DENTSPLY SIRONA Inc. (XRAY) Earnings Call Transcript & Summary

May 10, 2023

NASDAQ US Health Care Health Care Equipment and Supplies conference_presentation 31 min

Earnings Call Speaker Segments

Michael Cherny

analyst
#1

Great. Good morning, everyone. Welcome to day 2 of the BofA Healthcare Conference. I'm Mike Cherny, the healthcare tech and distribution analyst. It's my pleasure to have with us DENTSPLY SIRONA, Simon Campion, still new-ish CEO [ yet ] ish for the first year and Andrea Daley from IR joining us the Croswell. So really appreciate you coming here.

Michael Cherny

analyst
#2

And I guess maybe using we call is a state of the world dynamic. But you've been job for about 9 months now, I think, give or take. So I guess let's just start with what have you been most positively surprised about and most, I guess, worried about in terms of we tried to find a better word but as you stepped in with you and Glenn joining the senior suite?

Simon Campion

executive
#3

I'll start for the back end. I think the work that we have underway now is really an artifact of integration that hadn't been completed with the merger of DENTSPLY and SIRONA. And so that's work that we're doing right now. Work on processes such as R&D. We announced that earnings that we are going to do a lot of work on ERP. We just signed up for that. And In some of the margin improvements that we've seen over the past couple of years, we're really taking low-hanging fruit as opposed to making foundational changes to the company. So that's the work that we have underway, whether it's R&D process, whether it's ERP, whether it's SKU rationalization, whether it's network optimization, and we announced 2 facilities being closed just at earnings last week. So that's where we say the better new side of the equation. On the positive side, we still sell about $1 billion a quarter despite sometimes our best efforts. We have a pretty strong product portfolio that encompasses all aspects of dental care. And we are, I think, at the forefront of the digital transformation that's in the Dentistry. So -- and the people that we have in the team, they have simply been just trying out for stable and inclusive and transparent leadership and we're beginning to see the pivot in some of the data that we have internally about do people want to come to work at DENTSPLY SIRONA. And we think that's really important that we get that correct first.

Michael Cherny

analyst
#4

And I like the fact that you and Glenn obviously leaders we brought in have come in with a very fresh set of eyes and kind of clear mind on, let's say, the portfolio and make the best of what we have here and continue to build forward. You listed a lot of stuff from a priority perspective. And I know that we're going to be seeing over the next couple of quarters than the November Analyst Day you plan to do. How do you think about prioritizing what should come first? And I guess maybe this is kind of like that old analogy of which patients do you save when there is some mass casualty type dynamic. But I'm not overstating it, but like how do you think about the best ways like does one feed the other? Does some of the facility rationalization get you better equipped on the cost side as you roll in ERPs, so you're not duplicative efforts. Like how do you balance and mix all those together?

Simon Campion

executive
#5

I think the overarching thing is this over transformation that we're going through, where we have as of April 1, restructured how we work together. The effect of DENTSPLY SIRONA coming together was a lot of duplicity in terms of functions and people and processes. So streamlining that into one leadership team under Andreas Frank is going to help us make decisions faster, make higher quality decisions at hold -- hold people accountable for what they do. The SKUs we've communicated before, and it's different groups for the most part that are doing this. So we're not asking the same 15 people to do this work. The SKUs, we have 90,000 SKUs there or thereabouts. The vast majority don't contribute anything meaningful to revenue. And they have just got out of control. So we have all the analytics done now on preventative and Resto. Resto and Endo rather. And what we're doing now, we want to be thoughtful about how we do. Point number 1 for us is don't give up any revenue on this. It's revenue you don't want as a really low margin revenue. But we're actually in some countries in Europe on some product lines right now testing our hypothesis. Can we migrate customers from product A to product B and what will be the result of that be?. We don't expect to see any benefits of that this year. We expect to see benefits at the back end of next year. And it should afford us an opportunity to rationalize our network footprint, we believe that . So they're just 2 of the big triggers that we're going after.

Michael Cherny

analyst
#6

And just thinking about that to taking that a little bit or pick through it. In terms of to the x-ray side, how much of it is a mix of -- the cost benefit side, I clearly get to refocus specially on higher-margin products. But how much of that does it also open up an opportunity with customers to potentially expand, potentially build penetration, using this as an example of, hey, we're swapping out extra vibe, but we also sell A, B, C, D that you are purchasing from someone else.

