Envista Holdings Corporation (NVST) Earnings Call Transcript & Summary

November 18, 2020

New York Stock Exchange US Health Care Health Care Equipment and Supplies conference_presentation 34 min

Earnings Call Speaker Segments

Stephen Beuchaw

analyst
#1

Hi, everybody. Thanks for jumping on. Steve Beuchaw here from Wolfe Research. We're doing the virtual thing, of course, here with our conference here in year 2. As you may know, I'm 1 of 5 Wolfe analysts, and we're really happy -- in health care that is. And we're really happy about the lineup that we have this year as we've gone to a 2-day setup. And we're having a lot of fun with it. Our first company within my broader coverage here at the conference is Envista, which has been a fascinating story in terms of the way that they've managed through 2020. We have the full brain trust with us. We have Amir Aghdaei, the CEO; Howard Yu, CFO of company; and John Bedford, who runs IR and has a dual mandate, including some FP&A as well. So thanks, everybody, for being here and for managing to pull 3 laptops together into a single conference room to accommodate our software. Really appreciate that.

Stephen Beuchaw

analyst
#2

Well, what I thought I might do to start given how much has happened this year is give you a chance to just frame up how do you introduce Envista to investors given how much has changed this year. We all went through this exercise about a year ago -- a little bit more than a year ago as Envista was becoming a public company. And for many of us, we knew Envista for quite a long time given Envista's visibility from within Danaher. What I thought you might want to do, though, is just start and say, okay, now that we know more a year later about how the product portfolio is shaping up and what we've been able to do on the margin front given the restructuring, how do you introduce Envista as an investment opportunity to someone who's newer to the story?

Amir Aghdaei

executive
#3

Yes. Thank you, Steve. Appreciate the invitation and getting very creative, having the social distance amongst us and 3 different laptops. So September of last year, as you said, was the beginning of the formation of Envista independently traded company. At the time, we talked about 3 dimensions. We thought this new company would have better growth momentum, higher margin and a portfolio that is different than what we had before. And the rationale behind it was the independence gives us an opportunity to make decision a lot faster, respond to the realities of the market. And then the free cash flow that we had in the past gives us an opportunity to do M&A in a smaller segment. In a $3 billion company, that $100 million acquisition would then make a huge difference a lot faster. So as you well know, we've been dealing with the past 6 or 7 months the pandemic. But what we did -- nothing really about the thesis of the company has changed. So we started by looking at the portfolio to begin with. We said there are pieces of this portfolio that really don't fit into the integrated workflow. They're not growing. It is -- the margin really doesn't help us in the long run. So it took about 5% of our treatment unit primarily in North America, Pelton & Crane as well as in Brazil and kind of shut that down over time. And that process is almost complete. The last orders came through in Q2 and basically exited that business. About 5% of the portfolio and a little bit more in some of the categories that had the same sort of characteristic, low margin, low growth, commodity type. Think about it in this format, about $100 million worth of business that has -- was declining and basically had no margin in helping us from a portfolio aspect of the company. We exited that segment. We're able to take a look at the cost structure of the company, and we wanted to make sure that we take advantage of the opportunity, set ourselves up, close the gap versus our nearest competitors, but also invest in the growth opportunities. Unfortunately, but the realities of the business, we were able to -- about 10% of the sales force -- I'm sorry, 10% of the entire company exited through that process. We made a commitment of saving about $100 million permanent cost in 2020. In the Q3, we have accomplished about $80 million of that, and there is more to be done in Q4. So exiting that portion of the business, reducing the overall cost structure really put us in a better position that we could invest in the growth initiatives. What growth initiatives we have been focused on? The #1 priority is, specifically during pandemic, has been the infection prevention business for us. Just to set the frame, that's about $150 million to $200 million business in 2019. We made significant investment in that area, doubled the capacity, has been growing over 30% in -- throughout the year. And we have significant backlog. Just to give you again a little bit of feel, at the beginning of Q4, we had about $30 million of backlog in that space. So infection prevention is a big part of the growth, about 200 basis point of the growth opportunity. We invested in Spark Clear Aligner, it's about 100 basis point of a growth for us in second half and wrapping up really quickly, really fast, and that's really a positive story for us. And then on implant, purely through introduction of a new generation of implant, we call it N1 that is introduced in Europe, ramped that up as well. So combination of a growth initiative, the intention of getting us to mid-single digit over time is exactly what we have been able to accomplish. The margin, as you have seen in Q2 and Q3, we've been able to get ourselves in high teens. And that's what we wanted to do with EBITDA close to about 20% in Q3. And then the portfolio management, creation of a better portfolio that's integrated as well as having the opportunity to start doing more and more acquisition as we go forward. We highlighted that back in September. 14 months later, we can look back and say we have done a lot of things that we said we were going to do. And we are in a really good place to continue to execute going forward. Putting it all together, I think as hard as this pandemic has been, really accelerated a lot of things that we wanted to do. So we feel good about our position, we think there is a lot more to come in here.

