthetics services; MatrixCare care management and related ancillary solutions to senior living, skilled nursing, life plan communities, home health, home care, and hospice organizations, as well as related accountable care organizations; HEALTHCAREfirst that offers electronic health record, software, billing and coding services, and analytics for home health and hospice agencies; and MEDIFOX DAN's software solutions. The company markets its products to sleep clinics, home healthcare dealers, and hospitals through a network of distributors and direct sales force. ResMed Inc. was founded in 1989 and is headquartered in San Diego, California.

ResMed Q2 2025 Earnings Call Transcript

Presentation

[Operator]

Welcome to the Q2 Fiscal Year 2025 ResMed Earnings Conference Call. My name is Matt, and I'll be your operator for today's call. At this time, all participants are in a listen only mode. Later, we'll conduct a question and answer session. Please note that this conference call is being recorded.

[Operator]

I would now like to turn the call over to Mike Ott, Senior Manager, Investor Relations. Thank you. You may begin.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

Great. Thank you, Matt. Hello, everyone, and welcome to ResMed's 2nd quarter fiscal year 2025 earnings call. We are live webcasting this call and the replay will be available on the Investor Relations section of our website later today. Our earnings press release and presentation are both available online now.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

During today's call, we will discuss several non GAAP measures that we believe provide helpful information for investors. This information is not intended to be considered in isolation or as a substitute for the GAAP financial information. We encourage you to review the supporting schedules in today's earnings press release to reconcile these non GAAP measures with the GAAP reported numbers. In addition, our discussions today will include forward looking statements, including but not limited to expectations about our future financial and operating performance. We make these statements based on reasonable assumptions.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

However, our actual results could differ. Please review our SEC filings for a complete discussion of the risk factors that could cause our actual results to differ materially. From any forward looking statements made today. I'll now turn the call over to ResMed's Chairman and CEO, Nick Farrell.

[Michael Farrell, CEO & Chairman at ResMed]

Great. Thank you, Mike, and good morning and good afternoon as we welcome our shareholders and review ResMed's 2nd quarter fiscal year 2025 results. I'm pleased to share that ResMed delivered another strong quarter of global top line and bottom line growth. We achieved excellent year over year performance in Q2 with solid revenue growth, improved gross margins, combined with disciplined investments in both R and D and SG and A, resulting in very strong operating profit and net profit performance. These results reflect the hard work of 10,000 plus ResMedians and our dedication to improving the lives of patients, improving the workflow of home care providers, physicians, payers and the communities that we serve in over 140 countries worldwide.

[Michael Farrell, CEO & Chairman at ResMed]

The foundation of our continued positive performance lies in our clear market leading value proposition, including the sustainable competitive advantage that we have established with our best in class hardware and software products as well as our digital health ecosystem. Through cloud connectable medical devices, masks and accessories as well as digital platforms and ongoing investments in technology, including specifically ML, AI and generative AI, we are committed to helping 100 of millions of people so that they can sleep better, breathe better and live longer and higher quality lives. Let me start with a high level review of our financials. I'm proud to report that we delivered global revenue growth of 10%, reflecting positive and consistent contributions across our combined sleep health, breathing health and residential care software portfolio. Global device sales were driven by strong market performance across our U.

[Michael Farrell, CEO & Chairman at ResMed]

S. As well as Europe, Asia and rest of world markets, reflecting the continuing demand for our AirSense 10 and AirSense 11 platforms. Device sales remained strong, growing double digits year over year. We increased the global availability of our AirSense 11 platform this quarter, launching in India during Q2. We will have additional country launches of AirSense 11 planned throughout calendar year 2025.

[Michael Farrell, CEO & Chairman at ResMed]

We make the market leading sleep health platform with the Essence 11. I want to make it clear that there is still strong global demand for the 2nd best device platform in the market, and that is the Essence 10 range. Our masks and accessories business also had another strong quarter, delivering double digit global growth in that category as well. Ongoing rollout of Brightree resupply and Snap technology have helped in our U. S.

[Michael Farrell, CEO & Chairman at ResMed]

Market, and we expect to maintain that momentum as we launch SNAP technology that can work on all HME management platforms throughout calendar year 2025. We achieved 230 basis points of margin expansion in non GAAP gross margin year over year to 59.2 percent, reflecting our ongoing focus on improving operating efficiencies. With disciplined investments in R and D and SG and A, we achieved a 29% increase in non GAAP earnings per share. Our new Head of Supply Chain, Shane Azai and his team are committed to driving increased supply and increased manufacturing efficiencies by investing in technology and infrastructure to power long term cost improvements. By balancing this cost discipline with strategic investments in new product introductions, we will continue to drive sustainable and profitable growth for ResMed.

[Michael Farrell, CEO & Chairman at ResMed]

We have published peer reviewed studies showing categorically that resupply programs drive patient adherence, they improve patient outcomes and they also lower long term costs for the healthcare system. In the U. S, our digital health ecosystem, including both AirView for payers, Brightree for home medical equipment players as well as for patients, the MyAir app, they continue together to power these resupply programs. We are actively investing in appropriate modified versions of these successful U. S.

[Michael Farrell, CEO & Chairman at ResMed]

Resupply programs into our global markets. Each of the 140 countries that we operate in have different regulatory, reimbursement, economic as well as cultural norms. It's our opportunity to leverage ResMed's knowledge of each of those markets and to optimize the best way for a person to regularly receive fresh supply for their life changing and life saving care. ResMed is an innovation machine. Our ongoing investments of 6% to 7% of revenues into R and D is a key growth driver for and a key part of our long term success.

[Michael Farrell, CEO & Chairman at ResMed]

With trailing 12 months revenue around $5,000,000,000 that's $300,000,000 to $350,000,000 that we invest annually into R and D, creating the smallest, the quietest, the most comfortable, the most connected and the most intelligent devices, masks and software solutions. During the quarter, we launched the AirTouch N30i to select markets. The AirTouch N30i is a world first from ResMed with its unique fabric based patient interface. My philosophy is this: We sleep on cotton sheets. We have fabric covers for the pillows that we sleep on.

[Michael Farrell, CEO & Chairman at ResMed]

Why can't we have sleep apnea therapy that is just as comfortable as that? Early feedback from respiratory therapists, from physicians and from patients directly is that the comfort and fit of the AirTouch N30i is outstanding. This new technology could permanently change the basis of competition in mask innovation. It's one thing to create a prototype of a mask. It's another thing to have manufacturability at scale with top quality, top comfort, excellent seal and great long term patient outcomes.