Simon Campion

executive
#7

Again, I know it maybe sound like a cracked or scratched record, but the lack of integration that was clearly evident hampered that effort entirely. There was just simply not enough collaboration between both sides, DENTSPLY and SIRONA. And we didn't invest in areas like DSOs. We simply didn't invest in areas like DSOs or even the university footprint, I was at a university in New York yesterday. And the DENTSPLY SIRONA didn't want to do business with these guys. So again, streamlining the portfolio, having one your throat to throttle and then investing behind the DSOs is super important, and we share that earnings some of the traction that we have begun to get with DSOs. A year ago, they didn't want to talk to us. Now they're actually partnering with us. They're using our facilities to train their employees. We saw above accretive growth to DENTSPLY SIRONA from our DSO business and we gave some examples where we placed several dozen primescans in one DSO in particular, and it drove significant volume on aligner business on the SureSmile business for them. So that is just one example of how we can partner with DSOs to meaningfully grow. And we should have a disproportionate share of wallet. India so has given our portfolio.

Michael Cherny

analyst
#8

And those examples, I think, bring me to my next line topics. Obviously, you reported results last week, put up from all intents to purchase a most organic growth quarter which really impressive work there. How do you think about some of those drivers that you saw come through in the quarter? I know there's been some moving pieces on numbers in the past. But either way, on a reported basis, on a total number basis, the number was quite strong. And so how do you think about where are the biggest pockets growth were and what you think are more natural market oriented versus some of those activities like DSOs that you've already -- it's one example, but other areas where you've been able to make your mark and the team has been able to really push forward on an offense side?

Simon Campion

executive
#9

Well, certainly, the -- I think the expression of clock speed will resonate. The clock speed of our organization is going up. The intensity in business reviews is going up. We have 2 full days of business reviews every month. If it moves, it's measured. And so we are holding people accountable for performance now. With great performance in consumables. Some of that was reestablishing a baseline within our distributors, but the end market growth and retail growth was also a pretty strong. We shared data with everyone but still some pressure on the technology side that we're seeing as a result of the macroeconomic conditions. We are still -- we have been cautious in our outlook for the rest of the year given the history of our company, given the macroeconomic environment. But still, we raised the bottom end of guidance. And we have barring any populictic macro things, we think we're going to have a solid year across all our portfolio we've got. We've had good traction with Primescan Connect. Our scanners is a gate opener into dentistry . And our scanner, Primescan is at a high end. It's -- we think it's the best scanner quality perspective on the marketplace. But clearly, it's a premium price. So we launched a lower-priced kind of mid-tier version in [ Poland Bladensburg ] brand can connect at DS World last September. And last quarter, we got great traction, particularly in Europe on that. So we're not getting out ahead of our skies here, but we are definitely getting on the front foot. It's time to stop loosing at DENTSPLY SIRONA .

Michael Cherny

analyst
#10

And that I want to get back into the Primescan portfolios. But that brings up an important, I would say, philosophical question that came out, I know from 1Q earnings. This is this whole dynamic if you put up really strong results on an annualization basis in a normalized world, people think, okay, maybe guidance should already go up. But then you look at the factors, it's 1Q, you have macro pressures that you can't predict. And like you said, the history of the company is such where it seems like the baseline you want to establish that Glenn wants to establish is let's put numbers we know we can beat and then work from there. And so I guess, along that lines in philosophy and maybe you already answered this with kind of expecting a good year, but I didn't expect any guidance increase in 1Q maybe just because of the flow of last year and all the changes, but you did increase the bottom end of the range. And so how do you think philosophically about that way that you're continuing to communicate with that transparent effect as you settle into the role here?

Simon Campion

executive
#11

Listen, we -- we've had a number of missteps. We certainly didn't -- after one quarter, the discussion never came up about, When we going to raise the top end. But we did discuss the bottom end and the momentum that we have in the company, we said what we're going to do last year. We think did it. Everything we've communicated about our plans moving forward. I think if you check everything we have said, we've we have done it. And so we are -- the employee engagement is increasing. So we feel positive about our organization. We already feel pretty positive about our portfolio. We have seen that the engagement -- the reengagement of our organization with our distribution partners globally and DSOs, just mention 2 is heading in a positive direction. And I think all those things feed into cautious optimism about the rest of the year. But certainly, we don't want to get out ahead of ourselves.

Michael Cherny

analyst
#12

And I appreciate that approach. Maybe let's start diving to the product portfolio a little bit beyond what we've talked about. So -- maybe we'll start with the Primescan family, which obviously is an incredibly important focal point. You have this ongoing debate of price points within the market, you talked about introducing a mid-level product versus the high-end Primescan, which I think is known as a premium product. As we settle into this market and as workflows become more important and then also worries about financing capabilities and whatnot. How do you think about the demand curve, the order book that's been building tied to your bifurcated product line on iOS?

