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spk07: Hello, everyone. Joining me today are Chairman and CEO Joe Chiani and Executive Vice President and Chief Financial Officer Micah Young. This call will contain forward-looking statements which reflect management's current judgment, including certain of our expectations regarding fiscal year 2024 financial performance. However, they are subject to risks and uncertainties that could cause actual results to differ materially. Risk factors that could cause our actual results to differ materially from our projections and forecasts are discussed in detail in our periodic filings with the SEC. You will find these in the investor relations section of our website. This call will also include a discussion of the potential separation of our consumer business and a preliminary estimate of the financial impact of a potential separation. However, the estimate is being provided solely for illustrative and informational purposes. The company is currently evaluating the structure of any potential separation of its consumer business, and the methods, structure, timing, and terms of any such potential separation are still under consideration and have not been determined, approved, or finalized. Please refer to slides two and three of our earnings presentation for additional factors to consider in evaluating and reviewing the information relating to the potential separation of our consumer business. Also, this call will include a discussion of certain financial measures that are not calculated in accordance with generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP financial measures. In addition to GAAP results, these non-GAAP financial measures are intended to provide additional information to enable investors to assess the company's operating results in the same way management assesses such results. Management uses non-GAAP measures to budget, evaluate, and measure the company's performance and sees these results as an indicator of the company's ongoing business performance. The company believes that these non-GAAP financial measures increase transparency and better reflect the underlying financial performance of the business. Therefore, the financial measures we will be covering today will be primarily on a non-GAAP basis unless noted otherwise. Reconciliation of these measures to the most directly comparable GAAP financial measures are included within the earnings release and supplementary financial information on our website. Investors should consider all of our statements today, together with our reports filed with the SEC, including our most recent form 10-K and 10-Q, in order to make informed investment decisions. In addition to the earnings release issued today, we have posted a quarterly earnings presentation within the investor relations section of our website to supplement the content we will be covering this afternoon. I'll now pass the call to Joe Keon.
spk02: Thank you so much, Eli. Good afternoon and thank you for joining us for Massimo's first quarter 2024 earnings call. For the quarter, we achieved results that show our businesses back on track. After a period of robust growth during COVID and the wake of volatility that followed, it seems the market has stabilized and we're once again able to forecast more accurately. Our healthcare revenues of $340 million were at the high end of our guidance range, driven by strong sensor orders in the US and Europe. We also had record contracting from hospital customers as for the first time ever, we achieved over $100 million in true incremental contract value in the first quarter, demonstrating continued gains in our market share. Our success in moving the bulk of our manufacturing ahead of schedule to Malaysia from Mexico has yielded improved gross margins. Given that over two-thirds of our sensor production is now in Malaysia as of the end of the first quarter, we see great opportunities ahead for further increases in profitability. We are increasing our guidance today for healthcare revenues and non-GAAP EPS based on our first quarter results, in combination with a more positive outlook for hospital census in 2024. As we announced a month and a half ago, we're working to separate consumer health care from professional health care on the behest of most of our shareholders. We have made significant progress on the proposed structures for separation, and Micah and I will share more details about this later in the call. With that, I'll pass it over to Micah to review our first quarter results in more detail and provide an update on our 2024 guidance.