[Michael Farrell, CEO & Chairman at ResMed]

Watch this space for our new to world fabric based AirTouch technology launched 1st year on the AirTouch N30i platform. During the quarter, we announced another collaboration with the Apple Vision Pro team with the launch of what we call the Contour Headstrap. This is a premium accessory for the Apple Vision Pro. ResMed, as all of you as shareholders know, is the world leader in providing facial interface in the field of sleep health and breathing health and health care technology at home. This is great to see that now a top consumer tech company like Apple has chosen to partner with ResMed on an interface that we make that delivers a superb balance of softness and support for the extended wear time that users of the Apple Vision Pro need.

[Michael Farrell, CEO & Chairman at ResMed]

The Apple Vision Pro accessory is crafted with a blend of ResMed's exclusive ultra premium materials and designed to be gentle on the skin. This project shows that ResMed's expertise is applicable outside of pure play in medical technology, and it's part of this convergence of medtech and consumer tech. And the learning that, that will provide for both the medical and consumer fields is an important part of this opportunity. Watch this space. ResMed had a very strong presence at the Consumer Electronics Show or CES in Las Vegas at the start of 2025, just a couple of weeks ago.

[Michael Farrell, CEO & Chairman at ResMed]

We provided a digital sleep lounge that offered people a place to go to relax and to learn about the importance of sleep health, of breathing health and care delivered at home. Across CES display booths, there were many consumer tech companies showing their latest and greatest sleep wellness and sleep monitoring solutions from Apple to Samsung to Google's Fitbit, Oura Ring, Garmin, Whoop and beyond. We are very excited to have sleep health become mainstream. Interestingly, ResMed products were on display in the massive Samsung booth. Samsung was touting their new Galaxy Watch's sleep apnea detection capability and illustrating the link between their Galaxy Watch ecosystem and ResMed's market leading products for the treatment of sleep apnea.

[Michael Farrell, CEO & Chairman at ResMed]

I'll talk more about sleep apnea detectors and this convergence of medtech and consumer tech a little later. But now let me provide a brief update on GLP-1s, the new class pharmaceuticals that are focused on weight loss, diabetes and metabolic control, cardiovascular outcomes and now also sleep apnea. I'll then come back to consumer wearables that can detect sleep apnea. So late during our Q2 on December 20, Eli Lilly gained FDA approval for the use of ZEPBOUND, a GLP-one in patients with obesity and moderate to severe sleep apnea with a reduced calorie diet and physical exercise. It's interesting to note that the surmount OSA trial excluded patients with diabetes.

[Michael Farrell, CEO & Chairman at ResMed]

In the lead up to its launch to consumers, Eli Lilly's early educational documents that are available to the medical community on the Eli Lilly website includes a patient guide for the treatment of obstructive sleep apnea or OSA. It was encouraging to see that Lilly followed the American Academy of Sleep Medicine or AASM guidelines that explicitly state that positive airway pressure devices are the frontline and gold standard for treating sleep apnea and that these PAP devices, CPAP, APAP, bilevel, have the highest efficacy when used as directed. Beyond just the guidelines, their own FAQs on the Lilly website informed physicians and patients that CPAP devices are now smaller and comfort. We agree. We welcome the opportunity to educate potential patients on the benefit of all therapy options for the treatment of obstructive sleep apnea, starting with the gold standard frontline CPAP, APAP, bilevel, then considering the next most efficacious dental devices and finally, looking at pharmaceutical or even surgical options.

[Michael Farrell, CEO & Chairman at ResMed]

On January 14, 2025, the AASM issued a quick reference guide to providers, considering the use of new drugs for the treatment of OSA. The AASM continues to emphasize the use of positive airway pressure as the frontline treatment and suggests that weight loss drugs may be useful as an adjunctive or combination therapy. Our experience with bariatric surgery patients these last 2 plus decades and now with these latest generation GLP-1s these last 5 plus years is that when someone loses weight, that doesn't change their age, that doesn't change their gender, that doesn't change, most importantly in this context, their craniofacial anatomy. These are key risk factors for sleep apnea. We are looking forward to addressing the educational gap on the prevalence and treatment of obstructive sleep apnea with continuing medical education or CME programs that we are aiming specifically at primary care physicians.

[Michael Farrell, CEO & Chairman at ResMed]

And we're especially targeting those who are high volume currently high volume GLP-one prescribers. They will be the frontline for the patients that pharmaceutical companies will attract as they ramp up their own consumer advertising throughout calendar year 2025 and beyond. We are now tracking 1,200,000 patients who have had a prescription for the latest generation GLP-one medicines and who also have a prescription for positive airway pressure therapy. The data are clear in this real world analysis, and that is that these people are very motivated. In fact, they are more than 10% more likely to start PAP therapy.

[Michael Farrell, CEO & Chairman at ResMed]

That motivation versus a garden variety PAP patient remains. 1 year later, we continue to see north of 3% higher, not just adherence, but actually buying masks and accessories. Then the curves separate with a greater than 5% increased propensity for resupply at 2 years. These data have now been steady with the same trend, plus or minus a couple of tens of basis points, as we have grown our analysis from a year ago with 300,000 plus patients to now tracking over 1,200,000 patients. One thing is clear.

[Michael Farrell, CEO & Chairman at ResMed]

The real world evidence shows that the combination of a GLP-one prescription and a PAP prescription is powerful for patients with obstructive sleep apnea. They start our therapy more and adhere more to PAP therapy over the long term. And we know that adhering to PAP therapy over the long term saves health care costs, improves patient quality of life outcomes and lowers patient mortality. We believe that GLP-1s are helping activate a whole new population of patients into the health care system that weren't coming in before, and ResMed is well positioned to support them. Okay.

[Michael Farrell, CEO & Chairman at ResMed]

Next, let's briefly return to the consumer wearables megatrend. The velocity of change in the way the world operates in consumer tech and in health tech is amazing, and ResMed is right in the nexus of that. In fact, we are driving adoption of basic ML and AI broadly into our software offerings across the board, and we are pioneering generative AI with our commercially available product, Dawn, which I see as just the start of what I call the sleep health concierge platform. More to come on that later. But the bottom line is consumers are more focused than ever on tracking their personal health, their personal wellness and their personal well-being.

[Michael Farrell, CEO & Chairman at ResMed]

The Samsung Galaxy Watch was the first to get de novo FDA clearance for detecting OSA early in 2024, and Apple announced sleep apnea detection from the main stage as they launched the latest generation Apple Watch in September 2024. The data tracked by those 2 leading wearables will provide the opportunity for their millions no, their 100 of millions of users to potentially detect sleep apnea. This is not a 1 quarter step change, but a chance for gradual and steady long term demand generation for sleep apnea patients that benefits ResMed. Of course, the information goes both ways. Patients can get their MyAir scores from the ResMed MyAir app, but they can also get them from their Apple Watch.

