Envista Holdings Corporation (NVST) Earnings Call Transcript & Summary
September 9, 2020
Earnings Call Speaker Segments
Jeffrey Johnson
analystAll right, good morning. I'm trying to mess with my camera here, I'm sorry. Trying to get it on my screen. There we are. So good morning, everyone. Thank you for joining us. As many of you hopefully know, my name is Jeff Johnson. I'm the senior medical technology analyst at Baird. Or I guess I need to change that. I'm one of 2 senior medical technology analysts at Baird. Congratulations to Mike Polark, who just rolled out coverage of a new med tech list last week here at Baird. But our next presentation today is from Envista, a leading manufacturer of dental consumables and equipment products. And with us today from Envista, we're pleased to have CEO, Amir Aghdaei; Chief Financial Officer, Howard Yu; and VP of Investor Relations, John Bedford. So gentlemen, good morning, and thank you for joining us today. Before we jump in, Amir, I thought I'd throw it to you, see if there's any overarching comments you want to make, and then we can get right into Q&A.
Amir Aghdaei
executiveJeff, thank you so much for having us. It's -- September 18 is exactly 12 months since our IPO. 12 months ago, we talked about accelerating growth, expanding our margin and building a better portfolio. Despite of all the challenges in the past 7 or 8 months, we have been able to take a giant step forward by building a better portfolio. I feel really confident about what is ahead. As we go through the discussion, we can tell you a little bit about what we have done, but we feel really good about progress we have made and been able to manage and navigate through the challenging times in the past 6 or 7 months, thanks to 12,000 of our employees and dedicated relationship that we have had with our customers. Jeff, back to you.
Jeffrey Johnson
analystAll right. Thank you, Amir. And yes, I definitely want to jump in and talk about some of those company-specific factors. I want to focus on the long term and some of the changes you're making structurally. But I'm going to start on the short term. And I hate doing that, but this is where 80% of the people who are on this webcast are -- probably want me to ask these questions first. So let me get through those and then we'll talk bigger picture. But if we take kind of some of the commentary you've made on your 2Q call and then try to roll forward into some of the things that were said a few days later on Dentsply's call, since then Schein and Patterson's call, we can convince ourselves that maybe your June was down 15%, maybe 20% year-over-year or so. You did talk about July getting better than June. Dentsply talked about their July being almost back to flat. So is our June down 15% to 20% not too far off? And is it crazy to think about July maybe having been back at least ballpark down mid-single digits, flat, something like that?
Amir Aghdaei
executiveYes. As we mentioned during the April time frame, April was like a bottom of the trough for us with over 60%, negative 60%, and Q2 were minus 45%. So you do that math, you're not that far from what you're working through. May was a lot better than April. June was a lot better than May, and that trend has really continued. To be honest, it has taken us a little bit by surprise how quickly this has returned to -- we don't call it normal, but the ramp-up has been a lot faster than what we expected. And we are optimistic. We are cautiously optimistic. We are just hoping that we are able to maintain that momentum going forward. But the mix also has been a really interesting transformation. As you can imagine, a lot less hygiene, a lot more specialty like restorative, endo, ortho and implant pieces that really has worked in our favor because that's what we wanted to see. We wanted to see the specialty businesses growing a lot faster. We are, as I said, optimistic. We're cautious. We are trying to kind of manage and maneuver our way through this. We are -- we haven't issued any guidance, but we've been positively surprised with how quickly this has come back and in different geographies, by the way, and follows exactly what we have seen and heard in -- following the COVID situation in various geographies.
Jeffrey Johnson
analystYes. And I guess what's interesting is even Patterson on their recent call, they and Schein seemed to see maybe some growth in July. Now they have the PPE benefits and some air purification -- some things that maybe manufacturers such as yourself won't see fully. But they talked about positive growth in July. But Patterson, I thought, encouragingly talked about that sustaining even into August. And so one, have you seen any fall-off in kind of the July, August trends that you've been seeing? It sounds like you're saying you continue to be encouraged. More importantly -- I'll let you answer that August question. But more importantly, as we keep doing our survey work, the ADA has been doing their survey work, we do see volume settling in down somewhere double digits. We're at 15% in our surveys. I think ADA a little worse than that maybe but somewhere in that ballpark. So to your point, on some of the restorative stuff, there's been some mix -- positive mix in there and what have you. But do some of those short-term factors then moderate going forward? Do they lessen? And do we then settle in as we get into 4Q at something closer to a volume growth-driven revenue number?