Simon Campion

executive
#13

Well, certainly, we've -- Primescan Connect has had a very robust traction in Europe, in particular, in the first quarter, sequential month-over-month growth. What we've also seen to a lesser extent is as Primescan is introduced and the capability of Primescan Connect is not quite the same as Primescan AC but it can connect to Primemill, for example. But as we introduce the concept of digitalizing your dental office, we've seen some people flick -- flip from, hey, a one Primescan connect to like on Primescan AC. So we think it's a good door opener for introducing the other aspects of our portfolio. And we have a great scanner. We have great chairside milling. We have a very robust 3D printer. I know there's a lot of debate out there right now about milling versus printing. Maybe someday, 3D printing will take over milling, but that's not today, and it's not tomorrow.

Michael Cherny

analyst
#14

It's in either way, and you're positioned in both. So have -- and so maybe thinking about to just that market you have the ability to break down the different products versus what had been historically DENTSPLY SIRONAs legacy is, the all-encompassing best-in-class full chairside CAD/CAM. As you go into whether it's existing customers, where they're looking for replacement upgrades or particularly new customers, how has that discussion evolve in the [indiscernible] approach versus the -- just buy everything against the current financing environment?

Simon Campion

executive
#15

We're exploring opportunities to help the customers by the more expensive digital products that we have. And we think that our -- being a full line supplier is a blessing and a curse, right? It means everything is -- everything is spread and to a greater extent with resources. But we think it affords us an opportunity, particularly in the DSO world, where we can do your whole house conversions into scanners into chairside if they want to and get into consumer and aligners. So we think it's a position of strength, and it is something that we talk about robustly in our internal meetings to ensure that we're getting the biggest bang for our book in these spaces. We should be getting -- we should be getting pull through. We're beginning to have those discussions about what that really looks like in the company.

Michael Cherny

analyst
#16

And along those lines, typically, this has been a distributor-led financing market. You talked about ways to explore customers. What would that kind of look like? And how would that partner with your distribution partners?

Simon Campion

executive
#17

Again, we haven't -- all about it in any great deal, we're ready to roll out anything. And nor have we discussed it with our distribution partners. But given the fact that we have Primescan, for example, Primescan Connect or Primescan AC and our aligner business, is there an opportunity to bundle those 2 things together in a compliant manner. But again, that's we're in a position where we can have those discussions, and we'll need to bring our distribution partners into those discussions. But if we were just a standalone capital equipment supplier, then we would all be in a race to the bottom with respect to pricing.

Michael Cherny

analyst
#18

Got it. And then maybe just rounding out this part of the current portfolio, Imaging, I know what of your peers called out meaningful pressures they're seeing on the imaging side. Remind us where you sit right now in terms of latest product iterations and what you're seeing again looking at that order book demand curve, which I know is obviously a big debate point across the dental space?

Simon Campion

executive
#19

Yes. So I think we saw softness in Q1 on the scanner side. I think there's certainly some softness that you and your peers have shared in our own survey confirmed on the higher end 2D, 3D side -- $3 images side. But it hasn't -- sentiment hasn't worsened. We did a survey of about 300 people in February, and we did a survey of 1,600 people or 1,569, to be exact in April, 220 something in the U.S. and in Germany and the U.K. were the biggest ones. And 1 in 4 had reticence about purchasing expensive capital in those countries. If you go to Australia, 1 and 3 had reticence about capital. So back to your question about you raise the lower end and the upper end, all those factors that were affecting them plus the demand for the capital piece. So that's how we're all tied in.

Michael Cherny

analyst
#20

Got it. Maybe let's shift gears a little bit and turn to aligners, SureSmile and more recently with have been clear signs of strength and outperformance. How do you -- maybe start with SureSmile, how do you in the best places that you think this product is positioned in the market in what it will become -- has become an increasingly competitive market? And obviously, focus on GPs particularly, but how do you think about the rollout over time into other ortho?