[Michael Farrell, CEO & Chairman at ResMed]

They can get their MyAir scores on their Samsung Galaxy Watch. We know that this type of gamification of health care can help drive adherence. We expect more and more people are going to want access real time to sleep data as the interest in improving sleep continues to grow. As I said earlier, it's not just these 2 leading tech players in Apple and Samsung, but it's also Google's Fitbit, Aura's Ring, Whoops device, Garmin devices and beyond. We expect that they will all continue to expand their sleep architecture and sleep assessment capabilities.

[Michael Farrell, CEO & Chairman at ResMed]

And my personal bet is that more than a few of these other wearable players will add sleep apnea detection in 2025. We see this investment by consumer wearables companies and pharmaceutical companies in sleep health as a once in a generation opportunity for sleep apnea awareness. We believe that these technologies will help drive more potential patients to seek out information regarding their sleep health and their breathing health. ResMed's obligation is to help sleep health concern consumers to find their own pathway to appropriate diagnosis and treatment for sleep apnea, where ResMed leads the world with the most clinically effective, the least invasive, the most proven and the most cost effective solutions on the planet. We don't believe that these 2 megatrends will drive a simple one and done or one time step change in patient flow.

[Michael Farrell, CEO & Chairman at ResMed]

Rather, we believe that this will be an increase from baseline patient flow that starts over 1, 3, 5 quarters as these technologies roll out, but has durability over 1, 3, 5 years and beyond. We are creating the infrastructure for demand generation, demand capture and demand conversion to help these people find the care that they need. Watch this space. So turning now to our long term vision that we outlined at our Investor Day at the New York Stock Exchange last September. Our ResMed 2,030 strategy is crystal clear.

[Michael Farrell, CEO & Chairman at ResMed]

It's focused on 3 key pillars. Number 1, growing and differentiating our core sleep health and breathing health business 2, expanding into adjacent areas, including respiratory insufficiencies such as COPD, including insomnia, including KONEESA and beyond and 3, leveraging our leadership in digital health to drive better outcomes for patients, for providers and for payers. So a key component of pillar number 1 is driving the value of the ResMed brand. That decision, that moment of truth when a physician writes a script for ResMed, when a respiratory therapist recommends a ResMed mask solution, when a health care provider chooses a ResMed digital health solution or where a consumer anywhere in the 140 countries where we sell our products and services establishes a personal relationship with the ResMed brand. All of these moments added together, that is the equity that is built into the ResMed brand.

[Michael Farrell, CEO & Chairman at ResMed]

We will continue to build our ResMed brand awareness and evolve our brand to be more future focused and closer to the customer. I want to make it clear that our marketing tech team will ensure that there is ROI, return on investment, for every single demand generation, every single demand capture and every single demand conversion project as we move more and more people into the diagnosis and treatment funnel. With over 1,000,000,000 people suffocating with sleep apnea worldwide, we have a lot of runway ahead in our core market. It's great that we have a couple of megatrends on our side to help. The global demand for sleep health and breathing health solutions is growing in our mission help people sleep better, breathe better and live high quality lives to their fullest potential continues to drive everything that we do.

[Michael Farrell, CEO & Chairman at ResMed]

When you combine those opportunities from our core sleep apnea market with pillar number 2, that is expanding into new adjacencies, the future couldn't be brighter. We will continue to invest in our cloud connected noninvasive ventilators for respiratory insufficiency, including COPD and neuromuscular disease. We will continue expanding our digital health and medtech solutions for insomnia patients. I believe we're just at the start of that journey of that awful disease that we need to treat, inability to get to sleep, stay asleep and wake up with refreshing sleep and beyond. And for the generation of people who want to age in place to receive health care at the best place, lowest cost, lowest acuity and highest quality of life, which is their home, we have our market leading software solutions like Brightree and Medifox, and we are best positioned to lower costs, improve efficiencies and improve long term outcomes.

[Michael Farrell, CEO & Chairman at ResMed]

We create life changing health care technologies that people love. In the last 12 months, we provided over 147,000,000 people with a product such as a CPAP, an APAP, a bilevel, a noninvasive ventilator, a mask, a cushion, a humidifier, other accessories or a digital health solution such as MyAir, AirView, Somnaware, Brightree, Medifox and beyond. Our ambitious goal is to empower that impact and to empower 500,000,000 people to reach their full potential in 2,030 with sleep health, breathing health and health care technology provided to them right where they live. With our strong financial foundation, our innovative product pipeline and our expanded digital health ecosystem, we are well positioned to meet and beat our goals. Thank you to all the 10,000 ResMedians for your hard work and dedication to make our mission possible, and thank you to our shareholders for your continued trust and support of our global ResMed team.

[Michael Farrell, CEO & Chairman at ResMed]

With that, I'll hand the call over to Brett and Sydney for a deeper dive into our financials, and then we'll open up the floor to questions. Brett, over to you.

[Brett Sandercock, CFO at ResMed]

Great. Thanks, Mick. In my remarks today, I'll provide an overview of our results for the Q2 of fiscal year 2025. Unless noted, all comparisons out of the prior year quarter and in constant currency terms were applicable. We had strong financial performance in Q2.

[Brett Sandercock, CFO at ResMed]

Group revenue for the December quarter was $1,280,000,000 an increase of 10% on both a headline and constant currency basis. Revenue growth reflects positive and consistent contributions across our product and resupply portfolio. Year over year movements in foreign currencies negatively impacted revenue by approximately $2,000,000 during the December quarter. Additionally, we expect that year over year movements in foreign currencies will also negatively impact our Q3 revenue somewhere in the range of $15,000,000 to $20,000,000 Looking at our geographic revenue distribution and excluding revenue from our Residential Care Software business, sales in U. S, Canada and Latin America countries increased by 12%.

[Brett Sandercock, CFO at ResMed]

Sales in Europe, Asia and other regions increased by 8%. Globally, on a constant currency basis, device sales increased by 11%, while masks and other sales also increased by 11%. Breaking it down by regional areas, device sales in the U. S, Canada and Latin America increased by 12%, supported by solid ongoing new patient diagnosis. Masks and other sales also increased by 12%, reflecting growth in both resupply and new patient setups.

[Brett Sandercock, CFO at ResMed]

In Europe, Asia and other regions, device sales increased by 9% on a constant currency basis. Masks and other sales increased by 7% on a constant currency basis. Residential Care software revenue increased by 8% in the December quarter, underpinned by strong performance from our Medifox Dhan software vertical. During the rest of my commentary today, I will be referring to non GAAP numbers. We have provided a full reconciliation of the non GAAP to GAAP numbers in our Q2 earnings press release.