spk06: Thank you, Joe, and good afternoon, everyone. For the first quarter, our consolidated revenue was $493 million. Healthcare revenues were $340 million, which were at the upper end of our guidance range and represented a 2% decline versus last year. These results were encouraging given the business faced its most difficult year-over-year comparison this quarter. In the second quarter, we expect those comparisons to start to normalize on a year-to-date basis and throughout the rest of this year, which is implied in our full-year guidance range of 6% to 9% revenue growth. On a constant currency basis, our consumable and service revenues grew 2%, partially offsetting a 21% reduction in capital equipment and other revenues versus the prior year period. The decline in capital is expected given the extra purchasing many hospitals did during COVID. Within consumables and service revenues, our set pulse oximetry consumables grew 2% due to a difficult comparison, but we expect growth to normalize throughout the remainder of this year. Our capnography disposables grew 27% and now comprise over half of the category. Additionally, brain monitoring sensors grew 17% as our SEDLINE and O3 products continued to gain market share. Offsetting this growth was an 11% decline in rainbow consumable revenues due to the timing of shipments outside the US. Most importantly, you can see evidence of our market share gains in our strong contracting with hospitals. As shown in our slides today, the value of incremental new contracts signed in the quarter has more than doubled over the past four years, yielding appreciable market share gains. This has contributed to 11% growth in our unrecognized contract revenues over the past 12 months. This consistent growth in our contracts demonstrates our decades-long experience and relationships with hospital systems and our success in continuing to win new customers from our competitors. And we expect these contracts to translate into a meaningful source of revenue growth this year and beyond. It is clear to us that over any meaningful period of time, we have gained tremendous market share. Non-healthcare revenues were $153 million, which was at the midpoint of our guidance range and represented a 29% decline on a constant currency basis versus the prior year. Like healthcare, this business also faced its most difficult year-over-year comparison this quarter. If you recall, our consumer business had a strong first quarter last year before macroeconomic conditions, including higher interest rates, began weighing heavily on consumer spending for luxury and premium products. While we expect comparisons to ease over the course of the year, market conditions remain challenging as we expected. Now moving down the P&L, for the first quarter of 2024, we reported consolidated non-GAAP gross margin of 52%, which included 62% gross margins in healthcare and 29% in non-healthcare. Notably, healthcare gross margins improved by 110 basis points sequentially and were 50 basis points above the high end of our guidance range. The healthcare margin improvement is attributable to the benefits of moving our sensor manufacturing to Malaysia combined with increased operational efficiencies and a favorable mix from consumables and service. For our consolidated business, non-GAAP operating profit was $68 million, and non-GAAP earnings per share was $0.77 to the first quarter. Moving to cash flow, we generated operating cash of $46 million in the first quarter, which helped to pay down $28 million of debt. Strong cash flow generation continues to be a key area of focus, and results have improved significantly. With the first quarter behind us, we have moved past the difficult comparisons for the healthcare business, and our guidance implies 7% to 8% revenue growth for the first half of the year, and 6% to 9% growth for the second half. Our continued strong hospital contracting and sizable increases in unrecognized contract revenue give us confidence in our outlook for revenue growth. Now I'd like to provide an update on our full year 2024 guidance. We are now projecting a consolidated revenue range of $2,055,000,000 to $2,165,000,000. For our healthcare segment, we are now projecting revenues of $1,355,000,000 to $1,385,000,000, which reflects an increase of $10 million for the low end of the range. Although hospital contracting is the most important leading indicator for market share gains and revenue growth, I'd like to address driver shipments for 2024. As I mentioned on last quarter's call, we think that the replacement cycles of existing equipment have slowed temporarily after the robust COVID demand and have hit a low point in the first quarter. However, we expect to see shipments increase to 55,000 or more in the second quarter, and returned to $60,000 or more in the third and fourth quarters of this year. For the non-healthcare segment, we are maintaining our projection for revenues of $700 million to $780 million. Based on our strong first quarter results and how inventory flows through the P&L, we expect to see gross margin further increase this year. Gross margin expansion is a critical focus area for us, as it is one of the most significant factors in generating earnings leverage. We're excited to announce that we have already transitioned a large portion of our sensor manufacturing to Malaysia and expect to realize increased efficiencies and lower production costs moving forward. As a result, we are increasing our healthcare gross margin guidance by approximately 60 basis points at the midpoint to reflect our progress on this important initiative. For fiscal 2024, we are projecting consolidated non-GAAP gross margin of 52%, which now reflects a 62.4% margin for our healthcare segment and a 32 to 33% margin for our non-healthcare segment. Due