Amir Aghdaei
executiveYes. We have not seen yet any kind of downtrend. And the survey that you do, ADA does, is -- really reflects in how we see the business moving forward. But what is really interesting, Jeff, is despite the fact that you have that minus 10%, minus 15% patient volume, when patients come to offices, they get a lot more done. And for example, we have really good relationships with some of the DSOs, and they are providing information to us. And we have also a whole lot of sensors around our sensors that gives us an indication of what is actually taking place in offices. What we are seeing is ASP, or average spending per patient, has gone up because they get more done in each one of those visits, but there is a level of kind of a steadiness in various businesses as we go forward. We have been fortunate that our infection prevention has continued to accelerate because of the PPE requirement. China has continued to moderately just accelerate month after month as they get back to normal. We have yet to see any kind of downtrend in any one of our businesses. In fact, when I look at our equipment business, it's what we expected to recover a lot of store. That has not been the case. And we are seeing a steady improvement month after month going forward. Visibility, unfortunately, is really low in here to see what we expect in Q4. But what I can tell you is about 40% of our business is in September. What we have seen in July and August is very encouraging. We got to see what September look like. That gives us a little bit more confidence walking into Q4 and going forward. What we have been -- the way we have been operating is to make sure that we protect the investment, the growth opportunities. In under no circumstances we have backed out of that. We have refined our portfolio. And already, we have gotten everybody back to work now ready for any potential uptake either in September or in Q4 to make sure that we are there for our customers as we go forward.
Jeffrey Johnson
analystYes. And as you talk about some of that higher intensity of dentistry being done or maybe case acceptance has moved higher, you have a little shadow on the X-ray. And in the past, you might have said, hey, I'll look at it in 6 months again. Now you're saying, okay, doc, why don't you fill it because I don't want to come back in 3 months or 6 months? I think some of that behavior is going on. Do you think that steals from 2021? And this is the last kind of question I'm going to ask on actual trend and your expectations. But as we get into 2021, I still feel like, given the macro, what the ADA is saying on expected dental expenditures and all that, 2021's still below 2019 levels. Would that still be your gut? But more importantly, and this is where I think investor sentiment and mindset needs to shift, 2021 should be a good, healthy base that you can then build off of future growth. Is that right? So whether it's above or below '19, it feels like to me you've really made some changes here where you could put in that base in '21, and now we can think about '22, '23 and beyond being kind of the growth that we were talking about when you IPO-ed a year ago.
Amir Aghdaei
executiveYes, that's exactly it. It's -- that's exactly how we are looking at it. We went through this process. About 85% of our portfolio now are -- I call it more of a consumable. Even our equipment in that 85% or $5,000 and below that you can buy doesn't require installation, doesn't require going through maintenance as heavy equipment. About 15% are, I would say, $5,000 and above. This 85% are essential, are the things that we use on a day-to-day basis. My -- our gut feel says that the 2021 is more like 2019 but with some differences, that equipment is going to be a little bit slower in catching up. On the other hand, when I look at the portfolio that we have, our clear aligner, we have doubled the capacity so far compared to 2019, and we're going to double the capacity again for 2021. It's ramping up. We had made a commitment that, that's about $15 million to $20 million this year. We're staying with that commitment regardless of what happened in the first half. The ramp has been really good. And then when you take a look at that ramp, that can be an important factor of 100 basis to 200 basis growth between that and N1 for us going forward. We have about a $150 million infection prevention business. We had it in 2019. It's growing over 30% now, and we have over $25 million past due. We have added capacity. 25% to 30% capacity has been added and were just coming online in Q3. We think this is going to be a $275 million business. That's another 200 basis point of growth compared to where we were in 2019. And we have taken about $110 million, $120 million worth of product categories that they were not growing. They were not contributing to our EBITDA in any way or shape. That is an accelerator on growth. Last but not least, we are on our way to take about $100 million worth of permanent costs out of the system. We're well on our way to do that. We've put all of that together where you will see a very different business model that has a better growth trajectory, better margin, a better portfolio. So why I say 2021 is more like 2019, these changes that we are making, we expect to see a low mid-single-digit growth that we had promised during the IPO. We think that's what you can expect from us as you go forward with a much better margin profile in 2021.