[Brett Sandercock, CFO at ResMed]

Gross margin increased by 2 30 basis points to 59.2 percent in the December quarter. Year over year increase was mainly driven by manufacturing and logistics efficiencies and component cost improvements. Sequential gross margin was consistent with last quarter despite the impact from an unfavorable currency headwind of approximately 30 basis points during the quarter. We continue to make good progress on our gross margin expansion initiatives and we are focused on driving further improvement in our gross margin. Looking forward, we expect gross margin will be in the range of 59% to 60% in the second half of fiscal year twenty twenty five.

[Brett Sandercock, CFO at ResMed]

Moving on to operating expenses. SG and A expenses for the 2nd quarter increased by 9% on both a headline and constant currency basis. The increase was predominantly attributable to increases in employee related costs and to a lesser extent increases in marketing and travel expenses. SG and A expenses as a percentage of revenue improved to 18.8 percent compared to 19.1 percent in the prior year period. Looking forward and subject to currency movements, we expect SG and A expenses as a percentage of revenue to be in the range of 18% to 20% for the second half of fiscal year twenty twenty five.

[Brett Sandercock, CFO at ResMed]

R and D expenses for the quarter increased by 10% on both a headline and constant currency basis. The increase was predominantly attributable to increases in employee related expenses. R and D expenses as a percentage of revenue were 6.3% compared to the 6.4% in the prior year period. Looking forward and subject to currency movements, we expect R and D expenses as a percentage of revenue to be in the range of 6% to 7% for the second half of fiscal year twenty twenty five. Operating profit for the quarter increased by 19% underpinned by revenue growth and gross margin expansion.

[Brett Sandercock, CFO at ResMed]

Our interest expense for the quarter was $1,000,000 Given our lower debt levels, we expect to generate net interest income in the second half of fiscal year twenty twenty five. Our effective tax rate for the December quarter was 18% compared to 20.7% in the prior year quarter. The decrease in our effective tax rate was primarily due to higher tax benefits associated with employee equity compensation this quarter. We estimate our effective tax rate for fiscal year 2025 will be in the range of 19% to 21%. Our net income for the December quarter increased by 29% and non GAAP diluted earnings per share also increased by 29%.

[Brett Sandercock, CFO at ResMed]

Cash flow from operations for the quarter was 309,000,000 dollars reflecting strong operating results, partially offset by higher working capital. Capital expenditure for the quarter was $21,000,000 Depreciation and amortization for the quarter totaled 46,000,000 We ended the 2nd quarter with a cash balance of $522,000,000 On December 31, we had $673,000,000 in gross debt and $151,000,000 in net debt and we have approximately $1,500,000,000 available for drawdown under our revolver facility. We continue to maintain a solid liquidity position. Today, our Board of Directors declared a quarterly dividend of $0.53 per share. During the quarter, we purchased approximately 307,000 shares under our previously authorized share buyback program for consideration of $75,000,000 We plan to continue to purchase shares to the value of approximately $75,000,000 per quarter in fiscal year 2025.

[Brett Sandercock, CFO at ResMed]

This will more than offset any dilution from the vesting of equity to employees during the year. Going forward, we plan to continue to reinvest in growth through R and D, deploy further capital for tuck in acquisitions and continue our share buyback program. And with that, I'll hand the call back to Mike.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

Thanks, Brett. Matt, I'll now turn the call over to you to provide instructions and run the Q and A portion of the call. Thank you.

[Operator]

Thank you. We will now be conducting a question and answer First question is from Dan Hurn from MST. Please go ahead. Sorry, Dan. We can hear your line.

[Operator]

I guess you cannot hear us.

[Dan Hurren, Analyst at MST Financial]

I'm sorry. Yes. Sorry. My apologies. I've come through loud and clear.

[Dan Hurren, Analyst at MST Financial]

Just a question for Brett in regards to currency. At one of the recent speaking events, there were comments made about negative impact of FX on margins. And I think you've just spoken to some negative top line. Could you just talk us through any other FX impacts down the P and L as we've seen the strength of the U. S.

[Dan Hurren, Analyst at MST Financial]

Dollar?

[Brett Sandercock, CFO at ResMed]

Yes. Hi, Dan. Yes, I mean, you called out particularly sequentially that 30 basis points impact for us. If you look down the P and L and net impact was negative $0.02 on our EPS for this quarter.

[Dan Hurren, Analyst at MST Financial]

I guess, sorry, my question was more looking forward on the spot rates that we have at the moment. Impacting all the people.

[Brett Sandercock, CFO at ResMed]

Yes, got it, got it.

[Brett Sandercock, CFO at ResMed]

Yes, if we look at it, you think about it, we sort of take if you like revenue kind of straight away in the quarter, but there is typically about a quarter's lag where we see some benefit from a weaker say Singapore dollar and Aussie dollar for example. So that sort of helps us going into Q3, but we still have some of that euro weakness coming through. So my expectation on gross margin will be relatively neutral on our gross margin and we'll get in a slight benefit if you like on a headline basis through R and D and SG and A. A.

[Operator]

Our next question is from Devin Talatine from Goldman Sachs. Please go ahead.

[Davin Thillainathan, Equity Analyst at Goldman Sachs]

Hi, Mick and team. Thank you for the presentation. Just a question on the devices part of your business. Clearly, really strong U. S.

[Davin Thillainathan, Equity Analyst at Goldman Sachs]

Devices growth double digit profile. Could you give us some sense there on your thinking about the GLP-one impact there? I know there were some comments on your opening remarks about the patient flow potentially stepping up from GLP-1s. Do you feel that starting to sort of flow through in the numbers now? Or do you feel like it's perhaps a bit back end weighted considering the Lilly label expansion vessel?

[Davin Thillainathan, Equity Analyst at Goldman Sachs]

Thank you.

[Michael Farrell, CEO & Chairman at ResMed]

Yes, thanks. It's a good question. And there's multiple impacts of those 2 megatrends I talked about, the GLP-1s and the consumer tech companies and their awareness they're driving in sleep apnea. Both of them drive together to drive patients to think about sleep health and breathing health and specifically about sleep suffocation or sleep apnea. And so, yes, look, incredibly strong performance as you noted, plus 12% devices year on year for the quarter in the U.

[Michael Farrell, CEO & Chairman at ResMed]

S, plus 9% in Europe, Asia, Rest of World and just great growth. I don't think there's a huge material impact from specifically the new ZEPBOUND indication in Eli Lilly. They just got their indication in December. And typically, pharmaceutical companies wait 6 plus months before they really start their direct to consumer advertising. And so what we're seeing now is a lot of clinical education, continuing medical education, CME programs from ResMed and from Lilly and others to primary care physicians.