to our strong performance and improved outlook for healthcare revenues and gross margins, we are now projecting consolidated non-GAAP operating profit of $309 million to $324 million. Based on these assumptions, we are now projecting a non-GAAP EPS range of $3.54 to $3.70, which represents an increase of 10 cents from prior guidance at both ends of the range, highlighting our strong commitment to operating leverage and earnings growth. Now turning to our outlook for the second quarter, we are projecting consolidated revenue of 480 to 510 million, non-GAAP operating profit of 67 to 72 million, and non-GAAP earnings per share of 73 cents to 79 cents. Please reference the earnings presentation on our investor website for further details. In summary, the outlook for the healthcare business has improved, and we anticipate accelerating growth and expanding margins throughout the year. We have added many new customers to our large contract backlog, which should produce higher sensor volumes this year. Now I'd like to provide you with an update on the ongoing evaluation of options to separate our consumer business. The Massimo executive team is working diligently to gather information and assess the advantages and disadvantages of potential pathways for a separation. The conclusions will then be presented to the board for their ultimate decision. The options being considered among others are a spinoff of the consumer business in the form of a new stock issued to existing shareholders as a dividend or the sell of at least a majority stake in the consumer business to a third party. A key objective is that any separation would result in a full deconsolidation of the two businesses in our financial statements. Another key objective for the proposed structure is to give both businesses the appropriate capital structures and resources to achieve long-term success and maximize shareholder value. We provided a preliminary estimate of the financial impact of a separation on slide seven of our earnings presentation. Notably, Assuming a separation is completed as outlined, we estimate that healthcare non-GAAP operating margins would improve by 220 to 380 basis points to reach 23 to 25%. This would be a big step towards reaching our long-term goal of 30% operating margins for the healthcare business. Further, if a separation transaction results in cash proceeds to Massimo, we expect to use those proceeds to pay down debt and reduce interest expense. which currently amounts to $47 million in our guidance. The timetables for these two types of transactions are quite different. A spend to shareholders is likely to be more time-consuming and could take 12 months to complete. The sell of at least a majority stake in the consumer business could take four to six months following board approval, depending on receipt of required regulatory clearances. We're advancing the evaluation quickly but rigorously and expect to make significant progress over the next few months. We will provide investors with a more detailed update when the board makes a final decision. With that, I'll turn the call back to Joe.
spk02: Thank you, Micah. As our good results and improved outlook for the year show, Massimo is back on track. But before we take your questions, I want to share a few additional thoughts on the separation of our consumer business. Before we announced our plans to evaluate a separation of the consumer business, we engaged with and listened carefully to our shareholders' perspectives. While we believe the consumer health and professional healthcare have greater potential together, the board and management are confident we have come up with a way to enact our shareholders' wishes without materially sacrificing the vision we have for making lives better and building greater shareholder value. With the proposed separation, the consumer business will consist of consumer health products such as Freedom and consumer audio products, including Hearables. Powered by Massimo technology and some Massimo team members, the consumer business will be appropriately resourced to continue to innovate and pursue this fast-growing and developing market. Professional healthcare will retain everything else, including our telehealth and remote patient monitoring products, where we continue to see significant interest from hospitals and healthcare providers in reducing costs and improving outcomes with our transformative technologies and hospital-at-home models. As Michael shared earlier, we expect the conceived separation will have an immediate positive impact on the profitability of our professional healthcare business. I'm incredibly excited about the future for both Massimo businesses and look toward sharing more details about a separation as we make further progress. With that, we'll open the call to questions. Operator?
spk04: Thank you. We will now begin our question and answer session. At this time, if you would like to ask a question, please press star followed by the number one on your telephone keypad. If you would like to withdraw your question, simply press star one again. We will pause for just a moment to compile the Q&A roster. Thank you. The first question comes from the line of Rick Wise from Stifel. Please go ahead. Good afternoon, everybody.
spk03: Let me start with drivers, if I could. I'm already getting a bunch of questions there. Micah, I heard your comments, and you've talked about it before, this issue of the COVID-driven demand and buildup of installed base But several things. One, I don't think any of us expected a 50,000 unit number. I'm not looking at the approximate number in the first quarter. Help us understand what happened there and help us more concretely understand why the step up in subsequent quarters is, you know, you believe it and we should believe it as well.