Jeffrey Johnson
analystYes. And of that...
Amir Aghdaei
executiveAnd a lot of that -- I'm sorry. Please.
Jeffrey Johnson
analystNo. No, I'm sorry, I didn't mean to interrupt. Go ahead.
Amir Aghdaei
executiveYes. And a lot of that, Jeff, has been -- environment plays a really important role, don't get me wrong, that we got to be cautious. A lot of it are the kind of things that we have done in the past 9 months or so. If anything, we used the past 6 or 7 months to accomplish about a 2 to 3 years' worth of work that we were going to do over a more of a slower pace, but we were able to do all of that in a rapid format very quickly.
Jeffrey Johnson
analystYes. No, that's helpful. And I think it's one of the things that I think makes your stocks so interesting here. And you talked about it in that, but let's break a few things down, is the $100 million of cost savings, up from, I think, $60 million that you were talking about at the IPO, again that's maybe accelerating some of those activities that you were talking about. That's maybe harder for you to execute on but easier for us to understand. That's just a number. That's something you're taking out, and will let you and your training at Danaher and all that kind of -- and Howard, his ability to manage P&L. We'll just kind of accept that $100 million. But I think what's interesting is then when we look within the businesses, and you touched on it on infection control and some of the changes you're making in equipment; your heavy equipment, now probably what, $350 million, something like that, probably, let's say, that comes down a little bit next year; infection control up to $275 million next year, not only do those offset the good growth versus the lack of growth, now I don't have to worry about the equipment and consumables business being a headwind or declining.
Amir Aghdaei
executiveRight.
Jeffrey Johnson
analystBut the margin profile just within E&C -- and I want to talk about that $100 million of cost savings and maybe the margin benefit of specialty, but just even within E&C, as infection control goes up, heavy equipment and break-even Pelton & Crane down, it seems like you should have some margin leverage even within Equipment & Consumables. Is that a fair way to think about it?
Amir Aghdaei
executiveThat's a very fair way to look at it. The infection prevention has free -- average margin, which is about -- almost 20%. Our specialty is about 10% higher in margin. Our equipment and consumable are 10% lower. Infection prevention is more of a specialty business. So you look at it, about $100-some million extra coming in, $100 million extra going out, $100 million with no margin, 0 EBITDA. $100 million coming in with a specialty type of margin. So that mix really changes not only the growth but also the margin profile.
Jeffrey Johnson
analystAnd where do you think -- just last question on the infection prevention product and all the CaviWipes. And I mean, what you're really selling there, the sprays and the wipes and things like that, it's not a onetime purchase.
Amir Aghdaei
executiveRight.
Jeffrey Johnson
analystDo you think that heightened demand persists then each year? And what is kind of a sustainable growth rate for that business? I know tough to predict in this market.
Amir Aghdaei
executiveRight.
Jeffrey Johnson
analystBut I would assume it can continue to grow year after year. This isn't a onetime -- 1- or 3- or 4- quarter benefit.
Amir Aghdaei
executiveYes. So first, it's worth mentioning that 40% of the business is medical. 60% is dental. What has happened on the medical side -- and we have contracts, 3-year, 5-year contract with individuals, with companies in that space. Because of the demand on medical, some of the suppliers that were serving medical, they started going more after the consumer. So open space for us to kind of step in, in that space and sign contract -- long-term contract, 3-, 5-year contract, in that space. The entire nature of the PPE and infection prevention and sanitization has really changed, radically has changed. And we think dental is going to continue to be an important part of the growth mix. We are optimistic that this is going to be a mid-single-digit growth for us in the next several years. And as the capacity comes in, we are able to serve different segments. We have also a whole lot of new product coming. The CaviWipe 2 is really approved by EPA to deal with the COVID-19. One last thing in this space. This was a very U.S.-focused business. We have now built capacity in Ichin outside Prague. European business is growing very rapidly, and we expect that to become an important part of our growth trajectory in this space and as well as what we have done in China. And we started back in January and February time frame and has persisted as we have gone forward. So we're changing the nature of the business from a geography, from an industry perspective as well as long-term contractual agreement. That combination, plus our own capacity, gives us the confidence that this is a business that is a long-lasting business.