[Michael Farrell, CEO & Chairman at ResMed]

And that's what I expect. But that education alone, I think, will start to drive some demand gen into the funnel. It's going to be up to ResMed to really partner with those primary care physicians to ensure demand capture, conversion and curation into the sleep apnea diagnosis, treatment and management funnel. And so that sort of pathway, if you like, is in its early phases. I think we're in the very early stages of that.

[Michael Farrell, CEO & Chairman at ResMed]

As I said in the prep remarks, I think the impact will start to happen over the coming 1, 3, 5 quarters where we'll start to get those models working, but it will have a durable impact over the coming sort of 1, 3, 5 years and beyond. So this isn't sort of, as I

[Michael Farrell, CEO & Chairman at ResMed]

said earlier, it's not a

[Michael Farrell, CEO & Chairman at ResMed]

one and done. It's not a single step change. It's a gradual improvement in that patient flow. So I think we're in the very early innings of the flow of extra patients from GLP-1s and from consumer tech. Thanks for the question.

[Operator]

Our next question is from Leanne Harrison from Bank of America. Please go ahead.

[Lyanne Harrison, Analyst at Bank of America]

Yes. Good morning all and congratulations on very strong devices growth both in the United States and rest of the world. Can you point out if there's any, I guess, bulk purchases or one offs that might have occurred this quarter? Also if there was any DME stocking ahead of potential tariffs?

[Michael Farrell, CEO & Chairman at ResMed]

Yes. So thanks for the question, Lianne. The short answer is no. We haven't had any of that sort of one time stocking. We did talk last quarter in Q1 about Japan where we launched the Essence 11.

[Michael Farrell, CEO & Chairman at ResMed]

And so Q1, there was some stocking in Japan because that is a sort of fleet management business of our main distributors there. But no, in Q2, none of that. We do not believe the ResMed will have any impact to us on any tariffs. When you hear and I sit on the Board of Advomed, so I'm carefully involved with Washington, D. C.

[Michael Farrell, CEO & Chairman at ResMed]

And Brussels and Beijing from that group. But we have a Trump ready group, and we were looking at the tariffs. And as we see them, even if there are blanket tariffs on China, there will be no impact on ResMed. We manufacture in Sydney, Singapore, Atlanta and beyond, and so none of those will be included. It may impact one of our competitors from China as they import to the U.

[Michael Farrell, CEO & Chairman at ResMed]

S. Through Florida. So if there was a blanket impact on China, it could have a negative impact on them. And if there was a blanket sort of USMCA, so Mexico Canada change from the Trump administration, which could happen and has been threatened, that could impact a competitor from New Zealand who does a lot of mass manufacturing in the Maquiladores there on the border and the Mexican side of the border. So both of those could have a negative impact on our competitors.

[Michael Farrell, CEO & Chairman at ResMed]

We're not banking on it. And in fact, at AviMed, I will advocate for a carve out for medtech and or food industries. I think they should be carved out even though it would hurt our competitors. I think I'd take the high road and say what's right for the community there. But let's see, we get to see what happens over the coming weeks months there.

[Michael Farrell, CEO & Chairman at ResMed]

But at ResMed, we're really focused for any of these outcomes, and we saw a pretty steady flow of patients into the funnel, and that resulted in the strong device growth. Our challenge, as I said earlier in the prep remarks, Leanne, is to ensure that we sort of continue that momentum and do our best to capture these patients who are being identified from their wearables or coming into the health care system because of the awareness of the new pharmaceutical class that can partially treat or can treat in combination therapy with CPAP. And so we'll be watching that and putting into place a lot of programs to see what we can do to maintain great momentum that we've had. Thanks for the question.

[Lyanne Harrison, Analyst at Bank of America]

Great. Thanks, Mig.

[Operator]

Next question is from Laura Stockless from UBS. Please go ahead.

[Laura Sutcliffe, Head of Equity Research at UBS Group]

Could you talk to your ability to scale things like home sleep testing and remote setup and anything else you think can help with getting all these potential new patients who might be coming your way onto therapy as soon as possible? Because one thing we hear is that sleep physicians in the U. S. Are struggling maybe to see all of the patients that they possibly could be. So just wondering how you can help create some space to get that done?

[Laura Sutcliffe, Head of Equity Research at UBS Group]

Thanks.

[Michael Farrell, CEO & Chairman at ResMed]

Yes. Laura, it's actually it's a great question. And as you noted in your question, there is a limit to sort of the physical space that you can have in the infrastructure required for in lab sleep labs. And many of them are at capacity. As you've seen, just the awareness of sleep health and breathing health, people are thinking about it and asking questions and going to see the primary care physicians and getting referrals.

[Michael Farrell, CEO & Chairman at ResMed]

We want to make sure that, that sleep lab capacity remains at full usage, but is focused on the more sick and more severe patients. So patients who might have central sleep apnea, they need to be in a sleep lab because then they can diagnose their inability to breathe, which is with an open airway, which is central sleep apnea and get them a prescription for something like adaptive servo ventilation, one of our high end therapies that can help ventilate the patient with an open airway. Also with overlap syndrome, if patients have COPD, they need to be in one of those labs because they're probably going to put them on a bi level or non invasive ventilation therapy to ventilate the patient and account for the obstruction if they have overlap syndrome. And if they have concomitant insomnia, as I talked about in the prep remarks, that is now called KONEZA, the physician may use CPAP or APAP or bile for their obstructive sleep apnea. And right now, most of the options are only pharmaceutical options for the insomnia part.

[Michael Farrell, CEO & Chairman at ResMed]

But watch this space for the future there. To your point, in your question, you said scaling the home sleep testing part. That's the part that can flex. And that's the part that can flex quickly with this new demand. And even large teaching hospitals, like right here in California down the street, there's a large teaching hospital that has very large in lab setup, but they also have an infrastructure of home sleep apnea testing equipment and they've got the ability to scale the number of tests that can happen for those who are at high risk for general garden variety obstructive sleep apnea.

[Michael Farrell, CEO & Chairman at ResMed]

Those patients should be primarily funneled to home sleep apnea testing. And so as we get this new flow of patients, ResMed's challenge is to do this demand capture, curation and conversion and to partner with the sleep labs and the home sleep apnea testing companies. And many of them are 1 and the same, so that they can flex to keep this new demand and to make sure a patient doesn't wait months for a test, but waits days and no longer than weeks. And so we saw during COVID a great flex around home sleep apnea testing when labs were just closed and hospitals weren't allowing patients for outpatient. And so we know that it can work.