spk06: Absolutely. Thanks, Rick. Yeah, so as you mentioned, we hit a low point 50,000 this quarter. If you recall back on the fourth quarter call, I mentioned that we expected to see a low point in drivers before climbing, you know, before recovering back in the first quarter. Right now, we're expecting that those will step up to 55,000 or more, as I mentioned in my prepared remarks, and then 60,000 or more in the back half of the year. What we believe has happened is that there's been a slower replacement cycle for existing equipment out there. We saw a slowdown of orders coming from our OEM partners. Last year, we expected that it would be soft as we entered the year, but then starting to recover back based on what we're seeing from our internal forecast from our from our OEM team as well as our direct team in terms of the Massimo-branded equipment. The Massimo-branded equipment's demand has still been very strong, and I think that's heading in the right direction as well. But the biggest pullback in drivers is really on the OEM side. And like I said, we're seeing good forecasts internally. That's why we're including expectations for the remaining quarters of the year, and we think it'll start to normalize back to above the 60,000 level, which is kind of where we were back pre-COVID. One other thing to add is when I look at consumable revenue, we're seeing good utilization in terms of revenue per driver. As you know, we shipped about two times the amount of drivers back in 2020 during COVID, We shipped an extra $240,000. That's about 10% added to our install base above normal. And the great thing is that we're still seeing our consumable revenue per driver today is higher than what it was pre-COVID. It's a tick higher, which tells us that we're still seeing very good utilization across the install base, and we expect to see consumable revenue per driver increase as we move forward.
spk03: Yeah, that's a great perspective, Micah. I guess I'll turn to two other questions if I could. One, I'm hoping you'll talk a little bit about the second quarter guide, you know, solid, but maybe a little softer than I might have expected, especially the business stabilizing. It sounds like you're optimistic on the driver front. We're seeing new products launching. And inpatient admission growth is at the higher end of the zero to 1%, actually above it seems, the zero to 1% you've guided for the year. Why aren't we seeing a stronger second quarter guide, Micah? And then I have one more if I might.
spk06: Yeah, good question, Rick. We believe both businesses this year are back to where we see them historically in terms of back to 2019 and prior. When I look at the healthcare business, revenues for healthcare typically have been about 24.7%, 24.8% of full year, somewhere in that range. Q2 has always stepped down, about 24.4% historically, and Q3 as well. Right now, the guidance is really aligned with that seasonality for the year, and we feel good about kind of where we're setting in terms of the guide for the full year. What gives us much more confidence is what we've seen in contracting. We've seen, like I mentioned, strong contracting in the quarter. an increase in the contract backlog, but it's still early in the year. And we don't want to get ahead of ourselves. We want to be thoughtful and prudent about our guidance. And that's why we're holding still the back three quarters. But we're feeling very good about where we are today in terms of the strength of the business.
spk03: And just, again, if I could be selfish and ask one more. on Malaysia, I mean, one clear stand-up positive, obviously, is the progress you're making in transferring production to Malaysia. Two-thirds, I mean, this is well ahead of what I might have expected. Talk about that volume and if that ramps the implications for the rest of the year as we start to think about gross margin and beyond. It seems like over the next few years, You really, I mean, I feel like your past comments, Mike, have suggested that this could add, you know, literally hundreds of basis points back to the P&L. Where are we? How quickly does that happen? And especially this year. Thanks a lot.
spk06: Yeah, absolutely. Thank you, Rick. Well, if you look at our guidance, we're increasing it by about 60 basis points at our midpoint. and we beat the first quarter we came in better we're seeing that transition to malaysia taking hold faster than we expected i think we were we're estimating 50 by as we pass the mid-year point and we're already at two-thirds um so i think you know we expect that the ramp uh it's implied in our growth and our guidance for the year uh we expect to continue to ramp up in in q2 and then especially as we exit into Q4. That's going to give us that 60 basis point increase in the guidance was really driven by, you know, the transition with Malaysia faster than we expected. And then if you look further out, I mean, we've laid out in our earnings presentation a slide that shows where we think we can take gross margins. If you look at it, it's about 350 basis points of improvement as we drive towards our long-term goal of 30% margins. Today we're sitting at 62.5, so that would imply that we get up to 66% to reach that 30% margin goal. And we're not giving up. We'll still continue to focus on moving it even higher than 66, but right now we're comfortable with putting out there a 66% gross margin and 30% operating margin long-term goal. And I think as we look at the initiatives, the three key initiatives are continuing to, you know, have our engineering teams work on initiatives to reduce product costs, manufacturing initiatives becoming more efficient as we transition to Malaysia. Not only are we going to see lower labor costs, but we're also going to see, we expect to see increased efficiency. And then third is really just leveraging the install base that we're putting out there and the equipment.