Simon Campion

executive
#21

So we're really, really pleased with our ortho business. And when I came into the role, I was asked 2 interesting questions, just to be a little humorous here for a second. The first one is why? And the second one is what are you going to BYTE . So they were, for the most part, the first 2 questions. We're super happy with the performance of our ortho business. Third quarter of double-digit growth. Our mix is about 55% , 45% SureSmile. We've seen continued momentum in SureSmile. I think it's driven by the quality of our offering, by the focus of it. We have a dedicated salesforce for both, but obviously, by this internal sales, should we say, or direct to consumer. We have dedicated sales force. We're not relying on our distribution partners to create demand. We have fewer patients that need to go back on fewer occasions for a refinement with SureSmile. And we are -- I think we had a reputation in the marketplace for just rolling with the punches. And a competitor does something and we go, that's fine. We'll see them in 6 months' time. Those days are over. We are getting on the front foot in all aspects of our business. So we are pushing aligners. We're pushing the clinical data we have on SureSmile. We have a good footprint with GPs. We know all of those are a key part for some of our competitors. We happen to be in GPs. We're very, very happy with that. On the BYTE side, it will be a really strong quarter, low 30% growth rate for BYTE. Great conversion rate. We -- our funnel is better. So our funnel is smaller, but it's a higher quality funnel as a result of the ton of the work that the team in Salt Lake City has done. So our conversion rates have gone up. The BYTE Plus app has increased our Net Promoter Score meaningfully over the past 6 months. Of course, that is targeted at a different part of the market, the median income for -- for BYTE customers about $63,000. So our caution on extrapolating 3/4 of double-digit growth in to the rest of the year and a tremendous quarter by BYTE is our caution is tempered by the lower median income of those families and any impact of the macroeconomic -- potential macroeconomic changes would have on them.

Michael Cherny

analyst
#22

And so maybe -- I mean, it got off to an interesting start. DENTSPLY acquired it 2 years ago. Massive upside growth of, call it, seamless structure you call what you want. And then maybe expectations that kind of knock-on filter growth wise, it's not only BYTE win completely collapsed, just tough comps. Do you feel like where BYTE is now is what you would expect to be normalized consumer purchasing behavior, normalized growth rates? Are you still working through push and pull on how much consumer demand is going to shift?

Simon Campion

executive
#23

I think it's that. I think it's working through it. Who knows where this economy is going to go. If you see relatively wealthy. Dental practices being reticent about spending $50,000 on a piece of capital equipment because of interest rates, the individual on that median income was probably going to be reticent about it's been a couple of thousand dollars on the on their Teeth alignment or tooth alignment . So I think it's -- where we are -- and people have said that we are being cautious, absolutely and we'll -- if we can deliver upside, we will deliver upside, but it will be a lot better discussion with the [indiscernible] if we're selling more opposed to selling this.

Michael Cherny

analyst
#24

Excuse me a good way to go. I guess maybe then just on [indiscernible] as we wrap the section. I feel like these products, both competitive markets on the professional DTC side. Everyone's known for something. What do you want SureSmile and BYTE to be within their markets as to what -- I've always thought about SureSmile is having great best-in-class or great workflow that builds on to the product capability win on workflow. I guess do you agree? And what do you think about how each one should be positioned?

Simon Campion

executive
#25

Yes. So on SureSmile, workflow is important. We're working on improving simulation and thirdly as I said, the clinical data that we have on SureSmile will continue to acquire clinical data. I think that differentiates us. On the BYTE, we have a great patient interface with the BYTE app. We will launch BYTE Plus later in the year, and we think that's going to enable our GP customers to get more patients into their funnel. People typically don't -- they don't get to go to the dentist after enough for the preventative care or just general hygiene. We think that the BYTE Plus app can trigger patients to go to the dentist, engage with them about the BYTE aligner solution and then get on the schedule for regular maintenance for the patients. And so it benefits us and it also benefits our GP partners in the sense that it drives more volume to them. And then when you combine that with the less refinements required on the SureSmile, they have, I think it's 3 out of 4 patients on SureSmile don't need a refinement. You just opened up a slot, 3 slots for new patients come into your practice, and we think maybe BYTE Plus can help with that.

Michael Cherny

analyst
#26

Let's turn to the implant side of the world if we can. Maybe just before we dive into China, where do you see the strength of the implant business? I know it's one that seemed to be in state of maybe repositioning, I wouldn't necessarily say [indiscernible], but maybe market positioning. But how do you feel attacking now the implant opportunity where, especially across both premium value DENTSPLY [indiscernible]?