[Michael Farrell, CEO & Chairman at ResMed]

We've created the infrastructure with ApneaLink Air. We've launched our product called the Night Owl, which is a very small sort of fingertip sized home sleep apnea testing product. And we have partners out there using that. We're open to all of the other diagnostics from Knox Medical. We partner with them in Europe.

[Michael Farrell, CEO & Chairman at ResMed]

And so our goal will be to make sure that every time patients come into primary care physicians and get that prescription and that desire for a home sleep apnea test that a sleep physician is available to serve them, whether it's in lab for the more complicated patients and for home sleep apnea testing for the triage of the vast majority of patients that have obstructive sleep apnea alone. So we're ready. We're partnering with the channel. And as I said, over the coming 1, 3, 5 quarters, we'll roll out the infrastructure. The 1, 3, 5 years, we'll start to see the benefit of the scaling of the patients through there.

[Michael Farrell, CEO & Chairman at ResMed]

It's a great question about the infrastructure. Thank you, Laura.

[Operator]

Next question is from Craig Wong Kent from RBC. Please go ahead.

[Craig Wong-Pan, Director - Equity Research at RBC Capital Markets]

Great. Thank you. SaaS revenue growth slowed a bit from the Q1.

[Craig Wong-Pan, Director - Equity Research at RBC Capital Markets]

Could you share what the growth rates were for the different businesses within SaaS? And are you still expecting double digit growth for that business?

[Michael Farrell, CEO & Chairman at ResMed]

Yes. Thanks for the question, Craig. And yes, our Residential Care Software business includes Medifox, Brightree and MatrixCare Brands and beyond, Sidus Medical and others. We don't break out annually or even on a quarterly basis our the breakdown of what flow there. I can give you some trends though.

[Michael Farrell, CEO & Chairman at ResMed]

Look, as Brett said in his prepared remarks, our Medifox team are doing very well. Our German home nursing and nursing home software business is growing very strongly. So it's ahead of that group growth of 8%. And Brightree is doing very well, sort of in line in that high single digits.

[Michael Farrell, CEO & Chairman at ResMed]

And some of the sort

[Michael Farrell, CEO & Chairman at ResMed]

of skilled nursing facilities and senior living facilities post COVID have never really picked up the rate of growth that they'd had before. And so we're looking as we look at those businesses, we look at it as a portfolio management approach, and we're investing more and more in the growth parts of the business. Obviously, huge synergies back to our core business in Brightree, resupply Snap Technologies. So we're investing a lot in Brightree and Snap. And as I said in my prepared remarks, scaling SNAP for all, which will increase our software as a service, residential care software core growth, but also will help us maintain momentum in our mask growth in the core market as well.

[Michael Farrell, CEO & Chairman at ResMed]

So we're seeing good growth there. And in some of the lower growth areas, we'll probably invest less in those areas. And so that sort of portfolio management, I think we guided to high single digit growth for our Residential Care Software business. I have guided to double digit growth in net operating profit, and we are achieving that within our Residential Care Software business. And so that's where we're really looking at, meeting or beating that market growth of high single digits and then making sure that we get leverage through SG and A and R and D to strong net operating profit growth in the double digits there.

[Michael Farrell, CEO & Chairman at ResMed]

But it's a good question, and it's something we look at very carefully. And portfolio management across residential care software, I'm working very closely with the residential care software teams, the leaders of Brightree, leaders of Medifox and leaders of our Matrix Care brands to make sure that we're investing in the right areas and where there's the most potential to lower costs, improve outcomes and the most synergies with our core ResMed business. Thanks for the question, Craig.

[Operator]

Next question is from Mike Matson from Needham and Company. Please go ahead. I guess, I want to

[Michael Matson, Senior Analyst at Needham & Company]

ask one on the device growth. I mean, it was double digits. Do you think that's representative of the growth in patients?

[Michael Matson, Senior Analyst at Needham & Company]

Or are you getting some kind of pricing benefit up there on top of that? And then or is there something maybe happening with repap where that starting to pick

[Michael Matson, Senior Analyst at Needham & Company]

up?

[Michael Farrell, CEO & Chairman at ResMed]

Yes, Mike. Thanks for the question and it's a good one. Look, what we say is that the market growth rate is mid single digit for devices globally and mid single digit devices growth in the U. S, just standard market growth and high single digit growth for the masks.

[Michael Farrell, CEO & Chairman at ResMed]

And our job, you followed us for a long time, Mike, is to not just accept market growth, but to meet or beat it through demand generation, through, as you said, resupply on the mask side, repap on the device side. I can tell you our customers and our partners in the channel as well as globally distributors and some of our consumer businesses in Europe and Asia are really focused on those new patients, but also on patients who have devices that are 5 or more years old. The warranties are usually only around 3 years. And so anytime after 3 years, some people want once it's out of warranty to buy. But most insurance companies, including Medicare here in the U.

[Michael Farrell, CEO & Chairman at ResMed]

S, will provide a new device after 5 years, most of the private pays as well. And so I think that repap opportunity is still out there, and it's something that we've got an opportunity to drive. But look, it's an ongoing battle. It's an ongoing game to make sure that we can get the demand generation, demand curation, the demand capture and really that demand conversion to make sure a person gets from that referral to the sleep specialist if they have a positive diagnosis for a rapid path to set up. And we've been working a long time on that digital health platform.

[Michael Farrell, CEO & Chairman at ResMed]

COVID helped us improve that we could do some of these more digitally, more remotely, and we partnered with our physicians to do that. And we've had some success, as you saw, with really good growth in this quarter. But look, as we look at it, the default is mid single digit growth in devices, high single digit growth in masks and high single digit growth in software. Our goal is to meet or beat that every quarter. And we did meet or beat that in every part.

[Michael Farrell, CEO & Chairman at ResMed]

We had a beat in the devices, but it's not a given, and we don't take it for granted. And we know that we have to work hard on all of the above. Demand gen capture curation, repap conversion and resupply on the mask side to keep that momentum. Thanks for the question, Mark.

[Michael Matson, Senior Analyst at Needham & Company]

Okay. Thank you.

[Operator]

Our next question is from Anthony Petrone from Mizuho Group. Please go ahead.

[Anthony Petrone, Managing Director at Mizuho Financial Group]

Thanks, Mick. And I'll just revisit back to GLP-one, but actually pivot to reimbursement coverage. So Lilly secured Medicare coverage for ZEP bound. We haven't seen commercial payers come in. So maybe just your views, Mick, how reimbursement in the United States will settle out now that we'll have GLP-one covered side by side with CPAP?

[Anthony Petrone, Managing Director at Mizuho Financial Group]

Do you think eventually as commercial payers come in that you'll have to actually step through CPAP to get to a GLP-one? Thanks again.