spk03: Thank you again.
spk02: You know, one point I just want to make sure the group gets, I'm sure Rick knows this, but majority of our drivers come from OEMs. And during COVID, the OEMs ordered a lot. And post-COVID, it's kind of come back down. I think they're suffering mostly from dearth of capital dollars. We're not tied to that. That's why you're seeing our true incremental hit a record 100 million, because we are converting more and more hospitals. And a lot of that is driving the drivers that we're getting, not what they're normally doing. So if we weren't doing TIs the way we've been doing TIs for a couple of years, you'd see even less drivers. A lot of the OEMs are not doing that well.
spk04: Thank you, Joe.
spk02: You're welcome.
spk04: The next question comes from the line of Marie Thibault from BPIG. Please go ahead.
spk00: Hi. Thanks for taking the questions this afternoon, and congrats on a very nice Q1. Nice to see that guide moving higher for the year. I wanted to ask here about the... You know the operating margin that you laid out here in the slides for the remain Co remain Co healthcare You know the twenty three point two to twenty four point eight percent that was a bit higher than we expected We were right there with you from that 600 bits of uplift from the consumer audio separation But I don't think I was factoring in another 220 to 380 bits for additional separation adjustments Can you help me understand what some of those adjustments are? I? on sort of a practical level and, you know, help us understand how you're able to get that leverage despite, you know, gross margins not at where they were pre-COVID, even though they are improving not at where they were pre-COVID. So, would love to understand that additional uplift.
spk06: Yeah, thank you, Marie. When you look at our healthcare business, you know, and kind of break that down, you mentioned the consumer audio. I'll start there with Consumer Audio. Consumer Audio, we're basically backing off 740 million of revenue and 29 million of operating profit in our guidance for the year, about 4% operating profit margin. And then the 220 to 380 basis points is really the improvement from there, taking our healthcare segment margins, operating margins of 21% and moving those up to 23.2 to 24.8% range. What that is is, if you recall, when we did the acquisition, we put in about a point of investment from selling and marketing expenses. But this also includes another carve out of expenses for R&D expenses for the team that's really focused on the wearable products for consumer health. So when we look at the range, we're estimating a range of $28 million to $51 million that would get carved out. Again, we're going with a broad range because we still have a lot to work through internally before we can present to the board what the parameters look like. But that's the range we expect. And that would land us at $23.2 million, like I said, to $24.8 million. and set us very well on that path to the 30% margin goal long term.
spk00: Okay, that's really helpful to understand. And then I heard the commentary about cash flow from operations, you know, generating some of that cash flow this quarter and being able to pay down some debt. Pre-Sound United acquisition, one of the key strengths of Massimo was the free cash flow generation. Any way for us to think about, you know, with this preliminary estimate, What we could eventually see some of that free cash flow generation return to, are there levels that we should think about or ways to back into some of those numbers? Micah, thanks for the help.
spk06: Yeah, absolutely. You know, if you look at the carve-out costs, and we laid those out in the slide, not only do you have on a non-GAAP basis $28 to $51 million, but We're also assuming for now, and we still gotta work through a lot of this, but we're assuming 50% of the Apple litigation expenses get split. So that's another, call it 19 million for the year, or 38 million in total, but 19 million that would get carved out under that assumption. So what's been weighing on cash flow has been the litigation expense and also just some of the expenses during the proxy season. Um, and, and also just last year, what's been weighing on it is, is just, we saw some increases in networking capital, and now we're starting to move that in the right direction with, with our accounts receivable and inventory management. Um, so I think, you know, we would expect to, to get, you know, our, our cashflow back on track for that, that long-term goal. Um, our long-term goal is to get that back up over time to 300 million plus. Um, and it'll take a little time to get back there, but, I think, you know, long-term that's where we expect to see that cash flow generation from the core healthcare business.