Simon Campion

executive
#27

Yes. So premium, we had a tough quarter value. We had a good quarter. The -- there was underinvestment in our implant sales team over the past number of years. And so we've begun to remediate that. And there's also -- we think in center programs that were underlined in the best interest of the company and investors and indeed the sales reps. So we're now paying for growth. But it's a clinical cell. And so it takes a while to credibility with the implantologists of the world. And so that work is underway now. Our reps are actually in -- I think it's next week, they're in for more training on our imprint portfolio. So we feel like we're doing the right thing with investment in the commercial team and setting them up for success with incentives and with training. On the portfolio, were probably have some gaps that we will begin to. We will begin to get after. I think part of the challenge back to the lack of integration, a lot of things come back to the lack of integration. Part of the challenge was that we had separate R&D budgets. But now we have one R&D budget. And so we are able to move money from Part A to Part B and focus on the areas of highest return. That's not to say we're going to walk away from single and doubles and prevent them or rest them . But focusing on areas where there are attractive growth rates. We're in control of our own destiny. There are good margins and there are continued unmet clinical needs. They are the areas that we will disproportionately invest R&D dollars to go after.

Michael Cherny

analyst
#28

And let's -- I'm glad you brought that up because one of the things I've always wondered is any company -- I don't cover that many products companies, I see more towards services, but the product side, that dynamic of driving best growth you can versus reinvesting in the business. As you think about -- I know you've made comments about holding R&D about 4% of total revenue. How do you make that balance of the right resource allocation to make sure that, to your point, you don't have holes in your product portfolio the way you want them or you keep staying on top of the innovation side, I can roll out stuff like Prime Connect and BYTE Plus?

Simon Campion

executive
#29

One of the things we are driving, and I think for any of you, if you covered or invested in [ CR BARGE ] , they were a great example of it. Our -- the proximity of our of the employees of [ BARGE ] to the customers was unparalleled. And we're trying to bring in that culture of customer centricity and proximity into DENTSPLY SIRONA. So that as we come up with new ideas that we can value them appropriately. And once you have them valued early on, then you can choose where you're going to invest I want to be in a position where people are knocking down our doors to go, "Hey, I need money for this project, so here's the value." We are not there yet. So drive a culture of customer centricity and proximity in addition to more discipline around how we value our R&D projects so that we invest appropriately, not ignoring some singles and doubles of some incremental product launches. And then this all ties -- there are a lot of virtuous flywheels that we're trying to get spinning here as we think about SKU rationalization and reducing some of those SKUs that will reduce the burden on us to do R&D maintenance on SKUs, such as [indiscernible] and whatnot, which all comes out of the R&D budget. So we reduce our SKU footprint in addition to the benefits of that from a cash perspective and a network perspective, it also allows more of our 4% to true innovation more than just maintain.

Michael Cherny

analyst
#30

in the time we've left, China and VBP the tone I heard from your call was cost optimism. Certainly caution but optimism clearly shown through. I know one of the big focus points is the trade-off of pricing versus volume. So Along those lines, maybe in terms of what you've seen so far, what your expectations are. But what is your visibility into that volume uplift as they've consolidated manufacturers and you're positioning to offset some of the well-known pricing events?

Simon Campion

executive
#31

We -- we think in totality, 35%, 40% of price erosion as a result of VBP We were not selective in terms of the products that we put on VBP, all of our products, all of our implant products are on VBP. I would say that we are very pleased with where we stand right now from a volume perspective. And we would expect to offset all of not majority of that pricing headwind through volume as we roll -- as we finish out this year. But we've had a strong start to VBP in China, and we are optimistic. And that's one of the -- that's why we have said, hey, China is going to -- we're going to growth in China this year.

Michael Cherny

analyst
#32

And just to make sure I heard that right, most, if not all, within fiscal '23 guidance?

Simon Campion

executive
#33

That's what we expect.

Michael Cherny

analyst
#34

I'd like to make sure I get that clear. Last question, I guess, any teaser you can provide now for the November Analyst Day? Or is it a little too early?

Simon Campion

executive
#35

The $3 EPS in 2026, we will speak about how we're going to get there. And a lot of the things I've shared today, we're going to share more granularity about that. It's going to be in Charlotte, so you get an opportunity to experience a great -- great headquarters, not just because it's a nice building. But the resources that we have there that enable us to train that enable our DSO partners and other customers to train their employees is impressive. We have a full technology showcasing on the fourth floor, and I think -- I think you all will -- will enjoy the experience of not only listening to Glenn and I speak about the financial stuff, but also experience the headquarters and part time [indiscernible] what is all about.

Michael Cherny

analyst
#36

I'll be there. Simon, Andrea, thanks so much.

Simon Campion

executive
#37

Thank you very much.

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