[Michael Farrell, CEO & Chairman at ResMed]

Yes. Thanks for the question, Anthony. And look, you and the other great cell site analysts here know the pharmaceutical side better than I do. I'm a global expert on medtech and particularly respiratory medtech. You're better on your own research and your team to know what's going to happen with if Lilly got ZEP bound with CMS, what are their chances of being out of Humana, Cigna and beyond.

[Michael Farrell, CEO & Chairman at ResMed]

But look, in general, in Outspace, yes, the private pays do follow Medicare, at least to some extent, but not a given. This is a new class of medicines that's not just focused on sleep apnea. It's really focused on that sort of broad obesity play, cardiovascular, diabetes, metabolic syndrome and obstructive sleep apnea is probably the 3rd tier there. So we're not unrealistic to know that this indication for use is not the only thing that Lilly is focused on, and it's probably not their number one priority. But I think having spent tens of 1,000,000 on the surmount OSA trial and having positive data that sort of shows that on average half treatment, 50% treatment of AHI, they've got a good incentive to start advertising.

[Michael Farrell, CEO & Chairman at ResMed]

We're going to watch very carefully as they get that reimbursement for ZEP bound for different indications. Is it for obesity or is it for apnea and is it for diabetes? But as they start to get those, I'm pretty certain that we will start to see that sort of direct to consumer advertising. What we have seen already is that they are investing in continuing medical education. Their CME programs are out there.

[Michael Farrell, CEO & Chairman at ResMed]

They posted on their website a lot of information. And the heartening part for us, Anthony, is that they're following the American Academy of Sleep Medicine guidelines. They're following the gold standard guidelines. And that really does, as you say, it says frontline, you have to use the most efficacious, least invasive, most proven therapy first. And so you have to use CPAP, APAP, bi level.

[Michael Farrell, CEO & Chairman at ResMed]

And then as their own data showed, like Lilly's data in Symant OSH showed in that they had 2 trials, 1 non CPAP patients and 1 CPAP patients. The CPAP patient trial, those patients did better. They had better outcomes. And so it's not just in the medical science from the American Academy of Sleep Medicine, it's from Lilly's own clinical data that shows the combination therapy is better. So I think that we'll start to see them do that advertising at some point following their indication for use approval.

[Michael Farrell, CEO & Chairman at ResMed]

I don't know if it's 6 months or 12 months, every pharmaceutical company makes a different decision on every drug. But I look forward to them getting approval, getting the coverage as broadly as they can and starting to advertise and doing the right thing, saying we do want to treat the whole person. We want to treat the core sleep apnea, and you want to treat the weight. And that combination therapy, we think, is the future of obstructive sleep apnea treatment. We saw it in their data.

[Michael Farrell, CEO & Chairman at ResMed]

We see it in our data, the 1,200,000 patients we're following. The combination prescription of a GLP-one prescription and a PAP prescription leads to pretty good outcomes, high start rates and high propensity to adhere to therapy. And for us, we see that in the purchase of masks and accessories. And we know that leads to lower costs and better outcomes and lower mortality for the patients. So yes, Anthony, early days, as I said, but we're quite excited about that.

[Michael Farrell, CEO & Chairman at ResMed]

I haven't got any questions yet about

[Michael Farrell, CEO & Chairman at ResMed]

it, but I'm actually slightly more excited about the consumer tech trend because that's already out there. You've got tens of millions of people, hundreds of millions of people with these watches, these wearables and that those algorithms are FDA cleared. And they can detect sleep apnea and we will start to see those patients come through and it's our challenge to help those people find a digital pathway into the health care system.

[Michael Farrell, CEO & Chairman at ResMed]

Thanks for the question, Anthony.

[Anthony Petrone, Managing Director at Mizuho Financial Group]

Thank you.

[Operator]

Next question is from Matthew Chaburier from Citi. Please go ahead.

[Mathieu Chevrier, Vice President - Healthcare Research at Citi]

Yes.

[Mathieu Chevrier, Vice President - Healthcare Research at Citi]

Thanks for taking my question. Good afternoon. Good morning. Just to jump back on that previous question, do you think there's more research to do on the benefits of CPAP and perhaps more education? It's clearly the pharma companies have been quite aggressive at just broadening the potential indications for GLP-1s.

[Mathieu Chevrier, Vice President - Healthcare Research at Citi]

Thank you.

[Michael Farrell, CEO & Chairman at ResMed]

It's a great question. And if you look at the nearly 21,000,000,000 nights of respiratory medical data that ResMed has in the cloud, the more than 30,000,000 patients that are part of the AirView ecosystem, the 9,300,000 patients that have downloaded the MyAir app, we've got a treasure trove of information. And we have absolutely it's all de identified, it's private, it's cyber secure and we really focus on really looking, as you said, on that research. We have peer reviewed published data showing a 39% reduction in mortality for patients who are CPAP adherent versus not in our Alaska study. We have a lot of data that we've shown in improvements in cardiovascular outcomes, reductions in blood pressure, improvements in HbA1c for metabolic control and beyond.

[Michael Farrell, CEO & Chairman at ResMed]

But to your point, I think given the awareness that's going to be driven by the pharmaceutical companies coming in here, we have to drive more and more of that. So I challenged our Chief Medical Officer, Carlos Nunez, and his team to increase the velocity and the qualities. Velocity is speed plus direction. So not just the speed of clinical research to market from our real world data, but the direction that it is more focused on outcomes, really showing, and we peer reviewed published this, that for there's a dose response relationship between the use of CPAP every night and the lowering of health care all cause health care cost outcomes. So for every hour of sleep using your CPAP, you have a 7% reduction in total health care costs for that patient, all the way up to 7 hours sleep, so up to 50% reduction in all cause costs.

[Michael Farrell, CEO & Chairman at ResMed]

And so the more and more ResMed can not only get those data, but get those data and put them into the Intermountain Healthcare System, put them into the Kaiser Healthcare System, these great payer providers, Geisinger and beyond. And actually, the mortality data was done with the French government on a Social Security database, the Alaska study. The more we can do that in Western Northern Europe, where you've got government run insurance programs that really do focus on long term outcomes because the government is the payer for the life of these citizens. And so we're going to have more and more data, watch this space. We are the market leader in digital health and I would say publication of real world data and real world evidence in the field of medtech and you're going to see more and more from us.

[Michael Farrell, CEO & Chairman at ResMed]

And it will only be increased in the momentum with big pharma starting to invest with things like surmountt OSA showing combination therapy is better than single therapy as well. So more grist for the mill. Thanks for the question.

[Operator]

Our next question is from David Lo from JPMorgan. Please go ahead.