Stephen Beuchaw

analyst
#4

So just to put a finer point on it, I'm going to want to talk to Howard a little bit about the margin outlook. But before we go into some of these details, if I think about the progression over the last year, when you were giving your perspective about what the top line growth outlook might be, you hadn't really seen the full Spark launch yet. You weren't yet working with 3Shape, you hadn't made the change with Pelton & Crane and you hadn't seen some of the traction with N1. So you know a lot more now than you did then. I wonder, has your top line sustainable growth perspective changed at all? Or is it still basically in line with where we were circa 12 months ago?

Howard Yu

executive
#5

So obviously, the environment that we have been going through has been a really dynamic and difficult to predict it. We were minus 48% in Q3 and minus 1.2% in Q3 -- I'm sorry, in Q4, minus 48%; and in Q3, minus 1.2%. We saw a progression improvement month after month, starting in April. April was a bottom at minus 80%. We saw progression taking place, and that has continued. And we have seen that progression continue through Q4. The challenge, Steve, is the uncertainty that we are dealing with. You hear a lot of information about rise of cases. What we see, what we know is offices continue to stay open. People are cautiously optimistic about what is taking place. To answer the question about what we can control, what we can and manage control, we have been able to do that. What is happening in our environment is something that is really difficult to predict and forecast. We're trying to kind of set ourselves up on the things that we can control, continue to manage our investment about growth and deal with whatever situation is in the next several quarters. But as I said, if we go back to every one of these product categories that you touched on. Spark, we have 50% higher capacity. We have 500 doctors that they're submitting cases. We are now in Europe and continue to build momentum going forward. N1 is now in the hands of over 100 dentists in Europe, and we are ramping that up going forward. And we think infection prevention has momentum over time. China has got back to a double-digit growth for us in second half. So putting it all together, we think that what we would have in a normal situation, we will have a much better growth momentum than what we have had in the past.

Stephen Beuchaw

analyst
#6

Okay. Got it. So then let's go into some of the details. Maybe I'll start with Spark. I thought it was interesting that within just a matter of weeks of each other, both Envista and Dentsply Sirona, decided to get a little bit more -- I don't know if it was more optimistic necessarily, but be a little bit more explicit about expectations for their clear aligners. And so I wonder if you could speak a little bit -- in a little bit more detail about what you saw that led to the decision to be a little bit punchier in the messaging there. It's an interesting time, right? It does seem like orthodontics is faring better than many other categories. Your clear aligner, of course, is relatively new and launching into a somewhat untapped market, perhaps the Damon users. And there's a question -- I think it's still not fully answered. But there's a question as to whether clear aligners do better than brackets in an environment where people are looking for low-touch solutions. Can you just talk through your thinking on those points and how you decided to get -- to tweak the messaging around Spark?

Amir Aghdaei

executive
#7

Yes. So I can't speak on behalf of other companies, but I can tell you what our position has been and continues to be. We have about a $400 million in 2019. We had about $400 million of bracket and wire business on a bracket and wire industry that is about $2 billion and low single-digit growth. We look at the number of cases, number of starts, in 2019, that number was about 15 million. To get the penetration, the people who need it, the people who can afford it, 15 million was a combination of clear aligner and bracket and wire. We think about 500 million people that can really afford it and need it. So you take a look at that, that penetration is less than 5%. So this is a significant opportunity in both of these spaces. And you have seen, obviously, the clear aligner continues to get momentum going forward. So that's one piece of this puzzle that says plenty of runway in this space. Now let's come back to bracket and wire versus clear aligner. We are focused on a very specific segment of the market. Orthodontists, difficult cases, people who really focus on doing -- primarily dealing with individuals that they want to get the best possible solution yet. In Q3, our bracket and wire business -- and it has been like that, not only Q3, it has been growing mid-single digits and continues to grow mid-single digits. Combination of clear aligner and bracket and wire in Q3 was double-digit growth for us. So you wonder why does the bracket and wire continue to grow. Three reasons. It is -- 70% of this business is outside the United States. A lot of training and education takes place across the world for us to kind of continue to teach people how to use it. China has been a great example. Russia, another one. We continue to put energy around it, training and education, leaders teaching other people, and they keep ramping up. New product. About 20% of the revenue of Ormco today comes from product that is less than 3 years or so. So continuously upgraded, putting more and more product categories in hands of orthodontics that they can provide the best possible solution. And then continued investment in the commercial activities, resources, support, educational activities across the world. We think that business is going to continue. From what we know, our own customers are telling us the case start is ramping up. Yes, they're using clear aligner, but they're not switching one versus the other. They're ramping both of them up. Where we see the best opportunities of the same customer that you touched on, the Damon, passive self-ligation customers. It's saying now they have option. They have option of bracket and wire. They have an option of clear aligner. They can use it in the best possible format to answer the need of their customers. So our current customers are ramping this up. So as we said, we have become a lot more direct because now we have the capacity. Now we have people that they're really signed up and they're telling us that we are winning to put cases in place. 5 case a month is something that we are looking for to see continuity. At a one-time use, small number, keep repeating that and keep adding to it going forward. And we have built a significant amount of capacity. What we have today, the capacity we have today can satisfy what we need to do in 2021 and potentially in 2022. We think we can get to about $100 million business over the next few years. It's what we have created. Product is outstanding. That's what they tell us. Capacity is in place. Service and support is really good. Software is something that people are familiar. And the organization is the same organization that they trust and they have worked with for decades. That's our point to be on it, and we want to make sure that this works hand-in-hand together.