spk00: Very helpful. Thank you.
spk04: The next question comes from the line of Victor from Wells Fargo. Please go ahead.
spk01: Hey, good afternoon. Thanks so much for taking the questions. Two for me. So I'll start with the first one. Really helpful that you put that slide out about the potential impact from the separation, but I was just wondering, you know, when you expect to present the board with a list of strategic options, anything to share about timelines, and then a follow-up, please.
spk06: Vic, it was very hard to understand that. Was that on the timelines?
spk01: Oh, I'm sorry. I apologize. I was just wondering if you can share anything on the timeline about when you can present the board with a list of options.
spk06: You know, we've got, we still have some work to do internally. We're pacing as far as right now, we're working as fast as we can to Follow the process. We've got some things we're working through on both on the various options we've laid out in the prepared remarks. And we can't give a definitive timeline at this point, but we expect to make a lot of progress over the next 30 to 45 days.
spk01: Okay, very helpful. Thank you. And apologies if you already mentioned this before I was jumping around on calls. But I think you had initially assumed in your guidance 0% to 1% inpatient growth. I'm just wondering if you have an update to that and what impact the higher inpatient volumes are that you're seeing in the field out there and what impact that has to your guidance. Thank you.
spk06: Yeah, the strength of our quarter really came from sensor growth, sensor volumes that are both in the US and Europe. That also, based on what we're hearing out there in the market, is some have reported out early, some have shown census as high as 3% right now. And we're still waiting to see others report out, but that's definitely helping our growth. And if that continues, that could be upside for the year for us.
spk04: The next question comes from the line of Mike Pollard from Wolf Research. Please go ahead.
spk05: Good afternoon. Question for Micah. I'm wondering if you can provide this disclosure. The installed base or the driver base year-on-year in the first quarter, what was the growth rate?
spk06: I don't have the driver installed base right in front of me. I apologize, Jason. Again, we're really laser focused right now on the true incremental and how we're viewing the contracting and how that's playing into our forecast.
spk05: Okay. Can I maybe ask then, like the 50,000 driver shipments, would you, at a high level, I don't need the precision number, but what is the mix of replacements versus net new in that figure?
spk06: on the replacements versus net new. We typically don't... Well, maybe I can interject.
spk02: So I think the best way to think about it, Mike, is that whatever our market share is today, that's probably replacement, and the rest is new. We're not here to tell you what that market share is, but what we can tell you is that we think today the minority... of the drivers are new shipments. And a lot of the shipments that we look towards in increasing our business in the future come from what we do at True Incremental when we sign up new hospitals to switch from our competitor to maximum.
spk05: Thank you for that, Joe. For my second topic, I want to just ask a follow-up on Malaysia and the gross margin update. I'm curious, when this is fully transitioned, I heard the comment about the change to 24, 60 bps, but it's obviously phasing in throughout the year and ramping throughout the year, and then 350 bps on the longer-term margin bridge from gross margin. I'm just curious, the mechanical shift of Mexico to Malaysia, kind of from, say, last year to when you think it's optimized, how much...
spk06: in total is is that impact um and thanks for taking the questions yeah yeah mike if you look at the um initial impact and we're reflecting some of that as you can see in our guidance as we raise it by 60 basis points but so this year um or for uh for the early early start of the uh transition um the benefit is going to be more in terms of the direct labor benefit and that should be we're estimating that to be about 60 basis points of improvement per year. From that point, we expect to drive increased efficiencies in our manufacturing there as we have improved rates of attrition, turnover in the workforce. We expect it to be a much more stable workforce for us and more efficient workforce based on what we're seeing so far. That can definitely get us well above that 60 basis points that we're seeing. And, you know, we'll see how that plays out. But I would expect that we're going to be, you know, probably over 100 basis points of improvement just from that once we start to see all the efficiencies.
spk02: Thank you so much, everyone, for joining us for our Q1 earnings call. We look forward to presenting our Q2 with you very soon. Have a wonderful rest of your spring and summer. Thank you.
spk04: Ladies and gentlemen, this concludes today's conference call. Thank you for your participation, and you may now disconnect.
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