[David Low, Analyst at JP Morgan]

Thanks very much. Mick, I

[David Low, Analyst at JP Morgan]

was wondering if we could come back to the question that was asked earlier about the market growth versus ResMed's growth. I mean, clearly with ResMed's dominance in devices, ResMed largely is the market. Can you get even talk a little bit as to what you think the drivers might have been this quarter that we drove that growth rate above 10% versus your estimates of market? I mean, clearly, some of the variables would like to understand price and mix and whether that really was a contributor. And do you have a sense as to whether Repat is starting to become a meaningful contributor at this stage, please?

[Michael Farrell, CEO & Chairman at ResMed]

Yes. Thanks, David. And as you know, you've followed us for a long time too. There's lots of aspects that go into just the quarterly snapshot. Clearly, we have a very strong position.

[Michael Farrell, CEO & Chairman at ResMed]

We have very strong competition. We have very strong position in the U. S, in Europe and in Asia. But we do have competition, so we are able to take share. And we are able to disproportionately partner with physicians, home care providers and distributors and beyond, where they are able to do better at growing share.

[Michael Farrell, CEO & Chairman at ResMed]

So we partner and provide technology like Brightree and AirView that helps identify patients for resupply. And that helped us get haven't really talked about it much, but our U. S. Mask growth was 12% in the quarter, which was really strong too. And so those proprietary resupply and SNAP technologies are really strong.

[Michael Farrell, CEO & Chairman at ResMed]

But on the device side, look, yes, a couple of 100 basis points ahead of market. How much of that was some of that demand gen work? How much of that was deductible health plans and what we can do with patients there in the December quarter, how much was Repap. We have the splits around those. We know the levers that we can turn.

[Michael Farrell, CEO & Chairman at ResMed]

And we're going to what our job is to really, I think, in these megatrends is to work out how do we sustainably, incredibly, to an earlier question about infrastructure, make sure that the new patients coming in aren't held in a do loop in terms of the time from referral to a sleep specialist to getting that diagnostic and then getting to therapy. And that sort of process optimization, I think, is a way that we can maintain that type of momentum. But there are many other aspects. And yes, I mean, I said this earlier, but I think we're in the very, very early stages of seeing any flow from these other big mega trends. But we have to be ready to capture those patients as well.

[Michael Farrell, CEO & Chairman at ResMed]

So it's kind of a complex sort of portfolio management approach to demand gen capture and conversion, whether it's existing installed base with resupply and repap and new patients. And that balance for both devices and masks, I think we're getting down to a pretty good science on it. We did very well this quarter, and we'll keep on focusing for 2025 on the long term investments we're going to need to make in infrastructure and capabilities to capture, convert and ensure a really good experience for the person as they go from sleep concern consumer to a happy patient on therapy for life.

[Operator]

Next question is from Brett Fishman from KeyBanc Capital Markets. Please go ahead.

[Brett Fishbin, Vice President & Equity Research Analyst at KeyBanc Capital Markets]

Hey, guys. Thank you for squeezing me in. Just a question for Brett on the gross margin guidance for QH. Are you still expecting a sequential increase given relatively

[Brett Fishbin, Vice President & Equity Research Analyst at KeyBanc Capital Markets]

flat performance in 2Q?

[Brett Fishbin, Vice President & Equity Research Analyst at KeyBanc Capital Markets]

Expecting a sequential increase given relatively flat performance in 2Q versus 1Q? Or should we be thinking about 1H as more of a reasonable level for QH? And just as a follow-up there, what would be the biggest swing factors that you think could drive progress closer to the high end of the commentary, which would be closer to 60%? Thank you very much.

[Brett Sandercock, CFO at ResMed]

Yes.

[Brett Sandercock, CFO at ResMed]

Thanks, Brett. Yes, the that we sort of guided that 59% to 60%, we're at sort of the low end there. We certainly we've got initiatives in place. We want to continue to improve the gross margin. So certainly that's our aim as we work through the second half of FY 'twenty five.

[Brett Sandercock, CFO at ResMed]

But we think it will be in that range of 59% to 60%. There's a lot of optimization initiatives we're working on. 3 key areas is manufacturing, there's procurement initiatives, just scale benefits as well. The progressive transition to the IH-eleven platform as well plays out. Some of the swing factors on there will be things like product mix as well and kind of how favorable or unfavorable that is.

[Brett Sandercock, CFO at ResMed]

Freight, which has stabilized, do we see some benefits in the second half? That's probably still a watch and wait. And as we roll out new products as well, that tends to help. So there's a bunch of factors that play out on that can impact the timing of when these benefits come through. But our priority is to have a good healthy pipeline, and then we can deliver that pretty consistently and that should support our gross margin on kind of like a medium term view if you like rather than quarter by quarter.

[Operator]

Thank you. This concludes the question and answer session. I'd like to turn the floor back to management for closing comments.

[Michael Farrell, CEO & Chairman at ResMed]

Great. Well, thanks, Matt, and thank you to our shareholders for joining us on this call. And thank you especially to the 10,000 ResMedians operating in 140 countries. Many of you are also shareholders. Thanks for what you do today and every day.

[Michael Farrell, CEO & Chairman at ResMed]

You're working with patients, physicians, payers, providers and healthcare communities to change the world. And you build value for stakeholders, especially the shareholders who are listening to us today. So thank you for what you did these last 90 days. We'll talk to you all again in about 90 days. And that concludes the call.

[Michael Farrell, CEO & Chairman at ResMed]

I'll hand over to Mike Ott to close us out.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

Great. Thank you, Mick, and thank you everyone for listening. We appreciate your time and interest. If you have any additional questions, please don't hesitate to reach out directly. This concludes ResMed's Q2 2025 conference call.

[Mike Ott, Senior Manager - Investor Relations at ResMed]

Matt, you may now close the call.

[Operator]

Thank you. This concludes today's teleconference. You may disconnect your lines at this time. Thank you again for your participation.

Participants

Executives

• Mike Ott, Senior Manager - Investor Relations
• Michael Farrell, CEO & Chairman
• Brett Sandercock, CFO

Analysts

• Dan Hurren, Analyst at MST Financial
• Davin Thillainathan, Equity Analyst at Goldman Sachs
• Lyanne Harrison, Analyst at Bank of America
• Laura Sutcliffe, Head of Equity Research at UBS Group
• Craig Wong-Pan, Director - Equity Research at RBC Capital Markets
• Michael Matson, Senior Analyst at Needham & Company
• Anthony Petrone, Managing Director at Mizuho Financial Group
• Mathieu Chevrier, Vice President - Healthcare Research at Citi
• David Low, Analyst at JP Morgan
• Brett Fishbin, Vice President & Equity Research Analyst at KeyBanc Capital Markets