Stephen Beuchaw

analyst
#8

Jus one follow-up on Spark. How much further can you go pushing the commercial organization, scaling it around the aligner? And do you feel like you're in a good spot in terms of the integration between the aligner, the DTX Suite overall, and your partner 3Shape?

Amir Aghdaei

executive
#9

Yes. So let me answer the commercial piece. So we have 1 organization, 1 sales force that covers a the zipco geography. Goes to the doctor, dentist, offer them clear aligners as well as bracket and wire. So we don't have different organization. And then we have specialists that they are able to answer software question, ramp up and all of this. So that's the number one. We have agreement both with a company called Medit as well as 3Shape. And -- but it's not an exclusive thing. We can accept file from any iOS. As long as they're willing to send it to us, we can provide support. So we have an open architecture that we have built, but we are offering the iOS as people need it, either the Medit solution as well as the 3Shape solution, not only on the ortho area, but also on implanted space. Now on DTX and the software piece. Our intervention all along has been to create a seamless workflow that obviously work with our own system but is an open environment that you can connect any kind of diagnostic tools, imaging tools, be it 2D, 3D, as well as iOS, sensors and any other. Connect to it, get that information create this database of information and then create planning capabilities and then execution. We have it for the implant system. It's working very well, and we are adding other discipline to it. Spark would be the next thing that we will be adding to it as we go forward. So that capability, that ecosystem, think about it as an operating system, continue to expand -- that platform continue to expand as we go forward. And we have put it into all of our imaging devices. So anytime you wire one of our imaging, we are the largest imaging company in the world, they can get that in DTX as part of it. So that gives them an opportunity to use it, experience it, and then we can add to it as we go forward.

Stephen Beuchaw

analyst
#10

Okay. We're past the halfway point here with Envista. If anyone has questions, feel free to pop them into the box in the webcast interface or send me one by e-mail, I got my e-mail up here on the side of the screen. Howard, next man up. So in simple terms, you guys put up a very clear and transparent view back during the process a year ago as to where you thought the margins in this business could go. But of course, that didn't contemplate the ability to accelerate savings this year. And it didn't contemplate some of the learnings of the COVID era. So I think a simplistic view would say, okay, they accelerated those cost savings. We maybe have some additional T&E savings. We've made a couple of changes on portfolio, some with the upside with new growth drivers, some removing downside with a bit of divestiture activity. I mean my bias would be to say, my margins in '22, '23 post-COVID era are going to be higher than I would have modeled a year ago. Would you try to talk me out of that perspective?

Howard Yu

executive
#11

No, Steve. I mean I think -- listen, we've always been transparent in this regard that we're looking to get to and close the gap with some of our peers longer term to get to that high teens, low 20s in EBITDA margin. I think that statement fundamentally stays intact. I think, clearly, with the pandemic, we've had an opportunity to go ahead and implement some short-term temporary cost measures. A lot of those we did in Q2 and rolled into a little bit of Q3 here. And then we backed off a large portion of those here in Q4 as it relates to the furlough, salary cuts, other benefit type of cost savings that we put in place. But as Amir indicated, we've done some pretty substantial restructuring around head count, organizational structure. And here in Q4, we're starting to see the benefit of some of the footprint consolidation as well. And you mentioned some of the learnings coming out of the pandemic or going into the pandemic. That's also a reality for us. And so right now, we want to make sure that the $80 million-plus that we talked about in Q3, that we see those savings stay in and are a healthy contribution for us. We're going to go through our budgeting process as we always do here. And then ultimately, we'll see how this pandemic rolls out, but we feel like we're in a good place coming out of the pandemic to drive those margins, close the gap to peers, get into those high teens and low '20 EBITDA margins longer term.