Jeffrey Johnson
analystAll right. Great. So you've got the $100 million in costs coming out. You've got the positive mix within E&C. And then I think the third part of the trifecta then being the specialty business probably accelerates even relative to E&C from a growth rate perspective, and that has some mix benefits as well. But within specialty, you mentioned Spark, I think 800 users total or 500 active users as of 2Q. You trained another 300 during 2Q. You're going to double that user base, as you said, in '21 versus '20. So the $15 million to $20 million, we'll kind of accept that on face value. It seems like you're very positive on that. So we're going to assume that's doable. $100 million a couple, few years out. Do we think about that being a straight line from $15 million, $20 million to $100 million? Is there kind of an inflection curve that's coming here in the short to intermediate term where maybe you move up to $50 million faster than you thought you might? Just how to think about kind of the intermediate and near term.
Amir Aghdaei
executiveWe wanted do 2 things on Spark to make sure that we are prepared for the ramp. One, we wanted to make sure capacity is in place, not only the manufacturing capacity but case approval, case management. We wanted to make a commitment that we can do that in 10 days. And we had some issues in Q1 and Q2 to make that commitment. We feel really confident now that we are able, from the time that a case comes in to the time that is delivered, lead at that time frame. In fact, we are running a set of experimentation to see if we can even bring that down even further. So that was the first part of it. The second part is around onboarding. We are onboarding doctors as we speak not only in the United States but now in Europe. We have leaders that they are teaching, helping and signing up more and more customers in Europe. So the capacity is coming on board. The run rate that we have right now make us feel very comfortable in what we need to do in Q4, and that exit run rate at December really give us confidence for 2021. I don't think it's a straight line that goes from $15 million to $100 million. I think there are a step function in between. But for us, given what we have with the -- and you think about it, Jeff, you know this very well. You're only going after our own customers, the ortho customers, the onco customers. The volume that they use and what we are hearing from -- for us to get to $100 million, it is -- we have to execute, but it's something that we feel really comfortable that we are able to do that over the next couple of years. The next step after that is something that we really need to be thinking about how do we expand that to become an important part of the equation over time. $100 million in a market that is growing over 20%, $3 billion is really not a huge target to hit, but we wanted to make sure that we deliver first before we are making a commitment for the next piece. So we are committing to $100 million over the next couple of years. As we start gaining confidence and customers, the product is standing on its own, what we are hearing is really positive. Well, we'll take the next step, try to expand this in a broader form going forward. We have capacity in China now. China is not only serving China, we're beginning to serve some other geographies. We are signing more and more customers in different geographies. We're comfortable about being -- making this an important part of our equation -- growth equation going forward.
Jeffrey Johnson
analystOkay. And I don't want to parse words, Amir, but you just said $100 million in a couple of years. We've been thinking kind of 2 to 3. Are you changing at all kind of how you're targeting that $100 million? Has that moved up half a year or 1 year? Or is this just kind of how you talk about it?
Amir Aghdaei
executiveWe have internal target, obviously, that we are trying to do a lot faster, a lot better than that. And you know us, that -- we want to make sure that we make a commitment that we deliver on. The commitment that we are making in a couple of years, by 2022, we will be able to deliver that. And our goal is to do that a lot faster, a lot quicker. And what we see today with capacity, with resources, with capabilities, we feel very comfortable being able to do that. I want to go back to that $100 million if -- for a second. We have done a radical shift of resources and expansion spend. We have added close to about 400, 500 people alone to our Spark team year-to-date. Just to give you a little bit of a feel for investment protection that we are talking about, we're taking $100 million of costs out. That change in -- we talked about infection prevention, what change about some of the other capacity move from one place to another has given us an opportunity to add about 400, 500 people into a business from January 1 to now. That gives us an opportunity to really build that up over time.
Jeffrey Johnson
analystYes. Well, that's exciting. Let me, just in the interest of time, move on to N1. We don't talk as much about that. Maybe -- I'm assuming you have an added maybe 400, 500 -- 400 to 500 people there. But is N1 as potentially impactful to the model? I guess the question is, do you still expect to get a price premium for that product? We were hearing that pre-COVID with some of the Italian surgeons who had been using it in some of the calls we had done. And then how does N1 maybe change your base? I know you don't like to talk about it, but I think you probably lost some customer to Straumann, maybe, maybe not. Does this just slow that customer loss down? Does it put you on the offensive? Just how to think about maybe how N1 changes. And do you get that price premium?
Amir Aghdaei
executiveOkay. So let's talk about implant in the form that we kind of positioned it. That has 3 components into it that we got to really fix in order to -- for this business to get to mid-single-digit growth, high single-digit growth go forward. That's where it should be in plan as a whole. One is a commercial execution. That really has nothing to do with N1 or product category. We did not do as good a job specifically in some geographies, taking care of our customers. We started that in Q3. We finished that in Q4. New management team in place. Execution is going a lot better, a lot of training and education, taking care of customers from an order management perspective, services. So that's in place. To a large degree, that's done. Second part of this is about innovation. N1 was introduced, and we are going to a launch process geography by geography. Did in Belgium and France last week. And 70% of people who attended that training placed an order on us. So that gives you a little bit of a feel for -- this is just a revolutionary product. And when people see it, when they start using it, they just stay with it. N1, not only the impact but gives us an opportunity to capture a much broader sort of market because you could buy the implant and then use surfaces from some other providers, about 60% to 70% attachment. With N1, anybody who uses that, 100% would be our surface. So attachment rate, the money comes after that. Right now, as of yesterday, I was talking to our team yesterday, over 20 -- more than 20, almost 30 customers have placed it, have placed order. We are very confident that in the numbers that we have in the second half for -- specifically in Europe. Six other countries are going to be launched next week and the week after. So as we go, we train these people. They come in, as I said, the first 2 countries, 70% of those people placed an order. And we have built inventory. We have built capacity in advance in order to be able to really see the outcome of this. Beautiful thing about this is this attachment of abutments, that higher price, better performance over time. So it is a premium price implant. And the reason for it is a lot faster, easier to use, a lot faster for the healing time. A lot less impact both on a doctor as well as a patient. So a simple thing that we are looking at, if you're placing 4 or 5 implant a day, you're able to do an extra 1 that day because of the ease of use of this. And there is a whole sort of new customer base that would be interested in doing this. That is not a 20-, 25-year veteran of oral surgeon. DSOs who have seen it, they really like to see that as part of their portfolio. Last piece is around M&A. We got to add to the portfolio and buy material and value implant. We're confident that implant is going to be a mid-single-digit growth for us over time. We are confident that this is going to be an important part of our growth equation going forward. If you look at -- or we didn't talk about bracket and wire, but bracket and wire has recovered a lot faster in the same pace that we saw, we expected. Bracket and wire, infection prevention, imaging, some of the geographies as well as implant, that's why we made the comment that we made, that going through 2021, we have a different portfolio, different profile than what we had before. But to -- simple answer, we feel now we're in the best possible position that we have been in a long time from an implant perspective.
Jeffrey Johnson
analystAll right. That's helpful. We have 1 minute here. So just mid-2021, is that a reasonable expectation for the U.S.? I know there are still some questions on FDA and time lines. But is that a crazy assumption?
Amir Aghdaei
executiveNo. It is in their hand. We have -- and they are going through that process right now. We're hoping that mid-2021, second half 2021 would be the answer for U.S., and we're building our plan for the second half of 2021. And capacity would be ready if it happens sooner.
Jeffrey Johnson
analystOkay. And last question. You mentioned DSOs. I'm assuming N1, Spark. There's definitely some inroads with DSOs there. Is the DSO opportunity as big for you outside the U.S. as U.S.? And again, it's about 10 seconds, but I think that's something that is often lost on investors.
Amir Aghdaei
executiveYes. In China, we are a co-partner with the 2 largest DSOs. In Europe, we started with 5, 4 of them Spanish. Now we are extending to others. And some of these DSOs in Europe, they're expanding very rapidly as geographies open. And we have seen some coming across the ocean and start buying DSOs in the U.S., which is helping us because we have relationship in both places. I think DSOs are going to change the nature of this industry, democratize it. And they have the power in order to really radical the go-to-market and support activities. And we're going to do everything possible in order to make them successful. We have relationship with the top 10, 15, and we're going to help them as much as possible for the long run.
Jeffrey Johnson
analystGreat. Well, I think we are out of time, Amir, and Howard and John. Thank you for joining us. Howard, I apologize. I didn't throw you any model questions there, but it was interesting to hear Amir's take on these bigger-picture items. So thank you, gentlemen. Have a great day. Have a good rest of your meetings today. And I appreciate the time as always.
Amir Aghdaei
executiveThanks, Jeff.
Jeffrey Johnson
analystAll right, guys.
Howard Yu
executiveThanks a lot.
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