Stephen Beuchaw

analyst
#12

Okay. On a time line that's still roughly in line with what we would have talked about a year ago?

Howard Yu

executive
#13

Yes, I think so. I mean we will certainly look at opportunities to accelerate where appropriate, but I think that the commitment stays true.

Stephen Beuchaw

analyst
#14

So how do you think about striking a balance? This is a question for you, Howard, but also for the full group. Between putting a pedal down on commercial investments as well as trying to drive margins. I would imagine -- I'd love to hear, Amir, what you think on this point that you've had an opportunity to take share by being an org that can drive surety of supply during a time when many had difficulty with supply. I know it's a complicated multilayer question, but how do you think of the intersection between accessing that opportunity? Have you seen that identifiable share gains? And how do you think about the balance between making those investments and margins?

Howard Yu

executive
#15

Talking about -- yes. So I would -- let me start and say that from my seat, it's a simple ROI equation. And a lot of the times, we recognize that we have to invest ahead of the growth. And so China is a wonderful example where we've done that. I mean we put in substantial amount of head count, infrastructure in China over the last several years. And we feel really good about the overall performance there. And so I think that's the thought process that I go through and that Amir and the team, I think, go through is to make sure that whatever investment we have, we have a thesis on what kind of growth it's going to drive. And as long as that continues to play out, we'll be aggressive as it relates to putting investment dollars down. I mean that also holds true for innovation. We've made some pretty significant innovation investments in the past, when you talk about N1, you talk about Spark. And you saw, historically, our R&D as a percentage of sales was a bit higher than peer levels. And that's because we felt as though these products were meaningful and would make a difference in our growth trajectory going forward as well.

Amir Aghdaei

executive
#16

Just to add, this year alone, we have made investment in the middle of all of that, exactly what you said, on the supply, taking advantage of it. We invested in infection prevention capacity and supply chain. We now have 2x capacity that we have only 9 months. And we did that investment during the pandemic. We doubled the capacity of the start in Q3, and our intention is to double it again. So we have done the investment, CapEx, machinery, and they're coming in and bringing the capacity up. N1, we are building the capacity, as we speak, building inventory, building machinery, all of that is coming in place. That's on the investment. We did not furlough most of our sales team during the pandemic. We let them continue to maintain relationship with customers. We did significant number of training, education online to make sure that relationship with customer's maintained and continue to grow. Last point around DSOs. We have a dedicated DSO sales team in the U.S., and we have been able to get some of the larger RFPs. As well as on the implant side, our DSO business is off growing our overall business because of this investment on resources and training and relationship that we have done over time. Those are 3 examples. I'll tell you exactly what you were talking about. We have made all investments while we are trying to manage the portfolio.

Stephen Beuchaw

analyst
#17

Okay. That is helpful. So we're going to go into something of a speed round here, a few quicker questions as we're down to the last 10 minutes. We'll start with -- I've got 2 that have come in actually from investors here on the webcast. One is, have you seen any sign of restocking of channel inventory?

Amir Aghdaei

executive
#18

From January 1 of this year to now, our channel inventory is down 40%, just to give you the magnitude of it. And we have no intention of allowing that to just get rebuilt for no apparent reason. You're trying to match the sell-in and sell-out together. And I can tell you, I've been around this for 5 or so years. And in the past probably 3, 4 months, we are exactly where we want to be. They are -- inventory is getting built but is matching the sell-out. So we're not -- there is no restocking just for the sake of restocking. There is no specific promotion or discount because we want you to start. And there is demand for it. There is demand for consumable. Equipment is in a better place than what we expected. Quick short answer.

Stephen Beuchaw

analyst
#19

The next investor question is regarding infection control. The question is, as your capacity grows, can the growth there continue to accelerate? And when does that kind of level off?

Amir Aghdaei

executive
#20

Really good question. About 50% of the business is in dental, 50% is in medical. We have over 40% market share in dental and less than 10% in medical. So as we have built this capacity, a few things has happened. One, this business was very U.S. focused. Now we have extended it to outside U.S. Two, we have really built a capacity on the medical space. So now we participate in this segment of the medical that we were really not present as much. And then a whole other new product categories, the CaviWipes 2 that really deals with bacteria a lot better. That has given us an opportunity to really expand. For sure, at some point, the pandemic would be over. But precisions that are taking place is becoming a standard mode of operation about disinfection before patient comes in, after they go out. So we are really feeling good about what we got and what we are building here, and we think it's sustainable over time. Is it going to continue to grow 30%, 40%? Probably not, but at a much higher level, at much higher level. We think this is a double-digit business with a really good margin. Think about exiting product that has lower margin, no growth, replacing it with a product that is high margin, high growth. That $100 million that I talked about around equipment that has exited is getting replaced with a $100 million product that is growing, has really high margin.

Stephen Beuchaw

analyst
#21

Got it. The questions are really piling in now. Next one is, given that COVID cases have begun to pick up, are you still comfortable calling for visits to be at least stable in this operating environment?

Amir Aghdaei

executive
#22

What we hear, what we are told, dentist offices are the safest place to go amongst all other places. And the dentists have become really creative, Teledentistry, not accepting people going and sitting in offices. And then a whole lot of new procedures are going in place. People stay in home have more time. Think about it, if you have an 8 to 5 job and travel, you really didn't have a whole lot of opportunity to go dentist. Now you can easily get on Zoom for half an hour, an hour in the middle of the day to go and do that. And the income that people are used to spending in many other places, now they're going to spend it on well-being, better or smart. So what we are hearing, in spite of volume of a patient lower, spending is higher. And we're optimistic that -- come in oddities to see even a better momentum going forward because a lot of procedures have been delayed. So that's the current thinking view that we have, and we're constantly checking this in each geography by procedures. So far, thanks God, it's been pretty positive. And dentists are able to provide the support that they need to their patient has been a positive momentum.

Stephen Beuchaw

analyst
#23

Okay. Next investor question is on N1. The question is, are you concerned about the possibility that N1 cannibalizes Nobel Active? And do you see enough experience so far -- okay, there are 2 parts of this. Do you have an experience now to say it's a share gainer? And when can we see it in the U.S.?

Amir Aghdaei

executive
#24

Okay. So N1 is in Europe, 9 countries. Obviously, we haven't been able to travel everywhere and train, but we do a lot of remote training and virtual cases. Over 100 people have it in their hand. That's ramped up pretty quickly. Second set of orders are coming through. The people who are using it, they really want to stay with it. And the reason is ease of use, damage that it cause is a lot lower and a lot better. Higher priced, but you're able to do a lot more, a lot more patient, a lot faster than your previous one. So is it going to cannibalize? Yes, part of the business, not all of them. But the momentum that we're going to get, the higher volume as well as ease of use would allow us to go to a different segment, DSOs, people who are doing it for the first time. It is hard to do, in fact. To take a Black & Decker drill, drill a hole in somebody's jaw. That's what it is. It takes 15, 20 years of experience. Now imagine it can teach people how to do it easy, simple, not a whole lot of noise and vibration, don't cause a lot of damage. I think there's market potential. Similar to what I said about the -- also, penetration in implant is less than 5%, plenty of opportunity for expansion.

Stephen Beuchaw

analyst
#25

Okay. Let's see. I have 2 left, and I think we only have time for one. So I'm sorry for the individual who's not going to get that last question in. The last one is on imaging. The question is, that's been an upside surprise lately. How do you know how much of that was 2Q demand moving into 3Q versus just resilience in the category?

Amir Aghdaei

executive
#26

Yes. So I can't tell you how much of this is pent-up demand. But what I can tell you is we have really changed our portfolio. 85% of our portfolio are consumable now. And you think even about the imaging, a lot of it is a day-to-day use. 2D hand pieces, sensors, a lot of wear and tear, a lot of software services. A good part of our imaging business is consumable to some degree as well as warranty, repair, ongoing services. So a lot of ramp. I think there is this feeling of confidence. And government has played an important role in here by providing additional support to the dental industry. Interest rate, the lowest it has ever been, DSOs have come back a lot faster than they anticipated. All of that have been positive in ramping this category higher, faster than what we expect. We have done a lot of good stuff. We need to improve it. Industry has been helpful as well. It's been better than what we expect. And so far, what we are seeing is no sign that it is all pent-up demand and it's gone away. That's not what we have seen so far.

Stephen Beuchaw

analyst
#27

Okay. Well, thanks for doing this. I've had a lot of fun. And thanks again for putting together 3 laptops to make it all work in a responsible way. And I hope you guys have a terrific day. We look forward to catching up again soon.

Amir Aghdaei

executive
#28

Thanks so much. Bye.

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